The Mikhaila Peterson Podcast - 142. Plastic Surgeon Reveals The Celebrity Secrets To Staying Young

00:00:00.000 did you get into this so the reason why i decided to become a a plastic surgeon was it happened to

00:00:07.160 me in grade school so when i was in grade school there was a girl in my class who had a cleft lip

00:00:12.420 and palate deformity and she was on my bus room and kids would torture her it was unfortunate but

00:00:19.480 especially back then because you know now we're very focused on anti-bullying and like you can't

00:00:23.580 get away with the behavior that used to happen when i was a kid but people would throw things

00:00:28.180 at her they would you know alter you know nobody would go near her they would you know it was

00:00:33.820 because she had a facial disfigurement unfortunately and i was her friend i used to sit on the bus

00:00:38.780 with her and the thing is that she had surgery during the time that i knew her and as her

00:00:44.820 appearance started to morph and become more normalized people started to respond to her

00:00:49.680 differently. And I thought that was a very powerful way. Welcome to episode 142 of the

00:01:00.100 Michaela Peterson podcast. I'm Michaela Peterson. I'm backstage at one of dad's show in Denver.

00:01:07.580 As you can see, this episode covers plastic surgery, the real secret to staying young.

00:01:14.620 I mean, there's also sleeping right and diet, hello, low carb, and sneaky tricks like NAD.

00:01:21.660 But if you see a 70-year-old and they look like they're 50, it's plastic surgery.

00:01:27.360 Dr. Andrew Giacono is a world-renowned facial plastic surgeon based in New York City, author and creator of MADE, a minimally invasive hybrid facelift, the secret behind celebrities' ability to never age.

00:01:42.220 I've always found plastic surgery fascinating.

00:01:44.620 If you look younger, do you feel younger? If you feel younger, do you live longer?

00:01:49.580 I don't know. Andrew's the founder of the New York Centre for Facial Plastic and Laser Surgery

00:01:54.700 and the co-founder of TAI, a non-profit organization that helps children in third

00:01:59.800 world countries get free plastic surgery for things like hair lifts, life-changing surgeries.

00:02:05.800 He's been named one of America's top plastic surgeons by Harper's Bazaar,

00:02:09.340 the Consumers Research Council of America, and Super Doctors. He starred in the TV show

00:02:14.760 Facing Trauma as a volunteer surgeon for victims of abuse. Dr. Giacono has been featured on Good

00:02:21.120 Morning America, Anderson, and CNN, to name a few, as well as many publications like the

00:02:26.240 Huffington Post and GQ. His main clients are lawyers and CEOs in New York, as well as celebrities

00:02:32.100 and the average person who knows about this stuff. We talked about the ramifications of social media,

00:02:37.960 the type of person who does plastic surgery the dangers the morality and more i hope you enjoy

00:02:44.100 this conversation this episode was sponsored by paleo valley we need collagen it's like the glue

00:02:50.760 that holds our body together we're talking about plastic surgery in this episode but i did mention

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00:03:18.560 smoothies, baked dishes, your coffee, or just mix it with hot water and a bit of salt, like me.

00:03:24.720 Adding collagen to your diet will not replace a facelift, but it certainly won't hurt. I absolutely

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00:03:35.740 now at paleovalley.com with code MP for 15% off your first order. That's paleovalley.com

00:03:43.300 code MP for 15% off. I hope you enjoy this episode. Dr. Andrew Giacono, welcome to my

00:03:53.140 podcast. Thanks for having me. I'm super excited to talk to you. Yeah, this is going to be

00:03:58.700 fun. I think, I think what you do is something everybody should know about. So before we get

00:04:02.980 started, can you give a brief background about who you are and what it is you do? Sure. So my

00:04:09.160 name is Andrew Giacono. I'm a facial plastic and reconstructive surgeon, and I practice on Park

00:04:14.280 Avenue in New York City. And I specialize in facial aesthetic surgery. So things that are

00:04:20.760 to enhance people's appearance, both aesthetically to make them achieve their, you know, their goals

00:04:26.900 for their beauty, but also to rejuvenate the facial appearance to make people look younger.

00:04:31.720 and as i get older this becomes more important to me

00:04:35.600 okay so i want to cover a bunch of things i want to cover like what you do and then how many people

00:04:43.200 actually do this kind of thing because i think people don't talk about it and then some of the

00:04:47.780 ethics behind plastic surgery so that's what we're going to kind of get into um so first off

00:04:55.480 yeah how many what percentage of your clients do you think are women versus men like how

00:05:01.980 how frequent do men come in yeah i mean at this point it's changed a lot so i think that you know

00:05:08.100 the modern era and how aware we are of our appearance and that's been obviously accelerated

00:05:12.780 by you know digital cameras you know our social media presence you know using uh you know digital

00:05:20.000 platforms to be able to communicate and work men have embraced plastic surgery at rates that i've

00:05:25.600 never seen before i've been doing this over 20 years and i would say that 20 years ago that males

00:05:31.540 comprised about 10 of my practice but today it's fully a third so that's a lot you know it's one

00:05:37.560 of every three people that i operate on are male patients yeah wow okay again it's not surprising

00:05:44.860 because everybody wants to put their best face forward.

00:05:47.780 And the reality is, is that our face is our calling card.

00:05:51.660 You know, in the modern era, before somebody even meets you, they Google you.

00:05:54.840 They look at your images.

00:05:56.280 They look at your social media content and they make judgments about who you are,

00:06:00.960 how effective you are at your job.

00:06:03.160 And they get a sense of your personality by the way you look.

00:06:06.420 And that's what we do.

00:06:07.380 I mean, it may not be correct, but the truth is, is that today we judge a book by its cover.

00:06:12.180 and it's not right but it's it's the natural tendency because we live in a very visual world

00:06:17.520 now yeah especially with social media so how let's see what age do you think your average patient is

00:06:25.980 well my my age definitely tilts younger I mean older in the younger in the older age category

00:06:33.560 I should say you know I specialize mostly in aging face surgery so that means that I tend

00:06:39.380 to take care of people as their appearance starts to change as they get older. In the past, I would

00:06:46.180 say that that would be an average age of somewhere in the mid-50s. But today, it's really patients

00:06:51.360 primarily in their 40s. So people are embracing enhancing their appearance at a much younger age

00:06:58.000 today than they did 20 years ago in their practice. Obviously, there are patients who come

00:07:03.380 in who are young, who have a desire to change their nose or their lips or their facial shape

00:07:08.400 because it's the, it's disproportionate or imbalance, you know, like a young girl who's

00:07:12.200 18 years old, who unfortunately got her grandpa's nose, you know, like the whole family has a big

00:07:17.180 nose. So she looks more masculine or like male members of her family. And then she wants a

00:07:22.080 rhinoplasty. Those obviously will be younger patients, but on average, I'd say that somebody

00:07:27.740 in their mid forties at this point, early to mid forties. Okay. And what kind of procedures do you

00:07:34.360 do? Like what's your, what's the main, what's, let me, let me rephrase this question. Actually,

00:07:38.720 if somebody wants to have a surgery to look younger, what is it that makes people look younger?

00:07:45.560 Yeah. So the thing is, is that it's not one thing. So this is really the artistic aspect of what I do

00:07:52.880 is that there are multiple things and it's different for every face that create a more

00:07:58.760 youthful appearance. And so as a result, you know, it's often multiple procedures. It's not

00:08:04.420 one big procedure. And that's what I try to stress to patients. It's not like a big facelift or a

00:08:10.220 big brow lift or lots of eyelid surgery. What makes people look youthful, it's not a lot of

00:08:15.240 surgery. It's little bits and details throughout the different proportions of the face. And that's

00:08:20.640 what makes people look youthful, but also natural and normal. Because obviously the biggest fear is

00:08:27.740 is that we're going to do plastic surgery

00:08:29.640 and we're going to look like a freakazoid.

00:08:31.560 You know, people don't want to look like

00:08:33.000 the American true-esque celebrities

00:08:34.640 that they've seen who've had plastic surgery.

00:08:37.480 They want to look like themselves,

00:08:38.900 potentially a little bit more enhanced,

00:08:40.640 but arguably like they did maybe 10 or 15 years ago.

00:08:43.840 So the thing is that often for me,

00:08:45.640 when I'm doing a procedure,

00:08:46.760 it's a combination of things.

00:08:48.440 The thing that I'm most well known for

00:08:50.140 is for doing facelifting surgery.

00:08:52.580 So it's called a deep plank facelift.

00:08:54.580 It's a procedure that I pioneered

00:08:56.100 and I lecture about it all over the world.

00:08:58.040 I publish textbooks on it.

00:08:59.720 But with that is often things that are done

00:09:01.740 like a temporal lift to rejuvenate the upper brow,

00:09:05.020 eyelid surgery to help smooth contours,

00:09:07.580 lip lifts, because unfortunately as we age,

00:09:10.040 the lip groups and the upper lip becomes elongated,

00:09:12.520 fat grafting to add volume to places in the face

00:09:14.920 where people get sunken as they get older.

00:09:17.160 So it's really an artistic endeavor.

00:09:19.840 What I'm doing is I'm looking at the face

00:09:21.640 and I'm creating contour and balance.

00:09:24.800 and that's what makes people look young so it's kind of a difficult question to answer and i

00:09:30.700 apologize that the answer was so wrong well that makes that makes sense though um so when you do

00:09:37.780 these procedures do people come in and they have a whole bunch of things done at one time

00:09:41.740 or do they come in every six months yeah it really depends on the personality of the patient

00:09:47.080 what i definitely notice is that most patients do i'd say 70 to 80 percent of patients do it all

00:09:53.320 at one time. And I think that's just because of the, you know, the recovery time required,

00:09:58.540 you know, if people are going to go and take that much time away from their normal life for

00:10:02.660 recovery, i.e. social activities, work, all those things, they don't want to have to, you know,

00:10:08.040 have seven, seven, seven to 10 day recoveries. They'd rather try to see if it can be done at

00:10:13.500 one time. But those are busy people who have lots going on in their lives. And then there are other

00:10:18.420 people where they're not so motivated. They have a lot of free time and they'd like to chip away

00:10:22.520 and do a couple of procedures at a time or one thing at a time there's no right answer um you

00:10:28.720 know you can do it either way but i think that in modern in modern era and you know what we're

00:10:33.360 dealing with people want to be able to get things done and then be able to move on with their lives

00:10:38.580 and enjoy the outcomes of their surgery not making a project that's going to take them two years to

00:10:43.140 get through you know and 10 weeks of recovery they'd rather be like going to you know st bart's

00:10:48.860 for a vacation versus sitting home and recovering and being bruised for that period of time.

00:10:56.020 So did you say seven to 10 days?

00:10:58.540 On average, most recoveries for most of these procedures, you can get out about

00:11:03.240 seven to 10 days afterwards. It doesn't mean you want to be hosting a dinner party at your home

00:11:08.760 with people that you don't want to know about surgery, but functionally, the majority of my

00:11:12.900 patients, even professional patients, physicians, attorneys, people who are financial bankers,

00:11:17.180 they get back client facing or in front of people at around 10 days. I tell them if they can get

00:11:21.960 two weeks, it's ideal, but you know, it's hard. So you can cheat it in 10 days. And we have ways

00:11:28.300 of making the recovery much faster today that just weren't available 10 years ago. So I have

00:11:33.620 things that I can do, you know, techniques and instruments and, and, you know, and lasers that

00:11:39.200 help recovery, get rid of bruising. You know, there are different treatments that we do. One

00:11:43.320 of them is hyperbaric oxygen treatments, where you go into a hyperbaric oxygen chamber every day

00:11:48.200 and increases the blood supply and the oxygen content of the tissue. So the healing is much

00:11:52.080 faster. And I've learned these things because a lot of my patients need to be back in front of

00:11:57.820 cameras really quickly. I take care of a lot of people who have public faces. And as a result,

00:12:03.120 I needed to figure out a way to get them back to work quicker because they don't have a lot

00:12:07.020 of downtime between, you know, shooting, you know, shooting television shows or other things,

00:12:10.920 you know what percentage of celebrities or people who have tv appearances who are you know in their

00:12:17.860 50s or 60s have had work done do you think oh so pretty much everybody who's post who's 50 and

00:12:23.840 above has had work done so if somebody men too yeah men kind of can cheat until about late 50s

00:12:30.420 early 60s so there's definitely an unfair um you know unfair disparity between men and women in

00:12:36.980 terms of the way they age. Women, generally speaking, around 50 start to age more rapidly.

00:12:42.640 And by 52, 53, their face really changes. That's because women go through menopause on average at

00:12:48.240 about 50 to 51 years of age. And within two years of that change, the facial tissues drop. So

00:12:54.060 unfortunately, there is a big change and a shutoff that happens for women that accelerates their 0.99

00:13:00.340 aging process. So on average, most women will consider this if they don't aren't more proactive 0.97

00:13:06.540 about doing it around 50 because they notice that things just don't hold up nicely the way they used

00:13:10.900 to. Men get a pass. It's usually around 60 that this stuff really starts to come apart.

00:13:16.800 So I usually will treat most men later 50s to early 60s and most men later 40s to early 50s.

00:13:22.700 So that's when I kind of see it. But if you see a celebrity who's in her early to mid 50s and she

00:13:28.880 looks youthful, she's had surgery. Nobody escapes this, unfortunately. I've been doing this for 20

00:13:35.720 years and I've done about 4,000 facelifts. Nobody escapes this. And it doesn't mean that they look

00:13:40.780 abnormal because with good surgery, people look natural like themselves, but youthful,

00:13:45.960 but you can't be 53 years old and look like you're 40 without surgery. It doesn't happen.

00:13:51.880 Okay. So it's not all olive oil then. Okay. I don't want to comment on that,

00:13:57.180 but it's not a lot of oil. I guess I just did olive oil. It's not regimens. I mean, you know,

00:14:05.040 I give these excuses to my patients. You know, when they say, well,

00:14:08.300 what am I going to say? When people tell me how great I look, I said, well,

00:14:10.480 if you look natural, you won't say anything.

00:14:11.840 You tell people you lost weight, you've been drinking green juice, you know,

00:14:14.540 you've been doing more meditation.

00:14:16.020 People associate a youthful but natural appearance with good health.

00:14:21.020 So it's very easy to blame it on things like olive oil, your diet,

00:14:24.980 your antioxidant drinks, your vitamins, you know,

00:14:28.320 a new skincare regimen, because if you look normal,

00:14:31.660 nobody really gets it.

00:14:32.880 It's only when you have the distortion and the classic look that comes with, you know, more antiquated facelift surgery or plastic surgery that it gets a big alarm.

00:14:42.980 So I give people these excuses all the time.

00:14:45.100 I'm like, yeah, just tell people that you did these three things, you know, or that you had a little bit of Botox or you had some, you know, intense pulse light therapy treatment in your dermatologist's office.

00:14:53.140 It totally throws people off because they're not really looking at surgery.

00:14:57.680 They're looking at somebody who looks good and healthy and youthful and they want to know what your secret is.

00:15:02.700 but they don't think it's surgery. They think it's lifestyle choices.

00:15:06.440 Okay. So what are the, what are the downsides here? Like, is, is this type of thing super

00:15:12.560 invasive? Is it dangerous? Do you need to go under general anesthetic?

00:15:16.960 No. So we don't use general anesthesia. At least I don't. A lot of surgeons do,

00:15:20.420 but we do something called twilight sedation, which is where you get a little IV and they

00:15:23.560 give you some medicine that just makes you kind of sleep, but you're not paralyzed with

00:15:27.920 the tube of your lungs breathing gas. So it's not something where it's like a heavy anesthesia.

00:15:31.900 that's very risky. Obviously, all surgery has risks, so it's not risk-free. But the thing is,

00:15:37.720 is that when you're with an experienced practitioner, your risk of having a

00:15:40.680 significant complication from surgery is probably less than 1%. And even then, those problems,

00:15:46.280 if you have one, can be managed and remedied. It may require another surgery, but nothing is

00:15:52.860 risk-free. But it's not super risky. We obviously have advanced our techniques. We have advanced

00:15:59.240 instrumentation that keeps people safe. And if you can do it with less anesthesia and you can

00:16:04.160 do it in a more minimally invasive way, which we do, you know, old procedures had huge incisions

00:16:09.180 all around the face, you know, they said peel everything off and it was a bigger deal. Now we

00:16:14.480 can work through smaller incisions, you know, with our technology and we can do it in a less

00:16:19.440 aggressive and less invasive way that's less risky, but also makes people look more natural.

00:16:24.420 the downside is it's surgery you know it's not risk-free there is a recovery you know it's not

00:16:30.580 comfortable you know after surgery there's pain involved you know it's it's scary you know and

00:16:36.760 you know that's the truth but when you get to that point where you have a resolve about what you what

00:16:41.920 you want for your appearance and how you want to project your appearance to the world you know

00:16:46.900 people kind of accept those things and they get through it and you know after a couple weeks it's

00:16:51.260 like it's not that big a deal and then you get to enjoy the benefits of it for a very long time

00:16:56.400 interesting okay are there techniques for anti-aging that aren't surgical that you could

00:17:05.280 recommend like does botox botox works do fillers work are there lasers that can resurface skin like

00:17:11.380 does anything else work are there creams yeah there's lots of stuff for sure good skincare is

00:17:17.280 always wonderful and important. But from a skincare perspective, the most important thing

00:17:21.000 from my perspective, and I don't prescribe skincare and I have good dermatology colleagues

00:17:24.620 and work in cosmetic dermatology that I refer to. But the primary thing that I think that's

00:17:29.900 important is you should be on to some kind of a retin-A or a vitamin A derivative. And those

00:17:34.760 are skin creams. Retinol is like an example of it, but retinol is not that strong. But prescriptive

00:17:40.800 retin-A thickens the collagen laser of your skin and it prevents aging. It actually supports

00:17:45.800 thickness of the skin and the protein layers that's tend to thin out as we get older so that's

00:17:50.800 a really important thing to do and it's something that people should do throughout their life

00:17:54.380 because it definitely will help minimize how much the skin falls and wrinkles so that's one thing

00:17:58.880 Botox is wonderful because when you put Botox in if you're not flexing your face all the time you

00:18:04.040 don't develop lines and wrinkles in the forehead around the eyes it helps support the brows so it

00:18:08.600 prevents aging so Botox even though it could be costly over a very long period of your life

00:18:13.520 because if you started younger, say in your mid to late thirties, and you continued on with it

00:18:18.120 for a long time, it gets expensive. But is it worth? Yes, it is. Fillers, you have to be very

00:18:24.400 careful with. And I talk about this a lot and lecture all over the world about it. The problem 1.00

00:18:29.020 with fillers is they create something called a tissue expansion effect. And what that means is

00:18:34.320 as you put filler in, you stretch the tissues out. When you stretch the tissues out, it's like a

00:18:40.220 pregnant women, when they have a pregnant belly, they lose the pregnant belly. There's a lot of 0.99

00:18:43.980 skin that develops and it hangs. So a lot of women get tummy tucks because the skin has been so 1.00

00:18:49.440 stretched out after pregnancy. Similarly with fillers, if you overdo fillers, you will stretch 1.00

00:18:54.660 your face out. And if you do that, it'll actually make it drop more quickly. So one of the big

00:18:59.980 problems that I deal with in my practice is women who started fillers too young because they thought 1.00

00:19:05.080 they were preventing their aging, but they stretched their face out. So they need a facelift 1.00

00:19:09.400 much younger than they probably would have sometimes by even a decade. So fillers are good

00:19:16.560 when done with small quantities with an even hand. But when you start blowing things up too much,

00:19:23.640 unfortunately, this can be a significant problem.

00:19:27.880 Wow. That's something people should really know about because there you go on Instagram and it's

00:19:32.220 like, oh, do the, you know, Kylie Jenner package or something. And it's easy to market and it's

00:19:37.800 simple it's not surgery it's just a couple of injections and sometimes it can look really good

00:19:42.920 but the problem is is how frequently you do it and how much you do it one time

00:19:47.840 because it can look good the first time and the second time but sometimes after people doing it

00:19:52.240 the fourth fifth or sixth time as they continue to age they're putting more and more stuff in to

00:19:56.920 try to recreate the same effect but our aging face doesn't recreate the same effect with the

00:20:01.440 injections that it did say five years ago seven years ago so people try to use more to get what

00:20:06.360 they used to get but then they only do is they stretch their face out okay and you mentioned

00:20:12.300 something about fat grafting so what's the difference between that and just having a face

00:20:17.860 lift so fat grafting is just like using filler it's just using your own body fat so the thing

00:20:23.260 is is that any place where you can use filler you can do something more permanent with fat

00:20:27.920 similarly fat can cause the same problems that fillers can so it has to be done evenly and not

00:20:34.280 too much but the other problem is is that if you put a lot of fat in the face it can weigh the face

00:20:40.680 down because it has more weight than filler does so similarly with time and age fat grafting tends

00:20:46.340 to drag the face down because it's like strapping two weights into the face so all these things are

00:20:51.780 a matter of degree but it's more common for me not to do fat grafting in younger patients and

00:20:58.540 here's the reason why fat is a hormonally active tissue so when women go through changes and start

00:21:06.580 to have hormonal changes as they age a lot of women start to gain a little bit of weight and

00:21:12.220 it's not because they're not trying hard but it's a lot easier to stay thin when you're 20 than when 0.93

00:21:17.080 you are when you're in your minute to late 40s right for everybody the problem is that the fat

00:21:21.940 that you put in the face acts like the fat from your belly so if you start to put weight on in

00:21:27.380 your body because your metabolism has changed guess what happens to the fat in your face 0.98

00:21:31.560 it grows so what i see is i see a lot of women who are fat grafting in their 30s

00:21:37.480 whose faces now are getting big and distortive and they weren't like that when they were younger

00:21:42.920 because the fat was one size but as they put weight on the fat in the face grows like as if

00:21:49.220 it was in the belly because it grows it behaves like where it came from not where it was placed

00:21:55.240 so the face gets very distorted so for me fat grafting i prefer to use it in patients who are

00:22:01.200 older who have already been through some of those metabolic changes versus trying to use it as a

00:22:06.680 substitute for fillers fillers can be dissolved away fat cannot so when you have a problem with

00:22:12.720 fat grafting it becomes a big surgical problem that a lot of people would prefer to avoid and

00:22:18.600 you learn these this is the thing when you do so much of this and i've done so many thousands of

00:22:23.140 surgeries, I've made a lot of mistakes and I've learned from those mistakes over the years.

00:22:27.880 That's what happens. That's what good surgeons do. So as a result, I know how to avoid more of

00:22:34.340 those problems for my patients. And I know who the right patients are to direct to what treatment

00:22:38.960 is in what amounts at what time in their life. That's wild that you can graft belly fat or

00:22:46.780 something like that. And then it'll gain weight like belly fat. That's crazy. I bet people didn't 0.93

00:22:51.100 expect that that's where it came from it doesn't change its character we're using it to like

00:22:57.300 resupplement but it has the character of where it came from wow okay that's very cool okay so

00:23:06.320 now that we have a bit of a background about all this actually no one question first so you said

00:23:12.320 facelifts used to be a lot scarier than they are and you used to end up with just like scars

00:23:17.980 everywhere yeah very visible scars and very long incision lines so you it would be very very hard

00:23:24.960 to camouflage at least the surgery you know you'd have to kind of wear your hair down and hide

00:23:29.640 everything as much as you could and if you ever had to go and get your hair cut or jump in a pool

00:23:32.960 everybody would see these horrible scars everywhere which is not fun nobody wants i mean even if you

00:23:38.720 look good you don't want to have a visible telltale sign anywhere you don't you don't want your face

00:23:43.340 to look normal but you also don't want to have you know visible scars that tell everybody where

00:23:47.360 you've been and what you've done so what's the difference between that and now like how come

00:23:53.060 there are so many older celebrities that are in their 60s that look absolutely fantastic and they

00:23:58.240 don't look like they have any scars or people can't tell otherwise they'd be you know all over

00:24:02.440 the magazines because they've had good surgery you know there are there are lots of great surgeons

00:24:07.540 out there when somebody's at like an award show and everybody's like holy crap what happened to

00:24:12.360 that person knows they had you know not a great procedure and they probably had a technique and

00:24:18.800 you know an approach that was you know used decades ago but that still happens a lot you

00:24:24.520 know there's a good and high percentage of patients who go to doctors who have those techniques and

00:24:30.060 then there are more evolved techniques and unfortunately probably a smaller percentage

00:24:34.420 of surgeons are educated and capable with those techniques but those are the people that you see

00:24:39.880 who are six years old and a celebrity and you're like, she looks great. Like you don't say, Oh my

00:24:43.960 God, she looks X age. You just like, look at her and you can't even perceive her age because she

00:24:47.800 just looks fantastic. That's the beauty of the plastic surgery. I've always wondered if there

00:24:54.100 was any correlation between looking younger and, and age length, age span. I don't know if,

00:25:00.520 if, or lifespan, I don't know if they've done any studies on that, but I've talked to people

00:25:04.720 who've had procedures done, who've looked, who look now 15 years younger and they say they feel

00:25:10.100 younger too. Yeah, I definitely think that there's health benefits, but I think it's because

00:25:16.840 when people look better and they're more prideful of their appearance, they tend to lead healthier

00:25:23.280 lifestyles. So people who have a better, more youthful looking face will often exercise more.

00:25:29.440 they'll eat more you know more carefully because they want this to match this so i think that it

00:25:36.760 sets in motion habits that make people live a longer and potentially healthier life for sure

00:25:42.980 so that's where i think the link is i don't think it's generated in the brain i think it's generated

00:25:48.560 by habit that's just reinforces better habits and i've seen it over and over again i do a

00:25:54.100 procedure on a patient and then i see them six months later they've lost 25 pounds they look

00:25:57.980 fantastic because they're like, well, this looks great. Like before, you know, my body wasn't my

00:26:04.420 concern because my face really didn't look great. Now this looks fantastic. And now my body becomes

00:26:08.840 my concern, you know, because I want all to look great together. So that's where I think that comes

00:26:14.360 in. Okay. That's very interesting. And then how do you feel about the ethics of, of how popular

00:26:22.760 it's become to surgically enhance yourself and like i guess the costs associated with that and

00:26:28.960 whether or not certain people can't afford them richer people can't afford it and i don't know

00:26:34.220 the morality yeah i mean you know it's a very hard thing to you know i mean i guess it really

00:26:44.860 comes down to your to your politics in a lot of ways right i mean if you're more of an egalitarian

00:26:50.040 you get tweaked by it because you feel like it's unfair that people who have more money have access

00:26:55.080 to this because the truth is unfortunately is that because we judge a book by it by its cover

00:27:00.520 when people are more youthful more attractive their lives tend to be better and i know that

00:27:04.560 firsthand they get more job opportunities they have better relationships they have more confidence

00:27:09.640 it builds a positive spin on their life and it's it's effective for sure and it's not the reason

00:27:17.100 why people do surgery, but lots of things evolve in a very positive way when somebody suddenly

00:27:22.680 looks 20 years younger. Like if you're 60 years old, people tend to think of you differently,

00:27:27.920 how effective you are in your workplace, how friendly you are. People, as they get older,

00:27:33.360 they look sad, they look angry, they look less approachable. People avoid you. You go out in

00:27:38.600 public and you look 40, all of a sudden the whole world seems to open up. So it's not fair that

00:27:46.100 people who have more means get that so i think that if you're more of that camp then i think

00:27:52.180 you haven't you have you feel like there's an ethical uh dilemma there i don't really think

00:27:57.700 that's the case you know for me um there are ways for people to have surgery and you don't have to

00:28:03.380 have a ton of money you know there are lots of options for surgeons surgeons charge different

00:28:08.020 prices there's ways to finance surgery just like you would a car you know buy a hyundai

00:28:15.940 and i would tell you that you can probably get a pretty good surgeon if you finance the cost

00:28:21.540 of a hyundai and i would arguably say that you know the the value to the person in terms of

00:28:27.460 quality of life is probably more valuable than a hyundai depending on where you are and what

00:28:32.980 you're trying to achieve so there's ways of getting it done you don't have to be ultra rich

00:28:38.580 in order to be have to be able to have plastic surgery and you know the the question is is that

00:28:43.780 why do you know why does it matter so much and should we value appearance as much as we do

00:28:50.340 and that's the hard part you know because for me i have four children you know and the thing is is

00:28:57.300 that as a parent it's not like i think everybody should have a type of face i don't think everybody

00:29:02.100 should have perfect balance symmetry and beauty there's a lot of beauty in not having all those

00:29:07.880 things um but you know it's like trying to tame the beast at this point because of our our our

00:29:17.600 our visualization of beautiful people and youthful people and how it's you know pushed on us it

00:29:25.700 really is and we're sponsored eggs that pop up all the time you know everywhere we go you know

00:29:30.740 we're aspiring to look a certain way there's a celebrity we are in a lot of this all this

00:29:34.860 constant visual imagery and that it's not great you know because it makes us feel inadequate it

00:29:40.480 makes us feel less than you know and unfortunately it creates a certain dysphoria that drives people

00:29:47.360 to have plastic surgery but unfortunately i don't think it's plastic surgery that's driving it

00:29:52.700 it's not surgeons like me who are creating the need or want it to happen but we're serving

00:29:58.840 you know we're giving we're providing a service to help people manage the modern era and i don't

00:30:06.960 like it even though it's what i do for a living right so it's what i do and i love doing it and

00:30:12.140 i make people happy doing it i think it's an unfortunate side effect of the society we live

00:30:18.380 in and one of the big things for me when it comes to that is i feel like social media companies need

00:30:25.440 to be held responsible for their behavior and that's something that i know right now

00:30:30.420 is very much important because the truth is is that if social media companies are held

00:30:37.260 accountable for their behavior you can't sue a social media company so if they do horrible

00:30:44.780 about ourselves there's no recourse but what they do is they manipulate content they drive it in

00:30:51.500 front of us. They make people feel horrible. There's tons of studies that show that the number

00:30:57.100 of younger people who are adolescents and young adults who feel inadequate, who have poor self

00:31:02.300 image and body image because of social media, it is a problem. And the thing is, is that they

00:31:07.840 curate content and they know how to drive it to you to stay, keep you linked onto their platform.

00:31:16.280 And they manipulate the hell out of everybody. And it actually creates the desire for these

00:31:21.240 things more than it would exist if we didn't have these things around. So for me, the real ethical

00:31:26.260 transgression is not in wanting to do plastic surgery or executing it. I feel like the platforms

00:31:32.680 and the way we get information today is so manipulated that it's targeting us in order to

00:31:38.960 make us feel like we need to be other than who we are. And that's what frustrates me. Because as a

00:31:44.540 father, I don't want my children to feel like they're not adequate, that their body type isn't

00:31:49.540 good enough, that their face isn't beautiful enough, because there's beauty in all shapes

00:31:54.180 and sizes, but it makes us feel that way.

00:31:57.540 So for me, that's the big dilemma.

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00:33:00.160 remember to hit subscribe I saw I don't remember where it was it might have been a country that

00:33:05.980 said they were going to make editing your photos illegal right I can't remember where that's

00:33:11.220 happening, but, um, I've seen, I've seen the impact of social media on my cousins. I have a

00:33:15.900 couple of teenage girl cousins and it's rough because every single person that they follow

00:33:22.680 edits their photos in ways that humans can't really look and they feel ugly. Yeah. Yeah. But,

00:33:29.100 but you know, what's so funny, these people have plastic surgery, so they've had plastic surgery

00:33:33.800 and then they're editing their photos on top of plastic surgery. So it, it, it absolutely is the

00:33:39.500 case because you feel like, well, what's wrong with me? All these people look flawless. Shouldn't

00:33:45.160 I look that way? Because obviously there's a certain, you know, worship that we have for our,

00:33:50.880 you know, for, you know, the people we look up to, you know, it's, you know, it's in all fields and

00:33:56.520 it's in all ages, you know, maybe a younger person looks up to, excuse me, a, you know,

00:34:02.740 a famous person, you know, I look up to my, you know, my heroes in my, in my professional world,

00:34:08.540 you know the people that are the giants and the people that i learned from you know who made a

00:34:13.500 lot of advances in my field so we all look up to people but the generation definitely looks up to

00:34:18.380 people who are more beautiful and more you know archetypal or you know or are the best in terms

00:34:24.620 of their appearance and it's really unfortunate but everybody seems to manipulate their their

00:34:30.860 images and it's so funny because you look at these magazines sometimes and they always have

00:34:35.420 like little arrows showing where you can see like the edges of a photo looking all like you know

00:34:41.820 janky and like good you know the person sitting there and their waist looks this thin but then

00:34:46.540 you see like the bricks like having distorted pattern around them because they just crushed

00:34:50.220 the pixels so it's like sometimes it's really goofy and obvious but again you know getting

00:34:57.180 bombarded with that imagery over and over again really wears away your brain and makes you feel

00:35:01.740 inadequate. Yes, a bit of a pickle. It's definitely a bit of a pickle.

00:35:09.320 Yeah, but it's a pickle, but I think it's a pickle that can be solved,

00:35:13.140 you know, because once these companies are held accountable for their behavior,

00:35:16.980 they will change their behavior. Because if you can imagine the financial downside of a class

00:35:22.420 action lawsuit of tens of thousands of families who had children who wound up with mental illness

00:35:27.220 or suicide it would be in the number of trillions of dollars but the thing is is that right now

00:35:32.820 there is no repercussions they can do whatever they want whenever they want and there's nothing

00:35:38.420 you can say about it so once that happens i think that they'll be more responsible with what they do

00:35:44.580 and they can even enact policies where can you know and come on we have such technology

00:35:49.540 they should have the ability to use technology to make sure that those kind of images are not

00:35:53.220 allowed to be posted like that's a possibility why should that be allowed you know if we know

00:36:00.480 it's causing significant pervasive public mental health problems which it does why don't we hold

00:36:07.360 people accountable to make a difference we should that's a very good idea that's a that's a very good

00:36:16.400 idea i don't know why that wouldn't have been i guess everything is so new social media is so new

00:36:21.580 It hasn't been around long enough for people to...

00:36:25.440 Yeah, but I think that the reason why is at the end of the day is that all of these companies, all they really want, they're not concerned with ethics.

00:36:34.180 They want more eyes, more volume, more clicks, and more ability to then, because of the volume of traffic, be able to sell advertising.

00:36:43.300 It is a business.

00:36:44.740 So if a altered image gets more attention than an unaltered image, they prefer the altered image.

00:36:51.580 right? Because if it's going to get more views and clicks, then that means more revenue. And

00:36:57.500 that's really what they are at the end of the day. They're for-profit companies, they're publicly

00:37:00.700 traded, and they're motivated by profit like all corporations are. But when it has pervasive

00:37:06.120 mental health complications for us as a society, I think that we need to take a step back and hold

00:37:13.180 people accountable for their behavior. And this is like getting way off target from what plastic

00:37:18.080 surgery is. But I, you know, because of what I do for a living, I see how devastating it can be

00:37:25.140 over the long term to people, young and old. Do you have people come in that show you pictures

00:37:31.560 of clearly altered faces and say, I want this? Absolutely. So especially younger patients,

00:37:38.700 they come in with their iPhone and they have like a file of screenshots of people whose

00:37:45.340 appearance they covet i like this nose i like my lips this way i want this like this and this like

00:37:50.060 that and obviously you can't transplant those things on patients so you need to be educated

00:37:54.940 and you have to go over with them what's possible what the limitations are because not every nose

00:38:00.120 and every face can just be made into something you know you can get parts of things it has to

00:38:04.640 do with what you start with um it's not like you can just plug things on it's not plug and chug

00:38:09.760 it doesn't work that way but it is very very common for people to show up with that kind of

00:38:14.440 that kind of information to a consultation do you have advice for people who are potentially

00:38:22.120 interested in this on how to avoid bad surgeons yeah i mean i think that you know

00:38:30.040 you know where we live we live in a modern era and people have access to information

00:38:36.300 so it's very i think it's pretty easy i mean people do deep dives on everything right people

00:38:41.820 going to buy a vacuum cleaner when they go online and they read about the vacuum cleaner they look

00:38:45.900 and read about people's online reviews of what their experience is like with it you know you

00:38:50.540 can get a lot of information out there so i think that's one of the first places to start

00:38:56.300 is by doing that kind of deep dive and research into people you know people have different

00:39:00.780 expertise if you want a rhinoplasty and you know you go to a doctor you see that mostly what he

00:39:04.620 does is breast augmentation it's probably not a good idea but you know this is the kind of

00:39:08.620 information that you can get by just spending some time and then after you do that um you should

00:39:16.380 you know see a number of doctors and i always say this you should go with your gut because you know

00:39:22.520 sometimes you can be intimidated we're in a situation where somebody's supposed to be you

00:39:26.120 know a very you know well-known or professional person um and it can be difficult because you're

00:39:31.740 like well this person's supposed to be so great i really just have them do it but you really need

00:39:35.440 to listen to your internal compass because you know beyond you know doing your deep dive not

00:39:41.800 every you know doctor is going to be the right fit for you and obviously the doctor just doesn't

00:39:47.120 have to be a good technician but they need to be a good person because they need to see you through

00:39:50.300 the recovery phase of your surgery and be able to address concerns as they as they arise and if

00:39:55.900 somebody seems to be short arrogant you know doesn't want to answer your questions or for

00:40:00.200 just some reason you guys don't get along this is like a marriage you know you know you're you're

00:40:05.860 you're this is like oh this is almost like speed dating like you know you get a sense of your gut

00:40:09.700 right away like this isn't going to work it's not going to be any better after a surgical treatment

00:40:13.960 so i think it's important to listen to your instincts as well um but you know obviously

00:40:20.160 referrals from other doctors referrals from people who are happy patients all these things

00:40:23.920 are nice but it's not always easy to find those things so you have to be your own detective i

00:40:28.540 I think, in a lot of ways. Why did you get into this? So the reason why I decided to become a

00:40:35.660 plastic surgeon was it happened to me in grade school. So when I was in grade school, there was

00:40:41.980 a girl in my class who had a cleft lip and palate deformity, and she was on my bus room, 1.00

00:40:47.320 and kids would torture her. It was unfortunate, but especially back then, because, you know,

00:40:52.040 now we're very focused on anti-bullying and like, you can't get away with the behavior that used to

00:40:56.400 happened when i was a kid but people would throw things at her they would you know alter you know 0.91

00:41:02.400 nobody would go near her they would you know it was because she had a facial disfigurement 0.99

00:41:06.780 unfortunately and i was her friend i used to sit on the bus with her and the thing is that she had

00:41:12.880 surgery during the time that i knew her and as her appearance started to morph and become more

00:41:17.860 normalized people started to respond to her differently and i thought that was a very powerful

00:41:23.860 that's the reason why i want to do a plastic surgery wow that okay so that um because i think

00:41:33.680 of who my dad is i've done a lot of reading about different personality types and what kind of

00:41:38.200 people become surgeons or ceos and generally speaking from what i've read it's very disagreeable

00:41:45.220 people who are low in compassion who become surgeons and really go up to the higher levels

00:41:50.300 and businesses universal there's a higher percentage it's not that that's the majority

00:41:55.320 of us but like the thing is is like for example you know the rate of sociopathy you know people

00:42:00.940 who are sociopaths who are people who are stockbrokers you know physicians politicians

00:42:06.500 certain specifically is much higher than the average person out there but it doesn't mean

00:42:12.020 it's the majority of people who go into that profession you know what i mean so it's a little

00:42:16.340 bit skewed, but it's definitely, you know, hundreds of percentages more than the average

00:42:24.380 person who has a job that's outside of that field. You know what I mean? But there are a lot of

00:42:29.700 surgeons who are very compassionate. But the thing is, is that there's a lot of physicians who

00:42:33.680 meet that more aggressive personality type, if you will, as surgeons, you know, physicians in

00:42:39.560 general, not necessarily, but people who are drawn to these kinds of fields and plastic surgery,

00:42:44.760 orthopedic surgery things like that tend to be more like that interesting so do you still do

00:42:50.040 cleft palate do you do cleft palate surgery yeah i do so when i don't do it in my private practice

00:42:55.800 what i do is is i go on two missions a year to south america where i do congenital birth

00:43:02.720 defects or anything so i know how to do it you know it's not my focus in my private practice

00:43:07.140 you know my passion in my private practice is doing these kinds of rejuvenate procedures it's

00:43:11.580 what i publish you know studies on it's what i lecture about it's you know what i do every day

00:43:16.060 um but the thing is is that you know i stay true to that and that one thing that kind of got me

00:43:21.800 here which is to do that surgery you know when i go to these countries in an average week we'll do

00:43:26.840 like about 100 kids and we'll do surgery on them so i go to aquito ecuador every year and then i go

00:43:35.340 to columbia in south america every year and i go to the same locations because they're endemic

00:43:41.420 they have areas where they have high rates of these genetic birth defects. So high rates of

00:43:46.320 cleft lip and palate deformity, other things. And I go there and I do it twice a year for like 10

00:43:51.700 days. We have to go, we have to screen the patients, we do the surgery, do the post-operative

00:43:56.240 care, and then we're out and we go back every year so we can see the kids. And we have doctors

00:44:00.580 back in those countries who will see them through their recovery phase, but they don't have the

00:44:06.660 expertise to do the surgery, unfortunately. And as a result, we keep going back there to do the

00:44:11.260 work that is so amazing like i've seen some of your before and afters for cleft palate surgery

00:44:18.840 and that like you said would completely change somebody's life completely well it does because

00:44:25.960 like literally within an hour procedure it's really you know very um it's it's like mind

00:44:33.120 i mean when you do the procedure and you hand that child back to their parent

00:44:36.580 looking normal again it's pretty crazy oh wow yes it's pretty wild wow okay that's fantastic

00:44:46.720 i'm glad to hear that um okay i think another let me ask you another question here so you

00:44:52.440 talked about lasers a bed and you said lasers to help bruising so what kind of you've actually

00:44:57.680 seen evidence of some of this is it low level light therapy no it's something called a pulse

00:45:02.680 multi-laser you can't really use it yourself it's a very expensive piece of equipment it's called a

00:45:07.640 b-beam the one that i use and it uses um this particular wavelength of light it gets absorbed

00:45:13.860 into purples and then it actually breaks up the body can reabsorb it so you know it's not something

00:45:19.540 you can do at home like a light therapy or an led therapy or something like that unfortunately

00:45:23.920 it needs to be executed by a physician who has this kind of equipment and most doctors

00:45:29.120 don't have it because it's you know say a couple hundred thousand dollars for the machine

00:45:32.780 so most people like oh the bruising will go you know for me my patients they really need to be

00:45:37.860 able to get back to things quicker so we have a bb when we treat our patients with it you know

00:45:42.320 post-operatively to get rid of it yeah does that does that stop any of the healing that happens

00:45:47.540 with bruising yeah the bruising doesn't create healing it actually makes it worse because when

00:45:53.040 you have blood that sits in the tissues which is what bruising is it takes more time for your body

00:45:57.640 to wear away at it. So it slows down the healing process. So being able to break it up with this

00:46:02.220 technology actually makes the healing faster. Wow. That is so cool. Okay. That's fun. And

00:46:09.400 how about these, do you know anything about the lasers people can use at home? Like these low

00:46:13.880 level light therapy lasers? Have you seen anything effective or those red lights? Is any of that real?

00:46:20.260 Yeah. It's for me, it seems very anecdotal. So what I mean is, is that I have lots of patients

00:46:25.660 who do it and they, they, they feel like they have great results. You know, there aren't a lot

00:46:31.220 of studies that show that it's really effective in a way that we would look at it scientifically

00:46:35.300 as doctors. Um, but you know, the problem with these things is, is that there's something called

00:46:41.720 the placebo effect, which most people know. And the placebo effect means I give you a sugar pill

00:46:46.620 and it'll make people's like, for example, if they have high blood pressure, 30% of the time,

00:46:52.420 it'll make their blood pressure drop. Now it's just a sugar pill, but the idea in our minds,

00:46:57.020 our minds are so powerful that it can really make physical changes in our body by the mere

00:47:02.260 suggestion that it is going to be helpful to us. So if I took these light therapies and I gave it

00:47:08.040 to a hundred people and I convinced them that it was going to make them look better, 30% of the

00:47:13.400 people would actually look better. And it would have to do with their body's reaction through

00:47:18.480 through their mind and change their physicality. So when we look at the effectiveness of a

00:47:24.040 treatment, it needs to be greater than the placebo effect. But most things are just the

00:47:29.940 placebo effect. That's why we take vitamins and we feel better. Does that mean that it's better

00:47:34.160 than taking a sugar pill? No. But the thing is, is that 30% of the time we start a new regimen

00:47:38.320 and it sets a neurologic biophysical thing that happens within humans that actually makes things

00:47:46.380 better so that's why i think that we get drawn to different remedies whether it's a drinking a tea

00:47:52.860 using a light therapy taking vitamins you know even doing you know you know certain types of

00:47:59.660 rituals they can make us look and feel better and it's real so it works but whether you should

00:48:06.300 invest a lot of money in it or not is the question that effective you know and i know that that data

00:48:12.960 it just isn't there for those treatments but it's okay it's not bad to try them not going to hurt

00:48:18.120 you and if you seem to benefit with them i say continue on with them so what does a day in your

00:48:24.780 life look like like how often are you in the operating room how many hours do you work when

00:48:29.780 you wake up i wake up at about 4 30 in the morning i'm in the office early i usually start my first

00:48:36.540 surgery about six o'clock in the morning i try to do two surgeries a day like in bigger surgeries

00:48:41.820 you know um i do one in the morning because you know i take my time i take a break

00:48:46.700 and then i do my second procedure in the afternoon and then i usually finish with

00:48:51.840 surgery sometime in the you know the the early evening and then i see patients and do consults

00:48:58.980 so i have to see my patients who i've done surgery on different phases of healing but i usually

00:49:04.140 finish with work probably somewhere around 8 30 9 o'clock at night i try to work only on average

00:49:09.940 depends on the week but at this point in my career I try to work either three or four days a week

00:49:14.600 so I don't work five day weeks I work and when I'm here I'm doing that so I'm a surgeon that's

00:49:20.600 what I do and every day that I work I operate that's what I love to do but I don't do it I

00:49:25.480 don't operate five days a week I don't operate six days a week I do three days a week and then

00:49:29.920 the next week I'll do four and then I'll go back to three and the reason why I do that is because

00:49:34.660 in order to be able to stay focused, creative, and desirous of my profession, I don't want to

00:49:40.140 be exhausted by it. And I love what I do, but I also love not doing what I do. And taking time

00:49:45.500 and space to be able to focus on other aspects of who I am as a person actually makes me a better

00:49:51.360 surgeon. So the thing is, is that I like to do lots of creative things. I like to draw, I like to paint,

00:49:57.160 I like to sculpt. You know, I like to be outdoors. I like to do lots of stuff. But doing those things

00:50:02.960 give me the space and the ability to think about who i am and what i do and how i do it

00:50:08.160 but being too entrenched and too focused and working too much it actually starts to make you

00:50:15.800 sort of lose you know you know the the creative process that's required to be good at what i do

00:50:25.480 for a living because you should always be evolving and changing but if you're just

00:50:29.880 hammering away all the time how can you have the time and the space to reflect just isn't there

00:50:36.760 and then everything you do turns into an obligation right instead of something you

00:50:40.920 want to do yeah it becomes an obligation it becomes a burden you know you can work a 15

00:50:47.240 hour day but if you love it and you have a time for it but you have a time away from it 15 hours

00:50:53.720 is nothing but if you're doing 15 hours a day six or seven days a week it becomes a problem

00:50:59.880 So, yeah. How do you think, uh, how do you think you're able to look at a face and

00:51:07.000 see what could potentially enhance it or make it look younger?

00:51:11.540 Yeah. I mean, that just comes with a massive amount of experience and having made a lot of

00:51:16.800 bad judgment calls. You know, the reality is, is that when it comes to these kinds of pursuits

00:51:22.480 and a lot of professional endeavors is an old saying that I love to say over and over again,

00:51:27.740 because I teach a lot of surrogates and I have fellows that they teach is that, you know, judgment

00:51:33.060 comes from experience and experience comes from poor judgment. It takes a lot of time, a lot of

00:51:41.200 reflection and a lot of mistakes to become excellent at what you do. It doesn't just happen.

00:51:47.160 It's not a matter of learning. It's a matter of the process. And as you go on, you get better and

00:51:53.120 better at what you do. It's just like looking at artists over the arc of their career.

00:51:57.740 Because I do think this is a very artistic endeavor.

00:52:00.700 Work changes so significantly throughout the course of their lives and their career.

00:52:06.060 There's like the early work, the mid work, and then the stuff that usually is more defining, which is their way to work.

00:52:12.600 And it's an evolution.

00:52:14.420 It's a process.

00:52:16.320 So it's not like I can really teach somebody to have my vision for what I see when I'm going to operate on somebody.

00:52:23.600 Of course, I try to.

00:52:24.760 And that's why I write textbooks and I publish papers.

00:52:26.680 I want people to be able to have techniques and tools in their belt to help them make them better.

00:52:32.280 But really what we're doing is we're creating an artistic endeavor when we do surgery on patients.

00:52:38.020 And it's something that comes from my brain, my eyes, and my reflective experience over thousands and thousands of patients.

00:52:44.640 So as a result, it's very hard for me to explain to you because it's not like I look at a face and I have a formula.

00:52:51.320 Like I measure, I do that, and it's not formulaic.

00:52:54.300 it's that i see things and as i see them i can see what's off and what needs to be created

00:53:01.320 and what needs to change to create a more natural more beautiful appearance and of course i discuss

00:53:06.220 that with the pages i like they're my canvas so i just do whatever the hell i want but the thing

00:53:11.020 is is that you know my hit rate is very very high because of the fact that i've had those

00:53:16.940 experiences i've learned from them fascinating okay well

00:53:23.480 if people want to learn more about this is there a website they can go to or a book they should

00:53:30.280 read where can people find you online yeah so a couple things so i have a book that i published

00:53:35.540 it's called the park avenue face you can get it in bookstores or on amazon and it goes through a

00:53:40.160 lot of this stuff it talks about techniques and procedures what works and what doesn't what things

00:53:44.720 to avoid that talked about fillers all the stuff is in my book it also talks about facial proportion

00:53:49.320 beauty and all you know it's it's a little bit like a crash course but it's very much

00:53:54.820 made for the lay public and i use you know the language that i use is really so that people can

00:54:00.600 engage it as a lay person who's not a doctor because i publish for the physicians but then

00:54:06.540 i publish for the lay public to educate them so they can avoid making the pitfalls and the

00:54:11.400 missteps, getting treatments or surgeries that are going to create problems for them,

00:54:15.640 you know, with that in mind, serving the patient. So that's a great thing. It's called the Park Avenue

00:54:19.860 Face. You can get it on Amazon. You don't have to go to a bookstore. Otherwise, you can find me

00:54:24.920 on social media. I have a big Instagram following at Dr. Giacono. It's D-R-J-A-C-O-N-O. And then my

00:54:30.780 website is really long. It's NewYorkFacialPlasticSurgery.com, all spelled out, no abbreviations,

00:54:38.580 no periods new yorkfacialplasticsurgery.com and i i i got that url you know 25 years ago when i was

00:54:47.800 a resident so i never changed it and i never will i'm like one of those people like once i make a

00:54:53.780 decision i stick with it when it comes to both kinds of things that's not a bad url for what

00:55:00.160 you do yeah it's not but it's too long it has got to be something that's more brief catchy and

00:55:05.580 memorable but like thinking about typing that in n-e-w-y-o-r-k-f-a-c-i-o-p-l-a-s-t-l-s-u-r-g-o-r-y.com

00:55:13.740 it's a little bit much okay well uh thank you doctor very much for coming on my show

00:55:21.540 that was enlightening it's a very interesting topic yeah well it was great talking to you

00:55:26.280 hopefully it didn't overwhelm you with all my thoughts it's a little bit much sometimes a

00:55:30.880 There's a little bit too much going on period.

00:55:33.880 No, no, no.

00:55:34.880 That's good.

The Mikhaila Peterson Podcast - March 17, 2022

142. Plastic Surgeon Reveals The Celebrity Secrets To Staying Young

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