Latest / Miss Understood with Rachel Uchitel / Dr. Ryan Neinstein, Plastic Surgeon & Mommy Makeover Extraordinaire!

Transcript

Dr. Ryan Neinstein, Plastic Surgeon & Mommy Makeover Extraordinaire! · Miss Understood with Rachel Uchitel

• 0:00
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  Speaker 1: That's B-A-B-B-E-L dot com slash P-O-D. Start your journey to
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  Speaker 1: real conversations in a new language today. So I'm here
• 1:27
  Speaker 1: with Dr. Ryan Neinstein. It is so good to be
• 1:30
  Speaker 1: in your office. You have such a beautiful office. Thank
• 1:32
  Speaker 1: you for having me.
• 1:33
  Speaker 2: Rachel, thank you so much for coming. This has been
• 1:36
  Speaker 2: on the schedule for a while. I've been really looking
• 1:38
  Speaker 2: forward to it. Yes.
• 1:39
  Speaker 1: Well, thank you for making time because I know you
• 1:41
  Speaker 1: have so many surgeries and you just came out of one.
• 1:43
  Speaker 1: So the first thing I wanted to ask you is
• 1:45
  Speaker 1: what made you decide to go into plastic surgery instead of, say,
• 1:48
  Speaker 1: being a cardiologist?
• 1:51
  Speaker 2: I always loved the pursuit of medicine when I was young.
• 1:55
  Speaker 2: and I was really into sports and really into science,
• 1:57
  Speaker 2: medicine seemed like a natural place to go. Something I
• 2:00
  Speaker 2: want to spend the rest of my life with. As
• 2:02
  Speaker 2: a grandchild of Holocaust survivors, I was always taught to
• 2:05
  Speaker 2: have a life of purpose. So I pursued medicine. Quickly
• 2:09
  Speaker 2: in medicine, I realized that normal medical stuff just wasn't
• 2:14
  Speaker 2: for me. I could not listen to a murmur if
• 2:17
  Speaker 2: I tried. I never really understood giving someone a pill
• 2:21
  Speaker 2: and then waiting to see what came up on lab report.
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  Speaker 2: So surgery spoke to me immediately. I think I would
• 2:27
  Speaker 2: have been really happy with any type of surgery. I'd
• 2:30
  Speaker 2: love the process of operating and change, but plastic surgery specifically,
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  Speaker 2: it's the only operation where people come to you when
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  Speaker 2: nothing bad has happened to them and they want to
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  Speaker 2: do better. So people who are committed to self-improvement, committed
• 2:43
  Speaker 2: to improving the quality of life, come see plastic surgeons.
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  Speaker 2: Every other operation, something bad's happened, a disease, a trauma,
• 2:50
  Speaker 2: an infection, a tumor, You know, people are coming to us.
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  Speaker 2: So I just find it super moving that people are
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  Speaker 2: willing to do this to improve their life.
• 3:02
  Speaker 1: Right.
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  Speaker 2: Which ups the empty for me.
• 3:04
  Speaker 1: Yeah, absolutely. What a great answer. So you do not
• 3:08
  Speaker 1: do anything on the face. You do from the neck
• 3:10
  Speaker 1: and below, correct?
• 3:11
  Speaker 2: Correct.
• 3:11
  Speaker 1: Tell me what you specialize in.
• 3:13
  Speaker 2: So, you know, I try to keep the main thing,
• 3:17
  Speaker 2: the main thing. is the main thing. So if I
• 3:21
  Speaker 2: was going to a surgeon for something, I want them
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  Speaker 2: doing whatever I want to be done every single day.
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  Speaker 2: I want them thinking about the procedure all day, every day.
• 3:33
  Speaker 2: So that's how I've molded my career. So I stick
• 3:37
  Speaker 2: to breast and body. They work in harmony. When you're
• 3:40
  Speaker 2: doing breast surgery and body surgery, you want to be
• 3:42
  Speaker 2: doing them, you know, frequently doing them together at the
• 3:44
  Speaker 2: same time because you're trying to balance the proportions. You're
• 3:46
  Speaker 2: trying to optimize the body, optimize the torso, optimize the aesthetics.
• 3:51
  Speaker 2: And then in simple terms, it's like the psychology, I
• 3:54
  Speaker 2: think we were talking about it before, is a little
• 3:57
  Speaker 2: simplified in the sense that like flat tummy, perky boobs,
• 4:00
  Speaker 2: everyone's happy. But like, you know, it's really when you're
• 4:04
  Speaker 2: changing someone's face, no matter how great the operation is,
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  Speaker 2: there's a little bit of the unknown when it comes
• 4:08
  Speaker 2: to the psychology of the change. Right, right.
• 4:11
  Speaker 1: So how often are people coming to you for first-time
• 4:14
  Speaker 1: surgeries and how often is it to redo something that
• 4:18
  Speaker 1: was done wrong?
• 4:19
  Speaker 2: So it's 60-40 in my practice, 60% primary operations, meaning
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  Speaker 2: they haven't had surgery before. What's interesting is that many
• 4:28
  Speaker 2: of my patients have never had plastic surgery, which for
• 4:31
  Speaker 2: some reason people think, which is odd, but a lot
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  Speaker 2: of my patients are moms. They've had a few children
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  Speaker 2: and they take excellent care of themselves. They eat well,
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  Speaker 2: they exercise and They've never thought about having surgery for vanity.
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  Speaker 2: But after a few years, after the kids, they're staring
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  Speaker 2: at themselves in the mirror and they're like, 10 years ago,
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  Speaker 2: I was wearing a bikini and now I look like
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  Speaker 2: this is ridiculous and I can't change it with diet
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  Speaker 2: or exercise. I got to do something.
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  Speaker 1: Right.
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  Speaker 2: And that's, you know, kind of the sweet spot for us.
• 5:00
  Speaker 2: You know, the mommy makeover is kind of my go-to operation,
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  Speaker 2: which to me just delivers the most quality of life
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  Speaker 2: change for anyone. But the revision, sorry to interrupt you,
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  Speaker 2: but the revision is about 40%. It's challenging. You know,
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  Speaker 2: like my favorite President Kennedy says, we do the hard
• 5:17
  Speaker 2: things because they are hard and that's how you get great.
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  Speaker 2: But that is, you know, a challenging operation because you're
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  Speaker 2: taking someone who's, you know, damaged or some version of
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  Speaker 2: damage and you're trying to not just make them whole,
• 5:29
  Speaker 2: but make them better.
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  Speaker 1: So I know we're talking about how you specialize in
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  Speaker 1: the neck down, but just talk to me for one
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  Speaker 1: second about aging. Like what is it when people look
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  Speaker 1: at themselves or other people that is so obvious about
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  Speaker 1: the aging process? Is it the tone of the skin?
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  Speaker 1: Is it the sagginess in the skin? What is it
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  Speaker 1: that we all see that looks unattractive to ourselves?
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  Speaker 2: Well, it's interesting because I hear the same thing all
• 5:54
  Speaker 2: the time from patients. And it's more of a feeling
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  Speaker 2: than a look. And I can talk about exactly what
• 6:01
  Speaker 2: they're looking at. But I hear this from my patients.
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  Speaker 2: I feel too good to look this old or I
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  Speaker 2: feel too good to look this bad in their terms.
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  Speaker 1: Right.
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  Speaker 2: So I have two peaks of ages of patients who
• 6:14
  Speaker 2: come to see me. They're kind of mid-30s, early 40s.
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  Speaker 2: These are people who just had their children and they're like,
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  Speaker 2: I'm not living like this.
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  Speaker 1: Period.
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  Speaker 2: Full stop. Like fix my tummy, fix my breasts. Like
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  Speaker 2: let's go. And then there's the second peak, which a
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  Speaker 2: lot of people are surprised when half of my patients
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  Speaker 2: are 50 plus. basically these are people who didn't have
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  Speaker 2: surgery after their kids and they're around menopause and menopause
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  Speaker 2: just exasperated or elevated exponentially what was happening before. And
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  Speaker 2: they've just been, and they're like, they still feel amazing.
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  Speaker 2: You know, they're 55, they're 60, they're 65. They travel,
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  Speaker 2: they feel, you know, they're going to the theater, they're
• 6:50
  Speaker 2: going out, they're having an active lifestyle, but things have
• 6:53
  Speaker 2: just become, you know, beyond what they're going to, what they're,
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  Speaker 2: what's acceptable to them for their lifestyle. Right. Most commonly,
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  Speaker 2: it's stretched loose skin. We see a lot of thin
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  Speaker 2: fit women in their mid-30s and in their mid-50s. The
• 7:06
  Speaker 2: thinner you are, the fitter you are. Pregnancy and age
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  Speaker 2: are going to stretch the skin. People don't like having
• 7:13
  Speaker 2: the frame of a twin bed and the bedding of
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  Speaker 2: a king. They want it matched, okay?
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  Speaker 1: It's a really good way to look at it.
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  Speaker 2: Because otherwise, it just doesn't look right. It doesn't feel right,
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  Speaker 2: especially if you put so much time and energy into
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  Speaker 2: taking care of yourself.
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  Speaker 1: Right, right. So do you think people have gotten over
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  Speaker 1: the taboo a little bit of saying they got plastic surgery?
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  Speaker 1: Because I know a lot of people don't like to
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  Speaker 1: admit it or they deny having it when it's clear
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  Speaker 1: that they have had it.
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  Speaker 2: Yeah, I don't see that at all. It's just part
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  Speaker 2: of people's lives now. I think sophisticated people recognize that
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  Speaker 2: plastic surgery solves this very specific problem for them. And
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  Speaker 2: that's a sophisticated patient. And that's the kind of person
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  Speaker 2: we want in my practice.
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  Speaker 3: The car is beautiful. Where did you end up going
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  Speaker 3: for it?
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  Speaker 4: This exclusive place that Dad has connections with. They have
• 7:59
  Speaker 4: more cars for more dealerships than like anywhere else.
• 8:02
  Speaker 3: You have to put me in touch. What's it called?
• 8:04
  Speaker 5: It's Dune ADL.
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  Speaker 3: Where?
• 8:08
  Speaker 5: Dune ADL. There's an accent on the E.
• 8:12
  Speaker 3: Do you mean.
• 8:12
  Speaker 5: Yes, I got it on Dundale Cars.
• 8:14
  Speaker 4: Lift?
• 8:15
  Speaker 3: Please. You going past Kimmage?
• 8:17
  Speaker 2: Oh, Kimmage.
• 8:18
  Speaker 4: No.
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  Speaker 5: Dundale Cars. You couldn't possibly go anywhere else.
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  Speaker 2: These are people that, hey, I eat well. I exercise.
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  Speaker 2: These women exercise a lot. These are not like walk
• 8:29
  Speaker 2: on the treadmill once a week. These are hardcore Pilates
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  Speaker 2: weightlifting every day. And they want to make a sophisticated move. Okay,
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  Speaker 2: I have twice the amount of skin on my stomach
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  Speaker 2: as I need. I'm going to go to someone to
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  Speaker 2: solve this problem. There's no taboo about that. They're using
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  Speaker 2: plastic surgery as a tool as they would anything else
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  Speaker 2: in their life. toolbox in life, whether that's their hair person,
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  Speaker 2: a lawyer, an accountant, like anyone who's, I'm solving a problem. Literally,
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  Speaker 2: you know, there's a journey that everyone goes on. They
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  Speaker 2: have a frustration in their body. They try every other
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  Speaker 2: possible means because why wouldn't you? Then they come see me.
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  Speaker 2: I give them a solution to their frustration. We do
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  Speaker 2: the operation and then they get the psychological benefit of
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  Speaker 2: having their problem solved. Right, right.
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  Speaker 1: So there's only so much that like a spray tan, eyelashes,
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  Speaker 1: hair extensions, all that good clothes, good makeup can kind
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  Speaker 1: of cover.
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  Speaker 2: Well, I do like the term or the phrase, if
• 9:27
  Speaker 2: you can't tone it, tan it.
• 9:29
  Speaker 4: Yes.
• 9:29
  Speaker 1: Well, that's true. I love a good spray tan. Who doesn't?
• 9:32
  Speaker 2: Me too.
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  Speaker 1: But you do, in your office, you do Botox, you
• 9:37
  Speaker 1: do filler, all that kind of stuff. What is the
• 9:39
  Speaker 1: difference about people coming and getting that filler before they
• 9:43
  Speaker 1: do plastic surgery? Because I know a lot of plastic
• 9:45
  Speaker 1: surgeons or So dermatologists now use filler to change people's noses,
• 9:51
  Speaker 1: to change the jawline, to even sculpt the butts. So
• 9:54
  Speaker 1: what's the difference?
• 9:56
  Speaker 2: So while we're pretty aggressive in our office in the
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  Speaker 2: operating room, our injectable is almost like a maintenance package. Again,
• 10:04
  Speaker 2: a lot of our patients are very sophisticated consumers. They
• 10:06
  Speaker 2: know what they want. They want what they know. A
• 10:08
  Speaker 2: lot of them are looking for maintenance, Botox maintenance, fillers.
• 10:11
  Speaker 2: They love our office. They love our staff because they
• 10:13
  Speaker 2: had surgery here. So we offer that service with a
• 10:16
  Speaker 2: loyalty program. And they keep coming back. But we do
• 10:18
  Speaker 2: not see altered appearances. We do not do that. It's
• 10:21
  Speaker 2: very light dosing of the toxin for a natural look.
• 10:25
  Speaker 2: Some people like to be frozen. I personally like to
• 10:27
  Speaker 2: be frozen. I mean, I just like the feeling of it.
• 10:31
  Speaker 2: But in terms of the fillers, we are very conservative here.
• 10:36
  Speaker 2: And I think that taste has some regional differences. New York.
• 10:42
  Speaker 2: people are, you know, they're built for speed here. There's
• 10:44
  Speaker 2: not a lot of room on the street there. You know, it's,
• 10:46
  Speaker 2: it's smaller and it's tighter. You know, we don't see
• 10:49
  Speaker 2: the big lips, the big cheeks demands in our office.
• 10:52
  Speaker 1: Right.
• 10:52
  Speaker 2: We see more subtle, subtle, but you know, it was
• 10:56
  Speaker 2: just in Miami on the weekend. Nothing subtle about those looks. Right.
• 11:00
  Speaker 1: There's nothing subtle about Vegas, LA. But there's nothing wrong
• 11:02
  Speaker 1: with that.
• 11:03
  Speaker 2: Just, you have to know, you'd have to know your audience,
• 11:04
  Speaker 2: know your role, just like the restaurants and the clothing
• 11:06
  Speaker 2: are different in New York. They're in Miami and Vegas.
• 11:08
  Speaker 2: And like, it's all, it's all good. As long as you,
• 11:11
  Speaker 2: You want to make sure when you're going to a
• 11:13
  Speaker 2: plastic surgeon that your aesthetic interests match their aesthetic tendencies.
• 11:16
  Speaker 2: Because every surgeon is going to, no matter what they
• 11:18
  Speaker 2: tell you, like their brain is wired in a certain way.
• 11:21
  Speaker 2: And when you're in the operating room, people fall back
• 11:23
  Speaker 2: on their experience. They don't rise to the occasion. So
• 11:25
  Speaker 2: like whatever they're used to doing is what you're going
• 11:27
  Speaker 2: to get. Right, right.
• 11:28
  Speaker 1: So I have a question about, you know, beauty and wellness, magazines, stores,
• 11:34
  Speaker 1: you know, influencers talk about products and how well products work.
• 11:39
  Speaker 1: Is there an actual product that you think does work
• 11:42
  Speaker 1: or do you think that people need actual help with
• 11:45
  Speaker 1: surgery and Botox?
• 11:46
  Speaker 2: I know one thing in this life. Surgery works every time. Okay.
• 11:53
  Speaker 1: Right.
• 11:53
  Speaker 2: And immediately. If you have extra skin and you cut
• 11:56
  Speaker 2: it out, it's no longer there.
• 11:57
  Speaker 1: Right.
• 11:57
  Speaker 2: Okay. If you have stubborn fat and we suck it out,
• 12:00
  Speaker 2: it's no longer there. Everything else is a delay or
• 12:04
  Speaker 2: a toy or may work. But I'm not saying there's
• 12:07
  Speaker 2: anything bad with doing the non-surgical. I just, my brain
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  Speaker 2: is wired to solve problems.
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  Speaker 1: Right. Right. So, but do you think that, do you
• 12:16
  Speaker 1: believe in things like creams that are going to tighten
• 12:19
  Speaker 1: your skin?
• 12:20
  Speaker 5: No.
• 12:20
  Speaker 4: No.
• 12:21
  Speaker 1: Okay. Well, that's good to know. And what about creams?
• 12:24
  Speaker 2: But I like believe in the tooth fairy. Right.
• 12:26
  Speaker 1: Oh my gosh.
• 12:27
  Speaker 2: My son believes it's there.
• 12:28
  Speaker 1: Yeah. Do you believe that creams will help with making
• 12:32
  Speaker 1: your skin look younger?
• 12:35
  Speaker 2: For sure. And, you know, I'm not the person to
• 12:37
  Speaker 2: ask for skincare because I'm the guy who just uses
• 12:39
  Speaker 2: whatever my wife has on the counter, probably using the
• 12:43
  Speaker 2: wrong thing in the wrong, you know, sequence. But I
• 12:47
  Speaker 2: have to believe that the science is there in skincare
• 12:50
  Speaker 2: for the face.
• 12:51
  Speaker 1: Right.
• 12:51
  Speaker 2: But in my mind, you know, I do like a
• 12:55
  Speaker 2: deep laser once a year with my friend, Paul Frank,
• 12:59
  Speaker 2: who's a dermatologist, because like I'd rather just do a
• 13:01
  Speaker 2: deep laser once a year than do skincare every day. Right.
• 13:04
  Speaker 2: So that's for me. It's probably the same as if
• 13:08
  Speaker 2: you have a really good skincare regimen versus just lasering
• 13:12
  Speaker 2: your face once a year.
• 13:13
  Speaker 1: So what are the trends you're seeing right now in
• 13:16
  Speaker 1: people coming into your office? You were telling me earlier
• 13:19
  Speaker 1: it's not so much big and bold. It's very subtle.
• 13:23
  Speaker 1: It's subtle, but it's complete.
• 13:25
  Speaker 2: The Mommy Maker Over procedure, which is the most common
• 13:29
  Speaker 2: procedure I do, has never been more in demand nationwide.
• 13:31
  Speaker 4: Okay.
• 13:32
  Speaker 2: Women are not accepting the physical changes to their bodies
• 13:36
  Speaker 2: from babies. It's like period, full stop. They are not
• 13:39
  Speaker 2: interested in living with deflated, droopy breasts, stretched, torn muscles,
• 13:44
  Speaker 2: and skin, you know, that's hanging off when they sit down.
• 13:46
  Speaker 3: Right.
• 13:47
  Speaker 2: If you are used to living this active lifestyle, traveling,
• 13:51
  Speaker 2: enjoying your body, enjoying clothes, you're not going to want
• 13:54
  Speaker 2: to do that when you're 32 years old for the next, however,
• 13:57
  Speaker 2: you know, many decades. Right. So... People are doing bigger operations.
• 14:02
  Speaker 2: It's conservative in the sense that they don't necessarily want
• 14:05
  Speaker 2: big implants, but they want things fixed. They want things
• 14:10
  Speaker 2: put back. If they remember, they always show me, look
• 14:14
  Speaker 2: what I looked like in college. Look what I looked
• 14:16
  Speaker 2: like before babies. And this is how I feel. Help
• 14:18
  Speaker 2: me look like that again because I can't do it
• 14:21
  Speaker 2: with diet and exercise. So the combined liposuction, tummy tuck,
• 14:26
  Speaker 2: muscle repair, breast surgery, that's the most common thing we do.
• 14:30
  Speaker 2: And that's what we're known for. The number two thing
• 14:34
  Speaker 2: we see is the explant. People want their big implants out.
• 14:39
  Speaker 3: Right.
• 14:40
  Speaker 1: And is that driven by celebrities making more of a,
• 14:45
  Speaker 1: you know, a statement on their Instagram, social media that
• 14:48
  Speaker 1: they're taking things out? And do you think that's affected
• 14:50
  Speaker 1: the trend?
• 14:50
  Speaker 2: No, I think it's the previous generation of plastic surgeons.
• 14:52
  Speaker 2: I think, you know, most of the patients that come
• 14:54
  Speaker 2: to see me or my breast specialist, Dr. Anna, who
• 14:57
  Speaker 2: works with me, You know, in the 90s, they saw
• 15:00
  Speaker 2: a surgeon somewhere and they got huge implants and they
• 15:02
  Speaker 2: had a great run with them. And now it's like
• 15:05
  Speaker 2: 30 years later, they're in their mid to late, you know, 50s,
• 15:09
  Speaker 2: early 60s. And like their life is just different. They're like,
• 15:12
  Speaker 2: I'm not the big boob girl anymore. I'm like the grandmother.
• 15:15
  Speaker 2: And like, you know, they're walking around.
• 15:18
  Speaker 3: The car is beautiful. Where did you end up going
• 15:21
  Speaker 3: for it?
• 15:21
  Speaker 4: This exclusive place that Dad has connections with. They have
• 15:24
  Speaker 4: more cars for more dealerships than, like, anywhere else.
• 15:27
  Speaker 3: You have to put me in touch. What's it called?
• 15:29
  Speaker 5: It's Dune-A-D-L.
• 15:31
  Speaker 3: Where? Dune-A-D-L.
• 15:34
  Speaker 5: There's an accent on the E.
• 15:37
  Speaker 3: Do you mean.
• 15:37
  Speaker 5: Yes, I got it on Dundale Cars.
• 15:39
  Speaker 2: Lift?
• 15:40
  Speaker 3: Please. Are you going past Kimmage?
• 15:42
  Speaker 1: Oh, Kimmage!
• 15:43
  Speaker 5: No. Dundale Cars. You couldn't possibly go anywhere else.
• 15:48
  Speaker 2: With these, you know, melons, and they're stretched, and it's
• 15:51
  Speaker 2: like a whole... thing and they're just like, let's downsize.
• 15:54
  Speaker 1: Yeah.
• 15:55
  Speaker 2: You know, they don't typically want to totally get rid
• 15:56
  Speaker 2: of them, but they want to downsize to something more
• 15:58
  Speaker 2: appropriate for the clothing they like, want to do a lift,
• 16:01
  Speaker 2: try to rejuvenate with a little bit of fat. That's
• 16:03
  Speaker 2: definitely the second most common trend. And five years ago,
• 16:09
  Speaker 2: seven years ago, never saw it. Wasn't a thing.
• 16:11
  Speaker 1: Right.
• 16:12
  Speaker 2: Now get these implants out, doc. Let's go. Let's get
• 16:14
  Speaker 2: me looking the way I feel.
• 16:17
  Speaker 1: Right.
• 16:17
  Speaker 2: And then the third is reversing BBLs.
• 16:20
  Speaker 1: A Brazilian butt lift.
• 16:21
  Speaker 2: Yeah. Yes.
• 16:22
  Speaker 1: Talk about that.
• 16:23
  Speaker 2: Too big, too wide, too inappropriate.
• 16:27
  Speaker 1: Okay.
• 16:27
  Speaker 2: And again, there are people who like that look and
• 16:29
  Speaker 2: there's nothing wrong with that, obviously. But there are a
• 16:32
  Speaker 2: lot of people who tried that look and they have
• 16:36
  Speaker 2: trouble walking down the street. You know, they can't find clothing.
• 16:39
  Speaker 2: They got, you know, tiny narrow waist and a big
• 16:43
  Speaker 2: wide butt. I mean, it's like looks, it's.
• 16:46
  Speaker 1: A different look. So we're reversing that. Talk to me
• 16:49
  Speaker 1: about how that is done. I mean, do they actually
• 16:52
  Speaker 1: take your ribs out or anything? How do you get
• 16:56
  Speaker 1: someone's waist that small?
• 16:57
  Speaker 2: Well, it's a combination. The waist gets small and the
• 16:59
  Speaker 2: butt gets big. So the differential gets pretty dramatic. So
• 17:04
  Speaker 2: these smaller people, they're having basically like all their fat
• 17:07
  Speaker 2: taken out of their abdomen and their waist and it's
• 17:09
  Speaker 2: all being put in their butt. And it's a look.
• 17:14
  Speaker 2: It's not for me. And there's a lot of people
• 17:16
  Speaker 2: who tried it and didn't like it. Right. That's why
• 17:19
  Speaker 2: I like timeless plastic surgery because it's not like getting
• 17:22
  Speaker 2: a haircut. It's not like trying new clothes. Like, if
• 17:24
  Speaker 2: you don't like it, it's a big deal. Yeah. And
• 17:27
  Speaker 2: especially the reverse BBLs. The skin has been stretched from
• 17:30
  Speaker 2: all that fat. So, like, it's a real problem shrinking
• 17:33
  Speaker 2: it down. It takes multiple sessions. They're always left with, like,
• 17:36
  Speaker 2: you know, a cellulite cobblestone bum, which nobody wants.
• 17:41
  Speaker 1: So, I've seen a lot of stuff on doctors' Instagrams
• 17:44
  Speaker 1: where they're doing filler in the butt. Do you think
• 17:47
  Speaker 1: that that works just as well to kind of lift
• 17:50
  Speaker 1: your butt?
• 17:50
  Speaker 2: A little. It's really, you know, the collagen stimulating, which
• 17:55
  Speaker 2: we do a lot for the very thin patients where
• 17:59
  Speaker 2: there's literally no fat. Right. Fat's always king. That's the
• 18:04
  Speaker 2: number one. But there's going to be patients who literally
• 18:06
  Speaker 2: have no fat and then we'll use that if they
• 18:08
  Speaker 2: want a little boost.
• 18:09
  Speaker 1: And how would you do a butt surgery if they're
• 18:12
  Speaker 1: not getting the injections? per se like is there what.
• 18:16
  Speaker 2: Do i do a lot of what we call a
• 18:18
  Speaker 2: thin or skinny bbl or baby bbl got it a
• 18:21
  Speaker 2: lot of the moms i'm doing mommy makeovers on want
• 18:25
  Speaker 2: fat transfer to their butt but they want like a
• 18:27
  Speaker 2: perky athletic butt that looks good in you know leggings.
• 18:30
  Speaker 1: Not right that's what i want yeah i mean who
• 18:32
  Speaker 1: doesn't yeah so the procedure for that is their own fat.
• 18:37
  Speaker 2: We're using their own fat and in terms of the
• 18:39
  Speaker 2: volume i'm using you know like a watt like can
• 18:42
  Speaker 2: of Coke worth of fat versus, like, four big gulps
• 18:45
  Speaker 2: worth of fat.
• 18:45
  Speaker 1: Right.
• 18:46
  Speaker 2: And, you know, when you purify it and use it
• 18:48
  Speaker 2: in a controlled, you know, finesse way, you get a
• 18:51
  Speaker 2: nice perky bum.
• 18:53
  Speaker 1: And does it last?
• 18:54
  Speaker 2: Yeah. Wow. Yeah. Like, 60%, 70% of what we inject stays, but, like,
• 18:59
  Speaker 2: then that's your fat. Like, that's not going anywhere.
• 19:01
  Speaker 1: See, that to me is amazing.
• 19:02
  Speaker 2: And a lot of thin BBLs, athletic BBLs, we do
• 19:05
  Speaker 2: a lot, a lot of people who exercise a lot,
• 19:08
  Speaker 2: and they can get very thin, but they– can't do
• 19:12
  Speaker 2: anything to their bum so we are really you know
• 19:14
  Speaker 2: i i always joke like i can get fat at
• 19:17
  Speaker 2: anybody um so a lot of surgeons refer me like
• 19:22
  Speaker 2: thinner active women and like you know i always.
• 19:25
  Speaker 1: Find the fat right nice okay well that's what i
• 19:28
  Speaker 1: want in my next life um well we can work.
• 19:32
  Speaker 2: On it yeah i'll check my schedule yeah.
• 19:34
  Speaker 1: You can check check out my butt tell me what
• 19:36
  Speaker 1: i need um So what about people that, okay, so
• 19:39
  Speaker 1: a big thing right now is in social media, for example,
• 19:42
  Speaker 1: all the filters and how it changes either their bodies,
• 19:45
  Speaker 1: their face, whatever it is. Do people come into your
• 19:47
  Speaker 1: office and say, I want to look like this?
• 19:50
  Speaker 2: Like the, no, people always come in with their inspiration
• 19:53
  Speaker 2: pictures and everyone uses similar pictures. And it's always like
• 19:57
  Speaker 2: some 19 year old Brazilian model. And like, you know,
• 20:00
  Speaker 2: talking to like, um, 57 year old mom of four
• 20:05
  Speaker 2: from New Jersey. And you don't listen. I always say,
• 20:07
  Speaker 2: I agree. Like, I want to look like that too.
• 20:10
  Speaker 2: Everyone wants to look like this. It lets me orient.
• 20:12
  Speaker 2: I really don't think they have a distorted version of
• 20:14
  Speaker 2: reality when they show me wish picks. Cause like it's
• 20:17
  Speaker 2: a wish pick. They like people are more realistic and
• 20:21
  Speaker 2: sophisticated than I think maybe surgeons give them credit. They
• 20:25
  Speaker 2: know they're not going to go and look like a
• 20:26
  Speaker 2: 19 year old, but they're like, they just want you
• 20:28
  Speaker 2: to know what they want. Right. And then I say,
• 20:30
  Speaker 2: I'm going to do the best I can with your
• 20:32
  Speaker 2: body and I'm going to take you as far as
• 20:34
  Speaker 2: I can. And then we're going to get you on
• 20:35
  Speaker 2: the workout program and.
• 20:36
  Speaker 1: Then you're going to take Right. So you help them
• 20:39
  Speaker 1: with their realistic expectations of how that you can apply
• 20:42
  Speaker 1: that picture to them to make them look the best
• 20:45
  Speaker 1: that they can.
• 20:45
  Speaker 2: Yeah, exactly.
• 20:46
  Speaker 1: Have you ever said no to a patient about something?
• 20:50
  Speaker 2: Yeah, I say no all the time and it's not
• 20:52
  Speaker 2: a negative or derogatory thing. Typically, it's not the right
• 20:56
  Speaker 2: time in someone's life. Like a lot of people in
• 20:59
  Speaker 2: the midst of a divorce turmoil, not a good time
• 21:02
  Speaker 2: to have plastic surgery. Like you don't want to have
• 21:04
  Speaker 2: background like intense emotional stuff going on. Hmm. you want
• 21:07
  Speaker 2: to settle because surgery, any form of surgery can kind
• 21:11
  Speaker 2: of spark, unleash whatever is happening. So you don't need
• 21:15
  Speaker 2: to like escalate that.
• 21:16
  Speaker 1: So you want stability.
• 21:18
  Speaker 2: And the other thing is when someone wants to operate,
• 21:20
  Speaker 2: and I understand this all the time, and this is
• 21:22
  Speaker 2: something that we see all the time. People are like,
• 21:24
  Speaker 2: I just want a little lipo, but their skin's hanging
• 21:27
  Speaker 2: down to their knee. And they're like, you need a
• 21:29
  Speaker 2: tummy tuck. And they're like, but I don't want a
• 21:30
  Speaker 2: tummy tuck. I'm like, I understand you don't want it,
• 21:32
  Speaker 2: but you need it.
• 21:33
  Speaker 1: Right.
• 21:34
  Speaker 2: Um, So a lot of times we're saying no because
• 21:36
  Speaker 2: the goals don't match the operation they're willing to have.
• 21:41
  Speaker 2: And it's always better to not do an operation than
• 21:43
  Speaker 2: do the wrong operation.
• 21:45
  Speaker 1: When people are looking for a plastic surgeon, what are
• 21:47
  Speaker 1: the questions they should be asking or what kind of
• 21:50
  Speaker 1: doctor should they be looking for?
• 21:51
  Speaker 2: Well, I think like this is a marriage. Like we
• 21:54
  Speaker 2: do big surgery. Like we are with you for like
• 21:57
  Speaker 2: basically life.
• 21:58
  Speaker 1: Okay.
• 21:58
  Speaker 2: There is a connection here. When you're meeting a surgeon,
• 22:02
  Speaker 2: it's almost like you're marrying into their whole family as well.
• 22:05
  Speaker 2: You need to get to know the staff. You need
• 22:06
  Speaker 2: to get to know the facility. Like you have to
• 22:08
  Speaker 2: walk in and be like, this is a place where
• 22:10
  Speaker 2: I want to be operated on. If it's in the
• 22:11
  Speaker 2: basement somewhere, like probably don't want to have surgery there.
• 22:14
  Speaker 2: If they have a tiny little operating room, you probably
• 22:16
  Speaker 2: don't want to have surgery there. They don't have a
• 22:18
  Speaker 2: big dedicated team that's like cohesive and everyone's smiling. Like,
• 22:24
  Speaker 2: within 30 seconds of walking into an office, I know
• 22:26
  Speaker 2: whether or not I want to be there. It's got
• 22:28
  Speaker 2: to be clean. It's got to smell good. They've got
• 22:30
  Speaker 2: to have the right music. The people at the front
• 22:31
  Speaker 2: desk need to be smiling. Everyone's got to want to
• 22:33
  Speaker 2: be there. That's number one. Number two, the surgeon's got
• 22:36
  Speaker 2: to do what you want every day. Not once a week.
• 22:41
  Speaker 2: Not once a month. Not, you know, it's like, you want.
• 22:44
  Speaker 3: The car is beautiful. Where did you end up going
• 22:47
  Speaker 3: for it?
• 22:48
  Speaker 5: This exclusive place that Dad has connections with?
• 22:50
  Speaker 4: They have more cars for more dealerships than, like, anywhere else.
• 22:53
  Speaker 3: You have to put me in touch. What's it called?
• 22:55
  Speaker 5: It's Dune-A-D-L.
• 22:57
  Speaker 3: Where?
• 22:59
  Speaker 5: Dune-A-D-L. There's an accent on the E.
• 23:03
  Speaker 3: Do you mean.
• 23:04
  Speaker 5: Yes, I got it on Done Deal Cars.
• 23:05
  Speaker 4: Lyft?
• 23:06
  Speaker 5: Please.
• 23:06
  Speaker 3: Are you going past Kimmage?
• 23:08
  Speaker 4: Oh, Kimmage.
• 23:09
  Speaker 2: No.
• 23:11
  Speaker 5: Done Deal Cars. You couldn't possibly go anywhere else.
• 23:13
  Speaker 2: Breast surgery? Go to someone who does breast surgery every
• 23:16
  Speaker 2: single day. You want a tummy tuck? Just go to
• 23:18
  Speaker 2: someone who does a tummy tuck every day. Right. Because
• 23:21
  Speaker 2: there is nothing that substitutes purposeful passion towards a singular outcome. Nothing.
• 23:28
  Speaker 2: You cannot. It is impossible to do excellent surgery. And
• 23:34
  Speaker 2: the ocean between good and great is vast. So if
• 23:37
  Speaker 2: you want a 7 out of 10, you can go
• 23:39
  Speaker 2: to somebody who does it once in a while. But
• 23:41
  Speaker 2: I played a win, and I'm going for the 10
• 23:43
  Speaker 2: out of 10. Every time. Okay. It just, that's the
• 23:46
  Speaker 2: way I'm wired. Like, why wouldn't you want to have
• 23:48
  Speaker 2: the best outcome possible on the planet every single time? Yeah.
• 23:53
  Speaker 2: I think the personality is going to match with the doctor.
• 23:56
  Speaker 5: Yeah.
• 23:56
  Speaker 1: You have to have chemistry, but I think about.
• 23:59
  Speaker 2: The same thing. Like you're going to be talking to
• 24:00
  Speaker 2: this person basically for years about your body. You're going
• 24:04
  Speaker 2: to be with them naked a lot. Okay. Like you
• 24:07
  Speaker 2: better be comfortable. Like you should have similar interests, morals, ethics, like,
• 24:12
  Speaker 2: Because you guys are in it forever.
• 24:15
  Speaker 1: I think that's really important what you said before, too, though,
• 24:18
  Speaker 1: that you should go to a surgeon who specializes in
• 24:20
  Speaker 1: the one thing that you want. Because, I mean, I've
• 24:23
  Speaker 1: been to plastic surgeons plenty of times, and they mostly
• 24:25
  Speaker 1: do general surgery. They do everything. They do face. They
• 24:28
  Speaker 1: do nose. They do boobs. They do labia surgery. They
• 24:31
  Speaker 1: do everything.
• 24:32
  Speaker 2: I chose, because I'm so committed to mastering something, I
• 24:35
  Speaker 2: chose to live and work in a city that has
• 24:37
  Speaker 2: high density that allows me to do that. Mm-hmm. If
• 24:40
  Speaker 2: you live in Wichita, Kansas, as your plastic surgeon, you
• 24:42
  Speaker 2: probably need to do it all because there's just not
• 24:45
  Speaker 2: enough people. Yeah. But that's the meant that surgeon chose
• 24:48
  Speaker 2: that mentality and that patient should match that. And they
• 24:51
  Speaker 2: probably get a really good outcome. Right. But there's just
• 24:54
  Speaker 2: a difference. Like I said, the difference between good and
• 24:56
  Speaker 2: great might be small, but it's so meaningful, powerful and significant.
• 25:01
  Speaker 1: Right. So when you're walking down the street or interacting
• 25:04
  Speaker 1: with people, is it hard for you not to judge
• 25:08
  Speaker 1: them as a doctor and say, I could fix that?
• 25:10
  Speaker 1: You don't do that?
• 25:12
  Speaker 2: It's just not a thing in my life.
• 25:14
  Speaker 1: Interesting.
• 25:15
  Speaker 2: No, when I'm with talking to someone, I'm trying to
• 25:18
  Speaker 2: absorb knowledge.
• 25:19
  Speaker 1: Mm-hmm.
• 25:20
  Speaker 2: Like, I always want to be the dumbest guy in
• 25:22
  Speaker 2: the room. I always want to ask one more question
• 25:24
  Speaker 2: than everyone else, be a little more curious. That's why,
• 25:27
  Speaker 2: you know, I read two to three books a week. Mm-hmm.
• 25:29
  Speaker 2: Anytime I'm around people, I'm trying to get information, like learn.
• 25:32
  Speaker 2: What are these guys? What secret do you know about
• 25:35
  Speaker 2: life that I don't know? Right.
• 25:36
  Speaker 1: That's interesting.
• 25:36
  Speaker 2: I'm not going the other way. Yeah. Yeah. You know,
• 25:39
  Speaker 2: God gave me, you know, two ears, one mouth. So
• 25:42
  Speaker 2: I should listen twice as much as I speak.
• 25:45
  Speaker 1: So, but how often are people coming up to you
• 25:48
  Speaker 1: and saying, what do you think of my butt? What
• 25:49
  Speaker 1: do you think of my boobs?
• 25:50
  Speaker 2: Not as much as people think. And I, you know.
• 25:55
  Speaker 2: Like if you're at a restaurant, like someone, it's awkward. So,
• 26:00
  Speaker 2: and it's inappropriate. I'll say like, you look amazing, but
• 26:02
  Speaker 2: if you want to talk about it, call the office.
• 26:03
  Speaker 1: Right. Exactly. Okay.
• 26:06
  Speaker 2: You don't want to be the guy like, let's go
• 26:07
  Speaker 2: to the bathroom and take a look under the hood. Right.
• 26:09
  Speaker 1: That's not, you know. Of course not. It might get
• 26:13
  Speaker 1: you more clients though, not that you need it. If
• 26:17
  Speaker 1: you could get your hands on one celebrity to do
• 26:21
  Speaker 1: something to, do you have somebody in mind?
• 26:25
  Speaker 2: That's a good one. You know, I'd like to get
• 26:29
  Speaker 2: Betty Boop in Reverse or BBL.
• 26:33
  Speaker 1: But she's known for that. People love her for that.
• 26:36
  Speaker 2: Yeah, but, you know, I could see her, like, walking
• 26:39
  Speaker 2: the runway in a couture, you know, outfit. Okay.
• 26:43
  Speaker 1: But, like, you know, somebody that is popular today. A
• 26:46
  Speaker 1: real person. Yeah, it's a real person.
• 26:49
  Speaker 2: You know, I don't have anyone that I wish I
• 26:51
  Speaker 2: could operate on and each and every person, celebrity, mom,
• 26:57
  Speaker 2: hedge fund, lawyer, doctor, whoever, each and every patient's just,
• 27:00
  Speaker 2: you know, I'm grateful for each and every person. So
• 27:03
  Speaker 2: I don't have any, I just want to, I want to,
• 27:06
  Speaker 2: my dream is to just continue operating on people, you know,
• 27:08
  Speaker 2: that are looking for the same things as me.
• 27:12
  Speaker 1: Right. To look their best.
• 27:13
  Speaker 2: Yeah.
• 27:14
  Speaker 1: With what they have. Is there a certain celebrity that
• 27:17
  Speaker 1: people come in most often as their wish pick that
• 27:22
  Speaker 1: they want to look like?
• 27:23
  Speaker 2: It's interesting because for now, it's really– because basically everyone,
• 27:28
  Speaker 2: I guess, is a celebrity on social media. Yep. There's
• 27:32
  Speaker 2: no consistency because if they're just searching bikini body, it's
• 27:37
  Speaker 2: not like it comes up Cindy Crawford anymore.
• 27:39
  Speaker 1: Right.
• 27:40
  Speaker 2: Or whoever the hot models were. It's just like literally–
• 27:44
  Speaker 2: a hundred million girls in bikinis.
• 27:46
  Speaker 1: Right.
• 27:47
  Speaker 2: So it's just whoever, it's just everyone. Like literally everyone's
• 27:51
  Speaker 2: an inspo.
• 27:52
  Speaker 1: Interesting.
• 27:52
  Speaker 2: Yeah.
• 27:53
  Speaker 1: Um, now talk to me about how you run your office.
• 27:57
  Speaker 1: Sometimes you're working late at night on weekends. Um, tell
• 28:01
  Speaker 1: us about like, give us some inside scoop about like, I,
• 28:05
  Speaker 1: not the people that come to you, not the celebrities,
• 28:07
  Speaker 1: but how they get treated by you. So they're not
• 28:09
  Speaker 1: seen by the public.
• 28:10
  Speaker 2: Well, the most important thing that I, if I, In life,
• 28:15
  Speaker 2: if you want to be a surgeon, you need a team.
• 28:18
  Speaker 2: And if you want a team, you've got to figure
• 28:20
  Speaker 2: out how to be a leader. And if you want
• 28:21
  Speaker 2: to be a leader, you've got to learn. So you've
• 28:22
  Speaker 2: got to have mentors. You've got to read the books.
• 28:24
  Speaker 2: You've got to find people that's going to help you.
• 28:27
  Speaker 2: And the number one thing that I have found is
• 28:30
  Speaker 2: first understand before you seek to be understood. So you
• 28:34
  Speaker 2: have to get to know everyone that's working for you.
• 28:36
  Speaker 2: Get to know your teammates. Get to know what motivates them.
• 28:39
  Speaker 2: Make sure everyone's morals and ethics are aligned. That leads
• 28:42
  Speaker 2: to having like a code of ethics. We have like
• 28:45
  Speaker 2: four values that all people who work here, they have
• 28:48
  Speaker 2: to live it like it's their, you know, it is
• 28:51
  Speaker 2: their creed. They have to pursue expertise. So whatever they're doing, nurse,
• 28:55
  Speaker 2: front desk, patient coordinator, anesthesiologist, you have to pursue expertise
• 28:59
  Speaker 2: at all times. You have to be a lifelong learner.
• 29:01
  Speaker 2: You know, we have a monthly book club. We are
• 29:04
  Speaker 2: always sending people to conferences all around the world. You have,
• 29:07
  Speaker 2: there's never, you know, it never ends the search for knowledge.
• 29:10
  Speaker 2: Because I always want inertia moving forward. And then we
• 29:14
  Speaker 2: get into the harsher ones. You have to really be
• 29:17
  Speaker 2: good at accepting feedback if you want to work here.
• 29:21
  Speaker 2: Criticism is the key. In a positive way, in the
• 29:25
  Speaker 2: sense that we are always checking each other, balancing each other,
• 29:28
  Speaker 2: like letting... Hey, when you do this, that doesn't work
• 29:31
  Speaker 2: with patients. We send out a lot of surveys. We're
• 29:33
  Speaker 2: always constantly evaluating. Everyone checks their ego at the door here.
• 29:37
  Speaker 2: And then we, and we generously share our knowledge. But for,
• 29:40
  Speaker 2: so once you have a team of people that are,
• 29:42
  Speaker 2: you know, coordinated in harmony, passionate, it's all about the
• 29:46
  Speaker 2: patient care. And for us, you know, like our favorite
• 29:49
  Speaker 2: book in the office, Danny Meyer setting the table, it's hospitality.
• 29:53
  Speaker 2: We're trying to create a unique experience, a unique surgical experience.
• 29:57
  Speaker 2: As you see, our patients go from surgery in our,
• 29:59
  Speaker 2: you know, fancy wheelchair over to the plaza. They have
• 30:03
  Speaker 2: a luxurious stay with a private duty nurse. The doctors,
• 30:07
  Speaker 2: the nurses go visit our patients.
• 30:09
  Speaker 3: The car is beautiful. Where did you end up going
• 30:12
  Speaker 3: for it?
• 30:13
  Speaker 4: This exclusive place that Dad has connections with. They have
• 30:15
  Speaker 4: more cars for more dealerships than like anywhere else.
• 30:18
  Speaker 3: You have to put me in touch. What's it called?
• 30:20
  Speaker 5: It's Dunaidial.
• 30:22
  Speaker 3: Where?
• 30:24
  Speaker 5: Dunaidial. There's an accent on the E.
• 30:28
  Speaker 3: Do you mean.
• 30:29
  Speaker 5: Yes, I got it on Done Deal Cars. Lyft, please.
• 30:32
  Speaker 3: You're going past Kimmage.
• 30:33
  Speaker 2: Oh, Kimmage.
• 30:34
  Speaker 1: No.
• 30:36
  Speaker 5: Done Deal Cars. You couldn't possibly go anywhere else.
• 30:39
  Speaker 2: We create an environment and experience that's memorable. We're always
• 30:45
  Speaker 2: trying to, like, catch something about someone, whether or not
• 30:47
  Speaker 2: they have a wedding coming up or they have a
• 30:49
  Speaker 2: personal accomplishment. We're always trying to connect with them with gifts.
• 30:53
  Speaker 2: Trying to really establish deep, meaningful relationships with our people.
• 30:56
  Speaker 4: Right.
• 30:57
  Speaker 2: The reason for that is simple. We love the people
• 30:59
  Speaker 2: we work with. So why wouldn't we want to have deep,
• 31:01
  Speaker 2: meaningful relationships? And second of all, that they, you know,
• 31:05
  Speaker 2: in a quadratic way, exponentially quadratic way, grow our business.
• 31:10
  Speaker 2: We're 100 percent word of mouth.
• 31:12
  Speaker 1: Right. That's interesting.
• 31:14
  Speaker 2: Yeah. And social media is like it's different in what
• 31:17
  Speaker 2: people think. People hear my name, Dr. Anna's name, Dr.
• 31:20
  Speaker 2: Chris's name. And then they follow on social media and then,
• 31:24
  Speaker 2: you know, that's like, they're like dating you one way.
• 31:26
  Speaker 2: Like they're going to get to know your personality. What
• 31:28
  Speaker 2: do you do every day? Like a lot of patients
• 31:31
  Speaker 2: find a lot of comfort knowing like I'm a nerd.
• 31:35
  Speaker 2: I go to bed super early. I get up, you know,
• 31:39
  Speaker 2: at like four, four 15 every day. I'm reading, I'm
• 31:42
  Speaker 2: in the gym. I'm like, I'm disciplined as everything to me,
• 31:45
  Speaker 2: you know, good work in the operating room. It's everything
• 31:48
  Speaker 2: what you're doing outside of the operating room, you know,
• 31:51
  Speaker 2: People know. I'm basically working, working out or with my family.
• 31:55
  Speaker 2: And a lot of people like that in their surgeon.
• 31:57
  Speaker 5: I would.
• 31:57
  Speaker 1: Yeah, I would too. I mean, having great values and
• 32:00
  Speaker 1: not being a party boy would be my two things
• 32:03
  Speaker 1: that I would be looking for.
• 32:03
  Speaker 2: Yeah, it doesn't work. Yeah.
• 32:05
  Speaker 1: I would not like to see you out late at
• 32:07
  Speaker 1: night at a bottle service club.
• 32:10
  Speaker 2: You know, we talk about it in the office. It's
• 32:11
  Speaker 2: like being a professional athlete. Like when you're in the
• 32:14
  Speaker 2: operating room, it's physical and mental. And you need to
• 32:16
  Speaker 2: be prepared physically and mentally. That means nutrition, rest. your reading,
• 32:21
  Speaker 2: your exercise, like you're good to go.
• 32:24
  Speaker 1: But it's so interesting that you're bringing that up because
• 32:26
  Speaker 1: I feel like on social media a lot, you see
• 32:28
  Speaker 1: a lot of these very well-known plastic surgeons showing their
• 32:34
  Speaker 1: life in a very flashy way.
• 32:35
  Speaker 2: Yeah, I don't know. It's not me. Yeah.
• 32:37
  Speaker 1: But don't you, I mean, maybe it makes them more
• 32:40
  Speaker 1: popular and famous. They get more likes, they get more views,
• 32:42
  Speaker 1: and maybe they get a lot of requests for patients.
• 32:44
  Speaker 1: I don't know if it actually translates into a real patient,
• 32:47
  Speaker 1: but I think that some people think it's, good to
• 32:51
  Speaker 1: be seen in a flashy way.
• 32:53
  Speaker 2: Right? Yeah. I don't know.
• 32:56
  Speaker 1: But you know what I mean? Like, have you seen
• 32:58
  Speaker 1: those Instagram feeds?
• 32:59
  Speaker 2: Yeah. I think there's always people who want to show
• 33:01
  Speaker 2: a certain portray a certain type of lifestyle and who
• 33:04
  Speaker 2: knows what really the reason is. Right. I don't know
• 33:07
  Speaker 2: if it's, and by the way, if that's them authentically,
• 33:09
  Speaker 2: then that's probably what they should show because people should
• 33:11
  Speaker 2: know that, you know, this is that kind of person. Right.
• 33:15
  Speaker 2: Like maybe you're that kind of person that'll work out great.
• 33:17
  Speaker 2: But if you're a family oriented person, and you're not party-oriented, then, like,
• 33:23
  Speaker 2: you're my kind of person. Right, right.
• 33:25
  Speaker 1: So you're going back to the fact.
• 33:27
  Speaker 2: But that doesn't mean, like, you know, me and my
• 33:29
  Speaker 2: wife and my kids travel to nice places, but a
• 33:31
  Speaker 2: lot of times we're going to the same places that
• 33:33
  Speaker 2: our patients go.
• 33:34
  Speaker 3: Yeah.
• 33:34
  Speaker 2: But there's a difference between sharing your life and portraying
• 33:38
  Speaker 2: a certain, you know, level of whatever you want to
• 33:42
  Speaker 2: call it in terms of flashiness.
• 33:44
  Speaker 1: Flashiness, yeah. And it goes back to what you were
• 33:46
  Speaker 1: saying about the chemistry you have with the patient is
• 33:49
  Speaker 1: very important. Um, are there any procedures that you would
• 33:52
  Speaker 1: talk people out of, not necessarily in your office, but
• 33:54
  Speaker 1: for our listeners? Like, are there procedures that you think
• 33:57
  Speaker 1: are not good for somebody to fall into like the
• 33:59
  Speaker 1: Brazilian butt lift or whatever? That's too big.
• 34:01
  Speaker 2: I think the Brazilian butt lift is a good operation when,
• 34:03
  Speaker 2: when the aesthetic goals of the patient and the doctors
• 34:06
  Speaker 2: are in line. Um, but our implants is something that
• 34:10
  Speaker 2: very few surgeons on the planet can do consistently and safely. Um,
• 34:16
  Speaker 2: because of the nature of where they live, they're close
• 34:18
  Speaker 2: to stuff that's not always so clean. Um, so I
• 34:22
  Speaker 2: think that's a high risk procedure. What do you think?
• 34:24
  Speaker 2: There are surgeons who can do it, but like you
• 34:26
  Speaker 2: can count them on one hand.
• 34:28
  Speaker 1: What do you think of the people that travel to
• 34:30
  Speaker 1: Mexico or Russia or wherever they're going to get these?
• 34:33
  Speaker 2: So I'd be impressed if they got into Russia these days.
• 34:35
  Speaker 1: But they did.
• 34:37
  Speaker 2: I got it. Yeah. I think there are, It's funny,
• 34:41
  Speaker 2: I get this question a lot. There's excellent surgeons in
• 34:43
  Speaker 2: every country in the world. You can name a country
• 34:45
  Speaker 2: and I'll tell you someone who's amazing there. And there
• 34:48
  Speaker 2: are shady people in every place. As you go into
• 34:54
  Speaker 2: other countries like Mexico or South America, there's a little
• 34:59
  Speaker 2: less regulation. So there's more chance of having some places
• 35:03
  Speaker 2: that are not going to be up to the same
• 35:05
  Speaker 2: standards as us. But I can assure you, There are moral, ethical,
• 35:09
  Speaker 2: fantastic surgeons in each and every country in the world.
• 35:13
  Speaker 1: But do you believe that people get what they pay for?
• 35:15
  Speaker 1: I mean, you know, something might be valued at $ 20, 000 here,
• 35:18
  Speaker 1: and if they go to Mexico, they're only spending $ 4, 000.
• 35:20
  Speaker 2: Well, what's interesting is the surgeons I would refer them to,
• 35:23
  Speaker 2: the price is the same.
• 35:24
  Speaker 1: Right. But what do you think about people traveling just
• 35:27
  Speaker 1: to get a better price? Do you believe they get
• 35:29
  Speaker 1: what they pay for?
• 35:29
  Speaker 2: You know, I understand, obviously, in a paternalistic way, I'd
• 35:33
  Speaker 2: say you should save up until you can do it safely.
• 35:35
  Speaker 4: Mm-hmm.
• 35:36
  Speaker 2: But that's not my life. And I can't tell people
• 35:39
  Speaker 2: what to do. And I understand. They're like, I need
• 35:41
  Speaker 2: this or they think they need it. Right. And, you know,
• 35:46
  Speaker 2: they have a budget and they seek out. But, yeah,
• 35:50
  Speaker 2: caveat emptor. Right. Buyer beware.
• 35:53
  Speaker 1: Right, right. I've seen recently on your Instagram you did
• 35:57
  Speaker 1: look like a complete skin lift. Yeah. Unbelievable. Talk about
• 36:01
  Speaker 1: that procedure.
• 36:02
  Speaker 2: Yes. I, you know, we love doing every operation is great,
• 36:05
  Speaker 2: but you see a lot of these patients that have
• 36:07
  Speaker 2: lost a lot of weight. I think this, we did
• 36:09
  Speaker 2: it yesterday. She went from 350 pounds to 140 pounds.
• 36:12
  Speaker 2: I mean, that is.
• 36:13
  Speaker 3: Wow.
• 36:13
  Speaker 2: She lost like a few people.
• 36:15
  Speaker 1: Yeah.
• 36:16
  Speaker 2: And when you have that, those people are so dedicated,
• 36:18
  Speaker 2: so committed. They're fantastic to work with. And we, we went,
• 36:21
  Speaker 2: you know, 360 around the world, took all the skin
• 36:24
  Speaker 2: off her torso.
• 36:25
  Speaker 1: Oh my gosh.
• 36:25
  Speaker 2: So we want to, we're trying to help align her
• 36:28
  Speaker 2: mentally with, you know, what she sees. She feels good.
• 36:32
  Speaker 2: like a thin active woman, but she doesn't recognize who
• 36:35
  Speaker 2: she sees in the mirror.
• 36:36
  Speaker 1: Yeah.
• 36:36
  Speaker 2: So I saw her this morning and I think she's
• 36:38
  Speaker 2: starting to recognize herself.
• 36:39
  Speaker 1: Wow. That's amazing.
• 36:41
  Speaker 3: Yeah.
• 36:41
  Speaker 1: And what's the recovery time on something like that?
• 36:43
  Speaker 2: Oh, that's a big one. That's a good, like two
• 36:45
  Speaker 2: weeks off work and it's going to take, you know,
• 36:47
  Speaker 2: six to eight weeks to feel like a human again
• 36:49
  Speaker 2: or a normal.
• 36:50
  Speaker 1: And is she in so much pain?
• 36:51
  Speaker 4: No.
• 36:52
  Speaker 2: It's not so much pain, but like, you know, we
• 36:54
  Speaker 2: pushed her front back left and right. Yeah. Yeah.
• 36:57
  Speaker 1: And what are the scars like?
• 36:59
  Speaker 2: They fade. I mean, our techniques in the scar cream,
• 37:02
  Speaker 2: I mean, the scars fade. We put them in, you know,
• 37:04
  Speaker 2: hidden areas. Right. Covered in most underwear and bikinis.
• 37:08
  Speaker 1: Amazing.
• 37:09
  Speaker 2: They fade.
• 37:10
  Speaker 1: And talk about the boob jobs these days in terms
• 37:13
  Speaker 1: of the scars, because I know in my day when,
• 37:16
  Speaker 1: you know, you go from a bigger size to a
• 37:18
  Speaker 1: smaller size and you're getting a a boob lift, you
• 37:22
  Speaker 1: have to get a bunch of scars sometimes. What are
• 37:24
  Speaker 1: the new methods?
• 37:25
  Speaker 2: Nothing's really, I mean, nothing's really changed in terms of
• 37:28
  Speaker 2: the lifting. No one's created a way to like lift
• 37:31
  Speaker 2: breasts without scars. Just like no one's made a tummy
• 37:33
  Speaker 2: tuck that doesn't involve a scar.
• 37:35
  Speaker 1: Got it.
• 37:36
  Speaker 2: One thing I can tell you is when people get
• 37:37
  Speaker 2: the shape they want, whether it's the tummy or the breast,
• 37:39
  Speaker 2: nobody cares about scars. Right. But everyone cares about the
• 37:41
  Speaker 2: shape when they don't get it.
• 37:43
  Speaker 1: Right.
• 37:43
  Speaker 2: Every single patient complains, it doesn't look good. But you
• 37:46
  Speaker 2: don't have a scar. Yeah, but it doesn't look good.
• 37:49
  Speaker 2: Nobody says this looks so good. I wish I didn't.
• 37:52
  Speaker 2: And they wish they could go back and get rid
• 37:54
  Speaker 2: of the scar. Nobody cares. Yeah. You got to get,
• 37:56
  Speaker 2: you get the results and you take care of the scars.
• 37:58
  Speaker 2: Nobody cares.
• 37:59
  Speaker 1: Are you getting men as clients?
• 38:01
  Speaker 2: Yeah, we have a good number of men.
• 38:02
  Speaker 1: Dr.
• 38:03
  Speaker 2: Funderburg works for me, kind of specializes in men.
• 38:05
  Speaker 1: Okay. And what kind of treatments are they coming in for?
• 38:08
  Speaker 2: You know, they like, Lipo of their neck, number one.
• 38:11
  Speaker 2: Man boobs, number two. Abdomen, waist, you know, that tire,
• 38:16
  Speaker 2: that lower abdomen, that flank area, number three. And most
• 38:19
  Speaker 2: of the time they're doing one, two, and three in
• 38:22
  Speaker 2: one shot.
• 38:22
  Speaker 1: Interesting.
• 38:23
  Speaker 2: And again, these are the same type, you know, these
• 38:26
  Speaker 2: are very successful A-type go-getters who just know the limits
• 38:32
  Speaker 2: of their body.
• 38:33
  Speaker 3: Mm-hmm.
• 38:34
  Speaker 1: So, all right, for the people that are listening, if
• 38:36
  Speaker 1: they are thinking to themselves, okay, I want all this
• 38:38
  Speaker 1: stuff done from the neck down, you know, what is
• 38:42
  Speaker 1: probably the one thing you would suggest that would help
• 38:45
  Speaker 1: them feel and look younger? Is it the boobs? Is
• 38:47
  Speaker 1: it the life affection?
• 38:48
  Speaker 2: Well, I think, you know, someone has to say, like,
• 38:50
  Speaker 2: I'm the kind of person who wants the best out
• 38:52
  Speaker 2: of life. I'm the kind of person... who wants to
• 38:55
  Speaker 2: maximize potential. I'm also the kind of person who's willing
• 38:57
  Speaker 2: to invest in myself. And then you got to look
• 39:01
  Speaker 2: at your life. What's the biggest frustration point? A lot
• 39:05
  Speaker 2: of people tell me, you know, in the summer, they
• 39:07
  Speaker 2: can't wear sleeveless dresses. It's their arms. They don't like,
• 39:12
  Speaker 2: you know, every time they go out for dinner, I
• 39:15
  Speaker 2: hear this all the time. They have to hold in
• 39:16
  Speaker 2: their tummy after babies because the muscles are separated and
• 39:19
  Speaker 2: the skin's hanging out and they have to wear all
• 39:20
  Speaker 2: these contraptions. These things actually impact every moment of their life.
• 39:24
  Speaker 2: They're like, I literally hold my breath all day because
• 39:27
  Speaker 2: I hate my stomach. Okay, let's fix that.
• 39:29
  Speaker 4: Interesting.
• 39:31
  Speaker 2: Know thyself. Yes.
• 39:33
  Speaker 1: That's right.
• 39:34
  Speaker 2: And everyone's different.
• 39:35
  Speaker 1: Okay. And then would you have one piece of advice
• 39:37
  Speaker 1: for people? that want a quick fix maybe not getting
• 39:40
  Speaker 1: plastic surgery is it a laser is it just drinking
• 39:43
  Speaker 1: water like what can help people look a little bit
• 39:46
  Speaker 1: younger i mean.
• 39:47
  Speaker 2: Honestly the number one thing that i've found in my
• 39:49
  Speaker 2: life is sleep if you can get a good night's
• 39:52
  Speaker 2: sleep everything is a lot better okay yeah and that's
• 39:55
  Speaker 2: something that's tangible that everyone can work on right when
• 39:57
  Speaker 2: you go home don't watch you know two hours of
• 40:00
  Speaker 2: netflix mindlessly turn the tv off go to bed right Right.
• 40:04
  Speaker 1: Because you will just feel refreshed and look refreshed.
• 40:06
  Speaker 4: Yeah.
• 40:06
  Speaker 2: You know, the mindlessness. I mean, everyone watches TV, but
• 40:08
  Speaker 2: like watch a little less, sleep a little more, rest,
• 40:12
  Speaker 2: you know, let the brain recharge. Okay.
• 40:14
  Speaker 1: I like that advice.
• 40:15
  Speaker 2: All right.
• 40:15
  Speaker 1: Where do you see plastic surgery going in the future?
• 40:18
  Speaker 2: I think it's going more and more mainstream offices like mine,
• 40:22
  Speaker 2: bigger infrastructure, more services, more layers, you know, just an
• 40:27
  Speaker 2: overall elevated experience. I think Plastic surgery is not going
• 40:32
  Speaker 2: to be the mom and pop pizza shop, you know,
• 40:35
  Speaker 2: that it used to be where every doctor had their
• 40:37
  Speaker 2: own little office. Patients want the bells and whistles. You
• 40:40
  Speaker 2: see my operating rooms. You see our facilities. Why would
• 40:43
  Speaker 2: you not want, you know, the newest, most innovative, everything,
• 40:49
  Speaker 2: you know, designed for their experience? Also, we're constantly evolving. Mm-hmm.
• 40:54
  Speaker 2: You know, those offices, you know, that still have the
• 40:56
  Speaker 2: furniture from the 80s and the Time magazine for man
• 40:59
  Speaker 2: of the year with Richard Nixon on it. You know,
• 41:01
  Speaker 2: it's not people move quickly.
• 41:04
  Speaker 1: Right.
• 41:05
  Speaker 2: They want innovation, comfort and everything up to date. So
• 41:08
  Speaker 2: you're going to see bigger practices, more doctors under the
• 41:11
  Speaker 2: same roof.
• 41:13
  Speaker 1: What I think is amazing about your office and for
• 41:15
  Speaker 1: people that, you know, are just listening as opposed to
• 41:18
  Speaker 1: watching is. you operate in your same office. You don't
• 41:21
  Speaker 1: have to go to a hospital. It's really convenient. People
• 41:24
  Speaker 1: walk in. It's beautiful here. You get treated really well
• 41:27
  Speaker 1: at the front. You get walked right in and you
• 41:29
  Speaker 1: go right into the operating room.
• 41:31
  Speaker 2: We usually have a consult first.
• 41:32
  Speaker 3: Okay, yes.
• 41:34
  Speaker 1: But I think for people that have not had plastic
• 41:37
  Speaker 1: surgery before or are hesitant to go visit a doctor
• 41:39
  Speaker 1: because they're nervous, it's like a one-stop shop. You don't
• 41:42
  Speaker 1: have to.
• 41:42
  Speaker 2: You have more control if you care about your safety
• 41:46
  Speaker 2: in your own house. Meaning... We design this place with engineers.
• 41:50
  Speaker 2: We design this place with consultants. What's the safest, best
• 41:53
  Speaker 2: way I can build an operating room? Let's do that.
• 41:55
  Speaker 2: And then we built two. I always have two anesthesiologists.
• 41:58
  Speaker 2: You know, it's like having a plane. I like two
• 41:59
  Speaker 2: pilots around. I have a dedicated team every day in
• 42:03
  Speaker 2: both operating rooms. I have handpicked from the hospitals. They're
• 42:05
  Speaker 2: the best of the best working together with a common
• 42:10
  Speaker 2: goal of not just getting, you know, the best possible
• 42:13
  Speaker 2: surgical outcomes, but the safest. We have someone who's full
• 42:15
  Speaker 2: time on infection control. We have someone who's full time
• 42:18
  Speaker 2: dedicated to cleaning instruments. We have someone who's full time
• 42:21
  Speaker 2: dedicated to cleaning the operating room day and then someone
• 42:24
  Speaker 2: at night. I mean, it's 24 seven, but that's, you know,
• 42:28
  Speaker 2: do everything the way we would want it. The hospitals
• 42:32
  Speaker 2: are great. They're important, but you know, you don't want
• 42:34
  Speaker 2: to walk. You don't want to have your tummy tuck
• 42:36
  Speaker 2: in a room where they just did like a hemorrhoid
• 42:38
  Speaker 2: or a brain operation and like, team doesn't really know,
• 42:42
  Speaker 2: you know, everyone knows here what everything is and they
• 42:46
  Speaker 2: have the same goal.
• 42:47
  Speaker 1: Right. Right. How hard is it to get an appointment
• 42:49
  Speaker 1: with you right now?
• 42:51
  Speaker 2: Um, we're booking consultancy in September, but, uh, which is
• 42:55
  Speaker 2: a few months away, but my associates, you can see
• 42:58
  Speaker 2: sooner who are amazing. Um, and we always find a way.
• 43:04
  Speaker 1: Right. tell people where they can find you, where they
• 43:07
  Speaker 1: can reach out to you, how to look at your work.
• 43:10
  Speaker 2: We are located in the greatest city in the world
• 43:13
  Speaker 2: at 4 West 58th on top of Bergdorf on the
• 43:15
  Speaker 2: 12th floor. It's where the dreams are made overlooking Central Park.
• 43:19
  Speaker 2: You can find us online at natsyplasticsurgery.com. You can follow
• 43:23
  Speaker 2: me at Dr. Neinstein or give us a call 212-249-0949. Okay.
• 43:27
  Speaker 1: They're right across the street from the plaza. You guys
• 43:31
  Speaker 1: can come do a little shopping, do a little, eating
• 43:35
  Speaker 1: and have a really nice consult.
• 43:36
  Speaker 2: And you're... We help people. We have a personal shopper
• 43:39
  Speaker 2: at Bergdorf's for our patients.
• 43:40
  Speaker 1: Oh.
• 43:40
  Speaker 2: And we also help with dinner reservations. We have someone who.
• 43:42
  Speaker 1: Can help with that. Amazing. So you have a concierge business.
• 43:44
  Speaker 2: Exactly.
• 43:45
  Speaker 1: Oh, talk to me about some of the procedures that
• 43:47
  Speaker 1: I'm going to get right now. I think I'm going
• 43:48
  Speaker 1: to do a little filler, Botox, maybe a laser.
• 43:51
  Speaker 2: Oh, you're getting the Uptown Tune-Up right now.
• 43:54
  Speaker 4: Yeah.
• 43:54
  Speaker 1: I can't wait. So I'm going to go from 48
• 43:56
  Speaker 1: to what? Like 35 years old or something?
• 43:58
  Speaker 2: Yeah, somewhere about that.
• 43:59
  Speaker 4: No, no.
• 43:59
  Speaker 2: We're just going to make the best version of you
• 44:01
  Speaker 2: the Uptown Tune-Up.
• 44:02
  Speaker 1: Just.
• 44:03
  Speaker 2: A little bit of, you know, a spritz of everything.
• 44:05
  Speaker 1: Okay.
• 44:06
  Speaker 2: And, you know, it's a little glow up because everyone
• 44:09
  Speaker 2: deserves one.
• 44:09
  Speaker 1: Of course. To give somebody a little confidence.
• 44:12
  Speaker 2: As they say.
• 44:12
  Speaker 1: To get me on Bumble maybe.
• 44:14
  Speaker 2: Yeah.
• 44:14
  Speaker 1: So I'm going to take some new photos of myself after. Exactly.
• 44:17
  Speaker 1: That'll be great. Okay. Well, thank you so much for
• 44:19
  Speaker 1: your time.
• 44:19
  Speaker 2: You're very welcome.
• 44:19
  Speaker 1: I appreciate it.
• 44:20
  Speaker 2: You got it.
• 44:30
  Speaker 3: The car is beautiful. Where did you end up going
• 44:33
  Speaker 3: for it?
• 44:33
  Speaker 4: This exclusive place that Dad has connections with. They have
• 44:36
  Speaker 4: more cars for more dealerships than like anywhere else.
• 44:39
  Speaker 3: You have to put me in touch.
• 44:40
  Speaker 5: What's it called? It's Dunaidial.
• 44:43
  Speaker 3: Where?
• 44:45
  Speaker 5: Dunaidial. There's an accent on the E.
• 44:49
  Speaker 3: Do you mean.
• 44:49
  Speaker 5: Yes, I got it on Dundale Cars.
• 44:51
  Speaker 2: Lift?
• 44:52
  Speaker 3: Please. Are you going past Kimmage?
• 44:54
  Speaker 2: Oh, Kimmage.
• 44:55
  Speaker 3: No.
• 44:56
  Speaker 5: Dundale Cars. You couldn't possibly go anywhere else.