![San Diego plastic surgeon Dr. Katerina Gallus and her scrub tech Bri on the episode of their podcast "All the B's" where they chat about plastic surgery marketing [Best Plastic Surgeon or Best Marketing?]](https://restoresdplasticsurgery.com/wp-content/uploads/2025/10/ALL037-thumbnail-1-1024x576.jpg)
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Don’t take those “Best Plastic Surgeon” lists too seriously. They’re mostly popularity contests and pay-to-play badges.
Dr. G and Bri call out the “Top Doctor” hype and share what actually matters: real board certification, hospital privileges, and accredited ORs.
Check out the Restore SD Plastic Surgery team’s Britney Spears group Halloween costume:
Trending stories:
Daily Mail, Kim Kardashian gets grilled about Tom Brady dating rumors by Alex Cooper: ‘Oh my god’
Yahoo!, Kris Jenner Spent a Six-Figure Sum To Look Young for Half a Year, Suggests Plastic Surgeon
Page Six, Suni Lee claps back at haters post-Victoria’s Secret Fashion Show debut: ‘Stop bullying me’
“Best plastic surgeon”-related articles:
Castle Connolly, “Top plastic surgeons near me”
U.S. News, “The Best Plastic Surgeons in California”
Newsweek, “America’s Best Plastic Surgeons 2025”
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. Hi everybody. This is Dr. Kat Gallus and you’re listening to All the B’s the unfiltered plastic surgery and celebrity gossip with myself and Bri. Hey, Bri.
Bri (00:21):
Good morning everyone.
Dr. G (00:23):
Happy Wednesday.
Bri (00:25):
Happy Wednesday. Happy hump day.
Dr. G (00:27):
I know. I feel like we’re on the run to Halloween and then the year will be over.
Bri (00:33):
Wait until you guys see our outfits. We’re going to be Britney Spears.
Dr. G (00:36):
Yes. We’re all different versions of Britney Spears this year. It’s been several years in the making. I think we always talk about doing it every year and then we change our minds and do something else. Last year was so easy being the Mormon wives in those black sweatsuits that was just too easy to let pass by.
Bri (00:55):
I know. And I chose to be the slave Britney, and I got my outfit and it’s just like half my butt cheeks hanging out and I was like, this will be great for work. This’ll be great to do procedures.
Dr. G (01:07):
I know at least mine, although skintight is covering, it’s like a cat suit essentially.
Bri (01:15):
Yeah, we’ll be in latex and booty shorts.
Dr. G (01:19):
Just what you want to see when you walk into the office on Friday Halloween, October 31st. So something to look forward to, but today we’re going to talk about those best plastic surgery titles and articles and advertisements and what that actually means. But first we got to cover celebrity Goss, so as the rest of the planet burns down, we’re going to talk about Kim Kardashian and her presence on the Call Her daddy podcast.
Bri (01:48):
I thought it was going to be on her outfit at the gala. Did you see that where her full face was covered?
Dr. G (01:56):
Oh no, I didn’t see that.
Bri (01:58):
Sorry, I segued into something different, but
Dr. G (02:00):
That’s okay. She’s been making the rounds because for two reasons. Right. Their upcoming season of Keeping Up with the Kardashians is coming out on Hulu and then
Bri (02:09):
Yes, it looks like Kanye dressed her
Dr. G (02:13):
Also. What’s with the ribs situation? I don’t like that.
Bri (02:17):
I don’t know. I feel like maybe she ran out of time to do makeup and they were like, what’s the best option? And they’re like, just throw a sheet over your face or
Dr. G (02:25):
You just had a laser procedure and it hadn’t healed yet and you’re like, fuck it. I’m just going to put something over my face.
Bri (02:31):
Like PRP.
Dr. G (02:32):
I just can’t get over the ribs. I have those ribs and I don’t try to highlight them.
Bri (02:37):
Yeah,
Dr. G (02:38):
Okay, and what’s with their fingers? I don’t even know
Bri (02:42):
What’s going on. I’m not quite sure. I’m not sure how I feel about this.
Dr. G (02:45):
I don’t like it. I’ll tell you also the color, nothing, nothing about it is good. Any whoodles. It really does look like she had some full resurfacing procedure because she threw that over her face and is hiding her neck with a giant choker necklace situation.
Bri (03:00):
Yeah, so if you guys want to get your laser, just know it is acceptable to throw a bag over your head.
Dr. G (03:07):
Maybe not pose for family wedding photos, but pretty much everything else might be just say, oh it, I’m doing a Kim Kardashian look.
Bri (03:15):
I love it so trendy. Also, her skims, she just came out with that thong hair. Have you seen it? I will be getting everyone it for secret Santa this year.
Dr. G (03:27):
No, I know. I thought of a good secret Santa gift the other day and now I’ve forgotten. Shit. That’s a good one though. That hair thong. That’s terrible.
Bri (03:35):
She’s just all over.
Dr. G (03:36):
I’m telling you, it’s because her new season is coming out and then also she is on that new Ryan Murphy show that’s also going to come out. It’s about a bunch of women lawyers, divorce lawyers. Here’s the faux hair, micro string thong.
Bri (03:51):
It’s like cringey, but I’m tempted to buy one, but it’s
Dr. G (03:56):
Why would you be tempted? It’s sold out, but.
Bri (03:58):
See, it’s sold out.
Dr. G (04:02):
Cuz they only made 10 of ’em. I don’t know. That’s awful.
Bri (04:04):
There’s more, there’s a whole bunch of different colors and I’m just not sure what the thought is here. There is no trying to laser it away.
Dr. G (04:16):
Printing money. That’s the thought. It’ll be a novelty. People will buy it because they want to have one and then it’ll get thrown away into the landfill. Definitely. Yeah, she’s on some new TV show and she’s one of the head actors. So anyway, that’s her making her rounds. So she’s on the call her daddy podcast with Alex Cooper and basically refused to answer whether she dated Tom Brady. I mean, among other things on this podcast, right? They talked about a lot, but she,
Bri (04:49):
How can you not answer that?
Dr. G (04:51):
Doesn’t answer it.
Bri (04:52):
We need to know.
Dr. G (04:52):
Just say it’s not like, are you currently dating Tom Brady? You openly admitted to dating Pete Davidson. Right? Why are we going to draw the line? But not Tom Brady. Don’t draw the line with Tom Brady unless it overlaps with him dating somebody else from a timestamp standpoint. But yeah. Why are you being coy girl?
Bri (05:15):
Yeah, not the time.
Dr. G (05:18):
Yeah. We had to do an addition of, I mean, I think I can say it, cuz our podcast is considered explicit, but fuck me, bill. And it was Brady, Pete Davidson and Chris Humphrey is the basketball player she originally married, if you go way back in the time machine. And she said she’ll text you the answer. Chris Humphreys, currently a real estate agent in Minneapolis want to know how I know because my nephew happens to play pickleball with him. He’d just living in his best Midwest life. Yeah, it’s weird, but he has no long lasting connection to the Kardashians and probably for the better. I’m not sure that’s a world I’d want to live in, but anyway,
Bri (06:03):
Yeah, I’m just trying to win, marry who I would fuck Mary and kill.
Dr. G (06:07):
I mean, none of those are great Mary options. I’m just going to throw that out
Bri (06:12):
There. I know. I feel like Humphrey would be the best option.
Dr. G (06:17):
All right. That’s enough about Kim. Let’s talk about her mom. People are losing their minds about this, that her face doesn’t look as good as it did before. I’m like, her face before was so filtered I couldn’t even
Bri (06:32):
If I don’t look like her when I’m older, I don’t know what I’m going to do. I mean, she looks like one of her kids,
Dr. G (06:40):
But that picture that’s at the head of this article and the one that was originally shown when she went to the Bezos, whatever, that’s so filtered, right? I mean, it’s got such good lighting. With the right lighting, you can really change a lot of things. Like I look better right now. I was getting my hair did last night with my awesome hairstylist, Cassie, and she’s in a new little salon, like a little studio, and I remember thinking, Jesus Christ, I look terrible because the lighting is dim. You don’t want really bright lighting in there per se, but it’s dim and it’s shooting from above. And I’m like, oh, I wanted to go, girl, the lighting in here.
Bri (07:21):
That’s how I feel every time I turn something in Nordstrom’s rock to where I can’t try on anything, I just have to purchase it and try it on at home. I go in there and I’m like, oh my God, how am I living life looking like this?
Dr. G (07:32):
Right? It’s all about the lighting. So that picture, she’s got great lighting. There were other photos of her right after she unveiled her facelift where she had great lighting and filters, which they’re famous for, and now she’s showing up and people are like, oh my God, what happened to her facelift? No, that’s just her unfiltered. And on this podcast, Dr. Ewen, who’s pretty popular on TikTok as a, I mean he’s a legitimate plastic surgeon, has a huge following on social media. He explained that she probably paid $150,000 for her DMSD tightening facelift in New York. He’s not saying anything that most of us in the industry don’t already know. She didn’t have a deep plane facelift because she’d already had facelifts before. It’s usually not an option. After a couple rounds of facelifts and Steve Levine, who’s purportedly the plastic surgeon that did her facelift, does usually DMSD tightening, which is the alternative or other common way of facelift.
(08:35):
He thinks that it’s going to fall because it looks amazing for the first four months or so, which is true because you’re a little bit tight, you’re a little swollen, sort of like after laser and then life carries on and that she might’ve also lost a little bit of weight since then. And all of that impacts, you’re still tightening 69-year-old skin. You’re not tightening 35-year-old skin. Another pretty well-known facial plastic surgeon on social media said it’s a facelift not witness protection program program, so you’re going to look like yourself a little bit younger and it’ll last, but you’ll start seeing her look more like herself the older Kris Jenner in six months or so. But her results should last five. It just depends on how well you’re taking care of your skin and the quality of your skin when you have the facelift, to be honest. So nothing’s permanent, but filters are always there for you.
Bri (09:36):
Maintenance is important. Good skincare, treatments, lasers, got to do all the things. I also really love her little blonde Bob.
Dr. G (09:44):
I know she does look cute with that, which not everybody can pull off blonde, but she does good with that. Yeah, I mean, she looks great. It’s just funny that some photos of her without filters came out and people were losing their minds. It’s already falling apart for $150,000. I’m, I mean, again, that’s why I would not charge that kind of money for a facelift. Expectations are now so bananas that if you’re going to pay that kind of money, you want someone to turn back time and sometimes it’s just not possible.
Bri (10:19):
I just feel like everyone at this point should know that everything that they put out is heavily filtered
Dr. G (10:25):
With the Kardashians? Yeah, and then that some of the plastic surgeons that are insta-famous for creating these dramatic facelift results are cherry picking their patients. And yeah, it’s a little bit easier to do on someone who has taken care of their skin their whole life and has been doing maintenance and is on a good skincare regimen versus in our area, it would be someone who’s played tennis or gardened or been at the beach their entire 50 or 60 years and is now hitting panic and their skin quality is going to be different than someone who is taking good care of their skin. Same with the Midwest. You’ll see patients that have had massive weight changes, so their skin’s lost their elasticity, or they just haven’t been taking good care of their skin, and those patients aren’t going to get the same results as somebody who maybe barely needs it or has been taking care of their skin. Just your PSA there. Let’s talk about Meghan Markle. She’s so funny. I feel bad, but she’s annoying.
Bri (11:32):
She’s just triggering. I want to love her because she looks so sweet and I know she, I just can’t.
Dr. G (11:41):
Yeah, it sucks too because the way the algorithm works is I’ll get these British tabloid drags. Meghan Markle did this, Meghan Markle did this, just busting on her every move. And then once you click on one, that’s all that ends up in your feed. And so there’s nothing favorable being said about her online. And I mean, just as another human being, I think that would sort of suck, but then also I would stop getting out there.
Bri (12:14):
Well, she gets all this feedback. It’s not like she doesn’t know that she’s being claimed to be out of touch and she doesn’t change anything about it. It says she.
Dr. G (12:23):
And then why would you, because she just recently spoke at Fortune’s most powerful Women’s Summit.
Bri (12:31):
Why was this from the company?
Dr. G (12:33):
Yeah, she spoke. She was interviewed. Next level influence. She was described as a high profile entrepreneur and talked about her ever changing brand as ever.
Bri (12:46):
It has to change because nobody buys it. I
Dr. G (12:49):
know. She,
Bri (12:51):
I don’t know. I liked her in suits. Suits is where she should have stayed. Or if she’s going to be in the spotlight the way she is, maybe just be, I think when you just terrible like her. And then Kate Middleton the level in a royal family of where Kate Middleton is and she’s so class, she’s really adapted the way you’re supposed to live. I don’t know. And Megan just doesn’t, she’s just cringy.
Dr. G (13:20):
Yeah, she’s still a money grab.
Bri (13:23):
Yeah,
Dr. G (13:24):
Which she needs to because they’re not getting, I don’t know, whatever. She’s trying to be authentic, but it’s so fake. And maybe if she just was authentic to however she really is in real life, then maybe it would be successful. But she doesn’t seem to have the confidence to do that. She’s trying too hard. Just be yourself and people either take it or leave it, but not being yourself is not working, I would say because she’s constantly being called out of touch. I would be like, yeah, fuck you. I’m out of touch. I’m married to a prince. Who cares? Go with it. I don’t know.
Bri (13:58):
I might be too if I was married to a prince, but here I am throwing some meatballs on a paper plate and hoping my kids will eat it. Nothing is covered in fake flowers.
Dr. G (14:10):
Yeah. No. Yes. No,
Bri (14:13):
I mint lattes it like not realistic.
Dr. G (14:17):
Any who? Yes. That’s all I have to say about Megan. She’s annoying, but I have a lot to say about this. This has been bothering the hell out of me.
Bri (14:25):
Let’s hear it.
Dr. G (14:26):
Not Bella Hadid. Just whatever. She looks great. How does she make a comeback from her hospitalization for Lyme disease onto the Victoria’s Secret fashion Show? Well, I mean, I kind of feel like it’s easy when you don’t have an actual disease. I’m just going to say it here. Chronic Lyme disease is not a disease, period. Full stop. It’s crazy that all the celebrities, that’s their new trendy thing. Although the Hadids have been rocking Lyme disease for a while, and then it sort of fell out of favor, but now it’s back. Can you,
Bri (15:04):
Did her mother have that?
Dr. G (15:05):
Yeah, and her brother. It’s stupid. So I know. I was like, oh, I’m going to get a lot of hate for saying chronic Lyme disease is not a real thing, but I threw it into open evidence, which is a New England Journal of Medicine run kind of chat GPT, but it only relies on reviewed articles. So anyway, I put in is chronic Lyme disease a real thing? Answer, the Infectious Disease Society of America, American Academy of Neurology and American College of Rheumatology do not recognize chronic Lyme disease as the distinct well-defined medical condition. That’s all you need to know. The guidelines state
Bri (15:50):
Is it genetic?
Dr. G (15:51):
Yeah, No.
Bri (15:53):
So how are they all getting, are they getting bit by ticks or what’s the
Dr. G (15:57):
They think they got bit by a tick, got Lyme disease, were treated with antibiotics maybe appropriately, maybe not appropriately, and then think they have either an ongoing infection or a post-infection disorder. But it is often applied to a group of patients. Many of them do not have objective evidence of Lyme disease and frequently have alternative diagnosis such as autoimmune, neurologic or psychiatric disorders. And then all of this comes with clinical practice guidelines, published articles. It’s not a thing. The medical literature does not support chronic Lyme disease as a distinct clinical entity. It’s right up there with something else we see all the time, that sure, if you think you might have it, you’re going to feel like you have it. But
Bri (16:48):
Were they all, one tick for all three of ’em?
Dr. G (16:52):
At 16, and now she’s having a flare 10 years later. I guess they did. Were you hospitalized for And oh my God, you’re so brave from coming back from a non recognized disease to walk the catwalk. Are you kidding me with this? You probably just needed some IV fluids.
Bri (17:12):
Yeah. I don’t ever want to undermine anyone’s pain, but it doesn’t quite register in my little mind on, and then they said she was at home getting all this treatment. I feel like at one point it almost looks like she was on dialysis or something, and then the next day she’s out drinking and partying. And I think there was some people were like, I don’t understand.
Dr. G (17:35):
Yeah, because it’s fine. I’m sure she feels terrible when she’s having these whatever flareups. I’m not denying that she doesn’t feel miserable, but it’s just the darkness, the pain and unknown hell, you don’t have leukemia, girl. You don’t have an actual problem. And if you did, it would’ve been diagnosed. I get it. If you have, I don’t know, lupus or I don’t know an actual diagnosis, but this is just a generic
Bri (18:07):
fibromyalgia.
Dr. G (18:08):
It’s like a chronic fatigue syndrome. It’s like you feel like shit. Yeah, I feel like shit when I’m hung over, but it’s not a disease. It’s just I’m hung over. I don’t know. It’s just so bizarre to me.
Bri (18:17):
I feel like her, if you ever saw those videos of Yolanda when the kids were little and she’s forcing them to have an Adderall in the morning or something, so they don’t eat. Nobody come at me for that. But there are videos and I feel like maybe she has just put on her health, I don’t know her health sicknesses or mental into her kids, and she’s like just making them, I don’t know,
Dr. G (18:45):
Hypochondriacs.
Bri (18:47):
Yes. Feel sick when they’re probably not sick. And she’s like, oh, if you feel this, you obviously have this, or you have what I have. She’s probably just exasperating her mental struggles onto them. I don’t know.
Dr. G (19:01):
But I mean, I feel like a lot of this is probably psychological and that sucks. And I will say the other caveat is that there are physicians and other holistic practitioners that live for these people. It looks like she’s getting dialysis, but she’s probably getting IV NAD therapy or some sort of vitamin infusion or something and some oxygen and all the things to make yourself feel better and you just need to get outside and take a walk or, I don’t know. It’s just painful. It’s like back when people, it would be fashionable in the 1930s and forties to have nervous breakdowns. Nobody has that anymore. Or get hospitalized for exhaustion. Now we call it chronic Lyme disease.
Bri (19:51):
Now you’re just going to wait 12 hours in the ER to get an IV and then get sent home.
Dr. G (19:57):
Yeah, because there’s nothing wrong with you.Or you can have doctors come over to your house if you’re rich and give you fluids and take Instagram posts of the whole thing.
Bri (20:05):
Yeah, we love that.
Dr. G (20:07):
And then bounce back on.
Bri (20:10):
She looks great on catwalk.
Dr. G (20:12):
She does look fabulous. I mean, for someone with chronic disease, she’s slaying. God bless.
Bri (20:19):
The Victoria’s Secret Runway Show was so good.
Dr. G (20:24):
Actually, the other story I saw about that was there was an Olympian that they let walk the catwalk for the pink version of it, one of the Olympic girlies gymnasts walked the catwalk and people were pissed about it. This also makes me angry. Why do you care?
Bri (20:42):
Are people pissed about the pregnant lady?
Dr. G (20:44):
Oh, Suni Lee. Sorry. People were like, she shouldn’t be on there. It’s for models.
Bri (20:53):
Victoria’s Secret rebranded. It is no longer for models. It is for whoever. You know what I mean?
Dr. G (21:00):
She looks so cute. And there’s photos of her with the other models, and because she’s a gymnast, she’s like four 11 or something. I was like, why can’t she be on the Victoria Secret catwalk? Why are people getting that is for, it’s a model thing. You don’t see the models trying to do gymnastics. Girl, she’s an Olympian. What?
Bri (21:22):
Their whole thing was diversity. And I feel like that didn’t work out super well. So they were kind of trying to go back to the OG Victoria Secret Fashion Show because it just hits different. I ate ice for three straight days after watching it
Dr. G (21:40):
Where she looks amazing. And who cares that she’s not a 10 foot model? Like, oh my God, she’s so cute. The people at home sitting on their couch feeling the need to troll is pretty incredible.
Bri (21:58):
Yeah, she looks so good.
Dr. G (22:01):
Anyway, it just sucks. I think we can probably move on. So let’s talk about top plastic surgeons. First of all, if you look up Castle Connolly Top Doctors, the first featured result is some guy in San Francisco. So cool. That’s because he’s paid for the enhanced profile.
Bri (22:20):
That’s what I was going to say. You have to pay a little bit to get to the top of the list.
Dr. G (22:24):
Yes. So if you look at San Diego, I am in there because a Castle Connolly top doctor, which you just have to be nominated by other plastic surgeons.
Bri (22:38):
Slay, clock it, period. But if you look down the list, it’s pretty much every plastic surgeon, I feel like in San Diego. San Diego, it’d probably have to be hard pressed to figure out who’s not on this list, honestly. And you can also see it’s so valuable that none of us have
(22:56):
Actually, I already know who’s not on this list.
Dr. G (23:01):
Okay. So I will say the one thing about this list is that everybody on this list is an actual plastic surgeon board certified. So if you want to filter that way, although you could just look up your doctor with the American Board of Plastic Surgery and not get it from one of these lists, but at least you have filtered out who’s board certified and qualified. So you’re not going to get the ER guy posing as a plastic surgeon or the ENT guy doing boobs or whatever it is. So from that respect, and you can also see where we have credentials at a hospital. So that’s another tip off that we’re credentialed at a hospital, which means that we are credentialed to do those procedures, which again, if you go to, I’ll just say it’s skin and skinnier because the name’s so dumb. The guy is an ER doctor.
(23:57):
He’s not going to have hospital credentials at Scripps Memorial or Sharp Memorial or any other hospital for doing liposuction because he’s not a plastic surgeon. He’s an ER doctor by training. He maybe is credentialed to do emergency medicine somewhere, but probably not. He doesn’t need it. And so he doesn’t have hospital privileges anywhere, which means he’s doing everything in his office. And if there’s a problem, they’re just going to call 9 1 1 and ship your butt to whatever hospital they take you to. If he’s smart about it, then there’s those people who wait too long to call 9 1 1 for lots of reasons, but they’re usually prosecuted anyway. So
Bri (24:35):
Those people, they can’t have an accredited OR can they?
Dr. G (24:40):
No. Right. And then the problem with an accredited OR is that it varies state by state your accreditation. So now we’re kind of segueing out of top doctor, but I choose to have an accredited OR people have been like, why are you charging me for a facility if it’s in your office? I’m like, it’s a lot. Lemme unpack that for you. First of all, I pay rent. It’s not my personal, it’s not my garage in the back of my house. I’m paying for the space and this UCSD owned building and I have to meet all of their standards. And then it’s an accredited facility, which means I meet the national accreditation for Quad A every year and every three years have to have an onsite survey where someone’s checking that and going through everything. And all of that costs money to be accredited, but it’s also to keep everything, all your ducks in a row. Also updating standards. So as medicine evolves one day, we won’t need dantrolene in the office, but for right now, we still need dantrolene, which is a rescue medication for anybody who does general anesthesia for malignant hypothermia. Something I hope to never worry about, but we have that, right?
(25:54):
If there’s an update to how the crash cart should be changed or medicines change over time, they keep tinkering with how CPR should be deployed. I’m going to go on another tangent. So I was watching season one of Stranger Things with my daughter getting ready to watch the rest of it. And when they rescue Will, this shouldn’t be spoiling anyone a spoiler alert in the first season in the upside down, and they start doing CPR, my husband and I start laughing because the ratio of compressions to breath has changed. And I was like, that’s not correct. And he’s like, but remember, this is the eighties with the old CPR. And then my daughter keeps going, staying alive. Staying alive, which I can’t sing.
Bri (26:41):
Oh,oh, oh, oh,
Dr. G (26:41):
I know, but the rhythm that you’re supposed to be doing compression.
Bri (26:44):
You can also do it to bad bunny
Dr. G (26:47):
In Spanish?
Bri (26:49):
But nowadays you don’t even have to do breaths because CPR R from bystanders went down so low because people actually are scared to administer or touch anyone else’s mouth. They’re like, just do compressions.
Dr. G (27:02):
Just do something.
Bri (27:03):
If you just see, just do anything, people are like, I don’t want to give CPR. You don’t even need to give breaths at this point. Is it helpful? Absolutely. But if you don’t want to go suck on some stranger’s lips,
Dr. G (27:14):
Which I did, true full disclosure, I was biking home from a trauma call and somebody collapsed on the bike path on my way home from call. I was so tired. And I was like, Ugh.
Bri (27:26):
You have the best luck when it comes to things.
Dr. G (27:30):
I really do. So I had to do one person CPR because everyone standing around had to,
Bri (27:35):
No one helped you?
Dr. G (27:36):
No, everyone was like, oh, I don’t know how to do that. I’m like, you could at least do compressions, but they didn’t know. So they’re all calling 9 1 1. And then finally someone rolled up and was like, I can do compressions. I’m like, thanks. I’ve already sucked up the mouth to mouth.
Bri (27:51):
You’re like, I’m on it.
Dr. G (27:52):
I’ve already taken the The L. Yeah. So anyway, I don’t even know why I’m talking about CPR. Oh, so things change over time. So from the 1980s, the ratios of compression to breath has changed, right? There are certain guidelines that have been updated, and you can’t stay attention to advances in plastic surgery, not updates in CPR, except when I have to re credential CPR, and why do I have to do that? Because I’m quad A certified and it’s a requirement. So all of those things factor in having a facility that’s certified.
Bri (28:27):
I’m going to go on a small tangent just because I do a lot of this. Also, when you’re doing an oOR you’re not taking into consideration if you’re doing a procedure in a clinic, in a non-sterile setting, the OR itself has special tiles on the ceiling that so dust doesn’t fall. You have lighting, you have flooring, you have machines. You have things that are actually inspected annually every single year to make sure they’re working properly. There are a gazillion things that you don’t take into consideration. So when you walk into a clinic without an or, you’re not going into a sterile environment, the airflow, the temperature, you have to monitor things every morning. We do logs every day. There’s so many things that I don’t think you take into consideration when you do that versus what is your infection rate? Are you actually, okay, that’s my tangent. But
Dr. G (29:17):
No, it’s great. It’s all the things you get on a flight and all you care about is that you land, leave and land on time, and you don’t take into consideration all the safety and flight stuff and everything that you assume the pilot is going to get you there safely, right? You’re more worried about checking in and is your bag going to show up and all that nonsense. But that’s all extraneous because the FAA, all the rigorous training and certification, all that stuff is getting you from place to place safely. And I think that’s the same thing for an OR, there is a lot that goes in behind the scenes and all you know is it’s kind of cold and I need my socks on, or maybe the oxygen smells funny. That’s your input as the patient. So at least Castle Connolly is vetting, you can’t get on that list just because you say you are the best cosmetic surgeon on the planet.
(30:14):
That’s not going to get you there. When you say you’re a plastic surgeon on the Castle Connolly list, you’re actually a plastic surgeon, so you’ll give it credit for that. There are other ways you can verify your plastic surgeon. I think we have the US News, the best plastic surgeons in California, and then Newsweek, America’s best plastic surgeons. And I think, again, when you look at those lists, you’ll see what we call enhanced profiles. And that is you got voted to be a best plastic surgeon in San Diego. Do you want to enhance your profile and we’ll put this ad in vogue or whatever. And we’re talking like 10 grand to do that.
Bri (30:55):
That’s insane.
Dr. G (30:56):
It’s kind of a vanity project. So these are, again, this is the, I can’t remember, is this the Newsweek? I think this is a US news. Yeah, US News one.
Bri (31:08):
We could both get a handbag and a matching pair of shoes, just saying.
Dr. G (31:13):
And for some reason it always pops up as this is just generic California, so it’d probably take a minute to find me. Again, Dr. Al Kahim did not pay for that profile. It’s off of Doximity hasn’t updated it. So they’re pulling from Doximity cuz I could tell the little D is a Doximity profile photo
Bri (31:36):
50 pages,
Dr. G (31:37):
And then Newsweek, that’s the one that you can pay for and you can vote for a lot of these guys. See, it’s a lot of guys on here are voting for each other, and I’ll vote for you for rhinoplasty, and you vote for me for breast aug. And then this one’s voted on by plastic surgeons. And again, you can see who’s paid for the enhanced profile and who just got voted and was like, okay, cool. It’s also crazy because I don’t know, I do a lot of stuff at our national level, American Society of Plastic Surgery. And so when you run through those lists, I’m like, oh, I think I pulled up on the music one Best rhinoplasty, and I knew probably at least 75% of the names. I was like, oh, I know that dude. I know that dude. I mean, they all do rhinoplasty and they do a good job, but it’s kind of wild. Those are the people that speak at our conferences. I didn’t bother to look up breast augmentation, but it’s a small world, so if you’re talking on a national level, I’m going to know most of those plastic surgeons. What’s annoying is when you see their stupid little US news world and world reporter, Newsweek, Instagram Post bragging about being nominated or voted for as the best plastic surgeon. You’re like, okay,
Bri (33:00):
Right. Nobody’s gonna vote. I don’t know any other plastic surgeons in other states. I’m only going to vote for somebody I know. None of it makes sense.
Dr. G (33:09):
Yeah. So the America’s best Plastic Surgeon voting system is other plastic surgeons voting. I just have never been invited to vote. I mean, I endorse a lot of those guys on that list. I just haven’t voted. And I don’t know how you even get the list to vote. It’s bizarre to me.
Bri (33:27):
Is this based off before and afters or studies?
Dr. G (33:31):
No, no, no, no. They just give you a list and you’re like, yeah, bro, I like him. Yes.
Bri (33:37):
Yeah, he’s cute. I mean,
(33:40):
This is how I did my fantasy football team is also the same way I will vote. Okay,
Dr. G (33:46):
Hotty, not hot.
Bri (33:47):
Who’s hot, who’s not?
Dr. G (33:48):
Yeah, you wouldn’t have a lot of votes, I don’t think. Yeah. So I think, yeah, you’re not even voting on that. You’re voting on, maybe you’ve seen them speak at a meeting and present their results. That would be probably the closest I’m going to get to knowing how good someone is. I mean, because unless I’ve seen them operate, how else am I going to know? Right? So unless they’ve done a video, there’s one or two people that have done videos or speakers. There’s something called QMP, which is educational videos for plastic surgeons in addition to the stuff that we present at our meetings or they published in the journals. And a lot of that’s video-based now. And so you can watch a video of somebody doing a facelift or someone doing a breast surgery that they’ve put together to go through the steps of how they do it. Somebody like that, I’d be pretty confident saying, oh yeah, I’ve watched Brad present at the national meeting, met him in person, and he’s a great guy. And I’ve seen his before and after results presented, and he’s done a QMP video where he breaks down everything he does and you watch it in real time. Sure, he’s amazing. Love him. But most people, I’m not going to have that kind of depth of information on. So these lists of hundreds of plastic surgeons being voted on by other plastic surgeons is really just a popularity contest.
(35:16):
So taking that into consideration. So I am Castle Connolly, and they email me all the time about, would you like to be featured in X, Y, or Z? But sure, I would love to, but I’m not paying you five to $10,000 to do that because
Bri (35:31):
That’s crazy.
Dr. G (35:32):
It’s like, show me how that translates into actual patients. I have no idea.
Bri (35:39):
You can put that towards my salary.
Dr. G (35:42):
I feel like we could spend that other ways.
Bri (35:45):
We could become ICON members at Nordstrom.
Dr. G (35:47):
Right? So those badges and titles tend not to mean anything. And the how one earns some is very vague. Yes. Surgeons have to pay to be on those lists. There’s a component of peer nomination. If you want that enhanced profile, then yes, you have to pay extra. So those are all things to consider. It’s mostly branding. Got any more questions, Bri?
Bri (36:16):
I don’t know. I don’t know if I got any more questions. This list seems to be a sham.
Dr. G (36:21):
Yeah. I mean, it’s a way for people to make money. And by that I mean the marketing teams behind all of this, right? Yeah.
Bri (36:30):
It’s just with anything.
Dr. G (36:32):
So best plastic surgeon in the past, you are not allowed to create any marketing that said, I’m the best plastic surgeon. If you had that on your website, it’s still ethically not allowed to say, I’m the best. I’m number one. You can put it in the metadata. So that became acceptable. I know this because I was the ethics chair for a whole year, and people report each other for coming up as best plastic surgeon all the time because it is a very small rule in the ethics bylaws not to do it. So it would come up all the time. We would ask people to take it down and then they would, but a lot of times it’s the website companies doing it. And after a while we’re like, why is everybody doing it? And then you look and you see, oh, the guy who’s not even board certified is coming out as best plastic surgeon, best cosmetic surgeon.
(37:25):
And so they’re muddying the waters and we’re prohibiting ourselves from saying that. And the only reason you could say it is if you were actually voted on one of these lists, so you could say you were the best plastic surgeon if you were voted on the US News and World Report, which meant it had some value. Now, I feel like the rules have relaxed a little bit, mostly in part because the word best doesn’t even mean anything. It’s just a common Google search term. We’re all, who’s the best? What other adjective are you going to use?
Bri (37:57):
I feel like it’s like when you go onto, like a website that you don’t know and you’re like, oh, I’m not sure if I should order from them. It’s kind of sketchy. And then you go down and they have all the little, what is it, Newsweek A+. It’s on all these things. Yes. And they just probably throw all the logos, and then you’re like, oh, it’s fine.
Dr. G (38:19):
Right. So I think that’s a red flag. If you scroll down on someone’s website and they have 80 logos, it’s probably nonsense, right? Yeah. I feel like the logos are inversely proportional up to a point of, so most of us will have American Society of Plastic Surgery, American Board of Plastic Surgery, the Aesthetic Society logo, and then maybe a couple more. I have California Society, I think I might’ve bothered to put it up there.
Bri (38:49):
So are those things,
Dr. G (38:49):
San Diego Plastic Surgery.
Bri (38:50):
People should look for when they’re going onto a website you would suggest looking for.
Dr. G (38:55):
Yeah. And nothing is, it’s an ethics violation to put the ASPS logo on your site if you’re not ASPS. So that’s another one that gets reported a lot. And you have to take it down. And it’s usually in Texas, honestly, where people use that logo and they’re not members. And it’s really terrible because it does lend credibility to you and your office. And if you’re fake using it, that’s garbage. It should come down.
(39:20):
But it’s hard to police all that unless someone reports it. But when you start seeing the American Lipo Sculpture Society and American Board a Cosmetic Surgery, which is not a nationally recognized board or the founder of cosmetic Surgery for everyone, stuff that sounds chat GPT is, then you’re like, okay, well, what are all these made up societies that there’s only one member and it’s the person that’s on website? Like what? None of that makes sense. So yeah, I would say if you see societies you’ve never heard of, maybe Google those and be like, oh, that’s actually not real. I don’t know. There’s a few more esoteric ones. There’s a big word for you that are actually real.
Bri (40:11):
What does that one mean?
Dr. G (40:13):
Kind of rare or not commonplace.
Bri (40:17):
Not commonplace. Okay, perfect.
Dr. G (40:20):
So I’m thinking, I think it’s AS, I’m going to mess it up.
(40:25):
ASML or something that’s like the American Laser Society, but it has an M in there for some reason. That’s an actual society. It’s just not very commonly known. And so if somebody has that certification, does a lot of lasers, awesome for them. But a lot of them, when you look at some of these jokers websites that are not plastic surgeons, pediatricians or whatever, doing lipo, they do have all these fake logos of nonsense on there, and you’re like, no, these are all red flags. So it’s hard to practice in a state without a state medical license. But that happens. People practice even though they’re licensed as suspended. So you can always go to your state board and look up someone’s license. You can go to whatever they’re boarded in and make sure that they have actual board certification. Those are all the things I used to do when I was ethics. So first thing you do is look up these people’s licenses. In any state, you just say medical license, state of New Jersey. It takes like two minutes. It’ll lead you right there, and you can look it up and see if they have any outstanding claims or whatever, malpractice, suspended, whatever it is, any history, and then the board of whatever they’re certified in and see if they’re in good standing. That’s the only way to credential.
Bri (41:43):
Be in good standing. Do your due diligence.
Dr. G (41:47):
Please do your due diligence. It’s important. If you have any questions about board certification or state licensing or accreditation, you just want to be totally bored by the whole process and how it varies from state to state, which is wild. Please reach out, send us a DM or leave a comment. And if you just want to talk about plastic surgery, also reach out. We’re here for you.
Bri (42:13):
Yeah.
Dr. G (42:14):
If you are a believer in chronic Lyme disease, I’m sorry.
Bri (42:18):
Please reach out because I have questions, honestly.
Dr. G (42:22):
Okay. I think we’re going to scrub in.
Bri (42:24):
And scrubbing out.
Dr. G (42:26):
Yep. Bye.
Bri (42:27):
To-da-loo.
Dr. G (42:27):
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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