December 5, 2025 • 18 mins
George Noory and Dr. Tony Youn explore his career as a plastic surgeon, body dysmorphia in young people to treat nonexistent problems, and his advice and supplements for maintaining good skin health.
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Speaker 1 (00:00):
Now here's a highlight from Coast to coast AM on iHeartRadio.
Speaker 2 (00:05):
And welcome back on this full moon night, my friends.
Anthony Yun, a MD, is known as America's holistic plastic
surgeon and is a nationally recognized Board certified plastic surgeon.
He's the author of a number of best selling books,
The Age Fix in Stitches, Playing God, and Younger for Life.
Doctor Yun also hosts a very popular podcast, The Doctor's
(00:27):
Yun Show. He's the most followed plastic surgeon on social media,
with more than five million subscribers on YouTube and eight
million followers on TikTok. Tony welcome back, How.
Speaker 3 (00:39):
Are you hey? I'm doing great. Thank you so much
for having me.
Speaker 2 (00:42):
George, How did you get involved in plastic surgery?
Speaker 3 (00:47):
Oh? Wow, this is a long time ago. I actually
had a patient when I was a medical student who
was a little baby whose face was actually mauled by
a raccoon. And when the plastic surgeon came in and
showed me the plans that he was going to make
to try to reconstruct this little baby's face, it really
got me hooked on the specialty.
Speaker 2 (01:08):
Do you have to be almost like an artist to
be a good plastic surgeon.
Speaker 3 (01:13):
I actually don't think so. You know, you can really
follow a lot of the techniques that we're taught as
plastic surgeons, and even if you don't have a lot
of artistry in you, if you follow the techniques, then
you can do well. But to be an excellent plastic surgeon, yes,
I think you have to be an artist. I think
you could be a reasonably decent plastic surgeon without being one,
(01:36):
But to be excellent, I do think that that's what
separates a lot of times a plastic surgeon who's just decent,
you know, who's a good technician, from one who's truly
a great surgeon.
Speaker 2 (01:48):
What are some of the most popular types of plastic surgery, Tony, Yeah, So.
Speaker 3 (01:53):
If you look at the statistics right now, and you're
looking at non invasive procedures, which is now a big
part of our practice as plastic surgeons, the number one
most popular procedure, probably really of all time cosmetically is botox.
If you're looking at surgery for women, it would be
breast aumentation, breast and plants. For men it would be liposuction.
Speaker 2 (02:16):
Surely, remark and they're doing innovative things now too, aren't they.
Speaker 3 (02:21):
Yeah, I mean there's we're always working on ways to
improve what we're doing. You know, sometimes there are tried
and true procedures, you know, like if you have excess
skin of your tummy, there's really only one way to
remove it. You have to cut it out, And those
types of techniques don't really change all that much. Technology, though,
can make huge improvements, and so we're doing more and more,
(02:45):
you know, laser treatments and using technology to remove fat
and things like that. That continues to advance so that
hopefully surgery itself eventually becomes obsolete.
Speaker 2 (02:59):
What do you think of the new trend with ozempic
and regovy to lose weight these injectables, Yeah.
Speaker 3 (03:05):
I mean those are extremely effective and so many people
Georgia on it. I mean I would tell you in
my practice, I would probably say one out of every
three or four patients is on a GLP one agonist medication.
Now that may be skewed from the general population because
people lose weight from these medications and then they come
see a plastic surgeon to remove the excess skin or
(03:28):
to help to enhance the face again. You know, if
they've lost weight, then you get what's called ozempic face,
and so people come to get that treated, and then
there are a lot of other body parts that are
that are treated with or they are changed by being
on ozempic or the GLP one agonists.
Speaker 2 (03:45):
What is generally some of the younger people that have
ever come to you for plastic surgery and you simply say,
I'm not operating on you.
Speaker 3 (03:55):
Well, there are people who have body dysmorphia, and that's
a condition where you look in the mirror and what
you see in the mirror is different than reality, and
so they they believe, let's say, if they have a
small bump on their nose to you and I, that
bump to them looks like it's massive, and so they'll
see plastic surgeons I myself as a way to correct
(04:15):
perceived deformities that don't even exist. And these are the
patients that will come in when they're young. Sometimes they'll
want a nose jobs, or they'll want you know, liipo
or breast plants, and they're just not good candas for surgery,
so you turn them down. But unfortunately a lot of
times they end up going to your neighbor, the doctor
who has a practice across the street, and eventually they
(04:37):
find somebody who will operate on them. And then usually,
unfortunately what happens is they can get botched because once again,
now you're you know, doctors are treating perceived deformities that
were never there in the first place.
Speaker 2 (04:48):
What do you think of plastic surgery as tony in
Mexico or Turkey or other places like that.
Speaker 3 (04:55):
So, yeah, this is called surgical tourism, and there are
more and more patients, more people from the United States
traveling to other countries because they're gonna they want to
save money. And the other thing now is online there
are these plastic surgeons in other countries, some of them
who aren't even well trained or anything, who are putting
up fake before and after photos and videos. Some of
(05:17):
them they're using different people for their before and after photos,
you know, so the before is somebody who's older, and
then the after sometimes is actually their child, like their
son or their daughter, but they don't share that. They
claim it's a real before and after. And then they
lure people into these third world countries to have these
plastic surgeries done u and eventually some of them get
(05:40):
exposed on social media as being fake, you know, as
these before and after photos not being real, being AI generated.
It's it really is a wild West of medicine out
there right now, So you've got to be very very careful, Tony.
Speaker 2 (05:53):
Does plastic surgery go through trends where something's really hot
for the moment and people rush to do it.
Speaker 3 (06:01):
Yeah, I mean with social media, that's this crazy thing
going on now? Is that even like old surgery. So
for example, there's an operation called the lip lift, and
this was described i think back in the seventies or eighties,
where you cut out skin from the lower the bottom
of your nose the upper part of the lipt to
try shorten the lip. And this is a procedure that
(06:22):
got hot on TikTok just about a year or two ago,
and so plastic surgeons are now performing this operation on
young people in their twenties and their thirties, giving them
these visible scars at the base of their nose, and
they're advertising it as if this is this new hot
procedure and so young people believe it when in reality,
this was described back probably in the eighties and it's
(06:45):
beIN around for a long time. Is never all that
popular because of the scarring. Yet now on social media,
these doctors will trick young people into thinking it's this
new innovative procedure, which it definitely is not. And that's
just one of the procedures. There's a lot of other
procedures like buckle fat removal and other operations where this
has happened as well.
Speaker 2 (07:05):
What is the ponytail lift that I hear so much
about these days.
Speaker 3 (07:10):
Well, if you see there are certain young celebrities in
Hollywood now, they're in their thirties, maybe early forties, and
they are transformed. I think a really good example of
this is Lindsay Lohan, and now I have no I'm
not her doctor, so there's no proof that she's had
this specifically done. But you see young celebrities like her
who've undergone these massive transformations, and arguably they look really,
(07:31):
really good. The ponytail lift is a combination of procedures
that combine an endoscopic brow lift, a cheek lift, an
upper eyelid lift, fat rafting, so fat transfer into their
cheeks and other parts of their face with full face
laser and this has been transforming, in my opinion, in
the faces of young Hollywood, and that's why you're seeing
(07:51):
a lot of young Hollywood in their thirties and forties,
looking completely refreshed. Their eyes are wide open and stuff,
and people don't know what they're having done to lift
I think is what a lot of them are having done.
Speaker 2 (08:03):
Now, how much is something like that cost?
Speaker 3 (08:06):
It can cost one to two hundred thousand dollars.
Speaker 2 (08:10):
Two hundred thousand dollars.
Speaker 3 (08:13):
Well, it's rumored that Chris Jenner, the matriarch of the
Kardashian family, she had a facelift and has been very
open about it. She had it done by a plastic
surgeon out in New York, and it's reported that she
spent anywhere from two hundred and fifty to three hundred
and fifty thousand dollars on her facelift.
Speaker 2 (08:30):
Wow, it's crazy, it is.
Speaker 3 (08:34):
I mean, it's there are surgeons who and typically it's
in New York, it's in La maybe Miami, who are
charging these exorbitant prices, and there are patients who are
actually believe it or not paying for it.
Speaker 1 (08:46):
You know.
Speaker 3 (08:46):
The crazy thing, though, is George, is that these plastic
surgeons are using techniques that are being the same techniques
performed by plastic surgeons and duluth in Grand rapids in
Detroit who are charging like one tenth of that, but
because they're in these big cities, and some of them,
because they have social media followings, say hey, let me
see if I can charge one hundred and fifty two
(09:06):
undred fifty thousand dollars. And there are rich people who
are actually paying those prices for the exact same operation
that they can get for ten times less from a
surgeon in a different.
Speaker 2 (09:17):
State, Tony. What determines a botched plastic surgery?
Speaker 3 (09:24):
A botch plastic surgery is one of two things. Typically,
we look at botched as being a surgery where the
technique was done poorly and so the patient has a
bad outcome. And so, as a board certified plastic surgeon,
you know, I've been in private practice now over twenty years,
I fix a lot of botched plastic surgeries. The other
group of that we would consider botched is somebody who
(09:46):
has a bad complication. It could even be from a
reasonable procedure from a reasonable surgeon, but they just for
some reason have a bad outcome from infection to bleeding
to tish shoe loss. You know, you could get botched
if you're smoking after your operation, but that's not necessarily
the fault of the surgeon. Sometimes it's actually the fault
(10:08):
of the patient if they're doing things like smoking afterwards,
or picking at their scars or not listening to instructions.
Speaker 2 (10:16):
Truly remarkable, it really is. And when a surgery is botched,
does the surgeon know that, I mean, what happened when
went wrong?
Speaker 3 (10:29):
Well, oftentimes the surgeon if it's if it's due to
poor technique. The problem is is that surgeons sometimes have
no idea why, because it's their poor technique and they're
unaware that that's what causes it. Unfortunately, right now, classic surgery,
as I mentioned, you know, it's a wild West of medicine,
not only overseas, but here in the United States it's
the wild West as well, where there are doctors who
(10:52):
are performing plastic surgery who literally learn it on a
weekend course. You know, you have doctors who are er doctors,
who are family doctors, who are gynecologists. They take weekend
courses on breast augmentation, on Tommy tucks, on face lists,
and then they perform these operations in their offices. There
actually is no law against doing that. You can perform
(11:14):
any procedure that you want on any patient. If you're
a physician, as long as they sign on the dotted line,
if they sign a consent form allowing you to perform
that procedure, it's perfectly legal to do it, even if
you have absolutely no training to do that. You know,
so I as a board certified plastic surgeon, I am
not a doctor who is trained to, let's say, perform
(11:36):
a collect to me to remove your colon. But if
you sign on the dot line that you allow me
to do that, it is perfectly legal for me to
do that. It's perfectly legal for me to perform open
heart surgery or to do a hysterectomy, even though I
do not have the credentials to perform those.
Speaker 2 (11:52):
Now, when you're performing surgery, you're with a staff of
people with you, right.
Speaker 3 (11:58):
Yes, yeah, So typically any operation you have an anesthesiologist
or an anesthetist. You've got a surgical tech who's going
to help you with giving you instruments and all of that,
and then there's typically an our nurse who's there watching
taking care of the patient from the nursing perspective as well.
So that's the minimum team in any operating room is
(12:19):
an anesthesia, a nurse and then a surgical tech. Now
oftentimes you'll also have an assistant like a physician assistant
or a first assist who will help you with retraction,
with suturing and stuff like that as well.
Speaker 2 (12:36):
Do any members of the team. Doctors go to the
surgeon and say, what are you doing that you're watching this?
Speaker 3 (12:43):
Oh?
Speaker 1 (12:45):
They keep good O.
Speaker 3 (12:47):
Our help should feel comfortable telling a surgeon if they
have an issue with what's going on with the operation.
But the problem is is that in the end, the
buck stops with that surgeon no matter what. And there's
some surgeons who are not interested in hearing the opinions
of other people, you know, because they feel that they
are the only source of you know, information, that they're
(13:10):
that they are the obviously the master of that operation
and all that which should be the case, and that
they should be the master of that operation. But any
surgeon should always be open to suggestions by the help,
you know, because you know, I may have done an operation.
Let's say, if I'm a new surgeon, I've done a residency,
i may have done an operation five or ten times,
and then I've got a patient that I'm operating on. Well,
(13:31):
you may have a seasoned surgical tech who's done that
operation one hundred times or two hundred times, and maybe
they're not the one actually doing the procedure, but they
have assisted with it. They have seen that operation many
many more times in the surgeon, and in those situations
that tech should feel very comfortable talking with that doctor
if they have a concern with it. That doesn't mean
(13:51):
the doctor's going to be open to any suggestions, although
the doctor should.
Speaker 2 (13:56):
Does the doctor know that they botch the surgery?
Speaker 3 (14:00):
Well, unfortunately, not always said. What can happen, especially in
the feel of the plastic surgery, is that I see patients
all the time, George, where they have a surgeon, a
surgery by a plastic surgeon or a cosmetic doctor. They
get botched and they never see that doctor again because
they're so unhappy and they don't trust that doctor. Then
(14:21):
they'll come see a somebody like me and let's say,
look at what happened to me. And one of the
things I will always ask them is have you talked
to your original surgeon? And sometimes the answer is no.
Very commonly it's not because they're afraid to go back
to that doctor either. They're afraid that they're going to
you know, get convinced to have another thing done and
get botched again, or they feel as if that doctor
(14:41):
is not open to their concerns. You know, oftentimes that happens,
which is very very unfortunate.
Speaker 2 (14:48):
What do you recommend that people should do for just
general maintenance tony for themselves, for their face and their body.
Speaker 3 (14:55):
Yeah, you know, the first thing is always getting on
a good medical grade skincare retch men, A very simple
regimen everybody should follow is cleansing your skin every morning.
Then you should apply an antiosin serum after that, like
a vitamin C serum, and most major skincare companies have
those bonus if you add vitamin C and vitamin E.
(15:16):
We have one called ce antiosin serum with my skincare
line Une Beauty. And then you want to apply a
sunscreen after that. That's really all you have to do
in the morning is cleanse, vitamin C serum and sunscreen
at night. Definitely got to cleanse your skin. You want
to get rid of the day's worth of dirt, grime,
oil pollution, You want to get rid of your makeup,
(15:36):
and then you want to apply ideally a retinoid. The
most common is a retinal. You know, we have with
my skincare line, Une Beauty, our Retina moisturizer. That's a
cornerstone for an anti agent skincare team. And really that's
all you have to do at night. Ideally cleanse your skin,
apply a retinal like the like a retinal moisturizer, and
then if you want to apply a moisturizer on top
(15:57):
of that, if it's really dry, like you know right now, Georgia,
I'm in Detroit and it is really cold, really dry,
and most people are doing some extra moisturizer. That's always
a good idea.
Speaker 2 (16:08):
I'm from Detroit. My mother's there. She's ninety six tony
probably listening to you right now.
Speaker 3 (16:14):
Don't to watch out for the ice. It's very icy
out there. We don't want her to slip and fall.
Speaker 2 (16:18):
No, not at all, at ninety sixth or at an age.
What about supplementation, anything out there that you recommend?
Speaker 3 (16:26):
Yeah, you know, as a plastic surgeon, the number one
supplement that I recommend, you know, outside of the normal
multi vitamin, would be a collagen supplement.
Speaker 1 (16:34):
You know.
Speaker 3 (16:34):
I mentioned I have my own skincareline. We also we
sell our u Beauty supplemental collagen because I believe in
it so much. I take collagen every day. Collagen really
has been shown in multiple studies meta analyzes of thousands
of people to show that it helped to support the
collagen of your skin. You know, George, we lose one
(16:54):
percent of the thickness of collagen every year starting in
our mid twenties. Women after metopause lose thirty percent of
the collagen of their skin in the first five years
after metopause, and then two percent a year afterwards. And
that's one reason why our skin ages, you know, that's
one reason why we get wrinkles and our skin gets thinner,
and even in women it gets so thin sometimes they
(17:15):
get older, it tears easily. It's because of the loss
of collagen, and so taking a daily hydrolyzed collagen supplement
like our un beauty supplemental collagen, that's a great way
to help to supplement the collagen, to support the collagen,
to help prevent it from thinning with age. So that
would be one that I one hundred percent believe in.
I take myself. I send our collagen to my parents
(17:38):
every month. I send to my sister, to my sister
in law, my brother, everybody we send to because it works.
You know, it really can help.
Speaker 2 (17:46):
What about creatine, So creating.
Speaker 3 (17:49):
Is really interesting. You know a lot of people think
creatine and they think bodybuilders, and that is true. You know,
you take creatine. Model hydrate is the one that we
usually recommend. It's just a five milligram dose or a
five gram dose that you take every day, which is
usually one scoop of a creatine supplement. And some people
think no that if you take it you want to.
(18:10):
It does take a good twenty one days to really
start seeing results with it, but you stick with it
and it can help with gaining muscle mass. But what
we're finding out now is that especially in women who
are menopausal and postmenopauseal, it can really help with brain function.
I think we're really just touching the surface of what
creatine can do, but we're finding that it's more than
(18:31):
just muscle mass and strength, which is really important as
you get older to really keep that strong, but it
can even help with brain health and brain function as well.
Speaker 1 (18:41):
Listen to more Coast to Coast Am every weeknight at
one am Eastern and go to Coast tocoastam dot com
for more
Now here's a highlight from Coast to coast AM on iHeartRadio.
Speaker 2 (00:05):
And welcome back on this full moon night, my friends.
Anthony Yun, a MD, is known as America's holistic plastic
surgeon and is a nationally recognized Board certified plastic surgeon.
He's the author of a number of best selling books,
The Age Fix in Stitches, Playing God, and Younger for Life.
Doctor Yun also hosts a very popular podcast, The Doctor's
(00:27):
Yun Show. He's the most followed plastic surgeon on social media,
with more than five million subscribers on YouTube and eight
million followers on TikTok. Tony welcome back, How.
Speaker 3 (00:39):
Are you hey? I'm doing great. Thank you so much
for having me.
Speaker 2 (00:42):
George, How did you get involved in plastic surgery?
Speaker 3 (00:47):
Oh? Wow, this is a long time ago. I actually
had a patient when I was a medical student who
was a little baby whose face was actually mauled by
a raccoon. And when the plastic surgeon came in and
showed me the plans that he was going to make
to try to reconstruct this little baby's face, it really
got me hooked on the specialty.
Speaker 2 (01:08):
Do you have to be almost like an artist to
be a good plastic surgeon.
Speaker 3 (01:13):
I actually don't think so. You know, you can really
follow a lot of the techniques that we're taught as
plastic surgeons, and even if you don't have a lot
of artistry in you, if you follow the techniques, then
you can do well. But to be an excellent plastic surgeon, yes,
I think you have to be an artist. I think
you could be a reasonably decent plastic surgeon without being one,
(01:36):
But to be excellent, I do think that that's what
separates a lot of times a plastic surgeon who's just decent,
you know, who's a good technician, from one who's truly
a great surgeon.
Speaker 2 (01:48):
What are some of the most popular types of plastic surgery, Tony, Yeah, So.
Speaker 3 (01:53):
If you look at the statistics right now, and you're
looking at non invasive procedures, which is now a big
part of our practice as plastic surgeons, the number one
most popular procedure, probably really of all time cosmetically is botox.
If you're looking at surgery for women, it would be
breast aumentation, breast and plants. For men it would be liposuction.
Speaker 2 (02:16):
Surely, remark and they're doing innovative things now too, aren't they.
Speaker 3 (02:21):
Yeah, I mean there's we're always working on ways to
improve what we're doing. You know, sometimes there are tried
and true procedures, you know, like if you have excess
skin of your tummy, there's really only one way to
remove it. You have to cut it out, And those
types of techniques don't really change all that much. Technology, though,
can make huge improvements, and so we're doing more and more,
(02:45):
you know, laser treatments and using technology to remove fat
and things like that. That continues to advance so that
hopefully surgery itself eventually becomes obsolete.
Speaker 2 (02:59):
What do you think of the new trend with ozempic
and regovy to lose weight these injectables, Yeah.
Speaker 3 (03:05):
I mean those are extremely effective and so many people
Georgia on it. I mean I would tell you in
my practice, I would probably say one out of every
three or four patients is on a GLP one agonist medication.
Now that may be skewed from the general population because
people lose weight from these medications and then they come
see a plastic surgeon to remove the excess skin or
(03:28):
to help to enhance the face again. You know, if
they've lost weight, then you get what's called ozempic face,
and so people come to get that treated, and then
there are a lot of other body parts that are
that are treated with or they are changed by being
on ozempic or the GLP one agonists.
Speaker 2 (03:45):
What is generally some of the younger people that have
ever come to you for plastic surgery and you simply say,
I'm not operating on you.
Speaker 3 (03:55):
Well, there are people who have body dysmorphia, and that's
a condition where you look in the mirror and what
you see in the mirror is different than reality, and
so they they believe, let's say, if they have a
small bump on their nose to you and I, that
bump to them looks like it's massive, and so they'll
see plastic surgeons I myself as a way to correct
(04:15):
perceived deformities that don't even exist. And these are the
patients that will come in when they're young. Sometimes they'll
want a nose jobs, or they'll want you know, liipo
or breast plants, and they're just not good candas for surgery,
so you turn them down. But unfortunately a lot of
times they end up going to your neighbor, the doctor
who has a practice across the street, and eventually they
(04:37):
find somebody who will operate on them. And then usually,
unfortunately what happens is they can get botched because once again,
now you're you know, doctors are treating perceived deformities that
were never there in the first place.
Speaker 2 (04:48):
What do you think of plastic surgery as tony in
Mexico or Turkey or other places like that.
Speaker 3 (04:55):
So, yeah, this is called surgical tourism, and there are
more and more patients, more people from the United States
traveling to other countries because they're gonna they want to
save money. And the other thing now is online there
are these plastic surgeons in other countries, some of them
who aren't even well trained or anything, who are putting
up fake before and after photos and videos. Some of
(05:17):
them they're using different people for their before and after photos,
you know, so the before is somebody who's older, and
then the after sometimes is actually their child, like their
son or their daughter, but they don't share that. They
claim it's a real before and after. And then they
lure people into these third world countries to have these
plastic surgeries done u and eventually some of them get
(05:40):
exposed on social media as being fake, you know, as
these before and after photos not being real, being AI generated.
It's it really is a wild West of medicine out
there right now, So you've got to be very very careful, Tony.
Speaker 2 (05:53):
Does plastic surgery go through trends where something's really hot
for the moment and people rush to do it.
Speaker 3 (06:01):
Yeah, I mean with social media, that's this crazy thing
going on now? Is that even like old surgery. So
for example, there's an operation called the lip lift, and
this was described i think back in the seventies or eighties,
where you cut out skin from the lower the bottom
of your nose the upper part of the lipt to
try shorten the lip. And this is a procedure that
(06:22):
got hot on TikTok just about a year or two ago,
and so plastic surgeons are now performing this operation on
young people in their twenties and their thirties, giving them
these visible scars at the base of their nose, and
they're advertising it as if this is this new hot
procedure and so young people believe it when in reality,
this was described back probably in the eighties and it's
(06:45):
beIN around for a long time. Is never all that
popular because of the scarring. Yet now on social media,
these doctors will trick young people into thinking it's this
new innovative procedure, which it definitely is not. And that's
just one of the procedures. There's a lot of other
procedures like buckle fat removal and other operations where this
has happened as well.
Speaker 2 (07:05):
What is the ponytail lift that I hear so much
about these days.
Speaker 3 (07:10):
Well, if you see there are certain young celebrities in
Hollywood now, they're in their thirties, maybe early forties, and
they are transformed. I think a really good example of
this is Lindsay Lohan, and now I have no I'm
not her doctor, so there's no proof that she's had
this specifically done. But you see young celebrities like her
who've undergone these massive transformations, and arguably they look really,
(07:31):
really good. The ponytail lift is a combination of procedures
that combine an endoscopic brow lift, a cheek lift, an
upper eyelid lift, fat rafting, so fat transfer into their
cheeks and other parts of their face with full face
laser and this has been transforming, in my opinion, in
the faces of young Hollywood, and that's why you're seeing
(07:51):
a lot of young Hollywood in their thirties and forties,
looking completely refreshed. Their eyes are wide open and stuff,
and people don't know what they're having done to lift
I think is what a lot of them are having done.
Speaker 2 (08:03):
Now, how much is something like that cost?
Speaker 3 (08:06):
It can cost one to two hundred thousand dollars.
Speaker 2 (08:10):
Two hundred thousand dollars.
Speaker 3 (08:13):
Well, it's rumored that Chris Jenner, the matriarch of the
Kardashian family, she had a facelift and has been very
open about it. She had it done by a plastic
surgeon out in New York, and it's reported that she
spent anywhere from two hundred and fifty to three hundred
and fifty thousand dollars on her facelift.
Speaker 2 (08:30):
Wow, it's crazy, it is.
Speaker 3 (08:34):
I mean, it's there are surgeons who and typically it's
in New York, it's in La maybe Miami, who are
charging these exorbitant prices, and there are patients who are
actually believe it or not paying for it.
Speaker 1 (08:46):
You know.
Speaker 3 (08:46):
The crazy thing, though, is George, is that these plastic
surgeons are using techniques that are being the same techniques
performed by plastic surgeons and duluth in Grand rapids in
Detroit who are charging like one tenth of that, but
because they're in these big cities, and some of them,
because they have social media followings, say hey, let me
see if I can charge one hundred and fifty two
(09:06):
undred fifty thousand dollars. And there are rich people who
are actually paying those prices for the exact same operation
that they can get for ten times less from a
surgeon in a different.
Speaker 2 (09:17):
State, Tony. What determines a botched plastic surgery?
Speaker 3 (09:24):
A botch plastic surgery is one of two things. Typically,
we look at botched as being a surgery where the
technique was done poorly and so the patient has a
bad outcome. And so, as a board certified plastic surgeon,
you know, I've been in private practice now over twenty years,
I fix a lot of botched plastic surgeries. The other
group of that we would consider botched is somebody who
(09:46):
has a bad complication. It could even be from a
reasonable procedure from a reasonable surgeon, but they just for
some reason have a bad outcome from infection to bleeding
to tish shoe loss. You know, you could get botched
if you're smoking after your operation, but that's not necessarily
the fault of the surgeon. Sometimes it's actually the fault
(10:08):
of the patient if they're doing things like smoking afterwards,
or picking at their scars or not listening to instructions.
Speaker 2 (10:16):
Truly remarkable, it really is. And when a surgery is botched,
does the surgeon know that, I mean, what happened when
went wrong?
Speaker 3 (10:29):
Well, oftentimes the surgeon if it's if it's due to
poor technique. The problem is is that surgeons sometimes have
no idea why, because it's their poor technique and they're
unaware that that's what causes it. Unfortunately, right now, classic surgery,
as I mentioned, you know, it's a wild West of medicine,
not only overseas, but here in the United States it's
the wild West as well, where there are doctors who
(10:52):
are performing plastic surgery who literally learn it on a
weekend course. You know, you have doctors who are er doctors,
who are family doctors, who are gynecologists. They take weekend
courses on breast augmentation, on Tommy tucks, on face lists,
and then they perform these operations in their offices. There
actually is no law against doing that. You can perform
(11:14):
any procedure that you want on any patient. If you're
a physician, as long as they sign on the dotted line,
if they sign a consent form allowing you to perform
that procedure, it's perfectly legal to do it, even if
you have absolutely no training to do that. You know,
so I as a board certified plastic surgeon, I am
not a doctor who is trained to, let's say, perform
(11:36):
a collect to me to remove your colon. But if
you sign on the dot line that you allow me
to do that, it is perfectly legal for me to
do that. It's perfectly legal for me to perform open
heart surgery or to do a hysterectomy, even though I
do not have the credentials to perform those.
Speaker 2 (11:52):
Now, when you're performing surgery, you're with a staff of
people with you, right.
Speaker 3 (11:58):
Yes, yeah, So typically any operation you have an anesthesiologist
or an anesthetist. You've got a surgical tech who's going
to help you with giving you instruments and all of that,
and then there's typically an our nurse who's there watching
taking care of the patient from the nursing perspective as well.
So that's the minimum team in any operating room is
(12:19):
an anesthesia, a nurse and then a surgical tech. Now
oftentimes you'll also have an assistant like a physician assistant
or a first assist who will help you with retraction,
with suturing and stuff like that as well.
Speaker 2 (12:36):
Do any members of the team. Doctors go to the
surgeon and say, what are you doing that you're watching this?
Speaker 3 (12:43):
Oh?
Speaker 1 (12:45):
They keep good O.
Speaker 3 (12:47):
Our help should feel comfortable telling a surgeon if they
have an issue with what's going on with the operation.
But the problem is is that in the end, the
buck stops with that surgeon no matter what. And there's
some surgeons who are not interested in hearing the opinions
of other people, you know, because they feel that they
are the only source of you know, information, that they're
(13:10):
that they are the obviously the master of that operation
and all that which should be the case, and that
they should be the master of that operation. But any
surgeon should always be open to suggestions by the help,
you know, because you know, I may have done an operation.
Let's say, if I'm a new surgeon, I've done a residency,
i may have done an operation five or ten times,
and then I've got a patient that I'm operating on. Well,
(13:31):
you may have a seasoned surgical tech who's done that
operation one hundred times or two hundred times, and maybe
they're not the one actually doing the procedure, but they
have assisted with it. They have seen that operation many
many more times in the surgeon, and in those situations
that tech should feel very comfortable talking with that doctor
if they have a concern with it. That doesn't mean
(13:51):
the doctor's going to be open to any suggestions, although
the doctor should.
Speaker 2 (13:56):
Does the doctor know that they botch the surgery?
Speaker 3 (14:00):
Well, unfortunately, not always said. What can happen, especially in
the feel of the plastic surgery, is that I see patients
all the time, George, where they have a surgeon, a
surgery by a plastic surgeon or a cosmetic doctor. They
get botched and they never see that doctor again because
they're so unhappy and they don't trust that doctor. Then
(14:21):
they'll come see a somebody like me and let's say,
look at what happened to me. And one of the
things I will always ask them is have you talked
to your original surgeon? And sometimes the answer is no.
Very commonly it's not because they're afraid to go back
to that doctor either. They're afraid that they're going to
you know, get convinced to have another thing done and
get botched again, or they feel as if that doctor
(14:41):
is not open to their concerns. You know, oftentimes that happens,
which is very very unfortunate.
Speaker 2 (14:48):
What do you recommend that people should do for just
general maintenance tony for themselves, for their face and their body.
Speaker 3 (14:55):
Yeah, you know, the first thing is always getting on
a good medical grade skincare retch men, A very simple
regimen everybody should follow is cleansing your skin every morning.
Then you should apply an antiosin serum after that, like
a vitamin C serum, and most major skincare companies have
those bonus if you add vitamin C and vitamin E.
(15:16):
We have one called ce antiosin serum with my skincare
line Une Beauty. And then you want to apply a
sunscreen after that. That's really all you have to do
in the morning is cleanse, vitamin C serum and sunscreen
at night. Definitely got to cleanse your skin. You want
to get rid of the day's worth of dirt, grime,
oil pollution, You want to get rid of your makeup,
(15:36):
and then you want to apply ideally a retinoid. The
most common is a retinal. You know, we have with
my skincare line, Une Beauty, our Retina moisturizer. That's a
cornerstone for an anti agent skincare team. And really that's
all you have to do at night. Ideally cleanse your skin,
apply a retinal like the like a retinal moisturizer, and
then if you want to apply a moisturizer on top
(15:57):
of that, if it's really dry, like you know right now, Georgia,
I'm in Detroit and it is really cold, really dry,
and most people are doing some extra moisturizer. That's always
a good idea.
Speaker 2 (16:08):
I'm from Detroit. My mother's there. She's ninety six tony
probably listening to you right now.
Speaker 3 (16:14):
Don't to watch out for the ice. It's very icy
out there. We don't want her to slip and fall.
Speaker 2 (16:18):
No, not at all, at ninety sixth or at an age.
What about supplementation, anything out there that you recommend?
Speaker 3 (16:26):
Yeah, you know, as a plastic surgeon, the number one
supplement that I recommend, you know, outside of the normal
multi vitamin, would be a collagen supplement.
Speaker 1 (16:34):
You know.
Speaker 3 (16:34):
I mentioned I have my own skincareline. We also we
sell our u Beauty supplemental collagen because I believe in
it so much. I take collagen every day. Collagen really
has been shown in multiple studies meta analyzes of thousands
of people to show that it helped to support the
collagen of your skin. You know, George, we lose one
(16:54):
percent of the thickness of collagen every year starting in
our mid twenties. Women after metopause lose thirty percent of
the collagen of their skin in the first five years
after metopause, and then two percent a year afterwards. And
that's one reason why our skin ages, you know, that's
one reason why we get wrinkles and our skin gets thinner,
and even in women it gets so thin sometimes they
(17:15):
get older, it tears easily. It's because of the loss
of collagen, and so taking a daily hydrolyzed collagen supplement
like our un beauty supplemental collagen, that's a great way
to help to supplement the collagen, to support the collagen,
to help prevent it from thinning with age. So that
would be one that I one hundred percent believe in.
I take myself. I send our collagen to my parents
(17:38):
every month. I send to my sister, to my sister
in law, my brother, everybody we send to because it works.
You know, it really can help.
Speaker 2 (17:46):
What about creatine, So creating.
Speaker 3 (17:49):
Is really interesting. You know a lot of people think
creatine and they think bodybuilders, and that is true. You know,
you take creatine. Model hydrate is the one that we
usually recommend. It's just a five milligram dose or a
five gram dose that you take every day, which is
usually one scoop of a creatine supplement. And some people
think no that if you take it you want to.
(18:10):
It does take a good twenty one days to really
start seeing results with it, but you stick with it
and it can help with gaining muscle mass. But what
we're finding out now is that especially in women who
are menopausal and postmenopauseal, it can really help with brain function.
I think we're really just touching the surface of what
creatine can do, but we're finding that it's more than
(18:31):
just muscle mass and strength, which is really important as
you get older to really keep that strong, but it
can even help with brain health and brain function as well.
Speaker 1 (18:41):
Listen to more Coast to Coast Am every weeknight at
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