Speaker 1: Hey guys, I'm Jackie, I'm Jen Fessler, and we are
Speaker 1: two Jersey Jays.
Speaker 2: Yes, we certainly are.
Speaker 1: We certainly are, and we have got an episode for
Speaker 1: you today, and I have got to ask you something,
Speaker 1: Jennifer Fessler. So we talked about ozembic a few weeks ago,
Speaker 1: about right, and somebody, and I'm not going to say
Speaker 1: any names, somebody implied that you took the easy way
Speaker 1: out and that ozembic users should just get on a
Speaker 1: fucking treadmill. And then this same person last week or
Speaker 1: the week before, was on Instagram showing off the results
Speaker 1: of their Tommy talk.
Speaker 2: So I'm wondering your thoughts on that, all right? No,
Speaker 2: I definitely am in tuned to that. I know all
Speaker 2: about what went down there, So what are my thoughts
Speaker 2: on that? So this person got a lot of flak
Speaker 2: for saying, you know, taking nozembic is ridiculous behavior, just
Speaker 2: get on a treadmill, and then getting online and talking
Speaker 2: about and showing pictures of her Tommy tuck, and I
Speaker 2: want to say that Her response was, I tried everything
Speaker 2: before I got a Tommy Tuck. I worked out, I
Speaker 2: worked my ass off, I did everything humanly possible to
Speaker 2: lose the baby wheat and I still had loose skin,
Speaker 2: And so that was what my tummy tuck was about.
Speaker 2: It was about the fact that, you know, because I
Speaker 2: had gone through every possible method to get a tight stomach,
Speaker 2: it was okay, it's okay now that I resorted to
Speaker 2: plastic surgery, which I think is really interesting and obviously, well,
Speaker 2: this episode is we're going to talk about plastic surgery.
Speaker 2: But what is that about, Like this feeling that you
Speaker 2: have to deserve it, right, that you have to exhaust
Speaker 2: all other means possible before you decide to have plastic surgery.
Speaker 2: I don't buy into that, not for a second.
Speaker 1: Right, Well, listen, I do not think that I am
Speaker 1: not a proponent of ozenbic for losing just a little
Speaker 1: bit of weight. But I don't think it's the easy
Speaker 1: way out. Actually, I think that you deal with a
Speaker 1: lot of unknowns, a lot of people get very sick
Speaker 1: from it. You have to go through many months of
Speaker 1: horrendous nausea. But listen, yeah, been we've gone down this, Okay.
Speaker 1: So what I'm saying is, though I very strongly feel
Speaker 1: that you do not have to earn your plastic service.
Speaker 2: Right, That's that's sort of like what it came down
Speaker 2: to for me. And this person is not the only
Speaker 2: person who feels that way, right, A lot of people
Speaker 2: feel like, you know, how dare you get a Tommy
Speaker 2: Tuk without diet and exercise first? Why don't you try
Speaker 2: that first? Most people, I think probably do. But how
Speaker 2: about you know, getting getting breast implants. You can't magically
Speaker 2: make your boobs bigger? Is it okay to want bigger boobs?
Speaker 2: It's because it seems that it's fine to want smaller ones. Right,
Speaker 2: If your back hurts and you get plastic surgery because
Speaker 2: you need it, quote unquote, that seems to be way
Speaker 2: more widely acceptable than going the other way. So there's
Speaker 2: just so much stigma around. Yeah, and and that's why
Speaker 2: so many people deny.
Speaker 1: And in the housewise world, do you get a lot
Speaker 1: of people who deny having had things done when you
Speaker 1: can look at them and see that they've had things done,
Speaker 1: which is a little ridiculous.
Speaker 2: But I am very open about my plastic surgery.
Speaker 1: I've actually had nothing on my face, but I've had
Speaker 1: plenty on my body.
Speaker 2: I've had both. But if you had what have I had?
Speaker 2: So I had a Tommy tuck, and I've had light
Speaker 2: bo suction. When I was young, like early twenties, I
Speaker 2: had my boobs done. It's funny because I just wanted
Speaker 2: to lift. They're called tubular breasts, and what does that mean?
Speaker 2: So it meets I always used to say, it looked
Speaker 2: like you had a you had a tube sock and
Speaker 2: you put mine and it looked like you put a
Speaker 2: tennis ball in it. That's what you pass. Yes, And
Speaker 2: they're really really source of embarrassment. Especially as a younger woman.
Speaker 2: Taking off my clothes was just for me really really mortifyed.
Speaker 2: And so when I went in the first time to
Speaker 2: get my boobs done, that was the concern. And the
Speaker 2: doctor at the time said, you don't want all those scars.
Speaker 2: You're a young woman. Just let me put in small
Speaker 2: implants and it will you lift them. What it did
Speaker 2: do was give me larger tubular breasts. Go. So so
Speaker 2: that was not my definitely not my last boob job,
Speaker 2: and I got another one. I don't know, I want
Speaker 2: to say after I got married, and like pretty soon
Speaker 2: after after I'd had my two kids. I had them
Speaker 2: early on, and because I just wanted to lift, they
Speaker 2: were still to me. They were just so embarrassing, and
Speaker 2: so I got another one and the doctor that did
Speaker 2: them it didn't go well and it looked like somebody
Speaker 2: had chewed bubblegum and put them put it on my breath.
Speaker 2: My nipples were just so ridiculous looking. So I had
Speaker 2: a third one. Wow, I know, I had a third
Speaker 2: one that I was very, very pleased with. I felt great.
Speaker 2: And about three years ago I decided I didn't want
Speaker 2: implants anymore, and I now they're gone. So you had four,
Speaker 2: so I have had If you can imagine this, I've
Speaker 2: gone under four times for my boobs. Yes, there's a
Speaker 2: lot of investment in your boots.
Speaker 1: At so Tummy Tucky. You had your face redone and
Speaker 1: I had my face. I had a lower face lift,
Speaker 1: so my neck and when I went in for that.
Speaker 1: I have been just increasingly insecure about my nose. As
Speaker 1: you get older. You guys may or may not know this,
Speaker 1: but you know, things change on your face. And my
Speaker 1: nose was just it was just sort of like East
Speaker 1: and West situation going on, and it was I felt like,
Speaker 1: maybe partially due to being on TV, but increasingly insecure
Speaker 1: because it was just looking wider and wider, so I
Speaker 1: had my lower my neck done and then at the
Speaker 1: same time I had a nose job, and I'm thrilled
Speaker 1: with the outcome of both. Well, I had a mommy makeover,
Speaker 1: and the reasons behind that were very loaded. So a
Speaker 1: mommy makeover is the tummy tuck with the breast implants.
Speaker 1: And so I was anorexic from the time I was
Speaker 1: twenty six years old until two years ago, and after
Speaker 1: I had children, so I carried multiples twice. I had
Speaker 1: something called a diastesis, so my abdominal muscles never came
Speaker 1: back together. And because I was kind of emaciated looking,
Speaker 1: my stomach stuck out and so it was only like
Speaker 1: skin and bones and then like a little tummy sticking out,
Speaker 1: and people would ask me all the time if I
Speaker 1: was pregnant, and it would drive me crazy. Also, because
Speaker 1: I had a mental illness surrounding my weight, I could
Speaker 1: not handle the questions and I decided that I needed
Speaker 1: a tummy tuck, even though I weighed like ninety pounds
Speaker 1: soaking ut. So I got a tummy tuck. And also
Speaker 1: I lost all the breast tissue that I had because
Speaker 1: of my anorexia, So I had an a cup, and
Speaker 1: I already didn't feel womanly because I stopped. I haven't
Speaker 1: gotten my period in like thirty years, so I already
Speaker 1: was struggling with that, and I had really low estrogen,
Speaker 1: and now I had no breasts either, and I just
Speaker 1: really wanted to feel like a woman. So I got
Speaker 1: a complete mommy makeover and I had the tummy tuck.
Speaker 1: Is was for me, by and far the most painful.
Speaker 1: Oh my god, Yeah, the reeling bad. I think that
Speaker 1: there are two types, right, the one where you just
Speaker 1: tightened skin, tighten the skin, and then there's the other
Speaker 1: one where they actually pull the muscles back. And wow,
Speaker 1: I mean, I don't know that I could do that again.
Speaker 1: I mean the results were fantastic though, so but then curiously,
Speaker 1: so those were my only plastic surgeries. And then when
Speaker 1: I recovered from anorexia and I gained a fair amount
Speaker 1: of weight back, a lot of my breast tissue came back.
Speaker 1: So suddenly these like sea implants that I had turned
Speaker 1: into double d's and so I had just a few
Speaker 1: months ago, I had a breast reduction. I had those
Speaker 1: implants taken out. I had my breast tissue like cleaned out,
Speaker 1: and lifted and then I had little teeny tiny implants
Speaker 1: put in because of Sagi.
Speaker 2: You and I both are so open to talking about it,
Speaker 2: and why not. Well, well, like, I've never had a
Speaker 2: lot of shame around it. I remember on I don't know,
Speaker 2: I was trying to be funny, maybe on my fortieth birthday.
Speaker 2: I didn't even know what Instagram. It was like all
Speaker 2: Facebook back then, fifteen years ago, and I remember like
Speaker 2: everybody had left me, you know whatever, a very sweet
Speaker 2: message Indianna, you know, thank you guys so much for
Speaker 2: all the birthday wishes. And I also wanted to thank
Speaker 2: doctor X and doctor Y, and like I kind of
Speaker 2: like named the plastic surgeries just in an effort to
Speaker 2: be I guess, funny, self deprecating, and I remember just
Speaker 2: getting so my friends were just blown away that I
Speaker 2: would even say it out loud. But I've never had
Speaker 2: a lot of or any shame around any of this.
Speaker 2: But I know that it, you know, the shame piece,
Speaker 2: it permeates our culture, and there is there are so
Speaker 2: few women I find that just want to fess up
Speaker 2: to what they've had, and I don't even what is
Speaker 2: that about. I don't know. I know so many women
Speaker 2: who I won't admit they had a nose job. Why so,
Speaker 2: I have no idea. I don't know. Is there shame
Speaker 2: around it? I guess maybe they earn. Are you supposed
Speaker 2: to earn your plastic surgery? No, absolutely not.
Speaker 1: There's no way to earn your plastic surgery. I don't
Speaker 1: know what that's about. That's that's someone battling their own demons.
Speaker 2: I don't know. I don't feel I never did feel
Speaker 2: embarrassed by, you know, doing the things that make me
Speaker 2: feel good about myself and listen, the only thing about
Speaker 2: it is that I do at times feel like it's
Speaker 2: enough gen like with the vanity, there's it's enough with
Speaker 2: you know, looking in the mirror and figuring out, like
Speaker 2: what is the next thing? And I know plastic surgery
Speaker 2: can become addictive, but I don't think it has been
Speaker 2: for me. I've certainly had my fair share of it.
Speaker 2: But I don't you know, at some point you want
Speaker 2: to maybe stop going under the knife if it's unnecessary
Speaker 2: and unless it's something that's really plaguing you. I do
Speaker 2: feel that people who get a ton of plastic surgery
Speaker 2: and keep getting it over an over again, I think
Speaker 2: that there's something underlying that more than just vanity. I
Speaker 2: think that there's I don't want to say self doubt.
Speaker 2: I mean, at what point are you good enough? You know?
Speaker 2: I have a friend recently who said to me in God,
Speaker 2: the old word is becoming so overused on our podcast.
Speaker 2: But as of ozempic and losing muscle and not working out,
Speaker 2: my skin is really really loose. My legs it just
Speaker 2: sort of hangs. And yes, I have started to incorporate squats,
Speaker 2: but it's I don't think it's going to help really
Speaker 2: with the loose skin. And I was just talking to her.
Speaker 2: I was in Florida. I was like, maybe I'll get
Speaker 2: you know, a body lift. She's like, Jin, it's enough already,
Speaker 2: you're fifty five years old.
Speaker 1: Well, you know, there was just a story in the
Speaker 1: in the news about Justine Bateban.
Speaker 2: Do you remember her?
Speaker 1: She was on Family Ties and oh god, I remember
Speaker 1: when she was younger. She was so gorgeous and like
Speaker 1: she does not want to do anything to herself. And
Speaker 1: I think that's amazing. But I will admit you look
Speaker 1: at the pictures of her and it's a little bit
Speaker 1: jarring because everyone in that world, everyone in the TV world.
Speaker 1: They do their thing. Their skin is tight, you know,
Speaker 1: they look a certain way.
Speaker 2: And the thing is, though, no matter what I do,
Speaker 2: maybe Kim Kardashians of the world have enough money to
Speaker 2: look still like they are twenty and probably prettier than
Speaker 2: they were, then there's nothing that I can do that
Speaker 2: is going to have me, you know, looking whatever, twenties, thirties.
Speaker 2: I'm the thrilled if someone said I was forty nine.
Speaker 2: I'm over the moon. But at some point I think
Speaker 2: there is an acceptance right that I can't get back there.
Speaker 2: I can't get back to nor what I want to
Speaker 2: what I look like as such a young person. Justine Bateman,
Speaker 2: that's what that's the natural, that's what she looks like.
Speaker 2: And she yeah, and she feels good about it.
Speaker 1: And I think that that's so that's so great, because
Speaker 1: I don't know that I would feel that good in
Speaker 1: you know, I can't imagine. I imagine that the whole
Speaker 1: world was telling her like, oh god, you know, you
Speaker 1: really need to do something.
Speaker 2: But she's a beautiful woman. It's the same thing. What
Speaker 2: about going gray. I mean, it's you know, I have
Speaker 2: a lot of friends now that are embracing gray hair. Yeah,
Speaker 2: you know, my mom went gray.
Speaker 1: She used to color her hair, and then probably in
Speaker 1: her late fifties early sixties, she stopped and she refused
Speaker 1: to do it anymore. And it was very hard for
Speaker 1: me because suddenly my mom looked like an old lady.
Speaker 1: And I had a really hard time with that, and
Speaker 1: I begged her to get her hair colored, and she
Speaker 1: just wouldn't do it anymore. I mean now she just
Speaker 1: looks now, she looks but he thinks about Yes, he
Speaker 1: loves it. Do you think it's about like this is
Speaker 1: getting a little deep up, like mortality, yes, mertality insecurity.
Speaker 1: It's oh, you mean why people would want to have
Speaker 1: gray hair?
Speaker 2: No, I mean looking at your mom or anyone going gray,
Speaker 2: it's somehow it's like march towards death.
Speaker 1: Yes, no for me, but I yes, for me. I
Speaker 1: was like, why are you letting yourself be old so soon?
Speaker 1: I didn't want her to do that. I wanted a
Speaker 1: young mom.
Speaker 2: Yeah, isn't interesting. We want to be young.
Speaker 1: Although again I don't really well if she was getting older,
Speaker 1: it would mean that I was getting older and I didn't.
Speaker 2: I don't know if I didn't feel ready for it yet.
Speaker 2: I mean, does anyone. How do you embrace that? You know,
Speaker 2: I think it's tricky, like God, bless Justine Bateman. You know,
Speaker 2: I'm not there, but I know that there has to
Speaker 2: be a fine line between feeling good and feeling attractive
Speaker 2: and feeling sexy and still feeling like I am a
Speaker 2: mature woman and I don't have to compete with you know,
Speaker 2: my daughter. But it's I think that line is so difficult, right,
Speaker 2: it gets blurred, like when to stop? When is enough enough? Yeah,
Speaker 2: I think there's a lot of insecurities for some women
Speaker 2: that go into I know there were for me a
Speaker 2: lot of insecurities about my body that went into why
Speaker 2: I chose to have blessing surgery. But the reasons why
Speaker 2: I get filler and stuff are not so much insecurities.
Speaker 2: Is keeping up you know? Yeah, I mean I don't
Speaker 2: do a lot of filler. I do do obviously, I
Speaker 2: do both obviously, but I do botox. But you know,
Speaker 2: like agism is very real, it is aging. Women have
Speaker 2: a very hard time in the society, especially with social media.
Speaker 2: It's terrible the comments I get. Do you get comments?
Speaker 2: I get comments? You look like a man? What's wrong
Speaker 2: with your ears? Actually it's funny because I was like,
Speaker 2: you know what, and as you get old, your ears
Speaker 2: get bigger, yes, your ears and your nose keeps growing.
Speaker 2: And I'm like, hmm, should I have had my ears
Speaker 2: pinned like when I went in from it? And again
Speaker 2: then there's the voice like enough Jen, And if I
Speaker 2: get really insecure about it, and it starts to plague me.
Speaker 2: But right now I just think it's funny, Like I
Speaker 2: don't it doesn't bother me when people make those comments,
Speaker 2: you know what, It bothers me. It bothers me personally.
Speaker 2: It like I take you know, I don't know, it
Speaker 2: gets inside my head. But also like it bothers me
Speaker 2: that there's this platform for people to just you know,
Speaker 2: tear you to shreds, you know, like keeping up also
Speaker 2: with other housewives, right and I'm a friend of housewife
Speaker 2: and this is just my second year. You know, way
Speaker 2: more about this than I do. But people ask me
Speaker 2: all the time if that's sort of what influenced my
Speaker 2: decision to have plastic surgery, and it's not, honestly, it's
Speaker 2: really not. But for instance, I was watching Ultimate Girls Trip,
Speaker 2: which is the best, by the way, I need to
Speaker 2: watch but anyway, whatever, but I'm watching these women, these
Speaker 2: legacy women, so they're all women of about our age,
Speaker 2: you're a little younger, and they are all running around
Speaker 2: in bathing suits and bikinis, and their bodies are so
Speaker 2: gorgeous and my body does not look like that. And
Speaker 2: they're even older than me, some of them, and they
Speaker 2: just have these ridiculously beautiful bodies. And it got in
Speaker 2: my head while watching it, and I am trying to
Speaker 2: be able to say to myself if it's going to
Speaker 2: make me really feel better and feel good, and if
Speaker 2: it's affecting my life in this negative way, but to
Speaker 2: try to say to myself, when is enough enough? And
Speaker 2: I think probably at this point enough's enough for me. Well,
Speaker 2: I have a question for him. Do you think that
Speaker 2: celebrities owe it to the public to admit to what
Speaker 2: they've done. I don't think anybody owes it to anybody
Speaker 2: to admit to what they've done. I think that I
Speaker 2: don't understand why not what about housewives? Because we are
Speaker 2: reality show stars are supposed to be sharing our reality.
Speaker 2: I don't know. I feel like I don't understand why
Speaker 2: anyone would lie about it or deny it. I don't again,
Speaker 2: I don't get the shame in it. But I don't
Speaker 2: think anybody owes anything to anybody in terms of, you know,
Speaker 2: admitting what they've done or having things done or not
Speaker 2: having things done. Yeah.
Speaker 1: I understand that, but I also feel at the same
Speaker 1: time that you're holding yourself out as I don't know,
Speaker 1: if you're going to be a public person, then you
Speaker 1: know you're giving this like idea to people that this
Speaker 1: stuff comes naturally to you.
Speaker 2: Like anyone thinks that anymore. Do you think anyone looks
Speaker 2: at I think young girls. Do you think they look
Speaker 2: at the Kardashians and think I think my thirteen year
Speaker 2: old daughter does. Yeah, yeah, I absolutely do.
Speaker 1: I think she looks at all these women and says, wow,
Speaker 1: they're so beautiful, what's wrong with me? And she's gorgeous?
Speaker 1: But you know, I think that she sees her own imperfections.
Speaker 1: Well I don't see any imperfections on her, but she
Speaker 1: sees her own, you know, features that may not look
Speaker 1: like theirs and says, God, I can't wait.
Speaker 2: So I can change it. Their faulters now, and it's all,
Speaker 2: you know what. There are so many questions.
Speaker 1: I've always wanted to ask a plastic surgeon that I
Speaker 1: never had the opportunity to do. I've asked my plastic
Speaker 1: surgeons lots, but really, well there's more. I have so many.
Speaker 1: So today we are having our first guest. I'm very
Speaker 1: excited about that. We're going to have on World Now
Speaker 1: and classic surgeon. His name is doctor Matthew Shulman.
Speaker 2: You know him. I do know him.
Speaker 1: He's never done any work on me, but I've known
Speaker 1: him for a very long time and his reputation is
Speaker 1: stellar and he's got a lot of fans.
Speaker 2: But I've got a million questions for him me too. Hi,
Speaker 2: doctor Sherlmann, Hi, how are you? Thank you so much
Speaker 2: for being here. We have You're so excited and really
Speaker 2: excited arge you. Yeah, we got a lot of questions.
Speaker 2: I remember you were known for your butt lifts. Am
Speaker 2: I wrong?
Speaker 3: You're not wrong? And I'm still known for them.
Speaker 2: So are people still getting those butt lifts?
Speaker 1: I thought that went out. I thought they were getting
Speaker 1: him reversed.
Speaker 3: Now. No, I mean people are still getting it, but
Speaker 3: the trend is definitely a little different. So you hear
Speaker 3: all this thing in the media about how butt lifts
Speaker 3: are out and nobody's getting them. That's not true. What's
Speaker 3: happening is people are just getting them in a different way.
Speaker 3: So they're still doing it, but they're not getting that big, exaggerated,
Speaker 3: overdone result. So they're going for a little bit more natural,
Speaker 3: a little bit more athletic, but they're still doing it.
Speaker 2: So for someone like me who has no ass, what
Speaker 2: does my friend says, say, I have a back with
Speaker 2: a crack? So with that, so you can what kind
Speaker 2: of a butt lift? If let's say someone I'm trying,
Speaker 2: I'm thinking I'm not going to get any more plastic surgery.
Speaker 2: We just spoke about this, but but just for shits
Speaker 2: and giggles, what do you do with something like that?
Speaker 2: If I don't want to a large butt? Can you
Speaker 2: lift the ass? You?
Speaker 3: So, So in terms of the butt, there's sort of
Speaker 3: two things you can do. One is you can lift it,
Speaker 3: which would physically be like removing some skin and pulling
Speaker 3: it up, and that's something that's pretty commonly done for
Speaker 3: people that lose weight and things.
Speaker 2: Can't see you next week? What time do you have
Speaker 2: time for next week? Just let me know two o'clock
Speaker 2: on Tuesday.
Speaker 3: But the other thing is really adding volume. So when
Speaker 3: we say Brazilian butt lift, which means taking fat out
Speaker 3: of one place and putting it in your butt. We're
Speaker 3: not really lifting it, we're just giving the illusion of
Speaker 3: a lift. So in that sense, you would need volume.
Speaker 3: So if someone like you doesn't have any of their
Speaker 3: own fat to donate to themselves, then that procedure is
Speaker 3: not going to work. Some people still will do some implants.
Speaker 3: You still can do butt implants. You know, they're good
Speaker 3: for people that don't have fat, but not always the
Speaker 3: greatest result. Or some people will do some injections. So
Speaker 3: the same stuff people are putting in their face you
Speaker 3: can put in your butt and it works pretty well.
Speaker 3: You just need a lot of it and it doesn't
Speaker 3: last forever.
Speaker 2: Now everybody wants a bigger ass, maybe not a big brasilia,
Speaker 2: I don't know. But it's constantly changing. How do you
Speaker 2: keep up with that?
Speaker 3: You know, body images and what we look at as
Speaker 3: being like attractive changes like fashion, so you kind of
Speaker 3: to keep up with trends. So, you know, as a
Speaker 3: plastics are going to have to stay in touch with
Speaker 3: what people are looking for. I have to keep up
Speaker 3: with you know, the magazines in the newspapers and reality TV,
Speaker 3: social media, and that's important. So I know what people
Speaker 3: want and also be able to predict what the trends
Speaker 3: are going to be in the future, and we have
Speaker 3: to be able to adapt and change.
Speaker 2: Do people come in with pictures of celebrities and say,
Speaker 2: make me look like her?
Speaker 3: Yeah? I mean, And I actually encourage people to bring
Speaker 3: in wish pics because it gives me an idea of
Speaker 3: what they want. Because you know, you may come to
Speaker 3: me and say, you know, describe with words what you're
Speaker 3: looking for, and that may need something to you, but
Speaker 3: maybe we're using different words. But when you showed me
Speaker 3: a picture, it's like, ah, now I know what you want.
Speaker 3: The interesting thing is, in the past, people always brought
Speaker 3: celebrities in, but now with social media, people are bringing
Speaker 3: in just you know, unknown insta themes or even just
Speaker 3: pictures they are seeing online. So they're bringing those pictures
Speaker 3: in and I don't know who a lot of these
Speaker 3: people are, but but it doesn't really matter. They're just
Speaker 3: looking you know, that's just what's in there. You know,
Speaker 3: those are just images that they're seeing every day.
Speaker 1: Of people most often ask to look like. There are
Speaker 1: certain know's that people want, or breasts that people want.
Speaker 3: You know what, Really it's really changed. I mean historically,
Speaker 3: you know, when people wanted a butt, they would bring
Speaker 3: in Kim Kardashian. You know, that was kind of like
Speaker 3: the classic what everyone brought in. And you know, for breast,
Speaker 3: you know, Jennifer Aniston was big for was big for
Speaker 3: a while. But it really you know, like I said,
Speaker 3: it's it's less about you know, I'm not seeing those
Speaker 3: same celebrities anymore because I'm just seeing more more Instagram people.
Speaker 2: What are people requesting? Now? What's your most popular procedure?
Speaker 3: So I'm really a body guy. So my specialty is
Speaker 3: blow the neck, So I do a lot of breast tummies, butts, liposuction,
Speaker 3: and so I'm good. I'm still doing a ton of
Speaker 3: mommy makeovers. So I'm getting people that come in that
Speaker 3: have had, you know, multiple children, and they want to
Speaker 3: be rejuvenated and lifted and tightened up. So mommy makeovers
Speaker 3: are still always popular. Butts again are always popular. But
Speaker 3: we're going for a more athletic, a slimmer, a little
Speaker 3: bit more natural look. And the really the hot thing
Speaker 3: that I'm seeing now is cellulite treatment. And cellulite is
Speaker 3: something that everybody has. You know, ninety percent of women
Speaker 3: have cellulite, and historically there's never been a good solution
Speaker 3: for it. And there's actually a new device on the
Speaker 3: market that I'm really really happy with that allows me
Speaker 3: to target those specific bands that cause those dimples. And
Speaker 3: in the past treatments have really failed. So we've always
Speaker 3: said there's no good treatment for cellulite. But I kind
Speaker 3: of have a good treatment for it now, So I
Speaker 3: think that's something that's really popular, and it's a lot
Speaker 3: less invasive than it's been in the past. So you know,
Speaker 3: that's kind of a trend that I'm seeing and I think.
Speaker 2: Wow, road trip, I mean, what are your patients in
Speaker 2: terms of age? What is the spread? Look? I mean,
Speaker 2: is there a need limit?
Speaker 3: I mean, there's there's no age limit. Obviously, when you're
Speaker 3: having an elective cosmetic procedure, we want to make sure
Speaker 3: that you're old enough to understand what you're having done.
Speaker 3: But then there's also the physical things like if you're
Speaker 3: if you're having something done to your body, you want
Speaker 3: to make sure that your body's developed enough where it's
Speaker 3: the right time to do it. So things like those
Speaker 3: jobs tend to be something that you know, girls are
Speaker 3: getting and boys are getting when they're like sixteen seventeen.
Speaker 3: But other things like breast implants or liposuction, tummy tugs.
Speaker 3: I think people are going to be more in their
Speaker 3: twenties before they get a procedure like that done.
Speaker 2: Yeah, do you ever turn anyone away? Like, do you
Speaker 2: ever feel like they don't like would you turn some
Speaker 2: away because you don't.
Speaker 1: Think that it would enhance them? Or like maybe they're
Speaker 1: they're getting too much?
Speaker 3: Yeah, I mean I turn people away all the time.
Speaker 3: I mean I probably will turn away about twenty five
Speaker 3: percent of the people that come to see me for
Speaker 3: a consultation.
Speaker 2: Oh way, why what are the reasons I think it's important.
Speaker 3: I think that I think of the monsible plastic surgeon
Speaker 3: needs to learn how to say no. And there may
Speaker 3: be a bunch of reasons. One, maybe what you're asking
Speaker 3: for is just not possible, so I have to try to.
Speaker 3: You know, I want happy patients. And if I think
Speaker 3: that you're asking for something and I can't deliver, then
Speaker 3: I'm not going to be the one to try. The
Speaker 3: other thing. Maybe that maybe what they're seeing, maybe what
Speaker 3: the patient is seeing is wrong with them, isn't really
Speaker 3: wrong with them. And that's we get into this whole
Speaker 3: discussion about body dysmorphia. I mean, it's a real thing.
Speaker 3: People look in the mirror and they think that their
Speaker 3: nose is huge, but their nose really isn't huge, And
Speaker 3: no matter what you do, they're still going to see
Speaker 3: a huge nose. And that's called body dysmorphia. It's a
Speaker 3: real psychiatric condition. And we try to figure out which
Speaker 3: patients have that because one we know that surgery will
Speaker 3: not correct what they're seeing, and two they're going to
Speaker 3: be on They're going to be unhappy.
Speaker 1: So do you play therapist in those instance and says like,
Speaker 1: do you have to tell them you're not going to
Speaker 1: be happy no matter what because what you're seeing is
Speaker 1: not real?
Speaker 2: Or do you just like tell them know and send
Speaker 2: them away.
Speaker 3: Yeah. I mean it's you know, we kind of say
Speaker 3: that sometimes we're a psychiatrist with a knife, you know.
Speaker 3: So I think it's important to have an honest discussion.
Speaker 3: So even patients, why I operate on, I will tell them, listen,
Speaker 3: I can remove that extra skin. It's going to look
Speaker 3: so much better. But you've been unhappy with the way
Speaker 3: your stomach has looked for twenty years. So even when
Speaker 3: it looks great. In your mind, You're still gonna think
Speaker 3: it looks bad because that's just your thing. It's your
Speaker 3: it's your thing that bothers you. And most people will say, yeah,
Speaker 3: I get it, you're right, I understand it. So those
Speaker 3: are discussions that we always have because there's it's a
Speaker 3: lot more goes into plastic surgery than just what happens,
Speaker 3: you know, within the walls of my operating room.
Speaker 2: It's interesting when I went for my facelift, I had
Speaker 2: a lower facelift and I went in with the intention
Speaker 2: of having my entire face lifted. Yeah, my doctor said,
Speaker 2: you don't need the upper part lifted. It's just your
Speaker 2: you don't need your eyes done. There was all of this.
Speaker 2: I was like, well, if I'm gonna do it, let
Speaker 2: me really do it. But him saying that to me
Speaker 2: made me respect him and trust him so much more. Yeah,
Speaker 2: I think it's great. It's great because it would have
Speaker 2: been way more expensive obviously to have more done.
Speaker 1: Do you think that Instagram filters have played a part
Speaker 1: in younger people wanting more plastic surgery.
Speaker 3: Yeah, Instagram filters and also if we think back to
Speaker 3: you know, when snapchat was really popular, the snapchat filters
Speaker 3: kind of started it all. So there was actually something that
Speaker 3: you know, I kind of came up with a term
Speaker 3: called snapchat dysmorphia, and that kind of got a lot
Speaker 3: of play in the press. And that was something that
Speaker 3: I saw early on with Snapchat filters, where you know,
Speaker 3: people were changing their eyes and their lips and you know,
Speaker 3: smoothing their skin. So it absolutely one hundred percent is
Speaker 3: you know, it's it's I'm in a weird position because obviously,
Speaker 3: I'm a class surgeon, this is my business, this is
Speaker 3: my job, it's how I feed my family. But I
Speaker 3: have I have a daughter, I have a teenage daughter,
Speaker 3: so I'm aware of all these things. And I think
Speaker 3: it's important that people are happy with their appearance and
Speaker 3: have self confidence and be comfortable in their own skin.
Speaker 3: But I also understand that society kind of pushes people
Speaker 3: to the other extreme.
Speaker 2: So how do you explain that to your daughter. I'm
Speaker 2: so curious as a plastic surgeon, like when she and
Speaker 2: she's obviously she's a teenage daughter, so she's definitely getting
Speaker 2: bombarded with these images. Does she say to you, daddy,
Speaker 2: my turn, Like, my daddy is a plastic surgeon, so kelp.
Speaker 3: I mean luckily, luckily, she's been exposed to it for
Speaker 3: her whole life. So you know, when she was little
Speaker 3: and would take my phone and scroll through the photo roles,
Speaker 3: it would be like family, family, family, patient, family, patient,
Speaker 3: operating room, patient, family. So she's kind of she's kind
Speaker 3: of been desensitized a little bit to it. But but
Speaker 3: I mean, there may become a point where you know,
Speaker 3: she comes up to me and says, this is I'd
Speaker 3: like to change this about myself. And I think as
Speaker 3: long as as long as she understands that that will
Speaker 3: change her appearance, but it's not going to change it's
Speaker 3: not going to change herself some worth, then I think
Speaker 3: that that's that's the distinction people people need to make.
Speaker 1: Yeah, great, can we ask you about some celebrities and
Speaker 1: what they might have had done?
Speaker 3: Sure?
Speaker 2: Okay, So look, can we just start with Chloe Kardashian
Speaker 2: because she has lately looked like an entirely different person.
Speaker 2: Is that just integram filters or has she completely changed
Speaker 2: her appearance?
Speaker 3: You know there are certain people like the Kardashians in particular.
Speaker 3: Are we gonna put a disclaimer so that Chris doesn't
Speaker 3: sue me? No? I think there's there's certain people that
Speaker 3: are very savvy about filters and lighting and photo editing
Speaker 3: and things. So when you see pictures of celebrities, sometimes
Speaker 3: it's not always surgical. Sometimes it's just photoheading. I think
Speaker 3: you combine that with with constant fluctuations and weight, which
Speaker 3: will really change someone's appearance, combined with having you know,
Speaker 3: unlimited wealth where you can you can do anything you
Speaker 3: want yourself. It becomes really muddled figuring out what certain
Speaker 3: people have had. But I think that I think that
Speaker 3: people definitely you combine, you combine you know, increase in
Speaker 3: weight with decreasing weight, and you kind of do that rapidly,
Speaker 3: with rapid fluctuations. Plus a lot of fillers and and
Speaker 3: non surgical treatments can start to distort things a little bit.
Speaker 2: Is it hard when you do these procedures on someone's
Speaker 2: body because of the fluctuations in weight? So for instance,
Speaker 2: if you're doing a Tommy tuck and this person comes
Speaker 2: to you and is heavier, do you want that person
Speaker 2: to lose weight first? Just because of if you do
Speaker 2: the time and top and then they gain weight and
Speaker 2: it's going to affect your results.
Speaker 3: Yeah, So I personally think that everybody should be at
Speaker 3: whatever their whatever their normal weight is before they do
Speaker 3: anything to their body. And it doesn't mean their weight
Speaker 3: has to be the textbook perfect weight. It just means
Speaker 3: whatever your normal weight is. If you're normally sitting at,
Speaker 3: you know, whatever, one hundred and fifty pounds, then you
Speaker 3: should have surgery when you're one hundred and fifty, not
Speaker 3: when you're one hundred and seventy. So I never want
Speaker 3: to do surgeries on people when they're kind of at
Speaker 3: their peak, because that naturally is when people like want
Speaker 3: to run in to see me when they're, you know,
Speaker 3: had the kind of a rough couple months, and they're
Speaker 3: up twenty pounds. You want to get down to your
Speaker 3: normal weight. And that's because, like you said, if I
Speaker 3: do the surgery and then your weight goes down or
Speaker 3: goes up, the results can change.
Speaker 2: That's for the phase too, right for anywhere.
Speaker 3: I mean, you're everything changes with weight, and you can't
Speaker 3: always predict how it's going to.
Speaker 1: So you can't tell anything because people look totally different.
Speaker 1: Like last week, my mother came over to light Honika
Speaker 1: candles and I showed her what you can do. I
Speaker 1: turned her into like a redhead with long hair.
Speaker 2: With makeup on. She had never seen any of this
Speaker 2: shit before. She was like, what did you do to me?
Speaker 2: How can you do that? You know what? I hesitate
Speaker 2: to use filters. I really don't use them on my
Speaker 2: social media only because the jig is up. Like, if
Speaker 2: you're on TV, you're gonna people are gonna find out
Speaker 2: that you don't look airbrushed, right, Like, well, not everyone's
Speaker 2: on TV. But even with that, though you run into people,
Speaker 2: you're true what you look like is coming out. Do
Speaker 2: people ask you to reverse stuff ever? Yeah?
Speaker 3: I mean it's so sometimes it's a reversal and sometimes
Speaker 3: it's just kind of downsizing. So specifically with the Brazilian
Speaker 3: butt lift, you know, this whole trend of BBL reversals,
Speaker 3: they're not really reversals because we're not trying to get
Speaker 3: them back to what they were before surgery. We're just
Speaker 3: trying to make them a little smaller, so it's more
Speaker 3: like a reduction. Same thing with breast. You know, breast
Speaker 3: and plants are very different now than they were ten
Speaker 3: years ago. Like we're putting in smaller implants than we
Speaker 3: were back then. So women are coming in and they
Speaker 3: want to downsize. So I guess it's sort of a reversal,
Speaker 3: but it's not really reversal because they don't want to
Speaker 3: go back to what they look like before implants. They
Speaker 3: just want to be a little bit smaller than they are.
Speaker 1: Now. What happens if you get a mommy makeover and
Speaker 1: then you have another baby? Does that, like tummy tuck
Speaker 1: go out the window? Do you have to get it
Speaker 1: all done again?
Speaker 3: Not necessarily so obviously, if someone comes in for a
Speaker 3: tummy tuck, I ask them, are you done having kids?
Speaker 3: And you know they'll say yes, But I get it.
Speaker 3: Things happen. So if someone's planning on having more children,
Speaker 3: I tell them, wait, let's just when you think you're done,
Speaker 3: then we'll put you back together. But if someone does
Speaker 3: get pregnant after a tummy tuck, it may loosen things
Speaker 3: up so it doesn't look as good, but it probably
Speaker 3: won't go back to the way it was before the surgery,
Speaker 3: because you know.
Speaker 2: I had a tummy tuck, and then since I've been
Speaker 2: up and down, my weight has been up and down.
Speaker 2: I always like to say, like I broke through the
Speaker 2: tummy tuck, so my stomach that was so tight after
Speaker 2: the tummy tuck, it's definitely loosened up, and the muscles
Speaker 2: have loosened up as well. I mean, you can blame
Speaker 2: that on a lot of things besides brownies and not
Speaker 2: doing sit ups. But I do notice that with time
Speaker 2: it's certainly not what it was.
Speaker 3: Well, I think that you know, with anything you do,
Speaker 3: you know, having a good lifestyle and you know, you know,
Speaker 3: proper diet and exercise, you have to maintain the results.
Speaker 3: But also body still ages. So I tell people plastic
Speaker 3: surgery doesn't stop the clock, it just turns it back.
Speaker 3: So if I do a facelift on you and you
Speaker 3: look ten or fifteen years younger, it doesn't. It doesn't
Speaker 3: mean you're not going to age. It just means that
Speaker 3: you're always going to be about ten or fifteen years younger.
Speaker 3: Same thing with breastwork and tummy work. It just things
Speaker 3: just get looser and crinklier and saggier over time. So
Speaker 3: it's still.
Speaker 1: I mean, is time really worse to women than it
Speaker 1: is to men? I mean, you look at somebody like
Speaker 1: George Clooney and they say men get better with age,
Speaker 1: and I feel like society says that women fall apart,
Speaker 1: Like is that true medically?
Speaker 2: Yeah?
Speaker 3: I mean I think it's I mean, there's a double standard.
Speaker 3: I mean then you know, as a man, I'm okay
Speaker 3: with it, I guess, because you know, then when I age,
Speaker 3: I'll have wrinkles and I'll look more distinguished and I'll
Speaker 3: look more you know, more worldly. But when women get
Speaker 3: those same things, they're they're judged. So it's it's an
Speaker 3: unfair double standard, but it's true. You know, that's why
Speaker 3: men men don't often get facelifts. You can do it,
Speaker 3: and if a man gets a facelift, you have to
Speaker 3: be really careful because you don't want to overtighten them
Speaker 3: because then you can feminize their appearance and they can
Speaker 3: look weird. So whenever I do like male classic surgery,
Speaker 3: even male tummy tucks, because I do male tummy tucks,
Speaker 3: you know the men that have lost weight, and I
Speaker 3: don't pull them as tight or try to snatch their
Speaker 3: weight like I do for women. I'm trying to get
Speaker 3: them to look kind of straight in boxy, because that's
Speaker 3: a masculine look. But if I did that result on you,
Speaker 3: you would come back and be unhappy and you would.
Speaker 2: Say find that a man.
Speaker 1: If a man wants a tummy tuck, is he more
Speaker 1: like secretive and shameful about it than a woman.
Speaker 3: Yes, but I think it's changing. I think that I
Speaker 3: think that men still represent only a small portion of
Speaker 3: plastic surgery patients, about fifteen to twenty percent, but I
Speaker 3: think they're becoming a little bit more open, you know.
Speaker 3: I think now you know everybody, you know, everybody's taking
Speaker 3: weight loss medications, and so, yeah.
Speaker 2: How has that impacted everything?
Speaker 3: Well, I mean it's definitely. You know, it's interesting because
Speaker 3: when I first started doing plastic surgery, I was doing
Speaker 3: a ton of body contouring after weight loss. And that's
Speaker 3: because I trained it. I trained at Mount sein and
Speaker 3: I where you know, bariatric surgery had his birth. So
Speaker 3: I was dealing with people that lost one hundred pounds,
Speaker 3: two hundred pounds after a gastric bypass and gastric slaves
Speaker 3: and all sorts of really invasive bariatric surgery. And that
Speaker 3: started to die down because it's a very invasive surgery.
Speaker 3: But now you're starting to see that weight loss pick
Speaker 3: up again because everybody, I mean, everybody's taking the medication.
Speaker 3: So we're seeing a lot of people come in and
Speaker 3: they've lost weight, they've lost weight rapidly, So you know,
Speaker 3: forty fifty pounds over three four months is pretty quick,
Speaker 3: but that's kind of typical. And so they're coming in
Speaker 3: and they need the skin removed. So we're seeing a real,
Speaker 3: really big uptick in body contouring after weight loss procedures.
Speaker 2: Doctor Schulman with that because I'm on semi glue tide
Speaker 2: and I've lost well over a little over twenty pounds,
Speaker 2: but my skin is it's a whole different ballgame now.
Speaker 2: And my legs specifically, the skin just hangs right. And
Speaker 2: what I have heard that a thigh lift is really
Speaker 2: not only really difficult, but the scars are horrendous. Is
Speaker 2: there a way to fix the legs the knees?
Speaker 3: It's hard because you know, when you're dealing with legs,
Speaker 3: you're dealing with gravity. So you can never pull the
Speaker 3: skin up as tight as you can pull in the mirror.
Speaker 3: So it's hard because everything's fighting that and so legs
Speaker 3: are hard, and you raise a good point and you know,
Speaker 3: I can remove skin from anywhere in your body. I
Speaker 3: can get you tight and you know, nothing hanging, but
Speaker 3: the trade off is scars. So we're trying to do
Speaker 3: procedures where we can do it in a way where
Speaker 3: the scars are hit it, so there are thighs.
Speaker 2: Yeah, well you need to do that now.
Speaker 3: Yeah. I mean, well, you know, when you're dealing with
Speaker 3: a lot of extra skin, sometimes the trade off is
Speaker 3: you need more scars. But thighlifts can be done with
Speaker 3: just the incision in the in the crease of the groin. Really,
Speaker 3: I really try not to do that thlift where the
Speaker 3: scar goes down the inside of the leg. Now, someone
Speaker 3: may need it, but they may understand that, Yeah, I'd
Speaker 3: rather leave you with a little bit of extra skin
Speaker 3: and have you be able to wear shorts. Then feel like,
Speaker 3: even if you have no extra skin in your thighs
Speaker 3: are really tight. You have those scars, and you're not
Speaker 3: going to ever want to show those scars.
Speaker 2: You're killing me, doctor Schulman, because I said, literally in
Speaker 2: this episode before you came on, that I'm trying to
Speaker 2: reconcile myself to the pack that I'm fifty five and
Speaker 2: because i have all this loose skin, I'm just going
Speaker 2: to live with it. And now I can't get off
Speaker 2: this podcast fast enough to call your office.
Speaker 1: Well, here's a question that we started with, which is
Speaker 1: you know, Jen was recently kind of shamed for using
Speaker 1: Gozambic by somebody who told her.
Speaker 2: To get on a fucking treadmill.
Speaker 1: And then this same person went out and had a
Speaker 1: tummy tuck, And so the person justified their tummy tuck
Speaker 1: by saying that she did everything she could to get
Speaker 1: to try to fix it herself before she.
Speaker 2: Got the tummy tuck.
Speaker 1: So I guess her question is do in an ideal world,
Speaker 1: would somebody have to earn their plastic surgery by trying
Speaker 1: everything else first? Or is it okay to just do
Speaker 1: what makes you feel good?
Speaker 3: So I think it's okay to just do it. However,
Speaker 3: there's gonna be a caveat. The caveat is that you
Speaker 3: really should have a healthy lifestyle. So there are people
Speaker 3: that exercise six days a week, eat really well, and
Speaker 3: they're still heavy, And I think that's okay. I think
Speaker 3: that's a person who, yes, I can do liposuch, Let
Speaker 3: me do LiPo such and help you get off the
Speaker 3: fat that you can't get off. Let me get that
Speaker 3: skin off that you can't get off through diet and exercise.
Speaker 3: But if there's somebody that just doesn't do anything and
Speaker 3: just kind of sits on their couch and you know,
Speaker 3: is eating and not doing anything and then they have
Speaker 3: this extra fat. I don't think that's a good idea
Speaker 3: because because things that I do are contouring procedures, they're
Speaker 3: not weight loss procedures.
Speaker 2: They won't get the result or that they'll they'll will
Speaker 2: and then they'll they'll break through the result. Or do
Speaker 2: you think it's not okay? I guess we're talking about
Speaker 2: you have to sort of like earn your right to
Speaker 2: plastic surgery.
Speaker 3: So in other words, no, I don't think it's a day.
Speaker 3: I don't think people have to earn their right. I
Speaker 3: think that's I think if people want to do it,
Speaker 3: they should do it. I think it's more like you
Speaker 3: said first that that you know, I'm trying to give
Speaker 3: results that I know are going to last and are
Speaker 3: going to be can be done safely. And if someone
Speaker 3: has a has an unhealthy lifestyle, they're unlikely to get
Speaker 3: a great result, and they're unlikely to get a result
Speaker 3: that's going to last.
Speaker 2: And that's a very different thing. I think that's so
Speaker 2: interesting because what you're saying is that it's not that
Speaker 2: you're saying to people. Listen, you haven't tried everything yet, so.
Speaker 3: I'm not going.
Speaker 2: If somebody comes to you with like I had tubular
Speaker 2: breasts as a kid, like, there's nothing I could have
Speaker 2: done about it, right, I couldn't have changed the shape
Speaker 2: of my breasts. But if somebody comes to you and
Speaker 2: you know, wants to get liposuction, and it's not that
Speaker 2: you're saying you have to try to lose weight first,
Speaker 2: You're more saying that I'm afraid that your result won't
Speaker 2: be what you want, especially if you're if you're going
Speaker 2: to continue with your unhealthy life style.
Speaker 3: Yeah, and you know I look at this. I you know,
Speaker 3: when i'm evaluating a person, I'm looking at them as
Speaker 3: I'm not I'm not being judging. You know, it's not
Speaker 3: my job to judge you. It's my job to figure
Speaker 3: out does what you're asking for is what you're asking
Speaker 3: for a possible can I do it in a safe
Speaker 3: way and give you the results that you want. So,
Speaker 3: for example, if you come in and you want lip bosuction,
Speaker 3: you're not really exercising, I may tell you, why don't
Speaker 3: you try to exercise lose some weight so that your
Speaker 3: body gets rid of the fat that it can get
Speaker 3: rid of naturally, and then I can concentrate on those
Speaker 3: areas that don't go away, and I think that's that's
Speaker 3: a good way to do it from a surgical perspective.
Speaker 3: I'm not doing it to like tell someone stopping lazy
Speaker 3: go exercise. It's really just about, you know, I'm looking
Speaker 3: at how to get them the best result, because, as
Speaker 3: you alluded to, if you lose weight quickly, your skin
Speaker 3: doesn't recover very well. So the skin just kind of
Speaker 3: gets loose. So if I do liposuction on somebody, they're
Speaker 3: losing that weight in the matter of just a few hours.
Speaker 3: So if they have a lot of fat, that skin
Speaker 3: can end up being a little bit loose after. But
Speaker 3: if they go an exercise and they take three, four, five,
Speaker 3: six months to lose half that weight, their skin has
Speaker 3: enough time to tighten up so that when I do
Speaker 3: the liposuction, they'll get a much better result and their
Speaker 3: skin's gonna look better. So there's ways to go about
Speaker 3: it to give the best result. And sometimes the reason
Speaker 3: sometimes the answer is lose some weight on your own.
Speaker 3: But again it's not to judge them, it's really to
Speaker 3: help them get a better result.
Speaker 2: Why do you think there is so much judgment around?
Speaker 2: You know, people doing plastic surgery, and there are so
Speaker 2: many there's so much shame around it. I mean, jack
Speaker 2: and I were talking about this at the top of
Speaker 2: the show. But don't feel shame around happy that money.
Speaker 2: I mean, it is Jackie, and we don't lie about it.
Speaker 2: We're both very upfront and honest. But there is so
Speaker 2: much of that. What do you think that's about.
Speaker 3: I think I think a lot of it is jealousy.
Speaker 3: I think a lot of it is just you know,
Speaker 3: some of the people that judge you are people that
Speaker 3: would do the same thing if they had the means,
Speaker 3: and I think that that's part of it. I don't
Speaker 3: think it's as bad as it used to be. I
Speaker 3: mean ten years ago, fifteen years ago, I think people
Speaker 3: were very closeted about plastic surgery. So I think it's
Speaker 3: much better now. And I think it's because a lot
Speaker 3: of it is generational. I think that, you know, younger
Speaker 3: generations are are much more, much more open and willing
Speaker 3: to admit to having things done, you know, partly because
Speaker 3: of social media. But again, I think a lot of
Speaker 3: it is a lot of it is jealousy, and you know, people,
Speaker 3: a lot of people who criticize would be in my
Speaker 3: office tomorrow if they could.
Speaker 1: Among classic surgeons, do they talk about the housewives world
Speaker 1: as being like crazy full of plastic surgery or is
Speaker 1: that just so like omnipresent for us because we're in
Speaker 1: that world, Like is that a known thing?
Speaker 2: Yeah?
Speaker 3: No, I mean I don't think it's. I don't think so.
Speaker 3: I don't think I think a lot of it is. Probably.
Speaker 3: I mean, you're obviously getting it. You're gonna you're gonna
Speaker 3: be biased about it because you're seeing a lot of there.
Speaker 3: You're obviously seeing the press and the media that that
Speaker 3: may be focused about negative things around the housewives. But
Speaker 3: I don't I think as a plastic surgeon community, nobody,
Speaker 3: you know.
Speaker 2: We don't really talk about it.
Speaker 3: Yeah, we don't really sit around and say, like, you
Speaker 3: know what people had done or who's had bad work done?
Speaker 2: Busy, Yeah, you're busy. Okay, Wait a no zempic question.
Speaker 1: I have heard that ozempic has been complicating things for
Speaker 1: plastic surgeons because your stomach doesn't fully empty, right, and
Speaker 1: so when you do anesthesia, that's a problem.
Speaker 3: Yeah, it's it's interesting because you know when and I
Speaker 3: was just talking about this yesterday with my anisesiologists because
Speaker 3: about a year and a half ago when people were
Speaker 3: first starting to take ozembic, but no one really knew
Speaker 3: too much about it. You know, there were some patients
Speaker 3: where know, as you know, you have to be NPO
Speaker 3: means don't eat anything for about eight hours before surgery,
Speaker 3: and that's to make your stomach empty so that during
Speaker 3: surgery and during the anesthesia you don't throw up and
Speaker 3: potentially breathe it in and aspirin and have complications. So
Speaker 3: there were some patients who who after the anesthesia would
Speaker 3: would throw up and there would definitely be gastric contents,
Speaker 3: there would be stuff in the stomach, and we were like,
Speaker 3: this is so weird, Like I know, they didn't eat
Speaker 3: their compliant patients and after the fact in retrospect, we're
Speaker 3: like that so is empic because it delays the gastric
Speaker 3: emptying and now take it may take two days for
Speaker 3: your stomach to empty.
Speaker 2: So what do you do.
Speaker 3: Well, now, we tell our patients that they need to
Speaker 3: stop the medication for two weeks before surgery to allow
Speaker 3: the gastric empty to kind of get to normal. And
Speaker 3: then people that have been on it for an extended
Speaker 3: period of time, we may even say four weeks before surgery,
Speaker 3: because it may take that long for your stomach to
Speaker 3: kind of catch.
Speaker 1: Up as opposed to one night as opposed to eight hours,
Speaker 1: four weeks as opposed to eight hours.
Speaker 3: Well, so it may take four weeks for your stomach
Speaker 3: to kind of start emptying normal again. Oh but if
Speaker 3: you're but if you're on ozempic, the food that you ate,
Speaker 3: you know, yesterday morning is still in there.
Speaker 2: I had recently had a colonoscopy and I had to
Speaker 2: stop taking I'm on semi glue tide and I want
Speaker 2: to say a week before I had to stop taking it,
Speaker 2: and that was for a colonoskby that was just for
Speaker 2: getting you know, put under. Wow.
Speaker 3: Yeah, I don't think a week's probably a week probably
Speaker 3: isn't even long enough, you know, I think it's it's
Speaker 3: got to be about two weeks.
Speaker 2: Wow. Wow. Do you ever get people who are scared
Speaker 2: to stop and just don't come back.
Speaker 3: No, No, because because these are all people that so
Speaker 3: you know, they so they're gonna have They're gonna have
Speaker 3: the surgery no matter what. So you know, they have
Speaker 3: to stopping and they have to stop smoking. So you know,
Speaker 3: those are two difficult things for a lot.
Speaker 2: Oh, right, right? How does you know?
Speaker 1: When I was a kid, and I think we're all
Speaker 1: in the same like kind of age group. But when
Speaker 1: I was a kid, there was a woman named Joscelyn
Speaker 1: Wildenstein and she, yeah, she was called the catwoman.
Speaker 2: How does one.
Speaker 1: Come like? What are your how do you get so
Speaker 1: much put? Is that so much classics? I don't even
Speaker 1: know what I'm asking, Like, how the fuck do you
Speaker 1: end up looking like Joscelyn Wildenstein?
Speaker 3: I mean, I think that it's unfortunate because I think
Speaker 3: it's probably a combination of you know, again, I don't
Speaker 3: know her, I don't know anything about her her psychiatric background,
Speaker 3: but there probably there has to be some degree of
Speaker 3: psychiatric disease in there somewhere. And then you combine that
Speaker 3: with doctors who need to learn how to say no,
Speaker 3: and and I think that sometimes, you know, we can't
Speaker 3: you know, it's a plastics certain I can't cure people's
Speaker 3: you know, psychiatric issues, but I can be the final
Speaker 3: point where I say no, You're not to be the
Speaker 3: one to do the surgery. Unfortunately, there's greedy people out there,
Speaker 3: and there are people, you know, I'm I'm in New
Speaker 3: York City when I tell a patient, I'm if I
Speaker 3: say no to you, I know you're going to go
Speaker 3: down the street and you'll find someone that'll say yes.
Speaker 3: But in my honest opinion, you shouldn't do the surgery.
Speaker 3: And hopefully they don't, but they but a lot of
Speaker 3: them do the surgery. And the worst thing about it
Speaker 3: is sometimes I even see those patients come back and
Speaker 3: they did what I told them not to do with
Speaker 3: another doctor, and now they're back to me and they
Speaker 3: want me to try to fix it, and it becomes
Speaker 3: very difficult.
Speaker 2: As a plastic surgeon. It's not it can't just be
Speaker 2: a science. I feel like it has to be also
Speaker 2: an art right, I mean, it's I think of it
Speaker 2: that way anyway. I mean, do you I doubt you've
Speaker 2: had many are there surgery that you do where you
Speaker 2: just can't sort of like control the fact that something
Speaker 2: happened or didn't come out right, or you know, what
Speaker 2: do you do with that?
Speaker 3: So so there's definitely an artistic component. So I think
Speaker 3: that all plastic surgeons have have to have some sort
Speaker 3: of artistic ability or at least have like that that
Speaker 3: ability to conceptualize, Like you remember, like in school when
Speaker 3: you had to do those tests where it was like
Speaker 3: the cube and it was opened up on paper and
Speaker 3: you had to like pick the choice of what it
Speaker 3: looked like when all the paper was folded. Do you
Speaker 3: know what I'm talking about?
Speaker 2: Yeah, blocked it.
Speaker 3: So those are the type of things that as a
Speaker 3: plastic surgeon we have to think about because you know,
Speaker 3: we have to see how things are going to end
Speaker 3: up three dimensionally. And but the but the toughest part
Speaker 3: is it's not it's not mold and clay. It's a
Speaker 3: human body and everyone's skin acts differently, everyone heals differently.
Speaker 3: Some patients are going to be compliant. Some patients aren't
Speaker 3: going to listen to a word I say and and
Speaker 3: just do anything not to do, and and they can
Speaker 3: end up with a bad result. So I think the
Speaker 3: key is to obviously do not do so much where
Speaker 3: you can get yourself into trouble, and also always have
Speaker 3: a plan for Yeah, I mean, listen, I'd like to
Speaker 3: think I'm pretty good, but I still have to do
Speaker 3: revision surgeries on my patients, and they're usually small. You know,
Speaker 3: there's always gonna be some degree of asymmetry. And I
Speaker 3: tell my patients, you know, your left side and your
Speaker 3: right side is always gonna be a little different. You're
Speaker 3: going to notice it, and I'm going to notice it.
Speaker 3: But other people on the beach aren't.
Speaker 2: But if they get so, it's also a degree of
Speaker 2: pain in the ass nets I'm sure.
Speaker 3: Yeah, yeah, I mean everybody, Yeah, everybody wants perfection. And
Speaker 3: you know, no matter what I tell them that, I
Speaker 3: can't make you perfect. And they say, okay, no, I
Speaker 3: understand that. And then they come back in six months
Speaker 3: and they say, but it's not perfect. It's like I
Speaker 3: had this discussion, so yeah, makes better. And and so
Speaker 3: there's always there's always the option for opportunity for like
Speaker 3: small procedures and stuff to kind of make the results
Speaker 3: her and and and unfortunately, there are some situations where
Speaker 3: you know you have to tell the patient you look great.
Speaker 3: I know you don't look as good as you think
Speaker 3: you want to look, but this is as good as
Speaker 3: it's gonna get. And you know you're gonna have to
Speaker 3: accept this, and most people do unless they have some
Speaker 3: of those little bit of dysmorphia that I didn't pick
Speaker 3: up on.
Speaker 2: Yeah.
Speaker 1: Well, I for one, I'm very grateful for doctors like
Speaker 1: you who will tell people no, because I do feel
Speaker 1: like I really kind of like plastic surgery, and I
Speaker 1: would hope that someone would turn me away if I
Speaker 1: come knocking for a thing that I don't need.
Speaker 2: I feel like such an idiot because again, at the
Speaker 2: top of this podcast, I talked about how my friend
Speaker 2: and Florida said, it is enough, Jen, because my legs
Speaker 2: are just they just look so old and saggy. And
Speaker 2: now you said something about the groin and I'm gonna
Speaker 2: hang yea out and I'm calling you.
Speaker 3: Come come see me. And as you know, I already
Speaker 3: said I have no problem saying no to people, so
Speaker 3: maybe I'll maybe I say no, I'll come.
Speaker 2: I'll come with her so I could see you in person. Yeah. Well,
Speaker 2: thank you so much. This is great, very interesting. Thank
Speaker 2: you so much, and we'll talk to you soon and.
Speaker 3: See you guys. Bye bye.
Speaker 2: Thank you. If you like him, I mean, how do
Speaker 2: you not like him? I know he's horrible, He's great.
Speaker 2: I'm honest and like cool and trustworthy, right yeah, yeah, yeah,
Speaker 2: I've heard great things and yeah, but I always knew
Speaker 2: that he was like a butt lift guy. Really yeah, everything.
Speaker 2: But yeah, it's funny because do you go when you
Speaker 2: pick a plastic surgeon, do you look for one that
Speaker 2: is specializing in exactly what you want done? Because I
Speaker 2: know that like a lot of plastic surgeons will say
Speaker 2: they can do the entire body and the face. I don't.
Speaker 1: I don't know, I guess, So I mean, you wouldn't
Speaker 1: want a jack of all trades. But I have a
Speaker 1: funny butt story.
Speaker 2: So you were you were called back with a crowd act, right,
Speaker 2: So I used to be called low crack jack. I
Speaker 2: have a really low crack. Is that t M? I
Speaker 2: I think that's anyway.
Speaker 1: Anyway, So I have like a really flat and like
Speaker 1: I almost don't really care because like there's nothing I
Speaker 1: can do about it, and I'm not about I actually
Speaker 1: like to run. I'm a runner, but I don't enjoy
Speaker 1: doing like lunges or anything like that. And the amount
Speaker 1: of lunges that I would have to do to have
Speaker 1: an ass is just unfathomable.
Speaker 2: So I've always just accepted that I have a flat
Speaker 2: ass with whatever.
Speaker 1: So anyway, so I at one point did ask about
Speaker 1: what I could do non surgically to have some volume
Speaker 1: in my ass, and I was told that I could
Speaker 1: have injections and that that's what the Kardashians do, and
Speaker 1: they have hundreds of thousands of dollars worth of injections
Speaker 1: in their ass. So I was like, all right, let's
Speaker 1: inject my ass. So I had probably like eight huge
Speaker 1: vials on one side of my ass and six huge
Speaker 1: vials on the other side.
Speaker 2: And it did as fuckingly nothing.
Speaker 1: What it did?
Speaker 2: Nothing? It did nothing? How much of a ca a
Speaker 2: lot of money. That's a bummer. So you have other
Speaker 2: plastic surgery, you had ass surgery.
Speaker 1: It's not plastic surgery. No, that's non surgical. It's like
Speaker 1: ass filler.
Speaker 2: And it did not.
Speaker 1: But it's not filler. It's supposed to increase the and
Speaker 1: it's not the doctor's cault. The doctor is fantastic the
Speaker 1: it's supposed to like like stimulate the collagen.
Speaker 2: I guess I don't know it has Doctor Shulman wouldn't
Speaker 2: have gotten that wrong. Sorry, no it's not she didn't
Speaker 2: get it wrong. It just I don't know if my ass.
Speaker 1: Just ate it. And like I was like, fuck you, Jackie,
Speaker 1: We're not giving you an ass No matter what I pissed,
Speaker 1: I know there was nothing I could do. I think
Speaker 1: I think that if you get those ass fillers, I
Speaker 1: think you just need like tons and tons and tons
Speaker 1: of that.
Speaker 2: I mean, I never wanted my ass filled ever, but
Speaker 2: now I just want to lift it. And I'm really
Speaker 2: pissed about this whole episode because of the top of it.
Speaker 2: I was like, I'm done, and now doctor Shulman and
Speaker 2: I'm like, I know a second lunch to get that
Speaker 2: just done. I mean, I'm not gonna lie. There's more
Speaker 2: shit I want to get done. But Evan doesn't like
Speaker 2: when I get too much. Evan doesn't like it. I
Speaker 2: haven't gotten anything. I don't even talk to Jeff about it.
Speaker 2: I just sign up. Well really, I mean, it's always
Speaker 2: good sick surgery.
Speaker 1: I mean tattoos. I don't tell Evan. I just come
Speaker 1: home with a new tattoo.
Speaker 2: The truth is, of course I tell Jeff I need
Speaker 2: him to pick me up from the's office afterwards, but
Speaker 2: definitely not probably the like not at the point of consultation.
Speaker 2: After I sort of made my mind up because he'll
Speaker 2: always say no. Not no, is in you can't do this.
Speaker 2: No because he thinks you look beautiful. No because he.
Speaker 1: Thinks it's just like you're aging and it's stupid and
Speaker 1: it's so much money and like, why are you so
Speaker 1: obsessed with your physical Yeah?
Speaker 2: Well, can I tell you what I don't want? Please?
Speaker 1: Yesterday I was sitting at my kids basketball game and
Speaker 1: I felt my lower lip getting swollen.
Speaker 2: And I woke up this morning and it's so goddamn swollen.
Speaker 2: I look at this. I do not.
Speaker 1: Want anymore because my lip looks absolutely ridiculous. That like,
Speaker 1: I don't know, once or twice a year, oh sleeping
Speaker 1: and he wakes up and I die by his face,
Speaker 1: looks he.
Speaker 2: My lip is so goddamn bad, like and one of
Speaker 2: it is just huge. It's the greatest morning. I took
Speaker 2: up ben Benjo last night.
Speaker 1: I took it.
Speaker 2: Do you think so? Yeah, yours looks like right? Tell
Speaker 2: me that I'll go get more. No, see, it's bad time.
Speaker 1: I do think at a certain point, listen, I think
Speaker 1: that you do not you absolutely do not need to
Speaker 1: earn your plastic surgery, get whatever makes you feel good.
Speaker 1: But I also think that at a certain point you
Speaker 1: kind of have to accept what God gave you.
Speaker 2: When is I don't know. I'm telling you. My whole
Speaker 2: opinion about that changed over the last hour. I don't
Speaker 2: know what to tell you. I thought I was done. Well,
Speaker 2: Oh well, you never have to make that decision. Just
Speaker 2: see what life brings. Yes, think you're beautiful. Oh but
Speaker 2: don't give a shit what you think. I'm calling doctor Schulmo.
Speaker 1: All right, you guys, until next time, Happy New Year,
Speaker 1: Happy New Year everybody. If one of your New Year's
Speaker 1: resolutions is to get plastic surgery.
Speaker 2: Just now, you don't need to earn it first. Love that. Also,
Speaker 2: by the way, I wish for all of our listeners
Speaker 2: and for us just to feel good, feel good about yourselves.
Speaker 2: We're trying to feel good about ourselves.
Speaker 1: I'm trying. It's not always easy. Yeah, but you know
Speaker 1: I'm going to start meditating.
Speaker 2: Yeah.
Speaker 1: I heard that makes you feel good, It makes you
Speaker 1: some inner peace. I need some inner piece. I've never
Speaker 1: tried inner piece, all the piece, all the.
Speaker 2: Piece pieces of me. All right, love you guys. I