1 00:00:02,080 --> 00:00:05,160 Speaker 1: Welcome to Wellness on MASS I'm doctor Nicole Saffire and 2 00:00:05,240 --> 00:00:08,880 Speaker 1: today's episode is an interesting one and I'll tell you why. 3 00:00:09,560 --> 00:00:13,560 Speaker 1: As a woman, there is no escaping perimenopause and menopause. 4 00:00:13,640 --> 00:00:17,239 Speaker 1: I'm sorry, ladies, but everyone is going to go through it. 5 00:00:17,280 --> 00:00:20,520 Speaker 1: Is there a menopause, Yes, there absolutely is a manopause, 6 00:00:20,600 --> 00:00:24,040 Speaker 1: but that is for an entirely different episode. So men, 7 00:00:24,760 --> 00:00:26,799 Speaker 1: listen to this one because you may be able to 8 00:00:26,840 --> 00:00:30,320 Speaker 1: learn some things. But ladies, this is for you. One 9 00:00:30,360 --> 00:00:32,839 Speaker 1: of the things that I find, honestly a little bit 10 00:00:32,920 --> 00:00:36,440 Speaker 1: comical is we have so many things to make us 11 00:00:36,440 --> 00:00:39,199 Speaker 1: feel better, and right now, if you're not wearing a 12 00:00:39,240 --> 00:00:42,760 Speaker 1: weighted vest as you walk outside, you're not part of 13 00:00:42,760 --> 00:00:46,640 Speaker 1: that perimenopause menopause club. Apparently I have yet to purchase one, 14 00:00:46,720 --> 00:00:50,760 Speaker 1: but it's certainly on my list. People love it, and 15 00:00:51,120 --> 00:00:52,520 Speaker 1: I do want to be a part of that club, 16 00:00:52,560 --> 00:00:56,800 Speaker 1: I guess. But here's the question I have. Yes, I 17 00:00:56,880 --> 00:01:01,080 Speaker 1: know that taking our life into our hands with some 18 00:01:01,160 --> 00:01:06,440 Speaker 1: wellness stuff, changing our diet, exercising wear, wearing weighted vests, 19 00:01:06,720 --> 00:01:09,000 Speaker 1: weightlifting and all these other things can be really good 20 00:01:09,000 --> 00:01:11,600 Speaker 1: for us. It doesn't just make us look better, feel better, 21 00:01:11,720 --> 00:01:14,920 Speaker 1: but it actually makes us healthier and improves our quality 22 00:01:14,959 --> 00:01:18,880 Speaker 1: in life, may even help us live longer, healthier and longer. 23 00:01:19,600 --> 00:01:23,000 Speaker 1: But one of the things that is less talked about 24 00:01:23,440 --> 00:01:26,720 Speaker 1: is that there are actually some surgical interventions that might 25 00:01:26,760 --> 00:01:29,160 Speaker 1: be able to help women get to the place where 26 00:01:29,160 --> 00:01:31,839 Speaker 1: they feel better as well. And yes, I'm talking about 27 00:01:31,880 --> 00:01:35,399 Speaker 1: plastic surgery, but I'm not talking about plastic surgery kind 28 00:01:35,440 --> 00:01:37,840 Speaker 1: of as you traditionally think about it. One of the 29 00:01:37,840 --> 00:01:40,920 Speaker 1: things that we don't talk about as much is, yes, 30 00:01:41,000 --> 00:01:43,360 Speaker 1: there are all these things that we can do to 31 00:01:43,400 --> 00:01:46,399 Speaker 1: look better, feel better, but there's a lot of stigma 32 00:01:46,440 --> 00:01:48,440 Speaker 1: around some of it. Okay, there's not a lot of 33 00:01:48,480 --> 00:01:53,760 Speaker 1: stigma around you know, weightlifting, for women eating healthier, wearing 34 00:01:53,760 --> 00:01:56,200 Speaker 1: these weighted vests. They kind of go in that fool 35 00:01:56,240 --> 00:01:59,200 Speaker 1: of acceptable things we can do to make ourselves feel better. 36 00:01:59,760 --> 00:02:03,040 Speaker 1: But what about plastic surgery. Now, I'm not talking about 37 00:02:03,080 --> 00:02:06,000 Speaker 1: cosmetic plastic surgery, and you know that traditional sense where 38 00:02:06,000 --> 00:02:08,799 Speaker 1: it's like, oh, I have an Italian bump on my nose, 39 00:02:08,880 --> 00:02:11,480 Speaker 1: which I do if you ever seen me from a 40 00:02:11,520 --> 00:02:14,600 Speaker 1: profile shot. I want to get rid of my bump. 41 00:02:14,639 --> 00:02:16,960 Speaker 1: That's going to make me feel better. Okay, that's fine. 42 00:02:17,040 --> 00:02:18,840 Speaker 1: I mean, whatever you've got to do to make yourself 43 00:02:18,880 --> 00:02:23,160 Speaker 1: feel better. You know, making changes to yourself on the 44 00:02:23,200 --> 00:02:26,640 Speaker 1: outside doesn't necessarily help the person on the inside. But 45 00:02:26,680 --> 00:02:29,280 Speaker 1: anybody who ignores the fact that it can make you 46 00:02:29,320 --> 00:02:32,639 Speaker 1: feel better on the inside, they're being dishonest. So whatever 47 00:02:32,680 --> 00:02:34,880 Speaker 1: actually makes you feel better, I'm all for. 48 00:02:35,720 --> 00:02:35,800 Speaker 2: Do. 49 00:02:35,880 --> 00:02:40,440 Speaker 1: I think people overdo it with plastic surgery, undoubtedly, but 50 00:02:40,880 --> 00:02:44,200 Speaker 1: there are some things that you can actually do, specifically 51 00:02:44,400 --> 00:02:49,200 Speaker 1: for women like myself who have had children. Our bodies, 52 00:02:49,520 --> 00:02:52,280 Speaker 1: God bless our bodies because we are able to hold 53 00:02:52,280 --> 00:02:55,920 Speaker 1: these children, create these children, grow these children, birth these children, 54 00:02:55,960 --> 00:03:00,600 Speaker 1: and then raise these children. But yes, pregnant to see 55 00:03:00,680 --> 00:03:04,280 Speaker 1: for it takes a toll on our bodies. And one 56 00:03:04,320 --> 00:03:06,800 Speaker 1: of the things we keep telling women you have to 57 00:03:06,840 --> 00:03:09,200 Speaker 1: be exercising, you have to keep a strong core, you 58 00:03:09,240 --> 00:03:11,519 Speaker 1: have to do all these things if you want to 59 00:03:11,560 --> 00:03:14,959 Speaker 1: be healthy for your children as they grow up. Okay, well, 60 00:03:15,040 --> 00:03:17,240 Speaker 1: for some of us, you know, we can get some 61 00:03:17,280 --> 00:03:20,720 Speaker 1: conditions that leave muscles incredibly weak and make it very 62 00:03:20,760 --> 00:03:23,799 Speaker 1: difficult to do some of those exercises. So I am 63 00:03:23,919 --> 00:03:26,840 Speaker 1: very excited to have on Wellness en Mass today. A 64 00:03:26,880 --> 00:03:30,520 Speaker 1: friend and colleague doctor Jonathan Sherwin, who is a board 65 00:03:30,560 --> 00:03:34,400 Speaker 1: certified plastic surgeon in the New York City area. Plastic 66 00:03:34,440 --> 00:03:38,040 Speaker 1: surgeon to the stars. I know many people that he 67 00:03:38,120 --> 00:03:41,600 Speaker 1: has worked on. I've referred many people to him. He 68 00:03:41,680 --> 00:03:44,800 Speaker 1: does an excellent job, and he is all about trying 69 00:03:44,840 --> 00:03:48,040 Speaker 1: to make a woman feel better functionally, and he is 70 00:03:48,080 --> 00:03:52,600 Speaker 1: here to talk all about mommy makeovers. And I am 71 00:03:52,680 --> 00:03:56,080 Speaker 1: on a mission to get rid of the stigma behind 72 00:03:56,240 --> 00:03:59,200 Speaker 1: these mommy makeovers because it's not just about getting rid 73 00:03:59,200 --> 00:04:02,160 Speaker 1: of excess skin and fat. It's about so much more 74 00:04:02,200 --> 00:04:05,240 Speaker 1: than that, and it's about setting us up to a 75 00:04:05,320 --> 00:04:08,000 Speaker 1: place where we can get back to the gym, get 76 00:04:08,040 --> 00:04:10,880 Speaker 1: back to feeling stronger and healthier and really living that 77 00:04:10,960 --> 00:04:13,320 Speaker 1: life that we want to live and throwing on a 78 00:04:13,320 --> 00:04:14,960 Speaker 1: weight to vest if that's what we want to do. 79 00:04:15,480 --> 00:04:20,760 Speaker 1: So let's bring in doctor Sherwin. Okay, Well, I am 80 00:04:20,880 --> 00:04:23,200 Speaker 1: very excited to have on today a friend of mine 81 00:04:23,279 --> 00:04:26,040 Speaker 1: but also a colleague and someone I admire very much, 82 00:04:26,240 --> 00:04:29,240 Speaker 1: Doctor Jonathan Sherwin. He is a board certified plastic surgeon 83 00:04:29,279 --> 00:04:33,360 Speaker 1: in Manhattan and Greenwich area, and he is just a 84 00:04:33,400 --> 00:04:36,680 Speaker 1: wealth of knowledge and excited to have him today because 85 00:04:37,120 --> 00:04:39,720 Speaker 1: I have a lot of plastic surgery questions. Doctor Sherwin, 86 00:04:39,800 --> 00:04:40,560 Speaker 1: thanks for being on. 87 00:04:41,040 --> 00:04:43,080 Speaker 2: It's a pleasure and a privilege. 88 00:04:43,400 --> 00:04:46,080 Speaker 1: Okay, so I just have to I have to talk 89 00:04:46,120 --> 00:04:48,279 Speaker 1: about the elephant in the room. Although this is not 90 00:04:48,560 --> 00:04:50,880 Speaker 1: the big thing I really want to talk to you about. 91 00:04:51,279 --> 00:04:54,719 Speaker 1: I'm more interested in the functional aspects of plastic surgery, 92 00:04:55,360 --> 00:04:59,120 Speaker 1: but inquiring minds want to know. If you look at 93 00:04:59,120 --> 00:05:02,159 Speaker 1: social media or I've had to talk about it on TV, 94 00:05:02,760 --> 00:05:05,480 Speaker 1: people are starting to pop up with what they're calling 95 00:05:05,560 --> 00:05:10,320 Speaker 1: these subtle facelifts. I think Chris Jenner, who's the matriarch 96 00:05:10,480 --> 00:05:15,279 Speaker 1: of the Kardashian family, is recently looking mightily refreshed. People 97 00:05:15,320 --> 00:05:19,160 Speaker 1: have questioned whether Lindsay Lohan and some other people, what 98 00:05:19,200 --> 00:05:19,880 Speaker 1: do you make of this? 99 00:05:21,200 --> 00:05:28,440 Speaker 2: Well, I think that a lot of the popularity and 100 00:05:28,600 --> 00:05:33,160 Speaker 2: facelifts today are a reflection of use of GLP ones, 101 00:05:33,960 --> 00:05:41,359 Speaker 2: social media, also FaceTime and zoom. Some individuals refer to 102 00:05:41,400 --> 00:05:44,400 Speaker 2: it as the zoom boom because people are seeing themselves 103 00:05:44,400 --> 00:05:48,520 Speaker 2: on camera. What I would say in respect to the 104 00:05:48,640 --> 00:05:51,960 Speaker 2: subtle facelift, The first thing I would say is that 105 00:05:52,560 --> 00:05:56,160 Speaker 2: the beautiful thing about plastic surgery is that everybody is 106 00:05:56,200 --> 00:06:00,000 Speaker 2: an individual. Their needs are individual, their requirements are individual, 107 00:06:00,360 --> 00:06:05,760 Speaker 2: and so each procedure has to be has to address 108 00:06:06,760 --> 00:06:09,640 Speaker 2: that individual's needs and requirements. So that's the first thing 109 00:06:09,680 --> 00:06:15,479 Speaker 2: I would say. Plastic surgery, particularly when it addresses facial rejuvenation, 110 00:06:16,000 --> 00:06:21,359 Speaker 2: reflects a targeted approach, So you have to address the 111 00:06:21,440 --> 00:06:26,560 Speaker 2: areas of concern the patient's goals. To that end, I 112 00:06:26,600 --> 00:06:28,960 Speaker 2: think that more and more procedures are being done at 113 00:06:29,000 --> 00:06:32,760 Speaker 2: a younger age. They're young is too young? 114 00:06:33,000 --> 00:06:34,279 Speaker 1: Like you? What are you seeing? 115 00:06:34,640 --> 00:06:38,320 Speaker 2: Well, I've seen patients in their late thirties come in, 116 00:06:38,480 --> 00:06:42,840 Speaker 2: believe it or not, patients that have lost a significant 117 00:06:42,839 --> 00:06:46,120 Speaker 2: amount of weight. I have even been very, very surprised 118 00:06:46,800 --> 00:06:51,000 Speaker 2: at the amount of laxity that some younger individuals maintain 119 00:06:51,200 --> 00:06:54,120 Speaker 2: for a variety of reasons. And as much as I 120 00:06:54,200 --> 00:07:00,600 Speaker 2: try to ask these patients to wait or try to 121 00:07:00,600 --> 00:07:04,400 Speaker 2: delay their procedures, they're very very dogged. They keep coming 122 00:07:04,440 --> 00:07:08,680 Speaker 2: back and they really pushed to have the procedure done. 123 00:07:08,720 --> 00:07:15,800 Speaker 2: But I've been personally very surprised pleasantly by the great 124 00:07:15,840 --> 00:07:19,720 Speaker 2: rejuvenation that you can accomplish. Some individuals refer to this 125 00:07:19,840 --> 00:07:24,200 Speaker 2: early in event intervention as pre juveniation, if you will, 126 00:07:24,680 --> 00:07:27,560 Speaker 2: But I think I want to emphasize too, that it 127 00:07:27,640 --> 00:07:31,960 Speaker 2: is a targeted approach. I think that techniques today are 128 00:07:32,840 --> 00:07:43,600 Speaker 2: emphasizing more hidden incisions, in conspicuous closures, in conspicuous incisions, 129 00:07:43,760 --> 00:07:49,880 Speaker 2: minimal incisions. I think that's been very, very greatly emphasized 130 00:07:49,960 --> 00:07:53,680 Speaker 2: even in the literature today. And the other thing that 131 00:07:53,760 --> 00:07:57,120 Speaker 2: I would emphasize as well is that the procedure and 132 00:07:57,200 --> 00:08:04,280 Speaker 2: the outcome must be esthetic pleasing, tastefully done, not over corrected. 133 00:08:06,680 --> 00:08:10,920 Speaker 2: And the results have been I think much improved. 134 00:08:10,520 --> 00:08:13,360 Speaker 1: In that regard. Well. So when I think of kind 135 00:08:13,360 --> 00:08:16,400 Speaker 1: of traditional facelifts, to be honest, someone who I saw 136 00:08:16,480 --> 00:08:19,000 Speaker 1: all the time always saw the scars was former President 137 00:08:19,080 --> 00:08:21,920 Speaker 1: Joe Biden. I mean that was, you know, he had 138 00:08:21,960 --> 00:08:25,440 Speaker 1: a very obvious facelift. You saw the scar kind of 139 00:08:25,440 --> 00:08:28,520 Speaker 1: going periuricular around his ear, and he always just looked 140 00:08:28,560 --> 00:08:32,880 Speaker 1: a little bit too surprised. What's different about what he 141 00:08:32,960 --> 00:08:36,280 Speaker 1: had done versus I mean, I'll be honest, Chris Jenner, 142 00:08:36,720 --> 00:08:38,840 Speaker 1: she looks amazing. Now. I get it if you have 143 00:08:39,000 --> 00:08:43,120 Speaker 1: hundreds of millions of dollars and and have a lifestyle 144 00:08:43,360 --> 00:08:44,959 Speaker 1: that is I don't want to say she lives a 145 00:08:45,000 --> 00:08:49,760 Speaker 1: stress free lifestyle. But we probably live different lives. That 146 00:08:49,840 --> 00:08:52,000 Speaker 1: may have something to do with it. But why does 147 00:08:52,040 --> 00:08:55,160 Speaker 1: she look so refreshed and Biden always looked like he 148 00:08:55,240 --> 00:08:56,400 Speaker 1: was scared or surprised. 149 00:08:57,679 --> 00:09:01,800 Speaker 2: Well, you know, a lot depends on the individual surgeon 150 00:09:01,880 --> 00:09:05,360 Speaker 2: and their approach. I do know the individual surgeon who 151 00:09:05,400 --> 00:09:09,200 Speaker 2: did her procedure. I know exactly what her procedure entailed 152 00:09:09,280 --> 00:09:14,240 Speaker 2: because I know the surgeon's particular technique. I just think 153 00:09:14,280 --> 00:09:20,679 Speaker 2: that it is the approach and how the procedure is executed. 154 00:09:20,800 --> 00:09:26,880 Speaker 2: I think that you know that factors very importantly to outcome. 155 00:09:27,760 --> 00:09:35,000 Speaker 2: Placement of incisions, how the incisions are concealed, on the 156 00:09:35,000 --> 00:09:38,640 Speaker 2: the procedure itself, and what it addresses, whether it addresses 157 00:09:38,679 --> 00:09:41,720 Speaker 2: the neck, the submentum, or the area underneath the chin 158 00:09:42,280 --> 00:09:46,120 Speaker 2: cheeks only, the vector of the left, meaning the direction 159 00:09:46,280 --> 00:09:50,960 Speaker 2: of the lift, and how every soft tissue is redraped. 160 00:09:51,440 --> 00:09:56,560 Speaker 2: Those are It's a very very multi factorial procedure and 161 00:09:57,000 --> 00:10:01,560 Speaker 2: each factor has to be corre directly addressed in order 162 00:10:01,600 --> 00:10:04,720 Speaker 2: to have a successful outcome. I agree with you in 163 00:10:04,800 --> 00:10:08,640 Speaker 2: terms of former President Biden. I think it's pretty obvious 164 00:10:10,200 --> 00:10:16,160 Speaker 2: to the person who's observant that he had worked one 165 00:10:16,280 --> 00:10:19,840 Speaker 2: and I don't think that his incisions were particularly well 166 00:10:19,960 --> 00:10:21,720 Speaker 2: placed or concealed, etc. 167 00:10:23,360 --> 00:10:24,920 Speaker 1: It really it's about the surgeon. 168 00:10:25,360 --> 00:10:28,680 Speaker 2: It is about the surgeon. It's about their technique. It's 169 00:10:28,840 --> 00:10:33,840 Speaker 2: how fastidious they are, how particular they are, how exacting 170 00:10:33,920 --> 00:10:39,440 Speaker 2: they are. It's not just the technique. It's also how 171 00:10:39,520 --> 00:10:45,160 Speaker 2: the individual surgeon performs that individual specific technique that makes 172 00:10:45,240 --> 00:10:48,600 Speaker 2: the difference, and that is plastic surgery. It's not just 173 00:10:49,160 --> 00:10:53,640 Speaker 2: a hernia of repair or removing an appendix. A lot 174 00:10:53,720 --> 00:10:55,360 Speaker 2: more goes into the procedure. 175 00:10:56,320 --> 00:11:00,400 Speaker 1: When you find people who are coming for facelifts, I mean, 176 00:11:00,520 --> 00:11:02,480 Speaker 1: they tend to be older, but as you're saying, with 177 00:11:02,559 --> 00:11:05,200 Speaker 1: the weight loss from the GLP ones, maybe people are 178 00:11:05,240 --> 00:11:08,199 Speaker 1: wanting these a little bit earlier. Most of these women, 179 00:11:08,320 --> 00:11:11,840 Speaker 1: I have to assume, have probably done botox and fillers 180 00:11:11,880 --> 00:11:14,000 Speaker 1: in their face. I mean usually, I mean that's kind 181 00:11:14,000 --> 00:11:16,480 Speaker 1: of the progression. You start out with botox, maybe they 182 00:11:16,600 --> 00:11:19,680 Speaker 1: move on to fillers, and then I guess facelift for people, 183 00:11:20,120 --> 00:11:22,440 Speaker 1: does that cause any issues for you? Like, do you 184 00:11:22,640 --> 00:11:25,319 Speaker 1: feel any of those fillers that are in the face. 185 00:11:26,440 --> 00:11:34,000 Speaker 2: Well, not infrequently when you're performing a facelift, and this 186 00:11:34,080 --> 00:11:36,000 Speaker 2: has happened to me, I know it's happened to other 187 00:11:36,200 --> 00:11:40,000 Speaker 2: surgeons as well. You'll come across old filler. It'll still 188 00:11:40,000 --> 00:11:44,720 Speaker 2: be there. As you're performing the facelift elevating the layers, 189 00:11:44,720 --> 00:11:49,839 Speaker 2: you'll come across old filler. Now, if there are occasions 190 00:11:49,920 --> 00:11:54,240 Speaker 2: when a patient is over volumeized that we will dissolve 191 00:11:54,280 --> 00:11:55,960 Speaker 2: the filler. We all know that. 192 00:11:56,000 --> 00:11:58,600 Speaker 1: Look right, that's a big monk cheeks kind of like 193 00:11:58,640 --> 00:11:59,600 Speaker 1: pushing in their eyes. 194 00:12:00,240 --> 00:12:04,240 Speaker 2: Sometimes we will recommend that the filler be dissolved prior 195 00:12:04,320 --> 00:12:07,960 Speaker 2: to procedure. I have done that on several patients who 196 00:12:08,040 --> 00:12:12,800 Speaker 2: are so heavy with volume there's such distortion that we 197 00:12:12,840 --> 00:12:17,560 Speaker 2: will recommend dissolving filler prior to procedure. On other occasions, 198 00:12:17,559 --> 00:12:22,800 Speaker 2: when the filler may not be that evident, you'll just 199 00:12:22,880 --> 00:12:27,400 Speaker 2: be you performing your procedure in the middle of procedure 200 00:12:27,400 --> 00:12:31,040 Speaker 2: and you'll come across old filler. That doesn't create a 201 00:12:31,120 --> 00:12:38,240 Speaker 2: problem per se, unless it's done to such a degree 202 00:12:38,280 --> 00:12:43,000 Speaker 2: that it generates scar tissue. Not to digress too much, 203 00:12:43,120 --> 00:12:49,319 Speaker 2: but there are other procedures which generate a fair amount 204 00:12:49,360 --> 00:12:52,520 Speaker 2: of scar tissue. Threadlifting is one of the procedures that 205 00:12:52,559 --> 00:12:55,400 Speaker 2: are out there that can generate a fair amount of fibrosis, 206 00:12:55,840 --> 00:12:58,800 Speaker 2: and the surgeon just has to work through that scar 207 00:12:58,880 --> 00:13:04,360 Speaker 2: tissue or fibrosis is in order to successfully perform the procedure. 208 00:13:04,640 --> 00:13:13,400 Speaker 2: But fillers per se, they don't, they don't really compromise 209 00:13:13,520 --> 00:13:16,559 Speaker 2: the procedure. But again, I think the factor is whether 210 00:13:16,679 --> 00:13:21,200 Speaker 2: to dissolve before or not. The surgeon just has to 211 00:13:21,240 --> 00:13:24,440 Speaker 2: be aware and that's part of taking a very very 212 00:13:25,800 --> 00:13:30,120 Speaker 2: thorough history and physical on your patients. I always ask, 213 00:13:30,600 --> 00:13:35,240 Speaker 2: do you think women tend to lie? It's like, you 214 00:13:35,280 --> 00:13:37,960 Speaker 2: know what, not only not not only do they lie, 215 00:13:38,080 --> 00:13:41,440 Speaker 2: but you know, frankly, some women are very poor historians. 216 00:13:41,679 --> 00:13:45,960 Speaker 2: So you don't know prior to procedure certain things. And 217 00:13:46,000 --> 00:13:48,280 Speaker 2: then once you're in the heat of battle as I 218 00:13:48,320 --> 00:13:51,560 Speaker 2: call it, you come across various things. And then when 219 00:13:51,559 --> 00:13:55,880 Speaker 2: you query the patient after procedure, oh, by the way, 220 00:13:56,280 --> 00:13:59,320 Speaker 2: we found X y Z, and then jobs their memory. 221 00:13:59,520 --> 00:14:03,200 Speaker 1: Speaking for women everywhere, I'm going to push back on 222 00:14:03,280 --> 00:14:06,760 Speaker 1: the women are poor historians. I think we're selective historians 223 00:14:06,880 --> 00:14:09,560 Speaker 1: because I think when women, we tend to think that 224 00:14:09,640 --> 00:14:12,439 Speaker 1: we know better, and we just tell our doctors what 225 00:14:12,480 --> 00:14:14,040 Speaker 1: they think is important for them to know. 226 00:14:14,520 --> 00:14:17,080 Speaker 2: Okay, I don't I don't mean to make a blanket 227 00:14:17,120 --> 00:14:21,040 Speaker 2: statement about being a poor historian. Some some patients in general, 228 00:14:21,080 --> 00:14:26,600 Speaker 2: male or female, are poor historians. But you know, it's 229 00:14:27,640 --> 00:14:31,440 Speaker 2: it doesn't really compromise procedure. It's just nice to be aware, 230 00:14:31,640 --> 00:14:32,120 Speaker 2: that's all. 231 00:14:32,680 --> 00:14:34,400 Speaker 1: Well, I guess that's good to know. I really do 232 00:14:34,480 --> 00:14:39,840 Speaker 1: hate that look of the overfilled face, just that chipmunk love. 233 00:14:39,920 --> 00:14:42,560 Speaker 1: I absolutely start to look the same. 234 00:14:42,360 --> 00:14:45,840 Speaker 2: After what absolutely absolutely agree. I think when it comes 235 00:14:45,920 --> 00:14:50,960 Speaker 2: to botox or injectables, as we say, I'm a huge 236 00:14:50,960 --> 00:14:58,160 Speaker 2: fan of botox, fillers have to be done very very judiciously, 237 00:14:59,160 --> 00:15:05,000 Speaker 2: very careful, very cautiously, because once you cross that line, 238 00:15:05,120 --> 00:15:07,240 Speaker 2: it becomes a negative not a positive. 239 00:15:07,640 --> 00:15:09,800 Speaker 1: Well, you know what's I think? What I have a 240 00:15:09,840 --> 00:15:12,280 Speaker 1: little chuckle at these days you have so many of 241 00:15:12,280 --> 00:15:15,640 Speaker 1: these wellness people online and on TV, and they're like, oh, 242 00:15:15,680 --> 00:15:18,680 Speaker 1: I only eat clean and I only do loose sleep teeks, 243 00:15:18,720 --> 00:15:21,360 Speaker 1: I'm avoiding microplastic, and now I'm on my way to 244 00:15:21,400 --> 00:15:24,280 Speaker 1: go get my Bochu light box and injected in my face. 245 00:15:24,320 --> 00:15:27,400 Speaker 1: It's like, all right, Picker chrees your battles. That's fine, right. 246 00:15:28,040 --> 00:15:28,640 Speaker 2: I digress. 247 00:15:29,320 --> 00:15:31,960 Speaker 1: One thing that I talked about on TV recently on 248 00:15:32,000 --> 00:15:34,760 Speaker 1: Fox and Friends, we did a segment. It was all 249 00:15:34,800 --> 00:15:37,880 Speaker 1: about the fact that one of the Kardashians, Kim Kardashian, 250 00:15:37,960 --> 00:15:40,600 Speaker 1: came out with this device that you sleep in that 251 00:15:41,600 --> 00:15:45,520 Speaker 1: strangles you. Essentially, it's like a compression device but for 252 00:15:45,560 --> 00:15:50,280 Speaker 1: your chin and neck and just to try and have 253 00:15:50,440 --> 00:15:53,400 Speaker 1: like a chisel jawline when you wake up in the morning. 254 00:15:53,560 --> 00:15:56,800 Speaker 1: And I guess the overarching theme there is, you know, 255 00:15:56,880 --> 00:16:00,360 Speaker 1: compression almost like corset work of the abdomen, but maybe 256 00:16:00,360 --> 00:16:02,760 Speaker 1: on the neck and the jaw, which again I thought 257 00:16:02,840 --> 00:16:05,240 Speaker 1: again was a little cheeky in the sense that her 258 00:16:05,280 --> 00:16:09,240 Speaker 1: mother just displayed this beautifully done face. But yeah, no, no, 259 00:16:09,440 --> 00:16:11,360 Speaker 1: the rest of us, We'll just wear this corset on 260 00:16:11,400 --> 00:16:14,120 Speaker 1: our neck while we sleep. Sounded like a terrible idea 261 00:16:14,160 --> 00:16:15,880 Speaker 1: to me, But that got me doing a lot of 262 00:16:15,960 --> 00:16:19,720 Speaker 1: research on the benefits of lymphatic drainage of the face, 263 00:16:20,360 --> 00:16:23,440 Speaker 1: something that I kind of have doing myself personally. But 264 00:16:23,480 --> 00:16:26,440 Speaker 1: I'm curious, what's your thoughts on lymphatic drainage. 265 00:16:26,720 --> 00:16:33,400 Speaker 2: So lymphatic drainage, just a little historical perspective, believe it 266 00:16:33,480 --> 00:16:37,040 Speaker 2: or not, was first described in the nineteen thirties by 267 00:16:37,280 --> 00:16:39,800 Speaker 2: a gentleman by the name of E. Meal. Botter and 268 00:16:39,960 --> 00:16:42,320 Speaker 2: since that time, so that's about one hundred years ago, 269 00:16:42,400 --> 00:16:45,480 Speaker 2: believe it or not, that it's been in existence. There 270 00:16:45,520 --> 00:16:50,360 Speaker 2: have been about three modifications of that original description, but 271 00:16:51,920 --> 00:16:59,560 Speaker 2: manual lymphatic drainage definitely has significant benefits for a variety 272 00:16:59,560 --> 00:17:02,320 Speaker 2: of reasons. It's, first of all, it represents one of 273 00:17:02,360 --> 00:17:10,840 Speaker 2: the adjunctive therapies that plastic surgeons healthcare professionals use for patients. 274 00:17:11,359 --> 00:17:17,879 Speaker 2: Initially it was couched in reconstructive surgery, if you will, 275 00:17:18,080 --> 00:17:24,440 Speaker 2: or following reconstructive surgery, it's now progressed into body contour 276 00:17:24,560 --> 00:17:31,720 Speaker 2: surgery in terms of lifting techniques or excisional procedures, liposuction, 277 00:17:32,520 --> 00:17:38,040 Speaker 2: revision surgery. It has a multitude of very definite benefits. 278 00:17:38,040 --> 00:17:48,359 Speaker 2: It reduces swelling and bruising, diminishes pain and discomfort, promotes relaxation, sleep, 279 00:17:48,560 --> 00:17:50,800 Speaker 2: It accelerates the recovery process. 280 00:17:51,040 --> 00:17:52,440 Speaker 1: It boosts the immune system too. 281 00:17:52,440 --> 00:17:58,600 Speaker 2: It helps, yes, it absolutely does. It eliminates those circulating 282 00:17:58,640 --> 00:18:03,520 Speaker 2: toxins which are a byproduct of surgery and surgical procedures, 283 00:18:04,440 --> 00:18:07,320 Speaker 2: and improves circulation. So it has a multitude of benefits 284 00:18:07,359 --> 00:18:13,760 Speaker 2: and it's actually become more much more mainstream these days. 285 00:18:13,800 --> 00:18:16,040 Speaker 2: A lot of patients will come in and even ask 286 00:18:16,119 --> 00:18:20,679 Speaker 2: about it. They'll volunteer in terms of, well should I 287 00:18:20,760 --> 00:18:27,159 Speaker 2: look into lymphatic manual lymphatic massage or drainage after my procedure, 288 00:18:27,480 --> 00:18:33,199 Speaker 2: And we actually provide a number of location centers practitioners 289 00:18:33,240 --> 00:18:39,919 Speaker 2: who do this procedure for those persons who are a 290 00:18:39,960 --> 00:18:46,119 Speaker 2: candidate or inquire about it and really wish to go 291 00:18:46,240 --> 00:18:49,760 Speaker 2: that route. But it's definitely very very beneficial. It has 292 00:18:49,800 --> 00:18:56,520 Speaker 2: to be performed, certainly by qualified practitioners, certified therapists have 293 00:18:56,600 --> 00:18:56,720 Speaker 2: to do. 294 00:18:56,760 --> 00:18:58,680 Speaker 1: There's some things you can do at home as well. 295 00:19:00,640 --> 00:19:03,800 Speaker 1: You can have a therapeutic lymphatic drainage massage, absolutely and 296 00:19:03,800 --> 00:19:05,760 Speaker 1: there's nothing better than that. But you know, for people 297 00:19:05,800 --> 00:19:08,080 Speaker 1: every day, I mean you can wake up and you know, 298 00:19:08,200 --> 00:19:11,000 Speaker 1: do some massages on your face or on your legs 299 00:19:11,119 --> 00:19:11,800 Speaker 1: that can kind of help. 300 00:19:12,320 --> 00:19:18,160 Speaker 2: Absolutely. Literature even points to providing at when it's done 301 00:19:18,160 --> 00:19:21,720 Speaker 2: on the face, providing more of a glow, improving the 302 00:19:21,800 --> 00:19:24,720 Speaker 2: skin the look of the skin. Even acne believe it 303 00:19:24,840 --> 00:19:27,800 Speaker 2: or not, there are reports in the literature that it's 304 00:19:27,840 --> 00:19:31,640 Speaker 2: beneficial in that regard as well. So you're absolutely correct. 305 00:19:31,640 --> 00:19:34,760 Speaker 2: It does not have to be at a center or 306 00:19:34,880 --> 00:19:39,359 Speaker 2: a with a certified therapist. It's becoming very very mainstream, 307 00:19:40,080 --> 00:19:45,159 Speaker 2: and I do think that it's very very advantageous on 308 00:19:45,760 --> 00:19:46,480 Speaker 2: many levels. 309 00:19:47,560 --> 00:19:51,160 Speaker 1: Put some videos up on my social media after this launches, 310 00:19:51,320 --> 00:19:53,320 Speaker 1: just to give some technique on the face so we 311 00:19:53,359 --> 00:19:55,639 Speaker 1: can all save a couple of dollars and try and 312 00:19:55,680 --> 00:19:57,160 Speaker 1: get that beautiful level. 313 00:19:57,480 --> 00:20:01,520 Speaker 2: Absolutely, definitely, it's it's certainly stood the test of time, 314 00:20:03,000 --> 00:20:06,880 Speaker 2: and it definitely has very very tangible benefits. I've seen 315 00:20:06,960 --> 00:20:09,040 Speaker 2: it many many times in my practice. 316 00:20:09,640 --> 00:20:11,720 Speaker 1: So I really thank you so much. I wanted to 317 00:20:11,720 --> 00:20:13,360 Speaker 1: get into that. But what I really want to talk 318 00:20:13,359 --> 00:20:16,320 Speaker 1: to you about as I get older and older by 319 00:20:16,359 --> 00:20:20,119 Speaker 1: the minute, it feels like and I've entered my perimenopause 320 00:20:20,200 --> 00:20:25,480 Speaker 1: menopause era obviously, you know in medical school a couple 321 00:20:25,600 --> 00:20:28,480 Speaker 1: decades ago. Now I don't want to age myself. But 322 00:20:29,280 --> 00:20:32,560 Speaker 1: you know, we don't really talk much about what happens 323 00:20:32,560 --> 00:20:38,040 Speaker 1: to our body after pregnancy and the hormones and the 324 00:20:38,080 --> 00:20:42,040 Speaker 1: mental and physical effect the toll of pregnancy and just 325 00:20:42,080 --> 00:20:45,359 Speaker 1: being an aging woman has on the body. There's a 326 00:20:45,359 --> 00:20:48,880 Speaker 1: lot of stigma around plastic surgery. As you know, people 327 00:20:48,960 --> 00:20:50,919 Speaker 1: you know are kind of whispering like, oh, did she 328 00:20:51,000 --> 00:20:54,800 Speaker 1: have something done, she looks different, and in fact, people 329 00:20:55,080 --> 00:20:57,679 Speaker 1: sometimes it's hard for people to even compliment on a 330 00:20:57,720 --> 00:21:00,919 Speaker 1: woman after she's had work done. Times that's because the 331 00:21:00,960 --> 00:21:04,560 Speaker 1: work can be just so over the top that it's like, whoa, 332 00:21:04,560 --> 00:21:07,080 Speaker 1: we've gone too far. I feel like the goal should 333 00:21:07,119 --> 00:21:08,960 Speaker 1: be where you almost don't even realize that they had 334 00:21:08,960 --> 00:21:13,400 Speaker 1: plastic surgery. Absolutely, I want to ask you what's really 335 00:21:13,480 --> 00:21:18,440 Speaker 1: the difference about, you know, functional or reconstructive plastic surgery. 336 00:21:18,520 --> 00:21:21,400 Speaker 1: Now I'm not talking about, you know, like war victims 337 00:21:21,480 --> 00:21:25,000 Speaker 1: or trauma victims. I'm more talking about for like a 338 00:21:25,040 --> 00:21:27,800 Speaker 1: woman who's you know, getting a little bit older. What 339 00:21:27,880 --> 00:21:32,439 Speaker 1: are some things that classic surgery offers. While it's thrown 340 00:21:32,440 --> 00:21:35,160 Speaker 1: in the bucket of being cosmetic, it's actually a lot 341 00:21:35,200 --> 00:21:36,640 Speaker 1: more towards the reconstructive. 342 00:21:38,040 --> 00:21:42,720 Speaker 2: Well, I think there are a number of procedures that 343 00:21:43,920 --> 00:21:51,040 Speaker 2: fall into that category. Certainly, then the first that comes 344 00:21:51,119 --> 00:21:57,280 Speaker 2: to mind would be restoration of a woman's core, as 345 00:21:57,720 --> 00:22:02,320 Speaker 2: performed in tummy talk or abdominoplasty. How we refer to that, 346 00:22:02,800 --> 00:22:05,200 Speaker 2: I think that's one of the most significant. 347 00:22:05,760 --> 00:22:07,920 Speaker 1: And so what is that is just removing a bunch 348 00:22:07,960 --> 00:22:09,600 Speaker 1: of excess skin from. 349 00:22:09,280 --> 00:22:16,000 Speaker 2: Well, yeah, it's it's correcting what's called the diastasis. Technically 350 00:22:16,000 --> 00:22:20,760 Speaker 2: it's referred to as diastasis recte abdominance worthy a. 351 00:22:21,520 --> 00:22:25,480 Speaker 1: Canyon that forms down a woman's when the muscles it'll 352 00:22:25,480 --> 00:22:26,560 Speaker 1: come back together all the way. 353 00:22:27,040 --> 00:22:33,320 Speaker 2: Exactly so, prior to pregnancy, your younger years, the muscles 354 00:22:33,320 --> 00:22:39,639 Speaker 2: are more anatomically aligned, and with pregnancy they separate and 355 00:22:39,800 --> 00:22:48,040 Speaker 2: that can represent a significant compromise to somebody's core. And 356 00:22:48,119 --> 00:22:50,879 Speaker 2: the core is really defined as the level from the 357 00:22:51,000 --> 00:22:56,359 Speaker 2: diaphragm all the way including the pelvic floor, and as such, 358 00:22:58,880 --> 00:23:05,840 Speaker 2: restoration of a woman's core can be extremely significant to 359 00:23:05,960 --> 00:23:09,400 Speaker 2: a patient. Many times patients will come in with back 360 00:23:09,520 --> 00:23:15,720 Speaker 2: pain or back instability or discomfort that's very very resistant 361 00:23:16,400 --> 00:23:20,600 Speaker 2: to core training as we call it, and they come 362 00:23:20,680 --> 00:23:25,240 Speaker 2: in very compromised. And this particular procedure where there is 363 00:23:26,640 --> 00:23:31,320 Speaker 2: restoration or correction, I should say, of the diastasis, is 364 00:23:31,520 --> 00:23:34,159 Speaker 2: very impactful. As a matter of fact, there was a study, 365 00:23:34,640 --> 00:23:37,560 Speaker 2: a very excellent study published in the British Journal of 366 00:23:37,640 --> 00:23:40,440 Speaker 2: Surgery in twenty twenty one. It was a retrospective three 367 00:23:40,520 --> 00:23:45,600 Speaker 2: year study out of Sweden, and it was actually republished 368 00:23:45,640 --> 00:23:50,239 Speaker 2: by the National Institutes of Health and It was an 369 00:23:50,280 --> 00:23:56,200 Speaker 2: excellent study and it listed the myriad benefits of correction 370 00:23:56,320 --> 00:24:02,040 Speaker 2: of the diastasis and providing or stability stability of the 371 00:24:02,080 --> 00:24:07,159 Speaker 2: abdominal muscles, the back muscles. It even found objectively, I 372 00:24:07,320 --> 00:24:11,440 Speaker 2: might add that there was correction of urinary incontinence, improvement 373 00:24:11,520 --> 00:24:16,400 Speaker 2: of bowel function basically because of stabilization of the pelvic four. 374 00:24:16,640 --> 00:24:19,560 Speaker 2: So the first thing that would be on my list, 375 00:24:19,640 --> 00:24:24,200 Speaker 2: if you will, would be the abdominal plasty which works 376 00:24:24,280 --> 00:24:26,640 Speaker 2: to correct the core. And the other thing I would 377 00:24:26,760 --> 00:24:33,680 Speaker 2: mention is many many times incidentally or discovered and diagnosed preoperatively. 378 00:24:33,840 --> 00:24:37,320 Speaker 2: A lot of patients will come in with ventral hernia 379 00:24:37,880 --> 00:24:38,960 Speaker 2: either that are. 380 00:24:38,880 --> 00:24:42,679 Speaker 1: Found or fat well, yeah, goes through the aboun I. 381 00:24:42,720 --> 00:24:45,879 Speaker 2: Mean, and the ventral hernia consists of a number of 382 00:24:46,040 --> 00:24:49,040 Speaker 2: different types of hernia. Could be an epicastric hernia, it 383 00:24:49,080 --> 00:24:51,960 Speaker 2: could be an umbilical hernia, or an incisional hernia from 384 00:24:52,000 --> 00:24:57,840 Speaker 2: prior procedures, even laparoscopies that are found incidentally during procedure. 385 00:24:58,080 --> 00:25:03,360 Speaker 2: All of those corrective measures are extremely significant for patients 386 00:25:03,440 --> 00:25:08,760 Speaker 2: in terms of functional restoration. Really, in addition to that, 387 00:25:09,160 --> 00:25:12,720 Speaker 2: I mean, there are other procedures that we categorize as 388 00:25:13,800 --> 00:25:19,280 Speaker 2: reconstruction if you will. Breast reductions are categorized by plastic 389 00:25:19,359 --> 00:25:23,399 Speaker 2: surgeons as reconstructive, not aesthetic, even though there is certainly 390 00:25:23,400 --> 00:25:29,320 Speaker 2: an esthetic component to the procedure. Many times it's categorized 391 00:25:29,480 --> 00:25:34,120 Speaker 2: as more reconstruction. Whether a patient comes in with neck pain, 392 00:25:34,359 --> 00:25:39,600 Speaker 2: upper back pain, shoulder discomfort, rashes beneath the breasts, all 393 00:25:39,640 --> 00:25:46,240 Speaker 2: of those things can become manifest perimenopausally or postmenopausal or postpartum. 394 00:25:47,400 --> 00:25:51,639 Speaker 2: That's one of the procedures that's very commonplace in the 395 00:25:51,680 --> 00:25:55,160 Speaker 2: so called MOMMI make ver if you will. But these 396 00:25:55,320 --> 00:26:05,240 Speaker 2: all provide for functional improvement, restoration, recovery for women who 397 00:26:05,359 --> 00:26:06,560 Speaker 2: present with these issues. 398 00:26:08,240 --> 00:26:12,880 Speaker 1: So I almost wonder because even that term mommy makeover 399 00:26:13,040 --> 00:26:17,359 Speaker 1: in itself that kind of seems like frivolous to a 400 00:26:17,440 --> 00:26:20,600 Speaker 1: woman that it's not. I mean, you just laid out 401 00:26:20,920 --> 00:26:24,520 Speaker 1: many reasons why women should absolutely consider this. Increasing their 402 00:26:24,560 --> 00:26:28,240 Speaker 1: core strength, increasing their pelvic floor. Many women after having 403 00:26:28,320 --> 00:26:32,440 Speaker 1: children have some urinarian continence. And no, that doesn't sound 404 00:26:32,560 --> 00:26:34,800 Speaker 1: very sexy, but try jumping on a trampoline with your 405 00:26:34,880 --> 00:26:37,239 Speaker 1: kids after having those kids. Sometimes that's a little bit 406 00:26:37,280 --> 00:26:40,040 Speaker 1: tricky because there's actually something that can be done to 407 00:26:40,600 --> 00:26:43,399 Speaker 1: improve that. We should be normalizing a little more. I 408 00:26:43,440 --> 00:26:45,639 Speaker 1: mean you see women walking out on the streets with 409 00:26:45,760 --> 00:26:48,960 Speaker 1: their weighted vests every day, now, I mean that is 410 00:26:49,040 --> 00:26:52,359 Speaker 1: like the hallmark sign of I'm in perimenopause metopause and 411 00:26:52,359 --> 00:26:55,320 Speaker 1: I'm working on my core. Well, that's great. You want 412 00:26:55,320 --> 00:26:57,280 Speaker 1: to be exercising, you want to be eating right, you 413 00:26:57,320 --> 00:26:59,240 Speaker 1: want to I guess, be wearing your weighted best and 414 00:26:59,400 --> 00:27:01,760 Speaker 1: lifting weight and all these other things that women are 415 00:27:01,840 --> 00:27:04,560 Speaker 1: being told we should do. But how can we remove 416 00:27:04,640 --> 00:27:08,720 Speaker 1: that stigma of this quote unquote mommy makeover? And maybe 417 00:27:08,760 --> 00:27:10,760 Speaker 1: it should just be given a new name to kind 418 00:27:10,800 --> 00:27:11,120 Speaker 1: of help. 419 00:27:12,280 --> 00:27:16,400 Speaker 2: Yeah, I really don't think it should be stigmatized at all. 420 00:27:16,640 --> 00:27:19,800 Speaker 2: I mean I tell the moms that come into my 421 00:27:20,040 --> 00:27:26,480 Speaker 2: office that you know, having children is a wonderful gift 422 00:27:26,920 --> 00:27:29,560 Speaker 2: and it's a great thing, and you know this is 423 00:27:29,760 --> 00:27:33,359 Speaker 2: just part and parcel, sometimes not for every woman, but 424 00:27:33,520 --> 00:27:36,200 Speaker 2: for many women, part of that journey, if you will. 425 00:27:36,880 --> 00:27:43,400 Speaker 2: And I find tremendous satisfaction and gratification for turning back 426 00:27:43,480 --> 00:27:49,879 Speaker 2: the clock or allowing women to have that restoration functionally 427 00:27:50,440 --> 00:27:55,000 Speaker 2: and bringing them back to a better place. So I 428 00:27:56,160 --> 00:28:00,000 Speaker 2: hope it's you know, not stigmatized. It shouldn't be stigmatized. 429 00:28:00,320 --> 00:28:04,359 Speaker 2: If anything, I think women should be lauded for what 430 00:28:04,560 --> 00:28:08,560 Speaker 2: they've what they've been able to do in life and 431 00:28:08,680 --> 00:28:12,280 Speaker 2: that you know, giving birth and having children. I think 432 00:28:12,320 --> 00:28:17,720 Speaker 2: it's just a wonderful, wonderful thing, and I feel very 433 00:28:18,000 --> 00:28:21,359 Speaker 2: very happy to just be a part of that journey, 434 00:28:21,440 --> 00:28:21,920 Speaker 2: if you will. 435 00:28:22,880 --> 00:28:26,119 Speaker 1: I've heard many women talk about improved energy posture and 436 00:28:26,280 --> 00:28:30,159 Speaker 1: just being able to exercise again after they've gotten you know, 437 00:28:30,320 --> 00:28:33,000 Speaker 1: they've had their the abdominal plasty or the tummy tuck 438 00:28:33,080 --> 00:28:34,800 Speaker 1: or mommy make over, wherever you want to call it. 439 00:28:35,320 --> 00:28:39,320 Speaker 1: From your experience, how transformative do you see in your 440 00:28:39,360 --> 00:28:41,040 Speaker 1: patients on their day to day quality. 441 00:28:41,760 --> 00:28:45,800 Speaker 2: Well, I appreciate your bringing up the exercise factor because 442 00:28:45,800 --> 00:28:50,160 Speaker 2: I think that's very significant. Many many women are very 443 00:28:50,280 --> 00:28:53,640 Speaker 2: exercise driven today. And to your point, in that particular 444 00:28:53,720 --> 00:28:57,520 Speaker 2: study that I cited a month moment ago, quality of 445 00:28:57,600 --> 00:29:00,520 Speaker 2: life was one of the factors that they studied, and 446 00:29:00,920 --> 00:29:07,440 Speaker 2: the significant significant improvement of it was statistically significant and 447 00:29:07,640 --> 00:29:12,800 Speaker 2: very very to a very great percentage. But I find 448 00:29:12,880 --> 00:29:17,520 Speaker 2: that the quality of life in terms of every activity, 449 00:29:18,080 --> 00:29:22,560 Speaker 2: whether it's activity of daily living or exercise, or just 450 00:29:22,720 --> 00:29:27,480 Speaker 2: overall function or even discomfort if you will, the back discomfort, 451 00:29:27,560 --> 00:29:30,320 Speaker 2: the lower back discomfort. I've been very stricken by the 452 00:29:30,400 --> 00:29:34,080 Speaker 2: fact that women who have come in with very significant 453 00:29:35,000 --> 00:29:41,400 Speaker 2: back discomfort after procedure, they're markedly improved. So I think 454 00:29:41,480 --> 00:29:48,080 Speaker 2: the procedure is hugely beneficial. I'm not happy about any 455 00:29:48,320 --> 00:29:51,000 Speaker 2: kind of stigma. It should not be stigmatized at all. 456 00:29:51,520 --> 00:29:54,280 Speaker 2: I think that this is just an opportunity to help 457 00:29:54,400 --> 00:30:00,800 Speaker 2: women regain a better quality of life and fund better 458 00:30:00,960 --> 00:30:03,920 Speaker 2: on a daily basis. Whatever that means, whether it's activity 459 00:30:03,920 --> 00:30:07,840 Speaker 2: of daily living, exercise, et cetera, or just being symptom 460 00:30:07,920 --> 00:30:10,000 Speaker 2: free or pain free or discomfort free. 461 00:30:10,760 --> 00:30:13,600 Speaker 1: What's the ideal timing for women who are considering having 462 00:30:13,720 --> 00:30:17,920 Speaker 1: the mommy makeover? Like how long after pregnancy? Should they 463 00:30:17,920 --> 00:30:19,680 Speaker 1: wait until they've finished having babies? 464 00:30:19,760 --> 00:30:19,800 Speaker 2: Like? 465 00:30:19,880 --> 00:30:20,320 Speaker 1: What do you think? 466 00:30:20,920 --> 00:30:26,440 Speaker 2: So great question? First and foremost. I always tell women, 467 00:30:28,240 --> 00:30:33,520 Speaker 2: please wait until you're finished child bearing. I had a 468 00:30:33,600 --> 00:30:36,720 Speaker 2: patient come in recently who really was pushing to have 469 00:30:36,880 --> 00:30:39,920 Speaker 2: a procedure, but then in the same breath was saying, well, 470 00:30:40,000 --> 00:30:43,280 Speaker 2: I'm thinking about having another child in a year or so, 471 00:30:43,600 --> 00:30:48,440 Speaker 2: and I really recommended that she wait that being said, 472 00:30:48,480 --> 00:30:52,560 Speaker 2: I've had the opportunity to go back in on patients 473 00:30:52,600 --> 00:30:57,200 Speaker 2: who became inadvertently pregnant after having a procedure done. 474 00:30:58,000 --> 00:31:01,560 Speaker 1: You still can get pregnant and have a baby if you. 475 00:31:01,640 --> 00:31:07,600 Speaker 2: Have absolutely absolutely yes, it does not compromise pregnancy and 476 00:31:07,920 --> 00:31:12,120 Speaker 2: women can do that. So to answer your question, I 477 00:31:12,280 --> 00:31:16,520 Speaker 2: recommend waiting until child bearing is complete. If there is 478 00:31:16,560 --> 00:31:22,880 Speaker 2: a breast procedure involved as part of this procedure, the 479 00:31:23,040 --> 00:31:28,840 Speaker 2: factor that becomes important there is breastfeeding, whether a woman 480 00:31:29,360 --> 00:31:33,800 Speaker 2: is still you know, there's still milk letdown. Typically we 481 00:31:34,040 --> 00:31:36,880 Speaker 2: ask women if they're about to have a breast procedure 482 00:31:38,640 --> 00:31:41,760 Speaker 2: after child bearing or breastfeeding, we ask them to wait 483 00:31:41,840 --> 00:31:44,880 Speaker 2: a minimum of six months so that there is no 484 00:31:45,840 --> 00:31:49,600 Speaker 2: additional letdown which can take place during procedures. So I 485 00:31:49,640 --> 00:31:54,320 Speaker 2: would say with respect to breast procedures, we typically ask 486 00:31:55,360 --> 00:31:57,320 Speaker 2: a minimum wait time of six months. 487 00:31:57,480 --> 00:32:00,480 Speaker 1: Generally, Really, after having your children, you can consider the 488 00:32:00,560 --> 00:32:02,920 Speaker 1: surgery kind of whenever you want. I mean, would you 489 00:32:03,040 --> 00:32:04,840 Speaker 1: recommend that they try to get in like the best 490 00:32:04,880 --> 00:32:07,480 Speaker 1: physical shape possible, get their muscles as strong as they 491 00:32:07,520 --> 00:32:10,680 Speaker 1: can before surgery, or should they have the surgery and then. 492 00:32:10,600 --> 00:32:18,400 Speaker 2: Work on it well I would say after childbearing is complete, 493 00:32:19,280 --> 00:32:22,960 Speaker 2: I would tend to weight three months minimum. But in 494 00:32:23,120 --> 00:32:27,960 Speaker 2: terms of weight time in general, if a woman is 495 00:32:28,760 --> 00:32:33,840 Speaker 2: anticipating or thinking about weight loss or reaching more of 496 00:32:34,080 --> 00:32:40,320 Speaker 2: her goal weight, we encourage that. Certainly, if somebody is 497 00:32:41,480 --> 00:32:45,600 Speaker 2: thinking about a five or ten pound fluctuation weight, that's 498 00:32:45,680 --> 00:32:48,600 Speaker 2: not much of a factor or much of an influence 499 00:32:48,720 --> 00:32:53,000 Speaker 2: or impact on outcome. But if somebody is considering a 500 00:32:53,080 --> 00:32:58,000 Speaker 2: fifteen pound or twenty pound weight reduction, we encourage that. 501 00:32:58,160 --> 00:33:05,280 Speaker 2: Prior to procedure, and so yes, exercise weight loss, we 502 00:33:05,400 --> 00:33:12,120 Speaker 2: haven't really yet touched upon nutrition or diet. I think 503 00:33:12,200 --> 00:33:18,160 Speaker 2: that's also very very important important consideration as well. So 504 00:33:19,640 --> 00:33:22,680 Speaker 2: there is, as I mentioned a moment ago, this multi 505 00:33:22,760 --> 00:33:27,320 Speaker 2: factorial approach to improve outcome and result. And I do 506 00:33:27,520 --> 00:33:37,040 Speaker 2: think that trying to approach goal weight, exercise, good nutrition, 507 00:33:37,840 --> 00:33:41,080 Speaker 2: they all are important considerations when it comes to this procedure. 508 00:33:41,120 --> 00:33:47,520 Speaker 2: It definitely affects outcome. And my best results, really, when 509 00:33:47,560 --> 00:33:51,640 Speaker 2: I reflect on my outcomes, have been a combination of 510 00:33:52,080 --> 00:33:56,240 Speaker 2: not just the procedure, but exercise and diet and good nutrition. 511 00:33:56,920 --> 00:34:00,800 Speaker 2: Those are the most stunning results that I've ever or 512 00:34:01,080 --> 00:34:02,280 Speaker 2: experienced in my career. 513 00:34:02,480 --> 00:34:07,320 Speaker 1: Truthfully, so for anyone listening. Is there anything else that 514 00:34:07,720 --> 00:34:09,400 Speaker 1: we should kind of know about in the realm of 515 00:34:09,440 --> 00:34:14,200 Speaker 1: plastic surgery. I want to mission out to destigmatize tummy 516 00:34:14,239 --> 00:34:16,480 Speaker 1: tucks for women who have had babies. I think the 517 00:34:16,640 --> 00:34:20,279 Speaker 1: data is clear that it's not just about cosmesis. I 518 00:34:20,400 --> 00:34:23,800 Speaker 1: think functionally it makes you look better, yes, but it 519 00:34:24,160 --> 00:34:27,399 Speaker 1: makes you feel so much better and stronger. And as women, 520 00:34:27,600 --> 00:34:29,839 Speaker 1: it's hard enough as it is as we go through 521 00:34:29,920 --> 00:34:32,520 Speaker 1: perimenopause and menopause, and I think it's something you want 522 00:34:32,560 --> 00:34:32,960 Speaker 1: to consider. 523 00:34:33,040 --> 00:34:36,360 Speaker 2: You should. I couldn't agree with you more. And the data, 524 00:34:37,520 --> 00:34:44,640 Speaker 2: the research, the literature substantiates that unequivocally. Uncategorically, I don't 525 00:34:44,640 --> 00:34:50,759 Speaker 2: think that it's conjecture at all. So to your audience, 526 00:34:51,200 --> 00:34:56,520 Speaker 2: I would just advocate, if you are considering embarking on 527 00:34:56,719 --> 00:35:03,520 Speaker 2: this journey, consider this multi factorial approach. If you will 528 00:35:04,120 --> 00:35:13,120 Speaker 2: of good nutrition, healthy eating, exercise, it will enhance your outcome. 529 00:35:14,840 --> 00:35:18,440 Speaker 2: And to your earlier point about stigma, I don't think 530 00:35:18,480 --> 00:35:24,360 Speaker 2: anybody should feel stigmatized about wanting to have better quality 531 00:35:24,440 --> 00:35:29,479 Speaker 2: of life, whether it's as you say, cosmesis or even 532 00:35:29,520 --> 00:35:30,920 Speaker 2: functionally well. 533 00:35:31,000 --> 00:35:33,200 Speaker 1: And you said we talked about this earlier. It's really 534 00:35:33,280 --> 00:35:36,120 Speaker 1: also about yes, all of that matters, you know, I'm 535 00:35:36,239 --> 00:35:39,360 Speaker 1: a huge advocate of that RF junior in Maha. Everyone's 536 00:35:39,400 --> 00:35:42,320 Speaker 1: talking about it, but it's also the surgeon and you, 537 00:35:42,800 --> 00:35:46,200 Speaker 1: being a board certified plastic surgeon. You know, you want 538 00:35:46,239 --> 00:35:48,239 Speaker 1: to make sure you do your due diligence. Make sure 539 00:35:48,360 --> 00:35:51,720 Speaker 1: the person that you go to is does this often. 540 00:35:52,320 --> 00:35:55,040 Speaker 1: I recommend not leaving the country like some people do, 541 00:35:55,239 --> 00:35:58,720 Speaker 1: trying to find better rates, but work with the doctor's office, 542 00:35:58,800 --> 00:36:01,520 Speaker 1: your HSA funds, whatever you got to do to make 543 00:36:01,560 --> 00:36:01,879 Speaker 1: it work. 544 00:36:02,640 --> 00:36:07,400 Speaker 2: I would echo that I think credentials matter. I'm not 545 00:36:07,520 --> 00:36:10,960 Speaker 2: a fan of travel surgery many I've seen a number 546 00:36:11,040 --> 00:36:16,920 Speaker 2: of problems with that. Do your due diligence, as you suggest, 547 00:36:17,040 --> 00:36:25,320 Speaker 2: do your homework, investigate, explore. I always encourage patients to 548 00:36:25,360 --> 00:36:28,720 Speaker 2: come in with questions or even submit follow up questions 549 00:36:28,840 --> 00:36:35,360 Speaker 2: via email or even via virtual visits. I encourage patients 550 00:36:35,440 --> 00:36:39,120 Speaker 2: to do that, come in with having done your research 551 00:36:39,200 --> 00:36:44,680 Speaker 2: and your homework. It's an important consideration for patients. It's 552 00:36:44,719 --> 00:36:49,400 Speaker 2: an important step that patients take, and I appreciate the 553 00:36:49,480 --> 00:36:54,480 Speaker 2: significance of it. So I wholly endorse patients to do 554 00:36:54,640 --> 00:36:59,719 Speaker 2: their research. Homework, ask the hard hitting questions, the more 555 00:36:59,760 --> 00:37:02,080 Speaker 2: the her, for. 556 00:37:02,080 --> 00:37:04,200 Speaker 1: Sure, And thank you so much for being on Wellness 557 00:37:04,320 --> 00:37:09,080 Speaker 1: Unmasked Doctor Jonathan Sherwin, friend, colleague out of New York City. 558 00:37:09,520 --> 00:37:10,400 Speaker 1: Appreciate having you on. 559 00:37:10,719 --> 00:37:12,800 Speaker 2: It's a pleasure and a privilege to be with you 560 00:37:12,960 --> 00:37:15,680 Speaker 2: and your audience today. Thank you so much for this opportunity. 561 00:37:15,760 --> 00:37:16,800 Speaker 2: I really appreciate it. 562 00:37:17,160 --> 00:37:19,719 Speaker 1: You're listening to Wellness and Mass. We'll be right back 563 00:37:19,800 --> 00:37:25,160 Speaker 1: with more. All right, that's it. That's my mission. We 564 00:37:25,239 --> 00:37:28,320 Speaker 1: are getting rid of the stigma associated with mommy makeovers. 565 00:37:28,680 --> 00:37:30,520 Speaker 1: The first thing we have to do is get rid 566 00:37:30,520 --> 00:37:33,279 Speaker 1: of that name, because there's something about that name that 567 00:37:33,440 --> 00:37:38,520 Speaker 1: just drives me bananas. Maybe it should be like Stronger Together. 568 00:37:39,040 --> 00:37:42,200 Speaker 1: Oh no, that sounds like a political slogan. How about 569 00:37:43,040 --> 00:37:48,040 Speaker 1: for her or the Core makeover? Oh I like the 570 00:37:48,120 --> 00:37:51,719 Speaker 1: core makeover or bringing it all together, because that's what 571 00:37:51,800 --> 00:37:54,600 Speaker 1: we're doing. We're bringing those muscles back together, whatever it is, 572 00:37:54,719 --> 00:37:57,080 Speaker 1: whatever you want to call it. If you have a 573 00:37:57,200 --> 00:37:59,880 Speaker 1: friend who's talking to you about maybe wanting to do 574 00:38:00,280 --> 00:38:02,520 Speaker 1: one of these procedures to really just start feeling better, 575 00:38:02,880 --> 00:38:06,000 Speaker 1: support them. If you're thinking about it yourself, I encourage 576 00:38:06,000 --> 00:38:07,560 Speaker 1: you to go talk to a doctor about it. It 577 00:38:07,640 --> 00:38:10,680 Speaker 1: may not be for you, but it doesn't hurt to ask, 578 00:38:11,160 --> 00:38:14,200 Speaker 1: especially if you find yourself having limitations or something that's 579 00:38:14,280 --> 00:38:16,799 Speaker 1: keeping you from getting back to the gym. Maybe it's 580 00:38:16,800 --> 00:38:21,160 Speaker 1: an abdominal hernia, Maybe it's very weak stomach muscles or 581 00:38:21,239 --> 00:38:24,759 Speaker 1: a weak pelvic floor. Maybe you're dealing with urinary incontinence. 582 00:38:25,040 --> 00:38:26,800 Speaker 1: You heard me kind of joke about jumping on a 583 00:38:26,840 --> 00:38:29,799 Speaker 1: trampoline with kids. Yeah, that's a real thing. It's hard. 584 00:38:31,200 --> 00:38:34,200 Speaker 1: Bottom line, we only have one life to live, so 585 00:38:34,320 --> 00:38:36,640 Speaker 1: do what you have to do to feel better, and 586 00:38:36,840 --> 00:38:39,959 Speaker 1: don't let anyone out there hate on you, and don't 587 00:38:40,440 --> 00:38:42,840 Speaker 1: take the fact that you're talking to a plastic surgeon 588 00:38:43,320 --> 00:38:46,760 Speaker 1: make you feel any less, because this is your body, 589 00:38:46,920 --> 00:38:49,160 Speaker 1: this is your health, and we need to get rid 590 00:38:49,200 --> 00:38:50,839 Speaker 1: of the stigma when it comes to some of these 591 00:38:50,880 --> 00:38:54,359 Speaker 1: plastic surgery procedures. Thanks for listening to Wellness on Mass 592 00:38:54,400 --> 00:38:58,000 Speaker 1: on America's number one podcast network, I Heart. Follow Wellness 593 00:38:58,000 --> 00:39:00,480 Speaker 1: on Mass with doctor Nicole Snaffire and start listening on 594 00:39:00,560 --> 00:39:03,400 Speaker 1: the free iHeartRadio app or wherever you get your podcasts, 595 00:39:03,480 --> 00:39:04,879 Speaker 1: and we will catch you next time.