Latest / Miss Understood with Rachel Uchitel / Celebrity Plastic Surgeon Dr. Michael Fiorillo Makes Us All More Beautiful

Transcript

Celebrity Plastic Surgeon Dr. Michael Fiorillo Makes Us All More Beautiful · Miss Understood with Rachel Uchitel

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  Speaker 2: P-O-D.
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  Speaker 1: Start your journey to real conversations in a new language today.
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  Speaker 2: Welcome back to Misunderstood.
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  Speaker 1: I'm Rachel Uchitel. No matter your age, you always want
• 1:03
  Speaker 1: to look and feel your best. Today's guest, Dr.
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  Speaker 2: Michael Fiorello, gives us the scoop on the most popular
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  Speaker 2: surgical and non-surgical procedures out there. You might know Dr.
• 1:12
  Speaker 1: Fiorello from The Real Housewives of New Jersey or as
• 1:15
  Speaker 1: many guest appearances on TV talk shows, most notably as
• 1:19
  Speaker 1: the surgeon who helped Renee Graziano from Mob Wives. A
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  Speaker 1: top-notch surgeon for decades, he discusses how the standards of
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  Speaker 1: beauty have changed, what patients should be looking for in
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  Speaker 1: a doctor, and how social media has changed the game.
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  Speaker 1: We also talk about the rise of the med spa
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  Speaker 1: and whether it's the wave of the future. No matter
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  Speaker 1: how you feel about plastic surgery or injectables, I think
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  Speaker 1: it's clear that it's no longer taboo to get treatments
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  Speaker 1: and make yourself look and feel better. Sometimes a quick
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  Speaker 1: fix isn't just an apple a day, more sleep, more water.
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  Speaker 1: sometimes you need to call the doctor. So get ready
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  Speaker 1: to welcome Dr. Michael Fiorello.
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  Speaker 2: Welcome, Dr. Michael Fiorello. I'm so happy to have you here.
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  Speaker 3: Thanks for having me. This is great.
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  Speaker 1: Yeah, so the one thing that people are always gonna
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  Speaker 1: wanna talk about is how to look better and how
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  Speaker 1: to look younger. So you're probably gonna be one of
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  Speaker 1: the favorite guests we always have because it's a conversation
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  Speaker 1: piece that everyone wants to know. So before we get
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  Speaker 1: into the nitty gritty of all that stuff and the
• 2:51
  Speaker 1: hard hitting questions, just give us a little bit of
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  Speaker 1: your background. Why did you wanna become a doctor? Why
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  Speaker 1: in this field? And then give a little bit of
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  Speaker 1: your resume as to what you've done.
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  Speaker 3: Excellent. Okay, great. So, you know, I always wanted to
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  Speaker 3: be a doctor since I was a little kid, probably
• 3:07
  Speaker 3: since like eighth grade. So I was very laser focused
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  Speaker 3: on that. And then I actually went to school. I
• 3:14
  Speaker 3: want to be a pediatrician, believe it or not. And
• 3:17
  Speaker 3: when I did my rotation in pediatrics, you know, it
• 3:21
  Speaker 3: wasn't really what I thought. It was more about dealing
• 3:23
  Speaker 3: with like the moms. And I was like, it's really
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  Speaker 3: not what I wanted. So then I was kind of
• 3:28
  Speaker 3: trying to figure out what I want to do. loved surgery.
• 3:32
  Speaker 3: I loved like that instant gratification as opposed to medicine.
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  Speaker 3: And then I did general surgery first. So I did
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  Speaker 3: general surgery. I did five years. I'm board certified in
• 3:42
  Speaker 3: general surgery. And then that really didn't satisfy me enough.
• 3:46
  Speaker 3: And then when I was looking at other specialties, when
• 3:48
  Speaker 3: I saw plastics, I loved it because you can operate
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  Speaker 3: on any age person, you know, newborn to, you know, 90,
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  Speaker 3: all parts of the body. So you're not limited to
• 4:00
  Speaker 3: just face or feet or, you know, you have the
• 4:01
  Speaker 3: whole body. So I fell in love with the specialty
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  Speaker 3: and I did two years of plastic surgery. So I
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  Speaker 3: did general surgery and plastic surgery. And I started my
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  Speaker 3: practice in 1998 doing mostly reconstructive. So I lived in
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  Speaker 3: the emergency rooms for probably a good 10 years. And
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  Speaker 3: I love that we're talking about this because it's changed everything.
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  Speaker 3: So much since I started, it's amazing. So when I started,
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  Speaker 3: there wasn't injectables. There weren't any injectables. There was hardly
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  Speaker 3: any machines. Botox was just kind of getting into the mix.
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  Speaker 3: You know, it was used for medical stuff. It wasn't
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  Speaker 3: really used for cosmetic. So I've kind of seen this
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  Speaker 3: whole evolution and the technology and how things have really,
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  Speaker 3: really changed.
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  Speaker 2: Right, right. How real? I just have a question. How
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  Speaker 2: real is Grey's Anatomy?
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  Speaker 3: You know, actually, I think Grey's was one of the
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  Speaker 3: better ones, you know, especially when you they really did
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  Speaker 3: a good job of showing you how how tough it
• 5:10
  Speaker 3: was being a resident. Yeah. I mean, because when I
• 5:12
  Speaker 3: was a resident, it was brutal. I mean, we were
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  Speaker 3: on call every other night, every third night. I think
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  Speaker 3: it's it's a lot easier now. It's kind of been
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  Speaker 3: changed to make it more human. But it was tough.
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  Speaker 3: I mean. I never slept for like seven years. Right, right, right.
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  Speaker 2: Oh my goodness.
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  Speaker 3: Okay.
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  Speaker 1: So let's get into plastic surgery for a second. You
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  Speaker 1: said you specialized in reconstructive at the beginning. What kind
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  Speaker 1: of stuff does that mean? Things that are not done
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  Speaker 1: right the first time, or is that people?
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  Speaker 3: No. So I was doing, um, car accidents, work injuries.
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  Speaker 3: Like I saw some bad stuff. I mean, I did reattachments.
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  Speaker 3: I put fingers back on, um, Yeah, real bad reconstructive
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  Speaker 3: dog bites, a lot of dog bites, and then little
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  Speaker 3: kids falling and getting cut. So that's kind of how
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  Speaker 3: I started out doing the reconstructive stuff. And by the way,
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  Speaker 3: this was before Facebook and Instagram. Right. Yeah, that's amazing.
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  Speaker 3: Making it seem like I'm really old, but it was
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  Speaker 3: before Instagram. It was before all that. So it was very,
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  Speaker 3: very different. You know, the world was just way different
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  Speaker 3: for what I did. And then all this kind of
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  Speaker 3: came at once. You know, social media, injectables, machines started
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  Speaker 3: coming out that actually worked, you know. So I had
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  Speaker 3: a med spa pretty early on. And when we started,
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  Speaker 3: I was just doing hair removal because that was like
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  Speaker 3: the only laser hair removal. That was like the big
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  Speaker 3: thing back in the day. And then the market has
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  Speaker 3: just evolved now where everyone can afford it. It's not
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  Speaker 3: just surgery anymore.
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  Speaker 1: And it's also not a secret. There's not a stigma
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  Speaker 1: to like getting something done, right? I feel like back
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  Speaker 1: then it was almost embarrassing to say that you had
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  Speaker 1: any work done or you were trying to improve yourself
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  Speaker 1: at all with somebody to be embarrassed about.
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  Speaker 3: People would hide coming out of the office. They're like, no,
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  Speaker 3: I don't want anyone to see me. Yeah, it was
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  Speaker 3: totally different.
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  Speaker 2: Yeah.
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  Speaker 1: What are your thoughts on needing to keep your focus in.
• 7:24
  Speaker 2: One certain area? I had Dr. Ryan Neinstein on. I'm
• 7:28
  Speaker 2: not sure if you're friendly with him.
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  Speaker 1: And he really specializes from the neck down and does
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  Speaker 1: a lot of mommy makeovers. He doesn't want to do
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  Speaker 1: the face. He doesn't want to do anything else. Do
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  Speaker 1: you think it's important to specialize in one area so
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  Speaker 1: you're better at one thing or is being a doctor
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  Speaker 1: of all trades kind of just as good?
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  Speaker 3: That's a really good question. I do think specializing 100%
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  Speaker 3: sets you apart and you become better at it. So
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  Speaker 3: for me, I like to say my big break was
• 7:58
  Speaker 3: when I was on Housewives of New Jersey. I was
• 8:02
  Speaker 3: on season, I think season one or two. I think
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  Speaker 3: it might've been season two. And I did a redo
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  Speaker 3: of someone's breasts.
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  Speaker 2: And that kind of- And that put you on the map.
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  Speaker 3: And that put me on the map. It kind of
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  Speaker 3: catapulted me into, okay, You know, this is what he's
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  Speaker 3: good at. So I kind of just focused mostly on breast.
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  Speaker 3: So that's still pretty much mostly what I do. I
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  Speaker 3: do breast, you know, from everything, all kinds of breast, redos, augmentation, reduction, lifts, everything.
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  Speaker 3: So that kind of put me on the map. I
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  Speaker 3: have people flying in from all over the country now
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  Speaker 3: to come in. And that leads me to like the
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  Speaker 3: social media aspect, too. you could be the best at
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  Speaker 3: something and no one knows it. So at least social media,
• 8:48
  Speaker 3: if you know, you do it the right way, people
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  Speaker 3: can see, okay, well, you know, I'll, I'll jump on
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  Speaker 3: a plane or I'll drive to this doctor because he
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  Speaker 3: does the best nose or does the best butt or
• 8:58
  Speaker 3: whatever it may be. So I think that, that, you know,
• 9:02
  Speaker 3: that's a, that was a huge thing. And I'll never forget.
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  Speaker 3: I was very early on Facebook and I went to
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  Speaker 3: a plastic surgery meeting and other doctors were like, almost
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  Speaker 3: chastising me, like, you're putting pictures on Facebook. Why are
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  Speaker 3: you on Facebook? It was almost, like, embarrassing.
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  Speaker 2: Right.
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  Speaker 3: And then now it's like, you know, you can't run
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  Speaker 3: a practice without it.
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  Speaker 4: Right.
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  Speaker 1: Social media is so important. Well, those before and afters,
• 9:29
  Speaker 1: I mean, are so amazing. And I think that's what
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  Speaker 1: would get you clients, frankly. They're like, I want to
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  Speaker 1: have that butt and I have this awful butt before
• 9:36
  Speaker 1: or whatever.
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  Speaker 2: You know? So I think that's very helpful.
• 9:40
  Speaker 1: You talk a lot on your website about the gummy
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  Speaker 1: bear breast augmentation.
• 9:44
  Speaker 2: What is that? And do you still do that? Yeah.
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  Speaker 3: Yeah. So I actually went to Sweden to learn how
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  Speaker 3: to do it because, you know, the other countries, I
• 9:53
  Speaker 3: don't know if people know this, like other countries, don't
• 9:55
  Speaker 3: have a rigorous FDA like we do. So if you
• 9:59
  Speaker 3: go to other countries, they have all kinds of implants,
• 10:02
  Speaker 3: all kinds of fillers, all kinds of machines. It's like
• 10:05
  Speaker 3: overwhelming how much they have because they don't need to
• 10:07
  Speaker 3: go through the FDA process like we do. So the
• 10:11
  Speaker 3: newer implant, which is the gummy bear. So the silicone
• 10:16
  Speaker 3: used to be like a liquid. It used to be
• 10:18
  Speaker 3: filled with like syrup. And then it became cohesive where
• 10:24
  Speaker 3: you can almost cut it in half and it doesn't
• 10:26
  Speaker 3: leak out. So there was a doctor. Rehnquist in Sweden.
• 10:31
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• 11:04
  Speaker 3: He's done the most, I think, in the world. So
• 11:05
  Speaker 3: I spent a week with him learning his technique and
• 11:08
  Speaker 3: about the implants. And then I came back and still
• 11:13
  Speaker 3: the best implant, I believe, is a gummy bear. And
• 11:15
  Speaker 3: I still do, you know, usually between seven to ten
• 11:18
  Speaker 3: a week.
• 11:19
  Speaker 4: Oh, wow.
• 11:20
  Speaker 2: So and does it look any different?
• 11:23
  Speaker 3: No, it's just a better implant. You know, they look
• 11:25
  Speaker 3: more natural. They feel a little bit better. Okay. Last longer,
• 11:30
  Speaker 3: that kind of stuff.
• 11:32
  Speaker 1: So would you say that plastic surgery is really the
• 11:35
  Speaker 1: only way to get those results like immediately and the
• 11:39
  Speaker 1: best results?
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  Speaker 3: Yeah. So definitely surgery for certain things like breasts and
• 11:48
  Speaker 3: tummy tucks and certain things like that and some lipos.
• 11:51
  Speaker 3: is still the way to go, right? So there's still
• 11:54
  Speaker 3: people that do need plastic surgery.
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  Speaker 2: And what are the risks associated with that?
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  Speaker 3: So there's always risks, obviously, of every surgery. Bleeding, infection, scarring,
• 12:06
  Speaker 3: poor result, blood clots. People can die. People can die
• 12:13
  Speaker 3: and do die from plastic surgery, right? So the BBLs,
• 12:17
  Speaker 3: especially in the Miami area, they had a bunch of deaths.
• 12:21
  Speaker 1: Do you think that's because they're going to doctors that
• 12:24
  Speaker 1: are not certified or they're trying to save money and
• 12:26
  Speaker 1: they're going to Mexico? Why do you keep hearing about
• 12:29
  Speaker 1: things like that where people are dying?
• 12:32
  Speaker 3: I think it's a combination. I think there's some bad
• 12:34
  Speaker 3: luck involved. And I also think some people are way
• 12:37
  Speaker 3: too aggressive, especially in other countries where there's no malpractice.
• 12:43
  Speaker 3: People can be super aggressive, operate on people maybe they
• 12:47
  Speaker 3: shouldn't have operated on. Right. Just put too much fat
• 12:50
  Speaker 3: in the butt, you know, stuff like that. It's not
• 12:53
  Speaker 3: regulated as much as it is in the US. So
• 12:57
  Speaker 3: I'm not here to say like, no, surgery is not good.
• 12:59
  Speaker 3: Surgery is great. Your risks are very, very low if
• 13:02
  Speaker 3: you're a healthy patient. But when I started, that's all
• 13:07
  Speaker 3: we had was surgery. Now there's so many other options. Yeah.
• 13:14
  Speaker 2: Right.
• 13:14
  Speaker 1: Um, we're going to get into that one side. My
• 13:16
  Speaker 1: last question on this is teenage plastic surgery. How young
• 13:19
  Speaker 1: is too young? I mean, I remember when I was young,
• 13:22
  Speaker 1: people were talking about getting a nose job by the
• 13:24
  Speaker 1: time we were 16 and it was like, everyone was
• 13:27
  Speaker 1: doing it. I assume now there's more of that. Um,
• 13:30
  Speaker 1: and people are going in because they are getting bullied
• 13:33
  Speaker 1: and they want to look different. Are you still seeing
• 13:35
  Speaker 1: a lot of that?
• 13:37
  Speaker 3: You know what? It's funny. I did a segment on that. Um, on,
• 13:40
  Speaker 3: I forget what channel, but I did a segment on
• 13:42
  Speaker 3: that years ago. It was a big thing. Um, and
• 13:45
  Speaker 3: I think that was more when social media was just
• 13:47
  Speaker 3: coming out. Um, I don't see as much of it now.
• 13:51
  Speaker 3: And like you said before, it's more accepted. Um, but
• 13:54
  Speaker 3: for certain things, yes, nose, um, not really lipo so much,
• 13:59
  Speaker 3: you know, but, um, breast reduction. So there are certain
• 14:03
  Speaker 3: things that we do do 15, 16, as long as
• 14:06
  Speaker 3: we have parental consent, um, But yes, that definitely is
• 14:10
  Speaker 3: a thing. I do still get young girls in who
• 14:13
  Speaker 3: self-esteem is low and have been shamed. So you have
• 14:17
  Speaker 3: to be careful of screening and making sure they're doing
• 14:19
  Speaker 3: it for the right reasons. Yeah. Okay.
• 14:21
  Speaker 1: So now let's get into the non-surgical stuff because I
• 14:24
  Speaker 1: think that that is obviously on the rise. It's something
• 14:27
  Speaker 1: that's become so popular on social media myself. I think
• 14:30
  Speaker 1: we talked about this a little. I've seen people change
• 14:32
  Speaker 1: their nose, their chin back here so that they looked completely,
• 14:37
  Speaker 1: I guess it's called snatched, but it looks like their
• 14:39
  Speaker 1: neck and their chin. I mean, they look like a
• 14:41
  Speaker 1: different person by the time they walk out of your office.
• 14:44
  Speaker 1: So it almost looks like you do not have to
• 14:46
  Speaker 1: go under the knife to get to achieve the results
• 14:49
  Speaker 1: that you want. And it can be immediate. What are
• 14:52
  Speaker 1: your thoughts on that? Is that all like smoke and
• 14:54
  Speaker 1: mirrors on social media or that's a real thing?
• 14:57
  Speaker 3: No, it's a real, it's a real thing. So I
• 15:00
  Speaker 3: think you have to look at each person individually, right?
• 15:03
  Speaker 3: So there are some people that absolutely need a face necklace, right?
• 15:08
  Speaker 3: So those people fall into a different category where, you know,
• 15:12
  Speaker 3: unless they want minimal results from non-surgical, if they really
• 15:15
  Speaker 3: want to be, you know, tight, pulled back, They need surgery.
• 15:19
  Speaker 3: But now, so when I started, that's all you could offer.
• 15:22
  Speaker 3: Someone came in, you need a facelift. So now with
• 15:26
  Speaker 3: all the fillers, all the injectables, all the machines, there's
• 15:31
  Speaker 3: a lot of other options. A lot of patients are
• 15:34
  Speaker 3: very afraid to go under anesthesia. A lot of people
• 15:38
  Speaker 3: can't afford it. I mean, as we spoke about, there
• 15:41
  Speaker 3: are some doctors in the city charging $ 200, 000 for a facelift.
• 15:45
  Speaker 2: Yeah.
• 15:45
  Speaker 3: That's not in everyone's budget, right?
• 15:48
  Speaker 1: So wait, just on that topic for one second. I mean,
• 15:50
  Speaker 1: I know we, as we said, there are some guys
• 15:52
  Speaker 1: we know in New York and LA that will charge
• 15:55
  Speaker 1: over 200,000. Is it one of those things where you
• 15:57
  Speaker 1: get what you pay for? Do you need to spend
• 16:00
  Speaker 1: that much money to have a deep plane facelift? Um, or,
• 16:04
  Speaker 1: you know, is that realistic?
• 16:08
  Speaker 3: Well, you know, I'm sure there's a lot of people
• 16:10
  Speaker 3: that do a good facelift, like the 7,000 plastic surgeons
• 16:13
  Speaker 3: in the country. Right. So, There's not just one or
• 16:16
  Speaker 3: two people that can do it. There's a lot of
• 16:17
  Speaker 3: people that can do it. But, you know, you're you're
• 16:21
  Speaker 3: if you want to pay that money because, you know,
• 16:22
  Speaker 3: this person's really good and does a great job. Yeah,
• 16:26
  Speaker 3: I get it. If that's in your budget and you
• 16:27
  Speaker 3: can afford it. Yeah. And you feel like that person's
• 16:29
  Speaker 3: the best.
• 16:30
  Speaker 1: But there are a lot of the best that they've
• 16:33
  Speaker 1: done more training than anyone else or because as a doctor,
• 16:36
  Speaker 1: aren't you trained to do this kind of facial and
• 16:39
  Speaker 1: everyone gets the same training and then you go off
• 16:41
  Speaker 1: and kind of make it your own?
• 16:42
  Speaker 2: I mean, what makes someone the best?
• 16:44
  Speaker 3: Yeah, that's a really good question. I guess the volume
• 16:48
  Speaker 3: and the before and afters. But listen, there's not one
• 16:53
  Speaker 3: person that can do it. And who knows who's the best, right?
• 16:55
  Speaker 3: We always have this discussion. It could be a doctor
• 16:57
  Speaker 3: somewhere in the Midwest that does a better facelift than anybody.
• 17:01
  Speaker 3: We don't know about it.
• 17:02
  Speaker 2: But just doesn't have a good social media advisor.
• 17:05
  Speaker 1: Yeah.
• 17:06
  Speaker 3: Yeah. Yeah. I mean, exactly. So it's right. Patience, volume, experience.
• 17:12
  Speaker 3: And listen, even someone who puts himself out there as
• 17:14
  Speaker 3: the best, we all have complications, right? I mean, it
• 17:18
  Speaker 3: can happen. So I think that you have to do
• 17:22
  Speaker 3: your homework when it comes to that. And you can't
• 17:24
  Speaker 3: believe everything you're seeing.
• 17:26
  Speaker 2: Yeah. Yeah.
• 17:26
  Speaker 3: Yeah.
• 17:27
  Speaker 2: That's true. All right.
• 17:28
  Speaker 1: So let's go through some of the treatments that people
• 17:31
  Speaker 1: can get if they do not want to have surgery.
• 17:33
  Speaker 1: Cause I think everyone, you know, has been familiar with
• 17:36
  Speaker 1: these at some point in their life.
• 17:37
  Speaker 2: Okay. Botox.
• 17:39
  Speaker 1: It's now not just used for wrinkles anymore. What are
• 17:42
  Speaker 1: you seeing with the trends with Botox?
• 17:45
  Speaker 3: So Botox is still mostly the wrinkle reducer, right? So
• 17:49
  Speaker 3: we do these area forehead in between eyes here. You
• 17:53
  Speaker 3: can do it for slimming the jaw. We also do
• 17:57
  Speaker 3: a little bit for the, for lifting the neck. So that's,
• 17:59
  Speaker 3: that's something you can do as well. It works for
• 18:02
  Speaker 3: underarm sweating, stop sweating for about a year. We also
• 18:07
  Speaker 3: put it in with microneedling and we can do the
• 18:10
  Speaker 3: whole face with a little bit of Botox and it
• 18:12
  Speaker 3: just gives you like the sheen, like a nice shine.
• 18:15
  Speaker 3: So we also do lip flip to do a little
• 18:19
  Speaker 3: dot and kind of lifts your lip up a little bit.
• 18:22
  Speaker 3: So there's a lot of things you can do with
• 18:25
  Speaker 3: Botox and Botox now is being injected by like, so
• 18:30
  Speaker 3: it started with plastic surgery and dermatologists. And now some
• 18:35
  Speaker 3: of the busiest injectors in the country are nurses and
• 18:39
  Speaker 3: just MDs that don't, you know, that aren't plastic surgeons
• 18:43
  Speaker 3: or dermatologists. So that has changed in the market tremendously.
• 18:47
  Speaker 1: Oh, wow.
• 18:48
  Speaker 3: Okay.
• 18:49
  Speaker 2: And is it true that it can help with migraine headaches? Yeah.
• 18:53
  Speaker 3: Yeah. And that's improved by insurance. So it's usually the neurologists.
• 18:58
  Speaker 3: They kind of inject it all the way around in
• 19:01
  Speaker 3: the neck, the top, back, but yeah, it works great
• 19:03
  Speaker 3: for migraines. Okay.
• 19:06
  Speaker 1: And as we all seen though, people can inject too
• 19:09
  Speaker 1: much and you get a frozen face and sort of
• 19:11
  Speaker 1: look ridiculous.
• 19:13
  Speaker 2: What are your thoughts on that?
• 19:14
  Speaker 5: Yeah.
• 19:15
  Speaker 3: Listen, you know, every nurse that graduates nursing school now
• 19:18
  Speaker 3: wants to go into this field, right? It's a great field.
• 19:21
  Speaker 3: And I get called every week by someone looking for
• 19:24
  Speaker 3: work and And I get it. It's a great field.
• 19:28
  Speaker 3: But you can take a weekend course and come out
• 19:31
  Speaker 3: and start injecting. So it happens, right? So there's a
• 19:34
  Speaker 3: learning curve for sure. So it's nice to go to
• 19:37
  Speaker 3: someone that's been injecting for a long time, knows how
• 19:40
  Speaker 3: to inject it. The worst thing you can see is
• 19:44
  Speaker 3: like where the eye shuts and can't open. It's temporary.
• 19:48
  Speaker 3: goes away goes away but can happen so you.
• 19:51
  Speaker 1: Have to get it where my mouth stops to smile
• 19:53
  Speaker 1: on one side yeah that was pretty awful.
• 19:57
  Speaker 3: Yeah so fortunately the complications are minimal with botox and
• 20:01
  Speaker 3: it doesn't you know it lasts four months.
• 20:04
  Speaker 1: Right yeah And during the pandemic, I feel like so
• 20:07
  Speaker 1: many people out of the woodwork got trained to do
• 20:10
  Speaker 1: this because you saw these concierge services pop up. And
• 20:14
  Speaker 1: it's people that have never worked in an office before
• 20:16
  Speaker 1: in their life. And now they're just traveling from home
• 20:19
  Speaker 1: to home and injecting people. What is the training like
• 20:24
  Speaker 1: to go into using things like this? Should we trust
• 20:27
  Speaker 1: people that are doing those services or should we be going.
• 20:29
  Speaker 2: To real doctors?
• 20:30
  Speaker 3: I would still say go to a board certified doctor. Doctor,
• 20:36
  Speaker 3: I still think that's the way to go.
• 20:37
  Speaker 4: Don't miss the USL championship final on CBS, November 21st
• 20:41
  Speaker 4: at noon Eastern. Will the Pittsburgh Riverhounds retain their crown
• 20:45
  Speaker 4: or will new title winners emerge? Don't miss the conclusion
• 20:49
  Speaker 4: to the 2026 season, Saturday, November 21st, noon Eastern on CBS.
• 20:56
  Speaker 3: Go. Nurses, yes. They have some very good nurse injectors,
• 21:01
  Speaker 3: nurse practitioners. So definitely go to someone. that is at
• 21:05
  Speaker 3: a higher level that has experience more than just taking
• 21:08
  Speaker 3: a weekend course.
• 21:09
  Speaker 2: Right.
• 21:09
  Speaker 5: Okay.
• 21:11
  Speaker 3: Okay.
• 21:11
  Speaker 1: Let's talk about fillers. As we mentioned, you can change
• 21:14
  Speaker 1: your nose, your jaw, all this stuff. What are the
• 21:18
  Speaker 1: things that really stand out to you that change someone's face?
• 21:23
  Speaker 3: Absolutely. So part of the aging process, right? We lose
• 21:26
  Speaker 3: collagen and we also gravity kind of pulls things down.
• 21:29
  Speaker 3: So we like to volumize and lift. So it's the
• 21:33
  Speaker 3: analogy of like the balloon, right? If you let half
• 21:35
  Speaker 3: the air out of a balloon, it's like crinkly and
• 21:37
  Speaker 3: soft and then you fill it up. It's like shiny again.
• 21:40
  Speaker 3: So there's a fine line between too much, right? We
• 21:44
  Speaker 3: don't want to make someone look like really, really swollen,
• 21:47
  Speaker 3: but to fill and lift. So usually, you know, a
• 21:51
  Speaker 3: little under the eyes. I like doing the cheeks. I
• 21:53
  Speaker 3: like to volumize out this way. We used to, when
• 21:56
  Speaker 3: it first came out, it was just here. We used
• 21:58
  Speaker 3: to just put it here. And now we barely put
• 22:01
  Speaker 3: anything here. We try and volumize this way, like pulling up.
• 22:04
  Speaker 4: Right.
• 22:06
  Speaker 3: When I started, there was no fillers. So we used
• 22:08
  Speaker 3: to use fat.
• 22:10
  Speaker 4: Oh.
• 22:10
  Speaker 3: So we used to take fat out from wherever, and
• 22:13
  Speaker 3: then we would use the fat like a filler.
• 22:15
  Speaker 2: And did that dissolve too?
• 22:17
  Speaker 3: You know, some of it dissolves, but some would be permanent.
• 22:20
  Speaker 3: Some would last. There are still doctors out there that
• 22:24
  Speaker 3: still do fat. But when the fillers came, they were
• 22:26
  Speaker 3: just so... nice and, and, and, and easy and, and
• 22:32
  Speaker 3: people loved them. So now there's so many fillers on
• 22:36
  Speaker 3: the market. I feel like every year a new filler
• 22:38
  Speaker 3: comes out. Yeah.
• 22:39
  Speaker 2: I was going to say, how do people know which
• 22:41
  Speaker 2: one to use?
• 22:42
  Speaker 3: Right. Exactly. It's very confusing. And like I said, if
• 22:45
  Speaker 3: you go to Europe, there's a hundreds of fillers. Um,
• 22:49
  Speaker 3: so you have to basically pick, I like what I do.
• 22:51
  Speaker 3: I pick two or three that I really like that
• 22:53
  Speaker 3: I know work well last. And, um, This is one
• 22:58
  Speaker 3: area though, that you do have to be careful because
• 23:00
  Speaker 3: if it's injected into an artery and occludes it, you
• 23:05
  Speaker 3: can get skin loss. And I have seen that.
• 23:08
  Speaker 1: Oh, wow.
• 23:09
  Speaker 3: I have seen it. So that is something that you
• 23:12
  Speaker 3: need to be very careful. You don't want to go
• 23:14
  Speaker 3: to a gym or to just a, you know, home,
• 23:18
  Speaker 3: like you said, or somewhere. There's a whole protocol that
• 23:21
  Speaker 3: you need to have on board in case it's put
• 23:24
  Speaker 3: in the wrong area. There's, There's something to dissolve it,
• 23:26
  Speaker 3: which you need to put in immediately. And there's a
• 23:28
  Speaker 3: whole protocol. So when it comes to fillers, you have
• 23:32
  Speaker 3: to be careful. There's also every year reports of blindness.
• 23:36
  Speaker 2: Wow.
• 23:37
  Speaker 5: Yeah.
• 23:38
  Speaker 2: And I've always been curious, is it based on.
• 23:41
  Speaker 1: you know, like the pharmaceutical rep who's coming to your
• 23:44
  Speaker 1: office and just pitching you stuff? Or are you guys,
• 23:47
  Speaker 1: you know, seeing the gamut of what's out there and
• 23:49
  Speaker 1: really saying, oh, I want these two types and these
• 23:52
  Speaker 1: other ones I don't care about, no matter what hot
• 23:54
  Speaker 1: girl comes in here and pitches it to me.
• 23:56
  Speaker 3: Yeah, that's a good point, right? Because that definitely goes on.
• 24:00
  Speaker 3: You're right.
• 24:00
  Speaker 2: Yeah.
• 24:01
  Speaker 3: Yeah, I think it's just what you're used to using
• 24:03
  Speaker 3: and what's been around. Like, so I, you know, listen,
• 24:06
  Speaker 3: Restylane's been around now the longest. I still love Restylane.
• 24:10
  Speaker 3: everything else is kind of based off. It's just, they're
• 24:12
  Speaker 3: all hyaluronic acid.
• 24:14
  Speaker 2: So they can be dissolved.
• 24:17
  Speaker 3: It can be dissolved. Yeah. Which is the big thing. Correct. Yeah.
• 24:21
  Speaker 3: So that does help, but this wasn't available years ago.
• 24:23
  Speaker 3: So getting back to my point, if someone comes in, they,
• 24:29
  Speaker 3: they aren't too, you know, too loose and they don't
• 24:32
  Speaker 3: have the money to spend and they don't want to
• 24:35
  Speaker 3: be cut open and they don't want the risk of anesthesia.
• 24:38
  Speaker 3: Now between the fillers, Botox, and I guess we can
• 24:42
  Speaker 3: talk about the machines next. Yeah. You can get a
• 24:46
  Speaker 3: nice look.
• 24:47
  Speaker 5: Yeah.
• 24:48
  Speaker 1: I will notice though, or I will say I have
• 24:50
  Speaker 1: been to some dermatologists who charge even more than plastic surgery.
• 24:55
  Speaker 1: I mean, I've been quoted for just doing some jaw, chin,
• 24:59
  Speaker 1: I mean, cheeks, eye filler, and the price became, you know,
• 25:03
  Speaker 1: over $ 10, 000 between 10 and 15.
• 25:06
  Speaker 2: Yeah.
• 25:06
  Speaker 1: Based on the fact that she was a well-known person
• 25:10
  Speaker 1: and had a major social media platform, like you're talking
• 25:13
  Speaker 1: about a lot of before and afters. And I was
• 25:15
  Speaker 1: thinking to myself, I could get a whole facelift for this.
• 25:17
  Speaker 1: This is kind of crazy.
• 25:21
  Speaker 3: That is true. Right. So you have to really look
• 25:23
  Speaker 3: at it that way as well. Good facelift should last
• 25:26
  Speaker 3: 10 years. Yeah. You know, but if you do a facelift,
• 25:31
  Speaker 3: you still may want to get Botox. You still might
• 25:33
  Speaker 3: want to do your lips. So there's still.
• 25:36
  Speaker 4: Yeah.
• 25:36
  Speaker 1: So it's not a it's not a fix that's permanent forever.
• 25:39
  Speaker 1: You still have to do a little maintenance.
• 25:41
  Speaker 3: Correct.
• 25:41
  Speaker 2: Yeah. Okay.
• 25:42
  Speaker 1: So let's get into the lasers for one second. I'm
• 25:45
  Speaker 1: always like so skeptical of them, but I always want
• 25:49
  Speaker 1: to do them. I love the, is it vampire facial,
• 25:53
  Speaker 1: the PRP, something like that, where they spin your blood
• 25:55
  Speaker 1: and put.
• 25:55
  Speaker 2: On your face.
• 25:57
  Speaker 1: The next day I don't have to wear makeup. I
• 25:59
  Speaker 1: feel like I look, my skin looks so good, but
• 26:01
  Speaker 1: then I'm a sun worshiper. So I go back out
• 26:03
  Speaker 1: in the sun and I ruin it all. But I
• 26:06
  Speaker 1: happen to love that one. Is that just me or
• 26:07
  Speaker 1: is that a good one?
• 26:08
  Speaker 3: No, I love it too. I do too. It's great.
• 26:11
  Speaker 3: I love the PRP. I think it's great. There's studies
• 26:15
  Speaker 3: behind it. It's your own blood. It works. It definitely
• 26:20
  Speaker 3: helps build up some collagen, and there's no doubt that
• 26:24
  Speaker 3: it works. So you have basically the outside of the skin,
• 26:28
  Speaker 3: that kind of stuff you can do. You can do
• 26:30
  Speaker 3: the PRP, microneedling. And then the lasers, we have ones
• 26:34
  Speaker 3: that it's like an eraser. It'll just clear all the
• 26:37
  Speaker 3: dark and red spots off. And then also get rid
• 26:41
  Speaker 3: of the fine lines and wrinkles. So there's, there's so
• 26:45
  Speaker 3: many different ones out there, but those just do the
• 26:49
  Speaker 3: outside of the skin. So there's a lot of those
• 26:51
  Speaker 3: that you can do and they'll make your skin look really,
• 26:55
  Speaker 3: really nice.
• 26:57
  Speaker 2: Name one type so that we can.
• 27:00
  Speaker 3: Oh, so what we do here is it's a Citan
• 27:02
  Speaker 3: laser and it's called the halo.
• 27:04
  Speaker 2: Okay.
• 27:05
  Speaker 3: And I think the halo is probably one of the
• 27:07
  Speaker 3: better ones around.
• 27:09
  Speaker 2: How painful are those?
• 27:12
  Speaker 3: They're tolerable. We just do a local anesthesia, topical. Sometimes
• 27:17
  Speaker 3: we can inject it if someone's really sensitive.
• 27:20
  Speaker 1: So it's not like Fraxel used to be where it
• 27:23
  Speaker 1: was so unbearable.
• 27:25
  Speaker 3: Yeah. Similar to Fraxel, but maybe the next level up.
• 27:30
  Speaker 2: Got it.
• 27:30
  Speaker 3: Okay. Okay.
• 27:33
  Speaker 2: Oh, do you believe in like IPL and that kind
• 27:35
  Speaker 2: of stuff?
• 27:36
  Speaker 3: Yeah. Yeah. So yes. So the IPL, or the broadband
• 27:39
  Speaker 3: light works great for dark spots, pigment, that sort of stuff,
• 27:44
  Speaker 3: real nice. Face, neck too, and women have this, and
• 27:48
  Speaker 3: then sometimes in the back of the hands works good.
• 27:50
  Speaker 2: Yeah, I love it. I think it looks great.
• 27:51
  Speaker 1: You have to deal with looking like you have coffee
• 27:53
  Speaker 1: grounds all over you for a little bit.
• 27:55
  Speaker 3: Right.
• 27:56
  Speaker 1: Freckles are in, you know, they have these new things
• 27:59
  Speaker 1: on social media where you can get fake freckles.
• 28:01
  Speaker 2: So people. OK, now the one I want to ask
• 28:04
  Speaker 2: about is the body sculpting.
• 28:06
  Speaker 1: I know you do a lot of cool sculpt, but
• 28:08
  Speaker 1: I know, you know, Linda Evangelista made it a whole
• 28:10
  Speaker 1: problem when she said it left her disfigured. So what
• 28:13
  Speaker 1: do you think happened to her and why do you
• 28:16
  Speaker 1: like it so much?
• 28:18
  Speaker 3: So we've been doing cool sculpt since it came out.
• 28:21
  Speaker 3: You know, I have multiple machines and it works great.
• 28:25
  Speaker 3: I mean, you're getting about a 22% reduction. It's 30
• 28:31
  Speaker 3: minute treatment and the studies absolutely show that it works.
• 28:37
  Speaker 3: So the cold basically blows up the fat cells. And
• 28:41
  Speaker 3: once that fat cell is gone, it's gone. There is
• 28:45
  Speaker 3: a complication known as PIH, which I believe she had.
• 28:49
  Speaker 3: And what happens is, is a suction and a freezing.
• 28:53
  Speaker 3: So it, pulls everything out, sucks all the fat into
• 28:58
  Speaker 3: this device, freezes it for 30 minutes. Sometimes the cells
• 29:03
  Speaker 3: don't explode and stay big. So it has a reverse effect.
• 29:08
  Speaker 3: I've seen that twice in like 15 years that I've
• 29:11
  Speaker 3: had it. It's extremely rare. If that happens, the company
• 29:16
  Speaker 3: at least will pay for you to then get liposuction.
• 29:18
  Speaker 3: So we lipo it out and then it actually looks
• 29:21
  Speaker 3: even better. But yes. I feel like there's risks with
• 29:24
  Speaker 3: almost anything, but it's very low. Okay.
• 29:28
  Speaker 2: And CoolSculpt really freezes the fat.
• 29:31
  Speaker 1: I mean, obviously that's different than these people that go
• 29:34
  Speaker 1: into like the freezing cold water and sit there for
• 29:36
  Speaker 1: a few minutes.
• 29:37
  Speaker 2: I mean, it really targets the fat. and works on that.
• 29:41
  Speaker 2: Is that the same as vanquish?
• 29:43
  Speaker 3: So the vanquish is a heating device. So the heating
• 29:47
  Speaker 3: kind of does the same thing as the, um, as
• 29:50
  Speaker 3: a cool sculpt. So there are machines out there that
• 29:54
  Speaker 3: do that. Um, the M sculpts, the other one, which
• 29:57
  Speaker 3: does that as well as tighten the muscle So there's
• 30:00
  Speaker 3: a lot of body machines now. I don't want to
• 30:03
  Speaker 3: say as good as lipo, but if you're in good
• 30:05
  Speaker 3: shape and you have a bulge, maybe your flanks or
• 30:10
  Speaker 3: a little bulge in the pubic area or your neck,
• 30:13
  Speaker 3: and you're happy with a 20% reduction, that is very,
• 30:17
  Speaker 3: very low risk, 30 minutes to do, nice alternative.
• 30:22
  Speaker 2: Okay, I want to talk about the M-Sculpt for a second.
• 30:24
  Speaker 1: So there's the M-Sculpt Neo now, right?
• 30:27
  Speaker 3: Yeah.
• 30:28
  Speaker 2: I've tried.
• 30:29
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• 30:32
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• 31:00
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• 31:02
  Speaker 1: I've I'm on my like fifth session. Um, and I,
• 31:06
  Speaker 1: I did my butt and my stomach and explain to
• 31:08
  Speaker 1: people the difference. I mean, it's about building muscle. It's
• 31:11
  Speaker 1: not about freezing or heating anything, right?
• 31:14
  Speaker 3: Yeah.
• 31:14
  Speaker 2: Well, okay.
• 31:15
  Speaker 3: So the Neo has two applications. There's, um, radiofrequency, which
• 31:20
  Speaker 3: helps tighten the skin and does get rid of a
• 31:23
  Speaker 3: little fat. Okay. And then there's the muscle part that
• 31:26
  Speaker 3: builds the muscle.
• 31:27
  Speaker 2: Right. Now I love that.
• 31:30
  Speaker 3: Yeah, it's cool. And the butt, obviously you don't turn
• 31:32
  Speaker 3: that part on. You just do the muscle building to
• 31:34
  Speaker 3: the butt. Right.
• 31:35
  Speaker 1: So for me, because I'm already somewhat small, you know,
• 31:40
  Speaker 1: and I am a skinny girl, so I have this
• 31:42
  Speaker 1: flat butt. And before I wanted to, like, try to
• 31:45
  Speaker 1: do this BBL or whatever, I was like, let me
• 31:47
  Speaker 1: try this.
• 31:48
  Speaker 2: It's actually working on my butt.
• 31:51
  Speaker 1: After a very short amount of time. So I was
• 31:54
  Speaker 1: really shocked about it. And then on my stomach, it's
• 31:58
  Speaker 1: actually really helped as well. I mean, I have a
• 32:00
  Speaker 1: pretty flat stomach to begin with, but I now see
• 32:02
  Speaker 1: muscle and I saw it after the first treatment, frankly.
• 32:06
  Speaker 1: And I actually noticed that I feel a little stronger.
• 32:09
  Speaker 1: Like when I do go to the gym, since I've
• 32:11
  Speaker 1: noticed I can hold like a plank longer, I can
• 32:14
  Speaker 1: do squats a little more. So I am not someone
• 32:17
  Speaker 1: who believes in this stuff really, but I actually would
• 32:20
  Speaker 1: say that I love it and I'm going to buy
• 32:21
  Speaker 1: another package because I.
• 32:22
  Speaker 2: Think it's great.
• 32:23
  Speaker 3: Yeah. So, so there you go. Like, you know, that's
• 32:27
  Speaker 3: a good example, right? So the BBLs got so popular, right?
• 32:30
  Speaker 3: But it's a risky thing. Procedure comes with a risk, right?
• 32:34
  Speaker 3: And the risk is not a good one. The risk
• 32:36
  Speaker 3: is death, right? So the fat that you're injecting back
• 32:39
  Speaker 3: into the butt gets into a vessel, you're going to
• 32:42
  Speaker 3: have a problem. There's a lot of plastic surgeons that
• 32:45
  Speaker 3: won't even do it anymore. Now, it's safe, right? But
• 32:52
  Speaker 3: it comes with a higher risk than most other things, right?
• 32:54
  Speaker 3: So chances are you're going to be fine, but there
• 32:57
  Speaker 3: is a small risk. So some people just say, I
• 33:00
  Speaker 3: don't want to do that, or they don't have enough fat.
• 33:02
  Speaker 3: So now we can do a BBL with Sculptra so
• 33:06
  Speaker 3: we can inject the butt, right, with a filler and
• 33:10
  Speaker 3: then do the Emsculpt. So now you'll definitely get an enhancement.
• 33:13
  Speaker 3: It's not going to be, you know, a big, huge butt, right?
• 33:17
  Speaker 3: But you're going to get an enhancement at a fraction
• 33:19
  Speaker 3: of the cost and very, very low risk. Yeah.
• 33:22
  Speaker 1: So talk to me about filling in the butt because
• 33:25
  Speaker 1: I see this all over social media and some of
• 33:28
  Speaker 1: them to me are like too much and some look perfect.
• 33:31
  Speaker 1: They're just a little bit of a lift, but I
• 33:33
  Speaker 1: know how much filler it takes just to do small
• 33:36
  Speaker 1: parts of your face. I mean, that's a lot of filler, right?
• 33:38
  Speaker 3: Yeah. Yeah, it is a lot. So it's expensive and
• 33:42
  Speaker 3: it only lasts like a year and a half or
• 33:44
  Speaker 3: a year. So a lot of people don't do it,
• 33:48
  Speaker 3: but it is definitely an option. So you can put
• 33:50
  Speaker 3: sculpture up.
• 33:52
  Speaker 2: And it works. It gives you a good result.
• 33:54
  Speaker 5: Oh, yeah.
• 33:54
  Speaker 3: Yeah. As long as you're not looking for the, you know,
• 33:57
  Speaker 3: the Betty Boop, the small waist and a huge butt.
• 34:00
  Speaker 4: Right.
• 34:00
  Speaker 3: That is like fat. But that's, you know, there's risks
• 34:04
  Speaker 3: with that. I mean, we I've seen a lot of
• 34:06
  Speaker 3: problems with that, especially women that go out of the
• 34:09
  Speaker 3: country to get it done.
• 34:11
  Speaker 2: Right. And can filling in around the butt help with
• 34:14
  Speaker 2: cellulite as well? I've seen that.
• 34:16
  Speaker 3: Yeah, definitely. Yeah. Because it kind of pulls it out.
• 34:20
  Speaker 1: Right.
• 34:21
  Speaker 2: Is there a cure for cellulite?
• 34:23
  Speaker 1: I know they have endermology clinics where basically it's almost
• 34:27
  Speaker 1: like pulling of the muscle and it's like a deep
• 34:30
  Speaker 1: tissue massage.
• 34:31
  Speaker 2: Do you think that works?
• 34:32
  Speaker 3: I don't. And I don't do it here because I've
• 34:35
  Speaker 3: tried everything. I think cellulite is the hardest thing to
• 34:38
  Speaker 3: get rid of. Very tedious. So that's one thing that
• 34:42
  Speaker 3: I don't do because I like to do stuff where
• 34:45
  Speaker 3: people get results. Yeah. So maybe other people have good
• 34:48
  Speaker 3: results with it. I've never really seen anything that works
• 34:50
  Speaker 3: great for it. Yeah.
• 34:52
  Speaker 2: Yeah. Okay. Well, people say water. I don't know.
• 34:55
  Speaker 3: We hate to waste people's money. You know, that's one
• 34:57
  Speaker 3: thing we don't do.
• 34:58
  Speaker 2: Yeah. No, I appreciate that. Okay.
• 35:00
  Speaker 1: So we see all these commercials for creams that are
• 35:04
  Speaker 1: just going to change your face and your body and
• 35:06
  Speaker 1: your skin.
• 35:06
  Speaker 2: Do you believe in cream?
• 35:09
  Speaker 3: You know, for maintenance? Yes. But there's no miracle wrinkle treatment.
• 35:14
  Speaker 5: No.
• 35:15
  Speaker 3: No, I think you need a good skincare regimen, sun avoidance,
• 35:19
  Speaker 3: obviously smoking avoidance and then maintenance. You know, it, it's
• 35:24
  Speaker 3: interesting because I've had, um, twin sisters and I've had
• 35:27
  Speaker 3: one that's been coming to me for 20 years and
• 35:30
  Speaker 3: one that I recently met has never done anything. And
• 35:34
  Speaker 3: it's a, you could see, um, a huge difference, right?
• 35:37
  Speaker 3: So there's a, yeah. Oh yeah. It was dramatic. So
• 35:40
  Speaker 3: there's a lot to be said for maintenance, um, Like
• 35:45
  Speaker 3: when a 20-year-old girl comes in in her 20s and says,
• 35:49
  Speaker 3: I want to do preventatives. I mean, I'm not that
• 35:52
  Speaker 3: aggressive where I would say to do anything, no. But
• 35:55
  Speaker 3: I do think that it makes a huge difference if
• 35:57
  Speaker 3: you stay on top of it. Good skincare, sun avoidance,
• 36:03
  Speaker 3: do facials. And then when you're in your late 30s, 40s,
• 36:07
  Speaker 3: start doing some of the skin tightening laser devices. Makes
• 36:11
  Speaker 3: a big difference.
• 36:13
  Speaker 1: Okay, so we've been talking about things kind of on
• 36:15
  Speaker 1: the outside of your skin, things that you can inject in, whatever.
• 36:19
  Speaker 1: What are your thoughts on anti-aging? You know, people doing
• 36:22
  Speaker 1: this stem cell stuff, this hormone replacement therapy. Do you
• 36:26
  Speaker 1: have something that you believe in?
• 36:27
  Speaker 3: So I don't offer that here, but I do believe
• 36:32
  Speaker 3: in it. You know, it's not well accepted yet. Right.
• 36:39
  Speaker 2: Right. I feel like it's in Europe a lot.
• 36:42
  Speaker 1: People are flying there to do it, to, you know,
• 36:45
  Speaker 1: help themselves if they have some sickness. And then some
• 36:48
  Speaker 1: people who really just do not want to age have
• 36:50
  Speaker 1: been flying to places to get some sort of treatment.
• 36:54
  Speaker 2: Yeah.
• 36:54
  Speaker 3: So that's actually a newer area. There's not so many
• 36:57
  Speaker 3: studies on it. There is definitely a lot to it.
• 37:01
  Speaker 3: And to me, it's a growing field, right? I mean, obviously,
• 37:05
  Speaker 3: if you give any man testosterone, he's going to feel great.
• 37:08
  Speaker 3: You know, he's going to love it. but we don't
• 37:10
  Speaker 3: know the long-term effects of it. I have a lot
• 37:15
  Speaker 3: of female patients also on hormones. It's putting off their menopause.
• 37:19
  Speaker 3: They're feeling better, better sex drive, more muscular. So there's definitely,
• 37:25
  Speaker 3: definitely a place for it. I just think there's not
• 37:29
  Speaker 3: enough information on it right now, but I do believe
• 37:32
  Speaker 3: in hormone therapy, but I think we just need more
• 37:35
  Speaker 3: information on it.
• 37:36
  Speaker 2: Got it. Okay.
• 37:37
  Speaker 1: And the things you're talking about for women, is that
• 37:39
  Speaker 1: something you have there or something you can recommend?
• 37:42
  Speaker 3: I usually refer them out to someone because I think
• 37:45
  Speaker 3: women are a lot trickier. There's a lot more going on. Men,
• 37:48
  Speaker 3: it's testosterone pretty much.
• 37:50
  Speaker 4: That's it.
• 37:50
  Speaker 3: But women need to find a nice balance of hormones. Right.
• 37:56
  Speaker 1: And speaking about hormones for a second and weight, what
• 37:58
  Speaker 1: do you think about this ozempic craze?
• 38:00
  Speaker 2: I feel like it plateaued for a while. Where are
• 38:04
  Speaker 2: we with that?
• 38:05
  Speaker 3: So that's great. You brought that up. So for years
• 38:10
  Speaker 3: and years and years, you know how much surgery I
• 38:11
  Speaker 3: would turn down. So my typical woman comes in five
• 38:15
  Speaker 3: to 200 pounds. And I would always say, listen, you're
• 38:19
  Speaker 3: not a candidate for surgery or liposuction. You know, people
• 38:23
  Speaker 3: would come in 50 pounds overweight and say, can I
• 38:25
  Speaker 3: get lipo? When we do liposuction, we don't take off
• 38:28
  Speaker 3: more than four or five pounds.
• 38:32
  Speaker 2: No matter who you are and how much you have.
• 38:34
  Speaker 3: Yeah. I mean, for Mostly for safety reasons too, right?
• 38:37
  Speaker 3: I mean, there's legal limits in each state of how
• 38:40
  Speaker 3: much you can take off. It's just not safe. It's
• 38:43
  Speaker 3: not for weight loss. So I would always tell patients,
• 38:47
  Speaker 3: people would come in, you know, I'm heavy, I want liposuction.
• 38:49
  Speaker 3: You know, you're like, well, listen, you need to lose weight.
• 38:53
  Speaker 3: And same thing for tummy tuck. So there's certain BMIs
• 38:56
  Speaker 3: we don't want to operate on. So 32 is usually
• 38:59
  Speaker 3: my cutoff. If your BMI is higher than 32... We
• 39:02
  Speaker 3: don't want to operate because the complications go up, infection,
• 39:05
  Speaker 3: skin loss, all sorts of stuff, blood loss. So for
• 39:09
  Speaker 3: years and years and years, we tell people, you know,
• 39:11
  Speaker 3: you need to lose 40, 50 pounds and come back. Well,
• 39:14
  Speaker 3: guess what? They never came back. And I used to
• 39:18
  Speaker 3: always say, I mean, why can't they come up with
• 39:20
  Speaker 3: a pill for weight loss? So now, finally, it's happening.
• 39:26
  Speaker 3: So you have Ozambic, the Wegovia, and now Eli Lilly
• 39:29
  Speaker 3: is coming out with a pill for him because a
• 39:32
  Speaker 3: lot of people don't like to give themselves the shot
• 39:35
  Speaker 3: once a week. So huge. It's huge. It really is.
• 39:39
  Speaker 3: We're seeing a lot of people now coming in that
• 39:42
  Speaker 3: are closer to their ideal body weight and now they
• 39:44
  Speaker 3: can get surgery.
• 39:45
  Speaker 1: OK, so you're not so against it, it sounds like,
• 39:47
  Speaker 1: because I know some people were like, oh, it's freezing
• 39:49
  Speaker 1: people's stomachs and it's making people so sick. And so
• 39:53
  Speaker 1: if it's injected or taken the right way, you think
• 39:55
  Speaker 1: it could be a great assistance in weight loss?
• 39:58
  Speaker 3: I totally, totally agree. I mean, it's basically killing your appetite.
• 40:03
  Speaker 3: So if I'm a big believer in fasting, but some
• 40:06
  Speaker 3: people just can't do it.
• 40:08
  Speaker 2: Yeah, yeah.
• 40:10
  Speaker 3: And the other interesting thing about it is now they're
• 40:13
  Speaker 3: talking about micro dosing.
• 40:16
  Speaker 2: Oh.
• 40:17
  Speaker 3: So it just kind of keeps your appetite kind of flat.
• 40:21
  Speaker 3: So it's not like you have massive weight loss, but
• 40:23
  Speaker 3: it just gets micro dosing it to just get rid
• 40:26
  Speaker 3: of those crazy urges.
• 40:27
  Speaker 2: Yeah. Yeah.
• 40:28
  Speaker 3: It's interesting.
• 40:30
  Speaker 1: I mean, I think we're not at a place where
• 40:31
  Speaker 1: people can be accepting of if you're on OZM.
• 40:34
  Speaker 4: Don't miss a minute of United Soccer League action. The
• 40:38
  Speaker 4: USL Championship and USL League One are on CBS Sports
• 40:42
  Speaker 4: and ESPN platforms. all season long with additional coverage on
• 40:46
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• 40:52
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• 40:55
  Speaker 4: what's next. Visit uslchampionship.com or uslleague1. com for complete listings. Find
• 41:03
  Speaker 4: your local club and be part of what's next.
• 41:07
  Speaker 1: Or not yet i mean people seem to get canceled
• 41:10
  Speaker 1: for it or there's so many like people who are
• 41:12
  Speaker 1: denying being on it who obviously are and you know
• 41:15
  Speaker 1: i think we'll eventually get to a point where that's
• 41:17
  Speaker 1: accepted because it works so well and we've seen it.
• 41:20
  Speaker 3: Work so well with people i agree totally.
• 41:22
  Speaker 1: Yeah um okay the other um thing i wanted to
• 41:26
  Speaker 1: ask about anti-aging is these drips there are so many
• 41:29
  Speaker 1: med spas that have something called nad nad what is.
• 41:32
  Speaker 3: That yep so that's interesting so that is um I
• 41:37
  Speaker 3: don't know if you ever listened to any of the Dr.
• 41:38
  Speaker 3: Sinclair stuff out of Harvard. So he's probably the authority
• 41:43
  Speaker 3: now on anti-aging.
• 41:44
  Speaker 2: Okay.
• 41:46
  Speaker 3: And he's got great podcasts. I recommend if anyone's interested
• 41:50
  Speaker 3: in this to listen to his podcast. He's like the
• 41:53
  Speaker 3: authority out of Harvard on it. And this is supposed
• 41:57
  Speaker 3: to rebuild your mitochondria, help with anti-aging. There's a lot
• 42:04
  Speaker 3: of studies on it, NMN. So if you, if you
• 42:06
  Speaker 3: research him, he kind of explains it really thoroughly and, uh,
• 42:10
  Speaker 3: and it's nice. Um, so this is, um, this is
• 42:14
  Speaker 3: a substance, a newer substance that's, that helps with aging.
• 42:18
  Speaker 2: Okay. Have you tried it? Do you think it works?
• 42:20
  Speaker 3: That's another, that's, they do. And that's another thing that,
• 42:24
  Speaker 3: that I've seen an evolution. Cause when I started, um,
• 42:28
  Speaker 3: we had, um, a drip that you could get, um,
• 42:31
  Speaker 3: for like cold and flu season, right. It was called
• 42:33
  Speaker 3: a Myers cocktail and it was, vitamin C and some
• 42:36
  Speaker 3: amino acids and vitamins.
• 42:38
  Speaker 2: Or for a hangover, I think became really popular.
• 42:41
  Speaker 3: Right, right. So if you go to Vegas, you know,
• 42:43
  Speaker 3: they have these drips that'll come to your room and
• 42:45
  Speaker 3: put a drip in. So I do think it helps
• 42:49
  Speaker 3: for sure. I think if you have a nice balanced,
• 42:53
  Speaker 3: well-balanced diet, I don't know how much it's doing for you,
• 42:57
  Speaker 3: but certain, some of these drips, for example, if I
• 43:00
  Speaker 3: have a patient that comes in for surgery, I always
• 43:03
  Speaker 3: recommend they get a drip before and after if they
• 43:05
  Speaker 3: can And I definitely notice a difference. They bruise less,
• 43:09
  Speaker 3: they recover quicker. So that's another area that I think
• 43:13
  Speaker 3: is nice. Would I do it routinely?
• 43:15
  Speaker 5: I don't know.
• 43:16
  Speaker 3: I think if you have a well-balanced diet, you exercise,
• 43:19
  Speaker 3: you take a multivitamin, probably don't need it. But I
• 43:23
  Speaker 3: think during stressful times, if you're sick, hungover, getting surgery.
• 43:28
  Speaker 2: It can boost your immunity. Yes. Got it.
• 43:32
  Speaker 1: Okay, so I know people are going to want to
• 43:34
  Speaker 1: talk for a second about celebrities that you've done. You've
• 43:37
  Speaker 1: been in the news a lot for different people that
• 43:38
  Speaker 1: you've worked on, or you've been somebody that has been
• 43:41
  Speaker 1: on different shows talking about celebrities and plastic surgery. And
• 43:45
  Speaker 1: as you said, being on the Housewives of New Jersey
• 43:47
  Speaker 1: kind of puts you on the map. So can you
• 43:49
  Speaker 1: talk just briefly about some of the celebrities that you
• 43:53
  Speaker 1: have worked on and how you have, you know, I
• 43:55
  Speaker 1: know speaking to Renee from Mob Wives, she said that you...
• 43:59
  Speaker 1: you changed her life. She's going to be on the
• 44:01
  Speaker 1: show in.
• 44:01
  Speaker 2: A couple of weeks.
• 44:03
  Speaker 3: Oh, really?
• 44:04
  Speaker 4: Yeah.
• 44:04
  Speaker 2: And she had nothing but nice things to say about you. Awesome.
• 44:08
  Speaker 3: She's great. Well, you know, it's getting back to what
• 44:11
  Speaker 3: we talked about before, right? So some doctors just get
• 44:15
  Speaker 3: that name and they're charging exorbitant amounts, right? So listen,
• 44:19
  Speaker 3: I think I'm good at what I do, but there's
• 44:21
  Speaker 3: also thousands of other guys that are probably just as good, right?
• 44:25
  Speaker 3: So I think the bottom line there is like, if
• 44:29
  Speaker 3: you can connect with someone, you have a certain specialty.
• 44:33
  Speaker 3: I feel like when it comes to breast that I
• 44:35
  Speaker 3: can do a really, really good job. I'm really passionate
• 44:39
  Speaker 3: about it. I do a lot of it. It's pretty
• 44:41
  Speaker 3: much all I do now is breast and tummies. So
• 44:44
  Speaker 3: I do think that it is kind of nice to
• 44:48
  Speaker 3: get the word out there. So being on a lot
• 44:49
  Speaker 3: of these shows was great for me to get the
• 44:52
  Speaker 3: word out and Um, as far as the celebrity stuff, yeah, it's,
• 44:56
  Speaker 3: it is interesting. I mean, I've done a lot of
• 44:58
  Speaker 3: people that I've signed NDAs too. So, you know, you
• 45:01
  Speaker 3: can't say, but, but I will say that it's definitely
• 45:04
  Speaker 3: a different mindset, but it kind of plays with you
• 45:07
  Speaker 3: a little bit too, because you have to treat everybody
• 45:09
  Speaker 3: the same. Um, and I've had, I had a patient
• 45:13
  Speaker 3: yesterday say, oh, well, you know, I'm not a celebrity.
• 45:16
  Speaker 3: You only want to stop around celebrity, which is not true. Right.
• 45:19
  Speaker 3: So I treat everybody. treat everybody the same, but I
• 45:22
  Speaker 3: was fortunate enough to have been on shows and have
• 45:24
  Speaker 3: done some high profile people. And it's, it's great. Yeah.
• 45:28
  Speaker 1: And I guess that makes you would make you a
• 45:30
  Speaker 1: little more nervous anyways, because people have to look at
• 45:33
  Speaker 1: your work and know it's you that did that work.
• 45:36
  Speaker 2: So you got to do a good job, right? Yeah.
• 45:39
  Speaker 3: A hundred percent, especially when you're operating on camera.
• 45:43
  Speaker 2: Right.
• 45:44
  Speaker 3: Yeah. It's a little, you know, but I try and
• 45:47
  Speaker 3: do a little, I try and do some of that
• 45:48
  Speaker 3: on Tik TOK too. Yeah. I can use it more
• 45:51
  Speaker 3: as like an educational thing because sometimes when I, when I,
• 45:57
  Speaker 3: when I showed me operating, I do get a lot
• 45:59
  Speaker 3: of people saying, don't show this. I don't want to
• 46:01
  Speaker 3: see it. And then some people love it. Right. So
• 46:06
  Speaker 3: I think you have to be careful. There's a fine line,
• 46:08
  Speaker 3: but I do think it's more about education. Like I
• 46:11
  Speaker 3: think the mob wives was great because the way I
• 46:14
  Speaker 3: found Renee was she had a complication, which can happen. Right.
• 46:19
  Speaker 3: You know, and then I kind of came in and
• 46:21
  Speaker 3: helped her out. So I think also a lot of
• 46:26
  Speaker 3: people maybe will do stuff just to get the celebrity
• 46:29
  Speaker 3: maybe when they shouldn't. So I try to keep it
• 46:32
  Speaker 3: all in perspective. You know, I treat everybody the same
• 46:34
  Speaker 3: and go for the best result you can.
• 46:38
  Speaker 1: Do people come in and ask you for a certain
• 46:40
  Speaker 1: celebrity or sometimes show you a picture of what they
• 46:43
  Speaker 1: want to look like?
• 46:44
  Speaker 3: Yes.
• 46:46
  Speaker 2: Is there one particular celebrity they all want to look like?
• 46:50
  Speaker 3: So it's funny you say that. So it went from
• 46:53
  Speaker 3: Pam Anderson. When I started, right, everybody wanted Pam Anderson's boobs.
• 46:58
  Speaker 3: Then it went to Angelina Jolie, probably. Oh, yeah, totally.
• 47:03
  Speaker 3: Angelina Jolie's lips.
• 47:05
  Speaker 2: Right.
• 47:06
  Speaker 3: Then it went to the other Baywatch girl. Why am
• 47:08
  Speaker 3: I blanking on her name? Yasmin. Yasmin. She was very pretty. Yasmin. Yeah,
• 47:14
  Speaker 3: I remember her. Right. And then then it went, of course,
• 47:16
  Speaker 3: to Kim Kardashian. Mm hmm. Okay.
• 47:21
  Speaker 2: All different looks. That's interesting.
• 47:24
  Speaker 3: Yeah. And lately I get a lot of Emily Radzikowski.
• 47:27
  Speaker 3: And then I get also some of the influencers. So
• 47:33
  Speaker 3: it's kind of changed throughout the years. And, you know,
• 47:36
  Speaker 3: one interesting thing, which I think is funny, was I
• 47:39
  Speaker 3: used to liposuction out girls' punts because they were too
• 47:41
  Speaker 3: big and they wanted them smaller. And that's 25 years ago.
• 47:47
  Speaker 3: And now they want them bigger. So it's funny how things,
• 47:49
  Speaker 3: how things change, but yes, especially with boobs, I get
• 47:53
  Speaker 3: girls coming all the time. I want to, these, my
• 47:55
  Speaker 3: boobs look like these.
• 47:56
  Speaker 2: Right. Right.
• 47:58
  Speaker 3: Yeah.
• 47:58
  Speaker 1: The standard of beauty is so different and always ever changing.
• 48:03
  Speaker 1: I want to ask you a question about filters because
• 48:06
  Speaker 1: I noticed that when I have certain filters on my phone,
• 48:09
  Speaker 1: I look like a supermodel.
• 48:10
  Speaker 2: It is so fun. And you can even.
• 48:12
  Speaker 1: See on these TikToks that people show they're talking to
• 48:18
  Speaker 1: you from their filter personality and then they take it
• 48:20
  Speaker 1: off and they just look like a I mean, not
• 48:22
  Speaker 1: that there's anything wrong with it, but a plain person, right?
• 48:24
  Speaker 1: So do people ever come in and show you what
• 48:28
  Speaker 1: they look like with filters and say, I want to
• 48:30
  Speaker 1: look like that? Because I sort of want to do that.
• 48:32
  Speaker 1: I want to go to a doctor's office and say,
• 48:34
  Speaker 1: what is, because I can't figure out what it is
• 48:36
  Speaker 1: on those filters that's making me look so good.
• 48:38
  Speaker 2: What is it?
• 48:40
  Speaker 3: Listen, when they say that, I say, find a good
• 48:42
  Speaker 3: makeup artist. Because I think that's the only way to
• 48:46
  Speaker 3: look that good. But it's so funny you say that too. Like,
• 48:51
  Speaker 3: I don't know how people date these days. Thank God
• 48:53
  Speaker 3: I don't have to do the online dating because nobody
• 48:56
  Speaker 3: looks like they do. I see them online because on Instagram,
• 48:59
  Speaker 3: a lot of people will message, say, hey, I'm interested.
• 49:02
  Speaker 3: And then they come in and people look very different.
• 49:06
  Speaker 3: I agree with you, but that's the thing now. Everyone
• 49:09
  Speaker 3: wants to look better, right?
• 49:11
  Speaker 1: It's funny that you say that because I always tell
• 49:13
  Speaker 1: people that they should put less attractive pictures of themselves
• 49:16
  Speaker 1: online and definitely not filtered because then you can... surprise
• 49:20
  Speaker 1: them in person when you have some good makeup on
• 49:22
  Speaker 1: or a good outfit and with your personality you could
• 49:24
  Speaker 1: look so much better right but if you if you
• 49:27
  Speaker 1: go out there with this filtered look and then you
• 49:29
  Speaker 1: show up as you who might be beautiful but they
• 49:32
  Speaker 1: are not expecting that you really ruin it for yourself
• 49:34
  Speaker 1: so I totally agree I think that's a difficult uh
• 49:37
  Speaker 1: slippery slope um Okay, so let's talk about where this
• 49:42
  Speaker 1: medical industry is going. They're joining together forces, the plastic
• 49:47
  Speaker 1: surgery departments, the dermatologists, they're all coming together, the med
• 49:52
  Speaker 1: spa people into one unit.
• 49:54
  Speaker 2: Talk about that.
• 49:57
  Speaker 3: So the reason why this field is so hot, so
• 50:00
  Speaker 3: the med spa business is literally like soaring, right? Which
• 50:04
  Speaker 3: I can't believe it still is, but it's growing at
• 50:07
  Speaker 3: about 15% a year. So the banks and private equity
• 50:14
  Speaker 3: and money people are starting to realize the opportunities here.
• 50:18
  Speaker 3: So just like a lot of other industries that have
• 50:22
  Speaker 3: kind of rolled up and come together, that's happening now
• 50:28
  Speaker 3: in the plastic surgery world and in the med spa world.
• 50:32
  Speaker 3: And I think now since everything is cash, right, there's
• 50:35
  Speaker 3: no more insurance, it's just become a really good business. Um,
• 50:39
  Speaker 3: so private equity and banks have noticed that and are
• 50:43
  Speaker 3: now buying practices and buying med spas and kind of
• 50:47
  Speaker 3: joining forces. So the industry is really now just absolutely
• 50:52
  Speaker 3: taking off. It's like, it's like one of the hottest
• 50:54
  Speaker 3: industries that's out there now. So everyone wants to open
• 50:57
  Speaker 3: up a med spa. Everyone wants to work in a
• 50:59
  Speaker 3: med spa. Um, and I think that, um, you're going
• 51:04
  Speaker 3: to see a big consolidation now, um, into that space.
• 51:09
  Speaker 3: And that's kind of what's going on. It's a recurring business, right?
• 51:12
  Speaker 3: So most people that get Botox and fillers, they're going
• 51:16
  Speaker 3: to come. They're going to come every four months or
• 51:17
  Speaker 3: every six months, just like getting your hair cut, your
• 51:20
  Speaker 3: hair done, your nails, you know, et cetera. So it's
• 51:24
  Speaker 3: become now a big, a huge market.
• 51:27
  Speaker 1: Right. And then at a certain age after that, they're
• 51:29
  Speaker 1: going to want to upgrade to that facelift when they're
• 51:32
  Speaker 1: ready and a little bit older, and then they're going
• 51:33
  Speaker 1: to need some maintenance after the fact. So it encompasses
• 51:36
  Speaker 1: all of it. Do you think that, we talked about
• 51:40
  Speaker 1: this a little bit off camera, but do you think
• 51:41
  Speaker 1: that'll affect the customer service because it's a much bigger
• 51:45
  Speaker 1: location offering much more services? Can people still feel like
• 51:48
  Speaker 1: they are getting the treatment and the, you know, the
• 51:52
  Speaker 1: one-on-one experience that they are looking for from a smaller company?
• 51:57
  Speaker 3: I think so. I mean, I think it's going to,
• 52:00
  Speaker 3: It's going to make the pricing better probably for patients.
• 52:04
  Speaker 3: It's more commonplace. It's going to be more accepted. And
• 52:07
  Speaker 3: there's going to be a lot more locations popping up.
• 52:10
  Speaker 3: I mean, man, just around me, I mean, I think
• 52:13
  Speaker 3: I was pretty sure I was the first one here
• 52:15
  Speaker 3: in 98 to have a med spa in 1998. And
• 52:19
  Speaker 3: there has to be 30 now. I mean, within probably
• 52:22
  Speaker 3: half an hour drive, they're popping up absolutely everywhere. So yeah,
• 52:27
  Speaker 3: there'll be a little bit shift in the market. And
• 52:29
  Speaker 3: I do think You know, there'll be top practices and
• 52:32
  Speaker 3: there'll be some maybe not as good for sure, like
• 52:34
  Speaker 3: everything else. But I do think that this is now,
• 52:38
  Speaker 3: you know, part of our life and people want to
• 52:40
  Speaker 3: look better and feel better. And just in the last
• 52:42
  Speaker 3: 20 years, it's gotten so much better. Even men now
• 52:49
  Speaker 3: are starting to come in, you know, PRP for the hair, Botox,
• 52:53
  Speaker 3: the Emskull we talked about, men are doing that. So
• 52:56
  Speaker 3: when I started, you wouldn't really see many men here.
• 52:59
  Speaker 3: Now we see a lot of men coming in too.
• 53:01
  Speaker 3: So I think the whole industry is becoming, still growing
• 53:05
  Speaker 3: at a rapid rate and becoming more commonplace.
• 53:08
  Speaker 1: If you were going to spend your money on one treatment,
• 53:13
  Speaker 1: what is the one treatment that you would say is
• 53:16
  Speaker 1: really helpful in gaining that sort of immediate younger appearance?
• 53:21
  Speaker 1: Would it be something that has to do with lasers, injectables,
• 53:23
  Speaker 1: or is it something with the body sculpting?
• 53:28
  Speaker 3: I mean, I would probably still say Botox because it's
• 53:30
  Speaker 3: such an instant result. You know, in three, four days,
• 53:35
  Speaker 3: it kicks in. I would probably say that's still probably
• 53:37
  Speaker 3: the number one go-to.
• 53:39
  Speaker 2: Okay.
• 53:40
  Speaker 3: I would say lips, too, especially a lot of the
• 53:45
  Speaker 3: younger girls are coming in now for lips. I think
• 53:46
  Speaker 3: that's an instant thing, good bang for your buck. You know,
• 53:51
  Speaker 3: you do it, you're done. It lasts a pretty long time.
• 53:55
  Speaker 3: I think that's good. But there's just so many, so
• 53:57
  Speaker 3: many machines now. There's so many things that actually work now. Wow.
• 54:02
  Speaker 2: Yeah.
• 54:03
  Speaker 3: Okay.
• 54:04
  Speaker 2: Last two questions.
• 54:05
  Speaker 1: What do you see being the new up and coming
• 54:07
  Speaker 1: trend in the future? Like we talked about beauty is
• 54:13
  Speaker 1: in the eye of the beholder, but used to be
• 54:15
  Speaker 1: very skinny and Victoria's Secret models. Now it's more athletic,
• 54:19
  Speaker 1: fuller body. People don't necessarily care as much about being
• 54:22
  Speaker 1: stick thin.
• 54:24
  Speaker 2: Where do you see this going in the future for
• 54:26
  Speaker 2: a trend?
• 54:29
  Speaker 3: I don't really see any Huge trend coming up now.
• 54:33
  Speaker 3: If I had to say anything, I would say a
• 54:35
  Speaker 3: little more conservative, right? More natural. More natural. Boobs aren't
• 54:39
  Speaker 3: as big. Butts aren't as big. Not as much filler.
• 54:42
  Speaker 3: So I think, in a way, some people got a
• 54:48
  Speaker 3: bad name because people look at these huge butts and
• 54:50
  Speaker 3: these huge lips. And some people go, ooh. But there's
• 54:54
  Speaker 3: a lot of people that have it done that you
• 54:55
  Speaker 3: don't know they have it done. So I think the
• 54:57
  Speaker 3: trend is a little bit more conservative. Women are still
• 55:00
  Speaker 3: getting breast implants, just not as big, right? They're still
• 55:03
  Speaker 3: doing their butts, but they're not blowing them out like crazy.
• 55:07
  Speaker 3: So I think more conservative and more natural looking.
• 55:11
  Speaker 1: And I agree because I think there's not as much
• 55:14
  Speaker 1: of a stigma with aging. I mean, listen, I'm 48.
• 55:18
  Speaker 1: I'm not trying to compete with a 25-year-old girl. Somebody
• 55:22
  Speaker 1: in my age bracket should try and look their best
• 55:25
  Speaker 1: at their age as opposed to trying to ignore the
• 55:28
  Speaker 1: fact that they're aging and try and look much younger.
• 55:31
  Speaker 1: And I think that's historically been a problem that women
• 55:35
  Speaker 1: have gone through because they don't want to admit that
• 55:37
  Speaker 1: they're aging.
• 55:38
  Speaker 5: Right.
• 55:38
  Speaker 1: So I think as long as women have now gotten
• 55:41
  Speaker 1: to the point where they're happier in their own skin
• 55:44
  Speaker 1: and it's OK to be the age that you are,
• 55:46
  Speaker 1: you just want to look a little bit better at
• 55:47
  Speaker 1: that age. But I think people are embracing their age
• 55:50
  Speaker 1: a little more than we used to.
• 55:52
  Speaker 3: I think so, too. And, you know, I've done a
• 55:54
  Speaker 3: lot of women in their 70s, like in the last
• 55:56
  Speaker 3: couple of years, and a lot of women will come
• 55:59
  Speaker 3: in and And say, am I too old? And I'm saying, no,
• 56:02
  Speaker 3: you're healthy. You know, some, maybe you're like recently widowed
• 56:06
  Speaker 3: and they, and they want to go, you know, go
• 56:07
  Speaker 3: back and date or they're just active. And as a,
• 56:09
  Speaker 3: I don't want to live without implants. Why not? You know?
• 56:12
  Speaker 3: And so I've done a lot of women in their
• 56:14
  Speaker 3: seventies and it's fine. And I love it.
• 56:18
  Speaker 2: I love that.
• 56:19
  Speaker 5: I love that.
• 56:20
  Speaker 1: Women, people should never give up on their look. Okay,
• 56:26
  Speaker 1: last question.
• 56:27
  Speaker 2: What do you see?
• 56:29
  Speaker 1: We talked about trends, but like, is there something in
• 56:30
  Speaker 1: the future that you have your eye on, whether it's
• 56:33
  Speaker 1: a different kind of service or whatever that you think
• 56:36
  Speaker 1: might be interesting that you want to do more research on?
• 56:39
  Speaker 3: So I'm looking into getting this machine called the SoftWave,
• 56:43
  Speaker 3: which is kind of like old therapy. It's a next
• 56:46
  Speaker 3: step up. I always like to see how things work
• 56:50
  Speaker 3: before I buy machines. But I'm definitely looking into more
• 56:54
  Speaker 3: of the skin tightening. Belly too. There's a lot of
• 56:58
  Speaker 3: women that ate it from the breast down to their
• 57:01
  Speaker 3: belly button. That area above the belly button is a
• 57:04
  Speaker 3: little bit loose, especially if you're fit and you're muscular
• 57:07
  Speaker 3: and then that skin. And there's not a good treatment
• 57:09
  Speaker 3: for that. Can't really pull up. A lot of women
• 57:11
  Speaker 3: come and say, can't you just pull it up? Which
• 57:13
  Speaker 3: you can't really do. So I'm looking for more skin
• 57:16
  Speaker 3: tightening machines that actually work and tighten things up because- Well.
• 57:21
  Speaker 2: That work on the neck.
• 57:22
  Speaker 1: I always don't understand why you guys can't just cut
• 57:24
  Speaker 1: my neck in the back.
• 57:25
  Speaker 2: And just pull it together.
• 57:26
  Speaker 3: And pull it this way. I know. So I'm looking
• 57:30
  Speaker 3: for more of that. Exactly. The neck's a problem area.
• 57:33
  Speaker 3: The belly, especially the top part of the belly. Women
• 57:36
  Speaker 3: with the knees. Some women hate to have loose skin
• 57:38
  Speaker 3: around the knees. So I'm looking for more stuff that's,
• 57:44
  Speaker 3: Tightening skin.
• 57:45
  Speaker 2: Awesome. Okay. Where can people find you?
• 57:49
  Speaker 3: So I'm in New York and New Jersey. I'm in
• 57:52
  Speaker 3: Englewood cliffs, New Jersey and Pearl river, New York. You know,
• 57:58
  Speaker 3: social media. And so, you know, the usual stuff there.
• 58:02
  Speaker 2: Just tell people what your social media is, if they're
• 58:04
  Speaker 2: not watching.
• 58:04
  Speaker 3: So it's just D D R Fiorillo. Just have my
• 58:07
  Speaker 3: name on the screen. You can find me on Instagram
• 58:09
  Speaker 3: and I'll give you all the info you need.
• 58:13
  Speaker 1: And are you going to be expanding down to other cities?
• 58:17
  Speaker 3: Yeah. So, so basically I'm part of a roll-up called
• 58:22
  Speaker 3: short AMP, which is aesthetic medical partners. And we're at
• 58:28
  Speaker 3: 57 locations now.
• 58:31
  Speaker 2: Oh, wow.
• 58:32
  Speaker 3: Yep. So I, I do want to migrate down to
• 58:35
  Speaker 3: Florida eventually. I'm down there a lot anyway, but I
• 58:37
  Speaker 3: do want to start seeing patients down there eventually. And
• 58:42
  Speaker 3: we're growing. We're looking to have over 100 locations by
• 58:45
  Speaker 3: next year. And I think that is nice because collaborating,
• 58:50
  Speaker 3: exchanging ideas. For years, I was here by myself and
• 58:54
  Speaker 3: it was great. But there's nothing like being with a
• 58:58
  Speaker 3: big group.
• 58:59
  Speaker 5: Yeah.
• 58:59
  Speaker 3: You know, because someone may do a better, you know,
• 59:03
  Speaker 3: neck or a better nose or a better this or that.
• 59:05
  Speaker 3: So it's nice to be able to share and everybody
• 59:07
  Speaker 3: has their expertise there.
• 59:10
  Speaker 2: Yeah, for sure. All right.
• 59:11
  Speaker 1: Well, I can't wait when you come down to Florida,
• 59:13
  Speaker 1: I will be patient number one. And yeah, And we'll
• 59:17
  Speaker 1: go from there. But thank you so much, Dr.
• 59:20
  Speaker 2: Fiorello. You are such a pleasure to talk to.
• 59:22
  Speaker 1: And we will have you back to talk more about
• 59:27
  Speaker 1: new and changing things as they come out.
• 59:29
  Speaker 2: So thank you.
• 59:30
  Speaker 3: Thank you. That was great. I appreciate it. Of course.
• 59:43
  Speaker 1: Thank you so much for listening to Misunderstood. I'm your host,
• 59:46
  Speaker 1: Rachel Yucatel. Please be sure to subscribe to the show
• 59:48
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• 59:51
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• 59:55
  Speaker 1: misunderstood with Rachel Yucatel. Do you have ideas for the
• 59:58
  Speaker 1: show or want to reach out? Email us at infomisunderstoodpodcast
• 1:00:03
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• 1:00:08
  Speaker 1: and I'll see you next time.
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