Jul 21, 2026 · 49 min · 11 segments
What does a medical director actually do at a medical spa—and why should every patient care? In this episode of Needles & Nonsense, Tristan and Erin sit down with Dr. Akash Chandawarkar…
Akash ChandawarkarGuestTristanHostErinHost
And I think that's one thing that in our industry that kind of gets overlooked is the safety components of everything.
That's right

I think people jump into a lot of things because it's shiny and new, and people don't-
Mm-hmm

And I think that's something that drove me nuts, um, and really landed me doing a lot of research in the area and giving talks about it and-
Mm-hmm
Trying to communicate that safety
[laughs]
Okay, I have an icebreaker 'cause you say safety.
Mm-hmm.
What is the craziest patient request you've ever had?

Maybe not crazy, but I think, um, figuring out the communication aspects between what our patients want is a little bit of a lost art-
Mm
Mm-hmm.

Um, you know, I think one of the, I think, craziest encounters, and it may not seem that crazy, but I had a patient who asked for a natural breast augmentation.
Yeah.

And I think that's one thing that in our industry that kind of gets overlooked is the safety components of everything.
That's right

I think people jump into a lot of things because it's shiny and new, and people don't-
Mm-hmm

And I think that's something that drove me nuts, um, and really landed me doing a lot of research in the area and giving talks about it and-
Mm-hmm
Trying to communicate that safety
[laughs]
Okay, I have an icebreaker 'cause you say safety.
Mm-hmm.
What is the craziest patient request you've ever had?

Maybe not crazy, but I think, um, figuring out the communication aspects between what our patients want is a little bit of a lost art-
Mm
Mm-hmm.

Um, you know, I think one of the, I think, craziest encounters, and it may not seem that crazy, but I had a patient who asked for a natural breast augmentation.
Yeah.
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