WEBVTT - Talking All Things Plastic Surgery with Dr. Tutela 0:00:10.200 --> 0:00:12.600 I'm Honey German. My parents are Dominican. I was born 0:00:12.640 --> 0:00:15.040 and raised in New York City. I love sneakers and 0:00:15.040 --> 0:00:20.040 I'm a body positive advocate. I'm Carolina Bermudez, but i 0:00:20.079 --> 0:00:23.759 was born and raised in Ohio. I'm a wife, a mama, 0:00:23.840 --> 0:00:28.720 and a worker being. This is life English. So UM. 0:00:28.760 --> 0:00:32.600 We've been talking about bringing in a doctor friend of 0:00:32.600 --> 0:00:35.600 mine and he is going to be joining us very soon. 0:00:35.680 --> 0:00:38.519 But I really wanted to dive into this um topic 0:00:38.560 --> 0:00:40.559 because I think it affects a lot of us. We 0:00:40.600 --> 0:00:45.200 all have mothers, sisters, cousins, friends who want to tweak 0:00:45.320 --> 0:00:48.159 or do something with their parents. They don't exactly know 0:00:48.200 --> 0:00:50.720 how to go about doing it. And you know, I 0:00:50.720 --> 0:00:53.960 think that obviously a board certified plastic surgeon is the 0:00:54.000 --> 0:00:56.960 way to go, and especially because we live in New 0:00:57.040 --> 0:00:59.240 York in the Tri state area, there are many to 0:00:59.320 --> 0:01:02.560 go around. Here's the thing. I feel like people are 0:01:02.640 --> 0:01:05.320 so quick to just go with somebody because they don't 0:01:05.319 --> 0:01:08.559 want to do the research. They don't, especially especially now 0:01:08.560 --> 0:01:11.760 with Instagram, it's like people dm each other doctors like, 0:01:11.800 --> 0:01:14.440 oh his work is fire, look at that waist, and 0:01:14.440 --> 0:01:16.000 then that's it. That's how you're going to pick your 0:01:16.040 --> 0:01:19.399 doctor and let's not let's not get started on you know, 0:01:19.640 --> 0:01:26.600 the fact that Latina's love traveling for surgeries. That's something 0:01:26.640 --> 0:01:29.280 that we definitely have to talk to him about. UM. Okay, 0:01:29.319 --> 0:01:31.120 So I wanted to bring in Doctor to Tell. I 0:01:31.160 --> 0:01:33.720 met Doctor to Tell a years ago and it was 0:01:33.800 --> 0:01:36.920 through um a mutual friend, and I just formed a 0:01:36.959 --> 0:01:39.320 connection with him. He reminds me a lot of my brothers, 0:01:39.800 --> 0:01:42.760 and I trust my brothers, and he is a board 0:01:42.840 --> 0:01:45.880 certified plastic surgeon. UM. I like to call him the 0:01:45.880 --> 0:01:48.240 doctor to the stars and me, but he only does 0:01:48.240 --> 0:01:51.400 my botox. But Doctor to Tell, I, thank you for 0:01:51.480 --> 0:01:53.760 joining us, Thank you so much for having me. Well, 0:01:53.760 --> 0:01:56.480 we were talking about honey, and I wanted to ask 0:01:56.520 --> 0:01:58.640 you a couple of questions just about like what's going 0:01:58.680 --> 0:02:00.760 on in plastic surgery right now, because I feel like 0:02:00.800 --> 0:02:03.880 we've seen so many different shifts, Like for a while 0:02:03.960 --> 0:02:07.520 it was all about boob jobs, you know, and then 0:02:07.760 --> 0:02:10.480 then it kind of goes in waves, right Like, what 0:02:10.480 --> 0:02:12.360 would you say, is like the biggest request that you 0:02:12.400 --> 0:02:15.600 get right now? Absolutely right now? Um, you know, the 0:02:15.600 --> 0:02:18.320 biggest thing that's kind of been an uptick in the 0:02:18.360 --> 0:02:21.880 last five years, is things like Brazilian butt lift or 0:02:21.880 --> 0:02:25.880 adding volume and shaped her hips or were end Uh 0:02:26.040 --> 0:02:29.320 that that's as far as like surgical procedures in general, 0:02:29.440 --> 0:02:32.040 non surgical procedures or the thing that's kind of like 0:02:32.080 --> 0:02:35.160 the fastest growing part of the market, and that includes 0:02:35.480 --> 0:02:39.560 UM things like botox filler injectables, and then non surgical 0:02:39.639 --> 0:02:43.639 fat reduction like cool sculpting, And there's even a new 0:02:43.960 --> 0:02:46.519 UM device on the market called m sculpt which is 0:02:46.560 --> 0:02:49.640 a non surgical way to actually help build muscle. Oh wow, 0:02:49.680 --> 0:02:52.160 so then nuts for the really lazy people then you 0:02:52.280 --> 0:02:56.040 just sit back. Is that it's almost like a tens unit, right, Yeah, 0:02:56.080 --> 0:02:59.720 pretty much. It's kind of it feels like electrical stimulation 0:03:00.040 --> 0:03:03.119 and it just kind of activates the muscle that it's 0:03:03.160 --> 0:03:07.160 over UM and it's supposed to increase growth of the 0:03:07.240 --> 0:03:10.200 muscle that it's being used. But don't you think that 0:03:10.280 --> 0:03:12.840 this whole trend, Like a lot of the plastic surgeons 0:03:12.880 --> 0:03:15.400 that I've read about, they say that they can lend 0:03:15.440 --> 0:03:18.760 this whole thing to the Kardashians because previously, like j Lo, 0:03:19.040 --> 0:03:22.399 the Kardashians, I think that they started highlighting like their 0:03:22.520 --> 0:03:29.160 natural you know natural No. J Loo was natural yea, yeah, absolutely, 0:03:29.240 --> 0:03:32.680 and she and the popularity I think began with her 0:03:32.760 --> 0:03:34.840 and that was you know, good five or ten years 0:03:34.840 --> 0:03:38.120 before the Kardashians even for sure, when she did Selina, 0:03:38.160 --> 0:03:40.680 I think that's when everybody started seeing. That's when everybody 0:03:40.760 --> 0:03:42.000 was like, oh, it's okay to be thick and have 0:03:42.040 --> 0:03:44.640 an ass right because of her. No, and she did 0:03:44.760 --> 0:03:47.600 change I think the cultural shift of what people were 0:03:47.600 --> 0:03:50.520 looking for where you can actual question, were you taken 0:03:50.520 --> 0:03:53.320 aback when that started happening, because before it was just 0:03:53.320 --> 0:03:55.560 everybody wanted to be very tiny. Everybody wanted to be 0:03:55.640 --> 0:03:57.480 very slim and just booby and that was it. And 0:03:57.480 --> 0:03:59.600 then all of a sudden, people want but I remember 0:03:59.640 --> 0:04:03.960 before was just StairMaster and ellipticals and and everybody was like, no, 0:04:04.120 --> 0:04:06.640 my butt can't be big. Were you shocked in a 0:04:06.680 --> 0:04:08.840 way like what's happening? I mean I wasn't shocked. I 0:04:08.880 --> 0:04:11.120 was still kind of young when j Lo really hit 0:04:11.160 --> 0:04:13.280 the scene, so like that was kind of the error 0:04:13.280 --> 0:04:15.640 that I was growing up in Okay, So you grew 0:04:15.680 --> 0:04:18.880 up in normal for me. But I know, you know, 0:04:18.960 --> 0:04:22.440 looking back at you know, the trends of you know, 0:04:22.640 --> 0:04:27.200 popular women models and yeah, and it went from super 0:04:27.200 --> 0:04:31.080 super skinny, you know that waif look kind of in 0:04:31.160 --> 0:04:35.520 nearly nineties Kate Moss and totally like that, and then 0:04:35.600 --> 0:04:38.200 now you know, finally, you know, women with a lot 0:04:38.200 --> 0:04:42.000 of curves are are in Yeah, pour glass the whole, 0:04:42.000 --> 0:04:47.960 but like the just say the honey, because you know, 0:04:48.040 --> 0:04:50.560 I've got a pancake booty. I've actually talked to doctor 0:04:50.640 --> 0:04:53.280 to tell us, Yeah, I wanted to get my boobs 0:04:53.279 --> 0:04:55.920 redone because I had breast implants a long, long time 0:04:56.000 --> 0:05:00.200 ago after having two children, breast fed two children. You know, 0:05:00.320 --> 0:05:02.920 things aren't exactly sitting the way that they were before. 0:05:02.960 --> 0:05:05.560 But I think that a lot of people take plastic 0:05:05.560 --> 0:05:09.400 surgery very lightly. I mean, it is a major surgery. Yeah, 0:05:09.440 --> 0:05:12.200 it should not be taken lightly. You know, any of 0:05:12.200 --> 0:05:16.080 these surgeries, you know, I think are major surgery UM, 0:05:16.160 --> 0:05:19.760 and they should be taken seriously, you know, both by 0:05:19.800 --> 0:05:24.200 the patient and obviously by the surgeon. UM. And you know, 0:05:24.240 --> 0:05:26.320 I think that you need to do your due diligence 0:05:26.480 --> 0:05:29.040 when you're trying to figure out who you want to trust, 0:05:29.440 --> 0:05:32.760 you know, your body with and your care with UM 0:05:32.920 --> 0:05:35.960 and things like looking for somebody who's board certified by 0:05:35.960 --> 0:05:40.479 the American Board of Plastic Surgery is really the start 0:05:40.520 --> 0:05:43.039 of it UM. So from there then you want to 0:05:43.040 --> 0:05:46.919 look at the UM doctors, you know, reviews and before 0:05:46.920 --> 0:05:49.479 and after photos not some people. People will go on 0:05:49.560 --> 0:05:52.800 Instagram and my home girl went to this doctor. I'm 0:05:52.800 --> 0:05:54.880 going to go to him and he is in Higalia 0:05:55.040 --> 0:06:00.000 and he practices out of his garage, like just like entering. 0:06:00.000 --> 0:06:02.640 I mean, it's true. People are getting injected with like 0:06:03.320 --> 0:06:07.159 cement in like w D forty it's bananas. Like these 0:06:07.200 --> 0:06:10.000 stories are out of control. Yeah, there are a lot 0:06:10.000 --> 0:06:12.120 of crazy things going on out there, which is why 0:06:12.360 --> 0:06:14.880 you know you have to do that yourself. You have 0:06:14.920 --> 0:06:17.320 to do your due diligence and do your own research 0:06:18.279 --> 0:06:21.120 for the procedure that you think that you want UM 0:06:21.279 --> 0:06:23.880 and then for the for the right surgeon. Now, let 0:06:23.880 --> 0:06:25.440 me ask you a question. I feel like a lot 0:06:25.440 --> 0:06:28.320 of that stuff is being done because people equate plastic surgery. 0:06:28.360 --> 0:06:31.400 Would it be very expensive? It's like I'm gonna cut corners. 0:06:31.400 --> 0:06:32.719 I'm gonna try to do it cheaper. I only have 0:06:32.720 --> 0:06:34.680 five hundred dollars, and I want to ask I don't 0:06:34.720 --> 0:06:37.839 have ten thousand. Are there alternate ways that people can 0:06:37.880 --> 0:06:40.560 pay for plastic surgery if they don't have let's say, 0:06:40.600 --> 0:06:43.440 ten thousand dollars in the bank to give to a doctor. Yeah. Absolutely, 0:06:43.480 --> 0:06:47.480 there are a lot of financing options, either directly with 0:06:47.600 --> 0:06:51.799 the surgeon's office, although more commonly are with a third 0:06:51.839 --> 0:06:56.200 party kind of creditors, things like care Credit, Alphaeon Credit, 0:06:56.360 --> 0:06:59.240 United Medical Credit. There are a lot of players in 0:06:59.279 --> 0:07:03.359 that mark it that allow for financing and financing options, 0:07:03.400 --> 0:07:06.840 and even some plastic surgeon's offices. The way that the 0:07:07.040 --> 0:07:09.560 plans are set up, you know that they take and 0:07:09.760 --> 0:07:11.400 you know, pay for part of your interests what you 0:07:11.440 --> 0:07:13.520 pay for part of your interests, and a lot of 0:07:13.520 --> 0:07:16.120 options to make it affordable where you don't have to 0:07:16.120 --> 0:07:21.600 cut corners with choosing you know, maybe a less reputable 0:07:21.640 --> 0:07:25.520 provider going out of the country, which you know is 0:07:25.560 --> 0:07:28.200 also another big trend. Yeah, we wanted to talk about 0:07:28.200 --> 0:07:30.360 that because there are so many people who will be like, oh, 0:07:30.600 --> 0:07:32.880 I went and I got a full body makeover in 0:07:32.920 --> 0:07:36.360 Colombia for five thousand dollars, and it's like, I don't 0:07:36.360 --> 0:07:39.600 know if that's really the best idea, you know, what 0:07:39.720 --> 0:07:41.760 would you say? So there are a lot of people 0:07:41.800 --> 0:07:44.240 who think that because they can go to their home country, 0:07:44.280 --> 0:07:47.800 they can get things for cheaper. Have you seen anything 0:07:47.960 --> 0:07:50.960 like that yourself in your practice? Yeah, I mean I have, 0:07:51.080 --> 0:07:52.800 and I've seen a lot of people, you know what 0:07:52.920 --> 0:07:57.120 I'm covering the emergency rooms, uh, that come into the er. 0:07:57.320 --> 0:08:00.640 You know, they had surgery, you know, to the country, 0:08:00.920 --> 0:08:05.320 so now they're recovering, you know, back thousands of miles 0:08:05.320 --> 0:08:08.600 away from the surgeon that operated on and they have 0:08:08.680 --> 0:08:10.800 nobody to take care of them. You know, when one 0:08:10.880 --> 0:08:14.000 little problem comes up, you know, there are a lot 0:08:14.000 --> 0:08:16.520 of things. You know, as a trained surgeon, you know 0:08:16.680 --> 0:08:20.120 what to do to keep a small problem from becoming 0:08:20.160 --> 0:08:23.600 a tragedy. Um. And if you come back to your 0:08:23.640 --> 0:08:26.560 home city and you're miles and miles and miles away 0:08:26.600 --> 0:08:29.560 from your surgeon, you know, there's no one who's going 0:08:29.600 --> 0:08:31.600 to take care of you. You know, no one is 0:08:31.800 --> 0:08:34.760 invested in you as a patient, in your outcomes, in 0:08:34.840 --> 0:08:37.800 your you know, in your hometown and uh. You know, 0:08:38.160 --> 0:08:41.560 oftentimes we see problems that you become disasters, and they 0:08:41.559 --> 0:08:44.480 could have been easily avoided if they were being taken 0:08:44.520 --> 0:08:48.520 care of by a surgeon you know nearby. Well, how 0:08:48.559 --> 0:08:50.360 hard is that for you too? It's almost like you 0:08:50.400 --> 0:08:52.920 have to be a detective, like finding out what did 0:08:52.920 --> 0:08:55.240 they do or you know what exactly it is that 0:08:55.280 --> 0:08:57.960 you're correcting, or you have to help them with. Yeah. Yeah, 0:08:58.040 --> 0:09:00.200 you know a lot of times it's uh, you own 0:09:00.200 --> 0:09:03.880 infection or something like that. And once they've gotten you know, 0:09:03.920 --> 0:09:06.560 past a certain point, it's not even like aesthetics that 0:09:06.600 --> 0:09:10.600 you're trying to um salvage. But you know the patient's health, 0:09:10.920 --> 0:09:12.480 you know, so you treat it like any other you know, 0:09:12.559 --> 0:09:15.520 big you know, infection or something like that, and try 0:09:15.559 --> 0:09:19.000 and get them well before you can even start talking 0:09:19.040 --> 0:09:22.520 about you know, how do you now make this look pretty? 0:09:22.679 --> 0:09:25.120 And you know that's one of the things is that 0:09:25.200 --> 0:09:27.480 you know, when you try to save money by you know, 0:09:27.520 --> 0:09:30.440 cutting corners and now you're back home and you could 0:09:30.440 --> 0:09:33.920 be in the hospital with a huge hospital bill. You know, 0:09:34.559 --> 0:09:38.560 most insurances don't cover don't cover that part of your recovery. 0:09:38.840 --> 0:09:41.520 All for the booty, that's all for the booty. I mean, 0:09:41.600 --> 0:09:45.360 it is so nutty, um doctor to Tella, Um, I 0:09:45.400 --> 0:09:48.600 wanted to know what you think are the most important 0:09:49.040 --> 0:09:50.880 or I'm sorry, I would like to know what you 0:09:50.920 --> 0:09:53.560 think is the most important thing for a woman to 0:09:53.880 --> 0:09:56.600 do before she goes to meet with a plastic surgeon. 0:09:56.679 --> 0:09:59.240 Let's say her friend told her this guy is really great, Like, 0:09:59.559 --> 0:10:01.719 what do I think is the most important thing for her? 0:10:02.160 --> 0:10:05.400 I would say, you know, first of all, yeah, first 0:10:05.440 --> 0:10:08.440 of all, note know what your goals are, UM, because 0:10:08.480 --> 0:10:11.800 I think that is how you know you you end 0:10:11.840 --> 0:10:14.160 up being happy. And that's one of my first things 0:10:14.200 --> 0:10:16.280 I do when I meet a patient is to try 0:10:16.280 --> 0:10:19.080 and tease out what their goals are. Some people, you know, 0:10:19.080 --> 0:10:21.160 know it and say it and articulate it very well. 0:10:21.360 --> 0:10:23.120 Other people, you know, you kind of get it through 0:10:23.160 --> 0:10:27.080 the conversation. You know what they're really looking for. UM. 0:10:27.200 --> 0:10:30.240 So start off by knowing what you want UM, and 0:10:30.320 --> 0:10:33.120 that's gonna you know, help everything. And then you know, 0:10:33.160 --> 0:10:35.000 you have to do your research and look for somebody. 0:10:35.120 --> 0:10:37.120 They could be recommended by a friend and that they're 0:10:37.240 --> 0:10:40.360 very happy with. But you know, go onto their website, 0:10:40.600 --> 0:10:44.120 see that um they're you know, board certified again by 0:10:44.120 --> 0:10:47.520 the American Board of Plastic Surgery. I see if they're 0:10:47.559 --> 0:10:52.840 associated with any national societies like the a s PS 0:10:53.080 --> 0:10:57.400 or the a S a p s UM. And then 0:10:57.440 --> 0:11:00.680 you could look through their own either social media or 0:11:00.800 --> 0:11:05.040 their real self profile or their website for before and 0:11:05.040 --> 0:11:08.680 after pictures see if you like their results. Do they 0:11:08.760 --> 0:11:13.240 consistently provide something that you are you know, amazed by 0:11:13.600 --> 0:11:17.360 or you're just like not so hot on it? And 0:11:17.720 --> 0:11:19.840 you know, find somebody that kind of you know, checks 0:11:19.840 --> 0:11:22.200 all the boxes. Yeah, now, who let me ask you 0:11:22.520 --> 0:11:25.760 a two part question when it comes to celebrity. What's 0:11:25.800 --> 0:11:28.040 the number one booty that people show you? And what's 0:11:28.040 --> 0:11:30.080 the number one face that people show you when they're like, 0:11:30.160 --> 0:11:33.199 this is what I want? You know. It's actually amazing 0:11:33.400 --> 0:11:37.440 is that most of the time now you're hardly really 0:11:37.520 --> 0:11:39.680 seeing a lot of celebrity which picks and a lot 0:11:39.720 --> 0:11:43.040 of them they're like Instagram models. That's not to be honest, 0:11:43.040 --> 0:11:46.360 I don't even know here we go, I'm over here 0:11:46.400 --> 0:11:47.880 trying to find out who I need to look like, 0:11:47.920 --> 0:11:49.360 and you're like, I don't know the name, but she 0:11:49.400 --> 0:11:55.720 had seventy million followers. Really, so they're they're more about 0:11:55.720 --> 0:11:58.720 the Instagram. That's why people are influencers. That's why people 0:11:58.720 --> 0:12:02.079 look the same. Yeah, it's true. No, it's so crazy. 0:12:02.200 --> 0:12:04.480 And now, you know, even back in the day where 0:12:04.559 --> 0:12:06.280 you would have to go to a doctor's office, do 0:12:06.320 --> 0:12:09.800 you think that it's changing because so many plastic surgeons 0:12:09.800 --> 0:12:12.120 are on social media. Now you can go on Instagram 0:12:12.360 --> 0:12:15.160 and check them out. You actually, I refuse to watch 0:12:15.280 --> 0:12:17.920 dr to tell us stories while I'm eating because you 0:12:17.960 --> 0:12:23.120 do procedures. No, but it's so good And then after 0:12:23.760 --> 0:12:26.320 he'll get these after photos and I'm like, damn, that 0:12:26.480 --> 0:12:30.120 is great work. That's what she was doing for. Yes, 0:12:30.440 --> 0:12:31.960 but like, do you think that that has changed the 0:12:31.960 --> 0:12:34.640 game for plastic surgeons and just for the medical field 0:12:34.679 --> 0:12:37.720 in general. I mean I think a little bit. Uh. 0:12:37.760 --> 0:12:40.920 You know, you're able to reach a bigger market and 0:12:41.040 --> 0:12:46.200 people are seeing your work um first, which is great. Um. 0:12:46.240 --> 0:12:49.280 But at the same time, you know, as a patient, 0:12:49.760 --> 0:12:53.240 you still have to beware and always kind of again 0:12:53.240 --> 0:12:55.720 like I said, kind of do your due diligence and 0:12:55.840 --> 0:13:01.080 research people because you know how people take pictures and 0:13:01.160 --> 0:13:03.920 selfies and there's filters and things like that. There are 0:13:04.000 --> 0:13:08.120 easy ways. You know, you don't have to by results. 0:13:09.120 --> 0:13:10.600 How let me ask you a a question, how does that work? 0:13:10.640 --> 0:13:14.079 When you when we see a doctor doing surgery on Snapchat, 0:13:14.120 --> 0:13:15.840 do you tell your patient like, Okay, we're gonna go 0:13:15.840 --> 0:13:18.880 on social media. How does that work? I've always wondered that. Yeah, absolutely. 0:13:18.920 --> 0:13:22.560 You have to get express consent for hand um really 0:13:22.600 --> 0:13:25.040 for all pictures or videos. That's why you're not seeing 0:13:25.040 --> 0:13:29.000 my boobies. I'm not giving you my consent. My boobies done, 0:13:29.080 --> 0:13:32.280 but go ahead. No, he'll put little hearts over the 0:13:32.800 --> 0:13:34.320 so they're like, they're just like, oh, I'm down to 0:13:34.320 --> 0:13:37.880 be on social media. Put me on chef that be 0:13:37.960 --> 0:13:41.840 on Instagram specifically, or just my website, my you know, 0:13:41.880 --> 0:13:45.120 in office photo book or you know. So we make 0:13:45.160 --> 0:13:46.760 sure that they're they're okay with him. But you know, 0:13:46.800 --> 0:13:50.360 what is the tell when people have tattoos, because you're like, damn, 0:13:50.480 --> 0:13:53.080 we're all with the dragon tattoos. She gotta that would 0:13:53.120 --> 0:13:55.839 amend me. Yeah, no, but it's so true because people 0:13:55.840 --> 0:13:58.640 think that they're anonymous and then another person from their 0:13:58.679 --> 0:14:02.160 family could be looking at your absolutely so, and that's 0:14:02.320 --> 0:14:05.040 another thing that sometimes can be challenging. But you know, 0:14:05.200 --> 0:14:06.960 we always also make sure they know, well, you know, 0:14:07.000 --> 0:14:09.120 your tattoos in this and some people ask for the 0:14:09.120 --> 0:14:13.640 tattoo to be blurred out. Um in another way. Most 0:14:13.720 --> 0:14:16.000 people though, now and this is something that's kind of 0:14:16.040 --> 0:14:18.360 called me off Carse, they don't really don't care. They're 0:14:18.400 --> 0:14:20.320 just like whatever, just show it. And that brings me 0:14:20.400 --> 0:14:25.760 to this. Before people were so a secretive about surgeries 0:14:25.800 --> 0:14:28.000 that they would never tell you they got anything done, 0:14:28.000 --> 0:14:30.120 not the phase, not the boobs. What do you think 0:14:30.160 --> 0:14:32.640 has changed in our in our culture that everybody's like, oh, 0:14:32.680 --> 0:14:34.560 I just got my tip's done yesterday, and I got 0:14:34.600 --> 0:14:36.520 some libo and I got some butt shots and these 0:14:36.520 --> 0:14:38.760 are fillers, Like what do you think it's changed culturally 0:14:38.800 --> 0:14:41.160 that people are now so open about plastic surgery. I 0:14:41.160 --> 0:14:44.040 think social media has changed the game, you know, on 0:14:44.080 --> 0:14:47.760 a lot of levels, in a lot of different fields. Um. 0:14:47.880 --> 0:14:50.960 And I think that you know, people are now always 0:14:51.120 --> 0:14:54.840 used to looking at themselves, you know, a thousand times 0:14:54.880 --> 0:14:56.520 a day. You know, you used to take a picture, 0:14:57.000 --> 0:14:59.240 or somebody would take once a month or something, but 0:14:59.280 --> 0:15:01.440 you would take a picture, and you know, you never 0:15:01.760 --> 0:15:04.320 even knew whether you'd be there when that film got developed, 0:15:04.400 --> 0:15:10.200 or if you ever saw that he has a shoe 0:15:10.200 --> 0:15:12.640 box fill of like thirty five millimeter film that still 0:15:12.640 --> 0:15:15.200 needs to get developed, that that's probably like my holy communion. 0:15:15.440 --> 0:15:19.200 Yeah yeah, but it's true. We have all of these 0:15:19.200 --> 0:15:22.040 photos here and the selfies. I think that we are 0:15:22.160 --> 0:15:25.960 examining ourselves so much more in depth than we ever have. Yeah, 0:15:26.000 --> 0:15:28.520 and immediately, and if you don't like something, you know, 0:15:28.560 --> 0:15:31.080 you turn your head a little bit chinned down a 0:15:31.160 --> 0:15:34.760 little bit right, or you find a filter exactly. So 0:15:35.000 --> 0:15:37.240 you know, I think people are are just kind of 0:15:37.280 --> 0:15:40.960 like looking at themselves so much more now, um, and 0:15:41.080 --> 0:15:43.600 looking at everybody else so much more now, right, because 0:15:43.640 --> 0:15:46.320 it's just flooded with that kind of content. So I 0:15:46.360 --> 0:15:50.120 think that when people make a change for themselves, they 0:15:50.160 --> 0:15:52.480 want to flaunt it. They do want to. They kind 0:15:52.480 --> 0:15:54.320 of want to show off and show what they've done. 0:15:54.560 --> 0:15:57.520 You want to. You know, it's like I went through 0:15:57.560 --> 0:15:59.760 all of this just to get it done. Now I 0:15:59.760 --> 0:16:02.280 want to show everybody that I did it. So now, 0:16:02.320 --> 0:16:05.640 what do you say about the younger generation, meaning the 0:16:05.720 --> 0:16:09.800 young ladies who are coming in for their sweet sixteen there, 0:16:09.800 --> 0:16:13.240 you know, before high school graduation. Do you have any 0:16:13.280 --> 0:16:16.240 reservations about doing any type of surgery on on young 0:16:16.240 --> 0:16:19.240 women like that? Yeah? I mean, you know, I don't 0:16:19.280 --> 0:16:22.360 see too many people that are that young, um. But 0:16:22.600 --> 0:16:25.560 kind of where it's a little bit more common is 0:16:25.600 --> 0:16:28.880 when you see people, you know, again sweet sixteen something 0:16:28.960 --> 0:16:31.680 like that, maybe before they get their driver's license, uh, 0:16:31.840 --> 0:16:35.120 for rhino plasty or nose job. You know, usually not 0:16:35.360 --> 0:16:39.760 seeing people for breast augmentation or other bodywork that young. Um, 0:16:40.000 --> 0:16:43.640 but something you know on the face after fifteen sixteen 0:16:43.720 --> 0:16:46.440 years old, you know, for the most part, the cartilage 0:16:46.440 --> 0:16:49.520 in their nose is fully developed and grown and is 0:16:49.880 --> 0:16:53.760 you know, a static um part of their body. You know. 0:16:53.840 --> 0:16:55.760 I think it's fine, you know, as long as you 0:16:55.800 --> 0:16:58.800 find the right provider, uh, you know, to go ahead 0:16:58.840 --> 0:17:03.040 with that. But I think most surgeons either aren't seeing 0:17:03.040 --> 0:17:06.600 it or wouldn't see, you know, something really below eighteen 0:17:06.720 --> 0:17:09.840 for like breasts or bodywork or anything like. Speaking of noses, 0:17:10.320 --> 0:17:12.840 I'm shocked by the way that people are doing noses 0:17:12.880 --> 0:17:16.359 now with fillers. How the hell does that work? Yeah, 0:17:16.480 --> 0:17:18.760 it's actually amazing, and I see a lot of sure, 0:17:19.000 --> 0:17:22.400 and it's it's amazing because it's it's immediate results. How 0:17:22.400 --> 0:17:25.639 long is the maintenance? So like, how long do they result? 0:17:26.880 --> 0:17:30.119 By the way, six months, like eight months and then 0:17:30.160 --> 0:17:32.600 you go back to your old nose. Yeah, yeah, but 0:17:32.640 --> 0:17:34.240 then you just come back in and get the new 0:17:34.280 --> 0:17:37.600 nose again. I saw a nose and I was like, no, 0:17:38.680 --> 0:17:41.040 using a pro tractor. I haven't seen a pro tractor 0:17:41.119 --> 0:17:43.920 since I was like a high school, Like seriously, something 0:17:44.000 --> 0:17:46.280 had like some kind of device or something like that. 0:17:46.320 --> 0:17:49.280 This is why I'm not a doctor, right, It's so true. 0:17:49.640 --> 0:17:53.280 Fillers have changed the game for plastic surgeons. Yeah, absolutely 0:17:53.359 --> 0:17:55.359 and injectable. So now there are a lot of people 0:17:55.359 --> 0:17:57.600 who are listening to our podcasts that might not be 0:17:57.640 --> 0:17:59.440 able to afford it. I know we touched on it before, 0:17:59.440 --> 0:18:01.439 but like, what would do say? Are the key things 0:18:01.600 --> 0:18:03.920 right now for women to start doing to take care 0:18:03.920 --> 0:18:05.679 of themselves if they don't want to go to a 0:18:05.680 --> 0:18:08.959 plastic surgeon. Uh, stay out of the sun or use 0:18:09.040 --> 0:18:13.680 sun block daily and reapply right because your morning makeup, 0:18:14.560 --> 0:18:17.199 tinted makeup that has m SPF in it is not 0:18:17.280 --> 0:18:20.000 really doing its job by noon anymore. I put it 0:18:20.000 --> 0:18:21.639 on right before I get in my car on my 0:18:21.720 --> 0:18:24.520 left side because that's where my sun spots are. I 0:18:24.520 --> 0:18:27.639 will put on my SPF right before I get in 0:18:27.680 --> 0:18:29.000 the car because I know I have to drive to 0:18:29.040 --> 0:18:30.359 Long Island. It's gonna be an hour an hour and 0:18:30.400 --> 0:18:33.000 a half and I'm gonna get that. Yeah, it's just 0:18:33.040 --> 0:18:35.200 like I don't even care because I care more about 0:18:35.240 --> 0:18:37.520 my skin. I don't have this type of money to 0:18:37.600 --> 0:18:42.960 be buying all of these go back. It's true, It's true. 0:18:43.000 --> 0:18:45.359 So the sun block and then what else for people 0:18:45.359 --> 0:18:47.880 who are just looking for over the counter or you know, 0:18:48.040 --> 0:18:49.880 something that they can get at their drug store. Sure, 0:18:49.920 --> 0:18:54.200 so some block is first because that prevents damage from happening. UM. 0:18:54.520 --> 0:18:56.960 And then you know, I would say any product that 0:18:57.000 --> 0:18:59.679 you could find that's got written all in it, right, 0:18:59.680 --> 0:19:02.679 and I'll as product I think is wonderful for just 0:19:03.240 --> 0:19:07.679 skin and keeping like a kind of young, kind of 0:19:07.760 --> 0:19:10.600 fresh look to your skin. UM. And then the key 0:19:10.760 --> 0:19:12.440 with that is also just to make sure that you're 0:19:12.520 --> 0:19:16.639 using it correctly. You know, most retinal products are very 0:19:16.760 --> 0:19:20.960 often abandoned, either because people using they don't see a 0:19:21.000 --> 0:19:25.240 good results or um because they use it and it 0:19:25.359 --> 0:19:28.000 literally like burns their face and they throw it away 0:19:28.000 --> 0:19:30.920 and they're like, I'm never gonna So you know it 0:19:31.040 --> 0:19:33.679 should you're that tolerance though, right, yeah, you should. You 0:19:33.680 --> 0:19:36.080 should use it until it irritates you and then use 0:19:36.119 --> 0:19:38.480 it a little less. It's kind of you know, the 0:19:38.520 --> 0:19:41.919 way you kind of find your dose. What would you 0:19:41.960 --> 0:19:44.280 say to a young lady, you know, do you deal 0:19:44.320 --> 0:19:46.879 with the psychological aspect like there are a lot of 0:19:46.920 --> 0:19:49.680 people who look at themselves and they really legitimately don't 0:19:49.760 --> 0:19:52.040 see what's in front of them. You know. Do you 0:19:52.119 --> 0:19:55.320 ever have people who come through that you're like, I'm 0:19:55.320 --> 0:19:59.440 not going to take this patient. Yeah. Absolutely. Um, it's 0:19:59.480 --> 0:20:01.879 not that often, but it's it's often enough that you 0:20:01.920 --> 0:20:04.840 need to kind of recognize the signs of somebody who's 0:20:05.480 --> 0:20:11.800 you know, just mentally you know, unwell. Um, and it's 0:20:12.000 --> 0:20:15.200 you know, to some degree, you know, you're you're coaching 0:20:15.320 --> 0:20:18.920 them through you know, their office appointment with you, through 0:20:18.960 --> 0:20:22.639 their consul and you you start to realize that, you know, 0:20:22.760 --> 0:20:28.920 they are you know, hyper focused on the smallest details, 0:20:29.000 --> 0:20:31.840 even on their own face. Or let's say a lot 0:20:31.840 --> 0:20:34.680 of times they have come from another provider who they 0:20:34.840 --> 0:20:38.120 can't stand the work that was done, and I'm looking 0:20:38.160 --> 0:20:39.480 at it and I'm like, actually, I think that was 0:20:39.520 --> 0:20:41.960 pretty good job. I would I would call that a 0:20:42.600 --> 0:20:45.320 you know, a good job and a great result. And 0:20:45.359 --> 0:20:48.360 they're like obsessed about you know, some other provider they 0:20:48.400 --> 0:20:51.160