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.
Speaker 2 (00:28):
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'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 plauged 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 6 (00:54):
When I was a resident at the University of Chicago,
we had a I.
Speaker 5 (00:57):
Mean, you're smart, as I really really gift his position.
I want to pay you the highest truite I can
give to a surgeon, which is when people come to you,
they don't come for an operation, they come for the opinion.
And that's why I trust you with my friends and relatition.
I didn't realize we were going to get the Michael
Jordan of Plastic Surgeons nine two to one zero bows
to this guide and welcome.
Speaker 6 (01:17):
This is bard certified plastic surgeon, doctor Arthur Perry, and
this is what's your Wrinkle right here on woar and
Straight talk about cosmetic surgery on the podcast world.
Speaker 3 (01:27):
All over, all over the world. We're going to.
Speaker 6 (01:30):
Talk about ozempic and all those weight loss drugs and
what they do to your body and why you need
to come to me after being on ozempic and zep
bound and.
Speaker 3 (01:41):
All those drugs.
Speaker 6 (01:43):
We'll talk about that, we'll talk about you will answer
your questions. This is a call and show here at
wr eight hundred three two one zero seven ten is
the phone number, and you can give us a call.
Ask me the questions that have been keeping you up
at night, and they don't have to be about Oz,
but I'll be talking about that this evening. So who
(02:04):
am I? If this is the first time you've ever
listened to this show. I'm a board certified plastic surgeon.
I've got offices in New Jersey and on Park Avenue
in Manhattan. I am on the faculty of Columbia and
Rutgers Medical School.
Speaker 3 (02:18):
I've written a few books.
Speaker 6 (02:19):
I've been on the Board of Medical Examiners in the
state of New Jersey for ten years, so I've got
an interesting perspective about medicine and about plastic surgery. But
mostly I'm here to answer your questions. I'm a board
certified plastic surgeon, and that means during the day I operate.
I do facelifts and eelid lifts and lippos suction, and
(02:42):
this week I reconstructed a wound on the face after
Moe's surgery after a basil cell carsonomo was removed. And
I do that sort of thing as well as non
invasive things like.
Speaker 3 (02:56):
Botox and fillers, and of all, different types. So that's
who I am. Who are you? Give me a call?
Speaker 6 (03:04):
Eight hundred three two one zero seven to ten is
the phone number at WOOR. The call is free, the
advice priceless, hopefully. And since I'm saying that, of course,
the advice I give is just that, it's it's advice.
It's not telling you how to run your medical care.
(03:24):
You need to talk to your own doctor about your
own specific problems. I'm here to educate, I'm here to
entertain and give you some guidance. But I can't be
your doctor unless I am your doctor, all right, So tonight,
if you do give us a call, we're giving away
bottles of soft time. So what is ozempic? Well, ozempic
(03:45):
and there are a bunch of these different drugs. Now,
there's wigov, there's zep bound. Those are the biggest ones.
They are drugs that have been used for diabetes.
Speaker 3 (03:56):
For a number of years.
Speaker 6 (03:58):
And one of the great side effects is they suppress
appetite and they do that so effectively that you lose weight,
and a lot of it. You can lose twenty twenty
five pounds, thirty pounds, forty pounds. It's an amazing drug.
If you have diabetes and have obesity, then you might
(04:20):
have that drug covered by insurance. If you don't have
diabetes and you're just a few pounds overweight, your doctor
may say, well, it's still an appropriate drug for you,
but you do have to pay out of your pocket.
Do you know that subscription prescriptions not subscriptions. Prescriptions for
drugs like ozepic and wigov and similar type drugs over
(04:42):
the last four years had almost a five hundred percent increase,
with something in the area of ten eleven twelve million
prescriptions written in just the last few months of last year.
It's really a blockbuster series of drug and one of
the reasons is because they are extremely successful in helping
(05:05):
you lose weight, extremely successful in alleviating the symptoms of diabetes,
not type one but type two diabetes, and they also
have many other really nice effects. There's a lower chance
of heart attacks, there's a there's an improvement in neurologic
issues and on coo logic issues. They're really quite interesting drugs,
(05:27):
but they have their downsides. Right, when you lose weight rapidly,
that's a good thing, isn't it. Well, But when you
lose weight rapidly, your body doesn't have a chance to
shrink the skin and readjust, and that happens with almost
any type of weight loss, whether it's a lap band
or gastric bypass surgery or gastric sleeve or now the
(05:51):
drug of choice wegov or ozempic or zep bound. So
when you lose weight that rapidly, your skin can't shrink
the way it does with very slow weight loss. You know,
we have the ability to grow skin, We have the
ability to shrink skin. We know that when you're pregnant,
you grow your skin, and when you deliver the baby,
(06:14):
over the course of about a year or so, you
shrink that skin down. So in most people but not everybody,
but anyway, they've coined the term ozempic face, and I've
kind of coined ozempic body and ozempic breasts because what
happens with the rapid weight loss is that you get
symptoms of just that hanging skin and deep nasal abial
(06:41):
folds on the face, the gels, fine wrinkles, also creepy
skin occur as you deflate your body. And so with
that that's a good thing because you look better and
you're healthier. That's good, but you know, you look better
at a cost. So you come to the plastic surgeon.
You come to me, and I see patients all the
(07:02):
time with ozempic face and other types of loss of skin,
of loss of skin integrity, and hanging skin. So when
we come back from our first break, Noah, let's talk
about what.
Speaker 3 (07:18):
I do as a plastic surgeon.
Speaker 6 (07:19):
Of the people I see who have lost tremendous amounts
of weight, whether it be from ozempic or from gastric
bypass or from lap bands. You might remember some of
you seeing me on the Doctor oz Show where I
did a body lift, a body lift after someone lost
one hundred something pounds, and that was an interesting show.
(07:41):
We went into the operating room and showed the result
before and after. And this is also what we do
with the ozempic type drugs. We're going to take a
short break. Eight hundred three two one zero seven ten
as the phone number. We'll be back after these messages.
(08:04):
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.
(08:25):
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.
Speaker 3 (08:37):
And skin brighteners.
Speaker 6 (08:38):
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 to listen to
my radio show right here on WOR. Every Saturday evening
(08:59):
at six you're listening to What's Your Wrinkle with Doctor
Arthur Perry. What's Your Wrinkle?
Speaker 3 (09:06):
And We're back.
Speaker 6 (09:07):
I'm board certified classic surgeon, doctor Arthur Perry, host of
What's Your Wrinkle right here on wo R. And if
you're not listening to the podcast, why are you not?
Speaker 3 (09:17):
It's so easy.
Speaker 6 (09:18):
You don't have to be tied to the radio at
six pm every Saturday evening. Like Susan Warner, she listens
to this show, she doesn't leave. She listened, right, everybody,
those of you in South Carolina, in California who listen, well,
you could get it on the podcast. You could go
ahead and I go onto iHeart podcasts or Apple podcasts
(09:40):
and look my name up or straight talk about cosmetic
surgery or just put in the word cosmetic surgery and
come up with the podcasts and hit subscribe. Do that please,
And then when you're driving or when you're trying to
go to sleep at night, you want to listen to
this lovely voice. You can listen to this podcast and
(10:02):
I'll put you to sleep faster than any drug.
Speaker 3 (10:04):
All right, so go ahead and do that.
Speaker 6 (10:06):
So why govy or ozempic or zep bound seems to
be the best of all.
Speaker 3 (10:13):
Of those drugs.
Speaker 6 (10:14):
They're so effective in having you lose weight, that you
lose so rapidly that within a few weeks of starting
you see the pounds start to drop off your body.
But you look in the mirror and you say, wait,
wait a minute, now I'm deflated. I have now nasalabial
folds that i didn't have before. I've got jowls that
(10:34):
i didn't have before. I'm sagging before my eyes. And
then you take your clothes off and look at your breasts,
and your breasts are now sagging because the volume mismatch,
that means the amount of breast tissue and fat in
your breast is no longer matched up with your skin,
and so your breast sag and your belly begins to sag,
(10:58):
just like losing a lot of weight from pregnancy or
having gastric bypass surgery, and so you get hanging skin.
You also get hanging skin on your arms and your thighs.
Less commonly we do surgery on those areas. Those are
actually fairly, fairly unusual operations, even though you hear a
lot about those. There's only a few thousand arm lifts
(11:20):
and a few thousand file lists in the United States
each year, but there's hundreds of thousands of facelifts, hundreds
of thousands of breastlifts, and hundreds of thousands of tummy tucks.
So when I see a patient, we need to prioritize
when you've gone from let's say you're a woman who's
five toot five and you are one hundred and eighty pounds,
(11:41):
and you've been on ozepic now for maybe a year,
and it takes about a year to lose most of
the weight. You stay on those drugs, by the way,
You don't just stop them because you could gain the
weight back. You stay on those drugs in a maintenance form.
And the type of doctor that prescribes those no, not
a plastic surgeon, but usually an endochronologist or an internist,
(12:04):
and those are the experts at those drugs.
Speaker 3 (12:07):
If you get.
Speaker 6 (12:08):
Those prescribed by a plastic surgeon, you do have to question,
you know, I know there are some plastic surgeons that
do prescribe those drugs, but I don't think that's right personally.
I think you should be following your nutritional status and
all the things that internists follow, hormone levels and metabolic
(12:30):
parameters like your electrolytes and things of that nature. You
want to do this in a very safe way, particularly
when the weight loss is rapid. So, you know, why
would you go to a plastic surgeon. I would go
to an internist to have my facelift, right, and I
would go to a dentist to have my cosmetic surgeon.
You want to go to the specialist, So you see
(12:50):
the endochronologist for the best weight loss control or the
bariatric doctor or the internist. All right, but when you've
reached your goal, or when you're getting there, when you
look in the mirror and you say, wait a minute, now,
I've got to do something about this. I want to
look young, I want to look refreshed. The first thing
we generally attack is the face and the eyelids. Well,
(13:15):
they're not as affected by weight loss. They really aren't.
Whether you know, when you have sagging skin of your
upper eyelids, that's not a weight dependence condition, nor is
the fat.
Speaker 3 (13:27):
Of your lower lids.
Speaker 6 (13:28):
So I'm doing some eyelids this week. Has nothing to
do with the person's weight. This is a person who actually, interestingly,
I did lots of surgery on twenty years ago, a
breast augmentation and other surgery. And I always say, the
only thing about growing older as a plastic surgeon, as
I get to see my patients as they age, and
(13:50):
my breast augmentation patients and my liposuction patients from twenty
to thirty years ago are now coming in for facelifts
and eyelids surgery, which is what I'm doing this week.
Speaker 3 (14:01):
In New Jersey. So anyway, for.
Speaker 6 (14:05):
The most part aren't looking at eyelids as a symptom
of weight loss, but we are looking at jowls. We
are looking at nasal abial folds. We are looking at
extra skin of the neck, as the fat of the
neck tends.
Speaker 3 (14:20):
To go away when we lose weight.
Speaker 6 (14:22):
We also begin to see fine wrinkles because it's almost
like you know, first you're a grape and then you
become a raisin when you lose that weight. And so
the fine wrinkles of the face are easily addressed in
the office by wrinkle filler, for instance, rest a lane
or juveter in one of those things. The wrinkles of
(14:44):
the forehead really don't have anything to do with weight loss.
Those are treated with botox whether or not you are
losing weight. If you've got those fine wrinkles, the creepy
skin of the face, then we might consider doing a
fractionated car dioxide laser procedure. And I tend to do
very aggressive procedures. I will numb you up. A lot
(15:06):
of people don't numb you up, and they do very
superficial lasers, which is what I used to do.
Speaker 3 (15:11):
But my patients really like to see results.
Speaker 6 (15:14):
And when we go to superficial, you get a little
bit of a benefit, but I like to see a
lot of a lot of benefit. And so I numb
up your forehead, and I numb you up around your
mouth like a dentist does, and then I numb up
your cheeks, and I go to town and I do a
pretty aggressive laser that takes you seven, eight, nine, ten days.
Speaker 3 (15:36):
To recover from.
Speaker 6 (15:38):
You feel just fine, by the way, it's just that
you don't look so good during that recovery period, and
so you stay home and maybe do work from the
on the computer, maybe phone calls and things like that,
but you might not want to go into the office
or see people during recovery from the laser.
Speaker 3 (15:56):
With fillers, with botox.
Speaker 6 (15:58):
The recovery is virtually instant because with makeup you can
go to work the very next day. But if you're
concerned with the jals, and if you're concerned with the
extra turkey gobbler or the neck which is accentuated by
weight loss, then we are talking about a facelift. And
facelifts are very very common after a zempic use, very
common after zep bound use, and very simple to do.
(16:21):
If you're a board certified plastic surgeon as a patient.
I like to have my patients be checked out by
an interness before a facelift. If you're over sixty, certainly
we're going to get a stress test, particularly if you've
been on those weight loss drugs, which means you had
a period of time that you were overweight. And certainly
(16:42):
if you had diabetes that is now ameliorated by those drugs,
that's great, but we want to make sure that your
heart is just fine and you can have surgery with
no events, and so we have a stress test, we
get you checked out by the internest, and then a
facelift is a three to four hour procedure and I
do it over either of Manhattan Iron Ear or at
(17:03):
Robert wood Johnson or at one of the surges centers
I operate at, and it's an outpatient procedure.
Speaker 3 (17:08):
You go home the same.
Speaker 6 (17:09):
Day and your band's bandaged up like a little mummy
for a day or two, and then we take the
stitches out by a week and you're back to work.
Speaker 3 (17:19):
At about two weeks.
Speaker 6 (17:21):
When we come back from our break, we're going to
talk about the other procedures that we do after a
big time weight loss with ozepic and those drugs, the
breast surgery, the tummy tuck surgery, and things of that nature.
Eight hundred three two one zero seven ten is the
phone number here at wore eight hundred three to two
one zero seven ten.
Speaker 3 (17:39):
We'll be back after these words.
Speaker 6 (17:47):
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
(18:08):
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.
(18:28):
That's a three three P E R.
Speaker 3 (18:30):
R y m D.
Speaker 6 (18:32):
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 wor
you are listening to What's Your Wrinkle with Doctor Arthur Perry.
What's Your Wrinkle?
Speaker 3 (18:47):
And we're back.
Speaker 6 (18:48):
We've had some technical difficulties, but I think we should
be good for the rest of the show. We are
broadcasting from Florida, where the signal is a little funny.
So this week, first of all, it's a it's an
a UB index of eight today eight. So I hope
you're all wearing your sunscreen. And I said that earlier
(19:08):
in the show on tape. But it's never been more
important than this time of the year because people get very,
very fooled as the temperatures begin to kind of drop,
but the UB index is still high. So now, what
about did you see that article in what was it Town,
Town and Country magazine about these facelifts that are, you know,
(19:33):
some at a discount and some at two hundred thousand dollars.
Do you think there's a difference between a facelift that
is two hundred thousand dollars, and that's thirty thousand dollars
or even fifteen thousand dollars when it's done by a
board certified plastic surgeon who knows.
Speaker 3 (19:49):
How to do these procedures.
Speaker 6 (19:51):
You know what the difference between a thirty thousand dollars
facelift and a two hundred thousand dollars facelift is. You
know what it is. It's marketing. It's marketing. And I
would certainly challenge different doctors. I mean, there's there's doctors
who charge very little and who do tremendous operations, get
tremendous results, and and then there are surgeons that charge
(20:16):
one hundred and fifty thousand dollars and they make patients
look like muppets. But they've got great pr they've got
a great team behind them, and you know, hats off
to them. But be careful because you know, the same
things apply to facelifts as cardiac surgery as neurosurgery. You
want to find a doctor who's good at what he
(20:36):
does or she does, and one that's safe, one that's
not using gimmicks.
Speaker 3 (20:43):
And you know, calling a.
Speaker 6 (20:45):
Regular facelift, let's say, well, you know, everybody sort of
named them after themselves. Isn't that that's kind of odd,
right when they name a facelift after themselves, or you know,
an S lift or a boomeranger, whatever it is. You
know these funny names that people are putting on standard procedures.
They put a stitch a little bit differently, maybe use
(21:08):
a different material, and put it a quarter inch higher
and call it a uh, you know, a doctor Perry
lift so, and then charge a ridiculous premium on that. So,
don't fall for those things. It's a good article. Uh,
you know, read that article and and be careful and
uh and certainly don't fall for the uh don't fall
(21:28):
for the marketing ploys of facelifts on board certified plastic
search and doctor Arthur Perry most of What's Your Wrinkle?
Right here on wo R Are you? Are you checking
out the podcast? I hope you are, because the podcast
is broadcast whenever you want. You can go to iHeartRadio,
you can go to Apple Uh, you can go to
(21:51):
Apple Podcasts, and you can choose this podcast. All you
have to do is uh, type in my name, doctor
Arthur Perry. We're typing straight talk about cosmetic surgery. That's
the name of the podcast and up will come all well, many,
many hundreds. I've got hundreds of these podcasts up starting
from December of two thousand and five, twenty years ago.
(22:16):
And you can choose the topics and hit subscribe and
that way you'll get those delivered to your inbox as
soon as a new one is posted. All right, So
last week we talked about the quick fixes, the things
that you can do with minimal downtime, and we talked
about al therah, We talked about botox and filler. We
(22:38):
talked about lasers for red spots. But you know, I
had a question this week from a patient, Well what
about lasers for wrinkles? Well, you know, unfortunately those they're
quick fixes, but there's a week of downtime. So I
was talking about procedures where there's really no downtime, minimal downtime,
(22:58):
or you can cover with makeup and go back to
work or to an.
Speaker 3 (23:01):
Event that very same day.
Speaker 6 (23:04):
That does not apply to lasers of the face, because
there is significant downtime with those procedures. Now, I did
have a question an email this week, and I rarely
get to the emails on the show. I used to
have an email hour all the time. But I had
a thirty six year old man who sent me in
(23:25):
a picture of a non pigmented mole on the side
of his nose, and he's bothered by it because it's
exactly where his eyeglasses sit, the nose piece of the eyeglasses.
And he said, well, what is the story about removing
that mole? And I looked at the picture that he
showed me, and it certainly doesn't have any characteristics of
(23:47):
bad mules.
Speaker 3 (23:47):
And what are they?
Speaker 6 (23:48):
Well, moles that are more than six millimeters in diameter,
moles that have more than two colors, more than one
color really, moles that bleed, of course, moles that have
irregular those that really get my attention. But most people
have twenty to thirty moles in their body and you
can't remove all of them, you know, I can, but
no one really wants all those moles removed, but this
(24:10):
particular one. When we take off a mole from a
cosmetically sensitive place, we need to be sure that the
mole removal will be better, the resulting scar will be
better than the mole itself. And what does that mean, Well,
you know, men are not going to cover with makeup,
but the mole itself. If it's visible in this particular case,
(24:33):
it tilts his eyeglasses. So this is kind of an
easy solution for him. We remove the mole in about
a half an hour, put some stitches in, orient the
incision in the proper direction, and put two layers of
stitches in, and then take the stitches out of a
week or so, and in most cases ninety five to
ninety seven percent of cases, that resulting scar will be
(24:56):
significantly better than the appearance of the mole. And you know,
the worse the mole looks, the easier the decision is
to remove the mole, and how it looks in terms
of cosmetic unhappiness, that really doesn't have a lot to
do with the biology of the mall. All right, the
show is coming to an end. It was kind of
(25:16):
an abbreviated hybrid show this evening. I want to thank
Noah for for kind of being the guy in the
studio rescuing the signal. I'm doctor Arthur Perry. The website
is Perry Plastic Surgery dot com. The phone number in
the New York office is two one two seven five
three eighteen twenty. That's two one two seven five three
(25:39):
eighteen twenty. And if you want the products, if you're
interested in the products that we talk about on the show.
Speaker 3 (25:47):
It's Amazon dot com. That's where you have to get them.
Speaker 6 (25:49):
Amazon dot com with all the great advantages of fast
delivery and specials and subscriptions. All right, hopefully next week, Noah,
we won't have the issues we had today. But you
are an ace in the studio. Thanks so much, everybody.
Speaker 3 (26:04):
I'll see you all, stay stay cool this week. It's
gonna be very umid to use your subscript about it.
Speaker 1 (26:10):
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.
Speaker 2 (00:28):
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'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 plauged 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 6 (00:54):
When I was a resident at the University of Chicago,
we had a I.
Speaker 5 (00:57):
Mean, you're smart, as I really really gift his position.
I want to pay you the highest truite I can
give to a surgeon, which is when people come to you,
they don't come for an operation, they come for the opinion.
And that's why I trust you with my friends and relatition.
I didn't realize we were going to get the Michael
Jordan of Plastic Surgeons nine two to one zero bows
to this guide and welcome.
Speaker 6 (01:17):
This is bard certified plastic surgeon, doctor Arthur Perry, and
this is what's your Wrinkle right here on woar and
Straight talk about cosmetic surgery on the podcast world.
Speaker 3 (01:27):
All over, all over the world. We're going to.
Speaker 6 (01:30):
Talk about ozempic and all those weight loss drugs and
what they do to your body and why you need
to come to me after being on ozempic and zep
bound and.
Speaker 3 (01:41):
All those drugs.
Speaker 6 (01:43):
We'll talk about that, we'll talk about you will answer
your questions. This is a call and show here at
wr eight hundred three two one zero seven ten is
the phone number, and you can give us a call.
Ask me the questions that have been keeping you up
at night, and they don't have to be about Oz,
but I'll be talking about that this evening. So who
(02:04):
am I? If this is the first time you've ever
listened to this show. I'm a board certified plastic surgeon.
I've got offices in New Jersey and on Park Avenue
in Manhattan. I am on the faculty of Columbia and
Rutgers Medical School.
Speaker 3 (02:18):
I've written a few books.
Speaker 6 (02:19):
I've been on the Board of Medical Examiners in the
state of New Jersey for ten years, so I've got
an interesting perspective about medicine and about plastic surgery. But
mostly I'm here to answer your questions. I'm a board
certified plastic surgeon, and that means during the day I operate.
I do facelifts and eelid lifts and lippos suction, and
(02:42):
this week I reconstructed a wound on the face after
Moe's surgery after a basil cell carsonomo was removed. And
I do that sort of thing as well as non
invasive things like.
Speaker 3 (02:56):
Botox and fillers, and of all, different types. So that's
who I am. Who are you? Give me a call?
Speaker 6 (03:04):
Eight hundred three two one zero seven to ten is
the phone number at WOOR. The call is free, the
advice priceless, hopefully. And since I'm saying that, of course,
the advice I give is just that, it's it's advice.
It's not telling you how to run your medical care.
(03:24):
You need to talk to your own doctor about your
own specific problems. I'm here to educate, I'm here to
entertain and give you some guidance. But I can't be
your doctor unless I am your doctor, all right, So tonight,
if you do give us a call, we're giving away
bottles of soft time. So what is ozempic? Well, ozempic
(03:45):
and there are a bunch of these different drugs. Now,
there's wigov, there's zep bound. Those are the biggest ones.
They are drugs that have been used for diabetes.
Speaker 3 (03:56):
For a number of years.
Speaker 6 (03:58):
And one of the great side effects is they suppress
appetite and they do that so effectively that you lose weight,
and a lot of it. You can lose twenty twenty
five pounds, thirty pounds, forty pounds. It's an amazing drug.
If you have diabetes and have obesity, then you might
(04:20):
have that drug covered by insurance. If you don't have
diabetes and you're just a few pounds overweight, your doctor
may say, well, it's still an appropriate drug for you,
but you do have to pay out of your pocket.
Do you know that subscription prescriptions not subscriptions. Prescriptions for
drugs like ozepic and wigov and similar type drugs over
(04:42):
the last four years had almost a five hundred percent increase,
with something in the area of ten eleven twelve million
prescriptions written in just the last few months of last year.
It's really a blockbuster series of drug and one of
the reasons is because they are extremely successful in helping
(05:05):
you lose weight, extremely successful in alleviating the symptoms of diabetes,
not type one but type two diabetes, and they also
have many other really nice effects. There's a lower chance
of heart attacks, there's a there's an improvement in neurologic
issues and on coo logic issues. They're really quite interesting drugs,
(05:27):
but they have their downsides. Right, when you lose weight rapidly,
that's a good thing, isn't it. Well, But when you
lose weight rapidly, your body doesn't have a chance to
shrink the skin and readjust, and that happens with almost
any type of weight loss, whether it's a lap band
or gastric bypass surgery or gastric sleeve or now the
(05:51):
drug of choice wegov or ozempic or zep bound. So
when you lose weight that rapidly, your skin can't shrink
the way it does with very slow weight loss. You know,
we have the ability to grow skin, We have the
ability to shrink skin. We know that when you're pregnant,
you grow your skin, and when you deliver the baby,
(06:14):
over the course of about a year or so, you
shrink that skin down. So in most people but not everybody,
but anyway, they've coined the term ozempic face, and I've
kind of coined ozempic body and ozempic breasts because what
happens with the rapid weight loss is that you get
symptoms of just that hanging skin and deep nasal abial
(06:41):
folds on the face, the gels, fine wrinkles, also creepy
skin occur as you deflate your body. And so with
that that's a good thing because you look better and
you're healthier. That's good, but you know, you look better
at a cost. So you come to the plastic surgeon.
You come to me, and I see patients all the
(07:02):
time with ozempic face and other types of loss of skin,
of loss of skin integrity, and hanging skin. So when
we come back from our first break, Noah, let's talk
about what.
Speaker 3 (07:18):
I do as a plastic surgeon.
Speaker 6 (07:19):
Of the people I see who have lost tremendous amounts
of weight, whether it be from ozempic or from gastric
bypass or from lap bands. You might remember some of
you seeing me on the Doctor oz Show where I
did a body lift, a body lift after someone lost
one hundred something pounds, and that was an interesting show.
(07:41):
We went into the operating room and showed the result
before and after. And this is also what we do
with the ozempic type drugs. We're going to take a
short break. Eight hundred three two one zero seven ten
as the phone number. We'll be back after these messages.
(08:04):
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.
(08:25):
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.
Speaker 3 (08:37):
And skin brighteners.
Speaker 6 (08:38):
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 to listen to
my radio show right here on WOR. Every Saturday evening
(08:59):
at six you're listening to What's Your Wrinkle with Doctor
Arthur Perry. What's Your Wrinkle?
Speaker 3 (09:06):
And We're back.
Speaker 6 (09:07):
I'm board certified classic surgeon, doctor Arthur Perry, host of
What's Your Wrinkle right here on wo R. And if
you're not listening to the podcast, why are you not?
Speaker 3 (09:17):
It's so easy.
Speaker 6 (09:18):
You don't have to be tied to the radio at
six pm every Saturday evening. Like Susan Warner, she listens
to this show, she doesn't leave. She listened, right, everybody,
those of you in South Carolina, in California who listen, well,
you could get it on the podcast. You could go
ahead and I go onto iHeart podcasts or Apple podcasts
(09:40):
and look my name up or straight talk about cosmetic
surgery or just put in the word cosmetic surgery and
come up with the podcasts and hit subscribe. Do that please,
And then when you're driving or when you're trying to
go to sleep at night, you want to listen to
this lovely voice. You can listen to this podcast and
(10:02):
I'll put you to sleep faster than any drug.
Speaker 3 (10:04):
All right, so go ahead and do that.
Speaker 6 (10:06):
So why govy or ozempic or zep bound seems to
be the best of all.
Speaker 3 (10:13):
Of those drugs.
Speaker 6 (10:14):
They're so effective in having you lose weight, that you
lose so rapidly that within a few weeks of starting
you see the pounds start to drop off your body.
But you look in the mirror and you say, wait,
wait a minute, now I'm deflated. I have now nasalabial
folds that i didn't have before. I've got jowls that
(10:34):
i didn't have before. I'm sagging before my eyes. And
then you take your clothes off and look at your breasts,
and your breasts are now sagging because the volume mismatch,
that means the amount of breast tissue and fat in
your breast is no longer matched up with your skin,
and so your breast sag and your belly begins to sag,
(10:58):
just like losing a lot of weight from pregnancy or
having gastric bypass surgery, and so you get hanging skin.
You also get hanging skin on your arms and your thighs.
Less commonly we do surgery on those areas. Those are
actually fairly, fairly unusual operations, even though you hear a
lot about those. There's only a few thousand arm lifts
(11:20):
and a few thousand file lists in the United States
each year, but there's hundreds of thousands of facelifts, hundreds
of thousands of breastlifts, and hundreds of thousands of tummy tucks.
So when I see a patient, we need to prioritize
when you've gone from let's say you're a woman who's
five toot five and you are one hundred and eighty pounds,
(11:41):
and you've been on ozepic now for maybe a year,
and it takes about a year to lose most of
the weight. You stay on those drugs, by the way,
You don't just stop them because you could gain the
weight back. You stay on those drugs in a maintenance form.
And the type of doctor that prescribes those no, not
a plastic surgeon, but usually an endochronologist or an internist,
(12:04):
and those are the experts at those drugs.
Speaker 3 (12:07):
If you get.
Speaker 6 (12:08):
Those prescribed by a plastic surgeon, you do have to question,
you know, I know there are some plastic surgeons that
do prescribe those drugs, but I don't think that's right personally.
I think you should be following your nutritional status and
all the things that internists follow, hormone levels and metabolic
(12:30):
parameters like your electrolytes and things of that nature. You
want to do this in a very safe way, particularly
when the weight loss is rapid. So, you know, why
would you go to a plastic surgeon. I would go
to an internist to have my facelift, right, and I
would go to a dentist to have my cosmetic surgeon.
You want to go to the specialist, So you see
(12:50):
the endochronologist for the best weight loss control or the
bariatric doctor or the internist. All right, but when you've
reached your goal, or when you're getting there, when you
look in the mirror and you say, wait a minute, now,
I've got to do something about this. I want to
look young, I want to look refreshed. The first thing
we generally attack is the face and the eyelids. Well,
(13:15):
they're not as affected by weight loss. They really aren't.
Whether you know, when you have sagging skin of your
upper eyelids, that's not a weight dependence condition, nor is
the fat.
Speaker 3 (13:27):
Of your lower lids.
Speaker 6 (13:28):
So I'm doing some eyelids this week. Has nothing to
do with the person's weight. This is a person who actually, interestingly,
I did lots of surgery on twenty years ago, a
breast augmentation and other surgery. And I always say, the
only thing about growing older as a plastic surgeon, as
I get to see my patients as they age, and
(13:50):
my breast augmentation patients and my liposuction patients from twenty
to thirty years ago are now coming in for facelifts
and eyelids surgery, which is what I'm doing this week.
Speaker 3 (14:01):
In New Jersey. So anyway, for.
Speaker 6 (14:05):
The most part aren't looking at eyelids as a symptom
of weight loss, but we are looking at jowls. We
are looking at nasal abial folds. We are looking at
extra skin of the neck, as the fat of the
neck tends.
Speaker 3 (14:20):
To go away when we lose weight.
Speaker 6 (14:22):
We also begin to see fine wrinkles because it's almost
like you know, first you're a grape and then you
become a raisin when you lose that weight. And so
the fine wrinkles of the face are easily addressed in
the office by wrinkle filler, for instance, rest a lane
or juveter in one of those things. The wrinkles of
(14:44):
the forehead really don't have anything to do with weight loss.
Those are treated with botox whether or not you are
losing weight. If you've got those fine wrinkles, the creepy
skin of the face, then we might consider doing a
fractionated car dioxide laser procedure. And I tend to do
very aggressive procedures. I will numb you up. A lot
(15:06):
of people don't numb you up, and they do very
superficial lasers, which is what I used to do.
Speaker 3 (15:11):
But my patients really like to see results.
Speaker 6 (15:14):
And when we go to superficial, you get a little
bit of a benefit, but I like to see a
lot of a lot of benefit. And so I numb
up your forehead, and I numb you up around your
mouth like a dentist does, and then I numb up
your cheeks, and I go to town and I do a
pretty aggressive laser that takes you seven, eight, nine, ten days.
Speaker 3 (15:36):
To recover from.
Speaker 6 (15:38):
You feel just fine, by the way, it's just that
you don't look so good during that recovery period, and
so you stay home and maybe do work from the
on the computer, maybe phone calls and things like that,
but you might not want to go into the office
or see people during recovery from the laser.
Speaker 3 (15:56):
With fillers, with botox.
Speaker 6 (15:58):
The recovery is virtually instant because with makeup you can
go to work the very next day. But if you're
concerned with the jals, and if you're concerned with the
extra turkey gobbler or the neck which is accentuated by
weight loss, then we are talking about a facelift. And
facelifts are very very common after a zempic use, very
common after zep bound use, and very simple to do.
(16:21):
If you're a board certified plastic surgeon as a patient.
I like to have my patients be checked out by
an interness before a facelift. If you're over sixty, certainly
we're going to get a stress test, particularly if you've
been on those weight loss drugs, which means you had
a period of time that you were overweight. And certainly
(16:42):
if you had diabetes that is now ameliorated by those drugs,
that's great, but we want to make sure that your
heart is just fine and you can have surgery with
no events, and so we have a stress test, we
get you checked out by the internest, and then a
facelift is a three to four hour procedure and I
do it over either of Manhattan Iron Ear or at
(17:03):
Robert wood Johnson or at one of the surges centers
I operate at, and it's an outpatient procedure.
Speaker 3 (17:08):
You go home the same.
Speaker 6 (17:09):
Day and your band's bandaged up like a little mummy
for a day or two, and then we take the
stitches out by a week and you're back to work.
Speaker 3 (17:19):
At about two weeks.
Speaker 6 (17:21):
When we come back from our break, we're going to
talk about the other procedures that we do after a
big time weight loss with ozepic and those drugs, the
breast surgery, the tummy tuck surgery, and things of that nature.
Eight hundred three two one zero seven ten is the
phone number here at wore eight hundred three to two
one zero seven ten.
Speaker 3 (17:39):
We'll be back after these words.
Speaker 6 (17:47):
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
(18:08):
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.
(18:28):
That's a three three P E R.
Speaker 3 (18:30):
R y m D.
Speaker 6 (18:32):
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 wor
you are listening to What's Your Wrinkle with Doctor Arthur Perry.
What's Your Wrinkle?
Speaker 3 (18:47):
And we're back.
Speaker 6 (18:48):
We've had some technical difficulties, but I think we should
be good for the rest of the show. We are
broadcasting from Florida, where the signal is a little funny.
So this week, first of all, it's a it's an
a UB index of eight today eight. So I hope
you're all wearing your sunscreen. And I said that earlier
(19:08):
in the show on tape. But it's never been more
important than this time of the year because people get very,
very fooled as the temperatures begin to kind of drop,
but the UB index is still high. So now, what
about did you see that article in what was it Town,
Town and Country magazine about these facelifts that are, you know,
(19:33):
some at a discount and some at two hundred thousand dollars.
Do you think there's a difference between a facelift that
is two hundred thousand dollars, and that's thirty thousand dollars
or even fifteen thousand dollars when it's done by a
board certified plastic surgeon who knows.
Speaker 3 (19:49):
How to do these procedures.
Speaker 6 (19:51):
You know what the difference between a thirty thousand dollars
facelift and a two hundred thousand dollars facelift is. You
know what it is. It's marketing. It's marketing. And I
would certainly challenge different doctors. I mean, there's there's doctors
who charge very little and who do tremendous operations, get
tremendous results, and and then there are surgeons that charge
(20:16):
one hundred and fifty thousand dollars and they make patients
look like muppets. But they've got great pr they've got
a great team behind them, and you know, hats off
to them. But be careful because you know, the same
things apply to facelifts as cardiac surgery as neurosurgery. You
want to find a doctor who's good at what he
(20:36):
does or she does, and one that's safe, one that's
not using gimmicks.
Speaker 3 (20:43):
And you know, calling a.
Speaker 6 (20:45):
Regular facelift, let's say, well, you know, everybody sort of
named them after themselves. Isn't that that's kind of odd,
right when they name a facelift after themselves, or you know,
an S lift or a boomeranger, whatever it is. You
know these funny names that people are putting on standard procedures.
They put a stitch a little bit differently, maybe use
(21:08):
a different material, and put it a quarter inch higher
and call it a uh, you know, a doctor Perry
lift so, and then charge a ridiculous premium on that. So,
don't fall for those things. It's a good article. Uh,
you know, read that article and and be careful and
uh and certainly don't fall for the uh don't fall
(21:28):
for the marketing ploys of facelifts on board certified plastic
search and doctor Arthur Perry most of What's Your Wrinkle?
Right here on wo R Are you? Are you checking
out the podcast? I hope you are, because the podcast
is broadcast whenever you want. You can go to iHeartRadio,
you can go to Apple Uh, you can go to
(21:51):
Apple Podcasts, and you can choose this podcast. All you
have to do is uh, type in my name, doctor
Arthur Perry. We're typing straight talk about cosmetic surgery. That's
the name of the podcast and up will come all well, many,
many hundreds. I've got hundreds of these podcasts up starting
from December of two thousand and five, twenty years ago.
(22:16):
And you can choose the topics and hit subscribe and
that way you'll get those delivered to your inbox as
soon as a new one is posted. All right, So
last week we talked about the quick fixes, the things
that you can do with minimal downtime, and we talked
about al therah, We talked about botox and filler. We
(22:38):
talked about lasers for red spots. But you know, I
had a question this week from a patient, Well what
about lasers for wrinkles? Well, you know, unfortunately those they're
quick fixes, but there's a week of downtime. So I
was talking about procedures where there's really no downtime, minimal downtime,
(22:58):
or you can cover with makeup and go back to
work or to an.
Speaker 3 (23:01):
Event that very same day.
Speaker 6 (23:04):
That does not apply to lasers of the face, because
there is significant downtime with those procedures. Now, I did
have a question an email this week, and I rarely
get to the emails on the show. I used to
have an email hour all the time. But I had
a thirty six year old man who sent me in
(23:25):
a picture of a non pigmented mole on the side
of his nose, and he's bothered by it because it's
exactly where his eyeglasses sit, the nose piece of the eyeglasses.
And he said, well, what is the story about removing
that mole? And I looked at the picture that he
showed me, and it certainly doesn't have any characteristics of
(23:47):
bad mules.
Speaker 3 (23:47):
And what are they?
Speaker 6 (23:48):
Well, moles that are more than six millimeters in diameter,
moles that have more than two colors, more than one
color really, moles that bleed, of course, moles that have
irregular those that really get my attention. But most people
have twenty to thirty moles in their body and you
can't remove all of them, you know, I can, but
no one really wants all those moles removed, but this
(24:10):
particular one. When we take off a mole from a
cosmetically sensitive place, we need to be sure that the
mole removal will be better, the resulting scar will be
better than the mole itself. And what does that mean, Well,
you know, men are not going to cover with makeup,
but the mole itself. If it's visible in this particular case,
(24:33):
it tilts his eyeglasses. So this is kind of an
easy solution for him. We remove the mole in about
a half an hour, put some stitches in, orient the
incision in the proper direction, and put two layers of
stitches in, and then take the stitches out of a
week or so, and in most cases ninety five to
ninety seven percent of cases, that resulting scar will be
(24:56):
significantly better than the appearance of the mole. And you know,
the worse the mole looks, the easier the decision is
to remove the mole, and how it looks in terms
of cosmetic unhappiness, that really doesn't have a lot to
do with the biology of the mall. All right, the
show is coming to an end. It was kind of
(25:16):
an abbreviated hybrid show this evening. I want to thank
Noah for for kind of being the guy in the
studio rescuing the signal. I'm doctor Arthur Perry. The website
is Perry Plastic Surgery dot com. The phone number in
the New York office is two one two seven five
three eighteen twenty. That's two one two seven five three
(25:39):
eighteen twenty. And if you want the products, if you're
interested in the products that we talk about on the show.
Speaker 3 (25:47):
It's Amazon dot com. That's where you have to get them.
Speaker 6 (25:49):
Amazon dot com with all the great advantages of fast
delivery and specials and subscriptions. All right, hopefully next week, Noah,
we won't have the issues we had today. But you
are an ace in the studio. Thanks so much, everybody.
Speaker 3 (26:04):
I'll see you all, stay stay cool this week. It's
gonna be very umid to use your subscript about it.
Speaker 1 (26:10):
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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