Liposuction-The Most Popular Cosmetic Surgery

Episode Transcript

Speaker 1 (00:00):
The following is a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed.

Speaker 2 (00:09):
Well Doctor Arthur Perry, he's one of the top plastic surgeons.
He's got offices in Manhattan, New Jersey. You know what,
He's been doing the show here on w R for
years and years and years. Very popular show and a
great plastic surgeon. Everybody has questions on this subject, so
he's the guy to ask.

Speaker 3 (00:26):
Doctor Arthur Perry, and the public wants to know.

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

Speaker 3 (00:30):
And I went to his office and I said, I said,
look at my face.

Speaker 2 (00:33):
And he goes, yeah, look at your face. We're going
to do with your fan What can you do with
his face?

Speaker 3 (00:36):
I go like that, I s what I got.

Speaker 2 (00:37):
I go, look at this, I'm getting old. I said,
I want to maybe get fix it up a little bit.

Speaker 4 (00:41):
Doctor Oz, are you there, I'm here Ark, and I
want to get a plugged you. Having worked with you
on a book and numerous other activity, you want to talk.

Speaker 3 (00:46):
To Arthur Perry the best in plastic.

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

Speaker 4 (00:57):
Media smart as I really really gifted position. I want
to pay you the highest trut I can give to
a surgeon, which is when people come to you, they
don't come for an operation, they come for an opinion.
And that's why I trust you with my friends and relatives.
I didn't realize we were gonna get the Michael Jordan
of Plastic Surgeons nine O two and zero bows to
this guide.

Speaker 3 (01:17):
And welcome. This is word certified plastic surgeon, doctor Arthur Perry,
and this is what's your wrinkle right here on wo
R and straight talk about cosmetic surgery. If you're listening
to the podcast, I hope you're having a great weekend.
It is a beautiful weekend. I'm broadcasting live from Amagansett.
We are looking over the Atlantic Ocean, just about as

(01:40):
far east as you can get without hitting England. It
is a beautiful day out here. The UV index, by
the way, you know what it was today? It was
nine And what does that mean? Well, this is a
plastic surgery show. We talk about things like the UV
index A nine sizzles your skin. You should be you
should have used sunscreen. If you did not and you

(02:02):
were out more than twenty minutes, you would have been
burned today. So it's an SPF of at least fifteen
in weather like this, and I think zinc oxide is
simply the best. And that's why we're giving away bottles
of Daytime. That's the SPF twenty three. And callers to
the show, it's eight hundred and three two one zero
seven ten. That's the phone number here at WR eight

(02:24):
hundred three two one zero seven ten. We're going to
send you a bottle of My Daytime. And it is
a great, great sunscreen. And it's more than that. It's
a skin protector. It's got nicas cinamie in it. That's
vitamin B three, it's got vitamin B five. It helps
you tolerate the retinoids. What are those. That's vitamin A,
things like retina and the vitamin A in My Nighttime.

(02:48):
All right, we're going to talk about a world wide
outbreak now of fake botox. It is getting worse and
worse and spreading all over and people are getting injured.
So you have to be careful out there. And we're
also going to speak about Lippo's suction, lipos suction. It
is the most common procedure in all of plastic surgery.

(03:09):
We're going to talk about that. But before we get
to that, I'm going to tell you that I'll be
on You have to mark your calendar. I'll be on
the Mark Simone Show this Friday, ten forty am. Listen
to the whole show. He's the best on the radio.
But listen and tune in at ten forty. We've got
some interesting things to talk about. Last time I was

(03:30):
in the studio with Mark, he almost let me do
both talks on him. Not quite. Maybe we can get
him this week. So ten forty Friday, the Mark Simone
Show right here on WOR. All right, so many of
you know that I've got offices in Manhattan, and I've
got offices in New Jersey, and I am now at

(03:51):
well By Messer. I'm their plastic surgeon. That is an
incredible group of endochronologists. There are four ennercronologists led by
doctor Caroline Messer, and she's got internists and urologists and gynecologists,
psychologists on her plastic surgeon there's dietitians and personal trainers.
This is probably the premier practice in New York and

(04:14):
maybe in the United States dedicated to weight loss and
overall health. So give doctor Mester a call, you can
schedule an appointment with me. There six four six seven
six zero thirty two fifty six. That's six four six
seven six zero thirty two fifty six. So how many
of you use botox? I'll bet you a lot of listeners.

(04:35):
I bet you a lot, because there's something like eight
million people in the United States that I've used botox
last year. It is the most common procedure in all
of cosmetic surgery. It dwarfs the surgical procedures. We're going
to talk about Lippos section today, but there's only about
three hundred and fifty thousand sections in the United States
as opposed to eight million or more botox injections. And

(04:56):
it's not just botox, it's disport, it's it's uh leg bo.
That's that's the newest one. That's that's a hard one.
What a name, right, Legbo? They could have come up
with something a little better than that. It was actually botchul.
As they changed it, it sounded more like a h
a GI procedure, I think. But but certainly there's h

(05:16):
there's DAXI five, and there's JAVU. Did I cover all
of them? There's six of them now FDA approved in
the United States, and they all work very, very similarly.
There are such small nuances between them, you would not
know the difference if I injected one or another. So
I always say, you know, let your let your plastic
surgeon or your dermatologists choose which one if you have

(05:39):
a particular interest in one. Most plastic surgeons will will
get a hold of some real botox. But it turns
out that botox is not even as good as the
others according to a recent study. You know, there's uh,
there's others that act faster and act longer. But truly,
if you look at the data, we're talking hours or
maybe a couple of days different. So not to worry

(06:01):
about that. But one thing is for sure. You want
real botox or real javou or real zman or real disport,
whatever it is you're using, it's got to be real
because there is so much fake stuff. There's fake botox
out there, you know, when anything that you can hardly see,

(06:21):
like a few grains of salt costs me six hundred
and fifty dollars. It's ripe. It's ripe for fraud, right,
you know, there's so many fraudulent and fake drugs out
there now it's really a shame. So warning was issued
in England because there were many many last week patients
that got sick. They got fake botox. They got a

(06:44):
hold of the government in England, got a hold of
the boxes that were used. They're not in English and
they're in another language. I think they're Chinese, and people
were getting sick. They were overdosing on it. We don't know.
If it's not have to approved in the United States,
don't do it. There are people we talked about this

(07:04):
a few weeks ago in the United States that are
using this fake stuff because it's all over and if
you see a ridiculous, ridiculously low surgeon's fee or dermatologist fee,
you might be a little suspicious that maybe they're using
fake stuff. So there were thirty eight cases of bochulism.

(07:25):
I mean it's not botulism where it's infectious, but bochulism
poisoning recorded in England just in the last six weeks.
It's all over Europe and it's all over the United States,
so be careful. You know, I like to show my
patients the box and Botox actually has a hologram on it.
The other companies don't have that. But you know you're

(07:46):
entitled to know exactly what is being injected into your body.
I'm Board certified Plastic surgeon, doctor Arthur Perry, host of
What's Your Wrinkle? Right here on wr the phone number
eight hundred three two one zero seven ten. Give me
a call. We're going to give you a bottle of
my daytime sunscreen if you do give us a call,
and when we come back from our break, I'm going
to take you into the office with me. I'm gonna

(08:10):
take you then into the operating room with me when
I suction some fat. Eight hundred and three to two,
one zero seven to ten. That's the number. Give me
a call. We'll be back after these words. Did you
know that your skincare may be hurting you more than

(08:30):
helping you. I'm Board certified Plastic surgeon, doctor Arthur Perry.
The foundation for looking good is clean, healthy skin. So
I've created a program that is so simple that everyone
can stay on it long enough to see real results.
It starts with an incredible skin cleaner called clean Time.
It's actually good for your skin. Protect your skin with

(08:51):
my Daytime SPF twenty cream in the evening, feed your
skin with my Powerhouse Nighttime Serum. Nighttime has vitamin CNA,
antioxidants and skin brighteners. And if you like moisturizers, well
I've created Soft Time with seramides and vitamin D. Throw
away the bags of useless products and try Doctor Perry's Skincare.

(09:12):
Join the thousands of people whose skin is healthier. That's
doctor Perry's Skincare on Amazon dot com. And don't forget
to listen to my radio show right here on wo
R Every Saturday evening at six pm. You're listening to
What's Your Wrinkle with Doctor Arthur Perry.

Speaker 1 (09:27):
What's your Wrinkle?

Speaker 3 (09:30):
And what is your Wrinkle? I Board certified Plastic sertain
Doctor Arthur Perry, host of What's Your Wrinkle for a
long time. You know. Every now and then in the office,
we've got specials and we actually have a filler up special.
How's that filler up? Remember the gasoline commercials? Filler up
with filler different types I use in the office, and

(09:52):
we're doing for the month of September, and no it's August, sorry,
not September. Starting in what's the rest of the rest
of July, twenty five percent off of a syringe of filler.
I've done that in years and years, but we're doing
that both in the New York office and the and
the New Jersey office. So if you want a filler

(10:14):
by me, and maybe the fees are a little bit
prohibitive normally, now's your chance. Give my office call two
one two seven five three eighteen twenty. That's two and
two seven five three eighteen twenty. But the rules are
you have to do this. You have to actually book
it before the end of July and have it before
Labor Day. That's the rules of this, this discounted filler

(10:39):
special we have going on all right. So I have
been suctioning fat, you know, I asked, no, I said,
do we have a sound effect for LiPo suction? Nice
vacuum cleaner? He said, just just do it, no kind
of that's what it sounds like. You know. LiPo suction
is fat removal through a vacuum and literally these machines

(11:01):
that are liposuction machines, that's the name. Very inventive, right,
they're LiPo sruction machines. They are very, very fancy vacuum cleaners.
They're high powered, but they make a lot of noise,
just like a vacuum cleaner. So you know, one company
competes with the next company, they kind of do it
by getting maybe a quieter machine. That's about it. Well,

(11:23):
we're going to talk about the procedure of liposuction. Why
do I call it liposuction because the word is lipid.
Some people call it LiPo suction, but it's not lipid.
You know, in the United States in nineteen eighty three,
when it was first introduced, everybody called it LiPo suction.
And I trained at the University of Chicago where we
were performing a liposuction. Even in my residency in nineteen

(11:46):
eighty five to eighty seven, when I was chief resident
at the University of Chicago, we did a lot of
this procedure, but it went through a bunch of different phases.
In the beginning, it was experimental, you know, people were
doing it and people worried that maybe we were suctioning
too much blood with it, so we started injecting something

(12:06):
called epinephrin adrenaline, and when we inject that into the tissue.
It cuts way down on the blood loss. So if
I suction let's say your hips and thighs and your
knees and maybe add your belly, we might have lost
a couple units of blood. Well, one unit is what
you donate to the Red Cross, right, many of you
have done that. So one unit, you know, you have

(12:28):
some apple juice and some cookies and drive away. Two
units that's a little hit, and if you lose more
than that, it's kind of a big hit. So we
added this epinephrin and that made it much safer. But
a lot of people also added lytocane and they put
light Again, they infuse lydocane into your fat and then

(12:49):
suctioned the fat with the lyocane out, and a lot
of people got sick. And so they got sick because
of lytocane toxicity. And in fact, I wrote a chapter
and a textbook on the and I published a paper
way back, it was a twenty something years ago, showing
that lyda kane was not necessary in liposuction. In fact,
that was the title of the paper. You could look

(13:10):
it up in a Plastic and Reconstructive surgery. So it's
just not necessary. Why should we inject something that can
potentially make you sick or kill And in fact, thousands
of people died in the late eighties and early nineties
until we figured out just how to do liposuction. It
is now exceedingly safe and exceedingly popular. Yes, it was

(13:31):
the most popular procedure in all of cosmetic surgery last
year in the United States and many years running. It
kind of vies with breast augmentation as the most popular procedure.
One year it's breast augmentations and one year it's liposuction.
Last year there were three hundred and fifty thousand people
in the United States that had fat suctioned from their areas.

(13:52):
What areas were they? Well, women, you know what areas.
It's the what they call the love handles, right the
outer thighs. That is the most common area. And often
women have a disproportion. You know, they're relatively slim, but
they've got this bulge on their thighs and it precludes
wearing tight pants, but yoga pants because you're self conscious

(14:15):
about that. So in a very short procedure that's very safe.
I'm going to tell you about it during the show,
I can suction that fat and remove that fat permanently. Yes,
it's permanent. And the reason it's permanent, by the way,
when we remove fat, your body doesn't have the ability
to make new fat. It can only make the existing
fat larger or smaller. So when you have pizza, let's

(14:38):
say you're at the Sag Pizza or you're at Carmines
tonight in New York and you have pizza tonight and
tomorrow and the next day and for a few months,
every single night, and you gain twenty pounds or so,
you're not actually making new fat cells. You are taking
the fat cells that you have and feeding them fat,
and they grow bigger. So physically they're bigger under the microscope.

(15:00):
So when we remove those, it's sort of like removing
your fingertip. It's not going to grow back unless you're
a reptile or an amphibian. It just you know, you've
got a no finger there, just like you'll have no fat. Now.
On the other hand, if you decide that you're going
to compensate and gain weight, you will gain fat in

(15:20):
some other areas. So let's say you had your outer
and enter thize suction and it looks great afterwards, and
you know you're two months later and all the bruising's
gone and the swelling's gone, but you are eating a lot, Well,
you're going to get fat somewhere else. I can't help that.
It could go into your neck, it could go into
your arms, your belly, your knees, wherever we'd insuction because

(15:42):
those fat cells are still there. And if you're in
a positive caloric balance, that means if you're eating more
than you're working off, then certainly you're going to gain
weight somewhere. So in women, it's the outer thighs and
the hips and then the inner thighs. Those are the
most common area. And in the in men, which about

(16:03):
ten percent of all liposuction patients are men, it's the belly,
the abdominal fat. Now, probably the reason women don't have
the abdominal fat suctioned as much as men is because
once you have been pregnant, and once you have gained
this weight and have stretch marks and sagging skin, you
really can't have suction in that area. So women who

(16:25):
have extra weight on their belly and have had pregnancies,
well you'll need a tummy tuck as opposed to lipos suction.
So when we come back from our break, are going
to take you into the consultation. I'm going to show
you what I do, and then into the operating room
we go where I use my liposuction machine and Noah's
suction sound there and we'll talk all about it. We'll

(16:46):
talk about the risks the benefits of one of my
favorite procedures and one of the biggest bang for your
buck procedures in all of cosmetic surgery. Eight hundred three
two one zero seven ten is the phone number. Will
be back after these words. They say that sixty is

(17:10):
the new fifty, But while you may feel and act fifty,
the mirror doesn't lie. But that's where plastic surgery comes in.
I'm board certified plastic surgeon, Doctor Arthur Perry, and I
love helping patients look younger and better. If you've got
sagging cheeks, jowls, and that dreaded turkey gobbler, it might
be time for a little nip and a tuck. You
look more rested and yes, younger. With my short scar

(17:33):
facelift and the artistic injection of wrinkle filler or 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. Give me a call at
eight three three Perry MD. That's a three three p
e r R Y M D. Check me out on

(17:54):
the web at periplastic surgery dot com, and don't forget
to listen to me doctor Arthur Perry, every Setdaturday evening
at six pm right here on WOR. You're listening to
What's your Wrinkle?

Speaker 1 (18:05):
With Doctor Arthur Perry. What's your Wrinkle?

Speaker 3 (18:08):
And we are back. We're bored sort of by plastic surgery.
That's what I am. What are you? Are you a
patient that is interested in cosmetic surgery? This is a
show to call eight hundred three to one zero seven ten.
And I hope you've been listening for a long time.
If this is the very first time we've been on
for twenty years on Saturday evenings on WOR, so tune

(18:29):
me in. And and if you don't want to listen
on Saturday evenings because you've got something else to do,
this is podcasted. You can go to Apple Podcasts or
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wait a minute, who could possibly be more listen to?

(18:51):
But you know what can I say? So go to
those and hit subscribe and then you'll be able to
get this podcast whenever you want. So please do that,
all right, So we're talking about liposuction. It is the
most common procedure in all of cosmetic surgery. I love
making you look better in a very short procedure, so
I can suction several pounds of fat out of your

(19:14):
thighs in less than two hours. The procedure is usually
between an hour and two hours. I prefer to do
this procedure under general anesesia. And the reason is any
antithesiologists will tell you any Just ask any antithesiologists and
I challenge you to do that. They will tell you
that a good short general anesthetic is far far safer

(19:38):
than you're getting a ton of lytocane infused into your body.
There are some doctors that can't operate in operating rooms,
and they're usually not plastic surgeons. Other types of doctors
that do this procedure and they're doing it in their
office without an antithesiologist, and they're giving you enormous amounts
of lytocane. And I am a true expert in this topic,

(19:58):
and I can tell you I would never ever have
that in the office under local antees unless it was
a very small area like just my knees or just
your neck and Jiles, you can have that under local
antesesi with lydo kine, but not your belly, not your thighs,
you know, not your arms, even that's too big an area.
So if you're having these areas section, you want to

(20:20):
be in a real operating room, either in a hospital
or a surgies center. Yeah, some doctors do it in
their offices. I don't operate in my office anymore, but
some do. If you have an accredited operating room with
a board certified anti caesiologist, then it's a safe place
as long as you are healthy. And what does that mean?
You get checked out by an internal medicine doctor. So

(20:41):
you go to my friends at well By Messer and
get a pre serve pre authorization of your surgery. That's
what you want. You want to be checked out by
a board certified internist before surgery, and that way you
know you're not going to have an issue in the
operating room, or it becomes much less likely. And then
you want your doctor, of course to be board certified.

(21:02):
You want the facility to be accredited. And if you
have these things going in your favor, as long as
you are healthy and the doctor knows what he or
she is doing, then there shouldn't be should not be
issues with surgery. Now, how much is safe? Well, certainly
under two kilograms that's about five or so pounds of
fat is considered uniformly safe to suction out. That's a

(21:23):
lot of fat, by the way, that is a lot.
So that could be your adverer, thighs, inner thighs, knees,
and your hips. That's usually about that amount. If you
add your belly, you know, sometimes that's okay. But you
know what, as we approach more, as we approach ten pounds,
that becomes less safe in the operating room. Less safe

(21:44):
not so much in the actual operating room, but afterwards,
afterwards you might consider staying in the hospital overnight. Certainly,
anything over five leaders that's five thousand ccs. You want
to be in a hospital overnight with an intravenous line
in and probably a catheter in your bladder. But you
know what, the truth is, liposuction is not a method

(22:06):
of weight loss. What is a method maybe those GLP
one drugs, maybe a lap ban or maybe just dieting. Right,
that's a method weight loss. This is a method of
body contouring after you have achieved close to your ideal weight.
So you know, don't do it to lose weight. You know,
that is a big, big, big mistake. And if you
are obese and you come in for a consultation for liposuction,

(22:28):
I will send you away. I'm not going to operate
on you until you've lost the weight. And again, this
is for discrete areas of fact that you can take
in your hand and say, if this were gone, I
would be happy. That's what it's for. So there's different
types of liposuction. There's the traditional it's called the two
messin technique. That's what I do. There is a laser
lipos suction, which most people who do laser liposuction admit

(22:52):
that it is only for marketing reasons and in fact,
when we use a laser there's a much higher complication rate.
Same thing with ultra sonic liposuction. Ultrasonic liposuction makes it
a little easier for the doctor to do the procedure,
and certain areas that are very fibrous are easier done
that way. But a plastic surgeon that's been doing this

(23:13):
for as long as me thirty years, any area is
reasonable to suction through a two messent technique. So that's
how I do it. So let's take you into the
operating room very quickly. We actually paint your body with
betadine beta dine. It's that antibacterial from your neck to

(23:33):
your toes. So that's a little embarrassing. Sometimes we ask
the men to leave the operating room. We put you
on the sterile operating room table and then place you
under general anesthesia and make little tiny incisions. They're about
a quarter inch long incisions, and lots of them, by
the way. And then I introduce these tubes called canula,
and they're anywhere from two to maybe five millimeters in

(23:55):
their diameter, maybe have little holes in them. They're connected
to that back cleaner. That's the sound Noah wanted me
to make there. That's the suction device, and we suction
out the fat until I esthetically think that you look
good now. It's not an extraction, it's a sculpting of
the fat. And that's how we look at liposuction. And

(24:17):
a good plastic surgeon is not going to be removing
all of your fat, of course not. We're going to
be sculpting the fat on your thighs, on your hips,
on your knees, and your neck, on your back. I
consuction fat in the back, on the arms. I had
someone tonight asking me about suction of arms. Yes, we
can do that virtually, any of it. We can do

(24:38):
your caps, we can do your cankles. That's fat around
your ankles, So any area can be suction for the
most part by a good plastic surgeon that knows what
they're doing. It's a great procedure. We put one incision,
one stitch in each incision at a band aid, and
send you home and you go back to work in
two days. Don't go the next day, but two days
later you can go back to work. You can't exercise

(24:59):
for a few weeks. You will be quite bruised, bruised
like an eggplant. You really will be. It takes two
three weeks to get rid of the bruising. The swelling
well a month maybe two months till it goes away.
But you will look so much better without that fat.
So that is the story with liposuction. I on board

(25:19):
certified plastic surgeon, doctor Arthur Perry in the office performing
that PRECEIDU. No, not in the office. I operate a
Manhattan nine a year and I operate at Robert with
Johnson University Hospital and Care Service Center in New Jersey.
That's where I do these procedures. Noah. I want to
thank you so much for great engineering. As usual, twenty
years Noah and I have been doing this broadcast. We're

(25:40):
going to be back six o'clock next week. If you
want to check me out during the week, my phone
number two one two seven five three eighteen twenty in
Manhattan and seven three to two four two two ninety
six hundred in New Jersey. And by the way, the
products they're on Amazon, Amazon dot com. That's where you
can get all the products. Go to Amazon. U can

(26:00):
get all those discounts that Prime gives you. That's the
way to do it now. And you can get clean
time and nighttime and soft time and daytime. Noah, thanks
again for great engineering. We'll see everyone six o'clock next week.
Stay safe and don't forget your sunscreen. Bye bye now.

Speaker 1 (26:17):
The proceeding was a paid podcast. iHeartRadio's hosting of this
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the ideas expressed