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Speaker 1: Now here's a highlight from Coast to coast AM on iHeartRadio.

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Speaker 2: And welcome back on this full moon night, my friends.

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Speaker 2: Anthony Yun, a MD, is known as America's holistic plastic

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Speaker 2: surgeon and is a nationally recognized Board certified plastic surgeon.

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Speaker 2: He's the author of a number of best selling books,

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Speaker 2: The Age Fix in Stitches, Playing God, and Younger for Life.

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Speaker 2: Doctor Yun also hosts a very popular podcast, The Doctor's

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Speaker 2: Yun Show. He's the most followed plastic surgeon on social media,

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Speaker 2: with more than five million subscribers on YouTube and eight

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Speaker 2: million followers on TikTok. Tony welcome back, How.

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Speaker 3: Are you hey? I'm doing great. Thank you so much

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Speaker 3: for having me.

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Speaker 2: George, How did you get involved in plastic surgery?

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Speaker 3: Oh? Wow, this is a long time ago. I actually

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Speaker 3: had a patient when I was a medical student who

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Speaker 3: was a little baby whose face was actually mauled by

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Speaker 3: a raccoon. And when the plastic surgeon came in and

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Speaker 3: showed me the plans that he was going to make

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Speaker 3: to try to reconstruct this little baby's face, it really

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Speaker 3: got me hooked on the specialty.

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Speaker 2: Do you have to be almost like an artist to

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Speaker 2: be a good plastic surgeon.

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Speaker 3: I actually don't think so. You know, you can really

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Speaker 3: follow a lot of the techniques that we're taught as

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Speaker 3: plastic surgeons, and even if you don't have a lot

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Speaker 3: of artistry in you, if you follow the techniques, then

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Speaker 3: you can do well. But to be an excellent plastic surgeon, yes,

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Speaker 3: I think you have to be an artist. I think

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Speaker 3: you could be a reasonably decent plastic surgeon without being one,

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Speaker 3: But to be excellent, I do think that that's what

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Speaker 3: separates a lot of times a plastic surgeon who's just decent,

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Speaker 3: you know, who's a good technician, from one who's truly

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Speaker 3: a great surgeon.

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Speaker 2: What are some of the most popular types of plastic surgery, Tony, Yeah, So.

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Speaker 3: If you look at the statistics right now, and you're

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Speaker 3: looking at non invasive procedures, which is now a big

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Speaker 3: part of our practice as plastic surgeons, the number one

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Speaker 3: most popular procedure, probably really of all time cosmetically is botox.

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Speaker 3: If you're looking at surgery for women, it would be

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Speaker 3: breast aumentation, breast and plants. For men it would be liposuction.

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Speaker 2: Surely, remark and they're doing innovative things now too, aren't they.

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Speaker 3: Yeah, I mean there's we're always working on ways to

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Speaker 3: improve what we're doing. You know, sometimes there are tried

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Speaker 3: and true procedures, you know, like if you have excess

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Speaker 3: skin of your tummy, there's really only one way to

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Speaker 3: remove it. You have to cut it out, And those

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Speaker 3: types of techniques don't really change all that much. Technology, though,

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Speaker 3: can make huge improvements, and so we're doing more and more,

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Speaker 3: you know, laser treatments and using technology to remove fat

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Speaker 3: and things like that. That continues to advance so that

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Speaker 3: hopefully surgery itself eventually becomes obsolete.

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Speaker 2: What do you think of the new trend with ozempic

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Speaker 2: and regovy to lose weight these injectables, Yeah.

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Speaker 3: I mean those are extremely effective and so many people

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Speaker 3: Georgia on it. I mean I would tell you in

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Speaker 3: my practice, I would probably say one out of every

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Speaker 3: three or four patients is on a GLP one agonist medication.

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Speaker 3: Now that may be skewed from the general population because

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Speaker 3: people lose weight from these medications and then they come

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Speaker 3: see a plastic surgeon to remove the excess skin or

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Speaker 3: to help to enhance the face again. You know, if

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Speaker 3: they've lost weight, then you get what's called ozempic face,

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Speaker 3: and so people come to get that treated, and then

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Speaker 3: there are a lot of other body parts that are

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Speaker 3: that are treated with or they are changed by being

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Speaker 3: on ozempic or the GLP one agonists.

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Speaker 2: What is generally some of the younger people that have

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Speaker 2: ever come to you for plastic surgery and you simply say,

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Speaker 2: I'm not operating on you.

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Speaker 3: Well, there are people who have body dysmorphia, and that's

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Speaker 3: a condition where you look in the mirror and what

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Speaker 3: you see in the mirror is different than reality, and

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Speaker 3: so they they believe, let's say, if they have a

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Speaker 3: small bump on their nose to you and I, that

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Speaker 3: bump to them looks like it's massive, and so they'll

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Speaker 3: see plastic surgeons I myself as a way to correct

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Speaker 3: perceived deformities that don't even exist. And these are the

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Speaker 3: patients that will come in when they're young. Sometimes they'll

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Speaker 3: want a nose jobs, or they'll want you know, liipo

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Speaker 3: or breast plants, and they're just not good candas for surgery,

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Speaker 3: so you turn them down. But unfortunately a lot of

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Speaker 3: times they end up going to your neighbor, the doctor

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Speaker 3: who has a practice across the street, and eventually they

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Speaker 3: find somebody who will operate on them. And then usually,

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Speaker 3: unfortunately what happens is they can get botched because once again,

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Speaker 3: now you're you know, doctors are treating perceived deformities that

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Speaker 3: were never there in the first place.

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Speaker 2: What do you think of plastic surgery as tony in

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Speaker 2: Mexico or Turkey or other places like that.

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Speaker 3: So, yeah, this is called surgical tourism, and there are

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Speaker 3: more and more patients, more people from the United States

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Speaker 3: traveling to other countries because they're gonna they want to

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Speaker 3: save money. And the other thing now is online there

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Speaker 3: are these plastic surgeons in other countries, some of them

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Speaker 3: who aren't even well trained or anything, who are putting

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Speaker 3: up fake before and after photos and videos. Some of

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Speaker 3: them they're using different people for their before and after photos,

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Speaker 3: you know, so the before is somebody who's older, and

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Speaker 3: then the after sometimes is actually their child, like their

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Speaker 3: son or their daughter, but they don't share that. They

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Speaker 3: claim it's a real before and after. And then they

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Speaker 3: lure people into these third world countries to have these

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Speaker 3: plastic surgeries done u and eventually some of them get

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Speaker 3: exposed on social media as being fake, you know, as

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Speaker 3: these before and after photos not being real, being AI generated.

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Speaker 3: It's it really is a wild West of medicine out

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Speaker 3: there right now, So you've got to be very very careful, Tony.

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Speaker 2: Does plastic surgery go through trends where something's really hot

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Speaker 2: for the moment and people rush to do it.

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Speaker 3: Yeah, I mean with social media, that's this crazy thing

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Speaker 3: going on now? Is that even like old surgery. So

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Speaker 3: for example, there's an operation called the lip lift, and

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Speaker 3: this was described i think back in the seventies or eighties,

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Speaker 3: where you cut out skin from the lower the bottom

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Speaker 3: of your nose the upper part of the lipt to

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Speaker 3: try shorten the lip. And this is a procedure that

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Speaker 3: got hot on TikTok just about a year or two ago,

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Speaker 3: and so plastic surgeons are now performing this operation on

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Speaker 3: young people in their twenties and their thirties, giving them

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Speaker 3: these visible scars at the base of their nose, and

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Speaker 3: they're advertising it as if this is this new hot

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Speaker 3: procedure and so young people believe it when in reality,

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Speaker 3: this was described back probably in the eighties and it's

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Speaker 3: beIN around for a long time. Is never all that

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Speaker 3: popular because of the scarring. Yet now on social media,

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Speaker 3: these doctors will trick young people into thinking it's this

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Speaker 3: new innovative procedure, which it definitely is not. And that's

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Speaker 3: just one of the procedures. There's a lot of other

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Speaker 3: procedures like buckle fat removal and other operations where this

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Speaker 3: has happened as well.

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Speaker 2: What is the ponytail lift that I hear so much

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Speaker 2: about these days.

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Speaker 3: Well, if you see there are certain young celebrities in

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Speaker 3: Hollywood now, they're in their thirties, maybe early forties, and

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Speaker 3: they are transformed. I think a really good example of

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Speaker 3: this is Lindsay Lohan, and now I have no I'm

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Speaker 3: not her doctor, so there's no proof that she's had

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Speaker 3: this specifically done. But you see young celebrities like her

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Speaker 3: who've undergone these massive transformations, and arguably they look really,

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Speaker 3: really good. The ponytail lift is a combination of procedures

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Speaker 3: that combine an endoscopic brow lift, a cheek lift, an

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Speaker 3: upper eyelid lift, fat rafting, so fat transfer into their

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Speaker 3: cheeks and other parts of their face with full face

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Speaker 3: laser and this has been transforming, in my opinion, in

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Speaker 3: the faces of young Hollywood, and that's why you're seeing

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Speaker 3: a lot of young Hollywood in their thirties and forties,

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Speaker 3: looking completely refreshed. Their eyes are wide open and stuff,

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Speaker 3: and people don't know what they're having done to lift

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Speaker 3: I think is what a lot of them are having done.

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Speaker 2: Now, how much is something like that cost?

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Speaker 3: It can cost one to two hundred thousand dollars.

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Speaker 2: Two hundred thousand dollars.

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Speaker 3: Well, it's rumored that Chris Jenner, the matriarch of the

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Speaker 3: Kardashian family, she had a facelift and has been very

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Speaker 3: open about it. She had it done by a plastic

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Speaker 3: surgeon out in New York, and it's reported that she

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Speaker 3: spent anywhere from two hundred and fifty to three hundred

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Speaker 3: and fifty thousand dollars on her facelift.

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Speaker 2: Wow, it's crazy, it is.

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Speaker 3: I mean, it's there are surgeons who and typically it's

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Speaker 3: in New York, it's in La maybe Miami, who are

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Speaker 3: charging these exorbitant prices, and there are patients who are

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Speaker 3: actually believe it or not paying for it.

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Speaker 1: You know.

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Speaker 3: The crazy thing, though, is George, is that these plastic

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Speaker 3: surgeons are using techniques that are being the same techniques

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Speaker 3: performed by plastic surgeons and duluth in Grand rapids in

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Speaker 3: Detroit who are charging like one tenth of that, but

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Speaker 3: because they're in these big cities, and some of them,

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Speaker 3: because they have social media followings, say hey, let me

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Speaker 3: see if I can charge one hundred and fifty two

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Speaker 3: undred fifty thousand dollars. And there are rich people who

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Speaker 3: are actually paying those prices for the exact same operation

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Speaker 3: that they can get for ten times less from a

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Speaker 3: surgeon in a different.

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Speaker 2: State, Tony. What determines a botched plastic surgery?

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Speaker 3: A botch plastic surgery is one of two things. Typically,

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Speaker 3: we look at botched as being a surgery where the

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Speaker 3: technique was done poorly and so the patient has a

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Speaker 3: bad outcome. And so, as a board certified plastic surgeon,

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Speaker 3: you know, I've been in private practice now over twenty years,

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Speaker 3: I fix a lot of botched plastic surgeries. The other

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Speaker 3: group of that we would consider botched is somebody who

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Speaker 3: has a bad complication. It could even be from a

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Speaker 3: reasonable procedure from a reasonable surgeon, but they just for

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Speaker 3: some reason have a bad outcome from infection to bleeding

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Speaker 3: to tish shoe loss. You know, you could get botched

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Speaker 3: if you're smoking after your operation, but that's not necessarily

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Speaker 3: the fault of the surgeon. Sometimes it's actually the fault

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Speaker 3: of the patient if they're doing things like smoking afterwards,

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Speaker 3: or picking at their scars or not listening to instructions.

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Speaker 2: Truly remarkable, it really is. And when a surgery is botched,

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Speaker 2: does the surgeon know that, I mean, what happened when

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Speaker 2: went wrong?

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Speaker 3: Well, oftentimes the surgeon if it's if it's due to

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Speaker 3: poor technique. The problem is is that surgeons sometimes have

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Speaker 3: no idea why, because it's their poor technique and they're

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Speaker 3: unaware that that's what causes it. Unfortunately, right now, classic surgery,

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Speaker 3: as I mentioned, you know, it's a wild West of medicine,

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Speaker 3: not only overseas, but here in the United States it's

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Speaker 3: the wild West as well, where there are doctors who

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Speaker 3: are performing plastic surgery who literally learn it on a

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Speaker 3: weekend course. You know, you have doctors who are er doctors,

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Speaker 3: who are family doctors, who are gynecologists. They take weekend

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Speaker 3: courses on breast augmentation, on Tommy tucks, on face lists,

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Speaker 3: and then they perform these operations in their offices. There

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Speaker 3: actually is no law against doing that. You can perform

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Speaker 3: any procedure that you want on any patient. If you're

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Speaker 3: a physician, as long as they sign on the dotted line,

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Speaker 3: if they sign a consent form allowing you to perform

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Speaker 3: that procedure, it's perfectly legal to do it, even if

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Speaker 3: you have absolutely no training to do that. You know,

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Speaker 3: so I as a board certified plastic surgeon, I am

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Speaker 3: not a doctor who is trained to, let's say, perform

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Speaker 3: a collect to me to remove your colon. But if

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Speaker 3: you sign on the dot line that you allow me

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Speaker 3: to do that, it is perfectly legal for me to

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Speaker 3: do that. It's perfectly legal for me to perform open

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Speaker 3: heart surgery or to do a hysterectomy, even though I

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Speaker 3: do not have the credentials to perform those.

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Speaker 2: Now, when you're performing surgery, you're with a staff of

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Speaker 2: people with you, right.

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Speaker 3: Yes, yeah, So typically any operation you have an anesthesiologist

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Speaker 3: or an anesthetist. You've got a surgical tech who's going

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Speaker 3: to help you with giving you instruments and all of that,

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Speaker 3: and then there's typically an our nurse who's there watching

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Speaker 3: taking care of the patient from the nursing perspective as well.

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Speaker 3: So that's the minimum team in any operating room is

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Speaker 3: an anesthesia, a nurse and then a surgical tech. Now

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Speaker 3: oftentimes you'll also have an assistant like a physician assistant

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Speaker 3: or a first assist who will help you with retraction,

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Speaker 3: with suturing and stuff like that as well.

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Speaker 2: Do any members of the team. Doctors go to the

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Speaker 2: surgeon and say, what are you doing that you're watching this?

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Speaker 3: Oh?

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Speaker 1: They keep good O.

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Speaker 3: Our help should feel comfortable telling a surgeon if they

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Speaker 3: have an issue with what's going on with the operation.

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Speaker 3: But the problem is is that in the end, the

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Speaker 3: buck stops with that surgeon no matter what. And there's

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Speaker 3: some surgeons who are not interested in hearing the opinions

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Speaker 3: of other people, you know, because they feel that they

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Speaker 3: are the only source of you know, information, that they're

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Speaker 3: that they are the obviously the master of that operation

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Speaker 3: and all that which should be the case, and that

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Speaker 3: they should be the master of that operation. But any

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Speaker 3: surgeon should always be open to suggestions by the help,

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Speaker 3: you know, because you know, I may have done an operation.

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Speaker 3: Let's say, if I'm a new surgeon, I've done a residency,

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Speaker 3: i may have done an operation five or ten times,

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Speaker 3: and then I've got a patient that I'm operating on. Well,

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Speaker 3: you may have a seasoned surgical tech who's done that

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Speaker 3: operation one hundred times or two hundred times, and maybe

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Speaker 3: they're not the one actually doing the procedure, but they

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Speaker 3: have assisted with it. They have seen that operation many

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Speaker 3: many more times in the surgeon, and in those situations

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Speaker 3: that tech should feel very comfortable talking with that doctor

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Speaker 3: if they have a concern with it. That doesn't mean

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Speaker 3: the doctor's going to be open to any suggestions, although

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Speaker 3: the doctor should.

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Speaker 2: Does the doctor know that they botch the surgery?

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Speaker 3: Well, unfortunately, not always said. What can happen, especially in

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Speaker 3: the feel of the plastic surgery, is that I see patients

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Speaker 3: all the time, George, where they have a surgeon, a

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Speaker 3: surgery by a plastic surgeon or a cosmetic doctor. They

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Speaker 3: get botched and they never see that doctor again because

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Speaker 3: they're so unhappy and they don't trust that doctor. Then

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Speaker 3: they'll come see a somebody like me and let's say,

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Speaker 3: look at what happened to me. And one of the

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Speaker 3: things I will always ask them is have you talked

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Speaker 3: to your original surgeon? And sometimes the answer is no.

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Speaker 3: Very commonly it's not because they're afraid to go back

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Speaker 3: to that doctor either. They're afraid that they're going to

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Speaker 3: you know, get convinced to have another thing done and

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Speaker 3: get botched again, or they feel as if that doctor

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Speaker 3: is not open to their concerns. You know, oftentimes that happens,

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Speaker 3: which is very very unfortunate.

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Speaker 2: What do you recommend that people should do for just

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Speaker 2: general maintenance tony for themselves, for their face and their body.

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Speaker 3: Yeah, you know, the first thing is always getting on

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Speaker 3: a good medical grade skincare retch men, A very simple

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Speaker 3: regimen everybody should follow is cleansing your skin every morning.

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Speaker 3: Then you should apply an antiosin serum after that, like

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Speaker 3: a vitamin C serum, and most major skincare companies have

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Speaker 3: those bonus if you add vitamin C and vitamin E.

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Speaker 3: We have one called ce antiosin serum with my skincare

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Speaker 3: line Une Beauty. And then you want to apply a

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Speaker 3: sunscreen after that. That's really all you have to do

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Speaker 3: in the morning is cleanse, vitamin C serum and sunscreen

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Speaker 3: at night. Definitely got to cleanse your skin. You want

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Speaker 3: to get rid of the day's worth of dirt, grime,

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Speaker 3: oil pollution, You want to get rid of your makeup,

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Speaker 3: and then you want to apply ideally a retinoid. The

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Speaker 3: most common is a retinal. You know, we have with

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Speaker 3: my skincare line, Une Beauty, our Retina moisturizer. That's a

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Speaker 3: cornerstone for an anti agent skincare team. And really that's

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Speaker 3: all you have to do at night. Ideally cleanse your skin,

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Speaker 3: apply a retinal like the like a retinal moisturizer, and

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Speaker 3: then if you want to apply a moisturizer on top

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Speaker 3: of that, if it's really dry, like you know right now, Georgia,

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Speaker 3: I'm in Detroit and it is really cold, really dry,

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Speaker 3: and most people are doing some extra moisturizer. That's always

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Speaker 3: a good idea.

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Speaker 2: I'm from Detroit. My mother's there. She's ninety six tony

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Speaker 2: probably listening to you right now.

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Speaker 3: Don't to watch out for the ice. It's very icy

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Speaker 3: out there. We don't want her to slip and fall.

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Speaker 2: No, not at all, at ninety sixth or at an age.

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Speaker 2: What about supplementation, anything out there that you recommend?

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Speaker 3: Yeah, you know, as a plastic surgeon, the number one

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Speaker 3: supplement that I recommend, you know, outside of the normal

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Speaker 3: multi vitamin, would be a collagen supplement.

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Speaker 1: You know.

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Speaker 3: I mentioned I have my own skincareline. We also we

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Speaker 3: sell our u Beauty supplemental collagen because I believe in

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Speaker 3: it so much. I take collagen every day. Collagen really

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Speaker 3: has been shown in multiple studies meta analyzes of thousands

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Speaker 3: of people to show that it helped to support the

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Speaker 3: collagen of your skin. You know, George, we lose one

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Speaker 3: percent of the thickness of collagen every year starting in

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Speaker 3: our mid twenties. Women after metopause lose thirty percent of

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Speaker 3: the collagen of their skin in the first five years

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Speaker 3: after metopause, and then two percent a year afterwards. And

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Speaker 3: that's one reason why our skin ages, you know, that's

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Speaker 3: one reason why we get wrinkles and our skin gets thinner,

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Speaker 3: and even in women it gets so thin sometimes they

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Speaker 3: get older, it tears easily. It's because of the loss

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Speaker 3: of collagen, and so taking a daily hydrolyzed collagen supplement

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Speaker 3: like our un beauty supplemental collagen, that's a great way

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Speaker 3: to help to supplement the collagen, to support the collagen,

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Speaker 3: to help prevent it from thinning with age. So that

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Speaker 3: would be one that I one hundred percent believe in.

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Speaker 3: I take myself. I send our collagen to my parents

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Speaker 3: every month. I send to my sister, to my sister

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Speaker 3: in law, my brother, everybody we send to because it works.

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Speaker 3: You know, it really can help.

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Speaker 2: What about creatine, So creating.

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Speaker 3: Is really interesting. You know a lot of people think

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Speaker 3: creatine and they think bodybuilders, and that is true. You know,

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Speaker 3: you take creatine. Model hydrate is the one that we

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Speaker 3: usually recommend. It's just a five milligram dose or a

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Speaker 3: five gram dose that you take every day, which is

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Speaker 3: usually one scoop of a creatine supplement. And some people

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Speaker 3: think no that if you take it you want to.

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Speaker 3: It does take a good twenty one days to really

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Speaker 3: start seeing results with it, but you stick with it

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Speaker 3: and it can help with gaining muscle mass. But what

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Speaker 3: we're finding out now is that especially in women who

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Speaker 3: are menopausal and postmenopauseal, it can really help with brain function.

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Speaker 3: I think we're really just touching the surface of what

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Speaker 3: creatine can do, but we're finding that it's more than

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Speaker 3: just muscle mass and strength, which is really important as

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Speaker 3: you get older to really keep that strong, but it

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Speaker 3: can even help with brain health and brain function as well.

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Speaker 1: Listen to more Coast to Coast Am every weeknight at

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