TBT: Dr. Ricky Brown

Summary

Dumb Blonde Podcast Episode Summary

Episode: TBT: Dr. Ricky Brown
Release Date: May 1, 2025
Host: Bunnie XO, Mimi
Guest: Dr. Ricky Brown, Plastic Surgeon and Author

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Introduction to Dr. Ricky Brown

The episode kicks off with Bunnie XO introducing Dr. Ricky Brown, a renowned plastic surgeon and author, highlighting his journey from overcoming personal health challenges to establishing a successful practice in Arizona.

Dr. Ricky’s Personal Journey

Dr. Ricky shares his early struggles with education, describing himself as a "BC student" who flunked out of sixth grade but later found his passion in medicine. He explains his transition from aspiring to join the family computer business to pursuing a career in surgery after being inspired by shadowing plastic surgeons.

Dr. Ricky Brown [06:35]: "I decided I was gonna go work for my dad. But something just never felt right about it."

Medical Training and Specialization

Dr. Ricky details his extensive training, including a five-year residency in general surgery followed by specialized training in plastic surgery. He discusses the rigorous nature of surgical training and the rewarding aspects of reconstructive surgery.

Dr. Ricky Brown [25:08]: "I did four years of medical school in Chicago and then double boarded in general and plastic surgery."

Breast Implant Illness (BII) Discussion

A significant portion of the episode is dedicated to the controversial topic of Breast Implant Illness (BII). Both Dr. Ricky and Mimi share their perspectives, with Mimi advocating for acknowledging BII symptoms and the importance of listening to patients’ experiences. Dr. Ricky recounts his personal experience with saline implants and emphasizes the need for openness in the medical community regarding BII.

Mimi [52:23]: "I'm just saying it's for sure possible that it's happening."

Dr. Ricky Brown [52:23]: "Absolutely."

Philosophies on Patient Care and Ethics

Mimi and Dr. Ricky discuss the ethical responsibilities of plastic surgeons, stressing the importance of not performing procedures that go against their moral compass. Mimi underscores the necessity of referring patients to other surgeons if a procedure isn't a good fit.

Mimi [88:25]: "If something doesn't align with my morals or that I think is right or wrong, I dismiss them and I send them somewhere else."

Audience Q&A Segment

The episode features a lively Q&A session where listeners ask questions about various plastic surgery topics, including:

• Fixing Tear Troughs: Mimi explains the complexities of tear troughs and recommends procedures like lower blepharoplasty or nano fat transfer for best results.

  Mimi [47:27]: "Some women have micro fat spun down and layered in to fill out the troughs."

• Breast Augmentation Process: Detailed walk-through of the consultation, sizing, surgical options, and the importance of understanding the long-term commitment to procedures like implants.

  Mimi [58:53]: "The first thing I always do with patients is ask them why they want implants."

• Liposuction Myths: Addressing concerns about fat redistribution post-lipo and emphasizing the importance of maintaining a healthy lifestyle to preserve results.

  Dr. Ricky Brown [68:53]: "Maintain your weight off is not an easy feat, and I'm very vocal about that."

• Perimenopause and Health Advocacy: Both hosts discuss the challenges of navigating perimenopause and the importance of finding supportive healthcare providers.

  Dr. Ricky Brown [85:45]: "Find somebody who listens to you because you have to be your biggest advocate for your health."

Surgical Anecdotes and Experiences

Dr. Ricky shares gripping stories from his residency, including complex reconstructive surgeries like the free fibula flap for jaw cancer patients, highlighting the precision and emotional fulfillment that comes with saving and rebuilding patients' lives.

Mimi [90:33]: "We did a free fibula flap. It was crazy."

Final Thoughts and Encouragement

The hosts conclude by emphasizing self-advocacy in health decisions, the importance of ethical practice in plastic surgery, and supporting one's journey toward body confidence and wellness.

Mimi [94:05]: "You're trying to help people, so if I think that something's not going to go well, I just divert them."

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Notable Quotes

• Dr. Ricky Brown [19:12]: "You have to be your biggest advocate. If you don't believe in yourself, nobody else is."
• Mimi [53:34]: "I don't want to belittle the women who aren't doing okay. And I'm just going to refer you to Dr. Smith down the street."

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Conclusion

This episode of the Dumb Blonde podcast offers a deep dive into the world of plastic surgery through the lens of Dr. Ricky Brown. It balances professional insights with personal experiences, advocating for ethical patient care and the importance of self-advocacy in health choices. Listeners gain valuable knowledge about surgical procedures, the intricacies of BII, and the emotional aspects of reconstructive and cosmetic surgery.

For those interested in the intersection of health, lifestyle, and personal empowerment, this episode serves as an informative and engaging resource.

Transcript

[Bunny]

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[Dr. Ricky Brown]

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[Bunny]

Is this thing on Bonnie, who used to be a former sex worker and.

[Mimi]

Now hosts the podcast Dumb Blonde.

[Dr. Ricky Brown]

Most little girls grow up wanting to be doctors and lawy. And. And I was like, I want to be super hot, make a lot of money, and be a rock star's wife. That was my goal as a child. And here we are. What's up, you sexy? Welcome to another episode of Don Blonde Today. These are always my favorite podcast because I get to learn so much stuff. We have world renowned plastic surgeon and author Dr. Ricky Brown. How are you doing, baby?

[Mimi]

I'm good. What's happening, man?

[Dr. Ricky Brown]

I'm so sorry I made you wait outside.

[Mimi]

Oh, my God, it's so beautiful outside. I'm like, of a dad with kids. I'm like, it's peaceful and nice out here. And I grew up in Georgia, so I miss this weather.

[Dr. Ricky Brown]

Oh, well, I appreciate it. Me and Mimi were running late today. Poor Mimi's car broke down, and I'm just like, of course, the one day that we have podcasts that were running late. So I just wanted to apologize to you, but this has been a long time coming. Dude. I feel like we've been talking about this for, like, what, a year?

[Mimi]

Yeah, it's been a year.

[Dr. Ricky Brown]

Yeah.

[Mimi]

Crazy. Like, I think I was telling all my stories this morning how I made that video about your expl and I didn't even know who you were.

[Dr. Ricky Brown]

Yeah.

[Mimi]

Like, I don't even remember if someone sent that to me on TikTok or I saw it randomly. And then when you reached out, I was like, oh, my gosh. And. And yeah, you asked me, like, a year ago. It's taking that long to get here.

[Dr. Ricky Brown]

Yeah. So I had my explant in 2019, and I came across those. My implants, because I still have them. I don't know where they are right now, but I came across them, like. And I think it was like, 2021, Mimi, that I posted that, and they had, like, stuff floating around in them. So I did this thing of, like, this is what happens with saline implants. And it got. Ended up getting, like, 5 million views. And I was like, why are people so fascinated with this stuff? It's crazy.

[Mimi]

I know. Well, the BII thing, and we could talk about it. Is that why you took yours out? Do you think they were making you sick?

[Dr. Ricky Brown]

So I never want to claim breast implant illness. I had every symptom that you could possibly think of, but I never was. Officially, I had a doctor say, yes, this is breast implant illness, But I don't know. I just never wanted to. To claim that because I feel like there's so many other people who have way worse going on than I did, you know?

[Mimi]

Yeah.

[Dr. Ricky Brown]

But what had happened was my. One of my implants folded in half, and I didn't know that until they went in, but my left tit was, like, huge compared to my other one, and so sore, dude. And I was like, this is it. I got cancer. Like, I didn't know what was going on. You know, Instant hypochondriac was just like, bro, I don't know what's going on. And then I just was feeling terrible. And plus all those other symptoms that I had. So I think the older you get, you also kind of want to go back to your natural form.

[Mimi]

Yeah.

[Dr. Ricky Brown]

Whereas in my young 20s, I was like, pamela Anderson, give me the big hooters. Like, I want to, you know, topple over when I walk. And then, you know, getting into your 40s, you're just kind of like, do I really need all that? And I felt like they made me look really matronly.

[Mimi]

Yeah.

[Dr. Ricky Brown]

So there was just a slew of reasons.

[Mimi]

Well, so that's why those videos at that time, back in 21, when TikTok was like, it was anything goes. You could put anything up. Kids were so fascinated by that stuff. And I think the mold thing is what got me on that, because people are like, oh, there's mold and implants, and in the. In the 15 years I've been doing this, I have not once ever seen mold in a saline implant. And I think what happens is there's little valves on those. On the saline ones, and if they sit in a drawer and I presume in the human body, if the valves can become defective and if something traverses the valve and goes inside because they're supposed to be one way, then. Yeah. I mean, it's salt water. I'm presuming that something could grow in there, but I've just never seen it.

[Dr. Ricky Brown]

Yeah.

[Mimi]

But that. I was like, damn. When I saw that, I was Like, I gotta make a video on this.

[Dr. Ricky Brown]

Yeah. So when they gave them back to me, there was little. Not as many. There was little floaties in there, but I just. Was just like. They just came out of my body.

[Mimi]

So I would.

[Dr. Ricky Brown]

I thought it was normal, and then it multiplied over time of just having them.

[Mimi]

It is wild. And, I mean, there's really no explanation. Maybe bacteria gets in there. It could be crystals from the salt water in there. I mean, I don't know. But I've just, like. I've taken out so many saline implants, and they've all been crystal clear. Can read the newspaper through. But that's not to say that it. Clearly, it happens, but that's. Those videos were pretty crazy back then.

[Dr. Ricky Brown]

Do you prefer saline for females or silicone implants?

[Mimi]

You know, it's. It's a loaded question. I don't prefer either one for them. But there's pros and cons. Silicone tends to be a softer, more natural feeling implant. And so women who have maybe breastfed have really thin skin, not great tissue quality saline can feel more like a water balloon. That's what I tell them. And silicone just feels a little softer, more natural. You can get a beautiful result with either one. But there's pros and cons to each, and I don't know. Did you ever have rippling with your implant when you would lean over, could you see the little ripples in the side of the implant?

[Dr. Ricky Brown]

I have really dense breast tissue.

[Mimi]

So you had good coverage.

[Dr. Ricky Brown]

Yeah.

[Mimi]

So women like you, I would tell them you can get a good result with either one. But the moms who come in, who've had four kids, super thin skin, not. Not great quality breast tissue. Silicone offers a little bit smoother, more natural feeling.

[Dr. Ricky Brown]

Gotcha.

[Mimi]

But either one is fine.

[Dr. Ricky Brown]

Awesome.

[Mimi]

Yeah.

[Dr. Ricky Brown]

Well, let's. Before we get into all these questions, because I know my. My girl. My girlies on Patreon have so many questions for you. I kind of. You have a really cool story, dude.

[Mimi]

Yeah.

[Dr. Ricky Brown]

And I got into it last night and went down the wormhole, and I was just fascinated, really, because, you know, you. You're not technically supposed to be here, but you are. And, you know, I just was like, wow, this is really inspiring. So let's take it all the way back.

[Mimi]

Yeah.

[Dr. Ricky Brown]

Where did you grow up?

[Mimi]

So I grew up in Macon, Georgia.

[Dr. Ricky Brown]

Yeah. Right outside of here.

[Mimi]

Yeah, exactly.

[Dr. Ricky Brown]

That's. That's Jason Aldean territory.

[Mimi]

Yeah, the Allman Brothers. Home of the Allman Brothers. So I grew up in Macon, Georgia. We moved to Atlanta when I was like 12. And my parents own a computer company and they actually sold computers to medical practices, which was way ahead of their time at that time.

[Dr. Ricky Brown]

How did they know to get into that? Because that's actually awesome.

[Mimi]

Yeah. So my dad worked for IBM for a while.

[Dr. Ricky Brown]

Okay.

[Mimi]

And then he ended up meeting a guy who was kind of doing this in Washington who had this own software system they had developed. And they were using the hardware, the computer systems from Alpha Micro and they had the program and they were like, hey, we're selling these computers to doctors. And it was more. It wasn't like today, today is electronic medical records where we actually chart and write notes. Back then it was, let's do your scheduling, like getting. Getting patients scheduled, let's do all of your financial statements. Like that's what the computer systems did. So my parents did that and they were really fashion forward in that way. And. And I just never knew what I wanted to do. Like, I was just an energetic little boy. I was not a great student. I really didn't want to study. I just wanted to be outside having fun. And. And so I struggled in school. I really struggled. I was like a BC student and actually in sixth grade we were going to move from Macon to Atlanta. I pretty much flunked out of sixth grade. And so when we moved to Atlanta, my mom was like, we were thinking about holding you back. Like, do you have a problem with that? I was like, I don't care. To me, school is whatever. I was like, sure, sounds great. And I ended up doing okay. But as time moved on, I never really had an inkling, a desire to do anything. I didn't know what I wanted to do.

[Dr. Ricky Brown]

They also had you in special education classes, correct?

[Mimi]

Yeah, I was labeled with a reading comprehension learning disability, so. And I know where this came from now. When I think back, there was a kid that lived up the street from me in Macon and we used to see who could read a page in a book the fastest. And so I could read really fluent and really fast, but I wasn't grasping anything I was reading. And I think that carried forward into my schooling where I would read really fast and I would never just slow down to absorb the content. And so I was sort of lumped into this reading comprehension, learning disability. And it was more. When I looked down, look back, it was more of I was just lazy and just didn't care. I just didn't care.

[Dr. Ricky Brown]

I also feel like, because I was the same way, I did the same thing. But they just didn't put me in special education classes. I feel like when you are at a certain intelligence that young too, school is boring.

[Mimi]

Yeah.

[Dr. Ricky Brown]

And it's hard for you to focus, you know, because you have so much other shit going on. I was the same way. Like I could, but give me a test, I would flunk it because it would be so much pressure. But anything else I would ace, you know, like, it was just crazy for sure.

[Mimi]

And I was not a great test taker and I. And that led me through med school. I mean, I obviously at some point cleaned it up and we could talk about that. But when I take a test, if it's A, B, C and D, I make a fricking good argument for why any of those could be correct in my own mind. And so I'm like, it could be C, but wait a minute, it could be D and I.

[Dr. Ricky Brown]

That's too many options.

[Mimi]

Yeah, there's too many options. And that's what would happen to me on test is I would get stuck in that mode.

[Dr. Ricky Brown]

Same.

[Mimi]

But yeah. So I, I really didn't know what I wanted to do. And come fast forward to high school, I was like a BC student. Like I did fine. I studied, I was a baseball player, loved sports, was into all that and. And then ended up going to college and still just did not know what I wanted to do. I had no idea. So I had a pushback moment where I decided I was gonna go work for my dad. Like I was gonna take over the company. That was what I was going to do. But something just never felt right about it. And when I grew up in Macon, I grew up across the street from an OB gyn. So I'd always been interested in medicine and thought it was cool and I was always a science minded guy. So in school I loved science. So I ended up going to college and was gonna go to business school and had a pushback moment where I was like studying supply and demand curves and I was like this, this shit sucks. This is so boring.

[Dr. Ricky Brown]

Doesn't stimulate you.

[Mimi]

I just, I was like, I don't want to sit behind a desk. Like, that's not who I am. So I started thinking like, oh, maybe healthcare, maybe medicine. So I volunteered at the hospital and I started to interact with patients. I was a patient transporter and I used to just take them from ultrasound to surgery surgery, back to their room and I was talking to them and I started to like that. And then behind my parents back I like signed up for general chemistry and I got an A and I Barely worked hard. It just jived with my brain.

[Dr. Ricky Brown]

Did they want you to be in the family business? Was that, like, their hopes and dreams for you was, like, taking it over?

[Mimi]

Yeah, I think deep down my father wanted that because the idea of that was cool. My mom was always like, whatever you want to do. So when I just. When I took a couple of science classes and did really well, I was like, dang. Like, if I'm going to do this, I'm going to med school. Like, I thought about pa. Not that there's anything wrong with that, but I just started to think, like, what would I want to do? So I was like, if I do this, I'm gonna do it. So I, like, mapped it all out. Drove. I was at the University of Georgia at this time. Drove home, like, told my mom, I'm a senior in college at this point.

[Dr. Ricky Brown]

You're just how old? You're like, 26, right?

[Mimi]

26. 25. 25. Because I was about to graduate.

[Dr. Ricky Brown]

Yeah. Which is crazy to be saying, oh, I'm gonna start all over and go to med school all over.

[Mimi]

And I remember people like, you know, my friends there being very supportive. Cause I thought I was gonna get a lot of crap for it. They were like, that's really cool. So I, like, mapped it out. I was like, I could go a full year, full summer, full year, take my pre meds, take the mcat, do the whole thing, right. So I made this decision to do it, and I ended up with, like, a 3.8Science GPA. So I did really well because I finally had this thing that I was chasing, this thing that I grasp on to.

[Dr. Ricky Brown]

I was like, passion for it.

[Mimi]

Yeah, that passion for it. And. And it's really weird. I wasn't going to accept no for an answer. Like, my. I think ignorantly, not knowing how difficult it was to get into medical school at that time, I was just like, no, I'm totally doing this. Like, what do you mean? I'm not getting in. Right?

[Dr. Ricky Brown]

Not realizing that, Bar. Anybody can get into it.

[Mimi]

Yeah, exactly. So, like, and I. When I look back, I'm like, holy. Like, how. How. How did I get in? How did I get in?

[Dr. Ricky Brown]

How did you get in, though? You kind of had to fight to get in.

[Mimi]

So that's a whole story in of itself that's kind of interesting. So I take the pre meds, I do the mcat. All the requirements are done, and I had a year off, because usually you'll do that your junior year, then apply to med school and interview or senior Year. And then you'd get into med school or not get in. So I'm a senior, I graduate, and I'm done. So I go work in surgery for a year, which was crazy. I was an orderly cleaning ors, mopping floors. That was, like, my thing.

[Dr. Ricky Brown]

I also heard that. Heard you say that you used to, like, sneak in just to watch the surgeries.

[Mimi]

Oh, totally.

[Dr. Ricky Brown]

So sweet.

[Mimi]

That's where I fell in love with surgery. So doing in that job. I remember going in because we had a family friend who was a plastic surgeon, and that's not where my plastics came from, but so I would duck into rooms and watch and, like, I'd go back to the open heart room, and they're, like, playing, like, Metallica dude, so loud that you can't. But it was poetry, emotion. It's like you see on shows sometimes where the smoke from the cautery is floating through the room. No one's talking. Instruments are just passing, and they're doing open heart surgery.

[Dr. Ricky Brown]

It's literally, like, symphonic.

[Mimi]

It was crazy. I was like, this is crazy, crazy. So I started ducking into rooms, and they were like, yeah, anytime you want to come in and watch surgery, come, come in and watch surgery. So that's how I got interested in surgery. But Bunny, I was getting rejected from every school. I applied to, like, 50 schools, and I kept getting rejections. And I thought, for sure with my GPA and kind of my. My line up, like, I figured it out. This is where I want to go. I figured I would get accepted somewhere. But I. So one day I went home and I was like, okay, I've got, like, 10 schools that I haven't heard from. Like, I'm just gonna start calling. So I started calling. I called schools, and I. One girl at the Chicago Medical School was like, hey, your story's amazing. I think that I can get you a phone interview with the director of admissions, and then if they like you, you know, maybe they'll invite you for an interview. I was like, cool. Anything would be great at this point.

[Dr. Ricky Brown]

You didn't care where you went? No, I mean, get me in med school.

[Mimi]

Med school's med school. I mean, honestly, wherever you go, anatomy is anatomy, right? Like, it doesn't change. So I ended up. I ended up doing this phone interview, and a week later, I get an in person interview. And it was the only school I got into.

[Dr. Ricky Brown]

Isn't that amazing, though, that all it takes is that one person to just believe in you and hear you out?

[Mimi]

And, like, I don't think I Realized at the young age of my twenties how much I was believing in myself then because I don't know where that came from.

[Dr. Ricky Brown]

Yeah.

[Mimi]

When I look back on it and I. Because I was on a pre med podcast once and he was like, dude, do you realize how often that does not happen? Like, it is so difficult to do what you did. But to me, it was like this was all. This was my last ditch effort to get in. I was like, if I don't, if I don't pull for myself, no one's going to pull for me.

[Dr. Ricky Brown]

You have to be your biggest advocate. I tell everybody on this podcast all the time, it doesn't matter what you do, how you want to do it. You have to believe in yourself and root for yourself. Yeah, you have to be your biggest advocate. Because if you don't believe in yourself, nobody else is.

[Mimi]

Totally, 100%. And I have some crazy stories I'll tell you about that. Like, I had had one girl DM me on Instagram a couple years ago. She's like, my husband. Similar story. He's older. This is what he's always wanted to do. He doesn't do social media, but I play everything you put up so he can see it. I used to do a lot of motivational stuff. And so I messaged her back one day. I was like, do me a favor, tell your husband, because no one will do this. Go to the local medical school in town where you live in Illinois, the closest one. Tell him to walk into the admissions office and just introduce himself to someone and try, try to talk to someone in the admissions team committee. So six months or a year goes by and I get this whole long DM from her. And I'm reading this DM and I'm like starting to cry in the car reading this because it's just so killer, right? This guy. She's like, I showed this stuff to my husband. He went to the med school. He talked to someone in the admissions committee and he got in and he was like. And he was like in his late, late 20s, kind of older. Like me doing it. A little older than me. And I'm like, see, you just got to put yourself out there.

[Dr. Ricky Brown]

Oh, it was pretty cool. So cool that you can motivate people to want to do that. And that's another thing that I love about your platform is it's always so positive. Like, you're always just preaching, like, just happiness and goodness and like, you know, getting. I don't know, you just always have such a great energy and great spirit. About everything.

[Mimi]

Yeah, it's important, man.

[Dr. Ricky Brown]

I mean, I've met a lot of doctors in my lifetime because of my past profession, and not a lot of them are very positive people.

[Mimi]

I can't wait to get into that. No, I'm sure. But no, it's so true. Like, I don't know. I mean, like, there's just a lot of really bitter docs out there, people who aren't happy. It's really sad. But I grew up a happy kid. Like, I've always been happy. It's just my personality.

[Dr. Ricky Brown]

I had a client one time, and he was an or an emergency room doctor, and we were doing, like, eight balls of cocaine one night, and just. I mean, it was like a party. And I looked at him, and I remember looking at him, and I was just like, this guy's energy is so weird. And I was like, why did you become a doctor? You know? Like, I was really curious because his energy was just so weird. And he's like, you want to know why? And I was like, yeah. He said, because I love playing God. And I was like, I'm never going to the hospital again.

[Mimi]

Lord, I can't even wrap my head around that mentality.

[Dr. Ricky Brown]

Yeah.

[Mimi]

Like, it doesn't make any sense to me that, like. Like. And there's so many out there that are like that. I mean, look, we're all people, you know? I am no better than anyone else. And. And I don't know if he meant that he likes being able to control people's lives, whether they live or die. Like, that's scary.

[Dr. Ricky Brown]

I think that's what he meant.

[Mimi]

Like, that's pretty scary. That's pretty scary. Have you seen some of those shows? What is it? Dr. Death?

[Dr. Ricky Brown]

No.

[Mimi]

Oh, my God. You gotta watch Dr. Death.

[Dr. Ricky Brown]

Where's this?

[Mimi]

What channel?

[Dr. Ricky Brown]

What is it about? Is it, like Dr. G, like, she does autopsies?

[Mimi]

He's a neurosurgeon, and he was, like, intentionally killing people.

[Dr. Ricky Brown]

Oh, come on. I see. I just. I could never. Like that I have too much of a conscience to ever, like, have somebody else on my hands like that.

[Mimi]

Yeah, you'll have to find it and watch it. It's. There's a series. There's a. It's on Netflix or something like that. It's insane. Dude. He's a neurosurgeon. He was, like, paralyzing people and causing all these problems intentionally and was, like, bouncing hospital to hospital. Like, one hospital didn't want to say anything because they didn't want to kind of. Oh, crap. People Died on our watch and didn't want to say it was bad.

[Dr. Ricky Brown]

Mimi, write that down. So we watch that. That's. I'm already scared of doctors as it is. So here we go. Going down this freaking. You know what, though? That some of the coolest people I've met, though, are plastic surgeons. Like my surgeon in Vegas who. Who did my body Dr. Vegas. Love him.

[Mimi]

Oh, he's the best.

[Dr. Ricky Brown]

Is he not? Dr. Christopher Corsandi Khasandi.

[Mimi]

He's the best. I know Chris very well.

[Dr. Ricky Brown]

He's my big guy. I love him. He comes out to Jay shows out.

[Mimi]

Here and like, that's cool.

[Dr. Ricky Brown]

He's just a sweetie pie. And everybody that I've ever met that's a plastic surgeon always has, like, the best energy.

[Mimi]

Most do, for sure.

[Dr. Ricky Brown]

And aren't you guys, like, the highest paid?

[Mimi]

I don't know. I think. I think neurosurgeons. Oh, God, probably orthopedics. Some orthopedic surgeons do pretty well, but neurosurgery is probably up there pretty high. And plastics is all relative. Right? Like, I mean, when the economy's down and you're all cosmetic, it's tough times. You know, it can be tough, but I'm not playing the violin. I mean, we do well, but. But there are times when things are not so. So awesome.

[Dr. Ricky Brown]

I bet whenever, like, Covid and stuff happened.

[Mimi]

Yeah. I mean, Covet, actually. Interestingly, coming right out of COVID in 21, I was as busy as.

[Dr. Ricky Brown]

Oh. Because everybody had gained weight. Everyone stared at themselves. Nothing.

[Mimi]

But there was so much time, and people were like, not working.

[Dr. Ricky Brown]

Yeah.

[Mimi]

Got money. Not spending it. Let's do it. So I was super busy.

[Dr. Ricky Brown]

Yeah, for sure. All right, let's. We got. We got off track. Let's circle back. So you got into med school at the Chicago.

[Mimi]

The Chicago Medical School at that time.

[Dr. Ricky Brown]

Medical school and. Okay. And then. So take me on that journey. You did how many years? And then.

[Mimi]

So four years of medical school in Chicago. And then I'm double boarded. So I'm double boarded in general surgery and plastic surgery.

[Dr. Ricky Brown]

So double boarded means I. I took.

[Mimi]

Two sets of boards. So. So some plastic surgeons do what they call a combined program.

[Dr. Ricky Brown]

Yeah.

[Mimi]

Where they, they get in out of. Out of medical school. They get into the residency program, but it's only three years of general surgery. They rotate through general surgery, orthopedic surgery, some of the other specialties, and then their last three years are more focused on plastic surgery. But when they graduate, they're board certified plastic surgeons. I did A full five year general surgery residency in Chicago. Like knife and gun club. Crazy ass shit. Could tell you the most up stories ever.

[Dr. Ricky Brown]

Oh, I bet in Chicago it was.

[Mimi]

Knife and gun club. It was insane.

[Dr. Ricky Brown]

Yeah.

[Mimi]

So I did that for five years and I took my written and oral boards, became board certified, and then did plastic surgery for another two years. So another residency took my oral and written board. So I carry two boards in each. I never practiced general surgery, but for. What happened for me was I knew I wanted to be a surgeon. So I cruised through med school and I'm like, peds, cool. But no go through all the specialties, neurology, everything. I'm like, no, no, no, got to ob. And I was like, okay, we're doing some surgery. Like, this is pretty cool. So I knew surgery was it for me. I just didn't know what I wanted to do. So I ended up getting into general surgery in Chicago. And part of the way through some of the general. The plastics guys from Northwestern would come over to get their trauma experience because we were just so heavy trauma and they were like, dude, you should come in the lab with us over at Northwestern for your do some scar research. Like the chairman's lab. Like, it'd be fun. Plastics is cool, right? So I took a break after my third year and went over there and was like, damn, plastics is bad ass.

[Dr. Ricky Brown]

What do you do whenever you just. When they first put you in plastic surgery? Like, do you start operating on like animals? Like, what do you do? Like, do you do a facelift on like a pig or something?

[Mimi]

It's so funny. So people always there, there are labs, but what happens in residency? This is great. We should talk about this because people want to know, right?

[Dr. Ricky Brown]

Yeah.

[Mimi]

So general surgery, day one, you step in, right? Like, they're not like, here's the knife, have at it. Take out those appendix, right? You literally sit there and you hold retractors like a medical student and you watch, you watch, you watch, you watch, right? So there's. There's a reason that it's a five year training program. I just took a year off to do research, but there's a reason. So as you move through the program and you get higher and higher, you're clearly getting smarter, better. You understand? And as you're moving up in the ranks, it might stomach tougher. Yeah, exactly. It never bothered me.

[Dr. Ricky Brown]

Really?

[Mimi]

Yeah, Like, I never was nauseous. Nothing made me nauseous in the or. I don't know why. It's just. I don't know.

[Dr. Ricky Brown]

That's amazing.

[Mimi]

It's weird.

[Dr. Ricky Brown]

I envy people like you.

[Mimi]

It's weird. So, you know, like, your second year would be like, hey, you want to learn how to sew? Come on. Throw that. Throw this stitch. Nope, don't do it that way. Do it this way. And so you slowly graduate up, and by the time you're a chief resident, which is your final year of training, you're pretty much about to go out into practice. And if you don't know what you're doing, you're in trouble.

[Dr. Ricky Brown]

Right.

[Mimi]

And so in those cases, the attending surgeon might stand next to you and be like, okay, what's your plan? I'm going to do this. I'm going to make the incision here. I'm going to dissect down and find this landmark, that landmark. You talk through it, and they go, cool, do it. And you just. They just stand there next to you. So you're never doing it alone. There's always someone next to you helping, like, hey, nope, slow down. Don't make that cut before you do that. Do that. So that's how it goes, right? And then facelifts and all that. Like, you say that it's jokingly funny because we don't do a ton of cosmetics in our plastic surgery training. It's mostly reconstructive work. I mean, we do do a fair amount of it.

[Dr. Ricky Brown]

Reconstructive is harder, right? Wouldn't that be.

[Mimi]

Yeah, reconstructive. It's all tough.

[Bunny]

Yeah.

[Mimi]

Plastics is the most misunderstood specialty. Everyone thinks Hollywood, tna, and they have. They have no idea of the reconstructive world out there that we partake in.

[Dr. Ricky Brown]

Like, car accidents.

[Mimi]

Crazy.

[Dr. Ricky Brown]

Yeah. You have to, like, sew people's.

[Mimi]

Like, you had half of your thigh chunked out for cancer, and we got to take skin and bone, skin and tissue from one part of the body and bring it over here and under the microscope so the little blood vessels together so the tissue will live. It's called free flap, free tissue transfer. But there's a lot of crazy reconstructive stuff. That's just nuts.

[Dr. Ricky Brown]

Yeah.

[Mimi]

It's just most people don't do that stuff.

[Dr. Ricky Brown]

Yeah. That's crazy. That is. That's wild that you were just like, you know what? This is what I want to do with my life.

[Mimi]

Yeah. I mean, plastics, like, I had an epiphany during general surgery. I was like, all right, I don't want to be doing gallbladders for the rest of my life and appendixes and hernias and be in the ER when I'm 70, like, with a bowel obstruction. I just started to really. But I'll tell you what happened for me was in. In my trauma training, the plastic surgeons would come over and do a lot of the reconstructive work for car accident victims, things like that. And that's where I was like, man, this stuff is so cool. So when I went into the lab to do research, I was like, yeah, I'm going to be a plastic surgeon. But I was like, I've already. I'm like, two years from graduating. General surgery. Why would I bail now?

[Dr. Ricky Brown]

Right.

[Mimi]

So I just finished.

[Dr. Ricky Brown]

I love that you're pretty tenacious.

[Mimi]

It's. I don't know.

[Dr. Ricky Brown]

Maybe you are. I mean, I'm a tenacious human. You're very tenacious. When your mind is set to something, you're going to do it.

[Mimi]

Oh, for sure. No question.

[Dr. Ricky Brown]

Yeah, absolutely. So take me on. Okay, so you start doing plastic surgery.

[Mimi]

Yeah.

[Dr. Ricky Brown]

You graduate. What happens now? Do you immediately open a practice, or do you go and work for somebody else? Or how does that go?

[Mimi]

Yeah, it depends. There's two paths that people usually take. They either go academic, so they'll go to the hospital, and they'll be in an academic doctor where the hospital hires them as a surgeon. So I'll use Northwestern as an example, because that's where I ended up transferring to Northwestern to finish my general surgery. But. So they would hire you to do, you know, be a plastic surgeon in the department of plastic surgery. And you're just a professor, and you just kind of do that. You teach, you work with residents, you could be cosmetic, you could do reconstructive. A little bit of everything.

[Dr. Ricky Brown]

Right.

[Mimi]

The second path is you're like, look, I want to work for myself. Like, I don't want anyone telling me what the hell to do. Right. And that was me. I was like, I cannot. And I cannot be told how to take care of my patients. Or, you know, Right. In social media. Like, you can't. Those guys can't do it. I mean, the hospitals just control the rules.

[Dr. Ricky Brown]

Wow. I didn't know that.

[Mimi]

That's not why. But I'm just saying, like, I can do whatever I want because it's my practice. And there's no. There's no one looking over my. There's no lawyer looking over my shoulder to represent the hospital.

[Dr. Ricky Brown]

Isn't that scary? Just branching out and opening your own practice fresh out of school?

[Mimi]

It is. And I.

[Dr. Ricky Brown]

A lot of weight on your shoulders.

[Mimi]

It's a ton. And I got out in 09, which is when the real estate market was crashing. Right. The bubble burst. I couldn't get alone. So I ended up finding a guy in Arizona who was like 67 or 68, who genuinely wanted someone to come take over his practice just so that I could take care of his patients. Like, he wanted to know that they were going to be taken care of. So I ended up joining. This guy hung a shingle, paid him overhead. He kind of helped me start to get busy doing reconstructive work. And literally a year later, he was like, I'm out. It's yours. And he was like.

[Dr. Ricky Brown]

He believed in you.

[Mimi]

Yeah. He was like, whatever instrumentation you want to keep, it's yours. What you don't want, I'm going to sell off. But you're doing great. You're doing good work. Like it's yours. Just do your thing. And it's not like he handed me this Taj Mahal, but he did hand me this book of patients that I was able to take care of. And so, dude, I was hopping it bunny. I was like driving 45 minutes to the west side of Arizona, of Scottsdale, to the West Valley to do reconstructive work and breast canc. Or work. Driving home late at night, newborn twins, just kind of humping it back and forth just to kind of make it happen. And just over time, it just slowly happened.

[Dr. Ricky Brown]

You're a hustler for sure. Yeah, you are a hustler for sure. What made you land in Scottsdale? Because they are like. They're like, I love Scottsdale. And they're like, really big with plastic surgery out there.

[Mimi]

Yeah. So my wife went to nau. She was a dental hygienist. She doesn't practice. Practice now. Shout out to my wife, Alexis Brown. She's the best. She. She loves you guys. We love. We love you guys. We're a huge country fans. So. But. So she went to NAU for her dental hygiene training. She was like, oh, let's go check out Arizona. I know I have a lot of friends out there. It's a pretty cool place. I lived there for a little while.

[Dr. Ricky Brown]

Yeah.

[Mimi]

So that's how we ended up going out there to visit. And then I just. I got the American Society of Plastic Surgery book that lists all the physicians around the country who are board certified. Certified state by state, city by city. And I sent a letter to every single surgeon in Scottsdale and Phoenix and was like, hey, are you looking for somebody?

[Dr. Ricky Brown]

So that's what Ricky does.

[Mimi]

That's what I just. What I do. So this guy, this was the guy that had messaged me and said, hey, I'd love to meet with you. And it's interesting because he told me he was like, I was about to give up. Like, every dude I had met just wasn't the right fit. And he's like, so when we met you, we knew, like, okay, if this works out, this, this, this guy seems legit.

[Dr. Ricky Brown]

I love that so much. And the rest is history.

[Mimi]

The rest is history.

[Dr. Ricky Brown]

Now you still have that same practice or has it like grown?

[Mimi]

Same practice. I moved. I moved offices. But I've been. I've been in practice for 15 years now.

[Dr. Ricky Brown]

Holy shit. That's amazing.

[Mimi]

It's pretty crazy to think back.

[Dr. Ricky Brown]

Is it fulfilling?

[Mimi]

Very. Yeah, it's very fulfilling. And. And then there are moments that are tough, right? Like there's. There's moments in being a business owner that's tough. Complications don't happen very often, but I've had one. I know, I know. Dr. Yoon talked about a death that he had had. I've never had a death, but I've had one bad thing happen. And we, we sit with that stuff. That, that stuff like you never. All the great people over 15 years that I've done wonderful things for that are super happy. It only takes one unhappy bad thing to happen where you're just like. It's very depressing. It's, it's. It's hard, right? Because we carry those losses with us. And thank God. Thank God they are few and far between.

[Dr. Ricky Brown]

What happened, if you don't mind me asking, because I know everybody at home's like, well, what happened?

[Mimi]

Yeah, no, I mean, I'm in the middle of this right now. It's about to be done, but. And it's weird that it's happening. In my 15th year in practice was I had a situation where someone had a really bad wound healing issue with the surgery. Something that, that I didn't do wrong. Could not have foreseen that this was going to happen. I think there were other things involved that. That may have caused it. I don't know. But nonetheless, whatever. Whatever caused it, it happened. And there was a bunch of tissue skin loss in the procedure and, you know, just. It happened.

[Dr. Ricky Brown]

Like you require blood work before patients go in because sometimes, and I'm not putting fault on anybody here, but sometimes it's people's bodies, you know, like if they have the MTFHR gene mutation or are you guys talking about diabetes or, you know, something like can help, can hinder the healing process.

[Mimi]

Yeah. So it is it is paramount that we take a good history, which I do. I take a thorough history of my patients and talk to them about all their health for every single patient I operate on. Now, this is not an American Heart association guideline, but I do this if they're 20, I get a set of labs and an EKG, because God forbid they have some congenital heart thing. I might be the first doctor they've ever seen. Yeah, I want to know if they have an easy heart thing. And then I get a set of labs just to make sure they're not anemic or anything like that. And in this case that happened, there was something that came up in her history after the fact that I didn't know about that may have contributed to it, I don't know. But. But it's just one of those things that happens. But, yeah, I totally get labs on everybody, but look, even. Even in the best of situations. So I have a story for you. When I was in general surgery training, it was my chief year, and I was doing a bowel resection, taking out some intestines, laparoscopic procedure. My attending is kind of standing next to me, and he's letting me do the procedure with the junior resident. And we're doing the procedure, and I put in the stapling device, which you staple across the bowel to resect a piece of the bowel, and you staple across the blood supply, and we take that out and we put the intestines back together.

[Dr. Ricky Brown]

That is wild.

[Mimi]

So I fire the stapler, and something didn't feel right. Right. I was like. Something just felt janky with the device when it fired. I'm like, Dr. T, come check this out. Like, I don't. I don't see any bleeding. Everything looks okay, but this just doesn't look right. So he's looking. He's playing around. He's like, ricky, this future line looks great. I think everything's cool. It might have just been weird the way it felt. Long story short, we close. We're heading back to recovery, and the guy's pressure starts tanking. 120, 80. Like, he's bleeding, right? He's bleeding. So clearly the guy is bleeding. And we turn him around, and we're taking him back. And of course, it's a chief resident. I'm like, what the fuck? Like, why did I do that? I knew. I'm, like, hemming and hawing about me, and I knew something wasn't right, and blah, blah, blah. So we get the guy back in the or, we get him on the table. And he reaches across the table, and he grabs my hand. He goes, listen, as long as you're a surgeon, you will fucking have complications. Fix it. You do what you can to fix it, and that is the best that you can do.

[Dr. Ricky Brown]

That's awesome.

[Mimi]

And I was like, okay. And we got to business, and we fixed him. So as long as you're a surgeon, you're gonna have complications. Yeah. Shit's gonna happen, and there's nothing you can do about it but to try. Try to fix it.

[Dr. Ricky Brown]

And when you sign up for surgeries, that's you, as the patient, have to also know, like, hey, we're rolling the dice here. I've had complications with. My last surgery that I had with this was in 2015 with Dr. Corsandi. I came out of surgery, and my heart rate went through the roof. My blood pressure went through the roof. And now I. I think it was a reaction to all the. The pain. What is the stuff that numbs you?

[Mimi]

Oh, the lidocaine.

[Dr. Ricky Brown]

The lidocaine. Because.

[Mimi]

Oh, yeah.

[Dr. Ricky Brown]

Allergic to it.

[Mimi]

Oh, are you?

[Dr. Ricky Brown]

Yeah. And we. I didn't find out I was allergic to it, too. I wasn't. I didn't find out I was allergic to it until I had some dental work done years after that, and I ended up getting taken in an ambulance. But anyways, yeah, my heart rate was through the roof. And I remember I looked at Dr. Corsani and I was like, am I gonna die? Like, that's how bad I felt. Like, it was so bad. So, I mean, anything can happen.

[Mimi]

Yeah. So your story. This is what happened. Your story is not the lidocaine. It was the epinephrine.

[Dr. Ricky Brown]

Yes.

[Mimi]

So there are a lot of people, when they go to do dental work, the mouth is very vascular, and the epinephrine gets absorbed really fast, and it can spike your heart rate. And some people are. Excuse me. Some people are very sensitive to epinephrine, and that's probably what it was.

[Dr. Ricky Brown]

Oh, yeah. I'm sensitive to everything. Literally, my entire life has just evolved around sensitivity.

[Mimi]

You're just a sensitive girl.

[Dr. Ricky Brown]

I am. I'm sorry. That's okay. Well, I know that some Patreons want to ask you some questions. Are you ready to ask some questions? And I know you brought some implants. And then also, we need to talk about this book, the Real Beauty Bible. When did you write this?

[Mimi]

I wrote that about four years ago.

[Dr. Ricky Brown]

2019.

[Mimi]

Yeah. And that book was. It was pre Covid. Actually, that book came to be. I wrote you a whole thing the Inky.

[Dr. Ricky Brown]

I'll read it later. You want me to read it now?

[Mimi]

No.

[Dr. Ricky Brown]

Okay.

[Mimi]

I wanted to. I'd always wanted to be an author. Didn't know what I wanted to do, and I decided I was so sick of watching people get botched and not knowing how to find a surgeon. What's the process like? What do I need to know going into surgery? I have kids. How do I talk to my family who doesn't agree with me having surgery? So this. This book, this Beauty Bible, is really just three parts of. Here are all the things you need to know about before having surgery. The middle part is. Here are all the different procedures and which one might be right for you and when is the. The timing right? And then the third part is literally walking people through what it's going to be like and how you're going to feel from coming to the surgery center, getting an IV to living in your new body and all the new changes. So that's where that book came from.

[Dr. Ricky Brown]

What a great idea for a book, though.

[Mimi]

I just. And I don't promote it well enough. I'm so bad at this.

[Dr. Ricky Brown]

You need to. Because a lot of the questions I had on Patreon, too, where I had to deal with, like, leading up to surgery.

[Mimi]

Yeah.

[Dr. Ricky Brown]

Too.

[Mimi]

And I go and I give one a copy to every patient who comes in for a consult. We give them a copy. So, yeah. That's the beauty Bible.

[Dr. Ricky Brown]

That's amazing. I can't wait to read it. I'll read it. I know that I am, like, the worst when it comes to. And I know I have a surgery coming up. I will freak myself out. I'll back out of it like, 10 times. Like, I. They're so scary. And then you go and you get the surgery done, and you're like, oh, like, right now I want to get a facelift, but I'm so scared to get one because the doctor I want to go to doesn't. Doesn't put you under.

[Mimi]

Oh.

[Dr. Ricky Brown]

And I'm like. I'm freaked out about that, you know?

[Mimi]

So I don't want to be awake for a face.

[Dr. Ricky Brown]

Me either. I don't. Yeah.

[Mimi]

Is that what you're looking to do?

[Dr. Ricky Brown]

Yes.

[Mimi]

You don't need a face.

[Dr. Ricky Brown]

I'm. Listen, I got a bullfrog thing going on, and I'm 44, so, I mean, I'm 43. I know. But in the next five years, I'm going to definitely need to.

[Mimi]

You know, I mean, look, this is a great topic. When is. When is the right time?

[Dr. Ricky Brown]

Right.

[Mimi]

I Think that for sure, if you wait too long, it becomes harder to enjoy your results for a long time.

[Dr. Ricky Brown]

Right.

[Mimi]

I. I really try to get patients to. To really, like, outdo all of your other options before you decide to do something like that. Because you can't go back. Right? Yeah, but, yeah, I mean, you look so good.

[Dr. Ricky Brown]

I appreciate you.

[Mimi]

What is this that you don't like?

[Dr. Ricky Brown]

What is your. It's like, when I laugh, it like, bullfrogs out. You know what I'm talking about? And I hate it. It drives me crazy. But what would you think, okay, besides getting a facelift, what would be the best treatment to get under here for anybody who has, like, that little bullfrog thing?

[Mimi]

Oh, lipo. Just suction some of the fat out.

[Dr. Ricky Brown]

I went and a surgeon told me that he won't. He said, I don't need it.

[Mimi]

So here's the thing. There's. There's muscles in the neck called the platysma muscle. It's like a corset around your neck. They. One fans out this way. One fans out this way. There's fat that can sit below the platysma muscles. I don't do facial cosmetic surgery anymore, but I know all this stuff. So there's fat that sits below the platysma, and there's fat that sits on top. So clearly you. Yes, you can suction the stuff that's underneath the neck. No problem. If you happen to have some of that under the muscle. Fat that can only be taken out by surgery. But I don't know that I agree. If you've got some fatty tissue here and you don't like it, you know, people were doing Kybella forever. Yeah, Kybella is over. It's shit. It doesn't really work. It causes a crazy inflammatory process. Yeah, it really. It really. We've. It's. We're past it. Okay. Like, that is not the way to go. And I tell people one thing you can do awake in the office, which is not a big deal, is submental or chin lipo. It is not bad. They put the tumescent solution in your neck, so it numbs it. And you can absolutely do it in the office awake or just under a little sedation.

[Dr. Ricky Brown]

That is wild.

[Mimi]

It does not take that much to do. And just by getting some of the fat out, that for sure. Submental light or underneath the chin. Liposuction, in my opinion, is the most definitive treatment for people who don't like the fat there. And then the skin just kind of contracts down and tightens up.

[Dr. Ricky Brown]

I was thinking about doing the Morpheus 8.

[Mimi]

Yeah, Morpheus is good. I think you got to be careful. You need to make sure you go to someone who knows what they're doing because I think they were under reporting some of their complications. But. But my nurse does it, and she absolutely loves it, and she knows what she's doing, and she gets great results. I think in the right patient with good skin quality like you have, it might be great. Yeah, you could try it. But I just am not a huge believer in skin tightening devices as a solo therapy. I think in solo therapy, they're not the best.

[Dr. Ricky Brown]

So I've done Fractura, and I had amazing results. It's the same thing as Morpheus, but it's a different version. It's called fractura.

[Mimi]

Good.

[Dr. Ricky Brown]

And it was. I had amazing results for it. My jawline was snatched. So I think. I think it does depend on patient to patient, but of course, you know, more. So maybe I'll go find somebody who'll do some lipo under my chin then.

[Mimi]

I mean, it's. It's really definitive and easy. Corant. He'll do it.

[Dr. Ricky Brown]

No. Yeah. We love Dr. Corandi. All right, are you ready to answer some of these questions?

[Mimi]

Yeah, let's do it.

[Dr. Ricky Brown]

We got a lot. Did you get any questions for me? I saw your little story this morning. I thought that was, first of all, different.

[Mimi]

Kayla, who's my office manager, said, I have no question. Just tell her I love her.

[Dr. Ricky Brown]

I love you too, Kayla. Don't mind my glasses, guys. I lost my glasses, so I had to buy these from Walgreens. I look like I'm, like, 85 over here.

[Mimi]

Let me see.

[Dr. Ricky Brown]

Don't mind me. All right, listen, I'm blind.

[Mimi]

I gotta pull my clears out, baby.

[Dr. Ricky Brown]

There you go.

[Mimi]

We are the show right now. Welcome back to the show.

[Dr. Ricky Brown]

Literally, I lost my glasses last night. I had no opportunity to even try to find them or find a pair that didn't look like this. So you guys do not mind? What's going on?

[Mimi]

This One girl, Serge Tech 79, asked, have you ever hung out with Jenny McCarthy? I feel like you two would be hilarious together.

[Dr. Ricky Brown]

A. I actually, you know what? Jenny McCarthy, Carmen Electra, Pamela Anderson, those were all my, like, like, idols growing up. So I love Jenny McCarthy. I would love to sit down with her. She is hilarious.

[Mimi]

She seems hilarious.

[Dr. Ricky Brown]

No, she, like, embodies everything that I love in women. Like, she's just down to earth. She keeps it g. And she just, you know, minds her business. You Never catch Jenny McCarthy and some scandal or some drama. Like, she's always just doing her thug fizzle. And she married Donnie Wahlberg.

[Mimi]

Oh, yeah.

[Dr. Ricky Brown]

Like, how cool are you?

[Mimi]

I know.

[Dr. Ricky Brown]

Yeah, it is awesome. Yeah, for sure.

[Mimi]

Yeah. She seems so cool. We used to watch all her stuff growing up when I. I love her.

[Dr. Ricky Brown]

Yeah. Remember when they had that show Singled Out? Yeah, I loved that.

[Mimi]

And she was MTV for so long. Like, that's where I, like, really loved her.

[Dr. Ricky Brown]

No, she was the it girl.

[Mimi]

There's one more. So someone said, when you. When you were in Wilmington, North Carolina, did you get a letter from a kid?

[Dr. Ricky Brown]

Oh. You know, a lot of people will show up to my husband's shows, and they give, like, people that work their presence or, like, letters. And I always feel so bad because I get these messages, and they're like, well, did you get it? And it's like, no. If you don't hand these off to our personal security or somebody who's on our team, we're never gonna see them. Like, so if you guys go to a concert, please do not give them to anybody that works at the venue. Make sure it's somebody on our team, and they'll make sure that Mimi and Haley are always running around. You guys.

[Mimi]

Yeah.

[Dr. Ricky Brown]

Grab one of them or, like, one of our. The boys that are security. You can always grab them.

[Mimi]

I saw that in the Hulu special. Some of those, like, introductions he had with some of those kids.

[Dr. Ricky Brown]

It's pretty amazing. No, the kids love Jay. They're so sweet. All right, I have a question about fixing tear troughs. I have genetically deep tear troughs and have tried filler and felt that made no difference, and I really, really hate them. Is there actually a surgery to fix them? As I only ever see people fixing the puffy under eyes.

[Mimi]

So tear troughs are really difficult. So for people who don't know what that is between the lower eyelid and the cheekbone here, we all see that little indentation. It starts to get deep with age. It's the thinnest skin in the body, so it's really difficult. Filler is typically not great there, because filler can really take on fluid. If you use a specific filler and it can get really puffy there, There is no great answer for tear trough. So if you need a lower blepharoplasty. So if they have the fat pads protruding or they have extra skin, for sure, lower blepharoplasty surgery is great for that. You still might have a little bit of an indentation there sometimes at the time of a blepharoplasty. Or you can even do this without a blepharoplasty. Fat, like micro fat, they'll spin fat down. They'll harvest some fat from your body. It's called nano fat. They'll spin it down so it's a really tiny particle and they'll layer in a little bit of fat to try to fill out the troughs. But you have to have. This is just what I would tell people who are listening to this. Like, I don't do facial cosmetic surgery anymore. You need to go to someone who does it a lot because those surgeons have it so dialed in and obviously certain candidates are better than others.

[Dr. Ricky Brown]

It's like their specialty.

[Mimi]

Yeah. They have it so dialed in that they will know what to do. And some might suggest, hey, let's do exosomes, you know, with your stem cells first with some micro needling to try to tighten up some of that skin and help it look. It's an ethnic thing too. Right. Like we see darker skinned patients get really dark teardrops. It's just their skin. Like, there's not a lot you can do for it. So there's not a great fix for it.

[Dr. Ricky Brown]

Yeah.

[Mimi]

But there are some little things that can be done to hopefully improve it.

[Dr. Ricky Brown]

Yeah. Awesome, awesome answer. Always go to somebody who specializes in what you're looking for.

[Mimi]

Sure.

[Dr. Ricky Brown]

For whenever I had my explant, that's what I did is I searched. I. What is it? Seeked out somebody who, like, I was going to make sure didn't scar me, you know, like, really bad because I got a lift.

[Mimi]

Also ask you if you had a lift. I do a ton of explants.

[Dr. Ricky Brown]

Yeah. Are you seeing a rise in them now because of big time? Yeah.

[Mimi]

Yeah. I mean, I do a lot of explants because I don't know, a lot of surgeons just don't do it. This is separate from bii Like, I have a lot of women who just want their implants out. They want their capsules out. I think because of my breast cancer reconstructive days, I have a really good command on the breasts and I feel comfortable doing that operation when a lot of surgeons just don't feel comfortable taking out the capsules, I guess. But honestly, taking out the capsules to a plastic surgeon is like a hernia to a general surgeon. It's just something we do. But a lot of people just don't have the patience because it's a tedious procedure and you have to be really careful when you're on the chest wall. But yeah, I've seen a lot, I've seen a lot of explants. In fact, last week I think I saw six consults for it.

[Dr. Ricky Brown]

Wow, that's amazing though.

[Mimi]

But I still have a ton of women coming in who want implants.

[Dr. Ricky Brown]

Implants, right? Yeah. Oh yeah, no, there, that's always going to be a hamster wheel, a revolving door. Yeah, for sure. Do you think that, and I think this was actually a question in Patreon and I thought it was a great question, was do you think that most women who get implants will end up getting bii?

[Mimi]

No, I don't actually. I think quite the opposite. So my BII spiel is the following. Breast implant illness. The things that I hear patients come in and say are brain fog, joint pain, swelling, rashes they never had before, some have gut issues, all these symptoms which we could attribute to lots of other things. Right. So I truly believe that there's a small part of the population who's rejecting this piece of plastic that we put in their body. Like it makes sense to me as a surgeon to be able to say, is it possible? Of course it's possible. We don't know everything about the human body. But I think it's, it's, it's not, I don't want to minusculeize it and say it's a small group, it's a much smaller group than the women who have implants that are doing fine with implants. So I think what's important is as surgeons we need to be educating patients and saying, and I do this with every single patient of mine who comes through the door for implants. The last thing we talk about is breast, breast implant illness. And I tell them, while we don't have any scientific data to corroborate the two, we have real people who have symptoms. Yeah, I don't have a test that I can test you to tell you whether it's going to happen to you or not. We don't have that kind of data. But what you do need to know is you probably have a better chance of not having a problem then you are going to have a problem. I can't tell you whether this is right for you or not right for you because we don't have any tests or study. I know the MTF HR gene you talked about. Supposedly some of those patients have a higher, higher issue with it. And I just tell them, listen, if you have it, all we do is take out your implants. But more women are doing fine than aren't But I don't want to belittle the women who aren't doing okay. And so what I have a hard time with some of my colleagues is that they just emphatically deny and say there's no way they're not sick. This cannot be happening. And I'm like, look, man, I'm not saying it is happening, but I'm saying it's for sure possible that it's happening.

[Dr. Ricky Brown]

Absolutely.

[Mimi]

And, like, for us to say no to this piece of plastic that we put into someone's body doesn't make sense to shame them or tell them to go away. And I'm not trying to invite people to say that they're sick, because I'm talking about this. The party is already here. Like, one of my friends was like, don't invite people to the party. I'm like, I'm not inviting anyone to the party. Like, the party is here.

[Dr. Ricky Brown]

Yeah. They'll find the party.

[Mimi]

It's being talked about. Right. So. And I would rather surgeons just say, listen, I don't believe in this. I am just not. I don't believe in it. But I know Dr. Smith down the street does, and I'm just going to refer you to Dr. Smith to take care of you, rather than being like, you're crazy. Get out of my office. Like, your implants aren't making you sick. Like, that's the kind of thing that some people are doing to these women, and they're getting obviously, rightfully frustrated and angry.

[Dr. Ricky Brown]

Yeah.

[Mimi]

So, I mean, not feeling heard. Yeah. But I. I have a lot of women who are just wanting to explain because they're kind of naturalizing and just want to go back.

[Dr. Ricky Brown]

Absolutely. And that's another reason why I don't claim the BII thing is because, like I said, there's so many other other women that have way worse symptoms than I did. But I do know after, you know. But I had also got freshly sober. I had, you know, went through a miscarriage. So there was so many things that could have played into how I was feeling. But I do know now, in 2024, I feel better than ever. So could it have been. A lot of people say that. I don't know, Bunny.

[Mimi]

A lot of people say that. They really do. And. And the mind is a powerful thing.

[Dr. Ricky Brown]

Absolutely. Absolutely.

[Mimi]

So in this, I think this plays into BII a little bit, that maybe you're getting symptoms, and then all of a sudden, when you think you're sick, you know how sick you can make yourself. You can escalate what's already happening.

[Dr. Ricky Brown]

Absolutely.

[Mimi]

And in the reverse mode, I think once they come out, it. Whether they were. Were not making you sick, people miraculously are just feeling so awesome. And if that's their mind. Yeah, great. Whatever it is, like, happy you're feeling better, you know, So I think we have to. I think more surgeons need to be more accepting of the possibility.

[Dr. Ricky Brown]

Absolutely. You know, we've talked a lot about bii, so I want. I don't want to hinder anybody who's listening and actually wants to get breast implants because I love breast implants. I think they're beautiful. I love the way they look. I love the way they sit. You brought some implants with you? Yes. So excited. Yeah. Can we play with some?

[Mimi]

Bring them out.

[Dr. Ricky Brown]

Yeah, yeah, yeah.

[Mimi]

I brought you and Jelly.

[Dr. Ricky Brown]

I'm have more questions. Oh, I love that. I have more questions for you. But I wanna. I don't want you guys to listen to this and think, like, damn, she's against breast implants because. No, I want you to do whatever you want to do for your body.

[Mimi]

Let her play with them.

[Dr. Ricky Brown]

Let me play. I love. Okay, so what are these?

[Mimi]

I can take one if you want. Okay, so those are.

[Dr. Ricky Brown]

Throw it across the way.

[Mimi]

Yeah. This is what my boys do.

[Dr. Ricky Brown]

Let me toss you a boo.

[Mimi]

Look who woke up.

[Dr. Ricky Brown]

Like, I too love.

[Mimi]

Look who woke up.

[Dr. Ricky Brown]

He's like, I too love boobs.

[Mimi]

Boobs.

[Dr. Ricky Brown]

He's a man. What do you expect? Ready?

[Mimi]

I know. Love it.

[Dr. Ricky Brown]

Yay. Okay. All right. So is this. This is silicone.

[Mimi]

Okay. In your hand, you hold an ultra high profile silicone implant. And if you look at the back. I don't. We probably can't say the company's name, but if you look on the back, it'll say the. The CCS 445cc's.

[Dr. Ricky Brown]

I had 490 in mine.

[Mimi]

Did you really? And if you have a lot of breast tissue, you were probably big.

[Dr. Ricky Brown]

Oh, I was huge. And then it.

[Mimi]

The style number on this one is X, which means extra high profile. That means.

[Dr. Ricky Brown]

I love that. That means, like up here. Hooters.

[Mimi]

Yeah, it means it sits tall.

[Dr. Ricky Brown]

Yeah.

[Mimi]

So here's how I love to explain implants to women in women's terms.

[Dr. Ricky Brown]

Yeah.

[Mimi]

Implants come in flats, wedges, and high heels, just like your shoes. So implants come kind of flat. Yeah, that's a moderate profile. A little bit taller, which would be a high profile.

[Dr. Ricky Brown]

Right.

[Mimi]

And your stilettos would be your ultra high profile.

[Dr. Ricky Brown]

I love the one. Put them in my neck. If I ever get. I Think I might be 60 and get like the high profile just to go out with a bang?

[Mimi]

Heck yeah. Why not?

[Dr. Ricky Brown]

Jay deserves a nice big fake rack, you know, before he croaks.

[Mimi]

Oh, man.

[Dr. Ricky Brown]

Again.

[Mimi]

So these are, these are, these are high profile silicone implants. He would love that, I'm sure. Yeah, I'm sure he loves.

[Dr. Ricky Brown]

He actually loves natural boobs because he was with me when I had my implants.

[Mimi]

Yeah.

[Dr. Ricky Brown]

So. And he didn't know what to do with them, really. He was like, what do I do.

[Mimi]

With all this play Jay.

[Dr. Ricky Brown]

I know. Yeah.

[Mimi]

So yeah, these are silicone implants. So you can feel how they're softer. These are like the highly cohesive gels. So these are fifth generation implants.

[Dr. Ricky Brown]

Yeah.

[Mimi]

Whereas back in the day when these first came out, the first second gens were like liquefied silicone.

[Dr. Ricky Brown]

Yeah.

[Mimi]

So when these would rupture, it would ooze everywhere.

[Dr. Ricky Brown]

So he loves them.

[Mimi]

I love that. He's like, I want to lick that.

[Dr. Ricky Brown]

Yeah, he does. Stop.

[Mimi]

These are the gummy bears. The highly.

[Dr. Ricky Brown]

Okay, so these are the gummy bears.

[Mimi]

So if you cut this in half, it would stay very solid. It wouldn't just ooze out, which is nice. Right. So if you have a rupture.

[Dr. Ricky Brown]

Yeah, you don't want that to go into your body.

[Mimi]

It stays. It stays like in a nice ball of silicone.

[Dr. Ricky Brown]

Has anybody ever had problems with these leaking or anything and making.

[Mimi]

Yeah, they bust. They all rupture. The rupture rates are about 1% per year. That's what we tell people. So you have a one that. So I want to dispel a myth right now.

[Dr. Ricky Brown]

Yeah.

[Mimi]

The most common question I get is, do I have to have them change out every 10 years? And you do not.

[Dr. Ricky Brown]

Yeah.

[Mimi]

So that is an old wives tale. That might have held true for the earlier ones that ruptured a lot easier, but the FDA even changed their guidelines for monitoring silicone. Now it used to be every three years. Three years. They wanted an mri. Now it's at five years. But I tell people, if it ain't broke, don't fix it. If you're not having any problems at 10 years and you feel great and they're doing great, you do not need to have surgery. I would never marry someone to an operation every 10 years.

[Dr. Ricky Brown]

Yeah, that's make any sense. I had mine in for 13 years.

[Mimi]

Did you?

[Dr. Ricky Brown]

Yeah. And like I said, the only reason I. I had them taken out too was because of the pain.

[Mimi]

Were your silicone.

[Dr. Ricky Brown]

No, they were saline.

[Mimi]

You had Sailing.

[Dr. Ricky Brown]

Yeah, I had saline. I was scared to do silicone, cuz back in the day they were not. You know, I have always been kind of health conscious and I did my studies and I had learned of women, you know, getting like, lupus and stuff like that from the older.

[Mimi]

Yeah.

[Dr. Ricky Brown]

Older silicone implants.

[Mimi]

I think that is what the BII talk is. I. I think if we look in hindsight, it's. Women were having joint pain, right? They were having joint pain.

[Dr. Ricky Brown]

Yeah.

[Mimi]

And so I don't think it's a matter of. This is what I tell my patients and consults. It's not an issue of silicone versus saline as far as I'm concerned.

[Dr. Ricky Brown]

Right.

[Mimi]

It's the presence of a foreign body versus not because I have patients who have saline who have symptoms, and I have patients who have silicone have the same symptoms.

[Dr. Ricky Brown]

Wow.

[Mimi]

So in my opinion, I think it's just this piece of plastic. That's not supposed.

[Dr. Ricky Brown]

Yeah. Your body's gonna love it or hate it. Some women can rock it and some women can't. Take me on. Okay, So a lot of women have questions on Patreon also of, like, take me through the process of getting breast implants. So I come to see you and I'm like, hey, I want to get some Hooters put in. You know, where do we go from there?

[Mimi]

Okay. So the first thing that I always do with patients and I try to ask them, why do you want them? So I. You need to know your why. Right. Like, you got to be doing it for you and not for anyone else. Because you wouldn't believe how many women come in that are trying to save a marriage or something else.

[Dr. Ricky Brown]

Or I got my boobs done. I caught my ex watching porn with the girls who had, like, really big tits. And I was like, I can do that too.

[Mimi]

That's crazy, right? Isn't it crazy how the mind works?

[Dr. Ricky Brown]

Yeah.

[Mimi]

So that's my first is what's their why? But then once we never do it for a man. Never do it for a man.

[Dr. Ricky Brown]

That's a man telling you. Yeah, there you go.

[Mimi]

For whoever. Do it for yourself.

[Dr. Ricky Brown]

Yes.

[Bunny]

Lipo used to be such a bad word. But we're all supposed to act like we love every part of our bodies. It's bullshit. You've put in the hours, the sweat, the discipline, and yet your body's acting like it's on vacation. If that sounds familiar, you're not alone. Getting your body back is so hard.

[Dr. Ricky Brown]

I get it.

[Bunny]

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[Dr. Ricky Brown]

It's gone.

[Bunny]

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[Dr. Ricky Brown]

Complicated relationship with push up bras. Either they dug in, gapped weirdly, or gave that way too obvious boost that didn't feel like me. The support was never quite right. It felt like I was either sacrificing comfort or shape. And honestly, I was over it. Then I tried the Skims Ultimate Push up Bra and I was actually surprised the first time I put it on. It didn't feel like a typical push up. It hugged my body so smoothly and gave a lift that looked natural, not over the top. The support? Unreal. It actually held me in place all day without feeling like a harness. The Ultimate Teardrop push up bra is my favorite from the line. I love that it doesn't just do one thing well. It gives shape, lifts, comfort and feel seamless under the clothes. It's flattering in a way that still feels like me, confident but not trying too hard. Honestly, wearing it makes me feel put together even if I'm just in leggings and an oversized tee. It's the first push up bra I reach for because I don't feel like I'm wearing a push up bra. It just feels right. Shop the Skims Ultimate Bra Collection and [e-mail] after you place your order.

[Bunny]

Be sure to let them know that.

[Dr. Ricky Brown]

We sent you select podcast in the survey pick Dumb one podcast in the drop down menu that follows.

[Mimi]

So I usually go through certain things in my consult. The first is how do we size a breast? And I always try to tell women don't focus on a cup size. If you focus on a cup size you're going to be miserable because no one can promise you an ABC or D cup. I have people go look for vision board photos. I send them to a website where they go look at before and afters of women who are topless. It's a medical website and I go hey, listen, find a woman that kind of looks like you in the before. Find some afters, four or five that you really like. The shape and size. Let's review those together, and we'll hone in on one that we think is a reasonable expectation for you that fits your body. Something I feel I can get to pretty close to creating. And then when I go to surgery, let me decide flats, wedges, or high heels. Let me decide which size you need based on your photo, because it might take a different sized implants for you than your girlfriend had.

[Dr. Ricky Brown]

Right.

[Mimi]

So people get the whole. My girlfriend has a 330, and she looks. Looks perfect. I'm like, well, 330 might not even get close on you to what you want.

[Dr. Ricky Brown]

Yeah. Like, it depends on how broad your shoulders are. It depends on how you carry your.

[Mimi]

Everyone's already.

[Dr. Ricky Brown]

Yeah.

[Mimi]

So that's what I do first, sizing. Then the second thing we go through is we talk about the operation itself. Making a small incision in the crease to put it underneath the muscle. I talk about silicone versus saline, the position of the implant, what's the best place to put it? We go through. What's healing gonna be like? What are potential complications from the operation? What can you and can you not do? So no heavy lifting or strenuous exercise for six weeks, which is what most people can't stand at a month. I let people do cardio, but they're a legit bleeding risk for the first month. Right. We're creating this pocket, and it can bleed. So if your heart rate goes up and your. Your heart rate goes up and your blood pressure goes up, exercising, you could pop a clot off a vessel and start bleeding in the pocket right around a month. They become mature scars on the end of a blood vessel. So it's not as high of a risk. So after I go through that, the last thing I talk about is bii. So I have a specific. Like, I go through. How do we size you? What's the difference between silicone and saline? Let's talk about where we place the implant. Let's talk about complications in recovery and bii.

[Dr. Ricky Brown]

When you say where you place the implant, does that mean, like, above the muscle or under the muscle? Because those are options also. Correct.

[Mimi]

So if this is the pectoralis muscle and this is your chest, while the muscle is sitting on it can go underneath the muscle, where we elevate the muscle and go under or on top. Most of us go under the muscle. I like the protection of the muscle on top of the implant, especially in women who have thin skin and not great quality breast tissue. If we go above the muscle, the implants are tissue expanders. They are going to stretch your tissue over the years and years that you have them. So if you already have thin skin, that rippling I asked you about the increased risk of rippling is more so above the muscle versus below the muscle. Muscle.

[Dr. Ricky Brown]

I went above the muscle and as I got older and like my weight fluctuated and stuff like that. My boobs, like, you know, it was like a. We were just playing a game over here.

[Mimi]

Yeah, I mean they're, they're stretchers.

[Dr. Ricky Brown]

Towards the end it was just like they were just flopped over. I mean, they still looked glorious. I look back now and I'm like, God, I can't even believe I thought these were horrific.

[Mimi]

But I looked amazing.

[Dr. Ricky Brown]

But yeah, they did. They looked so good, but it was just like they still were way like from the side.

[Mimi]

Oh yeah.

[Dr. Ricky Brown]

Way saggy than it should have been. So if I ever did it again, I would go under the muscle.

[Mimi]

I think an important point for people to realize going into a consult if they're thinking about having implants is this is probably the most important thing I tell patients. This will not be your only operation.

[Dr. Ricky Brown]

Right.

[Mimi]

So you need to realize that you are marrying yourself to at least a minimum of two surgeries, if not three or four. Right. Because if you have them and live with them for a long enough time, you will start to have what you had. These are tissue expanders. They will stretch your skin and they will stretch the collagen sac, the capsule that forms around the implant. They'll stretch over time. And so where they used to be at attention and you lay down and they start going off to the side, that's going to happen. And you might need a pocket revision and a lift and all that stuff.

[Dr. Ricky Brown]

Yeah.

[Mimi]

So that's like my younger patients in their 20s that come in who clearly have made up their mind, like, for real. I have these conversations with 20 year olds and I'm going through all this shit, the complications, the bad things that happen, they're like, sweet, so what size am I going to get? Like, they've already decided that they're doing this and there's nothing I can do to sway them.

[Dr. Ricky Brown]

Having kids, having kids after you have your boobs done, that changes your boobs too.

[Mimi]

Big time.

[Dr. Ricky Brown]

Can we talk about that?

[Mimi]

Yeah, for sure. Some women don't really have much effect at all. And they're fine and they go back to normal. But for sure. So Just like implants or tissue expanders. So is the milk coming in? So when the milk comes in and swells, it stretches your skin additionally. So if you already have an implant, then your milk comes in and it stretches and then it goes back down. Then you have another kid and the milk comes in and stretches you even more and it goes down a little. But now your elasticity is not so great and the breast is starting to sag a little. Then you have a third kid and it happens again. And so there are women who can you breastfeed. Absolutely. So it's better under the muscle versus above, underneath the muscle. We don't interrupt the milk duct because the milk ducts go right behind the breast in the tissue, breast tissue up to the nipple. If you interrupt above the muscle and we elevate the breast off of the muscle, you could potentially disrupt some of that flow and that pattern of milk production. But so, yeah, I mean, when that happens. Right. All of a sudden now, you know, the implants here and the breast is starting to sag and that's when they need a lift and they probably need a new implant. So I think it's fine to have implants if you're not having kids for three, four or five years down the road. Tomorrow's not guaranteed. Like, do your thing. But if you're having kids next year. Yeah, I'm like, maybe you should wait.

[Dr. Ricky Brown]

Please look at the surgeons before and after pictures of girls and go on the. Don't look at what the just the surgeon posts. Go look at those patients actual pages and see what they look like in their everyday life. You know, because you, some of these girls are out here just getting stuff done just to say they have it done, not realizing that it's scary. Yeah.

[Mimi]

Vaser's the best, by the way. I do that. I do Vaser either.

[Dr. Ricky Brown]

Yeah. I joke around about surgery though. I'm actually a huge advocate of natural bodies because once you start cutting on yourself, you're, you're and getting lipo and stuff like that. Your weight distribution is completely different in your body. So like now I collect. I get like saddlebags if I don't work out. Right. Or like ask that a lot. And it's about lipo. Yeah. Can we talk about it? Yeah, yeah, let's talk about it.

[Mimi]

Like one of the most common questions is I heard if I have lipo that I going to like gain weight somewhere else. So this is what happens. We're all born with a finite amount of fat cells, which means they're determined. Right. So if we suction up on a fat bunch of fat off of your tummy, theoretically that fat is never coming back. But the way that you can regain weight in your stomach is if you gain more weight, the fat cells that are left behind can swell back into the space and you can gain weight. But the question that people ask, and.

[Dr. Ricky Brown]

It'S harder to lose, it's harder.

[Mimi]

It can be harder to lose. The question that women are asking is, if I get my tummy lipoed, am I all of a sudden going to gain weight in my hips? It's not that you all of a sudden gain weight in your hips. It's just that you have more fat cells there and they're going to take on volume maybe before your tummy starts to show. So you may eventually show in your stomach as well, but it might show first in another area. And everyone's kind of different with where they carry their fat. So that's, that's the phenomena that's happening. It's like because you have lipo, it doesn't cause fat to go somewhere else. It's just that you have more fat cells in an area where you didn't have lipo. And if you're prone to gaining weight there, you might show there first and faster than you would in the place where you already had lipo.

[Dr. Ricky Brown]

Absolutely. But also eat after you have body surgery done, you have to eat correctly. You cannot just get out of surgery and start eating hot Cheetos and in and out and all that stuff because one, you're gonna lose all the results you just went and spent money on getting. And two, I am here to tell you because I've had to do it myself. Maintaining having work done is not an easy feat, and I'm very vocal about that. The fact that I had the surgery in 2015 and still have maintained these results is because I have the strictest diet ever. You know, and it's like you, you have to know that it's not a, it's, it's a quick fix for in the moment, but it's not forever. And you, that's why women get multiple surgeries and have multiple batches of lipo, because they didn't, you know, adhere to diets or eating healthy, and they just figured that they could just eat whatever they want. And you can't, like, you really have to work at keeping weight off, no matter what, 1,000%.

[Mimi]

So this is the BMI question, right? And I am, first of all, I, I preach big time surgery should be your last resort, that you should be maximizing your meal plan and your exercise routine before you think about surgery. So, you know, we get the BMI question all the time. Like, do you have a BMI limit?

[Dr. Ricky Brown]

Yeah.

[Mimi]

Body mass index or BMI is not.

[Dr. Ricky Brown]

I feel like it's so outdated, too.

[Mimi]

It is outdated. It's bmi. So BMI is a good sort of a screening tool. It looks at your. Your. Your weight and your height, and it gives you a number that puts you into overweight, underweight, whatever weight. Right. The reason that's not so great is because it takes muscle mass into account. So a bodybuilder could have a high bmi. That would put him in the obese category. Yet they're perfectly healthy because they're 6ft tall and a block of muscle.

[Dr. Ricky Brown]

Right.

[Mimi]

The fact of the matter is, most of the people in America that are walking around with a high BMI are not muscular.

[Dr. Ricky Brown]

Right.

[Mimi]

That said, the first thing I ask a patient when they walk through the door, how are you on your health and wellness journey? Where are you? Are you happy in your body? Are you trying to lose weight? Are you struggling to lose weight? I try to get my finger on the pulse of where they are. Because if they're struggling to lose weight, I have a nutritionist in my. In my practice that I match them up with to help them maximize their nutrition. Plan to get that. That lifestyle part that you talked about in order before surgery. Because if they don't get their lifestyle right and they're eating well and have a good exercise routine, it doesn't matter what I do, you won't maintain it. If you go back to eating Twinkies and Ho Hos, you're going to gain weight again. And the surgery was a waste. So that's number one. So it's really important that people realize that bmi, while it is a little imperfect, most people with a high BMI are overweight. And so why is that important with body surgery? When a patient comes in to see me for a tummy tuck, the first thing that I look at, because what they want is to be as flat as possible. I want the skin gone, Doc. And I want to be flat. That's what I'm looking for. Awesome. Let me tell you how having a little bit higher BMI can sabotage your tummy tuck results. There's the fat on the outside that we store, Right. And then there's internal fat around our organs called visceral fat. That's the dangerous fat. When we maximize our external fat stores, everything starts to spill out of the Bathtub and enters and starts forming around the guts. Those are the things that increase heart disease, diabetes, all of the problems that we see with health.

[Dr. Ricky Brown]

Yeah.

[Mimi]

But also, let's say surgically, if these are their six pack muscles and they've got the skin on the outside, I can lift that up, pull it tight, cut it all off. Awesome. Behind that are all of your organs. And if you're harboring a lot of visceral fat, it's pushing out on the six pack muscles. It doesn't matter what I do out here, you will never be flat. When we go to tighten up those muscles, the diastasis repair, I can only make you so flat. So when I tell patients that they probably should lose more weight before surgery, it's not a skinny versus fat issue. I want you to have the best result possible. In order to do that, you need to lose some of that visceral fat, which you can't target specifically. It's just as you lose weight, that will go away. And once that goes away and they just have loose muscles, then you're a great candidate for surgery.

[Dr. Ricky Brown]

Absolutely.

[Mimi]

That's what the surgeon should be really explaining to patients.

[Dr. Ricky Brown]

Absolutely. And that's why, like, you'll see some of these girls who have, like, washboard abs, but their abs are, like, pushed forward. It's because those were made in the surgery room and they have that visceral fat behind their wash. Yeah. I've seen a lot of girls who have had their bodies done have that.

[Mimi]

Dude, how weird is that? Carving fat cubes out of fat to make abs. It looks so weird.

[Dr. Ricky Brown]

Yeah. My. So my doctor did a little ab sketching, but he did it. So, like, I'm telling you, Dr. Corsani, I said, I call him. He's just a God. Like, he literally did it. So he is a great guy because it's not overdone. But I have a couple girlfriends who have had it done and they look like he man. Like, is it hard for you to look at girls and find them attractive after all the you've had to do?

[Mimi]

Like, I look, I love the human body. Someone asked me that. They're like, do you, like, walk around and pick everyone apart?

[Dr. Ricky Brown]

I would.

[Mimi]

I'm like, I don't. I mean, I don't. Originally, when I wanted to be a rhinoplasty surgeon, like, I really like doing noses.

[Dr. Ricky Brown]

Yeah.

[Mimi]

I would look at every nose. Like, I was definitely picking noses apart.

[Dr. Ricky Brown]

Yeah.

[Mimi]

But no, I still. The body is still beautiful. Right. And everyone's differently beautiful in their own way. And you know, the female form is, in my opinion, way more beautiful than the male form. But.

[Dr. Ricky Brown]

But do you prefer natural females or females with work done? Because I know a lot of plastic surgeons who prefer natural women.

[Mimi]

It's not that I prefer natural versus unnatural, because, for instance, I'm in pretty good shape. Like, I've been doing CrossFit for 10 years and I'm pretty fit. I had lipo two summers ago because I collected out here in my. My flanks, and I hated it.

[Dr. Ricky Brown]

Some people just.

[Mimi]

And no matter how lean I got, I just kind of had it. My buddy at the time was like, let me do your belly, man. Like, I'm like, I already kind of have a six pack. He's like, yeah, but whatever's there, we'll take it out, we'll unveil whatever's underneath. And I was like, cool. Like, I'm gonna be there. Like, go for it.

[Dr. Ricky Brown]

Let's see it.

[Mimi]

No, you want me to strip down right now?

[Dr. Ricky Brown]

I mean, just lift it up. I mean, I want to see these abs.

[Mimi]

I got abs.

[Dr. Ricky Brown]

Yeah, look at that.

[Mimi]

I mean, it's not a six pack, but I got little cubes.

[Dr. Ricky Brown]

Look at Doc over there, he's flexing.

[Mimi]

But the funny thing is, is I told him, I was like, bro, listen. Like, I would love to have abs. And I know they're under there. Like, I can feel them. And he was like, yeah, but if I lean you out, like, the skin will just kind of drape around him. Dude, he is absolutely right. It took about eight months, eight or nine months down the road. I was like, did he even do anything? I was like, did he take anything out? And like, one day I was in the gym at CrossFit. Like, we all take our shirts off. That's just what we do, working out. Like, some guy walked up to me, he's like, bro, you're fucking jacked. I was like, am I? I'm like, I. I can't see it. Like, when I look down, that's not what I see. Yeah. He's like, no, dude, like, you're fucking ripped. I'm like, cool. I'm like, all right, that did work. Feels good. But so do I prefer natural versus not. So I'm an example of. I think I looked great before and I kind of had abs before, but then afterwards, it's a very natural look. Like, I'm still a 52 year, 53 year old guy and I have some loose skin, but, like, I don't mind if someone has a little work done. And it looks More natural. I don't like, fake. I don't, you know, like, I think I am more of a small breast lover. Meaning I don't want huge, crazy, overdone, big old Kazangas. I think like a nice athletic looking and breast looks really nice.

[Dr. Ricky Brown]

Me too. That's how I feel, you know, but that is a perfect example on yourself and for me also is that we are already athletic people. So the work that we had done looks natural. Whereas if you go in and you're not working out and you're not taking care of your body, you're gonna get unnatural results because you're trying to achieve something that isn't part of your form right now.

[Mimi]

Yeah, exactly.

[Dr. Ricky Brown]

Yeah. I think that was a great, you know, example to use was your own body. That's why I had you lift your shirt up, babe.

[Mimi]

I'm sorry. I totally just.

[Dr. Ricky Brown]

It's all right. We got to get her here next.

[Mimi]

I'll show my body. My wife. Oh, dude, her. And it's natural. She has the most banging abs on the planet. That woman.

[Dr. Ricky Brown]

I'm about to go find her. She's, I don't know, amazing. If I've seen her on her.

[Mimi]

Her page is OMG overnight oat. She has an overnight oat oats company. And her videos, as of lately, she just had a big photo shoot. Are so cute. You gotta go check her out. She is the.

[Dr. Ricky Brown]

We love a hubby that plugs the wife.

[Mimi]

She's amazing.

[Dr. Ricky Brown]

How long have you guys been.

[Mimi]

I married up girl.

[Dr. Ricky Brown]

Ah, I'm gonna. Hold on. Let me go. Let me go look her up right?

[Mimi]

OMG overnight oats.

[Dr. Ricky Brown]

Hold on. OMG overnight.

[Mimi]

17 years. We're coming up on. We've known each other 20. We met in 04, got married in 06.

[Dr. Ricky Brown]

Night oats.

[Mimi]

She's the best. She is such a. She's an incredible mom. She's an amazing woman. She's the bomb.

[Bunny]

I love that.

[Mimi]

Yeah. OMG overnight oats. It's a yellow.

[Dr. Ricky Brown]

Is this her right here?

[Mimi]

I think she just recently. Yeah.

[Dr. Ricky Brown]

Oh, she's so cute.

[Mimi]

Her abs are jazz.

[Dr. Ricky Brown]

Her face is so pretty. I love her cheekbones.

[Mimi]

She's a pretty girl.

[Dr. Ricky Brown]

She's gorgeous.

[Mimi]

She is.

[Dr. Ricky Brown]

Look at you, Alexis, inside and out. She's hot. I'm gonna have try some of those overnight oats. All right. You ready for some questions? Some more questions?

[Mimi]

Yeah.

[Dr. Ricky Brown]

With the Kardashians all getting so thin right now, are bbls less popular and getting reversed?

[Mimi]

Yeah, I haven't seen that like in my practice. Haven't had Women coming in for reversals.

[Dr. Ricky Brown]

Yeah.

[Mimi]

I'm sure that people are. The Kardashians are such a hard barometer to go by.

[Dr. Ricky Brown]

Yeah. I don't really even know if they're having BBL reversals. Can't. When you lose a significant amount of weight, won't you lose the fat?

[Mimi]

Of course you'll lose the fat. And some women do suction their butts back down. You can. You can sculpt them back down and lipo them a little bit, but I.

[Dr. Ricky Brown]

Feel like it won't ever sit naturally if you do that, though.

[Mimi]

It depends on the quality of their skin and how much you take. So you can't. They have pretty decent quality skin and you just take enough to kind of do volume and a little bit do you volumize. Can look really good, but who knows, right? With the craze right now, who knows who's doing what?

[Dr. Ricky Brown]

And I can't believe Ozempic is on the rise like this. And I actually want to make a TikTok about it because. What are your thoughts on Exempic?

[Mimi]

So I think for the casual weight loss person who's trying to lose five to ten pounds, it's ridiculous. Yeah, I really do. I don't have a problem with. It's for obesity. There is an indication for obesity, and I think that it is an incredible tool. Shy of going to get a gastric bypass, I had a patient who I consulted with who wanted lipo. It was a guy and he's like, doc, I've tried to do everything, I'm trying to lose weight, all this stuff, right? He's like, should I just go get a gastric bypass? I'm like, no. I'm like, I would rather you, if you're truly obese, go try Ozempic first. See if that can help you lose the weight you need to do before you get a tummy tuck or before you get a gastric bypass. And then if you can wean off of it and maintain your weight loss, then you're good, man. Like, you're good to go. Because look, even someone who has a gastric bypass, if they don't change their lifestyle, the gastric pouch that's left behind that's this big will stretch to this big and they go right back to where they were.

[Dr. Ricky Brown]

Yeah.

[Mimi]

The lifestyle has to accompany it. Right. So the same thing with Ozempic. So I'm okay with Ozempic for morbid obesity, for pig, because it really, really can help. It's better than fen phen.

[Dr. Ricky Brown]

Yeah.

[Mimi]

Right. That crap they used to use. So I'm okay with it for that as a lifelong drug. I don't know. I mean, a lot of docs I follow on Instagram that I'm friends with will talk about it like, it's hypertension. They'll be like, look, obesity is a disease, and women who. And people. Not women. People who have hypertension take a medication for their blood pressure their whole life, and they're on it forever. So if someone who has the disease of obesity, maybe they should be on it their whole life because of insulin resistance. And it helps to balance that out, a lot of that stuff. But, you know, so I just don't like it for the casual weight loss.

[Dr. Ricky Brown]

Right, Absolutely. And I believe that, too. And that was actually, my next question was about the bariatric surgery. So I. I like to see where your stance is on that, too. My thing is, is I was around for the diet pill craze, and I was getting diet shots, and I don't even know what the. I was getting shot into me a decade ago for actually probably 15 years ago. And I had it, and I did it for probably six to seven years. I was taking Bontrol, 105 milligram diet pills, Phenermine, getting diet shots every week. And I just know that my health. In my 40s, my heart is a normal. Heart rate for me is 110, 100, 110 when I'm walking. You know, like, I. Last year, I had to deal with a bunch of health problems. Problems because, you know, my blood pressure was crazy and stuff like that. And I just feel like this craze is. Is just like that. You know, it's not the long. You're already hearing people having, you know, side effects from the Ozempic. And Sharon Osborne looks like, you know, heaven forbid. Amazing woman. I love everything Sharon stands for. But this poor woman, what did she do to herself?

[Mimi]

I know.

[Dr. Ricky Brown]

Look at her face. Like, she. There's calling it ozempic face.

[Mimi]

Yeah.

[Dr. Ricky Brown]

And it's like she didn't need that. She was a beautiful woman. And it's just like you said, she was trying to lose five to ten pounds.

[Mimi]

And now look, it becomes an addiction. They. They love that there's a little central nervous system thing that suppresses your appetite, and then there's. Obviously it decreases the emptying of the stomach, so. So you hold on to. You feel full sooner. Yeah. And it just like they get addicted to it. And it's just like anything else where it's like, oh, I did it to lose five or ten pounds, but man, I'm just gonna keep going because I don't, I, I don't want to eat all that stuff over there and I don't really desire it when I'm on this medication. Instead of just kind of developing a little bit of that control, which is hard for people with the disease of obesity.

[Dr. Ricky Brown]

My husband, I live with that every day.

[Mimi]

Is he still training for the 5K, by the way?

[Dr. Ricky Brown]

He is. He's doing so good and I'm proud of him. He kind of had a little bit of a setback, but I'm sure he'll talk to everybody about it when he's ready. But, you know, you. And the reason why I'm speaking from the heart, from this whole situation is because of my husband, because he's contemplated taking Ozempic and you know, I'm of course against it. Is he a candidate for it? Absolutely. But at the same time, my husband also has afib, you know, and it's just like I don't, we don't know enough about the drug yet to just be pumping it in our bodies, you know, and I don't want him to be a guinea pig.

[Mimi]

I mean, I don't, I don't know how it would affect afib. You know, talk to someone, talk to a specialist. I mean, it is, it is a good tool to help jumpstart people. But I do think the mentality has to be. At some point maybe I'm weaning off of it so that I can, I can get there and stay there. But yeah, he can do it.

[Dr. Ricky Brown]

You've got to be your biggest advocate, though. You, it's, it's. You have to have dietary changes for sure too, even when you're on it.

[Mimi]

Lifestyle is everything, I think. Didn't he talk about that in the Hulu episode where he said, I traded stopping the drugs and all that stuff and like, food was my thing. And so maybe the next step is like controlling that. That.

[Dr. Ricky Brown]

Yeah. Well, I'm proud of my husband. March is dedicated to my husband doing a whole 30 day program with on site where he's going to just kind of retrain his brain and his eating habits and stuff, because that's my husband's demon. And he doesn't eat bad like you would think. Like people who are, who are, you know, considered morbidly obese are eating like fried foods and sugar and all. He doesn't, he eats healthier than I do sometimes, but he does go off on little binges and that's what really affects him, you know?

[Mimi]

Yeah. I mean, calorie deficit is major. You have to have a calorie deficit. And also when you get into that loop of insulin resistance, it makes it really hard to get out of it. And sometimes that's why something like Ozempic can help control their insulin to help them start to lose. And if this is in or not.

[Dr. Ricky Brown]

Yeah.

[Mimi]

Kick starting it, I will tell you. My advice to him is, dude, it is always this. It is never a straight line ever. And like a lot of my patients that I deal with with obesity who, who just are unhappy and can't get there, whenever they have a little trip or a fall, the world falls apart.

[Dr. Ricky Brown]

Yes.

[Mimi]

I'm like, you have to remember, you are not perfect. No one is perfect. You are going to have failures. It's what you do after the failure that defines how you're going to go. Right. So it's okay to have a setback and then you just. Just autocorrect and get back to where you were.

[Dr. Ricky Brown]

Yeah, absolutely. That's what I try to teach my be okay.

[Mimi]

Failing.

[Dr. Ricky Brown]

He gets so upset, like when. If he falls off and I'm like, baby, just today's a new day. Get back on that tricycle and truck, you know? All right, I'm gonna ask you a couple more questions. Do you know about perimenopause and pre menopause?

[Mimi]

A little bit. My wife's going through it. I know enough to tell you that I'm dealing with it on the other side.

[Dr. Ricky Brown]

Tell her to get some wild yam cream.

[Mimi]

Wild yam.

[Dr. Ricky Brown]

Wild yam cream. It will regulate her hormones and it's like, it's a miracle. I've been researching it because I'm really into health stuff. Sorry. I cannot take myself serious with these things on. I cannot take myself serious with these. Yes.

[Mimi]

Yam cream.

[Dr. Ricky Brown]

What is wild yam cream? I don't know exactly what it's made out of, but Barbara O'Neal, love her. She is like this lady who is so knowledgeable on just holistic healing and stuff like that. I believe in a lot of eastern medicine, not western. Yeah, me too.

[Mimi]

I'm. I'm down.

[Dr. Ricky Brown]

Yeah, tell her to just research wild yam cream. Tell her go down the wormhole on Tik Tok and I guarantee you she's going to love it. I haven't started using it, but one of my best friends has and she is loving it. And anybody that I know that's going through perimenopause or menopause that's been using the wild Yam cream said that it's been a lifesaver. It gets rid of hot flashes. It helps regulate moods, like, just everything, so.

[Mimi]

And it's a good thing. She and I both like our house at, like, 65 degrees.

[Dr. Ricky Brown]

Oh, yeah, me too.

[Mimi]

In the middle of the night, she's like, oh, my God, it's happening.

[Dr. Ricky Brown]

Oh, poor baby. Gosh. Yeah, tell her, get on that wild yam cran.

[Mimi]

All right, I'll check it out. So what's the question surrounding that? I'll just see.

[Dr. Ricky Brown]

Okay. I was gonna skip over it, but we can. Can we talk about perimenopause or pre. Menopause? I feel like this is something that more women should be. Should understand. Understand. It's even hard to get info out of my primary care provider. It feels like women are dismissed when they express that they feel like they're hitting that stage. These. There are a lot of hormones that affect our moods, libido, and energy, and this should be talked about more.

[Mimi]

What I would say to that question, without being able to give you the details for the hormone stuff, is that if you don't find the right practitioner who listens, go somewhere else.

[Dr. Ricky Brown]

Yes.

[Mimi]

There are so many providers out there who are really good at what they do. And if you don't find the answers from the one that you don't like hearing what you're hearing, go to someone else.

[Dr. Ricky Brown]

Yeah, absolutely.

[Mimi]

Opinions. Yeah.

[Dr. Ricky Brown]

I tell everybody, date your therapist. But you can also date your doctor for sure. You know, find somebody who listens to you.

[Mimi]

Yeah.

[Dr. Ricky Brown]

Because again, you have to be your biggest advocate for your health.

[Mimi]

Health for sure. And you guys get the raw end of the deal, man. The hormone stuff, women. Oh, dude, it's rough.

[Dr. Ricky Brown]

Yeah, it's been wild. Yeah. I've had a. Last year, I had to go through a ton of. Just to learn that I was allergic to rice.

[Mimi]

Oh, I heard you talking about.

[Dr. Ricky Brown]

Yeah, it was. It was really wild.

[Mimi]

Right.

[Dr. Ricky Brown]

You just have to be your biggest advocate. Okay, last question. If you don't agree with a procedure, but the patient or client is really wanting it, what ultimately makes the decision? Decision. Obviously, you have to please the customer, but where do you draw the line? And was there a particular case that caused you to make that line?

[Mimi]

This is an easy answer.

[Dr. Ricky Brown]

Yeah.

[Mimi]

I was always taught who not to operate on, not who to operate on. If something doesn't align with my morals or that I think is right or wrong, I dismiss them and I send them somewhere else. It's as simple as that. It's. We don't have to operate on every patient that walks through the door. And so as much as I may not be for everyone, they may not be for me. So I'm interviewing the patient as much as they're interviewing me. And if we're having a conversation and I'm sort of getting in a consultation that either what they want is unreasonable or that no matter what I do, they're not going to be happy, I'm honest with them, and I just tell them, listen, I don't think we're a good match for each other. You're awesome. Thank you for coming here. I just don't think you're the right patient for me. I don't think I'll tell them. I don't think I can make you happy or give you what you want. But I'm going to give you three or four other names, if you would like, of other doctors in town that I think are phenomenal, that might. You might jive with better.

[Dr. Ricky Brown]

That's amazing. Some doctors would just want to take the money, you know?

[Mimi]

I can't do that, Bonnie. I probably could be a lot more wealthy than I am by just being unethical and just doing whatever to whoever. Yeah, I can't. That's just not who I am. And I can't put my head on my pillow at nighttime. I have to feel good about what I do, and. And so everyone's not for me. And I don't want to. I don't want to hurt people. I'm not in the business of hurting people. We're trying to help people. So if I think that something's not going to go well, I just divert them.

[Dr. Ricky Brown]

I love that. That's amazing.

[Mimi]

Yeah.

[Dr. Ricky Brown]

What's the weirdest surgery you've ever done? Weirdest, craziest, weirdest, outlandish.

[Mimi]

So we do some pretty crazy reconstructive stuff. So here, I have a good one for you. When I was in residency, we did a ton of jaw cancer reconstruction surgery. So patients would have, like, a huge segment of their jaw cut out for a tumor. Some of it would be soft tissue, some of it would be bone. So we. We used to do a. A free flap or a microvascular procedure where we would go down to the leg, we'd cut a piece of skin, we'd take a chunk of the fibula bone because you don't need the middle segment of your fibula bone.

[Dr. Ricky Brown]

Yeah.

[Mimi]

Connected to an artery and a vein. We would take it out of the leg. We would have 3D models made of their jaw. So we Knew the angle of their mandible. The lower jaw.

[Dr. Ricky Brown]

Yeah.

[Mimi]

We would make cuts in the bone to bend it just like a jaw. We would put it into the jaw and plate it. We would hook up the artery in the vein and then put the soft tissue in the skin where they were missing soft tissue and skin to complete, completely reconstruct their jaw. It's crazy.

[Dr. Ricky Brown]

That is wild.

[Mimi]

Oh, a free fibula flap. Dude, they are badass operations.

[Dr. Ricky Brown]

That is wild.

[Mimi]

There are a lot of badass operations, but that's one. I remember doing those, and I probably did 10 or 20 in residency that I was like, this is crazy.

[Dr. Ricky Brown]

How long does a surgery like that take, man? That's like so extensive.

[Mimi]

Yeah. When they go, well, those are 10 to 12 hours at least. Because the ENT surgeons will go in to do all the cancer part and they gotta check lymph nodes and do all that stuff. While they're doing that, we'll go start working on the leg and harvesting. But we usually are faster and get to a point where we have to pause and stop. Leave it all attached to blood supply, Wrap it up and kind of leave. Let them finish their cancer resection. And once they get pathology to clear the margins, everything looks good. We'll come back and do it. So all together with both surgeons, those can be 10, 12 hour operations. Yeah, it's pretty crazy. We did one, there was 18.

[Dr. Ricky Brown]

Oh, my gosh.

[Mimi]

The flap started to go down. We took them to recovery. The blood, you could hear the blood vessel supply. After we hooked them up under the microscope, we wrap a little thing around it where we can hear the tone in the vessel.

[Dr. Ricky Brown]

Yeah.

[Mimi]

And it disappeared. And you got to take them back and explore it and see what's happening. Sometimes it's clotted. You have to redo it. So in that case, we had to redo it twice.

[Dr. Ricky Brown]

Oh, my goodness.

[Mimi]

Like 17 hours.

[Dr. Ricky Brown]

That's fascinating.

[Mimi]

It's crazy.

[Dr. Ricky Brown]

That is really crazy. It's got to be just so fulfilling to just know that you're.

[Mimi]

Yeah.

[Dr. Ricky Brown]

People's lives, really, when you see those.

[Mimi]

People leave the hospital, it's pretty badass. It's like a pretty incredible feeling. Breast cancer is that way. Breast cancer reconstruction is that way. But look, I derive the same pleasure from a cosmetic procedure.

[Dr. Ricky Brown]

Right.

[Mimi]

So something I think we didn't talk about that would be cool is I can't stand the comments that you get about people. That comment. Why can't you just love yourself? Like when we put up a cosmetic post. Why can't you just love yourself? The Way you are, the way that God made you look, people, just because you want to have a procedure to make something look better, enhance, doesn't mean that you don't love yourself and it doesn't mean that you don't appreciate yourself. It is okay to do something that you can't do with other means, like working out or exercising. Like the saggy breast. You can work out all you want, but it is not going to lift and revolumize itself without a procedure. So I derive the same amount of pleasure from a reconstructive procedure when I have a woman come in feeling really down about their body and really negative, and I do a breast operation and they come back crying, happy, and everything's amazing, you know, so those, those are just, just as amazing victories as the other one ones are.

[Dr. Ricky Brown]

Yeah, well, all in all, it's the same end game. It's. You're literally making these people feel whole again or feel good about themselves. And that's like chicken soup for the soul.

[Mimi]

Totally. Yeah. I mean, look, breast cancer reconstruction, I tell people I see that as a cosmetic procedure. I'm cosmetically rebuilding your breast. And so no matter what I'm doing, it's always a cosmetic thing that I'm trying to make look better, whether it was for cancer or for personal. Just wanted something better. It's. It's all the same, same game.

[Dr. Ricky Brown]

Well, we are so thankful for you.

[Mimi]

We're thankful for you guys.

[Dr. Ricky Brown]

I'm thankful for you coming on the podcast too. Why don't you shout out your social so everybody can find you? Because Dr. Ricky has a pretty extensive tick tock.

[Mimi]

Yeah, it's pretty crazy.

[Dr. Ricky Brown]

You. You're really good at branding me. Yeah.

[Mimi]

Really?

[Dr. Ricky Brown]

Oh, yeah.

[Mimi]

You know, I do all that on my own.

[Dr. Ricky Brown]

That's wild that you don't have somebody helping you. I do all my on my own too.

[Mimi]

Need someone.

[Dr. Ricky Brown]

Except for the podcast.

[Mimi]

It's getting hard. But I mean, I'm everywhere. I'm Dr. Ricky on YouTube. They can find me on Tick Tock, the real Tick Tock Doc. And then my Instagram is Dr. Richard J. Brown. You know, when you're verified, you can't change your goddamn name.

[Dr. Ricky Brown]

Yeah, I tried.

[Mimi]

What a pain. And I. And like it says, you know what I love? It says contact customer service to change your name because you're verified. I'm like, if you could tell me where customer service exists, then I will.

[Dr. Ricky Brown]

Call answer from customer service would be right.

[Mimi]

But so, but yeah, I mean, you guys go to one of those pages and in my bio. You'll find me everywhere else. And I put all my content up on my own and I get in these phases where I'm like this.

[Dr. Ricky Brown]

I think we all do that as content creators. It's, you know, some days you're like gung ho and want to make five videos and some days you don't even want to post.

[Mimi]

Totally.

[Dr. Ricky Brown]

Yeah.

[Mimi]

100.

[Dr. Ricky Brown]

Thank you so much for coming on.

[Mimi]

My pleasure.

[Dr. Ricky Brown]

Can't wait to see how much ass you keep kicking and faces you keep fixing and boobies you keep making. Like, I'm really excited.

[Mimi]

Same to you guys.

[Dr. Ricky Brown]

You're going have to come back and see me.

[Mimi]

I am definitely coming back and I want to see you and Jay playing with these.

[Dr. Ricky Brown]

Oh yeah, we will. I'm going to be like, hey, babe, I'm getting my boobs done again. He's going to get the fuck out of here.

[Mimi]

He's like, no, you're not.

[Dr. Ricky Brown]

Thank you guys for tuning in to another episode of Dumb Blonde. I will see you guys next week. Bye.

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