Latest / QUESTION EVERYTHING / Hollywood's Best Kept Secret Behind the Most Natural Faces: Holistic Plastic Surgeon Dr. Few

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Hollywood's Best Kept Secret Behind the Most Natural Faces: Holistic Plastic Surgeon Dr. Few · QUESTION EVERYTHING

0:03
Speaker 1: No one has all the answers, but when we ask
0:05
Speaker 1: the right questions, we get a little closer, closer to truths,
0:11
Speaker 1: closer to each other, even closer to ourselves. I'm journalist
0:16
Speaker 1: Danielle Robe, and each week, my guests and I come
0:19
Speaker 1: together to challenge the status quo and our own ways
0:22
Speaker 1: of thinking by daring to ask what if, why not?
0:28
Speaker 1: And who says? So? Come curious, dig deep, and join
0:33
Speaker 1: the conversation. It's time to question everything.
0:39
Speaker 2: Hello.
0:41
Speaker 1: Oh my god, I ghosted you guys for a few weeks.
0:43
Speaker 1: I'm so sorry. I promise it was for a good reason,
0:46
Speaker 1: and I also promise it won't ever happen again. I
0:49
Speaker 1: really just went MIA. Usually I'll say something, or I'll
0:52
Speaker 1: post older episodes as reruns, but I just I needed
0:56
Speaker 1: a minute, And thank you for sticking with me through
0:59
Speaker 1: the hiatus. I've been sitting on some news that I
1:01
Speaker 1: can finally start to share a little bit, so thank
1:04
Speaker 1: you for rocking with me through it all. I needed
1:07
Speaker 1: a little breather because two exciting things happen. First, I
1:11
Speaker 1: am filming a pilot for a major streamer, and who
1:14
Speaker 1: knows where it goes. But I felt like I should
1:16
Speaker 1: at least tell you about it, because I owe you
1:19
Speaker 1: the truth and why I've been a MIA that's been
1:21
Speaker 1: taking up a lot of my time. And secondly, there's
1:24
Speaker 1: a big podcast Question Everything announcement coming your way in
1:27
Speaker 1: just a few weeks. We are joining a major network,
1:30
Speaker 1: but I don't want to share until it's all signed
1:32
Speaker 1: on the dotted lines, So just know that I've been
1:35
Speaker 1: MIA for a good reason. In the meantime, I've been
1:38
Speaker 1: in New York City living out of suitcases, which is
1:41
Speaker 1: not my forte because I'm so bad at working out
1:44
Speaker 1: when I'm on the go. I haven't worked out now
1:46
Speaker 1: in three weeks. But on the bright side, I had
1:50
Speaker 1: some amazing moments in New York. I got to interview Malala, which, honestly,
1:56
Speaker 1: this may sound corny, and I know I say that sometimes,
1:59
Speaker 1: but it was a bucketless moment. I have wanted to
2:02
Speaker 1: talk to her for years and feel her energy, and
2:05
Speaker 1: she was so wonderful. I also got to grab coffees
2:08
Speaker 1: and have a few meetings with people that why didn't
2:11
Speaker 1: my aperture a little bit? Do you ever have those
2:13
Speaker 1: moments where something that's been foggy for years suddenly feels
2:17
Speaker 1: clear and you wonder like how you didn't see it sooner.
2:20
Speaker 1: That's where I'm at, and I'm starting to put the
2:22
Speaker 1: building blocks in place for what's ahead. I know that's
2:25
Speaker 1: all pretty broad, but this community has some big things
2:29
Speaker 1: popping off in the next six months. And yeah, I'm
2:31
Speaker 1: really excited that you're here with me. So let's get
2:34
Speaker 1: into today's episode. I have said no to every plastic
2:38
Speaker 1: surgeon who has ever pitched this podcast, and not because
2:41
Speaker 1: I'm against cosmetic work.
2:43
Speaker 2: I'm not.
2:43
Speaker 1: I just think most of us already spend plenty of
2:46
Speaker 1: time thinking about how we look, and I never wanted
2:49
Speaker 1: this show to add to any of that noise. We
2:52
Speaker 1: get that from so many other places, and for people
2:56
Speaker 1: who have been listening since the podcast was called pretty Smart,
3:00
Speaker 1: which I named after reading a book called Beauty Sick,
3:03
Speaker 1: which changed my life, then you know that I've believed
3:06
Speaker 1: that beauty should be one of the things we think
3:08
Speaker 1: about and not the only thing or the thing that
3:11
Speaker 1: consumes us. And too often I think conversations about appearance
3:15
Speaker 1: get stuck at the surface like that. But my hope
3:18
Speaker 1: is that this episode is different. I wanted to have
3:20
Speaker 1: a conversation about plastic surgery that doesn't feed the obsession,
3:24
Speaker 1: but instead it is something that is in the zeitgeist.
3:27
Speaker 1: It is all over my feet. I don't know if
3:29
Speaker 1: it's all over yours, but I'm hoping that this conversation
3:32
Speaker 1: invites thoughtfulness and perspective and a little bit of relief.
3:36
Speaker 1: That said, if talking about appearance is at all triggering
3:38
Speaker 1: for you, please listen with care or skip this episode
3:43
Speaker 1: if that's something that you feel is triggering. But I
3:46
Speaker 1: will say that I chose to interview a particular surgeon
3:50
Speaker 1: for this reason. Doctor Julius View is the holistic plastic surgeon,
3:58
Speaker 1: and he has earned that title. His philosophy is that
4:01
Speaker 1: beauty should honor who you are, not erase it. So
4:05
Speaker 1: over the past twenty years, he's quietly reshaped the aesthetics
4:08
Speaker 1: industry by asking better questions, slowing the process down, and
4:12
Speaker 1: treating restraint as a form of artistry. He even pioneered
4:15
Speaker 1: what he calls the eighty five percent rule, intentionally stopping
4:19
Speaker 1: short of perfect to preserve what's real and human and
4:23
Speaker 1: actually beautiful. He's trusted by celebrities and VIPs across the country,
4:28
Speaker 1: with practices in Chicago, New York, and Santa Monica. He's
4:32
Speaker 1: also a clinical professor of plastic surgery at the University
4:35
Speaker 1: of Chicago and a health science clinician at Northwestern University.
4:38
Speaker 1: An impressive pedigree, right He's the surgeon people go to
4:42
Speaker 1: when they want to look refreshed without looking done. And
4:45
Speaker 1: I asked him all the questions. I was personally curious about,
4:50
Speaker 1: what makes a face beautiful? Can you reverse bad filler?
4:53
Speaker 1: Why are so many procedures aging people faster, what's the
4:56
Speaker 1: real difference between looking refreshed and looking done? And when's
5:00
Speaker 1: the right time to consider something like a facelift? What's
5:03
Speaker 1: the most requested procedure in his office right now? We
5:06
Speaker 1: also get into something he's especially passionate about how GLP
5:10
Speaker 1: ones are affecting the skin and the product he's developing
5:13
Speaker 1: that might actually be a game changer. So, yes, many questions,
5:18
Speaker 1: but the one we're circling this episode is how can
5:21
Speaker 1: we look our best selves, not like someone else and
5:24
Speaker 1: definitely not like a shell of one. It's time to
5:28
Speaker 1: question everything with doctor Julius. Feel as a holistic plastic surgeon,
5:37
Speaker 1: you really emphasize keeping or enhancing people's unique traits, and
5:42
Speaker 1: I'm really curious how you think about changing somebody's face
5:46
Speaker 1: while enhancing it.
5:48
Speaker 2: We've gotten much better in the last twenty five years
5:51
Speaker 2: at doing our work compared to the days of my training,
5:56
Speaker 2: which it's hard to believe over thirty years ago. And
5:59
Speaker 2: so really, I think what we're seeing is oftentimes an
6:05
Speaker 2: attempt to go for perfection, and technically you can get
6:09
Speaker 2: much closer. You can make somebody look so close to
6:13
Speaker 2: perfect in a photograph that in real life they're scary.
6:17
Speaker 2: And I think that this is the reality we're in.
6:20
Speaker 2: And I really had the epiphany moment when I was
6:23
Speaker 2: on the Museum of Contemporary Art in Chicago, their board
6:26
Speaker 2: of directors. I'm a big art fan, and basically what
6:31
Speaker 2: I realized in meeting all these amazing artists and different
6:34
Speaker 2: media was the idea that the best art had individual
6:39
Speaker 2: expression and really plastic surgery by definition, is a form
6:44
Speaker 2: of scientific art. And I felt like, Okay, if we
6:47
Speaker 2: have all these tools to make somebody look better, you
6:52
Speaker 2: don't want to make it look like something that is
6:56
Speaker 2: out of basically a computer. And so that started me
7:02
Speaker 2: on this path of less is more and I came
7:05
Speaker 2: up with different doctrines over my career that fortunately have
7:08
Speaker 2: been followed by many of my colleagues like the eighty
7:11
Speaker 2: five percent rule, which is a simplified concept that even
7:15
Speaker 2: though you can go to one hundred percent, filler is
7:19
Speaker 2: a great example, go to eighty five percent, don't shoot
7:22
Speaker 2: not to go past ninety percent, leave room for imagination.
7:27
Speaker 2: And some of my best work over the last decade,
7:30
Speaker 2: especially in some very famous faces, has been that rule
7:35
Speaker 2: in mind and most of the people in my mind.
7:38
Speaker 2: And again, I have Midwest roots. I know you have
7:40
Speaker 2: Midwest roots, or at least of Midwest history. Is the
7:44
Speaker 2: idea that nobody should be able to tell that you've
7:47
Speaker 2: had work done. At least that's my view. So I've
7:51
Speaker 2: tried to live this approach, and I believe as I've
7:54
Speaker 2: gotten better at plastic surgery, I can get away with that.
7:57
Speaker 2: I know how to do things in a way I
8:00
Speaker 2: can hide. I have a very light footprint, and it's
8:03
Speaker 2: plausible a lot of my clients are able to say
8:06
Speaker 2: they've never done anything and get away with it. That's
8:08
Speaker 2: my philosophy. It really has more holistic.
8:11
Speaker 1: I'm particularly curious about your philosophy on beauty, and I
8:16
Speaker 1: want to preface the question with my personal philosophy has
8:19
Speaker 1: grown over the years when I was in high school
8:22
Speaker 1: or college, social media popped into all of our lives
8:25
Speaker 1: for the first time, and I did think that beauty
8:30
Speaker 1: was so much more about perfection. And as I get older,
8:33
Speaker 1: when I watch TV or film, I love looking at
8:38
Speaker 1: the imperfections of people's faces. I'm not just saying it
8:42
Speaker 1: that is what makes them more beautiful. I mean, I'll
8:45
Speaker 1: give Aaron Andrews as an example, because I'm a broadcaster
8:48
Speaker 1: and she has a very distinctive nose and she's never
8:52
Speaker 1: touched it, and she could have because she has a
8:54
Speaker 1: lot of side profiles in her work and on TV.
8:58
Speaker 1: And when I had always considered getting a nose job,
9:02
Speaker 1: I would think about her, and I'm so glad now
9:07
Speaker 1: that I'm older that I didn't touch it.
9:10
Speaker 2: I am so glad you didn't either, because I wouldn't cry.
9:14
Speaker 1: Well, I'll go sideways.
9:16
Speaker 2: It's a very it would have been. Your nose fits
9:18
Speaker 2: your face. You have a beautiful face. It fits you perfectly.
9:23
Speaker 2: It's no incentive on my part to talk people out
9:26
Speaker 2: of doing plastic surgery. I mean, I make a living,
9:28
Speaker 2: I'm able to live a lifestyle, et cetera. But at
9:32
Speaker 2: the same time, I've reached a point in my career
9:35
Speaker 2: where I can and ultimately, like for you, I would
9:40
Speaker 2: have kicked you out of my office too. I would
9:41
Speaker 2: have said, what are you going for? What are you after?
9:44
Speaker 2: And so on?
9:45
Speaker 1: Do you kick people out? Often?
9:47
Speaker 2: I do, and my staff will joke about it, like
9:49
Speaker 2: I will probably once a week, and the nicest way.
9:53
Speaker 2: I will say, you know, I got to think about that,
9:56
Speaker 2: and then I'll think about it. I will thoughtfully digest
9:59
Speaker 2: what they're at, I'll look at their pictures, I'll commit
10:02
Speaker 2: the time, and then I will give them an answer.
10:06
Speaker 2: But usually my gut instinct is right every single time.
10:10
Speaker 2: And I can't tell you how many people have come
10:12
Speaker 2: back to me five, ten, fifteen years later and have said,
10:16
Speaker 2: I'm so glad you're talking me out of this. I'm
10:18
Speaker 2: so glad for X, Y and Z reasons. And unfortunately
10:23
Speaker 2: I have other cases where they go elsewhere because they
10:26
Speaker 2: didn't believe that was the ideal move, and then they
10:30
Speaker 2: come to me because they know I can fix it,
10:32
Speaker 2: which is harder and it's traumatic and all the things.
10:35
Speaker 2: So I think this whole idea of you everyone else
10:42
Speaker 2: like our innate beauty. The secret is finding a way
10:46
Speaker 2: to say okay, I can make this subtle alteration, or
10:52
Speaker 2: I can preserve where you are in a way so
10:55
Speaker 2: that you age in your best way, that you look
10:58
Speaker 2: in your best way, and that the secret.
11:00
Speaker 1: In that vein. I'm curious what the difference is between
11:03
Speaker 1: looking refreshed and looking done? Are there certain markers?
11:08
Speaker 2: I think the classic marker, which is the reason why
11:11
Speaker 2: fillers have gotten such backlash. Fillers are I think amazing.
11:15
Speaker 2: They're amazing tools, but they're powerful, and they last a
11:18
Speaker 2: lot longer than anybody thought, including myself, and they can migrate,
11:22
Speaker 2: so I think, really to me, in the last five years,
11:27
Speaker 2: maybe six years, that's where filler's got a very bad rap,
11:31
Speaker 2: because people were going on one hundred and twenty percent
11:36
Speaker 2: of what was there. And when you go that far,
11:41
Speaker 2: I have colleagues who look unrecognizable because they have access.
11:45
Speaker 2: It's easy, they can inject themselves, et cetera. But literally
11:49
Speaker 2: their eyes have been lost in their sockets because there's
11:53
Speaker 2: so much filler here and they can't even move normally.
11:56
Speaker 2: And it's a cautionary tale of how and where somebody
12:01
Speaker 2: can go too far. Think about it. If you're a
12:04
Speaker 2: dermatologist or plastic surgeon and you can inject yourself, which,
12:08
Speaker 2: by the way, I inject myself with botox as an example,
12:11
Speaker 2: it's not that hard to do botox. Filler totally different.
12:15
Speaker 2: I've never tried to do it to myself. It's a
12:17
Speaker 2: totally different paradigm because you're looking at a reflection and
12:22
Speaker 2: you lose all depth perception. So what ends up happening
12:26
Speaker 2: is you become used to the change and you say
12:29
Speaker 2: that's not enough, I need more. Well, there are lots
12:32
Speaker 2: of patients who come who have a similar reality where
12:41
Speaker 2: they ultimately lose all perspective on what is good and
12:47
Speaker 2: what is too much, and then they get lost in it.
12:50
Speaker 2: Because this is such an important point you just brought up.
12:53
Speaker 2: The idea of how someone can do too much and
12:58
Speaker 2: get lost in it is what I call a distortion vortex.
13:02
Speaker 2: And what that means is someone sees and feels the
13:08
Speaker 2: excitement of looking better, so they get some put in,
13:13
Speaker 2: whether it's a filler surgery, you name it laser, and
13:16
Speaker 2: they look and they're like, I look so much better,
13:18
Speaker 2: and I'm so psyched and everything is perfect. I want more.
13:23
Speaker 2: But the psychology of it is very similar to any addiction.
13:27
Speaker 2: You get this rush of dopamine from looking and seeing
13:32
Speaker 2: yourself transformed. You want another hit.
13:35
Speaker 1: Well in LA I always say, there's this sort of
13:38
Speaker 1: new ethnicity that's been created here, and it's the ethnicity
13:42
Speaker 1: of plastic surgery face. And there's this look, and everybody
13:46
Speaker 1: has the same nose and the same lips and the
13:48
Speaker 1: same cheeks, and they're not all going to the same surgeons.
13:52
Speaker 1: It's just this look. And I'm not against plastic surgery,
13:56
Speaker 1: but I am sort of against the look.
13:59
Speaker 2: Making a new species is not the goal of plastic
14:03
Speaker 2: It is not, and I could not agree more. You
14:05
Speaker 2: are so right. Fortunately, I think we're coming out on
14:08
Speaker 2: the other side of it because I was one of
14:10
Speaker 2: the first, and that's probably why I got the tagline
14:13
Speaker 2: of holistic plastic surgeon. I was one of the first
14:15
Speaker 2: to really talk about thoughtful plastic surgery and natural results.
14:21
Speaker 2: This goes back almost twenty years and so I think, finally,
14:26
Speaker 2: and especially the new generation of plastic surgeons, if you
14:29
Speaker 2: look at social media, that concept is all over the
14:33
Speaker 2: place now, like people are moving towards this idea that
14:38
Speaker 2: you know, less can be more. But it's because frankly,
14:42
Speaker 2: we're scaring away potential patients by making people look like
14:48
Speaker 2: a different species.
14:50
Speaker 1: A few years ago, there was a real housewife named
14:52
Speaker 1: Sonia Morgan who got a facelift, and it was the
14:55
Speaker 1: first facelift that I had seen that anybody had talked
14:59
Speaker 1: about publicly that I thought looked good. And I was like, Okay,
15:03
Speaker 1: maybe technology is getting better. Is it possible to have
15:08
Speaker 1: a facelift and still look like a version of yourself?
15:12
Speaker 2: One thousand percent? That is my calling card, is really
15:16
Speaker 2: making things look natural and anatomically appropriate. I think they're
15:22
Speaker 2: different moves for example. Now, again this goes to the
15:26
Speaker 2: whole thing I said at the very beginning of technology.
15:29
Speaker 2: There's technology to remove glands in the neck. There's technology
15:34
Speaker 2: to remove bones and cartilage in the neck, or the
15:37
Speaker 2: face restructuring. You can do all kinds of things, but
15:43
Speaker 2: the art is in not getting carried away. And there's
15:47
Speaker 2: this obsession now with necks for example, of where the
15:51
Speaker 2: neck becomes excavated. It's like, oh, I want my neck
15:55
Speaker 2: to look so perfect and there's nothing there. But what
15:59
Speaker 2: people I don't realize is that you know, in cancer
16:03
Speaker 2: surgery you remove those glands for cancerous reasons, and that
16:07
Speaker 2: is a very specific look. And I have colleagues who
16:11
Speaker 2: are doing things that are reminiscent of cancer surgery, and
16:16
Speaker 2: so to me, it's kind of this thing of should
16:19
Speaker 2: that be the goal? We have the technology, but should
16:22
Speaker 2: that be the goal? Should the obsession with a neck
16:25
Speaker 2: that is perfect where you don't see any cords or
16:28
Speaker 2: columns and so on? I mean, I have eighteen and
16:32
Speaker 2: twenty year old boys, they have little chords. I mean,
16:35
Speaker 2: am I going to go operate on them? I don't
16:37
Speaker 2: think so. I think ultimately, as I say, it makes
16:42
Speaker 2: so much sense. But if you're somebody coming in, especially
16:45
Speaker 2: in Los Angeles, you have these talented doctors who have capabilities,
16:50
Speaker 2: and you know they're all within half a block of
16:53
Speaker 2: each other, it's hard to number one, know what to
16:56
Speaker 2: do and what not to do, and two, everybody's trying
17:00
Speaker 2: to outdo the other one. So guess what, that's not
17:03
Speaker 2: a winning battle. So I would tell anybody, and this
17:06
Speaker 2: is where hopefully I can make a consumer friendly announcement.
17:11
Speaker 2: Is the idea that number one, if somebody is thinking
17:15
Speaker 2: about I want to do X, I want to do
17:19
Speaker 2: this laser, I want to make my face look less
17:22
Speaker 2: tired or whatever, it is the first thing you should do.
17:25
Speaker 2: You tell the doctor I want to be conservative. That
17:29
Speaker 2: is the first thing you do, because if you set
17:32
Speaker 2: that landscape number one, most doctors will be like, oh
17:37
Speaker 2: thank God. And then the second part of that is
17:41
Speaker 2: they will be able to give you all the options
17:44
Speaker 2: without feeling pressured to hit a home run.
17:47
Speaker 1: And you know if you're at the right doctor, because
17:49
Speaker 1: I have botox and I went to a place in
17:52
Speaker 1: LA and said, I'm really conservative, and the look on
17:56
Speaker 1: her face, I was like, We're not a match. And
17:58
Speaker 1: I went back to Chicago the guy that I always
18:00
Speaker 1: go to because he's conservative about it. Is there anything
18:04
Speaker 1: else that you wish that patients knew coming in, anything
18:08
Speaker 1: that they should be asking or things that we should
18:10
Speaker 1: be thinking about.
18:11
Speaker 2: Yeah, I mean I think there are a couple of
18:13
Speaker 2: things that I think are big mistakes. Number One, I
18:16
Speaker 2: think it absolutely is imperative to at least here more
18:22
Speaker 2: than one or two options for any given issue, because
18:25
Speaker 2: now we're in a technological reality where they do exist.
18:28
Speaker 2: I think number two is the idea. And this is
18:32
Speaker 2: again where I got the holistic kind of moniker. If
18:36
Speaker 2: someone is going through a major life stress like a
18:41
Speaker 2: parent died, or there's some major upheaval, divorce, you name
18:46
Speaker 2: it a big negative event in life, you have to
18:49
Speaker 2: give yourself time to heal before you think about something elective.
18:52
Speaker 1: I'm so glad you said that it's so much easier
18:55
Speaker 1: to change your face than it is to deal with Greeder,
18:57
Speaker 1: to deal with like a job loss, whatever, and so
19:00
Speaker 1: to give that time is so important.
19:02
Speaker 2: It's so critical because I do believe the stress hormones
19:07
Speaker 2: and so on that go with this, plus just the
19:09
Speaker 2: psycho emotional parts, you put your procedure at high risk.
19:14
Speaker 2: I also think really having a clear cut priority list.
19:20
Speaker 2: So all the time I'll get somebody who comes in
19:22
Speaker 2: now because of my reputation, I'll say, okay, my face
19:25
Speaker 2: is yours, what would you do? And I always put
19:29
Speaker 2: it back on them to say, honestly, when you woke
19:32
Speaker 2: up this morning, what stood out to you as not recognizable?
19:37
Speaker 2: Or if it's somebody who's younger, it's more, well, what
19:41
Speaker 2: was it in your personal journey that led you to say,
19:45
Speaker 2: you know what, I'm thinking about this every day and
19:47
Speaker 2: I need to do something like what is that one thing?
19:50
Speaker 2: You'd be shocked because every time I've been surprised. And
19:56
Speaker 2: I think that's the advantage of somebody who's more experienced,
19:59
Speaker 2: I mean I earned these gray hairs. Is the idea
20:02
Speaker 2: that you kind of know the questions to ask to
20:05
Speaker 2: get at the heart of what's going on. Similar to you,
20:07
Speaker 2: when you're interviewing somebody, you know how to get me going,
20:10
Speaker 2: and probably you may want to shut me down, but
20:14
Speaker 2: it's the secret of understanding those questions. So much of
20:20
Speaker 2: what is kind of both surgical and non surgical cosmetic
20:25
Speaker 2: medicine is about what you see and what you're going
20:28
Speaker 2: to do about it, and there's very little time spent
20:32
Speaker 2: to the why. And I'd say that the biggest piece
20:35
Speaker 2: of advice I would give anybody is number one, write
20:37
Speaker 2: down why you're doing it, and be prepared to talk
20:40
Speaker 2: about it at the interview before you do a thing.
20:43
Speaker 1: I'm going to brag about you for a minute. You
20:46
Speaker 1: already know your resume, but I was pretty in awe
20:49
Speaker 1: when I was researching University of Chicago Pritzker School of Medicine.
20:53
Speaker 1: For your residency, you did general surgery at University of
20:56
Speaker 1: Michigan Medical Center, followed by plastic surgery training at Northwestern University,
21:01
Speaker 1: and then you received a special facial in eye cosmetic
21:04
Speaker 1: training in Honolulu, New York and Atlanta. So I was
21:08
Speaker 1: particularly interested in your special facial and ie cosmetic training
21:13
Speaker 1: because in LA the biggest trend right now is upper blef.
21:17
Speaker 1: For anybody listening, it's like eyelid surgery, right, you kind
21:21
Speaker 1: of take the skin away from the eye. Yes, So
21:26
Speaker 1: my curiosity around upper blef is is this going to
21:30
Speaker 1: age well? Because all of these trends that happen. The
21:34
Speaker 1: buckle fat pad that was a big trend. I don't
21:37
Speaker 1: know how well that's aging.
21:38
Speaker 2: You hit the nail on the head. What's old as
21:40
Speaker 2: new as the saying buckle fat pad removal was a
21:44
Speaker 2: big trend in the seventies and then it largely was
21:47
Speaker 2: abandoned because it did not age well. I think for blepharoplasty,
21:53
Speaker 2: one of the things that I would say is it
21:55
Speaker 2: really depends. And it gets back to that story of
21:58
Speaker 2: why if somebody doing it because they don't like the
22:02
Speaker 2: wrinkled skin and that's it, but they don't have any
22:05
Speaker 2: real hooding. It's just a textural thing. Removing the skin
22:09
Speaker 2: is not the answer. The other thing that is often missed,
22:13
Speaker 2: like you have beautiful brow arch if the brows are heavy,
22:18
Speaker 2: doing an upper blaphroplasty is the wrong thing to do
22:22
Speaker 2: as a standalone. And ultimately the biggest thing I learned
22:25
Speaker 2: in fellowship which has aged really well is the concept
22:29
Speaker 2: that you have to stabilize the brow first before you
22:33
Speaker 2: think about doing anything to the eyelid. If the brow
22:37
Speaker 2: is naturally sitting in a nice arch and it's not hooded,
22:40
Speaker 2: it's not going into the islet area, then you can
22:43
Speaker 2: evaluate for excess. Again, though, the most important thing for
22:48
Speaker 2: upper blaf railplasty is not scooping out everything because then
22:52
Speaker 2: that does not age well. That actually will look potentially
22:56
Speaker 2: haggard as somebody ages down the line. And so that's
23:01
Speaker 2: a huge part of this is you have to and
23:04
Speaker 2: again this would be a question to your surgeon is
23:07
Speaker 2: should I feel that my brows are an issue here?
23:10
Speaker 2: And that needs to be part of the discussion and
23:13
Speaker 2: experience ophthalmic plastic surgeon such as myself is it's centered
23:19
Speaker 2: on the idea that you have to look at the composite.
23:23
Speaker 2: There's so much interconnectivity between the upper i lit and
23:26
Speaker 2: lower eyelet and the forehead and these all are moving
23:29
Speaker 2: parts together. And again the idea of harmony in terms
23:33
Speaker 2: of these structures is critical. But an upper blepheroplasty is
23:38
Speaker 2: an easy operation to do. I mean on surface, meaning
23:42
Speaker 2: you don't have to necessarily be an eye specialist to
23:45
Speaker 2: do an upper blepheroplasty if you're a trained plastic surgeon.
23:49
Speaker 2: The problem is if you are not nuanced. And you're right,
23:53
Speaker 2: there's this big trend of very young women having this done,
23:57
Speaker 2: and again it's part of the backlash of fillers and botox.
24:00
Speaker 2: Potentially that plays poorly because a lot of these individuals
24:05
Speaker 2: will find themselves saying I don't like the wrinkling after
24:09
Speaker 2: like down the road, and the wrinkling is going to
24:12
Speaker 2: come because in essence, they haven't either addressed the brow
24:17
Speaker 2: or the real issue they were after was the wrinkling
24:22
Speaker 2: around the eye, which could have been managed with things
24:25
Speaker 2: like botox or managed with other techniques sort of surgery.
24:29
Speaker 2: I think that's kind of how I frame it. And
24:32
Speaker 2: even though I'm a specialist, I've written books about eyelet surgery,
24:35
Speaker 2: I've invented a couple of operations for the eye area.
24:38
Speaker 2: To me, I always look in the back of my head,
24:42
Speaker 2: can I make this person get by with botox first?
24:46
Speaker 2: That's always what I think. Can I make botox work first?
24:50
Speaker 2: And if there's a question. I strongly encourage them to
24:54
Speaker 2: try it to see if they like it, because there's
24:57
Speaker 2: nothing worse in my mind. And I've seen lots of
25:00
Speaker 2: patients who have had elid surgery in all different kinds
25:03
Speaker 2: of places. I've been referred to by other plastic surgeons,
25:06
Speaker 2: and the truth is, had they done a thoughtful assessment,
25:11
Speaker 2: they would have realized that patient would have been more
25:13
Speaker 2: happy with botox than they would be with surgery.
25:15
Speaker 1: I know that you were a proponent of non invasive procedures,
25:20
Speaker 1: but I didn't realize that you had invented some eyelid surgeries.
25:23
Speaker 1: That's pretty remarkable.
25:25
Speaker 2: So when I first started out in practice at Northwestern,
25:29
Speaker 2: this was back in ninety nine two thousand, fresh off
25:32
Speaker 2: of my training, and that training was in depth. It
25:35
Speaker 2: was reconstruction around the eye, it was doing things for cancer.
25:39
Speaker 2: I mean, it was in depth as well as cosmetic.
25:42
Speaker 2: At that time, a huge fad surgically was a mid facelift.
25:48
Speaker 2: The mid facelift was done by making an incision in
25:51
Speaker 2: the under eye and then lifting up the cheek from
25:54
Speaker 2: the under eye. The problem was the dynamics of the
25:58
Speaker 2: interplay between in the lower eyelid and the cheek. The
26:02
Speaker 2: lower eyelid was not strong enough. So what was happening
26:06
Speaker 2: is there were all kinds of people all over the
26:09
Speaker 2: country that were coming in like this.
26:12
Speaker 1: For everyone listening, the eye is dragged down.
26:16
Speaker 2: It's dragged down. The lower eyelid literally is pulled away
26:20
Speaker 2: from the eyeball itself, and that is called an ectropian.
26:24
Speaker 2: It is any surgeon's worst nightmare, it's any patient's worst nightmare.
26:30
Speaker 2: And so there were hundreds of these people walking around
26:34
Speaker 2: looking like they were accident victims. And so the problem
26:41
Speaker 2: with it is that approach going from the outside, you
26:45
Speaker 2: couldn't fix it. There was no fix Like I would
26:47
Speaker 2: see people who had ten operations to try to fix this.
26:50
Speaker 2: Can you imagine you spent your savings to do a
26:54
Speaker 2: surgery that then you become a reconstructive patient. So what
26:59
Speaker 2: happened there was only one other person on staff and
27:02
Speaker 2: the entire staff at Northwestern that did oculo plastic surgery,
27:07
Speaker 2: and he had no idea how to manage this. So
27:09
Speaker 2: he was rejecting all of them. He said, I have
27:12
Speaker 2: no answer, you know, there's nothing to do. And so
27:15
Speaker 2: what happened was I developed a technique which now is
27:18
Speaker 2: a technique used both for this but also cosmetic because
27:23
Speaker 2: it's much lower risk, is actually to do the mid
27:25
Speaker 2: face lift through the inside. So there's a way to
27:29
Speaker 2: go through the inside of the eyelid and then to
27:32
Speaker 2: release those ligaments, and then it's much safer. I won't
27:38
Speaker 2: bore you with the technical detail, but it is. Again,
27:41
Speaker 2: when my colleagues read about this, because I've published it
27:45
Speaker 2: in textbooks and medical journals, everybody looked at it as,
27:48
Speaker 2: of course, that's obvious, because it is. It's like an
27:51
Speaker 2: obvious way to go. It is less traumatic, you have
27:54
Speaker 2: less swelling, there's less risk, and it's incredibly versatile. The
27:58
Speaker 2: only issue is it's a learning curve. But I saved
28:02
Speaker 2: probably one hundred people who had this condition that otherwise
28:06
Speaker 2: would have had nowhere to go. And so we published
28:09
Speaker 2: our data and this became a workhorse technique. But now
28:14
Speaker 2: it's been modified over the years to be a workhorse
28:18
Speaker 2: for cosmetic reasons and it's a much safer way to go.
28:21
Speaker 2: You're not going to change the shape of the eye,
28:23
Speaker 2: which is the second worst thing you can do, and
28:26
Speaker 2: so it's really again it goes back to my core
28:28
Speaker 2: tenant of you want to look like yourself still.
28:32
Speaker 1: I want to ask you about some procedures, and then
28:36
Speaker 1: I want to talk about your skincare line that has
28:38
Speaker 1: very beautiful packaging. By the way, I'm a big packaging girl.
28:41
Speaker 1: It's really well done and it's heavy, it feels good
28:43
Speaker 1: in your hand.
28:44
Speaker 2: It adds some stock to it for sure.
28:46
Speaker 1: Okay, so what is the most requested procedure in your
28:49
Speaker 1: office right now?
28:50
Speaker 2: Well, I'm known for kind of a couple of things.
28:53
Speaker 2: Eyes are certainly one of them. A specific form of
28:57
Speaker 2: threadlifting I developed which has become at the standard approach,
29:02
Speaker 2: certainly in North America. And then facelifting. I'm known for
29:07
Speaker 2: the more understated facelift that still looks really damn good.
29:11
Speaker 2: And those are the three things that I get the
29:13
Speaker 2: most requests for. It's funny, though, lately what has happened,
29:17
Speaker 2: and it just shows how long I've been doing this.
29:19
Speaker 2: I have patients for my early career that were breast
29:23
Speaker 2: patients who either their kids or relatives they're referring to
29:28
Speaker 2: me because they've said, basically, You're the only person I
29:32
Speaker 2: would let my child have breast surgery on, like on Monday.
29:35
Speaker 2: I have a couple of patients who kind of fall
29:38
Speaker 2: into that category. You know, I've done tens of thousands
29:41
Speaker 2: of breast surgeries, so I'm not a stranger to it,
29:44
Speaker 2: but you know, I'm very particular about the nature of
29:48
Speaker 2: the surgery at this stage. I don't want to do
29:50
Speaker 2: any surgery or any treatment where I don't feel like
29:53
Speaker 2: I can be one hundred percent capable.
29:56
Speaker 1: What do you think about the technology of implants nowadays?
29:59
Speaker 1: Had a friend in La do a fat transfer into
30:02
Speaker 1: her breast instead, and the implants seem difficult because you
30:08
Speaker 1: have to change them out every ten or fifteen years, right.
30:11
Speaker 2: So that is one of the common myths. You don't
30:14
Speaker 2: have to necessarily change the implants out. They don't have
30:17
Speaker 2: a set expiration as long as they're functioning the way
30:20
Speaker 2: they're supposed to, and it's pretty easy to follow them
30:23
Speaker 2: with an ultrasound. I think where implants get a bad rap,
30:27
Speaker 2: it's similar. You're going to hear this theme they get
30:29
Speaker 2: a bad rap when, in particular women try to go
30:32
Speaker 2: much bigger than their body can tolerate. You're going to
30:35
Speaker 2: get all kinds of weird risk and complications that are,
30:41
Speaker 2: in my opinion, totally unnecessary. And fortunately, again we're seeing
30:45
Speaker 2: this trend of going to They call it the yoga breast.
30:49
Speaker 2: I guess or you hear all these terms, but it's
30:52
Speaker 2: like this more petite breast. So for me, it's this
30:56
Speaker 2: whole idea that you want it to match the box.
31:00
Speaker 2: But in general, implants are incredibly safe when they're done
31:03
Speaker 2: in a thoughtful way. Fat transfer is another incredibly good
31:08
Speaker 2: tool if you have it, but in this world of
31:10
Speaker 2: GLP ones, that's increasingly difficult. And by the way, if
31:14
Speaker 2: somebody is on a GLP one and they do a
31:16
Speaker 2: fat transfer, they're going to lose a lot of that benefit.
31:19
Speaker 2: So the fat transfer is a trickier widget to count
31:22
Speaker 2: on long term in this kind of post GLP one world.
31:27
Speaker 1: What's a procedure that doctors hate doing And.
31:29
Speaker 2: I want to get in trouble, but I'm going to
31:31
Speaker 2: tell you it's liposection. Most plastic surgeons do not like
31:35
Speaker 2: doing lpe A section, especially big volume. It is a
31:40
Speaker 2: ton of manual labor. It's really hard on your body.
31:44
Speaker 2: I have colleagues who've had to have their shoulders replaced.
31:47
Speaker 2: It's no joke. It is the most physically disruptive thing
31:51
Speaker 2: that you can do to yourself. It's just an unnatural
31:54
Speaker 2: torque of the shoulder and so I really do very
31:57
Speaker 2: little LiPo section now, it's not something I run.
32:00
Speaker 1: To Thanks for being honest, I appreciate that.
32:02
Speaker 2: I don't want to get any hate mail from my colleagues.
32:04
Speaker 2: We're saying, wait a minute, you're giving LiPo a bad rap.
32:07
Speaker 2: Because liposection still statistically is the most common plastic surgery procedure.
32:14
Speaker 1: What is a trend or an esthetic procedure that you
32:17
Speaker 1: think is aging people faster?
32:19
Speaker 2: Honestly, I think the biggest one is overfilling. Overfilling the
32:23
Speaker 2: face is guaranteed. And there are some people I'm not
32:27
Speaker 2: going to say who in popular culture that have been
32:30
Speaker 2: accused of looking older than they are.
32:32
Speaker 1: It's like the pillow face, right.
32:34
Speaker 2: It's the pillow face. This is the quickest way, and
32:38
Speaker 2: I've got a lot of research to explain why, but
32:41
Speaker 2: it is the quickest way to make somebody look older.
32:44
Speaker 1: Can you reverse bad filler or are you stuck with it?
32:47
Speaker 2: So that's where the challenge is. You can reverse it,
32:49
Speaker 2: but then they look even older still. I had a
32:51
Speaker 2: series of patients I just recently did where I had
32:54
Speaker 2: to melt their filler and then I did facelips on them.
32:57
Speaker 2: Everything literally sagged as a result, and they were people
33:01
Speaker 2: who I think had they done something a bit more conservative,
33:05
Speaker 2: they would not have been in the same predicament.
33:10
Speaker 1: Before we come back from break. A core pillar of
33:13
Speaker 1: this podcast is the belief that we rise together. You
33:17
Speaker 1: all support my dreams, and I am here to support
33:20
Speaker 1: your dreams. And that's why I hop on a zoom
33:22
Speaker 1: with a listener or sometimes two or three, just to connect.
33:25
Speaker 1: Every week. We swap stories, we chat, and I see
33:28
Speaker 1: how I can support you. And a few weeks ago,
33:31
Speaker 1: I met Andrea. She's a career transition coach who helps
33:35
Speaker 1: high achieving women reimagine their careers in a way that
33:38
Speaker 1: feels good and still pays the bills well. And the
33:42
Speaker 1: reason I wanted to share Andrea's work with you is
33:45
Speaker 1: so many of you DM me saying I feel stuck
33:48
Speaker 1: or I can't figure out what I really want to do,
33:51
Speaker 1: and I'm happy to hop on a zoom, but a
33:54
Speaker 1: lot of times what I think could be more helpful
33:57
Speaker 1: is an executive coach, a career transition coach. And I
34:01
Speaker 1: was so impressed with Andrea. I felt like if any
34:04
Speaker 1: of those questions that I feel stuck or I can't
34:07
Speaker 1: figure out what I want to do? Resonates with you.
34:10
Speaker 1: Email Andrea. I put her information in the show notes,
34:14
Speaker 1: but here's a little bit from her.
34:16
Speaker 3: Do you find yourself questioning everything lately? Who am I?
34:20
Speaker 3: What am I doing? What's next? If so, you're not alone?
34:24
Speaker 1: Hi?
34:24
Speaker 3: There, I'm Andrea and I have lived in that space
34:27
Speaker 3: between where everything looks fine on the outside but nothing
34:31
Speaker 3: feels quite right on the inside. And clarity didn't come
34:34
Speaker 3: from having the perfect plan. It came when I stopped
34:37
Speaker 3: asking myself questions rooted in fear, questions like what if
34:41
Speaker 3: I fail? What if I have to start over, and
34:43
Speaker 3: instead started asking questions that were beating in my heart.
34:47
Speaker 3: That's when everything changed. Because the questions we ask ourselves
34:51
Speaker 3: don't just describe our reality, they have the power to
34:55
Speaker 3: shape it. And as a career transition coach, I help
34:58
Speaker 3: ambitious women stuck messy middle learn to ask themselves better questions,
35:03
Speaker 3: the kind that reconnect them to who they are and
35:06
Speaker 3: what they actually want, allowing them to move forward with
35:09
Speaker 3: alignment self trust and clear next steps and life and career.
35:15
Speaker 3: If that's you, I invite you to download my free
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Speaker 3: twenty one day guide Reclaim Your next chapter filled with
35:22
Speaker 3: powerful questions to help you reset, reconnect, and rise.
35:30
Speaker 1: At the beginning of our conversation, you made a really
35:33
Speaker 1: great and funny comment about how you've done some work
35:36
Speaker 1: on celebrities that pretend like they haven't had anything done,
35:40
Speaker 1: but obviously you know that they've had something done. I'm
35:43
Speaker 1: curious what your take is on celebrities not admitting having
35:48
Speaker 1: work done.
35:48
Speaker 2: I could write a book about my experiences, whether it
35:51
Speaker 2: is going to their homes or finding very nondescript ways
35:56
Speaker 2: to meet, or doing things in certain ways where they
36:00
Speaker 2: confidentiality can be assured. I think the problem is, and
36:04
Speaker 2: it's worse now than ever. Social media is brutal, it's ruthless.
36:10
Speaker 2: A lot of the folks that I've had the pleasure
36:13
Speaker 2: of taking care of are some of the nicest, most
36:15
Speaker 2: genuine people you could hope to meet, and they are ravaged,
36:19
Speaker 2: their kids are ravaged. People say the cruelest things, and
36:23
Speaker 2: so if you're that person, the last thing you want
36:26
Speaker 2: to do is say, well, yeah, I had plastic surgery,
36:28
Speaker 2: or admit to having plastic surgery, because still then they're
36:31
Speaker 2: going to be ruthless on that. And so I just
36:34
Speaker 2: feel like everybody deserves privacy. And just because you make
36:38
Speaker 2: a living being a public persona, you're doing a job.
36:41
Speaker 2: Your job is acting or musician, and that doesn't give
36:46
Speaker 2: anybody the right to pick into your private life unless
36:50
Speaker 2: you want to give it up. But I think that's
36:53
Speaker 2: the challenge. And I'm fully on the side of the
36:56
Speaker 2: actor or musician that is famous because they deserve their privacy.
37:01
Speaker 2: And that's why you will never hear me theorize about
37:05
Speaker 2: who did what or whatever, because the truth is either
37:07
Speaker 2: I may have done it, or I want to not
37:10
Speaker 2: even make a theory as to why they did it.
37:13
Speaker 2: It's not my place, and I think it's the most rude,
37:16
Speaker 2: glowbrow thing somebody can do in my profession. And the
37:19
Speaker 2: thing that gets me you got me in a role
37:22
Speaker 2: is there's some people that I've taken care of where
37:26
Speaker 2: I flip through social media. I don't follow these people,
37:29
Speaker 2: but I'll flip through, and often it's somebody in another
37:33
Speaker 2: country that is theorizing about one of our well known
37:36
Speaker 2: American actors and they'll proceed to list all the things
37:41
Speaker 2: and I'm watching this and I'm thinking, I know exactly
37:44
Speaker 2: what they did, and you are full of shit. You're
37:47
Speaker 2: so wrong. It's like a game I play, I look
37:49
Speaker 2: on my phone, I look at Instagram, I watch. They'll
37:52
Speaker 2: list a thing and I say wrong, They'll list another
37:56
Speaker 2: thing wrong. It's one of these things where people deserve
38:01
Speaker 2: their dignity and privacy, and I think maybe if society
38:06
Speaker 2: as a whole we're a little kinder to the celebrity,
38:09
Speaker 2: maybe they'd be willing to give it up. There are
38:11
Speaker 2: celebrities who are open about some of the things they do,
38:14
Speaker 2: but that's an unusual constitution to be that way.
38:19
Speaker 1: So one of the reasons that I don't feel like
38:22
Speaker 1: we are owed the information is because I find it's
38:26
Speaker 1: still very sexist because we don't really ask men about
38:28
Speaker 1: what procedures they've had done, and once a woman comes
38:32
Speaker 1: out and says they've had something done, it's everywhere. It's
38:36
Speaker 1: in every magazine. We all know. We think about the
38:39
Speaker 1: surgery before we think about their project or them. And
38:42
Speaker 1: so I agree with you, I don't think we're owed anything,
38:45
Speaker 1: But I particularly don't like the gendered practice of even
38:49
Speaker 1: asking pun intended.
38:51
Speaker 2: It's two faced, and I agree with you the gender
38:53
Speaker 2: bias of how you have to keep up as a
38:57
Speaker 2: woman compared to a man. It is unfair, and that's
39:00
Speaker 2: part of this thing. But again, it's interesting. I am
39:04
Speaker 2: starting to see that trend shift a little bit more
39:06
Speaker 2: towards men now, like where you as a man, because
39:09
Speaker 2: of the technology, if you're an actor, you can't exactly
39:14
Speaker 2: cruise like you could have, and that's an interesting reality.
39:18
Speaker 2: We're seeing some of that for sure.
39:20
Speaker 1: Well, I've heard this thing. I don't know if this
39:22
Speaker 1: is just a thing you hear in Hollywood, that there's
39:25
Speaker 1: the leading man jawline that people have had for years
39:29
Speaker 1: that they would get an implant and redo their jaw
39:33
Speaker 1: the A list actors, but men just wouldn't talk about it.
39:36
Speaker 1: So maybe now people are talking about it a little more. Also,
39:38
Speaker 1: I love that your silent smile right now.
39:41
Speaker 2: I have no comment. I will make no.
39:43
Speaker 1: Comment how much of how we age as genetics versus
39:46
Speaker 1: how much we can actually influence.
39:48
Speaker 2: I think genetics are everything. One of the big deciders
39:53
Speaker 2: that I use to help answer the question of should
39:57
Speaker 2: somebody do something now versus late, As I say, look
40:01
Speaker 2: at your mom or your aunt or your grandmother and
40:05
Speaker 2: how they played out. It is especially true for the
40:09
Speaker 2: eye area and the neck. If I have somebody who
40:12
Speaker 2: comes in, they have a slightly fuller neck, but it's
40:15
Speaker 2: not bad. But looking at their mother or grandmother, they
40:18
Speaker 2: have like this really heavy like double or triple neck.
40:22
Speaker 2: I've said this, I've said, literally, you know what, let's
40:25
Speaker 2: remove the fat there because it's not going to age well.
40:28
Speaker 2: And that's a preemptive strike, and that is doing something
40:31
Speaker 2: in their best interests. It's one area where I will
40:34
Speaker 2: do lipe as suction and feel good about it. I
40:36
Speaker 2: actually developed and invented this technique called a chin tuck,
40:40
Speaker 2: which involves doing a form of a limited necklift. It
40:44
Speaker 2: involves repositioning the skin under the neck as well as
40:48
Speaker 2: the deeper structures. It's a modification of what's called a
40:52
Speaker 2: sub mental necklift. This is something much more limited, but
40:56
Speaker 2: the results are significant. It's something I'm getting ready to
40:59
Speaker 2: write up in our medical journal. But basically it's one
41:03
Speaker 2: of those limited access techniques that actually delivers huge results
41:10
Speaker 2: in a discrete, fast recovery way. Also, I think it
41:15
Speaker 2: is a technique that I love to use in that
41:17
Speaker 2: person who is genetically predisposed to a double chin.
41:21
Speaker 1: Are there any advancements in technology or procedures that haven't
41:26
Speaker 1: hit mass market yet that you're excited about.
41:29
Speaker 2: Well, that kind of dovetails into my skincare. I think
41:33
Speaker 2: the biggest thing that we're seeing, which is only going
41:36
Speaker 2: to increase, is GLP one use. And GLP one use
41:42
Speaker 2: is everywhere for all kinds of indications, from diabetes, heart disease,
41:47
Speaker 2: to addictive personality issues to inflammatory conditions in the body.
41:54
Speaker 2: I've just heard somebody talking about using low dose or
41:56
Speaker 2: microdose for hypertension. The list goes on, and so as
42:01
Speaker 2: of middle of last year, it was estimated one in
42:04
Speaker 2: eight Americans are on a GLP one. That number is
42:09
Speaker 2: exploding for all these reasons, off label use and so on.
42:13
Speaker 2: Plus we expect to have a pill and or an
42:16
Speaker 2: inhalational version of it coming out soon, probably by the
42:19
Speaker 2: end of this year. So the reality is I started
42:24
Speaker 2: researching this effect over the last two years because I
42:27
Speaker 2: noted the dramatic change to the skin itself that seemed
42:31
Speaker 2: to be independent of weight loss. And this research over
42:35
Speaker 2: the last couple of years, and I have a lot
42:37
Speaker 2: of experience and kind of scarring, wound healing, and immunology.
42:42
Speaker 2: I use that experience to come up with a likely
42:45
Speaker 2: mechanism for why the skin is significantly directly impacted by
42:52
Speaker 2: GLP ones, and we just finished a study that is
42:56
Speaker 2: in the process of being submitted for publication. But the
43:00
Speaker 2: net effect is that there is a dramatic effect on
43:05
Speaker 2: the skin itself. I've come up with this term that
43:08
Speaker 2: I call GLP face and GLP skin, and it's not
43:13
Speaker 2: meant to make fun of the issue, but rather to
43:15
Speaker 2: describe what everybody's seeing. There are men and women that
43:19
Speaker 2: are taking low dose with a ten pound weight loss
43:24
Speaker 2: or less that their skin looks awful, and there's a
43:28
Speaker 2: reason for it. The GLP one, which is an amazing
43:31
Speaker 2: anti inflammatory agent, much like steroids are for certain conditions,
43:36
Speaker 2: but it impairs the skin's natural protective power on a
43:40
Speaker 2: number of levels. We've specifically mapped out specific cyto kinds,
43:46
Speaker 2: which are basically the communicators between the cells and the
43:49
Speaker 2: skin that are affected by this, and really have developed
43:54
Speaker 2: an explanation for why the skin is much more sensitive
43:57
Speaker 2: to the sun on a GLP one, why the skin
44:00
Speaker 2: is much more likely to look dull and sagging on
44:03
Speaker 2: a GLP one even with minimal weight loss. And so
44:07
Speaker 2: this is the reason why I actually developed product that
44:11
Speaker 2: is designed to reverse some of this, and we just
44:15
Speaker 2: finished our clinicals. And when I say you're going to
44:18
Speaker 2: be blown away by this, that is an understatement, and
44:23
Speaker 2: I do believe based on what we saw in our study.
44:26
Speaker 2: It's a six week it was a placebo controlled, meaning
44:29
Speaker 2: one side of the face had placebo that looked and
44:33
Speaker 2: felt like the active product. The results were staggering in
44:37
Speaker 2: terms of the subjects their reported benefit. They all chose
44:42
Speaker 2: the active side. Everybody was blinded to which side was which,
44:47
Speaker 2: and everybody chose and it was obvious the dramatic benefit
44:51
Speaker 2: of the active product. So I've been excited about a
44:55
Speaker 2: lot of things professionally, I am beyond excited about this
44:59
Speaker 2: product coming out, and I think it's going to revolutionize
45:02
Speaker 2: the way we look at this issue. Like you would
45:05
Speaker 2: look at some of these pictures and you would say,
45:08
Speaker 2: this person, the only way this happened is had a laser.
45:11
Speaker 1: So usually skincare clinicals have like I see it before
45:16
Speaker 1: and after, and it's better, but it is sort of
45:18
Speaker 1: like a limited difference. This has a more dramatic before
45:22
Speaker 1: and after.
45:22
Speaker 2: It is beyond dramatic.
45:25
Speaker 1: What do you use on your face?
45:27
Speaker 2: So I'll tell you my routine. I was plagued by acne.
45:31
Speaker 1: I mean, as a kid, you have no scars.
45:33
Speaker 2: It's a miracle at a very strict mom that would
45:36
Speaker 2: not let me pick. But in any case, that was
45:40
Speaker 2: a struggle, and it was a struggle to find skincare,
45:43
Speaker 2: and most of my adolescent life I spent stripping my
45:47
Speaker 2: skin and overdrying it and then dealing with hyper pigmentation,
45:51
Speaker 2: and it was like a round and a round. So
45:53
Speaker 2: my products are engineered to be really seen as nutrients
46:00
Speaker 2: for the skin. If I oversimplify it, that's really the
46:03
Speaker 2: way somebody should look at my products. We have engineered
46:06
Speaker 2: them down to the cellular level to be seen as
46:10
Speaker 2: clean food for your skin. So it allows the skin
46:13
Speaker 2: to do what it knows how to do best. I
46:16
Speaker 2: think it's ultimate arrogance to think that we as a
46:19
Speaker 2: human being can figure out a way to do better
46:22
Speaker 2: than what centuries of generations have done to engineer the
46:27
Speaker 2: skin's resiliency. So that's the concept, and so really my
46:33
Speaker 2: skin what I love using. I actually developed an I
46:38
Speaker 2: rejuvenating serum with SPF because it's really hard to get
46:42
Speaker 2: sunscreen around the eye. I mean, I have some pigment
46:45
Speaker 2: in my underreyes, but it is much better since I've
46:48
Speaker 2: started using this product. It also helps with puffiness, It
46:51
Speaker 2: helps with fine lines and wrinkles, so that's one that
46:55
Speaker 2: I use. In the morning, I use our tinted mineral sunscreen,
46:59
Speaker 2: especially bald head number one. It makes it not so shiny,
47:03
Speaker 2: but also doesn't cast a ghost. You can see. It's
47:07
Speaker 2: not like ghost or powdery. It's good for all skin tones.
47:11
Speaker 2: You can add the fairest skin or the darkest skin,
47:13
Speaker 2: does not matter. The micronize kind of physical sign block
47:18
Speaker 2: works the way that it needs to. There's no artificial chemicals,
47:22
Speaker 2: so you don't have to worry about chemicals that are
47:25
Speaker 2: harming the skin or causing other problems which have been
47:27
Speaker 2: talked about. And then my favorite product, which is our
47:31
Speaker 2: cheapest product and probably the most underrated or least talked about,
47:36
Speaker 2: is our Gentle exfoliating cleanser. This has been my savior
47:42
Speaker 2: in preventing breakouts because prior to me coming up with this,
47:46
Speaker 2: I still would occasionally break out, and so I use
47:49
Speaker 2: that as my wash. Then I use we have a
47:52
Speaker 2: sheer moisturizer because my skin favors being oily. And it
47:55
Speaker 2: sounds like a lot, but it's honestly, it's five minutes
47:57
Speaker 2: in the morning. At night, I'll you is our supreme
48:01
Speaker 2: oil serum for my bearded area, and that's it. As
48:05
Speaker 2: I'm closer to sixty than fifty, I'm not just somebody
48:08
Speaker 2: who talks about it. I actually follow it. I live it.
48:12
Speaker 1: Okay, I know I only have a few minutes left
48:14
Speaker 1: with you, so I'm going to do a little rapid fire.
48:16
Speaker 1: If you're okay with that, I'm ready, let's do it. Okay.
48:23
Speaker 1: What do you wish more people did to take care
48:25
Speaker 1: of their face before ever seeing a surgeon?
48:28
Speaker 2: I mean, honestly, I think it is prevention of sun exposure,
48:32
Speaker 2: over beating the skin with sun and then expecting to
48:36
Speaker 2: have an easy solution. The second would be just good skincare.
48:39
Speaker 1: Do you think skincare really matters?
48:41
Speaker 2: I do. I'm living proof of it. You know, you
48:43
Speaker 2: do a little bit of skincare, it'll cure you in
48:46
Speaker 2: the most dramatic way this morning to night. Not going overboard.
48:50
Speaker 2: If you get to the point where you're spending more
48:52
Speaker 2: than seven minutes on skincare, you've gone too far. I'd
48:57
Speaker 2: say five to seven minutes. I know you're super I'm
49:00
Speaker 2: crazy busy as well, but I can give five minutes
49:04
Speaker 2: of self care.
49:05
Speaker 1: Okay, lasers Like if someone walks into your office and
49:09
Speaker 1: wants sort of like a fresh face cleanup, what's the laser?
49:13
Speaker 2: I Love Love Syton is the name of the company.
49:18
Speaker 2: They have the best lasers. They're all made in the US.
49:23
Speaker 2: They're actually based up north in northern California. Two brilliant founders.
49:28
Speaker 2: They engineer everything. They have figured things out, so broadband
49:33
Speaker 2: lighter BBL, BBL heroes, they're new product. It's a game changer,
49:38
Speaker 2: Halo laser. You can use it in my skin, use
49:42
Speaker 2: it in your skin. An amazing tool with fast recovery.
49:46
Speaker 2: You're talking to somebody who grew up on CO two laser.
49:50
Speaker 2: People think, oh, that's like such a great treatment. It's
49:53
Speaker 2: like hitting its fad moment. Now that thing is a blowtorch.
49:57
Speaker 2: You can do so much damage. Again, what's old is new.
50:01
Speaker 2: It's like the buckle fat pad. With CO two, you're
50:05
Speaker 2: going to change the nature of the skin if you're
50:07
Speaker 2: not careful. I mean, listen, they're very experienced derms and
50:11
Speaker 2: plastic surgeons that know how to do CO two. But man,
50:15
Speaker 2: that's like driving a car that doesn't have anti lock brakes.
50:19
Speaker 2: The steering is no good and the tires are bald
50:22
Speaker 2: and basically in the winter. It's a scary technology. So
50:26
Speaker 2: I think their platform Moxie is also one that is amazing. Man.
50:32
Speaker 2: They have come out with hit after hit and you
50:35
Speaker 2: can dial it in or out.
50:36
Speaker 1: That's really nice to hear. I did a really intense
50:38
Speaker 1: laser a few years ago. I forgot what it was called,
50:41
Speaker 1: and I really regret it first why I was in
50:43
Speaker 1: so much pain. I was read for days, But I
50:46
Speaker 1: did it to get rid of some spots on my
50:48
Speaker 1: cheek and they came back like a month later.
50:51
Speaker 2: This is the thing like, if you look at BBL,
50:55
Speaker 2: there's no real downtime.
50:56
Speaker 1: How often do you do them?
50:58
Speaker 2: So BBL typically if and again this is the caveat
51:02
Speaker 2: be good with sun protection. It doesn't mean you have
51:04
Speaker 2: to hide from the sun, but be good with using
51:07
Speaker 2: sun protection. Ultimately it can last for two three years.
51:11
Speaker 2: If somebody is out in the sun and they're maybe
51:14
Speaker 2: not so diligent or religious about sun protection, then you're
51:18
Speaker 2: probably doing it every year.
51:19
Speaker 1: Are there any treatments that actually prevent aging or we
51:22
Speaker 1: all just chasing collagen dreams over here?
51:25
Speaker 3: No?
51:25
Speaker 2: I think the biggest treatment And again where I don't
51:28
Speaker 2: think it gets enough credit. Is boatox, ZM and disport
51:33
Speaker 2: are the number one ways I do it myself. Like
51:37
Speaker 2: I tend to favor acrease here, it would be ten
51:41
Speaker 2: times deeper if I didn't do botox to the muscles
51:44
Speaker 2: down here. My analogy is it's like a folding piece
51:47
Speaker 2: of paper. If you're softening or weakening the way that
51:51
Speaker 2: paper folds, the crease is not as deep, and you're
51:55
Speaker 2: going to age better for it. I mean, you can
51:58
Speaker 2: see lots of again actors. If you're looking at like
52:02
Speaker 2: the forehead, for example, that will give away age. But
52:06
Speaker 2: also you have to be thoughtful about not over botoxing.
52:10
Speaker 2: So like I can raise my brow, I can still frown,
52:13
Speaker 2: but it's doing it softer. The goal being you still
52:17
Speaker 2: can move, but you're helping aging.
52:21
Speaker 1: I was just going to say, I really like that
52:23
Speaker 1: you still have movement and signs of your age and
52:27
Speaker 1: your face, but you look so refreshed. You don't have
52:29
Speaker 1: botox face.
52:31
Speaker 2: If I have botox face when you meet me in person,
52:35
Speaker 2: there's something that's gone really wrong. But a lot of.
52:38
Speaker 1: People like you said, in your industry. I went to
52:40
Speaker 1: a dermatologist and his skin looks like glass and his
52:43
Speaker 1: hair was so perfectly.
52:44
Speaker 2: Clopp That actually is a secret for and this is
52:48
Speaker 2: probably an important cautionary tale. If you're going to a
52:51
Speaker 2: dermatologist or plastic surgeon and they don't look the way
52:56
Speaker 2: in terms of the way you would want to look philosophically,
53:00
Speaker 2: probably don't want them to be the one doing your
53:02
Speaker 2: treatment if they look way overdone and that's not in
53:07
Speaker 2: line unless they're going to tell you, yeah, I'm overdone,
53:09
Speaker 2: and man I got carried away with that filler. I
53:12
Speaker 2: wish I didn't do it. Then you need to really
53:15
Speaker 2: think about it.
53:16
Speaker 1: What's a sign of aging that you admire.
53:19
Speaker 2: I have seen some of the most extraordinarily beautiful women
53:23
Speaker 2: who have salt and pepper hair. I think it's one
53:25
Speaker 2: of the most interesting subtleties that you can see. There
53:29
Speaker 2: are women who I think look better in that light
53:33
Speaker 2: than they did when they have their natural dark pigment
53:36
Speaker 2: in their hair. That is. I also think another thing
53:39
Speaker 2: that actually looks really interesting with age in particular, we
53:45
Speaker 2: can say it for women is when there is just
53:49
Speaker 2: a little bit of loss of volume in the cheek area,
53:54
Speaker 2: a subtle amount. I think that can be really sexy
53:58
Speaker 2: and it shows that they may be in an older
54:01
Speaker 2: age bracket, but at the same time they still look good.
54:04
Speaker 2: The one last thing is not erasing all wrinkles. I
54:08
Speaker 2: think that's the last thing I would say.
54:10
Speaker 1: Thank you for sharing those. I was thinking as you
54:12
Speaker 1: said the cheek thing. I was thinking of Demi mour
54:15
Speaker 1: because she has that and she's still so beautiful and sexy. Okay,
54:20
Speaker 1: your future face, what's one procedure I'm going to go
54:22
Speaker 1: through the generations or through the decades. I should say
54:25
Speaker 1: one procedure you can think about in your twenties. If
54:28
Speaker 1: you're going to do anything.
54:30
Speaker 2: In your twenties, it's botox.
54:32
Speaker 1: How about your thirties.
54:33
Speaker 2: Thirties, it's going to be laser consideration and strategic botox
54:41
Speaker 2: still possible, super conservative filler. Forties forties, you're going to
54:47
Speaker 2: be looking at the things to non surgically lift threadlifting
54:52
Speaker 2: energy based technologies like soft wave or afal. There just
54:56
Speaker 2: came out with all therap prime. You know their variety
54:59
Speaker 2: of radio frequent and see devices that non surgically lift.
55:03
Speaker 2: Goal being easier to treat something early than waiting for
55:07
Speaker 2: a tall breakdown. Fifties fifties you get into the striking
55:11
Speaker 2: zone of thinking about surgery.
55:13
Speaker 1: Our fifties are our sixties the facelift years.
55:16
Speaker 2: Fifties and sixties are ripe facelift territory because the techniques
55:22
Speaker 2: are much easier for recovery and downtime. But also you
55:27
Speaker 2: get this incredible ability to look really good in a
55:32
Speaker 2: way that trying to overdo with fillers will not. People
55:36
Speaker 2: are so afraid of surgery to the point where they're
55:39
Speaker 2: willing to overdo a non surgical treatment that's worse.
55:43
Speaker 1: And then seventies and eighties, does that get to a
55:46
Speaker 1: point where it's a little bit scarier to go under
55:49
Speaker 1: or No.
55:50
Speaker 3: No.
55:50
Speaker 2: I just had a series of patients and their seventies
55:54
Speaker 2: late seventies included that have done little strategic nip and tucks.
56:00
Speaker 2: Again goal not being to completely erase, but just to nudge.
56:05
Speaker 2: And that's typically an easier procedure to get through. It
56:08
Speaker 2: has lesser downtime, and it can be a really nice adjunct. Plus,
56:13
Speaker 2: if somebody's in their seventies, they scar beautifully like they
56:17
Speaker 2: won't scar. You don't have to worry about a scar.
56:19
Speaker 2: If somebody's seventy, you have to really be out of
56:23
Speaker 2: bounds to cause a scar. Why is that this is
56:26
Speaker 2: part of the way the care tenocyites and the cells
56:31
Speaker 2: and the dermis actually behave they're not as robust in
56:35
Speaker 2: their activity. So that's good news bad news. Bad news
56:38
Speaker 2: is you're going to be more likely to see wrinkled skin.
56:41
Speaker 2: Good news is you're going to scar much better.
56:43
Speaker 1: What's a book that you've read that you think everybody
56:46
Speaker 1: should read.
56:46
Speaker 2: I think everybody should read Essentialism?
56:49
Speaker 1: And what's one thing that everybody should try one time?
56:53
Speaker 2: Sushi doctor?
56:54
Speaker 1: I few. I respect you so much. I really like
56:58
Speaker 1: you. You're so fun to talk to. Thank you for sharing
57:01
Speaker 1: so much of your time with me.
57:03
Speaker 2: It is an absolute pleasure. Danielle and I feel the same,
57:06
Speaker 2: especially having been out in LA as long as you have.
57:10
Speaker 2: You've kept your feet on the ground, so it's been
57:12
Speaker 2: a lot of fun to get to know you.
57:14
Speaker 1: That's really kind. I'm still a Chicago girl at heart.
57:16
Speaker 2: I love it. That's a gift.
57:22
Speaker 1: Okay, you know what time it is. Today's a good day.
57:26
Speaker 1: To have a good day. I'll see you next week.