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Josh Altman
The following podcast is a dear media production. Two Jews, both big and tall. No subject too small for the Good Guys. A mother's dream Premium podcast team. Make it your weekly routine. It's a Good Guys.
Ben Soffer
And if you don't give us five stars.
Josh Altman
What are you nuts?
Dr. Terry Dubrow
What are you nuts? Yeah.
Ben Soffer
We're the good guys.
Josh Altman
They're not the great guys. We're just the good of the good guys. Mazda Morons. Welcome back to the Good Guys podcast. We are so honored. We are here with royalty.
Dr. Terry Dubrow
We are.
Josh Altman
This guy has brought me and my wife so much joy. And not because he did my facelift. It's because we love him. We love botched. We love everything. Dr. Terry Dubrow.
Dr. Terry Dubrow
Thanks for having me, you guys.
Josh Altman
Thank you.
Dr. Terry Dubrow
Really good to see you again. Yeah. You look great, by the way. I did a really great job, obviously. Beautiful.
Josh Altman
Oh, we are going to get there. Let me. Let's start off here because Ben and I know you've been in person with Dr. Dubrow before.
Ben Soffer
Yes.
Josh Altman
He. This man. Are you.
Ben Soffer
He's a specimen. He's.
Dr. Terry Dubrow
I'm comfortable talking about my age. That's what you're asking me. Yeah, I'm 66.
Josh Altman
Unreal.
Dr. Terry Dubrow
Yeah.
Josh Altman
It is a fiddle.
Dr. Terry Dubrow
Yeah, I'm very fit. I last. I, I, you know, I try to do something significant physically every single day.
Josh Altman
Like what?
Dr. Terry Dubrow
Like. So when this is over. Because today I'm doing press for plastic surgery Rewind, my new show that's on tonight. Premiere episode 10pm on E. Yeah.
Ben Soffer
You know what I mean? So I'm in.
Dr. Terry Dubrow
It's called Botch Presents Plastic Surgery Rewind, where a group of celebrities move into a house together who have had plastic surgery and they decide whether or not to rewind it, which is not easy, but they go through this whole therapy process and. Wow. And we try to figure out whether they're ready for it, and they figure out whether they're ready for it. And if they, they go down this time tunnel and they come out the other side and we'll see what they look like. Wow. And it's interesting because we, you know, life sort of intersects you at very interesting stage your life. Aubrey o', Day, if you know who that is.
Josh Altman
Sure. Pop star.
Dr. Terry Dubrow
Yep. Pop star. P. Diddy. So P. Diddy got arrested her first day on the show and it would just blew her mind because she has, you know, obviously she was sort of abused and that whole history and that was a big part of her story that unfolds on the show. And then, you know, Kim Zolciak Brielle Berman Mother, DAUGHTER on the show. And they have a lot of issues that have been in the media recently. So there's a lot of. Besides just sort of plastic surgery topics. There's this whole plastic surgery regret. What it means to you, what happens if you do rewind the surgeries, if you do reverse the surgeries, which are high risk anyway. And just the whole gamut of, of sort of all the issues regarding that. Wow.
Ben Soffer
Who comes up with the ideas for these shows? Terry. So are you being pitched like a man of your stature at this point is probably being pitched? Are you pitching them? Was this a great idea? And it sound, it's very.
Dr. Terry Dubrow
Yeah, this I didn't pitch. I do have a show that I am pitching called Sudden Beauty island where these people who are going to have plastic surgery move onto an island. Wow. And they're all charismatic and then they hook. So get together and then they are taken off and then they have their surgery and they're turned into these incredibly look incredible looking people. And that introduces a strange attractive variable that they may have not have had before. And let's see how the sort of social experiment of attractiveness affects relationship.
Ben Soffer
That is genius. Yeah, it's like, it's like, it's like, it's like the better version of Love is Blind. I never understood Love is Blind. You're sitting there, you're watching these people, they're talking, they're falling in love. When, if they, if they're not attracted to each other, it's kaput, it's gone. This, it's you. At least you see them. It's fascinating.
Dr. Terry Dubrow
It's true. It's like, well, they're all super charismatic because they overcame their physical sort of shortcomings. So they come in with these amazing personality and they hook up based on sort of things you'd want them to get together for.
Josh Altman
Right.
Dr. Terry Dubrow
Great. You know, emotional attractiveness and so on. And then we then introduce extreme beauty into it because something. One thing the Swan taught me. It's you.
Josh Altman
It's me.
Dr. Terry Dubrow
One thing. That's one thing that swan taught me. Okay. Seconds. By the second season we both figured out because there were two surgeons. Me, another guy who with just some minor things wins the beauty lottery. Because for example, if you took Angelina Jolie or Tom Cruise and you stuck their ears out, gave them a big bump on the nose, right. And sort of straightened out their bodies or they were heavy or something and then you just did those, take the bump away, pin their ears back, do little sort of things. We do Every day in them. They would be extraordinary. They would be them.
Josh Altman
Right?
Dr. Terry Dubrow
They would be them. Extraordinarily gorgeous people. So every once in a while some patient will come to your office who is going to have a sort of routine procedure. You go, oh, they have no idea. Really. They have no idea. They are about to become suddenly beautiful. And careful what you wish because you know, you win the lottery, you think your life's gonna be wonderful. But then when you look at the history of people won lottery, they usually kill themselves. There's a problem. Yeah, yeah. On the Swan, when a few of them, more of them the second season because we learned how to pick for that variable, how to make them look suddenly beautiful, it messed their lives up. You know, they immediately left their abusive husband. Boyfriend. They wouldn't take BS from their boss anymore because they're like gorgeous now. So it'll be, it'll be interesting to see if that show goes what, what that sort of does to their relationships.
Josh Altman
And maybe with the challenges, the prizes are like. And you just won Juvederm. You know, like you can compete for something. Know PDO threads.
Dr. Terry Dubrow
I don't know, something like that. Yeah.
Josh Altman
We've been wanting to ask about Olivia and I want to ask these threads.
Dr. Terry Dubrow
Yes.
Josh Altman
That people. Is that what it's called? PDO thread?
Dr. Terry Dubrow
Yeah. There's different types but that's.
Ben Soffer
What is this? What is this? So tell me.
Dr. Terry Dubrow
It's. It's based on this technology that has been tried for years. Okay. Originally these sort of synthetic threads came in this, this formulation where it had these little hooks on them. So you feed them in there and then. Barbs. Barbs, exactly right. And you pull and the barbs attach.
Ben Soffer
How do you know that? Josh.
Josh Altman
I hate myself.
Dr. Terry Dubrow
He's very sophisticated and, and then so you'd sort of do, you know, this tightening thing from the inside. The problem is they don't work. They don't work. Now they may. The new kind variety works for about six weeks and then they don't work. So I'm not saying that because I compete with dermatologists and non plastic surgeons. I don't really compete with anybody. I do my thing, you know. But sure, I'm not saying that to try to take any business away from people who do threads. They don't work. And that is, I mean if they worked, I'm going to tell you they work. They ultimately don't work. Don't do it over time because over.
Josh Altman
Time probably an instant kind of. Oh, and then just quickly it resettles is what you're saying?
Dr. Terry Dubrow
Exactly. I mean, you know, some of those, like I had a CO2 laser done on my face face about a year ago. Not that deep because I didn't have the recovery time, but it took off all this pigmentation and tightened my skin and all these wrinkles and I went in the sun. I sleep deprived chronically because I can't sleep very well and I work like a maniac. It's all back. Right, okay. And that isn't to say CO2 doesn't work because it does work, but threads do not work, don't do them.
Josh Altman
What do you think about with all these kind of the CO2 lasers and the trusculpt and the fillers and the Botox, all these things especially for face. Right?
Dr. Terry Dubrow
Yeah.
Josh Altman
If you had someone who you knew over five to ten years was going to probably spend anywhere from ten to twenty grand on all these maintenance procedures, would you look at them and say spend not, not what you would charge, but a middle of the line facelift. Spend, spend 50 now.
Ben Soffer
Facelift at a strip mall.
Josh Altman
Yeah, yeah, a Groupon facelift. Like get the facelift now, don't penny any it for the next 10 years and you won't actually get the result you want.
Dr. Terry Dubrow
So the true answer, like everything else in life, it depends, right? It depends on the individual. I mean, if you're 40, you're starting to sort of show a little jowling and deflation of the face. You could do a facelift then. But you can sort of get this very similar result by just doing sort of this non invasive stuff. You're talking about really judicious, well placed fillers, Botox, some of these non invasive things. And you, you probably should wait. Okay, I do agree with the early facelift. What I always say to patients is, do you know that you're going to get a facelift one day? If they come and they go, for sure I'm going to get a facelift. And I say, okay. And then I go like this. The next maneuver is I go like this. I go, do you like the way that looks? And I go, yeah. I go, all right, ready? And then I let go. They go, do that again. I go. And they go, I go, yeah, you're not ready. If this makes a big difference and you know you're going to do it anyway for sure and then you understand the risks of it and you hear all the nerve damage and scarring and all those things that can happen, you might want to do it early. You might want to do. But I will Tell you, you know, one of the things I like, I don't know if you guys are aware that sort of celebrities very, very recently, like within the last few days have now come out and talked about their plastic surgery. Like Kylie Jenner, Khloe Kardashian.
Josh Altman
Right.
Dr. Terry Dubrow
Ricky Lake. I mean, it's like a thing right now to be transparent. Although.
Ben Soffer
Yeah.
Dr. Terry Dubrow
How transparent are they? They're willing to admit to, like, you know, a couple of things. But what about the 19 other things? But anyway, they're hiding.
Josh Altman
I was going to ask the person.
Ben Soffer
The person that comes out and gives you the laundry list, left the other laundry list in the other room. A.
Dr. Terry Dubrow
This is the stuff they're comfortable with telling you. Okay. But anyway, that's okay. But so this transparency that they are sort of talking about right now has reignited or very much ignited people's enthusiasm to go into the plastic surgeon's office and get things done. So like for example, when Kylie Jenner and her, what, 140 million Instagram followers. Maybe it's 220 now. I don't know what it is.
Ben Soffer
I think it's like 450.
Josh Altman
Something.
Ben Soffer
Something absurd. Yes. And I can't even. I love where you're going. I want to talk about this. The amount of international followers she has and the crazy places that these people probably went for. 450cc or whatever it is. Boob jobs by the, by the ocean. She's ruining these people. But continue.
Dr. Terry Dubrow
So it's interesting because two years ago she on their show said, oh, I had my breasts done before I had kids. Worst thing I ever did. I regret it. She said I was way too young. I love my breasts. And now I have this. And by the way, there's a picture of her yesterday, I don't know if you saw that, where they're showing sort of some scars and stuff. That's in the meeting right now. I don't know, I'm not, I don't want. I think Kylie Jenner is gorgeous and I love a lot of the things she does. But to put out this enthusiasm right now without the sort of other side of it, which is, hey, I did this. You guys may like it, but, you know, I regret it, you know, so she's sending all These sort of 19, 20, 21 year old, 22 year olds into the plastic surgeon's office to have their breasts done. Because Kylie Jenner did. She did the same thing with injections to the lip. Right. Long time ago. All these people are going into plastic surgeon's office to have early injections. You know, she does that, which is fine to create enthusiasm and transparency, but at the same time, she should remind people, hey, but I regretted it.
Josh Altman
Sure.
Dr. Terry Dubrow
You know, and the problem in plastic surgery is the patients may start to be transparent about it, but I don't think the plastic surgeons are. We have these really expensive off. My new office is in Beverly Hills. I moved up to Beverly Hills. I'm on Roxbury. Okay.
Josh Altman
Oh, this is nice real estate. This is plastic surgeon row.
Dr. Terry Dubrow
Right?
Josh Altman
Okay. You walk down there, you look like you're in witness protection.
Ben Soffer
You become a new person, but it's.
Dr. Terry Dubrow
Not your Roxbury Santa Monica, you know, crustaceans right there. Craig's is down there. I mean, this is that like, the place to get your plastic surgery? Potentially. So you come into my office and you see someone besides me, for example, they have this overhead. They have these expenses. They have, you know, coordinators and employees. They're paying a lot. They have overhead. They're maybe seeing you. Not necessarily as much as I'd like to say all doctors are, do no harm. The Hippocratic oath, they're going to try to sell you surgery for sure. Even if there are cheap alternatives. Even if you actually knew that. You know, what if I do this breast lift on you because your breasts have drooped a tiny bit, you're gonna have scars for the rest of the. If you told it like that to some of these patients, they go, well, wow, I'm glad you said it like that. Forget it. I'll. I don't want to do this or I'll do it. But, you know, we sugarcoat things. We see everybody who comes in our office as a pre op, as a potential sale. Okay. Yeah. If plastic surgeons were more transparent about what you're really signing up for, there would be much better informed plastic surgery and a lot less of it. And for Kylie Jenner to say, it's not her fault. I am not putting her down. Okay? I know she had wonderful family. They're really nice people. I know a lot of people know them very well. But for her to send literally hundreds of thousands of 19, 20, 21 year olds to have their breasts done, I don't know that's the right thing to do. Particularly when two years ago, she said it was one of the big regrets.
Ben Soffer
In her life and she got to spend as much money as she wanted and go to the best person or one of the best. Obviously not the best, but one of the best to then regret it. Like, imagine how many people are nickel and diming their way to this surgery. Like, it's. It's definitely. It's crazy, and I haven't thought of that. And if you think about food, we go into restaurants. I won't go to a restaurant with a C rating. What are you, nuts?
Dr. Terry Dubrow
Right.
Ben Soffer
I'll only go where it's an A rating. Like, where. Where is that? Like, you're going to walk in because some friend said, oh, I got my lips done there, and, oh, I trust this doctor. It's all word of mouth. But is there any, like, governing body for this. This plastic surgeon is a crook.
Dr. Terry Dubrow
No.
Ben Soffer
Does that exist?
Josh Altman
And will you talk about cosmetic surgeons and these weekend workshops? Oh, I'm on the right side.
Dr. Terry Dubrow
Well, okay, two things that. One. Okay, you're right. Anybody can call themselves a cosmetic surgeon in this country. You can be a radiologist on Friday and a cosmetic surgeon on Monday.
Josh Altman
Could you be a podiatrist?
Dr. Terry Dubrow
You can be a podiatrist. Do you can be.
Josh Altman
That I'm not cool with.
Dr. Terry Dubrow
You can be a dentist. Yeah, we have this thing on one of. One of the seasons of Botch. She comes and goes. Yeah, a dentist did my nose job. Okay. You know, come on. Respect. Yeah. So it's legal. All right. To do that.
Ben Soffer
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Dr. Terry Dubrow
Okay.
Ben Soffer
You can get that. You can also get spinach artichoke dip. You can get Mac and cheese. There's a million items. All you got to do is go into your local Applebee's.
Dr. Terry Dubrow
Or. Or.
Ben Soffer
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Dr. Terry Dubrow
I will tell you the truth is if you go to an A rated restaurant in Los Angeles, the chances that you're going to get sick is very, very, very, very low. Yes. If you go to one of the best plastic surgeons in Beverly Hills and you have breast implants put in, there's a 30% chance that you're going to have such significant scarring that you're going to need revisional surgery within a few years.
Ben Soffer
Interesting.
Dr. Terry Dubrow
Even if he does it or she doesn't got it perfectly, this is like surgery. This is not, you know, ordering Thai food down the street on Bedford or something. This is like, you know, so you could be really. That's the problem with one of the problems is, you know, I'm having a little work done. Oh, that's so cute. I'm having a little work to make my nails done, a massage and I'm going to do my facelift. Well, you're going to be put into a chemical coma, right. To do your facelift, your face is going to be sliced open and we're going to be just at the layer above the nerves, particularly this new kind of deep place plain facelift. We do. This is some serious, serious stuff with a lot of ser. You know, unfortunately, one of the best dermatologists, this is, this is a right now kind of thing that just came out in the media yesterday. But arguably the most famous dermatologist you may or may not have heard of, you probably haven't in Beverly Hills in Los Angeles, who within the dermatology world is a true legend, passed away in the last two weeks having neck surgery done.
Josh Altman
No way.
Dr. Terry Dubrow
Yeah.
Josh Altman
It's wild.
Dr. Terry Dubrow
Yeah. So, so it's, this is like be careful.
Josh Altman
Has it. No negligence has been revealed. It's just sadly one of those rare.
Dr. Terry Dubrow
Cases where someone I don't know will be revealed more will. I have no idea. I mean, I sort of do, but sort of. I don't enough to actually definitively tell you, but I mean, if you have someone who's board certified in plastic surgery, do your face and neck lift. The chances that, for example, will lose the airway and you'll die. I mean, it should be pretty close to zero, because at the end of the day, even if everything goes bad, I can still cut open your neck and gain access to your airway.
Josh Altman
Right. And tracheotomy.
Dr. Terry Dubrow
Tracheotomy. And you're not going to die, but if you're. If you're having. And I don't know about him in particular, although I started, but. But I don't know. But if you're having it done by a person who doesn't know how to do that because they're not a real plastic surgeon, and that happens. You're. You're all bad. All bad.
Josh Altman
Well, that's right. I mean, that's basically how they lost Joan Rivers.
Dr. Terry Dubrow
Exactly.
Ben Soffer
Well, from neglect.
Josh Altman
Like that.
Dr. Terry Dubrow
That was. Okay.
Josh Altman
They were taking a selfie with her.
Dr. Terry Dubrow
You have a problem with this? Theoretically, you're operating on a celebrity. Okay. And celebrities can manipulate. There's a thing they can do with their surges. Oh, I'm taking care of Joan Rivers and maybe I'll just do a shortcut. And I won't do this. And I don't want to mess up. You know, she's telling jokes next week, and we're just going to take a look at her larynx and see if there's any polyps. And they sort of low. Well, they don't do the. Hey, if A, then B, if B, then C, they go, well, let's just. We don't want to, you know, do anything too aggressive. And they just let her die.
Josh Altman
What does that mean? Because she.
Dr. Terry Dubrow
Because she's a celebrity.
Josh Altman
Something really bad.
Dr. Terry Dubrow
They lost the airway.
Josh Altman
They couldn't cut and turn.
Dr. Terry Dubrow
They were in a major Manhattan facility with major league famous surgeons who under normal circumstances, with a civilian, this never would have happened. But because she's Joan Rivers. Okay. They. They sort of. This is why you're not really supposed to treat your family members, because you may do something that you normally don't do.
Ben Soffer
Sure.
Josh Altman
But let me ask you, Dr. Dubrow, like. And I. I know your history. You know, general surgery, ucla. Like, you've been. You've really been through the gamut.
Dr. Terry Dubrow
Yes.
Josh Altman
I have a close family friend who's the head of chief of plastics at St. John's okay. And she always says, I only work with anesthesia anesthesiologists who work with sick people.
Dr. Terry Dubrow
Yes, too.
Josh Altman
She said, because it can be easy to be lulled in when you're only dealing with healthy people coming in for elective surgery to. Not when something Hits the fan to. To have just be. To be rusty. How many surgeons like you would feel comfortable in the God forbids to do a willy nilly tracheotomy?
Dr. Terry Dubrow
I think almost on the spot. Most plastic surgeons would really. Yes. But remember, more than 50% of cosmetic surgery are done by non plastic surgeons in this country. And even in Beverly Hills, probably 60% don't really have any training necessarily in plastic surgery. So all of those dermatologists or rheumatologists or general surgeons, they don't necessarily know what to do because they're not specifically trained, haven't been tested it are not really certified in that. So that's the problem, you know, is.
Josh Altman
The people vaping, doing zins. I know that nicotine can sometimes mess with recovery and blood vessels. Is that starting to play any part in people that you're seeing?
Dr. Terry Dubrow
You know, I thought that was going to be a problem, but it's. If you're doing smokeless, you know, zin nicotine, obviously we. I wouldn't operate on you, but I haven't really seen an uptick in vascular compromise really you would expect from that thing. Yeah. So I mean we still ask. So you have to sort of lie to your surgeon. Yeah, I don't do it because if you say, yeah, I do nicotine batching. Okay, well I'm going to test you for nicotine three days before I'm going to cancel your case. So you have to be off it for 30 days. But you know, some. I had a patient that I canceled. She signed up for a tremendous amount of really interesting, challenging revisional surgery. And she really needed it done. And we gave her a prescription for some, some narcotics and the pharmacist wouldn't fill it. We went what. So we ran what's called a cures on her. A cures is this sort of test that, that you, we doctors can run on you to see what prescriptions you had. We can do without your permission. Wow. And we're supposed to do it if we're giving you narcotics. And she was on narcotics for the last six months, like tremendous amounts. And I said, okay, there's a problem here, you've got a major disorder here. And so I canceled the surgery. But had she not had I not figured it out, imagine all the pain she would have had post up and what am I going to do? She already is already on.
Ben Soffer
Nothing to give her.
Dr. Terry Dubrow
Nothing to give her. She would have gone crazy, would have put her in the hospital.
Ben Soffer
You know, Terry, since you were last on the podcast and by the Way for those of you that haven't listened to that episode was unbelievable. And we very rarely have a repeat, okay? Because we don't like repeats. You're fantastic. And we wanted to have you on again. Emilia Perez. I don't know if you saw it, but this movie came out. It's all about how drug trafficker transitions to, like, lead a different life and simultaneously. Because as Josh knows, I only watch TV shows 20 years later. My wife showed me Nip Tuck, and I'm watching Nip Tuck, which I'm sure you're familiar with. And I'm thinking to myself, okay, is this because there's an episode where a criminal comes in and wants to have plastic surgery so they can sort of be off the radar? Have you ever seen, has that ever happened to you? Have you ever had somebody come into your office that sort of wanted to change identities?
Dr. Terry Dubrow
No. I mean, no, because it doesn't really work. Although some of the deep plane facelifts are really making people look differently, different these days. Have you noticed that?
Josh Altman
What that means, deep plane.
Dr. Terry Dubrow
Okay, so there's various kinds of facelifts, right? The sort of original facelift is a skin only facelift. You make incisions in front and behind the ear and you simply lift up the skin and just pull it back, cut it off and do it tight. Those don't last very long and they can look a little waxy and weird. Then we started to go into the deeper layers. Because when your face ages and you get facial deflation and droopiness, it's not just the skin it's in, it's all of the layers. The skin, the muscle, the soft tissue, the fat, everything. So the deeper you go and take the entirety of the face and put it back up, the more sort of restorative and the longer lasting, theoretically, it'll be. The problem is, the deeper you go, the more swelling, the deeper you go, the closer you are to the facial nerves. The closer you are the facial nerves, the greater the chance that you'll injure them. You'll end up looking like you had a stroke. Right? Which is a devastating complication of facelift nerve injury. So the other. But most of us who do them know how to do them with a low risk of nerve damage, right? And so swelling, all right, lasts a little bit longer. But when you're looking at some celebrities who will go unnamed, you can figure them out. They're looking amazing, but they actually just don't look like themselves. It's sort of the who is in who's don't put Baby in a corner. Remember the movie Jennifer. What's her name? Who had her nose done? Yes.
Josh Altman
Jennifer Gray.
Dr. Terry Dubrow
Jennifer Gray. What was the movie? Dirty Dancing. Okay. She had sort of this nose. I don't know if you guys may be too young to know this, but I don't know how you know it, but if she had her nose done. Well, she did Dirty Dancing, giant hit, big star, her and Patrick Swayze. Right. Then she has her nose done. She takes off sort of this ethnicity or nose, and she has more of a sort of a aesthetic nose with no bump. And it. Her career was over instantly. You. She didn't look like Jennifer Gray anymore.
Josh Altman
Weird.
Dr. Terry Dubrow
Done. And so you look at someone like, for example, Lindsay Lohan. She does look amazing, but she looks very, very like, would you recognize Lindsay Lohan now?
Josh Altman
I think. I think Lindsay Lohan looks how Lindsay always wanted to look.
Dr. Terry Dubrow
She looks gorgeous.
Josh Altman
She don't look like a girl from Long island no more.
Dr. Terry Dubrow
Right. Like, she looks amazing.
Josh Altman
She looks. I think she has some of the best work I've ever seen.
Dr. Terry Dubrow
And so does Kris Jenner.
Josh Altman
Yes.
Dr. Terry Dubrow
But, you know, do they look. They're very good. But if, you know, you have a certain look and it changes.
Ben Soffer
Her look definitely changed. I would agree with.
Dr. Terry Dubrow
If it changes, you know, it may not devastate your career like it did with Jennifer Gray, whose career was literally overnight ended. Ended with that nose job. You know, so if you got to be careful because if you like the way you look and suddenly you're looking to your friends like you look great. But who are you? You know, you got to be careful with these kinds of facelifts.
Josh Altman
What about, like, it's been alleged, but like, someone like Brad Pitt looks amazing. Amazing and looks like himself.
Dr. Terry Dubrow
He does.
Josh Altman
It's just because you look at someone, I think they're about the same age, like Tom Cruise and Brad Pitt and I, I'll give them both credit. Like, I think Tom Cruise looks amazing too, but has. Is okay looking like a guy in his early 60s. Exactly where Brad looks like he's 40.
Dr. Terry Dubrow
Brad looks amazing. You know, it's funny. We always. I once did this very famous person and. And I did her facelift and she looked amazing. Everybody said, oh, you did such a good job. I go, yeah, but she's like a 10. If you operate on a 10 and you take off 10 years, what do you get? You get Brad Pitt, right? Yeah. It's like cheating, you know, you don't have to make Brad Pitt look different. You better not make Brad Pitt look different. Could you imagine take away Brad Pitt's Brad Pitt ness?
Ben Soffer
I mean, you're done.
Dr. Terry Dubrow
You're. You're.
Ben Soffer
Never work in this town again.
Dr. Terry Dubrow
It'll. It'll be a Jennifer Grey thing, you know.
Ben Soffer
So what is, what is Brad Pitt doing? Like, what is Brad Pitt doing to look like that?
Dr. Terry Dubrow
Well, I mean, I, you know, I don't talk about celebrities. I don't know exactly what Brad Pitt did, but to me, if I had to guess, I say he just had a really well done, sort of natural facelift, you know. It looks amazing.
Josh Altman
I'm in. I'm. Listen, I'm gonna be 40 next year.
Dr. Terry Dubrow
You look great. I know you lost a lot of weight, right? That was your thing. A ton of weight.
Josh Altman
I did.
Dr. Terry Dubrow
It doesn't.
Josh Altman
God bless you.
Dr. Terry Dubrow
It does. It doesn't show in your face. Well, you lost it young, so it didn't affect your face.
Josh Altman
I was very lucky, as you know. I had a little blepharoplasty. Two years.
Dr. Terry Dubrow
Which looks great.
Josh Altman
Shout out, Dr. Groff.
Dr. Terry Dubrow
Love him. Oh, he's great. Yeah, he, he. I brought him on season something of botched.
Josh Altman
He's a genius.
Dr. Terry Dubrow
Brilliant surgeon. Yes.
Josh Altman
It's funny that you're giving me the perfect transition. I do have one little insecurity. And we're gonna have honest little corners.
Dr. Terry Dubrow
Right.
Josh Altman
Stomach scorch.
Dr. Terry Dubrow
Oh, really?
Josh Altman
Because I had a little.
Dr. Terry Dubrow
Oh yeah. A little thing done. Okay. Okay.
Josh Altman
Is that I have a little skin around my chest.
Dr. Terry Dubrow
Yes.
Josh Altman
And I've watched you do one and I done the gamut. Sadly.
Dr. Terry Dubrow
You're afraid of the scar.
Josh Altman
It's not afraid of the scar. It's. It seems to me whether you're one of the greatest surgeons there are or any other surgeon, you are limited by just the realities of where it is on the body anatomically. And I've honestly, I've never seen it look amazing.
Dr. Terry Dubrow
Yeah.
Josh Altman
Seen it look better. What do you think? And should I take my shirt off?
Dr. Terry Dubrow
Yeah, go ahead if you want to. If you're comfortable.
Josh Altman
I would cut you out.
Dr. Terry Dubrow
Yeah, you cut it out.
Josh Altman
Hold on, let me move her. Can I do some push?
Dr. Terry Dubrow
If you just give me a quick. Give me a. I don't know why I'm squatting. What are the squat deal.
Josh Altman
I also have a birthmark that looks like South America.
Dr. Terry Dubrow
Don't you judge, Dr. Dubrow. I'm now me judge. You kidding? Ready?
Josh Altman
Here we go.
Dr. Terry Dubrow
Yeah. So it's actually not terrible. No, you just have. By the way, you just have that. That's a pretty easy sort of You've done well. You just need a little tightening.
Josh Altman
I just walk around the pool like this. I hold it back with my arms.
Dr. Terry Dubrow
My nipples are just like you could. You could do. You know, you're one of these staged people. Whereas you could do just a little bit around the nip and then pull it up a little more.
Josh Altman
Can you turn my nips from half dollars to dimes?
Dr. Terry Dubrow
Yes.
Ben Soffer
Here's where that gets this slippery slope.
Dr. Terry Dubrow
Yeah. No, you look good. You look good. You just need a little. You need a little. Oh, that was for the pusher. You need a little. Just a little more tightening.
Josh Altman
Really?
Dr. Terry Dubrow
Yeah.
Josh Altman
Okay. What about this?
Dr. Terry Dubrow
Yeah.
Josh Altman
Are you sure?
Dr. Terry Dubrow
Well. Oh, okay. There you go. I make it look so you're right. What you don't want. You need that hockey stick thing.
Josh Altman
That's not good.
Dr. Terry Dubrow
I know women are happy to do that because they don't walk around with their tops off at the beach. We do.
Josh Altman
Right.
Dr. Terry Dubrow
So they'll take the scars. It's always, you know, is it worth it? You know, does the advantages outweigh the disadvantages? Your case, you don't. You're not comfortable with it.
Josh Altman
You can't fix it. Really.
Dr. Terry Dubrow
You can. But not without that little hockey stick.
Josh Altman
Thing on both sides.
Dr. Terry Dubrow
Oh, yeah. Because it goes off what we call laterally into the sidewall. So you have to go where it goes. Unfortunately, you can't just do it with just an around the areola thing. To get that sort of pulling in in all dimensions, you have to chase it out laterally out here on this side of the chest wall.
Josh Altman
They call me Joshi Keloid. So I'm now probably.
Dr. Terry Dubrow
I mean, I doubt.
Josh Altman
I feel like this area because you're always moving.
Dr. Terry Dubrow
Yeah.
Josh Altman
It tends to get to scar poorly. Right.
Dr. Terry Dubrow
Not, you know, where. You know where tends to keloid down the center. It's funny because a patient will come to my office and they want all this surgery done, and they're a good candidate. I inform them all this risk, they go, yeah, I'm. You're going to do it in six months. But in the meantime, would you take a little mole off in the center of my chest? You go, oh, because this is a very high kilo. And so you think if you take this little thing off into keloids, they're going to cancel the case because you think you're a loser and this is just a prone area to do it.
Josh Altman
Right.
Dr. Terry Dubrow
Yeah. But someday I will bet you that within 10, 15 years, maybe that will loosen up enough that you'll go, screw it. Make that Incision out.
Josh Altman
Oh, is it going to get worse?
Dr. Terry Dubrow
Well, I mean, all our. Yeah, f. Dude, no, you're in good shape. You, you know, you're not. Your. Your weight doesn't. You know, it's funny, I think last time we talked, was I fascinated with the GLP1 drugs? Oh, let's.
Josh Altman
We. Were. You guys chat. I'm going to get a fan real quick. Some sching.
Ben Soffer
Ye were. I was on it. We spoke about it. I'm still on it. I've kind of plateaued. I went from ozempic into tzepatide. I don't take enough of it.
Dr. Terry Dubrow
What's your dose?
Ben Soffer
With my weight, I take 35 milligrams.
Dr. Terry Dubrow
So you're on a compound. You're not in the regular one.
Ben Soffer
I'm on the. I'm on the compound.
Dr. Terry Dubrow
Yes. You can't. It's hard to compare.
Ben Soffer
Yeah.
Dr. Terry Dubrow
The compound.
Ben Soffer
I've never been on a very high dose of any of them, though, because I don't like that feeling, which is so counterintuitive to what the drug is. I don't like that feeling that I can't finish a piece of chicken. So I'd rather just like I'm living 50 pounds lighter than I was.
Dr. Terry Dubrow
Isn't that wonderful?
Ben Soffer
It is. I'd like to be 70 pounds lighter.
Dr. Terry Dubrow
And what's your. What's your hemoglobin A1C?
Ben Soffer
Oh, I have no idea.
Dr. Terry Dubrow
Oh, because you never had a diabetes thing.
Ben Soffer
Yeah, no, I know. My blood work is good.
Dr. Terry Dubrow
It's good.
Ben Soffer
My blood work is great.
Dr. Terry Dubrow
Okay. Yeah.
Ben Soffer
So I had that recently.
Dr. Terry Dubrow
So I am obsessed with these drugs, and I think these drugs are one of the most important medical advances in history. I got so obsessed with it. This is so me, by the way. But I got so obsessed with it that I started talking about it in the media and Julian Michaels and I went back and forth. She said, you shouldn't do these drugs. I go, you don't know.
Ben Soffer
When you came on was when you were in the feud with Jillian Michaels that exact week.
Dr. Terry Dubrow
Okay. So that funny. So I thought to myself, you know, I am a doctor. I am board certified. I was board for. Certified in general surgery. Board certified plastic surgery. But I'm not truly an obesity medicine expert. So if for me to, with great confidence, talk really in the media about these drugs, I should become board certified in obesity. So I actually took all the courses and I took the exam and I. Last November, I got board certified by the American Board of Obesity Medicine.
Josh Altman
Wow.
Dr. Terry Dubrow
So this is like a true expert thing for me now. I'm totally into it and I'm board certified in it and it's something that I think is really important, even though it's not my career. I don't prescribe obesity drugs as a career, but I know everything about them. So I'm obsessed with these drugs and what they do for your general health, above and beyond what they do for obesity.
Josh Altman
You're hot, Dr. Nizardin. Wow. I love this new chapter.
Dr. Terry Dubrow
Yeah.
Ben Soffer
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Dr. Terry Dubrow
It's.
Ben Soffer
Well, what's your favorite?
Dr. Terry Dubrow
I'm waiting for the next one.
Josh Altman
Is it Reddit? True Tight is the next.
Dr. Terry Dubrow
That's the next one that I'm waiting for. You guys really know your stuff. It's a GLP3 my G that's right. We the one you're on tzepatide, you know, the GLP1, which is ozempic and the GIP. So as you know, there's Ozempic and Wovi, that's the same drug. That's a GLP one. And then there's Mounjaro and Zeppbound. Same drug called, you know, that's the GIP and glp. And those are amazing and they're powerful and. But I'm into it for another reason. Even if you're not overweight, I think it's the ultimate anti aging drug, the ultimate longevity drug because it's all about insulin sensitivity and reducing inflammation. So I'm very into this new thing that you can find a lot of people are talking about on TikTok. It cracks me up. But micro dosing, low, interesting dose. Tirzepatide, low dose. GLP1s and GIPS that are cardio protective. They're good for your brain, your heart, your lungs, your kidney. They're good for addictions. They're good for everything. I am convinced, convince this is the next longevity drug of the future.
Ben Soffer
Fine. I do it.
Dr. Terry Dubrow
Yeah, it's really.
Ben Soffer
Do it, Josh. Just micro dose.
Josh Altman
I do it.
Ben Soffer
Wait, you do do it.
Josh Altman
I've been doing it for the last two months.
Dr. Terry Dubrow
So what's your dose?
Josh Altman
Microdose.
Ben Soffer
Okay, so what the hell you've been doing?
Josh Altman
I'm changing, okay? Things have changed for me, Ben.
Dr. Terry Dubrow
I'm glad you do it. I. I'm glad you do. So do you feel.
Ben Soffer
I feel so naked and afraid and alone. I'm alone in the dark. That's crazy.
Josh Altman
It's a. It's a micro little cutesy. It's a micro mini cutesy.
Dr. Terry Dubrow
Okay, so what have you noticed?
Ben Soffer
What are you taking?
Josh Altman
I haven't noticed.
Dr. Terry Dubrow
What about the food noise? A little bit better.
Josh Altman
I've been. Here's the thing. I lost a hundred pounds when I was 19.
Dr. Terry Dubrow
Yeah, right.
Josh Altman
Like, I. I completed losing weight. I've kept it off for 20 years.
Dr. Terry Dubrow
Okay.
Josh Altman
So it's a real lifestyle for me now. Um, and I'm a sober guy. So, like, I know that food was probably just my avenue. Cause, like, for most kids who are chubby, like, they overindulge. But then when I lost the weight, I realized, oh, I could do this with alcohol. I could do this with a million things. So it's really. I've had to work on my brain. What I've noticed is it just like the real dirt bag food, like the real gas station craving kind of is easier to sort of let go of.
Dr. Terry Dubrow
Right.
Josh Altman
But to your point, I take half of the minimum dose.
Dr. Terry Dubrow
Right.
Josh Altman
Shout out the great Craig Conover. Hooking it up. Yeah.
Dr. Terry Dubrow
So you do exactly what I'm telling you, what I'm. What I'm hot for.
Josh Altman
Is that what you're.
Dr. Terry Dubrow
But how many people do you know do this? Maybe in la? You live in la, sure. So you might know a lot of people who micro dose, but this is not a thing yet. Have you heard much about it in the media?
Josh Altman
Only from like longevity people. But yeah, this Craig Conover. Conover Wellness is great. Peptide therapy, longevity doctor and yep, he sort of suggested this to me and I was like, listen, I'll, I'll. I would at least like to see it and not just wear it as some badge of honor that I never touched it. And it's interesting. I don't know if I'll do it forever, but I'm interested to see.
Ben Soffer
Which one are you on? What are you on?
Josh Altman
Terzepatite?
Dr. Terry Dubrow
Yeah, that's the monger.
Ben Soffer
Got it. And, and so you're on half of the minimum and you take it once a week. Same thing.
Josh Altman
I, I even take, I do it like once every 10 days.
Dr. Terry Dubrow
Yeah, that's microdose. I'm so happy to hear you doing that because I am absolutely convinced. And when you look at the data. Okay, really not, not the chat GBT data, although that's good. But there's another app called Open Evidence that if you have an NPI national practitioner number that you get for free and you put in micro dosing, you put in tirzepatide and its effects on inflammation and life extension. The studies from the New England Journal of Medicine, this is real stuff. Are really profound, how effective it is. It's just nobody knows about this yet and I, you know, I'm promoting Botch Presents Plastic Surgery. Rewind right now. Right. So I'm going. I was on the Today show Monday and I did KTLA this morning. I'm talking that. What I really want to do though is go around and talk about microdosing of these medications because I think it's just not out there yet. And I think if you could reduce your. It's all about reduction of inflammation. That's what this is about. And because the more sugar you're exposed to in your circulation, the more inflammatory effects you're going to get. And that's the ultimate anti aging thing to do. So I love that you're doing that.
Josh Altman
And was it overblown? I feel like what we're finding out is like any diet, that if you aren't supplementing with weight training and getting enough protein in, of course you're going to have skin sagginess or lose muscle mass. But that it wasn't any worse from taking the GLP1.
Dr. Terry Dubrow
Well, it is. I'll tell you why, because I was going to say. Yeah, you do know. Tell us. Go ahead.
Ben Soffer
I do know, because when I first took Ozempic, Josh knows. I was in a really, really, really great gym groove, too. And then I went off it because my wife and I were trying to have our first child. He's now seven weeks old.
Dr. Terry Dubrow
We did that.
Ben Soffer
I went back on. I went back on. And since going back on, I have found it absolutely impossible to get back in a gym routine. And when I tell you I am achy, I am weak, and I. I know I have to do it, I have to. But without it, it really is. It's. It's not. It's not. It's bad. It's bad.
Dr. Terry Dubrow
Right?
Ben Soffer
I'm noticeably weaker.
Dr. Terry Dubrow
Yes. But let me just tell you something about the GLP1s and the Tirzepatites and so on. So on a regular diet based on proper eating and exercise, the weight you lose is 75% fat, 25% lean muscle mass. When you're on the GLP1s, you lose 50% of the weight is lean muscle mass. And that's, that's the stuff you want to preserve. Okay, sure. So you, you want to lose fat and not muscle. So when you go on one of these medications, even microdosing, the first thing you have to focus on is increasing your protein, which you have to do. And second thing is. Excuse me, you have to do resistance training. You have to beef up your lean muscle mass because these drugs will make you lose muscle and that's not good. And that makes you older. Not only does it make your skin sag and so on and so forth, but you want to lose fat, not muscle. So if you're going even on micro dosing up your protein and get in the gym, and it could be bands, it could be. You don't have to sit there and I lift weights. When you first walked, you said, what. What do I do for workout? So after this, I'm done for the day, you know, because I did PR today for box presents plastic surgery. Rewind. 10 o' clock on E. And then. And then peacock after that.
Josh Altman
This man knows how to sell.
Dr. Terry Dubrow
Yeah, I know. You know, but I. So we have a gym in this apartment, Heather and I moved into, in la, this really great gym at the bottom of this building. You know of. Yeah. And I will lift weights for an hour and a half. I mean, I'm 66, so I want. I'm not going, but I do, you know. Oh, and by the way, creatine. I don't know if you're on creatine, if you're not.
Josh Altman
10 milligrams minimum.
Dr. Terry Dubrow
Greatest thing ever, right? Closest to the steroid you could possibly get without having any side effects. Been around forever, but recently, weirdly has blown up.
Josh Altman
And you get it from meat naturally, right?
Dr. Terry Dubrow
But yep.
Josh Altman
But yeah, I take it and I. Ben stopped taking it because his wife thought he was doing drugs. She didn't like the look of it.
Dr. Terry Dubrow
You're getting big.
Ben Soffer
No, I think, no, I think she just like saw I like put like a little into a plastic bag because I was going on vacation and she literally thought it was cocaine.
Dr. Terry Dubrow
Were you snorting?
Ben Soffer
I wish. Now I'm thinking about it. Josh, I think I need to go back on creatine.
Dr. Terry Dubrow
You do?
Ben Soffer
Well, that will make me want to work out because when I was on creatine, I do. Right.
Dr. Terry Dubrow
You. You have to go back. So. So anyway, I will, I will lift weights. I will have my creatine. I have like 10 grams. The ideal dose is 5 grams, but anyway, I do a little more. But if one is good, yeah, it doesn't hurt.
Ben Soffer
Me and Derek broken up.
Dr. Terry Dubrow
Fun. I know, right? We're going to snort some creatine later. But title. I'll lift. I'll lift weights for an hour and a half and I will take out my iPad, get on the treadmill and do my zone two cardio, which is, you know, 60% of your maximum heart rate for 90 minutes. And I'll spend three hours in the gym.
Josh Altman
No, you won't.
Dr. Terry Dubrow
I will. And what's good is I'm an advanced stage of my career. I'm very successful. I don't need to worry about paying the overhead. It doesn't. I don't care if I operate or not, but I do operate all the time. But I more focused on what am I doing on a daily basis. The minimum I will do is 60 minutes of cardio. And I do this every day. Now, nobody can do this because, you know, we all have lives. You have kids and so on and so forth. See, I don't expect you to do this, but, but you got to do something every day.
Josh Altman
Three hour workout. Every day, five days a week.
Dr. Terry Dubrow
No, seven.
Ben Soffer
Wow.
Dr. Terry Dubrow
Seven. Every day. Every day.
Josh Altman
And your wife must love it because you're out of the house.
Dr. Terry Dubrow
That's true. It's true.
Josh Altman
Go to the gym.
Dr. Terry Dubrow
Well, the gym's downstairs. So it's been. Ever since we moved up to Beverly Hills, it's been more convenient. But this creatine thing, everybody, particularly women, should be on creatine. But it doesn't work if you don't. You don't get more lean muscle mass if you don't do resistance training. And it works beautifully in women. The only downside with women is and, and maybe even those of you. How often do you step on the scale?
Josh Altman
I try not to, but I know at least once a month.
Dr. Terry Dubrow
Okay. But not every day.
Josh Altman
Yeah.
Dr. Terry Dubrow
If you step on the scale, you retain water, you're going to be three, four pounds heavier and you're going to think, oh, my gosh, I've gained all this weight. It's the creatine. I can't stand this. It's just water weight.
Ben Soffer
But.
Dr. Terry Dubrow
But creepy.
Ben Soffer
I'm laughing. I'm laughing because I have such a toxic relationship with my scale that sometimes I'll weigh myself at night after a full day of eating, just in case it looks a little bit better. I'm like, oh, not so bad, you know?
Dr. Terry Dubrow
Oh, so that's your baseline.
Ben Soffer
That's my baseline.
Dr. Terry Dubrow
Okay. That's smart. So, yeah, I mean, but you have to lift weights if you're going to take creatine.
Josh Altman
What about. And I am. I pick on my Benny Boy because I just love him so much. I love this man. And he's amazing. He's an amazing strides. I give him a hard time because he loves a good supplement and so he'll take plenty of turmeric. He was on a saffron kick for a while. His stomach was like an Indian restaurant. And he loves a good supplement. But I say if you're not working out regularly, it's like a waste. It's.
Dr. Terry Dubrow
Why bother?
Josh Altman
It's a garden hose on a fire. Like, working out far and away is the greatest longevity hack. Yes.
Dr. Terry Dubrow
If you could pick working out versus stop smoking. Working out. Wow. Stay smoking versus not working out and quitting smoking.
Josh Altman
Or rip a cig on the Olympic.
Dr. Terry Dubrow
I'm saying I'm in fitness.
Ben Soffer
Start smoking, start working out.
Dr. Terry Dubrow
That's what I'm. No, I'm just saying it's the single most important life extension health span extending activity thing you can do. For sure. All right. Gotta do it.
Ben Soffer
I gotta get back in the gym.
Dr. Terry Dubrow
So my agent wants me to do a podcast. Right. Because Then not because I have so much to talk about because. But I experiment. I do these experiments on myself and I come up with these conclusions. Right. And he wants me to do a podcast where I'm visually showing these experiments that I'm doing on myself. For example, half my face. I'm going to do a Morpheus. Okay. And just to tell you whether these new sort of non invasive facial tightening things work or not, but to this point I went on creatine and I didn't change my weightlifting at all. And I just said I'm going to do the same weights. And so I do the same weights because, you know, at my stage I'm not. My goal is not to get huge, it's just to is consistency. Right, sure. So I do this one weight thing. You know, you sit, you sort of do this pushy thing. It's sort of the easy equivalent to a bench press. But you sit and do it sitting bench.
Josh Altman
Sure.
Dr. Terry Dubrow
On a machine. So I do four sets of 12 at 100. Now creatine, I'm up to 150 for the same effort. Oh yeah, 50 stronger just from creatine.
Josh Altman
In.
Dr. Terry Dubrow
Wow.
Ben Soffer
I mean, and what it's a brand that we're loving now. You have a brand?
Dr. Terry Dubrow
No. Creatine monophosphate. Amazon. I mean I like the one called naked creatine, but it doesn't matter. No, any of them. They're all equivalent. Just go for the cheapest one. There's nothing special about creatines. Right. But it's great for your brain.
Ben Soffer
Hear that, Josh? Nothing special about.
Dr. Terry Dubrow
About individual. Unless of course you guys have a brand creatine that I use. Yours is the best.
Ben Soffer
Do we, Olivia? What's that? There's a creation. I think we do. Maybe Omega 3. Momentous. Yes. You gotta.
Dr. Terry Dubrow
You.
Ben Soffer
Yeah.
Dr. Terry Dubrow
Does it have, does it have Omega 3 in it?
Ben Soffer
Yes, it does.
Dr. Terry Dubrow
That's different because that's cool. Because now you're getting your Omega 3. So I would.
Ben Soffer
It's a combo that's like.
Dr. Terry Dubrow
Well, that's cool. I would endorse that protein.
Ben Soffer
Creatine omega threes, the momentous three. It's a.
Dr. Terry Dubrow
That's very cool. Yeah. It's one of your sponsors. Yes. Yeah. No, I think that's a wonderful thing to add to it. So I, I 100 agree with that. But if you're just buying creatine, you don't go for the expensive one. They're all the same. You know what I mean?
Ben Soffer
Okay.
Josh Altman
Is there any plastic surgery trend right now? Anything that's Popular. That you think is going to. That you don't like. That is going to have some bad.
Dr. Terry Dubrow
Yes. So last time I was on, I'm Sure I talked about Brazilian butt lifts that I hated.
Josh Altman
Yes.
Dr. Terry Dubrow
Okay. They're very dangerous. And. And that's because there's these blood vessels in the buttock that are not that deep, that if you get into them, they go right into the vena cava, which is the main vein going back to the right side of your heart. And if you inject fat into those by mistake, and remember, it's a blinded procedure. It's not like you're opening up the buttock. You go, oh, I'm going to lay it right here. You put it through a t. Little incision. You go, here's hoping it goes in the right place. You know, you don't know. Right, right. So if you get it into one of those veins and it goes up into the vena cava, into your heart, to your lungs, you die instantly. And, you know, I work for the California Medical Board, and I do have a very big medical legal career where I'm against doctors and for doctors, Okay. I work both sides. I just tell the truth. I'm a medical legal expert, okay. In court. I'm in court all the time doing this stuff.
Ben Soffer
And.
Dr. Terry Dubrow
And even when done by the best surgeon, under the best circumstances, if you get in the vein, you probably will die. And great surgeons have lost people in their office on the table from this procedure. No procedure that has that possibility in my mind is worth it. Having a bigger butt is not worth risking your life. Okay, so that one I talked about last time I was on the show.
Josh Altman
Yeah.
Dr. Terry Dubrow
I think, you know, people are still doing a lot of filler. I just. We are at a. And on plasters, we rewind.
Josh Altman
When is it on?
Dr. Terry Dubrow
It's on. It's on Wednesday nights at 10pm on E. This new show. A lot of our celebrities had a lot of filler done very early. And you think filler, hyaluronic acid. You could just inject hyaluronidase, which is an enzyme that just dissolves it. Right. No harm, no foul. Don't worry about it. Oh. First of all, it's a. It's a commitment. If. If you can get scarring from it, it can migrate. It can get into the blood vessels. It can give blindness. And these things happen, okay? They happen, and they happen frequently. And it's. It can make you look older, even if you don't have a complication. So filler. We're doing Too much filler in this country, and patients are not being told the truth about how it should be done and should be doing less. And I still think it's fine if you do it in the proper places where the tissue is thick, stay away from the eyes, don't do it in the lower eyelids, you know, And I would prefer you didn't do it in the lips at all. But I think filler is much more dangerous than people the plastic surgeons and other doctors are willing to admit. So that's sort of number one. And the reason I want to mention that is because how common is filler? Yeah, very, very common. I think it's just. And if you watch Plessary Rewind, you'll see how regretful these celebrities are about their filler. So filler, the. The big new horizon in plastic surgery. You know, I went to Med School 82 to 86. Long time ago. But if you would have told me when I graduated UCLA med school that in 2025, which is what, 39 years ago, right? 30. 86 to 25. 39, something like that. No, 16 plus 25 is 41. 41. Anyway, excuse my language, that in 2025, you're still going to be taking a scalpel, cutting, lifting, cauterizing, destroying blood vessels while a patient's under a chemical coma, pulling back and stitching things closed. I would said, oh, come on, 40 years from now, we'll be doing laser. You'll get in this tube, and all of a sudden you'll come out a younger version of yourself. We're still the exact. Yeah, we go a little deeper, we do a deep plane, whoopty doo. We still do the same instruments, same sutures, same trauma, same risk of complications, as in fact, more than ever before. So we need. We need to figure out, and we're slowly getting there, how to deliver energy to the skin. Right. To make the elastin collagen thicker, to do all those things that nature does for you when you're very young. Right. But we're still doing with surgical techniques. It's crazy. That's where we're at. The problem is, you know, over promise, under deliver, a new device will come out. They'll sell it to the doctor for 175,000 with the promise that it's going to do this for the patient. Right. And the doctor goes, okay, I can see how much this cost me. 8,000amonth on my lease payments on this new laser. And they sell it to 2,000 patients, and it doesn't really work or it Burns them. Have you guys heard of these new devices that you put underneath the skin? These J Plasma devices. Now you make a little incision. It's all about skin tightening, right? The holy grail in cosmetic medicine is skin tightening, isn't it? Yes.
Josh Altman
You can't relate.
Dr. Terry Dubrow
It's all skin tightening. I mean, if you could go to the face, no one ever need a facelift. You wouldn't have to cut anybody open, right? Well, we started on the outside lasering and applying these energy transmission devices. And we said, well, what if we heat the skin from the inside? Makes sense. Heat it from the inside. Do it with either laser or this energy transmission called J Plasma or some other kind of, you know, ultrasonic device. If you can get this energy delivered to the inside, it will tighten the skin from the inside. Right? Except this J Plasma, I mean, we were. I. I saw nothing but burns on people for two years.
Josh Altman
Barbecue.
Dr. Terry Dubrow
It's unbelievable.
Josh Altman
I'll tell you, you'll like this. Before we get to our woody and Nuts, I have a friend who's a surgeon who was on call for the er. Someone gets brought in with. They had had a tummy tuck and they were having complications and it needed to be reopened. So they call it. They call him my friend. So she puts out a call to the plastic surgeon who did it, who's now on a trip, is flying, and she goes, hey, I just want to, like, ask the doctor what. What their approach was so that I can go in and do something complimentary and not disrupt it too much. Because reopening it, it's less than ideal. The nurse calls back and says, you know, the doctor's approach for a tummy tuck is it's actually patented. The one who does it, so.
Dr. Terry Dubrow
Which, of course, is BS you can't patent a surgical technique.
Josh Altman
You can't patent cutting.
Dr. Terry Dubrow
And it wouldn't tell her.
Josh Altman
My doctor friend said, you have him call me immediately or I'm gonna report him to the medical board.
Dr. Terry Dubrow
Exactly.
Josh Altman
And of course he did right away. But she was like, patented.
Dr. Terry Dubrow
What a joke.
Josh Altman
Nuts.
Dr. Terry Dubrow
You know, that's a marketing thing for patients. There's a facelift surgeon here who will go unnamed. Who. Has he made up a name for his facelift that's based on his own name.
Josh Altman
We've had him on the show.
Dr. Terry Dubrow
Okay, never mind then. Never mind then. I'm not. I'm not saying it's that guy, I don't know, but never mind, because I was going to tell you some things, but I don't need to tell you some Things. It's good. Okay.
Ben Soffer
I would still love to know he hasn't come on twice.
Dr. Terry Dubrow
Yeah, he hasn't.
Ben Soffer
He's not a repeat.
Dr. Terry Dubrow
I mean, the guy I'm talking about is, you know, very talented, but, you know, he named a thing after us and charges in the multiple hundreds of thousands for this thing. And like every other procedure, it can go south on you. Okay, that's enough said. And just, you know, there's just a lot of stuff out there that we plastic surgeons tell people.
Ben Soffer
I will, I will say he was lovely. That said, he was a master marketer of his own products.
Dr. Terry Dubrow
Yeah. But I mean, do you, do you want to be.
Ben Soffer
You don't do that. You don't do that.
Dr. Terry Dubrow
I don't. I mean, well, you could. Okay. You don't want to be marketed into a potentially life threatening procedure.
Josh Altman
Right.
Dr. Terry Dubrow
It's one thing to, you know, okay, I bought this car. Maybe I didn't like it. Maybe it's. I was thought I'd be sexy driving around this car through marketing. They got to me. You know, I could look like James Bond in this car. A surgical procedure. I mean, I. Yeah. But one could argue that I use my status on a reality television program and talk about how honest I am as a way to get patients. Well, he's so honest. Maybe I should go to him.
Josh Altman
We all like it.
Dr. Terry Dubrow
Just because you're very, very cynical, by the way. And it's not true, but one could say that even about me, that I'm here for marketing.
Josh Altman
No, it's all because of how hard you are on Dr. Nassif.
Dr. Terry Dubrow
I know.
Josh Altman
That's why we love you. I know, I know you really grind his gears.
Dr. Terry Dubrow
We love it, but he can take it.
Josh Altman
Well, here's a fun little cliffhanger because I hope you'll come back on.
Dr. Terry Dubrow
Yeah.
Josh Altman
And we've talked about this before, but I, I truly think we would need like almost a whole episode on it. And I would love it if you'd come back on.
Dr. Terry Dubrow
Yeah.
Josh Altman
About how I had plastic surgery when I was 19 years old.
Dr. Terry Dubrow
Yeah.
Josh Altman
And I was badly botched and I learned something new about it from a recent surgery. I had a new revelation. Oh, tell me about the doctor. About. Well, it's. It's a whole. I'm making it. Oh, you're gonna leave. Oh, come back.
Dr. Terry Dubrow
I wanted it.
Ben Soffer
Yes.
Dr. Terry Dubrow
Oh, absolutely. I love you guys.
Ben Soffer
A good story. It's a good story.
Dr. Terry Dubrow
Just so you know, not that I'm so special, because I'm not, but I get asked to do podcasts Three to four times a week. I really do. I say no to every single one. Didn't I just get asked? And I looked and I went, oh, he talks about interesting stuff, but I'm just too. When I heard you guys wanted to chat again, I go, what did I say? I said, absolutely. I love those guys. I'll come back. I'm telling you truth. I'll come back anytime. And I was glad that I got to do it with you. And next time I'll come back to York because I love coming out to New York and any excuse to come.
Ben Soffer
Out there, come to New York too.
Dr. Terry Dubrow
Three of you go out there usually.
Josh Altman
Once or twice a year.
Dr. Terry Dubrow
Don't you love it out there for you?
Josh Altman
I'll come back.
Dr. Terry Dubrow
Yeah, we all go out on me. We'll go out. I'll pick the restaurant. Although you probably, you probably eat in a very particular way, don't you?
Josh Altman
No, I'm done.
Dr. Terry Dubrow
You eat.
Josh Altman
Oh, please.
Dr. Terry Dubrow
Are you an eater?
Ben Soffer
I am. I an eater.
Dr. Terry Dubrow
How could you not be in New.
Ben Soffer
York and how could you be on True Zepatide and not be an eater? I know I'm not on it for. I'm not on it for the longevity.
Dr. Terry Dubrow
So true to lose weight.
Josh Altman
Three of us in one recording studio. There'll be so much tea going on. The amount of testosterone.
Dr. Terry Dubrow
I know.
Ben Soffer
By the way, not, not yet.
Josh Altman
I'm 39.
Dr. Terry Dubrow
Oh, yeah, you're way too young. Yes, but some people just do it anyway, you know, but.
Ben Soffer
And just warn me before this dinner. Give me two weeks. So I don't have my tirzepatide for two weeks and I'm really hungry.
Dr. Terry Dubrow
You have so many good restaurants there. Oh my God. Yeah, I'm going out in two weeks with my wife. She's going to go on. Watch what happens live because Wednesday nights at 10 o' clock on E is plastic surgery rewind. And Thursday nights, my wife's Real Housewives of Orange County. And that starts nice. Tomorrow night, interestingly enough. Anyway, our couple. Well, so we go to New York and she does the whole Bravo thing and I eat.
Josh Altman
Oh, I love it.
Ben Soffer
That sounds great. Are you like a cold plunge? We should send him to Live Method.
Dr. Terry Dubrow
Yes. Love it.
Ben Soffer
Okay. I. We have. It's. It's literally, you will be the only person in there. He spent like $5 million making cold plunges, steam rooms and saunas. It fits like there's nobody ever in there. I will connect.
Dr. Terry Dubrow
I really want to go. I, by the way, despite the fact that I'm into all of this Stuff in exercise physiology and health and wellness. Yeah, I've never done a clothes cold plunge and I know the benefits of cryo. I mean I, I just never done it. We love it.
Josh Altman
We're doing it. We're doing it. We're. It's happening. Yeah, it's already in the works.
Dr. Terry Dubrow
I'd love to.
Josh Altman
Okay, so our what are you nuts? Moment of the week are gripes with people, places and things.
Dr. Terry Dubrow
Yes.
Josh Altman
Big and small. Whatever's sticking in your craw.
Dr. Terry Dubrow
Ben.
Josh Altman
Ben and I'll start. You have time to think. Doctor.
Dr. Terry Dubrow
Thank you.
Josh Altman
There's no wrong answer. Go for it.
Dr. Terry Dubrow
How do you think of this every week?
Ben Soffer
But every annoyed multiple. Yeah, we're constantly annoyed. Mine is. I very famously said if I have a bagel, Terry, right before I podcast, I can't remember anything. I don't know what it is. I might have a light gluten intolerance. Josh once brought me Russian daughters on the podcast. I couldn't think.
Dr. Terry Dubrow
I'll tell you what it is.
Ben Soffer
Tell me It's. Tell me what, what is a bagel?
Dr. Terry Dubrow
A bagel is a carb. And in the most pure, easy to digest carb with, you know about gly. Won't bore you with glycemic index. But you know what glycemic index means? Too late. I'm going to bore you anyway.
Ben Soffer
Yes.
Dr. Terry Dubrow
The more easily it get digested and turned into pure sugar and elevates your blood glucose, your blood sugar, the higher the glycemic index. Bagels are extraordinarily easy to break down and turn into pure sugar and you get this inflammatory brain thing.
Ben Soffer
There you go. And that's why I take turmeric preventive, preventatively and it helps me. But I'm in a house, we're in the Hamptons for the summer. My sister in law Jackie's a fantastic baker. Every morning she's a fresh loaf of sourdough. I want you to know, Terry, right before I did back to back podcasts, I ate a thick sandwich, sourdough bread, turkey, mustard, lettuce, whatever. My brain is perfect.
Dr. Terry Dubrow
Oh, that's perfect. Yeah.
Ben Soffer
So now my what are you nuts Is to this bread, to these bagels. I'm, I'm going around buying this processed junk. It's making me think that I can't eat sandwiches during the day. All of a sudden I have just like basic nice home cooked bread. Josh. What are you nuts?
Dr. Terry Dubrow
Right?
Josh Altman
Love that. What are you nuts? My what are you nuts? Is if you have a bible quote on your business card. Listen, you're not selling me. I don't care how many things you're trying to sell me with these. Listen, just come in. I need an exterminator, not a proverb. Okay, I'm glad you have a favorite saint, but can you just come in and do my drywall?
Dr. Terry Dubrow
I would agree with that one, too.
Ben Soffer
You know I would agree with that one.
Dr. Terry Dubrow
Yeah.
Ben Soffer
What do you.
Josh Altman
Church and state.
Dr. Terry Dubrow
Would you agree with that one? Okay, I got one. All right. So as a callback, you know I'm going, right, from here to the gym, right? So I'm very careful about. I go in the gym and I put my AirPods in and I listen. I have personal moment. I listen to my music. I do the YouTube thing or whatever, and I work out. There are people who come in and A, will just talk on their phone as if we can't hear them. Yes. Or B, with a speaker, one of these Bose speakers. And now I'm listening to their music and newsflash, I don't like your music. And so personal space, personal audio space is not respected in the gym many.
Ben Soffer
Times, Terry, gym etiquette is the ultimate. What are you nuts?
Dr. Terry Dubrow
Both.
Ben Soffer
We've both been in steam rooms where people are on their speakerphone taking a call.
Dr. Terry Dubrow
See what I mean? Just that. And then. Can I add one more?
Josh Altman
Trying to cruise.
Dr. Terry Dubrow
One more. One more. I am a major restaurant person. I live to go out to dinner. Okay. Don't bring me into the restaurant. Take me back to a table that is right next to the bus stand.
Ben Soffer
Yes, agreed.
Dr. Terry Dubrow
I feel like I'm nuts. What, do I work here? Yeah, you know, it's right here. You're getting plates, you're getting silver. What are you, nuts? I'm eating here. Put me in a better part of the restaurant. Thank you.
Ben Soffer
See, you said. How can you come up with so many. What are you nuts? Is. It's because we're constantly agitated. We go through life seeing what's wrong.
Dr. Terry Dubrow
Yes.
Ben Soffer
And then we fix it. That's what it is.
Dr. Terry Dubrow
It's our biblical verses. What are your nuts or your biblical verses? Let's be honest.
Ben Soffer
Absolutely. Terry, it was an absolute pleasure. Please remind people again what to watch, where to watch it, where to follow you, and then we'll close up the show.
Dr. Terry Dubrow
Okay, so, new show called Botch Presents Plastic Surgery rewind. Wednesday nights, 10 o' clock on E. And then I don't really post on my Instagram, but I'm going to start doing these experiments and posting them. So you go to Dr. Dubrow and you can see it on YouTube and tick tock and I'm going to let you know what works and what doesn't work in these really interesting quick videos. They're going to answer a lot of questions that you've always wondered about, including like peptides.
Josh Altman
Love it.
Dr. Terry Dubrow
Yeah, peptide. Including, you know, it, should you eat protein before carb? Should you go for a walk after a meal? What does it really do to your blood glucose concentration and so on and so forth? Lots of interesting things are about to come out. So that's my.
Ben Soffer
Love it. Well folks, if this episode wasn't five stars, what are you nuts? Listen to us wherever you get your podcasts. Watch us on YouTube, share our clips, Instagram and Tick Tock Mondays and Thursdays, folks. We will see you next time.
Dr. Terry Dubrow
Thank you. You guys are awesome.
Ben Soffer
Please note that this episode may contain.
Dr. Terry Dubrow
Paid endorsements and advertisements for products and services.
Josh Altman
Individuals on the show may have a.
Dr. Terry Dubrow
Direct or indirect financial interest in products or services referred to in this episode.
Podcast Summary: Good Guys – "Plastic Surgery Princes with Dr. Terry Dubrow"
Podcast Information:
The episode kicks off with the hosts, Josh Altman and Ben Soffer, introducing Dr. Terry Dubrow, a renowned plastic surgeon known for his role on the television show "Botched." Dr. Dubrow brings a wealth of experience in plastic surgery, both in practice and media.
Notable Quote:
Dr. Dubrow introduces his new show, "Plastic Surgery Rewind," a spin-off of his popular series "Botched." The show features celebrities who have undergone plastic surgery deciding whether to reverse their procedures, exploring the emotional and physical implications of such decisions.
Notable Quotes:
The discussion shifts to the influence of celebrities like Kylie Jenner and Khloe Kardashian on public perceptions of plastic surgery. Dr. Dubrow expresses concerns about the transparency and honesty of celebrities regarding their procedures, highlighting the potential for increased demand and regret among fans.
Notable Quotes:
Dr. Dubrow critically examines the current state of cosmetic surgery, emphasizing the lack of stringent regulations. He points out that anyone can call themselves a cosmetic surgeon regardless of their actual qualifications, leading to potential dangers and subpar results.
Notable Quotes:
The conversation delves into specific procedures such as facelifts, fillers, and the controversial Brazilian Butt Lift (BBL). Dr. Dubrow highlights the risks associated with these procedures, including potential scarring, migration of fillers, and even fatal complications from BBLs due to improper fat injection techniques.
Notable Quotes:
Dr. Dubrow shares personal anecdotes about his own and others' experiences with plastic surgery, offering professional insights into best practices and common pitfalls. He emphasizes the importance of preserving muscle mass when using GLP-1 medications and discusses the significance of proper workout routines to complement surgical outcomes.
Notable Quotes:
The episode explores advancements in medical treatments related to weight loss and longevity, focusing on GLP-1 medications like Ozempic and Tirzepatide. Dr. Dubrow advocates for microdosing these medications as part of an anti-aging regimen, highlighting their benefits in reducing inflammation and improving insulin sensitivity.
Notable Quotes:
In a light-hearted segment, the hosts and Dr. Dubrow share their gripes about everyday annoyances. Ben Soffer complains about the impact of carb-heavy foods like bagels on cognitive function, while Josh Altman criticizes the misuse of religious quotes in business settings. Dr. Dubrow adds his own frustrations with gym etiquette, such as people disrupting others with loud phone conversations or music.
Notable Quotes:
The episode wraps up with Dr. Dubrow promoting his new show "Botch Presents Plastic Surgery Rewind" and inviting listeners to follow his upcoming experiments and insights on various platforms. The hosts encourage listeners to rate the podcast highly and tease future episodes, reinforcing their bond with the audience.
Notable Quotes:
Highlighted Quotes with Timestamps:
Final Note: This episode provides a comprehensive look into the complexities of plastic surgery, the influence of media and celebrities, and the ongoing advancements in medical treatments aimed at enhancing longevity and health. Dr. Terry Dubrow offers expert insights, blending professional expertise with personal experiences, making for an engaging and informative discussion.