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Speaker 1: Hello, it's the gorgeous artsimone here.

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Speaker 2: You may know me for my gorgeous face that's been

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Speaker 2: sculpted by the gods, or a very good makeup rush.

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Speaker 2: But sadly not everyone is as gorgeous as I am.

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Speaker 2: But I am selflessly giving regular people a platform. It's

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Speaker 2: not entirely true, though, because although they may look painfully regular,

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Speaker 2: they're concealing something about themselves which makes them worthy of

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Speaker 2: my time and yours. I don't know what it is,

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Speaker 2: and neither do you, but we'll do some hard work

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Speaker 2: to carve out the truth.

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Speaker 1: Bring me my guess.

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Speaker 3: My name's Ramin. I live in Melbourne. I was born

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Speaker 3: in Sydney and lived in Iran from nineteen seventy eight

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Speaker 3: to nineteen eighty one. I spend most of my time

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Speaker 3: trying to solve problems and outside of my work, you're

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Speaker 3: drawing and painting. But I'm concealing something about my profession,

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Speaker 3: which I've done now for the best part of about

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Speaker 3: two decades.

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Speaker 1: Well, hello, how are you very well?

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Speaker 2: How? I'm mysterious. So you're sitting in front of me.

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Speaker 2: You're very smartly dressed. You nice pair of spectacles. I

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Speaker 2: ask everyone, are they prescription or are they for fashion purposes?

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Speaker 3: Definitely prescription, okay, And I took way too long getting them,

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Speaker 3: realizing when I ran out of room with my iPhone

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Speaker 3: my arm couldn't stretch any longer to read it.

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Speaker 1: You could just increase the font starze.

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Speaker 3: I didn't know that. Then, you're right.

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Speaker 1: I haven't taught my mum that trick.

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Speaker 2: I'm very excited to let her know one day she's

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Speaker 2: going to have one word per page and just take

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Speaker 2: her a long time.

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Speaker 3: But I was almost there.

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Speaker 2: Well, you've got the glasses now, see you're fine. Yeah, okay,

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Speaker 2: So you're like drawing, like painting you what did you say?

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Speaker 2: You're twenty two decades nearly two decads, two decades your profession,

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Speaker 2: and that's what you're concealing from me today, your profession.

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Speaker 1: That's what makes that's the interesting thing about you.

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Speaker 3: Well, so I'm talking one of them.

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Speaker 2: So I'm told, okay, what I'm going to do today

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Speaker 2: is ask you three questions, and from the answers to

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Speaker 2: those three questions, I have to work out what it

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Speaker 2: is you're concealing from me here.

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Speaker 1: Okay, are you ready?

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Speaker 3: I'm very ready?

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Speaker 2: Question number one, fifty years in the future. What do

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Speaker 2: you think would be a new norm.

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Speaker 3: I think that people will be looking at tailored engineering

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Speaker 3: body solutions to disease.

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Speaker 2: Tailored engineer body solutions to disease. Correct, that's a lot

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Speaker 2: of words. Now I have to decode those words. Yes

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Speaker 2: to disease, all right, tailored fashion nozas not in a fashion? Okay, disease.

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Speaker 2: Question number two. If you were to pick one ninja turtle,

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Speaker 2: which one would it be?

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Speaker 3: I would so Leonardo Leonardo?

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Speaker 1: What do you like about Leonardo?

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Speaker 3: Leonardo is an artist, a sculptor, a scientist. Okay, engineer,

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Speaker 3: big problem solver.

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Speaker 1: Okay.

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Speaker 3: I like the fact that he did so many different things,

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Speaker 3: so many varied and interesting things, all of them requiring

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Speaker 3: great deal of ingenuity and curiosity.

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Speaker 2: Okay, big brain. Okay, damn big brain. Disease twenty years

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Speaker 2: leo artist, big brain. Coming back to that one.

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Speaker 1: Okay. The final question I have for you is what's

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Speaker 1: the motto you live by?

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Speaker 3: One motto? I really one saying I realized it's not

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Speaker 3: My saying is but off more than you can chew,

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Speaker 3: and chew like hell, more.

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Speaker 2: Than you can chew and okay, teeth, big brain with

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Speaker 2: teeth disease twenty years art turtles Okay, turtles.

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Speaker 3: Could command with anything.

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Speaker 1: Now, I think it's clear as day, clear as day.

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Speaker 2: I don't know much trying to think about this, because

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Speaker 2: you really painted it beautifully for me.

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Speaker 1: Yep, are you?

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Speaker 2: I think you are a mad scientist who has engineered

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Speaker 2: turtles with big brains and teeth to battle disease.

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Speaker 1: Is that correct?

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Speaker 3: It's not too far.

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Speaker 1: Off the mark.

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Speaker 3: I'm a plastic, reconstructive and cosmetic surgeon with a PhD

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Speaker 3: in molecular biology of lymphatic vessels. I work with people

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Speaker 3: who require reconstructive surgery for trauma or cancer, but also

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Speaker 3: those who suffer the after effects of cancer. I often

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Speaker 3: operate on those who've been looking for ascetic reasons for

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Speaker 3: different types of surgery or cosmetic surgery that may not

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Speaker 3: have gone as planned.

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Speaker 1: That's a big brain's.

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Speaker 2: So Ramon isn't creating an army of turtles with big

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Speaker 2: teeth fighting disease? No? No, no, he is a plastic surgeon.

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Speaker 2: I'm so glad I could have a free consultation here today.

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Speaker 2: You don't mind listening, do you?

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Speaker 1: Thanks?

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Speaker 2: Okay, so we're here with women and you are a

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Speaker 2: lot of things a big brain holder. But one of

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Speaker 2: those things you do is cosmetic surgery. Plastic surgery. Can

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Speaker 2: you actually, let's at the top line, plastic surgery and

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Speaker 2: that can be cosmetic or it can be reconstructive.

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Speaker 1: Has that divvy up.

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Speaker 3: Plastic surgery is a really broad specialty. Essentially, the focus

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Speaker 3: is on what we say is form and function, So

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Speaker 3: the form of a body part and the function of

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Speaker 3: a body part. So if you want to walk down

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Speaker 3: the street and you have a part of your limb

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Speaker 3: missing or facial injury or something like that, and people

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Speaker 3: are interacting with it, it inhibits your ability to communicate, you

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Speaker 3: feel self conscious. So the two actually blend into one another.

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Speaker 3: For example, in pediatric plastic surgery, when we're helping with

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Speaker 3: patients who are born with a congenital difference, a lot

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Speaker 3: of it is about them being able to get into

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Speaker 3: school and to start their journey socializing and learning without

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Speaker 3: being teased or bullied or whatever. So it might be,

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Speaker 3: for example, the pinning back of the ears that's not functional,

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Speaker 3: it doesn't help the hearing, but it does help the

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Speaker 3: asthetic appearance. In turn, that helps them to integrate into

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Speaker 3: their classroom and society, so that they're not constantly starting

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Speaker 3: behind the ape ball.

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Speaker 2: So if you're going in for an operation, for example,

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Speaker 2: and you need something fixed, yes, is it true that

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Speaker 2: like plastic surgery itself.

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Speaker 1: Is like an optional extra?

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Speaker 3: Like? Is that how it shouldn't be? But there was

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Speaker 3: a time when one of the health funds they said

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Speaker 3: we're just funding the cancer cutout and the reconstruction's cosmetic,

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Speaker 3: and that was a pretty dark time for patients. The

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Speaker 3: Australian Society Plastic Surgeon was extremely angry about that, and

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Speaker 3: we did have a lot of representation to Healthiness is

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Speaker 3: saying that's unethical to say that we'll cut out the cancer,

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Speaker 3: but we won't reconstruct it. And in the end people

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Speaker 3: saw the light.

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Speaker 2: My mum, for example, has had lots of skin catcers

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Speaker 2: in her life. She had it on her lip and

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Speaker 2: they had to cut a whole trunk out of her lip,

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Speaker 2: and they could a plastic surgeon wasn't She couldn't afford

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Speaker 2: for plastic surgeon to fix it, and ever since then

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Speaker 2: she wrote me in photos she doesn't like people for

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Speaker 2: people to see her because she's got this big scar

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Speaker 2: in the middle of her face.

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Speaker 3: Really, in this day and age in Australia, you shouldn't

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Speaker 3: be not able to access a plastic surgeon through the

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Speaker 3: public hospital system. The good news is, I guess she

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Speaker 3: could definitely see someone and look at getting that restored

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Speaker 3: or improved.

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Speaker 2: She calls herself the bride of Chucky, the poor doll.

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Speaker 2: So do you do elective surgery like an electric cosmetics surgery?

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Speaker 2: Has there any ever been a circumstance where someone comes

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Speaker 2: to you and you go, I'm not doing that. I

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Speaker 2: can't do that, Like, is there anything? Is that a common?

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Speaker 3: They're very, very common to have patients who come in

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Speaker 3: with a preconception and it's become a lot worse in

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Speaker 3: the age of social media, it must be said, and

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Speaker 3: reality TV and these things. People often come with an

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Speaker 3: expectation that may not be relevant to them. They'll come

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Speaker 3: in with some form of surgery that they desire was

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Speaker 3: just simply is impossible. They'll come with a photograph of

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Speaker 3: a celebrity which has a completely different bone structure, age,

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Speaker 3: health status, and then want something done that's actually not

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Speaker 3: A probably isn't achievable, but B is risky, and C

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Speaker 3: has a very high risk of them being completely dissatisfied,

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Speaker 3: because what does happen. This condition, called body dysmorphic disorder,

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Speaker 3: is that patients often can't see themselves as you and

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Speaker 3: I might see them walking along the street. There's a

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Speaker 3: there's a distortion, and that's a very complex there's a

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Speaker 3: there's an overlay of lots of social and developmental issues

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Speaker 3: where they teased and I would suggest that if the

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Speaker 3: outside observer came along and met her, they probably wouldn't

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Speaker 3: notice it, but to her, she's fixated on it. Yes,

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Speaker 3: and that's that's something where we have to as plastic surgeons,

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Speaker 3: be very careful.

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Speaker 2: Well, I was going to say, how do you then

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Speaker 2: choose what is valid and what isn't?

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Speaker 1: How does your scale go all?

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Speaker 3: Right?

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Speaker 2: Now, I understand essentially people pleading their case to you,

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Speaker 2: being like, this is what it's doing for me, this

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Speaker 2: is why it would be great.

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Speaker 3: Yeah, Yeah, I think it's a mixture. There's certainly there's

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Speaker 3: screening tools. Sometimes you when you talk to patients, you

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Speaker 3: can't actually tell what they're seeing from inside their heads.

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Speaker 3: So there are screening tools to understand if they are

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Speaker 3: suffering from this condition or have it a touch of

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Speaker 3: this condition called body dysmorphia, But often it's a matter

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Speaker 3: of just spending that time getting to know patients and

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Speaker 3: discussing with them. And if you actually sit down with people,

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Speaker 3: sometimes what they thought was the main problem isn't actually

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Speaker 3: the main problem. So an example that I could give

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Speaker 3: you is that patients will come along and they have,

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Speaker 3: because of breastfeeding as a mother, or age or weight alteration,

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Speaker 3: they have breasts that they feel hang down too low,

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Speaker 3: and they come in for that being corrected. And the

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Speaker 3: lazy thing to do is just stick a breasting plant

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Speaker 3: into it. Doesn't actually address the problem. What they might

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Speaker 3: need is a breastlift or a breast reduction or something

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Speaker 3: slightly more nuanced. But you know, if I see a

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Speaker 3: patient and they want something done tomorrow, it's almost like

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Speaker 3: there's a pressure to do it or I'll go elsewhere.

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Speaker 2: I think I can relate to you on a very

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Speaker 2: minor level in terms of I for years was a

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Speaker 2: makeup artist, and I did a lot of drag makeup

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Speaker 2: for people, and I would get shown pictures of like

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Speaker 2: an eighteen year old glamorized face tuned drag queen by

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Speaker 2: like a fifty year old man and be like, your

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Speaker 2: face doesn't look like that. If I put that makeup

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Speaker 2: on you, you wouldn't look like that. I can do that

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Speaker 2: makeup on you, but you're going to be very upset

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Speaker 2: when you look in the mirror. And it's really interesting

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Speaker 2: that you have to kind of let people down from

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Speaker 2: these expectations without seeming like the bad guy. I really

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Speaker 2: want to help you. We can get somewhere, but you're

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Speaker 2: never going to get to that. And that's okay because

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Speaker 2: we can make you beautiful in your own right, but

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Speaker 2: to get the person over that side, it's always a

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Speaker 2: little bit difficult.

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Speaker 3: Well, that's very perceptive because I think that's exactly what

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Speaker 3: it is. I think it's almost identical, except that instead

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Speaker 3: of using a bit more permanent rushes, well, no, it's

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Speaker 3: instead of using brushes and makeup, it's just using a

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Speaker 3: scalpel blade. And so some people call plastic surgery psychology

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Speaker 3: with a knife. Yeah, but really that's a little bit

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Speaker 3: glib as a statement, because it's more like trying to

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Speaker 3: negotiate and navigate each person's individual psychology. And sometimes it's

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Speaker 3: reassuring people to say, look your arms, your breasts, your eyes,

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Speaker 3: your nostrils, your legs. There is a variation between what

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Speaker 3: is normal between two sides of anything.

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Speaker 1: Well, it's the same thing.

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Speaker 2: I'm legally blind in one eye, so like, I struggle

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Speaker 2: with one side of my face and I constantly have

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Speaker 2: to take photos of my face and flip it so

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Speaker 2: I can see the other side properly, and every time

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Speaker 2: it's like, oh my God, is that what I look like?

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Speaker 1: Bloody hell.

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Speaker 3: But I think that's really important for people to understand

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Speaker 3: that it's okay to vary from the normal quote unquote,

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Speaker 3: because the normal is set by people who are actually

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Speaker 3: chasing the symmetry and things, which actually, if you look

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Speaker 3: at nature, nature itself doesn't do symmetry.

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Speaker 2: And it is funny because if you do make someone

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Speaker 2: look exactly symmetrical, they look weird, they look done.

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Speaker 1: Yeah right, and some people like that.

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Speaker 3: So I mentioned that I lived in Iran as a child,

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Speaker 3: and in Iran there's a huge rhinoplasty industry. Okay, so

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Speaker 3: there's a lot of rhinoplastis done and there's a status

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Speaker 3: symbol around the run plasty. So people whereas a lot

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Speaker 3: of patients here will hide away for the postop recovery

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Speaker 3: because it's a sign that I've got money to afford

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Speaker 3: a rhinoplasty. People walk around with the bandages on their nose,

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Speaker 3: even if they haven't had a rhinoplasty.

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Speaker 1: Ah.

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Speaker 3: So I noticed that when I travel there. But there

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Speaker 3: are places in each capital city here, Melbourne and Sydney

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Speaker 3: where people definitely want to look done. Yes, parts of

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Speaker 3: the West Coast of the United States as well, in

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Speaker 3: different different jurisdictions, and people want to look done. So

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Speaker 3: I say to them, that's fine, but I'm not your guy, yes,

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Speaker 3: because I want to be doing a surgery that the

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Speaker 3: person who meets you for the first time doesn't say

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Speaker 3: what's wrong with your eyes? They just think, or even

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Speaker 3: people to know you, they say, oh, you look refreshed. Yes.

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Speaker 2: So I'm deep in the queer community. I'm surrounded by

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Speaker 2: a lot of trans friends, and one thing they need

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Speaker 2: in their gender affirmation is not need, but a lot

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Speaker 2: of them require is surgery to make them feel more

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Speaker 2: comfortable in their skin. But a big trend that's been

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Speaker 2: happening is they're all flying either to Bang Kong or

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Speaker 2: to Turkey or to hear or there. I believe it's

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Speaker 2: just a budget thing because it's so expensive and I

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Speaker 2: can not even imagine. But have you had to deal

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Speaker 2: with many cases because one of my friends. For example,

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Speaker 2: she went over to Bangkok. She was getting excess skin

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Speaker 2: removed because she'd lost a lot of weight and she'd

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Speaker 2: been saving up. I was so excited and she got

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Speaker 2: severely infected. She was stuck over there for months and

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Speaker 2: then had to come home. She couldn't work and work

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Speaker 2: for so long. Have you had to deal with many

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Speaker 2: cases from what's happened overseas? And what are your thoughts

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Speaker 2: on the glamorization of we'll just go on a holiday.

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Speaker 1: It's a package.

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Speaker 2: You know, everyone's going to get their hair transplant done.

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Speaker 2: This that like, Oh I just book a one stop trip.

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Speaker 2: They pick up from the airport. It's lovely, but is

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Speaker 2: it well, Look.

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Speaker 3: It's a massive industry and if complications occurre and a

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Speaker 3: small percentage of people, how do you manage them. That's

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Speaker 3: the most important thing about surgery. When you're choosing your surgeon,

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Speaker 3: you need to feel comfortable that if there's something that

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Speaker 3: goes wrong, they will be there to guide you through.

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Speaker 3: They won't abandon you push you off to someone else.

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Speaker 3: They shouldn't charge, it shouldn't cost anything if that happens,

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Speaker 3: and so it's about being there to look after the issues.

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Speaker 3: The trouble with medical tourism is once you have literally

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Speaker 3: walked out that door, you're not their problem anymore. Patients

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Speaker 3: I talk to can't get in touch again, they can't

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Speaker 3: get someone to look at them, and they're on their

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Speaker 3: own in a foreign country.

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Speaker 2: And sometimes it seems like they even just chuck you

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Speaker 2: straight like almost straight back on the plane. One more consultation,

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Speaker 2: which is really dangerous, Yeah, because of the risk of

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Speaker 2: DVTs bleeding and fluid leakage.

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Speaker 3: Being at altitude. Because the pressure blood pressure stays the same,

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Speaker 3: the cabin pressure goes down, so your blood pressure relatively

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Speaker 3: is higher, So if you're going to bleed, that's the

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Speaker 3: time you're going to bleed, and they put you on

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Speaker 3: the plane and an off your shoot. Now, maybe just

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Speaker 3: say ninety percent of people have no problems, that's great,

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Speaker 3: But if you're one of the ten percent, it doesn't

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Speaker 3: matter what the success rate is elsewhere. You're on your own,

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Speaker 3: and as your friend would, I suspect a test. It's

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Speaker 3: a pretty lonely, harrowing place when there's nowhere to turn.

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Speaker 3: If you're in a foreign country where you don't have

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Speaker 3: an insurance system or reciprocation of rights, which a lot

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Speaker 3: of those places you mentioned do not suddenly if you're

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Speaker 3: having a big problem, it's on your travel insurance. Now

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Speaker 3: do they even cover that stuff. A lot of them

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Speaker 3: have exclusions for medical tourism. When you come back, you

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Speaker 3: then either are in the public system some health if

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Speaker 3: you have private insurance, they will exclude those sort of things.

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Speaker 3: So it really it's a false economy. By the time

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Speaker 3: you add in a trip, accommodation, medications, transport to and

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Speaker 3: from the airport, and then all those risks on top,

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Speaker 3: it's actually not cheaper to go to those destinations which

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Speaker 3: ostensibly you're right, they packed them, so this is what

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Speaker 3: you can do. The other thing they're doing is they're

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Speaker 3: doing what we shouldn't be doing. One of the adages

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Speaker 3: of plastic surgery is you should stage every operation, never

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Speaker 3: do today what could be honorably left to do tomorrow.

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Speaker 3: If you're doing say a whole body post weight loss,

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Speaker 3: there might be arms, breastlift.

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Speaker 1: Tummy tucket, fire, bang, bang, bang bang.

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Speaker 3: They'll do sixteen seventeen hour operations, which are really dangerous.

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Speaker 2: And the thing that scared me too is some of

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Speaker 2: these people don't know I've gone. They have their consultation,

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Speaker 2: like the same day they arrive, you have their consultation

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Speaker 2: and then get cut open instantly.

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Speaker 3: Horrific.

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Speaker 2: I can understand the mentality to imagine if you were

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Speaker 2: there and you're like, actually, I'm not sure about this,

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Speaker 2: but I'm in a different country. I've already spent this money.

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Speaker 2: I've told everyone I'm coming here to do this, so

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Speaker 2: you just go ahead with it, which is.

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Speaker 3: Well, you feel forced into us. Yeah, and if you talk.

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Speaker 2: To especially when there's a language barrier on top of

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Speaker 2: that as well.

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Speaker 3: One hundred percent they're like, well, I've spent the money,

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Speaker 3: now I'm sort of obliged to do it. But I

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Speaker 3: think the big thing is that if you look at

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Speaker 3: someone who's trained for ten or eighteen or twenty years

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Speaker 3: to do something, and then you've had someone who's trained

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Speaker 3: for six months or a year to do the same thing,

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Speaker 3: you might be fine, right, if you're lucky, you might

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Speaker 3: be fine. But what if you're one of that percentage

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00:17:51,720 --> 00:17:55,000
Speaker 3: of people who isn't fine? What happens? Then that's a

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Speaker 3: question each person should be asking. I mean, the very

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Speaker 3: simple thing is people should be asking, what are your qualifications?

354
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Speaker 3: Are you actually a surgeon? You'd be surprised that some

355
00:18:04,440 --> 00:18:07,440
Speaker 3: people in Australia who are allowed to trade as surgeons

356
00:18:07,520 --> 00:18:12,199
Speaker 3: are not actually trained through the College of Surgeons. Really, yeah,

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Speaker 3: a lot of people are surprised by that. Yeah, there's

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Speaker 3: a lot of times I see people who say, well,

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00:18:15,760 --> 00:18:18,479
Speaker 3: I just assumed if they called themselves a surgeon, they

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00:18:18,520 --> 00:18:20,119
Speaker 3: were a plastic surgeon completely.

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Speaker 2: Yeah.

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00:18:20,440 --> 00:18:21,200
Speaker 1: Yeah.

363
00:18:21,359 --> 00:18:25,720
Speaker 2: So in your career, have you had to try and

364
00:18:26,280 --> 00:18:30,320
Speaker 2: rectifie some hack jobs from overseas or local or is

365
00:18:30,359 --> 00:18:31,399
Speaker 2: it happening everywhere?

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Speaker 1: The hacked aratraumatic of me.

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Speaker 3: But yeah, I mean it may be something where there's

368
00:18:36,560 --> 00:18:39,320
Speaker 3: been a mishap that's inverted an unavoidable or there's something

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Speaker 3: that is due to not being familiar and not being trained.

370
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Speaker 3: About thirty percent of the work I do is where

371
00:18:45,320 --> 00:18:48,680
Speaker 3: someone's had an operation before that you're not happy with. Now, look,

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Speaker 3: patients might not be happy with my operation and they

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Speaker 3: might go elsewhere. I wouldn't know about it. But the

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Speaker 3: thing is the doors always open. I've had a few

375
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Speaker 3: patients who had rhyino plasts in Turkey. Yes, I had

376
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Speaker 3: unfortunate lady who I just said to look, I can't

377
00:19:01,880 --> 00:19:04,960
Speaker 3: fix that. And the sad thing is she shows the

378
00:19:05,000 --> 00:19:06,560
Speaker 3: before picture and she said, I just want this little

379
00:19:06,600 --> 00:19:07,240
Speaker 3: hump gone.

380
00:19:07,640 --> 00:19:08,200
Speaker 1: And she looked.

381
00:19:08,280 --> 00:19:11,080
Speaker 3: It was a pretty nose, and now it looks like

382
00:19:11,320 --> 00:19:14,240
Speaker 3: someone who's had a severe accident or something's happened. It's

383
00:19:14,320 --> 00:19:16,760
Speaker 3: entirely collapsed. She can't breathe through it, and she hates

384
00:19:16,800 --> 00:19:19,040
Speaker 3: it to the point that she still goes around wearing

385
00:19:19,040 --> 00:19:23,120
Speaker 3: a COVID mask. Now she can't show herself in her eyes,

386
00:19:23,240 --> 00:19:25,679
Speaker 3: she can't show herself in public. And she's gone back

387
00:19:25,680 --> 00:19:27,760
Speaker 3: for two or three operations and now she comes in.

388
00:19:27,800 --> 00:19:30,160
Speaker 3: The trouble is that the structure of the nose, the cartilage,

389
00:19:30,200 --> 00:19:33,280
Speaker 3: is all collapsed in so the skin shrinks. So it's

390
00:19:33,280 --> 00:19:34,880
Speaker 3: not just a matter of if you put the cart ledge back.

391
00:19:35,000 --> 00:19:37,920
Speaker 3: You can take rib graphs sometimes, but the skin, once

392
00:19:37,960 --> 00:19:40,480
Speaker 3: it's shrunk down, the pocket's shrunk, you can't put those

393
00:19:40,480 --> 00:19:44,720
Speaker 3: in anymore unless you do something like import skin using

394
00:19:44,760 --> 00:19:48,160
Speaker 3: microsurgery from the hand or from the forehead to replace

395
00:19:48,240 --> 00:19:50,880
Speaker 3: that skin and start again. But the trouble is that's

396
00:19:50,880 --> 00:19:53,960
Speaker 3: a huge operation. There's scars, and a lot of the

397
00:19:54,000 --> 00:19:56,640
Speaker 3: things that have done overseas aren't what we would see

398
00:19:56,760 --> 00:20:00,280
Speaker 3: is very regulated in terms of the standards know that.

399
00:20:00,320 --> 00:20:03,440
Speaker 3: In some countries they call it the dolls nose, which

400
00:20:03,480 --> 00:20:06,040
Speaker 3: is like that, yeah, now you definitely get sued in

401
00:20:06,080 --> 00:20:08,679
Speaker 3: Australia if you did that. It's it's completely wrong to

402
00:20:08,720 --> 00:20:11,440
Speaker 3: do that. But they come back with this because that's

403
00:20:11,480 --> 00:20:13,240
Speaker 3: the local perception of what's attracted.

404
00:20:13,280 --> 00:20:14,280
Speaker 1: Well, that's what it's going to say.

405
00:20:14,320 --> 00:20:17,919
Speaker 2: It's like, is there some surgeons where you go in

406
00:20:17,960 --> 00:20:21,880
Speaker 2: for something they're like, well no, they take the term

407
00:20:22,080 --> 00:20:23,600
Speaker 2: artists a bit too far and they go, well, this

408
00:20:23,640 --> 00:20:24,879
Speaker 2: is what I do and this is what this is

409
00:20:24,920 --> 00:20:25,720
Speaker 2: what's best for you.

410
00:20:27,920 --> 00:20:31,520
Speaker 1: That is that what happens. Look it shouldn't because it's like,

411
00:20:31,560 --> 00:20:32,080
Speaker 1: do they.

412
00:20:32,280 --> 00:20:36,280
Speaker 2: When you're a surgeon, do you essentially have a cv

413
00:20:36,440 --> 00:20:38,480
Speaker 2: of surgeries you've done, like I did this and did this.

414
00:20:38,760 --> 00:20:39,760
Speaker 1: Especially I guess now.

415
00:20:39,600 --> 00:20:42,640
Speaker 2: In this social media world where surgeons are doing live

416
00:20:42,720 --> 00:20:45,439
Speaker 2: surgeries on TikTok and they're putting their Instagram accounts and

417
00:20:45,480 --> 00:20:48,040
Speaker 2: they want to show their work, is there more are

418
00:20:48,040 --> 00:20:49,800
Speaker 2: they more pushed to be like all right, well I'm

419
00:20:49,800 --> 00:20:50,840
Speaker 2: going to do this because this is what I.

420
00:20:50,760 --> 00:20:51,920
Speaker 1: Want to show off. You know.

421
00:20:52,359 --> 00:20:54,920
Speaker 3: I think it's what people sometimes, you know, the old

422
00:20:54,960 --> 00:20:57,920
Speaker 3: saying if all you have is a hammer the whole

423
00:20:57,920 --> 00:21:01,280
Speaker 3: world looks like a nail. Yes, sometimes people are rather

424
00:21:01,400 --> 00:21:04,959
Speaker 3: than what I mentioned, tailoring the solutions to what the

425
00:21:05,000 --> 00:21:08,399
Speaker 3: patients need. Yes, it's tailoring what they give the patient

426
00:21:08,440 --> 00:21:09,680
Speaker 3: to what they can do.

427
00:21:09,920 --> 00:21:10,520
Speaker 1: Get true.

428
00:21:11,040 --> 00:21:14,080
Speaker 2: I want to talk about for a second for trends

429
00:21:14,080 --> 00:21:17,960
Speaker 2: in cosmetic surgery. So I feel like for a long

430
00:21:18,000 --> 00:21:20,160
Speaker 2: time was all the ladies want of their boobs done?

431
00:21:20,240 --> 00:21:22,359
Speaker 2: And then I feel like the Kardashians happened and everyone

432
00:21:22,400 --> 00:21:25,399
Speaker 2: wanted hips and bum and all of that. What have

433
00:21:25,520 --> 00:21:27,760
Speaker 2: you seen over the years in terms of the trends

434
00:21:27,800 --> 00:21:29,680
Speaker 2: of what's in and what's out.

435
00:21:29,840 --> 00:21:33,400
Speaker 3: I think probably two things I've seen that have really changed.

436
00:21:33,440 --> 00:21:35,920
Speaker 3: One is that look of being natural versus looking done,

437
00:21:36,520 --> 00:21:39,320
Speaker 3: and that varies but goes in fits and starts, depending

438
00:21:39,359 --> 00:21:41,960
Speaker 3: on things like the Kardashians. Now, one thing I've noticed

439
00:21:41,960 --> 00:21:45,439
Speaker 3: in the last probably five years is breasts have changed

440
00:21:45,440 --> 00:21:48,720
Speaker 3: in what people believe. There was a time when you know,

441
00:21:48,800 --> 00:21:50,879
Speaker 3: if you look back in the sort of images of

442
00:21:50,920 --> 00:21:56,000
Speaker 3: the nineteen eighties and things huge breasts, I mean enormous

443
00:21:56,040 --> 00:22:00,320
Speaker 3: implants that were clearly too big for that patient were trendy. Yes,

444
00:22:00,359 --> 00:22:02,959
Speaker 3: and more and more now I'm noticing that people are

445
00:22:02,960 --> 00:22:04,680
Speaker 3: coming in and they're saying, I want those implants out

446
00:22:04,680 --> 00:22:06,159
Speaker 3: and I don't want anything back in What can you

447
00:22:06,240 --> 00:22:06,600
Speaker 3: do for me?

448
00:22:06,840 --> 00:22:09,800
Speaker 1: And that was that'd be full reconstructive as well.

449
00:22:09,640 --> 00:22:12,359
Speaker 3: Well, that's it's a problem because what happens is you

450
00:22:12,400 --> 00:22:15,560
Speaker 3: take out the implants and then they sag. Yeah, but

451
00:22:15,600 --> 00:22:18,440
Speaker 3: the trouble is that the patients asleep, so they never

452
00:22:18,520 --> 00:22:21,439
Speaker 3: see how much sag has been generated by taking out

453
00:22:21,440 --> 00:22:23,320
Speaker 3: the implant, and they just see what you end up with,

454
00:22:23,359 --> 00:22:26,200
Speaker 3: which is never as good as if they'd had nothing done.

455
00:22:26,359 --> 00:22:33,080
Speaker 2: Yes, I want to get creative. Yep, okay, because you

456
00:22:33,080 --> 00:22:35,520
Speaker 2: know it was it was boobs, it was butts.

457
00:22:35,760 --> 00:22:37,560
Speaker 1: What do you think is going to.

458
00:22:37,480 --> 00:22:39,760
Speaker 2: Be the next hot ticket surgery that everyone's going to

459
00:22:39,800 --> 00:22:42,040
Speaker 2: be knocking on your door or going, can I please

460
00:22:42,080 --> 00:22:44,399
Speaker 2: have this? I'd say, what I reckon? I'm going to

461
00:22:44,440 --> 00:22:47,760
Speaker 2: put my money on toe removal. I don't need to

462
00:22:47,760 --> 00:22:49,920
Speaker 2: be balanced, but I could fit into a lot more

463
00:22:49,960 --> 00:22:52,040
Speaker 2: shoes if I have these pes guitars.

464
00:22:52,119 --> 00:22:53,960
Speaker 3: That's very interesting that you say that, because.

465
00:22:53,960 --> 00:22:55,800
Speaker 1: No one's asked you to remove their toes before.

466
00:22:55,840 --> 00:22:56,600
Speaker 2: Have they My.

467
00:22:56,680 --> 00:22:59,640
Speaker 3: Favorite operation, just a secret, the favorite one to do.

468
00:23:00,119 --> 00:23:02,040
Speaker 3: If I were doing a technical operation is what we

469
00:23:02,119 --> 00:23:06,080
Speaker 3: call a tota hand transfer, and so is that what

470
00:23:06,119 --> 00:23:08,879
Speaker 3: it's so someone if someone yeah, exactly what sounds like?

471
00:23:09,080 --> 00:23:11,679
Speaker 3: You take the second toe and it surprisingly makes a

472
00:23:11,720 --> 00:23:13,720
Speaker 3: really good digit on the hand. So the toe to

473
00:23:13,760 --> 00:23:14,840
Speaker 3: hand transfer.

474
00:23:14,960 --> 00:23:16,600
Speaker 1: What about an extra digit on the hand?

475
00:23:17,280 --> 00:23:19,879
Speaker 3: I was up in Queensland with my family and the

476
00:23:19,960 --> 00:23:22,639
Speaker 3: colas have two thumbs. Well, I was thinking how useful

477
00:23:22,720 --> 00:23:26,360
Speaker 3: that onto something that useless? Second toe and give another thumb.

478
00:23:26,400 --> 00:23:28,840
Speaker 3: Imagine the stuff you could do texting? How fast could

479
00:23:28,840 --> 00:23:29,240
Speaker 3: your text?

480
00:23:29,280 --> 00:23:32,040
Speaker 2: The game as the game as we love on either

481
00:23:32,080 --> 00:23:35,640
Speaker 2: hand we've called it here first to hand, I call

482
00:23:35,680 --> 00:23:48,840
Speaker 2: it the tinger. So that was remand the plastic surgeon.

483
00:23:49,080 --> 00:23:50,239
Speaker 1: Ah, I tell you what.

484
00:23:50,440 --> 00:23:53,119
Speaker 2: He may have a big brain, but I'm all about

485
00:23:53,119 --> 00:23:54,800
Speaker 2: having an extra digit if you know what I mean.

486
00:23:55,800 --> 00:23:58,919
Speaker 2: You've been listening to an iHeart Australia production Concealed with

487
00:23:59,080 --> 00:23:59,760
Speaker 2: art simone.

488
00:24:00,119 --> 00:24:01,000
Speaker 1: Listen to more of what you

489
00:24:01,040 --> 00:24:03,840
Speaker 2: Love on iHeart and to check out a sculpted work

490
00:24:03,920 --> 00:24:06,720
Speaker 2: of plastic art, check me out on the socials