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 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 got? I go look at this? I'm getting old.
I said, I want to maybe he 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 a plauged you. Having worked with you
on a book and numerous other activities, you want to talk.
Speaker 4 (00:46):
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 I really really gift this position. I want
to pay you the highest truth 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 Surgeons nine two and zero bows to
this guide and welcome.
Speaker 3 (01:17):
This is word certified plastic surgeon, doctor Arthur Perry, and
this is what's your wrinkle right here on wo R
and Straight talk about cosmetic surgery on the podcast.
Speaker 4 (01:26):
World all over, all over the world.
Speaker 3 (01:29):
Well tonight we are broadcasting live from the Hamptons, the
very cold Hamptons. It's been a long winter, hasn't it been.
You can hear it in my voice. I'm I'm ready
for the spring, and I bet you are also. So
today we're going to be talking about, well, of course,
something springy right now.
Speaker 4 (01:47):
Well, we're going to talk.
Speaker 3 (01:48):
About ozempic and all those weight loss drugs and what
they do to your body and why you need to
come to me after being on ozempic and zep bound
and all those drugs. We'll talk about that. We'll talk
about you, will answer your questions. This is a call
and show here at WR eight hundred three two one
(02:09):
zero seven ten is the phone number, and you can
give us a call. Ask me the questions that have
been keeping you up at night, and they don't have
to be about ozembic, but I'll be talking about that
this evening. So who am I? If this is the
first time you've ever listened to this show. I'm a
board certified plastic surgeon. I've got offices in New Jersey
(02:29):
and on Park Avenue in Manhattan. I am on the
faculty of Columbia and Rutgers Medical School.
Speaker 4 (02:36):
I've written a few books.
Speaker 3 (02:38):
I've been on the Board of Medical Examiners in the
state of New Jersey for ten years, so I've got
an interesting perspective about medicine and about plastic surgery. But
mostly I'm here to answer your questions.
Speaker 4 (02:50):
I'm a board.
Speaker 3 (02:51):
Certified plastic surgeon, and that means during the day I operate.
I do facelifts and eelid lifts and lippos suction, And
this week I reconstructed a wound on the face after
Moe's surgery after a basil cell carcinoma was removed. And
I do that sort of thing as well as non
(03:13):
invasive things like botox and fillers and lasers of all
different types. So that's who I am.
Speaker 4 (03:20):
Who are you? Give me a call?
Speaker 3 (03:22):
Eight hundred three two one zero seven ten is the
phone number at WOOR. The call is free, the advice priceless, hopefully.
And since I'm saying that, of course, the advice I
give is just that.
Speaker 4 (03:37):
It's it's advice.
Speaker 3 (03:39):
It's not telling you how to run your medical care.
You need to talk to your own doctor about your
own specific problems. I'm here to educate, I'm here to
entertain and give you some guidance. But I can't be
your doctor unless I am your doctor, all right, So tonight,
if you do give us a call, we're giving away
bottles of soft Time. Soft Time is wonderful moisturizer slathered
(04:02):
on your hands in this type of weather, slathered on
your chapped lips, on your face, and it will keep
you rather supple. You know, it's been a tough winter
for all of us. Four months of cold here in
the New York area. We're expecting spring any day, now,
let's hope.
Speaker 4 (04:19):
All right.
Speaker 3 (04:20):
So what is ozempic, Well, ozempic and there are a
bunch of these different drugs. Now, there's wigov, there's zep bound.
Those are the biggest ones. They are drugs that have
been used for diabetes for a number of years. And
one of the great side effects is they suppress appetite,
(04:42):
and they do that so effectively that you lose weight,
and a lot of it. You can lose twenty twenty
five pounds, thirty pounds, forty pounds.
Speaker 4 (04:51):
It's an amazing drug.
Speaker 3 (04:53):
If you have diabetes and have obesity, then you might
have that drug covered by insurance. If you don't have
diabetes and you're just a few pounds overweight, your doctor
may say, well, it's still an appropriate drug for you,
but you do have to pay out of your pocket.
Do you know that subscription prescriptions not subscriptions. Prescriptions for
(05:16):
drugs like ozebic and wigov and similar type drugs over
the last four years had almost a five hundred percent increase,
with something in the area of ten eleven twelve million
prescriptions written in just the last few months of last year.
It's really a blockbuster series of drugs, and one of
(05:40):
the reasons is because they are extremely successful in helping
you lose weight, extremely successful in alleviating the symptoms of diabetes,
not type one but type two diabetes. And they also
have many other really nice effects. There's a lower chance
of heart attacks, there's a there's an improvement in neurologic
(06:02):
issues and on co logic issues. They're really quite interesting drugs,
but they have their downsides. Right, when you lose weight rapidly,
it's a good thing, isn't it well, But when you
lose weight rapidly, your body doesn't have a chance to
shrink the skin and readjust and that happens with almost
(06:23):
any type of weight loss, whether it's a lap band
or gastric bypass surgery or gastric sleeve or now the
drug of choice wag ov or ozempic or zep bound.
So when you lose weight that rapidly, your skin can't
shrink the way it does with very slow weight loss.
(06:43):
You know, we have the ability to grow skin, we
have the ability to shrink skin. We know that when
you're pregnant, you grow your skin, and when you deliver
the baby, over the course of about a year or so,
you shrink that skin down. So in most people, but
not everybody, but anyway, they've coined the term ozempic face,
(07:04):
and I've kind of coined ozempic body and ozempic breasts
because what happens with the rapid weight loss is that
you get symptoms of of just that hanging skin and
deep nasal abial folds on the face, the gows, fine wrinkles,
also creepy skin occur as you deflate your body. And
(07:28):
so with that that's a good thing because you look
better and you're healthier. That's good, but you know you
look better at a cost. So you come to the
plastic surgeon. You come to me, and I see patients
all the time with ozempic face and other types of
loss of skin, of loss of skin integrity, and hanging skin.
(07:53):
So when we come back from our first break, Noah,
let's talk about what I do as a plastic surgeon
and the people I see who have lost tremendous amounts
of weight, whether it be from ozempic or from gastric
bypass or from lap bands. You might remember some of
you seeing me on the Doctor oz Show.
Speaker 4 (08:12):
Where I did a body lift, a body.
Speaker 3 (08:15):
Lift after someone lost one hundred something pounds, and that
was an interesting show. We went into the operating room
and showed the result before and after, and this is
also what we do with the ozempic type drugs. We're
going to take a short break. Eight hundred three two
one zero seven ten as a phone number. We'll be
back after these messages. Did you know that your skincare
(08:44):
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
(09:05):
your skin. 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 seramides and Vitamin D. Throw away the bags of
useless products and try Doctor Perry's Skincare. Join the thousands
(09:28):
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 WOAR every Saturday evening
at six pm. You are listening to What's Your Wrinkle
with doctor Arthur Perry. What's Your Wrinkle?
Speaker 4 (09:45):
And we're back.
Speaker 3 (09:46):
I'm board certified plastic surgeon, doctor Arthur Perry, host of
What's Your Wrinkle right here on WOR. And if you're not,
if you're not listening to the podcast, why are you not?
Speaker 4 (09:56):
It's so easy.
Speaker 3 (09:57):
You don't have to be tied to the radio at
six every Saturday evening. Like Susan Warner, she listens to
this show. She doesn't leave. She listened, right everybody, those
of you in South Carolina, in California who listen, well,
you could get it on the podcast. You could go
ahead and I go onto iHeart podcasts or Apple podcasts
(10:19):
and look my name up, or straight Talk about Cosmetic Surgery,
or just put in the word cosmetic surgery and come
up with the podcasts and hit subscribe. Do that please,
And then when you're driving or when you're trying to
go to sleep at night. You want to listen to
this lovely voice. You listen to this podcast, and I'll
(10:41):
put you to sleep faster than any drug.
Speaker 4 (10:43):
All right, So go ahead and do that.
Speaker 3 (10:46):
So why go vy or ozempic or zep bound seems
to be the best of all of those drugs. They're
so effective in having you lose weight that you lose
so rapidly that within a few weeks of starting, you
see the pounds start to drop off your body. But
you look in the mirror and you say, wait, wait
(11:07):
a minute. Now I'm deflated. I have now nasalabial folds
that I didn't have before. I've got jowls that i
didn't have before. I'm sagging before my eyes. And then
you take your clothes off and look at your breasts,
and your breasts are now sagging because the volume mismatch,
that means the amount of breast tissue and fat in
(11:28):
your breast is no longer matched up with your skin,
and so your breast sag and your belly begins to sag,
just like losing a lot of weight from pregnancy or
having gastric bypass surgery, and so you get hanging skin
you also get hanging skin on your arms and your thighs.
Less commonly we do surgery on those areas. Those are
(11:52):
actually fairly fairly unusual operations, even though you hear a
lot about those. There's only a few thousand arm lifts
and two thousand filists in the United States each year,
but there's hundreds of thousands of facelifts, hundreds of thousands
of breastlifts, and hundreds of thousands.
Speaker 4 (12:09):
Of tummy tucks.
Speaker 3 (12:10):
So when I see a patient, we need to prioritize
when you've gone from let's say you're a woman who's
five 'ot five and you are one hundred and eighty pounds,
and you've been on ozepic now for maybe a year,
and it takes about a year to lose most of
the weight. You stay on those drugs, by the way,
You don't just stop them because you could gain the
(12:31):
weight back. You stay on those drugs in a maintenance form.
And the type of doctor that prescribes those no, not
a plastic surgeon, but usually an endocrinologist or an internist,
and those are the experts at those drugs.
Speaker 4 (12:46):
If you get.
Speaker 3 (12:47):
Those prescribed by a plastic surgeon, you do have to question.
You know, I know there are some plastic surgeons that
do prescribe those drugs, but I don't think that's right personally.
I think you should be following your new attritional status
and all the things that internists follow, hormone levels and
(13:07):
metabolic parameters like your electrolytes and things of that nature.
You want to do this in a very safe way,
particularly when the weight loss is rapid. So you know,
why would you go to a plastic surgeon. I would
go to an internist to have my facelift, right, and
I would go to a dentist to have my cosmetic surgeon.
(13:28):
You want to go to the specialist, So you see
the endochronologist for the best weight loss control, or the
bariatric doctor or the internist. All right, But when you've
reached your goal, or when you're getting there, or when
you look in the mirror and you say, wait a minute, now,
I've got to do something about this. I want to
look young, I want to look refreshed. The first thing
(13:49):
we generally attack is the face and the eyelids. Well,
they're not as affected by weight loss, they really aren't.
Whether you know, when you have set making skin of
your upper eyelids. That's not a weight dependence condition, nor
is the fat of your lower lids. So I'm doing
some eyelids this week. Has nothing to do with the
(14:12):
person's weight. This is a person who actually, interestingly, I
did lots of surgery on twenty years ago, a breast
augmentation and other surgery. And I always say the only
thing about growing older as a plastic surgeon as I
get to see my patients as they age, and my
breast augmentation patients and my liposuction patients from twenty to
(14:34):
thirty years ago are now coming in for facelifts and
eyelids surgery, which is what I'm doing this week in
New Jersey. So anyway, for the most part, aren't looking
at eyelids as a symptom of weight loss. But we
are looking at jowls. We are looking at nasal abial folds.
We are looking at extra skin of the neck as
(14:57):
the fat of the neck tends to.
Speaker 4 (14:59):
Go away when we lose weight.
Speaker 3 (15:01):
We also begin to see fine wrinkles because it's almost
like you know, first you're a grape and then you
become a raisin when you lose that weight, and so
the fine wrinkles of the face are easily addressed in
the office by wrinkle filler, for instance, rest a lane
or juveter in one of those things. The wrinkles of
(15:23):
the forehead really don't have anything to do with weight loss.
Those are treated with botox whether or not you are
losing weight.
Speaker 4 (15:31):
If you've got those.
Speaker 3 (15:32):
Fine wrinkles, the creepy skin of the face, then we
might consider doing a fractionated carbon dioxide laser procedure. And
I tend to do very aggressive procedures. I will numb
you up. A lot of people don't numb you up,
and they do very superficial lasers, which is what I
used to do. But my patients really like to see results.
(15:53):
And when we go to superficial, you get a little
bit of a benefit, but I like to see a
lot of a lot of benefit. And so I numb
up your forehead, and I numb you up around your
mouth like a dentist does, and then I numb up
your cheeks, and I go to town and I do a
pretty aggressive laser that takes you seven, eight, nine, ten
(16:15):
days to recover from. You feel just fine, by the way,
It's just that you don't look so good during that
recovery period, and so you stay home and maybe do
work from the on the computer, maybe phone calls and
things like that, but you might not want to go
into the office or see people during recovery from the laser.
Speaker 4 (16:35):
With fillers, with boatox.
Speaker 3 (16:37):
The recovery is virtually instant because with makeup you can
go to work the very next day. But if you're
concerned with the joals, and if you're concerned with the
extra turkey gobbler or the neck which is accentuated by
weight loss, then we are talking about a facelift. And
facelifts are very very common after a zempic use, very
common after zep bound use, and very simple to do
(17:01):
if you're a board certified plastic surgeon. As a patient,
I like to have my patients be checked out by
an interness before a facelift. If you're over sixties, certainly
we're going to get a stress test, particularly if you've
been on those weight loss drugs, which means you had
a period of time that you were overweight, and certainly
(17:21):
if you had diabetes that is now ameliorated by those drugs,
that's great, but we want to make sure that your
heart is just fine, and you can have surgery with
no events. And so we have a stress test, we
get you checked out by the internesst and then a
facelift is a three to four hour procedure, and I
do it over either at Manhattan I an ear or
(17:42):
at Robert Wood Johnson or at one of the surgeon
centers I operate at, and it's an outpatient procedure. You
go home the same day and you're bandaged up like
a little mummy for a day or two, and then
we take the stitches out by a week and you're
back to work.
Speaker 4 (17:58):
At about to weeks.
Speaker 3 (18:00):
When we come back from our break, we're going to
talk about the other procedures that we do after a
big time weight loss with ozepic and those drugs, the
breast surgery, the tummy tuck surgery, and things of that nature.
Eight hundred three to two one zero seven ten is
the phone number here at wo R eight hundred three
two one zero seven ten.
Speaker 4 (18:18):
We'll be back after these words.
Speaker 3 (18:26):
They say 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
(18:48):
and yes, 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 three
Perry MD. That's a three three p e r R
(19:10):
Y M D. Check me out on the web at
Perry Plastic 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 are listening to What's
Your Wrinkle with doctor Arthur Perry. What's your Wrinkle?
Speaker 4 (19:26):
And we are back.
Speaker 3 (19:27):
This is BORD certified plastic surgeon, doctor Arthur Perry, broadcasting
live from the Hampton's The very very cold Hamptons and
I am hoping really soon it is going to be warm.
You know, I was in Mexico about a week and
a half ago. That's why we we taped the show
in case you didn't realize that I was in Mexico
frying on the beach. But using my doctor Perry's Daytime,
(19:51):
which is an SPF twenty three sunscreen, did a great
job protecting me and the people I was with. And
you can use it also as a sunscreen. It's a
it is a skin protector. It's got things like niacinamide
in it, invitamin B three and vitamin B five, pantathetic acid,
(20:11):
as well as zinc oxide. Most people use it as
a facial sunscreen. You can use it on your entire body,
but most people do use it just as a facial sunscreen.
So now's the time to stock up because the summer
is coming, believe it or not. And if you're going
to Florida for spring spring break, yeah, you want to
stock up on Daytime and you get that on Amazon
(20:34):
dot com. So Ozimpic, zip Bound. They are great drugs.
But a lot of people tell me, well, their insurance
doesn't pay for it, and they're fairly expensive. So what
do they do. They go to those compounding pharmacies. Now,
what do you think of those compounding pharmacies? Are pharmacies
that make that drug? Well, what does the FDA say
(20:56):
about that? They allow it. But once the FDA doesn't
regulate a drug, which is what a compound drug is,
you're kind of in a middle ground where you might
or might not be safe. So the FDA actually frowns
upon compounding pharmacies. If you go to the FDA website,
they talk all about these drugs and they recommend, you know,
(21:21):
going to a real pharmacy and getting a real drug.
Speaker 4 (21:24):
But you have to be very careful.
Speaker 3 (21:26):
There have been hundreds and hundreds of problems with those
compounded drugs, and as of about two months ago, which
is the FDA's last statistics, they had somewhere around four
hundred reports of adverse events with semi glutide, which is
the ozepic drug, and something like two hundred and twenty
(21:48):
reports of adverse events from compounded zep bound. So be careful,
be careful. And some of those problems have been with
not the right amount of the drug being in that
compounded formulation. You know, remember the FDA is no longer
looking at it if it's a compound drug, so you
have to be careful. Also, there are illegally marketed versions
(22:11):
of these drugs. There's counterfeit o zempic out there, and
the FDA has had many complaints. There's illegal online sales.
There are people that are just trying to make a
buck off of you. The right way to do this
is to see your doctor, get examined, get appropriate testing.
That's the right way to do it, not to you know,
(22:32):
go online and go ahead and get some hopefully appropriate drug.
But who even knows. All right, So when you have
this weight loss, when you've lost a lot of weight,
yes you see it in your face, but you also
then see it in your breasts.
Speaker 4 (22:48):
You get drooping breasts.
Speaker 3 (22:50):
You might have had fairly, fairly youthful breasts while you
were overweight, but once you've lost you know, ten twenty thirty,
forty fifty pounds, you'll find that.
Speaker 4 (23:01):
Your breast droop.
Speaker 3 (23:03):
One of the great procedures in plastic surgery, one of
the highest satisfaction procedures is a breastlift. And almost I
can't even think of a patient that I've done a
breastleft on that hadn't told me. I wish I had
done this sooner because a breastlift procedure, it's about a
two and a half to three hour procedure. I do
it as an outpatient, so you come into the surgery
(23:25):
center or you come into the hospital. We do it
under general antesesia. Usually it can be done under sedation,
but I do think it's safer if it's done under
general anesesia.
Speaker 4 (23:36):
And it's a matter of.
Speaker 3 (23:37):
Removing skin, but not removing breast tissue, not removing any fat,
and kind of evening out the relationship between the volume
of your breast and the volume the amount of skin,
the area of skin on your breast. And it really
is a great procedure because without wearing a bra, without
wearing any supportive clothing, your breast will stand up just
(23:59):
like they did when you were four fourteen, and you'll
look better in clothing and out of clothing. And usually
the scars are very acceptable. And I always say the
only good thing about growing older, it really is, I mean,
other than gaining all this great knowledge and perspective on life,
one of the great things about growing older is that
your scars tend to be better. So if I do
(24:20):
the same incisions on a breast of a fourteen year old,
If I'm doing a breast reduction in fourteen year olds,
which sometimes we do at that young age, the scars
are usually quite noticeable red and raised for a long time.
But if I do that same operation on you if
you're sixty, the scars are usually quite acceptable very quickly,
(24:40):
in just a couple months. Because scarring, you know, your
body makes lots of scar as a youthful thing, and
the failure to make good scar, which means the scars
look better, is something that happens as you get older.
So it's sort of counter intuitive, but a breastlift is
a great procedure and it's one that has a very
low complication rate.
Speaker 4 (25:01):
You will in.
Speaker 3 (25:03):
Most cases retain the sensation to your nipples. If you
do it before menopause, you can still breastfeed in most
cases and you'll look better, and that procedure will be
a one time procedure unless you gain a lot of
weight back.
Speaker 4 (25:20):
Hopefully you won't.
Speaker 3 (25:21):
The other procedure that I do after a big weight
loss is a tummy tuck, and a tummy tuck is
a really nice procedure.
Speaker 4 (25:27):
It'll make your belly look better.
Speaker 3 (25:29):
We tighten the muscles of your belly and get rid
of all that extra skin that you have, so tummy tucks, breastlifts,
those are very common procedures and facelifts after ozempic use,
after massive weight loss that you get. It's worth it
and you know that's the story. So talk to your interness.
Then go to the plastic surgeon. Well a half hour
(25:51):
show these days, it goes very very quickly. Noah, thanks
so much for great engineering. My website Perryplasticsurgery dot com.
And remember buy those products if you want them on
Amazon dot com. We'll be here next Saturday, and I
hope you will be too, And please go to the
website and subscribe to the podcast. Thanks so much, Noah.
(26:13):
Thank you to the studio audience. We'll see everybody next week.
Speaker 4 (26:16):
By bye. Now.
Speaker 1 (26:17):
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 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 got? I go look at this? I'm getting old.
I said, I want to maybe he 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 a plauged you. Having worked with you
on a book and numerous other activities, you want to talk.
Speaker 4 (00:46):
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 I really really gift this position. I want
to pay you the highest truth 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 Surgeons nine two and zero bows to
this guide and welcome.
Speaker 3 (01:17):
This is word certified plastic surgeon, doctor Arthur Perry, and
this is what's your wrinkle right here on wo R
and Straight talk about cosmetic surgery on the podcast.
Speaker 4 (01:26):
World all over, all over the world.
Speaker 3 (01:29):
Well tonight we are broadcasting live from the Hamptons, the
very cold Hamptons. It's been a long winter, hasn't it been.
You can hear it in my voice. I'm I'm ready
for the spring, and I bet you are also. So
today we're going to be talking about, well, of course,
something springy right now.
Speaker 4 (01:47):
Well, we're going to talk.
Speaker 3 (01:48):
About ozempic and all those weight loss drugs and what
they do to your body and why you need to
come to me after being on ozempic and zep bound
and all those drugs. We'll talk about that. We'll talk
about you, will answer your questions. This is a call
and show here at WR eight hundred three two one
(02:09):
zero seven ten is the phone number, and you can
give us a call. Ask me the questions that have
been keeping you up at night, and they don't have
to be about ozembic, but I'll be talking about that
this evening. So who am I? If this is the
first time you've ever listened to this show. I'm a
board certified plastic surgeon. I've got offices in New Jersey
(02:29):
and on Park Avenue in Manhattan. I am on the
faculty of Columbia and Rutgers Medical School.
Speaker 4 (02:36):
I've written a few books.
Speaker 3 (02:38):
I've been on the Board of Medical Examiners in the
state of New Jersey for ten years, so I've got
an interesting perspective about medicine and about plastic surgery. But
mostly I'm here to answer your questions.
Speaker 4 (02:50):
I'm a board.
Speaker 3 (02:51):
Certified plastic surgeon, and that means during the day I operate.
I do facelifts and eelid lifts and lippos suction, And
this week I reconstructed a wound on the face after
Moe's surgery after a basil cell carcinoma was removed. And
I do that sort of thing as well as non
(03:13):
invasive things like botox and fillers and lasers of all
different types. So that's who I am.
Speaker 4 (03:20):
Who are you? Give me a call?
Speaker 3 (03:22):
Eight hundred three two one zero seven ten is the
phone number at WOOR. The call is free, the advice priceless, hopefully.
And since I'm saying that, of course, the advice I
give is just that.
Speaker 4 (03:37):
It's it's advice.
Speaker 3 (03:39):
It's not telling you how to run your medical care.
You need to talk to your own doctor about your
own specific problems. I'm here to educate, I'm here to
entertain and give you some guidance. But I can't be
your doctor unless I am your doctor, all right, So tonight,
if you do give us a call, we're giving away
bottles of soft Time. Soft Time is wonderful moisturizer slathered
(04:02):
on your hands in this type of weather, slathered on
your chapped lips, on your face, and it will keep
you rather supple. You know, it's been a tough winter
for all of us. Four months of cold here in
the New York area. We're expecting spring any day, now,
let's hope.
Speaker 4 (04:19):
All right.
Speaker 3 (04:20):
So what is ozempic, Well, ozempic and there are a
bunch of these different drugs. Now, there's wigov, there's zep bound.
Those are the biggest ones. They are drugs that have
been used for diabetes for a number of years. And
one of the great side effects is they suppress appetite,
(04:42):
and they do that so effectively that you lose weight,
and a lot of it. You can lose twenty twenty
five pounds, thirty pounds, forty pounds.
Speaker 4 (04:51):
It's an amazing drug.
Speaker 3 (04:53):
If you have diabetes and have obesity, then you might
have that drug covered by insurance. If you don't have
diabetes and you're just a few pounds overweight, your doctor
may say, well, it's still an appropriate drug for you,
but you do have to pay out of your pocket.
Do you know that subscription prescriptions not subscriptions. Prescriptions for
(05:16):
drugs like ozebic and wigov and similar type drugs over
the last four years had almost a five hundred percent increase,
with something in the area of ten eleven twelve million
prescriptions written in just the last few months of last year.
It's really a blockbuster series of drugs, and one of
(05:40):
the reasons is because they are extremely successful in helping
you lose weight, extremely successful in alleviating the symptoms of diabetes,
not type one but type two diabetes. And they also
have many other really nice effects. There's a lower chance
of heart attacks, there's a there's an improvement in neurologic
(06:02):
issues and on co logic issues. They're really quite interesting drugs,
but they have their downsides. Right, when you lose weight rapidly,
it's a good thing, isn't it well, But when you
lose weight rapidly, your body doesn't have a chance to
shrink the skin and readjust and that happens with almost
(06:23):
any type of weight loss, whether it's a lap band
or gastric bypass surgery or gastric sleeve or now the
drug of choice wag ov or ozempic or zep bound.
So when you lose weight that rapidly, your skin can't
shrink the way it does with very slow weight loss.
(06:43):
You know, we have the ability to grow skin, we
have the ability to shrink skin. We know that when
you're pregnant, you grow your skin, and when you deliver
the baby, over the course of about a year or so,
you shrink that skin down. So in most people, but
not everybody, but anyway, they've coined the term ozempic face,
(07:04):
and I've kind of coined ozempic body and ozempic breasts
because what happens with the rapid weight loss is that
you get symptoms of of just that hanging skin and
deep nasal abial folds on the face, the gows, fine wrinkles,
also creepy skin occur as you deflate your body. And
(07:28):
so with that that's a good thing because you look
better and you're healthier. That's good, but you know you
look better at a cost. So you come to the
plastic surgeon. You come to me, and I see patients
all the time with ozempic face and other types of
loss of skin, of loss of skin integrity, and hanging skin.
(07:53):
So when we come back from our first break, Noah,
let's talk about what I do as a plastic surgeon
and the people I see who have lost tremendous amounts
of weight, whether it be from ozempic or from gastric
bypass or from lap bands. You might remember some of
you seeing me on the Doctor oz Show.
Speaker 4 (08:12):
Where I did a body lift, a body.
Speaker 3 (08:15):
Lift after someone lost one hundred something pounds, and that
was an interesting show. We went into the operating room
and showed the result before and after, and this is
also what we do with the ozempic type drugs. We're
going to take a short break. Eight hundred three two
one zero seven ten as a phone number. We'll be
back after these messages. Did you know that your skincare
(08:44):
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
(09:05):
your skin. 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 seramides and Vitamin D. Throw away the bags of
useless products and try Doctor Perry's Skincare. Join the thousands
(09:28):
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 WOAR every Saturday evening
at six pm. You are listening to What's Your Wrinkle
with doctor Arthur Perry. What's Your Wrinkle?
Speaker 4 (09:45):
And we're back.
Speaker 3 (09:46):
I'm board certified plastic surgeon, doctor Arthur Perry, host of
What's Your Wrinkle right here on WOR. And if you're not,
if you're not listening to the podcast, why are you not?
Speaker 4 (09:56):
It's so easy.
Speaker 3 (09:57):
You don't have to be tied to the radio at
six every Saturday evening. Like Susan Warner, she listens to
this show. She doesn't leave. She listened, right everybody, those
of you in South Carolina, in California who listen, well,
you could get it on the podcast. You could go
ahead and I go onto iHeart podcasts or Apple podcasts
(10:19):
and look my name up, or straight Talk about Cosmetic Surgery,
or just put in the word cosmetic surgery and come
up with the podcasts and hit subscribe. Do that please,
And then when you're driving or when you're trying to
go to sleep at night. You want to listen to
this lovely voice. You listen to this podcast, and I'll
(10:41):
put you to sleep faster than any drug.
Speaker 4 (10:43):
All right, So go ahead and do that.
Speaker 3 (10:46):
So why go vy or ozempic or zep bound seems
to be the best of all of those drugs. They're
so effective in having you lose weight that you lose
so rapidly that within a few weeks of starting, you
see the pounds start to drop off your body. But
you look in the mirror and you say, wait, wait
(11:07):
a minute. Now I'm deflated. I have now nasalabial folds
that I didn't have before. I've got jowls that i
didn't have before. I'm sagging before my eyes. And then
you take your clothes off and look at your breasts,
and your breasts are now sagging because the volume mismatch,
that means the amount of breast tissue and fat in
(11:28):
your breast is no longer matched up with your skin,
and so your breast sag and your belly begins to sag,
just like losing a lot of weight from pregnancy or
having gastric bypass surgery, and so you get hanging skin
you also get hanging skin on your arms and your thighs.
Less commonly we do surgery on those areas. Those are
(11:52):
actually fairly fairly unusual operations, even though you hear a
lot about those. There's only a few thousand arm lifts
and two thousand filists in the United States each year,
but there's hundreds of thousands of facelifts, hundreds of thousands
of breastlifts, and hundreds of thousands.
Speaker 4 (12:09):
Of tummy tucks.
Speaker 3 (12:10):
So when I see a patient, we need to prioritize
when you've gone from let's say you're a woman who's
five 'ot five and you are one hundred and eighty pounds,
and you've been on ozepic now for maybe a year,
and it takes about a year to lose most of
the weight. You stay on those drugs, by the way,
You don't just stop them because you could gain the
(12:31):
weight back. You stay on those drugs in a maintenance form.
And the type of doctor that prescribes those no, not
a plastic surgeon, but usually an endocrinologist or an internist,
and those are the experts at those drugs.
Speaker 4 (12:46):
If you get.
Speaker 3 (12:47):
Those prescribed by a plastic surgeon, you do have to question.
You know, I know there are some plastic surgeons that
do prescribe those drugs, but I don't think that's right personally.
I think you should be following your new attritional status
and all the things that internists follow, hormone levels and
(13:07):
metabolic parameters like your electrolytes and things of that nature.
You want to do this in a very safe way,
particularly when the weight loss is rapid. So you know,
why would you go to a plastic surgeon. I would
go to an internist to have my facelift, right, and
I would go to a dentist to have my cosmetic surgeon.
(13:28):
You want to go to the specialist, So you see
the endochronologist for the best weight loss control, or the
bariatric doctor or the internist. All right, But when you've
reached your goal, or when you're getting there, or when
you look in the mirror and you say, wait a minute, now,
I've got to do something about this. I want to
look young, I want to look refreshed. The first thing
(13:49):
we generally attack is the face and the eyelids. Well,
they're not as affected by weight loss, they really aren't.
Whether you know, when you have set making skin of
your upper eyelids. That's not a weight dependence condition, nor
is the fat of your lower lids. So I'm doing
some eyelids this week. Has nothing to do with the
(14:12):
person's weight. This is a person who actually, interestingly, I
did lots of surgery on twenty years ago, a breast
augmentation and other surgery. And I always say the only
thing about growing older as a plastic surgeon as I
get to see my patients as they age, and my
breast augmentation patients and my liposuction patients from twenty to
(14:34):
thirty years ago are now coming in for facelifts and
eyelids surgery, which is what I'm doing this week in
New Jersey. So anyway, for the most part, aren't looking
at eyelids as a symptom of weight loss. But we
are looking at jowls. We are looking at nasal abial folds.
We are looking at extra skin of the neck as
(14:57):
the fat of the neck tends to.
Speaker 4 (14:59):
Go away when we lose weight.
Speaker 3 (15:01):
We also begin to see fine wrinkles because it's almost
like you know, first you're a grape and then you
become a raisin when you lose that weight, and so
the fine wrinkles of the face are easily addressed in
the office by wrinkle filler, for instance, rest a lane
or juveter in one of those things. The wrinkles of
(15:23):
the forehead really don't have anything to do with weight loss.
Those are treated with botox whether or not you are
losing weight.
Speaker 4 (15:31):
If you've got those.
Speaker 3 (15:32):
Fine wrinkles, the creepy skin of the face, then we
might consider doing a fractionated carbon dioxide laser procedure. And
I tend to do very aggressive procedures. I will numb
you up. A lot of people don't numb you up,
and they do very superficial lasers, which is what I
used to do. But my patients really like to see results.
(15:53):
And when we go to superficial, you get a little
bit of a benefit, but I like to see a
lot of a lot of benefit. And so I numb
up your forehead, and I numb you up around your
mouth like a dentist does, and then I numb up
your cheeks, and I go to town and I do a
pretty aggressive laser that takes you seven, eight, nine, ten
(16:15):
days to recover from. You feel just fine, by the way,
It's just that you don't look so good during that
recovery period, and so you stay home and maybe do
work from the on the computer, maybe phone calls and
things like that, but you might not want to go
into the office or see people during recovery from the laser.
Speaker 4 (16:35):
With fillers, with boatox.
Speaker 3 (16:37):
The recovery is virtually instant because with makeup you can
go to work the very next day. But if you're
concerned with the joals, and if you're concerned with the
extra turkey gobbler or the neck which is accentuated by
weight loss, then we are talking about a facelift. And
facelifts are very very common after a zempic use, very
common after zep bound use, and very simple to do
(17:01):
if you're a board certified plastic surgeon. As a patient,
I like to have my patients be checked out by
an interness before a facelift. If you're over sixties, certainly
we're going to get a stress test, particularly if you've
been on those weight loss drugs, which means you had
a period of time that you were overweight, and certainly
(17:21):
if you had diabetes that is now ameliorated by those drugs,
that's great, but we want to make sure that your
heart is just fine, and you can have surgery with
no events. And so we have a stress test, we
get you checked out by the internesst and then a
facelift is a three to four hour procedure, and I
do it over either at Manhattan I an ear or
(17:42):
at Robert Wood Johnson or at one of the surgeon
centers I operate at, and it's an outpatient procedure. You
go home the same day and you're bandaged up like
a little mummy for a day or two, and then
we take the stitches out by a week and you're
back to work.
Speaker 4 (17:58):
At about to weeks.
Speaker 3 (18:00):
When we come back from our break, we're going to
talk about the other procedures that we do after a
big time weight loss with ozepic and those drugs, the
breast surgery, the tummy tuck surgery, and things of that nature.
Eight hundred three to two one zero seven ten is
the phone number here at wo R eight hundred three
two one zero seven ten.
Speaker 4 (18:18):
We'll be back after these words.
Speaker 3 (18:26):
They say 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
(18:48):
and yes, 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 three
Perry MD. That's a three three p e r R
(19:10):
Y M D. Check me out on the web at
Perry Plastic 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 are listening to What's
Your Wrinkle with doctor Arthur Perry. What's your Wrinkle?
Speaker 4 (19:26):
And we are back.
Speaker 3 (19:27):
This is BORD certified plastic surgeon, doctor Arthur Perry, broadcasting
live from the Hampton's The very very cold Hamptons and
I am hoping really soon it is going to be warm.
You know, I was in Mexico about a week and
a half ago. That's why we we taped the show
in case you didn't realize that I was in Mexico
frying on the beach. But using my doctor Perry's Daytime,
(19:51):
which is an SPF twenty three sunscreen, did a great
job protecting me and the people I was with. And
you can use it also as a sunscreen. It's a
it is a skin protector. It's got things like niacinamide
in it, invitamin B three and vitamin B five, pantathetic acid,
(20:11):
as well as zinc oxide. Most people use it as
a facial sunscreen. You can use it on your entire body,
but most people do use it just as a facial sunscreen.
So now's the time to stock up because the summer
is coming, believe it or not. And if you're going
to Florida for spring spring break, yeah, you want to
stock up on Daytime and you get that on Amazon
(20:34):
dot com. So Ozimpic, zip Bound. They are great drugs.
But a lot of people tell me, well, their insurance
doesn't pay for it, and they're fairly expensive. So what
do they do. They go to those compounding pharmacies. Now,
what do you think of those compounding pharmacies? Are pharmacies
that make that drug? Well, what does the FDA say
(20:56):
about that? They allow it. But once the FDA doesn't
regulate a drug, which is what a compound drug is,
you're kind of in a middle ground where you might
or might not be safe. So the FDA actually frowns
upon compounding pharmacies. If you go to the FDA website,
they talk all about these drugs and they recommend, you know,
(21:21):
going to a real pharmacy and getting a real drug.
Speaker 4 (21:24):
But you have to be very careful.
Speaker 3 (21:26):
There have been hundreds and hundreds of problems with those
compounded drugs, and as of about two months ago, which
is the FDA's last statistics, they had somewhere around four
hundred reports of adverse events with semi glutide, which is
the ozepic drug, and something like two hundred and twenty
(21:48):
reports of adverse events from compounded zep bound. So be careful,
be careful. And some of those problems have been with
not the right amount of the drug being in that
compounded formulation. You know, remember the FDA is no longer
looking at it if it's a compound drug, so you
have to be careful. Also, there are illegally marketed versions
(22:11):
of these drugs. There's counterfeit o zempic out there, and
the FDA has had many complaints. There's illegal online sales.
There are people that are just trying to make a
buck off of you. The right way to do this
is to see your doctor, get examined, get appropriate testing.
That's the right way to do it, not to you know,
(22:32):
go online and go ahead and get some hopefully appropriate drug.
But who even knows. All right, So when you have
this weight loss, when you've lost a lot of weight,
yes you see it in your face, but you also
then see it in your breasts.
Speaker 4 (22:48):
You get drooping breasts.
Speaker 3 (22:50):
You might have had fairly, fairly youthful breasts while you
were overweight, but once you've lost you know, ten twenty thirty,
forty fifty pounds, you'll find that.
Speaker 4 (23:01):
Your breast droop.
Speaker 3 (23:03):
One of the great procedures in plastic surgery, one of
the highest satisfaction procedures is a breastlift. And almost I
can't even think of a patient that I've done a
breastleft on that hadn't told me. I wish I had
done this sooner because a breastlift procedure, it's about a
two and a half to three hour procedure. I do
it as an outpatient, so you come into the surgery
(23:25):
center or you come into the hospital. We do it
under general antesesia. Usually it can be done under sedation,
but I do think it's safer if it's done under
general anesesia.
Speaker 4 (23:36):
And it's a matter of.
Speaker 3 (23:37):
Removing skin, but not removing breast tissue, not removing any fat,
and kind of evening out the relationship between the volume
of your breast and the volume the amount of skin,
the area of skin on your breast. And it really
is a great procedure because without wearing a bra, without
wearing any supportive clothing, your breast will stand up just
(23:59):
like they did when you were four fourteen, and you'll
look better in clothing and out of clothing. And usually
the scars are very acceptable. And I always say the
only good thing about growing older, it really is, I mean,
other than gaining all this great knowledge and perspective on life,
one of the great things about growing older is that
your scars tend to be better. So if I do
(24:20):
the same incisions on a breast of a fourteen year old,
If I'm doing a breast reduction in fourteen year olds,
which sometimes we do at that young age, the scars
are usually quite noticeable red and raised for a long time.
But if I do that same operation on you if
you're sixty, the scars are usually quite acceptable very quickly,
(24:40):
in just a couple months. Because scarring, you know, your
body makes lots of scar as a youthful thing, and
the failure to make good scar, which means the scars
look better, is something that happens as you get older.
So it's sort of counter intuitive, but a breastlift is
a great procedure and it's one that has a very
low complication rate.
Speaker 4 (25:01):
You will in.
Speaker 3 (25:03):
Most cases retain the sensation to your nipples. If you
do it before menopause, you can still breastfeed in most
cases and you'll look better, and that procedure will be
a one time procedure unless you gain a lot of
weight back.
Speaker 4 (25:20):
Hopefully you won't.
Speaker 3 (25:21):
The other procedure that I do after a big weight
loss is a tummy tuck, and a tummy tuck is
a really nice procedure.
Speaker 4 (25:27):
It'll make your belly look better.
Speaker 3 (25:29):
We tighten the muscles of your belly and get rid
of all that extra skin that you have, so tummy tucks, breastlifts,
those are very common procedures and facelifts after ozempic use,
after massive weight loss that you get. It's worth it
and you know that's the story. So talk to your interness.
Then go to the plastic surgeon. Well a half hour
(25:51):
show these days, it goes very very quickly. Noah, thanks
so much for great engineering. My website Perryplasticsurgery dot com.
And remember buy those products if you want them on
Amazon dot com. We'll be here next Saturday, and I
hope you will be too, And please go to the
website and subscribe to the podcast. Thanks so much, Noah.
(26:13):
Thank you to the studio audience. We'll see everybody next week.
Speaker 4 (26:16):
By bye. Now.
Speaker 1 (26:17):
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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