Killer Lidocaine

Episode Transcript

(00:00):
The following is a paid podcast.iHeartRadio's hosting of this podcast constitutes neither an
endorsement of the products offered or theideas expressed. 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

(00:21):
surgeon. Everybody has questions on thissubject, so he's the guy to ask.
Doctor Arthur Perry, and the publicwants to know. The public doesn't
get a damn. And I wentto his office and I said, I
said, look at my face.He goes, yeah, look at your
face. We're going to do withyour fan. What can you do with
his face? I go like that, I said, what I got?
I go look at this, I'mgetting old. I said, I want
to maybe he could fix it upa little bit. Doctor Oz, are

(00:41):
you there. I'm here Ark,and I want to get applaud you.
Having worked with you on a bookand numerous other activity. You want to
talk to Arthur Perry the best inplastic surgery, workable knowledge, but also
your grace at delivering content which iswhy it's been a blessing to have you
on my show so many times.When I was a resident at the University
of Chicago, we had a meyou smart as a really brilliant giftus position.
I want to pay you the highesttruth I can give to a surgeon,

(01:03):
which is when people come to you, they don't come for an operation,
they come for an opinion. Andthat's why I trust you with my
friends relatives. I didn't realize wewere going to get the Michael Jordan of
Plastic Surgeon nine two and zero.Bows to this guy, and welcome.
This is Board certified plastic surgeon,doctor Arthur Perry, and this is what's
your wrinkle. Actually, it's reallystraight talk about cosmetic surgery, because that's

(01:26):
what I do on this show everyweek for nineteen years or so. Right
now, I'm in the studio tonight, we're ready to roll here at wo
R give me a call. We'regoing to talk to you. That's who
I really want to talk to.I want to talk to you about your
wrinkles, and about your jowls andabout your saggy whatever. It could be
almost anything. Your jowls could sag, your breast could sag, your belly

(01:49):
could sag, even your hips.You know I can. I can take
care of these things. I'm aboard certified plastic surgeon, host of this
show forever, and that's what itseems like, right But every Saturday evening
at six pm, right here atwo Or, this is where you'll find
me, and I'm here to answeryour questions. I've got a lot to

(02:10):
talk about Tonight. We're gonna we'regonna actually talk about the argument for a
facelift and against Piller. Oh mygoodness, that's heretical for doctor Perry.
I love Piller, but you knowwhat, at some point, enough is
enough, and I'll talk to youabout when enough is enough. We're also
gonna talk about the danger, thecontinuing danger of tanning salons, and there

(02:36):
is a real danger there. Ohit's it's the frightening night. No one
loves these topics. Here, we'regonna talk about deadly lighta Kane deadly,
Oh my goodness, it's you can'tbelieve what's going on in the light acane
wars out there. We're gonna we'regonna talk about that light acane is a
numbing medication and and we're gonna talkabout another one. It seems like it's

(02:59):
all the frightening things. No,not that there's so many good things about
plastic surgery. But tonight we're alsogoing to talk about hi Urana days.
What on earth is that high alluronicacid dissolver? And yeah, that's in
the news again this week. Sothere's all these things. Did you listen
to to the Rob Astorino show earliertoday? He talked about me, and

(03:21):
he talked about maybe coming in forrob. If you're in your car,
give us a call, let's let'stalk. I looked at your picture.
Yeah, you know you could usesome work. Who let's be honest.
Who doesn't need work? But youknow I could make it so that absolutely
you'll be presidential material. Yes youare anyway, but uh, let's let's

(03:43):
work. Uh, we'll talk aboutwhat we can do for you. So
sure, Rob Asterino was mentioning me. Yeah, I'll talk about your cosmetic
surgery. And I'll also talk toSoandra. She's on the line, Sondra,
what can I do for you?What's your wrinkle? Oh, it's
so funny that you bring up Bobo. I listen to him every week and
I adore him. He's so smart, and he was talking about you at

(04:05):
length, and he was discussing agedisparity and how an older man likes a
younger woman and sometimes the older manwants to look a little better. So
I think that's what Rob was talkingabout. But I also wanted to share
with the adopted Terry this is politicala little bit. They're saying that they
want to get rid of face masks, and I know that you often say

(04:30):
when you go through a little treatment, you might get bruised, and you
can always count on those face masks. That's right. The bigger, the
better, Sandra. You know,that's what I tell my patients. You
know, just put on the maskand you can go about your business.
You can be all bruised and justput it on. Yeah, so I
heard. And you know it's becauseof the rising crime and people have used

(04:51):
the taken the opportunity to hide literallybehind a face mask and rob a store.
So I'm in full agreement get ridof the masks. At this point.
I always laugh when I see someonewalking on the sidewalk in Manhattan wearing
one of those N ninety five masks. You know, what are they doing?
Come on, that's that's that's ridiculous. So yeah, I get rid

(05:13):
of the masks, but go ahead. So then what will the lovely woman
do who had a little treatment.He doesn't want anyone to just don't go
into the pharmacy and don't brandish aweapon when you're in the pharmacy. So
so you think it's not going toaccept it. Really no, And remember
you're only going to use the maskto cover up that bruising for a couple

(05:34):
days, so I won't worry aboutthat. And they're only talking about in
stores. You know, if youwant to wear a mask, I'll write
you a note that says I canwear a mask. It's like having a
having a little Scottish you know,terrier, one of those little tiny dogs
like Winston and yeah, you knowwere those American Disabilities vests, you know,

(06:00):
because he's you know, all thesedogs are their emotional support animals,
right, So yeah, and sowe can have an emotional support mask thing.
We can write a little thing thatsays you can wear it. All
right, Sondra, thanks for thecall. Do you have a question for
me tonight or is it just politicaldiscussion? Political discussion? Okay? All
right, well anyway, thanks Thanksfor listening. Thanks for listening to rob

(06:23):
Astorino right here on wo R.All right, so let's let's talk about
filler. Filler. I love doingfiller. I since nineteen well, I
guess nineteen eighty seven. I didcollege. In eighty five, I did
collision. But it was really whenRestllane in two thousand and three came in
that it changed my practice because Ialways say, you know, a day

(06:46):
without restalane is like a day withoutsunshine. I don't say that, but
uh, restlane juveiter many of theother fillers. Literally, I do them
every single day in my office,and I've developed quite an art, honestly
with the way I inject fillers.You know, I know that a lot
of people go to all sorts ofdifferent people. There are almost everybody's doing

(07:12):
filler now right nurses and dentists andyou know, of course emergency room doctors
they should be doing filler right now. Really, the people that are trained
to do filler are of course plasticsurgeons and yes a lot of dermatologists although
some do not, and odolaryngologists thatdo a fellowship and facial plastic surgery.

(07:34):
Those are the ones, and maybean ocula plastic surgeon, but that's kind
of a reach for them to godown outside of the area of the eyelids.
But the core injectors are plastic surgeonsand dermatologists, and when they inject,
they usually do a pretty good job, although it does require an artistic

(07:58):
sense, right And I can tellyou and you all know out there that
there are plastic churgeons and dermatologists thatdo the filler that are not particularly good
at it, and and that createsthe situation of these I see women in
the Upper East Side walking around withlike little golf balls on their cheeks,
and I say to myself, whoon earth is doing that filler? And

(08:22):
is it one of those storefront places? Who knows? But anyway, at
some point, at some point,even my patients, I look at them
and say, you know, enough'senough, let's not do anymore. It
really is time to go to thenext step. And that may be early.
It maybe after a few years offiller, but it may be after

(08:45):
you know, a decade or evenlong or a filler. But sometimes the
skin begins to take on an appearanceof being overfilled, even if we're not
really putting too much filler in becausewhat happens is when I inject restalane or
juvederm, or they're huronic acid fillers, or even calcium hydroxyl appetite, which

(09:05):
is called radius. I did twopeople this past week with radius. When
I inject these fillers, it causesreaction in the body. It's not just
such a benign thing. It doesn'tcause an allergic reaction, except we're going
to talk about that in a fewminutes, because there are some rare allergic
reactions. But for the most part, it causes your body to generate more

(09:28):
collagen and even more fat. Sowhen I inject let's say restalane into the
wrinkles, about twenty percent of theresult is permanent, which is interesting.
So we say that it lasts abouta year or so, right, But
when it goes away, some remains. It's not the huronic acid. But
because of the stretch on the skin, it kind of fools your body into

(09:54):
thinking it's gained weight. And ifyou think about this, let's say you
go out to your favorite pizzeria everynight for thirty days and you start gaining
weight, you know, ten pounds, twenty pounds in the month. Well,
that fat inside your body is goingto be pushing out your skin and
it actually pulls on this special typeof cell called a fibroblast. That's your

(10:18):
word for the day, Noah.The fibroblast that is the cell that spits
out collagen. Collagen is a structurallayer of our skin. So we're getting
into a lot of very technical informationhere, but the bottom line is when
you gain weight, you make moreskin. When you inject filler into your
skin, your skin makes more collagen. And actually, if I inject filler

(10:41):
into fat, like in the earlobes, if I go deep to the
skin injected into the fat, itwill actually cause a generation of fat in
a good way. So after awhile, there's enough, enough is enough,
and it's time then maybe to say, you know, no more filler,
because you're gonna look like a pumpkinif we keep on doing this.

(11:01):
It's time to actually lift the tissueand do that facelift. So when we
come back from our break, we'regoing to talk about the procedures that we
then do after you're filled up.I'm board certified plastic surgeon, Doctor Arthur
Perry, host of What's Your Wrinkle? Host of Straight Talk About Cosmetic Surgery,
Host of remember the day we didplastic surgery in the air and you

(11:24):
the owners man, this is thisshow has been through many, many different
lives, all the time with Noah'ssitting there in the control booth trying to
figure out how to make it work. I'm Board certified plastic surgeon, Doctor
Arthur Perry. We'll be back afterthese words. Did you know that your

(11:46):
skincare may be hurting you more thanhelping you. I'm board certified plastic surgeon,
Doctor Arthur Perry. The foundation forlooking good is clean, healthy skin.
So I've created a program that isso 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 goodfor your skin. Protect your skin with

(12:09):
my Daytime SPF twenty cream in theevening, feed your skin with my Powerhouse
Nighttime serum. Nighttime has vitamin CNA, antioxidants and skin brighteners. And if
you like moisturizers, well, I'vecreated Soft Time with seramides and vitamin D.
Throw away the bags of useless productsand try doctor Perry's skincare. Join

(12:31):
the thousands of people whose skin ishealthier. Use the fifteen WOR Radio code
on Amazon dot Com for a fifteenpercent discount. That's fifteen WOR Radio when
checking out and enjoy free shipping.If you're a Prime member and don't forget
to listen to my radio show righthere on WOR every Saturday evening at six

(12:52):
pm. You are listening to What'sYour Wrinkle? With Doctor Arthur Perry.
What's your Wrinkle? What is yourWrinkle? I'm wortsde Plastic Church and Doctor
Arthur Perry. If this is thevery first time you're listening to the show,
where have you been? I mean, there's nothing else on the radio.
I mean you're going over the GeorgeWashington Bridge, you're flipping the dial.
You realize that there's just nothing outthere. So just leave it right

(13:16):
here and listen to the show.Give me a call eight hundred three two
one zero seven tens. By theway, I didn't even tell you this.
Callers to tonight's show will receive abottle of Nighttime. Nighttime is the
one stop shopping for skincare. Itis the workhorse of my skincare program.
It's got vitamin C, the righttype of vitamin C. It's got vitamin

(13:37):
A, the right type of vitaminA. It's got antioxidants and skin brighteners,
everything you want, and I leftout the junk, the things that
do nothing. And you put iton before you go to sleep. So
wash your face with my clean timesoap, get ready for bed and wash
your face butt. But the keything you have to wait. Don't go

(13:58):
right to bed after putting it onyour skin, because if it is wet,
it's the original invisible ink. VitaminC goes on clear and if you
get the wet vitamin C on yourpillow case, it will stain your pillows.
So you have to give it afew minutes before you lie down on
your bed. All right, Sowe're giving away a nighttime tonight to callers.

(14:20):
Give me a call eight hundred andthree to two, one zero seven
to ten. We're still doing thatflash rejuvenation in the office. Noah,
you know for the winter skin.You know what I'm talking about. You
know, you go through winter.I mean it's sorry, it was eighty
degrees almost today, right, Wecertainly go through the seasons quickly. You
know, one day it's snowing,in the next day it's everything's melting.

(14:45):
That means the sidewalk is melting,so it's melting today. But with winter
skin, it takes a while toget rid of it because you get this
rough skin in the winter and itdoesn't look good. You know, you
put makeup on and you have yardsof stratum cornium. That's the name of
that dead skin that's on the surfaceof your skin. There's a purpose to
it, but who needs to looklike our rhinoceros. We can certainly do

(15:11):
better, so the flash rejuvenation thatwe're doing for both the face and the
hands. In the office, Iuse the CO two laser, And I
was talking to my daughter about thisthe other day because she wants to have
this. Am I allowed to saythat she wants to have this. But
you have to time it right sothere's a very quick recovery. You want
to do this early in the weekif you want to date on the weekend,

(15:33):
because it takes about three days toget rid of that little waffle pattern
on your skin. Doesn't hurt atall. I've done it to my hands.
I can't really do it to myown face, although maybe I'll try.
You have to have the contact lenseson to protect your eyes, but
certainly it exfoliates aggressively. And itcauses you to have really smooth skin.

(15:56):
And when you do it repeatedly,that means every three or four weeks,
this flash rejuvenation. Then you getan evening out of the skin tone.
And each time you do it itstimulates a little bit of collagen production.
So the face and the hands youcan do the back of the hands.
I do all the way up tothe fingernails, and some people I go
all the way up the forearm.It's a really simple procedure. You don't

(16:18):
need any litocane, you don't needany anesthesia for it because the CO two
laser, that's a carbon dioxide laser, can be set anywhere from an exfoliation
machine to a machine that completely removesyour skin, and we're not going to
do that for this type of procedure. All right. Speaking of lytocane,

(16:41):
Speaking of lytocane, it is avery useful anesthetic. You've all had lytocane.
When you go to the dentist.The dentist usually uses lytocane. It
is the most common anesthetic used.You can numb up a tooth, you
can do all sorts of surgery withlocal anesthesia. It's called local anesthesia.
Lightocane it's the most common one.There's a lot of other anesthetic agents,

(17:04):
marcane, parlicane, all sorts ofanesthesia, but the most common one is
lytocane, and it is extremely safe, so safe that around twenty or so
years ago, the FDA said,well, you know, we can actually
allow some amount of lightocane to beover the counter, So you can get

(17:25):
up to four percent lytocane in acream. You can go to some pharmacy,
you can go on Amazon, andyou can find four percent lytocane and
put it on your skin. Solet's say you're going to have a waxing,
for instance, you know, notdone by a physician, so you're
not going to get a prescription fortopical. That's topical, by the way,

(17:45):
is what we use. It's theterminology for putting something on your skin.
It's called topical as opposed to injectit. So topical lytocane is something
you might want to use. Let'ssay if you're a woman or a man
and you have waxing, which isnot the most pleasant procedure, right,
so you put it on and itmakes it a little bit more comfortable.

(18:06):
Or let's say you're going to geta tattoo, We talked about that last
week. It's a whole story aboutthe toxic, deadly tattoos, but we
won't go there tonight unless you reallywant to ask me. But you put
the light acane on so that whenyou go into the tattoo artist it doesn't
hurt as much. I can't evenimagine doing that without anesthetic. But okay,

(18:29):
so you put the lightacane on,and then you go on Amazon and
you see all these different preparations thathave five percent lightocane and even more eight
percent lightocane. And I've always wondered, I said, you know, over
the counter law for the FDA isvery very strict. I know this because
I have skincare products that one ofwhich isn't over the counter, and I

(18:52):
have a new one coming out thatis an over the counter product. The
FDA is very strict, and Iwondered, how can they get away with
this? Well they can't. Andthe FDA just slammed a whole bunch of
companies. They just sent warning lettersto six companies for marketing unapproved, misbranded
products. And if you don't followthe FDA exactly, if you don't do

(19:15):
exactly what they say, then theysend you a really nice letter. Thankfully,
I've never gotten one of these.But these letters say, looks like
you have a new drug there,and you have to submit data to the
FDA saying that it is safe.And of course they can't because these aren't
new drugs. These are just,you know, whatever this company's decided.

(19:38):
I don't understand. What's the word, noah, hutzba that's the word.
How do they have that's the niceword that you can say on the radio.
How do you have the nerve tojust disobey the FDA and put it
right out there. Well, itdoesn't go too far because the FDA gives
these companies fifteen days to answer them, and then they just seize your products.

(20:03):
They go to your warehouse, theygo to your office and they take
everything or they lock them up,and that's what they're going to do.
So here are the companies. There'sone tk t X I don't know how
that's pronounced, and they make aten percent light acane ten percent, it's
four percent. The reason this isimportant is because lydocane can kill and there

(20:26):
were actually two deaths in two thousandand seven from people using these products,
and they bought them at a salonand they had I believe they were going
for laser hair removal. And whathappened is they figured, Okay, you
know, if you can buy onetube, you can buy twenty two's and
just smear all over your skin.Well, it turns out that lytocane.

(20:47):
And I know this, I publishedpapers in the scientific literature on lytocane.
But lytocane is particularly toxic, notin the amounts that we use in surgery
by most of us, and certainlynot in the amount that I use.
When I tell my patients if they'regonna have a laser procedure or botox or
fillers or something like that, theyuse amlocrine, which is four percent lightocane

(21:10):
and prilocane. That's a different anesthetic, that's a prescription one because prilocane is
not over the counter, but lytocaneis. So the amount that I tell
my patients they can use is theamount that fits into the palm of your
hand. Okay, so that's aboutone percent of your body, and it's
about usually under four hundred square centimeters. Okay, you don't want to know

(21:33):
these numbers. But the rule ofthumb, and it's actually the rule of
palm, is that however much lightocaneyou can put on your hand, and
I'm not talking about taking a scoopingout a whole big four ounces of it,
just covering the surface of your skinso that you just can't see through
it. Okay, that's uniformly safe. Now, because I'm saying this,

(21:56):
and because I am a physician,I have to give you the flamer that
what I say here on this showyou can't just do. You can listen,
you can learn, but you needto talk to your doctor because I'm
not your doctor unless I am yourdoctor. So so yeah, you know
what I say here. You knowit applies for most people, but there

(22:18):
are plenty of people that can't havelightocane at all. And I'm not going
to go into the disease conditions thatpreclude having letokane, but there are conditions,
and of course if you're pregnant andthings like that. So you don't
want to just go ahead and listento the guy on the radio and say,
oh, well, he says everybodycan have one handful of light a
king not true. But what's beenhappening is the studies have shown that one

(22:44):
hand, the amount that covers onehand is uniformly safe as long as you
don't have a medical condition. Uniformlysafe means it's about five times less than
the toxic dose. So you haveto use like five hands on your body
of the light acane in order toreach toxic levels. And if you do

(23:06):
unfortunately, the first symptom could bea heart attack, or the first symptom
could be a seizure, and thefirst symptom could be death. If you're
lucky, you'll realize that you knowyour lips are getting numb before you know,
even if you put it on likelet's say your arm. If your
lips get numb, that means youhave enough light acane in your bloodstream to

(23:30):
cause a toxic reaction and get itoff your skin right away. But anyway,
so tk t X ten percent lightacane. Here's one ce next venture.
It's called Numb Skin five percent lightacane. Then there's one called Tattoo
Numbing Cream Company. They've got thesignature tattoo numbing cream and Miracle numb spray.

(23:52):
That's illegal, that's out there.The FDA sentem a warning letter.
Then there's one Painless Tattoo Numbing Creamand Painless tattoo Numbing Spray those have high
amounts of lytocane. There's the BlueGel and the Superjuice and the Premium pro
Plus. You know, you haveto look at the label. You shouldn't
have to do this. That's whythe FDA is slamming these companies and sending

(24:17):
them warning notices. The owners shouldnot be on you. It should be
on the companies and the FDA tohave uniformly safe products out there. And
that means four percent lytocane. That'swhat the FDA allows, and the FDA
says, don't overdo it. There'sone more. It's called ink Ease Original
anyway. So there's like six ofthese companies that the FDA slammed last week.

(24:41):
They're going to be taking the productsoff the market, but I checked
on Amazon earlier today those and dozensand dozens and dozens are still out there.
It's amazing. I guess it's likethe marijuana places in Manhattan. You
know, even though it's illegal,they still do it because they figure they're
not going to get caught. Eventually, they get caught, all right.

(25:03):
I'm board certified plastic surgeon doctor ArthurPerry, host of What's Your Wrinkle right
here on wor and streaming live aroundthe world and podcasted. Have you have
you signed up for my podcast yet? The podcast is called straight Talk about
Cosmetic Surgery because that's really what we'redoing here, it's straight talk. So
you know, I've had to showmy patience how to do this, but

(25:26):
it's really easy. You know,you go to let's say Apple Podcasts.
Noah doesn't have an iPhone. He'sgot this little flip phone from nineteen sixty
five. Did they have those?Yeah, But if you've got an iPhone,
it's so easy. Just go toApple Podcasts and then you put my
name in or straight Talk about CosmeticSurgery, and all you do is click

(25:48):
on the subscribe button. It's free. And when I post this show this
show, so let's say you're notlistening live, you're listening to this show
on a Wednesday while you're going towork, Well, you'll get the email
that says, doctor Perry just postedthis updated one we've got. I think
I've done something like a thousand shows. What is it, nineteen years fifty

(26:11):
or so? What does that call? It's like five hundred. You know.
I was used to be very goodat math, and I think I
have about half of those posted now, including the very first show we did
together. Noah and I posted theJoan Rivers Show and some of the memorable
ones. So you can go onto you know, the podcasts and listen

(26:32):
to your heart's content for week afterweek after week. You can just listen
to these shows. It's like streamingon Netflix, right all right. I'm
Board certified plastic surgeon, doctor ArthurPerry, host of What's Your Wrinkle.
We'll be right back. They saythat sixty is the new fifty, but

(26:55):
while you may feel and act fifty, the mirror doesn't lie. But that's
where plastics surgery comes in. I'mBoard certified plastic surgeon, doctor Arthur Perry,
and I love helping patients look youngerand better. If you've got sagging
cheeks, jowls, and that dreadedturkey gobbler, it might be time for
a little nip and a tuck.You look more rested and yes, younger.

(27:15):
With my short scar facelift and theartistic injection of wrinkle filler or a
laser peel, well, that mightbe 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. Togetherwe'll come up with a plan to help
you look your best. Give mea call at eight three three Perry MD.
That's a three three p e rR Y M D. Check me

(27:37):
out on the web at periplastic Surgerydot com and don't forget to listen to
me doctor Arthur Perry, every Saturdayevening at six pm right here on WOR.
You are listening to What's your Wrinklewith Doctor Arthur Perry. What's your
wrinkle? And what is your wrinkle? You know the UV index? Do
you know what that is? Noah, you know what it is? The

(27:59):
UV Index. Well, it's avery very complicated number, but they made
it easy. You know. TheUV indexes anywhere from like zero too.
I think it goes up to elevenplus uh, And it was we're sitting
here in the hottest time of theyear. If you're listening to this podcast
in December in Chile, it's thehottest time of the year, but certainly

(28:21):
in New York right now, it'shot if the UV index is over three.
And that's every single day pretty muchfrom April to you know, maybe
right around beginning in November. Soyou need sunscreen. So it's the UV
index over three. If it's zeroone two, if it's snowing outside,

(28:41):
or if it's really overcast, youmight not need it. But otherwise,
put the sunscreen on and put iton before you go out, unless it's
zinc oxide. If it's zinc oxide, which is the best sunscreen. Uh,
then I always say, you know, get some sun. Get twenty
minutes of sunshine. It'll help yourvitamin D levels in a natural way.

(29:04):
It helps it's a natural antidepressant toget out in this So we all know
that why do people sit in thesun because it feels good? But the
subjective is that it feels good.What's happening. We don't even understand the
neurochemistry that's going on, the changesin your brain when we're exposed to sunlight.

(29:25):
But we know that it's good foryou and it feels good. But
after twenty minutes, you get immunosuppression, you get wrinkles, you get all
sorts of problems. So just giveit twenty minutes and then slather on the
zinc oxide. The easy way toknow how much zinc oxide, you know,
it's such a difficult question. Yougo into the pharmacy. You go
into stores and look for sunscreen,and it's daunting. Right. First of

(29:49):
all, I want you to usemineral sunscreens as opposed to chemical sunscreen.
And the reason for that is themineral sunscreens are simply safer. And we're
talking about zinc oxide and titanium dioxide. Those are the two. The other
fifteen FDA approved sunscreen agents are allendocrine disruptors. They're all and the FDA

(30:11):
acknowledges that the only safe, theonly safe sunscreens are zinc oxide and titanium
oxide. They have not taken theothers off the market. The reason is
they say, we're going to givethe manufacturers time to prove their safety.
And you know, the FDA doesn'twork too quickly. They just don't.
So it's going to be years andyears and years, and then they'll take

(30:33):
some of them off the market.What do they do? They act like
estrogen, most of them in yourbody, and higher amounts of estrogen.
Well, you know there's a linkbetween estrogen levels and breast cancer. And
you know, I went on theAS Show and I talked about this,
but you know, I think it'svery important that you do not use enocrine

(30:55):
disruptors on or in your body,particularly children, reticularly pregnant women. Uh,
just use the safe sunscreen and that'szinc oxide. And then you say,
well, what level of zinc oxide? What SPF do I need?
And that's a tough question to answerbecause you know, it's not only the
SPF which measures UVB light, butthen there's UVA light and you could have

(31:21):
a very high SPF and have noUVA coverage. It gets very very confusing.
So if you use zinc oxide,well, that covers the entire spectrum
of UVA and UVB. And here'shere's your take home for the day.
Just look for ten percent zinc oxideten percent zinc oxide. If you have

(31:41):
a sunscreen with ten percent zinc oxide, you're pretty well covered. You know,
reapply it after you go into thewater, but you're pretty well covered.
You don't need to look for anythingelse. That begs the question,
doctor Perry, what happened to mysunscreen? Everybody is asking me what happened
to daytime? I am getting aprogressively progressive increase in the number of emails

(32:05):
I'm getting every single day and callsto the office. You know, it
started out one or two a day. Now it's up to like five or
ten a day. Where's daytime?Well, it's back in about a month.
It's in production right now. They'remaking it in I believe. Is
it Patterson, New Jersey? Ibelieve. So that's where the contract manufacturer

(32:25):
is. So it should be donevery soon. But then they have to
do some testing, but it'll beback. So sit tight. I did
warn you all, I said afew months ago, we're going to be
out of it, and you didn'tlisten to me. Some people bought ten
or twenty bottles. I can't sellit now. I've got them. I
use it the expired stuff, butyou can't. I can't sell it to

(32:45):
you. All right. Have youever been to a tanning salon? No,
you never leave the studio. Imean, Noah, You're like a
ghost here. You know, there'sno color whatsoever in his skin because the
people that live around Radio st it'sinside. It's a protected environment. There's
no sun, there's no windows,there's no sound. It's like a cave.

(33:07):
But the rest of you you getout in the sun. And a
lot of people go to tanning salons. A lot of people have gone over
the years, and you know,they're not good for you. They're plain
and simple. They're not good.And the reason is I just talked about
ultraviolet A and ultraviolet B. There'ssomething else called ultraviolet C. Doesn't occur

(33:30):
in nature because our atmosphere completely filtersit out. So you don't get ultraviolet
C light. Accept accept if yougo to a tanning salon, and then
you do, and that is aparticularly carcinogenic type of ultraviolet light. And
in fact, you know, theWorld Health Organization classifies tanning salons as carcinogenic.

(33:55):
You know, they did that intwo thousand and nine, they said
UV radio is a carcinogen. Yetas late as twenty twenty, slowan Kenering,
Slowan Kettering right here in New Yorkdid a study of indoor tanning amongst
adults and they've showed that well,it's decreased in popularity, but millions and

(34:20):
millions of Americans every year are stillgoing to tanning salons. Now, I
know that in the state of NewYork and many other states, you have
to be over eighteen. So they'retrying to protect the kids because that's the
worst. When the twelve year old, the fourteen, the sixteen year old,
the eighteen year old. They're notkids anymore, I guess. But
when they go to tanning salons,they are much more likely to develop melanoma

(34:45):
during their life. And in fact, people who use tanning salons before the
age of thirty five they have anincreased risk of developing melanoma by seventy five
percent. And melonona as a particularlydeadly type of skin cancer, and it's
actually the number one cause of deathcancer death in young white women between twenty

(35:10):
five and thirty years old. Interestingmelanoma, and it's from the tanning salons
for the most part. It's alsofrom just going out on the beach unprotected
for hour after hour after hour.So I did a little, a little
work here, undercover work. Today. I called a few of the tanning
salons in New York and I gavethe voice of a like a fourteen year

(35:34):
old person, and I tried tomake an appointment to get, you know,
to go to the tanning salon.Yeah, I had some extra time
on my hands this afternoon, soI did that. And I'm happy to
tell you that three places all turnedme down. I said I was seventeen,
and they said, no, youcan't come. So that's good.
At least they're not letting them in. You know, who knows what happens

(35:58):
if you if you go in tothe place and you don't have ID and
you look older, but they're supposedto check ID. You're supposed to be
eighteen. They're trying to protect peoplefrom from overdoing it or getting any tanning
in an artificial salon. So yeah, don't do it. It's not good
for you. And if you doit, you know, you have to

(36:21):
be really really careful. Maybe limitit to just a few minutes. And
I wouldn't do it at all.I think those places are anachronisms. They're
going to be out of business prettysoon. Sorry if you own one.
But it's like the cigarette companies.They're unhealthy and we can't support the unhealthy
things that are designed to take yourmoney. Yeah, all right, I'm

(36:43):
a board certifyed plastic surgeon, hostof this show. Do you know what
the most common surgical procedure in womenwas last year? Take a while?
Yes, all right, hands up? Okay, I see, yeah,
you're right. Liposuction all also calleda life post suction, with something close
to four hundred thousand procedures. Ilove doing those procedures. They are very

(37:07):
low risk. Despite what you've heard. If you go to a board certified
plastic surgeon who knows what he orshe is doing, and you have a
limited amount of fat, we're nottalking. You know, it's not a
method of weight loss. So ifyou're three hundred pounds and you go to
the plastic surgeon and the plastic surgeonagrees to suction twenty or thirty pounds off
of you, you know, Ican tell you I've been around the block

(37:29):
a bit and I've seen stuff.I was ten years on New Jersey's Board
of Medical Examiners looking at all thecomplaints and all the problems amongst plastic surgeons.
So there are people out there whowould be willing to do that.
But really, you know, liposuctionis uniformly safe as long as you're healthy.
If you have let's say it's calledtwo leaders of fat, what's two

(37:53):
leaders that's about four and a halfor so pounds of fat, uniformly safe,
you can have that. You couldbe better to work in forty eight
hours as long as the surgeon knowswhat he or she is doing, does
an appropriate job, and you know, a quick general anesthetic I can take
that much off of your hips,your your thighs, your knees. I

(38:15):
can suction under local anesthesia underneath yourneck, you know, your sub mental
area under the chin. Boy,I'll tell you that's the biggest bang for
your buck procedure in plastic surgery,by the way, that in moule removal,
because I can suction a few ouncesof fat out and it gives the
appearance of having massive weight loss.You look so much better now. Of
course, you're gonna have some bruisingthere. The rest of your body you

(38:37):
can cover with clothing, but yourface, you know, it's gonna be
about a week or so until you'reout there, although with creative use of
scarfs and what Sondra was saying,with the mask and you get a really
really big mask. All right,we've got Charlene on the line. Charlene,
what can I do for you?What's your wrinkle? My sister lives
in Florida and she's working with aplastic surgeon who kills her that she can

(39:00):
have multiple procedures done in one day, such as laser treatments, a breast
lift, and a tummy tuck.Doesn't that sound risky? Okay, So
here's the deal. And I've beentalking about this for a long time.

(39:20):
Tummy tucks are a high risk procedure, a high risk procedure because and I
do them, and I do themvery carefully, and I do them alone.
I don't combine them with other procedures. And the reason I don't is
because when we tighten the muscles ofthe belly, we put pressure on the
big veins inside the belly called thevena cava. And there is a real

(39:47):
rate of blood cloths DVTs with thatprocedure, and that rate depending on the
study. There are studies that sayit's about half a percent, and there's
one study that says it's as highas five percent. That's pretty high.
So we have to be very careful. One thing we know for sure and
plastic surgery, that the longer you'reon the operating room table, particularly with

(40:09):
a tummy tuck, and the moreprocedures we add to that, the riskier
the procedure is. So there's somethingcalled the mommy makeover. Right, mommy
makeover is a tummy tuck and abreast procedure like a breastlift or a restroduction
or a breast augmentation. I thinkthey're terrible procedures. I am all in

(40:30):
favor of Mommy makeovers with two differentprocedures on different days so that we keep
the tummy tuck isolated. You havethe procedure, you recover from it,
come back another day three or fourweeks later, and have the other procedure.
Now, a lot of people wantonly one recovery. I understand that,
but unfortunately, if you get acomplication that is not just going to

(40:52):
ruin your day, it could windup causing your death. And if you
think of Kanye West, right,his mother Donda West, had exactly that,
and one day she had a tummytuck and a breast reduction one day
as an outpatient in Los Angeles bya plastic surgeon that was not board certified,

(41:12):
who also had a couple of dWI convictions, and that surgeon did
not have medical clearance for her.And Donda West died that day in the
evening in her hotel room. Soshe became the poster child for why we
do things safely. I mean,you should, you shouldn't have to have
legislation. But in the state ofCalifornia, they actually they didn't say that

(41:35):
that's illegal. But what they saidwas, well, you have to have
a board certified internist clear you ifyou're going to have cosmetic surgery under general
anesthesia. And I've been doing thatsince I was a resident without the you
know, the government telling me thatI had to practice medicine the right way.
It's the right way. It's ateam approach. But anyway, so

(41:55):
in answer to your question, no, I don't like the idea of what
laser procedure were they talking about,by the way, I think it was
El Sarah, so right, well, Al Sarah is I mean some people
call it a laser. It's actuallyhigh energy focused ultrasound, so it's not
light energy, but it is soundenergy, and it's uncomfortable. I've had

(42:17):
it four times, i know,and I've had people ask me to do
it under general anesesia or sedation anesesia, and I'll do it that way if
you want, it can be doneunder no anesesia. But let's say,
Al Sarah, if we're going todo the cheeks in the neck, that
takes it takes about an hour anda half to do that, and there's

(42:38):
no way to speed that up becausethe machine doesn't go any faster than that.
So so there you've got let's sayan hour and a half. Then
let's say a tummy tuck. NowI've done some tummy tucks. This is
your sister, did you say?Yeah? Far does your sister? What's
her weight? Probably between one hundredand forty and one hundred and fifty pounds

(43:01):
something like that. Okay, soshe's a little a couple extra pounds.
You said she's forty five years old. Yeah, okay, So a tummy
tuck on someone who's one hundred andforty pounds. You know, I've done
them in as short as an hourand a half and as long as four
hours, depending on the the youknow, how big the person is and

(43:22):
how extensive the tummy tuck is.But let's just say it's an average tummy
tuck that takes about two and ahalf hours. So now we're up to
about three and a half four hours, and then you're talking about a breastlift.
You said, right, yeah,yeah, So a breastlift is another
procedure that's about anywhere from two anda half to three and a half hours.

(43:43):
You know, it takes me aboutthree hours usually to do a breastlift.
And again it depends on how largethe person is. So now we're
talking what what we just add up? Were you were you keeping track of
my numbers there? It's a lotof hours. It's a lot of hours
and a lot of hours, itreally is. And one of our goals
in operating rooms, outpatient operating rooms, we want to try and keep the

(44:07):
procedures as short as possible because thelonger we go, the riskier the procedure
is. But also we want toget you home at a reasonable hour,
So general anesthesia for those procedures,you know, we try at the Granite
Street Surgery Center that I am partof, we try and do procedures no
longer than four hours, and ifthat means a facelift and maybe the upper

(44:30):
eyelids. If we go beyond that, we really need to know. We
talk to the ante caesiologists and wetalk about the specific patient and make sure
that they are extremely healthy and thatthey're cleared by an intern is and you
know, maybe we'll go five maximumsix hours maximum, and beyond six hours,

(44:51):
it is just not smart to doit as an outpatient. If you
were to then say okay, let'sdo that surgery in a hospital and keep
someone overnight. That at least getsrid of some of the risk, but
it doesn't get rid of the actualrisk of that. We can't eliminate of
blood clots and things like that,so because the longer you're on the operating

(45:12):
your table, the more likely youare to get a blood clot. So,
Charlene, there's a lot of patientsthat want to have procedures and lots
of them because they just don't understandthat the more you do, the riskier
it is. And that's why thesurgeon needs to be very responsible. And
I always say that a plastic surgeonhas a responsibility like a parent, to

(45:36):
protect the patient from bad decisions.And a parent protects a child from bad
decisions. You don't tell your kidthat they can go ahead and jump off
a balcony into a swimming pool downthere, right, you know, you
say that's not smart. And thesame with a financial advisor, it's not
smart to do the bitcoin thing orwhatever it is that they're supposed to,

(45:57):
you know, protect you from.And a plastic surgeon should be this same
way. And unfortunately, there areplenty of plastic surgeons that will say,
okay, if you're willing to acceptthe risk I'm willing to get that really
big payday not a good idea,So and that's what it's all about.
A lot. Unfortunately, it's true, a lot of people are not willing

(46:17):
to say, you know what,let's divide it up into two procedures,
because when we do that, alot of people will simply say, Okay,
I'm just gonna have one procedure andmaybe they'll come back for the second
procedure, and maybe they won't,and so the surgeon loses a procedure.
Too bad. That's the way itis. You know. I think safety

(46:38):
first, obviously, and I personallywould not do a breastlift and a tummy
tuck and al theah in the sameday. You can tell your sister I
said that I will. I appreciate. I've been listening to you for a
while, and I appreciate that youtake such a conservative approach. Well you
know it's conservative, but it's youknow, I mean, I think of

(46:59):
myself as cutting edge plastic surgeon.I do all the new procedures and things,
but number one, we want tokeep you safe, we want to
keep you healthy, and I wantthis to be an experience that helps you
look better and feel better about yourselfand you walk away from it and you're
not one of these disasters, becausethey're all over the place. I mean,

(47:20):
you only have to look online tosee one after the next. The
Brazilian butt lift deaths continue in theUnited States, and yet people are still
doing them, you know, upto five hundred, six hundred, seven
hundred deaths from these procedures, youknow, And we want this to be
safe. It's good for everybody.No plastic surgeon wants a complication, no

(47:42):
patient wants a complication, and bothof us need to know when and how
to say no. So that's whati would say. All right, thanks
so much for calling, Charlene.It's been a pleasure. Thank you.
Okay. I'm board certified plastic churchrendoctor Arthur Perry, host of What's Your
Wrinkle? Right here on w hostof straight talk about cosmetic surgery podcasts all

(48:04):
over the world. We're going totake a short break. We'll be back
after these words. Did you knowthat your skincare may be hurting you more
than helping you. I'm board certifiedplastic 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 canstay on it long enough to see real

(48:28):
results. It starts with an incredibleskin cleaner called clean Time. It's actually
good for your skin. Protect yourskin with my Daytime SPF twenty cream in
the evening, feed your skin withmy Powerhouse Nighttime serum. Nighttime has vitamin
CNA antioxidants and skin brighteners. Andif you like moisturizers, well, I've
created Soft Time with seramides and VitaminD. Throw away the bags of useless

(48:53):
products and try doctor Perry's skincare.Join the thousands of people whose skin is
healthier. Use the F fifteen WORRadio code on Amazon dot com for a
fifteen percent discount. That's fifteen WORRadio when checking out, and enjoy free
shipping if you're a prime member,and don't forget to listen to my radio

(49:13):
show right here on WOR every Saturdayevening at six pm. They say that
sixty is the new fifty, Butwhile you may feel and act fifty,
the mirror doesn't lie. But that'swhere plastic surgery comes in. I'm board
certified plastic surgeon, Doctor Arthur Perry, and I love helping patients look younger
and better. If you've got saggingcheeks, jowls, and that dreaded turkey

(49:36):
gobbler, it might be time fora little nip and a tuck. You
look more rested and yes, youngerwith my short scar facelift and the artistic
injection of wrinkle filler or a laserpeel, well, that might be just
what it takes to get you lookingas good as you feel. Let's sit
down for an hour consultation in mynew Park Avenue office. Together, we'll
come up with a plan to helpyou look your best. Give me a

(49:57):
call at eight three three Perry MD. That's a three three p e r
R Y M D. Check meout on the web at periplastic Surgery dot
com and don't forget to listen tome doctor Arthur Perry, every Saturday evening
at six pm right here on WOR. You are listening to What's your Wrinkle
with Doctor Arthur Perry. What's yourwrinkle? And what is your Wrinkle?

(50:20):
I'm board certified plastic surgeon, doctorArthur Perry, host of this show for
a long long time, and youknow I love doing radio. I was
actually president of the radio club inhigh school and then on wrs U FM
at Rutgers back in the old dayswhere Scott was the program director here he
was at the same station, butI am a little older than him.

(50:43):
But you've been doing radio since wow, nineteen seventies. It's a lot of
fun. And I want to thankyou for listening and thank you for calling
in and being being part of theshow. All right, So I do
cosmetic surgery. I do fillers,I do facelifts. I do rhinoplastis.

(51:05):
I love that procedure. I lovethe word rhinoplasty. It's nasal reshaping.
I do autoplastis, ear reshaping,setbacks. I lift breasts, I make
breasts smaller, I make breasts bigger. You know, it's a it's it's
God's calling. You know, someone'sgot to do it. But but seriously,
I love cosmetic surgery. It is. It is such a great field.

(51:27):
I'm so honored to be able tohelp my patients and help you,
you know. But there's a lotof funny things in this field. Like
the last caller she was talking about, oh, you know, her sister,
you know, was told she couldhave all these procedures in one day.
You know, you don't want todo that you want to stay as
safe as possible. And one ofthe things that's happened in this field is

(51:52):
the introduction of something called how uranidays. What on earth is that how
uronidase. It's an enzyme that dissolveshouronic acid. And you say, well,
that's good, right. You know, so one and a half million
people in the United States had hiuronicacid wrinkle filler last year that we can
count. It's probably more than that. Huronic acid is Restlane and it is

(52:17):
Jupiter and others, but not everybodyinjects it well. And that's why you
can see duck lips and you cansee all sorts of pretty bad filler.
You know, you just have tolook on TV. You look at Beverly
Hills, you look in the Uppereast Side, you look in Miami,
the major cities, and you'll seesome pretty pretty as Larry Davids a pretty

(52:44):
pretty bad results. Right. Sosome people think, well, okay,
if I get allows the result,let me just dissolve the holuronic acid.
And they use this protein, thissubstance called hiuronidase. It's an enzyme.
It's a complex protein. There's differentbrands. There's six different brands out there,

(53:06):
not important for you, except oneof them is a human product and
others are not human products, andthat really doesn't make too much of a
difference. But it's become so commonto use this high uronidase that it's almost
like an eraser. So someone getsa lump or they put too much in,
they'll say, oh, okay,let's use some of this stuff.

(53:27):
Well, they did a study inAustralia. They queried about two hundred and
sixty four people that inject filler,and you know what, half of them
were nurses and interesting, you know, I guess it's even more common by
nurses in Australia. But eight percentof these respondents to this survey had seen

(53:50):
allergic reactions. They willing nearly injectedhighuronidase, in fact, many of them
all the time, and eight percentsaw allergic reactions, seven percent saw swelling
of the face, and about twopercent actually saw anaphylactic reactions. And I've
been saying this, if you goback to some of these shows from fifteen

(54:12):
years ago, I've been saying,as people start using this more and more,
they're going to get these terrible reactionsand some people are going to die.
So next week, we're going totalk more about the overuse of how
youuran. Today's we don't have timeto talk about it now, but if
your doctor wants to inject it,if you're going blind from filler, heaven
forbid, of course you're going tohave to have it. But if you've
got a little lump, don't doit. I'm board certified plastic surgeon,

(54:35):
doctor Arthur Perry. I have somuch to talk about. I could keep
on going for another hour. Noah, you can go to my website Periplasticsurgery
dot com. You can order myproducts, all the different products that we
talk about on Amazon dot com.That's the easiest way to do it.
Go to Amazon dot com, goto the Doctor Perry store and you can
order the products we uh. Ofcourse I want you to sign up for

(54:58):
the podcast because the success of theshow depends on the success of the podcast.
We'll see you next week. Byebye now. The proceeding was a
paid podcast. iHeartRadio's hosting of thispodcast constitutes neither an endorsement of the products
offered or the ideas expressed.