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<v Speaker 1>Welcome to another episode of Plastic Surgery and Centered. I'm

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<v Speaker 1>your host, as always, doctor Rider Raban, and I am

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<v Speaker 1>excited about today's episode because we're going to tackle and

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<v Speaker 1>talk about kind of a very important subject matter, which

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<v Speaker 1>is body dysmorphia and the distinction between it and the

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<v Speaker 1>regular normal desire to improve something. Because it's a sliding spectrum,

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<v Speaker 1>and the word is thrown around very loosely. It's a

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<v Speaker 1>real entity, a very concerning entity, an entity on the rise,

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<v Speaker 1>but we have to define it and make sure that

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<v Speaker 1>we don't mislabel people as having body dysmorphia when in

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<v Speaker 1>reality they don't, and then identifying those that have it

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<v Speaker 1>to make sure that we don't worsen their condition any rate.

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<v Speaker 1>They always say that plastic surgeons, in order to be incredibly,

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<v Speaker 1>incredibly successful and good, they need to be essentially psychologist,

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<v Speaker 1>which is actually very true. I have no formal training

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<v Speaker 1>in psychology, but I actually consider myself very very knowledgeable

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<v Speaker 1>in the under the underbelly of the human psychologic condition.

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<v Speaker 1>Because remember, at the end of the day, it is

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<v Speaker 1>insecurities that drive much of what we do. And while

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<v Speaker 1>that's absolutely okay, absolutely normal and absolutely treatable, there are instances,

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<v Speaker 1>as in the instance of body dysmorphia, where we cannot

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<v Speaker 1>correct them, we worsen their conditions, and we are actually

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<v Speaker 1>adding fuel to the fire. So let's dive right in

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<v Speaker 1>and let's talk about what's going on. Well, body dysmorphia

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<v Speaker 1>has been around forever. It's basically an unrealistic it's an

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<v Speaker 1>unrealistic preoccupation with a flaw. It has certain elements about

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<v Speaker 1>it that make it very distinct. Number one, the flaw

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<v Speaker 1>is usually very, very minor, almost I've had instances where

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<v Speaker 1>you can't even see it or it doesn't even exist.

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<v Speaker 1>It's compulsive, so in other words, it's repetitive. It's repetitive.

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<v Speaker 1>It's repetitive. It's part of an OCD component of psychologic issues.

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<v Speaker 1>There's constant comparison of well, look at this as compared

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<v Speaker 1>to that look at me. I should be that there's

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<v Speaker 1>there's my friend doesn't have it, look at so and

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<v Speaker 1>so angela jo only doesn't have it, et cetera. And lastly,

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<v Speaker 1>it's it's a psychologic issue. It's not a physical issue.

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<v Speaker 1>There is no physical issue there. It's a process in

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<v Speaker 1>the way we perceive our physicality. So it for sure

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<v Speaker 1>is an issue. It's always been around, but it's a

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<v Speaker 1>little bit on the rise. Why is it a little

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<v Speaker 1>bit on the rise, Well because of social media. And

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<v Speaker 1>what does social media have to do with body dysmorphia. Well,

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<v Speaker 1>what it does is now we have young people whose

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<v Speaker 1>minds and their and their psychology and their their sense

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<v Speaker 1>of self is incredibly malleable, vulnerable and naive, seeing hundreds,

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<v Speaker 1>if not thousands of images a day of people who

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<v Speaker 1>not look good, because that in and of itself causes insecurity,

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<v Speaker 1>but of people who don't even look like themselves. We

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<v Speaker 1>keep going back to the same issue over and over again,

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<v Speaker 1>which is this idea of comparing yourself to a filter,

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<v Speaker 1>a morph and ai perfect jaw, perfect skin, perfect pecs,

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<v Speaker 1>perfect nose, perfect brows, and now the idea of influencerism.

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<v Speaker 1>This never really was present during the developmental phases of

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<v Speaker 1>young adults in the past. So while body dysmorphia OCD,

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<v Speaker 1>all these things existed. Is definitely on the rise, and

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<v Speaker 1>now young adults can go and get plastic surgery, whereas

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<v Speaker 1>many years in the past that was never an issue.

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<v Speaker 1>So if you had body dysmorphia, you'd have to wait too,

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<v Speaker 1>your grown adult to really do anything about it. Now

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<v Speaker 1>you have sixteen year olds getting lip lifts and eighteen

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<v Speaker 1>year olds getting rhinoplasts and liposuction and all kinds of

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<v Speaker 1>things in a very very very very unscrupulous, dishonest landscape.

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<v Speaker 1>And as much as I love plastic surgery and I

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<v Speaker 1>love plastic surgeons and I love esthetic surgery, we are

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<v Speaker 1>the wild wild West. And there is absolutely, unarguably tons

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<v Speaker 1>of providers who will one hundred percent take advantage of

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<v Speaker 1>dysmorphic people and deliver the so called procedure that's being

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<v Speaker 1>requested and then sort of kick the can forward. Okay,

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<v Speaker 1>so let's go over the red flags. These are the

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<v Speaker 1>red flags. So there's two reasons why as a surgeon,

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<v Speaker 1>I want to identify body dysmorphia. Body dysmorphia. The reason

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<v Speaker 1>I want to identify this for two reasons. Number one, Selfishly,

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<v Speaker 1>I want to not get stuck in this web because

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<v Speaker 1>at the end of the day, because this is a

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<v Speaker 1>psychologic condition or a perception condition, it's an unwinnable puzzle.

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<v Speaker 1>In other words, there's nothing you can do surgically structurally

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<v Speaker 1>that will alleviate or eliminate the problem and make this

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<v Speaker 1>patient happy. That's the idea. Our goal is to make

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<v Speaker 1>patients happy, and we do so by doing something surgical, structural,

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<v Speaker 1>making something better, and therefore patients are happy. When a

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<v Speaker 1>patient is unh I call it insatiable, unable to be

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<v Speaker 1>made happy. It's a whin. It's an unwinnable or un

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<v Speaker 1>unwinnable game. So what are the red flags? Number one

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<v Speaker 1>is when a patient comes to me. And by the way,

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<v Speaker 1>I can tell you literally every week, every week I

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<v Speaker 1>can count the two to four patients that I see

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<v Speaker 1>that fall in this category. And back up for a second.

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<v Speaker 1>The second reason, of course, that we want to do this.

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<v Speaker 1>The second reason we want to do this, of course,

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<v Speaker 1>the selfish reason was I don't want to get stuck

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<v Speaker 1>with this patient and then be they're miserable and they

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<v Speaker 1>make us miserable. The second is we don't want to

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<v Speaker 1>worsen their condition, because every time someone operates, or every

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<v Speaker 1>time someone gives into this person's compulsion, they're worsening their condition.

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<v Speaker 1>And because surgery is irreversible, they can push them further

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<v Speaker 1>and further into a dark space and when reality, what

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<v Speaker 1>they need is psychiatric care, medications, and therapy. So every

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<v Speaker 1>week I see patients and every week. I know exactly,

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<v Speaker 1>like right now in my mind as I was thinking

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<v Speaker 1>about this episode, I can remember the two patients that

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<v Speaker 1>I saw last week that fall into this spectrum. Remember

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<v Speaker 1>it's a spectrum, and it's like a very it's a

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<v Speaker 1>very difficult spectrum. Obviously they sort of classic beaded. The

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<v Speaker 1>body dysmorphic disorder patients are easy, right, They're so easy

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<v Speaker 1>to identify. And obviously the healthy patient who's normal is

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<v Speaker 1>easy to identify. That's not the nuance. The nuances what

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<v Speaker 1>about the person who's in the middle, who sounds like

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<v Speaker 1>they're gonna be challenging but at the same time probably

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<v Speaker 1>will be okay. If I didn't operate on every person

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<v Speaker 1>that I was a little worried with, I probably do

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<v Speaker 1>a third of my cases. It's just the truth. So

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<v Speaker 1>what I do with every consult in addition to analyzing

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<v Speaker 1>their anatomy looking at who they are, is I'm constantly

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<v Speaker 1>taking data points of their psychologic readiness to figure out

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<v Speaker 1>if I want to get involved in this because I'm

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<v Speaker 1>like selling them a purse, I'm like cutting their hair,

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<v Speaker 1>I'm like doing their makeup, I'm like taking care of

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<v Speaker 1>their taxes. Once I operate on them, I marry them.

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<v Speaker 1>I am forever bound to that person. It is literally

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<v Speaker 1>like we had children together and I cannot escape them.

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<v Speaker 1>You better damn well bet that I'm going to do

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<v Speaker 1>everything in my power to try to flush out. Are

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<v Speaker 1>you just kind of a nitpicky person or are you

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<v Speaker 1>really a BDD person on the spectrum? So what are

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<v Speaker 1>the things that I look for? First thing I look

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<v Speaker 1>for is that the person has seen multiple consults. So

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<v Speaker 1>I always ask, so is this your first consult? And

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<v Speaker 1>when the patient's like, no, this is my ninth consult,

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<v Speaker 1>ninth consult, ninth consult for this wrinkle that's right next

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<v Speaker 1>to your nose. So the fact that they've seen nine

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<v Speaker 1>people is a red flag. Yes, seeing zero, seeing one

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<v Speaker 1>doctor is not ideal. A reasonable number of doctors two, three,

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<v Speaker 1>maybe four because your condition is very complicated. But once

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<v Speaker 1>you've seen nine doctors, there's a problem. There's a real,

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<v Speaker 1>real problem. That's a red flag. The second your issue,

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<v Speaker 1>the thing you're here for is so minor, so minute,

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<v Speaker 1>so inconsequential that there's no way on earth anyone would

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<v Speaker 1>be able to deliver it. So I have had patience

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<v Speaker 1>come to me and they're dead serious, They're very very

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<v Speaker 1>like sure of it. And they're like, hey, doc, do

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<v Speaker 1>you see you see how there's a little bit of

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<v Speaker 1>They don't even say the word little bit. You see

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<v Speaker 1>this major irregularity or asymmetry in my lip? You see

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<v Speaker 1>how the other side this and the other And I

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<v Speaker 1>swear to God, I stare and I go no, I

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<v Speaker 1>just don't see it. So right, there is a huge problem,

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<v Speaker 1>like I can't fix something I can't see right, I

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<v Speaker 1>don't see it. I can't fix it. Secondly, when the

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<v Speaker 1>margin of error is so small, I don't want to

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<v Speaker 1>be involved. Right if you people are always like listen,

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<v Speaker 1>I just want my nose made just just just a

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<v Speaker 1>little bit better. I want to have nothing to do

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<v Speaker 1>with that nose. Whereas if you have a horrible nose,

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<v Speaker 1>huge nose, I'll have everything to do with it every day. Well,

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<v Speaker 1>I understand that knows is ten times more difficult than mine. No, no, no, no,

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<v Speaker 1>that person has a million iterations of their nose. That

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<v Speaker 1>it will make them happy. You have like zero point

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<v Speaker 1>oh one percent probability that the thing that we'll do

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<v Speaker 1>is right. What if I overdo it, you'll be unhappy.

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<v Speaker 1>So I don't want to do anything that is so

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<v Speaker 1>minor or I can't tell the fact that they're hyper

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<v Speaker 1>focused on it and constantly keep pointing to it and

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<v Speaker 1>showing you, and is a problem they when they bring

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<v Speaker 1>in tons of photographs. I can tell immediately when I'm

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<v Speaker 1>doing a consult we have virtual consults, or when I

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<v Speaker 1>do in person consults and the patient brings a folder

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<v Speaker 1>with them, not because they're prepared, not because that they're

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<v Speaker 1>doing homework, because they bring a laptop and they start

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<v Speaker 1>showing me images and diagrams and profiles and arrows and

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<v Speaker 1>schematics and let me show you a power point. It's

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<v Speaker 1>not it's a red flag. I am an incredibly thorough person,

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<v Speaker 1>so trust me, I am all for it, and if

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<v Speaker 1>I needed something to get done, I would be prepared.

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<v Speaker 1>But I sure as hell won't bring fourteen diagrams and

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<v Speaker 1>images of like a slight contour of my nose. That's

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<v Speaker 1>a major concern. The words they use really matter, And

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<v Speaker 1>one of the most common red flag words is this

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<v Speaker 1>is ruining my life. What your droopy tip is ruining

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<v Speaker 1>your life? Yeah, doctor Remont, I can't even leave the house. Honestly,

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<v Speaker 1>It's like I'm having a hard time getting a job

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<v Speaker 1>when your esthetic issue is ruining your life. You have

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<v Speaker 1>a psychologic issue. Of course, noses make insecurities, It makes

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<v Speaker 1>you harder to date, Saggy breasts makes you not want

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<v Speaker 1>to maybe take your clothes off. I get all that,

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<v Speaker 1>there's a normal amount of that, But when you are

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<v Speaker 1>telling me that this problem, whatever medical problem you came

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<v Speaker 1>in for, is ruining your life, we know it's a

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<v Speaker 1>huge psychologic issue, not a physical problem. The last thing

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<v Speaker 1>is multiple revisions. Hey, doctor Bond, this is my fourth,

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<v Speaker 1>my sixth revision rhinoplasty. And then I look at the

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<v Speaker 1>nose and it's like I'm here because the last four doctors.

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<v Speaker 1>And then they start bad mouthing to doctors. We're terrible.

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<v Speaker 1>You know they're horrible. And I research you and then

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<v Speaker 1>love bombing you're the best. You're the only one that

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<v Speaker 1>can fix me. I know you're the right person for me.

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<v Speaker 1>I just pray you will take on my case. No, no, no, no,

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<v Speaker 1>I want to have nothing to do with your case

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<v Speaker 1>because there's no way on earth I'm going to be

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<v Speaker 1>able to help you and I'm going to be able

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<v Speaker 1>to get you to your destination. Okay, well, then, so

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<v Speaker 1>if all that is red flags, what are you actually

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<v Speaker 1>looking for? Because everyone's coming with an issue, everyone has

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<v Speaker 1>an insecurity, Everyone something bothers them. Remember it's a spectrum,

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<v Speaker 1>and what we're looking for is somebody that has a

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<v Speaker 1>very very specific concern, right specific concern, very realistic expectation,

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<v Speaker 1>and are emotionally stable. Hey doctor vroon, Hey, how's it going?

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<v Speaker 1>So tell me what's bothering you? Well, you know, I

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<v Speaker 1>got a big bump on my nose and my tip

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<v Speaker 1>is a little droopy and fat. I just kind of

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<v Speaker 1>want to make it a little bit better and cleaner,

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<v Speaker 1>and yeah, I think it'll be good. You do know

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<v Speaker 1>that it won't be perfectly straight. Yeah, yeah, of course.

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<v Speaker 1>If it's better, just a little better than this is

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<v Speaker 1>going to make me much happier. And what does your

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<v Speaker 1>life partner say? They don't think I need it. They

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<v Speaker 1>if they makes me happy, they're happy to do it.

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<v Speaker 1>So that is a patient I'm here for every single day.

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<v Speaker 1>What they're looking for. I can see what they're expecting

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<v Speaker 1>is within reason, and they're not coming here because they're

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<v Speaker 1>emotionally unstable. It's ruining their lives. Their life partner hates them,

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<v Speaker 1>and they're about to get a divorce and I have

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<v Speaker 1>to do this surgery. So those are very very very

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<v Speaker 1>important psychologic distinctions that are important. The biggest concern today

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<v Speaker 1>are the young adults. The reason I'm concerned about the

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<v Speaker 1>young adults is they have now access to things they

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<v Speaker 1>never had access to before, and they are the most

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<v Speaker 1>vulnerable part of our society because their brains are not

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<v Speaker 1>fully developed. And it's not a DIGGD young adult, it's

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<v Speaker 1>just the truth. The frontal lobe and all the development

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<v Speaker 1>and emotional stability and mistakes and all the errors that

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<v Speaker 1>we make. Everything usually happens prior to twenty five. Trust me,

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<v Speaker 1>there's a lot of stupid people after twenty five, but

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<v Speaker 1>a lot of your vulnerability as a sense of self

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<v Speaker 1>occurs earlier. So, as I mentioned, you got all these

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<v Speaker 1>young adults historically just physiologically developmentally, are still vulnerable. Then

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<v Speaker 1>you add some gasoline. That gasoline is all the social

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<v Speaker 1>media images of like hot women, hot men, chiseled men,

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<v Speaker 1>money cars, and then you you you add to that

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<v Speaker 1>to that dys morphia, you add the social media. It

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<v Speaker 1>was something else I was going to add to that,

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<v Speaker 1>and I'm trying to remember what I was just thinking,

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<v Speaker 1>and my brain just had an infar. You have young adults,

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<v Speaker 1>the social media teens, and what was the last thing? Oh,

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<v Speaker 1>I know now, yes, it just took a second. And

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<v Speaker 1>then before so you had this person who's vulnerable, right

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<v Speaker 1>then you add all these images makes them really insecure,

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<v Speaker 1>and then you light the match. What's the match surgery?

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<v Speaker 1>They go do something about it permanently. Before you were

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<v Speaker 1>you had body dysmorphia and you were putting on makeup

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<v Speaker 1>and you were Now you go, you literally go down

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<v Speaker 1>the street to a strip mall and doctor Kavorkian nurse

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<v Speaker 1>Jackie does something to you permanent or near permanent or whatever,

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<v Speaker 1>and you act on that dysmorphia. And the notion that

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<v Speaker 1>anyone gives a shit, or there's gonna be a watchdog

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<v Speaker 1>or some surgeon or someone's gonna have some ethical moral

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<v Speaker 1>grounds is zero. I'm sorry to tell you that. Yes,

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<v Speaker 1>of course there are good doctors and good nurses and

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<v Speaker 1>of course, but there are so many unscrupulous people that

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<v Speaker 1>you walk in, they're barely making ends meet. Some young

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<v Speaker 1>person comes in and says, oh, do you see this

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<v Speaker 1>that the other like, oh, of course, and then they

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<v Speaker 1>literally light the match, and then what happens poof this person,

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<v Speaker 1>this young adult who is already vulnerable and mostly unstable,

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<v Speaker 1>not in the right mind, does something surgical. In no

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<v Speaker 1>universe does that fix their problem, because their problem was

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<v Speaker 1>psychologic and it always makes things worse. Yeah, it makes

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<v Speaker 1>them better for a little while. Oh oh my god,

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<v Speaker 1>I feel better, and then starts the obsessions, press, the perseverations,

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<v Speaker 1>the picking, the OCD, and then whatever they did filler, rhinoplast,

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<v Speaker 1>the pinning, live destruction, blah blah blah just gets worse

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<v Speaker 1>and worse and worse, and then now they're so unhappy,

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<v Speaker 1>and then in many instances it leads to major things

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<v Speaker 1>like drug addiction, depression, suicide, et cetera. So the real

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<v Speaker 1>issue that we have is we have this epidemic going

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<v Speaker 1>on where social media, young adults, and cosmetic surgery all collide.

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<v Speaker 1>And the truth is that it really falls on the gatekeeper, right,

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<v Speaker 1>it falls on the gatekeeper. So who's the gatekeeper? It's us.

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<v Speaker 1>So the vulnerable people are psychologically born vulnerable. The images

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<v Speaker 1>fall on social media. But you know who's gonna who's

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<v Speaker 1>gonna who's gonna patrol the social media. Who's gonna be like, oh,

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<v Speaker 1>you can't put this image on it's filtered. Oh, like

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<v Speaker 1>that's what they should be doing. I think in other

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<v Speaker 1>countries they're starting to do that, like filtered images sho

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<v Speaker 1>gonna be allowed? But whatever, So who's the ultimate gatekeeper?

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<v Speaker 1>So the guy comes to me, He's like, hey, doctor,

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<v Speaker 1>I want to do my nose. Mm no, how about no?

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<v Speaker 1>So that's the gatekeeper. Ultimately, the gatekeeper is the person

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<v Speaker 1>who holds the keys to the kingdom. Right that they think.

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<v Speaker 1>And so the problem is that you can only you know,

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<v Speaker 1>there's only a handful of us that are still ethical

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<v Speaker 1>and willing to help the patient. So I try. So

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<v Speaker 1>what do I do? How do I walk them off

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<v Speaker 1>the ledge? If I feel that the person is reasonable

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<v Speaker 1>and can be talked to, I will actually take the

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<v Speaker 1>full duration of the console, bring the mirror, take some photos,

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<v Speaker 1>draw some pictures, and try to walk them off the ledge.

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<v Speaker 1>Explain to them why I don't see the asymmetry. Explain

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<v Speaker 1>to them that if I try to fix the asymmetry,

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<v Speaker 1>I'll create a new asymmetry. Explain to them that the

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<v Speaker 1>anatomy is such that if I cut here, then the

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<v Speaker 1>blood supply. I'll really do my very best to hope

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<v Speaker 1>that I can unlock some of this dysmorphia with academics, education,

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<v Speaker 1>and real reality. Believe it or not, I have been

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<v Speaker 1>successful many times because I am in a very unique position.

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<v Speaker 1>I am not a therapist, and I am not a

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<v Speaker 1>family member or a loved one. I am a doctor

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<v Speaker 1>who makes money from doing it. So when I am

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<v Speaker 1>telling them, and I'm telling them why they shouldn't do

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<v Speaker 1>it in a weird way, it's really powerful. It just

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<v Speaker 1>takes time, and you know, in a busy schedule, the

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<v Speaker 1>guy comes in or gal comes in immediately within ten minutes,

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<v Speaker 1>you're like, oh, this person's not all here, and it's

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<v Speaker 1>just easier to just be like, I can't help you

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<v Speaker 1>and then move on. But you have a very unique

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<v Speaker 1>window where you'll probably never get it and that person

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<v Speaker 1>will never be sitting in that seat again, So I

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<v Speaker 1>really try to help. I'm not gonna not make them

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<v Speaker 1>body dysmorphic, right, I can't change their underlying psychologic condition

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<v Speaker 1>in a twenty minute consult by the excuting in a

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<v Speaker 1>one hour consult. They need, they need therapy, and they

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<v Speaker 1>need medications. Despite everyone's ridiculous statements, I'm not gonna get

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<v Speaker 1>them in a one hour console. When they come in

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<v Speaker 1>to do a rhinoplasty, to go see a therapist. Hey,

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<v Speaker 1>you know, I don't think your nose needs it. And

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<v Speaker 1>by the way, maybe you might want to see a therapist. Yeah, okay,

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<v Speaker 1>that's gonna go Overwhell. That's never gonna go Overwhell. I'm

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<v Speaker 1>sorry to break it to you. They're not gonna be like, oh, thanks,

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<v Speaker 1>doctor Rebond, thanks for suggesting a psychologist and getting on

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<v Speaker 1>some OCD medications. But what I can do is, in

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<v Speaker 1>regard to that particular battle, that particular issue, I can

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<v Speaker 1>help slowly walk them back. But one thing I can

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<v Speaker 1>do for you're sure is not operate on them. I

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<v Speaker 1>can one hundred percent not make matters worse. So I

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<v Speaker 1>do that, and I say, listen, I'm so sorry. I

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<v Speaker 1>just don't think you can fix this, and I'm not

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<v Speaker 1>the right and I and I suggest you be careful. Now.

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<v Speaker 1>If they're really far gone and they're not going to

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<v Speaker 1>listen to anything I say, then of course I'm not

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<v Speaker 1>gonna sit there and educate them when they're just looking

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<v Speaker 1>at me like I'm crazy. But I certainly again won't

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<v Speaker 1>operate on them. And that's ultimately what I think is

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<v Speaker 1>our industry responsibility. I don't think you can change the

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<v Speaker 1>under genetics of some people who have BDD. I don't

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<v Speaker 1>think that's gonna happen. I don't think it's gonna be

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<v Speaker 1>eons before we get social media to take any responsibility,

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<v Speaker 1>and I don't think that'll ever happen. So at the

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<v Speaker 1>end of the day, the only place that we can

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<v Speaker 1>capture these people is at the gates of the providers.

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<v Speaker 1>Whether or not that's gonna happen to each provider on

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<v Speaker 1>their own, they're gonna have to sort of sit with

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<v Speaker 1>their own self and decide whether what their moral ethical

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<v Speaker 1>compasses and how they want to make a living. But

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<v Speaker 1>for me, it's pretty straightforward and pretty easy. I don't

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<v Speaker 1>want to make matters worse. And again, as I said,

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<v Speaker 1>from a selfish standpoint, I want to avoid these things

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<v Speaker 1>because it only we only get entangled in this very

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<v Speaker 1>very unwinnable, difficult situation. So anyways, that's my sort of

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<v Speaker 1>overall take on body dysmorphia. I do think the word

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<v Speaker 1>is thrown out left, right and center. Oh my god,

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<v Speaker 1>did you see you know your patient has body myosmorphia?

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<v Speaker 1>Why she got a no job and a breast augmentation?

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<v Speaker 1>And then pined your ears. She doesn't love herself. She's

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<v Speaker 1>definitely no. She had huge ears, she had no breast issue,

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<v Speaker 1>and she had a big nose, very finite issues. She's

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<v Speaker 1>totally normal, loves herself, super confident now, her family loves her,

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<v Speaker 1>and was very realistic. Her breast is still a l

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<v Speaker 1>asymmetric and one of her ears sticks out, and she's

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<v Speaker 1>happy as a clam. So we have to be very

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<v Speaker 1>careful as we use these labels, and obviously in the

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<v Speaker 1>instances where it's real. I think as a total we

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<v Speaker 1>have a responsibility any rate that's a rap. As always,

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<v Speaker 1>I hope you enjoy the show. I hope that you

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<v Speaker 1>find it helpful. I always ask two favors. I ask

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<v Speaker 1>favor number one. Please go write a nice review. It

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<v Speaker 1>makes a huge difference to the team. As a matter

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<v Speaker 1>of fact, just pause it right now. It takes two seconds.

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<v Speaker 1>You're gonna I'll go later, I'll do it. You're not

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<v Speaker 1>gonna do it later. Let's be honest. Just pause this,

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<v Speaker 1>go write the review, come back, hit click. It makes

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<v Speaker 1>everyone so happy. The second thing is if you can

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<v Speaker 1>share this with two people, you know, just two people forward, Hey,

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<v Speaker 1>check out this episode, because at the end of the day.

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<v Speaker 1>So many people only realize after they've done something foolish

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<v Speaker 1>that they wish they had done a little more homework,

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<v Speaker 1>and so we always try to get ahead of it together.

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<v Speaker 1>All right, guys, that's a rap. I will see you

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<v Speaker 1>guys next week. Have a wonderful week. Doctor Rabon on

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<v Speaker 1>plastic surgery on censored