April 8, 2026 • 41 mins
If you’ve ever thought about fixing your ears—but told yourself it’s “not worth it”… this is for you.This week on Plastic Surgery Uncensored, Dr. Rady Rahban dives into one of the most overlooked—but impactful—procedures in plastic surgery: otoplasty (ear surgery).
It may not be one of the most popular procedures—but for the right patient, it’s arguably one of the most life-changing.
In this episode, Dr. Rahban sits down with Pia, who spent years going back and forth—sometimes bothered, sometimes not—before finally deciding to move forward on her own terms…And realizing it was one of the best decisions she’s ever made.
What once felt like something she had to work around is now something she doesn’t think about at all—and that shift alone is transformational.
Inside the episode:
• Why otoplasty is often done young—but many wait until adulthood
• What actually makes ears look prominent
• The biggest mistake surgeons make (and why overcorrection is worse)
• What recovery really looks like
• How to choose the right surgeon—and why connection matters
Because when it’s done right, it shouldn’t look obvious—just natural.
🎧 Listen now—and send this to someone who’s been thinking about it. Because the right information can make all the difference before anyone considers surgery.
✨ 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:
It may not be one of the most popular procedures—but for the right patient, it’s arguably one of the most life-changing.
In this episode, Dr. Rahban sits down with Pia, who spent years going back and forth—sometimes bothered, sometimes not—before finally deciding to move forward on her own terms…And realizing it was one of the best decisions she’s ever made.
What once felt like something she had to work around is now something she doesn’t think about at all—and that shift alone is transformational.
Inside the episode:
• Why otoplasty is often done young—but many wait until adulthood
• What actually makes ears look prominent
• The biggest mistake surgeons make (and why overcorrection is worse)
• What recovery really looks like
• How to choose the right surgeon—and why connection matters
Because when it’s done right, it shouldn’t look obvious—just natural.
🎧 Listen now—and send this to someone who’s been thinking about it. Because the right information can make all the difference before anyone considers surgery.
✨ 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
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:07):
Welcome to another episode of plastic Surgery and censored. I'm
your host, Doctor Roddy Raban, and we have a fantastic
as always episode ahead. It's extra fantastic because we are
blessed to have a patient. You know my feelings. If
a patient is kind enough and generous enough to come
to the show, it makes this whole experience a thousand
times better. And Pia has honored us with her presence.
(00:27):
She is a sweet and wonderful patient of mine. And
we're going to be tackling the subject matter of audoplasts.
So I feel like plastic surgery, there are the main
big events breast, dog tummy tuck, liposuction, rhinoplasty, facelifts. It's
kind of like I always refer to it the Big
(00:47):
five of Safari, right, like if I need to see
an elephant, I need to see a giraffe. But then
there are a lot of other procedures that are equally impactful,
arguably more impactful, but they're not as popular or as
trendy or is talked about, and as a result, maybe
they don't get as much attention or information or knowledge.
And yet there's millions, and I mean millions of people
(01:10):
that are contemplating impacted by that as well. So today
we're going to talk about autoplasty, which if you do
it in the right patient and you do it well,
it is so powerful that it would be as powerful
as doing a rhinoplasty in a sixteen year old. There's
there's no difference in that whatsoever. So we're grateful to
(01:32):
have you. Thank you, thank you for joining us. So
we were chatting a little bit earlier, and let's just
kind of go through your journey. You're twenty eight year
olds twenty eight years old now, and atoplasty like rhinoplasty,
because some things you do at certain ages, right, Otoplastic
rhinoplasty is often something you do earlier in life because
you realize pretty early, kind of around five, that my
(01:55):
ears are prominent and kids are not very kind, and
while they're not going to be like you have a
big nose, because you don't have a big nose, because
all little kids noses are like I look at my
son and my daughter's nose, and I know my son's
nose is going to turn into like this ginormous thing,
but it's so fucking cute. It's so tiny, and I'm
just like I know the day his hormones kikin is.
But ears are prominent from the get go, right and
(02:17):
as a result, a lot of children who notice their ears,
either because they notice it or people make them notice
it really bothers them and they tell their parents very
early on. As a result, we do outoplasty in five
year olds. In six year olds, we don't do rhinoplasty.
In five year old we don't do breast dogs, but
we don't do nothing cosmetic. But in a five year
(02:39):
old we do because we know that their ears are prominent,
will remain prominent, and they're really going to hate it.
So not all people do their ears when they're five, obviously,
because I do a ton of adults. But it is
something that people are kind of constantly aware of. Yeh.
Women and men are interesting in the way they approach otoplasty.
(02:59):
Who have prominent ears are lucky in that they can
cover them. Men who have promen ears cannot cover them
because nine out of ten men do not have enough hair,
and if they have that long of a hair, there's
a whole different issue going on, so they don't get
the luxury of a woman does. Conversely, a woman who's
unable to put her hair up is missing half of
(03:22):
her life, right high ponytail, where my hair up events,
it's sort of elegant, it's very stylish. Right, So most
women who have prominent ears generally are not ecstatic about
wearing their hair up. Yeah, right, fair. The question is
why now? Yeah? Why twenty eight? Why not twenty four?
(03:43):
Why not nineteen? What? Five? I understand because it's like, well, fuck,
my parents didn't do it, But what were the factors,
if you will, that played into this moment as opposed
to anytime sooner?
Speaker 2 (03:58):
Well, I think like as I grew older, I think
I went through phases, right, So there were sometimes where
it really bothered me. It was something that I really
hyper fixated on, and then I would kind of get
over it. And then when I would get over it,
I would just I wouldn't care, you know, I'd wear
my hair up, I would do whatever it is that
I needed to do and kind of just like ignore
(04:19):
the fact that my ears were larger.
Speaker 1 (04:21):
Were you ignoring it or had you accepted it? Important distinction?
Speaker 2 (04:24):
I actually think I had accepted it for a while.
Like there was a period like it just didn't even bother. Yeah,
it didn't even bother me, And there was a period
of time where I was like, I'm never going to
get my ears done just I don't care enough.
Speaker 1 (04:34):
Correct.
Speaker 2 (04:34):
And then when I was twenty two, I actually had
gone to see another surgeon and I did a console
and I didn't align with the surgeon at all. And
after that I took it as a sign as like, oh, well,
was it meant to be? Yeah, this just isn't for me,
you know, so I kind of just dropped the subject.
Speaker 1 (04:54):
Was there anything in particular, just because I think though
obviously everything worked out the way supposed to work out,
what was the if you remember, what was it that
didn't chime or jive? What didn't you connect with that person?
Do you remember what it was at the time that.
Speaker 2 (05:09):
Yeah, it felt like it was just like, I mean,
you have a really wonderful bedside manner. I think at that
time in my life, I was already so anxious about
the idea of getting any surgery done, and that particular
surgeon did nothing to ease my mind.
Speaker 1 (05:24):
You thought his approach to it was not comforting. Correct.
Maybe what he said surgically was fine, but he didn't
make you feel safe in the way that like I'm
already freaking out about this thing. Yes, got it? Okay,
So like the sign wasn't meant to be fuck it,
I'm not doing it. Yeah.
Speaker 2 (05:40):
And then come my twenty eighth birthday, I don't know
what it was like. I just woke up and I
was like, you know what, this is gonna be the
year where I fixed my ears?
Speaker 1 (05:49):
Was there anything that had preceded that? You got to comment,
because you do a lot of stuff on social media.
I know that everyone who follows you was like, no,
don't do it, because it is kind of a signature
of yours. Yeah right, like people with a gap between
their tooth. It's one of those things that's arguably not desirable.
Yeah right. I mean you could say that and I
don't buy it. People love to like the naysayers are
(06:11):
always like, yeah, that huge pantas hanging off your abmen,
it's who you are. It's a sign of your children.
It's like, give me a fucking break. That doesn't look good.
Don't tell me that. But like a little bit of
a hump on her nose and a woman, it's kind
of arguable. It's kind of got its own style. Yeah,
so your ears weren't like crazy dumbo ears and you
(06:31):
had sort of embraced it. And I noticed because I went,
I did a little stocking, and I noticed that you weren't.
It wasn't like you had completely covered your ears all
these years. So you were kind of like, it is
what it is. And I know your fan base was
very like, we love you whatever you decide to find,
but oh, don't do it because they had liked it.
But was there something that I read?
Speaker 2 (06:53):
No, there wasn't an event. But I think it came
down to maybe when I was thinking of doing it
when I was younger, like twenty one, it was because
I was getting comments about it, whereas now the choice
to do it was just solely my own. It wasn't
there it felt like it was.
Speaker 1 (07:07):
It was. It was more more organic. The problem was
the coming straight from insecurity.
Speaker 2 (07:13):
Absolutely, like there was no driving factor that was like, oh,
this is the this is the comment that you know.
Speaker 1 (07:18):
Kind of because a lot of people can trace it
down to an event, and it's not that it makes
it any less worthy, like a very harsh boyfriend or girlfriend,
a terrible comment online, a family member who was super insensitive,
like a lot of people know the handful of jabs
that sort of pushed them over the top. That being said,
(07:40):
yours was sort of like, you know what, fuck it,
I just want to do it. I'm twenty eight. Yeah,
so you decide that, and then what what is your process?
What is your process? When you're like, I want to
do my ears and I'm assuming you started with a
computer or a phone, I like this because it's more
my generation like that, Yeah, that's your generation. I'm like,
but is that a typewriter? So you get on your
(08:02):
phone and what is your tech? Me through your process?
Speaker 2 (08:05):
I literally went on chat GPT and I put in
best plastic surgeon in Beverly Hills for an autoplasty, and
five came up. You were obviously one of the five,
and I just started like stalking each account. I actually
saw a different surgeon before I had come to see
you for an initial consul.
Speaker 1 (08:26):
No, I'm just kidding. I know, no, but that actually
turns out to be the right thing. And if I
had my regrudgers and I could do anything I wanted
my practice, I would insist because I can't that everyone
who sees me has seen someone before. That is like,
if we can look at our statistics, our closure rate
on patients who have seen other surgeons and see me
(08:46):
second or third is three times higher than if I'm
your first person because you have no point in reference.
You don't know if you like chocolate until you've had
Vanilla strawberry and Rocky Road, Like, you just don't know,
so you stalk those five and it saw someone else
go ahead and.
Speaker 2 (09:02):
Okay, So I saw the other person, and the other
person I actually liked, like I honestly thought. I was like, okay,
this is good enough, you know whatever.
Speaker 1 (09:09):
I like.
Speaker 2 (09:09):
You said. I don't have a point of reference, so
I wasn't too sure.
Speaker 1 (09:12):
Really was so that anxiety about the emotional part was gone,
because that was what was missing in the first person. Right.
One you're more mature, and two maybe they were a
little bit better bedside, right Okay.
Speaker 2 (09:23):
But then I'd come in and I think I met
Sally first, and I don't know if the podcast is
Noah is Wow, She's like so incredible, And upon meeting her,
I was like, wow, everyone in here is so nice,
so sweet.
Speaker 1 (09:41):
Yeah.
Speaker 2 (09:42):
Then I met you and I was like, oh, this
is definitely my doctor. It wasn't necessary. I think you
said something that really stuck out to me and you
were like, I want you to be able to wear
a high ponytail.
Speaker 1 (09:52):
Yeah, but that in my opinion as a male, because
at the end of the it's a little bit interesting
that most plastic surgeon, not all are met doing most
plastic surgery for women. Understand like most gynecologists are women
now that are doing gecology. Gynecology for women makes sense, right,
but like, it's kind of interesting that men are doing
(10:14):
surgery for women on their aesthetic if you really think
it through. So we can only know so much, but
if you do this long enough and you are sensitive
to the ideas, we do know what it is. I
don't feel I don't know, but I know what are
the things that drive a woman to want to do
these things? And so I know in the area of
autoplastys especially, you are very fashion forward. Makes a difference.
(10:36):
If you're a farmer, it's different than if you're a singer.
It is different than if you're a pilot. And so
for someone who's my wife's super fashion driven much like you,
and outfits and styling hair is a big part of
that experience. And it's as I said, it's like you
kind of just can't enjoy that aspect as well. So okay,
(10:56):
so you came in and you is there anything else?
Because I think, and it's not so much to highlight
how great I am, but the nuances that people have
to utilize, because when you're picking your surgeon, you're kind
of getting married, right, Like you have a boyfriend, you
go out with him five, fifteen, twenty thirty times, and
then at some point it evolves into like I really
(11:18):
love this person. Because you have a multitude of experiences,
you usually pick a surgeon after one visit. I'll granted
you went on three different dates with three different guys,
but it's one date with that guy and then you're
like you can operate on me. It's like, what the fuck?
You don't even know this person. So it's important to
(11:39):
always have patients try and tease out the things if
they can. Sometimes you don't know, it's just a gut.
I just felt that way. What were the nuances? Because
that's what people who haven't had surgery are trying to
figure out, Like there are no guarantees, but I'd like
to be able to find the right surgeon for me,
and whether that's in Ohio or Oklahoma or Germany or wherever.
(12:02):
Do you know what that nuance? Can you? Can you
identify what the elements were?
Speaker 2 (12:06):
I mean, aside from it being a very intuitive decision.
Speaker 1 (12:09):
Which but there's something that leads to intuitiveness, do you
know what I mean? We may never know it, like
I don't know, it's just it's just how I felt.
But if we were able to, they add up to
the intuitiveness. So is there anything in particular?
Speaker 2 (12:24):
I think the ease in which you explained the process
to me in a way that I understood right. Like
you told me that when you're looking at a person,
you should see their ear in a three in a.
Speaker 1 (12:36):
Three step fashion and atention.
Speaker 2 (12:39):
That made perfect sense to me. It was like, no
one's ever explained it to me like that before. I
just assumed that my ears were meant to be instead
of out.
Speaker 1 (12:47):
So the reason I bring that up is because then
you make a great point and we'll get to that.
People assume erroneously that ear pinning is pushing the ear
as far back as possible, and that is one thing
thousand percent not the right thing to do, and that
actually takes zero skill and zero effort literally gluing. That's
like liposuctioning is to remove as much fat as possible,
(13:09):
not accurate. The challenge is removing the right amount, and
the challenge of the ear is setting it back enough
where it's no longer prominent. I don't even know what
you're talking about, but it's like so normal and in
normal ear, if you look at fifty thousand ears, which
most people who want an otoplasty have, it's gradual. It's
each thing is moving out, so that that's interesting. So
(13:30):
you like the explanation. I tend to be very academic,
and for the patient to like that, it's a big
selling point. Some people are like, just too much information,
Like I was overwhelmed and they I've actually had one
patient it's like, can you not tell me this? And
I was like I can't not tell you this. You
need to know. Like she was like, I don't want
(13:52):
to know, just do what you have to do, Okay,
the information.
Speaker 2 (13:57):
I think it was the combination of that, and then
you have a good sense of humor because you literally
said verbata, a monkey could staple your ears back to
your head. Sure like that. There's no art form in that.
And I think it was the combination of those two things.
You being so knowledgeable obviously and then also having a
sense of huge r.
Speaker 1 (14:15):
So is a personality meets a skill level? Yeah, which,
when you distill it makes sense. Now maybe somebody else
finds a different personality desirable and maybe a different skill set.
So perfect. So you you came in, you did your
second consult perfect, and you're like, I want to do this.
I will tell you that the relationship is a two
ways stream. We seldom talk about our experience, right, because
(14:40):
remember I'm a person, I'm not a robot, and I
have to operate on you, and you're picking me. I'm
picking you right. You people don't think that I have
canceled refused surgery left, right and center. Really, hundreds hundreds.
I've canceled five surgeries in the prep in waiting to
(15:01):
go about to have surgery, I canceled the surgery because
I my spidy sense is this is not gonna work.
And we haven't got how many people have walked away
at the altar millions? Right, So what the fuck You're
about to get married? All these people are in the
they're in the chapel, we have a cake. I can't
do this right, and so I am equally gauging you
(15:21):
because while I'm doing this for a living, I don't
want to be married to you. If you were crazy right,
you can make my life miserable. I will say, you
are the ideal patient in that experience, and so I'll
reverse this on you. You came in, you said how
(15:43):
can I help you? You were pleasant, sweet, and nice
to everybody. There are a lot of people that come
to our office are rude, short tempered, and entitled because
it's a plastic surgeon's office. I walked into arimez I
am at the Bentley Dealership. There's a sort of sense
of entitlement, whereas you wouldn't do that at Starbucks because
no one gives a fuck, right, But in that office,
you're like, I'm somebody. Our office is often busy, and
(16:07):
as a result, there's a decent amount of waiting, which
is not nude to anyone, because at the end of
the day, when I meet with you, you're like, ah,
this is why, because I'm speaking for like an hour
with you. There's no way I can speak with you
an hour with you and everybody else. It's either I
spec five minutes with you. If I came in and
I saw you for five minutes, and then I left
and you waited two hours. I'd belive it, but it
isn't five minutes. It's a long time. So you did
(16:31):
all that. You were nice, and when I came in
and I explained everything to you, you were like, okay, yeah,
that makes sense. I got it. That makes sense. Perfect,
And then it was do you have any questions? Maybe
you ask a question or two, but it was very streamlined.
I could tell that you were just very certain of
what you came to learn, certain of the decision you made.
You didn't need a lot of handholding and convincing. I
don't mind doing it. I do it all the time.
(16:53):
We have all kinds of patients, but you're the ideal
patient because we're here to educate you and buy you
a service and make you happy. And when you come
knowing exactly what you want, recognizing what it is that
you see, and then I think you book like right away,
which obviously, as a plus surgeon, we love that, right right,
(17:13):
But that's not the point. The point is that shows
your definitiveness, Like at twenty seven you didn't want to
do it, but when you said you want to do it,
you're like, I'm ready to do it. And so you
did that and that was great, and have been equally
seamless with every after with every after visit, with every
visit you've come, it's just like boom, It's like this
are our goals, objectives? Done, done, done, spuzzn't fine, sweet
(17:35):
hug everyone by guy. So remember this which nobody really
talks about. But it's a mutual relationship. It's a two
way street. And I do think that there is a
certain connectivity between two humans, whether you're the bagger at
the checkout count or at a supermarket and the person
paying your two people and you're having a moment of exchange.
(17:57):
If the bagger and the person who's buying stuff are
on different wavelength, different energies, having bad days, they will
have a conflict even though it's just there, let alone
me and a patient or whatever. So that's great. So
you decide to do that, You're like, check, I'm gonna
do surgery. If I'm not mistaken. It was very from
when you decided to when you did. It was relatively
it was fast right yeah. Again, testament to that, were
(18:19):
there anything that you were It didn't seem like it
to me, but were there your concerns. Were you fearful
of anything? No, I wasn't.
Speaker 2 (18:27):
Actually, I like woke up that morning and in my
head I was already planning on what I was going
to do after the surgery. It was just like another thing, right.
Speaker 1 (18:35):
I was like, oh, yeah, that's right, I gotta do
that surgery thing in the afternoon, I got to pick
up the dog. It's it's like, so again makes sense, right,
because when this works, what I think your surgery, aside
from the otoplastic conversation, what I think your surgery demonstrated.
And you said it to me because I asked you
before I ask every guest before we start, what stood
out for you? What would you like to talk about?
(18:56):
This is your show, this is about your experience. And
what you said to me was I was surprised at
how seamless it was. That's what you said to me.
I wrote it down, meaning I said, what do you
mean you said? Like, I just I didn't realize it
was gonna be so easy. Like I just decided I
did it. Surgery was great. I didn't have really discomfort.
I did the protocol. I came off of the protocol
and now I'm living my life. But again, that requires
(19:18):
for you to be easy. You need to grease the wheels.
You need to be a person who knows what you want.
And it makes sense that it was seamless to you
because you made it seamless. I'm the same factor. I'm
the same person, Yet I have another patient. I'll do
an odoplasty. It's like pulling teeth. Wear the garment? How long?
(19:38):
How much more do I have to wear this one?
You gotta wear it? We can? I like, I have
discomfort in my ear. Okay, you just had an oplasse.
It's so, it's so so two ways. And you will
dictate your experience based on who you are. And you
were just like yes, yes, yes, and luckily and I'm happy.
(20:00):
The experience mirriage your personality, right, and so that is
the idea that you omit the experience you want to have.
High anxiety people, histronic people, high intensity people create drama
just the nature of it. And drama begets a challenge.
So I'm going to do it. Sign up day, have surgery,
(20:21):
just knock it out. Surgery and then the recovery. So
a lot of people are worried about recovery, right because
it's rightfully so yeah, kind of a nuisance, there's discomfort
for many people, there is the inconvenience, etc. So presumably
your recovery was better or as good as you had
(20:44):
anticipated because it was part of the seamless process. Was
there anything that stood out for you in the recovery process?
Speaker 2 (20:51):
Not necessarily, I would say, like day one, obviously I
had just gotten surgery, so I was very uncomfortable. But
then any day there after, there was no There was
nothing that you didn't already explain to me was going
to happen.
Speaker 1 (21:05):
Right, So it was as expected. So nothing was nothing
stood out because it's like, oh, and by this day
you should be feeling that, well, that's the one that's happening,
and then at this week we're going to remove this
and it'll look like that, and it is. So it
was as expected.
Speaker 2 (21:15):
Everything was as expected, and you explained it to me
in the exact order that it was going to happen.
So yeah, correct, there was no surprises there. I think
the only thing that I wouldn't even say I struggled
with it. But wearing a headband for six weeks was bingo.
Speaker 1 (21:30):
So well, chat chat about that. So ninety nine percent
of let's give you some basics on atoplastys. So you
understand I do all my ear odoplasties from behind the ear.
There are some people that do incisions in front of
the ear, and my humble opinion, there's no indication, no need.
You should never see the scar in the front. Secondly,
the incision in the back should be healed invisible, never there.
(21:51):
You should be able to go get a haircut. They
should pull your ear forward, not for a year, but
eventually pull your ear fot because eventually you got to
forget about this and not even have conversation be like, oh,
you had an odoplasty, how do you know I can
see your scar? That should heal beautifully. There are three
parts to a prominent ear, so let's chat about that.
What makes an ear look prominent? There's tons of words
(22:13):
for prominent, stick out dumbo. Everybody has their own version
of it. But there's three things that generally make that,
and not everybody has all those three things. One and
most commonly is the curvature of the ear. That outer
curvatures called the helix. Everybody most everybody has that. The
next curvature, so there's the outer curvature, and then there's
(22:35):
a mirror of that curvature step wides inward. That is
called the outer curvatures called your helix, the inner curvatures
called your anti helix, and patients who have a more
dumbo esque type ear, that area is obliterated and very
smooth in concave, so it looks very like like a
like an elephant's ear. Smooth, there's no con contour in there,
(22:59):
and so the ear is flat and sticks out. So
that's one of the signs. The second is that my concha,
the bowl part of my ear, is really big, and
as a result, like when you put your finger in
the bowl, it's really deep. That means you have a
lot of concha. And the third is the place where
my ear just sticks to my head is really wide open.
(23:20):
In other words, if you pin it all the way
to your ear, you couldn't run your finger behind it,
and if it's wide open, you can put three fingers
behind it. So the angle is off. Depending on what
your version is, and I don't remember exactly your version,
we have to do one of three things or the
sum total of three things. So to address the Dumbo
ear part, we put sutures, permanent sutures from behind like cables,
(23:47):
that cross over, and as you tighten them, the ear
gets pulled back and back and back. Right get you
create the fold that's missing, right, you create this fold,
and as a result, this part gets pulled back. That's
the area that page doctors make some of the worst
mistakes because they overpull it and then your ear gets
pulled backwards. And there's a very classic when you look
(24:09):
at someone who's had their ear is done. If this
outer helix is not a little out, it looks pinned back.
The second thing is the conscious too much and you
have to take a little wafer or wedge the concha
out so that when you push the ear back, there's
somewhere for it to go. Like if I go to
close the closet and there's a dresser in there, you
(24:31):
can't close the closet. You got to take the dresser
out and put the closet closed. So you need to
remove some consha And the last which is done in
every single case, is we suit your the ear slightly
back and close that angle so that it's closed. So
those are the three things that needs to get done
with the ear. Now, ninety nine percent of surgeons, including myself,
(24:52):
in the recovery stage. Have you wear a headband or
some type of band for two weeks. The first week
you're dressed up like a teletubby. You look like an eskimo.
Then you come in we take everything off. Hopefully you're
not gasping like which you weren't. Your ears might be
a little swollen. They tend to be a little puffy
in a little out, but usually the first week they
(25:12):
should look pretty bang on. Yeah. Then you usually wear
a headband to keep the ears in position, like if
you broke your arm, you'd wear cast and you wear
that headband for another week. Nine out of ten surgeons,
including myself, will at that point let you go. And
I did that for the first six seven eight years
of my practice, and I did a decent number of votoplasts.
(25:34):
And what I noticed is that when the dust settled,
the fat lady saying a certain percentage high enough that
it aggravated me of ears gradually lost some of their correction.
They didn't become dumbo ears again because we've done a
lot of surgery, but they weren't as nicely flat as
I had liked. Because your ear has memory, it's been
(25:58):
there for twenty eight years. A few little stitches and both.
Your ear is going to be stuck to your head,
so it wants to go where it used to be.
It has a memory and we are operating on it
and then forcing it to stay. So many years ago
I made a conscious decision to force the patients to
wear a headband for six total weeks, and while it
(26:21):
is incredibly annoying, it is incredibly effective and as a result,
I have not had any recurrence or setback or failure.
And it should make total sense to you. When you
break your arm, you're in a cast for sixty eight weeks.
The reason why the magic number is six to eight
weeks is that's how long it takes for you to
(26:42):
generate eighty percent of the collagen that is required to
hold things healed. So if you do it any sooner,
your body just hasn't done its job. So that is
probably the only thing I do that patients will and
bitch about, right, like okay, and you just took it
with stride. You're like, okay, you made it part of
(27:04):
your outfit, and you move the hell on because you blink, blink,
and it's over. Yeah, that's it, it's done. Go live
your life. So I think that's really really important because
it's worth a little bit of inconvenience for a lifetime
of improvement. Right, that's the idea we do this. So
(27:26):
you did it. Your experience has been seamless. What fears
did you have before we met about earpinning? Well, just
like if you were just like when you were contemplating,
like if you say to a patient, like you want
to get your nose done, Yeah, what fears? Oh, I'm
going to look like Michael Jackson ninety nine percent of patient, Like,
I just don't want to look like some you know,
crazy overdone nose. Was there any such fears you had
(27:48):
when it comes to ears before you started the journey?
Speaker 2 (27:51):
Was like, I mean, I think any fear when you
go through any sort of plastic surgery is that it's
not going to look good. So my biggest fear was
that it was going to be pinned to my head
really far, really far back, and it was going to
be a very noticeable thing that I had done and
everyone's just gonna be like, wow, she really just she
she really just went your ears all the way back.
(28:13):
So that was the biggest fear because it's really hard,
I think with the nose you can kind of conceptualize
what it could potentially look like ears, At least for me,
I was like, I don't know what I would look
like with And.
Speaker 1 (28:22):
The thing is, if you try kind of like the
nose to demonstrate it to a patient, like if I
push your ear back, it kind of looks weird, and
if I push your nose up it kind of looks weird.
It kind of can't show you. Yeah, so what are
the things that can go? Thank God, nothing went wrong
and you are the model experience, meaning both as a
(28:45):
person and your experience just went like tick tick tick
take off. So but what are the things that patients
should consider? What do they need to be worried about?
Number one is that I think the number one most
problematic thing with ears over correction, Like I think, by
and large, the biggest thing that you have to worry
(29:06):
about is that it's just as I said, a monkey
can staple your ear to your head. Like you just
overdid it, and you went from a problem, I think,
a natural problem to an unnatural problem. Right in other words,
like prominent ears are not great, but nobody went out
of their way to get a prominent ear, but pinin
back ears look one hundred out of one hundred times abnormal.
(29:26):
And within that type of pin and back ear is
something called a telephone ear where the top stays out
but the inside gets pushed back. And so like a telephone,
like where the top and the bottom of the phone
the old school phone, iPhones, old school phone, you get
a weird not only is it fully back, but you
get a weird shape to it. It's not just flat,
but rather kind of bode. That's very very problematic. Things
(29:51):
like himotoma or necrosis and all those things are pretty
rare most times with ear pinning. It's kind of like
a life instruction, just overdone, and it doesn't really look
harm harmonious. It just looks odd or And the thing
about ears that makes it really challenging, which is interesting,
is it's two of them, yeah right, and you can
(30:12):
see them both at the same time, and you need
both of them to look the samesh right. Ish. They'll
always be a little different, but they can't be majorly off.
So you got to hit a home run and hit
another home run because you know you crushed it. Oh
my god, this ear looks so fucking good. I'm done, No, bro,
(30:33):
you gotta go to the other side you got it
is all over again. So I do think that aspect
of ear is kind of interesting and challenging. I think
what you said to me, which is interesting and which
is what a lot of patients says. Had I known,
and I think this is quite common that the experience
would be as you said, seamless. God, I would have
(30:56):
definitely done this sooner, right, which is a common statement.
And I think that's funny because that's the first thing
you said, because I think people think that the recovery
is more brutal than it is caause you think that's accurate.
Speaker 2 (31:09):
Yeah, I think that's accurate.
Speaker 1 (31:10):
I also think.
Speaker 2 (31:12):
Until I saw you, I was under the impression that
I would have to be awake when I did it,
which is something that I actually did want to touch
on because I was so scared of that.
Speaker 1 (31:21):
I'm scared of that. I don't want to do anything away.
So this is a very common So let's talk about
this in general. In general, as doctors, our number one.
Speaker 2 (31:32):
Goal is what to keep your patient a life.
Speaker 1 (31:35):
To get your money, Okay, Our second goal is for
you to be alive. Our number one goal is for
you to book. Let's just be really frank about this.
I want you to book surgery. So I am a
really bright guy. I did really well in college. I
crushed it in the you know, the mcat so I'm
pretty savvy. So the way to get you to book
(31:56):
is to eliminate all of your fears. Right. If I
can eliminit had all your fears, you're like, oh, there's
no barrier to entry. So fears or obstacles are what
I need to get out of your way, right if
I want If really, my goal is just to lubricate this,
so you do it. So pain is one of them.
(32:17):
So we do painless things. We market it as painless
things like painless breast dog yeah, right, scars, scarless, nosejaw recovery,
flash recovery. It means you did your otoplasty and you're
back to the gym in three days. Right, So anywhere
(32:38):
where you're hitting an obstacle, if I eliminate that obstacle.
By the way, I'm not really eliminating, I'm just telling
you it's God. You are more prone to do it
because you keep you can't. You don't have any excuses,
right finances, they drop the price or whatever it is.
And then one huge obstacle for some people is fear
of anesthesia. Totally, totally, totally make believe right, I'm just
(33:02):
afraid of it. I don't know it. I don't know
what happened my aunt. My aunt had surgery. She died, Okay,
well have it if it was because she was one
hundred and eighty with a heart problem, it was anesthesia, right, Yeah,
So for a subset of people, anesthesia is frightening. So
doctors making sure to maximize their benefit on each of
these things. We'll say with conscious nation or awake surgery.
(33:28):
And in your world you're like, you gotta be fucking
kidding me, But in somebody else's world, it's like, hallelujah.
We get calls every day, do you do awake? Tummy tucks?
Do you do awake? Breast dogs? Do you do awake?
Do you do awake? Now, there are two parts to
the awake part. There is patience, safety, and then there
is in my opinion, efficiency and done doing it well.
(33:52):
So there are surgeries that you can do awake. You
can do an upper eyelid awake, and by awake, we're
talking a fully awaken just local anesthesia. Hi, hey, ho
two is local anesthesia and some ivy sedation like you're there,
you're kind of mumbling, but like if I if, I
go huh, well yeah, okay. So that's the next level.
(34:13):
Third level is general anesthesia. We use local but you're
knocked out. Yeah okay. So there are a number of
surgeries that we can do awake and or in that
twilight area. One I can do your upper islands. Two
I can do your facelift. Three I can do your chinnong.
Four I can do your liplift. Five I can do
(34:35):
your nose job. Oh my god. Six I can do
your breast dog. Seven I can do your life assuction.
So those doctors, there's a lot of doctors who will promote, advertise,
market maximize this conscious sedation awake type of anesthesia. H
(35:00):
marketing to those people who have great fear. And as
a result, there is a lot of people. I did it,
and I did it. I do my facelifts asleep. And
it was a lady, a patient of mine. I did
all her other surgeries. I saw her and she's like, listen,
I chose to do my facelift elsewhere. I said, okay,
may I ask why. She's like, because the other guy
said he'll do it awake. I was like, uh, okay, great.
(35:21):
So from a standpoint of doing, you can do it
both ways. From my personal opinion, and I've done them
both ways. I would never want to be conscious or
semi conscious. And here's the reasons. Number One, you are
not still. You're inevitably moving. Maybe not a lot, but
you're moving. That annoys the hell as me as a surgeon.
(35:42):
I did my mom's upper eyelids, the only surgery I
ever did for I started it under conscious dation because
she was older, and I had to convert her to
a full anesthesia because she was moving, just driving me
fucking crazy. Two, I think patients will then realize how
fearful it is, because a lot of people are like,
oh my god, the worst experience I had is I
did awake life of suction. My god, they kept putting local.
(36:05):
I was I could feel it because you're awake. Yeah. Third,
things are messier in my opinion, not always, but can
be messier. And fourth, and without a doubt, when you
do conscious sedation, so conscious sedation is neither here nor there.
It's not fully awake, and it's not general anesthesia. You're
(36:28):
flying in this really tiny zone. So they're giving you
anesthesia IV, but you're awake and breathing on your own.
When you start waking up, they give you more IV.
If they give you too much IV, you stop breathing.
So this anesthesiologist, whoever's there, has to fly this plane
right in that not too much, not too little, not
(36:49):
too much, not too little. In my opinion, and there
are many instances, Joan Rivers is one of them. That
is a dangerous way to do it, because if they
overnarchtize you and you stop breathing, you have no airway,
then I have to suddenly scramble and try to put
a tube in you in modern day anesthesia. I'm not
talking about in nineteen sixties modern anesthesia. I would rather
(37:12):
be modern day anesthesia for fourteen days than do anything awake.
So it turns out, interestingly, your biggest fear was somebody
else's wish.
Speaker 2 (37:23):
Yeah, I would never have wanted to be awake for.
Speaker 1 (37:25):
That right so and as nor would I. But it's
interesting because some people find that that's what they want
to do. So interestingly enough, yeah, those are really the
main issues. I'm so ecstatic that you're happy. I commend
you for being open about it. Because you know, you
(37:47):
make a living rights in social media as an influencer.
That's a very difficult place to make a living because
you're out in the world and it's great and it's
at the same time everyone is critical of you. Luckily,
you're such a lovely person that the overwhelming majority of
your followers are nice people. And there you know, I
(38:08):
read some of your comments after you posted, and it
was like, good on you girl. Of course, everyone's like,
you didn't need it, you were beautiful the way you are,
which is great. But I think the fact is a
lot of people benefit from your openness because they're like, oh,
if I would have never thought she needed is she's
so perfect and where none of us are perfect. All
of us have insecurities, if it mildly, mild, moderate, or
(38:29):
significant or crippling. And the fact that you realize it
was something I don't really like. I don't need to
be a massively insecure person. I want to fix it,
and I'm not afraid of I'm not hiding it is
a really it goes to it goes with your personality,
which is you manage all of this very sort of intentionally,
and I think it's really good because you're going to
(38:50):
help a lot of people because a lot of people
don't have They're not lucky that way, they're not built
this way. They're very unsure, they're very nervous, and seeing
people that they like or admire talk about it makes
it more normal. Right. Yeah, that's it. Anything else that
you want to you're imparting thoughts or recommendations for anybody
who's considering a noteoplastic.
Speaker 2 (39:13):
I think if it's something that someone is considering, and
I actually after I posted, I got a lot of
dms privately this is not interesting. Yeah, and some actually
from moms asking if they should do it for their kids.
Their kids. It's something that I wish I would have
done a lot sooner.
Speaker 1 (39:30):
My philosophy is in general as this, if it's something
that you can't fix, you need to learn to live
with it. You need to learn to live with it,
you need to move on. But if it's something you
can fix within reason and it's available to you, then
I don't believe this notion that you just got to
learn to live with it, because you could have a
higher quality of life and you're a living proof of it.
(39:51):
She's living proof of it. All my patients who are
happy are living proof of it. And so I do
think that most people when they get to the good outcome, right,
we're talking about it, right outcome, right, But when you
get to a good outcome, you realize, wow, it would
have been nice if I was doing this from twenty on,
because while it was not any deficiency, there could have
been a plus.
Speaker 2 (40:12):
Right.
Speaker 1 (40:12):
So that's a great feeling because then it makes you
feel good that you made the right choice. Okay, well,
I don't know what else to say. This was fantastic.
All right, guys, that's a rap on plastic surgery and
censored everything you needed about odoplasty and then some. As always,
we have two parting requests. Number one, if you enjoy
our show, forward this to anybody and everybody you loved
(40:33):
you have not a clue who is hiding behind their
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the second is, if you like our show, we would
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write a review. It makes everybody happy, It gives everyone motivation,
and people put a lot of energy behind this show.
So all right, guys, that's a rap and I will
(40:55):
see you all next week. On plastic Surgery Uncensored
Welcome to another episode of plastic Surgery and censored. I'm
your host, Doctor Roddy Raban, and we have a fantastic
as always episode ahead. It's extra fantastic because we are
blessed to have a patient. You know my feelings. If
a patient is kind enough and generous enough to come
to the show, it makes this whole experience a thousand
times better. And Pia has honored us with her presence.
(00:27):
She is a sweet and wonderful patient of mine. And
we're going to be tackling the subject matter of audoplasts.
So I feel like plastic surgery, there are the main
big events breast, dog tummy tuck, liposuction, rhinoplasty, facelifts. It's
kind of like I always refer to it the Big
(00:47):
five of Safari, right, like if I need to see
an elephant, I need to see a giraffe. But then
there are a lot of other procedures that are equally impactful,
arguably more impactful, but they're not as popular or as
trendy or is talked about, and as a result, maybe
they don't get as much attention or information or knowledge.
And yet there's millions, and I mean millions of people
(01:10):
that are contemplating impacted by that as well. So today
we're going to talk about autoplasty, which if you do
it in the right patient and you do it well,
it is so powerful that it would be as powerful
as doing a rhinoplasty in a sixteen year old. There's
there's no difference in that whatsoever. So we're grateful to
(01:32):
have you. Thank you, thank you for joining us. So
we were chatting a little bit earlier, and let's just
kind of go through your journey. You're twenty eight year
olds twenty eight years old now, and atoplasty like rhinoplasty,
because some things you do at certain ages, right, Otoplastic
rhinoplasty is often something you do earlier in life because
you realize pretty early, kind of around five, that my
(01:55):
ears are prominent and kids are not very kind, and
while they're not going to be like you have a
big nose, because you don't have a big nose, because
all little kids noses are like I look at my
son and my daughter's nose, and I know my son's
nose is going to turn into like this ginormous thing,
but it's so fucking cute. It's so tiny, and I'm
just like I know the day his hormones kikin is.
But ears are prominent from the get go, right and
(02:17):
as a result, a lot of children who notice their ears,
either because they notice it or people make them notice
it really bothers them and they tell their parents very
early on. As a result, we do outoplasty in five
year olds. In six year olds, we don't do rhinoplasty.
In five year old we don't do breast dogs, but
we don't do nothing cosmetic. But in a five year
(02:39):
old we do because we know that their ears are prominent,
will remain prominent, and they're really going to hate it.
So not all people do their ears when they're five, obviously,
because I do a ton of adults. But it is
something that people are kind of constantly aware of. Yeh.
Women and men are interesting in the way they approach otoplasty.
(02:59):
Who have prominent ears are lucky in that they can
cover them. Men who have promen ears cannot cover them
because nine out of ten men do not have enough hair,
and if they have that long of a hair, there's
a whole different issue going on, so they don't get
the luxury of a woman does. Conversely, a woman who's
unable to put her hair up is missing half of
(03:22):
her life, right high ponytail, where my hair up events,
it's sort of elegant, it's very stylish. Right, So most
women who have prominent ears generally are not ecstatic about
wearing their hair up. Yeah, right, fair. The question is
why now? Yeah? Why twenty eight? Why not twenty four?
(03:43):
Why not nineteen? What? Five? I understand because it's like, well, fuck,
my parents didn't do it, But what were the factors,
if you will, that played into this moment as opposed
to anytime sooner?
Speaker 2 (03:58):
Well, I think like as I grew older, I think
I went through phases, right, So there were sometimes where
it really bothered me. It was something that I really
hyper fixated on, and then I would kind of get
over it. And then when I would get over it,
I would just I wouldn't care, you know, I'd wear
my hair up, I would do whatever it is that
I needed to do and kind of just like ignore
(04:19):
the fact that my ears were larger.
Speaker 1 (04:21):
Were you ignoring it or had you accepted it? Important distinction?
Speaker 2 (04:24):
I actually think I had accepted it for a while.
Like there was a period like it just didn't even bother. Yeah,
it didn't even bother me, And there was a period
of time where I was like, I'm never going to
get my ears done just I don't care enough.
Speaker 1 (04:34):
Correct.
Speaker 2 (04:34):
And then when I was twenty two, I actually had
gone to see another surgeon and I did a console
and I didn't align with the surgeon at all. And
after that I took it as a sign as like, oh, well,
was it meant to be? Yeah, this just isn't for me,
you know, so I kind of just dropped the subject.
Speaker 1 (04:54):
Was there anything in particular, just because I think though
obviously everything worked out the way supposed to work out,
what was the if you remember, what was it that
didn't chime or jive? What didn't you connect with that person?
Do you remember what it was at the time that.
Speaker 2 (05:09):
Yeah, it felt like it was just like, I mean,
you have a really wonderful bedside manner. I think at that
time in my life, I was already so anxious about
the idea of getting any surgery done, and that particular
surgeon did nothing to ease my mind.
Speaker 1 (05:24):
You thought his approach to it was not comforting. Correct.
Maybe what he said surgically was fine, but he didn't
make you feel safe in the way that like I'm
already freaking out about this thing. Yes, got it? Okay,
So like the sign wasn't meant to be fuck it,
I'm not doing it. Yeah.
Speaker 2 (05:40):
And then come my twenty eighth birthday, I don't know
what it was like. I just woke up and I
was like, you know what, this is gonna be the
year where I fixed my ears?
Speaker 1 (05:49):
Was there anything that had preceded that? You got to comment,
because you do a lot of stuff on social media.
I know that everyone who follows you was like, no,
don't do it, because it is kind of a signature
of yours. Yeah right, like people with a gap between
their tooth. It's one of those things that's arguably not desirable.
Yeah right. I mean you could say that and I
don't buy it. People love to like the naysayers are
(06:11):
always like, yeah, that huge pantas hanging off your abmen,
it's who you are. It's a sign of your children.
It's like, give me a fucking break. That doesn't look good.
Don't tell me that. But like a little bit of
a hump on her nose and a woman, it's kind
of arguable. It's kind of got its own style. Yeah,
so your ears weren't like crazy dumbo ears and you
(06:31):
had sort of embraced it. And I noticed because I went,
I did a little stocking, and I noticed that you weren't.
It wasn't like you had completely covered your ears all
these years. So you were kind of like, it is
what it is. And I know your fan base was
very like, we love you whatever you decide to find,
but oh, don't do it because they had liked it.
But was there something that I read?
Speaker 2 (06:53):
No, there wasn't an event. But I think it came
down to maybe when I was thinking of doing it
when I was younger, like twenty one, it was because
I was getting comments about it, whereas now the choice
to do it was just solely my own. It wasn't
there it felt like it was.
Speaker 1 (07:07):
It was. It was more more organic. The problem was
the coming straight from insecurity.
Speaker 2 (07:13):
Absolutely, like there was no driving factor that was like, oh,
this is the this is the comment that you know.
Speaker 1 (07:18):
Kind of because a lot of people can trace it
down to an event, and it's not that it makes
it any less worthy, like a very harsh boyfriend or girlfriend,
a terrible comment online, a family member who was super insensitive,
like a lot of people know the handful of jabs
that sort of pushed them over the top. That being said,
(07:40):
yours was sort of like, you know what, fuck it,
I just want to do it. I'm twenty eight. Yeah,
so you decide that, and then what what is your process?
What is your process? When you're like, I want to
do my ears and I'm assuming you started with a
computer or a phone, I like this because it's more
my generation like that, Yeah, that's your generation. I'm like,
but is that a typewriter? So you get on your
(08:02):
phone and what is your tech? Me through your process?
Speaker 2 (08:05):
I literally went on chat GPT and I put in
best plastic surgeon in Beverly Hills for an autoplasty, and
five came up. You were obviously one of the five,
and I just started like stalking each account. I actually
saw a different surgeon before I had come to see
you for an initial consul.
Speaker 1 (08:26):
No, I'm just kidding. I know, no, but that actually
turns out to be the right thing. And if I
had my regrudgers and I could do anything I wanted
my practice, I would insist because I can't that everyone
who sees me has seen someone before. That is like,
if we can look at our statistics, our closure rate
on patients who have seen other surgeons and see me
(08:46):
second or third is three times higher than if I'm
your first person because you have no point in reference.
You don't know if you like chocolate until you've had
Vanilla strawberry and Rocky Road, Like, you just don't know,
so you stalk those five and it saw someone else
go ahead and.
Speaker 2 (09:02):
Okay, So I saw the other person, and the other
person I actually liked, like I honestly thought. I was like, okay,
this is good enough, you know whatever.
Speaker 1 (09:09):
I like.
Speaker 2 (09:09):
You said. I don't have a point of reference, so
I wasn't too sure.
Speaker 1 (09:12):
Really was so that anxiety about the emotional part was gone,
because that was what was missing in the first person. Right.
One you're more mature, and two maybe they were a
little bit better bedside, right Okay.
Speaker 2 (09:23):
But then I'd come in and I think I met
Sally first, and I don't know if the podcast is
Noah is Wow, She's like so incredible, And upon meeting her,
I was like, wow, everyone in here is so nice,
so sweet.
Speaker 1 (09:41):
Yeah.
Speaker 2 (09:42):
Then I met you and I was like, oh, this
is definitely my doctor. It wasn't necessary. I think you
said something that really stuck out to me and you
were like, I want you to be able to wear
a high ponytail.
Speaker 1 (09:52):
Yeah, but that in my opinion as a male, because
at the end of the it's a little bit interesting
that most plastic surgeon, not all are met doing most
plastic surgery for women. Understand like most gynecologists are women
now that are doing gecology. Gynecology for women makes sense, right,
but like, it's kind of interesting that men are doing
(10:14):
surgery for women on their aesthetic if you really think
it through. So we can only know so much, but
if you do this long enough and you are sensitive
to the ideas, we do know what it is. I
don't feel I don't know, but I know what are
the things that drive a woman to want to do
these things? And so I know in the area of
autoplastys especially, you are very fashion forward. Makes a difference.
(10:36):
If you're a farmer, it's different than if you're a singer.
It is different than if you're a pilot. And so
for someone who's my wife's super fashion driven much like you,
and outfits and styling hair is a big part of
that experience. And it's as I said, it's like you
kind of just can't enjoy that aspect as well. So okay,
(10:56):
so you came in and you is there anything else?
Because I think, and it's not so much to highlight
how great I am, but the nuances that people have
to utilize, because when you're picking your surgeon, you're kind
of getting married, right, Like you have a boyfriend, you
go out with him five, fifteen, twenty thirty times, and
then at some point it evolves into like I really
(11:18):
love this person. Because you have a multitude of experiences,
you usually pick a surgeon after one visit. I'll granted
you went on three different dates with three different guys,
but it's one date with that guy and then you're
like you can operate on me. It's like, what the fuck?
You don't even know this person. So it's important to
(11:39):
always have patients try and tease out the things if
they can. Sometimes you don't know, it's just a gut.
I just felt that way. What were the nuances? Because
that's what people who haven't had surgery are trying to
figure out, Like there are no guarantees, but I'd like
to be able to find the right surgeon for me,
and whether that's in Ohio or Oklahoma or Germany or wherever.
(12:02):
Do you know what that nuance? Can you? Can you
identify what the elements were?
Speaker 2 (12:06):
I mean, aside from it being a very intuitive decision.
Speaker 1 (12:09):
Which but there's something that leads to intuitiveness, do you
know what I mean? We may never know it, like
I don't know, it's just it's just how I felt.
But if we were able to, they add up to
the intuitiveness. So is there anything in particular?
Speaker 2 (12:24):
I think the ease in which you explained the process
to me in a way that I understood right. Like
you told me that when you're looking at a person,
you should see their ear in a three in a.
Speaker 1 (12:36):
Three step fashion and atention.
Speaker 2 (12:39):
That made perfect sense to me. It was like, no
one's ever explained it to me like that before. I
just assumed that my ears were meant to be instead
of out.
Speaker 1 (12:47):
So the reason I bring that up is because then
you make a great point and we'll get to that.
People assume erroneously that ear pinning is pushing the ear
as far back as possible, and that is one thing
thousand percent not the right thing to do, and that
actually takes zero skill and zero effort literally gluing. That's
like liposuctioning is to remove as much fat as possible,
(13:09):
not accurate. The challenge is removing the right amount, and
the challenge of the ear is setting it back enough
where it's no longer prominent. I don't even know what
you're talking about, but it's like so normal and in
normal ear, if you look at fifty thousand ears, which
most people who want an otoplasty have, it's gradual. It's
each thing is moving out, so that that's interesting. So
(13:30):
you like the explanation. I tend to be very academic,
and for the patient to like that, it's a big
selling point. Some people are like, just too much information,
Like I was overwhelmed and they I've actually had one
patient it's like, can you not tell me this? And
I was like I can't not tell you this. You
need to know. Like she was like, I don't want
(13:52):
to know, just do what you have to do, Okay,
the information.
Speaker 2 (13:57):
I think it was the combination of that, and then
you have a good sense of humor because you literally
said verbata, a monkey could staple your ears back to
your head. Sure like that. There's no art form in that.
And I think it was the combination of those two things.
You being so knowledgeable obviously and then also having a
sense of huge r.
Speaker 1 (14:15):
So is a personality meets a skill level? Yeah, which,
when you distill it makes sense. Now maybe somebody else
finds a different personality desirable and maybe a different skill set.
So perfect. So you you came in, you did your
second consult perfect, and you're like, I want to do this.
I will tell you that the relationship is a two
ways stream. We seldom talk about our experience, right, because
(14:40):
remember I'm a person, I'm not a robot, and I
have to operate on you, and you're picking me. I'm
picking you right. You people don't think that I have
canceled refused surgery left, right and center. Really, hundreds hundreds.
I've canceled five surgeries in the prep in waiting to
(15:01):
go about to have surgery, I canceled the surgery because
I my spidy sense is this is not gonna work.
And we haven't got how many people have walked away
at the altar millions? Right, So what the fuck You're
about to get married? All these people are in the
they're in the chapel, we have a cake. I can't
do this right, and so I am equally gauging you
(15:21):
because while I'm doing this for a living, I don't
want to be married to you. If you were crazy right,
you can make my life miserable. I will say, you
are the ideal patient in that experience, and so I'll
reverse this on you. You came in, you said how
(15:43):
can I help you? You were pleasant, sweet, and nice
to everybody. There are a lot of people that come
to our office are rude, short tempered, and entitled because
it's a plastic surgeon's office. I walked into arimez I
am at the Bentley Dealership. There's a sort of sense
of entitlement, whereas you wouldn't do that at Starbucks because
no one gives a fuck, right, But in that office,
you're like, I'm somebody. Our office is often busy, and
(16:07):
as a result, there's a decent amount of waiting, which
is not nude to anyone, because at the end of
the day, when I meet with you, you're like, ah,
this is why, because I'm speaking for like an hour
with you. There's no way I can speak with you
an hour with you and everybody else. It's either I
spec five minutes with you. If I came in and
I saw you for five minutes, and then I left
and you waited two hours. I'd belive it, but it
isn't five minutes. It's a long time. So you did
(16:31):
all that. You were nice, and when I came in
and I explained everything to you, you were like, okay, yeah,
that makes sense. I got it. That makes sense. Perfect,
And then it was do you have any questions? Maybe
you ask a question or two, but it was very streamlined.
I could tell that you were just very certain of
what you came to learn, certain of the decision you made.
You didn't need a lot of handholding and convincing. I
don't mind doing it. I do it all the time.
(16:53):
We have all kinds of patients, but you're the ideal
patient because we're here to educate you and buy you
a service and make you happy. And when you come
knowing exactly what you want, recognizing what it is that
you see, and then I think you book like right away,
which obviously, as a plus surgeon, we love that, right right,
(17:13):
But that's not the point. The point is that shows
your definitiveness, Like at twenty seven you didn't want to
do it, but when you said you want to do it,
you're like, I'm ready to do it. And so you
did that and that was great, and have been equally
seamless with every after with every after visit, with every
visit you've come, it's just like boom, It's like this
are our goals, objectives? Done, done, done, spuzzn't fine, sweet
(17:35):
hug everyone by guy. So remember this which nobody really
talks about. But it's a mutual relationship. It's a two
way street. And I do think that there is a
certain connectivity between two humans, whether you're the bagger at
the checkout count or at a supermarket and the person
paying your two people and you're having a moment of exchange.
(17:57):
If the bagger and the person who's buying stuff are
on different wavelength, different energies, having bad days, they will
have a conflict even though it's just there, let alone
me and a patient or whatever. So that's great. So
you decide to do that, You're like, check, I'm gonna
do surgery. If I'm not mistaken. It was very from
when you decided to when you did. It was relatively
it was fast right yeah. Again, testament to that, were
(18:19):
there anything that you were It didn't seem like it
to me, but were there your concerns. Were you fearful
of anything? No, I wasn't.
Speaker 2 (18:27):
Actually, I like woke up that morning and in my
head I was already planning on what I was going
to do after the surgery. It was just like another thing, right.
Speaker 1 (18:35):
I was like, oh, yeah, that's right, I gotta do
that surgery thing in the afternoon, I got to pick
up the dog. It's it's like, so again makes sense, right,
because when this works, what I think your surgery, aside
from the otoplastic conversation, what I think your surgery demonstrated.
And you said it to me because I asked you
before I ask every guest before we start, what stood
out for you? What would you like to talk about?
(18:56):
This is your show, this is about your experience. And
what you said to me was I was surprised at
how seamless it was. That's what you said to me.
I wrote it down, meaning I said, what do you
mean you said? Like, I just I didn't realize it
was gonna be so easy. Like I just decided I
did it. Surgery was great. I didn't have really discomfort.
I did the protocol. I came off of the protocol
and now I'm living my life. But again, that requires
(19:18):
for you to be easy. You need to grease the wheels.
You need to be a person who knows what you want.
And it makes sense that it was seamless to you
because you made it seamless. I'm the same factor. I'm
the same person, Yet I have another patient. I'll do
an odoplasty. It's like pulling teeth. Wear the garment? How long?
(19:38):
How much more do I have to wear this one?
You gotta wear it? We can? I like, I have
discomfort in my ear. Okay, you just had an oplasse.
It's so, it's so so two ways. And you will
dictate your experience based on who you are. And you
were just like yes, yes, yes, and luckily and I'm happy.
(20:00):
The experience mirriage your personality, right, and so that is
the idea that you omit the experience you want to have.
High anxiety people, histronic people, high intensity people create drama
just the nature of it. And drama begets a challenge.
So I'm going to do it. Sign up day, have surgery,
(20:21):
just knock it out. Surgery and then the recovery. So
a lot of people are worried about recovery, right because
it's rightfully so yeah, kind of a nuisance, there's discomfort
for many people, there is the inconvenience, etc. So presumably
your recovery was better or as good as you had
(20:44):
anticipated because it was part of the seamless process. Was
there anything that stood out for you in the recovery process?
Speaker 2 (20:51):
Not necessarily, I would say, like day one, obviously I
had just gotten surgery, so I was very uncomfortable. But
then any day there after, there was no There was
nothing that you didn't already explain to me was going
to happen.
Speaker 1 (21:05):
Right, So it was as expected. So nothing was nothing
stood out because it's like, oh, and by this day
you should be feeling that, well, that's the one that's happening,
and then at this week we're going to remove this
and it'll look like that, and it is. So it
was as expected.
Speaker 2 (21:15):
Everything was as expected, and you explained it to me
in the exact order that it was going to happen.
So yeah, correct, there was no surprises there. I think
the only thing that I wouldn't even say I struggled
with it. But wearing a headband for six weeks was bingo.
Speaker 1 (21:30):
So well, chat chat about that. So ninety nine percent
of let's give you some basics on atoplastys. So you
understand I do all my ear odoplasties from behind the ear.
There are some people that do incisions in front of
the ear, and my humble opinion, there's no indication, no need.
You should never see the scar in the front. Secondly,
the incision in the back should be healed invisible, never there.
(21:51):
You should be able to go get a haircut. They
should pull your ear forward, not for a year, but
eventually pull your ear fot because eventually you got to
forget about this and not even have conversation be like, oh,
you had an odoplasty, how do you know I can
see your scar? That should heal beautifully. There are three
parts to a prominent ear, so let's chat about that.
What makes an ear look prominent? There's tons of words
(22:13):
for prominent, stick out dumbo. Everybody has their own version
of it. But there's three things that generally make that,
and not everybody has all those three things. One and
most commonly is the curvature of the ear. That outer
curvatures called the helix. Everybody most everybody has that. The
next curvature, so there's the outer curvature, and then there's
(22:35):
a mirror of that curvature step wides inward. That is
called the outer curvatures called your helix, the inner curvatures
called your anti helix, and patients who have a more
dumbo esque type ear, that area is obliterated and very
smooth in concave, so it looks very like like a
like an elephant's ear. Smooth, there's no con contour in there,
(22:59):
and so the ear is flat and sticks out. So
that's one of the signs. The second is that my concha,
the bowl part of my ear, is really big, and
as a result, like when you put your finger in
the bowl, it's really deep. That means you have a
lot of concha. And the third is the place where
my ear just sticks to my head is really wide open.
(23:20):
In other words, if you pin it all the way
to your ear, you couldn't run your finger behind it,
and if it's wide open, you can put three fingers
behind it. So the angle is off. Depending on what
your version is, and I don't remember exactly your version,
we have to do one of three things or the
sum total of three things. So to address the Dumbo
ear part, we put sutures, permanent sutures from behind like cables,
(23:47):
that cross over, and as you tighten them, the ear
gets pulled back and back and back. Right get you
create the fold that's missing, right, you create this fold,
and as a result, this part gets pulled back. That's
the area that page doctors make some of the worst
mistakes because they overpull it and then your ear gets
pulled backwards. And there's a very classic when you look
(24:09):
at someone who's had their ear is done. If this
outer helix is not a little out, it looks pinned back.
The second thing is the conscious too much and you
have to take a little wafer or wedge the concha
out so that when you push the ear back, there's
somewhere for it to go. Like if I go to
close the closet and there's a dresser in there, you
(24:31):
can't close the closet. You got to take the dresser
out and put the closet closed. So you need to
remove some consha And the last which is done in
every single case, is we suit your the ear slightly
back and close that angle so that it's closed. So
those are the three things that needs to get done
with the ear. Now, ninety nine percent of surgeons, including myself,
(24:52):
in the recovery stage. Have you wear a headband or
some type of band for two weeks. The first week
you're dressed up like a teletubby. You look like an eskimo.
Then you come in we take everything off. Hopefully you're
not gasping like which you weren't. Your ears might be
a little swollen. They tend to be a little puffy
in a little out, but usually the first week they
(25:12):
should look pretty bang on. Yeah. Then you usually wear
a headband to keep the ears in position, like if
you broke your arm, you'd wear cast and you wear
that headband for another week. Nine out of ten surgeons,
including myself, will at that point let you go. And
I did that for the first six seven eight years
of my practice, and I did a decent number of votoplasts.
(25:34):
And what I noticed is that when the dust settled,
the fat lady saying a certain percentage high enough that
it aggravated me of ears gradually lost some of their correction.
They didn't become dumbo ears again because we've done a
lot of surgery, but they weren't as nicely flat as
I had liked. Because your ear has memory, it's been
(25:58):
there for twenty eight years. A few little stitches and both.
Your ear is going to be stuck to your head,
so it wants to go where it used to be.
It has a memory and we are operating on it
and then forcing it to stay. So many years ago
I made a conscious decision to force the patients to
wear a headband for six total weeks, and while it
(26:21):
is incredibly annoying, it is incredibly effective and as a result,
I have not had any recurrence or setback or failure.
And it should make total sense to you. When you
break your arm, you're in a cast for sixty eight weeks.
The reason why the magic number is six to eight
weeks is that's how long it takes for you to
(26:42):
generate eighty percent of the collagen that is required to
hold things healed. So if you do it any sooner,
your body just hasn't done its job. So that is
probably the only thing I do that patients will and
bitch about, right, like okay, and you just took it
with stride. You're like, okay, you made it part of
(27:04):
your outfit, and you move the hell on because you blink, blink,
and it's over. Yeah, that's it, it's done. Go live
your life. So I think that's really really important because
it's worth a little bit of inconvenience for a lifetime
of improvement. Right, that's the idea we do this. So
(27:26):
you did it. Your experience has been seamless. What fears
did you have before we met about earpinning? Well, just
like if you were just like when you were contemplating,
like if you say to a patient, like you want
to get your nose done, Yeah, what fears? Oh, I'm
going to look like Michael Jackson ninety nine percent of patient, Like,
I just don't want to look like some you know,
crazy overdone nose. Was there any such fears you had
(27:48):
when it comes to ears before you started the journey?
Speaker 2 (27:51):
Was like, I mean, I think any fear when you
go through any sort of plastic surgery is that it's
not going to look good. So my biggest fear was
that it was going to be pinned to my head
really far, really far back, and it was going to
be a very noticeable thing that I had done and
everyone's just gonna be like, wow, she really just she
she really just went your ears all the way back.
(28:13):
So that was the biggest fear because it's really hard,
I think with the nose you can kind of conceptualize
what it could potentially look like ears, At least for me,
I was like, I don't know what I would look
like with And.
Speaker 1 (28:22):
The thing is, if you try kind of like the
nose to demonstrate it to a patient, like if I
push your ear back, it kind of looks weird, and
if I push your nose up it kind of looks weird.
It kind of can't show you. Yeah, so what are
the things that can go? Thank God, nothing went wrong
and you are the model experience, meaning both as a
(28:45):
person and your experience just went like tick tick tick
take off. So but what are the things that patients
should consider? What do they need to be worried about?
Number one is that I think the number one most
problematic thing with ears over correction, Like I think, by
and large, the biggest thing that you have to worry
(29:06):
about is that it's just as I said, a monkey
can staple your ear to your head. Like you just
overdid it, and you went from a problem, I think,
a natural problem to an unnatural problem. Right in other words,
like prominent ears are not great, but nobody went out
of their way to get a prominent ear, but pinin
back ears look one hundred out of one hundred times abnormal.
(29:26):
And within that type of pin and back ear is
something called a telephone ear where the top stays out
but the inside gets pushed back. And so like a telephone,
like where the top and the bottom of the phone
the old school phone, iPhones, old school phone, you get
a weird not only is it fully back, but you
get a weird shape to it. It's not just flat,
but rather kind of bode. That's very very problematic. Things
(29:51):
like himotoma or necrosis and all those things are pretty
rare most times with ear pinning. It's kind of like
a life instruction, just overdone, and it doesn't really look
harm harmonious. It just looks odd or And the thing
about ears that makes it really challenging, which is interesting,
is it's two of them, yeah right, and you can
(30:12):
see them both at the same time, and you need
both of them to look the samesh right. Ish. They'll
always be a little different, but they can't be majorly off.
So you got to hit a home run and hit
another home run because you know you crushed it. Oh
my god, this ear looks so fucking good. I'm done, No, bro,
(30:33):
you gotta go to the other side you got it
is all over again. So I do think that aspect
of ear is kind of interesting and challenging. I think
what you said to me, which is interesting and which
is what a lot of patients says. Had I known,
and I think this is quite common that the experience
would be as you said, seamless. God, I would have
(30:56):
definitely done this sooner, right, which is a common statement.
And I think that's funny because that's the first thing
you said, because I think people think that the recovery
is more brutal than it is caause you think that's accurate.
Speaker 2 (31:09):
Yeah, I think that's accurate.
Speaker 1 (31:10):
I also think.
Speaker 2 (31:12):
Until I saw you, I was under the impression that
I would have to be awake when I did it,
which is something that I actually did want to touch
on because I was so scared of that.
Speaker 1 (31:21):
I'm scared of that. I don't want to do anything away.
So this is a very common So let's talk about
this in general. In general, as doctors, our number one.
Speaker 2 (31:32):
Goal is what to keep your patient a life.
Speaker 1 (31:35):
To get your money, Okay, Our second goal is for
you to be alive. Our number one goal is for
you to book. Let's just be really frank about this.
I want you to book surgery. So I am a
really bright guy. I did really well in college. I
crushed it in the you know, the mcat so I'm
pretty savvy. So the way to get you to book
(31:56):
is to eliminate all of your fears. Right. If I
can eliminit had all your fears, you're like, oh, there's
no barrier to entry. So fears or obstacles are what
I need to get out of your way, right if
I want If really, my goal is just to lubricate this,
so you do it. So pain is one of them.
(32:17):
So we do painless things. We market it as painless
things like painless breast dog yeah, right, scars, scarless, nosejaw recovery,
flash recovery. It means you did your otoplasty and you're
back to the gym in three days. Right, So anywhere
(32:38):
where you're hitting an obstacle, if I eliminate that obstacle.
By the way, I'm not really eliminating, I'm just telling
you it's God. You are more prone to do it
because you keep you can't. You don't have any excuses,
right finances, they drop the price or whatever it is.
And then one huge obstacle for some people is fear
of anesthesia. Totally, totally, totally make believe right, I'm just
(33:02):
afraid of it. I don't know it. I don't know
what happened my aunt. My aunt had surgery. She died, Okay,
well have it if it was because she was one
hundred and eighty with a heart problem, it was anesthesia, right, Yeah,
So for a subset of people, anesthesia is frightening. So
doctors making sure to maximize their benefit on each of
these things. We'll say with conscious nation or awake surgery.
(33:28):
And in your world you're like, you gotta be fucking
kidding me, But in somebody else's world, it's like, hallelujah.
We get calls every day, do you do awake? Tummy tucks?
Do you do awake? Breast dogs? Do you do awake?
Do you do awake? Now, there are two parts to
the awake part. There is patience, safety, and then there
is in my opinion, efficiency and done doing it well.
(33:52):
So there are surgeries that you can do awake. You
can do an upper eyelid awake, and by awake, we're
talking a fully awaken just local anesthesia. Hi, hey, ho
two is local anesthesia and some ivy sedation like you're there,
you're kind of mumbling, but like if I if, I
go huh, well yeah, okay. So that's the next level.
(34:13):
Third level is general anesthesia. We use local but you're
knocked out. Yeah okay. So there are a number of
surgeries that we can do awake and or in that
twilight area. One I can do your upper islands. Two
I can do your facelift. Three I can do your chinnong.
Four I can do your liplift. Five I can do
(34:35):
your nose job. Oh my god. Six I can do
your breast dog. Seven I can do your life assuction.
So those doctors, there's a lot of doctors who will promote, advertise,
market maximize this conscious sedation awake type of anesthesia. H
(35:00):
marketing to those people who have great fear. And as
a result, there is a lot of people. I did it,
and I did it. I do my facelifts asleep. And
it was a lady, a patient of mine. I did
all her other surgeries. I saw her and she's like, listen,
I chose to do my facelift elsewhere. I said, okay,
may I ask why. She's like, because the other guy
said he'll do it awake. I was like, uh, okay, great.
(35:21):
So from a standpoint of doing, you can do it
both ways. From my personal opinion, and I've done them
both ways. I would never want to be conscious or
semi conscious. And here's the reasons. Number One, you are
not still. You're inevitably moving. Maybe not a lot, but
you're moving. That annoys the hell as me as a surgeon.
(35:42):
I did my mom's upper eyelids, the only surgery I
ever did for I started it under conscious dation because
she was older, and I had to convert her to
a full anesthesia because she was moving, just driving me
fucking crazy. Two, I think patients will then realize how
fearful it is, because a lot of people are like,
oh my god, the worst experience I had is I
did awake life of suction. My god, they kept putting local.
(36:05):
I was I could feel it because you're awake. Yeah. Third,
things are messier in my opinion, not always, but can
be messier. And fourth, and without a doubt, when you
do conscious sedation, so conscious sedation is neither here nor there.
It's not fully awake, and it's not general anesthesia. You're
(36:28):
flying in this really tiny zone. So they're giving you
anesthesia IV, but you're awake and breathing on your own.
When you start waking up, they give you more IV.
If they give you too much IV, you stop breathing.
So this anesthesiologist, whoever's there, has to fly this plane
right in that not too much, not too little, not
(36:49):
too much, not too little. In my opinion, and there
are many instances, Joan Rivers is one of them. That
is a dangerous way to do it, because if they
overnarchtize you and you stop breathing, you have no airway,
then I have to suddenly scramble and try to put
a tube in you in modern day anesthesia. I'm not
talking about in nineteen sixties modern anesthesia. I would rather
(37:12):
be modern day anesthesia for fourteen days than do anything awake.
So it turns out, interestingly, your biggest fear was somebody
else's wish.
Speaker 2 (37:23):
Yeah, I would never have wanted to be awake for.
Speaker 1 (37:25):
That right so and as nor would I. But it's
interesting because some people find that that's what they want
to do. So interestingly enough, yeah, those are really the
main issues. I'm so ecstatic that you're happy. I commend
you for being open about it. Because you know, you
(37:47):
make a living rights in social media as an influencer.
That's a very difficult place to make a living because
you're out in the world and it's great and it's
at the same time everyone is critical of you. Luckily,
you're such a lovely person that the overwhelming majority of
your followers are nice people. And there you know, I
(38:08):
read some of your comments after you posted, and it
was like, good on you girl. Of course, everyone's like,
you didn't need it, you were beautiful the way you are,
which is great. But I think the fact is a
lot of people benefit from your openness because they're like, oh,
if I would have never thought she needed is she's
so perfect and where none of us are perfect. All
of us have insecurities, if it mildly, mild, moderate, or
(38:29):
significant or crippling. And the fact that you realize it
was something I don't really like. I don't need to
be a massively insecure person. I want to fix it,
and I'm not afraid of I'm not hiding it is
a really it goes to it goes with your personality,
which is you manage all of this very sort of intentionally,
and I think it's really good because you're going to
(38:50):
help a lot of people because a lot of people
don't have They're not lucky that way, they're not built
this way. They're very unsure, they're very nervous, and seeing
people that they like or admire talk about it makes
it more normal. Right. Yeah, that's it. Anything else that
you want to you're imparting thoughts or recommendations for anybody
who's considering a noteoplastic.
Speaker 2 (39:13):
I think if it's something that someone is considering, and
I actually after I posted, I got a lot of
dms privately this is not interesting. Yeah, and some actually
from moms asking if they should do it for their kids.
Their kids. It's something that I wish I would have
done a lot sooner.
Speaker 1 (39:30):
My philosophy is in general as this, if it's something
that you can't fix, you need to learn to live
with it. You need to learn to live with it,
you need to move on. But if it's something you
can fix within reason and it's available to you, then
I don't believe this notion that you just got to
learn to live with it, because you could have a
higher quality of life and you're a living proof of it.
(39:51):
She's living proof of it. All my patients who are
happy are living proof of it. And so I do
think that most people when they get to the good outcome, right,
we're talking about it, right outcome, right, But when you
get to a good outcome, you realize, wow, it would
have been nice if I was doing this from twenty on,
because while it was not any deficiency, there could have
been a plus.
Speaker 2 (40:12):
Right.
Speaker 1 (40:12):
So that's a great feeling because then it makes you
feel good that you made the right choice. Okay, well,
I don't know what else to say. This was fantastic.
All right, guys, that's a rap on plastic surgery and
censored everything you needed about odoplasty and then some. As always,
we have two parting requests. Number one, if you enjoy
our show, forward this to anybody and everybody you loved
(40:33):
you have not a clue who is hiding behind their
hair and really desperately would need to hear this and
would open up a whole new world for them. And
the second is, if you like our show, we would
love it if you would go write something nice, Go
write a review. It makes everybody happy, It gives everyone motivation,
and people put a lot of energy behind this show.
So all right, guys, that's a rap and I will
(40:55):
see you all next week. On plastic Surgery Uncensored
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