No, she doesn’t do Tinkerbell noses.

Dr. Sturm wants every nose to look natural and suit the face for a lifetime, not just follow a trend. Those tiny, upturned noses may seem cute at first, but they usually don’t age well or look real over time. Her goal is a nose that quietly flatters, not one that stands out or changes oddly years later.

Key Takeaways

1. Dr. Sturm emphasizes the importance of creating noses that look natural and harmonious with the patient's overall facial features. A well-done rhinoplasty should be subtle and not draw attention, ideally leaving people unable to tell that surgery was performed.

2. She highlights that overly sculpted or "Tinkerbell" noses may look good initially but often do not age well. Over time, issues like exaggerated scooping or an overly upturned tip can become more pronounced, compromising both appearance and structure.

3. Dr. Sturm advocates for noses that are proportionate to each person's unique facial characteristics. Rather than pursuing trendy or dramatic changes, she customizes the nose to fit and complement the individual’s features and personal style.

4. She warns that creating unnaturally small or aggressively altered noses can weaken the structural integrity of the nose, leading to long-term complications. Preserving the internal support of the nose ensures durability and better long-term outcomes.

5. Dr. Sturm contrasts rhinoplasty with other procedures like breast augmentation or liposuction, noting that while those results are meant to be noticed, an ideal nose job should "disappear" into the face, letting the person’s eyes and lips stand out instead.

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One ear changed her life.

At one point Dr. Sturm considered becoming an OBGYN. But it was seeing Dr. Anthony Brissett creating an ear using a rib that set her on the course to becoming a plastic surgeon.

Dr. Brissett eventually became her mentor and friend.

During this conversation, Dr. Sturm sits down with Dr. Brissett to talk about his journey from nursing to specializing in facial plastic surgery.

You’ll learn about the profound impact of his wound healing fellowship on his clinical practice. And the conversation delves into the significance of academic medicine, the influence of social media on body image, and the psychological aspects of plastic surgery.

Key Takeaways

1.) The path to a medical career may not always be direct, and opportunities can arise unexpectedly.

2.) Plastic surgery can have a profound impact on a person's self-image and confidence.

3.) Social media can distort perceptions of beauty and create unrealistic expectations.

4.) Balancing appearance and lifestyle choices is important for overall well-being.

5.) Engaging in medical missions can provide opportunities to make a difference in underserved communities.

Chapters

00:00 Introduction and Medical Background
01:14 Choosing Medicine and Nursing
03:13 Moving to Houston
04:21 Interest in Wound Healing Fellowship
05:22 Impact of Wound Healing Fellowship on Clinical Practice
06:19 Career Path in Academic Medicine
07:07 Reflections on Career Choices
08:08 Personal Relationships and Support
09:22 Inspiration for Facial Plastic Surgery
10:07 Impact of Plastic Surgery on Self-Image
11:32 Social Media and Body Image
12:52 Psychological Impacts of Plastic Surgery
14:20 Comparison and Realism on Social Media
16:08 Pursuit of Appearance and Lifestyle
19:59 Psychological Challenges in Revision Rhinoplasty
20:37 Understanding the Plastic Surgery Process
21:44 Being a Part of Patients' Journeys
22:25 International Medical Missions
23:47 Involvement in Medical Missions
24:53 Advice for Those Interested in Similar Work
25:52 Closing Remarks and Appreciation

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For some people, one surgery feels like enough. Others find that a combination of options gets them closer to their goals.

Today, Dr. Sturm talks about how people:

• Combine surgical and non-surgical treatments for facial aging
• Manage ongoing skin care and use less invasive procedures over time
• Decide what works best for them, year after year

Key Takeaways

1. Achieving the best anti-aging results often involves a combination of both surgical (like facelifts) and non-surgical treatments (such as lasers, skincare routines, and injectables), rather than relying on just one approach for lifelong results.

2. While surgical options like facelifts can provide dramatic, long-lasting improvements and make you look significantly younger, they do not stop the aging process or address all aspects of aging, such as skin texture or quality.

3. Non-surgical procedures like laser treatments and personalized skincare routines are essential for maintaining youthful skin texture and quality, complementing the effects of surgery by addressing issues like fine lines, brown spots, and overall skin health.

4. Certain facial lines (between the brows, forehead, around the eyes) can only be treated effectively with neurotoxin injections like Botox, even after surgical procedures. There are currently no permanent surgical solutions for these expression lines.

5. The choice and frequency of treatments should be individualized. Some people prefer a “one and done” approach, while others opt for regular maintenance, combining smaller treatments like fillers and touch-ups over time to keep their results fresh. The key is ongoing self-care to maintain confidence and a youthful appearance.

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Dr. Sturm explains that while prevention can be helpful, it's possible to start too early with interventions like Botox or fillers. She emphasizes the importance of simple skincare and sun protection in youth.

Ultimately, taking care of your skin early may delay the need for more invasive treatments.

Key Takeaways

1. Starting a simple skincare routine early—especially during the teen and pre-teen years—can be very beneficial. However, this should be limited to basic products like sunscreen, moisturizer, and a good face wash. There’s no need for more advanced products like retinols or growth factors at this stage; protecting and maintaining the skin’s natural health is the priority.

2. Preventative interventions like Botox should be considered only when faint lines begin to appear and remain even when the face is at rest. There’s no universal age for this—it depends on individual skin and lifestyle factors. Preventative fillers, on the other hand, are not advised; Dr. Sturm sees fillers as better suited to treating specific issues rather than preventing them.

3. Light, non-invasive treatments such as lasers can be helpful in the 30s, particularly for issues like pigmentation or melasma. The key is to choose treatments with low risk and downtime, as aggressive procedures aren’t necessary (or advisable) when there isn’t significant skin aging or damage yet.

4. Surgical procedures, such as facelifts or fat transfers, are not considered preventative and should be timed based on visible need (e.g., visible laxity or jowling). Dr. Sturm recommends these interventions in the 40s or 50s when the benefits clearly outweigh the risks and costs. Performing them too early often results in less noticeable improvement.

5. The foundation of long-term skin health is supporting your body with good nutrition, hydration, sun protection, and a non-harsh, consistent skincare routine. These practices lay the groundwork for healthier aging, postponing the need for more aggressive treatments.

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Subtle changes can make all the difference in facial plastic surgery, allowing people to refresh their look without losing their identity. Dr. Sturm delves into why going for natural enhancements is often the best choice for maintaining a sense of self.

In this episode, she shares expert advice on prioritizing small adjustments over dramatic transformations and explains why the eyes are typically the focal point after surgery.

Key Takeaways

1. A common concern for people considering facial surgery is ending up looking unrecognizable or noticeably altered. Dr. Sturm reassures that her goal—and the modern approach—is for patients to look like themselves, just refreshed and improved, so that changes aren’t overtly apparent to others.

2. Natural-looking results hinge on subtlety and maintaining facial proportions. Dramatic changes, especially to characteristic features, make someone look noticeably “different” in a way that’s disconcerting, while small, proportionate adjustments yield the best, most believable enhancements.

3. The eyes are a focal point in facial perception. Procedures on the eyes can have the most impact—both positively and negatively. Overdone or incorrect changes to the eyes are quickly noticed and often judged as “bad work,” while slight improvements can make a dramatic positive difference in how someone looks.

4. Modern surgical methods aim for a natural, soft, and youthful appearance. Achieving this depends greatly on having an in-depth conversation with the patient to understand what features define their identity and ensuring updates are made with their personal and cultural context in mind. Outdated techniques and lack of communication often lead to the “overdone” look.

5. Altering features that are significant to someone’s heritage or familial identity without careful consideration can have deep personal and social consequences. Surgeons must approach these decisions with sensitivity, ensuring patients are comfortable with any changes that affect their sense of self and how they are perceived in their community.

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Have you ever wanted to take back a beauty decision?

Maybe it was a treatment that seemed simple, but the outcome wasn’t what you hoped for. Dr. Angela Sturm has seen it all—patients asking to reverse procedures, exploring what can and can’t be undone, and sharing what you need to know before making permanent changes.

In this episode, you'll learn:

• What treatments are easy to reverse and which are not
• How to find the right surgeon for your needs
• What to consider before choosing a surgical option

Key Takeaways

1. Some cosmetic procedures are easily reversible (like lip fillers), while others are very difficult or nearly impossible to undo (like surgical changes to the nose or face). It's crucial to understand the lasting impact before making a decision.

2. Revision surgeries, especially rhinoplasty (nose jobs), are complex due to scar tissue and anatomical changes. It’s much harder to undo or “reverse” surgical procedures, so it’s best to get it right the first time with a highly qualified, experienced surgeon.

3. Selecting a surgeon passionate and specialized in procedures you’re interested in (like rhinoplasty or facial surgeries) significantly increases your chances of satisfaction and safety. Surgeons who love and frequently perform certain procedures tend to deliver better results.

4. Before committing to permanent or highly invasive changes, it’s wise to try less invasive options first. This lets you “try out” the change with the option to reverse it more easily and helps ensure you’re truly confident in your decision.

5. Personalized consults with a facial plastic surgeon are key. This helps determine what’s safe to try, prevents burning bridges for future treatments, and builds a trusting relationship, so you know what to expect if you proceed with something more permanent.

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Dr. Sturm has spent nearly two decades caring for patients, building relationships, and performing delicate surgeries where every millimeter matters.

Today, she shares what makes her field unique, how patient care extends far beyond the operating room, and why she believes getting to know people is at the heart of her work.

• The discipline required to succeed in plastic surgery
• The importance of detail and patient connection in facial procedures
• Stories that shape a surgeon’s view of care

Key Takeaways

1. Plastic surgery, especially facial plastic surgery, requires a specific kind of person—detail-oriented, patient, and driven. Those in the field thrive on precision, high-stakes outcomes, and have an intense dedication to their craft. Not everyone is suited for this specialty, as it demands both technical skill and a passion for helping others.

2. Success in facial plastic surgery depends on caring deeply about every millimeter. Small changes have a significant impact on appearance, particularly on the face, so surgeons in this field must be meticulous and attentive to even the tiniest detail.

3. Dr. Sturm emphasizes genuinely caring for patients, getting to know their stories, and developing strong, personal relationships. This personal investment in patient well-being is integral to her approach, making patients feel heard, valued, and deeply cared for—not just treated clinically.

4. A crucial part of professional development is identifying what one does best and delegating other tasks, as highlighted by Dr. Sturm referencing business advice. By focusing on core strengths, a practitioner can maximize both their impact and the quality of patient care.

5. Trust and impact in medicine go beyond technical skill; the greatest honor is when families and individuals view their physician as integral to their lives, even in challenging moments. Dr. Sturm’s story about being called by a patient’s family in a time of loss illustrates the deep, meaningful connections built through compassionate care.

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Ever felt overwhelmed by the endless choices in skincare? It’s easy to wonder which products truly work for mature skin and which routines are actually realistic day to day.

Today, Dr. Sturm breaks down:

• Which skincare steps matter the most as we age
• What makes medical grade products different
• How new developments like exosomes are changing skin treatments

Find out what can help you look and feel your best without filling your bathroom with dozens of products.

Key Takeaways

1. You don’t need a complicated 12-step regimen for effective mature skin care. Consistently using a few high-quality products tailored to your individual skin needs is often more impactful than trying many products at once.

2. Medical grade skincare products tend to be more reliable due to clinical studies and proven efficacy. While these are often more expensive, investing in a few quality items makes a bigger difference than a drawer full of random products with unproven results.

3. A good cleanser and a moisturizer suited to your skin type are foundational for mature skin. For some, twice-daily cleansing may not be necessary, especially if skin is drier. Moisturizing helps maintain the skin barrier, even for those with oily skin.

4. It’s best to start with one active ingredient that addresses your main concern. Retinol and vitamin C can be powerful tools but may not suit everyone, especially those with sensitive or dry skin. Peptides and growth factors offer benefits, though the extent can be limited by absorption challenges.

5. Exosomes represent a new frontier in skincare, delivering ingredients more efficiently to skin cells. While topical exosome products show promise for rejuvenation, most are not yet FDA-approved, and research is ongoing. Their greatest potential appears alongside procedures like microneedling, where they can penetrate deeper into the skin for regenerative effects.

Timestamped Overview

00:00 Streamlined Skincare: Quality Over Quantity

05:32 Exosomes: Cellular Delivery Vehicles

08:05 Future of Skincare Innovations

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