Latest / Ageless and Timeless Podcast® / Dr. Paul Chasan, Board Certified Plastic Surgeon & The founder of Ranch & Coast Plastic Surgery

Transcript

Dr. Paul Chasan, Board Certified Plastic Surgeon & The founder of Ranch & Coast Plastic Surgery · Ageless and Timeless Podcast®

• 0:00
  Speaker 1: This is Michelle Hughes from Ageless and Timeless, brought to
• 0:03
  Speaker 1: you by our two wellness sponsors, Water and Wellness and
• 0:06
  Speaker 1: European Wellness. Water and Wellness is your go to supplier
• 0:11
  Speaker 1: for purified water products and nutritional supplements that they manufacture
• 0:16
  Speaker 1: and the nanotechnology products from doctor Chris Shade's Quicksilver Scientific.
• 0:21
  Speaker 1: I have used these cutting edge products like Kington and
• 0:24
  Speaker 1: glutathione and can say that without reservation, these are some
• 0:28
  Speaker 1: of the most efficacious products available. The Water and Wellness
• 0:32
  Speaker 1: website is www dot Waterinwellness dot com and their phone
• 0:37
  Speaker 1: number is eight seven seven two nine six six eight
• 0:41
  Speaker 1: eight zero and if you use the code Ageless for
• 0:45
  Speaker 1: a twenty percent discount. European Wellness, founded by the iconic
• 0:50
  Speaker 1: and widely published professor doctor Michael Chan, is the world
• 0:54
  Speaker 1: leader in stem cell and peptide therapy, with twenty six
• 0:57
  Speaker 1: medical and esthetic spa location primarily in Europe and Asia.
• 1:02
  Speaker 1: Their website, www Dot Europeanwellness dot com details the wide
• 1:08
  Speaker 1: range of wellness products that can be ordered using the
• 1:11
  Speaker 1: age's code for a ten percent discount. They will also
• 1:15
  Speaker 1: offer our viewers discounts on medical and cosmetic services and
• 1:19
  Speaker 1: products if they choose to visit the clinics. I have
• 1:22
  Speaker 1: first hand experience using their wide range of science based
• 1:26
  Speaker 1: theemsell and peptide products and are now a loyal customer.
• 1:30
  Speaker 1: Go to their website www. Europeanwellness dot com for more
• 1:36
  Speaker 1: information about this exciting company.
• 1:42
  Speaker 2: My love for you, there's a measurable my respect for
• 1:47
  Speaker 2: you demands your age less, timeless laison, fineness, your beauty.
• 1:56
  Speaker 3: Then, Hi, everybody. This is Michelle Hughes from Ageless and Timeless,
• 2:02
  Speaker 3: and I'm coming to you today from San Francisco. And
• 2:06
  Speaker 3: my guest is a very esteemed plastic surgeon and I
• 2:10
  Speaker 3: have to always correct him or me about the terminology
• 2:15
  Speaker 3: for cosmetic versus plastic. So we're going to talk about
• 2:18
  Speaker 3: that in a moment. But his name is doctor Paul Jason,
• 2:21
  Speaker 3: and he is in del Mar, and he's going to
• 2:25
  Speaker 3: tell us about his clinic, which you can see on
• 2:28
  Speaker 3: the screen here Ranch and Coast Plastic Surgery. There's good
• 2:32
  Speaker 3: old Paul, looking really handsome, and turns out the little
• 2:37
  Speaker 3: small world thing that Paul's brother and I have been
• 2:40
  Speaker 3: friends for fifteen years and his brother Mark Jason, and well,
• 2:47
  Speaker 3: he and I both agree that Mark is a renaissance man.
• 2:50
  Speaker 3: But he and I just have had such a great
• 2:52
  Speaker 3: time hiking together and doing all kinds of fun dinners
• 2:58
  Speaker 3: and so forth. So we're really really old friends. And
• 3:01
  Speaker 3: I don't want to use the word old, but we're friends.
• 3:04
  Speaker 3: So that's how I met Paul. Although I haven't met
• 3:07
  Speaker 3: him in face to face, I have heard so much
• 3:09
  Speaker 3: about him from his brother. So Paul, welcome to Ageless
• 3:14
  Speaker 3: and Timeless. We're very happy to have you here today.
• 3:18
  Speaker 4: Well, thank you for having me. I'm at your disposal,
• 3:21
  Speaker 4: so I'll let you lead.
• 3:24
  Speaker 3: Okay, Well, there's a few things that I want to
• 3:26
  Speaker 3: first clear up that terminology if you wouldn't mind, because
• 3:29
  Speaker 3: I know a lot of people have difficulty with the
• 3:32
  Speaker 3: difference between cosmetic and plastics, So could you define that
• 3:35
  Speaker 3: for us?
• 3:36
  Speaker 4: Yeah, without sending too snarky, plastic surgeons go, most of
• 3:42
  Speaker 4: us have either done a five year general surgery residency
• 3:47
  Speaker 4: where you know or and then two years of plastics.
• 3:51
  Speaker 4: Then it's three years of plastics, and now there's integrated
• 3:54
  Speaker 4: programs where it's either six or seven years of plastic
• 3:58
  Speaker 4: surgery where surgery becomes hard. Your DNA you're you know,
• 4:02
  Speaker 4: you take care of people in ICU, you take care
• 4:04
  Speaker 4: of people who are ill, you do reconstructive surgery, and
• 4:08
  Speaker 4: you do esthetic surgery or cosmetic surgery. So we're very
• 4:12
  Speaker 4: particular and very proud of what we do as plastic surgeons.
• 4:16
  Speaker 4: And when you finish, you're not just a you know,
• 4:19
  Speaker 4: a beauty doctor. You're a real doctor and you're a
• 4:22
  Speaker 4: real surgeon. And then you have to do a written exam,
• 4:25
  Speaker 4: which is not just an easy written exam, it's a
• 4:28
  Speaker 4: lot of people fail. And then you have to do
• 4:30
  Speaker 4: an oral exam. So it takes years to become board
• 4:32
  Speaker 4: certified in plastic surgery. So when you go through that pedigree,
• 4:36
  Speaker 4: and then other people call themselves cosmetic surgeons, where who
• 4:41
  Speaker 4: knows what training they have, there's no there's no standardized training.
• 4:46
  Speaker 4: People a lot of people who are retired aspesiologists or
• 4:49
  Speaker 4: emergency room doctors or you know, they call it functional
• 4:53
  Speaker 4: medicine doctors who do inject botox, and or dermatologists who
• 4:57
  Speaker 4: call themselves, you know, all this whole group calls themselves
• 5:00
  Speaker 4: cosmetic surgeons. And you can get a pay you can
• 5:04
  Speaker 4: just pay and become part of this cosmetic surgery board.
• 5:07
  Speaker 4: So now you're a cosmetic surgeon with really no surgical
• 5:11
  Speaker 4: skill sets and no real sets in dealing with outside
• 5:16
  Speaker 4: the realm of doing procedures. So when we hear cosmetic surgeons,
• 5:20
  Speaker 4: there's there's just we're not the same and so that's
• 5:24
  Speaker 4: a that's a big thing for us.
• 5:26
  Speaker 3: Yeah, no, I can understand it. So what are the
• 5:29
  Speaker 3: societies that are the most prestigious to be a member
• 5:34
  Speaker 3: of once you are certified as a plastic surgeon.
• 5:37
  Speaker 4: Well, we have the American Board of Plastic Surgeons, Okay,
• 5:42
  Speaker 4: and that's encompasses. If you're a Board certified plastic surgeon,
• 5:47
  Speaker 4: there's the American Society of Facial Plastics. And so if
• 5:51
  Speaker 4: you went and there's one other tract you can go that,
• 5:54
  Speaker 4: you can go into the it your nose and throat
• 5:58
  Speaker 4: n T doctor finished. Some of them do an extra
• 6:02
  Speaker 4: year of fellowship and become a facial plastic surgeon. That's
• 6:07
  Speaker 4: a legitimate way to go. And that's about it.
• 6:11
  Speaker 3: So you're saying that you can be a plastic surgeon
• 6:18
  Speaker 3: and then go and get further training just to do
• 6:21
  Speaker 3: facial plastic surgery. But if you go ahead, so let
• 6:25
  Speaker 3: me back up.
• 6:26
  Speaker 4: All plastic surgeons are trained in facial plastic surgery. Facial
• 6:33
  Speaker 4: surgeons are trained in facial plastic surgery, where once they
• 6:37
  Speaker 4: do a one year fellowship a preceptorship in facial plastic surgery,
• 6:41
  Speaker 4: but they're not trained to do any of the breast
• 6:43
  Speaker 4: and body and all the other things that we do.
• 6:45
  Speaker 4: Yet we're trained in face. Now I'm going to you know,
• 6:48
  Speaker 4: I don't want to delabor this point, but it is
• 6:50
  Speaker 4: an important point that setic surgery is a lifelong journey
• 6:56
  Speaker 4: for a surgeon. When you finish your residency, you're not competent,
• 7:01
  Speaker 4: were barely competent to be a good Whether you do
• 7:04
  Speaker 4: facial route, facial plastic surity route, or the plastic surgery
• 7:08
  Speaker 4: route and the word general plastics the world, facial plastics, surity,
• 7:13
  Speaker 4: it doesn't really matter. It's your own personal journey to
• 7:16
  Speaker 4: do this. So when facial plastic surgeons finish, when plastic
• 7:20
  Speaker 4: surgeons finish the residency, they may have seen ten noses,
• 7:25
  Speaker 4: may have done one or two noses. If I were
• 7:29
  Speaker 4: a patient, I wouldn't want someone coming out who's done two.
• 7:32
  Speaker 3: Noses, do you understand?
• 7:34
  Speaker 4: And it takes hundreds of noses to get good at noses.
• 7:38
  Speaker 4: I've done probably fifteen hundred noses. So the issue is
• 7:42
  Speaker 4: that becomes a personal journey. I have plastic surgery colleagues
• 7:45
  Speaker 4: who are great plastic surgeons, but they only do one
• 7:49
  Speaker 4: nose every other month, you know what I mean. So
• 7:52
  Speaker 4: it becomes this personal journey that people don't realize that
• 7:55
  Speaker 4: just because you're trained, I do about three percent of
• 7:58
  Speaker 4: what I was trained to do and the rest is
• 8:01
  Speaker 4: on my personal journey.
• 8:03
  Speaker 3: M So tell us about that personal journey. You know,
• 8:06
  Speaker 3: go back in time and flash back to what was
• 8:10
  Speaker 3: it that drew you to medicine first and then to
• 8:15
  Speaker 3: surgery and then to plastics.
• 8:17
  Speaker 4: Well, when you're a young man, I don't think you
• 8:19
  Speaker 4: really know yourself all that well. I wanted to be
• 8:22
  Speaker 4: a pilot, and my mom, who was an attorney, said,
• 8:25
  Speaker 4: you're not going to be a pilot. Eastern Airlines just
• 8:27
  Speaker 4: went out of business. She goes, you know, you're a
• 8:31
  Speaker 4: pilot for twenty years with Eastern Airlines. They go out
• 8:33
  Speaker 4: of business because I have bad management. Now you're looking
• 8:35
  Speaker 4: for a job. You're going to be a doctor. That
• 8:38
  Speaker 4: was kind of it. I mean my dad was doctor,
• 8:41
  Speaker 4: and so I kind of had my root chosen somewhat
• 8:46
  Speaker 4: for me. But then I'm going to mess this. It's
• 8:48
  Speaker 4: a vast range of what you can do in medicine.
• 8:51
  Speaker 4: I was an athlete. I was thinking worth ap X,
• 8:54
  Speaker 4: I want to do something fun, and pretty soon you
• 8:56
  Speaker 4: make that. There's a bunch of a the algorithm of life.
• 9:02
  Speaker 4: There's a bunch of decisions you make. Like for me,
• 9:04
  Speaker 4: I would be on a rotation medical school and seeing
• 9:07
  Speaker 4: old vets in the hospital and you know, coming in
• 9:11
  Speaker 4: with liver fail or heart failure. That wasn't exciting for me.
• 9:14
  Speaker 4: It was but you know what was exciting. Trauma was exciting,
• 9:17
  Speaker 4: and the blood everywhere and doing surgery and that seemed
• 9:21
  Speaker 4: to draw me in. And I started doing big cases
• 9:24
  Speaker 4: and so vascular surgery and and you know, the bigger
• 9:28
  Speaker 4: cardiac surgery, and I was thinking that I was drawn
• 9:31
  Speaker 4: into that. And then you start doing cases and you
• 9:35
  Speaker 4: realize that like in general surgery. You know, I would
• 9:39
  Speaker 4: stay up when I was a young medical student to
• 9:41
  Speaker 4: do my first appendectomy, you know, in the middle of
• 9:43
  Speaker 4: the night. But then after you've done ten of them,
• 9:45
  Speaker 4: to start kind of getting bored because the same surgery
• 9:48
  Speaker 4: over and over and over again. And I liked a
• 9:50
  Speaker 4: vast surgery because they're really big cases and you know,
• 9:53
  Speaker 4: you made a big impact for people. The problem is
• 9:55
  Speaker 4: then they go to the ICU for a week because
• 9:57
  Speaker 4: they're so sick, and you got to take care of
• 9:58
  Speaker 4: them for a sick So it's kind of selfish reasons.
• 10:01
  Speaker 4: But then I got into plastics, and we're doing big case,
• 10:04
  Speaker 4: big impacts on people. And one day we're doing a facelift,
• 10:06
  Speaker 4: the next day we're doing breast reduction. Next day we're
• 10:09
  Speaker 4: doing breast reconstruction, next day we're doing a nose, you know,
• 10:11
  Speaker 4: and so the variety, and you know, every case is different.
• 10:15
  Speaker 4: It doesn't matter every time I did two noses today,
• 10:18
  Speaker 4: Just what every time I do a fifteen hundred.
• 10:21
  Speaker 3: Everyone's people different And so sorry, Jeff, but this is
• 10:26
  Speaker 3: so fascinating. But there's always a specialty that every plastic
• 10:32
  Speaker 3: surgeon I've ever known has always said, oh I love
• 10:34
  Speaker 3: doing this more than that. So what's your favorite?
• 10:38
  Speaker 4: Okay, so you back up a little. We only do
• 10:40
  Speaker 4: twelve surgeries. You know, in aesthetic surgery. When you think
• 10:43
  Speaker 4: about row lift upright, lower eyelids, nose facelift, breast augmentation, breastlift,
• 10:50
  Speaker 4: breast reduction, tell me talk life is suctionally yet so
• 10:53
  Speaker 4: you get pretty good at all those. I mean, that's
• 10:55
  Speaker 4: that's it depends on your personality. Either you want to
• 10:58
  Speaker 4: master every one of those or you and I kind
• 11:01
  Speaker 4: of like mastering everyone else. But to get back to
• 11:03
  Speaker 4: your questions, the things that I really enjoy doing our noses,
• 11:06
  Speaker 4: I would say noses are the thing that I'm very
• 11:08
  Speaker 4: passionate about. Revisionary breast surgery. I've been passionate about that
• 11:13
  Speaker 4: for many, many years and written a lot of the
• 11:15
  Speaker 4: early papers in our peer of journals on revisionary breast
• 11:20
  Speaker 4: surgery and facelifting facial rejuvenation. So if you say, what
• 11:23
  Speaker 4: are my passions facial rejuvenation with facelifting brow eyes, all
• 11:28
  Speaker 4: that you have to do together noses and tough revisionary
• 11:33
  Speaker 4: breast surgeries.
• 11:35
  Speaker 3: So, Paul, how much does psychology play in your decision
• 11:40
  Speaker 3: to accept the patient? And what kind of questions would
• 11:44
  Speaker 3: you ask a patient to be sure that they would
• 11:47
  Speaker 3: be the right patient for you?
• 11:49
  Speaker 4: Yeah, So, like anything in life, ninety five percent of
• 11:53
  Speaker 4: people I deal with their normal people, and it's the
• 11:56
  Speaker 4: five percent that occupy about ninety percent of your time,
• 12:00
  Speaker 4: and it's it's hard to dissect. Sometimes there are some
• 12:05
  Speaker 4: red flags for me. You want to make sure they're
• 12:08
  Speaker 4: doing it for the right reasons. You know, you do surgeon.
• 12:12
  Speaker 4: So it makes them more pretty, doesn't make them a
• 12:13
  Speaker 4: happier person. You you know, if they have a deformity
• 12:18
  Speaker 4: or they're aging, and it's appropriate. Most people are perfect,
• 12:22
  Speaker 4: Like I said, ninety five percent, what are the red flags?
• 12:27
  Speaker 4: Red flags to me are someone who believe or not
• 12:33
  Speaker 4: is a silent pause or if I'm in a consult
• 12:36
  Speaker 4: and I've done thousands of consultations, well what happened. That's
• 12:47
  Speaker 4: a silent pause. Yeah, irritating and that's not normal. And
• 12:52
  Speaker 4: so if I'm in a consultation and somebody does that
• 12:56
  Speaker 4: to me, that's not normal, right, And I know that's
• 13:00
  Speaker 4: not normal. And so silent pausers, so they know it
• 13:05
  Speaker 4: all is, you know, they're kind I've been doing this
• 13:06
  Speaker 4: twenty six years. I'm a six year old man at
• 13:08
  Speaker 4: the peak of my career, and somebody's going to come
• 13:10
  Speaker 4: in and you know, if they are over you know,
• 13:15
  Speaker 4: then they overtalk you, and there no it all. Sometimes
• 13:19
  Speaker 4: you kind of have to take a step back. Then
• 13:21
  Speaker 4: there's a person who has unrealistic expectations. Those are somebody
• 13:27
  Speaker 4: who will look on the screen and look, well, my
• 13:30
  Speaker 4: neck isn't that bad. I'm like, well, your neck is
• 13:33
  Speaker 4: every bit as bad as that may be worse, you know,
• 13:35
  Speaker 4: or or you know, they want this mole off right
• 13:38
  Speaker 4: here or some small deform me. Yet their nose is
• 13:41
  Speaker 4: like hanging out like that. You know, they're just not realistic.
• 13:44
  Speaker 4: So you know, when you've done thousands of these, you
• 13:47
  Speaker 4: kind of know what people should be saying or doing
• 13:51
  Speaker 4: or looking. And so consequently, those are the things that
• 13:56
  Speaker 4: I start taking deep breath and wondering if they're going
• 13:58
  Speaker 4: to be a good patient. Mm hmmm. I would say
• 14:02
  Speaker 4: to you that I have to take all those things
• 14:06
  Speaker 4: within the context of some people are just nervous before surgery,
• 14:13
  Speaker 4: and they can be bitchy.
• 14:14
  Speaker 3: To my staff.
• 14:16
  Speaker 4: And some of these people they're bitched to my staff
• 14:18
  Speaker 4: and they're just nervous about surgery, and and then afterwards
• 14:23
  Speaker 4: they're the best patient. And that is it is a
• 14:26
  Speaker 4: tough You're right, it is a tough thing. Uh, you're
• 14:30
  Speaker 4: dealing with people's I see people very intensely for uh
• 14:35
  Speaker 4: with you know, they're having their nerves for surgery, they
• 14:38
  Speaker 4: have you know, body issues. Uh, it's you know, they're
• 14:44
  Speaker 4: they're really not you know, they're not their best right
• 14:48
  Speaker 4: when they're having pain, you know. So yeah, there's a
• 14:51
  Speaker 4: lot of psychology in it.
• 14:53
  Speaker 3: Mm hmm, that's what I thought. And so in your mind,
• 14:58
  Speaker 3: how do you define beauty?
• 15:02
  Speaker 4: That is something that is different for everybody. You know,
• 15:08
  Speaker 4: two people can come to me and they want different things,
• 15:11
  Speaker 4: you know, over the years, I think beauty is there
• 15:17
  Speaker 4: is this difference between what I think is beautiful and
• 15:21
  Speaker 4: my art form and what that patient wants. And sometimes
• 15:26
  Speaker 4: I'm not the right surgeon for that patient, right, And
• 15:30
  Speaker 4: so that's why we have galleries. I tell people, look
• 15:34
  Speaker 4: at my gallery and if you like my art form,
• 15:37
  Speaker 4: then I'm your doctor, do you know what I'm saying.
• 15:39
  Speaker 4: So if you are interested in a face, so if
• 15:42
  Speaker 4: you're interested in those or whatever, look at my gallery
• 15:44
  Speaker 4: and see if I'm your surgeon artist for you. Because
• 15:48
  Speaker 4: what my version, my version of beauty I think appeals
• 15:52
  Speaker 4: to a lot of people, but it doesn't appeal to everybody.
• 15:57
  Speaker 3: But you must have evolved this over years of experience.
• 16:00
  Speaker 3: And so what you were you said, You've been practicing
• 16:03
  Speaker 3: for all these years, but what you were in the
• 16:05
  Speaker 3: beginning is not certainly not what you would be today
• 16:08
  Speaker 3: because of all the experience that has come in between.
• 16:12
  Speaker 3: So you know, I would imagine the definition of beauty changes,
• 16:16
  Speaker 3: and also the population has aged. You know, we're in
• 16:20
  Speaker 3: a demographic you and me and and not Tony though
• 16:24
  Speaker 3: Tony's just a little boy. But but you and we
• 16:28
  Speaker 3: are in a demographic where we you know, we're where
• 16:33
  Speaker 3: we are in the largest cohort. Right, So, so as
• 16:39
  Speaker 3: we age, you know, do we change our perception of
• 16:42
  Speaker 3: beauty because now we're dealing with a couple of detractors
• 16:46
  Speaker 3: called aging. One is aging, and then of course the
• 16:50
  Speaker 3: other is the media perception or hype about what beauty is,
• 16:57
  Speaker 3: and that's usually synonymous with youths.
• 17:00
  Speaker 4: Right, So well, I'll give you a couple of action facts,
• 17:05
  Speaker 4: you know, like her things. I mean, today in social media,
• 17:09
  Speaker 4: everybody photoshops their pictures, everybody's great fighting, and it sets
• 17:14
  Speaker 4: up this unrealistic expectation of symmetry and beauty. It just does,
• 17:19
  Speaker 4: you know, and a lot of women are like, why
• 17:21
  Speaker 4: can't I look like that? I said, that person look
• 17:24
  Speaker 4: like that? Or even when you get older, like Brookshields
• 17:29
  Speaker 4: had when she was she was beautiful in her youth
• 17:33
  Speaker 4: with the thick low eyebrows. Well, guess what, that doesn't
• 17:37
  Speaker 4: as these skin ages and that doesn't look good. I'm
• 17:41
  Speaker 4: a six year old woman, it doesn't. And the look
• 17:44
  Speaker 4: of a six year old with that is different and
• 17:47
  Speaker 4: her even in her it's different than it was when
• 17:51
  Speaker 4: she was in her teens and twenties.
• 17:54
  Speaker 3: So what you're really saying is you, like we talked
• 17:57
  Speaker 3: about the psychiatry part of this, that you actually have
• 18:01
  Speaker 3: to be a guide to a patient about expectations because
• 18:06
  Speaker 3: if they're unrealistic, or if they're using that example of
• 18:09
  Speaker 3: a photoshop picture and a social media then they're going
• 18:14
  Speaker 3: to they're just programming for disappointment and you could be
• 18:18
  Speaker 3: you could be a rock star walking on water, and
• 18:21
  Speaker 3: you're not going to ever satisfy those people. So you
• 18:26
  Speaker 3: know this. I think it's pretty fascinating actually that not
• 18:29
  Speaker 3: only do you have to practice and be expert at
• 18:32
  Speaker 3: your craft, which is very technical and precise and of
• 18:38
  Speaker 3: course you know, takes years and years of experience, you
• 18:41
  Speaker 3: also have to get inside the mind of the patient
• 18:44
  Speaker 3: that is potentially could be a problem if their expectations
• 18:47
  Speaker 3: are unrealistic. So I think what you're.
• 18:51
  Speaker 4: Saying is one hundred percent and that's why, like a
• 18:55
  Speaker 4: guy like me, who's you know, been practiced twenty six
• 18:58
  Speaker 4: years by any metric on the busy. This guy in
• 19:00
  Speaker 4: San Diego in surgery, I don't have I'm looked for
• 19:05
  Speaker 4: two three months. I don't need a cap. I just
• 19:08
  Speaker 4: don't need to.
• 19:08
  Speaker 3: You can, you can, you can turn them away if
• 19:10
  Speaker 3: they're not shoose.
• 19:12
  Speaker 4: I can do the case I want to do. I
• 19:15
  Speaker 4: think a lot of patients, not all of them. Most
• 19:18
  Speaker 4: patients appreciate my experience and my ability to say to you, hey, no, no, no,
• 19:23
  Speaker 4: you're barking up the wrong tree, or you know what.
• 19:26
  Speaker 4: I know, you just came here free facelift. You should
• 19:29
  Speaker 4: do your nose. You should? I said, you know what,
• 19:32
  Speaker 4: and you know what, Nine out of ten will say,
• 19:34
  Speaker 4: I appreciate that and that's great, and one out of
• 19:36
  Speaker 4: ten will say, oh, he's a jerk. He told me
• 19:38
  Speaker 4: I need I'm like, hey, I'm being honest and I
• 19:43
  Speaker 4: and some people will look at their face and say,
• 19:45
  Speaker 4: I just want this done. And I'm not pushing I
• 19:48
  Speaker 4: just I'm trying to create a finished product. Either eyes
• 19:52
  Speaker 4: or mini lift, or nose or lip lift or any
• 19:56
  Speaker 4: of those are just products to creating beauty. And so
• 20:00
  Speaker 4: you can't. It's kind of like looking at a car
• 20:03
  Speaker 4: and you have a you know, a dent in your
• 20:07
  Speaker 4: back fender and the rest of the front has some
• 20:10
  Speaker 4: scratches and stuff, and they say, I just want to
• 20:13
  Speaker 4: fix the scratches. You know what I mean? You can't.
• 20:16
  Speaker 4: You got to look at the whole package.
• 20:18
  Speaker 3: Right, So you're saying the big picture. So what in
• 20:21
  Speaker 3: your experience of twenty six years, what has been the
• 20:25
  Speaker 3: most spectacular outcome you've ever had?
• 20:28
  Speaker 4: Wow? That's a hello question. Okay, So on breas. I
• 20:34
  Speaker 4: have one lady friend of mine, actually, she had breast cancer.
• 20:37
  Speaker 4: She went to one of the local hospitals here and
• 20:40
  Speaker 4: a younger classic surge in her reconstruction, and she was
• 20:44
  Speaker 4: admitted to the hospital eighteen times with an infection. In fact,
• 20:49
  Speaker 4: let me see if I can. Can I click on something?
• 20:53
  Speaker 3: And yeah, absolutely, yeah you ask me that.
• 20:57
  Speaker 4: But let me show you something that's pretty cool of
• 21:00
  Speaker 4: what I do. So, yeah, this lady, can you see
• 21:06
  Speaker 4: what I'm doing? I'm not very soon savvy. Can you
• 21:10
  Speaker 4: see what I'm pointing?
• 21:12
  Speaker 3: I don't know. I can't see anything, Tony, are you there? No?
• 21:19
  Speaker 3: He says, no, we can't either.
• 21:21
  Speaker 4: Okay, I don't know how I would, but.
• 21:25
  Speaker 3: I know I get on these zoom calls and people
• 21:27
  Speaker 3: are doing all these power points. Yeah, I don't know
• 21:30
  Speaker 3: how you're asking me. I'm not the right person. But Tony,
• 21:34
  Speaker 3: are you able to guide us? Tony? How to do it?
• 21:37
  Speaker 4: You have to share your spread? Can I do screen sharing?
• 21:41
  Speaker 4: How would I screenshare with you?
• 21:42
  Speaker 2: You'll just have to Yeah, you have to just click
• 21:45
  Speaker 2: screen share.
• 21:47
  Speaker 4: Where would I click that.
• 21:53
  Speaker 3: Screen share?
• 21:55
  Speaker 4: I was disabled at tendee screenshare, so you're host disabled
• 21:59
  Speaker 4: whole Hold on, let me let me give you access.
• 22:02
  Speaker 4: Hold on, Okay, so I'll show you. Okay, okay, am I.
• 22:11
  Speaker 3: By the way, while we're at it, Tony, may I
• 22:14
  Speaker 3: just tell you you have the wrong name on the screen.
• 22:19
  Speaker 3: I don't know if that's going to affect anything, but
• 22:21
  Speaker 3: you've got Francis Cameron and where it's it's doctor.
• 22:24
  Speaker 4: Oh that's on his that's just on his zoom.
• 22:26
  Speaker 3: Okay, okay, Oh, because he's using I got it, he's
• 22:30
  Speaker 3: using got it. Okay, no worries. I just want to
• 22:33
  Speaker 3: be sure we didn't have the wrong name for our
• 22:35
  Speaker 3: guests are sharing.
• 22:36
  Speaker 4: Yeah, that's my that's my associate.
• 22:39
  Speaker 3: Yeah.
• 22:40
  Speaker 4: Now he's thirty six years old. I had to use
• 22:43
  Speaker 4: his computer to do.
• 22:44
  Speaker 3: This, Okay, I was just worried. I was worried when
• 22:47
  Speaker 3: I saw it that we had, you know, he had
• 22:48
  Speaker 3: the wrong guest. So okay, we're good. Okay, so I'm
• 22:51
  Speaker 3: not I'm still not seeing anything, Paul.
• 22:54
  Speaker 4: I'll try try again. I'll uh, let's see. Let's click
• 22:58
  Speaker 4: this screen share and share desktop. Is that what I
• 23:03
  Speaker 4: would screenshare?
• 23:04
  Speaker 3: Right?
• 23:05
  Speaker 4: Yeah, and share and let's see. It says open system preferences. Oh,
• 23:11
  Speaker 4: you may have to change a preference.
• 23:13
  Speaker 3: To Oh you may have that pre programmed on this thing.
• 23:17
  Speaker 2: Yeah.
• 23:20
  Speaker 3: M hmm, Well that's okay.
• 23:23
  Speaker 4: I mean you can actually send pictures. Maybe we can
• 23:25
  Speaker 4: insert them.
• 23:26
  Speaker 3: Yeah, if you could send if you could send a
• 23:28
  Speaker 3: picture over to me.
• 23:32
  Speaker 4: And because I'm on his computer, actually we'll just go
• 23:35
  Speaker 4: with what we got and if you guys can figure out, great,
• 23:37
  Speaker 4: I'll show you. Anyways, she she ultimately very beautiful lady.
• 23:42
  Speaker 4: Ultimately the padding all these infections and I said, you know,
• 23:48
  Speaker 4: I am your friend, and I think you should come
• 23:50
  Speaker 4: and see me. But she was going through insurance, right,
• 23:53
  Speaker 4: and eventually the one breast extruded out and she had
• 23:58
  Speaker 4: a gnarled mess on her breast. It was this gnarl
• 24:03
  Speaker 4: thing and just a beautiful ay likes dress, sex and everything.
• 24:06
  Speaker 4: And it took me four stages fat transfer, expand or
• 24:12
  Speaker 4: implant and now. And she liked fairly round, large breasts.
• 24:17
  Speaker 4: And when you see her from before to after it
• 24:22
  Speaker 4: you can you know, if you want to punch on,
• 24:25
  Speaker 4: you might be able to go on to my websites
• 24:26
  Speaker 4: on my website. But it was a you know, salvaged
• 24:31
  Speaker 4: her whole social life. I mean, she had a massive deformity,
• 24:34
  Speaker 4: you know. Or what I see a lot of is
• 24:37
  Speaker 4: Middle Eastern girls who come to me with their moms,
• 24:41
  Speaker 4: always with their moms, and they're in their eighteen to
• 24:44
  Speaker 4: twenty two year olds and right outgoing, beautiful girls with
• 24:50
  Speaker 4: huge noses, and you know, they've developed their skills and
• 24:56
  Speaker 4: they haven't relied on beauty. And then you do, who knows,
• 25:00
  Speaker 4: I'm transform. I mean it's like a transformation. So that's
• 25:04
  Speaker 4: that's really fun for me.
• 25:06
  Speaker 3: Mm hmm. And so now let's ask the opposite question,
• 25:11
  Speaker 3: which I assume you would expect, what was the worst
• 25:15
  Speaker 3: outcome you've ever had?
• 25:20
  Speaker 4: I would say the worst, Uh, the worst outcome. I
• 25:25
  Speaker 4: don't know. Oh, that's hard that's good.
• 25:29
  Speaker 3: That's good that you have to think about this, because
• 25:32
  Speaker 3: that means.
• 25:32
  Speaker 4: I mean, you can't you can't do plastic surgery and
• 25:35
  Speaker 4: not have a complication or some things like that. I've
• 25:38
  Speaker 4: had things bleeding were you know, once in my practice
• 25:43
  Speaker 4: had to have someone go to the hospital and be
• 25:46
  Speaker 4: admitted to the hospital because they bled so much. You know,
• 25:50
  Speaker 4: I've been thousands of cases. Yeah, you have, you have
• 25:53
  Speaker 4: nipples that can die. You have a guy who you
• 25:57
  Speaker 4: do a facelift on and on the four today, he's
• 26:01
  Speaker 4: chewing gum like this. I would be chewing you know.
• 26:05
  Speaker 4: He goes, oh, that's my nicorette gum. I go. You
• 26:08
  Speaker 4: know that you've signed fourteen different consents not to.
• 26:12
  Speaker 3: Have to go right right, and.
• 26:17
  Speaker 4: He lost. You know when I say lost, the skin
• 26:19
  Speaker 4: died right here and here. I mean, I'm like, you're
• 26:22
  Speaker 4: an idiot. I mean we I mean just about everybody
• 26:25
  Speaker 4: knows that you're not supposed to smoke or have nicotine
• 26:28
  Speaker 4: because the nicoret gum, the nicotine in the nicker guns,
• 26:31
  Speaker 4: the saying as smoking, and we have it, you know
• 26:35
  Speaker 4: in right bold everywhere, and so then you know, I
• 26:39
  Speaker 4: had to let it heal. And then later on I
• 26:41
  Speaker 4: had to take him back a year later and you know,
• 26:43
  Speaker 4: elevate the skin and pull him back to get rid
• 26:46
  Speaker 4: of those areas that have been depigmented and you know, scarred.
• 26:49
  Speaker 4: And so yeah, that's the kind of stuff we see.
• 26:52
  Speaker 4: We do see fortunate it's not too often.
• 26:56
  Speaker 3: So so when you're thinking about your practice and you
• 27:01
  Speaker 3: think about the pros and cons of what you do,
• 27:05
  Speaker 3: what what is it that keeps you going? I mean,
• 27:08
  Speaker 3: you obviously love what you do. You're obviously a part
• 27:11
  Speaker 3: artist and and and actually a craftsman because you're building.
• 27:16
  Speaker 3: It's like me, I'm a developer. I build houses that
• 27:18
  Speaker 3: you build people's but rebuild people's bodies and faces. So
• 27:23
  Speaker 3: it is a craft right.
• 27:24
  Speaker 4: It has a lot of components of cloth, and some
• 27:28
  Speaker 4: things are more crafty craftsmanship than like, for example, a
• 27:35
  Speaker 4: tummy tuck isn't a huge amount of art form, but
• 27:37
  Speaker 4: it's very craftsmanship because you have the you know, right
• 27:41
  Speaker 4: on the table. If the incision looks crooked, you see that,
• 27:45
  Speaker 4: or they have a big dog. You can see that
• 27:46
  Speaker 4: and you could either choose to fix it right then
• 27:49
  Speaker 4: on the table make it perfect. You can do that,
• 27:51
  Speaker 4: and that's craftsmanship. That's why like uh, you know that
• 27:55
  Speaker 4: is crafts and facelifting. It has some art form, but
• 27:58
  Speaker 4: it's more craftsmen and ship because you're just you're doing
• 28:01
  Speaker 4: the same surgery. You're just making sure that the ear
• 28:03
  Speaker 4: lob isn't set perfect, that the trade is this part
• 28:06
  Speaker 4: looks great, that the cyburn isn't pulled up the post
• 28:10
  Speaker 4: your hairline here, they can wear their hair. That's all craftsmanship. Well,
• 28:15
  Speaker 4: things that are art form. Noses aren't your art form
• 28:17
  Speaker 4: because you you can you can change a nose, the shape,
• 28:20
  Speaker 4: the parents, everything, So it does have craftsmanship, but it's
• 28:22
  Speaker 4: very art and so lifting is also another art form
• 28:27
  Speaker 4: because you can change how it looks based on how
• 28:30
  Speaker 4: much you're taking ups and downs, and you still have
• 28:33
  Speaker 4: the craftsmanship. So your different parts of your brain. I'm
• 28:36
  Speaker 4: really tuned to that. Different parts of my brain are
• 28:38
  Speaker 4: working different parts of the case. Like sometimes I'll say, okay,
• 28:41
  Speaker 4: I'm done with the art form part, now I'm in
• 28:44
  Speaker 4: the craftsmanship part. You know what you're saying.
• 28:47
  Speaker 3: Absolutely, And so have you studied art as part of
• 28:52
  Speaker 3: your education and undergraduate school where or even as you
• 28:56
  Speaker 3: later and other ways.
• 28:59
  Speaker 4: It's a good sounds like a good story, and there's
• 29:01
  Speaker 4: a lot of surgeon plastic surgeons who kind of make
• 29:05
  Speaker 4: a marketing of that they're an artist and that they
• 29:09
  Speaker 4: will be able to you know, that they drop pictures
• 29:14
  Speaker 4: and they do all these I've really not seen one
• 29:16
  Speaker 4: of them who I really like. Their their their art
• 29:20
  Speaker 4: form as on surgery. So, you know, it's kind of funny.
• 29:24
  Speaker 4: It sounds good. I'm an aceurtical artist and here's my art.
• 29:27
  Speaker 4: But no, you know, it's something you develop over many
• 29:30
  Speaker 4: years and you develop a sense of what is beautiful
• 29:34
  Speaker 4: and that becomes part of your palette and part of
• 29:38
  Speaker 4: your DNA, and so some people appreciate that, and I
• 29:43
  Speaker 4: do have you know, I have six other plastic churgeons
• 29:46
  Speaker 4: who work here, and you know, one of them is
• 29:49
  Speaker 4: my generation. And you know, we do things quite differently,
• 29:52
  Speaker 4: we really do. We respect each other things quite differently.
• 29:55
  Speaker 4: And sometimes a patient say, we why should I go
• 29:57
  Speaker 4: to you or should I go to him? I said,
• 29:59
  Speaker 4: you know, why do you go to a different restaurant?
• 30:01
  Speaker 4: Both top quality restaurants. They do things a little differently.
• 30:05
  Speaker 1: Mm hm.
• 30:06
  Speaker 3: So so when you're in your private moments and you're
• 30:10
  Speaker 3: thinking about the things that you are passionate about, what
• 30:13
  Speaker 3: what what about your craft. And I mean this in
• 30:17
  Speaker 3: a very blunt, honest way, but what is what inspires you? What? Why?
• 30:23
  Speaker 3: Why do you keep going? Because you've done this for
• 30:25
  Speaker 3: twenty six years and you're obviously very well received and successful,
• 30:31
  Speaker 3: and you you know, you've cornered the market in San Diego.
• 30:35
  Speaker 3: So kudos to you that you had to go through
• 30:38
  Speaker 3: some moments of you know, self doubt or I'm not
• 30:42
  Speaker 3: trying to be a shrink. I'm just asking you what
• 30:44
  Speaker 3: in those private moments, what do you worry about and
• 30:47
  Speaker 3: what inspires you the most?
• 30:49
  Speaker 4: Well, I've just built a certain way, you know, I've
• 30:52
  Speaker 4: always been that guy who who's always kind of push push, pushed, right,
• 30:56
  Speaker 4: And I've always I've just been I've just built like that.
• 30:59
  Speaker 4: And so one of my friends did a residency and
• 31:04
  Speaker 4: he was a junior resident to memot Us and memmot
• 31:08
  Speaker 4: is a few memot When he was a resident, he
• 31:10
  Speaker 4: had medical students following him. He wrote tons of papers.
• 31:15
  Speaker 4: He's one of those guys that sleeps two hours a night.
• 31:17
  Speaker 3: You know.
• 31:17
  Speaker 4: It was very effective and very and my friend Mike said, Memott,
• 31:22
  Speaker 4: why do you do what you do? And he says, Mike,
• 31:26
  Speaker 4: I have one speed full speed ahead, and I'm kind
• 31:28
  Speaker 4: of built like not to say I'm amus, you know,
• 31:31
  Speaker 4: class or anything, but I have one. You know, I'm
• 31:33
  Speaker 4: full speed ahead and at sixty. I mean, I'm at
• 31:36
  Speaker 4: a place in my life where I've really nailed it.
• 31:39
  Speaker 4: I mean every I have it, Every surger I do,
• 31:42
  Speaker 4: I have it mastered, every move I make, you know,
• 31:46
  Speaker 4: I mean, I just I feel like I'm very confident
• 31:49
  Speaker 4: in all the things. I've tried, every technique imaginable. I
• 31:52
  Speaker 4: do about two percent of voice train. I've written papers.
• 31:55
  Speaker 4: I try to innovate, I try new things. I'm always
• 31:58
  Speaker 4: trying to look over my shoulder, how can I do
• 31:59
  Speaker 4: it better? And in fact, you know, it's kind of
• 32:01
  Speaker 4: fun when one of my colleagues is what I was
• 32:03
  Speaker 4: telling you about who we do things differently. When he starts,
• 32:07
  Speaker 4: he does surgery at my surgical center, and about three
• 32:09
  Speaker 4: years ago, I mean, he would come in my room
• 32:12
  Speaker 4: to look and we discuss stuff. I do it this way.
• 32:15
  Speaker 4: We've been in own silos for twenty years, and I
• 32:17
  Speaker 4: go look at him and you know, see if he's
• 32:20
  Speaker 4: doing something different than me. And you know, it's really
• 32:23
  Speaker 4: exciting to hone your skills. And so some of my
• 32:26
  Speaker 4: colleagues at my age are starting to think about, well,
• 32:28
  Speaker 4: I'm going to slow down. I want to retire in
• 32:30
  Speaker 4: five years. I kind of feel like I'm just getting started,
• 32:33
  Speaker 4: you know, I just I feel That's how I feel.
• 32:35
  Speaker 4: I'm just getting started. And you know, to have a
• 32:38
  Speaker 4: mastery of an art form like this, to just not
• 32:42
  Speaker 4: you know, be involved and passionate about it just seems odd.
• 32:46
  Speaker 3: Well, you are in your prime, and you know when
• 32:49
  Speaker 3: you look for a plastic surgeon, you're always looking for
• 32:51
  Speaker 3: those years of experience, and you don't want them to
• 32:53
  Speaker 3: be too old with their hand's going to be shaking,
• 32:57
  Speaker 3: but you want them to be you know, that's that
• 33:00
  Speaker 3: twenty six years is like gold in terms of your resume,
• 33:04
  Speaker 3: your credentials because every like you said, the more you do,
• 33:08
  Speaker 3: what do they say about the ten thousand hours? Right?
• 33:11
  Speaker 4: Yeah?
• 33:13
  Speaker 3: Yeah, So I mean and I believe in that. I
• 33:16
  Speaker 3: you know, we've all tried different things in our lives,
• 33:19
  Speaker 3: not only are professional, but advocational, and we know that
• 33:23
  Speaker 3: your practice makes perfect right, So the more you do something,
• 33:26
  Speaker 3: the better you're going to get at it.
• 33:28
  Speaker 4: There's no question forg Yeah, do you want a cardiac
• 33:32
  Speaker 4: surgeon that does a bypass every week? Or do you
• 33:36
  Speaker 4: want someone who's doing you know, twenty or thirty a month?
• 33:39
  Speaker 4: You want that guy? And you know I always tell
• 33:42
  Speaker 4: you know the patients. My my surgical assistant, she's a Hispanically,
• 33:47
  Speaker 4: she says, low brato es mascaro. You know it's the
• 33:51
  Speaker 4: cheaper it is, the more expensive it is, right patients,
• 33:54
  Speaker 4: you know, like when it comes to aesthetics, or you
• 33:57
  Speaker 4: don't want a discount. You don't want to discount neurosurgeon?
• 34:00
  Speaker 2: You do?
• 34:00
  Speaker 4: You want to discount parachute?
• 34:02
  Speaker 3: No, don't?
• 34:03
  Speaker 4: Is that excerder? You don't?
• 34:07
  Speaker 3: So what how do you feel that you got to
• 34:09
  Speaker 3: be the best plastic surgeon in the San Diego area
• 34:13
  Speaker 3: Because obviously I have a lot of competition in Southern
• 34:16
  Speaker 3: California and a lot of great doctors there. So what
• 34:20
  Speaker 3: what is it that has allowed you to to pass
• 34:25
  Speaker 3: those other surgeons and become number one?
• 34:29
  Speaker 4: Well, there's a there's a personality to this, you know
• 34:32
  Speaker 4: what I mean, there's some people Why does you know,
• 34:35
  Speaker 4: why is some guy like Lebron the best basketball player?
• 34:39
  Speaker 4: If you have a passion for it, you know what
• 34:41
  Speaker 4: I mean? I have a passion for it. It's it
• 34:43
  Speaker 4: and I'm into it. I'm always reading about it, I'm
• 34:46
  Speaker 4: looking at it. I'm trying to be better if you
• 34:49
  Speaker 4: make that as your in any field, right, if any
• 34:52
  Speaker 4: field that you have someone who's always trying to be
• 34:56
  Speaker 4: the best in their field. And you know, if you look,
• 34:58
  Speaker 4: I've written more papers than you know, in peer review
• 35:01
  Speaker 4: journals than any of my colleagues, because I'm so you know,
• 35:06
  Speaker 4: is that you know I'm a workaholic. I like it.
• 35:08
  Speaker 4: I'm okay, I have a pretty good balance, but I
• 35:10
  Speaker 4: do like what I do. And if you're passionate about it,
• 35:13
  Speaker 4: I don't care what field you're in. If you're a
• 35:15
  Speaker 4: chef and you're what makes a guy at the French laundry,
• 35:19
  Speaker 4: why is he such a great chef? Well he probably
• 35:22
  Speaker 4: has the same driven passion that I got. Mm hmm.
• 35:26
  Speaker 3: Yeah. Well, there's been so many books and leadership and
• 35:30
  Speaker 3: entrepreneurialism and the role of passion is like the core,
• 35:35
  Speaker 3: it's like the hub of the wheel. If you're not passionate,
• 35:38
  Speaker 3: you don't you know what they say about what you
• 35:40
  Speaker 3: believe you can achieve. So if you don't have a
• 35:42
  Speaker 3: belief in yourself, and that's at the core, that what
• 35:47
  Speaker 3: you're doing is bringing your joy. It's not just this
• 35:51
  Speaker 3: is not a job. This is a like you said,
• 35:54
  Speaker 3: this is a passion and well so so who inspired you?
• 35:59
  Speaker 3: Who motivate you when you were coming up through the ranks.
• 36:03
  Speaker 4: You know, I have had several surgical mentors. Some mentors
• 36:10
  Speaker 4: taught me everything not to be. I was with one guy,
• 36:15
  Speaker 4: my first Starves and practice. The guy for two and
• 36:17
  Speaker 4: a half years. He taught me everything not to be.
• 36:20
  Speaker 4: You know what I mean. I watched him. I'm like,
• 36:22
  Speaker 4: I don't want to be that guy. I just don't
• 36:24
  Speaker 4: want to be that guy. There's you know, over the years,
• 36:27
  Speaker 4: you try to learn everything from everybody. You know, if,
• 36:31
  Speaker 4: like I said, if you're looking always over your shoulder,
• 36:33
  Speaker 4: how can I do better? And you try things and
• 36:35
  Speaker 4: you do things, and you see some people and you
• 36:39
  Speaker 4: see their work, and every once in a while you
• 36:41
  Speaker 4: go to a meeting. Most of the time I say
• 36:42
  Speaker 4: I look at their work. I go, well, I mean
• 36:44
  Speaker 4: I wouldn't show that doesn't look good. And then once
• 36:46
  Speaker 4: in a while you see somebody and you look for
• 36:48
  Speaker 4: pearls and you say, wow, that's really good. I'm gonna
• 36:50
  Speaker 4: read everything I can about what that guy's doing or
• 36:53
  Speaker 4: I'll visit other classic surgeons. But at this phase in
• 36:55
  Speaker 4: my career, I've kind of done all that and I
• 36:58
  Speaker 4: know what everybody's doing out there, and I've kind of developed.
• 37:00
  Speaker 4: You develop your own style, your you're and you've you know,
• 37:04
  Speaker 4: made the mistakes and you know how to stay out
• 37:07
  Speaker 4: of trouble.
• 37:09
  Speaker 3: So let's talk a little bit about health and wellness,
• 37:11
  Speaker 3: because you know you're operating on people that some of
• 37:14
  Speaker 3: them are compromised, and particularly with COVID. Now, I mean
• 37:17
  Speaker 3: you're you know, there's a lot more scrutiny of the
• 37:19
  Speaker 3: immune system. But how do you take I know you
• 37:23
  Speaker 3: do blood work, but how do you make a decision
• 37:26
  Speaker 3: about whether someone is a good good enough risk to
• 37:29
  Speaker 3: operate on based on what you see in their profile,
• 37:32
  Speaker 3: I mean as far as their overall health.
• 37:36
  Speaker 4: Well, you know, anesthesia. What you're really asking is is
• 37:41
  Speaker 4: an anesthesia question, because you know, when you operate on someone,
• 37:45
  Speaker 4: they should be able to handle that without you know,
• 37:48
  Speaker 4: any issues. If we have certain criteria, if they're on diuretics,
• 37:52
  Speaker 4: we have to get lab tests. If they have a
• 37:54
  Speaker 4: history of anemia, we get you know, blood count. Anybody
• 37:58
  Speaker 4: over fifty five, it's an e cage. If they are
• 38:01
  Speaker 4: on multi meds or they have any medical issues, we
• 38:04
  Speaker 4: have to get preoperative clearance. Today are anti We use
• 38:07
  Speaker 4: the ant caesiologist from our local regional hospital. We have
• 38:11
  Speaker 4: modern antesesia machines. And I would say that when you
• 38:16
  Speaker 4: have a say, you know, we have our facility I
• 38:19
  Speaker 4: think is second to nine and so, and you have
• 38:21
  Speaker 4: a create a safe environment like that most people do
• 38:28
  Speaker 4: very well. We don't have like antesthesia issues. Ants is
• 38:32
  Speaker 4: very safe. You're statistically you're you're much more likely to
• 38:35
  Speaker 4: get in trouble getting in your car and get an
• 38:37
  Speaker 4: accident than you are with antesesia. And especially when I've
• 38:41
  Speaker 4: hand picked these antithesiologists, which the least experienced one has
• 38:45
  Speaker 4: had twenty five years experience, you know what I mean.
• 38:49
  Speaker 4: They're going to the hospital and here so they're seeing
• 38:52
  Speaker 4: the sickest of the sick patients. I feel very comfortable
• 38:55
  Speaker 4: with that. So what I would say is the corlair
• 38:59
  Speaker 4: that what can you do to become more healthy for
• 39:02
  Speaker 4: your service? And I you know, cutting into people for
• 39:05
  Speaker 4: a living, you see how their tissues are and you
• 39:09
  Speaker 4: know obviously youth is huge, right, but as you get older,
• 39:13
  Speaker 4: I see this big disparity on jocks. People who state
• 39:18
  Speaker 4: who do cardio have way better noticely probably different tissues
• 39:24
  Speaker 4: than people who don't. Now I do see genetics is
• 39:27
  Speaker 4: a huge play in this, but you can maximize your genetics.
• 39:30
  Speaker 4: So there's five different skin types I deal with. I
• 39:33
  Speaker 4: deal with Celtic, you know, the blue eye, blonde, thin skin,
• 39:38
  Speaker 4: bad damage. I deal with Mediterranean skin, the Southern Mediterranean,
• 39:43
  Speaker 4: South American, Hispanic skin, Asian Arabic, Persian, Middle Eastern skin,
• 39:51
  Speaker 4: and black skin. And they all have their own different
• 39:53
  Speaker 4: things like for example, you know how much botox do
• 39:57
  Speaker 4: I do on Asians and Blacks? None, It's all Keltic
• 40:01
  Speaker 4: because their skin the lighter, the pigment, that thinner, the dermists,
• 40:05
  Speaker 4: that thinner the dermists, the more the wrinkles show through
• 40:08
  Speaker 4: on muscles of animation through the skin more than some
• 40:11
  Speaker 4: image they have. Those people tend to need more facelifts
• 40:15
  Speaker 4: and breastlifts and tummy tucks, but they also heal really well.
• 40:18
  Speaker 4: Then the white skin also heals very fine lines. Meditrating
• 40:23
  Speaker 4: skin is probably really good for everything. It's good elasticity,
• 40:27
  Speaker 4: it heals well, does great. Asian skin great for breast,
• 40:31
  Speaker 4: dogs and light boat horrible for breast lifts and timmy tucks.
• 40:35
  Speaker 4: They tend to get thick scars. Black skin is the
• 40:39
  Speaker 4: best for everything, the best elastics. I can do light
• 40:41
  Speaker 4: possuction a Black person and get fantastic results, where in
• 40:46
  Speaker 4: a Middle Easian person that skin will just hang. Middle
• 40:48
  Speaker 4: Eastern skin is the worst skin. I deal with why
• 40:51
  Speaker 4: it doesn't have good elasticity. It takes forever for the
• 40:54
  Speaker 4: scars to heal. So most people's scars they look good
• 40:57
  Speaker 4: at the first month, and second, third, fourth month, they're
• 41:00
  Speaker 4: kind of red, and then there's a process they heal.
• 41:03
  Speaker 4: Middle Eastern I tell them it's eight months, ten months
• 41:06
  Speaker 4: or a year before there's cars look good. So, you know,
• 41:09
  Speaker 4: knowing that I can kind of help coach people and
• 41:12
  Speaker 4: tell them what the normal processes are.
• 41:16
  Speaker 3: That's very interesting, you know. I never have heard that
• 41:19
  Speaker 3: by an ethnic disparities. Yeah, so that's really fascinating. Well,
• 41:25
  Speaker 3: you know, ageless and timeless. You probably saw a little
• 41:29
  Speaker 3: bit on my website, But basically what we're doing, our
• 41:32
  Speaker 3: purpose and mission is to look and feel our very
• 41:34
  Speaker 3: best as long as we are alive, and so it
• 41:38
  Speaker 3: being the best version of ourselves. And so you know,
• 41:41
  Speaker 3: of course and I told you right when I first
• 41:43
  Speaker 3: talked to you that never I've never had a doctor
• 41:47
  Speaker 3: a plastic surgeon, and it's like a big void that
• 41:49
  Speaker 3: we had for so long. We've been doing this for
• 41:52
  Speaker 3: I guess fifteen sixteen months now, and so I'm just
• 41:56
  Speaker 3: so happy to have you on because you know, people say, oh,
• 42:00
  Speaker 3: I would never have anyone cut into me, but this
• 42:03
  Speaker 3: this day and age, it's so safe with what you
• 42:06
  Speaker 3: just said, and so you know, sometimes it's just not
• 42:10
  Speaker 3: enough you can do with fillers, you know what I mean.
• 42:14
  Speaker 3: And so the fact that we can look and feel
• 42:16
  Speaker 3: our best by doing a little bit of let's call
• 42:19
  Speaker 3: it nip and tuck or whatever you want to however
• 42:22
  Speaker 3: you want to say it scientifically that I think it's
• 42:26
  Speaker 3: a it's just I think you're doing a huge service.
• 42:30
  Speaker 3: It really is. Like I said, it's psychological. You know,
• 42:33
  Speaker 3: the difference that you make in people's the way they
• 42:35
  Speaker 3: view themselves by doing having a successful surgery is is
• 42:42
  Speaker 3: life changing.
• 42:44
  Speaker 4: So I would say to you that, you know, I'm
• 42:48
  Speaker 4: seeing even more than ever now people in their seventies
• 42:52
  Speaker 4: having new relationships. You know, I see them you know,
• 42:57
  Speaker 4: having X where you know the three biagri days that
• 43:01
  Speaker 4: just didn't happen. Dating, enjoying, traveling. They're vibrant, they're working out,
• 43:06
  Speaker 4: they're doing, like you say, the best version of themselves.
• 43:09
  Speaker 4: Yet there is nothing you can do against grab. They need,
• 43:13
  Speaker 4: you know, facelifting, breastlifting. They want to look their best.
• 43:17
  Speaker 4: They feel sexy. They want to feel sexy. Well, you
• 43:20
  Speaker 4: can't feel sexy if you look in the mirror and
• 43:22
  Speaker 4: you don't look sexy. You know, you don't look your
• 43:24
  Speaker 4: best and you don't like the way you get in
• 43:25
  Speaker 4: the mirror.
• 43:28
  Speaker 3: Yeah, so that's self image. You know. I have a
• 43:31
  Speaker 3: lot of friends who, like you know, they're younger, they're
• 43:35
  Speaker 3: in their forties and fifties that they're they're going through
• 43:39
  Speaker 3: this self image thing where they're starting to feel the
• 43:43
  Speaker 3: or see the signs of aging and they don't know
• 43:46
  Speaker 3: what to do with it. You know, they're trying to
• 43:48
  Speaker 3: find answers, and sometimes they find the wrong answers. Like
• 43:53
  Speaker 3: you said, so you have to do the corrective stuff.
• 43:55
  Speaker 3: That's something I didn't want to ask you though. Well
• 43:58
  Speaker 3: I'm glad I thought of this as it how often,
• 44:01
  Speaker 3: like you told me about the lady with the breast
• 44:03
  Speaker 3: cancer and how you help to reinventure. But do you
• 44:08
  Speaker 3: do you find it taking on someone else's mistakes is
• 44:11
  Speaker 3: a really dangerous protocol for you.
• 44:16
  Speaker 4: No, I have a whole practice of it. I love it.
• 44:18
  Speaker 4: I kidding me. That's what I love doing. I love
• 44:20
  Speaker 4: taking on major disasters. I mean that's what I do,
• 44:25
  Speaker 4: you know, thinking outside the box, using the whole, all
• 44:29
  Speaker 4: those years of experience to do that. You know, you
• 44:31
  Speaker 4: see that show Watch. Yeah, yeah, that's what I do.
• 44:34
  Speaker 4: That's what I do. I do it. I think at
• 44:36
  Speaker 4: the highest level that that can be done. That's so
• 44:39
  Speaker 4: when you say, hey, one of the things I really
• 44:41
  Speaker 4: enjoy doing is revisionary breast surgery. The ones that have
• 44:44
  Speaker 4: been done four or five times of revision noses, the
• 44:46
  Speaker 4: ones have been done two and three times, and you
• 44:49
  Speaker 4: know a lot of times I'll open up a nose.
• 44:51
  Speaker 4: It's kind of like footprints on the moon. You can
• 44:53
  Speaker 4: say exactly what that last guy did, and you oh,
• 44:56
  Speaker 4: he's just an experienced or it didn't do enough. Here,
• 44:58
  Speaker 4: it didn't do that, and know you fix it and
• 45:01
  Speaker 4: you say, hey, listen, that's yeah, we fixed it. And
• 45:05
  Speaker 4: these people who went from really sad and depressed too
• 45:09
  Speaker 4: and something they hide to something that they're proud of,
• 45:13
  Speaker 4: and it is socially and psychologically improvement much more than
• 45:19
  Speaker 4: people give it correct to. There's always going to be
• 45:21
  Speaker 4: that the people who are negative and plastic surveys. You
• 45:24
  Speaker 4: know that I can't control that or fix that, but
• 45:26
  Speaker 4: I but I can tell you that I do enjoy
• 45:30
  Speaker 4: doing that transformation on people.
• 45:32
  Speaker 3: M Well, that you are very unusual because I hear
• 45:36
  Speaker 3: a lot of this. I won't take a patient who
• 45:40
  Speaker 3: has had a botch job because I don't want to
• 45:43
  Speaker 3: be associated, you know, with that botch job. So they're
• 45:47
  Speaker 3: they're basically running away from the challenge. What you're saying,
• 45:50
  Speaker 3: you open your arms and welcome it because for you,
• 45:53
  Speaker 3: it's it inspires you.
• 45:55
  Speaker 4: Right, it totally does it. In fact, you know, it's
• 45:58
  Speaker 4: kind of weird how surgeons are. I mean, I see
• 46:02
  Speaker 4: people from all around the country, and you know, sometimes
• 46:04
  Speaker 4: they need to follow up with a plastic surgeon in
• 46:06
  Speaker 4: their in their city that they came from. There's a
• 46:08
  Speaker 4: lot of plastic surgeons won't see anyone who they didn't
• 46:12
  Speaker 4: do the surgery. I'm like, really like, if somebody comes
• 46:15
  Speaker 4: here and asks me, hey, I have surgery somewhere else,
• 46:18
  Speaker 4: and can you take out the sutures, and yeah, of
• 46:21
  Speaker 4: course I'll do that. Why wouldn't I? You know, but
• 46:24
  Speaker 4: I don't Know's like there's egos and weird stuff going
• 46:27
  Speaker 4: on in people's brains that I don't just don't get.
• 46:31
  Speaker 3: Well, I think it's I think that that itself gives
• 46:34
  Speaker 3: you a niche, so I think you should be certainly
• 46:38
  Speaker 3: promoting that. So that's the last question I wanted to
• 46:41
  Speaker 3: ask you. So well, No, I have two questions and
• 46:44
  Speaker 3: then we have to close run out of time. It
• 46:46
  Speaker 3: always goes by so fast when we have people like you.
• 46:50
  Speaker 3: My one question is if you had a superpower, And
• 46:54
  Speaker 3: I'm thinking, because you do have a lot of power,
• 46:56
  Speaker 3: but if you had a superpower, what would that be
• 46:59
  Speaker 3: and how would you use it?
• 47:02
  Speaker 4: Well, I've thought about that. I think I'd like to
• 47:05
  Speaker 4: know what everybody's thinking. That way, if I'm playing poker,
• 47:08
  Speaker 4: I could I wouldn't call certain as that's a question.
• 47:20
  Speaker 3: Okay, So you'd like to be a mind reader, is
• 47:22
  Speaker 3: what you said?
• 47:23
  Speaker 4: My reading would be a pretty good superpower.
• 47:25
  Speaker 3: Yeah, I'm with you on that one. I feel that
• 47:28
  Speaker 3: way a lot. But okay, and then the last question
• 47:32
  Speaker 3: is what do you see in your future? In other words,
• 47:38
  Speaker 3: where you are today, twenty six years of experience, You've
• 47:41
  Speaker 3: got a good what how many more years do you
• 47:43
  Speaker 3: feel you're going to practice?
• 47:45
  Speaker 4: I would it's hard if I see a lot of
• 47:47
  Speaker 4: my colleagues are aging and there they practice until their
• 47:50
  Speaker 4: mid seventies. I I have a surgical center, I have
• 47:54
  Speaker 4: a junior guy. It's not that I think I can
• 47:57
  Speaker 4: practice another fifteen years. I think what what I'd like
• 48:01
  Speaker 4: to do is if as probably another five years of
• 48:07
  Speaker 4: doing just what I'm doing, and then probably just doing
• 48:10
  Speaker 4: the same, but take more time off. I have a
• 48:12
  Speaker 4: two young kids, ane year old and a thirteen year old.
• 48:15
  Speaker 4: I kind of want to travel. I have kind of
• 48:17
  Speaker 4: a wonder left, and so I still want to do
• 48:20
  Speaker 4: what I'm doing. But maybe, you know, do Europe for
• 48:22
  Speaker 4: three weeks. It's something I can't be right now, you know,
• 48:26
  Speaker 4: That's kind of what I know. I'll come back operate
• 48:30
  Speaker 4: Instead of operate three four days a week, I can
• 48:32
  Speaker 4: operate two two and a half days and just go
• 48:35
  Speaker 4: it down. But I'm not going to do that for
• 48:38
  Speaker 4: about five years.
• 48:39
  Speaker 3: Well, not only that, but with COVID, you can't even
• 48:42
  Speaker 3: get on a plane and go to any place. Yeah,
• 48:45
  Speaker 3: other than the US at the moment. So well, okay,
• 48:48
  Speaker 3: so how would our viewers find you? Would you give
• 48:52
  Speaker 3: us your quickie contact? I know we have your website.
• 48:55
  Speaker 3: We'll have your website up on.
• 48:56
  Speaker 4: Our becoset, Plastic Churity or just doctor Chason Paulity. You
• 49:01
  Speaker 4: know world. You know, when was the last time I
• 49:03
  Speaker 4: handed out a business card? You know what I mean.
• 49:07
  Speaker 4: I'm in del Mar You know, if you look up
• 49:08
  Speaker 4: Plastic Chidren del Mark, I'll come up. You know, I'm
• 49:11
  Speaker 4: not hard to find.
• 49:12
  Speaker 3: And I agree. But what so if our if our
• 49:17
  Speaker 3: viewers were coming to you, did they would they get
• 49:19
  Speaker 3: some kind of a consideration for their visit, their consultation
• 49:24
  Speaker 3: and maybe.
• 49:25
  Speaker 4: You want a free consult I charge one hundred and
• 49:27
  Speaker 4: fifty dollars for a consultation. If they come to the show,
• 49:30
  Speaker 4: then I would probably waive that.
• 49:31
  Speaker 3: Feet Oh that is socialet. Well, and I wasn't trying
• 49:34
  Speaker 3: to frame you. I realized that, you know, normally, this
• 49:39
  Speaker 3: is funny because normally I asked that question on the
• 49:42
  Speaker 3: preview before we get on the air.
• 49:44
  Speaker 4: But you know, we don't get rich off consultation, but
• 49:49
  Speaker 4: it does. It's a natural selection. In other words, if
• 49:52
  Speaker 4: somebody you know, I'm at the higher end of what
• 49:55
  Speaker 4: I do, and I charge of course what we do
• 49:59
  Speaker 4: and that result. But if they can't, if they don't
• 50:03
  Speaker 4: understand that, and they're not willing to pay one hundred
• 50:06
  Speaker 4: and fifty dollars to see me in the experience I
• 50:10
  Speaker 4: have to offer, then they're not a good patient for me.
• 50:13
  Speaker 4: We're just not a.
• 50:14
  Speaker 3: Good yeah, right, yeah, No, I know a lot of
• 50:17
  Speaker 3: the surgeons do the one hundred and fifty, but then
• 50:19
  Speaker 3: if you do the surgery, they put a credit on
• 50:22
  Speaker 3: or something like that. Yeah, but thank you, thank you
• 50:25
  Speaker 3: for that offer, because we always like to give our
• 50:28
  Speaker 3: viewers some special VIP thing that you know, and also,
• 50:33
  Speaker 3: you know, we want people to know that you are
• 50:35
  Speaker 3: the choice we made. We didn't just say, oh, you know,
• 50:39
  Speaker 3: Ageless and Timeless is going to have ten plastic surgeons. No,
• 50:42
  Speaker 3: it took us fifteen months to have one. So we
• 50:46
  Speaker 3: had to wait for the right one, and we had
• 50:48
  Speaker 3: to be very sure that the right one is the
• 50:50
  Speaker 3: one that we want our viewers to know about, particularly
• 50:55
  Speaker 3: if they live in you know, I'm assuming you have
• 50:58
  Speaker 3: you have patients from all over the world, but if
• 51:00
  Speaker 3: they live in Southern cal of course, it's going to
• 51:02
  Speaker 3: be a lot easier. So all right, well, Paul, we
• 51:05
  Speaker 3: have to close now, and I want to thank you
• 51:07
  Speaker 3: so much. We do a little bit of a closure
• 51:11
  Speaker 3: from just my little monologue, but you can stay on
• 51:14
  Speaker 3: with us if you would like. So thank you so much,
• 51:18
  Speaker 3: and I hope I get to meet you. I do
• 51:19
  Speaker 3: have a girlfriend who just spoke with her today, who
• 51:21
  Speaker 3: goes down to Delmar from Las Vegas every summer, and
• 51:25
  Speaker 3: she said, why don't you come and visit me? And
• 51:27
  Speaker 3: I said, well, I have two reasons for doing that now.
• 51:29
  Speaker 3: One is you and the other one is the man
• 51:32
  Speaker 3: that's going to be on my podcast today. So I
• 51:35
  Speaker 3: hopefully that come and have a nice wee can have
• 51:37
  Speaker 3: a lunch together or something when on there, and that'll
• 51:40
  Speaker 3: be probably in July or something like that. So do
• 51:43
  Speaker 3: you work all summer?
• 51:44
  Speaker 4: I assume you're working.
• 51:46
  Speaker 3: Heads up, Yeah, no, of course, you know, I'd always
• 51:49
  Speaker 3: tell you I'm coming. All right, Well, thank you again.
• 51:52
  Speaker 3: So to our viewers, I think you have heard a
• 51:56
  Speaker 3: very accomplished plastic surgeon today. That is, any buddy's guests
• 52:03
  Speaker 3: would be to put him at the top of your
• 52:06
  Speaker 3: list if you're going to be looking for a surgeon.
• 52:09
  Speaker 3: I'm not trying to sell him. I'm only trying to
• 52:11
  Speaker 3: tell you based on the facts. I've done a lot
• 52:14
  Speaker 3: of research. I may be a little biased because his
• 52:17
  Speaker 3: brother is my friend, but I did get that intro,
• 52:20
  Speaker 3: but then I went and did my own independent research.
• 52:23
  Speaker 3: I wouldn't have invited Paul if I hadn't come out
• 52:26
  Speaker 3: of that with flying you know, flying colors as far
• 52:30
  Speaker 3: as his capability, and he has a lot of very
• 52:33
  Speaker 3: happy patients. So have a look at his website as
• 52:37
  Speaker 3: he just gave it to you. And if you're wanting
• 52:41
  Speaker 3: to make an appointment, be sure to use the ageless
• 52:44
  Speaker 3: name ageless and Timeless so that his office knows that
• 52:47
  Speaker 3: you're coming through this podcast. Okay, well, thank you very much, Paul,
• 52:52
  Speaker 3: and you have a beautiful evening. Take care all. Okay,
• 52:55
  Speaker 3: bye bye, bye bye.
• 53:04
  Speaker 2: My love for you is immeasurable. My respect for you
• 53:10
  Speaker 2: ammends of your ageless timeless Layson findness your beauty and
• 53:19
  Speaker 2: again