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Savannah
Welcome back to this week's episode of Unlocked. I am really excited about today because I have a good friend of mine on and also plastic surgeon Charlie Colonis. Welcome. Thanks for having me calling you, like, you know, okay, so you're in Nashville, you're doing surgeries. And let's honestly, I'll just be honest here because that's what my life is these days. I'm just honest about everything. The way that Charlie and I met was through another plastic surgeon because I was wanting to get some work done. Yes, I was. And you did my lipo.
Charlie Galanis
Yes.
Savannah
So I had, I was going through all kinds of shit with my endometriosis and I had taken this medication and I gained 40 pounds literally in like three months. It was crazy. And I had to do this, like, campaign shoot and I hated how I looked. And I called you. I think we did. It happened fast.
Charlie Galanis
It did happen fast. I do remember it was a while ago.
Savannah
Yes, it was a while ago. And it was like around Christmas time.
Charlie Galanis
Was it?
Savannah
Yes, it was around Christmas time. And I think it was like days before Christmas or after. I think it may have been in between Christmas and New Year's.
Charlie Galanis
This is the problem with living in la. There's no season, so every month feels the same. So I don't.
Savannah
Yeah. So I remember doing the consult with you and I was like, all right, what's the quickest you can get me?
Charlie Galanis
And that sounds like you.
Savannah
Yeah, yeah, right.
Charlie Galanis
Like you.
Savannah
And you were like, well, I actually think I had a cancellation. I can. Cuz your waiting list is long.
Charlie Galanis
I, I, I'll tell you one thing I do remember. I remember you cursing like a drunken sailor with your mom in the recovery room afterwards.
Savannah
Oh, I did.
Charlie Galanis
Yeah, Absolutely.
Savannah
That was the funniest thing.
Charlie Galanis
You don't remember doing it though, do you?
Savannah
Well, no. And I kept saying you were hot. And my mother was like, savannah, like, shut up. Shut up.
Charlie Galanis
It's pretty classic.
Savannah
Yeah. So I mean, that's true. Savannah fashion. But I came in, we did a virtual consult. So you do that?
Charlie Galanis
Yes, so and with. Because more than half of my patients. So my practice is based in Beverly Hills. I do come to Nashville every three months now, but more than half my patients travel, which is part of the reason I started coming to Nashville. A lot of them come from the Mid Atlantic, the South, and even Texas.
Corinne
Yes.
Charlie Galanis
So it was a, it was. I love the city.
Savannah
And you even went to Dubai.
Charlie Galanis
I was going to Dubai for seven years. But once, you know, once we had our daughter, I just didn't want to make the that trip anymore. So I was like, where, where would be another place to go that would make sense? That might also be a place we would consider moving to?
Corinne
Yeah.
Charlie Galanis
And that's where kind of Nashville came up. And I mean, we had discussions about it. Obviously, you were one of my friends here and I talked to you about it. But to your point. Yeah. I think your. Yours and my interaction started with a virtual consult and escalated quickly from there.
Savannah
Literally, y', all, when I say quickly, it was like a week later.
Charlie Galanis
Yeah. Yeah.
Savannah
It was absolutely insane. And so I went to Beverly Hills, mom went with me, I did the surgery. And for me, it was just. I felt like I didn't like how I looked. And I feel like it can have, like, if you don't like how you look, it doesn't just take a toll on you physically, but emotionally and mentally. Do you agree?
Charlie Galanis
Absolutely. So one of the. I mean, I talk about this all the time. One of the biggest misconceptions and myths about plastic surgery is that it's about the beauty business. And it has absolutely nothing to do with the beauty business. I think you were beautiful before your surgery. It wasn't about making you beautiful. It's not about beauty. It's not about doing something for someone else. It has everything to do with our relationship with ourselves. And I know this sounds really corny, but I've seen it and I have a story to relay to you about this. But basically, there's something in the mirror that we see that impacts how we live our day to day life. It weighs in our mind. It affects how we engage in our lives. It affects how we engage with the people in our lives. And it just gets in the way of living our fullest life. And. And so in its purest form, what plastic surgery is really intended to do is allow us to live our fullest life, live our most confident self. And if you look at reviews, when people talk about their experience with plastic surgery, they're not really talking about what they look like, they're talking about how they feel. And just like what you said, you weren't saying I looked like shit. You're saying I just didn't feel great. And that's really what it's about. It has nothing to do with other people. And I think when you're doing it in that for that reason, that's a problem.
Corinne
Yes.
Charlie Galanis
And as surgeons, you have a responsibility to kind of flesh out a little bit of the motive.
Savannah
Well, and too, you were really good at that. Because I'd be like, oh, I want this. This. That you're like, savannah, I'm not doing.
Charlie Galanis
You're trying to a la carte a whole lot of things. I mean, it's. It's not. It's not a need based thing. I tell everyone, this is not a need based thing. It's something you want for yourself. And my job is not to convince you to have surgery. If a patient walks into my office and at the end of the visit, they're like, you know what? I'm fine. Great. Fantastic. You know, it's not about me trying to sell you something. I'm just trying to help people, you know, live their fullest. I. One story. I'll never forget this. And I. It's. It's one of the few times in clinic that I almost got emotional. I mean, you don't know me long enough. I'm not the emotional type.
Savannah
No, not at all. It's like a freaking brick wall.
Charlie Galanis
That's not. That's a little aggressive. But. But there was this patient. I'll never forget this. She was. She was from Hawaii and she had had a mommy makeover. And I see this a lot with moms who have guilt about doing something for themselves after being so selfless with years with their kids.
Corinne
Yeah.
Charlie Galanis
And all of a sudden now wanting to do something for themselves, putting themselves in, quote, unquote, harm's way for a cosmetic procedure. And this woman came to me. She was six months post op, and she was Polynesian. Her family was Polynesian. All their family events were in the water. And she started crying in her post op. And she told me a story. She was at an event with her daughter, which was in the water, and her daughter ran up to her and hugged her leg and said, mommy, you come to all my events now. Because before that, she didn't feel like herself in her bathing suit, and she just wouldn't come. And I thought, wow, what a. What a perfect and pure illustration of how when you do something for yourself, you can better engage or be there for the people in your life.
Savannah
Better show up in your life.
Charlie Galanis
Yeah. So what seems like a selfish act ends up not being selfish at all. You're there more for other people. You're engaged in your life more. So I think, listen, plastic surgery has a bruised eye for many good reasons.
Savannah
Oh, yes. You've got people like these teen moms and crazy people who get like, yeah, it's.
Charlie Galanis
It's bad. And there's. And there's. There's a stigma that comes with that, that I That I understand where it comes from, because I think there are a lot of bad apples out there, and I think there was a lot of misconception about it, and that's okay. You know, you can't.
Corinne
Yeah.
Charlie Galanis
You know as well as everyone can't please everybody.
Savannah
No, you cannot.
Charlie Galanis
You know, I. I try to lead my practice in the most integrous way possible and sort of helping patients. Just as, you know, I'm a doctor first. I'm not a. You know, I didn't. I didn't start out thinking I was going to be a plastic surgeon, but I still love what I do, and I'm still helping people in a different way than a different kind of surgeon would.
Savannah
Oh, without a doubt. I think, too. For me, I know. Speaking from personal experience, when I got my lipo done, I felt like. And when you can look in the mirror and see a difference, it. For me, it made me want to live a healthier life. It made me, like, when I saw the results, I was like, oh, my gosh, I want to keep this up. Like.
Charlie Galanis
And I remember that with you because, like, you were killing it at the gym afterward, not like you weren't before. And let's be clear, you looked great before. These were, like, some refinements you wanted for yourself, and I see that all the time. Where it does lead to a healthier lifestyle. I don't know how you are, but for me, there's a domino effect. Like, if I can't work out, then I don't eat well, then I'm not sleeping well. It all goes together.
Savannah
Oh, yes.
Charlie Galanis
And the flip side is true, too. I see patients who invest in themselves, go through a big procedure, spend the money, go through the recovery, and they're like, I don't want to screw this up.
Savannah
Yep, exactly. Because it is an investment.
Charlie Galanis
Yeah. And they look great at, like, three months. Then they look amazing at six. They look amazing at 12. That's not me at that point.
Savannah
No. Mine was literally six weeks later. And I was like, oh, my gosh, I look like a totally different human being. Like, it was. So. Yeah, I. My result, I absolutely loved.
Charlie Galanis
I was. I'm surprised you're bringing this up. We never talked about this publicly before, and I. I didn't know you were going to talk about it.
Savannah
Neither did I, but I was like, you know what? Screw it.
Charlie Galanis
I remember being like. I remember having pictures and sending me like, look at this. And I was like, let me show it.
Savannah
No. You're like, no, because I guess the stuff. Stigma that goes along with it. And also I was going through all of my health stuff, gaining weight, I was working out, eating right, nothing was working. And I was like, I have to have. And that's the thing, being on TV and having to do a campaign shoot for a product and I'm like, I can't show up looking the way that I look. I don't. To me, it didn't fit the brand.
Charlie Galanis
It.
Savannah
I didn't feel good. So I needed a quick fix. But the judgment that goes along with it.
Charlie Galanis
Yeah, I think there's a couple things I can tell you. Being in la, more people have it done that people know about. I would never have guessed had something done, number one. Number two, I think it's. There is a reflection to some extent on how our social media society works now that people are quick to judge and are quick to jump on or pile something on. And my, you know, it's not how I operate. My, my feeling is if you're not doing, if you're not hurting anyone, you're doing something for yourself. Good on you.
Corinne
Yeah.
Charlie Galanis
Do whatever you want. You can have whatever opinion you want, you can do whatever you want for yourself. You're not hurting anyone else. You're kind of remaining within the confines of what's safe and ethical good on you. It's your business.
Savannah
Exactly. So would you say obviously and what I would say the past two years we've obviously had an uptick in the GLP1 weight loss drugs, Semaglutide, which I did launch my pharmacy, Good Girl Rx and that's what we sell and I take it, I love it because for me I don't drink nearly as much when I'm taking it.
Corinne
I.
Savannah
And then when I am hungry, I just want healthier, high protein food. So what is your thoughts obviously in the uptick of usage of it and have you seen an impact in your business?
Charlie Galanis
Right. Yeah, I had a, I had sort of a. At first I was skeptical if I'm being honest because I think I saw people, I was worried there was sort of an abuse of it. People use it as a crutch and.
Savannah
There were a lot of pharmaceutical companies absolutely like using it and like price gouging. People love charging $1,500, $2,000 a month.
Charlie Galanis
So to give some background, the GLP1s are basically, it's a medication that was found to be very effective for diabetics. That's where it really made its headway. It helped with blood sugar control and one of the side effects was weight loss. In fact, on average, people could lose about 15% of their weight. It was a significant amount of weight loss people would get. Now what we also find is if you stop it, a lot of people will gain back at least 70% of what they've lost.
Corinne
Yeah.
Charlie Galanis
So now what I have found or what I have seen in a positive way over time, the people that are use it most effectively are the ones that use it. It helps jumpstart things. Just like for example, plastic surgery does, they get a new, they develop a new relationship with food, they develop a new relationship with lifestyle choices so that when, when the time comes that transition off of it, they're able to maintain that sort of new baseline.
Corinne
Yeah.
Charlie Galanis
And it's, it's been transformative for a lot of patients. I'm not going to lie. I mean, I see it all the time. So I, you know, initially I was like a little skeptical. Y. I was worried about that. And listen, I'm not saying everyone should be on it. I'm not saying it doesn't come without some level of responsibility patients and providers have to take. But if used properly, it can truly be life changing for a lot of people.
Savannah
And like you said, have you seen people come into your office that have taken it now want this big makeover? Because with lipo, it's what, like, what's the standard or the rules of like, you can't get it if you're X amount, have X amount of body fat or like, you want the optimal result.
Charlie Galanis
Yeah. So there are some patients who come in. Let's take for example, a patient who comes in who wants an operation, but because of their weight, it's probably not safe. Because the first and foremost thing, when you're talking about surgery, especially elective aesthetic surgeries, you have to do what's safe. And one of the parameters is you have to look at their weight because we know at significantly high weights, complications go up. So you take a patient like that who comes in the door and they're not eligible for surgery yet. That's a great opportunity for them to, hey, why don't we. If you've exhausted other means of weight loss, because some people have a hard time, it's not as easy for some as it is for others. GLP1s offer them another option to get their weight to a place that it's controllable or at least or manageable weight that is safe for surgery.
Corinne
Yes.
Charlie Galanis
And so I'll see that. I'll see some patients who've used it as a weight. They didn't need to lose 200 pounds, but maybe they needed. They needed a jumpstart to lose 20 or 30 that they just couldn't get rid of.
Corinne
Yeah.
Charlie Galanis
And by the way, maybe they lose the weight, and then they don't want or need surgery. Great. You know, I think so. I've seen that where it takes people who weren't candidates for surgery become candidates for surgery.
Corinne
Yes, but.
Charlie Galanis
But also, it can create candidates for surgery. You know, people that lose a lot of weight and all of a sudden they have loose skin or you can.
Savannah
Great for your business.
Charlie Galanis
Well, yes, but there's considerations there, too, for safety. You know, I think that, you know what I tell patients who are on at least, especially if they've been on at least six months. You know, I'm gonna check nutrition markers on them. I'm gonna put them on protein shakes. One of the ways primary mechanisms that GLP1s help with weight loss is they slower gastric emptying. They slow our GI tract so we stay satiated longer, we're not hungry, and so we eat less. Well, it stands to reason you probably have some people that are subclinically malnourished, meaning it's not clinically showing as malnourishment. But if you look at their labs, if you look at kind of what their nutrition status is, it's not optimized. So for those patients that, you know, I do take special considerations, making sure they're as tuned up for surgery as possible.
Savannah
And do you have to be off of a GLP1 for a certain amount of time before going into surgery?
Charlie Galanis
Yes. And these guidelines kind of change constantly. Currently in my practice, I make sure they're off it for two weeks prior to surgery, and then they can restart it three weeks after if they want. Now, of course, this is assuming we've optimized their nutrition. The risk with being on it right up until surgery is if you've slowed your stomach emptying. We all know, you've all heard, Most of us have heard, if you're having surgery, can't eat anything after midnight. You need to have an empty stomach. It's because when we're putting you to sleep, we don't want you to aspirate and get something in your lungs. If you're on a GLP1 and there's still food kind of lingering in your stomach, you don't want that. So you want to have enough time for that medication to clear so your stomach is empty when you have surgery. So two weeks before off it, and you can restart three weeks after. That's why.
Corinne
Okay.
Savannah
And would you say you've had an uptick in your business since the GLP1? So people calling and now like they saw weight loss and now they want to optimize it even more?
Charlie Galanis
What I would say is it's an interesting question and I don't have any numbers to prove this, but I'm willing to bet I see less lipo patients but more tummy tuck patients. In other words, I'm not getting as many lipo patients probably now because people are losing that weight from doing GLP1s.
Corinne
Yeah.
Charlie Galanis
Or losing the love handles are a little bit extra. Perhaps. But I'm seeing more patients who need skin removal surgery because now they're left with loose skin or their breasts are kind of hanging lower. They're deflated a little bit.
Corinne
Yeah.
Savannah
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Charlie Galanis
So I, you know, I only do breast and body surgery. I'm exclusive to that. And you know, being in LA or being in Beverly Hills, you're. You really, it behooves you to become or try to be a master in a few things rather than a jack of all trades.
Savannah
Yeah.
Charlie Galanis
Because there are some people, too many people there.
Savannah
There's like, especially in this town too, there's some people that do. They're like, oh, I could do your face, I can do your ass, I can do your, you know, legs. I don't know. And I'm like, guys, this is.
Charlie Galanis
And in smaller communities it makes sense. I mean, not like natural smaller community, but you know, in a city not the size.
Savannah
You were in like a mecca for plastic surgery.
Charlie Galanis
So it's like someone down. You can't. Where I work, you can't throw a rock without hitting three plastic surgeons before it hits the ground.
Corinne
Yeah.
Charlie Galanis
And so if you don't, the only. The really. One of the key ingredients to getting really good at something is simply experience. You have to do a lot of them. And if you're splitting your expertise between a lot of different areas, it's. It's going to be a little bit more challenging, not impossible, a little more challenging to be really good at any specific things, in my opinion. It's not to say that there aren't surgeons out there who do a lot of work, who I think do good work. But for me personally, I know my, my personality is I really wanted to get good at a few things.
Corinne
Yeah.
Charlie Galanis
And so that's how I built my practice as I focused on those, you know, I don't know how sustainable it is in other markets, but it in la it certainly was. And then it grew to a point where, like I was saying earlier, patients travel anyway now.
Savannah
Well, I went out to LA from.
Charlie Galanis
Here and that's, you know, that's kind of a new thing over. And I think social media has a lot to do with that because when we started marketing on social media, there was no such thing as a border of where your marketing reached.
Corinne
Yeah.
Charlie Galanis
People would be messaging you from all over the damn place. And so it really kind of made the world smaller for us.
Savannah
And so when people come to LA to get surgeries done. What is that process of. Because I know when I came, obviously mom came with me. I stay at a hotel. But for people who maybe don't have someone to come with them or how do you.
Charlie Galanis
So, yeah, so whether they travel here to Nashville or to la, so we really kind of master the whole kind of boutique style setup of things. And we have a concierge service which helps people with everything. So we'll help them with places to stay. We have resources with a condo that we can stock, that's fully furnished, has washer and dryers, a kitchenette or kitchen. We have nursing that we can establish for you, the masseuses, all the things that go with that. And usually it starts with a virtual consult. And I always tell people, I say, listen, the virtual consult, we're not married to what we talk to today until I see you. The plan may change.
Savannah
Yeah, well, that's exactly what you told me.
Charlie Galanis
Exactly. And then, you know, when I see you, if the plans change, which usually they don't change too much, we can make those adjustments. And so the, the typical way is we'll do a virtual. Someone will pick a date, they'll book, and then maybe they fly in the day before their operation when I see them. And if we need to make changes, then we make them their case and then they move on for surgery. And then how long they stay in town depends on the procedure they're having. But we cover all that during the consult. It's remarkably efficient, especially domestically, because all of us in the plastic surgery world, most of us have colleagues all over the place. So it's not difficult for me to take care of someone here or in another city?
Savannah
Well, no, because when I got my surgery done with you, you sent me to a guy here in town for all of my follow up stuff and for stitches or whatever. I needed out. It was so easy. I didn't have to worry about not getting good care here.
Charlie Galanis
And so it helps. So if you've been in practice long enough and you've established a network of colleagues all over the place, you can kind of COVID a larger swath of territory because, you know, you don't want to leave someone high and dry. That's one of the difficult things with international travel for plastic surgery is that isn't as true there. If you go internationally for surgery, then come here, they probably don't have a connection with somebody here. So if something goes wrong, you're going to an urgent care and God help you, you know, so that, that's where that's a little bit. Traveling is different.
Savannah
Yes.
Charlie Galanis
But, you know, it's. I get that it's scary and I. I mean, we take that seriously, so we try to take some of the fear out of it by helping them. Yeah, I mean, you know, Corinne. Corinne's.
Savannah
Oh, she's awesome.
Charlie Galanis
An absolute machine. And she. She kind of helps people, walks their hand right up into the days.
Savannah
And so what would you say makes you different than another person that's offering.
Charlie Galanis
You're going to do that?
Corinne
This.
Savannah
Yeah. Like, what. What makes you different? Because wasn't one thing, like the sculpting that you all do.
Charlie Galanis
So I think, like, because that was.
Savannah
The difference with me, like, I would see, like, I would have friends who would get lipo done, and it's like, your fat's gone, but there's no.
Charlie Galanis
So I. I guess one of the things that was different for me was I was. There was a group of us earlier on that traveled to South America to do some training. So I would say, listen, the US Is great for a lot of things in plastic surgery, but I. I told people that training for a lot of body contouring and lipo in the US was dog. It would be something that we were spending so much time on. Some of the more elegant procedures that we looked at lipo or contouring, like, oh, here's a metal straw. Just do this and that's it.
Corinne
Yeah.
Charlie Galanis
And so most of us had. No. None of us really had any idea what we were doing. It was scary. I mean, early in my career, I'd be nervous walking into a room three months post op. I don't know what I'm walking into, what this person's going to look like. And then I saw these. I mean, I saw these results coming out of South America. It was like a decade ago. And I'm like, what are these guys doing? So I ended up training down in Columbia with. With kind of the guy who invented or sort of one of the major pioneers of high def lipo. And then I learned how to apply that to different procedures and make my own sort of, I don't know, adjustments to different procedures. And so in one aspect, on a technical side, I think some of the things I do that are maybe a little different than a lot of people have to do with sort of more natural tone results than what is. Let me put it this way. I want. When I'm doing bodywork on someone, I would love for them to be at a pool and someone says, wow, you look great. Not, wow, who's your surgeon. Yes, that's what I want. I don't. I'm not trying to create an aesthetic that looks like I was there, but that still looks striking.
Corinne
Yeah.
Charlie Galanis
I think another thing. I mean, I'd like to think that from a personality standpoint, I'm authentic and I'm not trying to. I really am not trying to push people.
Savannah
You have a great bedside manner.
Charlie Galanis
Thank you very much.
Savannah
You have great bedside manner because that's enough.
Charlie Galanis
Sponsored by plastic surgery.
Savannah
Exactly that. Because I remember the guy who put me to sleep, he had terrible bedside manner and told me to shut up at one point, and I was like.
Charlie Galanis
That might have been me. You just remembered wrong.
Savannah
Oh, yeah. Well, no, like, your bedside manner was what made it awesome.
Charlie Galanis
I. Listen, one of the things I love about my job, there's the technical aspect, but I do love. I do value the relationship I have with my patients. And if I don't enjoy getting to know them or that interaction, then what the hell am I doing? Then I'm just a technician. And. And that's fine. Some people are like that, and that's okay. But for me, that's. That's part of the fun.
Corinne
Yeah, I.
Savannah
Okay, I love that. Now, going into, like. Obviously you don't have to say, but what would you say is, like, around, like, budgeting for something like this? Like a mommy makeover? What should someone expect to spend?
Charlie Galanis
Wow. Well, I'm gonna so one thing, and I know this is gonna sound ridiculous. I know you believe me when I say this.
Savannah
You really probably don't even know.
Charlie Galanis
I separated myself from the money a long time ago. Now I have a. About something.
Savannah
Yeah. Like what's, like a general idea not to hold anyone to anything?
Charlie Galanis
I think it depends. So keep in mind, a mommy makeover could mean arms, breasts, abdomen, thighs. It could mean everything. So you could be looking anywhere between 50 and 100,000. If you're doing a lot of different areas all at once, they can be really expensive.
Savannah
Like, if you're going from toes to.
Charlie Galanis
Yeah, I mean, it can be a lot. Now, the cost is going to vary depending on who your provider is, what their experience level is, and where you are. I'm from Milwaukee, Wisconsin. Plastic surgery there is going to be cheaper than what it's going to be.
Savannah
In Beverly Hills, California.
Charlie Galanis
But in part, you're paying for that person's experience. You're paying for their demand, you're paying for their results. One of the. One of the uncomfortable realities I tell people about plastic surgery in terms of cost, it's not like buying a tv. You're not. You're not paying for a result. That's the weird reality. You're not actually paying for the result. You're paying for the probability of a result. So in other words, you can spend. You can pay for the most expensive plastic surgeon in the world, get the most expensive surgery.
Corinne
Yeah.
Charlie Galanis
But the probability of result may only be 99%. It's never going to be 100. Or you can go to somewhere and get it dirt cheap, and then the probability of a success may be 50%.
Corinne
Yeah.
Charlie Galanis
So it's up to you what kind of a risk you want to take with that. It's not saying that expensive surgery always guarantees a good result. It doesn't.
Savannah
No, it does not. Because I got my nose done by a guy in Beverly Hills, and he was known as the guy. He did this person and that person, and I went and got it done, and it was literally crooked. And I was like, this does not look good. Like, when I would smile because, you know, you take a photo from underneath, I would smile, and I'm like, this is crooked. And he was like, I'm not touching it. It is perfect. And I'm like, this is not perfect. So I went to one of my dad's friends to fix it, and thank God he was in Atlanta. He fixed it. I love it. Looks great. But just because it's a certain price or just because they've done such and such celebrity 100% doesn't mean.
Charlie Galanis
So there's two things. One, everybody has bad results. I don't care who you are, how many surgeries you've done, how expensive it is. Everyone has results they're not proud of or happy about.
Corinne
Yes.
Charlie Galanis
But the second part has to do with your relationship with your surgeon. It's important to pick someone who you trust, who you have a good rapport with, because if and when things go sideways, you want someone that can help you rather than gaslight you or say, now you're nuts.
Savannah
Exactly.
Charlie Galanis
So there's, you know, it's nuanced.
Savannah
Well, even with you, there was, like, something in my surgery that I was like, oh, this could have been a little different. You're like, all right, let's fix it.
Charlie Galanis
Yeah. Like, yeah. I mean, my feeling is, look, if there's something that we can address my.
Savannah
I'm not one of. That's. What I loved was that you weren't like this. That was like, oh, no. Like, if there's something. Because it. I mean, hell.
Charlie Galanis
Well, so if I separate myself from the money, what drives me.
Corinne
Yeah.
Charlie Galanis
A happy patient. That's what drives me. So if I've collected, collected a check, but someone's pissed at me, I'm not doing myself any favors. And I don't sleep well at night with that. I don't. I struggle when, you know, and I've had results. I'm not crazy. But it's happened and it's. It sucks.
Savannah
But. And it's also too, the healing process. People heal differently, their bodies react differently, and people also don't always listen.
Charlie Galanis
Well, the other thing that's most to the healing protocols, the other thing that's people. That's by far the most common thing is a lack of patience. And I understand.
Corinne
Yeah.
Charlie Galanis
For some of the operations I do, and a lot of us do, we're talking about a healing process that take months. Takes months. Someone calling me at one week being like, this looks a certain way. It's like, you know, I listen to them and have to reassure them, and then it's gone. Even sometimes it's six months. You'll see something and I'll say, I'll see you in six months. And then it's gone.
Corinne
Yeah.
Charlie Galanis
And it's easy for me to say that from position of experience. I know it's difficult as a patient to see some be like, I have to just trust is going to get better. But that part of it, that patience that I tried to preach to patients is important and often the hardest sell. Oh, yeah, but it's important.
Savannah
I mean, but your results, like the before and afters, are absolutely insane. And. And what I love too, is, like, you don't just do women either. Like, you do have some men that have come along, and I'm like, holy shit, you made them have a six pack. I was.
Charlie Galanis
You know what's funny about, you know, you're mentioning, like, people being shy about showing it. Men are the worst. So you think, you know, there's plenty of women who are, you know, especially in the public eye I've done who are celebrities or who are in acting or the actors or actresses would never let me talk about it. And the men. Men don't want me to talk about it.
Savannah
That's fine.
Charlie Galanis
Particularly straight men.
Savannah
Yes.
Charlie Galanis
Well, of course, their gay men are sending me selfies and like, look, I'm so happy in the. But the. But the straight men generally are like. And actually, I had one guy, I remember he and his wife both had surgery and he was prepared to do it, and his wife turned him. Like, you're gonna let him show that stuff. And he's like, I'm not. She goes, no, no, I'm not. I'm like, all right, thank you.
Savannah
That's amazing.
Charlie Galanis
But yeah, it's a growing population. A lot of men are doing it. A lot of men in Hollywood that people do not know would never think have done it, have definitely done it, but it's a growing population.
Savannah
So with being in Hollywood, have there been celebrities that you have partnered with that you've like done their surgery and they've allowed you to show their content or.
Charlie Galanis
There was only one.
Savannah
And did they say that you did their surgery?
Charlie Galanis
Yeah, there was only one that did that. And it was a long time ago and it was like kind of earlier in my career. It wasn't, it was, you know, celebrity is an interesting term to use. Yes, it was Kylie's friend Stacy, her.
Savannah
Oh, yes, I remember that.
Charlie Galanis
You did. So she, she was really gracious about it and was nice to share about it, no one else. And to be honest, I never ask, I don't, I never directly ask people about sharing. You are probably the closest of anyone I came to doing it with just because I had a good relationship with you and I could kind of joke.
Savannah
With you about my, like, before and after were wild.
Charlie Galanis
You look great. I mean, you were that. Listen, you were the ideal patient. You made, you're the kind of patient made me look. Makes me look good. Because you were starting from a good place. You're young and healthy and it was, it was easy. But. Yeah, but, but no, they, they generally don't. I think it's funny. I was watching a show recently with one of my patients and I found myself critiquing myself while I was watching her on screen, which is weird. But I don't, I mean, in truth be told, I don't like, this might come off wrong. I generally don't. I prefer, I don't prefer celebrity patients.
Savannah
Yes, I get that a lot of.
Charlie Galanis
The time they are, they're mostly because their schedules are a little wild and they're, it's very difficult for them to follow post op protocols the way we want them.
Savannah
And the post op, like, if you don't wear the compression garments, you're screwed.
Charlie Galanis
It's super involved. I mean, I had one celebrity that was. She came for a body contouring surgery, but she was in the middle of a residency in Vegas and I'm like, you gotta wear this stuff after all. And it just wasn't kind of registering. And I, and so I don't know. It's like there's sometimes there's a disconnect and a lot of times you end up talking to their handlers and not them, which makes.
Savannah
There's so many layers.
Charlie Galanis
Yeah. And so, I don't know, it's just difficult.
Savannah
But so what is. So I've got some good questions.
Charlie Galanis
Oh boy.
Savannah
What's up? The most outrageous request you've ever gotten from a client.
Charlie Galanis
This, you know, may have been outrageous years ago. Maybe these days it isn't. I had a woman ask me to put filler in her labia, which I politely declined.
Savannah
What. What is the point of that?
Charlie Galanis
You'd have to ask her, I guess. I mean she felt like they were deflated, I suppose.
Savannah
So we're just going to put filler.
Charlie Galanis
Yeah. And it was also like completely off the topic of what we were talking. She just said A, by the way. And, and I just, I mean I, I don't think I reacted and look, it's, you know, people have their okay. Notions about what they want to have done.
Savannah
Okay, what's the one trend you refuse to do? Even if someone's willing to pay like.
Charlie Galanis
Whatever price currently current trend or what.
Savannah
Was the past trend? And then tell me a current.
Charlie Galanis
I think, I think extra large bbls I was never on board with.
Savannah
Okay.
Charlie Galanis
Because I saw a lot of the.
Savannah
Problems and what it like with a bbl. How does that happen?
Charlie Galanis
So basically, you know, a bbl, the Brazilian butt lift is not a lift per se. What it was is removing fat from one area and putting into another. In this case, you put it in the buttocks to make them large. And listen, it can be done in a way that's natural looking and tasteful. It does not automatically translate to some obnoxiously exaggerated look.
Corinne
Yeah.
Charlie Galanis
But then you start having people way, way, way overdoing it where it would be like two skinny legs and it's giant butt. And the problem is that over time it's not going to look good. It's not going to age well. It's difficult to reverse.
Savannah
Yeah.
Charlie Galanis
Now you've stretched out the skin and you know, it just, I just. When it comes to trends, a trend should not be something you think about when you're forever surgery for your body. A trend is a pair of jeans.
Savannah
You thank you.
Charlie Galanis
Not not a surgery. You do the. The best trends or the best. That's why something that at least confines itself within a natural spectrum is never going to go out of style. And you shouldn't do a surgery that's going to go out of style.
Savannah
If you can avoid it, you should not. How often would you say you have people come in that show you photos of like celebrities or someone that's like, hey, make me look like this. But it's the most filtered.
Charlie Galanis
Like one of the funniest ones is someone did that and they showed me a picture of a patient of mine and I knew for a fact she didn't look like that, but I couldn't say it.
Savannah
Yeah.
Charlie Galanis
And so I was like, okay. Like you just sort of have to steer them away. And listen, I tell people that, you know, we sometimes these photos are not, these are not reality. And I think, I think the words out, I think people know now a lot of these are washed and it's our job to tell them that.
Savannah
What is the most popular surgery in Beverly Hills right now?
Charlie Galanis
If you go, statistically, lipo is still number one, breast dog is probably number two. And then it kind of goes down the list there. Then you go into things like rhinoplasty, tummy tuck, facelift. I. So I think the stalwarts are never going to change. How they're done will change. Yeah, you know, there will always be some modifications here. There are some tweaks to how to do the procedures, but the, the top five are always going to be kind of the same. Top five. I think the thing that we're seeing now is more men getting involved. And I really do feel like the, the needle has gone back to a more natural aesthetic. Thank God. And you know, now whether that's in my practice, because that's mostly what I try to focus on, or whether that's what the trend is, I think it's a little bit of both. But I think people are wising up to the fact that the overfilled face with filler or giant lips or these looks that don't, don't do well over time is not the way to go. And I think people are recognizing that. And when they're, whether they're getting a non surgical treatment or surgical treatment, they're trying to stay within a reasonably normal. Even in a place like LA where everyone assumes everyone's crazy, my patients are not crazy. They're normal people who want a result that's not announcing to the world that they had work done.
Corinne
Yes.
Charlie Galanis
That's what more most people are like.
Savannah
So have you had any crazy cases come into you like that you would see on unbotched? Really?
Charlie Galanis
Oh, yeah.
Savannah
You know that like, what would you say is the craziest case you've had?
Charlie Galanis
I mean, I, I've seen just some work that, where there's incisions placed in way, in places they never should have been placed and there. And I can't even imagine why or think of the reason. But what I never do. These patients feel a lot, they feel terrible. They feel ashamed of themselves. They, they're kicking themselves for the decision they made. And so when they come, like, I, I, A couple people recently came in who were tremendously scarred and burned from, like, these horrible surgeries. And they're like, I should have, you know, done more research. And I said, listen, the decision you made in that moment was the best for you with the information you had. You did the best you could. It didn't go the way you wanted it. Let's just focus on what we have now, what we can do moving forward. Because it's, I mean, believe me, my, my impulse is to be like, hell did this to you? Yeah, and let's get, let's grab their license ridiculously fast. But, you know, I, I try not, I try not to get into that and just sort of say, how can we fix this? So you see a lot of botch work that way. And I, and I feel terrible for these people. And I, I, if it was me, I'd feel terrible as a surgeon. And when I hear people do this.
Savannah
And then doing it, still doing it, and have.
Charlie Galanis
No, I don't, I don't, I don't, I can't, I can't identify with that.
Corinne
Yeah.
Savannah
Also too. It just came to mind because I just thought of it. Is it true, like, when people say, when you, obviously, as a mother, like, all right, or I'm a woman and I want to have a kid and I'm 28, but if I say, hey, I want to go have my boobs done, like, what is the misconception of having a boob job before kids versus after?
Charlie Galanis
So, first of all, no one can predict how pregnancy is going to change a woman's body. One woman will, she'll bounce back, no issues. The breasts will come back to where they were more or less. The abdomen will tighten back down. Another woman will have a completely different experience. So what I generally tell my patients is, are you actively trying to have kids? Are you trying to do it right now or with your. Within the next few months or within this year? And if the answer is yes, well, then wait. Yeah, if you think that someday I might want to have kids, I don't know when that's going to be. It's perfectly fine to go through a surgery. It's not like, for example, breast surgery, it's not going to impact your ability to breastfeed. It's not going to impact your ability to have a healthy pregnancy and a healthy baby and rear your child. But the timing of it really has to relate to how soon are you looking to have kids? Because, yes, it could change things and necessitate other surgery.
Savannah
Okay, interesting. Because I always thought, like, you couldn't do it before. I mean, I don't know why I thought it, but I was like, maybe.
Charlie Galanis
See the wheels turning in your head.
Savannah
But see, I don't need it mine. All my friends, like, and Aaron can tell you, all of our friends don't they say, like, people say my boobs are fake.
Charlie Galanis
I can say it as having been your surgeon, that you're natural breasts.
Savannah
Thank you.
Charlie Galanis
Yes.
Savannah
But all my friends will be like, People will be like, oh, who's do. Who did Savannah's boobs?
Charlie Galanis
If you want to tell people I did them at the time, fine. But no, they. I did not. You were. That is, you have natural breast tissue. Yes.
Savannah
And I'm like, guys, these are my. And literally, one of my girlfriends was like, will you go into my plastic surgeon with me and, like, show them your boobs?
Charlie Galanis
And I was like, so you're the go photo now?
Savannah
Yeah.
Charlie Galanis
Amazing.
Savannah
I was like, sure. I'll. Of course. I'll just go lift up my shirt and show yourself.
Charlie Galanis
You know, you could have just given a picture. You didn't have to, like, go flash the.
Savannah
Well, I know. Oh, I'd rather flash them than, you know, take a picture. Okay. What is the most money someone has spent with you? I know you said you took yourself away, but there's got to be some big cases.
Charlie Galanis
You're like, oh, like, in a single operation.
Savannah
In a single operation.
Charlie Galanis
I. I could guess around, but I really don't know. It's probably around 80.
Savannah
Oh, really?
Charlie Galanis
I think 80 to 100, I think. I don't know. And I don't mean this arrogantly. Like, I don't know about the money. I just.
Savannah
No, but when you get so consumed with the money, there's no way that you have that. Like, and I was a call.
Charlie Galanis
Right. And I. And I think I. It also stressful. Like, I. And I took my joy away or my focus away from where it should be. So it wasn't. I only did it once I was established enough that I could get away with it. Like, I wasn't doing. I wasn't. I'm not trying to do it irresponsibly. But I just, I'm very lucky to have people I trust to manage it for me. They could be robbing me blind. I could be. You know, my credit card was denied at the 7:11 this morning.
Savannah
Stop it. I'm dying.
Charlie Galanis
And then I tried another card and that was declined. Maybe I should check this out. But this actually did happen. I was in a 711 and the guy looked at me like. And I was in my scrubs and like a black jacket so I looked a little dodgy. And it was like 5:30 in the morning. All I was trying to do is get a Starbucks and a like a protein bar.
Savannah
So did you not get it?
Charlie Galanis
I had to walk out with nothing.
Savannah
Cuz your cards wouldn't go through.
Charlie Galanis
Yeah, I didn't make cash on me. I had nothing.
Savannah
What did you solve this problem?
Charlie Galanis
I had a. In the surgery center, there was like some bread and peanut butter. I had that.
Savannah
Okay, so we've got a poor surgeon now. Dear God. He's super talented.
Charlie Galanis
Guys, I'm telling you, sort out what's going on with my cards. But I don't know, whatever.
Savannah
That is hilarious.
Charlie Galanis
Yeah, it was great.
Savannah
Okay, so how often are you in Nashville?
Charlie Galanis
So I'm coming every three months. So I do.
Savannah
As of now.
Charlie Galanis
As of now. Listen, I, I really do, I do have, you know this. I have a serious interest in coming here full time and making LA secondary. But it would be a process to make it happen. So. Right. For right now come every three months. I stopped going to Dubai because I couldn't take. We couldn't take our daughter to Dubai. Every time was brutal. So come here every three months. So I think next time in September, I don't have the dates, but September and then after that's going to be, I think January because everyone's asking for January so we're moving it to January.
Savannah
Okay, and then. And how many and what's the process to get on that list?
Charlie Galanis
So what I. It's the same number they call when they call my office. So the LA number they know if. Are you interested in Nashville or here?
Savannah
And your practice is what, like the.
Charlie Galanis
Name of the practice? It's just Galanis Plastic surgery.
Savannah
Okay.
Charlie Galanis
But if they. Basically the way it starts is if it's someone here who wants to be seen as a patient here, start the virtual consult. So let's say someone wants, you know, it's when we're taping this, it's June. So if someone wants surgery in September, they call our office with. So we do a virtual consult sometime in the next month or so. And then they say they want to be in September. Then we're like, okay, you have that. You have that date once we put a deposit, whatever, and you secure that. And then maybe I don't see them in person until I'm here. And they're here.
Corinne
Yes.
Charlie Galanis
In September. And then we finalize the plan before their surgery. Maybe it's the day before.
Savannah
And honestly, I would advise September, October, November, December.
Charlie Galanis
Yeah.
Savannah
Because then you're healing and it's, like, freaking freezing out.
Charlie Galanis
It is perfect for, like, in la. It doesn't really matter. It tends to be. A lot of my patients are moms, and so the summers they want to have open to be with their families.
Corinne
Yeah.
Charlie Galanis
But as soon as school starts, they're revving it back up. But, yeah, weather is a situation. Like, I'm. We were busy as hell this week, and I'm. I'm surprised because recovering in Nashville with garments on does not sound fun, but it's just God bless air conditioning. So. But yeah, I mean, I think the. For typically for plastic surgery, and I think this is nationwide. July and August tend to be the slowest months. July and August tend to be slow, and then it picks back up. All the surgeons go on vacation. July and August, because it's the slow time. And then it starts starting in September, October, it ramps up through until, you know, May, June, that follow.
Savannah
Okay. So people can go on your Instagram, your website, whatever, get in touch with your office, schedule their consults, their surgeries, and whether it's LA or here.
Charlie Galanis
Yeah, either one.
Savannah
See, I love it. I mean, I don't need anything done anymore.
Charlie Galanis
No, no, you're fine. You're already the after picture, so you're just fine.
Savannah
I loved it. Maybe we'll post it before and after now. Who knows?
Charlie Galanis
Wow, what a treat this has been.
Savannah
I know. Are you gonna give me my neck surgery?
Charlie Galanis
I see some people rolling their eyes in the background. You got it. Absolutely.
Savannah
Next. You heard that first.
Charlie Galanis
Yes, I said it.
Savannah
She stopped caring about everything. Yeah, I stopped caring about everything. So next surgery. All right.
Charlie Galanis
Yeah.
Savannah
Honestly, though, still recording. Oh, yeah. Oh, yeah. This is a stark difference.
Corinne
She used to care, now she doesn't.
Savannah
Yeah, I used to care, now I don't.
Charlie Galanis
Well, no, listen, I think it's a. I personally, listen, I'm not too different.
Savannah
In the sense too, like, I have done a lot of, like, I'll post stuff.
Charlie Galanis
Yeah.
Savannah
And you see, women, like, there are times where I have felt bags. They're like, oh, my God, how have you done this. Which I will say when it comes to, like, working out, I get on you.
Charlie Galanis
Can you put in the work?
Savannah
And I put in the work.
Charlie Galanis
No. Don't sell yourself short.
Savannah
I, I feel like I do owe people an explanation at times of, like, if I do something, like, just be transparent about it, because at the end of the day, if it makes you feel better about yourself, I don't care what it is.
Charlie Galanis
Yeah. Well, I also think there's maturity in, in not caring too much about what other people think of you.
Corinne
Yes.
Savannah
You know, no one else's business. Like, it's none of your business what someone else thinks of you.
Charlie Galanis
And I've. And I've. Listen, I went through that later in life than you did. You're. You're precocious relative to me. Because I. Listen, I was a younger version of me was overly consumed with other people thought. And I think as we get older, we realize it doesn't really matter. And I can't. And, And I had to be okay with being misunderstood or not liked or whatever. Everyone has to be okay with that. And, and at the same time being comfortable saying decisions we make for ourselves, you know, and if you don't like it, that's okay. That's fine. It's not for you, that's fine. And I mean, I can't imagine, like, what you got to deal with is on another level. And you are such a strong woman for dealing. You've told me.
Savannah
You're like, you'll see comments and stuff.
Charlie Galanis
And you're like, I want to defend you sometimes. Listen, I, I don't agree with everything you say, but, But God damn it. I, I mean, not everything but I, But I don't. But that's the thing. Like, I'm of the belief that everyone has a right to think what they want to think.
Corinne
Yes.
Charlie Galanis
And do what they want to do. I don't. I don't subscribe to sort of this quick jump to judge and hate. I've always loved the expression be curious, not judgmental. I've always loved that and love that. And I feel like the people that are judgmental are just not curious enough. I would rather, I'd rather learn more about. Okay. That's your opinion. I want to know about it. And there are too many people that are just skipped that step.
Corinne
Yeah.
Charlie Galanis
And I, I don't know. I think that you hand. You've handled it gracefully.
Savannah
Well, thank you.
Charlie Galanis
You really have.
Savannah
And I know for me, just like when I got my work done, it. My overall mental health Was better. Yeah, I felt better. I wanted to be more active. I wanted. So, yes, I have gotten lipo, people, and it was the greatest decision I ever made. But I also now, like, I love going to the gym. I love being active. I love, like I needed something because at that point in time, I was not mentally and emotionally strong enough to make the changes. And so now I love it. I feel good. I want to maintain results. I don't want to just throw 50 grand down the drain. So, yep, we're just now honest and we don't give a shit anymore.
Charlie Galanis
I love that. I love this.
Savannah
Yes. But. All right, well, thank you for coming on.
Charlie Galanis
Thank you for having me.
Savannah
People want to find you your Instagram.
Charlie Galanis
There's my page is Charles Galanis, MD. And then there's also Galanis plastic surgery, which is just results, but Charles Glanis MD is the main.
Savannah
And also make sure you're going to the right one that has.
Charlie Galanis
There's a lot of fake ones.
Savannah
There's a lot of fake ones and it's hilarious.
Charlie Galanis
I haven't looked at those in a while.
Savannah
He's got like 70,000 followers. He's verified. And don't go to anyone but that, please.
Charlie Galanis
I got a bunch of Russian followers recently because someone in Russia was pretending to be me and was showing pictures of my daughter and all this stuff. And then all these Russians started flooding my inbox. It was great. So stop. I'm big in eastern Russia.
Savannah
That's great. We love it. All right, well, thank you.
Charlie Galanis
Thanks for having me, honey. Appreciate it.
Adam Rippon
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Hi, I'm Adam Rippon, and this is Intrusive Thoughts, the podcast where I finally say the stuff out loud that's been living rent free in my head for years. From dumb decisions to awkward moments I probably should have kept to myself. Nothing's off limits. Yes, I'm talking about the time I lost my phone mid flight and still haven't truly emotionally recovered from that. There might be too many sound effects. I've been told to chill. Will I? Unclear. But if you've ever laid awake at night cringing at something you said five years ago, congratulations, you found your people. Intrusive Thoughts with Adam Rippon is available now wherever you get your podcasts.
Podcast Summary: "Be Curious, Not Judgmental" (feat. Charles Galanis) Unlocked with Savannah Chrisley | Release Date: July 15, 2025
In the episode titled "Be Curious, Not Judgmental," Savannah Chrisley welcomes renowned plastic surgeon Dr. Charles Galanis as her guest. The conversation delves into Savannah's personal journey with plastic surgery, the psychological impacts of such procedures, evolving trends in the industry, and the intersection of medical practices with societal perceptions.
Savannah opens up about her decision to undergo liposuction, tracing her relationship with Dr. Galanis to a challenging period marked by endometriosis and significant weight gain.
Savannah recounts the rapid process of consultation and surgery, highlighting the emotional relief and newfound confidence she experienced post-procedure.
Dr. Galanis emphasizes that plastic surgery transcends mere aesthetics, focusing instead on enhancing patients' self-perception and mental well-being.
He shares a poignant story of a Polynesian mother whose transformation enabled her to engage more fully with her family, underscoring the profound personal impacts of surgical enhancements.
Addressing prevalent stigmas, Dr. Galanis clarifies that plastic surgery is not solely about beauty but about empowering individuals to live their fullest lives. He challenges the notion that such procedures are superficial or for the sake of others' approval.
The discussion highlights the importance of motivation behind surgeries, stressing that procedures should be patient-driven rather than influenced by external pressures.
The conversation shifts to the rising popularity of GLP1 weight loss drugs like Semaglutide, with Savannah sharing her positive experiences using the medication.
Dr. Galanis discusses the dual role of GLP1 drugs in facilitating weight loss and making patients eligible for surgical procedures by reducing body weight to safer levels.
Highlighting evolving trends, Dr. Galanis notes an increase in male patients seeking body contouring and the shift towards more natural-looking results. He emphasizes the importance of specialization and extensive training in achieving high-definition lipo results.
The discussion also touches on the ethical considerations and long-term outcomes of popular procedures like the Brazilian Butt Lift (BBL), advocating for moderation and natural aesthetics.
Both Savannah and Dr. Galanis stress the significance of trust and communication between surgeons and their patients. Savannah appreciates Dr. Galanis's attentive bedside manner, which fosters a positive surgical experience.
This rapport is crucial, especially when addressing unforeseen surgical outcomes or patient concerns, ensuring that patients feel supported throughout their journey.
When discussing the financial aspects of plastic surgery, Dr. Galanis provides a candid overview of the costs associated with comprehensive procedures like a mommy makeover, which can range from $50,000 to $100,000 depending on the extent of the surgery.
He elucidates the correlation between a surgeon's expertise and the probability of successful outcomes, advising patients to prioritize quality and trust over cost savings.
Dr. Galanis shares his experiences with patients seeking corrective surgeries due to botched procedures. He emphasizes a compassionate approach, focusing on rectifying past mistakes rather than placing blame.
This approach not only aids in the physical healing of patients but also addresses the emotional scars left by previous surgical errors.
In wrapping up, Savannah reflects on her positive transformation and the enhanced mental health resulting from her liposuction. Dr. Galanis reiterates the importance of patient autonomy and maturity in making informed surgical decisions without succumbing to societal judgments.
The episode concludes on a note encouraging self-acceptance and the pursuit of personal happiness through informed and compassionate medical care.
"Be Curious, Not Judgmental" offers an insightful exploration into the multifaceted world of plastic surgery, blending personal anecdotes with professional expertise. Through open and honest dialogue, Savannah and Dr. Galanis dismantle misconceptions, highlight the emotional depths of surgical decisions, and advocate for a compassionate, patient-centered approach in the cosmetic industry.