In this episode of Carpools & Cannulas, Dr. Greer of Greer Plastic Surgery in Cleveland, OH, and Dr. Gallus of Restore SD Plastic Surgery in San Diego, CA discuss the sometimes controversial labiaplasty procedure. They cover basic anatomy, motivations for women who seek out labiaplasty, and why it has such a high satisfaction rate. They also break down adjunct procedures and what the recovery is like.
Transcript
Dr. Greer: Hey guys, it’s Dr. Greer. I just realized I don’t have my AirPods in, so let me know if you can’t hear well, but I think you should be able to hear just fine. Dr. Gallus will be joining me momentarily from San Diego. I see her, we just have to bring her on, as soon as I find her. There we go. And then we’ll get her joined and we’ll start talking. Hey?
Dr. Gallus: Hey, good to see you.
Dr. Greer: How are you?
Dr. Gallus: I’m good. A little confusion in my house right before I got on here about who has volleyball when and ballet and…
Dr. Greer: Because moms are the managers of the houses.
Dr. Gallus: I know. Well, my husband was, like, freaking out about what time we need to leave to get everybody at their places and then it turns out, I go upstairs to talk to the 14-year-old, she’s like, “I don’t even have volleyball.”
Dr. Greer: Yeah. You’re like, “Peace. Have fun, figure it out.”
Dr. Gallus: Okay. Problem solved, crisis averted. We’re okay.
Dr. Greer: Yay.
Dr. Gallus: Yay.
Dr. Greer: So, welcome to our new night. We’re doing Monday night now because my kids are with their dad on Monday so you will not be getting photobombed by angry children repeatedly. Sorry, guys.
Dr. Gallus: People have something in their nose. Yeah, I cannot…
Dr. Greer: Or they come and they whisper, they’re like,” I stuck popcorn in my ear. Awesome.” Can we maybe not do that during Instagram Live?
Dr. Gallus: Yeah. So, yes. Our focused, unfettered attention maybe.
Dr. Greer: Yes.
Dr. Gallus: I have a brow story since our last conversation was about brows, just today. One of the doctor, who office shares with me and does injectables, had a patient who had tattooed her brows, because we were talking about that, the microblading and tattooing. But she didn’t like where they were so she sort of went up so as if you did the whole, like…I mean, when you look at her you don’t think, “Oh, those brows are really high.” Not at all. But when she animates and moves, which I don’t know why I can barely animate, because I’m Botox.
Dr. Gallus: But anyway, the muscle bulge is, like, below her eyebrow. So she wanted her to Botox below the eyebrow, which, you know, normally we don’t do, because you’re worried about dropping the eyelid. But in this case, it’s probably okay because you’re still hitting the anatomic muscle not just below the eyebrow.
Dr. Greer: Right. No. It’s not actually below the eyebrow. Yeah. Okay. I mean, that whole corrugator would be, like, right…Wow. Those must’ve been really high up!
Dr. Gallus: They’re really high. Yeah, I don’t know how that’s gonna go over time.
Dr. Greer: Interesting. Yeah. Because the muscle we’re talking about guys is right here. Which I would frown but I can’t…but it’s here. So her eyebrows, like, jumped up a centimeter.
Dr. Gallus: Yeah.
Dr. Greer: Legit.
Dr. Gallus: I mean, I did that once for Halloween, I was the Red Queen. I powdered my face, like, you make them disappear, and then redraw them, like, way up on your forehead. Anyway, bananas. It was not a good look for me personally.
Dr. Greer: No? I think you would look pretty dramatic.
Dr. Gallus: Insane. Yeah, I looked insane. So all right. Well, but we were going to talk about breast surgery and…
Dr. Greer: Labiaplasty?
Dr. Gallus: Oh, no, you’re right.
Dr. Greer: Were we talking about labiaplasty?
Dr. Gallus: Yes, labiaplasty. Nevermind. Yeah, you’re correct.
Dr. Greer: I don’t think we’ve talked about that one yet.
Dr. Gallus: We have not. So, yeah, popular procedure.
Dr. Greer: Yes, very. I am doing more and more of them. And we just want to reassure you guys…Sorry, my left eye blinks slower if you haven’t noticed. Only on camera though. It’s weird. You know, I think every patient who comes in for a labiaplasty feels like they’re the only person in the world. And, like, no, there’s just a really wide variety of normal labile anatomy, and that’s totally fine. The issue is when people are uncomfortable or there’s chafing, or, you know, sometimes you can’t wear yoga pants without deciding on a side, which is not comfortable.
Dr. Gallus: Right.
Dr. Greer: Yeah.
Dr. Gallus: Yeah. I agree. I think everyone feels almost a little embarrassed to come in for it but once they do…a lot of times it’s anatomically inconvenient. And I think if you have excess labia minora, if you have it to the point where it’s getting pulled on or it’s just a little bit longer than you want it to be and so it ends up getting trapped in clothing or when you’re playing sports, this phenomenon of it getting tagged and stretched actually makes it longer. So I know there’s a discussion about, like, it’s not an aging thing per see. It can come from weight loss, it can come from childbearing, it can come from aging, and it can just be how you are.
Dr. Greer: Yeah. It can be one side. It’s not always both.
Dr. Gallus: Yeah, some of my most satisfied patients are the ones where they just have two sides. One side’s totally normal, the other side’s, like, way out there. And they’re like, “This is making me insane. Can you fix this?” Absolutely. And I can match exactly to the other side. Like, it’s so easy.
Dr. Greer: I know some people get really, I don’t know if miffed is the word but, maybe offended. Like, there’s nothing wrong with people, why are you altering this? In terms of invasiveness, it’s, like, we’re taking off a bit of skin. We’re not touching any of the deep nerves, we’re not touching any of the deep tissue, it’s just, like, a little nip and tuck. Kinda like an upper eyelid blepharoplasty, it’s a little pinch of skin. So it’s not invasive, it’s not a high-risk procedure, and generally, the comfort level afterward has dramatically increased and a lot of people feel a lot less self-conscious, too. So it’s a lot of positives with very little downside. You know, don’t confuse this with anything like female circumcision or anything on that level. It’s just like a little nip tuck.
Dr. Gallus: Right. I agree. There are some people who are, you know… But just like with any plastic surgery procedure, like, “Why can’t you be happy with the way you are?” Well, if this is your issue, that’s your issue. And if you want to have it corrected, I think that should be an option. I will say, although it’s an extremely low-risk procedure, there are definitely ways to botch it…
Dr. Greer: Oh, yes. Like, you don’t want to…
Dr. Gallus: …in the wrong hands.
Dr. Greer: …resect the entire labia, that is there for lubrication and protection, and, like, some of it needs to be left behind. So that’s definitely a must.
Dr. Gallus: So over-resection would be probably the most common, unhappy consequence of doing that. And I have seen. Dr. Gary Alter, who does a lot of…he just does a lot of general surgery. He’s in LA, he’s a urologist by trade, I believe. But anyway, you know, if you’re gonna be known as a revision guy, you end up known as the revision guy. So he does a lot of revisions of bad cases. And he’s presented…I think I’ve seen him present twice now, but he presented at the spring meeting for ASPS. And it was really interesting how he reconstructs some of these patients that have gone elsewhere. Oftentimes, not to say it’s a certain group, but OBGYNs if they’re doing that will just amputate.
Dr. Greer: Really?
Dr. Gallus: Yeah. And I’m sure it’s regional, depending on where you are. And also, I think, if you’re the type of person like Dr. Alter who only sees other mistakes, then you assume every OBGYN is doing this to…you know what I mean?
Dr. Greer: Right.
Dr. Gallus: You know, you’re seeing a close. You don’t know what the denominator is of that, right?
Dr. Greer: Right.
Dr. Gallus: So anyway, it can cause scarring at the introitus, it can be bad. So make sure you talk to your plastic surgeon about what exactly is gonna happen and what your goals are, and those sorts of things so that it’s not, you know, like, I’m just gonna go to some Med Spa, and, you know, do whatever. It’s important to get all that done.
Dr. Greer: Yeah. And a lot of patients aren’t even sure of, like, the exact anatomy and what part’s what, and they just don’t really feel comfortable, I don’t know why.
Dr. Gallus: If you’re not willing to, like, have that conversation, then you probably don’t need the procedure. I did see somebody who was a minor, not that long ago, came in with their mom because she didn’t want me to examine her. I was like, “That’s fine. We can make this a fact-finding, like, discussion but, like, you have to be willing to look, to let me exam…there’s just certain things.”
And in her case, it’s just age and there’s no emergency. She can wait until she’s older. But, you know, if you’re an older person and you’re not willing to explore what’s exactly going to happen to you, then, yeah, probably not the right surgery for you. And then I did see someone with completely normal anatomy one time that was thinking that that procedure would help with, like, sexual satisfaction, and I was like, “Oh, no.” Because I was like, “What’s the issue here?” And she’s like, “Oh, I just thought, you know, It’d give me easier orgasms or whatever.” I was like, “Nope, those are actually unrelated.”
Dr. Greer: So just, you know, an anatomy refresher for those of you who may not be super familiar, so you got the labia majora, which are the outer, and that tends to have more of fatty tissue, which just kind of, like, a nice soft pad. And then the labia minora, what we’re talking about, and that’s the inner part. And in people who have hypertrophy, it just means it’s almost like little butterfly wings sticking out to the side, and that’s what rubs and chaffs.
And then you can also have ptosis of the tissue holding up the clitoris. So sometimes there may be a clitoral hood reduction if there’s just…it’s almost like a foreskin in guys. There’s just a lot of mucosa hanging over. That’s not standardly part of a labia minora reduction, but a lot of times, we’ll do a little bit of mucosal resection there too, if needed.
Dr. Gallus: Yep.
Dr. Greer: That’s kind of what’s involved. And mucosa is, like, the skin that forms lubrication, you know, like, the inside of your mouth. And it’s tissue that tends to heal very, very well. If you think about all the trauma those areas of the body go through, especially with childbirth and everything that that entails and things heal really, really well.
Dr. Gallus: Yeah. It can take a lot. We used to do buccal mucosa, or I used to do buccal mucosa, harvests for, you know, other specialties. So you take kind of, like, a square of the inside of the mouth, of that mucosa, and there was always debate, like, “Do you need to close it or just leave it open?” Because you can put some sutures in there, but it heals so fast, it’s usually healed, and the sutures are in there and still bothering the patient because they can feel them on the inside of their cheek. So, with labiaplasty, you do need sutures.
Dr. Greer: You do. Although they’re generally buried, so they’re under the surface of the mucosa, you don’t see them. You know, I mean, maybe there might be, like, one external or sometimes one spits a little bit. Now, do you do wedge or do you do trim?
Dr. Gallus: I trim.
Dr. Greer: Me too. This is the big “The Wedge-Trim” debate for surgeons. Okay. So I said, it’s kind of like a little butterfly wing and you can wedge out the part that sticks out but it’s really a lot simpler to just, like, trim off the excess. I actually learned from Dr. Furnas’ video, which was so phenomenal, she just goes step by step. And then I met her at ASPS, I’m like, “I watched your video.” Big hug. Yay.
Dr. Gallus: Yeah. Like, the people who do wedges really like it and they have their reasons for doing so. I think it has a little bit higher of a learning curve. And I don’t know, I think it’s tougher if it doesn’t go well, if there’s a wound healing complication for everybody involved.
Dr. Greer: Yeah. You could end up with a little notch.
Dr. Gallus: Uh-hmm. A notch or like, if they get a sort of opening in there, a fistula rather, that can be painful…
Dr. Greer: Troublesome.
Dr. Gallus: …to correct. But I did see Sheila Nazarian had presented at the First Annual Women’s Plastic Surgery Meeting for California Society, and she did a little talk on labiaplasty. And she’s an unapologetic wedge person, she wedges. And she just showed demos, and patient videos and stuff of how she marks and does it, and you can see, in her mind, she’s like, “I do this, I do this, I do this, and boom.” And she’s done. Like, it works for her. So I think whatever is most comfortable for you, and you get the results you want, then that works.
And yeah, I have switched from 4-0 chromic, I believe, which was that somebody had taught me to do horizontal mattress sutures, but then have to fall out to…I use running 5-0 monocryl. Is that what you use?
Dr. Greer: I still use chromic, but I do subcuticular with that. It’s actually what I do on my belly buttons for umbilicoplasty too, the subcuticular chromic because it lasts a little bit longer. Yeah.
Dr. Gallus: So do you do 5-0 or 4-0 chromic?
Dr. Greer: I think 4-0. I have to look at my OR card. But I think…
Dr. Gallus: I use whatever they hand me. No, I’m just kidding.
Dr. Greer: Yeah. You know, I hold up my hand and they hand me the suture because I made the decision five years ago and haven’t thought about it.
Dr. Gallus: I know. Nothing’s worse like deciding it and it’s on your card and then they ask and you’re like, “No. I don’t think about that anymore. It’s whatever I put out.”
Dr. Greer: Right. Decision made, moved on. Yeah. And, you know, I’ve had a lot of people ask me about innervation. There’s a doc on Twitter, whenever the topic of labiaplasty comes up she, like, pops in there to talk about innervation because, I guess, she’s on one of the papers. And likes to point out that we weren’t really taught the specific innervation to the female anatomy in med school. Which, I guess, they only published the paper in her recent.
The thing is, it’s, like, anatomically comparative to male anatomy. It’s the dorsal nerve, which would innervate the penis in guys. So it’s very much deeper than the superficial mucosal layer, which is all we’re taking off, and that’s dorsal. So you’re only anywhere near it if you’re doing clitoral hood reduction and it’s very superficial. You’re not going down that deep in the tissue.
Dr. Gallus: Right.
Dr. Greer: Yeah. So no risk of innervation. Now, on the edge of an incision, there’s always a little bit of numbness because there’s a scar, but it’s generally very small. And in this kind of surgery, it’s not an area, I think, that’s super sensitive.
Dr. Gallus: Yeah, you don’t need two-point discrimination for sure.
Dr. Greer: By the way, that’s, like, how far apart you can tell that there’s two things versus one thing. We use it in fingers to test the nerve… in two things.
Dr. Gallus: Where it does matter, or what your two-point discrimination…
Dr. Greer: Yes. Where it does, because you’re picking things up. But yeah, not on an area that’s, like, ready for tough bicycle seats and horseback riding, and giving birth to children.
Dr. Gallus: Yeah. So you think you use a running chromic, huh? Subcuticular? And you like that? Not a plain gut, a chromic?
Dr. Greer: No. Not a plain gut, a chromic. Because it lasts a little bit longer.
Dr. Gallus: So again, Christine Hamori, Dr. Mori, spoke at the WPS in Tucson, and she’s speaking again in the WPS Remix. Anyway, she talked about…
Dr. Greer: Oh, good. I missed Tucson because all the flights were canceled that weekend.
Dr. Gallus: She gave a great talk. And she talked about closing. I know this is boring for everybody else but us, but Vicryl Rapide.
Dr. Greer: We like it.
Dr. Gallus: And I was like,” Oh, that sounds interesting, Vicryl Rapide.” And then I looked it up and then I was like, “How much?” So it must be cheaper wherever she is because it was expensive. So it’s, like, rapidly dissolving Vicryl.
Dr. Greer: Yeah. In our OR, one of my predecessors used to use it on facelifts, but it doesn’t dissolve quite fast enough for that. But, yeah, I mean, we have it, I’ve just always used chromic. Which is fine.
Dr. Gallus: Okay. Well, I won’t have FOMO. I was all excited, like, maybe that’s what I needed and then I was like, “No, I’m just doing 5-0 monocryl.”
Dr. Greer: I mean, if I remember it, like, it almost felt kind of like dental floss. It was slippier. It didn’t have that braided feel that Vicryl has.
Dr. Gallus: Right, right. I think that’s how…yeah.
Dr. Greer: How it dissolves in that.
Dr. Gallus: Yeah.
Dr. Greer: Now, do you do this in the office or ambulatory surgery?
Dr. Gallus: I do.
Dr. Greer: Do you? I haven’t made the jump yet. And I wonder…I mean, my ambulatory surgery center’s literally five minutes down the street. So it’s kind of, like, the hassle factor of getting gowns and drapes, and probably a better cautery, versus I can drive five minutes down the street.
Dr. Gallus: Yeah. I have my procedure room, which should be converting to a main OR in the next, you know, three to six months.
Dr. Greer: Oh my gosh, that’s exciting.
Dr. Gallus: But was set up originally to convert later down the road. So I have amazing OR lighting in there already, I have an exam chair that has stirrups, I mean, and I have a cautery machine. So I have everything I need. And so do you do it under local or?
Dr. Greer: Oh, yeah. Yeah. I totally do. And what I do is I just bring the topical that we use for lip filler or half the time I forget it and I call my office and Kelly runs it down for me. Because I’ll have it, like, on a Monday and I won’t have been in the office since Wednesday and I’ll forget.
So I just put the topical on and pre-up holding and then we give it a good 10 minutes to kick in and it kicks in so fast at the mucosa. And then we bring them back to the OR, which is not as awkward as you’d think, although if you’ve ever had a child, you’re used to just people wandering around in your business all exposed and it’s okay. But we have an all-female team. There’s only one male nurse at our inventory surgery center. And he’s very rarely in my room. And we’ve put on some tunes and the end result is they’re always like, “Wow, that was actually really easy and I didn’t feel anything.”
Dr. Gallus: Yeah. If you put the topical numbing on, they don’t feel the injection really.
Dr. Greer: Yeah. Yeah. Not at all.
Dr. Gallus: Again, it’s really…Thanks. I think that when you’re doing local, as long as you slow it down, right? You need to…like, you do it step-wise, and you inject the local in, then you wait, right? Because there’s no rushing there. You have to make sure it’s a calm environment. About half of my patients take an oral analgesic, they take an MKO, and then about half of them fall asleep during the procedure. The other half of the people are on their phone, like, scrolling through TikTok or whatever, or chatting with us because again, it’s myself and my nurse, a female team and that’s it, and it’s pretty chill. Hi, Quinn?
Dr. Greer: Yeah. It’s not bad. I have sedation privileges at the surgery center. So I’ll give people like a little bit of Versed just so they can relax. But they’re awake the whole time and I’ll inject the local and then we prep and everything…You’re in the Bahamas? That’s not fair.
Dr. Gallus: Oh, rude.
Dr. Greer: Like, I’m in Cleveland. I mean, that’s lovely this time of year.
Dr. Gallus: Enjoy the Bahamas. Are you at Atlantis? Because that place is bomb.
Dr. Greer: I’ve never been there. Is it amazing?
Dr. Gallus: Yeah, it was really fun. I’d love to go again. Oh yeah, so I get them the MKO melts, which has Versed in it, and it messes with your sense of time so you’re like, “Oh, that was easy. No problem.” But I feel, like, that’s a good segue, because we’re running out of time, of what happens when the local wears off? Like, what do you tell your patients to do post?
Dr. Greer: I used to do recovery a little bit, and everybody’s like, “You want me to put ice on what now? And I’m like, ” No, really it will help decrease inflammation.” I also, since we have an IV in, I give ’em a shot of Toradol, which is an anti-inflammatory, and I do put people on Celebrex, which is an anti-inflammatory.
Dr. Gallus: I do too.
Dr. Greer: Post-op, I also do Diflucan for two days, before three days after, because women, you know, yeast infections pop up, and those can really impair healing. And then I tell them, “You know, take it easy. Don’t be, like, sitting for long periods of time without giving up, do some ice.” And I give them a little Peri bottle to rinse with after they go to the bathroom and that’s pretty much it.
Dr. Gallus: Yeah. We have, as usual, very similar MOs…
Dr. Greer: Which is funny. You guys should know that It’s not like we trained together or anything, we just happen to practice the same.
Dr. Gallus: I know. It’s funny how we, like, match up. We share a brain, and then, luckily, we’re on East Coast and West Coast time so we’re able to, like…
Dr. Greer: So you have access to very similar care, any side of the country, guys.
Dr. Gallus: That’s right. Yeah. I do give Diflucan, I don’t make them take it, I’m on the fence about doing that, probably should.
Dr. Greer: Well, mine get a dose of Ancef because they’re in the OR and that’s kind of what tips the scale.
Dr. Gallus: Yeah. That’ll mess with you. And then I tell them to take Keflex in the morning, and then that’s it, they’re done. And then Diflucan to go home with. I use Mobic because it gets covered by insurance better than Celebrex.
Dr. Greer: Good idea.
Dr. Gallus: A few whatever, where I am, that’s how it works. And then I do give him a handful of Oxy because I can never predict who’s going to be like, “This is no big deal.” And who’s going to be like, “This hurts.” Once the numbing wears off. And ice is your friend during this…you know, ice, ice, ice, ice.
And the first three days, I tell them if they can lie flat with their butt on a pillow, that’s the best way to decrease the amount of swelling that you’re gonna have. And so then shorten the recovery period.
Dr. Greer: It’s a tough area to elevate, obviously.
Dr. Gallus: It’s funny because I’m going to show you something. So I always say, you know, unless you’re able to stand on your head, you know, there’s no way to get your pelvis above your heart. And this patient was like, “Oh, I do that every morning and I’m like, “What?” And she’s like, “Yeah, I have this thing called FeetUp.” Have you seen this?
Dr. Greer: No. Did you get one?
Dr. Gallus: Whack job. So it’s this thing. I will not demo it on Instagram Live but you…
Dr. Greer: Oh, does your head go in there?
Dr. Gallus: Your head goes in there.
Dr. Greer: I think you should demo it. That would be amazing. That looks like a birthing stool from that angle.
Dr. Gallus: It does. But you could do headstands and it helps to practice headstands and maneuvers. When I first got it we screwed around a lot with it. I do not do it every morning. My daughter, who can do a handstand, we were doing like combo things on there. It was funny. So anyway, it’s called FeetUp. I don’t make my patients do that, postoperatively, but that would be really the only realistic way to get the solid ground.
Dr. Greer: Yeah. Unless you have, like, an OR bed and you’re in like some turned down position, but then all the blood rushes to your head, It’s not very comfy.
Dr. Gallus: Yeah. And you can’t stay upside down like that for a long time either.
Dr. Greer: It’s hard on your brain vasculature.
Dr. Gallus: Yeah. But I totally learned it from one of my labiaplasty patients. I was like, “A what? What are you talking about?”
Dr. Greer: She’s like, “This is how I elevate.” Thank you, Dr. Gallus. That’s awesome. And then, of course, I always tell my patients, no riding a bicycle, no riding a horse, no intercourse for four weeks. Let things heal.
Dr. Gallus: Mm-hmm. Yeah. No tampons.
Dr. Greer: Oh, yeah. I forget that one. But yeah.
Dr. Gallus: No menstrual cup, whatever. Nothing for four weeks. Yep.
Dr. Greer: My nurse educator has had the procedure so she’s, like, giving my patients very thorough instructions. I’m like, “Sounds great.”
Dr. Gallus: That’s good. Yeah. So, we have a little packet, actually, when I see the patient for the consult, I give them that pre and post because the next time I see ’em, they’re scheduling it. Like, these are all the things you need to know, what it involves. You’re gonna need ice, have all this stuff ready to go, and then it makes it smooth sailing.
And I do a fair amount of, like, local health care providers because again, I’m a woman so if you’re an OR tech in another facility, you’re like, “I’m not gonna have my male plastic surgeon do this.” So I’ll do it. And those patients universally are terrible at staying off their feet.
Dr. Greer: Are we? Are we terrible?
Dr. Gallus: Yes. We are all terrible. So back to work, like, day two, and then, like, “It’s really swollen.” Yeah.
Dr. Greer: I don’t understand. My mom was yelling at me yesterday, but I was talking about how I should really rest this weekend because I was sick and I’m like, “Oh, the kids are with their dad, I can rest.” Yeah, I was, like, out cutting down shrubs because the wood chipper guy was coming on our street today. I didn’t rest very well.
Dr. Gallus: No, we’re not good at that.
Dr. Greer: No.
Dr. Gallus: I need the Bahamas resting, Quinn. But something else.
Dr. Greer: Yeah. I mean, we could do that. That could be, like, an educational trip.
Dr. Gallus: Yeah, we should do Instagram Live from the Bahamas.
Dr. Greer: God, that would be amazing. I was hoping we could do it from Tucson and then every flight in Cleveland gets canceled.
Dr. Gallus: I know. Next year Charleston, we’ll figure it out.
Dr. Greer: Oh, that’ll be fun. Yeah, yeah. And I’ll be in WPS Remix, that’ll be fun. I’m gonna get a babysitter so my kids don’t photobomb. Because when I did the WPS presentation, I had Sawyer on my lap, and she’s, like, getting all the comments and waves and I’m like, “Questions? No? Just hi’s? So sweet.”
Dr. Gallus: Oh, yeah. That’ll be great. I know, people really, they wanted to see you because we didn’t have enough time for your whole talk…
Dr. Greer: Yeah, so I didn’t have any pictures.
Dr. Gallus: …now they’ll have access to the whole talk. And, yeah, you can give us new content. It’s gonna be awesome. These are gonna be good.
Dr. Greer: I’m excited.
Dr. Gallus: All right. Well, what are we going to talk about next time? Are we going to do a breast mesh? Because I feel like it’s trending again.
Dr. Greer: Because it’s awesome. I use a ton of GalaFLEX. Wrap, if you’re watching this.
Dr. Gallus: Yeah. Quinn is.
Dr. Greer: Yeah. Yeah, we haven’t talked to…I feel that…
Dr. Gallus: We can talk about it, like, the indication. So one of my patients sent me some stuff where people are like, “Well, with 700 cc implants, I can mesh. ” I’m like, “Hmm.” Let’s talk about what you can and cannot accomplish with mesh.
Dr. Greer: Yeah. I need to save that more for, “I have 700 cc implants, and they fell into my armpits. Now what?”
Dr. Gallus: Right. Right.
Dr. Greer: I did use it for a capsular, you know, they hadn’t really lateralized and holding them in position.
Dr. Gallus: It does not move. Yeah.
Dr. Greer: Okay, so we could talk about mesh next time. There’s a couple of new ones on the market. I don’t know anything about them now.
Dr. Gallus: Yeah. I know about one of them. I actually I’ve heard about both of them so, yeah…
Dr. Greer: I feel, like, we should be getting corporate sponsors for these talks, especially the ones where we’re talking about products. Like I would like a GalaFLEX baseball cap or something.
Dr. Gallus: We want merch.
Dr. Greer: Yeah, yes. Tote Bag. I mean, it’d be great. If you guys have any topics you want to hear about, through ’em in the comments.
Dr. Gallus: Please, yeah. Yeah. Let us know.
Dr. Greer: All right.
Dr. Gallus: All right. Well, we’ll regroup and figure out when we’re doing this again.
Dr. Greer: Perfect. Fun seeing you.
Dr. Gallus: Yeah, it was good to see you.
Dr. Greer: Bye.
Dr. Gallus: Bye.
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.
Dr. Gallus and her highly-experienced aesthetics team are here to help you look and feel your best! To schedule a personal consultation, please contact us online or call our San Diego office at (858) 224-2281 today.
