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June 21, 2025 • 26 mins
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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 I got. I go look at this, I'm getting old.
I said, I'm gonna maybe he can 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 plugged you. Having worked with you
on a book and numerous other activity, you want to talk.

Speaker 3 (00:46):
To Arthur Perry the best in plastic.

Speaker 5 (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.

Speaker 5 (00:58):
You're smart, as I really really gift this position. I
want to pay you the highest trut 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 Surgeons nine oh two and zero bows
to this guide and welcome.

Speaker 3 (01:16):
I'm board certified plastic surgeon, doctor Arthur Perry. This is
What's your Wrinkle right here on WOIR and it's straight
talk about cosmetic surgery in the podcast world out there.
If you're listening all over the world, and I know
I've got many many listeners, and thank you so much
for listening to this podcast. And but we're live six
o'clock on wor Saturday evenings, so if you're listening to

(01:41):
the podcast, you're probably listening to it Wednesday morning or
something like that. But you can give me a call now,
which is six o'clock at wor the eight hundred three
two one zero seven ten is the phone number that's confusing.
We're like in a time warp here, but for a
real we are on the air and taking your phone
call eight hundred three two one zero seven ten. I'm

(02:03):
a board certified plastic surgeon, host of the show for many, many,
many years. I love to perform cosmetic surgery and I
love radio, and I'm here to help you out with
your issues of your appearance, of cosmetic surgery of your skin.
I do things like facelifts and e lid lifts and liposuction,
and tummy tucks and breast augmentations and breast lifts, and

(02:26):
I take off moles, and yes, I also help reconstruct
after skin cancers. If you've got this thing that was
taken off of your face by the immosed dermatologist, I'm
your guy to reconstruct the hole that they put in
your face, you know, and I can hopefully make it
look as good as possible. And I've done so many

(02:46):
people over the years, and I'm happy to be here
to help you and help you in the office. All right, today,
We've got so much to talk about. It's the first
day of summer. And I hope you were your sunscreen
today because it was a UV index day of nine.
I'm broadcasting live from the Hamptons here with the sun
was searing down finally after such a tough winter. I mean,

(03:09):
it seemed to go on forever, didn't it. It really did.
It was cold last week, but it's not cold today.
And this week in New York and the northeast United States,
the UV index will approach nine and I think it's
going to reach ten in a couple of days. That
is searing twenty minutes in that and you will have
sun damage. You'll have sunburn in just twenty minutes. You

(03:33):
will have wrinkles, premature wrinkles, and it can lead to
the development of skin cancers like basil cell carcinomas and
squam as cell carcinomas and even melanomas. You know, so
you really have to protect yourself. Yeah, you can get
twenty minutes, that's it, by your timer, you know, put
the timer on your iPhone and after twenty minutes, go
on in and slather on the zinc oxide sunscreen. That's

(03:56):
the best. It really is. It's got the broadest spectrum
of all sunscreen. It's what I have in my daytime,
and that's what we're giving away today to callers daytime.
It's an SPF twenty three, which is really all you
need unless you're going to the beach at nine o'clock
and going to be out there till six o'clock. Then
maybe you need something a little bit stronger, maybe a
thirty zinc oxide. It's never necessary to have the fifties.

(04:20):
That's ridiculous. And those chemical sunscreens not too smart, they're
not good. They're undercrinderstructors. And I feel very very strongly
about that that zinc oxide and titanium oxide are the
best sunscreens out there. The FDA agrees they're really the
only ones proven to be safe and to be effective.

(04:42):
The others, well, there's some issues. Well, anyway, we're not
going to talk about sunscreen today. We're going to talk
about blepheroplastic bleferroplasty. That's eyelid lifting, and we'll tie into
browlifting and really rejuvenation of the eyelids. That's what we're
going to talk about on the show today. And we're
going to talk about surgeons that drink alcohol before surgery.

(05:05):
How about that? Do you think that's good. Some interesting
studies have been done about that. And we're gonna talk
about this is this one's for Noah, the stupidest thing
of the week. We are gonna talk about salmon sperm
that's put on your skin. Oh, you can't make this
stuff up. You cannot. We're gonna talk about that, and well,

(05:25):
you already know how I'm gonna feel what I'm gonna
say about it, because I said it's the stupidest thing
of the week, but it really is. But let's start
out with kind of a sad story last week in Turkey.
Turkey is a big destination for cosmetic surgery for I
don't know why, but it really has become that. And
I think medical tourism is very, very dangerous for all

(05:50):
sorts of reasons. You don't speak the language. What happens
if you get a complication and you fly back to
the United States. There's so many issues with medical tourism.
But people do. They go to Mexico, they go to
a Dominican republic, they go to Turkey. You know, A
rule of thumb, by the way is don't have surgery
in a place where you won't drink the water. But
that's that's kind of an aside, But these are destinations

(06:14):
that have become very, very popular despite the fact that
you can't really check on the credentials of the surgeon
or the facility. So here's what happened in Turkey last week.
A singer, her name is kind of a funny name,
Anna Barbara Burr Beldrini. Well, she went to a surgeon

(06:35):
in Turkey last week and she agreed to She was
an influencer, you know, she's out there. She's got a
big following apparently, and her husband, her new husband, is
a celebrity, and so they went. They expected cosmetic surgery
by this particular surgeon for free as long as they

(06:55):
promote the hospital. So they went out to a restaurant
with the surgeon the night before. They had a bunch
of alcoholic beverages the night before, and then on Sunday,
this surgeon did a whole bunch of surgery, you know,
a lot of different things. I believe, a rhinoplasty, a
LiPo suction that's fat removal, and a breast augmentation and

(07:18):
surgery ended eleven o'clock on Sunday evening. Now that's the
first red flag. I mean who's operating on Sundays. Okay,
well maybe someone does, but who's operating into the night,
a late night on Sundays. That's a red flag. We'd
like to get surgery completed by around dinner time because
you want to be fully recovered. Go home in the
early evening and be recovered. Heaven forbid, there's some sort

(07:41):
of an issue. You don't want to have the issue
in the middle of the night. So real surgeons don't
want to finish surgery unless it's an emergency, of course,
But you know what I'm gonna say, there's no such
thing as an emergency breast augmentation, or emergency LiPo suction
or an emergency rhinoplasty. Anyway, what happened to this poor
woman is that shortly after surgery she went into cardiac

(08:03):
arrest and died. She died, and you know why, I
don't know they're the autopsy result. I assume there's going
to be an autopsy wasn't released, but you know, the
hospitals defending itself. The surgeon hasn't made a comment. It's
a terrible thing, but it leads me to think about

(08:24):
alcohol before surgery. All right, So this particular person went
out with the surgeon. They went to a restaurant and
they drank alcohol. Do you think it's a great idea
for the surgeon to drink before surgery. If you go
on an airplane, the pilots cannot drink the night before surgery.
If any of you are pilots or flight attendants, give
me a call and verify that. But that's my understanding.

(08:45):
They cannot drink the night before they're going to fly
for good reason. They are impaired or could be impaired.
So there have been a bunch of different studies that
have been performed. One was just in the Annals of
the Royal College of Surgeons, that's a British journal, and

(09:06):
they looked down at the effect of alcohol on surgical skills,
and they looked at the surgical skills of earnos and
throat doctors and they found out that this is pretty
obvious to you, right the listener. The more glasses of
wine consumed, the more detrimental the effect was on the
surgical performance of all surgeons and there was a reduction

(09:29):
they can measure based on they have these romatized and
computerized skills labs. Now that we judge the skills of surgeons,
and we can teach surgeons with these labs. Well, there
was a reduction and ability of seven or so percent
after three glasses and nineteen percent after six glasses of alcohol. Interesting, right,

(09:53):
no deleterious effect after one glass. So your surgeon, okay,
they can have one glass of wine the night before
your surgery, but no more than that because three glasses,
five glasses, and there's going to be a decrease in dexterity,
a decrease in cognition, and an adverse effect on performance.

(10:13):
So this has been well shown in that particular study
and another one, this is a really good one. They
looked at surgeons, and they looked at new surgeons that
means surgeons with less than two years experience and surgeons
with they called senior surgeons more than ten years of experience.
And they showed that surgeons who were kind of junior,

(10:37):
if they consumed alcohol or caffeine on the day of surgery,
they had impaired manual dexterity. Okay, they did this in
a simulated surgical environment, thankfully. Now there's a drug called
propranologue otherwise known as indral. It's a beta blocker that
many surgeons take, and many actors take, and people that

(11:00):
do public speaking take because it reduces tremor and reduces
some anxiety, and it's a very safe drug. It's not
what's called a psychoactive drug. It affects your heart mostly,
it prevents your heart from racing. And many of you
are on drugs like that, MADA blockers. They're used for
blood pressure, they're used for people with heart disease and

(11:21):
things like that. So they found that surgeons that were
using interroll and sleep deprived surgeons also had impaired performance performance,
but those were only the junior the junior surgeons. By contrast,
senior surgeons, the skills were only negatively affected by alcohol.

(11:46):
That's right. So it turns out that just like those
of you who know how to do manual skills, whether
it's riding a bicycle or sewing or something that you know,
you can watch TV and sew, you can watch TV
and knit, but if you're very new at those skills,
then you really can't do that. And it was shown

(12:07):
that if you're a new surgeon under two years of experience,
then you really are impaired with all sorts of things.
So that surgeon has to be squeaky clean and sleep
a lot before surgery, and don't take alcohol and don't
take any drugs and things like that, and then they
will have good skills. If they have good skills. But

(12:29):
that the older surgeons could overcome things like drinking caffeine.
You know, you can have a bunch of cups of
coffee before surgery. It affected the young surgeons, but doesn't
affect the older surgeons performance because they are able to
use their memory, right, the motor memory that we have.
Just like riding a bicycle, you don't think of every step.

(12:50):
You just kind of get on and go. All right,
I'm doctor Arthur Perry. This is what's your wrinkle? Right
here on wr the phone number eight hundred three two
one zero seven ten. Eight hundred three two one zero
seven ten. When we come back from our break, we're
gonna talk about one of the most most common procedures
in cosmetic surgery and one that I did Coast to
Coast on CNN when I was a resident. I was

(13:13):
in my twenties, and that was nerve racking, It really was.
Noah will be back in just a minute. Eight hundred
and three to one zero seven ten. Stay tuned. Did
you know that your skincare may be hurting you more
than helping you. I'm board certified plastic surgeon, doctor Arthur Perry.

(13:33):
The foundation for looking good is clean, healthy skin. So
I've created a program that is so simple that everyone
can stay on it long enough to see real results.
It starts with an incredible skin cleaner called clean Time.
It's actually good for your skin. Protect your skin with
my Daytime SPF twenty cream in the evening, feed your

(13:54):
skin with my Powerhouse Nighttime serum. Nighttime has vitamin CNA,
antioxen 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 of people whose skin is healthier. That's
doctor Perry's Skincare on Amazon dot com. And don't forget

(14:17):
to listen to my radio show right here on wor
Every Saturday evening at six pm. You're listening to What's
Your Wrinkle with Doctor Arthur Perry.

Speaker 6 (14:27):
What's your Wrinkle?

Speaker 3 (14:29):
And we are back. I have word certified plastic search
Doctor Arthur Perry, host of what's your wrinkle? Right here
on wor And during the week, I'm a real plastic surgeon.
I operate. Last week I did a chin and plant
and other surgical procedures, scar revisions, boatox fillers and all
sorts of things like that. And on Saturday evenings, I'm
sitting here in the studio, actually the remote studio. We're

(14:51):
broadcasting live from the Hamptons, which is so far east
for those Californian listeners. We're almost in the Atlantic Ocean
out here, all right. So where do I see my patients?
Park Avenue in eighty fifth Street. That's one of my offices.
I see people. You know. I had someone last week
call the office in New Jersey as doctor Perry retiring.
Of course not. There's a for sale sign on my

(15:13):
building in New Jersey because I'm downscaling because I open
up that big office in New York in Manhattan, so
we're going to a smaller facility in New Jersey. But no,
I'm not retiring. You know. My father was ninety one
and he's a dentist, and he died going to work
as a dentist. His hands never shook, and he had
all his marbles, and boy, I'll tell you I'm not

(15:35):
anywhere near that. But I love operating and I love
plastic surgery. So hopefully I'll be as fortunate as my
father and be able to go as long as he did.
All right, we've got Bill on the line. I know
you called last week. We couldn't get your call. And
what can I do for you? What's your wrinkle?

Speaker 6 (15:52):
I've been using glycolic acid forty percent weekly for about
a month and notice no changes in my skill discolorations
and the lesions on my face.

Speaker 3 (16:08):
Forty that's a very high concentration of glycolic acid. By
the way, that's very high. So where are you getting this?
Don't tell me this store? Is that on Amazon or something?

Speaker 6 (16:17):
Yeah?

Speaker 3 (16:19):
Yeah, wow, I don't store. But yeah, you're trying to
you're trying to decrease the brown, splotshy pigmentation of your face.
Is that what you're doing exactly?

Speaker 6 (16:31):
That's right?

Speaker 3 (16:32):
Yeah, So you know glycolic ass. Let me let me
explain to the audience what glycolic acid is. It's one
of the alpha hydroxy acids, one of the fruit acids.
There's others. There's things like lactic acid and citric acid
and mendelic acid. There's a lot those of you who
are chemistry were chemistry majors, remember the creb cycle. Oh boy,
remember that from a tenth grade chemistry. All right, Well,

(16:55):
there's all these fruit acids, and alphydroxy acids are some
of the fruit acids. And I have lactic acid and
citric acid in my nighttime serum. Now what's it used for.
The main use of the fruit acids. Likelycolic acid is
not to decrease pigmentation, Bill, It's to exfoliate the skin.

(17:17):
So we have a layer of dead cells on the
surface of our skin. It contributes to rough appearing and
rough feeling skin. And the alphydroxy acids, any one of them,
they're particularly good at decreasing that dead layer of cells
on the surface of the skin. And I use it
in my serum because having less dead cells on the

(17:38):
surface of your skin allows for better penetration of the
other ingredients in my products, things like vitamin A and
vitamin C, which are much more effective. So there is
a very slight decrease in pigmentation with alphydroxy acids, but
it's not a big decrease. And by the way, you

(17:58):
should not be using four percent. No one should be
using more than ten percent in a home preparation. Forty
percent is pretty high. That's that's a peal that we
do in the in the office. So I would not
be using forty percent. I know you can buy these
things on the internet, but that doesn't mean it's safe,
and that doesn't mean it's good. So first rule is

(18:19):
I won't be using that. Now. In terms of decreasing
pigmentation of your skin, well, there's one drug it's called hydroquinone,
which is the gold standard for decreasing pigmentation, and that
has that excuse me a second, that has to be
prescribed by your plastic surgeon or dermatologists or family doctor

(18:39):
or internist, and that will decrease pigmentation by decreasing the
production of melanin. Melanin is the dark pigment in your skin. Now,
first of all, you have to be seen by a
doctor because you don't know whether or not these age
spots are something more serious, whether they're separy carotoses, which
are or whether they're I've seen people treat self treat

(19:04):
melanomas for years, so you don't want that either. So
you want to go to the doctor. And make sure
what you're trying to treat is in fact benign. There
are lots of better skin brighteners, and I call them brighteners,
And vitamin C is one of those. Alis Scorbic acid
retina will do that to a certain extent. That's a
prescription drug. But vitamin A, various types of vitamin A

(19:28):
are also useful to decrease pigmentation. Licorice extract, that's a
good one because it's completely naturally you can eat it.
Licorice extract also decreases pigmentation by having by decreasing the
production of melanin. So there are lots of different things.
So my particular not to be too self serving here,

(19:49):
but my nighttime serum has various various ingredients in it,
like the vitamin C and vitamin A and fruit acid
like we were talking about, and licorice extract, antioxidts things
like that which will also decrease pigmentation. So vitamin C
works alone, but I wouldn't be using the like coolic

(20:12):
acid solely for that.

Speaker 6 (20:13):
All right, Bill, thank you very much. Can you put
me back with Noah for a second, sure?

Speaker 3 (20:19):
All right, Noah is on the line. All right, I'm
doctor Arthur Perry, host of What's Your Wrinkle right here
on wo R, and we're gonna talk for just a
few minutes. Let's let's talk about this salmon sperm because
the bleferroplasty topic is kind of a big topic. We'll
get to that before the end of the show. So

(20:40):
there's this stuff. You know, there's all these skincare products
out there, and the skincare industry needs they need they
need interesting products, right, They need to sell you, They
need to take your harder dollars. They really do because
they have to keep their company flowing. And so this
year's nutty product involves salmon sperm, and you say, what

(21:03):
on earth is salmon and sperm? I mean really seriously,
salmon sperm on your skin and people are even injecting it,
injecting it through the skin, all right, So why would
they do this. There's something called polyonucleotides in salmon sperm,
and if they are it's interesting how this was a

(21:26):
determined But marine biologists found out this stuff, and then
someone who was interested in wound healing said, wow, if
it's in these marine biology ingredients, maybe I can use
it in wounds. And there's some science to the use
of salmon sperm and these polynucleotides and wounds. It can
help increase collagen, which is the structural layer of the skin.

(21:49):
So that's a good thing. But then this is where
it gets a little weird. Then they start using these
things in skincare. Now I've talked about this before, and
I don't to bore you with the actual chemistry, but
I'm going to for a minute. So there's something called
the five hundred Dalton rule. It's the most important rule
in all of skincare, and it says that anything that

(22:10):
weighs more than five hundred, and that's the molecular weight
of a substance, can't get through the skin. So everything
that is proven to make a difference in skincare, things
like vitamin C, niacinamide, vitamin A, even nicotine patches and
estrogen patches and things that are absolutely proven glycolic acid.

(22:32):
These are small molecules, are all under five hundred. What
do you think the polynucleotides way, The smallest one is
around a thousand, So you don't have to be much
of a mathematician to know that a thousand's more than
five hundred. And these things can't get through the skin,
So forget about them in skincare. But how about if
you inject them, inject them through the skin. Do they work?

(22:55):
Do they do anything? Well, okay, these are nucleotides, they're DNA,
and and what do they do if they do survive
the processing? If they do, and that's a big if,
by the way, in commercial products, if they do, how
do they tell cells to make collagen? How do they

(23:15):
do that? And is it proven? I'm gonna get right
to the chase here. Okay, there's minimal science. There's some
suggestions in wounds mostly, and some suggestions in injected products,
but very very little science. There's only nine publications and

(23:35):
they are considered to be of low quality, and the
best one was by someone who actually has one of
these companies that they're trying to sell the product. So
stay away from salmon sperm. I mean, it's okay to
eat salmon, but really, come on now, Noah, don't use
it on your skin. I'm doctor Arthur Perry. No, let's
take our really quick break. We'll come back for just

(23:56):
a couple minutes. With the bleaf or plastic abodies. 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

(24:17):
and better. If you've got sagging cheeks, jowls, and that
dreaded turkey gobbler, it might be time for a little
nip and a tuck. You look more rested and yes, younger.
With my short scar 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

(24:37):
in my new Park Avenue office. Together we'll come up
with a plan to help you look your best. Give
me a call at eight three three Perry MD. That's
a three three p E R R Y M D.
Check me out on 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.

(24:58):
You're listening to what's your with Doctor Arthur Perry, What's
your wrinkle? And we're back but not for long. Noah says,
we're running out of time. We can't, He says, you
can't talk about bleatproplastyilid lifts, the fifth month common procedure
and one of the most common procedures that I do.
So we'll have to do it next week. You can
check me out on the web Periplastic Surgery dot com

(25:20):
is the website. If you're interested in the products I
talk about on the show, it's Amazon. Go to Amazon
dot com and put my name in, or put night
Time in or any of those products, and you can
order with all the benefits of Amazon, and certainly go
to Apple podcast go to iHeart Podcasts and put in

(25:41):
my name. You know you want to subscribe to this podcast,
you really do. It's great. You don't have to be
tied to the radio at six o'clock on Saturday evenings
like Noah and I are. You can listen anytime, So
please tell your friends this. We're trying to make this
the number one plastic surgery podcast. Apparently it's number five
in the world. Make it number one. Noah, thanks so

(26:01):
much for great engineering. I'll see everybody next week, and yeah,
we'll talk about left roplass you next week. Bye bye now.

Speaker 1 (26:08):
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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