Well with Arielle Lorre - 410: Fat Transfers, Facelifts and My Personal Maintenance with Dr. Miguel Mascaró

Episode Date: September 17, 2025

Dr. Miguel Mascaró is a double board-certified facial plastic and reconstructive surgeon known for his refined, natural results and advanced approach to aesthetics. He joins the show for a deep dive into the cutting edge of aesthetics—and many (funny) personal anecdotes between the two of us as well. From Sculptra and fat transfers to biostimulators vs. fillers, we break down what actually works, when to start considering facelifts (including endoscopic ones) and the underrated procedure nearly every celebrity swears by. We also get real about complications, controversial trends like fox eyes and buccal fat removal, and the next wave of regenerative treatments: think PDRN “salmon sperm,” exosomes, PDGF, Softwave, RF microneedling, and even bee venom as a Botox alternative. On a light note we hold a trend funeral, expose who is more vain between the two of us, talk what procedure he’s had to talk me out of, and much more. Whether you’re curious about the science, the trends, or just want to know what’s hype vs. what’s here to stay, this conversation is equal parts educational and entertaining.This episode is brought to you by YNAB, OSEA, Just Thrive, Ritual, Fatty15, Prolon, and Purely Elizabeth.Visit www.ynab.com/well to claim an exclusive three-month free trial, with no credit card required.Get 10% your first order sitewide with code BLONDE at OSEAMalibu.com.Go to justthrivehealth.com and use code Well for 20% off. Visit ritual.com/BLONDE for 25% off your first month. Visit fatty15.com/BLONDE or use code BLONDE for an additional 15% off their Starter Kit.Go to ProLonLife.com/BLONDE for 15% off plus a $40 bonus gift when you subscribe to their 5-day program.Visit purelyelizabeth.com and use code WELL at checkout for 20% off.Please note that this episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct or indirect financial interest in products or services referred to in this episode.Produced by Dear Media.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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Sonders Sonders Go to your reisadviseor or sunikars Pune The following podcast is a dear Media production You put so much time and effort into earning money. You deserve to spend it without stress or second guessing. And this is where Wynab comes in.

Wynab spelled YN-A-B is a life-changing app that helps you do what you want with the money that you have. And it is so easy. You just create a flexible plan for your money through the simple practice of giving every dollar a job, keeping you focused on the life that you want. And this is where Wynab differs from other traditional budgeting approaches. Instead of trying to save as much money as you can, you are trying to allocate every single dollar going towards everything that you need to pay for in your life. So you can cover your rent and build an emergency fund without sacrificing dinners with friends or that long awaited trip to Greece. And the best part with Wynab, you stop wondering where your money goes and you start deciding where it will take you. Whynab completely changed how I view my money and how I spend and save. It's made such a huge

difference for me. I know so many of you guys love it as well. And if you haven't tried it, listeners of Well can claim an exclusive three-month free trial with no credit card required at www.y.w.com slash well. This is Well, a podcast about wellness in all its forms. I'm Ariel Laurie, and each week I'm sharing unfiltered conversations with the people shaping how we feel, live, and look. Come for the substance, stay for the honesty, and leave with the tools to be well, inside and out. Hi, everybody. Welcome to the show. I have such a fun episode for you today. I feel like I say that often, but today I really mean it because my guest is also a close personal friend. And we have a playfulness, I think, that you will hear throughout this episode that makes it really enjoyable to listen to.

While also being value-packed, he is a past guest. He's been on the show many times. I am talking about world-renowned facial plastic surgeon, Dr. Miguel Mascaro. He is a fellowship trained and board-certified. Plastic and Reconstructive Surgeon also concurrently Board Certified in Head and Neck Surgery. He's a specialist in cosmetic and reconstructive surgery of the face, nose, eyelids, ears, neck, and scalp. He also has extensive experience in non-surgical treatments of the face, neck and scalp, including injectables and laser therapy.

And we are talking about all of that and so much more today. Also, full disclosure, although many of you already know this, he has performed some tweaks on me throughout the years. So we get into those experiences as well. And I answer a lot of questions that I don't necessarily answer on social media. People always ask me about my experience with fat transfer. So we get into that, the good, the bad, the ugly, and the funny. There are a lot of personal anecdotes in this episode, so I think you guys will enjoy those.

And something about Miguel that his patients really love and that I appreciate as well is that he has great bedside manner and he does not really speak like a doctor. He does not really speak like an authority figure, although he is and he's crazy smart. But it makes him really enjoyable to listen to. So I know you guys are going to love this episode. You're going to feel like you are a fly on the wall listening to two friends who are aesthetics obsessed. Talk about all of the things. So please enjoy Dr. Miguel Mascaro. How many times have you been on?

My first time on the well pod. How many times have you been on my podcast? Four. Well, no. Yeah, this will be four or five? Five. You might tie Harley Pasternak for most times. You may dethrone him.

Well, welcome back. Are we starting? Oh, yeah, we started. We started? Yeah. Was that whole thing behind the scenes? I like to ease into it. Yeah, I like to use a little bit of it.

So there was like a hidden podcast within the podcast. Yeah. All right. I like that. Let me adjust the microphone. Do I look at? ABR always be recording. I know.

I miss that. That's where you get the best stuff. I miss that part of podcast class. You're a seasoned vet. You've been on my show so many times. You've done a lot of other shows. But this is my first time on the well. This is my first time on the well.

True. But when I knew about the well, It was W-E-L-L-E. Actually, it's not happening. So, yeah. Okay, never mind. Don't worry about it. Yeah.

A lot of people thought this day may never come, actually. I put a question box up on Instagram, obviously, for my audience to send questions in. And a lot of people wanted to know, what's the tea? There is no tea. Yeah, no tea. Yeah. I mean, I think, no, people would get disappointed. I mean, this is what happens most of the time is that when people think there's a lot of tea,

there usually isn't much of anything, really. It is what it is, you know? We're off to a great start here. This is such a bad podcast. This is going to be horrible. I just wanted to put you on the spot a little bit. It's okay. Okay.

Somebody else said, talk about two baby faces. I'll have what they have because I posted that picture of us from 2021. I'll throw it up again here. when this podcast comes out. So, I mean, I think that's a great place to start in general. And I mean, this is something that we've talked about for years. And really, the key is just maintaining, right? And so you don't want to wait until, you know, your house is completely on fire before you start doing stuff.

So little things over time make a big difference. And particularly in a case like yours is as we've noticed little things over the last couple years, We kind of do fine tunes and tweaks. And it also depends on kind of what direction you're going with style-wise. And so this is where you have to kind of figure out exactly what the vision is and not just the vision of how I want to look like right now. But really, where do I see myself in three years, four years, five years, ten years. Because some of the stuff that you do now can burn that bridge. And so as far as I'm concerned, Sculptra, little Botox, a little bit of filler here and there.

cut back on the filler actually just because my face is pretty slim now. And the filler was starting to show a little bit too much. Now, I'm pretty vain. As you know, he's the vainest of everybody. Sorry, I'm putting you on blast. I'm bad. I'm bad. And I mean, I'm just like doing constantly consults and I'm always looking at people. And so I'm always on camera. And I'm always, I'm looking at the patient. But then I'm also looking at myself as I'm talking about the patient. It's bad. I always say, by the way, that when Instagram stories came out, that is when a lot of people's perceptions of themselves changed, including myself, because I had never seen what I looked like in motion. I saw what I looked like in photos and in the mirror. And then when I saw how my face

looked at it was talking and everything, I was like, oh, this is not matching. Talking, lighting, you know, certain angles, like all these things come into play, particularly like what the angle of the lens is. We've talked about this before where, you know, the selfie lens has a slight fish angle to it. So we saw a huge change. the trend for rhinoplasty, particularly once stories became a big thing. But you have to be aware of kind of what it is that you look like and what is it to do. And so, yeah, so for me, like the filler just stopped working. It started getting a little bit of that filler face. And so I dissolved a lot of the filler that I had. But I still needed a little bit of that just volume and soft

volume looked better on me. I didn't like how full I was getting. So I did sculptor. I love the sculpture. It does very, very well. A lot of surgeons, are anti-sculptra. They'll tell you a bunch of bullshit. Can I say bullshit? I can say bullshit. Fuck it. Bullshit. About sculptra. Can I say bullshit? Fuck it. Bullshit. We're going to go in. We're just going to go lazy river. You know, just lazy river. But yeah, it's just the sculptra itself. People are concerned about how it generates collagen. It creates almost like a velcro-like tendency on the tissue when you're dissecting it during

surgery. Who cares? Just take your time. Fucking do it. You know, you get paid enough money to do it right. It's not a big deal. But certainly if you do it too early on, it can be a problem. But if you wait enough time and you let the tissue heal, it's not a big issue. And I love it. It improves the quality of the skin. Helps a little bit with volumizing. So yeah, that's my secret. Ariel's done a couple more things than just a little bit of sculptor here. I see. We're going tit for tat. No, listen, I'm not putting you on the spot. No. Most people know. And that picture that this person was referring to that I posted, that I post,

today of you and I was from the end of 2021. We met end of 2019. I did a lip lift with you, January 2020. And then, pre-pandini, 2021, I did fat transfer with you. And so this photo from the end of that year, I feel like the fat had still not really gone down so much. I was in that very like fluctuatey phase. Yeah, like that roller coaster phase at the beginning. Yeah. where I was like, remember? Threatening bodily harm. Yeah.

Okay. So people ask about fat transfer all the time and I actually wasn't going to talk about it. But I'll answer the question here because they ask about my experience and I've done plenty podcasts about it. But for what to expect, I'll just talk about how I experienced it with you, which is that I came out of that transfer. So you took it a little bit from my stomach, right?

and you injected it in my cheeks, under eyes, temples, if I remember correctly. And you come out of that quite swollen, very swollen, to the point where I was like, there's a divorce in my very near future. This is fact. I have the message. It was two days in.

Yeah, two days in, I'm like, you don't understand. Because I don't think I told him that I was going to do it or something. I was with a friend. Anyway, then two days thereafter, what did I say? All the fat is gone. This is medical malpractice. It was happening. And then you landed back in L.A. You had some avocado fish tacos or something. Yeah, I went to Cabo. Yeah, went to Cabo. And then you're like, oh my God, my face is huge. Yeah. What's happening? It puffed back up. Puff back up. It fluctuates a lot. So it's interesting because even the experience

that you had four years ago is very different than the experience patients have now. So techniques have changed in the last couple years, partly because of you. And so what ended up happening was historically, if you take a look at the literature, there's a couple ways of purifying, you're laughing, but this is true. So there's a couple ways of really kind of purifying the fat. So the old school way of doing it was you would take the fat out, you'd actually put it on a gauze, you'd roll it back and forth on a gauze, almost like, think of like gelato, where they take the spoon and kind of roll the gelato that I just knocked. Roll the gelata back and forth.

And that gets rid of some of the oils in the water out of the fat. You take that fat, then put it in, inject it. Not the best, but it's a very old-school way of doing it. The yield was okay. downside is you're taking something sterile and you're putting it on an open table. Even though the contents on the table are sterile, I mean, anything can land on it.

So the rate of infection was pretty high. We started centrifuging. What's the advantage of centrifuging, this technique that you had? This became the gold standard for 10 plus years. all the studies compared to centrifuge. You spin the fat around, it separates the fluids, right? So all the heavy stuff goes to the bottom,

all the really light stuff goes up top. The fat kind of sits in the middle and floats a little bit. So you get rid of the water, you get rid of the oils, which is really, really nice. Now, the downside of that is that you're still not getting rid of absolutely everything that's within that fat. So nowadays, what we're using is we're using the pure graph method. And so what the pure graph method does is you take that fat

and then you run it through two different filters. The most important filter is a 70 nanometer filter. So before I start putting you guys to sleep, what that means is that the filter is just small enough that the fat cells don't go through, but everything else goes through. So you're getting true pure fat. So I've actually put a little bit of some content on there out there, the last couple months about it, where you take your regular fat and let's say it's 50 cc is of fat once it's spun down and purified. You run it through the pure graft, it cuts down to about 25. or 20 cc's. So you're cutting that volume in half.

So in a case like yours, let's say hypothetically, we injected 13 cc's of fat in each cheek and under eye area. Now we're only doing about six and a half. And we're getting the same amount of yield, if not better because it's pure fat cells. We're decreasing the amount of volume

that you're putting in. So your fluctuation is much lower because even though you're puffy, you're going to go down a little bit. So now it's a little bit more stable. It stays put a lot better and your yield is higher. So it lasts,

a little bit longer. The advantage too is that you're really concentrating all the really rich adipocyte derived regenerative cells, what some people call stem cells, into that packed cell. So you're getting a lot of the better stuff into each syringe. So you get less swelling, lasts longer, better yield. So you don't quite have that crash out at two days or three days out after surgery from it. And so we see people bounce back a little bit better. It lasts longer. it so they're feeling much better, much quicker. How much of it lasts compared to the other? So it's much better.

So it's much better. So his person, well, obviously depends on the person, depends on the health. I mean, we've joked about this how a certain someone's fat looked like croqueta fat. Not mine. Not yours. A certain someone. Tell them how mine was. Yours was good.

Yours was really nice. It was actually you're super healthy looking fat. Yeah. Whereas. You're down playing it. You loved my fat. It was really good. Yeah.

It was good. You can tell by the color. It sounds sick. I know. But you can tell by the color. So can we put her plastic? we'll put her in last one. So Ariel's friend who came, whatever. So Ariel's friend who came, her fat looked like croquetta fat. And so for those of you guys don't know what a croquetta is,

it's basically just like it's this tiny little, delicious Cuban, like ham cheese, just amazing treat. And you can tell when the patients had a lot of grease and fat in their diet, because that's where it's stored. And so the fat looks a little bit different. So just based on that, you can tell the composition of how it's going to be. So Ariel's was like a rich yellow fat. It was very healthy. Not so much on the other side. But I will say, I feel like her fat really stayed. Like it's really good scaffolding. It's good scaffolding. Exactly. It builds really, really, really well. And she'll be the first one to tell you that. Yeah. When would somebody be a candidate for something like a fat transfer versus sculptra? Or filler. Or a reneuva, which we haven't talked about. Rejuvalife.

Yeah, rejuva life. As said friend. calls it calls it yeah yeah so renewva is another option and now even ala clay which is a third option it's not really approved for the for the face it's more for for body breast etc but these are all biostimulators versus a true fat graft so if you think of the spectrum you've got filler on one side you've got fat on the other side and then in the middle ground you've got your biostimulators so your biostimulators stimulate your body to create tissue so what's there you've got two options your Renuva, which creates fat, and then you've got your collagen stimulators, which is your hyperdilute radius and your sculptor.

So think of it this way. If you have a large volume that needs to be filled, sculptor is probably not going to do it, because it's very, very subtle. If you have a larger amount of volume that needs to be filled, then you're going to need the fat grafting, particularly if you're talking about sculpting, you have to think of this almost like you're sculpting the entire area. If you just have one spot, a little bit in the temple, a little bit in the sub-mailer area through here, that is a great spot for sculpture. Just because you're softening that shadow.

But if you're really hollow, you need a lot more volume. That's when you kind of start thinking about Renuva a little bit more. And then if you really need to rejuvenate the entire face, that's where fat comes in. Fat is really big. So the cell itself is a big, big molecule. So for fine lines, tier troughs, you can do nanofat, you can do microfat. It helps, but you got to remember that it's a big, big molecule, and that's how you get lumpy, bumpy. Okay.

Everybody wants to talk facelifts. I feel like we are in the era of the younger and younger facelift. Yeah, absolutely. And lots of younger celebrities, like late 30s, early 40s and beyond are appearing to have worked on and appearing to have facelifts. Allegedly. Allegedly. Yeah.

And you don't really comment on this. And I'm not going to ask you to name names because you have celebrity clients. and all of that. But where's that sweet spot for getting a facelift? And is it better to get it too early or too late? So I'm going to give you the spiel that I give the young patient. I think that part of it is you don't want to kind of be caught making the bed when the house is on fire, right? So you don't want to wait until it's too late and all of a sudden do it. Historically speaking, you waited until you were in your late 60s and you had your brows done, your eyelids done, your face done.

And you would hear of people talk about and say, I'm not ready yet, I'm not ready yet. It's not my time yet. And in my mind, I'm thinking, what happened between 65 and a half and 66 that all of a sudden now you're ready, right? And so what we noticed was that women really started thinking about it between the ages of 52 and 54.

This is a study that came out about 25 years ago, and we've talked about this. Now, why does that happen? Because hormones start to affect right around that time. So changes in skin. changes in hair, changes in laxity, elasticity. All of a sudden, all these things start happening to the aging face. More research has happened since then. And now people often quote the two big ages where women age 44 and 66. I was going to say like 50s sounds a little bit late.

Exactly. And so this is, you got to remember that even like mid to late 30s, pain menopause really for some women started around that time. So it's really individualized. So the idea and the concept of earlier surgery, as we've learned more about hormones, as we've learned more about how people age, as we've really kind of delved more into the science of things becomes actually a little bit more understandable why people have seen these changes and become readily available. Now, when do we really see the best results? The best results happen when people are younger.

Why? Because when people are older, what we found is not only do you get laxinine elasticity loss, you also lose bone density. And when you're losing that bone density, it's not just in your joints, it's not just in your back, it's also in your face. So we particularly see a loss of the goneal angle. We see the periform aperture where the nose is, that resorbs, the area around the eyes, that starts to resolve as well. And so as you're seeing that, stop touching your face. I'm looking in the camera.

As you're seeing that, what happens is when you then go to redrape the face, you're not longer redraping it over the same frame. So it's a totally different framework. So the face looks totally different than before. Now, when you're doing it younger, you have the same bone. You have the same amount of volume. So that's really when you see a rejuvenating surgery. So when you see those patients that are having surgery younger, that's when you see that 40-year-old that looks like they're in their late 20s,

you know, or you see that 50-year-old that looks like she's in late 30s, early 40s, as opposed to someone who's in their late 60s, those patients who have great results in their 60s are those patients who have great bone density scores. So that's how you can kind of predict who's going to do really well as they get older when they do them. To answer the second part of the question, if you do it earlier, are you going to need another one? If you're vain enough to do it in your early years, you're vain enough to do it later on. Let's get it out there.

Like, let's be honest. What is the soonest that you've had a patient come back for another one? It depends. So I've had patients with Ellerdano syndrome, and this is something that we're starting to see a little bit more. So Eldoranos is a college in deficiency. you think it's really an issue with how the connective tissues are formed. So people get really stretchy skin. And those patients particularly are those that come in when they're like mid-30s and they're

starting to do some of this work. And we'll see that skin stretch out a little bit. And they'll bounce and want to do a little tune up or tweak up within like four or five years. And at that point, I've noticed that once we redrape and really get more mobility of the muscle, because even though there's plenty of skin on that first go around, the muscle is still pretty tight. The ligaments are still pretty tight. But on that second go around, those ligaments have loosened up a little bit and we can retighten them back up again. Then we're seeing longevity on it. Now,

as we learn more about elardanos, we're realizing that it's more of a spectrum rather than a true syndrome. Obviously, there is like that endpoint true eleardanos. But there's a lot of people that fit the criteria as they go along the way. And you can actually determine that even intraoperatively. I had a patient recently young. She's 43. We did a facelift on her. And I told her, listen, I just want you to know, like this is what I found, any issues with your heart, family history, et cetera, joint mobility. She's telling me, yeah, you know hypermobile joints, but nothing too crazy. She then goes, she's talking to her dermatologist afterwards, and she goes, actually, we should do a test if he sees something there. I'm doing her three-month checkup over video, and she goes,

my dermatologist thinks you're a fucking genius, because they did find some of those cells that are indicative of Lerdanos within there. They don't think it's a full spectrum thing, but they want me to kind of keep a close eye on it, take a look at my heart, do all these other things to kind of monitor things. So there is that spectrum that is present there. Yeah. Remember I had that biopsy that came back with non-specific connective tissue disorder? Is that what that is? Could be. Potentially. Because I have hypermobile joints. And then everyone's saying, oh, MCAS and Eler, Eler Donlos, I can't say it. Hypermobility, they all go hand in hand in hand. I don't claim that.

You're like, I'll put that hat on my head yes yet. But no, I mean, but I had a biopsy for something else, and my derm called me and he was like, hey, just so you know, like it didn't come back for cancer, but it did come back for connective tissue disease or disorder. And this is the classic, you know,

just the more we screen for stuff, the more stuff you're going to find. It doesn't necessarily mean anything of it, but it's just something that you kind of keep in the back of your mind as things move on. What's the youngest person you've, performed a facelift on? Facelifts or necklift.

Both. Necklift? I just did a necklift on a 23-year-old two days ago. Wow. So that's about as young as it gets. And I'll go into that story in a second because I know everybody's going to want to know why. Facelift, 32. Endo or full face?

Full face. Endos, I don't count. Yeah. Because that's a different animal. You know, and we can talk about like, and there's been celebrities that have done endos, allegedly. But that's a different animal. And so oftentimes you have to combine it with an isolated necklift.

You have to be the right person, right. It does change the shape of your face a little bit. So it's got to fit your anatomy in order to kind of like make it work. But yeah. So as far as why you would do something on the earlier side, it really comes down to anatomy. So for example, it's 23 year old. She is someone who had just poor anatomy from the beginning. What's poor anatomy?

What does that mean? Because it sounds like I'm just labeling that out there. There's this classification that's called the Dito classification that gives us an idea of what a neck is. And so it goes from one to six. It doesn't necessarily mean that six is worse than one. It's just a different type of anatomy that we see with necks. So type one is normal. Type two is just excess skin.

Type three is a really full fat neck. Type four is the one that's got the platysmal band. So all of a sudden right now you're just thinking, okay, that sounds just like an aging person. Type five is someone who's got the chin that's pulled back. So all of a sudden you're having mandibular issues. Type six is a hyoid bone, like the bone that gives you the angle of your jawline. That's too low.

So she was at type 5, 6, meaning that she had issues with the jawline with development, as well as a low hyoid. So unless you did, one, either break the jaw, bring it forward and create that new kind of projection, she's never going to have that. And two, pick up that hyoid, bring it upward, and mobilize it. So do really deep structural network. It's not a skin issue. It's not a problem issue.

She had done lipo. She had done a ton of morphous radio frequency, multiple treatments, trying to tighten that area up, no improvement whatsoever. So what happens? We open things up, open up the skin, open up the muscle, clean that stuff out,

do a laryngeal setback, laryngeal release, where we're actually releasing the hyoid ligament, the high bone from the muscles above, muscles below. So we're doing a lot of deep neck structural stuff

that not a lot of people are doing. That brings the voice box up and back a little bit to give a little bit of an angle, clean the muscles underneath. That gives a little bit more of an angle and tightness. We tighten up those muscles

right back up, added a little chin implant because she didn't quite need a full BSSO or any sort of dental issues or she didn't have dental occlusion issues or dental problems where she needed to have the bones broken and slide forward. Small flowers? No, actually. We actually didn't want to use the flowers because it has too much width. Yeah, I did like the projection of the flowers. We ended up using a medium anatomical chin, which has the same projection as a small

flowers, but not as much width. And so then that way that gives a little bit of slimming because she's still 23. You still got the baby fat. So you don't want to give too much width up front. I feel like a completely under the radar procedure that a lot of celebrities have is a chin implant. Oh, 100%. Like some of those jaw lines are from the chin implant. I mean, people don't realize like just how a few millimeters can completely change that profile.

And especially as what we were just talking about. So different implants have different names, which have different proportions. And now you can do custom implants, which plus or minus on, because it really depends. on who's doing it, what the design is. And what we're seeing is that even with the CT scan and a complete design, what you're seeing on the scan and designing for, it doesn't really translate to the soft tissue above. So you still have to kind of be a little jazzy about it and feel it out a little bit.

It makes a huge impact. And it's a tiny little nick under the chin. Nobody sees it. It's better than going from inside the mouth. So for a long time, we were going from inside the mouth, but the rate of infection is higher and it moves a little bit more. and you can't put it in the right spot as much. So, you know, we kind of went back to just going under the chin. And nowadays, you heal so well, you can't even see it. I wanted one. How badly did I want one? Very badly.

But my body would probably hate it. Yeah. Most likely. I don't do well with any, as my allergist said, anything not original, get it out. Yeah. And, you know, the thing is, and like I was telling you, you know, for chin implants is different than other types of implants that get placed because it's going under the lining of the bone. There's no chin implant illness. There's no chin implant. illness, unfortunately, because there's just no exposure of the soft tissue that would have. But yeah, it's one of those things where, yeah, it's not likely. Okay, one of my fun questions that we completely skipped over, but since we're talking about it, if I begged you for a totally unnecessary tweak, how would you talk me down?

Or would you just let me do it? I mean, we know how that goes. Do I? Yeah. Have I begged you for an unnecessary tweak? Not begged, but. Unnecessary tweak? I mean, is anything necessary?

You know, it's not cancer. You know, well, in general, I mean, I try in... You're going to be so diplomatic on this. I try to be nice about it. I mean, how people respond to it is different. It kind of depends. And it depends on what the tweak is, right? So, you know, your small tweak, maybe someone else's, like, huge thing they've been thinking

about for years, and this is something that they've been thought about forever. And then when you examine them, you might say, you don't need that. You need this. And then they're in their mind. That's not at all what I expected. So, you know, this is where you kind of have to like listen to them, see exactly where they're coming from, level with them a little bit, and then lead them into what it is that may or may not benefit from them.

The conversation of something that is unnecessary happens every day multiple times. and I see it a lot with younger patients in particular. So the younger patient who wants an endoscopic facelift. How much is social media driving that? 100%. Yeah. 100%. And especially nowadays that it's become more accepted for people to say,

oh, I had X or Y or Z work done. You're seeing more celebrity-driven endorsements. Not necessarily endorsements. That's not the right word. But they're being a little bit more open about it, which I think is great because it gives people a little bit more of a healthy understanding of, hey, this person in the name, and look like this and they actually had to do a bunch of stuff to get there. The downside is that

you think, oh, if I just do the exact same thing this person did, I'm going to look exactly like this person does. And you have to separate a little bit about the infatuation from fandom versus like the reality of it. So, you know, I mean, as we were joking about like my Miguelisms and like, you know, you can shuffle the deck all you want, but it's still the same set of cards. So there is some limitations as far as what you can do with what it is. And yeah, you have to kind of guide them and tell them, no, this is not the right thing to do. And this is the X, Y, or Z reason why it's not going to be there. And this is when you differentiate the people that have body dysmorphic from not, because that's what that kind of leads into. I find that most times nowadays with the

younger patients, they have some insight into it where they'll realize and they'll say, okay, I saw this person did it. And they got this result. You've experienced. Explain to me why I don't have those same features. And if I do the same thing, I'm going to end up over here, whereas I really want to end up here. And so if I want to end up in this vicinity, I actually have to do something completely different. The older patient is the trouble one I find with social media. Really? Because they get pent up on the idea of I used to look like this.

Yeah. And this is what I want to look like again. And I'm seeing other patients that have had this type of procedure that I've gotten the result that I had 20, 30, 30 years. years ago. I'm like, that's just not going to happen. And so you got to start young. You got to start young. Yeah. It's easier to maintain. It really is. It's like buying a house, right? I mean, you know this. Like when you build a house, it's easier to kind of keep up with it and maintain that if you build something and then you don't take care of it, all of a sudden in five,

six, seven years, you're redoing everything all over again because you were not maintaining along the way. Yeah. That's why my approach has always been small tweaks along the way. However, to your point, what might be a small tweak to me is very much not a small tweak to somebody else. I consider like a lower eyelid skin pinch, you know, where you're awake. I'm like, you're awake. You're laying there for what, 20 minutes. It's like boom, boom. And now it's like not that big of a deal.

I don't, I consider that a tweak. I don't consider that surgery. Other people are like, that's surgery. And I have kind of come to realize that I used to have a way more lazé attitude about surgery, but things can go wrong. Complications can happen, and that's part of the reason why I largely stopped talking about it, also in my social media, because if I talk about, oh, yeah, I did a skin pinch and I love it, you know, it's great, or I did a lip lift or whatever, fat transfer and people go wherever they go, those things, I mean lip lifts can have devastating results.

You're putting a scar in the middle of your face no matter what. No matter what. Skin pinch, devastating results. You're putting, you know, a scar under your eyes potentially fat, devastating results. Like if you get overfilled, like there's so risky. Everything, everything, everything, everything. I mean, when you were talking to Ryan, I don't know if you brought this up, but I mean, Ryan talks about this all the time. Ryan Einstein, he's a body plastic surgeon in New York, where the complication rate, the more complex of surgery is, the complication rate is almost 100%. Yeah. Sounds crazy. But you got to realize that complications don't necessarily mean something catastrophic.

It may just mean a little bit of scarring. It may mean a little stitch that spits out. Just something that forces you to kind of delay the wound healing or you need a little baby, it a little bit more. It's surgery. It's not exactly like perfect every time. Now, there's three players in this game. And so there's me.

There's you. And then there's the biology and the genetics of the tissue. So I'm going to leave you with a pencil thin line that's almost impossible to see with stitches in place. It's going to look incredible. You're going to take care of it because you don't want to scum.

Don't crash the Ferrari. You don't want to crash the Ferrari. I'm giving you the Ferrari. Don't crash it. But then you have to remember that the biology and the genetics of the tissue are going to also dictate a little bit. And so we have to kind of guide it along the way, whether that be with lasers, injections, scar creams, topical, you know, vitamin A serum.

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discount and your bonus gift. I always record these. I always record these. ads early in the morning. I don't know if you can tell from my voice. It's 6.54 a.m. but I want to tell you about my delicious breakfast that I just had because, of course, I always eat breakfast within 30 minutes of waking up, especially if I'm going to dive into work because it just helps to keep my blood sugar and my cortisol, all of that stable. So I just had my oat bowl that I make all the time. It was oats, it was chia seeds, and then I added my Purely Elizabeth ancient grain granola on it with some wild blueberries. It was so good.

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The code is well for 20% off. Purely Elizabeth, taste the obsession. Okay, you are a surgeon, but there are some trendy, popular things, less invasive procedures. So let's quickly touch on those because then I have a lot of fun questions. I want to ask you. You got serious fast, so we're going to circle back. Usually we lazy river it a lot more.

Although we started super on serious. Yeah, but I had more that I want to go back to it. Okay. So, salmon sperm. So, give me the quick one minute spiel. Quick one minute spiel, PDRN, polydeoxy ribonucleitides. Really, really trendy. It's huge in Korea.

Anything that's huge in Korea skincare-wise eventually makes its way over here. And it's been approved there for 10 years, right? Forever. Yeah. It's like old news there. Yeah, no, that's old school stuff. Now, it's approved for topical. Some people are injecting it.

It's not FDA approved for that. a lot of stuff is done that's not FDA approved. In general, it's believed to just build collagen in the area. How much of it actually does? We're waiting to see. Topically, great. With microneedling, great. Improvement, fine lines, wrinkles, quality of the skin.

Here's the caveat. My idea of great improvement on the fine lines, wrinkles, quality of the skin from something that's minimally invasive and what the average consumer may think of as a great improvement may be totally different. And so this is when expectation management comes into play. Because a lot of times patients think that the results that they would get from CO2 laser resurfacing are the results that they're going to get from microneedling with salmon sperm. And so you have to be realistic about what it's going to do. What about microneedling with exosomes?

Same thing. Now, here's the thing with the exosomes. You have to be careful about how it's delivered. And different exosomes have different qualities to them. So not all exosomes are built like. They're not all the same. Miginally with radio frequency, you're active. drilling holes into the skin, but you're cauterizing them. So there's no tunnel delivery

mechanism for the exosomes. So you have to be aware as to how they're doing. So then you're going to get more of a topical improvement as opposed to traditional microneedling. So that's an instance where traditional micrneedling would do better than microneeding with radio frequency. Got it. PDGF, that's having a big moment. I see a lot of injectors fighting on social media right now. It's because people always like to fight about stuff. It gets click. The problem is this, right so injectors often get chastised because spoiler alert some of the best injectors are not doctors and a lot of doctors don't like that and so injectors kind of have this thing about like i got to inject and i got to do this and i get it you know this is your tool and you're really good at it you want to

kind of go forward with it PDGF play the derived growth factors what it is is what you take with PRP and PRF so all that stuff contains PDGF which it's actually the stuff that's stuff that builds the collagen, builds the new blood vessels, helps build the skin. PDGF's been used forever, but it's been really used for diabetic skin ulcers, wound healing, not really from an aesthetic standpoint. Someone said, light bulb goes off,

this works for creating new collagen, what if I just inject it? In theory, it should do the same thing that PRP does but better, or what PRF does but better, and not all PRF is created equal, but does it better. Let's see what happens. And so now you're seeing stuff all over the board where some people will swear by it.

They're like, it does great things for fine lines, for wrinkles, it builds volume better. It's a better biostimulator. Other people will say, this is malpractice. It's causing nodules. Causes nodules. You know, if someone has a history of skin cancer, it's going to cause it to overgrow. So you're all over the place with it. The truth of the matter is, is that, honestly, there really is no evidence that it should be injected

into the skin for cosmetic reasons. If you've got a wound, it works great. But the mechanism of action is very different in a healing wound than it is from a cosmetic standpoint. So until then, I would stick with just PRF or PRP. And even PRF, like you've got to know what kind of you're getting. Okay, last one. And then we're going into the fun stuff. It's soft wave.

I feel like this is everywhere. It's like kind of the latest thing that everybody wants to know. Yeah. So this is one of those where you have to be a good candidate with good anatomy, have the right. problem and in the right patient, good results. I have a really good friend of mine. She's an injector in Austin, Texas. And I was a big softwave fader because, again, selection bias. Anybody that's coming to see me probably didn't have a good software result. If you had a good software result, you're probably not going to be going to a plastic surgeon to look for

a facelift. So I have to keep that in the back of my mind that I'm always going to have a little bit of that blind spot with selection bias. So keeping that in mind, I see more bad stuff. Or I see more people complaining about I didn't get as much of a result as I should. And I'm seeing this from my colleagues who have the machines, who bought it, who were promised miracles. So a good friend of mine, I trust her completely. She tells me, I'm going to go do this and I'm like, dude, what, what are you doing? All right, just let me know how it goes. I'm saying, she got a great result.

Like, I was impressed. Where did she do it? She did it in the neck area. Got good contour, like legitimately good contour. And she's someone that we were talking about doing possibly a necklift that was holding her off for a bit. She's young. She looks good. Everything's great.

Good skin quality. We've done some fat grafting. We've done some laser. We did an endofaclift on. And so eventually we're going to have to do a little bit of network. And we've been talking about facelift. And I was like, let's just hold off on it. She did the soft wave.

Sends me a picture from Bahamas. She looks fucking great. Legitimately good. And I was like, okay, well, you know what? I'm just going to go eat a bunch of cement because I was wrong. Legitimately wrong. But is it like radio frequency in that it's dependent on somebody's own ability to produce collagen.

So everything that's minimally invasive is based on your body's ability to respond to the stimulus. Got it. So, you know, that's why you get these like really vague, like, oh, you might get anywhere from 10% to 40% improvement. Okay. I'm putting like $5,000 into this. Like I would want to know, like 10 to 40 is a big difference. Huge.

Crazy. Okay. Let's see. So first let's go to try. friend funerals. If you had to hold a funeral for one procedure in 2025, what would it be? Threads. Threads? Threads. Really? I feel like that's like 2018. Yeah, but people are still doing it. They are? Oh, yeah. What the fuck? Why? They don't know? People are still doing it. The word's not out yet. Yeah, big thread is strong. Yeah. I haven't seen a lot of thread.

The big thread lobby is strong. Wow. Yeah. I mean, the number of patients that are trying to hold off. You see it a lot with the younger patients that are getting that laxie, that elasticity. They want to hold off on the face left. They're like, oh, what if I do one, two, three, four threads? No. So I think that now you're finally in that tail end where things dead. Okay, that's funny. I had threads, miracle or obituary.

Fuck them. Do we need to hold a funeral for fox eyes? Anything animal in general. Maybe a feline. Yeah, anything. Just no, stop. What else is there? I know, well, not animal, but there's like fairy nose.

There's a fairy nose. There's a fox eyes. I know there's other ones. There's a bunch of other shit. A lot of them out of Turkey. And the thing is that, you know, the people that do it that look good with it are, they have a particular aesthetic. And it looks good in pictures. It looks good in two dimensions.

When you see it in three dimensions in person, it looks strange. And you can't fix that. You told me about a certain celebrity who we won't name. Yes. So you saw in person. Yes. Who has box eyes. Yeah, it's horrible.

And you were like, it looks weird. It's horrible. In person. Yeah. It's horrible. But it's one of those things that when you're around enough of those people, you realize, like, I could see how if you put makeup on in pictures, this looks good. But this is not, not good. Like, this looks weird.

Buckle fat removal. Are we keeping that or are we burying that? I keep it. I'm a big fan in the right person. You know, that's a caveat for anything. As you know, I'm vain as we started off and you blew my spot up, but in general, I feel like, listen, the main argument for buckle fat

is you need your volume as you get older. Here's a spoiler alert. You're gonna need volume whether you keep the buckle fat or you don't. So if you are the person that's got a lot of fullness down below and you would benefit from a little bit of contour, get rid of it. It's gonna give that contour, it's gonna be fine.

And guess what? You may need volume later on, but you would have needed it anyway. So you may as well look good now and then deal with it later on because you're gonna deal with it anyways later on. So you just have to be ready planning ahead.

Which is worse, being overdone or underdone? Over. Over. This is like if you're, oh, 100%, listen, if you're having toast.

It's a spectrum too. If you're having toast. Yeah. If you're having toast. Yeah. And your toast comes out a little bit yellow. Maybe we would end up on food. This is how it happens.

So this is our usual conversation. This is actually how I wanted to start. We're still doing the Mount Rushmore of bagels, but we'll get there. We'll get to the Mount Rushmore of bagel toppings. Honestly, like chives? Wow.

So if you have a toaster, do you want your bread to come out burnt black? Or would you rather come out a little soft and maybe a little yellow? You know what I mean? Like once you get burnt, you can't go back. So literally once you burn those bridges, you're done. So the problem with overdone, particularly with face, is you can't fix. That's the problem. Whereas when you're underdone, you can always do little tweaks here and there to kind of keep you looking like yourself.

Yeah, it's much better. much better place to be. What is one trend you would resurrect from the past? Even a cringy one. Even a cringy one? I would tell you laser resurfacing. I think that that was like a big thing that people did a lot of and that people did, you know, like once a year or once every two years to kind of polish off the skin. And honestly, there's a lot of benefits to it just because you're, especially down here in Florida where you're clearing out some of like pre-cancer cells and you're really improving the overall sun damage that you get. There's been such a movement towards, you know, less downtime that people are often afraid

of the bigger lasers and they just don't give themselves the time to heal from it. When in reality, two to three weeks, like if you do that every two to three years for the overall benefit that you get is well worth it. I'm ready to blast myself. I haven't done any. I haven't done froxels since December 23. Yeah, you used to cook all the time. What?

You used to cook all the time. I was, I went through a series of quite a few. It was like body and face. My face I only did a few times. Body, I was hitting hard. Well, because you have to do it more frequently.

Because I used to be in tanning beds when I was younger. So it was like I had to erase all of that. And it makes a huge difference. And everyone's like, oh, it's going to come back. It didn't come back. FYI.

That's the biggest mistake that people make is they think if I do it once, oh, it's going to come back. No, because what you're doing is you're eliminating those base layers and then you're treating your skin. It's not about just doing the laser. You do the laser,

but then there's maintenance that you do afterwards. Except I've been laying in the sun in the Mediterranean for six weeks. Yeah, you're hanging out. Different sun doesn't count. When you're on a boat, it doesn't matter. Yeah, it doesn't count when you're on a boat. But now I'm ready. This fall, I'm like, I'm doing it all.

I'm hitting it. It's been a couple years. It's a good time to do it. Or winter, whatever. Yeah, fall, winter's a good time to do it, just in general. I mean, especially in Cali, you know, winter gets cold, so it's not too too bad. What procedure would you never let me do no matter how much I begged? Endo facelift.

I wouldn't ask for that, though. I mean, there was a time. Did I say too much? No. Okay. Yeah. No. Everyone listening.

We're all in the trust tree in the nest. I know that, you know, we all have the same interest, whatever. Did I really want an endo facelift? Really? No. I don't think I'm a candidate for that. No. Because I know my anatomy.

Yeah. anatomy, bone structure. So that, well, that's what I, well, especially now with the fat grafting, because with the fat grafting, we picked stuff up and we place stuff in different layers. So the endof face, the thing that it does is it widens the midface. And so in certain people that have slimmer faces, as you pick that up, it gives a little bit more of a heart shape. So it's great. It's awesome. But in other places, it just widens it out too too much. And particularly if you're smiling too much, it makes it bulky. It's not good. E. Not the vibe. Yeah, before I got the fat transfer. What did I say my aesthetic was quizzing you? I forget. You know this. I forget so long ago.

It wasn't just me. It was my friend as well. Oh, Haley Bieber. Huh? No, no, no. Did I just blow up your spot again? You sent me numerous pictures. No. My raccoon, when she was with me, we had, now the wheels are falling off. We had an aesthetic that we liked. Oh, cute baby face filter. Yeah. Yeah, that was the aesthetic heart shape, cute baby face. Yeah, just soft. It just soften the shadows. Yeah, yeah, yeah. That's what the fat transfer did. 100%. Yeah. You guys know that I'm obsessed with skincare, but what you might not know is that I'm also obsessed with body skincare. It is so important. And I have one specific product that I cannot live without, and that is Osea's Andaria algae body oil. I use this every single time I get out of the shower or the bath. And it's,

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probiotic with the code well. Again, that's just thrivehealth.com and the code is well. Okay, we are talking a lot about surgery and minimally invasive tweaks in this episode, but I think anybody, including any doctor, would say that the most important part of anti-aging is maintaining the quality of your skin because then anything that you do is going to look good. There's so much anti-aging skin care out there that doesn't. not have any science to back it up. And this is where ingestable skincare, I think, is going to be huge. So I've been taking hyacera from ritual for almost close to a year now, I think, and it's made a big difference in my skin, and I'll tell you how in a minute. But it's pretty amazing. It's

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Between the two of us, who do you think is more likely to cave to a weird beauty trend? Okay. Depends. I would say you are more likely to text me saying, I did this. What do you think? After the fact? After the fact. Okay.

Whereas I'm more likely to text you and say, I'm thinking about doing this. Yeah. There are things that you've been thinking about doing for years. I know. If you're talking about it, I haven't done it. I know. I got to do it next. I got to start next.

year. I know your list of procedures. I know. I got to go. Yeah, you're right. I would just do it and do it after the fact. Although I've gotten a lot better about that. I feel like I run everything by you. Yeah. And I haven't done anything. Well, I mean, health scare, you know, we'll do that. Yeah. It's kind of kept you from doing stuff. And it's I want to do things, but I'm terrified. That traumatized me. That changed my entire perspective and my approach to maintenance. Because like I said, before that, I was very like Blase, like, you know, may as well be getting my nails done kind of thing. Yeah. And to be fair, there is that attitude, you know, definitely in L.A. and other major cities.

And these things have been so normalized. But when you do experience a complication, which was not from you, but from the Botox, like, that made me pump the brakes. And I was like, wow. It just changed everything. And you realize, like, something that everybody thinks of as, like, a really routine thing, right? You think about it. Literally billions of people have been treated with Botox. Billions of people.

I know. There's been billions of treatments. God hates me. You know. And so when something that seems so common happens to you, immediately you think like, well, I really have been dodging some bullets. Yeah. So let's really take a step back and really analyze what I need to do or what I should be doing.

Yeah. And I've been on the brink of like so many things. Like, okay, I'm going to do this. And then I just can't. Yeah. it. So, okay. What's the wildest DM that you've ever gotten about surgery? Surgery, Miguel. Surgery. I know your DMs are popping. They're just insane. They're insane. What did I get? I mean, it depends. I mean, it's a little bit of everything. I mean, it's usually just people

asking about doing stuff that they have no business doing. You know what I mean? I mean, to me, I think that's the wildest thing is when people send me a picture of themselves saying, I think I need this because they'll say hey I think I need this and I respond to all my DMs I answer all my DMs I run my own thing it's like one of those mysteries of the world or how you perform surgery all day and respond to your DMs and are on Instagram as much as you are nonstop it's it's it's wild it's like 24 seven wonders of the world but mysteries of the world yeah no it's nonstop and so I'll answer and then I'll say okay well send me a picture let me see what you're talking about and it's just something totally different and I'll kind of guide them in a different direction and people

will argue. And I'm just like, one, you reached out to me. Two, I'm giving you free unsolicited advice. Yeah. Probably should not be doing. And three, like, I'm looking out for you. Like, you're welcome, you know? So, yeah, I mean, I would tell you that there's, every day, there's something crazy. Okay. If you could either never work out again or never get any Botox or any of those tweaks that you want to do. I would I just stop working out you knew that was going to be the answer you knew that was going to be the answer I actually didn't know

really I didn't know no yeah I would because I feel like you would find you'd be like okay well I can still work out and then maybe if I do like this like try to find out no no no no they're bad I mean I keep it so that I can still move how do you think I feel but I mean I sent you options what are the options? The bee venom oh Miguel sent me

It's true. Bee venom serum to put on my face. Listen, it's an option. It's an option. So, I mean, well, so you have to dilute the be venom in a specific ratio when you're using as a moisturizer. It does decrease the amount of wrinkles, but you have to give yourself a break because it can't get dangerous. It decreases the amount of wrinkles because you blow up. Because you're blowing yourself up with bee venom.

Yeah. Okay. These are my last three questions. So death or a meal. Okay. This is where he really comes alive. That's whereomino. Are we doing appetizer?

However many courses you want. Death hormone meal doesn't matter, right? Yeah. Okay. We're not doing like a full tasting menu, but like. So decent. Okay. So first off, drinks wise, I get a bottle of Vegas, Sicilia Unico or a 2013 scarecrow.

One of the two. I do a 22, oh, no. I would do like an 18 Vegas Celia Unico or a, or a, a 13 scarecrow. That would be my wine that I would start with. I just have it there. I'm going to pound it. Okay.

Yeah. Whole bottle? A whole bottle. Fuck it. That's going to be my wine through the meal. Okay. Just as I love saviche. So I would go saviche.

Then pizza. Pepperoni. Black olives. Got to go pepperoni black olives. We have that in common. Pepperoni black olives. After that, I'd go a little steak. Got to be good.

good like a nice rib eye, medium rare, little piece of butter on top, simple, not too overdone. I'm not going to do the lobster tail. I'm not going to do Oscar style. Just very, very simple. He's done. Then I'm going to do wagu sando. It's a clutch. So Japanese wagyu sando.

And then to finish, three leches. Interesting. And then after that, just take me out back. Just break you out. Take me out back. Okay. Fuck Mary Kill. Diet Coke, Coke zero, ghost energy.

Ooh, okay. I feel like this is so easy for you. Yeah. Kill, die Coke. I knew it. Fuck, ghost. Ghost. I knew it.

I knew it. Okay, last one. People are going to be like, this is so random. Mount Rushmore of bagels. Bagel toppings or bagels? Bagel toppings, but with the bagel. Okay. Like, I'll tell you mine.

Go. Okay. Mount Rushmore is four. Four. Right? So my George Washington would be cinnamon raisin bagel toasted with butter. That's good. Close second. Cinnamon raisin bagel toasted with cream cheese. What kind of cream cheese? Plain. Plain. Wipped? Hmm. Hmm. Maybe whipped. Tubb? Definitely not from the block. We can't bring in that part of the conversation about whipped, block. No, not blocked. Not blocked. We had a big discussion. We had a big discussion.

We had a big discussion one night over. Not block. I mean, fuck Mary kill cream cheese. Kill the block. Block. Yeah, not happening. It's dumb. Maybe whip depends on the tub.

Yeah. Then I would do everything bagel toasted with veggie cream cheese. And then my last one would be bacon, egg and cheese sandwich on a toasted plain bagel. Sesame bagel. So I go either plain or everything for the bagels. Okay. And then I would go veggie cream cheese. I would go scalyan cream cheese.

I would go. Scalian, not chive? Not chive. Okay. Not chive. Chive is stupid. It adds nothing to the cream cheese. I grew up on chive cream cheese and I feel the same way.

It's like what is it doing? That's color. Yeah. That's it. Yeah. I do like a plane with the olive cream sheet with like sliced olives. Ooh. It's good because then you get the plain but then you get the saltiness from the olives.

It's proper. And then finally, jalapeno cream cheese. What was the last one? Halapeno cream cheese. Okay. That would be my... What's your George Washington? Plain with the jalapeno.

Got it. Got to go spicy, but like you get a little bit of the plain so that just like washes it out. Because always if you do the everything is too salty, too much, right? You don't want it. Everybody, if you're still with us. Yeah. Tell everyone where they can find you.

And how they can cut the line. That was a question that I didn't want to ask you. Yeah. The line's long, man. I mean, it's crazy. Befriend me. Yeah. Yeah.

Yeah. Yeah. Don't be friends with Ariel. Well, she knows. She sends me people to cut the line all the time. All the time. Not all the time. No, no.

No, you're good. You're good about it. Yeah, you're good about it. Like, yeah, like three or four times. And you vet them. You vet them for me. Yes. No crazies.

Yeah. No crazies allowed. But so easy to find me. Either Miguelmascaro MD. com, Fifth Avenue, Plastic Surgery.com. That's my plastic surgery company in Delray Beach. My Instagram. Dr. Moscaro, I'm there, as Ariel told you, all the time. So you can just talk me through that.

As far as the list is concerned and the weight is concerned, I know it's embarrassing. It's humbling. It really is. But just contact my office, get on the wait list. People do cancel and drop out from time to time. Life happens. And so they're the best ones to kind of guide you. I legitimately don't know what I'm doing tomorrow. I try to stay away from things. Bride Lauren. Send food. Lauren. She's the real gatekeeper. She is like the club bouncer. So. Yeah, Lauren runs my life. So, yeah, if you want to bribe anybody, bribe Lauren. Thank you.

You're welcome. Good to be back. I hope you enjoyed that episode. If you liked the episode, and if you like the show in general, please take a second to rate, review, and subscribe. It goes such a long way in supporting the show. Follow the show over on Instagram at well.pod. You can also follow my personal Instagram at Ariel Lorry. I'm always sharing great clips from the episodes.

And we also have full. episodes on YouTube as well if you want to watch an entirety. Thanks for listening. Hi, we're the sports bitches. And no, we're not actual bitches. Yes, we are. Like, I'm for sure a bitch.

Okay, fine, we are, but that doesn't define us. Yeah, we also love sports. We don't just love sports. We, like, love sports. Yeah, we're like sports sickos. Sports addicted. Get these sports into my veins. You could call us a couple of sports perverts,

which was the other name for our podcast. speak for yourself. I'm Rachel Benetta. I'm Sarah Tiana. I'm Megan Galey. And we are the sports bitches. Listen to new episodes of the show every Wednesday, wherever you get your podcasts. Please note that this episode may contain paid endorsements and advertisements for products and services.

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