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#5 Botox, Fillers & Facelifts: Nashville's Celebrity Surgeon Tells the Unfiltered Truth | Dr. Brian Biesman

Shownote

Plastic surgery, Botox, fillers, face lifts, laser skin resurfacing, body dysmorphia, beauty standards, and social media insecurity — what does a top plastic surgeon actually see when they look at your face? In this episode of Wait. What?!, Aimee Mayo sits down with Dr. Brian Biesman, one of Nashville's most respected cosmetic surgeons and a Botox and filler specialist. This is really about identity, reinvention, heartbreak, aging, confidence, and how women can separate real self-worth from social media-created insecurity. What we cover: * How social media made women hate things they never noticed before * Why divorce and major life transitions send so many women to a plastic surgeon's office * The Kardashian effect, Instagram filters, and the beauty standard that broke an entire generation * The heartbreaking signs of body dysmorphia — and when a good doctor says NO * A teenage girl's acne scar transformation that will make you cry * The difference between enhancing who you are vs. chasing someone else's face Whether you've ever thought about getting work done — or you just want to understand why beauty culture feels so out of control right now — this episode goes way deeper than surgery. It's about why criticism sticks, why reinvention feels urgent after loss, and how women can get their groove back. Dr. Brian Biesman | Nashville, TN | Named one of America's Best Doctors every year since 2004, Dr. Biesman has over 30 years of experience in cosmetic eyelid and facial surgery, injectables, laser skin resurfacing, and noninvasive body contouring. Wait. What?! with Aimee Mayo — New episodes every week. Follow so you don’t miss one.  Aimee's Social Media Links: https://linktr.ee/WaitWhatPod [https://linktr.ee/WaitWhatPod]

Highlights

In this episode, a top plastic surgeon discusses the complex motivations behind cosmetic procedures, from social media's impact on self-image to the psychological factors that drive people to seek surgical and non-surgical treatments. The conversation explores the fine line between healthy enhancement and chasing unrealistic beauty standards, offering insights into how a responsible surgeon navigates patient requests.
00:00
A trusted celebrity plastic surgeon with five-star reviews.
02:18
Surgery is a necessary tool for some, but not all patients
08:39
A good doctor prioritizes patient well-being over demand.
13:46
Patients often notice minor imperfections during recovery.
17:47
I'm an objective voice of reason.
28:34
Bored patients seek non-surgical treatments
33:33
At 18, it's their body and decision.
43:33
Social media creates unrealistic beauty standards.
57:38
Some people are simply unhappy and will not be satisfied regardless of the outcome.
1:00:03
Cellulite affects 85% of women regardless of weight.
1:10:14
Removing facial tattoos that cause shame and hinder employment brings deep satisfaction.
1:18:26
AI lacks the intuition needed for cosmetic medicine
1:21:04
Great skin draws attention away from minor flaws.

Chapters

Meet The Surgeon And The Mission
00:00
When Surgery Helps And When It Does Not
02:14
Insecurity Social Media And Vulnerable Timing
05:37
GLP-1 Weight Loss And Doing Enough
11:05
The Neck Comment That Stuck
14:44
Asymmetry And The Mirror After Recovery
28:30
Young Patients Parents And Dysmorphia
33:30
Deep Plane Facelift And The Trend Pendulum
40:30
Filters Lip Filler And Fixing Bad Work
49:05
Realistic Results For Cellulite
1:00:01
Pro Bono Work For Trauma And Cancer
1:07:14
Regenerative Injectables Longevity And AI Limits
1:12:29
How to Look Younger
1:20:59

Transcript

Aimee Mayo: Some people just want to get out a knife and start cutting people up. Dr. Brian Biesman: You know, surgery, I am a surgeon, and surgery is an important tool. So we say that two sides of our face, in particular, are cousins, but not sisters. A...