Episodes

Body By Poly Podcast with Dr. Alain Polynice Executive Eye Lift: Male Blepharoplasty for a Well-Rested Look This episode discusses eyelid surgery for men, described as the “executive eye lift,” aimed at addressing heavy upper lids that can make men look tired. It explains that male blepharoplasty differs from female procedures because it must preserve masculine anatomy by removing excess upper-lid skin without overly repositioning the brow, which could create an arched, less masculine appearan...

Breast Reduction Surgery: Benefits, Candidates, Insurance Criteria & Recovery Concerns In this episode of the Alain Polynice Body By Poly Podcast, Dr. Polynice explains breast reduction surgery, noting a roughly 95% patient satisfaction rate and frequent immediate relief from symptoms. He outlines who may be a good candidate—patients with large breasts causing back or shoulder pain, rashes under the breasts, deep shoulder grooving, or interference with exercise and daily activities—and describe...

Gynecomastia: Causes, Grades, and Surgical Treatment Options Dr. Alain Polynice discusses gynecomastia, the overdevelopment of male breast tissue that often begins during puberty and usually resolves, but can persist in some men. He explains contributing factors such as medications like finasteride, steroid use, marijuana use, and rapid weight loss from GLP-1 medications like Ozempic, which can worsen chest tissue changes. Gynecomastia is described in four grades, from mild enlargement to sever...

Body By Poly Podcast with Dr. Alain Polynice Restoring Breasts After Pregnancy & Breastfeeding: Lift, Implants, or Fat Transfer This episode explains how pregnancy and breastfeeding can enlarge the breasts and later lead to volume loss, overstretched skin and ligaments, and drooping. It outlines three restoration options: a breast lift alone, a lift with implants, or a lift with auto-augmentation using the patient’s own tissue. If there is enough breast tissue, a lift can reposition and preser...

Ozempic & Surgery: Why One Shot Can Raise Aspiration Risk Under Anesthesia Dr. Alain Polynice explains that GLP-1 medications like Ozempic can delay gastric emptying, causing food to remain in the stomach longer than expected and increasing the risk of reflux and aspiration during general anesthesia, which can lead to serious, potentially life-threatening aspiration pneumonia. He emphasizes stopping GLP-1 medications before any surgery to reduce this danger, noting that the American Society of ...

Peptides Explained: Benefits, Risks, and What to Know Before Using Them Dr. Alain Polynice explains what peptides are—short-chain amino acids that can regulate body functions—using insulin as an example. He discusses the growing use of peptides among patients, noting that some are controversial due to limited human research and lack of FDA approval. He highlights peptides like BPC-157 and TB-500 for potential tissue, gut, and soft tissue healing after surgery, and mentions growth hormone–relate...

Ozempic Body & Skin Laxity: Plastic Surgery Considerations After Rapid GLP-1 Weight Loss Dr. Alain Polynice discusses Ozempic/GLP-1 medications, rapid weight loss, and the resulting “Ozempic body” skin laxity seen in many patients who lose large amounts of weight quickly and dislike the loose skin in areas such as the neck, arms, breasts, abdomen, buttocks, and thighs. He explains that skin often cannot retract fast enough, leading to a need for tailored combination or staged procedures like tu...

Dr. Alain Polynice explains what postoperative pain is normal after surgery and when it may signal an emergency. While incision-site pain, tightness, and muscle-related discomfort (such as after a tummy tuck with muscle tightening or breast implants placed under the muscle) are expected, pain should generally improve over two to three days. Pain that continues or worsens by day three or four may indicate abnormal swelling, fluid collection, wound-healing problems, or skin necrosis, including con...

Post-Op Fever After Plastic Surgery: When to Worry About Infection Dr. Alain Polynice discusses postoperative fever after plastic surgery, noting that a mild temperature rise right after surgery can be common, but fever around day three or four may signal infection—especially with spreading redness, significant warmth, purulent drainage, or pus. He explains that slight warmth or redness limited to the incision can be normal, but redness that spreads and is increasingly warm to the touch should ...

Bleeding After Plastic Surgery: Warning Signs, Drains, and When to Call 911 This episode of Body By Poly Podcast with Dr. Alain Polynice covers postoperative bleeding as a potential complication after plastic surgery, especially procedures like tummy tucks and mommy makeovers that create large raw surface areas. It explains how surgeons cauterize and secure vessels during surgery, yet bleeding can still recur if a clot dislodges in recovery or a day or two later. The script highlights key warni...

n this episode of Body By Poly with Dr. Alain Polynice we discuss a serious but uncommon post-surgery complication: pulmonary embolism. Polynice explains that during longer surgeries poor circulation—especially in the lower extremities—can allow blood to pool and form a clot that may dislodge and travel to the lungs, causing an occlusion. Dr. Polynice reviews key warning signs after surgery, including chest pain, shortness of breath, racing heart rate, and calf pain, emphasizing that these sympt...

What Does Plastic Surgery Cost Include? A Breakdown of Your Global Fee with Dr. Alain Polynice Body By Poly Podcast Dr. Polynice explains what patients are paying for when quoted the cost of plastic surgery and advocates for a comprehensive “global” price that includes everything. It breaks down typical components of the fee: the surgeon’s fee for expertise, operating room costs at a surgery center or hospital, recovery at the center, and anesthesia services from an anesthesiologist or nurse an...

Breast Implant Safety and Informed Consent The script emphasizes the importance of detailed informed consent before breast implant surgery, highlighting that a thorough discussion of risks, benefits, and complications helps build a strong patient-doctor relationship and ensures patients understand their decision. It outlines potential surgical and implant-related risks such as malposition, bleeding, and infection, as well as long-term complications like capsular contracture (tightening of the c...

Why Some Mommy Makeovers and Body Transformations Need Multiple Surgeries Dr. Alain Polynice explains why extensive body transformations and mommy makeovers are sometimes split into two or three separate surgeries for patient safety. When multiple procedures are needed—such as breast lift with augmentation, tummy tuck with liposuction or lower body lift, arm lift with lipo, and thigh lift with liposuction—doing everything at once may be unsafe. He limits total operative time to about six to sev...

Why Some Mommy Makeovers and Body Transformations Need Multiple Surgeries Dr. Alain Polynice explains why extensive body transformations and mommy makeovers are sometimes split into two or three separate surgeries for patient safety. When multiple procedures are needed—such as breast lift with augmentation, tummy tuck with liposuction or lower body lift, arm lift with lipo, and thigh lift with liposuction—doing everything at once may be unsafe. He limits total operative time to about six to sev...

Why Some Mommy Makeovers and Body Transformations Need Multiple Surgeries Dr. Alain Polynice explains why extensive body transformations and mommy makeovers are sometimes split into two or three separate surgeries for patient safety. When multiple procedures are needed—such as breast lift with augmentation, tummy tuck with liposuction or lower body lift, arm lift with lipo, and thigh lift with liposuction—doing everything at once may be unsafe. He limits total operative time to about six to seve...

Smaller Breast Implants, Big Expectations: Planning for Natural Results Dr. Alain Polynice discusses the current trend toward smaller breast implants, noting that implant sizes in his practice have shifted from 400–450cc 20 years ago to 300–330cc 10 years ago, and now commonly as small as 175–195cc. He explains that achieving excellent results with less volume requires meticulous preoperative planning, including detailed anatomical examination, measuring base width and breast and nipple-to-fold...

Revision Plastic Surgery: Why Specialist Experience Matters Dr. Alain Polynice explains that revision surgery is among the most complex areas of plastic surgery because surgeons must work around prior scars, internal scarring, existing or ruptured implants in revision breast procedures, and scar tissue or past liposuction that can cause contour deformities in revision body surgery. He emphasizes the importance of choosing a surgeon who specializes in revision procedures, doing thorough research...

Breast Implant Illness (BII) and Rare Implant-Associated Cancers: What to Know with Dr. Alain Polynice/Body By Poly Podcast This episode discusses key concerns related to breast implant surgery, including breast implant illness (BII), breast implant–associated large cell lymphoma (BIA-ALCL), and breast implant–associated squamous cell carcinoma (BIA-SCC). Dr. Polynice describes BII as vague but real symptoms—fatigue, mental fog, depression, rashes, and joint pain—that may appear after years wit...

Why Liposuction Patients Get Disappointed: Weight Loss vs. Body Sculpting Dr. Alain Polynice explains that patients may be disappointed after liposuction when it’s used for the wrong goals or the wrong candidate. Liposuction is a body sculpting and shaping procedure, not a weight-loss solution, and there are limits to how much fat can be safely removed. Being overly aggressive—especially in patients who are overweight—can worsen skin laxity and create loose skin. He notes that liposuction alone...

Surgery Scars Explained: Keloids vs Hypertrophic Scars & How to Heal Better Dr. Alain Polynice explains that all surgery creates scars, but visibility varies due to genetics and technique. He distinguishes keloids, which grow beyond the original incision, from hypertrophic scars, which stay within the incision but may become wider or thicker. While genetics can’t be changed, scar outcomes can be improved through meticulous, delicate incisions and closures that minimize tissue damage, using tens...

Surgical Tourism: The Hidden Costs and Risks of Surgery AbroadDr. Alain Polynice discusses surgical tourism and the real costs and consequences of having surgery abroad, drawing on experience performing revision surgery for patients who return with complications. He emphasize's that many qualified surgeons exist worldwide, but patients should thoroughly research surgeon qualifications, reviews, and prior patients. A major risk is traveling home too soon after major procedures like mommy makeover...

BBL Safety: How to Reduce Risks in a Brazilian Butt LiftDr. Alain Polynice, Body By Poly , explains that Brazilian butt lifts (BBLs) remain popular but carry one of the highest mortality risks in plastic surgery, citing about a 1 in 15,000 chance of serious complication or death. It describes the procedure as fat harvested by liposuction from other body areas and transferred to the buttocks, emphasizing that safety depends on injecting fat only into the subcutaneous fat layer under the skin, not...

Dr. Alain Polynice Body By Poly Podcast gives his 5 non-negotiables before surgery. Before proceeding with major surgery or a major transformation: Patients must stop smoking due to wound-healing complications and increased infection risk; stop GLP-1 medications at least three weeks pre-op to reduce risks like regurgitation, aspiration, and post-op pneumonia; be close to an ideal weight with a BMI under 30 to lower complications have reliable follow-up access by staying nearby for at least one...