Cosmetic Breast Surgery

Episode Transcript

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 that
public doesn't get a damn.

Speaker 4 (00:30):
And I went to his office and I said, I said,
look at my face. 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 said,
what you got? I go look at this, I'm getting old.
I said, I want to maybe get fix it up
a little bit.

Speaker 5 (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 activity.

Speaker 6 (00:46):
You want to talk to Arthur Perry the best in plastic.

Speaker 5 (00:49):
Surgery, workable knowledge, but also your grace at delivering content
which is why it's been a blessing to have you
on my show so many times.

Speaker 3 (00:54):
When I was a resident at the University of Chicago,
we had a me you.

Speaker 5 (00:58):
Smart as a really really giftus 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 an 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 and welcome.

Speaker 3 (01:17):
This is Board certified plastic surgeon, doctor Arthur Perry, and
this is what's your runkle right here on wo R.
And you know, well, we have two names for the
show really because when we podcasted, we're straight talk about
cosmetic surgery. And that's what this is. This is the
straight talk. I give it to you the right way,

(01:37):
and I try. You know, everybody's got a little biased,
right you know. I read papers and scientific papers and
chapters and I and I form my own opinions, so
I suppose that's a bias, but I do try and
give it to you straight.

Speaker 6 (01:50):
This is the show about you.

Speaker 3 (01:51):
It's about your wrinkles, it's about your small breasts, it's
about your fat on your hips, it's about your turkey
gob it's about your sagging eyelids. I'm a board certified
plastic surgeon. That's what I do all day long during
the week, but on Saturday evenings, I'm right here in
the studio. Actually, I'm broadcasting live from the Hamptons where

(02:14):
it's soggy. And I thought we're into summer already, but
not quite. I guess it was kind of a dark
day to day, wasn't it. But it was a UV
index day of four, at least in the Hamptons. And
what does that mean? That means despite the cloud cover,
you need sunscreen. You need sunscreen because if it's over three,

(02:38):
check your iPhone, go to the weather app. It's right
there in the bottom of the weather app it I'll
tell you what the UV index for the day is
going to be.

Speaker 6 (02:45):
And if it's over three, you need sunscreen.

Speaker 3 (02:49):
Yes, you can get twenty minutes of sun during the day,
that's okay, and that's probably pretty good for you. It
improves your mood, gives you a nice color, right, But
beyond twenty minutes you get immunosuppression of your skin, immunosuppression
of your body, and you can get sunburn and not
good things. So if you're going to be out more

(03:09):
than twenty minutes from now on until pretty much Halloween, uh,
you need a sunscreen. All right, Today we are going
to talk about breass, breast augmentations, breast lifts, breast reductions.
It's one of Noah's favorite subjects, and today we're going
to talk about that. We're gonna take your phone calls.

(03:30):
Eight hundred three to two one zero seven ten is
the phone number here at wor eight hundred three two
one zero seven ten. And I think you know I've
had so many people email me, why don't you give
away nighttime? Well today we will. We're gonna give away
bottles of Nighttime on the show to legitimate callers. You
can't just call and say, hey, send me the night time.

(03:51):
You have to have a question for me. The ones
that have been keeping you up at night, you know
what they are. You look in the mirror, you get
up to go to the bathroom at two in the morning,
you say, is.

Speaker 6 (04:00):
That a wrinkle?

Speaker 3 (04:02):
Is that around I'm only forty six years old. Could
I possibly have wrinkles. Well, ask me those questions. I'll
give you the answers. I'll give you the best ones
I can come up with. And who am I? If
this is the first time you've ever listened to this show,
where have you been? Twenty years on wor twenty years?
That's a long time. I started this show when I

(04:23):
was in high school almost And you know you can
listen every Saturday evening. I've been on at six o'clock
for so long now you can give me a call.
But if this is the very first time, I'm a
board certified plastic surgeon. I trained at Harvard, Cornell, and
the University of Chicago. I'm on the faculty of Columbia.

(04:43):
I'm an adjunct associate professor there, and I'm a clinical
associate professor at Rutgers in New Jersey. I've got offices,
three offices now. I've got an office in Somerset County,
New Jersey, and one on eighty fifth in Park and
the newest one as I've joined well By Mester.

Speaker 6 (05:01):
Well By Messer is a.

Speaker 3 (05:04):
Premiere metabolic and wellness health center. They're really a bunch
of incredible doctors. They do a lot of weight loss.
They do a lot of ender chronology, general internal medicine,
and overall they take care of your health. They're led
by doctor Carolyn Messer and a team of etter chronologists

(05:25):
and internists and eurologists and guynecologists, psychologists, me the plastic surgeon, dieticians, trainers.
They're all dedicated to helping you look and feel better.
So give them a call, make an appointment with me
at well By Mester. It's on sixtieth Street in Manhattan,
between Park and Lexington. I'd love to see you in

(05:48):
the new office, so two offices in Manhattan. Now you
can give a call to well By Mester at six
four six seven six zero thirty two fifty six. That's
six six seven six zero thirty two fifty six. All right,
So today we are going to talk about one of

(06:08):
America's favorite topics, breasts, but from the plastic surgeon's point
of view. So in the United States last year, there
were somewhere around a quarter million breast augmentations, about two
hundred and fifty thousand or so breast augmentations. There were
about one hundred and fifty thousand breast lifts. Interestingly, there

(06:31):
were seventy four thousand women that took out their breast
implants last year and did not put new breast implants,
And we'll talk about that during the show.

Speaker 6 (06:41):
And there were about seventy six thousand.

Speaker 3 (06:42):
Somewhere around the same number of people who said, my
breasts are too large, so we're going to reduce the
size of my breasts. Now, did you know that that
the country with the largest breasts? Take a wild guess? Noah,
what do you think? No, No, I won't say. It's
not the United States, it's Norway. Norway. Actually women have

(07:03):
the largest breast with an average of a C going
into a D cup. You know, it's kind of big
C small D cup. The United States, we are the
fourth largest breast country. Yeah, and we average here women
a C cup. And do you know what the smallest
breasts are? What country has the smallest breast? Only this

(07:25):
show could get away with this conversation, right, But it's
true the Asian countries Vietnam. Vietnam actually has women with
the smallest breast. They average an A A cup double
A in Vietnam and many of the Asian countries. So
there's a genetic difference between women and just like some

(07:46):
countries you're large, some people you're small, some people have
some countries have people with large hands, good runners, and
the breast size does very country to country. So when
we come back from our break, we're going to start
the discussion about how I examine you, what the American
Cancer Society recommendation for breast exams is, UH, for mammograms

(08:10):
is and then we'll talk about the different procedures to
alter the shape and size of your breast. I'm Board
certified Plastic Surgeon, doctor Arthur Perry. The number here at
WOAR is eight hundred three to two one zero seven ten.
Eight hundred three two one zero seven ten. Will be
back after these words. Did you know that your skincare

(08:36):
may 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

(08:56):
your skin. Protect your skin with my Daytime Spa 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 seramides and vitamin D. Throw away the bags of
useless products and try doctor Perry's Skincare. Join the thousands

(09:20):
of people 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.

Speaker 4 (09:31):
You are listening to What's Your Wrinkle with doctor Arthur Perry.
What's Your Wrinkle?

Speaker 6 (09:36):
And we are back.

Speaker 3 (09:38):
I've worked sort of ied plastic search doctor Arthur Perry,
host of What's Your Wrinkle right here on WOR, and
I hope you're you're selecting this as one of your
favorite podcasts. It's very important to me, and it's important
to iHeart and WOAR. It's important to all of us
for you to listen to the podcast, even if you
listen on Saturday evenings. Go ahead, go to the go

(09:58):
to Apple podcasts or iHeart podcast or wherever you get
your podcasts, as they say, and search my name doctor Perry,
Arthur Perry, or search Cosmetic Surgery the podcast will come up.
This is the oldest cosmetic surgery podcast in the world.
We've been doing this longer than everybody else. And yeah,

(10:18):
go to it. You can listen. You can listen when
you go to it, or hit subscribe. Do that also,
and that way. When I post one of these, which
hopefully will be very soon after this show ends, you
will get an email or a notification that says another
podcast is ready, and you can listen when you're going
to work. You can listen on the bus, you can

(10:39):
listen whenever you want. And it helps everybody. So go
ahead and subscribe to this podcast. It's absolutely free. All right, women,
this show is for you, as most cosmetic surgery shows are,
because women make up over ninety percent of cosmetic surgery patients.
I do have men as patients. I do eyelids on men,

(11:01):
I do neck lippo suction in men, breast enlargement in men.
We don't do breast in largement. I do breast reduction.

Speaker 6 (11:10):
UH.

Speaker 3 (11:11):
And you know what with the uh the use of marijuana.
Marijuana is one of those drugs. In fact, probably the
most common drug that causes gotta coomasity. You gotta coomassi
is male breast growth.

Speaker 6 (11:23):
Did you know that? So those of you who.

Speaker 3 (11:25):
Are going to all those those marijuana stores that are
springing up all over all over New York and New Jersey,
remember that when you get breast growth and you say,
why would I possibly have breast growth? Well, I'm smoking
pot every other week. All right, We've got Kim on
the line. Kim, what kind of you hear? What's your wrinkle? Hi?

Speaker 6 (11:47):
Hi?

Speaker 7 (11:47):
How are you my wrinkle? I have a lot of them,
But I guess I'll ask you about the type of
laser for electajaz. I'm not sure how to say that.
Broken vessels on the skin and the cheek, which is
the nose, the folds of the nose by the nostrils.
What would be the best laser for that?

Speaker 6 (12:09):
Yep?

Speaker 3 (12:09):
So, So the word actually is telanjectasia. It's a hard
word to pronounce, but you don't have to know that
big word. It's it's those little spider veins, those little red,
sometimes bluish capillaries and veins of the face, and they occur.
Most people have a few of those. They tend to
occur around the nose. If you've had a rhinoplasty, by

(12:31):
the way, have you ever had a rhinoplasty nose did, okay,
So they're very I asked you that because they're very
common afterwards because when we alter the blood supply of
a particular area, your body wants to put more blood
vessels into that area, and so after a rhinoplasty, it's
actually pretty common to see some blood vessels around your nose.

(12:53):
But the cure is actually really simple now because we
have these lasers. The one I like to use is
called the Yag laser YAG. I won't bore you with
the physics behind what YAG stands for, but the YAG
laser is it's one of those procedures in my office.
I actually did this live on the Doctor Oz Show.

(13:14):
To Doctor Oz, he had some of these little capillaries
on his face and I zap them with the laser.
But it's one of those very few things that we
see an immediate, impressive result. So most things in plastic
surgery you have to go through a recovery phase. If
we use botox, it takes a few days to kick in.
But when I zap those blood vessels, they are gone

(13:36):
before your eyes. It's one of those wow procedures. So
the YAG laser is what I do now.

Speaker 6 (13:42):
A lot of.

Speaker 3 (13:43):
People have what's called roseasha roseaisha is a skin condition
that's characterized by flushing of the face, particularly after drinking
alcohol or spicy foods or things like that, and it
tends to occur on the cheeks, in the nose and
if it's allowed to progress, it's it's a condition that

(14:05):
is treated by a dermatologist, by the way, but I
get involved when when the blood vessels from roseatia become
quite prominent, and every few years we will yag laser
those blood vessels to kind of control them. It's sort
of like weeding the garden, you know, the weeds come back,
the blood vessels come back in a few years, and

(14:25):
you zap them again and keep them under control. So, Kim,
it is the yag laser, and it's a really simple procedure.
You come into the office. It is not an uncomfortable procedure.
It feels just a if you've ever had electrolysis or
or or procedure, a minor procedure on the face. It

(14:46):
really doesn't hurt much. You know, doctor Oz, when I
did it on him, he said, Arthur, You're never coming
back on the show again. But but I did, and
it really didn't hurt him a lot. He was just
saying that for the for the show. So does that answer,
Chust Kim.

Speaker 7 (15:02):
It does. And I'll just tell you I actually did
have laser years ago. I was probably in my twenties,
maybe early thirties, and I remember what it felt like.
It felt like a rubber band snapped with a different
type of laser, and I can't remember the name of it,
but it was not good for me because it actually

(15:22):
left almost like little creators on my skin.

Speaker 3 (15:27):
So that should not happen. And I've actually been using
lasers since I was an intern at Harvard Medical School
nineteen eighty one when that was the Harvard Medical School,
and a guy named doctor Joel no was my professor,
and that's Noe. He's passed away, but he was one

(15:50):
of the originators of the laser. And I'll never forget
when I was an intern. To zap the little blood
vessels on your face, we use something called an argon laser.
Took up half of a room and had a whole
heating cooling system just to keep the room cool because
it generated so much heat. And now these things are
tabletop they're about the size of a microwave oven. It's

(16:12):
really amazing. So but you should not get any scarring.
I mean, every now and then we get a blister.
But your doctor, if your doctor is skilled at lasers,
I've been doing them for since nineteen eighty one, I
guess you should not get any scars or anything like that,
particularly with these new YAG lasers. Now, there's a prior

(16:34):
generation of this laser that caused intense you're ready for this.

Speaker 6 (16:38):
It's called purpora, so bruising.

Speaker 3 (16:41):
So every spot that was lasered, you wound up getting
a purple spot for about a week or two. And
there are people that still use these lasers. They are effective,
but completely unnecessary. We should not get bruising. With the
new generation of these lasers. It just raises them and
it's one of the most impressive things. Occasionally a blister occurs.

(17:05):
But the way I do this is when I laser you,
I start out. You know, the laser can be tuned
like a light bulb. You know, you can have a
twenty five want light bulb or one hundred want light bulb.
Now they've got LEDs, so those numbers soon will be
meaningless to a lot of people. But we used to
have the twenty five or a hundred watt light bulbs.
The laser could be tuned to a very low wattage

(17:27):
and that's how we start. So I will shine that
laser light at your skin and it will maybe not
do anything, maybe do something. If it doesn't do something,
I'll tune it up. I'll go a little higher on
it until I reach the threshold where it erases that capillary.
So what it's actually doing, it's heating up the blood

(17:47):
in the capillary. It's a selective absorption of that light.
So every laser is a little bit different. I don't
want to bore you with laser physics, but this specific
laser is tuned right to the color.

Speaker 6 (18:00):
Of red blood, so it will heat it up.

Speaker 3 (18:02):
It's almost like in the summer, if you have white
seats in your car and it's a ninety degree day,
you park your car at the beach, you go into
your car. You can sit on those white seats, but
if you had black seats, they would have heated up
and you burn your thighs when you get on in
the car. And that's what happens with a laser. It
selectively absorbs that particular color, so in this case it's

(18:25):
the red.

Speaker 6 (18:25):
That's how it works. So I'm sorry that.

Speaker 3 (18:29):
You had some scarring from a prior laser, but that
really is the exception, not the rule, with this laser.
It's really unusual. In fact, I honestly don't remember if
I've ever had anything like that. Every now and then
we get a blister, and if you get a blister,
I tell you what to do for it so that
the blister doesn't progress to a problem.

Speaker 7 (18:50):
Okay, Kim, Yes, thank you very much.

Speaker 3 (18:53):
All right, great, thank you so much for the phone call.
I am a doctor Arthur Perry. We're going to take
a short break. No, I know we've got other calls tonight,
and thank you for calling, but we're gonna take a
short break. We'll be back in a minute. Eight hundred
three two one zero seven ten as a phone number.
I'm board certified plastic surgeon, doctor Arthur Perry. We will
get to the breast surgery after these messages. They say

(19:17):
that sixty is the 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,

(19:39):
younger with my short scar 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 to three Perry MD.
That's eight three to three p e r R Y

(20:01):
m D. Check me out on the web at periplastic
surgery dot com, and don't forget to listen to me
doctor Arthur Perry, every Saturday evening at six pm right
here on WOR. You are listening to What's Your Wrinkle
with doctor Arthur Perry, What's Your Wrinkle?

Speaker 6 (20:17):
And we are back.

Speaker 3 (20:18):
I'm board certified plastic surgery doctor Arthur Perry, host of
What's Your Wrinkle? Right here on wor and Laurie, what
happened to here? I was just about to take your
phone call give us a call back. But in the meantime,
let's get to our topic of the day. Breast surgery.
Cosmetic breast surgery. So we're not talking about surgery after
cancer or anything like that. There are lots of plastic
surgeons that do breast reconstruction. I do cosmetic surgery on

(20:40):
the breast, and I do a lot of it. So
when I see a woman who comes in for breast surgery,
a lot of women are unsure whether or not they
need a lift or an augmentation, and some are even confused,
I mean, are my breasts too large?

Speaker 6 (20:56):
Are these? So the first thing we.

Speaker 3 (20:58):
Do is take a look at you, and I am
that important question, are you happy with your size in clothing?
Because that will tell me a lot. So if you
are happy with your size and clothing, then you certainly
do not need or want a breast implant. Breast implants
are great devices. They're made of silicone rubber with either

(21:18):
salt water inside them or silicone gel inside them, and
they come in all different sizes, from little tiny ones
to very large ones. The bigger the implant, the more
problems we have with a breast augmentation, So we want
to keep that kind of under control because implants are
foreign objects. They are not without their own issues. But

(21:43):
if you are happy with the size of your breast,
then we're not even going to talk about a breast augmentation.
So I look at your breast and if you are
over the age of forty, or if you've had children,
or if you were overweight and then lost weight, more
than likely your breasts have drooped over time. So you
could have drooping in small breast, drooping in normal sized,

(22:06):
average size breasts, or drooping with large breasts. But the
question is again, and a lot of women just don't
understand this, and a lot of doctors put implants in
for the reason of drooping breasts, and I don't think
that's the best idea. A breast lift is the procedure
you would want if your breasts are the right size

(22:27):
and clothing and in a bathing suit. But you just
don't like the shape your nipple has descended as you've
gotten older, and maybe you've got some stretch marks on
your breast from pregnancy, because what happens in pregnancy is
your breast will grow. Everybody knows that, right, But what
happens is it's the breast tissue that grows. Maybe some
fat also accumulates in your breast, but mostly breast tissue,

(22:50):
and as it grows, it stretches the skin, and it
grows very rapidly in pregnancy, as you know, causing stretch marks.
But after pregnancy, your breast feed for a while, and
then your breast tissue involutes over time and you are
left with overstretched skin. And also that breast tissue has

(23:11):
squeezed the fat in your breast and destroyed some of it,
much the same way that your brass trap kind of
destroys some of the fat on your shoulders if you
have large breasts, or your belt compresses your waist fat,
and it does the same thing in your breast, So
you wind up getting smaller breasts after pregnancy in an

(23:32):
average woman and sagging breasts, and a breast lift is
one of those procedures. It takes about anywhere from two
and a half to three hours to do. I do
it under general anesesia as an outpatient, so you're in
and out the same day, you are back to work
in two days.

Speaker 6 (23:47):
It is not a procedure that hurts.

Speaker 3 (23:49):
It is one of the highest satisfaction procedures that we have.
And what I do is I'm actually removing some skin.
No breast tissue is removed, and I lift the nipple
up to a higher position. I keep the nipple attached
to the breast tissue at all times. And that may
sound funny to you, but there are some techniques.

Speaker 6 (24:06):
That remove that.

Speaker 3 (24:08):
But we want you to have sensation in your nipple
and I want you to have the ability to breastfeed
if that's what you want to do, so a breastlift
will reshape your breast.

Speaker 6 (24:17):
We remove the skin.

Speaker 3 (24:18):
Of course, all skin, anything taken from the breast goes
to pathology. We look under the microscope and make sure
everything's okay, and we put some stitches in underneath, and
it's glue in the surface, very few stitches. Only three
stitches are on the surface of the skin. The rest
are all underneath and glue. And every patient, really, just
about every patient I've had, tells me why did I

(24:41):
do this earlier? Why did I not do a breastlift?

Speaker 6 (24:44):
Now?

Speaker 3 (24:44):
If your breasts are truly small, if you're an a cup,
then you might need an implant, and an implant is
either placed.

Speaker 6 (24:50):
Behind or in front of the muscle.

Speaker 3 (24:52):
It can be done during the same operation as a
breast lift, or independently of the breast lift. The implants
are usually play through an incision on the bottom of
the breast, and I make what's called a pocket. It's
a position between the breast tissue and the muscle or
underneath the muscle, and that becomes a technical decision between
you and your plastic surgeon whether or not it's in

(25:14):
front or behind the muscle. There are a lot of
factors that come into play, but an implant is placed,
and I always want you to choose the size of
your implant. I never choose for you. Some plastic surgeons
choose for you. I think that is kind of the
height of arrogance. I can't tell you what to wear,
and I can't tell you what your breast size should be.
But I'll give you my opinion, but you're the final

(25:37):
decider on that. So an implant, that is a breast augmentation.
But if you come in and you tell me, well,
my breasts are too large, they hurt my back, my
neck hurts, I get rashes around my breasts in the summer.
That's a breast reduction, and a breast reduction is another
procedure that pretty much you're back to work in just

(25:57):
a couple of days. It's a very high satisfaction procedure
because it's one of those plastic surgery procedures that gives
you cosmetic benefit as well as reconstructive medical benefits. Well,
that music says I'm out of the studio. I'm out today.
We'll be back next week at six o'clock. Listen in.
I'm board certified plastic surch doctor Arthur Perry. Give me

(26:18):
a call during the week. Two one, two, seven, five, three,
eighteen twenty is the number of New York Perry Plastic Surgery.
Dot Com is the website and the products. Buy them
on Amazon dot com. Noah, thank you so much for
great engineering. We'll see you all next week. Have a
great one. Don't forget the sunscreen.

Speaker 6 (26:35):
Cow by Not.

Speaker 1 (26:36):
The preceding was a paid podcast Iheartradios. Hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed.