Listen:
Watch:
Dr. G & Bri share their honest, unfiltered take on each of these plastic surgery trends:
- Rib remodeling surgery & rib removal surgery
- Skull reshaping
- Calf implants, pec implants, tricep implants… any of these non-standard implants
- Shoulder narrowing aka clavicle reduction surgery
- Lip implants
- Fox eye lift
- Miami thong lift
- Penis enhancement surgery
Trending stories
New York Post, I’m on my second BBL after the first one ‘died’ — having the perfect body is worth the risk
AOL, Adriana Lima Slams Plastic Surgery Accusations: ‘The Face of a Tired Mom’
Daily Mail, Sharon Osbourne, 72, sparks surgery fears with taut visage three years after ‘Cyclops’ facelift
Stories about the treatments we’d never do
Mirror US, ‘I wanted tiny waist like Kim Kardashian so I had two ribs removed – I’m thinner than ever’
RealSelf, Shoulder Surgery Is the Game-Changing Gender Confirmation Procedure No One Is Talking About
Longevita, Cher Plastic Surgery: How The Goddess Of Pop Changed Over The Years
Daily Mail, Plastic surgeons explain Christina Aguilera’s new ‘fox-like face’
ASPS, An alternative to the Brazilian butt lift: What is the Miami thong lift?
Transcript
Dr. G (00:02):
You are listening to another episode of All the B’s with me, Dr. G and my scrub tech Bri. We’re back for episode number 10 of our podcast, and today we’re going to be talking about, it says sx, but kind of shit we would never do, or surgery we would never do. Let’s just keep it to surgery today, I think. Right?
Bri (00:22):
Right.
Dr. G (00:22):
And there’s a lot out there, but we’re also going to catch up on current events. Correct?
Bri (00:28):
But before we start our podcast, I would like to give a shout out to Dr. G’s shirt if we can show everyone the shirt. This is her labia shirt.
Dr. G (00:41):
Yes. It is made by a boutique from LA called Grover Rad, and it’s the Lady Leaves shirt and it features artwork from 2008, Jonathan Yeo’s Falling Leaves series where he took cut up images of female genitalia and made them into innocuous leaves.
Bri (01:03):
Is there a closeup on this?
Dr. G (01:04):
Amazing.
Bri (01:05):
If not, I have one.
Dr. G (01:06):
Yes. You have to look carefully. It’s very subtly and tastefully done.
Bri (01:12):
Yes.
Dr. G (01:12):
But since I do a ton of labiaplasties, I had to have this shirt.
Bri (01:15):
Yes. Actual labia into the shirt. I hope she wears this to Thanksgiving.
Dr. G (01:23):
I’m definitely wearing it to the next conference I attend. That’s for sure.
Bri (01:28):
Amazing. Absolutely amazing. The coochie shirt.
Dr. G (01:33):
It’s giving fall, y’all subversively.
Bri (01:40):
Nothing fall like a cut up coochie.
Dr. G (01:45):
Anyway, so yeah, let’s talk about some current events. There’s a New York Post article about getting their second BBL
Bri (01:56):
Amen.
Dr. G (01:56):
After the first one died. I don’t know what that means.
Bri (02:01):
Died like she just lost most of her fat. That’s what I assume she means.
Dr. G (02:06):
Yes. I would assume that that’s what she means too. So if you’re fat truly all died, it would be kind of bad because if too much of your fat dies, we call that fat necrosis and you would have very hard areas of fat.
Bri (02:23):
It’d look crazy, right?
Dr. G (02:25):
Yeah, it wouldn’t look good. So I think died is a little extreme. It just means that she didn’t hold onto it. And people do say it’s inherently dangerous. I would say every surgery elective is inherently dangerous, which is why you should do your research before having a procedure and make sure your surgeon is accredited and knows what they’re doing.
Bri (02:52):
It’s a little more dangerous though when you put fat into the muscle. Correct?
Dr. G (02:56):
Yeah. So when BBLs became popular, probably about 10 years ago, the Aesthetic Society had a task force and multiple studies were done and they looked, and at that point in time, people were injecting fat into every layer, into the buttock muscle and into the subcutaneous tissue and injecting into the muscle. It’s high risk because you have the risk of entering one of the big gluteal veins or arteries. And so if fat goes there, you can get a fat embolism and that usually results in death. So that is something we avoid.
Bri (03:31):
Yes.
Dr. G (03:32):
It’s been such a problem in Florida that they’ve mandated both a limit to how many BBLs you can do a day, which is also wild.
Bri (03:39):
Oh interesting.
Dr. G (03:40):
I think it’s four. I don’t know. I’m never doing four BBLs in a day. Those are what we commonly refer to as chop chops because they’re just, it’s like a surgery mill for patients. So you’re meeting the surgeon the morning of, you’re getting marked, you’re going to sleep, maybe somebody else harvest the fat, they come in and put the fat in, then they leave and somebody else is taking, maybe closing the incisions and recovering you. So then the surgeon is hopping from room to room doing multiple procedures and it’s
Bri (04:09):
That’s crazy.
Dr. G (04:10):
Yeah, it’s risky. So why do people go, because it’s cheap, then you’re worried about is a facility accredited, you run the risk of getting an infection in sepsis, which are also not great. We have an image of this young lady with all her drains.
Bri (04:26):
For just a BBBL?
Dr. G (04:27):
Yeah, that’s not adding up.
Bri (04:30):
Why would you put drains in a BBL? Don’t quite understand that. I had my first one, I feel like I lost quite a bit of fat, but I had a really good shape. I knew that this was, I needed just a little bit more to complete it. I probably lost about 40% of the fat that I had put in, but by the time I did the second one, it was perfect. And you always lose a little bit of fat doing that procedure.
Dr. G (04:53):
Yeah, we over graft because we know not all of it is going to survive.
Bri (04:58):
Right.
Dr. G (04:58):
But I don’t know what she needs all those drains for. There are some people who put drains in after liposuction. I don’t think it adds anything and can add again, complications like infection. So a little wild that again, it just raises a whole controversy. Is doing this stuff worth it or not worth it? I mean, she lost a hundred, I think 125 pounds, 150 pounds. So that is, she’s showing off all her extra skin because that’s what happens when you lose a lot of weight, what we call massive weight loss. You’ll have extra loose skin and really the only way to address that is with surgery. And then there’s Adriana Lima slams plastic surgery accusations.
Bri (05:42):
I love her. I really do. She obviously just had a baby. She looks amazing, but her weight has gone down. Her face does not match her frame. I know she says she hasn’t had anything, but it looks so overdone with filler cheek, filler under eye filler, filler everywhere.
Dr. G (06:01):
She has no contours. She’s all, she’s a perfectly full face.
Bri (06:08):
But I don’t think that’s the face of a tired mom. I think that’s a face of an overfilled.
Dr. G (06:14):
Right. They tried to fill in all the,
Bri (06:15):
It’s too much. Every crevice. Not a fan.
Dr. G (06:21):
No. And you just get people who are afraid of looking like that when that is probably like 15 syringes, of filler anyway. So no one in their right mind can afford that anyway. So when patients come in and they’re like, oh, I am so worried about looking like that. I was like, no, because that’s so much filler.
Bri (06:40):
Yeah, you have to sell a small child for that. Give your firstborn for a full face.
Dr. G (06:47):
Of filler. Yeah. At $800 to $1000 a pop, you’re no one’s putting $10,000 worth of filler in their face unless you’re a celebrity. So one syringe of filler is one cc. So how many ccs are in a teaspoon? Five. So even if you put five syringes of filler in your face, you’re at adding one teaspoon, but nobody does that. Maybe one or two syringes. Okay, so let’s move on. I feel like we’ve talked about SZA before. I would like to preface by saying I like her music.
Bri (07:20):
We love CZA.
Dr. G (07:21):
Why she keeps coming up in the Daily Mail and is always so stupid for getting plastic surgery. I mean, did you get everything possible and then decide they were, we talked about her breast implants before.
Bri (07:37):
I think think she’s regretted pretty much everything she’s had done, but she looks amazing.
Dr. G (07:43):
So now she’s regretting her BBL specifically.
Bri (07:46):
It was just so stupid. Is there a reversal for a BBL? Can you lipo that out? Is that a thing?
Dr. G (07:56):
You can. It’s not ideal. Well, so we don’t normally lipo the buttocks. So you really would only be doing this for a BBL because if you lipo that area, you’re at a pretty high risk of having sagging. So you’re deflating what’s now been stretched out. So there is no great way to do that. I guess if it’s overinflated, you can slowly liposuction that down, but it’s going to be a problem because you’re going to have this stretched out skin with nothing to replace it. It’s not ideal. I took really old buttock implants out of somebody once, and it was because they were infected and placed in Mexico. But yeah, it was a mess. She had these huge dents where the implants had been. It was wild.
Bri (08:44):
I’ve seen some of those when they flip over and it’s really gross.
Dr. G (08:49):
Speaking of things that we do not ever want to do, you could add gluteal implants.
Bri (08:53):
Butt implants.
Dr. G (08:53):
You can do, I do think that adding fat is a good idea. There are some cartoonish women on Instagram with just huge, huge butts that have overfilled their buttocks, and when that doesn’t trend anymore, it’s going to be impossible to reverse. So yeah, I don’t know what her gripe is. She has surgery regret, I guess.
Bri (09:19):
She looks amazing. She just needs to be confident, surgery or no surgery? It’s already done. She looks great.
Dr. G (09:27):
Yeah, I mean she looks great. She’s on the cover of Vogue, so.
Bri (09:30):
Right. Her butt looks amazing. Her waist looks small.
Dr. G (09:35):
Yeah.
Bri (09:36):
Yeah, she looks so good. It’s fine.
Dr. G (09:40):
I mean, I think her issue is that it’s really hard to be a public figure and especially a woman when you are constantly scrutinized for your looks. Right? So I don’t know, just own it. You talk yourself into doing things that you’re doing not for yourself, but for your public image or for somebody tells you you need to do it for your career or whatever, and then maybe that’s not the right motivation for you.
Bri (10:08):
I feel like it’d be a little bit different if maybe she got botched, but she looks great.
Dr. G (10:13):
She’s had totally fine surgery.
Bri (10:15):
Yeah. Come on SZA.
Dr. G (10:18):
Go talk to Doja Cat and move on. Because she loves her plastic surgery and she’s essentially had the same things.
Bri (10:25):
Exactly.
Dr. G (10:26):
All right. Let’s talk about Sharon Osbourne.
Bri (10:31):
I haven’t seen her in the tabloids in, oh wow. I have not seen this side of Sharon. Sharon got a facelift.
Dr. G (10:39):
Yes. I don’t know.
Bri (10:42):
Fox eye lift, lips done. She looks amazing though.
Dr. G (10:46):
She looks better. Her first facelift was a little weird, I guess. And then she’s had it redone. I don’t know. She also looks a lot skinnier there, so it’s really hard to compare anything to anything.
Bri (10:58):
She looks like one of those, in all kindness, one of those criminals that go and get their faces redone. She looks like an entirely different person. So they can’t identify you.
Dr. G (11:10):
Yeah, it doesn’t look like her at all. No, I don’t even know what’s happening.
Bri (11:16):
No.
Dr. G (11:16):
She looks like a mob wife.
Bri (11:17):
She does.
Dr. G (11:19):
She’s giving mob wife
Bri (11:20):
Goals.
Dr. G (11:21):
But yeah, her face looks totally different.
Bri (11:24):
Need to be able to pay for those 15 syringes of filler.
Dr. G (11:27):
I have no words for that.
Bri (11:29):
She looks totally different.
Dr. G (11:30):
Her face is pulled totally back. And then some of it is aging. Your face is going to become more square and it’s not commonly done or talked about, but some people will have a rhinoplasty to address the aging nose. It’s just usually not front of mind for patients. And they’re already springing for the facelift, so they don’t want to do a rhinoplasty at the same time. But your nose does start to get elongated and drooping at the tip and maybe wider. And so as that’s happening, but you’re pulling everything else back in certain people, it can look a little bit different, which is I think part of what’s going on with her. She just looks nuts.
Bri (12:08):
She’s definitely different.
Dr. G (12:10):
Her face is a different shape. She also, again, has lost a lot of weight and maintained it. But yeah, she looks like somebody else entirely.
Bri (12:21):
Yeah, I’m kind of for it though. I don’t know why. It’s a little drastic, but I kind of like it on her.
Dr. G (12:27):
Yeah, she just doesn’t look like her, which would be hard, but.
Bri (12:30):
Exactly the perfect criminal.
Dr. G (12:35):
Yeah. I mean maybe she won’t get recognized when she goes out and about because yeah, she doesn’t look like Sharon Osbourne. Then she opens her mouth, starts talking crazy, and we all know who it is.
Bri (12:44):
Oh, perfect. It’s her.
Dr. G (12:46):
Okay. So yes. And what do you mean by disastrous facelift? One that didn’t meet your goals? Because disastrous facelift is a nerve injury in my book or wound healing problems or something.
Bri (12:59):
It also looks like she had a brow lift.
Dr. G (13:01):
Yes, I believe she did so good for her. Okay. Well let’s talk about worst trends in plastic surgery, because there are a handful, and then I say we kick off with the rib remodeling surgery because I just don’t understand how this is catching on.
Bri (13:17):
Who needs ribs, floating ribs when you could be skinny.
Dr. G (13:22):
So I know Joe Hadid and he’s a board certified plastic surgeon in Beverly Hills, who I like and respect. But he has gotten on this train of doing the rib remodeling. So they say they’re bringing in the floating ribs. What they mean is they’re fracturing your lower ribs to narrow the waist. I mean, you get some of that effect anyway when you’re doing liposuction to that area. So he’s doing multiple things. He’s liposuctioning, he’s adding fat to the booty, and then on top of all that, where the bruising is, he’s fracturing those ribs. And then the kicker is that that’s not like,
Bri (14:04):
So they just heal where they’re fractured?
Dr. G (14:06):
No, they do, but only if you stay in a waist trainer for a couple of months. So that’s the beginning of the process. And then you have to stay compliant so that your ribs heal in that new position. So you’re going to have to wear some sort of corset the whole time.
Bri (14:25):
Sounds miserable. I was also looking at one where they make small incisions on each side of your spine and they just take out the bottom ribs. Don’t know how I feel about that.
Dr. G (14:37):
Yeah, I believe that Cher had that surgery a long time ago and talked about it, but decades ago. So your rib cage does expand when you have kids. So you are a little bit maybe wider than after you had kids, but I feel like a lot of these women aren’t even, haven’t had kids yet. They’re going for these very, very extreme looks. Now, I’ve seen a few of Dr. Hadid’s patients on his Instagram and they look reasonable, but if you do a deep dive into rib remodeling in Mexico, those patients
Bri (15:15):
Look insane. Their waist is like this big and their hips are like this big.
Dr. G (15:22):
Yeah, they look like Betty Boop essentially in a cartoon fashion. It’s crazy. So it’s such a terrible idea. So yeah, Veeva plastic surgery in Mexico was one of the options that showed these cartoon ladies because they’re in waist, I just can’t imagine that it’s good for your organs at some point to have.
Bri (15:45):
Right.
Dr. G (15:46):
Everything’s squished.
Bri (15:48):
To be that small. I mean, I could definitely go with my ribs being a little bit more
Dr. G (15:55):
Narrow. I mean sure, but not enough to have my ribs broken, and then stay in for set for three months. That seems extreme.
Bri (16:04):
And incredibly painful.
Dr. G (16:06):
So yeah, there’s definitely people who have talked about having it done. 90 day fiance admits she wants to do it and she probably just doesn’t have the funds.
Bri (16:17):
I’ll do it for you. Come into exam room three. Do a little pop.
Dr. G (16:21):
And there is also a former nurse who wanted a tiny waist like Kim Kardashian. So also had two ribs removed. Just stop. Again, not every plastic surgeon is going to offer this to you. And I’m not really sure what the goal is to have a 20 inch waist and look kind of weird.
Bri (16:52):
It seems more dangerous.
Dr. G (16:55):
I just don’t know what the long-term effects are to. So first of all, a lot of these people haven’t had kids yet. So they’re going to have kids and expand the rib cage. So then you’re going to have no options. And second of all, I’m not sure how that affects, like those ribs are there for a reason. So I’m not really sure I would have them removed. Don’t know what the respiratory consequences are over time. So to me, this type of plastic surgery, I know there’s no line in the sand, but for me it sort of borders on body modification and not plastic surgery. So plastic surgery usually is enhancing your normal and body modification is creating something completely different. So generally the extreme of body modifications, like embedding horns in your head or splitting your tongue, which plastic surgeons don’t do. But there is a really subset of, I don’t know, on the dark web or whatever, that you can figure out how to get this stuff done.
Bri (17:54):
Like tattoo artists, I’ve seen them, they just go in and slice your tongue. I’m like, mm.
Dr. G (17:59):
Yeah. So that’s body modification. We’re not enhancing your normal tongue. We’re now making it look like a snake.
Bri (18:06):
Don’t enhance my horns.
Dr. G (18:08):
We’re embedding horns. So this starts to lean, it’s giving body modification. In my opinion.
Bri (18:16):
It’s getting body dysmorphia in my.
Dr. G (18:18):
Yeah, that’s also true. More and more. So speaking of taking something that’s normal and also changing it drastically is skull reshaping. So Dr. Eppley is somebody I trained with actually in Indiana, and he was a little out there when I was there training, and he hasn’t changed. So he never learned the word no. So if you ask him to do it, he will do it. Honestly, if he thinks he can physically do it, he will do it. He had some Swedish person come visit him and he converted her into essentially a Barbie doll at her bequest. And his thing now is skull reshaping. He’s craniofacial trained, so he is familiar with the ins and outs, but he will change the shape of your skull if that is super important to you.
Bri (19:06):
Now I know that should be left legitly to the criminals that need a new face. Like why? Why?
Dr. G (19:13):
I guess some people are just very insecure about their back of their head being flat. And so that is something that he will offer. Well, they could just grow their hair out a little bit. I don’t know.
Bri (19:30):
I don’t know how I feel about that.
Dr. G (19:32):
People have the occipital bump on the back of their head and they don’t like it, and so he will fix it for you. But it’s not easy. And it requires an implant or him shaving down your skull. Yeah, that’s what he’s getting known for is skull reshaping, a custom jaw and clavicle reduction. He also does every kind of implant you can imagine. So if you want a tricep implant
Bri (20:04):
Please don’t.
Dr. G (20:06):
Or pec implant or in any implant you can have that a custom shaped implant. That also seems wild.
Bri (20:15):
I am oddly obsessed with the people who have really pointy clavicles. I think I’ve told you this before, I don’t know why it’s very Angelina Jolie. It looks so good, but if you are not meant to have it, I don’t think there is any point of implanting anything. Just don’t shave down your bones, don’t implant a skull. I don’t know, calves, abs.
Dr. G (20:40):
Yeah, I just feel like, so you’re putting it in a foreign body that is the tricep implant, a pec implant if you put it under the muscle, the calf implant is a classic example of something that just didn’t go well. So if you have to put it under the muscle, the muscle’s impeded. So if your goal is to work that muscle, now you have this implant under it. If you don’t put it under the muscle, it’s really under just such a thin layer of skin and subcutaneous tissue that is fraught with problems because it’s this foreign body that could get infected and cause problems. And then also how are you keeping it in place with movement in that area if you do move the underlying muscle. So they tend to move around a lot. And if it’s you’re putting a sculpted specific calf or tricep implant, I just dunno how it’s going to stay in place.
Bri (21:31):
Right. I mean implants under the muscle are already enough when we’re working out. I can imagine calves that’s, that does not sound fun.
Dr. G (21:42):
Those stopped catching on because the incision is right across the back of your calf and looks, you can see it.
Bri (21:49):
You would know. The calf or the lengthening where they cut your bone and add lengthening to make men taller.
Dr. G (22:01):
That is popular in southeast Asian countries. People go to Thailand for that. It’s another surgery. I don’t know that anyone does it in the US and if they do, I don’t know, they must be advertising on the down low. But yes, it’s essentially breaking your tibia and fibula or tibia and then slowly if you slowly fracture the bone and then separate it, more bone will grow. Just like as if you had a regular fracture from an accident. And so they just kind of crank it open little by little and bone fills in and you can be a couple inches taller.
Bri (22:37):
It’s okay to be a short king.
Dr. G (22:39):
Yes, I know. Yeah. Could you imagine? I mean you could fix everything. You could be a short king that’s balding and just travel all over the world to fix stuff.
Bri (22:52):
Right. That’s true. Be a whole person.
Dr. G (22:53):
Go to Turkey for your hair. Go to Thailand, get your legs lengthened, then hit up Indiana to get your skull reshaped.
Bri (23:02):
Right. Did we touch on this? A patient was telling me, one of her girlfriends went to Turkey and told us about, I think we might’ve touched on this in a different podcast, that they do plastic surgery, but then they’ll also make incisions elsewhere and then you’ll come home back to the states and be like, oh, I don’t have a kidney, or I don’t have part of my liver. And then they realized they took it out during surgery and that’s that.
Dr. G (23:26):
She did tell us that story, which we were unable to verify, but that would be horrible.
Bri (23:32):
Just hearsay. But she said the black market plastic surgery organ stealing is insane.
Dr. G (23:40):
Yeah, that was wild. Yeah. You come back and you’re like, Hmm, this incision doesn’t match up with what I done. Oh, now I’m missing a kidney. That’s terrible.
Bri (23:48):
Like how? There’s nothing you can do about it.
Dr. G (23:51):
No, you’re done. You have one less kidney.
Bri (23:58):
Went in for a rhino, lost a kidney. Sorry. I hate when that happens.
Dr. G (24:01):
But it was a good deal. Yeah.
Bri (24:06):
Cash price.
Dr. G (24:08):
Cash price. Oh my God.
Bri (24:11):
Let’s not remove ribs and reshape our skull.
Dr. G (24:14):
Okay. Yeah. So Justin Jedlica is the human Ken doll who is the extreme version of putting implants in everywhere. And I guess our producer had met him in an elevator in Vegas once, which was he as frightening, I wonder in person? Oh, and he was just on the new Dr. Odyssey show, which I haven’t watched. He seems quite tall there.
Bri (24:39):
I hope he takes pictures. He looks, I’m all for plastic surgery, but he looks insane.
Dr. G (24:48):
Yeah, I think he was on botched and they turned him down and now he got a cameo on Dr. Odyssey starring Josh Jackson. But yeah, he is.
Bri (25:00):
What surgeries has he not had?
Dr. G (25:03):
I know that’s actually what you would, those are all, I mean, the thing is he has probably implants in his quads and stuff, but if you’ve ever been to a Cirque De Soleil show, if you’re going to put that outfit on, they have implants in the, yeah, in the costume. So you’re already going to look like a crazy person in a Spider Man costume. So just put the implants in the, just get a designed costume and then when you take it off, you still have your normal body.
Bri (25:32):
Right.
Dr. G (25:32):
I don’t know. Yeah, he’s had all, I mean we’re going to talk about this trend in a minute too, but he’s had the overdone fox eye lift. He probably has lip implants. He definitely has cheek implants.
Bri (25:49):
Probably has cheek implants?
Dr. G (25:51):
Yes. Before filler, that was the thing. So that was a thing 20 years ago. Now nobody does it. But yeah, it’s these little custom cheek implants you can put in right over your zygoma. But no one does it anymore because again, it’s a foreign body that you have to deal with later. So if it gets infected, it’s a problem. Sort of like chin implants too. Most people will just put filler in at this point. I have not had the pleasure of watching Dr. Odyssey yet. It looked intriguing, but I’m not sure. Also I heard via the Facebook group I’m in that he’s actually a nurse practitioner, which made me less interested.
Bri (26:31):
Oh really?
Dr. G (26:31):
Yeah, I haven’t verified that. But if he really is a nurse practitioner, but the show is called Dr. Odyssey, I’m already out. I’m already done before we’ve started. Don’t even get me started.
Bri (26:45):
I have questions.
Dr. G (26:48):
And then back to, this is another procedure that Dr. Eppley does, but Dr. Leaf Rogers in Beverly Hills does as well, which is shoulder narrowing or clavicle reduction surgery. I will say that generally this is done for the transgender population, but some women choose to do this and there’s your pointy clavicles Bri that you want.
Bri (27:14):
Not as pointed as I would like.
Dr. G (27:15):
I cannot imagine, I guess I just can’t imagine doing this period.
Bri (27:24):
And it doesn’t seem like there’s that much of a difference.
Dr. G (27:28):
They’re more narrow. I just think nobody wants their clavicle broken. In general, it hurts. It takes forever to heal. And if it doesn’t heal properly, I mean clavicle fractures are more common in little kids, and so their bone remodeling is bar none. So they generally get through it and have no problems afterwards. But if you break your clavicle as an adult and it doesn’t heal properly, it can cause all kinds of problems. because it’s controlling your shoulder.
Bri (27:57):
My son just broke last year, he broke his clavicle and wrestling.
Dr. G (28:00):
That’s right.
Bri (28:01):
And then now he’s dislocating his shoulder all the time. I don’t know if that’s a thing, but he went to go high five a friend dislocated his shoulder. Not funny, I’m not laughing if you’re watching this, but it was the story. It was the high five, but it was painful. It was not a fun healing.
Dr. G (28:20):
No. So you do not want to mess with that area. It’s going to change just the ergonomics of how your shoulder girdle. And I don’t know how this is the game changing gender confirmation period, procedure no one’s talking about, because if you have the money to do the shoulder narrowing, then great. But there are so many other procedures on the list of converting from male to female. So if you’re going, it’s usually male to female and there’s a ton of you have to take hormones, you’re going to do maybe an augmentation. Facial feminization is probably next on your list of which you can reduce again, forehead setback or reshaping, jaw narrowing, tracheal shaving. There’s a ton, rhinoplasty to feminize your nose. There’s a million things you would want to do to the neck up. So if you’ve accomplished all that and you still have the energy to have your shoulders narrowed, then great, and the money.
Bri (29:24):
Yeah.
Dr. G (29:24):
I think no one’s talking about it because it’s just not that important to,
Bri (29:29):
I’ve never actively looked at somebody who I thought was transgender and looked at their clavicles.
Dr. G (29:34):
I’ve been like, God, their shoulder, they look like such a perfect woman, but their shoulders are really wide.
Bri (29:39):
I’m like, got a nice butt. Yeah, they look perfect.
Dr. G (29:42):
Why do they have such a low body fat percentage? And then you’re like, oh, it’s a dude.
Bri (29:47):
Yeah, exactly.
Dr. G (29:49):
Yeah. Unless they’re literally on hormones and they can be in the same boat with us and be fluffy. Yeah. So it is interesting, but I don’t think it’s that popular for lots of reasons. And then we did briefly have, oh yes, this is interesting, I mean, Cher has had so much work done, bless her heart, but she now has this lower lip issue that is clearly a migrated lip implant, which is unfortunate. And I’m not really sure why someone isn’t brave enough, see, she did have rib removal. It was on there. She has vehemently denied that, but I feel like it was definitely bounced around about 20 years ago. So Cher’s had a ton of surgery. And it’s interesting that this just randomly came up because my associate, Dr. Chao had a patient come in who wanted some filler and she recently had a facelift elsewhere, which was interesting.
(30:48):
But anyway, so she came in and Dr. Chao treated her with some filler, I think to the cheeks and some Botox. And when she went to do her before and afters, which the patient was willing to share, she tried to edit out her lower face because the patient has what Cher has, which is a lip implant that has migrated below the lower lip. So back in the day we would put in a Gore-Tex graft in the lower lip because filler wasn’t as accessible. It was a arti-coll, so it was a collagen treatment, blah, blah, blah. It wasn’t that great. So you would literally take a Gore-Tex graft you would use in vascular surgery and you would make an incision in the lower lip and run it through to the other side. By the time I got into training, the only thing we did with those was take ’em out.
(31:41):
So we weren’t really putting them in. Some people will put in a strip of fascia, which is like take a little strip of dermis or fascia from somewhere else and thread that through. As you can imagine, the Gore-Tex isn’t you. It’s not going to integrate so you can feel it. It’s just funny because nowadays we hold the lip filler to such a high standard. People don’t want to feel their lip filler. They feel like they can feel it in there and it doesn’t move with their lips. So the technology has changed so that the hyaluronic acid based fillers are stretchy. And when the reps come in, they talk about how their filler is more stretchy and integrates more so you don’t feel it. But honestly, before that, we were just shoving in a piece of Gore-Tex and saying, suck it up. If you want big lips, you’re going to have this thing in your lip.
(32:35):
And so now it’s totally migrated down. So that is exactly what had happened to a patient Dr. Chao took care of. I just was curious as to why when they did her facelift, they didn’t just make an incision and try and get it out. I guess if you don’t know what’s in there, you can’t guarantee that you’re going to be able to take it out or it might be really scarred in or you might create some damage, which is perhaps why Cher hasn’t had it removed. Or maybe she just doesn’t even care. But a hundred percent that is a implant that’s migrated. And it’s interesting to me because I hadn’t thought about it for a while, and then we had this patient that came in that clearly had it. And then I think I was in the OR, my sister texted me a picture of Cher’s face and was like, what is going on here? And it was like, oh, funny you should ask.
Bri (33:20):
Yeah, twice in one a week. Yeah. I’m very curious why they do not get these removed. I understand, like you said, it may be difficult not knowing what’s in there, but your face, it’s just what everyone sees and they look crazy, not natural.
Dr. G (33:37):
Yeah. I think it’s worse when they smile.
Bri (33:40):
And you do all this work and then you have this migrated implant.
Dr. G (33:43):
That being said, that picture of her to the left, aside from the lip implant, damn, her face has a not changed. She doesn’t have that squared lower jaw that comes with aging. Her cheeks are full, but they were always full. Her nose was done, but it still looks like her nose. She’s always had big eyes. I have those same eyes. They look great. The rest of her looks just like her, but better honestly. So that’s the one thing, maybe she doesn’t notice it as much. I don’t know.
Bri (34:20):
I feel like you’d have to.
Dr. G (34:22):
I know the thing is you’re going to feel it, right? You’re going to feel it in your mouth. So
Bri (34:27):
Yeah.
Dr. G (34:28):
It’s just got to be annoying. Yeah, it does really offset the whole thing. Oh well,
Bri (34:33):
We tried to envision it as one time Dr. Gallus took out my birth control and the Nexplanon was implanted into my arm and it was so stuck.
Dr. G (34:46):
It was embedded, it was ugly. I just insisted on taking it out through the teeny tiny incision that they put it in with.
Bri (34:52):
Yes.
Dr. G (34:53):
So I essentially had to prop my feet up against her arm and pull.
Bri (34:57):
Literally. That’s exactly, I have a video if you can envision it, that’s how it was done. Just her yanking it out.
Dr. G (35:05):
Because it was so stuck. But I think you could go in through the mucosa on the inside of our mouth and then you can make a bigger incision. I just don’t want to make up a huge incision on your arm to scrape that thing out.
Bri (35:19):
Right.
Dr. G (35:20):
We got it done.
Bri (35:21):
We did get it done. We have some great footage to account for it.
Dr. G (35:26):
What could possibly go wrong? I don’t offer that to the general population. Just FYI.
Bri (35:31):
Yes, please don’t come in asking for birth control removal.
Dr. G (35:34):
Okay, so let’s go the fox eye lift.
Bri (35:39):
Fox eye lift.
Dr. G (35:41):
We’ve had patients call about it.
Bri (35:43):
Yes.
Dr. G (35:43):
I actually, one snuck into my clinic asking for it and she’d already, I think she was in her thirties and she’d already had an upper blepharoplasty and two brow lifts and I said, nope.
Bri (36:01):
How is this so different from PDO threads when people use PDO threads? I know they’re not permanent.
Dr. G (36:06):
I think it’s not. It’s just this is more permanent. Also, come on, you do have some like makeup is your friend here so you can contour the hell out of your face. The angle, the first photo, she’s like 12 and before we had filters, and the other one, she’s completely done up and has filters on and
Bri (36:28):
20 years later.
Dr. G (36:29):
Stylized makeup, she looks amazing. But I don’t doubt the facelift. I think we’ve talked about this before. She has probably had a facelift. She looks way too lifted. And then maybe they did a temporal brow lift. And then I don’t know that she had the fox eye lift, but it definitely looks foxy. But when people, yeah, her eyes were always kind of point. So a couple of things, when you look at people’s faces, her eyes tilt upwards. The outer corners of her eyes tilt upwards, which is favorable. I know because mine don’t.
Bri (37:03):
I’m trying to look at mine in the camera.
Dr. G (37:06):
I already know mine don’t. I have more round eyes and she has a very small aperture that tilts up. It’s very favorable to start with. And her brows were in good position anyway. So yeah, I think if she had the fox eye lift, it generally involves tightening up the inner corner of your eye and then doing a temporal brow lift. But see, she’s always had those little lids. I think it’s a lot of makeup and the way she’s holding her face,
Bri (37:32):
I feel like this is more of a trend for models who want that crazy runway. I dunno, I feel like they definitely achieve it with makeup. Not a huge fan of this trend.
Dr. G (37:42):
She looks amazing. I think getting surgery to make it look like you have a fox eye is nuts. Luckily in that area of your face, it doesn’t hold that great even surgery. So it’ll probably sag with time. The PDO threads are, if you really want to try it, are a great way to try it because they don’t last that long, probably six months, maybe a year. But as the threads that are lifting up, that area dissolve, you go back to where you were. So if you want to try it on and you’re not committing to something permanent, that’s reasonable. And then you can decide if that’s something you like. But somebody who’s already had that done and then or some semblance of a temporal brow lift, so lateral your lateral eyebrows lifted, and then once more, that’s when you start wondering.
Bri (38:33):
Is there any chance of it like impairing your vision? Is that a thing?
Dr. G (38:39):
No, there should not be any risk to your vision. There is a risk to the temporal branch of your frontal nerve, of your facial nerve rather. So there are some nerves that travel through there. So again, don’t go to the strip mall down the street to have this done because you can end up, if your nerve gets damaged, you can end up not being able to raise your forehead on that side, not being able to close your eyelid properly, not being able to squint. There’s definitely some issues if that nerve gets dinged. And most plastic surgeons and facial plastic surgeons who work in that area are quite aware of what the risks are. So when you do a brow lift, you have to know where the nerve travels and what layers so you stay out of that.
Bri (39:22):
Side note, can we go back to that picture really quickly of Christina Aguilera? Are we seeing the square boobs? Not to segue from the fox eye lift.
Dr. G (39:34):
Yeah.
Bri (39:35):
They look kind of cray cray.
Dr. G (39:38):
Yeah, they look a little nuts. They look like they’re sub glandular, which I’m not a huge fan of. And yeah, put some fat in there. She has the money.
Bri (39:47):
She needs a little something.
Dr. G (39:48):
Even if she doesn’t have the fat, she could just put some fake fat in there. Renuva or whatever comes down.
Bri (39:52):
Yeah. She can afford the fake fat.
Dr. G (39:55):
Just camouflage it a little bit because you’re really looking at skin over implant there.
Bri (40:00):
Yeah. Now that I’m done criticizing her boobs, we can move on to the Miami thong lift. Don’t know why this is a thing.
Dr. G (40:10):
I can’t believe this was on the ASPS website, but because when I was doing research into this, I saw it pop up on my Instagram and then I had a nightmare that I was marking somebody for it.
Bri (40:22):
She did. She came in and she was like, I had a nightmare. I was just this little crevice in the butt. So can you explain the difference between getting a BBL and just a thong lift?
Dr. G (40:36):
Yeah, so a BBL is not actually doing any excisional surgery or lifting anything. It’s just filling your butt with fat in the areas that you wanted and it will increase projection and maybe give it a more lifted look unless you overdo it and then everything starts to sag and you get the so-called diaper butt. But the thong lift is excisional surgery that is basically a pattern of excision that follows a thong. So intergluteal crease, excision of tissue, which I’m not really sure how that is going to lift anything. And I think it’s one of those things, it’s fetch for plastic surgery.
Bri (41:24):
Is this a 360 thong lift or is it only on the backside?
Dr. G (41:31):
No, it’s only on the backside. So I don’t know what you’re lifting. You’re just taking out skin from the medial buttocks. It seems dumb on so many levels.
Bri (41:43):
I don’t understand.
Dr. G (41:44):
I mean I’m sure it’s safe-ish because you’re just taking skin. But you’re going to create a scar in the gluteal cleft. We know that area is going to be a little bit prone to having trouble healing based on where it is.
Bri (42:00):
It’s so fetched.
Dr. G (42:01):
It’s so fetched. Don’t make it happen. And so we know that that area is usually the access for putting in gluteal implants if anybody’s still doing those. But it’s prone to infection because it’s in the crease of your buttock. I understand why someone’s trying to do it, because typically a butt lift, a buttock lift would be an incision. That’s kind of where your waistband is. So where the top of the thong would be and that’s an incision kind of all the way across your back. But yeah, I mean Constantino Mendieta, he’s always trying to invent something and good for him, but.
Bri (42:39):
I just feel like that wouldn’t heal well.
Dr. G (42:40):
He’s always trying to invent something.
Bri (42:45):
Let’s un-invent his one.
Dr. G (42:45):
Yeah, he needs to take this one away. He was one of the originators of BBL surgery, the actual fat grafting. And I’ve sat through many a lecture where he breaks down women’s butts, which is truly alarming. But yeah, I don’t think this is going to catch on. That’s my 2 cents.
Bri (43:05):
Don’t do it.
Dr. G (43:06):
Don’t do it. If you really need a buttock lift, then you probably need the traditional back lift surgery. There’s nothing else, that’s an established procedure. I think he’s trying to do it without using an incision that’s across the top. I don’t know. But you’re not moving in the direction that you need things to go up. So it’s wild. Okay, so I guess we can start wrapping it up. We’re going to add to our list of things. I would never do anything that involves the penis.
Bri (43:37):
Just don’t. Please do not touch your penis. Do not insert. Do not take out, do not poke. We need to leave the penises alone.
Dr. G (43:49):
Again, fraught with problems. And for a while we almost had to block a number. Somebody was calling our all female office asking for penis enlargement surgery. Correct?
Bri (43:57):
Right. Yes. I don’t know why. As a man also, if you’re wanting penis surgery, go to a man’s office.
Dr. G (44:05):
I don’t know. Yes. We’re not offering that here.
Bri (44:07):
No.
Dr. G (44:08):
So you can do injections to increase the girth. You can do filler there.
Bri (44:12):
Ow.
Dr. G (44:12):
I know. First of all, men are kind of babies. I present to you, man, flu as exhibit A.
Bri (44:19):
Oh my God. It’s been going around this week. Eric, I thought was gonna die. Literally could not even function. He’s groaning and moaning in bed.
Dr. G (44:31):
So I don’t want to inject down there and somebody who can’t even handle the common cold. So not him specifically, but in general.
Bri (44:40):
No, it’s true. No offense to all the men out there listening to this, but call it as we see it.
Dr. G (44:46):
So yeah, so people will put filler in there, people will put fat in there. Again, now you’re putting fat in an area that doesn’t have fat, so that tends not to take super great, but whatever.
Bri (44:58):
Where are you injecting this?
Dr. G (44:59):
In the shaft between the skin and the
Bri (45:02):
Just superficially?
Dr. G (45:03):
Mm-hmm. Yeah. Uncomfortable. And then you can wrap an implant, I’m sure Dr. Eppley’s done it. I’ve actually taken him out. Again, I don’t know why I keep referencing Beverly Hills, but there was somebody in Beverly Hills who made his mark putting in penis implants, and not the kind that give you an erection, the kind that wrap around your actual shaft and make it bigger. And we had somebody when I was in the Navy who had theirs get infected and was eroding through the skin and urology needed to take it out and called me, the only female plastic surgeon on staff to help them.
Bri (45:37):
You’re so lucky.
Dr. G (45:38):
I know. They loved me.
Bri (45:39):
I think I’ve seen more pictures of penises dying than not.
Dr. G (45:46):
It doesn’t go well. There’s not a lot of room for error there, honestly. And it’s not a clean area. I don’t know.
Bri (45:54):
I just have to know the level, the thought process behind wanting to do stuff to your penis. You really have to be, I don’t know,
Dr. G (46:08):
Insecure?
Bri (46:09):
Yeah. Feeling a certain way. Not trying to call out any men, but I just want to know why.
Dr. G (46:14):
Just get a fancy car.
Bri (46:15):
Yeah, just get a big truck.
Dr. G (46:19):
I understand, I guess women who have no breasts and want a breast augmentation, it’s a little equivalent to that. It’s just unfortunately not an area that is amenable to being made bigger easily. It’s sort of like being taller. Yes, you could go to Thailand and get your legs broken and extended, but that’s not, it’s way easier to just be short. Whereas there’s a lot of other plastic surgery procedures you can do that are relatively simpler fixes without the risk of having problems. If you have a complication in that area on your penis, it’s not going to go well. It’s not great. But yeah, the penis enhancement surgery is a little unnerving. And then there’s things like scrotox. So botoxing the scrotum.
Bri (47:11):
No. Wait, why? What benefit does that do?
Dr. G (47:16):
I don’t know. It makes it less wrinkly. There’s scrotal tox and then implants for the testicles, which if you’re, can we see
Bri (47:24):
Botox to the vagina?
Dr. G (47:26):
No, no one’s come up with that yet. It would just relax it. It doesn’t make any sense.
Bri (47:31):
So interesting.
Dr. G (47:33):
Anyway. Yeah, and then you can do implants in a testicular implant for somebody who’s lost a testicle, that makes sense. But the same patient that I took care of that had the implant that was eroding through his penis, had chin implants around his testicles to make his testicles larger. Which again, I was,
Bri (47:50):
Ugh, that hurts my heart.
Dr. G (47:52):
Where, why? But I guess if you’re looking for that kind of surgery, at least go to someone who’s accredited and don’t go somewhere that’s going to leave you with an infected implant and a bigger problem than you already had.
Bri (48:04):
Or someone that’s going to just take the penis and black market it somewhere.
Dr. G (48:09):
Take your kidney.
Bri (48:10):
Yeah.
Dr. G (48:12):
Okay. So that kind of wraps up our round the world of plastic surgery procedures we wouldn’t do. I mean, there’s plenty that we do do. We don’t need to do anything else.
Bri (48:23):
We love plastic surgery.
Dr. G (48:25):
So thanks everybody for listening, and we’ll be here to break down any trends you have questions about. So if you’re interested in wondering why a certain surgery is out there and who’s doing it, let me know. Because usually when it’s a niche surgery like that, they work really hard to get the press out there and make you feel like everyone’s doing it when no one’s doing it .
Bri (48:47):
Right. Hit us with some questions.
Dr. G (48:50):
Like and subscribe.
Bri (48:54):
I was just thinking of juju. All the B’s will be back.
Dr. G (48:58):
If you’re listening today and have questions, need info about scheduling, financing, reviews, or photos, check out the show notes for links. Restore SD Plastic Surgery is located in La Jolla, California. To learn more about us go to restoresdplasticsurgery.com or follow us on Instagram @restoreSDplasticsurgery. If you enjoyed this episode, please share it and subscribe to All the B’s on YouTube, Apple Podcasts, Spotify, or wherever you like to listen to podcasts.
About Restore SD & Dr. Katerina Gallus
As the Director of Restore SD Plastic Surgery, board certified female San Diego plastic surgeon Dr. Katerina Gallus has over 20 years of experience helping patients enjoy head to toe rejuvenation with face, breast and body procedures. After a successful career as a Navy plastic surgeon, Dr. Gallus founded her San Diego plastic surgery center, 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 transfer, nanofat grafting and rhinoplasty; 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 non-surgical aesthetician services, BOTOX, dermal fillers, laser treatments, and weight loss injections.
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 office at (858) 224-2281 today. We proudly serve the San Diego and La Jolla areas.
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