Speaker 1: Welcome back to another episode of Between Us Doctors. I'm
Speaker 1: doctor Terry Debrou, I'm doctor Robert Swartz, and we're here
Speaker 1: to dispel all the bs out there about plastic surgery
Speaker 1: and talk about what to do, what not to do,
Speaker 1: about anything else fun and interesting about health, willness and beauty.
Speaker 1: How are you, Rob, I'm doing great. How are you good?
Speaker 1: You had big surgery today.
Speaker 2: I had a big surgery. I had a big week
Speaker 2: my birthday and you know, you know what a big
Speaker 2: celebration I make out of that.
Speaker 1: Oh, that's right, you're just like me. You'd rather you'd
Speaker 1: be happy if no one ever mentioned that you actually
Speaker 1: But by the way, I've actually had birthdays not I
Speaker 1: guess since I met Heather, where no one knew it
Speaker 1: was my birthday and it was like my favorite birthday
Speaker 1: and no one mentioned happy birthdays.
Speaker 2: Oh we went out to dinner and you know, you
Speaker 2: get there, oh, celebrating anything special, and I just don't know,
Speaker 2: and my son immediately rats me out. But it was
Speaker 2: It wasn't the kind of restauran where they're all going
Speaker 2: to sing happy birthday or anything.
Speaker 1: So what was there? The cupcake with the can with
Speaker 1: the candle or Oh there was like the dessert it
Speaker 1: again again car restaurant.
Speaker 2: They already knew, they already knew they were testing. Yeah,
Speaker 2: the table was already set up and I made the
Speaker 2: reservation and I didn't tell them, So it must be
Speaker 2: in my profile or something.
Speaker 1: Oh, you know, it's interesting. But I think as plastic surgeons,
Speaker 1: a lot of plastic surgery that people think about having,
Speaker 1: I think you might agree is motivated by just there
Speaker 1: the chronological numerical change in their age, just the actual
Speaker 1: number itself, even even as important as sort of what
Speaker 1: they're seeing in the mirror. Don't you agree?
Speaker 2: Oh? Completely, I think it triggers something.
Speaker 1: You know.
Speaker 2: Look, I would have I would have had a face now,
Speaker 2: by the way, I totally would have done it, because
Speaker 2: who knows.
Speaker 1: What's going on. Well, you know, it's interesting because we've
Speaker 1: talked a lot about male plastic surgery recently and how
Speaker 1: weird it is, particularly on the celebrities we've seen. But
Speaker 1: I just went on a super high end vacation. Well
Speaker 1: I'll just tell you where. I just went to Saint Bart's. Okay,
Speaker 1: and I don't you've never been to Saint Barts. I
Speaker 1: know you're not interested in going Saint Barts, but I'm
Speaker 1: not interested in going anywhere. I know. But for anyone
Speaker 1: out there, if you know, there are very few places
Speaker 1: in my in my opinion, that live up to the
Speaker 1: hype that everybody sort of has about them. Paris lives
Speaker 1: up to the hype. It really does for me, and
Speaker 1: I don't I'm like you, I don't really like to travel.
Speaker 1: I don't like that many places. But when I get
Speaker 1: off the plane and I go to the Champs Lyse
Speaker 1: and there's Paris, and I just go, you know, even
Speaker 1: though I'm not into it, this is really Saint Bart's, okay,
Speaker 1: is one of those places I have my friends, my
Speaker 1: wealthier friends have been talking about Sain Ain't Barnes for
Speaker 1: all these years, and finally I was forced to go
Speaker 1: to a wedding there, Rob and wait, by god, no,
Speaker 1: this time was not a but this is a few
Speaker 1: years ago for the first time I went, and this
Speaker 1: place completely Even if you're like us, okay, who are
Speaker 1: completely totally not into vacation, this completely lives a tight
Speaker 1: By the way, I'm gonna bring this around to male
Speaker 1: plastic surgery to a whole lot of seconds, it's going
Speaker 1: to make sense in a second. Okay, so the weirdest
Speaker 1: thing about this is you fly there to Saint Martin,
Speaker 1: which is like a bigger island very close to Saint Bart's,
Speaker 1: this little high end French kind of island. But then
Speaker 1: you have to get on this and everybody does this,
Speaker 1: no matter how wealthy you are, everybody does this. You
Speaker 1: get on this incredibly scary flying motorcycle kind of thing
Speaker 1: with this twin engine, I mean, and all the window
Speaker 1: windshields are cracked, and it's a nine minute light from
Speaker 1: hell where you take off from Saint Martin and you
Speaker 1: immediately you're over the water. Okay, the moment you take off,
Speaker 1: and then as you come in, it's such as you
Speaker 1: have to go over a mountain and immediately once you
Speaker 1: pass over that mountain, you have to like straight dive
Speaker 1: down like you're you know, World War two kamikaze pilot
Speaker 1: and go right to this really short runway. And if
Speaker 1: you anyone has never seen the YouTube video of landing
Speaker 1: in Saint Bart's, got to see it because it's so
Speaker 1: crazy scary. But anyway, it was an amazing vacation. But
Speaker 1: you know, this is one of sort of one of
Speaker 1: those high end places where a lot of the women
Speaker 1: who are with the guys have had you know, all
Speaker 1: the stuff done and it's very on display. But a
Speaker 1: lot of the guys have had face and I don't
Speaker 1: care how well it's executed. Okay, I can spot a
Speaker 1: facelift across the room, So aren't you the same.
Speaker 2: The only reason, the only reason I hesitate is because
Speaker 2: if it's done, I think, if it's done well enough,
Speaker 2: and it's done subtly enough, maybe not, you know, well,
Speaker 2: the same thing like with women. What's like, you know,
Speaker 2: the facelifts that you can all are spot of the
Speaker 2: ones that are kind of bad, well some way, if
Speaker 2: it's if it's really done executed. Well, maybe there's some
Speaker 2: that I don't spot. But you know what, possibly can
Speaker 2: spot everything.
Speaker 1: Okay, maybe that's that's my bias spot.
Speaker 2: You know, I can spot lip bosuction under underclothing.
Speaker 1: But but here's the thing. If you're you, if you're
Speaker 1: above fifty five or sixty as a man, whether you've
Speaker 1: had a facelift or not, you look above fifty five
Speaker 1: or sixty, don't you agree?
Speaker 2: Yeah?
Speaker 1: Okay, So I immediately can tell if a man is
Speaker 1: above fifty five or sixty or sixty five, if he
Speaker 1: has no laxity in his neck. Then, by definition, because
Speaker 1: I can tell he's that age, I know he's had
Speaker 1: a facelift. And immediately I start to look for the
Speaker 1: telltale signs of a facelift and a guy. And I
Speaker 1: don't know what it is. If it's because a guy
Speaker 1: when our faces relax more rapidly, I think after a
Speaker 1: facelift than a girl. And you get that. You know,
Speaker 1: we have deeper lines, relaxing skin tension lines, and and
Speaker 1: hair follicles. We immediately get that. Upon the earliest relaxation,
Speaker 1: which is typically what three three to eight months, we
Speaker 1: immediately in maybe because I'm a plastor you tell me
Speaker 1: if this is, you know, not true, I immediately see
Speaker 1: a weird sort of positional alteration of the skin and
Speaker 1: the way it drapes, and it just looks weird.
Speaker 2: Think, what do you think. I think you're right, And
Speaker 2: I think if part of it is the heavier skin
Speaker 2: that men have, the thicker skin that we have, that
Speaker 2: when it starts to unwind a little bit, and look,
Speaker 2: I don't know if everyone notices this way, but I think,
Speaker 2: you know, train plastics or the sort of the mismatch
Speaker 2: in the various parts of the face that it just
Speaker 2: doesn't like. Something seems off, even if you can't figure
Speaker 2: out what it is right away, something seems off. Also,
Speaker 2: I think you see a lot more women with face,
Speaker 2: so you kind of, in a way get more used
Speaker 2: to that look, even if it's not one hundred percent natural,
Speaker 2: whereas with men, you don't see nearly as many, and
Speaker 2: I think they just stand out.
Speaker 1: I think you're right. I think ninety five percent of
Speaker 1: men over the age of sixty not get faced, okay,
Speaker 1: Whereas at least in our worlds, I'm sure Dallas, La,
Speaker 1: New York, Miami, ninety plus five plus percent of the
Speaker 1: people of women yet faceless over the age of fifty
Speaker 1: five or sixty or sixty five. So laxity, you know
Speaker 1: women looks sort of noticeable, but the absence of laxity
Speaker 1: in a manas looks weird. Don't you agree with that
Speaker 1: analysis or do you?
Speaker 2: I think, well, I think part of the problem is
Speaker 2: a little bit of laxity in a man. As you
Speaker 2: get older, it gives you sort of that gravitas, and
Speaker 2: it gives you a better look. And when you take
Speaker 2: that away in a man that's clearly older, something seems off.
Speaker 2: He almost seems it makes a man almost seem immature.
Speaker 2: If it's weird, it's just it doesn't fit. It doesn't
Speaker 2: fit for a man. And I look, I've considered getting one,
Speaker 2: and I'm not opposed to it, and I don't think
Speaker 2: it's a bad idea for men. But I think if
Speaker 2: I was, if I was a man getting one, I
Speaker 2: want to go to someone who understands I want less.
Speaker 2: A little bit less is more. Don't do my eyelids,
Speaker 2: don't do ten things at once, just do the lower
Speaker 2: face and neck and call it a day.
Speaker 1: By the way, I remember, yeah, yeah, So I think
Speaker 1: you're right. I obviously could use a facelift. I have
Speaker 1: laxity in my neck area along my jawline. But if
Speaker 1: I were to have one, I would say, leave laxity,
Speaker 1: leave it. I want to have loose. I want you
Speaker 1: to have I like, you know, you know, you know,
Speaker 1: we've done these wonderful face lists. Then two years later
Speaker 1: they come back and they have a little laxity in
Speaker 1: their neck and their leaps totally unhappy. I want to
Speaker 1: have that look the third month. I want to be
Speaker 1: like I could use a little tightening by the third
Speaker 1: month already, because if you have a little bit of laxity.
Speaker 1: It's like if you take a bump off someone's nose,
Speaker 1: if you leave a little bump, which everybody, everyone who
Speaker 1: hasn't had a rhinoplasty has naturally a little bump the
Speaker 1: dorsal convexity. Right if you if you leave a little
Speaker 1: bump on a rhinoplasty, they don't look like they've had
Speaker 1: a rhinoplasty generally speaking.
Speaker 2: Yeah, but little imperfection hides.
Speaker 1: A little imperfection.
Speaker 2: But you know, of course, but yeah, look, I think look,
Speaker 2: I think for women, obviously you want to get any
Speaker 2: face there, right, okay, but if you're going to air
Speaker 2: one way or another with a woman, you can probably
Speaker 2: go a little over aggressive. It'll be fun. Yeah, the man,
Speaker 2: you cannot do that. You have to air on the
Speaker 2: side of under aggressive. Yeah, I mean, that's a face
Speaker 2: of the man. It's feminizing and never looks good, and
Speaker 2: particularly when you overdo the upper eyelids, it just looks wrong.
Speaker 1: That is the single biggest mistake that every plastic surgeon
Speaker 1: is making on these celebrities. Stop operating on their upper lids,
Speaker 1: or if you're going to do it, leave a lot. Okay,
Speaker 1: I think that we've mentioned this before that goes without saying.
Speaker 1: The first couple we met, the woman had had just
Speaker 1: a weird face and the guy still had scabs on
Speaker 1: his chin and behind his ears. And so if that,
Speaker 1: of course is like a good but zero laxity in
Speaker 1: a sixty eight seventy year old guy is just weird.
Speaker 1: So this is interesting. I just got a notification on
Speaker 1: my Instagram that Rosie o'donna, sixty four Goshald's younger but anyway,
Speaker 1: reveals that she got a secret facelift that costs more
Speaker 1: than I have ever paid for a car, which means
Speaker 1: Rosie A. Donald's very rich. Okay, she was a talk
Speaker 1: show host of the day when talk show hosts like
Speaker 1: made millions, so I'm sure she paid. She got one
Speaker 1: of those three hundred and fifty thousand dollars facelifts. And
Speaker 1: when I look at her, and I'm not going to
Speaker 1: be critical, okay, because I think Rosie o'donald's awesome, but
Speaker 1: it's it's interesting if you look at this, this is
Speaker 1: sort of what we were talking about. This is kind
Speaker 1: of she has very thick skin, almost sort of masculine type,
Speaker 1: very thick sebaceous type skin, and when you look at
Speaker 1: this photo, she looks good. She looks so, you know,
Speaker 1: I think she looks good. Okay, But having said that,
Speaker 1: if you look at this photo for she's got sort
Speaker 1: of this unnatural kind of lax particularly around the oral commissures,
Speaker 1: which are basically the cheeks on each side. And she
Speaker 1: still has some laxin in the neck, which I think
Speaker 1: is good for a man. But this is I wonder
Speaker 1: if she's happy with this. This is interesting. Look. I
Speaker 1: would never put down any plastic surgeces work, Okay. I mean,
Speaker 1: I'm the botch doctor and I've done you know, ten
Speaker 1: seasons of operating on disaster complications, and I've never put
Speaker 1: down any particular doctor. Okay, even when I suspect that
Speaker 1: there's been negligence, you never have all the facts. You
Speaker 1: never want to say that. But like, I wonder if
Speaker 1: she's happy with this, because this looks you don't see
Speaker 1: this kind of laxity existing in nature. And this is
Speaker 1: what I would be really afraid of having a face
Speaker 1: of the good news is this I think with artificial intelligence,
Speaker 1: and I really believe this, and I've I watched this
Speaker 1: so closely. I'm obsessed with what's happening in health wants
Speaker 1: and beauty related to our artificial intelligence. I really believe
Speaker 1: you can just hang till about twenty thirty, which is
Speaker 1: what three and a half years away, there are going
Speaker 1: to be solutions to these things that aren't going to
Speaker 1: require sort of major surgery. I really think we're going
Speaker 1: to solve a lot of these inlax aging problems without
Speaker 1: having to cut you open like it's nineteen point fifty,
Speaker 1: dissect your tissue like you're a fish and we're lifting
Speaker 1: off the scales and pull it back and whack it
Speaker 1: off and stit you up with you know, sutures like
Speaker 1: you know, it's like we're scalping you or something. I mean,
Speaker 1: just hang, you hang a little bit longer. You may
Speaker 1: be able to benefit. And I really believe it's gonna
Speaker 1: happen from skin tightening, health wellness, and rejuvenating procedures without
Speaker 1: this incredibly barbaric things we plastic surgeon. So check this out.
Speaker 1: I've noticed since I've done a podcast with you last
Speaker 1: there's been a lot of plastic surgery stuff that has
Speaker 1: come out that people are asking us about. Listen to
Speaker 1: this one, Okay, the one you and I sort of
Speaker 1: we're texting back and forth about there's this woman who
Speaker 1: had plastic surgery, okay, because she didn't want her kids
Speaker 1: to look the way she looks naturally, so she wanted
Speaker 1: to alter herself so that when she passed down her
Speaker 1: genes to her offspring, they would be better looking.
Speaker 2: I think there's bigger concerns here in terms of what
Speaker 2: she might be passing down.
Speaker 1: Well, she should pass down biology and evolution lessons because
Speaker 1: I think she missed that day in high school, or
Speaker 1: because really, I.
Speaker 2: Don't think even need AI. I think this is just
Speaker 2: a fast Google.
Speaker 1: By the way, so everyone who's listening knows you can't
Speaker 1: alter your genetics by altering your phenotype by taging the
Speaker 1: structure your face. If you have a big nose, you're
Speaker 1: gonna send that down to your kids. You're gonna send
Speaker 1: it down whether you do. I think everyone naturally knows this.
Speaker 1: But there is actually a new drug out that's FDA
Speaker 1: approved that if you inject it into yourself, it's got
Speaker 1: that Crisper technology into it, and it does alter your genome,
Speaker 1: so it lowers your cholesterol permanently.
Speaker 2: Have you ever heard of this rob I've heard about
Speaker 2: this brand. I wouldn't be lining up to be the
Speaker 2: first on my block. Well, I wouldn't do it.
Speaker 1: But if you had, you know, familiar hypercholesterol emy or
Speaker 1: something that was really radical and you couldn't control it,
Speaker 1: I think I truly believe, okay, that very soon we
Speaker 1: are going to be able to inject things that are
Speaker 1: going to change our genome, that will change our phenotype.
Speaker 1: Think about this. If you can put something, if you
Speaker 1: can inject something that changes the cholesterol bearing producing genes
Speaker 1: right in uh, permanently, why can't you inject something like
Speaker 1: the crisper version of that peptie ghk cu right that
Speaker 1: permanently changes alternate stimulates how you make collagen and give
Speaker 1: you tighter, better skin. I think this is coming, I
Speaker 1: really do.
Speaker 2: I think it's absolutely coming. We should probably be clear
Speaker 2: that so when we say genotype, it means your genes themselves.
Speaker 2: When you say phenotype, it's the expression of those genes
Speaker 2: sort of the what's what they do? That's right, the
Speaker 2: genes in other words, it's like the genes for your collagen.
Speaker 2: It's the way your skin looks in terms of thickness,
Speaker 2: elastics and all those sort of things. Right, Yeah, you
Speaker 2: can if you change the genes, you can change the expression,
Speaker 2: you can change all of these things. You can fix disease,
Speaker 2: you could do all of this. The point of this
Speaker 2: story is it doesn't work the other way around. You can't.
Speaker 2: You can't. You don't get to get a rhine up last,
Speaker 2: and it changes your nose gen I remember that.
Speaker 1: So Darwin was right? Lamark wasn't his name Lamarck? Lamark right?
Speaker 1: Lamarky In theory of evolution. Hey, so listen to this.
Speaker 1: There's another one. Check this out. Kate Cassidy was stopped
Speaker 1: by TSA because she had altered her appearance so much
Speaker 1: that they didn't recognize her photo. Is that incredible?
Speaker 2: Is that what TSA is catching these days? Really?
Speaker 1: I mean think think about it. People, By the way,
Speaker 1: if you're having such.
Speaker 2: She looked at I don't know, I haven't seen. Does
Speaker 2: she look that different?
Speaker 1: I mean, well, it's funny. You know, there's a certain
Speaker 1: look in plastic surgery. If you have too much, then
Speaker 1: everybody starts to look very similar. Have you noticed that?
Speaker 2: Yes, like this, it's the overfiller look.
Speaker 1: It's well, it's the plastic surgery face. There's zero laxity.
Speaker 1: The brows are very high. There's no upper eyelid skin.
Speaker 1: The lips are big, and the nose is very small. Yeah, yeah, it's.
Speaker 2: An and and very often the uh, the upper cheeks
Speaker 2: are really full, like almost like a lion like look.
Speaker 1: So Heather and I are very good friends with Brookshields.
Speaker 1: We love Brooke and her husband. Okay, her husband's like
Speaker 1: incredibly funny, amazing guy. Our kids knew each other from
Speaker 1: little kids, and Brook has recently come out. Shields had
Speaker 1: said she has not had plastic surgery yet because for
Speaker 1: one simple reason. What do you think that reason is?
Speaker 2: Uh?
Speaker 1: Is she kind of an interesting reason?
Speaker 2: She's good.
Speaker 1: I think Brookshield's good. No, it is she Brookshield said
Speaker 1: she is too scared.
Speaker 2: Done to go the surgery, of the surgery itself or
Speaker 2: the results of this.
Speaker 1: No, I think she's too scared of the surgery itself. Now,
Speaker 1: it's funny because every once in a while, I don't know,
Speaker 1: I'm sure you've had this. I will come in and
Speaker 1: I don't care if it's four o'clock in the morning
Speaker 1: and I'm getting up early because I have a whole
Speaker 1: day that I have to get a whole bunch of
Speaker 1: patients in. And a patient will say to me. I'll
Speaker 1: say how you doing, and I try to make them laugh,
Speaker 1: make them comfortable, and they go, I'm super nervous, and
Speaker 1: I go, really, why they're going, you know, I just
Speaker 1: have a bad feeling about. What do you do when
Speaker 1: your patients say I have a bad feeling about this
Speaker 1: the morning of.
Speaker 2: I've never had any really, not that. No, I've had
Speaker 2: the I'm very nervous, And I tell them that, well,
Speaker 2: being nervous before surgery is totally normal. The people that
Speaker 2: freaked me out a little, or the people who aren't
Speaker 2: nervous at all, those people are a little weird. But
Speaker 2: I've never had anyone actually say I've had I have
Speaker 2: a bad feeling about I've had I know how i'd
Speaker 2: handled it. I'd ask them, well, what exactly you know,
Speaker 2: I'd kind of go down on this and try to
Speaker 2: figure out what we're at so I can reassure them all.
Speaker 2: So what if there is something really that they're having
Speaker 2: a bad feeling about, like you know, chest pain.
Speaker 1: No, No, what if they said, I don't know, I'm
Speaker 1: just really scared. I have a weird bad feeling about it. Yeah,
Speaker 1: you would just reassure them and move on.
Speaker 2: I'd make sure that the bad feeling is just that,
Speaker 2: just nervous before, sir, because that's so normal. People are
Speaker 2: nervous before surgery. People aren't nervous at all unless they've had,
Speaker 2: you know, lots of surgeries in the past, chronic illness
Speaker 2: or a lot of plastic surgery or something like. People
Speaker 2: are undergoing you know, general anesthesia for the first time
Speaker 2: or only had a little bit more. It's normal to
Speaker 2: be nervous. I mean, I had surgery, you know, ten
Speaker 2: years ago. I was nervous going in.
Speaker 1: Yeah, and you know, but it's it's funny, it's you know,
Speaker 1: so when I have colon oscar by, when I have surgery,
Speaker 1: when I have things, I actually don't get weirdly. I
Speaker 1: don't get nervous. I guess because I'm so comfortable in
Speaker 1: the hospital setting. I think a lot of people are
Speaker 1: having surgery the day of their super nervous. That's a weird, unusual,
Speaker 1: unique environment they're not used to.
Speaker 2: And yeah, I don't know. I knew the hospital setting,
Speaker 2: and I still like going into surgery. Still. I tweaked
Speaker 2: my will the day before, yeah, and I knew, like
Speaker 2: you know, and also it turns out that you know,
Speaker 2: coming in and out of anesthesia. I'm an auction.
Speaker 1: Oh really, well, oh really, by the way, I know stunning,
Speaker 1: I'm stunningly goofy as you could imagine when I go.
Speaker 1: I mean, I'm I'm like Dad jokes on steroids. I
Speaker 1: think everything and I think I'm so funny, you know,
Speaker 1: I'm I guess what I do is my defense mechanism
Speaker 1: when things are hitting the fan or when patients are
Speaker 1: really nervous, is to try to make them laugh, so
Speaker 1: that I guess maybe what I'm concerned or nervous about
Speaker 1: myself trying to make the nurses that mode. I go
Speaker 1: into that mode, and I become incredibly jokey, you know,
Speaker 1: ridiculously so right, I.
Speaker 2: Think I'm under anesthesius kind of the way I am
Speaker 2: when I drink is I actually get quieter. But as
Speaker 2: we're as we were, the last thing I remember, as
Speaker 2: we're rolling into the o R. You knows, I'm kind
Speaker 2: of going out right, I'm kind of just looking up,
Speaker 2: and the last thing I remember saying was, oh, this
Speaker 2: is a small is Oh god, I would do the
Speaker 2: people to the whole team that's about to operate on Yeah,
Speaker 2: so those are my words.
Speaker 1: Well, so maybe I'm just a little, you know, to
Speaker 1: Buddhist or karma or whatever my vibe is. But if
Speaker 1: a patient says to me, I have a bad feeling
Speaker 1: about this, I am canceling the operation. I am just
Speaker 1: it is over. I don't care, yep, I don't care.
Speaker 2: No matter what that bad feeling was about.
Speaker 1: I mean, they have to talk me out of it.
Speaker 1: They have to, like dry really, I go, why they go,
Speaker 1: I don't know, I just have this weird bad feeling.
Speaker 1: I go, I go, you know what, Let's do this tomorrow,
Speaker 1: Let's do this next week. Let's not do this today.
Speaker 1: I just sometimes I've probably done it four or five
Speaker 1: times to the point where one person, no, no, it's okay,
Speaker 1: it's okay. I know it's not okay. Now you're freaking
Speaker 1: me out. And I don't know. I mean, I guess.
Speaker 1: I guess the reason is because I do mostly, you know,
Speaker 1: more than most revisional, impossible, big long surgeries. Yes, that
Speaker 1: a lot of them have said to me, I had
Speaker 1: the weirdest feeling before their So that's had an outsized
Speaker 1: effect on that comment on me, do you know what
Speaker 1: I mean? So I think that's probably pretty mesable that
Speaker 1: I react that way. But I mean, if you had
Speaker 1: a really bad feeling before a trip, even if you
Speaker 1: plan the trip, would you still go. I wouldn't plan it,
Speaker 1: all right, all right, besides that, besides your predilection not
Speaker 1: to we're not going anywhere.
Speaker 2: I don't know, i'd probably go. Yeah, I mean, I,
Speaker 2: although I have I definitely do things where I like.
Speaker 2: I will leave a situation if I feel like something
Speaker 2: is off right. I've been in, like in a restaurant
Speaker 2: where someone was acting weird and I got just a
Speaker 2: weird vibe that something was gonna happen, and I've just left. Yes, yes,
Speaker 2: that's uh. There's a really good book on that called
Speaker 2: The Gift of Fear by a guy named Gavin de Becker.
Speaker 2: You've probably read it.
Speaker 1: Is he the uh, the the private Eye.
Speaker 2: Yeah, he's like a security guy. Yeah, so you have
Speaker 2: to separate his whole other persona from this book. The
Speaker 2: book is actually really excellent, talking about what your guttings
Speaker 2: think is about and trusting your awareness in situations don't
Speaker 2: seem right and acting on them. Okay, so that's happening
Speaker 2: numerous times.
Speaker 1: So you're making the case for like to a certain degree.
Speaker 1: If a patient has a significantly enough bad feeling you
Speaker 1: maybe not to be I think it's.
Speaker 2: Obviously they should act on it. I think I think
Speaker 2: you're I think you're you're justified in that. I think
Speaker 2: depending on what it is, I would be asking, like
Speaker 2: what it is right if it got down to something
Speaker 2: where it was like, I just feel like, you know,
Speaker 2: there's a bad omen or something. I probably do the
Speaker 2: same thing you're doing, because who wants to go into
Speaker 2: surgery that way? Yeah, okay, never, I've just never had
Speaker 2: that exact thing happen.
Speaker 1: Okay, I last we spoke about this clavicular looks maxing thing.
Speaker 1: You know, I'm sure you've become a lot more feelamiliar
Speaker 1: and your phone has picked it up and showing you
Speaker 1: more on social media. A delight is he? By the way,
Speaker 1: you see he ragged on he's a neat, neat guy.
Speaker 1: You see, he ragged on Sidney Sweeney and said that
Speaker 1: she has you know, a negative By the way, he's
Speaker 1: he's looked up enough that he sort of knows our
Speaker 1: lingo a little bit. You know that you know, the
Speaker 1: maxilla's deficient and a negative vector. Therefore she has too
Speaker 1: much scleral show. He actually said those words, I'm going. Okay,
Speaker 1: that doesn't make you smart. Clovicular just makes the fact
Speaker 1: you're obsessed with looking of.
Speaker 2: You know, looked up clovicular.
Speaker 1: Yeah, I know, so Sidney Sweeney not being classically beautiful? Really,
Speaker 1: I think Sidney Sweeney's ridiculously you.
Speaker 2: Yeah, I don't know why work?
Speaker 1: I know it's okay, So what the what the idiot
Speaker 1: influencer of the moment say about? Well, well, this thing
Speaker 1: that just came up on my social media is ball maxing. Okay,
Speaker 1: where it's a risky new trend where men are inflating
Speaker 1: their testicles okay, yeah, to try to get them grapefruit
Speaker 1: sized testicles is the new benchmark of masculinity. Ball Maxing
Speaker 1: is taking the Internet by storm as men pump their
Speaker 1: scrotums to outlandish proportions with with what gotta be filler? Right?
Speaker 1: What else could it be gotta be? How long is
Speaker 1: that gonna last? I don't know.
Speaker 2: But when you pee, it's really high pitched.
Speaker 1: I mean, if you inject your testicles, why would you
Speaker 1: with helium?
Speaker 2: Uh huh, you can't wait that? Don't do that?
Speaker 1: When you ejaculate? Yeah, will it go? I mean is
Speaker 1: that like a thing? By the way, I don't think
Speaker 1: that'd be a turn on for your partner, would it, Dude?
Speaker 1: The ladies love that. Ladies love high pitched ejaculate. By
Speaker 1: the way, ball maxing, you know what's pathetic? I'm watching,
Speaker 1: I'm watching.
Speaker 2: Do we live in society where that where that word
Speaker 2: even exists?
Speaker 1: Yeah, go get a job, Go get a real job.
Speaker 1: I know.
Speaker 2: I'm going for some construction or something. Stop maxing your balls,
Speaker 2: get out of your house.
Speaker 1: That's a good point, all right. What else?
Speaker 2: And he who wants that?
Speaker 1: What what is the point of ball maxing?
Speaker 2: Mm hmm is he doing this?
Speaker 1: I don't think clibcular is doing it yet.
Speaker 2: Yeah.
Speaker 1: But by the way, speaking of clubcar, you see the
Speaker 1: op there's a few from Beverly Hills, one in particular,
Speaker 1: who will go on named as a plastic surgeon who
Speaker 1: has done all these operations on ribs and clavicles on
Speaker 1: men in order to maximize their torso dimensions and that
Speaker 1: stuff serious dangers, Okay, I mean I've seen some incredible complications. Guys,
Speaker 1: don't ball max don't have your clavicals whacked on? Is
Speaker 1: it weird that I said ball max and whacked on?
Speaker 1: You know, right in the row.
Speaker 2: You've never said those two things in that context.
Speaker 1: No, I don't think I have in the same sentence.
Speaker 2: Yeah, you've said that a lot.
Speaker 1: This is another question we got all right, altering your
Speaker 1: face so much that your TSA doesn't recognize you anymore?
Speaker 2: So, how many so if the TSA doesn't recognize you
Speaker 2: and you're hurt, right, how many followers you have to
Speaker 2: have to just not have to go through? Good enough followers?
Speaker 2: Can you just bypass the line.
Speaker 1: By the way, you know? It's funny. So Heather and
Speaker 1: I will walk up to a desk at a hotel
Speaker 1: right right, or we'll get in an elevator and people
Speaker 1: act like, oh, hi, how are you? Where are you're from?
Speaker 1: We're going mm hmm. I mean, you know, at this point,
Speaker 1: I think if you're between the ages of thirty and
Speaker 1: fifty five and unless you live, you know, out of
Speaker 1: the country, you know who Heather and Terry Dubrow are,
Speaker 1: don't you think at this point? Because that sounds crazily narcissistic?
Speaker 1: But or is it just thing?
Speaker 2: Be true?
Speaker 1: Both things are true? Probably, and then they they can
Speaker 1: I see your ID, and I'm thinking I really have
Speaker 1: to see my ID. I'm Terry f and Dubro, isn't
Speaker 1: that enough? And then I think to myself, I know
Speaker 1: that's by the way, I'm kidding about that, But I
Speaker 1: think to myself when Brad and Pitt, when Brad Pitt
Speaker 1: goes up with Leonardo DiCaprio, Brad Pitt, George Clooney, when
Speaker 1: they walk up to a hotel and the clerk, the
Speaker 1: person the receptionist, says, can I see your ID?
Speaker 2: You know that you have to show your idea to
Speaker 2: check in at that level.
Speaker 1: Oh, maybe they don't even check it. Don't you think, Yeah,
Speaker 1: why don't you have this handled for you? Uh, we
Speaker 1: haven't handled for you. We have well, they have away people.
Speaker 1: I remember when I was talking to somebody who we
Speaker 1: were interviewing as assistant once and they had been an
Speaker 1: assistant for like Tom Brady and ex wife I think Bazelle.
Speaker 1: They had a team of away people who would go
Speaker 1: to the resort and set up the toiletry and the
Speaker 1: towels and the sheets and the food and all the
Speaker 1: things and make sure everything in the room worked like
Speaker 1: days before they got Would that be the best imagine
Speaker 1: leading life?
Speaker 2: Like, Oh, that's not hard thing anywhere, not even I
Speaker 2: would by the way people would go. They'd set it
Speaker 2: all up and then I wouldn't show up.
Speaker 1: All right. In twenty twenty five, Utah ranked number three
Speaker 1: in terms of the number of searches per capita or
Speaker 1: plastic surgery. Listen to this. According to a BYU study,
Speaker 1: nearly fourteen percent of Mormon surveyed had major cosmetic surgery.
Speaker 1: In twenty percent had cosmetic enhancements. That I think is
Speaker 1: really unexpected.
Speaker 2: We're number one and two.
Speaker 1: I'm sure it's you know in terms of states.
Speaker 2: Yeah, I mean, well you taught I think California probably
Speaker 2: number one.
Speaker 1: Don't you think California one? In Florida state?
Speaker 2: But I get a fair number of revision, breast augmentation,
Speaker 2: of tummy tuck cases from Utah. But you know what,
Speaker 2: if you want to leave, If you want to leave Utah, right,
Speaker 2: and you're going to head this basic for you know,
Speaker 2: something more involved, you're going to either go to California,
Speaker 2: You're going to go to Texas.
Speaker 1: But you know what's interesting, So you look at the
Speaker 1: numbers I just stated, right, fourteen percent of Mormons had
Speaker 1: major cosmetic surgery. That seems really low to me. I mean,
Speaker 1: I mean, in your neighborhood. Well, I mean, what percent.
Speaker 2: You know, what's the national average of of people who've
Speaker 2: had cosmetic surgery? I don't even know.
Speaker 1: Well, but so what percent of people of Beverly Hill
Speaker 1: winds millions have had major cosmetic surgery because their children
Speaker 1: have past mandatory it's they don't let you in. You
Speaker 1: get your plastic surgery ticket with graduating in Beverly.
Speaker 2: Hills High School, right, I think before that they let
Speaker 2: you graduate if you haven't even at least had some
Speaker 2: botox or something.
Speaker 1: I would think so like, oh, you're a senior, but
Speaker 1: I could make you look like a sophomore. By the way,
Speaker 1: So there's this this ridiculous new trend of plastic surgeons
Speaker 1: advocating super young faces like bored certified plastic surgeons advocating
Speaker 1: and showing photos of girls in their twenties having facelifts, mid.
Speaker 2: Facelift or baseless regular facelift, the full blown snatch jawline facelift.
Speaker 1: Oh yeah, one hundred per different.
Speaker 2: Can the before and after be on someone in their
Speaker 2: twenties other than attractive and youthful before attractive, youthful and
Speaker 2: vaguely weird after? I mean the one same person plus
Speaker 2: scars around the here.
Speaker 1: Yeah, how different?
Speaker 2: How different can you possibly be? I think you have
Speaker 2: no jowls, you have no net laxity, you have you know,
Speaker 2: whatever jawline you have, you have that jawline. You know
Speaker 2: you're plastic. What are they taking submandibular glands on twenty
Speaker 2: three year olds too? Are we doing that now?
Speaker 1: Yes? Hey, did we talk about the new study that
Speaker 1: came out in Plastic Reconstructive Surgery that looked at We
Speaker 1: talked about this that looked at deep plane versus other
Speaker 1: kinds of face lists. We talked about this last time.
Speaker 2: We talked about it.
Speaker 1: You and I can talked about it on this So
Speaker 1: there is a new study in our number one journal
Speaker 1: called PRS Plastic Reconstructive Surgery that looked retrospectively, which already
Speaker 1: tells you it's suspicious, but retrospectively and that's the only
Speaker 1: way you can do it in plus, that's true. That
Speaker 1: looked retrospectively at literally thousands of patients comparing the deep
Speaker 1: plane to the smass or some variation of the smass
Speaker 1: to see what was the superior face right, Yeah, and
Speaker 1: I was I wasn't surprised at the results. But why
Speaker 1: don't you summarize the results as you know them.
Speaker 2: Well, the results the results were that the technique didn't
Speaker 2: so much matter as the surgeon who did it. That
Speaker 2: you can get basically the same quality of results as
Speaker 2: best you can judge something like this because it's highly subjective.
Speaker 2: You get the same quality of results, same longevity, and
Speaker 2: really the difference in results wasn't so much the technique
Speaker 2: that you use. It was the skill and judgment and
Speaker 2: vision and aesthetic eye of the surgeon who did it.
Speaker 2: And not shockingly, but surgeons get good results and bad
Speaker 2: surgeons tend to get worse results regardless of which technique
Speaker 2: they use. And this kind of makes sense because you
Speaker 2: know people lately, I don't know if it's my feed
Speaker 2: you and I have talked about it so much, but
Speaker 2: my feet is just full of plastics and it's really
Speaker 2: kind of exhausting of them going back and forth arguing
Speaker 2: their different face and techniques. And I think you and
Speaker 2: I on the I think it was the last one
Speaker 2: where we talked about submandibular gland decision. I think it
Speaker 2: triggered a wave of this because the next week after
Speaker 2: that there were a number of prominent plastics are arguing
Speaker 2: this like m and I hadn't seen that on my
Speaker 2: feed before, so I think maybe we touched the curse.
Speaker 2: But yeah, I mean, yeah, all the mass technique that
Speaker 2: people describe isn't that different from the deep plane. It
Speaker 2: really is. These things just they make it seem like
Speaker 2: they's wildly different, and it's not worth going into here
Speaker 2: the difference between them. They're not really that different. A
Speaker 2: well executed face is going to look good and a
Speaker 2: poorly executed faces gonna look bad. That's it.
Speaker 1: Yeah, yeah, that's true.
Speaker 2: You agree with that's the summary of what they found.
Speaker 1: But that's exactly what they felt, which which if you
Speaker 1: think about it, that if you're going to someone just
Speaker 1: because they do a deep plane, and the only reason
Speaker 1: that plastic surgeon is doing a deep plane because they
Speaker 1: think that's the best marketing tool, and that's not necessarily
Speaker 1: the operation that they're the most experienced at all, you're
Speaker 1: really maximizing is risk. You're risk maxing because it's no question,
Speaker 1: no question, a deep plane facelift is swollen for longer,
Speaker 1: and you're closer to the nerves as you dissect further
Speaker 1: in moremediately, as you're getting more towards the center of
Speaker 1: the face. It is a higher risk now, of course.
Speaker 1: You know. It's funny. I I when I my social
Speaker 1: media comes across a plastic surgeon will come across, immediately
Speaker 1: throw it away because I don't want to start seeing
Speaker 1: nothing but plastic. I want to stick to my animated cats,
Speaker 1: you know, and uh, you can have both. No, I
Speaker 1: don't want to see plast sorg. But I did see
Speaker 1: this one plas surge. Who gets there? He goes, I've
Speaker 1: been doing a deep plane face. By the way, he
Speaker 1: had a weird face. Okay, I've been doing a deep
Speaker 1: playing place for thirty eight years, and I'm thinking, no,
Speaker 1: you haven't. He hasn't been around thirty eight years.
Speaker 2: Now, it hasn't.
Speaker 1: Yeah, yeah, no, I mean it.
Speaker 2: Uh it started uh.
Speaker 3: Hamra early early, Sam Hamton, right, and your guy in Dallas,
Speaker 3: Sam Hammerck, who I you know, I trained with and
Speaker 3: I've seen operating and I've seen you know, and Sam
Speaker 3: Hamra would tell people at.
Speaker 2: The time that you know, his his face lifts. It
Speaker 2: takes about a year for it to really feel and
Speaker 2: look good. Well, okay, and I remember thinking at the
Speaker 2: time as a resident, well, I'm not going to do that.
Speaker 2: The kind of thing you can get away with when
Speaker 2: you're already Sam Hammer, It's not the kind of thing
Speaker 2: you get away with when you're in your first year
Speaker 2: in practice. Terrible.
Speaker 1: Okay, look at this New York plastic surgeon operating on
Speaker 1: his entire family. Even gave his sister a quote unquote
Speaker 1: boob job.
Speaker 2: Wow.
Speaker 1: So how do you feel about that? You know, it's
Speaker 1: funny because Paul Nassef, who's a great guy, is very
Speaker 1: comfortable operating on his family and friends. Would you operate
Speaker 1: in your family? Yeah? I will only operate on family
Speaker 1: and friends. They have a very unique, difficult problem that
Speaker 1: just because of my unique practice that I feel I'm
Speaker 1: probably done more than almost anyone else. Like if someone
Speaker 1: had sydmasca the uniboom, I would fix that because I
Speaker 1: don't know. I mean, I know you can fix it,
Speaker 1: but I can really fix it in like twenty minutes
Speaker 1: mostly or your mind. You know, I'm just I've done
Speaker 1: it now, well no, or I'll try it again. You
Speaker 1: have that guarantee in there if you're going to fix
Speaker 1: it in twenty minutes. No, what I'm saying. You know
Speaker 1: I have done that. It's fixed in twenty minutes, or
Speaker 1: it's free. Well, I think that I have done semasti
Speaker 1: repair more than I'm in the ninety nine percentile for
Speaker 1: that operation. You know. I mean, obviously semasti is very uncommon.
Speaker 1: It's a big deal to make me so special.
Speaker 2: It's just that.
Speaker 1: So I do the you know, I do whatever it takes.
Speaker 1: But I build a wall made out of something. So
Speaker 1: it's if it's if I can do a neo subpectoral
Speaker 1: pocket kind of thing, I do that. But I will
Speaker 1: flip up the pectorels minor. Yeah, that works really well.
Speaker 1: And that's like not even in any textbook and no
Speaker 1: one's ever done it, but I do it because I
Speaker 1: know how to do it. Yeah, I flip that sucker
Speaker 1: up right there and build a wall on each side,
Speaker 1: and that one never breaks down.
Speaker 2: So yeah, there's almost always something you can do.
Speaker 1: There's you know, you we call it Hunyak surgeon, right,
Speaker 1: you just get it there and yeah, yeah, hunyak that
Speaker 1: thing together.
Speaker 2: I'll tell you what you don't want to do on
Speaker 2: that what synthetic Oh, which seems to be the the
Speaker 2: you know, the preferred fix of choice for these things.
Speaker 1: The terrible light, particularly the thin skin growing mesh immediately
Speaker 1: under the thin skin right above the stern of the breastbone.
Speaker 1: You know, if there's any kind of odd healing or
Speaker 1: any further atrophy, or any kind of weird alteration and
Speaker 1: wound physiology, you're going to see the mesh and someone
Speaker 1: like me is gonna have to go dig it out.
Speaker 1: And now you've got you know which is which.
Speaker 2: Can get don't tell us now because it's like you've
Speaker 2: got you've got the combination of thin skin, foreign body,
Speaker 2: second foreign body, all next to each other.
Speaker 1: Yeah, all right, I guess we I guess we should
Speaker 1: talk before we end this. Let's talk about this new
Speaker 1: technique that's being touted where you make a little incision.
Speaker 1: Let's let maybe let's not name the technique. Why don't
Speaker 1: we do that, but people can figure it out, all right.
Speaker 2: We don't want to name it.
Speaker 1: You want to, you can name And I'm not gonna
Speaker 1: name it in case they want me to. They want
Speaker 1: to hire me to brand, to be a brand ambassador
Speaker 1: for a lot of month, so.
Speaker 2: Easy, I have this straight.
Speaker 4: Speak, I imagine, very frankly about this technique right now. But
Speaker 4: you're not gonna name it, just in case after what
Speaker 4: we're about to say, they want to go.
Speaker 2: You know, he's a good spokesman for us. That's the plan. Yeah,
Speaker 2: maybe say they're not gonna come to you after this.
Speaker 1: No they're not. So there's a new.
Speaker 2: Would you really want to anyways?
Speaker 1: It depends how much mone now I'm kidding. Uh. There's
Speaker 1: a new technique that I mean is being touted as
Speaker 1: the new thing, and dougmentation. Yeah, whereby you make us
Speaker 1: very very small incision and people are doing it potentially
Speaker 1: even under local anesthesia, not even general Okay, it's supposed
Speaker 1: to be done under.
Speaker 2: Yeah.
Speaker 1: So you make a very small incision, you dissect like
Speaker 1: half an inch, and then you put a balloon dissector
Speaker 1: and you expand up the blue dissector, yeah, above the muscle,
Speaker 1: which used to be by the way for boating until
Speaker 1: this procedure came out all of a sudden.
Speaker 2: It's a right, there's a lot of things that it's
Speaker 2: like this is the latest thing, but in fact it's
Speaker 2: really the nineteen seventies of breast augmentation. And you know what,
Speaker 2: I'm not looking for a brand deal. Presurvey, the Preservey
Speaker 2: breast augmentation. That's what we're talking about. Presurvey.
Speaker 1: Oh wow, you really just want to put it out there.
Speaker 2: Huh, I'm putting it out there. I think it's I
Speaker 2: think it is a terrible idea. And I will simply
Speaker 2: say that. I know you didn't hear me say the word,
Speaker 2: so you don't know what it is, So why do
Speaker 2: you think it it's such a terrible idea. Okay. First
Speaker 2: of all, okay, these are the things they tout about
Speaker 2: the Preserve Breast operation. And by the way, this is
Speaker 2: let me be clear here, Okay, just in case there's
Speaker 2: a brand deal in the office here. I've got no
Speaker 2: issue with the implants behind the motif. I use Viva implants.
Speaker 1: I love them.
Speaker 2: I think they're great implants. They're promoting this presurvey. I
Speaker 2: think that's a whole separate thing. Implants are one thing.
Speaker 2: There's no reason not to get Motiva implants. I'm not
Speaker 2: a big fanboy of any particular implant. As far as
Speaker 2: I'm concerned. It's a bag of gel. They can only
Speaker 2: be so different, and I get I'm perfectly happy with
Speaker 2: all the results I get, and I've used pretty much
Speaker 2: every implant that's out, so that's not the issue. The
Speaker 2: issue is this technique where they say, first of all,
Speaker 2: it's minimally invase. Okay, every breast augmentation is minimally invasive.
Speaker 2: They go, well, we use an incision this big, Well,
Speaker 2: the incision for an audio I'm showing my fingers. Okay,
Speaker 2: they say it's tough about a one inch incision, well,
Speaker 2: the incision for a standard breast augmentation. But an inch
Speaker 2: and a quarter Wow, not a big difference. And by
Speaker 2: the way, through reason incision for a breast augment is
Speaker 2: the size that it is is because there's data from
Speaker 2: the manufacturers that make the smaller. You potentially damage the
Speaker 2: shell of the implants putting them in because you're squeezing
Speaker 2: them through too narrow and opening. To my knowledge, using
Speaker 2: a balloon on a stick doesn't change the physics of that.
Speaker 2: So that's the first issue. With the second is and
Speaker 2: feel free to join in, and you know, well you're
Speaker 2: doing so well all.
Speaker 1: Right, because I'm holding out. I would not endorse this
Speaker 1: under any circumstance. I'm holding out for the brand offer
Speaker 1: from Motiva, which I love that I'm happy to talk
Speaker 1: about their implants, but I would not.
Speaker 2: No, I just wouldn't. So then after you've made your
Speaker 2: one quarter inch smaller incision instead of dissecting precisely like
Speaker 2: a surgeon. You shove a stick in under the breast
Speaker 2: and above the muscle. Okay, so you know, they go, well,
Speaker 2: this is far more precise. Yes, because the stick shove
Speaker 2: is always more precise than the surgery.
Speaker 1: Oh no, no, no, no, it's the wait for it, circum memory.
Speaker 1: Oh but we're not there yet. Oh I'm sorry, Go ahead,
Speaker 1: yes we're not. We're not thereby the definition, thereby the type,
Speaker 1: the name of the proceder.
Speaker 2: There as we proved, as we preservey the circum Mamo
Speaker 2: ray Ligamont. You know what, I can't have enough disdain
Speaker 2: for this. So then you shove in the balloon on
Speaker 2: a stick and blow up the balloon. And I literally
Speaker 2: see plastic surgeons promoting this on their social media going,
Speaker 2: this is a more precise way to make the pocket. Really,
Speaker 2: by the way, you're saying that inflating a balloon, being
Speaker 2: inflated is a better surgeon than you are.
Speaker 1: Well, on that note, that was extraordinarily fun, as always
Speaker 1: very very interesting. And you know, I love you and
Speaker 1: you're like not only one of my best friends, you
Speaker 1: are my best friend, and you're my most brilliant friend.
Speaker 1: It's always good to have that one super brilliant friend.
Speaker 1: That's you, and I know a lot of brilliant that
Speaker 1: for me, well, I don't know about brilliant, but I'm
Speaker 1: certainly very close to.
Speaker 2: There's a reason we've been friends for what is forty years, right,
Speaker 2: it's we've had We've had a lifetime of you know,
Speaker 2: these kind of fun convers That's.
Speaker 1: True, and we'll have many, many more. So listen to
Speaker 1: all of you who are interested in other topics in
Speaker 1: plastic surgery, health, wealth and beauty, and you want advice,
Speaker 1: leave your comments below wherever that is, and we will
Speaker 1: see you again, very very soon.