Follow us on Instagram @wherebeforemeetsafter

Episodes

The treatment for "man boobs": Male breast reduction explained [Kyle Baltrusch, MD, Portland]
Feb. 5, 2026

The treatment for "man boobs": Male breast reduction explained [Kyle Baltrusch, MD, Portland]

Male breast tissue affects millions of men, leading them to hide in baggy shirts, even at the pool or beach. Portland plastic surgeon Dr. Kyle Baltrusch shares why gynecomastia is so common and how it can be fixed. Read more ...
What SkinPen microneedling does to your skin [Thai Becker, RN, Portland]
Feb. 4, 2026

What SkinPen microneedling does to your skin [Thai Becker, RN, Portland]

Fine lines, scars, dullness, and texture all have one thing in common: collagen loss. Portland aesthetic nurse Thai explains how SkinPen microneedling tells your body to rebuild smoother, firmer, healthier skin from the insid...
The most underrated facial cosmetic procedure [Shannon O'Brien, MD, Portland]
Feb. 3, 2026

The most underrated facial cosmetic procedure [Shannon O'Brien, MD, Portland]

Meet the underrated hero of facial rejuvenation: the lip lift. Portland plastic surgeon Dr. Shannon O’Brien explains how this small, elegant procedure shortens the space between your nose and lip, making your mouth look fulle...
Can you really fix it all at once? Post weight loss surgery truths [Bob Basu, MD, Houston]
Feb. 2, 2026

Can you really fix it all at once? Post weight loss surgery truths [Bob Basu, MD, Houston]

After weight loss, most people want everything done: face, breasts, tummy, arms, legs. Houston plastic surgeon Dr. Bob Basu explains why you can’t do it all at once and how he helps patients prioritize safely. Read more about...
No Implants, No Bra, No Problem: The Triple Bra Breast Lift Explained [Austin Hayes, MD, Portland]
Jan. 30, 2026

No Implants, No Bra, No Problem: The Triple Bra Breast Lift Explained [Austin Hayes, MD, Portland]

Breast implants aren’t for everyone. Portland plastic surgeon Dr. Austin Hayes shares how his triple bra breast lift technique uses natural internal support to create a beautiful breast shape so results look fuller and last l...
Can you get rhinoplasty at any age? [Shannon O'Brien, MD, Portland]
Jan. 29, 2026

Can you get rhinoplasty at any age? [Shannon O'Brien, MD, Portland]

It’s not all in your head; your nose does change over time! Portland plastic surgeon Dr. Shannon O’Brien explains why, from shifting ligaments to skin changes, and when surgery might (or might not) make sense. Read more about...
Why more men are secretly getting plastic surgery [Kyle Baltrusch, MD, Portland]
Jan. 28, 2026

Why more men are secretly getting plastic surgery [Kyle Baltrusch, MD, Portland]

Men want natural, youthful looks without the surgery "look." Portland plastic surgeon Dr. Kyle Baltrusch explains why more men than ever are stepping into the plastic surgery world. Read more about Portland plastic surgeon Dr...
Why some people “snap back” after losing weight & others don’t [Bob Basu, MD, Houston]
Jan. 27, 2026

Why some people “snap back” after losing weight & others don’t [Bob Basu, MD, Houston]

Genetics, nutrition, and tissue quality all play a role in how your body bounces back after weight loss. Houston plastic surgeon Dr. Bob Basu explains why two people can lose the same amount of weight but look completely diff...
What people don’t like about their noses (according to a plastic surgeon) [Shannon O'Brien, MD, Portland]
Jan. 26, 2026

What people don’t like about their noses (according to a plastic surgeon) [Shannon O'Brien, MD, Portland]

Portland plastic surgeon Dr. Shannon O'Brien shares when most people start thinking seriously about rhinoplasty, how long it typically takes people to book a consultation, and the most frequent nose concerns patients bring up...
Bstent: A Tiny Device With a Huge Impact on Rhinoplasty Recovery [Bahman Guyuron, MD]
June 12, 2025

Bstent: A Tiny Device With a Huge Impact on Rhinoplasty Recovery [Bahman Guyuron, MD]

Stitches and tricky recoveries are common after rhinoplasty or septoplasty, but a new innovation is changing that. The Bstent, created by facial plastic surgeon Dr. Bahman Guyuron, is a suture-free nasal stent designed to mak...
Coast-to-Coast Confessions: What’s Next for Plastic Surgery in 2025?
June 3, 2025

Coast-to-Coast Confessions: What’s Next for Plastic Surgery in 2025?

What happens when you put two powerhouse plastic surgeons, Dr. Matthew Nykiel from Newport Beach and Dr. Mark Epstein from Long Island, in a room together? You get an unfiltered deep dive into the ever-evolving world of body ...
Pushing the limits of what's possible in plastic surgery [Matthew Nykiel, MD & Mark Epstein, MD]
May 29, 2025

Pushing the limits of what's possible in plastic surgery [Matthew Nykiel, MD & Mark Epstein, MD]

Newport Beach plastic surgeon Dr. Matthew Nykiel and Long Island plastic surgeon Dr. Mark Epstein discuss the next generation of fat-based fillers (like alloClae)—and yes, it’s real human fat, processed, sterile, and ready to...
What's the only treatment for loose skin that works and why is it Renuvion? [Matthew Nykiel, MD & Mark Epstein, MD]
May 27, 2025

What's the only treatment for loose skin that works and why is it Renuvion? [Matthew Nykiel, MD & Mark Epstein, MD]

Newport Beach plastic surgeon Dr. Matthew Nykiel and Long Island plastic surgeon Dr. Mark Epstein explain why Renuvion skin tightening has changed how they do body contouring forever—and how it could change your results too. ...
Fat is GOLD now?! How we use fat in plastic surgery is totally changing [Matthew Nykiel, MD & Mark Epstein, MD]
May 21, 2025

Fat is GOLD now?! How we use fat in plastic surgery is totally changing [Matthew Nykiel, MD & Mark Epstein, MD]

Fat used to be the enemy… now it’s the real MVP. Newport Beach plastic surgeon Dr. Matthew Nykiel and Long Island plastic surgeon Dr. Mark Epstein discuss how weight loss with GLP-1s and new perspectives on fat are totally re...
West Coast vs. East Coast body contouring trends [Matthew Nykiel, MD & Mark Epstein, MD]
May 19, 2025

West Coast vs. East Coast body contouring trends [Matthew Nykiel, MD & Mark Epstein, MD]

Newport Beach plastic surgeon Dr. Matthew Nykiel and Long Island plastic surgeon Dr. Mark Epstein break down the major regional and cultural differences in body contouring trends on the West Coast vs. the East Coast. Learn wh...
The #1 chemical peel for aging eyes [Colleen Phillips, PA-C - Portland, Oregon]
April 29, 2025

The #1 chemical peel for aging eyes [Colleen Phillips, PA-C - Portland, Oregon]

Portland aesthetic PA Colleen Phillips introduces the Luxe Peel, a powerful chemical peel that smooths and rejuvenates the eye area. The peel can also treat sun damage and fine lines on the full face. Colleen shares benefits,...
How Sculptra works, where it works, and how it’s different from fillers [Colleen Phillips, PA-C - Portland, Oregon]
April 25, 2025

How Sculptra works, where it works, and how it’s different from fillers [Colleen Phillips, PA-C - Portland, Oregon]

Sculptra is not your typical filler—it’s a collagen-stimulating treatment that delivers long-lasting, natural-looking results, but it’s not an overnight fix. Unlike traditional fillers that simply add volume, Sculptra works b...
The peel that does what lasers can’t [Shannon O'Brien, MD, Portland]
April 21, 2025

The peel that does what lasers can’t [Shannon O'Brien, MD, Portland]

The Luxe Peel is a powerful deep peel that goes where lasers and fillers can’t, delivering a total skin reset. Portland plastic surgeon Dr. Shannon O’Brien explains what happens before, during, and after this game-changing tr...
Finally! A non-surgical skin tightening treatment that works for all skin types [Kim Laudati, SomaCell]
April 17, 2025

Finally! A non-surgical skin tightening treatment that works for all skin types [Kim Laudati, SomaCell]

Kim Laudati is the founder of SomaCell, a non-invasive skin tightening treatment that’s catching on in the medical aesthetics world. Unlike lasers or radiofrequency treatments, SomaCell uses acoustic wave therapy — a heat-fre...
No surgery, no fillers… just this game-changing peel! (must-see results) [Shannon O'Brien, MD, Portland]
April 16, 2025

No surgery, no fillers… just this game-changing peel! (must-see results) [Shannon O'Brien, MD, Portland]

Dr. Shannon O’Brien shares why the Luxe Peel (also known as the Croton Oil Peel) is becoming a go-to for treating deep wrinkles, sun spots, and even mild skin laxity. Plus, see jaw-dropping before-and-after results from a rea...
The most effective chemical peel that you've never heard of [Shannon O'Brien, MD, Portland]
April 10, 2025

The most effective chemical peel that you've never heard of [Shannon O'Brien, MD, Portland]

Skin experts are raving about the Luxe Peel, a type of chemical peel with active ingredients croton oil and phenol, but what makes it so powerful? Portland plastic surgeon Dr. Shannon O'Brien explains its history, why it’s di...
From G cup to D cup?! Breast reduction EXPLAINED [Dan Zegzula, MD, Portland]
April 7, 2025

From G cup to D cup?! Breast reduction EXPLAINED [Dan Zegzula, MD, Portland]

Portland plastic surgeon Dr. Dan Zegzula explains how going from a G cup to a D cup not only helped this patient get perky, youthful breasts but also eliminated the pain and discomfort of heavy breasts. Read more about Portla...
Do breast implants slow you down? What athletes NEED to know [Dan Zegzula, MD, Portland]
April 5, 2025

Do breast implants slow you down? What athletes NEED to know [Dan Zegzula, MD, Portland]

Can breast implants affect your speed and endurance when running or training? Portland plastic surgeon Dr. Dan Zegzula shares the truth about how breast augmentation impacts athletic performance, and why most athletes don't notice a difference! Read...
The best chemical peel for erasing years [Shannon O'Brien, MD, Portland]
April 4, 2025

The best chemical peel for erasing years [Shannon O'Brien, MD, Portland]

Portland plastic surgeon Dr. Shannon O'Brien breaks down everything you need to know about the Luxe Peel, a croton oil peel, including where it comes from, how it works, and why it’s so effective for treating skin concerns li...