In this episode of Secrets of the Scalpel, Dr. Ariel Ourian sits down with fellow Beverly Hills plastic surgeon Josh Jacobson for an open, honest conversation about what’s really happening in the world of aesthetics right now.

Instead of buzzwords and trends, they talk about the day-to-day reality of surgery - what patients often misunderstand, how social media shapes expectations, and why choosing a surgeon you trust matters more than ever.

They also touch on the behind-the-scenes parts of surgery most people never get to hear about: the planning, the decision-making, the psychology, and the small details that make results look natural, refined, and long-lasting.

Whether you’re considering a procedure, supporting someone who is, or just curious about how surgeons think through their work, this is a relaxed, insightful conversation you’ll actually enjoy listening to.