Gabriela’s Dream Body: From WTF Did I Do To 100/100 Would Do This Again

Speaker 1 (00:07):
You're listening to The La Jolla Cosmetic Podcast.

Monique Ramsey (00:15):
Welcome everyone to The La Jolla Cosmetic Podcast. I'm your hostess, Monique Ramsey. And today on the podcast, my guest is someone very special. She's a patient who has a remarkable story, and we're honored that she's willing to tell it for our audience and for those who are thinking about doing the surgeries that she did. So welcome, Gabriela.

Gabriela (00:35):
Thank you. I'm glad to be here.

Monique Ramsey (00:37):
Tell us a little bit about yourself.

Gabriela (00:40):
I am 44 years old and I have two children, 12 and 10. I am mostly a stay at home mom. I went to school for nursing. I got my degree and I had my first child six weeks before I graduated and I decided to stay at home with my kids. I've basically been a stay at home mom since they were born. I've been in San Diego since 1995, so I'm pretty much a local.

Monique Ramsey (01:08):
Awesome. What was bothering you or what were you having a hard time with in terms of clothes or what about your body did you want to change?

Gabriela (01:23):
After I had my two children, I had some issues with my abdominal area. I'm a longtime patient of La Jolla Cosmetic Surgery Center. I actually went to Dr. Saltz for my mommy makeover in 2014 and I had phenomenal results then. At that point, all I had was the abdominoplasty and I had replaced my implants because she actually needed to revise the first breast augmentation that I had gotten.

Gabriela (01:50):
I was extremely happy with the results at that point. I was able to wear a two piece bathing suit again and I maintained working out. I maintained my weight pretty much except for 10 or 15 pounds.

Monique Ramsey (02:06):
Yeah.

Gabriela (02:06):
But as I got older, there was just areas that no matter how much I worked out, no matter what I ate, they were just areas that were not going to go away, fat areas, some even a little bit of loose skin. I just decided this year, I was 44 years old and I said, "I'm just going to have the best body I've ever had." I've gone through trainers, I've done Pilates consistently and I've always had great results, but not my dream body. And so I just said, "You know what? I'm doing it." So I went on La Jolla Cosmetic Surgery Center and I saw Dr. Swistun and I saw that he did the 360 lipo. So I thought, "You know what? I'm going to do it." I made that decision and I just went for it.

Monique Ramsey (02:55):
Was it sort of a new year's resolution or was it... because you said this year, so I didn't know if... Or was there a moment that you just said, "I'm going to change it."

Gabriela (03:05):
It was in January. I had a friend that went through the same procedure back in the summertime. So I just thought in January, I thought it was a good time to get started on the consult and see what the doctor had to say as far as my problem areas.

Monique Ramsey (03:23):
Uh-huh. Now, how long ago? You said your first surgery was in 2014?

Gabriela (03:28):
2014.

Monique Ramsey (03:29):
So it's eight years, right? Am I doing my math right?

Gabriela (03:32):
Yes.

Monique Ramsey (03:35):
Do you remember how you found us back then? How you heard about Dr. Saltz?

Gabriela (03:39):
Yes, actually my girlfriend had gone to Dr. Saltz, so it was a referral.

Monique Ramsey (03:44):
Oh, that's always the best way, to have somebody who's been there. Done that.

Gabriela (03:48):
Right.

Monique Ramsey (03:50):
When you met her and when you met Dr. Swistun, did you have any first impressions?

Gabriela (03:56):
Well, right away I could tell Dr. Swistun was incredibly professional. He knew exactly what he was talking about, because going into this with I'm a small petite person and I didn't have a ton of fat. I mean, my BMI was a 21.5. So you really have to go to someone, an expert, because if they, he was explaining too, if you take too much fat or you go not deep enough into the layers, you're going to get that wrinkly texture.

Monique Ramsey (04:27):
Oh.

Gabriela (04:27):
And when I explained to him what I wanted, he just understood me. And I just felt that was, this was my doctor, in the initial consultation.

Monique Ramsey (04:36):
I think that's the thing, is kind of feeling that bond and that trust.

Gabriela (04:40):
Yes.

Monique Ramsey (04:40):
Where you're like, "Okay, they hear me." And I think that's so important to feel heard, not just them telling you, because they're an expert, what you should do. But they have to understand kind of what's your motivation, and just feel like you're on the same page and in sync together.

Gabriela (04:57):
Absolutely.

Monique Ramsey (05:00):
Were you nervous about anything coming into the consult or even maybe before the surgery?

Gabriela (05:05):
I was a little bit. So what happened was initially I came in to just get a consult on a 360 Lipo. And Dr. Swistun said, "I just want to let you know that you're going to have all this pure fat. I need you to know that it's available to put in other areas." And I said, "Where? Where can you put it?" He said, "We can put it in your butt." And I said, "Oo, I don't know." Because I already have a butt. And I said, "I need to think about it." I don't want the huge backside. I don't want it to look so obvious that I've had work done. I don't want that attention drawn to me.

Gabriela (05:46):
But he let me know. And after doing some more research, I just said... Because I was going to do something called emsculpt where they put the paddles on your behind and it does squats for you or it contracts your muscle. And so I thought, "You know what? I'm just going to do it." Like I said, I was going for that dream body, the hourglass figure, so I was a little bit nervous about that because I didn't want to be the mom at the pool with the... Everyone can tell that I've had a BBL. I want it to be a little bit more, oh, has she? Or hasn't she?

Monique Ramsey (06:23):
And so what procedure or combination of procedures did you end up deciding to go forward with?

Gabriela (06:29):
I got the 360 Lipo, which was in my abdominal area. We did my upper back and my bra fat, I guess, they call it, along with Renuvion. It's where the skin tightening. So I had a little bit of lax skin on my back, and then he did some in my abdominal area to tighten up some of the skin and he put the fat into my backside. So it's a BBL, and then we actually did a little bit of fat in my chin and a little bit in my temples.

Monique Ramsey (07:05):
Oh, nice.

Gabriela (07:06):
Yeah.

Monique Ramsey (07:07):
They talk about temples getting hollow as you get older and it seems so odd to me, from a layman's perspective, like what? My temples, how would I know? But once you see that filled back out to normal, then it's like, oh yeah. That really does restore that kind of inverted triangle, because that's what happens.

Gabriela (07:25):
It does.

Monique Ramsey (07:25):
You want an upside down triangle. You don't want the thin part of your face at the top and the wide part at the bottom.

Gabriela (07:32):
Exactly.

Monique Ramsey (07:34):
Now, did any of that hurt after surgery on your face? Or was it more the post-op pain was more related to your body?

Gabriela (07:42):
It was more related to my body. I didn't have any pain on my face. I had a little bit of bruising, but that was minimal.

Monique Ramsey (07:51):
Now the Renuvion that you mentioned, that helps to tighten the skin and smooth out some areas. Not a lot of people know what that is, but that is something that we can do as a standalone procedure, and it oftentimes it's done in conjunction with body sculpting. What did it feel like? Or could you really notice it?

Gabriela (08:11):
I didn't feel it. In general, I just felt pain from the liposculpture.

Monique Ramsey (08:19):
Now tell us about the day of your surgery. What was that like for you?

Gabriela (08:23):
I was really excited. I was, of course, a little bit nervous, but I knew that I was eating right and I wasn't drinking alcohol. I actually hadn't drank alcohol for three months prior. I just wanted to be in optimal condition to make sure that I'm as healthy as possible when I'm going under. That was really important to me. And I really tried to stay calm because I didn't want to raise my blood pressure. And I just have this mindset when I go in for surgery that I stay positive in my mind and I just keep myself calm and not nervous.

Monique Ramsey (08:57):
I think you bring up a really good point, because not everybody thinks about mindset versus physical things. Like, okay, you ate really well and you didn't drink, and I think that's very admirable, to be like, okay, I want my body at the peak so that when I heal, it's healing as fast as it can, because it's not being slowed down by anything.

Gabriela (09:21):
Right.

Monique Ramsey (09:21):
But your mindset is such an important part as well, because we all know it's mind over matter and we all know that we can do damage to ourselves by that self talk, but we can also make things so much better with the self talk and being calm, I think is huge.

Gabriela (09:41):
Yes.

Monique Ramsey (09:43):
So you gave your body ample time to really recover because I think that's where people make mistakes, is they start to do too much too soon and they set themselves backwards. Now did that happen at all to you, where you start to feel so good that then maybe you're like, "Oh, maybe I overdid it?

Gabriela (10:01):
No.

Monique Ramsey (10:01):
No. Good.

Gabriela (10:03):
I did nothing for weeks.

Monique Ramsey (10:07):
Which is probably really nice.

Gabriela (10:09):
It was. But like you said, you just kind of went. I have to be honest, my parents were there, so it was really nice to have my parents because I knew that they were going to cook and clean and help out. Because my husband in that department is, he's challenged in that department. And so it was good because I didn't have to worry about that. But I really did nothing. I was prepared. I will tell you it was a tough recovery.

Monique Ramsey (10:36):
And what do you mean by that? Give us some examples of maybe what you weren't expecting in terms of either doing certain things or pain.

Gabriela (10:45):
Sure. I have a pretty high pain tolerance. I've been through, like I said, the mommy makeover. So I'm, I would say, experienced with getting procedures done. I will say this was the more challenging of all the procedures, and that mainly has to do with the discomfort. The pain to me was manageable. I actually didn't even take narcotics. I took it the first day post-op and the second day I decided I wasn't going to take any narcotics, and I just kept up with the Tylenol and ibuprofen protocol. But I'll tell you, it was just the discomfort. Because when you get the fat transfer, you cannot lay on your back or your sides, because I also, I forgot, I had it also to my hips to make it that hourglass.

Monique Ramsey (11:35):
Oh, uh-huh (affirmative).

Gabriela (11:35):
And you can't sit, for weeks. Weeks.

Monique Ramsey (11:39):
Now I'm... So wait. if you can't be on your back or your side, were you hanging?

Gabriela (11:45):
Yeah.

Monique Ramsey (11:45):
Hanging from the ceiling.

Gabriela (11:48):
Yeah. Sleeping upside down. I was prepared for that because I had done my research. It is difficult because I'm a side sleeper. So I had to sleep on my stomach.

Monique Ramsey (12:02):
Oh.

Gabriela (12:02):
And after getting all that, the lipo done to your abdominal area, it is very painful to sleep on your stomach. It was pretty excruciating. And then as far as sitting, I ordered all these special chairs and nothing was comfortable for at least the first five days. It was pretty miserable and it is pretty.. the surgery is very... You have a lot of fluids.

Monique Ramsey (12:28):
Ah.

Gabriela (12:29):
So it's messy. I bought... yeah. You don't want your best bedsheets. You're not going to sleep on those.

Monique Ramsey (12:36):
Beach towels.

Gabriela (12:39):
I just want other people to know or anyone that's thinking about this, that it is a tough recovery and I want people to be prepared. In La Jolla Cosmetic Surgery, they give you a book after you have your surgeries and they kind of go through the stages of surgery so that everyone's prepared like, oh, you're so happy before. And then right after surgery you're like, "Why did I do this?" And you're... I never had that. But with this surgery, I was like, "Why did I do this? Why did I do this to myself? I'm too old for this, this recovery."

Gabriela (13:11):
And I'll tell you it was a good, probably 10 days, and then once I got used to sleeping on my stomach and I had the special chairs and those, and I got used to it, I was like, "Okay, that's it. It's good. I'm in recovery mode." And then at about two weeks post op, when you kind of start to see some results and you're not as swollen and every day's different. It's like, "Okay, this was worth it." And then, the longer it goes, I'm like, "I would do this again 100 times out of 100 because it was so worth it."

Monique Ramsey (13:50):
Wow. That's a big swing from being like, "What did I do to myself? Just yesterday I was totally normal. And today I'm like, what?" And really, how long did it take for you to get there? Like, "Oh my gosh, this was the best thing I ever did."

Gabriela (14:06):
I would say once I started to see the results, that is when it's like, "This was worth it."

Monique Ramsey (14:14):
How long has it been since your surgery?

Gabriela (14:17):
It has been 12 weeks.

Monique Ramsey (14:19):
Okay. So you're enjoying your dream body, I take it.

Gabriela (14:22):
Yes. I am.

Monique Ramsey (14:24):
Tell me some of the things that you've been able to enjoy that you wouldn't have done before or clothes that you can wear.

Gabriela (14:33):
Well, I'm really happy that crop tops are still in style because I have five sitting in my closet that I bought just for this summer. And we went to Vegas for a wedding a couple weeks ago, my husband and I, and I bought this dress that was, it just accentuated all my curves. And it's so fun to buy clothes that you don't have to worry like, "Oh, I don't know if I can wear that. It might be too tight in these areas." And now I'm like, "Oh my gosh, it fits like a glove." It's really, really fun and exciting. And it's a really big confidence boost.

Monique Ramsey (15:07):
Oh, that's so nice. And confidence, I think is, that's the key, really. It's like, even if you're go get your hair done, you're walking into the room with your head a little higher, because you're like, "I know I look fabulous."

Gabriela (15:19):
Absolutely.

Monique Ramsey (15:20):
So it's the same thing, but on a much bigger scale.

Gabriela (15:22):
Yes.

Monique Ramsey (15:24):
Now what scars do you have and what do you feel about where they are or are they hard to hide?

Gabriela (15:31):
The main scars I have are from my abdominoplasty. What was great is Dr. Swistun went through my old tummy tuck scar. He just made two little incisions on my tummy tuck scar so that he didn't have to make new scars. The back side, I do have one little mark on my upper back and then kind of on my lower flank area, there's two and they are, they're tiny. I can hide them under my bathing suit. No one will know.

Monique Ramsey (16:02):
Oh, that's nice. That's really nice.

Gabriela (16:04):
It's minimal. Yeah.

Monique Ramsey (16:06):
Now, were there any surprises after your surgery and anything you were not expecting?

Gabriela (16:12):
I think it was mainly just being so uncomfortable, and the fluid. You have a lot of fluid. Even though you have the drains, your garment is... if anybody is curious, they can even go on YouTube and start looking at BBLs and there's girls with their garment. And it's just, it looks like it's blood, but it's fluid.

Monique Ramsey (16:32):
Uh huh.

Gabriela (16:33):
Because when the doctor goes in there to lipo, he adds that fluid. He adds as he's pulling the fat out.

Monique Ramsey (16:39):
Right.

Gabriela (16:40):
So all of that, it all needs to come out.

Monique Ramsey (16:42):
Right.

Gabriela (16:43):
So it was really messy. And I was prepared for that. I guess I just didn't realize... When you're going through it, you're like, "Wow, I feel really gross." You can't leave the house. Don't leave the house.

Monique Ramsey (16:58):
Now, what would you say was the first time after the surgery that you could go out and feel like I'm not going to leak or I'm not going to feel a ton of pain or where you kind of felt "back to normal", how long did that take?

Gabriela (17:15):
That took probably two and a half weeks after my surgery and I had the drains out and I was still wearing the garment and I even wore some foams to protect the skin between the garment and my skin, because your skin is compromised, so you want to protect that skin. So you're bigger, obviously you're smaller, but you're even bigger because you have the foams in the garment. It was about two and a half weeks.

Monique Ramsey (17:38):
I would love to have a little listing of some of the products you recommend for the audience.

Gabriela (17:43):
Yes.

Monique Ramsey (17:43):
Because if anybody else having that, because there's so much out there. I think now the surgery is pretty commonplace and so a lot of companies have stepped up and created different things, but how do you know which to buy?

Gabriela (17:56):
Exactly.

Monique Ramsey (17:57):
So if you wouldn't mind though, I think it'd be great for other people going forward.

Gabriela (18:02):
I would love to.

Monique Ramsey (18:03):
Oh thank you. Yeah. That would be huge because I think that's really, at the end of the day, somebody getting ready for this big thing, you're not only having to get ready with all the supplies that you're going to have, but just getting your family in order, whether it's your kids and the grandparents and having all of life taken care of, but then what are you going to need? Now, was there any surprises after surgery, pleasant surprises that you didn't really expect?

Gabriela (18:36):
Well, so I told you my, one of my goals was to have my waist as small as possible. My dream has always been to have a 25 inch waist. So Dr. Swistun, I think I went to one of my follow ups and he said, "Okay, well, I can't guarantee that." And so it was so funny. He was just preparing me. It was after my surgery. And about a week later I measured my waist and sure enough, it was a 25. And so I sent him a picture and he's like, "Wow, that's amazing." And then a week after that it got even smaller. It was like a 24 and three quarters. It's like, I keep shrinking. So that was... That's amazing to me.

Monique Ramsey (19:14):
Yeah. So now what would you tell somebody who's listening about how to look for a plastic surgeon?

Gabriela (19:23):
I think it's very important to go with somebody that's board certified. They just have the experience, the education and the expertise. I know it's takes longer to be board certified, and I think that's really important because I hear about a lot of girls going out of the country for surgeries, and I just think you need to stick with the United States with a board certified plastic surgeon because things can go wrong and they don't have the protocols. That's my number one. I think board certified.

Gabriela (20:00):
Number two, I think it's really important to connect with a doctor. I have to tell you what made the difference with Dr. Swistun is that I was able to speak with him and text with him regularly. I'd be like, "Oh, should I bug him?" And he always responded. He was always so professional. He made me feel like I was his favorite patient and I'm pretty sure he makes all his patients feel like that, but that was really important to me. And I just thought, I'm so glad I went with Dr. Swistun because, obviously he got me the results and that's amazing, but also just the communication and being able to reach your doctor, if anything goes wrong.

Gabriela (20:44):
I did have something go a little bit wrong. I was dehydrated one day and then I didn't know.

Monique Ramsey (20:49):
Oh.

Gabriela (20:49):
My heart started racing, just doing, brushing my teeth and I didn't feel good. And I sent him a message and I started to drink an electrolyte drink, this IV hydration. I thought maybe I'm dehydrated and just started drinking the electrolytes. And he said, "Don't drink that. Just replace your fluid. Just drink tons of water." And he told me to drink however many ounces. And within 30 minutes I was back to normal. So it was just nice to be able to reach out-

Monique Ramsey (21:15):
Right.

Gabriela (21:16):
directly to him and get a response. And I think that's really key.

Monique Ramsey (21:21):
Yeah. I think that sometimes it's the little things. We think about all the big things and that we forget, oh yeah, we're supposed to drink water.

Gabriela (21:27):
Right.

Monique Ramsey (21:29):
Your body's going through so much just to get rebalanced after surgery. So now what did your husband think?

Gabriela (21:37):
Oh, he's obsessed with me.

Monique Ramsey (21:41):
Well that's nice.

Gabriela (21:42):
He already was. But now I just, I wear a workout pants and he's like, "Oh my gosh, those pants should be illegal." And he's definitely boosts my confidence.

Monique Ramsey (21:52):
Aw. That's nice. And your kids, how were they throughout the whole thing? What did they think about it?

Gabriela (21:58):
They didn't say much. I didn't tell them details of what I was doing. I did tell them I was going to get some... Mom deserves this and mom has areas that she works on that won't go away, so I'm going to get some plastic surgery. They didn't really say much. They're supportive and they were good. They were fine.

Monique Ramsey (22:18):
That's nice. So how long would you say, if somebody's going to have their in-laws come stay with them or need a friend to come help, how long would you say that they need that person to help?

Gabriela (22:29):
I would say four days post op for sure. But if they can stay a week, that would be even better.

Monique Ramsey (22:37):
And when could you drive? I know you can't drive. If you're taking any painkillers, you can't drive, but when were you able to feel comfortable driving?

Gabriela (22:44):
I think I drove about two and a half weeks after the procedure and I had my pillow.

Monique Ramsey (22:53):
So how do you sit then? It's like the pillow, is it like a donut where the middle is empty or how does it work?

Gabriela (23:00):
It's actually a rectangle shape. And so you sit on it with your thighs, so your thighs are supported, but your behind kind of hangs off.

Monique Ramsey (23:08):
Ah, I see.

Gabriela (23:11):
And we carried that pillow around. We would carry it to restaurants.

Monique Ramsey (23:14):
Do you give it a name?

Gabriela (23:15):
No, I should have. My husband carried it. I'm like, "Can you carry my pillow?"

Monique Ramsey (23:19):
Oh. So now, you don't need to use that anymore? Or do you?

Gabriela (23:23):
I don't, I don't use it anymore.

Monique Ramsey (23:25):
Okay. And do you have any... When you sit down, does it hurt or does it feel different?

Gabriela (23:30):
It's actually great right now. I would say about two weeks ago, it still felt kind of numb and weird to sit on it. Maybe it's just because I don't ever sit on it, but now, sitting here, I feel completely normal.

Monique Ramsey (23:41):
Oh good. And then if you are getting up to transition from sitting to standing, are you sore in a way like you've worked out in your butt or your thighs or your tummy?

Gabriela (23:55):
Not in my butt, but I would say in my abdominal area it's still tender and it's still numb. That is one thing, the only thing I'd say is left is, you have because he's in there with the nerves. And so I'm numb and then, this is strange, but I've been really itchy the last week or two. And it doesn't... Have you ever been numb and you can't relieve the itch because you're numb?

Monique Ramsey (24:18):
Yes.

Gabriela (24:18):
It's such a weird feeling.

Monique Ramsey (24:20):
You kind of have to bang on your-

Gabriela (24:21):
Yeah. You're like, "Oh."

Monique Ramsey (24:23):
I had that after my mommy makeover and I would be like, "It's deep down there." And I'd have to sort of hit it with my fist to give a reverberation to tickle that itch. I don't know if that makes sense. But yeah, it is kind of weird to have that. And your nerves don't grow that fast, to regenerate. It takes, I can't remember what they say, like a millimeter a month or some crazy thing.

Gabriela (24:44):
Oh, wow.

Monique Ramsey (24:45):
So it does take time. So then you're going to have less and less of that as you go forward.

Monique Ramsey (24:50):
Well, this has been so informative, Gabriela. I really appreciate your time and your honesty and being willing to share your experience with the center and with Dr. Swistun, just for other people who want to go through this and to have you as a resource, to be able to know what to expect.

Gabriela (25:14):
I wanted to come on here because I wanted to encourage anybody that's on the fence. I just wanted to say it is so worth it. And I think everybody deserves to feel good, look good and have their dream body. And I'm 44 years old. I know I'm probably older than a lot of patients, but you can still do it in your forties as long as you're healthy. And I just want somebody to know that it's 100% worth it

Monique Ramsey (25:42):
And it's wonderful because you're going to get to enjoy these results the rest of your life.

Gabriela (25:46):
Exactly.

Monique Ramsey (25:47):
So the earlier you do it, the longer you get to enjoy it. So I'm really glad for you. Now, when were you able to work out again?

Gabriela (25:55):
It actually was, Dr. Swistun wanted me to wait eight weeks.

Monique Ramsey (25:58):
Okay. And then once you're at eight weeks, is it walking or could you go back to Pilates?

Gabriela (26:04):
I just started with the walking. I think he said I can work out completely, but I'm doing a lot of walking hills around my house and I actually need to get back into the Pilates and some other workouts. Because see, once you get to your dream body, you have to maintain it. And when you feel so good, you want to. You actually want to work out. You want to take care of yourself because you're like, "I have these amazing results. I want to maintain and keep looking like this."

Monique Ramsey (26:29):
Yeah. That's the key motivator. I read a book about goals and, it was more about habits though. I think it was called Atomic Habits.

Gabriela (26:39):
Oh, I've heard of that book.

Monique Ramsey (26:40):
It's really interesting. They were talking about, because if you get to the goal, then what? It's more about that process and continuing. Because if you get to the goal, then you stop, that's not really what you want. You want to be able to maintain whatever it is.

Monique Ramsey (26:57):
So for everybody out there, check the show notes for links and for Gabriela's recommendations on what products were really great for her and which ones she could have done without. And if you are interested in pricing or financing or anything else that's on your mind, again, the show notes will have all that information. Are we able to post your before and after pictures?

Gabriela (27:21):
Yeah.

Monique Ramsey (27:21):
Are you comfortable with that?

Gabriela (27:23):
Absolutely.

Monique Ramsey (27:24):
I think that would be great, because it's nice to see regular before and afters, but it's also, I think most of us, it's what are we living with in the real world?

Gabriela (27:34):
Right.

Monique Ramsey (27:34):
We're not in front of a camera against a blue backdrop. We are out there living our life. All right. Well, thank you again and thanks everybody who's listening. This has been so much fun. So have a fun little three month post-op downstairs and we will see you all on our next podcast. Thanks.

Gabriela (27:54):
Thank you.

Speaker 1 (28:00):
Take a screenshot of this podcast episode with your phone and show it at your consultation or appointment, or mention the promo code PODCAST to receive $25 off any service or product of $50 or more at La Jolla Cosmetic. La Jolla Cosmetic is located just off the I-5 San Diego freeway in the XIMED building on the Scripps Memorial Hospital campus. To learn more, go to ljcsc.com or follow the team on Instagram @ljcsc. The La Jolla Cosmetic Podcast is a production of The Axis. the axis.io.