1 00:00:00,360 --> 00:00:05,000 This is the Art Beauty podcast where we are always reaching for truth in beauty. 2 00:00:05,000 --> 00:00:07,680 Remember, the people in the brands on the show are not paying to be here. 3 00:00:07,680 --> 00:00:09,600 So we get to have those tough conversations 4 00:00:09,600 --> 00:00:13,400 because you deserve to be informed so you can make the best choices 5 00:00:13,400 --> 00:00:14,920 for yourself. 6 00:00:14,920 --> 00:00:17,400 With that said, I'm your host, Amber Melton. 7 00:00:17,400 --> 00:00:20,320 Today, my fabulous co-host is Dr. 8 00:00:20,320 --> 00:00:21,240 Michael Riley. 9 00:00:21,240 --> 00:00:24,240 He is a double board certified facial plastic surgeon 10 00:00:24,400 --> 00:00:27,400 practicing out of Washington, D.C. 11 00:00:27,600 --> 00:00:29,920 It is such an honor to have you here today. 12 00:00:29,920 --> 00:00:31,200 Welcome to the show. 13 00:00:31,200 --> 00:00:32,520 Thank you so much for having me. 14 00:00:32,520 --> 00:00:34,240 I can't wait to chat with you. 15 00:00:34,240 --> 00:00:36,320 So I just got to give us a little bit of a shout out 16 00:00:36,320 --> 00:00:40,480 because we have a great show today. 17 00:00:40,880 --> 00:00:43,880 We're going to be talking about social media 18 00:00:43,920 --> 00:00:46,560 and how people can tweak images. 19 00:00:46,560 --> 00:00:50,080 Now, maybe not a big deal if your mom's doing it, if your sister, 20 00:00:50,080 --> 00:00:54,480 your brother, but it can be a big deal when plastic surgeons are doing it. 21 00:00:54,480 --> 00:00:55,080 So Dr. 22 00:00:55,080 --> 00:00:59,360 Riley is here to talk to us about how we can kind of decode those images. 23 00:01:00,040 --> 00:01:04,200 We were going to show some really wild ones out there. 24 00:01:04,640 --> 00:01:06,840 You sent me a bunch. And then we both realize. 25 00:01:07,840 --> 00:01:10,040 These are not ours. 26 00:01:10,040 --> 00:01:11,640 I don't want to get sued. 27 00:01:11,640 --> 00:01:13,480 So, Doctor, I love it. 28 00:01:13,480 --> 00:01:13,800 You were like, 29 00:01:13,800 --> 00:01:17,760 I'm actually going to use some of your own photos to kind of highlight things 30 00:01:17,760 --> 00:01:18,640 to be looking out for. 31 00:01:18,640 --> 00:01:21,640 So I just want to say, before we even get started, 32 00:01:21,960 --> 00:01:23,560 you've been one of my favorite guests ever. 33 00:01:23,560 --> 00:01:28,240 Just was taking a half hour to kind of go through and greet the week on the spot. 34 00:01:28,240 --> 00:01:29,640 So thank you so much. 35 00:01:29,640 --> 00:01:33,360 And you were like the technical support because that's not my forte. 36 00:01:33,360 --> 00:01:35,480 So thank you so much for getting those photos together. 37 00:01:35,480 --> 00:01:37,760 And yeah, I think it's actually probably even more authentic. 38 00:01:37,760 --> 00:01:42,080 Our conversation, because some of these mistakes are mistakes I've made in my own, 39 00:01:42,080 --> 00:01:45,400 you know, pre and post ops and trying to, you know, get content developed 40 00:01:45,400 --> 00:01:48,840 and then realizing later that maybe I was doing things unintentionally 41 00:01:49,400 --> 00:01:52,080 or some maybe even intentionally subconsciously 42 00:01:53,480 --> 00:01:54,760 to make my post-ups look better. 43 00:01:54,760 --> 00:01:56,600 But thankfully that's been brought to light. 44 00:01:56,600 --> 00:01:57,320 More recently, 45 00:01:57,320 --> 00:02:01,200 there have been a couple of good articles talking about just like how manipulated 46 00:02:01,600 --> 00:02:06,240 plastic surgery images are and, you know, self-reflection is a good thing to do. 47 00:02:06,240 --> 00:02:09,240 So it certainly made me turn and say what's what? 48 00:02:09,240 --> 00:02:12,000 What's going on with my pre and post up photos? Are they authentic? 49 00:02:12,000 --> 00:02:14,920 And I really stand by these and you and I can kind of tease 50 00:02:14,920 --> 00:02:18,040 through some of the ways that I feel like, yes, I can. 51 00:02:18,040 --> 00:02:21,840 And maybe the ways that in the past I was being less authentic 52 00:02:21,840 --> 00:02:22,840 with the pre and post ups. 53 00:02:22,840 --> 00:02:25,840 You know, like I said, not intentionally, but but they're they're. 54 00:02:26,000 --> 00:02:29,800 Listen, I'm going to I'm going to you know, first of all, I love honesty. 55 00:02:29,920 --> 00:02:33,040 I love when people come, you know, listen to my own career. 56 00:02:33,920 --> 00:02:37,440 Certainly when filters came out, I was like, this is great. 57 00:02:38,080 --> 00:02:39,480 You know, we've discussed this. 58 00:02:39,480 --> 00:02:40,560 They now work on QVC. 59 00:02:40,560 --> 00:02:43,560 QVC is totally based on authenticity. 60 00:02:43,560 --> 00:02:45,840 If we're going to show a before and after on air, 61 00:02:45,840 --> 00:02:49,440 my before has to be shot in that studio that day. 62 00:02:50,680 --> 00:02:52,320 And the after has to be, you 63 00:02:52,320 --> 00:02:56,640 know, is being done live because they certainly pride themselves on 64 00:02:56,640 --> 00:03:00,720 on having that authenticity and developing that trust with consumers. 65 00:03:00,880 --> 00:03:01,680 Well, I love that. 66 00:03:01,680 --> 00:03:02,200 I mean, honestly, 67 00:03:02,200 --> 00:03:05,400 that's like you can see that how that could become an industry standard 68 00:03:05,880 --> 00:03:09,240 and not exactly that because obviously you can't do surgery and recover from it 69 00:03:09,240 --> 00:03:11,000 and have your post-op photo taken on the same day. 70 00:03:11,000 --> 00:03:15,800 But the more and more criteria we put together as like 71 00:03:15,800 --> 00:03:20,200 this is what's an acceptable before and after photo, the you know, the stronger 72 00:03:20,200 --> 00:03:23,280 everything will be then everyone's comparing the same apples to apples. 73 00:03:23,280 --> 00:03:27,920 And no, I actually think that's very novel and pioneering to QVC to do that. 74 00:03:28,560 --> 00:03:29,760 You know, it's great. 75 00:03:29,760 --> 00:03:31,480 And and listen, you've probably seen it 76 00:03:31,480 --> 00:03:33,640 not just talking about other plastic surgeons, 77 00:03:33,640 --> 00:03:37,440 but I've been at many brand presentations 78 00:03:37,440 --> 00:03:39,240 and they will show those before and afters. 79 00:03:39,240 --> 00:03:43,960 And it's laughable when you see the techniques that are being used. 80 00:03:43,960 --> 00:03:47,360 And it's like, look, we trim this person's neck and in the first one they're like, 81 00:03:47,880 --> 00:03:52,400 but on the second one they're out to hear and it's like, okay, okay. 82 00:03:52,440 --> 00:03:53,720 And that's even better. 83 00:03:53,720 --> 00:03:57,280 When the product is something like a skin care product 84 00:03:57,280 --> 00:04:01,200 or like a topical or some sort of, for instance, like a radiofrequency device 85 00:04:01,200 --> 00:04:05,560 where there isn't like a clear cut or something that you actually did 86 00:04:05,960 --> 00:04:08,600 because then you're just like, well, that's within the realm of, 87 00:04:08,600 --> 00:04:09,960 you know, we call it the margin of error. 88 00:04:09,960 --> 00:04:11,680 I mean, if you take two pictures 89 00:04:11,680 --> 00:04:15,800 of the same person, you're going to get two different results, you know, so 90 00:04:17,240 --> 00:04:19,040 yeah, no, some of those are really atrocious. 91 00:04:19,040 --> 00:04:22,040 And and but there are so this is something you may not know. 92 00:04:22,920 --> 00:04:25,240 There are really there are standard 93 00:04:25,240 --> 00:04:28,080 photographic measures in facial plastic surgery photos. 94 00:04:28,080 --> 00:04:32,480 So for the face specifically, you know, we have specific views that we take, 95 00:04:33,320 --> 00:04:36,160 but we also have very specific 96 00:04:36,160 --> 00:04:37,320 orientation of the face. 97 00:04:37,320 --> 00:04:39,720 So it's called the Frankfort horizontal plane. 98 00:04:39,720 --> 00:04:42,720 It's how every photo of the face is supposed to be taken. 99 00:04:42,760 --> 00:04:46,320 And it is the idea behind that wasn't well-intended, 100 00:04:46,320 --> 00:04:48,680 which is let's make sure we're comparing apples, apples 101 00:04:48,680 --> 00:04:50,320 and get the photos taken at the same angle, 102 00:04:50,320 --> 00:04:52,600 because you can imagine my neck looks a lot different 103 00:04:52,600 --> 00:04:54,520 from down here than it does from right here. 104 00:04:54,520 --> 00:04:55,720 And so if that in 105 00:04:55,720 --> 00:04:59,400 the Frankfort horizontal plane, just to be to dork out for a second 106 00:04:59,640 --> 00:05:02,920 and tell you other industries inside scoop it's when the the lower 107 00:05:02,920 --> 00:05:06,400 part of the orbit so the orbital rim right here, the very bony part of the eye 108 00:05:06,640 --> 00:05:10,560 has to line up on a horizontal plane with the top of the ear canal. 109 00:05:10,800 --> 00:05:13,680 So like when I'm in, patients in my office all the time are wondering 110 00:05:13,680 --> 00:05:14,160 what am I doing? 111 00:05:14,160 --> 00:05:17,640 But I kind of grab their, you know, head and help them tilt and reposition. 112 00:05:17,880 --> 00:05:18,840 But I'm always trying to get that 113 00:05:18,840 --> 00:05:22,560 top of the ear canal to line up with the bottom of the orbital rim right there. 114 00:05:22,560 --> 00:05:25,480 So that then I know the after is going to look the exact same. 115 00:05:26,520 --> 00:05:29,520 So there is that that's been you know, we're trying. 116 00:05:29,520 --> 00:05:32,520 You know, you are trying and I and I don't want to diverge too much 117 00:05:32,520 --> 00:05:36,680 but there are also great apps right now that help people at home 118 00:05:37,200 --> 00:05:40,440 take I forget the name of it, but there's one that will kind of help 119 00:05:40,440 --> 00:05:44,760 you make sure that your face is measured so that you can kind of track progress. 120 00:05:45,320 --> 00:05:47,040 And it's a great idea. 121 00:05:47,040 --> 00:05:48,360 You know, to make sure that your face 122 00:05:48,360 --> 00:05:50,560 is in the same place, to make sure that lighting is similar. 123 00:05:50,560 --> 00:05:52,600 But it's tough. It's really tough. 124 00:05:52,600 --> 00:05:55,200 So you have agreed to share 125 00:05:55,200 --> 00:05:58,880 some of your own photos of things that we should be looking out for. 126 00:05:58,880 --> 00:06:00,400 I wish we could have used some of them. 127 00:06:00,400 --> 00:06:03,360 I mean, some of them that you sent me were just laughable. 128 00:06:03,360 --> 00:06:05,040 But we're going to play it safe here. 129 00:06:05,040 --> 00:06:07,960 So I'm going to actually try to share these now. 130 00:06:07,960 --> 00:06:08,280 All right. 131 00:06:10,000 --> 00:06:11,040 And we 132 00:06:11,040 --> 00:06:14,040 can kind of talk through things that we should be looking for. 133 00:06:14,120 --> 00:06:15,360 Sure, I promise. 134 00:06:15,360 --> 00:06:19,120 Consumers are comparing plastic surgery photos. 135 00:06:19,160 --> 00:06:19,960 I'm going to preface this 136 00:06:19,960 --> 00:06:22,960 by saying that we just quickly grabbed these off of my Instagram. 137 00:06:23,200 --> 00:06:26,240 As you know, you're more than welcome to go look for yourself. 138 00:06:26,240 --> 00:06:28,600 None of these have been doctored. 139 00:06:28,600 --> 00:06:30,440 It's which is Mike Riley, M.D. 140 00:06:30,440 --> 00:06:33,440 But the photo that we wanted to highlight, which was like my 141 00:06:33,560 --> 00:06:36,560 my just said, go to my most recent post-op photo that's on there, 142 00:06:36,680 --> 00:06:41,000 is because I use very, very controlled circumstances to take my photos. 143 00:06:41,000 --> 00:06:45,080 Now, the one thing that I cannot control for sometimes is the actual lighting 144 00:06:45,080 --> 00:06:47,200 that's coming in from the windows in the office 145 00:06:47,200 --> 00:06:49,120 where I do the photos because it's not a complete darkroom. 146 00:06:49,120 --> 00:06:52,120 So even this which was taken in this with the same camera, in the same 147 00:06:52,480 --> 00:06:54,120 in the same exact location 148 00:06:54,120 --> 00:06:54,720 and the same 149 00:06:54,720 --> 00:06:56,000 in front of the same background, you can see 150 00:06:56,000 --> 00:06:59,080 there's like a little bit of a dark edge on the left side of the post-op photo. 151 00:06:59,080 --> 00:07:01,920 But in general, this is how a pre and post op photo should look. 152 00:07:01,920 --> 00:07:04,320 You should the background should look the same. 153 00:07:04,320 --> 00:07:07,080 You know, the amount of makeup should really look the same. 154 00:07:07,080 --> 00:07:09,640 So specifically, you know, like her lipsticks is the same. 155 00:07:09,640 --> 00:07:12,520 I will say like even in this one because you cannot control for everything. 156 00:07:12,520 --> 00:07:15,120 Looks like she has eyeliner on in her second photo. 157 00:07:15,120 --> 00:07:15,640 Yeah. 158 00:07:15,640 --> 00:07:18,640 Having didn't have in the prep and this photo, by the way, 159 00:07:18,640 --> 00:07:21,320 what we're looking at is a lower left for a plaster result. 160 00:07:21,320 --> 00:07:25,200 So the bag is on her left side where there's like kind of that deep crease 161 00:07:25,440 --> 00:07:27,960 and then the visible bag, that's the photo. 162 00:07:27,960 --> 00:07:29,080 That's what that was done. 163 00:07:29,080 --> 00:07:31,520 That was what that is what was done surgically. 164 00:07:31,520 --> 00:07:33,960 And that's kind of what we're looking for, looking at after surgery. 165 00:07:33,960 --> 00:07:35,840 So this is generally what you want to see. 166 00:07:35,840 --> 00:07:39,240 Even, you know, the the size of the head is the same. 167 00:07:39,240 --> 00:07:41,920 We always whenever I'm doing the pre and post ups, my assistant doesn't. 168 00:07:41,920 --> 00:07:43,600 But I always say, you know, drag it on top of the other one. 169 00:07:43,600 --> 00:07:44,840 So it's really like lined up. 170 00:07:44,840 --> 00:07:48,600 Everything should be the same size you can imagine for a rhinoplasty or something. 171 00:07:48,600 --> 00:07:51,720 The size really make a big difference if the head is smaller afterwards, 172 00:07:51,720 --> 00:07:54,840 the nose is going to be smaller too, which might give you might give you 173 00:07:54,840 --> 00:07:58,080 a, you know, a boost in one direction or the other. 174 00:07:58,680 --> 00:08:00,600 So this is a well-matched photo. 175 00:08:00,600 --> 00:08:03,600 This is what you want to see in your your doctors before and after photos. 176 00:08:03,720 --> 00:08:07,160 You don't want to see some dramatic makeover where, you know, the patient was, 177 00:08:07,440 --> 00:08:08,280 you know, having 178 00:08:08,280 --> 00:08:10,560 just rolled out of bed on the left and then on the right side, 179 00:08:10,560 --> 00:08:11,880 they were getting ready to go to the Met gala. 180 00:08:11,880 --> 00:08:13,840 Like, that's not the look that we're going for. 181 00:08:13,840 --> 00:08:16,520 So so that this is you know, that's the background. 182 00:08:16,520 --> 00:08:18,720 If you want to go to, like the next one, I can kind of start 183 00:08:18,720 --> 00:08:21,160 we can start going through some of the errors 184 00:08:21,160 --> 00:08:24,120 that I've made over the years with my before and after photos. 185 00:08:24,120 --> 00:08:27,720 So now this is one where this is a really good, funny story. 186 00:08:27,720 --> 00:08:31,160 This woman is beautiful and wonderful and she has been so gracious 187 00:08:31,160 --> 00:08:34,760 to share her photos because this photo actually was published 188 00:08:34,760 --> 00:08:38,840 on the Today Show when I was on that show like ten years ago, talking about a 189 00:08:40,200 --> 00:08:41,280 study I did about how 190 00:08:41,280 --> 00:08:44,560 people are perceived differently after a facial plastic surgery. 191 00:08:45,160 --> 00:08:47,840 And Hoda, I'll never forget, you know, I was nervous. 192 00:08:47,840 --> 00:08:51,720 I was pretty, pretty young doctor at the time and she was like, well, 193 00:08:51,720 --> 00:08:54,000 I think she looks better in the after photo because she had a blowout. 194 00:08:54,000 --> 00:08:56,120 And the second photo and I was like, my gosh, you know? 195 00:08:56,120 --> 00:08:58,080 And I said, Well, you know, yeah, you know, she did her hair 196 00:08:58,080 --> 00:09:00,600 does look better, but, you know, she also had this, that and other thing. 197 00:09:00,600 --> 00:09:04,040 So she so but the hairstyle was the point of that. 198 00:09:04,040 --> 00:09:06,880 And it was and it was interesting because it was her immediate and she's a 199 00:09:06,880 --> 00:09:09,560 she's a real journalist like she was like, I'm not into the chase 200 00:09:09,560 --> 00:09:13,200 because there is this, you know, bias factor that I think a lot of people 201 00:09:13,240 --> 00:09:17,000 inherently, like we discussed earlier, you'll see it in certain photos. 202 00:09:17,000 --> 00:09:20,080 You're like, why are they even trying to look at it 203 00:09:20,080 --> 00:09:23,360 like this is from this is the same, you know, a comparison. 204 00:09:23,840 --> 00:09:26,360 But like in this case, this is just how she happened 205 00:09:26,360 --> 00:09:27,960 to look the day the day she came in for post-op. 206 00:09:27,960 --> 00:09:30,600 And frankly, part of it was because she was really happy with the result. 207 00:09:30,600 --> 00:09:33,360 And I think she was getting a little more dolled up 208 00:09:33,360 --> 00:09:35,120 after surgery than she was before surgery. 209 00:09:35,120 --> 00:09:37,000 But so that's that's an important thing. 210 00:09:37,000 --> 00:09:41,160 If you if you go to someone's Instagram like mine and you see a trend of like 211 00:09:41,160 --> 00:09:44,160 every single post photo, they're in full makeup 212 00:09:44,160 --> 00:09:47,880 and their hair is blown out, then I mean, there are doctors practices who do that. 213 00:09:47,880 --> 00:09:51,000 They they do a whole make up thing right before they take their post-op photos 214 00:09:51,000 --> 00:09:52,800 because they're trying to make them look as good as possible. 215 00:09:52,800 --> 00:09:54,280 Well, you're not comparing apples to apples. 216 00:09:54,280 --> 00:09:57,880 So that's that's like a good example of, you know, be 217 00:09:58,200 --> 00:10:01,920 be aware that it's, I think, a trend that maybe you would see. 218 00:10:01,920 --> 00:10:03,720 And and by the way, one of the things 219 00:10:03,720 --> 00:10:05,520 that got us talking about this was the study 220 00:10:05,520 --> 00:10:09,120 that was done showed that most people want to see dramatic changes. 221 00:10:09,480 --> 00:10:12,600 So the top performing plastic surgery Instagram 222 00:10:13,200 --> 00:10:17,040 profiles, they're 97% of them are altering their photos 223 00:10:17,040 --> 00:10:20,640 in some way or they're or they're they're, you know, manipulating their photos 224 00:10:20,640 --> 00:10:24,600 to be more positive after surgery than they are before surgery. 225 00:10:24,600 --> 00:10:27,040 So that's because that gets engagement. 226 00:10:27,040 --> 00:10:30,240 I mean, that's why they're top because they're like, people love that change. 227 00:10:30,240 --> 00:10:32,440 So so this is one where I'm just like this. 228 00:10:32,440 --> 00:10:35,640 We mainly showed this just to say hairstyle can make a difference, you know? 229 00:10:35,720 --> 00:10:38,040 Yeah. Little bit more makeup in the post-op photo, too. 230 00:10:38,040 --> 00:10:38,800 So those are, 231 00:10:38,800 --> 00:10:42,440 you know, those are definitely things that are not comparing directly. 232 00:10:42,760 --> 00:10:44,200 What about the next one? What do you have there? 233 00:10:45,360 --> 00:10:46,680 I get there. 234 00:10:46,680 --> 00:10:48,000 Okay. Okay. 235 00:10:48,000 --> 00:10:51,480 So this is another I mean, my patients first of all, I love my patients. 236 00:10:51,840 --> 00:10:53,640 Secondly, anyone who's been willing to share 237 00:10:53,640 --> 00:10:57,160 their photos is extra special because it's you know, it's hard. 238 00:10:57,160 --> 00:10:59,080 If you had plastic surgery to begin with, 239 00:10:59,080 --> 00:11:00,960 that was usually because you didn't like something. 240 00:11:00,960 --> 00:11:02,400 So people are willing to share that. 241 00:11:02,400 --> 00:11:05,400 I just have to give a huge thank you to my patients. 242 00:11:05,520 --> 00:11:06,800 You talk to that? 243 00:11:06,800 --> 00:11:09,280 Yeah. And celebrate and support you. 244 00:11:09,280 --> 00:11:13,320 100% and, and you know and, and they're amazing. 245 00:11:13,320 --> 00:11:14,360 And look at this photo. 246 00:11:14,360 --> 00:11:16,320 I mean, it looks like incredible. 247 00:11:16,320 --> 00:11:18,520 I did do a neck lift on this patient. She. 248 00:11:18,520 --> 00:11:19,920 She's lovely. 249 00:11:19,920 --> 00:11:22,680 This was a photo taken years later, she came back to see me 250 00:11:22,680 --> 00:11:25,200 and she was here for other reasons. And I was like, let's get a post up. 251 00:11:25,200 --> 00:11:28,200 And I'm like, my God, this is like the best result ever. 252 00:11:28,240 --> 00:11:30,120 And then we started talking and I was like, 253 00:11:30,120 --> 00:11:32,480 she had lost a little bit of weight after the surgery. 254 00:11:32,480 --> 00:11:35,480 So her, her whole composition had changed. 255 00:11:35,960 --> 00:11:39,960 I'm not claiming full credit for this result with just my surgery. 256 00:11:39,960 --> 00:11:40,920 If you lose weight 257 00:11:40,920 --> 00:11:41,640 and you have 258 00:11:41,640 --> 00:11:44,880 any bit of heaviness in your neck, it's probably going to get a little bit better. 259 00:11:44,880 --> 00:11:47,280 Now, the contours. Great. So I was okay. 260 00:11:47,280 --> 00:11:51,760 I got the skin treated, but there's no there's no there's no sagging skin there. 261 00:11:52,160 --> 00:11:55,440 But I'm not taking full credit for the entire result. 262 00:11:55,440 --> 00:11:58,200 So and, you know, it's like, how much do you disclose in a photo 263 00:11:58,200 --> 00:12:01,040 like, well, this was five years later and the patient lost £20. Most doctors 264 00:12:01,040 --> 00:12:05,520 aren't including that in their before and after are kind of details. 265 00:12:06,000 --> 00:12:09,760 So so we probably all seen that before, too, where the patient, 266 00:12:09,920 --> 00:12:13,760 her, him or herself has had a favorable cosmetic change or intervention. 267 00:12:13,760 --> 00:12:14,400 And then 268 00:12:14,400 --> 00:12:18,520 the pictures benefit as as a result, maybe they've been working out whatever. 269 00:12:18,600 --> 00:12:22,400 You know, I see that a lot, especially with body makeovers, 270 00:12:22,400 --> 00:12:25,080 whether it's liposuction, the mommy makeover, you know, 271 00:12:25,080 --> 00:12:28,760 and I'm sure some of that is that once you have gotten rid of some of that 272 00:12:28,760 --> 00:12:32,800 excess fat, that excess skin, maybe you're a little bit more inclined to work out. 273 00:12:32,800 --> 00:12:35,800 But things to be aware of, 274 00:12:36,240 --> 00:12:39,280 you know, and I've always said this, that, listen, I've had plastic surgery myself. 275 00:12:40,080 --> 00:12:41,640 You really need to 276 00:12:45,000 --> 00:12:47,800 sort of manage expectations. 277 00:12:47,800 --> 00:12:49,560 Yes. And you want to be with a surgeon 278 00:12:49,560 --> 00:12:51,320 who's going to help you manage expectations. So. 279 00:12:51,320 --> 00:12:56,720 Okay, so this is something good, but but to your credit, the profiles are the same. 280 00:12:56,880 --> 00:13:00,000 You know, she's wearing relatively the same amount of makeup 281 00:13:00,480 --> 00:13:02,880 and the backgrounds are the same. So, yeah, yeah, yeah. 282 00:13:02,880 --> 00:13:04,480 Good job. I wasn't trying to trick anybody. 283 00:13:04,480 --> 00:13:06,360 I will say, do you remember? 284 00:13:06,360 --> 00:13:10,600 I don't know if you would remember this, but when I was a kid, you know, I'd be 285 00:13:10,600 --> 00:13:14,400 watching TV and there'd be these ads for, I don't know what they were like. 286 00:13:14,400 --> 00:13:18,680 Maybe like GNC, vitamins or protein powder or like those AB crunchers. 287 00:13:18,680 --> 00:13:22,080 And the before and after photos would be like some guy in his garage, 288 00:13:22,080 --> 00:13:26,480 you know, like this big like, you know, over overweight 289 00:13:27,440 --> 00:13:29,720 body that that was not he was not caring for. 290 00:13:29,720 --> 00:13:31,240 And then the after photo 291 00:13:31,240 --> 00:13:34,280 was like taken in front of a mirror with all the light shining on it. 292 00:13:34,320 --> 00:13:36,160 And so this has been going on 293 00:13:36,160 --> 00:13:39,120 not just in the facial plastic surgery realm or plastic surgery realm. 294 00:13:39,120 --> 00:13:40,200 It's basically 295 00:13:40,200 --> 00:13:43,280 before and after is throughout time people have been figuring this out. So. 296 00:13:43,640 --> 00:13:44,760 I mean, I love TV magic. 297 00:13:44,760 --> 00:13:47,240 Listen, the difference between like pulling your pants, 298 00:13:47,240 --> 00:13:50,520 like letting your pants, you know, if you were in spandex and letting that 299 00:13:50,520 --> 00:13:54,080 fat roll, you know, hangover versus pulling them up. 300 00:13:54,560 --> 00:13:57,560 I know all about that. 301 00:13:58,080 --> 00:13:58,400 All right. 302 00:13:58,400 --> 00:13:59,880 This is a good one because, you know, 303 00:13:59,880 --> 00:14:02,920 this doesn't have any sort of professional looking background. 304 00:14:02,920 --> 00:14:05,920 And part of that is because this is not a cosmetic patient. 305 00:14:06,360 --> 00:14:08,280 This is a young man had actually had 306 00:14:09,760 --> 00:14:10,760 some injuries and 307 00:14:10,760 --> 00:14:14,320 his smile was not functioning properly on the right side. So 308 00:14:14,560 --> 00:14:19,040 we ended up replanting his muscle, which had gotten evolved in the right cheek. 309 00:14:19,040 --> 00:14:22,440 And that's why he now has like the matching tip on the after photo. 310 00:14:22,760 --> 00:14:23,680 But I thought this was a good one 311 00:14:23,680 --> 00:14:27,400 because, you know, on the left side, you've got the trees in the background. 312 00:14:27,400 --> 00:14:30,400 In my office, we're showing in the showing the background 313 00:14:31,200 --> 00:14:33,000 on the right side, there's many blinds behind there. 314 00:14:33,000 --> 00:14:35,280 So that inherently is going to change the lighting. 315 00:14:35,280 --> 00:14:37,440 And then on top of that, it's just distract ding. 316 00:14:37,440 --> 00:14:40,880 You know, it's really like, so if this was a cosmetic photo, you would be on major. 317 00:14:40,880 --> 00:14:41,200 No, no. 318 00:14:41,200 --> 00:14:43,600 Why are you first of all, why don't you ever act together 319 00:14:43,600 --> 00:14:46,320 enough to be taking the cosmetic before and after photo? 320 00:14:46,320 --> 00:14:49,960 That would be one kind of red flag to me. 321 00:14:50,240 --> 00:14:53,200 And then secondly, even if you weren't using a, 322 00:14:53,200 --> 00:14:57,000 you know, a professional blue background, why is it that they're different 323 00:14:57,000 --> 00:15:00,400 backgrounds and you'll see weird shadows in people's photos, 324 00:15:00,400 --> 00:15:03,400 You'll see the color is just not right. 325 00:15:03,760 --> 00:15:05,920 But this one was pretty glaring when we were looking quickly 326 00:15:05,920 --> 00:15:07,280 to my instrument, like, yeah, that's a good one. 327 00:15:07,280 --> 00:15:09,040 Like, if someone did that for a cosmetic photo, 328 00:15:09,040 --> 00:15:12,040 you would be wanting to, you know, put your alarm bells up. 329 00:15:12,200 --> 00:15:13,480 Yeah, man, I really do 330 00:15:13,480 --> 00:15:17,640 wish we could have just gone and done a deep dive on other people's Instagram. 331 00:15:17,640 --> 00:15:22,800 But again, thank you for being so willing to use your own photos as an example. 332 00:15:23,920 --> 00:15:25,720 Okay, here's here's here's the lot. 333 00:15:25,720 --> 00:15:27,960 Here's one where I think the lighting we might have this one. 334 00:15:27,960 --> 00:15:29,520 And is there one more about there 335 00:15:29,520 --> 00:15:32,840 maybe not this this one where the lighting is just not right. 336 00:15:32,840 --> 00:15:37,200 And my excuse here because she's relatively recent like I knew better. 337 00:15:37,200 --> 00:15:38,880 You know, she's lined up properly. 338 00:15:38,880 --> 00:15:42,600 Everything is properly positioned and scaled. 339 00:15:42,600 --> 00:15:44,640 But I have two offices. 340 00:15:44,640 --> 00:15:48,520 One of them is my office, my main practice at Georgetown University, 341 00:15:48,760 --> 00:15:52,320 and the other one is my private practice office in McLean, Virginia, 342 00:15:52,320 --> 00:15:53,800 about 20 minutes away from here. 343 00:15:53,800 --> 00:15:55,960 And I have the same camera and have the same flashes, 344 00:15:55,960 --> 00:15:58,440 but the rooms are very different than I take the photos in. 345 00:15:58,440 --> 00:16:01,920 And sometimes the lighting is just I can I get the lighting match? 346 00:16:01,920 --> 00:16:05,160 And this is a good example of like what is happening with the lighting here. 347 00:16:05,160 --> 00:16:07,440 I mean, her eyes look totally different colors. 348 00:16:07,440 --> 00:16:09,720 Obviously the backgrounds are totally different color. 349 00:16:09,720 --> 00:16:10,600 She's beautiful. 350 00:16:10,600 --> 00:16:12,360 In both pictures, the post up is on the right where 351 00:16:12,360 --> 00:16:15,000 we've refined her nose, her nasal tip a little bit, 352 00:16:15,000 --> 00:16:17,680 but she almost looks a little washed out in the right side of picture. 353 00:16:17,680 --> 00:16:20,040 So if this was one, this would be a good example. 354 00:16:20,040 --> 00:16:22,080 If someone was showing you like, wow, look what 355 00:16:23,040 --> 00:16:25,240 I did for her skin color. 356 00:16:25,240 --> 00:16:26,960 Yeah. Isn't it amazing how how. 357 00:16:26,960 --> 00:16:29,720 Great. Skin looks? It's like, wait a minute. 358 00:16:29,720 --> 00:16:33,480 No, that's just a has anyone like a flash just flashed on her skin. 359 00:16:33,480 --> 00:16:36,480 That's why it looks so clear and and homogeneous on the second one. 360 00:16:36,640 --> 00:16:38,040 I mean, she has nearly flawless skin 361 00:16:38,040 --> 00:16:40,240 in the left side, too, so she would be a bad example of that. 362 00:16:40,240 --> 00:16:42,840 But you can imagine if someone has rough skin, 363 00:16:42,840 --> 00:16:46,480 throw a flash on it, and then suddenly they look clean in the site after photo 364 00:16:46,480 --> 00:16:49,040 and like, no, that was because of that, that, you know, lotion. 365 00:16:49,040 --> 00:16:51,920 They rubbed on them for themselves for four weeks. 366 00:16:51,920 --> 00:16:52,640 Probably not. 367 00:16:52,640 --> 00:16:54,840 So that's another that's the lighting example 368 00:16:54,840 --> 00:16:56,280 I think we were all to come up with on the fly. 369 00:16:57,320 --> 00:16:58,440 So, you know, I'm 370 00:16:58,440 --> 00:17:01,440 going to stop this now and kind of go back to our conversation 371 00:17:02,200 --> 00:17:05,200 for us regular consumers at home, 372 00:17:06,080 --> 00:17:09,360 you know, these are great things to look for consistent backgrounds, 373 00:17:09,360 --> 00:17:12,600 consistent angles, lighting, to be aware of 374 00:17:13,240 --> 00:17:16,240 why do you think it is that more doctors aren't 375 00:17:16,560 --> 00:17:19,240 that doctors are a little bit, 376 00:17:19,240 --> 00:17:23,360 I don't want to say deceitful, but maybe not as transparent as they should be. 377 00:17:24,000 --> 00:17:27,440 Yeah, And this is probably a this is a great question 378 00:17:27,440 --> 00:17:31,560 because it's almost like every in every industry, there's going to be 379 00:17:31,560 --> 00:17:33,600 somebody who's really not doing it right. 380 00:17:33,600 --> 00:17:37,560 I mean, I think I cannot believe that the brilliance of the people 381 00:17:37,560 --> 00:17:39,800 that I'm surrounded by in my field I mean my colleagues 382 00:17:39,800 --> 00:17:42,160 in facial plastic surgery and head neck surgery. 383 00:17:42,160 --> 00:17:45,160 I mean, they are some of the brightest people I've ever known 384 00:17:45,360 --> 00:17:46,920 and most dedicated to their patients. 385 00:17:46,920 --> 00:17:49,160 You know, they really, really care about doing the right thing. 386 00:17:49,160 --> 00:17:52,760 So the problem is, you know, you're seeing the 1% extreme 387 00:17:52,760 --> 00:17:56,440 like we just talked about, the top 1% of Instagram accounts. 388 00:17:56,440 --> 00:17:59,560 Well, that's like basically the you know, they're off the bell curve. 389 00:17:59,560 --> 00:18:03,800 These are the people who are kind of like not falling within the realm of normal. 390 00:18:03,800 --> 00:18:05,360 So I don't necessarily know that it's 391 00:18:06,760 --> 00:18:07,920 pervasive 392 00:18:07,920 --> 00:18:11,200 in a way that's ubiquitous across plastic surgeons. 393 00:18:11,200 --> 00:18:14,160 I just think that they're, of course, like in any industry, there are people 394 00:18:14,160 --> 00:18:18,240 who are going to be manipulative and maybe not not fully truth telling. 395 00:18:18,240 --> 00:18:21,800 And I think that's been amplified by social media because they have a place 396 00:18:21,800 --> 00:18:25,440 to put their content and it's not like 397 00:18:27,040 --> 00:18:28,560 it has to be believable. 398 00:18:28,560 --> 00:18:30,960 So now it's just about is it engaging or not? 399 00:18:30,960 --> 00:18:33,360 So the more dramatic the result, the more engaging it is, 400 00:18:33,360 --> 00:18:36,360 the more likes you get because then it gets pushed to other people's pages. 401 00:18:36,600 --> 00:18:40,680 So they're getting rewarded for these the dramatic nature of the results, 402 00:18:40,680 --> 00:18:42,840 which is what our human brain loves to see. 403 00:18:42,840 --> 00:18:46,880 And and so yeah, so again, I don't I think those some of those doctors 404 00:18:46,880 --> 00:18:48,120 are just genuinely being deceitful. 405 00:18:48,120 --> 00:18:51,160 You know, people chase their dreams in different ways. 406 00:18:51,160 --> 00:18:52,120 And this is 407 00:18:52,120 --> 00:18:55,440 this is one way where it seems like it's probably being chased by some people. 408 00:18:55,440 --> 00:18:59,640 But I don't think it's necessarily a problem with physicians or like the whole 409 00:18:59,880 --> 00:19:03,640 the whole of plastic surgery rather than, you know, maybe 410 00:19:04,200 --> 00:19:08,040 a warning bell, like, let's not let this become normal because 411 00:19:09,080 --> 00:19:10,840 it does not instills trust. 412 00:19:10,840 --> 00:19:13,600 I mean, one of the most you just said you've had surgery yourself. 413 00:19:13,600 --> 00:19:16,560 One of the most important things, probably the most important thing 414 00:19:16,560 --> 00:19:18,720 with the surgeon patient relationship is trust. 415 00:19:18,720 --> 00:19:20,160 You have to have trust. 416 00:19:20,160 --> 00:19:24,880 So if you look at someone's Instagram and you don't believe it and you know 417 00:19:24,880 --> 00:19:28,680 that there's like a a history of that, you can tell, okay, they just do this. 418 00:19:29,000 --> 00:19:31,000 Well, that's not very trust inducing. 419 00:19:31,000 --> 00:19:33,280 So where's your radar on on the trust factor? 420 00:19:33,280 --> 00:19:34,200 I think that's important. 421 00:19:34,200 --> 00:19:36,960 And I think most of us know that because, you know, you can 422 00:19:36,960 --> 00:19:39,480 if you shoot up to the moon, you're going to get shot down. 423 00:19:39,480 --> 00:19:43,600 But if you you know, if you're if you're a good plastic surgeon who does good work, 424 00:19:43,600 --> 00:19:48,960 who's truthful and honest, that's what gives you the longevity to survive 425 00:19:49,320 --> 00:19:51,960 and to have the meaningful relationships with patients that were. 426 00:19:51,960 --> 00:19:55,200 That is why I went into it, I think by most people might go into this job. 427 00:19:56,040 --> 00:19:59,400 Here's an interesting thought, too, because, you know, you said earlier before 428 00:19:59,400 --> 00:20:02,520 and I'd like you to restate that statistic, that 429 00:20:03,080 --> 00:20:05,680 what was it about the the percentage of. 430 00:20:05,680 --> 00:20:06,120 Yeah. 431 00:20:06,120 --> 00:20:08,520 So the top this was not my study. 432 00:20:08,520 --> 00:20:10,600 This was I think I was saying it right. 433 00:20:10,600 --> 00:20:13,040 Vodka or vigor VCA at all. 434 00:20:13,040 --> 00:20:16,760 They did a study basically looking at the top performing plastic surgery accounts. 435 00:20:16,760 --> 00:20:19,960 So basically the accounts with the most followers and they found 436 00:20:19,960 --> 00:20:26,160 that 97% of those accounts had evidence that they were using tactics 437 00:20:26,160 --> 00:20:31,480 to manipulate the post-op photos that were lighting angles, makeup. 438 00:20:33,240 --> 00:20:35,440 Those are the three main ones, digital. 439 00:20:35,440 --> 00:20:38,480 But digital alteration, like you and I were looking at a couple 440 00:20:38,480 --> 00:20:40,120 photos earlier where people had actually clearly, 441 00:20:40,120 --> 00:20:44,160 like just completely blurred out all irregularities in their in the skin. 442 00:20:44,440 --> 00:20:48,960 So those are the things that are being used by the top performing accounts. 443 00:20:48,960 --> 00:20:53,280 So which means that like that, the you know, the consumers, 444 00:20:53,280 --> 00:20:57,840 the people viewing them like that are most 445 00:21:00,760 --> 00:21:03,200 drawn to those types of images. 446 00:21:03,200 --> 00:21:05,720 And then these sorts of set up expectations that are not real. 447 00:21:05,720 --> 00:21:08,760 Like if that's what you're seeing all the time, then 448 00:21:09,080 --> 00:21:12,080 you're like, Well, that's what I should get if I have my plastic surgery. 449 00:21:12,080 --> 00:21:16,560 And and that is why I'm kind of you and I are here to do to educate people. 450 00:21:16,960 --> 00:21:18,440 That is a disservice to everyone. 451 00:21:18,440 --> 00:21:21,800 I mean, there's nothing worse in than my cosmetic patient. 452 00:21:21,800 --> 00:21:26,400 I've you know, I've done a lot of surgery and been a doctor for 20 453 00:21:27,320 --> 00:21:29,560 to a little 21 years now. But 454 00:21:30,560 --> 00:21:31,120 one of the 455 00:21:31,120 --> 00:21:34,120 worst things is a dissatisfied or disappointed patient, 456 00:21:34,400 --> 00:21:37,840 and you're just kind of setting people up for dissatisfaction 457 00:21:37,840 --> 00:21:40,960 when you are not setting their expectations properly. 458 00:21:40,960 --> 00:21:42,600 And I think that's what one of the risks 459 00:21:42,600 --> 00:21:45,640 of social media photos and all these altered images is. 460 00:21:46,360 --> 00:21:46,960 You know, 461 00:21:46,960 --> 00:21:50,640 I guess the thing that surprises me the most, right, is is sure, I guess 462 00:21:50,640 --> 00:21:51,400 it's good to, 463 00:21:51,400 --> 00:21:53,040 you know, when you're scrolling on Instagram 464 00:21:53,040 --> 00:21:55,320 and you're like, wow, that's an incredible before and after. 465 00:21:55,320 --> 00:21:59,600 However, I most of the people that I've talked to in that I know, 466 00:22:00,000 --> 00:22:03,440 it seems like when they go to have any sort of work done, 467 00:22:03,600 --> 00:22:05,840 they're like, I don't want anybody to know. 468 00:22:05,840 --> 00:22:07,640 I want it to look as natural as possible. 469 00:22:07,640 --> 00:22:09,480 Now there's two schools of thought, right? I know. 470 00:22:09,480 --> 00:22:11,520 And the making of you know. 471 00:22:11,520 --> 00:22:12,600 You can. Say that, right? 472 00:22:12,600 --> 00:22:14,800 So like on the West Coast, people want to look done. 473 00:22:14,800 --> 00:22:15,720 It's a badge of honor. 474 00:22:15,720 --> 00:22:22,080 But here on the East Coast, most people that I know are like, I want to do this. 475 00:22:22,080 --> 00:22:25,560 And I don't want I just I want to better, but I don't want to look done. 476 00:22:25,800 --> 00:22:27,480 So it's interesting to me 477 00:22:28,560 --> 00:22:31,560 that those you know, I guess the photos 478 00:22:31,560 --> 00:22:33,680 that are getting the most attention are the ones that clearly 479 00:22:33,680 --> 00:22:37,560 have been manipulated and look like a more of a drastic before and after 480 00:22:37,560 --> 00:22:41,240 when I think in reality most people kind of want subtle but better. 481 00:22:42,120 --> 00:22:45,720 That's a really tough one because I think there is a little bit 482 00:22:45,720 --> 00:22:49,920 of discourse or like dissonance with that concept because 483 00:22:51,240 --> 00:22:53,120 I think that's maybe one of the harder lines to walk 484 00:22:53,120 --> 00:22:56,560 as a surgeon is that people say they don't want anyone to notice, but 485 00:22:56,560 --> 00:23:00,480 they do want people, but they also want to look like nothing happened. 486 00:23:00,480 --> 00:23:02,200 So it's almost like just that. 487 00:23:02,200 --> 00:23:04,200 That in and of itself is a bit unrealistic, 488 00:23:04,200 --> 00:23:06,440 but it's a really comment, really, really comment. 489 00:23:06,440 --> 00:23:10,720 Like, I want to look just like I look now, but it's like 20% better. 490 00:23:11,760 --> 00:23:13,600 But I don't want anyone to no notice. 491 00:23:13,600 --> 00:23:17,040 It's like, well, that is not you know, those things are not possible. 492 00:23:17,320 --> 00:23:19,840 So I think there is and you're absolutely right that on the East Coast 493 00:23:19,840 --> 00:23:23,000 I do my training, my fellowship training at UCLA 494 00:23:23,640 --> 00:23:27,240 out in Los Angeles and but I've been on the East Coast 495 00:23:27,680 --> 00:23:29,920 for most of my professional career, aside from that. 496 00:23:29,920 --> 00:23:31,920 So in Washington, D.C., I think it might be even 497 00:23:31,920 --> 00:23:37,280 a little more conservative than New York and people really don't like anyone 498 00:23:37,320 --> 00:23:41,240 to know anything about what they've had done or cosmetic work. 499 00:23:41,520 --> 00:23:45,000 And it's really different in L.A., where it's almost like 500 00:23:45,000 --> 00:23:46,960 people are trying to look done. 501 00:23:46,960 --> 00:23:47,520 Some people, 502 00:23:47,520 --> 00:23:50,960 not everyone, but there's a little bit more of an acceptance of like, okay, yeah, 503 00:23:50,960 --> 00:23:54,040 I had this, this really expensive, like nice facelift. 504 00:23:54,040 --> 00:23:58,560 I look like I'm, you know, really different than I did before. 505 00:23:58,880 --> 00:24:01,960 And I'm proud of it because it's part of the culture. 506 00:24:01,960 --> 00:24:05,080 So it is there are these micro cultures that are different in different areas. 507 00:24:05,400 --> 00:24:06,480 Yeah, for sure. 508 00:24:07,560 --> 00:24:08,400 You know, 509 00:24:08,400 --> 00:24:11,520 and I know I know this isn't surgical, but I heard once 510 00:24:11,520 --> 00:24:14,760 here's like an interesting tip and tell me if this is right. 511 00:24:14,760 --> 00:24:17,760 You know, going back to this idea of before and afters 512 00:24:17,760 --> 00:24:20,160 that the timing also matters. Right? 513 00:24:20,160 --> 00:24:24,240 So we had somebody on here who did lip injections and she was like, you know, 514 00:24:25,440 --> 00:24:28,240 if you if I was looking for a lip injector somewhere, 515 00:24:28,240 --> 00:24:32,560 I would ask them to give me your before, give me your you're 516 00:24:32,560 --> 00:24:36,240 right after, which is a lot of the times when people aren't going to come back. 517 00:24:37,080 --> 00:24:37,600 But she's like, 518 00:24:37,600 --> 00:24:40,800 if you can, you should ask them for the ones that are a couple of weeks later 519 00:24:41,000 --> 00:24:44,400 when the lips have settled, when they've actually like got into that 520 00:24:44,400 --> 00:24:48,200 is that the same thing with plastic surgeon is is it good to know about 521 00:24:48,360 --> 00:24:49,680 like time differences. 522 00:24:49,680 --> 00:24:52,080 Yeah, Yeah, definitely. 523 00:24:52,080 --> 00:24:55,040 That's one thing we didn't really talk about, 524 00:24:55,040 --> 00:24:57,240 but I did talk about it in my Psychology Today blog, 525 00:24:57,240 --> 00:25:00,240 which I think is how we started this conversation initially, 526 00:25:00,480 --> 00:25:03,880 which is that there is this trend with some people to do. 527 00:25:03,880 --> 00:25:07,200 We call them on the table afters where you're doing a post up photo. 528 00:25:07,200 --> 00:25:11,200 It's particularly popular with rhinoplasty where you do the pre-op photo. 529 00:25:11,200 --> 00:25:14,560 Like while they're on the table, you do the post-op photo and the risk of 530 00:25:14,560 --> 00:25:17,680 that is that that has nothing, you know, not nothing to do with the final result. 531 00:25:17,680 --> 00:25:19,320 But that's clearly not the final result. 532 00:25:19,320 --> 00:25:23,600 When you are done operating on someone that is there's been zero healing. 533 00:25:23,600 --> 00:25:24,440 That's happened at that point. 534 00:25:24,440 --> 00:25:27,440 You can I've done it, you know, thousands of times. 535 00:25:27,440 --> 00:25:30,000 I can tell you when you do a rhinoplasty, you can basically push the nose 536 00:25:30,000 --> 00:25:33,000 into whatever shape you want it to right on the table 537 00:25:33,320 --> 00:25:35,160 that doesn't mean that it's going to heal that way. 538 00:25:35,160 --> 00:25:38,160 So so that's a timing question. 539 00:25:38,160 --> 00:25:41,160 Now, the other side of that is also true that you need to really wait 540 00:25:41,600 --> 00:25:43,440 a period of time before you have a final result. 541 00:25:43,440 --> 00:25:44,760 Rhinoplasty is another good example. 542 00:25:44,760 --> 00:25:46,920 We kind of historically talk about a year. 543 00:25:46,920 --> 00:25:49,560 I think it's probably really honestly longer than that. 544 00:25:49,560 --> 00:25:51,360 I mean, if you really wait for the full healing 545 00:25:51,360 --> 00:25:53,840 after rhinoplasty, it's probably a year and a half or two years. 546 00:25:53,840 --> 00:25:56,880 But that is not I mean, my patients are great. 547 00:25:56,880 --> 00:25:59,360 Like most of them will come back for one year, but not everyone does. 548 00:25:59,360 --> 00:26:01,280 You know, some people come for their their 549 00:26:01,280 --> 00:26:04,960 I usually do like one week, one month, three months in a year for my rhinoplasty. 550 00:26:05,280 --> 00:26:07,040 Some people will come out of a month or maybe they 551 00:26:07,040 --> 00:26:09,600 they me they come for the three month they're thrilled. Yeah. 552 00:26:09,600 --> 00:26:11,760 No they're not going to come back. They're not going to come back. 553 00:26:11,760 --> 00:26:15,440 So I got to grab that photo before I never see them again. 554 00:26:15,480 --> 00:26:15,840 Sure. 555 00:26:16,880 --> 00:26:19,080 And and so, you know, but 556 00:26:19,080 --> 00:26:22,680 but just being full disclosure about that, like, this photo was taken at, 557 00:26:22,920 --> 00:26:26,360 you know, a week or and you can see this by the way, and pre and post up photos 558 00:26:27,120 --> 00:26:30,560 so you know someone has like bruising still they had a facelift in their videos 559 00:26:30,560 --> 00:26:32,760 and I'm like okay well that was very recent. 560 00:26:32,760 --> 00:26:33,440 If you can see 561 00:26:33,440 --> 00:26:37,200 yellow or purple on their neck, then that's within the last 2 to 3 weeks. 562 00:26:37,200 --> 00:26:39,080 That's not a final result. 563 00:26:39,080 --> 00:26:42,000 I mean, I'll be just, you know, so I had a breast lift. 564 00:26:42,000 --> 00:26:45,000 I've talked about it on this podcast and 565 00:26:45,200 --> 00:26:48,240 and a small implant put inches to retain the size. 566 00:26:48,560 --> 00:26:53,640 And right afterwards it looked like somebody had stuck to coconuts, literally. 567 00:26:53,640 --> 00:26:57,240 And I was like, now, first of all, my surgeon was like, I'm not the guy. 568 00:26:57,240 --> 00:26:58,680 If you want big whatever. 569 00:26:58,680 --> 00:27:01,280 My whole thing is very natural, very subtle. 570 00:27:01,280 --> 00:27:03,960 But that first. That when you have that, you're like, what? 571 00:27:03,960 --> 00:27:07,680 I was like, Well, I want my money back, you know? 572 00:27:07,680 --> 00:27:11,280 But I had done enough research to know that it takes time to fall and to settle. 573 00:27:11,280 --> 00:27:12,240 It could not be happier. 574 00:27:12,240 --> 00:27:14,600 I love my surgeon, he added. He's on the podcast. 575 00:27:16,080 --> 00:27:17,040 But but, 576 00:27:17,040 --> 00:27:20,920 but knowing these things and kind of going in and knowing this, 577 00:27:20,920 --> 00:27:22,200 you know, everybody who gets lip 578 00:27:22,200 --> 00:27:25,760 injections goes home and freaks out because your lips blow out. 579 00:27:26,160 --> 00:27:29,280 I always tell people, if you go get any sort of facial filler 580 00:27:29,280 --> 00:27:33,120 and you love the way it looks, the next day, you didn't get enough. 581 00:27:34,200 --> 00:27:35,680 Exactly. Exactly. 582 00:27:35,680 --> 00:27:38,160 Because and then the flipside is true, though, 583 00:27:38,160 --> 00:27:41,040 because people are not willing to tolerate those, 584 00:27:41,040 --> 00:27:44,800 you know, like that week of the of the really fluffed face sometimes. 585 00:27:44,800 --> 00:27:46,600 So you got to kind of do it slowly. 586 00:27:46,600 --> 00:27:49,360 But I agree. Yes, absolutely. 587 00:27:49,360 --> 00:27:51,960 Like you could manipulate, I imagine you do your before and after. 588 00:27:51,960 --> 00:27:52,160 yeah. 589 00:27:52,160 --> 00:27:54,920 This was right afterward like, well, of course you're you're really small 590 00:27:54,920 --> 00:27:59,080 in the way those fillers work, by the way, is they pull fluid in with them. 591 00:27:59,320 --> 00:28:03,240 So all the fillers are hydrophilic, meaning they the water loves them. 592 00:28:03,240 --> 00:28:05,360 And so so whenever you get a filler injected, 593 00:28:05,360 --> 00:28:06,880 you know, the filler syringes are pretty small. 594 00:28:06,880 --> 00:28:10,760 One CC of fluid, which is in what what's the most it's really tiny. 595 00:28:10,920 --> 00:28:12,360 So how do you get all this volume from one? 596 00:28:12,360 --> 00:28:14,920 CC It's because there's fluid getting pulled in there with it 597 00:28:14,920 --> 00:28:17,920 and there's more happening in the immediate period and then it 598 00:28:17,960 --> 00:28:19,200 starts to settle out. So 599 00:28:20,520 --> 00:28:22,760 gosh, I feel like I could talk to you forever. 600 00:28:22,760 --> 00:28:25,760 I love that you were talking nerdy with us, 601 00:28:27,720 --> 00:28:28,960 you know, So 602 00:28:28,960 --> 00:28:34,080 with these things said it, you know, to any of the medical companies out there, 603 00:28:34,080 --> 00:28:37,240 I know that, you know, the Visio camera is pretty 604 00:28:38,400 --> 00:28:41,040 there's a camera to kind of measure sun damage and wrinkles. 605 00:28:41,040 --> 00:28:45,240 I'm surprised that no other company has come out with sort of a standardized 606 00:28:46,760 --> 00:28:49,080 camera setup. 607 00:28:49,080 --> 00:28:52,080 But are there are 608 00:28:52,200 --> 00:28:52,960 there are. 609 00:28:52,960 --> 00:28:54,640 And you'll see them I mean, these are the people 610 00:28:54,640 --> 00:28:58,080 who are not manipulating their photos like they're 611 00:28:58,240 --> 00:29:00,360 which is I think is probably most most surgeons. 612 00:29:00,360 --> 00:29:03,280 I think most of the good ones are doing really controlled before and afters. 613 00:29:03,280 --> 00:29:05,400 And there are a couple systems that are 614 00:29:06,720 --> 00:29:09,760 you know, were do that very well. 615 00:29:09,800 --> 00:29:14,040 They really control the lighting and they controlled the angles. 616 00:29:14,400 --> 00:29:16,800 It's a little hard sometimes it's actually getting better. 617 00:29:16,800 --> 00:29:19,200 One of my colleagues 618 00:29:19,200 --> 00:29:23,400 has a new software that's available which you can actually access 619 00:29:23,400 --> 00:29:26,280 and acquire the images over the phone from your iPhone. 620 00:29:26,280 --> 00:29:28,640 Like you can take the photo from all these different angles, 621 00:29:28,640 --> 00:29:31,440 and because it's essentially a three dimensional structure, 622 00:29:31,440 --> 00:29:34,520 then it doesn't really matter what you're doing where you're 623 00:29:34,520 --> 00:29:37,520 putting their head because it's going to be able to be reoriented 624 00:29:38,040 --> 00:29:39,680 and the before and afters. 625 00:29:39,680 --> 00:29:43,600 And so so, yes, you are pointing out 626 00:29:43,880 --> 00:29:47,880 something that I think is is known and is definitely, 627 00:29:49,320 --> 00:29:51,960 you know, an issue that needs to be continued. 628 00:29:51,960 --> 00:29:55,080 So but in the meantime, I have to commend you on, 629 00:29:55,080 --> 00:29:58,200 you know, like I said, being brave enough to kind of show some of the older photos, 630 00:29:58,440 --> 00:30:01,960 to show things that, you know, for us to be on the lookout. 631 00:30:02,120 --> 00:30:03,480 Your work is beautiful. 632 00:30:03,480 --> 00:30:06,040 I will say that is so. 633 00:30:06,040 --> 00:30:08,000 And I just appreciate you coming on. 634 00:30:08,000 --> 00:30:11,280 Look, at the end of the day, it's important to trust your surgeon. 635 00:30:11,480 --> 00:30:11,760 You know, 636 00:30:11,760 --> 00:30:15,560 I think that many surgeons out there and I'd like to say most surgeons out 637 00:30:15,560 --> 00:30:17,480 there want the best results for their patients. 638 00:30:17,480 --> 00:30:18,240 They want to show this. 639 00:30:18,240 --> 00:30:22,240 Maybe they're not trying to be deceitful, but if you as 640 00:30:22,240 --> 00:30:26,040 a consumer can be educated and know things to look for, 641 00:30:27,240 --> 00:30:29,840 certainly going to be helpful. 642 00:30:29,840 --> 00:30:30,680 Definitely. 643 00:30:30,680 --> 00:30:31,920 And what I'm going to look for 644 00:30:31,920 --> 00:30:36,520 after watching your beautiful face for the last hour is a new ring light 645 00:30:36,520 --> 00:30:40,360 because your area of your light is so nice. 646 00:30:40,600 --> 00:30:42,160 It's adjustable variable. 647 00:30:42,160 --> 00:30:44,640 The newer I'll send you, I'm going to send you this link. 648 00:30:44,640 --> 00:30:45,520 Sent me the link. 649 00:30:45,520 --> 00:30:46,400 I'll send you the link. 650 00:30:46,400 --> 00:30:47,880 Amazon Newer. 651 00:30:47,880 --> 00:30:50,160 I gotcha in Doctor Riley. 652 00:30:50,160 --> 00:30:52,240 If people want to come and see you, if they're in the D.C. 653 00:30:52,240 --> 00:30:52,560 area, or 654 00:30:52,560 --> 00:30:55,640 maybe if they just want to travel to you, what's the best way to reach out to you 655 00:30:55,640 --> 00:30:56,880 and find you? Sure. 656 00:30:56,880 --> 00:31:01,000 So my website is Reilly, which is REILLY F P.S. 657 00:31:01,000 --> 00:31:04,680 like facial plastic surgeon dot com and there's a contact form on there. 658 00:31:04,680 --> 00:31:07,360 You fill it in and we'll we'll call you the next day. 659 00:31:07,360 --> 00:31:08,520 Amazing. Thank you so much. 660 00:31:08,520 --> 00:31:11,320 And of course I will have all of his information in the show notes. 661 00:31:11,320 --> 00:31:13,200 Don't even worry if you missed that. 662 00:31:13,200 --> 00:31:15,960 I want to thank you so much for being with us today. 663 00:31:15,960 --> 00:31:19,240 And then, of course, at home, if you have questions you want me to pass on to Dr. 664 00:31:19,240 --> 00:31:21,160 Reilly If you're curious about some of this stuff, 665 00:31:21,160 --> 00:31:24,360 you can always reach out to me at Hello at Art Beauty podcast dot com.. 666 00:31:24,680 --> 00:31:29,320 You can find us on Facebook, Instagram and right here on YouTube @ArtBeautypodcast. 667 00:31:29,760 --> 00:31:32,480 And as always, we will see you next Tuesday, 668 00:31:32,480 --> 00:31:36,360 hopefully feeling a little bit smarter and better able to decode 669 00:31:36,360 --> 00:31:39,360 some of those photos on Instagram by 670 00:31:47,240 --> 00:31:47,600 Right.