WEBVTT - BONUS: Two Plastic Surgeons, Too Little Time! 0:00:05.320 --> 0:00:09.600 So this is between us with me and doctor Robert 0:00:09.640 --> 0:00:14.280 Schwartz best boobs in Dallas. Heather debro is doing is 0:00:14.280 --> 0:00:19.680 off doing things with conflict and resolution. I think somewhere 0:00:19.840 --> 0:00:22.560 with us, maybe some housewives or two. And I've got 0:00:22.600 --> 0:00:27.440 my best friend, my favorite genius, doctor Robert Schwartz, ports 0:00:27.440 --> 0:00:30.720 curified plastic surgeon from Dallas, and we're doing a bonus episode. 0:00:30.720 --> 0:00:32.240 We're gonna answer some banned questions. 0:00:32.280 --> 0:00:36.320 Okay, and let's uh, let's go through these pretty quickly 0:00:36.360 --> 0:00:41.920 and give some really fun, interesting take home message answers. Okay, 0:00:41.920 --> 0:00:43.839 fan question everyone, I have a dv AD sceptum. 0:00:44.240 --> 0:00:47.960 What do I dot plastic? 0:00:48.280 --> 0:00:51.960 Well, it depends you go to a doctor plastic surgeon 0:00:52.000 --> 0:00:54.160 or your no's threats. I have a dv accept they go, great, 0:00:54.200 --> 0:00:56.480 lie down here, let me cut you open. I mean 0:00:56.520 --> 0:00:58.800 it depends. What does that mean to have a deva septum? 0:00:58.840 --> 0:01:02.000 If your DVAN septum is causing significant airway obstruction? 0:01:02.880 --> 0:01:03.400 Okay? 0:01:03.520 --> 0:01:07.160 But if everybody has a devaated septum and it's like 0:01:07.200 --> 0:01:09.720 a spine, does anybody really have a straight spine? 0:01:10.040 --> 0:01:10.320 Okay? 0:01:10.360 --> 0:01:11.840 I think if you did a cat scam on one 0:01:11.880 --> 0:01:15.800 thousand people with no airway obstruction. Nine hundred and eighty 0:01:15.840 --> 0:01:18.800 eight of them would have some deviation of their septum. 0:01:19.120 --> 0:01:20.479 So a deviated septum in. 0:01:20.440 --> 0:01:23.800 And of itself is not necessarily an anatomic geometric structure. 0:01:24.040 --> 0:01:26.399 It really is what is it doing to you functionally, 0:01:26.560 --> 0:01:29.800 So it depends, you know, go to a doctor. 0:01:29.720 --> 0:01:33.000 Usually or potentially cosmatically. Yeah, it may be causing a 0:01:33.080 --> 0:01:36.560 visible outward curve of the nose, and so there's fixes 0:01:36.600 --> 0:01:39.080 for that. Yeah, So in and of itself, it doesn't 0:01:39.080 --> 0:01:41.440 necessarily mean anything. But I'm assuming that anyone's saying that 0:01:42.000 --> 0:01:44.880 didn't just I don't know, take photos of their own 0:01:44.920 --> 0:01:48.760 septum and just some they've had some symptom from that. 0:01:48.920 --> 0:01:52.200 Well, in the past, it was the way the plastic 0:01:52.240 --> 0:01:55.280 surgeon could get it paid for by insurance calling it deviated. 0:01:55.640 --> 0:01:57.880 And then those days are long gone, yes, and now. 0:01:57.800 --> 0:02:00.160 People are very helpy to discuss their plastic surgery. But 0:02:00.240 --> 0:02:02.200 it was a way that you could justify to your 0:02:02.200 --> 0:02:07.040 friends having your rhinoplasty. Oh, my nose looks completely different 0:02:07.160 --> 0:02:09.880 because I had a deviated septem while I was there. 0:02:09.960 --> 0:02:12.119 I had them take a little bit of the bump off. 0:02:12.960 --> 0:02:16.320 Right, Yeah, all right, yeah, those days are over. 0:02:16.480 --> 0:02:17.359 I know number two. 0:02:17.360 --> 0:02:19.560 I've been getting filler for years and now my face 0:02:19.600 --> 0:02:24.120 looks puffy. Ah, what's happening under the skin? Do you 0:02:24.200 --> 0:02:25.200 want to grab that one? 0:02:26.760 --> 0:02:28.320 Well, there's a number of things that could be happening 0:02:28.360 --> 0:02:30.440 under the skin. The first is that depending on what 0:02:30.520 --> 0:02:33.080 the filler is and how much has been put in, 0:02:33.400 --> 0:02:37.120 it's not always going away, right, and so it can 0:02:37.280 --> 0:02:42.400 build up over time. And I think I think people 0:02:42.440 --> 0:02:45.360 talk about filler migrating. I think that's less of a 0:02:45.480 --> 0:02:47.800 thing that it is claimed. I don't think it's that 0:02:47.919 --> 0:02:51.000 easy for it to move around. But I think giant 0:02:51.080 --> 0:02:55.480 globs of it can certainly deform your face after a while, right, 0:02:55.520 --> 0:02:59.080 And probably large amounts of it caused some inflammatory processes 0:02:59.160 --> 0:03:00.880 under there. Some of them are tended to do that. 0:03:00.919 --> 0:03:04.800 Sculptra radys, those are intended to cause inflammation, right. But 0:03:05.200 --> 0:03:06.840 so it can make changes over time. 0:03:06.800 --> 0:03:07.560 Very important points. 0:03:07.560 --> 0:03:10.639 So if your doctor goes, don't worry about it, but 0:03:10.960 --> 0:03:11.720 put filler in. 0:03:11.800 --> 0:03:12.560 It all dissolves. 0:03:12.600 --> 0:03:16.160 Even if it's hyaluronic acid, it may not dissolve and 0:03:16.200 --> 0:03:19.680 probably won't, And recent studies based on mmerise have shown 0:03:19.960 --> 0:03:22.040 it probably hangs and then it attracts a lot of 0:03:22.120 --> 0:03:24.480 water and then it can cause scarring and just as 0:03:24.520 --> 0:03:27.520 you said, the inflammatory reaction. So your face is puffy 0:03:27.520 --> 0:03:30.079 because you may have had too much filler, and I 0:03:30.080 --> 0:03:35.560 would immediately less is more, and immediately if it's looking puffy, 0:03:35.640 --> 0:03:38.200 go get some hyluron a dase, which is an enzyme 0:03:38.240 --> 0:03:38.840 that dissolves it. 0:03:38.880 --> 0:03:40.080 Okay, I'm twenty you had. 0:03:40.040 --> 0:03:42.040 A hyaluronic acid filler in the first place. 0:03:42.240 --> 0:03:44.320 That's true. I'm twenty eight. 0:03:44.400 --> 0:03:46.880 Starting to see early Choweli, Am I too young to 0:03:46.960 --> 0:03:48.400 do anything about that. 0:03:49.320 --> 0:03:50.160 We're seeing a lot of that. 0:03:50.600 --> 0:03:53.680 People wanting to come in now with the early face, 0:03:53.880 --> 0:03:56.080 wanting early facelif surgery is everything else that you like 0:03:56.120 --> 0:03:59.040 to tell your patients maybe to consider before a facelift 0:03:59.040 --> 0:03:59.800 for jewling. 0:04:01.240 --> 0:04:05.800 I well, I would generally on someone that young, I'm 0:04:05.800 --> 0:04:07.720 not sure that it's even aging at that point. I 0:04:07.720 --> 0:04:10.280 think it's just your facial anatomy. And I've had a 0:04:10.280 --> 0:04:14.280 lot of success with those things. Again, well, using filler basically, 0:04:14.360 --> 0:04:16.840 and basically I inject some filler in front of the jaw, 0:04:16.880 --> 0:04:18.920 a little bit behind it. It smoothed out the jow. 0:04:18.960 --> 0:04:22.159 It essentially makes it invisible. But I think at that age, 0:04:22.440 --> 0:04:26.000 unless there's something strange going on, a facelift is vastly 0:04:26.080 --> 0:04:26.960 overkill for this. 0:04:27.160 --> 0:04:29.480 Yeah, twenty eight early jelling. You may just have gained 0:04:29.480 --> 0:04:32.440 a little weight, you know, and so you might or 0:04:32.560 --> 0:04:34.320 lost a little weight or something. 0:04:34.640 --> 0:04:36.400 But Mike, but I don't think the face. 0:04:36.240 --> 0:04:40.120 Off is the plus estata nindage yourself. Yeah, you're twenty eight. 0:04:40.200 --> 0:04:41.400 You probably look great. 0:04:41.440 --> 0:04:42.280 You're not having a face ok. 0:04:42.279 --> 0:04:44.320 Okay, I want to breast dougmentation, but I'm scared about 0:04:44.360 --> 0:04:47.680 what they'll look like when I'm older. Should I be 0:04:48.560 --> 0:04:52.760 answer I think is yes, But it depends, right, You 0:04:52.760 --> 0:04:55.479 should always be scared about any plastics or procedures going 0:04:55.560 --> 0:04:56.680 to look like when you're older. 0:04:56.720 --> 0:04:59.000 Having said that, probably. 0:04:58.640 --> 0:05:00.480 You should just be scared of what you're look like 0:05:00.520 --> 0:05:03.960 when you're older. Now that I'm old, if I had 0:05:04.000 --> 0:05:05.440 known it was going to be this, I would have 0:05:05.440 --> 0:05:09.920 been terrified a lot. There's nothing good happening. 0:05:10.520 --> 0:05:12.240 No, But I think, what do you think the average 0:05:12.240 --> 0:05:13.920 age for rob What do you think the average age 0:05:13.920 --> 0:05:15.960 for a faith a breast domentation is. 0:05:16.600 --> 0:05:18.960 In my practice probably thirties. 0:05:19.160 --> 0:05:20.640 Yeah, so I think thirty mid. 0:05:20.520 --> 0:05:22.400 Forties or so. But I mean all over the place. 0:05:22.520 --> 0:05:26.520 Yeah, so twenty eight you should be worried and that 0:05:26.640 --> 0:05:29.320 you shouldn't go too big. Don't push the envelope too much. 0:05:29.760 --> 0:05:32.160 Because of your twenty eight the chance that you're going 0:05:32.200 --> 0:05:35.360 to want to have children is probably high. And then 0:05:35.360 --> 0:05:37.479 if you go very big and then have children with 0:05:37.520 --> 0:05:41.600 all the concomitants weight gain on top of that, then 0:05:41.640 --> 0:05:44.000 it's going to stretch out your skinny more skin even more. 0:05:44.040 --> 0:05:46.080 And then after the first child, you're not only going 0:05:46.160 --> 0:05:49.000 to need a downsize, but you're probably going to need 0:05:49.000 --> 0:05:51.599 an early lift, which you absolutely want to avoid because 0:05:51.600 --> 0:05:54.520 of the scarring is associated with lyft. So I think 0:05:54.760 --> 0:05:56.520 less is better when it comes to a breast dogment. 0:05:56.720 --> 0:05:58.760 What do you think that the average size and ccs 0:05:59.040 --> 0:06:02.279 you're seeing you're putting in people today around age thirty. 0:06:04.240 --> 0:06:06.240 In the range of about in the range of the 0:06:06.320 --> 0:06:06.920 upper three. 0:06:06.800 --> 0:06:08.960 Hundreds lower four hum, What was it twenty years ago? 0:06:09.279 --> 0:06:12.560 For me? It was four fifty to five fifty. It's 0:06:12.600 --> 0:06:13.279 gotten smaller. 0:06:13.320 --> 0:06:15.240 Do you think it was this? I think it was 0:06:15.320 --> 0:06:16.000 the same for me. 0:06:16.080 --> 0:06:24.520 Honest, even in Dallas where everything is bigger, best boobs. 0:06:22.360 --> 0:06:24.839 I've never been the guy for that. Now if I 0:06:24.880 --> 0:06:27.240 have someone who comes in. I have a very elaborate 0:06:27.240 --> 0:06:30.719 consultation process to figure out what size put in. But 0:06:33.040 --> 0:06:34.479 I've never firs thought. I've never been the guy that 0:06:34.520 --> 0:06:35.920 pushes them to go bigger. 0:06:35.760 --> 0:06:38.240 Either, and everything very common. 0:06:39.200 --> 0:06:42.760 In fact, I remember you and I sitting in a 0:06:42.800 --> 0:06:46.719 meeting once at more than once probably where some guy 0:06:46.839 --> 0:06:48.920 up on the stage goes, you know, whatever your patient 0:06:48.960 --> 0:06:51.760 tells they want put in two sizes bigger. It's this 0:06:52.000 --> 0:06:55.239 patronizing Oh the little lady doesn't know what she really means, right, 0:06:55.400 --> 0:06:57.440 And I remember turning to him going, did he just 0:06:57.480 --> 0:06:58.520 really say that in public? 0:06:58.640 --> 0:07:00.040 It's amazing, isn't it? 0:07:00.040 --> 0:07:07.719 It really is. So Look, I think you have a 0:07:07.800 --> 0:07:10.440 finite amount of real estate on your chest, and if 0:07:10.440 --> 0:07:14.440 you if you push over this, then you're just more 0:07:14.520 --> 0:07:15.360 likely to have problems. 0:07:15.400 --> 0:07:19.040 Okay, what do you tell patients how long implants should last? 0:07:19.120 --> 0:07:20.560 I remember the old days, and a lot of them 0:07:20.640 --> 0:07:23.120 still think, oh, at ten years, I'm supposed to change 0:07:23.120 --> 0:07:23.400 them out. 0:07:23.400 --> 0:07:24.440 What do you tell your patients? 0:07:24.640 --> 0:07:26.720 I don't tell them that anymore. I tell them, you know, 0:07:27.000 --> 0:07:29.760 for a long time I was telling them expect that 0:07:29.800 --> 0:07:31.400 they're going they're going to need to be changed at 0:07:31.440 --> 0:07:33.920 some point because they league right, you know, and historic 0:07:33.920 --> 0:07:36.240 they've been telling patients to expect tens or twenty years. 0:07:36.280 --> 0:07:38.120 I actually think it's a little longer than that with 0:07:38.240 --> 0:07:41.560 modern implants. So I'm closer like twelve to twenty five 0:07:41.680 --> 0:07:41.920 or so. 0:07:50.080 --> 0:07:52.560 Okay, I'm forty one. I've never done botox. I think 0:07:52.600 --> 0:07:55.720 I'm ready to try, but I'm worried. It literally says 0:07:55.840 --> 0:07:57.840 toxin in the name of it. I'm trying not to 0:07:57.840 --> 0:07:59.080 put toxins in my body. 0:08:00.160 --> 0:08:00.400 I not. 0:08:00.640 --> 0:08:03.560 Are there long term effects from botox? Is is it 0:08:03.640 --> 0:08:04.600 toxic for you? 0:08:07.080 --> 0:08:07.400 Well? 0:08:07.440 --> 0:08:10.320 I mean we've been doing botox now for over twenty 0:08:10.360 --> 0:08:12.920 five years in the society, and large amounts, so you 0:08:12.960 --> 0:08:16.280 should all be dead. I agree, I think I think. Look, 0:08:16.440 --> 0:08:19.800 everything is a toxin. It's all question of dosages, right, So, 0:08:20.320 --> 0:08:23.160 you know, on the one of the saddest things you 0:08:23.200 --> 0:08:26.320 see in an er is people who swallow a bottle 0:08:26.360 --> 0:08:29.880 of thailanol in a suicide gesture, only to find out 0:08:29.960 --> 0:08:31.960 that not only are you going to die, there's pretty 0:08:32.000 --> 0:08:34.200 much nothing short of a liver transplant that's going to 0:08:34.320 --> 0:08:37.480 prevent that. It's the dose, and so the amount of 0:08:37.559 --> 0:08:41.200 dosage that you're putting in with botox is not going 0:08:41.200 --> 0:08:45.800 to harm you unless injected in some bizarre, irrational way. 0:08:46.080 --> 0:08:49.360 I think botox is one of the most benign things 0:08:49.600 --> 0:08:52.560 that a plastic surgeon or dermatologist does, and that you 0:08:52.640 --> 0:08:55.040 almost I think it looks weird when you put too 0:08:55.120 --> 0:08:56.199 much in, particularly. 0:08:55.840 --> 0:08:56.280 For a guy. 0:08:56.440 --> 0:08:58.880 You should have lines. Don't go for the bowling ball 0:08:59.000 --> 0:09:02.440 head with the shiny head. But uh, I think botox 0:09:02.480 --> 0:09:05.600 is extraordinarily safe. I will tell you that the only 0:09:05.640 --> 0:09:08.240 problem I've had on boat with botox, and I've had 0:09:08.280 --> 0:09:10.880 a lot of botox in my life, is that they 0:09:10.880 --> 0:09:14.959 don't work on me anymore because I've formed antibodies to botox. 0:09:15.000 --> 0:09:19.000 So unless I use Daxify, which is like fifth generation botox, 0:09:19.400 --> 0:09:22.800 it doesn't work at all. And even Daxify doesn't really 0:09:22.840 --> 0:09:24.480 work very well for very long on me. 0:09:24.600 --> 0:09:29.280 So yes, that's also getting older. Nothing everything works less. 0:09:29.760 --> 0:09:30.520 Yeah, that's true. 0:09:30.559 --> 0:09:33.320 Okay, my under eye bags make me look exhausted even 0:09:33.360 --> 0:09:36.880 when I'm not What are my options under eye bags? Boy, 0:09:36.960 --> 0:09:40.439 that's that's a two hour podcast right there. How can 0:09:40.480 --> 0:09:42.760 you sort of, you know, summarize that with a couple 0:09:42.800 --> 0:09:44.200 of sentences. 0:09:45.240 --> 0:09:48.640 Well, under eye aging is a very complicated Yeah, it's 0:09:48.720 --> 0:09:53.640 very complicated anatomy and it requires a very careful diagnosis 0:09:53.679 --> 0:09:55.959 because sometimes the problem isn't even the eyelids, it's the 0:09:56.040 --> 0:09:59.959 upper cheeks yeap. Sometimes it's the hollow between the cheeks, 0:10:00.120 --> 0:10:02.760 the island that makes the islands of baggie. Sometimes it's 0:10:02.840 --> 0:10:07.000 true fat coming out of your eye sockets and yep retruding. 0:10:07.480 --> 0:10:11.000 It's so the the answer could be as simple as 0:10:11.040 --> 0:10:14.000 some filler, right. It might even be just some skin gear. 0:10:14.360 --> 0:10:17.120 Sometimes it's literally a mid facelift to shorten the height 0:10:17.200 --> 0:10:21.200 of the lower lids, and sometimes it's a traditional leproplasty 0:10:21.280 --> 0:10:22.240 to tighten the skin. 0:10:22.480 --> 0:10:26.520 So it's so it's very individualized. It's very hard to 0:10:26.559 --> 0:10:28.600 answer this with a simple answer. But I would say, 0:10:28.720 --> 0:10:31.880 you know, filler in the lower iselid areas become a 0:10:31.920 --> 0:10:35.640 lot less popular these days because of a lot of 0:10:35.640 --> 0:10:39.960 the complications that people have realized. So if you're gonna 0:10:39.960 --> 0:10:43.319 have we use this word we like to use called judicious. 0:10:43.320 --> 0:10:45.640 If you're gonna have filler put in your lower eyelids, 0:10:46.320 --> 0:10:51.360 have the surgeon or dermatologists do it judiciously. Less is better, 0:10:51.600 --> 0:10:54.960 And if you got very deep hollows with very significant 0:10:54.960 --> 0:10:58.000 pillowing in your lower eyelids. Don't maybe try to even 0:10:58.040 --> 0:11:00.960 all that out with a lot of filler, and I can't. 0:11:01.200 --> 0:11:02.400 You can't. It doesn't work. 0:11:03.080 --> 0:11:04.800 Work, It's not gonna work, and then it's going to 0:11:04.920 --> 0:11:09.120 cause scar you know, it can cause scarring or nodularity 0:11:09.240 --> 0:11:11.880 and be a real problem that we've that Paul and 0:11:11.880 --> 0:11:14.000 I have been seeing on botch So be careful with 0:11:14.040 --> 0:11:15.600 the filler, all right. How do I know if my 0:11:15.600 --> 0:11:18.599 surgeon is actually good or just good? At Instagram? I 0:11:18.640 --> 0:11:21.679 think they're all good at Instagram. Okay, So instagramming in 0:11:21.679 --> 0:11:25.760 and of itself doesn't mean deadly. Unfortunately, we're all sort 0:11:25.800 --> 0:11:29.880 of influenced by Instagram because I'm like a thirteen year old. 0:11:29.920 --> 0:11:33.480 I sproll all day long, like a mindless idiot looking 0:11:33.520 --> 0:11:39.480 at cats. And I know I'm embarrassing. 0:11:40.200 --> 0:11:41.080 I mean, I know. 0:11:41.040 --> 0:11:43.000 It's you know where this takes me mentally? 0:11:43.200 --> 0:11:46.040 Yeah, I know, you know it takes me. Yeah, So 0:11:46.400 --> 0:11:47.040 you know you look at. 0:11:47.000 --> 0:11:51.200 My inside at some point on this podcast, Yeah I will. 0:11:51.800 --> 0:11:54.360 Well, let's let's hold that for another time. But I 0:11:54.720 --> 0:11:58.600 think Instagram, you know, is it's just the new way 0:11:58.600 --> 0:12:01.720 to advertise your practice. You're putting your very best pictures 0:12:02.320 --> 0:12:04.200 and what I really, by the way. 0:12:04.040 --> 0:12:07.280 Thinks about things about an education meeting. 0:12:07.400 --> 0:12:10.760 Yeah, I try not to get bugged by the plastic 0:12:10.840 --> 0:12:14.360 surgeon sitting there in his scrubs and somebody goes. 0:12:14.440 --> 0:12:18.000 Hey, doctor so and so, rate this from what zero 0:12:18.280 --> 0:12:18.760 to ten? 0:12:19.040 --> 0:12:21.719 That really bugs me, as if as if you can 0:12:21.840 --> 0:12:25.640 rate it, you know, for all patients based on one 0:12:25.840 --> 0:12:30.120 individual rating system. It's so ridiculous, you know, uh Blaffer 0:12:30.160 --> 0:12:33.960 plus it's a six. Oh, breast augmentation, that's a nine. Well, 0:12:34.320 --> 0:12:37.920 he's a breast of augmentation. Doctor, deep plane facelift, Oh 0:12:37.960 --> 0:12:39.800 that's a two. Oh, you don't do deep playing, you know. 0:12:39.920 --> 0:12:43.760 It's that those things take those all with a big 0:12:43.880 --> 0:12:45.160 giant grain of salt. 0:12:45.200 --> 0:12:49.520 You know what, maybe actually avoid those surgeons because you 0:12:49.559 --> 0:12:54.360 know what, it's unsurgeon like. It just is. You know, 0:12:54.880 --> 0:12:58.640 perhaps if your surgeon does reels where he does choreograph 0:12:58.800 --> 0:13:02.320 dance free teams with his nurses, maybe that's not a 0:13:02.360 --> 0:13:04.600 serious enough person to be doing your surgery. 0:13:04.720 --> 0:13:07.520 He has a little too much free time, right, because. 0:13:07.280 --> 0:13:08.880 We're little too much free time. 0:13:09.200 --> 0:13:11.560 What is the one thing you wish every patient knew 0:13:11.559 --> 0:13:19.319 before they walked into your office? For me, how incredibly 0:13:19.360 --> 0:13:24.280 good looking and tall. I actually am no kidding you 0:13:24.320 --> 0:13:24.600 know what. 0:13:24.760 --> 0:13:27.360 I wish that too, if they'd walk in there knowing 0:13:27.440 --> 0:13:31.200 how incredibly tall and good looking you are. That's what 0:13:31.240 --> 0:13:33.439 I often think. I go. Have I ever told you 0:13:33.440 --> 0:13:36.280 about my friend Harry Debro You may know him from Bosch, 0:13:36.320 --> 0:13:37.720 but he's also incredibly tall. 0:13:37.559 --> 0:13:42.040 And good despite what you see on TV face for rad. 0:13:41.960 --> 0:13:44.439 You're tall and very and very very good looking. 0:13:44.760 --> 0:13:47.840 So I think for me, I used to rue the 0:13:47.920 --> 0:13:50.520 day that the patients would come to ARM with Google 0:13:50.640 --> 0:13:52.160 Search knowledge, right. 0:13:52.520 --> 0:13:53.320 I hated that. 0:13:53.480 --> 0:13:57.920 I actually wish they would look at chat chept and 0:13:57.960 --> 0:14:01.920 ask Chatchept some preliminary question because I think Chat CVT 0:14:02.200 --> 0:14:05.160 or any of the other language learning models and thrawpicked, 0:14:05.160 --> 0:14:07.080 Gemini and Blabba Perplection whatever not. 0:14:07.200 --> 0:14:09.760 Grock, Croc sarcastic. 0:14:09.760 --> 0:14:12.240 I love gro but it is actually very good at 0:14:12.280 --> 0:14:17.880 giving you sort of a general informational you know, sort 0:14:17.880 --> 0:14:21.800 of syllabus primer before you come in. I think they 0:14:22.160 --> 0:14:24.800 I wish they knew a little bit of what Rock 0:14:24.920 --> 0:14:27.240 or one of the other lmms is going to tell you. 0:14:27.280 --> 0:14:28.600 What do you what would you say? 0:14:28.680 --> 0:14:30.440 I don't know that I haven't How about you get 0:14:30.440 --> 0:14:33.280 what you pay for if the plastic surgeon's too inexpensive. 0:14:33.440 --> 0:14:36.640 Yeah, I think, I guess, I guess along those lines, 0:14:36.920 --> 0:14:42.320 I would wish that they would understand that when you're purchasing, 0:14:42.600 --> 0:14:44.920 you know, whatever it is, let's say, a breast augmentation, 0:14:45.000 --> 0:14:48.160 are facelift or whatever. It's not like you're buying a buick. 0:14:48.240 --> 0:14:52.560 There's no such thing as a breast augmentation. It is 0:14:53.120 --> 0:14:57.240 a rough categorization of techniques that will be done differently 0:14:57.280 --> 0:15:00.240 by any surgeon that you see. And so it it's 0:15:00.240 --> 0:15:02.920 not like going and buying a Toyota at one dealership 0:15:03.000 --> 0:15:05.400 or the same cart another dealership. There's no way you're 0:15:05.440 --> 0:15:09.080 getting the same thing. And so you need to form 0:15:09.120 --> 0:15:11.720 that connection with the surgeon and the consultation you make. 0:15:12.280 --> 0:15:15.880 You need to make sure they understand you very clearly 0:15:16.360 --> 0:15:18.240 and have a clear target of what it is that 0:15:18.320 --> 0:15:21.280 you want, and that you get a sense in your 0:15:21.400 --> 0:15:25.000 gut that okay, we've got to figure because if you don't, 0:15:25.000 --> 0:15:32.240 don't do it right. 0:15:33.240 --> 0:15:34.960 Yeah, I had a baby a year ago. My body 0:15:35.040 --> 0:15:37.760 just doesn't feel like mine anymore. What is a mommy 0:15:37.800 --> 0:15:39.960 make over? And is it worth it? 0:15:40.080 --> 0:15:40.840 What do you I mean? 0:15:41.000 --> 0:15:43.720 Let's say mommy makeover is typically something with the breast, 0:15:44.160 --> 0:15:48.840 something with the tummy. It's usually either breast dougmentation plus 0:15:48.920 --> 0:15:51.840 or minus lyft or at least a lyft and a 0:15:51.880 --> 0:15:55.640 tummy tuck right usually suction and or a LiPo section, 0:15:55.680 --> 0:15:58.960 which is often part and parcel of a dominoplasty. 0:15:58.960 --> 0:15:59.960 A tummy tuck operation. 0:16:00.560 --> 0:16:02.880 Yeah, I think that is one of the most worth 0:16:02.920 --> 0:16:07.000 it procedures, depending on where you are in your stage 0:16:07.000 --> 0:16:10.360 of life and depending what weight you're at. Okay, because 0:16:10.680 --> 0:16:12.640 if you still really haven't lost a lot of the 0:16:12.680 --> 0:16:15.920 baby weight, even though you may really want a mommy makeover, 0:16:16.040 --> 0:16:18.480 you know, maybe go on a GLP one and get 0:16:18.640 --> 0:16:21.160 get your weight down because you'll get much better results 0:16:21.680 --> 0:16:25.440 closer to you, more idealized BMI, but above you know. 0:16:25.760 --> 0:16:29.880 But I think mommy makeovers, generally speaking, are extraordinarily. We 0:16:29.880 --> 0:16:32.000 were going to do a segment on the podcast that 0:16:32.040 --> 0:16:35.880 we did previously about operations that are almost always worth it. 0:16:35.920 --> 0:16:38.040 I think this is one that's almost always worth it. 0:16:38.080 --> 0:16:38.600 Do you agree? 0:16:38.720 --> 0:16:41.120 Yeah? And I think this warrant's talking about in more 0:16:41.160 --> 0:16:45.080 detail in the future because I think what women go 0:16:45.200 --> 0:16:49.320 through following pregnancy, there is no equivalent from them where 0:16:49.360 --> 0:16:53.120 you start off and you have your girlish body, your 0:16:53.120 --> 0:16:56.160 youthful body, and in the span of like a year, 0:16:56.280 --> 0:16:59.520 it's completely transformed. Yeah, you know, we you know, we 0:16:59.600 --> 0:17:02.600 lose our hair over decades. It's for a man, it's 0:17:02.600 --> 0:17:04.639 like waking up one you know, going to bed with 0:17:04.640 --> 0:17:06.040 the full head of hair and waking up bald in 0:17:06.080 --> 0:17:06.520 the morning. 0:17:06.840 --> 0:17:07.560 It's shocking. 0:17:07.720 --> 0:17:10.320 What is the one thing people spend money on that 0:17:10.359 --> 0:17:12.679 you think is completely worth it and sort of in 0:17:12.720 --> 0:17:16.640 the same vein, and one thing that's totally overhyped? Oh 0:17:16.680 --> 0:17:19.280 with this is a whole another two hour podcast, But 0:17:19.840 --> 0:17:21.400 what what I think? 0:17:21.440 --> 0:17:21.720 Again? 0:17:21.880 --> 0:17:24.400 I think the Mommy makeover is completely worth it if 0:17:24.400 --> 0:17:26.239 you're doing at the right stage of your life and 0:17:26.280 --> 0:17:29.600 you're healthy, and you're at your pretty close to your 0:17:29.600 --> 0:17:32.560 ideal body. Way, would you agree the Bomby makeover is brilliant? 0:17:32.880 --> 0:17:35.600 Right? I think the Mommy Makeover totally delivers. I think modestly, 0:17:35.680 --> 0:17:37.639 I think, you know, on a much simpler level, breast 0:17:37.640 --> 0:17:38.840 implants totally deliver. 0:17:39.080 --> 0:17:40.120 Yeah, I would agree with that. 0:17:40.240 --> 0:17:42.040 I think they totally deliver. Right. 0:17:42.119 --> 0:17:43.639 In the future, we have talked about the new kind 0:17:43.680 --> 0:17:45.520 of breast implants and what you think about them, those 0:17:45.560 --> 0:17:48.800 motivas because at lower rate of caps or contractor. But anyway, 0:17:48.920 --> 0:17:53.840 and the one thing that's totally overhyped, boy, you could 0:17:54.000 --> 0:17:56.960 you could separate that into surgical and non surgical categories. 0:17:57.000 --> 0:17:58.240 But the nons. It's funny. 0:17:58.359 --> 0:18:01.719 Even though the future UH of plastic surgery will be 0:18:02.080 --> 0:18:05.320 non surgical energy delivery devices to tighten the skin, it's 0:18:05.400 --> 0:18:08.240 kind of shameful. Knock, it's still not it's I think 0:18:08.280 --> 0:18:11.720 that's the most overhyped come in I have. I just 0:18:11.760 --> 0:18:14.440 bought spent this one hundred and seventy five thousand dollars 0:18:14.480 --> 0:18:16.479 on this device, and I need to get my return 0:18:16.520 --> 0:18:21.159 on investment, and it causes so much tightening without a scalpel. 0:18:21.359 --> 0:18:24.000 Its over hype. Would you agree with. 0:18:23.960 --> 0:18:29.880 That the laser Chotski djure is the most over hype thing. 0:18:30.240 --> 0:18:32.320 It's like going back to we need to talk about 0:18:32.320 --> 0:18:36.040 this sometimes. The first laser thing we went to together 0:18:36.240 --> 0:18:39.600 in like the ninety end light see end light, save 0:18:39.640 --> 0:18:42.760 that the stone light makes new collagen in your skin, 0:18:43.119 --> 0:18:48.480 as has every bullshit device since then. If an aggregate 0:18:48.560 --> 0:18:52.760 of one pound of collagen has been made worldwide, I'd. 0:18:52.640 --> 0:18:54.600 Be amazed by the way it was. The world's most 0:18:54.960 --> 0:18:59.080 expensive flashlight. If that it absolute? 0:18:59.080 --> 0:19:02.800 In fact, you want to hear something pathetic, that's true. 0:19:03.080 --> 0:19:05.439 The only thing I ever saw it do plus or 0:19:05.480 --> 0:19:09.200 minus is caused some mild hyper pigmentation. It never caused 0:19:09.240 --> 0:19:10.720 any significant tightening. 0:19:11.119 --> 0:19:13.200 I think it did have one benefit. I think it 0:19:13.280 --> 0:19:17.840 really started to hone your acting skills. Walking in, they're going, 0:19:17.960 --> 0:19:19.359 oh my god, look at you. 0:19:19.920 --> 0:19:23.520 This is the greatest thing ever. Right, Okay? 0:19:23.680 --> 0:19:26.000 And then finally, is there anything you simply won't do 0:19:26.080 --> 0:19:28.359 a procedure you turn patients away for you know what 0:19:28.359 --> 0:19:30.840 it is for me, right, I will not do a 0:19:30.880 --> 0:19:35.240 Brazilian butt lift. I just don't think something that has 0:19:35.320 --> 0:19:40.199 a risk of fatality to it for me. Okay that 0:19:40.480 --> 0:19:42.560