WEBVTT - Knives Out 🔪 0:00:08.200 --> 0:00:10.360 Hello, it's the gorgeous artsimone here. 0:00:10.840 --> 0:00:13.280 You may know me for my gorgeous face that's been 0:00:13.480 --> 0:00:16.759 sculpted by the gods, or a very good makeup rush. 0:00:16.840 --> 0:00:20.599 But sadly not everyone is as gorgeous as I am. 0:00:21.000 --> 0:00:25.320 But I am selflessly giving regular people a platform. It's 0:00:25.360 --> 0:00:29.560 not entirely true, though, because although they may look painfully regular, 0:00:29.880 --> 0:00:33.360 they're concealing something about themselves which makes them worthy of 0:00:33.400 --> 0:00:36.320 my time and yours. I don't know what it is, 0:00:36.360 --> 0:00:38.760 and neither do you, but we'll do some hard work 0:00:38.840 --> 0:00:40.360 to carve out the truth. 0:00:41.200 --> 0:00:44.640 Bring me my guess. 0:00:45.960 --> 0:00:48.920 My name's Ramin. I live in Melbourne. I was born 0:00:48.960 --> 0:00:52.720 in Sydney and lived in Iran from nineteen seventy eight 0:00:52.760 --> 0:00:55.800 to nineteen eighty one. I spend most of my time 0:00:55.920 --> 0:01:00.200 trying to solve problems and outside of my work, you're 0:01:00.320 --> 0:01:04.000 drawing and painting. But I'm concealing something about my profession, 0:01:04.040 --> 0:01:07.240 which I've done now for the best part of about 0:01:07.240 --> 0:01:11.399 two decades. 0:01:12.600 --> 0:01:14.399 Well, hello, how are you very well? 0:01:14.680 --> 0:01:18.319 How? I'm mysterious. So you're sitting in front of me. 0:01:18.360 --> 0:01:22.640 You're very smartly dressed. You nice pair of spectacles. I 0:01:22.720 --> 0:01:27.080 ask everyone, are they prescription or are they for fashion purposes? 0:01:27.440 --> 0:01:30.760 Definitely prescription, okay, And I took way too long getting them, 0:01:31.160 --> 0:01:33.759 realizing when I ran out of room with my iPhone 0:01:34.120 --> 0:01:35.840 my arm couldn't stretch any longer to read it. 0:01:35.840 --> 0:01:37.279 You could just increase the font starze. 0:01:37.400 --> 0:01:38.479 I didn't know that. Then, you're right. 0:01:40.480 --> 0:01:41.640 I haven't taught my mum that trick. 0:01:41.680 --> 0:01:43.800 I'm very excited to let her know one day she's 0:01:43.840 --> 0:01:46.480 going to have one word per page and just take 0:01:46.480 --> 0:01:47.119 her a long time. 0:01:47.240 --> 0:01:48.240 But I was almost there. 0:01:48.520 --> 0:01:51.800 Well, you've got the glasses now, see you're fine. Yeah, okay, 0:01:51.960 --> 0:01:57.080 So you're like drawing, like painting you what did you say? 0:01:57.160 --> 0:02:01.200 You're twenty two decades nearly two decads, two decades your profession, 0:02:01.800 --> 0:02:04.000 and that's what you're concealing from me today, your profession. 0:02:04.120 --> 0:02:06.440 That's what makes that's the interesting thing about you. 0:02:06.600 --> 0:02:07.800 Well, so I'm talking one of them. 0:02:07.880 --> 0:02:12.720 So I'm told, okay, what I'm going to do today 0:02:12.960 --> 0:02:15.040 is ask you three questions, and from the answers to 0:02:15.080 --> 0:02:17.640 those three questions, I have to work out what it 0:02:17.680 --> 0:02:19.560 is you're concealing from me here. 0:02:19.840 --> 0:02:21.160 Okay, are you ready? 0:02:21.400 --> 0:02:22.240 I'm very ready? 0:02:22.520 --> 0:02:25.280 Question number one, fifty years in the future. What do 0:02:25.320 --> 0:02:27.760 you think would be a new norm. 0:02:28.240 --> 0:02:32.559 I think that people will be looking at tailored engineering 0:02:32.639 --> 0:02:35.079 body solutions to disease. 0:02:36.440 --> 0:02:41.600 Tailored engineer body solutions to disease. Correct, that's a lot 0:02:41.600 --> 0:02:45.200 of words. Now I have to decode those words. Yes 0:02:45.560 --> 0:02:52.560 to disease, all right, tailored fashion nozas not in a fashion? Okay, disease. 0:02:53.320 --> 0:02:56.760 Question number two. If you were to pick one ninja turtle, 0:02:57.040 --> 0:02:58.519 which one would it be? 0:02:59.600 --> 0:03:02.280 I would so Leonardo Leonardo? 0:03:02.480 --> 0:03:04.120 What do you like about Leonardo? 0:03:05.200 --> 0:03:10.680 Leonardo is an artist, a sculptor, a scientist. Okay, engineer, 0:03:11.000 --> 0:03:12.280 big problem solver. 0:03:12.560 --> 0:03:12.960 Okay. 0:03:13.440 --> 0:03:16.919 I like the fact that he did so many different things, 0:03:16.960 --> 0:03:20.239 so many varied and interesting things, all of them requiring 0:03:20.280 --> 0:03:23.000 great deal of ingenuity and curiosity. 0:03:23.200 --> 0:03:31.639 Okay, big brain. Okay, damn big brain. Disease twenty years 0:03:31.760 --> 0:03:35.280 leo artist, big brain. Coming back to that one. 0:03:35.800 --> 0:03:39.880 Okay. The final question I have for you is what's 0:03:39.880 --> 0:03:41.240 the motto you live by? 0:03:42.520 --> 0:03:44.760 One motto? I really one saying I realized it's not 0:03:44.800 --> 0:03:47.960 My saying is but off more than you can chew, 0:03:47.960 --> 0:03:50.280 and chew like hell, more. 0:03:50.080 --> 0:03:57.920 Than you can chew and okay, teeth, big brain with 0:03:58.160 --> 0:04:07.920 teeth disease twenty years art turtles Okay, turtles. 0:04:07.960 --> 0:04:09.000 Could command with anything. 0:04:09.040 --> 0:04:13.520 Now, I think it's clear as day, clear as day. 0:04:13.800 --> 0:04:15.280 I don't know much trying to think about this, because 0:04:15.400 --> 0:04:17.039 you really painted it beautifully for me. 0:04:17.240 --> 0:04:18.440 Yep, are you? 0:04:18.680 --> 0:04:23.160 I think you are a mad scientist who has engineered 0:04:23.360 --> 0:04:26.919 turtles with big brains and teeth to battle disease. 0:04:27.279 --> 0:04:28.040 Is that correct? 0:04:28.920 --> 0:04:29.880 It's not too far. 0:04:29.800 --> 0:04:30.320 Off the mark. 0:04:36.240 --> 0:04:40.160 I'm a plastic, reconstructive and cosmetic surgeon with a PhD 0:04:40.320 --> 0:04:43.720 in molecular biology of lymphatic vessels. I work with people 0:04:43.720 --> 0:04:47.040 who require reconstructive surgery for trauma or cancer, but also 0:04:47.240 --> 0:04:50.480 those who suffer the after effects of cancer. I often 0:04:50.520 --> 0:04:53.000 operate on those who've been looking for ascetic reasons for 0:04:53.080 --> 0:04:55.880 different types of surgery or cosmetic surgery that may not 0:04:55.880 --> 0:04:57.000 have gone as planned. 0:04:57.839 --> 0:05:00.880 That's a big brain's. 0:05:05.279 --> 0:05:08.159 So Ramon isn't creating an army of turtles with big 0:05:08.200 --> 0:05:12.880 teeth fighting disease? No? No, no, he is a plastic surgeon. 0:05:13.560 --> 0:05:16.200 I'm so glad I could have a free consultation here today. 0:05:16.720 --> 0:05:17.800 You don't mind listening, do you? 0:05:18.120 --> 0:05:18.400 Thanks? 0:05:33.040 --> 0:05:37.400 Okay, so we're here with women and you are a 0:05:37.440 --> 0:05:40.440 lot of things a big brain holder. But one of 0:05:40.480 --> 0:05:45.160 those things you do is cosmetic surgery. Plastic surgery. Can 0:05:45.200 --> 0:05:49.040 you actually, let's at the top line, plastic surgery and 0:05:49.080 --> 0:05:53.240 that can be cosmetic or it can be reconstructive. 0:05:53.960 --> 0:05:54.840 Has that divvy up. 0:05:55.680 --> 0:06:00.120 Plastic surgery is a really broad specialty. Essentially, the focus 0:06:00.200 --> 0:06:03.520 is on what we say is form and function, So 0:06:03.560 --> 0:06:05.719 the form of a body part and the function of 0:06:05.720 --> 0:06:08.680 a body part. So if you want to walk down 0:06:08.720 --> 0:06:11.200 the street and you have a part of your limb 0:06:11.200 --> 0:06:14.760 missing or facial injury or something like that, and people 0:06:14.800 --> 0:06:17.320 are interacting with it, it inhibits your ability to communicate, you 0:06:17.360 --> 0:06:21.680 feel self conscious. So the two actually blend into one another. 0:06:21.920 --> 0:06:25.520 For example, in pediatric plastic surgery, when we're helping with 0:06:25.720 --> 0:06:28.800 patients who are born with a congenital difference, a lot 0:06:28.839 --> 0:06:31.120 of it is about them being able to get into 0:06:31.160 --> 0:06:35.400 school and to start their journey socializing and learning without 0:06:35.440 --> 0:06:37.440 being teased or bullied or whatever. So it might be, 0:06:37.520 --> 0:06:41.200 for example, the pinning back of the ears that's not functional, 0:06:41.200 --> 0:06:44.200 it doesn't help the hearing, but it does help the 0:06:44.360 --> 0:06:48.440 asthetic appearance. In turn, that helps them to integrate into 0:06:48.880 --> 0:06:52.400 their classroom and society, so that they're not constantly starting 0:06:52.480 --> 0:06:53.600 behind the ape ball. 0:06:54.040 --> 0:06:56.560 So if you're going in for an operation, for example, 0:06:56.680 --> 0:06:59.160 and you need something fixed, yes, is it true that 0:06:59.240 --> 0:07:01.640 like plastic surgery itself. 0:07:01.320 --> 0:07:04.320 Is like an optional extra? 0:07:04.640 --> 0:07:08.120 Like? Is that how it shouldn't be? But there was 0:07:08.160 --> 0:07:10.240 a time when one of the health funds they said 0:07:10.240 --> 0:07:13.920 we're just funding the cancer cutout and the reconstruction's cosmetic, 0:07:13.960 --> 0:07:17.600 and that was a pretty dark time for patients. The 0:07:17.600 --> 0:07:21.720 Australian Society Plastic Surgeon was extremely angry about that, and 0:07:21.760 --> 0:07:25.720 we did have a lot of representation to Healthiness is 0:07:25.720 --> 0:07:29.160 saying that's unethical to say that we'll cut out the cancer, 0:07:29.160 --> 0:07:31.239 but we won't reconstruct it. And in the end people 0:07:31.280 --> 0:07:31.800 saw the light. 0:07:32.240 --> 0:07:34.480 My mum, for example, has had lots of skin catcers 0:07:34.520 --> 0:07:36.840 in her life. She had it on her lip and 0:07:36.840 --> 0:07:38.720 they had to cut a whole trunk out of her lip, 0:07:38.840 --> 0:07:41.600 and they could a plastic surgeon wasn't She couldn't afford 0:07:41.600 --> 0:07:43.520 for plastic surgeon to fix it, and ever since then 0:07:43.840 --> 0:07:46.080 she wrote me in photos she doesn't like people for 0:07:46.200 --> 0:07:48.640 people to see her because she's got this big scar 0:07:49.440 --> 0:07:50.360 in the middle of her face. 0:07:50.800 --> 0:07:53.360 Really, in this day and age in Australia, you shouldn't 0:07:53.360 --> 0:07:56.080 be not able to access a plastic surgeon through the 0:07:56.080 --> 0:07:58.920 public hospital system. The good news is, I guess she 0:07:59.000 --> 0:08:04.240 could definitely see someone and look at getting that restored 0:08:04.560 --> 0:08:05.200 or improved. 0:08:05.640 --> 0:08:07.560 She calls herself the bride of Chucky, the poor doll. 0:08:09.080 --> 0:08:13.200 So do you do elective surgery like an electric cosmetics surgery? 0:08:13.520 --> 0:08:16.240 Has there any ever been a circumstance where someone comes 0:08:16.240 --> 0:08:18.800 to you and you go, I'm not doing that. I 0:08:18.840 --> 0:08:21.760 can't do that, Like, is there anything? Is that a common? 0:08:21.800 --> 0:08:25.520 They're very, very common to have patients who come in 0:08:25.720 --> 0:08:28.960 with a preconception and it's become a lot worse in 0:08:29.000 --> 0:08:30.960 the age of social media, it must be said, and 0:08:31.120 --> 0:08:34.520 reality TV and these things. People often come with an 0:08:34.640 --> 0:08:39.160 expectation that may not be relevant to them. They'll come 0:08:39.200 --> 0:08:42.920 in with some form of surgery that they desire was 0:08:43.040 --> 0:08:45.160 just simply is impossible. They'll come with a photograph of 0:08:45.200 --> 0:08:49.040 a celebrity which has a completely different bone structure, age, 0:08:49.120 --> 0:08:52.080 health status, and then want something done that's actually not 0:08:52.200 --> 0:08:56.360 A probably isn't achievable, but B is risky, and C 0:08:56.520 --> 0:08:59.360 has a very high risk of them being completely dissatisfied, 0:08:59.400 --> 0:09:03.240 because what does happen. This condition, called body dysmorphic disorder, 0:09:03.880 --> 0:09:07.960 is that patients often can't see themselves as you and 0:09:08.000 --> 0:09:10.080 I might see them walking along the street. There's a 0:09:10.120 --> 0:09:12.719 there's a distortion, and that's a very complex there's a 0:09:12.840 --> 0:09:18.040 there's an overlay of lots of social and developmental issues 0:09:18.120 --> 0:09:21.680 where they teased and I would suggest that if the 0:09:21.760 --> 0:09:25.200 outside observer came along and met her, they probably wouldn't 0:09:25.240 --> 0:09:27.520 notice it, but to her, she's fixated on it. Yes, 0:09:27.880 --> 0:09:30.480 and that's that's something where we have to as plastic surgeons, 0:09:30.480 --> 0:09:31.160 be very careful. 0:09:31.400 --> 0:09:32.840 Well, I was going to say, how do you then 0:09:33.040 --> 0:09:35.720 choose what is valid and what isn't? 0:09:35.840 --> 0:09:37.880 How does your scale go all? 0:09:37.960 --> 0:09:38.080 Right? 0:09:38.120 --> 0:09:41.880 Now, I understand essentially people pleading their case to you, 0:09:42.200 --> 0:09:44.040 being like, this is what it's doing for me, this 0:09:44.080 --> 0:09:45.040 is why it would be great. 0:09:45.480 --> 0:09:48.080 Yeah, Yeah, I think it's a mixture. There's certainly there's 0:09:48.120 --> 0:09:51.920 screening tools. Sometimes you when you talk to patients, you 0:09:51.960 --> 0:09:55.520 can't actually tell what they're seeing from inside their heads. 0:09:55.520 --> 0:09:57.839 So there are screening tools to understand if they are 0:09:58.080 --> 0:10:00.480 suffering from this condition or have it a touch of 0:10:00.480 --> 0:10:04.000 this condition called body dysmorphia, But often it's a matter 0:10:04.040 --> 0:10:06.280 of just spending that time getting to know patients and 0:10:06.320 --> 0:10:10.520 discussing with them. And if you actually sit down with people, 0:10:10.640 --> 0:10:14.600 sometimes what they thought was the main problem isn't actually 0:10:14.640 --> 0:10:16.679 the main problem. So an example that I could give 0:10:16.679 --> 0:10:19.080 you is that patients will come along and they have, 0:10:19.480 --> 0:10:23.920 because of breastfeeding as a mother, or age or weight alteration, 0:10:24.080 --> 0:10:26.280 they have breasts that they feel hang down too low, 0:10:26.880 --> 0:10:29.480 and they come in for that being corrected. And the 0:10:29.559 --> 0:10:31.680 lazy thing to do is just stick a breasting plant 0:10:31.760 --> 0:10:34.439 into it. Doesn't actually address the problem. What they might 0:10:34.559 --> 0:10:38.240 need is a breastlift or a breast reduction or something 0:10:38.440 --> 0:10:40.600 slightly more nuanced. But you know, if I see a 0:10:40.640 --> 0:10:43.640 patient and they want something done tomorrow, it's almost like 0:10:43.679 --> 0:10:45.800 there's a pressure to do it or I'll go elsewhere. 0:10:46.160 --> 0:10:48.400 I think I can relate to you on a very 0:10:48.679 --> 0:10:51.240 minor level in terms of I for years was a 0:10:51.280 --> 0:10:54.160 makeup artist, and I did a lot of drag makeup 0:10:54.200 --> 0:10:57.040 for people, and I would get shown pictures of like 0:10:57.080 --> 0:11:01.160 an eighteen year old glamorized face tuned drag queen by 0:11:01.280 --> 0:11:04.280 like a fifty year old man and be like, your 0:11:04.320 --> 0:11:06.640 face doesn't look like that. If I put that makeup 0:11:06.679 --> 0:11:09.160 on you, you wouldn't look like that. I can do that 0:11:09.200 --> 0:11:11.120 makeup on you, but you're going to be very upset 0:11:11.160 --> 0:11:13.800 when you look in the mirror. And it's really interesting 0:11:13.800 --> 0:11:15.319 that you have to kind of let people down from 0:11:15.360 --> 0:11:18.679 these expectations without seeming like the bad guy. I really 0:11:18.720 --> 0:11:20.840 want to help you. We can get somewhere, but you're 0:11:20.880 --> 0:11:23.000 never going to get to that. And that's okay because 0:11:23.000 --> 0:11:25.120 we can make you beautiful in your own right, but 0:11:25.240 --> 0:11:27.360 to get the person over that side, it's always a 0:11:27.360 --> 0:11:28.280 little bit difficult. 0:11:29.040 --> 0:11:31.360 Well, that's very perceptive because I think that's exactly what 0:11:31.440 --> 0:11:35.400 it is. I think it's almost identical, except that instead 0:11:35.440 --> 0:11:38.520 of using a bit more permanent rushes, well, no, it's 0:11:38.600 --> 0:11:41.520 instead of using brushes and makeup, it's just using a 0:11:41.559 --> 0:11:45.760 scalpel blade. And so some people call plastic surgery psychology 0:11:45.800 --> 0:11:49.480 with a knife. Yeah, but really that's a little bit 0:11:49.559 --> 0:11:53.640 glib as a statement, because it's more like trying to 0:11:53.800 --> 0:11:57.959 negotiate and navigate each person's individual psychology. And sometimes it's 0:11:58.000 --> 0:12:02.160 reassuring people to say, look your arms, your breasts, your eyes, 0:12:02.280 --> 0:12:06.000 your nostrils, your legs. There is a variation between what 0:12:06.160 --> 0:12:08.240 is normal between two sides of anything. 0:12:08.320 --> 0:12:09.040 Well, it's the same thing. 0:12:09.120 --> 0:12:12.040 I'm legally blind in one eye, so like, I struggle 0:12:12.080 --> 0:12:14.760 with one side of my face and I constantly have 0:12:14.800 --> 0:12:16.800 to take photos of my face and flip it so 0:12:16.880 --> 0:12:19.120 I can see the other side properly, and every time 0:12:19.160 --> 0:12:20.679 it's like, oh my God, is that what I look like? 0:12:20.720 --> 0:12:21.280 Bloody hell. 0:12:21.600 --> 0:12:24.200 But I think that's really important for people to understand 0:12:24.200 --> 0:12:28.040 that it's okay to vary from the normal quote unquote, 0:12:28.240 --> 0:12:31.760 because the normal is set by people who are actually 0:12:32.559 --> 0:12:36.240 chasing the symmetry and things, which actually, if you look 0:12:36.240 --> 0:12:39.199 at nature, nature itself doesn't do symmetry. 0:12:39.559 --> 0:12:41.439 And it is funny because if you do make someone 0:12:41.440 --> 0:12:45.680 look exactly symmetrical, they look weird, they look done. 0:12:45.880 --> 0:12:47.920 Yeah right, and some people like that. 0:12:48.000 --> 0:12:51.280 So I mentioned that I lived in Iran as a child, 0:12:51.520 --> 0:12:55.040 and in Iran there's a huge rhinoplasty industry. Okay, so 0:12:55.040 --> 0:12:57.880 there's a lot of rhinoplastis done and there's a status 0:12:57.920 --> 0:13:01.000 symbol around the run plasty. So people whereas a lot 0:13:01.040 --> 0:13:03.719 of patients here will hide away for the postop recovery 0:13:03.920 --> 0:13:05.839 because it's a sign that I've got money to afford 0:13:05.840 --> 0:13:08.600 a rhinoplasty. People walk around with the bandages on their nose, 0:13:09.920 --> 0:13:11.439 even if they haven't had a rhinoplasty. 0:13:11.800 --> 0:13:12.160 Ah. 0:13:12.840 --> 0:13:16.360 So I noticed that when I travel there. But there 0:13:16.360 --> 0:13:18.959 are places in each capital city here, Melbourne and Sydney 0:13:19.040 --> 0:13:23.000 where people definitely want to look done. Yes, parts of 0:13:23.080 --> 0:13:25.400 the West Coast of the United States as well, in 0:13:25.440 --> 0:13:27.880 different different jurisdictions, and people want to look done. So 0:13:27.960 --> 0:13:31.080 I say to them, that's fine, but I'm not your guy, yes, 0:13:31.240 --> 0:13:34.440 because I want to be doing a surgery that the 0:13:34.480 --> 0:13:36.480 person who meets you for the first time doesn't say 0:13:36.520 --> 0:13:38.480 what's wrong with your eyes? They just think, or even 0:13:38.480 --> 0:13:40.800 people to know you, they say, oh, you look refreshed. Yes. 0:13:41.360 --> 0:13:44.600 So I'm deep in the queer community. I'm surrounded by 0:13:44.760 --> 0:13:47.679 a lot of trans friends, and one thing they need 0:13:47.679 --> 0:13:50.840 in their gender affirmation is not need, but a lot 0:13:50.880 --> 0:13:53.200 of them require is surgery to make them feel more 0:13:53.240 --> 0:13:56.280 comfortable in their skin. But a big trend that's been 0:13:56.320 --> 0:14:00.240 happening is they're all flying either to Bang Kong or 0:14:00.240 --> 0:14:03.280 to Turkey or to hear or there. I believe it's 0:14:03.320 --> 0:14:06.040 just a budget thing because it's so expensive and I 0:14:06.080 --> 0:14:09.200 can not even imagine. But have you had to deal 0:14:09.240 --> 0:14:11.360 with many cases because one of my friends. For example, 0:14:11.400 --> 0:14:13.880 she went over to Bangkok. She was getting excess skin 0:14:13.960 --> 0:14:16.840 removed because she'd lost a lot of weight and she'd 0:14:16.880 --> 0:14:20.080 been saving up. I was so excited and she got 0:14:20.480 --> 0:14:23.200 severely infected. She was stuck over there for months and 0:14:23.200 --> 0:14:25.160 then had to come home. She couldn't work and work 0:14:25.400 --> 0:14:27.560 for so long. Have you had to deal with many 0:14:27.560 --> 0:14:30.960 cases from what's happened overseas? And what are your thoughts 0:14:31.040 --> 0:14:33.920 on the glamorization of we'll just go on a holiday. 0:14:33.920 --> 0:14:34.560 It's a package. 0:14:34.680 --> 0:14:37.960 You know, everyone's going to get their hair transplant done. 0:14:38.040 --> 0:14:40.880 This that like, Oh I just book a one stop trip. 0:14:40.880 --> 0:14:43.000 They pick up from the airport. It's lovely, but is 0:14:43.040 --> 0:14:44.640 it well, Look. 0:14:44.440 --> 0:14:47.080 It's a massive industry and if complications occurre and a 0:14:47.120 --> 0:14:49.640 small percentage of people, how do you manage them. That's 0:14:49.800 --> 0:14:52.560 the most important thing about surgery. When you're choosing your surgeon, 0:14:53.040 --> 0:14:55.240 you need to feel comfortable that if there's something that 0:14:55.320 --> 0:14:58.160 goes wrong, they will be there to guide you through. 0:14:58.360 --> 0:15:01.480 They won't abandon you push you off to someone else. 0:15:01.840 --> 0:15:04.560 They shouldn't charge, it shouldn't cost anything if that happens, 0:15:05.160 --> 0:15:10.240 and so it's about being there to look after the issues. 0:15:10.320 --> 0:15:13.600 The trouble with medical tourism is once you have literally 0:15:13.600 --> 0:15:16.800 walked out that door, you're not their problem anymore. Patients 0:15:17.080 --> 0:15:20.000 I talk to can't get in touch again, they can't 0:15:20.000 --> 0:15:21.680 get someone to look at them, and they're on their 0:15:21.680 --> 0:15:23.640 own in a foreign country. 0:15:23.360 --> 0:15:25.680 And sometimes it seems like they even just chuck you 0:15:25.720 --> 0:15:28.760 straight like almost straight back on the plane. One more consultation, 0:15:28.840 --> 0:15:31.040 which is really dangerous, Yeah, because of the risk of 0:15:31.120 --> 0:15:34.320 DVTs bleeding and fluid leakage. 0:15:34.400 --> 0:15:37.160 Being at altitude. Because the pressure blood pressure stays the same, 0:15:37.520 --> 0:15:40.960 the cabin pressure goes down, so your blood pressure relatively 0:15:41.040 --> 0:15:43.000 is higher, So if you're going to bleed, that's the 0:15:43.040 --> 0:15:44.720 time you're going to bleed, and they put you on 0:15:44.720 --> 0:15:47.960 the plane and an off your shoot. Now, maybe just 0:15:48.000 --> 0:15:50.720 say ninety percent of people have no problems, that's great, 0:15:50.760 --> 0:15:52.600 But if you're one of the ten percent, it doesn't 0:15:52.600 --> 0:15:55.880 matter what the success rate is elsewhere. You're on your own, 0:15:55.920 --> 0:15:59.120 and as your friend would, I suspect a test. It's 0:15:59.160 --> 0:16:02.000 a pretty lonely, harrowing place when there's nowhere to turn. 0:16:02.560 --> 0:16:04.640 If you're in a foreign country where you don't have 0:16:04.680 --> 0:16:07.760 an insurance system or reciprocation of rights, which a lot 0:16:07.760 --> 0:16:10.680 of those places you mentioned do not suddenly if you're 0:16:10.680 --> 0:16:12.560 having a big problem, it's on your travel insurance. Now 0:16:12.560 --> 0:16:14.480 do they even cover that stuff. A lot of them 0:16:14.520 --> 0:16:17.840 have exclusions for medical tourism. When you come back, you 0:16:17.960 --> 0:16:21.280 then either are in the public system some health if 0:16:21.320 --> 0:16:23.680 you have private insurance, they will exclude those sort of things. 0:16:23.720 --> 0:16:26.520 So it really it's a false economy. By the time 0:16:26.560 --> 0:16:33.240 you add in a trip, accommodation, medications, transport to and 0:16:33.280 --> 0:16:36.080 from the airport, and then all those risks on top, 0:16:36.520 --> 0:16:39.360 it's actually not cheaper to go to those destinations which 0:16:39.400 --> 0:16:41.720 ostensibly you're right, they packed them, so this is what 0:16:41.760 --> 0:16:44.120 you can do. The other thing they're doing is they're 0:16:44.160 --> 0:16:46.400 doing what we shouldn't be doing. One of the adages 0:16:46.400 --> 0:16:49.680 of plastic surgery is you should stage every operation, never 0:16:49.760 --> 0:16:52.800 do today what could be honorably left to do tomorrow. 0:16:52.840 --> 0:16:56.080 If you're doing say a whole body post weight loss, 0:16:56.520 --> 0:16:59.480 there might be arms, breastlift. 0:16:59.040 --> 0:17:00.960 Tummy tucket, fire, bang, bang, bang bang. 0:17:01.560 --> 0:17:04.240 They'll do sixteen seventeen hour operations, which are really dangerous. 0:17:04.440 --> 0:17:06.280 And the thing that scared me too is some of 0:17:06.320 --> 0:17:09.160 these people don't know I've gone. They have their consultation, 0:17:09.280 --> 0:17:12.400 like the same day they arrive, you have their consultation 0:17:12.520 --> 0:17:14.400 and then get cut open instantly. 0:17:15.560 --> 0:17:16.000 Horrific. 0:17:16.040 --> 0:17:17.919 I can understand the mentality to imagine if you were 0:17:17.920 --> 0:17:19.439 there and you're like, actually, I'm not sure about this, 0:17:19.880 --> 0:17:21.880 but I'm in a different country. I've already spent this money. 0:17:21.880 --> 0:17:23.919 I've told everyone I'm coming here to do this, so 0:17:23.960 --> 0:17:25.960 you just go ahead with it, which is. 0:17:26.119 --> 0:17:28.880 Well, you feel forced into us. Yeah, and if you talk. 0:17:28.720 --> 0:17:30.639 To especially when there's a language barrier on top of 0:17:30.680 --> 0:17:31.480 that as well. 0:17:31.359 --> 0:17:33.840 One hundred percent they're like, well, I've spent the money, 0:17:33.920 --> 0:17:35.840 now I'm sort of obliged to do it. But I 0:17:35.920 --> 0:17:38.160 think the big thing is that if you look at 0:17:38.200 --> 0:17:41.119 someone who's trained for ten or eighteen or twenty years 0:17:41.160 --> 0:17:43.679 to do something, and then you've had someone who's trained 0:17:43.720 --> 0:17:46.400 for six months or a year to do the same thing, 0:17:47.000 --> 0:17:49.600 you might be fine, right, if you're lucky, you might 0:17:49.640 --> 0:17:51.720 be fine. But what if you're one of that percentage 0:17:51.720 --> 0:17:55.000 of people who isn't fine? What happens? Then that's a 0:17:55.080 --> 0:17:57.440 question each person should be asking. I mean, the very 0:17:57.440 --> 0:18:01.159 simple thing is people should be asking, what are your qualifications? 0:18:01.880 --> 0:18:04.399 Are you actually a surgeon? You'd be surprised that some 0:18:04.440 --> 0:18:07.440 people in Australia who are allowed to trade as surgeons 0:18:07.520 --> 0:18:12.199 are not actually trained through the College of Surgeons. Really, yeah, 0:18:12.240 --> 0:18:14.200 a lot of people are surprised by that. Yeah, there's 0:18:14.200 --> 0:18:15.760 a lot of times I see people who say, well, 0:18:15.760 --> 0:18:18.479 I just assumed if they called themselves a surgeon, they 0:18:18.520 --> 0:18:20.119 were a plastic surgeon completely. 0:18:20.200 --> 0:18:20.360 Yeah. 0:18:20.440 --> 0:18:21.200 Yeah. 0:18:21.359 --> 0:18:25.720 So in your career, have you had to try and 0:18:26.280 --> 0:18:30.320 rectifie some hack jobs from overseas or local or is 0:18:30.359 --> 0:18:31.399 it happening everywhere? 0:18:32.000 --> 0:18:33.359 The hacked aratraumatic of me. 0:18:33.440 --> 0:18:36.320 But yeah, I mean it may be something where there's 0:18:36.560 --> 0:18:39.320 been a mishap that's inverted an unavoidable or there's something 0:18:39.320 --> 0:18:42.080 that is due to not being familiar and not being trained. 0:18:42.800 --> 0:18:45.320 About thirty percent of the work I do is where 0:18:45.320 --> 0:18:48.680 someone's had an operation before that you're not happy with. Now, look, 0:18:48.920 --> 0:18:51.240 patients might not be happy with my operation and they 0:18:51.320 --> 0:18:53.359 might go elsewhere. I wouldn't know about it. But the 0:18:53.400 --> 0:18:56.240 thing is the doors always open. I've had a few 0:18:56.400 --> 0:18:58.919 patients who had rhyino plasts in Turkey. Yes, I had 0:18:59.280 --> 0:19:01.840 unfortunate lady who I just said to look, I can't 0:19:01.880 --> 0:19:04.960 fix that. And the sad thing is she shows the 0:19:05.000 --> 0:19:06.560 before picture and she said, I just want this little 0:19:06.600 --> 0:19:07.240 hump gone. 0:19:07.640 --> 0:19:08.200 And she looked. 0:19:08.280 --> 0:19:11.080 It was a pretty nose, and now it looks like 0:19:11.320 --> 0:19:14.240 someone who's had a severe accident or something's happened. It's 0:19:14.320 --> 0:19:16.760 entirely collapsed. She can't breathe through it, and she hates 0:19:16.800 --> 0:19:19.040 it to the point that she still goes around wearing 0:19:19.040 --> 0:19:23.120 a COVID mask. Now she can't show herself in her eyes, 0:19:23.240 --> 0:19:25.679 she can't show herself in public. And she's gone back 0:19:25.680 --> 0:19:27.760 for two or three operations and now she comes in. 0:19:27.800 --> 0:19:30.160 The trouble is that the structure of the nose, the cartilage, 0:19:30.200 --> 0:19:33.280 is all collapsed in so the skin shrinks. So it's 0:19:33.280 --> 0:19:34.880 not just a matter of if you put the cart ledge back. 0:19:35.000 --> 0:19:37.920 You can take rib graphs sometimes, but the skin, once 0:19:37.960 --> 0:19:40.480 it's shrunk down, the pocket's shrunk, you can't put those 0:19:40.480 --> 0:19:44.720 in anymore unless you do something like import skin using 0:19:44.760 --> 0:19:48.160 microsurgery from the hand or from the forehead to replace 0:19:48.240 --> 0:19:50.880 that skin and start again. But the trouble is that's 0:19:50.880 --> 0:19:53.960 a huge operation. There's scars, and a lot of the 0:19:54.000 --> 0:19:56.640 things that have done overseas aren't what we would see 0:19:56.760 --> 0:20:00.280 is very regulated in terms of the standards know that. 0:20:00.320 --> 0:20:03.440 In some countries they call it the dolls nose, which 0:20:03.480 --> 0:20:06.040 is like that, yeah, now you definitely get sued in 0:20:06.080 --> 0:20:08.679