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<v Speaker 1>Hello, everybody, Welcome to Laura Kane after dark. Happy Monday. Dude,

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<v Speaker 1>it is the middle of August almost.

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<v Speaker 2>I don't want to talk about it.

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<v Speaker 1>Okay. By the way, where did summer go? Was there

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<v Speaker 1>even a summer? Did we have summer?

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<v Speaker 3>Like?

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<v Speaker 1>Kids are back in school starting.

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<v Speaker 2>I don't. All I've done is work I have.

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<v Speaker 1>I don't know last like I think know in July,

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<v Speaker 1>kids in the South Bay went back. Kids are going

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<v Speaker 1>back to school a lot earlier than we did. What

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<v Speaker 1>to say, get your kid wait for me. It's not

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<v Speaker 1>very nice anyway. I'm Laura Kane. This is Eric Rimmer.

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<v Speaker 2>I got an applause from the audience.

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<v Speaker 1>I'll tell you producer Brian, Hello, welcome back from your

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<v Speaker 1>little trip. That's where we weren't on last week because

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<v Speaker 1>we can't. We cannot function without Brian. We literally cannot

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<v Speaker 1>find We're bumbling idiots now. We're not well kind of,

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<v Speaker 1>We're just old and don't know how to work equipment right. Okay,

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<v Speaker 1>So we have a very special guest on with us tonight,

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<v Speaker 1>doctor Luke Swiston. See these babies right here, life changing

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<v Speaker 1>decision that I made. Now, my gosh, I said three

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<v Speaker 1>years ago. Good I'm sorry, but totally changed my life, outlook, confidence,

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<v Speaker 1>everything the best. But anyway, he has a story. We

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<v Speaker 1>have a story to tell you about my sister and

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<v Speaker 1>why she was down here today with me and doctor

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<v Speaker 1>Swiston and her story and her journey she's about to

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<v Speaker 1>go on. And there are so many different there are

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<v Speaker 1>different choices now with regard to breast implants. There's like

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<v Speaker 1>there's so many different things you can do, so many

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<v Speaker 1>different options that when I walked away, I was in

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<v Speaker 1>there for part of the consultation. When she got you know,

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<v Speaker 1>when she got undressed, she's like, get out of here.

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<v Speaker 1>It's okay, I'm your sister, come on whatever, but anyway,

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<v Speaker 1>uh perv no, I just you know, we're family, We're family.

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<v Speaker 1>But whatever. So she at a private moment with the

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<v Speaker 1>doctor and I understand that, but whatever, you know, kind

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<v Speaker 1>of hurt my feelings a little bit. That's okay, the

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<v Speaker 1>big deal. I'm just kidding. But before we have doctor

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<v Speaker 1>Swiston on, oh, he's going to talk about all the

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<v Speaker 1>things that are that are new as far as cosmetic surgery.

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<v Speaker 1>He's with Lejuaii Cosmetic Surgery Center.

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<v Speaker 2>And I should probably take notes.

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<v Speaker 1>Like I'm do you know, about three sixty LiPo. Do

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<v Speaker 1>you know about BBL? Do you know about it? I know,

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<v Speaker 1>So there's like a lot of like, really, I.

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<v Speaker 2>Don't know what three sixty LiPo is.

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<v Speaker 1>Ah, well, we'll get I don't want to speak out

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<v Speaker 1>of turn, but I think I know it's kind I'm

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<v Speaker 1>I'm thinking that it's when you're almost like like a

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<v Speaker 1>roasted ham on a spick, where like you turn three

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<v Speaker 1>sixty lipoh, you like get around.

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<v Speaker 2>I might need it for my head.

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<v Speaker 1>I'm sure that's not how they do it, but that's

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<v Speaker 1>like how I see it. Like you get the whole

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<v Speaker 1>entire body.

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<v Speaker 2>It's like incredible, just an apple in your mouth and

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<v Speaker 2>you're just like, oh.

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<v Speaker 1>No, doctor Swist is probably like shut up, that's not

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<v Speaker 1>the way it is.

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<v Speaker 3>Anyway.

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<v Speaker 1>I know he's so awesome. I can't wait for you

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<v Speaker 1>guys to meet it. But we thought we'd do a

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<v Speaker 1>little bit of double D first before we bring on

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<v Speaker 1>our special guest. Yes, do we have some double day news.

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<v Speaker 1>I'm sure we do. We always do. Oh in there

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<v Speaker 1>might be a special correspondent opportunity.

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<v Speaker 2>Oh oh, I know I know who it is. Okay, Yeah,

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<v Speaker 2>direct from Hollywood, Yes, direct from just just here for

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<v Speaker 2>the Double D News.

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<v Speaker 1>Oh yeah, and uh and of course doctor Swist.

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<v Speaker 2>Yes, yes, Paris Hilton's marriage to Carter Rome maybe on

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<v Speaker 2>the rocks over her refusal to give up the spotlight

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<v Speaker 2>despite being a mother to two toddlers.

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<v Speaker 1>Okay, wow, and did you hear the other parson at

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<v Speaker 1>Hilton News. Did you hear what she got for her birthday? No?

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<v Speaker 1>From this husband?

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<v Speaker 4>No?

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<v Speaker 1>A pink jet okay, with stenciled on the side of

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<v Speaker 1>the jet. It's on some fancy, the fanciest private jet

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<v Speaker 1>you can get. That's hot.

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<v Speaker 2>Oh come on.

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<v Speaker 1>Yeah, So that was her birthday present. So at least

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<v Speaker 1>you know she got a big gift before things go downhill,

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<v Speaker 1>I guess, dude, she'll.

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<v Speaker 2>Be able to fly to see her divorce lawyer a

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<v Speaker 2>lot easier. Kelly Clarkson's ex husband, Brandon Blackstock, died at

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<v Speaker 2>forty eight of cancer. She has canceled the remainder of

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<v Speaker 2>her residency in Vegas.

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<v Speaker 1>That's so sad.

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<v Speaker 2>Yeah, it sounds like, even though they had all that

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<v Speaker 2>kind of bad blood between them, that she's don't well.

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<v Speaker 1>Yeah, I mean, you marry somebody, you have kids with somebody,

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<v Speaker 1>you're always gonna love that person. Maybe you're not going

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<v Speaker 1>to Maybe they're not in love, maybe they you know,

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<v Speaker 1>they've had you know, maybe he's not wasn't the nicest

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<v Speaker 1>person to her, or vice versa. Whatever. But it's still

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<v Speaker 1>gonna hurt your heart. You lose somebody like that a

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<v Speaker 1>big part of her life for a very long time.

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<v Speaker 2>Their kids are still really young.

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<v Speaker 1>That's so sad.

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<v Speaker 2>Remember Lonnie Anderson from w KRP in Cincinnati. Yes, she

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<v Speaker 2>died just days before her eightieth birthday.

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<v Speaker 1>No, are you serious?

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<v Speaker 2>Yeah?

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<v Speaker 1>We went Remember we went on that, Yes, that tour.

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<v Speaker 1>It was like a big a meet and greet of

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<v Speaker 1>some old school celebrities.

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<v Speaker 2>Elie Barbara Eden.

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<v Speaker 1>The one thing she told me because she looked incredible. Yeah,

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<v Speaker 1>this was about five years ago. I said, what is

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<v Speaker 1>the one piece of advice you could give another woman,

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<v Speaker 1>you know, to look like this, you know, at your age.

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<v Speaker 1>And She's like, moisture eye, moisturize, moisturize every morning, every night,

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<v Speaker 1>your entire body always moisturize. And I'm like from that,

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<v Speaker 1>I was like, from that point on, that's all that

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<v Speaker 1>I've been doing that so hopefully it will at eight

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<v Speaker 1>it's working.

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<v Speaker 2>It's working, Thank you. Netflix downgraded their massive contract and

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<v Speaker 2>escapes a one hundred dollars one hundred million dollar loss

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<v Speaker 2>with Harry and Meghan. Wait, so everything that they've done

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<v Speaker 2>so far for Netflix has just not been successful. Oh okay,

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<v Speaker 2>so somehow Netflix was able to kind of downgrade their

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<v Speaker 2>own contract with them.

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<v Speaker 1>Okay, so they have a they currently have a contract

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<v Speaker 1>with them to produce more content with them, and now

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<v Speaker 1>they don't have to produce as much content with.

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<v Speaker 4>Them because she's like a poison pill to anything saving

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<v Speaker 4>them hundred million?

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<v Speaker 1>Well doesn't Does she have something currently on Netflix?

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<v Speaker 4>I don't know, but she just seems to be unlikable.

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<v Speaker 1>In all ways.

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<v Speaker 2>It's a cooking show that was the most recent with

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<v Speaker 2>her that nobody liked, that everybody trashed.

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<v Speaker 4>Because I think she might just be perhaps the most

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<v Speaker 4>pretentious person to ever exist. I just do you give

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<v Speaker 4>that vibe?

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<v Speaker 1>Do you think that she is to blame for the

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<v Speaker 1>whole fallout with the royal family?

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<v Speaker 2>Probably?

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<v Speaker 4>Well, but only like ninety percent of it. There's ten

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<v Speaker 4>percent that's him for sure, But I bet she was. Yeah.

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<v Speaker 1>Do you think the royals needed, like need a change

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<v Speaker 1>to go at the times? Or should they stay exactly

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<v Speaker 1>the same?

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<v Speaker 3>It is?

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<v Speaker 4>It the doesn't matter, but is it the.

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<v Speaker 2>Circumstance?

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<v Speaker 1>Yeah, that should stay the same.

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<v Speaker 4>It literally doesn't matter because they're meaningless.

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<v Speaker 1>Well they're meaningful to that country, but.

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<v Speaker 4>They have like no actors. They don't have like no

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<v Speaker 4>inherent meaning besides the fact they're just you know, inherent celebrities. Yeah,

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<v Speaker 4>so it doesn't really matter what they do because they

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<v Speaker 4>have very little actual, you know, purpose outside of just

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<v Speaker 4>pomp and circumstance.

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<v Speaker 1>Well, he's the king now, right, I mean with.

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<v Speaker 4>No power, like when I don't even know what the

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<v Speaker 4>king of what was the king do?

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<v Speaker 1>I don't really know.

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<v Speaker 2>The king of the island of Chad like I don't know.

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<v Speaker 4>I mean, they don't have to. They can be a

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<v Speaker 4>traditional lord or as forward thinking as they want. I

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<v Speaker 4>don't think it matters. Nothing will change because of it.

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<v Speaker 1>I just feel sorry for Harry because he doesn't get

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<v Speaker 1>any security as far as you know, watching his back.

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<v Speaker 1>If somebody wants to, like, you know, kidnap him or something.

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<v Speaker 1>He has no inheritance anymore.

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<v Speaker 4>If that's what he'll be fine. He's still very very rich.

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<v Speaker 1>Well he's he did come up with that book. I

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<v Speaker 1>don't know if that made any money. Did you read

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<v Speaker 1>his book?

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<v Speaker 4>He's got money, He'll be fine. Yeah, he'll be fine.

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<v Speaker 1>Thanks for Reaure.

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<v Speaker 4>I would not be worried about the the you know,

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<v Speaker 4>just because some prince lost his fortune. Wouldn't be too

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<v Speaker 4>worried family. But it was his choice.

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<v Speaker 1>Yeah, it was.

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<v Speaker 2>Have you seen the Naked Gunery boot?

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<v Speaker 1>No? I saw a couple.

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<v Speaker 2>Of weeks ago. I watched it and it was very funny.

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<v Speaker 2>Hamla Anderson was great in it.

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<v Speaker 4>Yeah, he was good.

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<v Speaker 2>Yeah, she was really good.

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<v Speaker 1>Who was good in it?

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<v Speaker 2>CaMLA Anderson? She was great in it. Rumors are that

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<v Speaker 2>she and Liam Neeson are dating. I saw that, and

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<v Speaker 2>I'm not mad about that. I think they're a very

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<v Speaker 2>sweet couple together.

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<v Speaker 4>Wait, since when has he been single?

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<v Speaker 2>His wife died in the skiing accident years years ago.

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<v Speaker 4>Single since then?

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<v Speaker 1>Yeah, I know, so it's.

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<v Speaker 2>And I love him and I love her.

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<v Speaker 1>So I think it's very sweet.

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<v Speaker 2>Yeah, yeah, I think she needs somebody like that. Jennifer

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<v Speaker 2>Lopez battles a grasshopper during her recent concert. Did you

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<v Speaker 2>see the footage of this?

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<v Speaker 1>Would have been freaking out.

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<v Speaker 2>So a huge grasshopper while she's singing lands like right

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<v Speaker 2>about here and just crawls up and like rests on

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<v Speaker 2>her neck, and she's.

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<v Speaker 1>Just gonna She did not like Miss a b. She

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<v Speaker 1>just kept singing this big giant things crawling up her neck.

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<v Speaker 2>I would have been out of it. If it would

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<v Speaker 2>have been a spider out.

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<v Speaker 1>Of there, I'm sorry. The grasshopper would have freaked out.

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<v Speaker 2>The grasshopper would not if it was a roach or

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<v Speaker 2>a spider, that would have been curtains for me.

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<v Speaker 1>She didn't even look down to see what it was,

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<v Speaker 1>so I would have known.

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<v Speaker 2>I would have dropped dead on stage and that would

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<v Speaker 2>have been it.

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<v Speaker 1>You would have thrown them.

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<v Speaker 2>I know there would have been time. I would have

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<v Speaker 2>just died right there. My God, So I'll go ahead.

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<v Speaker 1>Oh is it time for me the special course?

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<v Speaker 2>Oh, special correspondent from La lur King.

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<v Speaker 1>Okay, so the odds on next year's Super Bowl halftime

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<v Speaker 1>performer here we go. What do you think about these

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<v Speaker 1>names and who do you think will get it? Jay

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<v Speaker 1>Z reportedly the favorite to headline nowhere No okay, followed

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<v Speaker 1>by post alone No maybe?

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<v Speaker 2>But is he the one with the tattoos all over

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<v Speaker 2>his face?

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<v Speaker 1>One of the ones. There's a there's a couple of

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<v Speaker 1>guys yes, but yes, Miley Cyrus maybe.

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<v Speaker 4>I would be I'd be okay with that.

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<v Speaker 2>Yeah, I love Miley.

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<v Speaker 1>Yeah, bad Money probably not like that. Yeah, I think

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<v Speaker 1>it would be good. And then Metallica. How about the

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<v Speaker 1>Metallica that would be.

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<v Speaker 4>The halftime super Bowl show is boring though anyways.

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<v Speaker 1>Not always depends on I mean, if you like the

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<v Speaker 1>person that you're that's playing, you're gonna like.

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<v Speaker 4>Yeah, you're watching a lame You're watching a short, lame

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<v Speaker 4>concert on TV.

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<v Speaker 1>Kendrick Lamar was not lame. It was good with all

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<v Speaker 1>the dancing of the choreography, and.

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<v Speaker 4>I will not be watching regardless of who performs.

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<v Speaker 1>Well, you are negative.

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<v Speaker 4>I'm just saying like, I think it's I don't know,

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<v Speaker 4>I think it's overblown down.

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<v Speaker 2>I had one of the best halftime shows ever.

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<v Speaker 1>I know that halftime show. I don't remember that. I

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<v Speaker 1>don't remember.

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<v Speaker 4>The last one I remember was j Lo and.

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<v Speaker 2>Oh Yeah, which you're just Shakira is that girl?

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<v Speaker 4>Yeah?

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<v Speaker 3>Yeah?

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<v Speaker 1>That was they were like on poles dancing on poles.

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<v Speaker 1>I remember that, the pole dancing.

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<v Speaker 4>I just remember being kind of bored.

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<v Speaker 1>Wow with Shakira.

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<v Speaker 2>Yes, she's hot, she's so hot.

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<v Speaker 1>She's incredibly hot. So ed Cheron says there are a

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<v Speaker 1>lot of singers who lip sync, and he would never

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<v Speaker 1>admit it. Sure, he goes, you know what, I'm not

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<v Speaker 1>one of them because it's just me and the guitar

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<v Speaker 1>and there's no one else to cover me. So I

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<v Speaker 1>don't lip sync. But there are many, many, many who No,

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<v Speaker 1>he didn't. Now is this cute or is this creepy?

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<v Speaker 1>Benny Blanco, you know how he's dating Selena Gomez. He

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<v Speaker 1>says that when she is out of town or they're

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<v Speaker 1>apart for a while, he wears her perfume on himself

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<v Speaker 1>just so he feels her close to her.

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<v Speaker 4>That's fine. I don't think that's weird.

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<v Speaker 1>You don't think it's creepy at all.

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<v Speaker 4>That's the same thing with the chicks wearing their boyfriend's

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<v Speaker 4>hoodies because it smells like them.

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<v Speaker 1>Oh I loved him. Oh if that makes me want

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<v Speaker 1>a boyfriend, just to do that. Okay, now it's cue

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<v Speaker 1>some music because we have someone very special. I can't

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<v Speaker 1>wait to introduce you guys to doctor Luke Swiston. Come

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<v Speaker 1>on up, it's time, Oh, bring your bring your the

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<v Speaker 1>bag of goodies for Eric. You sneak right in here.

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<v Speaker 1>I know it's really tight quarters. Here, I got this

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<v Speaker 1>for you. There we go, Eric Jacket, I know he's

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<v Speaker 1>so okay. I want to know what car you drove

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<v Speaker 1>to get here, because he has some very nice vehicles.

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<v Speaker 1>That's like one of your passions, right.

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<v Speaker 3>Maybe I grew up in Europe, so yes, oh.

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<v Speaker 1>You grew up. Yeah, I could see that.

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<v Speaker 3>This one's for Eric.

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<v Speaker 1>Oh so excited.

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<v Speaker 3>Then I thought I would like bring break up the

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<v Speaker 3>tension here, so yes, put these on right.

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<v Speaker 1>See he'll be playing with that the entire Oh my gosh,

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<v Speaker 1>I'm I know. Isn't that? Don't they feel so great?

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<v Speaker 2>You know I have it's I have one of those

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<v Speaker 2>little stress balls at work. Yes, and it ruptured today.

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<v Speaker 1>It did. You were so stressed out stress ball? Wait?

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<v Speaker 1>Is that a that was a joke.

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<v Speaker 4>We gave him a thousand dollars implant.

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<v Speaker 2>No, I'm not gonna be like I'm never giving it back.

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<v Speaker 3>My gosh.

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<v Speaker 1>Now is this a silicone or is this saline?

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<v Speaker 3>That's a silicone implant. That's one of the new ones

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<v Speaker 3>that is out in the market right now. It's called Motiva,

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<v Speaker 3>and uh.

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<v Speaker 1>Okay, how are they? How's Motiva different than than your

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<v Speaker 1>average implant.

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<v Speaker 3>Well, they basically they've they've been on the market for

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<v Speaker 3>a while and part of what they tout is that

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<v Speaker 3>they have the lowest implant contracture or capsule contractor rates, which,

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<v Speaker 3>as you you're probably familiar with from this morning. Yes,

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<v Speaker 3>that was one of the issues that we faced with

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<v Speaker 3>my sister.

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<v Speaker 1>Okay, so this is what happened, this is this is

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<v Speaker 1>why I was with doctor Swiston today. Jenny, my sister,

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<v Speaker 1>I call her Jenny, but Jennifer, she goes by. She

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<v Speaker 1>got breast implants in two thousand and four, and she

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<v Speaker 1>went pretty large because at that point in her life,

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<v Speaker 1>you know, that's something she wanted. And over the years,

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<v Speaker 1>that's a long time, twenty one years, and you know,

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<v Speaker 1>the implants are not supposed to last you your entire

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<v Speaker 1>life necessarily, But she was starting to get all sorts

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<v Speaker 1>of pain and hard, really hard, Like she could feel

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<v Speaker 1>the scar tissues starting to form and they were becoming bigger,

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<v Speaker 1>and she she's like, I don't know what is going on.

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<v Speaker 1>So I'm like, you need to come down and talk

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<v Speaker 1>to somebody at La Joya cosmetic surgery center, And I'm

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<v Speaker 1>so glad it's doctor Swiston because doctor Swist's the one

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<v Speaker 1>that that did my breast augmentation. And I couldn't be happier.

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<v Speaker 1>I'm like you, you just need to come down. So

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<v Speaker 1>this morning she came down. We met, and the things

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<v Speaker 1>that I learned today about the choices you have as

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<v Speaker 1>a woman for breast implants or or not are are many.

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<v Speaker 1>She walked away from meeting with you with a whole

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<v Speaker 1>new outlook. She with us, she might go with a

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<v Speaker 1>procedure that she didn't even know was available to her.

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<v Speaker 1>So maybe you can explain maybe kind of what you

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<v Speaker 1>saw that she had. She she's okay with me talking

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<v Speaker 1>about all this, by the way, what you saw like

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<v Speaker 1>in when you were examining her and the different options

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<v Speaker 1>that she has available to her.

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<v Speaker 3>Well, thank you, yeah, and thank you for having me here,

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<v Speaker 3>by the ways, of course. But yeah, so you know,

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<v Speaker 3>the long story short is, implants are not mentalist forever.

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<v Speaker 3>They have a shelf life that is shorter than anybody's lifespan.

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<v Speaker 3>And I will say that to anybody at any age.

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<v Speaker 3>I mean, there are patients who asked for a remove

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<v Speaker 3>and replace of an implant at the age of like

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00:17:09.559 --> 00:17:12.079
<v Speaker 3>seventy five and seventy seven. We had this conversation, She's like,

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<v Speaker 3>you know, you know that implant is you know, on

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<v Speaker 3>average they only last about ten thirteen fifteen years before

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00:17:17.000 --> 00:17:20.759
<v Speaker 3>they rupture or have a complication on average. So if

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00:17:20.799 --> 00:17:23.480
<v Speaker 3>you put one in at even seventy five, you have

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<v Speaker 3>there's a realistic chance that you might have another surgery

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00:17:25.839 --> 00:17:29.240
<v Speaker 3>in your lifetime to have to deal with the complications

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00:17:29.319 --> 00:17:31.279
<v Speaker 3>or remove it at some point. So a lot of

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<v Speaker 3>patients kind of are aware of that, and you know

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<v Speaker 3>a lot of patients that I see specifically are looking

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<v Speaker 3>for other options. They've had implants for a long time.

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<v Speaker 3>Some have enjoyed them tremendously and you know that was

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<v Speaker 3>like the best outcome, and some have had, you know,

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<v Speaker 3>issues maybe earlier on. I think the life cycle of

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<v Speaker 3>the implant that your sister had is not atypical. She

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<v Speaker 3>had them for twenty years, give or take, and you

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<v Speaker 3>know they've lasted her without any problems for about the

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<v Speaker 3>first thirteen to fifteen that's statistically around the time. And

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00:18:00.319 --> 00:18:04.000
<v Speaker 3>afterwards she developed the dreaded complication, which is a capsular contracture,

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00:18:04.039 --> 00:18:06.240
<v Speaker 3>which basically means the heart the cart isssue around that

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00:18:06.279 --> 00:18:07.880
<v Speaker 3>implant has gotten really hard.

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00:18:08.599 --> 00:18:13.079
<v Speaker 1>And therefore causes her pain correct and different issues that

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<v Speaker 1>she didn't even realize were associated with the implant, like

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00:18:18.759 --> 00:18:21.200
<v Speaker 1>pain in her back, pain in her neck. She thought

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00:18:21.319 --> 00:18:23.839
<v Speaker 1>was just her she's a hairdresser, her being on her

369
00:18:23.839 --> 00:18:27.839
<v Speaker 1>feet and working, and but it's you said, it's kind

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<v Speaker 1>of like the implant is kind of.

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<v Speaker 3>For so, yeah, specifically anatomically, your body will have to

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<v Speaker 3>compensate for that for an object that is placed in

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<v Speaker 3>side of there. And uh, you know, the bigger for

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00:18:40.039 --> 00:18:42.440
<v Speaker 3>an object, the more your body is to compensate, the

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00:18:42.519 --> 00:18:45.200
<v Speaker 3>more it's affected by gravity, so to speak, and pretty

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00:18:45.279 --> 00:18:49.640
<v Speaker 3>much everything else. And eventually the posture takes a little

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00:18:49.680 --> 00:18:51.480
<v Speaker 3>bit of a toll, like because you're carrying all that

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<v Speaker 3>extra weight. In addition to that, if the implant is

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<v Speaker 3>under the muscle, then your muscular skeletal system is shifted

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00:18:57.599 --> 00:18:59.759
<v Speaker 3>just a little bit to compensate for that. But you know,

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00:18:59.799 --> 00:19:01.960
<v Speaker 3>the pctoral muscle is now away from the chest with

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00:19:02.039 --> 00:19:04.559
<v Speaker 3>the implant in between, which is not how you were born.

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00:19:05.079 --> 00:19:09.279
<v Speaker 3>And that implant, I'm sorry, that pectoral muscle also to

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00:19:09.319 --> 00:19:12.000
<v Speaker 3>some extent, misaligns the entire shoulder I would say, the

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00:19:12.079 --> 00:19:13.960
<v Speaker 3>rotator cuff, the deltoid, and even the back of the

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00:19:13.960 --> 00:19:16.640
<v Speaker 3>scalpule and the rhomboid muscles and the trapezius muscle on

387
00:19:16.640 --> 00:19:19.160
<v Speaker 3>the back. They're just a little misaligned because of that

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00:19:19.200 --> 00:19:22.640
<v Speaker 3>implant being in the way. And if you multiply that

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00:19:22.720 --> 00:19:24.759
<v Speaker 3>by a decade or two, that can add you know

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00:19:24.799 --> 00:19:28.799
<v Speaker 3>that that can equate into some muscle imbalance, and therefore

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00:19:28.880 --> 00:19:31.640
<v Speaker 3>muscles sort of react by spasming eventually, and patients get

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00:19:31.640 --> 00:19:34.640
<v Speaker 3>a lot of upper body pain and upper muscular you know,

393
00:19:34.720 --> 00:19:37.960
<v Speaker 3>strain and because of that, And really the cure for

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00:19:38.000 --> 00:19:39.359
<v Speaker 3>that is really just get the implant out of the

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00:19:39.359 --> 00:19:40.880
<v Speaker 3>picture and a lot of these things just go away,

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00:19:40.920 --> 00:19:43.680
<v Speaker 3>they reset themselves. And I've seen that very consistently so

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00:19:44.279 --> 00:19:45.039
<v Speaker 3>a lot of patients.

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<v Speaker 1>You know.

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<v Speaker 3>The thing I like about your our encounter today with

400
00:19:49.839 --> 00:19:52.319
<v Speaker 3>your sister is that she came in with a different plan.

401
00:19:52.440 --> 00:19:54.279
<v Speaker 3>I mean, she kind of did the traditional thing, like, well,

402
00:19:54.359 --> 00:19:56.599
<v Speaker 3>the implant is a problem, let's remove it and replace it,

403
00:19:57.200 --> 00:19:59.240
<v Speaker 3>which is sort of if you don't have a long

404
00:19:59.240 --> 00:20:01.720
<v Speaker 3>conversation patients about their goals, that's sort of the go

405
00:20:01.839 --> 00:20:04.519
<v Speaker 3>to solution. It's like, oh yeah, let's just put another

406
00:20:04.559 --> 00:20:07.319
<v Speaker 3>one in. But I like to spend a little bit

407
00:20:07.359 --> 00:20:09.400
<v Speaker 3>more time and see what are the patient's goals. How

408
00:20:09.480 --> 00:20:12.160
<v Speaker 3>much tissue do you have? Maybe we can do something different.

409
00:20:12.319 --> 00:20:15.240
<v Speaker 3>Sometimes we can go schoo out smaller, and very frequently

410
00:20:15.240 --> 00:20:17.400
<v Speaker 3>in my experience, we can actually remove the implant and

411
00:20:17.440 --> 00:20:21.200
<v Speaker 3>rearrange the tissue that the patient has to give her

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00:20:21.240 --> 00:20:24.680
<v Speaker 3>a really nice breast shape and volume without using an implant.

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00:20:24.720 --> 00:20:27.160
<v Speaker 3>And this is the change in our plan that she

414
00:20:27.240 --> 00:20:28.319
<v Speaker 3>was actually very happy with.

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00:20:28.519 --> 00:20:31.519
<v Speaker 1>Yeah, she went in thinking, Okay, I definitely want to

416
00:20:31.559 --> 00:20:34.640
<v Speaker 1>go smaller because you know, at this time of her life,

417
00:20:34.720 --> 00:20:39.119
<v Speaker 1>she's that's not something she wants or big giant boobs.

418
00:20:39.200 --> 00:20:42.039
<v Speaker 1>You know, she wants to you know, not have the

419
00:20:42.079 --> 00:20:46.279
<v Speaker 1>strain and just look a little bit more proportionate, proportionate,

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00:20:46.880 --> 00:20:50.759
<v Speaker 1>And she walked away. I had no idea that this

421
00:20:51.079 --> 00:20:53.599
<v Speaker 1>was an option that you can actually use some of

422
00:20:53.640 --> 00:20:57.079
<v Speaker 1>your She has a lot of extra tissue, and you can.

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00:20:57.480 --> 00:20:59.960
<v Speaker 1>It's almost like clay in a way. It sounds like

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00:21:00.319 --> 00:21:05.440
<v Speaker 1>like you mold it into that tissue into it's your

425
00:21:05.480 --> 00:21:09.480
<v Speaker 1>own tissue, correct into a and then you I don't know,

426
00:21:09.519 --> 00:21:10.319
<v Speaker 1>how does that work?

427
00:21:10.640 --> 00:21:14.960
<v Speaker 3>Well, basically it's called an auto augmentation technique. So bottom

428
00:21:15.039 --> 00:21:18.039
<v Speaker 3>line is, yes, as most patients as they age, there

429
00:21:18.119 --> 00:21:20.039
<v Speaker 3>is something that happens to the breast that makes all

430
00:21:20.039 --> 00:21:22.359
<v Speaker 3>the breast tissue bigger. There's just more tissue there. The

431
00:21:22.440 --> 00:21:25.200
<v Speaker 3>patients gained weight a little bit, some of the volume

432
00:21:25.240 --> 00:21:28.480
<v Speaker 3>will go into the breast. But in addition, there is

433
00:21:28.640 --> 00:21:32.200
<v Speaker 3>hormonal changes in the body that induce glandular hypertrophis, and

434
00:21:32.240 --> 00:21:35.519
<v Speaker 3>there's more breast gland there as well. That happens during

435
00:21:35.680 --> 00:21:38.880
<v Speaker 3>you know, during breastfeeding, that happens during menopause. So typically

436
00:21:39.640 --> 00:21:41.559
<v Speaker 3>at the age that your sister is at, there is

437
00:21:41.599 --> 00:21:43.440
<v Speaker 3>a little bit more tissue there than there was when

438
00:21:43.440 --> 00:21:45.279
<v Speaker 3>she was originally getting her augmentation.

439
00:21:45.559 --> 00:21:47.799
<v Speaker 1>Yeah, she was like, wait, why all of a sudden,

440
00:21:47.799 --> 00:21:50.400
<v Speaker 1>am I like a triple D when she was like

441
00:21:50.440 --> 00:21:53.440
<v Speaker 1>a D, just that she wanted to be like a

442
00:21:53.559 --> 00:21:56.720
<v Speaker 1>high C small D when she first got the implants,

443
00:21:56.720 --> 00:21:58.119
<v Speaker 1>and then all of a sudden, she's like a triple

444
00:21:58.160 --> 00:22:00.759
<v Speaker 1>and she goes, I want to get a new How

445
00:22:00.759 --> 00:22:03.039
<v Speaker 1>did they get so big? She didn't gain like a

446
00:22:03.039 --> 00:22:06.839
<v Speaker 1>ton of weight, but like you said, hormones changes in

447
00:22:07.119 --> 00:22:10.720
<v Speaker 1>just life changes, you know, to grow older.

448
00:22:11.160 --> 00:22:13.359
<v Speaker 3>And her goals were actually aligned with what we were

449
00:22:13.400 --> 00:22:15.480
<v Speaker 3>both thinking, is that you want to be smaller, you

450
00:22:15.519 --> 00:22:19.319
<v Speaker 3>want to be more comfortable, but her intent was still like, well,

451
00:22:19.480 --> 00:22:21.599
<v Speaker 3>I assume they don't have to put another implant in

452
00:22:21.640 --> 00:22:23.240
<v Speaker 3>there to get to that goal. Maybe you do a

453
00:22:23.240 --> 00:22:25.519
<v Speaker 3>lift at the same time to improve the shape. But

454
00:22:25.720 --> 00:22:27.799
<v Speaker 3>in her case, because she had a lot of volume

455
00:22:27.920 --> 00:22:31.519
<v Speaker 3>of her own breast tissue, I think when I showed her,

456
00:22:31.920 --> 00:22:35.079
<v Speaker 3>you know, after my examination and really seeing her tissue

457
00:22:35.119 --> 00:22:37.119
<v Speaker 3>and being able to examine how much tissue there is

458
00:22:37.160 --> 00:22:41.599
<v Speaker 3>in different places of her breast, I was convinced that

459
00:22:41.640 --> 00:22:45.200
<v Speaker 3>we can actually use that tissue, rearrange it into a

460
00:22:45.319 --> 00:22:49.119
<v Speaker 3>nicer three dimensional breast contour without an implant, and still

461
00:22:49.119 --> 00:22:50.640
<v Speaker 3>give her a very satisfactory result.

462
00:22:51.279 --> 00:22:54.160
<v Speaker 1>And you know, she told me that her doctor she

463
00:22:54.240 --> 00:22:58.279
<v Speaker 1>was getting she was getting all sorts of other not

464
00:22:58.480 --> 00:23:01.559
<v Speaker 1>feeling good, some point pain, and she went to the

465
00:23:01.599 --> 00:23:04.599
<v Speaker 1>doctor and he said, well, you may or may not

466
00:23:04.759 --> 00:23:07.799
<v Speaker 1>have lupus, but I'm not sure, so we're gonna keep

467
00:23:07.799 --> 00:23:12.160
<v Speaker 1>an eye. And she's like, wait what And turns out

468
00:23:12.759 --> 00:23:17.960
<v Speaker 1>a lot of what happens with the older implants and

469
00:23:18.480 --> 00:23:24.359
<v Speaker 1>changes like this is symptoms that mimic other things.

470
00:23:24.119 --> 00:23:25.440
<v Speaker 3>Other inplanatory diseases.

471
00:23:25.519 --> 00:23:29.319
<v Speaker 1>Yeah, I mean this taking out her implants could cure

472
00:23:30.400 --> 00:23:33.079
<v Speaker 1>so many things that she's suffering from right now, and

473
00:23:33.119 --> 00:23:35.519
<v Speaker 1>that's just such a wonderful thing that she could still

474
00:23:35.640 --> 00:23:40.640
<v Speaker 1>have feel womanly and feel you know, curvaceous and feel like,

475
00:23:40.880 --> 00:23:42.519
<v Speaker 1>you know, pretty and confident.

476
00:23:43.240 --> 00:23:45.920
<v Speaker 2>Was there any risk of just because of how long

477
00:23:45.960 --> 00:23:48.000
<v Speaker 2>they had been in a like it leaking or anything

478
00:23:48.039 --> 00:23:48.279
<v Speaker 2>like that.

479
00:23:48.359 --> 00:23:49.920
<v Speaker 3>Yeah, and then we don't know that. I mean, she

480
00:23:49.920 --> 00:23:52.079
<v Speaker 3>she a lot of times. Whenever a patient has a

481
00:23:52.119 --> 00:23:57.759
<v Speaker 3>castle contracture, it's usually preceded by an implant rupture, so

482
00:23:57.799 --> 00:24:00.680
<v Speaker 3>that she has silicone implants, and sometimes of the plant ruptures,

483
00:24:00.680 --> 00:24:02.759
<v Speaker 3>the silicle and jail comes out of the implant shell

484
00:24:02.799 --> 00:24:05.119
<v Speaker 3>and gets in contact with the surrounding scar tissue and

485
00:24:05.160 --> 00:24:08.599
<v Speaker 3>that induces more inflammation, which in terms makes that capsule

486
00:24:08.640 --> 00:24:11.640
<v Speaker 3>contract and get tighter and thicker, and it turns from

487
00:24:11.680 --> 00:24:13.759
<v Speaker 3>like something that looks like saran wrap, which is nice

488
00:24:13.759 --> 00:24:17.359
<v Speaker 3>and loose, to something that feels like tupperware, very very uncomfortable,

489
00:24:17.440 --> 00:24:20.920
<v Speaker 3>especially if it's under the muscle, so that implant could

490
00:24:20.920 --> 00:24:23.759
<v Speaker 3>be ruptured. The real way to tell is actually get

491
00:24:23.799 --> 00:24:26.720
<v Speaker 3>an MRI that is the most sensitive and specific study

492
00:24:26.759 --> 00:24:30.319
<v Speaker 3>for an implant rupture. But if we already made the

493
00:24:30.359 --> 00:24:32.640
<v Speaker 3>decision to remove the implant, then it doesn't really matter.

494
00:24:32.799 --> 00:24:34.920
<v Speaker 3>We're going that's not going to change our management, so

495
00:24:34.920 --> 00:24:37.440
<v Speaker 3>we don't necessarily need one in order to do her surgery.

496
00:24:38.519 --> 00:24:42.160
<v Speaker 1>In your in recent years, have you noticed a change

497
00:24:42.200 --> 00:24:47.559
<v Speaker 1>in what women are wanting as far as like size, shape.

498
00:24:49.200 --> 00:24:51.279
<v Speaker 3>Yeah, things like that. I may be a bias to pin.

499
00:24:53.359 --> 00:24:55.279
<v Speaker 3>I sort of focus in that area kind of more

500
00:24:55.279 --> 00:24:57.119
<v Speaker 3>than anything. So because of that, I get a skewed

501
00:24:57.160 --> 00:25:00.599
<v Speaker 3>population of patients who are looking to be smaller. I think, though,

502
00:25:00.680 --> 00:25:04.519
<v Speaker 3>the trend is that the volume is a little overrated.

503
00:25:04.559 --> 00:25:07.759
<v Speaker 3>I suppose. I think nice and proportionate is always in.

504
00:25:07.839 --> 00:25:09.720
<v Speaker 3>It's always going to be a good style. But I

505
00:25:09.720 --> 00:25:12.599
<v Speaker 3>think lots of patients complain to me about like, oh

506
00:25:12.599 --> 00:25:15.720
<v Speaker 3>my god, it's you know, it's Pam Anderson, it's bay Watch,

507
00:25:15.799 --> 00:25:17.279
<v Speaker 3>It's this is why I did it. You know that

508
00:25:17.480 --> 00:25:20.359
<v Speaker 3>twenty years ago, this is what was hot and everybody

509
00:25:20.400 --> 00:25:22.200
<v Speaker 3>want to look like her. And I did it because

510
00:25:22.240 --> 00:25:24.559
<v Speaker 3>I saw that on TV, and that was just a

511
00:25:24.599 --> 00:25:27.200
<v Speaker 3>trend at that time to be just a little extra,

512
00:25:27.240 --> 00:25:30.039
<v Speaker 3>a little bit more voluptuous. I think nowadays I'm seeing

513
00:25:30.039 --> 00:25:32.240
<v Speaker 3>more and more patients are feeling very, very comfortable with

514
00:25:32.319 --> 00:25:38.119
<v Speaker 3>just nice proportionate contours, sporty, athletic, not necessarily over leveluptuous.

515
00:25:38.759 --> 00:25:41.559
<v Speaker 3>And I think this numbers speak for themselves. I mean,

516
00:25:41.599 --> 00:25:44.440
<v Speaker 3>as one of the largest practices in San Diego, we

517
00:25:44.480 --> 00:25:46.799
<v Speaker 3>are definitely seeing a drop off in how many augmentations

518
00:25:46.799 --> 00:25:48.480
<v Speaker 3>we do. I think it used to be a lot

519
00:25:48.519 --> 00:25:50.759
<v Speaker 3>more in the past, and it's a little bit less now.

520
00:25:50.759 --> 00:25:52.640
<v Speaker 3>And in addition to that, I think patients are tending

521
00:25:52.680 --> 00:25:55.400
<v Speaker 3>towards smaller implant sizes, which is also reflective with that.

522
00:25:55.799 --> 00:25:59.880
<v Speaker 1>So what have you noticed is getting hotter and hotter?

523
00:26:00.559 --> 00:26:03.440
<v Speaker 1>What's like the thing that everybody wants? Is it the

524
00:26:04.240 --> 00:26:07.799
<v Speaker 1>three sixty and is it? Did I describe that right

525
00:26:07.920 --> 00:26:08.559
<v Speaker 1>or not at all?

526
00:26:08.759 --> 00:26:08.880
<v Speaker 4>Well?

527
00:26:08.880 --> 00:26:11.559
<v Speaker 3>I suppose anything natural, you know, is a big trend.

528
00:26:11.559 --> 00:26:14.000
<v Speaker 3>I think patients do want to go back to natural

529
00:26:14.079 --> 00:26:14.839
<v Speaker 3>and organic.

530
00:26:14.920 --> 00:26:17.079
<v Speaker 1>And you know, like I was born this way right,

531
00:26:19.000 --> 00:26:19.720
<v Speaker 1>born perfect?

532
00:26:19.920 --> 00:26:22.240
<v Speaker 3>But yeah, I mean I mean touching on that. You know,

533
00:26:22.279 --> 00:26:24.119
<v Speaker 3>the three six lighte was a great example of that

534
00:26:24.200 --> 00:26:28.319
<v Speaker 3>because you described it perfectly. It's basically, we basically put

535
00:26:28.359 --> 00:26:31.599
<v Speaker 3>a stick through the patient and roast them. Oh my god,

536
00:26:32.400 --> 00:26:36.480
<v Speaker 3>just kidding. We basically I do reposition the patient multiple times,

537
00:26:36.480 --> 00:26:40.079
<v Speaker 3>but three sixty liposuction is literally just LiPo section all around,

538
00:26:40.559 --> 00:26:43.000
<v Speaker 3>which basically includes the torso. So in the past, you

539
00:26:43.039 --> 00:26:45.279
<v Speaker 3>know patients have a problem area, oh I hate my abdomen,

540
00:26:45.319 --> 00:26:47.440
<v Speaker 3>I hate my flanks, and we would just you know,

541
00:26:47.480 --> 00:26:49.799
<v Speaker 3>the doctors would focus on LiPo section in that area.

542
00:26:49.920 --> 00:26:52.279
<v Speaker 3>But in reality, if you just focus on one area

543
00:26:52.319 --> 00:26:55.839
<v Speaker 3>and ignore the others, then that may sort of look disproportionate,

544
00:26:55.960 --> 00:26:58.720
<v Speaker 3>And if that patient gains weight in the future, then

545
00:26:58.759 --> 00:27:01.759
<v Speaker 3>it gets really dispropos because the area that wasn't addressed

546
00:27:01.799 --> 00:27:04.400
<v Speaker 3>now gets too big relative to the area that was

547
00:27:04.480 --> 00:27:07.839
<v Speaker 3>and things just start looking really weird. So the better

548
00:27:07.880 --> 00:27:10.000
<v Speaker 3>thing to do is just blend these areas together, and

549
00:27:10.039 --> 00:27:12.359
<v Speaker 3>like the ultimate way to do it is to really

550
00:27:12.400 --> 00:27:13.880
<v Speaker 3>just do a three six, to just go all around

551
00:27:13.920 --> 00:27:17.559
<v Speaker 3>the torsu and really contouring everything congruently and evenly, so

552
00:27:17.599 --> 00:27:19.960
<v Speaker 3>that even if weight changes happen in the future, they

553
00:27:19.960 --> 00:27:23.720
<v Speaker 3>happen in a favorable even fashion apposed to focal.

554
00:27:24.759 --> 00:27:28.400
<v Speaker 1>As a relative of my sister, obviously we share the

555
00:27:28.440 --> 00:27:32.039
<v Speaker 1>same genes. Would it be possible for me to use

556
00:27:32.039 --> 00:27:33.559
<v Speaker 1>some of her extra fat in my.

557
00:27:33.559 --> 00:27:38.119
<v Speaker 3>Butt only if you're genetically identical twins. Oh, that's the

558
00:27:38.160 --> 00:27:39.839
<v Speaker 3>only and I have yet to do that case. I

559
00:27:39.880 --> 00:27:42.599
<v Speaker 3>actually came across this is an interesting question that happens

560
00:27:42.599 --> 00:27:44.359
<v Speaker 3>all the time. Whenever you have patients. It's like, oh,

561
00:27:44.359 --> 00:27:46.279
<v Speaker 3>we have to fat crafting, and that the husband or

562
00:27:46.279 --> 00:27:48.640
<v Speaker 3>the sisters always like, can I donate some fat? The

563
00:27:48.720 --> 00:27:51.119
<v Speaker 3>reality is yes you can if you are a genetically

564
00:27:51.160 --> 00:27:52.039
<v Speaker 3>identical twin.

565
00:27:52.240 --> 00:27:55.240
<v Speaker 2>Oh wow, if you're not, the body just rejected.

566
00:27:55.880 --> 00:27:58.759
<v Speaker 3>Yeah, it's like a basically a transplant. And you know,

567
00:27:58.799 --> 00:28:01.279
<v Speaker 3>obviously we're not going to put you on transplant drugs

568
00:28:01.319 --> 00:28:04.079
<v Speaker 3>to keep fat. You know, that's not the purpose of that.

569
00:28:04.119 --> 00:28:06.079
<v Speaker 3>It's too many side effects associated with that, so it's

570
00:28:06.079 --> 00:28:08.920
<v Speaker 3>not even done. It's not a consideration. I did have

571
00:28:08.960 --> 00:28:11.240
<v Speaker 3>a genetically I did have a patient one time that

572
00:28:11.319 --> 00:28:13.359
<v Speaker 3>did not have a little a lot of fat, and

573
00:28:13.400 --> 00:28:15.240
<v Speaker 3>she had very little breast volume. She did not want

574
00:28:15.240 --> 00:28:16.880
<v Speaker 3>an implant. She wanted to do fat grafting to her

575
00:28:16.920 --> 00:28:20.039
<v Speaker 3>breast to increase her volume. And she said, can anybody

576
00:28:20.039 --> 00:28:22.720
<v Speaker 3>donate fat to me? And they said same thing, only

577
00:28:22.720 --> 00:28:24.640
<v Speaker 3>if you jenal I don't gole twin, And she said

578
00:28:24.680 --> 00:28:27.359
<v Speaker 3>I actually do. Oh can we bring her in? I'm

579
00:28:27.400 --> 00:28:30.640
<v Speaker 3>like sure, that would be awesome. You know, let's actually

580
00:28:31.119 --> 00:28:33.640
<v Speaker 3>explore this because I was. I get really excited about it.

581
00:28:33.519 --> 00:28:35.920
<v Speaker 3>It turns out that her sister is also very very thin,

582
00:28:36.240 --> 00:28:38.240
<v Speaker 3>you know. They're also an issue with like not a

583
00:28:38.240 --> 00:28:40.319
<v Speaker 3>lot of fat to donate, so and she's kine and

584
00:28:40.319 --> 00:28:42.079
<v Speaker 3>she wouldn't go for it. She's busy, you know.

585
00:28:42.119 --> 00:28:44.880
<v Speaker 1>So it was kind of just gain some weight gain

586
00:28:44.960 --> 00:28:46.079
<v Speaker 1>like twenty pounds just.

587
00:28:46.119 --> 00:28:48.640
<v Speaker 3>But I was this close to that. Oh, I really

588
00:28:49.519 --> 00:28:50.240
<v Speaker 3>want to do that.

589
00:28:50.599 --> 00:28:53.200
<v Speaker 1>It seems like you really love like a challenge. You

590
00:28:53.359 --> 00:28:58.920
<v Speaker 1>love a new kind of a newer case, like something

591
00:28:58.960 --> 00:29:02.400
<v Speaker 1>you've never seen before. Like what what excites you most

592
00:29:02.440 --> 00:29:05.319
<v Speaker 1>of all about being a h do you like being

593
00:29:05.359 --> 00:29:07.440
<v Speaker 1>called a plastic surgeon? Are you a cosmetic surgeon? What

594
00:29:07.519 --> 00:29:08.400
<v Speaker 1>do you like to be called?

595
00:29:09.119 --> 00:29:12.440
<v Speaker 3>I mean, we graduate with plastic and reconstructive, you know,

596
00:29:12.519 --> 00:29:16.400
<v Speaker 3>and I did an aesthetic plastic surgery fellowship so as

597
00:29:16.559 --> 00:29:19.240
<v Speaker 3>as opposed to cosmetic surgeons. And I know what that

598
00:29:19.279 --> 00:29:21.799
<v Speaker 3>la JOYA cosmetic is cosmetic? You know that that word

599
00:29:21.839 --> 00:29:23.640
<v Speaker 3>though there's a little bit of a stigma. There's a

600
00:29:23.680 --> 00:29:26.720
<v Speaker 3>lot of non surgeons, non plastic surgeons, who do some

601
00:29:26.759 --> 00:29:29.559
<v Speaker 3>sort of a course in something like let's say, breast

602
00:29:29.559 --> 00:29:33.359
<v Speaker 3>augmentation or liposuction or something, and they call themselves cosmetic surgeons,

603
00:29:33.480 --> 00:29:35.039
<v Speaker 3>which is actually a tell tale they're not actually a

604
00:29:35.039 --> 00:29:37.200
<v Speaker 3>plastic surgeon. If you're a plastic surgeon, you call yourself

605
00:29:37.240 --> 00:29:41.079
<v Speaker 3>a plastic surgeon, maybe with an aesthetic fellowship background that

606
00:29:41.160 --> 00:29:43.960
<v Speaker 3>kind of thing. As you know, a cosmetic surgeon typically

607
00:29:44.000 --> 00:29:48.279
<v Speaker 3>implies I'm a doctor who was board certified in something else,

608
00:29:48.319 --> 00:29:50.960
<v Speaker 3>potentially internal medicine or maybe even general surgery. I never

609
00:29:50.960 --> 00:29:55.960
<v Speaker 3>did a plastic surgery fellowship, and you know, and that's

610
00:29:56.039 --> 00:29:58.799
<v Speaker 3>that's so the answer your quest is a very long

611
00:29:58.799 --> 00:29:59.640
<v Speaker 3>answer to your question.

612
00:30:00.559 --> 00:30:05.400
<v Speaker 1>But plussicers, if you were on an airplane and you

613
00:30:05.480 --> 00:30:09.720
<v Speaker 1>were next to somebody who just started choking and like

614
00:30:10.000 --> 00:30:12.519
<v Speaker 1>was was dying on the floor, could you do like

615
00:30:12.519 --> 00:30:15.240
<v Speaker 1>a trickyotomy, like oh my gosh, I was getting so

616
00:30:15.279 --> 00:30:15.720
<v Speaker 1>freaked out.

617
00:30:16.440 --> 00:30:19.759
<v Speaker 3>Well, like, I have a pretty the extensive background. I

618
00:30:19.799 --> 00:30:21.519
<v Speaker 3>did military training in the past.

619
00:30:21.559 --> 00:30:23.319
<v Speaker 1>I was now what is your background?

620
00:30:23.359 --> 00:30:26.880
<v Speaker 3>Talk about that a little bit. Well, I originally graduated

621
00:30:26.880 --> 00:30:29.839
<v Speaker 3>from Chicago for undergrad and then I did medical school

622
00:30:29.839 --> 00:30:34.319
<v Speaker 3>at University of Illinois, and then, as you know at

623
00:30:34.359 --> 00:30:36.920
<v Speaker 3>the time, the Navy paid for that scholarship, So then

624
00:30:36.960 --> 00:30:40.000
<v Speaker 3>I owed the Navy time back. It's called an HPSP program.

625
00:30:40.039 --> 00:30:41.599
<v Speaker 3>It's very popular. There's a lot of doctors that I

626
00:30:41.599 --> 00:30:44.720
<v Speaker 3>know that went through the same program, but we basically

627
00:30:44.720 --> 00:30:49.279
<v Speaker 3>owe them time to give back and do military service,

628
00:30:49.599 --> 00:30:52.599
<v Speaker 3>active duty service. So mine happened to be with the Marines,

629
00:30:52.720 --> 00:30:55.640
<v Speaker 3>and I happened to deploy twice to Iraq, to Ramadi

630
00:30:55.880 --> 00:30:57.759
<v Speaker 3>and five or six oh seven, which was actually a

631
00:30:57.839 --> 00:31:00.519
<v Speaker 3>very busy time and air on bar problem in Ramadi

632
00:31:00.559 --> 00:31:02.599
<v Speaker 3>at the time, So I saw a lot of combat

633
00:31:02.640 --> 00:31:07.359
<v Speaker 3>trauma that I was, you know, handling firsthand. So that's

634
00:31:07.400 --> 00:31:10.319
<v Speaker 3>a lot of experience there. And then afterwards I did

635
00:31:10.319 --> 00:31:15.680
<v Speaker 3>the general surgery and residency in downtown in Chicago, and

636
00:31:16.000 --> 00:31:18.359
<v Speaker 3>we do our trauma training on the South Side of Chicago,

637
00:31:18.400 --> 00:31:20.160
<v Speaker 3>which you may or may not know is also a

638
00:31:20.200 --> 00:31:22.519
<v Speaker 3>pretty busy place when it comes to gun violence and

639
00:31:22.559 --> 00:31:23.160
<v Speaker 3>things like that.

640
00:31:23.400 --> 00:31:26.359
<v Speaker 1>South Side of Chicago. What's the Chicago accent? When we

641
00:31:26.400 --> 00:31:29.200
<v Speaker 1>were trying to do accents the other day, my I

642
00:31:29.279 --> 00:31:33.759
<v Speaker 1>butchered it was it south side of Chicago.

643
00:31:33.920 --> 00:31:35.559
<v Speaker 3>I'm a Polish Chicago I was.

644
00:31:35.640 --> 00:31:37.440
<v Speaker 1>I was saying, where are you originally from? You're not

645
00:31:37.480 --> 00:31:38.440
<v Speaker 1>originally from Chicago.

646
00:31:38.559 --> 00:31:40.519
<v Speaker 3>Was born in Poland. Yes, oh, okay, okay, and here

647
00:31:40.559 --> 00:31:41.480
<v Speaker 3>when I was eleven.

648
00:31:41.640 --> 00:31:44.839
<v Speaker 1>Well, when you were a kid, did you know you

649
00:31:44.880 --> 00:31:48.119
<v Speaker 1>wanted to be a doctor? No, what did you want

650
00:31:48.160 --> 00:31:49.559
<v Speaker 1>to be? You want to be a race card run

651
00:31:49.759 --> 00:31:53.039
<v Speaker 1>Probably you have an affinity for that.

652
00:31:53.240 --> 00:31:56.200
<v Speaker 3>I think I wanted to be a pilot, and I think, yeah,

653
00:31:56.279 --> 00:31:58.079
<v Speaker 3>I think that time that will be my You know

654
00:31:58.119 --> 00:32:00.319
<v Speaker 3>that if if I couldn't do plastic surgery, you told

655
00:32:00.359 --> 00:32:02.319
<v Speaker 3>me I could do anything else in life, probably like

656
00:32:02.359 --> 00:32:05.000
<v Speaker 3>a fighter pilot will be good wow, or a race

657
00:32:05.079 --> 00:32:07.480
<v Speaker 3>car drive will be a close second, I suppose, but

658
00:32:07.640 --> 00:32:10.200
<v Speaker 3>you know fighter pilot is three dimension though it's even better.

659
00:32:10.920 --> 00:32:14.119
<v Speaker 1>Well, I'm just curious. You don't have to I don't

660
00:32:14.160 --> 00:32:15.799
<v Speaker 1>know what did you drive here today?

661
00:32:16.079 --> 00:32:20.839
<v Speaker 3>It's just a little modest lotus I know.

662
00:32:21.519 --> 00:32:23.799
<v Speaker 1>Oh my gosh, I love your Instagram because then you

663
00:32:24.160 --> 00:32:27.240
<v Speaker 1>have kids and they're in the back. Is there a

664
00:32:27.279 --> 00:32:29.680
<v Speaker 1>backseat in that one?

665
00:32:29.680 --> 00:32:31.440
<v Speaker 3>There is? Yeah. You can fit a four year old

666
00:32:31.440 --> 00:32:32.920
<v Speaker 3>in an eight year old very comfortably in that.

667
00:32:33.759 --> 00:32:36.319
<v Speaker 1>Okay, Now, what's BBL exactly? So?

668
00:32:36.400 --> 00:32:39.200
<v Speaker 3>BBL is a Brazilian butt lift. It's just basically a

669
00:32:39.359 --> 00:32:42.480
<v Speaker 3>kind of an acronym for you know, three sixty LiPo

670
00:32:42.599 --> 00:32:45.759
<v Speaker 3>in general, and then fat transfer to the buttock.

671
00:32:46.160 --> 00:32:49.920
<v Speaker 1>Now do you do like actual button plants where you

672
00:32:49.960 --> 00:32:52.359
<v Speaker 1>put an implant like this in a butt cheek?

673
00:32:52.480 --> 00:32:54.720
<v Speaker 3>I know how to do it. I would not recommend it,

674
00:32:55.200 --> 00:32:55.519
<v Speaker 3>I know.

675
00:32:55.599 --> 00:32:57.920
<v Speaker 1>Any do you any recommend that.

676
00:32:58.680 --> 00:33:01.200
<v Speaker 3>There's a few surgeons that do it. I know one

677
00:33:01.200 --> 00:33:03.519
<v Speaker 3>person like that I trained with and he has pretty

678
00:33:03.519 --> 00:33:05.599
<v Speaker 3>good success. But it's usually for patients who really don't

679
00:33:05.640 --> 00:33:07.039
<v Speaker 3>have a lot of fat on their own. They're really

680
00:33:07.640 --> 00:33:09.279
<v Speaker 3>you know, looking for other options, and this is sort

681
00:33:09.279 --> 00:33:12.440
<v Speaker 3>of the only other option to add volume. Those implants

682
00:33:12.440 --> 00:33:15.640
<v Speaker 3>tend to have very high complication rates, especially in the

683
00:33:15.640 --> 00:33:17.599
<v Speaker 3>long run, because you sit on them all the time.

684
00:33:17.640 --> 00:33:21.160
<v Speaker 3>They do get misplaced, mispositioned, male positioned, and they can

685
00:33:21.200 --> 00:33:23.480
<v Speaker 3>become painful. They can flip that space that they live in,

686
00:33:23.519 --> 00:33:27.720
<v Speaker 3>can be you know, stretch and extend, and I think

687
00:33:27.759 --> 00:33:29.960
<v Speaker 3>in the long run they run into like sixty seventy

688
00:33:30.000 --> 00:33:32.640
<v Speaker 3>percent complication rates and eventually they have to be removed.

689
00:33:32.680 --> 00:33:35.359
<v Speaker 3>So they're also not forever, and then you're dealing with

690
00:33:35.599 --> 00:33:37.359
<v Speaker 3>kind of a deflated buttock again with a little bit

691
00:33:37.400 --> 00:33:39.519
<v Speaker 3>of extra skin that grow around it, and it's even worse.

692
00:33:39.640 --> 00:33:44.039
<v Speaker 2>Yeah, have a friend and he could flip the implant

693
00:33:44.720 --> 00:33:48.599
<v Speaker 2>in his Oh boy, right, oh boy, just reach up

694
00:33:48.640 --> 00:33:50.599
<v Speaker 2>and flip it. And I was all, well, I don't

695
00:33:50.640 --> 00:33:51.640
<v Speaker 2>think that's supposed to happen.

696
00:33:51.759 --> 00:33:52.240
<v Speaker 1>I don't think.

697
00:33:52.680 --> 00:33:55.680
<v Speaker 3>Oh my gosh, that's not an uncommon Oh wow.

698
00:33:55.640 --> 00:33:58.480
<v Speaker 1>That is so what is an average day for you?

699
00:33:58.519 --> 00:34:00.839
<v Speaker 1>Do you like tomorrow? What do you got going on?

700
00:34:01.920 --> 00:34:04.400
<v Speaker 3>Surgeries are so funny. You should say that I do

701
00:34:04.519 --> 00:34:07.079
<v Speaker 3>have a three sixty light bow and fat transfer case,

702
00:34:07.160 --> 00:34:09.039
<v Speaker 3>and then I have an ex plant case as well.

703
00:34:09.239 --> 00:34:11.239
<v Speaker 3>Oh so when they remove a set of implants in

704
00:34:11.280 --> 00:34:13.280
<v Speaker 3>the patient and we are going to just let the

705
00:34:13.400 --> 00:34:15.840
<v Speaker 3>natural she's a little bit younger, she didn't have implants

706
00:34:15.840 --> 00:34:17.440
<v Speaker 3>for a very long time, so we're gonna go ahead

707
00:34:17.480 --> 00:34:19.679
<v Speaker 3>and let her tissue resettle. A lot of times the

708
00:34:19.719 --> 00:34:21.960
<v Speaker 3>decision is made like if somebody's thinking about having kids

709
00:34:21.960 --> 00:34:23.559
<v Speaker 3>in the future, they want a breastfeed, we don't want

710
00:34:23.559 --> 00:34:25.320
<v Speaker 3>to put any additional decisions on the breast, so we

711
00:34:25.360 --> 00:34:26.960
<v Speaker 3>allow the shape to just kind of go back to

712
00:34:27.480 --> 00:34:31.039
<v Speaker 3>what it's going to be without any surgical oh something.

713
00:34:31.079 --> 00:34:33.320
<v Speaker 1>My sister said that I'm interested in, now, how you're

714
00:34:33.360 --> 00:34:36.199
<v Speaker 1>going to fix now? She's probably this. She might be

715
00:34:36.320 --> 00:34:39.440
<v Speaker 1>mad at me for bringing up but she said, along

716
00:34:39.519 --> 00:34:41.599
<v Speaker 1>with some of the other things that have happened to

717
00:34:41.679 --> 00:34:47.719
<v Speaker 1>her breast, her areolas have gotten bigger. And now how

718
00:34:47.760 --> 00:34:50.719
<v Speaker 1>do you I mean you just how do you fix that?

719
00:34:50.719 --> 00:34:53.639
<v Speaker 3>That's the easy part really, So there's templates we use

720
00:34:53.679 --> 00:34:56.760
<v Speaker 3>for that. So basically, okay, like a circle that I

721
00:34:56.800 --> 00:34:58.519
<v Speaker 3>hate to use the word cookie cutter, but that's what

722
00:34:58.559 --> 00:35:02.400
<v Speaker 3>they call them. Me. Yeah, but you know, when we

723
00:35:02.480 --> 00:35:04.800
<v Speaker 3>rearrange the entire breast to do a lift, we basically

724
00:35:04.840 --> 00:35:07.679
<v Speaker 3>make certain incisions, and one of the incisions is around

725
00:35:08.000 --> 00:35:11.199
<v Speaker 3>the areola, and it's a skin deep incision. We don't

726
00:35:11.239 --> 00:35:13.199
<v Speaker 3>remove the areola, we leave it attached to the blood

727
00:35:13.239 --> 00:35:15.039
<v Speaker 3>supply and the nerve supply, but we cut the skin

728
00:35:15.079 --> 00:35:17.400
<v Speaker 3>around it, and that gives us the opportunity to choose

729
00:35:17.440 --> 00:35:22.119
<v Speaker 3>the exact size. And then we make additional skin incisions,

730
00:35:22.159 --> 00:35:25.679
<v Speaker 3>re arrange the tissue, and then we put the areola

731
00:35:25.719 --> 00:35:27.800
<v Speaker 3>in a place where we want it to be. Usually

732
00:35:27.800 --> 00:35:30.679
<v Speaker 3>it's a little higher, and we saw the skin back

733
00:35:30.679 --> 00:35:33.360
<v Speaker 3>around it again. But again that intervention allows us to

734
00:35:33.440 --> 00:35:34.920
<v Speaker 3>just choose the size of the area.

735
00:35:35.440 --> 00:35:37.920
<v Speaker 1>What would you say to somebody who's watching or listening

736
00:35:38.000 --> 00:35:43.119
<v Speaker 1>right now, who is who wants to get something done,

737
00:35:43.199 --> 00:35:49.000
<v Speaker 1>whether it be bigger breasts, smaller breasts, light bulb, but

738
00:35:49.199 --> 00:35:52.440
<v Speaker 1>is having trouble making that next step. What do you

739
00:35:52.480 --> 00:35:53.639
<v Speaker 1>say to somebody like.

740
00:35:55.800 --> 00:35:57.559
<v Speaker 3>Hard to answer your question, I suppose to your research,

741
00:35:57.559 --> 00:36:00.960
<v Speaker 3>see what's available and see what your goals are. Yeah,

742
00:36:01.159 --> 00:36:03.199
<v Speaker 3>you know, the BBL has a lot of stigma. So

743
00:36:04.400 --> 00:36:05.960
<v Speaker 3>that's kind of kind of a good example to answer

744
00:36:06.000 --> 00:36:07.679
<v Speaker 3>these questions because a lot of patients have this sort

745
00:36:07.679 --> 00:36:09.559
<v Speaker 3>of stigmatized you know, when you talk about Brazilian but

746
00:36:09.679 --> 00:36:12.679
<v Speaker 3>lift everybody immediate things of Kim Kardashian and the fact

747
00:36:12.760 --> 00:36:15.119
<v Speaker 3>that she has a lot of volume down there and

748
00:36:15.159 --> 00:36:16.719
<v Speaker 3>nobody really wants to look like that.

749
00:36:17.599 --> 00:36:19.639
<v Speaker 1>Why does that is that for her own fat? Like?

750
00:36:19.679 --> 00:36:21.519
<v Speaker 1>How did she get a body like that? Is that?

751
00:36:21.800 --> 00:36:23.559
<v Speaker 3>Yeah? I don't know the details behind her surgery, but

752
00:36:23.599 --> 00:36:26.079
<v Speaker 3>I think there is more than just her fat in there.

753
00:36:26.159 --> 00:36:30.039
<v Speaker 3>There's there's other fillers that are astronomically expensive for the

754
00:36:30.079 --> 00:36:33.039
<v Speaker 3>common folk. But maybe she can afford them, you know,

755
00:36:34.559 --> 00:36:38.960
<v Speaker 3>but in those quantities especially, But she is a little

756
00:36:38.960 --> 00:36:41.920
<v Speaker 3>bit on the exaggerated side. If you ask me, which

757
00:36:41.960 --> 00:36:44.199
<v Speaker 3>is you know, that's what she was going for, then

758
00:36:44.239 --> 00:36:46.639
<v Speaker 3>that's okay. Most patients don't want to look like that.

759
00:36:46.719 --> 00:36:48.360
<v Speaker 3>In fact, whenever I do a BBL, one of the

760
00:36:48.519 --> 00:36:51.320
<v Speaker 3>opening lines the patients say is like, I'm thinking about

761
00:36:51.320 --> 00:36:53.480
<v Speaker 3>putting fat into my body, but I don't want to

762
00:36:53.519 --> 00:36:56.280
<v Speaker 3>look like Kim Kardashian. I don't want to look overdone.

763
00:36:56.639 --> 00:37:00.000
<v Speaker 3>And that's perfect because usually that's that's exactly the focus is.

764
00:37:00.079 --> 00:37:01.719
<v Speaker 3>What we want to do is just restore youth. We

765
00:37:01.760 --> 00:37:03.960
<v Speaker 3>want to take you back to what you look like

766
00:37:04.639 --> 00:37:07.159
<v Speaker 3>in your twenties and stuff, when volume was in the

767
00:37:07.239 --> 00:37:10.199
<v Speaker 3>right places and not in the wrong places. Right, and

768
00:37:10.239 --> 00:37:12.039
<v Speaker 3>that's the whole point of about three sixty light. But

769
00:37:12.159 --> 00:37:14.199
<v Speaker 3>we borrow from where we don't want the fat, and

770
00:37:14.239 --> 00:37:16.480
<v Speaker 3>we put it into places where we do want the fat.

771
00:37:16.679 --> 00:37:18.719
<v Speaker 3>And the bonus of that is you don't only look

772
00:37:18.760 --> 00:37:22.079
<v Speaker 3>better immediately after that surgery, but you age more gracefully

773
00:37:22.400 --> 00:37:25.639
<v Speaker 3>because as your weight changes ten twenty thirty years later,

774
00:37:25.679 --> 00:37:28.719
<v Speaker 3>you will gain proportionately less in these problem areas where

775
00:37:28.719 --> 00:37:31.320
<v Speaker 3>we took fat from, and you're going to gain proportionately

776
00:37:31.360 --> 00:37:33.639
<v Speaker 3>more in the area where we actually added that.

777
00:37:34.039 --> 00:37:38.360
<v Speaker 1>Nice so you gain weight in your tatas and you're ready.

778
00:37:39.639 --> 00:37:43.280
<v Speaker 2>I have a question for you, speaking of the Kardashians.

779
00:37:43.719 --> 00:37:47.559
<v Speaker 2>There's been a lot of talk lately about Lindsay Lohan,

780
00:37:47.719 --> 00:37:52.800
<v Speaker 2>Brad Pitt, the Mom, Chris Janner getting a type of

781
00:37:53.280 --> 00:37:56.559
<v Speaker 2>facelift that I mean, they all look great.

782
00:37:56.679 --> 00:38:00.280
<v Speaker 3>When do you know what that's I don't. There's a

783
00:38:00.320 --> 00:38:02.239
<v Speaker 3>lot of speculation on it. I haven't really I don't

784
00:38:02.280 --> 00:38:04.679
<v Speaker 3>follow celebrities nearly as much as I should, I suppose

785
00:38:04.719 --> 00:38:08.639
<v Speaker 3>in my profession, But I think a ponytail lift is

786
00:38:08.719 --> 00:38:14.039
<v Speaker 3>one of the terms which I've never done. I know

787
00:38:14.079 --> 00:38:15.719
<v Speaker 3>it just has to do with the fact that we're

788
00:38:15.760 --> 00:38:19.159
<v Speaker 3>sort of pulling towards the back in every direction. I'm

789
00:38:19.159 --> 00:38:21.280
<v Speaker 3>not a good person to describe it. It's not something

790
00:38:21.320 --> 00:38:24.159
<v Speaker 3>that I've seen like one or two descriptions of it before,

791
00:38:24.199 --> 00:38:28.400
<v Speaker 3>but I've never actually seen it done. Or Yeah, I'm

792
00:38:28.440 --> 00:38:31.480
<v Speaker 3>sure there's pros and cons to that, So it's it's

793
00:38:31.519 --> 00:38:36.440
<v Speaker 3>not everything is not without you know, pros and cons.

794
00:38:36.480 --> 00:38:39.280
<v Speaker 3>A contact correct, So I mean, there may be a

795
00:38:39.280 --> 00:38:41.760
<v Speaker 3>scar placement. There's a little bit different than Reagin. Maybe

796
00:38:41.800 --> 00:38:44.559
<v Speaker 3>it's the longevity is different. It's there's a lot of

797
00:38:44.840 --> 00:38:46.000
<v Speaker 3>nuances that go into that.

798
00:38:46.079 --> 00:38:47.400
<v Speaker 2>They just sleep with their eyes open.

799
00:38:47.440 --> 00:38:54.199
<v Speaker 3>Now our last feelings, But I don't know. I mean

800
00:38:54.239 --> 00:38:57.519
<v Speaker 3>I shouldn't speak to that. Again, I'm not I'm not

801
00:38:57.559 --> 00:38:58.639
<v Speaker 3>an expert on that one.

802
00:38:59.159 --> 00:39:02.880
<v Speaker 1>Your very favorite? What is your favorite surgery to do? Period?

803
00:39:03.280 --> 00:39:06.519
<v Speaker 3>I don't know if I have one. I think I

804
00:39:06.679 --> 00:39:08.719
<v Speaker 3>just I think their variety is important.

805
00:39:08.800 --> 00:39:10.679
<v Speaker 1>It seems like you like a challenge to a little

806
00:39:10.679 --> 00:39:13.800
<v Speaker 1>bit of like a because to see it like an outcome,

807
00:39:13.880 --> 00:39:17.039
<v Speaker 1>like yeah, to see somebody go from this to that.

808
00:39:17.239 --> 00:39:19.280
<v Speaker 3>I think the bottom lines, I really like happy patients

809
00:39:19.280 --> 00:39:22.000
<v Speaker 3>in the end, and that's what I liked about, you know,

810
00:39:22.039 --> 00:39:24.679
<v Speaker 3>the explants and if there's patients who come really frustrated

811
00:39:24.719 --> 00:39:26.360
<v Speaker 3>with like I'm on my fifth set of implants, I

812
00:39:26.440 --> 00:39:29.360
<v Speaker 3>keep getting a capsule contractor at multiple surgeries, blah blah blah,

813
00:39:29.440 --> 00:39:32.519
<v Speaker 3>and then like, you know, how can we stop this cycle?

814
00:39:32.840 --> 00:39:34.960
<v Speaker 3>And then you remove the implant, you rearrange the tissue

815
00:39:34.960 --> 00:39:37.800
<v Speaker 3>and it's smaller, but it's a nice, youthful contour. They're

816
00:39:37.800 --> 00:39:40.920
<v Speaker 3>more comfortable, their scars are gone, and they can breathe better,

817
00:39:41.000 --> 00:39:43.960
<v Speaker 3>they can relax their shoulders, and they go back to

818
00:39:44.000 --> 00:39:47.880
<v Speaker 3>their favorite sports. They're like athletically much more comfortable, you know,

819
00:39:47.960 --> 00:39:50.760
<v Speaker 3>doing push ups and upper body and it's it's just

820
00:39:50.760 --> 00:39:52.360
<v Speaker 3>like thank you for giving me my life back. That's

821
00:39:52.440 --> 00:39:53.559
<v Speaker 3>not an uncommon scenario.

822
00:39:54.639 --> 00:39:59.159
<v Speaker 1>And I want to say thank you for giving me

823
00:40:00.199 --> 00:40:03.920
<v Speaker 1>my confidence back and for giving me a whole new

824
00:40:04.000 --> 00:40:07.440
<v Speaker 1>outlook on life. I know it sounds kind of strange

825
00:40:07.440 --> 00:40:10.599
<v Speaker 1>thing that just from a breast augmentation, but it's so

826
00:40:10.679 --> 00:40:15.039
<v Speaker 1>much more than that. It just it has changed my

827
00:40:15.159 --> 00:40:19.360
<v Speaker 1>life in such in such a great way. And literally

828
00:40:20.159 --> 00:40:22.800
<v Speaker 1>two days after surgery. I know this is probably not

829
00:40:22.880 --> 00:40:25.119
<v Speaker 1>what you want to hear, but I was at a

830
00:40:25.119 --> 00:40:27.519
<v Speaker 1>piano bar and I mean, I don't drink, but I

831
00:40:27.599 --> 00:40:29.719
<v Speaker 1>was like living it up and I was dancing. I

832
00:40:29.760 --> 00:40:34.440
<v Speaker 1>mean I felt I feel like I maybe I'm a

833
00:40:34.440 --> 00:40:41.079
<v Speaker 1>freak case, but I the recovery was next to nothing

834
00:40:41.639 --> 00:40:45.480
<v Speaker 1>in my experience. It was just everything was great. And

835
00:40:46.679 --> 00:40:51.440
<v Speaker 1>I owe it to you and your expertise obviously, and

836
00:40:51.639 --> 00:40:52.519
<v Speaker 1>thank you for that.

837
00:40:52.880 --> 00:40:53.119
<v Speaker 3>Well.

838
00:40:53.599 --> 00:40:56.159
<v Speaker 1>I've been wanting these for a very long time, very

839
00:40:56.239 --> 00:40:58.800
<v Speaker 1>in my whole life. I've been very insecure about this

840
00:40:58.880 --> 00:41:02.199
<v Speaker 1>part of my body and it just really, really.

841
00:41:02.519 --> 00:41:04.840
<v Speaker 3>And honestly, that's the best way to use. You know,

842
00:41:04.840 --> 00:41:07.119
<v Speaker 3>if you think about it, the only way to significantly

843
00:41:07.239 --> 00:41:09.400
<v Speaker 3>increase the volume of a breast is with an implant.

844
00:41:09.440 --> 00:41:11.880
<v Speaker 3>There's nothing else out there. We can do fat grafting,

845
00:41:11.920 --> 00:41:14.960
<v Speaker 3>but that's not it doesn't nearly increase it as much,

846
00:41:15.000 --> 00:41:17.559
<v Speaker 3>and there's huge other limitations to fat grafting, like how

847
00:41:17.599 --> 00:41:19.039
<v Speaker 3>much fact you have and how much tissue there is

848
00:41:19.079 --> 00:41:21.800
<v Speaker 3>to graft into. So bottom line, the implant is sort

849
00:41:21.840 --> 00:41:23.760
<v Speaker 3>of the only option for that result. And as long

850
00:41:23.800 --> 00:41:25.800
<v Speaker 3>as we know what sort of what we're getting into

851
00:41:25.840 --> 00:41:27.800
<v Speaker 3>the long term goes, you know, they're not forever. You

852
00:41:27.880 --> 00:41:31.599
<v Speaker 3>might have to another surgery or you know, the I

853
00:41:31.639 --> 00:41:34.760
<v Speaker 3>think we had a conversation about, you know, going a

854
00:41:34.760 --> 00:41:38.320
<v Speaker 3>little bit on the smaller side just exactly, and this

855
00:41:38.400 --> 00:41:40.800
<v Speaker 3>is exactly what your recovery was, a little bit on

856
00:41:40.840 --> 00:41:43.679
<v Speaker 3>the easier side. And also patients who enjoy the implants

857
00:41:43.719 --> 00:41:46.039
<v Speaker 3>the longest tend to go a little smaller because the

858
00:41:46.039 --> 00:41:48.679
<v Speaker 3>more weight you have to carry around. Sure it may

859
00:41:48.719 --> 00:41:51.840
<v Speaker 3>be a huge bang effect for a couple months or years,

860
00:41:51.880 --> 00:41:54.119
<v Speaker 3>but eventually those are the patients that come back sooner

861
00:41:54.159 --> 00:41:56.800
<v Speaker 3>because that weight takes a toll on their bodies much

862
00:41:56.840 --> 00:41:59.039
<v Speaker 3>sooner than patients who go a little bit more modest,

863
00:41:59.159 --> 00:42:02.760
<v Speaker 3>smaller augmentation. Those are much more longer lasting results. So

864
00:42:02.760 --> 00:42:05.840
<v Speaker 3>I'm glad we had that conversation and I think that's.

865
00:42:05.960 --> 00:42:08.000
<v Speaker 1>Yeah, we talked a lot about and that's what I

866
00:42:08.039 --> 00:42:11.239
<v Speaker 1>really appreciated too. He you take a lot of time

867
00:42:11.280 --> 00:42:15.320
<v Speaker 1>with your patients, and that that's uh, you don't have

868
00:42:15.360 --> 00:42:17.280
<v Speaker 1>a whole lot of time. I mean, you've got surgeries

869
00:42:17.360 --> 00:42:19.639
<v Speaker 1>to do, You've got you spent so much time with

870
00:42:19.639 --> 00:42:22.119
<v Speaker 1>my sister. I just it means a lot to me

871
00:42:22.320 --> 00:42:24.960
<v Speaker 1>that you and it's not just my sister, you do

872
00:42:25.039 --> 00:42:26.639
<v Speaker 1>that with every single person.

873
00:42:26.719 --> 00:42:29.119
<v Speaker 3>We schedule every consultation for about an hour and a

874
00:42:29.159 --> 00:42:31.880
<v Speaker 3>half and we frequently go over and it's just because

875
00:42:31.920 --> 00:42:34.519
<v Speaker 3>that we that's just how long it takes for us

876
00:42:34.519 --> 00:42:37.480
<v Speaker 3>to really arrive at you know, to to inform the

877
00:42:37.519 --> 00:42:40.960
<v Speaker 3>patient fully and to have her go through the nuances

878
00:42:41.000 --> 00:42:43.280
<v Speaker 3>of what are my options, what are my long term goals?

879
00:42:43.559 --> 00:42:44.760
<v Speaker 3>It just takes a little bit of time.

880
00:42:45.320 --> 00:42:48.800
<v Speaker 1>I haven't seen her smile like that in a while, honestly.

881
00:42:48.920 --> 00:42:51.920
<v Speaker 1>When she walked out and I had to rush to

882
00:42:51.920 --> 00:42:53.679
<v Speaker 1>work and she had to go, but she was like,

883
00:42:54.000 --> 00:42:57.360
<v Speaker 1>She's like, oh my gosh, I think I'm I'm going

884
00:42:57.440 --> 00:42:59.360
<v Speaker 1>to do this thing that I never thought I never

885
00:42:59.400 --> 00:43:02.639
<v Speaker 1>thought was possible using my own my own tissue and

886
00:43:03.519 --> 00:43:05.559
<v Speaker 1>my life is going to change and I'm going to

887
00:43:05.639 --> 00:43:09.360
<v Speaker 1>feel so much better. And she just just her whole

888
00:43:09.760 --> 00:43:13.679
<v Speaker 1>face lit up, and that's just it's magical. So thank you,

889
00:43:13.840 --> 00:43:16.199
<v Speaker 1>and thanks to La Joya Cosmetic Surgery Center.

890
00:43:16.239 --> 00:43:17.719
<v Speaker 2>And you guys are awesome.

891
00:43:17.599 --> 00:43:18.519
<v Speaker 1>Really the best.

892
00:43:19.000 --> 00:43:20.800
<v Speaker 3>Thank you for your kind words. Oh my gosh.

893
00:43:20.880 --> 00:43:22.679
<v Speaker 1>And if there's anything else you're going to say to

894
00:43:22.679 --> 00:43:26.800
<v Speaker 1>anybody who's I don't know, thinking about doing something like that,

895
00:43:27.000 --> 00:43:29.400
<v Speaker 1>I mean, I don't know, just go for it, I guess.

896
00:43:29.559 --> 00:43:32.920
<v Speaker 1>Or get a schedule, consultation.

897
00:43:32.599 --> 00:43:36.159
<v Speaker 3>Yeah, I suppose. Yeah, do your research, see what's available,

898
00:43:36.199 --> 00:43:38.880
<v Speaker 3>see what's out there, talking more than one doctor, you know, like,

899
00:43:38.920 --> 00:43:41.519
<v Speaker 3>get a consultation, get a second opinion, get a third opinion.

900
00:43:41.519 --> 00:43:45.039
<v Speaker 3>This is elective surgery. You should be really comfortable going

901
00:43:45.079 --> 00:43:48.280
<v Speaker 3>into this. And if you see three or four surgeons

902
00:43:48.280 --> 00:43:50.199
<v Speaker 3>that basically kind of have a similar plan and it's

903
00:43:50.239 --> 00:43:52.599
<v Speaker 3>congruent with your goals, then that's probably the right option.

904
00:43:53.000 --> 00:43:57.320
<v Speaker 1>You only need to see one right here, right, the

905
00:43:57.360 --> 00:44:00.840
<v Speaker 1>only one. Well, doctor Swiston, and thank you so much

906
00:44:00.880 --> 00:44:03.239
<v Speaker 1>for being here with us, and thank you so much

907
00:44:03.280 --> 00:44:06.639
<v Speaker 1>for helping my sister. She means the world to me

908
00:44:06.760 --> 00:44:11.480
<v Speaker 1>and I'm so happy to see her getting better instead

909
00:44:11.480 --> 00:44:15.239
<v Speaker 1>of getting going downhill, she's going uphill now and it

910
00:44:15.320 --> 00:44:18.880
<v Speaker 1>makes it's gonna make my mom like so incredibly I'll

911
00:44:18.960 --> 00:44:20.400
<v Speaker 1>be so thank you.

912
00:44:20.599 --> 00:44:23.000
<v Speaker 3>Thank you so much, thank you for having me. I'm

913
00:44:23.039 --> 00:44:25.119
<v Speaker 3>confident she'll have a nice result because you know, she's

914
00:44:25.159 --> 00:44:28.400
<v Speaker 3>got an obvious concern that is as a very obvious solution,

915
00:44:28.559 --> 00:44:30.639
<v Speaker 3>So that alone will help her feel much better. And

916
00:44:30.679 --> 00:44:32.840
<v Speaker 3>then I think, if she's like the best majority of

917
00:44:32.840 --> 00:44:36.519
<v Speaker 3>my patients, there's going to be other other things that

918
00:44:36.559 --> 00:44:39.920
<v Speaker 3>she will see sort of improve or maybe even evaporate.

919
00:44:40.199 --> 00:44:43.360
<v Speaker 1>That's awesome, I know. And thank you for bringing in

920
00:44:43.400 --> 00:44:45.880
<v Speaker 1>the play to wife for Eric, now help me out

921
00:44:45.920 --> 00:44:46.360
<v Speaker 1>of trouble.

922
00:44:46.440 --> 00:44:50.719
<v Speaker 3>For we leave that with you for a little longer.

923
00:44:53.320 --> 00:44:55.159
<v Speaker 2>I'll be like a cat batting it around in the

924
00:44:55.199 --> 00:44:57.519
<v Speaker 2>living room.

925
00:44:57.599 --> 00:44:59.440
<v Speaker 1>Okay, So there's something we say at the end of

926
00:44:59.440 --> 00:45:02.039
<v Speaker 1>our podcast, and I'll say it first, then then you

927
00:45:02.079 --> 00:45:04.800
<v Speaker 1>say it, and then Eric saysn't and then we're done. Okay, Okay,

928
00:45:05.039 --> 00:45:07.199
<v Speaker 1>So anyway, not this part, But thank you guys so

929
00:45:07.280 --> 00:45:10.280
<v Speaker 1>much for tuning in and watching us live and watching

930
00:45:10.320 --> 00:45:12.360
<v Speaker 1>us after the fact and listening to us. It really

931
00:45:12.400 --> 00:45:14.719
<v Speaker 1>means a lot to us that you that you care

932
00:45:15.079 --> 00:45:17.360
<v Speaker 1>enough to listen and watch and everything, So thank you

933
00:45:17.960 --> 00:45:20.239
<v Speaker 1>and love your podcast.

934
00:45:21.039 --> 00:45:23.880
<v Speaker 2>Love your podcast, Love your podcast.

935
00:45:24.639 --> 00:45:27.800
<v Speaker 1>I love you, my sweet babies. Bye, thank you guys.

936
00:45:28.239 --> 00:45:28.400
<v Speaker 1>Ah