Dr. Alejandro Segarra has built a reputation for his expertise in aesthetic medicine, focusing on natural beauty and patient well-being. In this interview, he reveals his personal approach, the latest trends in the field, and his commitment to transforming lives through subtle, effective treatments.
In the ever-evolving field of aesthetic medicine, few professionals blend expertise, passion, and a deep understanding of patient care as seamlessly as Dr. Alejandro Segarra. With a distinguished career marked by international training and a commitment to offering personalized treatments, Dr. Segarra stands as a leading figure in the medical aesthetics industry. His philosophy emphasizes natural beauty, tailored solutions, and the integration of cutting-edge techniques with a holistic approach to health and well-being.
In this exclusive interview with Regent Magazine, Dr. Segarra shares his journey from his hometown of Casilda to becoming a recognized figure in Spain’s aesthetic medicine community. He discusses his personal approach to patient care, the latest trends in aesthetic procedures, and how he continues to innovate while prioritizing the well-being of each individual he treats. Whether you’re interested in the world of aesthetic medicine or seeking inspiration from a dedicated professional, this interview offers a rare glimpse into the mind of a doctor who truly believes in enhancing beauty from within.
Read on to explore Dr. Segarra’s journey, philosophy, and vision for the future of aesthetic medicine.
Regent Magazine: Thank you for taking the time to join us today, Dr. Alejandro Segarra. To begin, could you tell us a little about yourself and what inspired you to pursue a career in Aesthetic Medicine?
ALEJANDRO SEGARRA: I am Dr. Alejandro Segarra, I was born in Argentina 43 years ago, and I have been living in Spain for 9 years. I have always been passionate about faces. Since I was a child, I used to draw. I am passionate about realism and pencil drawing, and I always thought about people’s features with all their characteristics depending on their gender, age, nationality, ethnic influence, etc. After working for 7 years in General Medicine, cardiology, and emergencies, I decided to try a new path within Aesthetic Medicine, and I found it a fascinating world.
Regent Magazine: It’s always fascinating to learn about someone’s journey. What inspired you to specialize in Aesthetic Medicine, and what continues to motivate you in this field?
AS: As soon as I finished the Master’s in Aesthetic Medicine in Argentina, I decided to come to Spain to learn from the best. I was lucky enough to work alongside Dr. Jaume Tufet, someone I love and admire deeply. For me, he is my father in this profession. With him, I was able to understand Aesthetic Medicine and the role of a leader. That mix of doctor/entrepreneur, I learned from him.
Regent Magazine: You moved to Spain to pursue your career, and adapting to a new country must have had its own set of difficulties. Reflecting on that, what challenges did you face when starting over in a new country, and how did you overcome them?
AS: Moving to a new country feels like being born again, without the support of your parents. Everything is uncertain—new society, no family or friends, different laws, and a new daily routine. You go from having everything planned to starting with a blank slate, facing loneliness. But once you realize that you’re in a country full of opportunities and your future is in your hands, it becomes an incredible journey.
I’ve always been independent and adventurous. Arriving in Spain nine years ago felt like stepping into a country with amazing people, cities, food, and beaches—all within reach. It was a place where I could learn, feel safe, and create a plan without the instability I had in Argentina.
Despite many obstacles, I remained calm, focused, and supported by a team that has been my strength.
Regent Magazine: That’s good to know! Now, what has been the most memorable moment of your journey in this field so far?
AS: Recently, I was honored by Forbes Magazine, and for me, it was a recognition of all the sacrifices I’ve made. Many people who were there at the beginning of my journey have congratulated me, and it made me reflect on all the effort and everything we give up to achieve a goal. I never imagined any of this. I always had a plan, but I never thought I would get this far.
Regent Magazine: As the field evolves, so do the trends. In your opinion, what trends or changes in demand for aesthetic procedures have you noticed recently?
AS: Aesthetic Medicine moves at the pace set by trends, but in our case, we always advocate for a natural style that “outlives” any fashion or trend.
That said, we’ve noticed an increase in the number of men opting for filler treatments, neuromodulators, or skin improvement procedures.
Fortunately, there’s a growing shift toward natural results, moving away from artificial appearances, which is a great relief for us.
Regent Magazine: Thank you for sharing your insights on the changing trends in aesthetic procedures. Based on that, how has the perception of Aesthetic Medicine changed in recent years, and what do you think is driving this shift?
AS: Aesthetic Medicine is a branch of Medicine that, through specific procedures, aims to improve the patient’s appearance and, consequently, their self-esteem. It is simply another available resource. Currently, in Spain, we are witnessing a “democratization” of these services. Everyone has access to these procedures, despite the economic costs involved. This is great news, but we must remain aware that not everyone needs these treatments, not everyone can afford them, and we must use these procedures responsibly. We come from a time when the service was more personalized, but today, with the information and training available, we are fortunate to have criteria that allow us to make better-informed decisions than we could in the past.
Regent Magazine: Social media is a powerful tool today. It must play a part in shaping the industry. Do you think social media has influenced the rise in demand for certain aesthetic procedures? How do you navigate this trend?
AS: Definitely. Social media has been a driving force behind all of this. Nowadays, on social media, you can see everything, often explained in a way that leads the patient to come in with preconceived ideas. Many times, our most important job is to inform in person, deactivating the misconceptions that mostly come from social media. Social media is a resource for learning and finding inspiration, but we must choose our doctors wisely and trust them when undergoing a treatment, as each case is individual and personalized.
Regent Magazine: Nowadays, more and more men are showing interest in aesthetics and personal care. What procedures or treatments do men typically opt for?
AS: Currently, neuromodulators remain the most popular procedure among men, but we are noticing a progressive increase in the use of fillers (Hyaluronic Acid) and collagen stimulators
Regent Magazine: You’ve mentioned the impact of social media on the demand for certain procedures, which is very interesting. With that in mind, how do you approach balancing aesthetic trends with timeless beauty standards in your work?
AS: In my case, I propose a natural and classic style. As the saying goes, “classics never go out of style.” My intention has always been to enhance beauty, not transform anyone. That’s the work we, as professionals, should do, and no one teaches us how to do it. We must understand that we are not face transformers, nor are we the holders of the truth. We are simply the ones who can safely perform procedures that enhance the patient’s self-esteem. For some time now, I have seen professionals who call themselves “artists” or “designers of” or who aim to “clone” faces. This is concerning.
Regent Magazine: Patient satisfaction must be key. How do you ensure that each procedure enhances a patient’s natural beauty while meeting their expectations?
AS: For me, the initial dialogue is essential, where we agree on and clarify expectations. Otherwise, what I consider a success might not be the same for the patient. We must be honest with the patient and with ourselves. Sometimes, the pressure to achieve an unattainable result leads us to make mistakes. We don’t perform magic, we’re not artists, this isn’t Photoshop, and we can’t achieve in one session what might not even be possible in five sessions. That’s why, from day one, I treat the patient the way I would want to be treated. This is what gives me peace of mind, but most importantly, it reassures the patient.
Regent Magazine: What misconceptions about Aesthetic Medicine do you encounter most often, and how do you address them?
AS: The most common mistake is the excessive use of material. Additionally, I observe errors in techniques, material selection, and injection planes. I see that many continue to prioritize business over the health and aesthetics of the patient.
Regent Magazine: What role does patient education play in your practice, and how do you guide clients to make informed decisions?
AS: In our daily practice, patient information and education are essential. Every day, we need to debunk myths and false preconceived notions. This is undoubtedly the first major step we must take, before diagnosis and treatment.
We must also use social media consciously in the pursuit of a desired “unified set of criteria,” where people are as informed as possible, and thus avoid falling into the wrong hands.
Regent Magazine: Education is vital. On a broader scale, artificial intelligence is transforming many industries. How do you think AI will affect the field of Aesthetic Medicine shortly?
AS: It’s striking how humans invent things that, when used properly, can be incredibly useful, but when misused, can be destructive. AI will be yet another tool that informs us or helps us make decisions, but in something as artisanal or hand-dependent as our field, we must view technology as a complement to the hands of a skilled professional.
Regent Magazine: AI does seem to offer both advantages and challenges. With this in mind, what role does innovation play in your practice, and how do you balance tradition with new techniques?
AS: I am sure that in this case, AI will only serve to inform us, but it will never replace the hands of a skilled professional. In lip augmentation, many techniques are used, each with its variations, taking into account anatomy and tissue planes. I believe it will be a great complement, but it cannot replace professionals.
Regent Magazine: Considering the role of innovation in your practice, it’s clear that staying current is crucial. How do you stay updated with the latest technologies and techniques in your field?
AS: In my case, I am always looking to learn. I’m obsessed with progress, with everything new, with styles, and techniques. Nine years ago, when I arrived in Spain, I often paid a fortune for a variant of a technique. It was an obsession to improve and do things right. That’s why I visited so many countries, even moving to Canada for three months to perfect my techniques. To this day, I am the same, I don’t compare myself, but I admire many colleagues who achieve excellent results and serve as inspiration.
Regent Magazine: Being at the forefront of innovation requires constant learning. What role does collaboration play in your field? Do you often work with other doctors or specialists on complex cases?
AS: Teamwork is essential. Teams improve individual efforts.
I really enjoy teaching, and I’m also a good student when it’s my turn.
In this world, you can’t disconnect from advancements; it’s very important to stay updated.
Regent Magazine: Sustainability is becoming more important across industries. Are there ways the Aesthetic Medicine field is addressing environmental concerns?
AS: There are disposal protocols in place to prevent the mixing of materials with other waste, thus helping to prevent diseases and environmental contamination.
Regent Magazine: Aesthetic Medicine has so many aspects. What would you say is the most rewarding part of your work, and what do you find most challenging?
AS: I believe the biggest challenge is restoring the patient’s self-esteem with the least invasion possible, using the resources we have consciously for that purpose. A patient who smiles when looking at themselves in the mirror is a goal achieved.
Regent Magazine: Can you tell us about a time when you saw how a procedure truly changed someone’s life, beyond just their appearance?
AS: There are many cases I remember with emotion. I’ve seen many people cry tears of joy after modifying something that had been a source of sadness for them, such as scars, facial paralysis, or congenital malformations. But the most frequent case, without a doubt, is the patient who comes to us after having a bad experience at another clinic, or even in other countries. A poor result often affects a person’s day-to-day life a lot, and regaining that confidence when looking in the mirror is a relief. Perhaps we are not always aware of the damage caused by bad work, which is why we always emphasize the responsible use of Aesthetic Medicine.
Regent Magazine: Those moments must be incredibly impactful. How do you see your career and the field of Aesthetic Medicine evolving over the next five to ten years?
AS: Within my obsession for order, I see a chaotic growth that will eventually align behind the key figures, but unfortunately, this will only happen with time. Aesthetic Medicine urgently needs order; it is a new specialty that is growing very fast, and often it feels like “anything goes,” but we are talking about people’s health. I hope we can avoid this and continue enjoying such a beautiful profession, one that is filled with positive resources for people.
Regent Magazine: Beyond your well-known work on cosmetic lip procedures, you’ve explored other areas. Could you tell us about some of your lesser-known projects or specializations?
AS: I perform all facial procedures involving fillers and neuromodulators. My specialty is lip augmentation, but I also have a strong passion for rhinoplasty. I often talk about lips because I believe it’s a world of its own, a procedure that greatly relies on the skill of the hands, almost like a craft. Other procedures are perhaps more repetitive in terms of techniques, and in my opinion, they don’t require as much dexterity. Aesthetic improvement of the nose brings immense satisfaction. Many times, the patient has carried this concern with them their whole life, and it’s beautiful to see them smile when we give them the mirror. The nose does come with its risks, but the result is truly gratifying.
Regent Magazine: Your work is incredibly diverse. In your opinion, where does the line between enhancing beauty and losing individuality lie in Aesthetic Medicine?
AS: It’s a complex issue, and perhaps the answer would be better suited for a psychologist, but in my case, I try to listen to the patient. Even with just a few words, you can often interpret whether the patient is making a conscious decision for aesthetic change or whether it’s influenced by “other pressures.” We are living in a time of immediacy. In the past, things took longer, and changes were more gradual. Today, you can completely change someone’s face in 10 minutes, and this must be handled with great responsibility. Social media and filters have caused a lot of harm, and we need to be clear about the boundaries. In my case, I say “no” more often than “yes” each day. It’s very challenging because the patient can get upset, but we cannot harm them.
Regent Magazine: When you look back on your career, how would you define success in Aesthetic Medicine?
AS: Success is hard to explain. Who could?! I don’t consider myself successful, but I’ve learned a lot. It’s been a tough journey with loneliness and pain. There’s a “behind the scenes” no one sees: never disconnecting, solving other people’s problems, the dissatisfaction and demands, the relentless pursuit of perfection, and self-imposed pressures. The journey is rarely enjoyed, and that’s the big mistake, but it’s inevitable. We’ve created a brand with our name, which demands energy 24/7 in a business world that forces you to be at 100% all the time. The transition from being a doctor to a businessman running an orchestra with no breaks is tough. But we must make decisions to keep enjoying what we do.
Regent Magazine: In addition to your career as a medical aesthetic doctor you have a significant public presence. How do you find a balance between your work and life outside the spotlight?
AS: For me, sport, diet, meditation, and a healthy lifestyle are essential. I also do therapy, as a true Argentine, we love psychotherapy. Unfortunately, my family is far away. I have few but good friends. I try to live in that fragile balance, which allows me to stay focused on my work and give my best. I’ve been trying to maintain that balance for years. I also enjoy traveling, cinema, and music, always trying to “escape my world” when I can, to come back recharged.
Regent Magazine: It’s important to take time for yourself. What’s one piece of advice you’ve received that has stuck with you throughout your career?
AS: It’s essential to step out of the routine and breathe. My advice is to take breaks seriously. They should be part of your routine, even if it’s just taking a walk, connecting with music, reading, exercising, or talking to a friend. It’s important to always escape in a healthy way to return with new energy. In my case, some are part of my routine, like training, and others I alternate. I always listen to my body when it asks, and this is essential for me.
Regent Magazine: If you weren’t a medical aesthetic doctor, what career do you think you’d have pursued? Why?
AS: I would like to be many things. Unfortunately, time is very limited in this world, but I really enjoy music, photography, animals, and helping more (I did a lot of this and missed general medicine). I also like politics, teaching, and business. I would even be a disaster or war doctor. I did a lot of volunteer work, and there, you truly connect with the medical vocation—you can work 18 hours a day without feeling tired. I miss this a lot and hope to return to it soon.
Regent Magazine: That’s an interesting thought. What advice would you give to someone considering Aesthetic Medicine but unsure about taking the first step?
AS: In my last class at university, a professor told us: “Be good doctors.” At the time, I thought it was an uninteresting piece of advice, even feeling it was a missed opportunity for something valuable. Later, I realized how important and difficult it is to be “a good doctor,” and that his wish was one of nobility and love. My recommendation is to choose good doctors, those you can trust, who treat you the way they’d want to be treated themselves.
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