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 WR 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. And 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 s 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, I'm here Ark, and I
want to get to plagged you. Having worked with you
on a book and numerous other activity.
Speaker 6 (00:46):
You want to talk to Arthur Perry the best in
plastic surgery work.
Speaker 5 (00:50):
Wal 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 mean.
Speaker 5 (00:58):
You're smart, as I really really gifted position. I want
to pay you the highest true I can give to
a surgeon, which is when people come to you, they
don't come for an operation, they come for an opinion.
And that's why I trust you with my friends and relatives.
Speaker 3 (01:09):
I didn't realize we were going to get the Michael
Jordan of Plastic Surgeons nine O two and zero bows
to this guide and welcome. This is Board certified plastic surgeon,
doctor Arthur Perry, and this is what's your wrinkle right
here on woar. I hope you're all having a wonderful weekend.
It is middle of the summer, and that means it's
(01:30):
sunburn season. I hope you're using your sunscreen. I certainly am.
I've got that SPF twenty sunscreen. That's really all you need.
It's got zinc oxide in it, and that's what you
should be using. This is the show about you. It's
the show about your skin, about the It's a show
about cosmetic surgery, about skincare, about your health in general.
(01:50):
That's what we do on this show. Eight hundred three
two one zero seven ten is the phone number here
at WOOR if you're listening on the internet, if you're
listening to the podcast, it's straight talk about cosmetic surgery,
and please remember to press subscribe. I've got a great
show planned for you today. I've got my good friend,
doctor Michael Roysen, who will be coming on the show
(02:11):
in just a couple minutes. He is one of the
smartest guys I know and formally the co host of
this show. He's going to be talking about some very
interesting things that pertain to your health and your appearance.
And let's get to that topic that we wanted to
talk about last week, the three cosmetic procedures that do
(02:32):
have medical benefit as well as cosmetic benefit. If you
do give us a call tonight, we're giving a bottle
of that daytime SPF twenty sunscreens actually twenty three, and
it's really all you need unless you're going to sit
out in the sun all day long from nine to six,
then maybe you need something greater than an SPF twenty,
but pretty much fifteen as long as it's a good
(02:53):
quality sunscreen with zinc oxide. It's called a broad spectrum
sunscreen if it's got zinc oxide because that means it
covers UV A and UVB. Now, no, do we have
doctor Roysen on the line. Are you there, Doctor Michael Roysen?
Speaker 6 (03:10):
I am, and in fact, since I'm at a baseball game,
I did put on the daytime sunscreen.
Speaker 3 (03:17):
Well that's good. Where are you, Mike? What baseball game?
Speaker 6 (03:20):
Cleveland versus Minnesota in Progressive Field in Cleveland, Ohio.
Speaker 3 (03:26):
Wow, good for you. Okay, Well, I'm sitting here broadcasting
from sag Harbor, New York, the Hampton's where it is
absolutely beautiful this weekend. It's a great just did a
ten mile bike ride. You'd be very proud of me, Mike.
Speaker 6 (03:38):
I am proud of you. But it's truly amazing that
you can do it where you are.
Speaker 3 (03:42):
Well, the roads are a little dangerous, but you know,
I'm training for my next bike trip. We're going to
Tuscany in October and we'll do something like two hundred
miles around Tuscany. So I've got to get in shape
for that. So we'll talk off air about that. But
it's a lot of fun. So I'm speaking with doctor
Michael roys In, former co host. That's his biggest accolade,
right for former co host of this show. And also
(04:06):
he's got so many things. He's the ex dean of
Syracuse Medical School, the former chairman of the Antesesar Department
at the University of Chicago and at the Cleveland Clinic,
and the chief Wellness officer at the Cleveland Clinic. What
other titles do you have, Mike, I.
Speaker 6 (04:23):
Don't have many. But if you stay in Italy a
little longer, you can go and attend I teach a
cooking course in Pulio in the boots in the heel
of the boot in Italy. I think it's November eighth
to tenth or sixth to tents that week, So you
should stay just a little longer and drifts down from
(04:47):
Tuscany to Pulio.
Speaker 3 (04:49):
So what now, what are you going to be doing?
And is this open to the public or this for
is this for doctors?
Speaker 6 (04:57):
Anyone can sign up. It's at a waiting table a
waiting table dot com and it is the a cooking course,
we the people. It's it's interactive, so it's all day,
every day for five days, and it's a lot of fun.
Speaker 3 (05:13):
That sounds like a lot of fun. So give it.
Give out that website.
Speaker 6 (05:15):
Again, it's a waiting table dot com.
Speaker 3 (05:19):
Okay. And so doctor Michael Roysen is my guest this evening,
and hard to call him a guest since he was
the co host of this show for six years on
wo R and uh. We got the gang together. Noah's
still there, Mike, We've got everybody together. But Mike is
one of the smartest guys I know. I'm not kissing
up to him, he really is. He's he just he
(05:41):
reads more than any other doctor that I know. He
wrote Real Age, that's a great book, wrote you the
Owner's Manual, and all the U books and what was
your latest one.
Speaker 6 (05:50):
Mike, the Great Age Readbooth. And we can maybe talk
about some of the things. They're fourteen shots on goal
at changing your rate of aging and meaning fourteen things
that in mice have taken the equivalent of a ninety
year old mouse back to a forty year old mouse,
(06:12):
and they're beginning to be tested in humans. One of them,
for example, is a change in the way we manage
gene editing.
Speaker 3 (06:24):
Oh all right, let's hear about that now. So gene editing.
I mean it's such a hot topic. Are you talking Crisper?
What are you talking about?
Speaker 6 (06:31):
Yeah, So Jennifer Dudah, who is now a Gladstone as
well as Berkeley in San Francisco has taken the Crisper
cast nine made it a lot better in editing. But
in addition, it's been the way it's been administered as
a virus, which has risk. Three people have died with
(06:53):
it recently, so the FDA put a hold on the
virus used to in fact change it. For example, with
sickle cell disease, you now can cure it, but it's
so expensive one point two million per treatment that only
fifty people got it in about in twenty twenty three
when it was approved, and about fifty to fifty people
(07:16):
got it last year. But he has said we can
get it down to twenty to thirty thousand by using
a lipid particle which they learned to be used from
the covid vaccine work, and the lipid particle that can
get into cells and thus do the same work, And
(07:38):
looks like we're going to have much less expensive ability
to do genetity. Now that's one of two things, one
of two things that has happened recently. The other is
related to Parkinson's disease at the gladstone. They've added it
(08:00):
did into stem cells. So they take some stem cells
from the individuals of bone marrow biopsy, they grow them
in culture, but they then shift the genes to produce
dopamine injected into the brain where there is a area
(08:20):
that is missing the dopamine, the basal ganglia. They've now
done that in three people. They're six to seven months
out and those three are cured of their Parkinson's disease.
So really remarkable work. And I'll give you a third one.
Speaker 3 (08:37):
How many years, Mike, how many years do you think
we're away from that being in general use? Are we like?
Two years? Five years, ten?
Speaker 6 (08:44):
Probably at most five? The third one, let me give
you the third one. The in als and in muscular dystrophees.
As you know, the neuron dies and thus the soil
subsequently dies and the people become very frail and they
(09:05):
die with ascending paralysis. Well, they've now found the theme
that they turn on. It's called maf gene and when
you turn it on in animal models, and they've now
done it in animal models and are doing it in France.
In two humans so far. When they turn on that
MAF gene, the muscle recovers and you avoid the frailty
(09:29):
and you can recover the ALS patient as soon as
you've made the diagnosis. Well, only two patients. That one
will be available sooner because ALS is uniformly fatal in
short term, as opposed to Parkinson's disease, where they will
look carefully at the safety and why it'll take five years.
Speaker 3 (09:51):
Now, are they working on fixing the BRC gene. Many
of my patients have that and developed breast cancer or
variant cancer. Are they working on that one?
Speaker 6 (10:00):
If? I'm sure they are, but I don't know if
that works.
Speaker 3 (10:04):
Okay, well that's one. We've all these genetic diseases. We've
you know, we're on the cusp of figuring it out.
It's a very very exciting time in medicine, isn't.
Speaker 6 (10:14):
It incredibly exciting. The same thing is happening with the
basic mechanism of aging. So it looks like you may
Arthur be able to work for the next sixty years
and do this show with Noah for that long.
Speaker 3 (10:27):
Well, you know, I hopefully we'll be able to do
that with I'm speaking with doctor Michael Roysen, host a
former co host of this show. And uh and now
the I guess your title at the Cleveland Clinic. Are
you the Chief Wellness Officer emeritus there? What's your title there?
Speaker 6 (10:45):
Now, that's exactly right. I get to I get to
take care of patients two days a week, one in
executive health, one in wellness, and the rest of the
time I may. I'm working on a longevity code program
we used at the clinic. It saved us one point
five billion dollars over twelve years as we motivated our
(11:08):
one hundred and one thousand patients voluntarily, seventy five thousand
participated and forty four percent that is roughly forty four
thousand got to what we call six plus two normals.
The problem with spreading it is the coaching program was
relatively expensive. Although we save a lot of money, not
(11:30):
many people want to take advantage of it because of
the expense that you have to put up front. But
now we've got it done with an AI coach, Rachel,
who is just wonderful, if you will, very empathetic and
can coach longevity. So we're launching that pretty soon. And
that's a lot of my time is in testing that.
Speaker 3 (11:53):
And Mike, you are one of the most prolific writers
in all of medicine. You've written so many but we
can't even count them anymore, all the U books and
the real age books. What are you working on now?
Speaker 6 (12:04):
We're very lucky, as you know, you helped us with
many of the books, and you know we've got ten
in the top ten on the New York Times lists
and four number ones, So I'm lucky that way. But
the current book is you the Owner's Manual or Solutions
of Solutions or Problem Seniors. Off on face, it's like,
(12:29):
when do you give up the keys? What's the discussion
you have with your parents or with your kids about
giving up the keys? When if you get divorced or
get someone dies in the family, do you get married,
do you get lived together? What are the legal arrangements
and what are the implications of that? When do you
(12:52):
downsize your housset, When do you combine houses? What are
the free nuptials you need on those things? And as
well is how do you stay young longer? So it's
got a lot of information, and of course I'm writing
it with a lawyer.
Speaker 3 (13:07):
It's this time and as doctor Oz involved in that one,
don't know.
Speaker 6 (13:10):
He's involved in writing the forward, not the base of
the He's a little occupied as the administrator of Medicare
and Medicaid and trying to get the obesity drugs covered
by Medicare and medicaid.
Speaker 3 (13:27):
And those are the GLP one drugs which are so
so popular. Now right, I mean, last question for you,
because then we're going to take a break. The show's
only a half hour now, Mike, it used to be
an hour. You know, we had time to talk about
so much. But last question for you. The GLP drugs.
You know what happens. People lose weight. They're wildly popular.
People lose lots and lots of weight. And we're talking
(13:50):
why gov and ozempic and zep bound and all those drugs.
There's something called ozempic face because that people get a
gaunt appearance to you do you think the ozepic face
the you know, the hanging skin of the neck, the
hanging skin of the breast and the belly. Is that
from rapid weight loss and it could be from any
method of weight loss or is there something specific about
(14:13):
these drugs that cause that appearance? What do you think?
Speaker 6 (14:16):
You know, I think it's too rapid weight loss, if
you will, and so I think if we if we
take our time a little bit and go a little
slower and do and the key with those drugs that
course is doing resistance exercise and taking your time and
not advancing too fast. But they are wonderful additions. They
(14:40):
decrease dementia, decrease joint problems, decrease kidney disease, decrease the
lung disease that is, chronic obstructive pulmonary disease as well,
and decrease the risk of cancers from these. So these
drugs have tremendous benefit. And hoping that doctor Ives prevails
(15:03):
in this and getting covered by Medicare and medicaid, so
they would be very beneficial.
Speaker 3 (15:09):
Mike Roysen, thank you so much once again. It's always
great having you on. You know, we got to get
you on more often. I think it's been a good year.
Let's let's get you on more than that. And I
hope to see you soon.
Speaker 6 (15:20):
Mike, I hope so. But you should answer that question,
is it just rapid weight loss or is there something
specific with the GLB one drugs.
Speaker 3 (15:29):
Yeah, my feeling is what you said. I think it's
rapid weight loss because you also see that in very
successful lap bands and gastric bypass you see something very similar.
And and we know that skin has the ability to
shrink and it has ability to grow. And just look
at any pregnant woman and nine months later, most pregnant
women don't have much skin on their belly right after
(15:51):
they've delivered. Some do, some don't have the ability to
shrink that. But in the with the ability to shrink
the skin, if there's a slow weight loss, I think
will get less ozepic face. But that's why God made
plastic surgeons Mike to clean up after the GLP one drugs,
(16:14):
to do the facelifts, do the breast lifts, do the
tummy tucks. And I look at that as the dessert,
no pun intent, and the dessert at the end of
the weight loss. Then you see the plastic surgeon what
I don't agree with, and I'll bet you agree with me.
Do you know that something like half of plastic surgeons
maybe more, are now prescribing the GLP drugs for patients.
(16:36):
I think that's so inappropriate, don't you.
Speaker 6 (16:38):
Well, I don't know how much experience they have. I
think it's really a primary care and endocrine thing.
Speaker 3 (16:45):
It should occur, absolutely. I think it should be a
board certified internal medicine doctor, or a family doctor, or
certainly an etochronologist, but you know, not a plastic surgeon.
I know what my colleagues know, and I would not
feel comfortable with that I prescribing most of them, prescribing
these drugs and doing all the necessary testing and follow
(17:06):
up for metabolic issues and just general medical issues. I
think it's one of those things. And I'll have to say,
I think the reason plastic surgeons are doing it is
not the best reason. I think it's to keep the
patients in their practice so that when the facelif time
does come, we know they haven't left the practice. And
(17:26):
that's not the best medicine. I think good medicine is
practiced as a team approach. Plastic surgeon, internist, even an anesesiologist.
Mike Roysen, thank you so much for taking time on
your Saturday evening.
Speaker 6 (17:39):
Thank you, and I strongly agree with you. Thank you.
Speaker 3 (17:43):
Thanks, Okay, great, have a great night. I'm board certified
plastic surgeon. Doctor Arthur Perry, host of What's Your Wrinkle?
Right here on WO r There's more to the show.
Stay tuned. Eight hundred three to two one zero ten
is the phone number. We'll be right back. Did you
know that your skincare may be hurting you more than
helping you. I'm board certified plastic surgeon, Doctor Arthur Perry.
(18:06):
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
(18:27):
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 of people whose skin is healthier. That's
doctor Perry's Skincare on Amazon dot com. And don't forget
(18:51):
to listen to my radio show right here on wor
every Saturday evening at six pm. 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
(19:11):
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 in my new
Park Avenue office. Together, we'll come up with a plan
(19:34):
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 Perryplastic 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.
(19:55):
What's your wrinkle and what is your wrinkle certified plastic surgeon,
Doctor Arthur Perry hosts of this show for a long
long time, and we just had doctor Michael Roysen on.
Doctor Roysen, of course, was the co host for a
long time when we called this you the Owner's Manual
Radio Show. And a lot of fun having him on.
(20:17):
And he is truly brilliant. And go to the bookstore
and check out the U books. They are still relevant
and still good, and I look forward to his next
book coming out. All right, So I'm a plastic surgeon
and I do cosmetic surgery in my practice. But cosmetic
surgery is it's a pretty big and broad area of
(20:39):
plastic surgery. Plastic surgery, of course, has things like hand
surgery and cranny of facial surgery and burn surgery, general
reconstructive surgery, and of course cosmetic surgery is the most
common part of a plastic surgery and that's the part
that I specialize in. Now, different types of cosmetic surgery
have different benefits. We all know that when we do
(21:00):
face lips, you'll look better. I treat your jowls, I
treat the extra skin of the neck, and we simply
make you look younger and better for your age. When
I do a rhinoplasty, well, a rhinoplasty is a nasal reshaping.
We'll take maybe a big, bulbous nose that's unsightly and
causes you know, self esteem issues and so many people well,
(21:23):
and we'll change the angles and change the size of
the nose. In a three hour procedure, I can do
so much to change your appearance. And rhinoplasts are really
often life changing procedures because people feel so much better
about themselves. In less than an hour, I can suction
fat from the neck. I can put a chin implant
(21:44):
in and build up your chin in a few hours.
We can do breast augmentations and liposuction and tummy tucks.
There's so much benefit to plastic surgery, but most of
those procedures it's cosmetic benefit. Yes, there are psychological benefits also,
but it's cosmetic benefit. But there are some procedures that
(22:05):
we not only get true psychological and cosmetic benefits, but
we get medical benefits. So we'll talk in the next
couple of minutes about those. The first one is an
upper plephoroplastic Oh, one of those big plastic surgery words.
That's an upper eyelid lift. So we've got four eyelids.
A lot of people think we just have two, well,
the uppers and the lowers. And as we get older,
(22:28):
we tend to get more skin on our upper eyelids.
We also get a little bit of fat. The fat
is not new, The skin is new. It kind of grows,
but the fat just sort of herniates out. It's always
been there. But as the tissues weakend, we get more fat.
So with your upper eyelids, as that skin kind of
encroaches on your eyelid, you know, it sort of descends down.
(22:52):
It can then eventually sit on your eyelashes. You start
blinking more often than you would and eventually it gets
to the point where it actually blocks your vision. It's
almost like wearing a baseball hat and then trying to
drive with a baseball bat on. You know, if you're
going up a hill, you have to tilt your head
otherwise you're not really going to see the road. That's
what happens with that extra skin. So a blepheroplasts is
(23:13):
one of those procedures. Then when I remove the skin,
I make you look better, but I also can improve
you medically by giving you more vision, more visual fields.
We open up the visual fields and things look brighter.
So that's one of those procedures. Will insurance pay for it, Yes,
sometimes usually they won't, but if your vision is obstructed enough,
(23:36):
they often will. Another procedure is a breast reduction. Breast reductions,
as your breasts get very large, you get back pain
and neck pain, and bros straps dig into your shoulders
and you get rashes. Like this time of year, when
you go outside, you should be using corn stars around
your breast if you have pretty large breasts, and even
nice statin it's an anti yeast powder. But when we
(23:59):
do a breast red we reduce the size of the
breast and we reduce all those symptoms of excessively large breast.
So that's a second one. And of course tummy tucks.
When you're pregnant, the muscles drift off to the side,
you start slouching, your postures worse, you get low back pain,
and a tummy tuck reverses the changes in the muscle
(24:20):
that occur during pregnancy. So the tummy tuck not only
will make your belly look better, but make your back
feel better. In most cases, we can't guarantee it because
back pain is a significant problem with many many causes.
But if it's caused by the muscles spreading wide after
a pregnancy or weight gain, well, then tummy tuck can
(24:41):
help you, not only not only cosmetically, but medically. All Right,
the show is so short now, wish it were an hour,
wish it were two hours. But I want to thank
Noah for great engineering. The website is Periplastic Surgery dot com.
And if you're interested in the products that we talk about,
it's Amazon. Go to Amazon dot com. You can buy
(25:02):
all the products. Noah, thanks so much for great engineering.
Don't forget. I've got offices in Manhattan and New Jersey.
That's what I do during the week. Bye bye, Now,
I'm a great one.
Speaker 1 (25:11):
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 WR 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. And 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 s 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, I'm here Ark, and I
want to get to plagged you. Having worked with you
on a book and numerous other activity.
Speaker 6 (00:46):
You want to talk to Arthur Perry the best in
plastic surgery work.
Speaker 5 (00:50):
Wal 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 mean.
Speaker 5 (00:58):
You're smart, as I really really gifted position. I want
to pay you the highest true I can give to
a surgeon, which is when people come to you, they
don't come for an operation, they come for an opinion.
And that's why I trust you with my friends and relatives.
Speaker 3 (01:09):
I didn't realize we were going to get the Michael
Jordan of Plastic Surgeons nine O two and zero bows
to this guide and welcome. This is Board certified plastic surgeon,
doctor Arthur Perry, and this is what's your wrinkle right
here on woar. I hope you're all having a wonderful weekend.
It is middle of the summer, and that means it's
(01:30):
sunburn season. I hope you're using your sunscreen. I certainly am.
I've got that SPF twenty sunscreen. That's really all you need.
It's got zinc oxide in it, and that's what you
should be using. This is the show about you. It's
the show about your skin, about the It's a show
about cosmetic surgery, about skincare, about your health in general.
(01:50):
That's what we do on this show. Eight hundred three
two one zero seven ten is the phone number here
at WOOR if you're listening on the internet, if you're
listening to the podcast, it's straight talk about cosmetic surgery,
and please remember to press subscribe. I've got a great
show planned for you today. I've got my good friend,
doctor Michael Roysen, who will be coming on the show
(02:11):
in just a couple minutes. He is one of the
smartest guys I know and formally the co host of
this show. He's going to be talking about some very
interesting things that pertain to your health and your appearance.
And let's get to that topic that we wanted to
talk about last week, the three cosmetic procedures that do
(02:32):
have medical benefit as well as cosmetic benefit. If you
do give us a call tonight, we're giving a bottle
of that daytime SPF twenty sunscreens actually twenty three, and
it's really all you need unless you're going to sit
out in the sun all day long from nine to six,
then maybe you need something greater than an SPF twenty,
but pretty much fifteen as long as it's a good
(02:53):
quality sunscreen with zinc oxide. It's called a broad spectrum
sunscreen if it's got zinc oxide because that means it
covers UV A and UVB. Now, no, do we have
doctor Roysen on the line. Are you there, Doctor Michael Roysen?
Speaker 6 (03:10):
I am, and in fact, since I'm at a baseball game,
I did put on the daytime sunscreen.
Speaker 3 (03:17):
Well that's good. Where are you, Mike? What baseball game?
Speaker 6 (03:20):
Cleveland versus Minnesota in Progressive Field in Cleveland, Ohio.
Speaker 3 (03:26):
Wow, good for you. Okay, Well, I'm sitting here broadcasting
from sag Harbor, New York, the Hampton's where it is
absolutely beautiful this weekend. It's a great just did a
ten mile bike ride. You'd be very proud of me, Mike.
Speaker 6 (03:38):
I am proud of you. But it's truly amazing that
you can do it where you are.
Speaker 3 (03:42):
Well, the roads are a little dangerous, but you know,
I'm training for my next bike trip. We're going to
Tuscany in October and we'll do something like two hundred
miles around Tuscany. So I've got to get in shape
for that. So we'll talk off air about that. But
it's a lot of fun. So I'm speaking with doctor
Michael roys In, former co host. That's his biggest accolade,
right for former co host of this show. And also
(04:06):
he's got so many things. He's the ex dean of
Syracuse Medical School, the former chairman of the Antesesar Department
at the University of Chicago and at the Cleveland Clinic,
and the chief Wellness officer at the Cleveland Clinic. What
other titles do you have, Mike, I.
Speaker 6 (04:23):
Don't have many. But if you stay in Italy a
little longer, you can go and attend I teach a
cooking course in Pulio in the boots in the heel
of the boot in Italy. I think it's November eighth
to tenth or sixth to tents that week, So you
should stay just a little longer and drifts down from
(04:47):
Tuscany to Pulio.
Speaker 3 (04:49):
So what now, what are you going to be doing?
And is this open to the public or this for
is this for doctors?
Speaker 6 (04:57):
Anyone can sign up. It's at a waiting table a
waiting table dot com and it is the a cooking course,
we the people. It's it's interactive, so it's all day,
every day for five days, and it's a lot of fun.
Speaker 3 (05:13):
That sounds like a lot of fun. So give it.
Give out that website.
Speaker 6 (05:15):
Again, it's a waiting table dot com.
Speaker 3 (05:19):
Okay. And so doctor Michael Roysen is my guest this evening,
and hard to call him a guest since he was
the co host of this show for six years on
wo R and uh. We got the gang together. Noah's
still there, Mike, We've got everybody together. But Mike is
one of the smartest guys I know. I'm not kissing
up to him, he really is. He's he just he
(05:41):
reads more than any other doctor that I know. He
wrote Real Age, that's a great book, wrote you the
Owner's Manual, and all the U books and what was
your latest one.
Speaker 6 (05:50):
Mike, the Great Age Readbooth. And we can maybe talk
about some of the things. They're fourteen shots on goal
at changing your rate of aging and meaning fourteen things
that in mice have taken the equivalent of a ninety
year old mouse back to a forty year old mouse,
(06:12):
and they're beginning to be tested in humans. One of them,
for example, is a change in the way we manage
gene editing.
Speaker 3 (06:24):
Oh all right, let's hear about that now. So gene editing.
I mean it's such a hot topic. Are you talking Crisper?
What are you talking about?
Speaker 6 (06:31):
Yeah, So Jennifer Dudah, who is now a Gladstone as
well as Berkeley in San Francisco has taken the Crisper
cast nine made it a lot better in editing. But
in addition, it's been the way it's been administered as
a virus, which has risk. Three people have died with
(06:53):
it recently, so the FDA put a hold on the
virus used to in fact change it. For example, with
sickle cell disease, you now can cure it, but it's
so expensive one point two million per treatment that only
fifty people got it in about in twenty twenty three
when it was approved, and about fifty to fifty people
(07:16):
got it last year. But he has said we can
get it down to twenty to thirty thousand by using
a lipid particle which they learned to be used from
the covid vaccine work, and the lipid particle that can
get into cells and thus do the same work, And
(07:38):
looks like we're going to have much less expensive ability
to do genetity. Now that's one of two things, one
of two things that has happened recently. The other is
related to Parkinson's disease at the gladstone. They've added it
(08:00):
did into stem cells. So they take some stem cells
from the individuals of bone marrow biopsy, they grow them
in culture, but they then shift the genes to produce
dopamine injected into the brain where there is a area
(08:20):
that is missing the dopamine, the basal ganglia. They've now
done that in three people. They're six to seven months
out and those three are cured of their Parkinson's disease.
So really remarkable work. And I'll give you a third one.
Speaker 3 (08:37):
How many years, Mike, how many years do you think
we're away from that being in general use? Are we like?
Two years? Five years, ten?
Speaker 6 (08:44):
Probably at most five? The third one, let me give
you the third one. The in als and in muscular dystrophees.
As you know, the neuron dies and thus the soil
subsequently dies and the people become very frail and they
(09:05):
die with ascending paralysis. Well, they've now found the theme
that they turn on. It's called maf gene and when
you turn it on in animal models, and they've now
done it in animal models and are doing it in France.
In two humans so far. When they turn on that
MAF gene, the muscle recovers and you avoid the frailty
(09:29):
and you can recover the ALS patient as soon as
you've made the diagnosis. Well, only two patients. That one
will be available sooner because ALS is uniformly fatal in
short term, as opposed to Parkinson's disease, where they will
look carefully at the safety and why it'll take five years.
Speaker 3 (09:51):
Now, are they working on fixing the BRC gene. Many
of my patients have that and developed breast cancer or
variant cancer. Are they working on that one?
Speaker 6 (10:00):
If? I'm sure they are, but I don't know if
that works.
Speaker 3 (10:04):
Okay, well that's one. We've all these genetic diseases. We've
you know, we're on the cusp of figuring it out.
It's a very very exciting time in medicine, isn't.
Speaker 6 (10:14):
It incredibly exciting. The same thing is happening with the
basic mechanism of aging. So it looks like you may
Arthur be able to work for the next sixty years
and do this show with Noah for that long.
Speaker 3 (10:27):
Well, you know, I hopefully we'll be able to do
that with I'm speaking with doctor Michael Roysen, host a
former co host of this show. And uh and now
the I guess your title at the Cleveland Clinic. Are
you the Chief Wellness Officer emeritus there? What's your title there?
Speaker 6 (10:45):
Now, that's exactly right. I get to I get to
take care of patients two days a week, one in
executive health, one in wellness, and the rest of the
time I may. I'm working on a longevity code program
we used at the clinic. It saved us one point
five billion dollars over twelve years as we motivated our
(11:08):
one hundred and one thousand patients voluntarily, seventy five thousand
participated and forty four percent that is roughly forty four
thousand got to what we call six plus two normals.
The problem with spreading it is the coaching program was
relatively expensive. Although we save a lot of money, not
(11:30):
many people want to take advantage of it because of
the expense that you have to put up front. But
now we've got it done with an AI coach, Rachel,
who is just wonderful, if you will, very empathetic and
can coach longevity. So we're launching that pretty soon. And
that's a lot of my time is in testing that.
Speaker 3 (11:53):
And Mike, you are one of the most prolific writers
in all of medicine. You've written so many but we
can't even count them anymore, all the U books and
the real age books. What are you working on now?
Speaker 6 (12:04):
We're very lucky, as you know, you helped us with
many of the books, and you know we've got ten
in the top ten on the New York Times lists
and four number ones, So I'm lucky that way. But
the current book is you the Owner's Manual or Solutions
of Solutions or Problem Seniors. Off on face, it's like,
(12:29):
when do you give up the keys? What's the discussion
you have with your parents or with your kids about
giving up the keys? When if you get divorced or
get someone dies in the family, do you get married,
do you get lived together? What are the legal arrangements
and what are the implications of that? When do you
(12:52):
downsize your housset, When do you combine houses? What are
the free nuptials you need on those things? And as
well is how do you stay young longer? So it's
got a lot of information, and of course I'm writing
it with a lawyer.
Speaker 3 (13:07):
It's this time and as doctor Oz involved in that one,
don't know.
Speaker 6 (13:10):
He's involved in writing the forward, not the base of
the He's a little occupied as the administrator of Medicare
and Medicaid and trying to get the obesity drugs covered
by Medicare and medicaid.
Speaker 3 (13:27):
And those are the GLP one drugs which are so
so popular. Now right, I mean, last question for you,
because then we're going to take a break. The show's
only a half hour now, Mike, it used to be
an hour. You know, we had time to talk about
so much. But last question for you. The GLP drugs.
You know what happens. People lose weight. They're wildly popular.
People lose lots and lots of weight. And we're talking
(13:50):
why gov and ozempic and zep bound and all those drugs.
There's something called ozempic face because that people get a
gaunt appearance to you do you think the ozepic face
the you know, the hanging skin of the neck, the
hanging skin of the breast and the belly. Is that
from rapid weight loss and it could be from any
method of weight loss or is there something specific about
(14:13):
these drugs that cause that appearance? What do you think?
Speaker 6 (14:16):
You know, I think it's too rapid weight loss, if
you will, and so I think if we if we
take our time a little bit and go a little
slower and do and the key with those drugs that
course is doing resistance exercise and taking your time and
not advancing too fast. But they are wonderful additions. They
(14:40):
decrease dementia, decrease joint problems, decrease kidney disease, decrease the
lung disease that is, chronic obstructive pulmonary disease as well,
and decrease the risk of cancers from these. So these
drugs have tremendous benefit. And hoping that doctor Ives prevails
(15:03):
in this and getting covered by Medicare and medicaid, so
they would be very beneficial.
Speaker 3 (15:09):
Mike Roysen, thank you so much once again. It's always
great having you on. You know, we got to get
you on more often. I think it's been a good year.
Let's let's get you on more than that. And I
hope to see you soon.
Speaker 6 (15:20):
Mike, I hope so. But you should answer that question,
is it just rapid weight loss or is there something
specific with the GLB one drugs.
Speaker 3 (15:29):
Yeah, my feeling is what you said. I think it's
rapid weight loss because you also see that in very
successful lap bands and gastric bypass you see something very similar.
And and we know that skin has the ability to
shrink and it has ability to grow. And just look
at any pregnant woman and nine months later, most pregnant
women don't have much skin on their belly right after
(15:51):
they've delivered. Some do, some don't have the ability to
shrink that. But in the with the ability to shrink
the skin, if there's a slow weight loss, I think
will get less ozepic face. But that's why God made
plastic surgeons Mike to clean up after the GLP one drugs,
(16:14):
to do the facelifts, do the breast lifts, do the
tummy tucks. And I look at that as the dessert,
no pun intent, and the dessert at the end of
the weight loss. Then you see the plastic surgeon what
I don't agree with, and I'll bet you agree with me.
Do you know that something like half of plastic surgeons
maybe more, are now prescribing the GLP drugs for patients.
(16:36):
I think that's so inappropriate, don't you.
Speaker 6 (16:38):
Well, I don't know how much experience they have. I
think it's really a primary care and endocrine thing.
Speaker 3 (16:45):
It should occur, absolutely. I think it should be a
board certified internal medicine doctor, or a family doctor, or
certainly an etochronologist, but you know, not a plastic surgeon.
I know what my colleagues know, and I would not
feel comfortable with that I prescribing most of them, prescribing
these drugs and doing all the necessary testing and follow
(17:06):
up for metabolic issues and just general medical issues. I
think it's one of those things. And I'll have to say,
I think the reason plastic surgeons are doing it is
not the best reason. I think it's to keep the
patients in their practice so that when the facelif time
does come, we know they haven't left the practice. And
(17:26):
that's not the best medicine. I think good medicine is
practiced as a team approach. Plastic surgeon, internist, even an anesesiologist.
Mike Roysen, thank you so much for taking time on
your Saturday evening.
Speaker 6 (17:39):
Thank you, and I strongly agree with you. Thank you.
Speaker 3 (17:43):
Thanks, Okay, great, have a great night. I'm board certified
plastic surgeon. Doctor Arthur Perry, host of What's Your Wrinkle?
Right here on WO r There's more to the show.
Stay tuned. Eight hundred three to two one zero ten
is the phone number. We'll be right back. Did you
know that your skincare may be hurting you more than
helping you. I'm board certified plastic surgeon, Doctor Arthur Perry.
(18:06):
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
(18:27):
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 of people whose skin is healthier. That's
doctor Perry's Skincare on Amazon dot com. And don't forget
(18:51):
to listen to my radio show right here on wor
every Saturday evening at six pm. 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
(19:11):
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 in my new
Park Avenue office. Together, we'll come up with a plan
(19:34):
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 Perryplastic 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.
(19:55):
What's your wrinkle and what is your wrinkle certified plastic surgeon,
Doctor Arthur Perry hosts of this show for a long
long time, and we just had doctor Michael Roysen on.
Doctor Roysen, of course, was the co host for a
long time when we called this you the Owner's Manual
Radio Show. And a lot of fun having him on.
(20:17):
And he is truly brilliant. And go to the bookstore
and check out the U books. They are still relevant
and still good, and I look forward to his next
book coming out. All right, So I'm a plastic surgeon
and I do cosmetic surgery in my practice. But cosmetic
surgery is it's a pretty big and broad area of
(20:39):
plastic surgery. Plastic surgery, of course, has things like hand
surgery and cranny of facial surgery and burn surgery, general
reconstructive surgery, and of course cosmetic surgery is the most
common part of a plastic surgery and that's the part
that I specialize in. Now, different types of cosmetic surgery
have different benefits. We all know that when we do
(21:00):
face lips, you'll look better. I treat your jowls, I
treat the extra skin of the neck, and we simply
make you look younger and better for your age. When
I do a rhinoplasty, well, a rhinoplasty is a nasal reshaping.
We'll take maybe a big, bulbous nose that's unsightly and
causes you know, self esteem issues and so many people well,
(21:23):
and we'll change the angles and change the size of
the nose. In a three hour procedure, I can do
so much to change your appearance. And rhinoplasts are really
often life changing procedures because people feel so much better
about themselves. In less than an hour, I can suction
fat from the neck. I can put a chin implant
(21:44):
in and build up your chin in a few hours.
We can do breast augmentations and liposuction and tummy tucks.
There's so much benefit to plastic surgery, but most of
those procedures it's cosmetic benefit. Yes, there are psychological benefits also,
but it's cosmetic benefit. But there are some procedures that
(22:05):
we not only get true psychological and cosmetic benefits, but
we get medical benefits. So we'll talk in the next
couple of minutes about those. The first one is an
upper plephoroplastic Oh, one of those big plastic surgery words.
That's an upper eyelid lift. So we've got four eyelids.
A lot of people think we just have two, well,
the uppers and the lowers. And as we get older,
(22:28):
we tend to get more skin on our upper eyelids.
We also get a little bit of fat. The fat
is not new, The skin is new. It kind of grows,
but the fat just sort of herniates out. It's always
been there. But as the tissues weakend, we get more fat.
So with your upper eyelids, as that skin kind of
encroaches on your eyelid, you know, it sort of descends down.
(22:52):
It can then eventually sit on your eyelashes. You start
blinking more often than you would and eventually it gets
to the point where it actually blocks your vision. It's
almost like wearing a baseball hat and then trying to
drive with a baseball bat on. You know, if you're
going up a hill, you have to tilt your head
otherwise you're not really going to see the road. That's
what happens with that extra skin. So a blepheroplasts is
(23:13):
one of those procedures. Then when I remove the skin,
I make you look better, but I also can improve
you medically by giving you more vision, more visual fields.
We open up the visual fields and things look brighter.
So that's one of those procedures. Will insurance pay for it, Yes,
sometimes usually they won't, but if your vision is obstructed enough,
(23:36):
they often will. Another procedure is a breast reduction. Breast reductions,
as your breasts get very large, you get back pain
and neck pain, and bros straps dig into your shoulders
and you get rashes. Like this time of year, when
you go outside, you should be using corn stars around
your breast if you have pretty large breasts, and even
nice statin it's an anti yeast powder. But when we
(23:59):
do a breast red we reduce the size of the
breast and we reduce all those symptoms of excessively large breast.
So that's a second one. And of course tummy tucks.
When you're pregnant, the muscles drift off to the side,
you start slouching, your postures worse, you get low back pain,
and a tummy tuck reverses the changes in the muscle
(24:20):
that occur during pregnancy. So the tummy tuck not only
will make your belly look better, but make your back
feel better. In most cases, we can't guarantee it because
back pain is a significant problem with many many causes.
But if it's caused by the muscles spreading wide after
a pregnancy or weight gain, well, then tummy tuck can
(24:41):
help you, not only not only cosmetically, but medically. All Right,
the show is so short now, wish it were an hour,
wish it were two hours. But I want to thank
Noah for great engineering. The website is Periplastic Surgery dot com.
And if you're interested in the products that we talk about,
it's Amazon. Go to Amazon dot com. You can buy
(25:02):
all the products. Noah, thanks so much for great engineering.
Don't forget. I've got offices in Manhattan and New Jersey.
That's what I do during the week. Bye bye, Now,
I'm a great one.
Speaker 1 (25:11):
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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