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 that
public doesn't get a damn.
Speaker 4 (00:30):
And I went to his office and I said, I said,
look at my face. He goes, yeah, look at your face.
We're going to do with your fan. What can you
do with his face? I go like that, I said,
what got?
Speaker 2 (00:37):
I go look at this?
Speaker 4 (00:38):
I'm getting old. I said, I want to maybe get
fix it up a little bit.
Speaker 5 (00:40):
Doctor Oz, are you there, I'm here Ark, and I
want to get a plauged you. Having worked with you
on a book and numerous other activities, you want to talk.
Speaker 4 (00:46):
To Arthur Perry the best in plastic.
Speaker 5 (00:49):
Surgery, workable knowledge, but also your grace at delivering content
which is why it's been a blessing to have you
on my show so many times.
Speaker 3 (00:54):
When I was a resident at the University of Chicago,
we had a me you.
Speaker 5 (00:58):
Smart as I really really gift his position. I want
to pay you the highest true I can give to
a surgeon, which is when people come to you, they
don't come for an operation, they come for 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 bows to
this guide and welcome.
Speaker 3 (01:17):
This is Board certified plastic surgeon, doctor Arthur Perry, and
this is what's your wrinkle right here on wo R.
I hope you're all having a great July fourth weekend.
I hope you're being safe. You know, this is one
of the big weekends for plastic surgeons to help you
with your fireworks injuries.
Speaker 4 (01:33):
Let's hope. Let's hope you don't have one, all right.
Speaker 3 (01:36):
This is also straight talk about cosmetic surgery in the
podcast world, which I hope you're doing. I'm a Board
certified plastic surgeon, host of this show for twenty years,
two decades of interesting I think interesting talk about cosmetic surgery,
and that's what we do. We talk about wrinkles, we
talk about jals, We talk about small breasts and droopy breasts,
(01:57):
and fat on the hips, and large noses and retruding
ears and turkey gobblers, and if you've got one of those,
give me a call. Eight hundred three two one zero
seven ten. That's the phone number here at WOR. Eight
hundred three two one zero seven ten. I'm a board
certified plastics church. During the week, I take care of
problems like droopy faces and and yeah, I help you
(02:21):
if you've been I had someone a last week who
was struck in the face and was sewn up at
a local emergency room. They did a lousy job, and
so he came in and I opened things up, fixed
it and made it look a lot better.
Speaker 4 (02:37):
I do that.
Speaker 3 (02:38):
I also take care of moles and skin cancers, but
mostly I take care of facial rejuvenation and things of
that nature. So give me a call. I'm here for you.
Eight hundred three two one zero seven ten. That's the
phone number here at WOR.
Speaker 4 (02:53):
Today.
Speaker 3 (02:54):
We've got a busy show planned for you. I've got
so many things to talk about I'm sure we won't
get to everything, but the American Society for Plastic Surgeons,
they are the big group of plastic surgeons. There's six
thousand of us in the United States, and every year
we compile our statistics which procedures we do the most of,
which we do the least of, and those numbers are
(03:15):
in for twenty twenty four. So we're going to talk
about that. We're gonna talk about No, I get ready
for this. How about do it yourself? Botox the the
miracles never cease, right, Yeah, that's out there. We're going
to talk about vitamin C for the skin, something I've
been talking about for years. There's some new data that
says it's even better than I've told you about. And
(03:39):
I'll take your phone calls. Let's start with Sandra. Soandra,
what kind of you for you? What's your wrinkle?
Speaker 6 (03:44):
Wow? I wanted to say these got Kawdashians. They're so brave.
The mother had two facelifts, and now I understand Kim
Kawdashian wants to do. I think it's called collagen needling.
So I wanted to know what that was. And I
also wanted to say I got a compliment on my complexions,
(04:05):
Doctor Perry, and she asked me what products I used,
and I told her about your products, and I said
my favorite was the nighttime So I had to tell
you that. But I was curious to know about the
college and needling that Kim Kardashian either did or was
speaking about.
Speaker 3 (04:23):
All right, well, I'm not sure exactly what she did
because she's not my patient, probably, but who knows right now,
Really she's not. But seriously, micro needling is what I
understand she's had, So it's not really injection of college needling.
Speaker 4 (04:39):
Well, I don't think there's such a thing.
Speaker 3 (04:41):
What it is is it stimulates the production of collagen maybe,
and that's why they call it collagen micro needling. So
there's lots of different things. We're not actually injecting collagen
into the skin anymore. There's no products available in the
United States. In fact, nineteen eighty one was the year
that collagen was first introduced by a San Francisco plastic surgeon,
(05:05):
and that was all we had for filler. Now we
have hoburonic acid and a lot of other things, but
collagen is not being used. And the reason it's not
being used is because we make antibodies against collagen. There
were many cases of rheumatari, arthritis and other diseases actually
caused by injection of collagen. So we don't want to
(05:26):
use foreign collagen. We don't even use human collagen. We
don't use your own collagen, although there are some things
called platelet rich plasma that supposedly has a little bit
of collagen in, but that's very controversial.
Speaker 4 (05:40):
But what you're.
Speaker 3 (05:41):
Talking about, I believe, is micro needling, which is the
kind of repeated stabbing of the skin. You rake the
skin with these little tiny needles. They could be anywhere
from these one hundred and twenty five dollars devices that
are that we buy from medical suppliers to one hundred
and fifty thousand look like laser things that oscillate the
(06:04):
needles and provide electric current and really what they're supposed
to do. Sometimes we put a a something like vitamin
C on the skin and it forces it into the skin.
Speaker 4 (06:14):
Here's the bottom line.
Speaker 3 (06:15):
I'm not a big fan of micro micro needling because
the data is extremely weak. I reviewed it again today actually,
and I am not convinced. I would not want micro needling.
There's a lot of better ways to make you look better.
A lot of different ways to make you look better.
Plastic surgeons have many, many things in our toolboxes now,
(06:36):
and yeah, you know, micro needling's out there. And the
reason it's out there is because positions, for the most part,
don't do it. They delegate it to their nurses, they
delegate it to their estheticians. It's done in spas and salons,
and it's something that maybe makes your skin look a
little better for a week or two, or three or four.
I'm not so sure. There's a lot of better ways
(06:59):
to approach. So that's my take on micro needling. The Kardashians,
they're wonderful people, but they are not plastic surgeons, and
they don't always do, despite what you might think, Sandra,
the best thing for their appearance.
Speaker 6 (07:13):
All right, yes, thank you, doctor Perry. Have a happy
course of July.
Speaker 3 (07:19):
Thank you too, and thanks for your comments about my nighttime. Nighttime,
she was mentioning is my evening product. It's a serum
that you put on your face before you go to sleep,
so you wash your face and then use it at night.
The reason you use it at night is because there's
ten percent vitamin C l ascorbic acid that's the real
vitamin C. There's also a type of vitamin A in
(07:43):
it that Both of those are light sensitives, So you
don't want to put those things on your face in
the morning because they'll be completely used up destroyed by
the sunlight. So that's the story with that. There's twenty
percent acid in it because the other components are lactic
acid and citric acid and a lot of good things.
(08:03):
So I did sort of the opposite of what many
companies do.
Speaker 4 (08:07):
They fragment products.
Speaker 3 (08:09):
They only put one or two ingredients, usually just one
in the product. And the reason they do that, you
know why they do that because they want you to
buy multiple products. I want you to buy just one
one product. Put it on at night, let it dry
before you go to sleep. If you put it on
and put your head down on the pillow while it's
still wet, you will stain your pillow, because that's what
(08:30):
vitamin C does.
Speaker 4 (08:32):
Vitamin C. By the way, there was a study, a
really good study that.
Speaker 3 (08:35):
Came out in the journal I'm sure you read this Molecules,
that's the journal, a couple months ago, and it talked
about how vitamin C when you eat it or put
it on your skin, kind of changes the genes in
your skin, and it really is probably the single most
effective rejuvenator of your skin. And boy, I'll tell you know,
(08:59):
you spend all this money on these peptides that can't
possibly work, and all these bizarre ingredients that we talk
about every week on the show that are bizarre xisomes
and charcoal and placental things, all this stuff. Turns out
that vitamin C, which is not sexy, has been around
for a couple decades in the form that we put
(09:22):
it on the skin alis scorbic acid.
Speaker 4 (09:25):
It works.
Speaker 3 (09:26):
It works very very well. It stimulates the production of
collagen and is the single best rejuvenator of your skin.
So that's the story. We're gonna take a short break.
I'm doctor Arthur Perry. This is what's your wrinkle? Right
here on w R eight hundred three two one zero
seven ten is a phone number. We'll be back after
these words. Did you know that your skincare may be
(09:56):
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 good for your skin. Protect
(10:17):
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
(10:37):
Perry's Skincare. Join the thousands of people whose skin is healthier.
That's doctor Perry's Skincare on Amazon dot com. And don't
forget to listen to my radio show right here on
WOR every Saturday evening at six pm.
Speaker 6 (10:50):
You are listening to What's your Wrinkle with Doctor Arthur Perry.
What's your wrinkle?
Speaker 4 (10:56):
What is your wrinkle? I'm for certified plastic shertain Doctor
Arthur Perry Time help you look better.
Speaker 3 (11:01):
That's what I do both during the weekend my offices
on Park Avenue in eighty fifth Street, joining also on
sixtieth Street with doctor Caroline Messer. Well By Messer a
great practice. I'm happy to be part of it. And
in Somerset, New Jersey, and I have a slight correction.
Oh my goodness, yeah I do, because I told you
(11:22):
it was in the journal Molecules that story about vitamin C. No, no,
it was actually the Journal of Investigative Dermatology, and it
was just a week or so ago that it was published,
and it showed that vitamin C helps thicken the skin
by directly activating genes that controls skin growth and development.
(11:42):
So it's vitamin C. It directly stimulates the production of collagen.
Sondra was talking about collagen, which is the structural protein
of the skin. It's what's necessary. If we didn't have collagen,
we'd be like a jellyfish.
Speaker 4 (11:56):
You know.
Speaker 3 (11:57):
That's what holds us in. It holds us together, and
it's in our skin, it's around our bones. And collagen
is the structural protein of our body. And vitamin C
is necessary for the production of collagen. But the more
vitamin C you eat up to about eleven hundred milligrams
a day, and the more you put on your skin
up to starting at about five percent, it's got to
(12:19):
be about five percent to make a real difference. It
really helps your skin look better. And now we have
even more evidence that it is a rejuvenator. All right,
so statistics, I love these statistics. Every year the American
Society of Plastic Surgeons published their statistics. They ask the doctors,
all six thousand of us, what we do the most
(12:41):
of and we list, you know, our office staff puts
these things together and we send it in every December
or so when we tell them what we do. Well,
it turns out there's six thousand plastic surgeons in the
United States. Only about a thousand did fill out the
survey this year. So what they do this is just
to to prep you to, with a grain of salt,
(13:02):
take these statistics. They multiply by six any of the
numbers that they get, so that means there's six thousand
plastic surgains, only one thousand filled out the survey. Whatever
numbers of procedures they did, they multiplied by six. Okay,
so what was this year all about? Well, it turns
(13:23):
out very similar to last year.
Speaker 4 (13:26):
The numbers are flat.
Speaker 3 (13:27):
Plastic surgaons would love to come out here and tell you, oh,
it's up ten percent, up twenty percent.
Speaker 4 (13:32):
It's not.
Speaker 3 (13:33):
It's up one percent. And you know what with the
with the error that can be obtained in the method
that they that they sample doctors. Remember they're multiplying one
thousand doctors by six one percent is really not a lot.
So all right, I'd love for you to tell you
(13:55):
that it's wildly popular, but it's still extremely popular. And
the plastic surgery procedures that are, of course the most
common ones are the same ones as last year. Liposuction
otherwise known as liposuction, breast augmentation, tummy tucks, you know
those procedures, facelifts, islid lifts, those are the big, big procedures.
(14:19):
What's interesting, though, interesting is and this is I think controversial,
A lot of plastic surgeons do not think so. This
year they came up with a category of plastic surgeons
prescribing the GLP one drugs. That's like ozempic and wygovi
and zep bound. Right, And I've talked about.
Speaker 4 (14:40):
This on the show. Who should be prescribing these drugs?
Not me?
Speaker 3 (14:44):
I'm telling you I'm a plastic surgeon. I'm the first
to tell you that I'm not the right guy to
prescribe these drugs. I'm not an internal medicine doctor, I'm
not an endocrinologist. I don't follow I don't prescribe drugs
like that, But yet plastic surgeons, to the tune of
over eight hundred thousand patients in the United States, they
prescribe those drugs.
Speaker 4 (15:04):
And you say, well, what's wrong with that, doctor Perry.
Speaker 3 (15:07):
You know, we're not really trained to do those things.
I'm sorry, I don't make friends saying these things because
a lot of my colleagues who might be listening to
the show may be prescribing these drugs. But I don't
think it's appropriate, just like I don't think it's appropriate
for a plastic surgeon to do teeth whitening, nor do
I think it's appropriate for a dentist to be injecting,
(15:28):
you know, things like filler. But you know what, can
I say? I'm a purist. I believe in doing what
you're trained to do. Now, why do you think plastic
surgains might be prescribing those drugs Because twenty percent of
the people that are using the GLP inhibitors, those ygovi
(15:49):
and ozepic and zep bound drugs, about twenty percent of
people ultimately have a surgical procedure to fix the loosened skin.
So when you lose thirty or forty fifty pounds. You
get extra skin out of your neck, you get your
breast droop, your belly, You've got extra skin there, right,
And that's not bad.
Speaker 4 (16:09):
That's a result.
Speaker 3 (16:10):
You were overweight and now you have less weight, and
so the weight's gone. The skin doesn't retract appropriately like
it would if you were twenty years old and lost
weight over five years. It would gradually shrink for the
most part. But not when you have this rapid weight loss. Okay,
I'd still take the rapid weight loss. But why do
plastic surgeons prescribe this? Well, if you refer to an internist,
(16:34):
well maybe that patient won't come back to the plastic surgeon,
you know, maybe they'll go to someone else. My belief is,
go to one of my colleagues at well By Messer.
Go to Caroline Messer. She's an end chronologist. There are
four inter chronologists there, there's interness. Those are the people
that should be prescribing those drugs, not me. Don't ask
me to prescribe that. I'm more than happy to do
(16:56):
the surgical procedure on you. The face slip, the breast slip,
the tummy tuck, those are the things that I like
to do. And if you've lost that kind of weight
and you have extra skin and you want to look
better after the weight loss, by all means, give me
a call for that, but don't call me as a
plastic surgeon to prescribe the drugs. I'm board certified plastic surgeon,
(17:16):
doctor Arthur Perry, host of What's Your Wrinkle? Eight hundred
three two one zero seven ten is the phone number.
We're going to take a short break. There's a lot
more to the show. When we come back, we're going
to talk about do it yourself botox. You cannot believe this.
We'll be right back. They say that sixty is the
(17:42):
new fifty, but while you may feel and act fifty,
the mirror doesn't lie. But that's where plastic surgery comes in.
I'm board certified plastic surgeon, doctor Arthur Perry, and I
love helping patients look younger and better. If you've got
sagging cheeks, jowls, and that dreaded turkey gobbler, it might
be time for a lot nip and a tuck. You
look more rested and yes, younger with my short scar
(18:04):
facelift and the artistic injection of wrinkle filler or a
laser peel. Well, that might be just what it takes
to get you looking as good as you feel. Let's
sit down for an hour consultation in my new Park
Avenue office. Together, we'll come up with a plan to
help you look your best. Give me a call at
eight three three Perry MD. That's a three three p
e r R Y M D. Check me out on
(18:26):
the web at Perryplastic Surgery dot com. And don't forget
to listen to me, doctor Arthur Perry, every Saturday evening
at six pm. Right here on wo R. You're listening
to What's your Wrinkle?
Speaker 6 (18:37):
With Doctor Arthur Perry.
Speaker 4 (18:39):
What's your Wrinkle? And we're back.
Speaker 3 (18:42):
I'm word sort of bid plastic church, doctor Arthur Perry.
And are you listening to this as a podcast? If
you're not, you can. It's free. Those of you who
are not familiar with the podcast word, yeah, most people
are now right.
Speaker 4 (18:55):
You know, it's so easy.
Speaker 3 (18:56):
You go to Apple Podcasts, you go to iHeart Podcasts,
the podcast suppliers or whatever they're called, and put in
my name, doctor Arthur Perry, or put in straight talk
about cosmetic surgery, and you'll come up with mine. You
can listen to any I've got something like I don't
know three four hundred of these podcasts up on the
web that you can listen to anytime you want.
Speaker 4 (19:18):
But hit that subscribe button. Just press it.
Speaker 3 (19:21):
And every week when I post these after this show,
for instance, then you'll be able to You'll get an
email and they'll say, up, there's another one. There's another one.
You can listen anytime you want.
Speaker 4 (19:34):
So that's the way to do it. Please do that.
Speaker 3 (19:36):
It's good for me and it's good for you. All right,
Before we go on to the next topic, let me
just talk again. You know, those of you who have
listened to me over the years, I love the procedures
that have lost popularity. That's that's one thing. Also, you know,
we all know about the ones that gain popularity over
the years. This year is kind of a flat year
in plastic surgery, but there's one standout that has lost
(19:59):
popular and that is the category of non invasive fat reduction.
We're talking about cool sculpting, We're talking about kuy Beella,
We're talking about things like m sculpt You've heard about
these things now. They were wildly popular years ago, and
this year they are down a full forty percent.
Speaker 4 (20:21):
That's huge.
Speaker 3 (20:22):
The other procedures that have lost popularity, there's only only
a couple, not many, but that category way down. Last
year twenty twenty three, there were about seven hundred and
forty six thousand of those procedures. Last year four hundred
and forty eight thousand. That's an enormous drop. And why
(20:43):
do you think that is. We've talked about that on
the show for a long time. You know, I'm not
convinced that those are really good procedures, that's why. And
I think the world is catching on. And when I
talk about the procedures that I like to do, people
ask me, you know, why don't you do this, Why
don't you do that? Try and read the literature. I
do read the literature, and I try to be very
(21:04):
honest with my patients and myself and not just jump
on the bandwagon because everybody else is doing something. But
this is a perfect example of procedures that were so
popular years ago that are they're losing popularity buy you know,
so quickly, and you can see that at the plastic
surgery meetings also when their booths are almost non existent. Okay,
(21:28):
so we're all on the internet now, everybody is.
Speaker 4 (21:32):
There are drugs that you.
Speaker 3 (21:34):
Can buy on the internet that are not legal and
not safe. I'm not talking about illicit drugs. I'm talking
about something like botox. There's one called inotals nnotox. You
can actually buy. This is Korean. They call it Korean botox,
they say. The company says they don't really want to
(21:56):
sell it to non physicians. But it's not licensed by
the FDA, not allowed by the FDA, not supposed to
be sold in the United States. But yet just check
out the internet. There are people buying it. You you know,
I don't know how you get the little needles, but
people are getting needles I guess maybe also on the internet,
(22:17):
or you know, maybe they're saying they're a diabetic or
something like that and going into a drug store and
getting the needles, and they are injecting themselves with this
botch of line of toxin. Now, I can't tell you
how stupid this is and how dangerous it is. And
you're saying, oh, well, you're a self serving plastic surgeon.
Of course you don't want people to be injecting themselves
(22:40):
because it'll only cost them, you know, five hundred, sorry
about fifty or one hundred dollars, that's what it goes for,
as opposed to you know, six hundred dollars or whatever
is charged in a plastic surgeon's office. But let me
tell you there's a lot of damage that you can
do by injecting yourself. First of all, it's not the
easiest thing to do and get it right. But how
(23:01):
do you have any idea how.
Speaker 4 (23:03):
To do this? Are you trained? You know where the
muscle is.
Speaker 3 (23:06):
If you inject too much of this into your neck,
you could actually die, You really could. Or if you say,
you know what, I'm gonna buy three of these vials
or four of these vials and really really get rid
of all those wrinkles on my forehead or whatever, you
could exceed the safe dose and get systemic effects, which
means you might not be breathing after you inject yourself.
Speaker 4 (23:28):
It's just really stupid. I'm sorry. There are some.
Speaker 3 (23:30):
Things that you know, if you cannot afford a plastic
surgeon or a dermatologist doing your botox. And by the way,
when we say botox, it's any of those different drugs
disport javou zemin, those are the ones daxify. There's a
lot of them out there now, but not this one,
not this inotox.
Speaker 4 (23:52):
Don't do it, Please, don't do it.
Speaker 3 (23:54):
It's just not smart. Go to the doctor, get it
done the right way, or don't do it at all.
All right onboard Certified plastic surgeon, Doctor Arthur Perry, hosts
of this show for a long time, maybe just for
a minute. How do you know if you look at
your breasts and they're droopy, how do you know whether
it should be a breast augmentation or a breast lift?
Speaker 4 (24:18):
How do you know that? Well?
Speaker 3 (24:19):
A lot of people ask me that they come into
the office. They say, I want implants, and my question
is are you happy with the size of your breast?
It sounds like a very basic question. A lot of
people who think they want implants say, yeah, I'm actually
happy with the size, but look at my breast. Now,
that's not the answer. Implants are not the answer. If
you're happy with the size of your breast, it may
(24:41):
well be a breast lift. If you had pregnancies, if
you've lost weight, then your skin stretched out during those
pregnancies or when you were overweight, and when you lose
the weight, the skin, you know, kind of droops there.
The volume of your breast is less, and it is
a breast lift, which is such a nice procedure, a
(25:01):
very high satisfaction procedure. So that's your answer. If it's
if you're happy with the size of your breast, don't
have implants. All right, The show is so quick now,
it's only a half an hour. If you want more
information about me, check out my website. It's Peryplasticsurgery dot com.
If you're interested in the products that we have on
you know, the Nighttime, the Daytime, soft Time, and clean Time,
(25:26):
the most incredible soap, get them now on Amazon Amazon
dot com. They're so good, they really are. If you're
not on Amazon, you should be. I mean, everybody is right.
Amazon is so incredible. You could order tonight and have
it so quickly. And we've got the subscriptions now on Amazon,
all the things you've been asking me for over the years.
(25:47):
So go to Amazon dot com and those products are available.
All right, Noah, thanks so much for great engineering. As usual,
check me out If you're interested in making an appointment.
Two k you seven five three eighteen twenty. That's two
and two seven five three eighteen twenty. Please stay very
careful this weekend with the fireworks.
Speaker 4 (26:09):
We don't want to have to take care of.
Speaker 3 (26:11):
The little fingers that are blown off. It happens every year.
Don't do it. Stay safe and don't forget the sunscreen.
Bye bye, now, have a great one's see you next week.
Speaker 1 (26:19):
The preceeding 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 that
public doesn't get a damn.
Speaker 4 (00:30):
And I went to his office and I said, I said,
look at my face. He goes, yeah, look at your face.
We're going to do with your fan. What can you
do with his face? I go like that, I said,
what got?
Speaker 2 (00:37):
I go look at this?
Speaker 4 (00:38):
I'm getting old. I said, I want to maybe get
fix it up a little bit.
Speaker 5 (00:40):
Doctor Oz, are you there, I'm here Ark, and I
want to get a plauged you. Having worked with you
on a book and numerous other activities, you want to talk.
Speaker 4 (00:46):
To Arthur Perry the best in plastic.
Speaker 5 (00:49):
Surgery, workable knowledge, but also your grace at delivering content
which is why it's been a blessing to have you
on my show so many times.
Speaker 3 (00:54):
When I was a resident at the University of Chicago,
we had a me you.
Speaker 5 (00:58):
Smart as I really really gift his position. I want
to pay you the highest true I can give to
a surgeon, which is when people come to you, they
don't come for an operation, they come for 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 bows to
this guide and welcome.
Speaker 3 (01:17):
This is Board certified plastic surgeon, doctor Arthur Perry, and
this is what's your wrinkle right here on wo R.
I hope you're all having a great July fourth weekend.
I hope you're being safe. You know, this is one
of the big weekends for plastic surgeons to help you
with your fireworks injuries.
Speaker 4 (01:33):
Let's hope. Let's hope you don't have one, all right.
Speaker 3 (01:36):
This is also straight talk about cosmetic surgery in the
podcast world, which I hope you're doing. I'm a Board
certified plastic surgeon, host of this show for twenty years,
two decades of interesting I think interesting talk about cosmetic surgery,
and that's what we do. We talk about wrinkles, we
talk about jals, We talk about small breasts and droopy breasts,
(01:57):
and fat on the hips, and large noses and retruding
ears and turkey gobblers, and if you've got one of those,
give me a call. Eight hundred three two one zero
seven ten. That's the phone number here at WOR. Eight
hundred three two one zero seven ten. I'm a board
certified plastics church. During the week, I take care of
problems like droopy faces and and yeah, I help you
(02:21):
if you've been I had someone a last week who
was struck in the face and was sewn up at
a local emergency room. They did a lousy job, and
so he came in and I opened things up, fixed
it and made it look a lot better.
Speaker 4 (02:37):
I do that.
Speaker 3 (02:38):
I also take care of moles and skin cancers, but
mostly I take care of facial rejuvenation and things of
that nature. So give me a call. I'm here for you.
Eight hundred three two one zero seven ten. That's the
phone number here at WOR.
Speaker 4 (02:53):
Today.
Speaker 3 (02:54):
We've got a busy show planned for you. I've got
so many things to talk about I'm sure we won't
get to everything, but the American Society for Plastic Surgeons,
they are the big group of plastic surgeons. There's six
thousand of us in the United States, and every year
we compile our statistics which procedures we do the most of,
which we do the least of, and those numbers are
(03:15):
in for twenty twenty four. So we're going to talk
about that. We're gonna talk about No, I get ready
for this. How about do it yourself? Botox the the
miracles never cease, right, Yeah, that's out there. We're going
to talk about vitamin C for the skin, something I've
been talking about for years. There's some new data that
says it's even better than I've told you about. And
(03:39):
I'll take your phone calls. Let's start with Sandra. Soandra,
what kind of you for you? What's your wrinkle?
Speaker 6 (03:44):
Wow? I wanted to say these got Kawdashians. They're so brave.
The mother had two facelifts, and now I understand Kim
Kawdashian wants to do. I think it's called collagen needling.
So I wanted to know what that was. And I
also wanted to say I got a compliment on my complexions,
(04:05):
Doctor Perry, and she asked me what products I used,
and I told her about your products, and I said
my favorite was the nighttime So I had to tell
you that. But I was curious to know about the
college and needling that Kim Kardashian either did or was
speaking about.
Speaker 3 (04:23):
All right, well, I'm not sure exactly what she did
because she's not my patient, probably, but who knows right now,
Really she's not. But seriously, micro needling is what I
understand she's had, So it's not really injection of college needling.
Speaker 4 (04:39):
Well, I don't think there's such a thing.
Speaker 3 (04:41):
What it is is it stimulates the production of collagen maybe,
and that's why they call it collagen micro needling. So
there's lots of different things. We're not actually injecting collagen
into the skin anymore. There's no products available in the
United States. In fact, nineteen eighty one was the year
that collagen was first introduced by a San Francisco plastic surgeon,
(05:05):
and that was all we had for filler. Now we
have hoburonic acid and a lot of other things, but
collagen is not being used. And the reason it's not
being used is because we make antibodies against collagen. There
were many cases of rheumatari, arthritis and other diseases actually
caused by injection of collagen. So we don't want to
(05:26):
use foreign collagen. We don't even use human collagen. We
don't use your own collagen, although there are some things
called platelet rich plasma that supposedly has a little bit
of collagen in, but that's very controversial.
Speaker 4 (05:40):
But what you're.
Speaker 3 (05:41):
Talking about, I believe, is micro needling, which is the
kind of repeated stabbing of the skin. You rake the
skin with these little tiny needles. They could be anywhere
from these one hundred and twenty five dollars devices that
are that we buy from medical suppliers to one hundred
and fifty thousand look like laser things that oscillate the
(06:04):
needles and provide electric current and really what they're supposed
to do. Sometimes we put a a something like vitamin
C on the skin and it forces it into the skin.
Speaker 4 (06:14):
Here's the bottom line.
Speaker 3 (06:15):
I'm not a big fan of micro micro needling because
the data is extremely weak. I reviewed it again today actually,
and I am not convinced. I would not want micro needling.
There's a lot of better ways to make you look better.
A lot of different ways to make you look better.
Plastic surgeons have many, many things in our toolboxes now,
(06:36):
and yeah, you know, micro needling's out there. And the
reason it's out there is because positions, for the most part,
don't do it. They delegate it to their nurses, they
delegate it to their estheticians. It's done in spas and salons,
and it's something that maybe makes your skin look a
little better for a week or two, or three or four.
I'm not so sure. There's a lot of better ways
(06:59):
to approach. So that's my take on micro needling. The Kardashians,
they're wonderful people, but they are not plastic surgeons, and
they don't always do, despite what you might think, Sandra,
the best thing for their appearance.
Speaker 6 (07:13):
All right, yes, thank you, doctor Perry. Have a happy
course of July.
Speaker 3 (07:19):
Thank you too, and thanks for your comments about my nighttime. Nighttime,
she was mentioning is my evening product. It's a serum
that you put on your face before you go to sleep,
so you wash your face and then use it at night.
The reason you use it at night is because there's
ten percent vitamin C l ascorbic acid that's the real
vitamin C. There's also a type of vitamin A in
(07:43):
it that Both of those are light sensitives, So you
don't want to put those things on your face in
the morning because they'll be completely used up destroyed by
the sunlight. So that's the story with that. There's twenty
percent acid in it because the other components are lactic
acid and citric acid and a lot of good things.
(08:03):
So I did sort of the opposite of what many
companies do.
Speaker 4 (08:07):
They fragment products.
Speaker 3 (08:09):
They only put one or two ingredients, usually just one
in the product. And the reason they do that, you
know why they do that because they want you to
buy multiple products. I want you to buy just one
one product. Put it on at night, let it dry
before you go to sleep. If you put it on
and put your head down on the pillow while it's
still wet, you will stain your pillow, because that's what
(08:30):
vitamin C does.
Speaker 4 (08:32):
Vitamin C. By the way, there was a study, a
really good study that.
Speaker 3 (08:35):
Came out in the journal I'm sure you read this Molecules,
that's the journal, a couple months ago, and it talked
about how vitamin C when you eat it or put
it on your skin, kind of changes the genes in
your skin, and it really is probably the single most
effective rejuvenator of your skin. And boy, I'll tell you know,
(08:59):
you spend all this money on these peptides that can't
possibly work, and all these bizarre ingredients that we talk
about every week on the show that are bizarre xisomes
and charcoal and placental things, all this stuff. Turns out
that vitamin C, which is not sexy, has been around
for a couple decades in the form that we put
(09:22):
it on the skin alis scorbic acid.
Speaker 4 (09:25):
It works.
Speaker 3 (09:26):
It works very very well. It stimulates the production of
collagen and is the single best rejuvenator of your skin.
So that's the story. We're gonna take a short break.
I'm doctor Arthur Perry. This is what's your wrinkle? Right
here on w R eight hundred three two one zero
seven ten is a phone number. We'll be back after
these words. Did you know that your skincare may be
(09:56):
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 good for your skin. Protect
(10:17):
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
(10:37):
Perry's Skincare. Join the thousands of people whose skin is healthier.
That's doctor Perry's Skincare on Amazon dot com. And don't
forget to listen to my radio show right here on
WOR every Saturday evening at six pm.
Speaker 6 (10:50):
You are listening to What's your Wrinkle with Doctor Arthur Perry.
What's your wrinkle?
Speaker 4 (10:56):
What is your wrinkle? I'm for certified plastic shertain Doctor
Arthur Perry Time help you look better.
Speaker 3 (11:01):
That's what I do both during the weekend my offices
on Park Avenue in eighty fifth Street, joining also on
sixtieth Street with doctor Caroline Messer. Well By Messer a
great practice. I'm happy to be part of it. And
in Somerset, New Jersey, and I have a slight correction.
Oh my goodness, yeah I do, because I told you
(11:22):
it was in the journal Molecules that story about vitamin C. No, no,
it was actually the Journal of Investigative Dermatology, and it
was just a week or so ago that it was published,
and it showed that vitamin C helps thicken the skin
by directly activating genes that controls skin growth and development.
(11:42):
So it's vitamin C. It directly stimulates the production of collagen.
Sondra was talking about collagen, which is the structural protein
of the skin. It's what's necessary. If we didn't have collagen,
we'd be like a jellyfish.
Speaker 4 (11:56):
You know.
Speaker 3 (11:57):
That's what holds us in. It holds us together, and
it's in our skin, it's around our bones. And collagen
is the structural protein of our body. And vitamin C
is necessary for the production of collagen. But the more
vitamin C you eat up to about eleven hundred milligrams
a day, and the more you put on your skin
up to starting at about five percent, it's got to
(12:19):
be about five percent to make a real difference. It
really helps your skin look better. And now we have
even more evidence that it is a rejuvenator. All right,
so statistics, I love these statistics. Every year the American
Society of Plastic Surgeons published their statistics. They ask the doctors,
all six thousand of us, what we do the most
(12:41):
of and we list, you know, our office staff puts
these things together and we send it in every December
or so when we tell them what we do. Well,
it turns out there's six thousand plastic surgeons in the
United States. Only about a thousand did fill out the
survey this year. So what they do this is just
to to prep you to, with a grain of salt,
(13:02):
take these statistics. They multiply by six any of the
numbers that they get, so that means there's six thousand
plastic surgains, only one thousand filled out the survey. Whatever
numbers of procedures they did, they multiplied by six. Okay,
so what was this year all about? Well, it turns
(13:23):
out very similar to last year.
Speaker 4 (13:26):
The numbers are flat.
Speaker 3 (13:27):
Plastic surgaons would love to come out here and tell you, oh,
it's up ten percent, up twenty percent.
Speaker 4 (13:32):
It's not.
Speaker 3 (13:33):
It's up one percent. And you know what with the
with the error that can be obtained in the method
that they that they sample doctors. Remember they're multiplying one
thousand doctors by six one percent is really not a lot.
So all right, I'd love for you to tell you
(13:55):
that it's wildly popular, but it's still extremely popular. And
the plastic surgery procedures that are, of course the most
common ones are the same ones as last year. Liposuction
otherwise known as liposuction, breast augmentation, tummy tucks, you know
those procedures, facelifts, islid lifts, those are the big, big procedures.
(14:19):
What's interesting, though, interesting is and this is I think controversial,
A lot of plastic surgeons do not think so. This
year they came up with a category of plastic surgeons
prescribing the GLP one drugs. That's like ozempic and wygovi
and zep bound. Right, And I've talked about.
Speaker 4 (14:40):
This on the show. Who should be prescribing these drugs?
Not me?
Speaker 3 (14:44):
I'm telling you I'm a plastic surgeon. I'm the first
to tell you that I'm not the right guy to
prescribe these drugs. I'm not an internal medicine doctor, I'm
not an endocrinologist. I don't follow I don't prescribe drugs
like that, But yet plastic surgeons, to the tune of
over eight hundred thousand patients in the United States, they
prescribe those drugs.
Speaker 4 (15:04):
And you say, well, what's wrong with that, doctor Perry.
Speaker 3 (15:07):
You know, we're not really trained to do those things.
I'm sorry, I don't make friends saying these things because
a lot of my colleagues who might be listening to
the show may be prescribing these drugs. But I don't
think it's appropriate, just like I don't think it's appropriate
for a plastic surgeon to do teeth whitening, nor do
I think it's appropriate for a dentist to be injecting,
(15:28):
you know, things like filler. But you know what, can
I say? I'm a purist. I believe in doing what
you're trained to do. Now, why do you think plastic
surgains might be prescribing those drugs Because twenty percent of
the people that are using the GLP inhibitors, those ygovi
(15:49):
and ozepic and zep bound drugs, about twenty percent of
people ultimately have a surgical procedure to fix the loosened skin.
So when you lose thirty or forty fifty pounds. You
get extra skin out of your neck, you get your
breast droop, your belly, You've got extra skin there, right,
And that's not bad.
Speaker 4 (16:09):
That's a result.
Speaker 3 (16:10):
You were overweight and now you have less weight, and
so the weight's gone. The skin doesn't retract appropriately like
it would if you were twenty years old and lost
weight over five years. It would gradually shrink for the
most part. But not when you have this rapid weight loss. Okay,
I'd still take the rapid weight loss. But why do
plastic surgeons prescribe this? Well, if you refer to an internist,
(16:34):
well maybe that patient won't come back to the plastic surgeon,
you know, maybe they'll go to someone else. My belief is,
go to one of my colleagues at well By Messer.
Go to Caroline Messer. She's an end chronologist. There are
four inter chronologists there, there's interness. Those are the people
that should be prescribing those drugs, not me. Don't ask
me to prescribe that. I'm more than happy to do
(16:56):
the surgical procedure on you. The face slip, the breast slip,
the tummy tuck, those are the things that I like
to do. And if you've lost that kind of weight
and you have extra skin and you want to look
better after the weight loss, by all means, give me
a call for that, but don't call me as a
plastic surgeon to prescribe the drugs. I'm board certified plastic surgeon,
(17:16):
doctor Arthur Perry, host of What's Your Wrinkle? Eight hundred
three two one zero seven ten is the phone number.
We're going to take a short break. There's a lot
more to the show. When we come back, we're going
to talk about do it yourself botox. You cannot believe this.
We'll be right back. They say that sixty is the
(17:42):
new fifty, but while you may feel and act fifty,
the mirror doesn't lie. But that's where plastic surgery comes in.
I'm board certified plastic surgeon, doctor Arthur Perry, and I
love helping patients look younger and better. If you've got
sagging cheeks, jowls, and that dreaded turkey gobbler, it might
be time for a lot nip and a tuck. You
look more rested and yes, younger with my short scar
(18:04):
facelift and the artistic injection of wrinkle filler or a
laser peel. Well, that might be just what it takes
to get you looking as good as you feel. Let's
sit down for an hour consultation in my new Park
Avenue office. Together, we'll come up with a plan to
help you look your best. Give me a call at
eight three three Perry MD. That's a three three p
e r R Y M D. Check me out on
(18:26):
the web at Perryplastic Surgery dot com. And don't forget
to listen to me, doctor Arthur Perry, every Saturday evening
at six pm. Right here on wo R. You're listening
to What's your Wrinkle?
Speaker 6 (18:37):
With Doctor Arthur Perry.
Speaker 4 (18:39):
What's your Wrinkle? And we're back.
Speaker 3 (18:42):
I'm word sort of bid plastic church, doctor Arthur Perry.
And are you listening to this as a podcast? If
you're not, you can. It's free. Those of you who
are not familiar with the podcast word, yeah, most people
are now right.
Speaker 4 (18:55):
You know, it's so easy.
Speaker 3 (18:56):
You go to Apple Podcasts, you go to iHeart Podcasts,
the podcast suppliers or whatever they're called, and put in
my name, doctor Arthur Perry, or put in straight talk
about cosmetic surgery, and you'll come up with mine. You
can listen to any I've got something like I don't
know three four hundred of these podcasts up on the
web that you can listen to anytime you want.
Speaker 4 (19:18):
But hit that subscribe button. Just press it.
Speaker 3 (19:21):
And every week when I post these after this show,
for instance, then you'll be able to You'll get an
email and they'll say, up, there's another one. There's another one.
You can listen anytime you want.
Speaker 4 (19:34):
So that's the way to do it. Please do that.
Speaker 3 (19:36):
It's good for me and it's good for you. All right,
Before we go on to the next topic, let me
just talk again. You know, those of you who have
listened to me over the years, I love the procedures
that have lost popularity. That's that's one thing. Also, you know,
we all know about the ones that gain popularity over
the years. This year is kind of a flat year
in plastic surgery, but there's one standout that has lost
(19:59):
popular and that is the category of non invasive fat reduction.
We're talking about cool sculpting, We're talking about kuy Beella,
We're talking about things like m sculpt You've heard about
these things now. They were wildly popular years ago, and
this year they are down a full forty percent.
Speaker 4 (20:21):
That's huge.
Speaker 3 (20:22):
The other procedures that have lost popularity, there's only only
a couple, not many, but that category way down. Last
year twenty twenty three, there were about seven hundred and
forty six thousand of those procedures. Last year four hundred
and forty eight thousand. That's an enormous drop. And why
(20:43):
do you think that is. We've talked about that on
the show for a long time. You know, I'm not
convinced that those are really good procedures, that's why. And
I think the world is catching on. And when I
talk about the procedures that I like to do, people
ask me, you know, why don't you do this, Why
don't you do that? Try and read the literature. I
do read the literature, and I try to be very
(21:04):
honest with my patients and myself and not just jump
on the bandwagon because everybody else is doing something. But
this is a perfect example of procedures that were so
popular years ago that are they're losing popularity buy you know,
so quickly, and you can see that at the plastic
surgery meetings also when their booths are almost non existent. Okay,
(21:28):
so we're all on the internet now, everybody is.
Speaker 4 (21:32):
There are drugs that you.
Speaker 3 (21:34):
Can buy on the internet that are not legal and
not safe. I'm not talking about illicit drugs. I'm talking
about something like botox. There's one called inotals nnotox. You
can actually buy. This is Korean. They call it Korean botox,
they say. The company says they don't really want to
(21:56):
sell it to non physicians. But it's not licensed by
the FDA, not allowed by the FDA, not supposed to
be sold in the United States. But yet just check
out the internet. There are people buying it. You you know,
I don't know how you get the little needles, but
people are getting needles I guess maybe also on the internet,
(22:17):
or you know, maybe they're saying they're a diabetic or
something like that and going into a drug store and
getting the needles, and they are injecting themselves with this
botch of line of toxin. Now, I can't tell you
how stupid this is and how dangerous it is. And
you're saying, oh, well, you're a self serving plastic surgeon.
Of course you don't want people to be injecting themselves
(22:40):
because it'll only cost them, you know, five hundred, sorry
about fifty or one hundred dollars, that's what it goes for,
as opposed to you know, six hundred dollars or whatever
is charged in a plastic surgeon's office. But let me
tell you there's a lot of damage that you can
do by injecting yourself. First of all, it's not the
easiest thing to do and get it right. But how
(23:01):
do you have any idea how.
Speaker 4 (23:03):
To do this? Are you trained? You know where the
muscle is.
Speaker 3 (23:06):
If you inject too much of this into your neck,
you could actually die, You really could. Or if you say,
you know what, I'm gonna buy three of these vials
or four of these vials and really really get rid
of all those wrinkles on my forehead or whatever, you
could exceed the safe dose and get systemic effects, which
means you might not be breathing after you inject yourself.
Speaker 4 (23:28):
It's just really stupid. I'm sorry. There are some.
Speaker 3 (23:30):
Things that you know, if you cannot afford a plastic
surgeon or a dermatologist doing your botox. And by the way,
when we say botox, it's any of those different drugs
disport javou zemin, those are the ones daxify. There's a
lot of them out there now, but not this one,
not this inotox.
Speaker 4 (23:52):
Don't do it, Please, don't do it.
Speaker 3 (23:54):
It's just not smart. Go to the doctor, get it
done the right way, or don't do it at all.
All right onboard Certified plastic surgeon, Doctor Arthur Perry, hosts
of this show for a long time, maybe just for
a minute. How do you know if you look at
your breasts and they're droopy, how do you know whether
it should be a breast augmentation or a breast lift?
Speaker 4 (24:18):
How do you know that? Well?
Speaker 3 (24:19):
A lot of people ask me that they come into
the office. They say, I want implants, and my question
is are you happy with the size of your breast?
It sounds like a very basic question. A lot of
people who think they want implants say, yeah, I'm actually
happy with the size, but look at my breast. Now,
that's not the answer. Implants are not the answer. If
you're happy with the size of your breast, it may
(24:41):
well be a breast lift. If you had pregnancies, if
you've lost weight, then your skin stretched out during those
pregnancies or when you were overweight, and when you lose
the weight, the skin, you know, kind of droops there.
The volume of your breast is less, and it is
a breast lift, which is such a nice procedure, a
(25:01):
very high satisfaction procedure. So that's your answer. If it's
if you're happy with the size of your breast, don't
have implants. All right, The show is so quick now,
it's only a half an hour. If you want more
information about me, check out my website. It's Peryplasticsurgery dot com.
If you're interested in the products that we have on
you know, the Nighttime, the Daytime, soft Time, and clean Time,
(25:26):
the most incredible soap, get them now on Amazon Amazon
dot com. They're so good, they really are. If you're
not on Amazon, you should be. I mean, everybody is right.
Amazon is so incredible. You could order tonight and have
it so quickly. And we've got the subscriptions now on Amazon,
all the things you've been asking me for over the years.
(25:47):
So go to Amazon dot com and those products are available.
All right, Noah, thanks so much for great engineering. As usual,
check me out If you're interested in making an appointment.
Two k you seven five three eighteen twenty. That's two
and two seven five three eighteen twenty. Please stay very
careful this weekend with the fireworks.
Speaker 4 (26:09):
We don't want to have to take care of.
Speaker 3 (26:11):
The little fingers that are blown off. It happens every year.
Don't do it. Stay safe and don't forget the sunscreen.
Bye bye, now, have a great one's see you next week.
Speaker 1 (26:19):
The preceeding 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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