In this episode of More Than A Pretty Face, Dr. Azi sits down with Harvard-trained dermatologists Dr. Karen Kagha Abisogun and Dr. Aria Vazirnia to talk about all things skin science and aesthetics. From treating stubborn under-eye hyperpigmentation in diverse skin tones to mastering advanced liposuction and body contouring techniques, they share expert insights, treatment pearls, and wellness tips for achieving confident, natural results.

Timeline of What Was Discussed

00:30 – Meet guest: Dr. Karen Kagha 01:08 – Topic intro: periorbital hyperpigmentation 01:53 – How to tell pigment vs. other causes of dark circles 02:51 – "Filler or PRP won't fix it" — can make it worse 03:16 – Top cause #1: volume loss (fat pad changes, weight loss) 04:01 – When to treat pigment vs. replace volume 05:04 – Topicals for eyes: hydroquinone, cysteamine (tolerability concerns) 06:35 – Laser approach: 1927 nm Fraxel (go-to) 07:30 – Start low / low-density laser strategy to reduce PIH risk 07:55 – Sun protection & HelioCare (oral photoprotection) 08:36 – Tinted physical SPFs / iron oxides for melanin-rich skin 09:26 – Post-laser care: bland emollients, avoid irritating actives 09:52 – Steroid use: cautious — avoid directly on eyelid; use elsewhere if needed 10:25 – Nutrition & hydration for healing (whole foods, protein, avoid excess salt/alcohol) 11:22 – Allergies / hidden triggers (eye creams, scented candles, gel manicures) 12:27 – V-beam: used mainly for vessels; avoid in darker skin types / test-spot if borderline 13:21 – Microneedling: useful for texture, but laser preferred for pigment 14:05 – Tranexamic acid / post-laser topicals — cautious use around eyes 14:59 – Rapid-fire with Dr. Kagha (wedding season, SPF, retinoids) 16:12 – Retinoid tips: start low, ease in, retinol staging technique 18:28 – Wrap / where to find Dr. Kagha online

18:48 – Transition to next guest: Dr. Aria Vazirnia 18:58 – Meet guest: Dr. Aria Vazirnia (Harvard-trained) 19:27 – Topic intro: arm liposuction — candidates & basics 20:16 – Loose skin considerations; when arm-lift may be needed 21:23 – Tumescent technique: office-based, no general anesthesia needed 22:16 – Leg/ankle contouring: lipedema, 3D approach to sculpting ankles 23:03 – Technique: repositioning patient for full-360 ankle suctioning 23:36 – Durability of results — fat unlikely to return to same spot 24:04 – Scar management: small incisions, sun avoidance, lasers 2–4 weeks post-op 25:23 – Favorite lasers for scars: V-beam, Sciton/Profractional, Fraxel 26:02 – Profractional scar settings (start low density ~5.5–11%) 26:27 – Use of exosomes / PRP / PDRN as adjuncts for healing 26:43 – Fat transfer options for "too-skinny" ankles (referral to plastics) 27:03 – Scope: extremities and 360 trunk work in practice 27:32 – Rapid-fire with Dr. Vazirnia (Boston vs. CA, coffee, music) 28:44 – Advice for young dermatologists: plan 10-year goals, pursue training/fellowships as needed 29:09 – Where to find Dr. Vazirnia online / closing remarks 29:39 – Outro by Dr. Azi

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Follow Karen Kagha on Instagram: @drkarenk

Follow Aria Vazirnia on Instagram: @drariamd

Dr. Karen Kagha is a board-certified dermatologist and Harvard-trained cosmetic expert based in Los Angeles. Known for her artistry and science-driven approach, she specializes in aesthetic dermatology and skin health for all skin tones. Dr. Kagha is passionate about empowering people to feel confident in their skin through education, innovation, and inclusive beauty.

Dr. Aria Vazirnia is a board-certified dermatologist and fellowship-trained cosmetic and surgical specialist based in Beverly Hills. With expertise spanning lasers, injectables, and advanced lipedema surgery, he combines precision with a natural aesthetic vision. Dr. Vazirnia brings a thoughtful, evidence-based voice to skincare, wellness, and modern beauty.

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Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, on YouTube, and TikTok @skinbydrazi. Email [email protected].

Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/

The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.