The plastic surgeon Johnny Franco, MD, discusses how his first-hand experience with LPG-1 shaped his patient-centered well-being program and what plastic surgeons should know before addressing their aesthetic practices.
As GLP-1 medications continue to remodel the conversation about weight loss, plastic surgeons are increasingly exploring how thesis treatments conform to long-term aesthetic attention. In this interview, Johnny Franco, MD, plastic surgeon certified by the Board, shares how his own weight loss trip influenced the development of a personalized LPG-1 program focused on well-being in the Austin plastic surgeon. Its approach emphasizes medical supervision, patient education and regular monitoring that offers a potential model for aesthetic surgeons seeking to expand to this emerging space.


Practice of Plastic Surgery: You are known for adopting a highly personalized practical approach to GLP-1 treatments. What inspired you to take this route instead of the most traditional model only of recipe?
Johnny Franco, MD: In Austin’s plastic surgeon, we have developed a unique and deeply personal approach to weight loss. A large part of that comes from my own trip in GLP-1 medicines and has lost about 90 pounds in the last 3 years. For me, it was never trying to get a recipe. It was about making changes in lifestyle, undergoing medical evaluations and incorporating well -being treatments to improve my general health. That personal transformation inspired our program. The objective is not just listening to a number on the scale, it is about helping patients to live longer and live better. There are many factors that are destined for well -being, and we have tasks that are proud to support our patients through each step of that trip.
PSP: The patient’s weekly records are a cornerstone of his method. What generally imply appointments and how do they help improve patient results?
Franc: In general, we see patients once a month, which achieves a good balance between responsibility and flexibility for their lifestyle. Our suppliers are always avias between visits for questions or support, but these regular records help us build a personalized plan and then guide patients through it. Once we have put that moving plan, it takes time to implement it successful and make adjustments as necessary. As we evolve, we have so many patients who can perform LPG-1 medications in the long term, depending on their medical objectives and indications. For those who have reached a stable state, we can possibly stretch the records every 3 months and possible more in the future. It’s about adapting each patient’s trip.
PSP: In your experience, what are the most common challenges facing patients at the beginning of LPG-1 therapy and how helps them navigate those obstacles in real time?
Franc: GLP-1 medications have changed the game in terms of well-being and longevity, but like any treatment, success is reduced to establishing correct expectations. Not everyone responds in the same way, and it’s fine. In the past, people were in a hurry to lose weight, but now we know that a constant and structured approach leads to better results. Patients tend to do better when they live gradually, giving them time to adjust their habits, maintain muscle mass and increase activity levels. We have learned that guiding patients with realistic milestones, continuous support and education helps them not only to continue treatment, but also prosper in it. And as the newest continuous medications continue, we expect that trip to become softer.
PSP: For plastic surgeons who may be considering offering GLP-1 treatments in their practices, what systems or protocols would they recommend that they establish to guarantee constant monitoring and patient support?
Franc: The integration of LPG-1 or welfare programs in an aesthetic practice begins with a change of mentality, not just about writing recipes; It’s about delivering a program. You must define how that patient’s trip is seen in practice. This includes creating treatment protocols, guaranteeing legal and FDA compliance, and establishing regular monitoring systems. This is not a unique solution for everyone. The LPG-1 have been one of the most transformative medications that I have seen in my career, but they are not the correct answer for each patient. Successful programs analyze the complete image (lifestyle, medical history, objectives) and help patients navigate at each step of their well -being.
PSP: As patients begin to lose weight with LPG-1 therapy, what role can plastic surgeons play to support their transformation through attached procedures or services?
Franc: Plastic surgeons are in a unique position to support patients as they transform, especially many of them are new to aesthetics. GLP-1 medications are changing lives, but with that weight loss comes the new aesthetic things, such as the laxity of the skin, the loss of volume and changes in skin quality. It is important to educate patients about what to expect and what treatments are notable. These patients do not know what options exist, so it depends on the experts in the axis of us, guide them and provide access to treatments that coincide with how good they now feel inside.
PSP: Looking towards the future, how do you see the GLP-1 treatments that fit the broader continuum of care in aesthetic medicine and what role do you think plastic surgeons should perform in the management of this population of evolving patients?
Franc: LPG-1 are becoming an essential part of aesthetic medicine. We already see that the main compansis invest in the general versions of these drugs, and that is just the beginning. In our practice, we have coined a phrase, the “ozempification of aesthetics”, because we are seeing young patients with mature concerns, from the loss of facial volume to the laxity of the skin. As plastic surgeons, we have the responsibility of helping these patients complete their transformation, not only helping them to look good, but creating long -term aesthetic plans that coincide with their new lifestyle. This is a new child’s son and a lifetime opportunity for suppliers who are ready to guide them. PSP
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