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November 10, 2025 13 mins

Thinking about plastic surgery but afraid of being botched?

Dr. Dubrow names things you can do so your ‘Nip/Tuck’ results don’t suck!

 

From what you can do pre-op to avoid a blood clot, to the food you should be eating in advance, THIS is what you need to hear before you head in for a glow up!

See omnystudio.com/listener for privacy information.

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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:04):
I have Teather Dubrow and we're going to keep this.

Speaker 2 (00:08):
Between us, but not completely totally.

Speaker 3 (00:11):
Really, we are doing a little special bonus episode today.
Awesome because we get so so many questions about how
do I recover from plastic surgery, because here's the thing,
plastic surgery emphasis on the word surgery.

Speaker 1 (00:26):
Yeah, And I think many.

Speaker 3 (00:28):
People I know I come across this with people. I'm
sure you do as well.

Speaker 1 (00:32):
Is that people.

Speaker 3 (00:33):
I think plastic surgery is so commonplace now that people.

Speaker 1 (00:37):
Don't realize you this is a big deal.

Speaker 3 (00:40):
You're still in most cases being put in a medical coma,
being put under general anesthesia and having you know, skin cut, open,
tissue sewn, all these things, and there's recovery, and how
do we maximize the recovery?

Speaker 4 (00:56):
Yeah, So I think the important thing to understand that
the trauma induced by plastic surgery is the same as
trauma induced by any other surgery, but in a way,
because it's more superficial in the body, it's a lot
easier to manipulate. So if you do the right things,
you can actually recover and feel better more quickly than
if you have sort of things on your gallbladder or

(01:18):
your appendix, which you don't necessarily have the ability to
manipulate the way.

Speaker 3 (01:24):
You do, meaning because you know, if you have a facelift,
it's topical.

Speaker 1 (01:27):
It's like your skin.

Speaker 4 (01:28):
Well, you can't affect the blood flow of the appendix,
ah okay, and you can't apply anti inflammatory treatments to
the appendix, right, but you can to the external components
of your body and your face. And that's why things

(01:49):
like you know, ice is really helpful. Really icing down
an area can really diminish swelling. The less swelling you have,
the more quickly you're going to recover, and the list
suffering you're going to have. So always elevate that body part.
The basics, right, the rest, ice, compression, elevation.

Speaker 1 (02:06):
But right, thank you forgeting.

Speaker 4 (02:08):
So let's see you have your eyes done. It's really
important if you can find a way to sort of
sleep more upright on pillows, keep your head above your heart,
apply a lot of ice that will reduce the swelling,
and things like hyperbaric oxygen chambers.

Speaker 2 (02:25):
I love hyperbaric oxygen really huge. Right now, so let me.

Speaker 1 (02:28):
Ask you this.

Speaker 3 (02:30):
I want to ask you like top sort of things
going into surgery and top things to recover. So before
you have plastic surgery, other than I mean what I
guess I would consider the duh.

Speaker 1 (02:43):
You know, you have to have a pre op.

Speaker 3 (02:45):
Sometimes you have to have knee KG or tests to
get cleared for surgery. But what things can you do
going into plastic surgery that are going to maximize your results?

Speaker 4 (02:54):
So every plast surgeon feels differently about this, but if
you can, it's probably a good idea to go to
a hyperbaric auction chair before. Yeah, there's some studies and
a lot of doctors feel like if you can get
a couple sessions in before you've kind of have super
high levels of auxygen ready to be delivered to the
tissues that.

Speaker 2 (03:14):
You're about to danger. Okay, that's one number two.

Speaker 4 (03:17):
You know, if you can when you have surgery, you
go into what's called a catabolic state and you start
to sort of eat your body alive. And if you
can prevent that and go and start going increase your
protein intake a lot before you go into surgery, that's
very very helpful.

Speaker 3 (03:36):
Okay, by the way, I've never I had no idea. Yeah,
So oxygen and.

Speaker 2 (03:41):
Hyperbaric auction elevated protein.

Speaker 4 (03:44):
Yeah, I think you have to anticipate that you're probably
going to take pain pills and that can be very constipating.
So last thing you want to do is to maxitrate. Yeah,
cut clean out your intestines.

Speaker 1 (03:58):
A little bit, like what the day before surgery.

Speaker 2 (04:01):
Yeah, maybe a couple of days.

Speaker 4 (04:02):
I wouldn't instially do it the day before because if
it doesn't really work, that would be bad postoperaly. You've
got all this stuff now that you're suffering from because
you did something. So maybe two or three days before,
you know, max your protein. But maybe consider, depending on
whether you have constipation or not, going on a stool softener.

Speaker 2 (04:21):
That's probably a good idea.

Speaker 4 (04:22):
Or even if you are a person who has intermitten
constipation or not very regular, maybe do a little mag
sitrate Magnesium citrate.

Speaker 1 (04:30):
It's a drink.

Speaker 2 (04:31):
It's a drink, you drink a little bit.

Speaker 4 (04:32):
You don't have to do it like you're having a colonoscopy,
But maybe three or four days before, have a couple
glasses of mag sitrate that you can get over the
counter at the pharmacy.

Speaker 2 (04:41):
And clean out your intestines.

Speaker 4 (04:43):
That way, you will not get constantpate because you don't
have anything in your your gut to constipate to back up.
You won't and your recovery will be a lot easier.

Speaker 1 (04:51):
Okay, what about this? What about your actual skin?

Speaker 3 (04:54):
So I guess I'm thinking about tummy talks, even breast surgery,
and obviously.

Speaker 1 (04:58):
Anything on the face.

Speaker 3 (05:00):
How do people because skin quality is important, right, So
what do you do to prep your skin before you
have a procedure like that? Because obviously, like a facelift
is tightening eyes and you're taking off your lid, skin,
whatever it is. But don't you need the skin to
be in good condition?

Speaker 4 (05:19):
I think facial skin. It's nice to you know, get
some good skincare going. I wouldn't wear a lot of
heavy makeup, you know, days before you have this done,
because your pores can be blocked with makeup. You know,
clean a nice cleanser. Don't wear a lot of heavy makeup.
Prep your mind, prep your mind for and maybe even

(05:42):
do a little, if possible, one or two minutes sort
of daily light meditation, knowing that you're going to be
in a recovery state, and prepare yourself for it.

Speaker 1 (06:00):
I remember you had a patient once years ago.

Speaker 3 (06:02):
It was actually the girlfriend of someone I was working
with on a show and you were doing her.

Speaker 1 (06:09):
Breasts and she made herself. Do you remember this?

Speaker 3 (06:13):
She made herself a tape and you put the headsets
on her. Yeah, and it was like the blood is
leaving my body. She gave herself this whole speech.

Speaker 2 (06:22):
Yes, do you remember that? Yeah? Funny.

Speaker 1 (06:23):
Do you think that works it?

Speaker 4 (06:26):
I think if you know yourself well enough that you
use these kinds of suggestive things in the past, lean
into those kinds of things, Okay, mainly may not work
on you if you've never exposed yourself to them before.

Speaker 1 (06:41):
Right.

Speaker 4 (06:42):
I think it's really important to realize that when you
have surgery, you're going to be down and you're not
going to be moving as much. And the most devastating
thing that can happen blood clot, is a blood clot.
And then when you hear from people dying from plastic surgery,
invariably it's from a clot in the legs or the pelves.

Speaker 2 (07:00):
They broke off and went to your.

Speaker 1 (07:01):
Lungs and can Okay, so now we're at the post stop.

Speaker 2 (07:03):
No even before.

Speaker 4 (07:05):
So if you're gonna a lot of my patients fly
in to see me, Okay, if you're gonna if you
fly in to see your doctor, or even if you haven't,
but you you have to realize you're now going to
be laying down and less mobile, and so your your
chance of a blood clot is elevated by virtue of
the fact that you're not moving as much.

Speaker 2 (07:26):
So what do you show if you can go.

Speaker 4 (07:28):
For a lot of brisk walks before before the surgery
and really condition your blood vessels to really good flow,
I think the chances that you'll have you know, a DVT,
a deep venus thrombosis or something due to what we
call you know, stasis, or a clot accumulates and breaks off.

Speaker 2 (07:48):
Will be diminished.

Speaker 4 (07:50):
And then I think it's really important to move after
an operation.

Speaker 3 (07:54):
Wait, wait, so those are the before things we learned
to take brisk walks. We want to upper protein, we
want to go to hyperbaric oxygen, and we want to
use good skincare and maybe clean out.

Speaker 1 (08:08):
Or colon a little bit.

Speaker 2 (08:09):
Yeah, okay, so we got all that.

Speaker 3 (08:10):
Now you've had the surgery, maybe you've gone to an
aftercare facility for a couple of days, maybe you're home.
But after, so what are we doing after? Obviously it
depends on what limitations you have. Like there's different limertations
for a facelook versus a Tommy talk.

Speaker 4 (08:26):
Yeah, I think that, you know, much like the way
injuries are treated now in sports, there's a whole different
feeling about them. Now, I think that you can use
those principles to cosmetic surgery. In sports, it was like,
don't use the extremity, you know, rest. Now there's a
lot there's a movement towards early movement, in early motion,

(08:49):
and I think if you treat a plastic surgery patient,
you say, move around a lot at home, don't sit
there and not do anything, and get a mindset. It's
a big deal if you put yourself in the mindset Yeah,
this hurts, and I'm swollen, i look terrible, but I'm
going to just walk around the house today and I'm
going to do light things and maybe even if you can,

(09:12):
if your doctor approves it, go outside and go for
a walk. Obviously, don't get any sun exposure, but train
your body that put it in the mindset that we're
not sick, you know, because your body is massively traumatized
and you don't necessarily want to shift it into a
we're sick, something's wrong with this mode what you want

(09:33):
to put it into. We're fine, we're moving, We're in
a recovery mode, and so get out. Walk the dogs,
go for a walk, even if it's a little bit.

Speaker 1 (09:42):
Move around, definitely move around. That's one post. Another one
I think is still hyperbaric oxygen.

Speaker 4 (09:48):
Well for sure, okay, Well, hyperaric OXG is more powerful postof.

Speaker 2 (09:52):
Than it is pre op. But you still like it
prep I do.

Speaker 4 (09:54):
I like the idea, particularly if you're gonna have large
areas of your body operate on, like a tummy tuck
or a breastlift. And certainly everybody you know Beverly Hills
who's doing facelifts or having their doctors do hyperbaric their
patients do hyperbaric auction now after after for sure, okay, many,
And it used to be maybe have one, maybe do
it every day. And if you do it every day,

(10:16):
it's good because it's gonna get you out of bed.
It's gonna you're gonna move around, you're gonna get the
blood flowing in your legs, you have to go someplace,
you're gonna do an HBO treatment in the chamber. You're
gonna get out of the chamber. You're gonna walk back.

Speaker 2 (10:29):
It's all good.

Speaker 3 (10:31):
Yeah, okay. And what else stop recovery thing to do?

Speaker 4 (10:36):
Yeah, I think it's you know, depending on what your
doctor says that not all doctors use these light blood
thinners after a surgical procedure.

Speaker 2 (10:45):
If it's a.

Speaker 4 (10:45):
Procedure sort of longer than four or five hours, like
a facelift, and you're not particularly fit, you might ask
your doctor about going on some loavnox, some low dose lovannox,
which is gonna take blood that are anticoagulant, very easy
to self administer. Most of us do it, and it
helps to minimize the chance of a blood clot.

Speaker 3 (11:06):
And also, and I don't think we can say this
one enough, stop taking the medicines that your doctor says,
do not take because how many times have you had
you probably not that much, but how many times have
you had patients come in the day of surgery and
they took an advil or yah, took something that, Yeah,
you have to cancel surgery.

Speaker 4 (11:25):
Yeah, And then the rest of the advice, you know,
is my opinion. And so my opinion is I think
we plastic surgeons way over prescribe antibiotics after surgery and
ideally you really should only need one dose survivy antibiotics
within thirty minutes of the operation of the words the
antithesiologist hangs a bag of anseph and then but every doctor,

(11:49):
not every day. A lot of doctors I know put
their patients on like ten days of post operative antibiotics.
They do nothing except rob your intestinal microbiome of the
right back, And I think.

Speaker 1 (12:02):
Why did they do that? Just for liability?

Speaker 4 (12:05):
Maybe that was their their training. Maybe it's liability in
case the patient gets an effection, say well, I put
them in antibiotics. But the truth is it probably raises
the chance increase the chance that you'll get an infection.

Speaker 2 (12:18):
And certainly, if.

Speaker 4 (12:19):
You're on post opera of antibiotics for ten days you
get an infection, it's a nasty infection because it's killed
off all the easy to kill off bacteria.

Speaker 2 (12:26):
The only thing that's left are the bad ones.

Speaker 3 (12:28):
All right, So that's a good Any anything else, any
little pearls you want to share with the audience about
pre or postoperative care that they maybe wouldn't have thought of.

Speaker 2 (12:37):
You're going to be depressed and scared.

Speaker 3 (12:41):
Of.

Speaker 4 (12:41):
Patients have definitely some regret and freakouts. Don't freak out.
I recommend you don't stare in the mirror. You know,
don't expose yourself to any stressful information. It's not the
time to work out relationships or your finances.

Speaker 2 (12:58):
This is your vacation mode. Minimum.

Speaker 4 (13:02):
Destress your body, distress your mind. Don't have you know,
stressful conversations with people. This is time to chill. This
is your.

Speaker 1 (13:12):
Time, all right there. It is pre and post with
doctor Terry Debre
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