The Menopause Makeover

Episode Transcript

(00:00):
The following is a paid podcast.iHeartRadio's hosting of this podcast constitutes neither an
endorsement of the products offered or theideas expressed. Well Doctor Arthur Perry,
he's one of the top plastic surgeons. He's got offices in Manhattan, New
Jersey, you know, and he'sbeen doing the show here on w R
for years and years and years.Very popular show and a great plastic surgeon.

(00:21):
Everybody has questions on this subject,so he's the guy to ask.
Doctor Arthur Perry, and the publicwants to know that public doesn't get a
damn. And I went to hisoffice and I said, I said,
look at my face. And hegoes, 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'mgetting old. I said, I'm gonna
maybe he can fix it up alittle bit. Doctor Oz, are you
there, I'm here, Ark,and I want to get a plauged you.

(00:43):
Having worked with you on a bookand numerous other activity, you want
to talk to Arthur Perry, thebest in plastic 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 somany times. When I was a resident
at the University of Chicago, wehad a mean you're smart, as I
really really gift his position. Iwant to pay you the highest true I
can give to a surgeon, whichis when people come to you, they
don't come for an operation, theycome for the opinion. And that's why

(01:07):
I trust you with my friends andrelaivition. I didn't realize we were going
to get the Michael Jordan of PlasticSurgeons nine two to zero bows to this
guide and welcome. This is What'syour wrinkle? No, this is the
straight talking plastic surgery program. That'swhat this is, straight talk about cosmetic
surgery. I'm doctor Arthur Perry,host of this show whatever we want to

(01:30):
call it, for nineteen years now, and thank you for listening. I
am a board certified plastic surgeon hostof the show. I'm here to answer
your questions about about all the thingsrelated to cosmetic surgery, to your appearance,
your wrinkles, your gewls, yourturkey gobbler, your small breast,
your drew by breasts, your protuberantbelly after pregnancy, or how about your

(01:53):
chubs. Those are the you know, the fat collections around your knees or
your cankles. You know what theyare. That's fatty little ankles. And
yeah, that's what I do.I suction fat iran ankles. I suction
fat underneath the chin. I fixeyelids that are drooping. I fix faces
that are drooping. And I makeyou look better and I make you look

(02:15):
younger. I'm a board certified plasticsurgeon, hosting this show for a long
long time, since a very coldday in two thousand and five. Here
we are nineteen years later, andI'm still at it every Saturday evening,
trying to help you look better andkeep you out of trouble. And that's

(02:36):
really This is such a hyped fieldplastic surgery, isn't it. You know,
you can hardly turn on the TV, whether it's a show, a
streaming show, looking on the internet, looking on Instagram, all you see
is the hype of plastic surgery.I'm going to cut through that for you.
Give me a call eight hundred threetwo one zero seven ten. That's
the phone number here at wo Reight hundred three two one zero seven ten

(03:00):
and if you're listening in a podcast, well obviously you can't call live because
this happened maybe an hour ago,maybe a week ago, maybe a month
ago. But we've got, youknow, something like got a five hundred
of these podcasts now up on theinternet, and you can subscribe, and
I hope you do. You cango all the way back to the first

(03:21):
podcast, the first radio show intwo thousand and five, and you can
subscribe to it. And that's whatyou have to do. I know a
lot of you are not quite familiarwith podcasting or subscribing, and I bring
my patients through this sometimes I'll showthem. I'll grab their iPhone and say,
this is how you do it.You have to just, you know,
subscribe. It's the easiest thing onearth. It's free and open up

(03:45):
the entire world of podcasting, whetherit's mine or you know how things work
or whatever it is, you know, I like the Conan Populat. You
can get all the podcasts and verysimply, you get an email as soon
as a new one has posted.So this particular podcast, this broadcast.
I'm going to finish this in anhour or so and we'll podcast it,

(04:09):
will broadcast it and you can goahead and get that into your email box.
So that's how we do it.So what is this show all about.
This is a show about you,whether or not you're going to have
cosmetic surgery, whether you want tojust answer questions, or maybe you want
to go to a plastic surgeon andnot have surgery, but maybe just have

(04:30):
one of those non invasive procedures.There are so many now, and whether
it's botox or any of the otherbotch line of toxins, or fillers,
or lasers, there are so manydifferent types of lasers now, these energy
devices, they go such a longway to making you look better without ever
stepping into the operating room. Butmaybe you're one of these people. And

(04:54):
I have so many of my patientsthat say, you know, I'm not
really going to do those non invasivethings. I want to go straight to
the real surgery. And let's fixthat turkey gobbler. Let's fix the bands
in the neck, Let's fix myjows, my my drooping eyelids. Let's
do that. And I'm here foryou. That's what this show is all
about. Eight hundred three two onezero seven ten. Now let's let's think

(05:16):
you know this By the way,I'm without my co host tonight. I'm
sorry. I know you love Susanas my co host, but you know
your your emails were not resounding enough. You have to email me so I
can show them to her and showhow loved she is as my co host.
But no, not tonight. She'snot on this evening, So you're

(05:38):
gonna have to bear just with meor your phone calls eight hundred three two
one zero seven ten. We're gonnabe giving away each week. I kind
of decide on this. I thinkwe'll do nighttime tonight and please you know
the people that I love my myregular callers, I really do. And
but you know, if you've calledwithin the last couple of weeks, give

(06:00):
others a chance. So you knowwe're gonna give away that nighttime to I
know what is nighttime? Nighttime ismy answer to skincare. I've talked recently
about how skincare and looking good startswith yeah, clean skin with maybe microderma
rision as a skin cleaning procedure,but also with cleaning your skin with soap,

(06:23):
and so many of my patients comein new patients and they tell me
I go through an inventory of whatyou use on your skin. And so
many of my patients say, youknow what, I've been told that soap
is toxic to my skin. It'snot good for me. So I just
washed my face with water, andyou know, it doesn't work. It
doesn't work that way because you makeoils, and oils attract dirt in you

(06:49):
know, you walk down Fifth Avenue, you walk down you know, any
of the streets in New York,and you get blasted by all the cars
and the buses and the subways,and all that dirt gets on your skin.
You need a solvent to clean outyour pores. And you know,
so many of the soaps are justlike you said, they are dangerous.

(07:10):
They're dangerous in their own way.They cause a syndrome of a little bit
of redness and a little bit ofswelling, and your body responds to the
alkaline pH. That's what it is. It's alkaline, more like a baking
soda, less like let's say,lemons. They're as acidic, remember that
from tenth grade. Well, yourskin is supposed to be more acidic.

(07:30):
It's five point five. It's thenormal pH of the skin. But most
most products are alkaline. So whenyou put those on your skin. You
change the pH if your skin.Your skin responds by making oils because that's
one of the defenses of the skin. When you make your skin more alkaline,
bacteria and fungus grow on your skinand it takes up to six hours

(07:55):
to respond and to return your skinto normal. My soap doesn't do it.
It is the perfect soap. I'mhappy to tell you. We've got
Georgiana on the line. Georgiana,what can I do for you? What's
your wrinkle? Hi, doctor Perry, how are you? I am good
this evening. I hope you are. I'm good too. I just wanted
to call in to tell your listenersabout the peel I just had with you.

(08:18):
It's incredible the results that I have, and I wanted to thank you.
Oh this is Georgiana, my patient. Okay, yeah, it is
well, thank you so much.So tell us about the peel that you
had. So I had appeal withyou. I think it was the beginning
of May. It was a TCAchemical peal and basically it was about a

(08:39):
two week recovery. I mean aweek of heavy peeling, but another week
to get my skin back to normal. And it was fantastic. I mean,
my skin has never looked so great. How old are you, Georgiana?
I am thirty eight years old.Okay, so you're thirty eight,
and now can I talk. I'mnot going to divulge who you are,
but I'll talk about your skin andif that's okay, yes, absolutely,

(09:01):
okay. So you had leopard skin, No you didn't. No, it
wasn't leopard skin. It was freckledskin, you know, with a lot
of a lot of brown, sploshypigmentation, right, and yes, and
I hated it. I hated it, and I came to you and told
you I need something to be done. So yes, So one of the

(09:24):
the TCAA peel, which is thepeel that you had, is such a
nice peel because it's for people thatwant to even out their complexion, even
out the skin tone. It helpsa little bit with wrinkles, but mostly
it's for your color and your skintone. So if you've got, you
know, freckles as a kid,there are age spots as an adult,

(09:45):
even at thirty eight years old.Oh my god, they're age spots,
right, Georgiana, A lot ofthem. And I let me also tell
the listeners that I used to siton the beach avidly, not with a
lot of sun screen, so Ihad a lot of pigment. Patient,
yeah, yeah, so and thatnever looks good and you put progressively more
makeup on to cover all those spots. Right, one hundred percent, I

(10:09):
was using concealer like crazy, AndI can actually say that I don't use
concealer at all anymore. I doa light foundation just to even everything out
just in general, but I don'teven need it. My face just looks
as nice without makeup as it doeswith makeup. So the peel that you
had, now you know, I'man honest guy, and I know that

(10:30):
that it's not the easiest peel togo through. I do have to say,
you know, I don't I don'tpull any punches with my patients.
I tell them exactly how it is. Uh. And you know, if
there's something you're going to go throughto get to the endpoint, you know
you have to decide if it's rightfor you. So we don't want to
just say that this is the easiestthing. It's it's a little uncomfortable to

(10:52):
do right correct. Yes, whenyou're applying it, there is singing,
but it's subside so you just haveto go in with the mind of this
is going to be just temporary.Yep. And I always say, and
I probably said it to you,that the most difficult thing of having appeal
is having to listen to me yapfor about a half an hour or so.
Yeah, that's why I'm on theradio. Yeah, I'm on the

(11:16):
radio. No one can stop mefrom talking here, but certainly so.
So we go through the process,and first I do your far First,
I clean your skin off with believeit or not, fingernail polish remover,
right, And it's a decreasing agent. We get all the oils off your
skin so that we can get goodpenetration of the chemical. And it's called

(11:37):
trichloro acetic acid. It's a youknow what acetic acid is, that's vinegar.
Well, this is a souped upversion, no pun intended of the
vinegar. And we put it onin a concentration. The usual one is
about thirty five percent. And Istart with your forehead and I watch your
blood pressure go up a bit andyour eyes bug out a bit, and

(11:58):
then when the discomfort subsides of it, then I'll go on to your cheeks
and then we'll go around your mouth, and by the time you leave the
office about forty five minutes later,your skin kind of looks almost back to
normal. Right, it's a littlebit red, a little bit gray,
right, Georgiana? Correct? Correct, yes, correct, All right,
why don't you tell now? It'sokay. Now, I know you don't

(12:20):
want to say that it was difficultto go through, but go ahead,
tell it like it is. Howwas it you know, how many days
did it take you to peel?And how was it? Right? But
it's okay. You're not insulting meby saying it was terrible. Go ahead,
Well, I will preface by saying, and I was not sold to
say any of this. I willpreface by saying, the results speak for

(12:43):
itself. So definitely it's worth goingthrough if you're really get if you have
the spots, et cetera. Ittook about I would say, you know,
the whole process is about six toseven days. Day one, day
two. Honestly, you feel nothing. I mean, your face is basically
the way it was. You know, you see this colored, it looks
discolored. It's only about until daythree, four or five that you start

(13:05):
the peeling, the heavy peeling isaround day five six that's the most uncomfortable.
And it's not that it hurts topeel. It's just that the skin's
waiting to, you know, toseparate, to break off. So it's
a little uncomfortable just because it feelsvery tight. It's not that it's you
know, raw skin or it's wounded. It's just a very tight, uncomfortable

(13:26):
feeling. And my skin doesn't feelas easy, so some of it I
had to kind of coax off myself. So that was the only you know,
crappy part if I may. Butother than that, I mean,
after it was off, you know, the skin's a little bit red,
but your face is fine to touch, you can wash it, you can
do everything to it. And nowI mean I'm completely back to normal and
I couldn't be any happier. That'sgreat. And when it peels off,

(13:50):
I always say, it's it's almostcomical because your freckles and your brown splotches
peel with it. So you know, there it was, there was my
freckle right right right. You seeit all. And I mean really like
I looked at how I'm was gauging, you know, because sometimes it's hard
to tell, Okay, how muchhave I changed different? And I looked
at some of the spots that wereannoying me the most, and the fact

(14:13):
that they're completely gone, I mean, just speaks for itself. I mean,
it was so exciting to see allof that. I love looking in
the mirror now even without makeup.Yeah, And so it'll give you,
you know, as you as yougo through the process. In the first
couple of weeks, your skin isa little bit red you cover with makeup.
But then when you hit about threefour weeks afterwards, it actually your

(14:35):
skin just looks like what you simulatewith makeup. So women put a little
bit more red around their cheeks becausethat looks good. That's what it looks
like without makeup. As you getthrough into three four weeks of appeal,
and you'll find that you can useless makeup than you had to use before.
And some people know makeup right rightright. And I had people and

(15:00):
a lot of people that I knewknew that I went through the process,
and they had said how great Ilook, But really what was telling us?
People that I didn't excuse me eventhough sorry, I'm choking up.
People who didn't even know me saidto me how great my skin looked and
asked what I did, and Isaid, I did the chemical appeal.
It's just incredible the results. Well, and you know, listen, I

(15:24):
want to thank you for calling.And it's so helpful to patients or prospective
patients, people who are thinking ofprocedures. You know, you hear,
and I didn't tell you what tosay, and I appreciate your calling.
I did pay you one hundred thousanddollars to do that. I'm kidding,
but very seriously, to one hundredthousand. That's good. But seriously,

(15:48):
it's helpful for others to listen tosomeone who's gone through even appeal. You
know, appeal is one of thesmaller procedures that we do in plastic surgery,
but it is a really good startto looking good. And you know,
as you get older, you'll findthe joys of growing older. You
get wrinkles and you get sagging.You're not there yet, but as you

(16:11):
do, come on, you know, you come in and hopefully I'll be
around to do your procedures. You'llcome on the radio show because you're an
excellent co host, by the way, and tell everybody about the procedures.
It's very helpful for people who areconsidering having a procedure. So I want
to thank you for calling the secret. Yes, of course, and if

(16:32):
I may, to all of thelisteners, Doctor Perry I've been going to
for years now. I can't sayenough. I trust you implicitly, and
I hope you're practicing for many yearsto come, because that's my fear.
When you stop practicing, I don'tknow who I would trust. So go
to him. He's awesome at anytype of procedure that you're thinking about having.
Don't worry, You're in good hands. Well, I've been practicing a

(16:55):
long time. But I like totell people. You know, my father
was ninety one going to work whenhe died. How's that? You know?
So he was a dentist in HeilandFalls, New York, and you
know it took a shower getting readyto go. That's that's how you want
to go, right, you know? I love I love working, and
I don't know if I'll be aplastic surgeon into my nineties, but certainly

(17:18):
I love what I do and myhands don't shake. And maybe some people
say that I'm losing my mind.No I'm not. That's only my co
host. But not you, Georgianathe suit Susan, where is she anyway?
Thank you so much. I reallyappreciate all your comments. Of course,
everyone have a wonderful weekend. Thankyou, Doctor Perry, so you

(17:40):
soon, Okay, thanks so much. I board certified plastic surgeon, doctor
Arthur Perry, host of this show, which we call maybe What's Your Wrinkle?
Maybe we call it, you know, a cosmetic surgery show, or
whatever it is we're going to callthis show. I want to thank you
for listening. The phone number hereat wo R is eight hundred three to
one zero seven ten. I didn'teven tell you know what we're gonna be

(18:03):
talking about tonight after that phone call. It's the menopause Makeover. How's that
one? The menopause make you know, not the mommy makeover. Not.
This is not for women who justhad their babies and their their bodies have
been ravaged by pregnancy. Now we'retalking about women, which are you know,
most of my patients, you know, the fifty year olds, sixty

(18:26):
year olds, people who have justgone through menopause, and boy, it
does a number on your body andyour mind. Yes it does. And
but menopause doesn't have to be sobad because we have plastic surgery procedures.
They're gonna help you get through menopause. So when we come back from our
break the menopause makeover, and giveme a call eight hundred three to two

(18:48):
one zero seven ten. Eight hundredthree two one zero seven ten will be
back after these words. Did youknow that your skincare may be hurting you
more than helping you. I'm boardcertified plastic surgeon, doctor Arthur Perry.
The foundation for looking good is clean, healthy skin. So I've created a

(19:11):
program that is so simple that everyonecan stay on it long enough to see
real results. It starts with anincredible skin cleaner called clean Time. It's
actually good for your skin. Protectyour skin with my Daytime SPF twenty cream
in the evening, feed your skinwith my Powerhouse Nighttime serum. Nighttime has
vitamin CNA, antioxidants and skin brighteners. And if you like moisturizers, well,

(19:37):
I've created Soft Time with seramides andvitamin D. Throw away the bags
of useless products and try doctor Perry'sskincare. Join the thousands of people whose
skin is healthier. Use the fifteenwor radio code on Amazon dot com for
a fifteen percent discount. That's fifteenwor radio when checking out and enjoy free

(19:59):
shipping if you're a prime and don'tforget to listen to my radio show right
here on wo R every Saturday eveningat six pm. You are listening to
What's Your Wrinkle with Doctor Arthur Perry. What's your Wrinkle? And we are
back and this is a show aboutyou. This is a show about your
wrinkles, about your splotchy pigmentation.This is a show about trichloro acetic acid

(20:21):
peels, or facelifts, or eyelidlifts or breastlifts, all the lifts right,
you know, because as you getolder, things tend to go south
and you get jowls. That's yourcheek. The fat and the fibrous tissue
and the muscles of your face tendto follow gravity and head south and obscure
the jawline. Yeah, we allknow that your upper eyelids tend to get

(20:45):
a little bit more skin on theupper eyelids and that obscures that beautiful contour
of your upper eyelids so that whenyou put makeup on, you can't even
see the makeup. And the samething happens to your breasts. The breasts
tend to droop as you get older. Now that that's accentuated by pregnancy and
accentuated by weight gain and then weightloss, but even independent of that,

(21:08):
we all know that your breasts kindof droop as you get older and when
you hit menopause. When you hitmenopause, and some people that's in the
forties, and even some people hitmenopause in the late thirties, but most
people it's in the late forties,fifties, and some people early sixties.
But by then, your periods andyou've had enormous changes in the hormones that

(21:33):
are made in your body, theestrogen and progesterone. And we're not going
to get into the endochronology of menopause, but you know what happens because almost
overnight, you look in the mirrorand things have changed. You look in
the mirror and you've developed wrinkles.You look in the mirror and your hair
begins to change color very rapidly.It goes from the brown or blonde to

(21:57):
starting to get mixed colors of gray, eventually white. We start to see
wrinkles around the mouth in an acceleratedway. So while you're in your twenties,
you for the most part, don'thave any wrinkles. In the thirties,
you tend to start getting some ofthe wrinkles, particularly those of you

(22:18):
who smoke. And I bet notmany smokers listen to the show because smokers
don't care about their appearance, orthey must not because they're killing themselves.
But that's a whole different story.But certainly lots of my patients abused themselves
in the sun. They went totanning salons, they went out to the
beach. They're at the beach today. They're coming in right now off of

(22:38):
the beach, the Jersey Shore andthe Hamptons and the Connecticut right they're coming
in and they've just baked. Andafter twenty minutes of a sunshine, you
wind up getting wrinkles because you getchanges in your skin and suppression of your
skin and the creation of all sortsof chemicals that accel rate the development of

(23:00):
wrinkles, splotchy pigmentation, those redcapillaries of the face, all the rough
skin, all the things that youget as you get older, and that
is absolutely accelerated by the decline andestrogen in your skin. So estrogen is
a youthful hormone right now, Again, it's beyond the scope of this show

(23:21):
to discuss hormone replacement therapy, althoughwe've had people like doctor Michael Roysen come
on the show and others talking abouthormone replacement therapy. But I'm here to
talk about what I do as aplastic surgeon. When you hit metopause,
and so many women come in atthe time of metopause and they say,

(23:41):
you know, I've had an agingspurt. They haven't said that. I
use that term. Yeah, Ikind of coin that term, the aging
spurt. Right. Children have growthspurts, right, you know, they
come in, they come into theirpediatrician or their family doctor. You know,
six months ago they were five totwo now they're five to seven.
Had that happen, and it doeswell, the same thing happens. As

(24:02):
your hormones decline as you get older, you wind up getting aging spurts.
Also, your estrogen and progesterone decline, thyroid hormone declines, growth hormone declines,
and other hormones that are very complexthat you know, I could mention
if this was an endochronology lecture,but they all tend to decline as you
get older, and the sum totalof that is that you look old.

(24:26):
We are programmed, unfortunately, todie, we're programmed to wither away.
But we don't have to do thatso quickly, do we. You know,
back in the old days, tenthousand years ago, maybe you lived
to twenty or thirty years old,because in those days you didn't really age.
You didn't because infections got you,and if the infections didn't get you,

(24:47):
the lions got you, so youdidn't really live too long. Your
life expectancy ten thousand years ago mighthave been twenty five thirty years old.
That's why menstruation starts at a veryyoung age, because you had and nature.
You had to have your children early, you know, have two,
three, four children before you died. But now we're living longer, thank

(25:08):
god, right, we're living longerover the last certainly over the last fifty
years, our life expectancy has changeddramatically, and now people live into their
eighties on average, and it's youknow, it just went down a bit.
A couple of years were lost becauseof COVID, but for the most
part, we're living longer and we'reliving healthier lives. And we understand how

(25:30):
to live healthier lives with better diets, less hopefully drugs and smoking and alcohol.
Well many of you do, maybemany of you do not. Certainly
smoking has declined over the last fivedecades, although marijuana use has gone way
up, and that's just as badas smoking, in fact, even worse
if you're a teenager. But againthat's subject for a different day. What

(25:52):
we're talking about are the changes youhave, the wrinkles that you get,
the splotchiness, the rough skin,and the sagging. And when we come
back from our break, I'm goingto talk about the menopause makeover, not
the mommy makeover, but the menopausemakeover, because I get so many women
that come into my office and say, what do I do? What do

(26:15):
I do? And it's complicated bythe fact that half of you wind up
getting divorced, not because of menopauseor anything like that, but those are
the statistics that you know, womenand men out there, about half of
you will wind up divorced in yourour career and you're not your career but
your your life, and you'll findyourself out there looking to maybe date in

(26:38):
your fifties and sixties, and seventies, and or maybe a spouse has passed
away, and so you come inand you say, what am I gonna
do? I've got to look better. So when we come back from our
break, we're going to talk aboutthe menopause makeover. Eight hundred three two
one zero seven ten is the phonenumber here at wo R eight hundred three

(26:59):
two one zero seven ten. I'llbe 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. But that'swhere plastic surgery comes in. I'm
board certified plastic surgeon, Doctor ArthurPerry, and I love helping patients look

(27:23):
younger and better. If you've gotsagging cheeks, jowls, and that dreaded
turkey gobbler, it might be timefor 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 ora laser peel, well, that might
be just what it takes to getyou looking as good as you feel.
Let's sit down for an hour consultationin my new Park Avenue office. Together,

(27:45):
we'll come up with a plan tohelp you look your best. Give
me a call at eight three threePerry MD. That's a three three p
E r R Y m D.Check me out on the web at Periplasticsurgery
dot com and don't forget to listento me doctor Arthur Perry, every Saturday
evening at six pm. Right hereon wo R you're listening to What's Your

(28:07):
Wrinkle with Doctor Arthur Perry. What'sYour Wrinkle? And we are back on
board certified plastic surge Doctor Arthur Perry, host of this show, which is
now a podcast that you're probably listeningto because we have so many new listeners
all over the world listening to thepodcast on iHeart, on Apple, on
buzz Sprout, everywhere that you canget your podcasts, So go ahead and

(28:32):
subscribe. So, before we getinto the menopause makeover, I wanted to
talk a little bit about my daughter'scompany. Do you remember a few weeks
ago we had my daughter, MeredithPerry on the show. She actually co
hosted, and she talked a littlebit about her company called ellamind E L
E M I N D tech dotcom elamintech dot com. And she said,

(28:56):
well, where we have this newproduct coming out that will help you
get to sleep. And I said, you got to come on the show
when the product is out there.And this is the week. Last week
they actually came out with the product. This is a headband. Meredith's not
on this evening, but I'm goingto talk a little bit about her product

(29:18):
because it's the coolest thing on earth. If you have trouble getting to sleep,
then you're going to want to lookinto this. It's a headband,
and it's the coolest thing because it'sa very high tech headband. My daughter
didn't develop it, but the MITPHDS, the neuroscientists did, She's just the
CEO of the company. But thisparticular product that they have as a headband,

(29:40):
and it emits sounds that sink withyour brain waves. That sounds wild,
right, That's kind of how apacemaker for your heart works. It
emits electricity that sinks with your theelectrical activity in your heart and paces it.
Well. This does something very similarto the brain and it helps you

(30:02):
get to sleep. It's the coolestthing on earth for me. I get
to sleep in about literally fifteen seconds. I put the thing on and bang,
we're out. It's got the sameeffectiveness as ambient. It's really cool.
You can actually get this now.So I'm going to tell you what
her website is. It's Ella mindtech dot com E L E M I

(30:23):
N D tech dot com. Oneword. It's not inexpensive. It's about
three hundred and forty nine dollars.But how much do you spend on ambient?
How much do you how much productivityis lost by being up half the
night trying to get to sleep.And the older you are, by the
way, insomnia is so common,it really is. So you know I've

(30:45):
been there. But if you usesomething like this, give it a try.
Ella Mind Tech, that's what youwant to do. Go to the
website elamind tech dot com and anorder. It's a pre order right now
and I think they're shipping. Idon't know about a month or so from
now, but now's the time toget in on that pre order. So

(31:06):
there you go. All right,But back to menopause. You know,
menopause is a tough time emotionally,it's a tough time for your body it
you know, there's all these emotionalthings that occur at the same time your
skin begins to change your appearance beginsto change. There's a syndrome of kind

(31:29):
of dry, itchy skin that doesoccur during menopause, and that's what you
know. I'm not the biggest fanof moisturizers. However, my moisturizer is
very effective for the syndrome of dryskin of menopause. But the menopause makeover,
well, what is that. Thatis a combination of procedures that is
designed to help you look better duringthis change of life, and that kind

(31:56):
of makes sense. It combines aprocedure for your face with a procedure for
your body. Now, whether ornot this is done at the same time
or a few weeks apart, that'sa complex question. We're going to get
into that during the discussion of menopausemakeovers. But it's not the same as
the Mommy makeover. Now, Mommymakeover is a tummy tuck after pregnancy combined

(32:22):
with a breast procedure, whether it'sa breast lift, breast augmentation, or
breast reduction. And I'm not afan of the Mommy makeover. The concept
is great the Mommy makeover. Theproblem with it is that we should not
be combining other procedures second procedures withtummy tucks because the results could be deadly.
Tummy tucks are procedures that have asignificant complication rate and they take about

(32:46):
three hours. And my opinion isthat when we do a tummy tuck,
we only do a tummy tuck.We don't combine it with other procedures,
possibly a little liposuction of the flanks, but I consider that part of the
tummy tuck procedure not going into abreast augmentation, breastlift, or breast reduction,
which is the classic mommy makeover.So that's my disclaimer. Mommy makeovers,

(33:08):
no mommy makeovers on two separate dates. They're fine. Menopause makeover an
entirely different situation because menopause makeovers takea breast procedure, which are fairly low
risk procedures, and the most commonone that I do in the menopause makeover

(33:28):
is a breast lift. So we'lldo. Here's what happens. Okay,
you know what happens. As youget older, Your breast begin to droop,
and they do that for a bunchof different reasons. First of all,
when you're pregnant, the breast tissuegrows and it squeezes the fat in
your breast, and the fat actuallydeclines during pregnancy. The breast tissue grows

(33:51):
during pregnancy. The sum total ofthose events is that your skin has been
stretched out with larger breasts in pregnancy, and then after the pregnancy is over,
when you stop breastfeeding, your breastsinvoluted, So the volume actually decreases
to a lower volume than you hadbefore pregnancy because the fat is less and
the skin is stretched out. Soyou have a combination of overstretched skin and

(34:14):
lower volume, and that results indroopy breasts. Your nipple descends on your
breasts, and while it used tobe at the crease, at the level
of your crease, sometimes it canbe halfway to your belly button. So
a breast lift procedure is a reallynice procedure because it takes about three hours
some cases less. It's done undergeneral anthesis. That's how I prefer to

(34:37):
do it. It's an outpatient procedureand one where you could go back to
work forty eight hours later because it'snot a painful procedure. And the reason
it's not painful it seems like alot of cutting, Yeah, because what
we're doing is decreasing the amount ofskin and matching up the skin to your
breast volume, and the skin isactually your broad Now the skin whole hold

(35:00):
up your breast tissue and holds yournipple to an appropriate level, so in
and out of clothing you'll look better. Yes, there are scars, and
you have to contend with that.Your plastic surgeon will show you photographs of
scars. They're not going to bevisible in any clothing unless you show a
lot of breast tissue in your Isuppose if you go to the met gala
and show half of your body,well, you might see if you've had

(35:22):
a breastlift procedure. But for mostof you who wear normal clothing what's normal,
right, but clothing that doesn't showyour arela, even low cut clothing,
you're not going to see the incisionsof a breastlift. My patients almost
uniformly tell me after a breastlift thatwhy did I do this before? Why

(35:45):
did I wait till I was fiftyfive? Why did I do it when
I was forty five? Because thenI would have had the enjoyment of having
my breasts at a higher level,not have to use those more. Backing
to bathing suits, and if youwant to go bralists, you don't have
to worry about the position of yourbreasts if you've had a breastlift because things

(36:06):
look nice without having to have brasor having to have backed bathing suits.
So that's a breastlift. It takesabout three hours to do. And the
reason we can do other procedures likean eyelid lift or like a facelift with
that is because the procedure has lowrisk. A tummy tuck has the risk

(36:30):
of having a blood clot. That'swhy we don't want to combine tummy tucks
with other procedures. We don't havethat risk with a breastlift procedure, and
we don't have that risk with afacelift. Now, having said that,
there's always that chance, right becauseif you're on the operating room table for
an extended period of time, thereis a chance if you've got risk of
having a blood clot, and we'retalking about a DVT a blood clot in

(36:52):
your leg. That's the risk ofa longer procedure in the operating room,
and that may be a reason whywe might not want to do a breast
reduction along with a facelift, becausethat's a long day in the operating room
for you. But if you hada breastlift, which is a lift which
is about a three hour procedure,and an upper elid lift, which is
about a one hour procedure, which, by the way, that's the most

(37:15):
common combination of the menopause makeover thatI do. It's the upper eyelid lift
and a breastlift at the same time. It's about four hours of surgery.
Again, we do it. Youleave about an hour after the procedure.
We do these procedures in the GreenitechStreet facility and you go back to work.
If it's just the breast procedure twodays later. If you're having your

(37:37):
eyelids done well, you'll feel likeyou could work in two days, but
you're gonna not go back to workbecause of the bruising and the swelling of
your eelids from your eyelid surgery.So the menopause makeover, there are lots
of different ways to do it.We could do a breastlift and a facelift,
but that is a lot of surgery. That is about about seven hours

(37:58):
of surgery in one day, whichin my opinion, can be done if
we're going to keep you overnight inthe hospital, but we don't want to
do seven hours of surgery as anoutpatient procedure. That's not the smartest thing
to do. So what do wedo in that situation? If you wanted,
let's say, a breast reduction anda facelift as your menopause make over,

(38:19):
Well, we do on different days, So we might do a breast
reduction today or tomorrow or Monday.And that's a procedure that, depending on
the size of your breast, takesanywhere from two and a half to five
hours. So if you are onehundred and eighty pounds and you're a forty

(38:39):
gg bra, that's going to bea longer procedure. But if you are
you know, if you're just abig sea cup and you want to be
a small sea cup and you're athirty two or thirty four bra, you
say, well, it's a smallreduction. Those are the reductions that are
about the same time as a breastlift, and it might be two and a

(38:59):
half three hours. I do dothose under general antesesia. Technically you could
do those under sedation, but itinvolves numbing up the nerves underneath the ribs.
Those are called nerve blocks, andin my opinion, those not the
safest thing. I mean, theycan be done, but you really need

(39:21):
to have a chest X right afterwards, because there have been a cult collapse
of lungs after it's called the pneumothoraxafter doing those rib block procedures. And
you know, when I was onthe bord of medical examiners in New Jersey,
we saw a woman who made acomplaint against a doctor who was not
even a plastic surgeon. It wasan ear nose and throat doctor that collapsed

(39:44):
both lungs doing it that way.So it can happen, and you know,
we want to be safe, right, so I prefer general antesesia for
these procedures. When we come backfrom our break, we're gonna talk more
about the menopause makeover procedures, theprocedures that will help you get through menopause
and look better after menopause, becauseit is a quite a life changing event

(40:08):
and that's not a pun. It'sa life changing event because your hormones change
a lot and your appearance changes alot with menopause. So the mommy makeover,
yeah, that's after pregnancy, that'safter you're done with pregnancies. But
the menopause makeover. That's for thoseof you who are anywhere from forty five
to sixty five, the most commonages of menopause. And when we come

(40:30):
back from a break, we're goingto talk more about the procedures that I
do for the menopause makeover. Eighthundred three two one zero seven ten as
the phone number. We'll be backafter these words. Did you know that
your skincare may be hurting you morethan helping you. I'm Board certified plastic

(40:51):
surgeon, Doctor Arthur Perry. Thefoundation for looking good is clean, healthy
skin. So I've created a programthat is so simple that everyone can stay
on it long enough to see realresults. It starts with an incredible skin
cleaner called clean Time. It's actuallygood for your skin. Protect your skin
with my Daytime SPF twenty cream inthe evening, Feed your skin with my

(41:14):
Powerhouse Nighttime serum. Nighttime has vitaminCNA antioxidants and skin brighteners. And if
you like moisturizers, well, I'vecreated Soft Time with seramides and vitamin D.
Throw away the bags of useless productsand try Doctor Perry's skincare. Join
the thousands of people whose skin ishealthier. Use the fifteen WOR radio code

(41:37):
on Amazon dot com for a fifteenpercent discount. That's fifteen wor radio when
checking out, and enjoy free shippingif you're a Prime member, and don't
forget to listen to my radio showright here on WR every Saturday evening at
six pm. They say that sixtyis the new fifty. But while you
may feel and act fifty, themirror doesn't lie. But that's where plastics

(42:00):
comes in. I'm board certified plasticsurgeon, doctor Arthur Perry, and I
love helping patients look younger and better. If you've got sagging cheeks, jowls,
and that dreaded turkey gobbler, itmight be time for a little nip
and a tuck. You look morerested and yes, younger With my short
scar facelift and the artistic injection ofwrinkle filler or a laser peel, well,

(42:20):
that might be just what it takesto get you looking as good as
you feel. Let's sit down foran hour consultation in my new Park Avenue
office. Together, we'll come upwith a plan to help you look your
best. Give me a call ateight three three Perry MD. That's a
three three P E R R YM D. Check me out on the
web at periplastic surgery dot com anddon't forget to listen to me, doctor

(42:42):
Arthur Perry. Every Saturday evening atsix pm. Right here on wo R
you are listening to What's Your Wrinklewith Doctor Arthur Perry. What's your Wrinkle?
Listen and what is your wrinkle?I'm Board certified plastic surgeon, doctor
Arthur Perry. Is this the veryfirst time you've listened to this show?
I bet you we have some firsttime listeners today. And even though I've
been doing this, this radio show, this podcast, whatever we want to

(43:06):
call this, for nineteen years,there are still people who are finding me
as they go through. As yousearch the word plastic surgery on the podcast
internet, there you'll find this particularpodcast. So yeah, I'm a Board
certified plastic surgeon. I trained ingeneral surgery at Harvard Medical School, you

(43:28):
know that place in Boston. Itrained in Burns right here in New York
at New York Hospital now New YorkPresbyterian, and then I trained in plastic
surgery at the University of Chicago,which is the least party school in the
country. I understand it's a youknow, University of Arizona, I think
is like the most the biggest partyschool, or the University of Chicago.

(43:50):
They don't even smile there, andthere are lots of Nobel laureates. But
it's a great place to learn howto operate and do plastic surgery procedures.
I did a fellowship in cosmetic surgeryafter my plastic surgery residency. That was
in Miami, and then I wasa full time professor at Robert Wood Johnson
Medical School in New Jersey. ThenI went into private practice. Now I'm

(44:12):
on the faculty of Columbia as anadjunct associate professor, and still at Roberto
Johnson which is now Rutgers, I'ma clinical associate professor. So that's who
I am. Who are you?Eight hundred three two one zero seven ten
is the phone number? Tell mewho you are? Eight hundred three two
one zero seven ten. So wewere talking about the mommy, not the
mommy, you know, we wantto say mommy make or for the menopause

(44:36):
makeover. The menopause makeover is theuh. They are the procedures that you
have when you hit menopause, andyou look in the mirror and yeah,
you kind of see your mother,your mother looking back at you. So
many of my patients actually have toldme that they look in the mirror and
they love their mother. Right,But do you really want to look because

(44:57):
when you when you remember your you'rein your fifties or so, and your
mother's like seventy or eighty, andthose are the memories. You don't really
remember her when you were four andshe was, you know, thirty something,
right, So you see your motherbecause we're following our genetic destiny.
We're following our destiny to have jowls, following our destiny to have turkey gobblers

(45:19):
in the neck, to have droopingskin everywhere in our bodies, right on
our bodies. And we look inthe mirror, we see gray hair,
we see Oh it's fun getting older, isn't it? Well considered the alternative,
right, but certainly we have thosewrinkles and we have droopy skin.
So a lot of you come inand actually do request that menopause makeover,

(45:39):
you know, something for the mostcommon is the breast procedure and a facial
procedure, but it could be liposuction. It could be it's whatever bothers you
on your body combined with a face. But there are so many of you
that say, you know what,I'm sixty five. I can cover my
body with clothing and you know,only my husband's really going to see my

(46:02):
body, but everybody sees my face, So you know, I really want
to do something about that. Andthat's also it's not the official menopause makeover,
but you know who makes these rulesanyway, So menopause makeover for your
face, that's the most common facialrejuvenation that I actually do. So so
many of you come in and theysay, you know, what do I

(46:23):
do? What do I do?And I go through in a consultation.
I spend a full hour with you. You know, there are a lot
of plastic surgeons that, yeah,they do free consultations. I don't do
a free consultation. I do spendthe full hour with you. The free
consultations you kind of get what youpay for, right and those of you
who have had those you know whatI'm talking about. You'll sit down with

(46:44):
the nurse, the nurse will takesome pictures of you. The nurse will
image you, which is crazy,by the way, you're imaging, you
know, with the digital imaging system, whether it's the Vectra which is the
three D imaging system I use now, or the Camfield two D image,
both of them work really nicely.But it should be done with the surgeon

(47:05):
because you can do what I couldmake you look like a basset hound with
those those digital imaging systems. Right, I could take my old basset hound
and shorten our ears and make hernose look really cute. But you know
we can't do that with in theoperating Well maybe we can, right,
but certainly only the surgeon doing yoursurgery should be doing the imaging because they're

(47:28):
the ones that know exactly what wecan actually accomplish, and it's it's we
can make it look like a thirtyyear old if you're seventy year old with
that digital imaging. And you seethose ads in online, you get those
Instagram ads, they're crazy and youknow they're retouched and they're not real.

(47:49):
They're usually for the skincare and thingslike that. But the surgeon can show
you, an honest plastic surgeon canshow you what you can look like.
And I take take my patients throughdifferent kind of phases of what I can
achieve with the digital imaging. SoI might do just a little bit of
imaging. You know, if you'resixty five years old, we might want

(48:13):
to kind of remove a little bitof that turkey gobbler, but not do
the entire amount, so that youcould see what you'd look like if you
had maybe lip a suction of yourneck as opposed to a facelift. Well,
you know, but the nurse doingdigital imaging might take it all the
way and might remove wrinkles and jowsin a way that you can't really remove

(48:37):
them as a surgeon. So ifyou go for digital imaging, you really
should have the surgeon. And ifthe nurse is doing it, or even
worse, there are marketers that do, they're not even nurses. That's not
a good practice, right. Anyway, I spend an hour with you in
that consultation and we'll go through exactlywhat you can benefit from. And a

(48:58):
lot of people tell me, well, I don't know what to have.
I don't know whether or not itis, you know, a facelift.
I don't know. Hang on asecond, I'm sorry, I just got
a news flash from someone. Butanyway, so the surgeon can tell you

(49:23):
exactly what it is that you cando. So, all right, when
you come to see me in aconsultation and I spend a full hour with
you, we'll go through from yourforehead down to your chin in a facial
exuphenation examination. So I'll look I'llask you to close your eyes first,

(49:44):
and you can't see this with youreyes closed, of course, you can't
see it. But I'll take somephotographs of you with your eyes closed and
your eyes open to find the actualposition of your eyebrows. Your eyebrows,
if you're a woman, should beat or just above the bony rim.
Right as a man, they shouldbe at the bony rim. If they're
lower than the bony rim. Whenwe talk about facial rejuvenation, we probably

(50:07):
should include in it a brow liftor brow PEXI procedure to bring your brows
to a little higher level. Allright, So that's one. We'll look
at the lines of your brow ofyour forehead. If you have horizontal lines,
we're talking about botox or zmin orone of those new things. There's

(50:28):
five different botch a line of toxins, and any one of those is useful
to help those horizontal lines of thebrow, the vertical lines between the brows,
you know, those scornful lines andthe crows feet. That's botox.
So we need to look at that. We then look at your eye lids
to determine is it extra skin?Is it extra fat? Do you have
something called roof fat? One onearth is roof fat? Roof fat?

(50:52):
It's you want the word, Okay, if you're going to a party tonight,
you want that word. It's retroorbicularis oculi fat. Now you know
what it stands for. When yourdoctor says, oh, you've got roof
fat, and it's different. It'snot fat around your eyeball. That's actually
a fat pad that sits on yourbony rim and makes it so that you

(51:12):
kind of look puffy in the upperouter part of your eye. Your doctor
needs to understand that and remove that. Do you know, though, that
there are some cases where amateurs havedone this operation thinking it's fat around there,
and they've actually removed your lachrymal glandin a disastrous procedure. Oh my
goodness, that's the gland that makestears. So your doctor needs to understand.

(51:37):
This is why you don't go toan amateur. This is why you
want a board certified plastic surgeon forthese procedures. You do not want one
of these accidents to happen. Now, Can you guarantee that nothing bad is
going to happen with a board certifiedplastic surgeon. Of course not, but
you lessen the chance of something badhappening when you have someone who's trained six

(51:59):
years in esthetic surgery. So welook at your eyelids, We look at
the lower eyelids. I have tofeel your lower eyelids to make sure they
have good tone, because if theydon't, we need to do some special
procedures to tighten your lower eyelids aswell as remove skin. When I look
at your face, I'll look atthe integrity of your skin. We'll talk
about the skincare program. We'll talkabout whether or not you need filler.

(52:22):
And a lot of people think,well, I can get filler or not
have a facelift. They are notmutually exclusive. That means the patients that
require facelifts and lifting of the jowsand lifting of the neck might also need
filler. They are mutually exclusive.So the filler is for the fine lines

(52:44):
around the mouth. The filler isfor the volume of your lip. The
filler is for your nasal labial folds. The filler is for your marionette lines.
That's what we put use filler for. And sometimes to make your cheeks
and chin bigger. Sometimes we goand and in more cases now than not,
I'll plump up your ear lobes also, because that's one of the understated

(53:06):
things of changing, you know,of growing older, particularly with metopause,
You actually involute your ear lobes andthen those stud earrings turn on their side,
right, you know what I'm talkingabout. So a little bit of
filler goes a long way in yourear lobes. But then we look around
your mouth and will assess the needfor filler, and will assess the need

(53:28):
for yeah, a facelift, becausea facelift is the ultimate procedure to rejuvenate
your face. It will get ridof the extra skin of your face.
It will lift the jowls up towhere they should be, which is not
a coow that the contents of yourjow actually was in your mid cheek before
and it descended down obscuring the borderof your of your face, of your

(53:50):
chin. Then we'll also look atyour neck and we'll look at the bands
in the neck and the fat inthe neck and the integrity of the skin.
Creepy skin. A facelift can't helpcrepy skin, but you know what
can a therah al thearrah is highenergy focused, ultracent. So we have
all these tools and all these methodsof helping you look better as you go

(54:14):
through menopause. A board certified plasticsurgeon such as myself, that's what I
do, will sit down with youfor an hour. We'll look at your
pictures, and I'll also show youpictures of other patients. If you go
to a plastic surgeon and they can'tshow you pictures with other patients, you
gotta wonder why. It's either becausethey're just starting out and they don't have
enough patients, or maybe they don'thave the best results. You know,

(54:37):
it is possible that that, evenif it's a board certified plastic surgeon,
that they can't show you pictures.Every surgeon needs to be able to show
you pictures if they get Now,that doesn't mean they're going to send you
pictures to look at at home.No. A lot of patients tell me
they can that I can use theirpictures in the office, but they don't
want them disseminated online, so yeah, we just keep them there, all

(55:00):
right. That is the menopause makeover. And you know we didn't get to
our other topics, the biggest plasticsurgery trends of twenty twenty four. So
next week when we're back, we'lltalk about that. By the way,
this is rebroadcast at eight o'clock onSunday, so we're on Saturdays at six

(55:20):
now Sundays at eight, and tomix it up a bit, Sundays,
I'm going to do that live showon Sunday and rebroadcast Saturday. You know
you'll never know, but go aheadand listen to both days if you want.
I'm Board certified plastic surgeon, doctorArthur Perry, host of this show
for a long long time, andgo ahead if you want. The website
is Periplasticsurgery dot com. The productsat Amazon dot com. Also you can

(55:45):
pick them up there with all thebenefits of Amazon. Noah, thanks so
much for great engineering. It's alwaysa little bit difficult with these remote broadcasts,
but thank you so much for yourpatients. I'm board certified plastic surgeon,
doctor Arthur Perry. We'll see everybodyagain six o'clock now next week,
bye bye now. The proceeding wasa paid podcast. iHeartRadio's hosting of this

(56:08):
podcast constitutes neither an endorsement of theproducts offered or the ideas expressed