Dr. Angela Sturm sits down with facial plastic surgeon Dr. Anil Shah for a candid conversation on art, anatomy, and the evolution of modern rhinoplasty. Together they explore how true specialization, 3D thinking, and a clear aesthetic vision shape more refined, natural noses. Listeners gain practical insight into choosing the right surgeon, understanding 5D rhinoplasty, and recognizing why the surgeon’s eye matters as much as technique. The episode delivers grounded, real-world guidance for anyone considering facial surgery or refining their own aesthetic practice.​

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Key Takeaways

1. Art, sculpting, and design training sharpen a surgeon’s ability to see faces three-dimensionally and directly influence the quality of rhinoplasty outcomes.​

2. Dr. Shah’s 5D rhinoplasty concept focuses on making the nose volumetrically smaller while refining tip definition, length, bump, projection, and deviation in a coordinated way.​

3. The best rhinoplasty results come from aligning the nose with the patient’s personality, goals, and “vibe,” rather than copying a single aesthetic template.​

4. Patients benefit from choosing surgeons who specialize in noses and faces, have a clear, consistent aesthetic, and can demonstrate repeatable results in that area.​

5. Selecting a facial plastic surgeon based on office decor, convenience, or personality alone can backfire, while prioritizing expertise and aesthetic alignment helps reduce the need for revision surgery.

Timestamped Overview

00:39 Dr. Shah’s path into medicine and facial plastics, family influence, early exposure to fashion, and the privilege of working on the face.​

03:45 Advice to his younger self, avoiding “groundhog day” thinking, and staying present during training and career building.​

05:11 How art history and sculpting shaped his three-dimensional thinking, and how this perspective informs rhinoplasty as facial sculpture.​

06:22 Approach to consultation, imaging, and “reading” a patient’s personality to design a nose that matches their vibe, including the Versace vs Armani analogy.​

11:12 Building rapport, memory through associations, and why knowing patients beyond their chart matters in surgical care.​

12:11 Introduction to 5D rhinoplasty, why many patients want a smaller nose, and using 3D imaging to measure volumetric reduction.​

14:23 Breaking down the “five Ds” to refine tip definition, length, bump, projection, and deviation in a coordinated way.​

15:35 Rhinoplasty as modern sculpture, the idea of a surgeon’s signature aesthetic, and parallels to classical artists.​

17:19 What patients often get wrong when choosing a surgeon, and why aesthetic alignment matters more than office decor or convenience.​

19:00 “Copying” in the industry, limitations of trends from surgical meetings, and the importance of finding an authentic personal aesthetic instead of mimicking others.​

20:15 Final guidance for patients: choosing a true facial specialist, valuing expertise over small cost savings, and how good primary surgery can prevent costlier revisions.​

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How does weight loss impact the outcomes of a facelift procedure?

Dr. Angela Sturm, a double board-certified facial plastic surgeon, explains that medications like Ozempic and GLP1s enhance surgical outcomes by promoting overall health, making patients better candidates for surgery. Weight loss can affect skin elasticity, necessitating a more aggressive tightening and lifting approach during the surgery. Maintaining a steady weight post-procedure ensures lasting results, contributing to an impressive transformation.

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Key Takeaways

1. Medications like Ozempic and other GLP1s help patients achieve a healthier weight, making them better candidates for surgery due to easier anesthesia and improved recovery.

2. Significant weight loss can reduce skin elasticity, potentially affecting the outcomes of procedures like facelifts. Surgeons may use additional treatments to optimize results.

3. While the core surgical techniques do not change, surgeons become more aggressive with tightening and are conservative with fat transfer to account for tissue response and future changes.

4. Open communication about potential outcomes and necessary follow-up treatments, such as tuck-ups or non-surgical options, is crucial to patient satisfaction and understanding.

5. Given the difficulty in removing transferred fat, surgeons prefer a staged approach to fat transfer, allowing for gradual enhancements and adjustments to achieve the desired result.

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Dr. Sturm hosts Dr. Theda Kontis, a pioneering facial plastic surgeon, former AAFPRS president, and injectables expert, to discuss thriving in a male dominated field. Dr. Kontis shares her journey from personal rhinoplasty at age 14 to 30 years in private practice with partner Ira Papel. Listeners learn how passion for work, male mentorship, and leadership roles like academy presidency pave paths for women surgeons. Key insights cover family legacy in medicine, patient transformations, and advice against self criticism.

Learn more about Dr. Kontis here.

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Key Takeaways

1. Passion for daily work sustains long careers in private practice and leadership, turning challenges into fulfillment across roles like motherhood and surgery.​

2. Personal rhinoplasty experiences foster deep patient empathy, transforming pre op discomfort into post op excitement over before and after results.​

3. Male mentors often provide crucial support in male dominated fields, while addressing queen bee dynamics among women builds stronger professional networks.​

4. Long term partnerships succeed through mutual respect, open communication, and shared patient consultations despite differing views.​

5. Choosing a niche like injectables allows expertise development without direct competition, enabling teaching and leadership among peers.​

Timestamped Overview

01:48 Passion for work balances private practice, motherhood, and leadership.
03:06 Daughter pursues ENT residency despite parental warnings.
06:00 Personal rhinoplasty story inspires career in facial plastics.
07:43 Patient joy in before after photos shows transformation power.
10:34 Male mentors propel women forward in facial plastics leadership.
12:07 Pioneering as AAFPRS second woman president opens doors.
14:10 30 year practice partnership thrives on respect and teamwork.
16:09 Academy presidency challenges slow processes but drives change.
17:51 Fighting insurance policy win via personal connections.
21:15 Queen bee effect hinders women more than male barriers.
22:54 Injectables niche carves expertise without rhinoplasty competition.
24:57 Advice to younger self: Avoid self criticism and embrace strengths.

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