Lipstick & Lipo: Your Unfiltered Guide to Plastic Surgery

Join us, two Board-Certified female Plastic Surgeons, as we discuss all things plastic surgery, beauty, and wellness. No topic is off-limits. Our mission is to provide you with accurate information and educate in a real, approachable, and relatable way.

Dr. Smita R. Ramanadham is a double-board certified plastic surgeon in private solo practice in NJ and Dr. Ashley Amalfi is a board certified plastic surgeon in private practice in Rochester, NY.

We share a love and passion for plastic surgery, mentorship, women in surgery, and, fashion (of course!)! Our friendship has been so natural and organic that it only made sense that we would start this adventure together. We hope you enjoy these episodes as much as we enjoyed making them!

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Episodes

36 minutes ago

About a year ago, the FDA approved the Motiva implant and after using them in our practices, we're seeing why patients love them.
These implants have been proven in Europe and South America for over a decade, and the technology is a real step forward. The gel and shell improvements mean they move and feel more like natural breast tissue than any previous generation. We discuss what's actually different and why this matters.
What You'll Learn:
Why the Motiva implants are a game-changer for natural results.
How the FDA approval process works (and why the US gets technology last).
The difference between textured and smooth implants.
Why these new implants move and feel more like real breast tissue.
Who makes a good candidate for this technology.
Are you thinking about breast augmentation or upgrading to these newer implants? We practice in New Jersey and Rochester, NY, and we'd love to see you if you're in the area. You can come try them on and feel them in our office. Not local? Find a board-certified plastic surgeon near you and ask about 6th generation implants.
Connect with Dr. Smita
Website
Instagram
 
Connect with Dr. Amalfi
Website
Instagram

Thursday Dec 18, 2025

Medical spas are popping up on every corner, and while many are reputable and well-run, not all are created equal.
In this episode, we're giving you a reality check about what "medical" actually means when it comes to med spas.
We discuss why any doctor can be a medical director (even if they have zero aesthetic training), the critical questions you need to ask before getting injected, and the red flags to watch out for.
From supervision standards to pricing, we discuss how to find a truly qualified provider who can handle complications if they arise.
What You'll Learn:
Why "medical" spa doesn't always mean properly supervised.
How any doctor (cardiologist, pediatrician, gastroenterologist) can be a medical director.
The critical questions to ask: Who supervises you? Where are they? Can they handle complications?
Why having protocols and immediate access to a qualified physician matters.
Red flags: gimmicky marketing, shopping-like atmosphere, confusing answers.
How to identify if a med spa is truly medical or just using the name.
Dr. Smita Ramanadham
Connect with Dr. Smita
Website
Instagram
Connect with Dr. Amalfi
Website
Instagram
 

Thursday Dec 11, 2025

We're living in the undetectable era where plastic surgery changes are subtle and hard to notice and that's exactly how it should be!
After years of preaching natural results, the world is finally on board with our aesthetic.
We discuss why good plastic surgery should look like you were born that way, how overdone procedures age poorly, and why less is always more.
From BBLs to breast augmentations to facelifts, we explain how staying natural minimizes long-term complications and why plastic surgery is a marathon, not a sprint.
What You'll Learn:
Why overdone results age terribly and create long-term problems.
How oversized implants and dramatic BBLs interfere with active lifestyles.
Why natural results minimize long-term risks and complications.
The importance of finding a surgeon whose aesthetic matches yours.
How to approach plastic surgery as a marathon, not a sprint.
Why establishing a long-term relationship with your plastic surgeon matters.
The progression from skincare to injectables to surgery over time.
How board certified plastic surgeons can guide you through every stage of aging.
Don't forget to subscribe which helps more people find the channel and also makes sure you don't miss an episode.
Connect with Dr. Smita
Website
Instagram
Connect with Dr. Amalfi
Website
Instagram

Thursday Dec 04, 2025

We're diving into one of the most exciting innovations in breast surgery breast preservation!
This revolutionary new technique for breast augmentation is changing everything by preserving your natural anatomy while delivering beautiful results with minimal downtime.
Instead of cutting through tissue, this method uses a specialized device to gently stretch a pocket for the implant.
We explain how it works, who it's for, why recovery is so much faster, and why you might not even need general anesthesia.
If you've been considering breast augmentation but hesitant about the invasiveness or recovery time, this episode is for you.
What You'll Learn:
-What breast preservation surgery is and how it differs from traditional breast augmentation.
-How the technique preserves natural ligaments, nerves, and breast tissue
-Why this is ideal for smaller breast augmentations.
-Recovery timeline: back to work the next day, gym within a week or two.
-How this can be done under local anesthesia or light sedation instead of general anesthesia.
-Why busy moms and working women are excited about this option.
-Who is a good candidate for breast preservation.
-Why 2026 will be a big year for this technique in the US. -How to find a surgeon who offers this procedure.
Don't forget to subscribe which helps more people find the channel and also makes sure you don't miss an episode. We have more exciting things coming your way in 2026!
 
Connect with Dr. Smita
Website
Instagram
Connect with Dr. Amalfi
Website
Instagram

Thursday Nov 27, 2025

Devil Wears Prada fans are buzzing about Emily Blunt's recent red carpet appearances while filming the sequel.
She looks different, and it's the perfect opportunity to discuss facial aging and proper filler placement.
As huge fans of both Emily and the original movie, we're using her transformation to teach you about facial contours and how we age from the triangle-to-square pattern to why treating the lower face makes everything worse.
Understanding facial anatomy is essential for natural results, regardless of your resources.
What You'll Learn:
Why understanding facial contours is critical for natural results.
How to identify when filler has distorted normal facial anatomy.
Essential credentialing to look for in an injector (board certified plastic surgeon, dermatologist, or facial plastic surgeon).
The "look at the staff" rule for choosing an injector.
Why repeatedly getting filler resets your perception of "normal".
Options for dissolving filler if facial contours have been lost.
Don't forget to subscribe which helps more people find the channel and also makes sure you don't miss an episode.
Connect with Dr. Ashley Amalfi:
Website - https://www.quatela.com/about/our-surgeons/dr-ashley-n-amalfi/
Instagram - https://www.instagram.com/drashleyamalfi/
 
Connect with Dr. Smita Ramanadham:
Website - https://www.drsmita.com/
Instagram - https://www.instagram.com/thedrsmita/
 

Thursday Nov 20, 2025

We're wrapping up our Recovery Q&A series with Part 3!
In this episode, we answer three important questions:
How does compression actually make fluid go away?
What should you do about scar tissue forming along your incision?
And is it safe to use conscious sedation with Valium for in-office procedures?
We talk through the science behind compression garments, the normal scar healing process, and why a little medication can make your experience so much better.
What You'll Learn:
-How compression garments prevent excessive swelling and fluid buildup.
-The timeline for lymphatic massage after surgery.
-Understanding normal scar formation vs. problematic scarring.
-The benefits of conscious sedation for in-office procedures.
-Why anxiety management matters for your surgical experience.
Do you have more recovery questions? Send a message on Instagram ! Don't forget to subscribe which helps more people find our show and also makes sure you don't miss an episode. We have more Q&A episodes coming your way!
Connect with Dr. Ashley Amalfi:
Website - https://www.quatela.com/about/our-surgeons/dr-ashley-n-amalfi/
Instagram - https://www.instagram.com/drashleyamalfi/
 
Connect with Dr. Smita Ramanadham:
Website - https://www.drsmita.com/
Instagram - https://www.instagram.com/thedrsmita/

Thursday Nov 13, 2025

We're back with Part 2 of our Recovery Q&A series! In this episode, we tackle two questions we get all the time: Should you split a mommy makeover into separate surgeries (and are your surgeons too tired to do multiple procedures)?
What You'll Learn:
Why combining procedures in a mommy makeover is actually safer.
How surgeons manage energy and focus during longer procedures.
Anesthesia time guidelines and safety considerations.
What happens to your body if you get pregnant after a tummy tuck.
Whether you'll need a revision surgery after pregnancy.
Why some patients maintain perfect results even after surprise pregnancies.
Don't forget to subscribe which helps more people find the channel and also makes sure you don't miss an episode. Tune in next week for Part 3 where we answer even more of your recovery questions.
 
Connect with Dr. Smita
Website
Instagram
Connect with Dr. Amalfi
Website
Instagram

Thursday Nov 06, 2025

We're kicking off a new Q&A series all about recovery! In this episode, we tackle two of your most common questions: how soon can you realistically get back to work after surgery, and is it normal to still feel sore at two weeks post-op? We break down what to expect and why your whole body needs time to heal.
What You'll Learn:
Realistic work return timelines for breast surgery vs. tummy tuck.
Why soreness at 2 weeks (and beyond) is totally normal.
How your whole body heals from surgery, not just the surgical site.
What factors affect your personal recovery timeline.
Don't forget to subscribe which helps more people find the channel and also makes sure you don't miss an episode.
 
Connect with Dr. Smita
Website
Instagram
Connect with Dr. Amalfi
Website
Instagram

Thursday Oct 30, 2025

We're living in the era of transparency in plastic surgery, and we're here for it! Shark Tank's Barbara Corcoran just revealed she's had three facelifts and earlobe filler, and she looks amazing. We discuss why celebrities in the spotlight maintain their results differently than most of us would, and what it really means to age gracefully with a little help.
What You'll Learn:
Why plastic surgery doesn't stop the clock and what maintenance really means.
The difference between optimizing your look vs. transforming it.
When the best time is to start facial rejuvenation.
What earlobe filler is and why it's the secret weapon you didn't know about.
How being in the spotlight changes the approach to maintaining results.
Subscribe to Lipstick and Lipo on Apple Podcasts or Spotify for weekly episodes. Also if you prefer watching we are also on Youtube. We we would love you to leave us a review as that helps more people find the show!
Connect with Dr. Smita
Website
Instagram
 
Connect with Dr. Amalfi
Website
Instagram

Thursday Oct 23, 2025

The holidays are right around the corner and we're discussing the perfect timeline for procedures so you look and feel your best for all those holiday parties.
From major surgery to quick glow-up facials, we're covering what you can do at every stage leading up to your events.
What You'll Learn:
The ideal timeline for facial surgery before the holidays.
When to schedule Botox based on whether you're a regular patient or first-timer.
Why fillers need 2-4 weeks before events to allow for swelling The two-week rule before important events.
Why bruising can happen even to experienced patients.
Last-minute options like light chemical peels and hydrafacials for that holiday glow.
Why the week after Christmas is actually the busiest time for surgery.
Are you doing anything to refresh before the holidays? Tell us what you're planning in the comments!
Subscribe to Lipstick and Lipo on Apple Podcasts, Spotify, or YouTube.
 
Connect with Dr. Smita
Website
Instagram
 
Connect with Dr. Amalfi
Website
Instagram

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