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 SA
what you got? I go look at this, I'm getting old.
I said, I want to maybe he can fix it
up a little bit.
Speaker 5 (00:40):
Doctor Oz, are you there.
Speaker 6 (00:42):
I'm here, Ark, and I want to get a plugged you.
Having worked with you on a book and numerous other activities,
you want to talk to.
Speaker 5 (00:47):
Arthur Perry the best in plastic.
Speaker 6 (00:49):
Surgery and 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 6 (00:58):
Smart as I really really giftus position. I want to
pay you the bit the highest true that I can
give to a surgeon, which is when people come to you,
they don't come for an operation, they come for an opinion.
And that's why I trust you with my friends and relatives.
I didn't realize we were going to get the Michael
Jordan of Plastic Surgeon nine oh two and zero bows
to this.
Speaker 5 (01:14):
Guy, and welcome.
Speaker 3 (01:17):
This is BORD certified plastic surgeon, doctor Arthur Perry, and
you are listening to What's Your Wrinkle right here on
WOAR and straight talk about cosmetic surgery, broadcast in the
podcast world worldwide. And I hope you're listening during the
week to the podcast and on Saturday evenings at six o'clock. Well,
I am a board certified plastic surgeon, and I talk
(01:39):
about wrinkles, and I talk about fat deposits.
Speaker 5 (01:41):
And I talk about sagging breasts.
Speaker 3 (01:44):
That's what I do all week long in the office,
but on Saturday evenings, I'm here to answer your phone calls.
Eight hundred three to two one zero seven ten is
the phone number here at wor and sort of the
first day of spring, wasn't it.
Speaker 5 (01:58):
It was a warm day today was in that eighties.
Speaker 3 (02:02):
I know spring came a few weeks ago, but really,
if you looked around Manhattan today, people were out, they
were in shorts, and I hope you were wearing your sunscreen.
Speaker 5 (02:13):
That's right.
Speaker 3 (02:13):
It was an over UV three index day today and
because of that, you need sunscreen. So that is my daytime,
and that's what we're giving away today to callers, a
daytime as an SPF twenty three. We put twenty on
the label. It's got nia cinemid, it's got all sorts
of good things. It's what is good for your skin
(02:34):
in the morning, and you use nighttime at night and
daytime during the day. We're giving away bottles of daytime.
Give me a call eight hundred three two one zero
seven ten. Ask me the questions that have been keeping
you up at night. I know you're up at night
thinking about is that a wrinkle? Or am I really
getting your wrinkle? At age fifty? Yeah, well it could
be all right. Today we are going to talk about
(02:57):
lipos suction. It's LiPo suction season. You thought it was
baseball season the beginning of spring. It's actually the season
for fat suctioning. And we're going to talk all about
that this evening. We are going to talk about sema
glue tide. You know what that is. You know it
is why go vi you o zempic. Sema glue tide
(03:19):
is in the news this week because there was a
paper on it. It's the GLP one drugs. They're so popular.
Everybody's on these things, it seems. But I have some
news for you. You need to be careful around the time
of surgery if you're on these And we'll talk about
that in just a few minutes, and we'll get into
something I started a couple of weeks ago and really
(03:40):
didn't get the detail that I wanted.
Speaker 5 (03:43):
The newest useless.
Speaker 3 (03:46):
Skincare Noah's Ears per Cup. When I say that, you know, well,
I think it's useless skincare. But we're going to talk
about that in just a few minutes. Eight hundred and
three to two one zero seven ten is the phone
number here at WOOR, So give me a call. So
what about drugs like semi glue type they're so popular.
Speaker 5 (04:05):
Those are things like, well, how.
Speaker 3 (04:08):
About ozebic or why govy that's sema glue tide, But
that's one of the GLP one receptor agonists, big fancy words.
There's drugs like Baietta, Saxenda, Trulicity, Manjaro, zep bound. Those
are all the FDA approved drugs. They're so hot, everybody's
(04:30):
talking about them. They were FDA approved in twenty seventeen.
The GLP one stands for glucagon like peptide. You don't
really need to know about that, right end. Chronologists know
about that kind of stuff. But they are approved for
not only the treatment of diabetes type two diabetes, but
also why goov and lira glutide, lyra glue tide, that's
(04:55):
the Saxenda. They're approved for chronic weight management in adults.
The most common one is that semaglutide. That's what everybody knows,
right you know, the words ozempic. They're kind of wonder drugs,
they really are. You know, so many people are on
these drugs, not just for massive weight loss, but you know,
for better for worse. And I'm not making judgments. There
(05:16):
are people on those drugs who want to lose ten
pounds or twenty pounds. I'm not sure that's the best idea,
but but you know that's not my field of expertise.
I'm a plastic surgeon, not a weight loss doctor. But
the real question. My interface with those drugs is when
patients are on them and they come in to have
(05:36):
cosmetic surgery, particularly what's called the post bariatric surgery or
body contouring surgery. So if you're successful in losing the
weight by using those drugs, and there's one oral one
that's called I guess it's pronounced ribelsis, ribelsis. They are
all these funny words. That's the same thing as the
(05:57):
injectable ozempic. So if you're on these drugs and you
lose a lot of weight, well, if you lose weight fast,
whether it's through your own mechanism, if you just stop
eating or exercise profuse profusely, or if you use semaglutide,
or if you have gastric bypass or a lap band
or something like that, if you have dramatic weight loss
(06:19):
in a harri, you're going to get some hanging skin.
You're gonna get hanging skin in your neck, and we
do face lifts for that. You can get hanging skin
in your breasts, We do breast lifts for that, you
can get hanging skin in your belly, We do tummy
tucks for that, and lesser known body contouring procedures are
things like thigh lifts and arm lifts and backlifts and
(06:42):
body lifts. They're much less popular than those other three
procedures that I just talked about, But patients come in
all the time after weight loss. I saw someone last
week and they want to remove the extra skin on
their body. And that's a good thing, right you. Body
contouring make you look better after that weight loss. It's
(07:04):
sort of like the dessert at the end of the struggle,
the end of the meal. But the question is is
it safe to have surgery after being on the semi
glue tides, the GLP one drugs. And there was a
paper that was just published in the Esthetic Surgery Journal
that reviewed potential complications potential complications in people who were
(07:29):
on these drugs. So when we come back from our break,
I'm going to talk all about, well, maybe what you
need to do if you're on those drugs and you're
interested in body contouring. Surgery on board certified plastic surgeon,
doctor Arthur Perry, host of What's Your Wrinkle? Right here
on WOOR eight hundred three two one zero seven to
ten is the phone number. We'll be back after these words.
(07:57):
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 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.
(08:18):
It's actually good for 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.
(08:42):
Join the thousands of people whose skin is healthier. That's
doctor Perry's Skincare on Amazon dot com. And don't forget
to listen to my radio show right here on WOR
every Saturday evening at six pm, you're.
Speaker 5 (08:54):
Listening to What's Your Wrinkle with doctor Arthur Perry. What's
Your Wrinkle? And We're back.
Speaker 3 (09:00):
I'm board certified plastic surgeon, doctor Arthur Perry, host of
What's Your Wrinkle right here on WOR And if you're
listening in the podcast world, it's straight talk about cosmetic surgery.
And if you are listening or let's say you're listening
to the radio live right now as you're crossing the
George Washington Bridge looking to maybe eat a nice dinner
in Manhattan, you don't necessarily have to listen be glued
(09:22):
to the radio at six o'clock. You can get this
podcast anytime you want, so go to Apple Podcasts, go
to iHeart Podcasts and put in doctor Perry or straight
Talk about Cosmetic Surgery, or just the words cosmetic surgery,
and you'll come up with this podcast. And then I
want you to it's free. Now it's free. You want
(09:43):
to subscribe, go ahead and do that. And then when
we post these things, these new podcasts, you'll get an
email or an alert, and then you can listen anytime
you want. You listen while you're going to work in
the morning. All right, So the GLP one receptor agonist
big big words, you know them as ozepic, wagovi, those
(10:06):
are the most common ones. Zep Bound seems to be
the most effective of those drugs. Well, there was an
article in the Esthetic Surgery Journal, which is the most
widely read plastic surgery journal for plastic surgeons that performed
cosmetic surgery. They looked at four two hundred patients who
had taken at least six months of the semiglutide drugs
(10:29):
and they compared the complications with body contouring surgery with
over one hundred thousand patients who did not take the drugs.
They looked at the complication rates. So what do you
think You think it was the same less Maybe in fact,
they thought it would be less because here were people
on these drugs. They lost a lot of weight. Turns
(10:49):
out that the patients who took semiglutide had twice the
rate of wound openings after surgery, and twice the rate
of a laid wound healing, and twice the rate of
wound infections, and twice the rate of pain significant pain
after surgery.
Speaker 5 (11:08):
Isn't that interesting?
Speaker 3 (11:09):
So after bariatric surgery, post bariatric surgery, after facelifts, after
tummy tucks, breast lifts, and surgery like that. The complication
rate was significantly higher in people that did take those drugs. Now,
why would that possibly be, Well, it's probably not the
drug itself, they're not sure, but really what it is,
(11:32):
it's the same thing with rapid weight loss, no matter
how you do it, So the same issue comes. If
you have let's say a lap band or gatric bypass
or one of those sleeve procedures, the same thing, or
if you just stop eating on your own then and
you lose a significant amount of Wait, the same thing happens.
Higher rates of complications with those zepic type drugs probably
(11:57):
has something to do with nutritional deficiencies that impair wound healing.
May be due to the drugs impact on your gastro
intestinal track motility. The increased infection rates might be related
to the effects on the immune system. They're not one
hundred percent sure, but one thing is for sure. You
(12:18):
want to stop those drugs before your surgical procedure.
Speaker 5 (12:21):
So if you are going to have any procedure, whether.
Speaker 3 (12:24):
It's a body contouring procedure or let's say you're going
to have a breast reconstruction next month or something like that.
If you are, you'll want to stop those drugs. At
least the recommendation is at least a week or even
longer as long as four weeks before surgery. Let your
GI tract return to normal and let the nutritional deficiencies
(12:46):
that you may well have, let them normalize. And so
your doctor needs to be very, very in tune with
these drugs. Your plastic surgeon needs to do a nutritional assessment,
or at least your internal medicine or endocrinologist doctor. We
want to look at vitamin's, a, vitamin C, vitamin D, zinc, iron,
(13:08):
the things that are associated with wound healing or delayed
wound healing. So you need to be in really good
shape for surgery, and we don't want to have nutritional
deficiencies now. Now, if you are like so many people
out there, you're hopefully getting your semiglutide from a board
certified endochronologist. I hope you are. But many people are
(13:31):
going to the internet. They're not even seeing doctors, they're
doing these virtual visits. If that, and and it's really
quite terrible. There's there's counterfeit o zepic out there. The
FDA just put out a warning a few days ago that's,
you know, very dangerous. Obviously you don't know what you're getting, uh.
And if you're doing virtual visits whether it's doesn't matter
(13:54):
what you're doing now. You know, when COVID was here,
it was important that we we had virtual visits, right
because no one was going into the physician. But now
you can see your doctor. And if you are taking
the shortcut and maybe talking to some person in Nebraska
who really all they're really interested in is writing a
prescription and sending you maybe their version of ozepic, well
(14:18):
that could be.
Speaker 5 (14:19):
Very very dangerous.
Speaker 3 (14:20):
So I say, you know, go to a board certified
endocrinologist if you're interested in these things. And that's kind
of a good segue to talk about well By Meser
because I just started an affiliation with well By MESR.
They're the leading antocrinologists in Manhattan. There's such a great group.
They're a group of ter chronologists under the guidance of
(14:40):
doctor Caroline Messer. She's got ender chronologists in her practice, internests, urologist, gynecologists, psychologists,
and plastic surgeon. That would be me. Dietitians trainers people
like that. The under chronologists are doctor Margaret Ryan, doctor
Caroline Messer, doctor Barry Weinstein, doctor Alexis Feure, and doctor
(15:02):
Shelley m And there's two internests in the group also,
doctor RuPaul Chabra and doctor Andrew Mood.
Speaker 5 (15:10):
So if you're interested in doing it the right.
Speaker 3 (15:13):
Way and having an under chronologist see you and prescribe
the ozempic, if that's the appropriate thing for you, give
them a call. And their phone number is six four
six seven six zero thirty two fifty six. That's six
four six seven six zero thirty two fifty six. And
I am their plastic surgeon. So we do botox and
(15:36):
fillers and every procedure that I do with your breastlift,
all the post bariatric the weight loss surgery. That's what
I'm also doing at well By Messer on one hundred
and ten.
Speaker 5 (15:46):
East sixth the Street.
Speaker 3 (15:47):
So go ahead and give us a call, schedule appointment
with me, scheduling appointment with doctor Mesler or one of
her associates.
Speaker 5 (15:54):
So I think we've got Marie on the line. Marie,
what can I do for you? What's your wrinkle?
Speaker 3 (15:58):
Hi?
Speaker 6 (15:58):
I'd like to know if you recommend topical estrogen and
or peptides topically for the face.
Speaker 3 (16:05):
That's such a good question, so I'll answer the easy one.
Speaker 5 (16:09):
First. Topical peptides useless, totally useless.
Speaker 3 (16:13):
Can't work. They weigh too much. The molecules are too
big to penetrate the skin. So and I don't care
what the peptide is, the smallest one. Now I'm gonna
teach you something about skincare here. So the skin is
like a chain link fence. I used to say that
on those night skin commercials, but it's true. And a
(16:34):
chain link fence you could put a ping pong ball through,
but you can't put a football through.
Speaker 5 (16:38):
Right.
Speaker 3 (16:38):
So every chemical, every chemical has a weight, a molecular weight,
it's called. And the ones that can actually penetrate the skin,
things like estrogen, yes it can, it can penetrate the skin.
Or a nicotine if you've got a nicotine patch, or
vitamin C or vitamin A.
Speaker 5 (16:55):
Those are the work.
Speaker 3 (16:58):
They penetrate and at least they have a chance of
working because they're small molecules. The bigger molecules, things like peptides,
can't physically get through the skin, can't do it. So
collagen can't get through it. And that's a great seg
segway because when we come back from the break, I'm
going to talk about another thing called xisomes, which also
(17:20):
can't possibly get through the skin. It's fantasy, absolute fantasy.
Estrogen absolutely, and estrogen is a youth hormone. It's very controversial,
but it certainly has very good effects when placed on
the skin. But that's a show unto itself. I did
a show on estrogen with doctor Michael Roys in a
couple of years ago. Maybe next week we'll talk about
(17:41):
estrogen for the skin because it's a really big topic. Murray,
all right, so yes, estrogen, no to peptides. We're going
to take a short break. When we come back, we're
gonna talk about exosomes, something that yeah, can't get through
the skin. I'm board certified plastic doctor Arthur Perry, host
of What's Your Wrinkle? Right here on Dela u R
eight hundred three two one zero seven ten as the
(18:02):
phone number.
Speaker 5 (18:03):
We'll be back after these words.
Speaker 3 (18:07):
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
(18:29):
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
(18:51):
Y M D. Check me out on the web at
periplastic surgery dot com and don't forget to listen to
me doctor Arthur Perry, every Saturday evening at six pm
right here on WOR. You're listening to What's Your Wrinkle
with doctor Arthur Perry, What's your Wrinkle?
Speaker 5 (19:08):
And we are back.
Speaker 3 (19:09):
I'm board certified plastics surgeon, doctor Arthur Perry, host of
What's Your Wrinkle? Right here on wor And yes, I
am now at one ten East sixtieth Street with well
By Messer.
Speaker 5 (19:19):
I'm there.
Speaker 3 (19:20):
I also have my office on eighty fifth Street in Park.
It's ten twenty one Park. And yes we're still How
could I be in three offices, but I am. It's
a lot of traveling in this Somerset, New Jersey office
still there, and in all offices we're doing all minor procedures.
Speaker 5 (19:35):
Office procedures.
Speaker 3 (19:36):
The Lasers live in New York and for something bigger
like a breastlift or a facelift or a liposuction, we
do it in the hospital, either Roberto Johnson University Hospital
or Manhattan.
Speaker 5 (19:48):
I and ear so.
Speaker 3 (19:50):
One of my favorite procedures is lipos suction lipos you
could call it liposuction if you want to call it
lippos suction. I've been doing that procedure since nineteen eighty five.
It was in produced in the United States nineteen eighty three.
I was in high school at the time I started
doing the procedure, by the way, but seriously, I seen
it go through many many stages, and it was actually
(20:12):
in the beginning not the safest procedure, and it took
a few years for plastic surgeons to figure out how
much we can safely remove and how to do it.
And now it's an extremely safe procedure, and it's a
procedure that you can have. Let's say you've got chubby thighs, okay,
or you've got some fat on your hips, and those
are the areas that women most commonly have suction. Men
(20:36):
it's the belly, and both men and women often have
suction in their neck. The neck and gels, those are
very very common areas. But in the neck and jols,
we're only removing a few ounces of fat. But I
have removed many many pounds of fat from the thighs.
I can suction circumferential thighs and really decrease the pants
(20:57):
size that you wear. Got a disproportion. If your thighs
are bigger than the upper part of your body, you
might be a very good candidate. Now, liposuction is not
a method of weight loss. It's not like ozembic or
bariatric surgery or something like that. We're not trying to
get you to lose a lot of weight. And in fact,
if the doctor tries to suction too much weight, too
(21:20):
much fat, it can be dangerous, and so there's kind
of a universally accepted amount. And if we go above
ten pounds, that's a lot of fat. By the way,
you know, ten pounds, that's five thousand CC's, right, each
a cc a thousand CC's.
Speaker 5 (21:40):
That's a leader bottle or a court bottle.
Speaker 3 (21:43):
So if you lined up five of those, that's about
ten pounds of fat.
Speaker 5 (21:47):
That's a lot of fat.
Speaker 3 (21:48):
Now, if you've got more than that, you really need
a weight loss as opposed to a suction. And in fact,
usually usually I will not do more than about five
or so pounds, because that's that's very safe.
Speaker 5 (22:01):
We do it in the surgi center.
Speaker 3 (22:03):
I do it under general ANTICESI unless we're doing the
neck or maybe just the isolated knees, and I like
to do it under general antesesi. I think it's safer
than giving you large amounts of lytocane. Lytocane is a
potential toxin, and some people like to do this under
straight local anesesia. Usually the people that don't have privileges
in a hospital. By the way, if we have privileges
(22:25):
at a hospital or a surgi center, we use board
certified and antisesiologists and they will uniformly tell you that
it's far safer to have a short general anesthetic by
a board certified antithesiologist than have a lot of lytocane
infused into your body to try and in suction many
many pounds of fat. So if you're going above five
(22:48):
five thousand ccs or about ten pounds, that's almost eleven
pounds of fat, well you should be overnight in a
hospital having your urine monitored and your fluids monitored if
you're doing that. But I don't think you should be
doing that at all. It should be a certainly a
smaller amount. And by the way, the law in New
(23:08):
York State is that you cannot remove more than five
thousand CC's unless you're in a hospital. You can't do
it in a surge center or a office based surgery place.
So certainly liposuction is safe. And when I do suction,
I make little tiny incisions and the thighs and the
(23:31):
growing crease breakup and suction out the fat. I can
remove several pounds of fat and you will be back
to work, back to school, whatever it is you do,
in about two or three days. It actually doesn't hurt.
It looks like it hurts a lot, but it really
doesn't hurt. And I did a study and I actually
published this study documenting that pain should be very low
(23:52):
after suction. Now, if you touch the area after you
for about a week or two, it will be quite
bruised and hurt if you touch it, but if you're
just sitting there, it really doesn't hurt much. So liposuction
is a really nice way to contour the fat. It's
the recalcitron fat, the fat that you cannot lose, even
(24:12):
if you're on ozepic, even if you are dieting, and
you're left with that residual fat, the saddle bags, the
little chubs on your knees, or the fat in your neck,
that's what we want to suction. It's a very safe
and straightforward procedure. And quite honestly, you know, there's a
lot of these non invasive procedures that I've done over
(24:32):
the years, and I've watched and you know, I did
a show few months ago on all those different non
invasive techniques. But in the end, a short general anesthetic,
particularly in the neck, we can do it under sedation,
far far better than trying to destroy fat with cool
sculpting or injecting chemicals into the fat, or doing all
(24:55):
these different procedures to try and get some modest result
when we can have quite a dramatic result from suction.
And so it is liposuction season in New York because
people are coming in to have the procedure before the
bathing suit season starts.
Speaker 5 (25:13):
Well, we've only got a minute left of the show.
Speaker 3 (25:15):
It's really not a fair thing to discuss exosomes in
just a minute or so, so I think we'll have
to reserve that to next week. But I've been teasing
at this for a few weeks. But I will tell
you that exosomes are these things that people are putting
in skincare and actually injecting, injecting into your body. It's
(25:37):
illegal in the United States to do that, but that
doesn't stop some people. The FDA has not approved any
of these exosomes. So that's your teaser for next week.
We're going to get into the story of exosomes. There
sell particles taken from placenta humans and injected into you
(25:58):
or put in your skincare. Not a good story. Noah
is waiting on the edge of his seat for this one.
I'm board certified plastic surgeon, doctor Arthur Perry. The show's
only a half hour and now, so we'll get into
that next week. Check me out on the Webperiplasticsurgery dot
com as the website. You can order the products that
we talk about on the show on Amazon dot com.
Speaker 5 (26:19):
That's the only way to do it.
Speaker 3 (26:20):
Well, if you don't want to go to Amazon, you
could call my employee in the office seven two ninety
six hundred on Monday morning, but we'd rather have you
buy it on Amazon.
Speaker 5 (26:30):
Noah, thanks so much for great engineering. We'll see everybody
next week. Bye bye now.
Speaker 1 (26:34):
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 SA
what you got? I go look at this, I'm getting old.
I said, I want to maybe he can fix it
up a little bit.
Speaker 5 (00:40):
Doctor Oz, are you there.
Speaker 6 (00:42):
I'm here, Ark, and I want to get a plugged you.
Having worked with you on a book and numerous other activities,
you want to talk to.
Speaker 5 (00:47):
Arthur Perry the best in plastic.
Speaker 6 (00:49):
Surgery and 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 6 (00:58):
Smart as I really really giftus position. I want to
pay you the bit the highest true that I can
give to a surgeon, which is when people come to you,
they don't come for an operation, they come for an opinion.
And that's why I trust you with my friends and relatives.
I didn't realize we were going to get the Michael
Jordan of Plastic Surgeon nine oh two and zero bows
to this.
Speaker 5 (01:14):
Guy, and welcome.
Speaker 3 (01:17):
This is BORD certified plastic surgeon, doctor Arthur Perry, and
you are listening to What's Your Wrinkle right here on
WOAR and straight talk about cosmetic surgery, broadcast in the
podcast world worldwide. And I hope you're listening during the
week to the podcast and on Saturday evenings at six o'clock. Well,
I am a board certified plastic surgeon, and I talk
(01:39):
about wrinkles, and I talk about fat deposits.
Speaker 5 (01:41):
And I talk about sagging breasts.
Speaker 3 (01:44):
That's what I do all week long in the office,
but on Saturday evenings, I'm here to answer your phone calls.
Eight hundred three to two one zero seven ten is
the phone number here at wor and sort of the
first day of spring, wasn't it.
Speaker 5 (01:58):
It was a warm day today was in that eighties.
Speaker 3 (02:02):
I know spring came a few weeks ago, but really,
if you looked around Manhattan today, people were out, they
were in shorts, and I hope you were wearing your sunscreen.
Speaker 5 (02:13):
That's right.
Speaker 3 (02:13):
It was an over UV three index day today and
because of that, you need sunscreen. So that is my daytime,
and that's what we're giving away today to callers, a
daytime as an SPF twenty three. We put twenty on
the label. It's got nia cinemid, it's got all sorts
of good things. It's what is good for your skin
(02:34):
in the morning, and you use nighttime at night and
daytime during the day. We're giving away bottles of daytime.
Give me a call eight hundred three two one zero
seven ten. Ask me the questions that have been keeping
you up at night. I know you're up at night
thinking about is that a wrinkle? Or am I really
getting your wrinkle? At age fifty? Yeah, well it could
be all right. Today we are going to talk about
(02:57):
lipos suction. It's LiPo suction season. You thought it was
baseball season the beginning of spring. It's actually the season
for fat suctioning. And we're going to talk all about
that this evening. We are going to talk about sema
glue tide. You know what that is. You know it
is why go vi you o zempic. Sema glue tide
(03:19):
is in the news this week because there was a
paper on it. It's the GLP one drugs. They're so popular.
Everybody's on these things, it seems. But I have some
news for you. You need to be careful around the time
of surgery if you're on these And we'll talk about
that in just a few minutes, and we'll get into
something I started a couple of weeks ago and really
(03:40):
didn't get the detail that I wanted.
Speaker 5 (03:43):
The newest useless.
Speaker 3 (03:46):
Skincare Noah's Ears per Cup. When I say that, you know, well,
I think it's useless skincare. But we're going to talk
about that in just a few minutes. Eight hundred and
three to two one zero seven ten is the phone
number here at WOOR, So give me a call. So
what about drugs like semi glue type they're so popular.
Speaker 5 (04:05):
Those are things like, well, how.
Speaker 3 (04:08):
About ozebic or why govy that's sema glue tide, But
that's one of the GLP one receptor agonists, big fancy words.
There's drugs like Baietta, Saxenda, Trulicity, Manjaro, zep bound. Those
are all the FDA approved drugs. They're so hot, everybody's
(04:30):
talking about them. They were FDA approved in twenty seventeen.
The GLP one stands for glucagon like peptide. You don't
really need to know about that, right end. Chronologists know
about that kind of stuff. But they are approved for
not only the treatment of diabetes type two diabetes, but
also why goov and lira glutide, lyra glue tide, that's
(04:55):
the Saxenda. They're approved for chronic weight management in adults.
The most common one is that semaglutide. That's what everybody knows,
right you know, the words ozempic. They're kind of wonder drugs,
they really are. You know, so many people are on
these drugs, not just for massive weight loss, but you know,
for better for worse. And I'm not making judgments. There
(05:16):
are people on those drugs who want to lose ten
pounds or twenty pounds. I'm not sure that's the best idea,
but but you know that's not my field of expertise.
I'm a plastic surgeon, not a weight loss doctor. But
the real question. My interface with those drugs is when
patients are on them and they come in to have
(05:36):
cosmetic surgery, particularly what's called the post bariatric surgery or
body contouring surgery. So if you're successful in losing the
weight by using those drugs, and there's one oral one
that's called I guess it's pronounced ribelsis, ribelsis. They are
all these funny words. That's the same thing as the
(05:57):
injectable ozempic. So if you're on these drugs and you
lose a lot of weight, well, if you lose weight fast,
whether it's through your own mechanism, if you just stop
eating or exercise profuse profusely, or if you use semaglutide,
or if you have gastric bypass or a lap band
or something like that, if you have dramatic weight loss
(06:19):
in a harri, you're going to get some hanging skin.
You're gonna get hanging skin in your neck, and we
do face lifts for that. You can get hanging skin
in your breasts, We do breast lifts for that, you
can get hanging skin in your belly, We do tummy
tucks for that, and lesser known body contouring procedures are
things like thigh lifts and arm lifts and backlifts and
(06:42):
body lifts. They're much less popular than those other three
procedures that I just talked about, But patients come in
all the time after weight loss. I saw someone last
week and they want to remove the extra skin on
their body. And that's a good thing, right you. Body
contouring make you look better after that weight loss. It's
(07:04):
sort of like the dessert at the end of the struggle,
the end of the meal. But the question is is
it safe to have surgery after being on the semi
glue tides, the GLP one drugs. And there was a
paper that was just published in the Esthetic Surgery Journal
that reviewed potential complications potential complications in people who were
(07:29):
on these drugs. So when we come back from our break,
I'm going to talk all about, well, maybe what you
need to do if you're on those drugs and you're
interested in body contouring. Surgery on board certified plastic surgeon,
doctor Arthur Perry, host of What's Your Wrinkle? Right here
on WOOR eight hundred three two one zero seven to
ten is the phone number. We'll be back after these words.
(07:57):
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 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.
(08:18):
It's actually good for 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.
(08:42):
Join the thousands of people whose skin is healthier. That's
doctor Perry's Skincare on Amazon dot com. And don't forget
to listen to my radio show right here on WOR
every Saturday evening at six pm, you're.
Speaker 5 (08:54):
Listening to What's Your Wrinkle with doctor Arthur Perry. What's
Your Wrinkle? And We're back.
Speaker 3 (09:00):
I'm board certified plastic surgeon, doctor Arthur Perry, host of
What's Your Wrinkle right here on WOR And if you're
listening in the podcast world, it's straight talk about cosmetic surgery.
And if you are listening or let's say you're listening
to the radio live right now as you're crossing the
George Washington Bridge looking to maybe eat a nice dinner
in Manhattan, you don't necessarily have to listen be glued
(09:22):
to the radio at six o'clock. You can get this
podcast anytime you want, so go to Apple Podcasts, go
to iHeart Podcasts and put in doctor Perry or straight
Talk about Cosmetic Surgery, or just the words cosmetic surgery,
and you'll come up with this podcast. And then I
want you to it's free. Now it's free. You want
(09:43):
to subscribe, go ahead and do that. And then when
we post these things, these new podcasts, you'll get an
email or an alert, and then you can listen anytime
you want. You listen while you're going to work in
the morning. All right, So the GLP one receptor agonist
big big words, you know them as ozepic, wagovi, those
(10:06):
are the most common ones. Zep Bound seems to be
the most effective of those drugs. Well, there was an
article in the Esthetic Surgery Journal, which is the most
widely read plastic surgery journal for plastic surgeons that performed
cosmetic surgery. They looked at four two hundred patients who
had taken at least six months of the semiglutide drugs
(10:29):
and they compared the complications with body contouring surgery with
over one hundred thousand patients who did not take the drugs.
They looked at the complication rates. So what do you
think You think it was the same less Maybe in fact,
they thought it would be less because here were people
on these drugs. They lost a lot of weight. Turns
(10:49):
out that the patients who took semiglutide had twice the
rate of wound openings after surgery, and twice the rate
of a laid wound healing, and twice the rate of
wound infections, and twice the rate of pain significant pain
after surgery.
Speaker 5 (11:08):
Isn't that interesting?
Speaker 3 (11:09):
So after bariatric surgery, post bariatric surgery, after facelifts, after
tummy tucks, breast lifts, and surgery like that. The complication
rate was significantly higher in people that did take those drugs. Now,
why would that possibly be, Well, it's probably not the
drug itself, they're not sure, but really what it is,
(11:32):
it's the same thing with rapid weight loss, no matter
how you do it, So the same issue comes. If
you have let's say a lap band or gatric bypass
or one of those sleeve procedures, the same thing, or
if you just stop eating on your own then and
you lose a significant amount of Wait, the same thing happens.
Higher rates of complications with those zepic type drugs probably
(11:57):
has something to do with nutritional deficiencies that impair wound healing.
May be due to the drugs impact on your gastro
intestinal track motility. The increased infection rates might be related
to the effects on the immune system. They're not one
hundred percent sure, but one thing is for sure. You
(12:18):
want to stop those drugs before your surgical procedure.
Speaker 5 (12:21):
So if you are going to have any procedure, whether.
Speaker 3 (12:24):
It's a body contouring procedure or let's say you're going
to have a breast reconstruction next month or something like that.
If you are, you'll want to stop those drugs. At
least the recommendation is at least a week or even
longer as long as four weeks before surgery. Let your
GI tract return to normal and let the nutritional deficiencies
(12:46):
that you may well have, let them normalize. And so
your doctor needs to be very, very in tune with
these drugs. Your plastic surgeon needs to do a nutritional assessment,
or at least your internal medicine or endocrinologist doctor. We
want to look at vitamin's, a, vitamin C, vitamin D, zinc, iron,
(13:08):
the things that are associated with wound healing or delayed
wound healing. So you need to be in really good
shape for surgery, and we don't want to have nutritional
deficiencies now. Now, if you are like so many people
out there, you're hopefully getting your semiglutide from a board
certified endochronologist. I hope you are. But many people are
(13:31):
going to the internet. They're not even seeing doctors, they're
doing these virtual visits. If that, and and it's really
quite terrible. There's there's counterfeit o zepic out there. The
FDA just put out a warning a few days ago that's,
you know, very dangerous. Obviously you don't know what you're getting, uh.
And if you're doing virtual visits whether it's doesn't matter
(13:54):
what you're doing now. You know, when COVID was here,
it was important that we we had virtual visits, right
because no one was going into the physician. But now
you can see your doctor. And if you are taking
the shortcut and maybe talking to some person in Nebraska
who really all they're really interested in is writing a
prescription and sending you maybe their version of ozepic, well
(14:18):
that could be.
Speaker 5 (14:19):
Very very dangerous.
Speaker 3 (14:20):
So I say, you know, go to a board certified
endocrinologist if you're interested in these things. And that's kind
of a good segue to talk about well By Meser
because I just started an affiliation with well By MESR.
They're the leading antocrinologists in Manhattan. There's such a great group.
They're a group of ter chronologists under the guidance of
(14:40):
doctor Caroline Messer. She's got ender chronologists in her practice, internests, urologist, gynecologists, psychologists,
and plastic surgeon. That would be me. Dietitians trainers people
like that. The under chronologists are doctor Margaret Ryan, doctor
Caroline Messer, doctor Barry Weinstein, doctor Alexis Feure, and doctor
(15:02):
Shelley m And there's two internests in the group also,
doctor RuPaul Chabra and doctor Andrew Mood.
Speaker 5 (15:10):
So if you're interested in doing it the right.
Speaker 3 (15:13):
Way and having an under chronologist see you and prescribe
the ozempic, if that's the appropriate thing for you, give
them a call. And their phone number is six four
six seven six zero thirty two fifty six. That's six
four six seven six zero thirty two fifty six. And
I am their plastic surgeon. So we do botox and
(15:36):
fillers and every procedure that I do with your breastlift,
all the post bariatric the weight loss surgery. That's what
I'm also doing at well By Messer on one hundred
and ten.
Speaker 5 (15:46):
East sixth the Street.
Speaker 3 (15:47):
So go ahead and give us a call, schedule appointment
with me, scheduling appointment with doctor Mesler or one of
her associates.
Speaker 5 (15:54):
So I think we've got Marie on the line. Marie,
what can I do for you? What's your wrinkle?
Speaker 3 (15:58):
Hi?
Speaker 6 (15:58):
I'd like to know if you recommend topical estrogen and
or peptides topically for the face.
Speaker 3 (16:05):
That's such a good question, so I'll answer the easy one.
Speaker 5 (16:09):
First. Topical peptides useless, totally useless.
Speaker 3 (16:13):
Can't work. They weigh too much. The molecules are too
big to penetrate the skin. So and I don't care
what the peptide is, the smallest one. Now I'm gonna
teach you something about skincare here. So the skin is
like a chain link fence. I used to say that
on those night skin commercials, but it's true. And a
(16:34):
chain link fence you could put a ping pong ball through,
but you can't put a football through.
Speaker 5 (16:38):
Right.
Speaker 3 (16:38):
So every chemical, every chemical has a weight, a molecular weight,
it's called. And the ones that can actually penetrate the skin,
things like estrogen, yes it can, it can penetrate the skin.
Or a nicotine if you've got a nicotine patch, or
vitamin C or vitamin A.
Speaker 5 (16:55):
Those are the work.
Speaker 3 (16:58):
They penetrate and at least they have a chance of
working because they're small molecules. The bigger molecules, things like peptides,
can't physically get through the skin, can't do it. So
collagen can't get through it. And that's a great seg
segway because when we come back from the break, I'm
going to talk about another thing called xisomes, which also
(17:20):
can't possibly get through the skin. It's fantasy, absolute fantasy.
Estrogen absolutely, and estrogen is a youth hormone. It's very controversial,
but it certainly has very good effects when placed on
the skin. But that's a show unto itself. I did
a show on estrogen with doctor Michael Roys in a
couple of years ago. Maybe next week we'll talk about
(17:41):
estrogen for the skin because it's a really big topic. Murray,
all right, so yes, estrogen, no to peptides. We're going
to take a short break. When we come back, we're
gonna talk about exosomes, something that yeah, can't get through
the skin. I'm board certified plastic doctor Arthur Perry, host
of What's Your Wrinkle? Right here on Dela u R
eight hundred three two one zero seven ten as the
(18:02):
phone number.
Speaker 5 (18:03):
We'll be back after these words.
Speaker 3 (18:07):
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
(18:29):
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
(18:51):
Y M D. Check me out on the web at
periplastic surgery dot com and don't forget to listen to
me doctor Arthur Perry, every Saturday evening at six pm
right here on WOR. You're listening to What's Your Wrinkle
with doctor Arthur Perry, What's your Wrinkle?
Speaker 5 (19:08):
And we are back.
Speaker 3 (19:09):
I'm board certified plastics surgeon, doctor Arthur Perry, host of
What's Your Wrinkle? Right here on wor And yes, I
am now at one ten East sixtieth Street with well
By Messer.
Speaker 5 (19:19):
I'm there.
Speaker 3 (19:20):
I also have my office on eighty fifth Street in Park.
It's ten twenty one Park. And yes we're still How
could I be in three offices, but I am. It's
a lot of traveling in this Somerset, New Jersey office
still there, and in all offices we're doing all minor procedures.
Speaker 5 (19:35):
Office procedures.
Speaker 3 (19:36):
The Lasers live in New York and for something bigger
like a breastlift or a facelift or a liposuction, we
do it in the hospital, either Roberto Johnson University Hospital
or Manhattan.
Speaker 5 (19:48):
I and ear so.
Speaker 3 (19:50):
One of my favorite procedures is lipos suction lipos you
could call it liposuction if you want to call it
lippos suction. I've been doing that procedure since nineteen eighty five.
It was in produced in the United States nineteen eighty three.
I was in high school at the time I started
doing the procedure, by the way, but seriously, I seen
it go through many many stages, and it was actually
(20:12):
in the beginning not the safest procedure, and it took
a few years for plastic surgeons to figure out how
much we can safely remove and how to do it.
And now it's an extremely safe procedure, and it's a
procedure that you can have. Let's say you've got chubby thighs, okay,
or you've got some fat on your hips, and those
are the areas that women most commonly have suction. Men
(20:36):
it's the belly, and both men and women often have
suction in their neck. The neck and gels, those are
very very common areas. But in the neck and jols,
we're only removing a few ounces of fat. But I
have removed many many pounds of fat from the thighs.
I can suction circumferential thighs and really decrease the pants
(20:57):
size that you wear. Got a disproportion. If your thighs
are bigger than the upper part of your body, you
might be a very good candidate. Now, liposuction is not
a method of weight loss. It's not like ozembic or
bariatric surgery or something like that. We're not trying to
get you to lose a lot of weight. And in fact,
if the doctor tries to suction too much weight, too
(21:20):
much fat, it can be dangerous, and so there's kind
of a universally accepted amount. And if we go above
ten pounds, that's a lot of fat. By the way,
you know, ten pounds, that's five thousand CC's, right, each
a cc a thousand CC's.
Speaker 5 (21:40):
That's a leader bottle or a court bottle.
Speaker 3 (21:43):
So if you lined up five of those, that's about
ten pounds of fat.
Speaker 5 (21:47):
That's a lot of fat.
Speaker 3 (21:48):
Now, if you've got more than that, you really need
a weight loss as opposed to a suction. And in fact,
usually usually I will not do more than about five
or so pounds, because that's that's very safe.
Speaker 5 (22:01):
We do it in the surgi center.
Speaker 3 (22:03):
I do it under general ANTICESI unless we're doing the
neck or maybe just the isolated knees, and I like
to do it under general antesesi. I think it's safer
than giving you large amounts of lytocane. Lytocane is a
potential toxin, and some people like to do this under
straight local anesesia. Usually the people that don't have privileges
in a hospital. By the way, if we have privileges
(22:25):
at a hospital or a surgi center, we use board
certified and antisesiologists and they will uniformly tell you that
it's far safer to have a short general anesthetic by
a board certified antithesiologist than have a lot of lytocane
infused into your body to try and in suction many
many pounds of fat. So if you're going above five
(22:48):
five thousand ccs or about ten pounds, that's almost eleven
pounds of fat, well you should be overnight in a
hospital having your urine monitored and your fluids monitored if
you're doing that. But I don't think you should be
doing that at all. It should be a certainly a
smaller amount. And by the way, the law in New
(23:08):
York State is that you cannot remove more than five
thousand CC's unless you're in a hospital. You can't do
it in a surge center or a office based surgery place.
So certainly liposuction is safe. And when I do suction,
I make little tiny incisions and the thighs and the
(23:31):
growing crease breakup and suction out the fat. I can
remove several pounds of fat and you will be back
to work, back to school, whatever it is you do,
in about two or three days. It actually doesn't hurt.
It looks like it hurts a lot, but it really
doesn't hurt. And I did a study and I actually
published this study documenting that pain should be very low
(23:52):
after suction. Now, if you touch the area after you
for about a week or two, it will be quite
bruised and hurt if you touch it, but if you're
just sitting there, it really doesn't hurt much. So liposuction
is a really nice way to contour the fat. It's
the recalcitron fat, the fat that you cannot lose, even
(24:12):
if you're on ozepic, even if you are dieting, and
you're left with that residual fat, the saddle bags, the
little chubs on your knees, or the fat in your neck,
that's what we want to suction. It's a very safe
and straightforward procedure. And quite honestly, you know, there's a
lot of these non invasive procedures that I've done over
(24:32):
the years, and I've watched and you know, I did
a show few months ago on all those different non
invasive techniques. But in the end, a short general anesthetic,
particularly in the neck, we can do it under sedation,
far far better than trying to destroy fat with cool
sculpting or injecting chemicals into the fat, or doing all
(24:55):
these different procedures to try and get some modest result
when we can have quite a dramatic result from suction.
And so it is liposuction season in New York because
people are coming in to have the procedure before the
bathing suit season starts.
Speaker 5 (25:13):
Well, we've only got a minute left of the show.
Speaker 3 (25:15):
It's really not a fair thing to discuss exosomes in
just a minute or so, so I think we'll have
to reserve that to next week. But I've been teasing
at this for a few weeks. But I will tell
you that exosomes are these things that people are putting
in skincare and actually injecting, injecting into your body. It's
(25:37):
illegal in the United States to do that, but that
doesn't stop some people. The FDA has not approved any
of these exosomes. So that's your teaser for next week.
We're going to get into the story of exosomes. There
sell particles taken from placenta humans and injected into you
(25:58):
or put in your skincare. Not a good story. Noah
is waiting on the edge of his seat for this one.
I'm board certified plastic surgeon, doctor Arthur Perry. The show's
only a half hour and now, so we'll get into
that next week. Check me out on the Webperiplasticsurgery dot
com as the website. You can order the products that
we talk about on the show on Amazon dot com.
Speaker 5 (26:19):
That's the only way to do it.
Speaker 3 (26:20):
Well, if you don't want to go to Amazon, you
could call my employee in the office seven two ninety
six hundred on Monday morning, but we'd rather have you
buy it on Amazon.
Speaker 5 (26:30):
Noah, thanks so much for great engineering. We'll see everybody
next week. Bye bye now.
Speaker 1 (26:34):
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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