Mommy Make Overs & Daddy Do-Overs

Top plastic surgeons Dr. Kevin Brenner and Dr. Elliott Hirsch join Laura and Johnnie to discuss the latest trends in cosmetic surgery for moms and dads. 

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Episode Transcript

Speaker 1 (00:00):
Hi there. It's me Laura Wasser, the divorce attorney and
the founder of It's over Easy, the online divorce service.
I've been practicing family law for over twenty years and
I've worked on thousands of divorces, shepherding people through what
may be one of the most terrifying times in their lives.

(00:21):
Along the way, I often have to remind people to
lower their expectations when dealing with matters of the heart.
Rules simply don't apply. Because all's fair in love and war.
So welcome to the All's Fair Podcasts. Fasten your seatbelts
and let's go. Welcome to All's Fair everyone. I'm your host,

(00:41):
Laura Wasser, I'm Johnny Rains, and we're so thrilled you
clicked on us today. So I've been practicing family law
for about twenty five years now, and part of the
reason I do what I do is for the realizations
and reflections that working with clients allows me to have
regarding love and all of its forms. Last season on
Divorce Sucks, we did a show focusing on some of

(01:02):
the ways people can make themselves look and feel better
after a breakup, and in that episode, we invited top
stylist Amy Warsman, Johnny Wright, and Anne Steadman to share
their tips to customize divorce makeovers. I love that episode,
the divorce Makeover episode. It's also one of our most
popular episodes of all time. But what if a facial,
a new haircut, or some fresh new clothes isn't quite enough? Laura,

(01:26):
I don't know, Johnny, what if it's not well? I
was reading US Weekly the other day, and in addition
to that article about you and It's over Easy, I
found this article about all these celebs who admitted they
got plastic surgery. So I guess for them a facial
or new clothes or a new hair do was not enough.
Do you want to discuss some of the points from
the article? I didn't see this article. Why don't you
tell us about Johnny because I actually don't read US

(01:48):
magazine that often and I don't care about um celebrities
that got plastic Ronnie Ortiz, Mark Magro, Nope, I don't
know who that is, Okay, I hope that he she
is very happy with his her new look. So basically,
these celebrities have done a lot of plastic surgery, and
it's pretty interesting to see some of the before and

(02:09):
after photos, And the purpose of it is that these
people are coming out and saying, we did this, We're
proud of it and not ashamed of it, and we're
okay with it. Yeah, And I mean it runs the
gamut from people like Heidi Montague to TV journalist Julie
Chen all the way to Ronnie Ortiz Magrow from Jersey Shore.
I see, okay, So what did they get done? I

(02:30):
see Jessica Simpson in there too, what she admit to
having done. It looks like she might have had her
boobs done. The fashion designer Jessica Simpson revealed in our
January twenty memoir open book that she had two tummy tucks.
I wanted to get rid of the stretch marks and
loose skin left sagging from my back to back pregnancy,
she wrote. I was so ashamed of my body at

(02:50):
this point that I wouldn't let Eric see me without
a white T shirt on. And I think that happens
a lot with women who have babies, even men just
from life. You know, you get into this situation where
you're or forced to wear spanks really or are well,
one might be okay. So again, this is no judgment
what I'm interested in about this article is the fact
that people are coming forth and saying it, because it's

(03:12):
particularly here in our little bubble of southern California. I
think that this is becoming a much more accepted thing.
And I also have to say, as somebody who's kind
of all about new beginnings, really nice to be able
to own it absolutely. And it's not just celebrities who
are proud of the work they've done. I think real
people are really proud of it too. Yes. I read

(03:32):
an article actually the other day about like French women
and how like frenchwomen are so kind of known for
saying that they're aging gracefully, but there are actually facelifts
that are supposed to be like the French look, which
you still have some wrinkles, but not as many wrinkles,
And it's not that look that we see so often
of like really pulled tight or plumped up. God, I
just wish I knew somebody who was an expert on

(03:54):
this can speak with. Let's see, our guests today are
experts on these subjects. The first doctor I want you
to meet specializes in boobs and tummies. There you go, Jessica,
using his expresses to restore a youthful, shapely appearance where
it's been lost to age, childbirth, and other factors. He's
in private practice in Beverly Hills, and his superlative work

(04:15):
has gained such a claim that he has been featured
across the media, on TV and in print. He's joining
us today to speak about some of the most common
procedures moms and wives asked for when they're going through
or have gone through a divorce. Welcome to All's Fair,
Dr Kevin Brenner, Thank you, thank you for having me.
I know Kevin. I didn't know I knew him until today,

(04:37):
but evidently I went to Hebrew School with his brother. Yeah, Greg,
Hi Craig. So you grew up in Beverly Hills and
you went to Temple Emmanuel and Beverly Vista and then
Emerson and UNI. Anybody, anybody from here will know all
these schools. Okay, we used to play again, change schools
more than than most people. Why why is that getting

(05:01):
kicked out in the military, he kept getting kicked out.
It was a brett. It was all the drug dealing.
That's a very it's a very good question. I don't know.
I've always been Greg's little brother for the entirety of
my life. So maybe I was just trying to dodge
that by switching schools. Up, got it? Where did he?
Where did he graduate from? Did he graduate from Beverly
with us? Uh? He actually started it, Yeah, he started Beverly.

(05:24):
We went to UNI after I think eleventh grade. So
by the way, no, he was not expelled. It was
not expelled. We were We were kind of asked to
leave the Beverly Hills School district for moving out of
Beverly Hill because we lived in Beverly Hills. Then we
moved into the Benedict Canyon. So that's the thing, like

(05:45):
when you don't live in the district, sometimes they don't
want you to go to the public school. Crazyservitality was
a real guy. He actually tracked us down, so crazy,
that's crazy. But UNI was great, and Greg went on
to become student body press and I also at unis
in the Genes. Interesting, and you were also president of

(06:06):
Temple Emmanuel. No, what was what you were just saying?
You were l school? Yes, I probably like peaked right
there and then yes, alright, so let's move on past
elementary and high school. What made you decide to do

(06:29):
what it is that you do right now? I mean,
does it is it a feel good thing? Is it
a financial thing? Is it a little bit of everything?
Or are you just particularly good at that kind of reconstruction? Um,
all of the above. The truth is is I always
knew I wanted to go to medical school from when
I was in elementary school. Dr Natig was my pediatrician

(06:52):
growing up. I don't know if you remember him. I
was doctor Blockey Now I had different, uh, and I
always wanted was just fascinated by medicine. I was like,
I'm going to be a pediatrician. And then so I said,
I'm going to do it. So I went, so you
specialize in plastic surgery on small children. This is amazing
when they almost almost know. The truth is I was going.

(07:15):
I was really intending on doing pediatrics. And when I
did my pediatric rotation was when my mom got ill?
And what kind of cancer did she actually had What's
called glioblastoma, which is a malignant brain tum Okay, I'm sorry,
when and when did you pass away? N When I
was in my third year of medical school, during during

(07:36):
my pediatric well, right, a pediat rotation, so maybe I
had a negative association. I also didn't necessarily enjoy the
whole overbearing parent portion of pediatrics, even though I love
kids so um. And then just going through the different
rotations in medical school, I just got drawn to surgery.
That was it was just a natural thing. I've always
been like really into arts and crafts and woodworking, and

(08:00):
it was just like a natural progression. And I feel
like I'm a little artistic. I was into photography, and
so plastic surgery really blends all those kind of disciplines together,
and I get to take care of adults, I get
to take care of kids and kind of run the
gamut caused both cosmetic and reconstructive surgery. So it's a
real diverse field. It's not like I think, you know,

(08:21):
there are some specialties you really get pigeon, we see
one kind of patient. I like this. So now to
have the arts and crafts kind of a piece with
the medical I mean, is that a right and a
left brain thing? I can't. I have to imagine that
that unless you're a surgeon, and really a plastic surgeon
where you're doing a lot of aesthetic stuff. Most folks
that go to medical school don't have the right and

(08:43):
left brain. Have you heard this before? I mean, it's
just occurring to me. Um, Well, you know, it takes
a village. There's all types of medical school. I went
to Loyal University in Chicago, and um, I think I
was really fortunate I had. I always feared going to
medical school because I had heard about how competitive and
shows about can you drop your pens someone kicked it

(09:04):
down the aisle so you can't take notes and those
sorts of things, and I was Some of my best
friends are from medical school. I had the coolest group
of medical school classmates, and to this day we still
see each other, even though we live kind of spread
out all over the country. So I ended up doing
nine years of residency, which is more than most humans
should tolerate. Why do they call it plastic surgery? Excellent question.

(09:27):
So plastic comes from the Greek word for two molder shape,
which is plastic. Costs. Has nothing to do with plastic,
despite what some patients may look like or have put
into them. Let's talk about that for a minute. Let's
talk about because again, I know Johnny's gitching for me

(09:47):
to get to like the new chapter stuff. When you
have that the new chapter is, you know, next chapters,
life after breakup, life after divorce. You know, if somebody
comes to and says I need to change, I just
I want to look better. I want to look younger,
I want to look fresher, thinner, I want to get
back out there. Do you say, okay, let's go? What

(10:13):
I say, clastick you up? No? I mean I'm I'm
probably on the spectrum more conservative than most. I don't
like to suggest things to anybody who comes in my office.
My usual way to approach it is like, what's bothering you?
Number one? Then let's see what that is, and then
determine whether or not there's anything that I can do

(10:33):
to help that. And that's kind of my formula. So
I don't think that's any landmark formula, but that's just
kind of how I approach it. And you know, sometimes
if people ask, well, do you have any other suggestions,
I'll say, oh, yeah, well maybe do a little bit
of this, a little bit of that. I mean, it's
common to do a little kind of ancill everythings. It
kind of help. Okay, So and you're you're like a

(10:55):
boob and tummy guy. Is that that's true. Well, yeah,
that is true. I do. I do kind of full
spectrum plastic surgery, both cosmetic and reconstructive. I would say,
I do. Wait, stop, what's the difference in cosmetic and reconstructive.
I'm stopping. Okay, I mean, I'm sorry, I just didn't
know any So there's a lot to know about plastic surgery,

(11:19):
reconstructive comet. As an example, I happen to work with
a bunch of dermatologists. There's a huge dermatology group across
the hall from me, so I see a lot of
patients with facial skin cancer, and so you know, I
have I work with most surgeons, which is a technique
for getting rid of the skin cancers. So the most
the most like if you have a big or your eyelid,

(11:42):
or your ear, your lip. Even though most most surgeons
are really good at closing most of the defects, when
they get to be a little bit more challenging, they
usually send them over to me. And that's kind of
that's my goal. Which and how about cleft palettes? Then
see that coming because I know that there's a couple
of profits that I've worked with, operations Smile, some of

(12:03):
them that have kids that have been born with what
they'll call a defect, and do you do those? I mean,
that's really functional as well as this setic guess cloth
palates are functional, Clough lips are functional and aesthetic. Um.
I did a ton of those in during training you
see your vine um, but did not pursue that afterwards.

(12:23):
If you want the best results, you got to go
to someone that's doing them all the time. I mean,
I think that's true with most of them. Anything right,
and you said you can kind of do some peripheral things.
So somebody comes into you here she says, well, let's
say it's a she for this one, because we're going
to talk about boobs and tummy and she just wants
to fresh enough. Okay, can you do both of those

(12:46):
things at the same time? Both of what things? I
mean all three actually boobs and tummy you can do.
I do it very very commonly. I mean the kind
of cutsie term for that is mommy makeover. I do.
I do that pretty frequently. But it also depends on
what needs to be done and how long it's going

(13:06):
to take. And you know, we do most most of
what I do is done an outpatient setting in our
surgery center. Occasionally I have patients where I need to
bring them to the hospital for whatever reason. But there
are limits to how much surgery someone should have, how
much anesthetic time they should have in an outpatient setting,
So I do do a lot of combination procedures within reason. What. Okay,

(13:28):
So the mommy makeover is boobs, tummy and usually lapo
suction or hernie repair. It varies person to person. Everything
I do varies a little bit personal person Um, I've
never seen a pair of two pairs of breasts that
are exactly the same, So I mean some people some
people want them. By the way, Well, I'm not going

(13:50):
to touch that, just saying sorry. Did guys get boom jobs? Um? No,
I don't thank getting booms put on. Do they have
like peck tax or what? You know? I don't do
a ton of male stuff. Most of the male surgery
I do is usually lapo suction, rhino plastic, botox and
injectables and things like that. Okay, some eyelids and and

(14:12):
you know face. Guys come in for facelift too, usually
more necklift. What's this thing called the gobble? What's that
called the next I think you just nailed it. That's
the medical turn. Do I need to do like the turkeys?
I see a lot of guys that have that thing
flailing around. Yeah, it's like a sale, right, do you
take that off? What do you do with it when
you're done? Do they do you send them home on it?

(14:34):
Or if they ask for it? You know, it's funny
a lot of when I you laugh, Johnny together, this
is gonna be interesting. I'm I have that lapo section
is going to just a whole another question series here.
But I don't usually send tissue specimens home with patients.
But when I take breast implants out, for whatever reason,

(14:55):
patients are really attached to their breast implants. They often
will ask to take them home. So no way, when
they take them out, then what happens? You put something
else in and give them to the patient? They take
those home, they're like, this is why this from my
thirties were so great. These boobs got so much play.
But now now do they have different boobs in or
what's happening? It depends on the situation. Everyone's a little

(15:17):
bit different. If I sometimes we're just switching them out,
and sometimes we're taking them out purposely and permanently. For
whatever reason. And uh, you know, like there's various reasons
to take out breast implants. Maybe if they were married
and the husband bought them for her. I've had this
request before. Now they get and they get divorced, he's like,
I want the bobs back. That's crazy. That does not

(15:38):
really happen. It doesn't actually happen, but it does get requested. Yeah. Oh,
I've had clients that give a kidney and they're like,
and I'll be taking my kidney now. People renumeration. I
think people do crazy things. Well, they don't do it,
they just ask about it. Okay, So all right, LiPo section.
I heard that if you get LiPo section in one area,
then all that happens is that fat grows back in

(16:01):
a different area. True or false? False? Everyone asks that groundbreaking.
My patients always ask me. They were like, afraid. Here's
the deal is invariably, what happens is you treat whatever
areas you're treating, and then you know, if people keep

(16:21):
their weight, the saying nothing's going to really change. If
they then go on and gain some weight, you're going
to gain fat wherever you already have fat existing in
your body, and they have a little bit less in
the areas that were treated, So it looks proportionately like
it's growing in selectively in the areas that weren't treated.
That makes sense. One of the things you said earlier

(16:42):
is that you are doing surgery often on people so
that when they're sitting across from someone else, the person
they're sitting across room isn't staring at them. Do you
ever have the reverse of the converse when people want
to be stared at? Like this picture of Cardi b
here in the US magazine article we were looking at earlier.
I'm she didn't have those done because she didn't want
people to look at them, right, Johnny, I was kind

(17:04):
of talking about facial reconstruction when we were having that conversation.
But yeah, some people want to be noticed, right Yeah,
and specifically will request whether it's the patient or the
doctor or the husband apparently, right. Yeah, Actually that happens
quite a bit when patients come in with their husbands.
It's it's interesting. Most patients, most of my female patients

(17:28):
will come in with a friend or a sister or mom,
is very common. Occasionally they come in with husbands, and
most of the time they're very supportive very rarely, I
have the overbearing husband, and it's almost like uncomfortable because
it's like the wife's not talking and the husband's like, oh,
she needs this, this and this and and she looks
she looks like she's horrible. And then you see them

(17:49):
then they're like, thank you for that, because now that
you've done all this, I got right a hat. I
did a husband plastic And it's really interesting. When I
was pregnant with my older son, when my ex and
I would go to the doctor, they would way, you
remember that, you would have you like your way, And
every time my ex would like get so freaked out

(18:10):
about all the weight. And finally the doctor and he's like,
is that normal? Is that okay? Do you think she'll
be able to lose that? And finally our doctor, doctor Serton,
was like you can't. You have to go wait in
the hall. You're not And I said, David, seriously, who's
more vain than me? I promise I'm gonna lose this weight,
And it was like adorable, just tell me like but
he was. They got like a hive every time we
went to the doctor. I'm happy to report that it

(18:31):
all came right off, no problem, and um, then I
got pregnant with somebody else after stress. I didn't ditch him.
I still have him. He just was very stressed that
about the weight game still is He's like, how are
you doing? You're still coming in at one? Good? Okay? Good? Yeah. Well,
pregnancy certainly does a lot of damage to many many women.

(18:55):
Is there some way? Is that just? Is that just like,
how can you tell? I'm sure plenty of people listening
are going to be very judgmental and go just work
out why are you doing this? You're rich and you
get to just have some doctor do it. But this
isn't just about I mean, if you are carrying a
baby for ten months and then you have the baby,
even if you lose the weight, you're going to have

(19:16):
loose skin. As we get older. No matter how much
care we take of ourselves facials and all the expensive
creams and stuff, things happen. And is that just me?
That's when you need a little extra help. I'm a
big fan of kind of doing a little bit along
the way. Danny taught me that you gotta you gotta

(19:36):
kind of maintenance therapy. Right now? Is that is that
botox too? That's botox? That's filler. That's sometimes it's facial
fat rafting. You know, what's that facial fat you talked
you you asked about liposuction. So sometimes we take liposuction
and we throw it away because the patients don't want
to see it again. But sometimes they want to take

(19:57):
it home. When I was fat and I was in love,
so have I'm gonna keep this in a drawer about
my nightstand. Well they do take it home, but not
in a jar. They take it home somewhere else on
their body. So there are several conditions, the whole new,
whole new meaning to the term asked face here, Okay,
So they take it out of one part and you
put it and it's just it's fine. Yeah, I mean

(20:19):
it's it's not only fine, it's it's really good. It's
because people spend so much money on juventer and wrestling
fill These are those are like what's called hyaluronic acid.
Fillers are manufactured and cost a lot of money, and
your body absorbs them in six months, so you have
to keep coming back and keep coming back. But your
body doesn't absorb your own fat, but not the same way, well,

(20:40):
not not to the same extent. I mean we trans
I call it fat transfer. You take lapo suction and
we process it sterilely in the operating room and then
carefully injected to where you have lost volume. It's a
natural course of aging, especially in the face, to lose
volume under the eyes, you know, around the nose and mouth,
sometimes in the cheeks. Do you have to use your
own like if you put somebody else's could that be

(21:02):
like a whole science fiction movie, Like that would be
a science fiction movie. Yes, So our bodies can absorb
somebody else's as easily. Well, it's it's it would be
unless you're like a Marvel comic pant amount to having
a like a kidney or a liver transplant. You you
would just reject whatever the tissue is that it would
go away. Your own fat as long as your body

(21:24):
grows new blood supply and right stays, it stays, and
it stays pretty permanently unless you go on and lose
a ton of weight. Right and so I do it
a lot of times for facial aging for patients who
aren't quite ready for a facelift, or either not ready
mentally or not physically needing a facelift, but just want
to be a little refreshed. I find it not only
does it restore volume, but it also confers a little

(21:45):
bit of a beneficial effect to the skin tone over time,
just because there are I don't I don't refer to
it as stem cell therapy, but there are some stem
cells and growth factors in the fat that we harvest,
and then you're injecting it and it kind of refurbishes
the skin, so to speak. And then kind of the
newest thing is putting fat in the breasts. So behind

(22:10):
this one, okay, there's there's you have no fat by
the way to put anyway we could find something to
put in boobs. I mean, let's let's go ahead. I
want to hear that. I was going to say that.
Even though we've been using breast implants for years, there
have been recently lots of issues with breast implants that
have kind of hit mainstream. A lot of women are

(22:30):
coming in for various reasons requesting to have their implants removed,
and if they don't have enough of their own breast
tissue afterwards, very commonly I will take fat from either
from their waist or their thigh or wherever they have
it in their abdomen and then take it and then
re graft it into their breasts. Okay, So, and I

(22:51):
don't want to get too technical, but I am so curious. Okay,
so let's say you take it hypothetically speaking if someone
maybe had a little junk in her we're not talking
about not talking about anyway, do you. I mean, I
just remember the days of the silicone and the salium breast.
They were like in a bag. Right, do you have
to put the fat at or do you can do
you just inject it right into the breast tissue. It

(23:13):
goes into the breast tissue, depending on what the circumstances are.
Sometimes I'll injected into the muscle underneath because the muscle
has a very robust blood supply, so it tends to
stay there even better, and we can inject it into
the breast tissue. There's there is a limit to how
much you conject at anyone given time, So sometimes I'll
do a little bit and then bring people back three

(23:34):
six months later and do a second round. Um, it
depends how fibers the breast is um and you know
how much gift there is in the tissue. Everyone's a
little bit different in that respect. But no it's it's
very different than an implant, because an implant we put in,
some minority of surgeons will put them above the muscle,
below the breast. That was old school, right kind of.

(23:56):
I mean I remember hearing about this and then whether
you went into the arm or under the breast and
all this stuff. So yeah, well now, I mean, as
long as I've been putting them in that way, I
always almost always put them below the muscle. There's a
few indications for putting them above. Um, I just feel
that they look more natural. But you know, implants are imperfect.

(24:16):
They're not lifetime devices, so they do rupture. You can't
get inflammation around them. You can't get infection around them.
How long do they usually last? Ten to twelve years
is what they recommend. But it just depends in a
sailing in plant, if if a patients not having a problem,
if if they're doing just fine, I'll just have them
keep them in until like it deflates like a flat

(24:37):
tire um silicon implants, you have to be a little
bit more. You need to be a little bit more proactive.
We we do surveil people with m R. That's the
kind of the most sensitive way of checking the implants.
What about but implants. We're hearing a lot about but implants.
Do do those? I take stuff out of the boobs
and then put it in the butt, and we do
the opposite way. You can't take tissue out of the

(24:58):
boobs and put it any where just because of risk
of breast cancer. Well, there are butt implants which are
silicon butted plants, which in my personal opinion, is not
a great operation. They're hard, they get infected, they move
around that I don't think they look very natural. Kind
of the biggest trend in the last I don't know,
five ten years, especially in Miami. This is really big

(25:21):
in Miami is what's called the Brazilian butt lift, which
which is just like I was talking about fat crafting
in the face and the breast, they do it in
the butt. But harvesting the fat is There are videos
on YouTube. It is the most disturbing thing to watch
because they I mean, as I said, these are on YouTube.
You go in I cast a show where we were

(25:42):
doing crazy plastic surgery stories and they go into the
stomach or the thighs and it's like it's a very
violent procedure. So it's not what I mean, you're not
going to come watch me operation. Yes, that is exactly
what that means. Okay, let's talk for a second about complications.
I'm I'm sure you've never had any, but things you've
heard about. I'm sure you have to keep up like

(26:03):
we have in m c l E credits the continuing
education not too scary and of our listeners. But just
I mean, you're the guy people ask me what's the
worst divorce horror story? What are some of the complications
that can happen? Granted, botox fillers and more invasive procedures
can improve the way someone looks, but your interview with
kt L A five was a little unsettling. Let's take

(26:24):
a look at that and today's health smart We are
talking about breast implant illness, joint pain, chronic fatigue, hair loss,
and chills. The list of symptoms for b i I
goes on and on, but today the thousands of women
suffering from it insist, awareness, understanding, plus medical knowledge, support
and relief falls very short. And to help us understand

(26:46):
what b I I is and tackle what's to become
a global controversy, is Beverly Hills plastic surgeon Dr Kevin Brenner,
thanks for joining us. Thanks for okay. So a lot
of health professionals, and especially plastic surgeons don't want to
talk about us. I guess it's bad for business. But
you're here. Why, Well, I think that's that's the sense
of it. You know, it's it's interesting. Surgeons and physicians

(27:08):
in general, we kind of take care of patients based
on data that we get from studies that we read
in our medical journals. And the truth is with b
I I, we simply don't have the data yet. Um
there's been no really good studies that have tackled this issue.
So until we have those studies, I think people are
shying away from it a little bit. And so you're

(27:29):
talking out about it. Why and what exactly is it? So?
Breast implant illness is a constellation of symptoms. This has
actually been a patient driven phenomenon on on Facebook and
other blogs and UH chat rooms where women have come
together and say, hey, I'm experiencing this symptom or that

(27:50):
symptom and um and have related it to breast implants.
And it wasn't until they kind of brought it to
the tension of physicians and surgeons that we started taking notice.
It's all kind of sort of basically conversations on the internet. Yeah,
b I, I yeah, it was. It was all was
all on the on the internet exactly. And it wasn't

(28:11):
until it entered entered our office that we started asking ourselves,
what's going on? Okay, so what is going on? I mean,
what is it? What are the symptoms? In seeing more
and more patients over the last couple of years, I
not only do I think it's a real thing. I
think there's a small percentage of women who are genetically

(28:31):
wired to have some type of overwhelming inflammatory reaction to
having a breast implant, and and it causes all these
different symptoms like brain fog or joint pain or infertility,
hair loss, skin rashes, breast pain. There. I mean, there's
there's really a slew of symptoms, and it doesn't make sense.
They don't necessarily have anything to do with each other.

(28:53):
Um and and most of the time you go in,
the implants look totally normal, they're not infected, the capsules
look totally normal. But women are coming in a lot
asking to have their implants removed now, which is why
I not only am I seeing a ton of these patients.
But I actually think I was the first person in
LA to bring in breast implant illness liaison. Her name

(29:14):
is Amanda. She's a former patient of mine who is
really passionate about this and has been helping take care
of patients and advise other patients in these check groups
for a long time. And so now we're kind of
doing this together, and she's helped me assemble a breast
team of different practitioners who are all kind of on
board with taking care of the various aspects that patients

(29:38):
have to deal with, because it's not just a surgical
that's phenomenon. That's great. You've got emotionally, you've got tissue,
you've got you body imag Yeah, the whole thing. All right,
This is the part of the show that's all too
familiar to the lawyers in the audience. Hi, Greg Brenner,
the brother, But for Kevin, do you swear to tell

(29:59):
the truth, the whole truth, and nothing but the truth?
There's no Bible here, So yes, which relationship in your
life has had the most profound impact? That's an excellent question, Johnny.
Did you write these? Uh? We ask everyone these questions
every single episode. Well, I would have to say, I

(30:20):
don't know that there was one person who had the
most profound impact on me. I would probably if I
had to narrow it down, I would say two people,
and the first would be my mom. She was I mean,
Johnny knew my mom probably, but I don't remember. She
didn't have found impact on me evidently, but she was
a very big personality. She she was a force. She

(30:43):
really was good, good and bad. She was a force.
And um, you know, I mean she just you know,
my parents divorced when I was three, and so I
grew up childhood divorce, and she was always kind of
my epicenter of of go get him and you know,
you can do it, and um, we will do this

(31:04):
no matter what. We will survive and whatever it takes.
And that that sort of kind of jump started my
whole attitude towards stuff. You know. I mean, life is
not easy for any of us, and they're ups and
downs and it's just you know, you gotta do whatever
it takes. Get by and um. So she sort of
set me up. And in that respect, um, you know,

(31:25):
for my early grammar school years, it was me and
Greg and my mom a little apartment on Maple Drive
and and uh, and that's what it was. And then
you know, both of my parents remarried separately, and I
had kind of two families growing up during middle school,
which is great because I had four parents and lots
of different influence. But just in terms, I mean, you know,

(31:48):
it's funny now now, being as old as I am,
I think I only knew her for the first half
of my life, So I would say for the first
half of my life, Michelle was was the biggest impact.
For the second half of my life, this one is
the biggest impact. My wife, Danny, So it just is
I mean, she's like, we're like a team. She and

(32:10):
I are a team, and it's and it's been that
way since our first aid. It's beautiful. Does Danny remind
you of Michelle? Not at all? But they're both blond
because your mom was blond. No, But you know they
say you marry your parents or somebody that's the exact opposite.
So Danny's pretty opposite, except for the obviously good stuff

(32:31):
love and good supports to them a lot. But Danny's
dad was a virgo, as am I, so she she
she's more guilty of that than I am. Um, I know,
I don't think she's actually anything like my mom, although
I know my mom would have My mom would have
loved her. Yeah, all right, what's your favorite love song? Um,

(32:53):
there's so many, so many of them. I'm not really
like a sappy guy. Do you want to sing one
or two? Absolutely not. I saved that for the operating room.
I do. I play music all the time. I love
that music Trivia in the hour, I would say, I'm
I'm a huge Dave Matthews fan, So I would say

(33:14):
You and Me by Dave Matthews. Not not because it's
really a sappy love song, but it's kind of about like,
you know, it just reminds me of Danny. Like anything,
there's nothing that we can't do together, and that's just
kind of the sentiment of that song. I like that.
All right. What is one piece of advice that you'd
share with either that you're twenty something, your old self,
or somebody that maybe you were mentoring that was following

(33:36):
your footsteps. Um. Probably two, enjoy life more and not
take things so seriously. And notwithstanding the fact that you
are not a sappy guy, do you have a romantic
comedy that's your favorite? Uh? Again, I'm going to have
to go with two separate movies. Harry that Sally was

(34:00):
probably one of our all time favorites. But in this case,
I'm going to have to maybe have a little side
track to the notebook. And that's primary. You are a
snappy romantic guy. Okay, that's that was That was probably
the first, uh the first romantic movie that we saw together.

(34:22):
And uh yeah, Danny had a little bit of an
ugly cry during during that early on in our relationship.
She was the one where I was like, oh, cut
to the chase. All right, Kevin, thank you so much
for sharing your wisdom with us today and on all's fair?
How can people find you and schedule consult if they want?

(34:44):
Because if I was going to do something, I would
be coming to you. You just sound you have my
cell phone number, that's right, so I could just get
right there. Thank you for having me the best. The
best way is to either call the office and our
phone numbers three ten, seven seven seven five for zero zero. Um.
You can also hit my website and that's Kevin Brenner

(35:06):
m D dot com, k E V I N B
R E n e r MD dot com. I'm also
I have a fairly large amount of stuff on Instagram,
and that's at Kevin Brenner, M d um or shoot
me an email. Okay, I'm not going to give you
myself phone number. That's okay, that's okay, We've already got that.

(35:28):
Thank you so much for bring here Kevin and Danny.
Guests need to hear about this stuff, and we're glad
that you were here to share it with us in
an intelligent way. Thank you. Thanks. In prepping for today's podcast,
we came across thirty million results on Google for the
phrase mommy makeover and more than six hundred million results

(35:48):
for the phrase daddy do over. This is the term
for the midlife decision by men to try a facelift
or some other procedure. According to askman dot com, just
as women can turn to a suite of procedures known
as the mommy makeover, more men are embracing their own
set of treatments known as the daddy do over, to
improve their physical appearance and erase their dad bod. What's

(36:09):
a dad bod? Like kind of like a you know,
pudgy tummy and like maybe a double chin that that
thing you love? Why don't they just get spanks? Donny,
that's a very good question. Alright. The next doctor I
want to introduce you to specializes in both cosmetic and
reconstructive surgery. He's chief of plastic surgery at Cedars Sinai

(36:31):
Tarzana Medical Center in southern California here, and he has
a private practice in Sherman Oaks. He's one of the
most sought after plastic surgeons in the country. And he
just left the set of KTL A News where he
was speaking about this very subject. So hopefully we don't
need to refresh you at all. Doctor. Welcome to All's Fair,
Dr Elliott Hirsch, and thanks for stopping by. Thank you so.
In the US magazine article we spoke about at the

(36:52):
top of the show, out of twenty plus celebrities featured
for admitting they're having plastic surgery, only one is male
and clear from the search results and from what ask
men is telling us, men are starting to do this.
But why, Dr Hirst? Is it more acceptable for women
to admit it than it seems to be for men.
I think again, traditionally women would be considered to be

(37:14):
more concerned about their appearance. Remember the classic quid about
in the depression era. If you give a woman two dollars,
tho spend one dollar on makeup and one dollar on food.
I never heard this go ahead, that mentality. I would
probably spend one makeup. I don't wear that much makeup.
I'd figure out something to spend it on. Not food though.
All right, So so what is a daddy do over?

(37:36):
Tell me some of tell us some of the procedures.
And I know that, Um, just last week on ask
men dot com you were even quoted, so you seem
to be the expert on this. What what? What are
the popular ones that people come to you for? So
it's you know, the coming back into the expression the
dad bot. Look in the mirror, you see you're not
quite as toned as you used to be. There's a
little more hair in certain places, a little less hair

(37:58):
in certain places. Maybe things are sagging a little bit
more than they used to. So the daddy do over
is a response to the dad bod which was bouncing
around social media recently, and in the daddy do over,
you basically try to reverse those changes that you see.
So for example, UM, laser hair removal very common, LiPo
suction very common. Guyan comastia where it's a male breast removal.

(38:21):
We talked about that last week earlier on the show.
We talked about it earlier this season. Say the name
of the type of breast reduction again, guyn comastia, And
where does that rank in terms of popularity? It's very common. Yeah,
it's up there for sure. I mean it's usually it's
usually a combination of LiPo suction and maybe a small decision,
but it's very common procedure. What about adominal etching? What's that?

(38:44):
Donald etching is a form what we call high def
LiPo suction um where there's a machine that you can
kind of create the appearance of having more sculptured abs um.
In my experience, you can do that with a machine.
You can, but the long term results of this tend
to not be great. And if you gain weight over time,
which most of us happened to do, it can look
very weird. What I don't does it fat grow? It

(39:07):
comes back in the areas that haven't been like was suctioned,
and so just does it look strange kind of? I mean,
if you have a global increase in fat in the
area he tried to sculpt, it looks weird. We have
your dad bod back again, Ben, but but in a
weird way. So we were speaking with Dr Brenner about
taking fat from the waist or the butt and putting

(39:30):
it in the boobs. I'm reading here that you could
take hair from the back or the side of the
head and you could put it on bald spots. That
does this. This is hair plugs. Yes, hair plugs or
neo graphed is a is a good treatment for that.
But you wouldn't typically take the hair from your back
and put onto your head, just you wouldn't want back
here growing on your head. I wouldn't know where would

(39:51):
you take it from. Usually in male pattern baldness, there's
a central opening where there's no hair, but we usually
have playing hair on the sides in the back, and
you can transfer that around if you take it out
of that part. Does it grow back well once you
move that when you move the actual hair follicle, so
it doesn't grow back, But you have plenty where it's
if it's harvested in a harvested in such a way

(40:13):
that it doesn't show, then you can have a good coverage.
And do you do that? I don't do that. You're
not a hair plug guy. Not a hair plug. Okay,
I'm natural. Okay, Johnny put this on the list penis augmentation.
Would you call that a part of the Daddy Do Over? No,
that's definitely not a standard. I like how on Johnny's
list of things, three of the things are not the
Daddy do well? Are these those things you're looking into?

(40:36):
In the AskMen article, Dr Hersch's quoted in as part
of the Daddy Do Over, they say that the penis
augmentation is the least popular on the list. It's but
it does consist of filler injections into the penist, giving
it either a longer, thicker appearance or both, depending on
the technique. So in the article, it lists these bullet

(40:57):
points of things that people do and the Daddy do
a or but you're saying your most popular procedures for
the Daddy do over are really the guy know that one? Um?
And what are the other two? Lips? Hair removal? Got it?
I mean removal? So that's but that's now. Is that
like permanent hair removal, like you're taking folicles out or
is that just more of a wax or laser hairbal laser? Okay, yeah,

(41:21):
it's it's a great procedure. Obviously, every different type of
laser is going to have a different result, and it
usually takes or five treatments to get closer to where
you want to be. This is mostly back yes, back
shoulders okay, some some men chest too okay, really yeah okay,
no chest hair, no, it's or even a reduction in
chest here. Yeah alright? And what about botox? And what's

(41:44):
the JUVEITERM the fillers to do? Our men doing these
as well? Dr botox or brotox right, brotox Okay, I
like that. It's usually you know that the difference still
between men and women when you're getting botox is that
when men come in for botox, they say I just
want to look a little less tie or a little softer,
and women say, I want to look like a complete
freak from another planet. I want there to be no

(42:07):
movement on my face whatever, no movement. Women really say
that absolutely frozen in time. Frozen in time gives the
smoothest possible skin you can get. See. We always joke
in my office, I couldn't get botox because I would
be able to make this face. That would be bad.
But I guess I could say what the men say,
which just I just want to look a little less tired,
So if we could just sleep more than them when

(42:29):
that yes, it's a very attractive face. It's also how
I it might come hither stair. When I at bars
and stuff, I look at men like that and they say, wow,
that is who I want to go later tonight. But
you have those those two vertical lines that pop up.
Oh yes, those are from your from your globellar muscles, right,
and so shoot botox into them and that makes them

(42:52):
not do that so against softer forgetting about the come
hither stair or the younger associates at my firm would
not know in any way shape Before that, I was
displeased with them exactly speak which I like to just
look at them like that. But again I'm getting up
there and maybe I could do a little bit. Um.
What are some tips that you can offer for men
to combat aging. If you were having dinner with a

(43:14):
buddy and he said, look, I want you to tell
me as my friend, not so much as a perspective surgeon,
or just what would you do to me, not me,
but your friend, you know, to what would you suggest?
Number one thing? Don't smoke? Yeah, smoking cigarettes ages you
so fast men and women. Yeah, absolutely, and it's really

(43:34):
bad for your lungs too, and the rest of us
don't like to smell it. Why is that the nicotine
nicotine vaso constriction effect on the blood vessels over time.
It's just not a healthy thing you want to be doing.
How about sucking out of a straw? People have said
to me, you shouldn't do that because it makes your
lips another thing I do freaking I really amazing. It's

(43:55):
still looking as good as you are. If you're sucking
out of a straw for four or five hours a day, now,
then that's probably all right. But what about, like, you know,
are there any skincare regiments that you recommend staying out
of sun? I mean no smoking and no sucking out
of a straw. I mean there must be more than that. Well,
so number one, no smoking. Number two sunscreen, So every

(44:17):
time you go in the sun, get some good sunscreen.
You want something that has a physical blocker like titanium
or ink in it. Those are gonna be your best bets.
But then you know that's that's preventative. But then you
want to be proactive also, so get your facials, get
your peels, get your micro needling done, get your laser done.
These are just things that it's maintenance, you know. And

(44:37):
we have this conversation all the time with my patients
where you say, okay, how often how often do you
get your hair done? Roughly every three months? Okay? And
how often do you go in for a chemical peel
or a facial on your skin? I done a chemical,
but I get a facial once a month. Well, so
so then the next step beyond that, if you want
to take off the outer layer and kind of smooth,

(44:58):
smooth and next layer of skin down, it would be
to do a chemical peel. And so you get on
that and you get on the regiment and just like
you take care of your hair or you take your car,
information to do the same thing with your skin. Right, okay?
And is it is there any point that's like past
the point of no return or can anybody start like
if you're never two? Okay in your opinion, doctor, what's

(45:18):
the connection? Because I think you probably know. On our
show we talk a lot about relationships and getting back
out there in next chapters. Whether you're in a relationship
and you want to really be feeling good about yourself,
in that relationship, or if you've gotten out of relationship
and you're thinking about getting back out there again starting
your next chapter. What do you think the connection between
some of these techniques and we're not techniques but procedures

(45:42):
and feeling good about oneself are There's been a lot
of study on plastic surgery procedures and in self esteem,
and the majority of these procedures not obviously in this
particular case, breast augmentation is a very high satisfaction rate
over or are happy with it. They have shown that
these procedures can boost self esteem, increase your your sense

(46:05):
of your identity, and just your overall satisfaction. Is also
your sex life, So this is all beneficial. I think
the correlation is that if you look good, you're gonna
feel good. You know, nobody wants to look in the
mirror and see somebody who's out of shape and Harry,
you know you want to look the best you can,
and so that's that's where this comes in. If you

(46:26):
want to be the best you, this is a way
to get back to that position. Can you Okay? Two
questions because I'm thinking more about the daddy do everything.
One you can do this in the nose and the
ears too. I notice a lot of nose and ear
hair sometimes on older men. I was gonna say, I'm
surprised about this hair thing because I didn't know that
not having hair on the chest you mean, or on

(46:47):
the beast and back. I mean, I didn't know that.
I thought that was like a sign of virility. I
don't think I've been living under a rock. Okay, so,
but but I will say, not so much with the
huge eyebrows or the ear hair or the nose, so
that they can take that off. Also, um by, it's
more permanent like a laser Well, you you could do
the external ear theorytically, you could do, but from a
from a technical standpoint, would be hard to contour with

(47:09):
a with a probe because your ears have a lot
of contour. I've never heard anybody doing laser hair move
inside the nose. Now, that's more of a waxing thing. Yeah,
just that those all machines you can get right. Oh yeah,
I've seen the waxing your nose sounds so painful. And
we're going to we're going to do one of those
things where we follow you into the salon. Okay, here's
my other question again that man based sweating. Yes, a

(47:33):
lot of sweaty men I'm noticing, And I know I've
heard women do botox under their arms because if it's
like numbs or kills the gland or the muscle, then
you're not sweating. Is this something men are asking for
as well? And does it even work if you really
are a sweaty guy? I haven't seen as many men
asking for this. What you're talking about is is the
treatment of botox for hyper hydrosis or too much sweating,

(47:56):
and so that there's a couple of different types. Um
sometimes there's For example, I have a patient who had
a car accident injured her jaw, and when when the
nerves reconnected, she had a phenomena called gusta tory sweating,
which means every time she eats something spicy or sour,
her face sweats. So she comes in every couple of
months and I bow talks her so that she doesn't

(48:16):
sweat when she eats, which is obviously very distressing. Right,
does it sweat just in the place where like, does
it do both sides or is it just on the
side where she had the broken jaw? Both sides? This
is fascinating yea, and does it does it help together?
Absolutely amazing? And but then most most people don't have
something like that. Most people it's just it's, like you said,

(48:38):
in the arm pits or our our palms can be
really sweaty. How often do you have to do that botox?
At all? Every three months or so? Three months? Botox? Now,
let me ask you this because I've heard this ask before,
but I've never heard it answered. Well, I mean botox
is well, so you're basically injecting a disease that we

(48:59):
were all afraid of in the early nine hundreds and
eating canned foods into your face. Not at all? Okay,
tell me why? Why is this perfectly safe? And fine?
Well so, so, first of all, it all has to
do with number one, the creation of the product. Number two,
the method that you are putting into your body. So
if you theoretically it's if you go to you know,

(49:20):
eat a can of food that's spoiled and it's containing
with botox, yeah, you can get super sick. Um but
will you look better? Probably not um so, But you
have no idea what you're eating or how much or
you know where it goes. This is this is very

(49:41):
precise to the muscle, into the muscle. UM formulated in
the lab sterile you know, safe, rigorously tested, FDA approved
product which has been around for a long time. UM
botox is injected into the skin. Uh, it does what
it's supposed to do. There's very few side effects. So
it's it's a totally safe product. Very different than eating

(50:03):
that spoiled canned food. Did they do your industry at
disservice by naming it that? You know? I think botox
is like it's like saying Kleenex, right, you know it's
a brand name Botox and Kleenex tissue. Yeah, yeah, Q tip,
same deal. There's botox, there is juvo, there is juvo
is the same it's not Juvo isn't a filler. No,

(50:24):
jubos is a botox type product. J and okay, now
tell us about filler. So this is something that gets
is that what they put in the lips? Yes? Okay?
So and that and what happens to it? Because one thing,
you're kind of your your numbing or killing a muscle
for a certain period of time, but this is actually
putting something into the face. Where does it go? So

(50:47):
good question? So the so to clarify with the botox,
what you're doing is you're actually temporarily paralyzing the muscle,
temporary paralyzing, not numbing it, not killing it, just in between,
still alive, just not not doing anything. So what that
does to them huscles of your face is your static contraction,
meaning you're when you're not doing your rest face exactly,

(51:10):
it smooths all out. Okay, Okay, Um, filler is different.
Filler is adding volume. So botox will smooth out the
fine lines and wrinkles in your in between your brow,
you're around your eyes as if you're looking right at me.
The filler will add volume. So if you want to
add volume to your lips, to your cheeks, to your knees,

(51:31):
labe a fold area, your smile lines, you add volume
to that, okay, and then what happens to it? Your
body just eats it over time, Like where does it
go over time? It degrades. How often do you have
to do that depends on the products. Some last six months,
some last year and a half. Okay, And it's the
same stuff in your lips and in your cheekbones or
cheeks or whatever. Just it's in the chemically similar. It's

(51:55):
all hyaluronic acid based molecules. Some of them are more
as cross linked, meaning they stick together more, and the
more cross linked ones they stick together, they break down less.
And so you would use something like that more in
your cheeks than your lips. So in your lips you
want something it's softer, which is not gonna be as
cross links as much, which won't stick around quite as long.
Fascinating as implants. Yes, um, they are knock on your body.

(52:25):
I don't have anything before the daddy do over. You
don't do those? And why is that? We've heard some
scary stories about those. Yeah, it's it's a I know
some people do them. Um, I don't think it's a
great procedure, just because typically they're putting in under the muscle.
And yeah, your button muscles are important for a lot
of different reasons. Number one, number two. They have a

(52:45):
lot of complications because you're sitting on them constantly. They
can rupture, they can rotate, they can flip, they can migrate.
Johnny's motto is don't put anything in your house. That
sounds reasonable. Thank you, speaking of numbers. Okay, please continue, doctor,
Where was I don't remember where I was? All right?

(53:06):
How about this. We have some questions that we like
to ask all of our guests, and we also asked
Dr Brenner. So now tell me, Dr Hurst, do you
promise to tell the truth, the whole truth, and nothing
but the truth. Which relationship in your life has had
the most profound impact? Be my wife? How long have
you been married? Two thousand and seven we got married,

(53:27):
so that would be years. Kids ages seven? Nice is
your nine year old and third or fourth nine year
old is in third? I have a fourth grader. What's
your favorite love song? Fairy love song? Oh my god?
He said it was such the same to a love song. Yeah,

(53:47):
I honestly I couldn't even tell you. Have you have
a favorite song on the radio right now? Um? The radio?
You know? So so music said, I used to play trombone.
I've been music my entire life. Um. What happens in
the operating room is that I usually have the operating
room nurse pick the music so that everybody's in a

(54:09):
good mood. So you name it. You know, we've listened
to everything, and so there's some stuff I don't like.
I don't like I don't like country music, I don't
like pop music. Everything else is fairy like rapp like
nineties hip hop. That's my favorite era. I like that. Okay,
all right, what's the one piece of advice that you
would share with either your twenty something year old self

(54:30):
or someone following in your footsteps? I don't know if
you mentor younger doctor's residence, whatever, but what was what's
the advice you would give somebody for yourself? Take take take,
take your time and make sure you enjoy the ride. Nice.
I like that, great advice. Also, sleep more. Which romantic
comedy could you watch on repeat? Romantic comedy? Boy? You

(54:52):
know it's so kind of like the music thing, right,
the nerve that the air on ner I mean the
nurse puts it on and you're just watching whatever is there?
Like being at a dry bargery and I would fall asleep.
That works. Not a big rom com guy, Elliott Hurst,
thank you for carving out time to speak with us today.
How can people find you scheduled consultation? Speak with you

(55:15):
about your vast knowledge of Daddy doovers and all things
cosmetic and reconstructive surgery related. We are Our office is
in Sherman Oaks, California. Office phone number is eight one
three one. You can also find us through the Internet
www dot Hush Plastic Surgery dot com and Hirsh Guys
is h I R s C h Plastic Surgery dot

(55:38):
com and our Instagram handle is Hersh Plastic Surgery at Instagram.
Thank you, Thank you so much for being here which
is on all Share. Thank you.