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. Doctor Arthur Perry, and the
public wants to know. The public doesn't give a damn.
(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?
Speaker 1 (00:36):
I go like that, I s what, I go and
look at this, I'm getting old.
Speaker 2 (00:39):
I said, I want to maybe get fix it up
a little bit.
Speaker 3 (00:40):
Doctor Oz, are you there, I'm here, Ark, and I
want to get to plagged you. Having worked with you
on a book and numerous other activities.
Speaker 2 (00:46):
You want to talk to Arthur Perry, the best in
plastic surgery.
Speaker 3 (00:49):
Remarkable 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 4 (00:54):
When I was a resident at the University of Chicago,
we had a me.
Speaker 3 (00:58):
You smart as a really really gift is position. I
want to pay you bit the highest true that I
can give to a surgeon, which is when people come
to you, they don't come for an operation, they come
for an opinion. And that's why I trust you with
my friends and relatives. I didn't realize we were going
to get the Michael Jordan of Plastic Surgeon nine two
and zero.
Speaker 1 (01:13):
Bows to this guy.
Speaker 4 (01:15):
And welcome. This is Board certified plastic surgeon, doctor Arthur Perry.
And you are listening to What's Your Wrinkle right here
on WOR and we are on the internet all over
the place in podcast form as straight talk about cosmetic surgery.
I hope you're listening, and I hope you are hitting
that button. You know, the button that gives you the
(01:36):
free every week podcast. Well it's called the subscribe button.
Go ahead and hit it and you'll get this lovely
voice in your podcast inbox every week. All right, I've
got a very special show scheduled for you this evening,
in this mid spring weekend here in New York and
those of you listening all over the country, you know
(01:58):
it's finally warming up here. You know, you in Florida,
you in Arizona, you are getting hot, but we're finally
warming up in New York. So I hope you are
all using your sun tanned lotion. What sun tan lotion? Well,
you know, ultraviolet light does a number on the skin.
That sounds so technical, doesn't it It really does. It
(02:18):
causes premature aging of the skin. It causes wrinkles, It
causes skin cancers, all three types of skin cancers, basil
cell carcinomas, squamous cell carcinomas, and melanomas. And right now,
this is the time of year that gets it gets
very dangerous because you know, it gets hot. The UV
index can rise to the six, seven, even eight, even
(02:41):
in the Northeast this time of year. Anything over three
will fry your skin. But because you know you've come
off this long, hard winter, you say, let's just get
a little bit of sun. And it's very very easy
to get burned. You are at your lightest this time
of year. Your skin has least amount of melanin no
(03:02):
matter what your innate skin color it's got the least
amount of melan unless you spend winters in Florida or Arizona,
or San Diego or South America. But for most of
us here stuck in the cold Northeast and around the
country listening to this podcast. Well, you know your skin
is at the lightest. So you go out in the sun.
(03:23):
You say, ah, I'll just spend a couple hours on
the beach and the sun in my backyard, and you
don't use sunscreen, and the next thing you know, you've
got a sunburn. And it only takes one blistering sunburn,
only one to cause a melanoma. Really true, it only
(03:43):
takes one in your life. So whether you want to
do you want to use a sunscreen, You want to
use an SPF at least fifteen, depending on how long
you're going to be out in the sun, but fifteen
should be adequate, twenty maybe thirty if you're going to
be out for a long time time. Make it a
zinc oxide containing sunscreen, because then you don't have to
(04:04):
worry about UVA and UVB, both types of ultraviolet light
are emitted by the sun. Both types of ultra light
age your skin prematurely and you need a broad spectrum sunscreen.
You need one that covers both. So zinc oxide that's
my favorite, because zinc oxide is not absorbed into your body.
That's good. Zinc oxide is I look at it as
(04:27):
the perfect sunscreen, but it's got to be in a
form that doesn't look white on your skin, otherwise you're
not going to use it right, So it's called micronized
or even nano. Nano got a bad name over the
last decade, but nanoparticles are just very small particles, and
in zinc oxide in your skin, they are not an issue.
If you breed them in, that's a whole different story.
(04:48):
I don't favor the spray on sunscreens for exactly that reason.
You don't want to breed these things in. None of
them are good for you if you breathe them in,
and certainly zinc oxide in the nano or in the
micronized form goes on very smoothly and protects you for
hours and hours and unless you get in the water,
(05:09):
you don't have to reapply it. Now the label will
tell you differently, because the FDA only has one set
of standards for both chemical sunscreens. Those are the clear
ones and physical sunscreens that's zinc oxide and titanium dioxide.
So the FDA will tell you the same thing. And
those chemical sunscreens, yeah, they wear away. They actually get
(05:30):
used up as you get exposed to the sun. Zinc oxide,
that's a rock. It just does what sunscreen is supposed
to do. It blocks the ultraviolet rays, so it protects
your skin from premature aging, and it protects your skin
from skin cancers and things like that. Now, is it
gonna if you wear sunscreen every day? Is does that
(05:52):
mean you're never going to age? Of course, not we
all age, but those extrinsic factors of aging. That means
not your genes, but the extrinsic factor that's ultraviolet light.
And other things that cause premature aging are things like
sun I'm sorry, smoking or marijuana smoke or cigarette smoke.
(06:12):
Both of those will cause premature aging of the skin.
So what do you want to do If you want
to look as good as possible when the UV index
is over three than it is today and it will
be all the way up until October, you'll want to
use a sunscreen at least number fifteen broad spectrum zinc
oxide And is it a coincidence that I have that
(06:33):
in my daytime, A shameless plug for my daytime sunscreen.
All right on, Board certified Plastic Surgeon, doctor Arthur Perry,
host of What's Your Wrinkle? Right Here on wr So
today we are going to talk about estrogen for the skin.
Estrogen Now, someone asked about that on the show a
few weeks ago, so we're gonna get into that topic
(06:55):
later in the show. We're gonna talk I've been trying
to talk about this for weeks. The most useful list skincare.
There's so many, so many things. One is called exosomes
e XO s me ees xosomes. We'll talk about that,
and then a topic for the day, browlifting. I saw
a patient this week, a man who came in who
(07:15):
needs a browlift. I'm board certified plastic surgeon, doctor Arthur Perry.
This is What's Your Wrinkle right here on WOAR. Stay tuned.
We've got a lot more to the show. Noah, let's
take our first break. We'll be back after these words.
Did you know that your skincare may be hurting you
(07:37):
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.
It's actually good for your skin. Protect your skin with
(07:58):
my Daytime SF twenty cream in the evening, Feed your
skin with my Powerhouse Nighttime serum. Nighttime has vitamin CNA,
antioxidants and skin brighteners. And if you like moisturizers, well,
I've created soft Time with seramides and vitamin D. Throw
away the bags of useless products and try doctor Perry's Skincare.
(08:19):
Join the thousands of people whose skin is healthier. That's
doctor Perry's Skincare on Amazon dot com. And don't forget
to listen to my radio show right here on wor
Every Saturday evening at six pm. You're listening to What's
Your Wrinkle with Doctor Arthur Perry.
Speaker 1 (08:35):
What's your Wrinkle?
Speaker 4 (08:36):
And We're back. I'm board certified plastic surgeon, doctor Arthur Perry,
and this is What's your Wrinkle? This is the show
about you, the show about your wrinkles, about your fat
that you don't want, about your jowls. Everybody's got those
if you're over fifty, right, the turkey gobbler. How many
of you have a turkey go? Oh, such words plastic
surgeons use, right, but you know, if you're over fifty,
(09:00):
you probably have some little turkey gobbler. That's the extra
fat in the neck and the platismal bands. That's the
technical term. But I call those the Katherine Hepburn bands
because she had such wonderful bands in her necks. You
never had a face left. Obviously, we get rid of those,
or you know, that's a bad choice of words. We
lessen the visibility. That's a better choice of words. We
(09:22):
lessen the visibility of the bands of the neck when
we do a facelift or a necklift. But you know
what happens as we get older, you know exactly we age.
Everybody ages, men and women, and no matter who you are,
and whether you're you know, a celebrity who is trying
is eighty years old, we know who she is and
(09:43):
trying to look like she's forty or fifty. No matter
who you are, you're going to age along with your
biologic clock, you know, and it's preordained how you're going
to age. And the only thing that you can do
to influence. That is, you can speed up your aging
by doing bad things like smoking, drinking a lot of alcohol,
taking drugs, not sleeping well, not exercising. Those are the
(10:06):
things that can accelerate aging. But what can slow it down?
Not much. You know, it's the fountain of youth. We're
searching for that, right And one of the things that
is a youth hormone in women is estrogen, and women
lose almost all of their estrogen when they reach menopause.
(10:28):
And menopause can be anywhere from the late thirties if
you're fairly unlucky, to even almost sixty years old, and
maybe even a few women are lucky enough. I suppose
to not hit menopause until after age sixty during menopause,
or rather before menopause. Of course, you can get pregnant
before menopause. You have high levels or relatively high levels
(10:51):
of youth hormones, including estrogen, and women know as soon
as you hit menopause you see a chain. Of course,
you stop menstruating, you stop having your periods, but you
also notice a syndrome in your skin. Your skin gets drier,
your skin gets more wrinkled. You look in the mirror
and almost overnight, but truly, honestly, over the course of
(11:16):
only a few months, you age and you really can
tell when you've hit menopause. And so, you know, there's
a big question amongst gynecologists and endocrinologists do we do
hormone replacement therapy? Now that's way too big a topic
for me to discuss on a plastic surgery show. But
what's not too big a topic is do we that
(11:37):
means you women, do you use topical estrogen on your skin?
And whenever we say the word topical, that means we
rub it into our skin. That's the medical term topical
that's putting it on your skin. So the question is,
you know, first of all, what does estrogen do to
your skin? Well, it hydrates your skin. It makes your
(11:59):
skin and look young and vibrant and dewey. How's that
for a word. And when you lose that estrogen, well,
you know, then you wind up losing a lot of
the luster and the beauty of your skin. So there's
a number of studies that have looked at, you know,
(12:21):
using things like estrogen on the skin, and it's very controversial,
and I have to tell you that, you know, going
right to the bottom line, it's inconclusive. At this point.
We're not sure whether or not it's a good idea. Now,
it does look like estrogen gets absorbed in the body,
and that's because it's a small molecule, so certainly it
(12:41):
has a good chance of working. And it also looks
good that when we put estrogen on our skin, we
do not get high levels in other organs in our body.
And that's also good because some of the controversy over
estrogen use is whether or not it gets into your breast,
whether or not it gets into other organs where it
causes issues breast cancer and things like that. But if
(13:04):
you put it topically on your skin, and I'm not
talking about taking the pills and eating estrogen, If you
put it topically on your skin, you can get a
lot of the benefit, the youth benefit of estrogen without
having high levels in your body. So estrogen is one
of those hormones. Like you know, we don't call retinoids
(13:27):
a hormone. They sort of back like hormones. They're vitamins
that's the vitamin A and also melatonin that's another one,
and growth hormones. So there's four different Basically hormones, even
though you know I'm using the word hormone loosely. When
we talk about retinoids like retina and any vitamin A
(13:47):
substance that's a retinoid, those do increase collagen in the skin,
that's a good thing, and decrease the rate of aging.
And that's been scientifically proven with many, many studies. And
the question is do we have to use human estrogen?
Can we use animal estrogen? Or maybe maybe how about
those phyto estrogens? What is that? That's estrogen like chemicals
(14:12):
that are produced by plants, and there are a bunch
of those, and one of those is in licorice extractic licorice,
licorice hardwort to say, right, licorice extract, and that has
what's called phyto estrogens in it. And it is interesting
and not such a coincidence that I put that in
(14:34):
my nighttime serum, because liquorice extract is not only a phytoestrogen,
but it also decreases the production of melanin in the skin,
so it evens out skin tone. It's actually also an antioxidant.
It's a very good substance. And there's lots of different
forms of this. You might hear of glabridin or something
(14:55):
like that. There's a lot. I don't want to bore
you with those terms. But they increase collagen in the skin.
That's a good thing because collagen declines as we get older.
Collagen declines that are right of about one percent per
year every decade after the thirties, and accelerates in the
five year period after menoplause. You really age in that
period and then it kind of levels off again. But
(15:19):
when we use those phytoestrogens, things like licorice extract and
the others. There are others, it increases the collagen in
the skin, and it also decreases some of the bad enzymes.
Yeah we say they're bad enzymes, but they're enzymes that
do hurt the skin, and they increase in their numbers
as we age. So the fialway estrogen seem to be
(15:42):
pretty good. Now. The only question is do we know
the percentage that you have to put in your skin? No,
we don't do. It's really an understudied field and it's
a new field. But I do think over the next
five to ten years we are going to see many
skin creams that have things like as viatrol and other
(16:02):
phytoestrogens like lacorice extract in them to not only make
your skin look better, but make it healthier. And I
do think the reason right now that there aren't a
lot of those is because there's insufficient data on both
their safety and their efficacy. Stumbling onwards, but that's the
(16:24):
story with the estrogens. I do think that they are
good for your skin. The only thing is it's really
a little bit premature to put them on your skin.
I want evidence, I want hard evidence. I want to
know that they're safe. I want to know that they
definitely don't travel in your body because the different chemicals
and the different phytoestrogen estrogens and the different natural estrogens,
(16:46):
all they do enter the blood to a certain amount,
and we don't know exactly the percentages in the blood
and what they do as they reach your end organs,
like your breast. The last thing you want to do
is put something on your skin to find out five
or ten years later that it caused breast cancer, right
of course, So that's why right now, I do think
(17:07):
it's something to look for, but I don't think I
would recommend putting estrogen on your skin today. I'm board
certified plastic surgeon, doctor Arthur Perry, host of What's Your
Wrinkle right here on WOAR And those of you who
listen to the podcast, I do hope you are subscribing,
and those of you who are not, you know, we're
(17:28):
kind of pushing the podcast because it's sort of the future.
I mean, it really is. You know, radio is wonderful.
I've been on radio for twenty years, but we can
really reach so many more people with the podcast because
the podcast has no geographic bounds and it has no
time constraints to it, which means you can listen at midnight,
you can listen in Utah, you can listen in South America.
(17:50):
So just hit subscribe, go to Apple Podcasts or iHeart Podcasts,
and go ahead and hit that button, and every week
you're gonna get this podcast. I'm board Servide plastic surgeon,
doctor Arthur Perry and podcasting now for a number of years.
If you check out my podcast, put in my name Perry,
or put in the words cosmetic surgery, and you will
(18:11):
find lots of these, in fact, hundreds and hundreds because
I've been doing this since two thousand and five. All Right, Noah,
let's let's go ahead. Let's take our second break. Now,
we're gonna come back in just a minute. There's so
much more to talk about. I want to talk about browlifting,
one of my favorite procedures. Browlifting is a It's in
(18:32):
both men and women, and it's probably the procedure that
has more different techniques than any other single procedure in
all of cosmetic surgery. I'm Board certified plastic surgeon, Doctor
Arthur Perry. Stay tuned, there's more to the show. They
(18:53):
say that sixty is the new fifty, but while you
may feel and act fifty, the mirror doesn't lie. But
that's where w 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
(19:14):
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
(19:37):
Y M D. Check me out on the web at
periplastic surgery dot com and don't forget to listen to
me doctor Arthur Perry, every Saturday evening at six pm.
Right here on WOER you are.
Speaker 1 (19:48):
Listening to What's Your Wrinkle with doctor Arthur Perry. What's
Your Wrinkle?
Speaker 4 (19:53):
And we're back. I'm board certified plastic surgeon, doctor Arthur Perry,
host of What's Your Wrinkle right here on WOIR and
straight talk about cosmetic surgery in the podcast world wherever
that is. So we were talking about all sorts of
cosmetic surgery things and skincare things on the show. But
you know, this week I saw a man who needs
(20:14):
a brow lift. And I'll tell you when I examine
someone who comes in and says, you know, I am
having trouble seeing because my brows are so low, it's
very interesting. Let me tell you how I examine someone.
First of all, I look at you head on. I
have you look in the mirror. And for a man,
your eyebrows should be at or just slightly above the
(20:38):
bony rim, but not high above the bony room. And
where's the bony rim you can feel look in the mirror.
Not while you're driving, please, but you can feel that
bony rim. Your eyebrows should be there as a man,
but as a woman it should be at or preferably
just slightly above, maybe two millimeters maybe three millimeters above
the bony rim. We don't want to put your brows
(20:59):
all the way up halfway up your forehead. That looks
funny in most people, you look surprised and not so good.
So over the years, browlifting has evolved, and there are
so many different techniques available now. And you know what,
whenever you hear in plastic surgery that there are a
lot of techniques, you could be pretty sure that none
of them are perfect. So the one that I learned
(21:21):
back in the eighties, of course I was in high
school at the time, was we made an incision from
ear to ear and across the scalp, and we peeled
Are you ready for this one? We peeled down the forehead,
exposing the muscles of the farhead, and I trimmed some
of those muscles, and then I removed some skin and
tightened things up, and voila. Your brows definitely were higher,
(21:42):
but you had an incision, and that means a scar
from ear to ear, often some hair loss, and definitely
a numb area for about two or three inches behind
that scar. So that was called the bicronal browlift. It
was replaced in the night nineties with endoscopic procedures where
(22:03):
we make five small incisions in the hair and we
go down. Kind of a complicated operation, but we lift
the brow and then we tightened the brow lifted to
a higher level. Sometimes we took out skin and sometimes
we didn't. Sometimes we put screws in. There's all sorts
of different ways to do this, but lo and behold,
very very few people in the United States still do
(22:25):
the endoscopic browlift because one it wasn't the best procedure.
I mean, some people made it into a really good
procedure if you did hundreds and hundreds of these, but
the average surgeon did not have great results with an
endoscopic brow lift. So then we did modifications of that,
and then there were these browlifts that made incisions above
the eyebrows. They worked, and they worked very well, but
(22:47):
the scars were visible in most people. I like doing
what's called the brow PEXI and I go in through
the upper eyelid, through an upper eyelid incision called the blephroplasty.
I'll remove the extra skin in the upper eyelid and
a little bit of fat around the eye, and then
I feel that bone, the bony rim, and I continue
my incision onto that bony rim several almost about an
(23:10):
inch or so above that bony rim, exposing it. And
then there's two different ways to attach the brow to
a higher level. I can either sew it straight to
the bone wow. Or I can use these little things
called endo times, and there are devices that I drill
a small hole in the bone. This gets a little interesting,
doesn't it, And I pop this device in. They've got
(23:31):
these times almost like rose times, you know, and we
seat the brow on it, and there you go. You've
got a brow lift. It's a very very well engineered procedure.
So those are the ways I prefer to do brow lifts.
Speaker 3 (23:45):
Now.
Speaker 4 (23:46):
I usually combine them with eyelid lifts. And in a man,
we have to do a very conservative procedure meaning I
don't want to feminize a man's eyelids. If I take
too much skin, if I lift his brows too much,
then we are going to get a feminine appearance, and
most men do not appreciate that. With a woman, on
the other hand, we want to feminize the upper eyelids,
(24:06):
so so it's a different operation. I usually do that
with the in conjunction with the upper eyelid lift. Sometimes
I remove some fat around the eyes, and sometimes I'll
also do the lower eyelids. And there you go. That
is a brownlift in twenty twenty five. If you're listening
in twenty thirty, I'm sure the operation has changed significantly because,
(24:28):
as I said earlier, there's probably twenty different ways to
do browlifts in the United States. All right, on board,
certified plastic surgeon, Doctor Arthur Perry, host of What's Your Wrinkle?
Once again. You know, I've been teasing this xazome thing
for a long time. I'll get to it. I'll get
to it next week, but time is short here at
WOOR and I want to thank you all for listening.
(24:49):
We're going to be back next week at six pm.
Check me out on the internet. The website is Perry
Plasticsurgery dot com. And if you're interested in the products
that we talk about, like the Daytime that's the SPF
twenty it's actually twenty three. You can purchase those on
Amazon dot com with all the great things with free
(25:10):
shipping if you're a Prime member with very very quick shipping.
I don't know how they do it, but buy it
on Amazon. You can get all my products Nighttime, Daytime,
soft Time, and clean Time, that great soap. Noah, thanks
so much for great engineering. I want to thank you
all for listening, and don't forget hit the subscribe button
(25:31):
on the podcast. We're going to be back next week
at six o'clock. Write the number down eight hundred three
two one zero seven ten. Eight hundred three two one
zero seven ten, write it down. Give me a call.
At the beginning of the show, I'm doctor Arthur Perry.
Have a great week, Bye bye now.
Speaker 1 (25:46):
The proceeding was a paid podcast. Iheartradios. 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. Doctor Arthur Perry, and the
public wants to know. The public doesn't give a damn.
(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?
Speaker 1 (00:36):
I go like that, I s what, I go and
look at this, I'm getting old.
Speaker 2 (00:39):
I said, I want to maybe get fix it up
a little bit.
Speaker 3 (00:40):
Doctor Oz, are you there, I'm here, Ark, and I
want to get to plagged you. Having worked with you
on a book and numerous other activities.
Speaker 2 (00:46):
You want to talk to Arthur Perry, the best in
plastic surgery.
Speaker 3 (00:49):
Remarkable 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 4 (00:54):
When I was a resident at the University of Chicago,
we had a me.
Speaker 3 (00:58):
You smart as a really really gift is position. I
want to pay you bit the highest true that I
can give to a surgeon, which is when people come
to you, they don't come for an operation, they come
for an opinion. And that's why I trust you with
my friends and relatives. I didn't realize we were going
to get the Michael Jordan of Plastic Surgeon nine two
and zero.
Speaker 1 (01:13):
Bows to this guy.
Speaker 4 (01:15):
And welcome. This is Board certified plastic surgeon, doctor Arthur Perry.
And you are listening to What's Your Wrinkle right here
on WOR and we are on the internet all over
the place in podcast form as straight talk about cosmetic surgery.
I hope you're listening, and I hope you are hitting
that button. You know, the button that gives you the
(01:36):
free every week podcast. Well it's called the subscribe button.
Go ahead and hit it and you'll get this lovely
voice in your podcast inbox every week. All right, I've
got a very special show scheduled for you this evening,
in this mid spring weekend here in New York and
those of you listening all over the country, you know
(01:58):
it's finally warming up here. You know, you in Florida,
you in Arizona, you are getting hot, but we're finally
warming up in New York. So I hope you are
all using your sun tanned lotion. What sun tan lotion? Well,
you know, ultraviolet light does a number on the skin.
That sounds so technical, doesn't it It really does. It
(02:18):
causes premature aging of the skin. It causes wrinkles, It
causes skin cancers, all three types of skin cancers, basil
cell carcinomas, squamous cell carcinomas, and melanomas. And right now,
this is the time of year that gets it gets
very dangerous because you know, it gets hot. The UV
index can rise to the six, seven, even eight, even
(02:41):
in the Northeast this time of year. Anything over three
will fry your skin. But because you know you've come
off this long, hard winter, you say, let's just get
a little bit of sun. And it's very very easy
to get burned. You are at your lightest this time
of year. Your skin has least amount of melanin no
(03:02):
matter what your innate skin color it's got the least
amount of melan unless you spend winters in Florida or Arizona,
or San Diego or South America. But for most of
us here stuck in the cold Northeast and around the
country listening to this podcast. Well, you know your skin
is at the lightest. So you go out in the sun.
(03:23):
You say, ah, I'll just spend a couple hours on
the beach and the sun in my backyard, and you
don't use sunscreen, and the next thing you know, you've
got a sunburn. And it only takes one blistering sunburn,
only one to cause a melanoma. Really true, it only
(03:43):
takes one in your life. So whether you want to
do you want to use a sunscreen, You want to
use an SPF at least fifteen, depending on how long
you're going to be out in the sun, but fifteen
should be adequate, twenty maybe thirty if you're going to
be out for a long time time. Make it a
zinc oxide containing sunscreen, because then you don't have to
(04:04):
worry about UVA and UVB, both types of ultraviolet light
are emitted by the sun. Both types of ultra light
age your skin prematurely and you need a broad spectrum sunscreen.
You need one that covers both. So zinc oxide that's
my favorite, because zinc oxide is not absorbed into your body.
That's good. Zinc oxide is I look at it as
(04:27):
the perfect sunscreen, but it's got to be in a
form that doesn't look white on your skin, otherwise you're
not going to use it right, So it's called micronized
or even nano. Nano got a bad name over the
last decade, but nanoparticles are just very small particles, and
in zinc oxide in your skin, they are not an issue.
If you breed them in, that's a whole different story.
(04:48):
I don't favor the spray on sunscreens for exactly that reason.
You don't want to breed these things in. None of
them are good for you if you breathe them in,
and certainly zinc oxide in the nano or in the
micronized form goes on very smoothly and protects you for
hours and hours and unless you get in the water,
(05:09):
you don't have to reapply it. Now the label will
tell you differently, because the FDA only has one set
of standards for both chemical sunscreens. Those are the clear
ones and physical sunscreens that's zinc oxide and titanium dioxide.
So the FDA will tell you the same thing. And
those chemical sunscreens, yeah, they wear away. They actually get
(05:30):
used up as you get exposed to the sun. Zinc oxide,
that's a rock. It just does what sunscreen is supposed
to do. It blocks the ultraviolet rays, so it protects
your skin from premature aging, and it protects your skin
from skin cancers and things like that. Now, is it
gonna if you wear sunscreen every day? Is does that
(05:52):
mean you're never going to age? Of course, not we
all age, but those extrinsic factors of aging. That means
not your genes, but the extrinsic factor that's ultraviolet light.
And other things that cause premature aging are things like
sun I'm sorry, smoking or marijuana smoke or cigarette smoke.
(06:12):
Both of those will cause premature aging of the skin.
So what do you want to do If you want
to look as good as possible when the UV index
is over three than it is today and it will
be all the way up until October, you'll want to
use a sunscreen at least number fifteen broad spectrum zinc
oxide And is it a coincidence that I have that
(06:33):
in my daytime, A shameless plug for my daytime sunscreen.
All right on, Board certified Plastic Surgeon, doctor Arthur Perry,
host of What's Your Wrinkle? Right Here on wr So
today we are going to talk about estrogen for the skin.
Estrogen Now, someone asked about that on the show a
few weeks ago, so we're gonna get into that topic
(06:55):
later in the show. We're gonna talk I've been trying
to talk about this for weeks. The most useful list skincare.
There's so many, so many things. One is called exosomes
e XO s me ees xosomes. We'll talk about that,
and then a topic for the day, browlifting. I saw
a patient this week, a man who came in who
(07:15):
needs a browlift. I'm board certified plastic surgeon, doctor Arthur Perry.
This is What's Your Wrinkle right here on WOAR. Stay tuned.
We've got a lot more to the show. Noah, let's
take our first break. We'll be back after these words.
Did you know that your skincare may be hurting you
(07:37):
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.
It's actually good for your skin. Protect your skin with
(07:58):
my Daytime SF twenty cream in the evening, Feed your
skin with my Powerhouse Nighttime serum. Nighttime has vitamin CNA,
antioxidants and skin brighteners. And if you like moisturizers, well,
I've created soft Time with seramides and vitamin D. Throw
away the bags of useless products and try doctor Perry's Skincare.
(08:19):
Join the thousands of people whose skin is healthier. That's
doctor Perry's Skincare on Amazon dot com. And don't forget
to listen to my radio show right here on wor
Every Saturday evening at six pm. You're listening to What's
Your Wrinkle with Doctor Arthur Perry.
Speaker 1 (08:35):
What's your Wrinkle?
Speaker 4 (08:36):
And We're back. I'm board certified plastic surgeon, doctor Arthur Perry,
and this is What's your Wrinkle? This is the show
about you, the show about your wrinkles, about your fat
that you don't want, about your jowls. Everybody's got those
if you're over fifty, right, the turkey gobbler. How many
of you have a turkey go? Oh, such words plastic
surgeons use, right, but you know, if you're over fifty,
(09:00):
you probably have some little turkey gobbler. That's the extra
fat in the neck and the platismal bands. That's the
technical term. But I call those the Katherine Hepburn bands
because she had such wonderful bands in her necks. You
never had a face left. Obviously, we get rid of those,
or you know, that's a bad choice of words. We
lessen the visibility. That's a better choice of words. We
(09:22):
lessen the visibility of the bands of the neck when
we do a facelift or a necklift. But you know
what happens as we get older, you know exactly we age.
Everybody ages, men and women, and no matter who you are,
and whether you're you know, a celebrity who is trying
is eighty years old, we know who she is and
(09:43):
trying to look like she's forty or fifty. No matter
who you are, you're going to age along with your
biologic clock, you know, and it's preordained how you're going
to age. And the only thing that you can do
to influence. That is, you can speed up your aging
by doing bad things like smoking, drinking a lot of alcohol,
taking drugs, not sleeping well, not exercising. Those are the
(10:06):
things that can accelerate aging. But what can slow it down?
Not much. You know, it's the fountain of youth. We're
searching for that, right And one of the things that
is a youth hormone in women is estrogen, and women
lose almost all of their estrogen when they reach menopause.
(10:28):
And menopause can be anywhere from the late thirties if
you're fairly unlucky, to even almost sixty years old, and
maybe even a few women are lucky enough. I suppose
to not hit menopause until after age sixty during menopause,
or rather before menopause. Of course, you can get pregnant
before menopause. You have high levels or relatively high levels
(10:51):
of youth hormones, including estrogen, and women know as soon
as you hit menopause you see a chain. Of course,
you stop menstruating, you stop having your periods, but you
also notice a syndrome in your skin. Your skin gets drier,
your skin gets more wrinkled. You look in the mirror
and almost overnight, but truly, honestly, over the course of
(11:16):
only a few months, you age and you really can
tell when you've hit menopause. And so, you know, there's
a big question amongst gynecologists and endocrinologists do we do
hormone replacement therapy? Now that's way too big a topic
for me to discuss on a plastic surgery show. But
what's not too big a topic is do we that
(11:37):
means you women, do you use topical estrogen on your skin?
And whenever we say the word topical, that means we
rub it into our skin. That's the medical term topical
that's putting it on your skin. So the question is,
you know, first of all, what does estrogen do to
your skin? Well, it hydrates your skin. It makes your
(11:59):
skin and look young and vibrant and dewey. How's that
for a word. And when you lose that estrogen, well,
you know, then you wind up losing a lot of
the luster and the beauty of your skin. So there's
a number of studies that have looked at, you know,
(12:21):
using things like estrogen on the skin, and it's very controversial,
and I have to tell you that, you know, going
right to the bottom line, it's inconclusive. At this point.
We're not sure whether or not it's a good idea. Now,
it does look like estrogen gets absorbed in the body,
and that's because it's a small molecule, so certainly it
(12:41):
has a good chance of working. And it also looks
good that when we put estrogen on our skin, we
do not get high levels in other organs in our body.
And that's also good because some of the controversy over
estrogen use is whether or not it gets into your breast,
whether or not it gets into other organs where it
causes issues breast cancer and things like that. But if
(13:04):
you put it topically on your skin, and I'm not
talking about taking the pills and eating estrogen, If you
put it topically on your skin, you can get a
lot of the benefit, the youth benefit of estrogen without
having high levels in your body. So estrogen is one
of those hormones. Like you know, we don't call retinoids
(13:27):
a hormone. They sort of back like hormones. They're vitamins
that's the vitamin A and also melatonin that's another one,
and growth hormones. So there's four different Basically hormones, even
though you know I'm using the word hormone loosely. When
we talk about retinoids like retina and any vitamin A
(13:47):
substance that's a retinoid, those do increase collagen in the skin,
that's a good thing, and decrease the rate of aging.
And that's been scientifically proven with many, many studies. And
the question is do we have to use human estrogen?
Can we use animal estrogen? Or maybe maybe how about
those phyto estrogens? What is that? That's estrogen like chemicals
(14:12):
that are produced by plants, and there are a bunch
of those, and one of those is in licorice extractic licorice,
licorice hardwort to say, right, licorice extract, and that has
what's called phyto estrogens in it. And it is interesting
and not such a coincidence that I put that in
(14:34):
my nighttime serum, because liquorice extract is not only a phytoestrogen,
but it also decreases the production of melanin in the skin,
so it evens out skin tone. It's actually also an antioxidant.
It's a very good substance. And there's lots of different
forms of this. You might hear of glabridin or something
(14:55):
like that. There's a lot. I don't want to bore
you with those terms. But they increase collagen in the skin.
That's a good thing because collagen declines as we get older.
Collagen declines that are right of about one percent per
year every decade after the thirties, and accelerates in the
five year period after menoplause. You really age in that
period and then it kind of levels off again. But
(15:19):
when we use those phytoestrogens, things like licorice extract and
the others. There are others, it increases the collagen in
the skin, and it also decreases some of the bad enzymes.
Yeah we say they're bad enzymes, but they're enzymes that
do hurt the skin, and they increase in their numbers
as we age. So the fialway estrogen seem to be
(15:42):
pretty good. Now. The only question is do we know
the percentage that you have to put in your skin? No,
we don't do. It's really an understudied field and it's
a new field. But I do think over the next
five to ten years we are going to see many
skin creams that have things like as viatrol and other
(16:02):
phytoestrogens like lacorice extract in them to not only make
your skin look better, but make it healthier. And I
do think the reason right now that there aren't a
lot of those is because there's insufficient data on both
their safety and their efficacy. Stumbling onwards, but that's the
(16:24):
story with the estrogens. I do think that they are
good for your skin. The only thing is it's really
a little bit premature to put them on your skin.
I want evidence, I want hard evidence. I want to
know that they're safe. I want to know that they
definitely don't travel in your body because the different chemicals
and the different phytoestrogen estrogens and the different natural estrogens,
(16:46):
all they do enter the blood to a certain amount,
and we don't know exactly the percentages in the blood
and what they do as they reach your end organs,
like your breast. The last thing you want to do
is put something on your skin to find out five
or ten years later that it caused breast cancer, right
of course, So that's why right now, I do think
(17:07):
it's something to look for, but I don't think I
would recommend putting estrogen on your skin today. I'm board
certified plastic surgeon, doctor Arthur Perry, host of What's Your
Wrinkle right here on WOAR And those of you who
listen to the podcast, I do hope you are subscribing,
and those of you who are not, you know, we're
(17:28):
kind of pushing the podcast because it's sort of the future.
I mean, it really is. You know, radio is wonderful.
I've been on radio for twenty years, but we can
really reach so many more people with the podcast because
the podcast has no geographic bounds and it has no
time constraints to it, which means you can listen at midnight,
you can listen in Utah, you can listen in South America.
(17:50):
So just hit subscribe, go to Apple Podcasts or iHeart Podcasts,
and go ahead and hit that button, and every week
you're gonna get this podcast. I'm board Servide plastic surgeon,
doctor Arthur Perry and podcasting now for a number of years.
If you check out my podcast, put in my name Perry,
or put in the words cosmetic surgery, and you will
(18:11):
find lots of these, in fact, hundreds and hundreds because
I've been doing this since two thousand and five. All Right, Noah,
let's let's go ahead. Let's take our second break. Now,
we're gonna come back in just a minute. There's so
much more to talk about. I want to talk about browlifting,
one of my favorite procedures. Browlifting is a It's in
(18:32):
both men and women, and it's probably the procedure that
has more different techniques than any other single procedure in
all of cosmetic surgery. I'm Board certified plastic surgeon, Doctor
Arthur Perry. Stay tuned, there's more to the show. They
(18:53):
say that sixty is the new fifty, but while you
may feel and act fifty, the mirror doesn't lie. But
that's where w 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
(19:14):
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
(19:37):
Y M D. Check me out on the web at
periplastic surgery dot com and don't forget to listen to
me doctor Arthur Perry, every Saturday evening at six pm.
Right here on WOER you are.
Speaker 1 (19:48):
Listening to What's Your Wrinkle with doctor Arthur Perry. What's
Your Wrinkle?
Speaker 4 (19:53):
And we're back. I'm board certified plastic surgeon, doctor Arthur Perry,
host of What's Your Wrinkle right here on WOIR and
straight talk about cosmetic surgery in the podcast world wherever
that is. So we were talking about all sorts of
cosmetic surgery things and skincare things on the show. But
you know, this week I saw a man who needs
(20:14):
a brow lift. And I'll tell you when I examine
someone who comes in and says, you know, I am
having trouble seeing because my brows are so low, it's
very interesting. Let me tell you how I examine someone.
First of all, I look at you head on. I
have you look in the mirror. And for a man,
your eyebrows should be at or just slightly above the
(20:38):
bony rim, but not high above the bony room. And
where's the bony rim you can feel look in the mirror.
Not while you're driving, please, but you can feel that
bony rim. Your eyebrows should be there as a man,
but as a woman it should be at or preferably
just slightly above, maybe two millimeters maybe three millimeters above
the bony rim. We don't want to put your brows
(20:59):
all the way up halfway up your forehead. That looks
funny in most people, you look surprised and not so good.
So over the years, browlifting has evolved, and there are
so many different techniques available now. And you know what,
whenever you hear in plastic surgery that there are a
lot of techniques, you could be pretty sure that none
of them are perfect. So the one that I learned
(21:21):
back in the eighties, of course I was in high
school at the time, was we made an incision from
ear to ear and across the scalp, and we peeled
Are you ready for this one? We peeled down the forehead,
exposing the muscles of the farhead, and I trimmed some
of those muscles, and then I removed some skin and
tightened things up, and voila. Your brows definitely were higher,
(21:42):
but you had an incision, and that means a scar
from ear to ear, often some hair loss, and definitely
a numb area for about two or three inches behind
that scar. So that was called the bicronal browlift. It
was replaced in the night nineties with endoscopic procedures where
(22:03):
we make five small incisions in the hair and we
go down. Kind of a complicated operation, but we lift
the brow and then we tightened the brow lifted to
a higher level. Sometimes we took out skin and sometimes
we didn't. Sometimes we put screws in. There's all sorts
of different ways to do this, but lo and behold,
very very few people in the United States still do
(22:25):
the endoscopic browlift because one it wasn't the best procedure.
I mean, some people made it into a really good
procedure if you did hundreds and hundreds of these, but
the average surgeon did not have great results with an
endoscopic brow lift. So then we did modifications of that,
and then there were these browlifts that made incisions above
the eyebrows. They worked, and they worked very well, but
(22:47):
the scars were visible in most people. I like doing
what's called the brow PEXI and I go in through
the upper eyelid, through an upper eyelid incision called the blephroplasty.
I'll remove the extra skin in the upper eyelid and
a little bit of fat around the eye, and then
I feel that bone, the bony rim, and I continue
my incision onto that bony rim several almost about an
(23:10):
inch or so above that bony rim, exposing it. And
then there's two different ways to attach the brow to
a higher level. I can either sew it straight to
the bone wow. Or I can use these little things
called endo times, and there are devices that I drill
a small hole in the bone. This gets a little interesting,
doesn't it, And I pop this device in. They've got
(23:31):
these times almost like rose times, you know, and we
seat the brow on it, and there you go. You've
got a brow lift. It's a very very well engineered procedure.
So those are the ways I prefer to do brow lifts.
Speaker 3 (23:45):
Now.
Speaker 4 (23:46):
I usually combine them with eyelid lifts. And in a man,
we have to do a very conservative procedure meaning I
don't want to feminize a man's eyelids. If I take
too much skin, if I lift his brows too much,
then we are going to get a feminine appearance, and
most men do not appreciate that. With a woman, on
the other hand, we want to feminize the upper eyelids,
(24:06):
so so it's a different operation. I usually do that
with the in conjunction with the upper eyelid lift. Sometimes
I remove some fat around the eyes, and sometimes I'll
also do the lower eyelids. And there you go. That
is a brownlift in twenty twenty five. If you're listening
in twenty thirty, I'm sure the operation has changed significantly because,
(24:28):
as I said earlier, there's probably twenty different ways to
do browlifts in the United States. All right, on board,
certified plastic surgeon, Doctor Arthur Perry, host of What's Your Wrinkle?
Once again. You know, I've been teasing this xazome thing
for a long time. I'll get to it. I'll get
to it next week, but time is short here at
WOOR and I want to thank you all for listening.
(24:49):
We're going to be back next week at six pm.
Check me out on the internet. The website is Perry
Plasticsurgery dot com. And if you're interested in the products
that we talk about, like the Daytime that's the SPF
twenty it's actually twenty three. You can purchase those on
Amazon dot com with all the great things with free
(25:10):
shipping if you're a Prime member with very very quick shipping.
I don't know how they do it, but buy it
on Amazon. You can get all my products Nighttime, Daytime,
soft Time, and clean Time, that great soap. Noah, thanks
so much for great engineering. I want to thank you
all for listening, and don't forget hit the subscribe button
(25:31):
on the podcast. We're going to be back next week
at six o'clock. Write the number down eight hundred three
two one zero seven ten. Eight hundred three two one
zero seven ten, write it down. Give me a call.
At the beginning of the show, I'm doctor Arthur Perry.
Have a great week, Bye bye now.
Speaker 1 (25:46):
The proceeding was a paid podcast. Iheartradios. Hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed.
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