WEBVTT - When Your Face Doesn't Match Your ID 0:00:05.280 --> 0:00:09.280 Welcome back to another episode of Between Us Doctors. I'm 0:00:09.360 --> 0:00:14.120 doctor Terry Debrou, I'm doctor Robert Swartz, and we're here 0:00:14.880 --> 0:00:19.040 to dispel all the bs out there about plastic surgery 0:00:19.800 --> 0:00:22.239 and talk about what to do, what not to do, 0:00:22.320 --> 0:00:26.000 about anything else fun and interesting about health, willness and beauty. 0:00:26.040 --> 0:00:29.200 How are you, Rob, I'm doing great. How are you good? 0:00:29.360 --> 0:00:30.600 You had big surgery today. 0:00:31.240 --> 0:00:32.960 I had a big surgery. I had a big week 0:00:33.840 --> 0:00:37.000 my birthday and you know, you know what a big 0:00:37.040 --> 0:00:38.360 celebration I make out of that. 0:00:39.000 --> 0:00:41.400 Oh, that's right, you're just like me. You'd rather you'd 0:00:41.400 --> 0:00:44.680 be happy if no one ever mentioned that you actually 0:00:45.000 --> 0:00:48.360 But by the way, I've actually had birthdays not I 0:00:48.360 --> 0:00:51.680 guess since I met Heather, where no one knew it 0:00:51.720 --> 0:00:54.240 was my birthday and it was like my favorite birthday 0:00:54.280 --> 0:00:56.280 and no one mentioned happy birthdays. 0:00:56.440 --> 0:00:58.440 Oh we went out to dinner and you know, you 0:00:58.520 --> 0:01:03.040 get there, oh, celebrating anything special, and I just don't know, 0:01:04.360 --> 0:01:06.880 and my son immediately rats me out. But it was 0:01:06.920 --> 0:01:08.440 It wasn't the kind of restauran where they're all going 0:01:08.480 --> 0:01:10.200 to sing happy birthday or anything. 0:01:12.160 --> 0:01:13.880 So what was there? The cupcake with the can with 0:01:13.959 --> 0:01:16.080 the candle or Oh there was like the dessert it 0:01:16.160 --> 0:01:19.080 again again car restaurant. 0:01:20.880 --> 0:01:24.520 They already knew, they already knew they were testing. Yeah, 0:01:24.760 --> 0:01:27.600 the table was already set up and I made the 0:01:27.600 --> 0:01:29.640 reservation and I didn't tell them, So it must be 0:01:29.680 --> 0:01:31.000 in my profile or something. 0:01:31.680 --> 0:01:35.320 Oh, you know, it's interesting. But I think as plastic surgeons, 0:01:36.000 --> 0:01:40.520 a lot of plastic surgery that people think about having, 0:01:40.600 --> 0:01:43.960 I think you might agree is motivated by just there 0:01:44.680 --> 0:01:49.280 the chronological numerical change in their age, just the actual 0:01:49.400 --> 0:01:53.240 number itself, even even as important as sort of what 0:01:53.280 --> 0:01:55.200 they're seeing in the mirror. Don't you agree? 0:01:56.200 --> 0:01:59.279 Oh? Completely, I think it triggers something. 0:01:59.360 --> 0:01:59.520 You know. 0:02:00.040 --> 0:02:04.240 Look, I would have I would have had a face now, 0:02:06.680 --> 0:02:09.360 by the way, I totally would have done it, because 0:02:09.360 --> 0:02:09.960 who knows. 0:02:09.760 --> 0:02:13.200 What's going on. Well, you know, it's interesting because we've 0:02:13.200 --> 0:02:16.240 talked a lot about male plastic surgery recently and how 0:02:16.440 --> 0:02:19.560 weird it is, particularly on the celebrities we've seen. But 0:02:19.960 --> 0:02:25.040 I just went on a super high end vacation. Well 0:02:25.080 --> 0:02:27.320 I'll just tell you where. I just went to Saint Bart's. Okay, 0:02:27.360 --> 0:02:29.560 and I don't you've never been to Saint Barts. I 0:02:29.560 --> 0:02:31.919 know you're not interested in going Saint Barts, but I'm 0:02:31.960 --> 0:02:34.239 not interested in going anywhere. I know. But for anyone 0:02:34.280 --> 0:02:36.760 out there, if you know, there are very few places 0:02:36.760 --> 0:02:39.480 in my in my opinion, that live up to the 0:02:39.560 --> 0:02:42.280 hype that everybody sort of has about them. Paris lives 0:02:42.360 --> 0:02:45.120 up to the hype. It really does for me, and 0:02:45.160 --> 0:02:47.440 I don't I'm like you, I don't really like to travel. 0:02:47.440 --> 0:02:49.560 I don't like that many places. But when I get 0:02:49.600 --> 0:02:51.839 off the plane and I go to the Champs Lyse 0:02:52.080 --> 0:02:54.120 and there's Paris, and I just go, you know, even 0:02:54.160 --> 0:02:58.240 though I'm not into it, this is really Saint Bart's, okay, 0:02:59.080 --> 0:03:01.560 is one of those places I have my friends, my 0:03:01.639 --> 0:03:04.680 wealthier friends have been talking about Sain Ain't Barnes for 0:03:04.800 --> 0:03:07.160 all these years, and finally I was forced to go 0:03:07.520 --> 0:03:12.000 to a wedding there, Rob and wait, by god, no, 0:03:12.160 --> 0:03:14.079 this time was not a but this is a few 0:03:14.120 --> 0:03:17.079 years ago for the first time I went, and this 0:03:17.240 --> 0:03:21.680 place completely Even if you're like us, okay, who are 0:03:21.680 --> 0:03:25.760 completely totally not into vacation, this completely lives a tight 0:03:25.840 --> 0:03:27.359 By the way, I'm gonna bring this around to male 0:03:27.400 --> 0:03:29.120 plastic surgery to a whole lot of seconds, it's going 0:03:29.160 --> 0:03:32.160 to make sense in a second. Okay, so the weirdest 0:03:32.200 --> 0:03:35.400 thing about this is you fly there to Saint Martin, 0:03:35.480 --> 0:03:40.080 which is like a bigger island very close to Saint Bart's, 0:03:40.120 --> 0:03:44.120 this little high end French kind of island. But then 0:03:44.160 --> 0:03:46.000 you have to get on this and everybody does this, 0:03:46.040 --> 0:03:48.880 no matter how wealthy you are, everybody does this. You 0:03:48.920 --> 0:03:53.640 get on this incredibly scary flying motorcycle kind of thing 0:03:54.080 --> 0:03:57.320 with this twin engine, I mean, and all the window 0:03:57.440 --> 0:04:01.800 windshields are cracked, and it's a nine minute light from 0:04:01.920 --> 0:04:05.400 hell where you take off from Saint Martin and you 0:04:05.640 --> 0:04:09.160 immediately you're over the water. Okay, the moment you take off, 0:04:09.560 --> 0:04:12.440 and then as you come in, it's such as you 0:04:12.480 --> 0:04:15.200 have to go over a mountain and immediately once you 0:04:15.880 --> 0:04:20.200 pass over that mountain, you have to like straight dive 0:04:20.320 --> 0:04:24.039 down like you're you know, World War two kamikaze pilot 0:04:24.480 --> 0:04:28.640 and go right to this really short runway. And if 0:04:28.640 --> 0:04:32.520 you anyone has never seen the YouTube video of landing 0:04:32.560 --> 0:04:35.080 in Saint Bart's, got to see it because it's so 0:04:35.800 --> 0:04:40.760 crazy scary. But anyway, it was an amazing vacation. But 0:04:41.400 --> 0:04:42.400 you know, this is one of sort of one of 0:04:42.440 --> 0:04:45.320 those high end places where a lot of the women 0:04:45.360 --> 0:04:47.720 who are with the guys have had you know, all 0:04:47.760 --> 0:04:51.039 the stuff done and it's very on display. But a 0:04:51.160 --> 0:04:55.760 lot of the guys have had face and I don't 0:04:55.800 --> 0:05:00.040 care how well it's executed. Okay, I can spot a 0:05:00.279 --> 0:05:03.600 facelift across the room, So aren't you the same. 0:05:03.960 --> 0:05:07.400 The only reason, the only reason I hesitate is because 0:05:08.000 --> 0:05:10.679 if it's done, I think, if it's done well enough, 0:05:11.920 --> 0:05:15.480 and it's done subtly enough, maybe not, you know, well, 0:05:15.520 --> 0:05:17.480 the same thing like with women. What's like, you know, 0:05:17.520 --> 0:05:19.560 the facelifts that you can all are spot of the 0:05:19.560 --> 0:05:22.400 ones that are kind of bad, well some way, if 0:05:22.760 --> 0:05:25.479 it's if it's really done executed. Well, maybe there's some 0:05:25.600 --> 0:05:27.640 that I don't spot. But you know what, possibly can 0:05:27.640 --> 0:05:28.440 spot everything. 0:05:28.600 --> 0:05:31.040 Okay, maybe that's that's my bias spot. 0:05:31.160 --> 0:05:34.440 You know, I can spot lip bosuction under underclothing. 0:05:34.880 --> 0:05:38.840 But but here's the thing. If you're you, if you're 0:05:39.440 --> 0:05:43.680 above fifty five or sixty as a man, whether you've 0:05:43.680 --> 0:05:46.640 had a facelift or not, you look above fifty five 0:05:46.720 --> 0:05:48.200 or sixty, don't you agree? 0:05:48.760 --> 0:05:49.159 Yeah? 0:05:49.480 --> 0:05:52.160 Okay, So I immediately can tell if a man is 0:05:52.200 --> 0:05:55.080 above fifty five or sixty or sixty five, if he 0:05:55.200 --> 0:05:59.720 has no laxity in his neck. Then, by definition, because 0:05:59.760 --> 0:06:02.960 I can tell he's that age, I know he's had 0:06:03.000 --> 0:06:05.200 a facelift. And immediately I start to look for the 0:06:05.240 --> 0:06:07.560 telltale signs of a facelift and a guy. And I 0:06:07.600 --> 0:06:09.640 don't know what it is. If it's because a guy 0:06:10.240 --> 0:06:14.120 when our faces relax more rapidly, I think after a 0:06:14.160 --> 0:06:16.400 facelift than a girl. And you get that. You know, 0:06:16.440 --> 0:06:20.960 we have deeper lines, relaxing skin tension lines, and and 0:06:21.480 --> 0:06:26.720 hair follicles. We immediately get that. Upon the earliest relaxation, 0:06:26.800 --> 0:06:29.720 which is typically what three three to eight months, we 0:06:29.760 --> 0:06:32.400 immediately in maybe because I'm a plastor you tell me 0:06:32.440 --> 0:06:35.920 if this is, you know, not true, I immediately see 0:06:35.960 --> 0:06:41.720 a weird sort of positional alteration of the skin and 0:06:41.760 --> 0:06:45.400 the way it drapes, and it just looks weird. 0:06:46.279 --> 0:06:47.600 Think, what do you think. I think you're right, And 0:06:47.680 --> 0:06:49.599 I think if part of it is the heavier skin 0:06:49.880 --> 0:06:52.360 that men have, the thicker skin that we have, that 0:06:52.400 --> 0:06:56.039 when it starts to unwind a little bit, and look, 0:06:56.040 --> 0:06:58.520 I don't know if everyone notices this way, but I think, 0:06:58.760 --> 0:07:02.080 you know, train plastics or the sort of the mismatch 0:07:02.160 --> 0:07:07.359 in the various parts of the face that it just 0:07:07.400 --> 0:07:10.040 doesn't like. Something seems off, even if you can't figure 0:07:10.080 --> 0:07:12.520 out what it is right away, something seems off. Also, 0:07:13.320 --> 0:07:15.760 I think you see a lot more women with face, 0:07:16.680 --> 0:07:18.960 so you kind of, in a way get more used 0:07:18.960 --> 0:07:22.560 to that look, even if it's not one hundred percent natural, 0:07:23.320 --> 0:07:25.680 whereas with men, you don't see nearly as many, and 0:07:25.720 --> 0:07:27.000 I think they just stand out. 0:07:27.880 --> 0:07:30.640 I think you're right. I think ninety five percent of 0:07:30.800 --> 0:07:34.800 men over the age of sixty not get faced, okay, 0:07:35.080 --> 0:07:39.280 Whereas at least in our worlds, I'm sure Dallas, La, 0:07:39.400 --> 0:07:43.880 New York, Miami, ninety plus five plus percent of the 0:07:43.920 --> 0:07:48.200 people of women yet faceless over the age of fifty 0:07:48.240 --> 0:07:52.160 five or sixty or sixty five. So laxity, you know 0:07:53.040 --> 0:07:59.440 women looks sort of noticeable, but the absence of laxity 0:07:59.560 --> 0:08:03.200 in a manas looks weird. Don't you agree with that 0:08:03.280 --> 0:08:04.600 analysis or do you? 0:08:05.120 --> 0:08:07.040 I think, well, I think part of the problem is 0:08:07.080 --> 0:08:08.800 a little bit of laxity in a man. As you 0:08:08.880 --> 0:08:12.200 get older, it gives you sort of that gravitas, and 0:08:12.280 --> 0:08:14.680 it gives you a better look. And when you take 0:08:14.760 --> 0:08:19.280 that away in a man that's clearly older, something seems off. 0:08:19.400 --> 0:08:23.160 He almost seems it makes a man almost seem immature. 0:08:23.160 --> 0:08:26.880 If it's weird, it's just it doesn't fit. It doesn't 0:08:26.880 --> 0:08:30.120 fit for a man. And I look, I've considered getting one, 0:08:30.480 --> 0:08:32.360 and I'm not opposed to it, and I don't think 0:08:32.400 --> 0:08:34.080 it's a bad idea for men. But I think if 0:08:34.120 --> 0:08:36.480 I was, if I was a man getting one, I 0:08:36.679 --> 0:08:39.600 want to go to someone who understands I want less. 0:08:40.520 --> 0:08:43.439 A little bit less is more. Don't do my eyelids, 0:08:44.160 --> 0:08:47.040 don't do ten things at once, just do the lower 0:08:47.080 --> 0:08:48.680 face and neck and call it a day. 0:08:49.360 --> 0:08:52.240 By the way, I remember, yeah, yeah, So I think 0:08:52.240 --> 0:08:54.400 you're right. I obviously could use a facelift. I have 0:08:54.520 --> 0:08:57.319 laxity in my neck area along my jawline. But if 0:08:57.360 --> 0:09:00.560 I were to have one, I would say, leave laxity, 0:09:01.080 --> 0:09:03.920 leave it. I want to have loose. I want you 0:09:03.960 --> 0:09:06.520 to have I like, you know, you know, you know, 0:09:06.640 --> 0:09:08.719 we've done these wonderful face lists. Then two years later 0:09:08.720 --> 0:09:10.160 they come back and they have a little laxity in 0:09:10.200 --> 0:09:13.520 their neck and their leaps totally unhappy. I want to 0:09:13.600 --> 0:09:17.640 have that look the third month. I want to be 0:09:18.320 --> 0:09:21.360 like I could use a little tightening by the third 0:09:21.480 --> 0:09:24.840 month already, because if you have a little bit of laxity. 0:09:25.240 --> 0:09:27.280 It's like if you take a bump off someone's nose, 0:09:27.760 --> 0:09:31.000 if you leave a little bump, which everybody, everyone who 0:09:31.040 --> 0:09:33.960 hasn't had a rhinoplasty has naturally a little bump the 0:09:34.040 --> 0:09:38.400 dorsal convexity. Right if you if you leave a little 0:09:38.440 --> 0:09:41.360 bump on a rhinoplasty, they don't look like they've had 0:09:41.400 --> 0:09:43.480 a rhinoplasty generally speaking. 0:09:44.160 --> 0:09:46.280 Yeah, but little imperfection hides. 0:09:46.720 --> 0:09:47.640 A little imperfection. 0:09:47.720 --> 0:09:51.040 But you know, of course, but yeah, look, I think look, 0:09:51.040 --> 0:09:53.520 I think for women, obviously you want to get any 0:09:53.600 --> 0:09:56.320 face there, right, okay, but if you're going to air 0:09:56.360 --> 0:09:57.880 one way or another with a woman, you can probably 0:09:57.920 --> 0:10:01.480 go a little over aggressive. It'll be fun. Yeah, the man, 0:10:01.559 --> 0:10:03.640 you cannot do that. You have to air on the 0:10:03.760 --> 0:10:07.439 side of under aggressive. Yeah, I mean, that's a face 0:10:07.440 --> 0:10:10.240 of the man. It's feminizing and never looks good, and 0:10:10.280 --> 0:10:14.839 particularly when you overdo the upper eyelids, it just looks wrong. 0:10:15.280 --> 0:10:19.720 That is the single biggest mistake that every plastic surgeon 0:10:19.880 --> 0:10:24.320 is making on these celebrities. Stop operating on their upper lids, 0:10:24.400 --> 0:10:27.679 or if you're going to do it, leave a lot. Okay, 0:10:27.720 --> 0:10:30.960 I think that we've mentioned this before that goes without saying. 0:10:31.000 --> 0:10:34.840 The first couple we met, the woman had had just 0:10:34.880 --> 0:10:38.679 a weird face and the guy still had scabs on 0:10:38.720 --> 0:10:42.400 his chin and behind his ears. And so if that, 0:10:42.520 --> 0:10:48.000 of course is like a good but zero laxity in 0:10:48.080 --> 0:10:51.960 a sixty eight seventy year old guy is just weird. 0:10:52.040 --> 0:10:55.840 So this is interesting. I just got a notification on 0:10:55.960 --> 0:11:05.520 my Instagram that Rosie o'donna, sixty four Goshald's younger but anyway, 0:11:05.720 --> 0:11:08.480 reveals that she got a secret facelift that costs more 0:11:08.559 --> 0:11:12.120 than I have ever paid for a car, which means 0:11:12.559 --> 0:11:15.079 Rosie A. Donald's very rich. Okay, she was a talk 0:11:15.080 --> 0:11:17.320 show host of the day when talk show hosts like 0:11:17.640 --> 0:11:21.000 made millions, so I'm sure she paid. She got one 0:11:21.000 --> 0:11:23.400 of those three hundred and fifty thousand dollars facelifts. And 0:11:23.440 --> 0:11:25.040 when I look at her, and I'm not going to 0:11:25.120 --> 0:11:30.600 be critical, okay, because I think Rosie o'donald's awesome, but 0:11:32.120 --> 0:11:35.280 it's it's interesting if you look at this, this is 0:11:35.320 --> 0:11:37.760 sort of what we were talking about. This is kind 0:11:37.760 --> 0:11:45.439 of she has very thick skin, almost sort of masculine type, 0:11:45.559 --> 0:11:48.880 very thick sebaceous type skin, and when you look at 0:11:48.920 --> 0:11:51.560 this photo, she looks good. She looks so, you know, 0:11:51.640 --> 0:11:54.240 I think she looks good. Okay, But having said that, 0:11:54.800 --> 0:11:57.120 if you look at this photo for she's got sort 0:11:57.120 --> 0:12:03.200 of this unnatural kind of lax particularly around the oral commissures, 0:12:03.200 --> 0:12:06.560 which are basically the cheeks on each side. And she 0:12:06.679 --> 0:12:08.960 still has some laxin in the neck, which I think 0:12:09.160 --> 0:12:12.400 is good for a man. But this is I wonder 0:12:12.440 --> 0:12:16.520 if she's happy with this. This is interesting. Look. I 0:12:16.520 --> 0:12:21.040 would never put down any plastic surgeces work, Okay. I mean, 0:12:21.040 --> 0:12:23.200 I'm the botch doctor and I've done you know, ten 0:12:23.280 --> 0:12:27.320 seasons of operating on disaster complications, and I've never put 0:12:27.360 --> 0:12:31.200 down any particular doctor. Okay, even when I suspect that 0:12:31.280 --> 0:12:33.680 there's been negligence, you never have all the facts. You 0:12:33.760 --> 0:12:36.480 never want to say that. But like, I wonder if 0:12:36.520 --> 0:12:39.520 she's happy with this, because this looks you don't see 0:12:40.120 --> 0:12:44.160 this kind of laxity existing in nature. And this is 0:12:44.200 --> 0:12:48.439 what I would be really afraid of having a face 0:12:48.480 --> 0:12:53.319 of the good news is this I think with artificial intelligence, 0:12:53.480 --> 0:12:56.079 and I really believe this, and I've I watched this 0:12:56.720 --> 0:12:59.600 so closely. I'm obsessed with what's happening in health wants 0:12:59.600 --> 0:13:02.800 and beauty related to our artificial intelligence. I really believe 0:13:03.000 --> 0:13:06.240 you can just hang till about twenty thirty, which is 0:13:06.240 --> 0:13:08.840 what three and a half years away, there are going 0:13:08.920 --> 0:13:11.800 to be solutions to these things that aren't going to 0:13:11.880 --> 0:13:15.840 require sort of major surgery. I really think we're going 0:13:15.920 --> 0:13:21.280 to solve a lot of these inlax aging problems without 0:13:21.320 --> 0:13:24.800 having to cut you open like it's nineteen point fifty, 0:13:25.520 --> 0:13:29.360 dissect your tissue like you're a fish and we're lifting 0:13:29.400 --> 0:13:33.080 off the scales and pull it back and whack it 0:13:33.120 --> 0:13:36.760 off and stit you up with you know, sutures like 0:13:36.920 --> 0:13:41.320 you know, it's like we're scalping you or something. I mean, 0:13:42.280 --> 0:13:46.200 just hang, you hang a little bit longer. You may 0:13:46.240 --> 0:13:48.360 be able to benefit. And I really believe it's gonna 0:13:48.360 --> 0:13:53.480 happen from skin tightening, health wellness, and rejuvenating procedures without 0:13:53.480 --> 0:14:07.960 this incredibly barbaric things we plastic surgeon. So check this out. 0:14:09.760 --> 0:14:12.400 I've noticed since I've done a podcast with you last 0:14:12.440 --> 0:14:15.880 there's been a lot of plastic surgery stuff that has 0:14:15.920 --> 0:14:18.240 come out that people are asking us about. Listen to 0:14:18.240 --> 0:14:20.680 this one, Okay, the one you and I sort of 0:14:21.480 --> 0:14:25.200 we're texting back and forth about there's this woman who 0:14:25.880 --> 0:14:30.920 had plastic surgery, okay, because she didn't want her kids 0:14:31.760 --> 0:14:35.640 to look the way she looks naturally, so she wanted 0:14:35.640 --> 0:14:39.520 to alter herself so that when she passed down her 0:14:39.600 --> 0:14:43.160 genes to her offspring, they would be better looking. 0:14:43.920 --> 0:14:47.320 I think there's bigger concerns here in terms of what 0:14:47.360 --> 0:14:48.760 she might be passing down. 0:14:49.240 --> 0:14:53.520 Well, she should pass down biology and evolution lessons because 0:14:53.840 --> 0:14:56.200 I think she missed that day in high school, or 0:14:56.720 --> 0:14:57.640 because really, I. 0:14:57.560 --> 0:14:59.200 Don't think even need AI. I think this is just 0:14:59.240 --> 0:15:00.200 a fast Google. 0:15:00.800 --> 0:15:04.880 By the way, so everyone who's listening knows you can't 0:15:04.920 --> 0:15:08.360 alter your genetics by altering your phenotype by taging the 0:15:08.360 --> 0:15:10.480 structure your face. If you have a big nose, you're 0:15:10.480 --> 0:15:12.240 gonna send that down to your kids. You're gonna send 0:15:12.240 --> 0:15:14.920 it down whether you do. I think everyone naturally knows this. 0:15:15.200 --> 0:15:20.840 But there is actually a new drug out that's FDA 0:15:20.920 --> 0:15:24.600 approved that if you inject it into yourself, it's got 0:15:24.600 --> 0:15:31.360 that Crisper technology into it, and it does alter your genome, 0:15:31.920 --> 0:15:34.760 so it lowers your cholesterol permanently. 0:15:34.800 --> 0:15:37.440 Have you ever heard of this rob I've heard about 0:15:37.480 --> 0:15:41.000 this brand. I wouldn't be lining up to be the 0:15:41.040 --> 0:15:43.800 first on my block. Well, I wouldn't do it. 0:15:43.880 --> 0:15:47.080 But if you had, you know, familiar hypercholesterol emy or 0:15:47.080 --> 0:15:49.600 something that was really radical and you couldn't control it, 0:15:49.840 --> 0:15:55.520 I think I truly believe, okay, that very soon we 0:15:55.640 --> 0:15:57.720 are going to be able to inject things that are 0:15:57.800 --> 0:16:03.720 going to change our genome, that will change our phenotype. 0:16:04.120 --> 0:16:06.640 Think about this. If you can put something, if you 0:16:06.680 --> 0:16:13.240 can inject something that changes the cholesterol bearing producing genes 0:16:13.880 --> 0:16:19.320 right in uh, permanently, why can't you inject something like 0:16:19.400 --> 0:16:23.520 the crisper version of that peptie ghk cu right that 0:16:23.720 --> 0:16:29.600 permanently changes alternate stimulates how you make collagen and give 0:16:29.680 --> 0:16:33.240 you tighter, better skin. I think this is coming, I 0:16:33.320 --> 0:16:33.720 really do. 0:16:34.000 --> 0:16:36.080 I think it's absolutely coming. We should probably be clear 0:16:36.080 --> 0:16:39.200 that so when we say genotype, it means your genes themselves. 0:16:39.240 --> 0:16:42.080 When you say phenotype, it's the expression of those genes 0:16:42.120 --> 0:16:44.640 sort of the what's what they do? That's right, the 0:16:44.720 --> 0:16:47.800 genes in other words, it's like the genes for your collagen. 0:16:47.880 --> 0:16:50.480 It's the way your skin looks in terms of thickness, 0:16:50.800 --> 0:16:53.800 elastics and all those sort of things. Right, Yeah, you 0:16:53.800 --> 0:16:57.479 can if you change the genes, you can change the expression, 0:16:57.560 --> 0:16:59.880 you can change all of these things. You can fix disease, 0:17:00.240 --> 0:17:02.320 you could do all of this. The point of this 0:17:02.400 --> 0:17:05.639 story is it doesn't work the other way around. You can't. 0:17:05.960 --> 0:17:08.840 You can't. You don't get to get a rhine up last, 0:17:08.880 --> 0:17:11.560 and it changes your nose gen I remember that. 0:17:12.040 --> 0:17:17.760 So Darwin was right? Lamark wasn't his name Lamarck? Lamark right? 0:17:17.840 --> 0:17:20.600 Lamarky In theory of evolution. Hey, so listen to this. 0:17:21.000 --> 0:17:25.439 There's another one. Check this out. Kate Cassidy was stopped 0:17:25.440 --> 0:17:29.840 by TSA because she had altered her appearance so much 0:17:30.840 --> 0:17:36.280 that they didn't recognize her photo. Is that incredible? 0:17:37.600 --> 0:17:40.080 Is that what TSA is catching these days? Really? 0:17:40.160 --> 0:17:43.680 I mean think think about it. People, By the way, 0:17:43.800 --> 0:17:45.040 if you're having such. 0:17:44.960 --> 0:17:46.520 She looked at I don't know, I haven't seen. Does 0:17:46.560 --> 0:17:47.520 she look that different? 0:17:48.160 --> 0:17:51.760 I mean, well, it's funny. You know, there's a certain 0:17:51.800 --> 0:17:55.320 look in plastic surgery. If you have too much, then 0:17:55.400 --> 0:17:59.680 everybody starts to look very similar. Have you noticed that? 0:18:00.040 --> 0:18:02.240 Yes, like this, it's the overfiller look. 0:18:02.880 --> 0:18:06.080 It's well, it's the plastic surgery face. There's zero laxity. 0:18:06.680 --> 0:18:09.600 The brows are very high. There's no upper eyelid skin. 0:18:10.160 --> 0:18:16.280 The lips are big, and the nose is very small. Yeah, yeah, it's. 0:18:16.160 --> 0:18:20.920 An and and very often the uh, the upper cheeks 0:18:21.000 --> 0:18:24.520 are really full, like almost like a lion like look. 0:18:25.280 --> 0:18:28.280 So Heather and I are very good friends with Brookshields. 0:18:29.000 --> 0:18:32.040 We love Brooke and her husband. Okay, her husband's like 0:18:32.920 --> 0:18:37.000 incredibly funny, amazing guy. Our kids knew each other from 0:18:37.040 --> 0:18:42.000 little kids, and Brook has recently come out. Shields had 0:18:42.080 --> 0:18:47.919 said she has not had plastic surgery yet because for 0:18:48.000 --> 0:18:49.919 one simple reason. What do you think that reason is? 0:18:52.200 --> 0:18:54.120 Uh? 0:18:54.720 --> 0:18:55.920 Is she kind of an interesting reason? 0:18:57.560 --> 0:18:58.000 She's good. 0:18:58.359 --> 0:19:01.920 I think Brookshield's good. No, it is she Brookshield said 0:19:01.960 --> 0:19:03.760 she is too scared. 0:19:04.760 --> 0:19:08.520 Done to go the surgery, of the surgery itself or 0:19:08.560 --> 0:19:09.240 the results of this. 0:19:09.880 --> 0:19:12.480 No, I think she's too scared of the surgery itself. Now, 0:19:12.480 --> 0:19:15.679 it's funny because every once in a while, I don't know, 0:19:15.760 --> 0:19:17.800 I'm sure you've had this. I will come in and 0:19:17.840 --> 0:19:19.600 I don't care if it's four o'clock in the morning 0:19:19.600 --> 0:19:21.480 and I'm getting up early because I have a whole 0:19:21.560 --> 0:19:23.359 day that I have to get a whole bunch of 0:19:23.359 --> 0:19:28.040 patients in. And a patient will say to me. I'll 0:19:28.040 --> 0:19:29.880 say how you doing, and I try to make them laugh, 0:19:30.000 --> 0:19:33.119 make them comfortable, and they go, I'm super nervous, and 0:19:33.160 --> 0:19:34.720 I go, really, why they're going, you know, I just 0:19:34.800 --> 0:19:39.520 have a bad feeling about. What do you do when 0:19:39.560 --> 0:19:42.000 your patients say I have a bad feeling about this 0:19:42.320 --> 0:19:43.080 the morning of. 0:19:45.200 --> 0:19:50.880 I've never had any really, not that. No, I've had 0:19:51.000 --> 0:19:56.720 the I'm very nervous, And I tell them that, well, 0:19:56.880 --> 0:19:59.840 being nervous before surgery is totally normal. The people that 0:20:00.160 --> 0:20:02.040 freaked me out a little, or the people who aren't 0:20:02.080 --> 0:20:04.840 nervous at all, those people are a little weird. But 0:20:04.880 --> 0:20:07.159 I've never had anyone actually say I've had I have 0:20:07.240 --> 0:20:10.160 a bad feeling about I've had I know how i'd 0:20:10.240 --> 0:20:12.399 handled it. I'd ask them, well, what exactly you know, 0:20:12.960 --> 0:20:14.720 I'd kind of go down on this and try to 0:20:14.720 --> 0:20:17.440 figure out what we're at so I can reassure them all. 0:20:18.080 --> 0:20:20.360 So what if there is something really that they're having 0:20:20.400 --> 0:20:22.520 a bad feeling about, like you know, chest pain. 0:20:23.480 --> 0:20:25.200 No, No, what if they said, I don't know, I'm 0:20:25.240 --> 0:20:28.920 just really scared. I have a weird bad feeling about it. Yeah, 0:20:29.320 --> 0:20:30.880 you would just reassure them and move on. 0:20:32.600 --> 0:20:34.639 I'd make sure that the bad feeling is just that, 0:20:35.280 --> 0:20:39.000 just nervous before, sir, because that's so normal. People are 0:20:39.040 --> 0:20:42.320 nervous before surgery. People aren't nervous at all unless they've had, 0:20:42.640 --> 0:20:46.000 you know, lots of surgeries in the past, chronic illness 0:20:46.040 --> 0:20:48.080 or a lot of plastic surgery or something like. People 0:20:48.119 --> 0:20:50.880 are undergoing you know, general anesthesia for the first time 0:20:51.000 --> 0:20:53.679 or only had a little bit more. It's normal to 0:20:53.720 --> 0:20:56.760 be nervous. I mean, I had surgery, you know, ten 0:20:56.840 --> 0:20:59.639 years ago. I was nervous going in. 0:20:59.720 --> 0:21:03.679 Yeah, and you know, but it's it's funny, it's you know, 0:21:03.720 --> 0:21:05.760 so when I have colon oscar by, when I have surgery, 0:21:05.760 --> 0:21:08.040 when I have things, I actually don't get weirdly. I 0:21:08.080 --> 0:21:11.399 don't get nervous. I guess because I'm so comfortable in 0:21:11.480 --> 0:21:14.080 the hospital setting. I think a lot of people are 0:21:14.080 --> 0:21:18.160 having surgery the day of their super nervous. That's a weird, unusual, 0:21:18.520 --> 0:21:20.399 unique environment they're not used to. 0:21:20.640 --> 0:21:24.760 And yeah, I don't know. I knew the hospital setting, 0:21:24.800 --> 0:21:27.960 and I still like going into surgery. Still. I tweaked 0:21:27.960 --> 0:21:32.720 my will the day before, yeah, and I knew, like 0:21:32.920 --> 0:21:34.960 you know, and also it turns out that you know, 0:21:35.880 --> 0:21:39.119 coming in and out of anesthesia. I'm an auction. 0:21:40.119 --> 0:21:43.800 Oh really, well, oh really, by the way, I know stunning, 0:21:44.760 --> 0:21:48.760 I'm stunningly goofy as you could imagine when I go. 0:21:49.920 --> 0:21:53.639 I mean, I'm I'm like Dad jokes on steroids. I 0:21:53.680 --> 0:21:56.399 think everything and I think I'm so funny, you know, 0:21:56.880 --> 0:22:00.720 I'm I guess what I do is my defense mechanism 0:22:01.359 --> 0:22:04.760 when things are hitting the fan or when patients are 0:22:04.840 --> 0:22:08.760 really nervous, is to try to make them laugh, so 0:22:08.880 --> 0:22:13.040 that I guess maybe what I'm concerned or nervous about 0:22:13.040 --> 0:22:17.199 myself trying to make the nurses that mode. I go 0:22:17.280 --> 0:22:21.600 into that mode, and I become incredibly jokey, you know, 0:22:21.800 --> 0:22:24.040 ridiculously so right, I. 0:22:23.920 --> 0:22:26.399 Think I'm under anesthesius kind of the way I am 0:22:26.920 --> 0:22:30.120 when I drink is I actually get quieter. But as 0:22:30.119 --> 0:22:33.280 we're as we were, the last thing I remember, as 0:22:33.320 --> 0:22:36.560 we're rolling into the o R. You knows, I'm kind 0:22:36.560 --> 0:22:39.680 of going out right, I'm kind of just looking up, 0:22:40.440 --> 0:22:43.720 and the last thing I remember saying was, oh, this 0:22:43.840 --> 0:22:49.399