Dark Side of Sunless Tanners

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Episode Transcript

(00:00):
The following is a paid podcast.iHeartRadio's hosting of this podcast constitutes neither an
endorsement of the products offered or theideas expressed. Well Doctor Arthur Perry,
he's one of the top plastic surgeons. He's got offices in Manhattan, New
Jersey. You know what, He'sbeen doing the show here on w R
for years and years and years.Very popular show and a great plastic surgeon.

(00:21):
Everybody has questions on this subject,so he's the guy to ask.
Doctor Arthur Perry, and the publicwants to know the public doesn't get a
damn. I went to his officeand 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 say, what I got? I go look
at this, I'm getting old.I said, I want to maybe he
could fix it up a little bit. Doctor Oz, are you there?

(00:42):
I've here Ark and I want toget a plauged you. Having worked with
you on a book and numerous otheractivity, you want to talk to Arthur
Perry the best in plastic surgery andworkable knowledge, but also your grace at
delivering content, which is why it'sbeen a blessing to have you on my
show so many times. When Iwas a resident at the University of Chicago,
we had a me you smart asa really brilliant giftus position. I
want to pay you the highest truthI can give to a search, which

(01:03):
is when people come to you,they don't come for an operation, they
come for the opinion. And that'swhy I trust you. With my friend's
relatives, I didn't realize we weregoing to get the Michael Jordan of plastic
Surgeon nine O two and zero.Bows to this guy, and welcome.
This is what's your record Right hereon wo R I board certified plastic surgeon,
Doctor Arthur Perry's sitting here in thesaggy Upper West Side of Manhattan with

(01:26):
none other than Susan Warner. Soggy, she's a little under the weather today.
But you know we're going to tryand coach Susan through this broadcast.
You know, she's got to earnthose those co hosts. Stripes, yeah,
stripes and dollars, right, allright, stripe yeah, all right.
Tonight, tonight, I've got agreat show planned for you. We're

(01:48):
going to talk about something many ofyou have done. But are you sure
that sunless tanning is safe? We'regoing to talk about that today. I've
done it, you've done it,and we're going to talk about it.
And we're going to Manytimes. Youknow what. Every every couple years,
I do a thing on this show. This is nineteen years on this show.
By the way, Susan, you'vebeen must be old. Yeah,

(02:09):
well, Susan's been the co hostfor a couple of years. She says,
it seems like nineteen years for her. That's but you know, I
love doing the show. You know, I don't know about you all,
but thank you for listening. Allright, So every few years I do
this thing, the biggest bang foryour buck procedures in all of cosmetic surgery.
And I like to see, youknow, which are the procedures that

(02:32):
that costs maybe a little less thanyou might expect, but deliver an awful
lot. Yes, Susan, thanks, that would be Yeah, she's back.
Susan is back. All right,So we're gonna I actually went back
and I looked at one of myshows from twenty eleven. Twenty eleven,

(02:52):
that's how many years ago? Alot, yeah, a lot thirteen years
ago, back in the the goldendays of radio, which are today of
course, and compared you know,what I thought in those days were the
biggest bang for your buck procedures andwhat I now think. So we're going
to talk about that. We're alsogoing to talk about Okay, bring your
hair back, Susan, pull itback, pull it back. Yep.

(03:15):
Yes, we're talking about ears.I'm okay with my ears. It's ear
season. I'm okay with it.Really is. There's so much now that
I'm doing. It's almost you know, like I some days are only ears,
and we're going to talk about cosmeticsurgery on ears and all the different
but there's now a multitude of thingsthat I do to make your ears look

(03:36):
beautiful, and there's such a neglectedarea. We spend so much money.
Seriously, Susan, we spend somuch money on ear rings. Right,
we want to show them off,and then they look crumpled and and and
elongated. Yeah, and some ofthat I don't get that, you know,
stick out. We have got allsorts of procedures for you, So

(03:58):
stick around. We're going to talkabout that, and mostly I want your
phone calls. Eight hundred three twoone zero seven ten is the phone number
here at WO R eight hundred threeto one zero seven ten. Tonight we're
giving away a wonderful thing called softTime. Now, Susan loves my soft
time. You know I have whenwe make soft time and all sorry,

(04:19):
we make soft time and we makeall the other products. At the end
of the run. Let's say Ifill ten thousand bottles. I don't do
it myself, but the manufacturer doesbottles. Make that clear, right,
And then there's often some left over. So they'll call me and they'll say,
would you like the bulk? Youknow? And sure, what the

(04:41):
heck? So we just recently gotsome soft time bulk. It's in a
it's the size of a beer kiyeh of that? I mean this?
They they really over did it.They made way too much, and so
it's I don't know, it's notfifty gallons. It's probably about twenty gallons.
I'd say something like that of softtime. So I you know,
we happened to show it to me. Big mistake, Big mistakes. Susan

(05:03):
loves soft time. So I scoopedit. No, no, no,
no, tell the story correct well, so I wunted I wanted it,
so I went to stores to findcontainers, and that wasn't easy. I
went to Amazon and I got squeezeketchup bottles. Yeah, these a little
ketchup looked like things that condiment bottles. And doctor Perry handed me a bag

(05:25):
the other day with a dozen condimentbottles of moisturizer. That's a lot of
moisture, a lot of moisture.I have some happy friends and it's not
the easiest thing to scoop in there. I mean, it really does.
And you keep your hand sterile whenyou do it, absolutely sterol gloves.
It's got to be kept ster Soit was like a lucy episode. But
I have a lot of soft Time. There's a lot and a long supply,

(05:46):
so unfortunately we don't sell this.But but for my really expensive bottle,
yeah, oh my goodness, Yeah, how about a gallon of that
stuff? I actually gave it tomy daughter. It was on her sink
this week when I stayed with mygranddaughter and I thoroughly enjoyed. Yeah,
those of you who like soft Timewould really like this, but I can't
give it to you, all right, So who am I? I'm a
board certified plastic surgeon, host ofthis show for a long time. This

(06:09):
is the plastic surgery show here onwo R. It's the show about your
wrinkles. It's the show about yourjowls. Susan doesn't have those. No,
it's the show about small breasts.It's the show about droopy breasts,
because who doesn't have those? Bythe time you hit fifty, yeah,
she read, Susan raised her handand h and it's the it's the show

(06:31):
about chubs. You know what achub is. It's a fish, it's
a waitress. Come on, haven'tyou learned the knees right right? And
there's also a name for the fataround the ankles, you know, very
good, very good. Okay,So I suction cankles and chubs and saddle
bags and we have all these greatnames and plastic surgery for these flanks.

(06:55):
That's your favorite name, favorite.Yeah. So that's the the show is
all about. And I'm a boardsort of by plastic surgeon trained at Harvard,
Cornell and the University of Chicago.I am on the faculty of Columbia
University, where I helped teach theresidents, and also Rutgers University. I've
got offices in Central New Jersey,which is now completely underwater. I understand.

(07:16):
And I also so you've got probablyyou know, wind up radios in
Central Jersey listening to this show,and also on Park Avenue in eighty fifth
that's my newest office, and boyit is a wonderful. Let's go right
to the busy phones tonight. We'vegot Carol on the line. Carol,
what can I do here? What'syour wrinkle? Hi? I'm listening to

(07:36):
you guys religiously for since before Susanstarted. Oh and sorry, Yeah,
I have questions about I've heard youtalk a lot about suboia kratosis. I
feel like that's like the bane ofmy existence. I have like a lot
of very very tiny ones, andI've had them flows and by dermatologists with

(08:01):
the liquid liquid nitrogen. And Iwas wondering, I've heard you say,
you know about cut, you know, cutting them, but what about like
when they're like tiny, tiny,Because like I feel like, I'm like
you guys, I cannot stand anythingyou know on the skin at all,
you know, how completely smooth andperfect. I'm fifty six, I've had

(08:26):
them for many you know, It'slike it seems like I'm prone to them.
I've had them from you know,for many years. Do you have
light skin like color colored skin,very light, very fad. All right,
so let's talk a little bit aboutsebriri caratoses. It's such a fun
topic now. Seriously, everybody getsthem no matter what your skin color,
whether you're dark skin African American,or whether you're Irish and very light skin,

(08:50):
and everybody in between gets sebri keratosis. They are definitely related to sun
exposure, but you don't have tohave real light skin to get them.
However, the lighter your skin,the more noticeable they are. Because they
tend to start out they evolve.They start out as just a thing that

(09:11):
you don't even really see, butyou feel with your fingernail. Let's say
you're washing your thigh or your shoulderand you feel this thing and you look
and say what there's what is thatthing? And then as it evolves over
the course of months and years anddecades, they tend to get thicker,
they tend to kind of crack andand they get brownish, and they get

(09:33):
oily looking, which is the nameseborea. Because they're oil producing and melanin
producing cells, so they're completely benign. They are absolutely benign in themselves.
But but one of the things aboutsebaria kratosis is that don't try and diagnose

(09:54):
these yourself, because there are manypeople that have tried to do that.
And there are even these products Carolthat you can by its stores, which
and on Amazon, which are terribleand should be illegal because they burn off
the sebrie keratosis. And there aremany stories and case reports in the literature
of people burning off their own whatthey thought were sebri e keratosis and they

(10:15):
turn out to be melanomas. Soit takes a plastic surgeon or a dermatologist
or a good internest oncologist whomever,someone who knows what they're looking at to
tell you, yeah, it's benign, it's nothing, don't worry about it.
And then it becomes that, yeah, what's that with the Yeah with
the dermatologist, she knows me,you know well, and you know that's

(10:35):
what you know, that's what theyare. But I was wondering if there's
any like new or like anything newon the horizon as far as like laser
treatments. Well, for I said, to get them when they're really really
tiny, get them while they're young, you know. All right, So
here's the deal. So I haveto continue my little soliloquy. Susan rolled
her, she just wrote, myco host rolled her eyes. I'm not

(10:58):
kidding. We give you the answer, but you have to learn. People
want to learn about No, theydon't. Okay, all right, all
right, this is where my cohost leads the show. She wants me
to just give you the answer.Okay, So what I like to do
is shave these off. Now,dermatologists like to freeze them off, like
you said. But the problem withfreezing them off is the freezing sometimes goes

(11:24):
a little deep and creates a whitemark. I've had several that way,
Yeah, being frozen or too aggressive. Yeah, And if it's on your
buttock or your back, maybe itdoesn't matter, but maybe it does.
But certainly if it's on your face, it does matter, and you don't
want a white mark. So Ilike shaving them off. So I numb
it up. It requires a littlebit more talent than freezing it off.

(11:46):
And then I also I always say, if they're big enough to have their
own zip code, I'll send themto the dramatic pathologists the pathology department to
have them look over. And thereason for that is because there was a
study at the Brigham and Women's Hospitalabout twelve or so years ago and they

(12:07):
look at twenty six thousand of thesethings that were labeled separate of keratosis by
the plastic surgeons and dermatologists in Boston, and then they looked at all these
under the microscope and of those,they had a couple dozen melanomas, they
had a whole bunch of basis cellcarcinomas and squamis cell carcinomas, and the
majority were separia keratosis. Not toscare you, because a plastic surgeon or

(12:30):
dermatologist should have really really high accuracyin telling you, yeah, it's just
a nothing, but if it's bigenough, and sometimes these are funny looking
and we want to send those tothe pathologists. So back to your question,
what do we do. I liketo shave them off if if you've
got a zillion and that's a technicalterm, if you've got a zillion on

(12:50):
your face, for instance, I'lldo a whole session, and I'm doing
one, I think this week ona woman who might be listening. She
came in a week ago to theoffice. She had a couple of large
ones and a zillion of the littleones on her face and neck, and
so I'll just go through and numband shave and numb and shave, and

(13:11):
and you look like, uh,Susan doesn't like this analogy a in afternoon
skeet shooting with Dick Cheney. Yeah, that's what I don't like. You
know, like when they're you know, when there's that with the liquid nitrogen,
you know, you get you know, it lasts. It takes such
a long time for you know,for the healing to uh to begin.
But I also will tell you thatwith laser, I had won laser twice

(13:33):
with absolutely no it did nothing,and had to have it then shaved and
then further right, So so theyou know, I I'm not a big
fan of using the laser for thesethings because that's uh, that's kind of
like, oh, I don't knowwhat, what's the analogy here using a
cannon to shoot a twig or somethinglike that. It's it's just not necessary.

(13:54):
It can leave holes. I mean, there can be problems with their
surrounding skin. Yeah, and it'sa little a little more difficult to judge
the depth with a laser than itis with the old fashioned technique of just
simply numbing it up, taking ascalpel and shaving it off, I can
see with great accuracy where the pigmentends and in my hands. Yeah,

(14:16):
I mean some of them can return. I mean you always have to tell
people that there's a chance that itcould, you know, come back,
but for the most part they don't. But the interesting thing, Carol is
that, like you said, youhave a zillion of these things, you
can't really remove every on the face. I mean, if you had a
lot, I could shave the biggerones and then go over your face with

(14:39):
the laser to really honestly get thesmall ones, a little tiny ones that
are going to be there in ayear or two years. And that is
an approach that we can use onthe face. It's not really a practical
approach for the rest of the body. So you know, when they come
up, you take care of them. It's like weeding the guard in.
It really is. You know,you get the dandelion today and three weeks

(15:01):
later, the great once a healand you have it off yep, and
your makeup can go on nice andsmoothly. So so that's what I like
to do. But rest assured theyare benign. Yeah, for the most
well, if there are separate hertoasis, they're benign. But you need to
make sure. And and certainly thoseof you out there who are listening and
already going on Amazon, don't tryand do this yourself. Yeah, don't.

(15:24):
And skin check skin checks, checkskin checks. And plastic surgeons,
by the way, don't do thoseskin checks. It's the dermatologists. You
want to find a dermatologist that iskind of a the old fashioned dermatologists,
the ones that will sit there andthat's right, part your hair, toes,
look between your toes, your fingers, look at your anus, your

(15:46):
genitals. That's what they're supposed todo. They really rush through it.
Yep, that's someone good. Butthat's what you need. All right,
all right, Carol? Did Ianswer your question? So the most part,
I know, I don't want togo I could, I could go
on and on. I know.Want me to tell you that there's there's
a there's a medication that I candip your body into and get rid of
all of them, but but thatdoesn't exist. Okay, you have another

(16:08):
question. Can I have just apersonal thing, because like I said,
I've been listening so, you know, religiously for you. And yeah,
no, of course I've heard Sondraand it sounds like she really needs a
friend. And I do know,and I do too. I do too.
I'm really in a desperate, youknow situation. And you know,
she mentioned she would love someone togo horseback riding with last week, I

(16:32):
think it was, and I justwould like to reach if she would like
to reach out to me, Iwould love that. Well, that's a
this is a it's like a friendsservice here. So here you give your
name to Noah and we will giveyour name to Sondra and friends here.
I'd love to see you, guys. Welcome to the to the wine and
roses. Uh yep in New Jerseywhere we're being honored. Yep. It's

(16:57):
the American Cancer Any Function May tenth. Thank you for giving me the opportunity
to talk about that again. Atsix actually at six thirty, not six
o'clock. I found out on aFriday evening in the Summrset Palace. It's
a great venue in New Jersey,the American cant Society's annual fundraiser. And

(17:18):
someone told me that they called Kerriethis week and no one answered the phone
at seven three two nine oh threetwenty sixty one. So just go ahead
and go to Carrie dot Draco atcancer dot org and you can get tickets.
And I understand there are still ticketsleft. There's only five hundred something
tickets for this event, and Ithink something like three hundred are already gone

(17:41):
and they haven't even sent out theformal invitations yet. So thank you.
But it's going to be a greatevening. The tickets are three hundred and
seventy five dollars. I will bethere, Susan will be there, Doctor
Michael Nissen Black, the greatest oncologist, will be there, and many of
my friend's family and listener. Socome on down to the Night of Wine

(18:02):
and Roses May tenth, the Palaceat Somerset, and don't forget the website
Wine Androsesgalaanjay dot org. Okay,Carol, we have we answered all your
questions. Definitely not right, butthen, thank you so much. I'd
love to see you in your office. Great, he'll tell you how to
do that too. Well, we'regoing to take a break right now,
but yes, my phone number inthe office is two one two seven,

(18:23):
five three, eighteen twenty. Thankyou, Carol. I'm Board certified plastic
surgeon, doctor Arthur Berry, hostof What's Your Wrinkle. We're going to
take a short break. We'll beback after these words. Did you know
that your skincare may be hurting youmore than helping you. I'm Board certified
plastic surgeon, doctor Arthur Perry.The foundation for looking good is clean,

(18:47):
healthy skin. So I've created aprogram that is so simple that everyone can
stay on it long enough to seereal results. It starts with an incredible
skin cleaner called clean Time. It'sactually for your skin. Protect your skin
with my Daytime SPF twenty cream inthe evening, feed your skin with my
Powerhouse Nighttime serum. Nighttime has vitaminCNA, antioxidants and skin brighteners. And

(19:11):
if you like moisturizers, well,I've created Soft Time with seramides and Vitamin
D. Throw away the bags ofuseless products and try doctor Perry's skincare.
Join the thousands of people whose skinis healthier. Use the fifteen wor radio
code on Amazon dot com for afifteen percent discount. That's fifteen wor radio

(19:33):
when checking out, and enjoy freeshipping if you're a prime member, and
don't forget to listen to my radioshow right here on WOR every Saturday evening
at six pm. You're listening toWhat's Your Wrinkle with Doctor Arthur Perry.
What's your Wrinkle and what is yourWrinkle? On board certified plastic Sergon,
Doctor Arthur Perry, host of What'sYour Wrinkle right here on WOR for quite

(19:56):
a while. Now we've got SusanWarner here. Susan is not just a
co host, but she is alsoa published author. Susan is the author
of Never Say Never, Never SayAlways? And what exactly is that?
I mean, I know what thatis. It's the great it's a great
book. I don't want to pullit your prize. That's the John Polisher

(20:18):
family, not the Nelson or whoeverat Columbia. All right, tell us
about the book. It's a bitof a memoir about tragic loss and how
to recover and live a good lifeand be happy every day. And I
think it's not preachy. It willmake you laugh, it will make you
cry, and I think it justgives you a good perspective on how to
cope and how to move forward.And I know that many of my listeners

(20:40):
have purchased Susan's book and have sentnotes and called the radio show and said
how great it is. And itreally is. It is a wonderful book.
So if you've experienced loss, whichwe all have, who hasn't,
right you know, whether it's aspouse, mother, sister, child,
even you know, read the book. It's inspiring. So never say never,

(21:04):
Never say always on Amazon dot comand at bookstores near you. How's
that for commercials? All right,I believe we've got Veronica on the line.
Veronica, what can I do?Figure? What's your wrinkle? Hello?
Doctor Perry, Hello Susan, Susan, I'm sorry to hear that you're
not feeling well. This weather isnot helping. I'm sure, Doctor Perry.

(21:25):
I have a question for you regardingmenopause. So, given what women
go through when menopausal, is itwhy to wait until the entire process is
completed to think about plastic surgery.Well, that's an interesting question, great
question no one's ever brought up,and that is do you wait? And
I've got a very black and whiteanswer for you, Veronica, No,

(21:48):
you don't wait. There's no reasona way, Honestly, maintenance is good.
Last week we talked about actually tryingto head off the signs of aging
in the twenty year old population andthe thirty year old population by by doing
things like botox preemptively before you getthe signs of aging. But certainly life

(22:11):
is a continuum of kind of wego uphill until age twenty, we kind
of in terms of our appearance andour health, and then we from twenty
to thirty we sort of hold ourown and from thirty on it's all downhill
from there. And Veronica, agingdoesn't occur linearly, just like growth doesn't

(22:33):
occur lineary when you linearly. Whenyou see a child, they go through
growth spurts. They might be thesame height for six months and then all
of a sudden they shoot up twoinches in the next two months, and
it's quite remarkable. And the samething happens with aging. But we don't
see it the same way because we'renot looking at growth or loss of height
when we age. What happens though, as we age, it's a very

(22:56):
very complex process that involves hormones,and it involves a programmed what's called sinessence
or death of cells. And asyou know, if you really think about
it. It's not so much fun. However, the alternative is worse.
Right, So, so aging occursas our hormones are as in women,

(23:17):
it becomes pretty obvious when estrogen andprogesterone go away, when they decline to
levels where you no longer menstruate,and that's what we call menopause. But
at the same time other hormones aredeclining, we get changes in our thyroid
hormone, we get changes in growthhormone, and it goes on and on.
Hormones we don't even understand yet areare changing in amounts and so the

(23:44):
sum total that is aging. Somy attitude about aging is we want to
stay ahead of it, both froma medical standpoint and a cosmetic standpoint.
So we do what we can.We exercise, we go to the gym.
I was at the gym last night, Susan, I know she didn't
leave that, yes, And wego to eat the right foods. We

(24:04):
try and have a low fat dietand limit our salt intake, right rite,
Susan, all those things, andeat lots of fruits and vegetables and
the Mediterranean diet and things like that. So that's what we want to do
for our bodies and for our faceand for our skin. We want to
maintain as we get older, andyou can do that by the two things

(24:26):
that you can do, Veronica,to not accelerate the aging process. Of
course, not to smoke cigarettes orvape or marijuana, sorry everybody, but
they all have similar effects on theskin. And also limit your exposure to
ultraviolet light to twenty minutes a day, which means use my daytime which is
out of stock, use sunscreen whenthe UV index is over three. So

(24:49):
those are the things that you cando to try and prevent the onslaught of
aging. And then you can dothings like a good skin care program and
the minor percent like botox and fillersto decrease the appearance of wrinkles. And
then you can do procedures like faceliftsand eyelid lifts and things of that nature
to keep yourself looking as good aspossible for as long as possible. So

(25:14):
it is a great question, butwhy wait until you look seventy when you
know when you're seventy, When whenyou know, I saw a woman a
couple of days ago, she's probablylistening eighty two years old, came in
the office just looked incredible. Lookprobably sixty eight, sixty nine years old.
She's been maintaining herself, taking careof herself. You would think that

(25:37):
she's much much younger. And Ithink it's a state of mind, a
frame of mind of how you takecare of yourself and your outlook on life.
So there you go, Veronica,did that answer your question? Great?
It does, Thank you so much. And speaking about still standing,
you were talking about that in thebeginning of the show. You think that
it's of course safer than using attanning bed. Correct. I think let

(26:00):
me get to that. Oh oh, Veronica, we are going to get
to that right after the break,So so stay tuned and listen to because
I'm not so sure what you saidis true. Veronica, Ah, all
right, yeah, so that's whatI'm looking forward to hearing what you think
about that. Thank you for callingon board. Certified plastic surgeon, doctor
Arthur Perry, host of What's YourWrinkle, sitting here with my trustee and

(26:23):
slightly under the weather co host Winston. No, not Winston, it's Susan
Warner, and we're going to takea short break. Eight hundred three two
one zero seven ten is the phonenumber here. At wo R eight hundred
three two one zero seven ten willbe back after these words. They say

(26:48):
that sixty is the new fifty.But while you may feel and act fifty,
the mirror doesn't lie. But that'swhere plastic surgery comes in. I'm
board certified plastic surgeon, Doctor ArthurPerry, and I love helping patients look
younger and better. If you've gotsagging cheeks, jowls, and that dreaded
turkey gobbler, it might be timefor a little nip and a tuck.
You look more rested and yes,younger. With my short scar facelift and

(27:12):
the artistic injection of wrinkle filler ora laser peel, well, that might
be just what it takes to getyou looking as good as you feel.
Let's sit down for an hour consultationin my new Park Avenue office. Together
we'll come up with a plan tohelp you look your best. Give me
a call at eight three three PerryMD. That's a three three p E
R R Y M D. Checkme out on the web at Perryplastic Surgery

(27:34):
dot com, and don't forget tolisten to me doctor Arthur Perry. Every
Saturday evening at six pm. Righthere on wo R you're listening to What's
Your Wrinkle? With doctor Arthur Perry. What's your Wrinkle? And we are
back. I'm word certified plastic surgeon, doctor Arthur Perry, and I'm sitting
here with this smarks snarkmeister herself?Is that a word? Susan Warner?

(28:00):
She is my trustye co host,and she asks the questions that she kind
of keeps me on an even keel. I tend to go into a pedantic
discussion of things, right, Susan, Yes, Oh not really, but
y'all I'll humor you, okay.Anyway, all right, So sunless hand
what a great segue. The lastcaller talked about or asked about sunless tanners.

(28:21):
So do you know you're ready forthis one? Susan? Should I
ask you the question? Maybe youwon't get it right, but I'll ask
you, what percentage of women doyou think have used sunless tanners? Oh,
across the country, across the UnitedStates? Yeah, that's very good.

(28:44):
Seventeen point seven percent. That's right, that's the number. And I
won't go into the detail of howthey found this out, but it was
published in the Journal of the DerminologicNurses Association. Is there year? Is
that quantified in that? Is thatspray tanning? Yeah, spray, there's
tan drops, there's tanning moisturizers,Like, what is that good question?

(29:07):
All right? So the products thatyou buy in the store mostly lotions,
that's about fifteen percent of women.And spray tanning, where you know you're
supposed to cover your eyes and holdyour breath. About seven percent of people
have done spray tanning. Twelve percentof the United States population have engaged in

(29:30):
the illicit activity of indoor tanning.All right, So now about a quarter
of the people that do the sunlesstanners also do indoor tanning. Now,
indoor tanning, you know, that'spretty bad because it's there's no question that
it's linked to severe sun damage tothe skin, basil cell carcinomas, and

(29:52):
melanomas. So states have tried tolimit who can have it. You can't
be a teenage or anymore. Youneed parental consent, things like that.
But we're not going to talk somuch about indoor tanning. We're going to
talk about sunless tanning because a lotof people think it's just really safe.
Right. Well, it's been aroundfor about sixty years now. The FDA

(30:15):
only approves one sunless tanner chemical andit's called You're ready, It's called die
hydroxy actone DHA. It's the onlyapproved agent, all right. And here's
what this stuff does, Susan.It attaches to the proteins in your skin,
the amino acids in your skin,and it causes a reaction called glycation.

(30:37):
That's your word for the day.You're going to be tested on this
later. Now, most people haveconsidered this to be harmless, right,
yes, right, But here's whathappens. Glycation is a chemical reaction that
starts in your skin at about sixhours after you apply it, and it
maximizes at about twenty four hours.So here's what we're doing. We're actually

(30:57):
dyeing your skin. Now, they'vedone they've done studies, they've done studies.
Here was one great study in dogsthat they did and dogs developed dermatitis.
If they read in that study thatthey like tanned the dog every day
every day, that's correct, that'scorrect. Okay, I'll give that to

(31:17):
you. And you know where Istand on this dogs. Yes, we
don't want to tan those dogs,which I don't even know how they do
that. They shave their fur.Yes they do that. No dogs were
harmed in this study, all right, But here's also what they what they
found. And now there's been aplethora, that's your other word for today,

(31:37):
plethora of studies in the last fiveyears that have documented actual DNA damage
from dihydroxy acetone. So what thischemical does is it attaches to the DNA
and then it kills the cells.It causes DNA damage. It's mutagenic.
What does that mean, Well,their ears, you know. Here the

(32:00):
truth is probably doesn't make a differenceif you're doing it, you know,
once before a wedding, let's say, right, So if you're doing it
once a month, that is significantlydifferent than doing it every week. Yes,
yes, but you know a lotof people do it, they maintain
it, they'll do it a fewtimes a week. But I think in
this discussion you need to separate thatout well. And it's a little hard

(32:21):
to separate that out because, allright, for one thing, a lot
of people think that it actually canprotect you from sun damage, and it
doesn't. There's no photoprotective properties atall. There's zero SPF and sunless tan
over sunless hand. It's interesting though, when you do have a spray tand
you don't seem to burn when yougo on vacation. No proof to that's
that's called anecdotal evidence. So nowthey use really low amounts of this chemical,

(32:46):
lower than what you're using. Theamount in products can be as high
as fifteen percent and as low asone percent. Concentrations can cause changes in
the function of cells of the skin, and in particular, it's really bad
when you breathe in, and that'swhy they tell you don't breathe it in
because it's a big, big irritantto your trachea and your bronchi and your

(33:08):
lungs. And they can measure thesethings on the cellular levels. Now,
the interesting thing, also, Susan, is that these chemicals are not just
in sunless tanners. It turns outdo you know anybody that uses the vaping
things? I sound so intelligent,No, No, e cigarettes vapes.

(33:30):
One of the byproducts is this DHA, and it is DHA that you then
breathe into your lungs, and that'sone of the reasons it's so damaging to
your lungs. This DHA causes sellarrest, It generates reactive oxygen species it
poisons your mitochondria toxic deliver if itgets in your body, and it's really

(33:54):
a very significant health risk when it'sbreathed in, and even Susan even people
have said that it's a significant healthrisk when you spray tan. So there
you go in as little of theconcentration as one percent, and the concentrations
that you can buy are as highas fifteen percent. So I am not

(34:15):
a fan of this seemingly innocuous substancecalled self tanning. So you know,
that's that's the story. And ifyou want to read about this, you
can read in Journal of Drugs ofDermatology. Okay, there's a really good
review article in twenty eighteen. Youknow, I speak science. I read

(34:37):
the science. These are opinions Iget when I read the scientific studies.
So then think about the sunless tannersand I'll get off this subject in just
a second. They're not really regulatedby the FDA all that well, because
they're considered they're considered skincare, andthen they're regulated as cosmetics, not as
drugs. So you know, sunscreens, they're regulated as over the counter drugs.

(35:00):
Even toothpaste is considered an over thecounter drug hydro quarters on those things,
but sunless tanners not necessarily, sothe FDA really doesn't get the data
and companies do not have to provideit. All right, I'm board sort
of eyed plastic surgeon, doctor ArthurBerry, host of What's Your Rinkle?
Eight hundred three two one zero seventen. Is the phone number here at

(35:22):
WO r eight hundred three two onezero seven ten. So the office on
Park Avenue is fully open now.You know, there were some little kinks,
you know, the door buzzing inthing. It's all solved. We've
got the curtain well, the curtainswell, they were up there down now
but we're working it out. Butthe lasers are all there. They're all
marched up Park Avenue. Al Farais there and I've got all the technology

(35:45):
and I'm doing procedures several days aweek now in the Manhattan office. I'm
still in the Somerset, New Jerseyoffice, so you can see me there
and give a call to what isthat number? Two one two seven five
three eight teen twenty. You cancall that and it'll ring wherever we are,
so please go ahead and do that. I'm more than happy to see

(36:07):
my patients in the New York orthe New Jersey office. So let me
see your ear, Susan. Letme see him take off those headphones.
Ah, they're such cute little ears. Look at them, and you are
very fortunate. Yep, Susan hashow many piercing holes? No, I
know how many ears you have?There's two, that's how most people have
two. Some people don't have two. I don't know anyone with three.

(36:30):
But how many holes piercing holes youhave? Well, that's not a fair
question. I have two in oneear, and I stopped using the second
hole forty years ago. Okay,well you didn't rebellion, and thirty five
years old. It's hard to butI didn't rebellion. I don't like it.
But let it be told. Youhad to do some sort of revision

(36:52):
online. Yes, yes, soI know all too well. How many
earing holes you have? Now they'llsay, here's the story. As we
age, the ears tend to grow. But that's not why you did mine.
No, well, that's a wholedifferent story. You tend to people,
mostly women, tend to have earringsthat pull through, that stretch the

(37:15):
ear because of either the weight.I saw these ear rings. I think
you were with me the day wewent to that jewelry store, remember those
on Columbus Avenue. Those Oh,I was showing you an incredible ad campaign
for Alexis Bitar, right, Andthere are some earrings in there that must
weigh six or eight pounds. Idon't think they weigh as heavy as they
look. But there's nothing more unattracted. Well, there are things as unattractive,

(37:38):
but it's very unattractive to see olderwomen with these ear lobes that are
hanging down to their shoulders, withhoops in them, that are touching their
shoulders and it looks like it's gonnarip out any second. Yeah, and
something I really dislike that immensely.Such a visceral reaction, it really is.
I really think I think it agesyou, and it does, and
it distorts the ear lobe. Andso these really heavy ear earrings tend to

(38:01):
do that. They tend to pullthe what starts at as a little piercing,
you know, just a little roundcircle about an ideal. You know,
everybody has their own ideal. Myideal of the placement of an ear
ring is equidistant from the bottom ofthe ear and the and the cheek,
you know, so you draw alittle line. I'm sure all those ladies

(38:21):
in the piercing for go to dothat. I do when I pierce the
ear I take a caliber and pierceit and measure it rather But anyway,
there's a right location. And theearrings tend to descends as you age.
And you know in the old days, when people would hold the phone,
you know, and they'd walk around, you know, their office with the
phone weds on their ear, itwould gradually push the earing down. And

(38:44):
if you sleep in your ear rings, you're going to elongate those holes because
you can get your earring caught onyour pillow. You might wake up in
the morning with a tiny little dropof blood. And then people come to
me because when the ear rings descend, then you know, if they're small
earrings, they look funny because they'reasymmetric. So I'll often fix that earring

(39:06):
hole. And it's sort of liketaking a donut and taking the inside of
the doughnut out and then sewing thedoughnut flat, And that's what we do.
But if the ear ring completely pullsthrough the bottom of the ear then
we have what's called a biffit earlob the bottom of you of your ear
is a V shaped and that's notso attractive. And then people I've seen

(39:29):
people tape their ears and then theygo to the press on earrings to kind
of hold the earring the ears together, and then they come to me eventually
and I'll do a repair. Andit's a very simple thing. It's under
local anteceesion in the office I dowith both the New York and New Jersey
and it takes about anywhere from halfan hour to forty five minutes. You
think it would be less time,However, it's little tiny cuts and we

(39:53):
have to do some fancy footwork tomake it so that you don't get a
little notch on the bottom of yourear. And then I will pierce your
ear. Sometimes i'll pierce it againthat day if there's room, and sometimes
we'll just let things heal and waita month or two and then pierce the
ear again. And I've got afancy little piercer. No, I'm not
running a piercing salon. I'm notgoing to. If you want to make

(40:15):
an appointment to have your ears piercedby me, sorry, I'm not gonna
do it. I just pierce earsthat I fix, and if I do
a tummy tug. I pierced bellybuttons before I talked to you about this,
Susan, but only in women thatI've done tummy talks on, you
know, things like that. Ieven pierced the nose once. An Asian

(40:35):
woman who was having a ritual weddingneeded a piercing of her nose and she
just had a rhinoplasty by me,and I said, don't you dare.
You're not going to put a holein that nose that I just did.
So I pierced her nose for her. But no, I'm not going to
be doing that as a vocation.But anyway, when we come back from
our break, I'm going to talkabout, you know, the earring holes.

(40:57):
We all know that's pretty common,and it's been common for thirty years
to fix those earring holes. Butthere are so many different things now that
I do to ears now to makethem look better and make your earrings fit
better. So when we come backfrom our break, we'll talk about that.
We'll take more of your phone calls. Eight hundred three two one zero
seven ten is a phone number.Eight hundred three two one zero seven ten

(41:19):
will be back after these words.Did you know that your skincare may be
hurting you more than helping you.I'm Board certified plastic surgeon, Doctor Arthur
Perry. The foundation for looking goodis clean, healthy skin. So I've
created a program that is so simplethat everyone can stay on it long enough

(41:43):
to see real results. It startswith an incredible skin cleaner called clean Time.
It's actually good for your skin.Protect your skin with my Daytime SPF
twenty cream in the evening, Feedyour skin with my Powerhouse Nighttime serum.
Nighttime has Vitamin CNA, antioxidants andskin brighteners. And if you like moisturizers,
well, I've created Soft Time withseramides and Vitamin D. Throw away

(42:07):
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people whose skin is healthier. Usethe fifteen WOR Radio code on Amazon dot
com for a fifteen percent discount.That's fifteen WOR Radio when checking out,
and enjoy free shipping if you're aprime member, and don't forget to listen

(42:28):
to my radio show right here onWOR every Saturday evening at six pm.
They say that sixty is the newfifty. 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, doctorArthur Perry, and I love helping
patients look younger and better. Ifyou've got sagging cheeks, jowls, and

(42:50):
that dreaded turkey gobbler, it mightbe time for a little nip and a
tuck. You look more rested andyes, younger. With my short scar
facelift and the artistic injection in awrinkle filler or a laser peel, well,
that might be just what it takesto get you looking as good as
you feel. Let's sit down foran hour consultation in my new Park Avenue
office. Together we'll come up witha plan to help you look your best.

(43:12):
Give me a call at eight threethree Perry MD. That's a three
three p E R R Y MD. Check me out on the web
at Perry Plasticsurgery dot com and don'tforget to listen to me doctor Arthur Perry.
Every Saturday evening at six pm righthere on wo R you're listening to
What's your Wrinkle with Doctor Arthur Perry. What's your Wrinkle? And we are

(43:35):
back I'm Ford certified plastic surgeon,doctor Arthur Perry, host of What's Your
Wrinkle? For coming up on nineteenyears Susan, Wow, yeah, long
time. Understand now that I'm thelongest running co host, a host or
whatever I am at w R?Is that true? Noah, Yeah,
maybe pretty close. But I enjoyit every Saturday night, and so do

(43:55):
you. I know you do.So we were talking about ears. Ear
are they're the forgotten stepchild of theface. Would you say? You know,
everybody looks at the jowls and theneck and the eyelids, and they
come in to see me and Ido procedures to make them look more beautiful,
and then they hide their ears,even though they just spend ten thousand

(44:16):
dollars on earrings. We don't wantyou to have to hide your ears.
So yeah, of course we canfix those earring holes. But many of
you ladies out there, when youhit about sixty sixty five seventy, the
ear lobes begin to kind of shrivela bit, and you lose fat of
the ear lobes, and then youget wrinkles in the ear lobes. And

(44:38):
one of the really simple things thatI do is when i'm doing filler,
when i'm filling up those wrinkle linesof the around the lips and the dais
of labilfolds and the marionette lines andall that stuff that I do to make
your face look better. I'll takejust a little bit of that rest a
lane or juvederm and I'll put itin the wrinkles of the ear and then
plump up the ear lob And it'samazing what happens because you don't even realize

(45:02):
that, particularly if you have studearrings, they begin to turn if your
ear lobes start losing volume and theyno longer face the way they're supposed to
face, which is, you know, they're supposed to be right on the
surface of your ear looking out fromyour ear lobe. How's that right,
Susan, How's that? I thinkthat's but you know what I'm talking about.

(45:25):
And they tend to turn to oneside or another when you lose volume
in the ear. So it's areally simple thing to put some filler in
there and it lasts a good year. And one of the funny things about
filler in the ear lobe is itnot only will cause you to generate more
collagen, but it will cause youto generate a little bit of fat also
in your ear lobe. And youknow, we don't want these fatty,

(45:47):
big obese ear lobes, but wewant nice, plump ear lobes that look
healthy. So fillers are a greatway to do it. But the other
thing you were talking about, Susan, are these ear lobes that that sag,
that elongate. Yeah, they getdown to the bottom of your jaw.
I have a thing about that.You know who was the guy who

(46:07):
ran for president? You remember thethird party candidate, all right, Ross
Perot? Very large years, verylarge years, right then. He didn't
start that way when he was fourteen. But they elongate as you get older.
Your nose also tends to get alittle bigger. We talked about that
last week for a few reasons.But the ear lobes tend to elongate,

(46:30):
and when they reach a certain size, then you come in And there are
a lot of different procedures that I'vedone to decrease the height, you know,
the length of the ear lobe andalso the width of the ear lobe.
And the one that I'm doing themost of now is such a simple
technique, and it really is justa kind of a pairing down of the

(46:53):
ear lobe, and the scar isalmost imperceptible when we do this, and
it doesn't hurt. It really doesbecause I can block the ear very effectively
with a single injection of light ak and I do it in the office,
and it's very important to have thesame height of the ear and I'll
look from one side to the other, and I'll compare photographs and we might

(47:15):
take off more on one side thanthe other side, but reducing the size
of the ear lobes. It's becomea very common thing. I do it
all the time. You know.Do you know those gauges, Susan,
You know when people put those thingsin their ears. So I've devised an
operation. If you've got gauges now, I'll bet my audience who's listening to

(47:35):
this show you don't have gauges.But you may have a grandchild that has
walked into your home and they've gotthese circular things and you can see through
their ear lobe and it's stretched out. They're a little less popular right now
than they were. Why maybe therestaurants you go to, but the ones
I go to. I saw onea couple of days ago, walking down

(47:57):
walking down Columbus Avenue. Right.Uh, but certainly that's something I've actually
devised an operation and I'm trying toget this published to fix those. But
what about if you've just got wrinkledear lobes, Susan. You know,
they're they're the right size, they'replump enough, but they're just getting old.
Yeah. Well, one of thethings I can do is just laser

(48:17):
those. And it's so simple touse that fractionated CO two laser. Some
people call it the fraxle laser.It takes literally five minutes to go ahead
and laser the front and the backof the ear lobe, and it takes
about a week or so to heal. Uh. And when it heals,
Wow, the wrinkles are significantly better. But then again, what about what

(48:42):
about Susan the protruding ear lobes protrudingear lobes or ears. You can have
ears and ear lobes protruding. They'recalled telephone ears. I don't know.
Yeah, they come, I'm teachingyou something. Uh. Well, ears
can be protruding for a couple ofreasons. They can be protruding mostly because
the cartilage is not folded appropriately andthat is actually the most common if you

(49:08):
want to call it a birth defect. It's hard to call that a birth
defect. But it's just a variantof the appearance of ears, you know
that, you know what they usedto call those back in the a the
era when things were less politically correct. No, you don't want to hear
there, all right, we won'tgo there. We won't even say the
word. It's not a swear oranything. It's just a it's not a

(49:31):
it's not a nice thing. Butyou know, kids are teased just endlessly
if their ears protrude. You know, if you can grow your hair,
you grow your hair. But alot of people just want to show off
their ears. So I do what'scalled an otoplasty, and I do them
in children, and I do themin older women. So it's it's so
interesting that it's an operation for thesix to ten year olds and then pretty

(49:55):
much no one has that until they'reforty or so when women look at their
ears. And I've had so manywomen come to see me and they've said
they all say kind of the samething. You know, I've raised my
kids. Now it's time to startpaying attention to me. I've hated my
ears my entire life. Let's fixthose and an autoplasty. Interestingly, it's

(50:19):
an operation. There's only five thousanda year in the United States, so
it's not immensely popular if you comparethat to botox at six and a half
million people. But autoplastis are prettysimple operations. I make a decision behind
the ear, and then I placestitches in the cartilage to fold back that
cartilage, and then put some stitchesin and there you go an autoplasty,

(50:42):
very very simple operation. Susan says, I don't need that operation, all
right. So we have all sortsof procedures on the ear. Can you
spit those back? Susan, No, of course not. But we have
ear low reductions and whole repairs andlasers and autoplasts and filling the ears with
a wrinkle filler. Yeah, it'sa whole world of rejuvenation of the ears.

(51:08):
Imboard certified plastic surgeon Doctor Arthur Perry, host of What's Your Wrinkle?
And have I told you that weare open and running at the Granite Street
Surgery Center, Suasan, I thinkoperating there. I've been operating. I'm
doing a facelift there this Wednesday,and my partners are operating, so we're
operating a couple of days a weekthere. We're up and running. We're

(51:30):
now we've got about I guess we'reup to about six or seven plastic surgeons
operating there now. And and youknow, we're gonna have our website up
pretty soon. But who needs awebsite when we're a surgery center, because
we we are. It's not likeyou're looking for a surgery center to be

(51:51):
operated and you're looking for a surgeon, and then you want a good quality
place that the surgeon operates at.And of course are my surgers. Surgery
center is accredited, which is whatyou want, and you want, of
course the antithesiologist to be board certified. The antithesiologists at the Greenwich Street facility
are board certified. They're all professorsat Albert Einstein's School of Medicine and Montafiora

(52:15):
Medical Center. So it's a safeplace and a good place. And we
put our patients up at a hotel. There's one that's right near there called
the Hotel you go, so thoseof you coming in from out of town,
it's a nice thing to do.Even if you're coming from New Jersey
or Connecticut. When I have mypatients operated on in New York, it's
nice to stay locally that first night, and I like to see you the

(52:37):
next morning, bright and early,and then in my office in the Park
Avenue office, right, not inthe surgeon center, but you hang around
the surgery center, and then inthe neighborhood of the surgery center, and
then we see you the next day. All right. So, Susan,
if you had one procedures, oneprocedure that you could get this week,

(53:07):
what would you say? It wouldbe? Oh, put her on this
spot. No, it was,there's a definite answer, but it's qualified
by do I want surgery? Imean I have to have surgery, right,
Well, do you want surgery ordo you want then you want a
facelift? I love doing facelift,Susan. I do what's called the short

(53:28):
scar facelift. It's that'd be myfirst choice. Yeah, but you know,
I mean there are other things thatwe can do. I mean,
yes, you're fifty, Yes,you know you've got some sign of aid.
I don't have neck. That's you, not me. Look in the
mirror. Yeah, oh yeah,A little little bit of loose skin of
the neck. Well, yeah,it's a little yeah, but no,
no gobbler. But it would definitelybe to get rid of the fine lines.

(53:51):
Yeah and and but but Susan,a facelift doesn't really get rid of
that. Now, you keep sayingI should do that deep peel. What
we want to do is the fractionatedcarbon dioxide laser. It's a great procedure.
We do it in the office onPark Avenue. I numb you up.
Two weeks downtime. Well, itdoesn't have to not necessarily you have
to give it two weeks. Itprobably is more like six or seven days.

(54:14):
But I always tell my patients erroron the conservative side and don't plan
anything important for a couple of weeks. If we're pleasantly surprised and you're all
healed at six days, and thatone cruises head to toe, So with
me, it would be six weekswhen you rush your teeth through brush,
Yeah, yeah, there you go. Well, of course everyone does,
no. But but so it's it'simportant to delineate and distinguish between the fine

(54:37):
wrinkles, which are procedures which requirelaser procedures or peeling procedures. Number and
the big sagging because a lot oftime. Then the facelift is not what
you want. Although some might disagreewith you in terms of that neck.
We talked about my neck a coupleof months ago. I want to do
that that innovative, go for thescar, I do you'll uh, it's

(55:01):
a very special person that would havethat. Susan's talking about if you grow
a beard, Yeah, if yougrow a beard, but then you couldn't
be my closet. All right,the show is rapidly coming to a close.
When we start talking about Susan growinga beard, you know it's it's
over. I'm board certified plastic surgeon, doctor Arthur Perry, host of the
show. My website is Perry plasticSurgery dot com. So if you want

(55:24):
to learn more about me, goto periplastic surgery dot com. If you
want to make an appointment with meor with Susan, actually she's not a
plastic surgeon. My number is twoone two seven five three eighteen twenty in
New York in New Jersey seven threetwo four two two ninety six hundred and
if you are interested in the productsthat we talk about on this show,

(55:45):
my Clean Time Soap my nighttime serum, rejuvenating serum, and my soft time
moisturizer. You can go to doctorPerry's dot com or Amazon. Yeah,
go to Amazon because Amazon ask ita free Yeah. By the time you're
off the phone, it's probably gonnabe in your apartment. They are amazing.
All right, thanks so much,Susan. You are a trusty and

(56:07):
great co host. We see toeverybody next week. Bye bye. Now.
The proceeding was a paid podcast.iHeartRadio's hosting of this podcast constitutes neither
an endorsement of the products offered orthe ideas expressed.