Episode Transcript
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Speaker 1 (00:06):
All right, welcome back to another episode of Plastic Surgery
and Censored. I'm your host, doctor Roddy Rabon, and I
am sure if you're listening in it's because you listened
to our first episode.
Speaker 2 (00:15):
This is a two part series, and.
Speaker 1 (00:19):
We're so lucky to have this fantastic, lovely young lady
Britney from Memphis, Tennessee. I early brought her because I
love her accent and her story happens to be very compelling.
Speaker 2 (00:31):
And so hopefully you've listened to our episode prior.
Speaker 1 (00:34):
I'm going to give you a quick rundown of what
we discussed because it's critical for this second episode.
Speaker 2 (00:39):
So Brittany at a young age.
Speaker 1 (00:45):
Was a teen mom like so many people, was in
good shape, was five to two one hundred and thirty
two pounds, had a little bit of a mommy pooch
like millions of women, and when.
Speaker 2 (00:55):
To go get a little bit of LiPo, no big deal.
Speaker 1 (00:58):
At the time, there was a very popular type of
life assunction called smart LiPo, which essentially, for all intentsive purposes,
is laser driven LiPo. You take a little bit of heat,
you melt some of the fat, you very elegantly remove
the fat and because it's so delicate, it can be
done awake, which you did, and she went ahead and
(01:21):
did it, and lo and behold. She was left with
a devastating complication of huge contour regularity fibrosis, scarring down
of her abdominal skin to her muscle, and then subsequently
went in for a revision by the same guy in
hopes that it would be better and to no avail,
(01:42):
only later to realize that it was an er doctor,
which we've talked about thousands of times. You'd say to yourself,
you're so judgmental while you're listening, like, ugh, how could
she end up with an er doctor? It happens literally
every day. People go in get surgeries and procedures done,
only to find out that the person was a dentist
or an interventional radiologist or what have you. So she
(02:04):
goes through a ton of journey, goes on to have
two more beautiful children, now a mother of three children,
and in addition to this horrible complication that has left
her essentially mutilated for all intentsive purposes, she now then
has a diastasis, which is a separation of her muscles
as a result of having three kids and a hernia
because her diastasis is very severe. She goes on to
(02:27):
do a massive cross country tour of six different surgeons
to find a solution, only to be told that there's
nothing anyone can do. She's at high risk of skin
death or necrosis because of that area I mentioned, And
one doctor did mention to her that she did have diastasis,
(02:47):
in which she reverse engineered, went down a couple of
rabbit holes, and lo and behold, we were united. I
did her virtual consult two years ago, now more. And
in that virtual consult from Tennessee, I told her, listen,
I'm not sure that I can help you, but one
thing is for sure. Without physically examining you, I can't
(03:07):
tell you one way or the other.
Speaker 2 (03:09):
So you got to be game.
Speaker 1 (03:11):
And I know you spent a lot of money, but
you got to come in here and let me take
a look. And as I said to her in the
last episode, I give her mad credit because Britney isn't
Elon Musk or you know, uber wealthy. She was a
hard working young lady, married and has kids, and yet
she invested in her own well being and came on out.
(03:32):
So this episode's all about what the hell did we do.
I can just tell you you look fantastic.
Speaker 3 (03:38):
Thank you.
Speaker 1 (03:39):
And my understanding is you've worn a bikini since the
last time you and I spoke.
Speaker 2 (03:43):
So let's see what we did.
Speaker 3 (03:45):
Okay.
Speaker 1 (03:46):
So when I examined you, the diastasis that you had
was severe, but in and of itself, it's a die stasis,
and I specialize in die stasis, and I do die
stasises that are like unreckinggi isable human you know.
Speaker 2 (04:01):
Changes.
Speaker 1 (04:02):
The hernia was again part and parcel to the dycetasis.
What made your situation so tricky is that in order
to fix the di stasis and the hernia, you need
a tummy tuck. We need to open up your abdomen,
go in there and repair those muscles, repair the hernia.
But in order to do that, you got to lift
up the hood of the abdomen. And when you lift
(04:23):
up the hood of the abdomen, you're now lifting up
this brittle, thin, scarred down abdominal wall, which is highly
probable to create new complications. Yes, so I said to you,
this is what I think.
Speaker 2 (04:39):
And you know me, I'm always brutally honest.
Speaker 1 (04:42):
Yes, I'm not sure if this will work, but if
you were my sister. The only way out of this
forest fire is through this corridor. And here's what I suggest.
Number one, We're going to have to do multiple rounds
(05:03):
of fat transfer trying to rebuild the damage abdominal wall. Again,
that means I'm gonna have to do selective LiPo. That's right,
the thing I hate, but in small amounts. Take that fat,
process that fat and reinsert it into the cement block
(05:26):
of your abdomen, hoping to make it come alive, thicker
and more uniform and look more abdomen like.
Speaker 2 (05:35):
And that might take two rounds, three rounds, four rounds.
I don't know if it'll work.
Speaker 1 (05:41):
I don't know if your abdominal wall will take the
fat and it will survive. And I'm not sure even
if after we do it, it will be enough for me.
Speaker 2 (05:49):
To lift your abdomen, didn't I? Yes, you did, And
I said it's it's going to be a long journey. Yes,
And you said, I want to do it. You should
sign me up.
Speaker 1 (06:04):
So let's talk about that part about it, and then
we'll get into what we ended up doing afterwards. What
compelled you to do it despite the fact that I
was arguably not very selling.
Speaker 3 (06:18):
I think one of the first things that I was
drawn to was your honesty.
Speaker 2 (06:23):
And your wrongness.
Speaker 3 (06:26):
I really appreciated that in that moment you told me
that I actually would have to lose weight, Yes, because
I think I was a little thicker, a little heavier.
Speaker 1 (06:36):
And the reason that was is the number one way
to fix dice stasis is for you to be as
lean as possible because it helps with the intro abdominal
fat right in order. In other words, when I start
to sow the muscles, if you're overweight of any sort,
it makes repair of that a little bit more challenging.
Speaker 2 (06:53):
So go ahead.
Speaker 3 (06:54):
The second thing was you You didn't say no, but
you brought the fact that no one had ever said
that they could put that in my abdomen. I'd never
heard of that. Yeah, So I was like, I think
this guy knows what the hell he's talking about.
Speaker 2 (07:12):
Sure sounds convincing, and it may.
Speaker 3 (07:15):
I mean, it made sense, like that kind of makes sense.
If it's no fat in the area, why why can't
we add fat? You know, people get fat in their ass,
they get fat in their boobs, right.
Speaker 2 (07:27):
Why couldn't we do that?
Speaker 3 (07:28):
So the fact that you presented something to me that
was never presented to me before. Sure, I was drawn
to that, and you just brought hope into my life.
So I wasn't sure if we were going to get
the outcome that we got, but I just wanted to try.
Speaker 2 (07:48):
So for me.
Speaker 1 (07:48):
On the flip side, because this becomes a marriage for
many clinicians, they prey on the vulnerable, right. Revision patients
are wonderful because you can charge them more or you
don't have to take responsibility for your mess because somebody
else created it, and at the end of the DA
if it doesn't work.
Speaker 2 (08:06):
You're out clean.
Speaker 1 (08:08):
So I try to be very delicate with revision patients
because my wife is a revision patient and I know
the agony and the sadness associated with it, and I
really dance delicately not to give you unnecessary hope.
Speaker 2 (08:22):
But at the same time, I really do want to
help people.
Speaker 1 (08:25):
The reason I took your case on was one reason
and one reason only.
Speaker 2 (08:29):
Do you know what that is? No, what do you
think is the only reason I agreed to do this.
Speaker 1 (08:33):
When I went back and I told Sally, this is
gonna be a long journey, right is it?
Speaker 2 (08:40):
Is it advantageous for me.
Speaker 1 (08:41):
To go on these long journeys with patients, or just
knock out cases and move on, knock out cases, move on.
Speaker 2 (08:49):
What did I What do you think? I told Sally
when I went back.
Speaker 3 (08:52):
I don't know I was willing to stick with you.
Speaker 1 (08:55):
I told her that this young lady is incredibly sweet
and seems incredibly real.
Speaker 2 (09:01):
If you are.
Speaker 1 (09:01):
Unpleasant, angry, challenging, difficult, all of which you have every
right to be right just pissed. I don't want to
be involved because I'm about to get on board on
a journey that may end up failing, and I don't
want to be the new asshole. I don't want to
be the guy that you end up being angry about
(09:23):
and forget about the er doctor doctor Raban led me
on this twisted journey. So I am very cautious in
terms of who I agree to do this kind of
revision with. There's revision and then there's this revision. Because
this was like a whole bunch of steps that had
to come together for this to work. And if you
were not as sweet as you are, I wouldn't have
(09:44):
bothered to do it because it just would have been
not a good ending for both of us. So what
I said to you, was we're going to do multiple
rounds of fat transfer.
Speaker 2 (09:52):
How many?
Speaker 1 (09:53):
I don't know until such time that when I look
at your abdominal wall, it's pliable, it goes from being
a cement block to more human like and more flesh like.
And then, and only then, if that occurs, can I
then go in and do a very tricky, complicated abdominoplasty,
(10:13):
fix your diacetasis, fix your hernia. But this is going
to take a minute, and you live in another state,
and it's going to be costly. And you agreed, and
I agreed, and there we went. So we ended up
doing a total of three fat transfers, two of them preoperatively,
meaning two of them before the final surgery, and one
(10:34):
of them in the last and final surgery. I try
to be conscientious of your finances. So I agreed, and
I suggested we do the first fat transfer under local
if why because it would have been more expensive for me?
Is it easier to do stuff out of the ore?
Speaker 2 (10:53):
In the ore? In there?
Speaker 1 (10:55):
One hundred out of one hundred times I take you
to r I put you to sleep, I do my shit.
Speaker 2 (10:59):
I can listen to me.
Speaker 1 (11:00):
I don't have to worry about you being in pain.
Everything is sterile. I love it, but it has an
expense to it. I got to bring in the anesthesiologist,
I got to bring.
Speaker 2 (11:08):
In the oar, the tech did this, did that. So
I really am conscientious of that you've been on this finance.
It's not my fault.
Speaker 1 (11:15):
You spend a lot of money, right, But at the
end of the day, I don't want to take advantage
of your situation. So I said, are you stoic? And
you said, I'm pretty stoic. I said, we can try.
I got to numb y up, take out some fat
and start to inject it. I think we can do
this under local You agreed, and we did the first.
Speaker 2 (11:35):
Round that way.
Speaker 1 (11:36):
Yes, and it was a success, but it wasn't that
much fun, right, And you were very stoic, but it
was obvious to me that we were pushing the limits
of what you could tolerate awake.
Speaker 2 (11:49):
So you went and then you came back.
Speaker 1 (11:51):
And the wayfat transfer works for everyone who's listening is
that you inject ten and if you're lucky, on average,
you're going to get twenty five to seventy five percent
of its surviving. So if you do the math, it's
about fifty percent survival rate, right, and I would say
somewhere in that range. Some of the fat took when
(12:12):
you inject the fat the first time, you're injecting fat
into a very unpleasant environment, so more of it dies
as you start to inject more of it. Over time,
it's fat going into areas that are healthy, so the
take of it increases over time.
Speaker 2 (12:28):
So we did it.
Speaker 1 (12:29):
It was marginally successful. We could see a little bit
of progress, and I said, we got to do it again.
Speaker 2 (12:35):
But we got to do it in the the O war. Yes,
but you do.
Speaker 3 (12:40):
Let's do it.
Speaker 2 (12:41):
You agree, let's do it so again.
Speaker 1 (12:43):
Anyone listening, if you start on a journey of this level,
you cannot in the middle of it throw a wrench.
Speaker 2 (12:51):
You gotta follow through. It's a it's it's destination.
Speaker 3 (12:55):
I don't know if you remember, but I didn't think
that it took well the first round. I don't think
it took well. But when you saw me, you were pinching,
and he was like, it's working, it's working.
Speaker 1 (13:08):
Yes, Yeah, it doesn't take great the first time because
you're putting something in terrible soil.
Speaker 2 (13:14):
Then the soil gets a little better.
Speaker 1 (13:15):
Then the soil gets a little better, and then every
time you do it, the soil for the next.
Speaker 2 (13:19):
Seeds are better than the soil before.
Speaker 3 (13:21):
Yeah.
Speaker 1 (13:23):
So we did the second round, and we were obviously
much more aggressive within reason. What is the concern with
fat transfer that I've talked about one five and sixty
four times.
Speaker 3 (13:34):
The incont regularity.
Speaker 1 (13:36):
The donor site morbidity, borrowing the fat from an area
to fix an area, it creates a problem. That's why
I don't do a lot of vbls a lot of breast,
because you need a lot of fat and you're going
to damage something to get it. This is even though
we were more aggressive, it's still a relatively small area. Right,
We're talking the size of a palm, or bigger than
(13:57):
a little bigger than a palm. We're not talking about
a two bucks two breasts or something like that. So
we did a second round, and I think we were
We began to get very optimistic.
Speaker 3 (14:08):
Yes, you took the fat from my back right and
you put it in my abdomen.
Speaker 2 (14:13):
Right, my stomach got big.
Speaker 1 (14:16):
Your stomach got big, bigger, bigger because we were adding
to you.
Speaker 3 (14:20):
Now, Yes, so I'm like, oh, at this point, I'm like,
oh my gosh, I'm really trusting the process.
Speaker 1 (14:28):
Okay, so you trusted the process. The train has left
the station any rate. Right now, the worst thing you
could have done, the worst thing you could have done
is to jump ship. Then, and I said to you,
I think we're ready, right, I said, I think we're ready,
Ready for what?
Speaker 3 (14:46):
Ready for the tummy tuck?
Speaker 1 (14:47):
Ready for the abdominal place the tummy tuck, which is
a huge deal because this is the thing that everyone
was unwilling to do because of your abdominal wall and
the risk of necrosis.
Speaker 2 (14:58):
Yes, and so, so when did we do your surgery?
Speaker 1 (15:01):
Now? October ninth, October ninth, twenty twenty four, so you're
technically three, you're almost four or five months.
Speaker 3 (15:09):
I'm twelve thirteen weeks post up.
Speaker 1 (15:12):
Great, So four months ago we went ahead into an abdominoplasty.
I said I would do one more round of fat
transfer while you were asleep, which is I took the
fat from the area that I was going to throw
in the trash, transferred it into the flat one final time,
and went ahead and repaired your very significant severe diastasis,
(15:35):
fixed your hernia, made you a new belly button. Since
it's been more than fifteen years since you had one
and got rid of all that scar tissue that was
making your abdominal wall super adherent. So just a scar
tissue alone that was stuck to your abdomen prevents you
from moving right.
Speaker 2 (15:54):
You feel a tightness.
Speaker 1 (15:56):
Imagine if you burn yourself an area and the skin
doesn't move, that air is going to feel limited or restricted.
Speaker 2 (16:03):
And how did it go?
Speaker 3 (16:06):
It went amazing. I was scared.
Speaker 2 (16:12):
I'm not gonna lie.
Speaker 3 (16:13):
I was super scared before we did the surgery. I
actually watched one of your your podcasts where one of
your other clients, I think she's coughed after she got
a Tommy tuck and she she had to go to
the emergency room. So, you know, a lot of things
were running through my mind, what if my skin doesn't survive.
(16:34):
Just a lot of nervousness and anxiety. But the surgery day,
you came in and you were ready to rock and roll,
and we did it. I mean, the recovery process was amazing.
The staff, your staff is amazing.
Speaker 2 (16:52):
We tried her very best.
Speaker 3 (16:53):
Yeah, I mean I couldn't have I'm so blessed and
just grateful that I stayed the course.
Speaker 1 (17:00):
And I remember, you know, when we do our reveals,
it's always moving, right, I mean every patient, every nose job,
every facelift, every time you talk, every breastlift, every everything.
But some are a little bit more powerful than others.
And I remember when. And I have your video because
at some point we're going to put together a full
on video of your journey.
Speaker 2 (17:18):
But you were bawling your eyes out. Yeah.
Speaker 3 (17:20):
I couldn't believe it.
Speaker 1 (17:21):
After umpteen numbers of years, thousands and thousands of dollars, yes,
hundreds and hundreds of rejections, months and months of years,
and years of inability to wear clothes, be intimate.
Speaker 4 (17:38):
Yes, feel confident. It was all over in one moment.
Speaker 2 (17:42):
Oh my gosh.
Speaker 1 (17:44):
Right.
Speaker 3 (17:44):
Yeah.
Speaker 4 (17:45):
And so the key to it, the key to it,
was your willingness to stay at the course. Yes, sure,
of course I was to participant.
Speaker 2 (17:56):
In it, right, yes, But I can't do this if
you don't do it.
Speaker 4 (18:01):
Yeah, right, You had to be the one who stayed
the course, and you get hopeless, yes, super hopeless and discouraged.
Speaker 1 (18:08):
So at the end I end up having to give
you credit. It's a fifty to fifty's, it's a what's
the right word. We're in it together, right, so without
the patient's help, and I always married. Yeah, we're surgically married.
Whereas in the previous instance your surgeon blamed you. I
give you credit, right, we have we're we're teammates on
this process. So at the end of all this, all
(18:29):
this happened, this whole let's say this last fifteen years,
from the second you made that decision to get live
perception by that guy to the moment you had your reveal.
That whole journey now has essentially been squashed. You've had
three months to live in your new body. And I
remember you called your husband because you were so excited,
(18:52):
and poor guy was like a target with three kids
or something.
Speaker 2 (18:55):
I remember he was just like, yeah, what do you want.
You're like, check it out. He's like now, and you're like.
Speaker 1 (19:01):
We're gonna have to talk about this because you were
hoping that he would be like lit up like you.
But the guy was like literally with a shopping cart
and you're like half naked.
Speaker 2 (19:09):
So you went back for me.
Speaker 1 (19:12):
The number one most important part about all of plastic
surgery is the impacted mates in your day to day life.
The intimacy, the confidence, the happiness, the joy, the lack
of sadness or irritation.
Speaker 2 (19:29):
So give me some give me that part, because that's
what that's that's the cream, if you will.
Speaker 3 (19:36):
Just waking up, I mean waking up, I feel like
a new person. I don't have to hide anymore. I
feel alive. I can wear whatever I want to wear.
I'm not limited. I just I feel alive. I think
(19:57):
that's the best way to describe it. And I can
have sex with the lights on, I can wear a lungerie,
I can wear anything I want to wear. And I
just feel unstoppable.
Speaker 1 (20:10):
Yeah, And it means it's an incredible feeling of liberation
because here you have this impediment. It's so massive, it's
a huge cloud. It affects everything, and then all of
a sudden it's gone.
Speaker 3 (20:20):
I've joined a jam.
Speaker 2 (20:22):
Yeah.
Speaker 3 (20:22):
I look forward to that, like it's just like a
new level. I feel like I've unlocked.
Speaker 1 (20:28):
Yeah, which is really really wonderful. And at the end
of the day, you know, you know, you as you
know in life, the harder the journey, the more enjoyable
the victory, you know what I mean, And so you know,
for whatever reasons, your journey had to be as long
as it was for whatever reasons, my wife had to
suffer as long as she has.
Speaker 2 (20:47):
It's just the path.
Speaker 1 (20:48):
You know. Why you carry that cross, only God knows.
But the reality is at least you came to the
top of a ridge and now you can see the view,
and you made it and there's no turning back. So
you know, it's been a pleasure to take care of you.
I always, you know, as a surgeon, my number one
wish is that every patient let me do whatever I
need to do and agree to be on board, right,
you know, you come on board and say what do
(21:09):
I need and I.
Speaker 2 (21:10):
Say X, y Z, you say okay, because.
Speaker 1 (21:13):
Then it gives me complete freedom to do what I
think I need to do. And while I wasn't one
hundred percent sure, I was obviously confident that we would
get you here. And you know, as you said multiple times,
you trusted the system.
Speaker 3 (21:26):
So I feel like each time I saw you, you
would kind of light up, you know, and you would
see different results that I was getting from everything that
we've been through.
Speaker 1 (21:36):
So yeah, because it's exciting for me. I mean, I'm
invested in you. I mean I can't speak for other surgeons,
but for me. You know, each of you is a
part of my life, right, I invest in you. I
want to make sure you do good. I want to
make sure you have a good outcome. I want to
see you happy. I like to see you cry from joy.
And then you multiply that and that's a sum total
of my career. So you know, of course I'm going
(21:58):
to get excited.
Speaker 2 (21:59):
Of course.
Speaker 1 (21:59):
I mean if I didn't, then there would be some
major part of me that's got a problem. And yeah,
this is this is why I why I trained, and
this is why I put in so much time. This
is why the staff works so hard. It's for individual
successes like yours. Yours has happens to be a little
(22:20):
bit more more joyous because it was such a shitty
experience to begin with. All Right, any parting words for
those people that I've listened to our two part episode series.
Anything that you would go back and tell your your
younger self, anything you'd tell a young woman or a
woman who's thinking of having something done or is it
(22:40):
a place that are totally bummed out?
Speaker 2 (22:42):
Yeah?
Speaker 3 (22:43):
Absolutely, don't just go off of the cost of whatever
you're trying to do. Make sure you do your research
and if it sounds too good to be true, it
probably is.
Speaker 2 (22:56):
Yeah.
Speaker 1 (22:57):
Those those are all very wide wise words, and we
say that on a regular basis, but to hear it
from you as obviously it means a lot.
Speaker 2 (23:04):
All right, guys. Well that's it. That wraps up a
two part episode.
Speaker 1 (23:07):
I hope you've enjoyed our show, and thank you again
for coming on. And every time a patient comes on
and it's sort of vulnerable, it's a huge pleasure and
we have.
Speaker 2 (23:15):
Great gratitude to that. All right, guys.
Speaker 1 (23:17):
There's always two last imparting pieces of information. One, if
you enjoy our show, go write something nice. If you
don't like the show, stop following me, don't write anything.
But if you like it, go write something nice. Everybody
gets an uplift from positive commentary. And the second is
you never know who's going to be in your friend
and family sphere, a Britney someone who you wouldn't know
(23:39):
is having something on it until.
Speaker 2 (23:41):
It's too late.
Speaker 1 (23:41):
So just share our podcast with friends and family, tell
them it's worth listening to. At the very least it's entertaining,
and hopefully as a result you will have helped someone
that you really care about.
Speaker 2 (23:51):
All right, guys. Well, that wraps up another episode of
plast Surgery on Censored. As always, i'm your host, doctor
Rody Rbon. We'll see you next week.