Straight Talk about Cosmetic Surgery with Dr. Arthur Perry

Sometimes you just have to wonder what has happened to common sense in plastic surgery? There are plastic surgeons and patients who are actually removing or cracking ribs to create a thinner waist. Did these "doctors" forget the first rule of medicine: do no harm? Have they forgotten that the ribs are designed to protect lungs, heart, liver, spleen, and kidneys and pancreas? And have they forgotten that rib surgery is painful and has lifelong consequences? Tune in to this show to hear about one of the stupidest things I've ever seen in plastic surgery.

There are so many different facelifts. SMAS lifts, skin only lifts, deep plane lifts, short scar lifts, S lifts, subperiosteal lifts....and so many more. But which one is better? A landmark paper was just published that punched the biggest hole in the deep plane facelift - you know - the one that those influencers had and paid over $100,000 for... It turns out that, while they didn't waste all of their money, they could have had a more traditional 2 layered SMAS facelift by virtually any well trained artistic board certified plastic surgeon in the US, and saved enough money to purchase a small boat! Tune in to this show to learn why the deep plane facelift isn't all it is cracked up to be....

My cosmetic surgery patients care about the appearance of their skin and their overall beauty. And it follows that the same people who are concerned about appearance are also concerned about their overall health. An annual physical exam can only go so far. And that's where the total body MRI and advanced bloodwork that the Prenuvo company performs comes in. On this show, I interview Dr. Daniel Durand, the President of Prenuvo and an incredibly smart radiologist. Listen in!

There are literally dozens of different types of facelifts. Every surgeon claims theirs is the best technique. And now there's the "deep plane" lift (described in 1979, by the way!), with some plastic surgeons charging over $200,000 for this 4 hour operation! And some gullible celebrities and affluent people are falling for the deep plane myth. In this show, we begin a discussion about whether the deep plane lift is any better than a traditional facelift. If you are considering a facelift, you might save a bundle by listening to this show.

The mommy makeover is increasingly popular. This procedure combines a tummy tuck with a cosmetic breast procedure - either a lift, reduction, or augmentation. In the last month, there have been 3 high profile deaths of young women undergoing this procedure. On this show, we discuss why the mommy makeover is a dangerous procedure and how you can stay safe with cosmetic surgery.

Ulthera - high energy focused ultrasound - has been the leader of noninvasive facial skin tightening for 15 years. The FDA just approved the technology for tightening crepey skin of the arms and tummy. On this show, we discuss how Ulthera can help with this hard to treat problem. And, we continue the discussion of the craziest things in plastic surgery - focusing on fat grafting to the breasts and buttocks. While this procedure is very popular, there are no long term studies that show what you'll look like years down the road. Tune in to listen to Dr. Perry's take on this procedure...especially if you are planning on having fat grafting!

Mini-facelifts are sort of like being "a little pregnant". You either do it or you don't. Most "mini-facelifts" are simply marketing gimmicks - designed to lure you in to a procedure that sounds small. In fact, there really are very few mini-facelifts. Most are short scar cheeklifts that have limited usefulness and longevity. On this show, we discuss the various types of facelifts. From traditional long scar to 2 layered, to -yes- the minifacelift.

The cold weather does a number on your skin. Heating your house drops the humidity to levels seen in the Mohave Desert! And so we get rough, chapped skin, often with tiny painful cracks around our lips and hands. But spring is around the corner, and so we discuss how to battle back from winter skin on today's show. From skincare to removal of unsightly blemishes and moles, to filling wrinkles and lasering and even surgery, this is the episode you'll want to listen to so you can plan for beautiful skin this spring.

Blepharoplasties are cosmetic eyelid lifts. This procedure usually removes excess skin and fat from the eyelids and is a great facial rejuvenator. Many people think the surgery is a minor procedure because the satisfaction rate is very high and the complication rate is fairly low. But the truth is that all sorts of issues can occur with eyelid surgery - from visible scars to a pull-down of the lids to the dreaded complication of blindness. Before surgery, I send my patients to an ophthalmologist to determine that their eyes are healthy enough to have surgery. On this show, I bring in expert ophthalmologist Dr. Larry Najarian, who discusses how he helps patients get ready for their eyelid surgery.

I call it the "Frankenstein procedure"! There's a company that is processing dead people's fat and selling it to plastic surgeons who will inject it into your face or buttocks...or anywhere. Wow. This raises a lot of questions. First - the ethics. You or your family donates your organs, expecting that your kidneys, liver, heart, and lungs will help another person live a normal life. But do you expect that your fat will be harvested and used for cosmetic reasons? And do you expect that the fat will enrich the finances of the company that sells it and the plastic surgeons who inject it? I'll be not. And then there's the question of safety - the company can be certain the "donor" didn't have HIV or hepatitis, but they can never be certain the person didn't harbor Mad Cow Disease (Creutzfeld-Jacob disease in humans - same "prion", different animal). And then there's the "repulsion factor" - do you really want someone's dead fat injected into your body? Listen in to Dr. Perry's interview on the Mark Simone show - replayed here - to learn more. Understanding Hypophosphatemia: Recognition, Diagnosis, and Treatment Endocrine experts distinguish Hypophosphatemia from osteoporosis & osteomalacia Listen on: Apple Podcasts Spotify

A high hairline with a long forehead is considered a masculine feature. On this show, we discuss how a brow lift is a "2 for 1" procedure - simultanously elevating the eyebrows and lowering the high hairline. Tune in. Understanding Hypophosphatemia: Recognition, Diagnosis, and Treatment Endocrine experts distinguish Hypophosphatemia from osteoporosis & osteomalacia Listen on: Apple Podcasts Spotify

One of the characteristics of a masculine face is a strong chin. The operation of a chin implant along with liposuction of neck fat reinforces a strong masculine appearance. On this podcast, we discuss how plastic surgeons make chins "stronger" with either fillers or implants. Tune in.

It's getting harder and harder to believe new plastic surgery procedures actually work. With the advent of "pay to play" medical journals, almost anything can get published. This has weakened the age old trust of publications in "peer reviewed journals". Just this week, journals published articles concluding that acupuncture can reduce wrinkles and deep chemical peels can substitute for upper eyelid lifts. I don't believe either...and neither should you. And now I trust fewer scientific papers. Tune in to become a medical skeptic. Understanding Hypophosphatemia: Recognition, Diagnosis, and Treatment Endocrine experts distinguish Hypophosphatemia from osteoporosis & osteomalacia Listen on: Apple Podcasts Spotify

There are many facelifts being performed in the US. Most leave scars in front of the ears. But many people, particularly men, don't want these scars. It seems obvious that you can just grab the excess skin in the middle of the neck and say..."if this were gone....". On this show, we talk about exactly that procedure - it's experiencing a resurgence in popularity. Tune it.

Earlobes are the forgotten stepchild of facial beauty. While women adorn earlobes with diamonds and gold jewelry, when earlobes age, they wrinkle and shrivel, often relegated to a life behind hair. But earlobe rejuvenation has come of age! With fillers, lasers, reshaping procedures and repair of elongated earring holes, ears can once again become a center of sensuality. Listen to this show to hear how plastic surgeons help your earlobes recapture lost beauty.

Botox is the most popular procedure in all of cosmetic surgery. About 10 million people in the US have Botox every year. While the term "Botox" has become a generic term, there's actually 6 drugs that have Botox like effects - Xeomin, Dysport, Jeuveux, Daxxify, and Letybo are the others. These drugs all work basically the same way. But now Abbvie, the company that markets Botox, has applied to the FDA for approval of a new short acting Botox-like drug. This one, called TrenibotulinumtoxinE (TrenibotE), works within hours (not days), but only lasts 2-3 weeks (instead of 3-4 months). The only way this one makes sense to me is to mix TrenibotE with Botox to create a hybrid drug that works immediately and lasts 4 months. But I would expect the costs to be significantly higher than either drug alone. Watch for this combo in 2026! And listen to this show for the advance notice on the newest advances in cosmetic surgery.

Cosmetic surgery must be pain free. To have painless procedures, plastic surgeons often use general anesthesia, where a breathing tube is placed and your brain is basically anesthetized. This type of anesthesia is important for liposuction, tummy tucks, and most breast procedures. But general anesthesia has risks, particularly cardiac problems and postoperative nausea. So, when possible, intravenous sedation, using propofol and versed, is used. Face and eyelid lifts are procedures that often are done under IV sedation. And finally, some procedures can be done with you wide awake, using only lidocaine local anesthesia. Mole and scar revisions can be done that way, and with the proper patients, eyelid lifts, small liposuctions, and procedures like chin impalnts can also be done under local anesthesia. On this show, we discuss the various types of anesthesia used for cosmetic surgery.

Nasal reshaping is the most creative procedure in all of plastic surgery. Formally called "rhinoplasty", this nasal reshaping, it's also the most difficult procedure in cosmetic surgery. On this show, we discuss how we plan and perform rhinoplasties. Tune in!

Morning WOR host Larry Mendte had Botox injected LIVE on the air by me this week! It's the next best thing to being there...listen in as Larry undergoes the needle! And we spoke with endocrinologist Dr. Caroline Messer about the explosion of GLP1 drugs and how plastic surgeons help make you look better after massive weight loss.

Susan Warner returned today to discuss her fractionated CO2 laser. She had a very aggressive laser for wrinkles and splotchy pigmentation. We discussed how the laser can be used for 30 year olds for a fast fix or for 60 year olds for deeper wrinkles. On this show, we also discussed how Dr. Perry treats eyelid/cheek festoons.