The Viall Files - E1147 - Dr. Terry Dubrow Talks Clavicular, AI & GLP-1s PLUS Casa Amor

Episode Date: June 24, 2026

Welcome back to a very special episode of The Viall Files! Dr. Terry Dubrow joins us to talk about GLP-1s, AI, longevity, Clavicular, looksmaxxing, and the internet's latest beauty and wellness obsessions. Plus, we break down all the latest Love Island USA drama, including Aniya and KC, Bryce and Trinity, Sincere's Casa Amor behavior, and the bombshell whose girlfriend discovered he was on the show with the rest of America. You won't want to miss it :) "There are a lot of surreal moments…"   Nick is on Substack! Subscribe here: https://nickviall.substack.com/subscribe HEY! YOU! DO YOU NEED DATING AND RELATIONSHIP ADVICE? Email [e-mail] and be a part of future Ask Nick episodes! Want ad free episodes and incredible bonus content? Start your 7 Day Free Trial of Viall Files + here: https://viallfiles.supportingcast.fm/ Subscribe to The ENVY Media Newsletter Today: https://www.viallfiles.com/newsletter  To Order Nick's Book and/or learn more about the show, go to: https://viallfiles.com To advertise on this podcast please email: [e-mail] or go to: https://advertising.libsyn.com/theviallfiles  Timestamps: 00:00 - Intro/Headlines 26:48 - Dr. Terry Dubrow Joins 1:14:03 - Outro Episode Socials:  @viallfiles @nickviall @nnataliejjoy @drdubrow @susiecevans @justinkaphillips @the_mare_bare

The Valfals is brought to you by Progressive Insurance. Do you ever find yourself playing a budgeting game? Well, with the name your price tool from Progressive, you can find options that fit your budget and potentially lower your bills. Try that Progressive.com, Progressive Casualty Insurance Company and Affiliates. Prices and coverage match limited by state law. Not available in all states. What's going on, everybody?

Welcome back to a special episode of the VAL Files. I don't know, is it a Rally Recap edition? Is it like the More You Know edition? Ooh, it's interesting, fun, love island, chit-chat, but also everything you've ever wanted to know about GLP1s, mid-makeovers, yeah, tidies. It's a girl's up. It's a girl-up.

Yeah, it's for the girls. With the guest who is a man, but for the girls. Okay. Yeah. Well, aren't the men also interested in GLP-1s and the future of AI in modern medicine? Yeah, that's actually. And what is the thing he was calling? it, the phenomenon of like aging more gracefully.

Longevity? Longgevity. Yeah. Longgevity. Yeah, for the girls and the guys who like get it, you know? Well, we do have the world renowned plastic surgeon. Dr. Terry Debrough is with us who I like to think we're friends. I think he's very cool.

He seems like he's friends with you guys. I was like, can I get in on this? Can I come to dinner next time? I want like the doctor Terry Debrough to be like my mentor. You should just ask him to be. I think I'm going to. I love that. I think we're going to go out to dinner.

I want to go out to dinner. Yeah. Like without the wives. Oh. For sure. Yeah. Okay. I want to have like locker room talk with Dr. Terry Debrough.

And I'll go with Heather and we can talk like diamonds and stuff that Heather likes to talk about. Love that. I was going to say, though, after yesterday's episode, locker room talk? What does that entail for you? Oh. Yeah. Well, I don't know. I'll have to ask Terry.

You know, who's going to be my mentor, you know. Yeah, exactly. Well, you know, there's so much conversation in the world these days about GOP ones. I honestly don't know much about them. I think with a lot of modern medicine kind of crazes, there's always a lot of skepticism. Is it safe when things kind of come out fast? You know, there's always a lot of discourse online, conspiracy theories, misinformation, yada, yada, yada. We've always been fascinated with plastic surgery.

Also, like, AI, it's very scary stuff. potentially, but also maybe super beneficial. Like how will AI play a role in like our ability to age more gracefully? You know, what's the future of modern medicine? And Dr. Debrough is someone who pays a lot of attention to this stuff. He also just is like a highly successful man, which I find to be fascinating. He was very also just entertaining. So he graced us with his presence and had a fun conversation about all this stuff. I think you will all find it incredibly interesting. Before we get to Dr. Debrough, we did have an episode of Love Island last night it was casa night uh susy and some members of the household actually in los angeles the greater

los angeles area the theaters opened up it was kind of lit what it was fun it was fun it honestly made me realize how many girly pops just like one girl time like one girl we met she was like girls night it wasn't like for the boys there were a couple of boys there but like single boys with other boys or were the men coming with their ladies it was either men with their ladies or the men with their ladies or girls in the gays. You know what I mean? Okay. Yeah. And it was, it was really sweet. It wasn't a lot of Zyke and Bryses and like boy ban stuff. No, mm-mm. No, not so much that. But it was just like, it was sweet, you guys. Like it makes you realize how important female friendships are. Yeah. Like one girl was like, oh, I like got off work and I live pretty close to here. So I went home and

like changed into my sweats and like I just want to be with people and and watch it with other people and and it was funny like the girl beside me wasn't with us but I would like look over at her and we would like talk our shit you know and I'm like oh I'm so annoyed and she's like no I can't stand this and I'm like oh like this is so nice we love that especially because normally when you're watching a movie the movie theater it's like no talking no one on your phone no eye contact no eye contact yeah do not look at me but this it feels like it was very much like let's all chit chat yeah everyone was like there's videos we took and like people are like doing this kind of thing with their hand, like fist pumping in the air.

That's awesome. Yeah, it was really cute. So sweet. We love a community. That's why we do this show. When the episode finished, though, I will say I was kind of like, that feels like a weird episode to have put in theaters. One girl literally was like, wait, is there more? Like, is this an intermission? She was waiting outside.

Like, are we going back in? She was like, I thought it was like, it's a few hours for the credit. From the feedback you heard of not necessarily critiquing the episode because it was, I mean, listen, there's 30-some episodes and all going to be home run. but we felt like there was a lot of expectations. This was a night where the theaters did open up. It was it was constant night. So we will obviously talk about the episode itself.

But I am curious in terms of just like hanging out with all these people who were there to obviously spend time with their friends, but to obviously, you know, the water cooler talk and to compare notes, what were some of the biggest like takeaways or themes or sentiments that you heard from the audience about. how they feel about the show individuals, couples, things like that. I think I would say almost everybody is kind of vibing the same way we are. Everyone wants Anaya to find somebody.

Like everybody when we were like, who do you want to see explore Anaya, Anaya, Anaya. She needs to ditch KC. Like she needs to go out and find somebody. Like I feel like the message has been similar. There were a couple zingers in there. Some people just really don't like

certain contestants. Like some people really don't like Kenzie. I've seen that on one too. And I kind of... She's a big personality. She's a big personality. I get that she may rub people the wrong way. But I also, I was saying to somebody last night,

I was like, you kind of just have to like take her at face value. Like, she's funny AF. Like, she's going to jump into the splits. You have to expect the splits from her. Expect the split. You can't be like, oh my God, she's splitting again. It's like, here goes the splits. She's pretty transparent.

She's like, listen, if you want a happy Ken's, I just need to do the splits. I need to dance. It's literally. need attention. She's like I got to dance and I got to show my shit off and like I'm happy now. I'm happy. Okay. Do you that's what you need? Kyle Richards, Kenzie last name from Love Island. Two queens who can do the splits and I think it's really important to have them on TV. Do you think Kenzie actually did that though? I was like before the villa because I was talking to someone. I was like this has to be a bit that she decided going into the villa that I'm going to just do as many splits as I can because I've never seen that in real life. No. Chambliss did a split at our wedding reception and she's like like I feel like the people who can do something. splits. They show it off.

Like, have you ever, do you have the ability to do any party trick? I don't. And I would love one. Like, like my whole life growing up, it was like,

I wish I could do a backflip. Or the worm or something. The worm. I feel like the worm is, I was just about to say. It's overplayed. It's overplayed. But if you can do it,

you're looking for a reason. You're like, it's that Ross Geller where they're like, you should play. You're like, no, no, okay. You know, like you want to be asked.

I can't do it. Did someone mention the worm? Did someone ask him can do the work. Can you do the worm? I was just saying that's what I would do if I could do the worm. Oh, I was like, are you about to do the worm? No.

I was going to leave. I was going to lock in. And the splits is, you know, clearly no one else can do the splits because there's no one else in the villa being like, actually, Kenz, I can do that too. Oh my God. Imagine if Kada one day is just like, watch this. By the way. That would be awesome.

Or the guys. So outside of Kenzie, who else is rubbing people the wrong way? Zach. Yeah, Zach. was a heavy hitter. People are a little annoyed with Zach. Casey, obviously, people are just like, same thing we're saying.

Everyone's like, it's okay to be open. We want you to be open, but you've been shady about it. Sincere people, I feel like people are, like, annoyed with him. And it's really just... Is there any guy that... Bryce. People love Bryce.

People love Bryce. People love Bryce. I just don't. Even after this episode? Even more. Really? Well, I guess because, yeah. They gave him a good little edit there.

Sad boy edit. Sad boy edit. But he was a huge, like I was really shocked. I was really like, oh, everyone wants Bryce and Trinity to work out. And I was like, no. I just feel like there's not anyone there. Who is the new guy Trinity was making out with at the end of the episode? I don't know any of the Kasa's names yet.

The new guy that Trinity was making out with? Their vibe with each other just seems way more, way more chemistry between the two. You know, and he has like, this is a, Corey, a man who's, like, passions are fashion. Yet, despite that, he still gives, like, and I'm curious, I was, before you came in, I was, like, I'm curious what you would Natalie think. But, like, I, the more we're learning about Bryce and Zach, this obviously bromance, and there's been a lot of discourse online about, like, is there more to it and yada, yada, yada. And we obviously talked about that yesterday where it's just, like, I think, more adolescent boy. behavior despite Bryce being 29. But then like I was

reminded that like Zach is like literally was like my hero is Zane from one direction which I like Zane but like hero boy band. Hero. And then find out last night that like watching Spider-Man. Did it for him. Is yeah.

And it's just more like again this is very it's that like paints a picture of like again adolescent boy energy and I'm just curious for the ladies is that something that you find, I mean, I like Spider-Man as much as the next guy, but there's a softness to Bryce and Zach. And even like, what Zach is, he's certainly willing to open his mouth, but he is a bit whiny. He's always kind of like centering his insecurities anytime Kata's like doing

anything. Where Kata is this not, like, she's not like that. She is, you know, she gives off this confident energy. Same thing with like Trinity. Yeah. And I just feel like, I don't know. Like, I just, I like a Trinity and Corey and I feel like that just, like, Trinity and Bryce, they both seem like really nice people. I don't know. And like, I don't know. Bryce has no. Are you talking about like a little bit of swag?

A little swag. Yeah, a little like, you know, I know you're going to be respectful, but what are, what? What could you? I don't know. Yeah. I don't need, I don't need swag. Like when a guy has it, I'm like, oh, that's nice. If he's got everything else going on, like if he's got all the character values of somebody

that I want to be with. and then he's like got a little, like a little bit of that or a lot of that. I'm like, amazing. I can do without it, but everything else has to be there. You know, like I can, as long as he's a good person, he's funny, like, we have to have chemistry. I don't need you to be like cool. But, I mean, I do think, I do think Bryce is cool. He just doesn't have, he doesn't have like, is it sex appeal maybe?

When Caleb, the night before, as Natalie pointed out, came out and was like, spread your legs, ladies. Yeah. Caleb is a guy who, from what we've seen so far, seems like a gentleman. He's got this sweet demeanor. He seems really kind. But in that moment, he kind of gave the, oh, he might fuck. Yeah. You know what I'm saying? He fucks. Yeah. Like when he tied her hands up and put, like, yeah. He definitely has. And Bryce and Zach don't kind of give the- They don't have that. You know, like, but that's not for me to say, you know, and I'm just curious if the ladies in the room have. No, I know a lot of girls that, like, love a nerdy boy. Yeah. I don't know. It's a, it's a thing. But even the nerdy boy. It's not even nerdy though. No, I... Yeah, sorry, I mean a sensitive. Like, I'm friends... Like, I'm friends with a lot of those guys and I know they're girlfriends.

And so... And I think they just, like, want to feel, like, safe and taking care of and that... Like, listen, I think there is a big difference between Carl, our new Casa guy, and Casey and Bryce. Yeah. Carl is, like, the nerdy, sensitive, sweet...

Which one who taught her. The one who taught her Chinese. Oh my God. What a great conversation. What a flex. Obsessed. What a flex. Obsessed.

Anaya deserved. And it was like what we've been waiting for. Yeah. And I think honestly, Nick, to your point, the Bryce and Zach thing is more relevant to me a little bit with like Casey and Anaya because I'm like, I think Bryce and Zach both, Zach specifically, to me is like very, he seems immature. He seems like a young guy. Like I'm expecting to go. if he would have shown me his bedroom. Like, I would believe if he,

I would believe if he, he's like a race car bed. And I would believe if there's like a Spider-Man pillow. Race car bed. And a one-direction poster. No, no, no. That's giving me the ick even more. And like a guy in his mid to late 20s,

I like, again, I'll listen. I love, love Madonna and Britney Spears. Like, I will jam to that shit to the point where he does give my wife the ick. But like, it is not something that I'll be like. You're not going to lead with that on love that. going to lead with that on Long Island or be like, yes. Yeah.

Or my hero. But I think with someone like it's like it's a literal guilty pleasure. Yeah. I think with someone like Casey, Casey is going to like pretend he's not that guy. But then kind of is. You know what I mean? Like he has that that. He's aware of it.

He's aware of it a little bit. And he's like goofy and whatever, but still a bit immature. And then you have Carl who obviously we've only gotten like 30 seconds of screen time from him, not very much. but he seems to just be like calm, sure of himself and wanting to like kind of take care of Anaya. And I think none of those boys over on boys over trying to get with these cossack girls

are looking to take care of anyone. The way the men in this episode were talking about like their gripes and complaints about the women in the villa as if they didn't just like get out of the strip club that was like, It was like, what do you, Corby, do you not remember saying, I'm going to leave this island with someone else? What are you doing pointing out Kenzie's red flags?

Like, it just makes no sense in the way these guys. I don't know. I actually had a few red flags I was going to bring up to her before I came to Casa. Like, and what were they? Yeah. Let's hear them. Oh, her splits. Yeah.

I'm sure maybe he's got some like questions, but they were just like, clearly. they act as if, like, that what the women got to watch and what they were doing with the, with the bombshells is, I guess, like, a freebie? Or it doesn't count? Because it's a challenge. Well, yeah, him being like, are y'all going to kiss outside the challenge? And they're all like, well, I feel like you have to. To just, like, see if it's there.

You've got to try it out, bro. And then you have sincere in the morning, then be like, sincere, did you kiss? And he's like, yeah, I had to. You had to? You had to. God, I hate it when I just. I have to make out Meanwhile, Melanie's like sitting on the yellow couch

I miss my man, I miss my man Everyone booed in the audience at that part Yeah When the girls were like I miss my man We all were like booed tomatoes Can I ask you a question about what somebody reacted to at the screening When Titi after she was making out with Casey Came back in and was like

My man, my man, my man What was the reaction there? It was icky silence You know, like no, we weren't really, it wasn't booze. Okay. Because we don't know T.T. Yeah.

And are we also, like, not happy that Casey's like giving horse-minded. Listen, I was a little disappointed in Anaya. The other night, she's just like talking her big game, you know, she's like, you can do that. I'm going to do this. Blah, blah, blah, blah, blah. Keep that energy. Where did the energy go? Then one night of, like, he, and Casey is at this point embarrassing Anaya.

I'm sorry, you know. And I, she deserves better. But like she's got she's got a follow through. This man was begging for women that he wanted to make out with. And he got that. This is a man who's been horned up for weeks and talking about his feelings with Anaya while regretting not making a move on Seoul. And this is the result of that.

And it's like at this point, yo, it's just like he should know at this point if Anaya is someone he wants to invest in. It's clearly not. And then you see that the women he's interested in who like, Like, they, like, Anaya's energy is different than these bombshells. And if he's into these bombshells, like, he doesn't, I don't, you know, like, and I do feel like, this is a core, Carl. Carl? Yeah.

Yeah. Like, Anaya is like, she's a serious person, you know? And I mean that and in such a compliment, you know, she, she knows what she wants. She's, and, and his Carl is like, yeah, he, there's a sense of maturity and, like, you know, essence of, like. Carl doesn't need to just say something because he knows it sounds good and it's gonna like that's Casey has been like doing that yeah Casey is like saying the things he's supposed to say

I think Carl is just speaking from like his genuine self but you need you need at this point Anaya needs to like follow through on how she wants to like carry herself and have that self-respect that she says she has for herself and she needs to show it she needs to like move on like a day later and you're commiserating with Melanie about how you miss your men after watching them and Melanie saw the lip-licking of sincere it's just like I don't know like yeah she was like I hope he's just having fun I mean I'm sure he he was but like that was a kind of like yuck yeah I would

be mortified and I've done some mortifying things on TV if if if if I had this like licking of my lips on TV. Like, I don't want to, I don't want you to see my, like, O face. Yeah. You know? I'm actually just so shocked at how open people are. Like, I really think it's, it's so jarring. Like, I know I said this yesterday, but I'm like, it's almost, it's like giving porn.

Like, it's really just, it's so crap. And it's really, it's funny because it's like Gen Z has this whole, and I've been seeing a lot of stuff about Love Island. like the couples island thing and like people theorizing because like as gen z goes on reality tv there's like you're afraid of sex right all that to say that i think find it very interesting on love island that like it is so much the performance of sexuality versus like actual romantic and intimate relationships and so it's like they're unable and i do think it's like as we get younger in reality tv it's like you're having people that know how to like perform sexuality and this over sexualized hypersexualized version of yourself but it's like when it comes to just

actually like having a relationship that you find on TV you know how to like give us the yeah and that's why like love island to me seems like the most terrifying thing in the world because it's like that it's like two things that are scary one performing sexualization of yourself right and two like actually if you want to be good on the show authentically being vulnerable with another person on tv which is like and i think that's the thing that it's like people are choosing the hypersexuality on love island versus the scarier thing, which is being vulnerable with someone on TV. That is such an interesting take about the performing of sexuality because this happened last season, I think, maybe it was the one before where we were pointing out, people were in these challenges,

literally, like doing, it looked like sex. And then they would go to bed at night and they'd be like, okay, but like we did this. Or like this happened. They'd talk about like really, like way less sexual things like making out. Like making out outside of a challenge was a huge deal, but it's like, meanwhile, you're grinding on somebody, like, fully almost having... You're 69. You're 69ing somebody. And then they leave, and then they're freaking out over, like, making out.

And I'm like, this is bizarre. Well, a lot of people have compared this show. Like, people compared The Bachelor to, like, the Stanford Prison Experiment. Are you guys familiar with the Stanford and Prison Experiment? Yes, I am not. Yes, I am. It's a very famous experiment where a Stanford professor, basically got a group of students

and made half the students' prisoners and half the students' guards. Oh, I think he made this. And then they created this kind of atmosphere and just kind of watched what they did. And like the, they leaned into their roles. So basically the guards really became very authoritative and like almost abusive.

And like the prisoners like lost the sense of agency and really became more like, compliant and things like that all because of this very controlled environment that they were in so like it didn't take it took very it looked like took like two days or something crazy stats about like when you really control an environment and you change circumstances to change circumstances people really buy into that universe very quickly so it just goes to show like on the on love island everything you guys talking about is very much like that where like in and like in the bachelor right like very quickly you're just like okay with your friend pulling the person you're claiming to be falling in love

with and you're okay with that person spending three individual nights if you're in the final three potentially hooking up and you're just like all okay you just you just decide that's okay and it's fascinating just how quickly we can just change the rules in our head by the environments that we're in it's crazy oh my god yeah go ahead wait oh my god before before we we get to the guests. Did you guys see one of the 12 bomb shells that apparently got fried by a sex girlfriend of three years for going on the show?

I want to hear about that, but first I thought the 12 bomb cells was a giant bomb. Yeah. It felt flat. It was way too much B-roll, like all those scenes where you're seeing them like dancing at a party, that is B-roll. That is them being like, that is the director coming

and being like, all right, dance. And so most of what we saw was like fake hanging out. and it just felt a little flat. We didn't see... Even the jumping in the pool, I'm like, that was very choreographed. I'm like, sure, they got to spend time together. Is it like not a challenge or something?

Then you think about how they actually had to go about making that. So like you're spending no time getting to know each other. They're just doing B-roll. And then it looked like Ariana came in at, I don't know, 7 p.m. and was like, all right, time to pick. Make your picks. Who's it going to be? Right.

Yeah, that was disappointing. And I honestly think if they were going to do a cost of, Mawr Night in the theater. They should have been at the night before. 100%. We were hyped after that first Kasa Mournight. And then that did fall a little short. I feel like everyone was kind of like, damn, why bring all these people in if you're just

going to send half of them home? What happened was one of the guys who goes home? Basically what happened is I saw TikTok that this guy had this girlfriend of three years and told her that he was going to Miami or somewhere to make money. and so he leaves and then she sees him on as a bomb show on Love Island and so she's like

What the fuck? And then come to find out After watching the episode last night Like she has pictures with him In a baseball game like days before he left Like it's like crazy I feel like if you've been dating for three years And he's like hey I'm gonna go to Miami to make some money

Like red flag question mark question question question mark Like what do you mean? Like hot take honestly Like I don't The only mistake he made is lying I agree He shouldn't just told her I'm going on Love Island. Yeah.

Because if your partner wants to leave, like, first of all, again, this is an incredible opportunity. It's a lot. This is a perfect example what I tell people when they're like, you know, when they go on reality TV, they're asking her advice. I'm like, listen, this is no guarantees, but this is a lottery ticket with amazing odds. Because most lottery tickets, it's like one in a mill or one in 300 mil or whatever. But like, this is like one in 40. And you might really be able to cash out. Or you might be the guy who shows up for 12 seconds.

and nothing happens. But like that's, that's worth saying yes to. And you better, if you're in a relationship and you get that opportunity and you're going to say no for the relationship,

that is your person. You better marry them. You know what I'm saying? And if not, like if you've been having problems, like, you know, just he should have been honest. But like, clearly that guy was looking for a way out, you know, and he shouldn't go back together with her.

And she shouldn't take them back. Well, I mean, maybe, if he had made it a little farther in the villa, sure, maybe she could take him back. No, no. But the fact that he didn't even speak. That was a favorite, like the universe gave her an ick. It answered.

Yeah. You know, like, ew. If she was asking for his son. You could have and you got sent home. She got it. At least be good. Nick, I have a hotter take than yours. I think if that really is your true love and you get the offer to go on Love Island, on the flip side, you better let them go. No. Because that

is your cash cow. If they blow up, is your inheritance. If they blow up, I'm sorry. They're blowing up because they are in a relationship with someone else. That's fine. They can do it for a year and then come back and have the brand deals, you know? No. That's not, that's not.

That's not, that's not love. Because they're lying. No, but if you're in on it. That's a business arrangement. Yeah. That is a business. You know what? You're a businessman.

But if you're in on it. Yeah. Like, I respect it. When Love Island lies about the couples. Well, first of all, that's Jané. That's not. That was. Oh, Ken.

specifically. I'm just saying, you made it imply that they were in cahoots. Yeah, they were together. Yeah, apology. Kenny screwed her over. Let's pick that up.

Kenny. That's not a pickup. Yeah, what the? All right, well, we'll obviously get more Love Island and we'll continue to talk about tomorrow we have Gabe or Gabriel from Love Island

to talk about his experience. Obviously him and Seoul have a lot to say. I am sure he has even more to say now after watching some of these episodes unfold. And we have the pleasure of having Gabe on our show tomorrow. But right now it's Dr. Terry Debrough talking about all things modern medicine,

all your burning questions about the topics that we are most confused about, and he is up next. But before we get to Terry, don't forget the Val Files Plus is available ad free and full of great content. So go to vauffiles.com to sign up. How old were you in your first?

44? Yeah. It's something like that. Love that. What's the age difference from you and other? 10 years. She would say 10 and a half. She would emphasize that extra half few.

Well, Dr. Terry DeRoe, thanks for coming. Thanks for having me. I'm very excited to see you guys again. We're very excited. We had the pleasure of having dinner with Terry and Heather a few months ago. And I was telling Natalie how I think he's this the coolest and how I'm such a fan. Obviously, you haven't had been on before and you're just obviously a legend in the reality TV space, which we like to cover. But there's so many things out there in medicine these days.

Yeah. And you were kind of talking a little bit about them, when we were having dinner, things like GLP-1s, how AI is being incorporated into healthcare, how doctors are using it. I think there's just a lot of fear and unknown about these things. Our GLP-1, say, you know,

we live in a conspiracy era kind of world, but sometimes, you know, sometimes it is good to ask these questions and challenge authority and things like that. So anyways, thought it'd be fun to bring you here. I'm excited to talk to you guys. I've met you a long time, You don't remember the first time we met you.

I think I might. Hollywood life. Yes, yes. And we were like sitting in the waiting room. And it was like you and Heather and I like knew who you guys were. And I was like, I'm always awkward in those moments and I don't really say hi. No, you said hi was nice. It's great to see though.

Well, I obviously being pregnant with twins and like ready for my mommy makeover after. So I have so many of just like plastic surgery questions. Right. But you're not going to do until you're done done, right? No mommy makeovers to your complete. See? Like, no, like not even, not even a boob job? Well, the general rule I tell people is if you're thinking of having a kid in the next two years,

don't do it. Don't do it. Because it's just going to change everything. I heard rumor or not. That like if you get a breast augmentation and then have one more kid, it kind of like softens them a little and makes them look a little bit more natural. I just saw a girl who had this. I won't name names because she is public. And I was like never seen anything better at my life because they just, they just sat so natural that I was like, I want that.

That's pretty rare. Rare. Really? Yeah, I think if you go, for example, from a small B to a full C, you've stretched out your skin. Then you get pregnant. Now you're engorged with milk. And this year now what a double D? Then you stop breastfeeding or you don't breastfeed.

But anyway, it goes back down to a C. What happens to the skin? Now you need a lift. So now you need removal of skin and scars. It's better to wait. If you're going to have kids in the next two years, don't touch the tummy or the breasts. Don't do anything. So are, do you think?

She's processing right now. She's like, oh, my God. I have so many appointments. She canceled. She canceled that one. Trust me. Cancel that one. Yeah.

Really? Yeah. Okay. So, okay, another question. Auxiliary incision. Is that becoming, I'm, I feel like I'm, starting to see that a lot. A trans-axillary breast ductumation. What does that mean? So there are many ways to put it in, to insert them. You can do it. It used to be when it first came out through underneath

the breast, the infirmamory crease. Then we started doing it through the nipple because that's a good place to cosmetically camouflage and hide it because there's a color change. Then someone said, you know, let's put in the armpit. And that was very popular for a short time because generally we like to put them under the muscle. And it's hard. to release the muscle down here where the pectoralis muscle inserts from that far away. So very commonly because you can't release them that much, they kind of can sit high and then if you flex like you're at the gym, they go weh, we want, and that doesn't look good. So transaxillary is not popular anymore. For a while we were doing it through the belly button, trans-a-bilical. Yeah, I've never heard of

that. Make a little incision. But then a few people, this is a little graphic, put that tube in through the heart. Oh, God. And we all went, okay, probably shouldn't do it that way either. Yeah. So yeah, no. The most popular way now, I think,

is through a tiny incision underneath. You think under is still best. Yeah, it's small. You can do a precise operation that way. But there's a new implant, by the way. I was about to ask. You know it? I've heard of it.

And I've heard it's like one of the best options. It's awesome. It's called motif. The problem with breast augmentation is that they get hard. Even when you do it perfectly under the muscle and you don't go too big, don't traumatize tissue too much, the immune system will come by later and go, yeah, I don't like you. And 10 to 15 to 30 percent of the time, it decides no. And he puts scar tissue around it and gets hard and displaces it. So there's a new implant that was available in Europe. Now it's FDA approved called Motiva.

Your audience should only get Motiva. Wow. It has a less theoretically, a less than 1% chance of getting hard. And isn't it easier to take out without having like as much scarring if you needed to get it out for some reason? It is. I mean, you make an incision and it just pops right out. Yeah. So that's the implant to get. And is that can you have the option of over or under or is that like a completely different place? You do. That's a very good point. We used to put them all under because the chance of getting hard under is less. Right. So these have such a low rate of getting hard. You can actually put them on top. And we could talk about why to put them on top or under, but I'd much rather talk about

GLP1 drugs and peptides. Ooh, let's talk. So I'm so obsessed with those drugs, right? I studied for, for a year, took all the courses, and took the exam, became board certified by the American Board of Obesity Medicine. So I'm a board certified obesity medicine specialist, even though I don't practice it. I'm just so obsessed with these historic drugs. They're changing everything.

So what are the, let's start with, what are the common misconceptions about GLP ones that through your research and study and education, you have found to be completely untrue? That, first of all, it's not cheating. Okay. It's not, it's a really important solve for the number one cause of death in this country, which is obesity. So it's critical to get on them. Beyond that, the number one misconception is that they, have all these potential side effects and we don't know what's going to happen five to seven years from now because they're so new they are not so new they were used for diabetes for 15 17 years now

so we know exactly what they do over the long term we know what the side effects are what's so fascinating about them that we've learned is that how effective they are for non-obesity related conditions for addiction Alzheimer's fatty liver disease kidney disease disease and just overall reduction of inflammation. You know, they say sugar is the big thing. You know, back in the 70s and 80s, when I was a medical student in the 80s, it was all about fat. You need to avoid fat. Fat was bad. Then we rightly discover it's all about, as you guys know, sugar. Sugar. Sugar causes a direct pathway to inflammation. That pathway, that inflammatory effect is completely obliterated and reduced by the use of these drugs.

drugs. Wow. So, because I have seen things online and I don't know if it's true, but like people have implied that like there's like not like a cure to cancer, but it helps fight cancer. That's right. Is there truth to that? There's truth that. Recent studies have shown that when you look at tumor growth in patients who've had cancer who have been on the drugs versus those who have not been on the drugs, it slows it. Wow. And that's all the inflammatory effect of sugar in your body. I'm obsessed with them. And if you, if you. You know, there's Ozempic and Wagovi. That's the originals.

That's the same drug. It's GLP1. Then the double agonis is GLP1 and GIP, which is Monjaro and Zepbound. Same drug. And then there's the new one about to come out. Have you heard of this? You told me about it. I told you, I've tucked your ear off.

Sorry about that. No, he loved it. Reda. Reda Trutide. It's actually called Retatutide. But everyone's calling Reda Trutide. Everyone's calling it Reda. And it's so powerful and so good that they're already making it illegally.

Compounding pharmacies have said, forget it. We're not even going to wait for the FDA approval. They're already making it. It's a triple agonist. It's GLP, which is Ozympic, GIP, so it's now Manjaro, right? It's the best one plus glucagon, which is a fat burner. So it gets rid of your appetite. It burns fat.

It reduces inflammation. it's insane. I know 200 people on it. Wow. Everybody I know is on it. I feel like Jim Bros are on it, which is a little confusing because I'm like, can you build muscle while on these, or like easily, I guess? So that's the right question asked because the problem with these GLP1 drugs is sarcopenia. You lose muscle. Normally on a diet, right, you lose 75% fat, 25% muscle on a regular diet plan. When you go on these drugs, it's more like 50-50.

you lose more lean muscle. And lean muscle is the key to longevity, right? So when you add glucagon, you fat burn, you retain more muscle, which is critical. So it's going to be the first trillion-dollar drug, red at true type. It should be out by the end of this year or the beginning of next year, but there's another one coming after that that has a muscle grower in it. So how do you choose which one to do? Whichever the latest one is that has all the studies. that shows the best fat burning muscle preservation or muscle growth.

These drugs are so critical and so cool and I'm obsessed with them and I'm obsessed with the peptides. What was the conversation like in the medical sphere when people started when doctors or whoever it was was like, hey, this could like start curing some other things? It was as you would probably expect, most doctors were suspect. They thought it was a bad idea. We're using a diabetic medication and non-diabetics. Why don't people just diet and exercise?

And then you guys didn't probably see this, but I got in a whole thing with Jillian Michaels on the internet. She said, oh, Zabig's the worst thing. You should just diet and exercise. Did you see the Netflix documentary on your show? It's not working, is it? You know?

The thing is like people aren't diet and exercising. And like they should be, but sometimes you might need the kickstart. And I'm not saying I'm, for or against, but I'm like, if it's going to save lives, then I would rather somebody to your life than not. But the definition of it died is like kind of temporary thing. It's not like a lifestyle change.

It's a... Well, does it work? I mean, is there not an epidemic of obesity in this country? Is it been working just diet and exercise? It's not working. So this, what Jillian Michaels and I did, she was ragging and Ozempic and I was saying it's the greatest thing in the history of medicine, the cure for obesity. and then I was walking out of Craigs, you know, Craigs.

And TMZ was there. Maybe I had a cocktail. Maybe I didn't. They said, what do you think about Jillian Michael saying? Well, Zemping is dangerous. I said, look, if you're going to get your medical advice from a personal trainer, I think you're making a mistake. And if Jillian Michaels wants to give medical advice,

she should take the MCATs and go to med school. And she heard that, which is right. It seemed like a fairly. It's a reasonable thing. It's a reasonable thing to say. Thank you very much. I appreciate that, Nick. There is some value in being a doctor.

Yeah. You know? Yeah. Yeah. The big question is, so, you know, GLP one, these drugs are peptides, right? So that's what a GOP one is? They are, they are peptide. There are short chains of amino acids that send like a biological text to the body.

Do this, meaning in this case, don't be hungry. Reduce sugar in the blood. Slow down your GI tracks. You get full more easily, right? But what about all those? Sounds like a Marvel movie where you're like, you're making a superhero and you're like injecting these like human performance things

in a fascinating way. That's exactly what it is. Just wait until AI starts inventing peptides. Okay. Is it a big question? And you probably think about this month. You're how old? 67.

I'm 45. Yeah. And I'm at, you know, like I'm people, say I look good for my age. You look fairly active. But like, you know, I'm working out less and less as a dad. I am getting all there. Will these advances in medicine get here fast enough for us to live and have great lives into our hundreds? For you, and certainly for you guys, for you for you for sure, you're in the sweet spot.

You're not going to live to 82 like I might. And even for me, I might get a few more years. But for you guys, you're so lucky to be your age because you ever heard of longevity, escape velocity. You ever heard of this concept? Sure, yeah. Longevity escape velocity is the concept that once AI starts getting involved with medicine, which it's about to in a big way, for every year you're alive, you get to have another year. In other words, you're going to have so many things that are going to augment your ability to reverse aging, to stay alive longer, to inform your body of how to act, that you guys are all going to live to be over 100.

There's no question about it. Okay. People my age range, I say, listen, Listen, if you're alive, congratulations, but you need to do everything you can to preserve yourself. Starting with? Well, to exercise, lifting weights in my age is the number one most important thing. You need muscle mass. That's the most critical thing. Because there are certain programs your body automatically goes through as you get older. The chromosomes tell you, and around 60 to 63, you see people, they go from looking okay

all of a sudden they sort of start to look frail older people that's the frailty gene it's program we're not supposed to live forever well we can i think if you do it right so it's the program it's the program right the telomeres on your chromosome start to shorten your reparative processes start to do to delete so it at 60 and you should do this now at you should start lifting weights focus on resistance training It's the single most important thing you can do for longevity besides taking these peptides For me, I just want to be preserved enough that when these things come out, which they will in the next three years for sure, that I can take it. Because if you're too far gone, you know, if you're, you can take that thing, it's just not going to reverse anything. Right. You're going to just be staying forever at that frail state for the next 20 years.

Well, the problem with the group peptides as a sort of a category in general is that most of the peptides are illegal and unapproved and untested. Right? It's all rat data. And because the government said, you guys can't have, you can't prescribe peptide. We're not allowed to prescribe the unapproved peptides. We're not allowed to. So what happens? It forced it in the black market.

And now Jimbrose and chiropractors online going, Wolverine, man. it's the greatest stack ever based on what? What do you, you know, and they're coming from China and they have heavy metals and toxins. There are some for skin. There are some for information. There are some for muscle growth and for growth factor. None of them are approved and none of them are tested. But everybody's talking about it like it's the greatest thing ever.

So the government said, you know, let's just make it all illegal. But if they give it back to us, which hopefully they will in the next couple of months, then we doctors can start prescribing them. and try to figure out if they work. But so the hot peptides are, you know, I'm sure you've heard of this GHKCU, that one for skin. The problem is nobody knows how to take them.

Nobody knows what the endpoint is. How do you measure their effect? So we doctors, we know how to do that. But we don't prescribe them because it's illegal. So as soon as they give it back to us. Where are you with creatine? I love it. I'm obsessed.

I think that's the most. tested supplement there is, and the most important. So I should keep taking that. For sure. How many grams of data do you take? Like one scoop. One scoop, which is five.

One scoop. So all the recent data, this is the most tested supplement there is creatine. You should probably be megadose again, at least 15. So it's to build muscle. Muscle and brain.

It's good for your brain. It's super good. It came out when I was in college and it was like something like athletes and football players. I remember we came popular. I was in high school became popular and it was one of those like should you take it should you not take you to have like

a lot of water weight and like football guys would take it and and and then 20 years later like no actually it's really good for you well that's the way peptide you know they started and then everybody starts to test you and the doctors go maybe we should start looking into that creatine was the first thing we all went oh don't do that and then we started testing it and it's incredibly powerful and incredibly affected i'm obsessed with it so i think you should take creatine every single everybody should females particularly really really Yes, because it's all about muscle. You guys need muscle more than we do

because you're subjected to osteoporosis, bone thin. And the less muscle you have, less pull on the bone, the less distraction osteogenesis. Or if you talk to clavicular, the looks mactur. Oh, yeah. You follow that shit. Oh, of course I follow it. We got to hear your take.

You know, he talks about Wolf's law. No, clavik, that's not what Wolf'slaw is. My read on it with that is like it's a lot of, There's just a problem with like young men these days and what we're what they're focusing on. Yeah, it's the what SMV, your sexual market value is the most important thing you can do as a teenager. Like make yourself as good looking as possible so that your sexual market value is elevated so you're now more valuable in society. Is that what you want a 13 year old to do? Wild.

You know this guy right. He's he tells everyone the dose of testosterone. to take when you're 12, 13, 14. Of course, that stunts your growth. That makes you sterile, gives you acne, your hair's going to fall out. Don't do testosterone until you're about, you're not on it yet, huh?

Oh, it's the best. Can it be safe for the right people? Not only, do you see what's happening here? You are sexy. Yeah, come on. Listen, you have objectively better guns than I have. You know, TRT, testosterone, replacement therapy after the age of, you know, 50, I think is really effective, particularly

60s. If you're 60 plus and you're not on TRT, dude, get on a little test. Go to your doctor who specializes this. Get on it. Lift some weight. Well, measure your testosterone. Make sure it's low and it's going to be relatively low. Well, we were having some issues with conceiving. I did some blood work a few years ago, and the blower came back, like, they were like, while your testosterone was like a 20-year-old. And then it was really high. It was pretty good. Yeah.

And then we checked my, like my sperm and all that stuff. They were like, he's perfect. And I was like, great. It was like also like pretty good. High. It was like not low. Did you get to look at the microscope and see this? Heather and I had the same thing, right?

We had in trouble conceiving. Did you IVF? No, we did not. We ended up just figuring out. I have some P.A.I.1, some gene mutation. Oh. And then some blood disorder called Teg. Teg, okay.

That, so I did lovenox. Ah, you need a little blood thinner. Aspen. Okay. And that's what worked. And you got twins. And we got twins. Wow.

I believe in this thing. I'm not, the fertility specialist, don't necessarily say this is true, but I think it is true. Once you start having kids, you become even more fertile. It's like you just get better at getting pregnant. Right? So the chances that you're going to get pregnant a short,

relatively short time after is probably pretty high. Well, probably not even take... I mean, conceiving's never been our issue. Well, it was, right? You had to have your sperm analyzed. Oh, I'm sure. You know now about...

Yeah, yeah. But now you know the lovenox thing. It was the... The antichaguline. Yeah, yeah. But you, I wouldn't be surprised. So you think you have birth control now.

theoretically by not using those measures to enhance your fertility. So you may actually get pregnant a lot sooner than you think because you may not even need the lovadoxes and the drugs to enhance the attachment anymore. We'll see. We'll see. How old are your twins? Four years. We had a singleton four years later and then we had an accident.

Those were all IVFs. Oh, they were. And then our last one was like, who knew that sex actually could result in a baby? So I love that. Yes. And so, yeah, because I don't read four. I know we just talked about four. Four is a lot, man.

I told you, four, you lose the taxi. Yeah. Right? Can't put six people in a taxi. So now you need two taxis. Car service. It's a whole huge thing. Yes, a lot. Yes.

I know. I remember when NADs were like the best thing. Yes. It was like, this is reversing aging. Yes. Have those moved on? So, opinions vary. Again, another unstudy.

NAD. What is that? It's like another peptide for energy. Yet another unstudied thing based on rat studies, which, by the way, 93% of rat data is not translatable to humans, just so you know. So everything. Oh, so when you say rat, you literally mean test it on rats. Test it on rats. Yeah.

I thought it was like slang for like garbage data. It's garbage. The one study done on humans, it didn't work. But it's the number one peptide. But NAD, a lot of people like it. I'm not a huge fan. I've seen a lot of people go to the emergency room, taking NAD and getting...

Oh, yeah. I can tell you there was a party at a certain housewife's house, maybe up in L.A., where... Off camera. And you know all these people, obviously. And they had an NAD... cis thing set up with an IV and two people went to the emergency room was total disaster. So I'm not a big fan of NAD.

I think it can cause severe flushing and arrhythmias and whether it does increase your energy or not. I mean, you know, I think it's pretty split how well it works. I tried it. I hated it. Really? You know, I felt it. When I injected some cut out of the same, I went, okay.

You know, and for like three hours of that, yeah, I don't like this feeling. And then other people, well, your dose was too high. No, it wasn't too high. I mean, you know, I weighed almost 200 pounds and I was using a starter dose. I didn't like it. But, you know, that's the problem with this. Everything is anecdotal based on this person or that person.

So what's the best way? And if you're someone listening this episode and you're interested in some of the things that you're talking about, like you mentioned, obviously, would go to a doctor. But like, what are the do's and doubts of this stuff and how to do it safely? Okay, don't go on TikTok and listen to Dr. Mike or Dr. James.

By the way, if anybody online social media calls himself Dr. Terry, they're not, they're a chiropractor. Okay, I can tell you that. And maybe I don't know about spinal manipulation. I'm not a huge fan, but that's probably important and good. They know how to do that. But drugs and medicine and physiology, maybe not. Go to a person who's an MD who labels themselves as a longevity specialist. Ideally would be an endocrinologist, but very few endocrinologists I know are into this new frontier of West, you know, of medicine.

So go to an internist or it can be anybody. It can be in a urologist. Some of the best sort of information out there on YouTube about these drugs are from urologists, where they're because they do testosterone. and a lot of drugs for male longevity and so on. But go to an MD who's into longevity. And they, the thing about us is we have our licenses to protect. So we're going to make sure we don't do stuff that's not, that's within reason that's as tested and evidence based as possible.

And we'll follow you very closely. Okay. And we'll prescribe you things through our channels and don't have heavy, metals and endotoxins and are not going to kill you and put you in the ICU, which is a thing, okay, with these peptides. So go to go to a doctor. And particularly in the next several months, because the government is going to allow us to prescribe these peptides legally.

That's the big thing. I'm interviewing with a big, important news organization out of Australia tomorrow, you know, and because Australia is severely restricting peptides to the point where they're treating them like opioids. Wow. They're treating them like heroin. Why is that, do you think? They're just much more conservative than we are in this country. And I think they're a few years behind us.

So all that's doing is now doctors can't even fake it like doctors are allowed to prescribe these things for research purposes, which is a whole BS thing we could get into. but they can't even do that there. So now it has to come from some labs down the street in a warehouse. So when you regulate these things very severely, all it does is send it underground to the black market and make it that much more dangerous. So it's about to become something that we physicians will be able to do legally, and we know this stuff.

Yeah. Particularly guys like me who are obsessed with it. I mean, I still probably won't prescribe it just because I'm a little bit high profile. And the last thing, you know, on my phone, you know, last thing, this will go off sometimes and it says TMZ and I'm going, oh no. And I go, what?

And they go, no, no, it's not about you. We wanna know what you think about this. I go, okay. And then sometimes you go, it is about you. What? What did somebody say? You know, the TMZ, you know, I'm a little high profile to be prescribing peptides, I think, anytime soon.

But they're amazing. This is the future of medicine. This is the future of longevity. This is the future of health and oils. And as soon as we are able to ask GPT 5.9 or 12.5, how do you make a better peptide using these anti-influent? It's going to go and we're about to get the greatest peptides ever. So stay tuned.

But only doctors should be able to do that. How are doctors today using AI in their practice? So I use it a lot and I'm obsessed with it. Well, if you're a radiologist, you're a little screwed because AI is a thousand times better at reading x-rays than a radiologist. So at image analysis, nothing's better than AI. Nothing can read an MRI or a chest x-ray or a pathology slide better than AI. So we're using it in those areas. But there are two recent studies, one out of Harvard and one at Cedars, where they compared A.R.E. AI analysis of patients coming in to an ER compared to the doctor's analysis and their diagnostic capabilities. AI was like 83% better at making a diagnosis than we physicians were in that setting. So I think very soon, if you don't feel well, you're going to go into a place. There's going to be a nurse there and some diagnostic machines and a length, an LLM, AI.

and you're going to talk to it. It's just like you talk, don't you talk to chat occasionally? Sure. Yeah. And you're going to go and you're going to tell your symptoms and they're going to take some blood. And now there's a robot that.

Oh, have you seen this robot? No. There's a robot that actually does ultrasound and sees your vein, puts a tiny little needle right into it and can take your blood. Maybe that is better than a person in theory, but like, oh my gosh, the thought of it missing. I'm too queasy.

But also I'm like, I've had, I've had humans miss multiple times. Take it from the doctor. Who is a human? It's probably... So I did four... I did five surgeries yesterday, okay? On the second one was this sort of this woman who was a little bit older and kind of had

nothing eat or drink as they shouldn't for a few hours and she was a little dehydrated. They had to stick her to get the IV started like seven times. Well, you know, a robot comes in with an ultrasound and goes... And puts it right in there. prefer the robot to it. That's fair. How long will it be before robots are better at surgery than humans? If you ask Elon Musk, he says three years, Elon, you're, what are you smoking? It's not to be three years. They can barely move water from one place to another. But maybe in 15 years. For sure. I mean, I was a surgical tech for a few, for years and assisted in some robotics

surgery and it's good that to me is like I mean they're performing and it's just in the I mean there is a doctor in there who's like manipulating their robotics arms and stuff but yeah it's so the fact that we are here now is really easy yeah it's funny because I was asked the other day they said well you're probably going to be safe because robots won't have the artistic judgment that a human I said really haven't you seen the movies that AI is making now? One of my favorite podcasts besides your guys, I do watch your podcast, but I'd love it, is Whiskers podcast.

Have you ever seen Whiskers podcast? It's two cats, AI cats. Us and the cats. I'm obsessed with cats. I love cats. Who talk to each other and they look at, they go, smash her pass. And then they talk about what it's like to be a cat

And how they relate to their humans I'm obsessed They look like real cats Really? Yes And so I don't know What makes a more beautiful Generated girl

AI or a human? Yes, I think AI is going to be a better plastic surgeon than we are Thank you. Wow No question about it Really? Yeah, I'm obsessed with AI I think it's the greatest thing ever

So you're ready to retire Yeah, I could retire. I can retire five years ago. I do it because I have, as you know, I have a very unique practice. Nobody comes to Terry DeBrow for a simple breast augmentation. You come with the, you know, the summer, the, you know, summer breasts. Some are here, some are there, you know. Do you miss looking in different directions?

I imagine like, well, to that point, like, there will be a lot less botched surgeries once AI really gets going. Yes. Yes. Yes. But most botched surgery isn't because the doctor did something wrong. It's because they ran into a complication because, you know, think about it. We take a human who's perfectly healthy and we cut into them, disrupt all their blood vessels, move tissue from here over to there just to make them look a little better.

Yeah. I mean, we traumatize people just for vanity. So that goes wrong even when you do it perfectly a certain percentage of time. How often? I mean, obviously we started this conversation. with you suggesting in an alley just like hey maybe wait a little bit how often are you talking patients out of surgery well i'm in a unique position because i don't have to do surgery anymore i don't care you know i do it because it's fun i get the coolest cases i don't care about paying my

overhead so i'm super honest so if uh you know a woman comes to me she's had one kid and she still looks perfect but maybe her breasts have drooped 10 millimeters you know a quarter of you of an inch and I go really you want a breast you want to put scars on these breasts are still world class so they go really yeah scars you're going to have scars you're going to see them oh and and most I think not most but a lot of surgeons who need to pay for their expensive overheads would go oh yeah this is great we can do a breast lift you'll love it we'll put it in a higher position okay great so you know it depends where you are in your career I like I like to think I was always super honest, and I always said, do you really want to put a big scar across your tummy just to make it a little tighter?

Have they fixed? I haven't seen your belly button tummy tuck recently. But have they made those look a little bit more natural? Yeah, I mean, belly buttons are something you get a lot better at as you get older. So belly buttons are like the nose of the abdomen. And if it's off, even a millimeter, you go, you know, that looks kind of funky. Something's not right. Something's not right.

Yeah, where it gets really tricky where botch just taught me is how to make one when there isn't one, where they've lost one. Yeah, that's a skill that just a universe has taught me, you know, how to do to make one. And I've gotten pretty decent at that. But yeah, so at this point, I do nothing but just impossible surgery. Do you just miss doing like a typical breast dog? Or no? Not really. Not really.

So if they come to me for a typical breast dog, I say, you know, I'm a little expensive. You can go down the street. And that guy who's two years out of his training will do the exact same thing. I will. He's going to make a incision, lift up a pocket, put it in and sit you up and go, ooh. And then stitch you up and go, am I the best? You're the best.

Yes, you are doctor. Okay, it's good. It's not a hard operation. Most of these operations, when they've never had surgery before, like upper lids. So the same really amazing doctors who are doing these A-list celebrities and these beautiful faceless are doing surgery on these A-list males. Have you seen what's happening with the eyes on the A-List males recently? Yes, you guys. You need to mention some names because I don't do that.

Yeah, I won't say it on here. I can think. Abs me too. Well, I can tell you the males people are asking me about. Right? Yeah, yeah, yeah. So they're asking me about Bradley Cooper. They're asked me about Jim Carrey.

They asked me about Adam Levine. Okay. So why do they look so, I don't know. I think they're still amazing, talented, hugely successful people. Legendary, I love them. But when you look, okay, when you look at their eyes. Something's going on. Look how.

Do the then and now. Different. They look. There's like an intensity to their eye. Well, they have too much skin taken. Oh. And here's the thing. Yeah.

Look at this. So here's the thing. Males have upper eyelid skin. It's very rare that you have a male who has no excess upper lip blood. Women most, when they're younger, and as they get older and have plastic surgery, you see the entire what we call upper eyelid platform. There's no. excess skin at all. All males have some leading, we call it, hooding of the upper eyelids. Okay, great. So if you take a guy who's got some hooding, excess upper eyelid skin,

he's got a little bit older, and then you take it all, he never looked like that. And now you've altered him to a point where he's unrecognizable. I'm curious, okay, not for guys, but for girls considering a lower bluff, would you say get under eye filler before you say do a blu-under-bluff? So, you know, I just did a TV show on E, which no one saw, thank you very much, called Plastic Surgery Rewind

with one season, where a bunch of celebrities moved into a house together. A bunch of, I saw you didn't cover it on your show, by the way. Next time you have a show. Because you'd never heard of it. Give us the 401. We'll make it pop up. What's the marketing like on? So, I know, right?

We had Kim Zolziak, her daughter, Ariel, you know, her. Airmen, yes. And then we had, who was the one with P. Diddy and the band, you know. Aubrey Obride. They all moved into a house to consider reversing their plastic surgery. And so that was my new show on E, right? We put botched on pause and did that show.

That sounds great. Yeah. And they had to go through this whole Michelle Visage from Drag Race was the host. We had a therapist and me. And they had to decide whether or. or not to reverse their plastic surgery, they all hated their face filler, every single one of them. And they particularly hated the filler under the eyes. Because this is the thinnest skin of the body. If you get a little too close to the surface, it results in this weird phenomenon

called the Tyndall effect where you can see it and it's hard to dissolve and sometimes it's not dissolvable at all. Filler in the face needs to be done. Well, it is being done a lot less now. But for a while, we used to call it the pillow face. Overfill everybody's face. And that was the key, the liquid facelift. Fortunately, that's pretty much over. People are not doing as much filler anymore. What is this new, this facelift that like allegedly Lindsay Lohan?

The deep plane. Yep. So the deep plane is you go much deeper. Theoretically, as you go closer to the nerves and you pull the entire cheek up rather than to get tightening through just skin pulling, you get a more, not a more natural result because their faces are changing. Let's face it.

There before and after, they're almost, they look great, but almost unrecognizable. But in a good way, some of them, right? So that's called the deep plane. A recent study was published in our number one journal, PRS, plastic and reconstruct surgery that compared 2,000 deep planes with 2,000 regular facelifts, where we just do the plane called the SMAS,

there was no difference. So, you know, the key with the facelves, go to someone who does a lot of facelifts, and you'll get to, and whatever they want to do, like the Bruce, the Chris Jenner, yeah, Chris Jenner, and a lot of the ones you're seeing from that very good surgeon in L.A., they're not doing deep planes.

None of them. None of they're doing deep planes. So, you know, there's so much sort of retail, it's retail medicine. And a lot of what you hear online with a doctor showing there before an hour. I've been doing the deep plane for 30 years. Really, it's only about 20 years old is just a lot of advertising and hype. You know, there's no magic to the deep plane facelift.

There really isn't. So be careful. First thing to age is neck, right? I think it's your eyes. I think people age in their eyes before their neck tends to loosen. Yeah. First, it's the mid third. That's why people have their eyes done before they have their neck done.

But the neck is obviously a thing that chose your age very significantly. You know what's pathetic? So when I was in medical school, 1982 to 86, right, we were taking scalples and cutting people open and disrupting their blood supply and lifting things up and pulling it back and cutting it off and stitching it up. And I thought, okay, this is fun, getting good at this. But I imagine in the 2000s, particularly 2026, there'll be a different way than taking a scalpel, cutting open the face, disrupting the blood supply, and putting stitches in. That's exactly what we still do.

How ridiculous is that. We need AI on that. It's well. So, you know, there's a drug you can inject that. that changes the DNA of the cholesterol forming cells in your liver so that it permanently lowers your cholesterol. Wow. One shot.

Really? Is that a GLP one? No. No. It's a, no. It's not a peptide. It's a longer chain, more complicated drug. So how far away are we from injecting a drug that changes your collagen?

producing cells DNA so that you make college in the way you do as opposed to the way I do or the way you do as opposed to the way you do not far I'm like give it to me now I want it by the way give it to me baby you know so when you say not far are we talking

two years 15 years certainly five five okay so we just got to hold out I mean get the Botox maybe not too much filler yes sculptrum I'm I think all those are great And look, if you're ready, if you look in the mirror and you pull your cheeks back and it looks substantially better and you're in your 40s, 50s, yeah, I think it's a while before you're going to have this drug that changes your collagen and your elastin so that you kind of get facelift by changing your DNA.

It's still okay to go get a facelift, I think it is. It's not happening next year. Well, Dr. Debrough, this is so much fun. That was so fun. Thank you very much. I'm just, I want to say, I am a little bit surprised you didn't bring up Housewise. I was going you know what honestly we can No no no no no no

Season 20 Are you excited Are you excited for this season You know I don't really watch the show Okay I stopped watching it to protect myself Sure So you know I'll show up to a party in the middle of season

And they're all fighting and ragging on each other And I go Vicky and the little I know that She and Heather are pissed right now I go I don't she looks at me I go we're cool I don't know I don't watch I don't know. So yeah, I think it's very cool.

You know, it's been the most amazing platform ever. I have one more question. What's the best financial advice that you could give me or anyone? Obviously, you're a successful surgeon. You know that you guys, you know, do well for yourselves. But it seems like when I'm watching Housewives, you guys are doing very well for yourself. Yeah. I would love to like just, you know, any best practices that you have because there seems to be,

you seem to be doing even better than some of your peers. Yeah, well, we're very into the planning thing, is into AI and peptides and longevity. I'm that into finances too. I've been a student of it my whole life. There's a few basic principles that I think are very easy that everyone should do. Number one, you open up, it's called Scholar Share. For each one of your kids, do it right now. You can do it even before they're born, and you put a little bit of money into it.

Every month, a little bit of money. Maybe $100, $200, $200. and it grows and grows and you don't pay taxes on it in 18 years as it comes out and you use it for college. It's a college fund. My parents did that. And your parents can pay into it. So when my kids, that four of them are all going to college, you know, they're at expensive schools every single one of them, you know. We just had two graduate, one's still at Yale and one's about to go to school, college, their college funds, they're funded. It's the best thing ever. No matter how wealthy you are in the future, which I know you guys will be, it's nice not to have to pay for college. So that's

the number one thing you must do. Scholars share, California 529 plan. Okay. And then number two, you know, you've got to pay yourself first. Always take whatever you make a month and say, well, we're going to take this percent, whatever it is, 10, 15 percent, and we're going to put it in something that makes money every single month. And I recommend, you know, when the first iPhone came out, it was two days after Steve Jobs. Oh, one more thing. I don't know if you've ever seen that. If you haven't, you were little kids when this thing out, but it was a historic moment. I was a young surgeon and he pulled out this new type of phone and you know that you could manipulate by touching the screen and a patient of mine's husband came in as they were picking the patient up and showed me this thing and I went whoa I bought apple stock

every year so buy invest in the brilliant people just keep buying those stocks forever more that's my best Do you have an online Terry Debrough fund that people can follow? I don't, but it's very, you know, I just buy our geniuses. Invest in them and you'll do really well. That's it. Well, Dr. Debrough, we appreciate you taking the time. Where can people follow you, all that fun stuff? So, you know, I'm sort of nowhere and everywhere at the same time.

I have an Instagram called Dr. Debrough. Heather and I have a podcast. I'm just doing my thing. Are you still doing TikTok Lives? Right now, you mean where I sell my stuff? Yeah. Right now that's on a pause because I'm developing a new system based on all the new stuff that's come out. I'm changing that up.

Although that's been very successful, but I'm changing things around. Yeah. And finally, work out every single day. Lift weights. When we're eating creatine. That was, I didn't tell my mom to drink some creatine. Yeah. That was cheap too.

Yes. Coutine's cheap. The cheapest. Yeah. Yeah. That was fun. Thank you very much. Well, I'll do it for today's episode.

Thank you to our guest, Dr. Terry Debrough. Don't forget to tune in tomorrow for another amazing reality recap. We have the creators of Millian, a nanny. Fascinated by that show. I am curious how they found these nannies and these families. We also have Gabriel from Love Island talking about his experience, and I'm sure he's going to bring it, and we are excited about it. So be sure to tune in.

We'll see you tomorrow. Bye-bye. The Valfaus is brought to you by Progressive Insurance. Do you ever find yourself playing a budgeting game? Well, with the name your price tool from Progressive, you can find options that fit your budget and potentially lower your bills. Try it at Progressive.com, Progressive Casualty Insurance Company and Affiliates. Prices and coverage match limited by state law.

Not available in all states.