Sept. 25, 2026

It’s My Face. Thanks.

Kami is five days into recovery from a balloon sinuplasty and turbinate reduction, and it has been brutal — she’s too congested to wear her CPAP, she can’t use her mouth guard while mouth-breathing all night, and she’s up every hour drinking water. Before any of that came up, though, she showed off three new waist-length hair extension colors, Foxy, Aurora, and Paprika, from Wildcrafted Beauty.

Eva turns Kami’s rough week into a bigger point from her five years surveying surgery patients: people who are prepared for both the recovery and the price end up far happier than people handed a stack of paperwork and sent home. Then she tops it with her own chaotic night — a lice outbreak that sent her and her daughters to a walk-in lice clinic, a neighbor’s warning text, and a mobile lice technician who showed up ten minutes after they got home and combed everything out by hand.

Eva also explains why nobody can tell she had a recent skin treatment: it’s the paper towel effect — you can pull dozens of sheets off a fresh roll before it looks any smaller, and subtle cosmetic work and early weight loss both hide the same way. The flip side: her lower face now looks years younger than the top half, which is making her overdue Botox and untouched forehead lines stand out more than ever.

Kami’s down six pounds on a lower GLP-1 dose and isn’t sure anyone will notice yet, which turns into a debate about Kelly Osbourne’s dramatic transformation and how far is too far. They also flag a telehealth ordering hiccup a listener caught for them (already being fixed) before teasing next episode’s guest, a designer named Lucy Darling.

Questions answered by this episode

  1. What does recovery from a balloon sinuplasty and turbinate reduction actually feel like?
  2. Why can’t you wear a CPAP machine right after nasal surgery?
  3. Why is it important for a doctor to prepare patients for both recovery and cost before surgery
  4. What should you do if you find lice in your child’s hair?
  5. Are mobile lice removal services worth it?
  6. What is the “paper towel effect” in weight loss and cosmetic changes?
  7. How much weight do you have to lose before people actually notice?
  8. What happens when someone loses too much weight on GLP-1 medications?

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Got a Skinny Shot Story of your own? Eva wants to hear it at skinnyshotstories.com. If you're a doctor interested in sponsoring this or any Axis cosmetic surgery and weight-loss podcast, visit lessofyou.com.

Less of You is a production of The Axis.

Host: Eva Sheie & Kami Gamlem
Assistant Producer: Mary Ellen Clarkson
Engineering: Victoria Cheng
Theme music: Old Grump, Smartface

Eva (00:00):
Nobody knows what I did. And so I keep getting like, "Your hair looks great today." I'm like, "It's my face. Thanks."


Kami (00:13):
I have new hair. You want to see it?


Eva (00:16):
Is that blue, like mermaid?


Kami (00:18):
Okay. So we have Foxy. So I don't know if you guys have followed me hall photos for a while, but I started wearing these hair extensions I get from Wild Crafted Beauty and they're primo, amazing, gorgeous. Message me if you want to know more. But I have a new color, which is a real pretty cinnamony copper. And then it kind of goes into a lighter strawberry blonde and then a kind of light peachy at the bottom and it's called Foxy.


Eva (00:52):
Did you reach out to them about becoming an affiliate so you could make a dollar on -


Kami (00:57):
I wish that I could. So maybe I will, but I'm going to add this one, which is this. The lighting in here is, I mean, it's natural lighting, but this looks a lot more blue than it is in person. It's really more like an aqua teal. And then I have this one and it's called Aurora. And then this one is a warm, deep, warm brown and it's called Paprika. So they just launched these colors and this is going to be my next set, which is way long. So instead of being to here at my chest, it's going to be down here in my waist.


Eva (01:35):
Wow.


Kami (01:35):
But I wanted to show you because I-


Eva (01:37):
It's your fall hair.


Kami (01:38):
What's that?


Eva (01:39):
It's your new fall hair.


Kami (01:41):
Yeah, basically. I was going to wait until the end of the month to switch it out, but I might switch it out sooner because I really am excited about it. Anyhow -


Eva (01:50):
It looks really pretty.


Kami (01:51):
Thanks.


Eva (01:51):
Exciting.


Kami (01:52):
I am. It's very exciting. Close this. Millie, do you mind?


Eva (01:56):
Hi, Millie.


Kami (02:00):
She's like, "Oh, you're recording? I want to say, what are you talking about? What could you possibly have to say? Your brain is the size of a pee." She's not really talking to us. She's talking to her friends outside. So anyways, how the hell are you?


Eva (02:20):
Well, I was up really late. Really late.


Kami (02:23):
Oh, I was up late too and up really early.


Eva (02:26):
Me too.


Kami (02:27):
Oh my God.


Eva (02:28):
Why were you up late?


Kami (02:30):
So just worky things. There's just some new changes going on at work, which is nothing bad. It's all good stuff. We're going to start developing our branch to be the national training center for any new people that are coming on to, especially branch managers and production managers. They'll all come to Indianapolis and train. So we're launching that and there was just a lot of things going on with it and it's 50%, "Hey, I had this really great idea. Go ahead and make it happen." And then zero execution. And I'm like, "I cannot handle that." So I'm like, okay, because they're expanding the office and we're getting a bullpen. And I was like, "Okay, so have we budgeted for any of this? Is this coming off the Indianapolis P&L or is this out of the corporate P&L?" "Oh, we don't know? Okay, cool. "You know what I mean?


(03:26):
Stuff like that. We have this cool idea. We're trying to figure it out, whatever. So I was kind of keyed up about that. But mostly I'm having crazy anxiety about sleeping since I got my nose worked on.


Eva (03:42):
Oh no.


Kami (03:43):
Yeah. So last Friday I had a -


Eva (03:46):
But you actually sound different. You can breathe better.


Kami (03:49):
So today is the first day that I've actually felt like I sound even remotely like myself because I got a balloon sinyplasty and radio frequency turbinate reduction, in case anybody wants to look that up. It's basically like there's these wavy parts on the inside of your node called turbinates and they will swell and contract and you know what I mean, all that stuff. That's all normal. But sometimes if your body hates you, they just are swollen all the time and then you can't breathe and then now you have sleep apnea and now you have postnasal drip, all the things. So what I don't recall is anybody really pressing upon me how miserable I was going to be for the first week after this. So I talked to the clinic today because I was like, yo. So I would've been severely congested, crazy tension, sinus headaches, my ears were hurting because I have to do the nasal washes and it's like all the pressure and I just couldn't stay. I just couldn't keep stuff from building up.


(04:58):
So it's like the mucus is on overdrive. It's just all the things. And so I called and they're like, "Yeah, so somebody should have told you in fact multiple times that you were going to feel like you just had a cold." I said, "Okay. Well, I feel like that all the time anyways, so I wasn't expecting this." And I was like, "I am sure someone told me. I'm sure somebody said, Hey, you're going to be congested, whatever. But I didn't expect it to be like I'm so severely congested that I can't even wear a CPAP machine because I'm completely, totally blocked. So I have sleep apnea and then I grind my teeth. So I'm like, okay, well, I can't be having this mouth guard in my mouth while I'm mouth breathing all night, waking up every hour, hour and a half to drink water because my mouth is so dry.This has been my life for the last five days.


Eva (05:50):
I would like to take this opportunity to point out that nobody ever says the recovery was way easier than I expected and that I spent five years surveying patients after surgery and I learned two things. One, if people are prepared for a recovery, they're much more likely to say that they were highly satisfied. And so what does it look like to be prepared for recovery? It's a lot more work than the doctors and their staff usually want to take on because it's a lot of education. And so they'd rather print out a bunch of paper and say, read this and we'll see you later go away. But if you find a doctor who actually cares enough to prepare you for recovery that you will have a much better experience and that all makes sense.


Kami (06:35):
Oh, totally.


Eva (06:37):
You have to have the information when you need it, not two weeks before you need it because you take it home and you throw it in the pile of paper. And then when you actually need it, you're like, where's that stupid paper they gave me? So timing and delivery are really important. And then the other thing I learned is when people are prepared for the price before they go into the experience, they're also much more likely to be happy about their experience. And of course they would be because you don't want to be like, I don't know how much it is. Sure, I'll do that and then find out after this. Yeah,


Kami (07:08):
Here's my unlimited Amex card. Who has one of those? Nobody does. Nobody I know anyway.


Eva (07:14):
It's almost like we like to be prepared. Yeah.


Kami (07:18):
Oh shoot. Gosh.


Eva (07:19):
I'm sorry that you're going through that. That sucks.


Kami (07:23):
It's really fine. Sorry, this light is all kinds of crazy. I talked to, I don't know if she's an NP or if she's a PA, but she's something. And she's like, "So what you're describing to me, it sounds all very normal." She was very, very sweet about it. And she's like, "If you want us to get you in today, we will figure it out. Don't you worry." She was all so sweet. And I said, "Well, if all this is normal." Right. I was like, "Well, if this is all normal, then..." I was like, "My follow-up is in two days from now." So I was like, "I'll just wait till Friday. It'll be fine." So that made me feel better because of course, as an ADHDer who's like, "Okay, oh my God, what's going to happen next? What's going to happen next? Oh my God, do we know?" I was spinning out.


(08:18):
I was like, "Okay. So now they're going to call me back in there. They're going to say, Look, this didn't work. So sorry for your luck that you just paid thousands of dollars for this procedure that we were like, so sorry for your luck and we don't know how to fix it other than just let's just redo it again and you just pay us more. You know what I mean? That's what I was expecting, obviously, which is totally ridiculous. Even saying it out loud, it sounds dumb. So hopefully tonight I can sleep, but I fell asleep at like 11:30 and slept till 2:30, but waking up several times. And then at 2:30 I'm like, well, I'm just awake now. So that's just how that's going to go.


Eva (09:01):
I was up until midnight because the lice lady was here.


Kami (09:07):
The what lady?


Eva (09:08):
The mobile lice clinic lady came over because the girls and I all had lice.


Kami (09:14):
Girl.


Eva (09:14):
You had It?


Kami (09:16):
Yeah. Kordelia got it a couple of times in preschool.


Eva (09:21):
Yeah. We've never had it before.


Kami (09:23):
Yeah. So we just told her we were doing, I mean, she was four, so I certainly didn't tell her, "Hey, your head is crawling with buggies, which is why you're whatever." But I was like, "Yeah, let's do a spa treatment. You and mommy." I made it this whole thing and daddy even did the spa treatment. Let's do our hair. I just made it this big funny thing. And I don't even know if today she even would remember that, but.


Eva (09:48):
My next door neighbor, who her daughter plays with mine all the time, she texted me about 6:15 and she said, "Sorry to tell you, Emma's got lice. You might want to check the girls." And I was like, "They've been scratching for weeks." So I texted her right back and I was like, because she told me they'll check her for free if you bring her over here. I was like, "I'm on my way." So I threw Ellie in the car. We go over there. The girl in the lice clinic is so. I've never been in a place like this. She's so nice.


Kami (10:22):
It's a lice Clinic? I've never even heard of that. So tell me what that all entails.


Eva (10:26):
It just looks like a kid's hair salon, really. They do the treatment for you. So if you're like me and you're like, "Please, how much money can I give you to make this go away?" Then you can go to a place like this. So we ran over there. They were only open for a few more minutes, but she checked her. She was going to check her, but then weirdly, there was an Orthodox Jewish family waiting in front of us. So there was a dad and three boys wearing yamakas sitting there. And I was like, "This is strange. You don't usually see that around here." Okay. So they were in front of us and while they were getting checked, so my neighbor's daughter was finishing and it took three hours to do hers because she has a ton of hair.


Kami (11:10):
Oh, I can't imagine.


Eva (11:11):
My neighbor was like, "Come outside and talk to me." And so we're standing there and we're looking at my daughter's head and Emma goes, "Oh, look, there's one right there." And it didn't really jump, but it was right on top of her head walking. And it was the first one I had seen, and it actually is the only one that we ever saw. So I only saw one bug and it was while we were standing outside. Well, they were closing. So my neighbor was like, "I know a mobile lady. She's amazing. I'm going to text her right now and maybe she can come help you." And sure enough, she was available and she got right in the car and she came over. So between 6:00 and 7:30, I discovered we had it. I went to the clinic, came all the way home, and the mobile lady was there 10 minutes after we got back.


Kami (11:58):
Oh, nice.


Eva (11:59):
And she was the kindest, most gentle, most wonderful human that I have ever. I don't know. There's some people that are just like angels on earth, and this woman was one of them. She told me that her daughter got it over and over and over and she just got really good at it and that she had a heart for helping other people with it and it just sort of organically turned into something. And then she got hired by one of the clinics and then she decided she was going to just do her own thing. And so she's just got this little referral network of people that know her. She did Ellie first and then she did Kari and then I was last because they had to go to bed because it was late.


Kami (12:44):
Yeah, because that stuff has to sit on for a long time.


Eva (12:47):
An hour. And then she combed through it very slowly with the super fine comb. The girls did better than I did. It was extremely painful, more painful than both the laser treatments I just did just because the pulling just got.


Kami (13:03):
Well, you might have a more sensitive scalp and that's definitely a thing from having done hair for a hundred years, you'll find people that just really have a really sensitive scalp.


Eva (13:13):
The texture of your hair is part of it too, that if you have coarse or really thick hair, that it's too big for the comb and that it just pulls more.


Kami (13:23):
Yes. That is also true.


Eva (13:25):
Yeah. So that's what we did. And this morning I kept them home and washed their hair three times because they slept with the oil in just because it was so late. She was like, "Just go to bed."


Kami (13:37):
Oh yeah, that's what we did. I had to wash Kordelia's hair a gazillion times to get it out, but yeah.


Eva (13:42):
And then we had to tell the school too, so that was fun.


Kami (13:46):
When Kordelia had it and she was in preschool, nobody said word one to us about it. I was like,


Eva (13:52):
Well, where else would she have gotten it?


Kami (13:54):
Obviously she got it there. That is where she got it. But I would have expected an email saying," Hey, one of our students had lice. You may want to check your kids. "I said -


Eva (14:03):
I'm pretty sure you're supposed to send the notification.


Kami (14:08):
No, nobody ever did that. And I was messaging some of the other moms. I was like, "You know lice is going around." And they're like, "What? I never heard anything." I'm like, "Yeah, they didn't announce it." So I never followed up with them.


Eva (14:19):
The kindergarten teacher said, "Oh, that's great. Yesterday we did an experiment with balloons and static, and they were rubbing balloons on each other's head in Ellie's class yesterday." So then my husband, the science teacher, was like, "I don't think they would jump on the balloon and then move over on the balloon." But you never know. Just everybody was just like, "Oh, great."


Kami (14:43):
Yeah. So I don't know. I thought, well, maybe it was like -


Eva (14:47):
We're on the other side of it.


Kami (14:49):
A privacy thing? Maybe they were like, "Oh, they can't disclose that somebody has a medical problem."


Eva (14:55):
No, they have to. I mean, in public school, they have to disclose that one if they know.


Kami (14:59):
Well, it was a Public preschool. I don't know. It was weird. Anyways, so I was like, "Well, whatever."


Eva (15:05):
Let's talk about more important things. Doesn't my face look.


Kami (15:09):
You look great.


Eva (15:10):
Nice.


Kami (15:11):
Yes. I will say that my internet is not great, so the video is kind of grainy.


Eva (15:16):
Am I fuzzy? I have a jawline.


Kami (15:19):
If you do, I can see that. That looks great.


Eva (15:22):
Yeah. Very, very happy.


Kami (15:25):
Oh, good. Very good. I'm glad.


Eva (15:27):
Turned out really well.


Kami (15:28):
Oh, I'm so happy for you. It looks good. And it doesn't look like you obviously had work done, right?


Eva (15:36):
No.


Kami (15:36):
You know what I mean? People aren't going to be like, "Oh my God, your face looks so tight." It's just going to be -


Eva (15:44):
I have cheekbones. I don't know what she did. This is still sore on both sides, and I recall her feeling that. She did a lot here probably to try to stimulate collagen growth is my guess. I can ask her when I see her again. We've been texting me and my doctor. She's really funny.


Kami (16:05):
Aw, yay.


Eva (16:07):
And I got her these. Did I tell you about the sneakers?


Kami (16:10):
Yes, but then they came and they didn't have the right color laces. That's where we left off. Okay. Wrong laces. So how did that go?


Eva (16:16):
Well, Nordstrom was like, "Yeah, I don't think we can do anything." But I wrote directly to the shoe company, and first they said no. And then I wrote back and I very nicely said, "Are you sure you want me to return three pairs of shoes?" And they were like, "Oh, well, let us check and see if we have any." Okay, thanks. So now I'm still waiting to hear if they have them, but I'm pretty sure anyone with any sort of even mild business sense would not want three pairs of $300 sneakers returned over shoelaces.


Kami (16:51):
Well, for real. Or they should be for sure not sending those images to Nordstrom to be advertising.


Eva (16:58):
To Nordstrom and Bloomingdale's.


Kami (16:59):
Yeah. I was like, Come on now. Somebody needs to show up to work over there.


Eva (17:06):
Yep. I'm out of medication and I have to order mine, so I just need to get that done today.


Kami (17:17):
Be sure to do the email so you don't get delayed.


Eva (17:22):
Oh, right.


Kami (17:23):
Yeah, because they'll email you. So you order and then you immediately get the patient intake email. And I sat on that for -


Eva (17:29):
Well, I was just going to tell you, Michael and I have been working on switching telehealth systems on the back end because there was not a safety issue in any way, shape or form. It was truly a technical, all these different platforms connecting to each other kind of situation. And we spent a whole bunch of time over the weekend calling each other back and forth to try to figure out what was the best next step. And unfortunately, one of our dear listeners alerted it to us and told me that something was wrong. And so thank you friends for letting us know. We do not want you to order anything that we say to order and then have a bad experience. So if that happened to anyone else and you're listening, please go to lessofyou.com and send us a message or DM us on Instagram. But the important piece is that we are working on it and we'll have it back to normal. He should already have it back to normal. I just haven't talked to him today.


Kami (18:28):
Okay. Oh, that's good.


Eva (18:30):
Yeah. It's not some random stranger. My good friend who owns the telehealth, the whole system of the medications, the peptides and everything is someone I've known for a very long time and trust implicitly. He's a family friend.


Kami (18:47):
Oh, that's good.


Eva (18:49):
Yeah.


Kami (18:49):
I love that. Yay. Yeah. I'm still working on mine because I'm only taking half of what they prescribed, So I'm taking less. I'm like, oh, this vial is going to last forever. But I haven't got on the scale since last week, but I'm down six pounds total in the last month.


Eva (19:14):
That's great.


Kami (19:16):
Not really. I mean, maybe my jeans are fitting a little bit tiny bit more comfortably, but you know what I mean? I mean, I'm five seven and over 200 pounds. Six pounds is not going to do much, Right?


Eva (19:32):
It's funny. I was reading a post where somebody was like, "I went from 280 to 230 and no one has said a word." And I was kind of like, "Yeah, that's because you still look the same."


Kami (19:42):
Right. You know what I mean?


Eva (19:44):
It's a paper towel effect.


Kami (19:45):
If you're 180


(19:45):
And 135, then for sure people would notice, right?


Eva (19:49):
You know about the paper towel effect? Have you ever heard that?


Kami (19:53):
I don't. What is this?


Eva (19:55):
Well, if you took a brand new roll of paper towels and you took off two sheets, you wouldn't see it. Three sheets, you wouldn't see it. Probably wouldn't see it if 30 sheets were gone. It takes a long time before the paper towel roll looks smaller. It looks the same for a long time.


Kami (20:10):
Exactly. And I think that's true, especially with me. People aren't just like, "Oh, have you lost weight?" And then I'm like, "Yeah, I've lost 30 pounds." You have to lose a lot more. Except for the Deborah, she knows when I lose an ounce. She's like, "Oh my God, you're looking so skinny."


Eva (20:28):
Oh, that's so good. Thanks, mom.


Kami (20:32):
I was like, "I don't think so, but I'll take the compliment. Thanks, mom."


Eva (20:36):
Nobody knows what I did. And so I keep getting like, "Your hair looks great today." I'm like, "It's my face. Thanks."


Kami (20:47):
Oh my God. Your hair looks really. It's my face. That is so classic.


Eva (20:50):
Yeah. Nobody would be like, "Did you get a laser done on your face?"


Kami (20:53):
I mean, that's just not going to be something that most people, unless you're deep in the industry, are going to notice, right? They're just going to think, "Oh, you just got a really great foundation or your makeup looks good or your hair looks good. Your clothes look good." You just look good. They can't pinpoint it.


Eva (21:10):
One of the funniest things is that nothing changed from here up and I'm overdue for Botox. So this from here down looks a lot younger and from here up, I still have dark circles, froze feet and forehead wrinkles. So now I'm like, "Oh man, this bottom half of my face doesn't match the top. Now I got to go get the top." I can see how people get addicted to more stuff because you do one thing and it looks better and then you notice something else and you go on to that and it just goes on and on and on. So you have to stop yourself.


Kami (21:44):
Yeah. I mean, obviously we've seen the extreme cases of people that are truly addicted to plastic surgery, but.


Eva (21:52):
Did you happen to see Kelly Osborne and her? She said she looked like the crypt keeper because she lost too much weight. She got so skinny that she's declared -


Kami (22:02):
Did you say Kelly Osborne?


Eva (22:04):
Yeah.


Kami (22:05):
Okay.


Eva (22:06):
Are you looking for a picture?


Kami (22:08):
Yeah, I am.


Eva (22:08):
Can find her. Oh, you find it and then show us what she looked like and then I got to go to a meeting.


Kami (22:14):
Oh God.


Eva (22:17):
Yeah. Can you put it on the screen? Hit the share button if you can. Oh yeah. Some of those, the skinny ones look really scary.


Kami (22:31):
Yeah. This one, is it going to give me like 10,000 ads? I don't even know who that is. No idea who that is. And you know what?


Eva (22:41):
It's crazy.


Kami (22:41):
When she was younger, her and. Is it Jack?


Eva (22:45):
Jack, yeah.


Kami (22:46):
Yeah. People would think that my brother and I were them. So if you saw a picture of me in the early 2000s and a picture of her in the early 2000s, she would've played me in a movie.


Eva (22:58):
Wow.


Kami (22:59):
And the same with my brother. Isn't that wild? Yeah. Well, and I think first of all, her makeup is the flash camera with the powder that she has on in this picture is causing her to look really ghostly. So let's just pretend that's not happening, but overall I'm like, I don't. Did she get her nose done? She must have got her nose done too.


Eva (23:27):
I don't know.


Kami (23:28):
And what is this? Oh my God. There's a rabbit hole I need to just dive into right now. Good God. Wow. That's a lot. That is a lot.


Eva (23:46):
Yeah. I hope she's putting a little bit back on. One of my favorite doctors, I just heard him saying, "If he went too far, it's okay to put 10 pounds back on because it's a lot easier to put 10 pounds back on than try to do a bunch of cosmetic procedures to fill your face back out with fat and fillers and other things."


Kami (24:10):
Oh, man. And even I feel like her whole aesthetic is not her. I was like, "Where's the fun, punky, kind of like soft at the same time? Clearly, to me, that's like screams depression. I'm overcompensating because I feel like shit about myself." Crazy. I feel like there's something else I was going to tell you. Oh, do you know or have you heard of Lucy Darling?


Eva (24:45):
No, but I actually am five minutes late for a meeting now and I want to hear about Lucy Darling, but


Kami (24:50):
Anyways. Okay. Next episode.


Eva (24:53):
I'd rather talk to you.


Kami (24:54):
Cliffhanger bitches. Sorry.


Eva (24:56):
Lucy Darling.


Kami (24:58):
We'll talk about Lucy Darling and I will show you her and you're going to fall in love with her and I get to see her very soon, so I'm very excited.


Eva (25:05):
Okay.


Kami (25:05):
All right. Well, run off to your meeting, boo, and I guess I'll talk to you later.


Eva (25:10):
Okay. Follow us on Instagram @lessofyoupodcast. Are you confronting the same challenges and have a story to tell? I'd love to hear your story on our Skinny Shot Stories podcast. Contact me for more details at skinnyshotstories.com. If you're a doctor and would like to learn more about sponsoring this or any of our cosmetic surgery and weight loss podcasts, go to lessofyou.com. Less of You is a production of The Axis, T-H-E-A-X-I-S.io.