The Livy Method Podcast - Skin Solutions with Dr. Sean Rice - Spring 2025

Episode Date: July 9, 2025

In this live segment, Gina talks skin solutions renowned cosmetic and plastic surgeon Dr. Sean Rice B.A. (Hons), M.D., M.S.c., F.R.C.S.C.The conversation goes beyond the surface, literally. From gut health to hydration, Gina and Dr. Rice explore the powerful connection between what’s happening inside the body and how it shows up on your skin. Whether it’s hormones, inflammation, or the truth about collagen, you’ll walk away with practical tips you can actually use, plus a new appreciation for why a tired, dull, or reactive complexion might be your body’s way of waving a flag. If you’ve been second-guessing your skincare routine or thinking about treatments, this one’s packed with insight worth listening to.If you are in the Spring 2025 group, you can check out the full video here:www.facebook.com/groups/livymethodspring2025Find Dr. Rice:Website: https://www.doctorseanrice.com/Instagram: @doctorseanriceTo learn more about the Livy Method, visit www.livymethod.com Hosted on Acast. See acast.com/privacy for more information.

I'm Gina Livi and welcome to the Livi 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 relisten to one of our amazing guest experts? Well, this is the place.

This podcast is hosted on Acast cast but it's available on all podcast platforms, including the one you're listening to right now, Spotify, Apple and Amazon Music. Is it time for a girls trip spoiler alert, it's always time for a girls trip, which means it's time for our podcast sponsor today sell off vacations. Whether you're craving sun, sand, salsa dancing, or just a stretch of dune, nothing on the beach time, Cuba is calling. And trust me, Cuba es única, which means Cuba is unique and this island is one of a kind. If you want

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This is an opportunity to become curious. To learn 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. One of my favorite people on the whole planet is joining me today, Dr. Sean Rice. Where is he? Who also happens to be a world renowned plastic

surgeon. So that is going to come in real handy for me because I'm going to do all of the things. I'm completely unapologetic about wanting to not just feel my best, but look my best. And I mean, you know, to each his own. But today we're going to first of all, hi. How are you? Good good So we've had this conversation before it's for everyone. We are talking weight loss in the program here We're also talking about lifestyle and aging people

Want to look their best they want to feel their best they want to live long healthy happy Lives and of course how we look as a big part of that. And when it comes to weight loss, skin is a big issue for people. So today we're going to talk about the big ones. We're going to talk about liposuction, tummy tucks where those come in. We're going to talk about, you know, saggy boobs, droopy butts. We're going to talk about also crepey skin, loose skin, cellulite, what's going on with our jowls. We're going to talk about anything and everything.

So there's probably a little bit of something here for everyone who's watching or listening. Should we just start with skin in general? Sure. Yeah. I think why do we need skin? So skin's a funny thing, right? Skin is really the people don't think of skin as like anything, really. Right. So if you think about it, it's really the biggest organ in your body.

You know, you think of your heart, you think of your lungs. But nobody ever thinks of skin as kind of like an organ, let's call it. Right. So really, it's the biggest part of your body, obviously. And if you think of it, it's really a defense mechanism from the outer world affecting the inner world of yourselves. It's kind of an easy way to sort of think about it. And if you damage that barrier or the barrier starts to fall apart,

and then you get, you know, you can get skin cancers, you can get all sort of different things and that aging and that sort of jowls as we all get older. You just said something there. I know we've talked about this before, that your skin is your body's largest organ, but when we talk about being healthy, we think about heart health

and we think about our blood sugar and you know, we think about a lot of things, but we don't think about our skin, right? Being healthy, right. And there's a lot of new research coming in now with some new skincare lines are incorporating certain little sort of variables to affect there's a the latest research on skin and sun is looking at these sort of a molecule. I'm going to get it wrong. MM1 I think is the name of the molecule, but it's been shown now to basically sort of affect your skin, create skin cancer, create damage to the skin.

So there are some new skincare lines that have these MM1 protectors in it that are sort of moisturizers that kind of help your skin. So a lot of the skincare lines that have these MM1 protectors in it that are sort of moisturizers that kind of help your skin. So a lot of the skincare lines are getting into sort of the science as opposed to just like a shea butter, let's say, and put it on the moisturizer skin. It's a little weird though that we have to get vitamin D from the sun and in order to do that, we need to not really have sun care products on and yet the sun is so

unhealthy. Right. It seems weird. Yeah, particularly if you're a pale Irishman like me, the sun is completely unhealthy. You know, I don't think I've ever had a tan in my life. I got varying shades of red. I stand under the tree, I come out from the tree and I just go redder and redder and redder as the day goes on. So I'm definitely a setup. I can notice it, you know, I just turned 60, I can start to see the skin, you know, from sunburn when I was in my 20s and stuff. I can literally, I can see it starting all up around there at the top. So I think you really have to, you know, maybe the younger generation is going to be much smarter than we were in protecting their skin.

Okay, so I don't want to spend too much time on in terms of skin and the sun, but what are we looking for? Like I just use a zinc, like I'm just like I don't even know what to use. I mean I do use skin pseudocals, the tinted moisturizer, the 50 SPF every day, like every day I put it on whether I'm going in the sun or not. Do we have to buy our sunscreen from someone like you or are the ones in the shoppers drug mart, are they good? Give us a real deal. Yeah, sunscreen is one of those, you know, a bit of a controversial issue, let's call it depending on so think of it this way. There's sort of really two different

forms of sunscreen. There's the mineral or the barrier, let's call it physical barrier sunscreen. And then there's sort of the chemical sunscreen, let's call it right. So and let's go back to your skin being the biggest organ in your body, right? So if you think about it, if I've got a bucket of chemicals and a bucket of non-chemicals, am I gonna use the non-chemicals

or are gonna use the chemicals on my skin, right? So that comes down to a personal preference. I got very sort of, you know, that pale kind of white skin and it's, and I can be very irritated by certain things. So I can't use the, the chemical barriers, particularly the oil-based ones. They just give me a really bad rash.

Yeah. So you basically have to decide on which one you wanna do. You wanna go with the mineral base. That's the ones that I use. Or, you know, the zinc oxide, the titanium oxide, or do you go with the chemical ones that have the big long names that nobody can pronounce kind of a thing?

Yeah, I mean- To what works for you. The chemical ones that go on nicer than they have like shimmers and things. And then the, but the zinc ones that I need to use Or like their paste and you got a rub and so it is a bit of annoying But they I guess they are healthier for you. Yeah, they are, you know, theoretically they are healthier for you The other thing with sunscreen is people usually don't apply apply enough, right?

If you really read the back it like if you spend some time reading kind of like how much you should apply, basically if you're gonna use the physical one, like the cream that you put on, you need about a size of a golf ball or a shot glass to put all over your sort of body about every two hours. So a guy like me being really sort of pale and white, I'll easily go through an entire bottle of sunscreen in a day. Freaks everybody out. It's like,

oh my God, like, you know, how much are you going to put on to that stuff? But I'll, you know, literally if I don't put it on, I just burn. Well, thanks for telling me that because I can't, I can't fucking read the back of anything anymore. Even I have contacts on, then I put my glasses on and on top of my contacts and I still can't see anything at the end of the day. Okay, what else? What else?

Because I wanna get into the good stuff. So what else can we do in your opinion to keep our skin as healthy as possible that's not like a medical intervention or anything? The daily lifestyle-y stuff, what can we do? I think there's certain things, you know, smoking, avoid smoking. Smoking does, you know, terrible damage to your skin, creates lots of wrinkles around your face, particularly if you're smoking, you know, like outside and you're, you know, freezing and you're

getting all the lines around your lips and stuff. Sunscreen, you need some sort of sun protection. You really, you know, and I'm sort of preaching to the choir, I don't do it myself as much as I should, but you definitely, you should put some sunscreen on daily. You need to look at the difference between UVA and UVB sunscreen as well. So if you think of the two sort of big rays that come in from the sun, UVB rays are these sort of short rays and they land on the skin and those,

they don't really penetrate the skin. Those are the ones that create the sunburn. And then there's the UVA rays, the longer rays they penetrate deep into the skin. And those are the ones that give you the brown spots and the wrinkles and that kind of a thing. So skin protection factor, the SPF, only looks at UVB, not at UVA, right? So you have to look for broad spectrum, right? Is that what you're looking for? You want a broad spectrum sunscreen

that'll go after UVB. So UVB is, think of UVB is very prevalent during sunny part times of the day. UVA doesn't matter if it's cloudy outside, if it's, you know, you can still get the penetration of UVA through the clouds and still get burned that way. Okay.

So what else? Anything else? Moisturizer, put some good moisturizer on for sure. There's lots of new sort of interesting kind of moisturizers that come on the market. The problem with moisturizers or any of those is nobody ever gives them time to work. People put them on, they give them like a week, they give them a couple of days and they go, it didn't work or that didn't work. But you got to think of your skin as a kind of an ongoing mechanism that turns over about every three months or so. So you really got to give something three to six months to see if it works. That's why when people go for laser hair removal,

you have to go multiple, multiple, multiple times because sometimes the hair follicles are asleep, sometimes they're awake, the laser only gets to them when they're awake, doesn't get to them when they're asleep. So even your hair goes through these cycles. You know, think of about three months is about the average cycle for most of your sort of organs

and cells. Well, we're talking like people losing weight, there's loose skin, or they're trying to make improvements in their face skin or whatever their skin in general. So it takes about three months because when people lose weight on the program and then they're like maintaining their weight and they haven't lost any more weight, it's all of a sudden like three months later, people are like, oh my goodness, you've lost so much more weight. And I'm always like, you haven't, it's just the skin is now taking time to regenerate. Like we cut our hand and we don't sit there and be like, Oh my God, is my, is my hand going to heal? We just trust it is. So in theory, it takes three months for someone's skin to regenerate. Would it take another three months

to regenerate even more? Like, are we going to see continued improvements every three months cycle? Dr. Dan Seyfried Yeah. So let's say post surgery as an example, let's say you had liposuction, it doesn't really matter what surgery you've had. Generally, it takes about three months for the sort of the big gross amount of swelling that you get for surgery. It takes about three months for that to go away. It takes about another three months, so about six months, let's say post liposuction until you really start to see the fine details because the swelling's gone, the skin has sort of

contracted itself down again. So you really got to give some, sometimes even up to a year it can take for that skin to sort of contract itself back down again. Okay. That's good to know for people. I think because they start using something and they're not, you know, they don't, they, that this isn't working and they're not really giving it the time Yeah. You really got to give it, you know, if you look at some of the, some of the, you know, some of the skincare lines that we carry here, if you look into the research and you look into the the pictures that, you know, the FDA clearance you look into the pictures that you know the FDA

clearance let's call it so they can make a claim about you know wrinkly skin and stuff. If you look at the before and after photos they're all three to six months down the road so it really does take that amount of time for the skin to sort of re-moisturize itself, reorganize itself let's call it. So I'm pretty sure we're all just so impatient. We try something on our skin and we feel like if it's not fixing our skin in a week, or we don't notice an improvement, we're like, this isn't working, we're on to something else, or we just stop using it in general.

Right. Yeah, people do that all the time. It's like, okay, forget it, move on to the next thing. Okay, before I move on here to other things like crepey skin and cellulite and all that, what are, let's talk about our body skin. Cause everyone of course cares about their face, but how important is it to moisturize your body skin? And just like, I guess a pregnant woman, as her belly grows, she's supposed to moisturize it. What about the opposite? As we're losing weight, is it going to help us to be moisturizing our body?

And our body is big, like we can't afford all those little face wrinkle creams on our body. So what do we do there? So think of, you know, prevention is always the key to everything, right? So let's say if you know that, listen, I want to, I want to join Gina's program and I want to go through a sort of a regular weight loss that's controlled. I'm not going to go through a rapid weight loss because those rapid, you know, can really

sort of affect your skin and doesn't give it time to rebound. So if you start moisturizing and start doing stuff ahead of time to keep your skin looking well, sunscreen, even sunscreen on your arms, on your legs, things like that, if you're going out. And then there are some really good sort of lipid based moisturizers and using those will help keep the skin intact, right? So let's say if you're, if you're, let's use a, let's use pregnancy or rapid weight gain. So if you're pregnant and you start, you keep your skin moisturized around your belly, your

legs all over the place. The goal of that is to prevent the skin from stretching rapidly and then giving you stretch marks. Right? Because once you get a stretch mark, that means that the skin, sort of the dermal layer of the skin, that sort of deep down layer has stretched itself apart.

Very difficult to get that back together again. So you want to prevent it from stretching. And that's where moisturizers come into play. So that helps you during let's say pregnancy, but then that also helps you during weight loss after pregnancy. So you keep putting the moisturizer on and it keeps your skin nice and sort of organized, let's call it. Okay, moisturizers, do you have a line that you use, you recommend? Yeah, the two lines that we use, EpiCutis is the one I started. I use that myself, just as a disclaimer, I try that.

I ended up actually putting the body one on my face because I didn't read the label properly, like most men don't read the label. And people, honest to God, after about three weeks, people were coming to me to go, did you have a facelift? I use their, their cleanser. They have a I've never done this in my life. We've known each other for a long, long time. I've never cleansed, you know, that stuff. So they had a, an exfoliant, like a little white powder, and it's, um, it's

an oil based cleanser. Put it on your face. I did it twice a day, morning and night before my laser treatment. And then I use their moisturizer even without the laser treatment. People at three weeks were like, Hey, did you have a face lift? Like what your skin looks amazing. Um, so you pick a good skincare line, Epic Cutus, Avare, or Elastin, I should say are probably the two most common ones that are that are good skin scutes and skin suiticles or skin better are also very good lines. Same sort of company, a little bit of a different approach. Yeah, those I would say those are probably like the top ones. They're very very good lines Spending more money means better

That's a great question that's hard to say I would say I would say not necessarily Spending a lot of money. It really depends on what your definition because some of those let's say the body creams Like you can get a big body cream, but they're like 400 bucks or something, right? But it'll last you three, four months. So you have to decide if that is expensive or not. I wouldn't say, you know, the difference between that and a thousand dollar bottle. I don't think there's any difference other than the name. It's really just pick the active ingredients.

Oh my God. You know, I would spend, I would spend $400 on like some creamies for my face, but my body I'm like, no, Vaseline, Vaseline all over my body. You don't want to. So one of the problems with the body is you don't want something that's, that's what we call it medicine comedogenic, right? So Vaseline would be comedogenic. Comedogenic means that your skin's got all these little

pores on, right? And oils and stuff come out through your skin. If you block those pores with something, Aquaphor, Vaseline, then what happens is you're predisposed to acne, and then you start getting bacteria in the skin, you start breaking down the skin. So you wanna avoid something that we call comedogenic that's going to give you acne.

Anything is going to block the pores and that could lead to issues down the road. Okay, got it. And everyone's asking if I can list the products. Yes, I will list the products for sure. And I'll share with you. So I use skin, I use skin, I really just use a wash. And then I use the under eye cream. And then I put the moisturizer on, which is like the aging moisturizer. And then I put the sunscreen all over. And it

can be quite costly because I think I'm paying $180 for the cream, but it lasts me so long. Like the right, the right like, and also what's that face spray? The derma something face spray? I got it from you. It was in like a clear. Yeah, the Hale derma, the H O C L. Yeah, that's an amazing product. That's it. That's a you can spend hours just talking about that product itself. It's a quite an interesting. It's an

antiseptic in reality. So it's a fascinating product for skin quality. So HOCL, I read the entire like, I don't know, 100 page application to the World Health Organization. It's the only antiseptic that was ever used, I think up to around World War I. And then it sort of came off the market. It's you remember during the election, during Covid when Trump said, oh, boy, you could put Javix into your arms. So people get HLCL and Javix mixed up. They're kind of cousins to each other, but they're really not.

It's really just in the name. So as your as bacteria comes into your body, HOCL is released by white blood cells to kill the bacteria. So HOCL is a natural occurrence within your own immune system. So it's made by basically electrifying chlorine and they make it into this specific molecule. You can spray it on your face and what it does is it kind of keeps the surface bacteria under control and it's almost like putting a moisturizer. I take it on vacation, I use it for sunburns, I use it for, I cut my leg, I spray it on, I give it to all my patients to spray on religiously and it's phenomenal how well it works even as a moisturizer when it's even not a moisturizer.

I use it every day. I know it's the Andix. I use it every day. So as soon as I get out and wash my face, or shower, or wash my face, I spray that on and then I put my moisturizer. My creamies go on so nice after it. Am I allowed to use that every day? Should I be using it? Yeah, yeah, yeah. You can use it. So in Europe, it's mandated that the dentist put it through their lines to keep Legionella and stuff. I use it for gingivitis. You can literally drink it. You can use it for if my teeth get irritated,

I just spray it in my face. You can literally spray, I give so many talks on it, I can spray it in my eyes in the middle of a talk and it doesn't affect your eyes. Then people look at it and go, well, how does it work if it doesn't, like you can spray it in my eyes in the middle of a talk and it doesn't affect your eyes. It's a, then people look at it and go, well, how does it work if it doesn't, like you can drink it, you can stick it in your eye, but it's really the mechanism of action of how it works.

It's a super fascinating product. The science. Okay, I wanna go through a bunch of stuff. What about, what about estrogen cream that we're using on our down there parts on our face? People are doing that now. Can we do that? What do you think about that?

Yeah, I'm not the expert on estrogen cream by any means, but certainly there is some evidence that estrogen creams can sort of maintain the balance of the skin. So I would say not my expertise, but probably check with your dermatologist to get a true answer on that one. But my understanding is it can help with skin quality. Okay. What about, what's the next question I want to talk about? Okay. Why does it, why do we get jowls? What can we do about our jowls? Jowls. Yeah. Have you seen all the TikTok videos now? Everybody getting their deep plane facelift, their ponytail facelift, all these things for their jowl. Okay, what has Kris Jenner done?

Right, that I don't know for sure, but she's had some form of a, my understanding is based on a lot of TikTok things that she's had a, basically an endoscopic facelift, which they now call the ponytail facelift. So here's the simple explanation of it. Okay. You have your skin and then underneath you have all your muscle. And obviously when you smile, your muscles pull and that pulls on your skin. In the middle between your skin and the muscle, there's this layer called the SMAS. It's the submuscular aponeurotic system. So it's the system that attaches your skin to the muscles,

let's call it. And underneath there are all your sort of big blood vessels and nerves. So what you do is you lift the skin and then you lift the SMAS, but you need a very technically very good surgeon to do the SMAS because all your big blood vessels, all your nerves are sitting right there.

And then you manipulate the SMAS like a mask, you pull it backwards, you pull it up, you pull it in any direction, you sew it all in, and then you pull the skin in the same direction or in opposite direction, and that's where you get that lift. When you say lift your skin, like someone lying on the table and their skin is being lifted from their face? Yes, yes that's a facelift right so yeah totally. So you make a small incision like

up here in the hairline it comes down in front of the ear, if you include the neck you go back into here and then you basically lift all the skin from let's call it, you know, from the corner of your mouth to your ear, all that skin gets lifted up and the next skin gets lifted, you pull it and then you cut the excess off and sew it all back up. Okay. What can we do about our jowls? And can we do face aerobics? Does face aerobics help?

Yeah, that's a, now that's a super interesting question because that's very debatable, right? You can see these sort of white blocks you put in your mouth and you bite down. And what it does is it builds up your masseters, those big muscles. So if you see people that chew a lot of gum, things like that, they can get big masseters here on the side. A lot of people in the Asians are very popular for putting Botox in their masseters because it brings you from a round face to a narrow face by Botoxing these muscles right here. So basically by exercising, you can create your jawline a little tiny bit, but moisturizer

to keep your skin. You can do injectables, fillers, bio-stimulants I think are really going to take over that they're going to put fillers out of the market in the next 10 years, I believe. And then there's lots of machines. I use SoftWave on my gels. So I give a lot of talks on different machines and mechanisms of teaching physicians different things. So I tried this SoftWave on my gels. Boy, it made a huge difference. It really did actually even pulled up my lip so I don't have a little pencil lip anymore. It's time for today's podcast sponsor and this is a company that I can feel good about.

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for 20% off your first purchase. Again, that's bombus.ca slash Libby, and don't forget to use the Libby discount. Okay, yeah, I do like, and you know, I'm fully aware you guys, stuff that we're talking about, it might not, everybody might not be able to afford it. It's really what you're investing in at the end of the day. I did the, what's the collagen under the skin?

What is that called that? Yeah, there's two sort of biostimulants, let's call it. Biostimulants. Yeah, so one would be polyolectic acid, otherwise known as Sculptra. And then the other one is calcium hydroxyapatite, otherwise known as Radiesse. They're the two big biostimulants. I think those biostimulants, particularly the calcium hydroxyapatite or Radiesse, I think in the future is really going to, to really help with your skin quality,

regenerating your skin as we get older, particularly for weight loss. I've been playing around with that a lot now with the bio-stimulus, particularly like jowls, I've done it on legs, I've done it on the crepiness around the abdomen and on the arms where you inject calcium, you inject the radius underneath the skin and then use the we use up soft wave. It's a high frequency ultrasound on top of the skin

and that helps to actually remodel the skin. So not just sort of fill it in and make it really is taking the skin and reorganizing everything. And by reorganizing everything, that's, you know, sort of the fountain of youth, let's call it down the road. What about those gua sha's like, you know, those stone things that you see people like doing the rubbing all over their face. Does that work? You know what, it doesn't do much for your gels, but it's very good for lymphatic flow. The only thing I tell people is when they do that is sometimes people, they take those

that stone, you know, it's got that sort of curve on it and they push really hard on the skin and then you can break a whole bunch of blood vessels. You can get, it's like Dandager, what they call spider veins. You can get it, you know, you see it on your nose, you see it around here. You can actually create that by applying a lot of pressure on your face with those stones. So just do it gently and you should be fine. What about Ozepic skin, Ozepic face? Is that a real thing? Are you seeing that? Yes, 100%. That and but, it totally is a real thing. It's interesting. I was just in Greece a couple of weeks ago for a conference there and there was a talk on GLP1 inhibitors, Ozempic is an example, right? And how it affects skin. And I think that people are really starting to see now

that they're starting to get a little bit more research, a little bit more research that I really do think that it affects the skin in some way. Nobody really knows for sure. It could be the extracellular matrix, that sort of building block of your skin, but you definitely see it. I see it a lot in patients now that they come for it. They're on one of those weight loss drugs. They come for a tummy tuck and they come for lipos they're on one of those, you know, weight loss drugs. They come for a tummy tuck, and they come for liposuction, they look amazing. And then they continue on the drug. Six months later, they come back

and their face is all fallen, their skin's all fallen, and their butt's all fallen. And it's like, what happened to you? I don't think we really know the effect on the skin, but I think there definitely, no doubt about it, there is some sort of effect on the skin, but I think there definitely, no doubt about it, there is some sort of effect on the skin. So we have members who are taking weight loss medications because they can be game changers for people

and loose skin in general is a concern, but when you're talking about your face, like it's one thing that you got loose skin on your arms or your belly or whatever's going on, but on your face, we know that's not what they're looking for. Is there anything that they can do to prevent that or is it just a matter of getting fillers? And this is where it could be costly, right?

Is there anything they can do to prevent that along the way? Like, is it a muscle loss thing? Because I heard, especially with women, and I'm sure with men too, when we lose muscle as we get older, there's like muscle in our face, there's bone in our face, and the lack of muscle and the bone in our face, and it's really when we talk gravity is causing our face to kind of come down like that. Is that true?

Yeah, partially true. The muscles in your face are actually very, very small. So my personal opinion is I don't think I don't think doing a lot of those big exercises is going to alter your face. I think it'll definitely alter your masseters and that will square off your jaw if you want really big. What I've been playing around lately is, so it seems to be that these medications affect the what's known as the extracellular matrix. It's kind of like the building block of your skin.

So let's say you're building an apartment building, right? You put up the steel frame. That would be the extracellular matrix that kind of holds everything in place. And then you build all the apartments. You put all the cells, the blood vessels, everything kind of around it, right? So as we age, that extracellular matrix starts to fall apart.

And that's what gives us the jowls. And everything starts to loosen itself. I think pulling on an elastic band over the years, the elastic band stretches and it just doesn't come back. So this is I think why the bio-stimulants, particularly things like Radiesse are really going to, you know, become more and more popular as the years go by because what they are doing is they are actually physically affecting the extracellular matrix of your skin. So they're rebuilding that building block, right? Whereas fillers, hyaluronic acid fillers are really just

pushing everything forward. They're not affecting the skin in any way. They're just sort of mimicking it. Whereas the bio-stimulants are actively affecting the skin. There was a super interesting study out a little while ago. They got a couple of twins like in their 20s or 30s, and they were injecting them with calcium hydroxyapatite or Radiesse underneath the skin. And then they noticed that a year or two down the road, the one sister that was injected had about 20% thicker skin than the other sister that wasn't injected.

And that was the bio stimulant. So I really think that it's like lifting weights when you're in your 50s, so that when you're in your 70s, you're not gonna get osteoporosis and break your hip because you got stronger bones. It's kind of the same thing. You got a stronger extracellular matrix, your skin. So if you plan on losing a lot of weight,

I would start looking into those, inject those into the area, along with some soft wave. They're not that expensive. And that will literally help to rebuild the skin. Okay. What about those collagen face masks? I just bought, I literally just bought this thing the other day that goes on your chest and around my lips because I don't smoke.

I used to smoke weed. It's my used to smoke weed, but not a lot of it. I have these like lines and I don't want to get like a lip flip or anything like that. Do those work? Like, like, you know, the new college, you see them the college in mass, those are they worth our money? Yeah, I would say they're worth your money, not necessarily to repair your skin, but they're worth your money to help to moisturize your skin topically and to give you some nice comfort and relief, let's say. But I would stick to the cream. If I had a choice between the cream and the mask, I would go with the cream over the mask. Mask would be my second pick.

Okay, what about crepey skin? Yes, crepey skin. What do we do? Do we dry brush the shit out of it? Do we dry brush it? Yeah. What do we do? Like what's at home stuff we can do for shit out of it? Do we dry brush it? Like, what do we do? Like what's at home, at home stuff we can do for crepey skin? I know there's... The skincare lines work really well. Those ones we talked about before, the EpiCutus

and the Elastin work extremely well on crepey skin. I've been playing around a lot with the BioStimulant, Sculptra and Radiesse in particular. I just had a couple of people that had some big sort of stretch marks on their arms so I just injected calcium hydroxyapatite into that and then I actually used that there's a brand new laser that just got cleared by Health Canada last week. The UltraClear laser, the one that I did my face, I'm going to do a couple of posts on that coming up but it has a coring mode and you can drill little holes into the skin and it causes it to contract to get rid of the sort of stretch marks. You really want to prevent that. So, so if you really want to go down the regenerative route, I would suggest something like the bio stimulants and some good skin scare, good skincare, and

maybe something like a soft wave on top to really sort of tighten up the skin. What about infrared masks? You know those masks that everyone's got? I got a full transparency. I have one, but don't be kind. If they don't work, let me know. Okay. I'll tell you a full disclosure.

I always thought they were a crock, right? I'm like, I have a red light, red light. And I have a very good friend of mine. He's Canadian. He lives in the States. He's a naturopath, a super, super smart guy. And I had a long discussion with him about red light. And then I did a lot of reading on red light. I'm totally convinced red light has some benefits for it now after it. From what I understand is you need a

very high end red light, like you need a very good red light, not just a crummy little cheap red light. like you need a very good red light, not just a crummy little cheap red light, but there is some red light for hair, for skin. There is some really good evidence that, I must say I've changed my mind on red light. I'm actually looking at getting one for the office here as well. Okay, stretch marks.

Stretch marks. What can we do? I'm gonna put cream, but just about the jowls, is there anything back to that? Because someone's like, it sounds like there's nothing we can do is, I mean, I know there's lots of procedures that Yeah, but what about at home on our own? Yeah on the skincare really is about the only thing you can do at home on your own Yeah, unless you get into the like the bio stimulants or fillers or something that the only thing you really can do at home would be stop smoking, avoid the

sun and use some sunscreen and moisturizers. It's kind of the basic thing. Got it. Yeah. I mean, you want to book, we're going to tell you how to reach Dr. Sean. If you want to just book a consultation, go and see what you can be done. He's got all sorts of like the latest, he travels the world talking about this stuff. Like that's what I mean by world renown. So if you want to get into it, this is just highlighting some of the things that you can do in the conversation. Sean and I are actually going to do a fun podcast. We're going to do a podcast series on all the things.

Yeah, so talk about, we don't have a lot of time left, but let's talk about cellulite. Right. Cellulite, boy, if I could get rid of stretch marks in cellulite, I'd be the richest guy. I'd be better. I'd be better than Jeff Bezos at Amazon. Cellulite has so many misconceptions about cellulite.

I don't think there's any very good evidence to suggest that exercise or diet or any of this sort of stuff really does affect your cellulite level. So cellulite really you have to think of cellulite as three components. It's thin skin, it's little bands. So between when we talked about in your face there's these bands that basically just think of it going from the muscle layer up to the skin, right? So for women, those bands tend to go up and down, right? Men, those bands tend to go on a bit of a 45 degree angle. So what happens with cellulite is you get thin skin, the bands shorten and it traps fat in between those bands and you get this up and down waviness. So you generally don't see a lot of cellulating guys, because the theory is that men, their bands go sideways, not up and down. So it doesn't trap as much fat. So you don't really get

cellulite. So if you want to fix cellulite, you got to fix all those, you got to fix the skin thickness, you got to break the bands, and you got to sometimes get rid of a little bit of the fat that's there. So we're basically stuck with it. Some creams can help with the skin, the rolling can help like temporarily give those rollers a bit, but there's lymphatic drainage with that, but at the end of the day, it's just how women are made. Yeah, so if you think of cellulite, let's call it on a scale of one to four, four super, super bad, one is kind of everybody has it.

If you're a four and you go to a three, my personal opinion, scale of one to four, four super, super bad. One is kind of everybody has it. If you're a four and you go to a three, my personal opinion and after 20 years with patients is if you're a four and you go to a three, you're still pissed off because a three still looks bad. If you're a one, don't waste your money because you're never gonna go to a zero. Nobody's a zero.

Okay, I wanna talk about lipogema. Sorry, go ahead. I thought you were done. You're thinking lipoedema versus lymphedema? Well, I don't know. Lippoedema, lymphedema. I think the water retention in the legs and the body. I want to talk about that. And I want to talk about liposuction and tummy tuck before we go. So let's talk about that because I know to talk about liposuction and tummy tuck before we go. So let's talk about that because I know that science is changing on this. Yes and lymphedema and lipedema are two different disorders let's call it but they look very, very similar. So this is why the diagnosis between one to the other is very hard to do in some people.

Because lymphedema is really a circulation issue. It's your lymphatic flow gets blocked off. It's generally related to something. Trauma as a kid, you got to cut in your groin. You see a lot of times post-mystectomy women, they make an incision through the armpit. The armpit affects the lymphatics and then your arms. Generally for most cases of lymphedema there's some sort of underlying trauma later earlier in life somewhere. Lipidema is the abnormal accumulation of fat. It's generally in

the legs, coming in the arms. There is some evidence now to suggest you can get lipidema in the abdomen. But the easiest, and now this is, it's a very complicated diagnosis, but one of the easiest things to look at are let's take a look at your legs. If you have really big swollen legs,

and all of a sudden you get tiny little normal looking ankles, let's call it, and your legs are really big swollen legs and all of a sudden you get tiny little normal looking ankles let's call it and your legs are really big and then they just it's called the cutoff sign where they sort of cut off right at your ankle but your feet look normal that's most likely lipidema that's most likely the fat accumulation. If your legs are swollen but your feet are also swollen, that's probably more of a lymphedema. So if you take your thumb and you push on your leg and your thumb goes all the way in, and then that hole sits there,

that we call that pitting edema, that's generally circulation issue. If you push it in and you pull your thumb out and your thumb comes right back, that's probably fat, that's probably lipidema. Okay. That's my basic estrogen approach. Yeah, what about liposuction and tummy tucks?

Let's talk about tummy tucks first because people have a lot of skin, especially in that area after they've lost weight. Is there anything they can do beside a tummy tuck or whatever just on their own? Like if they do crossover abs, is that going to help the skin regeneration will help? Like what's going to help anything? Generally, exercise generally affects the muscle mass. It doesn't affect the skin directly. And by building, you know, big biceps, you can pull up on your skin so mass and doesn't affect the skin directly. And by building, you know,

big biceps, you can pull up on your skin so that it doesn't look as flabby, but really, exercise is really not going to affect your skin that much per se. You need to basically prevent it. So using, you know, the way we talked about those bio-stimulants, using good skin cream and stuff like that over top to try to prevent it from happening in the beginning. Okay, so that goes for anywhere in the body, like building muscle up in that area will help with toning, but it only does so much with the skin and what's going on, like the back wings under the arms, same thing? Same thing, yeah, same thing. It's like taking those GLP-1 inhibitors, right, and then you get the, you know, your butt drops down.

That's the more common one that we see here all the time. And then we do a lot of, sorry, Hyaluronic Acid fillers in the butt to sort of lift up the skin because there's really nothing you can do to repair that skin. This is a good time to talk about this because I had four kids. So, I mean, it's like no secret. My boobs are like, I don't know, down to my knees. a good time to talk about this. Because I had four kids. So I

mean, it's like no secret, my boobs are like, I don't know, down to my knees. And I mean, they used to really bother me, but now it doesn't bother me so much. But I didn't want to get implants. Because I just, I just wasn't into that and having to get them replaced. But especially if you're dealing with like that saggy skin in your boobs or in your butt, now they're now you can get like you do fillers in them now So you don't have to do like a Brazilian but or like get implants in your butt

You don't have to get implants anymore And this is I would imagine more and more people who are taking weight loss medications and and losing weight rapidly are doing this But this is available which y'all listen up because I didn't know that but so what is that? So I designed one called the liquid are doing this, but this is available, which y'all listen up because I didn't know that. But so what is that? So I designed one called the liquid with one of the filler companies, let's call it. I helped them design that about, oh my God, it's probably eight years ago now. And maybe about five, six years ago, I started looking at filling in the breast. I'm certainly not the first person to do it. It was very popular in Europe and in Asia, maybe 20 years ago.

They didn't have a very good product. The product they had was a terrible filler, created a lot of problems. So I worked with a pharmaceutical company to Prolinium to help them sort of manufacture, they're the only manufacturer in North America of fillers actually. So I helped them design their sort of filler. So what we've done now is you can get, so let's say your options for breast augmentation or breast implants, you could put fat in there or you can now put in the hyaluronic acid filler. So the filler is the same filler you would put

in your cheek or your lips, hyaluronic acid, but I put it underneath the breast. I especially designed cannula. I helped the company design the cannula and we put that in just where you would put a breast implant in and then basically fill it up. So you can get a year, you can get two years out of it depending on your own personal metabolism, how much you put in. But I see a lot of people that are going through weight loss and when your boobs start to fall, you get that hollowing here, that's what we call it upper pole hollowing, and you put on a pushup bra and it sort of caves in

at the top. And a lot of women don't necessarily want big implants, they just want to fill in that hollowing, particularly when they're going through their weight loss. So we just put hyaluronic acid in there and that fills that up. There's no downtime. You go to the, you just literally come to the office,

you get it done. 30 minutes later, you go home. There's no downtime. You can go to the gym, you can do everything you go to the, you just literally come to the office, you get it done. 30 minutes later, you go home. There's no downtime. You can go to the gym. You can do everything you want to do. Um, and then every year or so you come back, you put a little bit in there just to maintain it. Oh my God. I got so many questions.

I'm glad we're going to do a podcast together because I want to know what's like, what's, what's really cool and new. Like, is, is it just going to be like, we're all going to be like Chris Jenner and be able to, or to be more and, you know, 10 years from now, 20, we're just gonna be walking and be like, zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz four or five cases every week, I bet of liposuction. Still very, very common. Yeah, so the biggest question we get all the time is, do I need a tummy tuck or liposuction, right? And that's a, you know, you really need a bit of a physical exam to figure that out,

but the easiest way to figure out if I need one versus the other is basically, liposuction is only going to remove fat. Tummy tuck is going to tighten your muscle and it's going to remove fat at the same time, right? So if you stand up, if you look in the mirror, stand up straight, turn sideways, and just relax your muscle in your abdomen, because everybody even I suck in my muscle all the time, so that your stomach looks flat, right? If you just relax, your abdomen goes boom and it sticks out and it

looks like you're pregnant, that's because your muscle is loose. So you may not have any fat, you just may have a loose muscle. Well, particularly after childbirth, that's when you need a tummy tuck to tie it. If you stand up and you're pretty well flat, other than you just grab a handful of fat, then generally liposuction will work for you. Oh, so no. Liposuction isn't weight loss though. No, no, none of that is weight loss. Tummy tucks, none of that.

Don't ever consider any of that to be, oh my God, I'm gonna lose weight. Like you can take off big, big swaths of skin from a tummy tuck and lose, you know,kg. And you can take off 5L of fat and put that in, we collect it in a bucket, let's call it for lack of a better word, and that fat floats. So you can put 5L of fat, weighs nothing. So you can remove 5L of fat off somebody's body and they may lose zero weight. In fact, they jump on the scale that night thinking they're going to be down 20 pounds

and they're up five because of all the weight of the temescin solution, the water from the surgery has put them up. So don't ever consider surgery as weight loss. It's really what to do after the weight loss, let's call it, as opposed to the mechanism to lose weight. Okay, love that. All right, what's new? What's upcoming? What are some of the things that are blowing your mind out there?

So the newest laser on the market, the UltraClear, just got approved last week. We're going to be one of the Canadian training centers. That's the laser that I did on my face last year. It's a, it's a the world's only first cold fiber laser, which you get into very technical terms, but, and then that energy source releases radiation, let's call it. It goes through a whole mechanism of literally a thousand mirrors, and it comes in into a fine pinpoint. So what happens is now with the new, the cold fire laser is it uses Freon just like your fridge uses, so there's no more mirrors. It goes through the freon. The freon takes all the laser fibers and puts it into a fine line and then that fine line comes out. I cored my eyes, little drilled holes. It's the only

laser in the world that actually cores. So you can drill a thousand little holes and turn your skin into Swiss cheese. As the Swiss cheese conglomerates, it pulls like my eyelids, I needed surgery for my upper eyelid. I cored my upper eyelids, and now it got me a year without surgery. So I've used it for stretch marks. There's so many super things coming down the road.

Well, first of all, I love your passion for it. And you're not the best seller. Oh, you just your face. It'll be like Swiss cheese. Like you. Well, you know, it's funny because, you know, I will post my pictures. It's a thousand little dots. But you know what?

That's how things work. You know, you might as well tell people the truth, right? So and the interesting thing, this laser can actually use it as a scalpel. So, if I wanted to do certain surgeries, you can actually use the laser rather than using a regular scalpel. Okay. All right. Well, listen, Dr. Sean Rice is the best. If you're interested in any of this and all the incredible things, I mean, there's so many things we didn't even touch on that are available. I know it can seem like, oh my God, like what can I do?

And especially if your finances are a bit of an issue and you're not sure. So we're gonna list the creams. At the end of the day, taking care of your skin, that's the takeaway. People think about all their other organs, your heart health, all of that. We don't think about healthy skin.

So the sunblock you're using, the skincare that you're using, it's a huge investment. Eating healthy, right? Losing weight, decreasing inflammation. And if you have loose skin after losing weight, just give your body time too. That's your body needs time after you lost that weight. So thanks for joining us in this conversation. If you want to reach out to Dr. Sean Rice, you can follow him over on Instagram at Dr. Sean Rice. You can also

find him at his clinic by going through his website, which is iblclinics.com. Iblclinics.com if you want to reach out to him and he's an all around great guy. And like say stay tuned for our podcast series because we're getting into all the fun stuff. Yes, I'm looking forward to it, for sure. Yeah, yeah, me too. Thanks everyone for joining us. Dr. Sean Rice, I love you, I adore you. Thank you for your time today.

Always a pleasure. We're lucky to have you. All right, thanks everyone. See ya. See ya. See ya. See ya.