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Should you get a facelift in your 40s—or can fillers, Botox, and lasers keep you looking younger for years to come? In this episode of More Than a Pretty Face, Dr. Azi sits down with renowned facial plastic surgeon Dr. Melanie Malone to unpack one of the biggest questions in aesthetics: When is the right time for a facelift? Together, they discuss how the face changes through every decade of life, why your 40s are often a turning point, and the surprising role hormones play in facial aging. They also dive into the truth about mini facelifts, deep plane facelifts, brow lifts, eyelid surgery, fillers, Sculptra, Radiesse, and whether today's treatments help—or complicate—future surgery. If you've ever wondered whether you should keep getting injectables, wait for surgery, or do both, this episode is full of honest answers from two experts who help patients make these decisions every day. Timeline of what was discussed: 00:00 - Meet Dr. Melanie Malone 03:00 - Aging in your 30s: Where it begins 07:05 - Why your 40s change everything 11:40 - Is there a "perfect" age for a facelift? 16:00 - Why surgery isn't a replacement for maintenance 17:25 - Endoscopic facelifts: Worth it? 19:40 - Mini facelift vs. deep plane facelift 23:20 - Understanding SMAS vs. deep plane lifts 27:15 - Brow lifts, eyelids & natural-looking results 32:10 - Do fillers and Sculptra ruin future facelifts? 38:20 - Radiesse, scar tissue & surgical concerns 41:20 - Smash or Pass: The biggest aesthetic trends 43:35 - Final takeaways ______________________________________________________________ Follow Dr. Malone's practice on Instagram: @malonefacialplasticsurgery Dr. Melanie Malone is a double board-certified facial plastic and reconstructive surgeon and founder of Malone Facial Plastic Surgery in La Jolla, California. Renowned for her expertise in facial rejuvenation and deep plane facelift surgery, Dr. Malone blends cutting-edge surgical innovation with a holistic philosophy to deliver refined, natural-looking results. As an accomplished researcher, educator, and internationally recognized expert, she is dedicated to advancing the art and science of facial aesthetics while helping patients look and feel like the best version of themselves. Learn more about Malone Facial Plastic Surgery: https://www.malonemd.com/  ______________________________________________________________ Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, @nurselacie, on YouTube, and TikTok @skinbydrazi. Email [email protected]. Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/ The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.

In this episode of More Than a Pretty Face, Dr. Azi sits down with longtime patient and Coyote Ugly founder, Liliana Lovell, for an honest conversation about aging, aesthetics, and what beauty treatments are actually worth the investment. Drawing from over a decade of working together, they discuss botox, lasers, fillers, skincare, social media trends, and how beauty standards have evolved over time. Liliana shares what treatments she loves, what she'd never do again, and her biggest advice for aging naturally while still feeling confident in your skin.   Timeline of what was discussed: 00:00 – Intro & Meet Liliana Lovell 01:40 – The Story Behind Coyote Ugly 04:00 – Aging, Insecurities & Natural Beauty 06:40 – TikTok Trends vs Expert Advice 07:10 – Building the Coyote Ugly Empire 11:40 – Life After Coyote Ugly & Being in the Spotlight 13:00 – Aging in the Public Eye 15:30 – Beauty Standards & Perception Drift 18:45 – Best & Worst Cosmetic Treatments 19:30 – Halo, BBL & Laser Treatments 22:20 – Microneedling & Exosomes 24:20 – Are Threads Worth It? 26:20 – Prioritizing Treatments on a Budget 27:15 – Botox: When to Start & How Often? 31:20 – Lip Flips, Fillers & Natural Results 34:00 – Volume Loss & Aging Gracefully 37:40 – Favorite Skincare Products & Routine 40:30 – Morning Routine & Vitamin C 44:10 – Healthy Skin Over Heavy Makeup 46:20 – Brows, Lashes & Small Beauty Hacks 49:10 – How to Choose the Right Provider 51:20 – Hormone Therapy & Menopause 53:10 – Scam or Sacred: Beauty Edition 56:20 – Final Advice & Outro ______________________________________________________________ Follow Liliana on Instagram: @LilCoyote6 Follow Coyote Ugly on Instagram: @CoyoteUglyFranchise Liliana Lovell is an entrepreneur, author, and the founder of Coyote Ugly Saloon, the iconic bar that grew into a globally recognized entertainment brand. Known for transforming a bold business concept into a cultural phenomenon, Lovell has built a successful career in hospitality, branding, and business, inspiring aspiring entrepreneurs through her story of resilience, innovation, and determination. Learn more about Coyote Ugly: https://www.coyoteuglysaloon.com/franchising/our-story/  ______________________________________________________________ Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, @nurselacie, on YouTube, and TikTok @skinbydrazi. Email [email protected]. Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/ The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.

In this episode of More Than a Pretty Face, Dr. Azi sits down with double board-certified facial plastic surgeon Dr. Amir Moradi to unpack one of the most talked-about topics in aesthetics: fillers, facelifts, biostimulators, and skin-tightening devices. Together, they break down what patients really need to know about filler migration, the "overfilled" look, Sculptra, Radiesse, RF microneedling, and when surgery may actually be the better option. This conversation cuts through the fear, misinformation, and viral opinions online to give you an honest, expert-backed look at how to age naturally, safely, and beautifully. Timeline of what was discussed: 00:00 - Introduction & Why Aesthetics Feel More Confusing Than Ever 03:00 - Are Fillers Really Preventing Future Facelifts? 04:25 - Why People in Their 30s Usually Don't Need a Facelift 05:45 - When Is Someone a Good Candidate for Fillers? 08:00 - When Is Someone Actually Ready for a Facelift? 11:15 - The Structural Changes Behind Facial Aging 15:20 - Can Botox & Fillers Delay Surgery? 18:45 - What Causes the "Overfilled" Look? 21:40 - The Truth About Filler Migration 24:45 - What Surgeons Actually See During Facelift Surgery 27:45 - Sculptra vs. Radiesse Explained 31:15 - Can Sculptra Replace Fat? 35:00 - RF Microneedling & Skin Tightening Devices 37:45 - Can Energy Devices Destroy Facial Fat? 39:35 - Lazy & Dead Cells Production  40:00 - Evidence of Peptides, mTOR, Rapamycin, Metformin 48:59 - Smash or Pass Questionnaire  ______________________________________________________________ Follow Dr. Moradi on Instagram: @MoradiMD Dr. Amir Moradi is a board-certified facial plastic and reconstructive surgeon specializing in advanced facial rejuvenation procedures, including facelifts, neck lifts, eyelid surgery, and non-surgical aesthetic treatments. Known for his natural-looking results and meticulous approach, Dr. Moradi is dedicated to helping patients achieve refreshed, balanced, and confident appearances. Learn more about Dr. Moradi's clinic: https://moradimd.com/  ______________________________________________________________ Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, @nurselacie, on YouTube, and TikTok @skinbydrazi. Email [email protected]. Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/ The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.

In this episode of More Than a Pretty Face, Dr. Azi and Lacie dive into sun safety, skin cancer awareness, sunscreen myths, and the importance of early detection. In honor of Skin Cancer Awareness Month, and with support from the Melanoma Research Foundation, this episode breaks down what you need to know about melanoma, SPF, tanning, and protecting your skin all summer long.  Timeline of what was discussed: 00:00 – Intro 02:00 – Melanoma Awareness 03:30 – Beauty or Blemish 04:10 – Sun Myths 06:00 – Sunburn Damage 08:30 – UV & Skin Cells 10:00 – Skincare Break 11:00 – Tanning Truth 13:00 – UVA vs UVB 14:30 – Skin Cancer Types 16:30 – Skin Cancer in All Skin Tones 18:30 – Skin Checks 20:00 – Melanoma Research Foundation 21:30 – Sunscreen Types 23:00 – Tinted SPF 24:30 – Missed SPF Areas 26:00 – Lips, Scalp & Eyelids 27:30 – TikTok Sunscreen Myths 29:00 – Perineum Tanning 30:00 – Sunscreen Safety 31:30 – How Much SPF to Use 33:00 – Reapplication 35:00 – SPF Numbers 37:00 – Sensitive Skin SPF 39:00 – Family Sun Safety 41:00 – Final Sun Tips 43:00 – Outro ______________________________________________________________ Follow Melanoma Research Foundation on Instagram: @CureMelanoma The Melanoma Research Foundation is the largest independent organization dedicated to melanoma research, education, and advocacy. Focused on advancing early detection, prevention, and treatment, the foundation works to support patients and families affected by melanoma while funding critical research aimed at improving outcomes and ultimately finding a cure. Learn more about Melanoma Research Foundation: linktr.ee/melanomaresearchfoundation  Shop EltaMD Sunscreen Limited Edition: eltamd.com/product  ______________________________________________________________ Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, @nurselacie, on YouTube, and TikTok @skinbydrazi. Email [email protected]. Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/ The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.

In this episode of More Than a Pretty Face, Dr. Azi sits down with renowned OBGYN, Dr. Thais Aliabadi for a powerful, unfiltered conversation on women's health, advocacy, and the realities many patients face within today's healthcare system. From her personal journey with breast cancer to the widespread dismissal of women's symptoms, Dr. Aliabadi shares why truly understanding your body and learning to advocate for yourself can be life changing. The conversation also explores PCOS, hormonal health, and practical, expert backed tools to help women take control of their long term wellbeing. Honest, informative, and deeply empowering, this is a conversation every woman should hear. Timeline of what was discussed: 00:00 – Intro & Guest Introduction 01:00 – Personal Story & Friendship 02:30 – The Reality of Being an OBGYN 04:00 – Passion for Women's Health 05:30 – Skincare, Recovery & Patient Care Philosophy 07:30 – Breast Cancer Journey 10:30 – Why Breast Cancer Risk Awareness Matters 13:00 – Risk Factors & Early Screening 15:00 – AI in Breast Cancer Detection 17:30 – Genetic Testing & Missed Diagnoses 19:30 – Advocating for Yourself in Healthcare 21:00 – Systemic Dismissal of Women's Symptoms 23:00 – Endometriosis: The Hidden Epidemic 26:00 – Transition to PCOS Discussion 27:00 – PCOS Symptoms & Diagnosis Criteria 30:00 – PCOS & Metabolic / Mental Health Impact 32:30 – Fertility Impact & Early Intervention 34:00 – Root Causes of PCOS Explained 36:00 – Ovi Supplement & Treatment Approach 38:00 – Final Thoughts + Outro ______________________________________________________________ Follow Dr. Thais Aliabadi on Instagram: @drthaisaliabadi Dr. Thais Aliabadi is a board certified OBGYN and a leading expert in women's health based in Los Angeles. She specializes in high risk pregnancies, gynecologic care, and complex reproductive health conditions, including PCOS. A trusted voice in patient advocacy, Dr. Aliabadi is known for her commitment to early detection, education, and empowering women to take control of their health. Follow SheMD Podcast on Instagram: @shemdpodcast Learn more about Ovii at https://ovii.com/ Visit important links mentioned in this episode at https://linktr.ee/shemdpodcast  ______________________________________________________________ Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, @nurselacie, on YouTube, and TikTok @skinbydrazi. Email [email protected]. Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/ The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.

In this episode of More Than A Pretty Face, Dr. Azi sits down with board-certified dermatologist, Dr. Arisa Ortiz, to break down the science behind skin tightening and today's most popular non-invasive treatments. They discuss how collagen changes with age, how ultrasound technology like Softwave works, and how it compares to other options like Ultherapy and RF microneedling. The conversation also covers combination treatments, common patient concerns about fat loss and filler, and how dermatologists approach natural-looking rejuvenation without surgery. Dr. Arisa also shares insights on her AI platform designed to help educate patients before their appointments, plus a rapid-fire round of skincare favorites. Timeline of what was discussed: 00:00 - Intro + Meet Dr. Arisa Ortiz 01:02 - Why Skin Tightening Is So Popular 01:54 - What Skin Tightening Actually Means 04:00 - Softwave vs Ultherapy 05:03 - How Ultrasound Targets Collagen 08:01 - Areas You Can Treat With Softwave 08:42 - AziMD Skincare Break 09:49 - Combining Softwave + Radiesse 11:30 - When You'll See Results 12:13 - Science Behind Softwave 15:43 - Best Age to Start Skin Tightening 18:21 - Threads: Pros & Risks 21:49 - FDA Warning on RF Microneedling 24:00 - Favorite Treatments Dr. Arisa Does 25:33 - AI Platform: Your Pre-Visit 29:27 - Rapid Fire Skincare Questions 30:38 - Final Thoughts + Outro ______________________________________________________________ Follow Dr. Arisa Ortiz on Instagram: @arisaortizmd Dr. Arisa Ortiz is a board-certified dermatologist and the Director of Laser and Cosmetic Dermatology at UC San Diego. She specializes in laser treatments, skin rejuvenation, and non-invasive cosmetic procedures. A nationally and internationally recognized expert, Dr. Ortiz has published numerous peer-reviewed articles and lectures on advanced dermatologic and aesthetic technologies. Known for her research-driven approach, she focuses on safe, effective treatments that deliver natural-looking results. Follow Sofwave on Instagram: @sofwavemed SofwaveTM is an FDA-cleared, non-invasive ultrasound treatment designed to improve skin laxity and reduce fine lines and wrinkles. Using advanced ultrasound technology, Sofwave delivers controlled heat to the mid-dermis to stimulate collagen and elastin production—helping to tighten and lift the skin over time. The treatment is safe for all skin types, requires little to no downtime, and is commonly used on the face, neck, and other areas where skin firmness and texture need improvement. ______________________________________________________________ Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, @nurselacie, on YouTube, and TikTok @skinbydrazi. Email [email protected]. Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/ The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.

In this episode of More Than A Pretty Face, Dr. Azi and Nurse Lacie answer listener-submitted questions on skin health, beauty, and wellness. From hormonal acne and oily skin routines to acne scarring, laser treatments, and red light therapy, they break down what actually works and what's worth skipping. The conversation also explores regenerative treatments like Sculptra, practical tips for hair growth with minoxidil, and how to make smart, personalized decisions when it comes to aesthetic care. Timeline of what was discussed: 00:00 - Intro 00:47 - Listener Questions Kickoff 01:41 - Men & Skincare Trends 03:43 - Favorite Procedure: Skin Lifts 05:08 - Thank You + Subscribe 05:31 - Hormonal Acne Explained 07:45 - Best Treatments for Hormonal Acne 10:39 - Skincare for Oily Skin 12:50 - Acne Scarring Options 13:35 - Best Lasers for Rejuvenation 15:26 - Resurfacing vs Light Lasers 17:23 - What Is Milia? 18:34 - Preventing Milia 19:03 - Does Red Light Therapy Work? 21:21 - Sculptra Explained 24:32 - How to Use Minoxidil 27:33 - Minoxidil + PRP Results 29:18 - Final Thoughts & Outro ______________________________________________________________ Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, @nurselacie, on YouTube, and TikTok @skinbydrazi. Email [email protected]. Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/ The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.

In this episode of More Than A Pretty Face, Dr. Azi and Nurse Lacie reflect on the biggest beauty, skincare, and wellness trends of 2025 and decide which ones should be left behind. From wellness becoming the new status symbol to the rise (and risks) of injectable peptides, skin boosters, and longevity treatments, they break down what's exciting, what's overhyped, and what truly works. The conversation also dives into intentional skincare, regenerative treatments like PRP, exosomes, and PDRN (salmon DNA), and why proper cosmetic evaluation matters more than ever. The episode wraps with a candid discussion on extreme aesthetics, filler fear, and embracing individuality in 2026. Timeline of what was discussed: 00:00 – Intro 2:40 — Beauty & Blemish 6:30 — Healthy Skin = Beauty 9:30 — Skin & Body Health 12:30 — Peptides Talk 16:30 — NAD & Longevity 19:30 — Skin Boosters 21:30 — Salmon Sperm 24:30 — Treatment Myths 26:45 — Intentional Skincare 29:05 — Individual Beauty 32:00 — Filler Myths 34:00 — Wrap ______________________________________________________________ Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, @nurselacie, on YouTube, and TikTok @skinbydrazi. Email [email protected]. Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/ The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.

In this episode of More Than A Pretty Face, Dr. Azi speaks with two leading dermatology experts about modern aesthetic and hair restoration treatments. First, Beverly Hills cosmetic dermatologist Dr. Ardalan Minokadeh shares how neuromodulators, fillers, and facial contouring should be approached differently in men. Then, New York–based dermatologist Dr. Marc Avram breaks down evidence-based hair loss treatments, from medications and PRP to at-home and in-office laser therapies. The episode wraps with practical insights on confidence, aging, and personalized care. Timeline of what was discussed: 00:00 – Intro 00:18 – Submit questions 00:34 – Meet Dr. Ardalan 01:05 – Conference context 01:40 – Men & aesthetics 02:25 – Botox dosing in men 03:10 – Brow positioning 03:45 – Crow's feet focus 04:20 – Dosing approach 05:05 – Icing & comfort 06:05 – Lip filler in men 07:15 – Neck & lower face 08:10 – Trap tox 08:55 – Jawline trends 09:35 – Chin projection 10:25 – Rapid-fire Q&A 11:55 – Where to find Dr. Ardalan 12:30 – Transition 12:51 – Meet Dr. Avram 13:05 – Hair restoration overview 13:35 – PP405 discussion 14:25 – Diagnosing hair loss 15:05 – Medical therapy 15:50 – PRP & regeneration 16:35 – Treatment timelines 17:20 – Combination therapy 18:00 – At-home laser caps 18:45 – In-office lasers 19:35 – Laser mechanism 20:20 – Emerging treatments 21:05 – Choosing a laser cap 21:45 – Supplements 22:50 – Where to find Dr. Avram 23:14 – End   ______________________________________________________________ Follow Ardalan Minokadeh on Instagram: @doctor.ardalan Dr. Ardalan Minokadeh is a board-certified, cosmetic fellowship–trained dermatologist based in Beverly Hills. He specializes in advanced injectable treatments, aesthetic dermatology, and facial balancing for both men and women. Known for his precise, anatomy-driven approach, Dr. Minokadeh is an expert in neuromodulators and dermal fillers, with a strong focus on natural, tailored results and patient-centered care.   Follow Marc Avram on Instagram: @drmarcavram Dr. Marc Avram is a board-certified dermatologist and internationally recognized leader in hair restoration and cosmetic dermatology, based on New York City's Upper East Side. He is the author of multiple textbooks and peer-reviewed publications and is widely regarded for his expertise in medical, regenerative, and laser-based hair loss treatments. Dr. Avram is known for his evidence-based approach, clinical innovation, and dedication to personalized patient care. ______________________________________________________________ Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, on YouTube, and TikTok @skinbydrazi. Email [email protected]. Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/ The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.

In this episode of More Than A Pretty Face, Dr. Azi talks with Dr. Omar Ibrahimi about the newest acne innovations, including 1726 nm lasers like AviClear and Acure, and why fractional resurfacing remains a top-value treatment. They compare laser technology to Accutane, discuss benefits for oily skin and sebaceous hyperplasia, and end with rapid-fire questions and insights on how deeply skin health affects confidence. Timeline of what was discussed: 00:00 – Intro 00:16 – How to submit questions 00:31 – Meet Dr. Omar Ibrahimi 01:07 – Conference impressions & background 01:42 – Best value treatment: fractional resurfacing 02:25 – How resurfacing boosts skin health 02:52 – Acne basics, gaps in treatment & scarring prevention 04:28 – Need for sebaceous-targeting tech 06:28 – Selective laser targeting explained 06:40 – Acne wavelengths (blue/red, 1064) 07:06 – How lasers affect bacteria, inflammation & oil 07:31 – 1726 nm lasers introduced 08:02 – Why 1726 nm targets sebum 08:17 – Comparison to Accutane 09:12 – Shrinking glands without systemic effects 09:41 – AviClear vs. Acure 10:00 – FDA clearance & features 10:17 – Acure temperature-tracking 11:21 – Ensuring proper heating 12:11 – Patient experience 12:50 – Uses beyond acne 13:28 – Sebum as a laser target 14:16 – Oil-control benefits 14:26 – Rapid-fire Q&A 16:00 – Quality-of-life impact 16:24 – Final remarks 16:31 – Dr. Azi's message 16:41 – Outro & gratitude 17:27 – Review + share reminders   ______________________________________________________________ Follow Omar Ibrahimi on Instagram: @ctskindoc Dr. Omar Ibrahimi is a board-certified, laser fellowship–trained dermatologist and the founding medical director of the Connecticut Skin Institute. With advanced training from Harvard, MGH, and the Wellman Center for Photomedicine, he is a nationally recognized expert in laser and energy-based devices, Mohs surgery, and acne innovation. He is known for his research-driven approach and commitment to safe, effective, patient-centered care. ______________________________________________________________ Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, on YouTube, and TikTok @skinbydrazi. Email [email protected]. Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/ The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.

In this episode of More Than A Pretty Face, Dr. Azi speaks with Dr. Tomi Wall about modern rosacea management, including pulsed-dye lasers, V-Beam, combination treatments, and intradermal Botox for flushing. She then sits down with Dr. Monica Boen to discuss the resurgence of CO₂ and Erbium resurfacing lasers, evolving technology, and the cautious excitement around regenerative treatments like exosomes and PDRN. Both dermatologists share practical skincare advice, treatment philosophy, and their go-to in-office approaches for natural, effective results.  Timeline of what was discussed: 00:00 – Podcast intro & welcome 00:07 – Introducing Dr. Tomi Wall 00:55 – Why rosacea emotionally affects patients 01:40 – Types of rosacea explained 02:35 – Top at-home treatments (azelaic acid, ivermectin, sulfur) 03:40 – In-office vascular treatments with PDL 04:40 – How vascular lasers improve rosacea 05:25 – V-Beam for scarring 06:15 – Best timing to start scar laser treatment 07:15 – Treating bruising immediately after filler 08:10 – V-Beam settings for bruising 09:00 – Botox for flushing & neurovascular mechanisms 10:00 – Dilution, dosing, safety precautions 11:05 – Topicals for temporary redness & rebound effects 12:00 – Rapid-fire questions 13:25 – Close of interview 1 15:25 – Introducing Dr. Boen & her practice 15:55 – Why CO₂ & Erbium ablative lasers are returning 16:35 – What ablative lasers do & why patients accept downtime 17:25 – UltraPulse CO₂ & Erbium for deep resurfacing 18:10 – UltraClear: lighter resurfacing with minimal downtime 19:10 – Choosing mild vs aggressive resurfacing settings 19:55 – Combination treatments (Pico, PDL, Fraxel, Clear & Brilliant) 20:40 – PDRN ("salmon DNA"): buzz vs data 21:40 – Exosomes: potential & regulatory concerns 22:50 – Real complications seen from unregulated injectables 23:35 – Dr. Boen's personal favorite treatments 24:10 – Daily skincare must-haves (SPF, retinoids, antioxidants) 25:00 – LED masks: when they help and when they don't 25:55 – Final message: patient education matters 26:40 – Podcast closing & where to submit questions   ______________________________________________________________ Follow Tomi Wall on Instagram: @dr.tomileewall Dr. Tomi Wall is a laser fellowship–trained, board-certified dermatologist based in Northern California. With advanced training from Harvard Medical School and extensive experience teaching residents at Stanford, she specializes in vascular and laser-based treatments for rosacea, scarring, and inflammatory skin conditions. Dr. Wall is known for her research-informed approach, dedication to patient-centered care, and expertise in combination therapy to achieve natural, evidence-based outcomes.   Follow Monica Boen on Instagram: @drmonicaboen Dr. Monica Boen is a board-certified dermatologist practicing in San Diego with advanced specialization in aesthetic and procedural dermatology. Trained in ablative and regenerative laser surgery, she is recognized for bringing modern innovation to legacy resurfacing technologies such as CO₂ and Erbium lasers. Dr. Boen is known for her comprehensive treatment planning, commitment to clinical safety, and ability to blend multiple modalities for powerful yet natural skin rejuvenation results. ______________________________________________________________ Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, on YouTube, and TikTok @skinbydrazi. Email [email protected]. Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/ The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.

In this episode of More Than A Pretty Face, Dr. Azi talks with Dr. Rishi Chopra, a New York–based dermatologist recognized as the Pfizer Rising Derm Star of 2021. They discuss filler fatigue, the shift toward skin tightening treatments, and new innovations in regenerative aesthetics such as Avava laser and PDRN injectables. Dr. Chopra shares insights on emerging devices, collagen banking, and his go-to treatments for natural, long-lasting results. Timeline of what was discussed: 00:00 – Introduction 01:05 – Meet Dr. Rishi Chopra 02:00 – Why patients are developing "filler fear" 03:10 – How overfilling and poor training led to unnatural results 04:05 – The missing link: skin tightening vs. constant filling 05:00 – Introducing Avava, the first laser that tightens and lifts skin 06:00 – How Avava compares to Thermage, Softwave, and Ulthera 06:50 – The science behind Avava's energy delivery & collagen stimulation 07:45 – Visible results: why Dr. Chopra calls it the "Benjamin Button" laser 08:20 – Downtime, safety, and results for different skin types 08:48 – Transition to regenerative injectables & biostimulators 09:00 – What is PDRN (salmon DNA) and how it works for skin rejuvenation 10:05 – FDA status and why Korea is leading in regenerative aesthetics 11:00 – Comparing PDRN, exosomes, and PRP 11:55 – Long-term collagen regeneration & skin quality improvements 12:45 – Discussion on SkinVive and its subtle hydration benefits 13:40 – Biostimulators (Sculptra, Radiesse) for natural rejuvenation 14:45 – Addressing safety & facelift myths around biostimulators 15:55 – Rapid-fire Q&A with Dr. Chopra 16:10 – Favorite treatment right now: Avava laser 1 6:50 – Downtime and results for all skin types 17:30 – Quick lifestyle Q&A: Hamptons or cabin? Brooklyn summers? 18:25 – Research vs. hands-on dermatology 19:10 – Where to find Dr. Rishi Chopra 19:35 – Dr. Azi's closing thoughts & outro ______________________________________________________________ Follow Rishi Chopra on Instagram: @rishichopramd Book an appointment with Dr. Chopra: www.unionderm.com/doctors/dr-rishi-chopra/ Dr. Rishi Chopra is a board-certified dermatologist based in New York City and the 2021 Pfizer Rising Derm Star. He specializes in medical and cosmetic dermatology with a focus on injectables, regenerative aesthetics, and laser innovation. Dr. Chopra practices at UnionDerm, where he's known for his evidence-based approach, cutting-edge techniques, and natural-looking results. ______________________________________________________________ Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, on YouTube, and TikTok @skinbydrazi. Email [email protected]. Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/ The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.

In this episode of More Than A Pretty Face, Dr. Azi sits down with Harvard-trained dermatologists Dr. Karen Kagha Abisogun and Dr. Aria Vazirnia to talk about all things skin science and aesthetics. From treating stubborn under-eye hyperpigmentation in diverse skin tones to mastering advanced liposuction and body contouring techniques, they share expert insights, treatment pearls, and wellness tips for achieving confident, natural results.     Timeline of What Was Discussed 00:30 – Meet guest: Dr. Karen Kagha 01:08 – Topic intro: periorbital hyperpigmentation 01:53 – How to tell pigment vs. other causes of dark circles 02:51 – "Filler or PRP won't fix it" — can make it worse 03:16 – Top cause #1: volume loss (fat pad changes, weight loss) 04:01 – When to treat pigment vs. replace volume 05:04 – Topicals for eyes: hydroquinone, cysteamine (tolerability concerns) 06:35 – Laser approach: 1927 nm Fraxel (go-to) 07:30 – Start low / low-density laser strategy to reduce PIH risk 07:55 – Sun protection & HelioCare (oral photoprotection) 08:36 – Tinted physical SPFs / iron oxides for melanin-rich skin 09:26 – Post-laser care: bland emollients, avoid irritating actives 09:52 – Steroid use: cautious — avoid directly on eyelid; use elsewhere if needed 10:25 – Nutrition & hydration for healing (whole foods, protein, avoid excess salt/alcohol) 11:22 – Allergies / hidden triggers (eye creams, scented candles, gel manicures) 12:27 – V-beam: used mainly for vessels; avoid in darker skin types / test-spot if borderline 13:21 – Microneedling: useful for texture, but laser preferred for pigment 14:05 – Tranexamic acid / post-laser topicals — cautious use around eyes 14:59 – Rapid-fire with Dr. Kagha (wedding season, SPF, retinoids) 16:12 – Retinoid tips: start low, ease in, retinol staging technique 18:28 – Wrap / where to find Dr. Kagha online 18:48 – Transition to next guest: Dr. Aria Vazirnia 18:58 – Meet guest: Dr. Aria Vazirnia (Harvard-trained) 19:27 – Topic intro: arm liposuction — candidates & basics 20:16 – Loose skin considerations; when arm-lift may be needed 21:23 – Tumescent technique: office-based, no general anesthesia needed 22:16 – Leg/ankle contouring: lipedema, 3D approach to sculpting ankles 23:03 – Technique: repositioning patient for full-360 ankle suctioning 23:36 – Durability of results — fat unlikely to return to same spot 24:04 – Scar management: small incisions, sun avoidance, lasers 2–4 weeks post-op 25:23 – Favorite lasers for scars: V-beam, Sciton/Profractional, Fraxel 26:02 – Profractional scar settings (start low density ~5.5–11%) 26:27 – Use of exosomes / PRP / PDRN as adjuncts for healing 26:43 – Fat transfer options for "too-skinny" ankles (referral to plastics) 27:03 – Scope: extremities and 360 trunk work in practice 27:32 – Rapid-fire with Dr. Vazirnia (Boston vs. CA, coffee, music) 28:44 – Advice for young dermatologists: plan 10-year goals, pursue training/fellowships as needed 29:09 – Where to find Dr. Vazirnia online / closing remarks 29:39 – Outro by Dr. Azi  ______________________________________________________________ Follow Karen Kagha on Instagram: @drkarenk Follow Aria Vazirnia on Instagram: @drariamd   Dr. Karen Kagha is a board-certified dermatologist and Harvard-trained cosmetic expert based in Los Angeles. Known for her artistry and science-driven approach, she specializes in aesthetic dermatology and skin health for all skin tones. Dr. Kagha is passionate about empowering people to feel confident in their skin through education, innovation, and inclusive beauty. Dr. Aria Vazirnia is a board-certified dermatologist and fellowship-trained cosmetic and surgical specialist based in Beverly Hills. With expertise spanning lasers, injectables, and advanced lipedema surgery, he combines precision with a natural aesthetic vision. Dr. Vazirnia brings a thoughtful, evidence-based voice to skincare, wellness, and modern beauty. ______________________________________________________________ Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, on YouTube, and TikTok @skinbydrazi. Email [email protected]. Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/ The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.

In this episode of More Than A Pretty Face, Dr. Azi talks with Dr. Terrence Keaney, a Washington DC dermatologist specializing in injectables, regenerative medicine, and body contouring. They discuss why patients are more cautious with fillers, how long results last, and what causes the "overfilled" look. The conversation covers PRF, fat transfer, filler migration, biostimulators, and emerging treatments like exosomes and PDRN. Dr. Keaney also shares insights on male aesthetics, hair restoration, and his go-to treatments for natural, long-lasting results. Timeline of what was discussed: 00:00 – Introduction 01:19 – "Filler fear" trend among patients 02:10 – Why overfilling happens 03:01 – How long fillers actually last 04:01 – Variation in filler longevity between patients 05:04 – Evaluating where to place filler 06:15 – Goal of fillers: restoring natural volume 07:13 – "Natural fillers" vs fat transfer 08:05 – Long-term filler safety & migration myths 09:12 – Why filler "migration" occurs 10:33 – Choosing the right filler and injector 12:11 – Emerging injectables (PDRN, exosomes) 15:14 – Safety concerns & lack of data on new injectables 15:50 – Biostimulators (Sculptra, Radiesse) 18:12 – Male aesthetics & growing interest 19:22 – Top male concerns: hairline, eyes, jawline 19:58 – New hair-loss research  21:22 – Hair restoration methods (medical, PRP, surgical) 22:52 – Robotic hair transplantation 23:05 – Rapid-fire Q&A 25:45 – Where to find Dr. Keeney 26:07 – Host closing remarks & listener outro   ______________________________________________________________ Follow Terrence Keaney on Instagram: @drtkeaney Check out his clinic: https://skindcderm.com/ Terrence Keaney, MD, FAAD, is a board-certified dermatologist, researcher, and educator based in the Washington, D.C. area. He is co-founder of SkinDC, a practice dedicated to personalized dermatology, where he blends medical, surgical, and aesthetic techniques to treat skin, hair, and aging concerns. ______________________________________________________________ Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, on YouTube, and TikTok @skinbydrazi. Email [email protected]. Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/ The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.

Dr. Azi welcomes Ario Khoshbin, former CEO of Prollenium and creator of the popular hyaluronic acid filler Versa, to More Than a Pretty Face. Ario shares how his entrepreneurial roots in Toronto led him from selling lasers to pioneering HA fillers, the challenges of developing a safe and effective product, and the decade-long process of navigating regulations. He reflects on building Versa into a trusted brand, his departure from Prollenium, and his ongoing passion for innovation.  ______________________________________________________________ Follow Ario Khoshbin on Instagram: @(ario.khoshbin) Ario Khoshbin is an entrepreneur and former CEO of Prollenium Medical Technologies, best known for developing Versa, a leading hyaluronic acid filler. With over two decades in the aesthetics industry, he built Prollenium from a small Canadian startup into an international brand recognized for innovation and safety in dermal fillers. Beyond business, Ario is passionate about design, innovation, and cars. Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, on YouTube, and TikTok @skinbydrazi.  Email [email protected]. Shop skincare at https://azimdskincare.com (https://azimdskincare.com/) and learn more about the practice at https://www.lajollalaserderm.com/ The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.