May 21, 2025 • 28 mins
James Lott Jr catches up with his good friend! Dr. Elliot M. Hirsch is a board-certified plastic and reconstructive surgeon based in Sherman Oaks, California, renowned for his expertise in both cosmetic and reconstructive breast surgery. As the founder of Hirsch Plastic Surgery, he offers a comprehensive range of procedures, including breast augmentation, reduction, lift, implant removal and revision, as well as microsurgical breast reconstruction techniques such as DIEP flaps. Dr. Hirsch's educational journey began at Johns Hopkins University, where he graduated with honors including Phi Beta Kappa and Omicron Delta Kappa, and received the Kurt P. Richter Award for outstanding research in Behavioral Biology. He earned his medical degree from the Keck School of Medicine at the University of Southern California, graduating with highest distinction and being inducted into the Alpha Omega Alpha honor society and the Order of Arete. He completed his integrated plastic and reconstructive surgery residency at Northwestern Memorial Hospital in Chicago, Illinois. In addition to his clinical practice, Dr. Hirsch is an active researcher in the field of plastic surgery, having co-authored over 40 manuscripts and book chapters. He holds patents for wound care devices and has received several grants for original research projects. Dr. Hirsch has been recognized multiple times as a "Top Doctor in Los Angeles" by Los Angeles magazine and has been featured on the Super Doctors Rising Stars list. His practice also includes a full-service med spa offering non-surgical facial rejuvenation procedures such as Botox, dermal fillers, chemical peels, and laser treatments. Ventura Blvd For more information or to schedule a consultation, you can visit his official website at www.hirschplasticsurgery.com or follow him on Instagram at @hirschplasticsurgery.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:04):
I love when I'm able to bring on a friend
and a former guest to one of my shows. This
would be his third show he's done on my j
J Media. We've known each other. I just realized eight years.
So that's a long time. And so we'll get to
work that on the show a little bit. How we
know each other and what he's done. But he is
(00:24):
a board certified Best of Los Angeles. He was Best
Los Angeles. He was your voted that you were top
top La plastic surgeon when it's practice out in the
Valley Sherman Oaks. But he's also a so Cal native
like me, of course, so help me welcome my friend,
doctor Elliot Hirst.
Speaker 2 (00:45):
All right, thank you to catch up with you. Look
at you and I both look a little more gray
than the first time we started doing this.
Speaker 1 (00:53):
Oh yeah, I blame my daughter's grandchildren. Mother, I blame everybody.
Yeah too, right, So are your kids out of high
school yet?
Speaker 2 (01:03):
No? Actually, my son is about to go into high
school next year. That my daughter is going to seventh
grade next year.
Speaker 1 (01:10):
Good, you have young yuys, So you have young you
had young kids? Yeah? Yeah, yeah, since I since well,
so folks at home We've talked during the pandemic off
and on texted, but he has not been on my
show in five years, so I just want to start something.
So when we met, I got him through a PR person.
You first came on August twenty seventeen. We talked about
(01:31):
ear Low reconstruction. Yeah, and that was fun. I was like,
I was very fascinated by that. And then you and
I started talking afterwards and we kind of became friendly,
so we stayed friends. And then in December twenty seventeen,
you talked about the Mitchell I get this correct, the
BRCA gene mutation. Yeap, not about that, and we kep Wick.
I had a year off because I have bad bell's pausey,
(01:54):
so I had to say that's another story. And then
twenty nineteen I came back and from another show, he
came on. We talked about rest augmentation, yes, and then
the lad said, I could he's been five years. In
June twenty twenty, during the lockdown, we talked about the
COVID protocols for classic surgery at that at that time,
which you guys are working on. So I can wait
(02:16):
some five I could, it's been seven, it can it's
been eight years and five.
Speaker 2 (02:21):
I think all this stuff, all the stuff that's changed
in the world in La since over that time.
Speaker 1 (02:27):
Yes. Now, my first question to ask you is we
were all of the pandemic. You know, we survived the
fires also which we say that you both survived the fires.
What is one thing that you've learned during that time period?
Oh my god? Love that? Like, oh my god, some scisors.
Speaker 2 (02:44):
Nice trauma sitters for their right. Yeah, my caliper over
here like rest measuring caliper.
Speaker 1 (02:56):
Wow, I've kind of sight. It's okay again, See folks,
you're getting you get everything on the show. Everything. Yeah, no,
but I was thinking of what is one thing you've
learned that Tide paid about your business that you're taking
with you now, right.
Speaker 2 (03:09):
But it's it's interesting. I think I think that the
early on, what I think I've realized is that early
on you kind of you try to build a business
and you want to build it with it, just like
any business will tell you. You want to build based
on a solid foundation. And so you have to make
sure that you obviously you have to could do surgery, well,
(03:31):
you have to go customer service. You have make sure
the staff is on the same page. You have the
office and all the things that come with it. But
I think you know now, I've kind of learned that
with those foundations at place, you still can't force things.
And think about all the economic things that we've seen
in the past eight years with with COVID and economy
kind of coming up and down, and you have to
(03:52):
kind of go with that.
Speaker 1 (03:54):
That's very true. Obviously, I'm a business, We're all in business,
and we've had to kind of pivot and change. And
I remember when I came to your little camp. Your
office was. It was twenty nineteen, great folks, great staff,
great office. You was busy in there and stuff, great everything.
You know, it's kind of scary during that time period
twenty twenty, twenty twenty one, a little scary. Then we
(04:16):
always had other changes happening in our economy. It's been
kind of it has been up and down, and especially
at California especially, it's had ups and downs.
Speaker 2 (04:23):
Oh yeah, big time, you know.
Speaker 1 (04:25):
So it's been but we're still here. We're still we're
still here. I like, like you, I've learned you can't
force it and you kind of just have to just
be a little innovative and just like be a little
patient and it's okay, take a step back and really
think about things. I forge you by the same for
you too.
Speaker 2 (04:44):
Absolutely, it's it's you. Well, anybody can't force it. You
can't just like you. If I want to do tensors
a week, I can't just do tensors a week. You
have to you have to kind of I want to
understand that if the economy is bad, people aren't going
to be coming in in the same volume because they
don't have disposal income that they may have had the past.
But more probably, you have to be kind of creative
(05:04):
about what you're doing and how you're doing it. So
you can't just always do the same things that this
is what I do and that's all I'm gonna do.
You have to say, well, I can do this now,
I can do this, now find other things that people
but people are are they're looking for and you kind
of have to meet people where they are. You have
to get people what they want.
Speaker 1 (05:21):
Yes, Well, I saw a video the other day and
it was cool. It was about Scar removal. Yeah you
it was he was actually the patience or whatever. It
was hilarious, but it was really good. So is that
something that's newish where it's like you can actually get
I mean, he talk about that a little bit. I
was fascinated by that.
Speaker 2 (05:41):
So we have we have a laser in the office
and it's there's a lot of med spots. There's a
lot of different different lasers that are out there. And
my first laser was maybe like seven eight years ago,
but we just got a new one because technology changes
so much, and I think that the lasers that we have,
like as doctors in the medical practice, it's so much more,
are powerful and versatile then like the random ones that
(06:03):
you see out there. So one of the things because
I'm a surgeon, I'm always looking to improve my results
and try to help my scars. The laser has specific
attachment that to help kind of take the pigment of scars,
help the scars smooth into the surrounding skin. And so
I actually had I had herny of surgery earlier this
year myself.
Speaker 1 (06:20):
And yeah, and I did too, I had it early.
Ye too.
Speaker 2 (06:23):
Did you have a robot or how'd you do it?
Speaker 1 (06:24):
Well, it wasn't the robot. It was he said, we're
gonna do the most least invasive way they could, and
they and they went through my belly button. Oh yeah,
we did it, wasn't it. I mean I was knocked out,
so I don't know elf they did me. I was
knocked out, but I had I had a heard of
it for several years and it was like, it's time
to get it out.
Speaker 2 (06:40):
Yeah, for sure my looking at mind. But it was
for me. It was hard because I never know when
I was going to do it. I have to take
time off and it's just hard to schedule. And we
ended up doing it. It was actually the fire the
fire week. It was the Friday of the fire week,
and we didn't know if if the surgery is one
of the places I work at, and so one of
(07:01):
my friends took care of doctor Tumari, who was a
great general surgeon here at the Valley. He took care
of it for me and said, like, if the survice
center's open, we'll do it. But the surgy center was
in Tarzana, so we didn't know if they were even
going to the open.
Speaker 1 (07:16):
Now we see kind of like folks at home, it
kind of started heading towards the valley, but it didn't
fully go in. Yeah, thank god. Rightways, it was heading
at one point like it's heading that direction on the
western part of the valley. I was like, oh no,
my friend's like in chats work and women like I
was getting a little nervous. Yeah, but didn't fully it
didn't fully go in.
Speaker 2 (07:37):
Like got to the top of the hill and then
it stopped and it didn't come down, thankfully. There's a line.
We drove out that night. I remember as the kids
were a little bit nervous and I had uh I
just had surgery earlier that day, so I was trying
out of it. So my wife drove us out to
Balboa Park so we could look, you know, sup poll
the basin and you could see that there was at
the top of the hill there were there's a line
(07:57):
of helicopters in firefights. It was not going to come
over the hill, and so everybody felt better after seeing that.
Speaker 1 (08:02):
I know, yeah, I know. So I mean, okay, So
that's a good question though for you. So because you
are a surgeon, how do you keep up? Do you
are you required for like do how ce stuff? Or
you have to go to conference? Like what is how
do you have to keep up? And everything?
Speaker 2 (08:16):
The latest there's there are we call them CMEs or
continuing medical education credits. So the little things we have
to do every year. Our societies tracked that. So the
American Board, Plastic Surgery America, sidy plast Sursday track call
that stuff for us. But I think you know, we
also get a monthly journal and medical journal. As long
as you're reading that keeping up with things, I think
you know pretty much what's going on in the specialty.
Speaker 1 (08:38):
But I know you're always a person looking out for
things too, because you gave me a product a few
years ago and I used it. It was good. It
was a skin product, yeah, and it was really good.
Folks still I saw have a little bit left, but
I was like I used it. I was like, oh
this is quite nice. It's like it made your face
calm down. It was like a calming agent. So I
know for you, you're always looking for other things. So,
like you said earlier, looking for other things and just saying,
(09:00):
I just keep breasts, you know, I said, I just
do that years like you're saying, I feel like you're
type of guy who's like, what else is out there?
Can I add to my to my services? Right?
Speaker 2 (09:10):
Absolutely? And that's that's where it's as again. As a surgeon. Uh,
we are essentially trading skin for scars, where every time
we make a decision, you're gonna have a scar. And
so we always looking for ways how do you make
the scars less visible. And that's where the laser came in.
So we had this new laser we got at the
end of last year and something specific for scars, and
so our nurse practitioner Atricia said, can we laser? You're
(09:33):
hurting his scars And I said, yeah, knock yourself out,
So he did and one of you can barely see
it now, the other on the other one. Yeah, it's
really great.
Speaker 1 (09:41):
It's very cool. Folks going to Hurst Plastic Surgery on Instagram,
you'll see it's him. He lifts his shirt up. Some folks, ladies,
I don't know you surgeons. Yeah, no, it's very that's
very cool because I don't scar stuff. You know, scar
removal has always been something that's been out there, creams
and always been in a situation. So, but I mean,
is laser the latest thing? That is that the thing
(10:02):
nowadays for most stuff now is laser.
Speaker 2 (10:05):
Well, laser has been around for a while and the
concept for lasers and skin is that basically what it
does is it punches a bunch of tiny little holes
in the skin, and then as the by heels from
the tiny little holes, it creates a tightening effect and
boosts your collagen levels and the skin, which makes your
skin softer and smoother. So I think that for me
(10:26):
in my practice, laser it's more it's a little bit
more consistent and we get I think, better results from
things like peels. So we don't do peels anymore. We
just use lasers and micro kneeling.
Speaker 1 (10:37):
Oh micro kneeling, I know that one, but no more peels?
Oh wow, okay, no very good? Are they kind of
outdated now so to speak? I mean, is it kind
of well?
Speaker 2 (10:46):
Peels can have a lot of they can have a
lot of side effects. You can have, you can have
changing the skin coloration, a lot of the unanticipated consequences,
and so I just feel like micro kneeling, even even
for people darker skin who have more pigmentation, aculately works
well with everybody. And then the lasers are also, I mean,
they're pretty effective, so it's hard to it's hard to fight.
Speaker 1 (11:06):
That, and the lasers are pretty safe. Right, Yeah, that's
our figure here, lad, I mean, for my lad person
out there, is laser. It's not star Wars. I'm talking
it is like these things are safe. That's why they
use they use them. It's safe for it's less invasive, right.
Speaker 2 (11:22):
Yeah, for sure. And they're very effective too so.
Speaker 1 (11:25):
And pain wise is better also is its way less
pain right.
Speaker 2 (11:29):
It's it's like we're taking a rubber band snappy against
your skin. Not not painful.
Speaker 1 (11:35):
Yeah, that's not figured. I think it's folks out there
listening like it's really good. It's really good. It's good stuff.
It's good stuff. So, so what are you offering these
days in your in your office and your practice. I mean,
you know you do. I know you're doing plastic surgerys
and cosmetic things. But what are we offering these days?
Speaker 2 (11:51):
Well, the most the most common things that we're doing,
it's still breast surgery, and it's kind of more. I
remember the first time you and I talked to using
a lot of breast cancer reconstruction. So we don't do
that quite as often now, but I've been for the
past five or six years been removing and replacing breast implants,
a pretty high volume of them. I think what's happened
(12:14):
is that with just because the implants have been so common,
especially in LA since you know, the sixties, seventies, eighties.
There's over three hundred thousand women the year in the
US who get breast implants, and so then worldwide it's
I mean it's even more. And they don't last forever.
I think there's like a critical mass of women now
who are in their in their fifties and sixties who've
(12:35):
had implants for a long time and just don't want
to have to repeat this in ten fifteen years, and
so they're opting to remove them, or some of them,
the younger ones are opting to replace them.
Speaker 1 (12:46):
Wait, okay, I know you weren't you were a child
when they say not born back then, But I was
just wondering did they did they tell people back because
I know have several women in my life who've gotten
new impacts the other ones either ever got older where
they did it there? Yeah, did they tell them back
then these weren't lifelong or did they not? Did not
tell them that?
Speaker 2 (13:05):
I'm like, I think you hear from patients. Some patients
tell me that their doctors said they would last forever,
which now we know isn't right. But I think I
think a lot of them, know, the like, at least
deep down that you're going to have to do something
at some point to them.
Speaker 1 (13:21):
So was so the first that the earlier batches you say,
at least lasted twenty thirty years.
Speaker 2 (13:28):
Get well, you know, they weren't replaced. But so the
biggest changes here, I can show you what I'm talking
about here.
Speaker 1 (13:34):
Yeah, please please show us do it even better? Yes, So.
Speaker 2 (13:38):
These implants, these are all gummy bery implants, okay. And
so the old implants they were liquid silicomb, yes, and
when they ruptured it was like, you know, a bomb
would go off inside the breast and the silicone everywhere.
All these the new ones from from the past, maybe
like fifteen years or so, they're gummy bear So if
you cut them in half, it looks like you're cutting
(13:58):
a gummy there. So the implant ruptures, it's all contained
within the capsule. It's all contained within the silicon.
Speaker 1 (14:05):
That's good. Yeah, that's so. I wonder whoever thought of that.
That was a great idea, obviously, because I mean liquid
even want that getting in places? Wow, that's interesting. I
don't because I said, I have a couple of girlfriends
of mine who totally had to get redone they had
to get to They said, I had them since the eighties,
and like, I, did you get a new roof this year?
(14:27):
So I guess that that's what happens out there, folks.
I mean the everything that everything does not last forever
you think it will, it does not. But I just
wondering back then, I'm like, did they tell them that.
I guess they did tell them, don't worry, it's fine,
you know, you got it.
Speaker 2 (14:39):
But I hope, so you hope. So we certainly now
and we have more content forums now and there's all
sorts of stuff that we talked about when you're play
the implant. But yeah, you never want to go into
an implant surgery with the idea that this is gonna
be one and done. You always will have some type
of something at some point.
Speaker 1 (14:53):
So some kind of maintenance issue. Were Yeah, it's like
it's a car, but it's making this issue. Okay, I
guess that's the I can just stay at that part.
It's like, okay, I'm gonna stay that part. But I
know and I will go to know at home to you.
Sometimes there are reconstructive surgery. Like you said, you first
you're doing cancer, but there's other things too that happen
in life. We may get in that car accident and
(15:14):
need something we've done. We scolding, and so I'm sure
you're doing that stuff to you still, right, Yeah.
Speaker 2 (15:18):
Of course, of course, yep, we still do that.
Speaker 1 (15:21):
That's guys, very good. So how has business been?
Speaker 2 (15:24):
I think, yeah, last year with the economy wasn't super
strong last year, so we kind of we kind of
rode that wave. This year, it's it's been better. I
think we're getting into like January is always busy, Debruary
is always slow, then it kind of builds into the
summer and now we're we're building and you know, this
(15:46):
has been a pretty busy week for me, and next
week's busy. And I think May in general was busy.
June was super busy, and then in July August it
will slow down as people go away on vacation. But
then basically at that point, September to end of the
year is just a solid sprint as as we just
are super super busy from September to January.
Speaker 1 (16:07):
Wait, so why is January busy? You think it is
because people have got new money for Christmas or what's
going on.
Speaker 2 (16:14):
January? It's always overflowed from December. December is the busy year.
And then some people can't get in in December, so
they do January. And also some kids are out and
the start people with kids don't necessarily want to be
recovered from surgery, so they'll go on a trip and
then they'll come back in January the kids are back
in school.
Speaker 1 (16:30):
That too too. And also yeah, and also towards the
second half December, think we've got two holidays. Yeah, yeah,
that's that's checking. That's too. But I was like why
why because just yet I would think why I say
that function at home was because a lot of times
January is busy in several fields like gyms, like you know,
food bag because everybody has a resolution like I want
a new me. It's like, I just I just one
(16:52):
of that was you know part of that.
Speaker 2 (16:53):
It is like, yeah, there's probably some aspect of that too,
I would imagine, But uh.
Speaker 1 (16:57):
I don't think I'm asked you this question for have
you ever turned anybody away.
Speaker 2 (17:02):
All the time all the time? Yeah?
Speaker 1 (17:07):
Wow, what are some way you can't tell? Their business officers?
What are some examples of what kind of just like
who you would turn away?
Speaker 2 (17:13):
The number one, well, number one and number two examples.
Number one is patients who want some type of like
a breast production or a big body conentering surgery, who
are overweight and they won't get as good as an outcome.
The surgery is more risky. And then if you know,
if you do a big tummy tuck and then you
lose thirty pounds, you're gonna have more skin, right right.
(17:38):
So now with oseepic and my jar on all the
different weight loss medications, we recommend just do that beforehand,
get your weight where you want it, and then do
the surgery.
Speaker 1 (17:46):
That makes accident make sense. So people watually coming first
that your side makes sense to Me's like, oh yeah,
I'll lose the weight. All the excess skin is tight
n skin that I'll take care of. But coming before that,
that's kind of I never asked, weird.
Speaker 2 (17:58):
Wow, you know when you think about it, though, it's
a lot. I feel a lot of people like have
having something to work towards. And so if if you're
like I just want to lose ten pounds, okay, you
lose ten pounds, but you say I want to lose
ten pounds by this specific date, so that I can
you know, so I can fit in the key on
my trip, so I can have a surgery with doctor
Hirsch or like whatever you're working towards. I think just psychologically,
(18:21):
that's that's more powerful and it can help get you
to that goal.
Speaker 1 (18:25):
Yeah, we have a friend who's you just lost a
bunch of weight the natural way, folks, you know, the
natural way. But so he has all this excess skin.
So he's looking into that next and I said, I
know somebody yeah over yah exactly, but yeahs dealing because
he didn't actually didn't realize that would happen. And I
was like, well, what depends on every person. Obviously depends
on the last tesity of the skin. Obviously, sure he
(18:48):
had lost a lot of weights, and so that to me,
even as a former nurse myself, like that makes sense. Looking,
oh yeah, that makes sense. That would that would happen
a little older and skins of the same when twenty five, Yeah,
of course an extent I can lose Wait two seconds,
you know all that kind of stuff. We a little
older to day, he saysn't happen anymore. And this person's
(19:09):
entering their forties and I said, oh, I remember that time. Period.
I know.
Speaker 2 (19:12):
Yeah, but you like with your grandpa and grandma you
could pinch their skin up like this and then two
hours later you got to push it back down.
Speaker 1 (19:22):
Exactly. I was like, but you know, when you're younger,
everything's tighter obviously, Yeah, are they tightened up? What are
your I always cars too. What are your thoughts on
all the bbls that are happening? I think so.
Speaker 2 (19:36):
I actually we asked about this a lot, and in
full disclosure, I do not do a lot of babyls, okay,
And the reason for that is that I like to
do surgery that I think is going to be sustainable,
meaning that it's going to have like a good long
term effect. And number two should not require a lot
of like additional things down the road. Obviously, with the
(19:59):
exception implants which you go into it knowing you're gonna
need more. The problem with bbls is that you were
doing I'm talking like large volume bbls, not small ones.
Speaker 1 (20:09):
That's what I mean, you know, That's what I'm talking about.
That's what I mean.
Speaker 2 (20:12):
Yeah, exactly exactly. I think they look great in the beginning,
but once everything sells, once everything heals, because of the
amount of fat removal that's being done. You can I've
seen a lot of tracking from liposuction where the abdominal
wall is not not smooth. You can see the scoring
from liposuction, the current contour regularities. And then the biggest
(20:34):
issue in the in the butt is that what we've
seen over and over and over and over again. As
time passes, the fat SAgs and so initially it's really perky.
But just like fat SAgs anywhere else on your body,
especially your breasts, your stomach, the butt will sag. And
so I've actually done in the past, you know, two
(20:55):
three years is bblls have got more common. I've done
more revision BBL surgery. They have bibios where essentially at
that point you have to do it's called the lower
body lift. If you want to make things perky again,
you have to tighten the skin along the lower part
of the back and basically remove the trip of skin
and pull the butt up because otherwise it looks like
a wet diapers It just hangs down.
Speaker 1 (21:17):
So you go from the you have to cut from
the top to bring it up.
Speaker 2 (21:21):
Yeah, exactly, nice, got it, Okay, got it?
Speaker 1 (21:23):
Cause I was thinking, well, what underneath but no, actually
you're you're okay, no, I got it, Okay, I got it. Yeah,
I know. But that's why they after you're go on TikTok,
you're going anywhere, and just you see so many I'm
talking about the big ones, not the small. It's like,
I know, it's getting a little glorified. But and you
hear those horse stories they're putting cement in them in
Mexico or whatever, in Canada or whatever. I like, those
(21:44):
are crazy. But I was like, by side know, for
some folks, there are some nice ones out there. There
are some nice ones that aren't you know, nice size everything. Yeah,
but I just don't think they're getting they're getting so
much attention these days, like you have to get think.
I'm like, well, I mean I think I think any
lift of any time would be would just work.
Speaker 2 (22:01):
Just as fine, right, absolutely, Yeah, you.
Speaker 1 (22:04):
Know that's crazy. Is there anything you guys don't do?
Uh not?
Speaker 2 (22:10):
Really? I mean there are some things I won't do,
Like I won't put butt in plants in. I don't
think butt in plants atomically make a lot of sense
just because of where you're putting them in. They have
a lot of complications, they have a lot more contractually
get hard and tight, muscle damage, nerve damage, so I
don't do that. I also actually my nurse practitioner does
(22:30):
most of the boatox and fillers just because as the
surgery practice has gotten busier, Uh, it's hard for me
to keep up with the botox and the fillers and
that stuff. So most of my time in the office
is dedicated more towards seeing patients before service, seeing patients
after surgery, and then less for the botox and the fillers.
Speaker 1 (22:47):
What are your thoughts on calf GM plants.
Speaker 2 (22:49):
Yeah, that's another one I don't do.
Speaker 1 (22:51):
I got nice calves, thank god, I got. Tell me
about my friends. I got something like, oh, because I
know what people are working out, legs are hard to grow.
I look at that grow, I say with my grandmother.
But I got but I know it's hard you work
up here. Everything up here is like these little chicken legs.
So my friends that I got calf I implants, I'm like,
(23:12):
you got what right? I was like, yeah, that's interesting.
I mean, I know, my whole point kind of is
that there's so much you can do. I guess there's
I mean, there's this world or business. What you can do.
I was always wondered when I pass certain like which
ones do you do or not do it? Just kind
of interest. It's we're not judging anybody, just kind of
just curious.
Speaker 2 (23:31):
I'll get yes, well we all kind of like in
any field, no matter no matter what you're doing, you
tend to just end up in the niche of this
is what you do, is is what you like to do,
hopefully and uh and so every so often you'll get
a request for something move usual and if it's a
reasonable patient, we can do it. But but things in
(23:51):
general like calf implants, but implants, I just I'm not
sure that we should be doing them, even with we can,
because they have a lot of problems.
Speaker 1 (23:58):
Yeah, no, now long how long you been in practice?
Speaker 2 (24:01):
That was my eleventh year?
Speaker 1 (24:03):
Congratulations, I can quite fast. Last, So one of the
last things when I ask is I have to ask
is in every single field we're talking about this in
every single way in shape and form. I'm starting to
give into the robots. How is AI in your field?
I have to I have to ask I have I mean,
(24:24):
we missed what I didn't ask? Your field?
Speaker 2 (24:27):
Well, thus far, I don't I don't think it's really
done anything yet. I know you like some of the
electronic medical records systems, you can use AI to write
your notes, but that for me that hasn't That doesn't
really save you any time. But those don't take that
long to do. I saw there is a robot that
they have doing basic general surgery like gallbladers and stuff
(24:49):
like that, but I don't know, like I I've never
heard of that application in plastic surgery.
Speaker 1 (24:55):
Yeah, I haven't heard anything else. So I'm just like
I have to AI everywhere, and everybody's running scared or
running to it. So for me, it's helped me with
administrative duties and things like a little smaller things like well,
I still it's still gonna be me on camera talking
to you, not an AI version of me.
Speaker 2 (25:16):
Sorry, we wouldn't be the same, wouldn't be the same
with a with a robot version.
Speaker 1 (25:23):
Thank you, I mean you, I said, it can get
really good, but no, no, it's still be me that to hers.
Thank you for it coming on. And of course if anything,
if anything major comes up in your field, I might
have to call on you, Stu, what you think about it?
For your opinion?
Speaker 2 (25:37):
Yeah, you know where to find me.
Speaker 1 (25:40):
Anyway, how are the figs? Oh?
Speaker 2 (25:42):
So, so that was actually something I wanted to ask
you about. Figs are good. But last year I I sprouted,
I took I took a bunch of trimmings from the
tree and sprouted them. And if you want a tree,
I might be able to get you a tree at
some point. They just need to grow a little bit more.
Speaker 1 (25:58):
Yeah, yeah, we'll talk them out there, get it. Yeah,
you know, I got a huge garden, so I would
know exactly exactly. My grandmother used to have a fig tree.
She was ten blocks down the street, so I know
they grow in my neighborhood.
Speaker 2 (26:09):
Really well, yeah, well, I know you're well, I have
I have two of them right now. I have to
give one of my parents and one's my other friend,
and I have another one that I'm not under sure
if it's if it's gonna make it. If that one
makes it, i'll give it to you. If not, I'll
sprout you a new one, and then later this year,
next year, i'll get you a new one.
Speaker 1 (26:27):
Yeah, propagation is hard sometimes, I know it's really hard.
It makes some catch some down, but they're here. But yes,
I do want one. If you have one. Yeah, I've
had it figs before, folks are good. Yah. I love
figs and I'm like my low quots came in this year,
so we're good. We're we're doing good. We're doing yeah.
Speaker 2 (26:43):
You ever you have a grow love plots? I like
I kind of half a growing.
Speaker 1 (26:47):
I've never told that one's I've never done it yet.
I've made jelly and jam, yeah I have. I have
saw tave them in stuff and with fish. Yeah, but
I haven't built them yet.
Speaker 2 (27:01):
No.
Speaker 1 (27:01):
I eat them off the vine to just grab me.
Speaker 2 (27:02):
You know, trek brilliant. It brings out some of the
natural sugar.
Speaker 1 (27:06):
Yeah. No, I'm definitely Yeah. And I learned fin. I
learned that they are basically a Japanese pair. That's the thing.
I mean, they're not citrus really, They're kind of not really,
They're more of that family. Oh, I bring something to
your idea. So, folks, doctor Allie Hurst, go to hurstspis
and Surgery dot com. Got Hurtspie Surgery on Instagram, Facebook,
(27:27):
just you can follow them there and see what they're
doing over there. Tell them James sent you. If you
have any questions you're afraid to ask them yourself, come
to me I'll connect you guys personally or whatever. You
guys can talk. I know sometimes people are scared to
say stuff. We're afraid to ask questions, and we want
you not to be. It's nothing to be afraid about.
We want you to be able to have what you need,
(27:49):
answer you. And I would love to send him more
business and send him and make it more busy. My pleasure.
I'm James lot Genius is tighten up, run all the
audio shootings servers and we're on YouTube at JLJ Media
and we'll talk to you next time.
I love when I'm able to bring on a friend
and a former guest to one of my shows. This
would be his third show he's done on my j
J Media. We've known each other. I just realized eight years.
So that's a long time. And so we'll get to
work that on the show a little bit. How we
know each other and what he's done. But he is
(00:24):
a board certified Best of Los Angeles. He was Best
Los Angeles. He was your voted that you were top
top La plastic surgeon when it's practice out in the
Valley Sherman Oaks. But he's also a so Cal native
like me, of course, so help me welcome my friend,
doctor Elliot Hirst.
Speaker 2 (00:45):
All right, thank you to catch up with you. Look
at you and I both look a little more gray
than the first time we started doing this.
Speaker 1 (00:53):
Oh yeah, I blame my daughter's grandchildren. Mother, I blame everybody.
Yeah too, right, So are your kids out of high
school yet?
Speaker 2 (01:03):
No? Actually, my son is about to go into high
school next year. That my daughter is going to seventh
grade next year.
Speaker 1 (01:10):
Good, you have young yuys, So you have young you
had young kids? Yeah? Yeah, yeah, since I since well,
so folks at home We've talked during the pandemic off
and on texted, but he has not been on my
show in five years, so I just want to start something.
So when we met, I got him through a PR person.
You first came on August twenty seventeen. We talked about
(01:31):
ear Low reconstruction. Yeah, and that was fun. I was like,
I was very fascinated by that. And then you and
I started talking afterwards and we kind of became friendly,
so we stayed friends. And then in December twenty seventeen,
you talked about the Mitchell I get this correct, the
BRCA gene mutation. Yeap, not about that, and we kep Wick.
I had a year off because I have bad bell's pausey,
(01:54):
so I had to say that's another story. And then
twenty nineteen I came back and from another show, he
came on. We talked about rest augmentation, yes, and then
the lad said, I could he's been five years. In
June twenty twenty, during the lockdown, we talked about the
COVID protocols for classic surgery at that at that time,
which you guys are working on. So I can wait
(02:16):
some five I could, it's been seven, it can it's
been eight years and five.
Speaker 2 (02:21):
I think all this stuff, all the stuff that's changed
in the world in La since over that time.
Speaker 1 (02:27):
Yes. Now, my first question to ask you is we
were all of the pandemic. You know, we survived the
fires also which we say that you both survived the fires.
What is one thing that you've learned during that time period?
Oh my god? Love that? Like, oh my god, some scisors.
Speaker 2 (02:44):
Nice trauma sitters for their right. Yeah, my caliper over
here like rest measuring caliper.
Speaker 1 (02:56):
Wow, I've kind of sight. It's okay again, See folks,
you're getting you get everything on the show. Everything. Yeah, no,
but I was thinking of what is one thing you've
learned that Tide paid about your business that you're taking
with you now, right.
Speaker 2 (03:09):
But it's it's interesting. I think I think that the
early on, what I think I've realized is that early
on you kind of you try to build a business
and you want to build it with it, just like
any business will tell you. You want to build based
on a solid foundation. And so you have to make
sure that you obviously you have to could do surgery, well,
(03:31):
you have to go customer service. You have make sure
the staff is on the same page. You have the
office and all the things that come with it. But
I think you know now, I've kind of learned that
with those foundations at place, you still can't force things.
And think about all the economic things that we've seen
in the past eight years with with COVID and economy
kind of coming up and down, and you have to
(03:52):
kind of go with that.
Speaker 1 (03:54):
That's very true. Obviously, I'm a business, We're all in business,
and we've had to kind of pivot and change. And
I remember when I came to your little camp. Your
office was. It was twenty nineteen, great folks, great staff,
great office. You was busy in there and stuff, great everything.
You know, it's kind of scary during that time period
twenty twenty, twenty twenty one, a little scary. Then we
(04:16):
always had other changes happening in our economy. It's been
kind of it has been up and down, and especially
at California especially, it's had ups and downs.
Speaker 2 (04:23):
Oh yeah, big time, you know.
Speaker 1 (04:25):
So it's been but we're still here. We're still we're
still here. I like, like you, I've learned you can't
force it and you kind of just have to just
be a little innovative and just like be a little
patient and it's okay, take a step back and really
think about things. I forge you by the same for
you too.
Speaker 2 (04:44):
Absolutely, it's it's you. Well, anybody can't force it. You
can't just like you. If I want to do tensors
a week, I can't just do tensors a week. You
have to you have to kind of I want to
understand that if the economy is bad, people aren't going
to be coming in in the same volume because they
don't have disposal income that they may have had the past.
But more probably, you have to be kind of creative
(05:04):
about what you're doing and how you're doing it. So
you can't just always do the same things that this
is what I do and that's all I'm gonna do.
You have to say, well, I can do this now,
I can do this, now find other things that people
but people are are they're looking for and you kind
of have to meet people where they are. You have
to get people what they want.
Speaker 1 (05:21):
Yes, Well, I saw a video the other day and
it was cool. It was about Scar removal. Yeah you
it was he was actually the patience or whatever. It
was hilarious, but it was really good. So is that
something that's newish where it's like you can actually get
I mean, he talk about that a little bit. I
was fascinated by that.
Speaker 2 (05:41):
So we have we have a laser in the office
and it's there's a lot of med spots. There's a
lot of different different lasers that are out there. And
my first laser was maybe like seven eight years ago,
but we just got a new one because technology changes
so much, and I think that the lasers that we have,
like as doctors in the medical practice, it's so much more,
are powerful and versatile then like the random ones that
(06:03):
you see out there. So one of the things because
I'm a surgeon, I'm always looking to improve my results
and try to help my scars. The laser has specific
attachment that to help kind of take the pigment of scars,
help the scars smooth into the surrounding skin. And so
I actually had I had herny of surgery earlier this
year myself.
Speaker 1 (06:20):
And yeah, and I did too, I had it early.
Ye too.
Speaker 2 (06:23):
Did you have a robot or how'd you do it?
Speaker 1 (06:24):
Well, it wasn't the robot. It was he said, we're
gonna do the most least invasive way they could, and
they and they went through my belly button. Oh yeah,
we did it, wasn't it. I mean I was knocked out,
so I don't know elf they did me. I was
knocked out, but I had I had a heard of
it for several years and it was like, it's time
to get it out.
Speaker 2 (06:40):
Yeah, for sure my looking at mind. But it was
for me. It was hard because I never know when
I was going to do it. I have to take
time off and it's just hard to schedule. And we
ended up doing it. It was actually the fire the
fire week. It was the Friday of the fire week,
and we didn't know if if the surgery is one
of the places I work at, and so one of
(07:01):
my friends took care of doctor Tumari, who was a
great general surgeon here at the Valley. He took care
of it for me and said, like, if the survice
center's open, we'll do it. But the surgy center was
in Tarzana, so we didn't know if they were even
going to the open.
Speaker 1 (07:16):
Now we see kind of like folks at home, it
kind of started heading towards the valley, but it didn't
fully go in. Yeah, thank god. Rightways, it was heading
at one point like it's heading that direction on the
western part of the valley. I was like, oh no,
my friend's like in chats work and women like I
was getting a little nervous. Yeah, but didn't fully it
didn't fully go in.
Speaker 2 (07:37):
Like got to the top of the hill and then
it stopped and it didn't come down, thankfully. There's a line.
We drove out that night. I remember as the kids
were a little bit nervous and I had uh I
just had surgery earlier that day, so I was trying
out of it. So my wife drove us out to
Balboa Park so we could look, you know, sup poll
the basin and you could see that there was at
the top of the hill there were there's a line
(07:57):
of helicopters in firefights. It was not going to come
over the hill, and so everybody felt better after seeing that.
Speaker 1 (08:02):
I know, yeah, I know. So I mean, okay, So
that's a good question though for you. So because you
are a surgeon, how do you keep up? Do you
are you required for like do how ce stuff? Or
you have to go to conference? Like what is how
do you have to keep up? And everything?
Speaker 2 (08:16):
The latest there's there are we call them CMEs or
continuing medical education credits. So the little things we have
to do every year. Our societies tracked that. So the
American Board, Plastic Surgery America, sidy plast Sursday track call
that stuff for us. But I think you know, we
also get a monthly journal and medical journal. As long
as you're reading that keeping up with things, I think
you know pretty much what's going on in the specialty.
Speaker 1 (08:38):
But I know you're always a person looking out for
things too, because you gave me a product a few
years ago and I used it. It was good. It
was a skin product, yeah, and it was really good.
Folks still I saw have a little bit left, but
I was like I used it. I was like, oh
this is quite nice. It's like it made your face
calm down. It was like a calming agent. So I
know for you, you're always looking for other things. So,
like you said earlier, looking for other things and just saying,
(09:00):
I just keep breasts, you know, I said, I just
do that years like you're saying, I feel like you're
type of guy who's like, what else is out there?
Can I add to my to my services? Right?
Speaker 2 (09:10):
Absolutely? And that's that's where it's as again. As a surgeon. Uh,
we are essentially trading skin for scars, where every time
we make a decision, you're gonna have a scar. And
so we always looking for ways how do you make
the scars less visible. And that's where the laser came in.
So we had this new laser we got at the
end of last year and something specific for scars, and
so our nurse practitioner Atricia said, can we laser? You're
(09:33):
hurting his scars And I said, yeah, knock yourself out,
So he did and one of you can barely see
it now, the other on the other one. Yeah, it's
really great.
Speaker 1 (09:41):
It's very cool. Folks going to Hurst Plastic Surgery on Instagram,
you'll see it's him. He lifts his shirt up. Some folks, ladies,
I don't know you surgeons. Yeah, no, it's very that's
very cool because I don't scar stuff. You know, scar
removal has always been something that's been out there, creams
and always been in a situation. So, but I mean,
is laser the latest thing? That is that the thing
(10:02):
nowadays for most stuff now is laser.
Speaker 2 (10:05):
Well, laser has been around for a while and the
concept for lasers and skin is that basically what it
does is it punches a bunch of tiny little holes
in the skin, and then as the by heels from
the tiny little holes, it creates a tightening effect and
boosts your collagen levels and the skin, which makes your
skin softer and smoother. So I think that for me
(10:26):
in my practice, laser it's more it's a little bit
more consistent and we get I think, better results from
things like peels. So we don't do peels anymore. We
just use lasers and micro kneeling.
Speaker 1 (10:37):
Oh micro kneeling, I know that one, but no more peels?
Oh wow, okay, no very good? Are they kind of
outdated now so to speak? I mean, is it kind
of well?
Speaker 2 (10:46):
Peels can have a lot of they can have a
lot of side effects. You can have, you can have
changing the skin coloration, a lot of the unanticipated consequences,
and so I just feel like micro kneeling, even even
for people darker skin who have more pigmentation, aculately works
well with everybody. And then the lasers are also, I mean,
they're pretty effective, so it's hard to it's hard to fight.
Speaker 1 (11:06):
That, and the lasers are pretty safe. Right, Yeah, that's
our figure here, lad, I mean, for my lad person
out there, is laser. It's not star Wars. I'm talking
it is like these things are safe. That's why they
use they use them. It's safe for it's less invasive, right.
Speaker 2 (11:22):
Yeah, for sure. And they're very effective too so.
Speaker 1 (11:25):
And pain wise is better also is its way less
pain right.
Speaker 2 (11:29):
It's it's like we're taking a rubber band snappy against
your skin. Not not painful.
Speaker 1 (11:35):
Yeah, that's not figured. I think it's folks out there
listening like it's really good. It's really good. It's good stuff.
It's good stuff. So, so what are you offering these
days in your in your office and your practice. I mean,
you know you do. I know you're doing plastic surgerys
and cosmetic things. But what are we offering these days?
Speaker 2 (11:51):
Well, the most the most common things that we're doing,
it's still breast surgery, and it's kind of more. I
remember the first time you and I talked to using
a lot of breast cancer reconstruction. So we don't do
that quite as often now, but I've been for the
past five or six years been removing and replacing breast implants,
a pretty high volume of them. I think what's happened
(12:14):
is that with just because the implants have been so common,
especially in LA since you know, the sixties, seventies, eighties.
There's over three hundred thousand women the year in the
US who get breast implants, and so then worldwide it's
I mean it's even more. And they don't last forever.
I think there's like a critical mass of women now
who are in their in their fifties and sixties who've
(12:35):
had implants for a long time and just don't want
to have to repeat this in ten fifteen years, and
so they're opting to remove them, or some of them,
the younger ones are opting to replace them.
Speaker 1 (12:46):
Wait, okay, I know you weren't you were a child
when they say not born back then, But I was
just wondering did they did they tell people back because
I know have several women in my life who've gotten
new impacts the other ones either ever got older where
they did it there? Yeah, did they tell them back
then these weren't lifelong or did they not? Did not
tell them that?
Speaker 2 (13:05):
I'm like, I think you hear from patients. Some patients
tell me that their doctors said they would last forever,
which now we know isn't right. But I think I
think a lot of them, know, the like, at least
deep down that you're going to have to do something
at some point to them.
Speaker 1 (13:21):
So was so the first that the earlier batches you say,
at least lasted twenty thirty years.
Speaker 2 (13:28):
Get well, you know, they weren't replaced. But so the
biggest changes here, I can show you what I'm talking
about here.
Speaker 1 (13:34):
Yeah, please please show us do it even better? Yes, So.
Speaker 2 (13:38):
These implants, these are all gummy bery implants, okay. And
so the old implants they were liquid silicomb, yes, and
when they ruptured it was like, you know, a bomb
would go off inside the breast and the silicone everywhere.
All these the new ones from from the past, maybe
like fifteen years or so, they're gummy bear So if
you cut them in half, it looks like you're cutting
(13:58):
a gummy there. So the implant ruptures, it's all contained
within the capsule. It's all contained within the silicon.
Speaker 1 (14:05):
That's good. Yeah, that's so. I wonder whoever thought of that.
That was a great idea, obviously, because I mean liquid
even want that getting in places? Wow, that's interesting. I
don't because I said, I have a couple of girlfriends
of mine who totally had to get redone they had
to get to They said, I had them since the eighties,
and like, I, did you get a new roof this year?
(14:27):
So I guess that that's what happens out there, folks.
I mean the everything that everything does not last forever
you think it will, it does not. But I just
wondering back then, I'm like, did they tell them that.
I guess they did tell them, don't worry, it's fine,
you know, you got it.
Speaker 2 (14:39):
But I hope, so you hope. So we certainly now
and we have more content forums now and there's all
sorts of stuff that we talked about when you're play
the implant. But yeah, you never want to go into
an implant surgery with the idea that this is gonna
be one and done. You always will have some type
of something at some point.
Speaker 1 (14:53):
So some kind of maintenance issue. Were Yeah, it's like
it's a car, but it's making this issue. Okay, I
guess that's the I can just stay at that part.
It's like, okay, I'm gonna stay that part. But I
know and I will go to know at home to you.
Sometimes there are reconstructive surgery. Like you said, you first
you're doing cancer, but there's other things too that happen
in life. We may get in that car accident and
(15:14):
need something we've done. We scolding, and so I'm sure
you're doing that stuff to you still, right, Yeah.
Speaker 2 (15:18):
Of course, of course, yep, we still do that.
Speaker 1 (15:21):
That's guys, very good. So how has business been?
Speaker 2 (15:24):
I think, yeah, last year with the economy wasn't super
strong last year, so we kind of we kind of
rode that wave. This year, it's it's been better. I
think we're getting into like January is always busy, Debruary
is always slow, then it kind of builds into the
summer and now we're we're building and you know, this
(15:46):
has been a pretty busy week for me, and next
week's busy. And I think May in general was busy.
June was super busy, and then in July August it
will slow down as people go away on vacation. But
then basically at that point, September to end of the
year is just a solid sprint as as we just
are super super busy from September to January.
Speaker 1 (16:07):
Wait, so why is January busy? You think it is
because people have got new money for Christmas or what's
going on.
Speaker 2 (16:14):
January? It's always overflowed from December. December is the busy year.
And then some people can't get in in December, so
they do January. And also some kids are out and
the start people with kids don't necessarily want to be
recovered from surgery, so they'll go on a trip and
then they'll come back in January the kids are back
in school.
Speaker 1 (16:30):
That too too. And also yeah, and also towards the
second half December, think we've got two holidays. Yeah, yeah,
that's that's checking. That's too. But I was like why
why because just yet I would think why I say
that function at home was because a lot of times
January is busy in several fields like gyms, like you know,
food bag because everybody has a resolution like I want
a new me. It's like, I just I just one
(16:52):
of that was you know part of that.
Speaker 2 (16:53):
It is like, yeah, there's probably some aspect of that too,
I would imagine, But uh.
Speaker 1 (16:57):
I don't think I'm asked you this question for have
you ever turned anybody away.
Speaker 2 (17:02):
All the time all the time? Yeah?
Speaker 1 (17:07):
Wow, what are some way you can't tell? Their business officers?
What are some examples of what kind of just like
who you would turn away?
Speaker 2 (17:13):
The number one, well, number one and number two examples.
Number one is patients who want some type of like
a breast production or a big body conentering surgery, who
are overweight and they won't get as good as an outcome.
The surgery is more risky. And then if you know,
if you do a big tummy tuck and then you
lose thirty pounds, you're gonna have more skin, right right.
(17:38):
So now with oseepic and my jar on all the
different weight loss medications, we recommend just do that beforehand,
get your weight where you want it, and then do
the surgery.
Speaker 1 (17:46):
That makes accident make sense. So people watually coming first
that your side makes sense to Me's like, oh yeah,
I'll lose the weight. All the excess skin is tight
n skin that I'll take care of. But coming before that,
that's kind of I never asked, weird.
Speaker 2 (17:58):
Wow, you know when you think about it, though, it's
a lot. I feel a lot of people like have
having something to work towards. And so if if you're
like I just want to lose ten pounds, okay, you
lose ten pounds, but you say I want to lose
ten pounds by this specific date, so that I can
you know, so I can fit in the key on
my trip, so I can have a surgery with doctor
Hirsch or like whatever you're working towards. I think just psychologically,
(18:21):
that's that's more powerful and it can help get you
to that goal.
Speaker 1 (18:25):
Yeah, we have a friend who's you just lost a
bunch of weight the natural way, folks, you know, the
natural way. But so he has all this excess skin.
So he's looking into that next and I said, I
know somebody yeah over yah exactly, but yeahs dealing because
he didn't actually didn't realize that would happen. And I
was like, well, what depends on every person. Obviously depends
on the last tesity of the skin. Obviously, sure he
(18:48):
had lost a lot of weights, and so that to me,
even as a former nurse myself, like that makes sense. Looking,
oh yeah, that makes sense. That would that would happen
a little older and skins of the same when twenty five, Yeah,
of course an extent I can lose Wait two seconds,
you know all that kind of stuff. We a little
older to day, he saysn't happen anymore. And this person's
(19:09):
entering their forties and I said, oh, I remember that time. Period.
I know.
Speaker 2 (19:12):
Yeah, but you like with your grandpa and grandma you
could pinch their skin up like this and then two
hours later you got to push it back down.
Speaker 1 (19:22):
Exactly. I was like, but you know, when you're younger,
everything's tighter obviously, Yeah, are they tightened up? What are
your I always cars too. What are your thoughts on
all the bbls that are happening? I think so.
Speaker 2 (19:36):
I actually we asked about this a lot, and in
full disclosure, I do not do a lot of babyls, okay,
And the reason for that is that I like to
do surgery that I think is going to be sustainable,
meaning that it's going to have like a good long
term effect. And number two should not require a lot
of like additional things down the road. Obviously, with the
(19:59):
exception implants which you go into it knowing you're gonna
need more. The problem with bbls is that you were
doing I'm talking like large volume bbls, not small ones.
Speaker 1 (20:09):
That's what I mean, you know, That's what I'm talking about.
That's what I mean.
Speaker 2 (20:12):
Yeah, exactly exactly. I think they look great in the beginning,
but once everything sells, once everything heals, because of the
amount of fat removal that's being done. You can I've
seen a lot of tracking from liposuction where the abdominal
wall is not not smooth. You can see the scoring
from liposuction, the current contour regularities. And then the biggest
(20:34):
issue in the in the butt is that what we've
seen over and over and over and over again. As
time passes, the fat SAgs and so initially it's really perky.
But just like fat SAgs anywhere else on your body,
especially your breasts, your stomach, the butt will sag. And
so I've actually done in the past, you know, two
(20:55):
three years is bblls have got more common. I've done
more revision BBL surgery. They have bibios where essentially at
that point you have to do it's called the lower
body lift. If you want to make things perky again,
you have to tighten the skin along the lower part
of the back and basically remove the trip of skin
and pull the butt up because otherwise it looks like
a wet diapers It just hangs down.
Speaker 1 (21:17):
So you go from the you have to cut from
the top to bring it up.
Speaker 2 (21:21):
Yeah, exactly, nice, got it, Okay, got it?
Speaker 1 (21:23):
Cause I was thinking, well, what underneath but no, actually
you're you're okay, no, I got it, Okay, I got it. Yeah,
I know. But that's why they after you're go on TikTok,
you're going anywhere, and just you see so many I'm
talking about the big ones, not the small. It's like,
I know, it's getting a little glorified. But and you
hear those horse stories they're putting cement in them in
Mexico or whatever, in Canada or whatever. I like, those
(21:44):
are crazy. But I was like, by side know, for
some folks, there are some nice ones out there. There
are some nice ones that aren't you know, nice size everything. Yeah,
but I just don't think they're getting they're getting so
much attention these days, like you have to get think.
I'm like, well, I mean I think I think any
lift of any time would be would just work.
Speaker 2 (22:01):
Just as fine, right, absolutely, Yeah, you.
Speaker 1 (22:04):
Know that's crazy. Is there anything you guys don't do?
Uh not?
Speaker 2 (22:10):
Really? I mean there are some things I won't do,
Like I won't put butt in plants in. I don't
think butt in plants atomically make a lot of sense
just because of where you're putting them in. They have
a lot of complications, they have a lot more contractually
get hard and tight, muscle damage, nerve damage, so I
don't do that. I also actually my nurse practitioner does
(22:30):
most of the boatox and fillers just because as the
surgery practice has gotten busier, Uh, it's hard for me
to keep up with the botox and the fillers and
that stuff. So most of my time in the office
is dedicated more towards seeing patients before service, seeing patients
after surgery, and then less for the botox and the fillers.
Speaker 1 (22:47):
What are your thoughts on calf GM plants.
Speaker 2 (22:49):
Yeah, that's another one I don't do.
Speaker 1 (22:51):
I got nice calves, thank god, I got. Tell me
about my friends. I got something like, oh, because I
know what people are working out, legs are hard to grow.
I look at that grow, I say with my grandmother.
But I got but I know it's hard you work
up here. Everything up here is like these little chicken legs.
So my friends that I got calf I implants, I'm like,
(23:12):
you got what right? I was like, yeah, that's interesting.
I mean, I know, my whole point kind of is
that there's so much you can do. I guess there's
I mean, there's this world or business. What you can do.
I was always wondered when I pass certain like which
ones do you do or not do it? Just kind
of interest. It's we're not judging anybody, just kind of
just curious.
Speaker 2 (23:31):
I'll get yes, well we all kind of like in
any field, no matter no matter what you're doing, you
tend to just end up in the niche of this
is what you do, is is what you like to do,
hopefully and uh and so every so often you'll get
a request for something move usual and if it's a
reasonable patient, we can do it. But but things in
(23:51):
general like calf implants, but implants, I just I'm not
sure that we should be doing them, even with we can,
because they have a lot of problems.
Speaker 1 (23:58):
Yeah, no, now long how long you been in practice?
Speaker 2 (24:01):
That was my eleventh year?
Speaker 1 (24:03):
Congratulations, I can quite fast. Last, So one of the
last things when I ask is I have to ask
is in every single field we're talking about this in
every single way in shape and form. I'm starting to
give into the robots. How is AI in your field?
I have to I have to ask I have I mean,
(24:24):
we missed what I didn't ask? Your field?
Speaker 2 (24:27):
Well, thus far, I don't I don't think it's really
done anything yet. I know you like some of the
electronic medical records systems, you can use AI to write
your notes, but that for me that hasn't That doesn't
really save you any time. But those don't take that
long to do. I saw there is a robot that
they have doing basic general surgery like gallbladers and stuff
(24:49):
like that, but I don't know, like I I've never
heard of that application in plastic surgery.
Speaker 1 (24:55):
Yeah, I haven't heard anything else. So I'm just like
I have to AI everywhere, and everybody's running scared or
running to it. So for me, it's helped me with
administrative duties and things like a little smaller things like well,
I still it's still gonna be me on camera talking
to you, not an AI version of me.
Speaker 2 (25:16):
Sorry, we wouldn't be the same, wouldn't be the same
with a with a robot version.
Speaker 1 (25:23):
Thank you, I mean you, I said, it can get
really good, but no, no, it's still be me that to hers.
Thank you for it coming on. And of course if anything,
if anything major comes up in your field, I might
have to call on you, Stu, what you think about it?
For your opinion?
Speaker 2 (25:37):
Yeah, you know where to find me.
Speaker 1 (25:40):
Anyway, how are the figs? Oh?
Speaker 2 (25:42):
So, so that was actually something I wanted to ask
you about. Figs are good. But last year I I sprouted,
I took I took a bunch of trimmings from the
tree and sprouted them. And if you want a tree,
I might be able to get you a tree at
some point. They just need to grow a little bit more.
Speaker 1 (25:58):
Yeah, yeah, we'll talk them out there, get it. Yeah,
you know, I got a huge garden, so I would
know exactly exactly. My grandmother used to have a fig tree.
She was ten blocks down the street, so I know
they grow in my neighborhood.
Speaker 2 (26:09):
Really well, yeah, well, I know you're well, I have
I have two of them right now. I have to
give one of my parents and one's my other friend,
and I have another one that I'm not under sure
if it's if it's gonna make it. If that one
makes it, i'll give it to you. If not, I'll
sprout you a new one, and then later this year,
next year, i'll get you a new one.
Speaker 1 (26:27):
Yeah, propagation is hard sometimes, I know it's really hard.
It makes some catch some down, but they're here. But yes,
I do want one. If you have one. Yeah, I've
had it figs before, folks are good. Yah. I love
figs and I'm like my low quots came in this year,
so we're good. We're we're doing good. We're doing yeah.
Speaker 2 (26:43):
You ever you have a grow love plots? I like
I kind of half a growing.
Speaker 1 (26:47):
I've never told that one's I've never done it yet.
I've made jelly and jam, yeah I have. I have
saw tave them in stuff and with fish. Yeah, but
I haven't built them yet.
Speaker 2 (27:01):
No.
Speaker 1 (27:01):
I eat them off the vine to just grab me.
Speaker 2 (27:02):
You know, trek brilliant. It brings out some of the
natural sugar.
Speaker 1 (27:06):
Yeah. No, I'm definitely Yeah. And I learned fin. I
learned that they are basically a Japanese pair. That's the thing.
I mean, they're not citrus really, They're kind of not really,
They're more of that family. Oh, I bring something to
your idea. So, folks, doctor Allie Hurst, go to hurstspis
and Surgery dot com. Got Hurtspie Surgery on Instagram, Facebook,
(27:27):
just you can follow them there and see what they're
doing over there. Tell them James sent you. If you
have any questions you're afraid to ask them yourself, come
to me I'll connect you guys personally or whatever. You
guys can talk. I know sometimes people are scared to
say stuff. We're afraid to ask questions, and we want
you not to be. It's nothing to be afraid about.
We want you to be able to have what you need,
(27:49):
answer you. And I would love to send him more
business and send him and make it more busy. My pleasure.
I'm James lot Genius is tighten up, run all the
audio shootings servers and we're on YouTube at JLJ Media
and we'll talk to you next time.
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