October 8, 2025 • 21 mins
Ever wonder if filler can fix a crooked smile? Or whether you really need muscle repair during a tummy tuck?
In this lively Q&A episode of Plastic Surgery Uncensored, Dr. Rady Rahban and Maria tackle your most pressing—and surprising—questions straight from social media.
From eyebrow transplants and chin implants to the truth about six-pack etching, inverted nipple surgery, and the real risks of blood clots—no topic is off-limits. Dr. Rahban breaks it all down with his signature honesty, humor, and patient-first perspective, debunking myths and giving you the unfiltered truth behind the world of plastic surgery.
Whether you’re considering a mommy makeover, curious about explant surgery, or just fascinated by the art and science of aesthetic transformation, this episode delivers clarity, candor, and plenty of “aha” moments.
🎧 Tune in to learn:
✨ If you enjoyed this episode of Plastic Surgery Uncensored:
✔️ Subscribe on Apple Podcasts, Spotify, or wherever you listen.
✔️ Rate & Review—your feedback helps more people find us.
✔️ Follow Dr. Rady Rahban across all platforms for daily insights, behind-the-scenes, and patient education:
In this lively Q&A episode of Plastic Surgery Uncensored, Dr. Rady Rahban and Maria tackle your most pressing—and surprising—questions straight from social media.
From eyebrow transplants and chin implants to the truth about six-pack etching, inverted nipple surgery, and the real risks of blood clots—no topic is off-limits. Dr. Rahban breaks it all down with his signature honesty, humor, and patient-first perspective, debunking myths and giving you the unfiltered truth behind the world of plastic surgery.
Whether you’re considering a mommy makeover, curious about explant surgery, or just fascinated by the art and science of aesthetic transformation, this episode delivers clarity, candor, and plenty of “aha” moments.
🎧 Tune in to learn:
- When asymmetry is normal—and when it’s worth fixing
- The real difference between filler and implants
- Why muscle repair matters more than you think
- What to expect from an explant or inverted nipple procedure
- How to safely undergo surgery if you have a history of blood clots
✨ If you enjoyed this episode of Plastic Surgery Uncensored:
✔️ Subscribe on Apple Podcasts, Spotify, or wherever you listen.
✔️ Rate & Review—your feedback helps more people find us.
✔️ Follow Dr. Rady Rahban across all platforms for daily insights, behind-the-scenes, and patient education:
- Instagram: @drradyrahban
- TikTok: @radyrahbanMD
- YouTube: @Rady Rahban
- Facebook: @Rady Rahban
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:07):
Welcome to another episode of Plastic Surgery Uncensored. I'm your host,
doctor Roddy Rabon, and we are doing our monthly Q
and A question and answer episode with Ria the producer.
And as I've said in the past, you guys are
getting very good. Your questions are getting better and better
and better. So let's dive in. Maria start with the first.
Who's the first question? From?
Speaker 2 (00:28):
Okay? From Barbara Riddle fifty seven.
Speaker 1 (00:30):
Barbara Riddle fifty seven, what's the question?
Speaker 2 (00:33):
I have a lopsided smile on my right side of
my face. Will injections help with that?
Speaker 1 (00:37):
Okay? So facial asymmetry. That's essentially the concept and the
fact of matter is that facial asymmetry, unless it is significant,
is just is what it is. It's very common. Ninety
nine point nine percent of people have asymmetry. One brow
is lower than the other when they smile, like when
I talk, only the right side of my face moves
(00:59):
when smile, one side is higher than the other. That
is pretty much is par for the course. The question
is if it's significant or severe, maybe surgery and or
fillers can help, but it's gotta be significant for it
to make a difference. Lastly, the difference between a static
problem and a dynamic problem. Is a static problem as
(01:20):
I'm sitting here and one side of my face or
is different than the other. That's way different than when
I smile or or squint or animate use my muscles,
and it becomes asymmetric. You can almost never fix an
anatomical issue when you're animating, meaning, oh, when I smile,
(01:41):
it's higher on the that's just the way you smile.
Whereas if it's static, meaning it's just there when you
don't move, you might be able to improve it. But
by and large, I wouldn't really mess too much with
facial asymmetry. You're gonna end up being a losing proposition.
Speaker 2 (01:54):
Okay, this one comes from Carfrody. Can you talk about
eyebrow transplants?
Speaker 1 (02:01):
Are frody? Okay, I've had to actually transplantation in general
has come, Oh my god, talk about advances. Hair transplant
used to be plugs, meaning they used to take three
or four hairs at a time, it's a cluster, and
put them in. And then that was very obvious because
they were plugged literly little eyelands of hair. What then
(02:23):
they started doing is then they would take the strip
from the back of your head, take that strip, chop
it up into individual hairs. And now it's even more amazing.
You can go into the back of your head and
pluck out individual hairs and insert individual hair. So the
key to hair transplant now, whether it's your eyebrow or
(02:43):
your beard or your head, is that you can put
single follicles in, meaning one hair, one hair, one hair.
Why that's important is each hair can be placed in
its own direction, so like whereas before they would all
going in one direction, now you can create parts. And
(03:04):
so when it comes to transplanting of the eyebrow, very
effective you put in single hairs and then now those
hairs can be placed at an angle to mimic eyebrow hair.
So I think that if you find a good hair
transplant surgeon.
Speaker 2 (03:18):
You should be rocking Laura Lakova. Laura Lakova is chin
filler better than an implant.
Speaker 1 (03:24):
So in general, when it comes to facial filling, we
have volume in the form of a filler. That filler
can be from a syringe, off the shelf or fat
versus implants. So my philosophy is that when it comes
to your chin and predominantly your jawline. You need to
(03:47):
replace like with like you need bone. This needs to
be chiseled and sharp. And when you use filler to
take the place of a chin implant, it usually is
rubbery and soft and mushy, and it doesn't do the
same It's not as effective as an implant. So when
it comes to the jaw area, I tend to like implants,
(04:10):
So I'm one hundred out of one hundred times I'm
going to put chin implant overfiller. And when it comes
to the cheek area, I tend to like volume in
the form of a filler because this is generally a
softer area. So I don't like filler to the chin.
I think it looks rubbery and fake.
Speaker 2 (04:28):
I think I saw a lady the other day had
something similar and it looked like a little ball in
a tip and it just looked weird.
Speaker 1 (04:34):
Yeah, yeah, it doesn't look it doesn't look very natural.
Speaker 2 (04:37):
Okay. This comes from Rosalie eight seventeen.
Speaker 1 (04:42):
Rosally eight seventeen.
Speaker 2 (04:43):
Does everyone need muscle repair even if we don't want it?
What will your results be?
Speaker 1 (04:48):
Okay? So it's a very good question. So I'm the
muscle repair that's being questioned is during a tummy tuck,
do you have to have the muscles repaired? What if
I I don't want it? What happens if you don't? So?
Number one, if you've never had any children, then your
muscles should be where they were when you were born.
(05:09):
There should be exactly where they are now. You can
still be overweight, you can still have loose skin, but
your muscle should not be separated. When you go to
a traditional abdominoplast of your tummy tuck gallery, you're gonna
see two major changes. Oh my god. One is loose
skin has been removed, so there's a tightness. And two,
their protuberance or their bulge has been flattened. That's muscle repair,
(05:33):
So tightening of the skin, skin removal, and then repairing
of the muscle, flattening of the abdomen. So, if you
are a patient that has proturberance aka I've had two
kids or three kids, and you go get a tummy
tuck and all they do is remove the skin, you
will be a tight barrel. You will be tight, meaning
there'll be no loose skin, but you will still be perturberant.
(05:56):
That proturberance will only go flat. If you repair them
muscle there is no liposuction, there's no you can't go
and it's muscle damage that hasn't been tightened. So if
you don't want it, you don't have to have it.
I don't know why you wouldn't want it. I've never
done an abdominoplasty in a woman who's had children with
diastasis and not repaired the muscle. That's like, just like
(06:18):
I want a house, but I don't want a roof.
It doesn't make sense.
Speaker 2 (06:21):
My realtor h ss, can you create a six pack
with tummy tuck?
Speaker 1 (06:26):
Okay, so my realtor age, so can you make can
you have a six pack with tummy tuck? So the
answer is yes and no. Let me give you explanations.
So one of the things that happens when you when
you do a tummy tuck is A you bring the
muscles into alignment that's repairing them, and B you pull
the skin so it's tight. Now your abdominal wall is
(06:50):
ready and primed for you to work out. So let's
imagine you start working out and working out you can
actually now see your sin whereas before you have the
tummy tuck, you could work out till the cows come home,
and you'll never see the six pack because it'll be
hidden over the lu skin and the muscle separation. So
one advantage of a tummy tuck is now you can
(07:12):
actually see the six pack. The second thing you're referring
to is can I actually make a six pack? There
is something called high death high definition liposuction. I don't
do it. I'm not a fan of it. But what
essentially happens is you do your tummy tuck, it heals,
and someone goes back with liposuction and basically etches the
(07:35):
lines of a tummy tuck, so they remove the fat
in just those areas, giving the illusion that you have
a six pack. Remember, a six pack is muscle hypertrophy.
Muscle have expanded, so shy of working out, you're not
gonna get muscle hypertrophy. So if you want to fake it,
you can liposuction your abdominal wall to look like it.
(07:56):
But I think it looks weird.
Speaker 2 (07:58):
This one comes from Rosalie eight seventeen. This is another question.
She asked, what should you do to avoid complications after
a tummy tuck?
Speaker 1 (08:07):
Kind of a broad broad question. I'll answer it in twofold.
One of the general things you want to avoid complications
from all surgeries. Tummy tech's no different. So those are
if you've got a bunch of medical problems like Kanye
Wes mom, don't have surgery. If you have a bunch
of medical problems, at least get them improved. Like if
your diabetes out of control, improve it. If your blood
(08:29):
pressure is out of control, you want them improved. You
want to go somewhere reputable. I mean, we've talked about
it a thousand times. I mean, there was a we
just did a post about a woman who died of
liposuction because she had a pediatrician to do her surgery, right,
I mean, and unfortunately, like oh my god, Like it's
some random it happens all the time. You want to
(08:50):
make sure you go to a legit person. And then
you want to make sure that you know you are
basically following instructions. Now in part particular to a tummy tuck.
You want to make sure you don't get a blood
clot because there's a risk for that, so your surgeon
should have you walking early, be using blood thinners during
(09:11):
your surgery. You also want to make sure that you
don't separate your wounds don't come apart, so you don't
want to be overly active early on. So those are
specific to a tummy tuck.
Speaker 2 (09:20):
Okay, well we're going to go on a break.
Speaker 1 (09:22):
Break.
Speaker 2 (09:22):
It is because we have a question about inverted nipple procedures.
Speaker 1 (09:25):
Oh, inverted nipples. That's like last time we did Q
and A. You did a teaser with labias. You know
how to find the teaser should get people to come
back to the second half.
Speaker 2 (09:33):
And the other question was n block cap select me.
Speaker 1 (09:37):
Good job, n block cap selected me. That's a mouthful.
All right, well, let's take a quick break and then
when we come back we will continue with your fantastic questions.
We'll be right back after this break. Welcome to the
second half of Plastic Surgery and Censored Q and A
(09:57):
session with Maria the producer. All right, Maria, talk to me.
What's the question from the Baby thirteen Love Baby thirteen?
Speaker 2 (10:07):
Can you explain inverted nipple procedure and how it's corrected.
Speaker 1 (10:10):
Inverted nipple procedure and how Okay, so I actually think
this is a really undervalued, underspoken, super powerful surgery. So
there are thousands and thousands of women who have an
inverted nipple one and or two. That means that when
you're standing there in front of the mirror, your nipple
(10:30):
is not flush, nor is it projecting. So normal is
my nipple that's the part that projects, not the areola
is projecting, or in some instances it can at least
be flushed, but for some women it actually goes inwards
mildly or very severely. Then the question is is that
(10:50):
a permanent problem, meaning it's fixed and it never comes out,
or is it transient like when I'm cold and I'm
stimulated it comes out. The reason why that's important is
the correction of it is permanent, meaning it affects things permanently,
and generally speaking, if your nipple does come out once
in a blue moon and you want a breastfeed, you
(11:11):
might want to not do the procedure till you're done breastfeeding.
So the procedure is what causes the inversion, is that
there are these remnant scar bands that imagine like the
ropes of a parachute are pulling the nipple in and
they're tight. So the treatment is to make a small
incision around the nipple and to release release those cables
(11:36):
and when you release those cables, the nipple will then
come out. Then you put a few stitches and close
the space behind it, and as a result, you get
the nipple to either come out and or be flat.
It's actually very effective, very powerful, and for someone who
has inverted nipples, it's a game changer in terms of
(11:56):
intimacy and confidence and feeling comfortable being naked.
Speaker 2 (12:01):
Okay, my next question comes from rdiome aroum.
Speaker 1 (12:05):
Okay, why would.
Speaker 2 (12:07):
You get an infection after a breastlift?
Speaker 1 (12:09):
Why would you get an infection after a breastlift? Is
why you would get an infection after any surgery? Number one,
there was some contamination or break in sterility during surgery. Right,
So you and I walk in like this, we're dirty, right,
I just took a shower. Yeah, but you still have
bacteria on you. If I swab your belly button or
I swab your nipple, there's like thousands of bacterias. So
(12:29):
the breast is not sterile. It's not a sterile organ.
So we have to prep you during surgery and then
you become sterile. But then there's still some material that
comes out of your nipple during surgery. So if they're
not very clean or sterile during the prep you could
get an infection to your instruments have to be sterilized, right,
I operate on you, and then I got to operate
(12:51):
on the next patient. Well, they have to sterilize your intimates.
They could break that sterility the instruments aren't necessarily stare.
Then there is the aftermath. In other words, you're healing
within the first week or two and there's bacteria on
your body and you get an infection during that You
should generally very rare to get an infection after the
(13:14):
first ten days or two weeks. I mean once a
teal to teal. You're not gonna suddenly just get a
random infection in five months from now.
Speaker 2 (13:22):
Okay, this one comes from Martha. Oh, Martha, Oh, I
want to do a breastlift and put a small implant.
But I am a hairdresser. How long should I wait
to stay away from work before I Okay?
Speaker 1 (13:35):
So I am a very strict surgeon. Sur prize surprise,
So my after care is stricter than most. The reason
I'm strict is because I want no issues and I
want you to do well and go live your life
without complication. During the initial post operative period, is when
shit goes wrong, right, it doesn't go wrong years later,
(13:56):
goes wrong within the first six weeks. During the first
six weeks off here you are vulnerable to a complication.
So my general rule of thumb for all surgeries, breastlift
and implant included, is you want to take it easy
for the first ten to fourteen days. That means just
try not to go to work, don't go to the office,
(14:17):
just let the wounds close so you don't get a
hematoma and an infection. And then from week two to
week six, that's one more month. I don't want you exercising.
Then at six week do whatever the hell you want.
Go to the gym, go hiking, go into a swamp,
go jump out of an airplane. Whatever. So to answer
(14:37):
her question, is she's.
Speaker 2 (14:38):
A hair dressing she can go back.
Speaker 1 (14:40):
She can go back to work, probably at two weeks,
depending on how strenuous of a hairdresser she is. If
she feels like her hairdress work is like lifting weights,
then she needs to take it easy. If she's like,
you know, I'm pretty casual, I'm just taking my time,
then it's fine. Moving your hands is not an issue.
It's lifting heavyweight, pulling a blow dry, right, But even
(15:02):
when you're pulling on a bull dry, it's not that intense.
Speaker 2 (15:05):
Now she happens, I don't think you've had a blow dry.
I could tell you.
Speaker 1 (15:09):
But if she's, for example, bull drying super thick, long
Indian hair and she breaks into a sweat, maybe she
needs to wait a little longer. Okay.
Speaker 2 (15:20):
Next question comes from Nurturing eighty eight forty sixty nine. Wow,
I have a history of blood clots? Can I still
undergo a mommy makeover or elective surgery? If so, what's
the protocol post up?
Speaker 1 (15:33):
So that's a great question. We pretty much get that
almost every time we have a Q and A. There
are many people that have history of blood clots, either
because something just went wrong that one time, or they
have a predisposition for it. I've operated on hundreds of
patients with histories of blood clots. That being said, I'm
super super conscientious about it. Number One, I never do
(15:57):
it without the involvement of a hematol. So let's say
you had a blood clot, we then make sure that
hematologists on board. The things that we do to prevent
blood clots are one, we give you blood thinner at
the time of your surgery. A lot of surgeons don't
because they're afraid that you're gonna bleed. There's no science
behind that. We give you blood thinner at the time
(16:19):
of your surgery. Two, when you're asleep and you're unconscious,
we put squeezing devices on your legs so that you
get circulation through your body. Three, we make sure you ambulate,
meaning you walk immediately. You do not want to have
surgery with a history of blood clots and lay there
for a week watching TV. So that night you get home,
(16:43):
you start walking to the bathroom, then to the kitchen
and so on. And Fourth, if you have a history
of blood plots, you and your hematologist and your surgeon
should have a post op blood thinner protocol. So, in
other words, they give you medications. Usually it's subcutaneous that
keeps your blood thin for about, you know, three to
(17:03):
seven days, so that your risk of blood clot is
almost diminished. Again, your surgeon should be working closely with
your hematologists. But one hundred percent you should be able
to have surgery.
Speaker 2 (17:13):
Okay, this one comes from Little eighty nine.
Speaker 1 (17:16):
Little eighty nine, What can I expect.
Speaker 2 (17:17):
From an explantation? Esthetically? Is an m blog. Capsulelectomy necessary
for explantations.
Speaker 1 (17:25):
So this is probably the hottest topic right now. We've
talked about it on Multiplications. We had a few episodes
that were specifically designated to explantation. So it depends on
why you're explanting. If you are explanting because you are
in the BII Breast Implant Illness world, meaning I want
to remove my implants because I believe that the implants
(17:45):
may be the reason why I don't feel well, then
the current thought process in that world is that I'm
going to remove my implant as well as remove the
caps around it. And the way they suggest to remove
it is n block, meaning implant and capsule as one unit,
(18:08):
all out together. An end bock caps elected me or
complete caps elected me is what's discussed in that world
of BII. If you're removing your implant because I don't know,
it's just too big. I'm over it, I don't I
feel fine, I just don't like the way it looks anymore,
then it's not necessarily do an end block. The capsule
is your own tissue, it's not foreign, it's got blood supply.
(18:29):
It adds volume, albeit a small amount, and so you
don't want to just willy nearly take it out for
no reason unless it's really calcified and thick and ugly
and things like that. So that's the whole concept of
whether or not I need to remove my capsule and
whether or not it's end block. In regards the esthetic,
it's very simple. If I remove your breast implant and
you have absolutely no breast tissue, then your breast lift
(18:53):
reconstruction will not look esthetically good. You just don't have
any breast tissue. If I remove your implant and you
have some and or a lot of your own breast tissue,
then your breast lift reconstruction should look pretty good. So
that is not necessarily a matter of your surgeons skill,
although that's important. It has a lot to do with
(19:13):
what we're working with. And often patients come to me
and they want to get an explant, and I examined
them and I'm like, wow, eighty five or ninety percent
of your breast is really implant. You need to be
ready for the esthetic outcome. It won't be necessarily all
that great. What about fat transfer. I heard you can
put fat transfer. That's a pine in the sky. If
(19:34):
you have essentially no breast issue and you take out
a three hundred and fifty cc implant, There ain't no
fat transfer you're gonna put in your breast that's going
to make it look suddenly beautiful and esthetically acceptable. So
you just have to be ready for that. And if
they tell you otherwise, they're lying to you.
Speaker 2 (19:50):
Well that's it for now. But do you have some
more reviews?
Speaker 1 (19:54):
Views? No negative reviews, no negative reviews.
Speaker 2 (19:56):
This one comes from Best in the West. From Best
in the West, well, it's titled best and Notice from
three licks three.
Speaker 1 (20:04):
Oh okay, I'm the best in the West. Yes.
Speaker 2 (20:08):
So thankful to have found this podcast so informative, straightforward
and honest. I like the variety of topics. I enjoyed
the interviews of experts and patients so like doctor has
a fabulous sense of humor. I'm serious, I've always I've
already learned so much and look forward to the episodes.
Thank you so much. Here's another one.
Speaker 1 (20:30):
I was serious, I'm not serious.
Speaker 2 (20:33):
This one comes from bf T is amazing Doctor Verbond.
Ever since I found doctor Verbond's podcast, I could not
stop watching. He is so well versed in his expertise
and he tells you how it is. It's refreshing to
hear from a plastic surgeon with an unbiased opinion.
Speaker 1 (20:49):
So there you have it. Okay, so I am funny.
Speaker 2 (20:52):
You are funny.
Speaker 1 (20:53):
God, I don't know what she's talking about.
Speaker 2 (20:55):
Chuckle out of me.
Speaker 1 (20:57):
All right, guys, well that's a rap. Thank you so much.
We love your q and as we're gonna do them
as we always do once a month. So as always,
before we depart, I ask to request one. If you
love our show, please forward it, pass it on to friends,
Just forward it. Hey, you want to check this out.
You never know which one of your friends is gonna
go get some catastrophic surgery and you're like, oh, you
(21:18):
should have listened to this podcast. The second is write
something nice. See how nice that sounds. We really appreciate it.
Everyone that's here appreciates it. And furthermore, it helps boost
the ranking of this podcast, which then gets it out
to more listeners. So, as always your host, thanks again
until next week. Signing off on Plastic Surgery Uncensored
Welcome to another episode of Plastic Surgery Uncensored. I'm your host,
doctor Roddy Rabon, and we are doing our monthly Q
and A question and answer episode with Ria the producer.
And as I've said in the past, you guys are
getting very good. Your questions are getting better and better
and better. So let's dive in. Maria start with the first.
Who's the first question? From?
Speaker 2 (00:28):
Okay? From Barbara Riddle fifty seven.
Speaker 1 (00:30):
Barbara Riddle fifty seven, what's the question?
Speaker 2 (00:33):
I have a lopsided smile on my right side of
my face. Will injections help with that?
Speaker 1 (00:37):
Okay? So facial asymmetry. That's essentially the concept and the
fact of matter is that facial asymmetry, unless it is significant,
is just is what it is. It's very common. Ninety
nine point nine percent of people have asymmetry. One brow
is lower than the other when they smile, like when
I talk, only the right side of my face moves
(00:59):
when smile, one side is higher than the other. That
is pretty much is par for the course. The question
is if it's significant or severe, maybe surgery and or
fillers can help, but it's gotta be significant for it
to make a difference. Lastly, the difference between a static
problem and a dynamic problem. Is a static problem as
(01:20):
I'm sitting here and one side of my face or
is different than the other. That's way different than when
I smile or or squint or animate use my muscles,
and it becomes asymmetric. You can almost never fix an
anatomical issue when you're animating, meaning, oh, when I smile,
(01:41):
it's higher on the that's just the way you smile.
Whereas if it's static, meaning it's just there when you
don't move, you might be able to improve it. But
by and large, I wouldn't really mess too much with
facial asymmetry. You're gonna end up being a losing proposition.
Speaker 2 (01:54):
Okay, this one comes from Carfrody. Can you talk about
eyebrow transplants?
Speaker 1 (02:01):
Are frody? Okay, I've had to actually transplantation in general
has come, Oh my god, talk about advances. Hair transplant
used to be plugs, meaning they used to take three
or four hairs at a time, it's a cluster, and
put them in. And then that was very obvious because
they were plugged literly little eyelands of hair. What then
(02:23):
they started doing is then they would take the strip
from the back of your head, take that strip, chop
it up into individual hairs. And now it's even more amazing.
You can go into the back of your head and
pluck out individual hairs and insert individual hair. So the
key to hair transplant now, whether it's your eyebrow or
(02:43):
your beard or your head, is that you can put
single follicles in, meaning one hair, one hair, one hair.
Why that's important is each hair can be placed in
its own direction, so like whereas before they would all
going in one direction, now you can create parts. And
(03:04):
so when it comes to transplanting of the eyebrow, very
effective you put in single hairs and then now those
hairs can be placed at an angle to mimic eyebrow hair.
So I think that if you find a good hair
transplant surgeon.
Speaker 2 (03:18):
You should be rocking Laura Lakova. Laura Lakova is chin
filler better than an implant.
Speaker 1 (03:24):
So in general, when it comes to facial filling, we
have volume in the form of a filler. That filler
can be from a syringe, off the shelf or fat
versus implants. So my philosophy is that when it comes
to your chin and predominantly your jawline. You need to
(03:47):
replace like with like you need bone. This needs to
be chiseled and sharp. And when you use filler to
take the place of a chin implant, it usually is
rubbery and soft and mushy, and it doesn't do the
same It's not as effective as an implant. So when
it comes to the jaw area, I tend to like implants,
(04:10):
So I'm one hundred out of one hundred times I'm
going to put chin implant overfiller. And when it comes
to the cheek area, I tend to like volume in
the form of a filler because this is generally a
softer area. So I don't like filler to the chin.
I think it looks rubbery and fake.
Speaker 2 (04:28):
I think I saw a lady the other day had
something similar and it looked like a little ball in
a tip and it just looked weird.
Speaker 1 (04:34):
Yeah, yeah, it doesn't look it doesn't look very natural.
Speaker 2 (04:37):
Okay. This comes from Rosalie eight seventeen.
Speaker 1 (04:42):
Rosally eight seventeen.
Speaker 2 (04:43):
Does everyone need muscle repair even if we don't want it?
What will your results be?
Speaker 1 (04:48):
Okay? So it's a very good question. So I'm the
muscle repair that's being questioned is during a tummy tuck,
do you have to have the muscles repaired? What if
I I don't want it? What happens if you don't? So?
Number one, if you've never had any children, then your
muscles should be where they were when you were born.
(05:09):
There should be exactly where they are now. You can
still be overweight, you can still have loose skin, but
your muscle should not be separated. When you go to
a traditional abdominoplast of your tummy tuck gallery, you're gonna
see two major changes. Oh my god. One is loose
skin has been removed, so there's a tightness. And two,
their protuberance or their bulge has been flattened. That's muscle repair,
(05:33):
So tightening of the skin, skin removal, and then repairing
of the muscle, flattening of the abdomen. So, if you
are a patient that has proturberance aka I've had two
kids or three kids, and you go get a tummy
tuck and all they do is remove the skin, you
will be a tight barrel. You will be tight, meaning
there'll be no loose skin, but you will still be perturberant.
(05:56):
That proturberance will only go flat. If you repair them
muscle there is no liposuction, there's no you can't go
and it's muscle damage that hasn't been tightened. So if
you don't want it, you don't have to have it.
I don't know why you wouldn't want it. I've never
done an abdominoplasty in a woman who's had children with
diastasis and not repaired the muscle. That's like, just like
(06:18):
I want a house, but I don't want a roof.
It doesn't make sense.
Speaker 2 (06:21):
My realtor h ss, can you create a six pack
with tummy tuck?
Speaker 1 (06:26):
Okay, so my realtor age, so can you make can
you have a six pack with tummy tuck? So the
answer is yes and no. Let me give you explanations.
So one of the things that happens when you when
you do a tummy tuck is A you bring the
muscles into alignment that's repairing them, and B you pull
the skin so it's tight. Now your abdominal wall is
(06:50):
ready and primed for you to work out. So let's
imagine you start working out and working out you can
actually now see your sin whereas before you have the
tummy tuck, you could work out till the cows come home,
and you'll never see the six pack because it'll be
hidden over the lu skin and the muscle separation. So
one advantage of a tummy tuck is now you can
(07:12):
actually see the six pack. The second thing you're referring
to is can I actually make a six pack? There
is something called high death high definition liposuction. I don't
do it. I'm not a fan of it. But what
essentially happens is you do your tummy tuck, it heals,
and someone goes back with liposuction and basically etches the
(07:35):
lines of a tummy tuck, so they remove the fat
in just those areas, giving the illusion that you have
a six pack. Remember, a six pack is muscle hypertrophy.
Muscle have expanded, so shy of working out, you're not
gonna get muscle hypertrophy. So if you want to fake it,
you can liposuction your abdominal wall to look like it.
(07:56):
But I think it looks weird.
Speaker 2 (07:58):
This one comes from Rosalie eight seventeen. This is another question.
She asked, what should you do to avoid complications after
a tummy tuck?
Speaker 1 (08:07):
Kind of a broad broad question. I'll answer it in twofold.
One of the general things you want to avoid complications
from all surgeries. Tummy tech's no different. So those are
if you've got a bunch of medical problems like Kanye
Wes mom, don't have surgery. If you have a bunch
of medical problems, at least get them improved. Like if
your diabetes out of control, improve it. If your blood
(08:29):
pressure is out of control, you want them improved. You
want to go somewhere reputable. I mean, we've talked about
it a thousand times. I mean, there was a we
just did a post about a woman who died of
liposuction because she had a pediatrician to do her surgery, right,
I mean, and unfortunately, like oh my god, Like it's
some random it happens all the time. You want to
(08:50):
make sure you go to a legit person. And then
you want to make sure that you know you are
basically following instructions. Now in part particular to a tummy tuck.
You want to make sure you don't get a blood
clot because there's a risk for that, so your surgeon
should have you walking early, be using blood thinners during
(09:11):
your surgery. You also want to make sure that you
don't separate your wounds don't come apart, so you don't
want to be overly active early on. So those are
specific to a tummy tuck.
Speaker 2 (09:20):
Okay, well we're going to go on a break.
Speaker 1 (09:22):
Break.
Speaker 2 (09:22):
It is because we have a question about inverted nipple procedures.
Speaker 1 (09:25):
Oh, inverted nipples. That's like last time we did Q
and A. You did a teaser with labias. You know
how to find the teaser should get people to come
back to the second half.
Speaker 2 (09:33):
And the other question was n block cap select me.
Speaker 1 (09:37):
Good job, n block cap selected me. That's a mouthful.
All right, well, let's take a quick break and then
when we come back we will continue with your fantastic questions.
We'll be right back after this break. Welcome to the
second half of Plastic Surgery and Censored Q and A
(09:57):
session with Maria the producer. All right, Maria, talk to me.
What's the question from the Baby thirteen Love Baby thirteen?
Speaker 2 (10:07):
Can you explain inverted nipple procedure and how it's corrected.
Speaker 1 (10:10):
Inverted nipple procedure and how Okay, so I actually think
this is a really undervalued, underspoken, super powerful surgery. So
there are thousands and thousands of women who have an
inverted nipple one and or two. That means that when
you're standing there in front of the mirror, your nipple
(10:30):
is not flush, nor is it projecting. So normal is
my nipple that's the part that projects, not the areola
is projecting, or in some instances it can at least
be flushed, but for some women it actually goes inwards
mildly or very severely. Then the question is is that
(10:50):
a permanent problem, meaning it's fixed and it never comes out,
or is it transient like when I'm cold and I'm
stimulated it comes out. The reason why that's important is
the correction of it is permanent, meaning it affects things permanently,
and generally speaking, if your nipple does come out once
in a blue moon and you want a breastfeed, you
(11:11):
might want to not do the procedure till you're done breastfeeding.
So the procedure is what causes the inversion, is that
there are these remnant scar bands that imagine like the
ropes of a parachute are pulling the nipple in and
they're tight. So the treatment is to make a small
incision around the nipple and to release release those cables
(11:36):
and when you release those cables, the nipple will then
come out. Then you put a few stitches and close
the space behind it, and as a result, you get
the nipple to either come out and or be flat.
It's actually very effective, very powerful, and for someone who
has inverted nipples, it's a game changer in terms of
(11:56):
intimacy and confidence and feeling comfortable being naked.
Speaker 2 (12:01):
Okay, my next question comes from rdiome aroum.
Speaker 1 (12:05):
Okay, why would.
Speaker 2 (12:07):
You get an infection after a breastlift?
Speaker 1 (12:09):
Why would you get an infection after a breastlift? Is
why you would get an infection after any surgery? Number one,
there was some contamination or break in sterility during surgery. Right,
So you and I walk in like this, we're dirty, right,
I just took a shower. Yeah, but you still have
bacteria on you. If I swab your belly button or
I swab your nipple, there's like thousands of bacterias. So
(12:29):
the breast is not sterile. It's not a sterile organ.
So we have to prep you during surgery and then
you become sterile. But then there's still some material that
comes out of your nipple during surgery. So if they're
not very clean or sterile during the prep you could
get an infection to your instruments have to be sterilized, right,
I operate on you, and then I got to operate
(12:51):
on the next patient. Well, they have to sterilize your intimates.
They could break that sterility the instruments aren't necessarily stare.
Then there is the aftermath. In other words, you're healing
within the first week or two and there's bacteria on
your body and you get an infection during that You
should generally very rare to get an infection after the
(13:14):
first ten days or two weeks. I mean once a
teal to teal. You're not gonna suddenly just get a
random infection in five months from now.
Speaker 2 (13:22):
Okay, this one comes from Martha. Oh, Martha, Oh, I
want to do a breastlift and put a small implant.
But I am a hairdresser. How long should I wait
to stay away from work before I Okay?
Speaker 1 (13:35):
So I am a very strict surgeon. Sur prize surprise,
So my after care is stricter than most. The reason
I'm strict is because I want no issues and I
want you to do well and go live your life
without complication. During the initial post operative period, is when
shit goes wrong, right, it doesn't go wrong years later,
(13:56):
goes wrong within the first six weeks. During the first
six weeks off here you are vulnerable to a complication.
So my general rule of thumb for all surgeries, breastlift
and implant included, is you want to take it easy
for the first ten to fourteen days. That means just
try not to go to work, don't go to the office,
(14:17):
just let the wounds close so you don't get a
hematoma and an infection. And then from week two to
week six, that's one more month. I don't want you exercising.
Then at six week do whatever the hell you want.
Go to the gym, go hiking, go into a swamp,
go jump out of an airplane. Whatever. So to answer
(14:37):
her question, is she's.
Speaker 2 (14:38):
A hair dressing she can go back.
Speaker 1 (14:40):
She can go back to work, probably at two weeks,
depending on how strenuous of a hairdresser she is. If
she feels like her hairdress work is like lifting weights,
then she needs to take it easy. If she's like,
you know, I'm pretty casual, I'm just taking my time,
then it's fine. Moving your hands is not an issue.
It's lifting heavyweight, pulling a blow dry, right, But even
(15:02):
when you're pulling on a bull dry, it's not that intense.
Speaker 2 (15:05):
Now she happens, I don't think you've had a blow dry.
I could tell you.
Speaker 1 (15:09):
But if she's, for example, bull drying super thick, long
Indian hair and she breaks into a sweat, maybe she
needs to wait a little longer. Okay.
Speaker 2 (15:20):
Next question comes from Nurturing eighty eight forty sixty nine. Wow,
I have a history of blood clots? Can I still
undergo a mommy makeover or elective surgery? If so, what's
the protocol post up?
Speaker 1 (15:33):
So that's a great question. We pretty much get that
almost every time we have a Q and A. There
are many people that have history of blood clots, either
because something just went wrong that one time, or they
have a predisposition for it. I've operated on hundreds of
patients with histories of blood clots. That being said, I'm
super super conscientious about it. Number One, I never do
(15:57):
it without the involvement of a hematol. So let's say
you had a blood clot, we then make sure that
hematologists on board. The things that we do to prevent
blood clots are one, we give you blood thinner at
the time of your surgery. A lot of surgeons don't
because they're afraid that you're gonna bleed. There's no science
behind that. We give you blood thinner at the time
(16:19):
of your surgery. Two, when you're asleep and you're unconscious,
we put squeezing devices on your legs so that you
get circulation through your body. Three, we make sure you ambulate,
meaning you walk immediately. You do not want to have
surgery with a history of blood clots and lay there
for a week watching TV. So that night you get home,
(16:43):
you start walking to the bathroom, then to the kitchen
and so on. And Fourth, if you have a history
of blood plots, you and your hematologist and your surgeon
should have a post op blood thinner protocol. So, in
other words, they give you medications. Usually it's subcutaneous that
keeps your blood thin for about, you know, three to
(17:03):
seven days, so that your risk of blood clot is
almost diminished. Again, your surgeon should be working closely with
your hematologists. But one hundred percent you should be able
to have surgery.
Speaker 2 (17:13):
Okay, this one comes from Little eighty nine.
Speaker 1 (17:16):
Little eighty nine, What can I expect.
Speaker 2 (17:17):
From an explantation? Esthetically? Is an m blog. Capsulelectomy necessary
for explantations.
Speaker 1 (17:25):
So this is probably the hottest topic right now. We've
talked about it on Multiplications. We had a few episodes
that were specifically designated to explantation. So it depends on
why you're explanting. If you are explanting because you are
in the BII Breast Implant Illness world, meaning I want
to remove my implants because I believe that the implants
(17:45):
may be the reason why I don't feel well, then
the current thought process in that world is that I'm
going to remove my implant as well as remove the
caps around it. And the way they suggest to remove
it is n block, meaning implant and capsule as one unit,
(18:08):
all out together. An end bock caps elected me or
complete caps elected me is what's discussed in that world
of BII. If you're removing your implant because I don't know,
it's just too big. I'm over it, I don't I
feel fine, I just don't like the way it looks anymore,
then it's not necessarily do an end block. The capsule
is your own tissue, it's not foreign, it's got blood supply.
(18:29):
It adds volume, albeit a small amount, and so you
don't want to just willy nearly take it out for
no reason unless it's really calcified and thick and ugly
and things like that. So that's the whole concept of
whether or not I need to remove my capsule and
whether or not it's end block. In regards the esthetic,
it's very simple. If I remove your breast implant and
you have absolutely no breast tissue, then your breast lift
(18:53):
reconstruction will not look esthetically good. You just don't have
any breast tissue. If I remove your implant and you
have some and or a lot of your own breast tissue,
then your breast lift reconstruction should look pretty good. So
that is not necessarily a matter of your surgeons skill,
although that's important. It has a lot to do with
(19:13):
what we're working with. And often patients come to me
and they want to get an explant, and I examined
them and I'm like, wow, eighty five or ninety percent
of your breast is really implant. You need to be
ready for the esthetic outcome. It won't be necessarily all
that great. What about fat transfer. I heard you can
put fat transfer. That's a pine in the sky. If
(19:34):
you have essentially no breast issue and you take out
a three hundred and fifty cc implant, There ain't no
fat transfer you're gonna put in your breast that's going
to make it look suddenly beautiful and esthetically acceptable. So
you just have to be ready for that. And if
they tell you otherwise, they're lying to you.
Speaker 2 (19:50):
Well that's it for now. But do you have some
more reviews?
Speaker 1 (19:54):
Views? No negative reviews, no negative reviews.
Speaker 2 (19:56):
This one comes from Best in the West. From Best
in the West, well, it's titled best and Notice from
three licks three.
Speaker 1 (20:04):
Oh okay, I'm the best in the West. Yes.
Speaker 2 (20:08):
So thankful to have found this podcast so informative, straightforward
and honest. I like the variety of topics. I enjoyed
the interviews of experts and patients so like doctor has
a fabulous sense of humor. I'm serious, I've always I've
already learned so much and look forward to the episodes.
Thank you so much. Here's another one.
Speaker 1 (20:30):
I was serious, I'm not serious.
Speaker 2 (20:33):
This one comes from bf T is amazing Doctor Verbond.
Ever since I found doctor Verbond's podcast, I could not
stop watching. He is so well versed in his expertise
and he tells you how it is. It's refreshing to
hear from a plastic surgeon with an unbiased opinion.
Speaker 1 (20:49):
So there you have it. Okay, so I am funny.
Speaker 2 (20:52):
You are funny.
Speaker 1 (20:53):
God, I don't know what she's talking about.
Speaker 2 (20:55):
Chuckle out of me.
Speaker 1 (20:57):
All right, guys, well that's a rap. Thank you so much.
We love your q and as we're gonna do them
as we always do once a month. So as always,
before we depart, I ask to request one. If you
love our show, please forward it, pass it on to friends,
Just forward it. Hey, you want to check this out.
You never know which one of your friends is gonna
go get some catastrophic surgery and you're like, oh, you
(21:18):
should have listened to this podcast. The second is write
something nice. See how nice that sounds. We really appreciate it.
Everyone that's here appreciates it. And furthermore, it helps boost
the ranking of this podcast, which then gets it out
to more listeners. So, as always your host, thanks again
until next week. Signing off on Plastic Surgery Uncensored
Popular Podcasts
My Favorite Murder with Karen Kilgariff and Georgia Hardstark
My Favorite Murder is a true crime comedy podcast hosted by Karen Kilgariff and Georgia Hardstark. Each week, Karen and Georgia share compelling true crimes and hometown stories from friends and listeners. Since MFM launched in January of 2016, Karen and Georgia have shared their lifelong interest in true crime and have covered stories of infamous serial killers like the Night Stalker, mysterious cold cases, captivating cults, incredible survivor stories and important events from history like the Tulsa race massacre of 1921. My Favorite Murder is part of the Exactly Right podcast network that provides a platform for bold, creative voices to bring to life provocative, entertaining and relatable stories for audiences everywhere. The Exactly Right roster of podcasts covers a variety of topics including historic true crime, comedic interviews and news, science, pop culture and more. Podcasts on the network include Buried Bones with Kate Winkler Dawson and Paul Holes, That's Messed Up: An SVU Podcast, This Podcast Will Kill You, Bananas and more.
24/7 News: The Latest
The latest news in 4 minutes updated every hour, every day.
Dateline NBC
Current and classic episodes, featuring compelling true-crime mysteries, powerful documentaries and in-depth investigations. Follow now to get the latest episodes of Dateline NBC completely free, or subscribe to Dateline Premium for ad-free listening and exclusive bonus content: DatelinePremium.com