cover of episode Nip Tuck ft. Dr. Rahban

Nip Tuck ft. Dr. Rahban

Publish Date: 2023/3/9
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It's Sophia Franklin. You are listening to Sophia with an F and the F is for phenomenal. This podcast is rated F.

Would you say that you have more clientele wanting like a boob job or something with their ass? I don't cater to the butt world. I almost never do a BBL. It's because the procedure's shit. You go online and you look up most deaths in plastic surgery and it's BBL everywhere. My mom almost died on the operating table getting a BBL.

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Hi everybody, welcome to Sophia with an F. We are in the showroom, we are getting hyped up. I am so excited. Before I introduce my guest, I'm gonna tell you to go ahead and subscribe.

because you should have already fucking done that because this face was not made for radio. This face is made to be seen, right? Sure. I agree. Subscribe to the YouTube. This is a plastic surgeon agreeing. So that's a professional opinion by the way. Dr. Roddy Raban. Love it. How are you? Thank you so much for joining me. My pleasure. I'm great. I'm cold.

But anyways, nonetheless, I'm excited to be here though. Thank you so much. Thank you. Cause I know it's very hard for you to come here. It's freezing, but thank you. I'm so glad you made it. Some background. Dr. Rabban is a top plastic surgeon in Beverly Hills. He has his own podcast, Plastic Surgery Uncensored. Love. I'm very uncensored myself and he

You have a different type of approach when it comes to plastic surgery. I do. Plastic surgery sells itself. It's like a mink, a diamond, a Rolls Royce. It doesn't, it's selling itself. The problem we have with plastic surgery is that it's this incredible, amazing tool that's being used incorrectly.

So you take a kitchen knife, you can make some beautiful food, cut up some amazing vegetables, or you can stab someone, right? So the idea with plastic surgery is we've just gone way over the other side. We've tipped the scale. Hundreds of practitioners, random ass people are running in, doing these procedures. We got TikTok and

ID and all this crap promoting it and then you have this huge fallout. Yes, you have the people that are happy and yes, they probably are still the majority but you have a ton of unhappy people getting really bad outcomes having horrible complications and so Who's responsible the person responsible is us. We're the doctors I mean at the end of the day, we're the people who are facilitating it, right? So, you know, i've been in practice almost 20 years now and

I do so many revisions and people come to me and they're unhappy and it bums me out. Wow. So I wanted to make sure that the practice is responsible. And so we have, we, we're not pro, we're not anti, we're just facts. My practice is about being facts. And that's why the podcast exists so that we can talk about, Hey, you want to get breast stock? High five. Awesome. I'm not telling you to get it, not get it, but this is what you need to know so that when you get it, you

You're part of the happy people. Yes. Right. Yes. Right. And you can go and enjoy your life and it adds quality to your life. Right. But you talk about plastic surgery as a culture, right? It is. Like the cultural aspect of it. I think that's what makes it so different. So when you say you have a ton of clients that come in needing revisions, um,

How many people are coming in to get something done for the first time and how many are wanting something to be corrected or redone? Great. So when I started my practice, it was what we refer to primary, right? Primary is the first time. Hey, I want to get a breast doc. Hey, I want to get my nose done, whatever.

But because my practice has evolved and after 20 years of doing this, I have maybe a third of my practice. That says happens to be my practice because it's tailored that way. Because when you want to get your nose job the first time, hypothetically,

You do some research, right? You go online, you go to Instagram, whatever method you use, which by the way, most of them are bullshit, but nonetheless, you use a method. Wait, what do you mean by that bullshit? So like ask your friends. Yeah, you can't just. So ask your friends how many of them like want to get plastic surgery. And the first place they went to was IG.

Instagram. What is Instagram? Who's monitoring it? So I have a question. So if I have a blue check mark, does that make me an authority? No, it means that I have no someone that got me a blue check mark. So if you give me a shout out regarding my nose job, does that mean that I'm an expert or does that mean that somehow I gave you a kickback? And so you, so when someone tells you that their primary source of information is Instagram, right there, you have a problem.

You can use Instagram for hotels, fashion. It's an amazing tool, but not to find a doctor. So the first time you go and use all these methods, TikTok, whatever, the second time, meaning, oh, wow, this went terrible. You will see those people do what's called real homework.

They dig, they scour every review, they go to the state board agencies, they go and see if you had a lawsuit, they call and reach out, DM the people that wrote things that were negative. They really do homework the way you would do homework when you want to do any other thing that's important.

the casualness of plastic surgery is the dangerous part. And so my practice happens to be very heavy in revisions, relatively speaking. But I don't want to get here and be like, plastic surgery is terrible. No, I would say the overwhelming majority is great. Yeah. But we have to have a real conversation about it. And what is causing it? Why is it

17 year old calling my office and wanting to get their lip lift or something or like some permanent, like what is going on? - Okay, what's the youngest? - So the youngest depends on the procedure, right? Like I did all three of my nieces noses. One of them I did at 16, which is in the world of rhinoplasty, your nose is developed, you're mature enough with your parents, et cetera.

I've done breast reductions in 17 year olds, a young girl who's like, Oh my God, I just can't even go to the gym. I can't get dressed. I can't buy anything. But if you come in here and you want like a facelift and you're 25, I'm going to kick you out of my office. Right. And so the age varies greatly on the procedure that's necessary. But the problem that we're having is that

you go on, again, I keep going back to social media because it's such a big part of our lives. - Yeah, tell me about that. - It's not like, oh my God, this is the first time anyone's aspired to be like someone else. Before we had social media, you had billboards, magazines, and TV. - Yeah. - Right?

You're watching TV. Oh my God, I want to be like Sophia Loren. That's not unusual. I thought you were going to say Sophia Franklin. I was going to be flattered. Yeah, well, Sophia with an F is the new generation of Sophia Loren. But you had how many images? How many images did you have in a given day? As a young person, maybe you saw a billboard or two, flipped through a magazine and watched the show. Yeah.

So two things have changed. One is you see hundreds of thousands of images. And the second is the images aren't real. Right. So back in the day, the maximum they did was photo touch your acne.

Right. I mean, like one would see a magazine or billboard and they'd airbrush it. That was the terminology back then. Okay. Right. But these were the people like if Sophia Loren looked like Sophia Loren, you could aspire to it. However, that is change your hair, change your makeup. But it was like, okay, that's a real person. Yes. The issue we have now is aside from the 8 billion images you see from the ages 12.

You're seeing a bunch of images that don't exist. Tiny little ways, huge butts, very big breasts, absolutely no acne, perfect chin, raise up eyebrows, all those things. So I mean, I've done it. I've done it before, but everybody does. My nieces do it. I mean, that's the first time I saw this morphing thing where the waist shrinks in a video. I freaked out. You're like, is she sick? Is she okay? And then you found out it was Photoshop. Yeah, it was Photoshop. There's a guy that I love. His name is Eckhart Tolle. He's one of these

self-help guru guys. And he said something really fascinating, which stuck to me because most of it just went in and went out. He said that happiness is the Delta. That is the difference between where you are and where you think or want to be.

Say that one more time. Your happiness is the Delta is the difference between where you currently are in life and where you think you want or ought to be. Yes. God, I wish I was skinnier. God, I wish I were richer. God, I wish I were more famous. The greater that gap gets, the more unhappy you are with your current reality. Yeah. So because there's all these new images like, God, I'm not tall enough. I'm not skinny enough. Oh my God. Look at her nose. Oh my God. Look at her lips. The more of that shit you have, the more you are.

See, I think it's less of a social media problem and more of a, your problem men, because you guys, I think women have had to make all of their value based on their looks. Right. That's what men care about. One, two, and three are looks. Yes. Yes.

And then you guys want us to look 26 forever for the rest of our lives. When you look at a man, you're like, wow, he's handsome. He's got a scar through his cheek. He's bald as hell and he's got a gut. Well, how is he handsome? I don't know. He's just got charisma. He's charming. What does that mean? He's a barista. He doesn't even have a dollar. I don't care. You talk to a guy...

And she's hot, she's attractive, she's got a great body, she's got gorgeous... Men and women will always look different. And that's since the beginning of time. That's the way men are wired. Men are wired visually. Women are wired emotionally. The thing that's happened is that before women wanted to look attractive and they used reasonable methodology.

My mom is a beautician cosmetologist. My mom wears heels at 80 and she almost breaks her ankle every time because she loves, she's of that old school girl, you know. I respect that. Like she's like, she'll go to the market. She's dolled up. Okay. She's old school. Yes. But she was like, she loved that aspect beautifully.

Having a man admire you for your elegance and beauty and it feels good. It's a great quality. It's just what's happened is that the pressure is, as you said, so much greater. The tools are now endless. And the question is, what's that quality?

line in the sand. Like, like if you got up this morning, you blow dry your hair, put on a little mascara lipstick. I don't think anyone would argue that you're trying so hard to look good for a guy. But if you got up and came to my office and I ended up rearranging your whole face at 20 something and you're beautiful, then we'd say, wow, that's pretty extreme. So there is a line somewhere. Yes. And, and how do you decipher, you know, when you have patients come in,

this person is a good fit to have plastic surgery. This person should not be getting something done. My consults are super long.

It's funny. The guy came to my office the other day, good looking African-American guy, super lovely. He came in, he says, I want a liquid nose job, which is like going to your neurosurgeon and saying, I want my aneurysm clipped. What does that mean? You're going and asking for a procedure. And I hate when patients do that. I'm like, don't ask me for a procedure. Tell me what bothers you. Yes, yes, yes. Don't come in and tell me the procedure. So, you know, I don't like my nose, et cetera. And after it took 30, 40 minutes for him, for me to explain him, he looks great.

Like, it genuinely looks great. Like, I'll tell you if I think there are things that I can do. You may not agree with it, but there was nothing for him to do. And after 40 minutes of me sort of walking him through the process, he was like high five. And he's like, you know what? This was the best money I ever spent for a consult. You can't do that in 20 minutes. No. It takes time. So to answer your question, the first thing I do is I start asking a bunch of random ass questions about your health and this. And then I can start gauging whether you're here or not. Are you...

Mentally on planet earth. Correct. And I'm not talking about so extreme. I'm talking about you don't get eye contact. You're definitely insecure.

You are using a lot of words like perfect symmetry. There are these buzzwords that make me very concerned, right? What about if they name drop a celebrity? That's also concerning, right? So I'm listening for those cues. Then I'll examine you. I'll look. First question I ask myself, is there anything for me to improve? Not change.

Change means I go sideways. Improve. Improve means I move forward. So I'm not interested in taking this and making it look like that. I can...

I can do anything I want, but I'm asking myself, cause at the end of the day, every artist, every creative person has, has an internal conversation like, wow, this painting looks good. Oh my God, that lug rug looks really nice, right? They're the ones creating it. So you have to have that dialogue internally. And I have a pretty strict one and I'm like, I think this would look better. Now I'm, it's my taste. That person came to me because they've seen my work. So they're in line with my taste, but I am the one that judges that. So if

I don't see anything that I can improve. I'll tell you, I can't help you. So you're a very good surgeon is what you're saying. Well, I don't know about that, but I'm definitely one that's incredibly straightforward. But there are surgeons out there that will make sure to let you know there's something that needs to be fixed. And they'll add shit on. It's the easiest. Listen, you walked into my office. So

I don't need to ask any questions. I know you have a desire. You came in. So you came in, you asked me some questions. I know for a fact there's something you're insecure about. You're in my office. It can be as simple as whatever mole.

And then it's like taking candy from a kid. I can be like, you know, Sophie, you're a beautiful young lady. Have you ever, like, your right eye and you're like, what? Really? And you'll go out of there going, what the fuck? No, I've had this experience. I came in from my... And so absolutely it's easy to do. It's wrong, but it's easy to do. Right. Right.

But have you ever had a patient come in and you give them your genuine feedback and they get offended and yell at you? So I seldom, if ever, will tell you anything that you didn't ask for. So I don't do that. I don't ever. It's not my job. You came in. You said, I'm interested in having my eyelids done. I don't go, hey, by the way.

Yes. You could also. What about this jowl in your neck? The reason I don't do that, and that's personal. I'm not saying that it's a horrible thing. I don't do that because it's not fruitful. One, it's off-putting.

Right. You came in. It's like, what the fuck? I came in for my eyelids. The second is you didn't have an issue with it till I mentioned it to you. So there is no such thing as an issue. Right. It's not an issue till it bothers you. Yeah. So if it didn't bother you, you didn't mention it. The only caveat to that is when people come in for their nose and they have an incredibly weak chin. Right.

I'll mention their chin in conjunction because I know that when they look at their face after the surgery, they'll still be bummed out about their nose because they didn't know their chin was weak. Other than that, I never go on to tell you, hey,

You know what? You know, so yeah, I actually think this is also what you need. I just don't do it. It just doesn't work well. Let's talk about the nose to chin ratio thing that you were just talking about. What does that even mean? When you look at someone's face, you immediately inside your brain in a fraction of a millisecond go, wow, wow.

She's pretty. Uh-huh. He's handsome. And I'm not talking about their aura and their energy and their person. I'm talking about just a picture. Yeah. So it's purely visual. Mm-hmm. And what you're looking at is certain degree of features. So why is it that universally...

universally Asian, black, Somalian, there are individuals that are universally considered attractive because as a species, certain features, a combination, by the way, we're not talking about white eyelids or black lips. I'm saying a certain features together. We, we don't know why consider that attractive. All people are beautiful, but I'm talking about like, wow, if you take a hundred people and you just show them a

So there are things that we align to, right? And having a really weak chin is absolutely acceptable. You're amazing. You're a brilliant scientist, but you're not, it's not, it's not an attractive quality. So when you look at someone's profile, the side view,

What you're looking at is the relationship of their forehead, their nose, and their chin. And if you have a large nose that sticks out and a super flat forehead that rolls back and no chin, I can make you the most spectacular nose you've ever seen. And you'll still look at your profile and be like, I don't like it.

Yes. So there is a relationship element. Balance. Harmony, balance, whatever you want to call it. So chin, noses, there's no numeric, right? We can pull up a hundred photos of all variations of ethnicities and you'll say, wow, she's beautiful Asian girl. Oh my God, look at this girl from Ethiopia. But you'll see some relative common measurements. Similarities. Which I don't do. It's an eyeball thing. And in general, you want to have

a jawline that's relatively defined. I was stalking your Instagram and you do talk about the jawline quite a bit. Because I love it. I think it's an attractive quality. For men. Women, men. For women though? Listen, so perfect example. Women come in all the time and we'll have this conversation about their jawline. And then the first thing they say is, I don't want to look masculine. The second thing they say is, I don't want to look like Jay Leno. So those things are like almost automated. Okay, it doesn't matter. I'm dying. Okay.

And then I go and grab a magazine and I'll just open it up to a random page and there'll be invariably a model. I'll cover up two thirds of their face. So it's just lip and chin and jaw and every single page

photographed female, that's a quote unquote a model, I'm not talking about. Yeah, yeah. Will have a masculine jaw, a masculine jaw. Look at Angelina Jolie, look at Megan Fox, strong mandible, strong chin projecting. Wow, so the big jaw. Everybody. Like fuck a boob job, fuck the BBL, it's the jaw. Well, the jaw is the butt to the face. That makes sense, the butt to the face. There you have it.

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Would you say that you have more clientele wanting like a boob job or something with their ass? I don't cater to the butt world. I almost never do a BBL. Do you think that's because you're a boob guy? Not at all. It's because the procedure is shit. I like as a surgeon procedures that have a good outcome, high yield and are predictable.

Right. I want, I don't get on an NBA court and just shoot a bunch of half-course shots. Well. Because it's a, it's a low yield procedure, like a yield. I'm not going to make a lot of them. So I don't like BBLs for 50 million reasons. Just. I don't either. You go online and you look up most deaths in plastic surgery and it's BBL everywhere. My mom almost died on the operating table getting a BBL. Miami. Terrifying. Yeah.

Miami. Miami and Florida have the highest rate of death in the country for BBLs. Listen, I'm not here to bad mouth the procedure. I just think it's just way out of control.

In order to have this conversation, we need to get out of our mental space that everyone is beautiful. Love yourself. That's not this conversation. So get out of that space. You are beautiful. If you have, you literally are the most gorgeous person in the world to yourself. High five. Let's now move into the next arena. We're talking about this idea of there are some basic things that we consider attractive. Okay. So fuller lips again. Mm-hmm.

There's pencil lips and there's, oh my God, what did you do to yourself? I'm referring to normal fuller lips are more desirable than tiny pencil lips. Right. Flat chest on a woman is not as attractive as a fuller chest. And then there is, oh my God, what's going on? So a butt who's completely flat is generally not as attractive as one that's fuller. We haven't said how you got there. And then, and also then one that's humongous. Okay. Okay. There is this middle ground of fullness that's attractive. Okay.

And it's consistent on your size, your waist, how tall you are. There's proportionality. The leg to butt ratio. 100%. So how I get a fuller butt based on my physics is you add some volume. The nicest way to add volume is through muscle mass.

like workout girls, fitness, squats, deadlifts. So muscle and fat fill up your butt space. So if you can, you're able to, you want to, you're committed to it, you can fill that space through doing a thousand squats and eating

chicken breasts and tuna and turkey and having a healthy lifestyle high five not only will your butt look great it'll be firm it won't have a ton of cellulite you'll love it but that's some serious commitment that nobody in this world ever has nobody wants a commitment they want shortcut then the next way is i got to fill it with something else i ain't going to do no squats so then came implants

They were around and still are. Had its benefits, had its downsides. The downsides are that it's firm, but like extra firm, not real firm. And you can't like snowboard or like do shit. It's problematic, right? Because it's a hard thing that you, you don't sit on your breast. You sit on your butt. Yes. So that's shifted into the fat transfer craze, which we're in now. Ooh, okay. This bazillion butt lift is huge.

I'm going to borrow from Paul to pay Peter. I'm going to steal all the fat from everywhere in your body and stick it in your butt. We'll have a conversation in a minute. Table that. Okay. And then the third is some other material. And that's where sculpture comes in. And sculpture is that other material because you're not going to shove an implant in and you don't have any fat because you're skinny. So I want to, so it comes this other material. Sculpture is okay. At least it's not silicone. Okay.

Right? Yes. So we have people come to our office or call us. By the way, there's no solution. Oh my God. To silicone? Zero. But I heard that there are some surgeons that will do it and they have to pick out the silicone like sand particles. It's impossible. Listen, I do that for lips because I do a lot of lip reductions for people who got silicone injected in some random place in the world. And once you drop silicone in a liquid form, I'm not talking about an implant. An implant's built. Right.

liquid, it just gets mixed into your tissue. So then you show up my office, whether it's your lip or your butt, and it's just looks terrible. What am I going to remove? It's millions of droplets, not 14. Right. So it's just, there's no real solution for it. But there are some shady surgeons that will try. I don't know what the deal is, but at the end of the day, in general, know that you can't remove it once it's in. It's not, it's not one of those things that can be reversed. Period. Ever.

- Okay. - Silicone injected in liquid form in your body is there forever. - Okay. What do you think about Kim K's? - Obviously,

when she started she was full figured like jennifer lopez back in that time people didn't like that because they liked skinny and it was a reflection of being overweight and then it became popular and when it became popular it became an asset right it was something that was flaunting and then like all other things they just they just in my opinion went too far like it just

It just got so, and you could see the paparazzi type photos. And what you said was the ass to leg ratio. So this is again, purely my aesthetic. My aesthetic is when your legs are of that of one woman and your butt is literally that of another woman and there's no confluence to it. To me, it's not attractive. Right. I'm not looking at your butt in isolation. Like just, I'm looking at you as a person. So I don't, I never found that to be attractive.

But of course it was desirable because it was a, a trend B they're popular and see it allowed a huge subset of women who otherwise historically didn't like their bodies to start liking them body. That's part of the reason why it was so popular. Yeah. Right. Because

Well, and they're beautiful in every other sense. Yeah, of course, of course. And nothing about their beauty or not. We're just talking about this sort of phenomenon blowing up your, this feature is so large. And then, yeah, I wasn't a huge fan of it to begin with. Ever? Ever. Okay. Do you think that celebrities have a responsibility to own up to the surgeries they've had? 1,000%. Really? 100 million percent. You don't have the luxury to,

When you're a celebrity to anonymity and privacy, you give that up. You do. The reason you give it up is you are reaping the rewards.

of society's admiration for you, you get a free ticket, a free pass, you get to sit at courtside, you get all these benefits, and then you at the same moment have to be able to be transparent about how your life is. So if you are in massive depression because of that, that, the other, you owe it to your fan base who built you to share that because then you make yourself human and they then have a sense of, wow,

Even Jennifer Lopez is dealing with an eating disorder. Wow. Even, you know, whoever, Tom Cruise is having problems with hair loss. Just, you're a real dude. The interesting part is if I were their agent, I would promote that. Really? Yes, because we are a saturated society. Why is your podcast popular?

Because it's real. And people are now savvy. They're sick of all the sort of fake phony. They want like legit real people. They want authenticity. And authenticity is, hey, I'm a real person. I got issues. Yep. I'll give you an example. You're a little girl. You're 16. So you have this huge 16-year-old fan base. And that girl is 1,000% real.

determining her self-worth and as it would be a young man, but more so in the female population. And then they look at these supermodels that are

not eating to look that way. And then they're, they're confused. Yeah. Yes. Right. And then you're now you're a mother and now you have to explain it to your daughter. My mom, she's, Giselle is so skinny and tall. And you're like, yeah, honey, but she eats cotton balls. Like, I mean, like that's how she. Yeah. Middle school, high school. I was obsessed.

you know, obsessed, like always feeling like you need to be skinnier. I actually had like a three month bulimic stunt. For sure. Like I would be shocked if you didn't.

I'm laughing because it was literally, I remember being in middle school. It was this Catholic private school and me and all of my friends after lunch, go to the bathroom, go throw up together. And it was chill. It was like a four month, just little thing that we did. And I guarantee you after this episode, you're going to have like

a thousand people write, oh my God, me too. Because this is not unique to you. It's unique to humanity. And everybody shares at least some common thread, whatever that thread is. Plastic surgery is a vehicle of some thread. It's some insecurity. And in my, at the end of it, if I

if I tell you where the dust settles, I love what I do. It's fucking awesome. And the overwhelming majority of patients that I come in contact with leave better, much better. I can tell you my nieces, all three of them, one more spectacular than the next, venture capital, law school, like boss gals, you know what I mean? Top notch, fully their heads on their shoulders,

They had me lick their noses. Right. What the fuck? They had them done. Oh my God. Just superstars. So I love plastic surgery. I just, it's just gotten kind of messy because they go to shitty clinics. They burn all the money they have. It doesn't solve the problem because their problem is mental, not physical. Yeah. And then they go deeper into anxiety and depression and we facilitated it. Right. So, uh, you, you, that's what I meant by there's that darker side to it, you know, which is the case with,

With everything. With everything. But it's our, our meaning the doctors, I mean, they can't have the surgery without me. Yes. I'm the gatekeeper. I'm the bouncer. If you come to me and you want something done and theoretically I can do it and you have the money, then on you, you're an adult. You consented. Yeah. Right. I wouldn't, there's no, I'm not going to go to jail for that. But I think that that's wrong because if you come to me and you have the money and you're an adult and you consented for it, but I consented,

sense that you're not in a good place or you're not a good candidate, then I have an obligation to you to say no to you. Can you go to the next door? You can, but I didn't participate. I had a girl to come to me and I remember the story incredibly well. She came to me, she came for a

breast dog, pretty straightforward. She came into my office, sat down with her, very soft-spoken, wasn't getting a lot of eye contact. Immediate problem, like immediate red flag. Like definitely something going on. - Every time you say eye contact, I'm like, am I giving him eye contact right now? - You are, you're doing a great job. - Okay, okay, great. Continue. - Right. So she's sitting across from me, and I'm having a conversation with her. And I can just very quickly pick up on, she's going through something, okay?

Could have been a bad day. Could have gotten in a fight with her husband on the way here. Could have been she got into a car accident, got fired. Doesn't have to do with plastic surgery. Anyways, I push and I usually dig and dig and dig and dig and dig. And then until I crack the surface. And then it turns out she starts crying. Long story short, she recently broke up after a very long stint with somebody. And this was her. Revenge body? No, no. I'm almost okay with revenge body. That's not what I'm saying. She was...

She was insecure in a really ugly place and she wanted to get this breast aug. She was a good candidate, very like physically a good candidate, mentally just terrible place. I sat her down, I talked to her and I said, listen, this is a bad time. You're going to make a bad choice. Wow. Go be, hang out. I'm not going anywhere.

Just go and hang out and do your thing. I'm not gonna operate on you, just bottom line. Now you can go down the street and left in Beverly Hills, you don't need to go down the street. You need to go next door. Okay, but you can do all that. But I think you should just give it a moment.

And if you still are interested in doing it, high five. You're a great candidate. I love that. One year later, Scott is my witness on my own son's life. She came back. She had gained 15 pounds because she was like really skinny. Some people deal with stress by not eating, some with gaining weight. She had a much healthier body form. And we did a super successful, straightforward, easygoing breast augmentation. And she went on her merry way.

And I think that she had done it at the time that she had wanted to. Could she have done well? Maybe. But there's a high probability it would have just, it wouldn't have gone well. So you're a therapist too? A hundred percent. Everybody walks into our offices and got something going on. When you walk into a plastic surgeon's office, and this is where it becomes controversial. You have an issue or an insecurity. There's the people on this side of the fence who are going to sit and write in,

Oh, but insecurities can't be fixed with surgery. You need to love yourself. You need to see a therapist. That's not the solution. And the answer is no, that is not true. Like love yourself as you are. And you're saying that's not necessarily true. You should 100% love yourself as you are. But if you have had four kids, breastfed,

Each of them a year and a half are in a loving relationship. Your husband is maturing like fine wine. You have skin down to your knees. Your breasts are hanging to the ground. You want to go in front of a mirror and just love yourself? Come on. That's such garbage. Amen. I agree. Now, if you do...

Amazing. High five to you. I'm not saying you shouldn't, but if you don't, there shouldn't be any shaming. We've gone all the way to the other side where now we're shaming people who are altering the way they look. You got up in the morning, you put on lipstick, potentially lashes. You have potentially fake nails. You have color your hair, have extensions. You do all these things. No one says that you're not loving yourself, right? Yep. So you draw the line in the sand here and somebody else then wants to...

add filler and then not somebody else wants to do their nose. And so the question is who the hell decided where the line was? If don't color your hair, don't wear nails, don't put on nail polish, don't wear makeup, don't put on perfume, literally live like the Amish. Then you'll love yourself in its truest nature. Don't even use deodorant. Right. Use your normal odor. So basically you can't be right. No.

No, you're right within your own lane. Don't judge people who don't want to and don't judge people who want to. And then the responsibility falls on the doctors to make good choices for the patients. That's why they're the damn professionals. But I think the reason people look down upon plastic surgery is because of all the lying. What lying? Everyone denying. Let's say you decided you wanted to do breast augs.

Let's just make that up. You would start doing homework and then you'd see hundreds of thousands of young women who are telling their journeys, loving their bodies, talking about how wonderful they feel, how confident they feel. So no one in that space is lying. And those are the real people. The only people that lie are celebrities and they always lie because

Because that's just the nature of being in the public eye and whether or not you have courage or not. Courage is whether or not you have balls to say, hey, I'm having an eating disorder. Hey, my husband and I are fighting. Hey, I had a boob job. Hey, this is not my forehead. It's Botox. I'm going to disagree with you. I think a lot of women lie about procedures they've had done. To each other? 100%. My mom and her friends all lie to each other. All of them.

I'm not in the female space, so I can't tell you, but I can tell you that. Or I've had friends lie to me and I'm like, bitch, I saw your ass two weeks ago that there's no fucking way. Then that's sucks because you want to own it. I have patients who come to me, for example, we want to consent you for your photo. And they're like, I don't want anyone to know. I said, well, okay, let's have a conversation about that. Are you, are you ashamed? No.

I said, "Well, then who cares what you're doing?" 'Cause that kinda irks me. It's like, you're gonna do this thing, you should own it. You should own and be like, "Oh my God,

your nose looks beautiful. Yeah, I bought it. I hated my ugly nose. I had my dad's Greek nose and now I have this beautiful nose and I love it and I feel great. That's how I am in life. I suspect that's the way you are. You own everything. But for a lot of people, they, I don't know. I don't know why they have so much shame or guilt or whatever it is, but yeah, it's still sticky. It's still sticky. It is. It is. I remember I went, this is the only time I thought about getting like serious plastic surgery.

was a forehead reduction and they basically have to cut open, right? Your forehead. Correct. Pull your scalp down. Correct. And stitch it. Correct. And I remember going and he like had a marker and he was like putting it all over my face and he was like, you would be a great candidate. 100%. Let's do this. And well, do you think I've had anything done?

Just glancing at you? Mm-hmm. No. Okay. So I've had nothing done. Did everyone hear that? Everyone who says I've had a nose job, Alex, I'm talking to my cousin. So that's... It's funny. Funny thing is because my wife is also very... She was a model, blah, blah, blah. And now that she's married to me, she can't go anywhere without anyone thinking that those are not her lips. Those are not her cheeks. Right. There's no way. So...

That that's the only downside of plastic surgery is that if you haven't, which you, if you haven't, you don't get credit for not having it. It's assumed. Well, people think that I lie, right about it. And my brand is not that, but I remember the whole forehead thing and I've had nothing done. I plan to, um,

But I was like, holy shit. I don't know if I can go through with cutting. The only surgery and the first surgery I do is cutting open my face. That's crazy. I mean, it's...

Listen, all the surgeries are not a big deal and are a big deal. Do you understand what I'm trying to say? They're not a big deal because we do them. I feel like the boobs are not a big deal. That's because that's okay. That's because you're, number one, it's not your face. And number two, you're more accustomed to the idea of it. You've grown up as a young girl where...

If someone was 19 and 20 and they were flat chested, like it wouldn't be so crazy. A forehead reduction is not within your normal wheel. It's not something we just think about. But it also, I would rather get a tattoo on my tit or like underneath it than across my forehead. You mean in terms of like...

Something going terribly wrong exactly. Yeah, there's no question your forehead is much more expensive real estate We're talking Manhattan no, no, we're talking all of New York upstate all of it No, I I do agree the interesting thing about plastic surgery is that the tipping scale is how much it bothers you

So when something bothers you so much, eventually you say, well, fuck it. I'm going to do it. It doesn't bother you so much that it's the exchange, cutting open my forehead, potentially scars there, some numbness in my scalp. Oh, hell no. If you had a severer situation, you'd be like,

Yeah, let's just do it. So there's a tipping scale, tipping point. You follow? Yes, I follow. But it also reminded me of the patient you had who was like in a dark place. I was not in a dark place when I went to that consultation, but I gave it a year and just sat on it to think about it. And then I decided like, what the fuck? Well, that's great. I would say the majority of my patients don't just...

Show up after like three weeks like we were out. I was like, you know what? I want to do my nose Because we inquire right most people spend on average a year if not more thinking about it researching it Tagging some photos going on a couple consults talking to their girlfriends. It's usually not a quick decision So you're right because in fact during that year if you just like no

I don't need to do shit. Well, actually it was like, it took like two, three years. And then I was like, it was one of those things. It was not so intense for me. It wasn't like that serious for me of an issue that I'm so happy I did not do it. And that's great because it shows you, you can outgrow things that at one point bother you and then they become meaningless. So you definitely want to sit with things for a while because you may find that

God, I hated my whatever. And then like a few years later, especially when you're younger, right? You don't change as dramatically from 30 to 40 as you do from 20 to 30. The way you perceive yourself changes more dramatically, right?

From 20 to 30, then 30 to 40. Wow. So it's not that you don't go through change, but the way you, so take it for example. I would think the opposite. No, but think about it. Think about it. Let's say you're 17 and then you're 27. The mind of a 17 year old in terms of who I am, where I'm headed, what I'm doing with my life, who I'm going to marry, what job I have. And that of a 27 year old are stratospheres apart, right?

the mind of a 37-year-old and a 47-year-old aren't so much stratosphere apart. So when you do surgeries in a younger age, you are at least a little more vulnerable than when you do them a little later. Yes. That's what I meant by that. Okay, that I agree with. You follow what I'm saying? Yes. We're changing more dramatically from 15 to 25 or 18 to 28. Like mentally, physically the opposite. Right, physically, I mean...

You're an all-star in your early 20s. It's the, from a pure, unadulterated physical standpoint, the ideal physical specimen, man and woman, is right around the 22, 23 standpoint. Because you're mature enough, you've developed, you know, skeletally, mature-wise, your skin is as tight as it's going to be. It's really the peak. Hence why, you know, swimmers, athletes, you know, I was doing triathlons in my 40s, early 40s.

Whoa, you're older than that? I'm 49. I turned 49 last year. You look really good. Did you do plastic surgery? No. You don't have any? No. Okay. I would ask for my money back. But nonetheless, nonetheless, in my early 40s, I went and I did some triathlons. And every goddamn race, it was a 17-year-old that would win. The whole race. Because they're the elite athlete. It's just the perfect timing. So yes, from a physical standpoint...

You're not changing that much and you change later, but from a mental standpoint. So, you know, it's each their own. Knowing how to speak and understand a new language can be an invaluable tool when traveling, meeting new friends, or just even to master a new skill. But it's not always simple when you're bogged down by textbooks and structure classes. That's why so many people trust Rosetta Stone. Rosetta Stone is the most trusted language learning program available on desktop or as an app.

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Okay. So you've talked about mommy makeovers, but we have this influx of all of these super young girls wanting the Kylie Jenner lip and the Bella Hadid or the Kendall Jenner Fox eye or whatever is the majority of your clientele, the mommy makeover types or the young girls. So I, I have an entire spectrum and that's by design.

I cater, meaning I take care of my 16-year-old niece's generation and my mom's 80-year-old generation. So each generation has a procedure or procedures that seem to be gravitating, right? My mom's generation of 60, 70, 80-year-old, it's facial aging and eyelids and things like that. My niece's generation, which is the 16 to 25-year-old, it's noses and chins and lips and breast dogs.

My generation, 30s to 50s, it's like I've had three kids. I've, you know, give breastfed. So I, the reason why I love that is it creates diversity. Yeah. It keeps me enjoying it. I have a extensive training. And for me to only do noses all day long, every day. Boring. It's just boring. You lose your edge. You don't enjoy it as much. So I take care of all of them. You are absolutely right.

There is this new world, right? The new world is moms were always there. Nothing's changed. Yeah. Giving birth in the 60s is no different now. Your body didn't change. This new world, which is the Kylie Jenner, the Bella Hadid, all this is never historically ever been because usually when you're 18, the only person you're comparing yourself is the girl in your class. Yeah. Like, oh, shit. Look at Susie. That's it. Right. But now, as we discussed earlier, it's something else. So it's really tripled.

how to navigate that because as I said to you, when I did my niece's nose at 16, it was exponentially beneficial. But let's say she came in and she's got like perfect eyebrows and she wants the Bella Hadid ponytail snatch thing. I think they're

you're running into a problem. So that's where I draw. The ponytail, hold on. Bella Hadid ponytail snatch thing. Is that the Fox eye thing? I don't know what the fuck they call these things because they're all trademarked by the guy who did it. I thought you were a plastic surgeon. I can tell you the procedure. I don't know who named it.

So the idea is that in general, again, back to where we started, which is about, there are things we like downward turning eyebrows make you look sad. Upwards turning eyebrows make you look young and attractive. So when you raise the corner of the eyebrow, not the front of the eyebrow, like, oh my God, what's going on here? But the corner it's desirable.

Some individuals by birth, Middle Easterners in general, have arched eyebrows or thicker eyebrows that they pluck into an arch. Some ethnicities have a straighter eyebrow. It's just flatter. And so where the Bella Hadid and all whatever ponytail, it's going into the hairline inside the scalp and lifting the corner of the brow and the

corner of the eye upwards. That is a that is a dial a little bit a little more Wow, you look really weird. And so that ponytail cat I think comes from lifting the corner of the eye and brow together. That is not a new procedure. That's been a procedure for a long time, a long time. It was not done in a 22 year old, it was done in a 60 year old or 45 year old or 50 year old. So what we're doing now is applying

procedures, they're not new, that were once reserved or seeked by older men and women in younger people. That's the phenomenon. This, for example, lip lift. You know what a lip lift is? Yes. Okay, so couldn't be a worse thing for you to do as a young girl. Why? You're going to get a scar right under your nose. Yep. Never goes away. Sure, you can cover it up, but it's not going anywhere. Yep. And then you're going to look like you had a cleft lip forever.

So while that might look cool, I really like that. That actually looks attractive. I'm 24, whatever. Then you're 46. The scar never goes away. The scar never goes away anywhere. The scar just fades. What about the forehead reduction that I was going to do? The forehead one's in your hairline. It's in the line of your hair, so it's not visible. This one is underneath your nose. So while it can heal really well... Mm-hmm.

Okay, great. It was worth it. What if it didn't heal well? It's right there, right there under your nose. What are you going to do with it? So forever you're going to conceal it? So it was designed for an older person whose lip starts to droop and there's this long distance. That made sense. But now you're a 19-year-old. You have a totally normal lip, but you want that looking lip. It's stylized. People come in and say...

I don't mind the way I look, but I don't like the way I look in a photo. I want you to listen to what I just said to you. Whoa. This is the most commonly said. I say to them, but your nose looks fine. Yeah, but let me show you a photo. Wait, wait, wait. Your reality, the reality that you were looking in a mirror together, you and me, you both, we both see the same thing, right? Yeah. You see that your nose isn't droopy, right? Yeah. Yeah.

So it looks good. Yeah, I know. But let me show you a photo. That's crazy. We don't live in the photo. That's an angle. That's a fucking illusion. Yeah. So they are operating to look good in photos. Based off of photos. Correct. That is some shit right there. There you have it. Can't get any more wild than that. That's crazy. That's why I'm here.

And I mean, that's because the obvious thing is because all of the pictures we're seeing are photoshopped, right? For sure. But the other thing is some people are just photogenic. If you have a big head, you're photogenic. A hundred percent. And if you have a little head, you're not. No, but, but a photo is, is, is nothing more than a,

a speck of a moment. So we'll take a model, she'll shoot one photo and a split second later, she'll be mid blink and she'll look like a gargoyle. Like it's just, that was a good photo. Like you had the right lighting, your chin was up to the right a little bit and they shot it from the right angle and you look good. We're not gonna chase a photo. So this is the new generational challenge. So are there more generations

young women or older women getting plastic surgery right now? The big move is doing procedures younger. So what a 60 year old would get a facelift. Now I have 47 year olds. Yeah. Everything is shifting downwards. We have broken this glass ceiling. There is no taboo. The numbers don't lie. We have never done as many procedures in the plastic surgery world as we have to date.

COVID exploded it through the roof, which you would never have imagined. And there's no turning back. So what's happening is that it's becoming accessible to everybody. Why? Because now it's not that rich person's thing. It's cheap? It can be found cheap. Yep. On Groupon? Groupon, some mall in some shitty strip mall in some shady ass place.

being done by all kinds of practitioners. So let me just give you this moment here. One would assume

If it's plastic surgery, it's being done by plastic surgeon, correct? I know you're going to say, because I researched you. So what am I going to tell you? There's plastic surgeons and cosmetic surgeons and they are different. 100%. That was mind blowing to me. This is mind blowing to every human being that hears it at every single bar mitzvah party that I go to because they just can't understand this. What do you mean we're in America? What do you mean? What do you mean?

How is it possible? So here's the concept in a eggshell. If I want to do neurosurgery, I need to do neurosurgery in a facility. The only facility I can do neurosurgery is in a hospital. The hospital and no one else will require that I have training in neurosurgery.

If I want to do plastic surgery, where do I do it? In a private office. It's done in surgery centers. Who decides gets to do it? The surgery center. Who owns the surgery center? The doctor who's doing it. So an OBGYN, the person who gave birth to you and does your pap smear,

Can do a tummy tuck. No way. The ENT who put the tubes in your ears when you're a kid can do a breast dog. The dermatologist can do a facelift. The ER doctor can do lipo. And this is not by any means, any means an exaggeration. This is fact. So there is plastic surgeons. I went to plastic surgery school. I went into...

Six years of training. I'm board certified. Blah, blah, blah, blah, blah. And then there's this alternative parallel universe. It's an exact same. And they call themselves globally cosmetic surgeons. Means I am doing cosmetic surgery under this name. And I could have gotten trained in any which way sort anywhere.

I want to. And the next question is, well, who the hell's regulating? And the answer is no one. No one. There is no overriding watchdog with the American Bobbity blah. No one. So there's no amount of schooling that you need to do to be a cosmetic surgeon. Again, the place that's determining how,

Who gets to do what is the center in which you're doing it. So when you go to a hospital, the hospital will restrict you. Where's your training? Let me see your degree. How many of these craniotomies have you done? Oh, you can't do a craniotomy in our hospital. You don't have any training.

When I go to my private office, I own an office and I have a surgery center in there. That's where I do my noses and my breasts. I am the medical director. Right. So I decide who comes into my surgery center and does what cases. I give them the privileges. So if I'm an OB and I do create my own surgery center, I do liposuction. That's fucking crazy. I have to tell you, this is one of the most fucking...

fucked up things in medicine that I've ever heard of and I'll probably get cancelled because oh well you're being an elite no there's no training no or the training is really poor

I don't want someone cutting me open that hasn't gone to school for, I mean, how long did you have to go to school for? Like 14 years. Right. So the people listening, I'm like, so what do I do? So the onus falls on you, you, you, you, the person who's looking to have a nose job, a boob job, a liposuction. So you go onto their websites. They all look good. They'll tell you they're board certified. And the question is ask them in what specialty OBGYN.

You didn't get board certified in plastic surgery because you're not a plastic surgeon. Right. You are board certified cosmetic surgeon, which means I'm board certified in ER or radiology or whatever the hell I trained in. And then I decided after a number of years that I don't really like the specialty I trained in.

I'm not getting paid enough. My friend is making a shit ton of money. I'm going to open a clinic and start doing liposuction. So you have to dig and they're going to make it tricky. They're going to have great reviews and amazing before and afters and testimonials and pretty offices. Everyone has that. Nobody doesn't have that. Also the before and afters are also Photoshop. Some are. Yes. Right. Correct. Which I just found that out. And that is horrifying to me. It's, it's,

It's so illegal, I can't even tell you.

But it's the real world. - Well, I don't know why that is illegal, but these cosmetic surgeons doing tummy tucks, even though they did not go to school for that. - Yeah, it's not illegal because currently in America, you get a medical degree. So we all go to med school or wherever we go. And then you need like two years only of basic training to then be able to do whatever the facility, it's just so stupid. And the bottom line is you gotta be careful.

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looking at my face yes i mean i'm gonna ask you don't fire away i'm gonna tell you the truth do it do it 100 so you talked about the jaw correct i don't want to go with the forehead thing okay it's too scary to me all right got it do i do the jaw chin filler put your hair back for me balance to do balance turn that turn the other way okay look at me

No, there's nothing to balance. Okay, bullshit. See, you have to because we're on camera. No, no, no, give me your phone. No. Because we're on camera. You listen to my podcast. I am brutally honest. So much so that my wife doesn't like going places with me because we were in an airplane one time sitting next to a lady,

poor lady coming back from like new zealand and she asked she's like oh you're a doctor and we talked for five minutes she goes do you think anything anything done and i'm very lovely um oh you straight up told her i said i think you'd look much better if your eyelids were done and then she's like oh thank you so much and my wife looks at me she goes i just can't why would you just tell her you look great you'll never see this lady again i said but she asks me why would i lie to her i went to school for

- For over 14 years, babe. - Give me your phone, I'll show you. Look, look, just give me a moment. Look, this lip and this chin, it has a good projection. There's space under your jaw. - Not too much though. - Not too much, not too little. I'm just showing you that when I look at this, there's, what am I gonna do? Push this forward?

No. Okay, so that's a side view, correct? You can have an amazing side view and a terrible front view. I have a great side view. Now let's look at the front. Now. All my eyes are closed. Well, that's okay. We don't care about your eyes, remember? So look. But look. But look.

Your chin is got good width, right? It's not some little tiny. Your chin is tall. Yes. And your jaw line is defined and your cheekbone is out further than your jaw. So you don't you look more heart shaped and square. So there's nothing to add here. What about the lopsidedness? That's your one, your lopsided asymmetric one side's higher. Anyone who chases that is going to end up in a in a ditch.

Every single human being, because this is a fact, this is asymmetric. Everyone, everyone, just do this study at home. Take your photo, cut it in half, and then do this. Take two halves. Take the right half and make a face out of it and the left half and make a face out of it and you'll be, there's two different people. They're not even twins. They're like maybe at Best Sisters. Oh.

So everyone has got one side lower, one side's cockeyed. You're coming out of a birthing canal and your face is squashed through a pelvis. It's never going to be the same. That's not relevant. Yes, this is a problem, but everything else is normal. So my suggestion to you is enjoy your youth. It will not last forever. Thank you.

I mean, I'm 30. So when do I start getting things done? You get stuff done when you look at this and you're like, wow, that just doesn't look good. Okay. So that's a personal thing. At some point, I need to just let myself be old. No, I disagree. My mom's 82 and she refuses to do that. You'll never, let me, the people are divided into two categories of general people. Those that care and those that don't. So those that care.

90 percent of the world no no there's a lot of people that don't care and if i don't care i don't mean don't care of anything but they're not aesthetic uh-huh they're not aesthetically driven they don't get up in the morning and like oh god which one of these looks really cute oh i love that fashion that there's certain people for whom these nuances matter my wife loves the way she dresses my mom loves the way she dresses likes to put on her makeup

Loves fashion. And then my sister doesn't. My sister will wear sweats and doesn't care. I want to be like your sister. You can't. You can't change who you are. I know. So when you start out in one category, it'll follow you till you're 100. So how long do I have to be hot? Forever. Forever? You're hot. No, no. No, no, no, no, no, no, no, no, no. But that's a loaded question, so I can't answer that. The facelift.

So when you develop, it's factual stuff. When this area here starts to gel, when this area starts to band, it means you have extra skin, then you are a candidate for correction. Okay. And the time to do it is when you look at yourself and be like, oh, this doesn't look good anymore.

That might be 10 years down the line from when it happens or right when it happens. Okay. You follow what I'm saying? You can't have something done that isn't, doesn't need to be done. And then you do it whenever it starts to bother you. That's why I don't mention to people things that are there that don't bother them. Cause what's triggering it isn't that it's there. What's triggering it is that it bothers me that it's there. Right. You see the difference? Yes. So I don't ever go, Oh, you don't want to fix that skin under your neck. You're like, uh,

uh should i yeah that's wrong what just happened i i don't like the marker why why do you guys have to use a permanent marker and draw on us like it's because it makes it seem so much more like authentic you know what i mean like no no i'm just kidding i don't use markers oh you don't no i don't use markers first of all you don't mark on a patient who's on a consult what if she wants to go to that's what he did to me no no i use it i use an eyeliner

that is removed with alcohol pads. And I only mark you when you ask me to see something. So if you're there and you're not talking, hey, I want a forehead reduction. Okay. Can you show me where the incision is? Sure. I'll grab my eyeliner.

And I'll draw the line in your hairline. You look in the mirror like, oh, that's where it is. And then I'll give you a alcohol wipe. To wipe it off. You wipe off the eyeliner and you go about your business. I don't use a marker on you when you come in for consult. Now you got this thing on your face that you got to go home with. No, no, that's stupid. Well, that happened to me. Well, you shouldn't do surgery. But I did a lot of research and he's a good one. That doesn't mean he's not a good surgeon. Like that just...

He's just brutal. No, that's just kind of not so smart bedside manner. Right. Like that's inconsiderate. Like I was going back to work.

But thanks to you, I got to go home now and wipe this off with acetone. Right. Okay. So, doctor, you are my favorite person in the whole world. Yeah. I did not expect this type of conversation with a surgeon. I know. That's why I flew all the way over here. I think you should just do podcasting. Done. Right? I'm trying to not just do podcasting, but I'm on this tour. Uh-huh. And the tour is...

I think that this is a huge part of our society. It's not going anywhere. The numbers tell us it's growing. So those are the facts. We're a humanity that will always care about the way we look. Cleopatra cared. You go to the Amazon. Amazon. They don't even fucking have TVs, phones. They don't know nothing. They care. Someone's got rings around their neck. One's got a hoop. Whoever's got the biggest lips cares.

We care as humans. So if we're going to do it, let's do it right. It's like telling you're not teaching your kids about sex ed. They're going to have sex. So just tell them the facts. Yeah. So that's my mission in the next 10 years, right? I'm 50. I've been operating for 20 years. My goal or my legacy or what I hope to do is to bring educated, intelligent,

transparent conversation about something that we're going to do anyways, just like you do that about sex. I do that about plastic surgery. I try to do it in a way that is hopefully inclusive of the realities. I'm not patronizing at the same time. I'm not going to nonsense. You care how you look.

And my goal through the podcast, it has been for the last three years, is to have these conversations. The problem is that majority of the dialogue around plastic surgeries, at least from my colleagues, is self-promoting. Okay, we're about to plug you. I want to ask rapid fire questions. Fire away, I'm ready. This one is for me personally, from dating surgeons, doctors in the past, my mom as well. Do you think you're better than everybody else? No. No.

Are you sure? A hundred percent. Do you have a God complex? No. Zero. You're asking me rapid fire questions. Do I think that, so the answer is I don't, I don't, I don't, but do I feel intelligent, knowledgeable, powerful, special in that I can do things? Yeah. I can cut you open.

Can anybody else can you just go down the street and someone just cut you open, put you back together and you walk away. So there is, I mean, they, I mean, they could cut you open, but they won't put you back together. That's true. Right. So the answer isn't that I feel like God, there are some really kick-ass things that humans do.

I watched a movie about astronauts. Like, what the fuck? I wouldn't go into a spaceship. I don't know where they're going. So, yes, but I don't have any sense of arrogance, at least to me, internally. But it's not even an arrogance. I'm not asking that. I'm asking, like, you must feel...

different than a regular human being. You could save someone's life. So there is definitely a specialness that comes with the profession. Whenever you're abutting a line, you need to be conscious of that line. So that line in medicine, at least in surgeon, is confidence versus arrogance. The worst quality in a surgeon is indecisiveness.

You'd rather have an arrogant, confident surgeon than an indecisive, nice surgeon. When it comes to surgery, just like you want a badass pilot. I don't care if the guy's a dick. I actually don't give a shit. Just get me through the storm. It'd be nice if you were nice. I'd like to hang out and talk to you. I don't care. Just get me to the other side. Just take their shit serious. But I try to keep making sure that there's a humility associated with what we do. What else? Yes.

Most requested celebrity face. It used to be like an Angela Jolie in the younger generation. It's this Bella Hadid nonsense. Because she's not real. It's because if you take a look at her photos today, which I have in my phone, I have a Bella Hadid picture that I use in my console. Oh, okay. Because there's Bella Hadid on the billboard and there's Bella Hadid 10 years after her rhinoplasty and eyelid lift and everything.

I feel bad for all of these young girls because all of them are unhappy. Yeah. And you can see that they've been on drugs and they're thin and they're, they look sad. Yes. And so when you look at the photos that I've curated from non glamorized and patients come in like, Oh, I think, and don't get me wrong. This is not an,

anti-Bella Hadid it's anti-bullshit let's be honest about right right right right so um but yeah we get a lot of Bella Hadid okay last one rapid fire have you ever had a patient offer like a sexual type of payment or something like that to get a procedure done yes really yes

So what? I mean, I, I, I need to know. So I'm sure it happens. You're in Beverly Hills. They need the surgery. So this was the patient. It wasn't in change of this was after the surgery. I already did the surgery. Oh, so then why, why is she offering after it was a, it was a, I think because you did such a good job. Right. So I think what, I think what happens is that physicians play such a powerful role with patients. Yeah. So I took care of this young lady. I was single. I was not married.

- Well, it wasn't even your fault, even if you were married. - No, but I didn't pursue it is what I'm trying to say. So she came to me, we did her surgery. It was a revision surgery. She was some playmatey kind of gal. And I did some surgery, breast surgery. She did her surgery great. Everything was just totally normal until her third followup. And she came to a third followup and just the energy was just different.

And I just walked in and I, and it was like, she was all dolled up cause he was outside the wind. And then she was just, just talking so lovely. And then she said, Oh, you know, funny enough, Dr. I had a dream about you. And I was just like, this is the dream. And it was, and she was insinuating it was something sexual or whatever. Um, she said something to the effect of like, Hey,

would it be possible if we got together and had some, some, a drink or something sometime? And I said, listen, that's, I'm, I'm flattered. That's so kind. I just don't date any of my patients. It's just, just policy. So she did not like that. She didn't. Not. So the, the final time she came in, she brought her crew. Oh, she came after that? Oh, cause she had another, I follow the, I have a lot of follow-ups. So she came for her last appointment. She brought her posse. She brought her girlfriend. Oh, I was going to say, she brought her boyfriend.

No, her girlfriend. She was sassy as can be, you know, swaying her head. And I knew this was not going to go well. So I brought my manager, office manager. I was like, you come in with her. I'm not going in there alone. There is no way. Were you guys both go in with your team? Yes, it was four of us in this room. For this consultation? Yes, yes. It was not, it was just a follow-up. Okay. And she had...

She had asked for a labioplasty consult. That is very, okay. Right? So that was her. That makes sense. And I came in there and I said, listen, listen, I, I, again, I'm so flattered. She's just, this is, she got so pissed. And she says to me, she's like, why will you not look? Right. And she said to me, she said, I don't get this. What's the big fucking deal. I just want to fuck you. It's not like I want to go out with you. And she slammed the door and stormed out. And to this day, it's still one of those. Ah,

memorable experiences that me and my office manager recall. But yes, so that one was... That's incredible. I thought you were going to say, she said, what, you don't want to look at my pussy?

No, because we didn't even go there because it's just, it's all wrong. Do you believe in labiaplasty? Yeah. Oh, yeah. You think it's cool? I think that in the right patients... It's dope. Do you think it's... I think it's like phenomenale. No, I just think it's incredibly liberating because it's such an intimate...

part of one's body that is shared in such deep intimacy that if you're insecure about it, Yeah. you just can't even enjoy your intimacy. Once that area is gone, meaning the area that bothers you, you're like a whole different human in the sexual arena. Which is huge, right? Massive. Plastic surgery and your sex life, I mean, the correlation. The correlation between plastic surgery

and your performance at work, your interactions with your husband and or life partner, your interaction with your children and lack of resentment for the body you sacrificed. You're feeling powerful at the job and the work, all of those, but nothing is more powerful than intimacy and plastic surgery. Because you know when you feel sexy or you feel handsome or you feel the shit, you turn on the lights, you're in intimacy, you have no problems. You know when you're insecure,

Totally make believe you're a supermodel, but you think you're not because you know that sexuality is what's in your mind, not what actually is. And you get out there and you're insecure. Buzzkill. No light. Don't touch me there. Oh my God. Can we do this? Turn off this. Or you're faking. Yeah. So yeah, it's huge because it makes you feel good about yourself and you're your best version intimately when you feel good about yourself. Yeah. So yeah, there's a big sexual component.

I could definitely see that. Dr. Ron, you are incredible, amazing. I can't wait until I am 35 and have to get a facelift. We'll be there. We'll be there. And you'll take care of it. For sure. Thank you so much. Where can they find you? Your podcast? So my favorite place to find me because I think

you know hopefully you're looking for information it you know we cover everything in plastic surgery by the way it isn't just breast dogs as you can see we cover the gamut so it's plastic surgery uncensored is our podcast love it and then my name of course is Roddy Raban so it's r-a-d-y r-a-h-b-a-n so there's a website and then we have you know a very modest Instagram presence that

I again, use to try to educate people as to what's possible. And that's a little bit more than modest, but not in a show offy way and in authentic way. Yeah. And I, cause I think, you know, the problem with, and I've always tried to dance this dance of being present on social media without being gross at the end of the day, I'm a doctor, I'm a professional. So I don't, you know, I have some colleagues that get in there and their, their faces right next to their patient's breasts as they're

i don't really uh so it said dr dr roddy ruban is our uh instagram and you know what i'm really much enjoyed myself you're funny i appreciate that and you're entertaining i think this might be the career pivot right here maybe we can just do a new show don't you need a like a sidekick a thousand percent see look he's shaking his head i think i may have made the cut i yeah

Okay. Thank you so much for coming on. You guys know where to find me. Sophia, the F Franklin with the Y and I will talk to you next week. Bye. Bye. Bye.