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- [00:00]
Holly Madison
When you've been told you're getting old or you're too old since you were 19, it starts to lose any power. And like, now I'm 47 and it's like, you can't tell me I'm too old for anything.
- [00:11]
Dr. Sheila Farhan
I'm Dr. Sheila Farhan and welcome to Derma Proof, your insider access to skin that looks and feels its best. Today on Derma Proof, I have the one and only Holly Madison. So from being in the public eye and the peak mid early 2000s beauty standard and beauty culture, which is, like, very iconic, to navigating beauty aesthetics, self image, just over the years, I feel like this is going to be such a good conversation for us to kind of delve into what beauty means to you now. The aesthetic space, things have changed so much. But I feel like people are just so nostalgic about the early 2000s.
- [00:52]
Holly Madison
Yeah.
- [00:52]
Dr. Sheila Farhan
So I'm so excited to kind of delve into that as well as the more recent things that you're doing. So thanks for being on the show.
- [00:59]
Holly Madison
Of course. Thanks for having me.
- [01:00]
Dr. Sheila Farhan
Of course. Okay, we're gonna start with something fun. So in the world of, like, AI, you never know what's real or anything, but I did some digging and I wanna know if this photo is real.
- [01:12]
Holly Madison
Yeah, that is me, my senior year in high school. And I don't know what you would call me. Alt, maybe. But I was very experimental with my look. I'm an Aquarius rising. I always wanted to look different. So I was always doing all kinds of things, whether it was like coloring my hair or doing like punk jewelry or just making things almost like a character. Yeah, yeah, this.
- [01:34]
Dr. Sheila Farhan
I looked at it and I was like, was she goth? Were you goth?
- [01:37]
Holly Madison
I don't know. I mean, like a hardcore goth person. What do you call that, Garth? Goth, I would say, just more you'd call it alt, I think. Got it.
- [01:44]
Dr. Sheila Farhan
Got it. Yeah. So then from kind of this moment, what started that kind of love for beauty in that sense?
- [01:53]
Holly Madison
I'd always kind of loved it in theory, ever since I was really young. I always loved women like Anna Nicole Smith. I was obsessed with like, Marilyn Monroe and the old movie stars. And I always thought the women of Playboy were the prettiest in the 90s, like Jenny McCarthy and Pam Anderson. You'd always see, like, Playboy commercials on TV late at night, or you'd be in like a Suncoast video store that's their 90s. And they'd have like the Playboy videos and just the women on the COVID looked smart. Because they were always lit so well and their makeup was perfect, and just nobody looked like that. But I didn't really get into it for myself until, like, right after high school. And I wasn't really doing it in college. It's more like I just wanted to look like that. And halfway through college, I transferred universities. I moved to Southern California. I started working at Hooters. So that's when I started to, like, put it into practice a little bit more.
- [02:45]
Dr. Sheila Farhan
Got it. Got it. And it was really just the feminizing look. I mean, it was. It was definitely a look. So it's interesting because you. I think. Well, we talked about our mutual. One of my patients and clients, who. She was on your podcast as well, Sarah Underwood, who. I know you guys. Yeah, she's so great. I don't know if it was her or someone else, but they said that right when you kind of got in the house, it was like, people automatically went to, like, Garth Fisher, and it was like, boobs and noses. Boobs and noses and everyone. What was that like? And who was the one who made that decision? It was like, was it that one girl, saw the other girl and was
- [03:22]
Sponsor/Advertisement Voice
like, I want that?
- [03:23]
Dr. Sheila Farhan
Or was it half? Or was who. Who was kind of, like, recommending plastic surgery?
- [03:29]
Holly Madison
I mean, it's kind of a different journey for everybody, and it's kind of different. Like, I started coming to the Playboy parties, and then I ended up dating half. So that's kind of different from coming into it, from just being, like, scouted as a centerfold and coming in to shoot. And, you know, obviously, a woman isn't chosen to be a centerfold unless she's beautiful or fits that standard or whatever. I did hear a story, and this was, like, way after the fact. And it kind of shocked me to hear about one of the Playmates came on my podcast and said that the editor at Playboy at the time told her that, you know, we could buy you a nose job, and then you could come back and test, and if you make it, you make it, and if you don't, we'll pay for your nose job. And that, like, my jaw was kind of on the floor. Like, I feel like. I don't know how ethical that is. Like, I guess it's different if somebody really wants to be a Playmate and they're just begging like, what can I do different? And maybe you wanna tell them. I don't know, but I feel like that's kind of a weird thing to do. But as far as I know, that was not commonplace. It's like I started working at the studio and directing the Playmate pictorials for two years. And, like, when girls would come in, I had a dentist that they could go get their teeth bleached or maybe we would dye their hair one color or something, like get rid of highlights or something like that, if it wasn't photographing well. But I would have never presumed to, like, suggest plastic surgery. I think some of the Playmates came in and, you know, shot their pictorials and then maybe a year or so later started thinking, oh, maybe I want, like a fuller chest. And that was totally, you know, their decision. And, you know, of course they would ask around, they'd want to know who the best of the best was. And there would kind of be go to people amongst, like, the Mansion crowd. Not that you had to go to that person, but, you know, everybody wanted to know word of mouth. And back then, like, Garth Fisher was the one for boobs. That's who I went to. I went to Raj Kano Nodia for my nose. He's amazing. Yeah.
- [05:15]
Dr. Sheila Farhan
Yeah. Still in practice, I think. Still in practice too, for sure. Yeah. So that's really interesting. But yeah, it. It just seemed like also in that era and compared to, like, what I do, which I'm a cosmetic surgeon, but I focus a lot on, like, non surgical derm procedures for people, even boobs, I do like, more non surgical. If we need to do some sculpture in the boob and just get a little bit of like, umph or tighten the outside of the skin. Non surgical breast lift. Very, like, subtly. It's so different than back then where plastic surgery was just so big, like, even with lips, I feel like people did flat transfers. And Lisa Rinna, you know, talked about silicone. So it's very plastic surgery heavy. Like, did you notice that or was there a lot of, like, non surgical approaches to aesthetics too?
- [06:06]
Holly Madison
I don't think there were a lot of non surgical things like there are now. And I remember when I was in my 20s, in the early 2000s, I don't think people were getting, like, silicone in their lips. I think it was a similar type of injectables that they use now. But the technique for sure is completely different. Like, I felt like when women, like, no offense, but I felt like when women in the 2000s, like, everybody wanted to look like Angelina Jolie, like, all of a sudden big lips were in. And I felt like it never looked natural and it always looked like the duck, like, lip. And of course, things changed over the years and in the early 2000 and tens, people started doing them so that they would, you know, expand kind of this way and not out like a duck pout. But I felt like. I don't know if lip injections were a good idea in the early 2000s. I personally. I guess everybody's taste is different, but I personally didn't think it was the look.
- [06:57]
Dr. Sheila Farhan
Yeah, no, I agree. And like you said, Even in the 10 years that I've been practicing, I've kind of always done a similar thing. But technique has refined a bit as far as the fillers that are out there. A little bit more flexible, a little less. Less thick. Yeah, yeah. So. And I feel like more people know to use them. Although there's still, like, that look with some places that you go.
- [07:22]
Holly Madison
Sometimes it happens.
- [07:22]
Dr. Sheila Farhan
Yeah, sometimes. But I feel like it's not like it's expected. Like, if you're gonna go somewhere really great, reputable Derm Plastics, you're gonna get great lips versus before. There wasn't as much knowledge there. But of course, if you go to an area or a place that isn't as advanced, you could end up with some of those issues that I'm always dissolving lip filler, like, in my office and starting from zero.
- [07:48]
Holly Madison
Wow.
- [07:49]
Dr. Sheila Farhan
And sometimes people will get lip filler and they didn't know, but it's non dissolvable, and that's, like, where the issue happens. Oh. Because there's, like, filler that's dissolvable and then filler that's non dissolvable. So that's hard. I know. What was the competition like as far as beauty, like, in the house while you were there?
- [08:04]
Holly Madison
I mean, for Playmates, like, things that get kind of competitive around Playmate of the Year. But I don't know if anybody thought they could do anything about the way they looked at that point, you know? Cause you've already shot your pictorial, and you're kind of expected to maintain that same look and, like, not dye your hair for two years while you're doing promo for it and whatnot. So I don't know if the Playmates were competitive with each other. Looks wise as far as, like, the girlfriends.
- [08:30]
Dr. Sheila Farhan
Yeah.
- [08:31]
Holly Madison
And I'm talking about before Girls Next Door. I don't think we cared, the three of us. During Girls Next Door.
- [08:35]
Dr. Sheila Farhan
Yeah.
- [08:36]
Holly Madison
But before, I think when there were seven girlfriends, kind of everybody was, like, hoping to be chosen for some kind of, like, feature in the magazine. So everybody wanted to have big boobs and to get a nose job, which I did both of Those. And it kind of just turned into a domino effect where not everybody, but a lot of people were getting those. But I don't know. Like, I can't really answer that. How much of that is coming from competition and feeling, like, the need to keep up or feeling like you might get chosen for pictorial or something versus just, okay, I'm here, and I want to get as much opportunity out of it since I'm putting the time in. So if she's getting this, maybe I want that too. Like, I don't know if it was a competition thing. It might have just been like, let's make sure I'm getting as much out of this as I can. Or maybe it was just something they wanted the whole time. I don't really know.
- [09:26]
Dr. Sheila Farhan
What was the big goal for people? Was it that they wanted to be Playmate of the Year? They wanted to be one of the girls? They wanted to live inside the house. What was the ultimate goal?
- [09:36]
Holly Madison
I mean, it was probably different for everybody. I think most of them wanted to be in the magazine in some capacity. There's a period of time when I was living there where it was just me and one other girl, and there were so many other girls going out with us, and they all kind of wanted to fill, like, those empty five spots. And he kind of kept it that way for as long as he could to see how long he could keep all these people coming out without having to, like, pay for anything or have anybody live in the house. But eventually it, like, the seven spots got filled. So, I mean, I'm assuming, like, everybody wanted to be in the magazine. I think people just wanted to, you know, get money or gifts or maybe make contacts up there that would help them in their career. I'm sure it was kind of different for everybody. I don't know if there was, like, one big goal everybody was fighting over. If I had to pick one thing, it would probably be, like, to be in a pictorial or something.
- [10:29]
Dr. Sheila Farhan
Oh, okay.
- [10:30]
Sponsor/Advertisement Voice
I know.
- [10:30]
Dr. Sheila Farhan
You mentioned on another podcast, actually there was, like, a lady there, I think you kind of like. Or, like, you were like, it's. She's almost like the Giselle.
- [10:41]
Holly Madison
Oh, the recruiter. There was always a recruiter in the group when I was there, not when it was me, Bridget and Kendra, because we weren't, like, recruiting other people. We were like, let's just keep it us three. But before then, there was always somebody in the group that would, like, try and drag people into the group. And I just felt like that. I mean, I didn't like, it personally, but I just feel like it's rather unethical. And I think a lot of predatory men rely on a woman to do that because a woman's presence is so much more reassuring to other women and then they don't have to do that part of the dirty work themselves.
- [11:15]
Dr. Sheila Farhan
Yeah. And you saw that firsthand, which is insane. I'm sure it happens in so many other kind of industries within that industry too. Which is. Which is crazy because she was supposed to be with you guys. You know, like your advocate, in a way. Was there a certain look that that recruiter was looking for?
- [11:32]
Holly Madison
I mean, everybody knew Hef liked blondes, and it was a very cookie cutter look. Like blonde, skinny, big boobs. But sometimes she was just looking for, like, cool quantity. Like she was looking to like, bring people in who wouldn't necessarily end up a girlfriend. So maybe she didn't have to be blonde. It was just kind of like.
- [11:50]
Dr. Sheila Farhan
Yeah, just like you said, kind of like, yeah, starry eyed, like, just moved to la, wants that life type of thing. You mentioned that you had the boob job and the nose job. Was that your idea or was that his?
- [12:03]
Holly Madison
No, it was definitely my idea.
- [12:05]
Dr. Sheila Farhan
Yeah, because other girls would. I know you said that you were getting it and then kind of like that became the fuel for the other girls maybe getting it. Maybe because you were like his number one girl at the time. Yeah.
- [12:16]
Holly Madison
I mean, I knew there had been girls who lived there before me who he'd bought Surgery for, so I just asked. And then after that, it was like kind of domino effect with the other ones who, like, came after me.
- [12:25]
Dr. Sheila Farhan
Yeah.
- [12:26]
Holly Madison
But I don't know if they were getting it because of me. They just might have seen it as like what I saw with people before. Like, oh, this is what's possible.
- [12:32]
Dr. Sheila Farhan
Yes, yes. And it's so funny to. To think of those two things. So the boobs, the nose, the blonde hair, and then also the figure. Run me through how diet culture was back then and how you guys all stayed thin.
- [12:46]
Holly Madison
I think it was different for everybody. Everybody was really young, so I think a lot of people could eat whatever they want and not worry about it. That was just their body type. And they were in their early 20s, so they didn't have to worry about it. For me, I had body dysmorphia and I wanted to stay really thin, so I would count every calorie that went into my mouth. I had every food I could possibly eat just memorized in my head. There. There was no app or anything. Like, we didn't have smartphones back then. Like, I memorized every calorie, so I knew exactly what I was putting in my mouth, which is not necessarily healthy. I think I was over fixated on that.
- [13:15]
Dr. Sheila Farhan
Yeah.
- [13:15]
Holly Madison
And there are times I look back, not the whole time I was there, but there are times I look back and think, oh, I was a little too thin for my taste.
- [13:21]
Dr. Sheila Farhan
Yeah.
- [13:21]
Holly Madison
Like, where did my ass go? But. But there were other people. Like, obviously, I don't want to, like, out anybody specific, but there were definitely eating disorders, so it was all over the place. It was like, yeah, serious eating disorders to, like, mild eating disorders to just people who really didn't have to worry about it.
- [13:40]
Dr. Sheila Farhan
Yeah. Yeah. And it's almost like, especially with people with some type of not eating disorder, but, like, kind of like the restricted. It's almost like this control you have, because maybe you didn't have control over other things. I don't know. It's just a really interesting thing because I. I know what you're talking about with the calorie counting, and that's like very, very kind of a specific. Like, you do, like, 1200 calories. You know exactly what you're having. And then you were at the house, so it was probably, like, very consistent every day.
- [14:07]
Holly Madison
Yeah, absolutely. And I knew whatever restaurant we went out to, I knew what I was gonna order and how many calories it would have.
- [14:12]
Dr. Sheila Farhan
Yeah. How did the body dysmorphia change as you left the house? Did it stay with you or.
- [14:19]
Holly Madison
Not entirely. I definitely wasn't worried about staying as thin because I wasn't living under this roof where I felt like I had the pressure to be perfect at all times, because he would definitely make comments if I was bloated or whatever. But I still feel like my sense of what I really look like is a little off to the point where I still weigh myself almost every morning, because I feel like to keep my health on track, I kind of need to know what the number is. And I don't necessarily recommend that for everybody. It's not necessarily the healthiest thing to weigh yourself, but.
- [14:55]
Dr. Sheila Farhan
Yeah, but it's kind of like. Exactly. It's. It's hard to completely stop, like, old habits.
- [15:01]
Holly Madison
Mm.
- [15:02]
Dr. Sheila Farhan
1,000%.
- [15:03]
Holly Madison
Yeah.
- [15:03]
Dr. Sheila Farhan
What was, like, getting ready? Like, was there, like, what were the skincare products you guys were using back then? Did you share them? Was there a whole routine or. Not really, like, back in the house.
- [15:13]
Holly Madison
I don't know what anybody else used. I'm trying to think. I mean, I've been using Retin A since I was 11. So that's always been part of my routine.
- [15:20]
Dr. Sheila Farhan
Yeah.
- [15:21]
Holly Madison
I'm trying to think, what do I use for skincare back then? Oh, you know what else I would use is the self tanner gel. The clothes Clarins that used to work so well.
- [15:27]
Dr. Sheila Farhan
Oh, yeah.
- [15:27]
Holly Madison
I went to a dermatologist and she was like, anna Nicole Smith used this. So I was like, I have to use it too. But I loved it. It used to work so well.
- [15:35]
Dr. Sheila Farhan
Yeah.
- [15:35]
Holly Madison
I mean, I would always wear like a sunscreen moisturizer during the day. But it honestly, like, was not anything fancy. Like, it wasn't the fancy, like skinceuticals type products that we had now. It was nothing like that. But one thing I started using probably toward the end of my time there because I would always. Like, I had acne when I was young. That's why I went on the Retin A. Yeah. And I would have liked small breakouts after. And I always loved like the. I don't even think they make it anymore. I buy like a dupe version on Amazon. But they used to have the tea tree oil foaming face wash from Body Shop. Like, that's so good for acne prone skin. I loved it. And it like really gets your makeup out too. And it's a good brush cleaner.
- [16:12]
Dr. Sheila Farhan
Yes, no, it is. Tea tree oil is an astringent and it helps with acne. And I think if your skin's not super irritated and dry, and I would say if maybe you're living in Vegas, it would be a little dry. But I feel like it's way more humid here. Yeah, but I know exactly. It's like in a green. Is it like in a green color tube? Yeah, yeah, yeah. I know exactly what you're talking about. But I feel like it's not as. Yeah. Skincare was not as big back then. People don't have their like cult favorites no 10 step skincare routine. That's probably also why your skin looks really good as the Retin A. Yeah, thanks. I know. I feel like the people. It's like if, you know, you know, like if you had acne, it's almost like a good thing that you had it because they put you on such a strict. Derms put you on such a strict. And I had acne as a teen as well, so I knew about the sunscreen that you have to use because you're using the Retin A and they're really like, we're really, really strict about that. And then.
- [17:07]
Holly Madison
Oh, that's probably what got me on
- [17:08]
Dr. Sheila Farhan
sunscreen knowing totally about that 1,000%. And they were probably like, you can't be out in the sun and show your, you know, all of that. So it's probably just like ingrained from your derm when you had acne. And that's probably why you look so good.
- [17:20]
Holly Madison
Thanks, mom.
- [17:21]
Dr. Sheila Farhan
Yeah. Do you have any, like, regrets of the early 2000s?
- [17:27]
Holly Madison
Plucking my eyebrows way too thin. Like, anytime a photo pops up in the early 2000s with like the plucked out, bleached out eyebrows, I just cringe. I hate it so much. But I was also like, experimenting with my looks so much and I wanted to. I had those Kevin Aucoin books. I don't know if I'm saying his last name, but you know, where he would like, make people look like old movie stars and like. So I was into trying all that kind of makeup out and I experimented a lot and it didn't always look good.
- [17:57]
Dr. Sheila Farhan
Yeah.
- [17:57]
Holly Madison
But it was fun. And that's how you learn.
- [17:59]
Dr. Sheila Farhan
Yeah.
- [18:00]
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- [18:47]
Dr. Sheila Farhan
them all the time.
- [18:48]
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- [21:54]
Dr. Sheila Farhan
Are there any big like plastic surgery regrets that you or anyone that you know back then, like they would all do? And then now you girls are talking and you're like, I can't believe we did that.
- [22:04]
Holly Madison
You know, I think with breast implants it's such a tricky thing because some people, it just doesn't work for. For whatever reason their body will reject the implant or they'll get the breast implant illness or the surgery will be kind of botched so they want to try again. And it's sadly can turn into this never ending thing. So I think that's an important thing to look at if you're wanting to do that. I have had a really great experience with my surgery, but I mean that one's a tricky one. Definitely. I don't have any other regrets I can talk about. A more recent thing that I think was a waste of money is I wanted to do hand rejuvenation. So I did the whole laser filler combo. And then your hand kind of swells up the first day and looks like a hospital glove with ice in it. And then it goes down. And I had the cutest chubby hands and I was so excited. But that was just the swelling and it went away. I know, in a week. And it was like I blew all
- [22:56]
Dr. Sheila Farhan
this money on nothing that I know when I. That's true. Because you compare it to like how great it looks in the beginning and all biosimilars.
- [23:07]
Holly Madison
No, girl, it didn't make any difference. I'm not just comparing to the beginning. These hands are as bony as the day I walked in. If you took it before, it was a complete, complete waste of money.
- [23:16]
Dr. Sheila Farhan
I wonder if it was the hyper dilute radius. What was it?
- [23:18]
Holly Madison
I don't remember.
- [23:19]
Dr. Sheila Farhan
Yeah, it was an injectable. Sometimes the only thing to do is just fat transfer into the hand. But it's like that works better than filler. Yeah, yeah, but that's the whole thing, you know.
- [23:27]
Holly Madison
Well, if I put on some weight maybe.
- [23:29]
Dr. Sheila Farhan
Yeah, maybe. Yeah, exactly, exactly. What are some of your favorite kind of non surgical treatments to get?
- [23:34]
Holly Madison
Definitely Botox. That's a regular one. IPL laser. Like I said, I've tried other things like micro needling and stuff. I don't necessarily necessarily see a difference it's just kind of like on good faith that this is good for you. Over the years, I'll do one every once in a while. I did a CO2 laser under my eyes over Christmas break and I felt like that helped a lot. Not that I don't have wrinkles under my eyes still, but I felt like it took down like the static, wrinkling. I felt like it really helped. And the guy who did that was like, people usually get this like once a year. So I might continue doing that.
- [24:05]
Dr. Sheila Farhan
Yes. I love it.
- [24:05]
Holly Madison
Even though you're really swollen for like two days after, like your eyes are like swollen.
- [24:10]
Dr. Sheila Farhan
I know. Did they put the like the shield in your eyes to go over your eyes?
- [24:13]
Holly Madison
But I was surprised when I woke up the next morning. It was New Year's Eve and me and my kids were like staying at the fountain blue so you could have like the firework view. And I woke up the next morning and I could only fit a contact lens into one eye because they were like so swollen.
- [24:27]
Dr. Sheila Farhan
Oh my God. I know. I feel like people need to need a heads up on co because people want that in my office all the time. And I do a lot of CO2, but it's like if you want really good results, we have to go enough to do it like once a year or like because, you know, several things are like multiple times. You do it like three times back to back, one time a month and you're good. The CO2 truly is one of those things where it's like one time and then you're good for like at least a year or a few years. But yeah, there's some downtime with it for sure. Yeah. Neck, any good neck stuff that you love?
- [24:58]
Holly Madison
I try. You know what I started thinking? I think I was about to 30 when I started to notice. I wish I could go back in time and treat my neck exactly like I'm treating my face. So if you're out there and you're like a teenager or 20 or any age really, whatever you do to your face, also do to your neck if you shade your face in the sun, your neck, if you use a product at night, your neck as well. Product a day, your neck as well. But I feel like I've started to see return on that from just picking up that habit. Maybe like 10, 15 years years ago now.
- [25:29]
Dr. Sheila Farhan
Yeah, same. And I feel like we always forget because it's our neck. We think it's covered by our head. And what's crazy about the neck is it's so much thinner. Than the skin on our face. So it actually age ages more. So when we do want to do like something like a CO2 or a skin tightening treatment, we have to go way less on the energy. And you need multiple treatments just to catch up to, like, the treatment you're going to get on your face. So, like, that's even more of a reason to treat your or protect your neck. So we kind of talked about this a little bit before. So early 2000s. You know, like I said, the boobs, the nose, people are still getting those type of surgeries, but I guess a little more subtle in a way. But one thing that has definitely boomed, especially in my world where I do a lot of the non surgical, are people are really kind of jumping into facelifts. What are your thoughts on that?
- [26:20]
Holly Madison
Well, I love it. I've had a lower facelift on my jawline.
- [26:22]
Dr. Sheila Farhan
Yeah. You look amazing.
- [26:24]
Sponsor/Advertisement Voice
Thank you.
- [26:24]
Holly Madison
Yeah, I'm really happy I got it done.
- [26:26]
Dr. Sheila Farhan
Yeah.
- [26:26]
Holly Madison
When?
- [26:26]
Dr. Sheila Farhan
How long ago?
- [26:28]
Holly Madison
Like a year.
- [26:30]
Dr. Sheila Farhan
Okay. Yeah, love.
- [26:31]
Holly Madison
Just.
- [26:31]
Dr. Sheila Farhan
Just the lower. I love. And then the scars. Like in the back or in the front.
- [26:35]
Holly Madison
It's like in the front of my earlobe. Like, I kind of, like, put makeup over it. Yeah. My earrings. If you look close, you can totally see it, but I don't care. I mean, I'm open about it. Like I already talked about on my podcast. So I'm like, I don't even care if somebody sees this.
- [26:47]
Dr. Sheila Farhan
Yeah, no, I love it. What was the recovery like?
- [26:51]
Holly Madison
Fun? Because I stayed at the Beverly Hills Hotel and had a nurse.
- [26:54]
Dr. Sheila Farhan
I love that hotel.
- [26:55]
Holly Madison
So. Oh, my God. And you know, it was so fun. Okay. You know when you drive up on the right, there's like a parking garage and they would drop me off there
- [27:03]
Dr. Sheila Farhan
because it's not in the front.
- [27:05]
Holly Madison
Yes. I'm not walking down the valet.
- [27:08]
Dr. Sheila Farhan
Yeah.
- [27:09]
Holly Madison
And. But I noticed on the lower level, there's the most amazing classic car club collection you will ever see. In fact, this reminds me, like, I want to go back and see if this guy will, like, let me film him and like, make a video, because I'm so fascinated by this and I never see anybody talk about it. They have, like, this huge variety of, like, classic cars, new cars. Like, I guess I don't want to say who, but, like a famous movie star, like, keeps one of his cars there. And there's this guy who works there who like, maintains all the cars. And it's the coolest little thing.
- [27:38]
Dr. Sheila Farhan
Interesting, because I do feel like sometimes they'll bring it out and I'll see one in the front, you know, when you're driving up to valet. But I didn't know that they, like, kind of, like, keep them there, so.
- [27:46]
Holly Madison
Cool. Yeah. I was chatting with that guy with a bandage around my home.
- [27:50]
Dr. Sheila Farhan
I'm sure that was not the first time they saw it and not the last time they saw it over there. So was the recovery as easy or as hard? Like, what was it compared to, like, what you thought? Like, were there any friends that had it first and then you were like, I'm going to get it?
- [28:04]
Holly Madison
No, it was pretty easy. I mean, it was. I was pretty swollen. I don't even remember. I kind of, like, put it out of my head after it happened. I don't remember, like, what the timeframe was, so I'm probably not going to give you an accurate gauge. But, like, I think I took, like, two weeks off from filming my podcast, and then I came back. I was so a little swollen, but I would, like, make sure my hair was more like this a little bit, but it was fine. And I think especially since, like, I didn't want to tell anybody I was getting it right before I went in because I'm superstitious and, like, if I'm recovering, I don't want to let anybody know I'm compromised in case they want to do any witchcraft or anything crazy on me, but just my weird superstitions. But after I was done, I told everybody on my podcast, so I didn't feel like I had to hide anything, and it was just easy and fun.
- [28:46]
Dr. Sheila Farhan
Yeah, it looks really great. And I think it's because you didn't do the full, you know, with the brow lip.
- [28:52]
Holly Madison
Yeah, I don't have any desire for that yet.
- [28:54]
Dr. Sheila Farhan
So.
- [28:54]
Holly Madison
Why? Like, I don't want to spock brows for a reason.
- [28:58]
Dr. Sheila Farhan
Yeah, it looks really natural. What did you tell your plastics? What did you want to address? Like, a little bit of jowling and then did it fix that?
- [29:06]
Holly Madison
Yeah. And a little bit of lipo under my chin. I just felt like after having kids, I gained a lot of weight with my second pregnancy, and there was just nothing I could do. There was no lasers or anything that could really do what I wanted it to do. So I did some research online and found somebody whose before and afters I really loved and just met with her a couple times and told her I didn't want it to go too far. This is what I'm looking for. I'm always very conservative in my approach. When I go in for a surgery, I feel I'd Rather have it not go far enough and then I can go back and maybe do more rather than have it go too far. And I'm looking like the joker.
- [29:42]
Dr. Sheila Farhan
Yes. So you're so right. So that's. And I think that's why you honestly look so good, is because you have your doctor scale back a bit. And I've had people kind of both type of patients come into my office where they're like, just, I want to really get in there and. And give me. I want to. To be noticeable. And there's people that obviously more my style, which is like, we can always add more, we can always do more. It's so much harder to scale back after you've gotten too much, especially when you're cutting, you know, especially when you're doing surgery. Of course, non surgical is a lot easier. So you got it basically in your mid-40s, which I feel like, again, if thin skin, you know, gaining weight, pregnancy, losing the weight, you have laxity there. And truly, when you have laxity here and you tried all the different things, sometimes a facelift is the only thing that can take care of that. And so you're happy with it.
- [30:37]
Holly Madison
Yeah.
- [30:38]
Dr. Sheila Farhan
Yeah. I love it. You look amazing. Yeah. Sometimes people get fat transfers, like, into the cheek and stuff like that. Did you ever get that, like, where they take a little bit fat and then, like, inject it?
- [30:48]
Holly Madison
No, I have lost a lot of volume right here, so I'm always putting concealer right here, trying to, like, disguise it.
- [30:53]
Dr. Sheila Farhan
Yeah.
- [30:54]
Holly Madison
That's another thing that annoys me when people are online saying, oh, this person's had buckle fat removal. I'm like, I think she just aged.
- [31:02]
Dr. Sheila Farhan
Yeah. 1,000%. Like, if it was. Yeah. Like, who's the euphoria gal? Yeah.
- [31:08]
Holly Madison
They say it about Alexa Demi. Yes.
- [31:10]
Dr. Sheila Farhan
And she always had those dimples. I think she just lost so much weight and she was thin, but then she. When you get a little older and you lose weight, you really do lose it. Lose it in your face. Yeah.
- [31:21]
Holly Madison
Alexa Demi is not messing with her face.
- [31:22]
Dr. Sheila Farhan
Yeah, yeah, exactly. Yeah, yeah, yeah. But I can see, see, and it's like the type of makeup that was also done. It's a very different type of makeup that she had before. So I totally agree with that too. I think if it's very obvious from, like, without weight fluctuations, then yes, you could say it's a little buco fat pad removal. But I think it's just like, aging.
- [31:44]
Holly Madison
Yeah.
- [31:44]
Dr. Sheila Farhan
Aging process. Sometimes a little sculpture down here will help. Like, I will usually when I do filler on patients. I'll go, like, back in here, because there's this ligament right here, and everything ages in front of that ligament. And so I kind of go back in here and do, like, a little sculpture, just filler, because it really does pull. I mean, it's not like. It's not like facelift results just will add a tiny bit, and then I'll go, like, into the hairline, and that will help pull without having volume put into the face.
- [32:12]
Holly Madison
What do you think about filler in the temple? Because I'm really hollowed out here. But then somebody. My injector was like, yeah, you can go blind if you do that. So I was like, never mind.
- [32:21]
Dr. Sheila Farhan
Yeah, that's not like, the highest risk area for blindness, the noses. And I do both. Yeah. The nose is like, really? Because there's actually, like, an artery that goes here and into there. The temple is a high risk area, but I go in with what's called the canula. So I just make a little entry point and then fan in something that's blunt. Like, it's a blunt tip. It's not a needle. So it basically will just go. You're not around. I'm not going inside the vessel. I like to do the tiniest bit. Sometimes we don't want to. A little bit's good because it also pulls the lateral eyebrow. So I could always do that for you. It's always. And it's like, very little bit. It's like some people go in, like, one full syringe on each side. The old technique is just to go all the way down deep, deep onto the bone. And that's where it gets really risky. And that's where I could go into the glands. But just a little bit, like, superficially here will give that, really. So basically, I go in, and then I. I do it in the temple. But then I also, like, fan it into the hairline to get a little bit of that lift. But you don't want to do too much because you don't want it to become spocky. Yeah, like spot guide or super heavy. And then your. Your cheek will kind of blend away. So that's why I'm really careful about temple filler. But a little bit actually helps kind of, like, lift things up, so.
- [33:35]
Holly Madison
Oh, cool.
- [33:35]
Dr. Sheila Farhan
So I'm always a fan, but, yeah, I feel like, like you said mid-40s. That's, like, not too early to get a facelift, because especially thin skin in that area, you're like, so face forward. And in what you do, people are starting to get it and think about it in their late 30s, early 40s. And that's where I'm like, it really just depends. Like, instead of going by age, because I'll be 40 next year. And although I've thought about it and I was like, that would just be so easy to.
- [34:08]
Holly Madison
Whoa.
- [34:09]
Dr. Sheila Farhan
Yeah, I know. No, I know, I know. I'm just like, literally in the industry. No, there's so many other.
- [34:14]
Holly Madison
Just like we're all sitting in front of our magnifying mirrors kind of seeing stuff nobody else sees.
- [34:18]
Dr. Sheila Farhan
Exactly. But I will say on the other end, like, you had a great experience. You went, I'm sure it's the best surgeon here in town. But I've seen a lot of botched jobs with facelifts that people, the younger you are and the tighter skin you have back here, that skin is like pulling. So I've seen some really bad scars back there on younger people who their surgeon said was a good candidate and they did it and they really didn't. So I would say that for people watching, some people obviously have really good results. But don't take a facelift like, lightly, that decision. Because, yeah, it is a surgery and you can get some really bad scarring and then you can't put your hair in a ponytail because your scars are really obvious. Yeah. So as we're wrapping things up, question for you. What do you want aging to look like for you in the next 20 years?
- [35:07]
Holly Madison
You know, my first thought, I think a couple years ago would be like, I just wanna look exactly like this. I wanna be perfectly preserved. But I'm just kind of interested now to see how it goes because I think I like the way I look better as I get older. Like, you couldn't trade me back to like 25 year old me. You know, I like how I look better now and I'm just kind of interested to see how it goes and how like my personality continues to develop and how that meshes with my look. I think 90%, I still want to preserve and look exactly like this, but like 10%, I'm like, we'll see.
- [35:43]
Dr. Sheila Farhan
Will you get another face? I mean, facelift lasts about like, what, 10, 15 years? I've seen some last longer, but would you get another one?
- [35:48]
Holly Madison
Say that people go in every five years. Is that crazy?
- [35:51]
Dr. Sheila Farhan
That's when they're like so subtle. I would say that's five is way. That's not a long time. I would say, like, I would say 10 years. It'd be like, got a, a good facelift. But but also the younger you get it, I think the more often you have to get it.
- [36:05]
Holly Madison
Oh, really?
- [36:06]
Dr. Sheila Farhan
I think so. Okay. Yeah. Because you're. You kind of have like aging spurts, which sucks. But they said 44 is 1 and 60 is the other one.
- [36:15]
Holly Madison
Okay.
- [36:16]
Sponsor/Advertisement Voice
So.
- [36:16]
Dr. Sheila Farhan
And then of course, like when you're. If you're like Perry postmenopausal, the. All the collagen is like, we see it, we see it and accelerate it. So I think that, I mean, everyone is so different. Like you could have. It really depends on the type of facelift you got. Deep plain facelift, like the smaz. You know, there's so many different type of facelifts too. Some people just pull up the skin, which I don't recommend that one. That one is like old school. That's where you look really, really fake, is when they just pull the skin without pulling the deeper structures. And usually, you know, people are doing that if it's like a in and out with, without general anesthesia and they'll just do like a day thing. They do that a lot in Tucson and the scars end up not looking great. And they are, they're not preserved. Like, I feel like this, that's like a five year facelift, basically when that's just the skin getting pulled up. But yeah, I think. So you're. You're not afraid of aging? Basically.
- [37:07]
Holly Madison
Not anymore. And you know, when I first came to LA and I was 19 and going on auditions like old men, not even the old man you're thinking of, but just old man in the industry or in town would be like, oh, you're 19, well, you better hurry up and make it. You're getting old. And it's like when you've been told you're getting old or you're too old since you were 19, it starts to lose any power. And like now I'm 47 and it's like, you can't tell me I'm too old for anything.
- [37:35]
Dr. Sheila Farhan
Yeah.
- [37:35]
Holly Madison
Because it's like it loses all its power. Because people were telling me that at 19, who cares?
- [37:39]
Dr. Sheila Farhan
Yeah. And it's not true at all. I think we can embrace the aging process while still do something about it, like not letting ourselves go. And I think that's the big thing that I do for my people patients is like making them feel confident, making them know that it's not too late after a baby, after divorce, after menopause, after a sickness, after taking care of their mom for years, you know, things like that. And it's like never too late. To kind of take care of yourself.
- [38:03]
Holly Madison
Yeah, I think so, too.
- [38:05]
Dr. Sheila Farhan
Well, thank you so much. Thanks for having me.
- [38:07]
Holly Madison
This is fun.
- [38:08]
Dr. Sheila Farhan
So much fun,
- [38:15]
Holly Madison
Sam.