# \[Go Awf\] Your Top Plastic Surgery Questions Answered | Facelifts, Fillers, and Trends

An episode of [Awf The Record](https://invisiblenetwork.ai/podcast/1758650789), 21 Apr 2026, 11 min.

Audio: https://www.buzzsprout.com/2372866/episodes/19031341-go-awf-your-top-plastic-surgery-questions-answered-facelifts-fillers-and-trends.mp3

Send us Fan Mail What are people actually getting done… and why does everyone suddenly look younger? In this segment, Dr. Carl Truesdale breaks down the reality behind modern plastic surgery, from facelifts and fillers to the techniques behind today’s most natural-looking transformations. He explains why results have improved so dramatically, how trends are shaped by social media, and why the goal is no longer to look different, but to look like yourself, just younger. He also shares what procedures are worth it, what he refuses to do, and why choosing the right surgeon matters more than anything. If you’ve ever wondered how plastic surgery really works or what’s behind today’s “undetectable” glow ups, this is a must-listen. RESOURCES: Dr. Carl Truesdale Website | www.doctortruesdale.com IG | Doctor.Truesdale Keep in touch with Awf The Record: Watch on Youtube: @AwfTheRecord Follow us on Instagram: @awftherecordpodcast Follow us on TikTok: @AwfTheRecord Visit our website: www.AwfTheRecord.com Follow Mona on TikTok and IG Follow Jeannette on TikTok and IG

## Transcript

[0:00] SPEAKER_01: Good evening, good time now.
[0:00] SPEAKER_01: It's 552.
[0:01] SPEAKER_01: I'm Jeanette Reyes.
[0:02] SPEAKER_01: And I'm Monaco Saravdi, and this is off the record.
[0:05] SPEAKER_01: Not for real.
[0:06] SPEAKER_01: This is off the record.
[0:08] SPEAKER_02: So let's get into like the technicalities of it.
[0:11] SPEAKER_02: Like what are the procedures that you're doing?
[0:12] SPEAKER_02: What are the most popular ones?
[0:14] SPEAKER_02: Let's just run through them.
[0:15] SPEAKER_02: What's actually the most requested one?
[0:16] SPEAKER_00: Yeah, so I am known as an anti-aging surgery or surgeon.
[0:20] SPEAKER_00: So I do everything above the shoulder, right?
[0:23] SPEAKER_00: Minus the brain, basically.
[0:25] SPEAKER_00: Facelifts, deep plane facelifts, neck lifts, lip lifts, rhinoplasty, fat transfer, skin resurfacing, lasers, blephyroplasty, brow lifts, pretty much anything that touches the face or the anything up here, I can do.
[0:40] SPEAKER_00: And so my most requested surgery is to make people look younger.
[0:44] SPEAKER_00: And that's typically a bespoke approach where that I call the masterpiece, where I am telling the person what I think I can do with their face.
[0:52] SPEAKER_00: Typically involves some type of facelift because that's the bread and butter.
[0:56] SPEAKER_01: So blephyroplastys I've only just heard of in the last few months, right?
[1:00] SPEAKER_01: But it feels like a lot of these trends, the fox eye trend, the lip lift, the blepharoplasty, deep plane facelifts.
[1:08] SPEAKER_01: We're just hearing about them recently.
[1:10] SPEAKER_01: Like, is there some kind of PR machine behind these plastic surgery?
[1:14] SPEAKER_00: Well, you know, what it is is our techniques have gotten better and the world is responding to seeing the new beautiful work that we're doing.
[1:21] SPEAKER_00: The D plane facelift has been around since the 80s, honestly.
[1:24] SPEAKER_00: Um, facelifts have been around for a long time, but we've cracked a code recently in terms of moving the tissue around, understanding the physiology of the face, where more people have use of these techniques, knowledge of them, and so we're seeing better results.
[1:41] SPEAKER_00: Uh, and the world responds because when you see a beautiful transformation, the likes go up, the clicks go up, the shares go up.
[1:48] SPEAKER_00: Yeah.
[1:48] SPEAKER_00: And then so it's it's you don't really need a media machine.
[1:51] SPEAKER_00: It works by itself.
[1:52] SPEAKER_02: Well, speaking of uh transformations in people like asking what in the world happened, Lindsay Loen, Chris Jenner, Christine Aguilera, what is happening in Hollywood that folks suddenly look 10, 15, 20 years younger?
[2:06] SPEAKER_00: It is literally what I do every day.
[2:09] SPEAKER_00: It's instead of taking the anatomy to where it's not supposed to be, I've the analogy I give my patients is plastic surgery, you really want to be in the Goldilocks zone.
[2:18] SPEAKER_00: If you do too little, not good.
[2:20] SPEAKER_00: If you do too much, which is what was happening historically, right, moving the tissue a little too stretched in the wrong vector just makes people not look as good.
[2:29] SPEAKER_00: So some of the techniques that we've done and I use keep people looking like themselves, just young, like undetectably beautifully young.
[2:38] SPEAKER_02: So you're offering the same procedures.
[2:40] SPEAKER_02: I know you can't specify what they've had done, but you're offering the same procedures that they're getting.
[2:48] SPEAKER_00: Don't tempt me, Dr.
[2:50] SPEAKER_01: She said today.
[2:51] SPEAKER_00: What does your look look like?
[2:53] SPEAKER_01: So at what age can you get a facelift?
[2:57] SPEAKER_00: I mean, technically you can get a facelift at any age, but the decision to get a facelift should be made when you need one, right?
[3:05] SPEAKER_00: Or no one needs plastic surgery, but when there's evidence of aging that can be basically taken care of with a facelift.
[3:12] SPEAKER_00: The youngest I've done is about 35.
[3:15] SPEAKER_00: The oldest I've done is 88.
[3:17] SPEAKER_00: And a huge range in between.
[3:19] SPEAKER_00: Everyone ages differently, right?
[3:21] SPEAKER_00: Every face is like a snowflake.
[3:22] SPEAKER_00: So, and not everyone's facial aging bothers them the same degree, right?
[3:28] SPEAKER_00: Some people it doesn't bother them until they're in their 60s.
[3:31] SPEAKER_00: Other people, listen, if you're in LA, you're in the beauty industry, you're a little bit more sensitive to those changes.
[3:36] SPEAKER_00: So maybe you'll visit my office sooner.
[3:38] SPEAKER_00: Who would you say no to?
[3:39] SPEAKER_00: I say no all the time.
[3:41] SPEAKER_00: If I think that I can't get them happy, so I tell everyone safe, beautiful, natural, happy, that's what I'm going for.
[3:48] SPEAKER_00: If I can't do all of those, then I don't want to do the surgery.
[3:52] SPEAKER_00: And so, unlike other types of medicine where you kind of have to take care of the patient, this is one where, you know, having a little bit of discretion is important.
[4:01] SPEAKER_02: Um, is there a procedure that you absolutely won't do?
[4:04] SPEAKER_02: Like I know some doctors don't do BBLs.
[4:06] SPEAKER_00: It's just Oh, yeah.
[4:07] SPEAKER_00: Well, I don't do anything below the yeah, but I'm saying in your field.
[4:13] SPEAKER_02: Like you're saying maybe it's it's it's not worth the risk or the the benefits just aren't worth it.
[4:19] SPEAKER_00: That's a great question because it so much depends on the person's face.
[4:23] SPEAKER_00: Like there are times to use techniques for every single face.
[4:28] SPEAKER_00: So, like in general, I think cat eye surgery is not awesome, but there are patients who naturally have a downturned lateral canthus where you need to do a cat eye to restore them, right?
[4:40] SPEAKER_00: To bring them neutral.
[4:41] SPEAKER_00: So it's hard for me to tell you.
[4:43] SPEAKER_00: I can tell you there's certain minimally invasive things that I won't do.
[4:47] SPEAKER_00: Things like kybella, I don't do, I don't offer.
[4:49] SPEAKER_00: But it's like so chibella is basically it's bile acid that we inject into the fat that can melt fat.
[4:55] SPEAKER_00: Typically, people use it for double chins.
[4:57] SPEAKER_00: It leaves scar tissue.
[4:58] SPEAKER_00: There's it's not as controllable, I don't offer it.
[5:02] SPEAKER_00: Um, thread lifts, I don't offer, I don't believe in.
[5:04] SPEAKER_00: If someone is at the stage where they want to look lifted, typically we gotta just lift you, right?
[5:12] SPEAKER_00: Right.
[5:12] SPEAKER_00: Like it's not gonna last as long and it's risky.
[5:15] SPEAKER_00: It's gonna leave behind scar tissue that I'm gonna have to deal with later, and there's risk of complications, and it's not cheap.
[5:20] SPEAKER_00: So I don't want to offer something to someone if it's not going to get them safe, beautiful, natural, happy, basically.
[5:26] SPEAKER_00: Yeah.
[5:26] SPEAKER_00: So it just depends.
[5:28] SPEAKER_00: Like um, there are certain skin types where I will not offer a specific type of laser.
[5:33] SPEAKER_00: So it just it's really depends on you know the person and the need.
[5:37] SPEAKER_02: Do you think we're all starting to look too similar?
[5:40] SPEAKER_00: Um, it depends on where you are, who you go to.
[5:44] SPEAKER_00: So, yes, there can be that.
[5:46] SPEAKER_00: Um, there's definitely talk about the Mar Lago face, right?
[5:51] SPEAKER_00: If you go to the same surgeon and they have a very specific aesthetic and they produce that type of look, people will look the same.
[5:58] SPEAKER_00: And if those people are the people that people are looking at as their goals, their idol, their idols, and they seek that out, yeah, you they will start looking similar.
[6:09] SPEAKER_00: And we've seen that.
[6:10] SPEAKER_00: I think people recently are starting to dissolve and uncover their natural faces more.
[6:16] SPEAKER_00: What's your opinion on fillers?
[6:18] SPEAKER_00: Uh, fillers are great for the right purpose and the right time.
[6:21] SPEAKER_00: Um, I use fillers all the time when appropriate in the right patient for the right thing.
[6:27] SPEAKER_00: If you're trying to lift with filler, wrong, right?
[6:31] SPEAKER_00: If you're trying to do too much with filler, wrong.
[6:34] SPEAKER_00: But there are patients where they need a facelift and they need volume, right?
[6:38] SPEAKER_00: Because laxity and volume happen as we age and they just don't have fat on their on their body.
[6:44] SPEAKER_00: I might have to use a little bit of filler.
[6:46] SPEAKER_00: I don't put fat in the lips, so I put filler, right?
[6:50] SPEAKER_00: The superficial, very, very superficial lines just under the skin.
[6:54] SPEAKER_00: I'll try to maybe buff it out with a little bit of nano fat, but sometimes you have to put a little bit of filler.
[6:59] SPEAKER_00: So it really just depends.
[7:01] SPEAKER_00: Um, if you do too much, wrong.
[7:03] SPEAKER_00: It'll migrate, it'll swell, it'll look unnatural, you'll look doughy, puffy, ugly, bad.
[7:08] SPEAKER_00: But if you do it beautifully, it can complement just like all of the tools kits in my armamentarium, right?
[7:15] SPEAKER_00: You pick the right brush for the right color for the right part of the canvas and you get a beautiful result.
[7:21] SPEAKER_01: I love that.
[7:21] SPEAKER_01: Who do you think sets the trends?
[7:24] SPEAKER_00: Um and also what city sets the trends.
[7:27] SPEAKER_00: It it rotates.
[7:29] SPEAKER_00: Um, I mean, we all know like media that's a really deep question.
[7:37] SPEAKER_00: So ultimately, eyeballs are what are controlling trends a little bit more, but still on top of that, there are companies that can direct eyeballs.
[7:47] SPEAKER_00: And so if I do a video and it goes out and it gets 20 million views, 20 million people will see that, and maybe they'll like it, maybe they won't.
[7:56] SPEAKER_00: That will influence people's perception about plastic surgery.
[7:59] SPEAKER_00: If a social media company doesn't want that video to go out, it won't be seen.
[8:05] SPEAKER_00: And so there is kind of like a play of kind of that natural psychology of people seeking things out that look good, but then there's also media companies and a whole industry that directs attention.
[8:17] SPEAKER_00: And so it's it's complicated.
[8:19] SPEAKER_00: There's not like one person.
[8:20] SPEAKER_00: Yeah.
[8:21] SPEAKER_02: Are you seeing a shift toward, like as you talk about videos going viral?
[8:25] SPEAKER_02: And are you seeing a shift toward okay, it looks like people are starting to want this type of look more?
[8:29] SPEAKER_00: Yeah.
[8:30] SPEAKER_00: So I will say people want the more natural look now.
[8:34] SPEAKER_00: The results that I give, where people look younger, but you can't tell what happened.
[8:40] SPEAKER_00: Um, like, how do you look so good, right?
[8:43] SPEAKER_00: They love that right now.
[8:44] SPEAKER_00: Um, that's definitely shifting.
[8:46] SPEAKER_02: Let's talk about uh black people in surgery.
[8:49] SPEAKER_00: Yes.
[8:50] SPEAKER_02: And um ethnic features and what really are they?
[8:53] SPEAKER_02: It's one of those things where as a lay person, you can tell some's off, but you don't know why.
[8:59] SPEAKER_00: Yeah.
[9:00] SPEAKER_02: What is it that we're getting wrong, and why is it that you can't just go to anybody?
[9:05] SPEAKER_00: Well, so it's multifactorial.
[9:08] SPEAKER_00: When we are thinking about ethnic plastic surgery, which has a whole loaded term basically in our literature, um, I don't like to think of it that way.
[9:17] SPEAKER_00: I don't like put putting labels on it because it really is about that person.
[9:20] SPEAKER_00: As black people, as Latino people, there is no one defining feature, right?
[9:26] SPEAKER_00: So it's not a monolith.
[9:28] SPEAKER_00: You but if you take a certain person's and you put on them a different aesthetic that doesn't fit with their face, that is more classically associated with another ethnic group, it looks wrong.
[9:40] SPEAKER_00: It looks bad.
[9:41] SPEAKER_00: And so, um, you know, typically in a plastic surgery book, they'll decide they'll define certain aspects of what you should expect, right?
[9:50] SPEAKER_00: In general, black people have a little bit thicker nasal skin.
[9:54] SPEAKER_00: So do Asian people, maybe a little bit of a flatter nasal bridge, right?
[9:58] SPEAKER_00: Less tip rejection.
[9:59] SPEAKER_00: But there are Asian people and black people who have more defined structures.
[10:04] SPEAKER_00: It really just depends.
[10:05] SPEAKER_00: But if you take someone who naturally had a wider, broader nose, a little bit more bulbous, and you make it pointy and tight and uplifted, it won't look right.
[10:14] SPEAKER_00: And so again, it's kind of that nuanced approach.
[10:17] SPEAKER_00: Um, if you're going to someone who can't understand that nuanced approach, they don't know what would fit for that person's face, they're gonna get it wrong and it's not gonna look right.
[10:25] SPEAKER_00: Do you learn that in school?
[10:26] SPEAKER_00: No.
[10:27] SPEAKER_00: No.
[10:28] SPEAKER_00: In fact, a lot of the things that we are taught and learn, I actually think need to be rewritten.
[10:34] SPEAKER_00: And, you know, maybe I'll write a textbook one day.
[10:36] SPEAKER_00: But ultimately it comes down to your artistic decision making, your eye of what is it really is.
[10:43] SPEAKER_00: Like, can you see what should be manifested?
[10:46] SPEAKER_00: If I take two or three more millimeters off of someone's, you know, lateral cartilage in their nose, it will make their nose a lot smaller.
[10:53] SPEAKER_00: If I rotate it up a little bit more or add too much bridge height, they'll look like they're from Greece, right?
[10:59] SPEAKER_00: And so it completely changes how they look.
[11:01] SPEAKER_00: I have to have that conversation with the patient.
[11:04] SPEAKER_00: Like, what do you really want?
[11:05] SPEAKER_00: And do I feel comfortable giving it to you?

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