Things That Grow on Your Skin

Episode Transcript

Speaker 1 (00:00):
The following is a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed.

Speaker 2 (00:09):
Well, Doctor Arthur Perry, he's one of the top plastic surgeons.
He's got offices in Manhattan, New Jersey. You know what,
He's been doing the show here on w R for
years and years and years. Very popular show and a
great plastic surgeon. Everybody has questions on this subject, so
he's the guy to ask.

Speaker 3 (00:26):
Doctor Arthur Perry, and the public wants to know.

Speaker 4 (00:28):
That public doesn't get a damn.

Speaker 5 (00:30):
And I went to his office and I said, I said,
look at my face. He goes, yeah, look at your face.
We're going to do with your fan. What can you
do with his face? I go like that, I said,
what I got? I go look at this, I'm getting old.
I said, I want to maybe he get fix it
up a little bit.

Speaker 6 (00:40):
Doctor Oz, are you there, I'm here, Ark, and I
want to get to plagged you. Having worked with you
on a book and numerous other activities.

Speaker 3 (00:46):
You want to talk to Arthur Perry the best in plastic.

Speaker 6 (00:49):
Surgery and workable knowledge, but also your grace at delivering content,
which is why it's been a blessing to have you
on my show so many times.

Speaker 3 (00:54):
When I was a resident at the University of Chicago,
we had a me.

Speaker 6 (00:58):
You smart as I really really gift us 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 an opinion.
And that's why I trust you with my friends and relatives.
I didn't realize we were going to get the Michael
Jordan of Plastic Surgeon nine O two and zero.

Speaker 1 (01:13):
Bows to this guy.

Speaker 3 (01:16):
And welcome to twenty twenty five here on WOR. And yes,
we are back for an unprecedented twenty twentieth season twenty
years Noah on WOR. I'm happy to be back and
happy to bring you information about cosmetic surgery. I am

(01:37):
a board certified plastic surgeon, doctor Arthur Perry, host of
the show through all of its lives, different names and
different co hosts, but we are here tonight and I
hope you'll be part of the show. The phone number
at WR is eight hundred three two one zero seven ten.
Eight hundred three two one zero seven ten. We're on
for an hour this evening. That's probably going to be

(02:00):
a half an hour of the rest of the year.
But we are here to give you the information that
you need to stay safe with cosmetic surgery. So who
am I? If this is the very first time you've
ever listened to this show? Where you been? Where have
you been? I think more people will be listening because
you'll all be caught in traffic on the George Washington

(02:20):
Bridge with the congestion pricing that's going in tomorrow in
New York, so you'll be spending more time on the road,
not less. But that's a political thing. We're going to
talk about cosmetic surgery here. Yeah. So I am a
board certified plastic surgeon. I trained at Harvard, Cornell, and
the University of Chicago, and I teach at Columbia right

(02:44):
here in New York and at Rutgers. But most importantly,
I'm a working plastic surgeon. I spend my days injecting
botox and doing facelifts, and doing breast augmentations and lippos
suction and tummy tucks and and making you look better
with non invasive techniques. That's what I do. And I

(03:04):
have an office on Park Avenue in eighty fifth Street,
a wonderful section of Manhattan. And you know, I got
an email from actually a letter, not an email, from
someone who's probably listening. She's out on Long Island and
she said she wants to come see me, but she's
afraid of the crime in New York. Come on, now,
come on, it's not bad. You know, certainly there are

(03:26):
bad areas everywhere, but just keep your eyes open. Manhattan
is a beautiful place. I love living here and working here.
We've also got the office in Central New Jersey, in Somerset,
New Jersey, So give me a call. I'm happy to
take care of you. Well, tonight, we're gonna talk about
a new use for bowtos. You know, this is the

(03:47):
really the wonder drug. It's it's got more than nine lives.
There are so many new things that are being done
with botox. So we're gonna talk about the newest use
for boatos. We're also going to continue kind of a
I've been doing lately, spring cleaning. Yeah, well it is.
It's spring cleaning. I mean it's the winter. Okay, we're
only two or three weeks into winter, right, but I'm

(04:09):
ready for spring, aren't you ready for spring and your
hands are already frozen. You're walking around. I got my
season pass at the Woman Rink today in Manhattan. I
like to ice skate back to my Highland Falls, New
York days of playing hockey in the winter. I haven't
outgrown that. I've grown hockey, I guess, but I still skate.

(04:30):
So I was walking to Wollman Rink in the Central
Park today freezing my little hands off to spite the gloves.
And you know what I'm talking about. If you've been outside,
I'm ready for spring and your skin is ready for spring.
So we're going to talk about spring cleaning. What you
can do to make your face look more beautiful, maybe

(04:51):
without enormous expense, maybe without major surgery. There's all sorts
of things that I have up my sleeve, So we're
going to talk about that. But mostly let's get some
phone calls. Eight hundred three two one zero seven ten,
eight hundred three two one zero seven to ten here
at WR And yes, we're gonna be giving away bottles
of soft Time Doctor Perry's soft Time. It is absolutely

(05:14):
the best moist drivers in the world. Why shouldn't I
say that I created it? I invented it. It is
a great moisturizer and it's perfect for right now. Put
it on your hands. It'll help prevent. I can't say
it will prevent, it'll help. It'll help prevent those little
cracks that we all get, many of you, and particularly
the surgeons and dentists out there. We wash our hands.

(05:36):
How many twenty thirty forty fifty times a day? I
wash my hands before and after every patient. And boy,
it does a number on your hands, it really does.
So you get these painful little cuts around your fingers,
your fingernails. Well, the soft time is helpful. Put it on,
Slather it on, and put it on your face, the
chapped lips, the chapped cheeks. It will be spring soon

(06:00):
and we'll be complaining of UV ten days. But they
don't even list the UV index now you know on
your iPhone it's not even listed because we get so
little sun. You do not need sunscreen this time a year.
A lot of people think you do, and my friends,
the dermatologists will tell you, yes, put sunscreen on every day,
including January fourth. No, no, no, you don't need it.

(06:24):
I mean you can use my daytime, which is yeah,
it's got sunscreen in it, but really it's a skin protector.
It's got niacinamide, that's vitamin B three, invitamin B five,
good things to strengthen your skin. But the zinc oxide,
you really don't need it this time of year, and
you probably won't until somewhere around March. You can look

(06:44):
at your iPhone and if it's a UV index over three,
well that's when you start using the sunscreen. That's when
it's scientifically proven to make a difference. Other than that,
you're just giving your money to yeah, companies like mine
and other companies. That's el sunscreen because it's just not necessary,
all right. So botox, what is boat everybody knows what

(07:07):
botox is. It's boch a linum toxin, and it is
the most common cosmetic procedure in the United States and
around the world, with millions and millions. I think the
number was over ten million last year. An incredible number
of people had botox. And it's not just botox. We've
come to use that term generically, like we use kleenex

(07:30):
for tissues. But botox, it's it's not just botox, it's ZMN,
it's disport, it's javu, it's Daxified, which was just sold.
By the way, that company was sold to another company,
and there's another one next year. There will be Legato
great names, right, and these are all the botch alinum toxin.
So we're gonna take a phone call from one of

(07:51):
our regular callers and then we'll talk all about the
brand new the brand new use for botox. Sandra, are
you there, I'm Henkle tonight, Sondra.

Speaker 4 (08:04):
Well, first I wanted to thank you. I had a
Hanukka party and as I had mentioned, I gave out
as a gift the daytime to the men and the
women at my party. It was a big hit. And
all the little, you know, little booklets that you gave
me to give to the people to read all your products.
It was great. So I want to thank you to that.

(08:27):
And then I wanted to make a thank.

Speaker 3 (08:29):
You for thank you for using that as your party favor.

Speaker 4 (08:33):
Oh it was really great. I mean it was in
a basket and everybody was so excited to receive it
and they wanted to learn more about you and about
the product. So of course I did my bet very best.
So there's this woman who passed away. I know a
lot of people have seen her. She made her face,
a beautiful face, turn into a cat, you know, with

(08:55):
the slanted eyes.

Speaker 3 (08:56):
I'm here talking about Wildenstein, who passed away this week.
We talked about the show a couple of months ago. Yeah,
go ahead, Oh wow.

Speaker 4 (09:04):
So what I want to say is I whatever she
did to her beautiful, beautiful face, I blame it on
the plastic surgeon who did that to her. Because an
ethical doctor would have said, look, you'll look fine, leave
yourself alone. But this doctor didn't do that. And that's

(09:24):
why I want people to know people like you, your
conservative you, you care about the welfare of the patient,
and and and and you know what I'm trying to say.
So those are the kind of doctors people said look
for people like you, not like the one that ruined
this woman's face. She was so beautiful. I saw the

(09:46):
pictures in the in the paper, and and she passed away.
And it's so sad.

Speaker 3 (09:51):
Yeah. And and for those of you who don't know
what we're talking about, Josum Wildenstein is her name. They
called her the catwoman. Uh, she was a beautiful a
woman forty years ago. But she's now eight or she
was eighty. She just died this past week, and she
became the poster child for bad plastic surgery, even though
right up to an interview about a month ago she denied,

(10:14):
I don't know how you can do this, She denied
having a cosmetic surgery. I mean, how can you say
that Sondra either either she had some mutation and was
you know, she her face was deformed, her lips were deformed,
her eyes. It was just You're right, it was terrible
cosmetic surgery. I'm looking at her picture now and and

(10:37):
you're right. Shame on the plastic surgeon who participated in
this travesty. And I bet you there were a number
of them, and that is when I'm sorry, But that's when,
you know, I mean, I can't imagine that someone actually
thought this looked okay. They were people probably who just
took her money and said, okay, this is a woman

(10:58):
with an open wallet. And I I've warned about this
for so many years. If you have an open wallet,
you can find someone to do anything as exhibited by
those people in California that are having ribs removed, you know,
to have thinner ways. That's insane, it's absolutely crazy. And
the things that some plastic surgeons do I'm sorry. We're

(11:19):
a great group of people. There's six thousand of us
in the United States, and i'd say that ninety nine
point five percent of us are ethical and good and
would turn people like that down. But you're always with
the open wallet, going to be able to find the
one or two or a couple dozen plastic surgeons that
are willing to do absolutely anything if you've got that money,

(11:39):
and it's a shame, and she's a perfect example. You're right,
Thank you.

Speaker 4 (11:44):
So that's what I wanted to say today.

Speaker 3 (11:46):
Well, well, thank you. I guess no update on the
saga of the mole. Not tonight.

Speaker 4 (11:52):
Oh oh, my friend is coming in a week and
another week to take the next one off, and I'm
going to keep it comp to me, Patty. You like that,
I want to go with.

Speaker 3 (12:01):
All right, Well, I look forward to seeing you and
her and her mole. All right, Thanks so much, Sodra.
Happy New Year. Do you have a great one, and
stay warm out there.

Speaker 4 (12:14):
I will thank you.

Speaker 3 (12:16):
And there's more to the show on board. Certified plastic
surgeon doctor Arthur Perry, host of What's Your Wrinkle and
host of Straight Talk About Cosmetic Surgery. The online version
of this show the podcast version, and when we come
back from our break, I'm gonna drill it through your
brains that you have to sign up for the podcasts.
But we'll talk about that in a minute. Eight hundred

(12:37):
three two one zero seven to ten as a phone number.
We'll be right back. Did you know that your skincare
may be hurting you more than helping you. I'm board
certified plastic surgeon, doctor Arthur Perry. The foundation for looking
good is clean, healthy skin. So I've created a program

(12:59):
that is so simple that everyone can stay on it
long enough to see real results. It starts with an
incredible skin cleaner called clean Time. It's actually good for
your skin. Protect your skin with my Daytime SPF twenty
cream in the evening, feed your skin with my Powerhouse
Nighttime serum. Nighttime has vitamin CNA, antioxidants and skin brighteners.

(13:21):
And if you like moisturizers, well, I've created Soft Time
with seramides and vitamin D. Throw away the bags of
useless products and try doctor Perry's skincare. Join the thousands
of people whose skin is healthier. Clean Time on Amazon
dot com.

Speaker 7 (13:37):
You are listening to What's Your Wrinkle with Doctor Arthur Perry,
What's your Wrinkle?

Speaker 3 (13:42):
And we are back. This is BORD certified Classics search
doctor Arthur Perry, host of What's Your Wrinkle? Right here
on woor. I know many of you were wondering. I
kept you on the edge of your seats, you know,
will we be returning for twenty twenty five? But we
are here. It's January fourth, It is a new it's
twenty twenty five. Wow, you know, a quarter of the

(14:04):
century is already gone. And those of you who were
born in the twentieth century, yeah, the next one's whizzing by,
isn't it. And as it whizzes by, we are aging
before our eyes. You look in the mirror, and if
you're forty years old, you're starting to see those wrinkles.
If you're fifty years old, you're starting to see the jowls.

(14:27):
If you're sixty, you've got those marionette lines. You've got
splotchy pigmentation of your face, and you're saying, wait a minute,
what's all this stuff growing on my face? There's a
zoo on my face. There is a zoo on your face,
and let's talk about that zoo. As we get older,
all sorts of things grow on your face. And the simplest,

(14:50):
I say, the absolute simplest way to look better is
to clean up your face. And you know, we talk
a lot about about expensive and complicated cosmetic surgical procedures
on this show. We talk about facelifts and eyelid lifts
and rhymeal plastes and even fillers and things like that.

(15:13):
They're a little bit more complicated, aren't they. A facelift
requires a four three or four hour operation under sedation.
It's a two week recovery where you're hiding. You're not
feeling ill in two for two weeks, but you're not
going to go to any parties for two weeks after
a facelift. But but if you look in the mirror,

(15:34):
if you're fifty, you've got some things growing on your face.
If you're sixty, you've got a lot of things growing.
Unless less you've lived in a cave, I suppose your
whole life and you didn't get sun damage, and you've
got perfect genes like Jane Fonda or someone like that,
and it just doesn't seem to age. Martha Stewart, I
think those are retouched photos. But anyway, you know, if

(15:56):
you're like the rest of us. You've got stuff growing
on your face, and so let's talk about the stuff
and what I can do and how easy it is
to simply look better. Now. Now, if you're a woman,
you're probably using makeup. Most women do. I think something
like ninety eight percent of women in the United States
over the age of twenty use some sort of makeup

(16:18):
and very very common. But as you get older and
get more and more things growing on your face, you
start getting more and more opaque makeup. You know what.
Some of you are smiling, Yeah, you're looking at the
products in your in your handbag or in your medicine chest,
and you're saying, yep, more and more, it's more opaque.
It used to be a light makeup, you know, when

(16:40):
I was twenty, and now it's it's a foundation, it's
a concealer, it's it's something that's designed to cover tattoos.
And I have to put that on my face because
I have this splotchy pigmentation all over my face now,
particularly in the upper portion of my face and my
cheeks because I I spent the nineteen sixties and nineteen

(17:03):
seventies on the Jersey Shore and in the Hamptons and
Atlantic Beach and everywhere else that just does a number,
and now you're paying the price and the splotchiness. You know,
we always say the freckles when you're a kid, the
age spots when you're an adult. Well, you know, I
have a funny story to tell because you know my

(17:23):
co host who is not here tonight, Susan Warner. You know,
she had a little bit of a spot peel. We
talked about this last week. We did some TCA trichlorocetic
acid on her face and spot peeled some of those
brown splotchy pigmentations. And I did it to myself, you know, Oh,
she made fun of me. I actually peeled some of those. Yeah,

(17:45):
getting a little up there, not too high in the years,
but certainly enough to see some of the brown splotchy
pigmentation on myself. But it's gone because it peeled a
few days ago. And you know, I've got all sorts
of different techniques if you've got that splotchy brown pigmentation.
So the first thing you have to ask yourself or

(18:06):
the plastic surgeon has to ask you, is can we
feel the splotches? If you can feel the splotches, they're
no longer age spots. They are either seberiic keratoses. That's
the name of those things. They kind of look like
they're a little brown cornflake sitting on your skin that
you could just kind of scratch off with your fingernail.
That's a sebria caratosis. They are benign. They are benign,

(18:29):
but you don't know that for a fact until it's removed.
You have a great certainty with a plastic surgeon, and
actually even a higher certainty with a dermatologist who's using
something called a dermatoscope, which is a little microscope that
the dermatologists will look at things on your skin and
tell you with something like ninety nine point nine percent
certainty that yeah, it's benign. And a good dermatologist or

(18:51):
a good plastic surgeon can tell you almost immediately if
something needs to be removed, if it's kind of worrisome.
But sebaria keratos they just look bad and they can't
be covered by makeup because they rise above the level
of your skin. So when they start out, they're just
a little beige and you're not even sure if it's

(19:12):
an age spot or a seberi keratosis. But if you're
in a quiet room and you look with good lighting
and you take your finger out, you could just feel it. Well,
it's not an age spot, then it most likely is
a seberri ekeratosis. But it could be a mole, or
it could be something else. But your dermatologists or plastic
surgeon can easily determine whether it's a Sebari caratosis. So

(19:33):
let's back up a bit. If it's something that you
cannot feel and there's just a lot of splotches on
your face, there's a few different ways to take care
of that. So the tcapel that I mentioned that I
did on myself, that's kind of easy. It is a chemical,
you know, it's a kind of a joke. Someone threw
acid on you. Yeah, someone threw acid on you in
a very controlled way to remove reduce the splotchy pigmentation.

(19:59):
The way it works, and now I can tell you
from my own experience exactly how it works, how it feels.
You know. I used to tell my patients, Okay, it's
not that bad, and it really isn't that bad because
I did it to myself. It's a kind of a
slow burn feeling and not a bad feel. It really
wasn't bad, and I am the worst patient, and you know,

(20:21):
I put it on and after about ten or fifteen seconds,
it begins to just feel like there's some heat on
your skin. And then that peaks at about three or
four minutes after it's applied to your skin, and then
it settles down and by the time you leave the office,
your skin, which had turned white believe it or not
with a TCA peel, is back to kind of a

(20:43):
reddish grayish color. It looks okay that first day. You
can actually go out maybe to stores, but you wonn't
want to go to important social functions that day. But
by the next day, it really looks like someone had
a piece of saran wrap that they dried onto your skin.
It's got kind of a grayish brownish color to it,
and there can be some swelling, particularly if you're using

(21:05):
a product on your skin that now can get through
your damaged skin. It is damaged. So I tell my patients,
you know, use my moisturizer. Oh, I have a self
interest in but seriously, the reason I tell them that
is I know every single ingredient in my moisturizer, or
maybe even better to use a hydrocortisone on your face. Now.

(21:27):
Because I am saying these things, you know what's about
to come. This is called a disclaimer, a legal disclaimer.
I'm a plastic surgeon. I'm a practicing plastic surgeon. I
have my own patients, but you, the listener, are probably
not my patient unless you are my patient, and if
you are, then we'll give you specific advice. But if
you're not, then you have to take what I'm saying

(21:47):
kind of with a grained salt and maybe with with
a little you know, comparing the what I say to
your doctors, and you'll go with what your doctor says.
But you might say, you know, doctor Perry said this
on the radio, and that doctor will say, well, he
hasn't always talking about I do it this way. And
you must listen to your doctor and don't change your

(22:09):
therapy because of something that you heard on the radio.
It's information, it's entertainment, and there's my legal disclaimer. Be careful.
You don't want to listen and change things around by
because you're listening to some guy on the radio. But
we're talking about the TCA peel. TCA peel now after
about three days begins to look like it's going to

(22:32):
kind of peel off, but it's not really until five
or six days. Mine completely peeled at seven days, and
it depends on the depth of the peel and a
lot of other factors. So but when appeals, almost in
a comical way, the freckles, the brown spots peel off
with it, and you've got a nice pink skin underneath.
It's pink for between a couple days to a couple

(22:53):
of weeks. But then even now, by the way, this
is when you do need sunscreen, because even a little
UV radiation, a little UV light that's sunlight, will cause
what's called hyper pigmentation, and that's not something you want
after appeal. So if you have a tendency towards that,

(23:14):
I might give you a drug called hydroquinone, which turns
off the cells that make pigment, and I might give
it to you for a couple of weeks beforehand, and
maybe even a couple of weeks afterwards, so that you
don't get that hyper pigmentation. But that is probably the
most likely or most common side effect of the TCA peel,

(23:34):
and it's not really that common, but it occurs in
a few percent of people and I've had it in
my patients, and sometimes it can be profound, particularly if
you go to Florida next week after the peal and
get really exposed to the sun. So you have to
be very careful with that. So a TCA peel is useful.
But I get the question asked all the time. I
was at a New Year's Eve party the other night

(23:56):
and some women ask me, well, why aren't you using
the laser, Doctor Perry. Of course I use the laser.
I love the fraxle fractionated CO two laser, and I
use that all the time for brown spots also, But
I you know, it's a little bit more complicated. It's
certainly a little bit more costly to you. But if
you have wrinkles, fine wrinkles in addition to the brown

(24:19):
splotchy pigmentation, then the laser is the way to go,
because the laser will help with those fine wrinkles and
the tcapl really doesn't. I mean, it will help some
of the very earliest of wrinkles around the eyes. The
dermatologists will also sometimes do that, but it does cause
some splotchy white pigmentation. So Noah, we're going to take

(24:40):
a break very early here and the phone numbers eighty
three two one zero seven ten eight hundred three zero
seven ten, and we'll be back with more of this
topic after these words. They say that sixty the new fifty,

(25:01):
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 little nip and a tuck. You look more rested
and yes, younger. With my short scar facelift and the

(25:23):
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. Check me out on the web at periplasticsurgery
dot com. Give me a call at eight three three
Perry MD. That's a three three p E R R

(25:45):
Y M D.

Speaker 7 (25:47):
You are listening to what's Your Wrinkle with doctor Arthur Perry,
What's Your Wrinkle?

Speaker 3 (25:53):
And we are back. I'm board certified plastic surgeon, doctor
Arthur Perry, host of What's Your Wrinkle? Right here on
wo R, host of straight talk about cosmetic surgery, and
we're broadcasting live from the Upper West Side of Manhattan,
where you can hear the It sounds like London with
these sirens here, I guess the new siren of New York.
Hardly a moment goes by that you can hear the

(26:14):
sirens in Manhattan, you know. But we are live, and
we are in Manhattan. We're overlooking you can see the
Hudson River. It's a beautiful night here in New York.
And those of you listening all across the country, you're lucky.
It's cold here in New York. But certainly those of
you listening in the podcast, which I hope you're listening to,

(26:34):
like on Wednesday morning, going to work, how do you
get the podcast? We'll go to Apple Podcasts, go to
iHeart Podcasts or any other purveyor of fine podcasts. Yes,
go to those, and then you select my name. You
put my name it's doctor Arthur Perry, or you can
put in the words cosmetic surgery. I believe this is

(26:55):
the fifth most listened to cosmetic surgery podcast in the country.
I wonder, how could there be more listen to podcasts,
But somehow I know this is the most listened to
radio show in all of cosmetic surgery. But I don't know. Yeah,
we have to push those numbers. So what you want
to do, so, of course, listen, Tell your friends, tell

(27:16):
your relatives, tell your pets. It's a good thing to
put on while you're out and you know your pet
has to watch something or listen to something. And then
hit subscribe. It's free and then you'll get an email
when a new one. And there are hundreds and hundreds.
I've posted these going all the way back to two

(27:37):
thousand and five, and the early years were a little
spotty with the podcasts there, but some of those are up,
but certainly the last few years they're all up and
you can listen to them and you can go to
sleep with my Lovely Voice and yeah, go ahead and
subscribe to it. All right. So we were talking about
that zoo on your face, that zoo, and it is

(27:57):
a zoo because there's so many different things. It's kind
of like when you go to the zoo, there's all
these different animals. Well, there's all these things growing on
your face. There's the sebaria caratoses that we started talking about,
the age spots, which have a lot of different names,
but we'll just call those splotchy age spots sebaria caratoses.
I prefer to shave them off, so I numb them

(28:21):
up and I shave them off. A lot of dermatologists
will bless those off with liquid nitrogen, and that's an
easy way to do it. It's very fast, it's very effective.
If you have a lot of them, you could do
that way. But the reason I don't like to use
liquid nitrogen on those things is because there's a risk

(28:42):
of getting a splotch of white underneath it. So they
have to they kind of fall off. They usually will
blister a bit and then you get a white spot.
If it's on your back or your buttocks or something,
it probably doesn't make much of a difference, or maybe
it does, but on your face. I'd rather not have that,
so I like to shave these off. And often by
the way, you you being the generic patient, will come

(29:04):
into the office and you'll say, let's clean up these things.
We'll do a session. I'll do sometimes one hundred two
hundred sevary caratosis, as much as you can handle, as
much as I can do, you know, in a couple hours.
I we'll numb them up, and we don't send all
of those to pathology. But I always say, if they're
big enough to have their own ZIP code, I'll go
ahead and send those to pathology. Or if they have

(29:27):
any of an unusual feature and I'm not one hundred
percent and absolutely one hundred percent sure what it is,
will send them to the pathologists. I like to cite
the study that was done at the Brigham and Women's
Hospital in Boston about about twelve years or so ago,
where they took something like sixteen thousand of these severery
keratoses and they sent them to pathologists. They were identified

(29:50):
by the dermatologists and the plastic surgeon as sebari caratoses,
and then they looked under the microscope and lo and
behold there were a dozen and a half melon and
a few dozen basil sill carcinomas, and a bunch of
other things that you'd rather not have. And it kind
of underscored why we need to send these to the

(30:12):
pathologists so that they can look under the microscope and
make sure that they're okay. So that's the story with
seboy caratosis. I usually shave those off. I can laser
those off, and if they're very superficial, I can even
use that TCA, that trichlorocetic acid and peel those off.

(30:34):
So there's different ways to do it. But now, how
about those those little tags, the skin tags. Many of
you have lots of them. They tend to occur on
your eyelids, and they're annoying, aren't they They increase your
blink rate and people stare at them and they say,
what is that thing growing on your eyelid? And they
also tend to occur in areas that are irritated, like

(30:56):
you're underneath your necklace, or areas that are irritated from sweat,
like under your arms, and then you're growing. So those seberrikeratosis,
or rather those skin tags, start out little tiny things,
almost the size of a pinhead, and they can get
pretty big. Usually I snip those off, and yeah, I

(31:18):
just take a scissors, a surgical scissors. I prepare your
skin like I would any surgical procedure to destroy the
bacteria and then we'll go ahead and snip those off.
And snipping them means that mean well, most of those
don't have to go to pathology, but if they're big enough,

(31:38):
I'll even send those to pathology. If I snip them,
usually you don't even see the spot that they came from.
But some of them are large enough to require a
couple stitches, and I'll usually put dissolving stitches or even
use derma bond on those. And those also, like seberria keratosis,
I'll do sessions in the office. Some people just have

(31:58):
one or two and they want those nipped off, but
some people have hundreds, hundreds, and you know, and I
always tell people, yeah, They ask me, is this permanent?
Are they gone forever? And yeah, the one I take
off is permanently gone. But it's sort of like weeding
the garden, and you know, you can't get rid of

(32:19):
all those weeds. You know, you come back another month
later and there's more. And it's the same thing with
all these things that grow on your skin. We get
rid of those today, they look good, You look good
for a period of time, and that depends on what
they are. Usually the sebari kratosis take several years again
after I remove those, and again it's not the ones

(32:42):
that I remove that are coming back. It's usually the
one a couple of millimeters next to it. You know,
they start out very small and they gradually grow. So
sebari keratoses. Skin tags, like weeding the garden, will go
ahead and kind of trim those. Make you look better.
If you're a woman, your makeup will now be able

(33:03):
to go on smoothly, it won't be kind of bumpy.
And if you're a man, like Susan likes to talk about,
you know, she sees these men all the time that
have lots and lots of these things growing on their skin.
And men also, you know, get cleaned up. You don't
have to walk around with these things. It's very easy
to do a short session, whether it's thirty minutes or

(33:27):
sixty minutes, I can clean up so many of these
things on your scalp. Also, men who are balding tend
to get those on their scalp because their sun exposed areas.
And by the way, if you are thinning with your hair,
you know your hair protected you while you had it.
You need sunscreen or a hat. If you're getting older,
because you're going to get all these growths on your skin,

(33:47):
and you'll get basil cell carcinomas on the top of
your scalp, and you won't even be able to tell
until someone like your barber, who you're seeing less and
less frequently, yeah, tells you that, hey, maybe there's something
on your scalp that you should have taken care of,
or your spouse. So these things tend to grow on
your skin, the sebria caratosis and the little skin tags. Moles.

(34:13):
How about moles, Now, moles. Everybody's got between twenty and
sixty moles and they're called kniv nev the moles nevi are,
that's the scientific name. And most of those are absolutely benign.
You don't get those taken off. I talked about this
last week. But if they're cosmetically what's the word destructive

(34:35):
to your appearance? You know, if there are these big
moles on your face, yeah, you probably want to get
those taken care of. And certainly if they are suspicious,
if they've got all the things that I talked about
last week, the asymmetry of border and the more than
one color, and certainly if it bleeds or is growing
in a funny way as an irregular border. Those are

(34:56):
the things you really want to get taken care of,
and those are no longer cosmetic. Those are important for
medical reasons. So so the moles easy, uh, you know,
for a plastic surgeon, we do those in the office.
We do those under local anesthesia, and and we go
ahead and we will numb up the area and we'll

(35:18):
take off the male in an area in a in
a direction like your nasalavia fold or along a wrinkle.
I'll do the magic of the plastic surgeon to make
it look as good as possible. But we talked more
about moles last week. Let's move on to all the
other animals and things that are growing on your face.

(35:38):
How about how about those red and blue capillaries. They're
not really growing on your face, but but they're becoming
more and more visible as you get older, particularly if
you are maybe if you like wine. You know, people
that tend to drink alcohol tend to get a lot
of these these capillaries. And it's not just with conditions

(36:01):
of the skin. It's not just with roseata and things
like that. It's with normal skin that just tends to
get these capillaries, particularly around your nose, and also if
you've had a rhinoplasty, it's very very common to have
those little capillaries around your nose. And it's nothing that
the plastic surgeon did or did not do. It's because

(36:23):
of the change in the blood supply to the nose,
and your body just wants to put more blood vessels
into that area, just like it does with your heart.
If your heart has a little less blood, it has
this thing called angiogenesis, which is the creation of new
blood vessels in the area. So that's been operated on
or that's been injured, so it's really simple to get

(36:45):
rid of those. It's one of those few things in
plastic surgery that I see in immedia and you see
an immediate result as soon as I do it, and
I show you the mirror beforehand, I said, take a
look at that capillary, take a look at that senile angioma,
that red cherry spot on your face. And then I say, okay,
let's get our protective glasses on and blast the laser

(37:09):
and you fire it a couple of times, and then
I have you take your glasses off. I say, there
it is. It's gone, absolutely gone, and it's fast and
easy and really doesn't hurt. And it's a good good
way to clean up those on your face. So I'll
go all over your face. And people tend to get
those in the hairline. They tend to get those on

(37:30):
their neck. Women tend to get those on their breasts
quite a bit. And it's very easy to take it.
It's called the YAG laser that I have in the office.
It's in the New York office now. It used to
live in New Jersey. It moved. And I take the
YAG laser and zap those cherry angiomas, zap those little

(37:50):
blood vessels. And I can do that also at the
same time that we do all these other things. So
sometimes it'll be this hybrid session. And you know, some
things can and can't be done together. I won't laser
and peel at the same time, you know, if it's
a TCA peel. But I can do the laser, the

(38:11):
fractionated laser for wrinkles and color of your face, and
also at the very same session, laser the capillaries. And
so that's a nice thing to do to clean up
those capillaries. So now we've got the age spots, we've
got the sebaiy characterses, We've got the moles. We've got
those cherry angiomas, which are also called you know what

(38:33):
I'm gonna say, senile angiomas, not a nice name. We've
got the red and blue capillaries, which sometimes get pretty
big by the way on your face, and we get
those taken care of with the laser. And then we've
got these other things that are maybe a little bit
more difficult to treat, and things like seering gomas. Do

(38:56):
you know what those are? Seering gomas are these little
benine tumors of the sweat glands that tend to form
on the eyelids, the lower eyelids and around the eyes.
Mostly they can form in other places, but they're most
commonly seen on the eyelids, and they they're a little

(39:16):
bit more difficult to treat. So when we come back
from our break, are going to talk about the sy gomas. Yeah,
if you've got those this gland issues and sebaceous hyperplasia,
oh my goodness, what words we have in plastic surgery.
We're going to talk about those when we come back.
After these words eight hundred three to two one zero
seven ten is the phone number eight hundred three to

(39:38):
two one zero seven ten will be back after these words.
Did you know that your skincare may be hurting you
more than helping you. I'm Board certified plastic surgeon, doctor
Arthur Perry. The foundation for looking good is clean, healthy skin.
So I've created a program that is so it's simple

(40:00):
that everyone can stay on it long enough to see
real results. It starts with an incredible skin cleaner called
clean Time. It's actually good for your skin. Protect your
skin with my Daytime SPF twenty cream in the evening,
feed your skin with my Powerhouse Nighttime serum. Nighttime has
vitamin CNA, antioxidants and skin brighteners. And if you like moisturizers, well,

(40:23):
I've created Soft Time with seramides and Vitamin D. Throw
away the bags of useless products and try doctor Perry's skincare.
Join the thousands of people whose skin is healthier Clean
Time on Amazon dot Com. They say that sixty is
the new fifty. But while you may feel and act fifty,
the mirror doesn't lie. But that's where plastic surgery comes in.

(40:45):
I'm Board certified plastic surgeon, doctor Arthur Perry, and I
love helping patients look younger and better. If you've got
sagging cheeks, jowls, and that dreaded turkey gobbler, it might
be time for a little nip and a tuck. You
look more rested and yes, younger with my short scar
facelift and the artistic injection of wrinkle filler or a
laser peel, well, that might be just what it takes

(41:06):
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. Check me out on the
web at periplastic surgery dot com. Give me a call
at eight three three Perry MD. That's a three three
p E R R Y m D.

Speaker 7 (41:25):
You're listening to what's your Wrinkle with doctor Arthur Perry.
What's your wrinkle?

Speaker 3 (41:31):
And we are back. This is BORD certified plastic surgeon,
doctor Arthur Perry. You are listening to the most listened
to cosmetic surgery program in the world. How's that now?
How do I know that I made it up? Now?
I didn't make it up. There's there's data and uh yeah,
and thank you for listening, and thank you for subscribing

(41:53):
to the podcast straight Talk about cosmetic surgery, and please
do that. I'm drilling it to you. It's very important
to have that. And by the way, if you are
interested in the products that we talk about on the show,
I've got really a terrific soap. Yeah, soap salesman, But
you know what, soap is the forgotten step child of skincare.

(42:14):
It really is. I mean people think of it as
I let's get the cheapest bar of soap and that's it.
But actually soap can really hurt your skin. It can
cause inflammation, it can cause oiliness, it can cause visible pores,
it can cause all sorts of redness. Really because there's
a lot of toxic things in typical soap, and the
pH that means the acidity is often absolutely wrong. It's

(42:37):
alkaline and your skin is supposed to be acidic. There's
sulfates in soap. Sulfates are irritants to the skin. There's thalates.
Terrible things there, really are. I created a soap that
is so perfect. It's really I have three Oh I
am so biased, aren't I? But I created I really did.
I did it actually in my kitchen in New Jersey,

(42:58):
and I tinkered around, and you know, I looked at
what could I use to make soap frothy and not
have the sulfates that are so toxic. That's what everybody
else uses to make soap frothy. And I thought, well,
you know what's in food that froths, you know, And
I looked at root beer, and that's how I got
the idea. Root beer has something called kiyah. The original

(43:20):
root beer, it had yaka and kiaha. It is from
the Chilean soap bark plant. This plant and with this powder,
I used it to create froth in my soap. So
and in fact, it was like a Lucy show when
I first did this because the uh it was so frothy.

(43:41):
I had to kept cutting back the amount because it's
just bubbled and bubbled. Anyway, that's what I created. It
is clean Time, and then there's also something called soft Time,
which is the moisturizer. There's Nighttime, which is my my
evening program, and Daytime, which is my morning program. And

(44:03):
those are the four components of the skincare program that
I have and you can get those on Amazon dot
com and only on Amazon dot com. Now we've converted
our in house store to Amazon. You can go to
doctor Perry's dot com and then you're wisked away to
the Amazon site when you want to place your order

(44:23):
for the products. But you can get information about all
the products on Amazon, all right. So we were talking
about the zoo that's growing on your face, and it
is if you're fifty, if you're sixty, You've got all
this stuff on your skin, and it's different. There's a
lot of different things. There's moles and sebaya caratoses and
age spots and cherry angioma's and red and blue capillaries

(44:46):
and these things. Searing gomes is benign sweat gland tumors
that I've started talking about. Those I actually need to
snip away. So for the most part, you know, I
take them off, I numb it up, numb them up.
That's good England. I numb them up, and I take
them off and put one or two stitches in. So

(45:06):
usually they have to get to a pretty decent size.
They have to be visible to other people because people
who grow seeringomas tend to get a lot of them,
and it's tough to remove all of them. I've tried
a lot of different methods to remove those lasers and
altherra and things like that, and they tend to grow
back with those techniques. The tried and proven technique is

(45:28):
to actually excize those so when they get big enough,
we'll do that. And how about this thing called sebacious
hyperplasia you have that. They're kind of difficult. Sometimes they
look like basil cell carcinomas. They can get fairly large.
A lot of people have them all over their faces. Yeah,
they're the oil producing glands of the face that tend

(45:50):
to get out of control. And your dermatologists or your
plastic surgeon will diagnose those and say, well, you know,
subacious hyperplasia. They're kind of tough to treat, and there
are lots of different treatments. And by the way, whenever
you hear of many treatments for a particular condition, you
can be fairly certain that most of them don't work,

(46:13):
because otherwise there'd be one, you know, treatment, and people
would say, oh, yeah, subacious hyperplasia, we use this, but
no for subacious hyperplasia. Some people use cryotherapy that's freezing
them off. Some people use this dermatologist photodynamic therapy that's
an intense light. Some people use lasers, and there's different lasers.
Argon lasers, those are the older lasers, carbon dioxide, the

(46:36):
CO two laser, the fractionated laser that I talk about,
or the pulse dye laser. Some people use the old
fashioned bov that's an electroquattery and they quterize this, so
they use electric current and they zap it and you
get a little scab and it heals over. Some people
use electrode desiccation. Some people just shave them or excize them,

(46:57):
or some people use trichlorocetic acid. Chemical people a lot
of things, and some people will put you on things
like retine or even acutane, which is an oral drug
which is very dangerous if you're pregnant, and even dangerous
if you're not pregnant. So I don't ever prescribe accutaning.

(47:17):
Dermatologists are the ones that should be prescribing it in
very selected people. But so I just named probably ten
different treatments for subacious hyperplasia. And what did I tell
you in the beginning. If there's all those treatments, probably
none of them work. Real well, well, you know, there
was a paper that looked at the different treatments, and

(47:38):
you look at the dermatologists out there, and they really
take care of most of these that electrodessiccation using the electrocuttery.
About eighty percent are treated that way, and about the
balance of those it's pretty much cryotherapy freezing those off.
So different different ones will It takes three sessions with

(48:01):
any of these to get rid of them or to
make them look better. But it turns out looking at
all those different techniques, they were most unlikely to recur
with the CO two laser or electrodessication. Those are the
two methods, So if people are using other methods on you,
probably a lot less effective. So Subasian's hyperplasia one of

(48:24):
the tough things I tell people. You know, if it's
on your nose or something, we might even want to
just shave it off, knowing full well that it will
come back in maybe a year or two years, and
some people just come back. And things like fibrous papules,
that's another thing that tends to grow on the face
around the nose, those things. If you've got one on

(48:45):
your nose, you know, if we have to take it
off like a mole, it could be a deforming procedure.
So sometimes we just say all right, let's go ahead
and shave it, send it to pathology. Pathology prove what
it is, and then we can we can go ahead
and just it'll grow back. You know, we understand that.
I'll tell you that it'll grow back in a year

(49:05):
or two or three or four, we might do it again.
So that's sometimes a reasonable way to go if the
treatment is worse than the disease, right I if by
cutting it out is going to deform you, maybe that's
not the best thing. And nless of course it's a
skin cancer, and then we have no choice. But if
it's benign, we have a choice. And that's why we

(49:25):
do send these things to pathology. So what I did
leave off my list of the zoo where those cancers,
you know, that's part of the zoo. It's part of
growing older, unfortunately, and hopefully not a melanoma. But we
do have to be on the watch for pigmented things
that are funny looking on the face. But more commonly,

(49:46):
much more commonly, are the things like basal cell carcinomas.
And if you're light skinned, you know you're probably going
to get wondering your lifetime. You get those in the
sun exposed areas of your nose, your ears, your neck,
to your shoulders. You know, it only takes one blistering
sun sunburn to cause a melanoma or a basil cell

(50:08):
carcinoma or a Squaireman cell carcinoma. That's the other one.
So those are the skin cancers that you don't want,
although you know they're for the most part, nuisances, as
long as you get those early. And those of you
who are old enough you know the difference between a
nuisance and a problem. You know, I'd say that a
melanoma could be a problem. A basil cell carcinoma or

(50:30):
a Squaireman cell carcinoma gotten early is really just a nuisance,
and you want to have those removed and reconstructed. And
whether or not the plastic surgeon or the dermatologist removes that,
well that's a story for another show. But either can.
But the plastic surgeon is the one that will do
the reconstruction, particularly if it's on your face. I'm doing

(50:53):
one this coming Thursday in a cosmetically sensitive spot. A
woman's far. She's having a most procedure by a dermatologist.
She's coming over to my office afterwards, and I'm going
to close the wound, and she gets the best of
both worlds with the dermatologist doing the most procedure that
is a procedure which will remove as much or as

(51:18):
little extra skin as possible, and then the best of
both worlds by having the plastic surgeon close the wound,
lift the skin, close it in two layers, make it
look as good as possible. Can we absolutely assure you
there won't be a scar? Of course, not no one
can do that. We heal with scar we're humans. But
what we want to do as a plastic surgeon is

(51:39):
give the best possible scar possible. I said that twice. Really,
we want to make it look as good as possible.
Given that you will have a scar. We want to
make it so that you can use a little bit
of makeup and cover it up. I'd love for you
not to have to use makeup at all, but I
can't promise you that as a plastic surgeon. Hopefully it

(52:00):
will be the case, but that's our goal with reconstructing
moles and reconstructing skin cancers on the face. So there
you have it. I mean, there's other things that grow
in the face. Cysts, you know, they grow in the
face and you want to get those taken care of
early if you've got a cyst on your face, because
they can get infected and then it's a much bigger thing,

(52:22):
and the bigger the cyst is, the bigger the scar
has to be. You can get little lipomas on your forehead. Also.
Lipomas are fatty tumors. They tend to grow in certain places,
and the forehead is a very commonplace for a lipoma.
Looks like a little lump and a lot of people
get very scared with lipomas. And I can usually diagnose
those just by feeling them, and often you can also

(52:45):
they're soft and they move around underneath the skin, and
lipomas are very easily removed in the office with I've
got a little minimal incision technique that I use and
kind of just kind of push it through that little incision.
And often it's possible to do that. Sometimes it's not. Uh,
it depends on the characteristics of the lipome. So there

(53:07):
you have it, the zoo of things that grow on
your skin. You go into the plastic surgeon, and the
plastic surgeon will look you over. Now I'm not talking
about a skin check for skin cancer that's done by
a dermatologists. Most plastic surgeons don't do that. But if
you've got a specific grouping or a specific thing that
you want removed, you go to the plastic surgeon, have

(53:29):
a consultation. We look you over and then schedule. Maybe
it's one thing, maybe it's a session to clean you up,
spring cleaning, get looking good for the spring, for the
nice weather, and yes it will be coming. All right
on board, certified plastic surgeon, Doctor Arthur Perry, and the
show comes to a close at the end of the hour.

(53:50):
Don't forget. I do have an office on Park Avenue
in eighty fifth Street in New York. The phone number
is two one two seven five three eighteen twenty. That's
two one two seven five three eighteen twenty. And also
in New Jersey in Somerset County on Route twenty seven.
Still there taking care of all my New Jersey patients.
So give me a call seven three to two four

(54:12):
two two ninety six hundred if you want to check
me out. Find out who this guy speaking into the
microphone is. My website is Perry Plasticsurgery dot com. That's
Peri Plasticsurgery dot com. And you go to the website,
you can learn all about me and about the procedures
that I do. If you're interested in the products that
we talk about on the show, you can go to

(54:34):
doctor Perry's dot com. That's d R P E r
R y s dot com and you can also go
to Amazon and order those. All Right, Noah says it's
time to wrap things up, so we're gonna do that. Uh,
don't forget. By the way, we are here every Saturday
at six pm, so you know, mark it on your

(54:55):
calendar and give us a call and remember the phone
number when it's at half hour show. You're gonna have
to call very early in the show because right now
the board lights up because people are starting to listen.
Don't do that. You want to call early in the
show like Sodra did today. All right, and the phone
number here at wor write it down eight hundred three

(55:15):
two one zero seven ten. That's eight hundred three two
one zero seven ten. And next week we're gonna have
a great show, but it's only a half an hour. Noah,
thanks so much for great engineering this and many other seasons.
That's being season number twenty. All right, everybody, stay warm,
We'll see you all next week. Bye. Bye now.

Speaker 1 (55:36):
The proceeding was a paid podcast Iheartradios hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed