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Filler Fatigue & Skin Tightening: Dr. Rishi Chopra Reveals What’s Next in Aesthetics

More Than a Pretty Face

Release Date: 11/12/2025

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In this episode of More Than A Pretty Face, Dr. Azi talks with Dr. Rishi Chopra, a New York–based dermatologist recognized as the Pfizer Rising Derm Star of 2021. They discuss filler fatigue, the shift toward skin tightening treatments, and new innovations in regenerative aesthetics such as Avava laser and PDRN injectables. Dr. Chopra shares insights on emerging devices, collagen banking, and his go-to treatments for natural, long-lasting results.

Timeline of what was discussed:
00:00 – Introduction

01:05 – Meet Dr. Rishi Chopra

02:00 – Why patients are developing “filler fear”

03:10 – How overfilling and poor training led to unnatural results

04:05 – The missing link: skin tightening vs. constant filling

05:00 – Introducing Avava, the first laser that tightens and lifts skin

06:00 – How Avava compares to Thermage, Softwave, and Ulthera

06:50 – The science behind Avava’s energy delivery & collagen stimulation

07:45 – Visible results: why Dr. Chopra calls it the “Benjamin Button” laser

08:20 – Downtime, safety, and results for different skin types

08:48 – Transition to regenerative injectables & biostimulators

09:00 – What is PDRN (salmon DNA) and how it works for skin rejuvenation

10:05 – FDA status and why Korea is leading in regenerative aesthetics

11:00 – Comparing PDRN, exosomes, and PRP

11:55 – Long-term collagen regeneration & skin quality improvements

12:45 – Discussion on SkinVive and its subtle hydration benefits

13:40 – Biostimulators (Sculptra, Radiesse) for natural rejuvenation

14:45 – Addressing safety & facelift myths around biostimulators

15:55 – Rapid-fire Q&A with Dr. Chopra

16:10 – Favorite treatment right now: Avava laser

1 6:50 – Downtime and results for all skin types

17:30 – Quick lifestyle Q&A: Hamptons or cabin? Brooklyn summers?

18:25 – Research vs. hands-on dermatology

19:10 – Where to find Dr. Rishi Chopra

19:35 – Dr. Azi’s closing thoughts & outro

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Follow Rishi Chopra on Instagram: @rishichopramd

Book an appointment with Dr. Chopra: www.unionderm.com/doctors/dr-rishi-chopra/

Dr. Rishi Chopra is a board-certified dermatologist based in New York City and the 2021 Pfizer Rising Derm Star. He specializes in medical and cosmetic dermatology with a focus on injectables, regenerative aesthetics, and laser innovation. Dr. Chopra practices at UnionDerm, where he’s known for his evidence-based approach, cutting-edge techniques, and natural-looking results.

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Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, on YouTube, and TikTok @skinbydrazi. Email morethanaprettyfacepodcast@gmail.com.

Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/

The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.