Facelift or Filler? Navigating Today’s Aesthetic Decisions — Dr. Sheila Barbarino

The aesthetics industry is evolving at an incredible pace, and few physicians have had a better view of that evolution than Dr. Sheila Barbarino.

In this episode of The Dr. Randi Show, Dr. Randi Boyette sits down with the renowned facial plastic and oculoplastic surgeon for an honest conversation about what’s changing in aesthetics and what both patients and providers need to understand as innovation continues to reshape the industry.

From surgery versus nonsurgical treatments and the growing influence of social media to emerging technologies, patient expectations, and the procedures dominating today’s conversations, Dr. Barbarino shares the perspective she’s developed after more than 20 years of helping patients achieve natural, lasting results.

Together, they discuss:

• Why nonsurgical treatments continue to advance but still have limitations

• When it’s time to consider a facelift and why surgery is never the end of the journey

• The truth about threads, filler fatigue, and overfilled faces

• What separates meaningful innovation from marketing hype

• Why blepharoplasty remains one of today’s most requested procedures

• How GLP-1 weight loss is changing facial surgery and fat transfer

The episode also introduces the Dr. Randi Show Expert Council, with Dr. Barbarino announced as one of its founding members. The Council brings together some of the most respected physicians in aesthetics to share their perspectives on the technologies, trends, and clinical decisions shaping the future of the specialty.

If you’ve followed Dr. Barbarino’s career, you’ll recognize the passion, honesty, and approach that have earned her the respect of both colleagues and patients. If this is your first introduction, you’ll quickly understand why she’s considered one of the leading voices in facial aesthetics today.