Latest / The Dr. Randi Show / The Impact of Medical Weight Loss on Aesthetics and Plastic Surgery — Dr. Bradley Calobrace

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The Impact of Medical Weight Loss on Aesthetics and Plastic Surgery — Dr. Bradley Calobrace · The Dr. Randi Show

0:03
The views expressed in this podcast are for informational
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purposes only and do not constitute medical advice.
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This episode of The Doctor Randy Show is proudly sponsored by New
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Beauty, the ultimate authority in beauty and aesthetics.
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ahead of the trends and discover what's next in beauty.
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Now let's get into the episode. Hello everyone, and welcome to
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the Doctor Randy Show, where real conversations shape the
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world of aesthetics. Our next guest is one of the
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most respected plastic surgeons in the country.
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He performs more than 1000 aesthetic procedures a year, and
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he's helping shape how weight loss is redefining what patients
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need from aesthetics and surgery today.
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Please welcome Doctor Bradley Calabrese.
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Thank you, Randy. I'm really glad to be here.
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We're excited. I love this topic, so I'm glad
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we're talking about it. Well, we're so excited to have
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you here today. And this is such a hot topic in
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our industry, but it's mostly been about weight loss or
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needing some extra filler. But today we're going to dive in
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a little deeper with you, OK? Sounds great.
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So, Doctor Calabrese, you have become one of the most respected
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names in aesthetic surgery. People talk about your
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precision, your results and the standards that you set.
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When a patient sits down for a consultation for you for the
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first time, let me ask you what is the first thing that you
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really want them to understand about you being a surgeon?
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Well, I think that, you know, people come in with different
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ideas about who I am or maybe they've traveled across the
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country to see me. And I think at the 1st is I want
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to disarm them by just being like acting normal and being
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normal with them. I'm just a normal person.
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I always remind people, I grew up in the middle of Indiana.
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When I was in high school, I lived in a trailer.
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I am just a normal guy who just happened to work hard enough to
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be good at my craft and it's plastic surgery.
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But what we try to do in the consultation with them is mostly
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about education. It is to hear their questions
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and see their issues and problems and then spend most of
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the time really educating. Not selling, but educating to
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help them decide whether a surgery or a treatment is
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appropriate for them. So I think that's where we
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really start. And when I say to everybody, my
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job is not to make you look perfect, I don't even want that.
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I don't want the world to be perfect.
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It's not that. What I want you to do is feel
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more comfortable in your own skin.
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I just need you to have happiness and well-being in your
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own skin. And that could be about their
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weight or it could be about something cosmetic that we need
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to do surgery on. So I think that's where we start
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the process and I think that disarms them and they feel like
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they can be a little more honest about what they're bothered by.
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Well, from my research getting ready for the podcast, I found
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out that you're doing over 1000 procedures a year.
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I mean, that's a level of volume that most surgeons never even
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get close to. With that pace, what still gets
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you excited? Walking into the OR?
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Yeah. So this is I'm getting ready to
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start in a couple months, my 29th year in practice.
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So I've done it a long time. I think what is unique in my
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practice is that although I'm in private practice, you've talked
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a lot about how much I've done in our industry, in our space.
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I'm very academic, like in other words, it's an Education Center.
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I have resonance and I have fellows with me all the time.
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I'm medical student right now from Los Angeles, visiting and
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observing for a week. So the environment is very much
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an educational environment. When I go into a room, sometimes
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you see patients, if they're comfortable with it, it may be 5
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people around me coming into the room to have the conversation,
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which can be challenging. So we asked for permission every
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time. But I think at the end, you
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know, it's about that. It's about being educational.
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And that gets me excited because if I was years ago before I
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built Kalispa, I was doing really well in my 10th year of
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practice. I was all doing well
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financially, you know, great. And then I thought, OK, I'm now
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44 years old. Am I now going to just do this
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for the next 20 years? Exactly what I'm doing right now
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in this exact 3000 square feet office.
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And for me, the answer was no. And so all that we have going on
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and all that I'm involved with, new techniques and technologies,
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keeps me excited. Well, from what I understand,
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you're training other surgeons, you're helping elevate the
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industry. I mean, it's undeniable that you
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are helping change our industry and shape it.
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So one of the topics that we like to cover is how the demand
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for surgery has really shifted over the last few years.
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And from where you sit, which is at an expert level, what changes
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have you noticed in the kinds of procedures that patients are
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looking for and the conversations that they're
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having when they're coming in? Well, certainly over the last
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decade or two, what changed was the ability to do a lot more non
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surgical treatments. So I brought Botox to
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Louisville, KY in 1997. It got FDA approved for cosmetic
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uses in 2002. So we were really ahead of the
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curve and now we know what has happened with like Botox and all
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of the toxins and fillers. So I think that there's been so
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many advances in laser treatments and Hydra facials and
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skin care products and fillers and toxins.
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That's probably been the most profound difference during my
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career, certainly. And that continues to evolve.
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And so today, in the last two to three years, maybe five years
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for me has been the interest in Wellness and the idea that we
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can do better than just thinking about the aesthetics of our
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patient, right? That we are plastic surgeons
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that have a uniquely intimate close relationship with our
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patients who have put a lot of trust in US.
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And so we have a bond that's a different kind of a bond.
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They selected me and they chose me.
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And so with that, I have the responsibility to look deeper
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into what's happening in their life and try to help make that
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better for them as just a pure service to them is to try to
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find what's making them not live their fullest, best life and
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then change that for them. And that's sort of where I think
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things are. That sounds like you really do
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care about the patient and the results and how they feel.
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And we wish we had more of that. So let's dive into this GLP one
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era, right? So it has changed the entire
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aesthetic landscape almost overnight, right?
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Because remember when they came on the scene, everybody thought
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it was just going to be a flash. And they are definitely here to
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stay. So what are you seeing in your
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practice when it comes to how rapid weight loss loss is
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affecting people aesthetically? So I will tell you that a few
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years ago I brought weight loss medications into my practice
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because so many patients were already coming in having been on
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them for the GLP ones. You know, at the beginning it
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was a Zombic and Govi, then it became Munjaro and then Zeb
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bound for that. And so we certainly stepped into
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it because we were already doing hormones and we did that.
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So if I told you how long I've said weight loss is the most
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visible but the least important benefit of the GLP wads, I go
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back to zooms and things I've done year or two ago, people
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would look at me like, are you crazy?
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And I was like, listen, the anti-inflammatory effects, the
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use in autoimmune diseases, it's issues related to addiction and
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dementia and the reduction in cardiac disease, cardiac health,
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it reduces cardiac morbidity and mortality.
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It is a huge deal, plus it's managing diabetes and it's
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helping with weight on the other things.
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But to your point in that the side effect that maybe I don't
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like to see is the rapid weight loss can lead to more profound
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changes of weight loss. Because it happened so quickly,
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the body doesn't even have time to respond and maybe even the
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GLP ones in how they act actually create a weight loss
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that becomes more obvious that we would call an ozympic phase
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or you know to use a phrase from a met one of the medicines, AGLP
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one phase, AGLP one body that is something that's quite different
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than somebody who came in and lost 30 lbs.
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It is somebody who lost in the last three months on these and
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we're seeing a more profound change that we have to address
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with our patients. And so are you finding that
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they're coming to you in the middle of their weight loss?
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Or do most wait until you know they've stabilized?
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And when someone has lost a significant amount quickly, do
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you recommend that they kind of hold steady for a while before
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they do surgery, or does that really depend on the individual?
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So certainly the first thing I say to them is they say, well,
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what's going to happen when I'm off the medicine?
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And what do you think my answer is?
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You're never going to be off the medicine.
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That's right, they have that's. My answer to that question, no,
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we're going to micro dose and do some other things.
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We're learning a lot about that. So certainly that now I will
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tell you like I had office hours yesterday and about half of the
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patients I see are on GLP ones or have been on them in the last
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year and they often are really within 10 to 15 lbs of their
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weight loss. So they're getting really close.
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They've lost £70.80. It is not like somebody came in
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losing 15 lbs. It is always 4060 a 100 lbs.
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And I always say the same thing. I'm like it's pretty amazing
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isn't that you were able to do this on this medicine.
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They're like, I can't tell you how amazing it is.
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It has empowered people to lose weight in ways that they
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couldn't do before and they really wanted to.
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I used to do bariatric surgery when I was a general surgeon.
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I know bariatric surgery and I will tell you, I used to say I
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can't figure out why somebody can't lose weight.
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It's complicated. But I know that when they're
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overweight, it affects their life quality and the quantity of
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their life. It affects both.
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And if we can get them to lose weight, that simply was going to
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improve both. And I think the same thing is
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true with GLP ones. The fact that they can lose the
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weight and they can actually do it with just a medicine and
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without surgery, and they get all the benefits of that weight
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loss. I mean, forgetting the cosmetic
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part of it, the quality of their life and the longevity they get
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out of losing weight is profound.
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I've seen unbelievable changes right in people.
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It's great. And I think it's wonderful to
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see, right people who've struggled with their way their
10:46
entire life. It's so nice sometimes to log
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into social media and I'm like, look at that person, look how
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great they look and it's wonderful.
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Yeah, I mean totally. Like totally.
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I mean, that's the part that if you're not around and don't know
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it, you don't get it. Patients desperately want to
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lose weight. Women have an unfair shot here,
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right? Over 90% of my patients are
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women because I think in the world, what I'm known for most
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is breast. So no surprise that many of my
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patients are women and they have to hit menopause #1 they have a
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higher percent body fat to start with compared to men.
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They have to because they're a body that's made for having
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children. They have the hormonal milieu
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they struggle with through pregnancies.
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I mean, puberty, probably pregnancy, certainly with a lot
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of changes. Then they hit menopause just by
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the time they get through pregnancies and they think all
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is good, then they have menopause and their body changes
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without them changing anything about their lifestyle.
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Their body changes because the hormones change and they get
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side effects being hot flashes and they get vaginal dryness and
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they lose their libido and they have no energy and they gain
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weight and they can't sleep at night and they have anxiety and
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they have mental fog. And you know, I could just name
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all of that. And some of that is also tied
11:55
into this weight issue that would gaining weight when you
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profoundly help them to lose weight, it is a stepping stone
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for them. It is finally they've got some
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level of control over their life again and their weight.
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And I think you just see them just blossom again and there's
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happiness and energy and just feeling like they they've been
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successful as something. And that's really profound.
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It's great to watch and even have family members do it and
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their personalities change so. Exactly.
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We all are happier when we're skinny.
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I'm just. Kidding.
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No, I think is they want to lose weight, you know, and that's
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they want to lose weight, they don't know how.
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And then when you give them a path and they can do it and
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they're successful, that's profound.
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Yes. But you're right about what you
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said that they're terrified of coming off of the medication.
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And so I love that the micro dosing has become mainstream
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now. So I think that's really good.
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So. For patients who have lost a lot
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of weight and they do need surgery, how different is your
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approach when you are deciding between, say, a tummy tuck, a
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full lower body lift, or something more comprehensive?
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What drives that decision for you?
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Well, I think one thing for sure is we see a lot more patients
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who aren't going to get by with just liposuction, right?
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And so we've had so many meetings.
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Our meetings have been focused a lot on what's called high
13:16
definition liposuction and some of these things.
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I'm the vice commissioner of education for the Sex Society
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and in our meeting planning for 2026 meeting, I was like, you
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know, we have to have more about body lifts and arm lifts and
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thigh lifts and extended or anchored tummy tucks and face
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UPS because we're seeing such an ozympic phase of our practice
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where so many patients need something to your point,
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something more than simpler procedures.
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And so often we are. I used to do tummy tucks with
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liposuction to the hips. Now it's often a circumferential
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body lift. It's a thought.
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I did thigh lift yesterday, yesterday, I mean a body lift.
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I lift yesterday, a buttock slipped yesterday.
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And I do arm lifts, tons of them, like tons of them.
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I do tons of face slips. And I think basically all of
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them are because of weight loss, right?
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And weight loss is men and women, you know, we're, so we're
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so used to the pregnancy, the mommy makeover type of thing,
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the pregnancy. That's a certain weight loss,
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it's a certain belly that comes with a pregnancy.
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It's central relaxation and weakness.
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You fix the muscle, you pull the extra skin down, the stretch
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marks out and you're done. This is a global 360 looseness
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that develops. And so you have to dress often
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more than that pregnancy belly, it's a weight loss belly which
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is more extensive usually. So you have a comprehensive
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solution for arms and thighs and all of these areas.
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And sometimes, you know, you do see the pictures where there is
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a lot of skin hanging. And so that's great that there
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is a solution for that because I think those who have lost a lot
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of weight want to feel really confident afterwards.
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So I say this to all my weight loss patients because it's
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really important to advocate for them.
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I said, I'm sure you have people here who think you're crazy that
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you came in to see the plastic surgeon because they think you
15:07
look great, They look like you look fantastic.
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And I said, and you do feel great and you get in close and
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you feel great. Yep, Yep, Yep, I said, and you
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feel better and your activities, but Yep, Yep, Yep.
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And naked in front of the mirror is probably worse.
15:22
And they go 100% because you know what, sagging, hanging skin
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off of you is not more attractive than fat in some ways
15:32
is worse. So that's the one part that
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isn't better. It is that they didn't have to
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go in and do the body contouring to do that.
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And then everything's better. So I just say that to them so
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they understand. I hear you loud and clear and I
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know what you're frustrated by. But now that you've lost the
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weight, what we can do is super powerful.
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You know, operating on Smith is still pretty heavy, does not
15:56
create the same look and outcome as somebody who's lost the
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weight when they've lost the weight.
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We want everybody to lose weight before surgery, right?
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It's not the reality in the past, because they still are
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struggling with weight and that's why they came to see us,
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to have liposuction and other things.
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Today, they've lost the weight. That's not our job anymore.
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Our job is to fix them. Well, I love how when you're
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talking, you, you really connect with the patient.
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It sounds like you're not just there as the fixer.
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It sounds like you get inside the mind of the patient.
16:24
You're really understanding what they're looking for, what
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they're trying to achieve. And that's why I think you're,
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you know. Listen, listen, there is there's
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a power to caring and so I can be some sort of plastic surgery
16:38
at, you know, whatever and come in and give my advice.
16:41
That's not a very interesting role.
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In a way. It's a very personal thing that
16:46
they're coming to see us for. I should care about it.
16:48
I mean, care about that particular person and about what
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they're going through. I've said it for years.
16:55
I'm still highly impressed with doctors.
16:57
I mean, I think it's such a dedication to all these years.
17:01
Every I know works really, really hard.
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And you know, I certainly have done that.
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But I still love my profession. I still love being a doctor.
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I still love taking care of patients.
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I love talking bitch. I sit back in my chair and talk
17:13
to them about whatever. I mean, probably only one third
17:16
of my conversation with them is actually about what they're
17:19
doing, right? I need to get to know them.
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I want to know who I'm dealing with and I'm talking about.
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And I believe me, I hear some things, I can promise you, but
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you know, I don't try to get into the personal life.
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But more so they need to know at the end of the day that I care
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about them. And I think that matters to
17:34
them. And it's not a show.
17:35
It is just. I do.
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No, it's evident. It's evident.
17:39
Yeah. So you wouldn't care about them.
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And then what I try to do on the other side of that is not just
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care, but also be the best of my craft at what I do.
17:46
And I certainly think, you know, unfortunately, that over the
17:50
years, the many, many years of teaching and educating and doing
17:52
live surgeries at meetings and stuff that others have said, oh,
17:55
oh, actually, he knows what he's doing.
17:58
Yeah, well, it's evident that it comes through, which is no
18:02
surprise that you were chosen as a new beauty top Dr. and.
18:06
Thank you. Thank you.
18:07
That was a great plug. Thank you.
18:09
And New Beauty is the sponsor of the show.
18:12
How has that worked out for you? Tell us a little bit about what
18:15
that that means to your practice.
18:16
So new beauty was, I guess it was probably almost 20 years ago
18:22
or 20 years ago about when it became a thing.
18:25
And I was in their first edition ever at my Midwest plastic, Sir,
18:30
where the plastic shows in the Midwest, the one in Louisville.
18:33
And you have to pay so much per month and everything else.
18:36
But it gives you so many assets, so many magazines, so many
18:40
things, but also just being a new beauty physician because
18:43
people read these magazines and you're there.
18:46
I've been a new beauty physician for that whole time.
18:50
I've never left my spot. I never went away for a short
18:54
period of time and then came back.
18:55
I was always, you know what, this is the smartest investment
18:58
I've ever done because it's educational.
19:01
It's a whole magazine talking about all kinds of treatments.
19:04
They highlight some doctors. We have the assets for our
19:07
office so people can pick up the magazine, pick up the brochures
19:09
they have about tummy tucks and liposuction.
19:12
So I think it's been a really, really, really important
19:15
partnership. My whole career almost has been
19:18
a new beauty physician. So it's really nice that they
19:21
pick you as one of the, you know, their top dogs.
19:22
Congratulations, and now that I've met you, I can see why.
19:25
Well, thank you. So to shift gears a little bit,
19:28
Doctor Calabrese, as we look ahead to 2026, what new
19:33
technologies or techniques are you most excited about?
19:37
Would you say especially those you think have real potential to
19:41
change outcomes for patients? Yeah, there's new things coming
19:45
along, so I'm involved in a lot of these things.
19:48
You know, my friends are in the industry, like people that run
19:50
the companies, and I've been around for three decades, so I
19:54
know my name carries weight with their products, so they will ask
19:57
me. So it's not that I have some
19:58
special skill necessarily. But more so that I can help them
20:03
in a way. So one of the new things is
20:04
Alaclay, which is a fat in a syringe product, which means for
20:08
people, especially if you think about Ozempic and the things
20:11
we're talking about, somebody who simply doesn't have any fat,
20:15
but they need fat for places in the body, their breast, the
20:18
buttocks, places where they may have liposuction, have a contour
20:20
deformity and they need the fat, but we don't have it.
20:24
This is something you can get, they get it from cadavers and
20:26
they create this in a syringe fat that works really well.
20:29
I was part of the first study ever to do that.
20:32
I've given, I think 15 webinars on Ala clay.
20:34
I think it's such an interesting new area, but it's also fat in a
20:38
syringe for somebody who needs some fat grafting.
20:40
They may have some, but they don't want to go to the
20:42
operating room and take fat out and do it.
20:45
It's in the office, simple procedure off the shelf, and you
20:48
can add some fat to area. They have another one called
20:51
Derma Clay coming out, which will be for the face fat
20:54
graphing. I think that's really, really
20:55
exciting. Also regenerative products.
20:59
So exosomes, stem cells. We were doing PRP from blood.
21:03
You spin the blood and do that forever and now we have exosomes
21:06
in a bottle. We have exosomes in our skin
21:08
care products, skin plated, and there's other ones that are out
21:12
there that have stem cells and exosomes in them.
21:14
That's a very exciting arena for us.
21:17
So I think those are the places regenerative, trying to get your
21:19
body to build its own collagen through like LA or Caja are some
21:24
things we do, calcium hydroxyapatite and the
21:27
stimulation of collagen in the skin very important in weight
21:30
loss patients like the ones we were talking about to have some
21:32
of these products that can stimulate their own collagen.
21:36
Some really new innovative items coming for 2026.
21:40
And there's more, yes, then there's.
21:43
More. That's great.
21:43
So one of the hot topics that I see gaining momentum, kind of
21:48
massive momentum, because I keep being asked about it, I keep
21:51
seeing it come up on the show in 2026 is non invasive hair
21:56
restoration, right? And I noticed that you're very
21:58
involved in this category on your website.
22:01
I saw a lot about that. So I'd love to talk about that
22:04
for a moment because I feel like it's been sort of on the back
22:08
burner for years. What drew you into this,
22:11
bringing it into your practice, and what kind of patient
22:15
response are you seeing? And so I've done hair
22:18
transplants for almost 30 years. I learned it in my fellowships.
22:21
So it was something I came in naturally into my practice and
22:24
offered it because I was in Nashville with Pat Maxwell and
22:26
Jack Fisher. And so, you know, back in the
22:29
1996 is when I learned how to do hair transplants and been doing
22:32
them ever since. So hair was part of my practice
22:34
and part of my dialogue for that.
22:37
The the problem was we didn't have really anything good non
22:40
surgical at all. It was a hair transplant or
22:42
nothing. So that worked for some men.
22:44
Of course it did not work for women at all.
22:47
So then you say so that I have this hair background and then we
22:51
have what I talked about was Wellness, right?
22:53
And I've done hormones for a long, long time for my patients,
22:56
especially women, but also men. And also we have these weight
22:59
loss patients who are losing their hair and menopause people
23:04
losing their hair. And I told you 91% of all my
23:07
patients are women and yet I didn't really have a solution
23:11
for them. So I started looking for a
23:12
solution for them and I thought, I'm not sure there is anything.
23:15
Well, I'm wrong, there is something.
23:17
And so what's really great is some people I know from other
23:20
things we've been involved with like Thermy and other stuff,
23:23
Paul Hirschman and Trace Hirschman that all developed
23:25
something called Get Hair MD. And so that what is that?
23:28
Well, what that is is they basically organized a company
23:34
that then has proprietary ownership of certain part.
23:37
They find the best in class in non invasive hair restoration
23:42
techniques and products and then they take them, they're
23:45
proprietary, only get hair MD docs have them and then you can
23:48
provide them to your patients. So in my Wellness, it's all
23:52
about almost everybody needs some hair restoration non
23:57
surgically. And I think the point, Doctor
23:59
Andy, is that these actually work in like profound ways.
24:05
If you're already bald in an area like for men, yeah, no, you
24:08
need a hair transplant. But if you got thinning hair or
24:11
for most women who just basically have thinning hair, it
24:14
isn't like, oh, I hope it works. It shockingly works.
24:17
It could be from the red light therapies.
24:19
It can be there's some new cryotherapies with something
24:22
called beta pure that you can infuse into the scalps to get
24:25
growth. There's certainly PRP injections
24:28
you can actually do. There's light caps you can wear,
24:30
take home and wear. They have baseball caps you can
24:33
put on. They will take the sunlight and
24:35
really stimulate hair growth. So there's a lot of lines here.
24:38
So for women, good news. For women and men who have hair
24:42
loss and are interested in something non surgical, there's
24:45
really techniques. And so I'm so excited.
24:47
That's part of our practice. This is incredible.
24:50
So it really is a wide range. And from my own research, it's
24:55
not one thing that affects everyone, right?
24:57
For one person, that could be, like you said, menopause.
25:00
For the next person, it could be a medication they're on, right?
25:03
So everybody's got a different reason why they're losing their
25:06
hair. So it sounds like with this
25:09
system that you can combat any type of hair loss.
25:13
Well, you know two things about that.
25:14
One is that we believe strongly. I already said it about other
25:18
things, Sex, multi modality treatments, right?
25:21
We have many things, so often combo treatments.
25:23
You can do some red light therapy with some cryotherapy
25:27
for the products as well. But we also have genomic
25:29
testing. We actually can take a salivary
25:31
sample, send it to the lab, evaluate the cause of the hair
25:35
loss and then they will create the products they will use on
25:38
your hair that are based exactly on what you need to get your
25:42
hair to grow. And to your point, we're not
25:45
guessing anymore. We have really solutions that
25:48
way. So that's one thing we offered
25:49
to and I think that's very exciting to stop stabbing, you
25:53
know, in the air trying to figure it out.
25:54
We can actually send some salivary test and actually
25:57
develop products that we can use for that.
25:59
And I see now that women are entering the conversation about
26:04
hair loss. And I think this is so important
26:07
because I think that's kind of a conversation that's been behind
26:10
closed doors or a hidden conversation.
26:13
But for men, it was always like, you know, OK to talk about it.
26:15
But I do think that making the female conversation about hair
26:20
loss more mainstream is so critical for other women to
26:24
accept everybody else is losing their hair too, and it's OK to
26:27
get on some type of regimen. Yeah, I think it's right.
26:29
I think that's out of the closet, so to speak, as it
26:32
relates to hair loss. And I think that women part of
26:35
it, they didn't talk about it because they think there was a
26:37
solution. They just didn't think there was
26:39
a good choice. They lived with it.
26:41
And I've seen those patients and they sometimes in desperation
26:43
would come for hair transplants because they were so desperate
26:47
for their hair. So having good solutions now you
26:49
have something to talk about. And believe me, we'll be talking
26:52
more and more and more about it in the future.
26:54
I think that my prediction is that hair loss prevention and
27:01
well, let's call it almost like the prejuvenation that we're
27:04
doing now with our skin, I think that's going to become an
27:08
initiative. Like that's that's exciting.
27:10
Yes, I think that people are going to understand that hair
27:15
loss is just a part of what's going to happen as we age, and
27:19
that people are going to start preventative hair loss measures
27:24
before it happens. And you can imagine for women if
27:27
you said, you know what, if you're going through a stressful
27:29
time in your life, if you're going through a divorce, a sick
27:32
parent, or you're getting near menopause, before you really
27:36
start losing your hair, here's the regimen we think you should
27:39
go on. If you start to do it, when you
27:41
start to have that, you let us know.
27:42
We're going to put you on some red light therapies to battle
27:45
that. Why lose your hair and then have
27:47
to wait the months and months and months for it to come back
27:49
when we can battle that? I had never really thought about
27:51
it, but the prejuvenation with hair loss I think could be very
27:55
powerful. Yeah, I think we're going to see
27:57
that in the next few years. And so when people come in for
28:01
the non invasive solution, about how long does it take before
28:05
they start seeing results? What kind of a timeline do they
28:08
usually expect to see? It depends which treatment we
28:11
do, but I would just say that, you know, a couple months I
28:14
would say to start really seeing it, but you're going to wait a
28:16
full 6 months to really get the real impact of it.
28:19
But it depends how aggressive they want to be.
28:21
Some people could just do red light therapy.
28:23
I will tell you, I used to think red light therapy like really, I
28:27
mean, really, that's going to really grow hair, right?
28:30
And then it actually does. Actually there's one of the
28:33
people that's part of Gaher MD, who really brought the
28:36
technology over from Europe one day.
28:38
And he started a business and he did it in Dallas.
28:41
And pretty soon he had like 10 or 12 clinics.
28:44
He had hundreds of employees running this place.
28:46
All they had was red light therapy.
28:49
That's all they had. And yet they had this huge
28:51
business with tons of happy patients who grew their hair
28:54
out. And I'm telling you that is just
28:57
the beginning of what get her India has.
28:59
So I think it's gonna be shocking.
29:01
You know, to your point about prejuvenation, I think there
29:03
could be a point time where every patient that goes on GLP
29:06
ones should be talked about possibly going ahead and
29:09
starting in some sort of a hair program.
29:11
Agreed. Agreed.
29:12
I don't know anyone who's been on GLP ones who's lost a
29:15
significant amount of weight. And when I say that £20 or more,
29:18
probably it hasn't had hair loss, right?
29:21
And. 100% So I'm like, I just wanted to lose the weight.
29:25
Not everything, I don't want my hair loss.
29:26
But anyway. So your body doesn't know.
29:29
Yeah, I agree. It's a stress on the body to
29:31
lose weight and stresses could create something called telogen
29:34
effluvium and some hair loss and stuff.
29:36
So certainly battling that proactively, like you said,
29:38
prejuvenating it probably is going to be very powerful.
29:41
Well, we'll wait and see how that goes, yes.
29:43
I've heard your prediction. So when I see it later on, I'm
29:45
going to give you full credit for it, OK?
29:47
Yes, Doctor. Dandy says especially.
29:49
With especially with the GLP ones, I think it'll become part
29:53
of the program. So outside of weight loss and
29:57
hair restoration, is there any other area that you're seeing a
30:02
demand surge for right now the people are really talking about
30:07
every day? You already mentioned like the
30:09
weight loss. I think that's what everybody is
30:10
talking about every day. I think the other one in
30:13
Wellness is some of the other things we're seeing in Wellness
30:16
that we're able to do and that can be from hyperbaric oxygen
30:19
and which we have and red light therapies, high dehydration.
30:23
And I will just say this, peptides, so right, peptides.
30:27
So it is saying when you're losing weight and you're doing
30:30
peptides, which in weight loss GLP ones are a peptide, but
30:34
there are so many other peptides, BCP 157,
30:37
anti-inflammatory, good for gut health In AD.
30:41
What you can do is an infusion or oral or you can do a
30:43
subcutaneous injection, testosterone and estrogen, which
30:46
we know about and some Moreland, which is a growth hormone analog
30:50
and there's many more. So I don't want to confuse the
30:53
audience just to say, you know, the idea of using peptides to
30:58
not have you in the normal range, but it is to have you in
31:02
a rejuvenated range. You know, Peter Attia, who does
31:05
outlive the idea of that is we want to live a good quality life
31:10
and we lose things as we get older and that's what part of
31:14
aging is. But we can simply restore that,
31:16
give you a bag and you get back your youth with that and your
31:19
health from that. So we don't have to just go so
31:22
long in age. We have ways to combat that.
31:25
And so I think that's going to be the future.
31:27
And so I think peptides as the added sort of discussion point
31:31
for the future will be really powerful in aesthetics and
31:34
Wellness. I agree.
31:35
And I think we've just scratched the surface with peptides.
31:39
I think over the next two years we're going to see an explosion
31:43
of what those peptides. We just need, we just need the
31:46
FDA to get caught up. I wanted to say this before we
31:49
can come off here. This is really, really
31:50
important. Women deserve to have hormones.
31:53
And for a long, long time, OBGY, NS and other doctors did not
31:59
give it to women because it was a study done in 2002 which
32:02
actually said increase the risk of breast cancer in a very small
32:04
number of people, very small number.
32:06
And then for that, nobody got hormones and they suffered and
32:11
they got osteoporosis and they had broken bones and they got
32:13
older. They didn't live as good a life.
32:15
So the FDA more recently just announced that and took the box
32:19
warning off of that because the data wasn't correct.
32:23
It's basically the FDA says women can have hormones, they
32:25
deserve hormones. I think it's super powerful to
32:28
understand for women to know you need peptide replacement, but
32:32
you need hormone replacement to live your best, best life.
32:36
And Harry Kalosva, we are certainly going to be advocates
32:39
for them on getting those. And I'm sure, are you an
32:41
advocate for that too? I am, I am, I started 10 years
32:45
before perimenopause and it, it kept me out of menopause.
32:49
So, you know, I believe in it all day long.
32:51
I think that those are great tips.
32:53
And I think those categories are the future, right?
32:56
That's what's coming. And I think those peptides can
32:59
change. But you're right, I think right
33:01
now there's a little ambiguity on should I try this and you
33:04
know, is this safe? Is it tested, is it approved?
33:07
So I think we're going to see a lot more of that, just like we
33:09
did with the weight loss, right? Totally.
33:11
People were afraid of it. But now that a lot of studies
33:15
came on the market. So I think that's great.
33:17
So Doctor Calabrese, as we wrap up, I'd like to ask you one last
33:21
question. When people talk about your work
33:23
years from now, what is the part of your career that you hope
33:28
that they point to as the thing that you really, truly changed
33:32
and advanced in the industry? Well, it's certainly from a
33:35
professional standpoint, I certainly showed that you could
33:39
be in a private emic practice, which is academic and private
33:41
practice. My CV currently is 83 pages long
33:44
of what I've done to to participate to my profession and
33:48
build my profession. What I'm known for around the
33:50
world is certainly is breast surgery, aesthetic breast
33:52
surgery and techniques and things I've done and I've
33:55
written textbooks on that. Certainly for that as a
33:58
physician and a human being, I think that my life philosophy
34:02
has been from Luke, which is for those who much is given, much is
34:06
expected. And so I live my motto of my
34:08
life about that, which is that we are given a lot.
34:12
I've been given a lot and I earned a lot and I've given a
34:14
lot. And for that I always try to
34:16
give back and I always encourage others to in whatever way they
34:19
can remember for those with less, and if you have more, you
34:24
are to do unto them and share that with them.
34:27
Those gifts and my gifts of being applied surgeon and my
34:29
gifts and my wealths and other things to try to do that live a
34:32
life that's honorable as I complete my career and move on
34:36
to the next phase of my existence, whatever that is.
34:39
Well, you couldn't have said it better.
34:41
All right, We love it. We love it.
34:42
Thank you. Well, thank you for being here
34:44
today. I'd love to invite you to our
34:46
speed round, which has quickly become a fan favorite part of
34:49
our show. So.
34:50
OK. OK, I'm ready.
34:52
If you're ready, I will. Now I got nervous.
34:54
Now what does that mean? Yeah, now I got nervous.
34:56
Oh gosh, don't. Be nervous.
34:58
Don't be nervous. Everybody loves this part of the
35:00
show. OK, so first we're going to
35:02
start about with industry topics, OK?
35:05
Yes, All right. Facelifts under 40 in or out.
35:09
Out. More screenshots Noses, chins or
35:13
necks? Necks.
35:15
Patients fear more pain or downtime.
35:19
Pain. Most requested celebrity face.
35:22
Lindsay Lohan. What surgery do you perform the
35:25
most? Breast surgery.
35:27
Easier day for you? Surgery day or clinic day?
35:31
Surgery day for sure. All day long.
35:34
What comes up more neck bands or jowls?
35:38
Yeah, both neck bands. Eye surgery, would you say it's
35:41
the most dramatic improvement, yes or no?
35:44
Yes, patients, Yes, yes, yes. Yes, agreed.
35:47
And I think, I think it's the most noticeable.
35:50
Totally. What do patients regret more,
35:52
Waiting too long or doing too little?
35:55
Waiting too long? What's more popular combination
35:59
treatments or single procedures nowadays?
36:01
Combo, combo, combo, combo. Most common misconception
36:06
recovery is quick or results are instant.
36:10
Recovery is quick. Also most common patient brings
36:13
a friend or patient brings screenshots.
36:16
Patient brings a friend because I mean, because I'm probably
36:21
going to say put your phone down, yes.
36:24
So I may not see the, I may not see the screenshots.
36:26
Yes. OK, so let's switch to some non
36:29
surgical topics. Retinol every night, yes or no?
36:33
For me or my patients? Patients No red light therapy,
36:37
fat or favorite. Favorite.
36:40
Vitamin C serum must have or skip it.
36:43
Skip it. Micro needling yes or no?
36:46
Yes. Chemical peels still relevant or
36:50
gone? Still relevant for superficial
36:53
skin. Exosomes in or out?
36:55
In. Laser resurfacing in or out?
36:59
Fractionated in, full ablative out.
37:02
IPL still useful yes or no? BBL.
37:06
Yes, very useful. All right, now we want to learn
37:08
a little bit more about you, Doctor Calvary.
37:10
OK, here we go. Now they go right into personal.
37:12
I got OK. What's your most ridiculous
37:16
daily habit that actually works? Well, I don't know if it's
37:20
ridiculous is that I actually as busy as I am.
37:23
I get up at 4:00 AM every day. It works for me.
37:26
I work out with a trainer from six till 7:00 every day and I
37:30
kiss my dogs 100 times a day. So maybe, maybe, maybe the dog
37:35
kissing is the most ridiculous. I mean like two or three times
37:38
would be plenty, but. I love it.
37:40
Do they come to work with you? My other one did before he
37:44
passed away. These don't because there's two
37:45
of them now and so and they're just puppies and so they are not
37:49
nearly well behaved enough to be in my office yet.
37:51
So I hope as they get a little older maybe.
37:53
That's what kind of dogs are they one.
37:55
'S a miniature poodle and one's a moyan poodle, which is kind of
37:57
a miniature poodle. They're both 20 some pounds and
38:00
they are adorable poodles. Because my mother is hypo, she's
38:04
very allergic to dogs, so they're hypoallergenic.
38:06
So it allows me to have my dogs around my mom.
38:10
Oh, I love it. I love that.
38:11
That's awesome. OK, what is your go to meal or
38:14
snack before you go into surgery?
38:17
I actually get a Starbucks coffee every morning, a blonde
38:20
with some cream in it and I will usually do a egg white wrap with
38:25
it. Do you have any specific morning
38:27
ritual on surgical days? Not get here on time, any
38:32
ritual. I'm a little late.
38:34
I'm no generally I don't have any rituals other than just get
38:38
here. And what I do with this a little
38:40
different is I mark all my patients in the operating room,
38:42
not in the pre op holding area. It's efficient, but also there's
38:46
too many voices, many people, too many things out in this
38:49
space, in the OR. It's just really just me and
38:51
them. And so it seems like a weird
38:53
place to do as markings, but I do that and it's a ritual of
38:55
mine. What is one thing that would
38:57
surprise people if they followed you around from morning till
39:01
night? My energy level, anybody that
39:04
knows me would say that is of a very, very high energy level.
39:07
So I'm not ADD or ADHD because I stay focused to get my work
39:10
done. But I get before I, you know,
39:12
I'm up till 10 or 11 and while I'm awake I'm very, very busy
39:17
and I don't slow down. So are you, I'm assuming you're
39:20
a regimented person or are you kind of go with the flow with
39:24
your schedule outside of work? I'm regimented for my work day.
39:27
I'm really regimented, yes. But I would say that I can
39:31
certainly relax and hang out and just not do anything.
39:34
But I would really not do anything.
39:35
I'm going to always be reading and reading and or working at my
39:38
desk or doing something. I do not watch TV, so I'm just
39:42
kind of doing things, playing with my dogs.
39:44
And I'm just, and I'm reading and I'm catching up on my work
39:46
and I got my briefcase full of, you know, sitting down here full
39:49
of work to do. And I don't really mind.
39:52
My life is my work, although I am married.
39:54
So just be clear, just be clear If I said that it's more than
39:59
work, but like, but work is super important to me.
40:02
And that's if I listen to this. Yes, I'm very happily married.
40:07
So what is one thing that you do every night, no matter how tired
40:10
you are? I brush my teeth, no matter how
40:13
tired I am. Certainly.
40:14
That's good. Yeah.
40:16
Thank you. I brush my teeth and I always
40:18
tuck my dogs into bed. What?
40:20
Oh, you just said you don't watch TV, so I was going to ask
40:23
you, you don't watch any TV at all.
40:25
Oh, I would watch. I would watch the news and I
40:27
know I will watch. I watch certain series every
40:30
once in a while if we watch them.
40:31
We just watched what's called Boots, which was about that.
40:35
I'll watch certain series, you know, a short period of time.
40:38
So I watch some. TV but like maybe?
40:40
Maybe a couple hours a week. What is one thing that your
40:43
staff would roast you for? Make fun of you about.
40:46
Did I sing in the operating room?
40:48
That's awesome. OK, what is the first thing you
40:52
do when you walk in the door at home?
40:55
I'm going to guess that it's kissing the dogs.
40:57
You want to guess because you have to get them because they
41:00
will jump. I mean they fully, I told you,
41:03
not well behaved. They climb up on me.
41:05
One's at training right now, actually the six weeks have
41:07
gone. The other one, they just jump
41:09
and climb until you have to finally go to the sofa and get
41:11
them on you. So yeah, it's because it's not
41:13
necessarily my choice, but they are fully what my full attention
41:16
when I get into the door. From that I would say maybe the
41:19
one of the first things I do if it's I'm just going home and
41:22
going to be able to stay home is I take my shoes off and then I
41:26
pour myself 1/2 a glass of wine. Nice.
41:29
It's nice. Very regimented you.
41:31
Know is your weekend vibe staying home or going out a lot?
41:35
I love to stay home, but I end up going.
41:37
I don't go out late, but I mean go out to dinner.
41:39
Usually on the weekends we would go out to dinner.
41:41
During the week, I would be more likely to cook unless we have
41:44
business meetings or dinner meetings.
41:46
But on the weekend I would barely ever cook.
41:48
So we would go out and you know, I'm busy so during the week.
41:52
So weekends are made for friends and family and so like tonight
41:55
I'm going to dinner with my mother and my father.
41:58
So I do family and friend things when I have the time and
42:01
weekends are more likely. Nice, nice and do you cook or
42:05
Uber Eats? Never, ever, ever Uber Eats.
42:08
Always cook. Do you ever hit the snooze
42:10
button? I do accidentally because I
42:12
don't know how to turn it off, but generally no.
42:14
When I my alarm goes off, I get out of bed.
42:17
Any hobbies that people would not expect?
42:20
I used to, I was a gymnast forever.
42:22
So I was, I coached gymnast, I was a coach, I was a judge when
42:25
I was a gymnast for many, many years.
42:27
And I think that mostly for me, my biggest hobby is that I just,
42:30
I, I work out every day. I'm very regimented about that.
42:33
So I've stayed in very, very good shape even at 63.
42:36
So wow. You're 63.
42:39
Yes. Wow, looking 43.
42:42
Thank you, thank you. That's I put I put on cheese
42:45
gauze filters. It's really.
42:46
Great. Wow, wow.
42:48
How much time per day do you spend on social media?
42:52
2 minutes. 2 minutes. I don't look at any social media
42:56
a limit. Somebody shows me something
42:57
that's about somebody, somebody did.
42:59
I just find I'm really, really busy.
43:01
And it's for me because I'm so busy it's, you know, you get
43:05
lost in it and distracted in it. So I simply and I don't also
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want to know what my colleagues are doing entirely and people
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get all worried about competition and colleagues and I
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find it's just not helpful for me.
43:16
So it's my psyche evening. So I just don't want, I don't
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look at it, I'll look at yours. OK, OK, deal.
43:23
OK, so what's one thing you can't leave the house without?
43:26
My briefcase in my gym bag and a cup of coffee.
43:30
And that's a wrap. So thank you.
43:32
Thank you for letting us get to know you.
43:35
We. Really appreciate it.
43:36
It's been great having you on the show and I hope you'll come
43:39
back and see us again next year and tell us all all of the
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exciting things that you're working on.
43:44
I would look forward to it. Thank you.
43:45
Very nice to spend time with you, Randy.
43:47
So thank you. Thank you, and thanks everybody
43:50
for joining the Doctor Randy show.
43:52
We'll see you next week for another conversation that moves
43:54
this industry forward. Doctor Randy Boyett holds a PhD
43:58
and is a recognized leader in the aesthetics and medical
44:01
industry. She is not a licensed medical
44:03
doctor. All commentary and product
44:06
recommendations are based on industry expertise and are
44:09
provided for informational purposes only.