A Bigger Butt With Someone Else’s Fat?

Dr. G (00:02):
You are listening to another episode of All the B's with me, Dr. G and my scrub tech Bri. Hi. I am Dr. Kat Gallus and you're listening to All the B's, our unfiltered plastic surgery podcast with myself, board certified plastic surgeon, and my scrub tech extraordinaire, Brianna. Hi, Bri.

Bri (00:20):
Good morning.

Dr. G (00:23):
We have some better celebrity news than the last time, I feel like, but we are going to talk about AlloClae, but we have to cover the celebrity stuff first, so

Bri (00:34):
Absolutely.

Dr. G (00:36):
I think first up is Sydney Sweeney and Scooter Braun, which is just gross. I don't know that we have much more to say.

Bri (00:42):
Such a weird couple to me because I feel like she could just date anyone and then she's going to date Justin Bieber's ex manager. No, I don't really know him.

Dr. G (00:53):
I know him from stealing all of Taylor Swift's tracks. Right? Wasn't he embroiled and all that?

Bri (00:59):
Yeah. Like girl, what?

Dr. G (01:00):
I sort of feel like he has three kids. He's older. He looks younger than I thought. I didn't really know what he looked like, but I just think this is a publicity stunt. I don't think they're actually dating.

Bri (01:14):
But that's bad publicity.

Dr. G (01:17):
Yeah. I don't know who publicity, who this works for, but whatever. I mean, maybe they really are together. I sort of was not believing the Dakota Johnson, Chris Martin thing when it was happening and that it happened for a really long time, even though that was also an unlikely coupling. So whatever.

Bri (01:37):
Okay.

Dr. G (01:38):
I feel like she's just doing her best-est just to keep in the news.

Bri (01:43):
She's just doing the post ex engagement dance. I don't know.

Dr. G (01:49):
Yeah, she's upgrade. Speaking of upgrade, I feel like we talked about this in the OR legitimately, and then I was like, no, the whole Drake plastic surgery also.

Bri (02:02):
We've had many conversations about this. So many.

Dr. G (02:08):
First of all, of course he had plastic surgery and of course he Auto-Tuned the shit out of this photo. Come on. So yeah, here's his fake abs, which look obviously sculpted, snatched off the Instagram of Jason Emer, the high def lipo psycho in Beverly Hills derm guy. Whenever I see his before and afters, I'm always like, who wants to look like this? Because it looks so obviously fake.

Bri (02:34):
My thing is you look at his abs and then you look at his arms and you're like, those do not match his arms. At least in this picture, do not look ripped. His abs are so ripped.

Dr. G (02:47):
Rght? There's more photos, but I do feel like if we scroll down, there's some more images. Like there. What's going on? I mean, you could say maybe he leaned up for the one image, like somebody who does fitness modeling, but I'm going to say no, I'm glad he works out. But

Bri (03:09):
He posts a lot with the surgeon that supposedly did or did not do his surgery and Drake just gave him a big gold chain or whatever.

Dr. G (03:20):
Oh yeah. Is it some guy in Texas?

Bri (03:23):
Yes. Who emphasizes on ab sketching, so that's his shtick. So I think he got ab sketching and then even if he was on steroids or something, his arms would be bigger. It's just his abs that are jacked. There's nothing else on his body jacked, but his abs.

Dr. G (03:44):
Maybe he just does a lot of core. No, it doesn't make any sense.

Bri (03:51):
Drake, feel free to slide in the dms and answer our questions.

Dr. G (03:54):
What's your core routine? Is it seven minutes of plank, please?

Bri (03:58):
Right. Maybe it's EmSculpt.

Dr. G (04:00):
Yeah, that is probably, if I was a celebrity, I would just own an EmSculpt and hook myself up to that every night.

Bri (04:07):
Me too.

Dr. G (04:07):
That's for those of you guys who don't have access to EmSculpt like us. It's the device that you attach these pads to you and it stimulates your muscle, and you have to do it for 30 minutes at a time every day.

Bri (04:21):
You can also put it on your butt and your calves and your biceps, right?

Dr. G (04:26):
Yeah. Anywhere there's muscle, it just, you can only do one area at a time. So it seems like it might be more efficient to just work out, but if you're trying to plump up some area, it's good. It also is just like working out, you have to continue to do it or it will go away. But yeah, I almost feel like his nipples look a little like dented inverted. He had lipo there. They overtook some gynecomastia.

Bri (04:52):
I'm trying to look at his belly button to see if I see a scar

Dr. G (04:58):
His skin on.

Bri (05:00):
Yeah,

Dr. G (05:01):
And did he put it in his butt? You know what? I don't care. I, because I don't really care about Drake's butt, so if he has a big Yeah, good for him. But you're right, he's not as ripped elsewhere.

Bri (05:16):
I didn't know guys liked big butts.

Dr. G (05:18):
I didn't either. I'm not really sure. I don't have an opinion on that.

Bri (05:22):
Neither do I.

Dr. G (05:23):
But we could throw up, speaking of overly sculpted Taylor's abs would be, that's a good segue into,

Bri (05:30):
Oh, Taylor Momsen looks jacked.

Dr. G (05:32):
Our gossip girly.

Bri (05:36):
Yes. She looks like she has been, and even her arms.

Dr. G (05:42):
Yeah. Okay. But yeah, she looks like she's been working out. So she says she boxes, she weight trains and she probably didn't drink water for 10 days leading up to this event maybe, because that is what the fitness girlies do to look like this. You need a fake tan sprayed on. You've got some makeup etching. You are profoundly dehydrated. But yeah, you can see how her arms match the rest of her and she's definitely, she's working out whether she had an assist by either a lot of ozempic or

Bri (06:17):
She's always been super skinny though, I feel like.

Dr. G (06:21):
Yeah,

Bri (06:22):
She probably just started, I don't know, bulking up. Because she's been hitting the weights.

Dr. G (06:30):
She's been hitting the gym. I do think though, there's some ab makeup, which helps too. But yeah, she looks good. I mean, for that kind of aesthetic, which is ripped.

Bri (06:42):
She's in a band, right?

Dr. G (06:44):
Yes. Yeah.

Bri (06:45):
Okay.

Dr. G (06:46):
At least, I feel like she had bangs on Gossip Girl, and that drove me crazy. So I'm glad the bangs are gone.

Bri (06:54):
Little Tay is grown up.

Dr. G (06:57):
Speaking of somebody who also is a huge fan of plastic surgery, the Cardi B, her trial faces, images her quotes.

Bri (07:08):
This trial gave me life. The things she said were just so out of pocket for a courtroom. It was amazing. She could not give two fucks. She was so unbothered. The lawyer was, no offense, was an absolute idiot that was asking her questions.

Dr. G (07:28):
Yeah, the whole thing seemed like we were getting punked, but I do love that she redid her CD Am I the Drama with images from the courtroom.

Bri (07:41):
And the fact that she came in a different wig every

Dr. G (07:44):
Yeah, I have eyes.

Bri (07:46):
but those are so good.

Dr. G (07:48):
Yeah, her face, Cardi B, am I the drama with the images. They're good. She knows. Good for her.

Bri (07:55):
Good for her. She made the best out of that situation a hundred percent. It was more interesting than some of the reality TV shows that I've seen recently.

Dr. G (08:05):
Oh yeah, absolutely.

Bri (08:06):
Speaking of reality tv, I know this isn't on the list, but Meghan Markle came back with season two. I know we've talked about this. I started watching it, ugh.

Dr. G (08:15):
So bad right?

Bri (08:19):
I'm trying to not say any mean things if I don't have anything nice to say at all, but she almost, you could tell she was trying to be so relatable on the season and take it back. But everything was so easy, so easy, so easy. I'm like, grrr. I made a breakfast board on Saturday, probably after watching Meghan Markle, I was just like, oh, I'm going to do so good. I had kids sleeping over and called all the kids down and these little stinkers ate 10% of it and then left on their e-bikes. And I'm like, okay. So that didn't work out.

Dr. G (08:58):
Yeah, I know. We had this conversation in the OR, there is no breakfast board. I'm like, girl, just DoorDash, some Starbucks and get out of my hair. I'm going to go work out when my daughter has her friend's sleepover. And then the older one, it's just grown ass teenage young women flopped all over the house and then they can get in a car and go get Starbucks or go to breakfast somewhere, which is totally fine. We're not making breakfast boards.

Bri (09:27):
Her kids eat all the things that she puts on there because

Dr. G (09:30):
I mean, they're still little, so they haven't been introduced yet.

Bri (09:34):
Everything's coated in flowers.

Dr. G (09:36):
Nobody eats edible flowers. Nobody does that. I know that whole thing is, I don't think they're going to do a season three. It did not.

Bri (09:48):
I think she got canceled.

Dr. G (09:49):
Yeah. I don't think it went up on the top 10. And the only attention she's gotten has been negative attention about it. And I feel like Harry is in England right now trying to make amends with the royal family and I feel like that's also, yep. Not going to go over well. Alright. But speaking of reality TV, again, our favorite TikTok, Mormon wives,

Bri (10:14):
Mom talk.

Dr. G (10:14):
Mom talk is Mom talk going to survive this. They are freaking everywhere. So just

Bri (10:21):
Dancing with the Stars, Whitney,

Dr. G (10:24):
Whitney and Jen Affleck, those two are on Dancing With the Stars.

Bri (10:29):
She is too?

Dr. G (10:31):
Yeah. The two of 'em are going to be contestants on Dancing With the Stars.

Bri (10:33):
Her husband's going to let another man touch her dancing?

Dr. G (10:38):
I mean, these people can't wait to see that are leaning into their reality TV lifestyles. They just need to stay in. Also, I think if you appreciate the fact that ABC owns all of this, it's probably in their contracts. Okay, you're going to do three seasons of Mormon Wives and then we get to pull you for whatever other show we want with some negotiation. So Bachelorette just got announced and it's our favorite hot mess,Taylor Frankie Paul. Oh my God;

Bri (11:11):
She's my favorite. And I am always going to be a Taylor is the Queen Bee and made Mom Talk Mom Talk, despite everything everyone else says. I saying that it was her. Yeah, girl, please girl, bye. But the Bachelorette and no shame, but we have seen how her life, she's a little crazy, which makes Mom Talk Mom Talk, but now you're going to put her on the Bachelorette and have some guy come in and care for her three kids posts. She's a little violent when she drinks. She's just aired so much dirty laundry and now.

Dr. G (11:52):
I just don't know. Yeah. So yeah, ABC, the Disney franchise, they own her and they're going to put her on the Bachelorette. I think just to stir things up, because generally speaking, the Bachelorette is not a woman who's divorced and has three kids from two different relationships and

Bri (12:10):
With a criminal record, no judgment.

Dr. G (12:12):
Might be Mormon adjacent and also had a swinging scandal. And also, like what?

Bri (12:23):
Yeah, that is so

Dr. G (12:26):
What guys are signing up for this, except for men who are like, I want to be on the Bachelorette. Right?

Bri (12:30):
Right. Yeah. After this, I feel like she deserves to find true love and I do not, I think she's just setting herself up.

Dr. G (12:38):
It's not going to be on the show.

Bri (12:39):
It's not going to be on the show. Love her. But she

Dr. G (12:43):
Also, I've talked about this with you. How do these ladies have kids and bounce back to size zero so fast? Because Whitney, same thing. She's been doing social media stuff for Dancing With the Stars, and I'm like, what?

Bri (12:58):
How are they so skinny? I gained 70 pounds with my children. Okay,

Dr. G (13:03):
They did too. You see them pregnant and then they're tiny again, which is fine. I know you can get skinny after having your kids for sure, but where'd all the skin go? Like what? I don't know. Maybe they just bounced back more than I would think.

Bri (13:19):
But why did I not? So tiny.

Dr. G (13:21):
You did Girl so tiny. You have the tiniest waist. Shut up.

Bri (13:26):
Well, I'd like to say it was all natural, but.

Dr. G (13:33):
But yeah, that's mind boggling. I feel like we might have to have a watch party for this show.

Bri (13:41):
I think we should. I think that would be so good. Instead of book club, we can do the Bachelorette at watch party. Yeah, that'd be good. Alright.

Dr. G (13:53):
Alright, so let's talk about some AlloClae.

Bri (13:57):
Speaking of another thing I want done.

Dr. G (14:00):
The marketing for AlloClae has been interesting because they're not exactly ready to launch it full force because they don't have the deliverables, they don't have the inventory. So it's kind of rolling out in a limited fashion and then we'll see how it meets demand. Very similar to Renuva. So this is a fat that is harvested from donors. So it's a filler, but it is human derived donor fat cells. It also has extracellular matrix, which is the scaffolding that comes with fat, some growth factors and some collagen, but it's essentially somebody else's fat and they processed it and sterilized it so that it's biocompatible with anybody. You won't keep that fat permanently, you are going to replace it with your own fat, but it is definitely a stimulus for that to happen. How much of it actually stays? So because it's been processed, it's going to provide volume to the area that we put it in, and then it's going to hold that volume while your body comes in and puts fat in there.

(15:22):
So ideally you're going to keep 90% of it or more, although over time it's not going to be what we injected and it's going to be your own fat. So it can be injected anywhere that you already have fat. So it's very similar to how we do fat transfer. We take fat from somewhere and we throw it into somewhere else that you want it, like Drizzy's, BBL, put it in his booty, take it from his abs, put it in his butt, and then some of it you lose and some of it you hold onto and whatever you hold onto is going to stay. And if you gain or lose weight, it's going to get bigger or smaller with time. So the idea is, you know how we do it in the OR, it's rinse. There's also growth factors and stem cells and whatnot with it. There's no structural component to it.

(16:14):
There's no scaffolding when we inject our own fat. And you do lose probably 30 or 40% of it. So we have to over graft. This because it has some structure to it and it's been really purified, you're supposed to hold onto a lot more. So the idea is volume for volume, like if I do a BBL and a patient and she wants a few, a little bit bigger, we probably put three or 400 ccs into a buttock. But for this patient that we have before and afters, we're going to do maybe 50 ccs in the hip dips or a hundred ccs or something like that. Because the most, well, not the most you can do, but it can come in a hundred cc increments or 25 cc increments. And because it's from somebody else, it's expensive.

Bri (17:03):
It does look beautifully processed though. I do have to say.

Dr. G (17:08):
Yeah,

Bri (17:08):
It looks like some solid fat. So is there somebody who would be a good candidate for this?

Dr. G (17:14):
So we've been offering it since July and it'll launch kind of to most plastic surgeons or most people who do this kind of injection next year for everybody. But I think, shockingly I thought it would be people who had no fat, which was our first patient. She had no fat to donate. Literally you're not, that's why you would be a good candidate. We've already harvested every little last bit of fat from you, so if you wanted some more in your booty, where are we going to get it from? So that's a good candidate, but it's also been popular with patients who just don't want to have to go through surgery, liposuction, the harvest, the process, have to do it under an anesthetic. We can literally just do it in the office. So we just prep the area, you take an antibiotic that we give you, we put a little local anesthetic in and then push it in there and then you're done out the door.

Bri (18:14):
Yeah, it's essentially just coming in for a filler appointment, a little longer, but, same jazz.

Dr. G (18:19):
So it's like coming in for a lip filler appointment versus coming in for surgery and you can go back to your life the very next day. So it has had appeal for patients who were like, you know what? I had this one patient we corrected hip dips on. She had had a BBL and a breast augmentation, and she did the BBL awake at a different facility, one that we've talked about before as being less than ideal, not board certified. And she said it was a horrible experience to be awake for that.

(18:57):
So I was like, yeah, if you want me to harvest fat from somewhere else, we don't have to do it awake. We can do it asleep and we can fill out these hip dips that she still has after the BBL. And I will say sometimes when you're awake and you're not tolerating things, it's a little bit harder for us to do our job because you're uncomfortable. So that feedback makes us either hurry up or maybe not be as aggressive with the lipo or whatever because you're not tolerating it. So that can sometimes happen when you elect to do awake surgery. So yeah, in her case she's like, I'm done with surgery, I don't, I just want these hip dips to fill out a little bit. And so we did it in office and it was super easy. She was on her phone. Right?

Bri (19:43):
Yeah. What are the areas that you can put AlloClae in?

Dr. G (19:48):
So anywhere that has fat, although currently not above the neck, so this stuff is not processed to go in the face. Facial fat grafting is a popular procedure. We often do it in conjunction with a facelift because the patient's already asleep. So people generally don't want to go asleep just for facial fat grafting. You can do it awake, but it's really uncomfortable if you're going to do a whole full face. So right now this product is not for that, but they are working on DermaClae, which would be the facial version of this, which you can imagine would be lovely for people who just really need some fat grafting to the face and don't need a facelift or are looking just to restore volume that might be a little bit longer lasting. Right now you could use renuva for the face. Some people use that, which is an alternative fat a syringe. That one doesn't have the donor fat. It's mostly the scaffolding and growth factors. So it's not really, the volume doesn't hold on. It just you inject this stuff and then your body's supposed to come in and lay fat down. So I have used that product before and the hands with not a lot of success, and so I've never used it in the face and it only comes in one in three CC increments. So it's not really good for the body. So the game changer for AlloClae is that it comes in such large volumes that you can do 25 or 50 or a hundred ccs and really see a difference.

Bri (21:26):
So people that come in also, how is it different from Sculptra that come in and do the sculpture BBLs? Why would AlloClae be essentially almost better or different?

Dr. G (21:38):
If you're addressing laxity, something like Sculptra or Radiesse, which are injectables that are completely unrelated to fat. They're non hyaluronic acid injectables. Radiesse is calcium hydroxyapatate, Sculptra is PLLA. Both of those are basically, you inject it, your body absorbs the carrier and then starts to break down either the calcium or the PLLA, which is kind of like a suture material in little beads. And as it's breaking it down, it's stimulating collagen, and so laying down collagen. So you're not adding volume per se, but you're adding a little bit of volume and then as your body goes in there, you're adding more collagen and elasticity. So I think it's great for people who don't need as much volume or don't want a bunch of volume, but they want improvement in laxity or subtle crepey skin or a little bit of cellulite that's not amenable to Aveli which is another product.

(22:45):
I think it works great, like I said, if you're not trying to add a lot of volume. They're both expensive. Both Radiesse and Sculptra are expensive, if you're doing the kind of volumes you need to add volume. So if you need to do 12 vials of Sculptra per hip dip, then that starts to be as expensive as just throwing AlloClae in there and having fat and having volume and knowing that that volume's going to stick. We don't put Sculptra, I think somebody in New York I've seen come across my feed, does do this, put sculptra or Radiesse in the breast. I highly don't recommend, but you can put AlloClae in the breast, it's going to mimic fat in breast tissue. So for a little bit of volume, a little bit of cleavage, or if you have implants and you have some rippling, it is an easy way to smooth that out without having to undergo a procedure, i.e., we put you to sleep, we harvest fat, we process the fat, we inject it. You can do that awake. I've done it awake for certain patients, but it is a little uncomfortable. So if you're not looking for large volume fat to your breast, then this is an awesome way to do that without having to have a huge procedure.

Bri (23:56):
It's super nice. We've done it a couple times and it's in and out. Great results.

Dr. G (24:01):
Okay, so here's a patient who had a BBL, like I mentioned, awake, and she had these hip dips that she hated. And what I think happened is they either lipoed here, I don't even know. It's hard to know. Anyway, if it was me, I'd probably lipo this down and this down just a little bit, and that's going to make this look less of a hip dip. But in her case, like I said, she'd already had procedures and she was done with that. So we added just 25 ccs. You could have done 50, but I told her it might take 50 per side, but let's start with 25, see how much you gain and retain, and then we can do another 25. So kind of budget for it. And you can say she got really good correction with just 25 ccs. If I was going to do that in real life, I'd probably put a hundred ccs of fat, not in real life, but you know what I mean, using her own fat, I'd probably harvest and then put at least a hundred ccs in there and over graft.

(25:05):
So she did not take an oral sedative. She was a little worried cuz you don't know what to expect. So we had our pronox in there in case she needs to use some nitrous oxide, kind of make you feel a little floaty, I guess is the word. Legitimately, we just had somebody use it and actually laugh. It was the first time, first time it was during a labiaplasty and she was, remember? Was it the labiaplasty? No, it was, sorry.

Bri (25:34):
I think it was an Aveli

Dr. G (25:35):
Or an implant removal. Shit. I don't know. We do a lot on being local. It was somebody, but they were really tense and yeah, I think you're right. It was Aveli, so that's the cellulite reduction. And she was nervous, and so she's huffed in on the gas. And then I was like, okay, we're all done with a side. And she just busted out laughing and I was like, finally.

Bri (25:56):
Alright, now finally it's working.

Dr. G (26:00):
Because it does take the edge off, but it usually doesn't make you hysterical. So

Bri (26:05):
I feel like if I was just sitting here not having a procedure, it would make me laugh. But when you're in that moment and you're like a little uncomfortable, you don't really laugh.

Dr. G (26:14):
No, it's not funny. So I was like, it's a misnomer. It should not be called laughing gas. It should be called take the edge off. I'm not gripping the table. I'm not bare knuckling it gas. But anyway, yes, she legitimately busted out laughing, but for a lot of our patients we're so amusing, we're our own laughing gas,

Bri (26:36):
We're hilarious.

Dr. G (26:39):
So we bring in the nitronox, we ask 'em a bunch of silly questions, get them talking, and then it just sits in the room in case they need it. And I feel like that's sometimes all you need is to know what's there if you need it.

Bri (26:49):
So for this patient, if she was to do round two, how long would you wait in between sessions to come back and get another round?

Dr. G (26:57):
So I think until we have more experience with it, I would say three months because I want to see what's going to stick and then I don't want to over graft. Right? So what if in three months it looks the same and then we can put another 25 in. If she loses a little bit, that's fine, but what if she holds onto that and we just put 10 more in to smooth it out? You definitely don't want to create a bump there. I don't have to go back and suction out the fat. Less is always more in my opinion, although that's not always held by some of my esteemed colleagues. More is more. So yeah, no, I think she's got a great result. There's another image of her posteriorly where we show both sides. I think we can pop that up. There we go. And you can see that is 25 ccs per side and it looks honestly fantastic. Also, I like her chonies are great.

Bri (27:54):
I know, I love that she committed to the same ones each time.

Dr. G (27:59):
Yeah. Yeah,

Bri (28:00):
She looks phenomenal. The hip dips looks so much better.

Dr. G (28:05):
And could she use a little more maybe on that left side where the dip is a little more prominent? Sure. But like I said, three months and then we'll see where we're at so that we don't overdo it.

Bri (28:17):
Yeah. Baby steps.

Dr. G (28:18):
Yeah. Don't want to get greedy.

Bri (28:20):
Great shape. Yeah, no, it looks so good.

Dr. G (28:23):
It's nice to get experience with this. I have a couple breast patients who are interested and it would be nice to know how much you're going to gain per 25 or 50 ccs because like I said, since it's human derived, it's not cheap. It's not like you can pull it from a pig or something. Is it better than your own fat? Probably not. But is it better than going under anesthesia and having liposuction sites? That's what I mean, I think in some of these patients they'd rather just do this and then you're out the door and you can live your, stay out of the water for a couple days and then we give you an antibiotic and maybe take it easy for a couple days, don't overly work out, and then you're good to go.

Bri (29:07):
No, it's super nice. I've seen, if you look at the little vials, they come in little 12.5 syringes. The fat they say is like, it's like 97% just pure artificial or whatever it is, fat. And then it's like 3% of oil and some aqueous solution or something.

Dr. G (29:27):
So usually when we're grafting in the OR, we don't have the ability to spin it down that well. So we're gravity decanting. We're not in a lab, so we're just letting some of it run off, trying to get some of the fibrinous stuff out and we know that. And so we over graft. But yeah, she's looking good. When we do the procedure, I do make the bandaids are where I made little tiny incisions, literally one or two millimeters in her case, those previous lipo incisions on her upper buttock area were bothering me. They didn't look right for as long as I think she had had the procedure done in May. So I just sort of revised those at the same time. Otherwise I could have just used the one incision. It's a little poke hole, doesn't require a suture. A little bit of local. And then we do inject some local anesthetic into the area that we're planning to put the AlloClae in so that the cannula can go in and it's not uncomfortable.

(30:23):
Because a lot of times when we're injecting, I don't know, like radius or even filler in the face, all of those products that you put Voluma, they have local anesthetic mixed in. This product does not. So having a little local onboard in the area you're going to inject helps too. But we know that that's going to absorb. So wait and see. But yes, and it's shelf stable. It doesn't need to be refrigerated, which is lovely, but it does have an expiration date, so it's good for three months. So you can't stockpile this stuff, just a fyi. But yes, we did use it in a patient who had a little bit of a divot on his chest, so we filled that out and then we put some in his hands so we can pull up that before and after.

Bri (31:09):
Which I'll say the hands looked so good. That's going to be such a game changer for people.

Dr. G (31:16):
And this patient had done Radiesse to his hands and he said it did fine. I put Radiesse in my hands before too. Sorry for the quality of the before photo, but hands are hard to take photos of to be honest.

Bri (31:30):
She was talking crap on who took the photos, but I didn't take the before photos.

Dr. G (31:35):
No, I know.

Bri (31:35):
That one I know, that's on a clipboard.

Dr. G (31:40):
It's on a clipboard and the shadow of the person taking the photo is there. Okay. So we could probably fix that. We could probably face tune it. But yeah, he definitely has volume in there. We put about five to six ccs of AlloClae in each of his paws and it looks great. And we did a little bit to the chest area where he had a contour deformity, and then he was like, well, since I'm paying for 50 ccs, let's put a little on the bicep and a little on the booty. He doesn't need a lot, but he is a lean, mean surfing machine and has 0% body fat, so this'll work.

Bri (32:17):
Yeah, that was such a good one.

Dr. G (32:19):
But like he said, he's used Radiesse for his hands before and it lasts about a year, which I concur with. I have pretty bony hands and, like really bony hands, and I've stuffed so much filler in them.

Bri (32:36):
Oh, really?

Dr. G (32:37):
Yeah, I've done Radiesse a handful of times and I think Voluma, but it lasts. It looks good a little bit, and then it just fades away so it doesn't last as long as I'd like it to.

Bri (32:48):
Can you combine AlloClae with other things or do you suggest just doing AlloClae? I know one patient did Radiesse and AlloClae, but do you

Dr. G (32:58):
Yeah, you can. We did AlloClae because she had those areas on her inner thighs that had been agressively lipoed again by somebody else, and so she had that dent in her inner thighs, but then the laxity along her anterior thighs, we opted for Radiesse because again, it was less about volumizing. She doesn't want more volume on her anterior thighs. She wants improvement in laxity. So you can combine the treatments, but just not in the same area. I wouldn't mix the two up, but with Renuva, I did sometimes add it into fat from that person. So I'm wondering if we could add AlloClae to someone else's harvested fat to boost it. Sort of like a boost, but we need to get a little more experience with it and then we start.

Bri (33:50):
That would be so good.

Dr. G (33:51):
Yeah, start playing around with that because you could do maybe one little area of liposuction under local and decant that and then mix it in with the AlloClae and then throw it in the breast and then you'll get more volume and maybe a little bit more bang for your buck. Again, like I said, the AlloClae itself is, it's going to run you,

Bri (34:13):
A pretty penny.

Dr. G (34:13):
Yeah, a hundred ccs is currently in what we're offering is it's 12, a little over almost $13,000 for a hundred ccs, and it's about 8,000 for 50 ccs. And then as we get more experience with it and more before and afters, it probably is going to get more expensive because the cost of goods, the cost of the actual product is pretty pricey right now. And I don't think it's going to get cheaper because again, anything that's human derived has to meet all these regulations. So you have to perform a certain level of sterilization and make sure there's no immune components, and you can't cut corners on any of that. You have to be able to certify everything has lot number. We have to be able to track it. So that plus all the R and D that went into getting it into a syringe, all of that is there's a cost involved. There's a question on here about what do patients say when I suggest it? I mean, I'm not really suggesting it. Patients are calling for this. People are like, what the hell? I want this. Am I a good candidate for it?

Bri (35:30):
So far, I rate AlloClae nine out of 10 because the results have been phenomenal. They're immediate, super easy to do, but the price point is deducted.

Dr. G (35:43):
You take one star off for the cost.

Bri (35:45):
I take one star for the cost.

Dr. G (35:47):
I'll take one star off for how hard it is to push through that freaking cannula.

Bri (35:52):
Yeah, it's like some really,

Dr. G (35:53):
It's not so

Bri (35:54):
Condensed fat.

Dr. G (35:56):
Yeah. So when I inject fat in the OR, it's like strawberry daiquiri consistency almost.

Bri (36:05):
Yeah.

Dr. G (36:08):
This is definitely thicker.

Bri (36:11):
This is thick, thick. Yeah.

Dr. G (36:13):
Yeah. So it's a little harder for me to push. And like I said, we already looked at my bony little hands. There's not a lot of muscle in there.

Bri (36:22):
That's a lie. What? That's a lie. She does yoga every day.

Dr. G (36:29):
I know, but my hands are like, my little finger muscles are not that strong.

Bri (36:33):
You're going to have to start doing finger exercises.

Dr. G (36:35):
I guess. So, yeah. Can I throw a punch? Sure. But pushing stuff through the cannula is challenging for me.

Bri (36:43):
Yeah. She's punched my arm in office multiple times. I don't know where HR was, but it hurts.

Dr. G (36:49):
Call Sarah. Yeah.

Bri (36:51):
Nothing hurts more than the flu. Shit I got yesterday though.

Dr. G (36:53):
Oh my God. What was in that? I feel like Azella put it on an 18 gauge needle or some shit. I was on hold, I forget with whom, I was trying to take a call and I was on hold waiting for somebody to get back to me, and she is like, oh, I didn't realize you were, I was like, it's fine, I'm on hold. And the guy came on the phone just as she loaded it up and I was like, yes, that's fine. As this thing went in my arm. God damn.

Bri (37:20):
This one hurt. She was like, oh, I'm going to ask my last, I'm going to just shove it in your arm for you. And I was like, absolutely not. So I made the other girl do it.

Dr. G (37:27):
Oh, you did yesterday?

Bri (37:28):
I was like, I don't want any of this revenge poking.

Dr. G (37:31):
My last week. I'm going to give you all the flu shot and get out.

Bri (37:37):
Yeah, exactly. Yeah. Once she said she was going to shove it really hard in my arm, I was like, yeah, no.

Dr. G (37:41):
No. It hurt.

Bri (37:43):
It hurt.

Dr. G (37:45):
PSA Get your flu shot.

Bri (37:46):
Yeah, get your flu shot.

Dr. G (37:48):
Vaccines are actually positive shown to help you from dying no matter what the current health and human services secretary thinks with this worm addeled brain. So get your vaccines. Anyway, I think that's all we have to say on AlloClae. It's a hot ticket more to come, I'm sure as we expand our use of it. And I think it's going to be one of the more popular products in 2026 for sure. So you heard it here first?

Bri (38:19):
Yeah. Come and get it.

Dr. G (38:22):
If you're interested in learning more about AlloClae or any of the other modalities we've talked about, Aveli or Radiesse or Sculptra in addressing areas of concern below the waist, let us know and reach out. Either drop us a comment or reach out to the office, give us a call and we can talk you through it. Thanks for listening, and I think it's time to scrub in.

Bri (38:48):
And scrub out. But if you're Drake, go into the DMs and let us know what's going on.

Dr. G (38:56):
We're here for you.

Bri (38:56):
Now we're scrubbing out. We have a lot of comments.

Dr. G (39:03):
If you're listening today and have questions, need info about scheduling, financing, reviews, or photos, check out the show notes for links. Restore SD Plastic Surgery is located in La Jolla, California. To learn more about us, go to restoresdplasticsurgery.com or follow us on Instagram @restoreSDplasticsurgery. If you enjoyed this episode, please share it and subscribe to All the B's on YouTube, apple Podcasts, Spotify, or wherever you like to listen to podcasts.