Eyelid Surgery - Why Small Does Not Mean Simple

In this episode of Beauty and the Beasts, plastic surgeons Dr. Sam Jejurikar and Dr. Salvatore Pacella take a deep dive into eyelid surgery and explain why one of the smallest operations in plastic surgery can also be one of the most complex.

Many patients think of eyelid surgery as a quick or minor procedure. In reality, successful eyelid rejuvenation requires precise judgment, careful technique, and a thorough understanding of how the brow, upper eyelids, lower eyelids, and surrounding structures age together. Dr. Pacella explains why lower eyelid surgery is often the most technically demanding area in facial plastic surgery and why prevention of complications is far more important than aggressive correction.

The conversation covers upper eyelid surgery and the importance of conservative skin and fat removal to avoid hollowing, dry eyes, and difficulty closing the eyelids. Dr. Jejurikar discusses how preserving volume and respecting brow position leads to more natural and youthful results.

The episode then shifts to lower eyelid surgery, where the surgeons explain why eyelid laxity is frequently underestimated and how improper technique can lead to ectropion, malposition, and shape changes that are difficult to fix. Different surgical approaches are discussed, including transconjunctival fat removal, conservative skin excision, laser resurfacing, and various methods of canthal support.

Dr. Pacella also shares insight into complex lower eyelid reconstructions, including rare cases where the eyelid support system must be rebuilt. Common postoperative issues such as chemosis are explained along with strategies for prevention and treatment.

Recovery expectations are addressed in detail, highlighting why upper eyelid surgery often has a short recovery while lower eyelid surgery can involve weeks of swelling and temporary vision changes. The surgeons also discuss ice, supplements, and other strategies that may help with healing.

This episode is ideal for patients considering blepharoplasty, anyone researching upper or lower eyelid surgery, and clinicians interested in nuanced eyelid decision making and complication management.

Episode 8: The Importance of Fat in Plastic Surgery

In this episode of Beauty and the Beasts, plastic surgeons Dr. Sam Jejurikar and Dr. Salvatore Pacella discuss how fat has become one of the most valuable tools in modern plastic surgery.

Once considered something to remove and discard, fat is now recognized for its regenerative properties, growth factors, and ability to restore youthful volume in both the face and body. Advances in fat harvesting, processing, and injection techniques over the past decade have significantly improved outcomes and consistency, making fat transfer a core component of aesthetic and reconstructive surgery.

The conversation explores how fat loss contributes to facial aging and why fat transfer plays a key role in natural facial rejuvenation. The surgeons discuss patient selection, skin quality, and why careful handling of fat is essential for long term success. They explain what patients should realistically expect after fat transfer, including typical retention rates and how fat behaves over time.

Dr. Jejurikar and Dr. Pacella also address potential complications such as asymmetry, cyst formation, and fat necrosis, along with strategies used to minimize risk. The episode expands into fat transfer for the breast and body, including historical concerns about breast safety and current evidence that has shaped modern practice.

The discussion concludes with a candid look at Brazilian Butt Lifts, including how cultural trends influenced demand, why safety concerns emerged, and how ultrasound guidance and strict technique standards have improved outcomes.

This episode is ideal for patients researching fat transfer, facial fat grafting, natural facial rejuvenation, and BBL safety, as well as clinicians interested in the science and evolution of fat grafting in plastic surgery.

Male Plastic Surgery What Works, What Fails, and Why Subtlety Matters

In this episode of Beauty and the Beasts, plastic surgeons Dr. Sam Jejurikar and Dr. Salvatore Pacella tackle the growing and often misunderstood topic of male plastic surgery.

Cosmetic surgery for men has become increasingly common, yet many male patients still worry about stigma, visibility, and looking unnatural. In this conversation, the hosts explain why male aesthetic surgery requires a different mindset, different techniques, and a strong emphasis on preserving masculine features.

They discuss the most common procedures men seek today, including liposuction for the abdomen, flanks, and chest, treatment of gynecomastia, upper eyelid blepharoplasty, neck lifts, facial surgery, and hair restoration. The episode highlights why procedures that work beautifully in women can look feminizing or overdone in men if not carefully adapted.

The discussion also explores scar placement challenges in male patients, how surgeons approach jawline definition and neck contouring, and why volume must be used sparingly in the male face. Real world examples are used to illustrate how subtle changes can dramatically affect how natural or noticeable a result appears.

The episode concludes with a deep dive into hair restoration, including modern follicular unit extraction techniques, candidacy, limitations, and why hair transplantation has become one of the most sought after procedures among men.

This episode is ideal for men considering cosmetic surgery, patients researching male specific procedures, and clinicians interested in sex specific aesthetic planning and outcomes.