EP 1301

1300. Facelifts, Breast Implants, and the REAL Fix for Wrinkles

In this episode of The Human Upgrade, Host Dave Asprey sits down with world-renowned plastic surgeon Dr. Victor Urzola to reveal what really causes wrinkles—and what actually fixes them. From removing 28 inches of loose facial skin to regenerating volume with fat transfers and stem cells, Dave shares his personal journey through advanced longevity protocols and cosmetic upgrades. You’ll learn how biohacking skin health intersects with hormone balance, mitochondrial function, and even libido. Dr. Urzola breaks down the overlooked risks of breast implants, including silicone toxicity syndrome, and explains how stem cell–powered procedures are changing the future of plastic surgery and aging. This episode is a deep dive into regenerative aesthetics, functional medicine, and the skin’s role in total human performance. 

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In this Episode of The Human Upgrade™...

Wrinkles are just the surface. This episode reveals what’s really happening beneath your skin and how to reverse it using stem cells, regenerative medicine, and the most advanced techniques in plastic surgery and aging. You’ll learn how to improve facial skin tightening, reduce inflammation, and trigger deep skin rejuvenation with stem cells, red light therapy, and targeted procedures that actually work. 

 

Host Dave Asprey shares his personal journey through weight loss and skin excess, including why he had 28 inches of skin removed and how he rebuilt facial structure using stem cells and longevity protocols. He’s joined by Dr. Victor Urzola, a globally recognized expert in plastic surgery and aging, known for pioneering biohacking skin health techniques, cutting-edge facial reconstruction, and legalizing therapeutic stem cell use in Costa Rica. 

 

Together, they expose the hidden causes of wrinkles and aging, from mitochondrial slowdown to ligament laxity and collagen depletion. They also unpack the science behind breast implant health risks, silicone toxicity syndrome, and why thousands of women experience hormonal, neurological, and metabolic symptoms related to their implants. Dr. Urzola explains how explant surgery can improve hormone balance, sleep, HRV, metabolism, and even libido. You’ll also hear how cosmetic procedures interact with HPA axis function and how skin and brain health are more connected than you think. 

 

This episode is a must for anyone serious about biohacking, skin optimization, stem cells and longevity, and functional medicine. Dave also breaks down his recovery stack, including exosomes, red light therapy, collagen cycling, nootropics, and how cosmetic procedures can be used to enhance—not just appearance—but total human performance. 

 

You’ll learn: 

  • The real root causes of wrinkles and sagging skin
  • How to use skin rejuvenation with stem cells for long-term results
  • Signs of silicone toxicity syndrome and what to do about it
  • Why cosmetic procedures impact hormone health and libido
  • The most effective strategies for facial skin tightening and recovery
  • How to approach breast implant health risks with functional medicine thinking

 

Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade is the top podcast for people who want to take control of their biology, extend their longevity, and optimize every system in the body and mind. Each episode features cutting-edge insights in health, performance, neuroscience, supplements, nutrition, hacking, emotional intelligence, and conscious living. 

Episodes are released every Tuesday and Thursday, where Dave asks the questions no one else dares, and brings you real tools to become more resilient, aware, and high performing. 

 

 

 

SPONSORS: 

“Your skin needs trauma to thrive.”

Victor Urzola

  • 00:00 Trailer 

A rapid-fire preview of Dave’s radical skin transformation and the episode’s biggest revelations. 

  • 01:39 Intro 

Host Dave Asprey introduces the topic of skin aging, weight loss effects, and his journey through facial rejuvenation. 

  • 02:52 Breast Implants & Aesthetics 

Dr. Urzola explains modern trends in cosmetic surgery and introduces the deeper health conversation around implants. 

  • 03:40 Stem Cells in Cosmetic Procedures 

How stem cells are used with fat transfers, microneedling, and growth factors to dramatically improve skin quality and healing. 

  • 10:38 Skin Health & Anti-Aging Tips 

Practical advice on collagen, skincare routines, peels, Botox, and strategies for maintaining youthful skin long-term. 

  • 15:11 Red Light & Face Stimulation 

Dave and Dr. Urzola break down the role of red light therapy, photo biomodulation, and facial electrical stimulation in regeneration. 

  • 17:15 Platysma Muscle & Neck Aging 

A deep dive into how neck muscles sag with age and how surgery or exercise can repair them. 

  • 21:01 Implant Risks & Reactions 

The biology behind capsule formation, immune responses, and how some women develop serious health issues. 

  • 27:36 Vince & Longevity Science 

Dave introduces Dr. Vincent Giampapa’s role in the procedure and how their clinic applies cutting-edge anti-aging protocols. 

  • 28:51 Implant Tolerance Explained 

Why some women can tolerate implants while others experience severe symptoms, and how genetics play a role. 

  • 29:52 Silicone Health Impact 

Discussion on silicone molecule leakage, neurological disruption, mitochondrial interference, and systemic inflammation. 

  • 31:06 Inflammation & Genetics 

Exploring how gene expression changes with implants and the upregulation of aging-related inflammatory markers. 

  • 32:15 Explant Outcomes & Recovery 

Dr. Urzola shares recovery data from hundreds of patients who saw dramatic improvements after explant surgery. 

  • 40:14 Breastfeeding & Aesthetic Changes 

What really happens to breast shape after breastfeeding and what surgical options exist for restoring form. 

  • 41:03 Lift vs. Implants 

Comparing surgical lifts, traditional implants, and Dr. Urzola’s innovative U-flap procedure using abdominal tissue. 

  • 45:39 Patient-First Medical Care 

Why listening to patients matters more than protocol, and how Dr. Urzola discovered breast implant illness from his own patients. 

  • 53:32 Stem Cells & Medical Freedom 

The behind-the-scenes story of how stem cell therapy became legal in Costa Rica and what makes it safer than in the US. 

  • 56:21 Final Thoughts 

Dave’s closing reflections on medical sovereignty, biohacking your skin, and trusting your own biological intuition. 

 

Resources:  

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