The Livy Method Podcast - Let's Talk Skin and Weigh Loss with Dr. Sean Rice - Fall 2024

Episode Date: November 18, 2024

In this live segment, Gina chats skin & weight loss with renowned cosmetic and plastic surgeon Dr. Sean Rice B.A. (Hons), M.D., M.S.c., F.R.C.S.C.If you are in the Fall 2024 group, you can check out the full video here:https://www.facebook.com/groups/ginalivyfall2024Topics covered:Let’s talk skin with world-renowned plastic surgeon, Dr. Sean Rice Why it’s so important to take care of your skin.Early prevention with skin care is the route the younger generation is going.What’s the deal with cellulite?   Dr. Rice discusses some products for cellulite. Let’s talk crepey skin.  The combination of Softwave and injectables is effective in helping crepey skin.It takes 6 months to see results. Exosomes is the wave of the future! What products are worth it? Is there anything we can do about stretch marks?Rapid weight loss with Ozempic. Let’s talk about body cream.  Estrogen cream for your face. Ethnicities and genetic predisposition to younger-looking skin. Let’s talk about Liposuction as a weight loss alternative. Weight loss surgery and when it’s necessary.Does Coolsculpting work?What can we do about jowls? Exosomes are being used for skin care, cancer delivery, and grey hair.Does face taping work? Let’s talk volume loss and what we can do about it.Where you can find Dr. Sean RiceWebsite: https://www.doctorseanrice.com/ Instagram: @doctorseanriceTo learn more about the Livy Method, visit www.ginalivy.com Hosted on Acast. See acast.com/privacy for more information.

I'm Gina Livy and welcome to the Livy Method podcast. This is where you'll have access to all of the live streams from my 91 day weight loss program. With a combination of daily lives, guest expert interviews and member stories, there is something new almost every day. Miss the morning live? Want to re-listen to one of our amazing guest experts? Well, this is the place. This podcast is hosted on Acast, but it's available on all podcast platforms, including the one you're listening to right now, Spotify, Apple,

and Amazon Music. This is an opportunity to become curious. And then some things, how do we help you feel less overwhelmed so you can continue on your journey? Keep believing in yourself and keep trusting the process. Just be patient. Today we're talking about cellulite, crepey skin, stretch marks. What about liposuction, fat melters, or how about volume loss after weight loss? That is the conversation today. It's going to be a good one. You know why? Because my good friend and world-renowned plastic surgeon, Dr. Sean Rice is joining me. Hello. Good. Hey, how are you? A long time, no see. How you been? Good. I see you are coming to us from your fancy schmancy studio there. I had an opportunity to visit Sean when he had his grand opening. Well, when was that in the summer?

Oh boy, that was, yeah, that was a couple of months ago. Yeah, we're down here in Yorkville now. So it's, it's awesome. I moved from up north, Toronto down here. So it's great. Private elevator, the whole nine yards is perfect. I feel like a movie star now, you know, you, you, you, I mean, you are, you are famous in your world. I love that you're spending time with us today and you're also the, the humblest, most real guy out there, which is why you're the perfect person to give us the real deal with this conversation today. Okay. Let's talk about's talk about okay so let's obviously you're you are in the weight loss group right now and we have like 30 000 people watching listening you know millions of downloads all of that um all focused on weight loss but let's start with skin

in general right what why do we need to take care of our skin? What's, what does the skin do? What's the importance of skin? Like give us the real deal on just our skin in general. Right. So, you know, the simplest fact that kind of blows everybody's mind, if you think of the skin is really the biggest organ that we have, right? Nobody ever, nobody ever equates it like your heart or your liver or something but there's a a trillion things that your skin does you're right it protects you from the outside it gives you some structural integrity protects it from uv rays it just kind of goes on and on and on and and it's one of those things that we just tend to kind of ignore because you know never really

pay much attention to it yeah when you say it say it like that, like your heart or your liver, like those are important organs. I mean, I think we don't view our skin as the same way. Let's go back to maybe there's someone who's on the younger side and they are watching or listening to this conversation. What is your advice for them to start taking care of their skin now today? Well, you know, that's a great question. It's I look at my, you know, my daughters, I got two daughters there. They just had their birthday. So one was 29 and one is 24.

Now, my 29 year old is kind of taking the route that a lot of 29 year olds have taken. They're taking a very preventative route. You know, when I was 29, I never cared about my skin. I never thought about my skin. Right. And now younger people in that age group are starting to really kind of worry about their skin. They see kind of the long term effects of, you know, potentially skin cancer, UV rays and stuff like that down the road. But I think to them, really what they're really scared about is the wrinkles and the loose skin. So they're really into neurotoxins, and the loose skin so they're really into neurotoxins botox dysport those things are huge these days really good skin care is a preventative

measure is i think that's the route that the younger generation is going yeah no longer lying around the pool with uh what was it baby oil and yes I'm like, I got the world's most pale Irish skin, right? You know, from my parents and, and I, I go to the Caribbean and I, I hide under the tree and I step out for 10 seconds and I hide under the tree again. Cause I just burn. But you know, there's, there's so many good skincare or sunscreens and stuff like that now. So there's lots of things you can do. Okay. We're going to, we'll get into that because obviously what can we do? sunscreens and stuff like that now. So there's lots of things you can do. Okay. We'll get into that because obviously what can we do, sunscreens and stuff, but we want to get into the real conversation here. Let's start with cellulite because that's a big

one. What's the deal with cellulite? Is there creams we can put on? Is there exercises we can do? Is there surgeries we can have? What give it to me? What can we do about cellulite? Sure. So you got to think of cellulite as a structural issue, really, right? So cellulite is caused by three things. So you start with the skin layer, generally got a bit of a thin skin layer. And then between the skin and the underlying muscle, there's these little bands that kind of pull down your skin right women generally tend to get cellulite because their bands are fairly parallel like this men generally don't get cellulite it's just anatomically their bands tend to be on a bit of an angle so what happens is is the band tightens and then you get little

globs of fat that gets stuck inside of it and And that's where you get that sort of dimpling. So if you're really going to go after cellulite, and honestly, there's really no sort of be all and end all of approach to cellulite. But if you're going to go after cellulite, you got to go after those three issues, the thin skin, the bands, and a little bit of the fat that gets sort of stuck in between. Okay, so why do our bands get tighter? Is this something that we get more cellulite as we get older? Yeah. You know, it's a great question. I don't think anybody really knows the issue for that. I think sometimes your bands are kind of

tight and as you get older, the skin gets a little bit thinner and then those bands start to pull down a little tiny bit more, but there's lots of there's really lots of interesting new concepts. I've been working on some new designs for not necessarily products, but combining some products for cellulite that seem to be working amazingly well lately. So if we is there a cream we can put on there? Yeah, I would say there's no sort of cellulite cream in all honesty. Some of those creams and some of the machines, let's say, kind of move water around. So they're maybe good if you're, let's say, going to Jamaica for a winter break, right? And you just want to get rid of some cellulite temporarily. Some of those things could work. But there's new and exciting technologies

on the market. Softwave is a new one that we've been using a lot. I had Softwave on my face just to see how well it worked. And boy, it really pulled my jowls up. It did an amazing job. And I've used it in combination with things like Sculptra is a stimulant that goes underneath the skin. It stimulates, thickens up your skin. You put the energy device on top. These sort of new approaches tend to be working extremely well. Okay. So how much of a difference are we going to notice and how much would that cost to get our cellulite looking better? Well, you know, it depends on kind of the areas you're thinking about. So the most areas that I find

are responding really well are sort of on top of the knee. You know, like say you're playing tennis or something and you're wearing like a little miniskirt and you get that wrinkling on top of the knee. And then the cellulite on the back of the thigh is huge. So we've been using the energy device along with some sculpture. It depends on kind of how much of the energy device you need and how much of the sculpture you need. But you're probably looking in the $3,000 to $5,000 range for a couple of treatments, just depending on what you need done. Okay. And what about creams? Is there creams? Yeah, there's some good creams on the market. There's no cellulite cream. I

wouldn't go after a cream that personally that that's like, okay, this is what I'm going to use for cellulite. And this is what I'm going to use for something else. Right. I would pick a really good cream. There's some, there's some really good body creams on the market. A couple that I've used personally lately, I just had a laser treatment that's coming to Canada done to my face. So I've been using some new exosomes and some of the new skincare lines that have come out. Elastin is a pretty good skincare line. They have a very good body product. I just tried this new one by epic cutis it's a i used the body one on my face just to see how it was amazing it was a really good product so there's a couple of very good products coming up on the market and um if you take some new ones

like let's say skin better has a new product coming up it's got some alpha red some and some hyaluronic acid in it not necessarily too great for cellulite but really good at sort of preparing the skin as well okay everyone's writing those down lasting i have no financial interest in any of them so i wish i did well you know i want to give people the real deal. Like at the end of the day, cellulite is absolutely normal i exercise more maybe if i have more muscle mass i don't think that necessarily does much for cellulite it's really more of that structural issue that you're going to have to go after those three sort of factors okay good to know and good to know that there are some there are some actual creams that can make a difference what percentage

are we talking about like we're not i'm not going to get this cream. It's going to take away my cell. I'm not going to get a surgery. It's going to take away my cell. What, what much, how much of a difference is it going to make? So here's the interesting thing. You know, everything in medicine is, is graded on some sort of a scale, right? So if you think of cellulite, I can't remember the guy's name. I think they're Swedish, but then, but the, the grading scale for cellulite is kind of one to four, right? So this is the way I try to explain to people. Four is really, really bad. And one is pretty well, everybody's got some version of one, let's call it. Nobody's skin is, you know, completely pristine. Any of those cellulite treatments, whether you combine an energy device along with skincare, you're really

going to change your cellulite by about a grade, right? So if you're a four that looks terrible, let's call it, and a three still looks bad, my theory is save your cash because you're really not going to see a huge big difference, right? If you're a one and you think you're going to go to a zero, save your cash because your one's never going to go to a zero, right? So the people that really respond well to those cellulite treatments are somebody in the two to three category, because going from a three to a two can make a big difference. You know, visually going from a two to a one makes a big difference, but you know, four to three, it still looks bad. So you're going to get a little bit of improvement, but not overly much.

Okay. Good to know. What about crepey skin? What is the deal with what's like, save us from the crepey skin, save us from the crepey skin. Yes. Crepey, crepey skin. Oh my God. Crepey skin. You could do a whole five hours just on crepey skin on the, on the theory behind creepy skin. I just gave a big talk. I've given so many big talks lately. I was just at the Metro Convention Center giving a big talk there with combining biostimulants,

a particular sculpture which is called polyolactic acid, which is an injectable, along with Softway. That's a new energy device that's come to Canada. So it's one of these sort of external skin tighteners. Combining the two of them, amazing results on crepey skin. Like seriously, the results have been really, really good. Nothing's the be-all and end-all. So the way that I approach it is like this. So the energy device, here's your skin.

The energy device will basically help to tighten. So let's call it the top third of your skin. The one that we use is Softwave. It's an ultrasound device. It sends an ultrasound wave into your skin, heats up your skin, and that causes the skin to tighten. Sculptor is an injectable. You need to do it about three, four times, about six to 10 weeks apart because it stimulates your own collagen to rebuild itself. So it stimulates the collagen from below. The energy device is stimulating from above. And boy, the results have been absolutely amazing. Is soft wave likeapy? Is that similar? Yeah, I kind of think it like Ultherapy. So the issue with Ulthera is that Ulthera works amazingly well,

but the energy from Ulthera goes very, very deep into the skin. That's where it can become uncomfortable for patients. The other thing is sometimes in Asia, Ulthera is very, very popular because part of it is there's a potential for getting some fat loss in your face by using Ulthera because the energy device goes so low. It's strictly theoretical, but a lot of people have used it strictly to try to sort of thin out their face. So if you've got a thin face, I would say stick to something that's a little less deep, but still gives you a good result. Okay. So when it comes to the crepey skin,

beyond just how it looks, is there any benefit in any of these treatments in terms of making our, does it make our skin healthier? Great question. I would say, I guess healthy depends on how you define healthy, right? I don't think it's going to make your skin healthier from a barrier point of view, preventing sunburns and stuff like that. But I think it's going to make it potentially look healthier. That can then lead to other things down the road, right? My skin looks healthier, I start to act healthier, that kind of a thing. So I don't think there's any literature that I can off the top of my head that makes it any medically better, let's call it. Okay. And then when it comes to when it comes to the crepey skin, is that going to be a long, like, is that going to be permanent?

Is it a permanent thing? Or like once you kind of make improvements with it, it's improved? Or is it just going to go back? Yeah, try to prevent it from coming, basically, is the key goal. But then what you also got to remember is your skin cut your skin's kind of like your hair right so your hair your skin that sort of turns over about every three months right so the issue is somebody starts a new skincare line you see this all the time right so i start a new skincare line i tried it for two three weeks and i don't think it works uh but you really if you're

going to switch over skincare line hair cream doesn, doesn't matter, like a shampoo, I should say, that's like a three-month trial to see if it works. So you really got to let it go. If you've got really crepey skin, like I've seen some amazing results for like up here on the arms with some crepey skin just by using skincare, say like Elastin's Triox, their body cream. You can get some amazing results but you're looking at six months uh to see those results right you're not going to see that in a couple of weeks you've got your skin has to turn over a couple times in order to sort of regenerate itself so you got to give it some time in order to see the result yeah i know we're going to get into liposuction and and and whatnot in this conversation too same thing after so after people will lose weight three months later people will be like oh you've lost so much more weight and

they haven't it's just that that skin has now had time like it takes a while for the skin to come around so i'm assuming we can't just go buy elastin triox off the shelves at shoppers drug mart like how do we get our hands on? I think they're mainly available at physician offices. So you can always call my office. We have a lot of it here. We, we generally, everybody tends to, to find a product that they like. I tend to find products that I, that I find kind of work okay on me. And that's the, that's basically the way that my philosophy has always been this. If I wouldn't do it to my daughters, I wouldn't do it to you. Doesn't matter. We've known each other

long enough. You kind of know that. It's just like I wouldn't I wouldn't promote something that didn't work well on me. That new EpiCutis line, when I had my laser done to my face, worked amazing. I have no you know, we obviously sell here, but I have no sort of financial interest in it. But the line worked amazingly well. The other one is exosomes. Exosomes coming down the line are going to be absolutely huge, I think, in restoring skin. I just got back from Korea for the big KOL, the big first exosome meeting that was there. There was three of us from Canada, let's call it, that were at the meeting.

I think that's going to be the absolute wave of the future coming down the road. What is coming down the road? Because I've been waiting on a boob job for a while, but I want to get implants because there's some issues with those. They're not for me. And I don't ever tend to have enough fat that I can take from my ass to put it into my boobs. And now you have this whole thing that you can actually, like there's injectables that you can get, which I'll talk about later. But what, what, what, like, are we actually ever going to be able to get rid of cellulite?

Is crepey skin being non-existent? Like how far can we go here? I think you can, I think you can go far if you start super early, right? And I'm talking super early. It's not like we're going to start three months ahead of time. We're going to start 30 years ahead of time kind of thing. I think that really it's going to be more of a preventative thing. Stay out of the sun, you know, don't get sunburns, don't smoke, exercise, eat healthy, you know, the whole sort of routine we all listen in our gut we all know what we're supposed to do it's just a matter of doing it or not right

yeah i hear you okay so what about what about when it comes to these whether it's the skin treatments or skin creams you do have places i mean obviously like you're you're this amazing world-renowned plastic surgeon not everyone is going to have access to you or financially have the money to pay for something like what we're talking about today. Is it worth going to like the woman in the strip mall who has the machines? Is it worth buying any products at all at Shoppers Drug Mart? Like what's the what is worth investing in and what's not yeah so you know everybody let's talk about skincare really briefly everybody has their kind of philosophy on you need xyz in the product you need there are certain products depending on um what you want done to your skin so if you take something like um let's say you're just looking at generally improving the level of your skin right so there's a couple things that generally almost everybody comes to a consensus that you need you need some form of a vitamin c generally uh retinol works uh quite

well retinol is very hard for a lot of people to tolerate depending on the strength of it but there are some new really amazing there's a brand new retinol product that's come to canada probably about a year ago now i say brand new time just flies by but it's probably been at least a year um uh alpharet by uh skin better skin better just got bought out by l'oreal part of their skinceutical line but it's the first time that they were able to combine a retinol along with a hyaluronic acid so you don't get the big irritation for retinol retinol is a vitamin d so what happens is it's it's like the product that really stabilizes the deep down layer of your skin but it's extremely irritating for a

lot of people you have to build up over months to get to a certain level you have to start off like point one work your way up work your way up, work your way up. And it's because you just get really irritated from it. Like I couldn't use it. I just got completely irritated. But the new one on the market, the Alpharet has a hyaluronic acid built into it. So it takes away that sort of redness and really works well. You put that on at night, it works really well of repairing your

skin. And then you get to the repair stage, then you can start doing other things all at the same time. Yeah, I guess it really is about, I mean, going to see an expert like you is super helpful, right? But it really is depend. Like I used, I put used retinol that I used every now and then it's like, I forget what it's called, but I got it at Sephora. It's a local company. It's that guy used to run a company and that's, it's like 10 bucks. Then I put, then I put like skin, skinceuticals, um, vitamin C and then cream on. Right. So not everything has to be super expensive. Okay. I'm definitely going to follow up with you on those products. Let's get into, um, let's get into stretch marks because people have gained a lot of weight. They lose weight. They gain weight. They lose weight. Is there anything we can do? Boy, if you could figure

out how to cure stretch marks, you'd be a trillionaire. Listen, since my first day of practice, everybody's like, oh my God, we're coming out with a stretch mark machine coming out with a stretch mark stretch marks again are really a structural issue right so you got to think of there's what we call the epidermis is kind of the top layer of the skin that you see and then there's that sort of every time you cut yourself you see uh you sort of a thicker white layer to your skin that's what we call the dermis right yeah what happens is if you if you were to put on weight rapidly or expand weight rapidly, you see it in bodybuilders, you see people that put on a lot of weight in a short time period. So what happens is that the dermis is kind of the elastic layer of your skin.

It just can't keep up with the expansion and it starts to basically crack, let's call it, right? So it cracks, it thins out. Once that's thinned out, there's very, almost impossible to get it back together again. What a lot of these skin sort of lasers, let's call it, do is you can laser down the center of the stretch mark. You sort of poke a bunch of holes into it and that helps to tighten it. So it can narrow the stretch mark, but it's never going to get rid of it. Okay so creams really aren't going to do much no creams won't do much for stretch marks no no once you get a bunch so what you want to do you want to prevent the stretch marks from

happening right so let's say let's say you know you see it in pregnancy as an example so you just want to make sure that you keep some good skincare on, some good cream, keep your skin moist, keep it so that it's supple, you know, stay out of the sun, don't get sunburned, that kind of a thing. So you just want to prevent it ahead of time. Talk about prevention too, like what do we do for it? What would you suggest to someone who is losing quite a bit of weight? So with the living method, because we are losing weight in a healthy way, their body is getting nutrients, they tend to lose it all over as opposed to rapid weight loss where people lose a lot in certain areas. But is there, is there, should we be putting creams on our body skin? I would say you could try, you could put on some good body creams. Those one

we suggested would help. The biggest key is, is rapid weight loss, right? Rapid weight loss, rapid gain, right? So if you have a rapid gain, it tends to stretch out your skin. Sometimes even rapid loss just doesn't give the skin time to contract, right? So if you do, you know, you know, we've talked, we've talked about this many times. This is why I kind of love your method is that, is that you have to take a realistic approach. Right. Yeah. Maybe you can do. Listen, OK, if I'm going to prevent I'm going to try to prevent something. Am I absolutely 100 percent going to prevent stretch marks? Probably not. But can I minimize them down to maybe 50 percent of what I normally would have got?

So you want to make sure that you're well hydrated all the time. You want to make sure that you're not getting sunburns and stuff like that. Stay out of the, out of there, stop smoking and lose your weight, um, uh, at a, at a reasonable pace rather than, oh my, because, you know, listen, we've all been, I've been through weight loss myself, right? You know, you, you, you try to, you, uh, you get to a point where, you know, you just got to do it smartly and keep it going. And nobody ever stays at their goal weight. Like if you're it's a rapid weight loss. Right. I see it all the time in surgery. I just lost 50 pounds. I got to get rid of my stomach. And my answer is, let's give it another six months because your chances of potentially staying there with such a rapid weight loss that it's a lifestyle change, right?

We talked about this, that you've got to be able to maintain it. You must be seeing this with Ozempic, with a lot of people losing a lot of weight. It's crazy what you see with Ozempic. Listen, I really know not a lot about Ozempic. Don't ask me how the mechanism works and all that sort of other stuff. But I can tell you what we see is I see Ozempic butt all the time. People now have just totally lost their butt, droopy butt. And you see Ozempic face where their face just sort of falls, right?

That's super, super common these days. Yeah. Well, we have, I mean, no disrespect to anyone taking Ozempic because our kind of program is the perfect complement to that. You've got to eat the healthy, nutrient-rich foods. You've got to get the protein in. You've got to be working out. And, you know, even when you're taking things like Ozempic that are helping you, the goal is not necessarily that rapid, quick weight loss. Weight loss, yes.

But this is why plateaus are really important because plateaus allow your body time to adjust to the weight that you've lost. Let's talk about body skin. I know it sounds weird saying that i don't know how you frame it like do we take care of our i mean obviously we everyone sees our face but then we don't like i hardly ever put cream on my body right should i be should i be listen the only time i put cream on my body most of the time is like a sunscreen, right? You know? Yeah. But, yeah.

And listen, if you're looking at a holistic, let's just call it, for lack of a better word, a holistic approach to keeping your skin well for, you know, throughout your entire life, then putting on some half-decent body cream. And there are some new body creams that are sort of lipid based. Like, you know, I tried that body cream on my face and, and I tell you patients were like, my God, you look great. Um, and that was just from putting some creams on. So I think that there, if you can find a good body cream, put some on and particularly in certain

areas, you know, like your upper arms around your knees and stuff like that. And then I think you're going to prevent a lot of that sort of, or at least help prevent some of that wrinkling down the road. What about, um, I don't know. I know we were going to talk a little bit about what's happening with hormones and skin, but what about like, I know people are putting like, um, estrogen cream on their face that they, cause they, we use it down there to thicken up the area. Can we,

can we put it on it? What do you think about that? Putting it on her face? There's, there's so many things that people, the other one that people were using a few years ago was 5FU, which was a, or I can't remember the trade name.

The competitor I think was Aldera. It was for skin cancer. So if you had topical skin cancer, basal cell skin cancer in particular, on your face, you could put this cream on. What it does was it basically blistered up the area and got rid of the surface layer of the potential skin cancer building down the road. And people started using that as a skincare cream right so they put it on their face you get little blisterings that got rid of the potential skincare or the potential cancer coming down the road people have tried everything everything you could ever imagine has gone on your skin i think you just have to find something that in the back

of your mind makes sense um that's um because some of those skincare ones for body can be extremely expensive too right so you have to find one that that you think works uh that you can financially afford and and then keep using it what about like um like my kid's grandma right she's guyanese she just looks i, her skin is just like that black don't crack. I mean, it looks amazing. She's just using like, I don't know, butter on her face. Like, honestly, she's just like, oh girl, I just use like whatever kitchen oil, olive oil, whatever oil. Like what about jojoba oils or all those like worth using? Like just good for glistening moisturizing is it doing anything for us you know i've i've um um i don't have a lot of experience with those but i i have never come across um one that really worked i mean there are certain sort of ethnicities that uh you can you know like i'm uh i'll be 60 in a couple of months. My, one of my anesthetists that I use all the time is the same age. He looks like, like Doogie Howser, that TV show.

It looks like he's like 25. People go, did you just graduate? I go, he's just genetically, he looks amazing. Right. So I think some people are just genetically predisposed to that, all the power to them. But I think just they get to use a a certain type of butter or whatever that works well for them it's to me that's really they're just pre-genetic pre-genetically disposed to that they're gonna look amazing no matter what they use yeah because i met i was i was at the national uh women's show on the weekend i got to meet a lot of our members and there were some women there who just their skin for their age age, I was like, what are you using? Dove soap, oil of LA. I'm like, okay, fuck off. That's genetics. That's genetics. Right. But think of, think of sometimes,

okay. Think of when you're going to, let's say you go to holidays in the Caribbean, right? All us Canadians, you got to get out of here in the winter. You got to put to Canada say you go to holidays in the caribbean right all us canadians you got to get out of here in the winter you got to put to canada you go to jamaica you go to wherever there's always somebody walking down the beach with the umbrella right staying out of the sun and then there's the other people that just lie out there for 10 hours from sun up to sun down right so listen not everybody wants to walk around with the umbrella but she's probably the smartest person because she's going to look great in 20 years and lying out there all day in the sun is not going to make you look great. Right. Exactly. Okay. So, and I'm sure like you like grapeseed oil, coconut oil, all of those, not on your face, but on your body. I mean, they probably work just fine. There's probably just in

your realm, not a lot of research done on those products, right. In terms of what, so no one's saying that those aren't great and those don't work, but probably not a lot of research done on those products, right? In terms of what, so no one's saying that those aren't great and those don't work, but probably not a lot of research done. Okay. Let's talk about, okay. So let's talk about, I always like to have a conversation with you about liposuction and fat melters, because I think sometimes people in the back of their mind, like my boobs, I'm like, no, something else is going to come along. Something else is going to come along and now something else has come along. So I'm getting ready for that because, listen, y'all, I know I look amazing, but I've had four children and I'm all about fighting aging. Right.

I'm all about that. But when it comes to weight loss, I think sometimes people are like, oh, I'm just going to get liposuction or I'm just going to get my fat melted off. And I think sometimes, although they may be joking or jesting, like they have that in the back of their mind. So let's talk about liposuction. Is that a good weight loss alternative? No, it's probably the worst weight loss alternative you can have. And I'm a surgeon. I do that for a living. It's like, listen, I always tell people a couple of things about, so think of just liposuction itself with weight loss right so um uh you can liposuction it let's say you take out three liters four liters of fat right

so i think of those sort of milk jugs you can take out sort of four of those of fat but fat floats right so you can put fat on on on a bucket of water and it's just going to all float on the top of it. So it really has next to no weight. So you can remove five liters of liposuction. You may remove, I don't know, half a kilogram, a body weight, a kilogram. You're not going to lose a whole bunch of weight, even if you have a big tummy tuck. I think the biggest tummy tuck I've ever, the biggest weight of skin I've ever removed we're talking huge amount of skin off of somebody that lost like 300 odd pounds was I think about shy of maybe 20 pounds so it was maybe

eight or nine kilos and that was like like half of my body size that we removed so so you know it's your muscle and your bones that weigh all the weight, not necessarily your skin and your fat. So don't ever think you're going to use surgery to lose weight. Like if you're 120, you think you're going to go to 100 by getting a tummy tuck? It's just not going to happen. Okay. How do you know when is someone a candidate for weight loss surgery? I know in other places, because we're all over the world it might be different I don't know if that is something that's covered in Canada or like and

how long should someone wait after they lose the weight to even consider that in the first place yeah so I think there's a few different approaches you can take generally surgery after weight loss is not covered in at least in Ontario there is the odd instance where you can get what's called a peniculectomy. It's kind of taking a strip of fat off the skin. Generally it has to be a general surgeon, part of a, part of a bariatric weight loss. Like if you're getting your stomach stapled for a lack of a better word, kind of a thing. So my philosophy has always been this.

So if don't do surgery until you know that you're at a stable weight. So let's just pick, let's say I always go back to pounds, but let's say let's say you're 80 kilos and your goal is to go back to 60 kilos. Let's call it right. So I always tell people, don't do your surgery. As soon as you hit the 60 kilo, people are like, okay, I hit my mark. Let's go. Let's get rid of this tummy, right? My answer is don't, right? My answer is give it a couple of months. Make sure that you're going to fluctuate. Or the other good way to do it is let's say if you're going from 60, you're going from 80 to 60 kilos, around the 70 odd kilo mark you should start seriously

considering am i going to do potentially a tummy tuck some liposuction let's call it because it's sort of getting rid of the skin to the point where you and the fat where if you lose a little bit more you're going to get a great result but if you rebound one or two pounds you're not going to get a bad result I see it all the time people come in here you see it a lot around wedding season aside from weight loss people come in oh my god I gotta get my liposuction I gotta fit into the dress and then they use that as a mechanism to lose the weight and then they stop exercising dieting then they come back six months later and they're even bigger because they they were trying to use surgery as a compensatory mechanism,

but that never works. Okay, good. Thank you. What about, uh, fat melting? Like cool, cool sculpting or I don't know, that was like really big years ago. It's probably changed. Yeah. There's, there's, there's some interesting new, um, ones on the market. So M-Sculpt or the CoolSculpting, sorry, one. And then I think Sinusure is called Sculpture.

They all go on the premise of this. They all go on some mechanism to disrupt the fat cell, and then your body basically pees it out for a lack of a better word right so um cool sculpting melts it um sculpture uh um or cool sculpting freezes it sorry sculpture kind of melts it for a lack of a better word although nothing ever gets melted but you know they work in some people they don't work in others what i see is is as a surgeon i see a lot of people getting those mechanisms done they haven't had a result and then they come for surgery. The downside now is it's created a lot of scar tissue in that area.

So sometimes it makes liposuction much harder to do if you didn't have those procedures than if you did. Because why can't we just wear sculpting body suits? We just put a body suit on, it melts our fat, we pee it out. Like, I don't know. Let me tell you, there's a brand new one that's just come to Canada. And it's called Pure Impact. It's part of the Softwave. The Softwave is the ultrasound one for tightening your skin.

I tried it on my gels. Because, you know, we know me. Like I said before, if I wouldn't do it on my daughters, I wouldn't do it on you right so i wanted to make sure that it worked it worked amazing on my face really it did but it has this other one called that and i'm i'm a hundred percent going to start i i got to give a talk in montreal the big canadian meeting but so i'm going to start it next week it's called um pure impact so it's kind of like, and Sculpt, let's call it for tightening your muscles and losing a little bit of fat. But it has kind of like an octopus tentacles, right? So I have a master's degree in exercise physiology. So this sort of fascinates me that and it were where you

can literally put like a one, two, three, four pads, and then and then these little fingers come out and you can pick off individual muscles where you want it to. So it really, really. Looks like we might have lost. I want to know what's going on with the tentacles. Is that, you know, like that Dr. Hose machine where you put the things on and it was like. I want to know if that's actually the team's going to see behind the scenes if we can get them back. I still want to ask him a few

things. I want to ask him about what do I want to ask him about? I still have some things I want to talk about. Oh, the jowls. I want to talk to him about the jowls. That's one thing I want to talk to him about. I also want to talk to him about, well, first of all, how much weight can you lose with this cool sculpting? Like the fat melting thing? Like what are we talking about? Are we talking about 20 pounds, 40 pounds? We're talking about five pounds, whatever we're going to do there. Also the jowls, like I know a lot of this is volume lost as you age with your face. And then I also want to talk to him about how I can put some more volume back in my boobs and my ass. Hi. I figured he didn't love me anymore. Just cut you off. Get rid of him.

Okay. So, so I want to ask you three things. I want to ask you finish about that machine. Is that like the old Dr. Ho's, the tens machine? Are we talking like it stimulates does that work uh no um well let's not say no uh let's say it does work but not to the extent that you think it's going to work it works pretty it works more for like muscle tension and stuff like that but this is true this is a true so you can really crank the volume up let's call it on this machine and cause a true isometric exercise like so isometric is like trying to like trying to lift something against um where you sort of your muscles aren't going through the full range of motion so this is um an amazing new concept that to me makes sense and i i can't wait to try it okay i want to go back if it works yeah i would like a six pack

too well i'm gonna come we can sit there together and get our six pack with our tentacles okay back to a couple things i want to talk to you about before we go um one is the cool sculpting or whatever the latest technology what are we talking we're talking five pounds, 50 pounds, how much fat? You're talking zero pounds. You're talking, uh, like you're talking, uh, more of a body contouring as opposed to weight loss, if that makes sense. Okay. Um, I also want to talk about jowls and then I want to talk about getting some volume back in my boobs or my ass or whatever so jowls i know as we age we we're losing the volume and that causes our face to go down what what can we do can we put creams can we do fate can we do face yoga yeah you could do you know i i was just in korea and

and the the the um the all the rage there and'm going to probably end up saying it the wrong way is snail serum mixed with 24 karat gold, right? Yeah. Snail mask. Are you telling me snail mask? Yeah. I tried it. I have a whole drawer of them. So I tried it while I was there. It worked very, very, very temporary. So it's kind of like putting, um, you put it, you can put it underneath your eyes. You can put it, let's say if you're, um, let's say we're doing this and I didn't want anybody to see the wrinkles under my eyes. It'll give you about a half an hour, an hour of, uh, tightening up the wrinkles, but that's about it. And then you have to sort of keep sort of reapplying it again. So it's not permanent. It's not doing anything.

No, but I think the exosome cream, I, I think is going to be the complete wave of the future. Um, or kind of are hitting like the, the big, um, the newest, latest in medical research. Okay. You got to hook me up with some exosome cream. Yeah. Yeah. When I was in Korea, that's the, um, the thing with, so think of exosomes are like the signaler of stem cells, right? So what happens, let's say you cut yourself. So if you think in the back of your mind, I cut my hand, how does my body know I cut my hand and how does it figure it out to do something? Right. So what happens, what happens is, is that you cut yourself. The body sends out these signals to other cells that say, hey,

I need some help. Get over here and help me fix this hole, right? The mechanism of one cell communicating to the other is via exosomes, right? So the whole new research on exosomes is in skincare. It's in cancer delivery. they're trying to figure out how to put certain things in the exosome that can then go into a cell and alter that level of the cell right now you're using kind of sort of dead exosomes i used it on my face when i had the laser treatment i really wanted to try it out and i was expecting to be red and pale Irishman for six months. And I was 100% ready to come back to work in two days. The healing process was just absolutely insane.

We're using it on all our surgeries now. In Korea, they were using it on people's hair. So white hair like me, it'll turn your hair black again, stimulate it. As soon as you stop using the exosome, your hair went back to being gray again. Okay. Well, I'm going to reach out and maybe you can hook me up with some projects. We can do some giveaways here for everyone listening. We can try that.

Well, okay. So what about the gels quickly? Because I want to get into the volume loss. What about face taping? So legit, is face yoga a thing? Face taping a thing? And then what can we do with these gels? I don't think face tape, face taping. Listen, if you're if you can hide it and you're you know, you're wanting some pictures taken or something.

But I don't think it's going to do anything for you, like for for printing your skin down the road. The theory behind like the muscle facial stimulation is really just building up muscle mass and that gives you the jowls. I think if you're losing weight, to me, one of the best products on the market is polylactic acid and it's known as Sculptra in Canada. It's a stimulant that you inject underneath the skin and it causes your own collagen to regenerate itself. So you can keep injecting, keep injecting, keep injecting. It's great for guys and stuff that don't want to look fake or anybody that doesn't want to look fake, just want to look like you did 10 years ago. I think that's it.

It's never been examined as a preventative weight loss, but to me, that makes total sense. Oh, okay. So you can put stuff in your face because people take like non-surgical things. You can put stuff in your face that's not Botox fillers that's going to make you plastic. That's actually going to help with your own collagen production. Right. So what it does is polyolectics, it basically just stimulates your own collagen to regenerate itself. Okay. Um, let's talk about, um, Gina's on a consultation appointment. Yeah, Celine, I'm getting the goods. I'm getting it and getting it for all of us. Um, there's got to be some perks for me. No, Dr. Rice and I have been friends forever. I never go and see him. I'm

sure he would give me a whole body lift if i wanted it but i never go um let's talk about what i might actually do so volume loss in my boobs in my butt what can we take our fat put it into our boobs and what's what's going on there what's help us for that so what can we do let's yeah really there's there's sort of the things that everybody knows and there's the things that some people don't know. Everybody knows you can do breast implants, right? So you can do saline or the cohesive gel implants, and everybody has their sort of personal opinion on that. The second one that you can do is fat, right?

So you could take fat out of anywhere, take fat out of your butt, take fat out of your love handles, and put that into your breast. There's a big difference between fat and a breast implant. A breast implant is a solid object and has what we call a G prime to it. So a G prime means the ability to push back on something. So think of, I take a golf ball and I take a marshmallow. They're both the same size, right? If I take a golf ball, I put it underneath my cheek and I take a marshmallow, put it underneath my cheek and i take a marshmallow put it underneath my cheek the golf ball is going to stick way out but the marshmallow is soft and it's not going to push out as far fat is kind of like marshmallow when you put it in your breast

so if you have a droopy breast for a lack of a better word and you want to raise them up fat's not going to do that that's just going to give you bigger droopy breasts and you're going to have to do some sort of surgery to lift up your nipple so fat will give you volume but it's not going to force your nipple up the other thing with fat is fat's a living entity so it requires a blood supply so it's really really critical that you put limited amounts of fat in at a time so you may have to do the procedure a couple of times that you really cut back on exercise and, and eat properly and things like that. So it's very hard for, for women to give up six to, you know,

three to six weeks of exercise when they've done all that to lose it. And it's, you know, cause you know, once you stop exercising is so hard to get back into it again. Right. Okay. I want to, I want to, I, before I, before I go any further, this last one, I do want to say, cause people are like, Oh, I would never inject. And I would ever, I think, I think weight loss and skincare have some similarities. So there are people like there's people who are going to get the surgeries, get a facelift, get, get, get whatever that's going to be for their skin. There's people are going to do injections for their skin, like Botox, like fillers or whatever. And then there are people who are

just interested in skincare. And if you think about weight loss, it's very similar. There are people who are getting surgeries like gastric bypass. There are people who are injecting like Ozempix and the new GLP-1s. And then there are the majority of people who just want to lose weight and in a healthy way and do it the old fashioned way with foods and exercise. And so, you know, I'm asking everyone to keep, make sure you keep an open mind and let's not be judgmental, but I think skincare is no different than what we're doing with weight loss here as well. Um, okay. So let's get into what I can do for what people can do when volume, what I, what people can do for volume loss in their boobs and their butts because i knew i know you are doing this whole new cutting edge type of injectable

thing going on so i started with butt years ago um using sculpture so i'm the only canadian on the international advisory board for sculpture buttock augmentation and i probably trained oh my god thousands and thousands of doctors all around the world on how to do sculpture buttock augmentation. And I probably trained, oh my God, thousands and thousands of doctors all around the world on how to do sculptural buttock augmentation. And so that is really what we talked about. Same thing for your face. It's a stimulant that helps your oncology grow itself. Then we got into some women wanted a little,

you can't really put that product into the breast. Some women wanted a little bit bigger buttocks. So I helped one of the pharmaceutical companies design a filler, hyaluronic acid filler. So what you would put in your cheek or your lips and, you know, that kind of filler injectables, design that for the buttock. And then I had a bunch of women that came to me mainly from Asia, where they were using hyaluronic acid for temporary breast augmentation. So again, the same stuff you put in your cheek or your lips, but you can inject it into the breast. So I started doing that about four or five years ago. It's taken off like crazy.

I'm just presenting at the Canadian plastic surgery meeting this week, showing all the plastic surgeons in Canada how I designed that procedure, how we came up with it. And really, it's kind of like a a temporary breast implant but it's made out of hyaluronic acid it's injected into the same position that you would put a breast implant in it has g prime so it will lift up it'll same thing it'll push out your cheeks so if you have really big droopy boobs it's not going to completely lift it up but you'd be totally surprised at how much you can get up. Some of the pictures are absolutely amazing. You can go from completely flat to like a double D implant, you know, over a certain time period. It's a naturally occurring substance.

So you don't have to worry about it causing breast cancer and things like that. Hyaluronic acid has been used, you know, 2 million times every day around the world in people's lips and stuff, and it's never created any issue. So that's a new, interesting concept that a lot of people are starting to take advantage of now. Okay, I love it. Okay, I mean, not regain, but maybe like, you know, keep some of our youthfulness, whether it's our face or our crepey skin on our hands or whatever that might be, especially when it comes to what's happening with our skin after weight loss. You've given us some good takeaways here. Now, I know people are going to want to find you. So you are available on Instagram. I know Dr. Sean Rice and then Dr. SeanRice.com.

Now, people might not have access to you. You do want to make sure that you are having conversations with your health care provider with some of the things that we talked about. And, you know, you get what you pay for. And I don't know that this is the area that you necessarily want to be scrimping and saving on if you're going to go do some of the procedures we talked about. So if people can't access you, how do they find someone qualified? Do they go through their, their, their like family doctor? Like how do they guide us? How can we find someone to have these conversations with? You know, family doctor is generally a very good route to go because they have sort of inside knowledge of who's good and who isn't, right?

Okay. And then I would say you can also check the, like here in Canada, you check the Canadian side of plastic surgeons, find out who's in that area. Maybe go see one or two people. I always tell people, listen, some people come to see me and may absolutely hate my personality that's totally fine right never you got to find yeah trust me ask my wife she'll tell you the um yeah yeah so you know i i say find literally find somebody that you know is qualified

because everybody there once you get to a certain level ever but there's you know everybody's pretty well on the same par but find somebody that you can talk to and have an honest discussion with and you get along with their personality. And then just decide from there. That would be my basic kind of suggestion. Okay. I love it. And I love you. Love you too.

And y'all, you have no idea how busy this man is. And he takes time for us to have this conversation. I honestly so grateful. So I'm going to follow up because we need to know about exosomes. We need to know about the elastin, the epicutis, the elastin triox. I've written them all down awesome awesome and i really believe exosomes in 10 years from now is going to be the absolute wave of the future okay send me some companies so i can buy shares in them like today um dr sean rice everyone um

thanks to everyone who's joining us live. Thanks for everyone who is listening after the fact. Dr. Sean Rice, you can find him on Instagram. You can also follow his trips around the world, giving his talks and his great tips on what's happening in the latest in skincare all around. Or you can head over to his website, drseanrice.com, right? Dot com? Yes. Dr. Sean Rice dot com?

Yes. Dr. Sean Rice dot com. All right. Thanks, everyone. Have a great day. We'll see you next time. See ya.