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 questioned on this subject. So
he's the guy to ask. Doctor Arthur Perry, and the
public wants to.
Speaker 3 (00:28):
Know that public doesn't get a damn.
Speaker 4 (00:30):
And I went to his office and I said, I said,
look at my face. And he goes, yeah, look at
your face. We're going to do with your fan? What
can you do with his face? I go like that,
I said, what I got? Go and look at this.
I'm getting old. I said, I want to maybe you
can fix it up a little bit.
Speaker 3 (00:41):
Doctor Oz, are you there, I'm here Ark, and I
want to get a plagued you. Having worked with you
on a book and numerous other activity, you want to
talk to.
Speaker 4 (00:47):
Arthur Perry, the best in plastic.
Speaker 3 (00:49):
Surgery, workable knowledge, but also your grace at delivering content,
which is why it's been a blessing to have you
on my show so many times.
Speaker 5 (00:54):
When I was a resident at the University of Chicago,
we had a mean you're smart.
Speaker 3 (00:58):
As I really really gift his position. I want to
pay you the highest truth I can give to a surgeon,
which is when people come to you, they don't come
for an operation, they come for the opinion. And that's
why I trust you with my friends and relatives. I
didn't realize we were gonna get the Michael Jordan of
Plastic Surgeons nine two and zero.
Speaker 4 (01:13):
Bows to this guy, and welcome.
Speaker 5 (01:18):
This is BORD certified plastic surgeon, doctor Arthur Perry, and
this is what's your wrinkle right.
Speaker 4 (01:23):
Here on WOR.
Speaker 5 (01:25):
And it is also yeah, it's straight talk about cosmetic surgery,
because that is what we.
Speaker 4 (01:30):
Talk about on this show.
Speaker 5 (01:31):
So if you're listening for the first time, where have
you been in the last nineteen years and one month.
I've been here every Saturday evening at WOR with Noah
in the studio. Tonight I'm broadcasting from the frigid Hampton's
actually a little warmer tonight, but boy, it's been a
tough week hasn't been. And I'll bet your hands are
(01:52):
just the little cuts are cracking, your lips are chapped.
This weather really does a number on your skin, doesn't it.
We'll talk a little bit about what we can do
for that in a few minutes. So this is the
plastic surgery show here on WOAR. This is the show
about jowls. It's the show about wrinkles. It's the show
about moles. Yeah, it's the show about small breasts and
(02:14):
droopy breasts and bellies that have been overstretched with pregnancy.
And this is the show about ozepic face. Yeah, what
you look like after you've lost the forty pounds on
ozepic or one hundred pounds. That's what we talk about
on this show. You can become part of the show
by giving me a call eight hundred three to two
(02:34):
one zero seven ten. That is the phone number here
at WOAR, eight hundred three to two one zero seven ten.
Give us a call. We'll send you a bottle of
the antidote for dry injured skin. You know the skin
that you get this time a year, and it's called
soft Time. It's a moisturizer that I have and it
(02:55):
is available on Amazon but you can get a bottle
of it today. If you have a good quoest question
for me, if you give me a call eight hundred
and three to two one zero seven ten and bring up
the things that have been bugging you about cosmetic surgery.
Speaker 4 (03:09):
What is it?
Speaker 5 (03:09):
Have you had surgery in the past and you're unsure
of whether your result is what it should be or
maybe you are interested. You're looking in the mirror. You're
doing it right now, hopefully not while driving. You are
looking in the mirror and you're seeing those wrinkles, and
you're seeing the extra skin in your neck, and you're wondering,
you know, is it a facelift, is it filler? What
(03:32):
is the buzz about botox? What should I be doing? Well,
this is the show to call in and ask. Well,
if the consultation on the radio is free, but you know,
take it with a grain of salt. We're here to entertain,
We're here to inform. I'm not your doctor unless I
am your doctor. And because of that, if I do
(03:53):
say something on the show that is maybe a little specific,
like I'll talk about an antibiotic or a skin cream,
or a prescription drug or a procedure, well, you know,
you have to talk to your own doctor about whether
it's appropriate for you. But we're here to give you
enough information so that you can ask the questions to.
Speaker 4 (04:13):
Your own doctor or come and see me.
Speaker 5 (04:16):
And I've got offices in New York and in New
Jersey and I'm here for you. Eight hundred and three
to two one zero seven ten as the phone number.
So tonight we are gonna be talking about moles. Yeah, moles.
It's such a simple thing, isn't it. You know, but
it makes such a big impact on you because there's
a there's a TV show. How many of you have
(04:37):
seen Shrinking? Have you seen that? It's an Apple TV show,
excellent show with Harrison Ford and Jason Siegel. And there
are more moles on that show than they have in
the Bronx Zoo. It's unbelievable. We're gonna talk about that
in a few minutes. We're also going to talk about
(04:57):
about what I do in my practice. And you know
what I've been on for nineteen something years. You know,
I was going through some old files and on December third,
in two thousand and five, a little guy named Noah
Fleischmann put together a radio show for me. No, you
want to play the very first clip of this show,
go ahead. What a night to start a show about
(05:25):
plastic surgery. The New York Times today ran a front
page article on the first base transplant, which was performed
in France last week. When's the last time you saw
a plastic surgery article on page one of the New
York Times. That's plastic surgery in the news. And this
is plastic surgery in the air, a new program on WOAR.
(05:47):
Each Saturday, we'll talk about another interesting topic in cosmetic surgery.
You can call in and ask me questions about cosmetic surgery.
We'll talk about breast augmentations. For instance, I've never met
a woman who was happy with both the size or
shape of her breasts. Well, we'll talk about liposuction on
this show. This procedure defined plastic surgery in the nineteen eighties.
(06:08):
We're going to talk about procedures that could possibly even
kill you. And botox. Who hasn't thought about botox? Are
wrinkles really a necessary part of growing old? And we'll
talk about skincare. Those one hundred and fifty dollars creams
really work? And how about faceless There are hundreds of
different procedures out there, which works the best. We're going
(06:30):
to answer those questions on this show. The return of
Silicon breast implants. They're about to return to the market
after being banned thirteen years ago. And why are there
so many bad nose jobs? Just look around on the
streets and you'll see what I'm talking about. And what
should you do to choose a good plastic surgeon? What
(06:52):
information do you need? Well, good evening, I'm doctor Arthur Perry.
I'm a board certified plastic surgeon. For the next half hour,
we'll be talking about one of America's favorite topics. No,
not sex, not baseball, We'll be talking about cosmetic surgery.
And yeah, you know, I I was pretty stiff on that,
(07:14):
don't you think. I Mean that was nineteen years ago.
And boy, I think I've gotten better on the radio
after many, many, many hours on the radio. And you know,
but I still talk about the same things. We talk
about the post suction. Yeah, and Susan Warner, my co host,
is here, and she rolled her eyes. Yeah, We're talking
(07:35):
about the same things over.
Speaker 4 (07:37):
And over all.
Speaker 5 (07:39):
Right, So yeah, but really it's if you listen to
that from December third, two thousand and five that clip
that I just plut yeesh, Susan says same, Oh okay,
don't say that word on the radios. But seriously, you know,
the what was new in two thousand and five, breast
implants were coming back on the market after being off
(08:01):
for thirteen years. Well they're back now it's nineteen years
and a week later, and you know, they're more popular
than ever. Botox, you know, was in its infancy in
two thousand and five, and now it is the most
popular procedure in all of cosmetic surgery. And you know,
(08:22):
it just goes on and on, and plastic surgery is
here to stay and it has really defined a generation
of people. It's defined a generation of entertainers and vice
versa that they've influenced us also. So yeah, I've been
doing this for a long time. I'm not sure how
long we're going to be on the air. We're not sure.
(08:43):
We don't know what next week will bring, but certainly
we'll be podcasting if we're not on the radio. But
you know, you can listen to me. Just search my
name doctor Arthur Perry and search straight talk about cosmetic surgery.
If you're not listening on the podcast. You've got to subscribe. Well,
we've got some callers already. Uh, well we have Sondra. Sondra,
(09:04):
what can I do for you? What what's your wrinkle?
Speaker 4 (09:05):
Tonight?
Speaker 6 (09:06):
Last week you spoke about capitillary say you zapped them out.
What happens if someone has like a little brown, very
lightly different than the regular part of the skin. Can
you zap that the same way? You have to do
something different to that.
Speaker 5 (09:19):
I was just wondering, Well, it's it's interesting that you
mentioned that, Sondra, because I actually did a procedure on
myself this past week.
Speaker 4 (09:29):
It was a good week. Right, We're off for a
couple of weeks.
Speaker 5 (09:32):
You know, it's the vacation season here in New York,
and so I'm not seeing patients. So I, uh, you know,
what do they say about a doctor who treats himself.
There's a there's a something not so good about that.
But but I did. I I had some brown, splotchy
pigmentation on my forehead and upper face, and uh, you know,
(09:55):
I was in the office and I said, why not
why not take some chem peel some TCA and on
my own face. Yeah, so a chemical peel is one
way to do it. So I'll talk about that in
a minute. But there's a few different ways to treat
the brown splotches on your face, Sondra, And it really
depends on what you want to go through and whether
(10:17):
or not you also have wrinkles, because the TCA peel
trichlorocetic acid peel is really really effective at decreasing that
brown splotchy pigmentation. You know what they say, Sondra, there
freckles when you're a kid and their age spots as
an adult, I say that.
Speaker 4 (10:34):
I don't know what else says it, but I say it.
Speaker 5 (10:37):
But but seriously, you know, skincare can help to a
certain extent. Go ahead, and Sondra, go ahead.
Speaker 6 (10:43):
So can you just treat that little spot with the peel?
You have to do a whole area.
Speaker 5 (10:51):
Well, actually that's what I did on myself. I did
spot peels, so so usually we'll do the entire face.
And the way that's on is first I need to
remove the oils from the face, and I do that
by rubbing a solution of acidtone, which is fingernail polysh
remover on your skin. So I take a cloth or
(11:12):
a sponge or something like that, and first I remove
the oils because the TCA will not penetrate the skin
if there's oil on the skin, so we need to
do that. Everybody makes oil. It's one of our defenses.
It keeps our skin relatively moist, but we don't want
it with a tcapeel. And then there are different concentrations
of trichlorocetic acid. Now, don't try this at home. Amazingly, Sondra,
(11:38):
people can buy these things on Amazon. I don't understand
how they can get away selling these things Amazon and
all over the internet. But if you want to be
your own doctor, not the best thing, because you really
can burn your skin. So the concentrations of TCA are
generally either fifteen percent or thirty five percent. There are
(11:58):
stronger concentrations, but they're not necessary and dangerous. So I
usually take a thirty five percent solution and I will
rub it onto your skin. We can do it either
in spots with using a Q tip or usually it's
the entire face using a surgical sponge. And the depth
(12:21):
of the peel is very dependent on a whole bunch
of things. It's a very very variable peel. So one
of the things that controls the depth of the peel
is what you do to your skin before the peel.
So if you use retina, which is prescription vitamin A,
or if you use my Nighttime which has retinial propionate,
the most difficult to pronounce vitamin A form. But if
(12:45):
you use vitamin A on your skin, or if you
use an alphydroxy acid which is a fruit acid like
glycolic acid, lactic acid, these are the things that I
have in my nighttime.
Speaker 4 (12:56):
By the way, if you use.
Speaker 5 (12:57):
These things on your skin, you'll get a deeper peel
if you don't. And then the reason for that is
because they exfoliate, they keep the layer of dead cells
on the surface of the skin to a minimum and
the peel can penetrate more. The other thing that makes
a difference is how I clean your skin. So if
I don't use acetone, if I don't use that prep
(13:18):
for your skin, it will not penetrate as well. And
also the number of strokes on the skin with my
sponge or with my que tip decides how deep that
peel will go, and of course the concentration of the peel.
So hang on the line, Sondra, We're going to take
a short break and when we come back from our break,
we'll talk a little bit more about the TCA peel,
(13:39):
which I love to do, or the alternative, which is
a laser a laser peel of your face, a CO
two laser fractionated CO two laser. We'll talk about the
different techniques of how I reduce the brown spotshy pigmentation
if you're facing give you an even complexion. On Board
Certified Plastic Surgeon, Doctor Arthur Perry eight hundred three two
(14:00):
one zero seven ten is a phone number here at
wor hang on. We'll be back with more of the
show in just a minute. 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
(14:21):
looking good is clean, healthy skin. So I've created a
program that is so simple that everyone can stay on
it long enough to see real results. It starts with
an incredible skin cleaner called clean Time. It's actually good
for your skin. Protect your skin with my Daytime SPF
twenty cream in the evening, feed your skin with my
(14:42):
Powerhouse Nighttime serum. Nighttime has vitamin CNA, antioxidants and skin brighteners.
Speaker 4 (14:48):
And if you like moisturizers.
Speaker 5 (14:50):
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 who's skin is
healthier Clean Time on Amazon dot com.
Speaker 6 (15:03):
You are listening to What's Your Wrinkle with Doctor Arthur Perry.
Speaker 4 (15:06):
What's Your Wrinkle?
Speaker 5 (15:09):
And we are back on bords CERTI had plastic search
of doctor Arthur Perry and my co host Susan Warner,
who's not on the air right now, did come into
the studio to tell me. Yeah, it was Sir William Osler,
one of the great positions of all time, who had
that quote, A position who treats himself as a fool
for a patient. Yeah, okay, well all right, I treated
(15:30):
myself and it is very interesting what my forehead now
looks like two days into the tcapl Sondra, are you
still there?
Speaker 6 (15:38):
Yeah? I want to know how your treatment turned down.
I'm very curious.
Speaker 5 (15:43):
Okay, Well, I did go into a restaurant at lunch
today and the waitress was staring at me and I said, no,
I don't have leprosy. I had a peal of my forehead,
so here's what it looks like on day First of all,
it stings a little bit, and you know, it is interesting.
(16:03):
I've never had appeal before. I've never peeled my own skin.
I've done plenty on patients, in fact, thousands over the years,
and you know, they have discomfort, and I tell.
Speaker 4 (16:14):
Them, oh, it's not so bad. It's actually not so bad.
I have to say.
Speaker 5 (16:18):
It's there are a lot of things worse than this,
but there's a little discomfort of burning sensation relatively mild,
and that subsides after about five or six or seven minutes.
And then your skin turns white during the peel, and
then by the time you leave the office, you know,
of course it's me, I was the patient. The skin
(16:39):
is kind of pinkish, and then the next day you
wake up and it's a little bit gray, and by
that second night it turns kind of brownish, and so
you can't put makeup on, and you know, I just
want you to use either moisturizer or a steroid cream
and it evolves over the next few days. So I'm
(17:00):
only on day two right now, but I've seen it,
of course many many times with my patients, and what
will happen is that over about about five to six
maximum seven days, the skin will peel, and almost comically,
when the skin peels, so will the brown spots.
Speaker 4 (17:16):
You'll see them in the skin. You know. It's sort
of like a sunburn when you go.
Speaker 5 (17:21):
Into the sun that very first hot day in the
end of May or June, when your skin is at
its lightest of the year and you don't put enough
sunscreen on and you get a sunburn that first day
you go out to the Jersey Shore or the Hamptons
on Sunday. By Thursday, your skin begins to peel, and
that's what happens also with this peel. So what will
(17:43):
happen to me is after the peel, the skin will
be a little bit redder, and that will last one
to three weeks and then it'll just look better, so
those brown spots will be gone and people will not
be staring at the brown spots on my forehead anymore.
So that's one way to do it. But Sondra, if
you also have wrinkles, the TCA peel will not get
(18:04):
rid of wrinkles.
Speaker 4 (18:05):
I mean maybe the finest around the eyes.
Speaker 6 (18:08):
I just care about the brown spot.
Speaker 5 (18:11):
Okay, Well, then the tcapel is a really nice way
to go. But for the benefit of listeners from Maine
to Virginia and all over the world listening on the
straight Talk about Cosmetic Surgery podcast, which I hope you
have subscribed to Sondra, for the benefit of all those
millions of listeners, the fractionated CO two laser is the
(18:35):
alternative to the TCA peel, and the fractionated CO two
laser will not only get rid of those brown spots,
but will also treat the wrinkles. And one of the
nice things about the CO two laser is I can
alter the depth. Now, we can, to a certain extent,
alter the depth of the peel, but it's limited. It's
fairly limited in what I can do. Not so with
(18:56):
a laser, so I can do anything from xfoliate and
just make your skin kind of smoother too. I can
completely remove your skin all the way down to the
fat and even deeper. Well, we don't want to do that, right,
but what we do with the fractionated CO two laser
is I'll go over the area. I'm pretty aggressive with it,
and because most of my patients really want a nice
(19:17):
result and to get rid of the wrinkles, and I
don't say that in a funny way. Of course, everybody
wants a nice result.
Speaker 4 (19:24):
But what I'm.
Speaker 5 (19:24):
Saying is if I go superficially with a laser, then
it really won't help the wrinkles enough. And sometimes what
I used to tell people is we'll go back two
or three times spaced a month or so apart and
do it over and over. But that puts you out
of commission for three times. So my preference now is
(19:46):
to do one fairly aggressive laser and I'll numb.
Speaker 4 (19:49):
Up your forehead.
Speaker 5 (19:50):
I do farhead blocks very similar to how I block
the forehead if I'm taking something off, like a mole
or something like and I'll do blocks around the mouth
similar to how I do it when I do filler.
So we'll get about two thirds of the face numb
that way, and then I'll be pretty aggressive. We use
(20:12):
amlo cream. You come into the office a half hour beforehand.
We put the cream on, and then I aggressively laser.
And the fractionated laser what it does. It's a dry laser,
so that means it doesn't give you a wound. It
drills these little holes in the skin, and that sounds wonderful,
doesn't it's drilling holes in the skin. It does it
(20:33):
so that we we create some shrinkage of the skin
and we also generate new collagen, both of those things.
It'll thicken the skin, and it'll shrink the skin, and
wrinkles will be less after the peel, and the effect
of the peel will also It'll get better and better
over about three months because we stimulate a shrinking process
(20:57):
to the skin. What it really is is it's a burn.
It's a very controlled burn to your face. But the
laser is a wonderful way to go, and it'll help
of brown splotchiness, and it'll help wrinkles, and it's an
adjunct to other things. It's not a replacement for a facelift.
Speaker 4 (21:16):
It isn't. I mean.
Speaker 5 (21:17):
And some people will lift the jowls a bit, but
we have to be very, very superficial on the neck.
We can be much more aggressive on the face if
we go on the neck. I go really superficially because
we can easily cost scarring in the neck. Scarring in
the face is very unusual, but in the neck, if
we're not careful, it can scar pretty easily. I can
(21:37):
also laser the forearms and the hands to reduce the
brown splotchiness and tighten the skin just a little bit.
Speaker 4 (21:44):
So the laser is a really.
Speaker 5 (21:45):
Nice tool, and it is a tool just like the
other things that we have to use in plastic surgery.
So there's your primer for you. It sounds, Sondra like
it might be the tcapel.
Speaker 6 (21:58):
Little cute to things.
Speaker 4 (22:00):
Good, yep, yeah, for squats, it's sure. All right.
Speaker 5 (22:05):
Well let's let's let's see you in the office. Come on,
come on down, as they say, I will.
Speaker 6 (22:10):
Thank you so much. I'm happy New Year again to
you and Susan.
Speaker 5 (22:13):
Okay, bye, well, thank you very much, Sondra. It's been
a pleasure and I look forward to seeing you all
right on board Certified Plastic Church and doctor Arthur Perry,
host of What's Your Wrinkle for a long long time
and according to Susan, too long, but no, I don't
think so nineteen years. It's a good show and a
good run, all right. So yeah, I talked about doing
(22:35):
the chemical peel on myself, and I expect it's going
to give me a nice result. So last night I
was watching one of my favorite programs, shrinking.
Speaker 4 (22:45):
Have you ever watched that.
Speaker 5 (22:46):
It's on Apple TV and it's got Jason Siegel and
Harrison Ford there. They play psychologists on the show and
they've run two seasons already. It's a great show if
you haven't watched it. I'm not doing a commercial for shrinking.
I'm actually talking about you know, I look at the
characters on these shows and I wonder, what are they
(23:07):
doing what. Harrison Ford has this scar on his chin
that he's had his entire career, and it's an oblique scar.
You just have to look at a picture of him,
either in one of his Indiana Jones movies or in
this You know, he's eighty two now and he still
has a scar. He's gone through life without fixing this.
I don't understand, Harrison. If you're listening, I'll fix it.
(23:30):
I'll do it, gratits. It'll be a you know, one
of those things will just do for you. And it's
such an easy thing. In about forty five minutes, I
could fix that scar. And on the end of the scar,
I can't quite tell. It's either a mole or a
what's called a dogg ear. If he had this, I
don't know how he got this scarf. It was a cut,
(23:50):
and it was sewn improperly when he was much much younger.
You know, I suppose it could be a dogier, but
I can fix that very So when we come back
from our break, we're going to talk about all the
characters on the show, one after the next. I'm looking
it's hard for me to watch the show. We look
at Jason Siegel, you know he's a great actor.
Speaker 4 (24:12):
He's got this.
Speaker 5 (24:13):
Big mole in his marionette line on the right side.
You guys coming, you have to look at it. Watch
the show. You look at Gabby. How many of you
have watched the show? Jessica Williams, She's got.
Speaker 4 (24:25):
This giant mole on her upper lip.
Speaker 5 (24:28):
Alice the daughter, you know, she's one after the next.
She's got this big mole on her right cheek. Kenawan,
he plays Tim, Gabby's boyfriend. A bunch of these skin tags.
He's an African American man and very common to get
sun damage on the face with skin tags and these.
Speaker 4 (24:47):
Sebaia Kartosi's on his cheek.
Speaker 5 (24:50):
And Brett Goldstein, you know Brett from all those TV shows.
He's on the show. Also mole on his left neck.
What's going on.
Speaker 4 (24:59):
On that show.
Speaker 5 (25:00):
I don't know if it's something where you have to
have a mole to be on that show, but they're
not attractive, and I guess I'm on a quest to remove.
Speaker 4 (25:10):
All those moles. You know, moles.
Speaker 5 (25:13):
Everybody has anywhere between twenty and sixty moles on their body,
and for the most part, they are benign.
Speaker 4 (25:20):
Although the more moles you have, the more.
Speaker 5 (25:23):
Likely one of those moles is going to be a
cancer of melanomas. So when we come back from our break,
we're going to talk about melanomas and we're going to
talk about removing moles.
Speaker 4 (25:33):
And other things in plastic surgery.
Speaker 5 (25:35):
Eight hundred three to two one zero seven ten is
the phone number here at WOOR. Give us a call
eight hundred three two one zero seven ten. Will be
back after these words. They say that sixty is the
new fifty, But while you may feel and act fifty,
(25:57):
the mirror doesn't lie. But that's where plastics are 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 and yes, younger with my short
scar facelift and the artistic injection of wrinkle filler or
(26:19):
a laser peel, well, that might be just what it
takes to get you looking as good as you feel.
Let's sit down for an hour consultation in my new
Park Avenue office. Together, we'll come up with a plan
to help you look your best. Check me out on
the web at periplastic surgery dot com. Give me a
call at eight three three Perry MD. That's a three
three p E R R Y M D. You're listening
(26:41):
to What's Your Wrinkle with Doctor Arthur Perry. All right,
so straight talk about cosmetic surgery. That's the podcast. You
get podcasts. Everybody gets podcasts. iHeart is what I think.
They're the biggest distributor of podcasts in the world. You
can get podcasts on iHeart dot com. You can get
podcasts on Apple dot com. If you're sitting there in
your apartment in New York on a Saturday evening listening
(27:04):
to this show, well you should be subscribing to the
podcast because you don't have to be tied to the radio.
You can actually have this podcast on a Wednesday morning
or a whenever you want. You can listen to Lovely
Voice and it'll put you to sleep at night if
you listen to these podcasts. We've got hundreds and hundreds
(27:25):
of these podcasts going all the way back nineteen years
and they are on the internet. You can go to
Apple Podcasts or iHeart Podcasts and what you want to
do is search my name, that's doctor Arthur Perry, or
search cosmetic surgery and it will come up as one
of the top five cosmetic surgery podcasts in the world.
Speaker 4 (27:46):
Thank you.
Speaker 5 (27:47):
And if you do that, then you know you just
click on the subscribe. It's free and you get a
notification each time we post a new straight talk about
cosmetic surgery on the in the podcast world, and then
you can listen to it whenever you want.
Speaker 4 (28:02):
And it's good for me and it's good for you.
Speaker 5 (28:04):
It's free, and you should be doing that and tell
your friends also to do it.
Speaker 4 (28:09):
All right.
Speaker 5 (28:10):
So, I'm a board certified plastic surgeon. I do all
sorts of things in my office and in the operating room,
everything from skincare to facelifts and tummy tucks and even more.
But we're going to talk about moles for a few
minutes and then we're going to talk about all the
other things that I love to do in my office
(28:30):
every single week. So, but moles, you know, the more
you have, the more likely you are to have a
bad mole. What's a bad mole and a typical mole.
That's one of the names for the mole. Another name
for it is dysplastic d Y S P L A
S T I C dysplastic mole. And then the real name,
(28:51):
the technical name if you search the Internet for a mole,
is a neevis any v us. And I tell you
these things because a lot of people have become their
own doctors now with doctor Google. Not a really good
thing to do, but it does provide you with a
reasonable amount of education. But don't try and diagnose yourself,
and certainly don't try and treat yourself. You can go
(29:12):
to the internet and buy these things that are designed
really for veterinarians to burn off moles. It's the worst
thing you could possibly do. We've talked about that on
the show in the past. There are many cases now
of people dying. That's right from disseminated melanoma and they've
actually burned off They said, well, there's no primary where
(29:33):
is it.
Speaker 4 (29:33):
Well, you know about two years.
Speaker 5 (29:34):
Ago, I took some acid that I got on the
internet and I burned this thing off my belly, and
now you've got melanoma all over your body. Not a
smart thing to do. Don't do that, So go see
your plastic surgeon. Actually, the first person to go see
if there's a questionable mole, if you don't know if
you want it removed, is a dermatologist. They will do
(29:56):
a mold check from your head, parting your hair all
the way down to between your toes and looking at
your genitals and even your anus everywhere. That's what a
dermatologist is supposed to do. If they're doing a mole
check and not looking everywhere, then they're not doing a
mole check. But if you have a mole and you
know you want it removed, then you can make an
appointment with me directly. You don't have to go through
(30:17):
the dermatologist because I, of course as a plastic surgeon,
as all plastic surgeons for the most part, will remove
moles and and most people who have their moles removed
by a plastic surgeon. They're actually going to me because
it's in a cosmetically sensitive spot. You know, if you've
got a mole in your lower back, it really doesn't
matter too much, I suppose. I mean, maybe it does
(30:39):
if you're a younger, more vain person. But if you're
you know, an older person, Oh my goodness, what am
I saying?
Speaker 4 (30:46):
You know?
Speaker 5 (30:46):
Of course vanity. Everybody has vanity, even when you're older.
I'm not saying it's you don't, but but you know,
we know that people who are younger will have a
more likely they're more likely to go to a plastic
surgeon to get the best cosmetic result. A dermatologist can
remove a mole, yes, a general surgeon can remove them all.
(31:08):
A family doctor can remove a mole, but there will
be a difference in the technique used. And for the
best result, you're going to want to go to a
plastic surgeon and that we use all the proper techniques.
We orient the scar in the right direction, We'll lift
up the skin and take the tension off of it,
close the wound in a couple layers, and try and
give you as good a result as possible. A lot
(31:30):
of people think I can erase moles. We're not going
to erase those. We're going to replace a mole with
a scar on board certified plastic surgeon, doctor Arthur Perry,
host of What's Your Wrinkle? Right here on WOR. The
phone number is eight hundred three two one zero seven ten,
eight hundred three two one zero seven ten.
Speaker 4 (31:49):
So we were talking.
Speaker 5 (31:50):
We're talking about moles, and we were talking about melanomas
and skin cancers and why a plastic surgeon is a.
Speaker 4 (31:56):
Great choice to.
Speaker 5 (31:59):
Go to if you've got a mole, and I do
a lot of those, and I actually enjoy doing those.
And I also will reconstruct these basil cell carcinomas, And
if you've got one on your forehead or on your cheek,
or on your nose or something like that, plastic surgeon
will often reconstruct after the dermatologist has done what's called
(32:20):
mose surgery. So these are some of the things I do.
But of course the tape we were talking about facelifts,
which are the procedures that I love to do and
do more and more of those in both women and men,
and all different varieties of facelifts. And I do a
different facelift than a lot of people. Everybody, every plastic
(32:43):
surgeon has kind of their own technique that they use.
I do what's called the short scar facelift. That means
I don't make incisions up into the hairline. I like
to keep the incisions hidden from your hairdresser, keep your
incisions hidden if you go swim. That's the nice thing
about a short scar facelift. But every plastic surgeon has
(33:06):
his or her own techniques that they use, and so
when I do a facelift, I do it a little
bit differently than almost everybody else. But that doesn't mean
that others are better or worse. Everybody has evolved their
own technique. It's almost like a chef in a kitchen.
You know, you go to one restaurant and you eat
(33:27):
a particular meal that's just wonderful by one chef, and
he or she has put the ingredients together in a
particular way. The same thing with the facelift or other
cosmetic surgery. The plastic surgeon is sort of like a
chef really and has the ability to combine different techniques
(33:48):
and different little steps to.
Speaker 4 (33:53):
Get you the result that you need. And everybody's different.
Speaker 5 (33:55):
Not everybody has the same issues, So when I do
a facelift, I want to not overdo it, you know,
And that sounds obvious, right, of course, you don't want
a facelift overdone. But you only have to look around
Manhattan and other places where there's a lot of plastic
surgery to see kind of a muppet appearance, you know
what I'm talking about. We're too much skin has been
(34:16):
rather too much fat has been taken from the neck,
and the neck has been pulled just too tight, and
it looks just abnormal. And you see a woman who's
sixty five or seventy years old, and they look done.
And that's not what we want in plastic surgery.
Speaker 4 (34:32):
If you look done, I've overdone it.
Speaker 5 (34:34):
And what we really want to do is create a
result that's natural. And so with a facelift, that's so
important and so true. Also with rhinoplast These rhinoplasts are
nose jobs. We don't like to use that terminology in
plastic surgery. They're nasalry shaping. But those are probably the
procedures that are the most often overdone. It's so easy
(34:58):
for a plastic surgeon to overdo it. And one of
the reasons for that, there's such artistry in rhinoplastic surgery.
It is considered the most difficult procedure in all the
plastic surgery. It is the procedure that I love to
do the most because it is the most difficult and
the most artistic. And so it's so easy to take
a nose that's just a little bit too big, let's say,
(35:21):
or a little bit too bulbous, and overdo it and
it only takes a couple millimeters of extra cartlet's taken
off like the end, which is the septum, tilting the
nose up too far and you can look into the nostrils,
or narrowing the nose and it looks so angular, or
removing too much of what's called the dorsum, which is
(35:44):
on the profile view the top of the nose. If
you remove too much and give a scooped appearance, just
doesn't look good. And it just doesn't take much at all.
In fact, in fact, a bump on the nose that's
one millimeter that's almost imperceptible, but one millimeter can be
seen from across the room as a hump, not a
(36:07):
straight nose, not a scoop nose, scooped out nose. So
it's so important that the accuracy be perfect in a rhinoplasty,
and that is why there's a fifteen to twenty percent
redo rate in rhinoplasties with every honest plastic surgeon.
Speaker 4 (36:24):
And it's not just.
Speaker 5 (36:25):
Because of that accuracy that's required, but it's also that
when you heal a rhinoplasty, you heal with scar.
Speaker 4 (36:32):
That's how we all heal.
Speaker 5 (36:33):
And some people make a little bit more scar, and
we're talking about scar underneath the tissue underneath the skin,
not just in the incisions. And if you make a
little bit too much scar, then that straight dorsum, that
nice profile can look like a hump that you don't want.
So rhinoplasts, I do what's called an open rhinoplasty, and
(36:54):
there are closed rhinoplastis where all the incisions are from
the inside of the nose. I make a small incision
across the skin between the nostrils, and that defines an
open rhinoplasty. And you say, well, why do you make
an incision. You want no incisions visible. But that little
tiny incision, which is about a quarter inch long in
most people, gives us so much accuracy with rhinoplasty. So
(37:17):
that most plastic surgeons now are doing what's called those
open rhinoplasties. Back in the nineteen eighties, everybody was doing
what's called a closed rhinoplasty. And now here we are
in almost twenty twenty five coming up. I would say
across the United States about three quarters of rhinoplasts, maybe
eighty percent, are open the type of rhinoplasty that I do,
(37:41):
and about twenty twenty five percent are still closed rhinoplastes.
And I do think that doing that open rhinoplasty gives
us so much more accuracy and a much better chance
at a perfect result. So I do those I do,
you know what I do in my practice. Everybody's different,
of course, every board certified plastics surgeon has his or
(38:04):
her own techniques.
Speaker 4 (38:05):
That they like.
Speaker 5 (38:05):
I like the open rhinoplastic. When I do a facelift,
I do the short scar facelift technique. And breast augmentations. Now,
now many of you who I've had breast augmentations have
had the size chosen by the plastic surgeon.
Speaker 4 (38:20):
How's that possible, you know?
Speaker 5 (38:21):
But it is very, very common for the plastic surgeon
to choose the size. And I don't think it's proper.
I would never try to choose your style of dress.
I would never try and make cosmetic decisions for you.
Speaker 4 (38:35):
Of course, I'm going to give you.
Speaker 5 (38:37):
My best advice, but the final decision is yours. And
there's a trend. There was a trend for three decades
that the plastic surgeons would put in implants that were just.
Speaker 4 (38:49):
Too big, really too big.
Speaker 5 (38:51):
You know, some women said, well, bigger is better, right,
get your money's worth. That's not true, because what happens
is the bigger the implant, the more problems you'll have
down the line, not just cosmetic problems where the implants
look visible and maybe bulging up high, but also when
the implants get particularly large, you get clothing fit issues
(39:14):
back and next strain the same issues you have when
you have large breasts and come in for a breast
reduction procedure. So with breast augmentations, I tend to first
of all, I let you decide. I have you bring
in the bra that you want to fit into. I
would never try and choose a size for you. I
will spend ten fifteen minutes with you looking at different
(39:38):
size implants in different size bras, and then I'll spend
the rest of the time. I'll have you spend the
rest of the time with my nurse or with my
other employees, because sometimes people are not clear what size
they should be, and they bring in all different sized
bras and it's a long consultation. But the final decision
(40:00):
is yours and I have you sign off on that.
And I never changed the size once we make our
decision in the operating room. And I know that's different
from a lot of plastic surgeons who will look in
the operating room and say, well, I think she'd look
better with a bigger size. I don't think that's a
fair thing. I don't want any surprises when you come
out of the operating room. So the implant size is
(40:22):
up to you and where it's put, whether it's in
front of the muscle or behind the muscle. That's a
discussion also that we have prior to surgery. So the
breast augmentations I've done many, many thousands over the years.
I've been doing a breast augmentation since the nineteen eighties.
They've gone through all sorts of changes. We are no
longer using the textured implants. There's only smooth implants because
(40:45):
of the very very rare risk of lymphoma with those
textured implants, and that, of course brings up the question,
if you have textured implants, should you take out your implants?
Should you then put smooth implants in? And the current
recommendation by the FDA and implant companies is no, it's
such a rare event to have a problem with the
(41:07):
breast implants that we're not recommending women take out those implants.
But going forward, we're not putting in those textured Most
people are not putting in textured implants anymore.
Speaker 4 (41:18):
I know.
Speaker 5 (41:19):
I'm on the faculty of Columbia and Cornell, and I've
asked my colleagues at those institutions, and I don't believe
anybody is using the textured implants at this point.
Speaker 4 (41:29):
They are still on the market.
Speaker 5 (41:30):
However, the FDA is not convinced that they are causative
in those type of lymphomas, and so if they were,
they would say, definitely, let's get them off the market.
Not happening yet, and I don't know if it will
happen all right. The other thing that I do a
little bit differently than other people is liposuction, and I
pronounce it differently. Also, I'm the only guy that pronounces
(41:53):
the liposuction, because that's really what.
Speaker 4 (41:55):
The word is.
Speaker 5 (41:56):
It's a lipid, not a lipid. I make many small
decisions when I do suction, and I like to do
it under general anesthesia. If I do suction on your neck,
then I'll usually do it under sedation. If I do
suction on your knees, well I'll usually use sedation. But
if we're doing bigger areas, I will do the suction
(42:16):
under general antesesia. And I've published a chapter in a
book and a scientific paper on why that's important and
why it's safer to do under general antices. It's one
of those things that are it's not obvious. You'd say, well,
general anteses is not as safe as sedation, But with
sedation you have to use such giant amounts of local
anesthetic that it's not safe in my opinion, if you're
(42:39):
having your belly, your thighs, and other areas, even your
arms suction, it's just too much local anesthetic. So a
short general anesthetic is far safer. I like to use
little tiny tubes and break up the fat and suction
it out, and that's how I do lip a suction
very important not too bump into the muscle or bone underneath.
(43:02):
And that is how my suctions don't hurt afterwards for
the most part. I mean there's an exception all the time.
There can be, but for the most part, when you
have liposuction, the very next day, you.
Speaker 4 (43:13):
Say, yeah, I feel pretty good.
Speaker 5 (43:15):
I don't need any pain medicine other than maybe a
little bit of tile and all that's about it. You're
back to work in two days after liposuction. It's a
great procedure, all right. So I just wanted to comment
about the products before we end the show. They're solely
on Amazon dot Com. Now we have just upped the
(43:36):
percentage off if you have the subscribe feature. So if
you know what I'm talking about, if you get coffee
every month, or or tide or something like that, you
wind up signing up for a subscription. You get it
every month, and we now have that with my products,
my skincare products, and if you subscribe you get ten
percent off, and if you subscribe to more than five
(43:57):
products with Amazon, you get fifteen percent off. So go
to Amazon and you can look at my products.
Speaker 4 (44:03):
They're all there.
Speaker 5 (44:04):
Everything is in stock and ready to go and free
shipping if you're a prime member.
Speaker 4 (44:10):
No I want to.
Speaker 5 (44:11):
Thank you so much for nineteen years and one month
of great engineering. The year is coming to a close.
Not quite sure if I'm going to be back in
twenty twenty five on these airwaves. Hopefully I will, but
you never know. But you certainly can find me on
the podcast world. So subscribe, subscribe, subscribe.
Speaker 4 (44:34):
Thanks so much, Noah, it has been wonderful.
Speaker 5 (44:36):
Susan Warner or my co host who wasn't on tonight,
Thank you so much.
Speaker 4 (44:40):
Mike Roysen, my.
Speaker 5 (44:41):
Co host for six years, Thank you too. Bye bye,
now signing off WI.
Speaker 1 (44:46):
The proceeding was a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed.
The following is a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed.
Speaker 2 (00:09):
Well, Doctor Arthur Perry, he's one of the top plastic surgeons.
He's got offices in Manhattan, New Jersey. You know what,
He's been doing the show here on w R for
years and years and years. Very popular show and a
great plastic surgeon. Everybody has questioned on this subject. So
he's the guy to ask. Doctor Arthur Perry, and the
public wants to.
Speaker 3 (00:28):
Know that public doesn't get a damn.
Speaker 4 (00:30):
And I went to his office and I said, I said,
look at my face. And he goes, yeah, look at
your face. We're going to do with your fan? What
can you do with his face? I go like that,
I said, what I got? Go and look at this.
I'm getting old. I said, I want to maybe you
can fix it up a little bit.
Speaker 3 (00:41):
Doctor Oz, are you there, I'm here Ark, and I
want to get a plagued you. Having worked with you
on a book and numerous other activity, you want to
talk to.
Speaker 4 (00:47):
Arthur Perry, the best in plastic.
Speaker 3 (00:49):
Surgery, workable knowledge, but also your grace at delivering content,
which is why it's been a blessing to have you
on my show so many times.
Speaker 5 (00:54):
When I was a resident at the University of Chicago,
we had a mean you're smart.
Speaker 3 (00:58):
As I really really gift his position. I want to
pay you the highest truth I can give to a surgeon,
which is when people come to you, they don't come
for an operation, they come for the opinion. And that's
why I trust you with my friends and relatives. I
didn't realize we were gonna get the Michael Jordan of
Plastic Surgeons nine two and zero.
Speaker 4 (01:13):
Bows to this guy, and welcome.
Speaker 5 (01:18):
This is BORD certified plastic surgeon, doctor Arthur Perry, and
this is what's your wrinkle right.
Speaker 4 (01:23):
Here on WOR.
Speaker 5 (01:25):
And it is also yeah, it's straight talk about cosmetic surgery,
because that is what we.
Speaker 4 (01:30):
Talk about on this show.
Speaker 5 (01:31):
So if you're listening for the first time, where have
you been in the last nineteen years and one month.
I've been here every Saturday evening at WOR with Noah
in the studio. Tonight I'm broadcasting from the frigid Hampton's
actually a little warmer tonight, but boy, it's been a
tough week hasn't been. And I'll bet your hands are
(01:52):
just the little cuts are cracking, your lips are chapped.
This weather really does a number on your skin, doesn't it.
We'll talk a little bit about what we can do
for that in a few minutes. So this is the
plastic surgery show here on WOAR. This is the show
about jowls. It's the show about wrinkles. It's the show
about moles. Yeah, it's the show about small breasts and
(02:14):
droopy breasts and bellies that have been overstretched with pregnancy.
And this is the show about ozepic face. Yeah, what
you look like after you've lost the forty pounds on
ozepic or one hundred pounds. That's what we talk about
on this show. You can become part of the show
by giving me a call eight hundred three to two
(02:34):
one zero seven ten. That is the phone number here
at WOAR, eight hundred three to two one zero seven ten.
Give us a call. We'll send you a bottle of
the antidote for dry injured skin. You know the skin
that you get this time a year, and it's called
soft Time. It's a moisturizer that I have and it
(02:55):
is available on Amazon but you can get a bottle
of it today. If you have a good quoest question
for me, if you give me a call eight hundred
and three to two one zero seven ten and bring up
the things that have been bugging you about cosmetic surgery.
Speaker 4 (03:09):
What is it?
Speaker 5 (03:09):
Have you had surgery in the past and you're unsure
of whether your result is what it should be or
maybe you are interested. You're looking in the mirror. You're
doing it right now, hopefully not while driving. You are
looking in the mirror and you're seeing those wrinkles, and
you're seeing the extra skin in your neck, and you're wondering,
you know, is it a facelift, is it filler? What
(03:32):
is the buzz about botox? What should I be doing? Well,
this is the show to call in and ask. Well,
if the consultation on the radio is free, but you know,
take it with a grain of salt. We're here to entertain,
We're here to inform. I'm not your doctor unless I
am your doctor. And because of that, if I do
(03:53):
say something on the show that is maybe a little specific,
like I'll talk about an antibiotic or a skin cream,
or a prescription drug or a procedure, well, you know,
you have to talk to your own doctor about whether
it's appropriate for you. But we're here to give you
enough information so that you can ask the questions to.
Speaker 4 (04:13):
Your own doctor or come and see me.
Speaker 5 (04:16):
And I've got offices in New York and in New
Jersey and I'm here for you. Eight hundred and three
to two one zero seven ten as the phone number.
So tonight we are gonna be talking about moles. Yeah, moles.
It's such a simple thing, isn't it. You know, but
it makes such a big impact on you because there's
a there's a TV show. How many of you have
(04:37):
seen Shrinking? Have you seen that? It's an Apple TV show,
excellent show with Harrison Ford and Jason Siegel. And there
are more moles on that show than they have in
the Bronx Zoo. It's unbelievable. We're gonna talk about that
in a few minutes. We're also going to talk about
(04:57):
about what I do in my practice. And you know
what I've been on for nineteen something years. You know,
I was going through some old files and on December third,
in two thousand and five, a little guy named Noah
Fleischmann put together a radio show for me. No, you
want to play the very first clip of this show,
go ahead. What a night to start a show about
(05:25):
plastic surgery. The New York Times today ran a front
page article on the first base transplant, which was performed
in France last week. When's the last time you saw
a plastic surgery article on page one of the New
York Times. That's plastic surgery in the news. And this
is plastic surgery in the air, a new program on WOAR.
(05:47):
Each Saturday, we'll talk about another interesting topic in cosmetic surgery.
You can call in and ask me questions about cosmetic surgery.
We'll talk about breast augmentations. For instance, I've never met
a woman who was happy with both the size or
shape of her breasts. Well, we'll talk about liposuction on
this show. This procedure defined plastic surgery in the nineteen eighties.
(06:08):
We're going to talk about procedures that could possibly even
kill you. And botox. Who hasn't thought about botox? Are
wrinkles really a necessary part of growing old? And we'll
talk about skincare. Those one hundred and fifty dollars creams
really work? And how about faceless There are hundreds of
different procedures out there, which works the best. We're going
(06:30):
to answer those questions on this show. The return of
Silicon breast implants. They're about to return to the market
after being banned thirteen years ago. And why are there
so many bad nose jobs? Just look around on the
streets and you'll see what I'm talking about. And what
should you do to choose a good plastic surgeon? What
(06:52):
information do you need? Well, good evening, I'm doctor Arthur Perry.
I'm a board certified plastic surgeon. For the next half hour,
we'll be talking about one of America's favorite topics. No,
not sex, not baseball, We'll be talking about cosmetic surgery.
And yeah, you know, I I was pretty stiff on that,
(07:14):
don't you think. I Mean that was nineteen years ago.
And boy, I think I've gotten better on the radio
after many, many, many hours on the radio. And you know,
but I still talk about the same things. We talk
about the post suction. Yeah, and Susan Warner, my co host,
is here, and she rolled her eyes. Yeah, We're talking
(07:35):
about the same things over.
Speaker 4 (07:37):
And over all.
Speaker 5 (07:39):
Right, So yeah, but really it's if you listen to
that from December third, two thousand and five that clip
that I just plut yeesh, Susan says same, Oh okay,
don't say that word on the radios. But seriously, you know,
the what was new in two thousand and five, breast
implants were coming back on the market after being off
(08:01):
for thirteen years. Well they're back now it's nineteen years
and a week later, and you know, they're more popular
than ever. Botox, you know, was in its infancy in
two thousand and five, and now it is the most
popular procedure in all of cosmetic surgery. And you know,
(08:22):
it just goes on and on, and plastic surgery is
here to stay and it has really defined a generation
of people. It's defined a generation of entertainers and vice
versa that they've influenced us also. So yeah, I've been
doing this for a long time. I'm not sure how
long we're going to be on the air. We're not sure.
(08:43):
We don't know what next week will bring, but certainly
we'll be podcasting if we're not on the radio. But
you know, you can listen to me. Just search my
name doctor Arthur Perry and search straight talk about cosmetic surgery.
If you're not listening on the podcast. You've got to subscribe. Well,
we've got some callers already. Uh, well we have Sondra. Sondra,
(09:04):
what can I do for you? What what's your wrinkle?
Speaker 4 (09:05):
Tonight?
Speaker 6 (09:06):
Last week you spoke about capitillary say you zapped them out.
What happens if someone has like a little brown, very
lightly different than the regular part of the skin. Can
you zap that the same way? You have to do
something different to that.
Speaker 5 (09:19):
I was just wondering, Well, it's it's interesting that you
mentioned that, Sondra, because I actually did a procedure on
myself this past week.
Speaker 4 (09:29):
It was a good week. Right, We're off for a
couple of weeks.
Speaker 5 (09:32):
You know, it's the vacation season here in New York,
and so I'm not seeing patients. So I, uh, you know,
what do they say about a doctor who treats himself.
There's a there's a something not so good about that.
But but I did. I I had some brown, splotchy
pigmentation on my forehead and upper face, and uh, you know,
(09:55):
I was in the office and I said, why not
why not take some chem peel some TCA and on
my own face. Yeah, so a chemical peel is one
way to do it. So I'll talk about that in
a minute. But there's a few different ways to treat
the brown splotches on your face, Sondra, And it really
depends on what you want to go through and whether
(10:17):
or not you also have wrinkles, because the TCA peel
trichlorocetic acid peel is really really effective at decreasing that
brown splotchy pigmentation. You know what they say, Sondra, there
freckles when you're a kid and their age spots as
an adult, I say that.
Speaker 4 (10:34):
I don't know what else says it, but I say it.
Speaker 5 (10:37):
But but seriously, you know, skincare can help to a
certain extent. Go ahead, and Sondra, go ahead.
Speaker 6 (10:43):
So can you just treat that little spot with the peel?
You have to do a whole area.
Speaker 5 (10:51):
Well, actually that's what I did on myself. I did
spot peels, so so usually we'll do the entire face.
And the way that's on is first I need to
remove the oils from the face, and I do that
by rubbing a solution of acidtone, which is fingernail polysh
remover on your skin. So I take a cloth or
(11:12):
a sponge or something like that, and first I remove
the oils because the TCA will not penetrate the skin
if there's oil on the skin, so we need to
do that. Everybody makes oil. It's one of our defenses.
It keeps our skin relatively moist, but we don't want
it with a tcapeel. And then there are different concentrations
of trichlorocetic acid. Now, don't try this at home. Amazingly, Sondra,
(11:38):
people can buy these things on Amazon. I don't understand
how they can get away selling these things Amazon and
all over the internet. But if you want to be
your own doctor, not the best thing, because you really
can burn your skin. So the concentrations of TCA are
generally either fifteen percent or thirty five percent. There are
(11:58):
stronger concentrations, but they're not necessary and dangerous. So I
usually take a thirty five percent solution and I will
rub it onto your skin. We can do it either
in spots with using a Q tip or usually it's
the entire face using a surgical sponge. And the depth
(12:21):
of the peel is very dependent on a whole bunch
of things. It's a very very variable peel. So one
of the things that controls the depth of the peel
is what you do to your skin before the peel.
So if you use retina, which is prescription vitamin A,
or if you use my Nighttime which has retinial propionate,
the most difficult to pronounce vitamin A form. But if
(12:45):
you use vitamin A on your skin, or if you
use an alphydroxy acid which is a fruit acid like
glycolic acid, lactic acid, these are the things that I
have in my nighttime.
Speaker 4 (12:56):
By the way, if you use.
Speaker 5 (12:57):
These things on your skin, you'll get a deeper peel
if you don't. And then the reason for that is
because they exfoliate, they keep the layer of dead cells
on the surface of the skin to a minimum and
the peel can penetrate more. The other thing that makes
a difference is how I clean your skin. So if
I don't use acetone, if I don't use that prep
(13:18):
for your skin, it will not penetrate as well. And
also the number of strokes on the skin with my
sponge or with my que tip decides how deep that
peel will go, and of course the concentration of the peel.
So hang on the line, Sondra, We're going to take
a short break and when we come back from our break,
we'll talk a little bit more about the TCA peel,
(13:39):
which I love to do, or the alternative, which is
a laser a laser peel of your face, a CO
two laser fractionated CO two laser. We'll talk about the
different techniques of how I reduce the brown spotshy pigmentation
if you're facing give you an even complexion. On Board
Certified Plastic Surgeon, Doctor Arthur Perry eight hundred three two
(14:00):
one zero seven ten is a phone number here at
wor hang on. We'll be back with more of the
show in just a minute. 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
(14:21):
looking good is clean, healthy skin. So I've created a
program that is so simple that everyone can stay on
it long enough to see real results. It starts with
an incredible skin cleaner called clean Time. It's actually good
for your skin. Protect your skin with my Daytime SPF
twenty cream in the evening, feed your skin with my
(14:42):
Powerhouse Nighttime serum. Nighttime has vitamin CNA, antioxidants and skin brighteners.
Speaker 4 (14:48):
And if you like moisturizers.
Speaker 5 (14:50):
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 who's skin is
healthier Clean Time on Amazon dot com.
Speaker 6 (15:03):
You are listening to What's Your Wrinkle with Doctor Arthur Perry.
Speaker 4 (15:06):
What's Your Wrinkle?
Speaker 5 (15:09):
And we are back on bords CERTI had plastic search
of doctor Arthur Perry and my co host Susan Warner,
who's not on the air right now, did come into
the studio to tell me. Yeah, it was Sir William Osler,
one of the great positions of all time, who had
that quote, A position who treats himself as a fool
for a patient. Yeah, okay, well all right, I treated
(15:30):
myself and it is very interesting what my forehead now
looks like two days into the tcapl Sondra, are you
still there?
Speaker 6 (15:38):
Yeah? I want to know how your treatment turned down.
I'm very curious.
Speaker 5 (15:43):
Okay, Well, I did go into a restaurant at lunch
today and the waitress was staring at me and I said, no,
I don't have leprosy. I had a peal of my forehead,
so here's what it looks like on day First of all,
it stings a little bit, and you know, it is interesting.
(16:03):
I've never had appeal before. I've never peeled my own skin.
I've done plenty on patients, in fact, thousands over the years,
and you know, they have discomfort, and I tell.
Speaker 4 (16:14):
Them, oh, it's not so bad. It's actually not so bad.
I have to say.
Speaker 5 (16:18):
It's there are a lot of things worse than this,
but there's a little discomfort of burning sensation relatively mild,
and that subsides after about five or six or seven minutes.
And then your skin turns white during the peel, and
then by the time you leave the office, you know,
of course it's me, I was the patient. The skin
(16:39):
is kind of pinkish, and then the next day you
wake up and it's a little bit gray, and by
that second night it turns kind of brownish, and so
you can't put makeup on, and you know, I just
want you to use either moisturizer or a steroid cream
and it evolves over the next few days. So I'm
(17:00):
only on day two right now, but I've seen it,
of course many many times with my patients, and what
will happen is that over about about five to six
maximum seven days, the skin will peel, and almost comically,
when the skin peels, so will the brown spots.
Speaker 4 (17:16):
You'll see them in the skin. You know. It's sort
of like a sunburn when you go.
Speaker 5 (17:21):
Into the sun that very first hot day in the
end of May or June, when your skin is at
its lightest of the year and you don't put enough
sunscreen on and you get a sunburn that first day
you go out to the Jersey Shore or the Hamptons
on Sunday. By Thursday, your skin begins to peel, and
that's what happens also with this peel. So what will
(17:43):
happen to me is after the peel, the skin will
be a little bit redder, and that will last one
to three weeks and then it'll just look better, so
those brown spots will be gone and people will not
be staring at the brown spots on my forehead anymore.
So that's one way to do it. But Sondra, if
you also have wrinkles, the TCA peel will not get
(18:04):
rid of wrinkles.
Speaker 4 (18:05):
I mean maybe the finest around the eyes.
Speaker 6 (18:08):
I just care about the brown spot.
Speaker 5 (18:11):
Okay, Well, then the tcapel is a really nice way
to go. But for the benefit of listeners from Maine
to Virginia and all over the world listening on the
straight Talk about Cosmetic Surgery podcast, which I hope you
have subscribed to Sondra, for the benefit of all those
millions of listeners, the fractionated CO two laser is the
(18:35):
alternative to the TCA peel, and the fractionated CO two
laser will not only get rid of those brown spots,
but will also treat the wrinkles. And one of the
nice things about the CO two laser is I can
alter the depth. Now, we can, to a certain extent,
alter the depth of the peel, but it's limited. It's
fairly limited in what I can do. Not so with
(18:56):
a laser, so I can do anything from xfoliate and
just make your skin kind of smoother too. I can
completely remove your skin all the way down to the
fat and even deeper. Well, we don't want to do that, right,
but what we do with the fractionated CO two laser
is I'll go over the area. I'm pretty aggressive with it,
and because most of my patients really want a nice
(19:17):
result and to get rid of the wrinkles, and I
don't say that in a funny way. Of course, everybody
wants a nice result.
Speaker 4 (19:24):
But what I'm.
Speaker 5 (19:24):
Saying is if I go superficially with a laser, then
it really won't help the wrinkles enough. And sometimes what
I used to tell people is we'll go back two
or three times spaced a month or so apart and
do it over and over. But that puts you out
of commission for three times. So my preference now is
(19:46):
to do one fairly aggressive laser and I'll numb.
Speaker 4 (19:49):
Up your forehead.
Speaker 5 (19:50):
I do farhead blocks very similar to how I block
the forehead if I'm taking something off, like a mole
or something like and I'll do blocks around the mouth
similar to how I do it when I do filler.
So we'll get about two thirds of the face numb
that way, and then I'll be pretty aggressive. We use
(20:12):
amlo cream. You come into the office a half hour beforehand.
We put the cream on, and then I aggressively laser.
And the fractionated laser what it does. It's a dry laser,
so that means it doesn't give you a wound. It
drills these little holes in the skin, and that sounds wonderful,
doesn't it's drilling holes in the skin. It does it
(20:33):
so that we we create some shrinkage of the skin
and we also generate new collagen, both of those things.
It'll thicken the skin, and it'll shrink the skin, and
wrinkles will be less after the peel, and the effect
of the peel will also It'll get better and better
over about three months because we stimulate a shrinking process
(20:57):
to the skin. What it really is is it's a burn.
It's a very controlled burn to your face. But the
laser is a wonderful way to go, and it'll help
of brown splotchiness, and it'll help wrinkles, and it's an
adjunct to other things. It's not a replacement for a facelift.
Speaker 4 (21:16):
It isn't. I mean.
Speaker 5 (21:17):
And some people will lift the jowls a bit, but
we have to be very, very superficial on the neck.
We can be much more aggressive on the face if
we go on the neck. I go really superficially because
we can easily cost scarring in the neck. Scarring in
the face is very unusual, but in the neck, if
we're not careful, it can scar pretty easily. I can
(21:37):
also laser the forearms and the hands to reduce the
brown splotchiness and tighten the skin just a little bit.
Speaker 4 (21:44):
So the laser is a really.
Speaker 5 (21:45):
Nice tool, and it is a tool just like the
other things that we have to use in plastic surgery.
So there's your primer for you. It sounds, Sondra like
it might be the tcapel.
Speaker 6 (21:58):
Little cute to things.
Speaker 4 (22:00):
Good, yep, yeah, for squats, it's sure. All right.
Speaker 5 (22:05):
Well let's let's let's see you in the office. Come on,
come on down, as they say, I will.
Speaker 6 (22:10):
Thank you so much. I'm happy New Year again to
you and Susan.
Speaker 5 (22:13):
Okay, bye, well, thank you very much, Sondra. It's been
a pleasure and I look forward to seeing you all
right on board Certified Plastic Church and doctor Arthur Perry,
host of What's Your Wrinkle for a long long time
and according to Susan, too long, but no, I don't
think so nineteen years. It's a good show and a
good run, all right. So yeah, I talked about doing
(22:35):
the chemical peel on myself, and I expect it's going
to give me a nice result. So last night I
was watching one of my favorite programs, shrinking.
Speaker 4 (22:45):
Have you ever watched that.
Speaker 5 (22:46):
It's on Apple TV and it's got Jason Siegel and
Harrison Ford there. They play psychologists on the show and
they've run two seasons already. It's a great show if
you haven't watched it. I'm not doing a commercial for shrinking.
I'm actually talking about you know, I look at the
characters on these shows and I wonder, what are they
(23:07):
doing what. Harrison Ford has this scar on his chin
that he's had his entire career, and it's an oblique scar.
You just have to look at a picture of him,
either in one of his Indiana Jones movies or in
this You know, he's eighty two now and he still
has a scar. He's gone through life without fixing this.
I don't understand, Harrison. If you're listening, I'll fix it.
(23:30):
I'll do it, gratits. It'll be a you know, one
of those things will just do for you. And it's
such an easy thing. In about forty five minutes, I
could fix that scar. And on the end of the scar,
I can't quite tell. It's either a mole or a
what's called a dogg ear. If he had this, I
don't know how he got this scarf. It was a cut,
(23:50):
and it was sewn improperly when he was much much younger.
You know, I suppose it could be a dogier, but
I can fix that very So when we come back
from our break, we're going to talk about all the
characters on the show, one after the next. I'm looking
it's hard for me to watch the show. We look
at Jason Siegel, you know he's a great actor.
Speaker 4 (24:12):
He's got this.
Speaker 5 (24:13):
Big mole in his marionette line on the right side.
You guys coming, you have to look at it. Watch
the show. You look at Gabby. How many of you
have watched the show? Jessica Williams, She's got.
Speaker 4 (24:25):
This giant mole on her upper lip.
Speaker 5 (24:28):
Alice the daughter, you know, she's one after the next.
She's got this big mole on her right cheek. Kenawan,
he plays Tim, Gabby's boyfriend. A bunch of these skin tags.
He's an African American man and very common to get
sun damage on the face with skin tags and these.
Speaker 4 (24:47):
Sebaia Kartosi's on his cheek.
Speaker 5 (24:50):
And Brett Goldstein, you know Brett from all those TV shows.
He's on the show. Also mole on his left neck.
What's going on.
Speaker 4 (24:59):
On that show.
Speaker 5 (25:00):
I don't know if it's something where you have to
have a mole to be on that show, but they're
not attractive, and I guess I'm on a quest to remove.
Speaker 4 (25:10):
All those moles. You know, moles.
Speaker 5 (25:13):
Everybody has anywhere between twenty and sixty moles on their body,
and for the most part, they are benign.
Speaker 4 (25:20):
Although the more moles you have, the more.
Speaker 5 (25:23):
Likely one of those moles is going to be a
cancer of melanomas. So when we come back from our break,
we're going to talk about melanomas and we're going to
talk about removing moles.
Speaker 4 (25:33):
And other things in plastic surgery.
Speaker 5 (25:35):
Eight hundred three to two one zero seven ten is
the phone number here at WOOR. Give us a call
eight hundred three two one zero seven ten. Will be
back after these words. They say that sixty is the
new fifty, But while you may feel and act fifty,
(25:57):
the mirror doesn't lie. But that's where plastics are 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 and yes, younger with my short
scar facelift and the artistic injection of wrinkle filler or
(26:19):
a laser peel, well, that might be just what it
takes to get you looking as good as you feel.
Let's sit down for an hour consultation in my new
Park Avenue office. Together, we'll come up with a plan
to help you look your best. Check me out on
the web at periplastic surgery dot com. Give me a
call at eight three three Perry MD. That's a three
three p E R R Y M D. You're listening
(26:41):
to What's Your Wrinkle with Doctor Arthur Perry. All right,
so straight talk about cosmetic surgery. That's the podcast. You
get podcasts. Everybody gets podcasts. iHeart is what I think.
They're the biggest distributor of podcasts in the world. You
can get podcasts on iHeart dot com. You can get
podcasts on Apple dot com. If you're sitting there in
your apartment in New York on a Saturday evening listening
(27:04):
to this show, well you should be subscribing to the
podcast because you don't have to be tied to the radio.
You can actually have this podcast on a Wednesday morning
or a whenever you want. You can listen to Lovely
Voice and it'll put you to sleep at night if
you listen to these podcasts. We've got hundreds and hundreds
(27:25):
of these podcasts going all the way back nineteen years
and they are on the internet. You can go to
Apple Podcasts or iHeart Podcasts and what you want to
do is search my name, that's doctor Arthur Perry, or
search cosmetic surgery and it will come up as one
of the top five cosmetic surgery podcasts in the world.
Speaker 4 (27:46):
Thank you.
Speaker 5 (27:47):
And if you do that, then you know you just
click on the subscribe. It's free and you get a
notification each time we post a new straight talk about
cosmetic surgery on the in the podcast world, and then
you can listen to it whenever you want.
Speaker 4 (28:02):
And it's good for me and it's good for you.
Speaker 5 (28:04):
It's free, and you should be doing that and tell
your friends also to do it.
Speaker 4 (28:09):
All right.
Speaker 5 (28:10):
So, I'm a board certified plastic surgeon. I do all
sorts of things in my office and in the operating room,
everything from skincare to facelifts and tummy tucks and even more.
But we're going to talk about moles for a few
minutes and then we're going to talk about all the
other things that I love to do in my office
(28:30):
every single week. So, but moles, you know, the more
you have, the more likely you are to have a
bad mole. What's a bad mole and a typical mole.
That's one of the names for the mole. Another name
for it is dysplastic d Y S P L A
S T I C dysplastic mole. And then the real name,
(28:51):
the technical name if you search the Internet for a mole,
is a neevis any v us. And I tell you
these things because a lot of people have become their
own doctors now with doctor Google. Not a really good
thing to do, but it does provide you with a
reasonable amount of education. But don't try and diagnose yourself,
and certainly don't try and treat yourself. You can go
(29:12):
to the internet and buy these things that are designed
really for veterinarians to burn off moles. It's the worst
thing you could possibly do. We've talked about that on
the show in the past. There are many cases now
of people dying. That's right from disseminated melanoma and they've
actually burned off They said, well, there's no primary where
(29:33):
is it.
Speaker 4 (29:33):
Well, you know about two years.
Speaker 5 (29:34):
Ago, I took some acid that I got on the
internet and I burned this thing off my belly, and
now you've got melanoma all over your body. Not a
smart thing to do. Don't do that, So go see
your plastic surgeon. Actually, the first person to go see
if there's a questionable mole, if you don't know if
you want it removed, is a dermatologist. They will do
(29:56):
a mold check from your head, parting your hair all
the way down to between your toes and looking at
your genitals and even your anus everywhere. That's what a
dermatologist is supposed to do. If they're doing a mole
check and not looking everywhere, then they're not doing a
mole check. But if you have a mole and you
know you want it removed, then you can make an
appointment with me directly. You don't have to go through
(30:17):
the dermatologist because I, of course as a plastic surgeon,
as all plastic surgeons for the most part, will remove
moles and and most people who have their moles removed
by a plastic surgeon. They're actually going to me because
it's in a cosmetically sensitive spot. You know, if you've
got a mole in your lower back, it really doesn't
matter too much, I suppose. I mean, maybe it does
(30:39):
if you're a younger, more vain person. But if you're
you know, an older person, Oh my goodness, what am
I saying?
Speaker 4 (30:46):
You know?
Speaker 5 (30:46):
Of course vanity. Everybody has vanity, even when you're older.
I'm not saying it's you don't, but but you know,
we know that people who are younger will have a
more likely they're more likely to go to a plastic
surgeon to get the best cosmetic result. A dermatologist can
remove a mole, yes, a general surgeon can remove them all.
(31:08):
A family doctor can remove a mole, but there will
be a difference in the technique used. And for the
best result, you're going to want to go to a
plastic surgeon and that we use all the proper techniques.
We orient the scar in the right direction, We'll lift
up the skin and take the tension off of it,
close the wound in a couple layers, and try and
give you as good a result as possible. A lot
(31:30):
of people think I can erase moles. We're not going
to erase those. We're going to replace a mole with
a scar on board certified plastic surgeon, doctor Arthur Perry,
host of What's Your Wrinkle? Right here on WOR. The
phone number is eight hundred three two one zero seven ten,
eight hundred three two one zero seven ten.
Speaker 4 (31:49):
So we were talking.
Speaker 5 (31:50):
We're talking about moles, and we were talking about melanomas
and skin cancers and why a plastic surgeon is a.
Speaker 4 (31:56):
Great choice to.
Speaker 5 (31:59):
Go to if you've got a mole, and I do
a lot of those, and I actually enjoy doing those.
And I also will reconstruct these basil cell carcinomas, And
if you've got one on your forehead or on your cheek,
or on your nose or something like that, plastic surgeon
will often reconstruct after the dermatologist has done what's called
(32:20):
mose surgery. So these are some of the things I do.
But of course the tape we were talking about facelifts,
which are the procedures that I love to do and
do more and more of those in both women and men,
and all different varieties of facelifts. And I do a
different facelift than a lot of people. Everybody, every plastic
(32:43):
surgeon has kind of their own technique that they use.
I do what's called the short scar facelift. That means
I don't make incisions up into the hairline. I like
to keep the incisions hidden from your hairdresser, keep your
incisions hidden if you go swim. That's the nice thing
about a short scar facelift. But every plastic surgeon has
(33:06):
his or her own techniques that they use, and so
when I do a facelift, I do it a little
bit differently than almost everybody else. But that doesn't mean
that others are better or worse. Everybody has evolved their
own technique. It's almost like a chef in a kitchen.
You know, you go to one restaurant and you eat
(33:27):
a particular meal that's just wonderful by one chef, and
he or she has put the ingredients together in a
particular way. The same thing with the facelift or other
cosmetic surgery. The plastic surgeon is sort of like a
chef really and has the ability to combine different techniques
(33:48):
and different little steps to.
Speaker 4 (33:53):
Get you the result that you need. And everybody's different.
Speaker 5 (33:55):
Not everybody has the same issues, So when I do
a facelift, I want to not overdo it, you know,
And that sounds obvious, right, of course, you don't want
a facelift overdone. But you only have to look around
Manhattan and other places where there's a lot of plastic
surgery to see kind of a muppet appearance, you know
what I'm talking about. We're too much skin has been
(34:16):
rather too much fat has been taken from the neck,
and the neck has been pulled just too tight, and
it looks just abnormal. And you see a woman who's
sixty five or seventy years old, and they look done.
And that's not what we want in plastic surgery.
Speaker 4 (34:32):
If you look done, I've overdone it.
Speaker 5 (34:34):
And what we really want to do is create a
result that's natural. And so with a facelift, that's so
important and so true. Also with rhinoplast These rhinoplasts are
nose jobs. We don't like to use that terminology in
plastic surgery. They're nasalry shaping. But those are probably the
procedures that are the most often overdone. It's so easy
(34:58):
for a plastic surgeon to overdo it. And one of
the reasons for that, there's such artistry in rhinoplastic surgery.
It is considered the most difficult procedure in all the
plastic surgery. It is the procedure that I love to
do the most because it is the most difficult and
the most artistic. And so it's so easy to take
a nose that's just a little bit too big, let's say,
(35:21):
or a little bit too bulbous, and overdo it and
it only takes a couple millimeters of extra cartlet's taken
off like the end, which is the septum, tilting the
nose up too far and you can look into the nostrils,
or narrowing the nose and it looks so angular, or
removing too much of what's called the dorsum, which is
(35:44):
on the profile view the top of the nose. If
you remove too much and give a scooped appearance, just
doesn't look good. And it just doesn't take much at all.
In fact, in fact, a bump on the nose that's
one millimeter that's almost imperceptible, but one millimeter can be
seen from across the room as a hump, not a
(36:07):
straight nose, not a scoop nose, scooped out nose. So
it's so important that the accuracy be perfect in a rhinoplasty,
and that is why there's a fifteen to twenty percent
redo rate in rhinoplasties with every honest plastic surgeon.
Speaker 4 (36:24):
And it's not just.
Speaker 5 (36:25):
Because of that accuracy that's required, but it's also that
when you heal a rhinoplasty, you heal with scar.
Speaker 4 (36:32):
That's how we all heal.
Speaker 5 (36:33):
And some people make a little bit more scar, and
we're talking about scar underneath the tissue underneath the skin,
not just in the incisions. And if you make a
little bit too much scar, then that straight dorsum, that
nice profile can look like a hump that you don't want.
So rhinoplasts, I do what's called an open rhinoplasty, and
(36:54):
there are closed rhinoplastis where all the incisions are from
the inside of the nose. I make a small incision
across the skin between the nostrils, and that defines an
open rhinoplasty. And you say, well, why do you make
an incision. You want no incisions visible. But that little
tiny incision, which is about a quarter inch long in
most people, gives us so much accuracy with rhinoplasty. So
(37:17):
that most plastic surgeons now are doing what's called those
open rhinoplasties. Back in the nineteen eighties, everybody was doing
what's called a closed rhinoplasty. And now here we are
in almost twenty twenty five coming up. I would say
across the United States about three quarters of rhinoplasts, maybe
eighty percent, are open the type of rhinoplasty that I do,
(37:41):
and about twenty twenty five percent are still closed rhinoplastes.
And I do think that doing that open rhinoplasty gives
us so much more accuracy and a much better chance
at a perfect result. So I do those I do,
you know what I do in my practice. Everybody's different,
of course, every board certified plastics surgeon has his or
(38:04):
her own techniques.
Speaker 4 (38:05):
That they like.
Speaker 5 (38:05):
I like the open rhinoplastic. When I do a facelift,
I do the short scar facelift technique. And breast augmentations. Now,
now many of you who I've had breast augmentations have
had the size chosen by the plastic surgeon.
Speaker 4 (38:20):
How's that possible, you know?
Speaker 5 (38:21):
But it is very, very common for the plastic surgeon
to choose the size. And I don't think it's proper.
I would never try to choose your style of dress.
I would never try and make cosmetic decisions for you.
Speaker 4 (38:35):
Of course, I'm going to give you.
Speaker 5 (38:37):
My best advice, but the final decision is yours. And
there's a trend. There was a trend for three decades
that the plastic surgeons would put in implants that were just.
Speaker 4 (38:49):
Too big, really too big.
Speaker 5 (38:51):
You know, some women said, well, bigger is better, right,
get your money's worth. That's not true, because what happens
is the bigger the implant, the more problems you'll have
down the line, not just cosmetic problems where the implants
look visible and maybe bulging up high, but also when
the implants get particularly large, you get clothing fit issues
(39:14):
back and next strain the same issues you have when
you have large breasts and come in for a breast
reduction procedure. So with breast augmentations, I tend to first
of all, I let you decide. I have you bring
in the bra that you want to fit into. I
would never try and choose a size for you. I
will spend ten fifteen minutes with you looking at different
(39:38):
size implants in different size bras, and then I'll spend
the rest of the time. I'll have you spend the
rest of the time with my nurse or with my
other employees, because sometimes people are not clear what size
they should be, and they bring in all different sized
bras and it's a long consultation. But the final decision
(40:00):
is yours and I have you sign off on that.
And I never changed the size once we make our
decision in the operating room. And I know that's different
from a lot of plastic surgeons who will look in
the operating room and say, well, I think she'd look
better with a bigger size. I don't think that's a
fair thing. I don't want any surprises when you come
out of the operating room. So the implant size is
(40:22):
up to you and where it's put, whether it's in
front of the muscle or behind the muscle. That's a
discussion also that we have prior to surgery. So the
breast augmentations I've done many, many thousands over the years.
I've been doing a breast augmentation since the nineteen eighties.
They've gone through all sorts of changes. We are no
longer using the textured implants. There's only smooth implants because
(40:45):
of the very very rare risk of lymphoma with those
textured implants, and that, of course brings up the question,
if you have textured implants, should you take out your implants?
Should you then put smooth implants in? And the current
recommendation by the FDA and implant companies is no, it's
such a rare event to have a problem with the
(41:07):
breast implants that we're not recommending women take out those implants.
But going forward, we're not putting in those textured Most
people are not putting in textured implants anymore.
Speaker 4 (41:18):
I know.
Speaker 5 (41:19):
I'm on the faculty of Columbia and Cornell, and I've
asked my colleagues at those institutions, and I don't believe
anybody is using the textured implants at this point.
Speaker 4 (41:29):
They are still on the market.
Speaker 5 (41:30):
However, the FDA is not convinced that they are causative
in those type of lymphomas, and so if they were,
they would say, definitely, let's get them off the market.
Not happening yet, and I don't know if it will
happen all right. The other thing that I do a
little bit differently than other people is liposuction, and I
pronounce it differently. Also, I'm the only guy that pronounces
(41:53):
the liposuction, because that's really what.
Speaker 4 (41:55):
The word is.
Speaker 5 (41:56):
It's a lipid, not a lipid. I make many small
decisions when I do suction, and I like to do
it under general anesthesia. If I do suction on your neck,
then I'll usually do it under sedation. If I do
suction on your knees, well I'll usually use sedation. But
if we're doing bigger areas, I will do the suction
(42:16):
under general antesesia. And I've published a chapter in a
book and a scientific paper on why that's important and
why it's safer to do under general antices. It's one
of those things that are it's not obvious. You'd say, well,
general anteses is not as safe as sedation, But with
sedation you have to use such giant amounts of local
anesthetic that it's not safe in my opinion, if you're
(42:39):
having your belly, your thighs, and other areas, even your
arms suction, it's just too much local anesthetic. So a
short general anesthetic is far safer. I like to use
little tiny tubes and break up the fat and suction
it out, and that's how I do lip a suction
very important not too bump into the muscle or bone underneath.
(43:02):
And that is how my suctions don't hurt afterwards for
the most part. I mean there's an exception all the time.
There can be, but for the most part, when you
have liposuction, the very next day, you.
Speaker 4 (43:13):
Say, yeah, I feel pretty good.
Speaker 5 (43:15):
I don't need any pain medicine other than maybe a
little bit of tile and all that's about it. You're
back to work in two days after liposuction. It's a
great procedure, all right. So I just wanted to comment
about the products before we end the show. They're solely
on Amazon dot Com. Now we have just upped the
(43:36):
percentage off if you have the subscribe feature. So if
you know what I'm talking about, if you get coffee
every month, or or tide or something like that, you
wind up signing up for a subscription. You get it
every month, and we now have that with my products,
my skincare products, and if you subscribe you get ten
percent off, and if you subscribe to more than five
(43:57):
products with Amazon, you get fifteen percent off. So go
to Amazon and you can look at my products.
Speaker 4 (44:03):
They're all there.
Speaker 5 (44:04):
Everything is in stock and ready to go and free
shipping if you're a prime member.
Speaker 4 (44:10):
No I want to.
Speaker 5 (44:11):
Thank you so much for nineteen years and one month
of great engineering. The year is coming to a close.
Not quite sure if I'm going to be back in
twenty twenty five on these airwaves. Hopefully I will, but
you never know. But you certainly can find me on
the podcast world. So subscribe, subscribe, subscribe.
Speaker 4 (44:34):
Thanks so much, Noah, it has been wonderful.
Speaker 5 (44:36):
Susan Warner or my co host who wasn't on tonight,
Thank you so much.
Speaker 4 (44:40):
Mike Roysen, my.
Speaker 5 (44:41):
Co host for six years, Thank you too. Bye bye,
now signing off WI.
Speaker 1 (44:46):
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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