Episode Transcript
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Speaker 1 (00:06):
Welcome to another episode of plastic Surgery on Censored. I'm
your host, doctor Roddy Raban, and we have a fantastic
episode for you today. They're always fantastic, but this is
extra fantastic. Number One, I love the subject matter. It
is incredibly relevant and trending facelifts. And the second is
our guest is spectacular. I know I always say that
(00:29):
it's true our guests are spectacular because there are our
own patients and we love them, but Marlena is exceptional
in that she is one of the arguably top five
most enthusiastic patients we've ever taken care of. And as
a surgeon, the most enjoyable part of my job is
(00:51):
to take care of people who are enthusiastic and excited
for the work and energy and time that I invest
in them. So you can imagine giving a child a
gift and they're over the moon. It makes you so happy,
and so we are so lucky and happy to have you,
especially since you're an out of towner. So thank you
(01:12):
for coming, Thank you for having me. Okay, so what
we want to talk about today is everything that encompasses
facelift surgery. And I think your journey is an amazing
example of what I think patients need to know about facelifts.
It's all over the social media, it's all over the news.
Facelifts are exploding. I think, as I've said on many occasions,
(01:37):
most trends are nonsensical. They come, they go, They're trends,
that's why they call them. But facelifts are not trends.
Facelifts have been around since the beginning the plastic surgery,
and this particular explosion I think is one of the
few times where social media was beneficial, and I'll elaborate
why that is as well. So you are now eight
(02:01):
weeks out from a facelift, a browlift, a chinog and
fat transfer, right correct, Okay, wonderful, and you are all
of how many years old? Sixty six sixty six years young?
And what we want to talk about and what I
want the show to go is pre surgery after surgery,
(02:24):
because I think both of those are very relevant. In
other words, pre surgery is what you were going through,
why you chose to do it, why you chose to
do it, when you chose to do it, why you
and I became best of friends. What is it a facelift? Mean?
And I'll explain what that means in a second, because
people assume, incorrectly a facelift is surgery on your whole face,
(02:48):
when in reality it's a misnomer. It's actually should have
been called a necklift, but nonetheless, and then afterwards we'll
talk about what it's been like for eight weeks, what
your recovery has been like, the impact that's made in
your life. You're a newlywed, you recently moved, you're in retirement.
How it all plays in. Okay, So let's dive real quickly.
(03:10):
And I think Sally told me you and I you
reached out to us in two thousand and twenty one, correct,
but we operate on you in twenty twenty five. Yes,
what the hell? What were you doing this whole four years? Saving? Okay?
That's wonderful. So I love that, and that I think
(03:30):
is one of the reasons why I think you embody
what I refer to as a wonderful patient. So you
come in. You are sixty six when we meet this
in consultation. So let me back up a little bit.
What was it that you were noticing? What was it
that triggered, Oh, I really want to change something. So
(03:51):
You get up in the morning, you wash your face,
you get in the mirror, and at some juncture you said,
I think it's time to do quote unquote something about
this surgical What was that and what was going on
in your life?
Speaker 2 (04:03):
What was going on in my life?
Speaker 3 (04:04):
I had tried neck creams, facial creams, and every time
I looked in the mirror, it was just my eyes
went straight to my neck, right, and it was so
is just a lot of like a turkey neck. So
that bothered me. The deep laughlines, right, those were things
that I didn't like taking pictures, so I just stopped altogether.
(04:26):
I wouldn't take pictures because in the pictures, everyone else
would see this is a nice picture, and I'd say, yeah,
but my neck.
Speaker 1 (04:34):
Right, And so your neck was was what was mostly
troubling you, right, yes, yes, okay, And then you kind
of obviously it doesn't happen overnight, right, Our aging is
a gradual process, and so you kind of looked at
it and you're like, it's okay, it's not so bad.
And what do you think was the turning point? Because
(04:55):
I think for everybody it's interesting, what is the turning
point in which you're like, oh, I'm to do my nose. Oh,
I'm going to do my neck. Oh, I'm going to
do my eyelids. What was it for you?
Speaker 3 (05:04):
The turning point for me was when I retired, or
when I left the legal profession. I was there for
four decades and I decided that that stress that I
wanted to move on and work into my nonprofit company.
And so that was the point where I went, this
is the time.
Speaker 2 (05:22):
The timing was perfect, Okay.
Speaker 1 (05:23):
So it was a good chapter change, which is very
common for people, right, for people choose to do surgeries
in certain transitions in life. Right. Actually, ironically, we do
noses often as young adults go from high school to college.
It's a great transition. And in your instance, retirement ending
your you know, your quote unquote work life, it was
(05:48):
a good transition for you. Perfect. So here you are.
You are obviously a very bright young lady, and you
spent you know, you're in a legal profession. You know
a lot about doing homework and research. So you're seeing
at home and you're and this was prior to the
explosion of facelifts. You're sitting at home, You're like, I
don't this whole next thing is just driving me nuts,
and my whole face is looking older and aging me
(06:12):
and anyone who knows you, your energy and your enthusiasm
is that of a young child. And then you have
this facial expression that isn't matching up. So what did
you do in terms of research? How the hell did
you end up with us? Because where do you? Where
did you live? Where do you live?
Speaker 2 (06:31):
I lived in San Diego, so you.
Speaker 1 (06:33):
Lived in San Diego, yet I'm here in La So
you must have done some research. What was your journey like?
Because I think it's very important to figure out how
you got here.
Speaker 3 (06:40):
My journey was my sister and I have like a
vision board, and so we were deciding, ah, okay, how
are we going to age gracefully? So what we did
we said, okay, we are going to start our research project.
She's a pure legal as well, and that's how we started.
We just googled. I found you on Instagram. I listened
to a podcast and I was like, ah, it's fabulous.
(07:01):
I was like, Marcy, you got to listen to this podcast, right,
So we started listening to it and we decided. From
that point, I was like, Marci, let's make let's do
a consultation and she was like, yes, do it, let's
do it, okay, and that's when we started.
Speaker 1 (07:14):
Okay, so your parently, we're a paralegal, she's a paralegal.
Nobody does more research than paralegals. I mean, it's literally
your job is to be a researcher, for the love
of God. And so you guys start digging in your
entry point. And I like that because obviously we're on
the podcast together. What a full circle moment. Right back
when you started listening, You're like, oh, this is super cool,
(07:36):
and here you are now sitting here with the facelift
from your vision board. I want you to make me
a vision board. Okay, so you you made it full circle.
But why am I here on the weekend. I'm here
because I'm trying to create content that I think is valuable.
And the fact that you listen to our podcast that
(07:57):
was your point of entry and you ended up doing
your surgery and here you are happier than a clam.
It really is very fulfilling for me because at the
end of the day, as much as I like doing this,
I have a lot of other shit I could be doing,
Like I have my kids and my own hobbies and things,
but I do it because of your types of stories. Right.
I get dms all the time from people around the country,
(08:18):
around the world. Hey, doctor von I want to tell
you kudos to you. I use your podcast to listen
to this, that to the other. And I just finished.
I just had surgery in Turkey, or in England, or
in Canada or in Minnesota, and it went great. Thank
you so much. So you do that. You do your homework,
and you and I meet and we meet and I
(08:41):
examine you, and I said, Okay, Marlena, hear the things
that I think are going on. And what was going
on in you is going on in every single patient.
Nothing about your presentation was unusual. Every single body in
their face ages exactly the same way. And what do
I mean your brows we're sagging. Your upper eyelid had
(09:03):
some excess skin. Your lower eyelid had a little bit
of extra skin and a few little bags. And your
lower face, that is your nasalabia folds, the marionettes, the jawline,
the jowl, the neck had excess skin. That's how everyone ages.
It starts somewhere in our forties and progresses every few years. Now,
(09:29):
someone is lucky in that their genetics, their lifestyle, their
anatomy is more favorable, and someone is unlucky because their lifestyle,
their genetics, and their anatomy is unfavorable. But nobody gets
away with it, not Brad Pitt, not Angelina and Joe Lee.
No one can escape father time. So you came in
(09:53):
and I said, you have beautiful women. I love your eyes.
You have gorgeous green eyes. But your brow, your upper eyelid,
your lower eyelid, and your face and neck lower face
and neck are in need of some assistance. And so
in you you had a unique element, not a unique element.
But in addition to all of that, your chin was
(10:15):
a little bit weak. And when you do a neck
lift and a face lift, you are at the mercy
of the bone structure. Individuals we always love. Everyone loves
to look at before and afters online. It's like it's
it's so contagious. So you're looking at it before and
after it results of face lifts, and the ones that
will stand out to you, the ones that will be
(10:36):
holy shit, the ones that will be wow the ones
that you save on your gallery are people with great
bone structure, because in great bone structure, you are rewrapping
the skin over amazing bones. When you don't have great
bone structure, a good forehead, the cheekbones, a nice jaw,
or a chin, your results are not as good. So
(10:59):
in your since you have all those other wonderful things,
but your chin was a little bit on the weaker side.
And so I said to you, in addition to these
four things brow, upper is lid, lower eye lid, and
lower face and neck, I suggest a chinnog you as
you do in everything you do. We're excited and giddy
and like, let's do it. I'm ready to rock and roll.
(11:20):
So then you went and met with Sally, our coordinator,
and she said, okay, that'll be six hundred and forty
seven thousand dollars, at which point, at which point I
was like, what, At which point your enthusiasm kind of
die down a little bit? It was a little bit
of it. No, with all fairness, the number one complaint
online is why are facelifts so expensive? And the truth
(11:43):
of the matter is that most of it is nonsensical.
There is an appropriate amount of money to pay for things. Hey,
this coca cola is three dollars. Now you go to
the south of France in this most exquisite hotel looking
over the ocean, and that same can of coca cola
(12:05):
is twice as expensive. You don't balk. You're paying for
the experience. But then someone says to you, this can
of coca cola is thirty times more expensive, and then
that's a problem. And so what's happened with the price
of facelifts is that because the frying pan is hot,
surgeons are trying to you know, hit the pan while
(12:29):
it's hot, right, And so they're maximizing on this new wave.
And some surgeons it's their prerogative. They do whatever they want.
I'm a one hundred percent believer of supplying demand capitalism,
and they're charging outrageous amounts of money. But that is
not the norm, nor should it be. It's a very
(12:50):
complicated surgery with a very lot of risk. This past Friday,
I did in an eleven hour surgery brow upper lid
lower ee lid facelift, fat transfer NOS job and as
a result, I was crushed. I was so tired. As
(13:10):
a result, I'm going to charge for my time and
my years of experience, but I personally draw the line
when it's abusive or outrageous, like I could charge if
I wanted, no joking, three hundred and fifty thousand dollars,
but I choose not to and guess what the market
will speak, because if I decide to charge three hundred
(13:30):
and fifty five thousand dollars, then I'm probably not going
to be that busy, am I, because not everyone can
afford that. So I think this concept that people are
yelling and screaming online is if someone is outrageously priced,
go to someone else. Oh, that Bugatti is three million dollars. Great,
there's a twenty five thousand dollars car on unsale, So
(13:52):
that's all nonsense. But of course, naturally it is still expensive, right,
And you looked at the price and you set to yourself, wow, okay,
not outrageous, but more than I had anticipated. And I
really want to hammer this message home. So we have
patients who come, we tell them what they need, we
(14:13):
tell them how much it is, and for them it's
more than they had anticipated or budget or whatever. And
instead of going, well, okay, so what do I have
to do and what can I do later? How do
I fragment this so that I can get started on
my journey? Do some of the things that I can
(14:34):
hold off on some of the things that I can't
because I just can't afford it. Right now. We have
patients who just are like all or none, and they're like, well,
this is just too expensive. I can't do it. And
we say, okay, well understandable. Why don't you do this
and this and do this other thing in a year
or two? And for some reason, I don't know how
(14:55):
they can't comprehend that, because at the end of the day,
it's not like, listen, if you go somewhere else and
you do all of it and do great job for less,
no problem. I'm That's not what I'm talking about. I'm
saying they decide not to do it at all. So
what I loved about you is you sat down with
Sally and you said, Okay, well great, totally understand, but
this is my current position. This is a little more
(15:15):
than I had budgeted, correct and therefore, what can we
or can't we do? Let's work together, and we love
that and we will one hundred percent work with the patients,
especially when they're fantastic like you. And so we came
together and we decided, here are the things that are
sort of a must if you will, like, you need
these things for you to be I told you if
(15:37):
without them, you wouldn't be happy, because like, you can't
remodel the kitchen, for example, and then leave the stove unchanged.
But you can remodel the kitchen and not do the
master bathroom. The two are unrelated, right, yes, And as
much as I want to do my master bathroom, now
is not the time. Let's get going on the kitchen.
(15:57):
I spend a lot of time in the kitchen. Let's
enjoy that for now. And you were very good about
recognizing that I'll do what I can now and I'll
come back for the rest later. And we were very
good at working with you at trying to fragment what
things had to be done and what things could wait
for later. And as a result, we came up with
the surgery that we did for you, and let's go
(16:21):
over them together. So we did a facelift, and so
everyone is like really confused. First of all, we did
a deep playing facelift, which is all the talk. Nothing
that is being done today is new. Everyone. I want
you to hear this. Oh my god, what are they
doing today? It looks so good. It's because we're operating
(16:41):
on younger patients. Historically, facelifts were done in late sixties
and seventies, and now they're being done in forties and
fifties and early sixties. When we operate on younger, healthier,
better patients, we get better outcomes. But the surgery itself,
that deep plane facelift has been around for forty years.
(17:05):
We did a deep plane. Let's explain what that is.
We enter in under the skin. We identify the muscle layer.
It's called the SMAs smass, which stands for subapon euotic
blah blah blah blah, don't worry about it. And we
then go under that muscle and there lies all of
(17:26):
the plumbing, the nerves, the arteries, all the good stuff.
And then we delicately separate that layer and then we
move the muscle along with the skin comes and we
reposition it higher. The reason why that technique is preferred
and is the technique that we recommend, is it looks
more natural than if we just pull the skin without
(17:48):
the muscle layer, because the skin, as we all know,
stretches and is not so strong. Okay, So the other
thing that's confusing is that people think that a facelift
and understandably is the whole face, like, wait, what do
you mean I need my brows done? Is not part
of the facelift. Back in the day, way back in
(18:10):
the day, facelift was facelifts. But in all of modern daytime,
last twenty five years, the facelift was where we make
an incision around the ears, and as a result, most
of the work is done in the neck. It fixes
the excess neck skin check, It fixes the bands in
(18:30):
the neck check, it fixes the jowl, the in the
jawline check. It fixes the marionette around your mouth check.
In addition, it helps with your cheeks or your midface.
What it does not address is your lower eyelids, your
upper eyelids, or your brow. So we did your facelift,
(18:54):
which was the main event, because you said, when I
looked in the mirror, the thing that made me badatty
was all that wrinkling, sharp pai skin in my neck.
In you, because your chin was a little bit weak.
I suggested to you at Chinnog because had I not
done the Chinnog, your neck results would not have been
(19:16):
as good. You, very intelligent, said, well that makes sense, okay,
I buy into that check. And you had some hollowness.
So when we age, two things happen. One, our skin
gets loosey, goosey and SAgs, hence requiring the lifting part.
And one is we lose some healthy fat in our face.
(19:39):
My son and daughter are michelin babies and nice and fat,
and their faces are full and round, and when you
look at someone at ninety, they're hollow. So in addition
to face lifting and chinogging, we added a little bit
of fat very judiciously in areas that were depleted, usually
(20:04):
around the chin, in the middle of the face, and
the cheeks. Check and you said, doctor Bond, that's really
the best I can do. Right now, my lower eyelid
and my upper eye lid, my brow, I'll have to
come back later. And I said to you, no problem,
but I really suggest you do your brow. Why because
when we recruit all that neck skin, all that skin,
(20:27):
you hate it, all that craft that's laying there, and
we bring it up and up and up and up,
where does it end.
Speaker 2 (20:35):
Up at the side on the side of your eyes?
Speaker 1 (20:39):
Right? Because the facelift technique that I think one should
be doing is one that moves upwards because the next
skin has fallen downwards. So here we are, and you
had a lot of loose skin. Yes, and now I've
stopped abruptly at your eyes.
Speaker 2 (20:58):
Yes.
Speaker 1 (20:59):
And while well, we could have done that, I felt
that that was an ideal And unlike the analogy of
doing your kitchen and your master bathroom, this was more
like doing your kitchen and leaving the stove. It needed
to be done. So we worked together and we found
(21:19):
a way around it, and we got it done because
it was necessary, leaving behind the upper and lower eyelids,
which you look beautiful and fantastic, and it's a home run.
And if you never come back, you're a thousand times
better than you ever were. And if by chance, you
choose in a year or two or five or ten
to be like, hey, you know what, I'd like to
(21:40):
just finish this thing off, we're here happily waiting for you.
But what I liked is that we work together, as
surgeon and patient should to find what we do or
don't do. I didn't gaslight you and be like, if
you don't do it all, it's going to look like shit.
And you also didn't throw in the towel and get
all poudy that if I can't do it all, I'm
not going to do it. And here you are week
out and to me, you look spectacular. Are you healed? No?
(22:06):
Are you healing? Yes? But I think if you walked
into Starbucks right now, like I don't think anybody who
have a clue that we did all this surgery for you, No,
they would not. Okay, all right, enthusiasm as expected. So
one of the things that I think are very important
is for people to understand sort of the risks associated
with a facelift. Yes, okay, and then we'll do the aftermath.
(22:28):
So I told you what were the risks that I
told you with Because all the positive things are all great,
but what were the risks that I told you that
I thought you should be aware of. Do you remember them?
Speaker 2 (22:39):
You know what? I don't.
Speaker 1 (22:40):
That's great, that's a good sign. I mean, nothing happened
to you, because I assure you you would have remembered.
So Number one bleeding, and by bleeding we refer to
a hematoma, and a hematoma or bleeding is always a
risk with every surgery, but with faces it's a bigger
issue because when we set up the skin off of
(23:02):
your face and get deep, there are a lot of
blood vessels right with a face has a lot of
blood supply, and if one of those blood vessels after
the fact, you're in recovery, you're in aftercare, you're at home,
your day four decides to burst open. Now you're going
(23:22):
to get a huge golf ball baseball size blood collection
in your face. What is that? That's an emergency. I
got to take your ass back to surgery and open
everything up on that side. That doesn't sound fun.
Speaker 2 (23:38):
Nope, no, it's not so.
Speaker 1 (23:41):
Hematomas are risk. That's why we don't operate on people
with high blood pressure. And that's why when you have
high blood pressure, we need you on your medications and
your blood pressure to be well controlled because blood pressure
that elevates in the recovery or in the first few
days is a risk for those blood vessels to pop open.
(24:01):
Number two, we set infections very rare in the face
because the face has a lot of blood supply. More
blood supply, less risk for infection. Number three, we talked
about scars. Scars are super important because you're doing all this,
you want to wear a ponytail. Look at this, young lady.
(24:22):
For those of you who cannot or not watching and listening,
you have very short hair. So wait, Historically you get
a facelift, scars are kind of shitty, but you wear
your hair down, so it was a good trade. Today's facelift,
you better crush it because patients want to wear ponytails
short haircuts. You have a very very short haircut, both
(24:45):
exposing the front and behind your ears. So the scars
located browlifts. Wear your scars for your brows in your hairline, hairline, right,
so those are hidden. They're in your hairline. Wear are
the scars for your face lift.
Speaker 2 (25:01):
They are around the side.
Speaker 1 (25:02):
So they're in your side burn in front it rather
excuse me, in your ear, behind your ear, and down
the back of your hair. So those are pretty damn
visible for someone with short haircut. And where is your
chin underneath your neck? Small incision underneath right, very small, right.
(25:24):
And so at eight weeks, which is mile two of
a twenty six mile marathon, your scars look pretty damn good.
They do, right, such that here you are, here you go,
You're living your life, and it's only going to get better.
So bleeding infections, scars and two more are very important.
(25:46):
The next one is necrosis of tissue. Oh my god,
what is that that sounds horrible. Necrosis is dead skin.
What do you mean dead skin? I mean dead skin.
It died, it didn't get blood supply. Why wouldn't get blooded?
Way you just told me. The face has so much
blood because we're lifting that skin of the neck and
behind the ear up and off of its blood supply,
(26:07):
and we're going to pull on it and sew it down.
So when you are a smoker, when you are a diabetic,
when you have heart disease, when your surgeon is very aggressive,
that skin becomes compromised and it can turn black and die. Okay,
well what the hell do you do? Then you got
to cut it out, and it's a nightmare. So it's
(26:27):
very important things done right. And the last and by
far the most dreaded is nerve damage paralysis, because we
are if you're doing a legit facelift, a deep plane
face lift, we are going under the muscles and we're
literally staring at these tiny ass nerves, and if you
(26:48):
so much as damage one of them, that muscle that
that nerve innervates doesn't work and you're paralyzed. Also a
very frightening and horrific complication. So how many of them
did you get zero.
Speaker 3 (27:03):
Zero, Okay, Oh, I'm sorry, I was zero. I was
thinking about. What I was thinking about is the consultation. Yes,
And I was just going to add to that. Yeah,
and just say that when I came in. I just
love the way you you kind of kind of position said,
now this is what we're going to do. You went
through it so thoroughly. It just added to my research.
I love the fact that it was just Layman's terms.
(27:25):
It wasn't over my head.
Speaker 1 (27:26):
Yeah. I mean the objective as a physician is to
educate the patient, and you did and you cannot and
as much so, for example, as much of the podcast
you listen to over and over again, nothing was substitute
sitting in front of a surgeon with a mirror and
going here, do you see how this you see? You
see how this is collecting in front of your near
your eye? Yeah, I see that. Now you see how
(27:47):
I lifted up your brow and it cleared that up?
Oh yeah, I see that. There is no podcast, There
is no Instagram post, There ain't no nothing that is
going to substitute that. So you need to ultimately connect
with a surgeon where that surgeon is who you believe
a is able to do the surgery and be cares
enough about you to spend the time to teach you.
(28:07):
Because I don't really need to say any of this
stuff to you. I know what I'm doing. Let me
take care of you. That's old school, that's paternalistic. A
paternalistic is hey, I'm gonna take care of it. Don't
worry about it today. Patients are smart, they want to know,
they want you to educate them and whatever. So thank
god that was all good. Those are the risks I
think people need to know because why did we do this.
We did this to improve the quality of your life,
(28:30):
so that when you go in the mirror, you don't
cringe when you take a photo. You're the first in
front and center. Wait, you know what, take both sides
of me, please, because that's how there is no bad
side anymore. So we talked about now the first half,
which is why you did it, when you did it,
how you got ready for it, our conversation and everything.
So the second half of this is the aftermath. So
(28:50):
you are eight weeks out, You're out of the what
I call the danger zone. You've healed beautifully, You're go
living your life. You have makeup on, you have your
hair done or recently moved and moving again. You went
from San Diego to Virginia, Virginia and going from Virginia
to Texas.
Speaker 2 (29:07):
Correct.
Speaker 1 (29:08):
You recently got married, Yes, and you recently goet retired.
So there's a lot of exciting things going on in
your life, and it's very nice to know that you're
starting this second chapter a plus in terms of the
way you feel yourself. So let's put into words the
juxtaposition a how you feel and the juxtaposition to how
(29:31):
you felt.
Speaker 2 (29:32):
Let's say three months ago before the surgery.
Speaker 3 (29:35):
Correct, three months ago, I was I just didn't feel
like myself.
Speaker 2 (29:41):
As you explained it.
Speaker 3 (29:42):
I had all this energy and then I was like, ah,
but look at me, and so it's so like, oh,
I didn't really want to go out.
Speaker 2 (29:49):
I didn't want to do anything.
Speaker 3 (29:51):
And so after the surgery, I am back to pick
a ball.
Speaker 1 (29:55):
Okay, so pick a ball. You're like a pick a ball.
I understand you're pick a ball.
Speaker 2 (30:00):
I'm a pick a ball champion.
Speaker 3 (30:02):
At four weeks, I could have went back, but I
told you, But you told me that, you said, don't go.
Speaker 1 (30:07):
But that's a good point because it shows you that
you're saying that. Had I said to you, hey, you're
free to go do whatever, You're like, oh, hell yeah,
I'm ready. So you were feeling awesome even by four weeks.
Speaker 3 (30:19):
Correct, And you told me that, you said you're going
to be feeling great. And I did the first like
my after care recovery, I did need that those two
days in the care that was so important.
Speaker 2 (30:31):
Sure, that was critical.
Speaker 3 (30:33):
There was no way that I would have been able
to go home.
Speaker 1 (30:35):
And yeah, we forced you to go, even though you
say otherwise, Yeah, we know better, right, we know what
you're going to experience, and it's our job to make
sure that we prep you. So we're like, hey, you're
going to need someone around you. The first few days
are a little a little intense. It's intense and then
quickly wears off.
Speaker 2 (30:53):
Yes, that's exactly it was.
Speaker 3 (30:54):
The first two days they were intense in the care
and then it started to wear off.
Speaker 2 (30:57):
I went home.
Speaker 3 (30:58):
I did ice packs and you said, I want you
to check that you need a chilling, which is like
very difficult for you know, it's very difficult. So I
had my ice packs going. I was like, I have
to just sit here. I told my sister and chill,
and she was like, yep, so I did ice packs
and chilled and then, like I said, the recovery time
for me, there was not a lot of pain.
Speaker 2 (31:17):
As a matter of fact, I didn't use yah.
Speaker 1 (31:19):
So pain is something that people assume, Like when you
look at someone one week at from the surgeries that
you had and some of the ones that I do,
you're like, oh my god, this person looks like they
went nine rounds with Mike Tyson, sometimes meaning they're wrapped
up and they have some bruises and whatever. Sometimes actually
you can't even tell they did anything. My point being
(31:39):
is you would assume, wow, this is going to hurt,
and it's fascinating. The face has little to no pain,
that is correct. So you are here to substantiate that. Yes,
very good. And so you didn't you stop taking payments
pretty damn quick.
Speaker 3 (31:56):
Yes, absolutely yes, And so I was ready to go
out play my pick a ball. And how it changed
as far as for me with my now I'm able
to take pictures. I love taking pictures. I go with
my granddaughter. She's a little she does her little video
and so it's so rewarning to me, it's so refreshing.
Speaker 2 (32:18):
It matches.
Speaker 3 (32:19):
I have a lot of energy. I'm ready to go
out and just start the second half.
Speaker 1 (32:25):
And it's beautiful when the gift wrapping matches the gift. Yes, right,
so here you are. Here you are, and the gift is,
you know, some gorgeous diamond and then you put it
in some shitty box and then you wrap it with
tissue paper or like a newspaper, and I'm giving you
somebody the gift. You're like, wow, this is pretty unexciting,
(32:47):
and you open up well, like, holy shit, there's a
diamond in here. So it's really nice when the outside
of you matches the inside of you. And people don't understand.
There's sort of this discongruency that occurs. And for people
who are enthusiastic, outgoing, lively, full of life, the idea
or notion of looking at themselves and seeing themselves sort
of weathered, it doesn't correlate. And I think that you
(33:09):
embody the idea and why I'm so excited you're here.
You are the ideal candidate because you had the anatomy
to go along with it, Like you were a good candidate.
You needed it. You had the enthusiasm and you had
the willingness to do all of it. And so those
are the type of people we talk over and over
and over again about candidacy. I could have done the
(33:30):
same surgery in somebody who was a lesser candidate have
this and have a similar result, and they were not
being nearly as excited.
Speaker 2 (33:37):
Oh I am so excited.
Speaker 1 (33:39):
And tell me about a little bit about your interaction
with your new husband, because at the end of the
day he got engaged with you when you look like
quote unquote the Sharpei, right, and now all of a sudden,
holy shit, you look like, you know, a Dalmatian or
a poodle, right, and so so what what was that
(34:00):
like for you?
Speaker 2 (34:01):
It was amazing.
Speaker 3 (34:02):
He was like, oh my goodness, he said, you're He said,
you're already pretty yes, yeah, yeah, yeah, of.
Speaker 1 (34:06):
Course, I mean he but listen, man, he put a
diamond on it, so he obviously thought you looked. I mean,
it's not lipsters. The man proposed to you. So he
obviously loved the way you look. But you cannot tell
me that this hasn't changed the intimacy, the spark, the
excitement between you, not because of him, but because of you.
Speaker 3 (34:27):
Yes, it has the intimacy the excitement, the like we're
like we're in high school again, right, or like I'm
in high school again, and he's just enthusiastic.
Speaker 2 (34:37):
It has been wonderful.
Speaker 1 (34:40):
Has any So what about people who are around you?
Tell me what the feedback you've been getting. First of all,
has anyone noticed, like you just showed up, Hey Gail,
Hey Susie, what's up Tom?
Speaker 3 (34:51):
No one has noticed, but only my inner circle, like
my daughter, my son, my best friend. But as far
as they're just like, wow, you just look you look
for fresh, right, I'm.
Speaker 2 (35:01):
Like, that's the look I was going for it.
Speaker 1 (35:03):
Yeah, you look like you've swept in a tunnel. What
happened to you? You're like, no, no, no, that's not go
to look. I was looking for it. So no one
actually that you hadn't mentioned that you see, has noticed.
Have you had anyone come up to you and it's like, Marlene,
what did you do? You look? No one, no one,
No one's picked up on it. That's actually quite fascinating
(35:23):
because I think you're before and after When we look
at it together, I think it's pretty dramatic.
Speaker 2 (35:29):
It is dramatic.
Speaker 1 (35:30):
I mean it's dramatic. That's what I think is so fascinating. No,
it doesn't matter where you start. Let me, let me
give you this great analogy. People are always worried about
looking natural. So some people if if if natural is
a ten, and you start as a one and you
end up at a ten, that change is very dramatic.
(35:56):
But the end point is natural. And some people start
at a five and they end up at ten, and
that change is less dramatic. All we care about is
where you end up. Yes, like, oh, hi, nice to
meet you. I'd like to ope, I'd like to deposit
this check. And the person behind the teller is like, oh, okay,
no problem, you look normal. No one they don't know
(36:16):
that you know where you look when you started. But
I would say you were a very dramatic result because
I think your neck transformation, in particular with the assistance
of the chin, has made such a significant difference.
Speaker 3 (36:30):
It has my daughter, who is so critical. She was like,
momb you look younger. It has made a significant difference. Yeah,
and just and even how you just project, how you smile,
everything about you. My son said the same thing. It's funny.
Speaker 2 (36:47):
He's like, I didn't need to get in a facelick.
And then when he looked at me, He's like, Mom,
you're beautiful. You look beautiful.
Speaker 1 (36:52):
Isn't that exciting you to see that coming out of
your own children. I always like to keep bringing this
part up in all of my podcasts because it's really
the surgeries emotional to me. At the end of the day,
they're about the human, they're about the person, they're about
the outcome, and so it's very important to highlight those
things because we focus heavily on before and afters. Oh,
look at this gar, look at this incision. Look how
(37:14):
good the neck looks. Yeah, all that's fine and dandy,
But really what it's about is what it then does
to the person in their life. Oh I just got
a promotion. Oh I just got married. Oh my relationship
with so and so is better. I feel stronger, I
feel more empowered. Those are all the key elements. Any
what are your overall because you are paralegal, and you
(37:35):
are very savvy, and you are very enthusiastic. What are
your suggestions your what is your advice to individuals because
a lot of people are now contemplating facelifts where they
hadn't before. So tell me some of your things that
you suggest.
Speaker 3 (37:52):
My suggestion is, as you know, as a paralegal, research
and my sister and I rec't.
Speaker 2 (37:58):
I had a file.
Speaker 3 (37:59):
I just literally we made a file of you and
all my notes and compare that and just the more
research and the more informed you become, sure you can
make that informed decision and then after you go to
the consultation. So my suggestion is the research. Your podcast are,
I mean just are awesome. They're just such a wealth
of information. I still listen them to them today.
Speaker 1 (38:22):
Are they're entertaining? I try to. I try to make
sure I've thrown a couple of curve balls in there
and make sure it's entertaining for people.
Speaker 2 (38:29):
Very entertaining.
Speaker 3 (38:30):
But most of all, it's just they're just informative and
that's what you need to know everything that you've discussed
and as you talked about. I think one of your
podcasts was that you just did recently was what Happens
in the Operating Room?
Speaker 1 (38:43):
And wow, yeah, you know that's a very I think
that those two episodes with our nurse, it's very eye opening,
and I think people, yes, really don't understand and even
even when you've done your homework, even when you pay up,
even when go to the best places, even when the
doctor's reputable. I mean, even crazy shit is happening. Let alone.
(39:06):
If you don't do homework, let alone, if you try
to cut corners and be cheap, oh and go to
some random ass place, it's crazy. And some of the
things she said blew me away. So I twenty five
years in, twenty six years in this space, and I
was still like, what are you kidding me? So I
(39:28):
think that your advice is a sound one. It echoes
what I've always said, which is the more homework you do,
the more information you have, the more empowered you are.
You'll never always guarantee a great decision, but you certainly
will make a better decision than if you're dumb and
don't know anything that's right.
Speaker 3 (39:44):
And one thing that I would like to add is
that as we were when I was going into surgery
and I was in the room, and what really touched
my heart was that, oh goodness, you came in and
you put your hand on my knee and you said
I'm going to take care of and so is my staff.
Speaker 2 (40:02):
And I was true. It was so personable. I was like,
oh my gosh.
Speaker 1 (40:06):
It just it's a very frightening experience, listen at the
end of the day. Even though I've done this now
for as many years as I have, and even though
you know I come in and you know, patients are
often surprised that I am as sensitive as I am
because I come in with a certain degree of assertiveness.
And I think it's a misunderstanding because at the end
of the day, I'm flying your plane, yes, and I'm
(40:29):
flying your plane, not just flying it on a casual day.
To me, every time I operate on a patient, it's
a turbulent, very dangerous day, and I take a very
very heavy sense of responsibility, even though I may not
express it, because it's not for you to worry about, right,
And so I don't want patients feeling my degree of
(40:50):
anxiety or stress, because I think it's always stressful. But
I do recognize that at the end of the day
this very frightening for them to be put a sleep,
go to sleep, wake up, not know. And so to
the best of my ability, I try to thread the
needle in terms of presenting that sense of confidence that
you want in your surgeon, yet all the while still
(41:13):
being sensitive and personal and caring to the patient. For me,
that's been the utmost most valuable thing or most important
thing in my career. So I'm grateful that you appreciated it.
And you are a lovely, lovely lady. And my staff
is over the moon for you.
Speaker 3 (41:33):
Thank you.
Speaker 1 (41:33):
Yeah, because you deserve it.
Speaker 2 (41:35):
I'm over the moon for you. I appreciate you so much.
Speaker 1 (41:39):
You're very welcome.
Speaker 2 (41:40):
Changed my life and wow, it.
Speaker 1 (41:42):
Was it was a pleasure. You are. You are a wonderful,
wonderful woman. So you know, it's a pleasure to take
care of you. And I think that it's reflective of you, know,
do good for others. You do good. You you do
a ton of charity. Tell me a little about your
charity that we always want to plug plug in, plug
in people's you know, opportunity to tell me about your
charity and where what do you do and what people
(42:03):
can go and help.
Speaker 3 (42:04):
I am a nonprofit five oh one c three. The
name of my company is POSSE Parents of Students in
Special Education and I help children with i EPs and
learning disability. I started it because my son had dyslexia,
and so that's how I just like start. After I
was able to assist him, he had asked me, he said,
(42:27):
mom would you go back and help others because his
educational journey.
Speaker 1 (42:30):
Was so hard. Yeah, and that's an amazing thing. And
as I had said to you prior, you know, believe
it or not, myself and my wife both have our
earlier years of education were very challenging due to elements
of dyslexia that if go unrecognized, make early learning incredibly challenging,
and unless you are lucky, sometimes it is enough to
(42:51):
push you not to pursue it. So that is a
wonderful thing that you're doing. And posse pos.
Speaker 3 (42:58):
Po s s E. You can find My website is
passesan diego dot org.
Speaker 1 (43:04):
Beautiful, So you all heard that. So everyone going there
and contribute. It's a wonderful, wonderful cause. All right, guys,
that's a rap. This was a fantastic You guys are
very lucky because we had this beautiful guest on today.
As always, I have two partying requests. They're always the same.
They'll always be there at every show. Number one, if
you love our program, please, right now as we speak,
(43:26):
get on a computer and go write a beautiful review.
We live and die off of these reviews. They're the
if you will the fertilizer that keep everyone here going.
And the second is share the podcast. Share it with
friends and family because you think you know your friend
or your family member, and next thing you know, they
show up and they had surgery downe. You're like, what
(43:47):
the hell, and they may not have told you about it,
and next thing you know, there's a complication and you
only wish they had had the information. So share it
with everyone so they can download and subscribe. All right, guys,
that's a rap, yet another wonderful episode of Plastic Surgery Uncensored.
We are going to see you next week with yet
another cool episode. All right, I'm your host, doctor Roddy Raban,