Happy New Year! Drs. Gallus and Greer finally got their schedule together after the holiday madness and made it back to IG Live. To ring in the New Year, they talk trends and predictions in plastic surgery in this new episode of Carpools & Cannulas: Modern Motherhood and Plastic Surgery.
Transcript
Dr. Gallus: Hi, everybody. It’s time for “Carpools & Cannulas.” It’s been a minute since we’ve been able to get together. I’m just gonna keep checking my text. So I’m excited for Dr. Greer to join us for her first “Carpools & Cannulas.” She’s requesting to…22. So I think she should be on in a second. Like, my connection has not sped up this year.
Dr. Greer: Hi.
Dr. Gallus: Hi. How’s it going?
Dr. Greer: Good. It’s very dark in Cleveland at 8:30.
Dr. Gallus: Oh, yeah, I bet. It’s getting dark right now in San Diego.
Dr, Greer: Oh, yeah. I get that. But
Dr. Greer: Hey, Aaron. So I love the new do. You chopped it off?
Dr. Greer: Thank you. I did. It was absurdly long. Oh, thanks, babe. Yeah. Later. Good. Thank you. … like, why are you sitting in the dark? Yeah, I chopped it. I donated it.
Dr. Gallus: Oh, cool. I’ve done that before. So, like, you need…Ten inches is usually the requirement, right?
Dr. Greer: Yeah, I was able to do 11.
Dr. Gallus: Oh, nice. Yeah.
Dr. Greer: It’s short.
Dr. Gallus: I know. I might… Maybe I should work towards that.
Dr. Greer: It was nice. I mean, it’s nice to actually wear it down. It was always in a barn and it was heavy.
Dr. Gallus: I usually, like, every several for… I don’t know. I go through cycles where I, like, chop it all off and then grow it out. Chop it all off, and grow it out. And my sister says it looks cute.
Dr. Greer: Than you.
Dr. Gallus: She is a patient here. Cool. And I’m back in action after like the most bananas December was…
Dr. Greer: Oh my gosh.
Dr. Gallus: …so busy. Yeah.
Dr. Greer: Yeah. It’s been just crazy here too. And, I mean, we’re in the midst of a COVID surge.
Dr. Gallus: Yeah. Are your ORs open or just…?
Dr. Greer: They are not, but I’m at an ambulatory surgery center. So I’m still up and running. But Cleveland Clinic and University Hospitals are two major hospital systems. Haven’t had any elective surgery going, I wanna say since December 22nd.
Dr. Gallus: Oh, wow. Yeah, I know. I saw your post about it. So it’s kind of a big deal.
Dr. Greer: Yeah, it’s been a while.
Dr. Gallus: There are elective surgeries in San Diego, but it’s I think we have a higher proportion of vaccinated people maybe, which helps a little bit. And then so really, the issue isn’t that the hospital is full, it ends up becoming a staffing problem. Like, we don’t have nurses and doctors to run things because they’re, you know, positive with COVID. So…
Dr. Greer: Oh, yeah, one of the major hospital systems just South of us is no longer having staff stay home, even if they’re COVID positive. If they can work, even if they’re symptomatic, come to work. That’s how bad it is. The National Guard has been deployed to all of our hospital systems. It’s bad.
Dr. Gallus: Yeah, I saw that. I saw that you posted that. That’s crazy. Yeah, we’re not quite that awful yet. So hopefully we don’t… I think we’ll skirt the top of the trees on this one. But yes, our ambulatory surgery center is…The in-office ORs are open for surgery. And I’ve had one cancellation rescheduled due to COVID positive, asymptomatic positive. And then a handful of clinic patients that have called and said, “You know, I got exposed or I’m sick” or something like that. So, we’re just, you know, that’s great. If you’re sick, please don’t come in the office or your Botox or your appointment. So we appreciate that.
Dr. Greer: Oh, I see one of my patients and they’re worried. Her surgery will be canceled. You’re gonna be okay. Unless it’s literally to the point where they’re pulling the anesthesiologists out of the ambulatory surgery center or stealing the ventilators, it should be fine.
Dr. Gallus: Right. Which was, like, I don’t think we’re gonna get there.
Dr. Greer: I don’t think… Well, it seems to have leveled. Our case numbers have been steady. So hopefully, the decline will be quick too, but the surgery center is still running strong. Yeah, like, they have to look a little hard to find gloves. I’ve been having trouble finding saline for my Botox dilution. Have you had the same issue?
Dr. Gallus: Oh, no.
Dr. Greer: No.
Dr. Gallus: I should just mail you some. The most random things are… I could probably send you some.
Dr. Greer: I’m using like the little IV bags now because we can’t get by…
Dr. Gallus: We have the little… Seriously, we can… Just text me later, and I can send you something.
Dr. Greer: Amazing. Yeah.
Dr. Gallus: Yeah, and I’ll double-check that we have… But we have to buy, like, a pallet of it at a time.
Dr. Greer: Right. That’s what I normally do. And then that works out.
Dr. Gallus: It’s…Yeah, [cross talk 00:04:33]
Dr. Greer: Or just bring some to Tucson next month.
Dr. Gallus: Oh, yeah. We can do that. I did that one, like, the last time we were in person, I … somebody.
Dr. Greer: Yeah.
Dr. Gallus: So, we can do that as well. Okay. So COVID surge for 2022, do we have any other predictions which are more positive?
Dr. Greer: I want to make ear lobe filler the next hot trend. I want to do that. No, I’m not even joking. I filled my ear lobes yesterday, Monday because my earrings were droopy. Do you ever have the part of your earrings feel like–?
Dr. Gallus: The really heavy ones.
Dr. Greer: No, no, like–
Dr. Gallus: Just generally?
Dr. Greer: My cubic zirconia studs. Yeah. They were like pointing straight down. And so I just put a little RHA, like 2.3 CCs in each ear lobe was great.
Dr. Gallus: Oh, no bruising and…? Mine only droop if they’re…
Dr. Greer: Not really.
Dr. Gallus: …heavy. Does it offer any, like, support?
Dr. Greer: Support? It does because it was just, like, you know, earlobes thin out with everything else as you age. If you guys have never looked, like, when you hug your mom or your grandma, depending on how old you are, check out her earlobes. Like, they’re thin. They’re longer. And mine were thinning out. So I plumped them up a little bit and Shabam, my earrings are back at the vector they should be at. And the weird thing is, like, I hardly felt it. you couldn’t really feel the needle going in, which was nice.
Dr. Gallus: Yeah. In terms of areas to inject, it’s pretty straightforward?
Dr. Greer: … Yeah.
Dr. Gallus: So maybe it’s all about the ear. We should do that. The next one, we can talk about yours because I do… Do you do otoplasty?
Dr, Greer: I don’t. You know, I literally scrubbed not a single one in residency. But I wanna make that earlobe tuck another big thing. It will get big.
Dr. Gallus: Well, we can talk about earlobes and the ear. I do otoplasty. I do it under local now, which I didn’t do before, but it’s really well tolerated and then people are, like, can see what they’re getting, and then everybody’s on the same plane. So, we can… Yeah, we should talk about that because, yeah, in California, we tend to have more people with the plugs, the bigger ear things that stretch out. And then when you decide you don’t wanna do that anymore, it’s…
Dr. Greer: You repair them. Yeah, I’ve repaired several of those. I do a lot of torn earlobe repairs too.
Dr. Gallus: Cool. All right. Well, we won’t talk about it too much. What other trends then?
Dr. Greer: You know, I’ve done a ton of facelift consults lately.
Dr. Gallus: I feel like…
Dr. Greer: Like, people are just…
Dr. Gallus: it’s Zoomed out?
Dr. Greer: Yes. It’s like everybody is seeing themselves on camera and they’re like, “I’m ready. I’m doing it.”
Dr. Gallus: Ready to do something?
Dr. Greer: Mm-hmm.
Dr. Gallus: So that came up today. Today, I was talking… I’ve been talking to Dr. Marissa Lawrence. And then one of my patients who had had it done elsewhere a few years ago when I did breast surgery, and she was interested in doing just a little tiny mini facelift. Let’s see if I could use that. But…
Dr. Greer: Yeah. Can’t we all?
Dr. Gallus: So just a little under local. And then, like, Marissa calls it the bandaid facelift. Under local, and you’re just taking a little skin and maybe putting a couple of Smash sutures right there. So, I’m thinking about starting to offer that because I do get a lot of people that don’t really need the full deal and want just a little tweak. So we’ll see if those…
Dr. Greer: Yeah, I do those sometimes. I mean, I love just doing the full deep plane, and then you’re, like, good for the next 20 years. And I’ve had a lot of patients lately who are just showing some signs of aging and they’re like, “I just wanna prevent it. Let’s do it.”
Dr. Gallus: Right. And they’ll do the deep plane?
Dr. Greer: Yeah. Yeah.
Dr. Gallus: Oh, wow. Okay.
Dr. Greer: I got a couple scheduled, which is nice. I personally want a browlift coming up.
Dr. Gallus: Yeah. Aaron’s…
Dr. Greer: Maybe we could do that in WPS. Aaron volunteered for the short scar facelifP.
Dr. Gallus: Yeah, she’ll like, elbow you out of the way for the browlift. I just need to schedule some time and do hers by using…
Dr. Greer: What technique…? Oh, we haven’t… Have we talked about browlifts?
Dr. Gallus: No.
Dr. Greer: I don’t remember. That’s a good one because I just changed techniques this past year.
Dr. Gallus: Yeah, we can definitely… That’s another one. I should be writing this down.
Dr. Greer: I know. Lincoln, take notes. My Cindel is not taking notes. He’s just sitting here. He’s like…
Dr. Gallus: So we’re gonna talk about ears and brows. Okay. Cool. Yeah, the lateral brow lift, it’s a nice… It’s a maneuver. Because if I see one more dumb thread lift thing where that doesn’t work, I’m gonna lose my mind.
Dr. Greer: I know. People love those… I saw a facelift patient…or a consult for a facelift patient two weeks ago when she’d had threads, and she just had all these little lumps everywhere. So it’s not awesome.
Dr. Gallus: And it’s good for, like, a minute and for Instagram. It also reminds me of the plasma pen, another thing to be noted and then dismissed. That, like, looks good on Instagram for a minute but long-term, you’re like, what’s happening?
Dr. Greer: And then in 10 years, when everybody forgets about it, they bring it back.
Dr. Gallus: Right. That’s totally what happens.
Dr. Greer: Yeah. Because, like, thread lifts keep coming back and everybody’s, like, “But they still suck.”
Dr. Gallus: I know. I know. At least they’ve made some improvements. I remember the original ones were, like, Prolene sutures, and blue, and people just looked like they had strings in their face. And I do know a couple of people have gotten lasered and then had them melt or something. I don’t know. It’s…
Dr. Greer: Oh, God, that sounds awful.
Dr. Gallus: But at least the complication rate is low I think with them now. It’s just that they don’t last and aren’t really that effective, but at least you’re not…
Dr. Greer: When the complication rate’s low, you’re not getting, like, weird tugs and poles and they dissolved. So yeah.
Dr. Gallus: Yeah. Yes, exactly.
Dr. Greer: Yeah, and that’s something I’ve wanted to dig out.
Dr. Gallus: Yes, they did melt because it was Prolene in there and was really awesome. People ended up with, like, blue under their skin.
Dr. Greer: That’s great.
Dr. Gallus: Yeah, good times. BMI limit for breast reduction. I thought I did, but I recently did one. I think it depends on the person. Sometimes insurance has a cut-off. I would say 35 or less for a BMI cut-off is goals. But then it depends on the patient. I did one for somebody who was at a 42. But if you’re super tall and most of your weight is in your breasts, and sometimes that’s what you need. What about you? Do you have a cut-off?
Dr. Greer: My cut-off, when I was in insurance, in-network, I would do up to 40. Although I found, like, I broke that rule once or twice. And it’s kind of interesting because if you go too small, then they look kind of disproportionate and flat-chested. And when you have really large breasts, which is common if the BMI is higher, then often you need to do a free nipple technique, but the shape there isn’t nearly as nice. So, like, the end result’s not as nice, and there’s a higher risk of healing problems. So 40 is about my soft cut-off, but now that I’m out of insurance, I tend to not get patients quite that size, for whatever reason.
Dr, Gallus: Yeah. It’s not common here. I feel like I’ve more commonly have not so much people with BMI cut-offs, but they want either more taken off than maybe the “aesthetic” normal is or wherever you want to set that bar, because there’s a lot of gender fluidity. So they don’t wanna be completely flat, but they wanna be as small as possible.
Dr. Greer: Really A cup. Yeah.
Dr. Gallus: And then I have some people who don’t wanna be too small. And so, insurance… Kaiser is a big system here will say, you know, “I have to take this 400 grams off is the usual insurance cut off.” And so doing that’s gonna make you really small. And so then they’re, like, “Okay, I don’t want that. I just want them a little smaller, but I really want them lifted.” So, yeah, that’s kind of my sense. I feel like anytime there’s a hard stop or a hard number on surgery, you end up having exceptions. And that’s…
Dr. Greer: Always. Well, and I’ve never had a cut-off or tummy tuck, which is why I’m talking about a high BMI coming next month.
Dr. Gallus: Excited.
Dr. Greer: And it’s interesting because looking at the data I, like, a third of my tummy tuck patients have a BMI over 30. So, I do a lot of them.
Dr. Gallus: Yeah, and it’s also just the patient as an overall… Like, as we all know that you can be a healthy BMI of 30, or you can be an unhealthy BMI of 30.
Dr. Greer: Absolutely.
Dr. Gallus: There’s a lot of other things that play into it.
Dr. Greer: Yeah, I think another surgery I’m going to be doing a lot of this year is breast lift with GalaFLEX.
Dr. Gallus: Oh, okay.
Dr. Greer: Yeah, I use a lot of it. And I’ve just had so many patients who want that upper pole fullness, but they don’t want an implant and GalaFLEX is … for that. I need to find somebody who loves it as much as I do to do my lift with GalaFLEX. I think this might be–
Dr. Gallus: Are you changing your technique? Are you doing like a central mal?
Dr. Greer: No. I still do superior superomedial pedical. And I either wet TruSeq the lower pole or tuck it up under, like, for massive weight loss patients. And then I just elevate skin flaps at the level of the breast capsule. So you’re suspending all the breast tissue with a little sling of GalaFLEX, and it’s tacked to the rib periosteum or perichondrium on each side. And it just, man, it gives a little oomph. I love it.
Dr. Gallus: So you’re just putting it kind of under the breast skin flap?
Dr. Greer: Yes. Exactly. Yeah.
Dr. Gallus: Yeah, I do like GalaFLEX. It’s been… I do a fair amount of breast implant revision surgery. And it’s very helpful for setting where that implant needs to go when you have to reset where it is. That’s interesting. Yeah. So we should talk about GalaFLEX. So yeah, I’m excited to hear your talk at WPS in Tucson. So we’re all meeting there February, Super Bowl weekend.
Dr. Greer: Oh, is it?
Dr. Gallus: Yeah. Someone always points that out. I’m like, It’s female plastic surgeons. I mean, 99% of us could care less.
Dr. Greer: Yeah, it’s true.
Dr. Gallus: Oh, yeah. Let me reschedule my trip to Vegas where I was gonna place bets. Okay.
Dr. Greer: It’s okay. Sports betting is legal here in Ohio now. I can do it from home.
Dr. Gallus: Oh, you can do it from your home?
Dr. Greer: Yeah.
Dr. Gallus: Yes. Okay. So, yeah, so we’ll be talking about a lot of things. Somebody is asking where we are. I’m in San Diego…
Dr. Greer: And I’m in Cleveland.
Dr. Gallus: Somewhere in Cleveland.
Dr. Greer: So we’re, like, covering all the time zones.
Dr. Gallus: That’s right. So yeah, so then…Okay, so let’s talk… We’ll try to stay on track because we have some topics. So other …
Dr. Greer: We’re really good at that too.
Dr. Gallus: …we’re looking forward to doing. I’m actually doing more and more speaking of breast surgery that doesn’t involve an implant is breast enhancement with fat transfer. And so, I do really feel like that is so nice for somebody who wants a little more volume, a little bit more upper pole, and doesn’t want the hassle of an implant or long-term commitment to an implant or isn’t ready for whatever reason.
Dr. Greer: What fat transfer system or fat processing system do you use? Because I know REVOLVE has been in backorder for ages.
Dr. Gallus: Oh, right. Yeah, so I used REVOLVE when I was at the Navy facility because we had it. And then I’ve used a bunch of other systems depending on the institution I’m operating at. But I really like Microair is one option, and it has a nice closed system. I think that’s the one I prefer. So, the canister itself… So when you do fat transfer for all our audience, you’re liposuction the fat from one place, and then you have to get that fat separated from the fluid and the little bit of blood that’s in there, and then put it in something to inject it with, either a cannula attached to a syringe or a cannula attached to, like, the Microair system. And there’s pros and cons of doing it that way. It just depends. But even when I was at Kaiser, working there, part-time, they switched to the Microair system, which is a closed system. But originally, we would hand-harvest that and then hand inject it, which works. It just takes forever. And they centrifuge the fat, which I don’t think most people do anymore. So…
Dr. Greer: That’s still how I do it for faces. I don’t do a lot of high volume to the breast, but I wanna find a better system and we have a Microair. So…
Dr. Gallus: Oh yeah. So it just goes in, so the tubing plugs right into the sterile canister. And then the canister has a special part at the bottom that lets you… So when you let the fat sit, I’m not explaining this to you, of course, the fat rises to the top and the other fluid comes at the bottom in this canister, and then you can just decunt it. So you just let it, like, bleed off, basically. And then you just have the fat, and you’re not messing with it. And then you could hook up the same tubing and reverse the flow, and you can inject under power with that if you’re doing a large area. So for, like, a Brazilian Butt Lift, or if I’m doing large volumes, like, you know, a few 100 CCs to the breast. If I’m just doing a touch-up or a little bit, then I prefer to hand inject it because you’re not, like, “Oh, that was just 100 CCs that went in.” It depends on how much you’re working with. But it is really nice. And I think it works. What I’m trying to look at critically is how much of that fat is preserved and sticks around?
Dr. Greer: Yes. Yeah. And it’s hard to find inner fat on a lot of thinner women.
Dr. Gallus: Skinny people. Yes. So yeah, sometimes I scrounge. I have my little go-to areas where you can usually find fat. But Sarah Mess, another plastic surgeon that is gonna be speaking at our conference in Tucson, and does a lot of fat transfer as well. And I have heard her speak before on it. And she has a similar technique. She does a couple of other funny maneuvers that she thinks also helps to take the fat. So the sad thing is when you see people do this, the less you manipulate fat, probably the better up to a point. But you don’t wanna inject everything that you suck off because then you’re injecting things that aren’t fat, and aren’t necessary, and make it look bigger, and then that all gets absorbed. So finding that happy medium…
Dr. Gallus: Again, on Instagram, you’re like, “Oh, that’s amazing.” And then three months later, it’s all gone. Yeah.
Dr. Greer: Okay. Yeah. And who was the guy with Bravo? Was that Roger Cory and he had, like, a suction bra?
Dr. Gallus: Mm-hmm.
Dr. Greer: Did he just get, like, indicted for Medicare fraud or something related?
Dr. Gallus: He might have. Yes. Yeah. I mean, he did do a lot of fat grafting. Yes.
Dr. Greer: Yeah. Yeah. He did. I don’t know if the negative suction thing ever really caught…
Dr. Gallus: It didn’t ever catch on because it was really… But I do feel like cupping has its advantages. I don’t know if I would do that prior to fat transfer. But cupping, in general, can really help the patient. But not a giant bra that looks like her thing… It was these huge suction cups that went on your breast and you were supposed to wear around the clock to…
Dr. Greer: It’d be like wearing a breast pump on steroids. I just.
Dr. Gallus: Yeah.
Dr. Greer: Yeah. No, thanks.
Dr. Gallus: It was very Austin Powers looking like, but it didn’t catch on.
Dr. Greer: Shocking. Shocking.
Dr. Gallus: Shocking, right? Created by men. Oh, you can see that. I have somebody who’s trying to make their way to the couch in my bedroom in the evening, but then she moves closer to her own room.
Dr. Greer: There’s, like, a whole bed.
Dr. Gallus: Yeah. It’s like a whole couch.
Dr. Greer: That’s nice. Maybe we should get one in our room. We gave up long ago.
Dr. Gallus: I know. Well, it’s on her, you know? She’s now motivated. So, there you go.
Dr. Greer: Oh, so it’s the fat transfer the breast matched with breast lift, facelifts, brow lifts…
Dr. Gallus: Earlobes
Dr. Greer: Yeah, earlobe. Anything earlobe.The earlobe tuck. The filler. Look how perky these earrings are, guys. I’ll have some before and afters on my Instagram feed next week. They actually look pretty dramatic.
Dr. Gallus: Oh, yeah, I will have to take a peek at that. Maybe I’ll have you do my earlobes.
Dr. Greer: Happy to. Let me know. [crosstalk 00:20:47]…
Dr. Gallus: So, I think any other…? I don’t know if there’s gonna be, like, a new trend for filler or a new technology. The one thing I did see that was really cool, which we’ll see if it pans out was the Ellicott device. Have you heard about this where it’s…?
Dr. Greer: I’ve not.
Dr. Gallus: It looks like a sewing machine that goes to your face and it takes out little cores of skin.
Dr. Greer: I heard about it. Yeah.
Dr. Gallus: I saw it demoed.
Dr. Greer: But they’re like deeper cores and more tissue than you would get with like a fractionated laser, right?
Dr. Gallus: Oh, yeah. No, it’s like taking multiple mini skin biopsies of your face.
Dr. Greer: Like aerating a lawn?
Dr. Gallus: Yes. Yes. It’s pretty dramatic.
Dr. Greer: That sounds intense.
Dr. Gallus: It is. So, we’ll see. I watched somebody demo the machine and then I’m, “Oh, my goodness.” My kids are hijacking the lines. There. Can you hear me?
Dr. Greer: Yeah. I can hear you. You haven’t cut out.
Dr. Gallus: Okay. I see my kids’ air pods connecting to my phones. It’s really…
Dr. Greer: Oh, yeah.
Dr. Gallus: So anyway, yeah, so it does, like, remove supposedly like an inch to two inches of skin, we’ll see, depending on the density that it takes out. But I’m waiting to see how those patients are recovering. They’re not mine. So I’m just kind of on the sidelines watching. It’s interesting. Again, back to the, like, I mean, minimally invasive. It’s not non-invasive, but a minimally invasive like face technique thing, which is what we’re always looking for. Someone’s asking if we’re doing elective surgeries.
Dr. Greer: We are.
Dr. Gallus: We are.
Dr. Greer: We are.
Dr. Gallus: ORs that are not affiliated with a hospital, like an ambulatory surgery center, is doing elective surgery. Just the patients are, you know, negative COVID test prior to having surgery because we’re not really attached to the bigger medical systems. And in San Diego, they’re still doing elective surgery period, but not so much in Ohio.
Dr. Greer: Not in Ohio. We have one small hospital that I have privileges at that’s doing elective surgery, but they’re basically bumping everybody who’s not worth them, and just doing, like, really urgent stuff. I actually had a big poster your body lift on there next Tuesday, and the patient didn’t ever get a call for her pre-admission testing visit. Butt then we called her. We’re like, “What’s going on?” Oh, yeah, we’re not gonna be able to accommodate that case. Cool, right? Yeah.
Dr. Gallus That happened to me a couple of months ago with a case at the hospital facility, and I was only operating there because I was doing a combined case with somebody else who operated out of there, and it was just easier for him. And that was the same thing. They’re like, “We don’t have staffing. We’re canceling this case.” I’m like, “That, I can’t…” I would say that I can’t stand that. Yeah, I heard it’s like they’ve never done that. I can’t stand that if it’s a paying patient but honestly, I can’t stand it period. If I have an insurance patient, you know, you’re doing a breast reduction. You’re usually young-ish. Maybe you have kids. You have somebody coming into town to help you. Like, you can be [inaudible 00:23:52] this and then a week before surgery, this OR is, like, “No, yeah, sorry.” And there was no, like, solution presented.
Dr. Greer: No. The same OR did this to me early December just saying, “We have too many staff out with COVID.” They called me the day before, and I had two patients on the next day. One of them had friends flying in from out of town. My surgery center, I love them. They got both those patients on that week.
Dr. Gallus: Right. And I had to do the same thing. I had to move the other patient who got, like, you know, the combined case and we were able to find somewhere else to do it. But yeah, it’s very frustrating for everybody. But yes, I totally understand from the patient’s perspective, you’re trying to, like, plan your life, and Yeah.
Dr. Greer: Oh, I had… my daughter’s open-heart surgery was bumped back a week the day before. So I know that.
Dr. Gallus: It’s tough, right?
Dr. Greer: Yeah. This surgeon threw our his back, that’s what happened. It was like, well, I mean, what are you gonna do? But then I didn’t wanna reschedule my surgery patients, which is how I ended up doing a breast reduction the morning after her open heart surgery after something to take you all night. It was fine. But yeah, it’s horrible. I’ve been there. So…
Dr. Gallus: Yes. Yeah, definitely been on that end.
Dr. Greer: An age that is too old for breast reduction? Erin, great question. It’s gonna be the age at which you regret that you didn’t do it 20 years ago, literally. But no, I’ve done breast reductions in 70-year-olds, mid-70s. If you’re happy.
Dr. Gallus: Definitely the 60s. Yeah.
Dr. Greer: Yeah. Yeah. If you’re healthy, it’s not an issue. And it’s not a hard surgery to recover from but, like, do it sooner, because then you get to enjoy more years with smaller breasts.
Dr. Gallus: Yeah. The most common complaint for women that have it over 50 Is that they should have done 20 years earlier. So, yeah. Okay, so I think we’ve talked about pretty much… I think we have a nice list of topics that I actually wrote down because I won’t remember. And then…
Dr. Greer: Okay. You’re taking notes this meeting? I did not.
Dr. Gallus: And then we will maybe reconvene in two weeks, although I don’t know what date that is. We should do something.
Dr. Greer: Yeah, that should be… And we have an attempted trip to Orlando next week. We’re supposed to go in October and I got COVID. So this is the reschedule. I’m kind of waiting with bated breath to see if we actually get on the plane without anybody getting COVID. And if we don’t get kicked off the plane, because my two-year-old is just not, like, developmentally capable of wearing a mask. So we’ll see.
Dr. Gallus: Are you guys gonna go to Disney? Is that the plan?
Dr. Greer: Yes. Yeah.
Dr. Gallus: That will be fun. Cool. My mom’s currently in Florida. Actually, if you go, we should chat. She just went back there to do something. She’ll be running around Orlando probably at the same time.
Dr. Greer: Fun.
Dr. Gallus: Yeah. So yeah. But not next Wednesday, the following Wednesday. So I’ll just text you and maybe we can sort out what we’re gonna talk
about.
Dr. Greer: Sounds good. And it’ll be my turn to host. So yes, I’ll look on my feed. And then, of course, we always post it later, too.
Dr. Gallus: Yes. All right. Well, Happy New Year, everybody, and thanks for watching, and asking great questions.
Dr. Greer: Yep. And you can always DM us if there are special topics you wanna hear about.
Dr. Gallus: Yep. All right. Thanks. Bye, everybody.
About Restore SD & Dr. Katerina Gallus
As the Director of Restore SD Plastic Surgery, board certified female plastic surgeon Dr. Katerina Gallus has over 15 years of experience helping San Diego women enjoy head to toe rejuvenation with face, breast and body procedures. After a successful career as a Navy plastic surgeon, Dr. Gallus founded Restore SD Plastic Surgery with the intention of creating a welcoming space for anyone seeking cosmetic enhancement.
Restore SD Plastic Surgery offers popular facial rejuvenation procedures like facelift & neck lift, facial fat grafting, and eyelid lift; breast augmentation with implants, breast lifts or breast reduction; body contouring procedures such as tummy tuck, liposuction, mommy makeover, and Brazilian butt lift (BBL), as well as aesthetician services, BOTOX, injectable fillers, and laser treatments.
