Hollywood’s Facelift Secrets Revealed | Dr. Marc Mani on Beauty, Fillers & Aging at Midlife

Full Transcript

https://www.youtube.com/watch?v=Z-ripkNlQ34

[00:00] What is the ideal age to have a facelift?
[00:03] It's a good question, but everybody's different.
[00:04] So, saying, "What's the ideal age?" is very similar to asking, "How old should my home be before I start renovating it?"
[00:11] You're looking at me.
[00:12] It's not going to hurt my feelings.
[00:15] What would you suggest?
[00:16] I can tell people to sleep on their back when they come in.
[00:18] Like, you look younger.
[00:20] Yeah.
[00:22] You can age gracefully and still have well done surgery.
[00:23] So, who is not a good candidate for a facelift?
[00:26] Someone that's not at an ideal weight.
[00:28] Someone that's not psychologically healthy that they, you know, you can tell they're addicted, someone that's had too much done.
[00:37] But as a man, do you feel any sort of pressure to look a certain way, especially like being in midlife, you know?
[00:43] Yeah. We let them know the price range because my fees are are higher than the typical fee and most people understand that.
[00:47] You get what you pay for and it's your face.
[00:48] I think the future of beauty is uh spirituality.
[00:51] You know, I'm good at correcting the external things, but it's more important to develop the inner beauty first and and make sure that that's there.
[01:04] Today's guest is one of the most sought-after facial plastic surgeons in the world.
[01:10] And if you've ever looked in the mirror and wondered, is it too early or too late?
[01:14] This conversation is for you.
[01:16] Dr. Dr. Mark Monty is Beverly Hillsbased, board-certified plastic surgeon known globally for his artistry, precision, and the kind of natural results that don't scream, "I had work done."
[01:26] They whisper, "I woke up like this."
[01:28] He's performed thousands of facelifts, written extensively about beauty, aging, and aesthetics, and developed techniques that are now considered gold standard in modern facial surgery.
[01:38] In this episode, we talk about what actually makes a great facelift today.
[01:42] the difference between the old school wind tunnel look and the refined work we see now.
[01:47] What to know before you consider surgery and why some of the most common beauty trends might actually be working against you.
[01:54] We also talk about timing, identity, and the fine line between wanting to look refreshed and still look like yourself.
[02:00] If you're curious about what's possible and what's smart when it comes to facial surgery and midlife, this is the episode.
[02:05] surgery and midlife, this is the episode to listen to.
[02:08] Follow at the iconic midlife and red carpet Roxy on social media and send this one to your friend who's been screenshotting jaw lines and secret.
[02:18] Welcome to the iconic midlife. We're so excited to have you here.
[02:20] Thank you. Thanks for having me.
[02:22] Thank you. How's your day going?
[02:23] It's good. We're We're very busy. We're kind of harried, but it worked out well.
[02:29] Good over here.
[02:32] Good. I know you are quite the in demand plastic surgeon and you know I've been getting so many DMs. so many messages from my followers, from my listeners, and they want to know more about plastic surgery interventions and especially facelifts.
[02:47] So, thank you so much for coming and sharing your knowledge.
[02:50] Um, I know that you're really known for subtle and very just elegant work, not, you know, loud and and so obvious.
[02:58] So, what has changed in the last 10 years as it relates to like facial plastic surgery, faceelifts? what what has been changing?
[03:08] Facelifts? What what has been changing?
[03:09] Well, you know, the typical answer people will give or surgeons will give is that we're making things look more natural.
[03:15] But that's sort of the art of plastic surgery is, you know, I've always been an artist.
[03:18] I've been a portrait artist all my life since I was a kid.
[03:22] And I think knowing what looks normal is a lot of part of being a a good plastic surgeon.
[03:28] And so, uh, but the real answer to your question is the things that have changed, especially lately, are that people are getting tired of fillers.
[03:35] Um, I'm sort of very anti-filler.
[03:37] I don't like hyaluronic acid filler.
[03:39] Um, you know, the companies don't like it when you say that, but I think what's happening lately is they're starting to realize that they block lymphatic channels and just don't look as natural where well done facial rejuvenation surgery can look very natural.
[03:53] So, the things that have changed are really two things.
[03:54] Number one, deep plane surgery has become more popular, which I mean I think most people have heard of because it's been popularized by myself and some other surgeons.
[04:03] The deep plane is the plane that gravity acts on.
[04:06] So you're just sort of anatomically reversing what's happened.
[04:06] And then the other thing that
[04:08] happened.
[04:10] And then the other thing that I've been proud to be a leader in is I've been proud to be a leader in is endoscopic work where you don't have a scar in front of the ear or anywhere inside the ear here.
[04:13] And so that's, you know, something that I've developed, started doing and uh and have been on the forefront of that and it's great because that's a stigma of a facelift having that scar.
[04:25] Absolutely. And I'm so glad you're bringing up deep plain facelifts because I feel like that is all the rage right now, you know.
[04:33] So, how does a deep plane facelift differ from like maybe the traditional facelifts that we've seen?
[04:37] I mean, is it also called kind of the ponytail facelift where it's
[04:41] Yes. Okay. So, that a ponytail facelift is a term that's trademarked by another surgeon, Dr. Chachi Ko in Santa Monica.
[04:52] So, you know, using that term if you're not doing his procedure or even if you are is sort of, you know, a violation of his trademark.
[04:58] I know Chachi. I I love him. He's a brilliant surgeon. and we have maybe a different style, but we're both we're the two surgeons in the United States that are doing scarless work and we're teaching other people now.
[05:07] And um so so that's you know I
[05:10] And um so so that's you know I don't call mine that you know because don't call mine that you know because it's that's what he he calls I call mine scarless lift and I've also trademarked that.
[05:18] Um and so basically that particularly pertains to an endoscopic procedure without a scar.
[05:22] So, but in general it and and in my case, it's a deep plane lift without a scar.
[05:27] And I was the first surgeon to actually do a full deep plane lift without without a scar endoscopically.
[05:33] But a deep plane lift is sort of what I was getting into earlier, which is that it reverses what gravity has done.
[05:36] You know, any physical force acts along the path of least resistance.
[05:40] So, gravity is going to act along the tissue plane where things are kind of loose.
[05:45] You know, your face by design has to be loose so you can talk and eat and things like that.
[05:50] So in order to really reverse it and take the clock back to where you were, you don't want to fill, you don't want to lift the skin and peel the skin off like, you know, surgeons used to do.
[05:58] You want to get into the deep plane, release all the ligaments and all the way up.
[06:03] So that's, you know, the sort of a a bird's eye view of how it works.
[06:05] Yeah. It's really interesting because I remember seeing, you know, grandmothers and mothers of the past sort of have
[06:11] and mothers of the past sort of have these facelifts where it almost was like these facelifts where it almost was like their mouths were kind of stretched.
[06:14] their mouths were kind of stretched back, you know, and it looked a very back, you know, and it looked a very Joker like almost, but now it's almost Joker like almost, but now it's almost like you're saying it's like almost undetectable.
[06:20] like you're saying it's like almost undetectable. I mean, the work is so good. It's just is it because it's just these sort of subtle.
[06:25] these sort of subtle >> I I think the answer to that is not so much that it's the deep plane.
[06:28] I I think the answer to that is not so much that it's the deep plane. It's just that surgeons have gotten better because like I can show you pictures of the the original deep plane surgeon actually was.
[06:32] like I can show you pictures of the the original deep plane surgeon actually was Tor Skoo from Sweden in the 1960s and his work would compare to anyone's today.
[06:36] Tor Skoo from Sweden in the 1960s and his work would compare to anyone's today. So that's where the art of it comes in is just knowing you know not just the tissue plane but knowing how much to lift and it's an it's an art.
[06:43] comes in is just knowing you know not just the tissue plane but knowing how much to lift and it's an it's an art.
[06:48] But having said that, there are more facelift surgeons. You know, we've been able to train more and more and so the the work has gotten better.
[06:50] But having said that, there are more facelift surgeons. You know, we've been able to train more and more and so the the work has gotten better.
[06:53] the work has gotten better. I think the irony about facelift surgery is that, you know, people think it's it's a less it's a mini. It's just less work.
[06:55] I think the irony about facelift surgery is that, you know, people think it's it's a less it's a mini. It's just less work.
[06:57] it's a mini. It's just less work. It's actually more work to make it look natural because you have to know the facial nerve anatomy cold.
[06:58] it's a mini. It's just less work. It's actually more work to make it look natural because you have to know the facial nerve anatomy cold.
[07:01] actually more work to make it look natural because you have to know the facial nerve anatomy cold. You have to be very comfortable with it, which takes a long time, and you have to um, you know, release all the ligaments. So, it
[07:02] natural because you have to know the facial nerve anatomy cold. You have to be very comfortable with it, which takes a long time, and you have to um, you know, release all the ligaments. So, it
[07:04] facial nerve anatomy cold. You have to be very comfortable with it, which takes a long time, and you have to um, you know, release all the ligaments. So, it
[07:06] be very comfortable with it, which takes a long time, and you have to um, you know, release all the ligaments. So, it
[07:07] a long time, and you have to um, you know, release all the ligaments. So, it
[07:10] a long time, and you have to um, you know, release all the ligaments. So, it
[07:12] know, release all the ligaments.
[07:12] So, it takes, in my case, I only do one a day.
[07:13] takes, in my case, I only do one a day.
[07:13] I mean, I spend my time and do it.
[07:15] And I think I always say it's not how long it takes, it's how good it looks, how long it lasts.
[07:19] So one a day sounds like a good pace.
[07:22] You don't want to be number five on the schedule.
[07:26] You know, that's my opinion, right?
[07:27] Too much.
[07:29] Yes. We'd rather have our surgeons fully invested in us for the day.
[07:31] Awake and alert.
[07:35] Yes. Exactly. So what is the ideal age to have a facelift?
[07:37] Is it like in a number like an age or is it more like what your facial tissue looks like and what the skin looks like?
[07:42] Yeah, it's exactly the latter.
[07:44] You know, there's people always ask that question.
[07:45] It's a good question, but everybody's different.
[07:47] So, saying, "What's the ideal age?" is very similar to asking, "How old should my home be before I start renovating it?"
[07:53] It depends on the bones of the home.
[07:55] It depends on the decor, you know, maybe the the style in that case.
[07:59] But yeah, it's more related to genetics, ethnicity, lifestyle, you know, like Asian people don't age as as much and so they don't really need it until later in life.
[08:10] And it's a generalization, but it's true.
[08:10] It has to
[08:12] generalization, but it's true.
[08:12] It has to do with the anatomy and the genetics.
[08:14] do with the anatomy and the genetics.
[08:14] So, but but in general, you know, now particularly with the endoscopic work that I'm doing, I will dip even like say a 38-year-old woman who's aged particularly quickly or lost a lot of weight, you know, from pregnancy, that happens a lot.
[08:29] Um, and so they maybe, you know, need it earlier.
[08:31] Uh, where in general, like my average age for a facelift of any kind is about 50.
[08:35] I think in LA it skews younger, right?
[08:38] More people do it earlier for better or worse.
[08:42] And you know, but but that's that's about average.
[08:44] And and by the time someone's 65 here in LA, they've typically had at least one facelift, which is sometimes a good thing and sometimes it's a little much, I think.
[08:52] Is there an age that where it's too late to get a facelift?
[08:57] It's more that would be more related to like health factors.
[08:59] If you know you're you're 90, I wouldn't put you under anesthesia.
[09:01] I've done, you know, good number of people in low 80s as long as they're healthy.
[09:07] So there's not necessarily an age.
[09:08] I think the younger you do it, the longer it lasts because your tissues are stronger.
[09:11] The older you
[09:13] your tissues are stronger.
[09:14] The older you do it, your tissues are a little weaker, do it, your tissues are a little weaker, so it won't last as long, but it's not
[09:16] so it won't last as long, but it's not necessarily like a full-on
[09:17] necessarily like a full-on contraindication to doing it.
[09:19] contraindication to doing it.
[09:20] Okay.
[09:21] So, it's kind of like your health, like your holistic like wellness.
[09:23] your holistic like wellness.
[09:24] Yeah.
[09:24] Okay.
[09:25] Yeah.
[09:27] Um, and what are the things that like what are some of the mistakes that
[09:28] what are some of the mistakes that people are doing when they delay
[09:29] people are doing when they delay surgery?
[09:31] surgery? Let's say they're delaying facelifts.
[09:33] They're using fillers and Botox and kind of all these like
[09:35] Botox and kind of all these like non-invasive treatments.
[09:36] non-invasive treatments.
[09:38] Yeah. Yeah. That that's the mistake.
[09:40] I mean, I won't fault anyone for trying it.
[09:42] What I do fault is the providers who are overfilling people.
[09:44] Um, you know, we're starting to find that the filler,
[09:46] we're starting to find that the filler, particularly when you do too much,
[09:47] particularly when you do too much, migrates.
[09:50] We found that it lasts a lot longer.
[09:52] I mean, I've known this for 25 years.
[09:53] I've seen, you know, filler in people that's 20 years later.
[09:56] So, if it lasts that long and you keep coming in every six months, then you're sort of
[09:57] every six months, then you're sort of being tricked into giving your credit
[09:59] being tricked into giving your credit card to someone that's trying to pay for
[10:01] card to someone that's trying to pay for their boat or their rent.
[10:02] You know what I mean?
[10:04] And um there are great injectors
[10:06] out there, don't get me wrong, but that
[10:08] that that is exactly what you said.
[10:10] That's one of the mistakes that people are making.
[10:11] And then, you know, I feel it's a disservice to patients not to dissolve
[10:15] a disservice to patients not to dissolve all the filler before the surgery.
[10:17] all the filler before the surgery because if you don't, it's going to
[10:18] because if you don't, it's going to block lymphatic channels and it's going
[10:20] block lymphatic channels and it's going to delay the recovery.
[10:22] Plus, you're lifting a filler face.
[10:24] And so, I have a real, you know, keen eye for what looks natural.
[10:25] And I don't want any filler in the face when I'm lifting it.
[10:27] If anything, if they need volume, I'll replace it with fat that comes from
[10:28] their own body.
[10:32] Okay. So that's that's a better filling technique.
[10:35] Much better.
[10:36] Okay. Because it's each your own natural tissue.
[10:38] Yeah.
[10:40] The main the main conundrum we have here in LA is that people don't have enough fat.
[10:42] You know they'll pinch their skin like I have a lot of fat here but it's not.
[10:44] I mean I do I do but a lot of people here know that's a good thing,
[10:46] right?
[10:48] And actually fat produces estrogen.
[10:50] So I always tell women don't lean out too much because it's going to affect your hormone cycle potentially.
[10:52] Right.
[10:52] So particularly at this time in our lives, you know, it's like because we are chasing the hormone cycle and
[10:54] you know, things are kind of all over the place.
[10:56] Does that affect getting plastic surgery like with the hormone shifting and changing?
[10:57] It does.
[11:00] And I I want my patients to be
[11:17] it does.
[11:17] And I I want my patients to be healthy.
[11:18] I want them to eat, you know, a good anti-inflammatory diet, not smoke.
[11:21] which are luckily those are things that people do anyway here.
[11:22] But yes, I have relationships with really good endocrinologists that optimize hormones before surgery because you're exactly right.
[11:25] That's that is very important to get your system optimized.
[11:30] Oh, that's interesting.
[11:32] So, your hormones should be leveled before.
[11:34] should be leveled.
[11:35] I mean, you should at least if there's fatigue, tiredness, if you know you're going through menopause, which is a good percentage of our patients in facial rejuvenation, you should get that looked into and get it optimized.
[11:37] because we live in Los Angeles as well.
[11:38] You know, we look around, we see Hollywood, right?
[11:40] We see the celebrities and it look even though people don't really confirm that they've had facelifts, you know, we can look around and kind of see people, you know, reversing the clock by a few years or looking really refreshed.
[11:41] So, do you see that as a Beverly Hills plastic surgeon?
[11:43] Because I'm sure you have a fair share of, you know, celebrity clients.
[11:45] Do you see that coming in that you see, you know, people doing these sort of little tweaks and
[12:17] tweaks and >> Yeah, I mean, you know, I'm one of the go-to surgeons for a lot of actors, a lot of celebrities.
[12:23] Um, I keep it very private, obviously, because it's it's standard.
[12:26] You know, medical confidentiality is paramount.
[12:29] Um, but but yes, you do see that.
[12:31] And I mean, I've known for decades that a lot of these people have had facelifts when they're sort of not telling the truth about it.
[12:38] Um, you know, and now it's coming out a little bit more because of some of the ones that have admitted that they've had it.
[12:43] And I think that's good because it destigmatizes the word facelift.
[12:48] You know, I I sort of made a joke with someone that when you say you've had a facelift, it's like saying that you a goat.
[12:54] You know, that's not something people want.
[12:56] There's a joke about that.
[12:58] But anyway, that that um that it's a stigma.
[13:01] It has been a stigma but but it's becoming but at the same time and I'm preparing a video about this for my social media.
[13:09] We take pride.
[13:11] I take pride in the fact that no one has to know.
[13:13] You know, I think it should be invisible.
[13:15] You know, it shouldn't be a point of pride or, you know, a status symbol.
[13:16] I've had a facelift.
[13:18] symbol. I've had a facelift. Look at my scars. You know, it should be invisible.
[13:20] scars. You know, it should be invisible. It's the patient's prerogative whether
[13:21] they want to talk about it or not. You know, I'm so glad you're bringing up
[13:23] honesty, too, because I do think when you're and it's an interesting like kind
[13:24] of way to think about it is when you're a public person and you know, you maybe
[13:26] do something like this. It is because you know, the younger generation,
[13:29] they're looking up to these people and they're, you know, saying I want to look
[13:30] like this and you know, I think feel like you should be kind of honest about
[13:33] that stuff. I mean, I feel like I'm honest. You know, I have never done
[13:36] filler. I have done Botox. I have had a rhinoplasty. I have had an autolasty.
[13:37] I feel like I'm going through the list, but that's really it other than lasers
[13:39] and things like that. But I do think it's important to be honest because the
[13:41] younger, you know, the younger generation is looking up. What do you
[13:43] think?
[13:45] I I totally agree with you. I mean, I can't force anyone to do it, but you
[13:46] know, personally, I feel much more comfortable when I'm honest about stuff.
[13:48] I I don't want to overshare personal details with patients and whatnot. You
[13:50] know, I'm honest about things that I've
[14:18] know, I'm honest about things that I've done.
[14:19] Uh, you know, I'm not like obsessed with things, but I've also had a rhinoplasty.
[14:24] My friend Richard Zumalan did, I think, a great job.
[14:25] My nose just started to get more droopy.
[14:27] I've had a decent amount of hair work also.
[14:32] So, this afro is not it's came from here.
[14:34] But I'm very happy with it.
[14:37] But, and I noticed with you, I mean, if you had had filler, I would have noticed and you look natural and your face moves naturally.
[14:42] And that's what the human face is for, to express emotions and and uh for ident identity obviously.
[14:47] But, you know, I think once you start getting too much of that filler, you go into the what they call the uncanny valley.
[14:53] So, it's better to be conservative with all that stuff.
[14:56] It is scary.
[14:58] I have to say when I see filler face, you know, around especially in this town, you know, it's just it's scary.
[15:03] I can't look at them.
[15:04] They're not allowed in my waiting room.
[15:06] I mean, if someone I I don't mind, you know, now the more advanced I've gotten, the more I'm capable of correcting some things.
[15:11] Like even overdone surgery, I can make adjustments.
[15:13] The problem is like if I'm, you know, if people see that in your waiting room, then they think you did
[15:19] waiting room, then they think you did all the work on that patient.
[15:20] So, I've always tried to protect my brand and keep it away from, you know, that kind of malfeasants that you see out there.
[15:27] That's really interesting. Have you had to turn people down in your practice?
[15:30] Oh, yeah. All the time. I mean, we we screen people before they come in. Okay.
[15:33] We we let them know the price range because my fees are are higher than the typical fee.
[15:37] Um, and most people understand that. You get what you pay for and it's your face.
[15:41] And um and but yeah, we we ask for photographs before they come in because I I'm not good at like being blunt.
[15:47] Sometimes not good at being blunt and it just pisses people off if you're like, "Oh my god, you know what?"
[15:52] But at the same time, if someone's in front of me and I they have too much lip filler, I will tell them.
[15:57] I'm like that you're a beautiful woman, beautiful person, but that lip you you've got too much filler in your lips because it's just distracting.
[16:06] You know, it's also interesting because obviously we talk to a lot of women here on the show, but as a man, do you feel any sort of pressure to look a certain way, especially like being in midlife, you know?
[16:17] Yeah. Yeah. I Yeah. I think men, you
[16:19] Yeah. Yeah. I Yeah.
[16:21] I think men, you know, for men and women, um, and know, for men and women, um, and increasingly men, you know, this people
[16:23] increasingly men, you know, this people listen to you more when you look
[16:25] listen to you more when you look younger. Uh, with social media, there's
[16:27] a lot of pressure. Um, I don't think
[16:29] it's all good, though. I don't think
[16:30] it's all good, though. I don't think that, you know, younger people should be
[16:32] getting filler because they're obsessed
[16:33] getting filler because they're obsessed with the way a certain celebrity looks
[16:35] and whatnot. But I think that it's it's
[16:37] and whatnot. But I think that it's it's only fair, you know, if women are forced
[16:39] to do it, if if women feel that that men
[16:41] should be, too, because then the woman
[16:43] looks younger, she wants her mate to
[16:44] look, you know, her her uh partner to look younger, too. It happens a lot.
[16:48] It happens a lot. >> So, if a woman is coming into your
[16:50] practice and she's saying, you know, I
[16:52] want to look refreshed, rested, what are
[16:55] you assessing when you're talking to
[16:57] that patient? Well, I mean, okay, so if
[16:59] someone comes in and they already look
[17:01] refreshed and rested and young, I'm
[17:02] going to be like, "Don't do anything."
[17:04] You know, you got you got to be honest
[17:05] with them. You know, it's not about me
[17:07] um you know, being aggressive about
[17:09] doing these procedures if they don't
[17:11] need them. Um but I'm assessing like the
[17:14] way the volume of the face, their skin.
[17:16] I mean, I'm also assessing their
[17:17] psychology. I'm assessing the way they
[17:19] behave, the way they move. Are they
[17:21] behave, the way they move.
[17:21] Are they youthful?
[17:21] Are they happy?
[17:23] Um, you know, youthful?
[17:23] Are they happy?
[17:23] Um, you know, and but just physically like it's basically, you know, sort of skin and then volume and then gravity.
[17:27] How much is gravity done?
[17:29] You know, I'm a big gravity person.
[17:31] I think gravity is what we're fighting.
[17:33] You know, gravity is the mystery of life.
[17:35] It's the source of our the way we experience time.
[17:37] It's also the main reason for I think why our face ages.
[17:38] So, that's the main thing as a surgeon.
[17:41] That's the main thing I'm looking at is how much gravity is the ravages of gravity, how much it's done.
[17:42] Tell me about it.
[17:44] these jowls.
[17:46] I'm like, every time I look in the mirror, I'm just like,
[17:48] you don't have I wouldn't call them jowls.
[17:51] I mean, the thing is that when when you you know, that's why like a lot of times when a patient comes in, I I make my staff take their photos first.
[17:53] So, I'll study their photos so I can sort of more and self-consciously look at the objective features because when you're talking to someone, you don't really I mean, at least for me, I see their spirit.
[17:54] I see their personality, but then I want to hone in on those things.
[17:55] So, I don't really start focusing until they're in the exam chair and kind of talk to them about it.
[17:56] But at the same time, I'm not going to look
[18:21] at the same time, I'm not going to look at them and say, "Well, you've got this.
[18:22] at them and say, "Well, you've got this, you've got Jiles."
[18:24] I want to wait until they tell me what bothers them.
[18:26] Because the happiest patient is going to be the one that you figure out what's bothering them and you correct it.
[18:28] the happiest patient is going to be the one that you figure out what's bothering
[18:29] them and you correct it.
[18:32] And then if they give you cart blanch, then I'll say, "Yeah, we could do this a little bit.
[18:33] they give you cart blanch, then I'll say, "Yeah, we could do this a little
[18:34] say, "Yeah, we could do this a little bit.
[18:36] As long as it looks natural, then that's I think that's all good."
[18:38] that's I think that's all good."
[18:39] So, let's say I'm coming into your practice.
[18:41] I'm coming in for the consult and I'm sitting in your exam room.
[18:44] You're looking at me and it's not going to hurt my feelings.
[18:46] What would you suggest?
[18:48] suggest?
[18:50] I would suggest that you tell me what you think.
[18:52] I would suggest that you tell me what
[18:53] you think.
[18:55] I think that gravity, like you're saying, has started to play a bit of a role in the face, you know, like I wouldn't mind a little something, a little like tuck, you know, just a little just a little help like especially in the lower facial.
[18:57] saying, has started to play a bit of a role in the face, you know, like I
[19:00] wouldn't mind a little something, a little like tuck, you know, just a little just a little help like especially in the lower facial.
[19:02] little like tuck, you know, just a little just a little help like
[19:04] little just a little help like especially in the lower facial.
[19:06] especially in the lower facial.
[19:08] But then there's also the ble discussion, too.
[19:11] there's also the ble discussion, too.
[19:13] you know, I've got the bags under the eyes a bit.
[19:15] I've got the hooded eyes.
[19:16] So, well, yeah.
[19:19] So, that so I think that and I do start from the neck down when I'm looking at someone and kind of putting
[19:21] I do start from the neck down when I'm looking at someone and kind of putting
[19:22] looking at someone and kind of putting my hands and feeling my hands and feeling.
[19:25] the nice thing about the neck and in particular your neck is that a lot of the um the changes can be reversed by devolmizing the the things underneath the platisma muscle.
[19:34] I'm getting kind technical.
[19:35] I think a lot of people know what a platisma is in this town.
[19:37] Do you know like platisma?
[19:39] I don't know the scientific word, but I definitely know that.
[19:41] that.
[19:42] It's the banding.
[19:44] The the one that causes that muscle that causes the Right.
[19:46] Right.
[19:46] You're like, "What?"
[19:48] Well, yeah.
[19:48] So, so underneath that muscle, there are other muscles that are sort of evolutionary remnants that we can get we can trim down.
[19:54] Uh it's very common now to reduce the size of the salivary glands here.
[19:59] And that that requires a lot of experience on the part of the surgeon and dexterity, but um shaving those down also will be helpful.
[20:04] And I bet you in your case it might be.
[20:07] Um and then just you know sort of lifting when and the thing that people need to understand is that the the the procedure that will correct the neck is the same one that will correct the jaws.
[20:16] So the neck muscle once you've tightened it here from from down here in the midline, you also have to lift it and it needs to
[20:22] you also have to lift it and it needs to go vertically. So that you're you're
[20:24] go vertically. So that you're you're going to correct the lower face and the
[20:25] going to correct the lower face and the neck at the same time. If you just try
[20:27] neck at the same time. If you just try to pull the neck muscle back this way
[20:29] to pull the neck muscle back this way without pulling this up, it's going to
[20:31] without pulling this up, it's going to look weird, you know, and your jaws are
[20:32] look weird, you know, and your jaws are going to look worse and just sort of
[20:34] going to look worse and just sort of like, you know what I mean?
[20:35] like, you know what I mean? disharmonious I guess would be the word.
[20:37] disharmonious I guess would be the word. >> So is that like would that be considered
[20:39] >> So is that like would that be considered like a low like a half like or a lower
[20:41] like a low like a half like or a lower lift or is that the full
[20:43] lift or is that the full >> right? So So what you just did is
[20:44] >> right? So So what you just did is something that I'm going to talk about
[20:46] something that I'm going to talk about in this video on my Instagram, a lower
[20:48] in this video on my Instagram, a lower lift. So people like to say, you know,
[20:51] lift. So people like to say, you know, face tuck or something lift or lower
[20:54] face tuck or something lift or lower lift. But if you use the word face and
[20:56] lift. But if you use the word face and lift together again, that's where like I
[20:59] lift together again, that's where like I a goat
[21:02] a goat terminology is the best. Yeah, it's a
[21:04] terminology is the best. Yeah, it's a little crass, but it's but I just it
[21:06] little crass, but it's but I just it gets the point across. You know, it's
[21:07] gets the point across. You know, it's like the source of shame. It's changing,
[21:09] like the source of shame. It's changing, but fine. So, the lower lift is sort of,
[21:12] but fine. So, the lower lift is sort of, you know, I think the whole disconnect
[21:14] you know, I think the whole disconnect is that plastic surgeons consider any
[21:16] is that plastic surgeons consider any procedure where you're lifting this part
[21:17] procedure where you're lifting this part of the face a faceelift and this is a
[21:20] of the face a faceelift and this is a brow lift. So, that's the misconception
[21:22] brow lift. So, that's the misconception on the part of the public, but you call
[21:24] on the part of the public, but you call it whatever you want. You just want to
[21:25] it whatever you want. You just want to do the right operation and you want to
[21:27] do the right operation and you want to lift the muscle. So, in most cases,
[21:30] lift the muscle. So, in most cases, lifting the neck requires lifting the
[21:31] lifting the neck requires lifting the lower face, unless you're talking about
[21:33] lower face, unless you're talking about like a 35year-old who just has like a
[21:35] like a 35year-old who just has like a full neck or something like that.
[21:36] full neck or something like that. >> Oh, interesting. Okay. So, what should a
[21:39] >> Oh, interesting. Okay. So, what should a woman be asking her plastic surgeon when
[21:41] woman be asking her plastic surgeon when she goes in for the consult? Are there
[21:43] she goes in for the consult? Are there like key questions she should be asking?
[21:46] like key questions she should be asking? >> Yeah. I mean, in terms of like, you mean
[21:47] >> Yeah. I mean, in terms of like, you mean like in terms of qualifications and
[21:49] like in terms of qualifications and things like that?
[21:50] things like that? >> Um, yeah. Well, they should know before
[21:52] >> Um, yeah. Well, they should know before they go in. Is the surgeon board
[21:54] they go in. Is the surgeon board certified? certified by the American
[21:55] certified? certified by the American Board of Plastic Surgery or the American
[21:58] Board of Plastic Surgery or the American Bo board of um facial plastic surgery.
[22:01] Bo board of um facial plastic surgery. Um and I think those are the two core
[22:03] Um and I think those are the two core specialties that are qualified to do
[22:04] specialties that are qualified to do facelifts. Well, so but that's just a
[22:07] facelifts. Well, so but that's just a basic they should then they should
[22:08] basic they should then they should already once they go in the office, they
[22:09] already once they go in the office, they should ideally know someone that that
[22:11] should ideally know someone that that surgeon has worked on. You know, that's
[22:13] surgeon has worked on. You know, that's the basis of my practice is referrals,
[22:15] the basis of my practice is referrals, you know, sort of word of mouth, but
[22:17] you know, sort of word of mouth, but more direct referrals from patients and
[22:19] more direct referrals from patients and their friends. So, you should have been
[22:21] their friends. So, you should have been referred already before you go in. And
[22:22] referred already before you go in. And you should be pretty comfortable going
[22:23] you should be pretty comfortable going in. And then it's and then you you
[22:26] in. And then it's and then you you should know is the patient is the doctor
[22:28] should know is the patient is the doctor artistic? Do they have artistic skills?
[22:30] artistic? Do they have artistic skills? How do they look at you? How do they you
[22:31] How do they look at you? How do they you feel? The vibe you get when you come in.
[22:34] feel? The vibe you get when you come in. Um you could ask how many they've done.
[22:36] Um you could ask how many they've done. How many years have you been in
[22:37] How many years have you been in practice? Um and then you know it's not
[22:39] practice? Um and then you know it's not just and then and look at before and
[22:41] just and then and look at before and after pictures very carefully. And if
[22:43] after pictures very carefully. And if you have critiques of them tell the
[22:44] you have critiques of them tell the surgeon and they'll say well if you look
[22:46] surgeon and they'll say well if you look closely you know this is different or
[22:48] closely you know this is different or that's different. So th those are really
[22:50] that's different. So th those are really important things to do. Should this
[22:52] important things to do. Should this person also be asking about like the
[22:54] person also be asking about like the technique or the procedure? Um, you
[22:56] technique or the procedure? Um, you know, kind of the details of that?
[22:58] know, kind of the details of that? >> Yes, I think so. What kind of facelift
[23:00] >> Yes, I think so. What kind of facelift do you do? Do you do deep plane
[23:02] do you do? Do you do deep plane facelift? Um, and uh, yeah, what's your
[23:05] facelift? Um, and uh, yeah, what's your technique? How how long does it take
[23:07] technique? How how long does it take you? How much and how many do you do a
[23:09] you? How much and how many do you do a day or a week? And again, like we were
[23:11] day or a week? And again, like we were talking about earlier, I think doing
[23:13] talking about earlier, I think doing five a day is not necessarily a good
[23:15] five a day is not necessarily a good thing. I mean, I do one a day. I take my
[23:17] thing. I mean, I do one a day. I take my time. It's a craft. and the suturing,
[23:19] time. It's a craft. and the suturing, especially if I do an incision in front
[23:20] especially if I do an incision in front of the ear, you know, that takes an hour
[23:22] of the ear, you know, that takes an hour per side to do it right because the
[23:24] per side to do it right because the little microsurgical sutures. So, look
[23:26] little microsurgical sutures. So, look really closely at photographs. Um, I
[23:28] really closely at photographs. Um, I think if I were a patient, I would
[23:30] think if I were a patient, I would ideally want to see someone else that
[23:32] ideally want to see someone else that they've operated on and any good
[23:33] they've operated on and any good facelift surgeon should have like a
[23:35] facelift surgeon should have like a battery of patients that they can give
[23:37] battery of patients that they can give them their phone number that they're
[23:38] them their phone number that they're willing to talk to. I think that's
[23:40] willing to talk to. I think that's important.
[23:40] important. >> That's a good point. Good referrals and
[23:42] >> That's a good point. Good referrals and everything. Um, what are like the non
[23:44] everything. Um, what are like the non nos like before and after a facelift
[23:47] nos like before and after a facelift procedure? Like are there certain things
[23:49] procedure? Like are there certain things you should be doing, should not be doing
[23:51] you should be doing, should not be doing so you have like the best possible
[23:52] so you have like the best possible outcome?
[23:53] outcome? >> Yeah. Get your weight to a stable
[23:54] >> Yeah. Get your weight to a stable weight, an ideal body weight, which
[23:57] weight, an ideal body weight, which thank thankfully in LA that's not
[23:58] thank thankfully in LA that's not usually a problem. And if someone says,
[24:00] usually a problem. And if someone says, I need to lose weight, I'll well, how
[24:02] I need to lose weight, I'll well, how much do you feel like you need to lose?
[24:04] much do you feel like you need to lose? Well, 10 pounds. So, I'd say lose it
[24:06] Well, 10 pounds. So, I'd say lose it beforehand, but only if you know you're
[24:08] beforehand, but only if you know you're going to keep it off. don't lose it and
[24:09] going to keep it off. don't lose it and then yo-yo back to your because it just
[24:12] then yo-yo back to your because it just looks I think it looks kind of weird if
[24:13] looks I think it looks kind of weird if you lose a lot of weight have a facelift
[24:15] you lose a lot of weight have a facelift and then you gain weight. It looks kind
[24:16] and then you gain weight. It looks kind of bloated and and and I won't operate
[24:18] of bloated and and and I won't operate on someone that has not gotten to a
[24:20] on someone that has not gotten to a pretty ideal body weight. I think it's a
[24:22] pretty ideal body weight. I think it's a disservice to them.
[24:23] disservice to them. >> So it's all you know you're investing a
[24:25] >> So it's all you know you're investing a lot in your facial appearance. They
[24:27] lot in your facial appearance. They should also take it as a step to make
[24:29] should also take it as a step to make sure you're healthy. And then you know
[24:31] sure you're healthy. And then you know and then um Ozmpic is not ideal. Well, I
[24:34] and then um Ozmpic is not ideal. Well, I think in, you know, Ozmpic and the
[24:36] think in, you know, Ozmpic and the other, you know, medicines that help you
[24:37] other, you know, medicines that help you lose weight, um, as long as they're done
[24:39] lose weight, um, as long as they're done in moderation, but you, we've talked
[24:41] in moderation, but you, we've talked about the Ozmpic phase, people that are
[24:43] about the Ozmpic phase, people that are really just withering away, that's not
[24:44] really just withering away, that's not ideal, and those patients don't do as
[24:46] ideal, and those patients don't do as well after surgery because their
[24:48] well after surgery because their structure is not as good.
[24:50] structure is not as good. >> Yeah, that's really interesting. I
[24:52] >> Yeah, that's really interesting. I didn't realize that the weight like
[24:53] didn't realize that the weight like really plays a part in the facelift,
[24:55] really plays a part in the facelift, like how well the results are, because
[24:58] like how well the results are, because you think maybe 5 10 lbs it maybe
[25:00] you think maybe 5 10 lbs it maybe doesn't change things much, but it
[25:02] doesn't change things much, but it could. Huh?
[25:03] could. Huh? >> Yeah, it varies. I mean, everybody
[25:05] >> Yeah, it varies. I mean, everybody loses, and you know this from people,
[25:07] loses, and you know this from people, you're looking at people, some people
[25:08] you're looking at people, some people lose a and gain a lot of weight in their
[25:10] lose a and gain a lot of weight in their face, some people don't. So, if they're
[25:11] face, some people don't. So, if they're not a face weight gainer, I guess you
[25:13] not a face weight gainer, I guess you would say, then it's not as big of a
[25:15] would say, then it's not as big of a deal. But if they are, then yeah, it
[25:17] deal. But if they are, then yeah, it makes a difference because then when
[25:18] makes a difference because then when they It's kind of like when you dissolve
[25:19] they It's kind of like when you dissolve filler also, the face deflates. I want
[25:21] filler also, the face deflates. I want that back in its, you know, I'm if I'm a
[25:24] that back in its, you know, I'm if I'm a painter, which I am, I want to paint on
[25:26] painter, which I am, I want to paint on a blank canvas. I don't want to take
[25:27] a blank canvas. I don't want to take someone else's painting and paint on it.
[25:29] someone else's painting and paint on it. it's a waste of time and it won't
[25:31] it's a waste of time and it won't reflect my style and whatever I've
[25:33] reflect my style and whatever I've gotten from the patient. So, yeah, it
[25:35] gotten from the patient. So, yeah, it makes a difference. And so, when you
[25:36] makes a difference. And so, when you when you lose the weight, your face does
[25:37] when you lose the weight, your face does fall, but that's what I want.
[25:39] fall, but that's what I want. >> Okay.
[25:39] >> Okay. >> Yeah.
[25:40] >> Yeah. >> And then after the procedure, are there
[25:42] >> And then after the procedure, are there things that people like supplements they
[25:43] things that people like supplements they should be taking or things they should
[25:45] should be taking or things they should be doing to kind of maximize, you know,
[25:47] be doing to kind of maximize, you know, the positive results?
[25:48] the positive results? >> Yeah. Yeah. There's supplements that
[25:49] >> Yeah. Yeah. There's supplements that they should not be taking, ones that
[25:50] they should not be taking, ones that thin the blood. There's a lot of
[25:52] thin the blood. There's a lot of vitamins and we have a whole list. Um we
[25:54] vitamins and we have a whole list. Um we generally ask people to quit the
[25:56] generally ask people to quit the majority of their supplements beforehand
[25:58] majority of their supplements beforehand because a lot of those can thin the
[25:59] because a lot of those can thin the blood. Turmeric and then obviously you
[26:01] blood. Turmeric and then obviously you know anything that contains um aspirin
[26:03] know anything that contains um aspirin uh fish oil all those things are great
[26:05] uh fish oil all those things are great for you but not right before surgery not
[26:07] for you but not right before surgery not the few weeks before surgery those need
[26:08] the few weeks before surgery those need to be stopped and then after surgery you
[26:11] to be stopped and then after surgery you know people always ask about like
[26:12] know people always ask about like glutathione drips and whatnot and yeah
[26:15] glutathione drips and whatnot and yeah NAD and I think those are for certain
[26:17] NAD and I think those are for certain people those are fine and to restart
[26:19] people those are fine and to restart them afterwards. Um, I I will say that,
[26:21] them afterwards. Um, I I will say that, you know, I think people are getting
[26:22] you know, I think people are getting these IVs. I'm I'm not a huge fan of
[26:24] these IVs. I'm I'm not a huge fan of doing that all the time because if you
[26:26] doing that all the time because if you can drink and eat, you don't really need
[26:27] can drink and eat, you don't really need an IV, but they're pushed on people kind
[26:29] an IV, but they're pushed on people kind of like filler, and I think it's kind of
[26:31] of like filler, and I think it's kind of excessive. And, you know, an IV is not a
[26:33] excessive. And, you know, an IV is not a benign procedure because you can get
[26:35] benign procedure because you can get endocarditis, you can die from an IV.
[26:37] endocarditis, you can die from an IV. It's very rare, but if you don't need
[26:40] It's very rare, but if you don't need it, you know, you you shouldn't do it, I
[26:42] it, you know, you you shouldn't do it, I don't think. So, those are things that I
[26:43] don't think. So, those are things that I would shy away from. The main thing I
[26:45] would shy away from. The main thing I think postoperatively that it's really
[26:47] think postoperatively that it's really helpful is hyperbaric oxygen therapy.
[26:49] helpful is hyperbaric oxygen therapy. You know, I don't know, do you know
[26:51] You know, I don't know, do you know about that? Have you heard about
[26:51] about that? Have you heard about >> I do where you go into the chamber,
[26:53] >> I do where you go into the chamber, right?
[26:53] right? >> Chamber. And is it readily available? I
[26:56] >> Chamber. And is it readily available? I guess in Los Angeles
[26:57] guess in Los Angeles >> it is in LA. Yeah, there's several
[26:59] >> it is in LA. Yeah, there's several places. You know, we use a place in
[27:00] places. You know, we use a place in Sentry City called Alto. That's
[27:02] Sentry City called Alto. That's fantastic. The people are great. They're
[27:04] fantastic. The people are great. They're medical grade chambers. You know, the
[27:05] medical grade chambers. You know, the chambers that only go up to 1.5
[27:07] chambers that only go up to 1.5 atmospheres I don't think are worth very
[27:09] atmospheres I don't think are worth very much, you know, worth your time. you
[27:11] much, you know, worth your time. you need to go up to two atmospheres to get
[27:12] need to go up to two atmospheres to get an get an effect. But basically what it
[27:15] an get an effect. But basically what it does, it kind of super saturates your
[27:16] does, it kind of super saturates your blood with oxygen. So you're delivering
[27:18] blood with oxygen. So you're delivering more oxygen to the tissues that are
[27:19] more oxygen to the tissues that are healing. And there's a noticeable
[27:21] healing. And there's a noticeable decrease in swelling and also like again
[27:23] decrease in swelling and also like again when I do an incision here, it just
[27:25] when I do an incision here, it just fuses together in like a week where if
[27:27] fuses together in like a week where if you don't, it takes a little longer to
[27:29] you don't, it takes a little longer to heal. So you can see the effects.
[27:30] heal. So you can see the effects. >> Oh wow, that's really quick. And then
[27:32] >> Oh wow, that's really quick. And then how long after can you resume like
[27:34] how long after can you resume like exercise and kind of going back to your
[27:36] exercise and kind of going back to your daily? the the safe answer is 6 weeks,
[27:39] daily? the the safe answer is 6 weeks, but that drives people bananas. And so I
[27:41] but that drives people bananas. And so I let people start a little earlier.
[27:43] let people start a little earlier. Sometimes three weeks, sometimes four
[27:45] Sometimes three weeks, sometimes four weeks, but not full boore. You know, I
[27:46] weeks, but not full boore. You know, I don't want them going on a to a spin
[27:48] don't want them going on a to a spin class after two weeks. But they can do
[27:50] class after two weeks. But they can do things that and really the main thing is
[27:52] things that and really the main thing is cardio. Cardio makes you swell more. So
[27:54] cardio. Cardio makes you swell more. So when your cardiac output, your heart
[27:56] when your cardiac output, your heart rate gets higher, your face is going to
[27:57] rate gets higher, your face is going to swell, which is not ideal.
[27:59] swell, which is not ideal. >> And you know, people in LA have have an
[28:01] >> And you know, people in LA have have an obsession with exercise. And I know
[28:03] obsession with exercise. And I know because I do, too. you know, I'm try to
[28:05] because I do, too. you know, I'm try to stay fit and do my cardio, but I'm used
[28:07] stay fit and do my cardio, but I'm used to it. If you have a procedure done,
[28:09] to it. If you have a procedure done, just stop for whatever the doctor tells
[28:11] just stop for whatever the doctor tells you to. It's really important.
[28:12] you to. It's really important. >> So, who is not a good candidate for a
[28:15] >> So, who is not a good candidate for a facelift?
[28:16] facelift? >> Well, again, someone that's not at an
[28:18] >> Well, again, someone that's not at an ideal weight, someone that's not
[28:19] ideal weight, someone that's not psychologically healthy that they, you
[28:21] psychologically healthy that they, you know, you can tell they're addicted,
[28:22] know, you can tell they're addicted, someone that's had too much done. I
[28:24] someone that's had too much done. I they're not, you know, allowed even in
[28:26] they're not, you know, allowed even in my back private entrance. you know, um,
[28:29] my back private entrance. you know, um, and if I can help them, if I can
[28:31] and if I can help them, if I can dissolve their filler, and if they're
[28:32] dissolve their filler, and if they're not happy with their filler or their
[28:34] not happy with their filler or their procedures and I think I can help them,
[28:35] procedures and I think I can help them, then I' then I'd like doing that.
[28:37] then I' then I'd like doing that. >> Um, and then, you know, people that are
[28:39] >> Um, and then, you know, people that are not people have serious medical
[28:41] not people have serious medical problems, you know, it's real surgery,
[28:42] problems, you know, it's real surgery, so you have to go into it knowing that
[28:44] so you have to go into it knowing that this is a major surgery in some ways
[28:47] this is a major surgery in some ways and, um, have a realistic attitude about
[28:49] and, um, have a realistic attitude about that. Smokers also we thank God we don't
[28:52] that. Smokers also we thank God we don't have many smokers here but like in
[28:54] have many smokers here but like in Europe the facelift surgeons there they
[28:55] Europe the facelift surgeons there they have smokers and they get you know
[28:57] have smokers and they get you know necrosis of the incisions of the you
[28:59] necrosis of the incisions of the you know the wound happens you know pretty
[29:01] know the wound happens you know pretty regularly not as much with a deep plane
[29:03] regularly not as much with a deep plane facelift but luckily like the people
[29:05] facelift but luckily like the people I've had that are smokers usually
[29:06] I've had that are smokers usually they're like these you know Oscar worthy
[29:08] they're like these you know Oscar worthy actors they they smoked it's like well
[29:11] actors they they smoked it's like well I'll have to do a more conservative
[29:13] I'll have to do a more conservative procedure but that's it's pretty rare
[29:14] procedure but that's it's pretty rare things
[29:15] things >> so it changes what you would do.
[29:16] >> so it changes what you would do. >> Yeah a little bit. What about all the
[29:18] >> Yeah a little bit. What about all the people that vape though because there's
[29:19] people that vape though because there's a lot of vapor here. Does that also
[29:21] a lot of vapor here. Does that also change?
[29:21] change? >> Yeah, vaping is not ideal. It's not as
[29:23] >> Yeah, vaping is not ideal. It's not as bad as cigarette smoking. Um, but yeah,
[29:25] bad as cigarette smoking. Um, but yeah, you don't really find that many, at
[29:26] you don't really find that many, at least I don't. People that are like
[29:28] least I don't. People that are like chain vaping. I don't I don't know much
[29:29] chain vaping. I don't I don't know much about vaping, but I know it's like
[29:31] about vaping, but I know it's like healthier for your body, but better to
[29:33] healthier for your body, but better to avoid it because it's actually the
[29:34] avoid it because it's actually the nicotine that constricts small blood
[29:36] nicotine that constricts small blood vessels that can affect, you know, flab
[29:39] vessels that can affect, you know, flab survival. I've been, you know, fortunate
[29:41] survival. I've been, you know, fortunate not to have that problem, number one,
[29:43] not to have that problem, number one, just cuz I don't operate on smokers, you
[29:45] just cuz I don't operate on smokers, you know, period. Uh, but if they do vape,
[29:48] know, period. Uh, but if they do vape, then I uh make them quit beforehand, at
[29:50] then I uh make them quit beforehand, at least like a month beforehand, and then
[29:52] least like a month beforehand, and then afterwards also. I think that's
[29:54] afterwards also. I think that's important.
[29:55] important. >> You know, it's interesting. I've seen
[29:57] >> You know, it's interesting. I've seen like lately on social media when people
[29:58] like lately on social media when people get facelifts, they tend to do sort of
[30:01] get facelifts, they tend to do sort of like a three-pack where it's like a
[30:03] like a three-pack where it's like a facelift, a bluff, and a CO2 laser like
[30:06] facelift, a bluff, and a CO2 laser like right after. Is that sort of like the
[30:08] right after. Is that sort of like the go-to now when it comes to
[30:10] go-to now when it comes to >> Well, you know, again, this is an art
[30:12] >> Well, you know, again, this is an art and so I Yeah, you you want to I my
[30:15] and so I Yeah, you you want to I my philosophy is that you should do
[30:17] philosophy is that you should do everything at once because you're going
[30:18] everything at once because you're going to be under anesthesia. So, I don't I
[30:20] to be under anesthesia. So, I don't I don't believe in like just peace meal,
[30:22] don't believe in like just peace meal, but the patient has to be ready for that
[30:24] but the patient has to be ready for that and the recovery is a little bit longer.
[30:26] and the recovery is a little bit longer. Okay.
[30:26] Okay. >> Now, with bluffs, um I like doing lower
[30:29] >> Now, with bluffs, um I like doing lower blasts and I would do those on a good
[30:31] blasts and I would do those on a good proportion of the patients I do a
[30:32] proportion of the patients I do a facelift on because I do it without a
[30:34] facelift on because I do it without a scar. It's done through the inside. I
[30:36] scar. It's done through the inside. I just reposition that little fat that's
[30:37] just reposition that little fat that's causing the bulge and it's like a home
[30:39] causing the bulge and it's like a home run if someone really needs it. It's a
[30:41] run if someone really needs it. It's a beautiful thing and there's no scar with
[30:43] beautiful thing and there's no scar with upper blasts. I've come up with a way of
[30:45] upper blasts. I've come up with a way of doing that also without a scar in
[30:47] doing that also without a scar in certain situations in most situations
[30:49] certain situations in most situations actually because I do it endoscopically
[30:51] actually because I do it endoscopically and you what I do is go in with an
[30:53] and you what I do is go in with an endoscope and go under the brow and
[30:55] endoscope and go under the brow and release the orbvicularis muscle that's
[30:57] release the orbvicularis muscle that's causing a lot of the bunching and then
[30:59] causing a lot of the bunching and then as you lift the brow up a little bit the
[31:01] as you lift the brow up a little bit the upper lid spreads out. So you basically
[31:03] upper lid spreads out. So you basically like in your case I wouldn't do an upper
[31:04] like in your case I wouldn't do an upper bluff on you. I would do it
[31:06] bluff on you. I would do it endoscopically.
[31:07] endoscopically. >> Oh do it back in the hair.
[31:09] >> Oh do it back in the hair. >> In the hair.
[31:10] >> In the hair. >> Interesting. More like a brow lift.
[31:12] >> Interesting. More like a brow lift. >> It's part of a brow lift. Yeah. Most you
[31:14] >> It's part of a brow lift. Yeah. Most you you lift the lateral brow and in in the
[31:16] you lift the lateral brow and in in the pro because everybody's lateral brow
[31:17] pro because everybody's lateral brow goes down. The medial brow like in your
[31:19] goes down. The medial brow like in your case yours yours is fine. I wouldn't
[31:21] case yours yours is fine. I wouldn't lift it. But the lateral brow just out
[31:23] lift it. But the lateral brow just out here and then that way I can get in, you
[31:25] here and then that way I can get in, you know, with the camera and just release
[31:26] know, with the camera and just release the muscle and you won't have that skin
[31:28] the muscle and you won't have that skin redundancy there at all.
[31:30] redundancy there at all. >> Oh well that's good to know. I'm like,
[31:31] >> Oh well that's good to know. I'm like, "Oh my god." I have like a list of
[31:33] "Oh my god." I have like a list of things like scarless is the way to go if
[31:35] things like scarless is the way to go if you're a candidate. Yeah.
[31:36] you're a candidate. Yeah. >> Right. And and it seems like, you know,
[31:38] >> Right. And and it seems like, you know, the results are lasting and people are
[31:40] the results are lasting and people are happy.
[31:41] happy. >> Yeah. Yeah. The way the way I do it
[31:43] >> Yeah. Yeah. The way the way I do it endoscopically, it's again, it's a full
[31:44] endoscopically, it's again, it's a full deep plane lift. So, I'm not going to do
[31:47] deep plane lift. So, I'm not going to do it if I think the results going to be
[31:48] it if I think the results going to be compromised. Okay.
[31:49] compromised. Okay. >> And you know, I've gotten sort of a name
[31:50] >> And you know, I've gotten sort of a name for doing this endoscopic work. I've
[31:52] for doing this endoscopic work. I've been to 14 countries in the past three
[31:54] been to 14 countries in the past three years teaching it. I've presented live
[31:56] years teaching it. I've presented live surgery at meetings, you know, in Brazil
[31:58] surgery at meetings, you know, in Brazil and other countries. So, it works.
[32:00] and other countries. So, it works. You're going to find people, other
[32:01] You're going to find people, other surgeons will say, "It doesn't work." Is
[32:03] surgeons will say, "It doesn't work." Is that that's because they don't know how
[32:04] that that's because they don't know how to do it. And I don't blame them. I
[32:06] to do it. And I don't blame them. I would do the same thing if I wanted the
[32:07] would do the same thing if I wanted the patient to come to me. But it does work.
[32:09] patient to come to me. But it does work. And it's definitely the future in many
[32:12] And it's definitely the future in many ways. It's not for every patient and not
[32:14] ways. It's not for every patient and not for every surgeon, but it's definitely
[32:15] for every surgeon, but it's definitely for for younger people on the relatively
[32:17] for for younger people on the relatively younger end of the scale like you, I
[32:19] younger end of the scale like you, I would probably do endoscopically.
[32:21] would probably do endoscopically. >> Okay, good to know. Um, how do you know
[32:23] >> Okay, good to know. Um, how do you know if you should get a blleroplasty or a
[32:26] if you should get a blleroplasty or a brow lift? Well, that that kind of
[32:28] brow lift? Well, that that kind of pertains to what we were just saying. I
[32:30] pertains to what we were just saying. I mean, in my hands, it would be a brow
[32:31] mean, in my hands, it would be a brow lift where, you know, but the patient
[32:33] lift where, you know, but the patient has to be okay with having their brow
[32:35] has to be okay with having their brow lifted a little bit. You know, a brow
[32:36] lifted a little bit. You know, a brow lift. People kind of take these
[32:38] lift. People kind of take these procedures as a rubber stamp like, oh,
[32:40] procedures as a rubber stamp like, oh, brow lifts are bad because I've seen,
[32:42] brow lifts are bad because I've seen, you know, I don't want that surprised
[32:43] you know, I don't want that surprised look. Well, that again, that's the art
[32:45] look. Well, that again, that's the art of it. Knowing how to lift it in a
[32:46] of it. Knowing how to lift it in a subtle way.
[32:47] subtle way. >> With an endoscopic brow lift, it's hard
[32:50] >> With an endoscopic brow lift, it's hard to overlift the brow. It can be done,
[32:52] to overlift the brow. It can be done, but it's it's it's hard. And but the the
[32:54] but it's it's it's hard. And but the the the way I look at it is I want to see pa
[32:57] the way I look at it is I want to see pa pictures of patients when they were
[32:58] pictures of patients when they were younger. I want to see what their face
[32:59] younger. I want to see what their face looked like when they were younger
[33:01] looked like when they were younger because presumably that's kind of what
[33:02] because presumably that's kind of what they want to recapture in most of the
[33:04] they want to recapture in most of the cases. You know, sometimes they'll say,
[33:05] cases. You know, sometimes they'll say, "Well, I was too fat or whatever." And
[33:07] "Well, I was too fat or whatever." And you, you know, now they're better. But
[33:09] you, you know, now they're better. But that that's what I want to look at. And
[33:10] that that's what I want to look at. And in particular with regard to positioning
[33:12] in particular with regard to positioning the brow, I want to make the brow look
[33:15] the brow, I want to make the brow look like, you know, kind of what it used to
[33:16] like, you know, kind of what it used to look like.
[33:17] look like. >> You know, we also see a lot of this this
[33:20] >> You know, we also see a lot of this this um buckle fat removal procedure. Now, is
[33:23] um buckle fat removal procedure. Now, is that something that you are a fan of in
[33:25] that something that you are a fan of in certain, you know, if it like applies or
[33:27] certain, you know, if it like applies or do you think it's done too much?
[33:29] do you think it's done too much? >> Well, I think it's I don't think it's
[33:31] >> Well, I think it's I don't think it's done in my practice, I don't do it too
[33:33] done in my practice, I don't do it too much. I don't like push it, but if
[33:35] much. I don't like push it, but if someone wants that contour and
[33:36] someone wants that contour and accentuate their cheekbones when they're
[33:38] accentuate their cheekbones when they're younger, I think it's fine. And then the
[33:40] younger, I think it's fine. And then the caveat is, well, again, like you already
[33:42] caveat is, well, again, like you already know, I think, you know, with buckle
[33:43] know, I think, you know, with buckle fat, you worry about losing facial
[33:45] fat, you worry about losing facial volume as you get older. Well, facial
[33:47] volume as you get older. Well, facial volume can be replaced. I can use fat
[33:49] volume can be replaced. I can use fat transfer. And I have done that and I
[33:51] transfer. And I have done that and I have had to do it on people I did buckle
[33:53] have had to do it on people I did buckle fat on where they're like, "Well, I
[33:55] fat on where they're like, "Well, I liked it and but now I realize I want a
[33:56] liked it and but now I realize I want a little so I'll just go back and put some
[33:58] little so I'll just go back and put some fat transfer and then they look better
[33:59] fat transfer and then they look better than ever." But like when I'm doing a
[34:01] than ever." But like when I'm doing a facelift, it's not a routine part of my
[34:03] facelift, it's not a routine part of my facelift surgery. I I happen to do it.
[34:05] facelift surgery. I I happen to do it. Last week I was doing an endoscopic
[34:07] Last week I was doing an endoscopic facelift and she wanted it and she
[34:08] facelift and she wanted it and she needed it. So it's fine. But every face
[34:10] needed it. So it's fine. But every face is different. So it's not like something
[34:12] is different. So it's not like something that people should be, you know, like
[34:14] that people should be, you know, like ice cream. Everybody likes ice cream. It
[34:16] ice cream. Everybody likes ice cream. It doesn't mean it's not for every it's for
[34:17] doesn't mean it's not for every it's for everybody.
[34:18] everybody. >> Okay, good to know. Now, when you're
[34:20] >> Okay, good to know. Now, when you're looking around at Hollywood, not your
[34:22] looking around at Hollywood, not your patients, but when you just see people
[34:23] patients, but when you just see people in general, is there anybody that stands
[34:25] in general, is there anybody that stands out as having really good work done or
[34:28] out as having really good work done or possibly a really good facelift done?
[34:30] possibly a really good facelift done? >> Yeah. I mean, I think um you know, I I
[34:32] >> Yeah. I mean, I think um you know, I I don't really like to comment on
[34:33] don't really like to comment on celebrity and you know, obviously ones
[34:35] celebrity and you know, obviously ones that I've worked on which are a good
[34:37] that I've worked on which are a good number. Um you know, obviously the the
[34:39] number. Um you know, obviously the the one that people are talking about a lot
[34:40] one that people are talking about a lot right now is Chris Jenner. Um you know,
[34:43] right now is Chris Jenner. Um you know, and um and and my friend Steve Lavine
[34:45] and um and and my friend Steve Lavine has been acknowledged by her to have
[34:47] has been acknowledged by her to have done it. Steve's a brilliant surgeon.
[34:49] done it. Steve's a brilliant surgeon. He's a really cool guy. I did live
[34:50] He's a really cool guy. I did live surgery alongside him in S. Paulo last
[34:52] surgery alongside him in S. Paulo last year and um and so you know he's gotten
[34:55] year and um and so you know he's gotten really popular even before that. Um
[34:57] really popular even before that. Um interestingly he he does just a
[34:59] interestingly he he does just a smasectomy. He doesn't do a deep plane
[35:01] smasectomy. He doesn't do a deep plane facelift. Um it worked out very well for
[35:03] facelift. Um it worked out very well for her. I I still think that deep plane has
[35:06] her. I I still think that deep plane has gotten a lot of traction for a reason. I
[35:07] gotten a lot of traction for a reason. I think over the past couple decades it's
[35:09] think over the past couple decades it's become popular.
[35:11] become popular. >> Um and you know I think uh they the
[35:13] >> Um and you know I think uh they the rumors are that Lindsay Lohan had a
[35:15] rumors are that Lindsay Lohan had a facelift. Uh she denies it which again
[35:17] facelift. Uh she denies it which again is her prerogative. Um, you know, I
[35:19] is her prerogative. Um, you know, I think one the one thing that I think for
[35:20] think one the one thing that I think for sure happened with her is the filler
[35:22] sure happened with her is the filler went away because she had filler. She
[35:24] went away because she had filler. She had that lip filler look. The lips
[35:25] had that lip filler look. The lips weren't moving as naturally and and so
[35:28] weren't moving as naturally and and so she got that. So, those are two people,
[35:29] she got that. So, those are two people, but yeah, there are a lot of them out
[35:30] but yeah, there are a lot of them out there. I mean, you look at um, you know,
[35:32] there. I mean, you look at um, you know, uh, Michelle Feifer, people, she's a
[35:34] uh, Michelle Feifer, people, she's a beauty icon. Angelina Jolie, I think
[35:36] beauty icon. Angelina Jolie, I think still looks great. They're not my
[35:38] still looks great. They're not my patients. Um, and then I'll stop there
[35:40] patients. Um, and then I'll stop there because then I'm next thing you know,
[35:42] because then I'm next thing you know, comparing to people that I've worked
[35:43] comparing to people that I've worked with,
[35:43] with, >> they're like, they said he said he got a
[35:45] >> they're like, they said he said he got a facelift. Yeah. No, you're right.
[35:47] facelift. Yeah. No, you're right. There's some there's really good work
[35:49] There's some there's really good work right now which is so exciting I think
[35:50] right now which is so exciting I think for people and really I mean ultimately
[35:53] for people and really I mean ultimately it's each person's prerogative like
[35:55] it's each person's prerogative like you're saying it's like if you want to
[35:57] you're saying it's like if you want to do work do work if you don't you don't
[35:59] do work do work if you don't you don't but I do have to say the work is gotten
[36:01] but I do have to say the work is gotten so much better.
[36:02] so much better. >> Yeah. Yeah. I'm glad to hear you say
[36:04] >> Yeah. Yeah. I'm glad to hear you say that. I mean I think you know Yeah. I I
[36:06] that. I mean I think you know Yeah. I I look back at my work from the first few
[36:08] look back at my work from the first few years of my practice and you know I was
[36:10] years of my practice and you know I was lucky to get a lot of facelift
[36:12] lucky to get a lot of facelift experience in my training. You know, I
[36:13] experience in my training. You know, I trained at Baylor College of Medicine,
[36:15] trained at Baylor College of Medicine, which was one of the top three programs
[36:17] which was one of the top three programs in the country, particularly in terms of
[36:19] in the country, particularly in terms of volume that we did. I had, you know, my
[36:21] volume that we did. I had, you know, my own facelift clinic that I, you know, as
[36:23] own facelift clinic that I, you know, as a resident, and I would, I was
[36:24] a resident, and I would, I was comfortable by that point doing enough
[36:26] comfortable by that point doing enough of them that I would, I chose an
[36:28] of them that I would, I chose an attending physician or professor who
[36:30] attending physician or professor who wouldn't show up because he was too
[36:31] wouldn't show up because he was too busy. So, like, okay, I want to do it on
[36:33] busy. So, like, okay, I want to do it on my own. So, I had done 30 or 40 by the
[36:35] my own. So, I had done 30 or 40 by the time I finished my training. So, I look
[36:37] time I finished my training. So, I look back at my initial work and in the past,
[36:39] back at my initial work and in the past, I would say, well, I can't do any better
[36:41] I would say, well, I can't do any better than that. and I've always been good at
[36:42] than that. and I've always been good at this, but I I try to get better every
[36:44] this, but I I try to get better every time now. And that's something that's
[36:46] time now. And that's something that's changed with my philosophy is like I
[36:47] changed with my philosophy is like I want to be very critical of my results
[36:49] want to be very critical of my results and get better. And I think that's part
[36:50] and get better. And I think that's part of what's, you know, imparting that
[36:52] of what's, you know, imparting that philosophy to younger surgeons is what's
[36:54] philosophy to younger surgeons is what's made us all better.
[36:55] made us all better. >> Absolutely. And um for the women
[36:57] >> Absolutely. And um for the women listening today, what are three things
[36:59] listening today, what are three things that they could do at home today that
[37:02] that they could do at home today that will help their skin age slower? You
[37:05] will help their skin age slower? You know, really kind of preserve what they
[37:07] know, really kind of preserve what they have.
[37:07] have. >> Yeah. Well, keep use good skin care. I
[37:09] >> Yeah. Well, keep use good skin care. I mean, there's no magic bullet for
[37:10] mean, there's no magic bullet for skinincare. There's nothing that tight,
[37:12] skinincare. There's nothing that tight, you know, they go this facelift in a
[37:13] you know, they go this facelift in a bottle, that's total I think
[37:15] bottle, that's total I think most people know that. Um, you know, a
[37:17] most people know that. Um, you know, a facelift takes all day done correctly,
[37:19] facelift takes all day done correctly, several hours at least. So, you can't
[37:20] several hours at least. So, you can't get it out of a bottle. Um, and uh, and
[37:23] get it out of a bottle. Um, and uh, and sleeping on your back is is an important
[37:25] sleeping on your back is is an important thing because, you know, we spend a
[37:27] thing because, you know, we spend a third of our lives asleep. And so, we
[37:30] third of our lives asleep. And so, we spend the rest of our lives fighting
[37:31] spend the rest of our lives fighting gravity. While you're sleeping, you're
[37:33] gravity. While you're sleeping, you're either going to let gravity do its thing
[37:35] either going to let gravity do its thing by sleeping on your side or god forbid
[37:37] by sleeping on your side or god forbid your stomach or you're going to lie on
[37:38] your stomach or you're going to lie on your back and let gravity help you by,
[37:41] your back and let gravity help you by, you know, make keeping your ligaments
[37:43] you know, make keeping your ligaments tight and not stretched. So, sleeping on
[37:45] tight and not stretched. So, sleeping on your back is an important is one of the
[37:46] your back is an important is one of the things I would do. Also, you know, not
[37:48] things I would do. Also, you know, not smoking, keeping your weight stable is
[37:50] smoking, keeping your weight stable is also a big deal. That's that's really
[37:52] also a big deal. That's that's really important. Getting plenty of sleep
[37:54] important. Getting plenty of sleep because that'll help with the eyes and
[37:55] because that'll help with the eyes and everything. Those are all, you know,
[37:56] everything. Those are all, you know, good things.
[37:57] good things. >> Is there any go-to skinincare that
[37:58] >> Is there any go-to skinincare that you're loving right now? you know, um
[38:02] you're loving right now? you know, um yeah, I like um Elastin. I kind of leave
[38:04] yeah, I like um Elastin. I kind of leave the skincare to my my coordinator and so
[38:07] the skincare to my my coordinator and so all these things change. I'm developing
[38:09] all these things change. I'm developing my own brand. I'm going to call it Monty
[38:11] my own brand. I'm going to call it Monty Mist because Mist is a well,
[38:14] Mist because Mist is a well, >> so for skinincare, I'll back up. I do
[38:16] >> so for skinincare, I'll back up. I do autous stem cell injections where I suck
[38:18] autous stem cell injections where I suck out a little bit of fat and I do it in
[38:21] out a little bit of fat and I do it in the office often and I do it when I'm
[38:22] the office often and I do it when I'm doing a facelift. I'll do it with a
[38:23] doing a facelift. I'll do it with a facelift. And then you emulsify all the
[38:25] facelift. And then you emulsify all the fat cells out. And so what's left are
[38:28] fat cells out. And so what's left are stem cells and other supporting cells,
[38:29] stem cells and other supporting cells, you know, autotogus exosomes. And I just
[38:32] you know, autotogus exosomes. And I just inject them thoroughly throughout the
[38:33] inject them thoroughly throughout the face and neck. And that will help uh
[38:36] face and neck. And that will help uh reverse the you know regeneratively
[38:38] reverse the you know regeneratively reverse the changes of aging and it
[38:40] reverse the changes of aging and it helps with sun damage and it lasts
[38:42] helps with sun damage and it lasts forever in the sense that it's a
[38:44] forever in the sense that it's a cellular change. And then we have a
[38:45] cellular change. And then we have a skincare line that we recommend
[38:47] skincare line that we recommend afterwards that we require called
[38:48] afterwards that we require called Defonage, which is a stem cell
[38:50] Defonage, which is a stem cell activating line and it's kind of a
[38:51] activating line and it's kind of a medical line that we really like that in
[38:53] medical line that we really like that in particular, but I really think that, you
[38:55] particular, but I really think that, you know, you mentioned lasers earlier and
[38:57] know, you mentioned lasers earlier and things like that, CO2 lasers. I don't
[38:59] things like that, CO2 lasers. I don't like them to excess. I think if someone
[39:01] like them to excess. I think if someone like has the like a desert bearing
[39:02] like has the like a desert bearing lizard skin, they live in the Palm
[39:04] lizard skin, they live in the Palm Springs, then yeah, that works. But for
[39:06] Springs, then yeah, that works. But for thinner skin, it can thin out the skin
[39:08] thinner skin, it can thin out the skin over time and then they end up kind of
[39:09] over time and then they end up kind of looking like a ghost when they're in
[39:11] looking like a ghost when they're in their 60s and 70s. So, you got to be
[39:13] their 60s and 70s. So, you got to be careful about that. But I do like
[39:15] careful about that. But I do like patenza micro needling. We do that
[39:17] patenza micro needling. We do that before the mist and then inject the stem
[39:19] before the mist and then inject the stem cells and it's just it's beautiful.
[39:21] cells and it's just it's beautiful. >> Okay. So you do the micro needling then
[39:23] >> Okay. So you do the micro needling then do the stem cells so it really absorbs
[39:25] do the stem cells so it really absorbs into the skin.
[39:25] into the skin. >> Well, it's not exactly. That's I'm glad
[39:27] >> Well, it's not exactly. That's I'm glad you said that because people will do you
[39:30] you said that because people will do you know micro needling and then they'll put
[39:31] know micro needling and then they'll put PRP most common vampire facial. It's
[39:33] PRP most common vampire facial. It's total horseshit. Okay.
[39:34] total horseshit. Okay. >> You know it's like saying this is not
[39:36] >> You know it's like saying this is not the best analogy but it's like saying
[39:38] the best analogy but it's like saying I'm going to take a boat and put it on
[39:39] I'm going to take a boat and put it on top of a geyser and it's going to go
[39:41] top of a geyser and it's going to go into the hole. That's exactly the
[39:43] into the hole. That's exactly the opposite is going to happen. Maybe a
[39:45] opposite is going to happen. Maybe a little gets in there. But what I do
[39:47] little gets in there. But what I do instead is the Potenza machine has
[39:49] instead is the Potenza machine has what's called a fusion tip where you
[39:50] what's called a fusion tip where you turn the power off and it exerts a
[39:52] turn the power off and it exerts a positive pressure to push the fluid in.
[39:55] positive pressure to push the fluid in. So that's what you have to do. And then
[39:56] So that's what you have to do. And then in addition to that, I also inject with
[39:58] in addition to that, I also inject with a little Botox needle, you know, and it
[39:59] a little Botox needle, you know, and it takes a while. It's kind of tedious, but
[40:01] takes a while. It's kind of tedious, but it's worth it. So that but and and I
[40:03] it's worth it. So that but and and I like micro needling to a degree, but not
[40:06] like micro needling to a degree, but not again not to excess because the the
[40:08] again not to excess because the the thing is that you'll hear we we're
[40:10] thing is that you'll hear we we're building collagen. you know, we're going
[40:11] building collagen. you know, we're going to build your collagen with whatever it
[40:13] to build your collagen with whatever it is, a peel or whatever. The problem is
[40:16] is, a peel or whatever. The problem is like I can take a cheese grater and
[40:17] like I can take a cheese grater and grate it on my arm and it's not going to
[40:19] grate it on my arm and it's not going to look better. It's going to look like
[40:20] look better. It's going to look like hamburger meat, but it has built
[40:22] hamburger meat, but it has built collagen. But it's type one and three
[40:24] collagen. But it's type one and three disorganized collagen that you're
[40:25] disorganized collagen that you're building. It's just scar tissue. And I
[40:28] building. It's just scar tissue. And I honestly feel the same way about these
[40:30] honestly feel the same way about these bio stimulator fillers. That's another
[40:32] bio stimulator fillers. That's another line of It's my opinion. I'm
[40:34] line of It's my opinion. I'm not going to say that's objectively
[40:35] not going to say that's objectively true, but regenerative means you're
[40:38] true, but regenerative means you're taking stem cells and other cells from
[40:39] taking stem cells and other cells from the patient's own body and you're truly
[40:41] the patient's own body and you're truly regenerating. So, you have to kind of
[40:43] regenerating. So, you have to kind of watch out for that in marketing stuff.
[40:45] watch out for that in marketing stuff. >> Okay, that's really good to know. Yeah,
[40:46] >> Okay, that's really good to know. Yeah, please can you let us know what we
[40:48] please can you let us know what we should not be doing? Procedures that you
[40:49] should not be doing? Procedures that you think are not worth it, the time or the
[40:52] think are not worth it, the time or the money.
[40:52] money. >> Yeah, I think that uh thread lifts,
[40:54] >> Yeah, I think that uh thread lifts, you'll most surgeons will tell you and
[40:56] you'll most surgeons will tell you and most patients that have had thread lifts
[40:58] most patients that have had thread lifts will tell you it's a waste of time and
[41:00] will tell you it's a waste of time and money. They can have complications. They
[41:02] money. They can have complications. They can injure facial nerves. I've seen it
[41:03] can injure facial nerves. I've seen it happen. Um, so that's definitely one
[41:05] happen. Um, so that's definitely one that I would say for some reason it's
[41:07] that I would say for some reason it's kind of reared its ugly head again.
[41:08] kind of reared its ugly head again. After 20 years, they had them 20 years
[41:10] After 20 years, they had them 20 years ago, they were permanent. They still
[41:12] ago, they were permanent. They still didn't work. Now they're absorbable, so
[41:14] didn't work. Now they're absorbable, so they work even less. Every now and then
[41:16] they work even less. Every now and then I'll meet a patient that was happy with
[41:18] I'll meet a patient that was happy with them, but it's pretty rare. Um, and then
[41:20] them, but it's pretty rare. Um, and then again, CO2 aggressive ablative lasers do
[41:23] again, CO2 aggressive ablative lasers do work in some cases and and I have great
[41:24] work in some cases and and I have great dermatologists that I referred to for
[41:26] dermatologists that I referred to for them, but they are aggressive. So ju you
[41:30] them, but they are aggressive. So ju you know and also retina I think isn't is
[41:32] know and also retina I think isn't is overused. It's kind of addictive because
[41:34] overused. It's kind of addictive because it makes your skin soft and supple but
[41:36] it makes your skin soft and supple but at the same time it also will make your
[41:38] at the same time it also will make your skin fryable which means that you can
[41:40] skin fryable which means that you can scrape it and it'll start bleeding if
[41:41] scrape it and it'll start bleeding if you do too much of it. And so that tells
[41:44] you do too much of it. And so that tells not most people don't do that but just
[41:46] not most people don't do that but just in excess it's not good and I don't even
[41:48] in excess it's not good and I don't even think it's good at all but you know I'm
[41:49] think it's good at all but you know I'm a proponent of just doing the stem cell
[41:51] a proponent of just doing the stem cell injections the mist I think that's much
[41:53] injections the mist I think that's much better.
[41:54] better. >> Oh interesting. And so if a woman has
[41:55] >> Oh interesting. And so if a woman has her, you know, retina at home, should
[41:57] her, you know, retina at home, should she not or use it sparingly kind of a
[41:59] she not or use it sparingly kind of a thing?
[42:00] thing? >> I mean, I would almost say throw it in
[42:01] >> I mean, I would almost say throw it in the garbage can would be my opinion. I
[42:03] the garbage can would be my opinion. I mean, dermatologists would probably
[42:04] mean, dermatologists would probably disagree with me, but again, you know,
[42:06] disagree with me, but again, you know, they're doing fillers. They recommend
[42:07] they're doing fillers. They recommend those. I don't like those.
[42:09] those. I don't like those. >> Okay.
[42:09] >> Okay. >> But again, you know, I'm a surgeon. I
[42:11] >> But again, you know, I'm a surgeon. I don't recommend surgery for everyone. I
[42:12] don't recommend surgery for everyone. I think you need to do what's right for
[42:14] think you need to do what's right for for the patient. But yeah, retina, I
[42:16] for the patient. But yeah, retina, I mean, maybe, but just in in moderation.
[42:19] mean, maybe, but just in in moderation. Okay. Real moderation.
[42:20] Okay. Real moderation. >> And are there lasers? I know CO2 is not,
[42:23] >> And are there lasers? I know CO2 is not, you know, great in your eyes. Are there
[42:25] you know, great in your eyes. Are there lasers that are better? You think that
[42:27] lasers that are better? You think that maybe
[42:27] maybe >> there there are a lot of lasers that I
[42:29] >> there there are a lot of lasers that I kind of lose. There's pico sure and they
[42:31] kind of lose. There's pico sure and they all and I have a nurse that Karen
[42:33] all and I have a nurse that Karen Villaina is one of the world experts in
[42:35] Villaina is one of the world experts in laser treatments. So, I kind of defer to
[42:37] laser treatments. So, I kind of defer to her judgment and I'll have people come
[42:38] her judgment and I'll have people come in and just she'll do a consult with
[42:39] in and just she'll do a consult with them. But, um yeah, there are certain
[42:42] them. But, um yeah, there are certain like IPL works for the little and it's
[42:44] like IPL works for the little and it's pretty mild just for little red spots.
[42:46] pretty mild just for little red spots. V-beam laser works well for vascular
[42:48] V-beam laser works well for vascular issues and we use Vbeam a lot. My friend
[42:49] issues and we use Vbeam a lot. My friend Dan Barusen is a dermatologist. I refer
[42:52] Dan Barusen is a dermatologist. I refer a lot of people to for not only you know
[42:55] a lot of people to for not only you know vascular things in the you know spider
[42:57] vascular things in the you know spider veins and things like that redness but
[42:58] veins and things like that redness but also with the scars when they turn red
[43:00] also with the scars when they turn red we sort of if they turn red we use the
[43:02] we sort of if they turn red we use the V-beam laser so lasers are very specific
[43:04] V-beam laser so lasers are very specific for a certain purpose there's no kind of
[43:06] for a certain purpose there's no kind of catch-all laser you know for for
[43:09] catch-all laser you know for for everything
[43:09] everything >> so a lot of people have like red light
[43:12] >> so a lot of people have like red light masks at home I think red blue and
[43:14] masks at home I think red blue and yellow are those good to use postsurgery
[43:17] yellow are those good to use postsurgery for healing
[43:18] for healing >> yeah I I don't think they make a night
[43:19] >> yeah I I don't think they make a night and day difference I I think um the
[43:22] and day difference I I think um the hyperaric is your go-to. Um but
[43:24] hyperaric is your go-to. Um but obviously it's not a laser, but I think
[43:26] obviously it's not a laser, but I think they they can work. I think those masks,
[43:28] they they can work. I think those masks, you know, you kind of have to try and
[43:29] you know, you kind of have to try and see if it works. People have a tendency
[43:31] see if it works. People have a tendency to want to do something to help
[43:33] to want to do something to help themselves heal. They don't think
[43:34] themselves heal. They don't think they're going to heal without doing
[43:35] they're going to heal without doing something active. And that's not true.
[43:37] something active. And that's not true. It's just time. You know, the vitamin,
[43:39] It's just time. You know, the vitamin, the tincture of time we call it, takes
[43:41] the tincture of time we call it, takes time. Hyperaric definitely accelerates
[43:43] time. Hyperaric definitely accelerates the healing curve. And red light might.
[43:45] the healing curve. And red light might. I think the main thing is don't get in
[43:47] I think the main thing is don't get in like an infrared sauna or one that's
[43:49] like an infrared sauna or one that's going to make you sweat because you
[43:50] going to make you sweat because you might get an infection. If it's too
[43:52] might get an infection. If it's too early, then that your sweat will get
[43:54] early, then that your sweat will get bacteria into your incisions.
[43:56] bacteria into your incisions. >> So, that's a no no afterwards.
[43:58] >> So, that's a no no afterwards. >> Okay. Oh, that's good to know.
[43:59] >> Okay. Oh, that's good to know. Especially in Los Angeles, like you're
[44:00] Especially in Los Angeles, like you're saying, everyone wants to get back to
[44:02] saying, everyone wants to get back to the gym or like do the infrared song.
[44:04] the gym or like do the infrared song. >> Yeah, that's one of the problems of
[44:05] >> Yeah, that's one of the problems of working out too soon. I had back when I
[44:06] working out too soon. I had back when I did I do breast surgery still some, but
[44:08] did I do breast surgery still some, but back when I did more breast surgery, I
[44:10] back when I did more breast surgery, I had a patient that, you know, went to
[44:11] had a patient that, you know, went to went to work out and got an infection,
[44:13] went to work out and got an infection, you know, worked out too quickly and it
[44:15] you know, worked out too quickly and it was like two weeks after.
[44:16] was like two weeks after. >> Or I had a patient once that got the got
[44:19] >> Or I had a patient once that got the got an Airbnb without air conditioning on
[44:22] an Airbnb without air conditioning on the hottest day in recorded history. I
[44:25] the hottest day in recorded history. I told her, "You're going to get an
[44:26] told her, "You're going to get an infection." And sure enough, she did. I
[44:28] infection." And sure enough, she did. I mean, we handled it with antibiotics,
[44:29] mean, we handled it with antibiotics, but that those are things that you don't
[44:31] but that those are things that you don't think about sometimes if you're a
[44:33] think about sometimes if you're a patient that you need to be told about.
[44:34] patient that you need to be told about. Mhm. And what about cold therapy? Like
[44:36] Mhm. And what about cold therapy? Like cold plunges, like putting your face in
[44:38] cold plunges, like putting your face in an ice bath. What about What do you
[44:40] an ice bath. What about What do you think about that?
[44:40] think about that? >> Well, yeah. So, no, I don't think I
[44:43] >> Well, yeah. So, no, I don't think I think there's something coming out about
[44:44] think there's something coming out about cold plunges, and I'm I was happy to
[44:45] cold plunges, and I'm I was happy to hear this because I'm a wimp about that.
[44:47] hear this because I'm a wimp about that. I don't want to do it. So, I'm glad to
[44:49] I don't want to do it. So, I'm glad to hear that there's something that's not
[44:50] hear that there's something that's not good for you. I forget what it is, but
[44:52] good for you. I forget what it is, but something to research. Definitely not
[44:54] something to research. Definitely not after surgery. Um, you know, you can ice
[44:56] after surgery. Um, you know, you can ice your yourself, assuming you haven't had
[44:58] your yourself, assuming you haven't had fat transfer or stem cells. Ice is okay
[45:01] fat transfer or stem cells. Ice is okay if you haven't had those things done. So
[45:02] if you haven't had those things done. So I don't allow much icing just because of
[45:04] I don't allow much icing just because of that because it'll kill the fat
[45:06] that because it'll kill the fat transferred fat.
[45:07] transferred fat. >> Oh, interesting.
[45:08] >> Oh, interesting. >> That's one thing to be careful about.
[45:10] >> That's one thing to be careful about. >> So when you're taking fat from the other
[45:11] >> So when you're taking fat from the other parts of the body, is it usually like
[45:13] parts of the body, is it usually like the stomach or the legs or
[45:15] the stomach or the legs or >> you usually, you know, again in LA it's
[45:18] >> you usually, you know, again in LA it's like everything because they have a
[45:19] like everything because they have a little bit left, you know, it's but so
[45:22] little bit left, you know, it's but so we usually the flanks actually because
[45:24] we usually the flanks actually because you know because your body wall is
[45:26] you know because your body wall is shaped like a cone sort of and so
[45:28] shaped like a cone sort of and so there's more fat here in almost anyone
[45:30] there's more fat here in almost anyone than you would think. So, this is kind
[45:32] than you would think. So, this is kind of the go-to area, you know, and but the
[45:34] of the go-to area, you know, and but the thing is that most people, you know, you
[45:36] thing is that most people, you know, you you can't swing a dead cat in LA without
[45:38] you can't swing a dead cat in LA without having someone have liposuction or that
[45:41] having someone have liposuction or that that's hitting someone that has hasn't
[45:43] that's hitting someone that has hasn't had liposuction. So, um, in areas where
[45:45] had liposuction. So, um, in areas where they've had lipo, you may have to go to
[45:47] they've had lipo, you may have to go to other areas like the upper back or
[45:48] other areas like the upper back or places like that, but the flanks are
[45:50] places like that, but the flanks are kind of the go-to.
[45:51] kind of the go-to. >> That's a go-to. Yeah. Keep those flanks,
[45:53] >> That's a go-to. Yeah. Keep those flanks, ladies. Keep
[45:54] ladies. Keep >> the flanks.
[45:55] >> the flanks. >> So, what advice would you have would you
[45:58] >> So, what advice would you have would you give your 25year-old self?
[46:01] give your 25year-old self? Um, that's a very good question. Um, you
[46:05] Um, that's a very good question. Um, you really shifted gears there. Now I have
[46:06] really shifted gears there. Now I have to think philosophically.
[46:07] to think philosophically. >> I know we're taking it out of a plastic
[46:09] >> I know we're taking it out of a plastic surgery. Um I would say um en enjoy the
[46:15] surgery. Um I would say um en enjoy the process which I do now but like
[46:17] process which I do now but like appreciate the privilege of being able
[46:19] appreciate the privilege of being able to do surgery on people because it to me
[46:22] to do surgery on people because it to me it's kind of a spiritual thing because I
[46:24] it's kind of a spiritual thing because I see the beauty of the living glistening
[46:26] see the beauty of the living glistening protoplasm and uh I think it's a real
[46:29] protoplasm and uh I think it's a real privilege and so it's become something
[46:30] privilege and so it's become something that I've incorporated into my soul that
[46:32] that I've incorporated into my soul that I I love being a surgeon. I will never
[46:35] I I love being a surgeon. I will never stop operating. Hey man, I could retire
[46:37] stop operating. Hey man, I could retire now, but I I love doing it. And so I'll
[46:39] now, but I I love doing it. And so I'll keep doing it until I can't. And so I
[46:42] keep doing it until I can't. And so I would just say, you know, don't don't
[46:43] would just say, you know, don't don't worry as much. I said, I tell that to
[46:46] worry as much. I said, I tell that to anyone. Things are going to work out.
[46:48] anyone. Things are going to work out. And uh and then uh you've I mean, I
[46:50] And uh and then uh you've I mean, I would say to myself, you've chosen the
[46:51] would say to myself, you've chosen the right path because I wasn't always sure.
[46:53] right path because I wasn't always sure. But you know, my mother was an artist,
[46:55] But you know, my mother was an artist, my father was a surgeon, and so I sort
[46:56] my father was a surgeon, and so I sort of had the genetic, you know,
[46:58] of had the genetic, you know, proclivity. and and at that point. The
[47:01] proclivity. and and at that point. The other thing I would say to myself is
[47:02] other thing I would say to myself is that um do uh more charity work earlier
[47:06] that um do uh more charity work earlier because I do a lot of it now and I
[47:07] because I do a lot of it now and I trained in reconstructive surgery and I
[47:10] trained in reconstructive surgery and I love that part of it, you know, because
[47:11] love that part of it, you know, because I sit around in my office having people
[47:13] I sit around in my office having people come in and bitching about their
[47:15] come in and bitching about their wrinkles all day, which I don't mind
[47:16] wrinkles all day, which I don't mind because I know I can help them and and
[47:18] because I know I can help them and and it's more than that. There's a
[47:19] it's more than that. There's a psychology to it, but I about 10% of my
[47:22] psychology to it, but I about 10% of my practice I devote to Face Forward
[47:23] practice I devote to Face Forward International, helping, you know,
[47:25] International, helping, you know, patients that are victims and sort of
[47:27] patients that are victims and sort of survivors of domestic violence
[47:28] survivors of domestic violence incidents. And, you know, the staff love
[47:31] incidents. And, you know, the staff love it when they come in. And I'm the the
[47:32] it when they come in. And I'm the the executive the chief surgeon of that
[47:34] executive the chief surgeon of that group along with Dr. Rod Roric in Dallas
[47:36] group along with Dr. Rod Roric in Dallas who's a very famous plastic surgeon
[47:38] who's a very famous plastic surgeon there.
[47:38] there. >> So, that's Oh, you're from Dallas. Oh,
[47:41] >> So, that's Oh, you're from Dallas. Oh, I'm from Abalene.
[47:42] I'm from Abalene. >> Oh, you're kidding.
[47:43] >> Oh, you're kidding. >> We haven't talked about this.
[47:44] >> We haven't talked about this. >> Oh my gosh. We're
[47:46] >> Oh my gosh. We're Yeah.
[47:47] Yeah. >> Do you go back a lot?
[47:48] >> Do you go back a lot? No. To Abalene.
[47:50] No. To Abalene. >> Yeah.
[47:50] >> Yeah. >> It's in my heart. I I love the city I
[47:52] >> It's in my heart. I I love the city I grew up in, but no, I don't go back. You
[47:55] grew up in, but no, I don't go back. You maybe most of my friends moved away and
[47:57] maybe most of my friends moved away and my family moved away, but I love Dallas,
[47:59] my family moved away, but I love Dallas, too. Do you go Do you go back there?
[48:00] too. Do you go Do you go back there? >> I do. I'm actually getting ready to go
[48:02] >> I do. I'm actually getting ready to go next week. So, just in time for all that
[48:04] next week. So, just in time for all that August heat.
[48:06] August heat. >> Yes. Well, I don't mind the heat. I used
[48:07] >> Yes. Well, I don't mind the heat. I used to not mind the heat. You get kind of
[48:09] to not mind the heat. You get kind of wimpy in LA after a while where it's
[48:10] wimpy in LA after a while where it's like, oh god, it's too hot. But but
[48:12] like, oh god, it's too hot. But but yeah, it's but no and well, Dallas, it's
[48:15] yeah, it's but no and well, Dallas, it's also a dry heat as they say. So it's not
[48:17] also a dry heat as they say. So it's not as bad as some places, right?
[48:19] as bad as some places, right? >> It's not as bad. And I find that Dallas
[48:20] >> It's not as bad. And I find that Dallas is kind of a mini Los Angeles in a lot
[48:22] is kind of a mini Los Angeles in a lot of ways, you know, as far as like
[48:24] of ways, you know, as far as like lifestyle and the way people kind of,
[48:26] lifestyle and the way people kind of, you know, live there. So glamour,
[48:28] you know, live there. So glamour, >> right? It's very glamorous. It's very
[48:29] >> right? It's very glamorous. It's very metropolitan.
[48:31] metropolitan. Um, so it's nice to go back, but then
[48:32] Um, so it's nice to go back, but then it's also nice to kind of get away and
[48:34] it's also nice to kind of get away and kind of visit relatives in smaller parts
[48:36] kind of visit relatives in smaller parts of Texas and and see that side of it
[48:39] of Texas and and see that side of it because it's not something I see a lot
[48:40] because it's not something I see a lot here, you know.
[48:41] here, you know. >> So, what what part of Dallas did you
[48:43] >> So, what what part of Dallas did you grow up?
[48:44] grow up? >> Preston Hollow.
[48:45] >> Preston Hollow. >> Oh, sure.
[48:45] >> Oh, sure. >> Preston Hollow area.
[48:46] >> Preston Hollow area. >> That's beautiful.
[48:47] >> That's beautiful. >> Yeah. So, I went to um an all girls
[48:49] >> Yeah. So, I went to um an all girls school there growing up. Yes.
[48:51] school there growing up. Yes. >> Had a school.
[48:52] >> Had a school. >> Yes.
[48:52] >> Yes. >> The best probably best private school in
[48:54] >> The best probably best private school in Texas, right?
[48:55] Texas, right? >> I think so. I mean, I'm a believer.
[48:57] >> I think so. I mean, I'm a believer. >> Yeah. That's a great school.
[48:59] >> Yeah. That's a great school. >> Yeah. So, it was great. So it was um you
[49:01] >> Yeah. So, it was great. So it was um you know a great growing up in Texas and
[49:02] know a great growing up in Texas and having those you know Dallas summers and
[49:05] having those you know Dallas summers and Texas summers and you know enjoying
[49:07] Texas summers and you know enjoying being outside and all that good stuff.
[49:09] being outside and all that good stuff. So
[49:10] So >> So how long have you been in LA?
[49:11] >> So how long have you been in LA? >> So I came to Los Angeles to go to
[49:13] >> So I came to Los Angeles to go to undergrad at USC.
[49:14] undergrad at USC. >> Oh awesome.
[49:15] >> Oh awesome. >> So I've been here
[49:17] >> So I've been here >> a little over 25 years on and off.
[49:20] >> a little over 25 years on and off. >> Okay.
[49:20] >> Okay. >> So I lived in New York for a while and
[49:22] >> So I lived in New York for a while and then I came back. Okay.
[49:23] then I came back. Okay. >> Um so yeah. So it's nice to be back.
[49:25] >> Um so yeah. So it's nice to be back. >> And you like LA better than New York?
[49:27] >> And you like LA better than New York? >> I do for the dayto-day, you know. I
[49:29] >> I do for the dayto-day, you know. I think it's it's an easier, you know,
[49:31] think it's it's an easier, you know, just getting around. I like having a car
[49:34] just getting around. I like having a car and, you know, I just feel like it I can
[49:36] and, you know, I just feel like it I can enjoy the days more here, whereas New
[49:39] enjoy the days more here, whereas New York is great like when you're young and
[49:41] York is great like when you're young and single and running, you know, out every
[49:43] single and running, you know, out every night, party to party, going to clubs
[49:45] night, party to party, going to clubs and bars,
[49:46] and bars, >> it's great for that, too. Yeah, it's
[49:49] >> it's great for that, too. Yeah, it's when you get older, it's Well, they say,
[49:51] when you get older, it's Well, they say, this is an old thing that people haven't
[49:52] this is an old thing that people haven't heard anymore, but back when I was I
[49:54] heard anymore, but back when I was I went to college in Boston at Harvard
[49:56] went to college in Boston at Harvard undergrad and I went to New York back
[49:57] undergrad and I went to New York back and forth a lot and they always said New
[49:59] and forth a lot and they always said New York is like a sandwich. The more
[50:01] York is like a sandwich. The more dough you have or the more bread you
[50:03] dough you have or the more bread you have, the less you taste. Oh, yeah.
[50:04] have, the less you taste. Oh, yeah. >> And it's a it's a grind, right? But I
[50:06] >> And it's a it's a grind, right? But I mean, I I'm getting a New York license
[50:08] mean, I I'm getting a New York license because I'm doing
[50:09] because I'm doing >> I'm doing live surgery there at a big
[50:11] >> I'm doing live surgery there at a big meeting. And so, you have to have a
[50:12] meeting. And so, you have to have a license for that. Okay.
[50:13] license for that. Okay. >> And um and and I loved it the last time
[50:15] >> And um and and I loved it the last time I went for this meeting a friend of mine
[50:17] I went for this meeting a friend of mine had. and the energy and everything. But
[50:19] had. and the energy and everything. But yeah, it's it's always good to get back
[50:20] yeah, it's it's always good to get back to LA, I think.
[50:21] to LA, I think. >> Do you have any favorite places in New
[50:23] >> Do you have any favorite places in New York? Like your top spots?
[50:24] York? Like your top spots? >> I don't go enough to to have that. There
[50:26] >> I don't go enough to to have that. There was there was a place we went for for
[50:28] was there was a place we went for for dinner which was really good, but I just
[50:30] dinner which was really good, but I just think, you know, new places, they have
[50:31] think, you know, new places, they have some great restaurant. I love like oat
[50:33] some great restaurant. I love like oat cuisine, French food. So, there's more
[50:35] cuisine, French food. So, there's more places there that for that, but I don't
[50:38] places there that for that, but I don't really know particularly what's popular
[50:40] really know particularly what's popular now.
[50:40] now. >> Did you ever go to the late Anthony
[50:42] >> Did you ever go to the late Anthony Bourdain's um he had a French
[50:44] Bourdain's um he had a French restaurant, Lezal? I don't know if I
[50:47] restaurant, Lezal? I don't know if I >> Yeah. Yeah. No, I didn't. Is it still
[50:49] >> Yeah. Yeah. No, I didn't. Is it still still there?
[50:50] still there? >> You know, that's a good question. I'm
[50:51] >> You know, that's a good question. I'm not sure. I'm not sure. Um, but I know
[50:54] not sure. I'm not sure. Um, but I know he obviously, you know, had a great
[50:56] he obviously, you know, had a great restaurant and everything. Yeah, he was
[50:58] restaurant and everything. Yeah, he was great. He really was.
[50:59] great. He really was. >> Okay. So, how are you living iconically
[51:02] >> Okay. So, how are you living iconically right now in this season of life?
[51:05] right now in this season of life? >> Um, I I kind of am. I mean, I I I built
[51:08] >> Um, I I kind of am. I mean, I I I built a house, you know, in Beverly Hills. I
[51:10] a house, you know, in Beverly Hills. I I'm just overjoyed to have and lucky to
[51:13] I'm just overjoyed to have and lucky to have a house that's has one of the best
[51:14] have a house that's has one of the best views in town. It's the highest home
[51:16] views in town. It's the highest home there
[51:17] there >> and um it's modern. It looks like a
[51:19] >> and um it's modern. It looks like a museum and and so I just am grateful and
[51:21] museum and and so I just am grateful and blissful every time I go home. It's kind
[51:23] blissful every time I go home. It's kind of a creative space and I'm putting
[51:24] of a creative space and I'm putting artwork in there now. And uh I think for
[51:27] artwork in there now. And uh I think for me the most important thing to me how
[51:30] me the most important thing to me how I'm living is my work with the survivors
[51:32] I'm living is my work with the survivors and face forward. It just um adds so
[51:35] and face forward. It just um adds so much dimension and depth and it makes me
[51:37] much dimension and depth and it makes me so much more appreciative. It makes your
[51:39] so much more appreciative. It makes your problems go away when you see these, you
[51:40] problems go away when you see these, you know, these people that have their face
[51:42] know, these people that have their face has been burned by usually by acid burns
[51:44] has been burned by usually by acid burns and we the charity flies them in from
[51:47] and we the charity flies them in from overseas and they come in and so um you
[51:50] overseas and they come in and so um you know to me it's just it it's natural
[51:52] know to me it's just it it's natural people. Oh, it's so great that you're
[51:53] people. Oh, it's so great that you're doing that. For me, it's just sort of
[51:54] doing that. For me, it's just sort of automatic because I love doing surgery
[51:56] automatic because I love doing surgery and I trained in all these aspects of
[51:58] and I trained in all these aspects of reconstructive surgery and wasn't using
[52:00] reconstructive surgery and wasn't using them as much. But you can wake me up at
[52:02] them as much. But you can wake me up at 3:00 in the morning, I'll go operate
[52:04] 3:00 in the morning, I'll go operate without batting an eye and I I love
[52:06] without batting an eye and I I love doing it. So it just adds that much more
[52:07] doing it. So it just adds that much more to
[52:08] to >> Yeah. feed your soul, right? It's just
[52:10] >> Yeah. feed your soul, right? It's just >> that's the good a good way to put it.
[52:11] >> that's the good a good way to put it. Yeah.
[52:12] Yeah. >> Absolutely. Well, on the iconic midlife,
[52:14] >> Absolutely. Well, on the iconic midlife, we always like to play a game at the end
[52:15] we always like to play a game at the end of the episode. So if your game, we can
[52:18] of the episode. So if your game, we can play a little rapid fire.
[52:19] play a little rapid fire. >> Okay.
[52:21] >> Okay. >> All right. So the name of this game is
[52:25] >> All right. So the name of this game is refine or rewind. So basically I will
[52:29] refine or rewind. So basically I will say an aesthetic or a trend and if you
[52:33] say an aesthetic or a trend and if you would refine it, you would tweak it and
[52:35] would refine it, you would tweak it and make it better or if you rewind it, let
[52:38] make it better or if you rewind it, let it go, keep it in the past.
[52:39] it go, keep it in the past. >> So you mean like take it or ditch it?
[52:41] >> So you mean like take it or ditch it? Like is this a good thing or a bad
[52:42] Like is this a good thing or a bad thing?
[52:43] thing? >> Exactly. Got it. Exactly. Okay, here we
[52:46] >> Exactly. Got it. Exactly. Okay, here we go. Overcontoured cheekbones. Allah 2016
[52:51] go. Overcontoured cheekbones. Allah 2016 Instagram.
[52:52] Instagram. >> Um, rewind.
[52:54] >> Um, rewind. >> Okay, leave it. Right.
[52:55] >> Okay, leave it. Right. >> Well, yeah. Uh, I mean, I think over
[52:57] >> Well, yeah. Uh, I mean, I think over anything when you say overcontoured, it
[52:59] anything when you say overcontoured, it sort of means like that's not what they
[53:01] sort of means like that's not what they used to look like. Throw it away. I
[53:03] used to look like. Throw it away. I mean, that that conjures filler to me or
[53:05] mean, that that conjures filler to me or something that's not not natural. So, I
[53:07] something that's not not natural. So, I would say rewind.
[53:08] would say rewind. >> Rewind. Okay. The phrase anti-aging.
[53:13] >> Rewind. Okay. The phrase anti-aging. >> Um, anti-aging is okay. Longevity is is,
[53:17] >> Um, anti-aging is okay. Longevity is is, you know, is a not a good word. I don't
[53:19] you know, is a not a good word. I don't think it's or increasing lifespan is not
[53:22] think it's or increasing lifespan is not a good word because we should be
[53:24] a good word because we should be increasing health span. We should live
[53:26] increasing health span. We should live more fruitfully and more healthily in
[53:28] more fruitfully and more healthily in the years that we have, but not
[53:29] the years that we have, but not necessarily 150 years. That's kind of
[53:32] necessarily 150 years. That's kind of unspiritual, I think, to to want to do
[53:34] unspiritual, I think, to to want to do that.
[53:35] that. >> But yeah, anti-aging is is fine, you
[53:37] >> But yeah, anti-aging is is fine, you know, to try to prevent the ravages of
[53:39] know, to try to prevent the ravages of age. That's my job. So, I can't say no
[53:42] age. That's my job. So, I can't say no to that.
[53:42] to that. >> Botox before the age of 30.
[53:46] >> Botox before the age of 30. >> I would say rewind on that. I mean, I'm
[53:48] >> I would say rewind on that. I mean, I'm I'm not a big fan. I do Botox. It drives
[53:50] I'm not a big fan. I do Botox. It drives me bananas every time I have a patient
[53:52] me bananas every time I have a patient on the schedule for Botox and I tell my
[53:54] on the schedule for Botox and I tell my receptionist, "Please, no." But I mean,
[53:56] receptionist, "Please, no." But I mean, apparently I'm good at it. I mean, I'm a
[53:58] apparently I'm good at it. I mean, I'm a surgeon, so and I'm being artistic. I
[53:59] surgeon, so and I'm being artistic. I know how to do it symmetrically and
[54:01] know how to do it symmetrically and whatnot. But yeah, before 30, I mean,
[54:04] whatnot. But yeah, before 30, I mean, come on. Your face is supposed to be
[54:05] come on. Your face is supposed to be expressive. So, just sort of wait until
[54:07] expressive. So, just sort of wait until you get like some expression lines that
[54:09] you get like some expression lines that are starting to be etched in and then do
[54:11] are starting to be etched in and then do it in moderation,
[54:13] it in moderation, >> right? Because the, you know, everyone
[54:14] >> right? Because the, you know, everyone says, "Oh, I'm doing it preventatively
[54:16] says, "Oh, I'm doing it preventatively so I don't get wrinkles in the first
[54:18] so I don't get wrinkles in the first place." But you're saying, "Wait,
[54:20] place." But you're saying, "Wait, >> yeah, you're not a sculpture or a
[54:21] >> yeah, you're not a sculpture or a mannequin, you know. You're not you're
[54:22] mannequin, you know. You're not you're not trying to, you know, um you're
[54:25] not trying to, you know, um you're you're not trying to mummify yourself at
[54:27] you're not trying to mummify yourself at age 18, you know, or I'm not anyway."
[54:30] age 18, you know, or I'm not anyway." So, yeah, that's too early. And I I
[54:32] So, yeah, that's too early. And I I think that like a lot of good actors
[54:34] think that like a lot of good actors don't want it at all. And you can tell
[54:36] don't want it at all. And you can tell by their expression, they're still
[54:37] by their expression, they're still expressive. And so, I'm I'm fine with
[54:39] expressive. And so, I'm I'm fine with that. But, you know, conservative Botox
[54:41] that. But, you know, conservative Botox in the 30s, late 30s, I think that's
[54:44] in the 30s, late 30s, I think that's fine. filler migration correction
[54:47] fine. filler migration correction surgery.
[54:48] surgery. >> Yeah, that's sort of my wheelhouse. So,
[54:51] >> Yeah, that's sort of my wheelhouse. So, I would say refine um and that's what I
[54:53] I would say refine um and that's what I do on a daily basis. I get an MRI on
[54:55] do on a daily basis. I get an MRI on every facelift patient or fat transfer
[54:57] every facelift patient or fat transfer patient and I have a radiologist at Mink
[55:00] patient and I have a radiologist at Mink Radiology that's phenomenal and she
[55:02] Radiology that's phenomenal and she gives me a 3D reconstruction. Okay? So,
[55:04] gives me a 3D reconstruction. Okay? So, I can see where people's filler is. It
[55:06] I can see where people's filler is. It lights up in bright green. I'll send you
[55:08] lights up in bright green. I'll send you a picture of this and it's animated so
[55:10] a picture of this and it's animated so you can see the whole three-dimensional
[55:12] you can see the whole three-dimensional reconstruction. So I have the MRI 3D
[55:15] reconstruction. So I have the MRI 3D image in front of me and an ultrasound
[55:17] image in front of me and an ultrasound that I call the filler killer. So I have
[55:18] that I call the filler killer. So I have my ultrasound screen and I have my
[55:20] my ultrasound screen and I have my needle and I spend four to five sessions
[55:22] needle and I spend four to five sessions on almost every patient dissolving their
[55:24] on almost every patient dissolving their filler and then we typically get an MRI
[55:27] filler and then we typically get an MRI afterwards so I know as much of it as I
[55:28] afterwards so I know as much of it as I can is gone. Filler migration surgery
[55:31] can is gone. Filler migration surgery you you can't remove filler with
[55:33] you you can't remove filler with surgery. Uh and you know you can some
[55:35] surgery. Uh and you know you can some some fillers that's the only way like
[55:37] some fillers that's the only way like silicone and whatnot. I try not to get
[55:39] silicone and whatnot. I try not to get into that because it's freaking
[55:40] into that because it's freaking impossible. But hyal hyaluronic acid
[55:43] impossible. But hyal hyaluronic acid filler needs to be dissolved with
[55:44] filler needs to be dissolved with hyaluronidase and it needs to be done
[55:46] hyaluronidase and it needs to be done not only with an ultrasound but with the
[55:48] not only with an ultrasound but with the ultrasound in the surgeon's hands and
[55:50] ultrasound in the surgeon's hands and the needle in the other hand and so you
[55:52] the needle in the other hand and so you can see the needle go into the filler.
[55:54] can see the needle go into the filler. That's the only way to do it.
[55:56] That's the only way to do it. >> Is there any case that you would
[55:57] >> Is there any case that you would actually recommend filler?
[55:59] actually recommend filler? >> Um pretty much no. I mean I occasionally
[56:02] >> Um pretty much no. I mean I occasionally like when I do a facelift especially
[56:04] like when I do a facelift especially endoscopic sometimes I try to keep the
[56:05] endoscopic sometimes I try to keep the incision shorter. So sometimes you have
[56:07] incision shorter. So sometimes you have little fine lines that, you know, that
[56:09] little fine lines that, you know, that eventually, you know, within a couple
[56:11] eventually, you know, within a couple weeks usually fade away. Sometimes I'll
[56:13] weeks usually fade away. Sometimes I'll put filler in them to kind of pop them
[56:15] put filler in them to kind of pop them out. And my patients will say, "Wait a
[56:17] out. And my patients will say, "Wait a minute. I thought you hated filler. What
[56:18] minute. I thought you hated filler. What the hell are you doing to me?" And I'll
[56:20] the hell are you doing to me?" And I'll say, "We don't have to do it. It's going
[56:21] say, "We don't have to do it. It's going to go away anyway." But those that's
[56:23] to go away anyway." But those that's kind of the only case. And like you you
[56:24] kind of the only case. And like you you can do filler. I I used to do filler in
[56:26] can do filler. I I used to do filler in noses when I did a rhinop when I did the
[56:28] noses when I did a rhinop when I did the rhinoplasty myself and there's a little
[56:30] rhinoplasty myself and there's a little contour thing or something
[56:31] contour thing or something >> and I would do it and then it goes away
[56:33] >> and I would do it and then it goes away and as the filler reabsorbs, it goes
[56:35] and as the filler reabsorbs, it goes away. The problem is the nose is the
[56:37] away. The problem is the nose is the number two place where you can go blind
[56:39] number two place where you can go blind with filler. Okay. So, uh yeah. So, the
[56:42] with filler. Okay. So, uh yeah. So, the gloella is number one, the nose is
[56:43] gloella is number one, the nose is number two, the midline of the nose.
[56:45] number two, the midline of the nose. There are certain vessel. I don't do
[56:46] There are certain vessel. I don't do that anymore because I don't care if
[56:47] that anymore because I don't care if it's one in a million. I don't want to
[56:48] it's one in a million. I don't want to make someone go blind. I wouldn't be
[56:50] make someone go blind. I wouldn't be able to live with myself. Even though
[56:52] able to live with myself. Even though it's like you can't control it, you
[56:53] it's like you can't control it, you know, but
[56:54] know, but >> I think with gentle technique, you
[56:56] >> I think with gentle technique, you probably aren't going to get it, but
[56:57] probably aren't going to get it, but it's not worth it,
[56:58] it's not worth it, >> especially because I don't like filler.
[57:00] >> especially because I don't like filler. >> Right. Exactly. I know you do hear about
[57:01] >> Right. Exactly. I know you do hear about those those filler rhinoplastes. So
[57:04] those those filler rhinoplastes. So that's kind of a nogo, right?
[57:05] that's kind of a nogo, right? >> I mean, for me, there are people like
[57:07] >> I mean, for me, there are people like like uh you know, Sasha Rifken, my
[57:09] like uh you know, Sasha Rifken, my friend in in Westwood, does a brilliant
[57:11] friend in in Westwood, does a brilliant job with it. He does it safely. He's not
[57:12] job with it. He does it safely. He's not going to have that problem, but it's not
[57:15] going to have that problem, but it's not for me.
[57:16] for me. >> You know,
[57:17] >> You know, >> midlife women being told to age
[57:19] >> midlife women being told to age naturally.
[57:20] naturally. >> Well, okay. Um, and meaning without
[57:24] >> Well, okay. Um, and meaning without plastic surgery, I I I think when you're
[57:26] plastic surgery, I I I think when you're being told by someone, you should be
[57:28] being told by someone, you should be able to tell yourself what's good for
[57:30] able to tell yourself what's good for you. I mean, obviously, you take the
[57:32] you. I mean, obviously, you take the advice of your friends, and I think you
[57:33] advice of your friends, and I think you can you you can age gracefully and still
[57:36] can you you can age gracefully and still have well done surgery. And I I think a
[57:38] have well done surgery. And I I think a lot of times when someone tells you,
[57:39] lot of times when someone tells you, "Oh, don't do that. Don't," it's because
[57:41] "Oh, don't do that. Don't," it's because they're jealous because they know you,
[57:43] they're jealous because they know you, you know, are able to do it, have the
[57:44] you know, are able to do it, have the time and the means to do it. Uh, or they
[57:46] time and the means to do it. Uh, or they don't want you to look better. I think
[57:48] don't want you to look better. I think that's, you know, to be perfectly
[57:50] that's, you know, to be perfectly candid. I think that's one of the
[57:51] candid. I think that's one of the reasons a lot of people will tell you
[57:52] reasons a lot of people will tell you not to do things. Um, but, you know, you
[57:55] not to do things. Um, but, you know, you have to listen to everybody and you
[57:56] have to listen to everybody and you should listen to your surgeon. If you
[57:58] should listen to your surgeon. If you think that they're they think you look
[57:59] think that they're they think you look great already, then don't do anything,
[58:01] great already, then don't do anything, >> right? Um the idea that surgery is a
[58:04] >> right? Um the idea that surgery is a last resort
[58:06] last resort >> is is becoming apparent that that's not
[58:08] >> is is becoming apparent that that's not true. I mean, if it's a it shouldn't be
[58:10] true. I mean, if it's a it shouldn't be a last resort, but it shouldn't be a
[58:12] a last resort, but it shouldn't be a first resort either. It's a very
[58:13] first resort either. It's a very personal choice. So, you know, you can
[58:15] personal choice. So, you know, you can temporize, you can do I I actually
[58:18] temporize, you can do I I actually really like Softwave. It's an ultrasonic
[58:20] really like Softwave. It's an ultrasonic skin tightening machine. And did you
[58:22] skin tightening machine. And did you like it? Did you see
[58:23] like it? Did you see >> I only liked it? I only did one
[58:24] >> I only liked it? I only did one treatment. I know you have to do a
[58:26] treatment. I know you have to do a series. Um it looked Yes. I thought I
[58:29] series. Um it looked Yes. I thought I could something. Yeah.
[58:30] could something. Yeah. >> Yeah. I mean the less invasive something
[58:31] >> Yeah. I mean the less invasive something is, the less you're going to be able to
[58:33] is, the less you're going to be able to guarantee results. Um even with surgery,
[58:35] guarantee results. Um even with surgery, we can't guarantee, but I can virtually
[58:38] we can't guarantee, but I can virtually guarantee they're going to look younger
[58:39] guarantee they're going to look younger um for quite a while. But there's no
[58:41] um for quite a while. But there's no guarantees with any of this stuff.
[58:43] guarantees with any of this stuff. That's why you have to do your research
[58:44] That's why you have to do your research and your due diligence. But yeah, I like
[58:46] and your due diligence. But yeah, I like I like Softwave. I think that's good.
[58:48] I like Softwave. I think that's good. And and I think there are other things
[58:49] And and I think there are other things to save off a facelift. But I think
[58:52] to save off a facelift. But I think particularly now with the scarless
[58:53] particularly now with the scarless techniques that that I'm doing, it's not
[58:55] techniques that that I'm doing, it's not a last resort anymore. And the younger
[58:57] a last resort anymore. And the younger you do it, the longer it lasts and the
[58:58] you do it, the longer it lasts and the more natural the the sort of transition
[59:00] more natural the the sort of transition is.
[59:01] is. >> Okay, last one. Fill in the blank
[59:02] >> Okay, last one. Fill in the blank though.
[59:03] though. >> Okay.
[59:03] >> Okay. >> The future of beauty is blank.
[59:07] >> The future of beauty is blank. >> Uh the future of beauty is is inner
[59:09] >> Uh the future of beauty is is inner beauty and self-care. That's just my
[59:11] beauty and self-care. That's just my attitude about it. I think the future of
[59:13] attitude about it. I think the future of beauty is uh is uh spirituality and
[59:17] beauty is uh is uh spirituality and embracing the fact that we live in a
[59:19] embracing the fact that we live in a world of of magic and that you know
[59:22] world of of magic and that you know reality is magic and and and uh
[59:24] reality is magic and and and uh understanding that the human phenomenon
[59:27] understanding that the human phenomenon is a collective phenomenon and that
[59:29] is a collective phenomenon and that everything we do ultimately contributes
[59:30] everything we do ultimately contributes to the greater good ideally putting that
[59:33] to the greater good ideally putting that in perspective that's what's really
[59:35] in perspective that's what's really beautiful to me the rest is kind of
[59:37] beautiful to me the rest is kind of gravy and I think that you know I'm good
[59:39] gravy and I think that you know I'm good at correcting the external things but
[59:40] at correcting the external things but it's more important to develop up the
[59:42] it's more important to develop up the inner beauty first and and make sure
[59:44] inner beauty first and and make sure that that's there.
[59:45] that that's there. >> That's such a good point. It's always
[59:47] >> That's such a good point. It's always you're always thinking about the inside,
[59:49] you're always thinking about the inside, too. It's not just about the outside.
[59:50] too. It's not just about the outside. >> Yeah, that's important. Yeah,
[59:52] >> Yeah, that's important. Yeah, >> very important. And before we go, I know
[59:54] >> very important. And before we go, I know you're developing a really cool product
[59:56] you're developing a really cool product that I definitely we need to share with
[59:58] that I definitely we need to share with the audience.
[59:59] the audience. >> Yeah, thank you for Sure.
[01:00:01] >> Yeah, thank you for Sure. >> So, this is not for sale yet, but it
[01:00:03] >> So, this is not for sale yet, but it will be. We're going to launch in the
[01:00:05] will be. We're going to launch in the third quarter, fourth quarter. It's the
[01:00:07] third quarter, fourth quarter. It's the Monti Flow,
[01:00:08] Monti Flow, >> and it's a restorative neck wearable.
[01:00:11] >> and it's a restorative neck wearable. Um, I first came up with this idea when
[01:00:12] Um, I first came up with this idea when I was the chief of the second busiest ER
[01:00:15] I was the chief of the second busiest ER in the country in Houston, Bentop
[01:00:17] in the country in Houston, Bentop Hospital, which is like Parkland, right,
[01:00:18] Hospital, which is like Parkland, right, in Dallas. So, we ran it as third-year
[01:00:21] in Dallas. So, we ran it as third-year residents, and I was so freaking tired
[01:00:22] residents, and I was so freaking tired that I put on a neck collar and sat like
[01:00:25] that I put on a neck collar and sat like this and fell asleep for 3 hours.
[01:00:27] this and fell asleep for 3 hours. >> Okay. So, I like said, "One day I'm
[01:00:29] >> Okay. So, I like said, "One day I'm going to have, you know, come up with
[01:00:30] going to have, you know, come up with something." So, a few years ago, I
[01:00:32] something." So, a few years ago, I started working with polyurethane and
[01:00:34] started working with polyurethane and carved this shape. I have four or five
[01:00:35] carved this shape. I have four or five patents on it. And basically, um, this
[01:00:38] patents on it. And basically, um, this is how it works. Or I can I can just
[01:00:39] is how it works. Or I can I can just show you. So it's like you just lean
[01:00:42] show you. So it's like you just lean back and then you can fall asleep on a
[01:00:43] back and then you can fall asleep on a plane. I mean I use it all the time at
[01:00:45] plane. I mean I use it all the time at work. That's a good try that put it on
[01:00:48] work. That's a good try that put it on where your neck exactly right there. So
[01:00:51] where your neck exactly right there. So kind of right here slouch though on the
[01:00:53] kind of right here slouch though on the chair.
[01:00:53] chair. >> So just kind of like and then just
[01:00:55] >> So just kind of like and then just imagine yourself, you know, when you're
[01:00:57] imagine yourself, you know, when you're >> Oh yeah, that's good. It holds your
[01:00:59] >> Oh yeah, that's good. It holds your neck.
[01:00:59] neck. >> Holds your neck stable.
[01:01:00] >> Holds your neck stable. >> Yes, because that's what I find is the
[01:01:02] >> Yes, because that's what I find is the problem. You're flopping around and it's
[01:01:04] problem. You're flopping around and it's >> on an airplane or anything. I mean, I I
[01:01:07] >> on an airplane or anything. I mean, I I do a lot of traveling and I go for short
[01:01:09] do a lot of traveling and I go for short international trips and I'm usually in
[01:01:11] international trips and I'm usually in my bed, you know, bed type arrangement,
[01:01:14] my bed, you know, bed type arrangement, but even then on a on a domestic flight,
[01:01:16] but even then on a on a domestic flight, you're you're not. And I sleep like a
[01:01:18] you're you're not. And I sleep like a baby. I mean, I take red eyes with the
[01:01:20] baby. I mean, I take red eyes with the Monte Flow. So,
[01:01:21] Monte Flow. So, >> you know, it's just something I I
[01:01:22] >> you know, it's just something I I believe in and we know it's going to do
[01:01:24] believe in and we know it's going to do really well and uh I think people will
[01:01:26] really well and uh I think people will appreciate it. So,
[01:01:27] appreciate it. So, >> this is yours.
[01:01:28] >> this is yours. >> Oh, thank you.
[01:01:28] >> Oh, thank you. >> Unless you don't want it. I want to give
[01:01:30] >> Unless you don't want it. I want to give it.
[01:01:31] it. >> I need to defy that gravity. So,
[01:01:33] >> I need to defy that gravity. So, >> yeah, that's the thing. It also helps
[01:01:34] >> yeah, that's the thing. It also helps you sleep on your back. So that's Do you
[01:01:37] you sleep on your back. So that's Do you sleep on your back or
[01:01:38] sleep on your back or >> I'm bad. I sleep on my sides.
[01:01:40] >> I'm bad. I sleep on my sides. >> I do, too.
[01:01:40] >> I do, too. >> I mean, it's just the natural, you know,
[01:01:43] >> I mean, it's just the natural, you know, in the middle of the night. I try to
[01:01:45] in the middle of the night. I try to start on my back, but then I find myself
[01:01:47] start on my back, but then I find myself moving around, you know.
[01:01:49] moving around, you know. >> Yeah. And but now's the time to start,
[01:01:50] >> Yeah. And but now's the time to start, you know, before you start really aging.
[01:01:52] you know, before you start really aging. It's time to start because again, you're
[01:01:54] It's time to start because again, you're pulling everything. It does help. I can
[01:01:56] pulling everything. It does help. I can tell people that sleep on their back
[01:01:57] tell people that sleep on their back when they come in, like younger. Yeah.
[01:02:00] when they come in, like younger. Yeah. >> Yeah. You can kind of tell
[01:02:01] >> Yeah. You can kind of tell >> less like crows feet. Well, not crows
[01:02:03] >> less like crows feet. Well, not crows feet, but just overall deep tissue
[01:02:05] feet, but just overall deep tissue drooping. They have less of it because
[01:02:07] drooping. They have less of it because their ligaments haven't been strained.
[01:02:09] their ligaments haven't been strained. >> And people think it's because the pillow
[01:02:11] >> And people think it's because the pillow folds your face, which may may have
[01:02:13] folds your face, which may may have something to do with it, but I think we
[01:02:14] something to do with it, but I think we we we underestimate the power of gravity
[01:02:17] we we underestimate the power of gravity and that's what's doing it is gravity.
[01:02:19] and that's what's doing it is gravity. That's
[01:02:19] That's >> pulling your face.
[01:02:20] >> pulling your face. >> We're always fighting that gravity.
[01:02:22] >> We're always fighting that gravity. Yeah.
[01:02:22] Yeah. >> Okay. So, Dr. Monty, tell everybody
[01:02:24] >> Okay. So, Dr. Monty, tell everybody where they can find you and um you know,
[01:02:27] where they can find you and um you know, the best the easiest, quickest way to
[01:02:29] the best the easiest, quickest way to you. Well, I think uh my website is
[01:02:31] you. Well, I think uh my website is markmani.com. It needs updating, but
[01:02:33] markmani.com. It needs updating, but it's my name, mcm-anni.com.
[01:02:36] it's my name, mcm-anni.com. And so you can find contact information
[01:02:37] And so you can find contact information on there. My Instagram is also one where
[01:02:40] on there. My Instagram is also one where I respond. I have 300,000 followers. Um
[01:02:42] I respond. I have 300,000 followers. Um and it's uh Dr. Markmani. So dr mc- ni.
[01:02:47] and it's uh Dr. Markmani. So dr mc- ni. And that they can send me messages
[01:02:49] And that they can send me messages directly there.
[01:02:50] directly there. >> And what is the waiting time to get in
[01:02:51] >> And what is the waiting time to get in with you?
[01:02:52] with you? >> It's you know, I don't schedule myself
[01:02:54] >> It's you know, I don't schedule myself out more than six months. Um, but it
[01:02:56] out more than six months. Um, but it takes a few weeks usually to get in for
[01:02:58] takes a few weeks usually to get in for consultations and the surgery schedules
[01:03:00] consultations and the surgery schedules booked out for several months, but we
[01:03:02] booked out for several months, but we have dates that shift around and so we,
[01:03:04] have dates that shift around and so we, you know, we work with people on that. I
[01:03:05] you know, we work with people on that. I don't have a high volume practice. I
[01:03:07] don't have a high volume practice. I have a boutique style practice. We like
[01:03:09] have a boutique style practice. We like to see the patients back and get to know
[01:03:11] to see the patients back and get to know them over the course of their lives. So,
[01:03:12] them over the course of their lives. So, it's a little kind of a family.
[01:03:14] it's a little kind of a family. >> That's wonderful. Wonderful. Well, thank
[01:03:16] >> That's wonderful. Wonderful. Well, thank you so much for chatting with us today.
[01:03:18] you so much for chatting with us today. It was great. Thank you. Thank you.
[01:03:21] It was great. Thank you. Thank you. >> That was Dr. from Mark Monty. And I hope
[01:03:23] >> That was Dr. from Mark Monty. And I hope what you heard today was not just his
[01:03:25] what you heard today was not just his expertise, but reassurance. Because when
[01:03:28] expertise, but reassurance. Because when it comes to facial surgery, it's not
[01:03:30] it comes to facial surgery, it's not about chasing youth. It's about
[01:03:31] about chasing youth. It's about preserving identity, elevating
[01:03:33] preserving identity, elevating confidence, and doing it with intention.
[01:03:35] confidence, and doing it with intention. If you're thinking about a facelift or
[01:03:37] If you're thinking about a facelift or just trying to understand what's hype
[01:03:39] just trying to understand what's hype and what's real, revisit this episode,
[01:03:42] and what's real, revisit this episode, take notes, and ask better questions.
[01:03:44] take notes, and ask better questions. Dr. Monty's insight is a master class in
[01:03:47] Dr. Monty's insight is a master class in what refined aging actually looks like.
[01:03:50] what refined aging actually looks like. And if this episode helped you feel more
[01:03:52] And if this episode helped you feel more informed, less intimidated, or just
[01:03:54] informed, less intimidated, or just totally fascinated, send it to a friend,
[01:03:57] totally fascinated, send it to a friend, tag us on social media, and share what
[01:03:59] tag us on social media, and share what stood out to you most. Make sure you
[01:04:01] stood out to you most. Make sure you follow, rate, and comment on Apple
[01:04:03] follow, rate, and comment on Apple Podcast, Spotify, Amazon Music, or
[01:04:05] Podcast, Spotify, Amazon Music, or wherever you get your podcasts. It helps
[01:04:08] wherever you get your podcasts. It helps The Iconic Midlife reach more women who
[01:04:10] The Iconic Midlife reach more women who deserve smarter conversations about
[01:04:12] deserve smarter conversations about aging on their own terms. Follow the
[01:04:14] aging on their own terms. Follow the show, trust your gut, and remember,
[01:04:17] show, trust your gut, and remember, we're not doing midlife quietly. We're
[01:04:19] we're not doing midlife quietly. We're doing it iconically.

https://www.youtube.com/watch?v=Z-ripkNlQ34

Summary

TL;DR — Dr. Marc Mani, a renowned Beverly Hills facial plastic surgeon, discusses the evolution of facelifts, emphasizing natural results and advanced techniques like deep plane and endoscopic surgery. He advises against over-reliance on fillers, highlighting their potential complications and advocating for surgical rejuvenation for more enduring and natural outcomes. The conversation also touches upon the importance of inner beauty, holistic wellness, and realistic expectations in aesthetic procedures.

Key points

• Modern facelifts focus on natural,