I recently had the pleasure of interviewing double board-certified plastic surgeon Milind Kachare, MD, for a story on the inner workings of residents’ and fellows’ clinics, where plastic surgeons-in-training operate at discounted rates, with the goal of honing their aesthetic skills and learning advanced techniques. The piece delves deep into safety and supervision, results and pricing.
Everyone loves a deal. But there are certain products and services in life where it could be, let’s say, less than optimal to shop for the deepest discount. Engagement rings come to mind. Criminal defense attorneys. Shellfish. And most people would probably add plastic surgery to the list. The old adage, “you get what you pay for,” carries a particular sting when it comes to your face or your body. And yet you may have noticed some social feeds recently touting a specific kind of aesthetic bargain, for example this TiKTok about influencers getting discounted plastic surgery from surgical fellows at Lenox Hill Hospital in New York City.
In this episode, host Don Adeesha joins Dr. Milind Kachare, a plastic surgeon at Nayak Plastic Surgery, to dissect the "high-performance associate" model. Dr. Kachare explains his "practice within a practice" approach, detailing how he carved out a distinct Breast and Body lane within a predominantly facial surgery ecosystem. He shares the critical preparatory steps he took before day one, including establishing specific protocols and consents, to ensure he could generate his own leads rather than relying solely on the founder's overflow.
In this episode of Business of Aesthetics, host Dr. Lauren Umstattd sits down with Dr. Milind Kachare, a rising plastic surgeon who recently joined Nayak Plastic Surgery in St. Louis. Dr. Kachare shares his journey from medical school to aesthetics, the mentors who shaped his career, and how he managed crucial decisions—including whether to join a practice, start his own, or go the hospital route. Whether you're a new doctor exploring a career in aesthetics or a seasoned professional looking to mentor the next generation, this episode offers valuable insights into setting up a successful career in this competitive field.
Joanie had assisted with hundreds of plastic surgeries alongside Dr. Mike Nayak when she decided she'd let him operate on her.
As a treat to herself ahead of her 40th birthday in 2017, Joanie, a surgical tech at Nayak Plastic Surgery in St. Louis, Mo., for the past 11 years, asked Dr. Nayak if he thought her neck could use a little liposuction to shape it.
He wasn't so sure that would really give her the look she wanted for her milestone birthday. He thought the birthday girl deserved better.
When Margot started following plastic surgeon Dr. Mike Nayak on Instagram, she had no plans for a facelift — or the eventual neck lift, brow lift, upper and lower blepharoplasty and CO2 laser resurfacing that was in her near future.
She simply stumbled on his Instagram and stayed because she was drawn in by the powerful before-and-after transformations. Those were what helped her make the decision to move forward with contacting Dr. Nayak for the facelift consultation — because she decided it was "Dr. Nayak or nobody" for such a big plastic surgery procedure.
There’s always a before and after plastic-surgery photo that gets us going. Sometimes, it’s celebrities like Donatella Versace’s recent plastic surgery, and other times it’s just everyday people’s. Yesterday, People reported on a 66-year-old’s plastic-surgery results that reversed her visible age by decades. Her sagging neck skin? Lifted. Wrinkles on her face? Gone. Jawline? Snatched. Lisa from Iowa is the 66-year-old in question. .
She has known since she was in her 30s that she would end up under the knife one day. When she turned 60, she remembers not recognizing who she was anymore, so she turned to one of her daughters and asked for help finding a plastic surgeon. Her daughter had been following a St. Louis, Missouri–based plastic surgeon Dr. Mike Nayak. Lisa was almost certain she would have to go to Los Angeles for exemplary results, but Dr. Nayak was an hour away by plane and five hours away by car. She was immediately sold after seeing his before and after images; shortly after, a Zoom consultation gave her a “gut feeling” that he was the right doctor, and she was placed on his yearlong waiting list
Lisa always knew she was going to get plastic surgery. And when she hit her 60s, she decided to take the plunge.
"I've always said from my 30s even, when the bloom's off the rose, I'm going under the knife," she tells PEOPLE with a bit of a laugh. "I just knew I would. I just always knew that. I've always kind of looked young for my age, so I could really push it off for a long time. But finally, when I got to be 60, it was time to really figure out and make a decision."
Tina Heaton decided in 2021 that she was ready for a lifestyle shift.
Her daughter was about to get married, and she didn't want to be "morbidly obese" at her wedding. It was the kick-start she needed for what has become a whole new era of her life.
There’s no better way to spend a lazy afternoon than to head on over to the ubiquitous massage destination to loosen those muscles and melt the stress away. No matter your pleasure—Swedish, deep tissue, or hot stone—Massage Envy’s trained therapists will have you stress-free and smiling in no time.
We may know botulinum toxin best for its role as Botox, a cosmetic wrinkle treatment. But long before Botox became popular for smoothing forehead creases and crow’s feet, physicians used it to treat a variety of other conditions.
Dr. L. Mike Nayak of Nayak Plastic Surgery and Skin Enhancement Center, notes that in the hands of an experienced plastic surgeon, Botox reshapes the brow, creating a “chemical browlift to open the brow area and help decrease the appearance of excess skin on the eyelids.”
As the unending quest continues for the fountain of youth, scientific breakthroughs are enticing more and more Americans to give age-defying procedures and treatments a try.
And these days, many are opting for ‘non-invasive’ alternatives over surgery, especially on the face. But how effective are these treatments? We asked some specialists their thoughts on three popular, non-surgical options.
It’s springtime in St. Louis (at long last). The trees are budding, the grass is growing and the noses are running! In most cases, nasal congestion and drainage are minor inconveniences that can be treated with prescription or over-the-counter medications. However, it’s not always that easy.
“One problem we see is the excessive use of over-the-counter nasal sprays,” warns Dr. William Hart Jr., a plastic surgeon and board-certified ear, nose and throat specialist with Hart Cosmetic and Reconstructive Surgery Institute. “Patients can experience a rebound effect, which is marked by swelling of the tissues, making breathing even more difficult.” He advises limited use of nasal sprays for no more than four days.
When you graduate with honors from Yale and Washington University Medical School, complete your residency at Harvard, get the second-highest score in the nation on your examinations for the American Board of Facial Plastic and Reconstructive Surgery and go on to open a successful cosmetic surgery practice, it may seem like there’s little room left for improvement. Not so, says Dr. Mike Nayak of Nayak Plastic Surgery & Skin Enhancement Center.
“Every day, our goal is to provide patients with the information they need to make informed, objective decisions about their surgeries,” he says. “We want them to be confident they are receiving the best care possible.”
Author Nora Ephron said it plainly in the title of her 2006 Seller: 1 Fod Bad Aloat My Nak. Speaking for millions of ven, Ephron bemoaned the invitable effects of aging: wrinkles, sagging, double chins, jowls and the dreaded wat-tle. But the good news is that options abound for rejuvena. tion of the neck, chin and jaw.
Dr. Michael Nayak of Nayak Plastic Surgery says the hand complains he hears most have to do with protruding veins and tendons, brown spots, and big knuckles.
Although what constitutes a mini-lift is subject to interpretation even by surgeons, they agree that it is less extensive than a full face-lift. "All minis involve some form of incision hidden in the hair or around the ear," notes Dr. Mike Nayak of Nayak Plastic Surgery. "They always sstop sh ort of the incision length needed for a full face-lift."
Summer is over and we're left with dry, sun-damaged skin that won't do at all if we're to look our best for festive holiday occasions. But we're busy. Fortunately chemical peels and microdermabrasion will give a new facial glow without any significant time investmen, says Dr. Mike Nayak of Nayak Plastic Surgery.
Dr. Mike Nayak of Nayak Plastic Surgery explains fillers from a different persepctive. "There are three main classes," he says. "The first includes fillers that take up space themselves, like collagen, Restylane, other hyaluronic preparations and Radiesse. The second type, inductive fillers like Sculptra, don't take up space but instead generate a filler response, like puttinbg grains of sand ito an oyster so it can form pearls around them. Over a month, it develops a collagen filling.
Frontenac
Monday: 8:00 AM – 5:00 PM
Tuesday: 8:00 AM – 7:00 PM
Wednesday: 8:00 AM – 5:00 PM
Thursday: 8:00 AM – 7:00 PM
Friday: 8:00 AM – 5:00 PM
Saturday: 8:00 AM – 12:00 PM
Sunday: Closed
Des Peres
Monday: Closed
Tuesday: 8:00 AM – 7:00 PM
Wednesday: 8:00 AM – 5:00 PM
Thursday: 8:00 AM – 7:00 PM
Friday: 8:00 AM – 5:00 PM
Saturday: Closed
Sunday: Closed
Chesterfield
Monday: 8:00 AM – 5:00 PM
Tuesday: 8:00 AM – 5:00 PM
Wednesday: 8:00 AM – 5:00 PM
Thursday: 8:00 AM – 5:00 PM
Friday: 8:00 AM – 5:00 PM
Saturday: Closed
Sunday: Closed
