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, and
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 4 (00:28):
The public doesn't get a damn.
Speaker 3 (00:30):
And I went to his office and I said, I said,
look at my face. He goes, yeah, look at your face.
We're going to do with your fan. What can you
do with his face? I go like that, I saw
what I got. I go look at this. I'm getting old.
I said, I wanna maybe you get fix it up
a little bit.
Speaker 5 (00:41):
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 4 (00:46):
You want to talk to Arthur Perry the best in plastic.
Speaker 5 (00:49):
Surgery and workable knowledge, but also your grace at delivery 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.
Speaker 5 (00:57):
A me you smart as I really really gift his position.
I want to pay you the big the highest tree
I can give to a surgeon, which is when people
come to you, they don't come for an operation, they
come for an opinion. And that's why I trust you
with my friends and relatives. I didn't realize we were
going to get the Michael Jordan of Plastic Surgeons nine
O two and zero.
Speaker 3 (01:13):
Bows to this guy, and welcome.
Speaker 6 (01:17):
This is BORD certified plastic surgeon, doctor Arthur Perry, and
this is what's your wrinkle right here on wo R.
I hope you're having a wonderful November right before Thanksgiving
and you're listening to this show. Thank you so much.
And if you're listening on the Internet or through the podcast,
it's straight talk about cosmetic surgery. That is the name
(01:38):
of the show. And that is because we talk about
America's favorite topic. It's not sports, is it, it's not sex,
It's it's cosmetic surgery. We know that no one knows
that anyway, So I'm a board certified plastic surgeon. I
do facelifts and eyelid lifts and inject bowtoks and fillers
and laser people and all those things. I spend my
(02:01):
days helping you look as good as possible. And that's
what the show is all about. Give us a call.
Eight hundred three two one zero seven ten. Is the
phone number here at wo R eight hundred three two
one zero seven ten. We are broadcasting why from the
upper west side of Manhattan, overlooking Columbus Circle and Lincoln
Center and beautiful New York. And give me a call
(02:24):
eight hundred three to two one zero seven ten. If
let's say you're going to the plastic surgeon this week,
you're not sure what you are going to talk about.
You just have this nebulous concept.
Speaker 3 (02:35):
Let's talk about it.
Speaker 6 (02:36):
Let's maybe organize your consultation this week. And if you've
had surgery in the past and maybe you're not sure
about well, has it come out okay? Is this residual
wrinkle supposed to be there that spot? Give me a call.
I'd be happy to help you out and answer the
question to you know, what's keeping you up at night?
(02:57):
And by the way, we're giving away bottles of Nighttime.
Nighttime is my one stop shopping for skincare. It's got
everything you need in a skincare program in just one
light serum that you put on before you go to
sleep at night. It's got vitamin A and vitamin C,
fruit acids, It's got antioxidants and skin brighteners and all
the things that are scientifically proven to make a difference.
(03:20):
I left out the things that don't make a difference,
and most of skincare. If you go to the big
stores and you look through all these products, you know,
sometimes I look at these things and I almost laugh.
You know, people think, what's this guy doing looking at
this skincare and laughing. If they put vitamin C in
a mourning program, it's useless, right, because vitamin C gets
(03:43):
destroyed by light. That's just one of the many things.
How about those big peptides you've heard of, I would
say it's a front page story in the New York
Times because they can't penetrate the skin. So you're spending
all that money on these very expensive things that just
sit on the surface of your skin and do absolutely nothing.
All right, Well, tonight's show, we are going to talk
(04:04):
about lips. You know, I just attended the annual meeting
of the New York Society of Plastic Surgeons. We had
our annual meeting in Manhattan today, and it's always interesting
to hear the things that are new and the things
that were the biggest thing in plastic surgery ten or
fifteen years ago and now no one would ever do.
Speaker 3 (04:24):
That's so funny.
Speaker 6 (04:25):
And I've been around a long time, and the perspective
I have is kind of interesting because I went to
my very first plastic surgery meeting in nineteen eighty one. Wow,
long long time ago, when I was a little medical student.
And every year I go to these meetings and listen
to the new things, and you know, twenty thirty years later,
(04:49):
almost forty years later, almost nothing that we said was
landmark forty years ago, thirty five years ago is in
practice now.
Speaker 3 (04:58):
So you have to stay up.
Speaker 6 (04:59):
So today we're going to talk about one of the
things we did speak about at the meeting, lip lifting liplifting,
you know, making your lip well smaller, larger, or actually
elevating it. There's a whole science to that we're going
to talk about that. We're also going to talk about
nitrous oxide. How many of you have had nitrous oxide
(05:21):
in let's say the dental office, or worse, how about
a SPA for a spa procedure. Well, yeah, it might
not be such a good idea. We're going to talk
about that in just a few minutes. And if we
have time, we're going to talk about President Trump's effect
on beauty. It's called the Marra a Lago effect. And yeah,
(05:41):
it's sweeping through the country and it's a little odd,
but we can talk about that too. And by the way,
if you know, I want to say this right from
the beginning. This is you know, the Black Friday, Cyber Monday,
Thanksgiving week coming up, and everybody waits, and I know
you hold off buying my products. I've got Nighttime and
(06:02):
Daytime is the daytime skin protector, and Nighttime is nutrition
for the skin. And that great soap that has three patents,
Clean Time soap, and soft Time the moisturizer that is
so light and wonderful to your skin. Well, yep, it's
Black Friday special on Amazon, twenty five percent off. You've
(06:22):
been waiting a long time. I know a lot of
people email me throughout the year. Why don't you have
the sales you used to have. Well, here it is,
so go to it because it's in effect. Now you
go to Amazon dot Com and you can purchase any
of those products in whatever quantities you want. And don't
forget the stocking stuffers, right, you know this is time
you'll want to really stock up on those products. And
(06:47):
there are limited supplies, you know, so it's not going
to stay forever. Amazon is stocked to a certain extent,
and you know they're sort of an autopilot and when
they sell out, that would be it. So you'll want
to get those specials early. All right, So I'm board
Servey plastic surgeon, doctor Arthur Perry, and who are you.
(07:08):
Eight hundred and three to two one zero seven to
ten is the phone number here at wo R. We're
gonna take our first break, Noah, and we're gonna come
back and we're gonna talk about lips in just a minute.
Everyone should have a skin cancer check yearly. It's as
(07:29):
important as a colonoscopy or a mammogram. But it's tough
to find a dermatologist that does a thorough check. But
there is a breakthrough in skin detection and monitoring at
Elitra Health in Manhattan. They have a new AI driven
computerized camera system that takes a three D photograph of
your entire body in just seconds. It'll analyze your moles
(07:50):
and tell you if any are suspicious, and they can
even do a quick biapsy if it's necessary. I had
to scan myself at Elitra Health, and I've sent my
family member to schedule your scan, called Jennifer at six
four six three six two forty five forty two.
Speaker 3 (08:06):
That's six four six three six two forty five forty two.
Speaker 6 (08:10):
Or go to www dot eleitrahealth dot com slash dermatology.
There's only a few of these machines in the country,
but Eleitra can schedule you right away. And if you
mentioned the Pery ten code that's Perry ten, they'll take
ten percent off of your fee. That's Eleitra Health six
four six three six two forty five forty two. Did
(08:33):
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.
(08:53):
It's actually good for your skin. Protect your skin with
my Daytime SPF twenty cream in the evening, your skin
with my Powerhouse Nighttime Serum. Nighttime has Vitamin CNA, antioxidants
and skin brighteners. And if you like moisturizers, well I've
created Soft Time with seramides and vitamin D. Throw away
the bags of useless products and try doctor Perry's Skincare.
(09:17):
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 wo
R Every Saturday evening at six pm. You're listening to
What's Your Wrinkle with Doctor Arthur Perry. What's your wrinkle?
Speaker 3 (09:34):
And what is your Wrinkle?
Speaker 6 (09:36):
I'm BORD certified plastic surgeon, Doctor Arthur Perry, host of
the show. For coming up just a couple more weeks
is the twentieth anniversary. Noah, I hope you have all
those you know, the cake and all the things that
the gala, the champagne. It's going to be a great night,
all right. Well, it was the annual meeting of the
New York Society of Plastic Surgeons. It sounds like, you know, society.
(10:00):
It's an educational meeting and all day long, from eight
or so this morning until ending right around four o'clock.
There were sessions on nose surgery and breast surgery and
lip surgery. Very interesting meeting, and my colleagues all go
there and a lot of very interesting speakers from around
(10:21):
the country. One of the sessions was on lip lifting.
And it sounds like such a small thing, right. You know,
in plastic surgery, we do so many different procedures cosmetic surgery.
The biggest one is probably a body lift, and then
tummy tucks and breast reductions and breastlifts and then facelifts
and all those procedures that we like to do. A
(10:42):
smaller procedure is a lip lift. And many people come
into my office and they say, well, you know, I
don't really know what's going on, what's wrong, but I'm
just not happy with my appearance. And when I go
through a consultation with my patients, I start, you know,
at the hairline at the forehead and go to the
brows and the eyelids and the nose. We look at
(11:04):
the skin and the cheeks and the neck, and then
it depends on if it's just facial rejuvenation, we kind
of stop there. But a lot of people don't think
about their lips. But lips go through changes as you
get older. So you know, you know that when you
were twenty and even thirty, your lips were luscious, you know,
(11:24):
kind of large and shapely, and they were a very
central part of your body. But starting at about age thirty,
they begin to kind of disappear. They really do. They
lose volume. Just like your skin loses volume, they lose fat.
You actually have fat in your lip, and in fact,
your lower lip loses fat and you get a line
(11:47):
in your lower lip, a second line, so you have
the border of the lip and then a line just
above it. And if you look in the mirror, if
you're not driving, you'll know what I'm talking about. If
you're over about fifty five, with your upper lip, it
just sort oflutes and your lipstick begins to bleed into
the surrounding skin. And the more wrinkles you have, the
(12:08):
more it bleeds. And the reason for that bleeding is
because yes, your skin is thinning, but also the border
called the vermilion border, which is the junction of the
white and red of your upper lip and also your
lower lip, but particularly the upper lip. It really begins
to go away. And if you have a twenty year
(12:29):
old daughter, go up to her and feel. Tell her
you're doing this, Feel her upper lip. Run your finger
from her nose down to the lip, and you'll feel
a little bit of a ridge. It's called the vermilion border.
That ridge is gone by the time you're sixty and
because of that, it accelerates those lipstick bleed lines that
(12:50):
most women get. It's one of the ironies of life.
Most men don't get those, it's kind of interesting, but
women do. If you're a smoker, you're gonna get those
in a very accelerated way. If you get a lot
of sun exposure, yes it's going to come fast. But regardless,
your skin is thinning at a rate of about one
percent per year, and with that you get those wrinkles
(13:11):
and also changes around your lip. The upper lip tends
to lengthen as you get older, and it lengthens in
a real way and kind of an unreal way. And
what does that mean If we were to actually measure
the upper lip when you're twenty and when you're sixty,
it's longer in almost everybody. But also as you lose
(13:36):
volume of your lip, it kind of changes the angle.
And so what we do in plastic surgery there's a
bunch of different procedures now, and one of those procedures
is called a lip lift. Now, it was fairly controversial
for many, many years because a lot of plastic surgeons
put incisions right above that vermilion border.
Speaker 3 (13:56):
And it worked.
Speaker 6 (13:56):
It lifted the lip and lifted the corners of the lips,
but it gave a really unsightly scar, and it made
it so that you would never leave your house without
makeup with that scar. So that's not really acceptable in
plastic surgery. While scars are an inevitable part of many
of the procedures we do, our goal in plastic surgery
(14:19):
is to have scars that are so acceptable that after
a certain amount of time, whether that's three, six or
twelve months, you should not require makeup to cover those scars.
And so a procedure called a liplift was designed, and
actually it was described almost twenty years ago, but it
really hasn't caught on until very very recently. The last
(14:40):
year or two, and again, the influencers out there have
influenced all of us. They've influenced you, they've influenced plastic surgeons,
and because of that, there's been a surge no pun
intended of lip lips, and the procedure is done under
local anesthesia. I do them right in my office. We
don't have to go to the surgeon center. We don't
(15:01):
have to go to the hospital. We can just numb
up your upper lip and I make an incision right
at the base of your nose and it kind of
goes around the nose. That's called the aila, you know,
the nostril goes around it. It's kind of in the
shape of a mustache. And we remove a varying amount
(15:21):
of skin depending on how long your upper lip is. Now,
with you not smiling, about one millimeter of your teeth
should be exposed. So that means just what we call
being in repose. Your lip should cover almost all of
your tooth. If it covers all your tooth, your teeth,
(15:42):
then then it's too long. So we make a measurement
and depending on where the excess is, sometimes it's just
in the middle, but most often it's also on the sides.
Speaker 3 (15:54):
Of your lip.
Speaker 6 (15:55):
In the corners of your lip, we make an incision
in the nose so right and the junction of the
nose and remove several millimeters, sometimes even a quarter inch,
and sometimes even more of skin, and then we lift
the skin of the lip up and we get an
immediate and very dramatic shortening of the lip. And there
(16:17):
was a study that was just published in Facial Plastic
Surgery Esthetic Medicine Journal, a very good journal that I
read all the time, and it showed that these lip lifts, well, yeah,
no matter how much we take, we lose some of
the benefit over time. So yeah, it's difficult to overcompensate
because then you look a little bit funny. But after
(16:39):
five years about half of the result remains. So that
means if I lift your lip, let's say ten millimeters,
after five years, we'll get about five millimeters of lip
And that's usually good enough, and usually we don't have
to repeat that, but sometimes a little more has to
be taken.
Speaker 3 (16:58):
And it is an interesting thing.
Speaker 6 (16:59):
It makes your lip look larger if we actually remove
some of that skin, even without injection, but often we
do inject, will inject huronic acid like restlane into the lip,
and some people will do fat grafting into the lip
also to have the lip look as good as possible.
And of course we how can we do this have
(17:21):
this discussion without mentioning the filteral ridges that only my
audience understands. Those are those ridges that go between the
nostril and the cupid's bo that tend to go away
as you get older, and there's no way to restore
those other than with filler, and that does such a
great job. And if we restore those filteral ridges, just
(17:43):
by doing that, your lip looks a little shorter and
certainly looks more youthful. They've done that in altered photographs
of twenty five year olds and sixty five year olds.
If you show the photographs with them without the filteral ridges,
those are those two lines. Some people they're power parallel,
but some they diverge. Everybody's a little bit different. They
(18:05):
always people always say that the person with those ridges
looks more youthful. And I've even with that. I've never
had a patient come into my office and say, doctor Perry,
I need to restore my filteral ridges. But if I
look at you, I might say that's something we can do.
With our injections. All right, I'm board certified plastic surgeon,
(18:26):
doctor Arthur Perry, host of What's Your Wrinkle? Right here
on wo R. We're going to take a short break.
We'll be back in just a minute. We're going to
talk about a dangerous procedure that many of you are having.
Speaker 3 (18:38):
Will be back after these words.
Speaker 6 (18:43):
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
(19:04):
and yes, younger with my short scar facelift and the
artistic injection of wrinkle filler or a laser peel. But
that might be just what it takes to get you
looking as good as you feel. Let's sit down for
an hour consultation in my new Park Avenue office. Together,
we'll come up with a plan to help you look
your best. Give me a call at eight three three
Perry MD. That's a three three p e r R
(19:27):
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.
Speaker 3 (19:35):
Right here on WOIR you're.
Speaker 6 (19:38):
Listening to What's your Wrinkle with doctor Arthur Perry, What's
your Wrinkle?
Speaker 3 (19:43):
And we are back.
Speaker 6 (19:44):
I'm board sort of plastic search of doctor Arthur Perry,
host of What's your Wrinkle? Right here on wo R.
Speaker 3 (19:49):
Let's go to a phone call. Noah Sherry, what can
I do for you? What's your wrinkle?
Speaker 4 (19:53):
Yes, hi, doctor Perry. My quick question is I'm older,
an early woman, and I have by you. Sometimes it
cleanses my face and some creams, but as I get
down my neck, my neck feels like an alligator skin.
It doesn't get so oft to smooth. It's like almost
like the little bunks of my skin. Can you is
there any kind of cream that would get rid of that?
Speaker 3 (20:15):
Okay, wait a minute, how old are you?
Speaker 6 (20:16):
Share? You spoke so quickly seventy four seventy four, sou
and you have alligator skin on your neck?
Speaker 4 (20:24):
Huh how I can explain it, just I feel it.
It's well for than my cheeks.
Speaker 6 (20:28):
So yeah, you know, so it's so difficult to make
that diagnosis. Come closer to the radio so I can
see a little bit better. No, seriously, honestly, Uh, you know,
there could be many reasons for that. Some people have
a a zoo of little tiny sevary keratosis and and
(20:50):
little skin tags on their necks and it gives that
that appearance and feel. And I often will do sessions
with women where we take an hour and we just
go to town and snip and shave and get the
neck much much smoother. So if that's the reason, well
then it's you know, a minor surgical procedure in the
(21:12):
office and you look like you went duck hunting with
Dick Cheney, the late Dick Cheney, if you remember he
scattered some buckshot on people. That's what you look like
for just a couple of days and then and then
it heals up and it looks better.
Speaker 3 (21:27):
Now. The problem with the neck is we really.
Speaker 6 (21:30):
Cannot laser aggressively. We can laser in a very light way,
and that will help to a certain extent. Althero works
on the neck if it's creepy skin of the neck,
and that's very very safe in the neck and one
of the most effective areas of alterra that's high energy
focused ultrasound. The problem with lasering or peeling the neck
(21:53):
is the neck tends to scar. Now, now, of course
we haven't even mentioned a neck lift, which is is
a surgical procedure which will help. It'll lift the skin up.
But as women who have had necklifts know, after about
six or twelve months, that creepy appearance of the neck
comes back. I'm not saying that the neck relaxes again,
(22:16):
but the creepiness of the skin, which may be what
you're talking about, I can't tell you know that is
not fixed by a facelift. It's again, we address it
with althera. We address it maybe with repeated lasers. So
I can't be real aggressive with one laser. But if
you're willing to go through a relatively light laser three
(22:38):
or four times, we can help that. So that's kind
of the best answer I can give you without looking
at your neck.
Speaker 3 (22:44):
Sherry, Okay, and.
Speaker 6 (22:47):
Oh no, that's what your question was in the beginning. Naw,
there's no cream that's going to help that. Even my cream.
I mean, look, creams with vitamin C and vitamin A
are helpful for the skin, but if it's real alligator's skin,
if it's a very, very rough I'm not sure that's
going to make too much of a difference.
Speaker 3 (23:06):
Hard to know.
Speaker 6 (23:07):
You know, creams are safe, and but remember that the
only active ingredients that are going to make a difference
on the neck are vitamin A, vitamin C and the
fruit acids, which are alphydroxy acids, things like things like
lactic acid, glycolic acid, things like that. Okay, Sherry, all right,
(23:29):
thank you so much. All right, on board certified plastic
church in Doctor Arthur Perry. And I can't take that.
There's you know, everybody calls at the end of the show,
so we'll have to get to you call early next week.
I can't get to that because I promised to talk
about something that is potentially injurious to your health. How
many of you have had nitrous oxide in a spa
(23:52):
or a salon by not a physician administering it, by
maybe having that machine that you self minister. It's called
Knox box. And yeah, nitrous oxide is good. It decreases pain,
but as doctor Mike Roysen said on this show last
year May he's an antethesiologist, maybe not so safe. And
(24:15):
he was prescient because the FDA just released a very
very important warning for those machines. They are failing and
there have been a numerous problems with this machine, and
I guess there have been some three very very serious
(24:36):
injuries so far, no deaths, but the FDA has put
out a warning that doctors and clinics that are using
this Knox box better get those machines inspected very quickly.
And I don't think it's a good idea anyway. You know,
there's lots of ways to help with the discomfort of
minor procedures, and I think nitrous oxide not the safest way.
(24:59):
It's only safe when you have a board certified anesthesiologist
administering it, and they don't if you're in a spa
or salon. So please be careful out there, all right,
Noah begins to weigh frantically ten blocks away in the studio.
We're beginning to wrap the show up and wrap up
twenty seasons at WOOR. My website is Perryplastic Surgery dot com,
(25:22):
Perry Plasticsurgery dot com my phone number in New York
if you want to make an appointment, I've got an
office on eighty fifth in Park. I'm also with well
By Messer on a sixtieth between Park and Lexington, and
of course in Somerset, New Jersey. You can get any
of those offices by dialing two one, two seven five
three eighteen twenty. And don't forget it's Black Friday, it's Thanksgiving,
(25:44):
it's Cyber Monday. It's the big special for my products
on Amazon. They have already started and the orders are
coming in twenty five percent off. It's the only time
we're going to do that this year. Thank you so
much for great engineering. Noah, we'll see everybody next week.
Please call early. I know a lot of you have
a hung on the line. We'll get to your falls
(26:05):
next week. Bye bye, now have a good one.
Speaker 1 (26:07):
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, and
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 4 (00:28):
The public doesn't get a damn.
Speaker 3 (00:30):
And I went to his office and I said, I said,
look at my face. He goes, yeah, look at your face.
We're going to do with your fan. What can you
do with his face? I go like that, I saw
what I got. I go look at this. I'm getting old.
I said, I wanna maybe you get fix it up
a little bit.
Speaker 5 (00:41):
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 4 (00:46):
You want to talk to Arthur Perry the best in plastic.
Speaker 5 (00:49):
Surgery and workable knowledge, but also your grace at delivery 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.
Speaker 5 (00:57):
A me you smart as I really really gift his position.
I want to pay you the big the highest tree
I can give to a surgeon, which is when people
come to you, they don't come for an operation, they
come for an opinion. And that's why I trust you
with my friends and relatives. I didn't realize we were
going to get the Michael Jordan of Plastic Surgeons nine
O two and zero.
Speaker 3 (01:13):
Bows to this guy, and welcome.
Speaker 6 (01:17):
This is BORD certified plastic surgeon, doctor Arthur Perry, and
this is what's your wrinkle right here on wo R.
I hope you're having a wonderful November right before Thanksgiving
and you're listening to this show. Thank you so much.
And if you're listening on the Internet or through the podcast,
it's straight talk about cosmetic surgery. That is the name
(01:38):
of the show. And that is because we talk about
America's favorite topic. It's not sports, is it, it's not sex,
It's it's cosmetic surgery. We know that no one knows
that anyway, So I'm a board certified plastic surgeon. I
do facelifts and eyelid lifts and inject bowtoks and fillers
and laser people and all those things. I spend my
(02:01):
days helping you look as good as possible. And that's
what the show is all about. Give us a call.
Eight hundred three two one zero seven ten. Is the
phone number here at wo R eight hundred three two
one zero seven ten. We are broadcasting why from the
upper west side of Manhattan, overlooking Columbus Circle and Lincoln
Center and beautiful New York. And give me a call
(02:24):
eight hundred three to two one zero seven ten. If
let's say you're going to the plastic surgeon this week,
you're not sure what you are going to talk about.
You just have this nebulous concept.
Speaker 3 (02:35):
Let's talk about it.
Speaker 6 (02:36):
Let's maybe organize your consultation this week. And if you've
had surgery in the past and maybe you're not sure
about well, has it come out okay? Is this residual
wrinkle supposed to be there that spot? Give me a call.
I'd be happy to help you out and answer the
question to you know, what's keeping you up at night?
(02:57):
And by the way, we're giving away bottles of Nighttime.
Nighttime is my one stop shopping for skincare. It's got
everything you need in a skincare program in just one
light serum that you put on before you go to
sleep at night. It's got vitamin A and vitamin C,
fruit acids, It's got antioxidants and skin brighteners and all
the things that are scientifically proven to make a difference.
(03:20):
I left out the things that don't make a difference,
and most of skincare. If you go to the big
stores and you look through all these products, you know,
sometimes I look at these things and I almost laugh.
You know, people think, what's this guy doing looking at
this skincare and laughing. If they put vitamin C in
a mourning program, it's useless, right, because vitamin C gets
(03:43):
destroyed by light. That's just one of the many things.
How about those big peptides you've heard of, I would
say it's a front page story in the New York
Times because they can't penetrate the skin. So you're spending
all that money on these very expensive things that just
sit on the surface of your skin and do absolutely nothing.
All right, Well, tonight's show, we are going to talk
(04:04):
about lips. You know, I just attended the annual meeting
of the New York Society of Plastic Surgeons. We had
our annual meeting in Manhattan today, and it's always interesting
to hear the things that are new and the things
that were the biggest thing in plastic surgery ten or
fifteen years ago and now no one would ever do.
Speaker 3 (04:24):
That's so funny.
Speaker 6 (04:25):
And I've been around a long time, and the perspective
I have is kind of interesting because I went to
my very first plastic surgery meeting in nineteen eighty one. Wow,
long long time ago, when I was a little medical student.
And every year I go to these meetings and listen
to the new things, and you know, twenty thirty years later,
(04:49):
almost forty years later, almost nothing that we said was
landmark forty years ago, thirty five years ago is in
practice now.
Speaker 3 (04:58):
So you have to stay up.
Speaker 6 (04:59):
So today we're going to talk about one of the
things we did speak about at the meeting, lip lifting liplifting,
you know, making your lip well smaller, larger, or actually
elevating it. There's a whole science to that we're going
to talk about that. We're also going to talk about
nitrous oxide. How many of you have had nitrous oxide
(05:21):
in let's say the dental office, or worse, how about
a SPA for a spa procedure. Well, yeah, it might
not be such a good idea. We're going to talk
about that in just a few minutes. And if we
have time, we're going to talk about President Trump's effect
on beauty. It's called the Marra a Lago effect. And yeah,
(05:41):
it's sweeping through the country and it's a little odd,
but we can talk about that too. And by the way,
if you know, I want to say this right from
the beginning. This is you know, the Black Friday, Cyber Monday,
Thanksgiving week coming up, and everybody waits, and I know
you hold off buying my products. I've got Nighttime and
(06:02):
Daytime is the daytime skin protector, and Nighttime is nutrition
for the skin. And that great soap that has three patents,
Clean Time soap, and soft Time the moisturizer that is
so light and wonderful to your skin. Well, yep, it's
Black Friday special on Amazon, twenty five percent off. You've
(06:22):
been waiting a long time. I know a lot of
people email me throughout the year. Why don't you have
the sales you used to have. Well, here it is,
so go to it because it's in effect. Now you
go to Amazon dot Com and you can purchase any
of those products in whatever quantities you want. And don't
forget the stocking stuffers, right, you know this is time
you'll want to really stock up on those products. And
(06:47):
there are limited supplies, you know, so it's not going
to stay forever. Amazon is stocked to a certain extent,
and you know they're sort of an autopilot and when
they sell out, that would be it. So you'll want
to get those specials early. All right, So I'm board
Servey plastic surgeon, doctor Arthur Perry, and who are you.
(07:08):
Eight hundred and three to two one zero seven to
ten is the phone number here at wo R. We're
gonna take our first break, Noah, and we're gonna come
back and we're gonna talk about lips in just a minute.
Everyone should have a skin cancer check yearly. It's as
(07:29):
important as a colonoscopy or a mammogram. But it's tough
to find a dermatologist that does a thorough check. But
there is a breakthrough in skin detection and monitoring at
Elitra Health in Manhattan. They have a new AI driven
computerized camera system that takes a three D photograph of
your entire body in just seconds. It'll analyze your moles
(07:50):
and tell you if any are suspicious, and they can
even do a quick biapsy if it's necessary. I had
to scan myself at Elitra Health, and I've sent my
family member to schedule your scan, called Jennifer at six
four six three six two forty five forty two.
Speaker 3 (08:06):
That's six four six three six two forty five forty two.
Speaker 6 (08:10):
Or go to www dot eleitrahealth dot com slash dermatology.
There's only a few of these machines in the country,
but Eleitra can schedule you right away. And if you
mentioned the Pery ten code that's Perry ten, they'll take
ten percent off of your fee. That's Eleitra Health six
four six three six two forty five forty two. Did
(08:33):
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.
(08:53):
It's actually good for your skin. Protect your skin with
my Daytime SPF twenty cream in the evening, your skin
with my Powerhouse Nighttime Serum. Nighttime has Vitamin CNA, antioxidants
and skin brighteners. And if you like moisturizers, well I've
created Soft Time with seramides and vitamin D. Throw away
the bags of useless products and try doctor Perry's Skincare.
(09:17):
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 wo
R Every Saturday evening at six pm. You're listening to
What's Your Wrinkle with Doctor Arthur Perry. What's your wrinkle?
Speaker 3 (09:34):
And what is your Wrinkle?
Speaker 6 (09:36):
I'm BORD certified plastic surgeon, Doctor Arthur Perry, host of
the show. For coming up just a couple more weeks
is the twentieth anniversary. Noah, I hope you have all
those you know, the cake and all the things that
the gala, the champagne. It's going to be a great night,
all right. Well, it was the annual meeting of the
New York Society of Plastic Surgeons. It sounds like, you know, society.
(10:00):
It's an educational meeting and all day long, from eight
or so this morning until ending right around four o'clock.
There were sessions on nose surgery and breast surgery and
lip surgery. Very interesting meeting, and my colleagues all go
there and a lot of very interesting speakers from around
(10:21):
the country. One of the sessions was on lip lifting.
And it sounds like such a small thing, right. You know,
in plastic surgery, we do so many different procedures cosmetic surgery.
The biggest one is probably a body lift, and then
tummy tucks and breast reductions and breastlifts and then facelifts
and all those procedures that we like to do. A
(10:42):
smaller procedure is a lip lift. And many people come
into my office and they say, well, you know, I
don't really know what's going on, what's wrong, but I'm
just not happy with my appearance. And when I go
through a consultation with my patients, I start, you know,
at the hairline at the forehead and go to the
brows and the eyelids and the nose. We look at
(11:04):
the skin and the cheeks and the neck, and then
it depends on if it's just facial rejuvenation, we kind
of stop there. But a lot of people don't think
about their lips. But lips go through changes as you
get older. So you know, you know that when you
were twenty and even thirty, your lips were luscious, you know,
(11:24):
kind of large and shapely, and they were a very
central part of your body. But starting at about age thirty,
they begin to kind of disappear. They really do. They
lose volume. Just like your skin loses volume, they lose fat.
You actually have fat in your lip, and in fact,
your lower lip loses fat and you get a line
(11:47):
in your lower lip, a second line, so you have
the border of the lip and then a line just
above it. And if you look in the mirror, if
you're not driving, you'll know what I'm talking about. If
you're over about fifty five, with your upper lip, it
just sort oflutes and your lipstick begins to bleed into
the surrounding skin. And the more wrinkles you have, the
(12:08):
more it bleeds. And the reason for that bleeding is
because yes, your skin is thinning, but also the border
called the vermilion border, which is the junction of the
white and red of your upper lip and also your
lower lip, but particularly the upper lip. It really begins
to go away. And if you have a twenty year
(12:29):
old daughter, go up to her and feel. Tell her
you're doing this, Feel her upper lip. Run your finger
from her nose down to the lip, and you'll feel
a little bit of a ridge. It's called the vermilion border.
That ridge is gone by the time you're sixty and
because of that, it accelerates those lipstick bleed lines that
(12:50):
most women get. It's one of the ironies of life.
Most men don't get those, it's kind of interesting, but
women do. If you're a smoker, you're gonna get those
in a very accelerated way. If you get a lot
of sun exposure, yes it's going to come fast. But regardless,
your skin is thinning at a rate of about one
percent per year, and with that you get those wrinkles
(13:11):
and also changes around your lip. The upper lip tends
to lengthen as you get older, and it lengthens in
a real way and kind of an unreal way. And
what does that mean If we were to actually measure
the upper lip when you're twenty and when you're sixty,
it's longer in almost everybody. But also as you lose
(13:36):
volume of your lip, it kind of changes the angle.
And so what we do in plastic surgery there's a
bunch of different procedures now, and one of those procedures
is called a lip lift. Now, it was fairly controversial
for many, many years because a lot of plastic surgeons
put incisions right above that vermilion border.
Speaker 3 (13:56):
And it worked.
Speaker 6 (13:56):
It lifted the lip and lifted the corners of the lips,
but it gave a really unsightly scar, and it made
it so that you would never leave your house without
makeup with that scar. So that's not really acceptable in
plastic surgery. While scars are an inevitable part of many
of the procedures we do, our goal in plastic surgery
(14:19):
is to have scars that are so acceptable that after
a certain amount of time, whether that's three, six or
twelve months, you should not require makeup to cover those scars.
And so a procedure called a liplift was designed, and
actually it was described almost twenty years ago, but it
really hasn't caught on until very very recently. The last
(14:40):
year or two, and again, the influencers out there have
influenced all of us. They've influenced you, they've influenced plastic surgeons,
and because of that, there's been a surge no pun
intended of lip lips, and the procedure is done under
local anesthesia. I do them right in my office. We
don't have to go to the surgeon center. We don't
(15:01):
have to go to the hospital. We can just numb
up your upper lip and I make an incision right
at the base of your nose and it kind of
goes around the nose. That's called the aila, you know,
the nostril goes around it. It's kind of in the
shape of a mustache. And we remove a varying amount
(15:21):
of skin depending on how long your upper lip is. Now,
with you not smiling, about one millimeter of your teeth
should be exposed. So that means just what we call
being in repose. Your lip should cover almost all of
your tooth. If it covers all your tooth, your teeth,
(15:42):
then then it's too long. So we make a measurement
and depending on where the excess is, sometimes it's just
in the middle, but most often it's also on the sides.
Speaker 3 (15:54):
Of your lip.
Speaker 6 (15:55):
In the corners of your lip, we make an incision
in the nose so right and the junction of the
nose and remove several millimeters, sometimes even a quarter inch,
and sometimes even more of skin, and then we lift
the skin of the lip up and we get an
immediate and very dramatic shortening of the lip. And there
(16:17):
was a study that was just published in Facial Plastic
Surgery Esthetic Medicine Journal, a very good journal that I
read all the time, and it showed that these lip lifts, well, yeah,
no matter how much we take, we lose some of
the benefit over time. So yeah, it's difficult to overcompensate
because then you look a little bit funny. But after
(16:39):
five years about half of the result remains. So that
means if I lift your lip, let's say ten millimeters,
after five years, we'll get about five millimeters of lip
And that's usually good enough, and usually we don't have
to repeat that, but sometimes a little more has to
be taken.
Speaker 3 (16:58):
And it is an interesting thing.
Speaker 6 (16:59):
It makes your lip look larger if we actually remove
some of that skin, even without injection, but often we
do inject, will inject huronic acid like restlane into the lip,
and some people will do fat grafting into the lip
also to have the lip look as good as possible.
And of course we how can we do this have
(17:21):
this discussion without mentioning the filteral ridges that only my
audience understands. Those are those ridges that go between the
nostril and the cupid's bo that tend to go away
as you get older, and there's no way to restore
those other than with filler, and that does such a
great job. And if we restore those filteral ridges, just
(17:43):
by doing that, your lip looks a little shorter and
certainly looks more youthful. They've done that in altered photographs
of twenty five year olds and sixty five year olds.
If you show the photographs with them without the filteral ridges,
those are those two lines. Some people they're power parallel,
but some they diverge. Everybody's a little bit different. They
(18:05):
always people always say that the person with those ridges
looks more youthful. And I've even with that. I've never
had a patient come into my office and say, doctor Perry,
I need to restore my filteral ridges. But if I
look at you, I might say that's something we can do.
With our injections. All right, I'm board certified plastic surgeon,
(18:26):
doctor Arthur Perry, host of What's Your Wrinkle? Right here
on wo R. We're going to take a short break.
We'll be back in just a minute. We're going to
talk about a dangerous procedure that many of you are having.
Speaker 3 (18:38):
Will be back after these words.
Speaker 6 (18:43):
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
(19:04):
and yes, younger with my short scar facelift and the
artistic injection of wrinkle filler or a laser peel. But
that might be just what it takes to get you
looking as good as you feel. Let's sit down for
an hour consultation in my new Park Avenue office. Together,
we'll come up with a plan to help you look
your best. Give me a call at eight three three
Perry MD. That's a three three p e r R
(19:27):
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.
Speaker 3 (19:35):
Right here on WOIR you're.
Speaker 6 (19:38):
Listening to What's your Wrinkle with doctor Arthur Perry, What's
your Wrinkle?
Speaker 3 (19:43):
And we are back.
Speaker 6 (19:44):
I'm board sort of plastic search of doctor Arthur Perry,
host of What's your Wrinkle? Right here on wo R.
Speaker 3 (19:49):
Let's go to a phone call. Noah Sherry, what can
I do for you? What's your wrinkle?
Speaker 4 (19:53):
Yes, hi, doctor Perry. My quick question is I'm older,
an early woman, and I have by you. Sometimes it
cleanses my face and some creams, but as I get
down my neck, my neck feels like an alligator skin.
It doesn't get so oft to smooth. It's like almost
like the little bunks of my skin. Can you is
there any kind of cream that would get rid of that?
Speaker 3 (20:15):
Okay, wait a minute, how old are you?
Speaker 6 (20:16):
Share? You spoke so quickly seventy four seventy four, sou
and you have alligator skin on your neck?
Speaker 4 (20:24):
Huh how I can explain it, just I feel it.
It's well for than my cheeks.
Speaker 6 (20:28):
So yeah, you know, so it's so difficult to make
that diagnosis. Come closer to the radio so I can
see a little bit better. No, seriously, honestly, Uh, you know,
there could be many reasons for that. Some people have
a a zoo of little tiny sevary keratosis and and
(20:50):
little skin tags on their necks and it gives that
that appearance and feel. And I often will do sessions
with women where we take an hour and we just
go to town and snip and shave and get the
neck much much smoother. So if that's the reason, well
then it's you know, a minor surgical procedure in the
(21:12):
office and you look like you went duck hunting with
Dick Cheney, the late Dick Cheney, if you remember he
scattered some buckshot on people. That's what you look like
for just a couple of days and then and then
it heals up and it looks better.
Speaker 3 (21:27):
Now. The problem with the neck is we really.
Speaker 6 (21:30):
Cannot laser aggressively. We can laser in a very light way,
and that will help to a certain extent. Althero works
on the neck if it's creepy skin of the neck,
and that's very very safe in the neck and one
of the most effective areas of alterra that's high energy
focused ultrasound. The problem with lasering or peeling the neck
(21:53):
is the neck tends to scar. Now, now, of course
we haven't even mentioned a neck lift, which is is
a surgical procedure which will help. It'll lift the skin up.
But as women who have had necklifts know, after about
six or twelve months, that creepy appearance of the neck
comes back. I'm not saying that the neck relaxes again,
(22:16):
but the creepiness of the skin, which may be what
you're talking about, I can't tell you know that is
not fixed by a facelift. It's again, we address it
with althera. We address it maybe with repeated lasers. So
I can't be real aggressive with one laser. But if
you're willing to go through a relatively light laser three
(22:38):
or four times, we can help that. So that's kind
of the best answer I can give you without looking
at your neck.
Speaker 3 (22:44):
Sherry, Okay, and.
Speaker 6 (22:47):
Oh no, that's what your question was in the beginning. Naw,
there's no cream that's going to help that. Even my cream.
I mean, look, creams with vitamin C and vitamin A
are helpful for the skin, but if it's real alligator's skin,
if it's a very, very rough I'm not sure that's
going to make too much of a difference.
Speaker 3 (23:06):
Hard to know.
Speaker 6 (23:07):
You know, creams are safe, and but remember that the
only active ingredients that are going to make a difference
on the neck are vitamin A, vitamin C and the
fruit acids, which are alphydroxy acids, things like things like
lactic acid, glycolic acid, things like that. Okay, Sherry, all right,
(23:29):
thank you so much. All right, on board certified plastic
church in Doctor Arthur Perry. And I can't take that.
There's you know, everybody calls at the end of the show,
so we'll have to get to you call early next week.
I can't get to that because I promised to talk
about something that is potentially injurious to your health. How
many of you have had nitrous oxide in a spa
(23:52):
or a salon by not a physician administering it, by
maybe having that machine that you self minister. It's called
Knox box. And yeah, nitrous oxide is good. It decreases pain,
but as doctor Mike Roysen said on this show last
year May he's an antethesiologist, maybe not so safe. And
(24:15):
he was prescient because the FDA just released a very
very important warning for those machines. They are failing and
there have been a numerous problems with this machine, and
I guess there have been some three very very serious
(24:36):
injuries so far, no deaths, but the FDA has put
out a warning that doctors and clinics that are using
this Knox box better get those machines inspected very quickly.
And I don't think it's a good idea anyway. You know,
there's lots of ways to help with the discomfort of
minor procedures, and I think nitrous oxide not the safest way.
(24:59):
It's only safe when you have a board certified anesthesiologist
administering it, and they don't if you're in a spa
or salon. So please be careful out there, all right,
Noah begins to weigh frantically ten blocks away in the studio.
We're beginning to wrap the show up and wrap up
twenty seasons at WOOR. My website is Perryplastic Surgery dot com,
(25:22):
Perry Plasticsurgery dot com my phone number in New York
if you want to make an appointment, I've got an
office on eighty fifth in Park. I'm also with well
By Messer on a sixtieth between Park and Lexington, and
of course in Somerset, New Jersey. You can get any
of those offices by dialing two one, two seven five
three eighteen twenty. And don't forget it's Black Friday, it's Thanksgiving,
(25:44):
it's Cyber Monday. It's the big special for my products
on Amazon. They have already started and the orders are
coming in twenty five percent off. It's the only time
we're going to do that this year. Thank you so
much for great engineering. Noah, we'll see everybody next week.
Please call early. I know a lot of you have
a hung on the line. We'll get to your falls
(26:05):
next week. Bye bye, now have a good one.
Speaker 1 (26:07):
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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