The Truth About BBLs and Plastic Surgery

What do plastic surgeons really think about Brazilian Butt Lifts and cosmetic trends on social media?

In this eye-opening conversation, three surgeons share what makes a good candidate for a BBL, why liposuction artistry often matters more than adding volume, and when cosmetic surgery might not actually be the right choice.

They also pull back the curtain on male procedures like gynecomastia surgery, reveal how weight loss drugs like Ozempic are reshaping their practice, and even connect the dots between America’s weak food regulations and surgical outcomes.

Raw, honest, and packed with insider insights. 

This episode is a must-listen for anyone curious about beauty, medicine, and the future of plastic surgery.

Episode Transcript

Speaker 1 (00:20):
All right.
So what are you watching videowith?

Speaker 2 (00:21):
with the obvious, BBL the girl working on her butt.

Speaker 1 (00:27):
Yeah, showing how to get a butt like that.
Yeah, I think our viewers willget to see that.
What do you think Looks natural?
Huh, yeah, super natural.

Speaker 3 (00:37):
Did she make her head and just put two of them in her
ass?

Speaker 2 (00:42):
I don't know.
She was legit able to fit peachemojis into her pants dude,
like when I was in training innew york, like people used to
come in and we had a hugedominican crowd and they used to
want to be able to hold a cupon their butt.

Speaker 1 (01:02):
Oh, yeah, oh, that used to be a cup holder.
It's called the.
Yeah, oh, that's a thing.
There used to be a cup holder.
It's called the shelf?

Speaker 2 (01:06):
Yeah, it used to be the shelf.

Speaker 1 (01:07):
That's hilarious.
I mean, why do you have to waitfor it on your airplane?

Speaker 2 (01:12):
when you can't use it Like if you have it on your
behind, you can use it wheneverDo you have to buy an extra seat
, Like how do you, can you evensit comfortably?

Speaker 1 (01:20):
I don't know, actually I haven't thought about
it.
What if you?

Speaker 2 (01:25):
have like this seat.
Well, it's a little longer, butif you have a shorter seat like
you know what are you going todo with a cup on your backside.

Speaker 3 (01:33):
I don't know.
It's helpful if you're a mom.
True, we can just do aprocedure.

Speaker 2 (01:39):
Here you go, honey, if we can just do a procedure to
install cup holders and bottleholders like a like a one of
those batman belts for a momlike just well, you know, you
know, they have those belts thatyou wear on the side, but you
could carry your kid on yourback instead of on your side

(01:59):
with that oh really yeah, likeit's a little

Speaker 1 (02:03):
stand on the side Didn't exist when I had my kid,
carry your infant.
I don't know.
I truly love a nice butt, evenif it's worked on, if it's
proportionally good on the bodywith good proportions.
It's great when it's justOverdone.

(02:23):
I don't know if it's just me,because's like just overdone.
I don't know if it's just mebecause I'm a plastic surgeon.
You should tell me becauseyou're an eye doctor.

Speaker 3 (02:31):
No, it does not look good.

Speaker 1 (02:34):
Do you ever do that?

Speaker 3 (02:36):
Does this look better or?

Speaker 1 (02:38):
this Right or left.

Speaker 2 (02:40):
Right or left.
Maybe when you're checkingeyesight you should see which
butt they look yeah, yeah, thisis this bigger or this or that
you can do that.

Speaker 3 (02:50):
Yeah, I usually.

Speaker 2 (02:52):
Yeah, that's what I do in my, but in this video like
I I wish you could see thegirl's tummy so you could kind
of tell.
But she's like pretty coveredup in the beginning of the video
but her legs are a littlethicker so you're like, yeah,
she probably had a BBL.

Speaker 1 (03:16):
But when she's working out it almost seems like
she has cushions in her pants.
I couldn't tell.
I was just like, eh okay, thislooks kind of ridiculous.
I personally am more butts thanboobs.

Speaker 2 (03:28):
Yeah, I am the same way.
It's like Although I do moreboobs than butts I know I do too
.
In New York, I did more buttsthan boobs.

Speaker 1 (03:37):
Okay, Because I personally, because I'm a butt
guy New.

Speaker 3 (03:41):
York was more butts because there's more Latinos.

Speaker 1 (03:43):
Yeah, latinos, not just Dominicans, but Puerto.
Ricans.

Speaker 2 (03:48):
It was New York, you got guys getting BBLs done.

Speaker 3 (03:52):
Oh yeah, nowadays you get it.

Speaker 2 (03:56):
I had one person.

Speaker 1 (03:58):
Oh, I had a guy that got glute implants.
I don't do butt implants yeahbut I came in.
It's just like okay, that looksa bit like cartoonish, but if
that's what you wanted, you'rehappy with the way it looks.

Speaker 2 (04:18):
It's fine, but nowadays people are going for
more of the natural look thanthe.
That's with every procedure,right.

Speaker 1 (04:25):
So the thing I always say, like for me, when people
ask I'm always butt over boobs.
Yeah, almost like.
Here you go, I'm just going tobe a full-fledged asshole.
It's like a luxury car.
You get a leather seat beforeyou get a heated seat.

(04:45):
Nobody has a heated fabric seat.
You might have a heated leatherseat, so the leather seat.
The core thing is the butt, the.
The cherry on top is having theheated option yeah I don't get
that I'm lost in that one oh

Speaker 3 (05:05):
speaking about cars I actually have a good question
that's unrelated to this that Ineed, okay, personal advice, can
we?

Speaker 1 (05:10):
do fat injections into your car?

Speaker 3 (05:14):
my wife just got a car, so what, which car should I
get rid of?
Volkswagen tiguan 2022 45 000miles, or tesla 2020 model 3?

Speaker 1 (05:28):
that one's black on black you should get rid of both
and get a lamborghini we gottasell one.
Yeah, call it a midlife crisisyeah, yeah, yeah, if you want a
plastic surgery standpoint, likewell okay well, yeah, you gotta
look successful these days.

Speaker 2 (05:43):
That's good for your Instagram.
You might get more patients.
You're like I'm not makingmoney because I'm driving the
Tesla.

Speaker 1 (05:49):
Just do a few videos Jumping on a car.

Speaker 3 (05:52):
I'll take Nez's car, then I'll take her Porsche
Cayenne.
I'll take her Cayenne.

Speaker 2 (05:57):
But the thing is you got to sit in the back seat with
like a laptop and make it seemlike someone's chauffeuring you
around.

Speaker 1 (06:04):
So makes you more successful, I'll wear a fake
mustache I like don't waste timedriving.

Speaker 2 (06:09):
I like your work while someone's driving you yeah
, that's, that's the point of mylife.

Speaker 1 (06:14):
Yeah, it's all about it's all about, uh, image of
success.

Speaker 2 (06:19):
Sell both, yeah, so so tyler had a good question.
He's, you know, like you go tothe gym nowadays like everyone's
got a butt and like we'retalking about it.
I'm like, yeah, they just makebetter shapewear these days and
like they do.

Speaker 1 (06:35):
But I think I think a lot of people actually see the
benefits from like squats andthose I don't know, the, the
humpers, hip thrusts whateverthey're called bridges, Like you
see people putting like crazyweight and like just humping the
air.
It's like that looks like acrazy exercise but that actually

(06:59):
does help the glutes.

Speaker 2 (07:00):
Yeah, it hurts the pelvis though.

Speaker 1 (07:03):
Yeah, yeah, yeah, yeah, the glutes.
Yeah, it hurts the pelvisthough.
Yeah, yeah, yeah, yeah, but I'mjust like every time I say I'm
just like, I know I look like acreep, but I take a couple
seconds to be like they'vereally gonna hump that much
weight into the air, like thisis nuts like.

Speaker 2 (07:19):
I just want to see that done like, and I'm willing
to look like a creep to watchthis do you think lululemon
supports the hip thrust uh?

Speaker 3 (07:30):
of course yeah of course they they support they
wouldn't be they wouldn't beselling their product if that
wasn't like a primary lawsuit,because they were on their way
to making transparent yoga pantslike what was it?

Speaker 1 (07:45):
Their yoga pants were technically see-through.

Speaker 2 (07:48):
They're not see-through.
I think they are.

Speaker 1 (07:51):
No, there was one line, I think about 10 years ago
, where it was just like okay,why are you wearing pants?
Like the only reason you wearthese pants is to look like
you're not wearing pants incertain positions.
But they, like people arecomplaining, like, oh people,
see my ass yeah like so you guysdidn't hear about this no, it

(08:14):
was a nationwide.

Speaker 2 (08:15):
Nowadays it's become more of a butt guy than you guys
.
That's why I had that caranalogy.
Nowadays it's become so commoneveryone like wears that stuff.
You're like all right and likeI'm like your boyfriend's right
there.
Do you really need to?
Please do it flesh?

Speaker 1 (08:29):
tone Customized flesh tone.

Speaker 2 (08:33):
I wonder what the Ayatollahs would think If they
walked around.

Speaker 1 (08:38):
Lululemon.

Speaker 2 (08:40):
They should make an Ayatollah Line for.

Speaker 1 (08:43):
Lululemon yeah, that would be a bed sheet, not
form-fitting.

Speaker 2 (08:51):
How about tight spandex for their beards?

Speaker 1 (08:54):
Oh, that's a good one , I don't know.
They're careless with theirbeards.

Speaker 2 (08:58):
They're not like the.

Speaker 1 (08:59):
Sikhs.
Sikhs like braid them and tiethem down.

Speaker 2 (09:05):
So like, since we're talking about BBL, it's like
who's a good candidate for BBLAnybody?

Speaker 1 (09:10):
with a flat butt.
Yeah, some people call it thebanana butt, some people call it
the long back, like the backjust extends beyond the buttock.

Speaker 2 (09:21):
SpongeBob SquarePants .

Speaker 1 (09:23):
So if you have fat somewhere and you can move it
somewhere else, there you go,easy peasy.

Speaker 3 (09:30):
What does BBL stand for?

Speaker 1 (09:32):
Brazilian butt lift.
Did you know that?

Speaker 3 (09:36):
Yeah.

Speaker 1 (09:38):
Do you know the Brazilian eyebrow lift?
No, no, it doesn't exist.

Speaker 3 (09:44):
I believe it does.
I could have told you a storyof how it does exist.

Speaker 1 (09:51):
We put butt cheeks on people's foreheads and that
just elevates because of all thevolume it elevates there.

Speaker 3 (09:57):
So what do you guys?

Speaker 1 (09:57):
do surgically, you just do liposuction.
Yeah, get that fat and injectit in the buttocks.

Speaker 3 (10:03):
Yeah, so from the abdomen, and you just put fat in
the belly, that was the thingis a lot of.

Speaker 2 (10:08):
It's the the liposuction artistry that you
have yeah, because, like,because like my breast recomb
patients.
I, I lipo with the sametechniques I use for bbls and
stuff and a lot of the ladiescome out.
They're like um, my friendsthink I had my butt done.
What the hell did you do?

Speaker 1 (10:28):
you know, um, and it's just, you're welcome, yeah
exactly, they're like I'msending my friends I'm like yeah
, so you, you lipo everywhere,wherever like their problem
areas are, so you make that lookbetter.

Speaker 2 (10:44):
You go by the anatomy yeah.

Speaker 1 (10:47):
And a key part is lipo in the lower back and the
back itself gives such a betteremphasis on the buttocks.
That's why I like with ourtummy tucks almost all our tummy
tucks we do 360 lipo Becauseeven if they don't get a BBL,
you shrink down the back.
It gives a better emphasis onthe buttocks.

Speaker 3 (11:09):
What does 360 lipo mean?

Speaker 2 (11:11):
All the way around.
Like Jason once said, we'regoing to turn this team around
All the way around right hereright.

Speaker 1 (11:17):
Yeah, we're going to turn this team around 360
degrees, but I want to come upwith I'm going to trademark this
, Don't steal this from me.
I'm going to start selling 720lipo.
I'm going to lipo them on theirback, their stomach, and then
turn them back around to theirback and then to their stomach

(11:39):
again.
Be like dude.
Nobody else does this.
720 lipo.

Speaker 3 (11:44):
And then I'll do 1080 .
I'll go 1080 I'll go full, tonyhawk on you, even though I
don't do it, but yeah, that wasa great game 1080.

Speaker 1 (11:55):
Uh, snowboarding, snowboarding yeah, that's fun
and that that was like an unrealvideo game where the characters
go up and do what one, two,three spins yeah that's a 1080
and then, within like threeyears, you just have sean white
doing 1080s like repeat jumpslike, okay, that wasn't, that

(12:16):
wasn't so far-fetched.

Speaker 2 (12:18):
Yeah, 1080 lipo, let's go yeah so with the, with
the talking about BBL, like lastweek I had three consults and
one day everyone came in.
They're like I just want lipo,I just want.

Speaker 1 (12:30):
I'm like, well, like not everyone's suited for lipo.
Do you want me to throw thisfat out?

Speaker 2 (12:34):
Yeah, so no, it's not even that I'm like.
You know all these girls hadbeen pregnant.
They're done having kids, butlike, like you know you got to
have good skin quality to beable to get bbl.

Speaker 1 (12:49):
You can't just.

Speaker 2 (12:50):
You know every people get scared of the incision.
I'm like, well, it's either theincision or like just emptying
out and the fat from your lowerabdomen and then having hanging
skin.
It's not going to give you thelook that you want.
You know where we, we can hidethose incisions under bikini
lines, you know, and like overtime that stuff, over a year or

(13:13):
so, that scar fades.
You know if it's doneappropriately.
Um, but they have to be willingto accept, yes, scar yeah
there's a scar.

Speaker 1 (13:21):
You're not a fetus, but like, but like we can't get
rid of their stretch marks.

Speaker 2 (13:26):
People think, like you know, with liposuction if,
if you have stretch marks onyour abdomen and that skin
doesn't bounce back, it's youknow, liposuction is not going
to work.
And even the skin tighteningtechniques we have, you know,
like the radio frequencies,those are even the best stuff on
the market.

Speaker 1 (13:45):
No, is not going to get rid of stretch marks.

Speaker 2 (13:47):
No, no, that skin's broken, so we really can't like
take that away, you know.

Speaker 3 (13:55):
So stretch marks are a forever thing, basically yeah,
unless you cut them out.

Speaker 1 (13:59):
If they're in a portion, like if they're lower
belly, where you cut out thattissue for like a tummy tuck.
That's, that's easy care.
I think you can be prettypreventive with stretch marks, I
don't know, like because likestuff like olive oil, like cocoa
butter, just taking care ofyour skin, not gaining too, too

(14:23):
much weight with pregnancy forfor certain people, there's
certain people.
I think they're just.

Speaker 2 (14:28):
Genetics leads to weak bonds within their like
collagen and elastin, and alsohow much weight and stuff you
gain.

Speaker 1 (14:37):
And yeah, and some people aren't in control of that
, so I've seen some people withpoor skin quality go through
pregnancy and not come out withstretch yeah marks because of
the oils cocoa butter um, Idon't think there's any studies
out there, but like just justlather yourself up during

(14:59):
pregnancy but that, but a lot oftimes.

Speaker 2 (15:03):
They need muscle repair too.
Oh, that's yeah.

Speaker 1 (15:06):
I'm just talking strictly about stretch marks and
it doesn't matter, like themore you, whether you're going
to get surgery after childbirth.
Like the better skin care, likethe better your outcomes will
be.

Speaker 2 (15:20):
Yeah, I was listening to some lectures and they were
talking about people that are onozempic or weight loss and um,
and they're going into surgery.
Like what, what are yourecommending like pre and
post-op surgery doing with theozempic?

Speaker 1 (15:39):
they were talking about competition rates and
stuff ideally stop two weeksbeforehand and start four weeks
after.
There's no science behind whatI recommend.

Speaker 3 (15:49):
Yeah.

Speaker 1 (15:49):
But that's Because I feel like at the four Like two
weeks should be good enough.
Where like it.
I know they say for surgery oneweek, for aspiration risk
that's if they regurgitate foodinto their lungs and have
complications from beingintubated yeah uh, so I just
like to do two weeks and I alsolike to have patients on high

(16:14):
protein supplements.
Yeah, that time and for fourweeks after, because I don't
want to suppress their, theirfood intake, so they can promote
that healing.

Speaker 2 (16:25):
But do you, do you think it's dose dependent?
So, like I, I, I go differentway.
So I usually say one weekbeforehand and then I, I almost
start them immediatelyafterwards.
But I think you know, know, Igot to look at patients and pour
any of those and pick on thewounds.
Yeah, it works great.
Um and like I, I think, likeit's okay usually I started a

(16:50):
week after, but I, I think ifthey're on low dose, that's
actually, and there there's someparts of it, with diabetics
saying, like you know, youalmost don't want to stop them
oh well, yeah, with diabeticssugars can be much better
controlled with it yeah, worsecontrolled sugars, diabetics.

Speaker 1 (17:07):
Yeah, I shortened that.

Speaker 2 (17:09):
They were saying there's a study that says um
higher complication rates withpeople on ozempic.

Speaker 1 (17:15):
Um like going again dose dependent and timing like
yes, of course there will be umand again one of the biggest
correlating factors to healingis nutrition, yeah, and if
you're, you're suppressing yourneed to eat yeah and so.

(17:36):
So two ways, but the way Ithink about it, two ways.
You're either suppressing theneed to eat, so like with
ozempic juice, right away you'reresulting in worse nutrition,
or if you're diabetic, you'realready more prone to have those
complications anyways.

Speaker 2 (17:56):
So it kind of confounds the Well, I don't
think I got to look at the study.
I think the diabetics were outof the.
You know, I don't think theywere used, it was more you do
not need to say I need to lookat the study.

Speaker 1 (18:12):
You have an opinion about it, just yell it.

Speaker 2 (18:15):
But like I think one of the main things that you
gotta look at is like how?

Speaker 1 (18:20):
they gave me autism.

Speaker 2 (18:22):
How they controlled at the age of 43, how they
controlled the, how theycontrolled the patient's diet.
You know whether it's going tobe the clip that goes viral he's
going to be known, the guy helinked.
If you've got a vaccine andyou're on.
Osempic you are fucked.

(18:43):
You got long, covid.

Speaker 3 (18:45):
Don't get more vaccine, sorry.

Speaker 2 (18:53):
But like I just think they probably didn't control
for the diet, you know, oh yeah,you know, like people on
Osempic, like if you're not,going to control for the diet.
Oh yeah, oh definitely, youknow like people on Ozempic,
like if you're not going tocontrol on the diet.
They already have a poor dietand they continue to take it.
And they're still eatingMcDonald's after surgery, like
you know, they're going to have.

Speaker 1 (19:13):
But there are studies that show that people in
general on the GLPs end upeating healthier on the glps,
end up eating healthier like.
So if they're consuming like 20of the calories, yeah, those
calories are way healthier like.

Speaker 2 (19:27):
Yeah, they're more likely to go eat cucumbers than
potato chips yeah, and I wonder,like bmi selection too, you
know, and the study like whetheryou know they looked at you
know, like it's a multivariate,like approach they do it, but
let's like look it up.

Speaker 1 (19:45):
They do the multivariate approach but
there's still like stuff theyeither can't measure or didn't
measure.
Like any study can get rippedapart, I'll be glad to do it.

Speaker 3 (19:58):
Why aren't people losing weight?
Why are people fat?
He people losing weight.
Why are people fat?
He's asking yeah, why why?

Speaker 2 (20:02):
are people eating sugar dude.

Speaker 1 (20:04):
My favorite is uh listening to eating crap.
Um no, the best the best takeswere about 6 to 12 months ago,
watching like cnbc and listeningto investment like advice.
Because that's when, like itreally tells you they have no
idea what the hell is going on.

(20:24):
Because they're it made senseat the time.
They're like oh, this is goingto change everything and stock
prices for, like, mcdonald's andCoca-Cola are coming down
because the stock prices of theGLP-1 drug manufacturers are
going up.
Then it's like, you know what?
Like, people are just not goingto want to do this.

(20:46):
People like to eat, they liketo consume this stuff Like, and
they don't want to like.
Some people feel like they needto do it, but it's not as
revolutionary as everybody madeit out to be about 12 to 18
months ago, because they werejust like oh, it's going to
change people's habits, likemcdonald's, like margins are

(21:11):
going to decrease, like go buycucumber stocks, I don't know.
But in in the real run, like inthe real world, like how many
people get on it and just stopat what's it?
50 to 70 percent, oh, and uhglp1 just just stop because
they're like I didn't like it.
Man, I don't know I I'm, I'mcool with this weight.

(21:37):
The same thing with like likeweight loss surgery, like
gastric bypass.

Speaker 3 (21:42):
Are they happy because they lose a certain
amount of weight and then theythink that it's good.

Speaker 2 (21:46):
Sometimes they also become uncomfortable with the
excess skin.

Speaker 1 (21:49):
They just don't know what to do.
Yeah, but a lot of people quitwithin three months.

Speaker 2 (21:54):
But you know the excess skin patients only like
20% or 30% of massive weightloss patients actually get
surgery on their excess skin ohreally, yeah, it's very the
problem with mass why?

Speaker 1 (22:06):
is being able to afford you also got to look at.

Speaker 2 (22:10):
Yeah, patient demographics on who gets massive
weight loss surgery.
It's not the highersocioeconomic.
Yeah, of course.

Speaker 1 (22:19):
And weight loss surgery has greater than 33%
failure rate.
Like people eat their way outof a gastric bypass or a gastric
sleeve, so, I looked it up.

Speaker 3 (22:32):
What's the failure rate?
33%.

Speaker 2 (22:33):
Over over 33%.
I think that's a conservativemeasure.
So, compared with non-GLP-1controls, I think that's a
conservative measure.
So, compared with non-GLP-1controls, glp-1 users have
similar postoperative outcomesfollowing body contour and
surgery.
Wound dehiscence is moreprevalent among patients taking
GLP-1s for diabetes comparedwith weight loss.
Okay.

Speaker 1 (22:55):
So it's probably the diabetes yeah.

Speaker 3 (22:59):
And then he gets a random story.

Speaker 2 (23:02):
But no, no, they were talking about it at the.
It was the aesthetics meeting.
It was like a video recordedspring meeting that I went
through and like they weretalking, like they made it seem
like it's.

Speaker 1 (23:17):
But if you got diabetes in the appropriate
amount of money, I'm willing todo the surgery.

Speaker 2 (23:21):
Yeah, and the revision Do it in a hyperbaric
chamber, yeah.

Speaker 1 (23:27):
Yeah, it's.
I don't think, no matter whathappens until, like everybody's,
like food habits and theindustrial complex changes in
how they provide and promotecertain foods where you're
actually going to see a decrease, that's what by now, if it's

(23:48):
like this many years into glp,like by next year or in two
years, you're finally going tosee like the obesity rates
stabilize or decrease.
Because every time they putthose stats out it's like, oh,
33% of the US is obese.

(24:09):
Next year, 32% is obese.
Yeah, so it hasn't reallychanged.
People can eat their waythrough anything.
Yeah, that's why, likeunderground rails, their way
through anything.

Speaker 3 (24:23):
Yeah, that's why, like underground rails, I mean.
I mean I think that thedifficult part is obviously
staying committed to anythingfor a long period of time, no
matter what you know you wake upand you say you want to do glp
ones, and you do it for even,say, a year, but then after a
year you're done doing it yeah,like I said, most dropout is
within three months with beforeyou see any results yeah,
because people don't feel goodon them sometimes.

(24:44):
Yeah, you're not and you don'twant to ride out the side,
especially with not like ruse.

Speaker 1 (24:48):
Ruse went to max dose day one, puking his guts out he
just continued that shit.

Speaker 2 (24:53):
The thing is especially with garbage.

Speaker 1 (24:56):
It's like they told me to titrate up and mom's.

Speaker 2 (24:59):
I think one of's he put in his body.

Speaker 3 (25:02):
He's making himself sick.
What's going on?

Speaker 2 (25:04):
I think one of the biggest issues is, like with
telemedicine and like everyonejust ordering it for patients
without having a goodwalkthrough of why they should
take it.

Speaker 1 (25:13):
Oh yeah, and like just, some random dose.

Speaker 2 (25:15):
I had a patient today .
She's like, yeah, someone gaveit to me because I have
Hashimoto's, and she's like, butI haven't decided to take it
yet, and she came in for like atummy tuck and you know she was
tiny.

Speaker 1 (25:27):
12 months later it's been sitting in my fridge, so I
just started taking it.

Speaker 2 (25:32):
She's like should I start taking it before I have a
tummy tuck or not?
I'm like it's up to you.
It's like what goal weight doyou want to reach?
How far away are you from it?
I'm like it's good long termand I started describing like
what it's good for and she'slike, oh, I never knew any of
that stuff yeah I'm like youneed to explain why like

(25:52):
something like this is good forpatients and not just hand it to
them for weight it regulatestheir thyroid hormone too.
Right yeah, it'santi-inflammatory, it's just
better protective good for yourgood, for your kidneys, heart,
everything um and also for yourbrain overall.

Speaker 1 (26:07):
So better body balance, that's how I just
describe it it's.
It sets you on a way betterpath so even if it's just,
weight loss, just having thatweight loss.
That's why I like a lot ofspecialties.
Like you go for a spine problem, oh, you need knee replacements
.
The first thing they tell youis it's just weight loss, just
having that weight loss.
That's why I like a lot ofspecialties.
Like you go for a spine problem, oh, you need knee replacements
.
The first thing they tell youis weight loss.
And because it just it takescare of a lot of little things

(26:31):
that you actually probably won'tneed surgery for.

Speaker 2 (26:34):
So one of the craziest things I just looked up
was you know, europe versusunited states food chemical bans
.
So european unions over 1300food additives and chemicals are
banned or strictly regulated,1300, 1300.
United states fda 11 foods.

(26:55):
Approximately 11 foods.
Additives are explicitly banned.

Speaker 1 (27:01):
That's right.
I'm never going to eu I want myfreedom, don't tell me what not
to eat.

Speaker 3 (27:06):
I want my craft mac and cheese sauce.
Look at these chemicals.

Speaker 1 (27:09):
Craft mac and cheese sauce is definitely the best
thing for you, right oh yeah, ohuh, I don't know.
I don't know if craft is betterthan velelveeta.

Speaker 2 (27:19):
Just put some Cheetos in there.

Speaker 1 (27:21):
Nacho cheese isn't technically a cheese Tastes so
good though, dude nacho cheeseis not technically a cheese.
That's where we've gotten toLucky Charms you got your what
is nacho cheese made out?
Of?
I don't know.

Speaker 3 (27:35):
It's definitely not out of milk clearly they better
keep Cheez Whiz in those Ph.

Speaker 2 (27:39):
keep cheese whiz especially if it comes out of
the squeeze bottle right, thephilly cheese steaks are out if
the cheese whiz goes oh yeah,what was that one?

Speaker 1 (27:46):
what are you gonna do ?

Speaker 2 (27:47):
oh, this is another, there are over 10 000 chemicals
and additives currently allowedin the us food supply drugs,
coloring, packaging agents andmore more under FDA regulations,
many of which haven't beenre-evaluated in decades.

Speaker 3 (28:03):
Great so what are you guys doing surgically Bruce?

Speaker 1 (28:06):
with your green slippers and blue scrubs, you
look like a cereal additive.

Speaker 2 (28:10):
The European Union restricts this to around 400
permitted additives, so the USlist is more than 25 times
larger.

Speaker 1 (28:19):
The one thing I will say is how you're going to keep
that list up.
There's in like, so manydifferent molecules to be able
to like.
Have an agency to list allthose molecules but like but.

Speaker 2 (28:32):
But what's scary is like what's allowed to be.
You know like what.
You can list your food asorganic.
It's like.
You know fda says, as long asit's organic, this percentage or
like, even like grass-fed, likewe're.

Speaker 1 (28:47):
You know you're thinking like you're getting
these grass-fed milk and likebut there's still a lot like one
percent, like rat ass, yeah,yeah, no grass-fed just means,
if they ate grass at any pointin their life.

Speaker 2 (29:02):
Yeah, so they could feed them oats and grains and
stuff and like biotics yeah,like, because like there was,
there was.
There was a video on like grassfed versus grass finish because
of, uh, the liver king guy, hisprotein says like Swedish

(29:22):
grass-fed grass-finished and I'mlike what the fuck is
grass-finished?
I hadn't heard of that.
Grass all the way through, butlike it's grass all the way
through where, with grass-fed,it's like any time in their life
Grass-finished the last sixmonths of their life.

Speaker 1 (29:40):
Sprinkle that on there.

Speaker 2 (29:41):
Yeah, the last six months of their life they're fed
grains and stuff to beef themup.

Speaker 3 (29:48):
Is there anything grass-finished?
I haven't seen any productgrass-finished.

Speaker 2 (29:51):
I haven't seen grass-finished, but I'm pretty
sure it's going to be marketedpretty big pretty soon.

Speaker 1 (29:56):
I want to start my own thing grass all the way
through it's like, like god,they just finish with grass.

Speaker 2 (30:02):
Yeah bunch of lazy grass diarrhea.

Speaker 1 (30:05):
Sprinkle grass on them right when they kill them.
Yeah, they murder your animals.
We take it easy but actuallylike.

Speaker 2 (30:15):
The other thing is like, you know, I was like why,
why do you need halal like thisand that?
But actually like, when youthink about it like halal meats
and stuff is actually prettygood because you know they're.
They cut the necks and theydrain out the blood from the
animal, so all the blood'sdrained out, instead of like
shooting them in the head orhowever they get rid of all the

(30:37):
toxins.
They they keep all that blood inthem and like it gets
contracted, so they have all thetoxins still in them.
They're not drained.
So when you're eating halal orkosher, that's gonna help with
like getting rid of a lot ofcontroversial take.

Speaker 1 (30:54):
I've had more arabic uh restaurant halal meat than
Persian halal meat.
Yeah, but I do find the Arabsdry out the meat way more.

Speaker 2 (31:07):
Do you think it's that?
Or the Persians just toss meattenderizer?
I think the Persians just putso much meat tenderizer on all
their meat, just like, and thenand then you bite a falafel.

Speaker 1 (31:20):
I don't know about you guys, I bite a falafel.

Speaker 3 (31:24):
I don't know about you guys.
I freaking hate falafels.
Oh, I always.

Speaker 1 (31:30):
There's some good falafels, but you got to make
sure you have water in your hand, dude.
I tasted paste when we firstmoved to the US in the second
grade.
Put it in my mouth and everytime I eat falafel I have that
same sensation of eatingfreaking paste like ah, why did
I do that?

Speaker 2 (31:43):
you usually can't eat more than one or half of one.

Speaker 3 (31:46):
Yeah I always get tempted.
The place east side pockets inrhode island used to have good.

Speaker 2 (31:52):
No, you know where I had the best falafels I've ever
tasted.
It's a hookah shop in old townscottsdale that was next to w
that place.
Really the guy, the guy's like,yeah, the owner.
He's like it's my mom's oldrecipe and his falafel was off
beyond that's why, yeah, it'shilarious.
They should be called fullawfuls, yeah the thing is the

(32:17):
you know, making them with arecipe, versus, like, getting
the costco restaurant brand andjust frying yeah, costco.
Costco has falafels now hot dogs, slices, I'm sure they have
everything.
Yeah, they probably havefalafel at the outside grill you
can like walk up to.

Speaker 1 (32:35):
I'll take two one dollar hot dogs.

Speaker 3 (32:37):
I take a year off my life every time I have a costco
hot dog.
But man, they taste good.

Speaker 1 (32:43):
Yeah, that's why euros are called euros.
It's all made.
Majority are made with like umfrozen, supposedly lamb meat, so
it takes a year off your lifethey just like put the whole
lamb and it grinds it and comesout.
I don't know I mean I work, weworked at concession stands yeah

(33:04):
, it was just like slabs of likefrozen, like lamb strips you
throw onto the grill and youjust watch.
Well, it's a little bit.
It says added lamb added lambflavoring.

Speaker 2 (33:18):
I'm like I don't want that lamb flavoring take that
out?

Speaker 1 (33:21):
why do you have to add lamb?

Speaker 2 (33:23):
flavoring.
I'm like I don't want that lambflavoring.
Take that out.
Why do you have to add lambflavoring to lamb, Shouldn't?

Speaker 1 (33:27):
this taste like lamb.

Speaker 3 (33:32):
Another illegal ingredient Adding the gaminess
to the European unit.
What do you guys do surgicallyfor these massive skin weight
loss people?

Speaker 1 (33:40):
We cut the excess skin off and close it.
Okay, that's the clip.

Speaker 3 (33:44):
Is that it Really?
Is there any?

Speaker 2 (33:46):
like.
No, it's almost like you knowmagic moves, Like you're cutting
them with a saw in half andsewing them back together.
That's pretty much what it endsup being.

Speaker 3 (34:01):
How do you measure it out?
You pull it.

Speaker 2 (34:03):
You pull it and measure and make up markings.
Yeah, you make your markings.

Speaker 1 (34:07):
You don't want to go too too tight, because then you
know you're going to increasethe amount of tension on there,
but you also don't want toremove too little, so you gain a
little more with experience.
But it's literally likeretracting, aka pulling, yeah,
yeah and making the marking.

Speaker 2 (34:28):
And the best results are if their BMI is less than 35
or 33.
You want them?

Speaker 1 (34:33):
at that goal.

Speaker 2 (34:33):
weight you want them at that goal weight for like six
months or so before operatingon them because you don't want
them malnourished, otherwise,like you know, you're not going
to get great results.
And it becomes like art kind of, because you're you know you
could like some of the stuff,like the tummy and stuff.
You get the basics but withsome of these patients you

(34:56):
almost have you.
You got to think differentlybecause some of the roles some
people like when they're obese,they have like eight, ten roles
and you're like there's no wayof retracting down, so sometimes
you have to make an upperincision but the but, the roles.

Speaker 1 (35:13):
The roles are because of the attachments from the
skin to the deep fascia so youknow you have to like kind of
either eliminate those fromunderneath, like dissect up that
far, or just live with some ofit yeah, it's the same thing you
do with the eyelids, it's justbigger.
Yeah, yeah, what do you?

Speaker 3 (35:33):
do for your eyes.
Oh yeah, you pull it.
Markings are the most importantpart of all the different ell,
different ellipses, yeah.

Speaker 2 (35:41):
Yeah, like with the chest, especially for guys.
You have to become a littlemore creative with what you do,
because it's not, you know, forthe females.
You do your lift and then youdo the bra line in the back and
it's more.
Also, I'm going to do twodifferent types of planes, but
for the guys, guys, you almosthave to take like a pyramid off

(36:02):
to kind of decrease that centralportion instead of going
through the back, and differentpeople carry their weight
different, they have excess skinin different locations.
So you got to kind of um, youknow, and we mark the patients
and then, once they're asleep,we take them and we preemptively
like staple everything and seewhether things come together and

(36:25):
what it's going to look likebefore, like actually doing the
procedure.

Speaker 1 (36:29):
What do you do?
Okay, not much, that's becausehard enough on the lower eyelid
that the skin just comes up it'slike, okay, natural and nancy
pelosi natural nancy natural andthen you know how many people I
have.

Speaker 3 (36:47):
They always ask.
They're, it's always nancy it'salways.
It's always pelosi or who elsedo they tell me about?
Um, oh yeah, I mean, I mean,you guys get have.

Speaker 2 (36:59):
I said it on this pod , but nancy pelosi looks like
she's perpetually seen ajack-in-the-box pop out for like
the last 25 years like oh, oh,you got me again, but like it
just never well, when herhusband's like gets caught with
like a naked, with a guy runningaround with a hammer holding

(37:23):
hands well, she probably seesthat every day and the cops are
like that's an awkward.

Speaker 1 (37:30):
He just got caught once.
The hammer is one of the mostcrazy sex tools I've ever used.

Speaker 2 (37:38):
Dude, there was a guy running around the house
attacking him with a hammer.

Speaker 1 (37:43):
They were both naked right.
That was so awkward.

Speaker 3 (37:46):
Were they both naked, or was it just the husband that
was so awkward?
When did this happen?
It was like a year ago, twoyears ago.
Come on, dude.

Speaker 1 (37:54):
Open your eyes.
You're an eye doctor.

Speaker 2 (37:58):
I think Nancy Pelosi's favoritism died out
after that.
She had to go into hidingbecause it was she just had a
really bad favoritism.

Speaker 1 (38:06):
It was pretty poor before then.

Speaker 2 (38:08):
Yeah, she was never liked, but I think that like
went down the drain ultra fast.

Speaker 1 (38:17):
I don't know.
She's just got to start a hedgefund.
Yeah, I would invest in it.
It's just regular year overyear, 80% returns.
You invest in that for likethree years.
You never have to work again.
It's like, oh, I'm so good atthe stock market, I'm on the
Pelosi index.
Yeah, how about deporting allthese Mexicans?
I'm kidding, work again.
It's like, oh, I'm so good atthe stock market, I'm on the
pelosi index.
Yeah, how about deporting allthese mexicans?

(38:38):
I'm kidding, I love mexicansespecially the ones that come
and sign up for surgery.

Speaker 2 (38:44):
Yeah, actually they're always great, you know
what?

Speaker 1 (38:47):
just just just follow my instagram feed and you'll
know how much majority majorityof my videos are all like my
algorithms are pretty much rightnow.
Just feed me Mexican memes Likethe last one was like the Rage
Against the Machine, played withthe slick and mariachi style.

(39:07):
It's just nonstop.

Speaker 2 (39:09):
And then like German sends me more, yeah, german
sends us.
Yeah, german, just totally.

Speaker 1 (39:15):
I can't help it.
I'm like don't do it, don't doit, oh crap.
I watched the video to thewhole length.
I know I'm gonna get some morelike too, and I'm like no, why
did I just hit like?

Speaker 2 (39:26):
and you take, you go to the next reel, it's another
mexican reel, and you're like,oh man, it just.

Speaker 3 (39:32):
And I mean my favorite meme is Mexican word of
the day.

Speaker 1 (39:35):
Oh, yeah, it's like my favorite.
That's old now.

Speaker 3 (39:38):
I know, but it's still awesome Like Mexican word
of the day.
Juicy, tell me if you see thecops.

Speaker 1 (39:47):
Which ones are there from?

Speaker 2 (39:49):
Namaste.

Speaker 1 (39:50):
It's just great.
Namaste has got to have like ahundred of them.
I personally like there wasthis wedding going on and this
mariachi band and like gettingdrawn by a trailer and this
fight breaks out and the bride'slike getting in the middle of
it and the mariachi band juststarts playing the theme song
for Rocky and they all get in it.

(40:11):
It's like it's so good.
I was just like why have Iwatched this like 25 times, like
now?
I went to bed at a good time,being age proof, but except I
watched that one clip, like tothe point where Sarah got up and
was like, can you shut that off?

Speaker 2 (40:31):
It's like shut that off.
It's like so all the peoplemake in front of persian, like
parents and stuff that they do.

Speaker 1 (40:46):
Do you think anyone else gets that?
Nobody, no, no, no way, no way.
All I've figured out all of the.
There's a lot of comedians thatmake it big in their own genre
or their ethnicity.
You've seen it with, likeindian uh comedians, yeah, and
like I know enough indian peopleto find that stuff funny.
Yeah, but like the it's, it'sso niche.

(41:07):
There's just, there's just noway.
Maybe like little pockets hereand there, but there's no way.
I think some of our friendswould get it from just watching
our parents and us be like, ohyeah, seen that happen before,
but I think it just serves thoseniches.

Speaker 3 (41:26):
Yeah, who's the Indian comedian who has the
Netflix?
I always ask If you want theNetflix special.

Speaker 2 (41:36):
Anyone that meets me they used to ask me oh, have you
watched the stand-up?
I'm like he's fucking Indian,I'm fucking.

Speaker 1 (41:42):
Iranian.
I know we're brown, but no, I'mnot brown bro.
I'm olive.

Speaker 3 (41:49):
I mean, Aziz is the big one he is, but no, it's Ross
.

Speaker 2 (41:52):
No, not Ross, not Ross, what not Ross?

Speaker 3 (41:55):
Not Ross.
What was his name?
I guess we have gone completelyoff topic today.

Speaker 1 (42:01):
One of my friends in med school.
He was just talking about goingto this guy and I thought he
was hilarious too.
And this friend always worelike pretty, like loud gear,
like he'd buy designer but notjust designer, but make sure the
sign's ultra big, and he waslike talking up going to see

(42:24):
this guy and I was just like, oh, that's, that's great, you get
to go.
He's like, yeah, I'm like rightin front and the day after the
show he comes back.
I'm like, hey, how was, how wasthe show?
And he's like, oh, it was great.
And then I had to get up and goto the bathroom and he saw my
sequined skull on the back of myshirt and he was just like the
rest of the stand-up was aboutme and he's like I couldn't get

(42:47):
away from it.
And he was like there's atleast a good 30 to 40 minutes of
him just cracking on him andwho he was as a person and what
he was wearing.
He was so disappointed he wasjust like I can't believe I did
that.
I saw that coming from a mileaway.

(43:10):
I know what you're wearing,russell.

Speaker 2 (43:12):
Peters, russell Peters.
Yeah, what did I say Pete Ross?
Pete Ross is a pretty Indianring to Peters Russell Peters.

Speaker 1 (43:15):
Yeah, what did I say, pete Ross?
Pete Ross is a pretty Indian.

Speaker 2 (43:19):
Yeah, he is.

Speaker 1 (43:20):
It's not a real Indian name but like yeah,
everyone would be like oh haveyou watched that Russell Peters?

Speaker 2 (43:26):
It was either him or that that American guy that made
fun of the fucking liketerrorist.
I forget you like had thepuppets and stuff and I'm like
terrorist.
I forget he like had thepuppets and stuff and I'm like
why would I watch somethingthat's making fun of?
Oh, the ventriloquist, yeah,whatever it was.

Speaker 1 (43:42):
Yeah, I couldn't get into that.
That was like the dumbestfucking shit.
It was so bad, jeff Dunham,jeff Dunham yeah, fucking Jeff
Dunham.

Speaker 2 (43:49):
Have you watched, jeff?
I I'm like no.
Think of real comedians.

Speaker 3 (43:53):
Yeah, I don't know how that guy got big, I know.

Speaker 2 (43:56):
It was just horrible.
It wasn't even funny, LikeRussell Peters is funny.

Speaker 1 (44:00):
Yeah, yeah, yeah, but he's Indian, he's not freaking
Iranian.
Yeah, or you're off-white.

Speaker 2 (44:06):
Yeah Well, I don't even know if he's Indian or
Pakistani.

Speaker 1 (44:10):
Nobody does.
Yeah, show me your birthcertificate.
It probably says Canadian One ofthe most underrated Indian
American.
I always think back to thisMitch Hetberg, just like the
most dry comedy in his deliverywas a poor guy who passed away

(44:30):
when he was under 30.
He was like you know, you'vegot that fancy bread.
It's like you open up the firstwrap and take the bread out and
it's still under another wrap,the dumb lines almost like norm
mcdonald's style, but actuallywith a little more character
than norm and um oh.

(44:51):
One line that's always stayedwith me is like if, if I were to
be anything other than a humanin life, I would be escalators,
Because even if I'm broke, I'mstill a set of stairs.
This is like I don't know why.
It's like burned into my memoryLike it's one of my favorite

(45:12):
jokes of all time.

Speaker 2 (45:15):
You know what's funny ?
Like joe rogan does, like this,what's it?
Parks and something and he has,like shane gillis ari shaffer
and what's it max?
No, is it max norman?
I don't know or norman, norman,that that guy like.
He's pretty much like normmcdonald yeah it's norman and
his name, but they're like acouple of them are on shrooms.

(45:37):
I don't know how Ari Schaeferended up being shirtless in the
middle of the show.
They have their sunglasses onbecause they're tripping and
they're doing a podcast, butit's freaking hilarious.
It's just like this they're justsitting around.

Speaker 1 (45:54):
I'm going to watch it .

Speaker 3 (46:01):
Yeah, is that?

Speaker 1 (46:02):
what we're doing next .
Yeah, call joe, we needmushrooms they smoke cigar.

Speaker 2 (46:04):
I'm like joe you, you're supposed to be like this
health freak and he smokescigars people follow all his
health advice.
Yeah, smoke cigars that thatprobably kills us covet, so he
doesn't need vaccination.

Speaker 1 (46:17):
Yeah, that prevents you from having to shove bleach
up your butthole.

Speaker 2 (46:21):
Yeah.

Speaker 1 (46:22):
What do you do, Sir?
No, don't do that with my light.

Speaker 2 (46:25):
Well, if you cold plunge, it probably gets rid of
that bleach in your butthole.

Speaker 1 (46:29):
Oh, cigarette smoke was good for COVID, wasn't?

Speaker 2 (46:32):
it.
Yeah, you had less likelihoodof getting COVID if you smoked
cigarettes.

Speaker 1 (46:36):
It's like, oh yeah you want to get in this body.
Fuck you, bitch Wait till you.

Speaker 2 (46:40):
Find out what's inside.

Speaker 1 (46:41):
Some fucking straight nicotine, some tobacco, bunch
of fucking additives.
Get over here, did you?

Speaker 2 (46:48):
hear his story about the COVID shot, because he's
never had the COVID shot.
But he went to get it and theytold him they ran out and he was
going to get Johnson Johnson,which is known to cause the
blood clots and stuff.
So they were handing him outand he went to get it and
they're like oh, we don't haveany for you right now.

(47:09):
So he's like.
He's like that was probably thebest thing that ever happened
to me, because then I researchedand I'm like what the fuck am I
about to do?

Speaker 1 (47:18):
My favorite COVID memory amongst my hundreds and
hundreds.
No, I'm kidding, sarah gotCOVID.
Yeah, ari got COVID, and thisis when we were on trauma call.
So we're working like 100 hoursa week and this is like
everything's still like shutdown, but we were working.
Oh, it was like a war zone.

(47:40):
Yeah, it was a straight up warzone, man.

Speaker 2 (47:43):
Everyone's in, like all these suits and you're like
should I be walking into thisfucking place?

Speaker 1 (47:47):
It was like shortly after I moved here from.

Speaker 2 (47:50):
New.

Speaker 1 (47:50):
Orleans and New Orleans, we legit had one of the
tents.
New Orleans and New Orleans, welegit had one of the tents.
I was like they, freaking ranout of places to put these tents
once they had to move them outof Afghanistan.
It was just like thehelicopters are going to start
landing on here.
But and it was the drive uptesting and looked like I was

(48:12):
trying to hide ET from the FBIand go and like just get stabbed
in the nose and it looked likeI was trying to hide ET from the
FBI.
Yeah, and go and just getstabbed in the nose, the thing.
And I'm like, oh yeah, becauseI hadn't taken any time off and
it was like again, 80 to 100hours a week and I'm like, yes,
Sarah got COVID, Ari got COVID.
I've been scared to ask fortime off.

(48:32):
I'm going to get COVID.

Speaker 2 (48:35):
I'm'm gonna take like seven to fourteen days off you
guys like you're negative.

Speaker 1 (48:38):
I'm like you're kidding me.

Speaker 3 (48:40):
I've been trying to get covered for the last five
days like went back negativeagain.

Speaker 1 (48:47):
I'm like no way, there's no way they test that's
probably because you didn't getthe vaccine yet.

Speaker 2 (48:52):
If you had the vaccine, you would have been
positive all the other crap inmy system fighting off COVID.

Speaker 1 (48:57):
This is before vaccines.

Speaker 2 (48:58):
Yeah, you probably got COVID before.
That's why, if you had thevaccine, you'd probably get it.

Speaker 1 (49:03):
No, I think the staff I picked up in the hospital
fought off the COVID.
It's like nah not happeninghere buddy Seats taken.

Speaker 2 (49:13):
I got more COVID after I got my vaccine.

Speaker 1 (49:16):
I never got COVID.
I got pretty sick a coupletimes.
You never got COVID.

Speaker 2 (49:21):
I think I got like, I got COVID.
I never tested positive, but Ifelt like it was something like
COVID.

Speaker 1 (49:27):
Seriously through, like the last five years, knock
on wood or whatever.
I got COVID, I never testedpositive for COVID.
I probably have COVID right now.

Speaker 3 (49:35):
I got COVID.
I never tested positive forCOVID.
I got sick once.
I probably have COVID right nowfor my son.
Great, and you got near me.

Speaker 1 (49:42):
Yep, I'm there for you.
I mean, yeah, we've been sickfor like five years ago.
I feel better now.
It's good I got the vaccinefive years ago That'll help me.

Speaker 3 (49:53):
now it's like day five I felt better, and then I
felt better and then, likeyesterday, it felt terrible.

Speaker 1 (49:59):
I think we just need a new, like rebranding, like we
need COVID-25.

Speaker 2 (50:05):
It's probably a different virus.

Speaker 3 (50:09):
That's why I'm sucking down these cough drops.

Speaker 1 (50:12):
Why did COVID not get served at the bar?

Speaker 3 (50:18):
Because it was 19.
Because, covid-19, I think ourshows.
This is our bad joke for melike 8 times probably, I think,
our pad's done.
Yeah, someone's, someone's donesomeone's done.

Speaker 1 (50:30):
No, you're actually gonna have to stay here and
shoot 30 extra minutes of fillermaterial for our previous
episodes and we're just going toget a cardboard cutout.

Speaker 3 (50:41):
Well, you guys have been with guests a bunch.

Speaker 2 (50:44):
So, Ram, do you do agility workouts?

Speaker 1 (50:49):
He used to do functional.

Speaker 2 (50:50):
But not now.
I think you need to do it morenow than ever before.

Speaker 3 (50:54):
I know I need to do a lot more than I do nothing.

Speaker 1 (50:56):
Well you're technically doing it.
When you're running after Saran, I know After.

Speaker 2 (50:59):
Saran, it looks like the crunch.
It's so bad for your body, dude.

Speaker 3 (51:06):
My body's falling apart.

Speaker 2 (51:07):
I need to start Dude.
Everyone that was watching themwas like you're like all of a
sudden shooting.

Speaker 1 (51:12):
I'm like that needs dude, that's a good way to like
judge, like like nfl prospects,instead of doing the reaction
test it's like being able to get, and then it's like why?

Speaker 3 (51:22):
why are you going to sleep?
When he goes to sleep, I'm likedude.
Are you kidding me?
Like how?

Speaker 2 (51:26):
I have to be awake when he's awake yeah, and it's.

Speaker 3 (51:29):
It's like nine o'clock right now and I've been
running after that, madman whattime do you usually go to?

Speaker 2 (51:35):
sleep when shy does what?
When is that?
It's usually 8, 39, yeah I trysome nights I I stay up a little
.

Speaker 3 (51:44):
I want to stay up but I can't.
I used to.

Speaker 1 (51:47):
I legit what I do is I and the thing is we're all
night people right, we all likewhen we were growing up, we'd
fall asleep at like one.

Speaker 2 (51:55):
Oh yeah, yeah, yeah yeah like right now pam falls
asleep at like.
It goes to bed at midnight, oneo'clock, but I I use that time
to lay on the red light mat,which I don't know.
I I hugely like recommend thatbecause I think it got rid of my
back pain and inflammation.

Speaker 3 (52:15):
What should I be doing for agility training?

Speaker 2 (52:18):
Nothing.
Just run after Saran.
That's what we were talkingabout.

Speaker 3 (52:21):
I need to stretch.
I know, I don't know.

Speaker 1 (52:24):
That's the thing.

Speaker 2 (52:25):
Anytime I stop stretching, I'm just like yeah,
that's why I bought that wholetable.
Pam's, like what the hell areyou doing?
More gym equipment.

Speaker 1 (52:36):
That's why you got to get rid of the row machine.
We should.
I thought he bought something.

Speaker 2 (52:40):
I bought the knees over toes guy.
I told you, I told you onSunday I bought the knees over
toes so I can do, norik lungesman that thing, you stretch out
my quads.

Speaker 3 (52:55):
Do all three of us have to show up to the surgery
center to get a full out gym?

Speaker 2 (53:02):
Yeah, she's like you're not adding anything else.

Speaker 1 (53:04):
I know she's like you're not making it like your
office right now.

Speaker 2 (53:08):
I'm like we'll put it on top of the round table.

Speaker 1 (53:12):
When she mentioned like this is where the tonal
will go, I was like, oh, we'regetting a tonal.
I was like is that for us?
Or the patients like, so I loveit.

Speaker 3 (53:21):
I'll yeah, I'm I'm happy about that too and dude.

Speaker 2 (53:24):
The red light chamber that I'm gonna get is gonna be.

Speaker 3 (53:28):
I'm really happy about the tonal it's great all I
can picture is him walking intoa red light chamber.

Speaker 1 (53:36):
What's it Right side, fred, is that it Hit me with?

Speaker 2 (53:41):
those laser beams.
So that red light bed I sentyou, it has PMF, it has ozone
therapy.
You're getting all these things, does it have anything that
works?
All of it does.

Speaker 3 (53:54):
The red light itself.

Speaker 1 (53:57):
I think the red light .
I don't know about the PRF, ourhyperbarics has been off the
chain.

Speaker 2 (54:04):
We were thinking of getting a two-person chamber,
but I think if we do four, it'slike you put three recliners in
there, we can fire away.

Speaker 1 (54:13):
People won't feel claustrophobic yeah, you can
blast you with this oxygen.
You can just go chill like bro.
We got all this oxygen in ourclinic.
It's gonna make you feel good.
It's gonna keep you young,which it will.
Yeah, it's like we're ready,you come and sign up.

Speaker 2 (54:29):
You can go and do your op notes in there, you can
do all your work it all comesback to.

Speaker 1 (54:34):
Oh, that is true, it all comes.
That is pretty balling so, oh,you can actually just sit oh
yeah, you're just gonna put thething go on a computer, oh yeah
that's, oh, it's a it's like, uhlike this size yeah, oh, that's
amazing, it's huge.
Oh, that's really cool ruse isgonna put the tonal first
hyperbaric it's bought.

Speaker 2 (54:54):
No, not yet, not yet.
No, it sounds amazing.

Speaker 3 (54:56):
Shortly.
That's amazing.
Yeah, sit there on yourcomputer in a hyperbaric chamber
that is perfect.

Speaker 2 (55:02):
It's gonna have a big tv and, like you, can put
recliners in there oh my god,yeah, we're gonna just hang out.

Speaker 3 (55:08):
We'll have the.
We should have the pod in thehyperbaric oh yeah, we could.

Speaker 2 (55:12):
I think thing does it , I think Thing does it.

Speaker 1 (55:13):
Yeah, brecca does it, weren't we talking to Thing
about it.

Speaker 3 (55:19):
I haven't been back on the pot for like two months
now.

Speaker 1 (55:21):
Yeah, thank God, you're just the filler.

Speaker 3 (55:23):
I am Fuck.
We can't get a guest.
Who are we going to call?

Speaker 1 (55:28):
Rob, sorry to drag you away from your family.
I know you don't want to dothis.

Speaker 3 (55:33):
You barely ever add anyways.
I'm just clueless right now.

Speaker 1 (55:41):
But you joined me with a greige crew.

Speaker 3 (55:45):
Yeah, I got new Father's Day clothes to look
like Rodmear.

Speaker 2 (55:49):
Are those Lululemon pants?
It's Vori.
That's what I said.
Look like.

Speaker 3 (55:53):
Rodmear Vori Vori.

Speaker 1 (55:59):
We have to balance it out.
We can't all dress like luckycharms, like issues, so with
some some of us have to begrinch.
I got some new clothes from uhisay miyaki.
Yeah, I spent way too much onit, but um, don't worry.
No, I got ashland's uh adviceon a couple of brands to buy and

(56:27):
I was just like oh dude, Ican't believe I just spent that
much what is it?
It's close, it's close.

Speaker 2 (56:30):
Oh, I should have sent this real to you guys like
um, so it's on that, like thatrap guy that I send you, the
Jewish rap guy that I send youevery once in a while.
So he makes fun of all thesepeople that are influencers and
stuff.
And this one guy is talkingabout how he used to and you can

(56:54):
tell this guy is just full ofbullshit all the time.
He's like he used to go to thisChinese restaurant and the the
guy would like put the tablesaway and would teach him Kung Fu
.
He's like he's like who thefuck does that?
No one does that.
Like you're not the karate kid.

Speaker 3 (57:11):
We saw that on the karate kid.
You're not the fucking karatekid.

Speaker 2 (57:15):
He's not Mr Miyagi.
Mr Miyagi doesn't exist.
He's in the fucking movie.

Speaker 1 (57:21):
If you do that, you can add 20% to the revenue
stream.
Imagine PF Chang turning into adojo after hours.
After everybody has diarrhea,they can hang around and fucking
scrap you, eat Chinese food,have diarrhea.

Speaker 2 (57:35):
They can hang around and fucking scrap you eat
Chinese food, have diarrhea, dosome fucking Taekwondo.
Well, if you teach them goodKung Fu, then they can go and
catch the dogs for you.

Speaker 1 (57:44):
So they bring them back so they can kill it.
Is there actual Kung Fu beingtaught?

Speaker 2 (57:48):
I don't know.

Speaker 1 (57:49):
I feel like it's just used for generic karate and
Disney movies.
You just teach them likegeneric karate and Disney movies
.

Speaker 2 (57:56):
You just teach them how to go and catch people's
dogs, so you they bring themback for your food.
So then you got free, free meat, oh my god that's definitely
cut to catch a predator.

Speaker 1 (58:11):
I think we're degrading with time and getting
more and more racists, but it'scool.
Racists.
Yeah, racism is in now.

Speaker 2 (58:22):
We're with the in crowd Freedom.

Speaker 1 (58:25):
You gotta go woke or go racist, you only have two
choices.
What are you looking up?
You couldn't wait five minutesfor that.

Speaker 3 (58:34):
He's getting yelled at Ten minutes.
Let's hit the gynecomastia.

Speaker 1 (58:40):
Gynecomastia.

Speaker 3 (58:43):
Tell me about male boobsia.
Yeah, tell me about male boobsyou tell me about your male
boobs.
Do you guys have a story aboutthat?
Like somebody that came in.

Speaker 1 (58:50):
Yeah, they've had oh well, so gynecomastia is breast
development in males.
Happens to some people,naturally a lot of people, after
like taking too muchtestosterone and stuff, unsuper
smoking too much weed weeddefinitely does it, weed gives
you male boobs.

(59:11):
Yeah, that's why you have them.
Some other medications too.
A lot of the psych meds do ittoo.

Speaker 2 (59:19):
Some of it's genetic.

Speaker 1 (59:21):
Yeah, so it's split up into three grades.
Grade one is arguably operable.
It's pretty much if someone hasa problem with it, but those
are like the quickest cases.
Grade two you have some.
It's arbitrary, it's like asubjective classification.

(59:41):
And grade three requires thebiggest surgery.
I've actually recently had acouple like three patients that
have had grade three.
So they end up with theincisions all the way across the
bottom of the chest where theoutline of the pecs are, and
then you elevate and place thenipple areolar complexes on as a

(01:00:03):
graph.

Speaker 2 (01:00:04):
You know what I've changed.
I I used to do that juststraight across.
I've changed to like an l-typeincision because that gives you
the scar, kind of gives you moreof an outline of the pec.
So I've changed it to an l-typeincision and um kind of give it
an area so you go here and up,so it kind of give them an
accent, so you go here and up,so it kind of Okay, which grade

(01:00:27):
do you do that?

Speaker 1 (01:00:28):
Grade three Grade three yeah, so.
It matters Grade two, I've beena little more aggressive with
packing more people into mythought process for grade two
because of the changes with thelike, vaser and the Renovian.
You get so much more,especially with the like, vaser
and the renuvion.
You get so much more,especially with the renuvion.

(01:00:48):
Yeah, you get so much of thatskin tightening where there's
people that you thought like ifyou hollow out, remove that
breast tissue, it's going tohang low and look weird.
Yeah.
But now, like you have anoption to tighten the skin after
you remove that tissue, where,like I've been able to do that
more to escape that big scaryeah, and it's all dependent on

(01:01:09):
skin quality, right?

Speaker 2 (01:01:10):
so if the skin quality permits, you can do it.
Some people, their skin qualitylike, will not get them away.
But even then, like with someof the um great twos, you could
do like an axillary lift.
So you're not exactly removingskin underneath the breast,
you're just pulling everythingup and repositioning the nipple

(01:01:32):
and removing the excess skin inthe axilla.
So the scar is hidden even withthe removal.
Yeah, with the grade ones, youusually can do it in the office.
Yeah, caused by multipledifferent things, um or just and
it's probably the most popularthing we do.
We do sometimes two, three in aweek and I sometimes line them

(01:01:54):
up like, yeah, two or three in aday, um, in the office, uh,
done under local anesthesia, uh,patients do great.
And one of the things is peopleare like I can finally wear
t-shirts again.
Yeah, they, they wouldn't weart-shirts or even like take their
shirts off and stuff at thebeach or at the gym and stuff so

(01:02:16):
it just builds their confidence.

Speaker 1 (01:02:17):
I had a patient in his 70s undergo.
He had grade three, so he hadthe full incision and I was like
, if it's that bothersome, thenhe's like, yeah, I don't like it
.
He saw a few other surgeons andwent with me because of my
charisma, but he got it done.

(01:02:39):
And he's just like I give alllike you, I give all our
patients our phone numbers.
So I'm like, oh, if anythingcomes up, he's like, oh, I'm
just concerned about this.
But oh, man, this is on day twowhere everything's like swollen
and bruised.
He's like this is fantastic.
He's like I can't believe Iwaited this long to do it.

(01:03:01):
And it's like every time youhear that like, yeah, I can't
wait, I, I can't believe Iwaited this long to get it done,
no matter what procedure islike that really hits home, like
I feel good about what I'mdoing.

Speaker 2 (01:03:14):
I think a lot of it has to do with you know, like
just the information being outthere and people know, because,
like people like oh, I neverknew there was something out
there that you could do about it.
Like I have it and I thought mychest, you know, my pec muscles
were grown, but it would growfaster than my pec muscles.
I have a small amount but likeI haven't done anything, like my

(01:03:35):
skin's pretty bad.
So if the tissue gets removed.

Speaker 1 (01:03:38):
Do you find it bothersome?
Yeah, If you decide to proceed.

Speaker 2 (01:03:41):
I know, actually looks plastic surgeon for you.

Speaker 1 (01:03:43):
If I could do it from on myself, I would do it
otherwise I don't trust anyoneelse yeah so with gynecomastia.

Speaker 2 (01:03:50):
So like what one thing that could be added on?
You know, like some people needa little more refinement in
their chest, I do quite a bit ofliposuction.
I liposuction the area out andthen I remove the tissues, and
the other thing that could bedone is adding some fat back
into the pec muscles to makethat appear much more youthful
and bigger.
Um, where it's more masculineand you know it helps with the

(01:04:14):
overall like look of the entireprocedure, I think fat grafting
is a huge tool into the pecmuscle.
It.

Speaker 3 (01:04:21):
It's a great option.

Speaker 1 (01:04:22):
Yeah, patients out, Even in the breast overlying it
to define the pec muscle you geta lot better definition.

Speaker 2 (01:04:32):
Yeah, some men I've removed pretty much 500-600 gram
breasts off of them.
They have full female breasttissue.
It's just genetic it's theirhome hormone, especially like
obesity.
So if you're if you're moreobese, you're going to have more

(01:04:53):
estrogen and more likely toproduce breast than if.
Yeah, if you're someone that'slean not that someone that's
lean that can't get the breasttissue Everyone has that breast
tissue, but there's somethingthat causes it to develop and
get bigger, like for me.
It's probably from me beingoverweight.

(01:05:15):
You know like being youngerbetween 8 and I forget.

Speaker 1 (01:05:21):
I think it's because you walk like a woman 16.

Speaker 2 (01:05:24):
I was pretty, pretty obese when we moved to the us.
I think the diet weightsfluctuated yeah, big time.
Yeah, like I, you know, duringwrestling season I would drop 20
30 pounds and get ripped up.
But but that wasn't until, likeI was sophomore in high school,
where I would drop the weightand get, and then, once I

(01:05:47):
entered college, I gained a lotof weight for football, but then
I dropped back down in medschool.

Speaker 1 (01:05:53):
You fluctuated between like what like, 190, 200
up to like three plus.

Speaker 2 (01:05:59):
Yeah.

Speaker 1 (01:05:59):
And then back down and back up.
Yeah, and back down.
Back down, yeah yeah, that's alot yeah.

Speaker 2 (01:06:07):
So that's why, like you know, doing longevity and
peptides and stuff to just kindof maintain that weight and
build muscle and, you know, havethe energy and stuff it.
And I've tried every diet inthe on the planet.
Yeah, most recently I'm on thecarnivore diet.
The problem is you can't tryall the diets at once.

Speaker 1 (01:06:27):
We always talk to patients like plastic surgery
doesn't cure underlying issues.
Your underlying issues are diet, healthy life.
We can probably make you lookbetter, but you're not going to
have your ideal outcomes.
So there's again matters likeif you're not going to have your
ideal outcomes.
So there's again matters likeif you're overweight and how
overweight you are, or likehealthy living, like liposuction

(01:06:52):
or tummy tuck is not a weightloss surgery.
You're going to get some tissueremoved, but it's not to like
actually lose weight.

Speaker 2 (01:07:01):
Yeah, and I've changed the way I practice and
it's great to have GLP ones andtools that we can use to help
these patients to get healthierthroughout their life.
And then you can do somethingto change their body, to gain
their confidence.
Because, like before, you knowwhen I first started, yeah, when
you're like all right, I don'thave a bmi limit, I do sort of

(01:07:24):
have one, but like not reallywhere you, where you totally
know, like complication rates,everything's gonna break apart.
Or you know the patient evenundergoing anesthesia, it's not
safe for them.
So those, those are patientsthat you know we don't want to
operate on.
And then you know, then you'rewalking the line of, like some

(01:07:46):
of these people that you're inthere you're doing a tummy tuck,
you're like or like they haveso much intra abdominal fat,
you're like I'm making you alittle less round, but is this
the right thing for you?
And like I was just gettingtired of that.
So now I started on a weightloss journey so we can move on

(01:08:07):
to like once they have theexcess skin, removing that skin,
and they're living a healthierlifestyle, they're overall
healthier, they're going to havemuch less complications,
they're going to have betteraesthetic results, because if we
continue down that path, youknow, like I was in New York and
some of my attendings are like,well, you don't turn them down.

(01:08:27):
You liposuction them like three,four times because allowables
yeah, allowable to like fiveliters per session and then you
do the tummy tuck on them.
I'm like, you know, like nutsyeah, it's crazy and these
people would would get it done.
And like there's someone intown that does high BMI patients
.
But is it the right thing forthese patients?

(01:08:49):
It's not it.
It usually does not lead thesepeople into a path of losing
weight.

Speaker 1 (01:08:56):
I was actually starting to live on that.

Speaker 2 (01:08:58):
Yeah, it's you gotta, and it's not by just us.
You know, I try to spend timewith them and try to describe
what they need to do to get intoa position to have overall safe
surgery and good surgery forthem, rather than being like, oh
yeah I'll remove all this fatand you're gonna have less fat

(01:09:18):
this before glp1's.

Speaker 1 (01:09:20):
One study I wanted to do but couldn't organize the
numbers, is to see like youstill have a decent failure rate
for gastric bypass and stuffwhere people regain the weight
even if they lose it.
But I wanted to see whatpercentage would keep it off if

(01:09:41):
they had the weight loss surgeryand had the removal of the
excess skin and and follow up.
It's obviously like going to bebiased because the people are
motivated enough to lose thatweight, to have that surgery, to
lose the excess skin, areprobably more motivated to keep
that weight off.
But I think, like just justthat process it's a it's

Speaker 2 (01:10:06):
a hit and miss because I actually started to do
that not that exact research,but I started doing research on
people that we were doing tummytucks on because you think about
it, you're kind of tighteningup the muscles in the midline
and they're going to haveincreased intra-abdominal
pressure.
They're going to have increasedintra-abdominal pressure.
They're going to eat less.
We were finding like a lot ofpatients would stop eating as

(01:10:27):
much, but that goes away withinthree, four months as your
muscles relax a little bit andstuff and you know like when we
looked at the numbers therewasn't much of a difference.
You know, some people weregaining weight after procedure.

Speaker 1 (01:10:40):
I think the thing with with, especially after
massive weight loss yeah again,it's your more motivated
patients yeah also, if you havesome parts with, like excess
skin, subcutaneous tissue, yeah,you're.
You're never going to be fullylike over that because it's a
part of you, yeah, and you'rebound to like get back into

(01:11:01):
habits.
And there was a study a couplemonths ago in one of the
top-notch journals that showedthat once you gain weight,
there's a genetic shift in yourcells to want to return to the
original amount, like your fatcells specifically.
So even if you do whatever itis to lose the weight, and

(01:11:25):
that's why probably people haveto stay on GLP-1s or like a
low-dose GLP-1 to maintainbecause your body gets shifted
genetically to again want togain, those fat cells increase
the weight.
So the one thing that studydidn't do is follow up long term

(01:11:46):
.
Yeah, because I think if youkeep that weight off, like,
let's say like instead of oneyear, like five years, the
chances you keep it off is like90 compared to like, oh, if you
drop well, your stomach might beparalyzed from the glp1.
Yeah true, yeah true, but I mean, I think obviously, the longer
you live a certain way havecertain habits, the more likely

(01:12:10):
you are to continue.

Speaker 2 (01:12:12):
But like with some of the long-term follow-up with
liposuction patients, so like Itell the liposuction because
everyone asks is like you know,when I have liposuction that
fat's removed, so it's nevergoing to come back.
I'm like, yeah, in those areasthat you have liposuction that
fat is reduced and you're notgoing to have those fat cells
there On top of it.

(01:12:32):
You're going to have scarring,so it's going to be tough to
regain fat in that area.
But there's other areas thathaven't been liposuctioned.

Speaker 3 (01:12:39):
So like if I liposuction your upper thigh.

Speaker 2 (01:12:43):
The fat is going to grow on your lower thigh once
you gain weight.
If you're going to gain weight,it's going to.
You know you're going to gain alittle bit in the liposuction
areas, but the un-liposuctionedareas are going to grow
tremendously worse than theliposuction areas.
So overall, these aren't you,you know, weight loss surgeries.

(01:13:08):
They're good for, like someonethat has had weight loss and
doing it afterwards, um, youknow.
And for best results.
You know, being within acertain bmi.
You know bmi less than 30 isperfect, but we I usually, you
know 33 is usually my cut off.
Yeah, 33 to 35.
Yeah, or else you there's I cutit below 35 because if you're

(01:13:31):
bmi over, 35.

Speaker 1 (01:13:32):
It's, it's you.
You probably have someunderlying issue that you need
to take care of.
That is not surgery that'sgonna make you happy.

Speaker 2 (01:13:42):
So you're, you're, you're probably already insulin
resistant, which, like, isalready leading down the wrong
path.
So you need to get on somethingto control that and, like, get
yourself to a healthierlifestyle because, yeah, like
it's just not worth the risk ofgetting blood clots that go to
your lung, and you're at muchhigher risk when you're running

(01:14:05):
to hire.

Speaker 1 (01:14:06):
Not just that like just like you're, you're part of
a family, you have a lot ofpeople who care about you, yeah,
and like it's justsignificantly decreases your
risk for heart disease, stroke,like, even like Alzheimer's
cancers.
Yeah, so it's not like likeit's kind of like just don't be

(01:14:27):
selfish.

Speaker 2 (01:14:27):
Like take care of yourself, don't be selfish which
is weird to say, but that'syeah and you know, there there's
people that are out there thatare against your glp-1s, you
know, even like they're healthnuts, but they're, you know
they're against glp-1s becauseit's like cheat code for these
people.
But, like you know, for some ofthese people one thing is it's

(01:14:51):
extending their life bycontrolling their sugars, even
if they're eating poorly.
But you know, I think overallthey decide to eat less poorly
than they would if they weren'ttaking GLP-1.

Speaker 1 (01:15:04):
Yeah, the studies show that.
Yeah, just eat healthier yeah.

Speaker 2 (01:15:10):
You know, not everyone can stay away from
sugars and processed foods.
You know, and like work, stress, like all these things factor
in with what they eat and likefor me, you know I've been
pretty regimented on what I eatand stuff.
So like I can do that, I stayaway from anything processed and

(01:15:31):
and sugars.
But like your average Joe isn'table to do that, I'm out.