Episode Transcript
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Speaker 1 (00:00):
The following is a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed.
Speaker 2 (00:09):
Well Doctor Arthur Perry, he's one of the top plastic surgeons.
He's got offices in Manhattan, New Jersey. You know what.
He's been doing the show here on w R for
years and years and years. Very popular show and a
great plastic surgeon. Everybody has questions on this subject, so
he's the guy to ask.
Speaker 3 (00:26):
Doctor Arthur Perry, and the public wants to know.
Speaker 4 (00:28):
The public doesn't get a damn.
Speaker 2 (00:30):
And I went to his office and I said, I said,
look at my face. And he goes, yeah, look at
your face. We're going to do with your fan What
can you do with his face? I go like that,
I s what, I go, look at this, I'm getting old.
I said, I want to maybe get fixed it up
a little bit.
Speaker 4 (00:40):
Doctor Oz, are you there, I'm here Ark, and I
want to get to plagged you. Having worked with you
on a book and numerous other activities.
Speaker 3 (00:46):
You want to talk to Arthur Perry the best in
plastic surgery.
Speaker 4 (00:49):
Remarkable knowledge, but also your grace at delivery content which
is why it's been a blessing to have you on
my show so many times.
Speaker 5 (00:54):
When I was a resident at the University of Chicago,
we had a me.
Speaker 4 (00:58):
You smart as I really really gift this position. I
want to pay you the highest true I can give
to a surgeon, which is when people come to you,
they don't come for an operation, they come for opinion.
And that's why I trust you with my friends and relatives.
I didn't realize we were going to get the Michael
Jordan of Plastic Surgeon nine two and zero bows to
this guide.
Speaker 3 (01:16):
And welcome.
Speaker 5 (01:18):
This is Board certified plastic surgeon, doctor Arthur Perry, and
you are listening to What's Your Wrinkle right here on
WOAR and if you're listening to the podcast on a
Wednesday morning, this is straight talk about cosmetic surgery. That
is what I talk about. I'm a Board certified plastic surgeon,
host of this show. Coming up our anniversary next week. Noah,
(01:40):
this is the last show of our twentieth season. I
suppose it's twenty years on war and I'm happy to
bring you news and information about cosmetic surgery. That is
what I do during the week and on Saturdays it
is this show, and I'm broadcasting live from the Hamptons
during this Thanksgiving season here at WOR. You can become
(02:04):
part of the show by giving me a call eight
hundred three two one zero seven ten. That's the phone
number here at wo R eight hundred three two one
zero seven ten, and we're giving away bottles of Nighttime.
Speaker 3 (02:15):
Tonight.
Speaker 5 (02:16):
Nighttime is that one stop shopping for skincare, and that
means it's got everything that really is scientifically proven to
make a difference. And I left out all the garbage,
all the things that don't work, the buzzwords in skincare
that are ridiculous, you know. I mean these these big molecules,
things that can penetrate the skin, things that are put
(02:38):
on your skin the wrong time of the day. It
really does make a difference. But we've got vitamin C
and vitamin A and fruit acids, antioxidants, skin brighteners. Yes,
nighttime is what works. And by the way, since it's
still the Thanksgiving season, the Black Friday season, the Cyber
Sunday season Monday, right, I guess it's Cyber Sunday also
(03:01):
now it's kind of an extended period in the retail
market and on Amazon, well, you can take advantage of
the twenty five percent off every one of my products.
If you order on Amazon, you have to order by
midnight on Monday. It expires, and they really mean it.
If it's you know, a minute after midnight, you don't
(03:23):
get that Black Friday Cyber Monday special. So if you're
interested in my products, the soap which is called clean Time,
which has three different patterns, it is a perfect soap.
It's the right pH the same as your skin cleans,
without sulfates and without those things called thalates. It's got
(03:44):
lemon and lavender. It's a very nice scent. Those are
the only two proven aromatherapy scents. By the way, they
actually can lower your blood pressure. I mean not a lot,
but there are scientific studies that show that that people
that wreathe in those aromas actually get some improved blood
(04:06):
pressure readings.
Speaker 3 (04:07):
They can sleep better.
Speaker 5 (04:08):
You know, I can't guarantee you that's gonna happen with
my product, but it is a very nice soap. We've
got Nighttime, which has all those great ingredients. The nutrition
for your skin Daytime is the protector of your skin.
It's got vitamin B three, which is nice cinnamone and
vitamin B five, as well as zinc oxide sunscreen and
(04:29):
if you like a moisturizer. Not everyone needs one, although
this time of year, boy, moisturizer comes in really handy
with the chapped hands. You're getting them already, aren't you,
and chapped lips because it's so cold. It was freezing
last night, wasn't it. Well, the moisturizer called soft Time
is very helpful this time of year. So all those
products twenty five percent off stock up on Amazon dot com.
Speaker 3 (04:54):
And for my listeners in New York, just to let
you know, they're running low.
Speaker 5 (04:58):
We sold so much Nighttime this year, they're running low
on Amazon.
Speaker 3 (05:03):
If there's a problem, you know what to do.
Speaker 5 (05:05):
You call my office on Monday or Tuesday and Ellen
will be there answering your call two on two seven,
five three, eighteen twenty and tell them that you want
the cybersun the Cyber Monday Special, the Black Friday Special,
and she will give you the twenty five percent off
(05:26):
on Monday and maybe for New York listeners will extend
it to Tuesday. All right, enough of that. Oh, by
the way, before I get into the show, I'm going
to be on the Larry Minty Show this Friday. I'm
sure all of you listen to Larry in the morning,
and he's got a great show. I love listening. You
learn everything about the news of the day, the weather,
(05:47):
the sports, traffic, everything on Larry Menti show. Well, I'm
going to be on at about nine o'clock. And those
of you have listened to me on the Mark Simone Show.
I've been trying to botox more for years now and Mark.
Speaker 3 (06:02):
Has not let me.
Speaker 5 (06:04):
Sooner or later he will live on the air. But
we're gonna give it a try with Larry this week.
What do you think you think Larry.
Speaker 3 (06:11):
Will let me botox them live on the air.
Speaker 5 (06:13):
I don't know, but listening at nine o'clock on Friday
and it should be very interesting. All right, Today we
are going to talk about America's favorite topic, liposuction.
Speaker 3 (06:26):
You thought it was sports or sex right.
Speaker 5 (06:28):
Now, it's liposuction. It's fat removal and I do a
lot of that. We're gonna talk all about the most
common procedure and all the cosmetic surgery that is liposuction,
and then if we have some time, we will also
talk about scars. Everybody has them. You get scars from
trauma or you get scars from surgery. There are bad scars,
(06:50):
there are good scars, and I spend a lot of
time making scars better if you have a not so
good looking scar. So when we come back from our break,
we're going to talk about fat removal, the great procedure
of liposuction. The phone number here at WR is eight
hundred three two one zero seven ten. Eight hundred three
two one zero seven ten. We'll be back after these words.
(07:20):
Everyone should have a skin cancer check yearly. It's as
important as a colonoscopy or a mammogram. It's tough to
find a dermatologist that does a thorough check, but there
is a breakthrough in skin detection and monitoring. At Eleitra
Health in Manhattan, they have a new AI driven computerized
camera system that takes a three D photograph of your entire.
Speaker 3 (07:40):
Body in just seconds.
Speaker 5 (07:42):
It'll analyze your moles and tell you if any are suspicious,
and they can even do a quick biopsy if it's necessary.
I had the scan myself at Eleitra Health, and I've
already sent my family members to have the scan. To
schedule your scan, called Jennifer at six four six three
six two forty five forty two. That's six three six
two forty five forty two. Or go to www dot
(08:05):
eleitrahealth dot com slash dermatology. There's only a few of
these machines in the country, but Eleitra can schedule you
right away. And if you mentioned the Pery ten code,
that's Perry ten, they'll take ten percent off of your fee.
That's Eleitra Health six four six three six two forty
five forty two. Did you know that your skincare may
(08:25):
be hurting you more than helping you. I'm Board certified
plastic surgeon, doctor Arthur Perry. The foundation for looking good
is clean, healthy skin. So I've created a program that
is so simple that everyone can stay on it long
enough to see real results. It starts with an incredible
skin cleaner called clean Time. It's actually good for your skin.
(08:46):
Protect your skin with my Daytime SPF twenty cream in
the evening, feed your skin with my Powerhouse Nighttime serum.
Nighttime has vitamin CNA antioxidants and skin brighteners. And if
you like moisturizers, well, I've created Soft Time with saramides
and vitamin D. Throw away the bags of useless products
and try doctor Perry's Skincare join the thousands of people
(09:09):
whose skin is healthier. That's doctor Perry's Skincare on Amazon
dot com. And don't forget to listen to my radio
show right here on WOR every Saturday evening at six pm.
You're listening to What's Your Wrinkle with Doctor Arthur Perry.
Speaker 1 (09:23):
What's Your Wrinkle?
Speaker 3 (09:25):
And we are back.
Speaker 5 (09:27):
I'm board certified plastic surchon Doctor Arthur Perry. And during
a break, Noah and I were talking about what happened.
It was actually December third, two thousand and five, my
very first show on WOR. Noah and I were in
the studio, My wife was in the studio, and if
you remember, Noah, there was a failure of the system,
(09:48):
and what do you do when you're the first it's
your first show, and we had issues, but we pulled
it off and Noah said he'll be a one time
guy here at wo R twenty years December third, twenty
twenty five. So it's been a good run and we're
back next year. We are signed on and ready to go.
Speaker 3 (10:08):
All right.
Speaker 5 (10:09):
So LiPo suction, I call it liposuction. You call it liposuction.
You call it tomato, I call it to model. It
was the word was lipid. That's where it came from.
In the first year in nineteen eighty three, everyone called
it liposuction. That's why you know at the University of Chicago,
that's how they pronounced it. But then those guys from
(10:29):
Texas started calling that lapo suction lap and everybody in
the country followed it. But I still I'm a purist.
It's the word is lipid. Lipids are fat. So how
many last year in the United States almost three hundred
and fifty thousand lippos suctions. It became and was the
most popular procedure in all of cosmetic surgery. Now we're
(10:49):
not talking about those non invasive procedures like botox and fillers.
They dwarf liposuction and breast augmentations. But we're talking about
the real cosmetic surgery procedures where we go to the
operating room and make an incision and perform a surgical procedure,
and it is liposuction. At about three hundred and fifty
thousand for the body and about twenty five thousand for
(11:11):
the face, and even more during that don't get counted
in our statistics. Because every time I do a facelift,
I do suction. Every time I do a breast reduction,
I use LiPo suction. Every time I do a tummy tuck,
I use liposuction.
Speaker 3 (11:25):
So suction is.
Speaker 5 (11:27):
A procedure, but it's also a technique. We'll use that
just like a knife for a scissors, to help us
get a result in all these other procedures. So it's
a very popular procedure, and it is a great procedure.
Speaker 3 (11:42):
You know.
Speaker 5 (11:43):
One of the interesting things is about three thousand people
under the age of nineteen had liposuction last year. I
find that interesting. I rarely do suction on someone young.
The most common people are in their twenties and thirties
and forties, but there have been about, I guess the
statistics over seventy seven thousand people. But the majority of people,
(12:09):
you know, are kind of middle aged twenties. Is that
middle aged twenties, thirties, forties, fifties. Most common area for women, Yeah,
it's the hips and the thighs. The men, it's the belly,
and both sexes have fat suctioned out of their neck
very very frequently. The reason it is such a popular
(12:30):
procedure is because it is safe and it is effective.
You know, in the beginning in the nineteen eighties and
nineteen nineties, we really didn't understand the limitations of liposuction,
and there were a lot of deaths a long, long
time ago. It's a very rare thing to have a
problem now. In fact, most of my patients that I
(12:50):
remove two, three, four five pounds of fat from their
thighs or their hips, or their.
Speaker 3 (12:56):
Knees, and their bellies, all those.
Speaker 5 (13:00):
Their backs, I can suction, their arms, their calves, their ankles,
they're called cankles.
Speaker 3 (13:06):
All those areas.
Speaker 5 (13:07):
Most of those patients are back in action literally two
days later. So if you have the surgery, it's under
general anesesia, and you know, I prefer to do it
under general There are some people that do it under
local anesthesia, but I don't think that's a good idea
because you have to use such enormous amounts of local
anesthetic that every antithesiologist will tell you that a general
(13:31):
anesthetic by a board certified antithesiologist is a far better
way to go than using enormous amounts of lightocine. I
actually wrote a paper on this topic, and I wrote
a chapter and a book on this topic. So I'm
an expert on the use of safe liposuction and so anyway,
(13:52):
the way it's done is it's actually not a method
of weight loss. We don't want to do it if
you're thirty or forty pounds overweight. There you want to
do the GLP one drugs or lap band or whatever
your bariatric doctor or antochronologist says is the best way
to lose weight. But once you're at or close to
your ideal weight, then you know you might have forcalcitren
(14:15):
fat pads. And what does that mean. That's the fat
that's left behind. You know who you are, you know
where you have it. Maybe it's on your hips, maybe
it's on your thighs or your knees. You're at ideal
body weight. If you push it any further, you're gonna
get malnourished. You don't want to get too thin, but
you can't lose that last bit of weight. Well, that
(14:36):
is where lippa suction comes in. So we bring it
to the operating room. We paint your body with betadine
and then we go under general anesesia and make little
tiny incisions and a lot of them. So if it's
in your thighs. We might make three, four or five
little tiny incisions on each side. They're generally smaller than
(14:57):
a quarter inch in length. And during inside the decisions,
I infuse a large amount of a saltwater solution that
contains epinephrine otherwise known as adrenaline, and that cuts way
down on the bleeding. And that was one of the
big things that we found out early on in the
lipos suction era. We want to use this chemical to
(15:19):
cut way down on bleeding and that way we can
safely remove greater amounts of fat.
Speaker 3 (15:25):
So I typically will.
Speaker 5 (15:27):
Infuse almost a gallon, yeah, it's true, almost a gallon
of this solution, you know, half gallon to a gallon
of this solution that contains epinephrin into your thighs hips, belly,
wherever we're suctioning. And then I use these tubes that
we call canula. They're blunt tip tubes with little holes
(15:47):
in them, and I oscillate them back and forth. Now,
there are techniques of liposuction where the machine does the oscillation,
you know, and that's actually no better than the manual
technique that most of us do. There are techniques that
use ultrasound that actually has a higher complication rate. There
are techniques that use lasers much higher complication rate. The
(16:10):
safe and proven technique of traditional now it's called two
messent liposuction, that's the name of it. Two messent means
we infuse a large amount of this dilute epinephrin solution
into the tissue where we suction outfat. And I can
easily suction two pounds, four pounds, five pounds, that's kind
(16:31):
of the average. If we go up near ten pounds,
that gets a little diceier. We have to do a
little bit more monitoring, and we don't want to go
above that. If we do, you need to stay in
the hospital overnight. Don't let anyone do that to you
and go home the same day. That's not safe. But
usually we don't get anywhere near that amount because, as
I said earlier, it's a method of body contouring after
(16:53):
weight loss. It's a method of getting rid of those
recalcitrant fat pads. And then you know, most people, as
I said, they go back to work or you're back
in action in two days. Now, you're not gonna go
to the gym for a few weeks. You're not gonna
look perfect for a few weeks, and in fact, there's
so much bruising you'll look like an eggplant.
Speaker 3 (17:15):
You really will.
Speaker 5 (17:16):
In the beginning for about two weeks, maybe three weeks.
There's a lot of bruising. But it doesn't hurt. It
surprisingly doesn't hurt, and it should not hurt. And in fact,
I published this study that looked at pain after liposuction,
and the average patient on a scale of one to
ten has about a one and a half. On a scale,
it's maybe two. It should not hurt. If it hurts,
(17:39):
that means the doctor probably banged into your underlying muscle
and bones. That shouldn't be done. It should be a
relatively painless procedure. Afterwards. The great majority of my patients
simply use tile and all after liposuction. Now you're gonna
be bruised for a few weeks. You're not gonna get
into a bathing suit for maybe a month, two months,
(18:00):
sometimes even three. So this is why it's done this
time of year. You know, yes, if it's a small liposuction,
you'll be ready for Christmas in Florida. But if you
wait more than another week or two, then you're gonna
miss that season, but you'll be ready for the spring
in the summer and the bathing suit season. And that's
(18:20):
why liposuction is most popular this time of year. The
phones are off the hook this time of year to
have fat suctioning surgery. I'm Board certified plastic surgeon, Doctor
Arthur Perry, host of What's Your Wrinkle. Let's take a
short break, Noah, we'll be back after these words, and
we'll talk about scars. They say that sixty is the
(18:47):
new fifty, but while you may feel and act fifty,
the mirror doesn't lie. But that's where plastic surgery comes in.
I'm board certified plastic surgeon, doctor Arthur Perry, and I
love helping patients look younger and better. If you've got
sagging cheeks, jowls, and that dreaded turkey gobbler, it might
be time for a little nip and a tuck. You
look more rested and yes, younger. With my short scar
(19:10):
facelift and the artistic injection of wrinkle filler or a
laser peel well, that might be just what it takes
to get you looking as good as you feel. Let's
sit down for an hour consultation in my new park
Avenue office. Together, we'll come up with a plan to
help you look your best. Give me a call at
eight three three Perry MD. That's a three three p
e R R Y M D. Check me out on
(19:31):
the web at Perryplastic Surgery dot com. And don't forget
to listen to me doctor Arthur Perry. Every Saturday evening
at six pm. Right here on wo R you're listening
to What's Your Wrinkle with doctor Arthur Perry.
Speaker 1 (19:44):
What's your Wrinkle?
Speaker 3 (19:47):
And what is your Wrinkle?
Speaker 5 (19:49):
I'm more certified plastic search doctor Arthur Perry, host of
What's Your Wrinkle for a long time, and Noah and
I have been through so many of these Saturday evenings.
You know, I like to do my show live, and
you know, of the fifty two weeks a year, I
probably do it live forty eight weeks a year. A
lot of people like to tape their show. I like
it live, and Noah likes to do these live shows.
(20:11):
We've been through a lot together, haven't we know. You know,
With the first number of years, my wife always in
the studio audience coming in, and then they got these
devices that allowed us to do the show remotely. They
didn't have that in the beginning, and then we had
the Mike roys In years. Six years of Mike Roysen
changed the name of the show.
Speaker 3 (20:32):
You the Owner's.
Speaker 5 (20:33):
Manual Radio show was this show for a while those
of you who stayed with me, Mike was a great
co host. He's on as a guest a couple times
a year. And then we had the Susan Warner years. Susan,
you know, I wish I could get her back as
a co host, but she was a great co host also.
(20:53):
But now it's just me. You have to listen to me.
Noah and I left talking. You know, this show at
times had has been a half an hour. It's been
an hour for a bunch of years. We were two
hours nationally. So we've gone through all these changes over
twenty years. I love doing radio. I done it since
high school at James Roneil High School in Highland Falls,
(21:15):
New York, and then at Rutgers on WRSU. So that
is my twenty year retrospective. But let's get back to
what we talk about on the show. Plastic surgery scars.
Fifty five thousand people last year had their scars revised.
Have you ever heard of a scar revision. Why would
anyone revise a scar? Well, everybody's got scars, right, you
(21:37):
know how many of you have little kids. Will remember
your kids falling when they were running and they fall
right on their chin, And almost every kid has a
scar on his or her chin. And a lot of
these little kids, you know, they run and they hit
the fireplace right, and they fall on that and they
(21:58):
have the the.
Speaker 3 (22:00):
Scar on their eyelids.
Speaker 5 (22:02):
You know, so many So I used to sew up
so many children, and I spent many many evenings.
Speaker 3 (22:08):
I usually don't do that now.
Speaker 5 (22:10):
I do mostly cosmetic surgery, but every now and then,
if a friend or family member has someone, I'll show
up a child. But many of you have scars from
when you were a kid, And almost everybody by the
time you hit thirty or forty, you've had one surgical procedure, right,
(22:30):
whether it's an orthopedic procedure or your appendix or your
hernia or whatever.
Speaker 3 (22:35):
Or when you get older.
Speaker 5 (22:36):
Heart surgery or lung surgery or whatever. Everybody's got scars now,
and we heal by scars.
Speaker 3 (22:43):
You know, if you were.
Speaker 5 (22:44):
An amphibian, you know you had a leg cut off,
you'd regenerate a leg. We can't do that. We have
to do the best we can, and that's by healing
with scars. So the body takes this substance called collagen,
and and it's there's a biologic glue called fiber. And
I won't bore you with the details, but if we
(23:06):
didn't have doctors, you would heal wounds by the wound
ed just sticking together, and you get this scab of
blood and fibrin and collagen and things like that. And eventually,
with all this stuff these proteins, you healed the scar
and you're almost as good as new, except for the
fact that it looks like a scar, right will. Plastic
(23:29):
surgeons try and make your scars look as good as possible,
and many surgeons also do. But a lot of surgeons,
you know, it's kind of an afterthought. If you've had
a long cardiac procedure or orthopedic procedure or gynecologic procedure,
often you know the scar is sort of the last priority.
You know, the operation, the meat of the operation is
inside your body, and then often someone like a medical
(23:54):
student or a resident or a PA will be the
one to close your incision. By the way, also in
the room. So many wounds are now taken care of
by very junior people and even physicians' assistants or nurse practitioners.
You know, is that a good thing? Well, we will
leave the social commentary to another day, but it's a
(24:15):
fact of life. And a lot of people then call
me up on Monday mornings and they say, you know,
Doctor Perry, I had this wound repaired in the emergency
room up in Connecticut by a physician's assistant.
Speaker 3 (24:26):
Can you take a look at it?
Speaker 5 (24:27):
Sometimes they're okay, But sometimes I will numb the wound
up and take it down and redo it because the
you know, people who are not plastic surgeons just don't
know how to remove tissue that's badly damaged or reorient
the wound. So with scars, plastic surgeons are. They're the best.
They really are. This is what we do. We make
(24:49):
scars look as good as possible, whether it's a new
scar from trauma or a scar from surgery. But if
you come in with a bad scar from let's say
a kind of an amateur doctor removed a skin cancer
and you come in and it's just not a good scar.
The edges are uneven, or it's a red scar or
it's a depressed scar. Yes, plastic surgeons can fix those
(25:11):
two in most cases, and that's called a scar revision.
And that's why there were fifty five thousand of those
in the United States last year. I think, actually that
number that the American Society of Plastic Surgeons has is
probably a low number because I think there's a lot
more people. I think it's an underreported procedure that plastic
surgeons do and consider it to be relatively minor because
(25:32):
we don't have to go into the operator room, all right.
We do it in the office most of the time.
I want to thank Noah for twenty years of great engineering.
Thank you so much, Noah, and I want to thank
all my past co hosts, my wife who is no
longer with us, and also Mike Broysen and Susan Warner,
thank you so much. And to you the listeners for
(25:55):
keeping me on the year on the air for all
these years. You can contact me in the office at
two Poe two seven five three eighteen twenty. Check me
out on the Webperyplasticsurgery dot com, and don't forget Black
Friday special still on Amazon dot com. All the products
that you know and love.
Speaker 3 (26:13):
Thank you.
Speaker 5 (26:14):
We'll see everybody in the twenty first season, starting next Saturday,
right here, six o'clock.
Speaker 3 (26:19):
Thanks Noah, by buy Now.
Speaker 1 (26:21):
The proceeding was a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed
The following is a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed.
Speaker 2 (00:09):
Well Doctor Arthur Perry, he's one of the top plastic surgeons.
He's got offices in Manhattan, New Jersey. You know what.
He's been doing the show here on w R for
years and years and years. Very popular show and a
great plastic surgeon. Everybody has questions on this subject, so
he's the guy to ask.
Speaker 3 (00:26):
Doctor Arthur Perry, and the public wants to know.
Speaker 4 (00:28):
The public doesn't get a damn.
Speaker 2 (00:30):
And I went to his office and I said, I said,
look at my face. And he goes, yeah, look at
your face. We're going to do with your fan What
can you do with his face? I go like that,
I s what, I go, look at this, I'm getting old.
I said, I want to maybe get fixed it up
a little bit.
Speaker 4 (00:40):
Doctor Oz, are you there, I'm here Ark, and I
want to get to plagged you. Having worked with you
on a book and numerous other activities.
Speaker 3 (00:46):
You want to talk to Arthur Perry the best in
plastic surgery.
Speaker 4 (00:49):
Remarkable knowledge, but also your grace at delivery content which
is why it's been a blessing to have you on
my show so many times.
Speaker 5 (00:54):
When I was a resident at the University of Chicago,
we had a me.
Speaker 4 (00:58):
You smart as I really really gift this position. I
want to pay you the highest true I can give
to a surgeon, which is when people come to you,
they don't come for an operation, they come for opinion.
And that's why I trust you with my friends and relatives.
I didn't realize we were going to get the Michael
Jordan of Plastic Surgeon nine two and zero bows to
this guide.
Speaker 3 (01:16):
And welcome.
Speaker 5 (01:18):
This is Board certified plastic surgeon, doctor Arthur Perry, and
you are listening to What's Your Wrinkle right here on
WOAR and if you're listening to the podcast on a
Wednesday morning, this is straight talk about cosmetic surgery. That
is what I talk about. I'm a Board certified plastic surgeon,
host of this show. Coming up our anniversary next week. Noah,
(01:40):
this is the last show of our twentieth season. I
suppose it's twenty years on war and I'm happy to
bring you news and information about cosmetic surgery. That is
what I do during the week and on Saturdays it
is this show, and I'm broadcasting live from the Hamptons
during this Thanksgiving season here at WOR. You can become
(02:04):
part of the show by giving me a call eight
hundred three two one zero seven ten. That's the phone
number here at wo R eight hundred three two one
zero seven ten, and we're giving away bottles of Nighttime.
Speaker 3 (02:15):
Tonight.
Speaker 5 (02:16):
Nighttime is that one stop shopping for skincare, and that
means it's got everything that really is scientifically proven to
make a difference. And I left out all the garbage,
all the things that don't work, the buzzwords in skincare
that are ridiculous, you know. I mean these these big molecules,
things that can penetrate the skin, things that are put
(02:38):
on your skin the wrong time of the day. It
really does make a difference. But we've got vitamin C
and vitamin A and fruit acids, antioxidants, skin brighteners. Yes,
nighttime is what works. And by the way, since it's
still the Thanksgiving season, the Black Friday season, the Cyber
Sunday season Monday, right, I guess it's Cyber Sunday also
(03:01):
now it's kind of an extended period in the retail
market and on Amazon, well, you can take advantage of
the twenty five percent off every one of my products.
If you order on Amazon, you have to order by
midnight on Monday. It expires, and they really mean it.
If it's you know, a minute after midnight, you don't
(03:23):
get that Black Friday Cyber Monday special. So if you're
interested in my products, the soap which is called clean Time,
which has three different patterns, it is a perfect soap.
It's the right pH the same as your skin cleans,
without sulfates and without those things called thalates. It's got
(03:44):
lemon and lavender. It's a very nice scent. Those are
the only two proven aromatherapy scents. By the way, they
actually can lower your blood pressure. I mean not a lot,
but there are scientific studies that show that that people
that wreathe in those aromas actually get some improved blood
(04:06):
pressure readings.
Speaker 3 (04:07):
They can sleep better.
Speaker 5 (04:08):
You know, I can't guarantee you that's gonna happen with
my product, but it is a very nice soap. We've
got Nighttime, which has all those great ingredients. The nutrition
for your skin Daytime is the protector of your skin.
It's got vitamin B three, which is nice cinnamone and
vitamin B five, as well as zinc oxide sunscreen and
(04:29):
if you like a moisturizer. Not everyone needs one, although
this time of year, boy, moisturizer comes in really handy
with the chapped hands. You're getting them already, aren't you,
and chapped lips because it's so cold. It was freezing
last night, wasn't it. Well, the moisturizer called soft Time
is very helpful this time of year. So all those
products twenty five percent off stock up on Amazon dot com.
Speaker 3 (04:54):
And for my listeners in New York, just to let
you know, they're running low.
Speaker 5 (04:58):
We sold so much Nighttime this year, they're running low
on Amazon.
Speaker 3 (05:03):
If there's a problem, you know what to do.
Speaker 5 (05:05):
You call my office on Monday or Tuesday and Ellen
will be there answering your call two on two seven,
five three, eighteen twenty and tell them that you want
the cybersun the Cyber Monday Special, the Black Friday Special,
and she will give you the twenty five percent off
(05:26):
on Monday and maybe for New York listeners will extend
it to Tuesday. All right, enough of that. Oh, by
the way, before I get into the show, I'm going
to be on the Larry Minty Show this Friday. I'm
sure all of you listen to Larry in the morning,
and he's got a great show. I love listening. You
learn everything about the news of the day, the weather,
(05:47):
the sports, traffic, everything on Larry Menti show. Well, I'm
going to be on at about nine o'clock. And those
of you have listened to me on the Mark Simone Show.
I've been trying to botox more for years now and Mark.
Speaker 3 (06:02):
Has not let me.
Speaker 5 (06:04):
Sooner or later he will live on the air. But
we're gonna give it a try with Larry this week.
What do you think you think Larry.
Speaker 3 (06:11):
Will let me botox them live on the air.
Speaker 5 (06:13):
I don't know, but listening at nine o'clock on Friday
and it should be very interesting. All right, Today we
are going to talk about America's favorite topic, liposuction.
Speaker 3 (06:26):
You thought it was sports or sex right.
Speaker 5 (06:28):
Now, it's liposuction. It's fat removal and I do a
lot of that. We're gonna talk all about the most
common procedure and all the cosmetic surgery that is liposuction,
and then if we have some time, we will also
talk about scars. Everybody has them. You get scars from
trauma or you get scars from surgery. There are bad scars,
(06:50):
there are good scars, and I spend a lot of
time making scars better if you have a not so
good looking scar. So when we come back from our break,
we're going to talk about fat removal, the great procedure
of liposuction. The phone number here at WR is eight
hundred three two one zero seven ten. Eight hundred three
two one zero seven ten. We'll be back after these words.
(07:20):
Everyone should have a skin cancer check yearly. It's as
important as a colonoscopy or a mammogram. It's tough to
find a dermatologist that does a thorough check, but there
is a breakthrough in skin detection and monitoring. At Eleitra
Health in Manhattan, they have a new AI driven computerized
camera system that takes a three D photograph of your entire.
Speaker 3 (07:40):
Body in just seconds.
Speaker 5 (07:42):
It'll analyze your moles and tell you if any are suspicious,
and they can even do a quick biopsy if it's necessary.
I had the scan myself at Eleitra Health, and I've
already sent my family members to have the scan. To
schedule your scan, called Jennifer at six four six three
six two forty five forty two. That's six three six
two forty five forty two. Or go to www dot
(08:05):
eleitrahealth dot com slash dermatology. There's only a few of
these machines in the country, but Eleitra can schedule you
right away. And if you mentioned the Pery ten code,
that's Perry ten, they'll take ten percent off of your fee.
That's Eleitra Health six four six three six two forty
five forty two. Did you know that your skincare may
(08:25):
be hurting you more than helping you. I'm Board certified
plastic surgeon, doctor Arthur Perry. The foundation for looking good
is clean, healthy skin. So I've created a program that
is so simple that everyone can stay on it long
enough to see real results. It starts with an incredible
skin cleaner called clean Time. It's actually good for your skin.
(08:46):
Protect your skin with my Daytime SPF twenty cream in
the evening, feed your skin with my Powerhouse Nighttime serum.
Nighttime has vitamin CNA antioxidants and skin brighteners. And if
you like moisturizers, well, I've created Soft Time with saramides
and vitamin D. Throw away the bags of useless products
and try doctor Perry's Skincare join the thousands of people
(09:09):
whose skin is healthier. That's doctor Perry's Skincare on Amazon
dot com. And don't forget to listen to my radio
show right here on WOR every Saturday evening at six pm.
You're listening to What's Your Wrinkle with Doctor Arthur Perry.
Speaker 1 (09:23):
What's Your Wrinkle?
Speaker 3 (09:25):
And we are back.
Speaker 5 (09:27):
I'm board certified plastic surchon Doctor Arthur Perry. And during
a break, Noah and I were talking about what happened.
It was actually December third, two thousand and five, my
very first show on WOR. Noah and I were in
the studio, My wife was in the studio, and if
you remember, Noah, there was a failure of the system,
(09:48):
and what do you do when you're the first it's
your first show, and we had issues, but we pulled
it off and Noah said he'll be a one time
guy here at wo R twenty years December third, twenty
twenty five. So it's been a good run and we're
back next year. We are signed on and ready to go.
Speaker 3 (10:08):
All right.
Speaker 5 (10:09):
So LiPo suction, I call it liposuction. You call it liposuction.
You call it tomato, I call it to model. It
was the word was lipid. That's where it came from.
In the first year in nineteen eighty three, everyone called
it liposuction. That's why you know at the University of Chicago,
that's how they pronounced it. But then those guys from
(10:29):
Texas started calling that lapo suction lap and everybody in
the country followed it. But I still I'm a purist.
It's the word is lipid. Lipids are fat. So how
many last year in the United States almost three hundred
and fifty thousand lippos suctions. It became and was the
most popular procedure in all of cosmetic surgery. Now we're
(10:49):
not talking about those non invasive procedures like botox and fillers.
They dwarf liposuction and breast augmentations. But we're talking about
the real cosmetic surgery procedures where we go to the
operating room and make an incision and perform a surgical procedure,
and it is liposuction. At about three hundred and fifty
thousand for the body and about twenty five thousand for
(11:11):
the face, and even more during that don't get counted
in our statistics. Because every time I do a facelift,
I do suction. Every time I do a breast reduction,
I use LiPo suction. Every time I do a tummy tuck,
I use liposuction.
Speaker 3 (11:25):
So suction is.
Speaker 5 (11:27):
A procedure, but it's also a technique. We'll use that
just like a knife for a scissors, to help us
get a result in all these other procedures. So it's
a very popular procedure, and it is a great procedure.
Speaker 3 (11:42):
You know.
Speaker 5 (11:43):
One of the interesting things is about three thousand people
under the age of nineteen had liposuction last year. I
find that interesting. I rarely do suction on someone young.
The most common people are in their twenties and thirties
and forties, but there have been about, I guess the
statistics over seventy seven thousand people. But the majority of people,
(12:09):
you know, are kind of middle aged twenties. Is that
middle aged twenties, thirties, forties, fifties. Most common area for women, Yeah,
it's the hips and the thighs. The men, it's the belly,
and both sexes have fat suctioned out of their neck
very very frequently. The reason it is such a popular
(12:30):
procedure is because it is safe and it is effective.
You know, in the beginning in the nineteen eighties and
nineteen nineties, we really didn't understand the limitations of liposuction,
and there were a lot of deaths a long, long
time ago. It's a very rare thing to have a
problem now. In fact, most of my patients that I
(12:50):
remove two, three, four five pounds of fat from their
thighs or their hips, or their.
Speaker 3 (12:56):
Knees, and their bellies, all those.
Speaker 5 (13:00):
Their backs, I can suction, their arms, their calves, their ankles,
they're called cankles.
Speaker 3 (13:06):
All those areas.
Speaker 5 (13:07):
Most of those patients are back in action literally two
days later. So if you have the surgery, it's under
general anesesia, and you know, I prefer to do it
under general There are some people that do it under
local anesthesia, but I don't think that's a good idea
because you have to use such enormous amounts of local
anesthetic that every antithesiologist will tell you that a general
(13:31):
anesthetic by a board certified antithesiologist is a far better
way to go than using enormous amounts of lightocine. I
actually wrote a paper on this topic, and I wrote
a chapter and a book on this topic. So I'm
an expert on the use of safe liposuction and so anyway,
(13:52):
the way it's done is it's actually not a method
of weight loss. We don't want to do it if
you're thirty or forty pounds overweight. There you want to
do the GLP one drugs or lap band or whatever
your bariatric doctor or antochronologist says is the best way
to lose weight. But once you're at or close to
your ideal weight, then you know you might have forcalcitren
(14:15):
fat pads. And what does that mean. That's the fat
that's left behind. You know who you are, you know
where you have it. Maybe it's on your hips, maybe
it's on your thighs or your knees. You're at ideal
body weight. If you push it any further, you're gonna
get malnourished. You don't want to get too thin, but
you can't lose that last bit of weight. Well, that
(14:36):
is where lippa suction comes in. So we bring it
to the operating room. We paint your body with betadine
and then we go under general anesesia and make little
tiny incisions and a lot of them. So if it's
in your thighs. We might make three, four or five
little tiny incisions on each side. They're generally smaller than
(14:57):
a quarter inch in length. And during inside the decisions,
I infuse a large amount of a saltwater solution that
contains epinephrine otherwise known as adrenaline, and that cuts way
down on the bleeding. And that was one of the
big things that we found out early on in the
lipos suction era. We want to use this chemical to
(15:19):
cut way down on bleeding and that way we can
safely remove greater amounts of fat.
Speaker 3 (15:25):
So I typically will.
Speaker 5 (15:27):
Infuse almost a gallon, yeah, it's true, almost a gallon
of this solution, you know, half gallon to a gallon
of this solution that contains epinephrin into your thighs hips, belly,
wherever we're suctioning. And then I use these tubes that
we call canula. They're blunt tip tubes with little holes
(15:47):
in them, and I oscillate them back and forth. Now,
there are techniques of liposuction where the machine does the oscillation,
you know, and that's actually no better than the manual
technique that most of us do. There are techniques that
use ultrasound that actually has a higher complication rate. There
are techniques that use lasers much higher complication rate. The
(16:10):
safe and proven technique of traditional now it's called two
messent liposuction, that's the name of it. Two messent means
we infuse a large amount of this dilute epinephrin solution
into the tissue where we suction outfat. And I can
easily suction two pounds, four pounds, five pounds, that's kind
(16:31):
of the average. If we go up near ten pounds,
that gets a little diceier. We have to do a
little bit more monitoring, and we don't want to go
above that. If we do, you need to stay in
the hospital overnight. Don't let anyone do that to you
and go home the same day. That's not safe. But
usually we don't get anywhere near that amount because, as
I said earlier, it's a method of body contouring after
(16:53):
weight loss. It's a method of getting rid of those
recalcitrant fat pads. And then you know, most people, as
I said, they go back to work or you're back
in action in two days. Now, you're not gonna go
to the gym for a few weeks. You're not gonna
look perfect for a few weeks, and in fact, there's
so much bruising you'll look like an eggplant.
Speaker 3 (17:15):
You really will.
Speaker 5 (17:16):
In the beginning for about two weeks, maybe three weeks.
There's a lot of bruising. But it doesn't hurt. It
surprisingly doesn't hurt, and it should not hurt. And in fact,
I published this study that looked at pain after liposuction,
and the average patient on a scale of one to
ten has about a one and a half. On a scale,
it's maybe two. It should not hurt. If it hurts,
(17:39):
that means the doctor probably banged into your underlying muscle
and bones. That shouldn't be done. It should be a
relatively painless procedure. Afterwards. The great majority of my patients
simply use tile and all after liposuction. Now you're gonna
be bruised for a few weeks. You're not gonna get
into a bathing suit for maybe a month, two months,
(18:00):
sometimes even three. So this is why it's done this
time of year. You know, yes, if it's a small liposuction,
you'll be ready for Christmas in Florida. But if you
wait more than another week or two, then you're gonna
miss that season, but you'll be ready for the spring
in the summer and the bathing suit season. And that's
(18:20):
why liposuction is most popular this time of year. The
phones are off the hook this time of year to
have fat suctioning surgery. I'm Board certified plastic surgeon, Doctor
Arthur Perry, host of What's Your Wrinkle. Let's take a
short break, Noah, we'll be back after these words, and
we'll talk about scars. They say that sixty is the
(18:47):
new fifty, but while you may feel and act fifty,
the mirror doesn't lie. But that's where plastic surgery comes in.
I'm board certified plastic surgeon, doctor Arthur Perry, and I
love helping patients look younger and better. If you've got
sagging cheeks, jowls, and that dreaded turkey gobbler, it might
be time for a little nip and a tuck. You
look more rested and yes, younger. With my short scar
(19:10):
facelift and the artistic injection of wrinkle filler or a
laser peel well, that might be just what it takes
to get you looking as good as you feel. Let's
sit down for an hour consultation in my new park
Avenue office. Together, we'll come up with a plan to
help you look your best. Give me a call at
eight three three Perry MD. That's a three three p
e R R Y M D. Check me out on
(19:31):
the web at Perryplastic Surgery dot com. And don't forget
to listen to me doctor Arthur Perry. Every Saturday evening
at six pm. Right here on wo R you're listening
to What's Your Wrinkle with doctor Arthur Perry.
Speaker 1 (19:44):
What's your Wrinkle?
Speaker 3 (19:47):
And what is your Wrinkle?
Speaker 5 (19:49):
I'm more certified plastic search doctor Arthur Perry, host of
What's Your Wrinkle for a long time, and Noah and
I have been through so many of these Saturday evenings.
You know, I like to do my show live, and
you know, of the fifty two weeks a year, I
probably do it live forty eight weeks a year. A
lot of people like to tape their show. I like
it live, and Noah likes to do these live shows.
(20:11):
We've been through a lot together, haven't we know. You know,
With the first number of years, my wife always in
the studio audience coming in, and then they got these
devices that allowed us to do the show remotely. They
didn't have that in the beginning, and then we had
the Mike roys In years. Six years of Mike Roysen
changed the name of the show.
Speaker 3 (20:32):
You the Owner's.
Speaker 5 (20:33):
Manual Radio show was this show for a while those
of you who stayed with me, Mike was a great
co host. He's on as a guest a couple times
a year. And then we had the Susan Warner years. Susan,
you know, I wish I could get her back as
a co host, but she was a great co host also.
(20:53):
But now it's just me. You have to listen to me.
Noah and I left talking. You know, this show at
times had has been a half an hour. It's been
an hour for a bunch of years. We were two
hours nationally. So we've gone through all these changes over
twenty years. I love doing radio. I done it since
high school at James Roneil High School in Highland Falls,
(21:15):
New York, and then at Rutgers on WRSU. So that
is my twenty year retrospective. But let's get back to
what we talk about on the show. Plastic surgery scars.
Fifty five thousand people last year had their scars revised.
Have you ever heard of a scar revision. Why would
anyone revise a scar? Well, everybody's got scars, right, you
(21:37):
know how many of you have little kids. Will remember
your kids falling when they were running and they fall
right on their chin, And almost every kid has a
scar on his or her chin. And a lot of
these little kids, you know, they run and they hit
the fireplace right, and they fall on that and they
(21:58):
have the the.
Speaker 3 (22:00):
Scar on their eyelids.
Speaker 5 (22:02):
You know, so many So I used to sew up
so many children, and I spent many many evenings.
Speaker 3 (22:08):
I usually don't do that now.
Speaker 5 (22:10):
I do mostly cosmetic surgery, but every now and then,
if a friend or family member has someone, I'll show
up a child. But many of you have scars from
when you were a kid, And almost everybody by the
time you hit thirty or forty, you've had one surgical procedure, right,
(22:30):
whether it's an orthopedic procedure or your appendix or your
hernia or whatever.
Speaker 3 (22:35):
Or when you get older.
Speaker 5 (22:36):
Heart surgery or lung surgery or whatever. Everybody's got scars now,
and we heal by scars.
Speaker 3 (22:43):
You know, if you were.
Speaker 5 (22:44):
An amphibian, you know you had a leg cut off,
you'd regenerate a leg. We can't do that. We have
to do the best we can, and that's by healing
with scars. So the body takes this substance called collagen,
and and it's there's a biologic glue called fiber. And
I won't bore you with the details, but if we
(23:06):
didn't have doctors, you would heal wounds by the wound
ed just sticking together, and you get this scab of
blood and fibrin and collagen and things like that. And eventually,
with all this stuff these proteins, you healed the scar
and you're almost as good as new, except for the
fact that it looks like a scar, right will. Plastic
(23:29):
surgeons try and make your scars look as good as possible,
and many surgeons also do. But a lot of surgeons,
you know, it's kind of an afterthought. If you've had
a long cardiac procedure or orthopedic procedure or gynecologic procedure,
often you know the scar is sort of the last priority.
You know, the operation, the meat of the operation is
inside your body, and then often someone like a medical
(23:54):
student or a resident or a PA will be the
one to close your incision. By the way, also in
the room. So many wounds are now taken care of
by very junior people and even physicians' assistants or nurse practitioners.
You know, is that a good thing? Well, we will
leave the social commentary to another day, but it's a
(24:15):
fact of life. And a lot of people then call
me up on Monday mornings and they say, you know,
Doctor Perry, I had this wound repaired in the emergency
room up in Connecticut by a physician's assistant.
Speaker 3 (24:26):
Can you take a look at it?
Speaker 5 (24:27):
Sometimes they're okay, But sometimes I will numb the wound
up and take it down and redo it because the
you know, people who are not plastic surgeons just don't
know how to remove tissue that's badly damaged or reorient
the wound. So with scars, plastic surgeons are. They're the best.
They really are. This is what we do. We make
(24:49):
scars look as good as possible, whether it's a new
scar from trauma or a scar from surgery. But if
you come in with a bad scar from let's say
a kind of an amateur doctor removed a skin cancer
and you come in and it's just not a good scar.
The edges are uneven, or it's a red scar or
it's a depressed scar. Yes, plastic surgeons can fix those
(25:11):
two in most cases, and that's called a scar revision.
And that's why there were fifty five thousand of those
in the United States last year. I think, actually that
number that the American Society of Plastic Surgeons has is
probably a low number because I think there's a lot
more people. I think it's an underreported procedure that plastic
surgeons do and consider it to be relatively minor because
(25:32):
we don't have to go into the operator room, all right.
We do it in the office most of the time.
I want to thank Noah for twenty years of great engineering.
Thank you so much, Noah, and I want to thank
all my past co hosts, my wife who is no
longer with us, and also Mike Broysen and Susan Warner,
thank you so much. And to you the listeners for
(25:55):
keeping me on the year on the air for all
these years. You can contact me in the office at
two Poe two seven five three eighteen twenty. Check me
out on the Webperyplasticsurgery dot com, and don't forget Black
Friday special still on Amazon dot com. All the products
that you know and love.
Speaker 3 (26:13):
Thank you.
Speaker 5 (26:14):
We'll see everybody in the twenty first season, starting next Saturday,
right here, six o'clock.
Speaker 3 (26:19):
Thanks Noah, by buy Now.
Speaker 1 (26:21):
The proceeding was a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed
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