1 00:00:00,120 --> 00:00:03,800 Speaker 1: The following is a paid podcast. iHeartRadio's hosting of this 2 00:00:03,920 --> 00:00:07,760 Speaker 1: podcast constitutes neither an endorsement of the products offered or 3 00:00:07,800 --> 00:00:09,120 Speaker 1: the ideas expressed. 4 00:00:09,400 --> 00:00:13,039 Speaker 2: Well Doctor Arthur Perry, he's one of the top plastic surgeons. 5 00:00:13,080 --> 00:00:15,319 Speaker 2: He's got offices in Manhattan, New Jersey. You know what, 6 00:00:15,360 --> 00:00:17,360 Speaker 2: He's been doing the show here on w R for 7 00:00:17,440 --> 00:00:20,680 Speaker 2: years and years and years. Very popular show and a 8 00:00:20,720 --> 00:00:24,239 Speaker 2: great plastic surgeon. Everybody has questions on this subject, so 9 00:00:24,840 --> 00:00:25,880 Speaker 2: he's the guy to ask. 10 00:00:25,960 --> 00:00:28,280 Speaker 3: Doctor Arthur Perry, and the public wants to know. 11 00:00:28,480 --> 00:00:31,319 Speaker 2: The public doesn't get a damn. And I went to 12 00:00:31,360 --> 00:00:33,440 Speaker 2: his office and I said, I said, look at my face. 13 00:00:33,640 --> 00:00:35,000 Speaker 2: He goes, yeah, look at your face. We're going to 14 00:00:35,080 --> 00:00:36,480 Speaker 2: do with your fan. What can you do with his face? 15 00:00:36,520 --> 00:00:37,720 Speaker 4: I go like that, I SA what I got? 16 00:00:37,720 --> 00:00:39,040 Speaker 1: I go look at this, I'm getting old. 17 00:00:39,120 --> 00:00:40,320 Speaker 2: I said, I want to maybe you can fix it 18 00:00:40,360 --> 00:00:40,879 Speaker 2: up a little bit. 19 00:00:40,920 --> 00:00:42,760 Speaker 4: Doctor Oz, are you there, I'm here, Ark, and I 20 00:00:42,800 --> 00:00:44,400 Speaker 4: want to get a plauged you. Having worked with you 21 00:00:44,479 --> 00:00:46,640 Speaker 4: on a book and numerous other activity, you want to 22 00:00:46,640 --> 00:00:46,959 Speaker 4: talk to. 23 00:00:47,000 --> 00:00:49,640 Speaker 3: Arthur Perry, the best in plastic. 24 00:00:49,240 --> 00:00:52,160 Speaker 4: Surgery and workable knowledge, but also your grace at delivery content, 25 00:00:52,200 --> 00:00:53,519 Speaker 4: which is why it's been a blessing to have you 26 00:00:53,560 --> 00:00:54,600 Speaker 4: on my show so many times. 27 00:00:54,640 --> 00:00:56,840 Speaker 3: When I was a resident at the University of Chicago, 28 00:00:56,960 --> 00:00:57,639 Speaker 3: we had. 29 00:00:57,480 --> 00:01:00,560 Speaker 4: A me just smart as I really really giftus position. 30 00:01:01,200 --> 00:01:02,720 Speaker 4: I want to pay you the b the highest true 31 00:01:02,760 --> 00:01:04,240 Speaker 4: I can give to a surgeon, which is when people 32 00:01:04,280 --> 00:01:05,920 Speaker 4: come to you, they don't come for an operation, they 33 00:01:05,959 --> 00:01:08,080 Speaker 4: come for an opinion. And that's why I trust you 34 00:01:08,080 --> 00:01:10,280 Speaker 4: with my friends and relatives. I didn't realize we were 35 00:01:10,280 --> 00:01:12,920 Speaker 4: going to get the Michael Jordan of Plastic Surgeon nine 36 00:01:12,959 --> 00:01:13,679 Speaker 4: O two and zero. 37 00:01:13,720 --> 00:01:14,840 Speaker 1: Bows to this guy. 38 00:01:15,520 --> 00:01:19,360 Speaker 3: And welcome. This is Board certified plastic surgeon, doctor Arthur Perry. 39 00:01:19,440 --> 00:01:21,960 Speaker 3: You are listening to What's Your Wrinkle right here on 40 00:01:22,200 --> 00:01:25,640 Speaker 3: WOR And if it's the podcast you're listening to, well 41 00:01:26,080 --> 00:01:29,120 Speaker 3: that's called straight talk about cosmetic surgery, because that is 42 00:01:29,200 --> 00:01:32,000 Speaker 3: what we talk about on this show. I'm at Board 43 00:01:32,000 --> 00:01:35,080 Speaker 3: certified plastic surgeon, host of this show for now into 44 00:01:35,240 --> 00:01:38,600 Speaker 3: our twenty first year. Yeah, and here we are with 45 00:01:38,720 --> 00:01:42,640 Speaker 3: Noah in the studio in a cold Manhattan evening. It's 46 00:01:42,680 --> 00:01:45,720 Speaker 3: going to snow tonight, so what better thing to do 47 00:01:45,959 --> 00:01:49,240 Speaker 3: than to sit back and listen to this show and 48 00:01:49,320 --> 00:01:52,040 Speaker 3: learn about cosmetic surgery and give me a call. This 49 00:01:52,120 --> 00:01:54,000 Speaker 3: is a really good night to give me a call. 50 00:01:54,280 --> 00:01:57,280 Speaker 3: Those of you who have you know, hell back or 51 00:01:57,320 --> 00:01:59,440 Speaker 3: I couldn't get in now this is the night. Eight 52 00:01:59,560 --> 00:02:01,880 Speaker 3: hundred three zero seven ten is the phone number here 53 00:02:01,920 --> 00:02:05,440 Speaker 3: at wo R eight hundred three two one zero seven 54 00:02:05,520 --> 00:02:10,200 Speaker 3: ten and we're giving away bottles of Bipopular Demand Nighttime. 55 00:02:11,080 --> 00:02:15,240 Speaker 3: Nighttime is my marquee product. Yes, it's the It is 56 00:02:15,280 --> 00:02:18,760 Speaker 3: the powerhouse of my skincare. It's got everything in it 57 00:02:18,840 --> 00:02:22,120 Speaker 3: that really makes a difference. And I put all the 58 00:02:22,160 --> 00:02:26,520 Speaker 3: active ingredients that are scientifically proven into one simple serum 59 00:02:26,520 --> 00:02:28,440 Speaker 3: that you put on your face at night. You don't 60 00:02:28,480 --> 00:02:32,239 Speaker 3: need a multi step program. I've got vitamin C in 61 00:02:32,880 --> 00:02:36,440 Speaker 3: pretty high amounts ten percent vitamin C in the right 62 00:02:36,560 --> 00:02:39,799 Speaker 3: form by the way. I've got vitamin A and you've 63 00:02:39,840 --> 00:02:42,760 Speaker 3: heard of retine. Well, this is a more gentle form 64 00:02:43,040 --> 00:02:45,519 Speaker 3: of vitamin A. It doesn't irritate your skin as much. 65 00:02:45,760 --> 00:02:50,079 Speaker 3: I've got alpha hydroxy acids, the fruit acids, and those 66 00:02:50,120 --> 00:02:53,760 Speaker 3: are things like lactic acid and citric acid. They're exfoliants. 67 00:02:53,800 --> 00:02:57,639 Speaker 3: They help the other ingredients penetrate better, and they have 68 00:02:58,080 --> 00:03:02,480 Speaker 3: benefits themselves, and we've got skin brighteners and antioxidants and 69 00:03:02,560 --> 00:03:04,400 Speaker 3: all the things that are good. We're giving away bottles 70 00:03:04,440 --> 00:03:07,200 Speaker 3: of Nighttime tonight, and this is a great time to 71 00:03:07,240 --> 00:03:10,080 Speaker 3: get your free bottle of Nighttime because Christmas is coming up. 72 00:03:10,320 --> 00:03:12,679 Speaker 3: You want those stocking stuffers. But you know if you 73 00:03:12,720 --> 00:03:14,960 Speaker 3: get that bottle, you're not gonna want to give it away, 74 00:03:15,120 --> 00:03:17,400 Speaker 3: So go ahead and give me a call. Eight hundred 75 00:03:17,400 --> 00:03:20,360 Speaker 3: three to two one zero seven ten is the phone number. 76 00:03:20,400 --> 00:03:24,840 Speaker 3: So tonight we are going to be talking about rhinoplasts, 77 00:03:25,600 --> 00:03:30,600 Speaker 3: my favorite cosmetic surgical procedure, not because I had maybe 78 00:03:30,639 --> 00:03:34,880 Speaker 3: I need one, but because it is such an artistic 79 00:03:34,960 --> 00:03:38,080 Speaker 3: operation that's nasal reshaving. So we're going to talk about that. 80 00:03:38,640 --> 00:03:42,520 Speaker 3: And we're also going to bi popular demand finish the 81 00:03:42,600 --> 00:03:48,080 Speaker 3: discussion about scars, because everybody has those, and there are 82 00:03:48,280 --> 00:03:50,640 Speaker 3: good scars and bad scars, and you say, well, how 83 00:03:50,680 --> 00:03:52,800 Speaker 3: could you possibly have a good scar. Well, we're going 84 00:03:52,840 --> 00:03:55,960 Speaker 3: to talk about that also, but mostly we want to 85 00:03:56,000 --> 00:03:58,440 Speaker 3: take your phone calls. Eight hundred three two one zero 86 00:03:58,480 --> 00:04:03,400 Speaker 3: seven ten. That's the phone number here, woar, And all right, 87 00:04:03,800 --> 00:04:07,480 Speaker 3: let's get right into rhinoplasty. So look in the mirror, 88 00:04:07,560 --> 00:04:10,200 Speaker 3: not while you're driving, and do you have a perfect nose? 89 00:04:10,600 --> 00:04:14,120 Speaker 3: Most people do not have perfect noses. What does that 90 00:04:14,200 --> 00:04:16,480 Speaker 3: mean to have a perfect nose? You know, plastic surgeons 91 00:04:16,760 --> 00:04:21,040 Speaker 3: have studied noses and have published papers on the perfect 92 00:04:21,200 --> 00:04:25,000 Speaker 3: angles and the perfect size and the length of the nose. 93 00:04:25,360 --> 00:04:30,640 Speaker 3: There's a great volume of literature. But it's all subjective, right, 94 00:04:30,680 --> 00:04:34,680 Speaker 3: because what one person thinks is pretty, another person might 95 00:04:34,760 --> 00:04:41,240 Speaker 3: find unattractive. And that's different ethnicities have different ideals as 96 00:04:41,279 --> 00:04:43,400 Speaker 3: to what a nose should look like. And even in 97 00:04:43,440 --> 00:04:47,440 Speaker 3: the United States, plastic surgaons in the nineteen sixties and seventies. 98 00:04:47,480 --> 00:04:50,360 Speaker 3: You remember those days, right, well, my audience probably does. 99 00:04:50,720 --> 00:04:50,880 Speaker 4: Well. 100 00:04:50,920 --> 00:04:55,280 Speaker 3: You went to summer camp and all those teenagers had 101 00:04:55,320 --> 00:04:59,320 Speaker 3: that one rhinoplasty, you know, they called it a signature nose. 102 00:04:59,360 --> 00:05:01,440 Speaker 3: I won't mention the doctor, but there was one that 103 00:05:01,600 --> 00:05:04,160 Speaker 3: was really famous in the New York area, and everybody 104 00:05:04,200 --> 00:05:08,240 Speaker 3: looked alike, and he gave all these women these scooped 105 00:05:08,240 --> 00:05:12,960 Speaker 3: out noses. That was the sixties and seventies rhinoplasty. By 106 00:05:13,000 --> 00:05:19,599 Speaker 3: the nineteen eighties, well, the rhinoplasty changed what was considered 107 00:05:20,080 --> 00:05:25,920 Speaker 3: nice and normal and what is desired. A straight nose 108 00:05:26,240 --> 00:05:29,800 Speaker 3: was considered nice as opposed to a scooped out ski 109 00:05:29,880 --> 00:05:32,240 Speaker 3: jump nose. And if you see those people now, they're 110 00:05:32,240 --> 00:05:35,120 Speaker 3: walking around Manhattan, they're walking around Miami, they're walking around 111 00:05:35,640 --> 00:05:39,040 Speaker 3: Chicago and Los Angeles with that nose from the sixties 112 00:05:39,040 --> 00:05:45,119 Speaker 3: and seventies, that overdone, very radical rhinoplasty doesn't look good today. 113 00:05:45,120 --> 00:05:47,760 Speaker 3: And the reason it doesn't look good today is, well, 114 00:05:47,920 --> 00:05:51,760 Speaker 3: was overdone then, but the tissues thin and change. As 115 00:05:51,800 --> 00:05:54,640 Speaker 3: you get older, your skin changes, and what might have 116 00:05:54,720 --> 00:05:58,679 Speaker 3: been hidden when you were eighteen or twenty or even thirty, 117 00:05:59,240 --> 00:06:02,000 Speaker 3: now by the time fifty or sixty or seventy, your 118 00:06:02,000 --> 00:06:05,680 Speaker 3: skin is thin, and now you see every imperfection of 119 00:06:05,720 --> 00:06:09,719 Speaker 3: the cartilage and the fact that so much was taken 120 00:06:09,760 --> 00:06:14,799 Speaker 3: away at that time. And so rhinoplasties began to change 121 00:06:15,120 --> 00:06:18,560 Speaker 3: in the nineteen eighties and we did more conservative rhinoplasties, 122 00:06:18,600 --> 00:06:22,120 Speaker 3: and by the end of the nineteen eighties we started 123 00:06:22,160 --> 00:06:26,600 Speaker 3: doing what's called an open rhinoplasty, which was an enormous 124 00:06:26,720 --> 00:06:31,880 Speaker 3: change in nasal reshaping, and that's where incisions were made 125 00:06:31,960 --> 00:06:34,400 Speaker 3: on the outside of the nose instead of all the 126 00:06:34,440 --> 00:06:37,040 Speaker 3: incisions from the inside. And you say, well, you know, 127 00:06:37,080 --> 00:06:40,200 Speaker 3: why would you possibly take a step backwards. I thought 128 00:06:40,320 --> 00:06:44,120 Speaker 3: surgery is supposed to be less obvious. Well, making that 129 00:06:44,279 --> 00:06:47,480 Speaker 3: little incision, that less than a quarter inch decision between 130 00:06:47,480 --> 00:06:51,840 Speaker 3: your nostrils, on the part of your skin called the columella, 131 00:06:51,960 --> 00:06:53,640 Speaker 3: that's your word for the evening if you're going to 132 00:06:53,680 --> 00:06:57,800 Speaker 3: a cocktail party. The columella. We make an incision across 133 00:06:57,839 --> 00:07:00,760 Speaker 3: it and lift up the skin of the nose like 134 00:07:01,120 --> 00:07:03,280 Speaker 3: the hood of a car. We can see all the 135 00:07:03,320 --> 00:07:06,320 Speaker 3: cartilages and bones of the nose. So when we come 136 00:07:06,360 --> 00:07:08,400 Speaker 3: back from our break, I'm going to take you into 137 00:07:08,440 --> 00:07:11,320 Speaker 3: the consultation room with me for a rhinoplasty, and then 138 00:07:11,360 --> 00:07:13,680 Speaker 3: into the operating room, where I'm going to tell you 139 00:07:13,840 --> 00:07:16,400 Speaker 3: just how we do this operation. Noah, let's go ahead 140 00:07:16,440 --> 00:07:18,720 Speaker 3: and take our first break. Eight hundred three two one 141 00:07:18,840 --> 00:07:21,600 Speaker 3: zero seven ten. That's the phone number here at WR 142 00:07:21,800 --> 00:07:24,080 Speaker 3: Give me a call. We'll be back after these words. 143 00:07:27,920 --> 00:07:30,960 Speaker 3: Everyone should have a skin cancer check yearly. It's as 144 00:07:31,000 --> 00:07:34,040 Speaker 3: important as a colonoscopy or a mammogram. It's tough to 145 00:07:34,080 --> 00:07:36,840 Speaker 3: find a dermatologist that does a thorough check, but there 146 00:07:36,920 --> 00:07:40,920 Speaker 3: is a breakthrough in skin detection and monitoring at Eleitra 147 00:07:41,040 --> 00:07:44,520 Speaker 3: Health in Manhattan, They have a new AI driven computerized 148 00:07:44,520 --> 00:07:47,440 Speaker 3: camera system that takes a three D photograph of your 149 00:07:47,760 --> 00:07:51,280 Speaker 3: entire body in just seconds. It'll analyze your moles and 150 00:07:51,360 --> 00:07:53,880 Speaker 3: tell you if any are suspicious, and they can even 151 00:07:53,920 --> 00:07:56,600 Speaker 3: do a quick biopsy if it's necessary. I had to 152 00:07:56,640 --> 00:07:59,240 Speaker 3: scan myself at Eleitra Health, and I've already sent my 153 00:07:59,320 --> 00:08:02,520 Speaker 3: family member to have the scan. To schedule your scan, 154 00:08:02,720 --> 00:08:06,000 Speaker 3: called Jennifer at six four six three six two forty 155 00:08:06,000 --> 00:08:08,840 Speaker 3: five forty two. That's six four six three six two 156 00:08:09,040 --> 00:08:13,840 Speaker 3: forty five forty two. Or go to www dot eletrahealth 157 00:08:13,960 --> 00:08:17,440 Speaker 3: dot com slash dermatology. There's only a few of these 158 00:08:17,480 --> 00:08:20,760 Speaker 3: machines in the country, but Eleitra can schedule you right away. 159 00:08:20,800 --> 00:08:23,720 Speaker 3: And if you mentioned the Pery ten code, that's Perry ten, 160 00:08:23,880 --> 00:08:27,000 Speaker 3: they'll take ten percent off of your fee. That's Elektra 161 00:08:27,160 --> 00:08:30,880 Speaker 3: Health six four six three six two forty five forty two. 162 00:08:31,400 --> 00:08:33,760 Speaker 3: Did you know that your skincare may be hurting you 163 00:08:33,800 --> 00:08:36,880 Speaker 3: more than helping you. I'm Board certified plastic surgeon, doctor 164 00:08:36,960 --> 00:08:41,520 Speaker 3: Arthur Perry. The foundation for looking good is clean, healthy skin. 165 00:08:41,760 --> 00:08:44,480 Speaker 3: So I've created a program that is so simple that 166 00:08:44,800 --> 00:08:47,960 Speaker 3: everyone can stay on it long enough to see real results. 167 00:08:48,320 --> 00:08:52,000 Speaker 3: It starts with an incredible skin cleaner called clean Time. 168 00:08:52,200 --> 00:08:55,080 Speaker 3: It's actually good for your skin. Protect your skin with 169 00:08:55,120 --> 00:08:58,839 Speaker 3: my Daytime SPF twenty cream in the evening, feed your 170 00:08:58,840 --> 00:09:03,400 Speaker 3: skin with my power House Nighttime serum. Nighttime has vitamin CNA, 171 00:09:03,600 --> 00:09:07,640 Speaker 3: antioxidants and skin brighteners. And if you like moisturizers, well, 172 00:09:07,760 --> 00:09:11,640 Speaker 3: I've created Soft Time with seramides and vitamin D. Throw 173 00:09:11,720 --> 00:09:15,720 Speaker 3: away the bags of useless products and try doctor Perry's Skincare. 174 00:09:15,880 --> 00:09:18,600 Speaker 3: Join the thousands of people whose skin is healthier. That's 175 00:09:18,640 --> 00:09:22,120 Speaker 3: doctor Perry's Skincare on Amazon dot com. And don't forget 176 00:09:22,160 --> 00:09:25,000 Speaker 3: to listen to my radio show right here on wo 177 00:09:25,240 --> 00:09:28,880 Speaker 3: R every Saturday evening at six pm. You're listening to 178 00:09:29,000 --> 00:09:31,200 Speaker 3: What's your Wrinkle with Doctor Arthur Perry. 179 00:09:31,360 --> 00:09:32,160 Speaker 2: What's your Wrinkle? 180 00:09:32,640 --> 00:09:35,160 Speaker 3: And what is your Wrinkle? That's the name of the show, 181 00:09:35,200 --> 00:09:37,720 Speaker 3: because you know so many of you do have wrinkles, 182 00:09:37,760 --> 00:09:40,040 Speaker 3: and you come to see me in one of my offices. 183 00:09:40,080 --> 00:09:42,680 Speaker 3: I've got an office on Park Avenue in eighty fifth 184 00:09:42,679 --> 00:09:47,000 Speaker 3: Street in Manhattan, another office with the well By Messer 185 00:09:47,080 --> 00:09:51,600 Speaker 3: Group on the sixtieth Street between Lexington and Park. And 186 00:09:51,640 --> 00:09:54,079 Speaker 3: i also have my new Jersey office still. Yes, So 187 00:09:54,120 --> 00:09:56,199 Speaker 3: a lot of people think I've moved away. No, I'm 188 00:09:56,240 --> 00:09:59,360 Speaker 3: still in Somerset County, seeing patients a couple of days 189 00:09:59,360 --> 00:10:04,400 Speaker 3: a week and happy to see you. So. Rhinoplasty, why 190 00:10:04,520 --> 00:10:07,000 Speaker 3: is it my favorite operation? You know? It is known 191 00:10:07,160 --> 00:10:11,640 Speaker 3: as the most difficult procedure in cosmetic surgery, no question 192 00:10:11,760 --> 00:10:15,600 Speaker 3: about it. There are some plastic surgeons that don't do rhinoplasties, 193 00:10:15,640 --> 00:10:17,680 Speaker 3: in fact, a lot of them, because it is such 194 00:10:17,679 --> 00:10:21,240 Speaker 3: a difficult operation. It's difficult because you could do the 195 00:10:21,360 --> 00:10:25,920 Speaker 3: same operation in two people and it can come out 196 00:10:26,040 --> 00:10:30,560 Speaker 3: very different. It's difficult because there are literally hundreds, many 197 00:10:30,679 --> 00:10:34,800 Speaker 3: hundreds of different steps that have to be at your 198 00:10:34,840 --> 00:10:39,000 Speaker 3: fingertips literally during the procedure, because you never know just 199 00:10:39,120 --> 00:10:40,600 Speaker 3: what you're going to have to do. We have a 200 00:10:40,640 --> 00:10:43,520 Speaker 3: plan for the surgery, but we get in, we open 201 00:10:43,600 --> 00:10:46,199 Speaker 3: up the nose, and often things are a little bit 202 00:10:46,280 --> 00:10:50,040 Speaker 3: different than we anticipated. And the reason for that is 203 00:10:50,160 --> 00:10:52,960 Speaker 3: there's no scan. We can't do an MRI of your 204 00:10:53,000 --> 00:10:55,880 Speaker 3: nose or a cat scan or even an ultrasound to 205 00:10:55,920 --> 00:10:59,280 Speaker 3: see the shape of the cartilages of your nose. I've 206 00:10:59,360 --> 00:11:03,240 Speaker 3: often lifted up the skin only to find that the 207 00:11:03,440 --> 00:11:08,120 Speaker 3: cartilages had been fractured. And when you're like nine or 208 00:11:08,160 --> 00:11:11,680 Speaker 3: ten or fifteen and you break your nose, often you 209 00:11:11,720 --> 00:11:14,720 Speaker 3: know it gets set. You remember that day, but you 210 00:11:14,800 --> 00:11:18,800 Speaker 3: don't know that the cartilages which were damaged will stay 211 00:11:18,880 --> 00:11:22,640 Speaker 3: damaged for your entire life. They don't mend like bone 212 00:11:22,679 --> 00:11:26,160 Speaker 3: does and like skin does, so there are often surprises. 213 00:11:26,320 --> 00:11:29,600 Speaker 3: So we need to have literally hundreds of different steps 214 00:11:29,640 --> 00:11:33,040 Speaker 3: available to us so that when we do this procedure 215 00:11:33,880 --> 00:11:37,080 Speaker 3: we can call upon our vast experience. And it takes 216 00:11:37,080 --> 00:11:41,839 Speaker 3: about one hundred rhinoplasties before a plastic surgeon feels competent 217 00:11:42,200 --> 00:11:45,920 Speaker 3: in doing a rhinoplasty. And some plastic surgeons get that 218 00:11:45,960 --> 00:11:50,480 Speaker 3: experience in the residency, some don't. Some require a number 219 00:11:50,520 --> 00:11:53,840 Speaker 3: of years after residency before they feel really good about 220 00:11:53,880 --> 00:11:57,240 Speaker 3: the procedure. So, because it is so difficult, and because 221 00:11:57,280 --> 00:12:01,640 Speaker 3: it is the most artistic and creative of all plastic surgery, 222 00:12:02,040 --> 00:12:04,400 Speaker 3: well that's why I enjoy it so much. And I 223 00:12:04,440 --> 00:12:08,040 Speaker 3: particularly enjoy when someone comes in. And some people don't 224 00:12:08,080 --> 00:12:10,800 Speaker 3: do this also, but if they had a rhinoplasty by 225 00:12:10,840 --> 00:12:14,480 Speaker 3: someone else and they're unhappy with the results, sometimes you know, 226 00:12:14,559 --> 00:12:17,600 Speaker 3: sometimes there's nothing much we can do, but often there 227 00:12:17,679 --> 00:12:20,040 Speaker 3: is a lot that can be done, and sometimes we 228 00:12:20,120 --> 00:12:24,720 Speaker 3: have to borrow cartilage from the ear, for instance, or 229 00:12:24,800 --> 00:12:27,840 Speaker 3: skin or tissue from somewhere else in the body and 230 00:12:28,000 --> 00:12:31,000 Speaker 3: actually remake a lot of the nose. So a rhinoplasty 231 00:12:31,080 --> 00:12:33,560 Speaker 3: is a very complex operation. When you come into my 232 00:12:33,640 --> 00:12:38,800 Speaker 3: office now, the average person hasn't had a rhinoplasty before, 233 00:12:38,840 --> 00:12:42,199 Speaker 3: and hasn't had a nasal fracture. They just are unhappy 234 00:12:42,240 --> 00:12:45,719 Speaker 3: with the appearance of their nose. So we sit down 235 00:12:45,720 --> 00:12:48,600 Speaker 3: on a consultation. First, I examine your nose and I 236 00:12:48,600 --> 00:12:51,400 Speaker 3: actually do feel the bones and the cartilages of the nose, 237 00:12:51,920 --> 00:12:54,800 Speaker 3: and I determine whether or not the septum, that's the 238 00:12:55,200 --> 00:12:59,600 Speaker 3: structure between your nostrils, whether it's straight or blocking. And 239 00:12:59,640 --> 00:13:01,600 Speaker 3: if it's blocking, we might have to do something to 240 00:13:01,640 --> 00:13:06,600 Speaker 3: the septum. But if it's not perfectly straight, often we 241 00:13:06,679 --> 00:13:08,959 Speaker 3: don't have to do something. We can just hide the 242 00:13:10,080 --> 00:13:14,320 Speaker 3: fact that it's not perfectly straight, because if we unnecessarily 243 00:13:15,280 --> 00:13:18,599 Speaker 3: operate on the septum, well, that's the structural support of 244 00:13:18,640 --> 00:13:20,520 Speaker 3: the nose, and we only want to operate on that 245 00:13:21,000 --> 00:13:23,520 Speaker 3: if it's really if it really needs to be operated on. 246 00:13:23,679 --> 00:13:27,440 Speaker 3: So it makes sense, right, So a rhinoplasty, we assess 247 00:13:27,520 --> 00:13:30,079 Speaker 3: the cartilages, we assess the no of the bones of 248 00:13:30,120 --> 00:13:32,400 Speaker 3: the nose, and then I take photographs. And those photographs 249 00:13:32,440 --> 00:13:36,520 Speaker 3: are critically important in this operation. They're important in all 250 00:13:36,559 --> 00:13:43,000 Speaker 3: plastic surgery operations, but absolutely essential in nasal reshaping operations. 251 00:13:43,400 --> 00:13:47,120 Speaker 3: I use something called the mirror image system, both in 252 00:13:47,160 --> 00:13:50,199 Speaker 3: the two dimensional and three dimensional systems, and that means 253 00:13:50,400 --> 00:13:53,400 Speaker 3: we take photographs, we show you your pictures, and then 254 00:13:53,440 --> 00:13:57,960 Speaker 3: we digitally alter the photographs. And I like you to 255 00:13:58,040 --> 00:14:00,880 Speaker 3: look at these and say, yeah, that's that's kind of 256 00:14:00,880 --> 00:14:04,800 Speaker 3: what I want, or no, that's overdone, or no, not enough. 257 00:14:05,280 --> 00:14:10,200 Speaker 3: Everybody's different. I've done sisters who wanted completely different noses. 258 00:14:10,920 --> 00:14:14,160 Speaker 3: One wanted a dramatic result, one wanted a less dramatic result. 259 00:14:14,240 --> 00:14:16,880 Speaker 3: I listened to you because this operation is not for 260 00:14:16,960 --> 00:14:19,800 Speaker 3: me as a plastic surgeon. It is for you. And 261 00:14:19,920 --> 00:14:22,400 Speaker 3: a lot of people do come in with ideas of 262 00:14:22,440 --> 00:14:24,520 Speaker 3: what they want to look like. Now it's a big 263 00:14:24,560 --> 00:14:27,840 Speaker 3: red flag, by the way, if you bring photographs of 264 00:14:27,920 --> 00:14:30,200 Speaker 3: let's say a celebrity you want to look like Angelina 265 00:14:30,200 --> 00:14:33,880 Speaker 3: and Jolie, and you don't look anything like her. Now 266 00:14:34,080 --> 00:14:36,480 Speaker 3: it's a red flag, it really is, because I can't 267 00:14:36,480 --> 00:14:39,240 Speaker 3: make you look like her, You really can't. I can 268 00:14:39,320 --> 00:14:42,440 Speaker 3: only make you look like you, but a better version 269 00:14:42,640 --> 00:14:46,160 Speaker 3: of you. And it's really very important to understand that. 270 00:14:46,360 --> 00:14:50,440 Speaker 3: And if you can't articulate to me what it is 271 00:14:50,480 --> 00:14:53,400 Speaker 3: that bothers you about your nose, then we have a problem. 272 00:14:53,400 --> 00:14:56,840 Speaker 3: I've canceled people before surgery because they just could not 273 00:14:57,840 --> 00:15:00,720 Speaker 3: understand what they wanted to achieve, and that gets into 274 00:15:00,720 --> 00:15:04,120 Speaker 3: a dangerous situation. If you and I can't agree on 275 00:15:04,200 --> 00:15:07,120 Speaker 3: what your nose should look like, then how can we 276 00:15:07,280 --> 00:15:11,840 Speaker 3: possibly achieve that result. So when I show you those pictures, 277 00:15:11,920 --> 00:15:15,640 Speaker 3: those digitally altered photographs of yourself, we need to be 278 00:15:15,680 --> 00:15:18,440 Speaker 3: able to come to an understanding. And then and only 279 00:15:18,480 --> 00:15:21,200 Speaker 3: then can I make an operative plan. I see you 280 00:15:21,240 --> 00:15:24,400 Speaker 3: twice before surgery because I like you to think about 281 00:15:24,440 --> 00:15:28,360 Speaker 3: it and then confirm what we talked about during the 282 00:15:28,360 --> 00:15:30,280 Speaker 3: second visit. Then we go to the operating room and 283 00:15:30,320 --> 00:15:34,440 Speaker 3: it's off to general anesthesia. It's a safer thing to 284 00:15:34,480 --> 00:15:37,600 Speaker 3: have general anesthesia with this procedure than sedation, you know. 285 00:15:37,640 --> 00:15:42,480 Speaker 3: I do facelifts and eyelids and ear reshaping under sedation, 286 00:15:42,760 --> 00:15:47,239 Speaker 3: anesesia lip a suction of the neck under sedation, anesesia 287 00:15:47,360 --> 00:15:51,880 Speaker 3: chin implants under sedation. But rhinoplasts, well, I think it's 288 00:15:51,880 --> 00:15:55,400 Speaker 3: safer because, yeah, we want to control your airway. We 289 00:15:55,440 --> 00:15:59,840 Speaker 3: want an anesthesiologist there who who you know, if I'm 290 00:16:00,000 --> 00:16:02,160 Speaker 3: operating on your nose, and even though we put some 291 00:16:02,200 --> 00:16:04,160 Speaker 3: packing in your nose during surgery, there could be a 292 00:16:04,200 --> 00:16:06,000 Speaker 3: little bit of blood running down the back of your 293 00:16:06,000 --> 00:16:09,040 Speaker 3: nose and we certainly don't want that to get into 294 00:16:09,080 --> 00:16:13,520 Speaker 3: your lungs. So general anesthesia protects your lungs during the procedure, 295 00:16:13,640 --> 00:16:15,760 Speaker 3: and that is the preferred way that I do it. 296 00:16:15,800 --> 00:16:19,360 Speaker 3: So the rhinoplasty takes between two and three hours. It 297 00:16:19,440 --> 00:16:22,600 Speaker 3: is a you know, you've heard of these fifteen minute rhinoplasties. 298 00:16:22,640 --> 00:16:26,040 Speaker 3: I remember there was one plastic surgeon in Philadelphia who 299 00:16:26,280 --> 00:16:30,120 Speaker 3: advertised the fifteen minute rhinoplasty. I always say it takes 300 00:16:30,160 --> 00:16:32,400 Speaker 3: me half that time just to wash my hands before 301 00:16:32,400 --> 00:16:36,800 Speaker 3: the procedure and prep your skin and get everything ready. 302 00:16:36,840 --> 00:16:40,000 Speaker 3: We're already up to fifteen minutes. It is not a race. 303 00:16:40,200 --> 00:16:44,760 Speaker 3: It is a very carefully done procedure that has to 304 00:16:44,800 --> 00:16:48,520 Speaker 3: be done in a really a very calculated way. The 305 00:16:48,640 --> 00:16:52,600 Speaker 3: steps that I plan in advance are critically important. We 306 00:16:52,680 --> 00:16:55,800 Speaker 3: have to be able to change those if necessary. And 307 00:16:56,000 --> 00:16:57,840 Speaker 3: it takes two to three hours to do this. And 308 00:16:57,880 --> 00:17:00,320 Speaker 3: after the procedure, I try not to put any acting 309 00:17:00,320 --> 00:17:02,680 Speaker 3: in the nose because that's the worst part of the 310 00:17:02,680 --> 00:17:05,320 Speaker 3: procedure for most people. If you can't breathe through your nose, 311 00:17:05,320 --> 00:17:07,800 Speaker 3: you should be able to after this surgery. And then 312 00:17:07,840 --> 00:17:10,280 Speaker 3: we put a splint on your nose and voil, we're 313 00:17:10,280 --> 00:17:13,399 Speaker 3: all done. It does not hurt afterwards, It really doesn't. 314 00:17:13,440 --> 00:17:15,120 Speaker 3: On the scale of one to ten, it's somewhere around 315 00:17:15,160 --> 00:17:17,360 Speaker 3: a one to one and a half tile and all 316 00:17:17,440 --> 00:17:19,840 Speaker 3: is all you'll need. But you look pretty bad. You've 317 00:17:19,880 --> 00:17:23,159 Speaker 3: got a splint on your nose and bruised cheeks. And 318 00:17:23,240 --> 00:17:26,000 Speaker 3: when I take off that splint a week or so 319 00:17:26,200 --> 00:17:29,560 Speaker 3: after surgery, well you're not quite at the final because 320 00:17:29,600 --> 00:17:32,360 Speaker 3: you still have some swelling and it takes many months 321 00:17:32,400 --> 00:17:36,080 Speaker 3: to get to the final result after a rhinoplasty. When 322 00:17:36,119 --> 00:17:37,800 Speaker 3: we come back from our break, we'll finish up the 323 00:17:37,840 --> 00:17:41,200 Speaker 3: rhinoplasty discussion and talk a little bit more about scars. 324 00:17:41,760 --> 00:17:44,879 Speaker 3: I'm doctor Arthur Perry, board certified plastic surgeon host of 325 00:17:44,880 --> 00:17:47,959 Speaker 3: What's Your Wrinkle? Right here on wr eight hundred three 326 00:17:48,000 --> 00:17:50,000 Speaker 3: to two one zero seven ten is the phone number. 327 00:17:50,160 --> 00:17:56,760 Speaker 3: We'll be back after these words. They say that sixty 328 00:17:56,840 --> 00:17:59,359 Speaker 3: is the new fifty. But while you may feel and 329 00:17:59,560 --> 00:18:03,040 Speaker 3: act fit, the mirror doesn't lie. But that's where plastic 330 00:18:03,080 --> 00:18:06,679 Speaker 3: surgery comes in. I'm board certified plastic surgeon, doctor Arthur Perry, 331 00:18:06,720 --> 00:18:10,280 Speaker 3: and I love helping patients look younger and better. If 332 00:18:10,280 --> 00:18:14,000 Speaker 3: you've got sagging cheeks, jowls, and that dreaded turkey gobbler, 333 00:18:14,040 --> 00:18:16,000 Speaker 3: it might be time for a little nip and a tuck. 334 00:18:16,200 --> 00:18:19,240 Speaker 3: You look more rested and yes, younger. With my short 335 00:18:19,280 --> 00:18:22,879 Speaker 3: scar facelift and the artistic injection of wrinkle filler or 336 00:18:22,880 --> 00:18:25,080 Speaker 3: a laser peel, well, that might be just what it 337 00:18:25,080 --> 00:18:27,320 Speaker 3: takes to get you looking as good as you feel. 338 00:18:27,520 --> 00:18:29,880 Speaker 3: Let's sit down for an hour consultation in my new 339 00:18:29,920 --> 00:18:32,600 Speaker 3: Park Avenue office. Together we'll come up with a plan 340 00:18:32,680 --> 00:18:34,760 Speaker 3: to help you look your best. Give me a call 341 00:18:34,880 --> 00:18:38,400 Speaker 3: at eight three three Perry MD. That's a three three 342 00:18:38,560 --> 00:18:41,040 Speaker 3: p E R R Y M D. Check me out 343 00:18:41,040 --> 00:18:44,000 Speaker 3: on the web at periplastic surgery dot com, and don't 344 00:18:44,040 --> 00:18:46,920 Speaker 3: forget to listen to me, Doctor Arthur Perry, every Saturday 345 00:18:46,920 --> 00:18:51,640 Speaker 3: evening at six pm right here on WOR. You're listening 346 00:18:51,680 --> 00:18:55,040 Speaker 3: to What's your Wrinkle with Doctor Arthur Perry. What's your wrinkle? 347 00:18:55,560 --> 00:18:58,520 Speaker 3: And what is your wrinkle? I'm board certified plastic surgeon, 348 00:18:58,520 --> 00:19:01,680 Speaker 3: Doctor Arthur Perry. Are you getting the podcasts straight talk 349 00:19:01,720 --> 00:19:05,200 Speaker 3: about cosmetic surgery? If you're not in the podcast world yet, 350 00:19:05,280 --> 00:19:07,639 Speaker 3: you really should be because you can listen to this 351 00:19:07,720 --> 00:19:10,199 Speaker 3: show anytime you want. You don't have to listen at 352 00:19:10,240 --> 00:19:15,040 Speaker 3: six o'clock every Saturday evening tie yourself down like I do. No, 353 00:19:15,280 --> 00:19:19,480 Speaker 3: you can listen on Wednesday morning or Thursday evening or 354 00:19:19,520 --> 00:19:23,560 Speaker 3: whenever you want. So you go to iHeart Podcasts or 355 00:19:23,640 --> 00:19:26,800 Speaker 3: Apple Podcasts, and then you put my name in doctor 356 00:19:26,920 --> 00:19:29,520 Speaker 3: Arthur Perry, or just put the words cosmetic surgery and 357 00:19:29,720 --> 00:19:34,080 Speaker 3: find this podcast, listen to it, hit subscribe. That's the 358 00:19:34,200 --> 00:19:37,040 Speaker 3: key thing. And then every time I post one of these, 359 00:19:37,040 --> 00:19:39,680 Speaker 3: which hopefully is every week. Oh by the way, noah, 360 00:19:39,680 --> 00:19:43,040 Speaker 3: we've got five hundred podcasts now posted. I've done over 361 00:19:43,040 --> 00:19:45,720 Speaker 3: a thousand. But in the beginning, those early years that 362 00:19:45,840 --> 00:19:50,359 Speaker 3: used to give me the CD well they're not yeah, yeah, 363 00:19:50,440 --> 00:19:53,040 Speaker 3: so not quite those early ones. Only a few of 364 00:19:53,040 --> 00:19:56,080 Speaker 3: those are up, but five hundred podcasts, and I think 365 00:19:56,320 --> 00:20:02,280 Speaker 3: that's a record for certainly most medical and certainly all 366 00:20:02,680 --> 00:20:05,600 Speaker 3: in the world of cosmetic surgery. Anyway, go ahead, hit 367 00:20:05,640 --> 00:20:09,639 Speaker 3: subscribe and when the new one is posted, you'll get 368 00:20:09,640 --> 00:20:14,399 Speaker 3: an email that says, listen to straight talk about cosmetic surgery. 369 00:20:14,520 --> 00:20:14,879 Speaker 4: All right. 370 00:20:15,040 --> 00:20:19,800 Speaker 3: So rhinoplasts, that's the name of the operation. Fifty thousand 371 00:20:19,880 --> 00:20:23,159 Speaker 3: or so in the United States every year. That doesn't 372 00:20:23,160 --> 00:20:26,280 Speaker 3: sound like a tremendous number, but they're mostly in the 373 00:20:26,280 --> 00:20:32,840 Speaker 3: big cities like New York, the metropolitan areas New York, Chicago, La, Dallas, 374 00:20:32,080 --> 00:20:38,360 Speaker 3: and Miami. Cities like that Philadelphia. When do I do them? 375 00:20:38,400 --> 00:20:42,080 Speaker 3: How old? Well? For a woman, fourteen is the beginning 376 00:20:42,119 --> 00:20:44,639 Speaker 3: of the rhinoplasty age. For a man, it's about sixteen. 377 00:20:45,520 --> 00:20:50,240 Speaker 3: And I do most rhinoplasts in people around anywhere from 378 00:20:50,280 --> 00:20:55,080 Speaker 3: fourteen to twenty. The second group of women's and women 379 00:20:55,160 --> 00:20:58,399 Speaker 3: are probably ninety five percent of the rhinoplasty patients. The 380 00:20:58,400 --> 00:21:02,280 Speaker 3: second group, well after pregnancy, so you've had your kids, 381 00:21:02,560 --> 00:21:05,000 Speaker 3: you start looking at yourself and saying, you know, it's time. 382 00:21:05,040 --> 00:21:07,760 Speaker 3: I wanted to have a rhinoplasty when I was eighteen, 383 00:21:07,840 --> 00:21:10,520 Speaker 3: but I didn't have the resources. Now I do. So 384 00:21:10,600 --> 00:21:13,479 Speaker 3: I see a lot of women after pregnancy and the 385 00:21:13,560 --> 00:21:17,840 Speaker 3: third group. Yeah, it's the sixty to seventy year old surprisingly, 386 00:21:18,200 --> 00:21:23,120 Speaker 3: but what happens. Remember Carl Malden. You remember Carl Malden though, Yeah, 387 00:21:23,160 --> 00:21:26,679 Speaker 3: he had a bulbous tip to his nose, and that 388 00:21:26,800 --> 00:21:30,480 Speaker 3: happens to many people. As you age. You know, your 389 00:21:30,520 --> 00:21:34,159 Speaker 3: ears begin to lengthen, your cartilage in your ears, and 390 00:21:34,200 --> 00:21:38,600 Speaker 3: your nose change and thicken, and your nose you swear 391 00:21:38,640 --> 00:21:40,520 Speaker 3: when you were twenty you didn't have a bulbus tip, 392 00:21:40,520 --> 00:21:42,640 Speaker 3: but now you do. So often we'll do a tip 393 00:21:42,720 --> 00:21:46,879 Speaker 3: rhinoplasty at the same time as your facelift or just 394 00:21:46,960 --> 00:21:49,800 Speaker 3: independent and that's a rhinoplasty that we don't have to 395 00:21:49,800 --> 00:21:53,359 Speaker 3: go under general anesthesia. If we're just doing a tip procedure, 396 00:21:53,400 --> 00:21:56,000 Speaker 3: we could do that under sedation because we're not making 397 00:21:56,320 --> 00:21:58,960 Speaker 3: any cuts in the bones or anything like that. So 398 00:21:59,040 --> 00:22:03,200 Speaker 3: that's rhinoplast It's my favorite operation. I love doing them. 399 00:22:03,600 --> 00:22:06,640 Speaker 3: And you know it's come on in and let's talk 400 00:22:06,680 --> 00:22:11,200 Speaker 3: about your nose, all right. Scars Chapter two here, scars. 401 00:22:11,560 --> 00:22:14,600 Speaker 3: Every body's got scars. Right. We talked about this a 402 00:22:14,600 --> 00:22:17,600 Speaker 3: few weeks ago. You know, most children get that little 403 00:22:17,600 --> 00:22:20,920 Speaker 3: scar in their chin, you know, or on their eyelid, 404 00:22:21,080 --> 00:22:24,760 Speaker 3: just underneath their eyebrow because they start walking and they 405 00:22:24,800 --> 00:22:27,040 Speaker 3: fall and they fall on the floor, they fall up 406 00:22:27,080 --> 00:22:31,440 Speaker 3: against the fireplace. And I used to spend a lot 407 00:22:31,480 --> 00:22:34,520 Speaker 3: of time sewing up little children. Don't spend as much 408 00:22:34,560 --> 00:22:37,720 Speaker 3: time doing that now I do mostly cosmetic surgery, but 409 00:22:38,240 --> 00:22:41,760 Speaker 3: you know, often I still will, so as a favorite 410 00:22:41,760 --> 00:22:43,840 Speaker 3: of people, I'll sew up their kid when they fall. 411 00:22:44,280 --> 00:22:48,320 Speaker 3: And Derma bond is that glue. Now that is very 412 00:22:48,440 --> 00:22:52,520 Speaker 3: very useful in little babies because they don't like being 413 00:22:52,600 --> 00:22:55,080 Speaker 3: numbed up. They don't like having stitches, and we can 414 00:22:55,359 --> 00:22:59,080 Speaker 3: put wounds back together with glue very very easily. So 415 00:22:59,320 --> 00:23:02,399 Speaker 3: when you get a wound, you're going to heal with 416 00:23:02,440 --> 00:23:07,280 Speaker 3: a scar. And that scar is a random orientation, right. 417 00:23:07,320 --> 00:23:11,400 Speaker 3: We don't plan how we fall, So if you did 418 00:23:11,440 --> 00:23:14,360 Speaker 3: it right, you'd have a nice horizontal line on your forehead. 419 00:23:14,359 --> 00:23:17,320 Speaker 3: But most people wind up a vulsing a little bit 420 00:23:17,359 --> 00:23:20,600 Speaker 3: of skin or getting a scar in an oblique direction 421 00:23:20,960 --> 00:23:24,840 Speaker 3: and looks pretty bad. So what plastic surgeons do, and 422 00:23:24,880 --> 00:23:27,439 Speaker 3: this is very different from other types of doctors. So 423 00:23:27,600 --> 00:23:31,320 Speaker 3: if you go to the emergency room with a wound, oh, 424 00:23:31,359 --> 00:23:33,240 Speaker 3: you might get an emergency room doctor. You might get 425 00:23:33,240 --> 00:23:36,680 Speaker 3: a physician's assistant. Usually these days, you're not going to 426 00:23:36,720 --> 00:23:39,600 Speaker 3: get a plastic surgeon unless you ask for a plastic surgeon. 427 00:23:40,440 --> 00:23:44,080 Speaker 3: But the non plastic surgeons are going to kind of 428 00:23:44,240 --> 00:23:47,119 Speaker 3: put things back together, and sometimes it looks okay, and 429 00:23:47,200 --> 00:23:49,479 Speaker 3: sometimes it doesn't. So a lot of people come to 430 00:23:49,520 --> 00:23:52,160 Speaker 3: me afterwards and they say, you know, I was sewn 431 00:23:52,200 --> 00:23:53,800 Speaker 3: up in the emergency room a couple of weeks ago 432 00:23:54,200 --> 00:23:56,400 Speaker 3: and it just looks pretty bad. What do we do? 433 00:23:56,520 --> 00:23:59,560 Speaker 3: And if it was done poorly, we can go ahead 434 00:23:59,640 --> 00:24:02,760 Speaker 3: in the office and redo that scar. That's called the 435 00:24:02,760 --> 00:24:06,240 Speaker 3: scar revision. We can numb it up and pretend it's 436 00:24:06,280 --> 00:24:09,040 Speaker 3: that day of the injury, except this time I get 437 00:24:09,040 --> 00:24:13,080 Speaker 3: to plan the incisions, not you. And what I do 438 00:24:13,480 --> 00:24:15,639 Speaker 3: is I lift the skin up. I get rid of 439 00:24:15,680 --> 00:24:21,480 Speaker 3: the severely damaged skin that's called debreedment, and then I 440 00:24:21,600 --> 00:24:23,919 Speaker 3: sew the bottom part of the skin that's called the 441 00:24:24,000 --> 00:24:26,879 Speaker 3: dermist together with stitches that stay in a long time 442 00:24:27,000 --> 00:24:29,400 Speaker 3: and dissolve on the face. Those stitches stay in about 443 00:24:29,400 --> 00:24:32,199 Speaker 3: three weeks and on your body almost six months. And 444 00:24:32,240 --> 00:24:35,360 Speaker 3: that's very very important because if I put stitches in 445 00:24:35,440 --> 00:24:38,000 Speaker 3: let's say your leg and take them out of a 446 00:24:38,000 --> 00:24:41,359 Speaker 3: week or two, that wound is going to spread wide, 447 00:24:41,400 --> 00:24:44,159 Speaker 3: that scar is going to be wide, and it's just 448 00:24:44,160 --> 00:24:46,320 Speaker 3: not going to look good. So plastic surgeons put two 449 00:24:46,359 --> 00:24:49,160 Speaker 3: layers of stitches at least, and we put some fine 450 00:24:49,160 --> 00:24:51,120 Speaker 3: stitches in the surface of the skin, and we want 451 00:24:51,119 --> 00:24:53,800 Speaker 3: to get those out by a week. So that's very 452 00:24:53,920 --> 00:24:56,119 Speaker 3: very important. But let's say you come in with a 453 00:24:56,160 --> 00:24:58,840 Speaker 3: scar that's a year old and you don't want me 454 00:24:58,880 --> 00:25:02,520 Speaker 3: to do a cer procedure. What else you might ask 455 00:25:02,600 --> 00:25:06,119 Speaker 3: me about lasers and lasers can help certain scars. If 456 00:25:06,160 --> 00:25:10,280 Speaker 3: you've got red raised scars, well, lasers are useful to 457 00:25:11,280 --> 00:25:14,439 Speaker 3: kind of flatten those scars so that's okay, and shrink 458 00:25:14,720 --> 00:25:19,240 Speaker 3: some widened shallow scars also, so we use different lasers 459 00:25:19,280 --> 00:25:23,840 Speaker 3: for different things, and scar revision lasers. And the final 460 00:25:23,880 --> 00:25:26,800 Speaker 3: thing with scars, sometimes I just fill them because if 461 00:25:26,800 --> 00:25:29,960 Speaker 3: they're depressed, it's very easy to use wrinkle filler to 462 00:25:30,000 --> 00:25:31,800 Speaker 3: get those up to levels so that you can put 463 00:25:31,800 --> 00:25:35,760 Speaker 3: makeup on and the light doesn't cast a shadow, all right, 464 00:25:35,840 --> 00:25:38,080 Speaker 3: this time we are in the studio and Noah is 465 00:25:38,200 --> 00:25:41,440 Speaker 3: waving his hands frantically. The show's about to end. Thank 466 00:25:41,440 --> 00:25:44,160 Speaker 3: you so much for listening. Thanks for great engineering during 467 00:25:44,200 --> 00:25:46,639 Speaker 3: the week. My phone number is two one two seven 468 00:25:46,800 --> 00:25:49,160 Speaker 3: five three, eighteen twenty. That's how you get a hold 469 00:25:49,160 --> 00:25:51,360 Speaker 3: of me in the New York office. That'll also ring 470 00:25:51,400 --> 00:25:54,199 Speaker 3: New Jersey if you if you'd like, the website is 471 00:25:54,320 --> 00:25:57,400 Speaker 3: Peryplastic Surgery dot com. And don't forget if you want 472 00:25:57,440 --> 00:26:00,400 Speaker 3: the products we talk about on the show, it's Amazon 473 00:26:00,880 --> 00:26:03,600 Speaker 3: dot com. That's Amazon dot com and you get free 474 00:26:03,600 --> 00:26:06,359 Speaker 3: shipping if you're a Prime member. All those great things 475 00:26:06,359 --> 00:26:09,359 Speaker 3: with Amazon. Buy them there. Noah, thanks so much. We'll 476 00:26:09,400 --> 00:26:12,880 Speaker 3: see everybody six o'clock next week. Bye bye. Now. 477 00:26:13,119 --> 00:26:17,040 Speaker 1: The preceding was a paid podcast. iHeartRadio's hosting of this 478 00:26:17,119 --> 00:26:20,920 Speaker 1: podcast constitutes neither an endorsement of the products offered or 479 00:26:21,000 --> 00:26:22,320 Speaker 1: the ideas expressed.