1 00:00:00,080 --> 00:00:03,800 Speaker 1: The following is a paid podcast. iHeartRadio's hosting of this 2 00:00:03,920 --> 00:00:07,720 Speaker 1: podcast constitutes neither an endorsement of the products offered or 3 00:00:07,800 --> 00:00:09,119 Speaker 1: the ideas expressed. 4 00:00:09,440 --> 00:00:13,080 Speaker 2: Well Doctor Arthur Perry, he's one of the top plastic surgeons. 5 00:00:13,119 --> 00:00:15,360 Speaker 2: He's got offices in Manhattan, New Jersey. You know what, 6 00:00:15,400 --> 00:00:17,400 Speaker 2: He's been doing the show here on w R for 7 00:00:17,480 --> 00:00:20,720 Speaker 2: years and years and years. Very popular show and a 8 00:00:20,760 --> 00:00:24,279 Speaker 2: great plastic surgeon. Everybody has questions on this subject, so 9 00:00:24,880 --> 00:00:25,919 Speaker 2: he's the guy to ask. 10 00:00:26,000 --> 00:00:28,600 Speaker 3: Doctor Arthur Perry, and the public wants to know the 11 00:00:28,680 --> 00:00:31,479 Speaker 3: public doesn't get a damn. And I went to his 12 00:00:31,520 --> 00:00:33,480 Speaker 3: office and I said, I said, look at my face. 13 00:00:33,560 --> 00:00:35,000 Speaker 3: And he goes, yeah, look at your face. We're going 14 00:00:35,000 --> 00:00:36,080 Speaker 3: to do with your fan What can you do with 15 00:00:36,120 --> 00:00:37,760 Speaker 3: his face? I go like that, I SA what I got? 16 00:00:37,760 --> 00:00:39,360 Speaker 3: I go look at this, I'm getting old. I said, 17 00:00:39,400 --> 00:00:40,919 Speaker 3: I wanna maybe you can fix it up a little bit. 18 00:00:40,960 --> 00:00:41,920 Speaker 3: Doctor Oz, are you there? 19 00:00:42,120 --> 00:00:43,720 Speaker 4: I've here Ark and I want to get a plauged you. 20 00:00:43,800 --> 00:00:46,400 Speaker 4: Having worked with you on a book and numerous other activity. 21 00:00:46,400 --> 00:00:49,680 Speaker 3: You want to talk to Arthur Perry, the best in plastic. 22 00:00:49,280 --> 00:00:52,200 Speaker 4: Surgery, workable knowledge, but also your grace at delivery content, 23 00:00:52,240 --> 00:00:53,559 Speaker 4: which is why it's been a blessing to have you 24 00:00:53,600 --> 00:00:54,640 Speaker 4: on my show so many times. 25 00:00:54,680 --> 00:00:56,880 Speaker 3: When I was a resident at the University of Chicago, 26 00:00:57,000 --> 00:00:57,680 Speaker 3: we had a. 27 00:00:58,200 --> 00:01:01,520 Speaker 4: Smart as I really really gift us position. I want 28 00:01:01,560 --> 00:01:03,240 Speaker 4: to pay you the highest treet I can give to 29 00:01:03,240 --> 00:01:04,760 Speaker 4: a surgeon, which is when people come to you, they 30 00:01:04,760 --> 00:01:06,759 Speaker 4: don't come for an operation, they come for an opinion. 31 00:01:07,160 --> 00:01:09,320 Speaker 4: And that's why I trust you with my friends relatives. 32 00:01:09,480 --> 00:01:11,199 Speaker 4: I didn't realize we were going to get the Michael 33 00:01:11,280 --> 00:01:13,720 Speaker 4: Jordan of Plastic Surgeons nine oh two and zero. 34 00:01:13,760 --> 00:01:18,039 Speaker 3: Bows to this guy, and welcome. This is board certified 35 00:01:18,040 --> 00:01:20,640 Speaker 3: plastic surgeon, doctor Arthur Perry, and you are listening to 36 00:01:20,720 --> 00:01:23,479 Speaker 3: What's Your Wrinkle right here on wo R. I hope 37 00:01:23,480 --> 00:01:27,280 Speaker 3: you're all having a great weekend. It's freezing out there 38 00:01:27,319 --> 00:01:30,400 Speaker 3: in New York, is it? It's really really cold. I mean, 39 00:01:30,440 --> 00:01:32,240 Speaker 3: this is the coldest winter we've had a long time. 40 00:01:32,480 --> 00:01:34,920 Speaker 3: My son just flew in from Los Angeles and he's 41 00:01:34,959 --> 00:01:38,520 Speaker 3: in total weather shock, you know, so, but I want 42 00:01:38,560 --> 00:01:40,600 Speaker 3: you to stay warm, and you can stay warm by 43 00:01:40,640 --> 00:01:44,320 Speaker 3: listening to this show What's Your Wrinkle? Right here Every 44 00:01:44,400 --> 00:01:47,480 Speaker 3: Saturday evening at six o'clock on woor and if you're 45 00:01:47,520 --> 00:01:51,280 Speaker 3: listening to the podcast, it's straight talk about cosmetic surgery. 46 00:01:51,320 --> 00:01:53,560 Speaker 3: So if it's a Wednesday morning and you're driving to work, 47 00:01:54,360 --> 00:01:57,440 Speaker 3: we're not live. We're live Saturdays at six o'clock where 48 00:01:57,440 --> 00:02:00,680 Speaker 3: you can give us a call. Eight hundred one zero 49 00:02:00,760 --> 00:02:03,120 Speaker 3: seven ten. That's the phone number here at wo R 50 00:02:03,640 --> 00:02:05,840 Speaker 3: eight hundred three two one zero seven ten. Give us 51 00:02:05,880 --> 00:02:09,000 Speaker 3: a call. Ask me the questions that have been keeping 52 00:02:09,040 --> 00:02:10,880 Speaker 3: you up at night, and I know you've got those. 53 00:02:11,360 --> 00:02:14,760 Speaker 3: I know the ones about those wrinkles around your eyes. 54 00:02:14,840 --> 00:02:18,240 Speaker 3: You know, can you treat those with botox or filler 55 00:02:18,720 --> 00:02:21,639 Speaker 3: or lasers or do you have to do surgery? Ask 56 00:02:21,720 --> 00:02:23,640 Speaker 3: me those questions. I'm here for you, and we're gonna 57 00:02:23,639 --> 00:02:27,000 Speaker 3: give away bottles of Nighttime. Tonight. Nighttime is one stop 58 00:02:27,040 --> 00:02:31,960 Speaker 3: shopping for skincare. It's everything you need in a skincare program, 59 00:02:32,320 --> 00:02:34,600 Speaker 3: and I left out the stuff that just doesn't work. 60 00:02:34,639 --> 00:02:38,440 Speaker 3: There's vitamin A and vitamin C, fruit as is, antioxidants, 61 00:02:38,520 --> 00:02:41,320 Speaker 3: skin brighteners, that's what's in it. In a light serum. 62 00:02:41,760 --> 00:02:44,800 Speaker 3: I've got such a loyal group of people that use 63 00:02:45,040 --> 00:02:48,200 Speaker 3: Nighttime and have have used it for years and years. 64 00:02:48,240 --> 00:02:51,920 Speaker 3: The predecessor was night skin. You might remember that. I 65 00:02:51,919 --> 00:02:54,400 Speaker 3: don't think that's available with that other company now, but 66 00:02:55,200 --> 00:02:58,480 Speaker 3: nighttime is and and we're giving away bottles tonight eight 67 00:02:58,560 --> 00:03:00,720 Speaker 3: hundred three two one zero seven ten and that's the 68 00:03:00,760 --> 00:03:04,200 Speaker 3: phone number at wor SO. Tonight, I'm going to talk 69 00:03:04,240 --> 00:03:07,239 Speaker 3: about something I've never talked about on the air before 70 00:03:07,520 --> 00:03:13,080 Speaker 3: in twenty years of broadcasting, lowering women's hairlines. How about 71 00:03:13,120 --> 00:03:15,480 Speaker 3: that one. You know, if you've got a high farhead, 72 00:03:15,760 --> 00:03:17,200 Speaker 3: and you know who you are, you know you do 73 00:03:17,280 --> 00:03:20,359 Speaker 3: everything possible with your hair to kind of cover things up. 74 00:03:20,639 --> 00:03:24,919 Speaker 3: Because a high farhead is a masculine feature, and most 75 00:03:25,040 --> 00:03:29,720 Speaker 3: women want a feminized farhead, and so there are procedures 76 00:03:29,800 --> 00:03:33,320 Speaker 3: to lower the hairline and make your farhead a little 77 00:03:33,360 --> 00:03:35,600 Speaker 3: bit smaller. And we're going to talk about that tonight. 78 00:03:35,680 --> 00:03:39,360 Speaker 3: And we're also going to talk about yet another use 79 00:03:39,840 --> 00:03:44,000 Speaker 3: of botox. I mean, botox is incredible. It's a blockbuster 80 00:03:44,200 --> 00:03:47,520 Speaker 3: drug and there are so many uses for it. Well, 81 00:03:47,560 --> 00:03:52,280 Speaker 3: how about one more reshaping the lower face? All right? 82 00:03:52,320 --> 00:03:54,880 Speaker 3: On board? Certified plastic surgeon. If this is the Arthur 83 00:03:54,920 --> 00:03:56,960 Speaker 3: Perry is the name. If this is the very first 84 00:03:57,000 --> 00:03:59,560 Speaker 3: time you've listened to me, where have you been for 85 00:03:59,640 --> 00:04:03,760 Speaker 3: twenty years on wo R. I know, you know my 86 00:04:03,880 --> 00:04:06,600 Speaker 3: kid in La who just flew in. He listens every week, 87 00:04:06,680 --> 00:04:11,680 Speaker 3: right Ben, absolutely? Oh yeah, sure every week. All right, 88 00:04:11,880 --> 00:04:16,360 Speaker 3: so we're gonna talk. Let's let's let's start by talking 89 00:04:16,400 --> 00:04:22,480 Speaker 3: about browlifting. What do browlifts and hairline lowering have in common? Well, 90 00:04:22,520 --> 00:04:24,840 Speaker 3: brownlifts have been around for years and years. I've been 91 00:04:24,839 --> 00:04:28,440 Speaker 3: doing him since the nineteen eighties. You know, some years 92 00:04:28,480 --> 00:04:30,799 Speaker 3: they're pretty popular and some years they're not. There's about 93 00:04:30,839 --> 00:04:34,840 Speaker 3: thirteen thousand in the United States each year, and they've 94 00:04:34,839 --> 00:04:37,440 Speaker 3: gone through many changes. So when I was a resident 95 00:04:37,520 --> 00:04:40,920 Speaker 3: at the University of Chicago, even a colder city than 96 00:04:40,960 --> 00:04:43,119 Speaker 3: New York, by the way, when I was out there, 97 00:04:44,240 --> 00:04:48,280 Speaker 3: well we did these things called bi coronal browlifts, kind 98 00:04:48,279 --> 00:04:52,080 Speaker 3: of a bigger procedure. I made an incision clear across 99 00:04:52,160 --> 00:04:55,160 Speaker 3: the hairline from ear the top of the ear to 100 00:04:55,240 --> 00:04:58,120 Speaker 3: the top of the ear and down to the bone. 101 00:04:58,560 --> 00:05:00,880 Speaker 3: And then oh are you are you you squeamish? You 102 00:05:00,960 --> 00:05:02,920 Speaker 3: might not want to hear about this. And I lifted 103 00:05:03,279 --> 00:05:06,159 Speaker 3: the skin all the way down to the eyebrows. And 104 00:05:06,200 --> 00:05:10,920 Speaker 3: then in those days, we excized the muscles, those muscles 105 00:05:10,960 --> 00:05:13,160 Speaker 3: that gave you the eleven lines. You know, we cut 106 00:05:13,200 --> 00:05:17,000 Speaker 3: those out because we thought if we cut those out, 107 00:05:17,520 --> 00:05:21,360 Speaker 3: you would not be able to frown. All right, sounded good, 108 00:05:21,400 --> 00:05:24,120 Speaker 3: right without those muscles, But it turns out that those 109 00:05:24,200 --> 00:05:27,920 Speaker 3: muscles are so resilient. Human body is really an amazing machine, 110 00:05:27,960 --> 00:05:30,920 Speaker 3: isn't it. We can leave just a little tiny bit 111 00:05:30,920 --> 00:05:32,880 Speaker 3: of muscle if you leave just a little bit, and 112 00:05:32,880 --> 00:05:36,520 Speaker 3: you have to leave some because otherwise you get a 113 00:05:36,520 --> 00:05:39,800 Speaker 3: little divot between the eyebrows if you take too much tissue. 114 00:05:40,240 --> 00:05:42,600 Speaker 3: But there was a study actually at Manhattan I in 115 00:05:42,640 --> 00:05:46,360 Speaker 3: ear right here in New York, which showed that after browlifting, 116 00:05:46,760 --> 00:05:51,440 Speaker 3: within a year, most people needed botox. Again. So because 117 00:05:51,480 --> 00:05:54,320 Speaker 3: the body's so good at fixing those muscles, even with 118 00:05:54,440 --> 00:05:57,440 Speaker 3: little remnants of the muscles, well, you know, you could 119 00:05:57,440 --> 00:06:00,760 Speaker 3: still frown. So that's not a focus of brow lifting anymore. 120 00:06:00,800 --> 00:06:06,039 Speaker 3: We really do rely on botox. But browlifting has a 121 00:06:06,080 --> 00:06:10,159 Speaker 3: great utility in what else, lifting the eyebrows. So where 122 00:06:10,160 --> 00:06:13,400 Speaker 3: should your eyebrows be? Now don't do this while you're driving, 123 00:06:13,839 --> 00:06:18,240 Speaker 3: But if you look in the mirror, a woman's eyebrows 124 00:06:18,440 --> 00:06:22,120 Speaker 3: should be at or just above the bony rim. Now 125 00:06:22,120 --> 00:06:24,960 Speaker 3: it's hard to measure those because it's so easy to 126 00:06:25,440 --> 00:06:28,640 Speaker 3: lift up your brows, particularly if you've got extra skin 127 00:06:28,680 --> 00:06:32,480 Speaker 3: of your eyelids. You'll lift up your brows and you 128 00:06:32,520 --> 00:06:35,200 Speaker 3: won't be able to find the true position of your eyebrows. 129 00:06:35,240 --> 00:06:37,920 Speaker 3: So in the office, when I assess eyebrows, I try 130 00:06:37,920 --> 00:06:40,159 Speaker 3: and get you to relax, and then I ask you 131 00:06:40,240 --> 00:06:42,919 Speaker 3: to close your eyes and really relax your forehead, and 132 00:06:43,040 --> 00:06:46,799 Speaker 3: I snap a picture real fast where the actual position 133 00:06:46,839 --> 00:06:49,040 Speaker 3: of the eyebrow is. Then I ask you to open 134 00:06:49,080 --> 00:06:53,480 Speaker 3: your eyes, and usually you'll raise your eyebrows, because most 135 00:06:53,480 --> 00:06:55,720 Speaker 3: people over the age of about forty have a little 136 00:06:55,720 --> 00:06:57,760 Speaker 3: bit of extra skin or even a lot of extra 137 00:06:57,800 --> 00:07:00,960 Speaker 3: skin on the upper eyelids. And what do you do. 138 00:07:01,000 --> 00:07:05,040 Speaker 3: You raise your eyebrows with that muscle called the frontalis muscle. 139 00:07:05,520 --> 00:07:09,200 Speaker 3: You corrugate your forehead so you get those horizontal wrinkles 140 00:07:09,200 --> 00:07:12,840 Speaker 3: of your forehead and bring the skin out and up 141 00:07:12,880 --> 00:07:15,680 Speaker 3: away from your eyeball so you can see better. Right, 142 00:07:15,760 --> 00:07:19,320 Speaker 3: so you have a brighter view of the world if 143 00:07:19,400 --> 00:07:22,960 Speaker 3: you lift up your brows, but you get those wrinkles 144 00:07:22,960 --> 00:07:25,040 Speaker 3: of your forehead. So if I were to bowtox you, 145 00:07:25,280 --> 00:07:29,000 Speaker 3: if I were to inject botulinum toxin, into your forehead. 146 00:07:29,320 --> 00:07:32,240 Speaker 3: If you've got an inherently low position of your eyebrows, 147 00:07:32,280 --> 00:07:35,000 Speaker 3: if I do that, they'll drop back down. So that's 148 00:07:35,040 --> 00:07:38,480 Speaker 3: something we need to examine when we consider botox or 149 00:07:38,600 --> 00:07:41,760 Speaker 3: browlift or eyelid surgery. We need to know the true 150 00:07:41,800 --> 00:07:46,280 Speaker 3: position of the eyebrow. And I can predict fairly well 151 00:07:46,360 --> 00:07:49,280 Speaker 3: whether or not you are going to get a little 152 00:07:49,400 --> 00:07:52,840 Speaker 3: drop of your eyebrows if I use botox. So that's 153 00:07:52,840 --> 00:07:55,600 Speaker 3: in the consultation. So when we come back from our break, 154 00:07:55,800 --> 00:07:59,920 Speaker 3: I'm going to talk about the interplay between browlifting, hairline 155 00:08:00,160 --> 00:08:05,840 Speaker 3: raising or lowering actually and a blepheroplasty and botox. All 156 00:08:05,880 --> 00:08:09,480 Speaker 3: these are intertwined in the world of plastic surgery and 157 00:08:09,560 --> 00:08:12,760 Speaker 3: cosmetic surgery. I'm board certified plastic surgeon, doctor Arthur Berry. 158 00:08:13,000 --> 00:08:15,600 Speaker 3: Most of what's your wrinkle? Right here on wor give 159 00:08:15,600 --> 00:08:18,000 Speaker 3: me a call eight hundred three two one zero seven 160 00:08:18,040 --> 00:08:20,480 Speaker 3: to ten. That's the phone number. We'll be back after 161 00:08:20,520 --> 00:08:29,520 Speaker 3: these messages. Everyone should have a skin cancer check yearly. 162 00:08:29,680 --> 00:08:32,800 Speaker 3: It's as important as a colonoscopy or a mammogram. It's 163 00:08:32,840 --> 00:08:35,520 Speaker 3: tough to find a dermatologist that does a thorough check, 164 00:08:35,600 --> 00:08:38,840 Speaker 3: but there is a breakthrough in skin detection and monitoring. 165 00:08:39,040 --> 00:08:42,320 Speaker 3: At Eleitra Health in Manhattan, they have a new AI 166 00:08:42,520 --> 00:08:46,160 Speaker 3: driven computerized camera system that takes a three D photograph 167 00:08:46,240 --> 00:08:49,920 Speaker 3: of your entire body in just seconds. It'll analyze your 168 00:08:49,920 --> 00:08:52,520 Speaker 3: moles and tell you if any are suspicious, and they 169 00:08:52,520 --> 00:08:55,360 Speaker 3: can even do a quick biopsy if it's necessary. I 170 00:08:55,440 --> 00:08:57,920 Speaker 3: had the scan myself at Eleitra Health, and I've already 171 00:08:57,960 --> 00:09:00,760 Speaker 3: sent my family members to have the scan. To schedule 172 00:09:01,000 --> 00:09:04,280 Speaker 3: your scan, called Jennifer at six four six three six 173 00:09:04,360 --> 00:09:07,440 Speaker 3: two forty five forty two. That's six four six three 174 00:09:07,480 --> 00:09:11,360 Speaker 3: six two forty five forty two, or go to www 175 00:09:11,480 --> 00:09:16,200 Speaker 3: dot eleitrahealth dot com slash dermatology. There's only a few 176 00:09:16,200 --> 00:09:19,000 Speaker 3: of these machines in the country, but Eleitra can schedule 177 00:09:19,080 --> 00:09:21,959 Speaker 3: you right away. And if you mentioned the Pery ten code, 178 00:09:21,960 --> 00:09:24,880 Speaker 3: that's Perry ten, they'll take ten percent off of your fee. 179 00:09:25,080 --> 00:09:28,960 Speaker 3: That's Eleitra Health six four six three six two forty 180 00:09:29,000 --> 00:09:32,120 Speaker 3: five forty two. Did you know that your skincare may 181 00:09:32,120 --> 00:09:35,040 Speaker 3: be hurting you more than helping you. I'm Board certified 182 00:09:35,040 --> 00:09:38,800 Speaker 3: plastic surgeon, doctor Arthur Perry. The foundation for looking good 183 00:09:39,120 --> 00:09:42,440 Speaker 3: is clean, healthy skin. So I've created a program that 184 00:09:42,559 --> 00:09:45,520 Speaker 3: is so simple that everyone can stay on it long 185 00:09:45,640 --> 00:09:49,040 Speaker 3: enough to see real results. It starts with an incredible 186 00:09:49,160 --> 00:09:52,760 Speaker 3: skin cleaner called clean Time. It's actually good for your skin. 187 00:09:53,120 --> 00:09:56,720 Speaker 3: Protect your skin with my Daytime SPF twenty cream in 188 00:09:56,760 --> 00:10:00,559 Speaker 3: the evening, Feed your skin with my Powerhouse Nighttime serum. 189 00:10:00,679 --> 00:10:05,000 Speaker 3: Nighttime has vitamin CNA, antioxidants and skin brighteners. And if 190 00:10:05,040 --> 00:10:09,239 Speaker 3: you like moisturizers, well I've created Soft Time with seramides 191 00:10:09,320 --> 00:10:13,080 Speaker 3: and vitamin D. Throw away the bags of useless products 192 00:10:13,120 --> 00:10:16,160 Speaker 3: and try doctor Perry's Skincare. Join the thousands of people 193 00:10:16,200 --> 00:10:19,920 Speaker 3: whose skin is healthier. That's doctor Perry's Skincare on Amazon 194 00:10:19,960 --> 00:10:22,160 Speaker 3: dot com. And don't forget to listen to my radio 195 00:10:22,200 --> 00:10:26,079 Speaker 3: show right here on wo R Every Saturday evening at 196 00:10:26,120 --> 00:10:29,400 Speaker 3: six pm. You're listening to What's Your Wrinkle with Doctor 197 00:10:29,520 --> 00:10:33,680 Speaker 3: Arthur Perry. What's your Wrinkle? Then what is your Wrinkle? 198 00:10:33,679 --> 00:10:36,360 Speaker 3: I'm board certified plastic surgeon, doctor Arthur Perry, host of 199 00:10:36,440 --> 00:10:39,120 Speaker 3: What's Your Wrinkle for many many years. If you're listening 200 00:10:39,160 --> 00:10:42,439 Speaker 3: to the podcast, thank you. The podcast is called Straight 201 00:10:42,480 --> 00:10:45,079 Speaker 3: Talk about Cosmetic Surgery. I know we had a surge 202 00:10:45,120 --> 00:10:47,959 Speaker 3: in listeners over the last couple months, So thank you. 203 00:10:48,000 --> 00:10:51,040 Speaker 3: Tell your friends this is the show to listen to. 204 00:10:51,120 --> 00:10:54,480 Speaker 3: It's the most widely listened to cosmetic surgery podcast in 205 00:10:54,559 --> 00:10:58,000 Speaker 3: the world apparently, or maybe it's number two one or two. 206 00:10:58,320 --> 00:11:01,360 Speaker 3: We got that award a few few weeks ago. But 207 00:11:01,800 --> 00:11:05,240 Speaker 3: please listen and hit subscribe when you do listen, and 208 00:11:05,280 --> 00:11:08,840 Speaker 3: you get this in your inbox every time we post 209 00:11:08,920 --> 00:11:13,160 Speaker 3: a new show. All right, so thirteen thousand brow lifts 210 00:11:13,160 --> 00:11:15,680 Speaker 3: in the United States each year. You know, back in 211 00:11:15,720 --> 00:11:18,319 Speaker 3: the old days, I told you I made an incision 212 00:11:18,360 --> 00:11:21,040 Speaker 3: from ear to ear, straight down to the bone, lifted 213 00:11:21,240 --> 00:11:25,559 Speaker 3: up the forehead, took that muscle out maybe, and removed 214 00:11:25,640 --> 00:11:28,440 Speaker 3: a little bit of the hair, about a half an 215 00:11:28,480 --> 00:11:31,800 Speaker 3: inch sometimes even more of the hair, and then sewed 216 00:11:31,840 --> 00:11:35,400 Speaker 3: things back together. And that kind of hyked up the eyebrows. 217 00:11:35,640 --> 00:11:38,240 Speaker 3: Sounds good, right, But the problem with that is that 218 00:11:38,400 --> 00:11:40,959 Speaker 3: there's an incision, and that means there's a scar clear 219 00:11:41,080 --> 00:11:44,760 Speaker 3: across your scalp. If you had kind of thin hair, 220 00:11:45,200 --> 00:11:49,280 Speaker 3: well you could maybe see that. And also there was 221 00:11:49,360 --> 00:11:53,240 Speaker 3: some numbness what we call distal to that that means 222 00:11:53,240 --> 00:11:57,240 Speaker 3: on the backside of the incision, because there are nerves 223 00:11:57,240 --> 00:12:01,320 Speaker 3: that travel up from your eyebrows from the rim, and 224 00:12:01,679 --> 00:12:05,400 Speaker 3: they supply sensation to your forehead, not motion of the muscles, 225 00:12:05,400 --> 00:12:08,839 Speaker 3: but their sensory nerves, and when we cut across those, 226 00:12:08,920 --> 00:12:12,160 Speaker 3: they usually do not grow back. So if we do 227 00:12:12,200 --> 00:12:14,440 Speaker 3: a brow lift like that, you do have a numb 228 00:12:14,480 --> 00:12:18,000 Speaker 3: area for about two or three inches behind the incision. 229 00:12:18,280 --> 00:12:20,600 Speaker 3: Now that's not such a big deal, but you have 230 00:12:20,640 --> 00:12:22,960 Speaker 3: to get used to it, and you certainly have to 231 00:12:22,960 --> 00:12:24,880 Speaker 3: be notified of that if you are going to have 232 00:12:24,960 --> 00:12:28,360 Speaker 3: that surgery. So because of that, because of the limitations, 233 00:12:28,840 --> 00:12:32,400 Speaker 3: plastic surgeons tried to use smaller incisions and they use 234 00:12:32,440 --> 00:12:35,880 Speaker 3: this thing called an endoscope that's a camera at the 235 00:12:35,960 --> 00:12:38,520 Speaker 3: end of a tube. We made little incisions, like five 236 00:12:38,600 --> 00:12:41,559 Speaker 3: little incisions in the scalp. We lifted up the skin 237 00:12:41,600 --> 00:12:44,600 Speaker 3: of the forehead and then we kind of hyked up 238 00:12:44,640 --> 00:12:51,440 Speaker 3: the tissue without removing much skin. And initially the results 239 00:12:51,440 --> 00:12:56,160 Speaker 3: were okay, but most people backed away from endoscopic brow 240 00:12:56,240 --> 00:13:00,040 Speaker 3: lifts because most of them unless we remove skin, and 241 00:13:00,640 --> 00:13:04,360 Speaker 3: most fail, and that's the bottom line. They became kind 242 00:13:04,360 --> 00:13:06,880 Speaker 3: of technically difficult. Then they started doing it was sort 243 00:13:06,880 --> 00:13:10,360 Speaker 3: of funny, endoscopic browless without an endoscope. What does that mean? 244 00:13:10,600 --> 00:13:14,000 Speaker 3: You know, small incisions and just looking down the forehead 245 00:13:14,040 --> 00:13:17,360 Speaker 3: and removing some skin, and they worked to a certain extent. 246 00:13:17,440 --> 00:13:20,160 Speaker 3: I did some of those for years, and then we 247 00:13:20,240 --> 00:13:24,679 Speaker 3: moved to incisions, sometimes just on the top of the eyebrow. 248 00:13:24,880 --> 00:13:29,440 Speaker 3: Very powerful operation, very simple operation. A crescent of skin 249 00:13:29,800 --> 00:13:32,160 Speaker 3: on the top of the eyebrow was removed and the 250 00:13:32,200 --> 00:13:35,560 Speaker 3: brows were physically lifted. That was okay, except it left 251 00:13:35,559 --> 00:13:38,599 Speaker 3: an incision and thus a scar on the top of 252 00:13:38,640 --> 00:13:42,120 Speaker 3: the eyebrow, and most people don't like that. And then 253 00:13:42,240 --> 00:13:46,160 Speaker 3: my preferred Oh boy, it gets really complicated, doesn't Whenever 254 00:13:46,200 --> 00:13:49,360 Speaker 3: you hear about a lot of different techniques to do 255 00:13:49,440 --> 00:13:53,320 Speaker 3: the same operation, you know that none are quite perfect. 256 00:13:53,360 --> 00:13:56,160 Speaker 3: That's kind of a lesson in at least in cosmetic 257 00:13:56,200 --> 00:13:59,120 Speaker 3: surgery and in most of medicine. By the way, usually 258 00:13:59,280 --> 00:14:02,679 Speaker 3: when when something works, everybody just says, okay, we're going 259 00:14:02,720 --> 00:14:07,040 Speaker 3: to do that procedure. So browlifting has been fraught with issues. 260 00:14:07,480 --> 00:14:10,640 Speaker 3: I settled in on the through the eyelid browlift. I 261 00:14:10,720 --> 00:14:14,199 Speaker 3: like that because we do an eyelid lift and then 262 00:14:14,360 --> 00:14:17,560 Speaker 3: just keep on going north to the bone to the 263 00:14:17,559 --> 00:14:20,920 Speaker 3: bony rim and lift up the brow. And I would 264 00:14:21,040 --> 00:14:24,640 Speaker 3: sow the brow to a higher level. So it actually 265 00:14:24,720 --> 00:14:27,040 Speaker 3: right to the bone, to the paraosium, which is the 266 00:14:27,040 --> 00:14:29,720 Speaker 3: tissue just on top of the bone. And that worked. 267 00:14:30,120 --> 00:14:32,800 Speaker 3: And I like that operation because it doesn't leave any 268 00:14:32,840 --> 00:14:39,040 Speaker 3: additional incisions. Well, what about if you have a high farhead, 269 00:14:39,080 --> 00:14:43,040 Speaker 3: if you've got a high hairline as a woman, you know, men, Yeah, 270 00:14:43,200 --> 00:14:46,080 Speaker 3: it's just kind of part of a growing older as 271 00:14:46,080 --> 00:14:49,200 Speaker 3: a man, but women it's more of an issue. And 272 00:14:49,280 --> 00:14:55,600 Speaker 3: so if we combine a browlift with a hairline dropping procedure, 273 00:14:55,760 --> 00:14:58,680 Speaker 3: a hairline lowering procedure, boy, that's a powerful two for 274 00:14:58,760 --> 00:15:01,440 Speaker 3: one procedure. Doing one of those in a couple of weeks. 275 00:15:01,480 --> 00:15:04,040 Speaker 3: So I have a woman who's got a very high hairline, 276 00:15:04,560 --> 00:15:09,640 Speaker 3: so big, big farhead, drooping eyelids, perfect scenario for the 277 00:15:09,680 --> 00:15:12,600 Speaker 3: incision on top of the forehead. So here it's not 278 00:15:12,760 --> 00:15:15,360 Speaker 3: within the hairline that we make the incision. Here, it's 279 00:15:15,360 --> 00:15:19,640 Speaker 3: the top of the farhead. And I can remove almost 280 00:15:19,680 --> 00:15:23,360 Speaker 3: an inch of farhead. Sounds more of it, doesn't it, 281 00:15:23,400 --> 00:15:26,840 Speaker 3: But really we can remove that. And I lift up 282 00:15:26,880 --> 00:15:30,560 Speaker 3: the scalp, I do a scalp lift, and I slide 283 00:15:30,600 --> 00:15:35,720 Speaker 3: the scalp forward and the broad the farhead back and 284 00:15:35,760 --> 00:15:38,000 Speaker 3: we get a two for one procedure, so the brows 285 00:15:38,040 --> 00:15:42,040 Speaker 3: get lifted and the hairline gets lowered. So for the 286 00:15:42,120 --> 00:15:46,200 Speaker 3: right people, that two for one procedure is really really nice, 287 00:15:46,760 --> 00:15:51,400 Speaker 3: all right. So that's a browlift with hairline lowering. It's 288 00:15:51,400 --> 00:15:54,560 Speaker 3: done usually under general antesesion can be done under sedation. 289 00:15:54,640 --> 00:15:57,720 Speaker 3: It depends on the person. You know, what's the ideal 290 00:15:57,840 --> 00:16:00,760 Speaker 3: length of a farhead, Well, if you look at your farhead, 291 00:16:00,760 --> 00:16:03,120 Speaker 3: and not while you're driving, please, but if you look 292 00:16:03,120 --> 00:16:06,920 Speaker 3: at your farhead, the forarhead should be about one third 293 00:16:07,160 --> 00:16:10,120 Speaker 3: of the face when you look at yourself. So we 294 00:16:10,160 --> 00:16:14,160 Speaker 3: divide the face into thirds. There's the esthetic ideals that 295 00:16:14,200 --> 00:16:16,280 Speaker 3: we have. You know, the width of the faces divide 296 00:16:16,280 --> 00:16:20,920 Speaker 3: into fifths, and the length of the faces divided into thirds. 297 00:16:20,960 --> 00:16:23,400 Speaker 3: The forarhead should be a full third, and it really 298 00:16:23,400 --> 00:16:28,000 Speaker 3: should be almost about six centimeters, which is a little 299 00:16:28,000 --> 00:16:32,120 Speaker 3: over two inches or so from the eyebrows to the 300 00:16:32,160 --> 00:16:35,000 Speaker 3: anterior to the bottom of the hairline. There it's called 301 00:16:35,000 --> 00:16:38,040 Speaker 3: the anterior hairline. So if it's much longer than that, 302 00:16:38,280 --> 00:16:41,680 Speaker 3: it has more of a masculine feature, so we feminize 303 00:16:41,680 --> 00:16:45,880 Speaker 3: it by lowering the hairline. There you go, that's a 304 00:16:45,960 --> 00:16:51,120 Speaker 3: brow lift, and it is a selected procedure for some 305 00:16:51,320 --> 00:16:54,360 Speaker 3: people and not appropriate for others. You have to be 306 00:16:54,520 --> 00:16:57,200 Speaker 3: just the right person. All right. No, let's go ahead 307 00:16:57,240 --> 00:16:58,840 Speaker 3: and take a phone call before we take our break. 308 00:16:58,840 --> 00:17:01,040 Speaker 3: We've got Heather on the line for your Heather, what's 309 00:17:01,080 --> 00:17:01,600 Speaker 3: your wrinkle? 310 00:17:02,960 --> 00:17:05,480 Speaker 5: Hi, doctor Perry. I was wondering if you could suggest 311 00:17:05,560 --> 00:17:10,040 Speaker 5: the best way to rejuvenate under the eye, not necessarily 312 00:17:10,080 --> 00:17:15,280 Speaker 5: for bags, but just tightening it and just you'll making 313 00:17:15,320 --> 00:17:18,960 Speaker 5: it look more youthful rather than resorting to fillers. 314 00:17:19,320 --> 00:17:23,879 Speaker 3: Okay, that's a good question. So rejuvenating the lower eyeland. 315 00:17:23,920 --> 00:17:26,200 Speaker 3: I'll tell you what, Heather, it's actually a big subject. 316 00:17:26,240 --> 00:17:28,120 Speaker 3: So hang on the line. We're gonna well, let's take 317 00:17:28,160 --> 00:17:31,040 Speaker 3: our break. No, it's just a minute, and then we'll 318 00:17:31,080 --> 00:17:34,520 Speaker 3: come back and I will answer your question fully. Okay, Heather, 319 00:17:34,640 --> 00:17:35,240 Speaker 3: can you hang on? 320 00:17:35,640 --> 00:17:36,000 Speaker 5: Thank you? 321 00:17:36,520 --> 00:17:38,119 Speaker 3: All right, let's do it. No, let's go ahead and 322 00:17:38,160 --> 00:17:40,200 Speaker 3: take our break. This is doctor Arthur Perry. This is 323 00:17:40,240 --> 00:17:43,200 Speaker 3: what's your wrinkle? You're listening to on wr eight hundred 324 00:17:43,200 --> 00:17:45,160 Speaker 3: three two one zero seven ten. We'll come back from 325 00:17:45,200 --> 00:17:49,080 Speaker 3: our break and we'll answer Heather's question about rejuvenating a 326 00:17:49,200 --> 00:17:54,840 Speaker 3: lower island. We'll be right back. They say that sixty 327 00:17:54,920 --> 00:17:57,439 Speaker 3: is the new fifty. But while you may feel and 328 00:17:57,640 --> 00:18:01,120 Speaker 3: act fifty, the mirror doesn't lie. But that's where plastic 329 00:18:01,160 --> 00:18:04,720 Speaker 3: surgery comes in. I'm board certified plastic surgeon, Doctor Arthur Perry, 330 00:18:04,760 --> 00:18:08,320 Speaker 3: and I love helping patients look younger and better. If 331 00:18:08,359 --> 00:18:12,080 Speaker 3: you've got sagging cheeks, jowls, and that dreaded turkey gobbler, 332 00:18:12,119 --> 00:18:14,080 Speaker 3: it might be time for a little nip and a tuck. 333 00:18:14,280 --> 00:18:17,320 Speaker 3: You look more rested and yes, younger With my short 334 00:18:17,359 --> 00:18:20,960 Speaker 3: scar facelift and the artistic injection of wrinkle filler or 335 00:18:20,960 --> 00:18:23,119 Speaker 3: a laser peel, well, that might be just what it 336 00:18:23,160 --> 00:18:25,399 Speaker 3: takes to get you looking as good as you feel. 337 00:18:25,560 --> 00:18:27,960 Speaker 3: Let's sit down for an hour consultation in my new 338 00:18:28,000 --> 00:18:30,640 Speaker 3: Park Avenue office. Together we'll come up with a plan 339 00:18:30,720 --> 00:18:32,800 Speaker 3: to help you look your best. Give me a call 340 00:18:32,960 --> 00:18:36,480 Speaker 3: at eight three three Perry MD. That's a three three 341 00:18:36,640 --> 00:18:39,080 Speaker 3: p e R R Y M D. Check me out 342 00:18:39,119 --> 00:18:42,399 Speaker 3: on the web at Perryplasticsurgery dot com and don't forget 343 00:18:42,400 --> 00:18:45,280 Speaker 3: to listen to me doctor Arthur Perry, every Saturday evening 344 00:18:45,280 --> 00:18:49,679 Speaker 3: at six pm right here on WOR. You're listening to 345 00:18:49,800 --> 00:18:52,959 Speaker 3: what's your wrinkle with doctor Arthur Perry. What's your wrinkle? 346 00:18:54,080 --> 00:18:56,680 Speaker 3: And we're back. I'm board certified plastic surgeon, doctor Arthur 347 00:18:56,720 --> 00:18:58,959 Speaker 3: Perry host, So what's your wrinkle? Right here on wo 348 00:18:59,119 --> 00:19:02,240 Speaker 3: our host of straight talk about cosmetic surgery in the 349 00:19:02,280 --> 00:19:06,439 Speaker 3: podcast world, getting bigger and bigger every day. All right, 350 00:19:06,480 --> 00:19:08,400 Speaker 3: we've got Heather on the line. Heather, are you still there? 351 00:19:09,440 --> 00:19:10,000 Speaker 5: Yes? I am. 352 00:19:10,640 --> 00:19:13,920 Speaker 3: Okay, Heather, So you are how old? 353 00:19:15,040 --> 00:19:15,960 Speaker 5: I'm sixty five? 354 00:19:16,600 --> 00:19:20,960 Speaker 3: Okay. So you're a pediatric patient in my practice. Good, okay, 355 00:19:21,640 --> 00:19:24,680 Speaker 3: and you're beginning to see some aging of your lower list. 356 00:19:24,720 --> 00:19:27,960 Speaker 3: Why you describe to me what is going on? Do 357 00:19:28,000 --> 00:19:30,320 Speaker 3: you have fat, extra skin, dark circles? 358 00:19:30,359 --> 00:19:35,080 Speaker 5: Tell me, well, I've always had somewhat of dark circles, 359 00:19:35,240 --> 00:19:38,800 Speaker 5: but I've been told I have thin skin. And then 360 00:19:38,880 --> 00:19:43,600 Speaker 5: in later years, I'm gradually noticing a little bit of 361 00:19:43,640 --> 00:19:49,720 Speaker 5: creepiness on your one of the eyes. And generally I 362 00:19:49,760 --> 00:19:53,760 Speaker 5: feel like if someone lifted the skin up on my 363 00:19:54,160 --> 00:19:58,520 Speaker 5: face so that, you know, like lifting it up that 364 00:19:58,560 --> 00:20:03,000 Speaker 5: way instead of and like a vertical lift instead of horizontal, 365 00:20:03,080 --> 00:20:06,480 Speaker 5: so that it's tightened up under the eye. I don't 366 00:20:06,480 --> 00:20:11,879 Speaker 5: think fillers can accomplish that. I don't have any fat. 367 00:20:12,320 --> 00:20:15,840 Speaker 5: I have more of a holomist, but it's mostly the 368 00:20:15,960 --> 00:20:19,040 Speaker 5: sagging effect creepiness that I wanted to address, and I 369 00:20:19,040 --> 00:20:21,840 Speaker 5: have been using retine, but it doesn't seem to address it. 370 00:20:22,520 --> 00:20:25,800 Speaker 3: Okay. So when there's a few different things that go 371 00:20:25,880 --> 00:20:29,880 Speaker 3: on simultaneously as we age with the lower eyelid, well, 372 00:20:29,920 --> 00:20:32,880 Speaker 3: first of all, we all have fat around the eyelids. 373 00:20:32,880 --> 00:20:36,399 Speaker 3: You're lucky if you don't. But the fat cushions the 374 00:20:36,440 --> 00:20:39,240 Speaker 3: eyeball intends to work its way forward. So most people 375 00:20:39,440 --> 00:20:42,480 Speaker 3: who want their eyelids rejuvenated need a little bit of 376 00:20:42,480 --> 00:20:45,960 Speaker 3: fat removal, but not everybody. And I'm doing a leptoplasty 377 00:20:46,040 --> 00:20:47,920 Speaker 3: and a forty nine year old in a few weeks 378 00:20:48,320 --> 00:20:51,679 Speaker 3: and she has virtually no fat. So it's skin only, 379 00:20:51,760 --> 00:20:54,640 Speaker 3: And that sounds like what we're talking about with you now. 380 00:20:55,000 --> 00:20:58,040 Speaker 3: Now the first step. If you don't want surgery, and 381 00:20:58,080 --> 00:20:59,960 Speaker 3: I don't know why you don't, it's so much fun 382 00:21:00,160 --> 00:21:04,199 Speaker 3: for me, But not everybody wants surgery. So the skin 383 00:21:04,359 --> 00:21:09,080 Speaker 3: thins as we get older, it tends to get translucent. 384 00:21:09,200 --> 00:21:12,800 Speaker 3: It's the thinnest skin of the entire body, the eyelid, 385 00:21:13,040 --> 00:21:15,920 Speaker 3: and we can actually see the blood vessels and muscles 386 00:21:16,320 --> 00:21:19,880 Speaker 3: through the skin, so we get a blue red u 387 00:21:20,000 --> 00:21:25,040 Speaker 3: to the skin, which sounds like you might have that correct, Yes, okay, 388 00:21:25,080 --> 00:21:28,119 Speaker 3: So there's a few ways to thicken the skin that 389 00:21:28,160 --> 00:21:31,800 Speaker 3: are non surgical. One is the use of vitamin C. 390 00:21:32,640 --> 00:21:35,959 Speaker 3: It's a ten percent solution of l ascorbic acid. Has 391 00:21:35,960 --> 00:21:39,359 Speaker 3: got to be the right type of vitamin C. Put 392 00:21:39,440 --> 00:21:42,240 Speaker 3: on your eyelids. Do not get it in your eye. 393 00:21:42,280 --> 00:21:45,199 Speaker 3: It will burn your eye, will burn your cornea. But 394 00:21:45,280 --> 00:21:48,320 Speaker 3: if you put that on your eyelids every night for 395 00:21:48,440 --> 00:21:51,040 Speaker 3: six months, it was a study about ten years ago 396 00:21:51,200 --> 00:21:53,680 Speaker 3: or so that showed a significant thickening of the skin 397 00:21:53,720 --> 00:21:58,240 Speaker 3: because what vitamin C does is it specifically stimulates the 398 00:21:58,280 --> 00:22:01,640 Speaker 3: production of collagen, is the structural protein of the skin 399 00:22:01,680 --> 00:22:05,720 Speaker 3: that gets thinner as we age. So vitamin C is 400 00:22:05,760 --> 00:22:10,439 Speaker 3: good for the eyelid. But all it's almost funny. I 401 00:22:10,520 --> 00:22:14,680 Speaker 3: have something called Nighttime which is actually very good for eyelids. 402 00:22:15,080 --> 00:22:18,320 Speaker 3: I show that, but I advise people don't put it 403 00:22:18,359 --> 00:22:20,880 Speaker 3: on your eyelids. And the reason is I don't want 404 00:22:20,920 --> 00:22:23,480 Speaker 3: you to get it in your eye. I don't because 405 00:22:23,480 --> 00:22:26,080 Speaker 3: I know that if you get my Nighttime in your eye, 406 00:22:26,480 --> 00:22:29,840 Speaker 3: it will cause a corneal injury. It's a twenty percent acid. 407 00:22:29,920 --> 00:22:32,960 Speaker 3: It's a pH of three point five. That's quite a cidic. 408 00:22:33,280 --> 00:22:36,960 Speaker 3: So if you were to use it off label, not 409 00:22:37,520 --> 00:22:40,080 Speaker 3: with my advice. If you were to use it, you 410 00:22:40,160 --> 00:22:43,040 Speaker 3: have to be very careful. But interestingly, there are ie 411 00:22:43,040 --> 00:22:45,680 Speaker 3: creams out there that say they say they're ie creams, 412 00:22:45,720 --> 00:22:47,320 Speaker 3: and then if you look at the fine print, it 413 00:22:47,359 --> 00:22:50,000 Speaker 3: says not for use in eyelids. What's that about. It's 414 00:22:50,040 --> 00:22:52,520 Speaker 3: a legal thing because they're afraid of you getting it 415 00:22:52,560 --> 00:22:56,840 Speaker 3: in your eyelid because eyeball rather because anything that really 416 00:22:56,920 --> 00:23:00,360 Speaker 3: does work on the skin is going to irritate eye. 417 00:23:00,440 --> 00:23:04,200 Speaker 3: So but having said that, ten percent vitamin C does 418 00:23:04,240 --> 00:23:06,439 Speaker 3: work to thicken the skin. The other thing that we 419 00:23:06,480 --> 00:23:10,080 Speaker 3: do to thicken the skin is a laser procedure. So 420 00:23:10,119 --> 00:23:12,439 Speaker 3: a laser will do a few things for you. A 421 00:23:12,560 --> 00:23:17,879 Speaker 3: laser afterwards, it's called a fractionated carbon dioxide laser, and 422 00:23:18,200 --> 00:23:20,560 Speaker 3: I do those all the time in my office in 423 00:23:20,560 --> 00:23:24,439 Speaker 3: New York. And what it does is it causes a 424 00:23:24,680 --> 00:23:28,000 Speaker 3: very controlled injury to the skin. And you say, well, 425 00:23:28,040 --> 00:23:30,479 Speaker 3: why would you want to injure the skin. We injure 426 00:23:30,520 --> 00:23:35,520 Speaker 3: the skin to stimulate the production of collagen, and after 427 00:23:35,560 --> 00:23:39,760 Speaker 3: a laser, the collagen layer is actually thicker, so that's 428 00:23:39,800 --> 00:23:42,200 Speaker 3: a way to thicken the skin. And that does a 429 00:23:42,240 --> 00:23:45,159 Speaker 3: couple of things. First of all, it will decrease some 430 00:23:45,240 --> 00:23:48,320 Speaker 3: of that redness and blueness that you see from the translucency. 431 00:23:48,720 --> 00:23:52,439 Speaker 3: The laser will also deal with the second reason for 432 00:23:52,560 --> 00:23:55,960 Speaker 3: dark circles under the eye, which is brown pigment in 433 00:23:56,000 --> 00:23:57,919 Speaker 3: the skin. The laser is very good at reducing that 434 00:23:57,960 --> 00:24:01,560 Speaker 3: brown pigment. So we get two effects and even a 435 00:24:01,600 --> 00:24:04,520 Speaker 3: third effect with the laser to rejuvenate the lower lids, 436 00:24:04,840 --> 00:24:07,840 Speaker 3: and that is a shrinkage of the tissue and that 437 00:24:07,880 --> 00:24:11,320 Speaker 3: addresses the crapiness that you talked about. So that may 438 00:24:11,400 --> 00:24:14,399 Speaker 3: be one of the solutions for you. Of course, no 439 00:24:14,440 --> 00:24:16,320 Speaker 3: one can tell you over the radio. You have to 440 00:24:16,320 --> 00:24:19,320 Speaker 3: be seen in person to know exactly what procedure is 441 00:24:19,400 --> 00:24:22,320 Speaker 3: right for you. But it might be the right thing 442 00:24:22,400 --> 00:24:24,560 Speaker 3: for you. If you have a lot of extra skin, 443 00:24:24,600 --> 00:24:28,560 Speaker 3: then the laser will not address that. That requires a blaphroplasty, 444 00:24:28,600 --> 00:24:31,280 Speaker 3: which is a lower eyelid lift. We make an incision 445 00:24:31,400 --> 00:24:35,640 Speaker 3: underneath the eyelid where the just under the hair the eyelashes, 446 00:24:35,680 --> 00:24:39,119 Speaker 3: where you would put eyeliner, lift up the skin stundard 447 00:24:39,160 --> 00:24:42,560 Speaker 3: a local antethesure with some sedation. Usually lift up the skin, 448 00:24:43,359 --> 00:24:46,520 Speaker 3: remove a crescent of skin and kind of hike things up, 449 00:24:46,960 --> 00:24:50,679 Speaker 3: and that reduces the big sagging, you know. So if 450 00:24:50,680 --> 00:24:54,120 Speaker 3: it's not just little crapiness, it's big sagging, we need 451 00:24:54,160 --> 00:24:57,199 Speaker 3: to do a procedure like that. The other things that 452 00:24:57,200 --> 00:24:59,920 Speaker 3: we can do for your eyelids are like you had mentioned, 453 00:25:00,119 --> 00:25:04,680 Speaker 3: inject filler or fat. It's a liquid fat that we use. 454 00:25:05,560 --> 00:25:08,200 Speaker 3: You know, a little dicey doing that, but it works. 455 00:25:08,800 --> 00:25:10,760 Speaker 3: It's got to be careful because there have been cases 456 00:25:10,800 --> 00:25:13,080 Speaker 3: of blindness from injecting things around the eyes. There are 457 00:25:13,160 --> 00:25:15,760 Speaker 3: special techniques that can be used. So that's kind of 458 00:25:15,760 --> 00:25:19,080 Speaker 3: a rundown for you. Does that answer your question, Heather. 459 00:25:19,960 --> 00:25:22,480 Speaker 5: Well, I was wondering the liquid fat that you mentioned, 460 00:25:22,520 --> 00:25:24,720 Speaker 5: is that my own or is there another product? 461 00:25:25,359 --> 00:25:27,520 Speaker 3: You know something? It is your own, Although I'll tell 462 00:25:27,520 --> 00:25:30,679 Speaker 3: you I don't like this idea. There's a company that 463 00:25:30,840 --> 00:25:33,840 Speaker 3: will sell you cadaver fat to plastics person. I don't 464 00:25:33,880 --> 00:25:37,080 Speaker 3: like that idea. I wouldn't use that, but I would 465 00:25:37,080 --> 00:25:39,440 Speaker 3: only use your own. But you know what, I think 466 00:25:39,480 --> 00:25:42,080 Speaker 3: we'll pick up this topic next week. Because Noah begins 467 00:25:42,119 --> 00:25:44,960 Speaker 3: to wave frantically at me, he says, what are you doing. 468 00:25:45,080 --> 00:25:47,720 Speaker 3: You can't just start a new topic with a minute 469 00:25:47,800 --> 00:25:50,120 Speaker 3: left to the show. So Heather, thank you so much 470 00:25:50,119 --> 00:25:53,840 Speaker 3: for your phone call, and we'll address that fat grafting 471 00:25:53,920 --> 00:25:56,240 Speaker 3: as well as a filler to the eyelids next week. 472 00:25:56,280 --> 00:25:58,720 Speaker 3: So tune in at six o'clock next Saturday. Thanks so 473 00:25:58,800 --> 00:26:01,919 Speaker 3: much for the call, Noah, great engineering. Once again. The 474 00:26:01,960 --> 00:26:06,760 Speaker 3: website is Perryplasticsurgery dot com. That's Periplasticsurgery dot com. If 475 00:26:06,760 --> 00:26:08,639 Speaker 3: you want to learn more about me or make an 476 00:26:08,680 --> 00:26:11,600 Speaker 3: appointment to see me at my Park Avenue, New York 477 00:26:11,600 --> 00:26:14,640 Speaker 3: office or my Somerset, New Jersey office or my well 478 00:26:14,720 --> 00:26:17,639 Speaker 3: By Messer office in Manhattan. And by the way, the 479 00:26:17,720 --> 00:26:21,400 Speaker 3: products Amazon dot com. That's where you get them Amazon 480 00:26:21,440 --> 00:26:24,560 Speaker 3: dot com. Thanks again, Noah. We'll see everybody next week. 481 00:26:24,680 --> 00:26:27,639 Speaker 3: Stay warm, it is real cold out there. Bye bye now. 482 00:26:29,119 --> 00:26:33,040 Speaker 1: The proceeding was a paid podcast. iHeartRadio's hosting of this 483 00:26:33,160 --> 00:26:36,960 Speaker 1: podcast constitutes neither an endorsement of the products offered or 484 00:26:37,000 --> 00:26:38,359 Speaker 1: the ideas expressed.