#602 - Plastic Surgeon Dr. Jacob Unger Explains Celeb Surgeries, Boob Jobs and Liposuction

00:00:06
Speaker 1: But it's really a natural extension of taking someone whose leg was mingled in a car accident and making so they can walk again. Taking a bone and plunging it into a blove vessel on the leg, and taking a leg muscle and turning it on top of it to protect it and putting it all back together. That's where plastic surgery was born.

00:00:25
Speaker 2: Hey, today I'm talking with doctor Jacob Unger. He's a board certified plastic surgeon and in town where we live, in Nashville, a founder of the Nashville Plastic Surgery Institute. I am very curious about all things plastic surgery. I'm going to start this conversation off asking about Brazilian buttler because I was told too. So big shout out to doctor Hunger because he answered all my questions and he knew some of them were pretty stupid. But we're going to talk about everything. Mostly it's I'm just curious how much stuff costs, what recovery's like, what procedures he does, what he's best at like. It's just a course here in plastics and a little bit in life. And if you guys want to follow him on Instagram, it's at doctor Jacob Hunger. We talk about why people go overseas for certain surgeries. So here he is doctor Jacob Hunger. All right, doctor Anger.

00:01:13
Speaker 1: Good to have you here, great to be here.

00:01:16
Speaker 2: Would you have me call you Jacob or doctor Unger. I feel like Jacob, when you introduce yourself to people, what do you introduce yourself.

00:01:23
Speaker 1: As like in the real world?

00:01:24
Speaker 2: Real world to Jacob? Oh you do, man, I tell you I'm a fake doctor. Yeah, because I got a fake doctor. It's an honorary doctor. H And I almost want people to call me doctor. So if I had earned it like you have a it'd be all doctor all the time.

00:01:36
Speaker 1: Yeah, I hear you. I you know, I think I find that the people who are doctors don't really need that.

00:01:43
Speaker 2: Yeah, that's why I'm demanding it, because I'm really not. I'm a fake doctor. Yeah. So I have a lot of questions about what you do for a living. But I was telling Amy, my co host I'm a radio show, that you were coming in and I just want to start with our questions so I don't forget it. She specifically said to ask you about a BBL. So we're going right to it, and we're going to talk about other things too. But a BBL is a Brazilian butt left? Is that correct? Is that a real thing?

00:02:09
Speaker 1: Totally a real thing. It has like nothing to do with brazil. What it really refers to is adding fat fat crafting to the.

00:02:16
Speaker 2: Butt And do people here do that?

00:02:19
Speaker 1: Yeah?

00:02:19
Speaker 2: Okay, so it's not from Brazil and you don't it's because Brazilian. It's because Brazilians are big.

00:02:25
Speaker 1: Yeah.

00:02:26
Speaker 2: Is that why it's to call that interesting.

00:02:28
Speaker 1: Name of the game. Yeah. So you know, we can take fat from different parts of the body and put it in different places and get it to live in that new spot. And so you can face breast, buttock and you can take fat where you don't want it and put it where you do.

00:02:41
Speaker 2: Does it ever not take.

00:02:42
Speaker 1: Yeah for sure. So you know it's important you go to someone who does a lot of whatever you want done. And even in the best of hands, not all of it survives. You know, fat needs blood supply like all of the rest of our body, and you're taking it out of us blood supply and putting it into a new area with blood supply, but the blood vessels to actually grow into that fat and revitalize it and make it alive. And so you know, if someone just squirts a big ball in there, it's not gonna work because the outside might get let's supply it, but those sales will die way before they get any blood.

00:03:14
Speaker 2: And if people come to you and say, I want a Brazilian butt lift, is that something that you have done?

00:03:20
Speaker 1: Yeah for sure, So you know, listen, my practice is not very flashy, showy from a results standpoint. It's all super kind of natural elegance, soft, And so when I have patients that ask for that, it tends to be like fit moms who have lost a little bit of volume, a little bit of muscle toe maybe over time, they're working out a lot, they're getting kind of thinner post kids a lot, and they want a little bit more shape, and so we call it. They would call it a skinny DBL or an athletic BBL, not like overdone proportions, not super big and round, just kind of like filled out a little more youthful.

00:03:57
Speaker 2: I want you to know that I'm gonna ask some dumb questions and I'm not being funny, like even asking about Brazilian butt lifts. I didn't know if that was like a superhero thing or if that was like something. Yeah, it was just like something that the Kardashians it on TMZ, like I didn't know, but that's really something. But is there are there other parts of the body that people want fat put on?

00:04:15
Speaker 1: For sure?

00:04:15
Speaker 2: Is it all Brazilian? Then?

00:04:16
Speaker 1: Is it like a Brazilian No.

00:04:18
Speaker 2: Brazil only got the butt everyone, Okay, where else would someone want fat?

00:04:22
Speaker 1: So some of the main areas are the face, so you know, revolumizing the face. As we age, we lose volume in our face and so you can put some fat back in there. That's obviously very small volume unless you want to look crazy and that that basically all stays because there's a lot of bloets applied to the face and you know, very little amounts of fat being added. So that's a really common area. The other mower most common area is the breast, so trying to revolumize the breast with not with implants, but with fat.

00:04:53
Speaker 2: Okay, that's different, Yeah, totally. So that's not a boob job, I guess.

00:04:58
Speaker 1: It would be. It is a type of one, but like the classic boob job or you know.

00:05:02
Speaker 2: Breast augmentation. Scientifically speaking, as we're both doctors here.

00:05:06
Speaker 1: Yeah, we are both doctors, Yes, sir doctor. So it's you know, placing implants into the breast to create more volume, and that is still the gold standard. If you want to actually have larger and fuller breast, fat doesn't work quite the same.

00:05:20
Speaker 2: Do guys ever come in for Brazilian butt lifts? Is that a guy thing at all?

00:05:26
Speaker 1: Yes? Not in my practice.

00:05:28
Speaker 2: Okay, but guys can do it. Yeah, sure, I guess you. I mean, you could do anything, right, It's not sure you've never done one on the dude here.

00:05:35
Speaker 1: Actually, actually that's not true. There's there's a close friend who's in the public eye who wanted a juicier butt, and so we put a little bit of fat and when we were sculpting from some other places instead of throwing it out, can.

00:05:47
Speaker 2: You can you take fat from some more from somebody else's body? Oh, it has to be your own fast.

00:05:52
Speaker 1: To be your own fatus. Id you like a transplant with like random tissue that would not have a not go well? Doctor?

00:05:58
Speaker 2: You should know that what a most cold calls come in for.

00:06:01
Speaker 1: It's a great question. Uh, I don't really know. I try to stay out of all the business side of everything. From intake you know, costs, all that kind of stuff. I just try to focus on doing surgery and kind of doing my art. I think I think it's a you know, we don't. It's a lot of word of mouth in my practice.

00:06:22
Speaker 2: So but if someone comes to the front door and they're asking about something, what's the surgery boobs?

00:06:27
Speaker 1: So no one walks in the front door looking for plastics or to that strange funny.

00:06:32
Speaker 2: I literally thought, you a donut man, you'd be like, I should stop by and see if they can do so people don't really just come in to say what do you got. It's not like a tattoo shop where you pick one.

00:06:42
Speaker 1: It's not what you're not driving pass like surgery sounds like a good idea and walk in and get something. So it's all phone call, emails, Instagram.

00:06:51
Speaker 2: I really thought people would show up and be like, oh, how much of a Brazilian butt left? If you were to do one?

00:06:57
Speaker 1: I really don't know.

00:06:59
Speaker 2: You don't know the price?

00:07:00
Speaker 1: No, that's like, you know, it's so awkward. I keep myself completely out of that. I have a team, like an incredible team, more.

00:07:08
Speaker 2: Than five thousand. Yes, okay, I just don't I have no idea listen.

00:07:12
Speaker 1: I think it probably ranges from honestly from you know, ten to one hundred thousand, depending on where you are in the country.

00:07:19
Speaker 2: You're world, Wow, one hundred thousand dollars.

00:07:23
Speaker 1: Not not in my office, but I mean, you know.

00:07:25
Speaker 2: I'm not even talking about you specifically, Like, yeah, for sure, my butt better do the percolator without me doing any of my other muscles at all, Like it just did naturally.

00:07:34
Speaker 1: Yeah, it just bound.

00:07:34
Speaker 2: Its like a button. I should push a button percolator. Yeah, that's wild. What do you do the most of uh.

00:07:41
Speaker 1: So I kind of do them two things facial rejuvenation, facelifts, and and then mommy makeovers are mommy makeover quote unquote, which is post mom surgery breast and tummy, and that's I operate four days a week and it's basically just those on rinse and repeat.

00:07:59
Speaker 2: Are you considered a plast surgeon? Is that still the term? Why is it called plastic?

00:08:03
Speaker 1: So it comes from the Greek word plasticos, which means to mold, So it's nothing to do with plastic. There is no plastic and plastic surgery that's, you know, a misnomer. But it's our job is to kind of sculpt and create and return form and function. You know, plastic surgery spans the gamut. All reconstructive surgeries are plastic surgery, hand surgery, creaming a facial meaning fixing the facial skeleton, or cleft lips and paletts. That's all plastic surgery.

00:08:32
Speaker 2: I don't like that then, because I just assume plastic means plastic.

00:08:36
Speaker 1: Yeah.

00:08:36
Speaker 2: I think it gives you guys a bad look. Interesting because I think, oh, they're a plastic surgeon. I go, like a Barbie or Kindle, they're made of plastic. They're perfect, So it's trying to make them perfect out of plastic. It's unfair. Yeah, but that's why I ask, like, are you a plastic surgeon? But that makes more sense, yes.

00:08:56
Speaker 1: And funny enough, plastic surgeon is what you need to look for. So there are other surgeons that call themselves, you know, cosmetic surgeon or aesthetic surgeon. They haven't done residency in plastic surgery, which is a very long, very competitive process. And so in America, if you're a doctor such as yourself, you you're legally allowed to perform any type of medicine that you know. Hospitals will give you privilege for and the patients will see you for and so because plastic surgery is, you know, not an insurance or cosmetic surgery is not an insurance reimburse the thing. It's a cash pay thing. A lot of doctors try to set up a set up a practice and perform it without training.

00:09:41
Speaker 2: When you hear about people like behind waffle house or doing their own apartment, how'd you hear about it?

00:09:46
Speaker 1: Yeah?

00:09:47
Speaker 2: But like that people like people die? Oh yeah, like if they're like because I will hear the stories or see the stories about people taking like fix a flat and putting it into their butt or some does that ever because we hear the bad stories? But does that ever work successfully?

00:10:01
Speaker 1: Oh god, no, no, no, no, I mean listen, maybe short term they stay alive, they make it out of the office, and they have a problem down the line.

00:10:09
Speaker 2: You know.

00:10:09
Speaker 1: The problem with plastic surgery. Two things, Right, You're only going to hear about all the crazy, terrible stories, and you're only going to notice the bad work. Good work is like how does that chick still look so good? You know? And that's because well done plastic surgery shouldn't change the way you look at you just make you look and feel like the best version of yourself.

00:10:30
Speaker 2: So what is your story as far as being a doctor. What did you want to be when you grew up a doctor?

00:10:34
Speaker 1: So you know, listen, I think your story is super inspiring. My story is not the same, but not that dissimilar, right. I grew up to cool hippie parents. They met in Dallas, Texas.

00:10:47
Speaker 2: Where'd you live growing up?

00:10:48
Speaker 1: I was born in Dallas and then I was there until I was about eight, and then they wanted to get out of Texas. My mom's from the beach in Jersey. Her mom died young, so there was a house. We moved to Jersey and I basically spent my formative years like Jersey Shore kind of kid close to New York and then move, you know, moved around ever since.

00:11:07
Speaker 2: But they want doctors.

00:11:09
Speaker 1: Oh no, I'm the first doctor in my family.

00:11:11
Speaker 2: Wow, that's awesome. Yeah, that's it's seemingly rare. A lot of the folks that I know, they're lawyers. Doctors are lawyers, yeah, somewhere in their family. Because I think to have a profession like that, it has to be something that seems attainable. Yeah, And I think with a lot of doctors or lawyers. Like to me, it was almost like New York or LA. It wasn't attainable. That that's fiction. That was fantasyland, like I'll never go there. That's just where they make TVs and movies. I didn't even know a doctor growing up, definitely didn't know a lawyer. And so I think a lot of doctors and lawyers they know it's attainable because they see it. Which is crazy about your story if you didn't have any doctors in your family and you still want to be a doctor.

00:11:48
Speaker 1: I mean we had, you know, we did not have a lot of resources, but there was a lot of love and support. And when I was three years old, I wanted to be a neurosurgeon. And that was my first Enrichmond project when I was in kindergarten, a map with a brain. And but I have no idea where I can. I mean, I don't know. Maybe I watched Doogie Houser Young or something like, you know, I mean, I just I thought I wanted to use my brain. I wanted to help people. I you know, I know that was my thing from a young age. But you know what caused that spark, I don't know. And then I pursued it.

00:12:22
Speaker 2: Were you always the kid that wanted to be a doctor?

00:12:24
Speaker 1: Yeah?

00:12:24
Speaker 2: So did you take your study seriously? Your whole schoolastic career.

00:12:28
Speaker 1: Not as seriously as I should have. I've had some you know, some good wake up calls and some good lessons along the way. You know, I was, I was good at school and all that I was. Especially early on in Texas. I got a lot of accolades because I was in a you know, I was one of the only English speaking kids in the district and so like that alone set me up to look pretty good. And you know, I would change grades for math. And then I moved to New Jersey, which was not a really great area either, and I skipped a grade and so I had all this kind of academics behind me. And then in high school I got a little lazy, hung out with some older kids. I did well, but I wasn't, you know, number one of my class. And so, you know, you went to Arkansas. I went to Tulane, which was awesome for undergrad wasn't really where I was planning to go. I thought I'd go to UPenn or Harvard or something like that. Although of course no one of my family has done anything like that, but I thought, well, it'll work. Little did I know how challenging all that stuff is. And when I got to college, I was I had a little chip on my shoulder, and then I kind of grinded starting then and ever since. And so I was, you know, upper section of my class. I had a three hundred of my random public high school. And then I was, you know, validatorian in college.

00:13:43
Speaker 2: Really, yeah, that's awesome.

00:13:45
Speaker 1: Yeah.

00:13:46
Speaker 2: So where'd you go to med school?

00:13:49
Speaker 1: NYU? Okay, so now you're so that's a touch. So then, so, you know, then I went to Tulane and I this is when my parents stopped giving me advice. I did this special program that would allow me to get accepted to medical school after two years of undergrad if I had like straight a's basically and did a mate and all of my pre med requirements were done in two years with a major outside of science. I was a philosophy major in college. And I did it, and I got into Tulane, and I was really young. You know, I went to college young because I you know, did all that stuff early. And my parents were like, I was into medical school at eighteen. My parents, like Jacob you're you're going to Tulane. This is amazing, You're in med school. I was like, you know, I think I might want to be a plastic surgeon. I think I want to be in New York. Like you were not paying for any of these MCAT courses because there are these expensive classes to take the test. You know, I didn't need the test to get in because I wasn't even time to take it. They're like, you're going to take this test and try to go somewhere else, Like, yeah, I think I want to give it a whirl, and you know, see if I can get to New York. So they wouldn't pay for the class. So I just bought that study book, that Princeton Review thing, you know, I just like read it cover to cover and took the test and I went well, and I was able to get in NYU, which is you know, that was a premier place that I wanted to be in because that was kind of where plastic surgery started in America.

00:15:09
Speaker 2: So why plastic surgery though, because you go to med could be anything. Absolutely what pushed you that direction?

00:15:15
Speaker 1: So I came in wanting to do that, but I didn't know what it was actually and I got there. I walked into the dean's office first day med schools that I need research, because you know, research is a big thing to set you apart as a medical student, you have to publish. And so he set me up with a group, and I knew plastic surgery was the most competitive field s gets into my competitivest chip on the shoulder. I wanted to do the hardest thing and I didn't know what it was, but I knew it was surgery. I knew I wanted to use my hands. And what I learned through medical school was, you know, I love medicine because you can think and figure out solutions to problems, diagnose and treat right. A lot of surgery is, you know, the diagnosis is given to you perform the same thing over and over. And so I didn't like that. And so plastic surgery is kind of the surgeon surgeon, that's what it's kind of called in the medical field, because we have to fix all the interesting, complex problems from the form and function from a skin and muscle and bone standpoint that surgeons need help with. And so I was like, oh cool, I get to solve problems and use my hands cool Field.

00:16:26
Speaker 2: Yeah, I think as you talk about being a plastic surgeon, I can film my relationship with what a plastic surgeon does change in that I told you my relationship. We just thought of it as plastic. I think of Canon Barbie, let's just create the perfect person, like television has taught me. But you're right, like so many doctors probably have to send people to you that they have there's been an illness and injury, and it's not you given somebody a BBL. It's you trying to get someone back to as close to normal as they can possibly be.

00:16:59
Speaker 1: Right. That accurate, one hundred percent. And that's that's where esthetic surgery or cosmatic or elective surgery comes from. It's kind of like the ultimate, you know, the pinnacle of trying to create the best shape and form and function. Right. So, yes, you might be making an improvement, but it's really a natural extension of taking someone whose leg was mangled in a car accident and making so they can walk again, taking a taking a bone and plugging it into a blood vessel on the leg, and taking a leg muscle and turning it on top of it to protect it, and putting it all back together. You know, that's that's where plastic surgery was born.

00:17:35
Speaker 2: Yeah, I have an unfair association of plastic surgery with only being esthetically pleasing and that's the pure purpose of it. And I don't think that's fair. I don't think it's fair for me to think that, And I haven't had that realization until right now because again, you guys, meaning guys, women doctors, you are doing so much more than just that. But because I see on TV so much that just the celebrity versions of it, the boobs and the butt and the lips, that's all my association because you're in you know, you're in that world, right, I mean, you're gonna see, You're gonna be surrounded by celebrities and you know, trying to trying so hard to look so good all the time. So I mean I think that your idea of it is probably the standard public, you know idea.

00:18:19
Speaker 1: But we have a mutual friend that had breast cancer, and you know, plastic surgeons address breast cancer. They from a rebuilding and reconstruction standpoint, skin cancer on your face. You know that dermatology, dermatologic surgeons and plastic surgeons fix all those holes from skin cancer and so on and so forth.

00:18:38
Speaker 3: Let's take a quick pause for a message from our sponsor, and we're back on the Bobby Cast.

00:18:53
Speaker 2: Whenever you finish surgery, do you know like I just crushed that, or do you have to like wait till it all heals?

00:19:00
Speaker 1: You know, you got to keep some humility about you or you're gonna it's not going to go well. So I usually I'm I'm usually very pleased in the surgery. I feel really good about it. But I'm never like, oh, this is perfect seaing ever. You know, I always want to be like, is this exactly what I wanted? I want to you know, I'll write notes after every surgery. I'll say, you know, right, breast was really complicated for X number of reasons. I do a lot of revisionary surgery from from with problems from around the world, and I'll say, you know, this was really hard. It was super tight here, and it looked pretty good, but you know, you have to imagine how the patient will evolve, how their skin will change, how the tissue will change with gravity, with stretching. So you can't have it always exactly what you want on the table because then it'll change post operative you know, post up.

00:19:48
Speaker 2: If I get my car washed, I know when it's done, my car's washback, just look at it and be like it's done. But when you finished on someone like they have to heal still, So like the final final result is not like you know, because you've done it so many times, probably what's going to happen. You don't know the final final result right till it totally heals up. Yeah, I think that would be what would keep me humble.

00:20:06
Speaker 1: Yeah, yeah it does because you know what, I what I always say, I can't control how you heal, right, you know, I mean with experience and you know, a lot of reps, you can get a pretty good idea of where things are going to end up, but you don't really know. People can have bad scarring or good scarring, or stretch your skin or tighter tissue, and so you know you gotta this this this field will humble you no matter how good you are.

00:20:39
Speaker 2: So a lot of people say they have a deviated septum and they just come into the get cosmetically fixed.

00:20:43
Speaker 1: I think people sometimes want to have a reason to have surgery besides just wanting an improvement in shape.

00:20:49
Speaker 2: A deva symptom is a real thing though, Oh for sure, Like I don't even know. I had a friend that had a real deviated septum. Yeah, and after he had it, because he before he went in, he would he would close one and it's when he breathe. It was like you always had a cold. Right. And again my association with dba a'scepting with people lying just you got a note job. And he had a real one and he came out of it and his looked no different. But he had that's called the septoplasty. I wouldn't have known that, yes, but he had that done. And so I was like, oh, that's a real thing, right. But then I hear and I know of people who say that, but I actually know that they went in because they just wanted it fixed, or they wanted their nose changed a bit.

00:21:29
Speaker 1: And honestly, I think, you know, people are so much more upfront about plastic surgery now, they're embracing it as opposed to hiding it. I think that that's less common. I mean, Hollywood has he kind of led the charge on that. People are coming out and on social media there's a new celebrity every day talking about what they had done. Why they did it and why they did it for themselves and you know, pulling out of the darkness. I mean, it's not something to be ashamed of. I'm obviously biased, but we all want to you know, look how we feel and feel like the best version of ourselves. And you know, we exercise and we eat healthy, and we study and we meditate and we do all these things. And so having you know, kind of the physical shape and form that matches how you feel, it feels like to me a natural extension of how we're able to evolve and with technology, you know, do things safely.

00:22:21
Speaker 2: What do you think about red light? Because there's a couple versions of other people that have little mask and we have the bed the big deal, and so that goes deeper. So do you subscribe?

00:22:31
Speaker 1: Yeah, so it's real for sure. There is real studies in peer reviewed journals that show that red light and have an impact on a variety of different things in the skin from a skin remodeling and you know, just kind of revitalization. So it's a great, you know, low risk, good return thing. Yeah.

00:22:52
Speaker 2: I think my problem with it's been you can't really tell. Yeah, and I've read some studies. I read a study that NASA did with plants that blew my mind. And these were basically, I'm going to dummy this up, but it's basically a bunch of injured plants and they did red light on them for an extent period of time and they healed back so much faster than the plants that were also injured that they did not use red light on. And they did this over and over again.

00:23:14
Speaker 1: It wasn't repeatable.

00:23:15
Speaker 2: Yes, and so like to me, that's enough for me to go for it. But I don't ever get out and I'm like, dang, I just got red lighted like crazy. That feels great.

00:23:25
Speaker 1: So so listen. Plastic surgery like I perform every day, Obviously it's one way and then three hours later it's another way. Like it's a big fast change, but it's a big thing to do. It's you know, downtime, the lower kind of insult to the body you're performing, the slower the build right. Like skincare sunscreen, Let's talk about sunscreen. We all know that we put on. Sunscreen helps prevent skin cancer, also helps with wrinkles. That's because the sun damages your skin, destroys the elastin in your skin. Reduces the collagen. You don't put on sunscreen, be like, man, my skin's also it's it's a it's a forty year game you're playing, So keep doing the red light. You look good. You'll you'll look better in ten years than if you never did.

00:24:09
Speaker 2: It forty of your games. That's a game. Sucks what it kind of And I know vitamins work, but red light to me kind of feels like vitamins because I don't take vitamins and feel good.

00:24:21
Speaker 1: You don't, you know, you don't need you First of all, you don't really need to take vitamins because we live in America and when everyone everyone's diet gets basically everything you need in.

00:24:29
Speaker 2: There, I don't know, sometimes vegetables for like a month.

00:24:31
Speaker 1: Oh yeah, forgot, I'm talking to you. Yeah, sometimes you should probably take this, just.

00:24:38
Speaker 2: Like supplements and certain things. But okay, go ahead.

00:24:41
Speaker 1: So no, I was I was just saying, it's you don't need red light to you know, feel good or even look good. What it is small incremental gains, just like you know, good skincare to just have that skin constantly turning over, and it's st we think about saunas we have one I love it. My wife used it all the time. I think, I think they're good for you. We have an infrared sauna, you know, which which is hot, but it's the that energy goes into the body a bit more listen to. I think it's the end all be all of health and clearly not. I mean, if that were the case, everyone in Skandinavia would live forever and have no problems, and we would so in ninety percent of people in like Sweden or they have they have a sauna, like everyone has them. I think there's a there's a lots of all these little things, you know, cold plunging and and.

00:25:36
Speaker 2: All of the we think about cold plunging.

00:25:39
Speaker 1: Listen, I I like it. I do it, Yeah, I do.

00:25:42
Speaker 2: Why do you because I've done it. I'm not a hater of it, but I've done it.

00:25:45
Speaker 1: I find it and you definitely get adrenaline rush, you getting a dopamine hit from that, you know, which is cool. I think it can you know, I don't do it a lot. I'm pretty thin, so I get cold quickly. I like the mental game of how long can I take this? How calm can I be? You know, just kind of work me on mental strength, fortitude. I tell my kids, you know, never give up perseverance. I just want them to learn grit and toughness and.

00:26:11
Speaker 2: Okay, so here's is about discipline. Yours is about pushing yourself more than it is physically.

00:26:15
Speaker 1: What it's doing to the body, Yeah, I would say, I would say that's the bigger part for me. That's that's what I certainly love about it. But I'll feel good when I get out of it.

00:26:23
Speaker 2: You know what I feel?

00:26:24
Speaker 1: Cold? You don't feel it? Kind of floaty? Are you fork? Nah?

00:26:32
Speaker 2: Long enough? Like whatever the time is it to look on the internet?

00:26:34
Speaker 1: Right? How long?

00:26:35
Speaker 2: And it's like if you stay two minutes, you know, you get a gold coin or something.

00:26:38
Speaker 1: Whatever that is I do.

00:26:41
Speaker 2: But then to me, there is that, oh I feel kind of a weight feeling that I do like. But it's the dread pre it's the drying off. Now I'm wet. I don't like being wet. Just generally speaking, I don't like get in the pool.

00:26:54
Speaker 1: We got a pool.

00:26:54
Speaker 2: I don't like it in the pool people are like wet you ever so many pool know what. I don't like being wet? Yeah, So like that's a part of it too. There's just a lot of like weird elements, but I subscribe to all. These things probably work a little bit, but they only work with consistency. If you're if it's like a sauna or red light or what like, you have to be consistent in anything for it to function well.

00:27:20
Speaker 1: As most things in life, correct you, I'm not going to learn guitar because I tried once to do guitar hero So yeah, I think that's totally right. Again, this is not a one and done kind of thing. This is like a commitment. This is a lifestyle. Those are These are lifestyle things.

00:27:33
Speaker 2: So you know, if I went in and had sympat taking all my stomach.

00:27:39
Speaker 1: I knew it. I knew that's why I was.

00:27:40
Speaker 2: Here, and I would do that. I would have asked you to, like bring the pliers and the scissors and let's get it done. The problem for me is not any sort of stigma. It's the recovery. I don't recover. I don't like being wet. I don't want to recover. Okay, so I don't have time to recover.

00:27:58
Speaker 1: I know.

00:27:59
Speaker 2: It's like I run so so hard and I'm on red all the time that I don't have a couple of weeks to be like, hey, I'm just gonna but is it. Let's say I went in and I was like, hey, I got a little fat. Here, help me out because I'm in pretty good shape. And let's I did that. How long would it be until I could like played pickleball or run again?

00:28:17
Speaker 1: So you know, listen, I know, I know that feeling. That's kind of how I am set on go at all times. You know, my mother's always you know, honey, you're so tired. You know, just kind of the way it is. So I totally hear what you're saying. Serger's not that long. Liposuction is is a little bit of a quicker recovery than other things. I mean, healing takes time, but from a recovery standpoint, you can be back to some exercise like one week. Might be sore, it might hurt a little, you know, but again that's all appear. You're not going to hurt anything because nothing's been kind of cut and sewn. You can't tear anything apart. But you know, I give patients a pretty quick recovery timeframe, the quickest that science will allow. Because most of my patients are super active and have a lot going on. No one really wants to be down. So by six weeks from any surgery I'm doing, you can do anything. Could I rock climb?

00:29:10
Speaker 2: Could I dunk?

00:29:11
Speaker 1: You can definitely learn to dunk, just from like dunk before. But if I can dunk after it, I thought as much. Yeah, yeah, this will make you dumb.

00:29:19
Speaker 2: Lipos suction so liblosuction in my mind, as you take the dentist endows and you suck out the fat, is that true.

00:29:28
Speaker 1: In very few words? Yeah. So liposuction is done with canulests. They're kind of like metal straws, okay, and they have holes on them, and you have to put some fluid into the fatty tissue of the body first kind of let it set up, and then you go in back and forth with multiple little access points to try to create a smooth, even playing field essentially by removing fat where you want to remove it. And so it really is it's an art, you know, it's it's sculpting. I mean there's some science, of course, there are science behind the safety, there's science behind when to know when to stop, you know, but it's really just to your eye and touch and experience what you need to remove and what you need to leave behind.

00:30:07
Speaker 2: Can fat come back in the spots that you've sucked it out?

00:30:10
Speaker 1: It's a great question. Once you remove fat cells, they're gone forever. You can't get new fat sales. So after you're about five years old, the fat seals you have or the fat sez you have, as you gain weight, those fat cells expand or contract.

00:30:25
Speaker 2: Oh they're not more fat cells, no more fat sales. The fat selters get fat.

00:30:29
Speaker 1: That's it. Fat seales get fat, so they kind of swell. If you look at it, they kind of look like like chicken wire. That's what fat cells in the body look like. And those fat those chicken wire holes get bigger or smaller. So if you have a problem area where you tend to gain all your weight and you suction out fat from that area, fat will not go there as preferentially. I mean, you'll still gain weight in all the areas, but if you used to go to your belly and now you gain ten pounds, you might feel it more, you know, in your hips or thighs more so than that area.

00:30:58
Speaker 2: Do generally, guy get it like And there's because I have a rout of my stomach here. I also have a surgery where I have scar tissue where it kind of grows back weird anyway, I might splein taken out. So from my starnum down to you know, almost my what you guys would call, I use clinical turns my weener area. There's there's a scar.

00:31:19
Speaker 1: I'm really are reductory ex Yeah, so I.

00:31:21
Speaker 2: Have a scar. And again because of that, my stomach is a little weird. I know, belly button a little weird anyway, But that's still where the fat goes on me. Is that most dudes?

00:31:31
Speaker 1: Yeah? That so men tend to gain it in the inn section. Women you know, tend to gain it more and the hips, thighs kind of area as a general rule, so you know, men that come in for liposuction. The key to really everything I do is making you know what I tell patients, I want the skin to match the deeper tissue. So right now there's a little bit more fat, there might be a little bit of extra skin. If there's extra skin already, I won't do liposuction because all it's going to do is remove fat and leave more skin. So I tell everybody, you know, a bunch of saggy skinniness isn't better than kind of a fuller, slightly more plump thing. So a lot of things have to be aligned for liposuction to be the solution.

00:32:13
Speaker 2: Do you ever tell people no all the time? Tell me about that.

00:32:17
Speaker 1: I mean, by the way, if you find a surgeon that only tells you yes, run because you know that that's really saying no is more important than saying yes. My job is to educate on the on the front end, make sure that we're aligned, expectations are appropriate, and then maybe you're a candidate to have a surgery. And a lot of times people want things that aren't realistic, or have unrealistic expectations, or want something that's not real and so no is how I spend most of my consult days.

00:32:53
Speaker 2: Is an unrealistic expectation If someone wants a whole lot if fat taken out, like what would be an realized equitation? So you know, like if you get your haircut, you taking a picture and do this, does that happen?

00:33:05
Speaker 1: Yes? So somebody A good example would be, you know a breast patient. Let's say there's a fuller figured woman that has low breasts, she's older, and she brings in a picture of a swimsuit model. Well, she's not gonna have those breasts, right Like, that's just not in the cars. There's too much tissue, the chest is too wide. Things have changed too much, you know. So people say this is what I want, and that's an easy no. I don't. I don't see much of that disconnect. But you know, people will also bring in a picture. They'll say, I feel I'm so tired now I don't look as good as I used to. This is me just a few years ago. I want to look like this, And they'll bring in, you know, maybe an ai kind of air brushed picture. You're like, I can't make you a cartoon. That's not going to happen. Right. So again, most of my patients are incredibly lovely, very reasonable. You know, people you want to be your friend. I mean, that's what I look for. If I don't like you, if I don't connect with you, then I'm not the right doctor for you.

00:34:11
Speaker 4: The Bobby cast will be right back. This is the Bobby cast.

00:34:26
Speaker 2: If I wanted to get peck implants, because my whole life, I've been very insecure about my chest. Okay, when I was thirteen, I had the chest of a thirteen year old boy. When I was thirty, I had the chest of a thirteen year old boy. It really never matured past yeah, that thirteen year old boy, and I'm beyond that now. But if I did, is that something that's done for guys that it makes them look like strong at the gym.

00:34:51
Speaker 1: I don't do that at all. I do no implants in males. I do no implants in women other than you know, breast implants. There are very small group of surgeons that I know around the world that do that routinely, so they have the experience to do it. Because it's not a super high request surgery, so you better find someone who does that's really specialized in kind of male bodybuilding enhancing style surgery. But there's a lot of problems, you know with that. I mean, the male peck is obviously a big muscle, it's used a lot. The implants for men are these kind of very rigid pieces of silicone, and so I mean it's just something I've I've totally avoided.

00:35:31
Speaker 2: So yeah, no, I'm never I'm thirteen or forever, I'll die thirteen years of my jest. Yeah, cats also not common at all. None of these solid none of these solid implants are common, especially in the United States. They're more common in Asia, Middle East. They don't look very good.

00:35:49
Speaker 1: I don't think, just you know why I don't do them most of the time, so yeah, I would steer clear of that.

00:35:55
Speaker 2: Giving heard about those people that break bones and get taller, like the sur where they and they put a rod in.

00:36:01
Speaker 1: Yeah, that's crazy a Lizarov. Yeah, so what it's called, And well, the Elizarev method was invented in Russia and like I think the eighteen hundreds. I mean, you're testing my memory here, but you know, that's a real thing you can cut. So we actually that was one of the big projects at NYU. It's called distraction osteogenesis, which is big words, but it means taking a bone, pulling it apart slowly and allowing new bone to fill in. So it was first done in the legs, then it was done in the jaw. We do it for babies all the time that have certain cranio facial abnormalities, very very small chin, no airway, They have to have a trake when they're born. You can rebuild the jaw, stretch it out so the tongue pulls forward and they can get rid of a trake, live a normal life. Wow, that's very common in a children's hospital. You go to Vanderbilt right now, there's a I'm sure I don't know, but a number of children in the pediatric ICU they get a quarter turn. The residents go by and do a quarter turn, you know, twice a day or four times a day, depending on where you are, to stretch out that jaw. So that was the chairman at n YU. Bringing it back to why I went there for med school. He was this really famous creating and vacial surgeon. He wrote the first paper on doing that in the jaw as opposed to the leg and dogs, and you know, that kind of set him up for a big career and one of the reasons why I wanted to go there. But it's it's a real thing. Yeah. One dude grew like four inch.

00:37:21
Speaker 2: He didn't grow. One dude put in like he grew. I grew, I keep saying grew. He was four inch taller. Once he was healed, he walked a little funny.

00:37:27
Speaker 1: Yeah.

00:37:28
Speaker 2: And then you're like, as it worked that you're walking a little funny with you with your new rods. Then you're so, I think that's wild. You know, it was wild that show The Swan. You ever watched that? That show was crazy? Telling me that show. You had to look at that and be like, what are they doing?

00:37:40
Speaker 1: Yeah? That was that was a little overstepping probably you know what I mean.

00:37:45
Speaker 2: For those that don't know, let me explain to people watching this and listening to this The Swan epic show by the way, Yeah, but it shouldn't have been real. No, they both can exist like epic show, but they shouldn't have been In my opinion, it was somebody who went in and they were like, uh, everything was like off, and they were like fix me, and they did like forty two surgeries on them and all a sudden they walked out and they were like a Swan everything.

00:38:07
Speaker 1: Yeah, that was a wild show. That was a wild show at the nineties.

00:38:10
Speaker 2: Probably are did you look at the Swan.

00:38:14
Speaker 4: Really?

00:38:14
Speaker 1: Yeah? So kind of like that Nip Tuck era is kind of early, you know that that nineties plastic surgery was so kind of under the radar. You know, seventies and eighties you look in Manhattan, socialites would get facelifts, but like super hush hush and very very small small volume. Has things got more refined and better and safer kind of started ramping up and things went a little wild and like kind of the late nineties early two thousands. Again, I was I was young at that point, so I.

00:38:42
Speaker 2: Oh, I had piece with the swan though, that's a wow, that's a wild thing I've ever seen.

00:38:45
Speaker 1: That was it. And then and then everyone's like, we're gonna we're gonna rain that. Bring that in a little bit.

00:38:50
Speaker 2: Whoever green lit that show I should have a talk with. That's crazy because they would have like all these surgeries at once and they'd present them and they still look jacked up. But still though, it is crazy that like what it was a wild rewarding surgeries for you as a human being, Like, can you tell me about a couple that you've done where you're just so proud of your work because you've helped somebody's life.

00:39:12
Speaker 1: Yeah, I mean, you know it not to sound like overblown, but it's like almost countless, Like I mean, you you know, that's what's important for me to realize it. It's not just fixing a hole from cancer that people are appreciative of and life changing for you know, the more common thing I see now, you know moms are the best example. They have babies, they nurture their children, they raise their children. It does a toll on the body, you know, without a doubt, stretching out, the stomach, the muscles, the skin, breast get deflated and change, you know. I no one gets spared, right supermodels. I see supermodels, they get you know, a lot of changes in their bodies too. And to help a woman kind of restore herself and feel like herself off again, there's a lot of happy tears and there's a you know, it's a really it's a really special thing to get to be a part of, you know, that journey for people. And then on the reconstructive side, as you can imagine, you take someone who's having you know, a burn victim that can't turn their neck, and you do a surgery to rebuild the neck so that it's flexible and pliable again. Or somebody cuts their thumb off and you put it back on for.

00:40:25
Speaker 2: Them, which that's happened.

00:40:27
Speaker 1: Oh yeah, I've done it countless times. In residency, I don't do that, you know anymore. That's you need a big academic center. So I trained in Dallas Parkland Hospital, biggest public hospital in the country, and we had we were on what's called replant call replanting fingers and arms every single day for six years the plastic surgery department at UT Southwestern.

00:40:48
Speaker 2: So there are that many people losing fingers in arms.

00:40:51
Speaker 1: Oh, it's NonStop. I mean they fly them all in.

00:40:53
Speaker 2: You know, everyone's crazy.

00:40:54
Speaker 1: I mean it happens multiple times a day.

00:40:57
Speaker 2: And so they come in and Okay, if happens, do you put it on ice? Because that's what TV said, they put it on ice. Like let's say I chopped a finger off and I'm like, oh my god, there's my finger.

00:41:06
Speaker 1: Wrap it in a in a wet paper towel, put it on ice. Go to a major academic center. But does that mean the hospital I saw our major academic hospital like a Vanderbilt. These services this is very very you know, you have like primary care, it's like your doctor. Then you go on up. This is like what we call quaternary or fourth level care. It takes a big team of specialists, special microscopes, microsurgeons who do this all day. It's you're not going to find it at like every random hospital in small towns, but they'll they'll ship you.

00:41:38
Speaker 2: That reminds me we were both too young to have been adults when this happened. But and I'm only partially being funny because I'm curious about this, But remember when Lorraina. Bobbitt cut off John Wayne Bobbitt's penis and threw it in the field.

00:41:51
Speaker 1: So I reattached two penises.

00:41:53
Speaker 2: You have a kid and I again, hah whatever, But I'm that serious stuff like how does that? How do you get it to work again? It does it work? Full ever? Again?

00:42:00
Speaker 1: So, I mean it's one of the I've presented this case. You know, it's not that common. There's only a couple of the papers written about penis replants. The kid he was young, you know, one of the ones. Anyway, he was getting erections before he left the hospital. I mean again medically speaking, and you know it was working that fast. Oh you're in the hospital for a while.

00:42:23
Speaker 2: Oh you are. You don't walk in a couple threads and it's.

00:42:25
Speaker 1: Like, oh no, it's a it's a couple of the couple of weeks of hospital.

00:42:28
Speaker 2: How do you get it to work again?

00:42:29
Speaker 1: Though? Because it feels like there's a lot of blood vessels. Yeah, all those tubes back together. So it's called microsurgery because we use a microscope. Under the microscope we do tiny little needles that you really can't see the sutures for that is much thinner than a human hair, you know, a couple of microns thick, and you sew them, you know, interrupted the little stitches all the way around the circle, but the two tubes reconnecting them all nerves, arteries, veins.

00:42:56
Speaker 2: Any of the nerves or veins artificial.

00:43:01
Speaker 1: Then not in that particular case. But you know, if you lose a finger, sometimes there's nerves and your fingers. Your fingers aren't too good without nerves. And so there are what are called nerve graps. They're off the shelf, meaning they are products that are in the hospital, and you can take that little it's basically like a nerve sheath without the DNA from a person, and you can use that to plug in and then the nerves can regrow through that tube.

00:43:26
Speaker 2: This is going to be the stupidest question, please respect it. Could you attach somebody else's penis onto my spot?

00:43:34
Speaker 1: No?

00:43:35
Speaker 2: You couldn't.

00:43:35
Speaker 1: No, So listen again, that's a transplant, right. So the body has an immune system. The immune system recognizes self and non self. So some people have allergies. That's pallen. Your body sees it as a problem, fights it. If I plug someone else's DNA onto you, your body be like, what are these cells?

00:43:52
Speaker 2: What about an organ transplant? Though? What if someone had a matching penis.

00:43:56
Speaker 1: So you could wrote if you're identical twin had a much bigger penis than you can take it from him and put it on you identical two ends. It would work. Really Yeah, that's crazy. Yeah, So you know you have to immune with suppress transplant patients because they have to.

00:44:09
Speaker 2: Be really close.

00:44:12
Speaker 1: So if you get a you know, you have a kidden, you need a kidney transplant, you have to find a match, like the donor has to match. You can't take any old kidney. It has to be someone who's really similar to you. Sometimes family members are matches they have. Again this is not my area, but there's a variety of factors that they look at to see what immuneo logic things, what immune system things match up, and you need enough of those to match to be a match to get that kidney. Even with that, you're on serious medicine for the rest of your life to dumb down your immune system. So someone with a kidney transplant gets sick, it's a big deal. They're in the hospital real quickly. They have got a lot of antibiotics because their immune system doesn't work the same.

00:44:53
Speaker 2: Why you've had to replace two penises. And that's not even that's crazy that it could even work even a finger, Like, it's crazy that you can get it to to function again.

00:45:01
Speaker 1: Yeah, it's cool. Yeah.

00:45:04
Speaker 2: What what was the first human you ever cut into? Were they alive?

00:45:08
Speaker 1: I guess not, no speak, you know, the first humans that we cut into is going to be in general anatomy. You know, general anatomy like good advertype situation. Yeah, but you're not learning surgical technique. You're just learning all the structures. The first human I cut into.

00:45:23
Speaker 2: Was are you nervous? Your first your first surgery?

00:45:26
Speaker 1: For sure? It was med school, you know, I was operating with the surgical team, and that's how teaching hospitals work. I was super gung ho, like I said, I would finish my classic certain my excuse me, my medical school work, and then late at night I go to the hospital and figure out what plastic surgery cases were happening, reconstructing all these things. Ask if I could come in and scrub in and then get to know you better and better and better and then let you do stuff.

00:45:50
Speaker 2: I'm meaning to ask this in a positive way, but were you a super nerd for it?

00:45:54
Speaker 1: Yeah?

00:45:54
Speaker 2: Like you wanted it. You were so nerdy for it, Like you wanted to be there when it wasn't even your time to be there.

00:45:58
Speaker 1: I was there all the time. That's awesome, my time to be there.

00:46:00
Speaker 2: That's what I want my surgeon to be. I allan a pilot to be that too. I want my pilot to be outside the simular to being like can I get in? I know it's not my time, but that's what I want all my surgeons, my pilots, anything that because you have our life in your hands.

00:46:16
Speaker 1: Yeah, it's been it's you know now at this stage in my career, I'm actually trying to learn how to extricate how I see myself from just being a surgeon. You know, it's been the focus of my life. You know, I'm in my early forties. For the last twenty years, I've been like focused on basically that, right, and you know, you're not You're now you're a father, and you're a husband, and you have friends and You're not just a radio you know, You're not a radio host, You're not just a You're not a personality alone. So much of my of my self worth has been wrapped up in what I do that you know, it ends up being a little unhealthy. At some point. You have to remember that you're a person and you know, connect with my kids and wife and friends and find other interests because it's easy to just do nothing, but that forever you get zoned in, you get focused, and you get worried that if you're not doing more than you're not doing enough.

00:47:15
Speaker 2: And so, yeah, my entire identity has always been about what I do, and I'm starting to, as you said, not have that be the sole focus. That's also hard to release that because of the goals that I've always had, because a little bit of me starts to have real life come into play and it's not the sole focus. And I start to go, wait, am I if I slow down, if I start to lean into these other parts of my life that are valuable. But if I take the gas off of this you know, radio show, podcast, whatever I'm doing, like I'm going to lose it there. Like I struggle with that because I've always been such a nerd for all this.

00:48:02
Speaker 1: Yeah, I mean I feel a lot of similarities with you. So what my executive coach would say is, you know what motivated me early on? You know, fear. I don't want to I didn't want to have nothing. I didn't want to be able to afford to send my kids to school. I wanted to achieve something. I wanted to accomplish something different. But you know that fear doesn't serve I'll speak for myself. It doesn't serve me anymore. I don't need to live my life upset when everything isn't perfect. And you know, this week, I should have done one more surgery because I could have and I had the time, and why wasn't it full? And why isn't Why did no one come in for that? And you know, I spend my I spend end up spending your life like kind of miserable or frustrated or upset. And I'm not going to you know, I'm not going to let my foot off the gas. This is who I am. I'm going to strive for excellence. I don't need to do it in such a way that I'm just beating myself constant. You know, that served me. But it's time to, you know, move on with with the next next face.

00:49:05
Speaker 2: Did you find having kids change that?

00:49:08
Speaker 1: You know, my wife, she's gonna laugh and she hears this. So when when my first child was born, I was a resident. I was on my chairman's rotation, said, babe, I have big surgery with doctor Roorg. That's that was my chairman and one of my big mentors. Tomorrow, do not have this baby. Of course she had the baby. I had to skip work. Was I was, It was okay. I took three days off and then I went right back to the grind. I'm like, this is my training. I you know, you'll be fine. Your mom's coming to town. Cute baby high. You know. Second child, I was in early in practice. I took one day off. I went in for the day of the baby and I said, you're good, right, you can go. I'll get you home tomorrow. But I went back, like I have patience there. You know, they they moved their life to have surgery. I can't cancel. Third child. We scheduled. I had it born on a Sunday, so I took no days off. I was pretty upset by this point. This is this is only six years ago, and I thought it was so cool. You know. I was like, I'm earning for my family, and I'm all my wife wanted was me to be around, and all my kids want is me, and so you know that was ramping up to the to the most extreme kind of overdone. And I used to think it was cool, just like I used to brag about not sleeping. You know, we were always trained like I haven't slept in three days, I'm still up. You know. Someone eventually was like, you know that's not cool, right dude. I'm like, oh, okay, So trying to trying to recognize what I'm really going to care about on my deathbed. And I really do care about my patients, and I want my family to be proud of me, and I want to be a pillar of my community. And I you know, I love that whatever reputation I've been able to to create has been one of you know, trusting and loving and good BETSI manner, and that is all a big part of who I am. But I can't shirk everything else and just expect it to stay there and be there for me.

00:51:10
Speaker 3: So let's take a quick pause for a message from our sponsor.

00:51:23
Speaker 4: And we're back on the Bobby cast.

00:51:26
Speaker 2: I started to have mortality thoughts now, which I never really had. That's just the getting older part.

00:51:31
Speaker 1: Yeah.

00:51:32
Speaker 2: And I was always the youngest, always the youngest at at a high level, right always, And now that's catching up too, And so you start to go, whatever, I want to die soon? Yeah, like maybe if I just die now, I'll be cool. Still I die cool? Hear anything about that? You know? Think about that?

00:51:48
Speaker 1: Yeah, well I'm not cool, so I don't even worry about that. But you know, yes, like someday though, the public might not be as interested in you right like down the line for whatever reason. And so that's not all that makes you. That's not all that makes you important. That's not all that makes you, you know, a light in this world. So I think gaining some perspective, especially while you still have all the accolades and everything going and you know, all the stuff you've done, Like you know, I've been here for eleven years now in Nashville, and obviously I've known about you because everyone knows about you for all this time. And I've seen I've watched you, know that growth your career, what you've done, how hard you've pushed how many things you do at the same time, and you know, I connect with that and I look up to that. You know, it's just you can get caught on that treadmill and kind of lose everything else.

00:52:40
Speaker 2: Yeah, having a kid, and again we're so new in the kid state process. I don't know, it's the baby, it's a human I don't know, not a process. I feel like a science experiment time. I'm not gonna lie, but yeah, it's like that stuff starts to set in a little bit where it's like, I really need to allow these other things to come in because if I don't, they're going to come in anyway. And so I'm going through that a bit. It a couple other questions that popped it in my mind, and I hope I'm not speaking out of turn here. And maybe you've set out before to Kristen before. Yeah, okay, so if I'm wrong, but I believe you to Christian Cavalari's breast augmentation, if it's a celebrity on the table, is that more pressure?

00:53:19
Speaker 1: You know, she's awesome, she's she's a sweet, dear friend as well, which is always you know, which is actually another layer of pressure, right, operating on your friends, which I've done a lot by this point. You know, it's it's it's obviously a little more into the microscope. You know, there's a little bit more stress, especially when you first start operating on people in the public eye. And I try to put that aside. I mean maybe leading up to it, but then, like, you know, I'm no athlete, but you know, being in the zone kind of thing. I mean, I want to be in my flow state. I'm doing my thing. It could be person ABC or D, does not matter, and I come up for air at the end and it's been three hours and you know, it's like a total time warp, and you know, then I might be like, oh god, you know, but I really try to approach everything the same. I think that's when you mess things up when you try to, like, you know, be extra cool or do something extra because you're worried about that person or patient.

00:54:13
Speaker 2: So it's got to be a weird relationship because let's say you do the breast augmentation on somebody and then you see them two years later, do.

00:54:21
Speaker 5: They just go, look doc, They're still good Usually to everybody, honestly, I'm right after But if you just see them like years later that that's probably just.

00:54:32
Speaker 2: Normal to be like, how are they sure?

00:54:36
Speaker 1: I mean, you know, listen, it's a private thing. I want to respect people's privacy, so I will never come up to you to you, yeah, they come up to me, then I'll take their lead like you know whatever.

00:54:46
Speaker 2: That's wild.

00:54:47
Speaker 1: Yeah, yeah, you know. I always say, like, sixteen year old me is super impressed with adult met It's like, you see a lot of boobs. Wow.

00:54:58
Speaker 2: Do you feel fulfilled with your your career choice? Yeah, that's cool, that's the coolest part of all this.

00:55:03
Speaker 1: How about you?

00:55:07
Speaker 2: Sometimes I feel like a failure still tremendously, like tremendous. I I I live in a failure state, right, So it's nice to know that if I were fired, I would still be able to buy groceries for the rest of my life. Like that's a comfort. But I feel like, but I feel like a failure constantly in my guts, like deep, deep, deep. So I think I'm fulfilled when I can do cool things for people, Right, that's awesome. Yeah, I think that's where my fulfillment comes from. All this stuff goes away tomorrow, nobody knows who I am in two days. If you know it's not real, but like I cling to it at the same time, So I don't know, it depends what day it is. Yeah, but it's like I'm more fulfilled for you after having this conversation because again, my association with plastic surgery is what television has told me, and that is unfair. Yeah, because you were like, that's oh, that's slick willed the plastic surgeon. He's doing boobs and butts to make whim But really there's like so much more involved. It's so it's so involved that I'm kind of embarrassed I ever felt that way about it. And also you're like in shape and cool and good. Look and you're like, look at you.

00:56:18
Speaker 1: Look at him.

00:56:18
Speaker 2: He's you know, mustakes, he's hot stuff. Do you get that? You know, like you're you're like really good, You're like really in shape. You can't do it to yourself, though, can you?

00:56:28
Speaker 1: You can't, Like, no, I've never had any cosmetic surgery.

00:56:31
Speaker 2: You haven't, Dan, could you do it to yourself?

00:56:34
Speaker 1: I actually did do a small procedure on myself, you know, little fatty tumors called like pomas, like a little kind of ball under the skin.

00:56:42
Speaker 2: You ever heard of that not familiar now, But I had.

00:56:44
Speaker 1: One on my stomach, and I'm like, I think I can do this. So I have my team around me. I laid out of my own chair, I numbed it up, took a knife, I cut into it, I spread it, I got it out, and I sewed it up. So I did one little surgery on myself. But no, you can't do like real surgery.

00:56:58
Speaker 2: And you've never been weird about see guts and stuff. Never no, never hard to cut into flesh like I when my baby was born, I didn't want to cut the umbilical cord. I didn't yeah, by the way, because I said, is there a benefit. If there is, I'm happy to do it. If it's going to benefit the baby in any way, give me the garden cheers, right, And they were like, no, shit, I'm out, don't find oh I cut a mistake. I'll be honest with you. I pick up, I do a full fork like lollipop. I don't like cutting meat, so for me, not the job. But you never got an issue.

00:57:28
Speaker 1: No, you know, I don't have a lot of natural talents. But like that was that's certainly something that set me up. I mean, I was never a problem for me. I uh, you know. One of my sons loves it, right, He's watched me do surgery office. I have a surgical center and in my office it's all private, so he can kind of watch from the window, and he's always been super enamor with it. My other son he's like, you know, it's like, oh god, you know, and it's it's so cute. He's like, I think I can get over because I want to be a plastic surgeon like daddy too. It's like so adorable. But I think and by the way, I don't think just because it weirds you out when you're young, or it doesn't me portends one you know, answer or the other. You could start feeling kind of grossed out and get over it. I don't like it, you know, I don't like I don't like eyeballs, like poking eyeballs, Like I don't.

00:58:20
Speaker 2: Like watching poet torture or surgery.

00:58:24
Speaker 1: No, I'm not a fan of torture. No. No, you know, like a lens replacement in the eyes where you cut through the quardia and opening got it.

00:58:34
Speaker 2: That that that's too far a little weird for me.

00:58:37
Speaker 1: Huh h.

00:58:39
Speaker 2: Congratulations on everything, but like people really respect you because you know, we says to show start on Netflix. It's been for the most part, just people I'm super interested in and so, uh, like, I'm really and I hope my questions have been coming from a sincere place, even though they've kind of been funny. But I really do wonder this stuff, and I think that I was just kind of I had the wrong impression. But like I that's it's been a super enlightening last hour for me. So I really appreciate you. That's awesome answering those questions.

00:59:08
Speaker 1: I really appreciate it, you know, I mean, I I want to make my family proud, and you know, honestly, being invited on this felt like a big deal. So you know, you're the first non.

00:59:20
Speaker 2: Celebrityve had on Netflix. I think you're a celebrity. Don't take that. Don't be offended by that, you know what I mean, You know what I mean, it's a fair stave. Don't find offense in that, because hopefully that didn't.

00:59:29
Speaker 1: If I'm only a celebrity to like my mother.

00:59:31
Speaker 2: Regardless, Like, you know, what's your what's your favorite surgery to do? If you've got one surgery and the like. You can specialize in one thing. What do you do?

00:59:39
Speaker 1: I My answer has always been too you know, I love I love my little mix. I love doing really so I final I'll give you an answer. Thank you, Okay, fine. So complex re visionary breast surgery is probably what I'm you know, best known for from like a.

00:59:56
Speaker 2: Broader what's complex about it?

00:59:59
Speaker 1: Like people that have problems or issues, you know, maybe in infection, maybe a heart of scar tissue issue or asymmetry malposition meaning implants on the wrong spot that if I tried to have it fixed multiple times. I do a lot of like clean up work, and that's that's a fun challenge.

01:00:15
Speaker 2: I have a friend that's a vet and people will just send her pictures of like their dog's pooping or like being they get their dogs sick or something. Do you ever people just send you pictures of them?

01:00:22
Speaker 1: Yeah? Like, what what is this?

01:00:24
Speaker 2: What can I do?

01:00:25
Speaker 1: Really have a lot of new selfies?

01:00:27
Speaker 3: Yeah?

01:00:28
Speaker 2: You could get away with that though, I mean, that's a way, No, honey, I'm a plastic sergeant.

01:00:33
Speaker 1: Listen. My wife does all my Instagram stuff along with Sophie my office, who's awesome, and a lot of stuff I don't really go on there much, and you know it be it'd be probably I have no interest, but probably pretty easy to pull up in a fair you know, like no one.

01:00:47
Speaker 2: I would think. So my final question is if I don't get enough sleep and I don't eat right, my performance the next day, it's probably not going to be good. I might get away with it once, right, But because I have to be mentally focused, I've got to be there physically, yeah, I have to be on Yeah, so I have to take care of myself. Do you feel that way, like going before surgery, like the night before it's eat right, get get to sleep on time, like you have to do the fundamental things right so you can do right for them, of course, yeah.

01:01:18
Speaker 1: I mean I work out five every morning. You know, I go to bed early every night. When I'm on vacation, I get up, I have my same routine every morning. I kiss the kids to make money. You know, it is very much like game day ritual if you will. You know, every day I wanted to be consistent and and you know I owe that to my patients, and you know, I want to feel the best version of myself. So I hopefully agree.

01:01:44
Speaker 2: Mike do you have anything, because I'll end. But if there's any question, I just didn't ask because I have a hundred that come at me.

01:01:49
Speaker 3: All.

01:01:49
Speaker 2: I wants anything that comes to your mind. Okay, that means I've done a good job. Okay, if he's got nothing, that means I've done a good job.

01:01:56
Speaker 1: I like that.

01:01:57
Speaker 2: People can just reach out to you on the Instagram.

01:01:59
Speaker 1: Yeah sure for sure?

01:02:01
Speaker 2: Uh or yeah sure, yes, we said it before you came in. We can say it again.

01:02:05
Speaker 1: I don't, but yeah Instagram, there's a website.

01:02:09
Speaker 2: But don't just stop by. Don't do like because if people don't apparently people don't just stop by a walking swinging by looking for it's.

01:02:14
Speaker 1: Not gonna work.

01:02:15
Speaker 2: It's not gonna work too well. Yeah yeah, set up an appointment. Doctor talkers, thank you for your time. This has been awesome, Bobby.

01:02:19
Speaker 1: I really appreciate it. Man.

01:02:20
Speaker 4: Thanks thanks for listening to a Bobby Cast production.