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
00:00:13,080 --> 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 --> 00:00:20,680
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 --> 00:00:28,560
Speaker 3: Doctor Arthur Perry, and the public wants to know the

11
00:00:28,640 --> 00:00:30,280
Speaker 3: public doesn't get a damn.

12
00:00:30,720 --> 00:00:32,760
Speaker 4: And I went to his office and I said, I said,

13
00:00:32,800 --> 00:00:33,480
Speaker 4: look at my face.

14
00:00:33,520 --> 00:00:34,960
Speaker 2: And he goes, yeah, look at your face. We're going

15
00:00:35,000 --> 00:00:36,000
Speaker 2: to do with your fan What can you do.

16
00:00:35,960 --> 00:00:36,480
Speaker 5: With his face?

17
00:00:36,560 --> 00:00:37,720
Speaker 3: I go like that, I s what I got.

18
00:00:37,760 --> 00:00:39,080
Speaker 2: I go and look at this. I'm getting old.

19
00:00:39,120 --> 00:00:40,479
Speaker 4: I said, I wanna maybe you can fix it up

20
00:00:40,479 --> 00:00:41,880
Speaker 4: a little bit. Doctor Oz, are you there?

21
00:00:42,080 --> 00:00:43,720
Speaker 5: I've here Ark and I want to get a plauged you.

22
00:00:43,760 --> 00:00:46,360
Speaker 5: Having worked with you on a book and numerous other activity.

23
00:00:46,360 --> 00:00:49,600
Speaker 4: You want to talk to Arthur Perry, the best in plastic.

24
00:00:49,240 --> 00:00:52,160
Speaker 5: Surgery, workable knowledge, but also your grace at delivery content,

25
00:00:52,200 --> 00:00:53,519
Speaker 5: which is why it's been a blessing to have you

26
00:00:53,560 --> 00:00:54,600
Speaker 5: on my show so many times.

27
00:00:54,640 --> 00:00:56,920
Speaker 4: When I was a resident at the University of Chicago,

28
00:00:57,000 --> 00:00:57,639
Speaker 4: we had a.

29
00:00:57,880 --> 00:01:01,280
Speaker 5: Me you smart as a really brilliant giftus position. I

30
00:01:01,320 --> 00:01:03,120
Speaker 5: want to pay you the highest true I can give

31
00:01:03,160 --> 00:01:04,560
Speaker 5: to a surgeon, which is when people come to you,

32
00:01:04,640 --> 00:01:06,720
Speaker 5: they don't come for an operation, they come for an opinion.

33
00:01:07,120 --> 00:01:09,320
Speaker 5: And that's why I trust you with my friends relatives.

34
00:01:09,480 --> 00:01:11,160
Speaker 5: I didn't realize we were going to get the Michael

35
00:01:11,240 --> 00:01:13,680
Speaker 5: Jordan of Plastic Surgeons nine oh two and zero.

36
00:01:13,720 --> 00:01:14,840
Speaker 3: Bows to this guy.

37
00:01:15,920 --> 00:01:19,680
Speaker 4: And welcome. This is board certified plastic surgeon, doctor Arthur Perry,

38
00:01:19,720 --> 00:01:22,120
Speaker 4: and you are listening to What's your Wrinkle right here

39
00:01:22,160 --> 00:01:25,160
Speaker 4: on wo R. I hope you're all having a great weekend.

40
00:01:25,840 --> 00:01:30,479
Speaker 4: It's almost I mean it's spring, but not really almost,

41
00:01:30,600 --> 00:01:34,200
Speaker 4: well hopefully. I just heard the weather broadcast. Who listened

42
00:01:34,200 --> 00:01:37,680
Speaker 4: to that, They said the snow word, the s word, no, no, no, no.

43
00:01:38,280 --> 00:01:42,880
Speaker 4: We are in the spring. And with that, we we

44
00:01:42,959 --> 00:01:46,319
Speaker 4: have UV indices that are starting to rise. It was

45
00:01:46,360 --> 00:01:49,880
Speaker 4: four today and next Sunday it's going to be six.

46
00:01:49,960 --> 00:01:52,120
Speaker 4: Do you know what that means? You don't have to

47
00:01:52,160 --> 00:01:55,240
Speaker 4: really know. If it's above three, you need sunscreen. That's

48
00:01:55,240 --> 00:01:59,240
Speaker 4: all you need to know. And if it's six next Saturday,

49
00:01:59,320 --> 00:02:02,240
Speaker 4: which it's supposed to be, you actually could get sunburned

50
00:02:02,320 --> 00:02:06,200
Speaker 4: next week, even though it's still March. All right, Well,

51
00:02:06,240 --> 00:02:09,200
Speaker 4: this is the Plastic Surgery show here on WOR. The

52
00:02:09,240 --> 00:02:11,600
Speaker 4: phone number is eight hundred three to two one zero

53
00:02:11,720 --> 00:02:15,240
Speaker 4: seven ten. We're gonna be giving away bottles of Nighttime

54
00:02:15,320 --> 00:02:17,400
Speaker 4: to callers today, so give me a call. Ask me

55
00:02:17,440 --> 00:02:19,519
Speaker 4: the questions that have been keeping you up at night.

56
00:02:20,160 --> 00:02:23,640
Speaker 4: This is the show about you, about your wrinkles, about

57
00:02:23,639 --> 00:02:28,440
Speaker 4: your small breast, droopy breasts, maybe large breasts. Okay, maybe

58
00:02:28,440 --> 00:02:31,320
Speaker 4: it's a show about chubs. Do you know what those are? Noah,

59
00:02:31,360 --> 00:02:33,680
Speaker 4: do you know what chubs are? That's the fat around

60
00:02:33,680 --> 00:02:39,040
Speaker 4: the knees or cankles, fat around your ankles. Yeah, we

61
00:02:39,200 --> 00:02:42,079
Speaker 4: do all those things in plastic surgery. I help you

62
00:02:42,120 --> 00:02:45,800
Speaker 4: look better, and I help you look better with either

63
00:02:45,919 --> 00:02:50,000
Speaker 4: surgery or procedures. So that's what the show is all about.

64
00:02:50,040 --> 00:02:51,760
Speaker 4: Give me a call eight hundred three to two one

65
00:02:51,840 --> 00:02:55,440
Speaker 4: zero seven ten. That's the phone number here at WOR.

66
00:02:55,560 --> 00:02:58,720
Speaker 4: And if you are listening to the podcast, well this

67
00:02:58,919 --> 00:03:02,079
Speaker 4: is live every Saturday evening at six o'clock. So even

68
00:03:02,080 --> 00:03:05,280
Speaker 4: though it's a podcast, you can call up and so

69
00:03:05,480 --> 00:03:07,720
Speaker 4: next Saturday, I know you're listening on a Tuesday morning

70
00:03:07,760 --> 00:03:11,000
Speaker 4: while you're going to work. It gets confusing, right, Not really.

71
00:03:11,800 --> 00:03:14,920
Speaker 4: This is called straight Talk about Cosmetic Surgery. It's the

72
00:03:14,960 --> 00:03:19,480
Speaker 4: podcast about you about plastic surgery. So if you have

73
00:03:19,680 --> 00:03:22,239
Speaker 4: not listened to it yet, well you're listening to the show.

74
00:03:22,680 --> 00:03:26,240
Speaker 4: And you can listen anytime you want by subscribing. And

75
00:03:26,280 --> 00:03:29,400
Speaker 4: you do that by going to iHeart Podcasts or Apple

76
00:03:29,480 --> 00:03:32,600
Speaker 4: Podcasts or any of the podcast companies and put my

77
00:03:32,720 --> 00:03:35,680
Speaker 4: name in or put cosmetic surgery in and hit subscribe

78
00:03:35,720 --> 00:03:38,120
Speaker 4: and there you go. It's absolutely free. It's one of

79
00:03:38,120 --> 00:03:41,280
Speaker 4: the few things in life that still is free. All right,

80
00:03:41,360 --> 00:03:45,920
Speaker 4: Tonight today we are going to talk about staying safe

81
00:03:46,280 --> 00:03:49,720
Speaker 4: with cosmetic surgery because in the last few weeks, I

82
00:03:49,760 --> 00:03:52,080
Speaker 4: don't know if if any of you have followed this

83
00:03:52,240 --> 00:03:55,760
Speaker 4: on in the tabloid media, but there have been three

84
00:03:56,280 --> 00:04:02,720
Speaker 4: very celebrated deaths from Mommy makeovers. You know, one in

85
00:04:02,720 --> 00:04:07,120
Speaker 4: in Turkey, Okay, we'll talk about that. One in the

86
00:04:07,240 --> 00:04:12,400
Speaker 4: United States, and I think one was in I think

87
00:04:12,400 --> 00:04:14,960
Speaker 4: it was in Mexico, So we'll talk about that. But

88
00:04:15,320 --> 00:04:18,080
Speaker 4: they all there was a theme with this mommy makeover.

89
00:04:18,200 --> 00:04:22,280
Speaker 4: So what is a mommy makeover? Well, that's a combined

90
00:04:22,360 --> 00:04:26,680
Speaker 4: procedure that women have after pregnancy. You know, pregnancy does

91
00:04:27,440 --> 00:04:29,880
Speaker 4: a lot of damage to your body. It's a wonderful time,

92
00:04:29,960 --> 00:04:34,000
Speaker 4: right you have a child, but the the damage is

93
00:04:34,080 --> 00:04:39,920
Speaker 4: relentless on your belly. The developing fetus is enlarging and

94
00:04:40,000 --> 00:04:43,920
Speaker 4: pushing on your skin, pushing on your muscles. The muscles separate.

95
00:04:44,000 --> 00:04:47,400
Speaker 4: That's called the diastasis. A lot of you have that.

96
00:04:47,600 --> 00:04:52,920
Speaker 4: Your belly flops forward to accommodate the developing child and

97
00:04:52,960 --> 00:04:57,320
Speaker 4: your skin grows very rapidly. You get stretch marks, you know,

98
00:04:57,440 --> 00:05:01,040
Speaker 4: extra skin after the delivery, if you're Jane Fonda and

99
00:05:01,200 --> 00:05:04,120
Speaker 4: everything goes back to normal, but if you're everybody else,

100
00:05:04,600 --> 00:05:07,680
Speaker 4: you're usually left with some stretch marks and some hanging

101
00:05:07,760 --> 00:05:12,520
Speaker 4: skin and a protruding belly that results in postural changes.

102
00:05:12,560 --> 00:05:15,800
Speaker 4: You know, you kind of slump over and also a

103
00:05:15,839 --> 00:05:18,799
Speaker 4: little low back pain. That is the syndrome. So tummy

104
00:05:18,839 --> 00:05:22,440
Speaker 4: tucks are the operation that was a devised to help

105
00:05:22,480 --> 00:05:27,920
Speaker 4: this and it reverses the effects of an over an

106
00:05:27,960 --> 00:05:31,200
Speaker 4: over zealous fetus in your abdomen, right, you know. So

107
00:05:31,480 --> 00:05:33,800
Speaker 4: a tummy tuck is a great procedure. I do a

108
00:05:33,839 --> 00:05:38,200
Speaker 4: lot of those under general anesthesia as an outpatient. We

109
00:05:38,279 --> 00:05:40,400
Speaker 4: lift up the skin, we see the muscles, We put

110
00:05:40,440 --> 00:05:42,839
Speaker 4: the muscles back where they're supposed to be. We strengthen

111
00:05:42,880 --> 00:05:46,440
Speaker 4: the muscles and remove the extra skin. So that's part

112
00:05:46,480 --> 00:05:48,920
Speaker 4: of the mommy makeover. But where it gets a little

113
00:05:49,360 --> 00:05:54,000
Speaker 4: a little complicated, excuse me, is when people want to

114
00:05:54,000 --> 00:05:57,200
Speaker 4: do more than just a tummy tuck in a given operation.

115
00:05:57,480 --> 00:06:00,880
Speaker 4: So when a tummy tuck is combined with breast surgery,

116
00:06:00,920 --> 00:06:05,520
Speaker 4: because what happens during pregnancy, your breast will enlarge during pregnancy,

117
00:06:05,560 --> 00:06:10,239
Speaker 4: and then after pregnancy, after breastfeeding, they will shrink. Usually

118
00:06:10,600 --> 00:06:14,320
Speaker 4: breasts are smaller than before pregnancy, and the reason for

119
00:06:14,400 --> 00:06:17,799
Speaker 4: that is because the breast tissue has compressed the fat

120
00:06:17,920 --> 00:06:21,920
Speaker 4: of the breasts and the breast tissue reverts back to

121
00:06:21,960 --> 00:06:25,839
Speaker 4: its normal size. But the fat is usually less in

122
00:06:25,960 --> 00:06:29,719
Speaker 4: a breast after pregnancy. And also the skin is stretched

123
00:06:29,760 --> 00:06:33,760
Speaker 4: out during breastfeeding, so you have a combination of too

124
00:06:33,880 --> 00:06:36,960
Speaker 4: much skin and not enough breasts, and that results in

125
00:06:37,040 --> 00:06:42,920
Speaker 4: drooping breasts. So usually the mommy makeover involves a breast

126
00:06:43,000 --> 00:06:48,240
Speaker 4: lift that's called the mast topexy, possibly a breast augmentation

127
00:06:48,720 --> 00:06:51,279
Speaker 4: if a lot of volume has been lost. But a

128
00:06:51,279 --> 00:06:55,320
Speaker 4: lot of people have had large breasts to begin with

129
00:06:55,760 --> 00:06:58,800
Speaker 4: and they still want something done to they're now drooping

130
00:06:59,080 --> 00:07:03,400
Speaker 4: large breasts. Mommy makeover combines a tummy tuck with either

131
00:07:03,440 --> 00:07:07,840
Speaker 4: a breast reduction, breast lift, or a breast augmentation. So

132
00:07:07,880 --> 00:07:09,920
Speaker 4: when we come back from our break, I'm going to

133
00:07:09,960 --> 00:07:12,920
Speaker 4: explain why I don't think a mommy makeover is the

134
00:07:12,960 --> 00:07:18,360
Speaker 4: best idea and why those three women, very very celebrated

135
00:07:18,400 --> 00:07:22,400
Speaker 4: cases died just in the last few weeks from Mommy Makeovers.

136
00:07:22,680 --> 00:07:25,400
Speaker 4: I'm board certified plastic surgeon, doctor Arthur Perry. This is

137
00:07:25,480 --> 00:07:28,640
Speaker 4: what's your wrinkle right here on woor eight hundred three

138
00:07:28,720 --> 00:07:30,800
Speaker 4: two one zero seven to ten. That's the phone number here.

139
00:07:31,080 --> 00:07:33,520
Speaker 4: Give us a call. We'll be back after these words.

140
00:07:41,120 --> 00:07:44,160
Speaker 4: Everyone should have a skin cancer check yearly. It's as

141
00:07:44,200 --> 00:07:47,240
Speaker 4: important as a colonoscopy or a mammogram. It's tough to

142
00:07:47,280 --> 00:07:50,040
Speaker 4: find a dermatologist that does a thorough check, but there

143
00:07:50,120 --> 00:07:54,120
Speaker 4: is a breakthrough in skin detection and monitoring at Elitra

144
00:07:54,280 --> 00:07:57,720
Speaker 4: Health in Manhattan. They have a new AI driven computerized

145
00:07:57,720 --> 00:08:00,440
Speaker 4: camera system that takes a three D photo graph of

146
00:08:00,480 --> 00:08:04,400
Speaker 4: your entire body in just seconds. It'll analyze your moles

147
00:08:04,400 --> 00:08:06,800
Speaker 4: and tell you if any are suspicious, and they can

148
00:08:06,840 --> 00:08:09,720
Speaker 4: even do a quick biopsy if it's necessary. I had

149
00:08:09,720 --> 00:08:12,280
Speaker 4: the scan myself at Eleitra Health, and I've already sent

150
00:08:12,360 --> 00:08:15,760
Speaker 4: my family members to have the scan. To schedule your scan,

151
00:08:15,960 --> 00:08:19,200
Speaker 4: called Jennifer at six four six three six two forty

152
00:08:19,240 --> 00:08:22,080
Speaker 4: five forty two. That's six four six three six two

153
00:08:22,240 --> 00:08:27,120
Speaker 4: forty five forty two, or go to www dot eleitrahealth

154
00:08:27,200 --> 00:08:30,640
Speaker 4: dot com slash dermatology. There's only a few of these

155
00:08:30,680 --> 00:08:34,000
Speaker 4: machines in the country, but Eleitra can schedule you right away.

156
00:08:34,000 --> 00:08:36,920
Speaker 4: And if you mentioned the Pery ten code, that's Perry ten,

157
00:08:37,080 --> 00:08:40,199
Speaker 4: they'll take ten percent off of your fee. That's Eletra

158
00:08:40,360 --> 00:08:44,079
Speaker 4: Health six four six three six two forty five forty two.

159
00:08:44,600 --> 00:08:46,960
Speaker 4: Did you know that your skincare may be hurting you

160
00:08:47,000 --> 00:08:50,080
Speaker 4: more than helping you. I'm Board certified plastic surgeon, doctor

161
00:08:50,200 --> 00:08:54,760
Speaker 4: Arthur Perry. The foundation for looking good is clean, healthy skin.

162
00:08:54,960 --> 00:08:57,680
Speaker 4: So I've created a program that is so simple that

163
00:08:58,040 --> 00:09:01,160
Speaker 4: everyone can stay on it. Long enough to see real results.

164
00:09:01,559 --> 00:09:05,240
Speaker 4: It starts with an incredible skin cleaner called clean Time.

165
00:09:05,400 --> 00:09:08,280
Speaker 4: It's actually good for your skin. Protect your skin with

166
00:09:08,360 --> 00:09:12,000
Speaker 4: my Daytime SPF twenty cream in the evening, feed your

167
00:09:12,080 --> 00:09:16,600
Speaker 4: skin with my Powerhouse Nighttime serum. Nighttime has vitamin CNA,

168
00:09:16,800 --> 00:09:20,840
Speaker 4: antioxidants and skin brighteners. And if you like moisturizers, well

169
00:09:21,000 --> 00:09:24,840
Speaker 4: I've created Soft Time with seramides and vitamin D. Throw

170
00:09:24,920 --> 00:09:28,960
Speaker 4: away the bags of useless products and try doctor Perry's Skincare.

171
00:09:29,080 --> 00:09:31,800
Speaker 4: Join the thousands of people whose skin is healthier. That's

172
00:09:31,840 --> 00:09:35,360
Speaker 4: doctor Perry's Skincare on Amazon dot com. And don't forget

173
00:09:35,360 --> 00:09:38,560
Speaker 4: to listen to my radio show right here on WOR

174
00:09:38,720 --> 00:09:42,480
Speaker 4: Every Saturday evening at six pm. You're listening to What's

175
00:09:42,520 --> 00:09:46,480
Speaker 4: your Wrinkle with Doctor Arthur Perry. What's your wrinkle? What

176
00:09:46,600 --> 00:09:49,520
Speaker 4: is your wrinkle? I'm board certified plastic Doctor Arthur Perry.

177
00:09:49,559 --> 00:09:52,000
Speaker 4: Did I say that we're giving away bottles of Nighttime

178
00:09:52,080 --> 00:09:53,640
Speaker 4: to callers this evening?

179
00:09:53,720 --> 00:09:53,880
Speaker 5: Oh?

180
00:09:53,920 --> 00:09:56,880
Speaker 4: I might have forgotten to do that. Nighttime is one

181
00:09:56,880 --> 00:10:00,640
Speaker 4: stop shopping for skincare. It's everything you need in a

182
00:10:00,679 --> 00:10:04,880
Speaker 4: skincare program. It's got vitamin C, vitamin A, fruit acid,

183
00:10:04,920 --> 00:10:10,160
Speaker 4: it's antioxidant, skin brighteners, and none of this stuff. I'll

184
00:10:10,160 --> 00:10:12,680
Speaker 4: be really nice, I won't say the words none of

185
00:10:12,679 --> 00:10:17,200
Speaker 4: the stuff that doesn't work, like peptides and exosomes and

186
00:10:17,280 --> 00:10:20,880
Speaker 4: all these other things that are in the buzzwords and skincare.

187
00:10:20,920 --> 00:10:23,640
Speaker 4: Because they want you to buy these things doesn't mean

188
00:10:23,679 --> 00:10:25,880
Speaker 4: they work, because they can't get through the skin. My

189
00:10:26,040 --> 00:10:29,800
Speaker 4: program actually does work. So we're giving away bottles of Nighttime,

190
00:10:29,960 --> 00:10:33,040
Speaker 4: all right. So in the last few weeks, there were

191
00:10:33,080 --> 00:10:36,400
Speaker 4: some pretty bad stories in plastic surgery. A mother of four,

192
00:10:36,559 --> 00:10:40,800
Speaker 4: thirty five year old person, she flew to Turkey. She

193
00:10:40,880 --> 00:10:43,520
Speaker 4: was a Canadian woman and she flew to Turkey for

194
00:10:43,600 --> 00:10:46,720
Speaker 4: a tommy tuck and a breastslipt and never came home.

195
00:10:46,760 --> 00:10:51,520
Speaker 4: She died twelve hours after surgery. Horrible, absolutely horrible. How

196
00:10:51,520 --> 00:10:57,200
Speaker 4: about the one in Cincinnati. Actually it was a social

197
00:10:57,320 --> 00:11:01,960
Speaker 4: media influencer and she wound up up having another mommy

198
00:11:02,000 --> 00:11:05,040
Speaker 4: makeover and died in the recovery room. That was a

199
00:11:05,080 --> 00:11:08,760
Speaker 4: couple of weeks ago. And then there was the thirty

200
00:11:08,800 --> 00:11:12,720
Speaker 4: one they're all young Brazilian esthetician. This was in Brazil,

201
00:11:13,559 --> 00:11:16,920
Speaker 4: and she also had a Mommy makeover and died two

202
00:11:17,080 --> 00:11:20,640
Speaker 4: days afterwards. So you know, I looked at all these

203
00:11:21,200 --> 00:11:24,640
Speaker 4: They're all terrible, terrible things, and you have to say,

204
00:11:24,960 --> 00:11:27,160
Speaker 4: you know, okay, what's going on here? Is it bad

205
00:11:27,200 --> 00:11:31,400
Speaker 4: plastic surgery or maybe the mommy makeover might not be

206
00:11:31,520 --> 00:11:34,720
Speaker 4: the best thing. So mommy makeovers are long procedures. Tummy

207
00:11:34,760 --> 00:11:38,240
Speaker 4: tucks are usually around three or so hours, depending on

208
00:11:38,240 --> 00:11:40,440
Speaker 4: how much extra skin and how much fat you have

209
00:11:40,520 --> 00:11:42,520
Speaker 4: on your body, and whether or not we're doing some

210
00:11:42,679 --> 00:11:47,120
Speaker 4: fat suctioning along with it. Breast procedures also are well.

211
00:11:47,640 --> 00:11:50,240
Speaker 4: Breast augmentation is anywhere from an hour and a half

212
00:11:50,240 --> 00:11:53,760
Speaker 4: to two and a half hours, and lift is about

213
00:11:54,280 --> 00:11:58,040
Speaker 4: two to three hours, and a reduction is three to

214
00:11:58,120 --> 00:12:01,200
Speaker 4: four hours. That's the usual for these procedures. So if

215
00:12:01,240 --> 00:12:03,360
Speaker 4: you add that up, you're in the operating room for

216
00:12:03,400 --> 00:12:06,880
Speaker 4: a fairly long time with a mommy makeover, and that

217
00:12:07,120 --> 00:12:10,600
Speaker 4: is part of the problem, being in the operating room

218
00:12:10,640 --> 00:12:13,920
Speaker 4: a long time. The other part of the problem is

219
00:12:13,920 --> 00:12:18,400
Speaker 4: that tummy tucks themselves are a fairly high risk procedure

220
00:12:18,400 --> 00:12:22,040
Speaker 4: as far as cosmetic surgery goes. So if we look

221
00:12:22,200 --> 00:12:29,440
Speaker 4: at these procedures, when we combine tummy tucks with other procedures, well,

222
00:12:29,520 --> 00:12:32,560
Speaker 4: that's when we get to some problems. And there have

223
00:12:32,679 --> 00:12:39,080
Speaker 4: been a number of papers in the literature. Most common

224
00:12:39,600 --> 00:12:43,120
Speaker 4: quoted paper one from twenty fifteen and another one from

225
00:12:43,120 --> 00:12:47,160
Speaker 4: twenty seventeen where they looked at tens of thousands of

226
00:12:47,320 --> 00:12:51,240
Speaker 4: patients who had these combined procedures and they found that

227
00:12:51,320 --> 00:12:54,760
Speaker 4: when we combined other procedures with a tummy tuck, the

228
00:12:54,800 --> 00:12:59,320
Speaker 4: complication rate rose significantly. Now, to be fair, there have

229
00:12:59,360 --> 00:13:01,960
Speaker 4: been a couple in the last couple of years that

230
00:13:02,080 --> 00:13:07,199
Speaker 4: have refuted that. Okay, so there's definitely some controversy here,

231
00:13:07,600 --> 00:13:12,120
Speaker 4: but there is no question that when we have longer procedures,

232
00:13:12,520 --> 00:13:16,319
Speaker 4: there's basically a linear relationship of length of time a

233
00:13:16,400 --> 00:13:20,920
Speaker 4: procedure with complication rate. The complication that's one of the

234
00:13:20,960 --> 00:13:24,440
Speaker 4: bad ones that causes the deaths is called a DVT

235
00:13:24,720 --> 00:13:26,600
Speaker 4: or a blood clot in the leg which can travel

236
00:13:26,640 --> 00:13:31,120
Speaker 4: to the lungs and that becomes what's called a pulmonary embolism,

237
00:13:31,200 --> 00:13:35,000
Speaker 4: and those can be deadly. So the longer the procedure,

238
00:13:35,120 --> 00:13:38,520
Speaker 4: and it's really really after three hours that it becomes

239
00:13:38,559 --> 00:13:43,120
Speaker 4: an issue, but there is a linear relationship. The longer

240
00:13:43,160 --> 00:13:46,280
Speaker 4: we go, the more likely you are to have a

241
00:13:46,280 --> 00:13:49,000
Speaker 4: blood clot so when we do a tummy tuck, that's

242
00:13:49,040 --> 00:13:53,640
Speaker 4: about three hours. My opinion is, you know we should stop.

243
00:13:54,040 --> 00:13:57,360
Speaker 4: And why don't people stop. Why do they combine these procedures. Well,

244
00:13:57,760 --> 00:14:01,640
Speaker 4: you want them, you as the patient, and it sounds good, right,

245
00:14:01,720 --> 00:14:03,160
Speaker 4: you know, you have a two for one. You go

246
00:14:03,280 --> 00:14:05,600
Speaker 4: into the operating room, you get your tummy operated on

247
00:14:05,960 --> 00:14:08,880
Speaker 4: and your breasts operated on, and two weeks later you're

248
00:14:08,920 --> 00:14:12,160
Speaker 4: good to go. And that is the usual case. I mean,

249
00:14:12,200 --> 00:14:16,040
Speaker 4: it really is, because remember, these complications are not particularly common.

250
00:14:16,400 --> 00:14:19,880
Speaker 4: But we do have to consider what's happened in the

251
00:14:19,960 --> 00:14:23,120
Speaker 4: last few weeks with these three women. Those are the

252
00:14:23,120 --> 00:14:27,200
Speaker 4: ones that we know about because they're influencers. They were,

253
00:14:27,680 --> 00:14:31,000
Speaker 4: you know, a celebrated cases. We don't even know what

254
00:14:31,200 --> 00:14:37,520
Speaker 4: happens to, you know, the isolated woman in Alabama or California,

255
00:14:37,760 --> 00:14:40,000
Speaker 4: or what about all the other people. That's why we

256
00:14:40,040 --> 00:14:44,360
Speaker 4: have to rely on these publications. And the publications say, well,

257
00:14:44,480 --> 00:14:47,360
Speaker 4: let's look at this. Here was one they looked at

258
00:14:47,440 --> 00:14:52,560
Speaker 4: twenty five thousand abdomino classes. About nine thousand people had

259
00:14:52,680 --> 00:14:56,280
Speaker 4: just the top tummy talk and about sixteen thousand people

260
00:14:56,360 --> 00:15:01,520
Speaker 4: had additional procedures. So what happened here. Well, of these,

261
00:15:01,800 --> 00:15:06,400
Speaker 4: you know, tummy tucks, the overall complication rate was four percent.

262
00:15:06,520 --> 00:15:09,040
Speaker 4: You say, well, four percent, not too bad bad if

263
00:15:09,080 --> 00:15:12,200
Speaker 4: it happens to you. So no one wants that. But

264
00:15:12,240 --> 00:15:15,480
Speaker 4: the complications that occurred were a third of those were

265
00:15:15,560 --> 00:15:19,840
Speaker 4: bleeding complications, and about a third of those were infections,

266
00:15:20,360 --> 00:15:24,800
Speaker 4: and about twenty percent were those blood clots and those

267
00:15:24,840 --> 00:15:27,880
Speaker 4: are the ones that can really kill you. So what

268
00:15:28,040 --> 00:15:31,600
Speaker 4: were the leading reasons for the infection? Well, you know what,

269
00:15:33,320 --> 00:15:36,920
Speaker 4: age over fifty five, Age over fifty five, that's one

270
00:15:36,960 --> 00:15:41,000
Speaker 4: of the reasons. People just by virtue of being older,

271
00:15:41,440 --> 00:15:47,840
Speaker 4: you have a higher chance of having a complication. Multiple procedures, Okay,

272
00:15:48,000 --> 00:15:52,360
Speaker 4: that was it. Multiple procedures. In this study of twenty

273
00:15:52,400 --> 00:15:55,760
Speaker 4: five thousand people, if you had multiple procedures, you were

274
00:15:55,800 --> 00:16:00,200
Speaker 4: more likely to have a complication and longer procedures. So

275
00:16:01,200 --> 00:16:06,720
Speaker 4: the conclusion was these combined procedures can significantly increase complication rates.

276
00:16:06,720 --> 00:16:08,720
Speaker 4: So what do you do? What do you do? You know,

277
00:16:08,800 --> 00:16:10,960
Speaker 4: if you're a woman and you say, yeah, I want

278
00:16:11,000 --> 00:16:14,440
Speaker 4: that mommy makeover, I don't want to have two separate procedures.

279
00:16:14,480 --> 00:16:16,760
Speaker 4: It's cheaper for me. Yeah, it does save a little

280
00:16:16,800 --> 00:16:21,720
Speaker 4: bit of money, and my recovery is one recovery. Okay,

281
00:16:22,040 --> 00:16:24,400
Speaker 4: can't argue with those two things, But what we can

282
00:16:24,600 --> 00:16:28,640
Speaker 4: argue with is safety. And my attitude about safety in

283
00:16:28,720 --> 00:16:30,840
Speaker 4: plastic surgery is we want to do things that are

284
00:16:31,000 --> 00:16:36,320
Speaker 4: uniformly safe, not you know, when I hear the terminology

285
00:16:36,440 --> 00:16:38,800
Speaker 4: what we can get away with. You hear that all

286
00:16:38,840 --> 00:16:41,440
Speaker 4: the time in medicine. What can you get away with?

287
00:16:41,520 --> 00:16:44,320
Speaker 4: Oh no, that is not When I hear that, I cringe.

288
00:16:44,600 --> 00:16:46,840
Speaker 4: It's not what we can get away with. It's what's

289
00:16:46,960 --> 00:16:50,320
Speaker 4: uniformly safe. So I don't do I do mommy makeovers,

290
00:16:50,360 --> 00:16:52,480
Speaker 4: but I'll say, okay, let's go ahead and do the

291
00:16:52,520 --> 00:16:56,080
Speaker 4: rest surgery first, because that's a very quick recovery and

292
00:16:56,120 --> 00:16:59,200
Speaker 4: it's a relatively low risk procedure. We can go ahead

293
00:16:59,240 --> 00:17:02,320
Speaker 4: three weeks late and then do the tummy tuck and

294
00:17:02,400 --> 00:17:05,440
Speaker 4: the When we do it that way, we don't have

295
00:17:05,520 --> 00:17:10,560
Speaker 4: that combined risk that increase risk of complications. So when

296
00:17:10,560 --> 00:17:12,440
Speaker 4: we come back from our break, we're gonna talk a

297
00:17:12,480 --> 00:17:15,159
Speaker 4: little bit more about this and some happier things in

298
00:17:15,200 --> 00:17:18,600
Speaker 4: cosmetic surgery. I'm board certified plastic surgeon Doctor Arthur Perry,

299
00:17:18,720 --> 00:17:20,800
Speaker 4: host of What's your rinkle. Eight hundred three two one

300
00:17:20,920 --> 00:17:23,760
Speaker 4: zero seven ten. That's the phone number at WOR will

301
00:17:23,800 --> 00:17:33,280
Speaker 4: be back after these words. Have you seen people that

302
00:17:33,320 --> 00:17:36,560
Speaker 4: have been distorted by wrinkle filler, duck lips and cheeks

303
00:17:36,600 --> 00:17:40,119
Speaker 4: that look bizarre. I'm board certified plastic surgeon, doctor Arthur Perry,

304
00:17:40,119 --> 00:17:43,040
Speaker 4: and I'm here to help. I love helping patients look

305
00:17:43,119 --> 00:17:46,199
Speaker 4: younger and better. My technique is different. I numb you

306
00:17:46,280 --> 00:17:48,760
Speaker 4: up like a dentist and then inject hundreds of tiny

307
00:17:48,840 --> 00:17:52,879
Speaker 4: droplets of filler into wrinkles, folds, scars, and even cheeks

308
00:17:52,880 --> 00:17:55,919
Speaker 4: and chins. I've done this procedure on thousands of women

309
00:17:56,160 --> 00:17:58,240
Speaker 4: and no, I won't make you look like a duck.

310
00:17:58,600 --> 00:18:00,880
Speaker 4: And if filler isn't right for you, I'll tell you.

311
00:18:01,000 --> 00:18:04,280
Speaker 4: Since I'm a real plastic surgeon, I've got many procedures

312
00:18:04,320 --> 00:18:06,959
Speaker 4: to choose from. Let's sit down for an hour consultation

313
00:18:07,160 --> 00:18:09,960
Speaker 4: in my new Park Avenue office. Together we'll come up

314
00:18:09,960 --> 00:18:12,040
Speaker 4: with a plan to help you look your best. Give

315
00:18:12,040 --> 00:18:12,680
Speaker 4: me a call.

316
00:18:12,600 --> 00:18:16,200
Speaker 3: At two one two seven five three eighteen twenty. That's

317
00:18:16,200 --> 00:18:19,000
Speaker 3: two one two seven five three eighteen twenty. Check me

318
00:18:19,040 --> 00:18:21,680
Speaker 3: out on the web at Perry Plasticsurgery. Dot com and

319
00:18:21,760 --> 00:18:24,520
Speaker 3: don't forget to listen to me, doctor Arthur Perry, every

320
00:18:24,640 --> 00:18:28,359
Speaker 3: Saturday evening at six pm right here on WOR.

321
00:18:28,880 --> 00:18:32,000
Speaker 4: You're listening to What's Your Wrinkle with doctor Arthur Perry.

322
00:18:32,160 --> 00:18:35,640
Speaker 4: What's your Wrinkle? And what is your Wrinkle? I'm board

323
00:18:35,680 --> 00:18:38,199
Speaker 4: certified plastic surgeon, doctor Arthur Perry, host of What's Your

324
00:18:38,240 --> 00:18:41,000
Speaker 4: Wrinkle for a long time. So if you've listened to

325
00:18:41,040 --> 00:18:44,639
Speaker 4: me for twenty years, which we've been twenty and a half,

326
00:18:44,720 --> 00:18:48,600
Speaker 4: almost Noah on the radio here at WAR. I talk

327
00:18:48,640 --> 00:18:53,840
Speaker 4: about cosmetic surgery, but we talk about cosmetic surgery with

328
00:18:54,560 --> 00:18:58,000
Speaker 4: you know, kind of sensible. There's a lot of ridiculousness

329
00:18:58,040 --> 00:19:01,120
Speaker 4: in my field. Unfortunately, there are so much any trendy

330
00:19:01,200 --> 00:19:04,120
Speaker 4: things that have not been proven. There are there are things.

331
00:19:04,440 --> 00:19:06,400
Speaker 4: Over the last couple of weeks we talked about these

332
00:19:06,600 --> 00:19:11,400
Speaker 4: these ridiculous things, these duck lips, these these liquid facelifts,

333
00:19:11,440 --> 00:19:15,000
Speaker 4: injecting dead fat into your body, all these things that

334
00:19:15,040 --> 00:19:17,960
Speaker 4: we do in plastic surgery that yeah, I don't want

335
00:19:17,960 --> 00:19:20,399
Speaker 4: to sound like an old fogy, but I've been around

336
00:19:20,440 --> 00:19:23,160
Speaker 4: for a while now and I've seen things come and go,

337
00:19:23,840 --> 00:19:26,240
Speaker 4: and you know, you have to get a little perspective

338
00:19:26,320 --> 00:19:29,919
Speaker 4: on things and not just jump on the latest trend

339
00:19:30,080 --> 00:19:33,560
Speaker 4: because it may bite you, you know where in a

340
00:19:33,600 --> 00:19:36,080
Speaker 4: couple of years. So how do you stay safe in

341
00:19:36,119 --> 00:19:38,440
Speaker 4: cosmetic surgery? What do you need to do? Well, first

342
00:19:38,440 --> 00:19:40,760
Speaker 4: of all, it's choosing the right doctor. You have to

343
00:19:40,840 --> 00:19:44,360
Speaker 4: trust your doctor. And it all starts starts with certification

344
00:19:44,480 --> 00:19:47,919
Speaker 4: by the American Board of Plastic Surgery. That is uh,

345
00:19:48,320 --> 00:19:50,960
Speaker 4: when you hear someone that's not Board certified, by the way,

346
00:19:51,080 --> 00:19:53,120
Speaker 4: and they say, oh, I don't have time for that.

347
00:19:53,119 --> 00:19:57,480
Speaker 4: That is the single most important thing for any resident,

348
00:19:57,560 --> 00:20:00,119
Speaker 4: and it's a six year resident in plastic resident and

349
00:20:00,119 --> 00:20:03,680
Speaker 4: seeing plastic surgery. So you go through six years of training,

350
00:20:04,040 --> 00:20:07,000
Speaker 4: you want that diploma. At the end, you want to

351
00:20:07,080 --> 00:20:10,640
Speaker 4: be certified by the American Border Plastic Surgery. So if

352
00:20:10,640 --> 00:20:13,240
Speaker 4: you hear of someone that's not. You know, there was

353
00:20:13,280 --> 00:20:16,000
Speaker 4: a very famous surgeon I won't mention his name in

354
00:20:16,040 --> 00:20:18,439
Speaker 4: the media a couple of weeks ago that got in

355
00:20:18,480 --> 00:20:22,040
Speaker 4: trouble with the Epstein case. Well, that surgeon was not

356
00:20:22,240 --> 00:20:25,199
Speaker 4: board certified. Why was he not board certified? I don't know.

357
00:20:26,200 --> 00:20:29,240
Speaker 4: But you know, if you're not, I think that's a

358
00:20:29,280 --> 00:20:33,240
Speaker 4: problem because that doesn't mean he's great, but it does

359
00:20:33,760 --> 00:20:38,320
Speaker 4: is the lowest thing that you should start with board certification.

360
00:20:38,520 --> 00:20:41,480
Speaker 4: So you want a doctor that's board certified in the

361
00:20:41,520 --> 00:20:44,560
Speaker 4: field that you're having, and that means not a board

362
00:20:44,560 --> 00:20:48,600
Speaker 4: certified family doctor doing Lippa suction or you know the

363
00:20:49,240 --> 00:20:53,760
Speaker 4: guys doing the Brazilian butt lift in Florida that are

364
00:20:53,800 --> 00:20:56,880
Speaker 4: trained in emergency room medicine. You know, even though the

365
00:20:56,920 --> 00:21:00,240
Speaker 4: pit tends to do, you know the doctors and do

366
00:21:00,280 --> 00:21:03,280
Speaker 4: everything that you really can't. All right, So we want

367
00:21:03,720 --> 00:21:07,080
Speaker 4: a certified plastic surgeon. That's number one. And we also

368
00:21:07,200 --> 00:21:10,920
Speaker 4: want a board certified antesesiologist. It's just as important as

369
00:21:10,920 --> 00:21:14,360
Speaker 4: the surgeon. You know, when you undergo surgery, whether it's

370
00:21:14,400 --> 00:21:17,119
Speaker 4: in the office of surgeon center or the hospital, you

371
00:21:17,280 --> 00:21:19,480
Speaker 4: want that person who is putting you to sleep or

372
00:21:19,560 --> 00:21:23,760
Speaker 4: giving you anesthesia to be really smart and really good

373
00:21:23,920 --> 00:21:26,639
Speaker 4: and board certified. So that's true. You also want to

374
00:21:26,720 --> 00:21:30,520
Speaker 4: check the facility because there are facilities out there that

375
00:21:30,560 --> 00:21:34,400
Speaker 4: are not accredited, and that means there's no supervision, there's

376
00:21:34,440 --> 00:21:39,240
Speaker 4: no oversight. You want a facility that that is accredited

377
00:21:39,880 --> 00:21:43,159
Speaker 4: by the American Association of Ambulatory Surgical Facilities are one

378
00:21:43,200 --> 00:21:48,680
Speaker 4: of those other accrediting organizations. So those are there are

379
00:21:48,920 --> 00:21:52,880
Speaker 4: some of the starting points to to you know, staying

380
00:21:52,920 --> 00:21:56,160
Speaker 4: safe with surgery. But there's more. But there is more,

381
00:21:56,760 --> 00:22:00,720
Speaker 4: And so my rules for staying safe what I do

382
00:22:00,800 --> 00:22:04,960
Speaker 4: with my patients. If you're over sixty, I do a

383
00:22:05,000 --> 00:22:07,399
Speaker 4: stress test. I don't do it. I ask you to

384
00:22:07,440 --> 00:22:09,359
Speaker 4: have that done. I ask you to have a stress

385
00:22:09,400 --> 00:22:11,920
Speaker 4: test if you're having real surgery. So not if you're

386
00:22:11,920 --> 00:22:14,600
Speaker 4: having a mole removed or a filler or something like that,

387
00:22:15,200 --> 00:22:18,480
Speaker 4: but if you're having a facelift or last week, I

388
00:22:18,520 --> 00:22:23,280
Speaker 4: did a really interesting operation a far ahead, a scalp

389
00:22:23,440 --> 00:22:28,320
Speaker 4: lowering operation to make the farhead smaller and combine that

390
00:22:28,359 --> 00:22:31,600
Speaker 4: with eyelids. So we had her get a stress test

391
00:22:31,640 --> 00:22:34,600
Speaker 4: beforehand because we want her to be safe with surgery.

392
00:22:35,000 --> 00:22:37,520
Speaker 4: And there was a paper a couple of years ago

393
00:22:38,920 --> 00:22:43,320
Speaker 4: that absolutely showed that people who have any issue with

394
00:22:43,440 --> 00:22:47,440
Speaker 4: their heart who undergo a surgery that's not heart surgery,

395
00:22:47,880 --> 00:22:53,120
Speaker 4: well that's a huge, huge risk factor for problems including

396
00:22:53,200 --> 00:22:55,720
Speaker 4: death after surgery. It makes sense, right, but how do

397
00:22:55,800 --> 00:22:58,439
Speaker 4: you know? How do you know if you pass a

398
00:22:58,480 --> 00:23:00,879
Speaker 4: stress test you pretty much no, you're going to do

399
00:23:01,000 --> 00:23:03,160
Speaker 4: just fine as far as your heart is concerned anyway

400
00:23:03,440 --> 00:23:05,840
Speaker 4: with surgery. So that's one we want to stress test

401
00:23:05,840 --> 00:23:09,560
Speaker 4: over sixty years old. I have everybody get cleared by

402
00:23:09,600 --> 00:23:13,560
Speaker 4: a board certified interness before surgery. I limit the time

403
00:23:13,640 --> 00:23:16,200
Speaker 4: of surgery. I try to you know, we don't want

404
00:23:16,240 --> 00:23:19,439
Speaker 4: these procedures to go six eight, ten hours. And you

405
00:23:19,520 --> 00:23:22,680
Speaker 4: hear about this all the time, and some of these

406
00:23:22,720 --> 00:23:26,840
Speaker 4: mommy makeovers are six seven eight hours. We don't want that.

407
00:23:26,920 --> 00:23:32,120
Speaker 4: I'd rather have two procedures separated by time, separated by

408
00:23:32,160 --> 00:23:34,119
Speaker 4: at least a few weeks, if not a few months,

409
00:23:35,200 --> 00:23:38,840
Speaker 4: limiting the time of each individual procedure. We want to

410
00:23:38,880 --> 00:23:41,600
Speaker 4: limit the number of procedures. So if we do a

411
00:23:41,640 --> 00:23:44,320
Speaker 4: tummy tuck, we don't want to do other procedures. Now

412
00:23:45,000 --> 00:23:48,360
Speaker 4: that doesn't apply to everything. So if you have a facelift,

413
00:23:48,760 --> 00:23:51,960
Speaker 4: you could have your breasts operated on, because both of

414
00:23:52,000 --> 00:23:55,600
Speaker 4: those are relatively low risk procedures. It's the tummy tuck

415
00:23:56,040 --> 00:23:59,000
Speaker 4: that increases the risk for you. The other thing we

416
00:23:59,040 --> 00:24:03,480
Speaker 4: want to do is avoid nausea. You know, interesting nausea

417
00:24:04,720 --> 00:24:08,120
Speaker 4: is something that occurs with generally anesthesia about twenty percent

418
00:24:08,359 --> 00:24:12,720
Speaker 4: of the of generally anesthetic cases, and nausea is an

419
00:24:12,760 --> 00:24:16,879
Speaker 4: independent risk factor for bleeding after surgery, because if you

420
00:24:16,880 --> 00:24:21,000
Speaker 4: get nauseated and vomit, then you know what happens. You know,

421
00:24:21,119 --> 00:24:24,119
Speaker 4: your your face gets red and blood goes to your face.

422
00:24:24,160 --> 00:24:28,359
Speaker 4: Whether it's a Tommy tuck or a facelift or breast surgery,

423
00:24:28,720 --> 00:24:31,040
Speaker 4: Vomiting is a pretty bad thing after surgery. So we

424
00:24:31,200 --> 00:24:34,199
Speaker 4: really want to work with the anesthesiologists to give you drugs.

425
00:24:34,200 --> 00:24:37,200
Speaker 4: I try and avoid narcotics and other things that can

426
00:24:37,480 --> 00:24:41,159
Speaker 4: make you nauseated. So those are some of the rules

427
00:24:41,200 --> 00:24:45,159
Speaker 4: to stay safe with surgery, and you know, use some

428
00:24:45,240 --> 00:24:48,760
Speaker 4: common sense you as the patient, and also please the

429
00:24:48,840 --> 00:24:52,920
Speaker 4: doctors also. All right, Noah, I want to thank you

430
00:24:52,960 --> 00:24:59,280
Speaker 4: for great engineering. Once again. It's always fun. And you

431
00:24:59,280 --> 00:25:02,200
Speaker 4: know we're just looking looking at one of my co

432
00:25:02,280 --> 00:25:07,400
Speaker 4: hosts granddaughters just popped up on the Okay, all right, Susan,

433
00:25:07,960 --> 00:25:12,200
Speaker 4: all right. So if you're interested in me, in learning

434
00:25:12,200 --> 00:25:16,200
Speaker 4: more about me, it's Periplasticsurgery dot com. That is the website.

435
00:25:16,280 --> 00:25:19,440
Speaker 4: If you're interested in the products that we talk about

436
00:25:19,480 --> 00:25:23,080
Speaker 4: on the show, it's Amazon dot com. Amazon has you know,

437
00:25:23,160 --> 00:25:25,439
Speaker 4: if you're a Prime member, you get free shipping, you

438
00:25:25,480 --> 00:25:28,320
Speaker 4: get all the things, subscriptions and things like that. I

439
00:25:28,359 --> 00:25:31,600
Speaker 4: do have people that email me. I got an email today.

440
00:25:31,800 --> 00:25:34,360
Speaker 4: Well I don't like Amazon, Well you should, but if

441
00:25:34,359 --> 00:25:37,120
Speaker 4: you don't, you could always call Ellen in my office

442
00:25:37,640 --> 00:25:40,639
Speaker 4: seven three two four two two ninety six hundred and

443
00:25:40,720 --> 00:25:43,040
Speaker 4: when she's there, she'll send you if you don't like

444
00:25:43,200 --> 00:25:46,960
Speaker 4: using Amazon. But I love Amazon. Actually, it's done really

445
00:25:47,040 --> 00:25:50,680
Speaker 4: great things for my skincare company. All right, Noah, thanks

446
00:25:50,680 --> 00:25:53,040
Speaker 4: so much for great engineering. Everybody, stay safe. Don't forget

447
00:25:53,040 --> 00:25:56,600
Speaker 4: that sunscreen because tomorrow is another you be index four

448
00:25:56,680 --> 00:25:59,119
Speaker 4: day and then it gets five and six, and all

449
00:25:59,160 --> 00:26:01,360
Speaker 4: of a sudden, it's all right, have a great one.

450
00:26:01,359 --> 00:26:02,960
Speaker 4: We'll be back next week. Bye bye.

451
00:26:03,000 --> 00:26:03,160
Speaker 5: Now.

452
00:26:03,320 --> 00:26:07,239
Speaker 1: The proceeding was a paid podcast. iHeartRadio's hosting of this

453
00:26:07,320 --> 00:26:11,119
Speaker 1: podcast constitutes neither an endorsement of the products offered or

454
00:26:11,200 --> 00:26:12,520
Speaker 1: the ideas expressed