Kami is five days into recovery from a balloon sinuplasty and turbinate reduction, and it has been brutal — she’s too congested to wear her CPAP, she can’t use her mouth guard while mouth-breathing all night, and she’s up every hour drinking water. Before any of that came up, though, she showed off three new waist-length hair extension colors, Foxy, Aurora, and Paprika, from Wildcrafted Beauty.

Eva turns Kami’s rough week into a bigger point from her five years surveying surgery patients: people who are prepared for both the recovery and the price end up far happier than people handed a stack of paperwork and sent home. Then she tops it with her own chaotic night — a lice outbreak that sent her and her daughters to a walk-in lice clinic, a neighbor’s warning text, and a mobile lice technician who showed up ten minutes after they got home and combed everything out by hand.

Eva also explains why nobody can tell she had a recent skin treatment: it’s the paper towel effect — you can pull dozens of sheets off a fresh roll before it looks any smaller, and subtle cosmetic work and early weight loss both hide the same way. The flip side: her lower face now looks years younger than the top half, which is making her overdue Botox and untouched forehead lines stand out more than ever.

Kami’s down six pounds on a lower GLP-1 dose and isn’t sure anyone will notice yet, which turns into a debate about Kelly Osbourne’s dramatic transformation and how far is too far. They also flag a telehealth ordering hiccup a listener caught for them (already being fixed) before teasing next episode’s guest, a designer named Lucy Darling.

Questions answered by this episode

1. What does recovery from a balloon sinuplasty and turbinate reduction actually feel like?
2. Why can’t you wear a CPAP machine right after nasal surgery?
3. Why is it important for a doctor to prepare patients for both recovery and cost before surgery
4. What should you do if you find lice in your child’s hair?
5. Are mobile lice removal services worth it?
6. What is the “paper towel effect” in weight loss and cosmetic changes?
7. How much weight do you have to lose before people actually notice?
8. What happens when someone loses too much weight on GLP-1 medications?

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Got a Skinny Shot Story of your own? Eva wants to hear it at skinnyshotstories.com. If you're a doctor interested in sponsoring this or any Axis cosmetic surgery and weight-loss podcast, visit lessofyou.com.

Less of You is a production of The Axis.

Host: Eva Sheie & Kami Gamlem
Assistant Producer: Mary Ellen Clarkson
Engineering: Victoria Cheng
Theme music: Old Grump, Smartface