Baby Botox to Big Facelifts: A Decade-by-Decade Roadmap for Every B

Dr. B (00:02):
You're listening to another episode of All the Bs with me, Dr. G, and my scrub tech Bri. According to the American Society of Plastic Surgeons, cosmetic procedures went up by 19% from 2019. And a huge slice of that is women that are in their 30s and 40s. So today we're going to talk about preventative work and what that entails. Kind of touch base on when do you start, what should you start doing and go decade by decade for a roadmap. But what's with the celebrity news?

Bri (00:38):
First the gossip.

Dr. B (00:40):
So Met Gala was not this week but a Monday ago, right? And there were some looks.

Bri (00:49):
Bad bunny. I loved his look. I don't know why. It was just so like, I don't know. Like an old man.

Dr. B (00:58):
I know. Him and Heidi Clum because she was also with her.

Bri (01:02):
She cooks every time.

Dr. B (01:03):
I was like, wait, did it turn into Halloween? I'm confused.

Bri (01:06):
Yeah. No, it was so good.

Dr. B (01:08):
But we also have Kim Kardashian who almost broke ... She's always almost breaking the internet with her look. Did you see it? It was like that orange thing.

Bri (01:18):
Was it like a latex suit? I think I might've seen it.

Dr. B (01:21):
It was a lot.

Bri (01:23):
I thought that her with Louis Hamilton would've broke the internet, but I guess just her orange latex suit. Bad Bunny. Love it.

Dr. B (01:31):
Yeah. I don't know what her wardrobe malfunction is. She always has to have some little thing to get everybody's attention. I just thought there were some better looks on the red carpet so it was fine.

Bri (01:46):
Oh, she's got the pointy boobs.

Dr. B (01:48):
Yeah. She's just wearing if you were a bug, an exoskeleton.

Bri (01:55):
Okay. Whatever floats her boat. What was the theme?

Dr. B (01:59):
The theme was costume is art or fashion is art, which is like a no theme theme kind of theme. Oh, interesting. Anybody could do anything. So I really do feel like people who just showed up in a gown, like no, you got to do something.

Bri (02:13):
All the Kardashians did nipple stuff.

Dr. B (02:15):
Yes.

Bri (02:15):
They all had some sort of nipple.

Dr. B (02:17):
Boob out.

Bri (02:18):
Yeah.

Dr. B (02:19):
Tits up.

Bri (02:19):
Yeah. Very confused. But okay, fashion is art, but I guess just titties is art, which is probably where that 19% has come up from 2019.

Dr. B (02:31):
Speaking of the Kardashians, Chris Jenner has said that she's not pissed about her facelift in case ... I feel like we keep discussing her facelift.

Bri (02:40):
Because every other week it's like she's pissed, she's not pissed, fake information, real information.

Dr. B (02:45):
Yeah. I think she's probably fine with her facelift. Yeah. She's probably wishing people kept ... I mean, I think if you're going to put it out there and go, "Oh, this is my facelift. I look so amazing," and debut it. And then a year later when people are like, "Oh wait, this untouched photo doesn't look as good." And then you have to be able to take it because you're going to expect people are going to be like, "She paid $300,000 for this. "

Bri (03:11):
Yeah.

Dr. B (03:11):
I don't know. I feel like it's all about

Bri (03:15):
Anything this public is always going to get scrutinized no matter what. Every little wrinkle is going to get scrutinized.

Dr. B (03:20):
That's true. We were talking about this at my book club on Friday night. I was like, sometimes ... Oh, because one of my friends, shout out to Hillary Ackower, she writes wellness articles for the New York Times. That's cool. Yeah. She's got quite a few bylines on there. We were just talking about the comment section and about how she's like, I don't take it personally, but people will be like, "I tried these moves and they were too hard." You know what I mean? She's like, "That's fine. Maybe it's not for you. These are just vetted suggested exercise regimens or things to make your back healthier or how to recover after orthopedic surgery." It's not like the fact that- You have to do it. I don't know, but somebody always has a comment. And so I think if you're a Kardashian, you have to live in the world of comments and either ignore them or ...

Bri (04:19):
They have to just ignore them at this point.

Dr. B (04:21):
Right. Yeah. So I wouldn't respond to anything like, I hate my plastic surgeon. I love my plastic surgeon.

Bri (04:27):
I guess getting comments though, good or bad, they always say it's keeping you more relevant. The more you're in the tabloids, good press, bad press, you just want to be in the press.

Dr. B (04:38):
Yeah, it's engagement. So they love the engagement, but I just think it's funny that ... Oh, I know what started it because it had to come from a more boring place in our book club was the lady-

Bri (04:49):
I'm talking about the usual murder. Yeah.

Dr. B (04:52):
It does get a little dark every once in a while. The person who hosted cooked a meal and then she had gotten it off the New York Times food thing, which I have a subscription to. And she's like, I went to the comments to see what people had done and I was like, "Oh, that's always such a rabbit hole because people are like, I made this, but I changed these eight things." And then you're like, "Okay, well then you did make the recipe."

Bri (05:16):
Yeah, it's different. I just remember the first time after you mentioned everything was in the comments. Now I keep looking at the comments. I've never looked at comments before and now all of a sudden I'm in this rabbit hole of looking at comments that I've never even thought about.

Dr. B (05:35):
So segueing into comments also at the Met Gala, Blake Lively showed up and I mean, I feel like we were so excited for this trial and now no.

Bri (05:49):
And no trial. Did we ever find out what the settlement was?

Dr. B (05:53):
The settlement, I feel like was no settlement. They agreed to walk away.

Bri (05:56):
They were both so excited. He put out a statement he was so excited and then she put out a statement she was so excited. You're just so excited you just wasted everyone's time, money, and like $40 million.

Dr. B (06:07):
60 million.

Bri (06:08):
$60 million.

Dr. B (06:10):
Yeah. $60 million in lawyer's fees.

Bri (06:13):
Just to have no nothing coming from it.

Dr. B (06:17):
Correct.

Bri (06:17):
Literally nothing came from it, but you potentially ruining your career.

Dr. B (06:23):
Yeah, that's my no comments is that the comments, like again, whenever you read a story about this and you go to the comments, people just love to hate Blake lively. It's bad. I mean, one in 10 is like, I mean-

Bri (06:39):
She hasn't made herself very likable throughout this process.

Dr. B (06:42):
No, she's become very unlikable. And her Met Gala debut, I don't know, it was like people were like, she hasn't realized that she's no longer a Disney princess was the gist of it. And I was like, "Damn." Because I do remember she went a few years ago and her dress was really pretty and her and Ryan Reynolds were like-

Bri (07:04):
Did she go with Ryan Reynolds?

Dr. B (07:05):
Yeah, the It Couple and all this stuff and now it's like her hairline sucks, products suck. It's been bad.

Bri (07:14):
There's no coming back from this.

Dr. B (07:16):
Mean, there's always a comeback, but it's going to take some time and I would say lay low for a freaking minute.

Bri (07:22):
Yeah. I can't fathom what she would come back and do.

Dr. B (07:26):
I don't know. Is

Bri (07:27):
She going to act again?

Dr. B (07:28):
Yeah. So the argument was that Justin Baldoni was already doing writing and producing and directing so he can stay behind the camera and continue to do that. I think she's now suing him for-

Bri (07:41):
Again?

Dr. B (07:42):
Yeah, for lawyers fees But I think if she does that, then all this stuff ends up becoming open for discovery again, which is the whole point of trying to settle so that we don't see all their dirty laundry.

Bri (07:59):
We need to see the dirty laundry.

Dr. B (08:01):
I know. I really kind of bummed. May 18th I was looking forward to. That's

Bri (08:04):
Probably why they settled.

Dr. B (08:06):
Yes. No, I know it is. Probably somebody was like, "You're just going to get ... " But I was really like Johnny Depp Amber Heard 2.0. I was here for it.

Bri (08:14):
Yeah. Ready to hear it. Honestly, some of the memes that came out of the Johnny Depp trial are just classic. It's all like ... They're so good if you've ever seen them. They just look like absolute something I can't say on the podcast. Ridiculous. It's amazing.

Dr. B (08:32):
It's like new levels of petty. All right. And then I guess Janet Jackson, celebrator 60th birthday. Do you know who that is?

Bri (08:41):
Janet Jackson. I am for real.

Dr. B (08:45):
That actually sounded not so bad.

Bri (08:48):
Thank you. Wow, that's a first.

Dr. B (08:51):
Voice of an angel, voice of an angel.

Bri (08:53):
What can I say? I don't know

Dr. B (08:54):
What Janet Jackson's doing, but she looks good.

Bri (08:57):
She looks good. Tight.

Dr. B (08:59):
Yeah. She's

Bri (09:00):
Go. Janet.

Dr. B (09:01):
Weird, but she definitely, her face looks good.

Bri (09:04):
Yeah.

Dr. B (09:05):
And then-

Bri (09:06):
She doesn't really look like she's had any work done.

Dr. B (09:09):
I mean, yeah, not from the standard nose job or whatever that all that Jackson's had. Yeah, she looks good and she's been through a lot. I think she had nothing to do with the documentary that just came out or whatever it was, the movie about Michael Jackson that made a bazillion dollars.

Bri (09:29):
Didn't even know there was one.

Dr. B (09:31):
Yeah, I think she was- Wow.

Bri (09:32):
I feel so out of touch.

Dr. B (09:34):
Not featured in it, which is weird, but it's fine. Yeah, she looks sley. Her skincare regimen is to die for. I'm going to guess she should reveal that with us.

Bri (09:48):
Yeah, I agree. She looks very glowy. I was going to ask a stupid question. I was like, how is Janet Jackson related to Michael Jackson? But we're not going to talk about that.

Dr. B (09:57):
She's his little sister.

Bri (09:59):
Little sister. Okay. I was like, I don't think he was married to a woman.

Dr. B (10:03):
He was.

Bri (10:03):
He was?

Dr. B (10:05):
Yeah.

Bri (10:05):
Oh.

Dr. B (10:06):
But not her. I can't. Okay.

Bri (10:10):
Little sister.

Dr. B (10:12):
It's okay. It's okay. You don't need to know all of that. No. We don't need to divulge Jackson more. It was before your time, I guess.

Bri (10:20):
I'll go home and watch the documentary.

Dr. B (10:23):
No, don't, because it's a very distorted. Is that Lisa Marie? No. I can't remember. He did have one. He had a couple wives. It's all blurry now. Okay. Let's go starting with the 30s for setting the foundation, although some could argue late 20s.

Bri (10:44):
I was going to say early 20s. But we can start at the 30. It's like you get a brand new car, okay? And you're at mile one through 5,000. You still need to do an oil change, huh?

Dr. B (10:55):
Yeah.

Bri (10:56):
Yeah. You don't just wait till your car is dead to start fixing it.

Dr. B (11:01):
That's true. That's a good analogy.

Bri (11:03):
That's such a good analogy. Car maintenance. Who knew?

Dr. B (11:06):
Got to rotate those tires, man.

Bri (11:08):
Yeah. I only know because my car pings at me and then I make somebody else go do the car maintenance.

Dr. B (11:13):
Oh yeah. I hate the little alerts. Time to do whatever maintenance, oil change, check the battery or whatever in my case.

Bri (11:25):
Yeah. Don't tell me. These alerts should ping to Eric's phone or something. I'm irrelevant in this. You told me to get my oil changed, it's never going to get changed.

Dr. B (11:36):
That's right. Actually, I think my husband has the alerts for my kid's Jeep. Oh, really? He gets them all, like the emails and stuff.

Bri (11:42):
Oh, that's smart.

Dr. B (11:43):
It's time to consider an oil change or you need to get your tires rotated because my girls are not going to do any of that. Yeah.

Bri (11:53):
Smart.

Dr. B (11:53):
Okay. So speaking of oil changes, in the 30s you're already like, you need some preventative maintenance. Yeah. I don't think you need a facelift at 30. No,

Bri (12:05):
That was like, I feel like a hot trend that I don't think is trending anymore, that everybody needed the 30-year-old facelift.

Dr. B (12:13):
Yeah. I think that's crazy. First of all, preventative in your 20s is called wearing sunscreen, at least minimum.

Bri (12:20):
And a little baby Botox.

Dr. B (12:22):
Yeah.

Bri (12:22):
Facials.

Dr. B (12:23):
Yes.

Bri (12:24):
Maybe a peel or two.

Dr. B (12:25):
Yeah, light laser. All of those are reasonable. You hit 30, then I feel like Botox should be in your wheelhouse. Yeah. I feel like that's when you start getting permanent lines because by then your facial expressions are kind of, you know what faces you make the most. So if it's a scowl, you don't want to wait until you have 11s to start trying to reverse that with Botox. It's much harder to do. You have to be ... I mean, if anything else, I think you could do a head-to-head of expense, but I think you need less Botox over time if you start before it becomes a wrinkle. Whereas if you already have a permanent wrinkle when your face is at rest, you need to be on it every three months until it slowly smooths out and that takes forever. So I think if you just do a little dusting of Botox in your 20s and 30s, then that wrinkle never appears and you don't have to be on it all the time.

(13:32):
I think it's been three months since Botox since I did Botox. My forehead's moving, but I don't have any permanent lines in my forehead and my 11s never come back because at this point my face has sort of forgotten how to do that.

Bri (13:46):
I had, I think in my 20s, the gnarliest 11s, it was just always indented and every time I put makeup on it just looked crazy. But now that I do Botox all the time, you never nice and smooth.

Dr. B (13:58):
Yeah. I also started doing it in my 30s when I was getting a little bit of a dent and I was like, "Oh, hell no." But I started and then I continued to do it on and off while I had kids because you're not supposed to do Botox when you're pregnant or breastfeeding and then afterwards consistently and it was fine. Like I said, I don't even make that face anymore. I think Botox is a yes. Obviously continue with the sunscreen. Skincare. I think doing medical grade skincare and fillers kind of up to you at that point. Do you want to do a little lip filler? Sure. Maybe if that's your aesthetic, it's not a requirement. Should. And you can do lasers or chemical peels or something because you start losing collagen in your 30s. So something to start stimulating collagen. Microneedling is all helpful. I guess Selena Gomez got caught leaving a clinic after denying plastic surgery.

Bri (15:01):
Just because you go to a clinic doesn't mean you're getting plastic surgery.

Dr. B (15:04):
I know.

Bri (15:04):
There's a lot of other things that you can do at a clinic.

Dr. B (15:07):
Diamond Face Institute. I know, right? If you're at RestoreSD walking out, it doesn't mean you had surgery.

Bri (15:13):
Yeah. Just because it says plastic surgery, you can get

Dr. B (15:17):
Facials.

Bri (15:17):
Botox, CO2 lasers.

Dr. B (15:22):
And also, I guess why are people so pissed about it? She can do what she wants.

Bri (15:25):
Yeah. Out of all the things, I mean, she already though looks like she's had quite a bit of work done. I know that she's denying it, but she just that Fox eyelift the way her eyebrow just

Dr. B (15:40):
Snatched?

Bri (15:41):
Yeah.

Dr. B (15:42):
I mean, speaking of actually to take it back to the Met Gala, one of my friends, I always rely on my plastic surgery girlfriends for this kind of commentary, but people were like, "What the fuck was Katie Perry wearing?"

Bri (15:57):
I didn't see

(15:57):
encing hat. So she had a thing around her face and then a fencing hat that just exposed her. I thought we were

(16:03):
Sending her back to space.

Dr. B (16:05):
I know we should. Anyway, so the comment was, "I bet she had some work done." See? And then that hides everything. And I'm like, "Brilliant." That's

Bri (16:14):
Genius.

Dr. B (16:15):
It's sort of like when Madonna was running around with an eye patch, you know that was a lower bluff that needed a little extra time.

Bri (16:20):
That's hilarious.

Dr. B (16:21):
I never

Bri (16:22):
Thought about that.

Dr. B (16:22):
If you're Selena Gomez and you really have surgery or Katie Perry, start scrutinizing. Why would you wear this? Well, that's why you're going to wear it. There's easy ways to hide it or just dip for a minute. She literally was probably going and getting a facial and didn't think it was going to be a big deal. Walks out of the Diamond Institute, picks up her Zeo skincare or whatever and it's like, oh, fuck.

Bri (16:48):
Also- Now she's getting a whole face lift.

Dr. B (16:52):
I think if she wants to do plastic surgery, it's totally your right, but just because she's walking out of an office doesn't mean shit. And also in Beverly Hills, the offices are all on top of each other and then wedged next to juice places. So I'm not really sure how you're like ... When I went up there to do the preservative training, I was like, "Damn."

Bri (17:12):
That's

Dr. B (17:12):
Crazy. They're all on top of each other.

Bri (17:15):
How do you choose one?

Dr. B (17:16):
You don't, you hop around and go to 14 different consults before you decide, I guess, or you go with somebody that's a referral and then you go get a juice or a purse or something. Everything is right there. And then feel good about yourself. It's tons of retail right there for you.

Bri (17:33):
That's such an ideal day.

Dr. B (17:35):
Kick around Beverly Hills.

Bri (17:36):
Yeah. Plastic Surgery juice and a new purse.

Dr. B (17:40):
So I think if you're 30 something, wash your face.

Bri (17:45):
Wash your face for sure.

Dr. B (17:47):
Put some sunscreen on.

Bri (17:48):
If you don't, you have bigger problems than that.

Dr. B (17:50):
Yeah.

Bri (17:51):
Would you recommend starting a retinol in your 30s?

Dr. B (17:55):
Yes. Again, because your skin in your 30s starts decreasing the amount of collagen elastin it produces. You're already dying. Just kidding. That's extreme.

Bri (18:07):
Just on the inside. Just on the inside.

Dr. B (18:09):
Just rotting on the inside. So do something to stimulate collagen elastin, retinoids, retinic acid, retinols, any of those, you're going to stimulate skin turnover and that's what you want to do. So honestly, you can just transition from doing it for acne reasons in your 20s to keep doing it in your 30s. And I think I've said this before. Some of my patients are in their 60s and 70s and have great skin have been using retina since forever and it really helps. Those are things that you have to do on the daily basis. That's not the tire change. It's the like

Bri (18:49):
Gas.

Dr. B (18:50):
Gas.

Bri (18:51):
If you have to get it on a daily basis. I guess. Pick up the trash in your car.

Dr. B (18:55):
Yeah. Take care of it.

Bri (18:57):
I don't know. I do on a daily basis on my car, but yes.

Dr. B (19:01):
It's like brushing your teeth every day versus going to the dentist a couple times a year to get cleaned, teeth cleaned. So I think retinoids, you can add on, if you're really into skincare, then I would add on antioxidants like a vitamin C serum. I would add on a peptide or some sort of moisturizing cream that's going to help protect your skin barrier, but you don't have to make it complicated. You could just do a retinoid in the evening, sunscreen during the day and pick a moisturizer of your choice. Exfoliation's also kind of key depending on your skin sensitivity. So when you're washing your face, ad some sort of exfoliating wash or scrub, not St. Ives.

Bri (19:45):
Shout out to my sister.

Dr. B (19:46):
A couple of times a week.

Bri (19:48):
Yeah.

Dr. B (19:48):
What's your favorite scrub?

Bri (19:51):
I have the ZO one.

Dr. B (19:53):
Yeah. The AO exfoliating scrub is-

Bri (19:55):
So good.

Dr. B (19:56):
The bomb.

Bri (19:57):
But I recently restarted my Altrino and so I haven't been sure if I should be using

Dr. B (20:03):
My scream. No, probably not. Just let it simmer.

Bri (20:07):
Just been moisturizing the crap out of my face and waiting for the purge to go away.

Dr. B (20:12):
Yeah. That is the hardest thing we're like, oh, just use retinol. But the thing is it does cause your skin to flake to turn the skin cells over and then it can purge so you can get some breakouts if you're prone to that. And it makes your skin super sensitive to the sun. So maybe don't start it if you're not doing it right at the summertime or start with a retinol in a very low dose and work your way up. And if you start retina, start once a week and maybe twice a week. Yeah. Go slow, man.

Bri (20:45):
Slowly move into it.

Dr. B (20:46):
Otherwise, you're not going to be consistent with it. What are some things that people in their 30s come in asking for and what should they be asking for?

Bri (20:55):
I feel like most people that we see in their 30s, it's always Botox. It's always a microneedling. I don't see a lot of 30-year-olds asking for a hard CO2 laser, but pretty much just like the PRP with microneedling, maybe a little IPL. But other than that, just Botox skincare.

Dr. B (21:18):
I think so.

Bri (21:18):
Facials.

Dr. B (21:19):
I think under eye filler was trending a little bit.

Bri (21:22):
It was.

Dr. B (21:23):
I think that's a no.

Bri (21:25):
Yeah. I feel like a lot of people, at least what I saw online, they're always like, "Oh, I can feel a bumper. Oh." There was always something with it. So people were kind of steering away from that and kind of doing more of the eye serums and stuff.

Dr. B (21:41):
Yeah. I think we've moved away. I mean, I'm sure in some hands under eye filler is still great, but I think the thinner fillers, even though they're thin, they still tend to migrate and it's really hard to get a nice permanent result from that that doesn't catch up to you later. I think PRP under the eyes is nice. It's not adding volume. It's just helping rejuvenate the skin. Maybe a light laser under there helps because usually the issues with the under eye area, even in your 30s is just looking tired or the dark circles. And the dark circles are really just your skin is thin there and so any veins are going to show up. And so it's not usually pigmentation in the skin, it's just the skin is a little bit thin. So taking care of it with eye creams and PRP and microneedling, maybe some light laser is all helpful.

(22:36):
I have done and do upper lid lifts in people who are in their 30s and that's usually just because genetically you have hooded eyes and you're like, "My mom had this or whatever." So I feel like 35, sometimes people definitely need to take a little upper eyelid out to make their eyes a little bit bigger, just get rid of that excess skin.

Bri (23:00):
I wanted that with my lower lids because I have very creepy skin on my lower ones, but I have been really consistent with, I did a light CO2 laser in my eyes and PRP and I do a lot of eye patches and eye creams. And I actually do feel like it's helped, but it is a slow process. You're not going to wake up and your eyes aren't going to be like, "Oh my God, wrinkle free." But I definitely notice a huge difference between where they were six months ago to where they are now, but it's just a slow go and consistency and keeping up with it.

Dr. B (23:30):
Right. Yeah. And I think that's all you need to do. More drastic is not necessarily what you want to do certainly early on.

Bri (23:38):
Yeah.

Dr. B (23:39):
Okay. So let's move on to the 40s.

Bri (23:42):
Just get the facelift. Just kidding.

Dr. B (23:44):
God. Chloe Kardashian dropped a complete list at 41 of all the things that she does.

Bri (23:52):
Oh, really?

Dr. B (23:53):
Apparently. But I feel like she's also denied having plastic surgery, so she's crazy. She said she's done soft wave, threads under the chin, salmon sperm facials, sculptra, but I don't know. I think she's certainly had body surgery and I feel like she hasn't copped to it or there's some comfort-

Bri (24:13):
They've all had body surgery. That is just such an impossible thing to even deny at this point.

Dr. B (24:20):
Right. She's crazy.

Bri (24:21):
Yeah.

Dr. B (24:23):
Softwave is supposed to be a non-invasive skin tightening device. Threads are very temporary. I mean, I feel like if you're Selena Gomez, you could probably thread to get that upper eyelid snatch or do some Botox.

Bri (24:37):
Probably what she did. Probably That makes it nonsurgical because her eyes are like ...

Dr. B (24:42):
Yeah. The problem with doing those is that you have to maintain it. Threads are not permanent. They're dissolved with time. And so they last about six to 12 months and then you got to do it again.

Bri (24:55):
Where does that extra skin go?

Dr. B (24:59):
Kind of behind the hairline.

Bri (25:00):
Bunches it a little bit.

Dr. B (25:01):
Yeah, behind the hairline.

Bri (25:03):
That's part is what I don't understand.

Dr. B (25:05):
It's just not that dramatic, so it's just a little ...

Bri (25:08):
Just a small amount.

Dr. B (25:09):
Yeah. You're not going to have tons of bunching. Oh, that's good. And then same thing with it in the neck. If you're going to do threads, there's so many ways that can go wrong. It's these little filaments that they make an incision like a tiny little incision and then make another counter incision and then you pull a thread through and they usually have barbs or cones or something that catch the skin as it pulls up and then the whole thing breaks down over time. We don't offer them at our office. They make it seem like it's so easy, but they're not easy to do. I think you need to find somebody who really knows what they're doing to do it right because once you pull, if it's not in the right vector, it's going to look wild. They break down over time. They're not permanent.

(25:55):
Although we had that one patient who had them in her arm that they did not break down. Yeah, just looked like she had worms under her arm. Those did not dissolve like they were supposed to. So there's always a potential that happening. I don't know. You just have to be careful that whoever's doing that knows what they're doing and does a lot of them.

Bri (26:14):
Yeah. I feel like for that though, you go on TikTok and it's literally just like going down the Reddit hole because people are posting all their horror stories.

Dr. B (26:24):
Yeah. That is not a like, let me just walk into a med spa and ask for threads situation. Go to somebody who knows what they're doing. The threads themselves are not cheap. So the price point for doing it is a litle bit expensive.

Bri (26:37):
Expensive.

Dr. B (26:38):
Yeah. And so again, don't go for your cheapest option when you're going to do those because I think you're going to be sad. Sculpture is great. I think if you ... Again, this is another maintenance. It's not a volumizer. It can be, but it's generally not to add a ton of volume. It's done for the lateral face. It definitely stimulates collagen. It sticks around for one to two years. The problem is it's expensive so people tend to undertreat You really are supposed to use a vial per decade. So if you're 30 in your 30s, you need three vials maybe done over two times, maybe a vial and a half, and then another vial and a half. And then you're not going to see a dramatic difference. That's the issue I have with doing it is that patients want a wow factor and it's not. It's just kind of tightening the quality of your skin and giving it a little bit of a glow, but it's not a facelift.

(27:33):
It's not a volumizer. It's really a subtle change and you have to trust the process, I guess. And then people are like, "Yeah, but for $1,000 a vial, I want more." So it definitely works. There's no ...

Bri (27:50):
Yeah.

Dr. B (27:51):
But when you look at before and afters for sculpture, they're not as dramatic as you would think unless the patient's older and you're putting a ton of sculpture in there and it's over treatments and you have to ... I just think for younger people it's a good idea, but it's also not for people with disposable income, like Chloe Kardashian.

Bri (28:13):
Yeah, I agree.

Dr. B (28:14):
Who can probably afford to do it. And then let's see, what else did she say she had? Facials, cool. That's fine. You can do radio frequency microneedling and every time we have a facelift presentation at one of my conferences, this comes up. So some people advocate doing a facelift in your 40s and some people are like-

Bri (28:34):
Really?

Dr. B (28:35):
Yeah. Well, they're not necessarily saying you should just get a facelift in your forties. They're saying don't do the radio frequency microneedling. Don't do the sculptra because that leaves a little bit of scar tissue or the sculpture can stick around if it's injected in the wrong plane and then it makes your subsequent facelift more difficult. And I guess the people who have experienced that are very anti-doing any of those things, but I'm like, so then the answer is what? A facelift when you're 40 so that you don't do these preventative maintenance things? Yeah. And then what? When you're 50 or 55 and you need another facelift, you have scarring, you just have a different form of scarring, right? Yeah. I don't know. I feel like the facelifts I've done tended to be on people who did not use sunscreen their whole lives. It's great if you get somebody who's been taking care of their skin and maybe they do have some sculpture in there, but when I'm peeling skin off of somebody who's had multiple sunburns in their childhood, that's just as bad as somebody who's been taking care of their skin in my opinion then and done radio frequency microneedling.

(29:43):
It's fine. Those patients with really bad skin, they're hard to deal with and those are usually people who come in for the facelift almost always at least if you live somewhere sunny.

Bri (29:58):
Yeah. So if you want to get a facelift, start preparing now, even if you're like 20.

Dr. B (30:02):
Yeah, I think actually, so I have a friend in Tampa who does a ton of facelifts and yeah, she has these little dried raisins coming in for their facelifts. I think if you're going down that pathway, I think doing lasers in advance is actually the way to go because the better quality your skin is, the better your facelift is going to be. So I don't know, I'm not anti-sculptra, anti-radiofrequency microneedling, but I'm also pro doing anything that improves the quality of your skin. And then that brings us back to sunscreen and retinol and lasers. Lasers stimulate collagen and elastin production and help with the pigmentation and just strengthen your skin. Because although we're not doing skin only facelifts, the skin on your neck, the skin on your face is just going to hold up better than if you pull everything and you have this crepe, shitty, pigmented skin, what are we doing there?

Bri (31:01):
So at what point then what point should a person be like, "Oh, injectables is no longer..." How do you know?

Dr. B (31:10):
I mean, I think when volume is ... You don't need volume, you need lift. I feel like people try to confuse injectables with lifting and it's not really lifting, it's volumizing. We're seeing more of it in younger patients now because of Ozempic or GLP-1s in general because people are losing weight rapidly, they're losing it in their face and then yeah, maybe you do have more laxity than you thought you were going to. And you've also lost volume though too in your face. So then maybe you can get away with a little bit of some injectables first. Some volumizer in the temples and the cheeks, that can help. But yeah, I don't know. It depends on the patient. I think people genetically have different rates of aging no matter what you do. And so I think looking at your skin quality and what you can do kind of determines ... And then where are you in your life? Do you want to have a facelift at 42? I don't know. You got to have time for it and the money.

Bri (32:13):
That's crazy.

Dr. B (32:14):
But I don't think Chloe's had a facelift, obviously. She's just had a ton of body work. Like I said, I think it's most women in their forties are focused on body stuff because you're done having kids and you're like, "Okay, what are we doing here?"

Bri (32:30):
Yeah.

Dr. B (32:30):
So you're doing a breast lift or a breast augmentation or you're getting rid of the implants you put in when you were 20 and now they don't work for you anymore because you've had kids or whatever and maybe doing a tummy tuck, that sort of stuff. Again, combined with the GLP ones, you're maybe doing some skin tightening. So I think that's probably the most popular procedures are those sorts of things, right?

Bri (32:54):
Yeah. Especially in that age, late 30s, early 40s.

Dr. B (32:58):
Yeah. Get your body back and then do some preventative skincare maintenance so that when you're ready for your facelift, if that's what you decide to do, your skin's in good shape.

Bri (33:08):
Yeah.

Dr. B (33:10):
Keep your skin better.

Bri (33:13):
Yeah. I mean, it's even important to use, just keep your skin on your body in good health. Take collagen, wear sunscreen, not just your face. It should be like a whole body thing. Don't lather yourself on sunscreen every day, but ...

Dr. B (33:31):
I mean, let's just hope that fake tanner is not going to kill us because that's the ticket right there.

Bri (33:37):
I'm going to die of fake tanner or getting my nails done.

Dr. B (33:40):
My little fingers are going to fall right off. Yeah. I think the other thing we see, I mean, you're going to have kids or whatever, have weight loss, but the anterior thighs, we do not have a solution for that.

Bri (33:54):
Such a shame.

Dr. B (33:55):
We need to invent that. So if that's your issue, then sunscreen and moisturize, bro, because there's a thigh lift. There's no non-invasive treatment that's really wowed me thus far. I might want to sleep in an infrared coffin, but I don't think that's proven to do anything.

Bri (34:14):
That'd be amazing.

Dr. B (34:15):
I kind of want the infrared blanket thing that you can lay in. Not for- No,

Bri (34:20):
That'd be cool.

Dr. B (34:21):
Oh yeah. It's a couple thousand dollars, but I just don't think I can lay in it. I don't think I'll-

Bri (34:29):
Do you have to lay it all night?

Dr. B (34:30):
No. It's just like 15 minutes or 30 minutes.

Bri (34:33):
Easy. Yeah.

Dr. B (34:34):
But when am I going to carve out that time? When? I don't know. It was just Mother's Day we should have totally had one.

Bri (34:42):
Oh, that would have been a great idea.

Dr. B (34:45):
Anyway,

Bri (34:46):
I don't know when you would do it.

Dr. B (34:48):
It's like the infrared- I

Bri (34:51):
Could do it.

Dr. B (34:52):
The infrared face masks. I think those are great if you can do it.

Bri (34:57):
Yeah. You would have to sit at your desk and put it on while you're typing notes. If you can see through the holes.

Dr. B (35:04):
Yeah.

Bri (35:05):
Yeah. I tried my mom's on and I just sat there, but it attaches ... I couldn't see anything out of it.

Dr. B (35:11):
Oh, really? I

Bri (35:11):
Literally just had to sit there.

Dr. B (35:13):
Yeah, no. If I have to sit still and do nothing, I can't do it.

Bri (35:17):
Yeah. It's really hard. I feel like I was there forever. Only 15 minutes, but ...

Dr. B (35:23):
I know. And then so with infrared, for example, you have to do it every day or it's a waste of time.

Bri (35:30):
Yeah, that's what I don't think I can do. Consistency really isn't my thing.

Dr. B (35:36):
I think there are some things that are consistent. Like you have your habits. I drink coffee every day. I throw collagen in it. Okay?

Bri (35:46):
Do you? Yeah. Good for you. Maybe that's what I should start doing, but I'd forget. See, I brought a green juice to the office one time, like a green juice powder and I was going to take it every single morning and I'm pretty sure I just got so old and crusted together because I never actually drank it.

Dr. B (36:01):
I just threw it away. No, I have it sitting right next to my coffee at home.

Bri (36:05):
Oh, that's smart.

Dr. B (36:06):
So I wake up in the morning and I mix it in that first cup of coffee, go work out, drink that.

Bri (36:11):
That's smart. And

Dr. B (36:12):
Then I subsequently just drink regular coffee here. But in terms of consistency, I feel like we do stay committed to skincare at night, washing our faces. A bunch of little things we already do. It's just like sometimes you're like, one more thing. What's one more thing? I don't know if I can do one more thing. We should be able to mix that shit in your Diet Coke.

Bri (36:33):
That'd be amazing. That'd be so good.

Dr. B (36:37):
Right. So let's move on to 50s.

Bri (36:40):
Oof, Just kidding.

Dr. B (36:42):
Wow. That's some bullshit.

Bri (36:48):
Bri's getting canceled.

Dr. B (36:49):
Bri's going to get there. So just a couple more decades. So

Bri (36:54):
50s. What is the main difference between going from 40s to 50s? Does menopause affect yourself?

Dr. B (37:01):
I think that's a great question. Yeah. So menopause affects your skin. 40s to 50s people are perimenopausal and I think there's just a lot of ups and downs with that. And then with menopause, your skin tends to get drier and just overall that can make things look a little less lifted. I don't know.

Bri (37:22):
So start moisturizing now.

Dr. B (37:24):
Yeah. So again, get ahead of it. Stay hydrated. Our celebrity tie in is Jennifer Aniston. She's being criticized for getting a bilateral lower facelift.

Bri (37:37):
Thought she was kind of like anti-surgery.

Dr. B (37:40):
I don't know. She drinks smartwater. I don't know why it would be called a bilateral lower facelift. It's a facelift.

Bri (37:46):
What if you want to do so just one side? You only get only one side of your face done.

Dr. B (37:52):
If people have a procedure like a tumor or something removed from their gland or whatever and then they get these weird or skin cancer. But I think with Jennifer Aniston, I feel like she notoriously had really bad facial fat grafting or fat grafting that went awry and that's why she looks so crazy for a while.

Bri (38:10):
Isn't she a smoker too?

Dr. B (38:12):
She is a smoker. Oh,

Bri (38:13):
Don't smoke. If you're going to get a facelift.

Dr. B (38:15):
She also doesn't have kids, which I feel like we've argued as a pro in terms of looking more well-rested.

Bri (38:21):
Yeah.

Dr. B (38:22):
I don't know. I feel like she looks good in general.

Bri (38:27):
I've never looked at her and thought she looked crazy or different or-

Dr. B (38:30):
There were some pictures maybe from 10 years ago where she looked a little wild and I think it was everyone said she had done something with her face with filler and I know from the rumor mill of facial plastic surgeons that she had bad fat grafting or fat grafting that didn't work out, which unlike filler is hard to reverse because you've injected the fat and if it gets lumpy, bumpy or is too much or inflammatory, it looks weird and you kind of have to go in and surgically remove it generally speaking. I want a rhinoplasty right out the gate. That's a known fact.

Bri (39:06):
Didn't know that.

Dr. B (39:07):
Yeah. She did not have that nose. Okay. So here's a picture of her highly filtered, whatever. But you can see her on the morning show. I've been watching that and her face looks, she looks great for someone in her 50s. I feel like she looks pretty natural, like Hollywood natural for their 50s, meaning she looks good. If you didn't take care of yourself, you're not going to look like that despite the smoking. And if she had a lower facelift, great props.

Bri (39:35):
I thought her whole shtick was like aging gracefully you.

Dr. B (39:39):
Yeah. I mean, she's done Botox. Like I said, she's definitely done ... She tried to get out of doing the facelift in your 40s by doing volumizing with facial fat grafting, right? Which again, I guess I keep saying that, but it's like I usually do it in conjunction with a facelift if you're going to go that direction, not as a standalone procedure, but you can do it as a standalone procedure. I've had it as a standalone procedure on a bet. I feel like we've talked about it.

Bri (40:07):
Crazy.

Dr. B (40:08):
Because we bet it can be done under local and okay. Yes, we did under local.

Bri (40:13):
Just does the craziest things.

Dr. B (40:15):
But it was great. The volume didn't stick around, which is generally what's supposed to happen. It goes away with time. Certainly if you have weight changes, it'll change, but it does add since it's sort of like PRP, it stimulates ... I mean, you're not supposed to say stem cells, but it definitely has a rejuvenating effect positively on your skin that I think you can also get with PRP, but if you need a little volume, then fat is the way to go. You can do nano fat or now you can get fat in a syringe and inject that in your face. Those are both options. And in terms of lower eyelids rejuvenation, that might be the way of the future is to inject nano fat or stamp it in. But yeah, I think she looks good, but she also often wears a mock neck, turtleneck situation, at least on our TV show she does, whatever. Whether she had a facelift or not is a good, that's a good facelift, in my opinion.

Bri (41:15):
If you don't know if you've had one or not.

Dr. B (41:17):
Is like, huh?

Bri (41:19):
Yeah. I don't

Dr. B (41:19):
Know.

Bri (41:20):
Yeah.

Dr. B (41:22):
She looks good.

Bri (41:23):
And she still yet looks like her age and-

Dr. B (41:26):
That's what's important is doing fillers and lasers and all that stuff. You don't want to look like you had something done. You just want to look like a slightly better version of yourself and everyone's like, "Huh, they look nice." A lot of my patients coming in for augmentation, breast augmentation right now are kind of in that same category. They don't want to walk in and people be like, "Whoa, What's Up?"

Bri (41:51):
They don't want giant

Dr. B (41:52):
People to be like, "Oh, that looks nice." Yeah.

Bri (41:56):
Very natural. Natural is definitely in.

Dr. B (41:59):
So I think in your 50s, I think it's a good time to start considering a facelift. I do think with all things be at a stable weight. So if you're in your 50s and you feel like you put 20 pounds on with menopause and you're working to get it off, then get the weight off first because it's going to change how your face looks. So be at a stable point in your life, have the time to take time off and then go ahead and consider getting it done. I do prefer that to waiting until you're like 65 and you really, really needed it because I just think although the results may be more dramatic, your skin's not in as good condition. I think the results are nice when you're Denise Richards and not somebody who's a lot older and looks like they really, really need it. It's already, your skin's just not going to hold up. All right, our go- to celebrity for the 60s, speaking of fucked up facelifts, Demi Moore.

Bri (43:04):
Demi Moore.

Dr. B (43:08):
Her and Nicole Kidman, I feel like Nicole Kinman's in her 60s maybe.

Bri (43:12):
Is she?

Dr. B (43:13):
Approaching 60. I mean, I think Demi Moore looks good now, but boy, did she get done dirty at some point, just like Jennifer Aniston. Maybe they went to the same person. Courtney Cox, all those girls took a turn down.

Bri (43:28):
I want to see her.

Dr. B (43:29):
So I feel like the issue with Demi Moore is that she had, in my opinion, and I totally unverified, I feel like she had an upper lip lift at some point that was way too aggressive and maybe some buccal fat pad removal in conjunction with whatever facial procedure she had and it made her look insane.

Bri (43:49):
Her lips just don't look symmetrical.

Dr. B (43:54):
Her upper lip is just too short and I understand the look she was going for, but it looks nuts and it's settled with time because there is literally nothing you can do once you've taken that tissue out. So an upper lip lift is taking kind of like a bullhorn version of skin from underneath the nose and removing that skin and it brings your upper lip up. I have a friend in Arizona who argues you should almost never do that in isolation. You need to do what we call a corner lip lift, which is a little bit like you just take a little skin out of the corner and raise that as well. In older patients you can do that because the scar hides really well and someone like Demi Mora, I guess I'd be a little reluctant to do that. I don't know. But anyway, they did the upper lip lift it looks like. And so it gave her almost like kind of a rabbit appearance.

(44:49):
It just didn't look good and in combination with the facelift, because then when you smile, it's even more. Having a little bit of upper teeth show is actually a sign of youth, but then not when it's as extreme as it was. So anyway, over time it settled down. I think she had a revision facelift to kind of change the vector of pull on her face. I don't know. And then she looks a lot better now or was looking a lot better and then she mainlined some GLP-1s and now she looks insane again, but not her face.

Bri (45:23):
I just keep thinking about her with the chihuahua.

Dr. B (45:26):
Oh, I love that chihuahua. What's the name of the chihuahua?

Bri (45:30):
I don't know, but it looks-

Dr. B (45:31):
Tinkerbell or something?

Bri (45:32):
I was thinking Nacho.

Dr. B (45:34):
Taco Bell?

Bri (45:35):
Taco Bell.

Dr. B (45:38):
That chihuahua, that's not it. I can't remember. That chihuahua was so cute.

Bri (45:43):
Yeah. It was a life of the carpet.

Dr. B (45:46):
But her at her whatever look at Gucci where she was like two sticks in a pair of pants was like a lot. Yeah.

Bri (45:55):
Everything was pulled right and tight.

Dr. B (45:57):
But she's so skinny.

Bri (46:00):
So skinny.

Dr. B (46:00):
It's scary. But yeah, I think ... Dog. Yes, that Chihuahua. Oh my God, what's the dog's name?

Bri (46:08):
Pilaf.

Dr. B (46:10):
Oh, Pilaf.

Bri (46:10):
Well, we weren't even close. Wrong food group. Nacho and what?

Dr. B (46:14):
Taco Bell. Taco Bell. Tinker Bell. Pilaf. I love Pilaf. Rice Pilaf. That dog is adorable. Don't change Pilaf. Oh my God. I can't. Yeah. I feel like her face looks good now.

Bri (46:33):
I think she looks good with a little bit more weight on though. Not super, super ... She looks great either way, but she just looks a litle bit better with a little bit fuller face, a little weight.

Dr. B (46:43):
Yes. That fucking dog.

Bri (46:45):
That dog is so cute. We could have just made this whole podcast about Pilaf.

Dr. B (46:51):
Had we remembered Pilaf's name?

Bri (46:53):
I know.

Dr. B (46:54):
Sorry. Pilaf is like living its best life in these burkin bags, man.

Bri (46:59):
That's insane. All

Dr. B (47:00):
Right. I feel like Demi Moore has been doing Botox, fat grafting lasers, brow lift, facelift. Like I said, the- Upper lift. She definitely didn't skip her chest area. She looks good. That's the other thing is a telltale when they have-

Bri (47:22):
A perfect face and then really wrinkly skin damaged neck and chest.

Dr. B (47:26):
Neck and chest. She's done a good job of that. But yeah, so that's the area where your hands start to show their age or your chest starts to show its age even if you're maintaining everything else.

Bri (47:41):
Yeah.

Dr. B (47:42):
So again, this is where fat grafting actually is almost fail safe mode for helping out your hands. If you're going to do fat grafting anything, I'd put some in your hands.

Bri (47:55):
Yeah.

Dr. B (47:56):
Just throw some in there, honestly.

Bri (47:58):
I agree. Especially if you're doing that with your hands on the red carpet.

Dr. B (48:02):
Whatever she's doing. And then laser to your hands as well. Always can throw that in there. And you can do other volumizers. Radiesse is a great volumizer for the hands and so is Voluma, you can put any of those in your hands. But that way your hands are not revealing age changes. In your case, they're usually revealing fake hand changes.

Bri (48:26):
My little chicken nugget, she says they look like little orange chicken nuggets.

Dr. B (48:30):
Yeah. When the fake tan stuff doesn't get off your hands.

Bri (48:34):
Yeah. Well, I'm convinced that my hands are just so dry from scrubbing using Sterilum. That really catches on my hands.

Dr. B (48:42):
What I really need to do is moisturize my hands more, but it feels like a moot point when every ... I'm like, "What's his face in the pit every two seconds? Hand sanitizer." Yeah, hand sanitizer. Hand sanitizer. Hand sanitizer. Scrub in for surgery.

Bri (48:55):
Yeah.

Dr. B (48:56):
Just rip out any moisture. And I have injected fat, fake fat, radius, all of it. None of it sticks in my bony little hands, but it's fine. I'm going to accept that.

Bri (49:11):
It's okay. So if you get a facelift in your thirties, does that automatically mean you're going to need another one in your sixties?

Dr. B (49:18):
Yeah.

Bri (49:19):
Yeah.

Dr. B (49:20):
That's the thing. It's not going to last more. I would say everyone thinks it lasts 10 years. It probably just, you should wait 10 years before you do another one. It's not like it's an on off switch and at 10 years. It's a gradual change, gradual aging process. You can't stop time or gravity, so you're going to continue to age.

Bri (49:40):
And they're probably not doing a deep plane facelift in your thirties. They're probably, well, doing like a small skin excision, right?

Dr. B (49:47):
It depends. Some people will do ... I have a friend again in Atlanta who does the bandaid facelift and it is just kind of a little tiny skin boop, just a little, which I kind of want her to do. Or you could do the deep plane either way. I mean, the deep plane will last longer.

Bri (50:05):
Yeah. But then is that plane, can you still redo a deep plane?

Dr. B (50:11):
Maybe. It just depends on your quality of skin. I know. It's a little tough.

Bri (50:16):
So start with all your preventative stuff.

Dr. B (50:18):
That's my two cents is do that.

Bri (50:21):
So you don't need to redo two deep planes.

Dr. B (50:24):
Yeah. Because the risk of going back to the deep plane facelift again is nerve injury, which nobody wants.

Bri (50:30):
Yeah.

Dr. B (50:31):
So we haven't seen any of that on the red carpet, so I would say that's good. Yeah. And we haven't seen any pretty bad scarring or anything like that. I mean, minus the one lip lift that was overresected, I think everyone looks fairly good. If anything, probably the worst complication we've seen in celebrities is just overdone, right? Yeah. They just get overfilled and they look crazy and then they get it reversed.

Bri (50:56):
And then the second they get all this stuff done, they step out on the red carpet. I know. It's like a thing. It's like giving like, what was it, Tom Cruise or something?

Dr. B (51:05):
Yeah. We could tackle guys same. It's really the same regimen, but for men overdoing it is definitely they're more prone to it because it's very easy to look feminized or over full and then it just starts to look weird. And for men, I would say if you're going to do touch the eyes, do a very, very, very conservative eyelid lift. Otherwise, you look nuts. Like Brad Pitt looks great. They did not mess with his eyes. They look good. Bradley Cooper.

Bri (51:39):
Bradley Cooper looks crazy. Sorry, Bradley. Yeah. And let yourself heal. Skip a Met Gala.

Dr. B (51:49):
Go away for a minute. Yeah. It's okay.

Bri (51:51):
Take a vacation.

Dr. B (51:52):
Wear an eye patch or a fencing face thing.

Bri (51:54):
Full face shield.

Dr. B (51:59):
Okay.

Bri (52:00):
Jinx. You owe me a Diet Coke. All right.

Dr. B (52:04):
Do you want to do myth or reality?

Bri (52:05):
Yes. All right. Here we go. Myth or reality. You are too young for Botox in your 30s.

Dr. B (52:13):
That is false.

Bri (52:16):
Bullshit.

Dr. B (52:17):
Myth.

Bri (52:18):
A facelift never lasts past 10 years.

Dr. B (52:20):
I would say that's true.

Bri (52:23):
You should wait until your 60s for any surgical procedure.

Dr. B (52:25):
Oh, absolutely not.

Bri (52:27):
Absolutely not. After menopause, nothing in your skincare routine actually works anymore.

Dr. B (52:31):
What? No, that's not true.

Bri (52:33):
Just like you die when you hit menopause.

Dr. B (52:34):
No.

Bri (52:36):
Dissolved filler is fully gone from your face.

Dr. B (52:39):
No.

Bri (52:40):
No.

Dr. B (52:40):
That's a myth actually. There's studies that should get

Bri (52:43):
Provenotherwise.

Dr. B (52:44):
Yeah. Scans, studies. Yeah. There's always a little residual, but I don't necessarily think that's a bad thing. I think sometimes the residual hyaluronic acid laying around is a biostimulator and so it's adding a little bit of volume. It's okay. As long as it's in the right place, that's when under eye is not a great option because you don't really want volume there. All right. If you're listening today, you have questions about preventative stuff, reach out. We're going to have the new Sciton, hybrid, Moxi, Halo BBL laser coming soon and we'll be excited to talk about that and all the treatments we can do. And that will be a key to skincare maintenance and maintaining your glow if you want.

Bri (53:34):
I'm going to try it on myself, guys. Don't worry. So I'll let you know my honest feedback about it.

Dr. B (53:38):
Yeah.

Bri (53:39):
I'm really excited.

Dr. B (53:40):
We're going to be lasered up, man.

Bri (53:42):
Yeah.

Dr. B (53:43):
We'll be the only people walking around this summer with our faces in a fencing mask.

Bri (53:47):
Fencing mask. Our next podcast, we're going to be fully swollen and fencing masks.

Dr. B (53:54):
Yeah. We're here for you.

Bri (53:55):
Yeah. The things we do for you guys, this sacrifice.

Dr. B (53:59):
All right. If you want to hear more, like and subscribe and if not, we're going to scrub in...

Bri (54:04):
And scrub out. But I don't know why you wouldn't want to hear more.

Dr. B (54:10):
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 restorestplasticsurgery.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.