Plastic Surgery Princes with Dr. Terry Dubrow

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Speaker 1 Whoa, Mazomorons, welcome back to the Good Guys podcast. We are so honored.
We are here with royalty.

Speaker 1 We are. This guy has brought me and my wife so much joy.
And not because he did my facelift. It's because

Speaker 1 we love him. We love Botched.
We love everything. Dr.
Terry Dubrow. Thanks for having me, you guys.

Speaker 3 Thank you. It's really good to see you again.
Yeah, you look great, by the way. I did a really great job, obviously.

Speaker 1 Beautiful. Oh, we are going to get there.

Speaker 1 Let me let's start off here because, Ben, and I know you've been in person with Dr. Dubrow before.
Yes. He, this man, are you

Speaker 1 a specimen? He's a specimen.

Speaker 3 I'm comfortable talking about my age. If that's what you're asking me, yeah, I'm 66.

Speaker 1 Unreal. Yeah.
It is a fiddle.

Speaker 3 Yeah, I'm very fit. I last time I, you know, I try to do something significant physically every single day.
Like what?

Speaker 3 Like, so when this is over, because today I'm doing press for Plastic Surgery Rewind, my new show that's on tonight, premiere episode 10 p.m. on E.

Speaker 1 Yeah. Age, you know what?

Speaker 1 I'm in.

Speaker 3 It's called Botch Presents Plastic Surgery Rewind, where a group of celebrities move into a house together who have had plastic surgery and they decide whether or not to rewind it, which is not easy, but they go through this whole therapy process and

Speaker 3 we try to figure out whether they're ready for it and they figure out whether they're ready for it.

Speaker 3 And if they go down this time tunnel and they come out the other side and we'll see what they look like. Wow.

Speaker 3 And it's interesting because we, you know, life sort of intersects you at very interesting stages of your life. Abre O'Day, if you know who that is.

Speaker 1 Sure, pop star.

Speaker 3 Yep, pop star P. Diddy.
So P.

Speaker 3 Diddy got got arrested her first day on the show and it would just blew her mind because she has you know obviously she was sort of abused and had that whole history and that was a big part of her story that unfolds on the show and then you know kim zolziak brielle berman mother daughter on the show and they have a lot of issues that have been in the media recently so it's just a lot of besides just sort of plastic surgery topics there's this whole plastic surgery regret what it means to you what happens if you do rewind the surgeries if you do reverse the surgeries which are high risk anyway and just the whole gamut of of sort of all the issues regarding that wow who come who comes up with the ideas for these shows terry so so is are you being pitched like a man of your stature at this point is probably being pitched are you pitching them was this a great idea i and it sounds it's very yeah this i didn't pitch i do have a show that i am pitching called sudden beauty island where these people who are going to have plastic surgery move onto an island wow and they're all charismatic and then they hook sort of get together and then they are taken off and then they have their surgery and they're turned into these incredibly look incredible looking people and that introduces a strange attractive variable that they may have not have had before and like see how the sort of social experiment of attractiveness affects relationships that is genius yeah it's like it's like it's like it's like the better version of love is blind i never understood love is blind you're sitting there you're watching these people they're talking they're falling in love when if they if they're not attracted to each other it's kaput, it's gone.

Speaker 1 This,

Speaker 1 it's, you at least you see them. It's fascinating.

Speaker 3 It's true. It's like, well, they're all super charismatic because they overcame their physical sort of shortcomings.

Speaker 3 So they come in with this amazing personality and they hook up based on sort of things you'd want them to get together for. Right.
Great, you know, emotional. attractiveness and so on.

Speaker 3 And then we then introduce extreme beauty into it because some people, one thing the swan taught me, it's you it's me

Speaker 3 one thing that's one thing that swan taught me okay second by the second season we both figured out because there were two surgeons me and another guy

Speaker 3 who with just some minor things wins the beauty lottery because for example if you took angeline and jolie or tom cruise and you stuck their ears out gave them a big bump on the nose right

Speaker 3 and sort of straightened out their bodies or they were heavy or something and then you just did those take the bump away pin their ears back, do little sort of things we do every day. In them,

Speaker 3 they would be extraordinary. They would be them.

Speaker 1 Right.

Speaker 3 They would be them, extraordinarily gorgeous people. So every once in a while, some patient will come to your office who is going to have a sort of routine procedure.
You go, oh, they have no idea.

Speaker 3 Really? They have no idea. They are about to become suddenly beautiful.
And careful what you wish because, you know, you win the lottery, you think your life's going to be wonderful.

Speaker 3 But then when you look at the history of people who won lottery, they usually kill themselves.

Speaker 1 There's a problem. Yeah.
Yeah.

Speaker 3 On the Swan, when a few of them,

Speaker 3 more of them the second season, because we learned how to pick for that variable, how to make them look suddenly beautiful, it messed their lives up.

Speaker 3 You know, they immediately left their abusive husband, boyfriend. They wouldn't take BS from their boss anymore because they're like gorgeous now.

Speaker 3 So

Speaker 3 it'll be interesting to see if that show goes, what, what that sort of does to their relationships.

Speaker 1 And maybe with the challenges, the prizes are like and you just won juvaderm you know like you can you can compete for something you know pdo threads i don't know something like that yeah we've been wanting to ask about olivia and i want to ask these threads yes that people is that what it's called pdo thread yeah there's different types but that's common

Speaker 3 so tell me it's it's based on this technology that has been tried for years okay

Speaker 3 originally these sort of synthetic threads came in this this formulation where it had these little hooks on them. So you feed them in there and then you barbs.

Speaker 1 Exactly right. And you pull

Speaker 3 and the barbs attach.

Speaker 1 How do you know that, Josh?

Speaker 1 I hate myself. It's very sophisticated.

Speaker 3 And then, so you'd sort of do, you know, this tightening thing from the inside. The problem is they

Speaker 3 don't work.

Speaker 3 They don't work. Now, they may, the new kind variety works for about six weeks and then they don't work.
So I'm not saying that because I compete with dermatologists and non-plastic surgeons.

Speaker 3 I don't really compete with anybody. I do my thing, you know, but I'm not saying that to try to take any business away from people who do threads.

Speaker 1 They don't work.

Speaker 3 And that is, I mean, if they worked, I'm going to tell you they work. They ultimately don't work.
Don't do it.

Speaker 1 Over time, because

Speaker 1 it's probably an instant kind of, oh, and then just quickly it resettles is what you're saying. Exactly.

Speaker 3 I mean, you know, some of those, like I had a CO2 laser done on my face about a year ago not that deep because i didn't have the recovery time but it took off all this pigmentation and tightened my skin and all these wrinkles and i went in the sun i'm sleep deprived chronically because i can't sleep very well and i work like a maniac it's all back right okay and that isn't to say co2 doesn't work because it does work but threads do not work.

Speaker 1 Don't do them.

Speaker 1 What do you think about with all these kind of the CO2 lasers and the true sculpt and the fillers and the botox all these things especially for face right yeah if you had someone who you knew over five to ten years was going to probably spend anywhere from 10 to 20 grand on all these maintenance procedures would you look at them and say spend not not what you would charge but a middle of the line facelift spend spend 50 now facelift at a strip mall yeah yeah

Speaker 1 like get the facelift now don't penny any it for the next 10 years, and you won't actually get the result you want.

Speaker 3 So, the true answer, like everything else in life, it depends, right? It depends on the individual.

Speaker 3 I mean, if you're 40, you're starting to sort of show a little jowling and deflation of the face, you could do a facelift then, but you can sort of get this very similar result by just doing sort of this non-insafe stuff you're talking about.

Speaker 3 Really judicious, well-placed fillers, Botox, some of these non-invasive things. And you, you probably should wait.
Okay. I do agree with the early facelift.

Speaker 3 What I always say to patients is, do you know that you're going to get a facelift one day? And if they come and they go, oh,

Speaker 3 for sure, I'm going to get a facelift. And I say, okay.

Speaker 3 And then I go like this. The next maneuver is, I go like this.
And I go, do you like the way that looks? And I go, yeah.

Speaker 1 I go, all right, ready?

Speaker 3 And then I let go.

Speaker 1 And they go, do that again? I go. And they go, I go, yeah, you're not ready.

Speaker 3 If this makes a big difference and you know you're going to do it anyway for sure, and then you understand the risks of it and you hear all the nerve damage and scarring and all those things that can happen, you might want to do it early.

Speaker 3 You might want to do it. But I will tell you, you know, one of the things I like, I don't know if you guys are aware that sort of celebrities very, very recently, like within the last few days.

Speaker 3 have now come out and talked about their plastic surgery like Kylie Jenner, Chloe Kardashian,

Speaker 3 Ricky Lake. I mean, it's like a thing right now to be transparent.

Speaker 1 Although,

Speaker 3 how transparent are they? They're willing to admit to like, you know, a couple of things, but what about the 19 other things?

Speaker 1 But anyway, they're hiding nothing. That's what I was going to ask that.
No, the person that comes out and gives you the laundry list left the other laundry list in the other room. Exactly.

Speaker 1 A thousand percent.

Speaker 3 This is the stuff they're comfortable with telling you. Okay.

Speaker 1 But anyway, that's okay.

Speaker 3 But so this transparency that they are sort of talking about right now has reignited or very much ignited people's enthusiasm to go into the plastic's office and get things done.

Speaker 3 So like, for example, when Kylie Jenner earned her, what, 140 million Instagram followers, maybe it's 220 now. I don't know what it is.

Speaker 1 I think it's like 450.

Speaker 1 Something absurd. Yes.
And I can't even, I love where you're going. I want to talk about this.

Speaker 1 The amount of international followers she has and the crazy places that these people probably went for 450 CC or whatever it is, boob jobs. So she can do nothing.

Speaker 1 By the wall, by the ocean, she's ruining these people. people, but continue.

Speaker 3 So it's interesting because two years ago, she on their show said, oh, I had my breasts done before I had kids. Worst thing I ever did.
I regret it. She said, I was way too young.
I love my breasts.

Speaker 3 And now I have this. And by the way, there's a picture of her yesterday.
I don't know if you saw that where they're showing sort of some

Speaker 3 scars and stuff that's in the media right now. I don't know.
I don't want, I think Kylie Jenner is gorgeous and I love a lot of the things she does.

Speaker 3 But to put out this enthusiasm enthusiasm right now without the sort of other side of it, which is, hey, I did this. You guys may like it, but, you know, I regret it.

Speaker 3 You know, so she's sending all these sort of 19, 20, 21-year-old, 22-year-olds into the plastic surgeon's office to have their breasts done because Kylie Jenner did.

Speaker 3 She did the same thing with injections to the lip, right?

Speaker 3 Long time ago, all these people are going into plastic surgeon's office to have early injections.

Speaker 3 You know, she does that, which is fine to create enthusiasm and transparency, but at the same time, she should remind people, hey, but I regretted it.

Speaker 1 Sure.

Speaker 3 You know, and the problem in plastic surgery is the patients may start to be transparent about it, but I don't think the plastic surgeons are. We have these really expensive office.

Speaker 3 My new office is in Beverly Hills. I moved up to Beverly Hills.
I'm on Roxbury. Okay.

Speaker 1 Oh, this is nice real estate.

Speaker 1 This is plastic surgeon row. Right.
Okay.

Speaker 1 You walk down there, you look like you're in witness protection. And right become a new person

Speaker 3 but it's you know roxbury santa monica you know crustaceans right there craigs is down there i mean this is that like the place to get your plastic surgery potentially so you come into my office and you see someone besides me for example they have this overhead they have these expenses they have you know coordinators and employees they're paying a lot they have overhead they're maybe seeing you not necessarily as much as i'd like to say all doctors are do no harm, the Hippocratic oath.

Speaker 3 They're going to try to sell you surgery for sure.

Speaker 3 Even if there are cheap alternatives, even if you actually knew that, you know what, if I do this breast lift on you because your breasts have drooped a tiny bit, you're going to have scars for the rest of,

Speaker 3 if you told it like that to some of these patients, they go, well, wow, I'm glad you said it like that.

Speaker 1 Forget it.

Speaker 3 I don't want to do this or I'll do it. But, you know, we sugarcoat things.
We see everybody who comes in our office as a pre-op,

Speaker 3 as a potential sale. Okay.
Yeah. If plastic surgeons were more transparent about what you're really signing up for, there would be much better informed plastic surgery and a lot less of it.

Speaker 3 And for Kylie Jenner to say, it's not her fault. I am not putting her down.
Okay. I know she had a wonderful family.
They're really nice people. I know a lot of people know them very well.

Speaker 3 For her to send literally hundreds of thousands of 19, 20, 21-year-olds to have their breasts

Speaker 3 I don't know that's the right thing to do, particularly when two years ago, she said it was one of the big regrets in her life.

Speaker 1 And she got to spend as much money as she wanted and go to the best person, or one of the best, obviously not the best, but one of the best to then regret it.

Speaker 1 Like, imagine how many people are nickel and diming their way to this surgery. Like, it's, it's definitely, it's crazy.
And I haven't thought of that.

Speaker 1 And if you think about food, we go into restaurants. I won't go to a restaurant with a C rating.
What are you, nuts? Right. I'll only go where it's an A rating.
Like, where is that?

Speaker 1 Like, you're going to walk in because some friend said, oh, I got my lips done there. And, oh, I trust this doctor.
It's all word of mouth.

Speaker 1 But is there any like governing body for this, this plastic surgeon is a crook? No. Like, does that exist? And will you talk about cosmetic surgeons? Yeah, you know, these weekend workshops.

Speaker 1 Oh, I'm on the right side. Yeah, you know about it.
Well, okay, two things to that.

Speaker 3 One, okay, you're right. Anybody can call themselves a cosmetic surgeon in this country.

Speaker 3 You can be a radiologist on friday and a cosmetic surgeon on monday wow could you be a podiatrist you can be a podiatrist who cosmetist you can be that i'm not cool with you can be a dentist

Speaker 3 yeah we have this thing on one of one of the seasons of botch she comes and goes yeah a dentist did my nose job

Speaker 1 and it was like

Speaker 3 okay you know come on respect yeah so it's legal all right to do that

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Speaker 3 I will tell you, the truth is, if you go to an A-rated restaurant in Los Angeles, the chances that you're going to get sick is very, very, very, very low. Yes.

Speaker 3 If you go to one of the best plastic surgeons in Beverly Hills and you have breast implants put in, there's a 30% chance that you're going to have such significant scarring that you're going to need revisional surgery within a few years.

Speaker 3 Interesting. Even if he does it or she does it

Speaker 3 perfectly. This is

Speaker 3 like surgery. This is not, you know, ordering Thai food down this, you know, on Bedford or something.
This is like, you know, so you've got to be really,

Speaker 3 that's the problem with one of the problems is, you know, I'm having a little work done. Oh, that's so cute.

Speaker 1 I'm having a little work done.

Speaker 3 I'm getting my nails done. I'm massage and I'm going to do my facelift.
Well, you're going to be put into a chemical coma to do your facelift.

Speaker 3 Your face is going to be sliced open and we're going to be just at the layer above the nerves, particularly with this new kind of deep place flame facelift.

Speaker 3 We do this is some serious, serious stuff with a lot of serious.

Speaker 3 You know, unfortunately, one of the best dermatologists, this is this is a right now kind of thing that just came out in the media yesterday.

Speaker 3 But arguably, the most famous dermatologist who you may or may not have heard of, you probably haven't, in Beverly Hills in Los Angeles, who within the dermatology world is a true legend,

Speaker 3 passed away in the last two weeks having neck surgery done.

Speaker 1 No way. Yeah.

Speaker 1 It's wild. Yeah.

Speaker 3 So, so it's this is like, be careful.

Speaker 1 Has it no negligence has been revealed? It's just sadly one of those rare cases where someone I don't know. Will those need to be revealed?

Speaker 3 More will, I have no idea. I mean, I sort of do, but sort of don't

Speaker 3 enough to actually definitively tell you, but I mean, if you have someone who's board certified in plastic surgery do your face and necklift the chances that for example we'll lose the airway and you'll die i mean it should be pretty close to zero because at the end of the day even if everything goes bad i can still cut open your neck and gain access to your airway right and tracheotomy tracheotomy and you're not going to die but if you're doing if you're having and i don't know about him in particular although i sort of but but i don't know but if you're having it done by a person who doesn't know how to do that because they're not a real plastic surgeon and that happens you're you're all bad all bad well that's right i mean that's basically how they lost joan rivers exactly well from neglect like that was okay they were taking a selfie with her you have a problem with this theoretically you're operating on a celebrity okay

Speaker 3 and celebrities can manipulate there's this thing they can do with their surges oh i'm taking care of joan rivers and maybe i'll just do a shortcut and i won't do this and i don't want to mess up you know she's telling jokes next week and we're just going to take a look at her larynx and see if there's any polyps.

Speaker 3 And they sort of, oh, well, they don't do the, hey, if A, then B, if B, then C. They go, well, let's just, we don't want to, you know, do anything too aggressive on it.
And they just let her die.

Speaker 1 What does that mean?

Speaker 3 Because she's a celebrity.

Speaker 1 Something really bad happened. They lost the airway.
They weren't cutting turn.

Speaker 3 They were in a major Manhattan facility with major league famous surgeons who, under normal circumstances, with a civilian, this never would have happened. But because she's Joan Rivers, okay,

Speaker 3 they, they sort of, this is why you're not really supposed to treat your family members because you may do something that you normally don't do. Sure.

Speaker 1 But let me ask you, Dr. Dubreau, like, and I, I know your history, you know, general surgery, UCLA, like you've been, you've really been through the gamut.
Right.

Speaker 1 I have a close family friend who's the head of chief of plastics at St. John's.
Okay. And she always always says, I only work with

Speaker 1 anesthesiologists who work with sick people. Yes.

Speaker 1 She said, because it can be easy to be lulled in when you're only dealing with healthy people coming in for elective surgery to not,

Speaker 1 when something hits the fan, to have just be, to be rusty. How many surgeons like you would feel comfortable in the God forbids to do a willy-nilly tracheotomy?

Speaker 3 I think almost on the spot. Most plastic surgeons would.

Speaker 1 Really? Yes.

Speaker 3 But remember, more than 50% of cosmetic surgery are done by non-plastic surgeons in this country. And even in Beverly Hills, probably 60% don't really have any training necessarily in plastic surgery.

Speaker 3 So all of those dermatologists or

Speaker 3 rheumatologists or general surgeons, they don't necessarily know what to do because they're not specifically trained. haven't been tested it are not really certified in that.

Speaker 3 So that's the problem, you know? Is

Speaker 1 people vaping doing zins? I know that nicotine can sometimes mess with recovery and blood vessels. Is that starting to play any part in people that you're seeing?

Speaker 3 You know, I thought that was going to be a problem, but it's if you're doing smokeless, you know, Zin nicotine, obviously.

Speaker 3 we i wouldn't operate on you but i haven't really seen an uptick in vascular compromise which you would expect from that thing yeah so i mean mean, we still ask.

Speaker 3 So, you have to sort of lie to your surgeon. Yeah, I don't do it.
Cause if you say, Yeah, I do nicotine batch, like, okay, well, I'm going to test you for nicotine.

Speaker 3 Oh, three days before, I'm going to cancel your case. So, you have to be off it for 30 days.

Speaker 3 But, you know, some I had a patient that I canceled. She signed up for a tremendous amount of really interesting, challenging revisional surgery, and she really needed it done.

Speaker 3 And we gave her a prescription for

Speaker 3 some narcotics, and the pharmacist wouldn't fill it.

Speaker 1 We went, what?

Speaker 3 And so we ran what's called a cures on her. A cures is this sort of test that

Speaker 3 we doctors can run on you to see what prescriptions you had. We can do without your permission.
Wow. And we're supposed to do it if we're giving you narcotics.

Speaker 3 And she was on narcotics for the last six months, like tremendous amounts. And I said, okay, there's a problem here.
You've got a major disorder here. And so I canceled the surgery.

Speaker 3 But had she not, had I not figured it out, imagine all the pain she would have had post-up. And what am I going to do? She already is already on to give her.
There's nothing to give her.

Speaker 3 She would have gone crazy. Would have put her in the hospital.

Speaker 1 You know, Terry, since you were last on the podcast, and by the way, for those of you that haven't listened to that episode, it was unbelievable. And we very rarely have a repeat, okay?

Speaker 1 Because we don't like repeats. You're fantastic, but we wanted to have you on again.
Amelia Perez, I don't know if you saw it, but this movie came out.

Speaker 1 It's all about how a drug trafficker transitions to

Speaker 1 like lead a different life. And simultaneously, because as Josh knows, I only watch TV shows 20 years later, my wife showed me Nip Tuck, and I'm watching Nip Tuck, which I'm sure you're familiar with.

Speaker 1 And I'm thinking to myself, okay, is this because there's an episode where a criminal comes in and wants to have plastic surgery so they can sort of be off the radar?

Speaker 1 Have you ever seen, has that ever happened to you? Have you ever had somebody come into your office that sort of wanted to change identities?

Speaker 3 No, I mean, no, because it doesn't really work. Although, some of the deep plane facelifts are really making people look differently, different these days.
Have you noticed that?

Speaker 1 Will you define what that means, deep plane?

Speaker 3 Okay, so there's various kinds of facelifts, right? The sort of original facelift is a skin-only facelift.

Speaker 3 You make incisions in front and behind the ear, and you simply lift up the skin and just pull it back, cut it off, and do it tight.

Speaker 3 Those don't last very long, and they can look a little waxy and weird.

Speaker 3 Then we started to go into the deeper layers because when your face ages and you get facial deflation and droopiness, it's not just the skin.

Speaker 3 It's all of the layers. The skin, the muscle, the soft tissue, the fat, everything.

Speaker 3 So the deeper you go and take the entirety of the face and put it back up, the more sort of restorative and the longer lasting theoretically it will be.

Speaker 3 The problem is, the deeper you go, the more swelling, the deeper you go, the closer you are to the facial nerves.

Speaker 3 The closer you are to the facial nerves, the greater the chance that you'll injure them.

Speaker 3 You'll end up looking like you had a stroke right which is a devastating complication of facelift nerve injury so the other but most of us who do them know how to do them with a low risk of nerve damage right and so swelling all right lasts a little bit longer but when you're looking at some celebrities who will go unnamed you can figure them out they're looking amazing but they actually just don't look like themselves it's sort of the who is in who's don't put baby in a corner remember the movie uh jennifer what's her name who had her nose done Yes.

Speaker 1 Jennifer Gray.

Speaker 3 So Jennifer Gray, what was the movie? Dirty Dancy. Okay.

Speaker 3 She had sort of this nose. I don't know if you guys may be too young to know this, but I don't know how you know it.

Speaker 3 But if she had her nose done, well, she did Dirty Dancey, giant hit big star, her and Patrick Swayze, right? Then she has her nose done.

Speaker 3 She takes off sort of this ethnicity to her nose, and she has more of a sort of a aesthetic nose with no bump.

Speaker 1 And her career was over.

Speaker 3 Instantly, she didn't look like Jennifer Gray anymore. weird done and so you look at someone like for example lindsay lohan she does look amazing but she looks very very

Speaker 1 like would you recognize lindsay lohan now i think i think lindsay lohan looks how lindsay always wanted to look she looks gorgeous she don't look like a girl from long island no more right like she looks amazing she looks i think she has some of the best work i've ever seen maybe and so does chris jenner yes but you know do they look like they're very good good?

Speaker 3 But if, you know, you have a certain look and it changes.

Speaker 1 Her look definitely changed. I would agree.

Speaker 3 If it changes, you know, it may not devastate your career like it did with Jennifer Gray, whose career was literally overnight ended.

Speaker 3 Ended with that nose job. You know? Wow.
So

Speaker 3 if you got to be careful, because if you like the way you look and suddenly you're looking to your friends like, you look great, but who are you?

Speaker 3 You know, you got to be careful with these kinds of facelifts.

Speaker 1 What about like, it's been alleged, but like someone like Brad Pitt looks

Speaker 1 spectacular and looks like himself. He does.
It's just, because you look at someone, I think they're about the same age, like Tom Cruise and Brad Pitt. And I'll give them both credit.

Speaker 1 Like, I think Tom Cruise looks amazing too, but has is okay looking like a guy in his early 60s.

Speaker 3 Exactly. Where Brad looks like he's 40.
Brad looks amazing. You know, it's funny.
We always, I, I, I once did this very famous person, and I did her facelift, and she looked amazing.

Speaker 3 Everybody said, oh, you did such a good job. I go, yeah, but she's like a 10.
If you operate on a 10 and you

Speaker 3 take off 10 years, what do you get? You get Brad Pitt.

Speaker 1 Right. Yeah.
It's like cheating.

Speaker 3 You know, you don't have to make Brad Pitt look different. You better not make Brad Pitt look different.
Could you imagine? Take away Brad Pitt's Brad Pittness.

Speaker 1 I mean, you're done.

Speaker 1 You'll never work in this town again.

Speaker 3 It'll be a Jennifer Gray thing.

Speaker 1 But so what is Brad Pitt doing? Like, what is Brad Pitt doing to look like that?

Speaker 3 Well, I mean, I, you know, I don't talk about celebrities. I don't know exactly what Brad Pitt did.
But to me, if I had to guess, I say he just had a really well-done sort of natural facelift.

Speaker 1 You know, it looks amazing. I'm in.

Speaker 1 Listen, I'm going to be 40 next year. You look great.
Very young.

Speaker 3 I know you lost a lot of weight, right? That was your thing, a ton of weight. I did.

Speaker 1 It doesn't.

Speaker 3 God bless you. It doesn't show on your face.
Well, you lost it young. I do.
So So it didn't affect your face.

Speaker 1 I was very lucky. As you know, I had a little blephroplasty two years ago.
Which looks great. Shout out Dr.
Groff. Love him.
Oh, he's great. Yeah.

Speaker 3 He, he, I brought him on

Speaker 3 season something of botched. He's a genius.
Brilliant surgeon. Yes.

Speaker 1 It's funny that you're giving me the perfect transition. I do have one little insecurity, and we're going to have honest little corners.
It's part of your stomach, right? Stomach's gorge.

Speaker 3 Oh, really? Okay.

Speaker 1 Because I had a little. Oh, yeah, a little thing done.
Okay, okay.

Speaker 1 Is that I have a little skin around my chest. Yes.
And I've watched you do one and I've done the gamut.

Speaker 1 Sadly. You're afraid of the scar.
It's not afraid of the scar.

Speaker 1 It seems to me, whether you're one of the greatest surgeons there are or any other surgeon, you are limited by just the realities of where it is on the body anatomically.

Speaker 1 And I've honestly, I've never seen it look amazing. Yeah.
I've seen it look better. What do you think? And should I take my shirt off? Yeah, go ahead.
If you want to, if you're comfortable.

Speaker 1 We're cutting it out.

Speaker 3 Yeah, you can cut it out.

Speaker 1 Hold on. Let me move her.
Can I do some push?

Speaker 3 If you just give me a quick, give me a quick.

Speaker 1 I don't know why I'm squatting. What does a squat do?

Speaker 1 I also have a birthmark that looks like South America. Don't you judge, Dr.
Dewey. I'm now.
Me judge, you kidding? Okay, ready? Here we go.

Speaker 1 Yeah, so it's actually not wearable.

Speaker 3 No, you just have, by the way, you just have that. That's a pretty easy sort of, you've done well.
You just need a little tightening.

Speaker 1 I just walk around the pool like this. I hold it back with my arms.

Speaker 1 My nipples are just like,

Speaker 3 you could do, you know, you're one of these staged people, whereas you could do just a little bit around the nip and then pull it up a little more.

Speaker 1 Can you turn my nips from half dollars to dimes? Yes.

Speaker 1 Here's where that gets turned. Josh, it's just a slippery slope.
Josh, it's good. Yeah, no, you look good.

Speaker 3 You look good. You just need a little.

Speaker 3 you need a little oh that was for the push you need a little just a little more tightening really yeah okay what about this yeah are you sure well oh okay there you go i make it look a little so you're right what you don't want you need that hockey stick thing that's not good i know on a guy great women are happy to do that because they don't walk around with with their tops off at the beach right we do right so they'll take the scars It's always, you know, is it worth it?

Speaker 3 You know, does the advantages outweigh the disadvantages? Your case, you don't, you're not comfortable with it.

Speaker 1 You can't fix it. Really?

Speaker 3 You can, but not without that little hockey stick thing.

Speaker 1 On both sides.

Speaker 3 Oh, yeah, because it goes off what we call laterally into the side wall. So you have to go where it goes.

Speaker 3 Unfortunately, you can't just do it with just an around the areola thing to get that sort of pulling in in all dimensions. You have to chase it out laterally out here on this side of the chest wall.

Speaker 1 They call me Joshi Keeloyd. So I'm now

Speaker 1 probably. I mean, I doubt.
I feel like this area, because you're always moving,

Speaker 1 it tends to get to scar poorly, right?

Speaker 3 Not, you know, where, you know, where it tends to keloid down the center. It's funny because a patient will come to my office and they want all this surgery done and they're a good candidate.

Speaker 3 I inform them all this risk. They go, yeah, you're going to do it in six months, but in the meantime, would you take a little mole off in the center of my chest? You go, oh,

Speaker 3 because this is a very high keloid. And so you'd think, if you take this little thing off into keloids, they're going to cancel the case because you think you're a loser.

Speaker 3 And this is just a prone area to do it. Right.
Yeah. But someday I will bet you that within 10, 15 years, maybe that will loosen up enough that you'll go screw it, make that incision out.

Speaker 1 Oh, is it going to get worse?

Speaker 3 Well, I mean, all our skin.

Speaker 1 Yeah.

Speaker 1 Dude.

Speaker 3 No, you're in good shape.

Speaker 1 You know, you're not trying. Your weight doesn't, you know, it's funny.

Speaker 3 I think last time we talked, was I fascinated with the GLP-1 drugs? Oh, let's go.

Speaker 1 The Ozempic. We were.

Speaker 1 You guys chat. I'm going to get a fan real quick.
You're fit. Yeah.
We were. I was on it.
We spoke about it. I'm still on it.
I've kind of plateaued. I went from Ozempic into Trezepatide.

Speaker 1 I don't take enough of it. I'm sure with my weight.
I take 35

Speaker 1 milligrams.

Speaker 3 So you're on a compound. You're not on the regular one.

Speaker 1 I'm on the compound. Yeah,

Speaker 3 it's hard to compare the compound.

Speaker 1 I've never been on a very high dose of any of them, though, because I don't like like that feeling, which is so counterintuitive to what the drug is.

Speaker 1 I don't like that feeling that I can't finish a piece of chicken. So I'd rather just like, I'm living 50 pounds lighter than I was.
Isn't that wonderful?

Speaker 1 It is. I'd like to be 70 pounds lighter.

Speaker 3 What's your hemoglobin A1C?

Speaker 1 Oh, I have no idea.

Speaker 3 Oh, because you never had a diabetes thing.

Speaker 1 Yeah,

Speaker 1 no, I know my blood work is good. It's good.
I know my blood work is great. Okay.
Yes. Yes.
I had that recently. So I am obsessed with these drugs.

Speaker 3 And I think these drugs are one of the most important medical advances in history.

Speaker 3 I got so obsessed with it. This is so me, by the way, but I got so obsessed with it that I started talking about it in the media and Jillian Michaels and I went back and forth.
She said,

Speaker 3 you shouldn't do these drugs.

Speaker 1 I go, you don't know what you're doing.

Speaker 1 When you came on was when you were in the feud with Jillian Michaels, that exact week.

Speaker 3 Okay, so that's funny. So I thought to myself, you know, I am a doctor.
I am board certified.

Speaker 3 I was board certified in general surgery, board certified in plastic surgery, but I'm not truly an obesity medicine expert.

Speaker 3 So if for me to, with great confidence, talk really in the media about these drugs, I should become board certified in obesity. So I actually took all the courses and I took the exam.

Speaker 3 And I, last November, I got board certified by the American Board of Obesity Medicine. Wow.
So this is like a true expert thing for me now. I'm totally into it and I'm board certified in it.

Speaker 3 And it's something that I think is really important, even though it's not my career. I don't prescribe obesity drugs as a career, but I know everything about them.

Speaker 3 So I'm obsessed with these drugs and what they do for your general health above and beyond what they do for obesity.

Speaker 1 You're hot. Dr.
Nazardin.

Speaker 1 Wow.

Speaker 1 I love this new chapter. Yeah.

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Speaker 1 So, what's your favorite of the GLPs? It's well, what's your favorite?

Speaker 3 I'm waiting for the next one.

Speaker 1 Is it reditruitide? Is the next one?

Speaker 3 That's the next one that I'm waiting for. You guys really know your stuff.

Speaker 1 It's a GLP three, my G. That's right.
But

Speaker 1 the one you're on, Terzepatide.

Speaker 3 You know, it's the GLP one, which is Ozempic, and the GIP. So, as you know, there's Ozempic and Wagovi.
That's the same drug. That's a GLP1.

Speaker 3 And then there's Monjaro and Zepbound, same drug called, you know, that's the GIP and GLP. And those are amazing and they're powerful.
And, but I'm into it for another reason.

Speaker 3 Even if you're not overweight,

Speaker 3 I think it's the ultimate anti-aging drug, the ultimate longevity drug, because it's all about insulin sensitivity and reducing inflammation. So I'm very into this new thing that you can find all of.

Speaker 3 People are talking about it on TikTok. It cracks me up, but microdosing.
Low-dose terzepatide, low-dose GLP-1s and GIPs that are cardioprotective.

Speaker 3 They're good for your brain, your heart, your lungs, your kidney. They're good for addictions.
They're good for everything. I am convinced this is the next longevity drug of the future.

Speaker 1 Fine, I do it. Yeah, it's really good.
Do it, Josh. Just microdose it.
I do it. Wait.
You do do it. I've been doing it for the last two months.

Speaker 3 So, what's your dose?

Speaker 1 Microdose. Okay.
What the hell? You've been doing this.

Speaker 1 I'm changing, okay? Things have changed for me, Ben.

Speaker 3 I'm glad you do it.

Speaker 1 I'm glad you do it.

Speaker 1 So, do you feel? I feel so naked and afraid and alone.

Speaker 1 I'm alone in the dark.

Speaker 1 That's crazy.

Speaker 1 It's a micro little cutesy. It's a micro mini cutesy.
Okay, so what have you noticed? What are you thinking of your dose?

Speaker 1 I haven't noticed.

Speaker 3 What about the food noise? A little bit better?

Speaker 1 I've been, here's the thing. I lost 100 pounds when I was 19.
Yeah. Right.
Like I completed losing weight. I've kept it off for 20 years.
Okay. So it's a real lifestyle for me now.
Um,

Speaker 1 and I'm a sober guy. So, like, I know that food was probably just my avenue.
Cause, like, for most kids who are chubby, like, they overindulge.

Speaker 1 But then when I lost the weight, I realized, oh, I could do this with alcohol. I could do this with a million things.
So it's really, I've had to work on my brain.

Speaker 1 What I've noticed is it just like the real dirtbag food, like the real gas station craving kind of is easier to sort of let go of. Right.
But to your point, I take half of the minimum dose. Right.

Speaker 1 Shout out the great Craig Conover. You're hooking it up.
Yeah.

Speaker 3 Jeez, you do exactly what I'm telling you.

Speaker 3 What I'm hot for. Is that what you're talking about?

Speaker 1 How many people do you know who do this?

Speaker 3 Maybe in LA. You live in LA.
Sure. So you might know a lot of people who micro-dose, but this is not a thing yet.
Have you heard much about it in the media?

Speaker 1 Only from like longevity people. But yeah, this Craig Conover, Conover Wellness is great.
Peptide therapy, longevity doctor. And he sort of suggested this to me.
And I was like, listen,

Speaker 1 I would at least like to see it and not just wear it as some badge of honor that I never touched it. And it's interesting.
I don't know if I'll do it forever, but I'm interested to see.

Speaker 1 What are you on? What are you on? Terzepatide. Yeah.
Terzepatide. That's the

Speaker 1 boundary.

Speaker 1 Got it. And so you're on half of the minimum.
And you take it once a week. Same thing.

Speaker 1 I even take it. I do it like once every 10 days.
Yeah.

Speaker 3 That's microdosing.

Speaker 3 I'm so happy to hear you doing that because I am absolutely convinced.

Speaker 3 And when you look at the data, okay, really not the chat GPT data, although that's good, but there's another app called Open Evidence that if you have an NPI nitrogen practitioner number that you get for free and you put in microdosing, you put in Terzepatide and its effects on inflammation and life extension.

Speaker 3 The studies from the New England Journal of Medicine, this is real stuff, are really profound, how effective it is. It's just nobody knows about this yet.

Speaker 3 And I, you know, I'm promoting botch presents plastic surgery rewind right now, right? So I'm going, I was on the Today Show Monday and I did KTLA this morning. I'm talking about that.

Speaker 3 What I really want to do, though, is go around and talk about microdosing of these medications because I think it's just not out there yet.

Speaker 3 And I think if you could reduce your, it's all about reduction of inflammation. That's what this is about.

Speaker 3 And because the more sugar you're exposed to in your circulation, the more inflammatory effects you're going to get. And that's the ultimate anti-aging thing to do.
So I love that you're doing that.

Speaker 1 And was it overblown?

Speaker 1 I feel like what we're finding out is like any diet, that if you aren't supplementing with weight training and getting enough protein in, of course, you're going to have skin sagginess or lose muscle mass, but that it wasn't any worse from taking the GLP-1.

Speaker 3 Well, it is.

Speaker 1 I'll tell you why. Because I was going to say, you do know.

Speaker 1 Tell us. Go ahead.
I do know because when I first took Ozempic, Josh knows I was in a really, really, really great gym groove too.

Speaker 1 And then I went off it because my wife and I were trying to have our first child. He's now seven weeks old.
We did that. I went back on.
I went back on.

Speaker 1 And since going back on, I have found it absolutely impossible. to get back in a gym routine.
And when I tell you, I am achy, I am weak, and I know I have to do it.

Speaker 1 Yeah, I have to, but without it, it really is,

Speaker 1 it's bad. It's bad.
I'm noticeably weaker.

Speaker 3 Yes, but let me just tell you something about the GLP ones and the terzepatides and so on. So on a regular diet based on proper eating and exercise,

Speaker 3 the weight you lose is 75% fat, 25% lean muscle mass. When you're on the GLP1s, you lose 50% of the weight is lean muscle mass.

Speaker 1 And

Speaker 3 that's the stuff you want to preserve.

Speaker 1 Okay. Sure.

Speaker 3 So you want to lose fat and not muscle. So when you go on one of these medications, even micro-dosing, the first thing you have to focus on is increasing your protein, which you have to do.

Speaker 3 And the second thing is, excuse me, you have to do resistance training. You have to beef up your lean muscle mass because these drugs will make you lose muscle.
And that's not good.

Speaker 1 And that makes you older.

Speaker 3 Not only does it make your skin sag and so on and so forth, but you want to lose fat, not muscle. So if you're going even on microdosing, up your protein and get in the gym.
And it could be bands.

Speaker 3 It could be, you don't have to sit there and I lift weights. When you first walked, you said, what do I do for workout?

Speaker 3 So after this, I'm done for the day, you know, because I did PR today for box presents. plastic surgery rewind 10 o'clock on e

Speaker 3 and then and then peacock after that this man knows how to sound yeah i know you know but i so we have a gym in this apartment Heather and I moved into in LA, this really great gym at the bottom, this building you know of.

Speaker 1 Beautiful building. Yeah.

Speaker 3 And I will lift weights for an hour and a half. I mean, I'm 66, so I want, I'm not going,

Speaker 3 but I do, you know. Oh, and by the way, creatine.
I don't know if you're on creatine. If you're not.

Speaker 1 10 milligrams minimum.

Speaker 3 Greatest thing ever, right?

Speaker 3 Closest to the steroid you could possibly get without having any side effects.

Speaker 1 It's been around forever.

Speaker 3 But recently, Weirdly has blown up.

Speaker 1 and you get it from meat naturally right but yep but yeah i take it and i i ben stopped taking it because his wife thought he was doing drugs she didn't like the look of it you were getting big no no i think no i think she just like saw i like put like a little into a plastic bag because i was going on vacation and she literally thought it was cocaine

Speaker 1 were you snorting now i'm

Speaker 1 i wish now i'm thinking about it i josh i think i need to go back on creatine you do that will that will make me want to work out because when i was on creatine, I do, right?

Speaker 1 You have to go back dosage.

Speaker 3 So, so anyway, I will, I will lift weights for, I will have my creatine.

Speaker 1 I have like 10 grams.

Speaker 3 The ideal dose is five grams.

Speaker 1 But anyway, I do a little more. But if one is good.

Speaker 1 Yeah.

Speaker 1 Yeah,

Speaker 1 it doesn't hurt. Me and Derek do broken up.
Fun. I know, right? We're going to snort some creatine later.
But

Speaker 3 I'll lift weights for an hour and a half. And I will take out my iPad, get on the treadmill, and do my zone two cardio, which is, you know, 60% of your maximum heart rate for 90 minutes.

Speaker 3 And I'll spend three hours in the gym.

Speaker 1 No, you won't. I will.

Speaker 3 And what's good is I'm in an advanced stage of my career. I'm very successful.
I don't need to worry about paying the overhead.

Speaker 3 It doesn't, I don't care if I operate or not, but I do operate all the time. But I'm more focused on what am I doing on a daily basis.
The minimum I will do is 60 minutes of cardio.

Speaker 3 And I do this every day.

Speaker 1 Now,

Speaker 3 nobody can do this because, you know, we all have lives and you have kids and so on and so forth. So I don't expect you to do this, but you got to do something every day.

Speaker 1 Three hour workout every day, five days a week?

Speaker 3 No, seven.

Speaker 1 Wow. Seven

Speaker 1 every day.

Speaker 1 Every day. And your wife must love it because you're out of the house.
That's true. I'm out of the house.
My wife would love it. It's true.
She's like, go to the gym. Well, the gym is downstairs.

Speaker 3 So it's been ever since we moved up to Beverly Hills, it's been more convenient. But this creatine thing.

Speaker 3 everybody particularly women should be on creatine but it doesn't work if you don't get more lean muscle mass, if you don't do resistance training. And it works beautifully in women.

Speaker 3 The only downside with women is, and maybe even those of you, how often do you step on the scale?

Speaker 1 I try not to, but I know at least once a month.

Speaker 3 Okay, but not every day. Yeah.
If you step on the scale, you retain water, you're going to be three, four pounds heavier, and you're going to think, oh my gosh, I've gained all this weight.

Speaker 3 It's the creatine. I can't stand this.
It's just water weight.

Speaker 1 I'm laughing because I have such a toxic relationship with my scale that sometimes I'll weigh myself at night after a full day of eating, just in case it looks a little bit better.

Speaker 1 I'm like, oh, not so bad. Maybe tomorrow,

Speaker 1 you know?

Speaker 3 Oh, so that's your baseline.

Speaker 1 That's my baseline.

Speaker 3 Oh, okay, that's smart. So, yeah, I mean, but you have to lift weights if you're going to take creatine.

Speaker 1 What about, and I am, I pick on my Benny boy because I just love him so much. I love this man.
And he's amazing. He's an amazing strides.
I give him a hard time because he loves a good supplement.

Speaker 1 And so so he'll take plenty of turmeric. He was on a saffron kick for a while.
His stomach is like an Indian restaurant.

Speaker 1 And he loves a good supplement. But

Speaker 1 I say

Speaker 1 if you're not working out regularly, it's like a waste.

Speaker 1 Why bother? It's a garden hose on a fire. Like working out.
far and away is the greatest longevity hack. Yes.

Speaker 3 If you could pick working out versus stop smoking, working out.

Speaker 1 Wow.

Speaker 3 Stay smoking versus not working out and quitting smoking.

Speaker 1 Or rip a SIG on the electricity.

Speaker 1 I'm saying that. I'm in.
Can you say planet fitness?

Speaker 1 Start smoking, start working out. That's what I'm saying.

Speaker 3 No, I'm just saying it's the single most important life extension, health span extending activity thing you can do for sure.

Speaker 1 All right. You got to do it.

Speaker 1 I got to get back in the gym.

Speaker 3 So my agent wants me to do a podcast, right? Cause

Speaker 3 not because I have so much to talk about,

Speaker 3 but I experiment, I do these experiments on myself and I come up with these conclusions, right?

Speaker 3 And he wants me to do a podcast where I'm visually showing these experiments that I'm doing on myself. For example, half my face, I'm going to do amorpheus, okay?

Speaker 3 And just to tell you whether these new.

Speaker 3 sort of non-invasive facial tightening things work or not. But to this point, I went on creatine and I didn't change my weightlifting at all.

Speaker 3 And I just said, I'm going to do the same weights. And so I do the same weights because, you know, at my stage, I don't know, my goal is not to get huge.
It's just

Speaker 3 consistency, right?

Speaker 1 Sure.

Speaker 3 So I do this one weight thing. You know, you sit, you sort of do this pushy thing.
It's sort of the easy equivalent to a bench press, but you sit and do it, sitting bench on a machine.

Speaker 3 So I do four sets of 12 at 100. Now, creatine, I'm up to 150 for the same effort.
Hell yeah. 50% stronger just from creatine.

Speaker 1 In. Wow.
I mean, in.

Speaker 1 Can you have a brand that we're loving? No. Do you have a brand? No.

Speaker 3 Creatine monophosphate, Amazon. I mean, I like the one called Naked Creatine, but it doesn't matter.

Speaker 3 No. Any of them, they're all equivalent.
Just go for the cheapest one because nothing special about creatines, right?

Speaker 3 But it's great for your brain.

Speaker 1 Did you hear that, Josh? Nothing special. Corn.

Speaker 3 Unless, of course, you guys have a brand of creatine that I'll say.

Speaker 1 I'll say yours.

Speaker 3 Yours is the best.

Speaker 1 Do we, Olivia? What's that? There's a creatine. I think we do, maybe.
Omega-3 Momentous? Yes.

Speaker 1 It got to you. Yeah.

Speaker 3 Does it have Omega-3 in it? Yes, it does. That's different.
That's cool. Because now you're getting your Omega-3.
So I would say that.

Speaker 1 It's a combo. Oh, that's what that's cool.
I would endorse that. Protein creatine Omega-3 is the Momentous 3.

Speaker 3 I think that's very cool. Yeah.
It's one of your sponsors. Yes.
Yeah. No, I think that's a wonderful thing to add to it.
So I 100% agree with that. But if you're just buying creatine,

Speaker 3 you don't go for the expensive one. They're all the same.

Speaker 1 You know what I mean? Okay. Is there any plastic surgery trend right now, anything that's popular that you think is going to

Speaker 1 that you don't like? That is going to have some bad

Speaker 3 Yes. So last time I was on, I'm sure I talked about Brazilian butt lips that I hated.

Speaker 1 Yes. Okay.
They're very dangerous.

Speaker 3 They're very dangerous.

Speaker 1 And

Speaker 3 that's because there's these blood vessels in the buttock that are not that deep that if you get into them, they go right into the vena cava, which is the main vein going back to the right side of your heart.

Speaker 3 And if you inject fat into those by mistake, and remember, it's a blinded procedure. It's not like you're opening up the buttock.
You go, oh, I'm going to lay it right here.

Speaker 3 You put it through a teeny little decision. You go, here's hoping it goes in the right place.
You know, you don't know, right?

Speaker 1 Right.

Speaker 3 So if you get it into one of those veins and it goes up into the vena cava, into your heart, to your lungs, you die instantly.

Speaker 3 And, you know, I work for the California Medical Board and I do have a very big medical legal career where I'm against doctors and for doctors. Okay.
I work both sides. I just tell the truth.

Speaker 3 I'm a medical legal expert.

Speaker 1 Okay. In court.

Speaker 3 I'm in court all the time doing this stuff. And even when done by the best surgeon under the best circumstances, if you get in the vein, you probably will die.

Speaker 3 And great surgeons have lost people in their office on the table from this procedure. No procedure that has that possibility in my mind is worth it.

Speaker 3 Having a bigger butt is not worth risking your life. Okay.

Speaker 3 So that one I talked about last time I was on the show.

Speaker 3 I think, you know, people are still doing a lot of filler. I just, we are at a and on plast surgery rewind, but when is it on?

Speaker 3 It's on Wednesday nights at 10 p.m. on E, this new show.
A lot of our celebrities had a lot of filler done very early.

Speaker 3 And you think filler, hyaluronic acid, you could just inject hyaluronidase, which is an enzyme that just dissolves it, right? No harm, no foul. Don't worry about it.

Speaker 3 Oh, first of all, it's a commitment. If you can get scarring from it, it can migrate.
It can get into the blood vessels. It can give blindness.
And these things happen.

Speaker 3 Okay. They happen and they happen frequently.
And it can make you look older, even if you you don't have a complication. So

Speaker 3 filler, we're doing too much filler in this country and patients are not being told the truth about how it should be done and should be doing less.

Speaker 3 I still think it's fine if you do it in the proper places where the tissue is thick. Stay away from the eyes.
Don't do it in the lower eyelids, you know?

Speaker 3 And I would prefer you didn't do it in the lips at all.

Speaker 1 But I think filler.

Speaker 3 is much more dangerous than people, than plasturgeons and other doctors are willing to admit. So, that's sort of number one.
And the reason I want to mention that was because how common is filler?

Speaker 1 Yeah, very

Speaker 3 common. I think it's just, and if you watch Plastic Rewind, you'll see how regretful these celebrities are about their filler.
So, filler,

Speaker 3 the big new horizon in plastic surgery,

Speaker 3 you know, I went to med school 82 to 86, long time ago. But if you would have told me when I graduated UCLA Med School that in 2025,

Speaker 3 which is what 39 years ago, right?

Speaker 3 86 to 25, 39,

Speaker 3 something like that. No, 16 plus 25 is 41.
41? Shit.

Speaker 1 Anyway, excuse my language.

Speaker 3 That in 2025,

Speaker 3 you're still going to be taking a scalpel, cutting, lifting. cauterizing, destroying blood vessels while a patient's under a chemical coma, pulling back and stitching things closed.

Speaker 3 I always said, oh, come on, 40 years from now, we'll be doing

Speaker 1 laser.

Speaker 3 You'll get in this tube and all of a sudden you'll come out a younger version of yourself. We're still doing the exact,

Speaker 3 yeah, we go a little deeper. We do a deep plane whoop-tee-doo.
We still do the same instruments, same sutures, same trauma, same risk of complications. as in fact more than ever before.
So

Speaker 3 we need to figure out, and we're slowly getting there, how to deliver energy to the skin

Speaker 3 to make the elastic and collagen thicker, to do all those things that nature does for you when you're very young, right? But we're still doing with surgical techniques. It's crazy.

Speaker 1 That's where we're at.

Speaker 3 The problem is,

Speaker 3 you know, over promise, undeliver, a new device will come out. They'll sell it to the doctor for $175,000 with the promise that it's going to do this for the patient, right?

Speaker 3 And the doctor goes, okay, I see, how much does this cost me? $8,000 a month on my lease payments on this new laser. And they sell it to 2,000 patients and it doesn't really work or it burns them.

Speaker 3 Have you guys heard of these new devices that you put underneath the skin, these J-plasma devices? No. You make a little incision.
It's all about skin tightening, right?

Speaker 3 The holy grail in cosmetic medicine is skin tightening, isn't it? Yes.

Speaker 1 It's all skin tightening.

Speaker 3 I mean, if you could go to the face, no one would ever need a facelift. You wouldn't have to cut anybody open, right?

Speaker 3 Well, we started on the outside, lasering and applying these energy transmission devices. We said, well, what if we heat the skin from the inside?

Speaker 3 Makes sense. Heat it from the inside.
Do it with either laser or this energy transmission called J-plasma or some other kind of ultrasonic device.

Speaker 3 If you can get this energy delivered to the inside, it will tighten the skin from the inside, right?

Speaker 3 Except this J-plasma, I mean, we were, I saw nothing but burns on people for two years.

Speaker 1 Barbecue. It's unbelievable.
I'll tell you, you'll like this before we get to our what are you nuts. I have a friend who's a surgeon who was on call for the ER.

Speaker 1 Someone gets brought in with uh, they had had a tummy tuck and they were having complications and it needed to be reopened. So they call in, they call in my friend.

Speaker 1 So she puts out a call to the plastic surgeon who did it, who's now on a trip,

Speaker 1 is flying.

Speaker 1 And she goes, Hey, I just want to like ask the doctor what their approach was so that I can go in and do something complimentary and not disrupt it too much because reopening it, it's less than ideal.

Speaker 1 The nurse calls back and says, You know, the doctor's approach for a tummy tuck is it's actually patented the way he does it.

Speaker 1 And so, which, of course, is my SI.

Speaker 3 You can't patent a surgical technique.

Speaker 1 You can't patent cutting

Speaker 1 and

Speaker 1 wouldn't tell her. My doctor friend said, you have him call me immediately

Speaker 1 or I'm going to report him to the medical board. Exactly.
And of course, he did right away, but she was like, patented.

Speaker 3 What a joke. Nuts.
You know, that's a marketing thing for patients. There's a facelift surgeon here who will go unnamed who has, he made up a name for his facelift that's based on his own name.

Speaker 1 We've had him on the show. Okay.

Speaker 1 Never mind then.

Speaker 3 Never mind then.

Speaker 3 I'm not saying it's that guy. I don't know.
But never mind.

Speaker 1 Cause I was going to tell you some things, but I don't need to tell you some things. It's good.

Speaker 1 I would still love to know. He hasn't come on twice.
Yeah, he has. He hasn't.
He's not a repeat.

Speaker 3 I mean, the guy I'm talking about is, you know, very talented, but, you know, he named a thing after us and charges in the multiple hundreds of thousands for this thing.

Speaker 3 And like every other procedure, it can go south on you. Okay.
That's enough said. And just, you know,

Speaker 3 there's just just a lot of stuff out there that we plastic surgeons tell people.

Speaker 1 I will, I will say, he was lovely. That said, he was a master marketer of his own products.

Speaker 1 But I mean, do you, do you want to be marketing? You don't do that. You don't do that.
I don't.

Speaker 3 I mean, well, you could, okay. You don't want to be marketed into a potentially life-threatening procedure.
Right. It's one thing to, you know, okay, I bought this car.
Maybe I didn't like it.

Speaker 3 Maybe it's, I was thought I'd be sexy driving around this car through marketing. They got to me, you know, I could look like James Bond in this car.
A surgical procedure. I mean,

Speaker 3 but one could argue that I use my status on a reality television program and talk about how honest I am as a way to get patients. Well, he's so honest, maybe I should go to him.

Speaker 1 We all like it just because you pay for it.

Speaker 3 You're very, very cynical, by the way. And it's not true, but one could say that even about me, that I'm here for marketing.

Speaker 1 No, it's all because of how hard you are on Dr. Nassau.

Speaker 1 i know that's why we love you i know i know you really grind his gears we love it but he can take it well here's a fun little cliffhanger because i hope you'll come back on yeah and we've talked about this before but i i truly think we would need like almost a whole episode on it and i would love it if you'd come back on yeah about how i had plastic surgery when i was 19 years old yeah and i was badly botched and i learned something new about it from a recent surgery i had a new revelation oh tell me about the doctor about well it's it's a whole I'm making it oh you're gonna leave

Speaker 1 come back

Speaker 1 I wanted it yes oh absolutely it's a good

Speaker 3 it's a good story it's a good story just so you know not that I'm so special because I'm not but I get asked to do podcasts three to four times a week I really do I say no to every single one didn't I just get asked and I looked and I went oh he talks about interesting stuff but I'm just too

Speaker 3 when I heard you guys wanted to chat again I go what did I say I I said, Absolutely, I love those guys.

Speaker 1 I'll come back.

Speaker 1 I'm telling you the truth. I'll come back anytime.

Speaker 3 And I was glad that I got to do it with you. And next time, I'll come back to New York because I love coming out to New York.

Speaker 1 And any excuse to go out there. Maybe Josh will come to New York too.
Yeah. Me and you go out there.
Usually once or twice a year.

Speaker 3 Don't you love it out there?

Speaker 1 For you, I'll come back.

Speaker 1 Yeah.

Speaker 1 We'll all go on me. We'll go out.

Speaker 3 I'll pick the restaurant.

Speaker 1 Although

Speaker 3 you probably eat in a very particular way, don't you? No, I'm done.

Speaker 1 You eat? You eat. Oh, please.
Are you an eater? Eats.

Speaker 1 Am I an eater? How could you not be in New York?

Speaker 1 And how could you be on trzepatide and not be an eater? I know.

Speaker 1 I'm not on it for the longevity.

Speaker 1 So true. To lose weight of three of us in one recording studio, there'll be so much tea going on.
The amount of testosterone.

Speaker 1 By the way, are you on testosterone?

Speaker 1 Not yet. I'm 39.
Oh, yeah, you're way too young.

Speaker 3 Yes, but some people just do it anyway, you know.

Speaker 1 And just warn me before this dinner, give me two weeks so I don't have my trisepatide for two weeks and I'm really hungry.

Speaker 3 You have so many good restaurants there. Oh my god.

Speaker 1 We do.

Speaker 3 Yeah, I'm going out in two weeks with my wife. She's going to go on Watch What Happens Live because Wednesday nights at 10 o'clock on EA's Plastic Surgery Rewind.

Speaker 3 And Thursday nights, my wife's on Real Housewives of Orange County.

Speaker 1 And that starts tomorrow night, interestingly enough. Anyway, our couple.

Speaker 3 Well, so we go to New York and she does the whole Bravo thing and I eat.

Speaker 1 Oh, I love it. That sounds great.
Are you like a cold plunge? We should send him to Live Method. Yes.
I love it.

Speaker 1 Okay. I we have it's it's literally, you will be the only person in there.
He spent like five million dollars making cold plunges, steamrooms, and saunas.

Speaker 1 It fits like there, there's nobody ever in there. I really connect with you.
I really want to go.

Speaker 3 I, by the way, despite the fact that I'm into all of this stuff in exercise, physiology, and health and wellness, I've never done a cold plunge.

Speaker 3 And I know the benefits of cryo. I mean, I, I, but I just never done it.

Speaker 1 We love it. We're doing it.
Oh, I know. We're going going to film it.
We're doing it. We're, it's happening.
Yeah. It's already in the works.
I'd love to. Okay.

Speaker 1 So our what are you nuts moment of the week? Our gripes with people, places, and things, big and small, whatever's sticking in your craw. Ben, Ben and I will start.
You have time to think, Dr. Thanks.

Speaker 1 Thank you. There's no wrong answer.
Go for it.

Speaker 3 How do you think of this every week?

Speaker 1 Who knows? Every week.

Speaker 1 Multiple. Yeah, we're constantly annoyed.
Mine is, I've very famously said, if I have a bagel, Terry, right before I podcast, I can't remember anything. I I don't know what it is.

Speaker 1 I might have a light gluten intolerance. Josh once brought me brush and daughters on the podcast.
I couldn't think. I'll tell you what it is.
Tell me. It's

Speaker 1 tell me what is

Speaker 3 a bagel is a carb and the most pure, easy to digest carb. You know about glyc, I won't bore you with glycemic index, but you know what glycemic index means? Too late.
I'm going to bore you anyway.

Speaker 3 Yes,

Speaker 3 the more easily it gets digested and turned into pure sugar and elevates your blood glucose, your blood sugar, the higher the glycemic index.

Speaker 3 Bagels are extraordinarily easy to break down and turn into pure sugar, and you get this inflammatory brain thing.

Speaker 1 There you go. And that's why I take turmeric

Speaker 1 preventatively, and it helps me. But I'm in a house.
We're in the Hamptons for the summer. My sister-in-law, Jackie, is a fantastic baker.
Every morning, she has a fresh loaf of sourdough.

Speaker 1 I want you to know, Terry, right before I did back-to-back podcasts, I ate a thick sandwich, sourdough bread, turkey, mustard, lettuce, whatever. My brain is perfect.
Oh, that's perfect.

Speaker 1 My brain is perfect.

Speaker 1 So now my what are you nuts is to this bread, to these bagels. I'm going around buying this processed junk.
It's making me think that I can't eat sandwiches during the day.

Speaker 1 All of a sudden, I have just like basic, nice, home-cooked bread. Josh, what are you nuts?

Speaker 3 Right.

Speaker 1 Love that. What are you nuts?

Speaker 1 My what are you nuts is if you have a Bible quote on your business card. Listen, you're not selling me.
I don't care how many things you're trying to sell me with these. Listen, just come in.

Speaker 1 I need an exterminator, not a proverb. Okay.

Speaker 1 I'm glad you have a favorite saint, but can you just come in and do my drywall? I would agree with that one too. You know what I mean? I would agree with that one as well.
Yeah, what do you know?

Speaker 1 I'm a church and state. I would agree with that one.
Okay, I got one.

Speaker 1 All right. So,

Speaker 3 as a callback, you know, I'm going right from here to the gym, right?

Speaker 3 So, I'm very careful about, I go in the gym and I put my AirPods in and I listen, I have a personal moment, I listen to my music, I do the YouTube thing or whatever, and I work out.

Speaker 3 There are people who come in and A, we'll just talk on their phone as if we can't hear them.

Speaker 1 Yes.

Speaker 3 Or B, with a speaker. One of these Bose speakers.
And now I'm listening to their music and Newsflash. I don't like your music.

Speaker 3 And so personal space, personal audio space is not respected in the gym many times.

Speaker 1 Terry, gym etiquette is the ultimate what are you nuts. What are you nuts?

Speaker 1 We've both been in steam rooms where people are on their speakerphone taking a call.

Speaker 3 See what I mean? Just that. And then can I add one more?

Speaker 1 I'm just starting a cruise.

Speaker 1 One more.

Speaker 1 One more.

Speaker 3 I am a major restaurant person. I live to go out to dinner, okay?

Speaker 3 Don't bring me into the restaurant.

Speaker 3 Take me back to a table that is right next to the bus stand yes agreed i feel like i nuts i what do i work here yeah you know it's right here you're getting plates you're getting silver what are you nuts i'm eating here put me in a better part of the restaurant thank you see you said how can you come up with so many what are you nuts is it's because we're constantly agitated

Speaker 1 we go through life seeing what's wrong yes not and then we fix it yes that's that's what it is it's our biblical verses

Speaker 3 what are your biblical verses, let's be honest.

Speaker 1 Absolutely. Terry, it was an absolute pleasure.
Please remind people again what to watch, where to watch it, where to follow you, and then we'll close up the show.

Speaker 3 Okay, so new show called Botch Presents Plastic Surgery Rewind Wednesday nights, 10 o'clock on E.

Speaker 3 And then I don't really post on my Instagram, but I'm going to start doing these experiments and posting them. So you go to Dr.
DeBrow and you can see it on YouTube and TikTok.

Speaker 3 And I'm going to let you know what works and what doesn't work in these really interesting, quick videos.

Speaker 3 They're going to answer a lot of questions that you've always wondered about, including like peptides.

Speaker 1 Love it. Love it.

Speaker 3 Including, you know,

Speaker 3 should you eat protein before carb? Should you go for a walk after a meal? What does it really do to your blood glucose concentration? So on and so forth.

Speaker 3 Lots of interesting things are about to come out.

Speaker 1 So that's my thing. Love it.
Well, folks, if this episode wasn't five stars, what are you nuts? Listen to us wherever wherever you get your podcasts. Watch us on YouTube.

Speaker 1 Share our clips, Instagram, and TikTok. Mondays and Thursdays, folks, we will see you next time.

Speaker 1 Thank you. You guys are all great.

Speaker 7 Please note that this episode may contain paid endorsements and advertisements for products and services.

Speaker 7 Individuals on the show may have a direct or indirect financial interest in products or services referred to in this episode.