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There was a time when plastic surgery was quiet, private, and reserved for a very small group of people. Now, it’s everywhere. You can scroll past it on Instagram, hear about it on TikTok, or walk into a strip mall and book a treatment like you’re buying skincare.

So this week, I’m taking a step back and looking at how we got here, and more importantly, what it means for you as a patient.

I walk through the evolution of plastic surgery, from its roots in reconstructive work after World War I to the rise of cosmetic procedures in Hollywood, and now into what has become a full-blown consumer industry. We talk about the role of social media, influencer marketing, med spas, and the shift from fixing problems to optimizing appearance.

But the bigger issue is this: when surgery starts to look like a product, what happens to safety, judgment, and the doctor-patient relationship?

I get into why speed, volume, and price are starting to replace experience and trust, why that’s a problem, and what I believe needs to change. This isn’t about being anti–plastic surgery, it’s about making sure the process still respects the fact that this is medicine, not retail.

And I’ll leave you with the question I’m still wrestling with: is the commoditization of plastic surgery empowering, or is it just a new form of pressure?

If you’re considering a procedure, or just trying to make sense of what you’re seeing online, this is where to start!

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We live in a world where cosmetic surgery is marketed like a product, something you can scroll, click, and finance like a handbag. But your body isn’t a product, and the operating room isn’t a store.

In this episode, I’m walking you through 10 signs that tell me a patient isn’t quite ready for cosmetic surgery, and why hitting pause might be the most important decision you can make. 

We talk about body dysmorphic disorder, unrealistic expectations shaped by filters and AI, and the idea that surgery can somehow fix deeper life problems. I also get into what I call the “shopper” mindset, vague goals, and the pressure people put on themselves to rush into surgery for a specific event. 

Then there are the things people don’t always think about, like going through a major life stressor, not having a solid support system, smoking or vaping, or not being at a stable weight before a procedure. All of these factors matter more than most people realize when it comes to both safety and long-term results.

This episode isn’t about talking you out of surgery, it’s about helping you make a better decision. The best outcomes don’t come from impulse decisions or marketing hype, they come from clarity, timing, and being truly ready for what surgery actually involves.

If you’re thinking about a procedure, this is where you should start!

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In this episode of The Trillium Show, I sit down with Abby Ham for a conversation about identity, reinvention, and what happens when you finally step away from something that has defined your life for more than two decades.

Most people in East Tennessee know Abby from her years behind the anchor desk, waking up with Knoxville long before sunrise and becoming part of the rhythm of this community. But behind that public role was a demanding schedule, a lot of personal sacrifice, and the constant pressure that comes with living so much of your life in front of other people.

We talk about Abby’s path into broadcast journalism, what it was really like to build a career in morning news, and how that schedule affected everything from sleep to marriage to family life. We also get into the harder parts of public-facing work: criticism, boundaries, self-doubt, and the challenge of separating who you are from what other people expect you to be.

What I appreciated most about this conversation is Abby’s honesty. She shares what it took to leave a successful career, why confidence looks different in your 40s than it does in your 20s, and what she is learning now as she builds something of her own. This is a conversation about trusting yourself, asking for help, and giving yourself permission to write a new chapter.

It is thoughtful, funny, candid, and full of insight for anyone who has ever wondered whether being good at something is reason enough to keep doing it.

Connect with Abby:
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In Part 2 of this series on jowls, I walk through what actually works, what doesn’t, and how to stop wasting money on treatments that can’t fix the real problem.

Most people notice changes in their jawline or neck and end up in a late-night Google spiral of products and procedures all claiming to lift and tighten. The problem is, most of those things don’t address what’s actually causing jowls in the first place.

In this episode, I break down:

• Why skincare helps your skin but doesn’t lift fallen tissue
• Where RF microneedling can help (and where it can’t)
• Why fillers don’t lift jowls and often make the lower face look worse
• Why threads are expensive and short-lived
• When liposuction helps, and when it doesn’t
• What actually changes the shape of your jawline and neck when laxity is the issue

This isn’t about selling you on surgery, it’s about helping you think clearly before you start throwing money at things that won’t give you the result you’re hoping for.

If you want a real jawline and neck change, this episode will help you understand what’s worth considering, and what you can skip.

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Most people don’t set out to think about plastic surgery. It usually starts with noticing something in the mirror that wasn’t there before. So you do what everyone does: you Google it.

And suddenly you’re staring at lasers, creams, fillers, threads, radiofrequency, mini facelifts, neck lifts… all with fine print that says “results may vary.” It’s overwhelming, confusing, and usually expensive.

In Part 1 of this two-part series on jowls, I walk you through what’s actually happening when you start noticing changes along your jawline, and why the internet tends to make this process more stressful than helpful.

We talk about:

• Why jowls and the neck are connected (and why you can’t really treat one without understanding the other)
• Why diagnosis matters more than jumping to treatments
• Why so many people feel “too young” for this… and also somehow behind the curve
• How before-and-after photos shape expectations (for better and worse)
• The emotional side of realizing your face is changing

This episode isn’t about selling you on surgery, it’s about helping you understand what you’re seeing in the mirror and how to think clearly about your options before you waste money or get over-treated.

Next week in Part 2, I’ll walk through what actually works for jowls and neck laxity, what doesn’t, what’s worth the money, and how to avoid looking overdone or fake.

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In this episode of The Trillium Show, we pull back the curtain on why the traditional healthcare system is excellent at managing disease, but terrible at creating real health. If you’ve ever been told your labs are “normal” but you still feel exhausted, inflamed, foggy, or stuck, this episode is for you.

Danese Rexroad is the Chief Clinical Officer at Ways2Well, and she specializes in metabolic dysfunction, hormone optimization, and functional medicine. Together, we dig into what’s actually driving chronic illness and what you can do about it.

We cover:

• Why metabolic dysfunction is at the root of heart disease, diabetes, dementia, and fatigue
• The real role of hormones (estrogen, testosterone, progesterone) in aging and vitality
• What’s actually happening during perimenopause, and why so many women are dismissed
• How toxins like BPA and glyphosate quietly disrupt hormones and metabolism
• Cardio vs. strength training as we age (especially for women)
• The right—and wrong—way to use GLP‑1 medications without losing muscle
• Why health span matters more than lifespan, and how to protect both

This is not about chasing symptoms or quick fixes. It’s about understanding your body, addressing root causes, and building a plan that keeps you strong, sharp, and active for decades—not just alive.

If you care about hormones, metabolic health, longevity, or feeling better than “fine,” you don’t want to miss this one.

Interested to try Ways2Well? Head to https://shop.ways2well.com/?ref=drhall

Use the referral code "DRJASONHALL" to get 10% off when you sign up.

As always, if you have questions or want us to go deeper on a topic (peptides might be next 👀), DM me on Instagram @drjasonhall or email [email protected].

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This episode of The Trillium Show is a departure from what we usually talk about here.

I’m not discussing plastic surgery, aesthetics, or performance. I’m sharing my family’s experience with dementia, specifically, my mother’s journey and everything it changed for our family along the way.

Dementia is one of the most cruel and isolating diseases I’ve ever encountered. It doesn’t just affect the person diagnosed, it reshapes relationships, creates conflict, forces impossible decisions, and quietly wears down the people trying to help. And unlike many other illnesses, almost no one talks about it while they’re going through it.

So this week, I'll walk through our story from the early signs we missed, to diagnosis, caregiving at home, safety concerns, memory care, and ultimately losing my mother. I talk honestly about what we did right, what we did wrong, and what I wish we had done differently.

This conversation isn’t medical advice, it’s lived experience. My hope is that by sharing our story, someone listening won’t feel so alone, won’t have to reinvent the wheel, and might be better prepared for the road ahead.

If you’re dealing with dementia in your family, or you suspect you might be someday, this episode is for you.

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Radiofrequency microneedling is everywhere right now, but not all devices (or results) are the same.

This week on The Trillium Show, I'm breaking down the real differences between Morpheus8 and Genius RF, based on my experience as a board-certified plastic surgeon who has owned, used, and ultimately moved on from Morpheus8.

I was one of the early adopters of Morpheus8 in my region. While it delivered results, it also came with significant drawbacks, especially when it came to pain, consistency, and how energy was being delivered into the skin. After a year, I sold the device and largely stepped away from RF microneedling altogether.

Years later, I revisited the technology, and what I found changed my mind.

In this episode, we cover:
 • Why RF microneedling can work well (or backfire) depending on the device
 • How needle sharpness, motor control, and depth accuracy affect outcomes
 • Why pain is often a sign of poor engineering, not better treatment
 • The truth about fat loss, collagen stimulation, and why deeper isn’t better
 • How Genius RF’s real-time energy monitoring leads to safer, more consistent results

If you’re considering RF microneedling, or trying to understand why some people get great results while others don’t, this episode will help you see past the marketing and focus on what actually matters for skin quality, safety, and long-term facial aging.

As always, thanks for listening. If you enjoy the show, please leave a review on YouTube or Apple Podcasts to help others find it.

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As a board-certified plastic surgeon, I get asked all the time about scars, why they form, how to prevent them, and what to do when they don’t heal the way you want. So this week on The Trillium Show, I’m laying out the hard truth: scars are part of every surgical procedure, but there’s a lot we can do to keep them subtle.

I break down the surgical techniques that reduce tension and place scars where they’re least visible, and why closing wounds precisely is critical. We’ll also cover what you can control during healing, like proper post-op care, and what you can’t.

If you’re struggling with a scar that bothers you, I’ll walk you through your options. From silicone gels and steroid injections to laser treatments and surgical revision. Plus, I explain how to handle scars from injuries and accidents for the best outcome.

Whether you’re prepping for surgery or just curious about scars, this episode gives you straightforward, practical advice. 

Got questions or ideas for future episodes Send me a DM @drjasonhall or email [email protected]

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The FDA recently issued a public warning about the risks of radiofrequency microneedling, citing burns, scarring, fat loss, and nerve damage. Headlines blew up, social media panicked, and patients are left wondering: Is RF microneedling actually dangerous?

In this episode of The Trillium Show, board-certified plastic surgeon Dr. Jason Hall breaks down the new FDA advisory in plain language. He explains what sparked the warning, what risks are legitimate, and what the FDA statement really means for patients and providers.

Dr. Hall covers:
- Why RF microneedling is considered a medical procedure, not a cosmetic service
- The complications the FDA highlighted and how often they actually happen
- Why experience, training, and device selection matter more than ever
- The difference between superficial treatments that build collagen and deeper devices that can destroy fat
- How informed consent and appropriate expectations minimize risk
- The “cowboy problem” with aggressive settings and one-and-done promises

If you’re considering RF microneedling (or offering it), this episode is essential listening.