Ultherapy

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 2 (00:28):
The public doesn't give a damn. 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 SA what I got go
and look at this. I'm getting old. I said, I
want to maybe you can fix it up a little bit.

Speaker 4 (00:41):
Doctor Oz, are you there, I'm here Ark, and I
want to get a plauged you. Having worked with you
on a book and numerous other activity, you want to talk.

Speaker 3 (00:46):
To Arthur Perry the best in plastic.

Speaker 4 (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.

Speaker 4 (00:57):
A smart as I really really gift his position. I
want to pay you the bit 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 gonna
get the Michael Jordan of Plastic Surgeons nine O two
and zero bows to this guide and welcome.

Speaker 3 (01:16):
This is Board certified plastic surgeon, doctor Arthur Perry, and
you are listening to What's Your Wrinkle right here on
WOR and today I'm broadcasting from the iHeart World headquarters
in mid tow Manhattan, the greatest city on Earth, New
York City. Is so happy to be here and happy
to be broadcasting in this beautiful fall weather. All right,

(01:39):
So who am I? I'm a Board certified plastic surgeon.
What do I talk about? Well, not sports, that's for sure.
We're talking about you. We're talking about what you look
like and how I can help you look as good
as possible, and sometimes that means surgery like a facelift
or a breastlift or tummy tuck, or or maybe suctioning

(02:00):
some fat off those hips. And sometimes it's just you know,
a minor procedure, like cleaning up your skin, removing all
those growths that have been you know, like seashells at
the you know, on a boat there, you know, barnacles. Now,
we don't want those. We want we want to get
rid of all those skin tags and moles and age
spots and clean up your skin and make you look

(02:21):
as good as possible. And that's what I do as
a board certified plastic surgeon. So this show has been
going on for twenty years. We've talked about so many
different topics on this show, but one of the things
I love to talk about is skincare. As many of
you know, I have my own skincare line. And last
week we started talking about my skincare line and the

(02:43):
things that really do make a difference in skincare, and
we talked about vitamin C and vitamin A and and
things like that, things that I put in my nighttime serum.
And then we started talking about soap, and the clock
took us away. So today we're gonna finish that discussion.
We're gonna talk about soap. You say, soap. I'm not

(03:04):
gonna listen to a show about soap. But you know something,
you know something I call soap the forgotten step child
of skincare. And many of you, many of you don't
use soap. And I'm always amazed when I get a
patient and I ask them about their skincare routine and
they say, well, I would never use soap. It's bad
for my so what how could you not use soap?

(03:26):
We live in a world of filth. We really you
walk around the streets, whether in your you're in Manhattan
and you've got the all the fumes from the cars
and the horses, and you know, whether you're in Manhattan
or whether you're in Iowa listening to this broadcast and
you're on a farm, and you're exposed to all the
chemicals and everything. You get dirty. At the end of that,

(03:47):
you sweat, and you really should be using a soap.
But you're right. Most soaps are bad for you. And
the reason they're bad is because they're designed improperly. Soap
is one of the oldest skincare products. You know, if
you want to call it, that been around for thousands
of years in one form or another, cleaning the skin.
But I think I might have maybe the best soap ever.

(04:10):
Oh my god, how could you say that? Right? I
have three patents on my soap. I have come up
with a process and a reasoning behind this up. So
we're going to talk about that, and then well, if
we have some time, then I suppose we'll we'll get
to some of the straight cosmetic surgery topics that I
love to talk about. We'll talk about Altherra today. That's

(04:31):
high energy focused ultrasound because there's some new information about
al thera that you're gonna want to hear about. I've
been talking about it. I was one of the first people.
You know, I don't like. I don't say this often
because whenever I hear a plastic surgeon talking about him
or herself and saying, oh, I was a pioneer, that's ridiculous.
Who's a pioneer, you know, not plastic surgeons. But in

(04:55):
twenty ten I started using Altherra shortly after it was
fdairprew because I was blown away by what it could do.
It's a different concept in skin rejuvenation, so we're going
to talk about that. In some of the newer studies,
it's high energy focused ultrasound. And in the booth today,
of course, is Noah Fleischmann. He's been with me at

(05:15):
my side for twenty years. He hasn't actually left the
building in twenty years. It's almost true. But Noah the
most dedicated worker, and he's here and he'll be taking
your phone calls when we do. But we're not going
to take phone calls tonight because I've got too much
to talk about. All right, Let's get to the skincare,
and we talked about our evening regimen. It's very simple.

(05:36):
You feed your skin at night. That's the concept. Give
it the nutrients, the things that really are scientifically proven
to make a difference, things like vitamin C. Not too sexy,
but it really does work. Vitamin A and you know what,
turns out your body can take any form of vitamin
A and turn it into the active ingredient, which is
what's in retina retinoic acid. That's the prescription version. But

(05:58):
you can take any form of vitamin A, whether it's retinol,
which is in a lot of Johnson and Johnson products.
Or retinaldehyde which is in some of those lorel products,
or retinial propionate, which is the hardest to pronounce form
of vitamin A. But your body has all the chemistry,
all the enzymes to be able to transform those vitamin

(06:22):
A ingredients into the active ingredient, which is called retinoic acid.
You can even store vitamin A in your liver, you
in your fat cells, but you can't do that with
vitamin C. And you need very specific forms of vitamin C.
And vitamin C has to be taken continuously. It's one
of those water soluble vitamins. You have to eat it
every day or put it on your skin every day,

(06:43):
unlike vitamin A. So nighttime, that's what you put on
your skin before you go to sleep. That feeds your
skin the nutrients that are scientifically proven to make a difference.
Now in the morning, you can't put vitamin A on
your skin. You can't put vitamin C on your skin.
And the reason is so destroys those very important ingredients.
They're wonderful for you, but ultraviolet light in the sun

(07:06):
renders them absolutely useless. So what do I do in
the morning. I look at at skincare as the protector.
You're gonna go out, you're gonna expose yourself to all
the elements all day long, and I want to protect
your skin. So one of the things I put in
my morning skincare is a sunscreen. And the safest best
sunscreen is zinc oxide. It's got the broadest spectrum. It

(07:28):
will protect you from ultraviolet A and ultraviolet B. Both
are carcinogenic and aging forms of ultraviolet light. So that's
one of the very important things. The other important thing
that I put in my morning program is called niacinamide.
It's vitamin B three and pantothenic acid, which is vitamin
B five. Now, those two B vitamins are very important

(07:51):
because they strengthen the barrier function of your skin. Now
your eyes glazed over. I know it, did I know?
They glaze it because when I start talking about skin barrier,
no one really understands what that means. And it's a
very complex topic. But it's really not important for you
to understand. And that's not being condescending. It really is
not important for you to understand that. You just need

(08:13):
to know that a good skin barrier will keep the
bad things out of your body and the good things
in your body, and when you reach that skin barrier,
when you do, your skin just looks bad and unhealthy.
So we've got vitamin B three, invitament B five, and
all sorts of wonderful things like jhoba. Can you say

(08:34):
that one? Juhoba oil, sapply oil, olive oil, white thyme oil.
Those are the good things. We're going to come back
in just a minute. I'm Board certified Plastic surgeon, doctor
Arthur Perry. Will will continue talking about my form of skincare.
We'll be right back. Did you know that your skincare
may be hurting you more than helping you. I'm Board

(08:55):
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 your skin with my Daytime SPF twenty

(09:17):
cream in the evening, feed your skin with my Powerhouse
Nighttime serum. Nighttime has vitamin CNA, antioxidants and skin brighteners.
And if you like moisturizers, well, I've created soft Time
with seramides and vitamin D. Throw away the bags of
useless products and try doctor Perry's Skincare. Join the thousands
of people whose skin is healthier. That's doctor Perry's Skincare

(09:40):
on Amazon dot com. And don't forget to listen to
my radio show right here on WOR Every Saturday evening
at six pm. You're listening to What's Your Wrinkle with
Doctor Arthur Perry. What's Your Wrinkle? And We're back. I'm
board certified plastic surgeon, doctor Arthur Perry, host of What's
Your Wrinkle right here on WOAR. And I hope as

(10:00):
you're listening to this live broadcast on wo R, I
hope that you also listen to the podcast. Why do
I hope? Well, it's good for everybody on everybody's got
a podcast, right There are so many podcasts out there,
but this is the premiere plastic surgery podcast in the world.
And sir, how could I possibly say that? What hyperbole?

(10:20):
But you know it is the longest running one. Okay,
it's uh. We've got hundreds and hundreds of podcasts out
there for you to listen to. So if you're if
you want to binge this, it would take you weeks
and weeks to get through all the podcasts that are
out there on iHeart you know, iHeart podcasts or Apple podcasts.
That's what you want to do, and hit the subscribe

(10:41):
button and you'll get notification when we post these new ones.
All right, so podcasts. Yes, it's called straight talk about
cosmetic surgery. And because that's what that's what we do here,
I give it to you straight and I am, you know,
obviously biased when it comes to skincare. But I created
my skincare line because I could not I could not

(11:03):
prescribe an appropriate line for my patients, because you know,
everything is defragmented out there. If you look, if you
go in the stores, you'll find skincare with maybe one
active ingredient. Maybe there'll be alphy droxy acids, or maybe
one they'll have vitamin C or one that will have niacinemi.
But the problem is the stores want you to buy
lots and lots of different products. But if you do,

(11:26):
you're gonna be on a multi step program and you
just simply will not stand it. It's like a complex diet.
The harder the diet, the more stringent the diet, the
less likely you are to stay on it long term.
Skincare is exactly the same way. I have patients that
are celebrities and they welcome the simple two step program.
It's honestly, it's daytime in the morning. It's the skin

(11:47):
protector in the morning, and it's the nourishment for the
skin at night with nighttime. That is it. And then
wash your face twice a day with clean Time, which
is that very very very nice varies are in there.
It's a really nice soap. Yeah, I wash my hair
with it. It removes makeup and most makeup, even eyelid makeup.
You know, I can't guarantee that because God knows what

(12:10):
some of that makeup has in it, its industrial strength chemicals.
But if you look at makeup removers, my goodness, those
of you who clean the engines of your cars, you're
using the same chemicals to clean your scars as women
use to remove the makeup on their face. That's not good.
So use, you know, give it a try. Use the
clean Time and a soft, warm washcloth and see if

(12:34):
that'll remove all your makeup. And I bet you it does,
all right, So, uh, that's it. That's the program. It's
a you know, nighttime at night and daytime in the
morning and wash your face. What about a moisturizer. I
did not mention a moisturizer. Well, guess what, I'm the
worst marketer because I create a moisturizer and I don't
think you should use it. Oh my goodness. It sounds

(12:56):
like a weird commercial, right, but it's really true. I
do not think think most people need moisturizers. Now, there
are some exceptions. If you're a perimenopausal woman, you know,
before and you know we're talking about the years around metopause,
just before or at and a year or two after menopause,
well then your skin has a syndrome of kind of

(13:18):
being a little bit of dryness and a little bit
of itchy with the estrogen withdrawal. And so yes, a
lot of women like moisturizer during that time. But some
women have started using moisturizer from childhood almost and it's
really unnecessary. Our body is really good at making oil
and really good at moisturizing itself. And in fact, if

(13:39):
you use a moisturizer, you need to use the sunscreen
also because you'll actually get more sun damage. The ultraviolet
rays will penetrate more. If you use a moisturizer and
remove that natural sheen that reflects the ultraviolet light from
your skin. So if you use a moisturizer, you better
also use a sunscreen in the morning because you'll actually

(14:00):
get more sun damage. So why did I create a moisturizer.
I'll be really honest with you. I didn't want one,
but my wife, she would not give up her moisturizer.
I lectured her, I showed her data, said you know,
you really don't need a moisturizer, and she would not
do it. And I realized if my own wife wouldn't
give up her moisturizer, well no one will. So I

(14:23):
created the best moisturizer I could possibly find. It simulates
the natural oils in the skin. It's called soft Time.
So that's it. That is the skincare program. You can
get that on Amazon dot com. I love Amazon. By
the way, have you ever been up at three in
the morning, Noah, and you decide to go on your
phone and just order something, and then you choose the

(14:44):
four to eight am interval? And I don't even know
how they do it, but Amazon, that's how we sell
the products.

Speaker 4 (14:51):
Now.

Speaker 3 (14:51):
I used to sell it out of the office. But
Amazon has made my life so much easier. All right,
So that's it for skincare. I'm board certified plastic surgeon,
doctor Arthur Perry. Yes I do skincare, Yes I do
minor procedures, and yes I do surgery. And when we
come back from our break, we're gonna talk about some

(15:12):
of those minor procedures that can help you look good
without actually having to go into the operating room. And
we'll start with al farrah. No, let's go ahead and
take our break. We'll be back to these words. They
say that sixty is the new fifty, But while you
may feel and act fifty, the mirror doesn't lie. But

(15:34):
that's where plastic surgery comes in. I'm board certified plastic surgeon,
doctor Arthur Perry, and I love helping patients look younger
and better. If you've got sagging cheeks, jowls, and that
dreaded turkey gobbler, it might be time for a little
nip and a tuck. You look more rested and yes, younger,
with my short scar facelift and the artistic injection of
wrinkle filler or a laser peel. But that might be

(15:56):
just what it takes to get you looking as good
as you feel. Sit down for an hour consultation in
my new Park Avenue office. Together, we'll come up with
a plan to help you look your best. Give me
a call at eight three three Perry MD. That's a
three three p e R R Y M D. Check
me out on the web at Perry Plastic Surgery dot com.
And don't forget to listen to me doctor Arthur Perry,

(16:18):
every Saturday evening at six pm right here on wo
R you're listening to What's Your Wrinkle with doctor Arthur Perry.

Speaker 1 (16:26):
What's your Wrinkle?

Speaker 3 (16:28):
And we're back. I'm board certified plastic surgeon, doctor Arthur Perry,
host of What's Your Wrinkle for a very long time now.
And some of you may may be wondering, you know,
who is this guy on the radio? Why is he
trying to tell me how to you know, feed my
skin properly, how to take care of my skin, how
to look better? Well, I'm a board certified plastic surgeon. Yeah,

(16:48):
I trained at some pretty good places. I was at
Harvard Medical School for my general surgery and then right
here in New York for burns. Oh boy, that was
that was something a year of running the burn unit
at New York Hospital, one of the in fact, the
busiest burn unit in the country. That's where you really
learn how to be a doctor. And then it's off
to the University of Chicago, where I did my plastic

(17:10):
surgery training and was the chief resident out at the
University of Chicago, I trained with a guy named Tom Krizzick,
and those of you who follow plastic surgery, he was
one of the great great names in plastic surgery, one
of the great teachers. And then I came back to
the East after I did a facelift fellowship in Miami
and was on the faculty of Rutgers Medical School. Now

(17:31):
I'm on the faculty of Columbia. I'm an adjunct associate
professor there. But most importantly, I love doing clinical plastic surgery.
So I spend my days doing facelifts and eyelid lifts
and breast augmentations and breast lifts and lippos suction and more.
Moor's minor procedures, you know, I do things like clean

(17:52):
up the skin, and I like that when someone comes
in and they look really ragged and they really haven't
paid attention to their skin and they've got skin tags
and moles and splotchy pigmentation, and you know, they just
look older and a little weathered, and we do a
session or two to clean up the skin. It's really amazing,

(18:13):
without even stepping into the operating room, how good you
can look if you just pay attention to some of
the easy things. Now, if you are growing a little
zoo on your skin, sometimes we'll use the laser to
blast away those red capillaries or things called senile angiomas.
Do you know what those are? Oh, my goodness, senyle angiomas.

(18:34):
They are really annoying, those red marks they grow on
your face, on your neck, on your shoulders, on your arms.
But the YAG laser is one of those things I
do in my office. It's one of the very few
things that I can do that will give you an
immediate result. I did it to Doctor Oz on his
TV show. I lasered a little red mark off his face,

(18:54):
and I'll never forget it because he said to me,
you know, he didn't have much of a pain threshold there,
and he said, you're never going to be on my
show again, Arthur. Well, yeah, fortunately I was. And now
look at him because he had that blasted off his face.
He's head of Medicare and Medicare Wow, look what we did.
I take full credit for the success of others. You know,

(19:15):
Jimmy Fallon's career took off amazingly after I operated on him. Right, No, yeah,
look at that. I actually I did. I took a
mole off Jimmy Fallon's hand. It's about ten years ago
now on the air with Doctor Oz. It was really
something a lot of fun. And look at that. Then
he got late night, right, so there you go. All right, Well,

(19:35):
cleaning up your skin, that's one of the things we
like to do. Now. A lot of people they're not
interested in going into the operating room. I don't know why.
It's so much fun for me. You know, I actually
had a hernia repaired a couple of weeks ago. It
wasn't so bad. I'm the worst patient there ever was,
but I did complain quite a bit but got through
it okay. But a lot of people don't want to

(19:56):
go into the operating room unless it's absolutely necessary, and
you know, life saving surgery or something like that. So
we have all these procedures now in plastic surgery that
I can do in the office that can help you
look better without ever stepping into the operating room. So
of course we talk a lot about wrinkle filler, and

(20:16):
I love doing wrinkle filler. It's really an art forum.
You know. There's so many now and I use rest lane,
I use Juveterim, I use I use what's that new
and eveless. It's called evil. You know, there's all these companies.
There's so much money for the companies. You know, they
have one cc of filler and it costs me as
a plastic surgeon, anywhere from three to almost four hundred

(20:39):
and fifty dollars for one CC. There are twenty eight
c season out so you can do the map. Filler
costs more than gold. So you know, if you put
gold under your skin, you can't do that. You can't
fill wrinkles with gold. But it's cheaper than wrinkle filler.
But wrinkle filler is so good. It fills wrinkles, plumps
up the lips, makes your chin look a little bigger,
fills your nasal abial folds. Those are the folds between

(21:02):
the corner of the nose and the corner of the mouth.
Fills the marionettelines, which are the most disturbing lines as
you get older, right, you know, I always say fourteen
year olds have nasal abial folds, but no fourteen year
old has a marionetteline. That is a sign of aging.
And I can really help those kind of go away.
And we can also if you don't want a facelift,

(21:22):
I can to a certain extent, hide your jows with
filler that I put between your chin and your jowl
and kind of, yeah, it makes your cheeks your face
look a little wider, and I show you I'll simulate
that with a computer to make sure you're okay with that,
but it's certainly easier than having a facelift. And what
else can we do with filler, Well, we can fill

(21:43):
the temples. That's one of the newer things. You know,
look at your temples, lift up your hair, hopefully not
while you're driving, and you'll see if you're over fifty,
you start to get this depression in your temples as
that little fat pad goes away. I don't understand why
it goes away, no one does, but it. And we
can very easily fill the temple with wrinkle filler. And

(22:05):
you know, I use ultrasound now to look and make
sure that they were away from the blood vessels, and
we'll go ahead and fill those temples. And then what
else can we do? Plump ear lobes, Oh my goodness.
Almost all women over the age of fifty five, their
ear lobes begin to kind of wrinkle and shrivel up.
And they don't even realize it. They don't realize it,

(22:27):
but that happens. It really does. And the consequence of
that is that your ear rings kind of particularly if
you wear stud ear rings or diamond earrings, they tend
to turn right, you know what I'm talking about. So
if you plump up the ear lobes, which I do
when I do the comprehensive facial filler, I call it
it's the Perry oral rejuvenation. But you don't like those big,

(22:50):
big words. But when I do that, I'll also put
a little bit in your ear lobes and that will
help your ear rings for about a year. They'll be
back to where they were before. It's a really nice thing.
Will also take that filler and put it in your chest,
the top of your chest. You know those lines because
you went to the beach, you're at the Hamptons, you're
at the Jersey Shore all summer, and now you're paying

(23:13):
the price because you see those wrinkles. I can pretty
easily fill those wrinkles also with a little holuronic acid.
But one of the things that works so well on
those wrinkles is also called altherra. That's not a filler.
It's not anything I inject all unless you want to
think of energy to be injected. But al thera is

(23:34):
high energy focused ultrasound. A lot of really big words,
but the way to look at it is it's kind
of like a laser that uses sound energy as opposed
to light energy. We all know that lasers that takes
you know, light, and it focuses that one frequent, one
wavelength of light, a specific one that can burn holes
in walls. That's a laser, right, and it's very potent.

(23:57):
But we can also take sound energy and we can
focus that. You know, if you've ever been to I
think it's the Pantheon right in Italy. If you've been
to that building, you know, the big round building, and
you can whisper from one side and hear it, you know,
one hundred yards away on the other side the whisper
because your sound it has been sort of beamed in

(24:19):
a focused way across the room. Well, we can focus
that just like you can focus light waves, and then
we can intensify it. So we can take sound. And
you know that if you're standing next to a parade
and someone's beating a drum, you're your pants will vibrate.
So we know that sound has energy. We can take
that sound to where you can't hear it. It's called ultrasound.

(24:41):
You know, dogs can hear some of this ultrasound, but
we can't, and we can intensify it and then aim
it underneath the skin and actually burn the tissue. Why
would we possibly want to burn the tissue because when
we do that in a very controlled way, whether it's
with laser, whether it's with all THEO which is sound energy,
or whether it's with radio frequency, which are some of

(25:01):
these other machines use electricity, they all have something in
common and they actually injure the tissue and they incite
a reaction that is age old in humans, and that
is to shrink tissue that's been injured and to generate
more collagen. And if we do that in a very
controlled way, you'll look better. So all thera is one

(25:23):
of those things, it's say. One of the reasons I
like it is there's there's no downtime whatsoever for all thera,
which is really good, unlike the laser, which has about
a week of downtime. All therah is great. I can
lift your gels, I can lift your brows, I can
smooth out the chest. It's really a wonderful technology. Next week,
I think we'll talk about it a little bit more. No,

(25:43):
it's pulling me away. It's only a half an hour.
I wish this were an hour, but it's not. If
you want more information about me, check me out on
the web Periplastic Surgery dot com. You can call my
office two one, two seven five three eighteen twenty and
purchase the products if you'd like, on Amazon dot com.
That's how you do it. No, thanks so much for
great engineering. We'll see everybody next week at six o'clock.

(26:07):
Don't forget subscribe to the podcast. Bye bye now.

Speaker 1 (26:11):
The proceeding was a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed.