Facial Rejuvenation

Episode Transcript

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.

Speaker 3 (00:15):
You know what.

Speaker 2 (00:15):
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 4 (00:26):
Doctor Arthur Perry, and the public wants to know.

Speaker 2 (00:28):
The public doesn't get a damn.

Speaker 5 (00:30):
And I went to his office and I said, I said,
look at my face. And he goes, yeah, look at
your face. We're going to do with your fan What
can you do with his face? I go like that,
I s what I got. I go, look at this,
I'm getting old. 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 plugged you. Having worked with you
on a book and numerous other activity, you want to talk.

Speaker 4 (00:46):
To Arthur Perry the best in plastic.

Speaker 3 (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 4 (00:54):
When I was a resident at the University of Chicago,
we had a.

Speaker 3 (00:57):
Media smart as I really really gifted position. I want
to pay you the highest true I can give to
a surgeon, which is when people come to you, they
don't come for an operation, they come for an opinion.
And that's why I trust you with my friends and relatives.
I didn't realize we were going to get the Michael
Jordan of Plastic Surgeons nine oh two and zero.

Speaker 4 (01:13):
Bows to this guy, and welcome. This is Board certified
plastic surgeon, doctor Arthur Perry, and you are listening to
the longest running plastic surgery program in the world ever.
Is that right? Actually it is twenty years. We've been
on the air every Saturday evening. I hope you're enjoying it.
I'm a Board certified plastic surgeon. I trained at Harvard, Cornell,

(01:36):
and the University of Chicago, and I'm on the faculty
teaching at Columbia and Rutgers. But most importantly I take
care of you. I help my patients look and feel
better by rejuvenating them and helping them look average. Oh
my goodness, how could you possibly say that? Right? I
want you to look average, I do, you know, I

(01:57):
really want you to look good as good as possible.
But sometimes that just means looking average, not standing out
from the crowd. You know, when someone has a deformity,
that's all they want. They just don't want people to
stare at them. And that's what plastic surgeons love to do,
to help you look as good as you can, whether
it's a very large nose or ears that protrude, or

(02:21):
breasts that are enormous and you can't wear proper clothing
and people make fun of you and they call you know,
it's that's what plastic surgeons do. And you know there's
sometimes it gets kind of changed around and people deride
plastic surgeons. They make fun of it as a specialty
of vanity. But you know what, when I do a

(02:42):
rhinoplasty on a fourteen year old woman, girl who doesn't
look you in the eye and doesn't have many friends
and has always been so self conscious about the appearance
of her nose, and I do that rhinoplasty and three
hours later, she's got a splint on her nose, a
little bit of a smile, and she comes back to

(03:02):
my office a couple of weeks later after I've taken
off the splint, and she's got some makeup on and
smiles and says, thank you. It's changed my life already.
It's such a wonderful thing to be able to do
for people. And people say, oh, what, you know, how
could you spend your life doing vanity surgery? And it's

(03:23):
more than that. It really does. And there are personality
changes and improvements in demeanor and behavior from looking good.
And you know, that's one of the wonderful things about
plastic surgery, besides the fact that we take care of
wounds that don't heal. And you know, I saw a
woman the other day. She came into the office for

(03:44):
filler and she's almost I guess she's sixty nine years
of sixty eight years old. It's still a pediatric patient
in my practice. And I did all the filler and
she said, would you just look at my leg. I
a piece of furniture hit my leg yesterday and I
looked at her leg and she had removed about a

(04:05):
four inch by one inch piece of skin from in
front of her leg, and I said, jeez, you know,
it's a good thing you came in here for your wrinkles,
because we need to dress this with Sylvanine. It's a
it's a cream that we use for burns, yeah, and
wounds and get you through this because certainly that could
be a life changing event if you wind up requiring

(04:27):
a skin graft or something like that. So thankfully she
got to me for something else. It was just serendipitous.
And she's in sylvadine, which is a the burn drug.
It's the anti biotic drug. And by the way, since
I'm saying things like this now, I've got to have
my little disclaimer that you know, when I talk about
conditions and drugs and things like that, it's it's in general,

(04:51):
it's teaching, it's entertaining, but it's not changing your specific
you know, medical care. You have to talk to your
own doctor about that. I'm just the guy in the
radio unless i'm your doctor, which I could be, and
sometimes I am. All right, today we are going to
talk about maybe how about facial rejuvenation. That's one of

(05:12):
my favorite topics. It really is. I spent a lot
of my life helping women look better and men, but
mostly women. You know, women tend to really be much
more concerned about their age. Remember Paul Newman, who is
no longer with us. You know, we had a craggy
face and lots of wrinkles, and boy, you know, people said,

(05:33):
well that looks distinguished in a man, right, But there
are very few women, female actresses that have wrinkles on
their face. You know, when they hit you know, fifty sixty,
you know, they're all having a lot of plastic surgery.
And there are very few actresses unless they're doing the
grandmother role over seventy right, which is why, you know, Hacks,

(05:56):
that new show is so popular because people really relate
to it. But she's looking pretty good, she's got some wrinkles.
She might come and see me as a gene smart Well,
you know she's probably listening. Go ahead, Gene, make an appointment.
All right, Well, we're going to talk about, yeah, about
facial rejuvenation today. We're going to talk about making you
look better through all sorts of things. We talked about

(06:18):
skincare in prior weeks, so we won't spend too much
time at that. That's kind of a given. You want
to have a good skincare program. It's a foundation for
looking good. It doesn't make much sense to have a
facelift if you've got you know, rough skin and you
know fine wrinkles and splashy pigmentation. So the skincare program,
that's that's number one. But then when women come in

(06:40):
to me for our consultation about facial rejuvenation, I go
through everything from skincare right up to surgery, and everybody
has their own level of comfort. And I have patients
that tell me I don't want to mess around with
these non invasive procedures. I just want a facelift, and okay,
let's talk about surgery. And then I have women that

(07:01):
come in and say, you know, I'm never going under
the knife, so what can we do to look better
without going into the operating room? So you know, there's
a difference in what you want to tolerate it, there's
a difference in what you For medical reasons, you might
not be a candidate for surgery. Uh. So we're going

(07:23):
to talk about the non invasive things today, things like
fillers and lasers and altherrah. We're going to talk about
those and peels, of course, and then we're going to
get into surgery, and I'll tell you how I do
the consultations and how we decide what is best for you.
I'm Board certified plastic surgeon, doctor Arthur Perry, host of

(07:43):
What's Your Ankle? Right here on wo R. We're going
to take a very short break and we'll be back
after these words. Did you know that your skincare may
be hurting you more than helping you. I'm Board certified
plastic surgeon, doctor Arthur Perry. The foundation for looking good
is clean, healthy skin. So I've created a program that

(08:05):
is so simple that everyone can stay on it long
enough to see real results. It starts with an incredible
skin cleaner called clean Time. It's actually good for your skin.
Protect your skin with my Daytime SPF twenty cream in
the evening, feed your skin with my Powerhouse Nighttime Serum.
Nighttime has Vitamin CNA, antioxidants and skin brighteners. And if

(08:27):
you like moisturizers, well, I've created Soft Time with seramides
and Vitamin D. Throw away the bags of useless products
and try doctor Perry's Skincare. Join the thousands of people
whose skin is healthier. That's doctor Perry's Skincare on Amazon
dot com. And don't forget to listen to my radio
show right here on WOR every Saturday evening at six pm, you're.

Speaker 5 (08:50):
Listening to What's Your Wrinkle with Doctor Arthur Perry.

Speaker 4 (08:53):
What's Your Wrinkle? And we're back. I'm board certified plastic
search in doctor Arthur Perry host, So What's your Wrinkle?
Right here on U our is everybody subscribing to the podcast? Now?
I've been talking about this for a long time, So
what is a podcast? A podcast is simply this show.
But it's when you want the show, not when we
give you the show. You know, we're on six to

(09:14):
six thirty every Saturday evening for twenty years. But you
might not want to stay in next Saturday night. I
don't know why, but you might miss the show. And
you can get the show if you sign up for
the podcast. It's free. Go to iHeart Podcasts, go to
Apple Podcasts and you search my name, doctor Arthur Perry

(09:35):
or doctor Perry. It'll come up and search straight Talk
about Cosmetic Surgery or just cosmetic surgery. Search that and
you'll find a multitude of shows, a multitude starting from
December of two thousand and five. We've got that first
one up, Noah, that Fateful day when a freezing day
in Manhattan, and you know the technical failures, and it's

(09:57):
all there. We've got it all. You can listen all
these podcasts, but you have to hit subscribe. Please do that.
Tell your friends there's this great plastic surgery show out
there by a Unbuya. I try and be unbiased, pretty
much as unbiased as anyone could be. Yes, I have
my own line of skincare. Yes, I do these procedures,
but I really try and give it to you straight.

(10:20):
And my patients know. I turn many many people down.
I say, no, we're not going to do that. We're
not going to risk your help. I'm that kind of doctor.
That's what you want. I would hope you don't want
someone that's just kind of say sure, give me your
wallet and we'll do whatever you want. I've seen patients.
I had this one very famous patient a few years ago.

(10:40):
If I said her name, first of all, I get sued.
But if I set her name, you know who it is.
And she came in to my office and she said,
I'm gonna have a facelift with you next week. I said,
seventy years old. No, no, we're going to do this
the right way. We're gonna get you medical clearance. You're
gonna get an exercise stress test before. We're gonna make
sure everything is in perfect shape. And yeah, it's going

(11:02):
to be three or four weeks. That's kind of the
earliest week could do. She says, no, no, doing it
next week. Said no, we're not, and she went and
had it done by someone else. Okay, someone's willing to
be you know. She did fine. She came back for
filler after that with me. But yeah, I don't play
games like that. It doesn't matter who you are. I'm
not going to compromise my principles or your health. All right,

(11:25):
So we're talking about facial rejuvenation. When you come into
my office and sit at the desk opposite me, first
of all, I take photographs of you, and I use
that new Vectra camera. You know, it's the coolest thing.
It's a three D camera. It takes a bunch of
pictures and stitches them together and I can rotate your
head around and we can make changes also in in

(11:49):
your picture. So if I make a change in one area,
like from your profile, it'll change it in the front view.
It's the coolest thing. So it's a vectra technology. We'll
sit down and we'll look together at your photographs and
we'll kind of say, well, here you go. You could
have this, this, this, and this, and I'll start from
the top of your head, your hairline, and work my

(12:09):
way down. If it's facial rejuvenation, will go to your
collar bone. That's the area, and we'll talk about all
the different things that can be done. Now, as I
said earlier, you're going to be at whatever you know,
you feel comfortable with you. Most women want to go
ahead and do whatever it is, whether it's non invasive
and invasive. So when we talk about non invasive, we're

(12:31):
talking about injectables. For the most part, fillers. And I
can do so much with fillers. I can build up
your cheekbones, build up your chin of course, phill wrinkles,
make your lips. You know, if you're sixty years old,
look at your lips. Hopefully you're not driving. Look at
your lips. They probably are smaller than when you were thirty,

(12:52):
and they probably don't have that cupid's bone. You know
what that is. You know, that's the little peaks, the
two peaks of your upper lip. And you know, a
nice youthful lip has those cube, it has the cupid's bow,
It's got the ridge, the filteral ridge. That's your that's
your your terminology, that's your cocktail party conversation. Do you

(13:13):
have a filter filteral ridge? No one knows what that is,
but uh, if you don't have it, you look older.
Then if you do have it, so I restore it
with filler. We also fill the nasal abial folds, the
grooves between the corner of the nose and the corner
of the mouth, and the marionette lines between the corner
of the mouth and the bottom of the chin. We
do that and then I go along your jawline, and

(13:34):
sometimes if you're younger, we'll enhance your jaw line all
the way across your jawline to make you have a
stronger jaw, including your chin. But if you're older, usually
it's just filling in that depression between the jowl and
the chin. And then I'll plump up your ear lobes
and uh, you know, sometimes I will Actually, if you've

(13:57):
had a rhinoplasty before, you know, you might have a
little bit of a symmetry of your nose, or maybe
you just have a symmetry, and I can use filler.
It's got to be very careful in the those because
the nose is the number one area of the body
where we can inadvertently inject filler into a blood vessel. Yeah,
we have to be very careful. And there have been

(14:19):
actually cases of blindness, not with me, thank god, but
you know, there have been many cases of blindness from
injecting in the nose and in the globella that's the
area between the brows. You know. I get patients that
come from other doctors all the time and they say,
I don't want to look like a duck, and I
don't want to look deformed, and so many people look
so bad with filler. And I have to tell you,

(14:40):
I spend an average of an hour and fifteen minutes
doing filler for a woman. I'll numb you up like
a dentist. There are four nerves inside the mouth, and
I make it so that it should not hurt. And
I spend a long time, and I do this micro
droplet technique. I'll inject maybe four five, six hundred, not
four or five injections, but four or five or six

(15:03):
hundred injections and make you look as good as you
can without getting nodules and things like that. So it's
the microdroplet technique, and I use these things called microcanulas,
little tiny tubes that the material comes out the side
of the tube instead of the end of the tube.
And by doing that it's just safer. So we'll go ahead,

(15:26):
uh and do filler and kind of work you over
with that. Sometimes it takes two or even three treatments
to have you looking as good as possible. With filler,
we'll use botox. Also. Botox is for the lines of
the forehead, the horizontal lines and the vertical lines between
the brows. And then when we do botox, we'll also

(15:49):
treat the crow's feet and sometimes we'll do the bunny lines.
So we have great names for these things in plastic surgery.
Sometimes it's the bunny lines on the sides of the nose,
you know, you know, a little bunch have those. And
sometimes it's the crinkled chin. And now, because a publication
came out about a year ago that showed the safety
of this, I am now injecting the neck the platisma muscle,

(16:13):
and we use a fairly large amount of botox in
the neck. It's got to be done very very precisely,
but it will relax those Catherine Hepburn bands without having
to have a facelift. When we come back from our break,
we're going to move into the lasers and other non
invasive procedures, and then we'll talk about the big ones.
We'll talk about facelifts and eyelid lifts and things like that.

(16:36):
I'm Board certified plastic surgeon, doctor Arthur Perry, host of
What's Your Ankle? Right here on wo R. We're gonna
take a short break. We'll be back do these words.
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

(16:57):
plastic surgeon, doctor Arthur Perry, and I love helpings 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 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

(17:18):
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 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 WOIR.

Speaker 5 (17:42):
You're listening to What's Your Wrinkle with doctor Arthur Perry.

Speaker 1 (17:46):
What's Your Wrinkle?

Speaker 4 (17:47):
And we're back. I'm board certified plastic surgeon, doctor Arthur Perry,
host of What's Your Wrinkle? Right here on wo R.
This is the program, the premiere program to help you
look and feel better. You know, we don't talk about
heart disease. You don't talk about kidney disease. We talk
about wrinkles on this show. That's what I talk about.
That's what I've dedicated my life to helping you look

(18:09):
as good as possible. So tonight we're talking about facial rejuvenation,
and we talked about skincare, and we talked about filler,
which is just so good. I mean, eight nine million
people had wrinkle filler last year in the United States.
You know, it's so good, but so many people don't
do it well. And you know what one of the

(18:31):
problems with filler. It's deceptively easy, and so doctors have
delegated to nurses. And then there are these places that
have sprung up, these storefronts. You know, no names here,
no lawsuits here, but there's these storefronts where you don't
have a doctor. You've got maybe a nurse practitioner or
a physician's assistant. And you know, they were doing pediatrics

(18:53):
three weeks ago, but they were hired to be the
nurse injector. And they're expected to give you a good job.
You know, they're expected to know where the blood vessels are.
They're expected to to not make you look like some freak,
because that's what happens. I mean, I'm not I'm not
saying anything. You don't know. You just have to look
on TV, or go on the Upper east Side of

(19:16):
not the Upper west side, the upper east side of Manhattan,
or go to Beverly Hills or Miami or Chicago and
see all these women who have been maimed by you know,
I hope. It's not board certified plastic surgeons. You know,
it's really something. So I do this very very artistically
and very carefully, and a filler is so good and

(19:39):
botox is so good, and that's really the foundation after skincare,
that's really the next step. And then we want your
skin to look smooth. Now, no matter what your skin color,
you know, there's gonna be variations in color of your skin. Now,
different different modalities such as chemical peels or lasers might

(19:59):
or might not be so depending on your skin color.
So if you are, let's say, a darker skinned person,
you probably can't have a fractionated CO two carbon dioxide
laser because it could result in splotchy pigmentation afterwards, it
could be a real disaster. But you can have things
like glycolic acid peels. They're much more gentle for your skin,

(20:22):
and it takes a series of six monthly glycolic acid
peels to get up to the benefit that you can
get with one trichlorocetic or TCA peel. So if you're
very light skinned, you can have that TCA peel if
you've got splotchy pigmentation, But if you've got some color
in your skin. You have to be very very careful.
And for the lasers, those fractionated CO two lasers. You

(20:46):
know a lot of people ask me, well, when do
you use a laser and when do you use the
chemical peel. So, if it's color, if that's the only issue,
if you've got splotchy pigmentation, you know what, we say,
they were freckles when you're fourteen, but there are age
spots when you're seventy. Yeah, so then we need to
use either the peel or the laser for the color.

(21:08):
But if you've also got wrinkles, and most of you
over the age of fifty are gonna have quite a
few wrinkles, then it's the carbon dioxide laser that is
much more effective than the TCA peel for those wrinkles.
So what I do. I love doing these lasers. I
have the fractionated laser in my office in Manhattan, and

(21:29):
I will numb up your forehead. I'll do a block
of your forehead. I'll numb up the area around your mouth,
so we'll do a dental block. So go inside your
mouth and there are two nerves and the upper and
two nerves and the lower. So we'll get about two
thirds of your face good and numb. And then we
use m LA cream also that's an anesthetic cream. And
then I go over your fate. We protect your eyes,

(21:50):
very very important. To protect protect your eyes, I put
these steel contact lenses in that no one can see
through except Superman. Bad dad joke there right, Well, okay, well,
so we go ahead and we protect you. We protect
your teeth, and then I laser your skin and I
use variable depths and strengths of the laser. You know,

(22:11):
it gets technical, but I want to go more lightly
where you don't need a lot of penetration, a lot
of wrinkle reduction, such as the nose. So I might
go over the nose one time, fairly lightly, but where
you have a lot of wrinkles around the mouth, the
cheeks around your eyes will go deeper. And so it

(22:35):
takes about six seven days to heal from this laser.
You feel fine afterwards. You know, the laser itself hurts
a bit, but we try and numb things up and
give you one of these new things. There's a new
one called Gernavis. It's really cool. It's a painkiller that
does not have narcotics in it, so it's good we'll

(22:55):
go ahead and give you that and then do the
procedure afterwards. It doesn't hurt at all, but you look terrible.
I always tell people they don't have paper boys anymore,
but if the paper boy did come to your door,
you would not answer the door for six or seven days,
you know, Slide it underneath, put it there, and walk
away and have now with the Amazon delivering food, Yeah,

(23:16):
you can have your food and your skincare delivered by
Amazon because you're not going to go to the supermarket
for about a week. But then you peel and you
look just great. So the laser is really good. It
goes hand in hand with filler and botox. But when
those wrinkles, when the jowls really get to you, and
the bands in the neck get to you, and you're

(23:37):
really looking your age, then it's time for a facelift,
and I do what's called a short scar facelift. I
love doing these. I do them under sedation now in Manhattan.
Most plastic surgeons use generally anesthesia, But the reason I
use sedation, intravenous sedation is because you recover faster, it's
safer for you, and also we don't have to mess

(23:58):
around with a breathing tube in away. I do a
lot of work in your neck, so we do that.
It takes three to four hours to have a facelift,
and you go home the very same day, have to
stay with someone. I do the short scar facelift, which
is called the ponytail friendly facelift. No incisions in the hairline,
and that's good because those are the ones that are
really hard to hide no matter who the surgeon is.

(24:20):
I've seen the best surgeons in the world, and some
of their scars behind their ears are not good. So
we try and eliminate those and just do it a
different way. Do the short scar facelift. We make an
incision underneath the chin and an incision in front of
the ear, and it curves back just a short distance
behind the ear, and I lift the skin. I do

(24:40):
what's called the two layered facelift. There is no data
that shows that these new deep plane facelifts that I
have done and I've been taught to do, no data
that shows that they're any better than a traditional two
layer what's called a smass facelift, which is what eighty
percent of the plastic surgeons in the United' dates two

(25:01):
So be careful when you choose the plastic surgeon. If
they're marketing at a specific procedure, everybody can show good results.
All right, Noah tells me we're out of here. Thank
you so much for listening. Thanks for great engineering, Noah.
Check me out on the web at Periplasticsurgery dot com.
And if you're interested in I think the best skincare

(25:21):
in the world, the patented nighttime, the patented clean time
and soft time and daytime, it's Amazon dot com. That's
where you go. You can choose those products. You can
do the subscribe and save being, get free shipping, all
the wonderful things that Amazon has to offer. And if
you're interested in talking to me and making an appointment,
it's two one, two seven, five three, eighteen twenty in

(25:43):
Manhattan that also reaches my new Jersey office. Thanks so
much for great engineer, and no we'll see everybody next
week six o'clock. Bye bye. Now, did you know that
your skincare may be hurting you more than helping you.
I'm board certified plastic surgeon, doctor Arthur Perry. The foundation
for looking good is clean, healthy skin. So I've created
a program that is so simple that everyone can stay

(26:06):
on it long enough to see real results. It starts
with an incredible skin cleaner called clean Time. It's actually
good for your skin. Protect your skin with my Daytime
SPF twenty cream in the evening, feed your skin with
my Powerhouse Nighttime Serum. Nighttime has vitamin CNA, antioxidants and
skin brighteners. And if you like moisturizers, well I've created

(26:29):
Soft Time with seramides and vitamin D. Throw away the
bags of useless products and try Doctor Perry's Skincare. Join
the thousands of people whose skin is healthier. That's Doctor
Perry's Skincare on Amazon dot com. And don't forget to
listen to my radio show right here on wor every
Saturday evening at six pm.

Speaker 1 (26:48):
The preceding was a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed