The Livy Method Podcast - Let's Talk Skin and Weight Loss with Dr. Sean Rice - Spring/Summer 2024

Episode Date: July 16, 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 Spring/Summer 2024 group, you can check out the full video here:https://www.facebook.com/groups/ginalivyspringsummer2024Topics covered:Introducing Dr. Sean RiceCrepey skin – what is it and what can we do about it?How to treat cellulite – you can improve the appearance by 25-30%How to treat jowls – surgical and non-surgical techniquesHow have things changed in the last few years? The list is endlessHow to treat the “bat wings”How often do you need treatment and how long does it last?It’s ok to want to look as good on the outside as you feel on the insideExcess skin from large amounts of weight loss – it’s going to take timeSome skin cream examples – whole body skin careThe top 3 ways to keep our skin healthyDetails about RetinolSkin removal vs tummy tuck, what’s the difference?How long should you wait before having surgery after weight loss?Liposuction- what is it for, who is it for?What is fat melting and what is it used for?Is anything covered by OHIP?The psychological effect of surgeryHow Ozempic can affect skinDo hormones affect skin?Skin care treatments – over the counter vs physician suppliedNew treatments- options, side effects, and how long they lastThe benefits of red light masksTreatments don’t have to be extreme - there is a middle groundSome examples of skin care productsHow do we find a good practitioner? – do the due diligence and researchWhere to find Dr. Rice - http://www.doctorseanrice.com/ or @doctorseanrice on InstagramFind the LBL Clinic - http://www.lblclinics.com or @lblclinics on InstagramTo 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. You're going to have this ability to now reframe. Allow yourself time throughout the day to stress the fuck out. The thoughts and the feelings and the behavior cycle can start changing. Today we are talking skin, skin and weight loss. We're talking crepey skin, loose skin, excess skin, cellulite, you name it. We're talking about it with my amazing and dear friend today, Dr. Sean Rice, who is a world-renowned plastic and cosmetic surgeon. He's a leading authority on age management, and he is widely recognized for his published articles in Canadian and international medical journals, And just an all-around great guy. Hi.

How are you? How you doing? It's so great to be back again. I feel like I'm like, oh my God. It's been a while. I know, it has. I see. You're in your new clinic.

I had the pleasure of going to- Yeah, we finally opened here. Yeah. Thank you for coming to the opening. It was awesome. It is. So, uh, your new clinic gets in Yorkville, which is a beautiful area in Toronto. Um, congratulations on that. Thank you very much. Yeah. You've been around though. You've been around for a while. Too long. I know my wife keeps telling me to retire, but it's like, well, what am I going to do? Sit at home and do nothing. I got to keep working. Um, okay. So maybe we, let's just talk

of, can we have a lot of new people since you've been on last? You've been on with us a few times. I love our conversations, but you're such a busy man. I'm so grateful to have you join us today. Maybe just a little bit about who you are for all of our thousands of new members who this is the first time that they're meeting you. Yeah, so I've been a plastic surgeon for over 20 odd years now. I used to have an office up in North End of Toronto. We just moved recently down here to Yorkville. Kind of do a little bit of everything. I do a lot of international teaching, so I'm traveling all around the world teaching, developing products. I developed our new liquid breast lift and the liquid butt lift

that I've been teaching all over the place. And I'm back working with a lot of different companies and back to enjoying everything all over again. Love it. Okay. So we're going to get to the liquid butt lift and boob lift, breast lift, because I have been like, I have four kids, as you know, and I have been waiting on, I didn't want to do implants and I've just kind of been waiting on technology to get to a place where I felt a little bit more comfortable. So I'm super excited about this new technique that you're offering. But first I want to like, I want to do the heavy hitters. Sure. Go for it. I want to talk about crepey skin. Everyone wants to know what is with crepey skin and what on earth can we do about it?

I don't know. Crepey skin. You know, we all get crepey skin as we age. I was looking in the mirror last night. I'm getting crepey skin myself, like on my arms and my leg and on my chin. So crepey skin skin nobody really knows there's never been any sort of solid research on what are the real causes of creepy skin generally creepy skin the thought behind creepy skin as we age we lose elastin collagen sort of the building blocks of your skin the sort

of the think of those as what sort of organizes your skin pulls everything together and then as we lose that uh that sort of binding capacity, the skin starts to get a little bit creepy and loose. What can we do about it? Lots of things you can do about it. You know, like I always say, there's like, if you, if you look at anything, you can put anything on a, on a spectrum. There's the surgical side and there's the non-surgical side, right?

So, you know, surgically you can cut it out if it's your arms if you've got creaky skin you can cut but that's you know generally that's pretty drastic for most people then the other one is you need to do something that is going to give you back the elastin and collagen the thickness of your skin right so there's lots of different treatments that can do that there's uh some good skincare lines that will help you but the one thing you got to remember skincare lines is they can take you know sometimes up to six to eight months to help with the creepiness you know think of your skin turning over about every three months like your hair your nails all that stuff so skincare takes a lot of time and then there's a whole ton of injectables on the market the most common one

i use is polylactic acid which is commonly known as sculptra it's an amazing product it's a stimulant not a um not a filler let's say so it helps to thicken up the skin and then you get into all the different machines the latest one we have now is the Softwave, which is an ultrasound machine, high intensity ultrasound machine. I had actually tried it last week on my face. It was amazing. It's a high intensity ultrasound machine that causes the skin to heat. The heat causes the collagen and elastin to reorganize itself. And that's how you get rid of the crevice.

Okay. Okay. So there are things. I mean, I, I, it's the same with weight loss, right? There are weight loss surgeries that you can get. There's weight loss injections that you can get, you know, but most people are just looking for that healthy diet. You know, what can you do? I love that you mentioned three months because I'll have people who will lose weight. And then after they're done losing and they're maintaining all of a sudden

people three months later, we'll be like, Oh my my gosh you look like you've lost more weight and it's just the skin skin takes time to regenerate around your new frame what is um what about cellulite it's like god if i could get an answer for cellulite i'd be the richest guy i'd be the the new elon musk if I could figure out cellulite. So there's lots of treatments for cellulite, and we've been taking care of treatments for cellulite for a long, long time. What people don't realize about cellulite, think of cellulite as really there's three factors. Your skin gets kind of thin. There's these bands that attach your skin down to the muscles.

So if you look at the top of your hand, the top of your hand is really loose. The bottom of your hand is really tight. So there's more bands on the bottom of your hand than there are on the top of your hand holding everything in place. So what happens is the bands start to shorten and it traps the fat between the bands and the loose skin. And then you get pulling into the skin and the fat sort of causes a dimpling and that's what generally causes the um cellulite effect yeah so really what can we do about that oh so god there's there's so many treatments on the market for cellulite so a lot of the a lot of the original treatments really just kind of moved water, if you think of it, right? So there were machines, rolling machines and stuff like that.

And what you're doing is you're forcing fluid out of one area into the other, and then you're just sort of collapsing the apartment so that it doesn't stick up high and you're going to see the cellulite. We've used a lot of machines in the past. What you need to do is you need to do something that affects the band. So there was a bunch of machines on the market, cellulase, alveolia, it's like a little hook. So what you're doing is you're pulling the band, you're breaking the band, and then you need to do something to thicken the skin. So some skin creams, some lasers, some heat technology to thicken the skin is something to break the bands. But in reality, you're getting 25, 30% improvement. Like you're never going to get rid of cellulite. No matter what you do, it's just going to be there. It's how bad it looks. Cellulite's graded on a scale of one to four. Four is really, really bad.

One's not so bad. I always tell people, if you're a four, don't waste your money because a four going to a three, a three still really looks bad. If you're a one with a little bit of cellulite, stick to the skin creams and stuff like that because any technology is really not going to make a one a zero. Okay. So it can make a little bit of a difference, but it's not going to make that. Yeah. I always say the best you're going to get a cellulite 25, 30% little bit of a difference but it's not good yeah yeah i always did the best you're gonna get a cell like 25 30 improvement kind of a thing exercise and diet like why do like is it just because of the excess fat that it looks worse as we as we we put on weight yeah and

i think there's some water retention but there's never i've never come across any really good research to show that exercise has an effect on cellulite. Because some people are super, super skinned and still have a lot of cellulite. And very, very athletic, but still have cellulite. Well, that's depressing. Yeah, it is. Yeah. See, and it's worse for women because women tend to get cellulite much more than men. And the theory behind that is based on the angle of the bands.

So the fibrous bands for women tend to be up and down. The fibrous bands for men tend to be on a bit of an angle. When the angles contract, they don't pull the skin down as much and you don't get as much of the cellulite. Like at least that's the theory behind it. Yeah. So you can roll and do creams. But, you know, I think the takeaway here is that cellulite is natural and normal and it's not like, it's not an aesthetic thing or cosmetic thing, or it's just

the way that your body is. So the more, the sooner you can kind of embrace that and recognize like it's normal, I think the better. Right. If it really bugs you, there's a few things you can do to improve it, but you're never going to 100 get rid of it yeah okay what's happening with my face what's this what are these things that's going on with the gels i know well that's one of the reasons why i tried the soft wave myself we literally just got it here in the office recently so it's a high frequency ultrasound, and what that does is heats the skin and everything underneath. And I'm starting to get the gels, you know, 59 now, starting to look old. So there's lots of different things you can do for gels.

And again, like, everything's on a spectrum, right? If you're interested in surgery, there's multiple different surgeries. If you're interested in something that's non-surgical, there's lots of different – and threads are coming. Oh, there's so many things coming on the market here in Canada coming up in the near future. I'm going to New York on Friday to look at threads. So they're looking at bringing threads to Canada. I'm going to be the national trainer here. Threads are like little sutures that you put underneath the skin so to pull everything into place so there's there's so many interesting uh non-surgical things coming for jowls in the near future okay if you because people because people from his

story like obviously the living method is a healthy way to lose weight right tend to lose it all over it's a little different than when you starve to private people do lose that volume in their face not just as you get older but with weight loss as well it will that come back or is that like once it's gone it's gone and can we put stuff we um we put stuff back in our face to fill that back up what are yeah once once you've gotten to the point where the skin has sort of stretched itself and it's very hard to get it back again. So that's why a lot of people are into the preventative thing these days. Even if you look at, we see a lot of young women in the office in their 20s now that come for things like Botox, any of the neurotoxins, Dysport, those kind of things. And they're not that they're wanting a certain look.

They're wanting to prevent the wrinkles from coming later on down the road so so the prevention is always better than the treatment um but there are lots of really good interesting treatments for jowls you know you can do mini facelifts full facelifts there's threads there's there's um uh heat machines the ultrasound the soft way we have there's so many really interesting things for skin tightening now. Well, has things come a long way? Because I don't know, maybe it's just as I'm getting older and I'm aging, I'm more interested

in it. But like, what is the technology from like, you know, because we think facelift, you're getting your whole face peeled off, or we see, we think getting things injected in our face. And we see people who like their cheeks are like ginormous cheeks and their lips are out to here like right can you just give us a sense like it's not that way no it's not that way uh there's you know if you look at say 20 30 years ago you can see people that you know obviously had a big face up with their pole like super super tight

and you can see some people where their hairline is like way back to here, like their forehead has come way back to there. Those are sort of the older techniques. Let's hide the scar. It was called a bicoronally. You went from one ear to one ear, kind of way back here in the hairline. And then you removed some skin and you pulled everything back. But then your hairline ended up way back here. So with some of the newer techniques, we can make some incisions right along the hairline.

We can actually drop your hairline, pull your scalp forward as opposed to going back. The list is completely endless, and it's mind-boggling how many, like even for surgeons, when you talk about facelifts, there's literally like 20 different little nuances of faceless. Do I do a deep plane? Do I do it? There's just, it's remarkable how much it's progressed in the last 20 years. Well, because I know after our conversation today, people are going to be like, what was

the name of that thing? What was the name of this thing? What's this cream? What did he say? What's all of that? And we're going to give Sean's contact so you can can reach out follow up if you want go have a conversation we'll also talk if you don't have access to sean because you are on the other side of the world because we have many people in different countries following uh we're going to talk how to find a

qualified practitioner um for you okay what do i what do i want to what let's talk about the bat wings i got i got a whole list man i got so many things what about these these this extra skin i know you can do your triceps tone up your arms it gets to that point extra skin what what can be done with that yeah so extra skin if you don't so so so here's there's a line that runs like this that everybody has called your bicipital groove and that's kind of where your biceps ends and then so generally you're talking about this area below your biceps down to the skin there right so you can get that sort of bat wing look if you don't have a large bat wing then some of the external skin tighteners work really really well the soft way we have things like that work work great at tightening up the skin

if you've got a little bit of a fatty component there and not so much skin you can get in we do lots and lots of uh even a week liposuction to the arms you don't need a general anesthetic you can do liposuction to your arms awake we use a machine it's a plasma machine that tightens the skin underneath it creates the heat so rather than the heat from the external machine um sort of tightening the skin externally we use a probe underneath the skin we can tighten the skin internally and then if you've got really like really big hanging skin yeah nothing is going to get rid of that only surgery you make an incision down along that bicep little groove and then remove the skin so when you when you talk about like creams that people are using or like the soft wave like is this a permanent like once i do that i fix my

bat wing like or it looks better is that a permanent thing and then you know yeah aging And then aging still hits us. Yeah, aging still. Nothing in life is permanent, right? And so, you know, you can, you, things like Softwave, you can do once a year. If you've got just a little creepy skin, we use a lot of the stimulant, Sculptra, polyolectic acid, the brand name being Sculptra, works extremely well because it's a stimulant. And that helps to stimulate your collagen. So we do that a lot for people get creepiness over top like they're playing tennis they get a little bit creepiness over top of their knee you get some creepiness on your arm down here i just did a lady last night had some creepiness on her decollete in her neck sorry and we injected out with uh sculpture and that that is a stimulant. So it causes your own college and your own body to stimulate itself,

rebuild the collagen. So you tend to look more natural than fake down the road. It just takes a little bit longer to get to the end point. Yeah. So I'm just distracted by this conversation about like there's beauty in aging, but society seems to have forgotten this. My thought is if it ain't broke, don't fix it. Okay. So let me just be real honest.

Fuck that shit. Fuck that shit. I want to look on the outside how I feel on the inside, and not that I want ginormous lips or huge breasts or an ass the size of a, I don't know, like truck, but I want to like, stress has beaten me down, y'all. Stress has beaten me down. I want to know what can I do for my skin so it looks amazing.

Why are y'all trying to lose weight? You know what I mean? I know it's healthy to lose weight in a healthy way, but come on. Some of you want to fit your ass into your jeans. You want to look good in your bikini. And I think it's all, it's all like, it's all individual choice, but I want to bring healthy and safe options and inform people of what you can do. If you're looking in the mirror every day and you're hating your jowls, you're looking at your crepey skin, you're looking at your loose skin because you've lost over a hundred something pounds. I want to help inform you on what you can do about it if you choose to

do something about it. But I'm going to get the, I get Botox y'all. I'm going to do the whole facelift thing as I get older. I'm doing it all. I'm getting, I'm doing it all. So don't judge me. I won't judge you. But for those of you who are here for the conversation, I'm having it. And if you are not interested in this conversation, that's okay. That's okay too. That's okay too. That's okay too. Okay. What can we do about, what can we do about the loose skin if you've lost a hundred pounds? Let's talk about that really, because I know there are a lot of people who have lost a lot of weight and there can, so I have a thing, like sometimes people think, well, I'll just get liposuction. That's like in my back pocket. If diets don't work,

I'm going to get liposuction. So I want to talk about that. But I also want to talk about skin because people are like, well, I could get, I could get my skin removed, but how much is it accepting who you are and how much is skin? Is that like it needs to be taken off for health reasons? Is it covered? Let's talk about excess skin. What can we do about that? Because we've had people who've lost a lot of weight in this program.

And although they've done it in a healthy way, they've lost and gained and lost and gained over the years. And that's affected their skin. So what can they do about that? Right. So great question. So what can they do about that? Right. So, um, great question. So where do we start?

I would say, if you listen, if you're joining a program like hers, which I think is fantastic. And we certainly see people over the years that have lost significant amount of weight that have come in to sort of discuss their options, what to do with it. I think you need to plan it ahead of time.

People that lose weight drastically, like, you know, like, well, you know yourself, if you lose 20, 30 pounds in like a month, kind of like super, super drastically, the skin just doesn't have the ability to contract. And then now you're left with sort of loose skin. So I would, so I would start with something like a moisturizer, something that keeps like a good brand and moisturizer, something that keeps your skin your collagen the elastin all that kind of stuff sort of working online and then do that in a do your weight loss in a controlled uh way and you'll be much much better off in the end that your skin will collapse um but what people have to realize too is it can take a long time

it's like when women remove their breast implants and then all of a sudden they're worried that their breasts are going to be droopy but if you wait six months a lot of times people the skin will retract itself back up again and you may get away without needing a lift so i say don't don't ever jump into things like oh my god i got to do this right away. Right? Think about things. Give it some time. Give it some time to sort of settle itself down and then decide where to kind of go from there. So I want to talk about the whole, do we do a whole cream all over our body? Are you like?

Yeah, there's some really good creams on the market now. They can be on the pricey side. There's a couple of good companies. Elastin makes a really good uh product there now i think i think they just got recently got bought up by galderma um skin better is a great product recently purchased by l'oreal there's um epicutis is very good there's a lot of uh good sort of higher end um products on the market now. Yeah. Because we just think like our face skin, we don't think body skin, but our, our skin is our largest organ.

Correct. Yes. Okay. So people don't realize that. Listen, your skin is by far your largest largest organ. And if you think, you know, you wouldn't be drinking a bunch of chemicals all day long. If it was bad for your intestines, you wouldn't want to put a whole bunch of, you know, chemicals all over your entire body. I've always been on that route. I'm not very big on certain things for putting it on the skin because to me, it's, you know, it really is your biggest organ. Is it, is it just like, is it environment and toxins and obviously the sun? Is that what is aging our skin? What is unhealthy skin? Is it just losing weight? Do you know we're being in the sun? How do you keep our skin healthy? Oh, I think, hello?

Frozen. Okay, he's probably going to come back. So I'm going to, there's a couple of things I want to talk to him. I'm going to talk about skin, removing that excess skin. So I'm going to go more into that conversation. Going to talk about obviously skincare. We're going to talk to him about products, give him, we can get him back on hopefully, which usually only takes a few minutes.

Other things that I want to talk to him about is those contouringing fat melting machines. Is it worth your money? What's the side effect of all of those? We're also going to talk about skin tags, puffy eyes, aging spots. So more, if there are more things I'm keeping an eye on the conversation, you guys. So if there's any questions that you want me to get into, we're also going to talk about, yes, is it, is it covered in skin removal surgery covered by OHIP? And you guys have some red light therapy, like those masks. Is he back? He's back. I'm going to talk about,

those are the things I still have coming up that I'm going to talk to him about. Sorry. There. How's that? Okay. Working out? We're good. Awesome. I need to call one of my daughters there's too much technology i can't figure this out um okay so let's where were we um i was talking about skin skin in general skin like yes how do we keep our so a couple yeah sunscreen for sure 100 that's probably the number one stop smoking if you smoke that's probably number two and number three is uh you need some sort of a good

antioxidant vitamin c uh is like the number one antioxidant works really really well um those would be the the like the common things that i would say uh that you need um a really good product that i that i've tried out recently that is um uh skin the the company name is skin better it's called their alpha ret uh retinol has been around for 100 years retinol's vitamin is uh vitamin a it's basically used to it's kind of it's it's what creates the building blocks of your skin. The problem with retinol in the past, it was very, it can be very irritating and very drying for your skin. Generally, dermatologists controlled how much retinol you needed. It was a prescription. There was a whole big sort of regime around it. But now they've come out with a really amazing product called Alpha Ret, which is a combination of retinol and they were

able to combine it with a hyaluronic acid okay what you put in like your fillers for your lips cheeks hyaluronic acid is what moisturizes is the moisturizer of your skin is the lubricant for your joints and they were able to combine those two together so you can apply the retinol and you get the benefit of the aha so you don't get the irritation and the redness and the dry skin that you would get from retinol in general. A lot of us remember retinol for back the day. How come you can't put retinol on your crepey skin? You can. It's that it just has to be controlled properly and it can sort of really irritate your skin. But I've been trying it off this new one. I've been trying that on different body parts as well.

It seems to be working okay, but that's really just sort of the very beginning stages of looking at that. Okay. I want to go back to skin removal. Yes. What's the difference between like a tummy tuck or like that apron, the apron belly and skin removal? Is it the same? No. So in medical terms, we call the tummy tuck the abdominoplasty.

Okay. And the bariatric surgery are the weight loss, so what they call the pannus. So the pannus is that big sort of clip of skin that hangs below sort of the belly button you're standing you know hangs below your pan line that sort of hanging skin yeah that's in technical medical terms let's call it your panus so when they do bariatric surgery they do what's called a paniculectomy so in a paniculectomy you're just basically cutting a straight line you're cutting off that panus and you're not doing anything else. With a tummy tuck or an abdominoplasty, you're taking them.

So it starts with tying the muscle back together in the skin. So there's two muscles that run down the center of your abdomen. They kind of go from your chest down to your pubic line. And that's called your rectus muscles. That's the ones that kind of give you the six pack and that sort of defined line as we all age those muscles start to come apart so with a tummy tuck we're tying those muscles back together again so you know what you see people have like a let's say you've had a couple of kids and you sort of stand up and you look in the mirror sideways your stomach just sort of hangs out right yes what they call kind of like the beer belly look, let's say, right?

Like a barrel. Sticking out like that, like a big barrel. Barrel belly kind of, yeah. Yeah, that's generally due to the muscle, the rectus muscle being loose. And then what we call fat that builds up around the intestines, right? So with a tummy tuck, you're taking the muscle, you're tying it together again. You're removing all that extra skin,

even the skin on top of the belly button. And then we generally do some liposuction and stuff like that and pulling everything in. So you're contouring more things than you are by just removing a swath of skin. So if you've had a child that can happen would that is that like after having kids because with women it tends to happen a lot so someone's trying to lose weight and they're losing weight and their stomach still feel like seems like it's sticking out this could be

like a this is a structural issue yes i see i see. I do. I do a lot of professional bodybuilders, a lot of, um, and a lot of women that are, have had a couple of kids and let's say they, they, their muscles are super, super tight, uh, above their belly button. And now that's a little bit loose below the belly button. They had a little bit of skin. So we're able to hide the scar super low, like a, like a C-section type scar. And then if they have a little bit of laxity there, we can tie that muscle back together again and flatten their abdomen back down again. And lots of times men, everybody gets what they call rectus size stasis, a little bit of that sort of gap between the muscles. Sometimes you see people have it like a hernia. They go to sit up and you can see almost like an alien coming out of their stomach. Right. So, um, yeah, every, everybody gets a little bit of rectus diastasis

as we age. Okay. So how long should someone wait after they, I mean, we've, we've heard people lose weight for various reasons. They can gain weight back or they lose weight. It takes time for their skin to regenerate around their new frame. So if someone was considering skin removal surgery or any type of surgery after weight loss, how long, how long should they wait? Great question. It's, it's, it's a little bit variable from person to person, but what I always tell people is never do anything on the extremes right so never do anything oh my god i've just lost 100 pounds and and and it's taking you a long time to do it and a lot of effort and you want to just get rid of it and i totally understand you want to get rid of that skin right away but in reality how many people really stay at the extremes right if you lost 100 pounds you're probably going to put on a little

bit afterwards maybe 10 pounds or so. Do you know what I mean? So you never want to do anything on the complete extremes. If you know that you're coming along, let's say you want to do a tummy tuck, you're better off to do the tummy tuck and then continue to lose a little bit of weight because you get a much better result than if you did something and then put on weight afterwards, because if you did something like a tummy tuck and you put on 10 pounds, you would lose 80% of the aesthetics that you were going for with the tummy tuck. So never, my motto is always never do anything on the extremes. Okay. Okay. Great. Let's talk about, uh, liposuction liposuction because I, you know, we've had this conversation before. My mind was blown when you said it's not a weight loss thing. Liposuction is not for weight loss. Right. Yeah. And I think so many people, again, are like, oh, I'll just get this. I'll just like I'm not going to take care of my skin because when I'm older, I'm just want to get it like let's have that honest conversation

and then what like it's not for weight loss what is it for and then what are like what do people need to know about that yeah so so people always come the biggest question that i get is do i need can i get liposuction or do i need a tummy tuck is like by far the most common question that people get to me it all comes down to the muscle and how much extra skin you have if you've got laxity of the muscle that kind of beer belly where everything sort of pops out when you're not sort of you know sucking your abdomen in then you need something to tie that muscle back together again that's a tummy tuck think of liposuction as body contouring so it's more it's more or less listen i've got a pretty good shape

this is the shape i want to i want to take care of and we're just going to remove the fatty component so if you do liposuction you're not all of a sudden going to get yourself a six-pack or something like that right you have to have the six-pack there so liposuction is is a fantastic tool for body contouring but fat floats you can remove as much fat you can remove five liters of fat it's just going to float so it really doesn't weigh anything so a lot of times people like okay am i going to lose 20 pounds if i get liposuction done i said you're lucky if you lose a pound and in fact a lot of times people go home right after their liposuction stand on a scale and go oh my god i just put on two or three pounds from all the fluid from the liposuction stand on a scale and go, oh my God, I just put on two or three pounds from all

the fluid from the liposuction, right? So don't ever think of liposuction as a weight loss. It's really a body contouring. I think that's so huge. I think that is so huge. Yeah. And don't rely on surgery to, I know, how do you say like surgery is never going to fix your problems, right? Like you have to be, you have to, you have to have the good foundation and surgery is going to enhance that, but it's never going to fix your problem. Let's call it. Yeah. That's why, that's why I love you. Let's talk about fat melting. Right. Lots of, lots of things for fat melting now. How are we melt? How are we melting fat?

So really there's a couple of ways think of fat like we call it fat melting there's lots of different ways you can there's injectables there's an acid that you could buy uh in north america it's um i forget what it's kybella or our belkyra depending on whether you're in canada the United States. It's a little injectable, it's a little needle, just inject it into the fatty component. It's really, it works pretty good for a little bit in these areas. And then you get into the external machines, you get into the things that everybody knows, the cool sculpting, the sculptures, those machines basically work on and they don't really melt anything what they do is they destroy the outer layer of the fat cell and then the fat cell dies so you're not really

melting you're not really freezing it's just a weight it's just a mechanism to destroy the fat cell the fat cell dies and then the body just eventually expels Okay, well, you're talking like going up into your neck. What are we talking like? I got 60 pounds. Can I melt my 60 pounds? No, you're not melting 60 pounds. Again, those machines are really good for, let's say you got some love handles. Let's say you got a little bit of love handles.

You got a small little area that drives you crazy. That's where those machines work really, really well. But the only thing that's going to get rid of, you know, if you got a whole bunch of fat that needs to be melted is surgery, whether that's direct excision of the fat, like a tummy tuck or something like liposuction, but those external machines won't, won't do that. Okay. I mean, like this is why I want to have like a real conversation. Like we're here. Some people are here to lose a lot of weight and you're not going to get it done by getting

a little fat melting machine. No, I've tried all those machines myself and they, and they do listen, they do work, you know, but they're not going to, if you've got a small little love handle and you want to get rid of it and that will work. But sometimes you've got to do multiple, multiple sessions. Nothing's a once off. You could take six sessions to uh to sort of bring down that area so yeah and there's a lot of costs we're not we're not talking

costs at all because there'd be so many variables oh my god the costs are all over the board is there anything that is covered by i know in canada it's a little different than anywhere else but is and do we still call it oh hip i'm not sure if we still call it OHIP. Yeah, in Ontario, OHIP, yeah. What can we get done that's covered by that? So think people, weight loss. Can we get our tummy tucks covered if we do have that? No, tummy tucks are not, yeah. Liposuction, if you look at the fee schedule for physicians in Ontario. It'll tell you right in the,

that liposuction for no reason is ever covered under OHIP. Tummy tucks are generally, are not covered under OHIP. The paniculectomy, depending on how much weight loss, how much weight you have lost and how much of a physical barrier,

like I've literally seen people come into that pannus, that skin that hangs, you know, that sort of hangs downwards, literally down to their knees. And they have to put it on a walker to sort of push their stomach around. I mean, that just interferes with your, you know, your ability to walk and everything else. So generally, sometimes we'll cover that. But then it becomes very surgeon specific. You really have to sort of discuss that with your surgeon ahead of time. Psychologically, like what are you seeing the good and the bad of people who come in? They want,

they have this expectation maybe. And then do you find that people fix something and they just then fixate on this on something else? Or what the benefits of that like if someone who had all this excess skin they get it removed like what what what is that doing psychologically to us yeah i think so you know over the years i've seen it all i've seen people that come in and they and they lose so you you either what i've noticed over the years you tend people tend to go in two different groups, right? You, you spent all this time and effort, you've lost all this weight, and now you have a bunch of hanging skin. So you either, uh, you get that skin cut off. A certain percentage of people now, uh, rely on surgery to fix all their issues going forward.

And they stop losing the weight. They stop exercising properly. they stop exercising properly they stop eating properly and then they go back to their old ways because the surgical decision was an easy route to do that right but surgery is never easy surgery is taxing on your system it's taxing on a lot of things right yeah so and then there's the other people that lose that lose the weight they have the surgery and then they go on to even further themselves because now they've given them the motivation. Hey, I've lost all this weight. Now I don't have skin that's getting in the way of exercising. I don't have skin that's that, you know, maybe embarrassing to walk around at the beach or maybe embarrassing at the gym.

And that stops you from going to the gym. So I think people tend to go down one of those two routes. And it's really up to you in the end. The only person that's going to make you better is yourself in the gym. So I think people tend to go down one of those two routes and it's really up to you in the end. The only person that's going to make you better is yourself in the end. Yeah. Yeah. Well, there's a lot that you can do. This is just, I think it's not like, just like weight loss. It's not any one thing that you're doing. You also want to make sure that you are living a healthy, a healthy lifestyle. My skin ain't going to get better by smoking, not using sunscreen being stressed out all of those things right if you're gonna spend a lot of money say getting a facelift done and then you ignore the sunscreen and you still smoke and and you know what I mean

so you spent all this money but you still don't look so great because you haven't taken care of things I want to um I want to talk about ozempic because when I was there, there was a little bit of a conversation talking about ozempic. There's an ozempic face. People are losing a lot of weight. Are you seeing more and more of that?

Yeah, we are. We're seeing some ozempic face, ozempic butt. I do a lot of butt work, so we're seeing a lot of osepic but i'm not an endocrinologist i can't tell you the whole thing but you know basically osepic my understanding of osepic is the drug itself sort of mimics a chemical that tells your brain that you're basically full kind of like bariatric surgery and it slows down your motility so you feel uh you know full for a longer period of time yeah but again

people are using like you know you see it you can you see people that lose drastic amount of weight in a short time period but then they see a lot of people that tend to lose a lot of weight on the stomach and then it tends to just plateau and they don't lose it after that right they've got a rapid weight loss and then and then it and then they're stuck. But again, it's the same thing. Rapid weight loss is good. You're going to lose the elastin collagen of your face. It's going to start to sort of shrink down. Your buttocks going to start to shrink down. They tend to be the two most areas I think, cause they're basically under gravity, like your faces and your butt. Um, and I probably, that's probably the most common reason why you see it. What about hormones? Do you think what's, What about hormones? Do you know anything about menopause and skin hormones?

Or is it just aging and sunscreen and being unhealthy? Or is there a hormone component? Is supporting our hormones going to help save our skin? Yeah, there's definitely a hormone component to it. I'm a surgeon, not a, uh, not an intelligent guy. So I can't, I can't, I wouldn't be able to tell you the, the, like the hormonal aspect of it, but certainly, certainly there are lots of hormones that can affect your skin. Undoubtedly for sure. Okay. What about, um, what about that? I see a bunch of skincare products over behind you.

Yes, yeah, yeah. So what about skin? Like, you know, I'm mindful of people, obviously, you know, various price points. Sure. Do you, like, is it, I know you're going to say, but I want to say, is it worth, because I use a skincare line that was introduced to me by you. And I just, I swear by it. My skin has become really important as I get older. But then you see people who have beautiful skin and they're like, they just used a Dove, they use Dove, Dove Bar on their skin. Is it worth the investment? Why would anyone want to invest in quality skincare? And can we buy it at shoppers? Can we buy it?

Or do we have to go to some place like you? So, excuse me, the skincare market is a billion dollar market. There's billions. Oh my God, you couldn't even imagine the amount of skincares that are on the market right and price doesn't necessarily mean that you're getting a better product than a cheaper product right so um the products think of skin think of uh of uh skincare really kind of falls into two categories it falls into the non-physician or the over-the-counter stuff you can buy at Shoppers Drug Mart. And then it falls into the line of physician only, where you can only buy

the skincare in a physician's office. You can't buy it at Shoppers Drug Mart. The real difference between those two is the concentration of the active ingredients. So if you have, let's say, we all know that vitamin C is probably one of the most important things for your skin, right? But over the counter, if you want to put those into an over-the-counter one, say you buy at Shoppers Drug Mart, then the vitamin C level, the active ingredient level has to be really low so that the great majority of people can tolerate it and that it's not going to irritate your skin. Whereas the physician line, you're going to take product X, but it can be a little bit more concentrated so you get a little bit better effect. But then you

need to work that with the physician to make sure that that's the proper line for you, if that makes sense. It does make sense because immediately I started thinking of supplements because we have this supplement conversation where there are supplements you can go and buy at your local drugstore and that health food store. Then there's supplements that you can buy that you get when you go see a naturopathic doctor, and that's why. Just sort of higher quantities and qualities.

Okay, I'm cognizant of my time. I want to get to what's new in boob lift, breast lift, lift, butt lift. People are losing weight. We are aging and we are noticing that things are just going down. So I know you do this thing. You've actually created this liquid, but left, I'm going to, I'm totally coming to you to get this done. No problem. No problem. I'll just get a book like the next three weeks and just live there. Get a cot for me. But what can we do? Tell me about this.

Tell me about this. So I created two procedures, the liquid butt lift and the liquid breast lift. So it's using hyaluronic acid, which is like a filler. So the same filler you kind of put in your cheek or your lips using hyaluronic acid, which is like a filler. So the same filler you kind of put in your cheek or your lips. Hyaluronic acid, again, hyaluronic acid is the naturally occurring substance in your skin. So it's what moisturizes your skin. It will lubricate your joints. So I created a technique for buttock augmentation. I did a lot of work with Sculptra in the past, for 20 odd years. I been at sort of a international

speaker trainer for a sculptor which is a polylactic acid it's a stimulant stimulates your body and then a lot of people started getting into sculpture buttock augmentation so it was a stimulant you inject it into your butt but then people were getting amazing results but some people were noticing that they wanted bigger and they wanted more shape as opposed to volume right and i think this is the issue that everybody thinks that because you want your breasts or your buttock done everybody wants to look like a like a big movie star with their with their buttock and that's yes far from being true um so then people came in and said to me listen i want to create certain shapes i started working with a company took about four or five years we were able to perfect the product and the injection technique

so i started injecting into buttock because some people want a more athletic look in their lululemons where their buttock comes backwards some people wanted to fill in their hip tips everybody wanted something different right and then the breast came along because i do a lot of breast implant removals where people feel the breast implant is creating to an illness and we do a lot of on blocks and capsulectomies and stuff like that but there were a lot of women who still came to me and said listen i really want something i really don't want a droopy breast but i don't necessarily want a big implant either right what can we do to fix it so i started playing around with hyaluronic acid it's not the first to do it in the breast it was done

in europe but it was done in in in in a in a in an incorrect technique let's call it right so as a surgeon i was able to perfect the technique where we put the the product in the same position as the implant so you can get a breast augmentation done in 30 minutes, no surgery, no downtime, no scars. We inject it into that same plane. We put the implant that expands the breast and it gives you an awesome result that lasts you say a year, sometimes a little bit longer. And then you can control the shape. I did a lady about a year ago. She was maybe, oh my my God, 5'90", let's call it. And she came in.

She had really small, small sort of droopy breasts. We put a little bit of product. She came back a month later. She goes, you know what? I just want to go a touch, touch bigger. So we put a touch bigger. I did a lady last week close to 70 who just had a lot of women just have upper pole hollowing up here. So they've got a lot of volume.

But when they put on a bra, everything just sort of sinks in here. So we put a little bit rather than putting in a big implant, giving it big breasts, a little bit of product there to take up that sort of loss of skin. And the results have been fantastic. Well, because people used to say, well, if I could just take my fat from my ass and put it in my boobs or shift my fat around. So this is kind of like that, but not like that at all. Yeah. See, fat works great as well. Right. But the problem with fat is this.

First of all, you need much more fat than people think. Second of all, if you're super're super super skinny you may not have enough fat to put in there and fat's a living entity right so all those other products are are an innate product this is a living entity fat so it requires a blood supply so it's a very crucial to recovery time for fat you know three four weeks no exercise things like that and then fat will expand so if you lose a lot of weight your breasts will get smaller if you put on a lot of weight your breasts are going to get bigger and i see that a lot now for the brazilian buttless when people went crazy putting in a lot of fat into

their buttock you know in their 20s and now they're 40 and they put on a lot of weight now their buttock is way out to here and then now they want that fat taken out and contoured. Okay. All right. Any down? Like what? I mean, there are side effects with everything. Sure.

I mean, totally. Yeah. So the side effects for any injectable, the biggest side effects are one is an infection and two is a vascular occlusion. You're blocking off an artery for the breast and the buttock. There's no big arteries that we're going to include in the areas that I inject. It's not going to last you the length of fat. When fat works, it can last you a lifetime. The filler is going to last you a couple of years, depending on the area. Okay, amazing. A couple more questions. Those red light masks.

Yes. Yeah, okay. That's a great question because that's something that I am sort of exploring myself. I was at a conference a while ago, and I was sitting beside a very good friend of mine who's Canadian, now lives in the United States. And he gives all his patients, He's a naturopath. He gives all his patients red light after the treatment. And I always thought, yeah, bogus. Prove it to me that it works.

Yeah. He swears by it. He's a very reputable guy. Very honest guy. He swears by the red light. I started to do some more research on certain red lights and their effect on sort of inflammation. And I think some of the stuff that I've seen is after a procedure, say you had a facelift done, you had some injectables in your face. If you use red light a day or two afterwards, that can help bring down the swelling and the

inflammation. How it works, I don't know, but I'm starting to kind of look into that myself a little bit more these days. Well, that's interesting. I do full body red light booth three times a week. I thought you said red light and your boob lift, but that's what you're saying, which would be a great combination. Because I'm thinking like, I'm looking into those red light saunas because that can be good for inflammation, detoxification for your body. So it makes sense for your skin okay so you and i we're gonna work on um we're gonna work on some red light masks we're gonna work on like some skin crepey skin cream you and i are gonna do a whole the whole body fat melting machine like at the airport where it just goes um you know because i i'll always love weight loss and helping people get healthy, but at the same time, anything we can do to help.

Yeah. No, I think, I think the perception towards surgery is changing over the years. And I think people are realizing that you don't have to look freaky and you don't have to look odd. You can look natural. You can look like you did 10 years ago. You know, I'm at the point now where I desperately need to get my eyes done. But, you know, and it's not that that I'm vain about it. It's just that it's just bugs me. You know, I'm 59. I feel like I'm 25. And I feel like I just want to look half decent for for my age and my own personality, let's call it. This, this, and this is what I want for people too. It doesn't have to be extremes. And I think I just, I want to look my,

I want to feel my best and I want to look my best for as long as possible. And I know there's different variations of that for people. I think it's just about hope that, you know, if you can just make a little bit of a difference here and there, you know, everyone's talking about their saggy knees, they're this, they're that. Like, I know there's a lot more to this. We could probably do like an endless podcast and talk about all and go down the rabbit hole of all the things. Maybe we will. Yeah, totally.

Dr. Sean and I are going to do a podcast. Anyone who wants to go down the rabbit hole of this let's yeah we'll do the rabbit hole of tummy tucks how's that seriously yeah seriously yeah there's a lot when people hear about skincare or surgeries it's always everyone's always presenting the extremes out there right and there's a lot of middle ground there's a lot of middle ground 100 you're better you're much better off with the middle ground. It's going to last you longer. You're going to be happy than doing like freaky extremes.

Like, you know, some of these new things where people want the cat eye look and stuff like that. But, you know, so let's say you change your eye into a cat. What are you going to do in four years when you realize that you don't like that look anymore? Right now you're surgically altered so um yeah it's uh yeah sometimes you just got to think about stuff i just want my eyelids to look open some days forget the cat eyes and i want to not look like this after yeah yeah exactly it's funny i was giving a talk in vancouver and with a husband and wife from

mexico and she specializes in eyes. And I'm like, okay, stop looking at my eyes. I know I got to get them done. I'll come to Mexico and get you to do them. Okay, so I know there was a lot, you guys. I know there's so much we didn't talk about. You guys want to know about skincare products. So I use the SkinCeutical line.

That's what I use. Yeah, great line. Yeah, they have a C. frulich. I think that's vitamin C. And I use some of their products. But, you know, you and I should sit down and maybe, like, do, like, a product sheet for people or, you know, what is...

I know everyone's different, though, right? Right, right. And there's so many products that are very, very similar, but have different names. Right. Like the eye creams, the eye creams are most of the eye creams are sort of diluted face creams because you don't want the your skin on your eyelid is so tight, is so thin that sometimes some of those products can just irritate it. Right. So so there's a lot of, oh my God, like even if you look at SkinCeuticals, they got a fantastic line and it can be complicated because the line is, is big because it has its niches in certain little areas. Right. So, and that's where, that's where products like SkinCe,

SkinBetter work really, really well. And, and, and again, there's people that talk about, I would love to get an eye lift. I would do this. I would do that. I may need an eye lift considering the amount of eye rolling I do on a basis. Same. But, you know, and the same thing with Botox and fillers. Like, it doesn't mean that when you get Botox, you're going to have a face that's like, you can't move your foot.

I get Botox because I have these little lines right here. So I can move my forehead. I don't know. You can definitely see my wrinkles in my forehead. I can move my forehead. I move my eyebrows. So it's not, you don't have to do things to the extremes. No, no, you can do a lot of people, you know, that deer in the headlight look, a lot of people don't like that look, but there are certain people that really do appreciate that look and everybody has their own sort of aesthetic, right. You know,

like we've talked about this a million times. My, my always model has been, I'm not your priest. I'm just your surgeon, right. I'm not here to make a moral judgment, but I will make a medical judgment, right. If you shouldn't do this or you shouldn't do that kind of thing. Right. Yeah. But there's lots of techniques. I do lots of, of, uh, uh, neurotoxins, you know, there's, you know, we always talk Botox, but there's, there's like five neurotoxins in Canada and the CV, uh, disport, uh, there's, you know, Botox, there's lots of those ones. Um, but you can inject that in certain techniques where, uh, you can still move your eyebrows, uh eyebrows for facial expression, but you're not

going to get the wrinkles, right? So there's lots of different ways that we can inject those products. I mean, I get to put your contact up. How do we know we're going to someone like, should I be getting my Botox for my hairdresser? Should I go, should I be going to Tijuana to get some stuff done? Like, like how do we find someone good? I know we're going to put your contact. So you guys reach out to Sean, but say we're somewhere else in the world. How do we, is there like a committee of qualified? Yeah, you can, you know, the complication rate that we're seeing from overseas is,

is getting out of control. Like, like I i i did a lady a little while ago who literally got off the plane and pearson was put in an ambulance and came straight to the resuscitation room straight to the operating room she lost all the skin on her back like you really you know a lot of times people go overseas and stuff because they're looking for a very quick answer. Right. They see somebody here in North America. They're like, I want my face up. I want my breast and I want my tummy and I want my buttock all done at the same time. And somebody here is going, no, you can't do that. They go overseas and they get it done. So the complication rate.

So when you're picking a surgeon, wherever you are, you can always phone. If you're looking for a ear, nose, and throat surgeon, if you're looking for a plastic surgeon, if you're looking for a bariatric surgeon, you can always look under the local health department. In Ontario, it would be the College of Physician Surgeons in Ontario. You can look up that person's name, and they'll tell you flat out what their training and all that stuff is so that you know ahead of time who you're working with. That's probably the easiest route to look up. You can look up their credentials, but just because somebody has a credential doesn't necessarily mean they're, you know,

they're the best surgeon or the best doctor either. Right. So you need to uh you need to kind of do your own due diligence and don't get caught up in um the instagram hype let's call it if that makes sense and i don't and i say that listen my daughter is like does a lot of you know my daughter quite well she does a lot of uh my oldest girl does a lot of that's her job and she's always always telling me like, Oh my God, please don't tell anybody. You're my father. Cause you really got to start doing stuff with your Instagram and you got to start doing much better. And I'm like, I know, I know, uh, one day I I'm going to take your advice saying is

start doing more things for it. So team, I have this amazing team, uh, who does my whole Instagram account. Like, honestly, it's a, it's a it's a i you know this is what i love about actually all of my amazing guest experts they're so busy helping people they don't have time to be on instagram they like they do what they can here or there they're there and that's what i love about it it's you're not about showy look at me you're actually about actually helping people which is why i'm so grateful that you took this time for this conversation this this conversation is to help inform people.

Like maybe like, you know, if you thought one way, oh, I'll just get liposuction. Maybe you're like, oh, maybe that's not for me. Or if you always wanted to get your boobs lifted, but you're not into implants or you weren't sure, you know, how much you need to spend on creams. You're trying to roll away your cellulite every day. Like this is just the same as every other guest expert conversation is meant to inform you.

We could go down a rabbit hole of all these different conversations, but I hope that you got something out of our conversation today. Sean, where can people reach out? I know you do have an Instagram account, but where can they reach out? Yeah, the new office is 129 Yorkville. We're on the third floor. So we have the whole floor to ourselves and you can get me through uh rice cosmetic surgery or dr sean rice all right the lbl clinic is the uh is the new clinic that i opened for the liquid breast lift and the liquid

butt lift okay lbl clinics that's you're on instagram that is the name of your clinic there i see the sign behind you dr sean rice.com If you want to reach out for other procedures and of course on Instagram at drshawnrice. I have totally used up every single second of my time with you. So I'm going to let you go. Thanks everyone who joined us live and thanks everyone who has downloaded and listened to our podcast. And of course, thank you, Dr. Shawn Rice. I'm going to, I'll come see, I'm going to come see you tomorrow. Yeah, come on down. I'll be here. Anytime you want. Thank you.