Photo Filtering in Plastic 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 that
public doesn't get a damn.

Speaker 4 (00:30):
And I went to his office and I said, I said,
look at my face. He goes, yeah, look at your face.
We're going to do with your fan. What can you
do with his face? I go like that, I s
what you got? I go look at this, I'm getting old.
I said, I want to maybe he get fix it
up a little bit.

Speaker 5 (00:41):
Doctor Oz, are you there, I'm here Ark, and I
want to get a plagged you. Having worked with you
on a book and numerous other activity, you want to
talk to.

Speaker 3 (00:47):
Arthur Perry the best in plastic.

Speaker 5 (00:49):
Surgery and 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.

Speaker 5 (00:57):
A me you smart as I really really gift this position.
I want to pay you the highest true that I
can give to a surgeon, which is when people come
to you, they don't come for an operation, they come
for an opinion. And that's why I trust you with
my friends and relatives. I didn't realize we were going
to get the Michael Jordan of Plastic Surgeons nine O
two and zero.

Speaker 3 (01:13):
Bows to this guy, and welcome. This is Board certified
plastic surgeon, doctor Arthur Perry. This is what's your wrinkle
right here on wor and straight Talk about cosmetic surgery.
If you're listening to the podcast, and I hope you are, well,
it's a beautiful weekend in New York, isn't it. It's

(01:33):
it's really summer. It was eighty degrees today. The UV
index was high. It was somewhere seven eight nine. You
know what that means. That means sunscreen, and so we'll
talk a little bit more about that in just a
few minutes. But if this is the very first time
you've listened to this show. What are you listening to?
This is a plastic surgery show. This is a show

(01:56):
about you. It's a show about your wrinkles. It's a
show about jowls. Do you know what they are? Of
course you know what jowels are. If you're over fifty,
you've got them, and if you don't have them, you're
either blessed or lying. You know, I don't know. Most
people have gowls, and they have turkey gobblers. We talk
about that also on this show. We talk talk about

(02:16):
we talk we talk about small breasts on this show,
and one of the few shows that really can we
talk about droopy breasts and excessively large breasts that hurt
your back and hurt your neck. That's what I do
all day in the during the week. I'm a board
certified plastic surgeon. I've got offices in Manhattan on eighty

(02:37):
fifth in Park. I've got another office at well By Messer.
We'll talk a little bit more about that in a
few minutes, which is one ten East sixtieth Street. And
of course I'm still in New Jersey for those of
you out there who refuse to cross that river, I'm
in Somerset, New Jersey. So, and you can give me
a call. You can call this show. You can get
a free consultation. But that's not a real consultation answer

(03:00):
to your question. It's maybe a little information, maybe some
entertainment for some of you. The phone number here at
WOER is eight hundred three to two one zero seven ten.
That's eight hundred three two one zero seven ten. We're
giving away bottles of yeah, my sunscreen. It's called Daytime,
it's called Beauty in a bottle. That's a great trademark,
isn't it. And it's an SPF twenty sunscreen. Actually it's

(03:24):
more like a twenty three, but it's labeled A twenty.
It's a zinc oxide containing sunscreen, and that is the
best sunscreen you know. If you look at all the
different sunscreens, there's a seventeen FDA approved sunscreen agents. Only
two of them I think are safe. That's zinc oxide
and titanium dioxide. If you are a mother and you
slather that chemical sunscreen on your child, do you know

(03:46):
you're getting potentially hormone disrupting substances. Things that act like estrogen,
things like act that act like other hormones in your
child's body, or if you're pregnant. You know, I think
that's just terrible actually to use sunscreen that's not zinc
oxide and titanium oxide, because that stuff gets absorbed into
your body. It circulates around your bloodstream, it goes to

(04:09):
every cell in your body. You only have to wonder
why there's such a high cancer rate in the United States,
Why there is a disruption of a little girl's menstruation.
You know, they're menstruating earlier now, and boys have lower
sperm counts. Why is that? You know, is it just
sunscreen or is it all the other stuff that we're
poisoning ourselves with. I don't know, but certainly we want

(04:32):
to get rid of the endocrine disruptors. And that's why
I use zinc oxide in my sunscreen, because it doesn't
get absorbed into your body. It just sits on the
surface and reflects the ultravioletlight like it's supposed to. All right, well,
we're not going to talk about sunscreen this entire show,
but we are going to talk about some really weird
things on the internet. You know, those of you who
live on social media and you know who you are,

(04:56):
you know, there's all sorts of images out there. You know,
you see these I hate the term influencers. Who are
these people anyway? Well, these influencers who use maybe some
fake images out there. We're going to talk about that.
We're going to talk about the baby rhino plasty. Don't

(05:16):
you love these names? It's the latest inane craze out there.
And we're going to talk about lipos suction, one of
my favorite procedures. I did a LiPo suction this past
week and I really enjoy it, and so to the
patients because it's a great procedure and maybe maybe we're
going to get to that exizome thing that I've been

(05:37):
hinting at for a long long time. I want to
make that announcement again that I'm at Well by Messer
with doctor Caroline Messer and a group of four endocrinologists
and two internists and a psychologist and a gynecologist and
a sports medicine person and nutritionists. It's a wonderful group.

(05:58):
It's at one ten e sixtieth Street in Manhattan, and
the phone number're gonna give it out right now, it's
six four six seven six zero thirty two fifty six.
You can make an appointment with me, or you can
make an appointment with one of my partners over there.
And you know I've talked about ozempic, these GLP one drugs.

(06:18):
You know what they are, ozempic and zet bound and
y gov and all these others that caused profound weight loss. Actually,
there was a paper in today's New England Journal of
Medicine comparing ozempic with zetbound, and zet bound absolutely was
the winner. It's the best one. But I don't prescribe those.
A lot of plastic surgeons do. I think that's wrong.

(06:40):
You know me, if you've listened to me over the years,
I only do what i'm trained to do, and I'm
not trained to prescribe weight loss drugs. You know, And
no plastic surgeon is because it's very complicated. It's enterchronology
at its best. It's GI, it's internal medicine, it's not
plastic surgery. I really think plastic surgeons should not be

(07:01):
doing this. But yet you're going to see a lot
of the plastic surgeons. There was an article in the
Plastic Surgery Throwaway that we get every month and they said,
get ready to prescribe these drugs. I think it's wrong.
But my partners, they're under chronologists. They know what they're doing.
So you can make an appointment with doctor Messer or
one of the other intercronologists and get very sophisticated care

(07:24):
when you're looking to lose weight, not by a plastic surgeon,
but by an endocrinologist or an internist. That's who should
be prescribing those drugs. I'll take care of you when
you've lost the weight. Yeah, that's where I come in
because I do facelifts and breastlifts and tummy tucks on
those of you who have lost those ten or twenty
or forty pounds of weight taking those GLP drugs. So

(07:47):
that's the story there. We're going to take a short break.
We're going to come back in a minute. Remember the
phone number here at WOR is eight hundred three two
one zero seven ten. Eight hundred three two one zero
seven ten. No, let's go ahead and take our first break. Now,
did you know that your skincare may be hurting you

(08:10):
more than helping you. I'm board certified plastic surgeon, doctor
Arthur Perry. The foundation for looking good is clean, healthy skin.
So I've created a program that is so simple that
everyone can stay 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

(08:31):
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.

(08:52):
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 are listening to
What's Your Wrinkle with doctor Arthur Perry. What's Your Wrinkle?
And We're back. I'm board certified plastic surgeon, doctor Arthur Perry,

(09:13):
host of What's Your Wrinkle right here on wo R,
and I hope you're having a great weekend. If you're
wondering who this guy is talking about plastic surgery, I've
been doing this for a long time. I trained at
Harvard Cornell and the University of Chicago, through the great
institutions in the United States. And of course I'm a
board certified plastic surgeon. That's the minimum requirement you should

(09:34):
look for when choosing a plastic surgeon. If your surgeon
is not certified by the American Board of Plastic Surgery,
there's something wrong, because that's the minimum. You know. It
goes on from there, of course, the places that doctor
has trained, the places the doctors has credentialed, you know what,
hospitals he has privileges at, whether or not there's complaints

(09:56):
against the doctor with the border medical examiners in their state.
Those are some of the things you should be looking
for in a plastic surgeon. All right, So many of you,
maybe all of you, go on the internet, right, of
course you do. It's twenty twenty five, and so you
go on Instagram, you go on Facebook, you go on
maybe a younger crowd goes on TikTok. I know some

(10:19):
of you do. And you see these beautiful faces of
all these people all the time, right, you know, hardly
a blemish on the face and very little fat and
what a beautiful figure. Do you think that's real? Do
you think that's real. It is so easy now to
alter the images almost in real time. You know, five
years ago there were these filters that were on the

(10:43):
different Instagram and you can buy these filters and you
can change your image very easily. Now it's even easier,
even easier, because AI has gotten into the game. You
know who AI is artificial and tell and you can
put your photograph on, you know, in AI, and you

(11:04):
can alter. You can say, make me five pounds skinnier,
all right, or or clean up the blemishes on my face,
get rid of that mole, and it will do it.
It's absolutely incredible, you know. And that's good maybe and
bad maybe, you know, but I'm not here to make
judgments about that. But where does that come in with
plastic surgery. Well, first of all, your ideal gets changed

(11:26):
when you look at these things all day. It used
to be we just looked at celebrities, right, You looked
at people on television and they were made up so
well and they had lighting that we could not normally have.
And that's the way it was. But now now it's
even harder. And you know, with these filters that are
put in and now the AI filters forget it. You know,

(11:48):
everybody looks perfect on the internet. Now, everyone on Instagram
looks incredible. But what's happening is people are coming into
my office and they're showing me pictures of themselves with
these filters with AI. They tell AI, go ahead and
make me look better. They bring in the photograph, they
bring in their iPad with the image. They said, this

(12:09):
is what I want to look like. Well, is that possible?
In some ways, it's not bad because it helps with communication.
When you bring in a picture of yourself looking better,
it tells me what you want done. Because we do
that in front of the mirror, and we do that
in front of the vector camera. I've got that three
D digital imaging vector camera in my office. I'll take

(12:33):
your picture and I'll alter those pictures. And it's an
educational tool for you because it kind of tells you
what I can possibly do. And I like it because
I alter the image and you tell me, well, no,
that's not what I don't want that, that's not good.
I don't like the nose, I don't like the chin
like that, And then we'll manipulate the image a little

(12:55):
bit more and you'll say, oh, yeah, that's better. That's
kind of what I want. And if we can't agree
on finding an image that both of us agree on,
that both of us think is esthetically nicer, if we
can't get to that point, then there's no way I
can do that for you in the operating room. So
we have to agree on these things now. Often, unfortunately,

(13:17):
there's unrealistic expectations. You come in, you being the generic,
You come in and give me an image that's ridiculous.
You know, I can only work with your body. I
can't change your bone structure easily, you know, to a
certain extent if you want to go through a lot.
I have shaved down foreheads in what's called frontal bossing

(13:37):
in women who have a fairly masculine forehead. It's an
interesting operation. Also, I'll grasp the bone down in the forehead,
I'll change the bones in the chin, and I'll change
the bones in the nose. Okay, I can do that.
I can narrow the face to a certain extent. There's
a lot that I can do. But there's also a
lot I can't do as a plastic surgeon unless you

(13:59):
want to go through an awful lot of surgery. That's,
in my opinion, not realistic. You know, it's like those
women who come in asking to have their ribs. They're
floating ribs removed to get a thinner waste. We talked
about that a few months ago. I think that's ridiculous.
I will not do that for you because I think
it's injurious. Although in the Plastic Surgery meeting this year

(14:23):
there was a session on it, so it's catching on.
I think it's crazy. What do the ribs do? They
protect your liver, they protect your heart, they protect your lungs.
When you remove those for cosmetic reasons, you're just defying
a few million years of evolution. And I won't help
you with that. But with these images that are enhanced,

(14:44):
well you know, I mean it's educational. I might tell
you no, unrealistic. We cannot achieve that in you. And
you may say, well, no, I'll go to the next
plastic surgeon. He or she may tell me that they can. Well,
you know, I'm just honest. I'm not going to give
you a story just to get you into my practice
and tell you I can make you look like Angelina

(15:04):
Joe Lee when you look like Rosy Man. All right,
I won't say all right, never mind, but you know
what I'm talking about. I will not do that. But
a lot of people think, you know, if I can
change my image with the computer, I can bring that
image into the plastic surgeon, doctor Perry and have him
do it. If only it were so simple. All right,

(15:27):
the phone number here at w R eight hundred three
two one zero seven ten. That's the phone number. Give
me a call, eight hundred three to two one zero
seven ten. So the baby rhino plastic, doesn't that sound good?
Plastic surgeons are experts at doing all these procedures and
naming them, you know, the vampire fase, slip, the baby
rhino plasty, baby botox. It just goes on and on

(15:48):
and on. It's all marketing, all marketing, so on, TikTok. Now,
the latest craze is the baby rhyino plastic. I'm gonna
cut to the chase. It's the latest attempt to minimize
a surge procedure in order to get you. That's you,
the person listening to this, to think it's a minor
procedure and to get into my office and have that
baby rhinoplasty. It can't be further from the truth. Rhinoplasties well,

(16:13):
they're the most difficult procedure in all of plastic surgery.
They really are. It's a procedure that involves altering the
shape of the bones and cartilages of the nose. We
call it rhinoplasty. It's a nasal reshaping operation. It's usually
done under general antesesia because that's safer and every nose
is different. It really takes a lot of skill. They
say it takes one hundred rhinoplasts for a plastic surgeon

(16:35):
to become proficient. That's a pretty steep learning curve. You know,
some things are pretty easy for plastic surgeons. You know,
when we do these injectables and things. You could have
an artistic plastic surgeon learn botox and be pretty good
very quickly, but not so with a rhinoplasty. It takes
a lot of procedures to get good. Everybody's different and
there are so many different steps in a rhinoplasty. In fact,

(16:59):
we need to learn and hundreds of different techniques because
when I lift up the skin of your nose and
see those cartilages, I have to be ready to do
almost anything because you know, it could be unexpected. Yeah,
there's no tests, there's no MRI. There's no cat scan
that can show me what your cartilages will look like
before I lift up the skin, So I have to

(17:21):
be ready for pretty much anything. A console for a
rhinoplasty involves feeling the nose and taking photographs and digitally
altering those images. And my goal is to have you
understand exactly what's possible, and we have to arrive at
a possible a possible out outcome before the procedure. If

(17:42):
we can't do that, then I'll never be able to
make you happy. But just because I can alter the
image and we agree that that's what we are supposed
to be looking to do, that doesn't mean I can
actually achieve that. Hopefully I can, but we have to
agree on those surgical goals, otherwise I would never do
that procedure. So one of the things that makes rhyo

(18:02):
FLASTI so difficult is we can't fully predict the shape
of the cartilages. We can't predict what the cartilages will
do after we make cuts in the cartilage or place
stitches in the cartilage. So the baby rhinoplasty, I'm sorry,
just ridiculous. There's no such thing as a baby rhyol
PLASTI maybe a baby plastic surgeon, but all rhinoplasts are difficult,

(18:24):
and you only have to look at botched noses, of
which there are so many, to realize that we take
that operation seriously. We're gonna take our second break now. Noah,
the phone number here at WOOR eight hundred three to
two one zero seven ten, eight hundred three to two
one zero seven ten. Stay tuned. There's more to the show.

(18:50):
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 certi
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

(19:12):
and yes, younger. With my short scar 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

(19:34):
Y M D. Check me out on the web at
Perry Plasticsurgery 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? All right? I'm board
certified plastic surgeon, doctor Perry, doctor Arthur Perry, right here

(19:57):
broadcasting from the Upper West Side, Manhattan, and a beautiful
almost summer day here. It's finally getting warm. It's been
a tough spring, hasn't been. The winter was absolutely horrible
up here. For those of you listening in Arizona, you know,
we don't want to hear about your weather. But it's
going to get really hot for you down there soon,
and we're enjoying spring and summer here in New York.

(20:20):
So the number is eight hundred and three to two
one zero seven ten in Manhattan here. If you are
listening on the podcast, you know you have to call
in Saturday evening between six and six thirty. Almost always
we do a live show. So give it a try
next week because the show's coming to an end in
just a few minutes. But I love to hear from

(20:41):
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(21:01):
all the way from two thousand and five before they
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Hit the subscribe button. Just do that and you will
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show without being tied to the radio at six o'clock

(21:24):
on Saturday evening. All right, Now, for the last few
weeks I've been I've been teasing about xizomes. What are xozomes?
That's e XO SOO m e s. If you don't
know about them yet, you are going to hear about
them because they are this year's skincare buzzword. You know,
every year the skincare industry just try so hard to

(21:45):
get you to buy new things. Remember charcoal, remember that one?
How about placenta? Oh my goodness, amniotic, oh everything. There
were so many these proteins, so many different things in skincare,
and they're trying really hard to get you to buy things.
And you know, I suppose good for them, except for
the fact that I like honesty and skincare. And exisomes

(22:07):
what are they? They are? Well, all right, I'll try
and simplify this. So we have cells in our body, right,
of course we do, and cells have a cell membrane.
Xisomes are part of cells. That's basically what they are.
They've got a little cell wall, and inside those particles,

(22:27):
those vesicles, are allegedly proteins and maybe some hormones and
things that might or might not do a lot of
good for you, or maybe do some bad for you.
So that's kind of what they are. Now. Now they
are given intravenously, and that scares the heck out of me.
It's actually illegal in the United States. The people that

(22:48):
are giving intravenous exosomes are doing that outside of the
United States because I do not believe there are any
exisome approved substances. You know, the FDA approves these things,
and you know, it's kind of dangerous. I would not
want it's actually fetal material or amniotic material or placental material.
Would you want that injected into your body unless you

(23:10):
really really know about this? You know, you know that
there's no diseases. And how about the implications. They're all
talking about what these vaccines might or might not do,
and those are really safe and well studied. What about
this stuff that actually has almost no publications? You know,
would you have that injected into your body? I would
not go I would go near it. Well, how about

(23:32):
if you put it in skincare exisomes in skincare, because
that's what they're trying to do. Let me let me
simplify life for all of you listeners out there. I'm
kind of an expert at skincare. I read virtually everything
ever written. I've got my own skincare line. Okay, that
just establishes it. I think the most important rule in
skincare is something called the five hundred Dalton rule. Your

(23:54):
eyes are glazing over, right, But let's just talk about
this formata. Every molecule has size, and the size of
molecules that can get through the skin. You don't really
have to know what this size means, but just remember
the number five hundred. It's the five hundred Dalton rule.
Anything under five hundred at least has a chance of
getting in. And so the things that you know about,
things like vitamin C and glycolic acid and estrogen and

(24:18):
nicotine and the things that are in patches, well they
have a chance of getting in because they're small molecules.
How about exosomes, how about one hundred and seventy thousand. Okay,
you don't have to be a mathematician to know that
there is no chance, no chance, and I'll say it
a third time, no chance on earth that exosomes can
penetrate your skin. They can't do it. It's impossible. So when

(24:42):
you see exosomes in skincare, when people are trying to
charge you hundreds of dollars for these these skincare products
that have exosomes, there's no science to it. First of all,
they're not even intact. Maybe they were at some point,
but they're not. They're dead. How could it possibly get
through your skin? How could it do anything? What is

(25:03):
in those things? Are there? Proteins? Are there, hexapeptides, They're
all too big to get through the skin. Forget about it.
I'm not gonna make friends in the skincare industry saying this,
but I tell the truth on this show. So exizomes Nope,
Noah is sitting there saying this would have been a
good flap of the week that we used to do.
All right, Well, the show is almost over. You know,

(25:24):
it's only a half an hour now, Remember that on
this show you can give me a call eight hundred
three two one zero seven ten. So next week, go
ahead and uh yeah, give me a call early in
the show. I'm board certified plastic surgeon, doctor Arthur Perry.
During the week, give me a give me a buzz
two one two seven five three eighteen twenty. You can
make an appointment to see me at any of my

(25:44):
three offices either well By Messer in Manhattan one ten East,
sixtieth three or eighty fifth then Park that's two one
two seven five three, eighteen twenty or in New Jersey
in Somerset, New Jersey. No, thanks so much for great engineering.
Oh don't forget. Amazon is where you get the products.
We'll see everybody next week. Have a great one where
the sunscreen? Bye bye now.

Speaker 1 (26:06):
The proceeding was a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed.