1 00:00:00,080 --> 00:00:03,760 Speaker 1: The following is a paid podcast. iHeartRadio's hosting of this 2 00:00:03,880 --> 00:00:07,680 Speaker 1: podcast constitutes neither an endorsement of the products offered or 3 00:00:07,760 --> 00:00:09,080 Speaker 1: the ideas expressed. 4 00:00:09,400 --> 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 00:00:15,360 --> 00:00:17,360 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 00:00:20,720 --> 00:00:24,320 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 00:00:26,000 --> 00:00:28,280 Speaker 3: Doctor Arthur Perry, and the public wants to know. 11 00:00:28,480 --> 00:00:30,280 Speaker 2: The public doesn't get a damn. 12 00:00:30,720 --> 00:00:32,760 Speaker 3: And I went to his office and I said, I said, 13 00:00:32,800 --> 00:00:33,480 Speaker 3: look at my face. 14 00:00:33,640 --> 00:00:34,680 Speaker 2: He goes, yeah, look at your face. 15 00:00:34,680 --> 00:00:35,800 Speaker 4: We're going to do with your fan. What can you 16 00:00:35,840 --> 00:00:36,480 Speaker 4: do with his face? 17 00:00:36,560 --> 00:00:37,800 Speaker 3: I go like that, I SAI, what you got? I 18 00:00:37,880 --> 00:00:39,080 Speaker 3: go and look at this. I'm getting old. 19 00:00:39,120 --> 00:00:40,320 Speaker 4: I said, I want to maybe he could fix it 20 00:00:40,360 --> 00:00:40,879 Speaker 4: up a little bit. 21 00:00:40,920 --> 00:00:41,880 Speaker 3: Doctor Oz, are you there? 22 00:00:42,080 --> 00:00:43,720 Speaker 5: I've here Ark and I want to get a plagued you. 23 00:00:43,760 --> 00:00:46,360 Speaker 5: Having worked with you on a book and numerous other activity, 24 00:00:46,360 --> 00:00:46,960 Speaker 5: you want to talk. 25 00:00:46,840 --> 00:00:49,640 Speaker 3: To Arthur Perry, the best in plastic surgery. 26 00:00:49,680 --> 00:00:52,400 Speaker 5: Remarkable knowledge, but also your grace at delivering content, which 27 00:00:52,400 --> 00:00:53,640 Speaker 5: is why it's been a blessing to have you on 28 00:00:53,680 --> 00:00:54,600 Speaker 5: my show so many times. 29 00:00:54,640 --> 00:00:56,920 Speaker 3: When I was a resident at the University of Chicago, 30 00:00:57,000 --> 00:00:58,040 Speaker 3: we had a. 31 00:00:57,880 --> 00:01:01,280 Speaker 5: Me smart as a really baliant gift this position. I 32 00:01:01,320 --> 00:01:02,960 Speaker 5: want to pay you b the highest true I can 33 00:01:02,960 --> 00:01:04,560 Speaker 5: give to a search, which is when people come to you, 34 00:01:04,640 --> 00:01:06,720 Speaker 5: they don't come for an operation, they come for an opinion. 35 00:01:07,120 --> 00:01:09,320 Speaker 5: And that's why I trust you with my friends relatives. 36 00:01:09,480 --> 00:01:11,160 Speaker 5: I didn't realize we were going to get the Michael 37 00:01:11,240 --> 00:01:13,680 Speaker 5: Jordan of Plastic Surgeons nine oh two and zero. 38 00:01:13,720 --> 00:01:17,840 Speaker 3: Bows to this guy, and welcome. This is board certified 39 00:01:17,880 --> 00:01:20,440 Speaker 3: plastic surgeon, doctor Arthur Perry, and you are listening to 40 00:01:20,480 --> 00:01:23,039 Speaker 3: What's your wrinkle right here on wo R. I hope 41 00:01:23,080 --> 00:01:26,480 Speaker 3: you're having a great weekend. Is it winter or is 42 00:01:26,520 --> 00:01:29,319 Speaker 3: it spring? I can't figure this out. It's a freezing 43 00:01:29,360 --> 00:01:31,600 Speaker 3: out there in New York. If you're listening in Arizona, 44 00:01:31,959 --> 00:01:35,039 Speaker 3: we have had just a heck of a winter that 45 00:01:35,280 --> 00:01:38,440 Speaker 3: just doesn't want to end. Although, as I told you 46 00:01:38,520 --> 00:01:41,520 Speaker 3: last week, the UV index is over six this week, 47 00:01:41,920 --> 00:01:45,520 Speaker 3: and we did have a seventy plus degree day a 48 00:01:45,520 --> 00:01:49,120 Speaker 3: couple of days ago. So use your sunscreen anytime it's 49 00:01:49,120 --> 00:01:52,560 Speaker 3: over three, check your iPhone and you'll learn. You know, 50 00:01:52,600 --> 00:01:55,840 Speaker 3: the weather app says the UV index every day. All right, 51 00:01:55,920 --> 00:02:00,000 Speaker 3: today we are going to talk facelifts everything about you. 52 00:02:00,040 --> 00:02:03,320 Speaker 3: You know you hear about these deep plane facelifts and 53 00:02:03,440 --> 00:02:07,240 Speaker 3: one layered facelifts and two layered facelifts. Well, we're gonna 54 00:02:07,280 --> 00:02:11,960 Speaker 3: really dissect no pun intended, the whole facelift story today 55 00:02:12,680 --> 00:02:16,120 Speaker 3: and well hopefully have you learn a little bit about 56 00:02:16,120 --> 00:02:19,120 Speaker 3: this and help you make some good decisions. Today we're 57 00:02:19,160 --> 00:02:23,120 Speaker 3: giving away bottles of Nighttime to callers. Nighttime is one 58 00:02:23,120 --> 00:02:26,560 Speaker 3: stop shopping for skin care. You know. It's the one 59 00:02:26,600 --> 00:02:29,400 Speaker 3: with vitamin C. It's the one with vitamin A. It's 60 00:02:29,400 --> 00:02:33,840 Speaker 3: got fruit acids and antioxidants and skin brighteners. Everything you 61 00:02:34,000 --> 00:02:38,200 Speaker 3: need in a skincare program. So simple, one step at night, 62 00:02:38,240 --> 00:02:41,600 Speaker 3: that's all you need to do. Yeah, protect your face 63 00:02:41,600 --> 00:02:45,480 Speaker 3: in the morning with daytime. Clean your face twice a day. 64 00:02:45,760 --> 00:02:48,800 Speaker 3: I recommend that. And if you want to use a moisturizer, 65 00:02:48,840 --> 00:02:51,360 Speaker 3: you know we're getting into the spring and moisturizers are 66 00:02:51,440 --> 00:02:55,119 Speaker 3: less important as the weather gets warmer and the amidity 67 00:02:55,240 --> 00:02:58,560 Speaker 3: goes up. Although some of you just won't give those up. 68 00:02:58,560 --> 00:03:02,680 Speaker 3: But anyway, we're gonna be giving away bottles of Nighttime 69 00:03:02,720 --> 00:03:05,640 Speaker 3: to callers tonight, and I've got a very special guest tonight. 70 00:03:05,639 --> 00:03:08,680 Speaker 3: We're gonna talk talk hernias for a few minutes with 71 00:03:08,919 --> 00:03:12,200 Speaker 3: doctor Schomoff, not Knock. You know, you have got the 72 00:03:12,280 --> 00:03:16,120 Speaker 3: hardest name to pronounce, Knock Joe. He is a hernia 73 00:03:16,160 --> 00:03:18,840 Speaker 3: surgeon in Manhattan. Are you on, doctor knock Joe? 74 00:03:19,320 --> 00:03:20,400 Speaker 4: Hey, Arthur, how are you? 75 00:03:21,639 --> 00:03:24,000 Speaker 3: I am great? It's a uh a good day. I 76 00:03:24,040 --> 00:03:28,000 Speaker 3: wanted to talk to you about hernias today because you know, 77 00:03:28,040 --> 00:03:29,919 Speaker 3: a lot of my patients come in and they h 78 00:03:30,240 --> 00:03:32,960 Speaker 3: They say to me, you know, is this a cosmetic thing? 79 00:03:33,000 --> 00:03:35,760 Speaker 3: And I say, well, way, hey, oh wait a minute, 80 00:03:35,920 --> 00:03:38,840 Speaker 3: that's a hernia. We need to really address that. So 81 00:03:39,520 --> 00:03:42,560 Speaker 3: you're a you're a hernia surgeon. You're you specialize in it. 82 00:03:42,560 --> 00:03:46,000 Speaker 3: You're a general surgeon, board certified, and you did special 83 00:03:46,080 --> 00:03:50,920 Speaker 3: training in minimally invasive and laparoscopic surgery. You've got offices 84 00:03:50,920 --> 00:03:53,640 Speaker 3: in Manhattan and New Jersey, so you're the expert in hernia. 85 00:03:53,920 --> 00:03:54,880 Speaker 3: What is a hernia? 86 00:03:55,680 --> 00:03:58,240 Speaker 4: Okay? So let's simply put Oh, by the way, my 87 00:03:58,360 --> 00:04:01,640 Speaker 4: name knock Joe. Way good way to say is knock Joel. 88 00:04:01,760 --> 00:04:04,720 Speaker 4: You knock Joe out, so that just makes it easier, 89 00:04:05,360 --> 00:04:09,720 Speaker 4: So knock Joe. So basically, hernia is it's simply put, 90 00:04:09,760 --> 00:04:11,080 Speaker 4: it's a hole in the wall, a hole in the 91 00:04:11,080 --> 00:04:14,880 Speaker 4: abdominal wall, something most people are born with. They start 92 00:04:14,880 --> 00:04:17,839 Speaker 4: a very small Over time they get bigger. You know, 93 00:04:17,880 --> 00:04:21,760 Speaker 4: as we get older, unfortunate tissues get weaker, and eventually, 94 00:04:22,000 --> 00:04:24,640 Speaker 4: you know, some hernias give way and you develop a 95 00:04:24,720 --> 00:04:28,880 Speaker 4: visible or noticeable or symptomatic hernia. And basically what you 96 00:04:28,920 --> 00:04:32,080 Speaker 4: will feel is a squishiness. It could be fat, it 97 00:04:32,120 --> 00:04:38,520 Speaker 4: could be abdominal organs. They can be painful, especially initial 98 00:04:38,600 --> 00:04:41,480 Speaker 4: you know when they're acute, but you know, like any 99 00:04:41,520 --> 00:04:45,640 Speaker 4: other injury or soft tissue injury, it's painful at first 100 00:04:45,680 --> 00:04:47,720 Speaker 4: when it's a cube, and it once it becomes chronic, 101 00:04:48,040 --> 00:04:50,560 Speaker 4: then it's not as painful. But you know, the hernia, unfortunately, 102 00:04:50,600 --> 00:04:54,840 Speaker 4: is still there. You know, they don't fix themselves, unfortunately, 103 00:04:55,920 --> 00:04:57,960 Speaker 4: and you know as they get bigger they can cause 104 00:04:58,040 --> 00:05:01,440 Speaker 4: increased pain or if you know, herniae contents get caught 105 00:05:02,279 --> 00:05:05,760 Speaker 4: or what's called incarceration, then you know you can have symptoms. 106 00:05:06,360 --> 00:05:09,159 Speaker 3: So so that's a good point. Now, Now, how does 107 00:05:09,200 --> 00:05:12,120 Speaker 3: someone can you have a hernia but not know it? 108 00:05:13,320 --> 00:05:16,359 Speaker 4: Yeah, absolutely you might just you know, you might have 109 00:05:16,400 --> 00:05:18,359 Speaker 4: a little bulge or if you have some weight, you 110 00:05:18,440 --> 00:05:21,480 Speaker 4: may not notice it. You know, you could also think 111 00:05:21,520 --> 00:05:24,000 Speaker 4: of a hernia. Some hernias what we call a pre hernia. 112 00:05:24,040 --> 00:05:25,240 Speaker 4: It's kind of like a dent in the wall, but 113 00:05:25,279 --> 00:05:27,120 Speaker 4: not a hole in the wall. So you can have 114 00:05:27,160 --> 00:05:28,880 Speaker 4: what's called a pre hernia and not even though you 115 00:05:28,960 --> 00:05:33,039 Speaker 4: have it. Once it goes fully through through and through, 116 00:05:33,600 --> 00:05:35,600 Speaker 4: that's when you you'll notice it. And you know, sometimes 117 00:05:35,640 --> 00:05:37,760 Speaker 4: people will look down, they'll see a little bulge in 118 00:05:37,800 --> 00:05:40,680 Speaker 4: the England oil area, or they'll be uneven on one 119 00:05:40,720 --> 00:05:44,400 Speaker 4: side and when they laid down it kind of goes away. Also, 120 00:05:45,560 --> 00:05:47,080 Speaker 4: you know, a Bilgo hernia, it's you know a lot 121 00:05:47,080 --> 00:05:50,120 Speaker 4: of people think they have an Audi belly bond in actuality, 122 00:05:50,160 --> 00:05:52,440 Speaker 4: it's a it's a Bilgo hernia. 123 00:05:53,320 --> 00:05:57,800 Speaker 3: So so doctor Knacho, the million dollar question is when 124 00:05:57,880 --> 00:05:59,720 Speaker 3: do they need to be operated on? When are they 125 00:05:59,720 --> 00:06:03,520 Speaker 3: caused medic and when did they become a medical issue. 126 00:06:04,400 --> 00:06:07,360 Speaker 4: Yeah, so you know, I think every hernia has to 127 00:06:07,360 --> 00:06:09,640 Speaker 4: be fixed now because that's what I do for a living. 128 00:06:10,440 --> 00:06:13,000 Speaker 4: But you know, I see what happens when you leave 129 00:06:13,040 --> 00:06:15,279 Speaker 4: a hernia, you know, it's not an emergency unless he 130 00:06:15,279 --> 00:06:19,120 Speaker 4: has symptoms. But you know, I always tell patients you 131 00:06:18,640 --> 00:06:21,520 Speaker 4: can you can wait months, weeks or months, but I 132 00:06:21,520 --> 00:06:24,440 Speaker 4: wouldn't wait years to get a hernia fixed because you know, 133 00:06:24,600 --> 00:06:27,480 Speaker 4: I every week I see a patient who's hernia ten 134 00:06:27,560 --> 00:06:30,000 Speaker 4: years ago. There, you know, with good intention. Of course, 135 00:06:30,040 --> 00:06:32,440 Speaker 4: they're primary care doctors will say, you know, if it's 136 00:06:32,480 --> 00:06:34,560 Speaker 4: not getting bigger than the body, I leave it alone. 137 00:06:34,960 --> 00:06:36,960 Speaker 4: You know, FA's forward ten years later. Now it's ten 138 00:06:37,000 --> 00:06:40,000 Speaker 4: times the size, and you know, now it's a bigger surgery, 139 00:06:40,040 --> 00:06:42,479 Speaker 4: it's a higher chance of recurrence, and you know you 140 00:06:42,520 --> 00:06:44,640 Speaker 4: may or may not need a mess in these situations. 141 00:06:44,640 --> 00:06:47,720 Speaker 4: So to me, it's not an emergency. Don't run out, 142 00:06:48,000 --> 00:06:50,560 Speaker 4: you know, out of your house and you know, looking 143 00:06:50,560 --> 00:06:52,839 Speaker 4: to get it fixed. But you know it's something that 144 00:06:52,839 --> 00:06:54,440 Speaker 4: should be addressed at some point. 145 00:06:54,760 --> 00:06:57,279 Speaker 3: So so now there are different types of repairs. We 146 00:06:57,360 --> 00:07:02,159 Speaker 3: hear about laparoscopic repairs and metal repairs and and hernias 147 00:07:02,200 --> 00:07:05,560 Speaker 3: done under local ANTITHESI uh, you know, how does someone 148 00:07:05,640 --> 00:07:06,719 Speaker 3: decide what to have? 149 00:07:08,320 --> 00:07:10,320 Speaker 4: So, yeah, it's a good question. It's a lot of 150 00:07:10,360 --> 00:07:12,880 Speaker 4: controversy about it, you know, and you know, you can 151 00:07:12,920 --> 00:07:16,920 Speaker 4: read research about you know, repairs done with mesh without mesh, 152 00:07:17,040 --> 00:07:19,640 Speaker 4: which one's better. You know, it all depends who's sponsoring 153 00:07:19,680 --> 00:07:23,000 Speaker 4: the research and that kind of thing. But you know, 154 00:07:23,080 --> 00:07:26,440 Speaker 4: the bottom line is what I tell patients is you know, 155 00:07:26,560 --> 00:07:29,200 Speaker 4: if if the procedure is done correctly and it's done 156 00:07:29,200 --> 00:07:33,280 Speaker 4: by a specialist, you know you will have good results. Uh, 157 00:07:34,000 --> 00:07:37,080 Speaker 4: it doesn't matter which modality. I think the bottom line 158 00:07:37,200 --> 00:07:40,680 Speaker 4: is in safety. You know the difference between mesh and 159 00:07:40,800 --> 00:07:43,560 Speaker 4: mesh free repairs. So the show lace is in mesh 160 00:07:43,600 --> 00:07:48,480 Speaker 4: free repair and it's mainly pertains to inguinal hernias, but uh, 161 00:07:48,840 --> 00:07:49,120 Speaker 4: you know. 162 00:07:51,320 --> 00:07:53,280 Speaker 3: Those are the ones that are groin that most people 163 00:07:53,280 --> 00:07:53,920 Speaker 3: get right. 164 00:07:54,480 --> 00:07:58,480 Speaker 4: Yes, exactly. So laboscopic and robotic, you know, even though 165 00:07:58,480 --> 00:08:00,880 Speaker 4: it's stubbed MINIMALI based if I think it's more invasive, 166 00:08:01,400 --> 00:08:03,520 Speaker 4: it's not a bad operation. It's a good operation. But 167 00:08:03,600 --> 00:08:06,120 Speaker 4: I think it's a safety issue because you know, when 168 00:08:06,160 --> 00:08:09,760 Speaker 4: you go in laparoscopic and robonically you need generally anesthesia. 169 00:08:10,280 --> 00:08:13,040 Speaker 4: You're in the belly. You know, there's internal organs, there's 170 00:08:13,080 --> 00:08:17,040 Speaker 4: small bowel, there's you know, blood vessels, there's flatter that 171 00:08:17,160 --> 00:08:19,280 Speaker 4: can be injured. You know, they even have a term 172 00:08:19,320 --> 00:08:23,960 Speaker 4: called the triangle of doom, which surgeons refer to. And 173 00:08:24,080 --> 00:08:26,880 Speaker 4: you know, I've seen bad things happen. You know, I'm 174 00:08:27,800 --> 00:08:31,320 Speaker 4: fortunately I've never had an issue, but I've seen good surgeons, 175 00:08:31,360 --> 00:08:33,280 Speaker 4: really good surgeons who I would personally will let them 176 00:08:33,320 --> 00:08:37,640 Speaker 4: operate on me. You know, have catastrophic complications, even though 177 00:08:37,640 --> 00:08:39,600 Speaker 4: it is rare. You know, I don't want to scare anybody, 178 00:08:39,880 --> 00:08:42,120 Speaker 4: but they do happen. And you know, I always say, 179 00:08:42,559 --> 00:08:44,120 Speaker 4: you don't need a crane to build a shed, you 180 00:08:44,160 --> 00:08:47,439 Speaker 4: need some basic instruments, basic tools. You know. The should 181 00:08:47,480 --> 00:08:51,160 Speaker 4: is repair. It's been around since nineteen forty. They do 182 00:08:51,240 --> 00:08:54,600 Speaker 4: about eight thousand a year. It's popular in Canada, where 183 00:08:54,640 --> 00:08:55,360 Speaker 4: it was invented. 184 00:08:56,679 --> 00:09:01,520 Speaker 3: Recurrent you do almost exclude sively. You do herneys. You 185 00:09:01,559 --> 00:09:04,680 Speaker 3: do like four hundred and fifty so these herneias a year, 186 00:09:05,120 --> 00:09:08,360 Speaker 3: which is a tremendous number for you know, that's that's 187 00:09:08,360 --> 00:09:10,480 Speaker 3: five a week. That's that's a lot of herneys. 188 00:09:10,840 --> 00:09:13,160 Speaker 4: So we do a lot of herneias. Yeah, so about 189 00:09:13,160 --> 00:09:16,320 Speaker 4: five years ago we started doing it. A lot of 190 00:09:16,320 --> 00:09:18,280 Speaker 4: patients were asking me, you know, when I started my 191 00:09:18,320 --> 00:09:22,200 Speaker 4: career doing them all laparoscopic and robotically with mesh, and 192 00:09:22,320 --> 00:09:24,760 Speaker 4: you know, I always felt uncomfortable, you know, putting mesh 193 00:09:24,840 --> 00:09:28,880 Speaker 4: into the pelvis where these big vital structures that can 194 00:09:28,920 --> 00:09:32,839 Speaker 4: get injured potentially. And you know, patients were asking me, 195 00:09:32,880 --> 00:09:34,760 Speaker 4: do you have to use mesh? So it kind of clicked, 196 00:09:34,800 --> 00:09:37,600 Speaker 4: you know, there's something here that patients. I don't personally 197 00:09:38,160 --> 00:09:41,080 Speaker 4: enjoy doing it per se. Patients don't want to mesh. 198 00:09:41,120 --> 00:09:43,920 Speaker 4: So you know, I was trained by some elders or 199 00:09:44,080 --> 00:09:48,280 Speaker 4: some older surgeons who trained at show Theace Hospital in Canada, 200 00:09:49,120 --> 00:09:50,840 Speaker 4: and they I took the time out to learn it 201 00:09:50,960 --> 00:09:54,320 Speaker 4: in my training at Flushing Hospital in Queen's And you know, 202 00:09:54,360 --> 00:09:57,680 Speaker 4: I started doing it five years ago. And you know 203 00:09:58,240 --> 00:10:02,040 Speaker 4: not I have no you know, intentions of going back 204 00:10:02,440 --> 00:10:04,320 Speaker 4: to uh, no opportunity. 205 00:10:04,440 --> 00:10:06,440 Speaker 3: Now you have an office. You have an office in 206 00:10:06,440 --> 00:10:09,959 Speaker 3: Manhattan on eighty fifth in Park uh and also one 207 00:10:10,000 --> 00:10:12,800 Speaker 3: in New Jersey. What's your phone number? If if listeners 208 00:10:12,840 --> 00:10:15,600 Speaker 3: have a hernia or they're not sure they have a hernia, 209 00:10:15,920 --> 00:10:17,720 Speaker 3: they want to give you a call, what's your number? 210 00:10:18,640 --> 00:10:21,080 Speaker 4: Sure, it's so it's my New Jersey number, but it 211 00:10:21,120 --> 00:10:23,319 Speaker 4: goes to both New York and New Jersey. It's nine 212 00:10:23,440 --> 00:10:27,760 Speaker 4: seven three three eight three to two to two. The 213 00:10:27,840 --> 00:10:33,240 Speaker 4: website is Advanced Surgery NYC dot com. For the New 214 00:10:33,320 --> 00:10:37,040 Speaker 4: York office in New Jersey, it's Advanced Surgery and jay 215 00:10:37,520 --> 00:10:38,520 Speaker 4: dot com. 216 00:10:39,000 --> 00:10:40,880 Speaker 3: And what's your number again? Give it that one more time. 217 00:10:41,200 --> 00:10:44,200 Speaker 4: Oh yeah, sure, it's nine seven three three eight three 218 00:10:44,720 --> 00:10:45,760 Speaker 4: to two to two. 219 00:10:46,559 --> 00:10:49,560 Speaker 3: All right. I want to thank you doctor Schumoff, not Joe, 220 00:10:49,600 --> 00:10:52,320 Speaker 3: that's how we pronounce it. And he is the expert 221 00:10:52,360 --> 00:10:54,520 Speaker 3: hernia surgeon. If you've got a hernia, this is the 222 00:10:54,559 --> 00:10:58,640 Speaker 3: guy to go to. Uh he'll fix it so that uh, hopefully, 223 00:10:58,760 --> 00:11:01,120 Speaker 3: hopefully you don't have to worry out these things. Again. 224 00:11:01,240 --> 00:11:03,600 Speaker 3: Thanks so much for taking time on your Saturday night, 225 00:11:03,640 --> 00:11:05,360 Speaker 3: doctor Knaccho. It's been a pleasure. 226 00:11:05,600 --> 00:11:07,679 Speaker 4: Thank you, Doctor Perry, appreciate it. Thank you, thank you 227 00:11:07,720 --> 00:11:08,320 Speaker 4: for having me on. 228 00:11:08,960 --> 00:11:10,920 Speaker 3: Oh you're very welcome. All right, there's more to the show. 229 00:11:10,920 --> 00:11:12,720 Speaker 3: We're going to talk facelifts when we come back from 230 00:11:12,760 --> 00:11:16,040 Speaker 3: a break on board. Certified plastic surgeon, doctor Arthur Perry, 231 00:11:16,040 --> 00:11:18,679 Speaker 3: host of What's Your Wrinkle? Right here on wor give 232 00:11:18,720 --> 00:11:21,280 Speaker 3: me a call eight hundred three two one zero seven ten. 233 00:11:21,360 --> 00:11:23,840 Speaker 3: That's the phone number. We'll be back after these words. 234 00:11:26,679 --> 00:11:29,679 Speaker 3: Everyone should have a skin cancer check yearly. It's as 235 00:11:29,720 --> 00:11:32,760 Speaker 3: important as a colonoscopy or a mammogram. It's tough to 236 00:11:32,800 --> 00:11:35,559 Speaker 3: find a dermatologist that does a thorough check, but there 237 00:11:35,640 --> 00:11:39,640 Speaker 3: is a breakthrough in skin detection and monitoring. At Eleitra 238 00:11:39,760 --> 00:11:43,240 Speaker 3: Health in Manhattan, they have a new AI driven computerized 239 00:11:43,240 --> 00:11:46,160 Speaker 3: camera system that takes a three D photograph of your 240 00:11:46,480 --> 00:11:50,000 Speaker 3: entire body in just seconds. It'll analyze your moles and 241 00:11:50,080 --> 00:11:52,600 Speaker 3: tell you if any are suspicious, and they can even 242 00:11:52,640 --> 00:11:55,320 Speaker 3: do a quick biopsy if it's necessary. I had the 243 00:11:55,360 --> 00:11:57,960 Speaker 3: scan myself at Eleitra Health, and I've already sent my 244 00:11:58,040 --> 00:12:01,240 Speaker 3: family members to have the scan. To schedule your scan, 245 00:12:01,440 --> 00:12:04,720 Speaker 3: called Jennifer at six four six three six two forty 246 00:12:04,720 --> 00:12:07,560 Speaker 3: five forty two. That's six four six three six two 247 00:12:07,760 --> 00:12:12,559 Speaker 3: forty five forty two, or go to www dot eletrahealth 248 00:12:12,679 --> 00:12:16,160 Speaker 3: dot com slash dermatology. There's only a few of these 249 00:12:16,200 --> 00:12:19,480 Speaker 3: machines in the country, but Eleitra can schedule you right away. 250 00:12:19,520 --> 00:12:22,440 Speaker 3: And if you mentioned the Pery ten code, that's Perry ten, 251 00:12:22,600 --> 00:12:25,760 Speaker 3: they'll take ten percent off of your fee. That's Eletra 252 00:12:25,880 --> 00:12:29,600 Speaker 3: Health six four six three six two forty five forty two. 253 00:12:30,120 --> 00:12:32,480 Speaker 3: Did you know that your skincare may be hurting you 254 00:12:32,559 --> 00:12:35,600 Speaker 3: more than helping you. I'm Board certified plastic surgeon, doctor 255 00:12:35,720 --> 00:12:40,280 Speaker 3: Arthur Perry. The foundation for looking good is clean, healthy skin. 256 00:12:40,480 --> 00:12:43,200 Speaker 3: So I've created a program that is so simple that 257 00:12:43,559 --> 00:12:46,720 Speaker 3: everyone can stay on it long enough to see real results. 258 00:12:47,080 --> 00:12:50,800 Speaker 3: It starts with an incredible skin cleaner called clean Time. 259 00:12:50,960 --> 00:12:53,800 Speaker 3: It's actually good for your skin. Protect your skin with 260 00:12:53,880 --> 00:12:57,560 Speaker 3: my Daytime SPF twenty cream in the evening, feed your 261 00:12:57,600 --> 00:13:02,120 Speaker 3: skin with my Powerhouse Nighttime ser Nighttime has Vitamin CNA, 262 00:13:02,360 --> 00:13:06,400 Speaker 3: antioxidants and skin brighteners. And if you like moisturizers, well, 263 00:13:06,520 --> 00:13:10,400 Speaker 3: I've created soft Time with seramides and Vitamin D. Throw 264 00:13:10,440 --> 00:13:14,480 Speaker 3: away the bags of useless products and try doctor Perry's Skincare. 265 00:13:14,640 --> 00:13:17,320 Speaker 3: Join the thousands of people whose skin is healthier. That's 266 00:13:17,400 --> 00:13:20,880 Speaker 3: doctor Perry's Skincare on Amazon dot com. And don't forget 267 00:13:20,880 --> 00:13:23,760 Speaker 3: to listen to my radio show right here on wo 268 00:13:24,000 --> 00:13:27,680 Speaker 3: R Every Saturday evening at six pm. You're listening to 269 00:13:27,800 --> 00:13:30,960 Speaker 3: What's Your Wrinkle with Doctor Arthur Perry. What's your Wrinkle? 270 00:13:32,360 --> 00:13:34,800 Speaker 3: And we are back. I'm Board certified plastic surgeon, doctor 271 00:13:34,880 --> 00:13:39,080 Speaker 3: Arthur Perry. So one of the my favorite procedures is 272 00:13:39,440 --> 00:13:41,360 Speaker 3: a facelift, and I do a lot of those. I 273 00:13:41,400 --> 00:13:43,920 Speaker 3: did one this week, I did one the week before. 274 00:13:44,760 --> 00:13:48,600 Speaker 3: You know, they're they're very good procedures. And they're good 275 00:13:48,679 --> 00:13:54,480 Speaker 3: because they're safe, they're reliable. And I'll tell you something. 276 00:13:54,480 --> 00:13:57,800 Speaker 3: When you have the symptoms of aging, and that means 277 00:13:57,840 --> 00:14:01,040 Speaker 3: your jowls and the loose skin of the face, loose 278 00:14:01,040 --> 00:14:04,160 Speaker 3: skin of the neck, the turkey gobbler. Oh what a 279 00:14:04,559 --> 00:14:07,800 Speaker 3: thing to have, right, the bands of the neck. When 280 00:14:07,840 --> 00:14:10,440 Speaker 3: you have these and you look in the mirror and 281 00:14:10,640 --> 00:14:14,520 Speaker 3: you know you feel fifty but you look seventy. You know, 282 00:14:14,800 --> 00:14:17,800 Speaker 3: it's a wonderful thing to be able to have that fixed. 283 00:14:17,880 --> 00:14:21,560 Speaker 3: And now we can do facelifts with a variety of 284 00:14:21,600 --> 00:14:24,480 Speaker 3: different techniques. But I'm in fact, I'm giving the lecture 285 00:14:24,600 --> 00:14:28,960 Speaker 3: at Cornell and Columbia this Monday on facelifts. Then we're 286 00:14:28,960 --> 00:14:32,160 Speaker 3: doing a cadaver lab, which is you know, you think, 287 00:14:32,200 --> 00:14:35,160 Speaker 3: oh my god, what are we doing here, But for doctors, 288 00:14:35,160 --> 00:14:38,040 Speaker 3: for plastic surgeons, that is an incredible way to learn. 289 00:14:39,240 --> 00:14:42,680 Speaker 3: You know, they are cadavers, which are our people that 290 00:14:42,800 --> 00:14:47,720 Speaker 3: recently died, and we do an anatomical dissections on those. 291 00:14:47,760 --> 00:14:52,200 Speaker 3: So I'm helping the residents learn how to do facelifts 292 00:14:52,200 --> 00:14:55,360 Speaker 3: on people that are no longer with us, and you know, 293 00:14:55,480 --> 00:14:57,760 Speaker 3: it's a good thing to be able to do that. 294 00:14:57,920 --> 00:15:03,120 Speaker 3: But you know, I reviewed the world's literature on facelifts 295 00:15:03,160 --> 00:15:04,960 Speaker 3: over the last few weeks to get ready for this 296 00:15:05,160 --> 00:15:09,360 Speaker 3: particular lecture. And the funny thing about a facelift, you know, 297 00:15:09,440 --> 00:15:11,720 Speaker 3: we call it a facelift, but the real name is 298 00:15:11,960 --> 00:15:17,160 Speaker 3: ritchid deck to me right. But it's also it's called 299 00:15:17,320 --> 00:15:18,000 Speaker 3: many things. 300 00:15:18,040 --> 00:15:18,200 Speaker 5: You know. 301 00:15:18,240 --> 00:15:21,680 Speaker 3: There's the short scar facelift. There's the traditional facelift, the 302 00:15:22,320 --> 00:15:27,320 Speaker 3: deep plane facelift, the sub periosteal facelift, the S lift. 303 00:15:27,440 --> 00:15:29,960 Speaker 3: How many names, and I figure, you know, if it 304 00:15:30,080 --> 00:15:34,520 Speaker 3: confuses you, it also actually confuses a lot of doctors. 305 00:15:34,560 --> 00:15:37,560 Speaker 3: I mean, there's the max lift. There's so many different 306 00:15:37,600 --> 00:15:42,920 Speaker 3: the ponytail friendly lift, the short scar lift. It's really amazing, 307 00:15:42,960 --> 00:15:46,880 Speaker 3: there are so many different facelifts. Well, the first facelifts 308 00:15:46,880 --> 00:15:52,440 Speaker 3: were done actually in Germany right around the beginning of 309 00:15:52,480 --> 00:15:56,440 Speaker 3: the twentieth century, and they were also done in the 310 00:15:56,520 --> 00:15:59,120 Speaker 3: United States early on, so between nineteen oh one and 311 00:15:59,280 --> 00:16:04,560 Speaker 3: nineteen seven, that was the infancy period of facelift. But 312 00:16:04,640 --> 00:16:07,120 Speaker 3: they came into their own in the nineteen fifties and 313 00:16:07,120 --> 00:16:11,040 Speaker 3: that was when the first publication in the Plastic Surgery 314 00:16:11,120 --> 00:16:14,480 Speaker 3: Journal that we all use came out and it really 315 00:16:14,960 --> 00:16:19,120 Speaker 3: began an era that continues to this day. So there 316 00:16:19,120 --> 00:16:21,360 Speaker 3: are so many different types of facelifts. So what do 317 00:16:21,440 --> 00:16:23,800 Speaker 3: we do in a facelift. Well, when you come into 318 00:16:23,840 --> 00:16:26,880 Speaker 3: my office, when you come in and say, well, you know, 319 00:16:27,200 --> 00:16:30,440 Speaker 3: I don't like you know what I'm looking like. Now, 320 00:16:30,480 --> 00:16:33,680 Speaker 3: I don't like the jews. My jawline is no longer 321 00:16:33,920 --> 00:16:36,600 Speaker 3: sleek like it was ten years ago. Now I've got 322 00:16:36,600 --> 00:16:40,480 Speaker 3: this this lump here. I guess that's called a jowl, right, Yes, 323 00:16:40,600 --> 00:16:44,040 Speaker 3: ajowl is a descended fat pad from the middle of 324 00:16:44,080 --> 00:16:47,400 Speaker 3: the face. As the skin begins to relax, as all 325 00:16:47,400 --> 00:16:51,040 Speaker 3: the tissues relax, really everything from the bone on out 326 00:16:51,120 --> 00:16:54,680 Speaker 3: begins to sag, and then we get these jows and 327 00:16:54,720 --> 00:16:57,640 Speaker 3: that breaks up the jaw line. And a youthful jaw 328 00:16:57,760 --> 00:17:01,760 Speaker 3: line is a straight jaw. And when we have a jow, 329 00:17:01,800 --> 00:17:03,840 Speaker 3: that makes you look older. And then you get the 330 00:17:03,960 --> 00:17:07,800 Speaker 3: nasal avial folds, you get the marionette lines and the 331 00:17:07,920 --> 00:17:10,200 Speaker 3: skin of the neck. So when we come back from 332 00:17:10,320 --> 00:17:13,040 Speaker 3: our break, we're gonna break it down for you and 333 00:17:13,160 --> 00:17:16,440 Speaker 3: help you decide what kind of facelift, if a facelift 334 00:17:16,520 --> 00:17:19,720 Speaker 3: is appropriate at all for you. I'm board certified plastic surgeon, 335 00:17:19,760 --> 00:17:22,160 Speaker 3: doctor Arthur Perry, host of What's Your Wrinkle? Right here 336 00:17:22,200 --> 00:17:24,520 Speaker 3: on wo Argum me a call eight hundred three two 337 00:17:24,600 --> 00:17:27,359 Speaker 3: one zero seven ten. That's the phone number. We'll be 338 00:17:27,440 --> 00:17:36,600 Speaker 3: back after this short message. Have you seen people that 339 00:17:36,680 --> 00:17:39,879 Speaker 3: have been distorted by wrinkle filler, duck lips and cheeks 340 00:17:39,920 --> 00:17:43,440 Speaker 3: that look bizarre. I'm board certified plastic surgeon, doctor Arthur Perry, 341 00:17:43,440 --> 00:17:46,360 Speaker 3: and I'm here to help. I love helping patients look 342 00:17:46,440 --> 00:17:49,520 Speaker 3: younger and better. My technique is different. I numb you 343 00:17:49,600 --> 00:17:52,080 Speaker 3: up like a dentist and then inject hundreds of tiny 344 00:17:52,160 --> 00:17:56,160 Speaker 3: droplets of filler into wrinkles, folds, scars, and even cheeks 345 00:17:56,200 --> 00:17:59,240 Speaker 3: and chins. I've done this procedure on thousands of women 346 00:17:59,480 --> 00:18:01,520 Speaker 3: and know I won't make you look like a duck. 347 00:18:01,920 --> 00:18:04,200 Speaker 3: And if filler isn't right for you, I'll tell you. 348 00:18:04,320 --> 00:18:07,600 Speaker 3: Since I'm a real plastic surgeon, I've got many procedures 349 00:18:07,640 --> 00:18:10,280 Speaker 3: to choose from. Let's sit down for an hour consultation 350 00:18:10,480 --> 00:18:13,280 Speaker 3: in my new Park Avenue office. Together, we'll come up 351 00:18:13,280 --> 00:18:15,360 Speaker 3: with a plan to help you look your best. Give 352 00:18:15,359 --> 00:18:18,119 Speaker 3: me a call at two one two seven five three, 353 00:18:18,200 --> 00:18:21,959 Speaker 3: eighteen twenty. That's two one two seven five three eighteen twenty. 354 00:18:22,080 --> 00:18:24,119 Speaker 3: Check me out on the web at Perry Plastic Surgery 355 00:18:24,160 --> 00:18:26,679 Speaker 3: dot com. And don't forget to listen to me doctor 356 00:18:26,800 --> 00:18:30,240 Speaker 3: Arthur Perry, every Saturday evening at six pm right here 357 00:18:30,400 --> 00:18:34,560 Speaker 3: on WOR. You're listening to What's your Wrinkle with Doctor 358 00:18:34,720 --> 00:18:38,879 Speaker 3: Arthur Perry. What's your wrinkle? And what is your wrinkle? 359 00:18:38,920 --> 00:18:41,600 Speaker 3: I'm board certified plastic surgeon, doctor Arthur Perry, host of 360 00:18:41,640 --> 00:18:44,080 Speaker 3: this show for a long long time, sitting here in 361 00:18:44,119 --> 00:18:46,760 Speaker 3: the upper West side of Manhattan this evening and during 362 00:18:46,760 --> 00:18:50,439 Speaker 3: the week. I'm in my office in on Park Avenue 363 00:18:50,440 --> 00:18:52,919 Speaker 3: at the corner of Park in eighty fifth. I'm also 364 00:18:53,359 --> 00:18:55,359 Speaker 3: in the operating room at Manhattan and I in the 365 00:18:55,400 --> 00:18:57,639 Speaker 3: year or at Robert with Johnson, or at the Care 366 00:18:57,760 --> 00:19:00,720 Speaker 3: Surgeon Center in New Jersey, and still in the office 367 00:19:00,880 --> 00:19:03,320 Speaker 3: in New Jersey. That's where you can find me. The 368 00:19:03,440 --> 00:19:06,280 Speaker 3: phone number at my office is two on two seven 369 00:19:06,400 --> 00:19:10,560 Speaker 3: five three, eighteen twenty. All right, So I like doing facelifts. 370 00:19:10,600 --> 00:19:15,840 Speaker 3: I like doing faceless because they are. They're very effective procedures. 371 00:19:15,880 --> 00:19:19,240 Speaker 3: Now a lot of people do these under general anesthesia. 372 00:19:19,320 --> 00:19:21,439 Speaker 3: That's where a breathing tube in. I like to do 373 00:19:21,480 --> 00:19:25,199 Speaker 3: a facelift under local antesesia with sedation, you know, the 374 00:19:25,240 --> 00:19:28,960 Speaker 3: sedation like what you had with a colonoscopy. It can 375 00:19:29,000 --> 00:19:32,320 Speaker 3: be done either way. But as we talked about last week, 376 00:19:32,560 --> 00:19:36,600 Speaker 3: one of the reasons I like sedation anesthesia is because 377 00:19:36,640 --> 00:19:40,639 Speaker 3: the risk of nausea is almost nothing with sedation anthesion. 378 00:19:40,720 --> 00:19:44,800 Speaker 3: It's about twenty percent with general anesthesia. And if you 379 00:19:44,840 --> 00:19:48,879 Speaker 3: get nausea after a facelift, that increases your risk of 380 00:19:48,920 --> 00:19:51,480 Speaker 3: a bleeding complication. So that's why I like to do 381 00:19:51,560 --> 00:19:54,639 Speaker 3: it that way. I give you drugs, the antithesiologist give 382 00:19:54,680 --> 00:19:56,800 Speaker 3: you gives you drugs so you don't even feel it 383 00:19:57,080 --> 00:19:58,720 Speaker 3: when we numb you up, and then you kind of 384 00:19:58,760 --> 00:20:02,280 Speaker 3: sleep through most of the proces. So a facelift that 385 00:20:02,400 --> 00:20:06,320 Speaker 3: I like to do is a short scar facelift. It's 386 00:20:06,359 --> 00:20:09,520 Speaker 3: a short scar, meaning it doesn't go into the hairline. 387 00:20:10,000 --> 00:20:12,840 Speaker 3: The traditional facelift, which has been done you know when 388 00:20:12,880 --> 00:20:15,920 Speaker 3: they came of age in the nineteen fifties and then 389 00:20:16,480 --> 00:20:19,359 Speaker 3: really really became popular in the eighties. And nineties and 390 00:20:19,400 --> 00:20:24,159 Speaker 3: two thousands. Those were long scar facelifts. They had incisions 391 00:20:24,160 --> 00:20:28,920 Speaker 3: that started in the hairline above your eyebrow and went 392 00:20:28,960 --> 00:20:31,080 Speaker 3: down to the top of the ear, in front of 393 00:20:31,119 --> 00:20:34,040 Speaker 3: the ear, and then behind the ear and back into 394 00:20:34,080 --> 00:20:36,680 Speaker 3: the hairline. And the problem with it, if you look 395 00:20:36,680 --> 00:20:38,919 Speaker 3: at some of the close up pictures of people like 396 00:20:39,040 --> 00:20:42,119 Speaker 3: Joe Biden, he had a facelift. Now do I know 397 00:20:42,160 --> 00:20:44,639 Speaker 3: that for a fact, Well, not really, except for the 398 00:20:44,640 --> 00:20:48,640 Speaker 3: fact that he's got photographs that show pretty terrible scars 399 00:20:48,640 --> 00:20:51,840 Speaker 3: behind his ears that look just like facelift scars. So 400 00:20:52,000 --> 00:20:54,239 Speaker 3: I guess he had a facelift, and we want to 401 00:20:54,280 --> 00:20:57,399 Speaker 3: avoid those bad scars. We want to avoid those so 402 00:20:57,440 --> 00:20:59,800 Speaker 3: that you can wear your hair up, where you can 403 00:20:59,840 --> 00:21:04,000 Speaker 3: wear ponytail, you can go swimming without seeing those scars. 404 00:21:04,200 --> 00:21:07,920 Speaker 3: And that's why the short scar facelift evolved about fifteen 405 00:21:08,000 --> 00:21:11,560 Speaker 3: or so years ago. Now, the short scar doesn't make 406 00:21:11,680 --> 00:21:15,600 Speaker 3: incisions inside the hairline, so that's the first thing that's 407 00:21:15,680 --> 00:21:19,359 Speaker 3: different about a traditional facelift. Short scar, we just make 408 00:21:19,400 --> 00:21:22,320 Speaker 3: an incision in the sideburn area in front of the ear, 409 00:21:22,359 --> 00:21:25,119 Speaker 3: and a very short one behind the ear, but it 410 00:21:25,160 --> 00:21:27,760 Speaker 3: doesn't go back to the hairline. And because of that, 411 00:21:27,800 --> 00:21:29,240 Speaker 3: you can wear your hair up. You can wear it 412 00:21:29,240 --> 00:21:31,400 Speaker 3: in a ponytail, up in a bun if anyone does 413 00:21:31,400 --> 00:21:36,479 Speaker 3: that anymore, and it hides the incision and it heals 414 00:21:36,640 --> 00:21:39,960 Speaker 3: very very well. So the short scar also makes a 415 00:21:40,000 --> 00:21:43,720 Speaker 3: little incision under the chin because with almost all facelifts, 416 00:21:43,760 --> 00:21:47,119 Speaker 3: we need to address some fat in the neck and 417 00:21:47,160 --> 00:21:51,080 Speaker 3: the bands of the neck, and that muscle called the platisma. 418 00:21:51,119 --> 00:21:55,520 Speaker 3: That's your cocktail hour conversation. It's the platisma muscle. And 419 00:21:55,680 --> 00:21:59,080 Speaker 3: last week I did a platisma plasty on a young 420 00:21:59,119 --> 00:22:03,280 Speaker 3: person about thirty four years old, because sometimes that pla 421 00:22:03,440 --> 00:22:08,040 Speaker 3: actually stretches out, particularly if someone has had weight gain 422 00:22:08,119 --> 00:22:10,919 Speaker 3: and then weight loss with the glps or something like that, 423 00:22:11,000 --> 00:22:14,240 Speaker 3: then you can actually get some sagging of that muscle, 424 00:22:15,000 --> 00:22:17,800 Speaker 3: even in your thirties. And that's one of the younger 425 00:22:17,920 --> 00:22:20,920 Speaker 3: necklifts that I've done. So what we do is make 426 00:22:20,920 --> 00:22:24,320 Speaker 3: a decision underneath the chin and suction out the fat 427 00:22:24,640 --> 00:22:29,040 Speaker 3: and then tighten that muscles. That's part one of the facelift. 428 00:22:29,080 --> 00:22:31,840 Speaker 3: It's the neck lift part. You know I said earlier 429 00:22:31,880 --> 00:22:35,760 Speaker 3: that you know we can't decide on names. Ritidectomy facelift necklift, 430 00:22:36,280 --> 00:22:38,920 Speaker 3: s slift, whatever it is, but it really doesn't matter 431 00:22:39,000 --> 00:22:42,200 Speaker 3: as long as the right procedure is done. So once 432 00:22:42,240 --> 00:22:45,560 Speaker 3: we address the neck, then we need to address the 433 00:22:45,640 --> 00:22:48,280 Speaker 3: sagging of the cheek. And that is where the big 434 00:22:48,320 --> 00:22:52,639 Speaker 3: controversy is now, because first, let me get right to 435 00:22:52,760 --> 00:22:57,680 Speaker 3: the point. There's no procedure that is proven to be 436 00:22:57,680 --> 00:23:01,080 Speaker 3: better than the other procedure. So when you hear of 437 00:23:01,160 --> 00:23:03,879 Speaker 3: these deep plane facelifts that people are starting to do 438 00:23:03,960 --> 00:23:08,680 Speaker 3: and charging exorbitant amounts of money fifty thousand, seventy five thousand, 439 00:23:08,800 --> 00:23:13,200 Speaker 3: one hundred and fifty thousand, it's incredible what's going on. 440 00:23:13,800 --> 00:23:16,919 Speaker 3: And you know, for these three or four hour procedures 441 00:23:17,240 --> 00:23:21,040 Speaker 3: that are no better, no better by you know, and 442 00:23:21,080 --> 00:23:23,240 Speaker 3: I can tell you there are no publications in the 443 00:23:23,280 --> 00:23:27,440 Speaker 3: plastic surgery literature that say they last longer or are 444 00:23:27,560 --> 00:23:32,840 Speaker 3: any better in appearance than the traditional short scar two 445 00:23:32,920 --> 00:23:35,919 Speaker 3: layered facelift, which is what's seventy percent of the plastic 446 00:23:36,000 --> 00:23:37,879 Speaker 3: surgeons in the United States do. So what do we 447 00:23:37,920 --> 00:23:40,960 Speaker 3: do in that procedure, Well, we make an incision. As 448 00:23:41,000 --> 00:23:43,760 Speaker 3: I told you, short scar. It's a little harder for 449 00:23:43,800 --> 00:23:47,359 Speaker 3: the plastic surgeon because when we make big incisions. My 450 00:23:47,680 --> 00:23:49,840 Speaker 3: chief used to say, you can see forever, and so 451 00:23:50,440 --> 00:23:52,800 Speaker 3: seeing is a little more difficult. But now that's not 452 00:23:53,480 --> 00:23:55,879 Speaker 3: that's not your problem, that's my problem. We want to 453 00:23:55,880 --> 00:23:58,439 Speaker 3: have a short scar so that you don't have a 454 00:23:58,480 --> 00:24:00,879 Speaker 3: big giveaway that you had a face, and then we 455 00:24:00,960 --> 00:24:04,760 Speaker 3: lift up the skin and see the tissues underneath, and 456 00:24:05,040 --> 00:24:09,280 Speaker 3: almost all plastic surgeons now do something to that next 457 00:24:09,400 --> 00:24:12,359 Speaker 3: layer down. The next layer is the fibrous and fatty 458 00:24:12,440 --> 00:24:16,159 Speaker 3: layer that connects the muscles of the neck with the 459 00:24:16,240 --> 00:24:20,239 Speaker 3: muscles of the forehead, and they those muscles and that 460 00:24:20,320 --> 00:24:24,040 Speaker 3: fibro fatty layer is what makes up the sagging jow. 461 00:24:24,200 --> 00:24:26,639 Speaker 3: So it's very very important to do something to that. 462 00:24:26,920 --> 00:24:31,240 Speaker 3: Now what we do is a matter of intense discussion 463 00:24:31,280 --> 00:24:35,480 Speaker 3: amongst plastic surgeons. We have symposia that lasts a whole 464 00:24:35,600 --> 00:24:39,920 Speaker 3: day on which facelift to do, and every plastic surgeon 465 00:24:39,920 --> 00:24:42,800 Speaker 3: that shows his or her results shows great results. Whether 466 00:24:42,840 --> 00:24:45,960 Speaker 3: it's the two layered facelift that I do called the 467 00:24:46,119 --> 00:24:50,919 Speaker 3: smass facelift, whether it's the max facelift, which is a 468 00:24:51,080 --> 00:24:55,480 Speaker 3: facelift where we go one layer but suspend the second 469 00:24:55,600 --> 00:24:58,720 Speaker 3: layer higher, or whether we do the deep plane facelift. 470 00:24:58,760 --> 00:25:01,840 Speaker 3: Everybody shows the same res but why we choose these 471 00:25:01,880 --> 00:25:05,639 Speaker 3: different techniques is we want it to be safe. And 472 00:25:05,680 --> 00:25:08,399 Speaker 3: there's no question that some of the more aggressive procedures 473 00:25:08,400 --> 00:25:11,840 Speaker 3: that are being done have a higher chance of nerve injury, 474 00:25:11,920 --> 00:25:13,520 Speaker 3: and that's where we go. So we want to do 475 00:25:13,560 --> 00:25:16,080 Speaker 3: a safe procedure, and we want to do one that's 476 00:25:16,480 --> 00:25:20,840 Speaker 3: re reproducible, not reversible. That's for sure, all right. So 477 00:25:20,880 --> 00:25:22,400 Speaker 3: next week we're going to get into a little bit 478 00:25:22,440 --> 00:25:25,119 Speaker 3: more about the facelift and we're going to also talk 479 00:25:25,560 --> 00:25:29,119 Speaker 3: about the total body MRI. Next week, I've got a 480 00:25:29,160 --> 00:25:32,760 Speaker 3: guest from Pernuvo coming on. I'm board certified plastic surgeon, 481 00:25:32,800 --> 00:25:34,960 Speaker 3: doctor Arthur Perry, host of What's Your Wrinkle. If you're 482 00:25:34,960 --> 00:25:37,680 Speaker 3: interested in the products, don't forget, you can purchase them 483 00:25:37,720 --> 00:25:41,120 Speaker 3: on Amazon dot com. That's the best way to do it, 484 00:25:41,320 --> 00:25:45,920 Speaker 3: the Nighttime, Daytime, soft Time and clean Time soap. And 485 00:25:46,000 --> 00:25:50,280 Speaker 3: if you're interested in learning more about me, it's Peryplasticsurgery 486 00:25:50,320 --> 00:25:53,680 Speaker 3: dot com. That's Periplasticsurgery dot com and the phone number 487 00:25:53,840 --> 00:25:58,200 Speaker 3: two one, two, seven, five three eighteen twenty it'll bring 488 00:25:58,280 --> 00:26:01,679 Speaker 3: in either office give me a call. All schedule of consultation. 489 00:26:01,760 --> 00:26:03,560 Speaker 3: I'd love to talk to you. Thanks so much for 490 00:26:03,600 --> 00:26:07,159 Speaker 3: great engineering. Noah, we'll see everybody next week. Don't forget 491 00:26:07,280 --> 00:26:10,560 Speaker 3: sunscreen even if it's forty degrees outside. Bye bye now. 492 00:26:11,040 --> 00:26:14,919 Speaker 1: The proceeding was a paid podcast. iHeartRadio's hosting of this 493 00:26:15,040 --> 00:26:18,840 Speaker 1: podcast constitutes neither an endorsement of the products offered or 494 00:26:18,880 --> 00:26:20,200 Speaker 1: the ideas expressed