
Optimize Outcomes with Paul Fulford
Welcome to Optimize Outcomes! I’m Paul Fulford, I’ve spent years working with global leaders in medical aesthetics, innovative wellness, and energy-based device manufacturers. If you’ve ever heard the term "medical aesthetics" and wondered what it really means, this podcast is here to answer that and so much more.
Medical aesthetics isn’t just about looking good — it’s about living better. It sits at the intersection of alternative health, wellness, longevity, and becoming the most optimized version of yourself.
Optimize Outcomes with Paul Fulford
Overfilled Faces Are Out. Natural Is In Says Top Dermatologist
The era of overfilled faces is finally breaking down — and Dr. Rishi Chopra is one of the leading voices explaining why. A Harvard-trained, board-certified dermatologist, Dr. Chopra has seen the effects of filler fatigue up close: bloated cheeks, distorted proportions, patients coming in desperate to dissolve what was once promised as subtle enhancement. In this episode, he lays out the problem — how aesthetics became more about trends than trust — and what needs to happen next to bring the field back to its roots.
We dive into the rise of skin tightening, the shift toward collagen banking, and why lasers and energy-based devices are becoming the go-to tools for natural, long-term rejuvenation. Dr. Chopra shares how he educates patients overwhelmed by social media misinformation, why he’s not afraid to say no to a treatment, and how understanding anatomy — not chasing likes — is what actually leads to better outcomes.