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Speaker 1: The following is a paid podcast. iHeartRadio's hosting of this

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Speaker 1: podcast constitutes neither an endorsement of the products offered or

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Speaker 1: the ideas expressed.

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Speaker 2: Well Doctor Arthur Perry, he's one of the top plastic surgeons.

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Speaker 2: He's got offices in Manhattan, New Jersey. You know what,

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Speaker 2: He's been doing the show here on w R for

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Speaker 2: years and years and years. Very popular show and a

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Speaker 2: great plastic surgeon. Everybody has questions on this subject, so

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Speaker 2: he's the guy to ask.

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Speaker 3: Doctor Arthur Perry, and the public wants to know.

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Speaker 2: The public doesn't get a damn.

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Speaker 3: And I went to his office and I said, I said,

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Speaker 3: look at my face. He goes, yeah, look at your face.

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Speaker 3: We're going to do with your fan. What can you

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Speaker 3: do with his face? I go like that, I s what,

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Speaker 3: I go and look at this, I'm getting old. I said,

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Speaker 3: I want to maybe get fix it up a little bit.

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Speaker 4: Doctor Oz, are you there, I'm here Ark, and I

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Speaker 4: want to get a plauged you. Having worked with you

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Speaker 4: on a book and numerous other activity, you want to talk.

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Speaker 3: To Arthur Perry the best in plastic surgery.

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Speaker 4: Remarkable knowledge, but also your grace at delivering content which

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Speaker 4: is why it's been a blessing to have you on

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Speaker 4: my show so many times.

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Speaker 5: When I was a resident at the University of Chicago,

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Speaker 5: we had a mean you.

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Speaker 4: Smart as I really really gift this position. I want

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Speaker 4: to pay you bit the highest true I can give

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Speaker 4: to a surgeon, which is when people come to you,

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Speaker 4: they don't come for an operation, they come for an opinion.

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Speaker 4: And that's why I trust you with my friends and relatives.

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Speaker 5: I didn't realize we were going to get the Michael

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Speaker 5: Jordan of Plastic Surgeons nine oh two and zero.

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Speaker 3: Bows to this guy, and welcome.

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Speaker 5: This is Board certified plastic surgeon, doctor Arthur Perry, and

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Speaker 5: this is what's your wrinkle right here on wo R.

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Speaker 5: And if you're listening to the podcast, it's straight talk

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Speaker 5: about cosmetic surgery because that is what we talk about

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Speaker 5: on this show. I'm a Board certified plastic surgeon. I

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Speaker 5: do facelifts and eyelid lists, and I suction fat for

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Speaker 5: a living, how about that? And inject botox and filler

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Speaker 5: and that's what we talk about on this show. So

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Speaker 5: you can be a part of the show also by

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Speaker 5: giving us a call eight hundred three to two one

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Speaker 5: zero seven ten that's the number. Write it down. It's

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Speaker 5: a short show. We've got all sorts of things to

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Speaker 5: talk about tonight. I have a great ophthalmologist as my guest,

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Speaker 5: doctor Larry Nagerian, and he's going to come on in

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Speaker 5: just a second, and we're going to talk about surgery

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Speaker 5: from the ophthalmologists perspective, and we're also going to talk

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Speaker 5: about how about Mara Lago face.

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Speaker 3: Do you know what that is? Oh?

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Speaker 5: My goodness, it's an entity now and plastic surgeons are

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Speaker 5: advertising for it. So we're going to talk about that,

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Speaker 5: and maybe if we have time, we'll talk about a

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Speaker 5: few more uses, yes, more uses for botox. So let's

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Speaker 5: start with doctor Lawrence Nigerian. He is an ophthalmologist in

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Speaker 5: New Jersey. He's got offices in Teck and Bedminster, New Jersey,

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Speaker 5: and this is the guy you want to go to

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Speaker 5: if if you have a problem with your eye. He

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Speaker 5: went to Hopkins Medical School, that's not too shabby, and

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Speaker 5: did his residency well, in fact, I'll let him tell

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Speaker 5: you where he did his residency, Doctor Jerrying, are you there?

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Speaker 6: Yes, I am. Thank you so much for having me,

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Speaker 6: Doctor Perry.

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Speaker 5: Well, actually I misspoke. You went to Hopkins Undergraduate and

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Speaker 5: the University of Pennsylvania, another IVY League place for your

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Speaker 5: medical school. And then where'd you do your residency?

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Speaker 6: Actually, weren't totally wrong. When I was at University of

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Speaker 6: Pennsylvania Medical School, I did do some work at Johns Hopkins,

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Speaker 6: but I was very fortunate to have gone to New

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Speaker 6: York University for my residency and Emory University for a fellowship.

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Speaker 6: I currently am on the faculty at New York University

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Speaker 6: and New York I am your infirmary, all.

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Speaker 5: Right, And so you're a local guy and an expert

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Speaker 5: in ophthalmology. So let's talk for a moment about eyelid surgery.

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Speaker 5: Because I do cosmetic eyelid surgery. You do surgery to

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Speaker 5: restore vision, but it's also pretty important for people to

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Speaker 5: look good. And that's what my life is all about.

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Speaker 5: I'm dedicated to helping mostly women, but men also look good.

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Speaker 5: And one of the procedures I do a lot of

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Speaker 5: is called the bleafer plasty. That's an eyelid lift. So

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Speaker 5: when I do this procedure, I consider this to be

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Speaker 5: kind of a team procedure, so I don't operate just alone. Yes,

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Speaker 5: I'm in the operating room alone. But behind the scenes

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Speaker 5: are are you? When I send you a patient, you know,

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Speaker 5: and I have my patients. You know, if you're gonna

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Speaker 5: have eye lid surgery, you need to see an ophthalmologist

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Speaker 5: before surgery, not an optometrist. I won't allow that. And

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Speaker 5: when you start by telling us the difference, because a

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Speaker 5: lot of people don't know the difference between an optometrist

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Speaker 5: and an ophthalmologist.

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Speaker 6: Basically, we do both provide eye care. We're both known

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Speaker 6: as eye physicians. Where the big demarcation line is that

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Speaker 6: optometrists or optometric physicians are very good at general eye

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Speaker 6: exams and diagnosing medical diseases, but they're not doing surgery.

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Speaker 6: Ophthalmologists are very good at medical diagnosis as well, and

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Speaker 6: are allowed to do surgery of the eye in the

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Speaker 6: surrounding areas.

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Speaker 5: Okay, And so now I send to an ophthalmologist because

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Speaker 5: I think it's very important to me to know that

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Speaker 5: there is no pathology in the eye prior to doing

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Speaker 5: you know, what some people might call a frivolous operation,

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Speaker 5: but I don't think it's frivolous at all. When we

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Speaker 5: remove skin and fat around the eye to make your

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Speaker 5: eye look better. So I send to you and then

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Speaker 5: you clear patients, hopefully clear patients before surgery. But what

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Speaker 5: are you looking for when I send my patients to you?

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Speaker 6: Sure, And it's very smart of you. And what I

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Speaker 6: really enjoy about working with someone of your skill level

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Speaker 6: is that you're always a step ahead. You're not just

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Speaker 6: interested in doing the surgery, You're interested in avoiding preventable problems.

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Speaker 6: So when you're referring a patient to me, what we

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Speaker 6: are doing is looking for reasons why they may have

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Speaker 6: upper lid skin, extra upper lived skin, and often it's

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Speaker 6: the result of aging and genetics, but there are medical

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Speaker 6: conditions that can cause the lids to be swollen and

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Speaker 6: really fool people into thinking they have extra skin and

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Speaker 6: get an unnecessary blethroplasty. So we're looking for Graves disease

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Speaker 6: or thyroid disease, which may not show up on blood

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Speaker 6: testing and may only be visible by looking at the eyelids,

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Speaker 6: or some people have allergic conditions that we want to

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Speaker 6: look for as well, but we also want to look

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Speaker 6: and evaluate them and their medical history for dry eyes.

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Speaker 6: Dry eyes are very common, and when we take a

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Speaker 6: history from patients, we want to hear that they are

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Speaker 6: feeling the rise or sandy when they're at the office.

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Speaker 6: Sandy burning, irritated eyes are a symptom of dryness. And

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Speaker 6: then we want to look at their eye very carefully.

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Speaker 6: We have a special microscope, we call it a slit lamp.

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Speaker 6: We put a special stain in their eye called fluoresceine

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Speaker 6: or listening green, and if there are dry spots in there,

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Speaker 6: we will see it. It will light up like a

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Speaker 6: Christmas tree.

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Speaker 5: Doctor Jared, I want you to stay right there because

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Speaker 5: we're in the middle of the dry eye discussion, which

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Speaker 5: is really really important to patients. If you have these

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Speaker 5: symptoms are going to have surgery, you need to have

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Speaker 5: a surgeon like doctor Nigerian examine you first. So we're

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Speaker 5: going to take a short break. We'll be back after

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Speaker 5: these words. Everyone should have a skin cancer check yearly.

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Speaker 5: It's as important as a colonoscopy or a mammogram. It's

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Speaker 5: tough to find a dermatologist that does a thorough check.

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Speaker 5: But there is a breakthrough in skin detection and monitoring.

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Speaker 5: At Eleitra Health in Manhattan, they have a new AI

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Speaker 5: driven computerized camera system that takes a three D photograph

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Speaker 5: of your entire body in just seconds. It'll analyze your

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Speaker 5: moles and tell you if any are suspicious, and they

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Speaker 5: can even do a quick biopsy if it's necessary. I

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Speaker 5: had the scan myself at Eleitra Health, and I've already

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Speaker 5: sent my family members to have the scan. To schedule

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Speaker 5: your scan, called Jennifer at six four six three six

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Speaker 5: two forty five forty two. That's six four six three

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Speaker 5: six two forty five forty two, or go to www

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Speaker 5: dot eleitrahealth dot com slash dermatology. There's only a few

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Speaker 5: of these machines in the country, but Eleitra can schedule

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Speaker 5: you right away. And if you mentioned the Perry ten code,

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Speaker 5: that's Perry ten, they'll take ten percent off of your

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Speaker 5: feet that's Eleitra Health six four six three six two

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Speaker 5: forty five forty two. Did you know that your skincare

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Speaker 5: may be hurting you more than helping you. I'm Board

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Speaker 5: certified plastic surgeon, doctor Arthur Perry. The foundation for looking

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Speaker 5: good is clean, healthy skin. So I've created a program

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Speaker 5: that is so simple that everyone can stay on it

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Speaker 5: long enough to see real results. It starts with an

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Speaker 5: incredible skin cleaner called clean Time. It's actually good for

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Speaker 5: your skin, protect your skin with my Daytime SPF twenty cream.

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Speaker 5: In the evening, feed your skin with my Powerhouse Nighttime Serum.

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Speaker 5: Nighttime has Vitamin CNA, antioxidants and skin brighteners. And if

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Speaker 5: you like moisturizers, well I've created Soft Time with seramides

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Speaker 5: and Vitamin D. Throw away the bags of useless products

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Speaker 5: and try doctor Perry's Skincare. Join the thousands of people

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Speaker 5: whose skin is healthier. That's doctor Perry's Skincare on Amazon

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Speaker 5: dot com. And don't forget to listen to my radio show.

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Speaker 5: So right here on WOR every Saturday evening at six pm,

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Speaker 5: you're listening to What's Your Wrinkle with Doctor Arthur Perry.

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Speaker 3: What's your Wrinkle? And we're back.

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Speaker 5: I'm board certified plastic surgeon, doctor Arthur Perry host, So

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Speaker 5: What's your Wrinkle? Right here on WOR and I hope

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Speaker 5: you've been listening. And by the way, you know, if

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Speaker 5: you're not listening to the podcast, it's so easy to

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Speaker 5: get it now. You just tune into tune in. How's

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Speaker 5: that one? You could go on tune in, you can

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Speaker 5: go on iHeart. They've got their own podcast world Apple Podcasts.

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Speaker 5: And what you want to do is put my name

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Speaker 5: in doctor Arthur Perry or doctor Perry. It'll probably come

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Speaker 5: up with that and the words or the words cosmetic surgery.

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Speaker 5: You'll come up to this podcast and then very very important,

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Speaker 5: listen carefully. You want to hit that subscribe button and

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Speaker 5: that way, every time we post a new podcast, like

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Speaker 5: right after this show, you'll get an email and it'll say, hey,

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Speaker 5: you can listen while you're going to work. So I

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Speaker 5: am speaking with doctor Larry and Jerry. He's been a

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Speaker 5: friend of mine for wow over thirty years now. You know,

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Speaker 5: we kind of started our careers together in central New Jersey.

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Speaker 5: Doctor Nigerian is an ophthalmologist in Bedminster, New Jersey and Teneck,

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Speaker 5: New Jersey. And before we get back, we were talking

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Speaker 5: about dry eye and what we need to look at

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Speaker 5: before you have cosmetic eyelid surgery. But I don't want

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Speaker 5: to forget this, so I want you to give out

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Speaker 5: your phone number, doctor Nagerian, and your website so that

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Speaker 5: listeners who need an ophthalmologist, and you can also tell

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Speaker 5: us the major things that you like to do. I

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Speaker 5: know you love clearing my patients, but you've got your

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Speaker 5: own surgical procedures that you do also tell us a

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Speaker 5: little bit about that.

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Speaker 6: Sure, one of the great joys in life is helping

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Speaker 6: people see again, and unfortunately cataracts are very common, so

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Speaker 6: cataract surgery is the number one procedure that we do

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Speaker 6: perform helping restore people see their vision, so they can

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Speaker 6: see colors, they can see their grandchildren on the ball field,

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Speaker 6: they can drive and be independent again. But we also

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Speaker 6: believe in prevent and we do screen lots of people

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Speaker 6: for pressure in the rye. It's called glaucoma, and it's

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Speaker 6: something that everybody should be screened for, particularly if there's

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Speaker 6: a family history, so we do a lot of preventative

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Speaker 6: care as well. We also screen people for diabetes and

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Speaker 6: skin cancer, so there's a lot to the eye. The

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Speaker 6: eye is a window to the body and an ophthalmology

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Speaker 6: exam is a very important part of one's health.

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Speaker 5: And what is your phone number? And do you have

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Speaker 5: different numbers for Teneck and Bedminster or is it one number?

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Speaker 6: We have two numbers, but the easy one to remember

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Speaker 6: is our goal in life is to help make every

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Speaker 6: patien see twenty twenty or help them keep their vision

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Speaker 6: at twenty twenty. So our phone number is nine O

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Speaker 6: eight seven eight one, twenty twenty. It's nine O eight

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Speaker 6: seven eight one, twenty twenty.

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Speaker 3: All right, that's easy to remember. What's your website?

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Speaker 6: Sure, Bedminster I dot net that's Bedminster. I like the eye,

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Speaker 6: not the letter I, but I like an eyeball dot need.

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Speaker 5: Okay, I'm speaking with doctor Lawrence Nigerian. I call him Larry.

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Speaker 5: We are good friends and colleagues. But I don't send

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Speaker 5: to a lot of my friends. I only send to

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Speaker 5: the ones that I really have respect for. And he's

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Speaker 5: a great ophthalmologist.

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Speaker 3: So all right.

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Speaker 5: We were talking about when I send my blephroplasty patients preoperatively,

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Speaker 5: that's an eyelid lyft cosmetic eyelift patients to you beforehand,

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Speaker 5: and you were telling us what you look for in

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Speaker 5: those patients, and you were starting to when I so

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Speaker 5: rudely interrupted you. You started to tell us about the

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Speaker 5: dry eye issues. What happens if someone has those symptoms

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Speaker 5: and I go ahead and operate on them.

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Speaker 3: What happens? Then?

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Speaker 6: Well, the great news is your patients will know ahead

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Speaker 6: of time and we'll take corrective actions proactively. So your

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Speaker 6: patients really don't have too many issues with dry eye.

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Speaker 6: Although it could still occur. When we diagnosed TRYI, we

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Speaker 6: look for the reasons why their eyes might be dry.

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Speaker 6: Sometimes people have medical issues such as rheumatologic diseases, rheumatoid

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Speaker 6: arthritis or Schrogrin's disease. Lupus is another very common disease,

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Speaker 6: a collagen vascular disease associated with drytis. So we'll work

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Speaker 6: with their interness to make sure medically that they're stable

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Speaker 6: in terms of their eyes. There's many different approaches for

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Speaker 6: treating dry eyes depending on the severity. We always like

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Speaker 6: to start with the simple route, preservative free artificial tears.

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Speaker 6: That's very important. You don't want to use some of

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Speaker 6: the well known advertised medicines that have preservatives in them.

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Speaker 6: You want to try to keep it simple. The preservatives

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Speaker 6: act like miniature brillo brushes and they irritate the very

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Speaker 6: sensitive skin on the front of your eye called the cornea.

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Speaker 6: So we start with that and then we can escalate

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Speaker 6: therapy to certain medications and we now have more weapons

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Speaker 6: in our toolbox ever have. The one that's most commonly

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Speaker 6: known is cyclosporin. It goes byristasis. It's been a very

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Speaker 6: safe drug. We've used it for well over two decades now.

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Speaker 6: It comes in many different forms and usually we can

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Speaker 6: find one that's covered by insurance. We also have other

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Speaker 6: treatments with called punctal plugs, where we can help keep

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Speaker 6: the tears in the eye longer so they don't evaporate

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Speaker 6: as much. We have special nasal sprays that actually tickle

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Speaker 6: the nerve that causes the tears to be produced. And

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Speaker 6: then we have a very interesting treatment called embryonic membranes.

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Speaker 6: This is reserved for the more severe cases, but it

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Speaker 6: really helps tune up the cornea so the cornea looks

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Speaker 6: very robust and very healthy prior to the bleth rooplasty surgery.

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Speaker 5: And I also will alter what I do if you

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Speaker 5: tell me, well, the patient has a dry eye, not

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Speaker 5: too bad, but borderline, and I will maybe remove a

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Speaker 5: little less skin than I would have otherwise, and I

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Speaker 5: do a procedure called a canthopexy, which is a belt

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Speaker 5: tightening procedure. It helps snug up the eyelid closer to

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Speaker 5: the eyeball and helps redirect those tears from the upper

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Speaker 5: outer part of the eye where they're made to the

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Speaker 5: inner lower part of the eye where they're supposed to

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Speaker 5: drain as your nose, which is why you cry. When

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Speaker 5: you cry, your nose runs right, Larry.

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Speaker 6: Yes, yes, yeah, a lot of times patients don't understand it.

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Speaker 6: But when people get sentimental, what happens? Their eyes well

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Speaker 6: up with tears and then what do we do? We sniff,

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Speaker 6: and then what do we do We swallow? So, yes,

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Speaker 6: there's a pathway from the inner part of the eye

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Speaker 6: by the nose. There's two little ducks. You can look

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Speaker 6: for them. You might see it in a makeup mirror

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Speaker 6: if you're lucky. The tears go down the duct into

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Speaker 6: the nose and from the nose to the throat.

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Speaker 5: All right, So there you have it. There's your primer

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Speaker 5: on dry eye and how ophthalmologists work with plastic surgeons

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Speaker 5: to help you look better and keep your eyes safe.

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Speaker 5: I want to thank doctor Lawrence Nagerian for being a

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Speaker 5: guest this evening once again. Why don't you give out

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Speaker 5: your phone number before we're all done, doctor Nigerian.

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Speaker 6: Well, thank you very much, Doctor Perry. It's always a

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Speaker 6: pleasure to work with your patients and to help them

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Speaker 6: with their cosmetic result, but their functional result as well.

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Speaker 6: The phone number is nine o'ight seven eight one, twenty twenty.

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Speaker 6: That's nine oweight seven eight one, twenty twenty after Lawrence Nigerian.

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Speaker 5: He's got offices in Teeneck and Bedminster, New Jersey. Thanks

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Speaker 5: so much for being a guest on What's Your Wrinkle?

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Speaker 5: And we'll see you.

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Speaker 3: Soon look forward to it.

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Speaker 6: Thank you so much.

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Speaker 5: Let's take our next break right now, and then we'll

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Speaker 5: be back.

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Speaker 3: After these words.

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Speaker 5: Have you seen people that have been distorted by wrinkle filler,

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Speaker 5: duck lips and cheeks that look bizarre. I'm board certified

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Speaker 5: plastic surgeon, Doctor Arthur Perry, and I'm here to help.

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Speaker 5: I love helping patients look younger and better. My technique

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Speaker 5: is different. I numb you up like a dentist and

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Speaker 5: then inject hundreds of tiny droplets of filler into wrinkles, folds, scars,

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Speaker 5: and even cheeks and chins. I've done this procedure on

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Speaker 5: thousands of women, and no, I won't make you look

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Speaker 5: like a duck. And if filler isn't right for you,

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Speaker 5: I'll tell you. Since I'm a real plastic surgeon, I've

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Speaker 5: got many procedures to choose from. Let's sit down for

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Speaker 5: an hour consultation in my new park Avenue office. Together,

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Speaker 5: we'll come up with a plan to help you look

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Speaker 5: your best. Give me a call at two one two

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Speaker 5: seven five three eighteen twenty. That's two one two seven

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Speaker 5: five three eighteen twenty. Check me out on the web

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Speaker 5: at Perry Plasticsurgery dot com and don't forget to listen

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Speaker 5: to me, doctor Arthur Perry, every Saturday evening at six

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Speaker 5: pm right here on WOIR. You're listening to What's Your

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Speaker 5: Wrinkle with doctor Arthur Perry.

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Speaker 3: What's Your Wrinkle? And we're back.

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Speaker 5: I'm board certified plastic surgeon, doctor Arthur Perry, host of

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Speaker 5: What's Your Wrinkle right here on WOIR and host of

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Speaker 5: straight talk about cosmetic surgery in the podcast world, which

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Speaker 5: I hope once again, I hope you are all subscribing.

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Speaker 5: It's so easy, it's free. It's one of the few

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Speaker 5: things in life that's really free. And all you have

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Speaker 5: to do is go to your podcast Apple Podcasts or

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Speaker 5: iHeart Podcasts or wherever you find your podcasts and put

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Speaker 5: in my name Perry, or put in cosmetic surgery, and

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Speaker 5: it'll bring you to this wonderful podcast where you can

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Speaker 5: get well.

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Speaker 3: Over five hundred of them. Although you're going.

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Speaker 5: Back, way back, way back to when I was in

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Speaker 5: high school and I started this podcast and this radio show,

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Speaker 5: and Noah was in elementary school. So yeah, we go

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Speaker 5: back and then hit subscribe and you can get these

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Speaker 5: on your way to work. You don't have to be

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Speaker 5: tied to the radio at six pm on Saturday evenings.

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Speaker 3: All right.

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Speaker 5: So I love cosmetic surgery, and my goal with cosmetic

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Speaker 5: surgery is to make you look better, but like you

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Speaker 5: haven't had cosmetic surgery. And I always say, if someone

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Speaker 5: comes up to you on the street and says, who's

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Speaker 5: your plastic surgeon, it looks great. I failed, I really have,

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Speaker 5: because I don't want you to look like you've had anything.

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Speaker 5: Whether it's filler or botox or a facelift, I don't

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Speaker 5: want you to or a nose rhino plastic.

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Speaker 3: I don't call them those jobs.

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Speaker 5: Some people do a rhinoplastic. You know, we want you

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Speaker 5: to look natural, We want you to look just like

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Speaker 5: you haven't had surgery.

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Speaker 3: That's the goal.

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Speaker 5: So when I do botox or any of the other

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Speaker 5: botch of lineum talksins there's six of them. Now, I

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Speaker 5: want a little bit of motion of the muscle. I

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Speaker 5: don't want you know, if you're on the street and

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Speaker 5: someone says something to you that's horrifying and you have

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Speaker 5: no expression on your face, not good. Or if you

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Speaker 5: smile and nothing moves, not good. We want you to emote.

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Speaker 5: A lot of people just wipe out the muscles and

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Speaker 5: there's no no emotion and no motion. I don't think

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Speaker 5: that's good. I'll do what you want. If you really

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Speaker 5: want that, we'll do that, but I don't think it's

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Speaker 5: the best. Just like if you have filler, you know,

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Speaker 5: I don't want to overfill you. Have you heard of

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Speaker 5: the word the the liquid facelift? You know you've heard

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Speaker 5: of that probably where that's where so much filler is

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Speaker 5: put into the face that it tenses the skin and

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Speaker 5: lifts up the face.

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Speaker 3: That's terrible.

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Speaker 5: You look like some Pillsbury doughboy or something like that.

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Speaker 5: Or or you look like the mar al Lago face.

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Speaker 5: Have you heard that term? Uh, it's out there now,

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Speaker 5: it's in the media. There's something called the mar al

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Speaker 5: Lago face. That's a puffy look. It's an artificial look,

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Speaker 5: but it's artificial on purpose. It's amazing to me. This

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Speaker 5: is crazy. It's not what I trained to do. But

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Speaker 5: there are people like Christy Nome and Kim Guilfoyle who

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Speaker 5: used to be engaged to President Trump's son, and Matt

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Speaker 5: Gates and others that are walking around with what's now

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Speaker 5: been called the mar A Lago face. Okay, so you

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Speaker 5: know these are the people in that world, but worse,

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Speaker 5: worse in Flora and now in the Washington area and

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Speaker 5: spreading to the New York area, plastic surgeons are advertising

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Speaker 5: the marl Lago face. They're actually doing this because they

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Speaker 5: say their patients want to look overdone. What kind of

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Speaker 5: craziness is this. I don't understand it. It really just

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Speaker 5: it's it's very strained. One plastic surgeon puts on his

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Speaker 5: website that the goal of the mar A Lago face.

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Speaker 5: Are you ready for this one? You're not gonna believe this.

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Speaker 5: The goal is to show that the person has money

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Speaker 5: power but also control. That's one of the stupidest things

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Speaker 5: I've ever seen. It's just nuts. I won't do the

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Speaker 5: mar A Lago face. No, But let's talk for a

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Speaker 5: moment about facelifts, because I love doing facelifts, and you know,

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Speaker 5: there's a trend to do them younger and younger, and

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Speaker 5: I've heard of people having facelifts. And I've seen some

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Speaker 5: patients in consultation who had facelifts in their thirty even

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Speaker 5: saw one woman in her late twenties. And there's only

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Speaker 5: one reason why someone well there's two reasons why someone

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Speaker 5: in their late twenties would have a face. So let's

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Speaker 5: say it's someone that had massive weight loss, right, she's

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Speaker 5: lost one hundred pounds or two hundred pounds and actually

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Speaker 5: has extra skin. I get it, that's appropriate.

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Speaker 3: But for a.

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Speaker 5: Normal human being who's just beginning to show some of

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Speaker 5: the signs of aging and maybe just beginning to show

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Speaker 5: a jow and a teeny teeny bit of extra skin

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Speaker 5: in the neck, it is absolutely crazy to have a

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Speaker 5: facelift in your let's say twenties, thirties, even all the

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Speaker 5: way up to about forty. It really is not a

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Speaker 5: good idea. Now, there are plenty of plastics sertains that

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Speaker 5: are willing to do it. There's a lot of money

431
00:22:41,480 --> 00:22:44,600
Speaker 5: in facelifting, I'm sorry to say, and there are plenty

432
00:22:44,640 --> 00:22:47,040
Speaker 5: of people that are willing to do that kind of thing.

433
00:22:47,080 --> 00:22:49,199
Speaker 5: If you come into the office saying I think I

434
00:22:49,240 --> 00:22:52,399
Speaker 5: need a facelift, and you have the resources, there's plenty

435
00:22:52,400 --> 00:22:55,359
Speaker 5: of doctors that are going to take your resources, and

436
00:22:55,400 --> 00:22:57,520
Speaker 5: that's not a good thing. I really think, you know,

437
00:22:57,600 --> 00:23:00,920
Speaker 5: My goal is to help you and be with you

438
00:23:01,320 --> 00:23:04,080
Speaker 5: and tell you. I turn plenty of patients down. They

439
00:23:04,080 --> 00:23:07,360
Speaker 5: come in, they've got an idea, particularly with the Internet

440
00:23:07,400 --> 00:23:12,520
Speaker 5: and Instagram, and I try and talk them down and say, Okay,

441
00:23:12,680 --> 00:23:15,960
Speaker 5: you know you're thirty. It's not the time to have

442
00:23:16,000 --> 00:23:18,080
Speaker 5: a facelift. There are lots of other things they could do.

443
00:23:18,520 --> 00:23:23,080
Speaker 5: Maybe it's liposuction liposuction, Maybe it's suctioning just a little

444
00:23:23,080 --> 00:23:25,159
Speaker 5: bit of fat out of that gel, a little bit

445
00:23:25,200 --> 00:23:27,439
Speaker 5: of fat out of that neck. And maybe it's doing

446
00:23:27,800 --> 00:23:32,399
Speaker 5: al Farrah that's high energy focused ultrasound which can tighten

447
00:23:32,440 --> 00:23:34,240
Speaker 5: the skin of the neck and tighten the skin of

448
00:23:34,280 --> 00:23:35,880
Speaker 5: the face without having.

449
00:23:35,680 --> 00:23:37,200
Speaker 3: To make incisions.

450
00:23:38,119 --> 00:23:38,359
Speaker 4: You know.

451
00:23:38,480 --> 00:23:40,760
Speaker 5: So those are appropriate things, But when you hit the

452
00:23:40,800 --> 00:23:43,600
Speaker 5: late forties, it might be appropriate.

453
00:23:43,080 --> 00:23:43,920
Speaker 3: To have a facelift.

454
00:23:43,920 --> 00:23:47,040
Speaker 5: And back if you listen to some of these broadcasts

455
00:23:47,040 --> 00:23:49,680
Speaker 5: from fifteen years ago, I would have said, well, we're

456
00:23:49,680 --> 00:23:51,959
Speaker 5: not going to do a facelift at fifty. We're gonna

457
00:23:52,000 --> 00:23:55,359
Speaker 5: try and postpone it until you're sixty or even later.

458
00:23:56,440 --> 00:23:59,240
Speaker 5: And that was because we had all these non invasive things,

459
00:23:59,400 --> 00:24:03,600
Speaker 5: and wanted to preserve your your ability in the future

460
00:24:03,640 --> 00:24:06,840
Speaker 5: to have a facelift, because you only get maybe one, two,

461
00:24:07,119 --> 00:24:10,000
Speaker 5: possibly three in your life. A rare person might have

462
00:24:10,040 --> 00:24:13,199
Speaker 5: a fourth. Not too many people do that, so we

463
00:24:13,240 --> 00:24:16,080
Speaker 5: want to postpone it. But it turns out that younger

464
00:24:16,119 --> 00:24:20,119
Speaker 5: people who have facelifts have a longer lasting result. So

465
00:24:20,160 --> 00:24:24,040
Speaker 5: it's not an unreasonable request at late forties or early

466
00:24:24,119 --> 00:24:26,960
Speaker 5: fifties because at that age you might get ten or

467
00:24:27,000 --> 00:24:29,639
Speaker 5: even fifteen years out of the facelift. If you waited

468
00:24:29,680 --> 00:24:32,680
Speaker 5: till seventy, you might get five or seven years out

469
00:24:32,680 --> 00:24:36,080
Speaker 5: of it. All right, So so facelifts are great procedures,

470
00:24:36,400 --> 00:24:39,359
Speaker 5: but choose your plastic surgeon wisely, not just for his

471
00:24:39,520 --> 00:24:43,760
Speaker 5: or her technical skills, but for his or her ethics,

472
00:24:43,880 --> 00:24:47,160
Speaker 5: very very important. All right, we're almost coming to a close.

473
00:24:47,240 --> 00:24:50,959
Speaker 5: My website is Periplasticsurgery dot com. My phone number if

474
00:24:50,960 --> 00:24:52,119
Speaker 5: you want to get a hold of me during the

475
00:24:52,119 --> 00:24:55,119
Speaker 5: week is two one, two seven, five three eighteen twenty.

476
00:24:55,400 --> 00:24:58,080
Speaker 5: I've got offices on Park Avenue in eighty fifth Street.

477
00:24:58,119 --> 00:25:01,000
Speaker 5: I've got an office with well Well I Messer on

478
00:25:01,320 --> 00:25:04,359
Speaker 5: sixtieth Street between Park and Lexington, and of course my

479
00:25:04,480 --> 00:25:07,840
Speaker 5: office in Somerset, New Jersey, and I am there in

480
00:25:07,960 --> 00:25:12,080
Speaker 5: both states every single week doing procedures. And I operate

481
00:25:12,119 --> 00:25:15,000
Speaker 5: a Manhattan I in a year and at Robert Wood Johnson

482
00:25:15,040 --> 00:25:18,320
Speaker 5: and Care Surgi Center. Noah, thanks so much for great engineering.

483
00:25:18,520 --> 00:25:21,639
Speaker 5: I do want to mention the products. Can't can't do

484
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485
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486
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Speaker 5: or soft Time. Everybody, stay really safe out there. The

487
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Speaker 5: cold weather is almost over. Only six more months, no,

488
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Speaker 5: only a few more weeks hopefully of the cold weather.

489
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Speaker 3: Stay safe.

490
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Speaker 5: We'll see everybody six pm next week.

491
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Speaker 3: Don't forget to subscribe to the podcast. Bye bye. Now.

492
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493
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Speaker 1: The preceding was a paid podcast. iHeartRadio's hosting of this

509
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Speaker 1: podcast constitutes neither an endorsement of the products offered or

510
00:26:52,560 --> 00:26:53,879
Speaker 1: the ideas expressed