WEBVTT - My Surgery Journey with Dr. Remus Repta 0:00:04.760 --> 0:00:06.840 Welcome back to the Overcomfort podcast. 0:00:06.920 --> 0:00:09.520 Thank you guys so much for choosing to be here 0:00:09.680 --> 0:00:12.600 to watch this episode listening from where where you guys are. 0:00:12.840 --> 0:00:14.080 I greatly appreciate it. 0:00:14.120 --> 0:00:16.080 As you guys can see from the title of this video, 0:00:16.520 --> 0:00:19.680 we're going to talk about my surgery journey and have 0:00:19.720 --> 0:00:24.480 a special guest, my doctor Remus Repta. He ultimately has 0:00:24.600 --> 0:00:27.120 changed my life for the better and has made me 0:00:27.160 --> 0:00:31.880 feel so confident and safe under his care, under his 0:00:32.640 --> 0:00:36.479 faculties care, under everything like I just feel very comfortable, 0:00:36.479 --> 0:00:38.800 and I'm so grateful. So thank you so much for 0:00:38.880 --> 0:00:42.320 flying out here to be here. I really really appreciate it. 0:00:42.360 --> 0:00:43.159 Thanks for having us. 0:00:43.600 --> 0:00:45.320 Of course, of course I couldn't. 0:00:45.360 --> 0:00:50.440 Everyone has always asked me questions about you, about my surgeries, 0:00:50.520 --> 0:00:53.400 about the process, and I felt what better way is 0:00:53.479 --> 0:00:57.520 to get the man himself to get on the podcast 0:00:57.560 --> 0:01:00.240 and to answer all the questions and to share I 0:01:00.240 --> 0:01:05.639 guess also my a bit of my journey. To start out, 0:01:05.840 --> 0:01:08.559 I had found doctor Repta, I believe. 0:01:08.840 --> 0:01:10.959 I think the first one was twenty twenty one. The 0:01:11.000 --> 0:01:15.120 first surgery my tummy tuck. Yeah, my tummy tuck BBL. 0:01:16.280 --> 0:01:20.840 But prior to that I had lived very on a 0:01:21.000 --> 0:01:24.200 very I've been on a diet my whole life basically, 0:01:24.240 --> 0:01:26.560 and it was kind of messing me with me mentally 0:01:26.640 --> 0:01:29.840 until I got more into it and more serious about 0:01:29.840 --> 0:01:33.160 my mental health and taking care of myself after COVID, 0:01:34.200 --> 0:01:37.520 and then I had found doctor Repta. I believe I 0:01:37.560 --> 0:01:40.319 would just I was just scrolling I had seen and 0:01:40.400 --> 0:01:43.600 I felt very discouraged because a lot of doctors do 0:01:43.720 --> 0:01:49.760 not allow surgeries due to BEMI, and I'm lucky that 0:01:49.920 --> 0:01:54.600 you you do, which I guess is my first questions 0:01:54.680 --> 0:01:57.400 because I think everybody has always asked, like, is there's 0:01:57.440 --> 0:01:59.880 no bm MY requirement at your office? 0:02:00.200 --> 0:02:02.400 Yeah, I don't have a BMI or a weight requirement? 0:02:02.560 --> 0:02:05.440 Okay, what And the reason is why? Because I feel 0:02:05.480 --> 0:02:07.960 like some people would probably see it as like a 0:02:07.960 --> 0:02:13.480 little scary, like make taking a risk yep, So can 0:02:13.520 --> 0:02:16.040 you elaborate on why why you don't have VMI? 0:02:16.760 --> 0:02:19.320 I think that's the ultimate question, and that's the question 0:02:19.360 --> 0:02:23.000 that we get often. I think sometimes people are afraid 0:02:23.000 --> 0:02:26.320 to ask because it's like maybe like, hey, why are 0:02:26.320 --> 0:02:29.400 you doing this when other people aren't? So there's a 0:02:29.440 --> 0:02:33.560 little full philosophical component to it too, right, So I 0:02:33.639 --> 0:02:37.960 like to look at all knowledge as temporary, right, because 0:02:38.080 --> 0:02:40.520 we think we know stuff until we find something else. 0:02:41.360 --> 0:02:46.519 So the true source of that is back in the 0:02:46.639 --> 0:02:48.600 nineteen eighties, way back in the nineteen eighties. You have 0:02:48.639 --> 0:02:52.000 to remember, it's like forty years ago. There was a 0:02:52.040 --> 0:02:54.880 paper that got published and all they did is they 0:02:54.960 --> 0:03:01.960 looked at complication rates for body contering and then associated 0:03:02.000 --> 0:03:05.680 with different levels of BMI, and they plotted this data 0:03:05.720 --> 0:03:08.440 out and they showed the higher the BMI, the higher 0:03:08.480 --> 0:03:11.720 the complication rate in terms of like infection and healing 0:03:11.840 --> 0:03:17.880 things of that nature. And that ended up basically setting 0:03:17.919 --> 0:03:23.760 the stage for plastic surgery community, the plastic surgeons putting 0:03:23.800 --> 0:03:27.200 an arbitrary cut off at either thirty or thirty five, 0:03:27.400 --> 0:03:30.440 even though there's a spectrum. It's like it wasn't like 0:03:30.480 --> 0:03:32.720 the complication rate all of a sudden, it's like zero, 0:03:32.800 --> 0:03:35.560 then like one hundred percent. Right. But that's what I'm 0:03:35.560 --> 0:03:37.800 talking about in terms of like knowledge is always a 0:03:37.840 --> 0:03:41.440 little bit temporary. And so I went through that same process, 0:03:41.480 --> 0:03:44.640 I learned the same information. In fact, when I took tests, 0:03:44.760 --> 0:03:47.160 that's what I answered, like, Hey, what's the what would 0:03:47.200 --> 0:03:49.520 you tell someone that came in with the BMI thirty five, 0:03:49.920 --> 0:03:52.640 And that's one of the questions that even like during residency, 0:03:52.640 --> 0:03:54.520 and the right answers like, well, tell them to lose 0:03:54.560 --> 0:04:02.840 some way. But for me, I had this thought that, hey, 0:04:02.920 --> 0:04:06.240 I yes, the complication rate does go higher up with 0:04:06.280 --> 0:04:09.000 the higher BMI, but that's if you do the same 0:04:09.120 --> 0:04:12.400 thing for everyone. But what if you customize it, what 0:04:12.440 --> 0:04:14.200 if you change it? Because at the end of the day, 0:04:14.800 --> 0:04:19.640 we do surgeries on high BMI patients non electively, Like 0:04:19.680 --> 0:04:22.960 if you have a heart attack or a mass on 0:04:23.000 --> 0:04:25.480 your breast, let's say, you know, we would we would 0:04:25.480 --> 0:04:28.240 do breast reconstruction all day long on people with BMIs 0:04:28.240 --> 0:04:30.400 of thirty five, forty, forty five, fifty. But then we 0:04:30.440 --> 0:04:34.400 would say no tummy tak you know, or no elective 0:04:34.480 --> 0:04:39.280 cosmetic surgery. So anyways, I started on that journey when 0:04:39.320 --> 0:04:40.840 I started my practice back in two as and A. 0:04:40.960 --> 0:04:42.800 I said, you know, I think it can be done, 0:04:43.440 --> 0:04:45.560 and I think it can be done safely and effectively. 0:04:45.640 --> 0:04:47.920 It just has to I have to figure out how 0:04:47.960 --> 0:04:52.160 to do it slowly, so incrementally increase the BMI, incrementally 0:04:52.200 --> 0:04:54.719 change how I do things before, during, and after surgery. 0:04:55.040 --> 0:04:57.560 So it's been a sixteen year journey to get to 0:04:57.600 --> 0:04:59.360 where we are now. So in the beginning, I started 0:04:59.400 --> 0:05:02.919 doing BMI's of thirty thirty five maybe forty, testing it 0:05:02.920 --> 0:05:05.760 out and then looking how the patients did, changing how 0:05:05.760 --> 0:05:08.120 I instructed the patients, how I did things before surgery, 0:05:08.160 --> 0:05:12.919 during surgery, after surgery, looking at the tissues, changing my design, 0:05:13.240 --> 0:05:16.920 and then it's just slowly increased that because safety is 0:05:16.920 --> 0:05:20.040 always the most important, right. Yeah, And so I think 0:05:20.160 --> 0:05:22.640 last year we did a BMI of eighty eight. Wow, 0:05:22.720 --> 0:05:25.039 now out of a gallop out of New York. She 0:05:25.160 --> 0:05:28.680 flew in the BMI of eighty eight, and even with 0:05:28.800 --> 0:05:30.919 my staff was used to doing high b and my patients, 0:05:30.920 --> 0:05:34.600 even they got a little bit concerned, like maybe maybe 0:05:34.640 --> 0:05:38.040 we finally pushed it beyond, but we stuck to what 0:05:38.080 --> 0:05:41.720 we know how to do in terms of educating the patient, 0:05:41.800 --> 0:05:45.120 designing the time you took, helping them recover, and she 0:05:45.160 --> 0:05:48.120 healed flawlessly, flew back to New York. Yeah. So anyways, 0:05:48.720 --> 0:05:51.839 the circle of that answer to your questions a long 0:05:51.880 --> 0:05:57.599 answer is I do it because I've been slowly developing aeroblastics. 0:05:57.600 --> 0:06:00.839 Like you've done your you have your little recipe, yeah, 0:06:01.080 --> 0:06:04.320 you know, and you've done every part, which is why 0:06:04.400 --> 0:06:08.640 I feel so confident in being under and comfortable with you. 0:06:08.760 --> 0:06:11.520 And I love that you give the opportunity for a 0:06:11.520 --> 0:06:16.000 lot of plus size women because it's almost physically impossible, 0:06:16.640 --> 0:06:17.000 you know. 0:06:17.839 --> 0:06:19.240 They tell us it's impossible. 0:06:19.600 --> 0:06:21.440 I've told a lot of people, and I love that 0:06:21.720 --> 0:06:24.120 you know, you make it possible and make them feel 0:06:24.120 --> 0:06:29.640 safe and comfortable, and you have a special like the 0:06:29.680 --> 0:06:31.240 way you handle it is amazing. 0:06:32.839 --> 0:06:37.760 What is like your process before surgery? I've always wondered, 0:06:37.839 --> 0:06:38.760 because you're very. 0:06:38.600 --> 0:06:42.039 Calm, you're very collected, you you know, you go in, 0:06:42.120 --> 0:06:43.760 you're very confident about everything. 0:06:43.800 --> 0:06:45.920 So is there like a process that you do before surgery? 0:06:46.120 --> 0:06:48.560 Yeah, and it's changed along the way. I think we 0:06:48.640 --> 0:06:52.839 all change NonStop in our personal lives and our professional lives, 0:06:52.960 --> 0:06:55.640 and hopefully we change for the better. We adapt, we 0:06:55.680 --> 0:06:59.320 try to grow, we try to understand our weaknesses. I've 0:06:59.360 --> 0:07:02.400 always been a little bit on the OCD side, which 0:07:02.440 --> 0:07:04.159 is perfect. I got into the right profession for that. 0:07:05.400 --> 0:07:07.760 I've always been nervous, and even to this day, I 0:07:07.839 --> 0:07:10.640 have a little bit of that nervous energy about me, 0:07:11.000 --> 0:07:15.400 but I channel it into double checking, checking and triple checking. 0:07:15.840 --> 0:07:19.160 So my current process. Obviously. Now it's on sixteen plus 0:07:19.280 --> 0:07:21.679 years of experience, so things come a little bit more naturally. 0:07:22.160 --> 0:07:27.200 But I still visualize the surgery and I get into 0:07:27.520 --> 0:07:29.520 the office super early. I get in there, I got 0:07:29.560 --> 0:07:33.679 five five fifteen patients show up around six. I don't 0:07:33.800 --> 0:07:36.560 start marking them until about maybe six fifteen, So I 0:07:36.560 --> 0:07:40.680 have about an hour plus to visualize that surgery. And 0:07:40.720 --> 0:07:43.920 then we take a course preoperative photos beforehand and they're 0:07:43.960 --> 0:07:45.840 in the chart. So then I look at the photos 0:07:46.160 --> 0:07:48.600 and I make little mental notes, Ah, this is a 0:07:48.640 --> 0:07:50.680 little high here, this is a little bit big, this 0:07:50.720 --> 0:07:52.120 is a little bit you know, This leaves a little 0:07:52.160 --> 0:07:54.559 you know, and then I go through my stages. Okay, 0:07:55.000 --> 0:07:57.880 what do I want to avoid? You know? And so 0:07:58.160 --> 0:08:00.160 by the time I get into the operating room, a 0:08:00.160 --> 0:08:04.000 lot of the analytics, the design, the mental gymnastictics have 0:08:04.120 --> 0:08:06.480 been done, so now I can focus a little bit 0:08:06.520 --> 0:08:09.040 more on that artistry component. But that's my process. My 0:08:09.120 --> 0:08:11.600 process is visualizing and then looking at the photos prior. 0:08:11.680 --> 0:08:14.880 Yeah, you already have it mentally planned, and I get 0:08:14.920 --> 0:08:17.680 that I have LCD too, so I get like, very 0:08:18.120 --> 0:08:20.640 if it doesn't go through, yeah, do you Okay? 0:08:20.640 --> 0:08:22.720 So how do you prepare for the worst? 0:08:23.000 --> 0:08:25.960 Well, I think it's interesting because obviously you have to 0:08:26.040 --> 0:08:28.800 zoom way back out, so safety first, right, So obviously 0:08:29.440 --> 0:08:31.640 you never want to take the things for granted that 0:08:31.960 --> 0:08:35.600 result in the most health related things like obviously things 0:08:35.640 --> 0:08:38.880 that are associated with the heart and lung, so you know, 0:08:39.000 --> 0:08:42.920 heart attacks and pulmonary embolisms and all that stuff. And 0:08:43.480 --> 0:08:46.400 although I want to let go of things and delegate, 0:08:46.520 --> 0:08:48.439 I'm always my hands are always in it, so I'm 0:08:48.440 --> 0:08:52.640 always at the risk of maybe even you know, stepping 0:08:52.640 --> 0:08:54.640 on feet. I always double check with my staff, so 0:08:54.679 --> 0:08:57.160 as we're doing it, even though I've had staff for many, 0:08:57.200 --> 0:08:59.680 many years, I still double check because we're all humans, right, 0:09:00.040 --> 0:09:01.959 So as I'm doing my part, I touch base with 0:09:02.000 --> 0:09:04.640 my nurse. Is this on? You know? And they're like, yes, 0:09:04.640 --> 0:09:06.480 it's on. I've done it like a nine times. And 0:09:06.520 --> 0:09:09.280 then the anesthesiologists have we given that medication? You know? Yeah? 0:09:09.679 --> 0:09:12.760 You know. And I think as a team, that's what 0:09:12.800 --> 0:09:14.719 you do. You know, if you're a basketball team or 0:09:14.720 --> 0:09:17.319 a football team, everyone gets into a huddle like, hey, 0:09:17.320 --> 0:09:21.840 who's doing what? And I you know, and so we 0:09:21.960 --> 0:09:24.120 prepare for the worst by over preparing. 0:09:24.320 --> 0:09:26.160 Yeah, we're going to go on a quick break and 0:09:26.240 --> 0:09:28.920 we'll be right back with doctor Repdo Welcome back. 0:09:28.960 --> 0:09:31.920 You guys. Have you had any complications ever. 0:09:31.960 --> 0:09:35.400 Or complications always happened? Any surgeon who tells you that 0:09:35.400 --> 0:09:38.480 they've never had a complication is either lying or they're 0:09:38.480 --> 0:09:42.960 not operating enough. Because even during let's say a tummy tuck, 0:09:43.559 --> 0:09:48.640 there's thousands of sutures, hundreds of steps, dozens of medications, 0:09:48.640 --> 0:09:51.120 and little to dos. We've never had a death and 0:09:51.120 --> 0:09:54.200 that's the most important part. Yeah, ninety nine out of 0:09:54.240 --> 0:09:58.439 one hundred times, the patients fly through the process seamlessly 0:09:58.480 --> 0:10:01.040 with THETT complications. The vast majority of times when we 0:10:01.040 --> 0:10:04.680 do have a complications, there's small complications like suture pops, 0:10:05.160 --> 0:10:07.640 hair fowl, cole gets in grown. There's basically things that 0:10:07.679 --> 0:10:09.760 you just put a little dressing on it resolve itself. 0:10:10.200 --> 0:10:12.839 But I have had a handful of complications along the 0:10:12.840 --> 0:10:14.720 way where it did require me to go back in 0:10:14.760 --> 0:10:17.520 and address, you know, like maybe clean things out or 0:10:17.920 --> 0:10:20.480 set to the hospital for ivy atibiotics or things of 0:10:20.480 --> 0:10:23.680 that nature. I've had a few patients long ago you 0:10:23.760 --> 0:10:25.440 have to send them to the hospital because they need 0:10:25.480 --> 0:10:27.560 like extra care that you can't take care of the 0:10:27.559 --> 0:10:29.800 surgery center like a blood transfusion or something like that. 0:10:30.440 --> 0:10:33.840 But we do eight nine, ten twelve hour surgeries, you know, 0:10:34.040 --> 0:10:37.319 ten liter plus lipos and over sixteen years. The chances 0:10:37.360 --> 0:10:41.840 of someone doing those complicated long surgeries over sixteen years 0:10:41.880 --> 0:10:45.080 and not having any complicated it's zero zero for sure. 0:10:45.679 --> 0:10:50.080 It's something's bound to happen. But yeah, you've handled it well. 0:10:50.600 --> 0:10:54.080 You know the process. Again, that is why I'm so 0:10:54.200 --> 0:10:58.560 confident in being with you in your care. And when 0:10:58.600 --> 0:11:02.480 I had gotten my tummy tuck MBBL, when I tell you, guys, 0:11:02.559 --> 0:11:03.680 I felt no pain. 0:11:03.720 --> 0:11:05.880 And maybe that's just me. Everybody's body is different. 0:11:06.280 --> 0:11:08.920 But even after the second surgery of the light bo 0:11:09.080 --> 0:11:12.760 and the breastlift, like I've had no complications that I've 0:11:12.880 --> 0:11:14.280 felt healthy. 0:11:14.600 --> 0:11:18.240 I've felt awake, very very awake. 0:11:18.640 --> 0:11:21.760 And maybe that might be a little bit bit bad 0:11:21.800 --> 0:11:23.800 because then I feel like I'm okay and I need 0:11:23.840 --> 0:11:26.520 a you know, I need a rest, but I don't 0:11:26.559 --> 0:11:32.280 sometimes And I can honestly say, it's how you structure everything, 0:11:32.320 --> 0:11:33.920 it's how you suture everything. 0:11:34.080 --> 0:11:35.520 It's you know, the team. 0:11:35.559 --> 0:11:41.960 You have an amazing energy and amazing office. You know, 0:11:42.080 --> 0:11:46.800 I love every single person there. But what made you 0:11:46.840 --> 0:11:49.120 want to get into this specific practice? 0:11:50.280 --> 0:11:52.680 Well, I think the journey starts on you know, what 0:11:52.880 --> 0:11:56.000 made you go? What makes anyone go into medicine in general? Right? 0:11:56.200 --> 0:11:59.960 And so for me, it's actually a little bit about 0:12:00.160 --> 0:12:03.199 a funny story. So my parents. I was born in Romania, right, 0:12:03.720 --> 0:12:06.280 and so we moved to the US, actually Los Angeles, 0:12:06.280 --> 0:12:08.920 we moved initially, and so my parents being from a 0:12:08.920 --> 0:12:10.959 poor country, then they actually even went to high school 0:12:10.960 --> 0:12:13.360 because they're more of like a blue collar work and 0:12:13.400 --> 0:12:15.800 so for me, I had no idea of what professions 0:12:15.800 --> 0:12:18.640 there exist, So I kind of picked up cut profession 0:12:18.679 --> 0:12:20.440 out of a hat sort of space, so like doctor, 0:12:20.440 --> 0:12:23.000 because you don't really know other than you'd think of, like, oh, 0:12:23.000 --> 0:12:25.079 I can be an artist, or I can be an architect, 0:12:25.120 --> 0:12:26.920 a lot of stuff. And then when I got to 0:12:27.000 --> 0:12:30.360 med school, I didn't really like anything other than working 0:12:30.400 --> 0:12:32.920 with my hands, you know, which is interesting because blue 0:12:32.920 --> 0:12:36.000 collar parents and all this stuff. And so then I 0:12:36.559 --> 0:12:39.120 luckily I ran into my mentor, who was a plastic 0:12:39.160 --> 0:12:42.840 surgeon and med school and then I love doing that 0:12:43.000 --> 0:12:45.280 and he kind of took me under his his kind 0:12:45.320 --> 0:12:47.080 of wing. And then in that course, you go to 0:12:47.120 --> 0:12:48.959 residency and so on and so forth. So that's how 0:12:49.000 --> 0:12:52.840 I got into medicine and plastics. And then when I 0:12:52.880 --> 0:12:57.600 did my first fellowship was in Charlotte, and I was 0:12:57.840 --> 0:13:00.320 fortunate enough to work with a gentleman he since tired, 0:13:00.360 --> 0:13:03.800 who was a big body conterying surgeon, and he had 0:13:03.840 --> 0:13:05.920 all these ideas and all this work. And then so 0:13:06.000 --> 0:13:08.560 I was like the young guy coming in and so 0:13:08.760 --> 0:13:12.559 together I did all the like the administrative hard work, 0:13:12.640 --> 0:13:14.760 and I used he of course his idea, his experience. 0:13:14.800 --> 0:13:17.959 So we wrote a book together, it's called Atlas of Abdominoplasty. 0:13:18.720 --> 0:13:21.000 And then that then of course set up the stage 0:13:21.040 --> 0:13:24.480 for me to then do complicated tummy tuk's revisions, repairs, 0:13:24.480 --> 0:13:27.800 all that stuff. So when I moved to Phoenix started 0:13:27.800 --> 0:13:31.000 my practice, I almost instantly just started doing all everyone's 0:13:31.040 --> 0:13:34.080 like revisions. Right, So you're automatically all you're doing is 0:13:34.160 --> 0:13:36.839 revision timy tuch, revision tummy tuck, and you're doing you're 0:13:36.840 --> 0:13:39.400 seeing all these complications of other surgeons, and you're starting 0:13:39.400 --> 0:13:44.040 to learn, right, and then then that naturally led me 0:13:44.080 --> 0:13:46.920 to the higher BMI patients. Right. Yeah, So that's you 0:13:46.960 --> 0:13:48.560 can see how the dominoes kind of help. 0:13:49.320 --> 0:13:52.640 You're a very hard working man, and you know you 0:13:52.720 --> 0:13:54.400 have a lot. You know, they tell me he has 0:13:54.400 --> 0:13:56.960 a surgery this day, this day, this day. When what 0:13:57.040 --> 0:13:59.080 do you do on your time off or when do 0:13:59.080 --> 0:13:59.960 you think it's time to retire? 0:14:01.040 --> 0:14:03.400 That's a question, that's a great question. I've been thinking 0:14:03.400 --> 0:14:07.360 about it more actually recently. I don't know why not 0:14:07.440 --> 0:14:09.160 that I'm going to retire. I love what I do, 0:14:09.360 --> 0:14:12.480 but I think, you know, you go over some peak 0:14:12.679 --> 0:14:14.760 and then you kind of almost like start seeing the horizon, 0:14:14.840 --> 0:14:17.360 and you like, I better start planning for this, because 0:14:17.679 --> 0:14:20.120 first of all, you're not gonna do it forever. You know, 0:14:20.560 --> 0:14:22.440 in order to do this type of surgery, your body 0:14:22.440 --> 0:14:24.240 has to be in good shape. Eventually it wears out 0:14:24.280 --> 0:14:26.280 and you got to like transition to something else. So 0:14:26.320 --> 0:14:28.360 I've been thinking about it more. Which it's not a 0:14:28.360 --> 0:14:31.160 midlife crisis, but maybe it's the beginning of a midlife crisis. 0:14:31.800 --> 0:14:33.200 But I've been thinking about it because you know, you 0:14:33.280 --> 0:14:37.480 have to plan for it. So on the my time off, 0:14:38.000 --> 0:14:39.680 my wife and I have a place in a place 0:14:39.720 --> 0:14:41.760 called Pace in Arizona. It's up in the kind of 0:14:41.760 --> 0:14:44.880 the woods, and I just we just go up there. 0:14:45.000 --> 0:14:48.200 We you know, have a vegetable garden, and I pretend 0:14:48.200 --> 0:14:50.200 like I'm a lumberjack and cut down trees and stuff 0:14:50.240 --> 0:14:53.800 like that. Yeah. Yeah, Like I'm not a surgeon, but 0:14:53.840 --> 0:14:56.120 it's interesting because I'm still working with my hands. Banwa 0:14:56.280 --> 0:14:58.920 in like a lower pressure environment, so in a weird way, 0:14:58.920 --> 0:15:02.680 it kind of works. I used to race cars more often. 0:15:02.800 --> 0:15:05.440 I should start getting back to that. You know, you 0:15:05.760 --> 0:15:08.120 start falling off the horse. You're busy, and then so 0:15:08.160 --> 0:15:09.880 all of a sudden, like a week turns until a month, 0:15:09.920 --> 0:15:12.320 and a month turns it to six. Then six months, 0:15:12.320 --> 0:15:14.160 your car doesn't work any work because it's been sitting there. 0:15:15.080 --> 0:15:17.800 So a little bit of car racing, a little bit 0:15:17.800 --> 0:15:19.200 of outdoor work. 0:15:20.400 --> 0:15:21.600 You take the time for yourself. 0:15:22.160 --> 0:15:24.360 I do. I have to. I have to. I have 0:15:24.440 --> 0:15:29.760 to come back on Mondays and be not so much physically, 0:15:29.760 --> 0:15:31.760 although physically you have to be in good shape because 0:15:31.760 --> 0:15:34.320 if you do eight ten hour surgeries, we have to 0:15:34.320 --> 0:15:36.840 be mentally there. Because you can't cut corners. Once you 0:15:36.880 --> 0:15:38.520 cut one and then you cut two, they need to 0:15:38.520 --> 0:15:42.200 cut five. Then you're mediocre. Then it becomes unsafe. Yes, yeah, 0:15:42.680 --> 0:15:45.040 so you have to be one hundred percent there because again, 0:15:45.080 --> 0:15:47.160 like we talked about, I have to double check everyone's work. 0:15:47.160 --> 0:15:49.200 Everyone does a great job my stat in my office 0:15:49.240 --> 0:15:52.560 and my surgery center, but I'm the quarterback now and 0:15:52.640 --> 0:15:55.000 I have to be responsible for the patient. The patient's 0:15:55.080 --> 0:15:57.560 totally out and I have to It's my job to 0:15:57.600 --> 0:16:01.360 be ocd to the detriment of every analysis, right, So 0:16:01.400 --> 0:16:03.800 I have to. You know, when you're slightly burnt out 0:16:03.880 --> 0:16:05.760 or even a little bit lack of daisical, you don't 0:16:05.760 --> 0:16:08.000 have that mental energy to double check everyone's work. And 0:16:08.040 --> 0:16:09.280 I have to be one hundred percent there. 0:16:09.480 --> 0:16:11.920 Yeah, And I think that's important, especially I think in 0:16:11.960 --> 0:16:14.960 your field, like you have a you know, have to 0:16:15.000 --> 0:16:18.200 mean on call, I'm assuming and just making sure, you know, 0:16:18.280 --> 0:16:20.280 taking that time for yourself. And I think in any 0:16:20.360 --> 0:16:22.160 line of work, I think it's super important to make 0:16:22.200 --> 0:16:24.840 sure you have that time to yourself because you, like 0:16:24.880 --> 0:16:27.560 you said, you are in the operating room eight to 0:16:27.680 --> 0:16:31.200 nine ten hours, you know, and you only you said 0:16:31.240 --> 0:16:33.720 you only do surgery once a day. 0:16:33.760 --> 0:16:38.280 Today I will we we do about eight to ten 0:16:38.360 --> 0:16:43.440 hours of surgery per day, about three days per week. Yeah, 0:16:43.640 --> 0:16:48.760 And obviously sometimes it fluctuates a little bit. If I 0:16:48.800 --> 0:16:52.560 do a like a ten to twelve hour surgery. I 0:16:52.600 --> 0:16:55.200 really feel it the next Dayeah. Yeah, And you know, 0:16:55.280 --> 0:16:56.880 like ten years ago, maybe I would have sprung back. 0:16:57.200 --> 0:16:59.920 So now I'm starting to book those longer surgeries, going 0:17:00.040 --> 0:17:01.560 to like the weekend, you know, because I need that 0:17:01.680 --> 0:17:02.560 gre corporation time. 0:17:03.600 --> 0:17:05.480 Is there a favorite surgery you like to perform? 0:17:06.080 --> 0:17:08.600 Well, you know, it's interesting. I think we all want 0:17:08.680 --> 0:17:10.880 to be good at something, and then when when you're 0:17:10.920 --> 0:17:12.679 good at something, you like it. When you like it, 0:17:12.720 --> 0:17:15.480 you lookod at you know. So it's like a circular process. 0:17:15.960 --> 0:17:21.120 So I feel supremely confident in tummy ducks. Not that 0:17:21.400 --> 0:17:23.520 there's no room for improvement, not that there's no room 0:17:23.560 --> 0:17:27.960 for learning, but I just feel so confident and so 0:17:28.040 --> 0:17:31.320 I love doing those plus with the higher be of 0:17:31.359 --> 0:17:33.920 my patients, with a patient clientele that we have now, 0:17:34.080 --> 0:17:37.320 the results are so dramatic and there's just so fun. 0:17:37.680 --> 0:17:39.800 They're just so fun seeing the patient even like you know, 0:17:39.960 --> 0:17:41.959 they say in our overnight facility. In the next day, 0:17:42.359 --> 0:17:44.239 they I take a quick peek at them and they 0:17:44.240 --> 0:17:47.560 look in the mirror and like instant emotion on their part. 0:17:47.600 --> 0:17:49.280 That kind of gets me a little bit emotional. All 0:17:49.359 --> 0:17:52.080 stuff and so it's nice to see that dramatic, that 0:17:52.160 --> 0:17:56.520 dramatic change. Technically, rhino classes are super fun because you 0:17:56.560 --> 0:17:58.840 can be ocd and you're rewarded for it because a 0:17:58.880 --> 0:18:02.879 millimeter is makes a difference. A millimeter in a timmy do, 0:18:03.040 --> 0:18:07.120 Nobody's gonna notice it, right, But in the rhino classes 0:18:07.160 --> 0:18:09.680 you can futs around with a millimeter and it's totally appropriate. 0:18:09.800 --> 0:18:11.919 Yeah, you know, let's I want to talk about the 0:18:11.920 --> 0:18:16.120 broad line blacklift because you specialize in that, right, which 0:18:16.160 --> 0:18:18.520 is basically I like to call it the tummy talk 0:18:18.560 --> 0:18:21.240 for the back submi tug for the back. 0:18:21.600 --> 0:18:24.040 How did you discover that and what? 0:18:24.359 --> 0:18:27.840 Because I feel like you're you're master at that as well, 0:18:28.000 --> 0:18:29.600 which is what I have gotten as well. I have 0:18:29.640 --> 0:18:33.840 the tummy tuck BBL, the broad line backlift all in 0:18:33.880 --> 0:18:35.680 one surgery, and then we. 0:18:35.600 --> 0:18:38.399 Did the light bulb and breastlift. 0:18:38.560 --> 0:18:41.560 Yeah, but that was the part of my first ones, 0:18:41.600 --> 0:18:43.920 and I would love I want to know more about that. 0:18:44.960 --> 0:18:46.040 It's worked wonders for me. 0:18:46.440 --> 0:18:49.480 You know, sometimes the skin back here and you know, 0:18:49.560 --> 0:18:51.320 I learn a lot of new things from you as well, 0:18:51.359 --> 0:18:52.040 but it. 0:18:52.160 --> 0:18:54.480 Just it's sometimes it's not going to go away. That's 0:18:54.480 --> 0:18:57.879 the best way to do it. But yes, tell me 0:18:57.880 --> 0:18:58.280 about that. 0:18:58.520 --> 0:19:00.919 Yeah. So The broad Line back Cliff got published in 0:19:00.960 --> 0:19:03.600 two thousand and eight, and it was actually my mentor. 0:19:04.040 --> 0:19:06.600 His name is Joe Huntedd. He since retired as the gentleman. 0:19:06.680 --> 0:19:09.480 I spoke what I did my first fellowship. He had 0:19:09.880 --> 0:19:12.800 experimented and kind of come up with that procedure. And 0:19:12.840 --> 0:19:14.920 then so when I did his fellowship, in fact, I 0:19:14.960 --> 0:19:18.520 was like his first main fellow. He had all these 0:19:18.560 --> 0:19:21.640 ideas and knowledge and but it never got out there. 0:19:21.640 --> 0:19:23.520 You know. He was like basically you know, because he's 0:19:23.520 --> 0:19:25.879 just so busy. And so he and I published The 0:19:25.920 --> 0:19:28.480 broad Line back Left, and then I think it's a 0:19:28.520 --> 0:19:30.840 great procedure. I think it's exactly like you said, it's 0:19:30.840 --> 0:19:33.600 like a time you talk for the back, and it's 0:19:33.640 --> 0:19:35.439 it's such a good way to think about it, because 0:19:35.480 --> 0:19:38.000 if you have loose skin in the front, you have 0:19:38.040 --> 0:19:39.840 no problems doing a time. He's like, women get it 0:19:39.840 --> 0:19:42.800 all the time, and I think in the back for 0:19:42.840 --> 0:19:44.320 a long time, people are like, well, there's loose skin 0:19:44.359 --> 0:19:46.479 in the back that's not even due, you know, But 0:19:46.560 --> 0:19:48.520 that's like one half of the equation, because the waste 0:19:48.600 --> 0:19:51.400 needs to be smooth and contoured all the way around, right, 0:19:51.960 --> 0:19:54.920 And so then over the last sixteen years, I just 0:19:55.440 --> 0:19:58.600 refined it, refined it, refined it. And if you do 0:19:58.640 --> 0:20:01.040 it really well and you do some light pup back there, 0:20:01.359 --> 0:20:02.960 and just like the tummy, if you do a good 0:20:03.000 --> 0:20:05.520 timmy and you do the lightpol through the flying, then 0:20:05.560 --> 0:20:09.359 the waist gets so it doesn't get longer, it gets narrow, 0:20:09.480 --> 0:20:12.679 but it looks longer. Yeah, right yeah, and then the 0:20:12.760 --> 0:20:15.240