Aging isn’t what it used to be (and thank goodness) so if you’re feeling confused by what to do and when, this episode is for you.
In today’s episode, I sit down with board-certified plastic surgeon Dr. Miguel Mascaró, one of the most sought-after names in facial rejuvenation, to go deep on all things aesthetic medicine: from fat transfer and facelifts to the buzziest (and most overrated) treatments on your feed.
Dr. Mascaró pulls back the curtain on what’s hype, what works, and what definitely needs to be laid to rest. We also talk about my own personal journey with procedures, how trends have changed in just a few years, and why your 30s might be the new 50s when it comes to surgical intervention.
We dive into:
✨ The evolution of facial fat transfer
✨ Why sculptural volume matters more than stuffing your face with filler
✨ How newer technology (like PureGraft) is changing fat retention and healing
✨ The real deal with facelifts: who needs one, when, and what actually changes
✨ Why women age fastest at 44 and 66, and how hormones tie in
✨ Chin implants, babyface aesthetics, and the subtle tweaks no one notices (but you feel)
✨ The case for laser resurfacing and why it deserves a comeback
✨ The truth about buzzy treatments like exosomes, PDRN, and Sofwave
✨ What anatomy has to do with “aging badly”
✨ My personal complication story, and why I now take a different approach to maintenance
✨ Which is worse: being overdone or underdone?
This conversation is for anyone trying to navigate the very weird, very confusing world of beauty, aging, and cosmetic procedures. Whether you’re considering a face lift, debating Botox, or just want to age on your own terms, this episode offers clarity, caution, and tons of context.
Connect with Dr. Miguel Mascaró:
🌐 Website: https://www.miguelmascaromd.com/
📸 Instagram: https://www.instagram.com/drmascaro/
About Dr. Miguel Mascaró:
Dr. Miguel Mascaró is a board-certified plastic surgeon and founder of Fifth Avenue Plastic Surgery in Delray Beach, Florida. Known for his artistic approach and cutting-edge techniques in fat grafting, facelifts, and facial balancing, he’s built a loyal following among high-profile clients and patients who want to look refreshed, not overdone.
Timestamps:
00:00 Intro: Maintaining a Youthful Appearance
05:02 Sculptra
06:10 My Cosmetic Procedure Journey
08:31 Fat Transfer Techniques
12:30 Fat Transfer vs. Fillers & Biostimulators
14:14 Ideal Age for a Facelift
23:29 Chin Implants
25:13 Unnecessary Cosmetic Procedures & Body Dysmorphia
31:14 Trendy Minimally Invasive Procedures
33:22 PDGF (Platelet-Derived Growth Factor)
35:35 Sofwave: Latest Skincare Technology
37:45 Cosmetic Procedures to Skip in 2025
40:11 Overdone vs. Underdone: Which is Worse?
41:19 Laser Resurfacing
47:08 Wildest Surgery Requests
53:51 Conclusion
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#Facelift #PlasticSurgery #FatTransfer
