What if the most dangerous part of aesthetic medicine isn’t the treatment—but the hype around it?
In this episode, we’re joined by Sandra Silverman, author of From Bullshit to Botox, to break down what really works in anti-aging, and what can leave permanent damage. From botched fillers to early facelifts, Sandra shares her personal journey through almost every aesthetic procedure available and what she wishes she knew earlier.
We unpack why treatments like Sculptra, CoolSculpting, and Emsculpt are more marketing than medicine, how lymphatic stagnation and device stacking are aging your face faster, and why even top surgeons are walking away from popular injectables. We also dive into the emotional toll of aesthetic pressure, how to spot a truly skilled injector, and why internal protocols, like peptides and NAD+, often outperform external treatments.
You'll also learn about the peptides, supplements, and injections Sandra actually uses (and cycles), her top tips for facelift recovery, and why she believes lymphatic work and weight training are the most underrated longevity tools for women.
Sandra Silverman is a beauty expert and industry insider with decades of firsthand experience. Her bestselling book is a transparent, empowering guide to navigating the aesthetic world without falling for its most common traps.
We Also Discuss:
(00:01) The Most Overrated Beauty Treatments and Why You Keep Falling for Them
(09:47) Fillers, Threads, and Devices: What’s Harming More Than Helping
(18:03) How to Choose the Right Surgeon and Why Peptides Might Be More Powerful Than Botox
(24:40) Sandra’s Longevity Stack: Peptides, NAD+, and the Injections That Changed Her Skin
(28:27) Exosomes, Aesthetic Myths, and the Making of From Bullshit to Botox*
(35:44) The Emotional Cost of Aesthetic Aging and How Sandra Rebuilt Self-Worth
(44:06) Facelifts Done Right, Liposuction Regrets, and What Really Moves the Needle
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Website: https://www.sandralenasilverman.com/
Instagram: @sandralenasilverman
