Plastic Surgery Training Programs

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. He goes, yeah, look at your face.
We're going to do with your fan. What can you
do with his face? I go like that, I said,
what I got? I go look at this, I'm getting old.
I said, I want to 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 plauged you. Having worked with you
on a book and numerous other activity, you want to talk.

Speaker 6 (00:46):
To 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 7 (00:54):
When I was a resident at the University of Chicago,
we had a mean.

Speaker 5 (00:58):
You're 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 going to get the Michael
Jordan of Plastic Surgeons nine two and zero.

Speaker 8 (01:13):
Bows to this guy, and welcome.

Speaker 7 (01:17):
This is board certified plastic surgeon, doctor Arthur Perry, and
this is what's a wrinkled right here on wo R.
I hope you're all having a wonderful Thanksgiving weekend. And
it is cold in New York. I was in Miami
for two days and came back here yesterday to this weather.
How did it become winter so quickly? Well, bundle up

(01:40):
because we've got three months of this all right Tonight,
I've got a great show planned for you. We are
going to talk about the procedures that you should be
planning right now for after the holidays.

Speaker 8 (01:54):
Because that's what you know.

Speaker 7 (01:56):
No one wants to have their procedure right now, right
because it's Smiths Atonica coming up. You're going to spend
all those times, all that time with your relatives and friends.
But right afterwards, that's when it gets really busy, really
busy in plastic surgeon's offices. So we're going to talk
about the procedures that you can plan now to do

(02:16):
after the holidays. And we're also going to talk to
a couple plastic surgery residents tonight from Rutgers and they're
going to talk about their training program, which is pretty
interesting those of you who don't understand how we develop
in plastic surgery. We're hatched as little children, and we

(02:37):
go to medical school and we do our residencies and
then all of a sudden, we're plastic surgeons. We're going
to talk about the process and it is very interesting
and how it might be influenced now as opposed to
years ago by social media and buy. Yeah, it should
be interesting. So we're going to talk about that. But
we're going to take your phone calls also eight hundred

(02:58):
and three two one zero seven ten as the phone
number you're at woer eight hundred three two one zero
seven ten. Give me a call and ask me the
questions that have been keeping you up at night. I
know you're lying in bed at night wondering, well, you know,
I don't know. Is it a breast augmentation or a
lift or I'm not even sure. A plastic surgeon told

(03:19):
me I needed to reduce the size of my breast and.

Speaker 8 (03:21):
Put implants in.

Speaker 7 (03:22):
Does that make any sense at all? I'm here to
answer those questions. Give me a call eight hundred three
two one zero seven ten.

Speaker 8 (03:30):
And if you.

Speaker 7 (03:30):
Do give me a call with a it's got to
be a real question, We're going to send you a
bottle of soft Time. Soft Time is the moisturizer that
you should be putting on your hands right now, on
your face because it is cold out there, and when
you get into your apartment, into your house, you put
the heat on, it burns the humidity off, and it's

(03:51):
like Sahara in your home.

Speaker 8 (03:54):
It really is.

Speaker 7 (03:54):
It's the relative humidity of your home is lower than
that of a desert during the winter, and that's why
you get chapped lips. It's not because of the cold
weather out there, it's because of the low humidity in
your house. So it is a soft time. That's a
moisturizer that contains all of the important ingredients of a

(04:18):
high end moisturizer, most importantly seramions. Have you ever heard
that word seramides? They're in your skin. These things cost
me several thousand dollars a pound to put in your moisturizer.
And that is why most moisturizers don't have things like
seramides or phytos fingusene or any of the good components.

(04:38):
They're more like grease that goes on your skin, but
not my moisturizer. In fact, you'll find that it is
not greasy and it washes off with water very easily.
So that's what we're giving away tonight. And you know,
it's the Thanksgiving week, it's Black Friday, yesterday, it's Cyber Monday.
All these names, right, and a lot of you have said,

(05:00):
doctor Perry, what's going on with your company. We're not
getting those emails anymore, all those sales that you used
to have. Well, now's your time, though, Now's your time
because if you go on Amazon, the store is one
hundred percent Amazon now. So please don't call the office
unless you really can't figure it out, but go on
Amazon dot Com and there's a twenty five percent discount

(05:24):
right now. I think it ends on Monday. On Cyber Monday,
you can get all the products that you've been waiting
all year for. I know people are signing up their calling,
but do it online and they're getting a dozen of
these products because this is the time that we have
the annual sale and there's only very scattered sales now
during the year. So you can have all those products

(05:46):
that you've been waiting for. The clean Time soap which
also removes makeup it does, and the Nighttime serum. It
feeds your skin at night with vitamin A, invitamin C,
fruit acids, antioxidants, skin bright all the things you need,
none of the things that are useless. We left everything
out that could possibly irritate your skin, you know. I mean, look,

(06:09):
anything can actually irritate your skin. Right there are people
that are allergic to anything. But hopefully we're not going
to have those issues or very few with my products.
In the morning, you protect your skin with yeah, zinc oxide.
It's the best broad spectrum sunscreen. Less important this time
of year, but it's in there as your foundation, so

(06:29):
you put it on in the morning, let it dry,
give it a couple of minutes before you put your
powder makeup on. And there's nia cinemie in there also,
which is vitamin B three, a very important skincare ingredient.
It helps strengthen the barrier function of your skin and
your eyes glaze over when you hear those things, because
what is the barrier function. It is the you know,

(06:50):
your skin is designed to keep the bad things out
and the good things in. And if it's not strong,
if it's weak, if it's if it's rink, yeah, that
comes with age. But if it's broken, if it's rough,
then you're going to have a barrier dysfunction and your
skin just simply won't look as good. So we protect

(07:12):
the skin in the morning, we feed the skin at night,
clean your skin with clean time soap, and then yeah,
this time of year, you can use the moisturizer. You know,
I'm not the biggest fan of moisturizer, but because I
don't think most people need it, it's an over sold product. Boy,
that's that's wonderful. The guy has a skincare company and
is telling you don't buy the moisturizer except right now.

(07:35):
Because right now you kind of need it. I've got
it slathering on my hands as we speak. All right,
eight hundred three two one zero seven ten is the
phone number. Here at wo R eight hundred three to
two one zero seven ten is the phone number.

Speaker 8 (07:49):
So here it is.

Speaker 7 (07:50):
We're we're right around Thanksgiving, right, we just passed the
big holiday, and you're you're stealing gorged from all that
you ate, and maybe some of you will finally go
on those drugs that Mike Roysen and I talked about
a couple of weeks ago, those drugs that can help
you lose weight. But that's not what we're going to
talk about today. But you know, you look at your

(08:12):
body right around this time of year and you say, well,
maybe I want to get into a better bathing suit
in the spring, late spring, in the summer. Maybe I
want to look better not have as much fat around
my hips. Maybe it's time to do something about my breasts.
And so this is the week right after Thanksgiving that

(08:32):
the office really really gets crowded with new consultations, people saying,
you know, maybe it's time to look better before this
summer season, before I get in that bathing suit. And
at the same time. At the same time, we have
so many people who looking at themselves in the mirror

(08:53):
and saying, you know what, maybe it's time for a
facelift or facial rejuvenation or pressed rejuvenations. During the show today,
we're going to talk about all those issues and what
you can do and h and why now is the
time to plan. But we've got Sondra on the line. Sondra,
what can I do for you? What's your wrinkle?

Speaker 6 (09:12):
Oh?

Speaker 9 (09:12):
Happy Thanksgiving? Doctor Perry. Well, two questions. One was a
question that my friend asked about vitamin C, like what
are the benefits? And she mentioned that she tried something
a long long time ago and her skin was very
sensitive to whatever she tried. So I wanted to ask

(09:33):
you about that, like what should she do regarding what
the benefits and what should she do? And then of
course I wanted to give you an update on on
my friend who had the movie moved now she wants to.

Speaker 8 (09:46):
Move continuing, where's that music?

Speaker 7 (09:48):
Though the continuing saga of Sondra's friends mole.

Speaker 8 (09:54):
You can do that?

Speaker 7 (09:57):
Okay, all right, let's get to that first. Okay, So
your friend, we've been talking about it on the people
are on the edge of their seats. How did Sondra's
friend do with her mole? You tell me she had
her stitches taken out last week? How does she look?

Speaker 9 (10:10):
Not hearing you very well, doctor Perry. But my friend's
mole came out beautiful. You can't even see anything. It's
totally gone, which is amazing.

Speaker 7 (10:21):
And that was and it was in her eyebrow, and
that makes it a little bit more difficult, you know,
if it were oh sorry, my dermatology friends, But if
the dermatologist did that, or if a general surgeon did
that remove those moles, which they can do, I don't
think they would have the same quality result of a

(10:41):
board certified plastic surgeon.

Speaker 8 (10:43):
Because we're trained well.

Speaker 7 (10:47):
And that's great, that is really good. I'm happy for that.
So your friend also she wanted what did she want
with her eyebrows?

Speaker 9 (10:55):
Now? Now you know when they do these eyebrow treatments
to enhance the color. I don't know what you called.

Speaker 8 (11:02):
It, could be the germ lading.

Speaker 7 (11:05):
I think they call it. Yeah, so they put some
pigment in there. Well, I would wait a little while longer.
She just had the procedure a couple of weeks ago.
In general, when you have a procedure, even a minor
procedure like taking off a male you want to stay
away from that area for about four to six weeks.
Don't do anything. So I had someone who had a

(11:27):
chemical peel a week and a half ago in my
office and she asked me yesterday, when can I color
my hair? Well, hang on, hang on, you know you
don't want to. And she also asked when can she
wax around her mouth? And you have to wait for
the skin to really get strong and to heal, and
after a chemical peel, it's four to six weeks kind

(11:48):
of the same way to get some strength to a wound.
It all depends. Of course, you can get your hair cut,
but when you use those dyes or in the situation
of your sister, I'm not your sister, your rather then
I'm thinking of my sister. You do not want to,
you do not want to dermablade, You don't want to

(12:10):
put any anything near that incision right away. Okay, So
that's that question now. In terms of the vitamin C,
so the vitamin C is one of those ingredients that
is so important in skin cancer, and why I'm flubbing
these words I in skincare, I'm thinking of skin cancer also,

(12:32):
so vitamin A is the most studied chemical with skincare,
with about four five thousand publications that support its use,
and then vitamin C the next most studied, with somewhere
in the area of two twenty five hundred scientific publications
supporting its use. But one of the interesting things about

(12:53):
the vitamin C and also vitamin A are they're both light sensitive,
so they have to be put on at night.

Speaker 8 (13:00):
That's why I have.

Speaker 7 (13:01):
Those in my nighttime and not in my daytime. But
vitamin C has unique property of being required for collagen synthesis.
A lot of big words, but collagen is a structural
protein of your skin. It's what you're made of, it's
what leather is made of. And without collagen, you would

(13:21):
basically fall apart. It's in our skin, it's in our
connective tissue, it's even in the tissue around our bones.
So collagen is important, and vitamin C is necessary for
the creation the production of collagen, and also it directly
stimulates the production, so it actually has two roles in

(13:44):
making collagen. And the disease is called scurvy. Remember that
one scurvy, which I understand is there's a lot of
cases recently in Europe and people who are not having
enough vitamin C. It's still very important. We get an
orange juice and oranges and a lot of people ask me, well,

(14:04):
why can't I just put an orange on my skin
and you know, I kind of put it in and
let it get absorbed. Well, you'll get so little absorbed
because the amount of vitamin C in my ten percent
solution is hundreds of times greater than what you have
in an orange. And the other thing you might say
is why don't I just take those pills, the vitamin

(14:26):
C pills. You can get forty times higher levels of
vitamin C in your skin by putting on ten percent
vitamin C. And by the way, just a word about that,
and then we're going to take a quick break because
we have our guests lined up. But vitamin C. There
are different types of vitamin C, but your body only
has the ability to make use of something called l

(14:49):
ascorbic acid. So that's those of you gurus skincare gurus
out there, write that down. Because the FDA allows people
allows companies to advertise other forms of vitamin C as
vitamin C. So one of those is sodium, a scorable phosphate.
That's a chemical and legally it's considered vitamin C, but

(15:10):
your body cannot act on it, it can't use it.
It's very specific what our body can use, and it's
in the form of l ascorbic acid. That's also the
most difficult type of vitamin C for companies to keep
in their products. It has a very short half life,
a very short life when it's in a product, and

(15:30):
that's how I got my patent. On my nighttime I've
got I think the longest life lived vitamin C available,
and in fact, I've documented three and a half years
of stability with my vitamin C. I won't go into
the details of how I did that, but my vitamin
C stays a long time, and that's how I can

(15:50):
put l ascorbic acid. There are a couple other companies
that use the real stuff, but most of the companies
that put vitamin C in their skincare use other forms
that your body just looks at and cannot make use of.
So that's kind of a primer on that. Sondra, thanks
for the phone call. We're going to take a short
break and when we come back, we've got our medical students.

Speaker 8 (16:13):
I'm sorry, We've got our.

Speaker 7 (16:14):
Plastic surgery residents. They're not medical students anymore from Rutgers.
And we're going to talk about training, how plastic surgeons
are trained. I'm Board certified plastic surgery doctor, surgeon, doctor
Arthur Perry. Stumbling at the words tonight, eight hundred three
two one zero seven ten is the phone number. We'll
be back after these words. Did you know that your

(16:41):
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 that is so simple that everyone can stay on
it long enough to see real results. It starts with
an incredible skin clean are called clean Time. It's actually

(17:02):
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 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. Join

(17:25):
the thousands of people whose skin is healthier. Use the
fifteen WOR Radio code on Amazon dot com for a
fifteen percent 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 right here
on WOR Every Saturday evening at six pm.

Speaker 3 (17:47):
You are listening to What's Your Wrinkle with doctor Arthur Perry.

Speaker 8 (17:50):
What's Your Wrinkle? And we are back.

Speaker 7 (17:53):
I'm board certified plasts insertion doctor Arthur Perry, host of
What's Your Wrinkle for our long time. And by the way,
we're streaming of course, uh internationally, and we are podcasted.
The name of the podcast is straight talk about cosmetic
surgery and you can get it on all of the
venues right at Apple Podcasts, iHeart Podcasts. Wherever you get

(18:13):
your podcasts, you'll want to sign up for this one.
All right, I've got two plastic surgery residents on the line,
doctor Covida Kapedia and doctor Alexandra Grubnick. I hope I
pronounce your names right. Are you both there? Covida? Okay,
we've got both of you, and you are both plastic

(18:35):
surgery residents in New Jersey. And I've operated with both
of you in in the Care Surgerce Center in New Brunswick,
New Jersey, and and we have fun operating together, don't we?

Speaker 10 (18:48):
And I have lots of fun, Doctor Perry.

Speaker 7 (18:50):
They better say yes of course. All right, so let's
let's start. I want to talk about the training, the ability,
how we train plastic surgeons because it is the most
desired residency. Did you know that, Alexandra, It's the most
desired residency. It's the hardest one to get for a
medical student. Were you aware of that?

Speaker 10 (19:13):
Yes?

Speaker 9 (19:13):
I was.

Speaker 10 (19:14):
In fact, I'm already a qualified plastic surgeon in South Africa,
qualified in twenty fifteen, and this is my second time
going through it, so both times it was the most
desired residency.

Speaker 7 (19:25):
Yeah. Well, Field, it's a wonderful field and it's kind
of the last vestige of old style medicine. Also, you
know there's so much corporate medicine now, and in plastic surgery,
we can go out, we can even go out on
our own. We could go join other people and we

(19:45):
can be creative and we can forge relationships with our patients.
Without we have the luxury of that without you know,
like a pediatrician spending twelve minutes with a patient and
running to the next room. It's not like that in
plastic surgery. And that's one of the nice things about it.
It also makes it one of the desirable things. So
all right, so both of you are plastic surgery residence,

(20:07):
doctor Kapedia. What year are you in the residency.

Speaker 6 (20:11):
I'm in my last year of residence. It's a six
year program, so I graduate in a couple of months.

Speaker 7 (20:17):
Very exciting. So you've gone through medical school. You've gone
through of course college first and then medical school and
six years of residency. So you've got fourteen years of
training after high school, which is Wow. That's a That's
an awful lot, isn't it.

Speaker 6 (20:35):
It's a lot of training.

Speaker 8 (20:37):
Yeah, I look at it, Dylan.

Speaker 7 (20:39):
Yeah, we pretty much lose a decade of life, you know,
of personal life, but not professional life, because this is
such a wonderful time when we learn how to operate,
learn how to be a plastic surgeon. So, doctor Capedia,
let's let's go through. You're six year now, you're you
know here we are halfway through your final year of residency. Wow,

(21:02):
and you started six years ago. As a bright eyed intern.
What was it like, you know, starting your residency. What
was it like making that first incision in a patient?

Speaker 6 (21:16):
It's I would say, it's very exciting because you're you're
safe for that moment. You want to be a surgeon.
When you're an intern, you're ready to get that chance
to operate in the LR. It was amazing, but you're
also very anxious because you don't know, you don't know,
you haven't trained yet. So to see that growth from
internire to now where you know so much, you've learned

(21:40):
so much. The training program certainly works. You feel a
lot more confident.

Speaker 7 (21:45):
And the training program is a series, it's a graduated
responsibility program. So when you started, doctor Grubnik, when you
started as an intern, now let's sign out. You've done
two plastic surgery residencies. You're very unique because you trained
in South Africa first. But when you started your residency,

(22:06):
you didn't know how to place a stitch, really, did you?

Speaker 10 (22:09):
Okay, So in South Africa we did general surgery first,
So when I started in general surgery, I didn't know
how to place a stitch. But then by the time
we reached plastic surgery, we already are fully trained surgeons.
And then by the time I started this residency here
in twenty twenty three, I was already a qualified surgeon

(22:31):
since twenty fifteen, almost ten years.

Speaker 7 (22:33):
Actually, yeah, it's a long time. By the way, did
you hear Siri in the background. She thought I was
speaking to her a couple seconds ago. And we're going
to talk about that, because that's a problem in plastic
surgery because people go to Siri and Google for their
medical information and then then they ask you about it.
And we're going to talk about that in just a

(22:55):
few minutes. Okay, So you went through your residency and
what year are you now in the Rutgers residency.

Speaker 10 (23:03):
I'm my second last year. Luckily the American Board of
Plastic Surgery he gave you credit. Well my training in
South Africa.

Speaker 8 (23:13):
Okay. So you're completing your residency when.

Speaker 10 (23:17):
At the end of twenty twenty six, okay, so.

Speaker 8 (23:20):
You're almost there.

Speaker 7 (23:21):
Also, it's it's been a long long ride for both
of you. So, doctor Grebnik, now when you were an
intern and you were just learning how to play stitches
and take care of patients and stop bleeding in the
operating room, not you're bleeding but the patient bleeding. Those
are the things you learned early on. You learn those
fundamental techniques. But then tell us about the graduated responsibility

(23:46):
because listeners to this program, they've been listening to me
for nineteen years on the air. But how we got
to this point where you know, you magically you graduate
medical school and then the next thing you know, you're
a plastic surgeon. Take us through, you know, and just
a paragraph or so, when did you start doing your
own procedures in plastic surgery?

Speaker 10 (24:11):
So I think it's wonderful. I mean, as you mentioned,
doctor Perry, it's a very long training. We do lose
actually over a decade of life. And it's wonderful to
have the teachers around us, so they attending surgeons that
sort of observe and engage your skills as you go along,
and then to be given more and more responsibility as

(24:31):
you go along, so to be able to perform more
complex procedures as time goes on. And also with repetition,
you get better, like ten thousand hours, so eventually you
can perform any operation by the time you graduate.

Speaker 7 (24:47):
And so in the beginning, doctor Kipedia, you you first
in the first couple of years you learned the fundamental
techniques of operating, which is there are technical skills, and
you also learned you know, people think, well, you graduate
medical school, you're a doctor, right, but you know, and
I know, but listeners don't know that you're not really

(25:08):
you know, you're not really capable of taking care of
complex medical problems right out of medical school.

Speaker 8 (25:14):
That's what the residency is all about, right, Yep.

Speaker 6 (25:18):
Absolutely, I think you learn the fundamentals, but to put
it all together and see how to approach each patient
you don't learn until residency and you walk through different cases,
you see different complications of surgeries, and honestly, I think
that is the most important part of residency, knowing how
to manage complications, because surgeries can have complications and that's

(25:41):
when things get tricky. So a good surgeon knows how
to manage those as well.

Speaker 7 (25:46):
You know, I've said on this show before, my chief
at the University of Chicago, a guy named Tom Krizik,
one of the great classic churtens of all time. He
used to say, there are only two types of doctors
that don't have complications. And first group that's a liar,
and the second one is the doctor who's only done

(26:06):
two of those procedures so far. You know, you have
to get to ten rhinoplasts or twenty rhinoplastis to see
an issue with it, right, you know. So it's not
like fixing a car. When you put your car in
the shop, you expected to come out perfect. But unfortunately,
as you and I know, as all three of us know,
and patients who are more savvy, do you understand that

(26:31):
it's not so easy and even the best doctors have complications.
And so you're right. When we're in training. When you're
in training, you have a conference schedule and lots of conferences. Right,
these are conferences called morbidity immortality conferences. No one wants
those things, but they happen, and so you learn from those.

Speaker 6 (26:51):
Right absolutely, Now you learn a lot from them, and
it's so important to get the feedback. And I think
is also a special time where you have all that
feedback around you before you go into practice, give people
and colleagues that you can go over cases. What could
you have done better? What could you have done differently
to avoid complications?

Speaker 7 (27:13):
Right, So you learn the call, you learn how to
handle complications and importantly hopefully how to avoid complications because
no one wants those, but because they're inevitable. That's that's
the good thing about a residency program. Hopefully when you're
out in a private practice or working with another plastic surgeon,
you're not going to see many complications. But you've got

(27:35):
a very high volume plastic surgery residency program at Rutgers
and and some of the hospitals you're out, you're at
Robert with Johnson, you're a newer What are the hospitals
you go to, by the way, in your residency, we
go to let's say, doctor Orkipedia answer that, sorry.

Speaker 6 (27:53):
Yep, we go to Saint Peter's. We go to the
VA Hospital in East Orange. Then we go to Hackensack
Hospital as well, Saint Barnabas and Livingston and then the
two that you mentioned.

Speaker 7 (28:05):
And so there are many doctors, many plastic surgeons that
you're exposed to, and a huge amount of plastic surgery,
more more than you will see in your career if
you're in private practice alone or maybe with a group
of plastic surgeons. But here you are exposed to dozens

(28:25):
and dozens and dozens of different plastic surgeons, and there's
lots of different ways to do things. I talked to
both of you at the Plastic Surgery meeting in New
York a couple of weeks ago, and that's where we
got the idea to go on the radio show. And
there was one session on facelifting, and you probably listened
to the plastic surgeon who was talking about how he

(28:48):
did the deep plane facelifts and he's no longer doing
those anymore because there's no real difference in the result.
And yeah, there are higher risks, and others say, well,
I do the deep play and others say I do
a two layer facelift, and others say I do a
one layer facelift. And some people say we don't do
anything in the neck, and others say it's.

Speaker 8 (29:07):
Important to go.

Speaker 7 (29:08):
And then there are many many different ways to handle problems,
and facelift as an example, and as you're learning, there's
lots of different ways and the people who are doing
these all seem to get good results. So how do
you how do you as a plastic surgeon in training,
doctor Grevnik, how do you decide what you're going to

(29:29):
do in private practice when you're done.

Speaker 9 (29:34):
Well?

Speaker 10 (29:34):
I think, as we've mentioned that that meeting Dogs of Fairy,
it's important what works in your hands. So I think
as a trainee, it's great that we're exposed to many
different ways because then we can try the many different
operations and find the one that in our hands works
the best and gives the patient the best result.

Speaker 7 (29:53):
Absolutely, And so I mean the lesson really is there's
many different ways to do things, and you just have
to find the technique that works for you, that's reproducible,
that has a low complication rate. And when a patient
comes to you and says I want that facelift, you've
got to be able to say, you know, well, I

(30:14):
do it this way and here's why. And you know,
sometimes patients will go to someone else because of that.
They'll want the person that you know advertises that particular procedure.
And here we are, which is in the era of
the Internet, the era of influencers. And I say that
with those air quotes on those right, because your job

(30:38):
is a lot more difficult than my job when I
finished my residency because of the Internet. Because when someone
sees a Kardashian and she says I had this procedure
or something, they're going to come to you and maybe
want it. You have to be able to say, as
a plastic surgery resident or as a plastic stur well,

(31:00):
you know, that might not be the best way. And
it's interesting. Have you seen that so far in your
residency patients coming in that that are asking for specific procedures.

Speaker 10 (31:17):
Yeah, I think all the time, doctor Perry. As you mentioned,
the social media and the trends on social media are
very big at the moment, and it's it's actually interesting
to see how the pendulum swings. I think a few
years ago, everybody was aggressively injecting filler in the face
and in the lips, and now everybody is dissolving filler

(31:39):
in the face and in the lips. So I think
that for us as plastic surgeons, it's it's very important
to educate the patients on what is safe and what
is appropriate. And that is sort of our role in
interacting with patients and in dealing with these requests.

Speaker 7 (31:58):
And you know something, it takes a personal maturity on
your part, doctor Kapedia, your your young plastic surgeon. It
takes a lot of maturity to say to the patient, well, well,
hang on, you know what you're reading online is not
necessarily correct, because no patient likes to be corrected. But

(32:19):
but you need to do that because just think in
the last couple of years, okay, we've had the rise
of the Brazilian butt lift and hundreds and hundreds and
hundreds of deaths from that we had. You know, I've
been doing buckle fat pad decisions for thirty years, but
I do a few of them here and there. And
last year was a was I think one of you
might have done one of those with me at the

(32:40):
surgerce Center. They they came in great numbers all of
a sudden because one of those influencers had it done.
And so everybody wants the buckle fat pad. That's the
fat the pat and the fat in your mouth that
gives you kind of chubby cheeks for listeners out there.
And then a couple of weeks ago, I talked about
the twelfth rip removal that there's a plastic surgeon in

(33:01):
Los Angeles. I think there's someone in New York also
that's actually have you seen that the rib removal to
improve waistline? Have you seen those? Have anyone ask you
for that yet?

Speaker 5 (33:12):
No?

Speaker 8 (33:12):
Actually say that again.

Speaker 9 (33:15):
Doctor Berry.

Speaker 10 (33:16):
It's actually going to be presented at the Baker Gordon Symposiums.
This year the twelve group removal.

Speaker 7 (33:23):
Yeah, fellowship, it's a new trend. I did my fellowship
with doctors Baker and Gordon in Miami, and I can
tell you so the twelfth rib is very important.

Speaker 8 (33:34):
You know.

Speaker 7 (33:34):
It protects the liver, it protects the heart, it protects
the lungs. And I think it's only a matter of
time so that you're going to see someone die, uh,
because they got into a minor traumatic maybe a fall,
or maybe the seat belt kind of pulled on their waist,
you know, the car stopped short and they lacerated their
liver because they didn't have a rib protecting the top

(33:57):
of their liver.

Speaker 8 (33:57):
There.

Speaker 7 (33:58):
You know, there's a lot of crazy things in in
plastic surgery, and you need part of the residency is
figuring that out and uh and protecting your patients from
trap talks. Have you seen that one, Alexander, Yes, it's
actually another another new trend, and I think patients are

(34:18):
asking for it.

Speaker 10 (34:20):
There's a lot of a lot of different a lot
of different talks that are not exactly of the air prooved.

Speaker 8 (34:27):
Yeah.

Speaker 7 (34:28):
Well, the track busiest muscles, Yeah, those are such such
important muscles for trunk stability and lifting things like try
going uh uh through the airport with your suitcase with
trapezius muscles that have been botoxed. I don't think that'll
work too well if you can't lift those up. But

(34:48):
yet there are people doing so. Your job as a
resident and then as a young plastic surgeonist to sort
of ferret through all this stuff that you're getting now
through the internet from patients seeing stuff, seeing all sorts
of bizarre things and coming to you and saying, take
my rib out, do a liquid facelift, elevate my brow

(35:11):
halfway up my forehead, make my lips look like I
don't know what.

Speaker 10 (35:16):
You know.

Speaker 7 (35:16):
You have to be careful out there because it's more
difficult for you now than it was before the Internet.

Speaker 8 (35:22):
Well, anyway, listen.

Speaker 7 (35:25):
Doctor KeVita Kapedia and doctor Alexandra Grubnik.

Speaker 8 (35:29):
I want to thank you.

Speaker 7 (35:30):
I want to before we we end you guys, you
have a clinic over there where you have a lower
price discounted cosmetic surgery for patients, right, Alexandra, where is it?
Patients if they're interested in maybe making an appointment for
you know, remember that you're getting you're getting quality cosmetic surgery.

(35:53):
But it's different. You're a trainee, and it's with that understanding.
And so the understanding is that you're paying a sign
to begin them out less. But you know you're not
getting someone with thirty years experience. But but how would
someone get a hold of you to make an appointment
in your resident clinic at Rutgers.

Speaker 10 (36:11):
We have to have a phone number and an email.

Speaker 7 (36:14):
Yep, And I promised you I would say one person time.
So that's my fault. So doctor Grubnick, what's the phone number?

Speaker 10 (36:24):
To zero one five nine one five.

Speaker 8 (36:28):
Four three four and say it again to.

Speaker 10 (36:32):
Zero one five nine one five four three four.

Speaker 7 (36:37):
And where physically is that clinic where patients would be going.

Speaker 10 (36:42):
The clinic is at number ninety Bergen Street in New York.

Speaker 6 (36:46):
New Jersey.

Speaker 7 (36:48):
All right, So if you're interested in uh in having
a residence of your surgery.

Speaker 8 (36:52):
That's how we learn. See over the years.

Speaker 7 (36:56):
As we have just mentioned with doctor Kapadia and doctor Grubnick,
plas surgeons graduate medical school, they learn the fundamental techniques
of operating the first couple of years of residency. They
are then exposed to all the different plastic surgeons and
they assist the plastic surgeon, So they first assist and
they're going to be doing some parts of the cases

(37:16):
reconstructive surgery. They do more than cosmetic surgery, because when
you hire me to do your facelift, it's hard to
you know, I really can't let someone put stitches in.
That's that's the way it is, right. So the residents
learn from me, but they get their own patients through
this clinic. And one more time, doctor Capadia, what is
the number.

Speaker 8 (37:33):
Of that clinic.

Speaker 6 (37:35):
It's two zero one five nine one five four.

Speaker 7 (37:38):
Three four, And patients would call that number schedule and appointment,
discuss with one of these wonderful residents in plastic surgery
what they want done, and if it's a match, then
you might be doctor Rubnik or doctor Kapadia's next patient.
I want to thank you so much for taking time
on your Saturday evening, doctor Cavita and doctor Alexandra Drubnik.

(38:03):
Plastic surgery residents in New Jersey at Rutgers Medical School,
New Jersey Medical School and all the hospitals that you're
affiliated with, thank you very much.

Speaker 10 (38:13):
Thank you so much, Perry, You're welcome.

Speaker 7 (38:16):
I'm BORD certified plastic surgeon. Doctor Arthur Perry, host of
What's Your Wrinkle. We've got more to the show, so
stay tuned and we're going to talk more about the
procedures that we can do right now, right well maybe
right after Christmas. Time to get you looking as good
as possible for the beach season, to get you ready
for whatever it is that you're trying to do, facial rejuvenation,

(38:41):
breast rejuvenation, or body changing. I'm Board certified plastic surgeon,
Doctor Arthur Perry eight hundred three two one zero seven
ten as the phone number. We'll be back after these words.
They say that sixty is the new fifty, but while
you may feel and act fifty, the mirror doesn't lie.

(39:04):
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 facelift and the
artistic injection of wrinkle filler or a laser peel, well

(39:25):
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 the web at
Perryplasticsurgery dot com. And don't forget to listen to me

(39:46):
doctor Arthur Perry, every Saturday evening at six pm right
here on WOR.

Speaker 3 (39:52):
You are listening to What's Your Wrinkle with doctor Arthur Perry.
What's Your Wrinkle?

Speaker 8 (39:58):
And we are back.

Speaker 7 (39:59):
I'm board certified lastic searchon doctor Arthur Perry, host of
What's Your Wrinkle right here on WOR. And actually, Noah,
actually I think this would be my official nineteenth anniversary
because we started on December fifth in two thousand and five,
and the next show that we're doing is actually after

(40:21):
that date.

Speaker 8 (40:21):
So this is it.

Speaker 7 (40:22):
You have that music, you have the cake, Noah, No, okay, okay,
all right, Well, nineteen years we've completed. We're starting our
twentieth season here at WOAR and we'll be on after
the new year. This is a half hour show, so
six to six thirty. So you know, those of you,
I know, I just got an email from someone I'm

(40:43):
trying to call. Well, you know, we have guests and
calls and things, but you'll have to call early in
the show, very early, because a half hour show.

Speaker 8 (40:52):
After the New Year.

Speaker 7 (40:53):
All right, So it's December. It's cold out there. The
holidays are just about here. We just had Thanksgiving, We're
gonna have Christmas and New Year's and things kind of
shut down that last week. So time is short in December.
But January and February, well, they are enormously popular months
for cosmetic surgery in New York in particular. And that's

(41:16):
because there's a lot of reasons. Actually, recovery is easier.
It's easier when it's cold. It really is. You know,
we were talking. I did my fellowship in Miami where
it's summer year round with doctors Baker and Gordon in
Miami that our residents we're talking about. They have a
symposium every year. You know, when when you're in Miami,

(41:38):
you take what you have. But no one likes the
cold weather, but it actually makes for an easier recovery
after cosmetic surgery, both body cosmetic surgery when we're talking
about tummy tucks and liposuction and breast surgery, and also
facial cosmetic surgery. You know, when it's cold outside, it's
really easy to put a hat on, right, and a scarf.

(41:58):
And now with the social acceptability of masks, right, you know,
you can go out. You can go out shopping as
early as a week after let's say, having your eyelids done.
You know, you put on those dark glasses and put
a mask on. You know, I don't think you should
be doing a lot of gymnastics afterwards. I like people
to stay pretty tranquil for a couple of weeks after surgery.

Speaker 8 (42:20):
But it's certainly easier to get out.

Speaker 7 (42:22):
There because people go a little bit stir crazy that
second week. The first week you accept it, you know,
but the stitches are out after five, six, seven days
and you're chomping at the bit to get out there.
So it's certainly a lot easier than in the summer
when people aren't wearing a lot of clothing, and and
you know, you can't wear a scarf in the summer, right,

(42:44):
So that's one of the reasons it's easier to have
surgery this time of year. If you're having breast surgery
or body contouring surgery, you've got layers of clothing covering you.
So I've got plenty of people who have breast augmentations
or breastlifts and they're out two days later. You know
they're going back to work because they don't hurt. Those

(43:05):
procedures are not painful procedures. It'll take time and all,
but that's about it. But it's during the winter. It's
kind of easy to go back. You've got layers and
layers of clothing on, right, So let's go ahead and
talk about kind of the multitude of procedures that we're
planning right now for the spring. And let's say, let's

(43:28):
say you're a typical sixty year old woman, because if
you looked at my practice, that's probably the most common
year of my patients.

Speaker 8 (43:36):
Right around sixty.

Speaker 7 (43:37):
I get people in their twenty thirties, forties, sixty, seventy
all through. I'm doing a facelift on someone in their
eighties this week. Yeah, but sixty is the probably the
most typical age right around there. Now you come into
the office and you say, what do I do you
know I want to look better. I'm looking in the
mirror now, and you know it's it's catching up to me.

(44:00):
I'm seeing the wrinkles, I'm seeing all sorts of I've
got these gewls. My mother at gels. I love my mother,
but I don't want her gels. Right, So we start
you off in that first consultation, which is one hour,
and we get you on a skincare program because that
is so important. And a lot of people don't have
good skincare habits. They buy whatever is on sale, they

(44:21):
use it for a month, and then they switch to
something else. But there are programs, and yeah, of course
I'm biased. I created the program for you. We get
you on a good skincare program, which would be mine.
How's that there are other good ones, but I like
mine because I know exactly what I put in it
and it works. So you start that one, and then
we clean up your skin. We clean it up with

(44:42):
like microdermabration. That's a good one. You can get that
in the office, or you could get that from your esthetician.
Microdermabras is a great skin cleaning procedure. It'll help you
look better and it will also it'll also allow for
better penetration of your skincare program, because if you have
a thick layer of what's called stratum cornium, that's your

(45:04):
word for the evening stratum cornium, that's the dead layer
of cells on the surface of your skin. It makes
your skin look dusky and not lively. So if you exfoliate,
which you should be doing, you can do that physically
with a washcloth or a loofop head. You can do
it chemically with alpha hydroxy acid. So the good skincare

(45:26):
program one with alphydroxy acids. And of course, like I
was talking to Sondro about vitamin A and vitamin C,
so that's the foundation, and then we can start talking
about procedures that we can do to help you look better.
So we've got a call from Shelley on the line.

Speaker 8 (45:44):
What can I do for you? Shelley, what's your wrinkle?

Speaker 11 (45:47):
Hi, Doctor Perry. I was talking to a friend of
mine who has a gorgeous complexion and I said, my god,
you know your skin is just beautiful and she's almost
eighty years old. Should you know how do you do it?
And she said, well, she had a precidure done with

(46:08):
the light emitting diode. I wonder if you ever heard
about that it produces collagen led light.

Speaker 7 (46:15):
I am not a believer, and I talk about it
a little bit in my book Straight Talk about Cosmetic Surgery.
I don't I am not convinced that led light does
anything good for the skin. It takes a lot, It
takes a lot of laser energy to actually make a
difference in the skin. Even low level lasers don't do

(46:38):
too much other than maybe exfoliate a little bit. So,
you know, shining red light or blue light or led
light or whatever on the skin I think is fantasy.
Uh but what probably that person has is that they've
probably been put on a skincare for rogram in edition,
because that's how a lot of these places work. They'll
do the expensive procedure and then they'll put you on

(47:02):
a program that, yeah, vitamin sea, vitam and a fruit
asses things like that do make your skin look better
in a few months. And so you know, it's a
difference between an anecdote and a double blind, randomize controlled
study Shelley where the studies are just not there that
show led light does anything.

Speaker 8 (47:24):
So so there you go. That's my take on it.

Speaker 10 (47:27):
Now.

Speaker 7 (47:27):
Now someone may feel differently there might be a dermatologist
out there that does it in his or her office
and they may feel differently. But you know, show me
the data, right, you know remember that commercial where's the beef?
Let's let's see the data, all right? Did you have
another question? I cut you off.

Speaker 10 (47:45):
No.

Speaker 11 (47:45):
So I'm a little younger than this person. So if
I were to come into your office and get my
firs skin treatment, it would be with a laser. Would
that be correct?

Speaker 10 (47:55):
Would be?

Speaker 7 (47:56):
So it depends on what It depends on what your
issue is. So I like the fractionated carbon dioxide laser.
If you've got wrinkles and brown splotchy pigmentation of your face,
it's pretty good for that. I did a tcapeel last
week of a patient trichloracetic acid peel, and actually she

(48:16):
talked to one of her friends and said, well, my
plastic surgeon doesn't do those peels. Your plastic surgeon is antiquated.

Speaker 8 (48:24):
He does.

Speaker 7 (48:25):
My plastic surgeon does a laser. And I told her, well,
I did plenty of laser procedures. The reason I chose
a TCA peel for that particular person is because her
issue was brown splotchy pigmentation. As opposed to the need
for tightening or wrinkle a reduction of her face. So
that was the reason I did that. So a TCA

(48:46):
peel is something that will do for brown splotchiness, if
you've got red if you've got capillaries on your face,
like a lot of people get as you get older,
or if you have roseatia, I use something called the
YAG laser. So those are some of the things that
I use, in addition to of course fillers and botox

(49:07):
and things like that. That's the the non invasive group
of procedures. But Shelley, it's it's hard to call injecting
your face with five hundred needles non invasive, right, But
that's what we do, I understand.

Speaker 11 (49:20):
But but non invasive is considered not where you're actually splice,
cutting through, not not using a scalpel, Right, that's non.

Speaker 7 (49:29):
Invasion, and that's where we draw the line. If we're
going to make an incision, we call that invasive.

Speaker 8 (49:35):
So, yeah, you.

Speaker 11 (49:39):
Know, I appreciate finding out that that this LED stuff
is not you know, not not not well and.

Speaker 7 (49:48):
You know something, it extends even to animals. I've seen
one of my Facebook friends says he's bringing his docsund
to get red light therapy, which is ridiculous a so
for veterinarians with animals because what can that possibly do?
Where are the studies? You know, there's a lot of

(50:09):
stuff out there, a lot of people want your money,
and you have to protect yourself because that's what we've
been doing for nineteen years on this show. Every week
I kind of try to expose one of these things
that may not work, you know, or may not be
good for you or whatever. So you know, I'll concentrate.

(50:30):
I'll look up some more publications on led light in
the next few weeks and we'll talk a little bit
about that also. But anyway, thank you so much for
the phone call, and Happy Thanksgiving.

Speaker 11 (50:41):
I appreciate finding out about these myths. You know, really
it's tremendous that you have this consumer reports type that
you know, it's great, and I thank you very much,
doctor Perry.

Speaker 8 (50:54):
Happy holiday, and thank you so much. I appreciate the call.

Speaker 7 (50:58):
And there's more to the Show'm ward certified plastic surgeon,
Doctor Arthur Perry. No, let's go ahead, take that last
break real quickly, and we'll be back and we'll finish
up this conversation I'm Board certified plastics surgeon, doctor Arthur Perry.
Stay tuned. Did you know that your skincare may be
hurting you more than helping you. I'm Board certified plastics surgeon,
doctor Arthur Perry. The foundation for looking good is clean,

(51:22):
healthy skin. So I've created a program that is so
simple that everyone can stay on it long enough to
see real results. It starts with an incredible skin cleaner
called clean Time. It's actually good for your skin. Protect
your skin with my Daytime SPF twenty cream in the evening,
Feed your skin with my Powerhouse Nighttime serum. Nighttime has

(51:44):
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.
Join the thousands of people whose skin is hell. Use
the fifteen WOR Radio code on Amazon dot com for

(52:05):
a fifteen percent 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 right here
on WOR every Saturday evening at six pm. They say
that sixty is the new fifty. But while you may
feel and act fifty, the mirror doesn't lie. But that's

(52:26):
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 facelift and the artistic injection
of wrinkle filler or a laser peel, well, that might

(52:48):
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 Y M D.
Check me out on the web at Perryplasticsurgery dot com
and don't forget to listen to me doctor Arthur Perry,

(53:10):
every Saturday evening at six pm right here on WOR.

Speaker 3 (53:14):
You're listening to what's your wrinkle with doctor Arthur Perry.
What's your wrinkle?

Speaker 7 (53:20):
And we are back. I'm board certified plastic s Doctor
Arthur Perry. And during the break I got an email.
I got emails from you, those of you who don't
want to come on the show and carry. I won't
say your last name, says Amazon's not honoring the promo code.
That's because you don't need a promo code. It's built
into the system. I'm going on Amazon right now, and

(53:41):
you can go to my store it's called the Doctor
Perry Store, or you can just put my name in
or put one of the product names in. And there's
these big red banners that say now we're at the
Cyber Monday Deal, which is the same thing as the
Black Friday Deal, which is twenty five percent off, So
you just buy it. You don't have to put a
code in. That's one of the things about Amazon. It's

(54:01):
just there. So Carrie and those of you who want
those products, now's your time. I think it expires on Monday,
all right, So no I want to thank you for
nineteen years of exceptional engineering, greatest greatest engineering in radio.
Noah Fleischman, I don't hear clapping okay, and thank all

(54:23):
of you for listening. And my office eighty fifth in
Park that's where it is, and also in Somerset, New Jersey,
en Route twenty seven, halfway between New Brunswick and Princeton.
I'm in both offices. The Lasers live in New York.
Now give me a call. The numbers two one two
seven five three eighteen twenty. That's two one two seven
five three eighteen twenty and the products. Remember Amazon dot com.

(54:46):
And please, if you like this show and want it
to stay on, support the podcast.

Speaker 8 (54:52):
It's very important. That's where it's all going.

Speaker 10 (54:54):
You know.

Speaker 7 (54:54):
The future is podcasting, twenty years from now podcasting, So
go to my podcast as you're listening to now sort
of and click on subscribe. In that way, when a
new one is posted, you get an email, or if
you're in your tesla, it'll just appear on your dashboard.
All right, So everybody, have a great week, Bundle up

(55:14):
because it's going to be called. Use your moisturizer on
your hands, on your face, and we'll see everybody next
week at six pm. And remember call early so that
I know there are more people that just call, but
I can't get to your call. This late in the show.
Thanks so much for my regulars who call all the time.

(55:35):
I appreciate it. Have a great week, Noah, We'll see
everybody next week.

Speaker 1 (55:39):
How By now the proceeding was a paid podcast. iHeartRadio's
hosting of this podcast constitutes neither an endorsement of the
products offered or the ideas expressed.