Episode Transcript
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Speaker 1 (00:00):
The following is a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed.
Speaker 2 (00:09):
Well, Doctor Arthur Perry, he's one of the top plastic surgeons.
He's got offices in Manhattan, New Jersey. You know what,
He's been doing the show here on w R for
years and years and years. Very popular show and a
great plastic surgeon. Everybody has questions on this subject, so
he's the guy to ask.
Speaker 3 (00:26):
Doctor Arthur Perry, and the public wants to know.
Speaker 4 (00:28):
The public doesn't give a damn.
Speaker 5 (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 set
I go and look at this. I'm getting old. I said,
I want to maybe get fix it up a little bit.
Speaker 6 (00:40):
Doctor Oz, are you there, I'm here, Ark, and I
want to get to plagged you. Having worked with you
on a book and numerous other activities, you want to talk.
Speaker 3 (00:46):
To Arthur Perry, the best in plastic surgery.
Speaker 6 (00:49):
Remarkable knowledge, but also your grace at delivery 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 me.
Speaker 6 (00:58):
You smart as a really really gift this position. I
want to pay you bit 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 two
and zero.
Speaker 3 (01:13):
Bows to this guy, and welcome. This is Board certified
plastic surgeon, doctor Arthur Perry, and this is what's your
wrinkle right here on woar and this is straight talk
about plastic surgery, about cosmetic surgery. That's what we do
here in the studio in New York. I am live
here and you can become part of the show. This
(01:33):
is the show about you, the show about your wrinkles
and you're sagging and your small breasts and your big
hips and whatever it is that you don't like about
your cosmetic appearance. That's the show for you. I'm a
Board certified plastic surgeon, host of this show. We're into
the twentieth season here on WOAR and we are streaming
live across the world on iHeart, and we are also
(01:57):
podcasted as straight talk about metic surgery. So you can
get me any way you want, and you can see
me in the office on Park Avenue in New York,
are in Somerset, New Jersey, because I am a real
plastic surgeon and I'm here to help you. So the
phone number at WR is eight hundred three two one
zero seven ten. That's eight hundred three to one zero
(02:18):
seven ten. This is twenty twenty five, and this is
the first half hour show, so it's a shortened show.
You those of you have been listening since two thousand
and five, you know, we've been on for almost an
hour with an hour almost all the years, starting off
in two thousand and five and a half an hour,
and we're back to that now. So if you do
(02:38):
want to give me a call, you've got to call
early eight hundred three two one zero seven ten. That
is the phone number here at WOR and you can
ask me the questions that have been keeping you up
at night, the ones you know you look in the
mirror before you go to sleep and you see. Is
that a wrinkle? What is that? Is that a brown splotch?
Does that have to be removed? How can I do that?
This is the show to call eight hundred three two
(03:00):
one zero seven ten and we're giving away bottles of
my soft Time moisturizer, which is perfect this time of year.
If you have walked the streets of New York, if
you are listening to the show in Texas, well, you
know it's not so cold there, although I understand not
blazing warm, but certainly not what we're experiencing in New York,
which has been weeks and weeks now of bitter cold.
(03:24):
And just look at your hands. Are they chapped? Are
your lips chapped? Well? Soft Time is the moisturizer that
can help you. You slather it on several times a
day and it will help relieve the terrible symptoms of winter.
I can't wait for spring, right And I would be
remiss if I didn't mention my friends and family in
(03:45):
Los Angeles who are suffering now with these terrible fires
in Los Angeles. I lived there for a while and
had a practice on Rodeo Drive, and I'll tell you
it's really a terrible thing. What's going on there, and
we hope that we hope that they get over this
very soon in California. All right, So tonight we are
(04:08):
going to talk about the new facelift, the twenty twenty
five facelift. Why the facelift this year is better than
the facelift in years prior. So we're going to talk
about that. A new use for botox, and I promised
that last week. We didn't get to it. Botox is
that wonder drug, isn't it. There's so many different uses.
There's a new one out there. We're going to talk
(04:29):
about that. And here it is. It's January. How many
of you have daughters, sons, or maybe you are getting
married in the spring or early summer. Well, you know,
you might want to look in the mirror and have
some things corrected before the wedding, or if it's if
it could be for you, it could be for your child,
(04:50):
it could be a relative, a friend. You might have
an important engagement coming up and you might want to
look better. Well, there is a certainly a time course
that you need to follow, because you can't just call
me next week and say, well, I'm getting married in
three weeks. I'd like a facelift. That's not going to work.
So we'll talk about the timeline. Well, we've got Carol
(05:12):
on the line. Carol, what can I do for you?
What is your wrinkle?
Speaker 4 (05:15):
I listened to you faithfully, and you love talking about noses.
Speaker 3 (05:19):
I do.
Speaker 4 (05:19):
I had actually two. I like to say, like it
was mildlys on Carol.
Speaker 3 (05:29):
Remember you're not don't mention the name of the surgeon
who did it.
Speaker 4 (05:32):
Okay, Oh no, no, no, I know that.
Speaker 3 (05:34):
Okay, all right, go ahead.
Speaker 4 (05:36):
Yeah, okay, this was I can't believe it was so
many years ago. Now, I'm fifty seven now and I
was twenty and twenty one years old. A revision was
done a little bit of a revision eleven months after
the first surgery. And I know that I didn't rehearse
(05:58):
this question.
Speaker 3 (05:59):
That's all right.
Speaker 4 (06:00):
You still, if you like, still use like this terminology
sick skin. And I hate to say that, like I'm curious,
like you know, as far as like new techniques, because
like how much could really be done to really like
to really refine a nose if you have quote, you know,
(06:26):
sick skin. I have small nostrils, you know I.
Speaker 3 (06:29):
Have a right, Noah, Carol, you're out of control, Carol,
all right, I want to talk about it.
Speaker 4 (06:40):
I know, I know, I'm trying to be fast.
Speaker 3 (06:41):
You had your nose done thirty years ago, and then
you had a revision. And by the way, Carrol, that
is so common. Fifteen to twenty percent of people who
have their noses done in the operation is called a
rhinoplastic require a revision. And that's not because you are
the plastic surgeon wanted to just get some practice in.
In fact, this is the most difficult operation in all
(07:02):
of cosmetic surgery. And there are nuances and healing which
make you promises very difficult. And and just like you
were talking about fixed skin, it's a blessing and it's
a curse in rhinoplasty. If you have thicked skin, then
it's going to hide some minor imperfections, but it also
(07:22):
will make it so that it's it's tough to see
the delicate little facets and twists and turns that are
beautiful in your nose. So that's the the you know,
mix mixed up blessing having thicked skin. So now the
question Carol, is you know, if you're talking about having
your nose done a third time, each time you have
(07:43):
your nose done, it's more and more difficult. So the
first time it's considered a difficult operation. Second time it's
so difficult that there are many plastic surgeons that will
not do revision rhinoplasts. They just send you to someone
else because they're difficult operations. We're left with scar. The
analogy of a rhinoplasty the second time around is if
(08:05):
you can imagine taking a piece of paper and gluing
it to your desktop, okay, and then being asked to
lift that piece of paper off of your desktop without
damaging the paper and without scratching the deck's desktop. That
is what we need to do to lift the skin
back off your nose in a second rhinoplasty, and it's
(08:25):
very difficult. A third time, it's even more difficult because
thing options have been used up in prior rhinoplasties. That
means incisions have been made, cartilage has been removed, tissues
have been thinned. Scar is still there. Your body still
remembers what happened thirty years ago, so it is very difficult. Now.
(08:46):
Having said that, yes, here we are years and years
later after your rhinoplastes. We have new techniques. Now we
do something called an open rhinoplasty. An open rhinoplasty makes
an incision across the calamella, which is then ros portion
between your nostrils, and I lift up the skin of
your nose like the hood of a car, and I'm
actually looking in and seeing those cartilages that were most likely,
(09:11):
you know, thirty something years ago, most likely done closed.
And that means with a less perfect, less precise technique,
So there might be things that can be done. You'll
never get the operative report, which is the map of
the surgery. It's too long. I'm sure it's gone. But
you know, I do third rhinoplast these on people if
(09:34):
they're unhappy with prior results. Hopefully not my patients, but
hopefully we can make things look better, but not always.
And I would be honest with you in a consultation,
and I tell you, well, are the risks bigger? Are
they higher than the possible benefit? I would let you
know in a consultation, And if the risks are relatively
(09:55):
low and the benefit is relatively high, then sure we'll
go go ahead and maybe try to do a third
rhinoplasty and improve your nose even a little bit. More. Okay,
does that answer your question?
Speaker 4 (10:08):
Carol, Well, I was just like more curious about like
I said, like I hate to use the word bulbous
and fat, but it's like I mean, it was done,
you know, very conservatively. Like I definitely would not say
that I was. I would say I was very happy
with the results. But observative is better.
Speaker 3 (10:31):
Yeah, conservative is better than a radical rhinoplasty. So that
means there might be some tissue left that we can make.
We can narrow your tip maybe a little bit more.
And you know, thinning the skin is very difficult in
a rhinoplasty, but sometimes we can do it. And believe
it or not, there's fat in some noses. There really is,
and your cartilage tends to thicken as you get older.
(10:53):
So I love doing rhinoplastis. It's my favorite operation. And
one of the reasons is because it is so difficult
and I the challenge of making your nose look better, uh,
you know, even after two prior rhino plastic So you know,
the surgeon myself or someone else would need to take
a good look at you, examine you, and do some
(11:13):
digital imaging of your nose, and that surgeon can show
you give you some idea what your nose would look
like after a third procedure.
Speaker 4 (11:21):
I remember my surgeon saying all those years ago, and
the things that you say about that he loved doing noses,
and you know, and so many things about being conservative,
and you.
Speaker 3 (11:36):
Know, well it sounds like Chris if you know him.
Speaker 4 (11:39):
But of course, well.
Speaker 3 (11:40):
Let's not mention your name. No names. You can talk
to me off the air if you'd like, but no
names on the air. But Carol, we've got to take
a short break now, So thank you so much for
your phone call, and hopefully I'll see in the office
and we'll go ahead and look at your nose and
examine you and see if I can help you further.
All right, Okay, I'm board certified plastic surgeon, doctor Arthur Perry,
(12:00):
host of What's Your Wrinkle? Right here on wor the
phone number eight hundred three two one zero seven ten.
Eight hundred three two one zero seven ten. When we
come back from our break, we'll talk a little bit
about that twenty twenty five facelift and the newest use
of botox. We'll be right back. Did you know that
(12:20):
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 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
(12:41):
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
(13:05):
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 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 where plastic surgery comes in.
(13:25):
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 be just what it takes
(13:46):
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 to 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, every Saturday evening
(14:08):
at six pm right here on WOR.
Speaker 5 (14:12):
You're listening to What's Your Wrinkle with Doctor Arthur Perry.
Speaker 3 (14:15):
What's Your Wrinkle? And We're back. I'm board certified plastic surgeon,
doctor Arthur Perry in the half hour show in twenty
twenty five here on wr the Show About You, The
Show About your Wrinkles, The cosmetic surgery show here on WR.
Did you hear me on the Mark Simone show I
was on Thursday? If you missed the interview. It was
(14:36):
a lot of fun with Mark. I always like being
on his show. It would have been I guess you
can catch it on the iHeart and the WR website
because Mark posts all those those little interviews and things.
So go to Mark site and you'll be able to
catch his show and my interview on there. All right,
So eight hundred three two one zero seven ten is
(14:58):
a phone number here at WR. I want to make
sure since it's a shortened show that I mentioned that
the products now that you've been purchasing for years and years,
you know, first starting with night Skin and then Nighttime
and all the other products are available now exclusively on
Amazon dot com. So that means, you know, some people
(15:19):
are still calling the office, but almost everyone has an
Amazon account, don't you. And if you have Prime Amazon Prime,
then you get free shipping and you can get in
the subscription program, which gives you I think it's now
ten percent off if you subscribe to one product, and
if you're you know, five products, I think you get
(15:39):
fifteen percent. So go to Amazon dot com and put
in my name or put in Nighttime or any of
the products and you can purchase those and shipping is
so quick. It's it's really a pleasure having Amazon doing
all the work now instead of the employees in the
office who were doing their best to get the orders
out and sometimes they took a while. On Amazon, I
(16:01):
think they're working at three in the morning to get
your order out. All right, So the twenty twenty five facelift,
what's different about it? You know, the facelift has been
around for well over one hundred years, and each decade
after nineteen oh seven, the facelift got a little bit
more aggressive. In the beginning, it was just a little
decision in front of the ear and the skin was
(16:22):
lifted just a little bit and pulled and a little
skin removed. And each decade it got a little bit
more aggressive, and probably peaked about about fifteen or so
years ago with what's called the sub periostial facelift, the
facelift that went all the way down to the bone
and was pretty aggressive. And I'll never forget the person
who invented that. He talked about the first one hundred
(16:44):
of those facelifts he did and he only had sixteen
nerve injuries, but by the second hundred he got it
down to about eight nerve injuries. That's eight too many.
Neither you nor I would ever want a nerve injury.
And when we assess the different facelifts out there, there
are so many different ones, and some are very aggressive
and some are less aggressive. And you know what, the
(17:04):
interesting thing at the plastic surgery meetings, no plastic surgeon
can show that his or her facelift is any better
than the next person's facelift. And the bottom line is,
there's a lot of different ways to do this operation,
and you choose the surgeon as opposed to the operation.
So when you see those billboards and things like that,
(17:25):
not necessarily you know the best way to go, the
most aggressive or the most expensive way. So the facelift
that I do in twenty twenty five is very different
than the one I did ten or fifteen years ago.
It's a short scarf facelift. That means I don't make
an incision into the hairline. I make an incision in
front of the ear and try and stay pretty much
(17:45):
as little behind the ear as possible because those behind
the ear incisions you would think they're hidden, but they
are quite visible, particularly if you wear your hair up
or if you go swimming, you would see those. My
ideal facelift has a very short facelift and so in
front of the ear and another incision right under the chin,
and through those incisions we limit what's called the dissection.
(18:07):
The dissection is how much skin is lifted. We want
to limit it. And if we do limit that dissection,
then you recovery is faster, there's less swelling, and if
we're not in certain areas of the face that are
considered dangerous areas to operate in, then the chance of
a nerve injury is less. And so the facelift that
(18:28):
I do in twenty twenty five, you might say it's
more conservative, but not really. In fact, it's a pretty
aggressive facelift, but with limited incisions, and through those smaller incisions,
it's actually a little bit more difficult for the plastic
surgeon because you know, my chief at the University of
Chicago used to say that, you know, make the incision
(18:48):
as big as you can, you can see forever. But no,
that's not the case. That's not what we want. We
want to keep it fairly short. You want to keep
it fairly short. We want the dissection to be limited,
want the swelling and scarring to be limited. I want
you to be back at work as quickly as possible
or in the public eye. And what does that mean
in twenty twenty five. You know, some of my patients,
(19:11):
if you're willing to wear you know, kind of a
dark glasses and maybe a scarf, you can get out
of a week, but most people it's about two weeks.
You really want to be on the safe side with
a facelift, but at two weeks you should be able
to put makeup on and look pretty good. Exercise not
until three weeks, so you don't want to push it.
And no boxing until six weeks for those of you
(19:33):
who do the kickboxing at Equidox there all right, So
the twenty twenty five facelift, the trend is now less
not more, faster recovery, simpler operation and less chance of
a nerve injury. That's what we want, all right. I'm
board certified plastic church in doctor Arthur Perry, host of
What's Your Wrinkle for a long time now, and I've
got offices on Park Avenue in eighty fifth Street. What
(19:57):
a beautiful neighborhood. That is, there's only about one hundred
fIF diplastic surgeons within ten blocks of me. But that's okay.
It's like the lighting district in Manhattan, right, you know,
you go down there for your lights, you go up
to the Upper east Side for your cosmetic surgery. And
I operate at Manhattan Ioneer in New York and other
surgis centers and at Robert with Johnson in New Jersey
(20:19):
and different surgion centers there also because yes, I'm still
seeing patients there. So I have been injecting botox in
my patients since nineteen ninety seven. That's a long time
in the boatox world. How many years is that? Wow,
that's a lot. It's I guess we have to start county.
Twenty eight years of boatox. That's a lot of botox.
(20:40):
And I've injected thousands and thousands and thousands of patients.
And it started out in the old days. Just you know,
the horizontal lines of the forehead and the vertical lines.
What if you don't know what boatox is, come on,
if you're listening to this show, you know what boatox is.
Something well over ten million people a boatox injected last
year in the UNI Nited States. The most popular cosmetic
(21:02):
procedure out there. And botox is such a great drug,
and it's a safe drug. It paralyzes the muscle. Sounds terrible, right,
it's actually the most potent toxin known to mankind. But
you know what, when it's done carefully and very precisely
by the board certified plastic surgeon, it is incredibly safe.
(21:23):
And the worst thing I've ever had with botox knock
Wood here is a little bit of bruising, and most
patients don't bruise after botox. But I for years and
years have been botoxing the horizontal lines of the forehead,
the vertical lines which are called the eleven lines between
the brows and the crows feet, and then we extended
that to other areas. You know, the chin, the little
(21:44):
dimpled chin will do sometimes if you have an asymmetric smile, Yeah,
that happens, and we can even out the smile with botox.
I'm not a fan of the lip flip procedure. That's
where botox is injected along the the vermilion border, the
colored area of the lip, right at the junction of
(22:04):
the white and red I don't like what it does
to you, and I also don't like the speech impediment
that you can get. But the newest use of botox
is something that I've kind of stayed away from for
a long time, and that's botox in the neck. I
talk about the platismal bands, you know those the Catherine
Hepburn bands of the neck that we fix with a
(22:27):
platisma plastic. I'm gonna be doing one this week where
I make an incision under the chin and sew those
bands together. But if you don't want surgery, a lot
of people over the years have asked me, well, why
not just inject botox into the polaitismal bands? And you
know what, as far as I was concerned, not the
best thing. Not the best thing, because botox can travel
(22:48):
a quarter inch in each direction. It can go in
and around. And I didn't like the idea in the neck,
but I will change with science. And there was an
excellent publication in Plastic and Reacon Instructive Surgery just this month,
the January twenty twenty five issue. I'm sure you all
read that one, and it showed different doses of botox
(23:08):
in the neck are safe and effective at reducing those
bands of the neck, and we not just go in
the middle of the neck, but we go along the
jawline to really relax those muscles and give you a
much better contour of the neck. It was really it
was worked out exactly what doses we should be using.
(23:31):
And this is now published and it was an excellent paper.
And yes, I'm already doing it in the office now.
And while I might change my technique over the years,
I'm always a safe and conservative plastic surgeon. And we
are offering to our patients now botox in the neck.
If you're not interested in having a facelift, that is
(23:51):
an effective way of getting rid of the bands in
the neck. Now. It's temporary, of course, lasts about three
three and a half maybe four months. Uns. Yeah, and
you might say, well, you know, gee, i'd want something
more permanent. Well, then it's surgery. There's nothing else other
than that.
Speaker 4 (24:07):
Uh.
Speaker 3 (24:08):
But the the complication rate was extremely low in this study.
The happiness rate was very very high. So there you go,
something new with botox. And it's not just botox. It's ZMN,
it's disport, it's Javou, it's daxifive. Those are the five
different boatoxes out there. They all do the same thing,
(24:28):
and I find very little difference between the products. All right, well,
you know a half hour ago, so quickly. Now you're
gonna if you're gonna call, call me at the beginning
of the show. I can only take one or two
phone calls during the show. That's a half an hour. Noah,
thanks so much for great engineering. We're speaking very quickly. Then,
I don't forget Perryplasticsurgery dot com as the website. You
(24:48):
can order the products on Amazon dot com. We'll see
everybody at six o'clock next week. Have a great one.
Bye bye now.
Speaker 1 (24:55):
The proceeding was a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed.
The following is a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed.
Speaker 2 (00:09):
Well, Doctor Arthur Perry, he's one of the top plastic surgeons.
He's got offices in Manhattan, New Jersey. You know what,
He's been doing the show here on w R for
years and years and years. Very popular show and a
great plastic surgeon. Everybody has questions on this subject, so
he's the guy to ask.
Speaker 3 (00:26):
Doctor Arthur Perry, and the public wants to know.
Speaker 4 (00:28):
The public doesn't give a damn.
Speaker 5 (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 set
I go and look at this. I'm getting old. I said,
I want to maybe get fix it up a little bit.
Speaker 6 (00:40):
Doctor Oz, are you there, I'm here, Ark, and I
want to get to plagged you. Having worked with you
on a book and numerous other activities, you want to talk.
Speaker 3 (00:46):
To Arthur Perry, the best in plastic surgery.
Speaker 6 (00:49):
Remarkable knowledge, but also your grace at delivery 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 me.
Speaker 6 (00:58):
You smart as a really really gift this position. I
want to pay you bit 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 two
and zero.
Speaker 3 (01:13):
Bows to this guy, and welcome. This is Board certified
plastic surgeon, doctor Arthur Perry, and this is what's your
wrinkle right here on woar and this is straight talk
about plastic surgery, about cosmetic surgery. That's what we do
here in the studio in New York. I am live
here and you can become part of the show. This
(01:33):
is the show about you, the show about your wrinkles
and you're sagging and your small breasts and your big
hips and whatever it is that you don't like about
your cosmetic appearance. That's the show for you. I'm a
Board certified plastic surgeon, host of this show. We're into
the twentieth season here on WOAR and we are streaming
live across the world on iHeart, and we are also
(01:57):
podcasted as straight talk about metic surgery. So you can
get me any way you want, and you can see
me in the office on Park Avenue in New York,
are in Somerset, New Jersey, because I am a real
plastic surgeon and I'm here to help you. So the
phone number at WR is eight hundred three two one
zero seven ten. That's eight hundred three to one zero
(02:18):
seven ten. This is twenty twenty five, and this is
the first half hour show, so it's a shortened show.
You those of you have been listening since two thousand
and five, you know, we've been on for almost an
hour with an hour almost all the years, starting off
in two thousand and five and a half an hour,
and we're back to that now. So if you do
(02:38):
want to give me a call, you've got to call
early eight hundred three two one zero seven ten. That
is the phone number here at WOR and you can
ask me the questions that have been keeping you up
at night, the ones you know you look in the
mirror before you go to sleep and you see. Is
that a wrinkle? What is that? Is that a brown splotch?
Does that have to be removed? How can I do that?
This is the show to call eight hundred three two
(03:00):
one zero seven ten and we're giving away bottles of
my soft Time moisturizer, which is perfect this time of year.
If you have walked the streets of New York, if
you are listening to the show in Texas, well, you
know it's not so cold there, although I understand not
blazing warm, but certainly not what we're experiencing in New York,
which has been weeks and weeks now of bitter cold.
(03:24):
And just look at your hands. Are they chapped? Are
your lips chapped? Well? Soft Time is the moisturizer that
can help you. You slather it on several times a
day and it will help relieve the terrible symptoms of winter.
I can't wait for spring, right And I would be
remiss if I didn't mention my friends and family in
(03:45):
Los Angeles who are suffering now with these terrible fires
in Los Angeles. I lived there for a while and
had a practice on Rodeo Drive, and I'll tell you
it's really a terrible thing. What's going on there, and
we hope that we hope that they get over this
very soon in California. All right, So tonight we are
(04:08):
going to talk about the new facelift, the twenty twenty
five facelift. Why the facelift this year is better than
the facelift in years prior. So we're going to talk
about that. A new use for botox, and I promised
that last week. We didn't get to it. Botox is
that wonder drug, isn't it. There's so many different uses.
There's a new one out there. We're going to talk
(04:29):
about that. And here it is. It's January. How many
of you have daughters, sons, or maybe you are getting
married in the spring or early summer. Well, you know,
you might want to look in the mirror and have
some things corrected before the wedding, or if it's if
it could be for you, it could be for your child,
(04:50):
it could be a relative, a friend. You might have
an important engagement coming up and you might want to
look better. Well, there is a certainly a time course
that you need to follow, because you can't just call
me next week and say, well, I'm getting married in
three weeks. I'd like a facelift. That's not going to work.
So we'll talk about the timeline. Well, we've got Carol
(05:12):
on the line. Carol, what can I do for you?
What is your wrinkle?
Speaker 4 (05:15):
I listened to you faithfully, and you love talking about noses.
Speaker 3 (05:19):
I do.
Speaker 4 (05:19):
I had actually two. I like to say, like it
was mildlys on Carol.
Speaker 3 (05:29):
Remember you're not don't mention the name of the surgeon
who did it.
Speaker 4 (05:32):
Okay, Oh no, no, no, I know that.
Speaker 3 (05:34):
Okay, all right, go ahead.
Speaker 4 (05:36):
Yeah, okay, this was I can't believe it was so
many years ago. Now, I'm fifty seven now and I
was twenty and twenty one years old. A revision was
done a little bit of a revision eleven months after
the first surgery. And I know that I didn't rehearse
(05:58):
this question.
Speaker 3 (05:59):
That's all right.
Speaker 4 (06:00):
You still, if you like, still use like this terminology
sick skin. And I hate to say that, like I'm curious,
like you know, as far as like new techniques, because
like how much could really be done to really like
to really refine a nose if you have quote, you know,
(06:26):
sick skin. I have small nostrils, you know I.
Speaker 3 (06:29):
Have a right, Noah, Carol, you're out of control, Carol,
all right, I want to talk about it.
Speaker 4 (06:40):
I know, I know, I'm trying to be fast.
Speaker 3 (06:41):
You had your nose done thirty years ago, and then
you had a revision. And by the way, Carrol, that
is so common. Fifteen to twenty percent of people who
have their noses done in the operation is called a
rhinoplastic require a revision. And that's not because you are
the plastic surgeon wanted to just get some practice in.
In fact, this is the most difficult operation in all
(07:02):
of cosmetic surgery. And there are nuances and healing which
make you promises very difficult. And and just like you
were talking about fixed skin, it's a blessing and it's
a curse in rhinoplasty. If you have thicked skin, then
it's going to hide some minor imperfections, but it also
(07:22):
will make it so that it's it's tough to see
the delicate little facets and twists and turns that are
beautiful in your nose. So that's the the you know,
mix mixed up blessing having thicked skin. So now the
question Carol, is you know, if you're talking about having
your nose done a third time, each time you have
(07:43):
your nose done, it's more and more difficult. So the
first time it's considered a difficult operation. Second time it's
so difficult that there are many plastic surgeons that will
not do revision rhinoplasts. They just send you to someone
else because they're difficult operations. We're left with scar. The
analogy of a rhinoplasty the second time around is if
(08:05):
you can imagine taking a piece of paper and gluing
it to your desktop, okay, and then being asked to
lift that piece of paper off of your desktop without
damaging the paper and without scratching the deck's desktop. That
is what we need to do to lift the skin
back off your nose in a second rhinoplasty, and it's
(08:25):
very difficult. A third time, it's even more difficult because
thing options have been used up in prior rhinoplasties. That
means incisions have been made, cartilage has been removed, tissues
have been thinned. Scar is still there. Your body still
remembers what happened thirty years ago, so it is very difficult. Now.
(08:46):
Having said that, yes, here we are years and years
later after your rhinoplastes. We have new techniques. Now we
do something called an open rhinoplasty. An open rhinoplasty makes
an incision across the calamella, which is then ros portion
between your nostrils, and I lift up the skin of
your nose like the hood of a car, and I'm
actually looking in and seeing those cartilages that were most likely,
(09:11):
you know, thirty something years ago, most likely done closed.
And that means with a less perfect, less precise technique,
So there might be things that can be done. You'll
never get the operative report, which is the map of
the surgery. It's too long. I'm sure it's gone. But
you know, I do third rhinoplast these on people if
(09:34):
they're unhappy with prior results. Hopefully not my patients, but
hopefully we can make things look better, but not always.
And I would be honest with you in a consultation,
and I tell you, well, are the risks bigger? Are
they higher than the possible benefit? I would let you
know in a consultation, And if the risks are relatively
(09:55):
low and the benefit is relatively high, then sure we'll
go go ahead and maybe try to do a third
rhinoplasty and improve your nose even a little bit. More. Okay,
does that answer your question?
Speaker 4 (10:08):
Carol, Well, I was just like more curious about like
I said, like I hate to use the word bulbous
and fat, but it's like I mean, it was done,
you know, very conservatively. Like I definitely would not say
that I was. I would say I was very happy
with the results. But observative is better.
Speaker 3 (10:31):
Yeah, conservative is better than a radical rhinoplasty. So that
means there might be some tissue left that we can make.
We can narrow your tip maybe a little bit more.
And you know, thinning the skin is very difficult in
a rhinoplasty, but sometimes we can do it. And believe
it or not, there's fat in some noses. There really is,
and your cartilage tends to thicken as you get older.
(10:53):
So I love doing rhinoplastis. It's my favorite operation. And
one of the reasons is because it is so difficult
and I the challenge of making your nose look better, uh,
you know, even after two prior rhino plastic So you know,
the surgeon myself or someone else would need to take
a good look at you, examine you, and do some
(11:13):
digital imaging of your nose, and that surgeon can show
you give you some idea what your nose would look
like after a third procedure.
Speaker 4 (11:21):
I remember my surgeon saying all those years ago, and
the things that you say about that he loved doing noses,
and you know, and so many things about being conservative,
and you.
Speaker 3 (11:36):
Know, well it sounds like Chris if you know him.
Speaker 4 (11:39):
But of course, well.
Speaker 3 (11:40):
Let's not mention your name. No names. You can talk
to me off the air if you'd like, but no
names on the air. But Carol, we've got to take
a short break now, So thank you so much for
your phone call, and hopefully I'll see in the office
and we'll go ahead and look at your nose and
examine you and see if I can help you further.
All right, Okay, I'm board certified plastic surgeon, doctor Arthur Perry,
(12:00):
host of What's Your Wrinkle? Right here on wor the
phone number eight hundred three two one zero seven ten.
Eight hundred three two one zero seven ten. When we
come back from our break, we'll talk a little bit
about that twenty twenty five facelift and the newest use
of botox. We'll be right back. Did you know that
(12:20):
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 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
(12:41):
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
(13:05):
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 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 where plastic surgery comes in.
(13:25):
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 be just what it takes
(13:46):
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 to 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, every Saturday evening
(14:08):
at six pm right here on WOR.
Speaker 5 (14:12):
You're listening to What's Your Wrinkle with Doctor Arthur Perry.
Speaker 3 (14:15):
What's Your Wrinkle? And We're back. I'm board certified plastic surgeon,
doctor Arthur Perry in the half hour show in twenty
twenty five here on wr the Show About You, The
Show About your Wrinkles, The cosmetic surgery show here on WR.
Did you hear me on the Mark Simone show I
was on Thursday? If you missed the interview. It was
(14:36):
a lot of fun with Mark. I always like being
on his show. It would have been I guess you
can catch it on the iHeart and the WR website
because Mark posts all those those little interviews and things.
So go to Mark site and you'll be able to
catch his show and my interview on there. All right,
So eight hundred three two one zero seven ten is
(14:58):
a phone number here at WR. I want to make
sure since it's a shortened show that I mentioned that
the products now that you've been purchasing for years and years,
you know, first starting with night Skin and then Nighttime
and all the other products are available now exclusively on
Amazon dot com. So that means, you know, some people
(15:19):
are still calling the office, but almost everyone has an
Amazon account, don't you. And if you have Prime Amazon Prime,
then you get free shipping and you can get in
the subscription program, which gives you I think it's now
ten percent off if you subscribe to one product, and
if you're you know, five products, I think you get
(15:39):
fifteen percent. So go to Amazon dot com and put
in my name or put in Nighttime or any of
the products and you can purchase those and shipping is
so quick. It's it's really a pleasure having Amazon doing
all the work now instead of the employees in the
office who were doing their best to get the orders
out and sometimes they took a while. On Amazon, I
(16:01):
think they're working at three in the morning to get
your order out. All right, So the twenty twenty five facelift,
what's different about it? You know, the facelift has been
around for well over one hundred years, and each decade
after nineteen oh seven, the facelift got a little bit
more aggressive. In the beginning, it was just a little
decision in front of the ear and the skin was
(16:22):
lifted just a little bit and pulled and a little
skin removed. And each decade it got a little bit
more aggressive, and probably peaked about about fifteen or so
years ago with what's called the sub periostial facelift, the
facelift that went all the way down to the bone
and was pretty aggressive. And I'll never forget the person
who invented that. He talked about the first one hundred
(16:44):
of those facelifts he did and he only had sixteen
nerve injuries, but by the second hundred he got it
down to about eight nerve injuries. That's eight too many.
Neither you nor I would ever want a nerve injury.
And when we assess the different facelifts out there, there
are so many different ones, and some are very aggressive
and some are less aggressive. And you know what, the
(17:04):
interesting thing at the plastic surgery meetings, no plastic surgeon
can show that his or her facelift is any better
than the next person's facelift. And the bottom line is,
there's a lot of different ways to do this operation,
and you choose the surgeon as opposed to the operation.
So when you see those billboards and things like that,
(17:25):
not necessarily you know the best way to go, the
most aggressive or the most expensive way. So the facelift
that I do in twenty twenty five is very different
than the one I did ten or fifteen years ago.
It's a short scarf facelift. That means I don't make
an incision into the hairline. I make an incision in
front of the ear and try and stay pretty much
(17:45):
as little behind the ear as possible because those behind
the ear incisions you would think they're hidden, but they
are quite visible, particularly if you wear your hair up
or if you go swimming, you would see those. My
ideal facelift has a very short facelift and so in
front of the ear and another incision right under the chin,
and through those incisions we limit what's called the dissection.
(18:07):
The dissection is how much skin is lifted. We want
to limit it. And if we do limit that dissection,
then you recovery is faster, there's less swelling, and if
we're not in certain areas of the face that are
considered dangerous areas to operate in, then the chance of
a nerve injury is less. And so the facelift that
(18:28):
I do in twenty twenty five, you might say it's
more conservative, but not really. In fact, it's a pretty
aggressive facelift, but with limited incisions, and through those smaller incisions,
it's actually a little bit more difficult for the plastic
surgeon because you know, my chief at the University of
Chicago used to say that, you know, make the incision
(18:48):
as big as you can, you can see forever. But no,
that's not the case. That's not what we want. We
want to keep it fairly short. You want to keep
it fairly short. We want the dissection to be limited,
want the swelling and scarring to be limited. I want
you to be back at work as quickly as possible
or in the public eye. And what does that mean
in twenty twenty five. You know, some of my patients,
(19:11):
if you're willing to wear you know, kind of a
dark glasses and maybe a scarf, you can get out
of a week, but most people it's about two weeks.
You really want to be on the safe side with
a facelift, but at two weeks you should be able
to put makeup on and look pretty good. Exercise not
until three weeks, so you don't want to push it.
And no boxing until six weeks for those of you
(19:33):
who do the kickboxing at Equidox there all right, So
the twenty twenty five facelift, the trend is now less
not more, faster recovery, simpler operation and less chance of
a nerve injury. That's what we want, all right. I'm
board certified plastic church in doctor Arthur Perry, host of
What's Your Wrinkle for a long time now, and I've
got offices on Park Avenue in eighty fifth Street. What
(19:57):
a beautiful neighborhood. That is, there's only about one hundred
fIF diplastic surgeons within ten blocks of me. But that's okay.
It's like the lighting district in Manhattan, right, you know,
you go down there for your lights, you go up
to the Upper east Side for your cosmetic surgery. And
I operate at Manhattan Ioneer in New York and other
surgis centers and at Robert with Johnson in New Jersey
(20:19):
and different surgion centers there also because yes, I'm still
seeing patients there. So I have been injecting botox in
my patients since nineteen ninety seven. That's a long time
in the boatox world. How many years is that? Wow,
that's a lot. It's I guess we have to start county.
Twenty eight years of boatox. That's a lot of botox.
(20:40):
And I've injected thousands and thousands and thousands of patients.
And it started out in the old days. Just you know,
the horizontal lines of the forehead and the vertical lines.
What if you don't know what boatox is, come on,
if you're listening to this show, you know what boatox is.
Something well over ten million people a boatox injected last
year in the UNI Nited States. The most popular cosmetic
(21:02):
procedure out there. And botox is such a great drug,
and it's a safe drug. It paralyzes the muscle. Sounds terrible, right,
it's actually the most potent toxin known to mankind. But
you know what, when it's done carefully and very precisely
by the board certified plastic surgeon, it is incredibly safe.
(21:23):
And the worst thing I've ever had with botox knock
Wood here is a little bit of bruising, and most
patients don't bruise after botox. But I for years and
years have been botoxing the horizontal lines of the forehead,
the vertical lines which are called the eleven lines between
the brows and the crows feet, and then we extended
that to other areas. You know, the chin, the little
(21:44):
dimpled chin will do sometimes if you have an asymmetric smile, Yeah,
that happens, and we can even out the smile with botox.
I'm not a fan of the lip flip procedure. That's
where botox is injected along the the vermilion border, the
colored area of the lip, right at the junction of
(22:04):
the white and red I don't like what it does
to you, and I also don't like the speech impediment
that you can get. But the newest use of botox
is something that I've kind of stayed away from for
a long time, and that's botox in the neck. I
talk about the platismal bands, you know those the Catherine
Hepburn bands of the neck that we fix with a
(22:27):
platisma plastic. I'm gonna be doing one this week where
I make an incision under the chin and sew those
bands together. But if you don't want surgery, a lot
of people over the years have asked me, well, why
not just inject botox into the polaitismal bands? And you
know what, as far as I was concerned, not the
best thing. Not the best thing, because botox can travel
(22:48):
a quarter inch in each direction. It can go in
and around. And I didn't like the idea in the neck,
but I will change with science. And there was an
excellent publication in Plastic and Reacon Instructive Surgery just this month,
the January twenty twenty five issue. I'm sure you all
read that one, and it showed different doses of botox
(23:08):
in the neck are safe and effective at reducing those
bands of the neck, and we not just go in
the middle of the neck, but we go along the
jawline to really relax those muscles and give you a
much better contour of the neck. It was really it
was worked out exactly what doses we should be using.
(23:31):
And this is now published and it was an excellent paper.
And yes, I'm already doing it in the office now.
And while I might change my technique over the years,
I'm always a safe and conservative plastic surgeon. And we
are offering to our patients now botox in the neck.
If you're not interested in having a facelift, that is
(23:51):
an effective way of getting rid of the bands in
the neck. Now. It's temporary, of course, lasts about three
three and a half maybe four months. Uns. Yeah, and
you might say, well, you know, gee, i'd want something
more permanent. Well, then it's surgery. There's nothing else other
than that.
Speaker 4 (24:07):
Uh.
Speaker 3 (24:08):
But the the complication rate was extremely low in this study.
The happiness rate was very very high. So there you go,
something new with botox. And it's not just botox. It's ZMN,
it's disport, it's Javou, it's daxifive. Those are the five
different boatoxes out there. They all do the same thing,
(24:28):
and I find very little difference between the products. All right, well,
you know a half hour ago, so quickly. Now you're
gonna if you're gonna call, call me at the beginning
of the show. I can only take one or two
phone calls during the show. That's a half an hour. Noah,
thanks so much for great engineering. We're speaking very quickly. Then,
I don't forget Perryplasticsurgery dot com as the website. You
(24:48):
can order the products on Amazon dot com. We'll see
everybody at six o'clock next week. Have a great one.
Bye bye now.
Speaker 1 (24:55):
The proceeding was a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed.
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