In this special live episode of Conversations in Aesthetics, recorded at Winter Clinical Miami, our host, Gary Goldenberg, MD, sits down with friend and dermatologist Todd Schlesinger, MD, for a wide-ranging conversation about the evolution of aesthetic dermatology and the philosophy that guides modern practice.

Dr Schlesinger reflects on more than two decades in dermatology, from the early days of collagen fillers and the arrival of neuromodulators to today’s rapidly expanding landscape of injectables, lasers, and regenerative treatments. For him, aesthetics ultimately comes down to a simple idea, creating results patients can both see and feel while keeping treatments thoughtful and proportional.

The discussion moves through consultation strategy, the growing influence of GLP-associated weight loss on facial volume and hair changes, and how social media and AI imagery are reshaping patient expectations. Dr Schlesinger and Dr Goldenberg also walk through their practical approaches to lip filler, emphasizing anatomy, conservative technique, and natural contour rather than exaggerated results.

Throughout the conversation, one theme stands out: aesthetic medicine works best when expectations are realistic, treatment plans are individualized, and the focus remains on helping patients look like the best version of themselves.