My Surgeon Says...

My Surgeon Says...

Join Melbourne-based plastic surgeons Richard and Kim for a bi-weekly D&M on health, surgery, and wellness. We answer real patient questions about cosmetic surgery, explain operations and surgical techniques, and chat to other experts for anything else.

Episodes

July 17, 2025 29 mins
Today we're talking about reconstructive vs cosmetic plastic surgery. When I thought about this topic, I didn't really think we'd spend so much time on reconstructive surgery, but I am so happy we did. Richard and Kim explain some wild operations that surgeons are performing to either repair or rebuild parts of the body that have been damaged by illnesses like cancer, congenital disease, or through accidents. Keep listening ...
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Today, we've got facelift guru Dr Richard Bloom on the pod to delve into the mysterious world of facelifts. We chat about the current obsession with the deep plane technique, what recovery is *actually* like after surgery, and whether the results last forever.

If there's a topic you'd like us to cover or a guest you are desperate to hear from, then send us a DM or a voice memo over at our new Instagram! And leave us a 5 star review ...

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Welcome to My Surgeon Says! We’ve had a bit of a facelift so if this has popped up in your podcast feed and you have no idea what’s happening, the podcast formerly known as Keeping It Re.al has rebranded with a new name, look, and slightly different format. We will of course be keeping to our plastic surgery roots and explaining everything from what to expect as a cosmetics patient to niche surgery-specific questions you wou...
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May 21, 2025 23 mins
This week on the podcast, Richard and Kim are running us through the most common mistakes that patients make and how to avoid them. They also tell us about the most important things they learned during their early doctor days and explain the difference between a complication and an actual surgical blunder. As always, if you enjoy this episode, please leave us a five star review wherever you are listening, or share it with so...
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Today we're talking twins and more specifically, the impact on the women who birth them. Did you know that the average woman's uterus grows to 500 times its usual size in pregnancy, and that's just single births! Today, Kim and Richard discuss why even though global rates of birth are going down, multiple births are actually increasing. We also cover if it's more likely that you'll need an adominoplasty after giving birth t...
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Today we're joined by Plastic Surgery Superstar, Dr. Kourosh Tavakoli. Kourosh is based in Sydney and has over 20 years experience in breast and body contouring surgeries. In this episode, Richard and Kourosh revealed just how much disdain other surgeons had for cosmetic surgery 20 years ago. They'd have backs turned on them at conferences and get told they were selfish for taking a medical placement that another doctor coul...
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April 13, 2025 15 mins
We often have patients coming in complaining about back fat, and quite a lot of the time it's actually not back fat at all, but an excess of loose skin that has become uncomfortable and cumbersome under their clothes. Today, Richard and Kim chat about the best surgeries to address problems on the back. If liposuction alone can be a good solution, and whether CoolSculpting is just a waste of money or not. As always, p...
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March 4, 2025 26 mins
Today, we’re answering the age old question – what’s the difference between a lower body lift and an abdominoplasty, aka a tummy tuck? Richard and Kim explain what’s involved in each operation, who the ideal candidates are, and what recovery is like for both. This topic is a listener request, proof that if you ask, we will answer! So go on, send us your questions on Instagram and rate us 5 stars wherever you’re listening.
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The concept of being covered by Medicare for plastic surgery is undeniably confusing. To help, we've recorded a two part series explaining what an item number is, why they exist, and we go through operation by operation to break down who qualifies for the surgeries we perform at RE. If you haven't listened to last week's episode, definitely go there first to get an understanding of how item numbers and private health insura...
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The concept of being covered by Medicare for plastic surgery is undeniably confusing. To help, we've recorded a two part series explaining what an item number is, why they exist, and we go through operation by operation to break down who qualifies for the surgeries we perform at Re. In this episode, we cover how both the MBS and private health insurance work, what it means to have a purely cosmetic surgery, and we go through...
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Today, we’ve got a one-on-one chat with Richard to learn more about what makes him tick. We cover a lot, including the proudest moment in his career, something he wished more people knew about plastic surgery, and a memorable moment from his first ever surgery.
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December 17, 2024 27 mins
This week, Richard and Kim join me to chat about the dark side of over-investigating normal post-op bumps and twinges. They share some of the most harrowing patient stories we’ve heard on the podcast, explain why seeing patients in person is always the most effective way to diagnose, and break down the most common post-op complaints by operation.
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December 3, 2024 16 mins
We get a lot of questions about post-op garments so here’s a quick little episode answering the FAQs. We chat about whether it’s okay to take your compression garment off in the early weeks after surgery, why surgeons have such differing opinions on their efficacy, and if there’s a limit to how long you should wear your post-op garments.
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November 12, 2024 14 mins
Today, we’re talking about spitting sutures, which is when your internal stitches pop up through your skin… not exactly where we want them to be. It’s not as harrowing as it sounds and can often get misdiagnosed as something more nefarious by those not in the know. We explain how common spitting sutures are, how to know if you actually have one, and why we would never prescribe antibiotics just for kicks.
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October 9, 2024 18 mins
Today we’re talking about breasts bottoming out. Never heard of it? Well, welcome. We go through the technicalities of it all, which patients are more at risk, and why we’d never tell you to stop doing chest workouts at the gym.
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September 25, 2024 19 mins
The world of cosmetic surgery is rife with tricks, dodgy practice, and misleading images so today, Richard and Kim join me to expose the 5 biggest scams in plastic surgery. They explain how to make sure your surgeon is legit now the guidelines have changed, how to spot a suspicious before and after pic, and if high pressure sales tactics are still around.
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September 11, 2024 20 mins
Today on the pod, we get practical. Richard and Kim chat about the must do’s before going into theatre, which common advice you should actually ignore, and their top tips to ensure surgery goes as smoothly as possible.
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August 14, 2024 12 mins
If you’re a bit surprised by this topic, you’ve obviously never met Mr Richard Bloom, a man fuelled almost exclusively by data sets. Today, we chat about why the surgeons audit each other’s work, how it started, and how it improves patients’ results.
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This week we’ve got part 2 in our 'Ask An Anaesthetist Series' with our fantastic anaesthetist Dr Arturo Gomez. If you haven’t listened to part 1 stop right now and check that one out first. In this episode, Arturo reveals how patients can 'pre-hab' to make the anaesthetic process as smooth as possible, what’s different for patients with chronic pain or diabetes, and his insight on the top fear for patients – waking up durin...
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July 30, 2024 22 mins
A lot of our patients come to see us after big hormonal changes like puberty and pregnancy, and today we’re focussing on a third one – menopause. We chat about what kind of changes women experience during perimenopause, whether hormone replacement therapy impacts surgery, and common procedures we perform on post-menopausal patients.
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