The podcast · Darren M. Smith, MD, FACS
Welcome to Plastic Surgery: Before and After, where board certified NYC plastic surgeon Dr. Darren Smith dishes on the ins and outs of plastic surgery in today's world. We cover popular questions about common procedures, demystify lesser known but powerful tweaks, tackle trending stories in beauty news, and more. Please note that the information provided in this podcast is not medical advice and is never a substitution for a consultation with a medical provider.
The show
Season 1 ran from June 2020 to August 2021. Season 2 resumed in October 2025. Episodes run from about ninety seconds to nineteen minutes.
Listen to the show on CaptivateThe episode library
Browse all 70 episodes by season, with original publication dates, running times and descriptions. Each title links to the official episode page and recording.
Season 2
Board-certified New York City plastic surgeon Dr. Darren Smith examines what menopause actually changes about surgery and what it doesn't — including why he asks most tummy tuck patients to stop hormone therapy, while being candid that the evidence does not require him to.
Manhattan plastic surgeon Dr. Darren Smith explores the "volume exception" in breast asymmetry, explaining why traditional surgical warnings are often correct—but can also be completely backward depending on your anatomy. He walks through the three primary patterns of asymmetry to show how math and 3D imaging dictate the perfect surgical plan.
Board-certified plastic surgeon Dr. Darren Smith provides a thoughtful roadmap for parents on how to navigate the recovery process with their children, ensuring honesty and emotional security throughout the healing journey.
Board-certified New York City plastic surgeon Dr. Darren Smith explores the clinical and psychological realities of the "divorce makeover," helping patients distinguish between acts of empowerment and reactive grief responses.
Board-certified NYC plastic surgeon Dr. Darren Smith explores the rising trend of "going natural" through auto-augmentation mastopexy, a procedure that provides a breast lift and restored fullness using only your own tissue. This episode breaks down the science, surgical techniques, and clinical outcomes for patients seeking rejuvenation without the use of synthetic implants.
Board-certified plastic surgeon Dr. Darren Smith exposes the medical reality of lipedema, a chronic and frequently misdiagnosed fat distribution disorder affecting millions of women. This episode breaks down the cellular science behind why lipedema tissue resists diet and exercise, offering a clear roadmap for diagnosis and evidence-based treatment.
Introduction Board-certified plastic surgeon Dr. Darren Smith explores the "double hit" of rapid weight loss caused by GLP-1 medications like Ozempic and Wegovy. This episode provides a comprehensive roadmap for addressing loose skin and muscle loss through cutting-edge surgical and non-invasive aesthetic restoration options.
Board-certified New York City plastic surgeon Dr. Darren Smith pulls back the curtain on the "Mommy Makeover" to reveal the surgical realities, recovery timelines, and mindset shifts that social media often ignores. This episode provides a candid look at how to achieve a transformation that is both safe and long-lasting.
What does “drop and fluff” actually mean after breast augmentation?
Welcome back to Plastic Surgery Before and After! After a multi-year hiatus, Dr. Darren Smith returns with one of the most exciting developments in aesthetic surgery in recent memory: AlloClae — an off-the-shelf fat graft that’s redefining what’s possible in body and breast enhancement.
Season 1
Board certified NYC plastic surgeon Dr. Darren Smith gives you an idea of what you can expect liposuction recovery to be like.
Board certified NYC plastic surgeon Dr. Darren Smith explores the possibilities of HIFEM, high-intensity focussed electromagnetic energy.
Plastic surgery procedures are exciting, potentially life-changing events. Board certified NYC plastic surgeon Dr. Darren Smith offers some thoughts on how to prepare.
Board certified NYC plastic surgeon Dr. Darren Smith looks into this powerful procedure to get rid of excess arm skin and fat. We also explore a new twist on this classic procedure to improve muscle definition as well.
Board certified NYC plastic surgeon Dr. Darren Smith shares the advice he gives his patients for an easy liposuction recovery.
Board certified NYC plastic surgeon Dr. Darren Smith explores the fine points of BBLs.
Cellulite is one of the toughest problems to treat in aesthetic medicine. Board certified NYC plastic surgeon Dr. Darren Smith discusses Emtone, a promising new treatment here.
Emsculpt Neo is a true paradigm shift in noninvasive body contouring. Board certified NYC plastic surgeon Dr. Darren Smith explains.
Board certified NYC plastic surgeon Dr. Darren Smith discusses the importance of communication and asking questions during your plastic surgery journey, and invites you to join the conversation at here.
Board certified NYC plastic surgeon Dr. Darren Smith discusses different approaches to one of the most frequently requested procedures in plastic surgery.
Welcome to our 50th episode! Board certified NYC plastic surgeon Dr. Darren Smith offers some advice to make sure you have a safe plastic surgery experience and get the best results possible.
Lipo360 is exploding in popularity. Board certified NYC plastic surgeon Dr. Darren Smith takes a look at exactly what this procedure involves.
Board certified NYC plastic surgeon Dr. Darren Smith explores one of the most advanced skin tightening technologies available today.
Board certified NYC plastic surgeon discusses rectus diastasis and the key to a flat abdomen.
A plastic surgery procedure is a great excuse to quit smoking. Board certified NYC plastic surgeon Dr. Darren Smith reviews why.
Board certified NYC plastic surgeon Dr. Darren Smith introduces the rapidly growing field of male plastic surgery here.
Abdominal liposuction is one of the most popular procedures we perform in our NYC plastic surgery practice. Board certified plastic surgeon and liposuction expert Dr. Darren Smith takes you through the procedure here.
Plastic surgery is a major undertaking in many ways. Dr. Darren Smith, a top NYC board certified plastic surgeon helps you decide if the time is right for you.
New options to enhance the shape of your body seem to be appearing at an ever-increasing pace. Board certified NYC plastic surgeon Dr. Darren Smith offers an overview of the constantly evolving world of body contouring.
Board certified NYC plastic surgeon Dr. Darren Smith helps you find the plastic surgeon of your dreams.
Having a breast augmentation is a very personal process, and it's important to understand your options to ensure you get the look you want. Board certified NYC plastic surgeon Dr. Darren Smith explains.
Board certified NYC plastic surgeon Dr. Darren Smith helps you explore your noninvasive body contouring options.
The abdominoplasty, or "tummy tuck," is the most powerful procedure available to get your abdomen back. But what if you want something a little less invasive? Board certified NYC plastic surgeon Dr. Darren Smith discusses a new option.
Liposuction is one of the most popular procedures Dr. Darren Smith performs in his New York City plastic surgery practice. Sometimes all of the adjectives surrounding the procedure (tumescent lipo, smart lipo, power assisted lipo, etc.) can make the whole thing a bit mysterious. Listen here for an explanation.
Plastic surgery can require a significant investment of time and money. How long will it last? Board certified NYC plastic surgeon Dr. Darren Smith dives in.
From inverted nipple correction, to areolar reduction, and so many other variants in between, this structure has increasingly found itself in the aesthetic limelight. Board certified NYC plastic surgeon Dr. Darren Smith explains.
Board certified NYC plastic surgeon Dr. Darren Smith explores earlobe repair from the procedure itself to recovery and cost.
Board certified NYC plastic surgeon Dr. Darren Smith draws on his expertise in facial anatomy to describe how plastic surgery can get your friends to stop asking you what's wrong. In Part 1 we focused on the upper facial third. Here in Part 2 we tackle the lower facial third.
Board certified NYC plastic surgeon Dr. Darren Smith draws on his expertise in facial anatomy to describe how plastic surgery can get your friends to stop asking you what's wrong. In Part 1 we focus on the upper facial third. We'll tackle the lower facial third in Part 2.
Board certified NYC plastic surgeon and liposuction expert Dr. Darren Smith walks you through liposuction recovery so you know what to expect.
Board certified NYC plastic surgeon and liposuction expert Dr. Darren Smith explains the relationship between liposuction and weight loss.
Board certified NYC plastic surgeon Dr. Darren Smith introduces Emsella, a non-invasive (dare we say "magical"?) treatment that is taking the intimate wellness space by storm.
Board certified NYC plastic surgeon and body contouring expert Dr. Darren Smith discusses all the details of Emsculpt, one of today's most sought after treatments. From determining if you're a good candidate to getting a sense of pricing, it's all here.
You may see incredible liposuction results all over the internet, but the key to achieving great results like these is patient selection. Liposuction is not right for everyone. But if it's right for you, it can be VERY right. Top NYC board certified plastic surgeon and liposuction expert Dr. Darren Smith explains.
Board Certified NYC plastic surgeon Darren Smith introduces Qwo, a potential breakthrough in the quest to defeat cellulite and discusses frequently asked questions about cellulite and existing treatments.
What causes loose neck skin? Can I get rid of mine without surgery? Board-certified NYC plastic surgeon Dr. Darren Smith explains what works (and what doesn’t) for loose neck skin in our latest episode.
Liposuction is one of the world's most commonly performed plastic surgery procedures, but the elements that contribute to the pricing for this procedure can seem a bit mysterious. Board certified plastic surgeon and NYC liposuction expert Dr. Darren Smith dives in to offer some clarity.
We hate to use the expression "killing two birds with one stone" in any setting, and especially in reference to surgery... but with well-planned combined plastic surgery procedures you may be able to do just that. Top NYC board certified plastic surgeon Dr. Darren Smith explains how in this episode.
Fat is a funny thing. Sometimes we can't stand it, but sometimes it is the key to achieving stunning aesthetic results. Fat transfer expert and board certified NYC plastic surgeon Dr. Darren Smith dives in.
Board certified NYC plastic surgeon Dr. Darren Smith explores one of plastic surgery's greatest challenges and most sought-after procedures: skin tightening.
Learn how to conquer your inner thighs from board certified NYC plastic surgeon and liposuction expert Dr. Darren Smith.
Board Certified New York City plastic surgeon Dr. Darren Smith breaks down the cost of breast implants.
Almost everyone has heard the term "liposuction" and knows that it is a way to get rid of extra fat. What are the body areas that we can treat with liposuction? What are the specific goals to achieve in each of these areas? Top NYC liposuction expert Dr. Darren Smith offers some guidance here.
A problem-based approach to getting the arms of your dreams, presented by NYC board certified plastic surgeon Dr. Darren Smith.
Who doesn't like a little Botox here or a little filler there? Board certified New York City plastic surgeon Dr. Darren Smith explores the safety of these almost ubiquitous treatments during pregnancy and breastfeeding.
Double chin removal is one of the most common procedures performed by New York City board certified plastic surgeon Dr. Darren Smith. In this episode, Dr. Smith looks at what causes double chins and what we can do about them.
Board certified NYC plastic surgeon Dr. Darren Smith discusses the origins of the term "plastic surgery" and of the field itself.
A breast lift (mastopexy) is a powerful operation that does exactly what its name implies: lift the breasts. However, there are several different ways a breast can "droop" or become "ptotic," and there are different kinds of breast lift to match. Dr. Darren Smith, a board certified plastic surgeon in New York City, explains.
Dr. Darren Smith, a board certified plastic surgeon in New York City, taps his tummy tuck experience to give you a sense of what the process is like.
Dr. Darren Smith, a board certified plastic surgeon and liposuction expert in NYC, explains when you may need to worry about loose skin after liposuction and what you can do about it.
If you are looking to have a body contouring procedure, or lose fat in specific areas of your body, there's a good chance you've come across both liposuction and CoolSculpting as possible options. Board certified NYC plastic surgeon Dr. Darren Smith discusses the differences between these procedures, and shares his personal favorite noninvasive body contouring procedure.
The goal of a mommy makeover is to restore an individual to her pre-pregnancy appearance. The way that goal is achieved, however, depends on the changes an individual woman has experienced during pregnancy. New York City board-certified plastic surgeon Dr. Darren Smith walks you through it all here.
While breast augmentation can have a dramatic impact on your life, the recovery is much more manageable than you might expect. Board certified NYC plastic surgeon Dr. Darren Smith gives you the details here.
Board Certified NYC Plastic Surgery Dr. Darren Smith offers some tips and tricks to help you cut through the noise and make the right decision.
Board certified NYC plastic surgeon Dr. Darren Smith discusses the effects of breast augmentation on breastfeeding.
While Botox and fillers are both cosmetic injectables, the similarities end there. Dr. Darren Smith, a top board certified plastic surgeon in New York City, will help you to understand the difference between these products so that you can maximize the role of these wildly popular treatments in your own aesthetic journey.
Learn the secrets of liposuction from top NYC plastic surgeon Dr. Darren Smith. We'll explore what it's like to have the procedure, when you can expect to see the results, what recovery feels like, and more.
The quest for a flatter stomach: one of the most common things Dr. Darren Smith sees in his New York City plastic surgery practice. From liposuction to tummy tucks, skin tightening to non-invasive body contouring with Emsculpt, learn the basics here.
Board certified NYC plastic surgeon Dr. Darren Smith reviews some of the most important decisions to make when you are considering breast augmentation. What kind breast implants should you get? Should your breast implants go above or below the muscle? How big should your breast implants be? And more...
Who is Dr. Darren Smith, and why should you listen to this podcast? Spoiler alert: he's a top plastic surgeon in New York City, and he loves talking about all things plastic surgery and aesthetic medicine!
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