In Search Of Excellence - Terry Dubrow: The Truth About Plastic Surgery | E176

Episode Date: November 7, 2025

World-renowned plastic surgeon Dr. Terry Dubrow (Botched, The Swan, RHOC) joins Randall Kaplan on In Search of Excellence to talk about fame, the realities and risks of plastic surgery, Brazilian Butt Lift dangers, choosing the right surgeon, pricing myths, breast implants (Motiva), AI in surgery, GLP-1s (Ozempic/Mounjaro) for longevity, and the mindset of extreme preparation that fueled his success. If you care about healthspan, aesthetics, safety, and high performance, this episode is packed with “can’t-Google-this” wisdom from the most recognized plastic surgeon on TV. What You’ll Learn:•The double-edged sword of fame: why reality-TV notoriety is “hypnotic—and dangerous,” and how it changed Terry’s practice overnight.•Behind The Swan & Botched: from a wild casting journey to the pitch that became Botched (and why “It’s a scalpel, not a magic wand” still matters).•The hardest saves: a jaw-dropping case involving illegal facial injections and how Terry engineered a safe, creative fix.•Safety over trends: the real risk profile of BBLs (fat embolism), why Terry won’t do them, and smart alternatives.•How to choose a great surgeon: the 3 non-negotiables—board certification (ABPS/ABFPS), hospital privileges, and credible word-of-mouth—plus why “before/afters” can mislead.•Pricing myths: why paying $40k–$80k+ for basic procedures (e.g., primary breast aug) doesn’t guarantee better results.•Breast implants 101: capsular contracture reality, why some results feel “like coconuts,” and promising data on Motiva’s lower hardness rates.•Celebrities & surgery: reputational risk calculus—and why Terry often says no.•Family patients & objectivity: when he’ll operate (and when he won’t).•AI in plastic surgery: why robot “hands” are still the bottleneck.•GLP-1s & longevity: Terry’s board certification in Obesity Medicine, why micro-dosing GLP-1s may benefit metabolic health, and emerging indications.•Extreme Preparation: the mental reps that saved trauma patients—and how he studied his way to a 94th-percentile board score.•Housewives, fame traps, and kindness: cultural takes, life boundaries, and why kindness is a high-leverage success habit. Guest Bio — Dr. Terry DubrowDr. Terry Dubrow is a board-certified plastic and reconstructive surgeon, star of the hit TV show Botched, and a nationally recognized expert in complex reconstruction and cosmetic surgery. He trained at UCLA and completed advanced academic work at Yale, where he honed a research mindset that led to dozens of publications early in his career. Today, he practices in Newport Beach, CA, while educating millions on surgical safety, outcomes, and ethics.Want to Work One-on-One with Me?I coach a small group of high achievers on how to elevate their careers, grow their businesses, and reach their full potential both professionally and personally.If you're ready to change your life and achieve your goals, apply here: https://www.randallkaplan.com/coaching Listen to my Extreme Preparation TEDx Talk here: https://www.youtube.com/watch?v=MIvlFpoLfgs Listen to this episode on the go!Apple Podcasts: https://podcasts.apple.com/us/podcast...Spotify: https://open.spotify.com/show/23q0XIC... For more information about this episode, visit https://www.randallkaplan.com/ Follow Randall!Instagram: @randallkaplan LinkedIn:  @randallkaplan TikTok:  @randall_kaplan Twitter / X: https://x.com/RandallKaplanWebsite: https://www.randaCoaching and Staying Connected:1-on-1 Coaching | Instagram | YouTube | TikTok | LinkedIn

Fame is very attractive, you know, but it's very, very dangerous. No other field than surgery is it more important to spend hours doing it. You get not only incrementally better, but exponentially better, the more you do surgery. You're better at 50 than you are at 40, you're better at 60 than you are at 50. How is AI going to improve the future of plastic surgery? I don't think it's going to have any effect until robots learn how to have hands. Welcome to The Search of Excellence.

My guest today is my friend Terry Dubrow. He is a star plastic surgeon, one of the best plastic surgeons in the world and the star of the Austin TV show, botched, which I watched, I think for the first three years every night after I met my wife Madison. She was absolutely obsessed with the show. Terry, thanks for being here.

Welcome to In Search of Excellence. Thanks for having me. I'm looking forward to this. So let's go 11 years forward in your career. You have an excellent career. And they're casting for a show called The Swan, which was a life-changing moment for you. Yeah. Let's start at the beginning.

Let's talk about the producer interviewing 250 people before selecting you. How did you get selected? Tell us about the show. It is widely, and I agree, consider the worst reality show of all time. And not at the time, though, but now when you look back, it was. But they sent out faxes to all these plastic surgeons. Basically, if you were board certified in plastic surgery, you got a fax, say, casting for a new reality show about plastic surgery.

So I hand this to my office manager. This was before reality was huge. I mean, it was big, but it was nothing like today. The only thing it was really, yeah, before it was huge. but, I mean, American Idol was on. Yeah. So my office manager sends them a fax or sends them to something saying, yeah, we'd like to apply.

And I didn't think about it. The casting agents came down and met me, he interviewed me, and left. And I thought, well, whatever. So unbeknownst to me, they interviewed everybody in Newport Beach, everybody in Beverly Hills, and they're in between. And they started with like 250, went down to 200, went down to 100. And then they were like in the last, 20. And they call my office manager some five months later. He goes, hey, they're coming back down and

interview you again. And I go, okay. So they come back down and they talk to me again, and they leave. I don't hear from them for three months. And then they call me directly. They want to speak to me directly. And they say, hey, you're in the top 10. You got the final callback to be on this show. I go, what's a callback? I didn't even know what that was. They go, yeah. I said, are you guys coming down again? No, no, the creator of the show and the executive producer coming down this time. And I said, okay. That would be Nelly Golan. Nellon. And this other guy, I can't remember his name, really nice guy. And they sit down in front of me and Nellie goes, why should we pick you to be the plastic surgeon on the swan? And I said to her, I don't know that you should, to be honest with you. She goes, why? I go, because look at me, I don't look like a TV plastic surgeon. I'm not a Beverly Hills plastic surgeon. I go, but I will tell you, I absolutely love plastic surgery.

surgery. I love it. It's so interesting. I love it head to toe. I love what it can do for people. I love it the way it makes people feel. And like, I'm talking like this and she turns to the guy right there and she goes, him. And he goes, definitely. And I go, she goes, so who do you want to do it with? I go, you tell me I got it. She goes, you got it. I go, well, I trained with this guy at UCLA. He was co-chief resident with me. How about him? Is he on the list? Well, we kind of, I go, go interview him again. because we'll be safe. And you have to be safe with this. She goes, okay, she interviews him.

She comes back to me. She goes, what dentist do you like? I like this dentist. She goes, what trainer do you like? I go, my trainer. So she picked everybody, except the therapist. I didn't pick the therapist. Everybody I cast on the show.

And we started this show. And I had no idea what it was going to be. They didn't really know what it was going to be. And then we did the show. So what's the one liner on the show? It's a show where a group of so-called ugly, ducklings. So bad, right? You're ugly. Come on on my shell. Right. The mess. It would never work now. Ugly ducklings come, leave their lives for three months and dedicate themselves to an internal,

internal, external transformation, and then compete weekly to be part of a beauty contest. And they're either eliminated or not eliminated. If you're eliminated, you go home with your plastic surgery, which is a win. If you're not, you get to participate in a beauty contest at the end. to see who becomes the ultimate swan. And they were sort of making up the show as it was going along, but it was a major, major television production on Fox by the people who do, you know, top chef and all of those. And so I remember we did the show.

This was sort of a peak experience for me. We did the show watching American Idol. And it was like in the fourth episode of American Idol. And what were they getting 50 million viewers a week, American Idol back? then and there's a commercial and it says coming this fall and it starts to show rapid fire sequence all these surgical scenes and all these people having surgery and having transformations I think I see myself in there or not and then it ends up with a chair and I'm sitting there and I look at the camera and I go it's a scalpel not a magic wand the swan

and I look at Heather my wife and I go did this just happen And I remember we had TiVo. And so I rewound it, and then I'll be perfectly honest with you, every time she would like get up to go to the bathroom or go get something in the kitchen, I rewind it and go, it's a scalpel, not a magical. I must have watched myself narcissistically say that 50 times that night. It's a scalpel, not a magic wand. And I was like, oh my God, the swan.

It was so crazy. This was your coming out party. coming out, and the show came out, and it was after American Idol. Couldn't ask for a better lead in. I mean, they had like 20 million, I don't know, it was huge within two episodes. I could walk into any liquor

store, any restaurant, anywhere, because there was like, what, seven channels back then, maybe? Everybody knew who I was. It was instant fame. What was that like? Awesome. It was so awesome because reality TV fame is different than

movie star. fame. Everybody is really nice to you. And everybody doesn't treat you like, they treat you special, but not like, oh, you're a little Brad Pitt or you're Robert Downey Jr. kind of, oh, like this. They're like, hey, great job. Hey, Terry. Hey, Terry. It's like, and it's still that way. It's the best kind of fame being a reality TV person. Everybody's so just sweet and nice. And even if they don't like you, they act like you. So it was really weird. It was, it changed. Everything overnight. And massive doubled your number of surgery outputs as well overnight.

I mean, I went from doing, you know, a typical plastic surgeon will do 110 cases a year. I was doing 700. Seven days a week. Seven days a week. And so that whole, you know, no other field than surgery, is it more important to spend hours doing it? You get not only incrementally better, but exponentially better, the more you do surgery. Even in your 30s and 40s and 50s, you're better at 50 than you are at 40. You're better at 60 than you are at 50.

It just works that way. Imagine Tom Brady if he didn't degenerate physically, how much better a quarterback he'd be today if he could have Tom Brady's physicality at 27. Or when he figured out his own physicality. Imagine him as a quarterback now, knowing what he knows. But anyway, so I got to be like a surgeon within three years with about 12 years, of surgical experience in three years. It was good. And the financial success that came with that was really fun too. We'll talk about that a little later on the show as well. I hope you're enjoying

this video so far. But before we jump back in, I want to know if you've ever thought about what you need to do to reach a nice level of success in your life. Over the last 25 years, I've been an advisor to more than 50 companies. I've invested nearly 100, including Google Lift and Seagate. And I also co-founded a company that today is worth more than $15 billion. I've been incredibly blessed in my journey. And at this stage in my life, I want to give back. I want to share the lessons I've learned so you can reach incredible success way faster than I did. In my own journey, I've learned that having the right mentor is a massive advantage to achieving our goals. I'm hugely passionate about mentoring others. I'm looking for a few hungry entrepreneurs who are excited

to take action on their journey to incredible future success. So if that's you, I've got an opportunity. In the description of this video, there's a link where you can apply to work with me. All you need to do is answer a few simple questions. And if you're a good fit, my team will reach out so we can build a game plan together. All right, now let's get back to the video. It airs for three seasons. Then you take a break for the show that no one else really remembers, bridoplasty.

Yes. And then three and a half years goes by, and then you get this call. When you have the flu from Paul Nesif, am I saying is... Paul Nassif. Paul Nassif. Yes. Who pitched you on something that you call the stupidest idea ever. Yeah.

Turn out to be not so stupid. Yeah. Back in just slightly, Paul had gone on to Real Housewives of Beverly Hills. I went on, it's 2007 and eight global financial crisis. Nobody was having plastic surgery. There was nothing happening. Our offices were completely empty. There was nothing to do.

I don't know how that affected you. I'd love to hear how it affected you. Probably didn't affect you. You were successful by then? But anyway. In 2008? You remember global financial crisis? So interesting that you asked.

So our company had gone public around 15 months. after we incorporated, and with $3.2 million in revenue, our valuation was $35 billion, which was more at the time than Chrysler, Ford, and GM combined. During the financial crisis, oh, in 2008, yeah, during the financial crisis, the stock cratered. And I remember, it was my 40th birthday. I'd always want to go to Tuscany. So I have a girlfriend. It is not going well. We broke up. She had substance abuse issues, and we'd break up all the time. Basically, begged her to go on the trip. It was an expensive trip. It was paid for it. Come on, we'll go. It's my birthday. It was a disaster. Not only were we not getting along.

But I saw my stock portfolio, which was substantial, going down by tens of millions of dollars every day. And just getting sick. I had just gotten divorced. So was very generous with my ex-wife. And then I got this much left. And now I've got 40% left. I'm just absolutely beside myself. Okay. So you had the same word. I mean, depressed, it's like, oh, my God. I don't even want to go out for a $200 dinner. Okay. Because the hotel room is $2,500 a night. Right.

And I just, and I remember canceling my party. Berlin, who played at a charity event that I started called the Justice Ball, had played at the Justice Ball years before. And I wanted Terry Nunn, who I had a crush on, to play at my birthday party. And I remember booking it through William Morris. And on the trip, I said, hey, you know, I'm not doing this. So, yeah, that was a bad time for me. So same for me. Yeah.

Except literally no one was having plastic surgery. Yeah. Zero. Tumbleweeds, okay, in all of our offices. And I just moved, we built this giant, beautiful home in Newport Coast. And I put all my funds into it, and I need money to furnish it and so on. And anyway, so. I'm sitting there and we're all sort of looking each other.

You ever see the Hot for Teacher video Van Halen with a little kid like this? Yeah. We're all sort of like this. You know, where's my pencil? I got my, you know, that. And so, Heather goes, what are we going to do? And I remember, I said, I'm going to do something extraordinary. She goes, do it.

I go, okay. So I took an iPad, couldn't sleep at all. I took an iPad. It was like four in the morning and I go, my wife's best friends are all these beautiful girls whose husbands, one was the CEO of Smith & Wesson, one was a neurosurgeon, all wealthy, very talented business people who were all, we were all freaking out suffering. One guy owned the biggest wall design company in the nation that just tanked immediately. And we have been joking at one of our dinners that we should have our, we should open up a restaurant, have our wives do it.

It'll be a spectacular failure, but won't it be funny? And our wives were really pretty women. Okay. Very TV ready. One of the guys had a helicopter. He started Boost Mobile in Australia, Peter Adderton. Anyway, so I wake up and I go, okay, and I take out the thing and I go, I go, Google, I go, how do you write a pitch deck? And I'm reading how to write a pitch deck for a reality show. So I start to write up a pitch deck called Pelican Hill Wives, TV show, about these wives of these guys who open up a restaurant. It's going to be a spectacular. failure. And I take their pictures from their Instagram and I put them in there and I go, I do a pretty good job. Now I'd have ChatGBTD do it, but it took me like two serious nights, maybe six hours to do it. And it was really, I sort of put together really well. And then I said, okay, so who produces the biggest loser? And I go, okay, so I sent this off. I go, here's a great idea for a TV show. And then I sent it off to this other producer and this other producer. Just like that story you told me about you sent out all those letters and got all those interviews.

Every single major production company within 12 hours, text me back, but we want to meet with those girls and you. So I met with all of them around town, all the major production companies, and they all offers a deal to do the show. Now, it doesn't mean the show sold, but the producers are willing to do a development with these. And then we're about to sign with, I think, the biggest loser producers. and the girls are so excited,

oh, we're going to get on a reality show. And the guys in behind and go, where are we getting the money to open up this restaurant, by the way? Are you going to fund this thing? I don't know, I don't have it right. It's in my house. I need it for furniture.

Anyway, so then I go, so Heather, my wife goes, and the girls go, who should we sign with? And I go, let me think about it. So that night, I woke up at 4 o'clock in the morning, I go, who does that house,

there's that housewife show. And so I look up producers of house wise and it was evolution. So I said, well, I send them off. 12 hours later, I get a thing saying, hey, we'd like to take a meeting. They get in their helicopter. They fly, all the girls fly up to meet them in Burbank. I drive my hybrid after work. And I meet with this guy named Alex Baskin, who's one of the most powerful reality producers in Hollywood right now. And I meet with them and I go, huh? And he goes, yeah, I see it. And then I'm driving home. And I go, listen, I, I, He calls me, and I go, so, what do you think?

And he goes, I have a proposition for you. How about this? I have a better idea. He goes, why don't you have your wife be the next housewife, a real housewives of Orange County, and we'll let you bring that on there and incubate that on a hit show. And I go, whoa, that's a great idea.

Incubate the restaurant idea, but we're not. Spin it off. Okay, but we're not on the botch store right now. We're on the... But this is how I got a reality TV. Oh, this is how you got on the TV show. Okay, gotcha. You're releasing to part two of my incredible interview with Terry Debrough,

the most famous plastic surgeon in the world and the star of the TV hit show botched. If you haven't yet listened to Part 1, be sure to check that one out first. Now, without further ado, here's part two of my awesome interview with Terry. You're on a reality TV show. It's not that it's so great to be on a reality TV show.

It's just you want to stay on a reality TV show. You don't want to ever get off. because you don't want to lose that fame. Yeah. It's weird. So he calls me, he goes, I have an idea. Let's do a show about fixing complications from plastic surgery. And I go, that is the worst idea ever.

And he goes, why? I go, because if they have such bad complications, everybody's tried to fix them. They failed. What are the chances we're going to be able to fix them? And what if we fail on national television? We're done. And I said to them, I've better idea. Let's do a show about fixing congenital and traumatic injuries.

And he goes, oh, okay. So anyway, we take a meeting with the housewife producers because we know them because we're on the housewives. And they go, we love that idea. Let's call it nip fucked. Which was probably my favorite show on the air. Those guys were awesome. Awesome. Awesome.

So we'll call it nip fucked. So Paul and I do a five-minute sizzle reel where we're just looking through pictures of celebrities and sort of commenting on them and I'm making front of Paul and he's talking to me and that was it and we submit this to the network this five-minute sizzle reel

and they go straight to series and a week before the show comes out they decide the advertisers don't like the name nip fucked even though there was a show on called shit my father says yes yes um starring william Shatner. But anyway, the F words a little more on the spectrum. It was going to be, it's true. F, asteris, CKD. Anyway, so I go, what did they change it? We changed it to botched and Pauli went, that's a disaster. And they go, why? And I said, because that means the doctor blew it.

And that's going to like, what are we going to make fun of the doctor? They're going to hate us. Anyway, that was the genesis of botched. But before we jump back in, I want to know if you've ever thought about what you need to do to reach a nice level of success in your life. Over the last 25 years, I've been an advisor to more than 50 companies. I've invested nearly 100, including Google Lift and Seagate. And I also co-founded a company that today is worth more than $15 billion. I've been incredibly blessed in my journey. And at this stage of my life, I want to give back.

I want to share the lessons I've learned so you can reach incredible success way faster than I did. In my own journey, I've learned that having the right mentor is a massive advantage to achieving our goals. I'm hugely passionate about mentoring others and I'm looking for a few hungry entrepreneurs are excited to take action on their journey to incredible future success. So if that's you, I've got an opportunity. In the description of this video, there's a link where you can apply to work with me. All you need to do is answer a few simple questions and if you're a good fit, my team will reach out so we can build a game plan together. All right, now let's get back to the video. Okay, for everybody watching the show right now and listening, we are coming back to the

housewife story. I've got, I've got so many people tell who I've got to ask Terry about the housewife. You've got to ask about Heather and the housewife. So we're coming back to that. Oh, I'm sorry, but I had to tell you how I met Paul. Yeah, no, it's perfect. The Paul thing. It's perfect. So it reoriented your practice, essentially, because you went from doing routine procedures to reinventing yourself, essentially doing things that were passionate and difficult. Yeah. So the first season, they sent us all these potential candidates. And I said to Paul, I go, we can't, we can't fix that. We can't fix it. We can't fix it. So we turned down like 98% and took the ones that looked bad we thought maybe we had a chance to fix.

And we fixed them. And it worked. And then the second season, we started to take more difficult cases. And all of a sudden, we got 10,000 hours doing the most impossible plastic surgery. And it became easy. So Bosch aired for eight seasons. And now you're doing a rewind. And botched. Has it been picked up again? I can't announce that officially. Okay. People are, people will be excited. My wife will be thrilled. You can look forward to more botched. Crazy things happen on that show. Yeah. What's the most, and when I watch it for the first time, I mean, a lot of people don't like gore, right? My wife, I like watching murder mysteries and, you know, whenever she walks into the bedroom at night, someone's getting shot, their head is getting blown off, whatever the case may be. But yet, here we are, and she's watching things on botch that I'm having a hard time watching. Oh, this is so cool, so cool.

It ended up being cool for me. I thought, okay, well, this is interesting. You learn a lot about human nature, and we'll talk about the mental things that go through a lot of these patients. But what was the most difficult case that you had on botched? So there was this woman who came in season three who had had illegal substances injected into her face

at one of these sort of plumping parties they have. And some, they called her the madam, used to go to a hardware store and get cocking material. until patients it was regular filler had injected into their face. And she started to grow these granulomas, these inflammatory masses in response to them. So she came in season two or three with these giant, and we knew we were going to turn her down. We already knew that because too dangerous. You kill the skin, injure the nerves, make it worse, reignite more of an inflammatory response.

So we brought her on and I met her and I went, oh my gosh. I can't believe she has to live like this. So the season ends, and for the next five months between season three and season four, I wake up every morning at 4 a.m. and just think about, what can I do for her? And then I had an epiphany, and I figured out how to address it. And the main, the concept is, why am I trying to remove all of it? Just remove the central seven-eights, leave them skin above it intact, leave the nerves below it intact, and you have bones that are regular anyway.

As long as you can't see it, even if you can feel it, she'll look normal. So I brought her back on the show the next season, and I borrowed my buddy's orthopedic tools, his saws, and I sawed out the concrete. I lifted up her face and sawed out the concrete, and it worked. So that was my riskiest and most sort of successful, impossible rescue unbogged. And you tell people before surgery, like a lot of surgeons do, you could die from the surgery.

Oh, yeah. So they sign all kinds of forms. Have any of your patients died after surgery? No. I've been very fortunate. I've had maybe seven or eight patients who've had blood clots in their legs who spread to their lungs. And I'm very paranoid. One of the thing about being on television, it imbues in you a certain level of both social and career paranoia.

And you're stupid if it doesn't. But for me, it does. It makes me extremely paranoid. So if my patient, I see all my patients many, many times immediately after surgery. And if they call with any kind of complaint, come in, got to see you or go to the ER right now. And so all seven or eight of those have made it to the ER were prone to anticoagulants and survived. You do life-saving surgeries for people. And I think today's environment, people think about mental health in a way they didn't used to before.

20 years ago, it's like, oh, you know, you're depressed. get over it. Today you see a lot of suicides from what appear to be normally healthy people, people who commit suicide without warning because they haven't told people. What percentage of patients do you think whose lives you're saving because they're mentally suffering so much that they want to look better? That's an interesting question. I can tell you that we've done eight seasons over 10 years. Not just on the show, but just in... Oh, in general? Yeah, in your general practice. I mean, I'd like to think a lot, but I can't tell you how many times I've had a patient hug and cry and say that I save their lives and that this is a restart and they can get a job now

and do on. You know, I think that's been a happy part of my career. There's excess in a lot of things we do. Talk about body dysmorphic disorder. Explain to people what it is and then how that affects your practice. Yes and no. It's very tricky because body dysmorphia disorder. which people refer to also as BDD is when a person has an extreme concern about something in their appearance that's above and beyond what they should have or even what you can see. You know, it's like a bump on a nose can be devastating and it's ruining my life where you can barely, you have to sort of turn their head to take a look at it. So it's an extraordinary level of concern about a minimal deformity sort of kind of thing.

the problem with botch and one of the scariest things with botched is that some of the patients got to where they got because they have body dysmorphia and they keep going to plastic surgeons to have more plastic surgery and if you walk into a plastic surgeon's office he's going to offer you surgery and so because of the financial incentive for sure not all but most cost a shit ton of money cost a shit ton of money and they have expensive overheads and offices and they want to have nice lifestyles. So very few plastic surgeons turn down patients. So if you do enough surgery,

ultimately the blood supply can be disrupted enough that you get infected, inflamed, destroyed, and it can die. They then come into your office as the botched doctor, destroyed, but they have body dysmorphia. So under normal psychological criteria, you would never allow them to have plastic surgery. But what are you going to do? You've got to now take on the worst psychological candidate for plastic surgery.

But you have to because you can't let them live the rest of their life with no nose. Or with a distorted face or with breasts that are contracted and look like crab claws can be very tricky. But I've learned how to do that. Tell us how many patients you turned down and how actually it's ironic that no could be a phenomenal marketing strategy. Yeah. I turn down patients all the time. And one of the, now, honestly, one of the nice things about being financially secure and being extremely successful and well known as a plastic surgeon is, I really don't need to operate for money anymore. It's probably smarter if I stop, to be honest with you. I don't need the risk anymore. And the potential extortion of someone saying, because if someone puts out a tweet saying, Terry DeBrow ruined me, TMZ is going to call me. within an hour. Yeah. And they're going to publish that.

And that's bad. But I love it. I'm pretty good at it. And I've learned to, I call it whisper. You know the dog whisper? I've learned to my best ability, and it's not perfect, but I've learned how to whisper patients to allow them that they're going to have plastic surgery, at least they understand, they've heard what the truth is about it.

And so, like, like, if you came in and you. You wanted a facelift. You do not need a facelift, okay? But you could certainly have a facelift, right? And let's say you are the type of person who did this. You go, I just love the way this looks. And I go, yeah, but you're going to look like a guy with a facelift. Okay?

You don't have this. Okay, this can use a facelift, but not you. For example, I would say, let me just tell you something. You look great. You're really not going to look better. You're going to look altered. You're going to look weird. You're going to have scars.

And you're going to look like a dude who had plastic surgery. Isn't that going to turn you off from a facelift? Are you going to have a facelift after I say that? No. Probably not. Not doing that. How many plastic surgeons are going to say that to you? Not.

I promise you, you go to 10 plastic surgeons in Beverly Hills, you're getting 10 pre-ups. 10 people wanted to operate on you. Tomorrow, they're going to do a facelift on you. So that protects me from a lot. And then if I get the body dysmorphia patient who needs to have this thing fixed because it's a true deformity, I go, okay, let's play a game here. I operated on you and it's worse. Where are we going to go from there? Oh, you're the botched doctor. It's not going to be worse. I go, no, no, no. This is, it's a scalpel, not a magic wand, okay? This is not a magic trick. I go, but what if it goes badly? How are we going to handle that? Are you going to go, crazy on me? Are you going to go in the hospital with severe? What are, what's our backup plan if it goes badly? So, and if they say, I'm not worried to you, I won't operate on them. But if I can

come to some meaning of the minds and agreement that I can feel comfortable with that if it does go badly, we'll work through it, then I'll operate on them. It can be dangerous. And I want to talk about Kim Kardashian, who's one of the most famous people in the world. He's got 455 million followers on Instagram, and people are obsessed with her ass. And Brazilian butless are some of the most popular forms of plastic surgery, and they're also the most dangerous form of plastic surgery. So maybe talk to us about what happens to make them so dangerous, and what's your advice to all the women out there who want the big ass? Well, so, as you probably know, I'm not a fan of the Brazilian buttock lift.

And all it is, it's very simple. You take fat from one part of your body through liposuction and inject it into the buttoe it to make it fuller. Sounds easy, right? The problem is there are very short, big blood vessels in the buttock that are directly connected to the main vein feeding back to the heart, to the vina cava. and if you get accidental inadvertent fat injected into those blood vessels and it goes into your

vina cava it goes back to the right side of your heart to your lungs and it gives you a fat embolism and that can be and is often fatal so no operation oh and that happens a high percentage a higher percentage of the time than is acceptable in elective surgery look if you have pancreas cancer. And I tell you, there's a one in three thousand chance you're going to die from this operation. You're still having the operation. I tell you there's a one and two thousand chance you're going to die from a Brazilian buttock lift. Well, there's hundreds of thousands of them done. It's not worth the risk. So I don't do it. I don't recommend anyone does it. And I, you know, I'm waiting, remember the buttocks, I'm older than you, but the, the 70s

buttocks, the Bodero type, Derrick-type buttocks, the smaller buttocks. If you have smaller buttocks, let's celebrate that now. Let's leave it alone. Yeah. Salute to Bo Derek, by the way, for those of us who are our generation, who I think was the most beautiful woman in the world, maybe ever. Yeah. So plastic surgery is huge. How does one find a great plastic surgery? And there's so much, you know, yada, yada, yada. I mean, breast augmentation, which we're also going to talk about. on a second, it's, yeah, who's the best breast doctor? Who's the best nose doctor?

It's even harder now than it was before because, you know, you can't judge a plastic surgeon by the before and after because they're not showing you every before and after. Right. Right. And I just think there's a few basic fundamentals that you have to check, a few boxes you have to check. You have to check board certification. Yeah.

You have, though they all have board certification? No. In Beverly Hills, all the doctors don't have it? No, over 50% of the doctors who do cosmetic surgery, even Beverly Hills are not real plastic surgery, they're cosmetic surgeons. Okay. What's the difference? I trained, I did a residency and a fellowship in plastic surgery. A lot of them are general surgeons. Got it. Or did weekend courses. So they have to be board certified, American Board of Plastic Surgery or American Board of Facial Plastic Surgery. Number two, you have to say to them, can you do this procedure in a hospital if I wanted you to?

Oh, I never do it in a hospital. I do a surgery center. No, no, no, no. you allowed to do this procedure in a hospital? And if they don't say yes, that means they're not, they're not vetted. Because a hospital won't let you do. Imagine what a hospital does before they take on the risk of letting you do a procedure in their hospital. Right. So they have to be able, have to have hospital privacies somewhere. Then, word of mouth, looking at their pictures doesn't really help you because I can do a thousand operations and have 20 good results. And I'm going to show you all 20. Exactly. No one's putting up their worst photos. Yeah. So word of mouth, if you, the nurses know, if you know any nurses, they know, friends that have had good experiences.

But it's funny. I was talking to someone the other day, and they were talking about this one particularly hot plastic surgeon right now in New York. He's the guy of the moment. And they said, oh, well, they did so on and so. And then they did this person, that person. And I said, you know, you really can't judge it by that necessarily because you're seeing such a small sample size of a huge piece of data that I said, if you, if we lined up our 50 of our worst results, you would never have plastic surgery from any of us. So the long, the short story is board certification, hospital privileges, word of mouth, if you can talk to people who have had. surgery before with them. And then don't just go see one person. Go see a few and see how much time they spend with you. They charge you some of these people for the consultation. So you may spend five grand before you're more. The guy, the guy who's really hot right now in New York, I think, is charging you five grand. For one hour to sit down with them? Yeah, if he spends an hour with you. And then

I said this on season five, a botched. I looked at the page. I go, where did you find the plastic surgeon. She goes, I saw him on a TV ad, and I said to her, never trust a plastic surgeon you see on TV. And we had a moment, we broke the, she looked at me and I looked and I went, just kidding. You know, obviously it was unbatched. Right. So price elasticity is important in everything that we do when we buy, right? And so the range of prices in Beverly Hills, even, for example, for a breast implant surgery, could be 10,000 on the low end. And then I just, we, We had a friend who paid $80,000 for breast augmentation, breast implants. Right.

Insane? Or you get to, you get what you pay for? No. Insane. Insane. Breast augmentation is an extraordinarily easy beginner operation in plastic surgery. So don't spend more than 10 or 12. There's no difference between the guy in Culver City than the guy in Beverly Hills.

It's a very, very basic operation. I will tell you, you may not be aware of this, but guys are now charging $350,000 to $400,000 for a facelift. I took care of a patient the other day, came in to see me. She had had a botched facelift in Beverly Hills. She paid $350. She went to another guy to fix it in Manhattan. He charged her $450, and it's still a disaster.

And then she came to me, and I'm looking at the records, going, wow, you've paid almost, including the aftercare and the hyperbaric, you've paid almost a million dollars for two failed plastic surgeries. You can go to Encino and find a fantastic plastic surgeon. You can find one of course. People don't know how. Like I hear my wife's friends talk about this all the time. You know, I had a baby. I want a breast list. I, you know, I need breast surgery now that I'm done with kids. It's like, it's like the talk of the town. They, they, they, and we live in Brentwood, which is a very wealthy community. So these people will pay for whatever they need to pay within reason. Yeah. Within reason. But, you know, $40,000 for a, you know, boob job? Yeah, okay, no problem.

That's a lot. If someone's, one thing I will tell you, if someone's charging $40,000, if they're getting $40,000, $60,000, they're probably pretty good at it. Right. So at least you're paying. And there's a weight and all that. Yeah. And you're probably waiting, you're paying for at least a minimal level of competency. But again, that's not a hard operation. Yeah, but let's say whether there's five FDA-approved breast implant manufacturers in the United States, and there's a thousand permutations between all of those breast implants. And again, like I, from single days, from friends of friends, they're all different, right? It's not easy.

They show you a picture book. Here's what I want my breast to look like. They may or may not. Like they may have one brand, they may have another brand. And I'm just going to be crude for a minute. But I remember dating a woman and her breasts literally felt like coconuts. Yeah. And I'm wondering like, how on earth does that happen?

So the thing that makes breast augmentation a bad operation. By the way, it was so unattractive that it's like just like a little bit of touching. And I don't want to be, you know, too forward on the show. it was like, not attracted, like, finished. So the way I give a consult in plastic surgery for breast augmentation, I say, okay, you know all the good stuff behind breast augmentation. They say, right. I go, let me tell you all the negatives first. Let's get past that and then we'll talk about the good stuff. I said, the problem with breast augmentation is it's the number one operation that will have a

complication in plastic surgery. That's because we're putting a foreign body in you in the immune system will come by and put scar tissue. And no matter how good the plastic surgeon is, no matter what they tell you, it has nothing to do with him. It's all in your physiology. So you can be the best plastic surgeon who does the most difficult cases or who does the most breast augmentation. It can happen to you potentially. So you have to know that. It's on the consent form. However, good news is there is a new implant that just got FDA approved here last year called Motiva. M-O-T-I-V-A, that we believe it just went through FDA approval. That doesn't mean what I'm about to tell you is true, but it appears to be true because

it's been in Europe for 13 years. It has a very low hardness rate. So my recommendation of people who do breast implants these days is to look at the Motiva implants very carefully. But the coconut implants you saw had nothing to do with the surgeon. Oh, no, but he or she picked the implants. but it it it was a they have a complication

both they got they got encapsulated it's called encapsulation scar tissue forms I said and that happens

15% of the time and they have to be redone they have to be redone and by the way you know I I think probably if there was no

significant chance of capsular contracture I probably wouldn't have a TV show because people try to fix it they try to fix again

fix again and then it starts to destroy the tissue you have a lot of celebrity clients when we were talking about this summer, he said, very risky. A celebrity have huge followings, and like you referenced on our show today, something goes bad, I don't know, I mean, great advertising on the one hand.

So, oh, yes. So if you're, if you're quote unquote, I say this, you know, with all humility, if you're a famous plastic surgeon who is being followed by TMZ and other outlets, I think it's a better idea that you don't operate on celebrities. You don't need to. They're not going to really necessarily tell anybody, and if it goes badly, you've got a problem. If you're not famous,

you want to operate on celebrities because you hope they'll tell people and that'll build your practice. Yeah. But I remember an Academy Award winner came to me about 10 years ago wanting a facelift. And I met her, and she was kind of nice, not that nice, but kind of nice.

And it was a chip shot facelift. It would have been fun to do. And I went home and I said, Not in a million years, am I going to do her face up? Because if it goes badly, that's me. Operating on family members? Yes, no, your daughter had a problem with her lip when she was younger. Okay, so different plastic surgeons feel differently about this,

but I think what I'm about to say makes the most sense. Never operate your family members. You lose your objectivity. You lose your perspective. Unless you happen to have a particular experience and skill. that is far above what other people have. So my wife had a thing in her stomach, and I don't know anybody else who can fix that.

Because I've done it 117 times, and the best plastic surgeon Beverly Hills has done it twice. So it's just, you know, you know, that thing on Netflix, you know, America's team, the thing with Jerry Jones and the Dallas Cowboys. Yeah, that's on right now. It's on right now. Troy Aikman can't throw in the rain, all right?

So if it's raining, you don't, you don't really want Troy Aikman as great as he is to necessarily be your quarterback that day. Well, it's always raining with me. My cases are all botched. So I'm experienced, so if I'm an expert at throwing in the rain and my kid's in the rain, I'm going to fix them if you know what I mean, you know. I've heard stories. We've all heard them about wealthy Middle Eastern clients saying, I need a surgery. or a doctor, I'm going to put them on my 747, I'm going to pay them a million dollars. They're going to come in for the day and then you can go back home. Have you ever done a

surgery like that? So I among other surgeries I know have been offered to go over there and do that. A lot of money. Yeah, you lose four days. They don't pay you a million dollars. And then what do you? So no, I never do that. But I have friends who will go there for a week and do tons of surgery. But they've become very, believe it or not, they don't want to pay that much anymore over there. So my friends will go over there and make 200 grand in a six-day period and it takes them 10 days to do it because it two days over, two days back. And 200 grand in 10 days is not that much for a plastic surgeon. Your wife said she's the only wife of a plastic surgeon who does not have breast implants. By the way, we're kidding. We don't know that. We don't know every plastic surgeon's

life. I mean, I don't know. You're not taking a national poll on this? Yeah, exactly. She's kidding, obviously. Yeah. She's a gorgeous woman and she has a beautiful figure. She does. An even nicer person. Thank you. But she, there was a period where she did that typical Orange County Newport Beach thing where she had four kids and then got ridiculously fit. Yeah. And she basically had nothing in her chest. She chose to me. I'd go, do you think? I'd go, do you think? I'd go, no. No, no, I don't know. I don't want to, don't do it. And then weirdly, with hormonal shifts and perimenopause, they came back and it can't happen.

How is AI going to improve the future of plastic surgery? I don't think it's going to have any effect until robots learn how to have hands. You see on Instagram, you know, I'm not in China right now, but there are stories and reels that I see robots actually doing surgery in the operating room. That's BS, by the way. Bullshit. Bullshit. They can't, I mean, if that were true, I mean, you listen to Elon Musk, the hardest thing to do is the hand, right? They can barely move a glass of water or a pitcher of water into a glass here.

To do surgery, not happening. Not true. BS. It would be here. Obesity is a huge problem in the United States. OZempic is all the rage right now. You tried it to see how you're on it right now. I'm on Monjaro.

Okay. I'm a giant fan. So why you're very fit? Yep. Were you overweight? Yeah. So why are you doing it? So.

Well, and who needs it? Yeah. So I'm fascinated with this new generation of drugs. I think this is a historic change in the treatment of obesity, which is the number one risk factor for all causes of mortality, including cancer, diabetes, neurodegenerative disorders. right um and heart disease i got so obsessed with them and the way they work is i studied for a year this is so typical me and someone like you too at this stage of my life two years ago i studied for the american board of obesity medicine certification exam and i took the exam and i'm board certified

obesity medicine so i'm a qualified expert in these drugs and i prescribe them but these drugs go far beyond what they do just for obesity because of their effects on sugar and sugar-related effects on inflammation, they clearly have a very powerful anti-aging longevity effect. And now they're approved for patients who've had heart attacks, even if they're not overweight. They're approved for fatty liver disease, even if not overweight. They're about to be approved for Alzheimer's. So because of what they do to sugar and insulin sensitivity, their effects are far and above and beyond what they do for weight loss. And it was funny because I was talking to this gentleman the other day, and he's on it.

And he had a gambling problem that's done now that he's on these drugs. So who are they for? Officially, therefore, diabetics, okay, type 2 diabetics. Officially, they have an indication for obesity, if you have a BMI over 30, or over 27 with an associated comorbidity, high blood pressure. But if you ask me, because most of the stuff we do in medicine is off-label, I think everyone should be on microdosed GLP-1s because of what they do for sugar and the inflammatory effects on sugar

and how they are good for aging. Let's talk about extreme preparation for a minute, which is one of the hallmarks of my success. Yes. Tell me a story about how extreme preparation, which I'm talking about, so when they prepare one hour for something, you prepare 20 hours. Give me a story. Tell me a story about how extreme preparation has led to something that you otherwise would not have been able to achieve. I can give you a number of examples. I'll give you just two quick ones. One is, I remember when I was a chief resident in my last year of general surgery where you operated independently, you took trauma call by yourself. In my day, there were no professors in the hospital. It was you and the young people below you. You were it.

and you're like 27, okay? The most dangerous, scary thing, and you don't want to kill anybody in general surgery because you have to go to that morbidity mortality conference every Wednesday and present your complications of your deaths and the professors sit there and threaten to fire you and say things like, well, why didn't you just take a gun and shoot him? Why didn't you even bother operating on them, you know?

I remember I was always worried about gunshot wounds to the liver because those are very, very dangerous. And so I thought, you know, I don't want to be surprised by a gunshot wound to the liver and have to do the Pringle maneuver and have to take the lobe out and get control of the hepatic vein, very dangerous stuff that, so I would study for one and a half hour a day while I was on call, gunshot wounds to the liver and just visualize it every single day. And when you do general surgery, you're on my day, you're on call every other night up all night operating on trauma, every other night for six months. Three months, then you do three months

elective, then three months again. Very intense, very cool. I kept getting these gunshot wounds to the liver and kept saving them over and over and over again. And it was that preparation and only that preparation and visualization that allowed me to do that. That's number one. The other thing recently is I got in a fight with Jillian Michaels, the former trainer on The Biggest Loser when these ozemic drugs came out

she went in the media and said those are ridiculous, they're dangerous, don't do them, diet and exercise said and I said she doesn't know what she's talking this is on TMZ and this is going viral Jillian Michaels is a trainer don't get your medical advice from a personal trainer and they're fantastic

she doesn't know what she's talking about and they're great and share your experience and don't shame people who are on them. And if you can treat obesity, you're going to live longer. And so we were battling and I thought the one criticism one could have of me is that I'm not an expert in obesity medicine. So I thought, well, here I am in my mid-60s, do I really want to do what it takes to get board certified by the American Board of Obesity Medicine? I mean, that's like a giant undertaking. So I studied literally almost two to three hours a day for a year, and then two months before the exam, I studied about six hours a day. Now, my brain works pretty well, and yours does,

but does it work as well as it did when you were 24, maybe? I don't know if I could stuff as much math and science. I don't know. It works well for this kind of thing, but that's all new information. I'm not an internist. That's so far outside of my specialty. So I studied and studied and took every practice exam, and I got a 94 percentile on the test, all right? Another doctor would go, because it's board certification. Board certification means something in medicine. It means you took an extraordinarily difficult exam,

and you are a true expert. And so that's, to me, my latest example of extreme preparation for something that I wanted to become an expert in and wanted to become a validated certified expert. we got to talk about the housewife now my daughters have been all over me i have all these questions they're phenomenal stories so tell us how lying actually got heather on the show yeah and then how someone threw a glass of wine yes on another episode and you said hey let's not do that and she says terry too late man right so uh as i said earlier global financial crisis got to do something

let's do this show and then through that process the housewife producers became aware of Heather and water on the show. I came home and said, so would you consider being on the Real Housewives of Orange County? My wife was a bona fide actress on multiple TV shows years before that and she said absolutely not. That will kill any hope I ever have of being a scripted actress again and it's cheesy and it's disgusting and all they do is fight and I go and so I call up the producer

I go yes she'll do it all right so then he sends over the contract and I go let's talk about this against you I'm not talking about that housewife thing so for like three weeks maybe four weeks we went back and forth we argued yeah I did something

obnoxious I basically stopped talking to her for about two weeks I'd come oh hi and she goes really I go, no, I'm fine. Fine. That's okay. You can be offered a spot on a hit show and you don't have to do it. That's okay. It'll just get us out there and give us a huge platform. But that's okay. And finally, she goes, fine. If you want to go on Orange County Housewives, you sign the contract. So I signed her name. I sent it off. And then like I do, typically I woke up at 4 a.m. and I go, you know what? I've never seen this show. So I go on my iPad. And I go look at YouTube, Orange County Housewives, and I see the scene of this woman who at a party says like F you to the other woman and throws wine in her face. And I go, whoa, no way, we're not going on this show. This is trash. So I wake up and I go, hey, I'm so sorry, forget it.

She goes, what are you talking about? I go, I saw some episodes. I saw some scenes. I go, I don't want to go on this show. She goes, she goes, show me. And I showed it to her. She goes, oh, my God, that's ridiculous, but kind of funny. And all of a sudden, she sort of agrees to do it. And I'm freaked out and I don't want to do it. And the rest is history. Why are people so obsessed with the housewives? What is it about the show? I think a couple of things. One, you love to judge people. You know, this generation of people with X and Instagram, it's really good, the voyeuristically, and the ability to, you know, this person's losing their house. They're getting divorced, my station life's not so bad.

So that's part of it. It's a comparison. You know, they say the comparison is the thief of joy. You ever heard that one when you compare yourself to someone more successful? Well, I think comparison sometimes may give you joy if someone is. not doing as well as you are. You feel like, well, I'm all right. That's one. Two, and I'm just going to be really honest, I think the culture has changed in this country, and there's a lot more meanness and a lot more hate. And there's so much hate and meanness on these shows that

you can, like, oh, I hate that. The most popular housewives are the most hated sometimes. Yeah. When you list the top four that I could name for you, they're them absolutely. most hated people, yet they're the most popular. So superhero America has gone to super villain America. It's much better to be a villain than it is to be a hero, like from our generation. We want to see you fail. We also want to see, you know, to be inspired. But I think it comes down to a judgy hatefulness. People love it. Yeah, we had a conversation this summer, I think a half an hour sitting at the bar. By the way, my daughter, Ariana, is, you know, pelting you with questions. She's obsessed. Heather, Heather, Heather, who's five feet away and

people just dying to talk to Heather as well. But, you know, she knows every episode. She's watched them all three or four times. And then I explain to you that Megan Edmonds, who is on Orange County with Heather, had recommended that we apply to get into the show. So, and we had the conversation about this. So I think two or three years ago, three years ago, four years ago, they came to the house, interviewed us and I said, we're not doing it. You went to the whole thing. Well, yes and they bring the cameras? Oh yeah. They had cameras and I just don't go down. Yeah, yeah, yeah. Yeah, but I said, well, just wait till we talk about the second time that they came at it. So, you know, the first time I said, I'm not doing it. It's embarrassed. It's not good for my career as a financial

guy and respected guy in the community. I talked to friends and I just said, you know, I just, I don't want people inside my house. My kids were younger at the time and said, if you do the show, we're never coming over. We're not talking to you. It's embarrassing today. It's embarrassing to them if you know they don't want to be part of it so i said okay we're done then last year another bite at the apple madison told me you know they want to meet with us again and i said i'm not doing the show and she said well i'm going to talk to them so they met for 10 hours terry and this is what i didn't know when i talked to you because you said oh you know talked to terry you talked to terry and they said you know everyone wants a show just because they're reaching out to you know 250 people

you know they're talking to but i i think that she went for you know, far down the line. That's for Madison. Like, it's not good for our family. I don't want people in the house. I love my privacy, by the way. And, you know, no one needs to know the business. And when I said to you, I said, and, you know, they wanted us on Blow Deck, the same

producers. And, you know, we talked about this too. And I did the research and half the people they make out to look like clowns and half the people, you know, you could promote something. So I'm going to promote my podcast, my company. But it, you know, that didn't work out either. And you said to me, yeah, don't do it. No.

Has it been good or. bad for you. It's been extraordinarily good. So you're advising me no and it's been great for you. Well, by the way, it's a hard no. We're not doing it just to be clear. Yeah. But it's, it's been extraordinarily good. I would do it again 10 times over for us, for me. But I was a simple doctor. Yeah. Even though I had been on the swan, it's been good. We've been able to use it for for very good reasons. The We've been able to exploit the platform. We have very good relationships with the producers. But you don't need it.

You don't need it. And it's just pure risk. Now, the reason, I don't know your wife. I've never met your wife. She wasn't there, right? She had pneumonia when we were hanging out. So I don't know your wife. But fame is very attractive.

You know, it's the demotocrization of fame. It allows anybody to be. be famous potentially. And when you get famous, it's hypnotic. It's, it's, it's, it's, it's, it's, it's, it's, it's, it's, it's, it's, it's, it's, that do it, love it. You know, they're extracted, extracted from obscurity or not necessarily, well, relative obscurity. They may be well known within their own thing, but all of a sudden, everyone knows them and you get treated, but it's very, very dangerous. And I remember there was a plastic, no, there was a surgeon in Orange County whose wife was offered it. And he says to me, can we have coffee? I go, definitely. He looks at me, he goes, should I do it? I go, let me ask you one question. I go,

is there anything in your past? Anything that you can think of that if it came out would be problematic for you as a doctor. They turn it down the next day. Yeah, I mean, we all have things in our past. It's all coming out. Right. But most people go on it. It surprises me how many people go on it

just as their relationship and their world is falling apart. And they think, you know, the old adage, people would have kids to try to fix their marriage and it did the opposite. I tell everybody that, by the way. You got friends, oh, we're going to have a kid. Like, it's going to, it's going to, explode faster than cure.

You'd be shocked how many people, and you don't watch the show, but I don't watch it either, but people will come on in the middle of a bankruptcy they're trying to hide on the show or in the actively committing crimes against other people and come on the show. They're so hypnotized by the possibility of fame.

But I think you're too, you don't need it. I mean, we're not doing it. I mean, I think there's a reason, and we talk about this too, you got the Bethany Frankles, the, you know, the Holy Grail, she made all this money on her liquor brand. And if you have a company to promote, like my wife has a company, had a company, it's in its dormancy. It's a women's clothing brand called Madtown. But, you know, she's a hands-on mom.

She's a full-time mom. She doesn't have time to run the business. She said, well, you know, it's be great for business. I say, well, yes, it would. But, you know, you don't have, I mean, you're not doing anything with the business, you know. and obviously, I mean, she was passionate about her company. It was going well, but it just wasn't like, it's, I can see why people would want to do it, but I also can see why most people would not want to do it.

I mean, everyone wants to be famous until, like you said, it just takes one, one thing in your past, and suddenly you're just, you know, you're the worst person on the planet. I can't believe you did that. Exactly. We're at the end of the show, and I always concluded with the game I play called Fill in the Blank to Excellent. You ready to play? Yeah. The biggest lesson I've learned in my life is...

Find your passion and work like hell to exploit it. My number one professional goal is... To share my education and training experience to allow people to live healthier and longer. My number one personal goal is... To keep my marriage and strong for the rest of my life. My biggest regret is... Um... This is going to sound so pathetic.

But I had a whole bunch of money seeing an account doing nothing. And I almost bought Apple like 15 years ago with it. And I didn't. But I did about five years later, by the way. But that's my number of, I don't have many regrets. My biggest fear is? I guess my biggest fear is that with one of my kids that I won't repair the relationship. with to the point where it should be you have strained relationships with your kids one yeah just one

the craziest thing that's happened in my career is i mean i got a tv show that allowed to be become most famous plastic surgeon on the world that's the craziest thing the funniest thing that's happened to me in my career is i'm in a loss on that one i can't think of anything funny that happened to me The best advice I've ever received is treat your patients the way you would treat your mother. Ten years from now I'm going to be doing. Hopefully less surgery and more content providing and content about health and wellness. 20 years from now I'm going to be doing. Hopefully exercising seven days a week, hanging out and flying around on my private jet.

That's a terrible thing to say. I've got to guess I said that. If you could pick one trait that would make somebody successful, it is... Passion. Intensity. For me, intensity. The most important thing that's contributed to my success is... For sure, my intensity.

My ability to focus. The one thing that I've dreamt about doing for a long time, but haven't, is? having a reality show called Sudden Beauty Island I've been wanting to do this for 30 years where I transform people with very significant deformities and they all fall in love with each other if you could invent one thing in the medical field it would be that's a good one that's an easy one

a device that would tighten skin without cutting it if you could go back in time and give your 21 year old self one piece of advice what would it be This is pathetic. Buy Apple. Buy Apple stock. I remember when it was $1.30. To be honest, all my dreams have come true, every single one of them.

Blessed. Yeah. Grateful. Lucky. Lucky, grateful. I can't tell you how many people who I have interviewed who have said luck is so important to their success. I know it is to mind. Timing is everything.

You do create your own luck through workout. ethic and it takes a lot of things to be successful. But I think every successful person who thinks luck wasn't a part of it is not looking themselves in the mirror. Oh, huge. And the final thing for me is always be kind. Always. One of the greatest underrated characteristics of anybody's success is kindness. Yeah. If I were president of the United States right now, the first thing I would do is that's a very political question uh have a moratorium on hate i would i would i would form a kindness council and a civility council and just tell everybody just be nicer to everybody let's let's like say no to hate your brother kevin died of a drug overdose eventually and if you could say

one thing to him today what would it be you're an asshole say to him? Yeah. I thought you were calling me an asshole. No. I couldn't tell it. Look at him right at me. But you are an asshole. No, he's an asshole. He's an asshole. I mean, he knew better. There was a song by Bad Company called Shitty Star. One of my favorite song. Great song. And I said to him, I go, is this going to be you, man? Sleeping bottles by your head. Died, died in your bed. I go, is that going to be you? It's not going to be me. I go, it's going to be you, dude. And I go, you're going to do that to our mother. They were like this. So I just say, You're an asshole, and you owe me money.

If you were on your deathbed and you had 60 seconds to live and Heather and your four kids were surrounding you, what's the last thing you would say to them? I would say, oh, this is how you get people to cry. I get it. I would say, I had a great life. And your job for me is to have the best life you possibly can. The last question is the one question you wish I'd ask you what didn't is.

What's your best advice for extending your health span? And that is you've got to do at least 150 minutes of cardio a week, increase your protein, do resistance training three to five times a week, and control your sugar. And you can live longer and healthier. And if you don't, you won't. I have one final question on that because I like beer, IPA beer. Are you allowed to drink at all? Hell yes. Okay.

In moderation. If it takes two years or three years off your life, so be it. Yeah. Definitely. Drink within moderation. For sure. I'm not a big sober guy person. I appreciate you being on my show.

This was awesome. It was great hanging with you a little of the summer. You were awesome. I enjoyed it. Looking forward to hanging out with you and Heather. Yeah. Yeah. Let's do the four of us because.

We'll go the four of us for dinner. You know, your wife's going to want to do the show and she's going to throw the gauntlet down. We're going to talk before us, some ground rules on the dinner. How badly does she want to do it? She doesn't want to do it now. Oh, really? It's just, it wouldn't be good for our lives.

It wouldn't be good for our marriage. We have young kids. We don't want our nine-year-old and a five-year-old. You don't need it. Yeah. Not going to happen. Thanks for listening and watching to my latest episode of The Search of Excellence. Be sure to like, comment, and subscribe on my social media channels.

I look forward to the episode next week, and I hope you listen. ...for... ...you know... ...withal... ...the...