Off The Vine with Kaitlyn Bristowe - Dr. Terry Dubrow | Botched, Boobs & Botox: The Plastic Surgery Truths!

Episode Date: May 29, 2025

#845. Dr. Terry Dubrow is in the house and no topic is off-limits. From Kaitlyn’s own implant journey to horror stories from “pumping parties,” Dr. Dubrow breaks down everything you didn’t know you needed to know about plastic surgery—and the red flags you really should look for in a surgeon. They talk about Kylie Jenner regrets, filler freakouts, under vs. over the muscle, and why “if it ain’t broke, don’t fix it” might be the best advice you’ll hear all year. Plus, Terry shares the secret to surviving both marriage and reality TV with Heather—and what actually works for them (even when she’s mad at him). It’s educational, it’s unfiltered, and yes—there’s tons of boob talk!If you’re LOVING this podcast, please follow and leave a rating and review below! PLUS, FOLLOW OUR PODCAST INSTAGRAM HERE!Thank you to our Sponsors! Check out these deals!Pretty Litter: Pretty Litter helps keep your house smelling fresh and clean. Save 20% on your first order and get a free cat toy with code VINE at www.PrettyLitter.com/VINE.EPISODE HIGHLIGHTS: (8:48) – Think you know what to look for in a plastic surgeon? Dr. Dubrow reveals the real green (and red) flags.(15:44) – Kaitlyn spills on her boob job and gets Dr. Dubrow to answer the implant questions everyone is dying to ask.(48:00) – The one Botched case Dr. Dubrow will never forget—and it’s as wild as you’d expect.(55:52) – How do you survive reality TV and marriage? Dr. Dubrow shares the secret behind his lasting love with Heather.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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Hey, Vino's, real quick, if you are listening right now, which obviously you are, you wouldn't be hearing this, can you hit the subscribe or follow button on whatever platform you're on? Please, that one simple thing helps more than you even realize it allows me to keep growing on this podcast and making these episodes the best they can possibly be, obviously for you. That's the only favorite I'm going to ever ask, okay? It truly means the world to me. Thank you. Now, let's get into it.

Hey, everybody. Welcome to Off the Vine. I'm your host, Caitlin Bristow and Boob Roll, please. I saw somebody do that on Instagram. She did that instead of the drum roll. We have Dr. Terry Dubrow. He has been in the world of plastic surgery for decades, and you've obviously seen his work on botched. His wife is Heather Dubrow.

from the Real Housewives of Orange County. Dr. Terry Debrough is the guy that you would want to talk to about all things plastic surgery, and we broke it all down today, including my new boobs. So we're talking about what he's learned over the years, what makes a great surgeon, of course, how to do your research, deep dive into the boob job, and we talk about his brand new show. It sounds actually really exciting. So here is Terry Dubrow. Thank you so much for coming on the podcast today.

Yes. It's so funny because I've done it. upper bluff. I do Botox. I'm always just so open about everything. And when I went to get my boobs done, I was like, maybe I'll keep this one quiet. And within one second, I'm posting an Instagram, someone was like, she got her boobs done. And I'm like, yeah, I'm not going to gatekeep. I got to talk about it. Okay, good. I mean, it's not for everybody to disclose what they've had. No, and it's up to each and every individual. There should be no pressure, even when you're a celebrity, you shouldn't be pressured to have to disclose your medical

private information. It's very uncool. Yeah, right, but here I am. Well, I I think you can do a lot of good and provide a lot of information, which you do anyway. And so if you can do it in that way and maybe help people have safe procedures done. Exactly. I think that's, it's more of just like, you know, we can talk about the risks. We can talk about all the different things that come with it. And people can make their own choice, of course, as they always can, with their own body. So I thought it would be so great to have you of all people on to talk about it all. Okay. Awesome. And I appreciate it. So you've obviously been in the industry for decades. Yeah.

Like a long time. So what do you think has changed the most, if anything, like what comes to mind? What's changed the most? I think everybody's trying to get more for less, meaning not money, but sort of recovery. And if you think about it, you know, I went to medical school in the mid-80s, a long time ago. And if you would have told me while I was at UCLA Medical School that in 2025, that we'd still be cutting, lifting, lifting, bleeding and stitching, I would have never, I said, oh, no, we'll never be doing all that. So we'll be talking about lasers or energy transmission devices. So slowly it's evolving, hopefully, to the point where we don't have to do so much cutting and stitching and stapling now. And so the big emphasis now, obviously, is on more non-invasive things like energy transmission devices. The problem is right now, there's so many of them. And there's a rule when it comes to health, wellness, and beauty. If there's many, many different ways of achieving a

result, that means none of them are really any, are very good. Oh, interesting. Yeah, because if there was one prevailing way, that would be it. I want to know what Chris Jenner just had done. Yeah, you know, I don't know. Of course. Okay, but I could guess. I think she probably had a deep plain facelift, but I don't know. I don't know. Right. But what does that mean? So there are new, newer facelifting techniques, which go even deeper into the tissues. And instead of, it all, it, facelift techniques used to involve just the skin. Yeah. Then it was skin and muscle.

Then it was muscle. Now it's the entire structures of full thickness of the face where you're lifting up the entire face. Right. It's really good for mid-facial elevation and fullness. It's a lot more technically demanding. It lasts longer. It's a lot more expensive.

There are, I do a lot of reviewing of charts for, for the medical board and in medical legal cases. So I see everybody's mess-ups. And, of course, I'm the botched doctor. Yes, exactly. I was going to say, you've seen it all. That's what I do. Yeah.

So, you know, when that operation goes badly, it can go really, really badly with facial nerve injuries. And there are Beverly Hills and Manhattan, New York City plastic surgeons who will charge $500,000 for that facelift. No. And a lot of the doctors that I've seen who do that, you know, 80% of their patients are very happy, but 20% are extraordinarily unhappy. Oh, God, that is so scary. And if you hit a foul or have a significant complication on a patient, you've charged half a million dollars, they're going to sue you. Oh, absolutely. And I've seen all those cases.

Gosh, so how do you know which doctor to pick? You know, I will tell you, so there are so many good plastic surgeons. there are very good ones that both do have big Instagram accounts and those that don't have been Instagram accounts. But the ones that are getting the most business are showing the most sort of before and afters of their best results. And remember, when you see a before and after on Instagram, you're seeing their best results. And if that represents 80% of their patients, well, 20% are really unhappy soon.

The short answer is you don't necessarily know. Right. of mouth is a good way, you know. But then the Kardashians' gatekeep, do they talk about who is their surgeon? They do talk about, but they do. But they do. I think they do, but it varies a lot. And I don't know who they're going to now. I know who they have gone to, and they've all done very, very well.

You know, it's interesting. I'm doing a new TV show. Oh, exciting. Called Plastic Surgery Rewind. Yeah. And it really focuses on what sort of the Kardashians, the younger Kardashians are focusing on now, which is reversing their plastic. plastic surgery and having a little bit of sort of plastic surgery regret and are wishing they,

you know, maybe are a little more natural. And our show, we take celebrities. We put them into a house together who have had plastic surgery. And they go through a psychological, emotional process with us and a therapist. And they decide whether they want to have their plastic surgery taken away. Oh, wow. And the show's coming out in July. Oh, how exciting. So I can announce it. I've been working on it for two years. Holy. Holy. Wow, that's exciting. What never. It's on Ian Peacock. Oh, me. Perfect.

Yeah. Oh, that's going to be great. So they just announced it two weeks ago. I've, you know, obviously been not talking about it for two years. But it's a message I want to get out because I like the whole, the botch messages, be very careful. Don't have too much. It doesn't feel right. Don't do it.

Check your doctor out. Go to many, get many second opinions. And if it goes badly, go to someone who's really an expert at that. Yes. That's the boss message. The rewind message now is, you know, maybe. Maybe when you're 19, 21, 23, maybe you don't need the gigantic breasts. Yes, exactly.

Maybe you don't need massive facial changes that you may regret when you're 30, 35 and older. Right. So this is sort of a new thing in Plasca surgery where, like, I think Kylie Jenner says, boy, I wish I didn't do that stuff to my lips. And other people said, I wish I didn't get all that fat transfer to my buttock. Yeah. You know, so this is a new show. I'm really glad this is sort of the message that we're putting out there.

Are you allowed to say who's on it? I'm probably not. I mean, they announced, they just announced the show. Yeah. They announced who the cast members are me, Michelle Visage from Rupal's Drag Race. She's the host. And then Dr. Spirit, who's our therapist. And I'm the surgeon.

But there'll be people everybody knows. Yeah, of course. People who are willing to, it was very hard to cast because if you're a celebrity and you're not happy about your plastic surgery. Do you really want to go on a TV show necessarily talk about it? Yeah. So you had to be a brave soul to come on the show. And to be honest with you, we had to be brave souls to take them on because what if you have a celebrity whose plastic surgery you take away? Yeah. And it's successful. Let's say it doesn't even have a complication, but they don't like it. Right. Okay, that's not good. You don't want to be that celebrity's

plastic surgeon who's really unhappy with you. Right. So it was kind of a, you know, scary undertaking. Well, of course, because social media is such a big part of everything. I was going to ask you, what are some things that patients think are important when choosing a plastic surgeon that aren't? And I'm assuming is a big social media following. That's true. If they have a gigantic social media following that's very sort of loud and noisy, you don't know. They just may be really good markers. And when you look at people are really good markers, they tend to work on TV shopping channels sometimes selling products that don't necessarily work, that you'll buy and throw away. You don't want to do that to your body. I think there are some basic questions

you can ask. Make sure that that cosmetic or plastic surgeon, there's a big difference. I don't want to get too much into that because there's a whole battle between plastic surgeons and facial plastic surgeons. But at the end of the day, ask your doctor if they can do that operation in a hospital. Oh. Because if that doctor is not allowed to do that operation in a hospital, they're not board certified and trained officially in that operation. That is really good information to know. Yeah, because, you know, in this country, ready for this, any doctor can do plastic surgery or cosmetic surgery, any type of doctor. You're kidding me.

Yeah, you can be a radiologist last week, take a weekend course and next week and legally do a breastlift, a facelift, a nose job. legally. But that doesn't mean you're trained in it. I don't like that. I know. So, but a hospital will never allow you to do that operation unless you're vetted, unless you're trained in, unless you're board certified. Okay. So that's a really great question to start. Do you have hospital privileges, local hospital? Yes. Oh, yes. Well, they could still be a general surgeon who are doing appendectomies and hernias. Right. Right. You say, well, can you do this if I needed you to do this in the hospital and look them straight in the eye. And they'll go, well, you know, this is an outpatient operation. You go, yeah, I know I get it. It's an outpatient operation. You're doing a

surgery center. Could you do it in the hospital? Ask them that. Well, and then if they don't say, yes, I have privileges to do it at Cedar, Sinai, or Hogue Hospital, or wherever, they're not formally trained in that. I wouldn't necessarily go to that. Yeah. No, that's such good information to know. I didn't know that before. I mean, the guy that did mine, I'm so happy with them. And he's been doing it for like 27 years. I'm sure he's board certified. He's definitely board certified. But that's good to know because a lot of people wouldn't think to ask that. Right. Well, if they're board certified by the American Board of Plastic Surgery, they are massively trained. Right. There's another board that's not an official board of the American

Board of Medical Specialties called the American Board of Cosmetic Surgery. Some of them can operate. Some of them are experienced, but that you can be a radiologist and be in that board. You can be a general surgeon. So, you know, just very carefully. Yeah, of course. What is your personal favorite surgery to perform? Well, you know, I'm the botched doctor. Yeah.

So I love fixing the unfixable. You do, yeah. You know, and it's my thing. I mean, you basically come to me, very few people come to me and say, hey, would you just do my breast augmentation? And, you know, why would you come to me for that? You can go down the street and. Right. hit a tennis ball in Beverly Hills and smack a plastic surgeon in the head. Let's be honest.

And it's a pretty straight for our operation. But once it goes badly, all right, you need someone who you get good at what you do all the time. Right. I mean, your first podcast probably isn't anywhere near your podcasting abilities at this point in your career, right? Well, imagine if you don't do difficult revisional surgery all the time, even if you're a great surgeon, you're not good at that. So I'm very experienced in that. So my favorite operation to do is one where, you know, the breast, the abdomen, the face have been completely destroyed and I'm their last toe. But I must say, you know, I still have people come to me for their first time and it's really

fun because it's easy to do a facelift, a breast reduction. I don't do noses anymore because I realized I just wasn't at a certain high level as my friends were who specialized in doing noses. So like on the show of botch, Paul does the noses because that's what he does. But he's not a, you know, he doesn't do head-to-to-toe plastic surgery. He just does facial plastic surgery because he's a facial plastic surgeon. Well, that's, I was going to ask, too, is it true you shouldn't go to a surgeon who does it all? Yeah.

Well, not necessarily because if you, I trained at UCLA's plastic surgery program. I learned how to do head-to-to-plastic surgery in the most formal way. I trained for nine years. So someone with my kind of training who did the full-blown thing is really, really good. This is what it is. You know, I mean, you can be a great football player, but that doesn't necessarily mean that you can block or be a linebacker, but you can probably throw and receive pretty well. So really great plastic surgeons get really good at about five or six things.

Yeah. And so if a guy's a facelift specialist, if he's been known for doing faceless, I would. wouldn't necessarily let him do your nose right you know what i mean yeah he probably is good at it but you're paying him to be great yeah you're paying him for he's the guy you know the 10 000 hours thing malcolm glad well you know anybody's done 10 000 as a master yeah we've done 200 000 hours that's how long the training is in plastic surgery so yeah i mean you just i wouldn't necessarily have someone who does it all, but who does like five or six or seven of the big things, I'd feel comfortable. That makes sense.

Yeah. I think, like, I was wondering, because I'm turning 40 in a month, that's why I decided. So I thought I would have kids by this point. Right. So I always thought, well, I'll get my boobs done after I have kids. Yeah. And turning 40 and not close to having kids, I'm like, I'm going to get myself a set of twins. What are you waiting for?

I'm going to just do it. Yeah. And I'm so happy about it. And people were so actually supportive online, which I thought they wouldn't be. but they were all like, what? I thought you were so proud of. I was called myself like the CEO of the Itty Titty Bitty Committee. Like I loved it.

And I only went up one size, but it's so interesting. So people kept asking, yours look perfect. I want to know what size you got. And I went, well, that just is like so dependent. What sizes on me could look so different on your body. So for people wondering, I got 225 CCs. Oh, that's small. Small, right?

Very nice. Very good. Yes. So I went as small as I could without looking like, you know, like I didn't do anything. Right. And I learned so much about it because I didn't realize, because I was like so set on 200. I was like, no, 200. And he goes, well, 225 is like adding like a little teaspoon to a tablespoon.

A tablespoon is 15 cc's. Okay. So it's a tablespoon and a half. A tablespoon and a half. So I was like, oh, okay. People get so wrapped up in the number. That's true. Now, explain to me because I learned that there's high profile, there's medium profile, there's low profile of how they want to sit.

How do you decide on a woman's body what will look the best? So it depends upon the patient's anatomy. If a patient has a very non-projecting breast, then you might want something with a little more projection. Because at the end of the day, there's a certain proportionality to the breasts that are aesthetically pleasing. For example, if the wider you breast, the more projection you need. Yes. Right? Yes.

And the more narrow the breast, the less projection you need. Right. So you want to sort of match what they have and what they need. Yes. And there's a minimum size you can put in before they'll make a difference. I mean, you can't put a baby's foot in an adult sock and expect to see the foot outline. Right. So if you're, I imagine if you were small breast and you were narrow.

Yeah. And a 200, 225, whether it's medium or higher profile, will probably do the same thing. It'll give you that balance between projection and width. The big new thing in breast implant surgery is, and I'm about to say it's that, and I don't want you to feel like you may have missed out because you didn't get these. It's not true. But the number one complication, the big problem potentially with breast implants, as I'm sure you were told, is that the body can decide at any time in the future after having breast implants that it doesn't like them. Right. So the immune system goes, nah, I don't like you.

I'm going to start forming scar tissue. And that's called encapsulation. Yes. And if it gets severe, it's called capsular contracture. And that's when you get the distorted hard breasts. Yes. If you go small like you did, the chance they're lower. If you go below the muscle, which I'm sure you did, the chance they're lower.

Okay. But there's a brand new implant that was available only in Europe that's now available here. It finally got FDA approved because our FDA is very strict as we want them to be. Yes, fair enough. But it has these new implants called Motiva, MOTIVA, have an extremely low theoretically. and studies have shown, if we believe the European studies and the studies that we've done here, extremely low encapsulation rate. Okay.

So they're lightly textured and the body seems to not react to them as often or as much. And so that's what I'm recommending for all my revisional surgery, particularly if you've had caps or contracture, the chance you'll have to get extremely high. Right. So you have to, in my opinion, have to consider Motiva. Right. But even for first timers, you say, look, your risk of an encapsulation, despite which your surgeon's telling you, the true risk is about 15 to 20%.

Yeah. So it means one out of five are going to need surgery in the next five years probably to have scar tissue removed and new implants put in. Right. Well, if you put the motivas in and you believe the data, it's less than 1% chance. Really? Damn, I really did just miss the boat. Well, I'm sure, look, if you go small and you run the muscle and you went to a fabulous

board certified, experienced plastic surgeon, your risk is probably a lot lower than one in five. Yeah. Right. Yeah. He's been doing it for like 27 years. Yeah. But trust me, I don't know who it is, so I'm not saying anything negative.

I never say anything negative about doctors ever. But he has lots of capsular contracture in his practice because that's the body's response, not something he did. How long does it take for a body to reject implants? Yeah. So unfortunately it can happen any time. Really? Yeah.

I wish I could tell you, well, if it's like a disease, you know, like cancer recurrence, If you make it past the five-year point, it won't happen. Right. Not true. It can happen at any time, you know. And so the chances that it'll happen, the first year is pretty low. But every year it starts to become a 3% to 5% chance that it's going to happen and it starts to add up. Okay.

But so, you know, you're 39. You know, let's say it doesn't happen to you for 30 years. I know you think you won't care in 30 years. You're still going to be beautiful in 30 years. You, by the good, that's right, you will care. Trust me. I'll definitely care. Trust me, because my patients are 30 to 60 and 18 and everything.

Everyone cares. And so, you know, if you have to have another operation in 60 years, I mean, in 30 years, that's probably okay because you might want to be bigger, small. You might have some kids. You might have breastfed, your skin might lose stuff. That's fine. You just don't want to do it in two years. Okay.

And why not? Because who wants to have another operation in two years? Yeah, no, okay. Good point. You know what I mean? And by the way, if you have another operation in two years, that means you had a complication. That means you're having a surgery for a complication for something that went badly. You don't want that.

That's true. And you'd have to pay for it. Oh, you've paid. It's probably more expensive. Yeah. Yeah. Because you're going to someone, you know, who's probably very, you could probably go back to this guy. I'm sure he's good at it.

But it's more complicated. That was my biggest fear, obviously, because I've heard nightmare stories of breast implant illness. And is, is that what that is the body rejecting in? What it, like, exactly what is it? So breast implant illness is a distinct issue problem separated from caps or contracture. People who have had capser contracture who develop scar tissue don't necessarily get breast implant illness. And here's what's funky about breast implant illness. You talk to a lot of board certified plastic surgery.

They'll tell you it doesn't even exist. They'll tell you it's really something else the patient has, whether they have an autoimmune disorder, or lupus or some undiagnosed autoimmune disorder. There's no such thing as breast implant illness. We call it BII. Then you talk to another group of plastic surgeons, those who do surgery for breast implant illness, who have convinced their patients,

oh, you need this bigger operation for breast implant illness. Now they'll tell you, oh, yeah, of course, because they have secondary gain. But at the end of the day, I'm sure some patients have breast implant illness. I'm sure it is pretty rare. I certainly wouldn't worry about it if I were a patient. having silicone breast implants. But breast implant illness is funky because if you think about it,

well, if it's a real thing, you should be able to take the breast implants out and it should reverse the problem, right? Unfortunately, that isn't necessarily true all the time either. So you could have them removed and then still be ill. Yes, because you may actually not be suffering for breast implant illness or some people say, well, mine were ruptured and got into my system, so now I have it. It's very unclear. But I'm not one of these doctors who says it's not a thing.

But when you go to the meetings of board certified plastic surgeons, most of the guys going, BII, not a thing. It's not real. You might definitely talk all about it to me and the risks of it. That's very good. You're very thorough plastic surgeons. Most plastic surgeons have you signed consent forms. And a lot of them won't even necessarily discuss the risk with you, they just expect you to read it. Oh, yeah.

We went over everything. And it was terrifying, but good to know, you know. It is terrifying. I mean, you should see my consent forms because I'm a high-risk plastic surgery. So my consent forms are very even scarier. Yeah. I see even in my hands who specializes in doing revisional, difficult plastic surgery, it can go very badly. Grab a coffee and discover nonstop action with BudMGM Casino.

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advisor free of charge. But MGM operates pursuant to an operating agreement with Eye Gaming, Ontario. There's two types of inputs. They all have silicone shells in the outside, but some are filled with salt water. Yeah. That's saline. And others like the ones you have, I'm sure. are filled with silicone. Silicon, the disadvantage is, if it ruptures, you don't know. Saline, if it ruptures, it goes flat, you'll know. It's like having one breast deflate. Like a balloon pop.

Exactly like that. Silicon, it can rupture and be in your body. You have no idea. That doesn't necessarily mean that's particularly dangerous, but that's the fundamental difference. The other difference is silicone feels more natural. It tends to look more natural. It tends to have a lower encapsulation rate.

So there's advantages and disadvantages. Most people get silicone. Yeah. That's why, by the way, I'm sure they told you, it's recommended. It'll be interesting to see whether you do this and I'm sure you won't. But it's recommended that sort of every three to five years, you have an MRI to make sure they're not ruptured. Are you really going to subject yourself to a $1,500 MRI when your breasts are fine? I mean, I'd rather not.

And you'll go, nah, but that's the recommendation. Can they tell an mammogram if it's ruptured? You know, if it's grossly ruptured, mammograms are pretty sensitive. It's called sensitivity at telling they're ruptured. But if they're just cracked or slightly ruptured, they're not very good at determining whether they're ruptured. Only an MRI can really do that. But you actually, believe it or not, you don't remember doing this because you signed so many forms. You signed a forms acknowledging that you're aware you're supposed to have an MRI like every three to five years.

You did. Because we're required to give you that form. And as you sit here, no one told you you're supposed to have an MRI if you used, did you? Do you know that? No. I know. No one does. Dang.

I know. But I mean, I would like to know if they're ruptured or not. But my biggest fear also was, will I be able to breastfeed, which I found out, yes, you can with implants? Usually. Usually. I mean, yeah, it's not guarantee for anybody. For anybody, even if you don't have implants. Right.

Even if you don't have implants. And then I was like, is it harder to detect breast cancer with an implant? So there was a study done in 1978. That was a long time ago. I was in high school. But that said, oh, yeah, if you have silicone breast implants, it's harder to detect. Okay. So you may delay the diagnosis so they present in a much more advanced stage of the disease.

No. The mammograms and MRIs and imaging studies are so good now. Yeah. It doesn't delay things. And certainly doesn't cause breast cancer. Okay. So that's important. It doesn't cause breast cancer.

A ruptured implant is not going to soak your body. In toxins and cancer? No, no, although you've talked to groups of women who have breast implant illness, they'll say, oh, it did to me. And that's fine. If they feel that way, and maybe there's some truth to it, but generally, even if your implants are ruptured, it's not really going to cause a significant health problem. Okay.

And what is the difference between going under or over the muscle? So the under the muscle, over the muscle has advantages and disadvantage, just like saline and silicone. Under the muscle hurts more, as I'm sure you know. Yeah, that's what I did. Oh, yeah. And I'm sure you took Percocet or some strong opioid for two or three days. Nobody warned me about that either. It's really painful, isn't it?

Yeah, it was really painful. But under the muscle has a lower chance of heartening. Yeah. It looks more natural. If you put them on top of the muscle, particularly if you're going fuller, you sort of go from the chest wall to bing, all of a sudden, there's a breast implant. And natural breasts don't go from something to, or nothing to something like. that way up there towards the clavicle.

So it looks... I was so nervous about them looking. Yeah, you want that... So it looks more natural. It has a lower chance of hardening. You can't feel them as much. Although if you have silicone, you probably can't feel them at all anyway,

in a negative way. Right. And if you go on top of the muscle, it doesn't hurt at all. Oh. But I would generally, generally recommend never going on top of the muscle. A lot of cosmetic surgeons, because it's harder to,

more technically difficult to put them on the muscle, They're trained to do them on top of the muscle because that's all they can do. But 99% of the time, unless there's a compelling reason, you should go below the muscle. Yeah, okay. Well, good, because I did that. Yeah. And then why do some people do the incision underneath? Some go through the nipple, some go through the armpit.

Yeah, or the belly button. What? You can't do the belly button with silicone, but you can do the belly button theoretically with saline. Okay, so there's three general ways through the armpit, called transaxillary, through the ariola and underneath. If you have very small breasts and you can see under your breasts, you know, the skin doesn't change color there. So if you make an incision and it turns even a little bit dark, it's like, hello, you've got scars that we can see.

Right. So sometimes in those people, you consider putting them underneath the ariola because it goes from skin color change to ariola, and it's camouflage better. However, some studies show that if you go through the nipple, there may be a little more introduction of bacteria that are in the memory glands and the chance of caps or contractures a little higher.

Okay. So, you know, if a doctor is trained, like in Texas, doctors are trained pretty much to go in the crease because they're putting in giant implants. It's harder to put them in through the nipple. They will all tell you that's the only way to do it. If you're trained to do it through the aerial, like you might be trained at UCLA or USC, they will tell you that's the best way to do it. we're all telling you the way we do it and we're most comfortable.

We're not necessarily telling you the best way to just like the problem with health, wellness, and beauty right now is there's so much stuff out there that doesn't work and some of it's good and some of it's terrible. If you just spent $175,000 on the newest, greatest machine for your patients, you're going to tell all your patients that this new technology, is the greatest. Yeah. And chances are it probably doesn't even work very well.

Yeah. And you're going to like sell it and sell it. And it may make a change for six weeks and it doesn't work. So you always have to try to, you know, do your research. But that's why I'm going to do a podcast coming up about this kind of stuff. And I'm going to test all these things and tell the truth. None of these things will be in my office. I'm not selling any of them.

I'm going to tell you about peptides and hormones and colonels. and creatine and all this kind of stuff on a podcast that I'm going to ultimately do that I may or may not sign a deal for very soon. Oh, no, I want to know that. And I'm going to test these things on myself. Oh, cool. And people you know and determine what works and what doesn't work. But a lot of the stuff, you go to Beverly Hills, the busiest plastic surgeon,

he's telling you this new machine is the greatest. Of course. It doesn't work. Of course. It may, but it probably doesn't work as good as he's telling you. Yeah, of course, because he just spent all the, money on the machine and needs to sell it. Needs to sell it.

That's what it freaks me out when the big social media plastic surgeons and they got all the buzz going and everyone's, well, then they charge so much extra because they're probably spending it all on marketing on their socials and growing that. They are. Yeah. And so that's the, you know, it's a double-edged sword to go to a plastic surgeon is all over social media, but how else you can hear about people these days. Well, word of mouth is how I did it.

That's good. That's the best way. That's how I did it. Yeah. And I went underneath. And I'm telling you this, I'm six weeks out. And I already feel like the scar is like not gone, but like not even close to what it looked like before.

So an important thing that you probably haven't been told that you should know is that when you wear a bathing suit, okay, it may block UVB, but it won't necessarily block UVA. Okay. UVB is stuff that causes sunburn. Okay. But UVA gets through a bathing suit that doesn't have SPF protection and can cause that scar in the next year while it's healing. It takes a year to finish to turn dark. Really? Yeah. So, good to know. So this summer, how many months are you out now? Not even two.

Okay, good. So this summer, I would either put tape on there or put SPF 50 and keep reapplying it as soon as you come out of the water, go to the bathroom, lift up your bikini and put it back on there. Yeah, because that UVA that's going through. It was not causing a burn, but it's causing it maybe to turn dark. And once it turns dark, you can do things about it, but it's there. Yeah, you'd rather not. It's there. That's another thing I feel like, and maybe they told me when I was out of it coming out of surgery, but I was fully addicted to a percassette. Oh, you loved it. Oh, I loved it. And I also knew, okay, well, I can't do this forever. So I tried to cold turkey it. Oh, that's not good either. But I didn't know.

Switch to Advil. I didn't know. And I'm like, did they tell me while I was loopy? Because I was, I was by myself, so I had a night nurse come help me because I was like, I need somebody to be scheduling when I'm taking this perk set. I need somebody to help me even just get out of my bed. And I didn't know. So I'm popping a perk set every six to eight hours.

And it felt good, too. Oh, and a Valium. I was like, I'm living. Yeah. And I, because it was very painful. And so then I had girlfriends come into town. I'm an overachiever. So I was like, I'll be fine in three days.

On the fourth day, I was still taking the perkinset. And I was like, I should probably stop this because I'm going out. I stopped and I thought I was dying. Yeah, that's a problem. So there is a- And they gave me a bottle. I know. I know.

We do that. Why? I know. Well, what we're supposed to, you know, particularly in California, you know, there's an opioid crisis in this country. Yes, yes. And so the California Medical Board is very intense and very monitoring. And so we tend here to give less perk of sex.

We're afraid that patients are going to, to get addicted. Good, but you should be. Yeah, but there's, there's, if you're, so long story short, you know, take your percassette, but start taking Advil, if your doctor lets you, if your doctor lets you, which they should, by post-op day too. Because once you get the Advil going up in your blood, you can wean off the percassette. You happen to be one of these people like, I will have an operation, and I can't take any perkinset makes me sick. Oh, really? It's such a bummer. And so I know, a lot of my patients, not only do that. they, is it good for analgesia, but they love it.

And so if you're a real responder, they come in, I need another prescription. Well, I mean, that's, that is how people get so fully addicted. And then it turns into like, because that feeling of not taking one after you've taken for four days is, I literally thought I was going to either shit my pants, grow up, or faint. Yes. And I was just like, this is so not good. I need another perk set. And I'm like, oh, shit, this is how people get addicted.

So then I started taking a quarter. and then a quarter and then I've, yeah, I weaned myself. Oh, that's good. But I didn't want to. Yeah, they didn't tell you to take Advil, huh? Well, they might have, but I was so high on Percocet's when I went in for my postop too. I don't remember shit. Yeah, and then when you tell them to start taking Advil, they think, oh, yeah, well, you start

drinking water for your pain, you know, they think it's nothing, but it really works. Yeah, I started doing that after I would take Advil and then like a Tylenol. That's right. Yeah, okay. But you have to be careful with that because Percocet has Tylenol in it. And so you can easily OD on Tylenol. It's the number one cause of an overdose death in this country. I have heard that because of the liver.

It'll shut down the liver. It'll kill your liver. Yeah. So anyway, but that's, yeah, Perkissette, people love them. People really do. The massaging. Yeah. So I really want mine to sit lower and more natural.

So I have like the strap and I'm trying to do the massaging. Like what is the proper post-op care for a breasting? implant. I'm sure your doctor told you to massage them. It doesn't make any difference if you do your dog, to be honest with you. Though the main, we used to tell patients massage them because we thought that it minimized the chance of hardening and help put them in the proper position. But it really doesn't. And it doesn't, it's not important for preventing capsular contracture. It's the reason we now, most of us tell you to massage, because if you massage them periodically, you'll know where they're getting hard.

Oh, yeah. And this is an important message. If they start to get hard, if they start to get firm, there are medications you can take early on that can potentially reverse that. Okay. And a lot of doctors use this medication. It's an asthma medication called Singular. It's really weak.

It doesn't really work that well. And then there's another one that's on the market that you have to start testing the liver for, but it's very effective, but not all doctors want to use it called accolate. Accolate can reverse capsule contracture in the early stages. And I've actually seen it reverse it even in the advanced stages. So if you start, if you massage, you realize, oh, my left one's, I think, getting a little firm. Go to your doctor and go, my left one is getting a little firm and get on one of those medications.

Okay, that's good to know. So that's the main reason, surveillance is why you want to massage them. Okay, that makes sense. And, well, what I found is a lump the other day, and one of my good friends has just been diagnosed with breast cancer. Scary. So scary. So I felt, and I'm like, I have a hard lump.

Is it painful because I just got them done? Or is it painful because it's cancer? And so I immediately book, I can't do a mammogram yet because it's too soon, but I booked a ultrasound. And I was so terrified. I had tears streaming down my face because I was like, oh, my God, this is the reason. I never thought I would get implants, but I got them something made me go, oh, I'm going to get implants. And it was to show me that I had cancer. And I had, you know, done the doomsday

spiraling. As we all do. Oh my gosh. And the lady that's doing the tech is, she's all bubbly and happy. And she starts going and she gets all quiet. Oh, and that's freaking you up more. I go what. And I said, do you know what's, do you, can you see? And she goes, I'm not allowed to tell you. Oh, that even makes it worse. And I went, oh my God. And tears. And she just grabbed my hand. And it was like a grab your hand like something's wrong. And she went, everything's going to be okay. And I went, oh my god I'm dying yeah and it was I just had this freak out anyways it turns out I'm just a very cisty girl but yeah I was so scared I was like now I'm glad you told me that you still can detect a lump and whatever because yeah okay this occurred post-op right the lump yeah

okay so did you have a mammogram before did he make you get a mammogram well I just had one like right before yeah a year before within a year yes yeah so any post-op lumps are never cancer If you were putting an implant in, would you be able to see a lump? So the best time to do what's called a bimmanuel, an inside-outside physical exam is when you're doing a breast augmentation. Because you put your hand inside, you've got your hand on the outside, and you can really get a sandwiching good feel. And we're all supposed to do that.

And I always do it. When I make a pocket or when I'm doing a revisional surgery, I take the implant. I go, okay, let's go through, because I once found in this woman, a little piece of sand. It was like, it wasn't a pea. It was much, much smaller than a pea. Yeah. Like a little sesame thing thing and a bagel, a sesame bagel, right?

Sesame seed. And I go, I said to my assistant, I go, what do you think this is? And my assistant goes, well, it's probably nothing. Well, let's take it out. Yeah. I took it out. And because I did that really careful inside, outside exam, and it came back cancer. You're kidding.

Which was awesome because it was so small and so early, it was a total cure, and she needed nothing. She didn't even need a lumpectomy. Wow. It was a complete cure. And it's because I did that, and it was like one of my biggest saves. Yeah. And it's funny because when I met Heather, my wife, Heather Grohl. And I told her this story.

And her husband owned a BMW dealership. And he goes, I want to buy you a BMW for saving my wife's life. Oh, my God. I go, no, no, no, don't buy me a BMW. Don't buy, I don't want a BMW. I go, I'll take him or see. No. Yeah, I was going to buy you.

So I told him this story, and weirdly, they got, and this happens, you know, if a couple that's been married for 20 years comes in, and suddenly she wants a breast implant, they may be getting divorced very soon. This may be the final salvo, salvage. Anyway, they got divorced like two years later. I told Heather about this when I first met her, cut to 20 years later, we're at a charity function, miracles for kids, okay, and this woman comes out to me, goes, Do you remember me? You saved my life. And I go, Oh my God, hold on.

And I go get her. I remember that story? I told you about that. I found that little sesame seed side. Yeah. And I saved her life. He goes, she's here. Oh, my gosh.

And she goes to my, she goes, Heather, he saved my life. And you know, you want your wife to be hearing them. Yeah. You know what I did. But anyway, you don't see it, but that's the best time to feel a small lump

that you normally couldn't feel even yourself on physical. exam. But you know, you're supposed to get within a year, if you're over the age of 35, and I think probably over the age of 25, you should, get a mammogram before you get a breast implant. My girlfriend, Katie, who has stage four breast cancer, she's 34. Wow. 34 years old. I can't even, I can't even wrap my head around it. That is such a bummer.

It is. She's handling it like an absolute chip. I mean, she still has, you know, obviously she's going to have her days, but she is just, she's doing all her research, and she is like, making her platform all about like awareness and yeah but it's it's scary it's so scary and it seems like breast cancer is just rising amongst young women these days and it's terrifying yeah that and lung cancer weirdly is lung cancer too yeah it's very weird maybe the air pollution that we're breathing something of the food the hormones but you know it's funny i'm a big surveillance person this is a entirely different topic but you know i really believe in getting those prenuvo MRI scans yes i did someone you did see someone you're young

age, really good to do that. Heather and I just did endoscopy, colonoscopy, and she put it on the internet. We did the prep. And, you know, the recommendations by the American Radiology Society to tell you, or GI Society, it says, you know, you should get your first colonoscopy at age 45. I think you should get your first colonoscopy age 30. Yeah, I want to book mine. My girlfriend just booked hers, and she's 36. Yeah, even if, yeah, because it's the most curable. So I'm a big survey valence person. So I think, I don't necessarily think you're 25, you should get a mammogram, but if you're going to have breast implants, get them, because here's the problem, if you get breast implants, and then a month later, you have a mass, or you have a thing that's seen now on

mammogram, well, was it there before? Because if it occurs a month after, it's related to the surgery. It's not something that was there before. Most people were telling me that, but I was like, I need to be sure. But yeah, yeah. So, but a lump's a lump, you know, even if you had a and you develop a new lump, unless it was right there in the area of the incision, where it gets hard because you're stitching. Yeah, then you wouldn't do anything about that. But if it's a new lump, you're going to, an ultrasound showed it was just a cyst, huh? Yeah. Yeah.

Yeah, that's good. I mean, I've got cysts everywhere and fibroids on my ovaries and I'm just a... From your pernuvo. I saw it on the prenuvo, yep. And then I got an ultrasound. And then, again, for my 40th birthday, I said I was going to get boobs and my fibroids removed. I'm like, this is aging, here we are. Well, that's the problem with those early MRI studies from head to toe.

It's going to find things. They're overly sensitive. Yeah. Oh, I found out a cyst on my brain, thought I was dying. I did too. Really? I have a neuroglyle cyst, and I went, okay. And then I have like two cysts of my liver.

Well, at my age, you start to get what I call barnacles. Like you're a boat that's been around in the ocean for a long time. You're growing stuff. But the problem is if you get one of those studies and it shows something in and around the pancreas, you go, well, I better biopsy it. Right. And now once you pursue it by putting needles in things, I could tell you a very terrible story about a doctor who did one of these older cat scans, found something in the lung. And the radiologist said, you know, let's just re-scan it in six months. And the doctor said, I want it, I want it biopsy.

because I want it out if it's cancerous. It's so small and it's in a weird spot. Let's just re-scan it and see if it grows in six months. He made them put a needle in it. Yeah. He went to the hospital, put a needle in it, and had cardiac arrest, and they hit a vessel, and he died. And then the autopsy, great topic for your podcast, right?

But the autopsy showed it was benign. Be very careful pursuing these funky. little sys and barnacles that they find on these studies because you're trying to get find things right that is awful it's so awful but you know i did a MRI and it found something potentially in my prostate and i ended up doing like multiple different kinds of much higher intense MRIs with gadolinium scans and ultimately said yeah it's nothing yeah and i had four MRIs god and aren't those like radiation and galenium yeah gadolinium is a is a Contrast they put that the MRI is allowed.

It's not made out of metal or anything, but it allows them to see it better. But ultimately, you get too much gadolinium contrast and cause dementia. It's a whole thing. Somebody told me when I was worried about mammograms and the radiation, and they were like, you get more radiation in an airplane. I'm like, well, new fear unlocked. Great. You get radiation in an airplane? Yes, you do.

But it's low. It's low, low. Well, that's so scary. What do you think the biggest misconception is about implants? That it's one and done that you get them and you never have to worry about them. Now, the reason I'm so glad we talked about the motiva with the lower, the truth is with regular implants. Doctors don't tell you, but there's a huge chance you're going to need an operation next five years to do something about a complication. Huge.

And so that's it. And then the other thing is don't go too big. If you go too big, if the body has the potential to react to them, it's going to and doesn't like them. It's going to like them a lot less if you go too big. And they're sitting there pushing on the tissues. Yeah. I went from like a large A to a large B. Which is perfect. Yeah. The chances you'll have a complication even without the motivas is super low. But you know, when I do my next surgery to replace them, can I do the motivas? Oh yeah. Okay. Great. But you hopefully won't do the next surgery for a hundred years, you know? So they could. So you don't have to replace them.

No. No. Oh, that's a good question. So it used to be. that... Eight to ten years or something. It's not true. Oh. If you come... I can't tell how many patients coming to me

after 15 years and they say, oh, I think I need my implants taken out. Why? Well, it's been 15 years. I go, well, do you have any problems?

No. Do you getting MRIs? Yes. Any problems with that? No. They say, if it ain't broke, don't fix it. By the way, going in there

is not necessarily the most benign thing you can do. Right. You make an incision, you go in there, and even if there's not a lot of work the doctor has to do, it's still trauma.

Yeah. So the body may, on the second one, go, yeah, F you. Yep. And start putting scar tissue down. Totally. Yeah. That's what I thought. I thought about that, too.

Because I mean, you're like the king of revisions and seen the worst to the worst. So if it ain't broke, don't fix it. Okay. That's so good to know. And if it's good, it's good enough. The enemy of good is better. All those things that we always tell patients. Yes.

If you don't need it, don't do it. Yeah. Okay. Is there something, is there a story from like the botched side of things that has stuck with you? I mean, probably that story about saving that woman's life, but something that sticks with you that's like the worst case you've ever seen or like something that's stuck with you emotionally, whatever it is. Yeah, you know, I had a patient in like season two who came in and she,

you know, sometimes you can, you hear about these stories, people go to these pumping parties where instead of going to a doctor to get filler in their face, they go to someone in a hotel and have illegal filler put in. Oh, God. They call them pumping parties. I've never heard of that. Yeah, it's a thing. Okay, so there was this woman in New York, she actually went to prison, who was getting illegal plumbing supply material and injecting into women's faces and body and buttocks area.

Oh, my God. And at first, it seemed, well, that was pretty good. By the way, it was cocking material, the stuff you put between tile. Yeah, yeah. Oh, my God, no. So she would inject it into women's faces, and at first it looked okay, and then the body after a while, because it wasn't as sort of what we call inert as silicone is, meaning the body has a, greater potential to react to it. Everybody's bodies were going, oh, my God, and forming massive, what are called granulomas, these big, lumpy masses.

Yeah. This one came in and it was on her face. She had masses all over her face, okay, like big giant tumors. And every doctor she went to said, don't touch it. Yeah. Because, yeah, because the problem is it's going from skin all the way down to bone. It's made out of concrete, essentially, because it's cocky material. and the chances that we can take it out and not kill the skin, kill the nerves, and even cause more of an inflammatory response is low.

You know, you go in there and if it's pissed off putting it in, taking it out may really irritate it more and cause infections and so on. So everybody passed on her. Wow. So we passed on her the second season. Yeah. So then I couldn't, I just couldn't get it on my craw. Yeah, yeah. So for the next four or five months between season two and three or three and four, whenever it was, I thought, I woke up at four o'clock in the morning and go, wait a minute, wait a minute, I, no way to remove this without killing the skin above or destroying the nerves and the bones below.

So I opened up her face. I took an orthopedic saw, and I cut out the middle two-thirds of it and put it back down. So she still had it in there, but you couldn't see it. Oh. And when you feel your face, you feel your bones. Yeah, yeah, yeah. You know, so she had, you know, sort of heart areas, but she looked great, and the body didn't overreact and I fixed her.

Oh, my God. I'm going to go look that up. Yeah, that case really stuck with me. Wow. And you changed her life. I changed her life for sure. Wow. But, you know, I've had so many cases where, and this is where it gets funky on the stuff I do,

If five plastic surgeons tell a patient, this is too dangerous, don't do it. And you're number six and you do it and it goes really badly, that looks really bad for you. Totally. Because it looks like you're the idiot. Yeah, totally. And you were the one, you know, you did it out. Nobody accuses me of that because I'm the botched doctor. Right.

But so I get all these patients where everybody says that's too dangerous. And I go, well, you know, I can do this and take it apart and do that. So that's sort of what I've come to special. Gosh, if I, to talk about what's dangerous, if I was married to a plastic surgeon, I'd want everything. Well, it's funny, because when you go to plastic surgery meetings and you go to the cocktail party before and you look at the wives, it's interesting. Some of the wives are, you're going, oh, my God, you fell out of the plastic surgery tree

and hit every branch on the way down. You know what I mean? Yeah. It's scary. It's scary. You know, yeah, plastic surgeon's wives have some funky plastic surgery sometimes. Which is so interesting because you would want, it's almost like your plastic surgeon looking, like, you know, you don't want them to look. No, you don't want dentists with bad teeth, right?

Yeah, exactly. You know, but you just got to be very careful because if your husband's a plastic surgeon and you're so oriented to just, oh my God, see this line, inject it. Yeah. I see this droopiness, lift it, you know, less is better in plastic surgery. What do you think about filler? I think so. Filler and Botox. I feel like they're getting a bad rep right now.

Yeah. Yeah. I think Botox is great. Yeah. I think Botox is fantastic. Yeah. And there's many, many different kinds of botulinum toxin now, ones that last longer. But filler is a double-edged sword and a big theme on Plastic Surgery Rewind, the show I'm doing coming out. I'm probably not supposed to say this, but coming out July 10th, is should people get filler reversal? And filler, that's the problem with filler, because you go to a doctor, a dermatologist, plastic surgeon, or whatever.

say, well, if you don't like it, we can just dissolve it by putting what's called hyluronidase and dissolving. Not so fast, because dissolving it can have its own side effects and can leave you deflated and weird. And sometimes filler continues to accumulate fluid and it can get worse and worse. So filler, what I call judicious amounts is good. And if you need it. But, you know, depending on which plastic surgeon you go, is somewhere going to say, oh, I do

micro fat and it's all about fat transfer now yeah fat transfer is replacing filler to some degree but it's not benign oh in and out of itself either horror stories about fat transfers and going lumpy and not tons yeah but then they'll tell you well there's micro fat where they calling it um there's another term that we're using where you centrifuge it down you put very very small volumes of fat and they're saying there's no problem with those not true oh my god not true I have trust issues. How do you like it? Everybody's just trying to sell you something.

They are. They really are. That's why I, you know, I'm interested in, you know, ultimately doing a thing where I've tried to give the truth about everything. Yeah. But I like that. And the new show you are doing sounds incredible. If you do this podcast, I'm so tuning in. I'll be your guinea pig with creatine.

Right. Oh, by the way, you don't do creatine? I'm about to start. I'm obsessed. I've heard like even brain health. Like, I lift weights three times a week, so I'm like, yes, it's so researched. I'm really excited to try it. It's the greatest thing.

It's been around forever. It's becoming really, really popular. Let me just give you two little caveats about your creatine. Number one, your weight's going to go up a little bit. It's just water. Yeah. Okay, so you will be a little heavier. It freaks all women out.

I know. That's number one. And number two, if you get a lab test and you look at your creatinine, which is a measure of your kidney health. it can falsely elevate your creatinine and make it look like you're going toward renal failure. Oh. So if that's, if you're going to get that normal blood test, like you had blood drawn before your surgeon, correct? Yeah. Yeah.

One of the measures they looked at were electrolytes and creatinine. Okay. And it was normal. It was less than 1.2, 1.4, whatever. Yeah. If you go on creatine, you'll probably take five grams a day. Yep. Right? Your creatinine will probably bump.

Tell your doctor you're on creatine before you free. freaks you out telling you you need to come in here. And there's another blood test you can take that measures your kidney function that doesn't do it based on creatinine. Okay. So like for Heather, I put her on creatine. Yeah. I'm a creatine obsessed, okay?

Yeah, yeah. And it bumped her creatinine into renal failure labs. And when we first got her lab back, I went, oh, my God, my wife's in renal failure. I freaked and I go, how am I going to tell her this? And I go, whoa, whoa, whoa, whoa, whoa. She's on creatine. Thank God. Oh, man.

Because real failure is bad. You don't want to have real failure. I mean, you, and you two are like the biggest OG Bravo couples, like, that have survived the longest. What is the secret to surviving reality TV and marriage? You have to learn how to fight well. Yeah, I feel that. Yeah. And so we've learned over the years how to, you know, just like right now she's mad at me.

Oh. She's mad at me at this very moment. Oh, no. And why she's mad at me because we have this thing where, you know what they say don't shoot the messenger. Yeah. So if someone, for example, if someone's saying negative things about you and you tell the other person that this person's saying negative things about you and you, otherwise you would never hear about it, it's better not to tell them. Right. So it's a, you know, don't kill, I believe in killing the messenger just as long as it, you know, unless it's information that you need to act on.

Right. Well, I told her this thing that she didn't need to hear. Oh, no. And she's mad at me for telling her. And I don't blame her. Because it's like, why did I tell her this? I told her this because she made a comment on a thing and it went viral, blah, blah, blah. If I mention it now, I'm sure you'd love it because it'll go viral.

But I don't want to. You don't need it. You don't need it. But it's a thing. I go, well, that's because you made a comment on the room and they start writing articles about this thing. She goes, why do you tell me that? And so I don't blame her. She's shooting the messenger and she's mad at me at this very moment.

But learn how to, you know, for us, you know what they say don't go to sleep mad. Go to sleep mad. I agree. I always say that. I'm over it in the morning. Yes. Turn over and just hate each other. And then wake them and go, what was that about?

Yes. Don't argue when there's alcohol involved. Fair. Just like drinking. Fair. No DUI, no A-U-I arguing while intoxicated, A-W-I, whatever. And then, you know, schedule. Because the best thing you can hope for in a long-term relationship is to become best friends.

Everything else is going to, to a great degree, fade. away. But if you can become best friends, that's the greatest thing. So constantly work on your relationship. I think one of the reasons we've worked so well is this is going to sound terrible, but we have four kids. I have put more emphasis on Heather than I have ever put on my kids. I don't think that sounds terrible. I've heard a lot of successful relationships do that. Yeah. I was never the guy, you know, whatever it is for let's throw our lives away for the kids. Nah. I always used to say when they're three, five, seven, they're not going to remember whether we sat here for this baseball game. Let's go out. Let's hang out. Let's have fun together. And prioritize each other. Your kids are not going to remember anything before 14 anyway.

How old are your kids? We have two 21-year-olds, an 18-year-old, and a 14-year-old. Oh, my gosh. Do they, like, how old do you think you should be when you have your first plastic surgery? It depends why you're having it. Okay, that's true. You're bothered by something that we can all see. Yeah. Sure. Fix it.

Yeah. You know, there's some operations I don't agree with it. I don't really, I'm not a big fan of the Brazilian buttock lift where you take fat and put in the buttock. I think that's an operation could go away. It's the most fatal operation in plastic surgery. Yeah. But I mean, look. Yeah, do some squats.

Do some squats. There's lots of things you can do. And, you know, the lip filler thing at 19, come on. I know. But, you know, it's funny because my daughter said. to me, but dad, I have thin lips. Heather has these big, luscious lips, and I have thin lips, and she got my

lips. And she goes, I want some lip filler. I go, no way. She goes, really? Really, you? You're telling me no way? So, did we give her a little filler? Maybe I did give her a teeny bit of filler. But I said, that's it. So I don't think it's really like, you're too young.

I think you're too young to do breast implants at 17. Yes. Because your body changes. Your body changes, and you know. And what you like about your body changes. I'm like at 39, almost 40, I feel like I can make those decisions. I think you probably could have made that decision at 22, probably, if it bothered you. You know what?

I always loved my boobs, always until I went to turn 40 and I went, I just wanted them a little bigger. Yeah. Yeah. No, I think that's very smart. Yeah. So it's a case by case basis. Yeah, but I'll tell you, I got the upper bluff and they said it was a gateway, and all of a sudden I wanted boobs, and now I want a nose job.

and I'm not going to. Please don't touch that perfect nose. I'm not going to. It's just, I have dysmorphia, but I'm not going to, I promise. The nose would be dysmorphic, because the nose is very good. Thank you. I mean, I look at it there and I go, yeah, it's a perfect nose. But when I see it from certain, it's just me being,

but I'm very self-aware about my dysmorphia. Particularly nasal surgery, because nasal surgery can get funky very quickly, even done by the best of the best, because of this phenomenon called shrink Rapage. It can go very south, even if they do it perfectly. Oh, God. Yeah. Yeah, well, scratch that. I'm not, I wasn't going to do it anyways. It's just my own psycho brain doing its thing. Yeah. Thank you so much for coming on today. That was really fun. Oh my gosh, I could have talked about everything else. I have so many more questions. But thank you so much for, for answering my questions and being so open with me. It was really fun. I appreciate you having me. Good. And I love your wife, so tell her, I say hi. I will. She said,

say hi. Thank you. That's awesome. Thank you so much. Thank you.