The conversation also turns personal, as Dr. Alexander shares candid details from her own recent facelift, neck lift, and eye surgery, including the gut healing, hormone work, Sculptra, and laser treatments that prepared her skin beforehand, and the healing protocols that followed. She speaks openly about the buyer's remorse so many patients feel in those first days of recovery, and how going through it herself deepened her empathy for her own patients.

Throughout, the pair return to a core theme: real results come from treating the whole patient, not just a single procedure or a number on a scale.

From once considering a path in environmental law to realizing a desk job wasn’t for her, Nicki chose to write her own story - one rooted in purpose, passion, and giving back to the community. It’s an inspiring conversation about following what truly calls you and creating a lasting impact along the way.

The discussion expands beyond surgery to cover hormones, menopause, microbiome health, inflammation, strength training, and the importance of advocating for yourself in today’s medical system. A major theme is empowering women to question, gather data, and “write their own health story” rather than accepting dismissive answers.