Ozempic Vulva

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 questioned on this subject. So
he's the guy to ask.

Speaker 3 (00:26):
Doctor Arthur Perry, and the public wants to know the
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 SAI, what I got? I go and look at this.
I'm getting old. I said, I'm wanna maybe you can
fix it up a little bit.

Speaker 5 (00:40):
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.

Speaker 3 (00:46):
Talk to Arthur Perry, the best in plastic.

Speaker 5 (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 I mean, you're smart.

Speaker 5 (00:58):
As I really really gift his position. I want to
pay you the highest true I can give to a surgeon,
which is when people come to you, they don't come
for an operation, they come for the opinion. And that's
why I trust you with my friends and relatives. I
didn't realize we were going to get the Michael Jordan
of Plastic Surgeons nine O two and zero.

Speaker 6 (01:13):
Bows to this guy, and welcome.

Speaker 3 (01:17):
This is Board certified plastic surgeon, doctor Arthur Perry, and
this is what's your wrinkle right here on WOAR And
if you're listening on in the podcast world, it's straight
talk about cosmetic surgery, because that is what we talk
about on this show. I'm a Board certified plastic surgeon
and I've been sitting behind this microphone for twenty years

(01:39):
and over thirty years behind in the operating room, also
using a scalpel and things like lasers and injectables and
things like that to help you look as good as possible.

Speaker 6 (01:54):
Are right.

Speaker 3 (01:55):
So today it is Labor Day weekend here in New York.
I hope you're having a great time. I hope you
are using your sunscreen because this was a UV index
day of seven, and that means your skin is going
to fry.

Speaker 6 (02:08):
So we're going to talk.

Speaker 3 (02:09):
About what you did to your skin this summer, the
damage that you've created, and how we can undo that,
hopefully we can, and what we can do in the
next few weeks to get you looking as good as
possible for the fall season. So that's what we're talking
about on this show. But also, fasten your seatbelt, Noah,
because we are going to be talking about You're ready

(02:31):
for this one. No one's talking about this. Ozempic vulva.

Speaker 6 (02:36):
What is that?

Speaker 3 (02:38):
Ozempic vulva, ozempic vagina. That's what we're talking about today because,
oh my goodness, it is a hot topic in plastic surgery,
in dermatology, in medicine because those GLP drugs, you know
what they are, ozempic and zep bound and drugs like that.
They are so effective that people are losing lots of weight,

(03:01):
not just in their belly, not just in their face,
but all over their bodies.

Speaker 6 (03:06):
So we're gonna talk about that in just a few minutes.

Speaker 3 (03:08):
The phone number here at WR is eight hundred three
two one zero seven ten. That's eight hundred three two
one zero seven ten. My voice sounds just a little
different today because I had surgery last week. I had
a hernie repair of nothing too major. Had it done
over at Columbia with the expert Hernia Center at Columbia.
But you know, they put that breathing tube down your

(03:30):
throat and it kind of scrapes against your your larynx,
your vocal cords, and so you might hear just a
little bit of a horse voice.

Speaker 6 (03:39):
But we'll we'll get through this. Noah, all right.

Speaker 3 (03:42):
Eight hundred three two one zero seven ten is the
phone number here at WR.

Speaker 6 (03:47):
And we're gonna be giving away Let's say it's.

Speaker 3 (03:49):
The end of the summer, right, It was a UV
index of seven today tomorrow about the same. We're gonna
give away sunscreen. Why not sunscreen, it's my daytime. It's
called beauty in a daytime sunscreen. It's an SPF twenty
three sunscreen. I hope you were using it all summer long,
and if not, it's not too late to protect your

(04:10):
skin and we'll talk about why in just a few minutes.
All right, So you were out of the beach every
day this summer. You stayed in the sun. You didn't
use my sunscreen, and your skin has really really shown
a lot.

Speaker 6 (04:28):
Of new damage.

Speaker 3 (04:29):
And the older you are, the faster you are going
to see that damage. Because ultraviolet light, it's ultraviolet A
and ultraviolet B light, that's what is emitted by the sun.
That's what ages your skin. That's what causes rough skin,
that's what causes wrinkles, that causes splotchy pigmentations. But much

(04:51):
more important than that, the damage of the sun causes
skin cancers. All three major skin cancers, basic cell carcinomas
and squamous cell carcinomas, and yes, even melanomas. So we're
going to talk about what we can do about that.
The first thing to do is clean up your skin,

(05:11):
get it ready for the treatments that I'm going to
talk about on this show. And the way you do
that is with microdermabersion, by getting rid of that rough layer,
the cells on the surface of the skin that have
been placed there to protect you from more sun damage,
but they don't help your skin look good. So we exfoliate,
and we exfoliate in a lot of different ways.

Speaker 6 (05:31):
You can do it with.

Speaker 3 (05:33):
Glycolic acid, which is in my nighttime. Actually, lactic acid
is in my nighttime. They're all alphydroxy acids. There's a
bunch of them. Citric acid, glycolic acid, lactic acid, mendelic acid.
There's many of those, and they all do basically the
same thing. They exfoliate chemically, they get rid of the
cells on the surface of the skin that make your
skin look dull and not vibrant. You can also do

(05:57):
it mechanically with a loofopad a microdermibrasion, which is a
very aggressive way of cleaning your skin. Microdermibration suctions out
the pores of the skin and exfoliates the skin. And
when you do that, it allows for the better penetration
of the substances that really make a difference, things like

(06:18):
vitamin A and vitamin C. Now, if you have already
done damage to your skin, if you look at your
skin and you see what is that thing, it's it's
kind of a reddish area on my forehead, on my nose,
on my cheeks, on my ears. Are they skin cancers
or are they actinic keratoses. Those are the bad words

(06:39):
in skincare. Actinic keratoses are pre malignant. Some people actually
think they're a very low level level malignancy, but they're
considered pre malignant. They can develop into squamous cell carcinomas
and they are fed by the sun.

Speaker 6 (06:55):
So when we come back.

Speaker 3 (06:56):
From our break, we're going to talk about a ten
of caratoses and how you and I can help you
get rid of those so that they don't develop into
skin cancers. I'm Board certified plastic surgeon, doctor Arthur Perry.
This is what's your wrinkle right here on wr The
phone number is eight hundred three two one zero seven ten.
Give me a phone call and I will send you
a bottle of Daytime. No, let's take our first break.

(07:19):
We'll be right back. Did you know that your skincare
may be hurting you more than helping you. I'm Board
certified Plastic surgeon, doctor Arthur Perry. The foundation for looking
good is clean, healthy skin. So I've created a program

(07:40):
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 Powerhouse Nighttime Serum.
Nighttime has vitamins, antioxidants and skin brighteners. And if you

(08:03):
like moisturizers, well I've created Soft Time with seramides and
vitamin D. Throw away the bags of useless products and
try Doctor Perry's Skincare. Join the thousands of people whose
skin is healthier. That's Doctor Perry's Skincare on Amazon dot com.
And don't forget to listen to my radio show right
here on wo R Every Saturday evening at six pm.

(08:25):
You're listening to What's your Wrinkle with Doctor Arthur Perry.
What's your wrinkle?

Speaker 6 (08:30):
And what is your wrinkle? What's your wrinkle?

Speaker 3 (08:33):
That's what we've been saying on this show for twenty years.
I hope you've been listening. And if you can't listen
every Saturday at six o'clock, you know you can get
the podcast. The podcast is so simple. If you have
not joined the podcast world, don't let the world leave
you behind. Of course you should be doing podcasts, listening
to them, and it's so easy. They're completely free. You

(08:56):
go to Apple Podcasts or iHeart podcasts, and then you
put my name in doctor Arthur Perry, or you put
in straight talk about cosmetic surgery or just cosmetic surgery,
and you'll find my podcast. You'll find hundreds and hundreds
over the last twenty years. We even have the very
first one when Noah and I were in the studio
on that very cold dan December two thousand and five,

(09:19):
and I had a clue what I was doing on radio,
but Noah he got me through it. And that is
up there, as well as some very memorable shows. You
can listen, and we're trying to put all of them up.
When you hit subscribe, you will get in your email
and notification that there's a new podcast to listen to.
And you can listen anytime you want, when you're going

(09:40):
to work, when you're going to sleep, or anywhere in between.
All Right, So it is the end of the summer
twenty twenty five. Another summer comes to an end. It's
Labor Day weekend. The damage of the summer has been
intense this year. The sun has really pounded the northeast
United States and those listening a on the country, it's

(10:01):
been hot. It's been continuous UV index days over three
since since April April, and if it's over three, you
needed your sunscreen. And I know so many of you
my patients out there, even my patients won't use their sunscreen.

Speaker 6 (10:19):
But you need to do that.

Speaker 3 (10:20):
And if you do not, you're going to get maybe
a painful sunburn. And you know that if you have
a single painful sunburn, one where it actually hurts, where
it blisters, well, that single episode is implicated in the
formation of squamous cell carcinomas, basal cell carcinomas, and malignant melanomas.

(10:44):
One single sunburn, and it's the chronic exposure to UV
radiation that is the most important factor in the development
of actina keratosis which develop into squamous cell carcinomas. And
actually the most important blistering sunburns occur before age twenty

(11:06):
and I'll tell you they're highly correlated with later skin cancer.
So you know, the next generation, are they listening to us?
I think they might be a little better than the
forty fifty sixty year olds out there. You know who
you are. You took those mirrors and you intensified the
sun on your face. I know people who are friends

(11:27):
of mine who just this weekend sat in the sun
without sunscreen. They want to bake. They want to look good.
You know the tanner exix out there. But you're going
to pay the price, you really are, because you're gonna
have an increased chance of squams, cell carcinomas and other
skin cancer. So all right, here we are. It's labor day.
You want to look good for the fall. You want

(11:47):
to look good for the holidays coming up. You go
into Costco. They're already selling things for Thanksgiving and Christmas
is right around the corner. You have to look good, right,
You want to get rid of that summer sin. We
know about winter skin, but you have summer skin. It's yes,
it's the nice looking tan, but it's also rough skin

(12:08):
and weathered skin from the sun.

Speaker 6 (12:12):
And that's that weathered.

Speaker 3 (12:14):
Skin contributes to wrinkles, It contributes to what's called telegenctasia,
hard word to say. It's those those little capillators, the
red marks on your skin, those senile angiomas. Boy, when
I telepatient, they have a scentile angioma, they're not happy
about that. But those are those red spots on the face.
And then of course we get things like actina keratosis

(12:37):
and sebariic keratosis. Now, seberria keratoses are completely benign, but
they are due to sun and they're an irritation and
you know, it's kind of looks like there's something on
your skin that you could scratch off, almost like a
little corn flake on your skin.

Speaker 6 (12:54):
That's a sebria caratosis.

Speaker 3 (12:56):
Come into the office and I often will do session.
You know, people come in with five, ten, twenty hundreds
of these on their face, on their neck. They are
associated with little skin tags around their their shoulders, under arms.
So we do a session and it's a very easy session.

(13:17):
You come in and I numb up the big ones
and just snip the little ones and shave these things
and it really is a cleanup. And those are the
things that you can feel on your skin. Those are
called sebariic keratosis. Now, if you've got just sundamaged skin,
just the freckles, you know, when you're a kid, they're freckles,
but when you're an adult, they're age spots or solar keratoses.

(13:40):
Those are a little different. Those we need to usually
I peel those. Now some dermatologists will freeze those and
they're benign. Also, they don't contribute to skin cancer. They're
just they kind of go along with the overall skin aging.
You've get these sebri caratosis. It's kind of a zoo
that grows on your skin. You know, you've got seventy

(14:01):
eight caratosis that are raised and solar keratoses that are
just big freckles that tend to spread. And then you
have ectinickeratosis. And what do they look like? You know,
they're fairly non distinct. They're usually a bit red, maybe
a little depressed, and they can occur on your skin

(14:24):
by themselves or by the dozens. And when you have these,
you can't treat these yourself. There's nothing you can buy
to do this other than to prevent more. You go
to the dermatologists or you go to the plastic surgeon
and you get treated for these. And there are a
bunch of different types of treatments for ectinic protoses. And

(14:47):
remember that these are markers of for basal cell carcinomas
or squamous cell carcinomas or even melanoma. So if you've
got actinic keratoses on your skin, the dermatology will do
a skin check from your head parting your hair, to
behind your ears, to between your fingers, to your genitals,

(15:08):
to between your toes. That's the proper skin examination. And
that's not what a plastic surgeon does. That's not what
I do. I take a patient that is sent from
the dermatologist to remove things. But the job of the
dermatologist is to do that very very thorough examination. And
if you go to a dermatologist and you say, well,

(15:30):
you know, I'm concerned about the appearance of this thing,
and they don't look over the rest of your body,
then they're really not doing their job. That's what they're
supposed to be doing. And depending on your risk, you
may go to a dermatologist once a year or twice
a year, or even more frequently. And then there's the treatment.
You know. By the way, before I go get onto

(15:52):
the treatment, I want to say that the very special
actinic keratosis that develop on the lower lip than those
of you who are sailors. Yeah, it's called sailor's lip.
It's one of those things that can be potentially dangerous
because while basil cell carcinomas are called skin cancers, it
is a very very rare event for those to spread

(16:15):
anywhere else in your body. For squama cell carcinomas, well,
if they're allowed to get big, they can spread, but
it's still pretty rare. Only about one percent of those
ever spread, and those are highly neglected. You have to
let them get pretty big. But not so with the
ones that grow on your lip. So the ones that

(16:35):
are called sailor's lip or squam a cell carcinomas of
the lower lip, well there's actually an eleven percent metastasis rate.
They can spread, and yeah, they can actually kill you,
so you don't want to ignore those. If you've got
a sore on your lip, you'll need to see the
plastic surgeon, or the ear nose and throat doctor or

(16:55):
the dermatologist, and you do that by making your appointment
Tuesday morning, because you don't want to wait on that.
All right, I'm doctor Arthur Perry, host of What's Your Wrinkle?
Right here on woor. Eight hundred three to two one
zero seven ten is the phone number. When we come
back from our breaker, I'm going to tell you about
how I, as a plastic surgeon, treat actina caratoses and
help you get rid of lots of pre malignant things.

Speaker 6 (17:20):
In maybe one session.

Speaker 3 (17:21):
So eight hundred three two one zero seven ten is
the phone number of wr We're gonna take another break.

Speaker 6 (17:26):
We'll be back after these words.

Speaker 3 (17:34):
They say that sixty is the new fifty, But while
you may feel and act fifty, the mirror doesn't lie.
But that's where plastic surgery comes in. I'm board certified
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

(17:55):
and yes, younger. With my short scar facelift and the
artistic in 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 eight three three p E R R

(18:18):
Y M D. Check me out on the web at
periplasticsurgery dot com and don't forget to listen to me
doctor Arthur Perry every Saturday evening at six pm right
here on WOR. You're listening to What's Your Wrinkle with
doctor Arthur Perry, What's Your Wrinkle?

Speaker 6 (18:35):
And we're back.

Speaker 3 (18:35):
I'm board certified plastic surgeon, doctor Arthur Perry host What's
Your Wrinkle right here on WOIR. And it is a
beautiful end of summer day in Manhattan. If you're listening
all over the country, you know Manhattan is the place
to be. It's so beautiful now, there's low humidity. It's
a seventy five degrees today. This is one of the
top ten days of the year. But you still need

(18:58):
sunscreen because without it, you're going to get those actinic keratoses.
And those actinic keratoses, as I've been saying for the show,
can develop into skin cancers. There's lots of different ways
once you have those to be treated, and in fact,
no one way is all that much better than another way.
So whether the plastic surgeon does a laser procedure like

(19:21):
I like to do, or even a trichlorocetic acid peel,
they can get rid of those different treatments can get
rid of early actinic keratoses. And help prevent the development
of squamous cell carcinomas. The dermatologists might use cryotherapy. The
dermatologists may freeze these things off or may give you

(19:41):
a prescription for something called aldara that's a drug, or
efudex that's another drug. They're topical chemotherapies, the types of
drugs that actually knock out the pre malignant lesions, that's
what we like to call them lesions before they develop
into something signsficant. So there's different ways to do this.

(20:03):
There's photodynamic therapy and all sorts of ways. There's that
dermatologists like to do these things. Plastic surgeons tend to
use either TCA trichlorocetic acid or lasers, the carbon dioxide
fractionated laser. So that's the way to do it, and
that will decrease the chance, doesn't eliminate them completely because

(20:24):
you've caused the damage and that damage has to be
watched over the years. If you have one actinic keratoses,
likely that you are going to develop more, and unfortunately,
likely that you're going to develop basic cell carcinomas and
squam a cell carcinomas.

Speaker 6 (20:38):
As you age. All right, so let's switch gears here.

Speaker 3 (20:43):
Because Noah's got his hand on that little button just
in case we cross the line. When we're talking about
the next topic, which is ozempic vulva, What on earth
is that?

Speaker 6 (20:56):
What is? Well?

Speaker 3 (20:57):
You know, ozempic and zep bounder, the gel drugs that
everybody's on. I think something like four percent of the
nation's population is on these drugs.

Speaker 6 (21:07):
Now. They are so effective at weight loss. They are
the blockbuster.

Speaker 3 (21:11):
Drugs of the twenty twenties, and so many people are
on them, and they are so effective. You lose twenty
pounds and thirty pounds and forty and fifty pounds. But
the weight loss is so dramatic and so rapid in
many people that an entity called ozempic face has occurred.
That means it's kind of a drawn appearance. A you

(21:33):
can kind of tell who's on these drugs. Because when
you lose weight organically by doing it with dieting and
weight loss, the weight rather the exercise, the weight loss
is usually a lot slower and the skin has a
little bit more of a chance to shrink as you
lose weight. But with the ozempic type drugs and the
zetbound type drugs, weight loss is rapid and the skin

(21:57):
doesn't have a chance to kind of shrink back, and
it begins to hang and we get what's called those
zepic face We've been talking about that a few years
on this show, where we'll do things like filler and
fat grafting back to the face and things like facelifts
also to lift the skin. And you say, well, I mean,
am I trading one thing for another? You're trading more

(22:19):
healthy existence and a you know, decreased chance of diabetes
and decreased chances of heart disease and all sorts of
things like that by using these drugs. But you know,
there's a downside. And the downside is that you look
tired and we need to do some procedures. But what
about your genitals? As it's as it turns out, the

(22:41):
genitals also lose weight, particularly the labia. And the labia
is is largely cosmetic but but has function of course
sexual function. But when fat is lost in the labia,
the labia tends to droop and people don't like that.
So what do we do there? There's something called ozempic

(23:03):
vulva or ozempic vagina where plastic surgeons and I am
doing this along with doctor Alissa Dweck, who's a gynecologist
at well By Messer where I'm a plastic surgeon. We're
doing this as a team. We're injecting filler like hi
uronic acid, restalane, juviaderm, the things that we normally inject

(23:24):
into the face. We're injecting into the labia, and we
also are doing fat grafting. But you know, if it
were me, and you know, if it were you, I
think I would recommend, certainly the first go round to
have filler because it's very easy to take it off
the shelf. It's virtually painless. A little em La creme

(23:46):
to numb things up, and we can plump things up
and make things look pretty normal.

Speaker 6 (23:52):
You know.

Speaker 3 (23:52):
And it's a good way to go with the restalane
or juvederm or one of those huronic acid fillers. There
are studies that have been published that say it's safe.
The risks are extremely low, the same risks of injecting
into the face. Of course, it's going to beruse a bit.
There's a very very small chance of injecting into a

(24:13):
blood vessel. But plastic surgeons and gynecologists like doctor Dweck
and myself know exactly where the blood vessels are and
it's extremely unlikely to have those injected and result in
a problem or a blister or something like that. So
ozembic vulva. Yeah, it's something new. It's something that we

(24:33):
are now treating, and in particular in my practice over
at well By Messer. You know, I'm a purist, and
I think a plastic surgeon does best teaming up with
a gynecologist for an issue like this. I think I
owe it to my patients to give you the best care,
and the best care means a combination therapy with both

(24:54):
both a plastic surgeon and a gynecologist. You can make
an appointment with well By my yes, with either doctor
Dweck or myself for this procedure. Six four six seven
six zero thirty two fifty six. That's six four six
seven six zero thirty two fifty six. Well By Messer
is over on on sixtieth Street between Park and Lexington.

(25:17):
That's one of my offices. Another office I'm at eighty
fifth and Park and also still in Somerset, New Jersey.
A lot of people say, well have you left? Of
course not, I will not deserve my patients in New Jersey,
so give me a call. You can check me out
on the web at Perryplasticsurgery dot com. And if you're

(25:37):
interested in the products that we talk about, like the
sunscreen which will help protect you from sundamage and skin cancers,
well go to Amazon dot com. That's Amazon dot com.
If you're a Prime member, you get all sorts of
things like free shipping. You might even get shipping between
four am and a am. It's incredible what Amazon can do.

(25:57):
All right, Noah, thanks so much for great and nearing.
Thanks for tolerating just a little bit of a hoarse
voice today. We'll be back six o'clock next week, so
don't forget your sunscreen. Thanks so much, Noah.

Speaker 1 (26:11):
Abinas the proceeding was a paid podcast, iHeartRadio's hosting of
this podcast constitutes neither an endorsement of the products offered
or the ideas expressed.