August 28, 2025 • 41 mins
Welcome back to another episode of Leslie's Lowedown on Life! Today, I sit down again with Spokane Plastic Surgeon Dr. Chad Wheeler to discuss the realities of plastic surgery, and if it's even worth the cost.
If you enjoyed today's episode, click the Follow button and for exclusive content be sure to subscribe to my YouTube channel (@LesliesLowedown).
Thank you all for joining me today and enjoy the episode!
If you enjoyed today's episode, click the Follow button and for exclusive content be sure to subscribe to my YouTube channel (@LesliesLowedown).
Thank you all for joining me today and enjoy the episode!
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
The views and opinions expressed by guests on this podcast
or their own, and do not necessarily reflect those of
the host or management. This podcast should not be considered
professional advice, and listeners viewers should consult appropriate professionals for advice.
Taylor do their specific needs.
Speaker 2 (00:13):
No, I do. I want to hold it. It's almost
like stress wall.
Speaker 3 (00:17):
To be honest with you, we call it the stress breast.
Speaker 2 (00:19):
It is like a stress When is the best time
to get a facelift? And is it again? Is it
ever too late? Because there are all kinds of products
that we're seeing online.
Speaker 3 (00:30):
With us and it will take someone's skin that looks
seventy and makes them look fifty.
Speaker 2 (00:34):
Sign me up. So I think the key word here
for today that caught me was freaky is wide. You
want to make sure you check their work and they
don't on people that looks like free don't believe everything
you see on social media. And that's all I have
to say. Hi, I'm Leslie low Welcome to Leslie's Low
Down on Life. All right, Welcome everybody to Leslie's Lowdown
(01:08):
on Live Today, We've got doctor Wheelery is back in
the house. This has been my number one podcast that
people ask me about because you are so fun and
so animated, and I think people have so many questions.
Well I've got almost two pages of questions and so hi, welcome.
Speaker 3 (01:25):
Back, Thank you for having me again. I really enjoyed
it last time. I brought some props this time, just
in case what we're talking about. But I just think
plastic surgery in general, there's so much misinformation that's out
there that people think that they know what it is,
but then in reality they come in. Patients will come
in to see me and they'll tell me, oh, yeah,
I want that botox filler. I'm like, well, those are
(01:46):
two different things. Botox freezes muscles and filler adds volume.
The botox filler is not such thing. And they're like, oh, well,
that's not what my friend told me. And I'm like, well,
it's shockingly your friend doesn't know.
Speaker 2 (01:56):
Your friend does not know, but I'm going to tell you.
Which is what's so great is that I think there
is so much misinformation out there, and I think the
more we know, the better we look.
Speaker 3 (02:07):
All right, you know, and this plastic surgery is not
for everybody, especially cosmetic surgery. Some people are like, I'm
going to grow old and die gracefully, and that's great.
I'm going to find it tooth.
Speaker 2 (02:16):
And nail exactly. And then there's those right down the middle, right, yeah,
and whatever works for you. That's what we said last time,
and I'll say it until the day I die itever
works best for you. So should we start with like.
Speaker 3 (02:31):
The questions?
Speaker 2 (02:32):
Let's start with the question. So Linda wanted to know,
do you get people coming in after plastic surgery saying
they regretted? Are there ever regrets?
Speaker 3 (02:41):
Yes? I would say a lot of people come in
with regrets, and usually it was they kind of went
to the cheapest place, or they went to Mexico, or
they they they didn't really do their homework well enough.
A really well done plastic surgery in somebody who is
in appropate create candidate, they are generally thrilled over the moon.
(03:04):
But there are a lot of people who think that
plastic surgery is the answer to whatever their problem is,
and maybe it's not. So Like if your BMI is
forty five and you want a tummy tuck and we
tell you no because it's not safe to do that,
and somebody that's that heavy, you will find somebody who'll
do it. You might be able to go to Mexico
and get that tummy tuck with your elevated BMI, but
(03:24):
your risks of complications are high. The outcome is not
going to look great, and they'll regret it.
Speaker 2 (03:30):
And then I suppose in that situation, and this is
running through my head, is you know, if they've got
the BMI that's at forty five and they do want
to get the tummy tuck, then do you like get
them on glps? Did I say that right?
Speaker 3 (03:44):
Those are the ozepics And that's like one of the brands.
There's a lot of different bands are out there, but
GLP ones are, in my opinion, there are godsend. They
are brand new medication that basically most people lose about
twenty percent of their weight on it, especially if you
have diabetes or that sort of thing, but even normal
people who don't have diabetes respond to them usually as well.
Ninety nine percent of people respond to them, and it's
(04:06):
it's just been the game changer for our society. So
our company started offering medically assisted weight loss because we
would have patients come in that we couldn't really do
anything for them safely and They're like they've been trying
to lose weight their whole life. They can't do that,
and so finally it's like here's something that kind of
gets them going.
Speaker 2 (04:24):
And which I think is such a godsend for like
you said, for so many of them. And you know,
we were talking about this last time, and it was
so many people are opposed to these weight loss drugs,
and yet they've helped so many people in so many
different ways as far as blood pressure and heart risk.
Speaker 3 (04:47):
Yeah, Like I'm on a gop one. I have been
for two years. I have fatty liver disease. So that's
where your liver gets replaced with fat cells. It's just
a genetic thing that my dad died of it. So
I went on it in order to to reduce the
fat in my liver and I've bet my lost about
twenty pounds and I've been on it for two years.
Speaker 2 (05:05):
That's amazing.
Speaker 3 (05:06):
But nobody would ever guess that by looking at me
and the initial side effects. I tried to really push
the dose. I don't recommend doing that. That was a
kind of miserable.
Speaker 2 (05:15):
Actually, what does that do well?
Speaker 3 (05:17):
So if you push the dose on those trying to
get your results faster. You really have a lot of
GI symptoms, nausea, vomiting, early satiety, diarrhea, constipation, those sorts
of things. But if you really just slowly increase the dose,
it takes a little while longer to lose your weight.
So most of us are not patient people, but you
really are going to have a lot more symptoms. So
we do in our office where we're controlling the dosage
(05:39):
for you so that you don't get tempted to give
yourself an extra shot and that sort of thing. It's
also a way that we can control the cost of
it more and make it more affordable for people.
Speaker 2 (05:48):
So you're saying there's more people than just myself that
aren't patient.
Speaker 3 (05:52):
I'm one of them.
Speaker 2 (05:54):
Evidence instrument gratification is what we're always But I like
that you kind of twofold it so you'll help people
with the weight loss, and then in turn, if they
still need that tummy tuck or within that tummy tuck,
then then you can do that done so when.
Speaker 3 (06:06):
It comes to tummy tucks, just because we keep talking
about it, so this is a fascinating thing. When I
tell people this, it doesn't matter how much weight I
cut off of you at the time of your surgery
or your tummy tuck. Let's say you came in, you
weighed one hundred and forty pounds, and I cut ten
pounds off of you. Four or five six months later,
you will weigh exactly what you did before I cut.
Speaker 2 (06:25):
It off of you. That's fascinating.
Speaker 3 (06:26):
Your body just redistributes that energy storage somewhere else. So
that's why plastic surgery is not weight loss surgery. It's
for body contouring, right, So that a lot of people
just don't realize that that's the case.
Speaker 2 (06:38):
Yeah, I don't think I understood that either. I just thought, okay, well,
you're removing this bulk of skin, so therefore you're yeah,
you're just going to take off ten pounds for me.
Can we talk about that knowing? Okay, So speaking of that,
you know plastic surgery in Mexico, US, because I have
an anonymous question somebody wanted to know surgery in the US,
(07:01):
and we did kind of talk about this last time too,
but I think it's important to go over it again
because so many people are looking outside of the US
for those cheaper versions of the same surgery, and.
Speaker 3 (07:11):
They are cheaper outside of the US. For a variety
of reasons, but usually it has to do with safety.
So you really don't know if you go to Mexico,
is the implant that they're putting in you this same
implant that's been sitting on this desk for the past
ten years, and that just happened to be the right
side and they just washed it off and stuck it
inside you. You know, there's a lot of regulations in
the United States that are trying to keep you as
safe as possible and hoops that we have to jump through,
(07:33):
and like everything, the more regulations there are, the more
people you need to keep up on the recommendations and
all that sort of stuff. So it's all about safety.
I have seen people go to foreign countries and get
beautiful surgeries, and I've seen people go to foreign countries
and get disasters. But I've seen people in this country
get disasters. So you don't really have a lot of recourse,
(07:55):
you don't have a lot of safety. There's a plastic
surgeon that used to work in this area that now
but basically left and now is working in a foreign country.
And at the time that they were working here, they
weren't that great of a plastic surgeon and they kind
of did a that great job. And that's the person
that you would be going to in this foreign country.
Speaker 2 (08:13):
Because that's where they can get work.
Speaker 3 (08:15):
Correct.
Speaker 2 (08:15):
Okay, that makes me nervous. What you know, that makes
me a little bit nervous. I mean, I understand both sides.
People are always looking for a bargain, looking for a deal,
but then you're outside of the country or what happens.
If something happens to you, then you're in another country.
That's another country.
Speaker 3 (08:31):
And yeah, but I get it. I get the fact
your plastic surgery is really expensive, and I think a
lot of people are very surprised about how expensive it is.
And it's just paying for you know, I have eighty employees,
you know, so I'm doing surgery. I can't operate I'm
three or four people at the same time. I can
only do one person at a time, and I have
(08:53):
to you know, support you know, eighty different employees. Now,
luckily there's several surgeons at my practice. I'm not supporting
all having myself at that one time. But you know,
that's why things are so expensive, because we were supporting
the local economy and we have a lot of mounts
to feed.
Speaker 2 (09:08):
You get what you pay for.
Speaker 3 (09:10):
Well, well, I think I think it's a good general
rule of thumb. Okay, but only to a degree. There
are people in our community and outside of our community
that are charging three, four or five ten times what
I would charge for the same procedure, And is is
what they're doing three four, ten times better? No? Yeah,
(09:31):
so yes, you get what you pay for, but.
Speaker 2 (09:36):
Do your research.
Speaker 3 (09:37):
Do your research.
Speaker 2 (09:38):
Do your research. I think that is like the best
advice that you gave last time was do your research.
Speaker 3 (09:44):
The best advice. I say this to all of my
patients and they come in to see me for a
consult I was like, at the end of the console,
I say, I have a very direct personality. I say
it like it is for some people that's too much.
But the number one thing when you're going on a
consultation with a plastic surgeon is that you feel comfortable
with that person and how they communicate, right, because something
(10:05):
can happen with any surgery that you do. And if
you already don't like that person, or distrust that person,
or have like your spidy senses up, don't do surgery
with that person. I don't care how cheap it is.
Run right, make sure that you have a good communication
with you.
Speaker 2 (10:19):
And I would just think that I mean me personally.
I would want somebody to be direct, be direct, tell me,
don't sugarcoat anything, because more direct you are than the
more informed I am. It's kind of how I know.
Speaker 3 (10:30):
But some people take offense to them.
Speaker 2 (10:32):
Yeah, all right, I guess I'm not one of those people.
So you've got the breast implants out here in front
of me, And this is kind of twofold, but we
do have a question on here, another anonymous one, but
wanting to know if you get a breast lift, do
you have to get breast implants to get a breast lift?
(10:52):
And I thought, oh, that's an interesting question. That'd be
one i'd ask.
Speaker 3 (10:55):
So the idea of a breastlift, where is the position
of the relative to the rest of the breast. So
if the nipple is pointing to the floor, then you
need a breast lift. Bring the nipple back so it's
pointing straight and forward. Again, that does not add any
volume to your breast. So a breast lift doesn't make
your breast bigger. A breast augmentation or using an implant
makes your breast bigger. So just by filling up your skin.
(11:20):
It can lift your breast if you're talking about the
actual volume that's there, but it does not lift your nipple.
Speaker 2 (11:26):
Okay.
Speaker 3 (11:27):
So it's called the pencil test. So if you pick
up borrow this pen, if you pick up your breast,
you stick the pen between where your breast hits your
chest wall. You let go of your breast, and then
you let go of the pen. If the pen stays,
you might need a breastlift.
Speaker 2 (11:41):
Okay.
Speaker 3 (11:41):
If the pen drops, then you don't.
Speaker 2 (11:44):
Okay, that's actually really good information.
Speaker 3 (11:47):
It's called the pencle test.
Speaker 2 (11:48):
So I read that question and I thought, oh, yeah,
that's a really good one. I guess I think I
was wondering the same thing.
Speaker 3 (11:55):
So brest augmentation adds volume, breast lifts, move the position
of the nipple.
Speaker 2 (11:58):
Okay, since we're talking about that. You got all the
different breast implants right here, which is fascinating because I've
never looked at one like that.
Speaker 3 (12:05):
So like, so this is a sailing breast implant. Okay.
This is all we had in the United States from
nineteen ninety two until two thousand and six unless you
were part of a study. And so a lot of
things happened in the United States that didn't happen in
other parts of the country. So a sailing brest implant
ripples really significantly. So you can see that this has
a lying down the middle of it, and literally you
can sometimes feel that through your skin, especially when somebody
(12:26):
has really thin coverage. So when all we had was
sailing breast implants, we would always put them underneath the
muscle because we're trying to hide this lumpy mattress from
the outside.
Speaker 2 (12:34):
Right.
Speaker 3 (12:36):
Silicone breast implants also ripple, but they don't ripple as badly.
In fact, they kind of bounce back how they were
supposed to be, and like sixth generation silicone implants really
hold their shape pretty well. Yeah, the difference between these
two implants. This is a smooth round implant. This is
the most common implant used in the United States, okay,
where most other countries that never had silicone implants taken
(12:56):
off the market are using these, which are textured to
anatomy implants. They give your breast a more natural breast
shape because the upper pole fullness is lacking, so that
looks more like a breast right around thing. Right, So
I call this a European style breast augmentation. It's usually
what I do for a lot of patients and kind
of what I've known I've become known for versus the
(13:19):
stuck on too big for their frame or just too
full in its top appearance. So this is called an
anatomic implant. There are some disadvantages to them, the texturing
that's on it, But you had a risk for a
very rare disease called AlCl is, a rare form of lymphoma.
I've never seen it, none of my partners I have
ever seen it, but it does exist. And this one
I brought purposely because it has a hole in it.
(13:39):
A lot of people wonder about when their impact starts leaking.
So if you can see this, this does not want
to come out. This is very different than how implants
used to be. So this is a highly cohesive breast implant,
or also known as a gummy bear breast implant. They
should really call it a jello breast i plant because
just like a gummy bear, a gummy bear is not
this soft, right, But if you were to put your
finger in gello, you could actually go into it and
(14:01):
then you would have a sticky residue.
Speaker 2 (14:02):
And you've got that interesting, So this is your preference
right here would be yeah, I mean.
Speaker 3 (14:10):
That or this one that takes on somewhat of an
antomical shape when it's in there because of how soft
the gel is, so it has a similar thing without
the risk of the AlCl of.
Speaker 2 (14:17):
Okay, freak somebody out. So I guess I have a
question because I know that you do a lot of
breast reconstruction for cancer patients. I know I do. I
want to. I want to hold it. It's almost like
stress ball, to be honest with you.
Speaker 3 (14:30):
So we use it. Use an implant when I'm injecting
people with like fillers or botox, will give them one
of these impacts as I stress, and we call it
the stress breast.
Speaker 2 (14:38):
It is like a stress I could see.
Speaker 3 (14:41):
That seems weird the difference between the two.
Speaker 2 (14:44):
There is the difference.
Speaker 3 (14:45):
Yes, one feels like a boob, yes, and the other
one feels like.
Speaker 2 (14:47):
About it, like yes, that that is so interesting because
I've never done this before, so that it's just like, okay,
all right, So when you're doing like brust reconstructive surgery,
because I know that things have gone They've come a
long way in the last several years. So what is
like your choice or does it depend on their body
(15:10):
or you know, what kind of cancer they had or
how much they've been through.
Speaker 3 (15:15):
Yeah, it doesn't depend on how much cancer they have.
Other than if you have like metastatic breast cancer and
it's your brain and your liver and your lungs, we're
not going to do elective surgery on you. We need
to really focus on your cancer treatment. So as long
as your cancer is in an early stage, we're really
good at curing breast cancer. You know, if you're a
stage one breast cancer, you have like a ninety seven
percent ten year survival rate. Right, So we can put
(15:36):
the focus on the appearance on you know, getting something
out of this the breast dog they never got but
they've always wanted, or whatever the thing is. We can
make that more of the priority, or at least make
it a priority. Obviously, getting rid of the breast cancer
is the priority. So but as far as like the
type of implant we use or how we reconstruct them,
it's just very patient dependent. We usually either use their
(15:58):
own tissue, which is usually from their abdomen, or we
use an implant if they don't have any tissue of
the abdomen or they want that shape.
Speaker 2 (16:05):
Yeah, and again we talked about this last time, preference
as to what each individual does. I do love that
you can take you know, skin and tissue from somebody's
own body and then do that kind of reconstruct. That's
fascinating to me.
Speaker 3 (16:24):
So just like she and I have talked about her
potentially coming and watching a surgery just to learn more.
And in that particular surgery, I'm going to take the
fat that's in their sides out and I'm going to
transfer that fat into their buttock. Not to give them
a giant butt, but just to help with the shape.
Because when you lose a lot of weight, your butt
becomes very flat. And so when I do a body
lift and I lift all that skin up, if I
(16:46):
don't put any fat back in the butt, they still
have a very pancakey butt. And so a lot of
people when they hear gluteal fat transfer, they think of,
you know, the Kardashians or whatever with the giant butts.
That's not what we're going for. We're just trying to
give it a shape. So I'll take the fat from
one location, I'll try tansfer it to a new location
and it will live in that location and take on
the characteristics of that location.
Speaker 2 (17:04):
That's amazing.
Speaker 3 (17:05):
So we'll do it also for facial fat transfer, for
when people have lost a lot of weight in their face.
Speaker 2 (17:09):
And you can take that again two and them put
it safe in the cheeks and wherever all the time.
That is so fascinating to me. I guess I'll take
this moment here too to say get your breast exams. Yes, right,
but yes, but do get your breast exams. I always
think that's so important. You have some different fillers here,
(17:31):
and I didn't know this, so we were talking about
this before we got started, that there are different fillers
for different parts of your face. Did it get the
right yep.
Speaker 3 (17:40):
So these particular fillers have a difference in density and
they're all expired, so I figured I would just waste
them all. Let's go. So because a lot of people
think that if they just get a syringe of filler,
they can put it wherever they want to put it, right,
and you can't do that because the fillers have different
properties for different purposes. So if I take this, this
is called the luxe. This is one of the stiffest
(18:02):
fillers on the market where you generally use it in
the jawline and in the chin.
Speaker 2 (18:05):
Okay.
Speaker 3 (18:06):
And if we look at when I squeeze it out,
you see how it wants to hold it shit, Yes, thick, okay,
super thick. Where this one is called redensity. This is
one of the thinnest ones on the market. Oh yeah,
and you see it that over time it's wanting to
like flatten itself back out. So if I put this
in your chin, it's going to do anything. I could
put it really superficially, like right underneath the teeny tiny
(18:27):
little wrinkles. Yeah, but I can't put it down on
your bone. It's not going to hold its shape.
Speaker 2 (18:31):
So where would you put that?
Speaker 3 (18:33):
So I would use the redensity, the really really really
thin one directly underneath each individual little teeny tiny like
wrinkle in the skin.
Speaker 2 (18:40):
Okay.
Speaker 3 (18:40):
So it's like like in the dermis, I'm super duper
duper superficial, where for the voluxe, I'm on the bone
and then there's ones in between. So like if I
was going to do somebody's lips, I would oftentimes use
not that thin and not that thick something down the middle.
We're down the middle and that one is somewhere down
the middle.
Speaker 2 (19:00):
Ah, that is that's cool. And they did not know that.
Speaker 3 (19:03):
This really wants to stick, yeah, really wants to stick
to itself, where that one is.
Speaker 2 (19:09):
Like, wow, that's like water. Yeah, okay, oh that's.
Speaker 3 (19:14):
You see how yeah holding right?
Speaker 2 (19:17):
So this is when you want closer to your bone
then correct okay.
Speaker 3 (19:20):
Yeah, and that one we go on lips, and this
one goes really superficial.
Speaker 2 (19:23):
Wow, that's awesome. I'm just gonna rub that in.
Speaker 3 (19:28):
And it's actually it's hyaluronic acid, right, so that's.
Speaker 2 (19:32):
Good for your skin, which I need to go get
more of.
Speaker 3 (19:35):
It's definitely not going to hurt anything, uh to have that.
And that's I like to use hyaluronic acid fillers. And
the reason why is they make an enzyme. I should
have brought that that would have been kind of cool.
They make an enzyme called high LINEX that you can
put on this and it will eat it. So turn
it from this jelly like consistency to the water.
Speaker 2 (19:52):
So if somebody has too much filler doesn't like how
it is, then you can then solve it, dissolve it.
Speaker 3 (19:59):
And so that's why I like hyaluronic acid, because one
of the main complications of fillers that can be kind
of scary is if you get it into a blood vessel.
If you get into a blood vessel, you can cause
necrosis of that distribution of that blood vessel. And if
you're using a filler that you can't dissolve, there's nothing
you can really do other than prey this one. I
can flood the area with a delusional agent and usually
(20:22):
reverse that process.
Speaker 2 (20:23):
Okay, so hylonic acid compared to what what are the
other ones?
Speaker 3 (20:27):
The other fillers that are more permanent are like something
called bellafhill radis in sculpture.
Speaker 2 (20:33):
Why would you want to use done?
Speaker 3 (20:34):
I don't. I just don't.
Speaker 2 (20:36):
Don't.
Speaker 3 (20:37):
Don't. Yeah, there's a lot of people in the town
and nationwide that sculptures had a huge marketing push, so
there's a big social media presence for it right now.
I don't like to use it because I can't reverse it.
It's not super thick, so you're not as worried about
it getting in the blood vessels. But if you don't
like it, I can't reverse it. But more importantly, when
(20:57):
I come in to do a facelift later, that's school
creates little teeny tiny adhesions and scar points that make
the surgery much more challenging and more difficult. So knowing
that one day somebody might want to have a facelift,
I'm not going to use this product in them because
that's going to make whoever does their facelift later if
they get one later, you know, but then they always say, oh,
(21:17):
I'm never going to get a facelift. Trust me, the
number of forty year olds to say they're never going
to get a facelift they then end up getting.
Speaker 2 (21:22):
Them, it's pretty high. It's pretty high, higher than the
amount of facelifts that have increased over the last year.
Because we were talking about that, like.
Speaker 3 (21:31):
Yeah, so she had asked me one of the questions was, have.
Speaker 2 (21:34):
You seen an increase and the amount of facelifts over
the last you know, several years.
Speaker 3 (21:41):
I think no, So that the national statistics show a
one percent increase from last year this year in facelifts.
I think what's more important is that facelift have a
stigmata that you're going to look pulled and tight and
weird like Joan Rivers, where in reality, a good deep
playing facelift, you know, the ones that we talked about
last time. They just look they look young, refreshed, they
(22:01):
look great. So I actually do I think that people
as they're seeing that, they're like, Okay, do I really
want to look like my mom for the rest of
my life? Or do I want to look like I
used to look ten years ago? And that questions pretty
easy to answer for most people if it's important to them.
Speaker 2 (22:15):
Yeah, Jim had asked that question. He also said, do
you think that if there were an increase in facelift
if we're due to social media?
Speaker 3 (22:24):
Yeah, I think that social media, the deep playing facelift
is definitely there's a big push out there right now
for that. On social media, there's several very talented facelift
surgeons who are gaining a lot of traction. And then
the celebrities are being more open about what they've had done,
you know, So when you see the people who have
(22:45):
had that work and you're like, wow, they look really great,
it's not so scary anymore. It's a being secretive about it.
Speaker 2 (22:50):
Yeah, that's so true. Okay. So we also had a
viewer that wanted to know is when is the best
time to get a facelift and is it again, is
it ever too late.
Speaker 3 (23:01):
Yes, it definitely, definitely, definitely can be too late. I
tell people sometimes they come in, they're seventy five, they've
never done anything, they never use sunscreen. Their skin looks
it looks terrible. It has all the little crepe paper appearance.
Speaker 2 (23:14):
Creepy. Yeah.
Speaker 3 (23:15):
So if you pull that skin tight to get rid
of the heaviness that's there, it looks really strange. You
look like you got caught in a wind tunnel because
all of your vertical lines on your face from aging,
none are now sideways. So you want to do it
before you get a lot of those lines in your face,
so that you can put it in the right location
so that then you don't look weird. So the ideal
(23:38):
time for a facelift is somebody who looks to be
between forty and sixty, Okay, Okay, So people who would
look old for their age would get it closer to
the forty and the people who look young for their
age would get it closer to the sixties. Okay, But
that's in general when we start to think about it,
and usually facelifts are usually it's the jow. It's this
(23:58):
heaviness that's right here.
Speaker 2 (24:00):
It's a sad thing.
Speaker 3 (24:00):
Combine with the neck right, so in your neck it's
really bothering you and the jow. A facelift is what
fixes that. A lot of people think that a facelift
is also a browlift. We oftentimes do do those together,
but and some people say that's a full facelift. It's
not confused people. Facelift does the jaw line in the neck,
a brow lift does your brows, and sometimes you have
(24:22):
to do both because if you go to do this
and it gets all wrinkled sides, you need to have
that as well. So sometimes we do recommend a browlift
at the same time as your facelift, especially if you're
on the older age of that.
Speaker 2 (24:33):
So I forgive me because I can't remember if we
talked about this last time. But if you have a facelift,
you're saying, I know we had a conversation, I can't
remember if what was on camera off camera. Do you
still need to like do the fillers and the bowtox.
Speaker 3 (24:48):
Yes, So a facelift does something very different than what
filler does, and does something very different than what botox does.
Botox paralyzes muscles. We paralyze the muscles associated with lines
of animation. That we don't like. Usually it's four between
your eyebrows or the crow's feet, and sometimes the fore headlines.
So if you do a browlift, you may may be
able to get away with less botox for your fore
(25:09):
headlines because you've taken away while you're getting the four headlines.
But eventually you'll probably still want to do some botox
here and there. Filler when I'm doing a facelift, I
oftentimes will transfer fat to someone's face at the same time,
which is volume, and so it's filler is volume, So
that fat transfer kind of makes them not have to
have filler for a while. But then over time they
lose some of that fat and face because we lose
(25:30):
when on fat in our faces, we get older and
they might need some filler again. So it definitely helps,
but you're not going to get out of it. So
you don't have to do anything ever.
Speaker 2 (25:37):
Right, right, there's still some little tweets. You got a
little maintenance that you've got to do.
Speaker 3 (25:42):
One of the main maintenances you need to do is skincare. Right,
So we were going to talk a little bit about retine, retinol,
all that sort of stuff to understand how that works,
why somebody should use it. So recently you've started using retinoligain.
Speaker 2 (25:55):
Yeah, I started because I was really inconsistent with it,
and then I started using it very consistent after our
last conversation. I notice a big difference just in the
texture of my skin.
Speaker 3 (26:05):
Yeah, so how retin So first of all, retinol and
thretonoen are very similar, but they're not the same. Think
of the retinols as a weaker version of the prescription
strength threat and knowing they both do the same thing,
which is to tell your skin to turn over more quickly.
So to get your skin to turn over more quickly,
the healthy thick layer of your skin has to be
(26:27):
about twenty to twenty five percent thicker because the life
span of the cell is shorter, so they're turning over
more quickly. So during that time, during the first three
to four months that you're using the product, you're going
to get more pimples, more breakouts, more redness because your
skin is having to turn over more quickly. It is true.
The outer layer of your skin, the dead layer your
skin is going to become thinner because your skin cells
(26:47):
are turning over more quickly, which is what gives you
a healthier glow to your skin and less of that roughness.
So by using those products, you're going to make your
skin thicker and healthier, and therefore that textureal quality of
your skin is going to be improved. And as long
as you're on it, it will stay that way, but
as soon as you stop it, it will go back
to its normal SEBLL life cell. There are basically I say,
(27:09):
there's seven levels of retine retin all all those different things.
I usually start people around level three. I like a
product called Skin Better Science alpharet That's usually what I
start people on at our practice. And then you have
to go in the prescription strengths. But you don't want
to go to the pharmacy and just buy a bottle
or Mexico and buy a bottle of retine.
Speaker 2 (27:25):
That was my question.
Speaker 3 (27:26):
It's it's super duper duper harsh. Okay, so what will happen?
And you'll start using that, and because there's not other
things in it to make it like not so intense,
most people bail out of it because it makes their
skin really red and really inflamed and really irritated and
they just can't they can't take it. So like we
have products that are mixed in with other products so
(27:46):
that when you're using it, it's not as intense on you,
but you're still getting the same effect.
Speaker 2 (27:50):
Okay, So with the retinol's retinee so help with brown spots.
Sarah had a question. She was like, does that help
with age spots? Yes?
Speaker 3 (27:57):
Okay, I think everybody if they can afford it, not
something expensive, but if they could afford it, they should
be on a retinol or retine as well as skin
sun protection. If you're not going to protect your face
from the sun, don't even bother doing any of this
is a total waste of money. But if you're going
to protect your face from the sun, you should be
using a retine or retinal the highest dose that you can.
You start with it every other day and then you
(28:19):
eventually do it every day if you can, and then
you go up to the next level, the next level,
next level, until you get to the highest level that
you can tolerate. But it helps with the age spots,
It helps with the texture of your skin. Brown spots
also have a different thing that you can use, and
there's a product called hydro quinone. Now, if you're using hydroquinone,
all the time for the rest of your life. You're
going to cause some problems with your skin, so you
(28:40):
want to go on and off of it from time
to time. But that's what really helps with the age spots. Okay,
it with the brown spots.
Speaker 2 (28:46):
Okay, Okay, it's bleach. It's but it's a bleaching kind
of product for your skin, yes, okay, and retinol. You
just continue to increase until like.
Speaker 3 (28:58):
We have a cream that we carry it's called in
brightening cream, So it has hydroquinone and tretonoen in it
together as well as some other things to make it
so it's a little more soothing. But I just wouldn't
want you to be on that just that one product
for the rest of your life, right, you'd want to
cycle in and out of that product. Okay, you'd want
to do that, like in the fall and winter, get
your skin nice shiny, get a little ipl intense pulse
(29:18):
slight that's going to help the brown spots to fall off,
and then you know, but it's a constant. You're gonna
constantly have be having to do something for it. There's
nothing that just makes it go away.
Speaker 2 (29:27):
And it never and then it just never comes back.
I wish that would be lovely. Okay, you just said
IPL what its pulse slight.
Speaker 3 (29:35):
Okay, it's basically just a really really really really bright light,
but it's so bright that it actually damages your skin
in a good way.
Speaker 2 (29:45):
Okay, so last time, you have the red light mask,
which everybody loves.
Speaker 3 (29:49):
So the red light mask, right, you put that on
and it just feels a little warm, and yeah, that's it. IPL.
It's like it's almost like it's not a laser, but
it's like a laser in that it's like someone's dropping
rubber band against your skin. Oh so it's like like
somebody's of the world, but it's not like soothing. With
the red light mask, you can put that on for
(30:11):
fifteen minutes and it's it's not going to hurt you.
Speaker 2 (30:13):
Yeah, nobody's puking you. Okay. Sarah's other question was, and
I'll take it back to the creepy skin and I
think not just for your face but for your body.
Is there is there a good way to combat out
because there are all kinds of products that we're seeing
online about the best I.
Speaker 3 (30:30):
Would say, so anything that is not sold from a
doctor's office can't have enough of the effective ingredients in it,
because you're going to potentially have side effects associate with
those ingredients, and who you're going to call from arshan
lam or whatever, right, you know, if you're having a
reaction to that stuff. So all of the oilv at
(30:50):
and rock SERMs and all that sort of they have
a tiny amount of the active ingredient in it, but
they're capped and how much they can have in them.
So anything that you're not getting from a physician isn't
going to have a lot of the stuff that actually
does stuff in it.
Speaker 2 (31:04):
So you're gonna have to use a lot more of
it just to get maybe.
Speaker 3 (31:07):
Then maybe because the concentration is so low, you're not
going to get the effects that you would get by
having the higher dose. And honestly, the stuff in the
dark doctors is not more expensive. So I don't know
what we're trying to do here.
Speaker 2 (31:20):
It's true. I mean, maybe it might look more expensive,
but you use less of it. And I mean I
always just tell people spend the money on your skin.
Spend the money. You're going to have it. You want
to have it around for as long as you can,
and you wanted to look as good as you can
possibly have it looks.
Speaker 3 (31:38):
Don't stop in your face, go all the way down again.
Speaker 2 (31:40):
Yeah, I've learned that. The heartbreaker. I'm working on that
one too, because I mean maybe for a time I
wasn't so good at that.
Speaker 3 (31:49):
I just don't think that people think about it. They
think about their face, but then it stops, and then
what will happen is you'll start to get a discongruenty
you face in.
Speaker 2 (31:58):
The true Yeah.
Speaker 3 (31:59):
Yeah, and the face skin is different skin than nex skin.
So like, one of the things I do for somebody
who's been out in the sun for a long time
and has a lot of radiation damage is to reset
their skin. I do it with a really deep chemical
peel that you're under sedation for, Like we literally knock.
Speaker 2 (32:11):
You out for me to be able to do this,
people really yep.
Speaker 3 (32:14):
And it will take someone's skin that looks seventy and
makes them look fifty. It's ridiculous.
Speaker 2 (32:20):
Sign me up, right, It's absolutely ridiculous.
Speaker 3 (32:23):
But you know there's obviously a recovery associate with that. Right, So,
like the things that we offer and the things that
we generally do are not the things that are just
I'm going to go in for the you know, the
the afternoon facelift, right right, Like that stuff doesn't do
anything long term.
Speaker 2 (32:39):
Maybe for a minute, yeah, maybe for a minute.
Speaker 3 (32:41):
But yeah, it's not like they're charging you three dollars
to do it, right, So it might be cheaper than
a facelift or whatever the thing is, but your result
is one tenth of what the other stuff is.
Speaker 2 (32:50):
So who's who's a candidate for this?
Speaker 3 (32:52):
Anybody who has significant damage on their face from the
sun and who has the time and the effort to
go through the recovery.
Speaker 2 (32:59):
And you would the face and the neck and the
So neck.
Speaker 3 (33:02):
Skin is different than face skin. Okay. So face skin
is sebaceous or oily, and so you have deeper glands
on your face that when you literally burn off the
top layer of your skin, you have all of these
deep glands that come up and repopulate the area. You
don't really have that as much on your neck or
on your chest, So your margin for air is very
(33:23):
small on the neck in the chest to get an
improvement but not burn them. So faces, yes, very judicious
on the neck.
Speaker 2 (33:31):
Okay, okay, what's the recovery timeline? You know?
Speaker 3 (33:34):
So it used to be really terrible there's this guy
who showed me how to do a You look like
an alien literally for seven days. So we put this
green mask on your face that sticks to your face.
And what that does is when we've burned your skin,
we need to seal it. It's like a paper cut, right,
So if you have a paper cut, it hurts every
time your paper cuts opened up. But if your paper
(33:55):
cut you put super glue on it, it doesn't hurt
that much anymore because you're not exposing the underside of
your of your tissues to the air. So you have
a giant paper cut on your whole face. And so
we're putting this mask on that. It's like a mud
mask that sticks to your face for a week. And
what that does is it makes it so that it
doesn't really hurt it. Also, when you burn someone's face,
it weeps, so it's all oozy. This is stuck to
(34:18):
your face, so it's not weeping and getting on it.
Speaker 2 (34:20):
You don't have any of that.
Speaker 3 (34:21):
And and you look like a freak zoid, so like
you can't freak out because you can't see anything underneath it.
So it helps with the mental side of it. And
we just don't get people a bunch of value and say,
just sleep it off.
Speaker 2 (34:32):
Just sleep it off, take a week and get some rent,
you know. Just you're getting refreshed into every single way
right here.
Speaker 3 (34:38):
When the mask comes off at a week, your face
is very red, but it's like brand new baby skin,
and so you have to really protect it like a
brand new baby. You wouldn't leave a brand new baby
out in the sun, right you would have, so you're
want to keep it out of the sun, keep it protected.
And it feels kind of red and irritated. Brand babies
are easily irritated. So we've given you baby skin. You
have to treat it like baby skin. That redness is
(35:00):
variably and how long it lasts. You can about a
week or two later, start to put on cover up
where you're hiding the redness so you're not seeing it.
But when the cover up's not there, you're going to see.
Speaker 2 (35:09):
The red You're going to see it right now.
Speaker 3 (35:10):
Yeah, And that takes anywhere from you know, three weeks
to three months for someone's redness to go away, sometimes
even longer. If somebody has rosetia or the redness of
their skin up baseline, they might have it for longer.
Speaker 2 (35:21):
But it's so worth it in the end. I mean,
if you're looking to do some major repair work, two
weeks is nothing.
Speaker 3 (35:27):
What I should do is I should send you I said,
send you guys up before and after picture of that
of a person's skin with it and let you guys
the viewers be able to see that and be like, yes, oh.
Speaker 2 (35:37):
Let's do that. I'll put it on. Yeah, that'll be
a good one. You should also follow doctor Wheeler's Instagram
account because if you want to see some stuff, it's fascinating.
Speaker 3 (35:45):
Although you're probably going to get lots of naked pictures,
so be careful.
Speaker 2 (35:51):
Well, I mean you're talking brust in France and tummy
tucks and stuff like that, so I mean, if you're
a covered body, you're not going to see it. But
really I love to go through and look and see
the work that you've done.
Speaker 3 (36:03):
Thank you.
Speaker 2 (36:04):
It's super fascinating to me. So I am going to
come in and watch the surgery.
Speaker 3 (36:07):
Yeah, let's do it.
Speaker 2 (36:08):
Yeah, we're going to do it. And we love everybody's question,
so keep them coming because you're coming back. We're going
to do this again.
Speaker 3 (36:14):
Did we get through all?
Speaker 2 (36:15):
I think we got through them all. I'm going I'm
going back through as the amount of breastlift surgery compared
to I think we got through all of our questions, Oh,
what are the changes? What are the changes that you've
seen plus in plastic surgery? And that one is from Morgan.
Speaker 3 (36:33):
Okay, back in nineteen oho.
Speaker 2 (36:37):
Back in the old days.
Speaker 3 (36:40):
There. It's it's like any science, right, it's constantly evolving.
And so literally my own practice, I do things very
differently today than I did even five years ago. So
a deep plane face and necklift, we didn't do them
when I was training.
Speaker 2 (36:54):
Okay, talk about the difference between deep plane and then
just a regular facelift.
Speaker 3 (36:58):
Okay, Well, it's hard because I would have to I'm
gonna use a bunch of terms that nobody knows what
they mean, and so that's not gonna be very helpful.
But basically, it used to be that we were taught
to make our decision around the ear lift the skin
way off the face to hear tighten up some of
the deep structure, and put the skin back down. Okay,
that's a traditional facelift, or a skin only face lift,
(37:19):
or even a smass facelift. I don't ask me what
skin tests for it won't make any different. But basically,
it's the thick tough layer of your skin underneath your skin,
not of your skin, of your face that your muscles
insert into. It's the fascia, it's the gristle and the steak.
It's the thing that can actually hold tension or skin stretches.
So if you put any of your tension on your skin,
(37:40):
it's gonna look like you didn't do anything in three
to six months. These are your mini facelifts. These are
your lunchtime face lifts. These are why we don't do them.
So a deep playing facelift, what you do is you
go underneath the skin for a very short distance, and
then you go underneath that thick, tough layer and you
go underneath that thick, tough layer all the way to
the very interior portion of your face. So you're releasing
(38:02):
the ligaments that are restricting your face, that occur agte
your cheek and occur down here at the menton or
excuse me, demandible and so all the way to hear.
But I'm way, way, way way deep beneath your skin.
Speaker 2 (38:15):
Now.
Speaker 3 (38:15):
The scary thing about that is I'm directly on top
of your facial nerve. When I'm doing that. Your facial
nerve is the nerve that controls all the movement of
your face. So basically back in the day, everyone's like,
we don't want to permanently paralyze somebody, stay away from
that area. But that's what you have to do to
get the better result. But to do that, you have
to be really careful while you're doing it. So the
surgery takes a while, and that's why it's so expensive.
(38:36):
So I'm very carefully going all the way to the
front to release all those ligaments that are in place.
So then gently just lay that thick, tough part of
your face back down and it's new location without really
any tension on it. And that's why it last so long,
and that's why it looks so good. As well as
going in and taking out things like your submandibular gland
and the fat that lives underneath your plotisma to give
that really snatched sharp job. Okay I use the word snatch.
(38:59):
Sorry he did.
Speaker 2 (39:01):
I'm just going to do this last time. We used
to be a little and that was.
Speaker 3 (39:04):
Just imitating what right like. But for me, like I
have a much heavier neck than you do, because this
is my subnibular gland right here, that fullness okay. So
I can feel these hard knots, and so if I
were to be able to get rid of those, I
would have a much sharper jewa. So for some people,
they have a big subm individual link. Right. No amount
of pulling on your skin's going to change that. We'd
have to trim the bottom of the gland in order
(39:25):
to give you a sharper neck.
Speaker 2 (39:26):
That sharper neckline, okay. So parting thoughts for anybody. And
I know there are a lot of people who are
opposed to plastics, and again that's that is so fine,
But there are a lot of people who are entertaining it.
They have questions, they have fears. So what would you
tell people that are considering They've got those questions, but
they have those fears.
Speaker 3 (39:47):
I would just go in for a consult. There's nothing
committing you to doing the surgery, right, Go talk to
somebody who's knowledgeable, that knows what to do, how to
do it. Look at their before and afters. And if
you look at the before and you look at the after,
and you can see a nice difference, and you think
that they look good and normal and not freak azoid, Well,
then you're probably going to be okay. And in all
(40:09):
of my time, I've never had somebody tell me I
did too much when I was doing facial surgery. If anything,
some people wish that was even more.
Speaker 2 (40:16):
Yeah.
Speaker 3 (40:17):
So usually if they're disappointed, which usually they're not, but
if they're disappointed, it's like I thought it was going
to be even more.
Speaker 2 (40:24):
So I think the key word here for today that
caught me was freak azoid. You want to make sure
you check their work and they don't have people that
look like freaks, right right.
Speaker 3 (40:33):
If you look at their work there before and after
and you're like, oh, I don't think that looks very good,
then I probably wouldn't go to them because they're posting that,
so they obviously think it looks okay.
Speaker 2 (40:41):
Yeah, I'm going to use the bass as Madonna and her.
Speaker 3 (40:46):
Face, you know, or it's just too puffy, it doesn't
look like she used to look.
Speaker 2 (40:51):
Okay. So we're going into fall. Yep, this is how
we're going to wrap this up because we'll be back
and we'll be back in the fall headed into winter months.
So what recommends do you give people headed into a
new season.
Speaker 3 (41:03):
Yeah, so a fall is a great time to focus
on your skin, so things like ipl skincare, if you're
going to do one of those big peels, it's it's
a good time because you're not in the sun as much.
You know, spring in summer the times you probably don't
want to do that very specific thing to your skin
because you're going to be have a harder time avoiding that.
So springing summer, springing bodies are usually like, okay, it's
a bikini season, right, you know, let's all of that.
(41:27):
And fall fall in winter is more like, okay, let's
get the skin looky. It's best.
Speaker 2 (41:31):
Okay, I love it. I'll see you back here in
a few months if you'll be back right, Okay, done deal.
Keep those questions coming, Doctor Wheeler, thank you so much.
You're always so much fun. You have the best information,
and you're right so much incorrect information out there. Don't
believe everything you see on social media. That's all I
have to say. Go back the rest of your days,
the best of your days.
The views and opinions expressed by guests on this podcast
or their own, and do not necessarily reflect those of
the host or management. This podcast should not be considered
professional advice, and listeners viewers should consult appropriate professionals for advice.
Taylor do their specific needs.
Speaker 2 (00:13):
No, I do. I want to hold it. It's almost
like stress wall.
Speaker 3 (00:17):
To be honest with you, we call it the stress breast.
Speaker 2 (00:19):
It is like a stress When is the best time
to get a facelift? And is it again? Is it
ever too late? Because there are all kinds of products
that we're seeing online.
Speaker 3 (00:30):
With us and it will take someone's skin that looks
seventy and makes them look fifty.
Speaker 2 (00:34):
Sign me up. So I think the key word here
for today that caught me was freaky is wide. You
want to make sure you check their work and they
don't on people that looks like free don't believe everything
you see on social media. And that's all I have
to say. Hi, I'm Leslie low Welcome to Leslie's Low
Down on Life. All right, Welcome everybody to Leslie's Lowdown
(01:08):
on Live Today, We've got doctor Wheelery is back in
the house. This has been my number one podcast that
people ask me about because you are so fun and
so animated, and I think people have so many questions.
Well I've got almost two pages of questions and so hi, welcome.
Speaker 3 (01:25):
Back, Thank you for having me again. I really enjoyed
it last time. I brought some props this time, just
in case what we're talking about. But I just think
plastic surgery in general, there's so much misinformation that's out
there that people think that they know what it is,
but then in reality they come in. Patients will come
in to see me and they'll tell me, oh, yeah,
I want that botox filler. I'm like, well, those are
(01:46):
two different things. Botox freezes muscles and filler adds volume.
The botox filler is not such thing. And they're like, oh, well,
that's not what my friend told me. And I'm like, well,
it's shockingly your friend doesn't know.
Speaker 2 (01:56):
Your friend does not know, but I'm going to tell you.
Which is what's so great is that I think there
is so much misinformation out there, and I think the
more we know, the better we look.
Speaker 3 (02:07):
All right, you know, and this plastic surgery is not
for everybody, especially cosmetic surgery. Some people are like, I'm
going to grow old and die gracefully, and that's great.
I'm going to find it tooth.
Speaker 2 (02:16):
And nail exactly. And then there's those right down the middle, right, yeah,
and whatever works for you. That's what we said last time,
and I'll say it until the day I die itever
works best for you. So should we start with like.
Speaker 3 (02:31):
The questions?
Speaker 2 (02:32):
Let's start with the question. So Linda wanted to know,
do you get people coming in after plastic surgery saying
they regretted? Are there ever regrets?
Speaker 3 (02:41):
Yes? I would say a lot of people come in
with regrets, and usually it was they kind of went
to the cheapest place, or they went to Mexico, or
they they they didn't really do their homework well enough.
A really well done plastic surgery in somebody who is
in appropate create candidate, they are generally thrilled over the moon.
(03:04):
But there are a lot of people who think that
plastic surgery is the answer to whatever their problem is,
and maybe it's not. So Like if your BMI is
forty five and you want a tummy tuck and we
tell you no because it's not safe to do that,
and somebody that's that heavy, you will find somebody who'll
do it. You might be able to go to Mexico
and get that tummy tuck with your elevated BMI, but
(03:24):
your risks of complications are high. The outcome is not
going to look great, and they'll regret it.
Speaker 2 (03:30):
And then I suppose in that situation, and this is
running through my head, is you know, if they've got
the BMI that's at forty five and they do want
to get the tummy tuck, then do you like get
them on glps? Did I say that right?
Speaker 3 (03:44):
Those are the ozepics And that's like one of the brands.
There's a lot of different bands are out there, but
GLP ones are, in my opinion, there are godsend. They
are brand new medication that basically most people lose about
twenty percent of their weight on it, especially if you
have diabetes or that sort of thing, but even normal
people who don't have diabetes respond to them usually as well.
Ninety nine percent of people respond to them, and it's
(04:06):
it's just been the game changer for our society. So
our company started offering medically assisted weight loss because we
would have patients come in that we couldn't really do
anything for them safely and They're like they've been trying
to lose weight their whole life. They can't do that,
and so finally it's like here's something that kind of
gets them going.
Speaker 2 (04:24):
And which I think is such a godsend for like
you said, for so many of them. And you know,
we were talking about this last time, and it was
so many people are opposed to these weight loss drugs,
and yet they've helped so many people in so many
different ways as far as blood pressure and heart risk.
Speaker 3 (04:47):
Yeah, Like I'm on a gop one. I have been
for two years. I have fatty liver disease. So that's
where your liver gets replaced with fat cells. It's just
a genetic thing that my dad died of it. So
I went on it in order to to reduce the
fat in my liver and I've bet my lost about
twenty pounds and I've been on it for two years.
Speaker 2 (05:05):
That's amazing.
Speaker 3 (05:06):
But nobody would ever guess that by looking at me
and the initial side effects. I tried to really push
the dose. I don't recommend doing that. That was a
kind of miserable.
Speaker 2 (05:15):
Actually, what does that do well?
Speaker 3 (05:17):
So if you push the dose on those trying to
get your results faster. You really have a lot of
GI symptoms, nausea, vomiting, early satiety, diarrhea, constipation, those sorts
of things. But if you really just slowly increase the dose,
it takes a little while longer to lose your weight.
So most of us are not patient people, but you
really are going to have a lot more symptoms. So
we do in our office where we're controlling the dosage
(05:39):
for you so that you don't get tempted to give
yourself an extra shot and that sort of thing. It's
also a way that we can control the cost of
it more and make it more affordable for people.
Speaker 2 (05:48):
So you're saying there's more people than just myself that
aren't patient.
Speaker 3 (05:52):
I'm one of them.
Speaker 2 (05:54):
Evidence instrument gratification is what we're always But I like
that you kind of twofold it so you'll help people
with the weight loss, and then in turn, if they
still need that tummy tuck or within that tummy tuck,
then then you can do that done so when.
Speaker 3 (06:06):
It comes to tummy tucks, just because we keep talking
about it, so this is a fascinating thing. When I
tell people this, it doesn't matter how much weight I
cut off of you at the time of your surgery
or your tummy tuck. Let's say you came in, you
weighed one hundred and forty pounds, and I cut ten
pounds off of you. Four or five six months later,
you will weigh exactly what you did before I cut.
Speaker 2 (06:25):
It off of you. That's fascinating.
Speaker 3 (06:26):
Your body just redistributes that energy storage somewhere else. So
that's why plastic surgery is not weight loss surgery. It's
for body contouring, right, So that a lot of people
just don't realize that that's the case.
Speaker 2 (06:38):
Yeah, I don't think I understood that either. I just thought, okay, well,
you're removing this bulk of skin, so therefore you're yeah,
you're just going to take off ten pounds for me.
Can we talk about that knowing? Okay, So speaking of that,
you know plastic surgery in Mexico, US, because I have
an anonymous question somebody wanted to know surgery in the US,
(07:01):
and we did kind of talk about this last time too,
but I think it's important to go over it again
because so many people are looking outside of the US
for those cheaper versions of the same surgery, and.
Speaker 3 (07:11):
They are cheaper outside of the US. For a variety
of reasons, but usually it has to do with safety.
So you really don't know if you go to Mexico,
is the implant that they're putting in you this same
implant that's been sitting on this desk for the past
ten years, and that just happened to be the right
side and they just washed it off and stuck it
inside you. You know, there's a lot of regulations in
the United States that are trying to keep you as
safe as possible and hoops that we have to jump through,
(07:33):
and like everything, the more regulations there are, the more
people you need to keep up on the recommendations and
all that sort of stuff. So it's all about safety.
I have seen people go to foreign countries and get
beautiful surgeries, and I've seen people go to foreign countries
and get disasters. But I've seen people in this country
get disasters. So you don't really have a lot of recourse,
(07:55):
you don't have a lot of safety. There's a plastic
surgeon that used to work in this area that now
but basically left and now is working in a foreign country.
And at the time that they were working here, they
weren't that great of a plastic surgeon and they kind
of did a that great job. And that's the person
that you would be going to in this foreign country.
Speaker 2 (08:13):
Because that's where they can get work.
Speaker 3 (08:15):
Correct.
Speaker 2 (08:15):
Okay, that makes me nervous. What you know, that makes
me a little bit nervous. I mean, I understand both sides.
People are always looking for a bargain, looking for a deal,
but then you're outside of the country or what happens.
If something happens to you, then you're in another country.
That's another country.
Speaker 3 (08:31):
And yeah, but I get it. I get the fact
your plastic surgery is really expensive, and I think a
lot of people are very surprised about how expensive it is.
And it's just paying for you know, I have eighty employees,
you know, so I'm doing surgery. I can't operate I'm
three or four people at the same time. I can
only do one person at a time, and I have
(08:53):
to you know, support you know, eighty different employees. Now,
luckily there's several surgeons at my practice. I'm not supporting
all having myself at that one time. But you know,
that's why things are so expensive, because we were supporting
the local economy and we have a lot of mounts
to feed.
Speaker 2 (09:08):
You get what you pay for.
Speaker 3 (09:10):
Well, well, I think I think it's a good general
rule of thumb. Okay, but only to a degree. There
are people in our community and outside of our community
that are charging three, four or five ten times what
I would charge for the same procedure, And is is
what they're doing three four, ten times better? No? Yeah,
(09:31):
so yes, you get what you pay for, but.
Speaker 2 (09:36):
Do your research.
Speaker 3 (09:37):
Do your research.
Speaker 2 (09:38):
Do your research. I think that is like the best
advice that you gave last time was do your research.
Speaker 3 (09:44):
The best advice. I say this to all of my
patients and they come in to see me for a
consult I was like, at the end of the console,
I say, I have a very direct personality. I say
it like it is for some people that's too much.
But the number one thing when you're going on a
consultation with a plastic surgeon is that you feel comfortable
with that person and how they communicate, right, because something
(10:05):
can happen with any surgery that you do. And if
you already don't like that person, or distrust that person,
or have like your spidy senses up, don't do surgery
with that person. I don't care how cheap it is.
Run right, make sure that you have a good communication
with you.
Speaker 2 (10:19):
And I would just think that I mean me personally.
I would want somebody to be direct, be direct, tell me,
don't sugarcoat anything, because more direct you are than the
more informed I am. It's kind of how I know.
Speaker 3 (10:30):
But some people take offense to them.
Speaker 2 (10:32):
Yeah, all right, I guess I'm not one of those people.
So you've got the breast implants out here in front
of me, And this is kind of twofold, but we
do have a question on here, another anonymous one, but
wanting to know if you get a breast lift, do
you have to get breast implants to get a breast lift?
(10:52):
And I thought, oh, that's an interesting question. That'd be
one i'd ask.
Speaker 3 (10:55):
So the idea of a breastlift, where is the position
of the relative to the rest of the breast. So
if the nipple is pointing to the floor, then you
need a breast lift. Bring the nipple back so it's
pointing straight and forward. Again, that does not add any
volume to your breast. So a breast lift doesn't make
your breast bigger. A breast augmentation or using an implant
makes your breast bigger. So just by filling up your skin.
(11:20):
It can lift your breast if you're talking about the
actual volume that's there, but it does not lift your nipple.
Speaker 2 (11:26):
Okay.
Speaker 3 (11:27):
So it's called the pencil test. So if you pick
up borrow this pen, if you pick up your breast,
you stick the pen between where your breast hits your
chest wall. You let go of your breast, and then
you let go of the pen. If the pen stays,
you might need a breastlift.
Speaker 2 (11:41):
Okay.
Speaker 3 (11:41):
If the pen drops, then you don't.
Speaker 2 (11:44):
Okay, that's actually really good information.
Speaker 3 (11:47):
It's called the pencle test.
Speaker 2 (11:48):
So I read that question and I thought, oh, yeah,
that's a really good one. I guess I think I
was wondering the same thing.
Speaker 3 (11:55):
So brest augmentation adds volume, breast lifts, move the position
of the nipple.
Speaker 2 (11:58):
Okay, since we're talking about that. You got all the
different breast implants right here, which is fascinating because I've
never looked at one like that.
Speaker 3 (12:05):
So like, so this is a sailing breast implant. Okay.
This is all we had in the United States from
nineteen ninety two until two thousand and six unless you
were part of a study. And so a lot of
things happened in the United States that didn't happen in
other parts of the country. So a sailing brest implant
ripples really significantly. So you can see that this has
a lying down the middle of it, and literally you
can sometimes feel that through your skin, especially when somebody
(12:26):
has really thin coverage. So when all we had was
sailing breast implants, we would always put them underneath the
muscle because we're trying to hide this lumpy mattress from
the outside.
Speaker 2 (12:34):
Right.
Speaker 3 (12:36):
Silicone breast implants also ripple, but they don't ripple as badly.
In fact, they kind of bounce back how they were
supposed to be, and like sixth generation silicone implants really
hold their shape pretty well. Yeah, the difference between these
two implants. This is a smooth round implant. This is
the most common implant used in the United States, okay,
where most other countries that never had silicone implants taken
(12:56):
off the market are using these, which are textured to
anatomy implants. They give your breast a more natural breast
shape because the upper pole fullness is lacking, so that
looks more like a breast right around thing. Right, So
I call this a European style breast augmentation. It's usually
what I do for a lot of patients and kind
of what I've known I've become known for versus the
(13:19):
stuck on too big for their frame or just too
full in its top appearance. So this is called an
anatomic implant. There are some disadvantages to them, the texturing
that's on it, But you had a risk for a
very rare disease called AlCl is, a rare form of lymphoma.
I've never seen it, none of my partners I have
ever seen it, but it does exist. And this one
I brought purposely because it has a hole in it.
(13:39):
A lot of people wonder about when their impact starts leaking.
So if you can see this, this does not want
to come out. This is very different than how implants
used to be. So this is a highly cohesive breast implant,
or also known as a gummy bear breast implant. They
should really call it a jello breast i plant because
just like a gummy bear, a gummy bear is not
this soft, right, But if you were to put your
finger in gello, you could actually go into it and
(14:01):
then you would have a sticky residue.
Speaker 2 (14:02):
And you've got that interesting, So this is your preference
right here would be yeah, I mean.
Speaker 3 (14:10):
That or this one that takes on somewhat of an
antomical shape when it's in there because of how soft
the gel is, so it has a similar thing without
the risk of the AlCl of.
Speaker 2 (14:17):
Okay, freak somebody out. So I guess I have a
question because I know that you do a lot of
breast reconstruction for cancer patients. I know I do. I
want to. I want to hold it. It's almost like
stress ball, to be honest with you.
Speaker 3 (14:30):
So we use it. Use an implant when I'm injecting
people with like fillers or botox, will give them one
of these impacts as I stress, and we call it
the stress breast.
Speaker 2 (14:38):
It is like a stress I could see.
Speaker 3 (14:41):
That seems weird the difference between the two.
Speaker 2 (14:44):
There is the difference.
Speaker 3 (14:45):
Yes, one feels like a boob, yes, and the other
one feels like.
Speaker 2 (14:47):
About it, like yes, that that is so interesting because
I've never done this before, so that it's just like, okay,
all right, So when you're doing like brust reconstructive surgery,
because I know that things have gone They've come a
long way in the last several years. So what is
like your choice or does it depend on their body
(15:10):
or you know, what kind of cancer they had or
how much they've been through.
Speaker 3 (15:15):
Yeah, it doesn't depend on how much cancer they have.
Other than if you have like metastatic breast cancer and
it's your brain and your liver and your lungs, we're
not going to do elective surgery on you. We need
to really focus on your cancer treatment. So as long
as your cancer is in an early stage, we're really
good at curing breast cancer. You know, if you're a
stage one breast cancer, you have like a ninety seven
percent ten year survival rate. Right, So we can put
(15:36):
the focus on the appearance on you know, getting something
out of this the breast dog they never got but
they've always wanted, or whatever the thing is. We can
make that more of the priority, or at least make
it a priority. Obviously, getting rid of the breast cancer
is the priority. So but as far as like the
type of implant we use or how we reconstruct them,
it's just very patient dependent. We usually either use their
(15:58):
own tissue, which is usually from their abdomen, or we
use an implant if they don't have any tissue of
the abdomen or they want that shape.
Speaker 2 (16:05):
Yeah, and again we talked about this last time, preference
as to what each individual does. I do love that
you can take you know, skin and tissue from somebody's
own body and then do that kind of reconstruct. That's
fascinating to me.
Speaker 3 (16:24):
So just like she and I have talked about her
potentially coming and watching a surgery just to learn more.
And in that particular surgery, I'm going to take the
fat that's in their sides out and I'm going to
transfer that fat into their buttock. Not to give them
a giant butt, but just to help with the shape.
Because when you lose a lot of weight, your butt
becomes very flat. And so when I do a body
lift and I lift all that skin up, if I
(16:46):
don't put any fat back in the butt, they still
have a very pancakey butt. And so a lot of
people when they hear gluteal fat transfer, they think of,
you know, the Kardashians or whatever with the giant butts.
That's not what we're going for. We're just trying to
give it a shape. So I'll take the fat from
one location, I'll try tansfer it to a new location
and it will live in that location and take on
the characteristics of that location.
Speaker 2 (17:04):
That's amazing.
Speaker 3 (17:05):
So we'll do it also for facial fat transfer, for
when people have lost a lot of weight in their face.
Speaker 2 (17:09):
And you can take that again two and them put
it safe in the cheeks and wherever all the time.
That is so fascinating to me. I guess I'll take
this moment here too to say get your breast exams. Yes, right,
but yes, but do get your breast exams. I always
think that's so important. You have some different fillers here,
(17:31):
and I didn't know this, so we were talking about
this before we got started, that there are different fillers
for different parts of your face. Did it get the
right yep.
Speaker 3 (17:40):
So these particular fillers have a difference in density and
they're all expired, so I figured I would just waste
them all. Let's go. So because a lot of people
think that if they just get a syringe of filler,
they can put it wherever they want to put it, right,
and you can't do that because the fillers have different
properties for different purposes. So if I take this, this
is called the luxe. This is one of the stiffest
(18:02):
fillers on the market where you generally use it in
the jawline and in the chin.
Speaker 2 (18:05):
Okay.
Speaker 3 (18:06):
And if we look at when I squeeze it out,
you see how it wants to hold it shit, Yes, thick, okay,
super thick. Where this one is called redensity. This is
one of the thinnest ones on the market. Oh yeah,
and you see it that over time it's wanting to
like flatten itself back out. So if I put this
in your chin, it's going to do anything. I could
put it really superficially, like right underneath the teeny tiny
(18:27):
little wrinkles. Yeah, but I can't put it down on
your bone. It's not going to hold its shape.
Speaker 2 (18:31):
So where would you put that?
Speaker 3 (18:33):
So I would use the redensity, the really really really
thin one directly underneath each individual little teeny tiny like
wrinkle in the skin.
Speaker 2 (18:40):
Okay.
Speaker 3 (18:40):
So it's like like in the dermis, I'm super duper
duper superficial, where for the voluxe, I'm on the bone
and then there's ones in between. So like if I
was going to do somebody's lips, I would oftentimes use
not that thin and not that thick something down the middle.
We're down the middle and that one is somewhere down
the middle.
Speaker 2 (19:00):
Ah, that is that's cool. And they did not know that.
Speaker 3 (19:03):
This really wants to stick, yeah, really wants to stick
to itself, where that one is.
Speaker 2 (19:09):
Like, wow, that's like water. Yeah, okay, oh that's.
Speaker 3 (19:14):
You see how yeah holding right?
Speaker 2 (19:17):
So this is when you want closer to your bone
then correct okay.
Speaker 3 (19:20):
Yeah, and that one we go on lips, and this
one goes really superficial.
Speaker 2 (19:23):
Wow, that's awesome. I'm just gonna rub that in.
Speaker 3 (19:28):
And it's actually it's hyaluronic acid, right, so that's.
Speaker 2 (19:32):
Good for your skin, which I need to go get
more of.
Speaker 3 (19:35):
It's definitely not going to hurt anything, uh to have that.
And that's I like to use hyaluronic acid fillers. And
the reason why is they make an enzyme. I should
have brought that that would have been kind of cool.
They make an enzyme called high LINEX that you can
put on this and it will eat it. So turn
it from this jelly like consistency to the water.
Speaker 2 (19:52):
So if somebody has too much filler doesn't like how
it is, then you can then solve it, dissolve it.
Speaker 3 (19:59):
And so that's why I like hyaluronic acid, because one
of the main complications of fillers that can be kind
of scary is if you get it into a blood vessel.
If you get into a blood vessel, you can cause
necrosis of that distribution of that blood vessel. And if
you're using a filler that you can't dissolve, there's nothing
you can really do other than prey this one. I
can flood the area with a delusional agent and usually
(20:22):
reverse that process.
Speaker 2 (20:23):
Okay, so hylonic acid compared to what what are the
other ones?
Speaker 3 (20:27):
The other fillers that are more permanent are like something
called bellafhill radis in sculpture.
Speaker 2 (20:33):
Why would you want to use done?
Speaker 3 (20:34):
I don't. I just don't.
Speaker 2 (20:36):
Don't.
Speaker 3 (20:37):
Don't. Yeah, there's a lot of people in the town
and nationwide that sculptures had a huge marketing push, so
there's a big social media presence for it right now.
I don't like to use it because I can't reverse it.
It's not super thick, so you're not as worried about
it getting in the blood vessels. But if you don't
like it, I can't reverse it. But more importantly, when
(20:57):
I come in to do a facelift later, that's school
creates little teeny tiny adhesions and scar points that make
the surgery much more challenging and more difficult. So knowing
that one day somebody might want to have a facelift,
I'm not going to use this product in them because
that's going to make whoever does their facelift later if
they get one later, you know, but then they always say, oh,
(21:17):
I'm never going to get a facelift. Trust me, the
number of forty year olds to say they're never going
to get a facelift they then end up getting.
Speaker 2 (21:22):
Them, it's pretty high. It's pretty high, higher than the
amount of facelifts that have increased over the last year.
Because we were talking about that, like.
Speaker 3 (21:31):
Yeah, so she had asked me one of the questions was, have.
Speaker 2 (21:34):
You seen an increase and the amount of facelifts over
the last you know, several years.
Speaker 3 (21:41):
I think no, So that the national statistics show a
one percent increase from last year this year in facelifts.
I think what's more important is that facelift have a
stigmata that you're going to look pulled and tight and
weird like Joan Rivers, where in reality, a good deep
playing facelift, you know, the ones that we talked about
last time. They just look they look young, refreshed, they
(22:01):
look great. So I actually do I think that people
as they're seeing that, they're like, Okay, do I really
want to look like my mom for the rest of
my life? Or do I want to look like I
used to look ten years ago? And that questions pretty
easy to answer for most people if it's important to them.
Speaker 2 (22:15):
Yeah, Jim had asked that question. He also said, do
you think that if there were an increase in facelift
if we're due to social media?
Speaker 3 (22:24):
Yeah, I think that social media, the deep playing facelift
is definitely there's a big push out there right now
for that. On social media, there's several very talented facelift
surgeons who are gaining a lot of traction. And then
the celebrities are being more open about what they've had done,
you know, So when you see the people who have
(22:45):
had that work and you're like, wow, they look really great,
it's not so scary anymore. It's a being secretive about it.
Speaker 2 (22:50):
Yeah, that's so true. Okay. So we also had a
viewer that wanted to know is when is the best
time to get a facelift and is it again, is
it ever too late.
Speaker 3 (23:01):
Yes, it definitely, definitely, definitely can be too late. I
tell people sometimes they come in, they're seventy five, they've
never done anything, they never use sunscreen. Their skin looks
it looks terrible. It has all the little crepe paper appearance.
Speaker 2 (23:14):
Creepy. Yeah.
Speaker 3 (23:15):
So if you pull that skin tight to get rid
of the heaviness that's there, it looks really strange. You
look like you got caught in a wind tunnel because
all of your vertical lines on your face from aging,
none are now sideways. So you want to do it
before you get a lot of those lines in your face,
so that you can put it in the right location
so that then you don't look weird. So the ideal
(23:38):
time for a facelift is somebody who looks to be
between forty and sixty, Okay, Okay, So people who would
look old for their age would get it closer to
the forty and the people who look young for their
age would get it closer to the sixties. Okay, But
that's in general when we start to think about it,
and usually facelifts are usually it's the jow. It's this
(23:58):
heaviness that's right here.
Speaker 2 (24:00):
It's a sad thing.
Speaker 3 (24:00):
Combine with the neck right, so in your neck it's
really bothering you and the jow. A facelift is what
fixes that. A lot of people think that a facelift
is also a browlift. We oftentimes do do those together,
but and some people say that's a full facelift. It's
not confused people. Facelift does the jaw line in the neck,
a brow lift does your brows, and sometimes you have
(24:22):
to do both because if you go to do this
and it gets all wrinkled sides, you need to have
that as well. So sometimes we do recommend a browlift
at the same time as your facelift, especially if you're
on the older age of that.
Speaker 2 (24:33):
So I forgive me because I can't remember if we
talked about this last time. But if you have a facelift,
you're saying, I know we had a conversation, I can't
remember if what was on camera off camera. Do you
still need to like do the fillers and the bowtox.
Speaker 3 (24:48):
Yes, So a facelift does something very different than what
filler does, and does something very different than what botox does.
Botox paralyzes muscles. We paralyze the muscles associated with lines
of animation. That we don't like. Usually it's four between
your eyebrows or the crow's feet, and sometimes the fore headlines.
So if you do a browlift, you may may be
able to get away with less botox for your fore
(25:09):
headlines because you've taken away while you're getting the four headlines.
But eventually you'll probably still want to do some botox
here and there. Filler when I'm doing a facelift, I
oftentimes will transfer fat to someone's face at the same time,
which is volume, and so it's filler is volume, So
that fat transfer kind of makes them not have to
have filler for a while. But then over time they
lose some of that fat and face because we lose
(25:30):
when on fat in our faces, we get older and
they might need some filler again. So it definitely helps,
but you're not going to get out of it. So
you don't have to do anything ever.
Speaker 2 (25:37):
Right, right, there's still some little tweets. You got a
little maintenance that you've got to do.
Speaker 3 (25:42):
One of the main maintenances you need to do is skincare. Right,
So we were going to talk a little bit about retine, retinol,
all that sort of stuff to understand how that works,
why somebody should use it. So recently you've started using retinoligain.
Speaker 2 (25:55):
Yeah, I started because I was really inconsistent with it,
and then I started using it very consistent after our
last conversation. I notice a big difference just in the
texture of my skin.
Speaker 3 (26:05):
Yeah, so how retin So first of all, retinol and
thretonoen are very similar, but they're not the same. Think
of the retinols as a weaker version of the prescription
strength threat and knowing they both do the same thing,
which is to tell your skin to turn over more quickly.
So to get your skin to turn over more quickly,
the healthy thick layer of your skin has to be
(26:27):
about twenty to twenty five percent thicker because the life
span of the cell is shorter, so they're turning over
more quickly. So during that time, during the first three
to four months that you're using the product, you're going
to get more pimples, more breakouts, more redness because your
skin is having to turn over more quickly. It is true.
The outer layer of your skin, the dead layer your
skin is going to become thinner because your skin cells
(26:47):
are turning over more quickly, which is what gives you
a healthier glow to your skin and less of that roughness.
So by using those products, you're going to make your
skin thicker and healthier, and therefore that textureal quality of
your skin is going to be improved. And as long
as you're on it, it will stay that way, but
as soon as you stop it, it will go back
to its normal SEBLL life cell. There are basically I say,
(27:09):
there's seven levels of retine retin all all those different things.
I usually start people around level three. I like a
product called Skin Better Science alpharet That's usually what I
start people on at our practice. And then you have
to go in the prescription strengths. But you don't want
to go to the pharmacy and just buy a bottle
or Mexico and buy a bottle of retine.
Speaker 2 (27:25):
That was my question.
Speaker 3 (27:26):
It's it's super duper duper harsh. Okay, so what will happen?
And you'll start using that, and because there's not other
things in it to make it like not so intense,
most people bail out of it because it makes their
skin really red and really inflamed and really irritated and
they just can't they can't take it. So like we
have products that are mixed in with other products so
(27:46):
that when you're using it, it's not as intense on you,
but you're still getting the same effect.
Speaker 2 (27:50):
Okay, So with the retinol's retinee so help with brown spots.
Sarah had a question. She was like, does that help
with age spots? Yes?
Speaker 3 (27:57):
Okay, I think everybody if they can afford it, not
something expensive, but if they could afford it, they should
be on a retinol or retine as well as skin
sun protection. If you're not going to protect your face
from the sun, don't even bother doing any of this
is a total waste of money. But if you're going
to protect your face from the sun, you should be
using a retine or retinal the highest dose that you can.
You start with it every other day and then you
(28:19):
eventually do it every day if you can, and then
you go up to the next level, the next level,
next level, until you get to the highest level that
you can tolerate. But it helps with the age spots,
It helps with the texture of your skin. Brown spots
also have a different thing that you can use, and
there's a product called hydro quinone. Now, if you're using hydroquinone,
all the time for the rest of your life. You're
going to cause some problems with your skin, so you
(28:40):
want to go on and off of it from time
to time. But that's what really helps with the age spots. Okay,
it with the brown spots.
Speaker 2 (28:46):
Okay, Okay, it's bleach. It's but it's a bleaching kind
of product for your skin, yes, okay, and retinol. You
just continue to increase until like.
Speaker 3 (28:58):
We have a cream that we carry it's called in
brightening cream, So it has hydroquinone and tretonoen in it
together as well as some other things to make it
so it's a little more soothing. But I just wouldn't
want you to be on that just that one product
for the rest of your life, right, you'd want to
cycle in and out of that product. Okay, you'd want
to do that, like in the fall and winter, get
your skin nice shiny, get a little ipl intense pulse
(29:18):
slight that's going to help the brown spots to fall off,
and then you know, but it's a constant. You're gonna
constantly have be having to do something for it. There's
nothing that just makes it go away.
Speaker 2 (29:27):
And it never and then it just never comes back.
I wish that would be lovely. Okay, you just said
IPL what its pulse slight.
Speaker 3 (29:35):
Okay, it's basically just a really really really really bright light,
but it's so bright that it actually damages your skin
in a good way.
Speaker 2 (29:45):
Okay, so last time, you have the red light mask,
which everybody loves.
Speaker 3 (29:49):
So the red light mask, right, you put that on
and it just feels a little warm, and yeah, that's it. IPL.
It's like it's almost like it's not a laser, but
it's like a laser in that it's like someone's dropping
rubber band against your skin. Oh so it's like like
somebody's of the world, but it's not like soothing. With
the red light mask, you can put that on for
(30:11):
fifteen minutes and it's it's not going to hurt you.
Speaker 2 (30:13):
Yeah, nobody's puking you. Okay. Sarah's other question was, and
I'll take it back to the creepy skin and I
think not just for your face but for your body.
Is there is there a good way to combat out
because there are all kinds of products that we're seeing
online about the best I.
Speaker 3 (30:30):
Would say, so anything that is not sold from a
doctor's office can't have enough of the effective ingredients in it,
because you're going to potentially have side effects associate with
those ingredients, and who you're going to call from arshan
lam or whatever, right, you know, if you're having a
reaction to that stuff. So all of the oilv at
(30:50):
and rock SERMs and all that sort of they have
a tiny amount of the active ingredient in it, but
they're capped and how much they can have in them.
So anything that you're not getting from a physician isn't
going to have a lot of the stuff that actually
does stuff in it.
Speaker 2 (31:04):
So you're gonna have to use a lot more of
it just to get maybe.
Speaker 3 (31:07):
Then maybe because the concentration is so low, you're not
going to get the effects that you would get by
having the higher dose. And honestly, the stuff in the
dark doctors is not more expensive. So I don't know
what we're trying to do here.
Speaker 2 (31:20):
It's true. I mean, maybe it might look more expensive,
but you use less of it. And I mean I
always just tell people spend the money on your skin.
Spend the money. You're going to have it. You want
to have it around for as long as you can,
and you wanted to look as good as you can
possibly have it looks.
Speaker 3 (31:38):
Don't stop in your face, go all the way down again.
Speaker 2 (31:40):
Yeah, I've learned that. The heartbreaker. I'm working on that
one too, because I mean maybe for a time I
wasn't so good at that.
Speaker 3 (31:49):
I just don't think that people think about it. They
think about their face, but then it stops, and then
what will happen is you'll start to get a discongruenty
you face in.
Speaker 2 (31:58):
The true Yeah.
Speaker 3 (31:59):
Yeah, and the face skin is different skin than nex skin.
So like, one of the things I do for somebody
who's been out in the sun for a long time
and has a lot of radiation damage is to reset
their skin. I do it with a really deep chemical
peel that you're under sedation for, Like we literally knock.
Speaker 2 (32:11):
You out for me to be able to do this,
people really yep.
Speaker 3 (32:14):
And it will take someone's skin that looks seventy and
makes them look fifty. It's ridiculous.
Speaker 2 (32:20):
Sign me up, right, It's absolutely ridiculous.
Speaker 3 (32:23):
But you know there's obviously a recovery associate with that. Right, So,
like the things that we offer and the things that
we generally do are not the things that are just
I'm going to go in for the you know, the
the afternoon facelift, right right, Like that stuff doesn't do
anything long term.
Speaker 2 (32:39):
Maybe for a minute, yeah, maybe for a minute.
Speaker 3 (32:41):
But yeah, it's not like they're charging you three dollars
to do it, right, So it might be cheaper than
a facelift or whatever the thing is, but your result
is one tenth of what the other stuff is.
Speaker 2 (32:50):
So who's who's a candidate for this?
Speaker 3 (32:52):
Anybody who has significant damage on their face from the
sun and who has the time and the effort to
go through the recovery.
Speaker 2 (32:59):
And you would the face and the neck and the
So neck.
Speaker 3 (33:02):
Skin is different than face skin. Okay. So face skin
is sebaceous or oily, and so you have deeper glands
on your face that when you literally burn off the
top layer of your skin, you have all of these
deep glands that come up and repopulate the area. You
don't really have that as much on your neck or
on your chest, So your margin for air is very
(33:23):
small on the neck in the chest to get an
improvement but not burn them. So faces, yes, very judicious
on the neck.
Speaker 2 (33:31):
Okay, okay, what's the recovery timeline? You know?
Speaker 3 (33:34):
So it used to be really terrible there's this guy
who showed me how to do a You look like
an alien literally for seven days. So we put this
green mask on your face that sticks to your face.
And what that does is when we've burned your skin,
we need to seal it. It's like a paper cut, right,
So if you have a paper cut, it hurts every
time your paper cuts opened up. But if your paper
(33:55):
cut you put super glue on it, it doesn't hurt
that much anymore because you're not exposing the underside of
your of your tissues to the air. So you have
a giant paper cut on your whole face. And so
we're putting this mask on that. It's like a mud
mask that sticks to your face for a week. And
what that does is it makes it so that it
doesn't really hurt it. Also, when you burn someone's face,
it weeps, so it's all oozy. This is stuck to
(34:18):
your face, so it's not weeping and getting on it.
Speaker 2 (34:20):
You don't have any of that.
Speaker 3 (34:21):
And and you look like a freak zoid, so like
you can't freak out because you can't see anything underneath it.
So it helps with the mental side of it. And
we just don't get people a bunch of value and say,
just sleep it off.
Speaker 2 (34:32):
Just sleep it off, take a week and get some rent,
you know. Just you're getting refreshed into every single way
right here.
Speaker 3 (34:38):
When the mask comes off at a week, your face
is very red, but it's like brand new baby skin,
and so you have to really protect it like a
brand new baby. You wouldn't leave a brand new baby
out in the sun, right you would have, so you're
want to keep it out of the sun, keep it protected.
And it feels kind of red and irritated. Brand babies
are easily irritated. So we've given you baby skin. You
have to treat it like baby skin. That redness is
(35:00):
variably and how long it lasts. You can about a
week or two later, start to put on cover up
where you're hiding the redness so you're not seeing it.
But when the cover up's not there, you're going to see.
Speaker 2 (35:09):
The red You're going to see it right now.
Speaker 3 (35:10):
Yeah, And that takes anywhere from you know, three weeks
to three months for someone's redness to go away, sometimes
even longer. If somebody has rosetia or the redness of
their skin up baseline, they might have it for longer.
Speaker 2 (35:21):
But it's so worth it in the end. I mean,
if you're looking to do some major repair work, two
weeks is nothing.
Speaker 3 (35:27):
What I should do is I should send you I said,
send you guys up before and after picture of that
of a person's skin with it and let you guys
the viewers be able to see that and be like, yes, oh.
Speaker 2 (35:37):
Let's do that. I'll put it on. Yeah, that'll be
a good one. You should also follow doctor Wheeler's Instagram
account because if you want to see some stuff, it's fascinating.
Speaker 3 (35:45):
Although you're probably going to get lots of naked pictures,
so be careful.
Speaker 2 (35:51):
Well, I mean you're talking brust in France and tummy
tucks and stuff like that, so I mean, if you're
a covered body, you're not going to see it. But
really I love to go through and look and see
the work that you've done.
Speaker 3 (36:03):
Thank you.
Speaker 2 (36:04):
It's super fascinating to me. So I am going to
come in and watch the surgery.
Speaker 3 (36:07):
Yeah, let's do it.
Speaker 2 (36:08):
Yeah, we're going to do it. And we love everybody's question,
so keep them coming because you're coming back. We're going
to do this again.
Speaker 3 (36:14):
Did we get through all?
Speaker 2 (36:15):
I think we got through them all. I'm going I'm
going back through as the amount of breastlift surgery compared
to I think we got through all of our questions, Oh,
what are the changes? What are the changes that you've
seen plus in plastic surgery? And that one is from Morgan.
Speaker 3 (36:33):
Okay, back in nineteen oho.
Speaker 2 (36:37):
Back in the old days.
Speaker 3 (36:40):
There. It's it's like any science, right, it's constantly evolving.
And so literally my own practice, I do things very
differently today than I did even five years ago. So
a deep plane face and necklift, we didn't do them
when I was training.
Speaker 2 (36:54):
Okay, talk about the difference between deep plane and then
just a regular facelift.
Speaker 3 (36:58):
Okay, Well, it's hard because I would have to I'm
gonna use a bunch of terms that nobody knows what
they mean, and so that's not gonna be very helpful.
But basically, it used to be that we were taught
to make our decision around the ear lift the skin
way off the face to hear tighten up some of
the deep structure, and put the skin back down. Okay,
that's a traditional facelift, or a skin only face lift,
(37:19):
or even a smass facelift. I don't ask me what
skin tests for it won't make any different. But basically,
it's the thick tough layer of your skin underneath your skin,
not of your skin, of your face that your muscles
insert into. It's the fascia, it's the gristle and the steak.
It's the thing that can actually hold tension or skin stretches.
So if you put any of your tension on your skin,
(37:40):
it's gonna look like you didn't do anything in three
to six months. These are your mini facelifts. These are
your lunchtime face lifts. These are why we don't do them.
So a deep playing facelift, what you do is you
go underneath the skin for a very short distance, and
then you go underneath that thick, tough layer and you
go underneath that thick, tough layer all the way to
the very interior portion of your face. So you're releasing
(38:02):
the ligaments that are restricting your face, that occur agte
your cheek and occur down here at the menton or
excuse me, demandible and so all the way to hear.
But I'm way, way, way way deep beneath your skin.
Speaker 2 (38:15):
Now.
Speaker 3 (38:15):
The scary thing about that is I'm directly on top
of your facial nerve. When I'm doing that. Your facial
nerve is the nerve that controls all the movement of
your face. So basically back in the day, everyone's like,
we don't want to permanently paralyze somebody, stay away from
that area. But that's what you have to do to
get the better result. But to do that, you have
to be really careful while you're doing it. So the
surgery takes a while, and that's why it's so expensive.
(38:36):
So I'm very carefully going all the way to the
front to release all those ligaments that are in place.
So then gently just lay that thick, tough part of
your face back down and it's new location without really
any tension on it. And that's why it last so long,
and that's why it looks so good. As well as
going in and taking out things like your submandibular gland
and the fat that lives underneath your plotisma to give
that really snatched sharp job. Okay I use the word snatch.
(38:59):
Sorry he did.
Speaker 2 (39:01):
I'm just going to do this last time. We used
to be a little and that was.
Speaker 3 (39:04):
Just imitating what right like. But for me, like I
have a much heavier neck than you do, because this
is my subnibular gland right here, that fullness okay. So
I can feel these hard knots, and so if I
were to be able to get rid of those, I
would have a much sharper jewa. So for some people,
they have a big subm individual link. Right. No amount
of pulling on your skin's going to change that. We'd
have to trim the bottom of the gland in order
(39:25):
to give you a sharper neck.
Speaker 2 (39:26):
That sharper neckline, okay. So parting thoughts for anybody. And
I know there are a lot of people who are
opposed to plastics, and again that's that is so fine,
But there are a lot of people who are entertaining it.
They have questions, they have fears. So what would you
tell people that are considering They've got those questions, but
they have those fears.
Speaker 3 (39:47):
I would just go in for a consult. There's nothing
committing you to doing the surgery, right, Go talk to
somebody who's knowledgeable, that knows what to do, how to
do it. Look at their before and afters. And if
you look at the before and you look at the after,
and you can see a nice difference, and you think
that they look good and normal and not freak azoid, Well,
then you're probably going to be okay. And in all
(40:09):
of my time, I've never had somebody tell me I
did too much when I was doing facial surgery. If anything,
some people wish that was even more.
Speaker 2 (40:16):
Yeah.
Speaker 3 (40:17):
So usually if they're disappointed, which usually they're not, but
if they're disappointed, it's like I thought it was going
to be even more.
Speaker 2 (40:24):
So I think the key word here for today that
caught me was freak azoid. You want to make sure
you check their work and they don't have people that
look like freaks, right right.
Speaker 3 (40:33):
If you look at their work there before and after
and you're like, oh, I don't think that looks very good,
then I probably wouldn't go to them because they're posting that,
so they obviously think it looks okay.
Speaker 2 (40:41):
Yeah, I'm going to use the bass as Madonna and her.
Speaker 3 (40:46):
Face, you know, or it's just too puffy, it doesn't
look like she used to look.
Speaker 2 (40:51):
Okay. So we're going into fall. Yep, this is how
we're going to wrap this up because we'll be back
and we'll be back in the fall headed into winter months.
So what recommends do you give people headed into a
new season.
Speaker 3 (41:03):
Yeah, so a fall is a great time to focus
on your skin, so things like ipl skincare, if you're
going to do one of those big peels, it's it's
a good time because you're not in the sun as much.
You know, spring in summer the times you probably don't
want to do that very specific thing to your skin
because you're going to be have a harder time avoiding that.
So springing summer, springing bodies are usually like, okay, it's
a bikini season, right, you know, let's all of that.
(41:27):
And fall fall in winter is more like, okay, let's
get the skin looky. It's best.
Speaker 2 (41:31):
Okay, I love it. I'll see you back here in
a few months if you'll be back right, Okay, done deal.
Keep those questions coming, Doctor Wheeler, thank you so much.
You're always so much fun. You have the best information,
and you're right so much incorrect information out there. Don't
believe everything you see on social media. That's all I
have to say. Go back the rest of your days,
the best of your days.
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