TBT: Dr. Ricky Brown

Bunnie welcomes world-renowned plastic surgeon and author Dr. Ricky Brown, aka "The Real TikTok Doc", to the show this week. Dr. Brown gets real about his journey from not knowing what path to take after college to becoming a double board-certified surgeon with millions of social media fans and followers. He answers listener questions about the complex reconstructive procedures he's performed and gets candid about navigating controversies in plastic surgery, including his take on breast implant illness. Dr. Ricky shares more about his approach to consultations, the differences between saline and silicone implants, and Bunnie talks about her own experience with implants and removal. Watch Full Episodes & More: www.dumbblondeunrated.com Dr. Ricky Brown: TikTok https://www.tiktok.com/@therealtiktokdoc?lang=en | YouTube https://www.youtube.com/channel/UCsYJZHxeliV-nmf6fjsoc-A| The Real Beauty Bible https://www.amazon.com/Real-Beauty-Bible-Navigating-Journey/dp/1599329980

Speaker names marked ? are inferred from speaking time and the show’s known hosts — they are not voice-verified.

• 0:00Bunnie XO?

  12 celebrities, one Don, and cold, hard cash from the producers of Traitors, comes The Mob, a new Hulu original series, now streaming on Hulu and Hulu on Disney+ and this unique new reality competition show hosted by the iconic Parker Posey. What up, girl? 12 celebrity contestants are about to become members of a powerful family for two weeks in a lavish Italian villa. They'll shake down and hustle to win a share of up to $250,000. And every good mob needs a Don. Whoever they choose to lead them will have absolute power deciding who stays and who gets taken out, who makes money and who walks away with nothing. In a game of power where loyalty and trust are the currency, will the most powerful

• 0:43Bunnie XO?

  reality contestant in TV history be able to keep the family happy? And if they're overthrown by the mob, who's gonna step up and become the new Don? Let the games begin. Watch The Mob, now streaming on Hulu and Hulu on Disney+. For bundle subscribers, terms apply. I'll be tuning in.

• 0:59Speaker 01

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• 1:29Bunnie XO?

  Hey, guys. I need to ask you a question. I want to know, why in the hell are you not on Patreon? I don't think you guys even realize how much content we have on Patreon. Let me break it down for you. We have the Bunny XO Show, we have Meet the D-Fords, we have Popaganda, we have a cooking show that's coming, we have more shows that we're adding, and not to mention, we have the visuals of the podcast. Not only that, we have four tiers that caters to everybody's budget and everybody gets the podcast. There's no more excuses. Stop listening right now and head over to www.patreon.com/dumblon podcast and sign up. Stop missing out. We have built- A huge community over there, guys. I'm talking about hundreds of thousands of people over there.

• 2:14Bunnie XO?

  We even have live chats, live chats that I actually am talking in every single night. I'm in there just confessing all of my sins to you guys. I mean, it's, it gets a little ridiculous. Last but not least, we give away gifts every frickin' month. I'm talking like signed stuff from J and I lives. You just never know what kind of surprise you're gonna get. It's like a Cracker Jack box. I love the community that we've built over there at Patreon. If you are already a Patreon member, I freaking love you, dude. Thank you so much. From my sideshow tier to the carnival tier, to the ringleader tier, to the main attraction, you guys are my babies for life, my writers. If I could, I would literally make out with each and every one of you. I love you guys so much, and that's a lot of kisses, actually. Gotta go bye.

• 2:59Bunnie XO?

  Is this thing on?

• 3:00Speaker 02

  Bonnie, who used to be a former sex worker and now hosts the podcast Dumb Blonde.

• 3:05Bunnie XO?

  Most little girls grow up wanting to be doctors and lawyers and shit. And I was like, I want to be super hot, make a lot of fucking money and be a rock star's wife. That was my goal as a child, and here we are.

• 3:15Bunnie XO?

  What's up, you sexy motherfuckers? Welcome to another episode of Dumb Blonde. Today, these are always my favorite podcasts because I get to learn so much stuff. We have world-renowned plastic surgeon and author, Dr. Ricky Brown. How are you doing, babe?

• 3:30Speaker 03

  I'm good. What's happening?

• 3:32Bunnie XO?

  Man, I'm so sorry I made you wait outside.

• 3:35Speaker 03

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

• 3:43Bunnie XO?

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

• 3:58Speaker 03

  Yeah, it's been a year.

• 3:59Bunnie XO?

  Yeah.

• 4:00Speaker 03

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

• 4:06Bunnie XO?

  Yeah.

• 4:06Speaker 03

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

• 4:18Bunnie XO?

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

• 4:44Speaker 03

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

• 4:50Bunnie XO?

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

• 5:09Speaker 03

  Yeah.

• 5:09Bunnie XO?

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

• 5:36Speaker 03

  Yeah.

• 5:36Bunnie XO?

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

• 5:48Speaker 03

  Yep.

• 5:48Bunnie XO?

  So there was just a slew of reasons.

• 5:50Speaker 03

  Well, so that's why those videos at that time, back in twenty one, when TikTok was like, it was anything goes. You could put anything up. Kids were so fascinated by that stuff. And I think the mold thing is what got me on that because people are like, oh, there's mold in implants. And then the in the fifteen years I've been doing this, I have not once ever seen mold in a saline implant. And I think what happens is there's little valves on those on the saline ones.

• 6:15Bunnie XO?

  Yep.

• 6:16Speaker 03

  And if they sit in a drawer, I presume in the human body of the valves can become defective. And if something traverses the valve and goes inside because they're supposed to be one way, then yeah, I mean, it's saltwater. I'm presuming that something could grow in there, but I've just never seen it.

• 6:30Bunnie XO?

  Yeah.

• 6:30Speaker 03

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

• 6:34Bunnie XO?

  Yeah. So when they gave them back to me, there was little, not as many, there was little floaties in there, but I just was just like, they just came out of my body. So I would, I thought it was normal.

• 6:44Speaker 03

  Yeah.

• 6:45Bunnie XO?

  And then it multiplied over time of just having them.

• 6:48Speaker 03

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

• 7:08Bunnie XO?

  Do you prefer saline for females or silicone implants?

• 7:13Speaker 03

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

• 7:41Bunnie XO?

  I have really dense breast tissue.

• 7:43Speaker 03

  So you had good coverage?

• 7:44Bunnie XO?

  Yeah.

• 7:45Speaker 03

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

• 7:59Bunnie XO?

  Gotcha.

• 7:59Speaker 03

  But either one is fine.

• 8:01Bunnie XO?

  Awesome.

• 8:01Speaker 03

  Yeah.

• 8:02Bunnie XO?

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

• 8:12Speaker 03

  Yeah.

• 8:12Bunnie XO?

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

• 8:28Speaker 03

  Yeah.

• 8:28Bunnie XO?

  Where did you grow up?

• 8:30Speaker 03

  So I grew up in Macon, Georgia.

• 8:32Bunnie XO?

  Yeah.

• 8:32Speaker 03

  That's where I was born. Yeah, exactly.

• 8:34Bunnie XO?

  That's what, that's Jason Aldean territory.

• 8:36Speaker 03

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

• 8:50Bunnie XO?

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

• 8:53Speaker 03

  Yeah, so my dad worked for IBM for a while.

• 8:55Bunnie XO?

  Okay.

• 8:56Speaker 03

  And then he ended up meeting a guy who was kind of doing this in Washington, who had this own software system they had developed and they were using the hardware, the computer systems from Alpha Micro and they had the program and they were like, hey, we're selling these computers to doctors. And it was more, it wasn't like today. Today's electronic medical records where we actually chart and write notes. Back then it was, let's do your scheduling, like getting, getting patients scheduled. Let's do all of your financial statements. Like that's what the computer systems did. So my parents did that and they were really fashion forward in that way. And, uh, and I just never knew what I wanted to do. Like I was just an energetic little boy. I was not a great student. I really didn't want to study. I just wanted to be outside having fun. And so I struggled in school. I really struggled.

• 9:40Speaker 03

  I was like a B C student. Um, and, and, and actually in sixth grade, we were going to move from Macon to Atlanta. I pretty much flunked out of sixth grade. And so when we moved to Atlanta, my mom was like, we're thinking about, you know, holding you back. Like, do you have a problem with that? I was like, oh, I don't care. Like to me, school is whatever. I was like, sure. Sounds great, you know? So, and I, and I ended up doing okay, but as, as time moved on, I never really had an inkling and desire to do anything. I didn't know what I wanted to do.

• 10:12Bunnie XO?

  They also had you in special education classes, correct?

• 10:15Speaker 03

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

• 10:52Bunnie XO?

  I also feel like, cause I was the same way. I did the same thing, but they just didn't put me in special, um, education classes. I feel like when you are at a certain intelligence that young too, school is boring. And it's hard for you to focus, you know, because you have so much other shit going on. I was the same way, like I could, but gi- give me a test, I would flunk it because it would be so much pressure, but anything else I would ace, you know, like it was just crazy.

• 11:16Speaker 03

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

• 11:36Bunnie XO?

  Too many options.

• 11:38Speaker 03

  Yeah, there's too many options. And that's what would happen to me on tests is I would get stuck in that mode. But yeah, so I, I really didn't know what I wanted to do and come fast forward to high school. I was like a B C student, like I did fine. I studied, I was a baseball player, loved sports, was into all that. And, uh, and then ended up going to college and still just did not know what I wanted to do. I had no idea. So I had a pushback moment where I decided I was gonna go work for my dad. Like I was gonna take over the company. That was what I was going to do, but something just never felt right about it. And when I grew up in Macon, I grew up across the street from an O B G Y N. So I'd always been interested in medicine and thought it was cool. And I was always a science minded guy. So in school,

• 12:18Speaker 03

  I loved science. Um, so I ended up going to college and was gonna go into business school and had a pushback moment where I was like studying supply and demand curves. And I was like, this shit sucks. This is so boring.

• 12:32Bunnie XO?

  Doesn't stimulate you.

• 12:33Speaker 03

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

• 13:00Bunnie XO?

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

• 13:05Speaker 03

  I think

• 13:05Bunnie XO?

  Taking it over?

• 13:06Speaker 03

  Yeah, I think deep down, my father wanted that because the idea of that was cool. My mom was always like, whatever you want to do.

• 13:13Bunnie XO?

  Yeah.

• 13:14Speaker 03

  So when I just, when I took a couple of science classes and did really well, I was like, dang, like, if I'm gonna do this, I'm going to med school. Like, I thought about P A, not that there's anything wrong with that, but I just started to think like, what would I want to do? So I was like, if I do this, I'm gonna do it. So I like mapped it all out, drove, I was at the University of Georgia at this time, drove home, like told my mom, I'm a senior in college at this point.

• 13:38Bunnie XO?

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

• 13:40Speaker 03

  26, 25, 25, because I was about to graduate.

• 13:44Bunnie XO?

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

• 13:48Speaker 03

  All over. And I remember people like, you know, my friends there being very supportive because I thought I was gonna get a lot of crap for it. They were like, that's really cool. So I like mapped it out. I was like, I could go a full year, full summer, full year, take my pre-meds, take the MCAT, do the whole thing, right? So I made this decision to do it and I ended up with like a 38 science GPA. So I did really well because I finally had this thing that I was chasing, this thing that I grasped onto. I was like,

• 14:14Bunnie XO?

  Passion.

• 14:14Speaker 03

  Yeah, that passion for it. And, and it's really weird. I wasn't gonna accept no for an answer. Like my, I think ignorantly not knowing how difficult it was to get into medical school at that time.

• 14:25Bunnie XO?

  Right.

• 14:25Speaker 03

  I was just like, no, I'm totally doing this. Like, what do you mean I'm not getting in, right?

• 14:29Bunnie XO?

  Not realizing that barely anybody can fucking get into it.

• 14:31Speaker 03

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

• 14:38Bunnie XO?

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

• 14:41Speaker 03

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

• 15:06Bunnie XO?

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

• 15:11Speaker 03

  Oh, totally.

• 15:11Bunnie XO?

  So sweet.

• 15:12Speaker 03

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

• 15:40Bunnie XO?

  It's literally like symphonic.

• 15:41Speaker 03

  It was crazy. I was like, this is crazy, crazy. So I started ducking into rooms and they were like, yeah, anytime you want to come in and watch surgery, come, come in and watch surgery. So that's how I got interested in surgery. But Bunny, I was getting rejected from every school. I applied to like 50 schools. And I kept getting rejections and I thought for sure with my GPA and kind of my, my lineup, like I figured it out. This is where I want to go. I figured I would get accepted somewhere, but I, so one day I went home and I was like, okay, I've got like 10 schools that I haven't heard from. Like I'm just going to start calling. So I started calling, I called schools and I, one girl at the Chicago Medical School was like, hey,

• 16:24Speaker 03

  your story's amazing. I think that I can get you a phone interview with the director of admissions. And then if they like you, you know, maybe they'll invite you for an interview. I was like, cool. Anything would be great.

• 16:35Bunnie XO?

  At this point, you didn't care where you went.

• 16:37Speaker 03

  No, I mean.

• 16:37Bunnie XO?

  Get me in fucking med school.

• 16:38Speaker 03

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

• 16:49Bunnie XO?

  Isn't that amazing though? That all it takes is that one person to just believe in you.

• 16:53Speaker 03

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

• 17:02Bunnie XO?

  Yeah.

• 17:02Speaker 03

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

• 17:21Bunnie XO?

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

• 17:34Speaker 03

  Totally. Hundred percent. And I have some crazy stories. I'll tell you about that. Like I had, I had one girl DM me on Instagram a couple of years ago. She's like, my husband, similar story. He's older. This is what he's always wanted to do. He doesn't do social media, but I play everything you put up so he can see it. I used to do a lot of motivational stuff. And um, so I messaged her back one day. I was like, do me a favor. Tell your husband, because no one will do this. Go to the local medical school in town where you live in Illinois, the closest one. Tell him to walk into the admissions office and just introduce himself to someone. And try, try to talk to someone in the admissions committee. So six months or a year goes by, and I get this whole long DM from her.

• 18:19Speaker 03

  And I'm reading this DM and I'm like, starting to cry in the car reading this because it's just so killer, right? This guy, she's like, I showed this stuff to my husband. He went to the med school. He talked to someone in the admissions committee and he got in and he was like, and he was like in his late, late twenties, kind of older like me, doing it a little older than me. And I'm like, see, you just got to put yourself out there. It was pretty cool.

• 18:43Bunnie XO?

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

• 18:59Speaker 03

  Yeah, it's important, man. I mean,

• 19:01Bunnie XO?

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

• 19:09Speaker 03

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

• 19:25Bunnie XO?

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

• 20:01Speaker 03

  So bad.

• 20:02Bunnie XO?

  Lord.

• 20:03Speaker 03

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

• 20:07Bunnie XO?

  Yeah.

• 20:07Speaker 03

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

• 20:23Bunnie XO?

  I think that's what he meant.

• 20:24Speaker 03

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

• 20:29Bunnie XO?

  No.

• 20:30Speaker 03

  Oh, my God, you gotta watch Doctor Death.

• 20:32Bunnie XO?

  Where's this? What channel? What is it about? Is it like Dr. G? Like, she does autopsies and stuff?

• 20:38Speaker 03

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

• 20:42Bunnie XO?

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

• 20:50Speaker 03

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

• 21:11Bunnie XO?

  Mimi, write that down. So we watched that. That's, I'm already scared of doctors as it is, so here we go.

• 21:17Speaker 03

  That's so sad, right?

• 21:18Bunnie XO?

  On this frigging, you know what though, that some of the coolest people I've met though are plastic surgeons, like my surgeon in Vegas who who did my body, Doc Vegas, love him.

• 21:27Speaker 03

  Oh, he's the best.

• 21:28Bunnie XO?

  Is he not? Dr. Christopher Korsandi.

• 21:30Speaker 03

  Korsandi, he's the best. I know Chris very well.

• 21:33Bunnie XO?

  He's my babe. I love him. He comes out to Jay's shows out here and like,

• 21:36Speaker 03

  That's cool.

• 21:37Bunnie XO?

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

• 21:43Speaker 03

  Most do for sure.

• 21:44Bunnie XO?

  And aren't you guys like the highest paid?

• 21:46Speaker 03

  I don't know. I think I think neurosurgeons and probably orthopedic, some orthopedic surgeons do pretty well, but neurosurgery is probably up there pretty high and plastics is all relative, right? Like, I mean, when the economy is down and you're all cosmetic, it's tough times.

• 22:00Bunnie XO?

  Oh.

• 22:01Speaker 03

  You know, it can be tough, but I'm not playing the violin. I mean, we do well, but but there are times when things are not so so awesome.

• 22:10Bunnie XO?

  I bet whenever like COVID and stuff happens.

• 22:12Speaker 03

  Yeah, I mean, COVID actually, interestingly, coming right out of COVID in 21, I was as busy as

• 22:18Bunnie XO?

  Oh, because everybody had fucking gained weight and had to stare at themselves for a whole year.

• 22:22Speaker 03

  There was nothing but fucking time. Like, there was so much time and people were like, not working.

• 22:27Bunnie XO?

  Yeah.

• 22:27Speaker 03

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

• 22:31Bunnie XO?

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

• 22:37Speaker 03

  The Chicago Medical School at that time.

• 22:39Bunnie XO?

  School and okay, and then so take me on that journey. You did how many years and then?

• 22:43Speaker 03

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

• 22:50Bunnie XO?

  So double boarded means?

• 22:52Speaker 03

  I I took two sets of boards. So um, so some plastic surgeons do what they call a combined program.

• 22:58Bunnie XO?

  Yeah.

• 22:58Speaker 03

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

• 23:23Bunnie XO?

  Oh, I bet in Chicago.

• 23:24Speaker 03

  It was knife and gun club. It was insane.

• 23:26Bunnie XO?

  Yeah.

• 23:27Speaker 03

  So I did that for five years. And I took my written and oral boards, became board certified and then did plastic surgery for another two years. So another residency took my oral and written board. So I carried two boards in each. I never practiced general surgery, but for what happened for me was I knew I wanted to be a surgeon. So I cruised through med school and I'm like, Peds, cool, but no, go through all the specialties, neurology, everything. I'm like, no, no, no. Got to OB and I was like, okay, we're doing some surgery. Like this is pretty cool. So I knew surgery was it for me. I just didn't know what I wanted to do. So I end up getting into general surgery in Chicago. And part of the way through some of the general, the plastics guys from Northwestern would come over to get their trauma experience because we were just so heavy trauma. And they were like,

• 24:10Speaker 03

  dude, you should come in the lab with us over at Northwestern for your, do some scar research, like the chairman's lab, like it'd be fun. Plastics is cool, right? So I took a break after my third year and went over there and was like, damn, plastics is badass.

• 24:25Bunnie XO?

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

• 24:37Speaker 03

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

• 24:45Bunnie XO?

  Yeah.

• 24:45Speaker 03

  So general surgery, day one, you step in, right? Like they're not like, here's the knife, have at it, take out those appendix.

• 24:51Bunnie XO?

  Right.

• 24:51Speaker 03

  You literally sit there and you hold retractors like a medical student and you watch.

• 24:55Bunnie XO?

  Gosh.

• 24:56Speaker 03

  You watch, you watch, you watch, right? So there's, there's a reason that it's a five year training program. I just took a year off to do research, but there's a reason. So as you move through the program and you get higher and higher, you're clearly getting smarter, better, you understand. And as you're moving up in the ranks.

• 25:12Bunnie XO?

  Stomach tougher.

• 25:13Speaker 03

  Yeah, exactly. It never bothered me.

• 25:15Bunnie XO?

  Really?

• 25:16Speaker 03

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

• 25:23Bunnie XO?

  I envy people like you.

• 25:25Speaker 03

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

• 25:42Bunnie XO?

  Right.

• 25:43Speaker 03

  And so in those cases, the attending surgeon might stand next to you and be like, okay, what's your plan? I'm gonna do this, I'm gonna make the incision here, I'm gonna dissect down and find this landmark, that landmark, you talk through it and they go, cool, do it. And you just, they just stand there next to you. So you're never doing it alone.

• 25:58Bunnie XO?

  Right.

• 25:58Speaker 03

  There's always someone next to you helping, like, hey, nope, slow down, don't make that cut before you do that, do that. So that's how it goes, right? And then facelifts and all that, like you say that it's jokingly funny because we don't do a ton of cosmetics in our plastic surgery training. It's mostly reconstructive work. I mean, we do do a fair amount of it.

• 26:16Bunnie XO?

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

• 26:18Speaker 03

  Yeah, reconstructive, it's all tough.

• 26:20Bunnie XO?

  Yeah.

• 26:21Speaker 03

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

• 26:30Bunnie XO?

  Like car accidents.

• 26:31Speaker 03

  Crazy shit.

• 26:32Bunnie XO?

  Yeah, you have to like sew people's.

• 26:34Speaker 03

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

• 26:51Bunnie XO?

  Yeah.

• 26:52Speaker 03

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

• 26:53Bunnie XO?

  Yeah, that's crazy.

• 26:54Speaker 03

  It's fun though.

• 26:55Bunnie XO?

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

• 26:59Speaker 03

  Yeah, I mean, plastics, like I had an epiphany during general surgery. I was like, all right, I don't want to be doing gallbladders for the rest of my life and appendixes and hernias and be in the ER when I'm seventy, like with a bowel obstruction. I just started to real, but I'll tell you what happened for me was in, in my trauma training, the plastic surgeons would come over and do a lot of the reconstructive work for car accident victims, things like that. And that's where I was like, man, this stuff is so cool.

• 27:23Bunnie XO?

  Yeah.

• 27:24Speaker 03

  So when I went into the lab to do research, I was like, yeah, I'm gonna be a plastic surgeon. But I was like, I've already, I'm like two years from graduating general surgery, why would I bail now?

• 27:32Bunnie XO?

  Right.

• 27:32Speaker 03

  So I just finished.

• 27:33Bunnie XO?

  I love that. You're pretty tenacious.

• 27:35Speaker 03

  It's, eh, I don't know, maybe.

• 27:38Bunnie XO?

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

• 27:42Speaker 03

  Oh, for sure. No question.

• 27:44Bunnie XO?

  Yeah, absolutely. So take me on, okay, so you start doing pla- plastics. Surgery.

• 27:48Speaker 03

  Yeah.

• 27:49Bunnie XO?

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

• 27:56Speaker 03

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

• 28:24Bunnie XO?

  Right.

• 28:24Speaker 03

  The second path is you're like, look, I want to work for myself. Like, I don't want anyone telling me what the hell to do.

• 28:30Bunnie XO?

  Right.

• 28:30Speaker 03

  And that was me. I was like, I cannot, and I cannot be told how to take care of my patients or, you know?

• 28:36Bunnie XO?

  Right.

• 28:37Speaker 03

  And social media, like you can't, those guys can't do it. I mean, the hospitals just control the rules.

• 28:42Bunnie XO?

  Wow, I didn't know that.

• 28:43Speaker 03

  That's not why, but I'm just saying like, I can do whatever I want because it's my practice.

• 28:47Bunnie XO?

  Right.

• 28:47Speaker 03

  And there's no, there's no one looking over my, there's no lawyer looking over my shoulder to represent the hospital.

• 28:52Bunnie XO?

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

• 28:58Speaker 03

  It is.

• 28:59Bunnie XO?

  And I A lot of weight on your shoulders, I would think.

• 29:01Speaker 03

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

• 29:35Bunnie XO?

  He tried, he believed in you.

• 29:36Speaker 03

  Yeah, he was like, whatever instrumentation you want to keep, it's yours. What you don't want, I'm going to sell off. But you're doing great. You're doing good work. Like it's yours. Just do your thing. And it's not like he handed me this Taj Mahal.

• 29:48Bunnie XO?

  Right.

• 29:48Speaker 03

  But he did hand me this book of patients that I was able to take care of. And so dude, I was humping it. Bunny, I was like driving forty five minutes to the west side of Arizona, of Scottsdale, to the west valley to do reconstructive work and breast cancer work, driving home late at night, newborn twins, just kind of humping it back and forth. Just to kind of make it happen. And just over time, it just slowly happened.

• 30:15Bunnie XO?

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• 30:57Bunnie XO?

  Head to chime.com/bunny. That's chime.com/b-u-n-n-i-e. Sign up now. It only takes a few minutes.

• 31:04Speaker 04

  Chime is a fintech, not a bank. Banking services and Chime card provided by Chime's bank partners. Qualifying direct deposits required. Terms and limits apply. Go to chime.com/disclosures for details. Hi, I'm Dr. Mary Claire Haver, board certified OB-GYN and menopause specialist. My podcast, UnPaused, is the place for bold, unfiltered conversations about what it really takes for women to thrive in the second half of life. Every week, I sit down with medical experts and leading voices to talk about the health issues that matter most. Because UnPaused isn't just about the years you live, but how well you live them. Listen and follow UnPaused with me, Dr. Mary Claire Haver, wherever you get your podcasts.

• 31:47Bunnie XO?

  You're a hustler.

• 31:48Speaker 03

  For sure.

• 31:49Bunnie XO?

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

• 31:57Speaker 03

  Yeah. So my wife went to NAU. She was a dental hygienist. She doesn't practice now. Shout out to my wife Alexis Brown. She's the best.

• 32:06Bunnie XO?

  Hi Alexis.

• 32:06Speaker 03

  She, she loves you guys. We love, we love you guys. We're huge country fans.

• 32:11Bunnie XO?

  We appreciate you guys.

• 32:12Speaker 03

  But so she went to NAU for her dental hygiene training. She was like, oh, let's go check out Arizona. I know, I have a lot of friends out there. It's a pretty cool place. I lived there for a little while.

• 32:21Bunnie XO?

  Yeah.

• 32:22Speaker 03

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

• 32:38Bunnie XO?

  That's what Ricky does.

• 32:39Speaker 03

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

• 32:56Bunnie XO?

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

• 32:58Speaker 03

  The rest is history.

• 32:59Bunnie XO?

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

• 33:02Speaker 03

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

• 33:07Bunnie XO?

  Wow.

• 33:08Speaker 03

  Holy shit.

• 33:09Bunnie XO?

  That's amazing.

• 33:10Speaker 03

  It's pretty crazy to think back.

• 33:12Bunnie XO?

  Is it fulfilling?

• 33:13Speaker 03

  Very.

• 33:14Bunnie XO?

  Yeah.

• 33:15Speaker 03

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

• 33:51Bunnie XO?

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

• 33:54Speaker 03

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

• 34:26Bunnie XO?

  Do you require blood work before patients go in? Because sometimes, and I'm not putting fault on anybody here, but sometimes It's people's bodies, you know, like if they have the MTF HR gene mutation.

• 34:37Speaker 03

  Oh, yeah.

• 34:37Bunnie XO?

  Or diabetes, or you know, something like can help can hinder the healing process.

• 34:44Speaker 03

  Yeah. So it is, it is paramount that we take a good history, which I do. I take a thorough history of my patients and talk to them about all their health. For every single patient I operate on, now, this is not an American Heart Association guideline, but I do this. If they're 20, I get a set of labs and an EKG because God forbid they have some congenital heart thing. I might be the first doctor they've ever seen.

• 35:07Bunnie XO?

  Yeah.

• 35:07Speaker 03

  I want to know if they have an easy heart thing and then I get a set of labs just to make sure they're not anemic or anything like that. And in this case that happened, there was something that came up in her history after the fact that I didn't know about that may have contributed to it. I don't know.

• 35:20Bunnie XO?

  Oh, my goodness.

• 35:21Speaker 03

  But, but it's just one of those things that happens. But yeah, I totally get labs on everybody. But look, even, even in the best of situations. So I have a story for you. When I was in general surgery training, it was my chief year. And I was doing a bowel resection, taking out some intestines, laparoscopic procedure. My attending is kind of standing next to me and he's letting me do the procedure with the junior resident. And we're doing the procedure and I put in the stapling device, which you staple across the bowel to resect a piece of the bowel. And you staple across the blood supply and we take that out and we put the intestines back together.

• 35:57Bunnie XO?

  That is wild.

• 35:58Speaker 03

  So I fire the stapler and something didn't feel right, right? I was like, something just felt janky with the device when it fired. I'm like, Dr. T, come check this out. Like, I don't, I don't see any bleeding. Everything looks okay, but this just doesn't look right. So he's looking and he's playing around. He's like, Ricky, the suture line looks great. I think everything's cool. It might've just been weird the way it felt. Long story short, we close, we're heading back to recovery and the guy's pressure starts tanking.

• 36:23Bunnie XO?

  Oh.

• 36:24Speaker 03

  120, 80, like he's bleeding, right? He's bleeding. So clearly the guy is bleeding and we turn him around and we're taking him back. And of course, it's a chief resident and I'm like, what the fuck? Like, why did I do that? I knew I'm like hemming and hawing about me and I knew something wasn't right and blah, blah, blah. So we get the guy back in the OR and we get him on the table and he reaches across the table and he grabs my hand. He goes, listen. As long as you're a surgeon, you will fucking have complications. Fix it. You do what you can to fix it and that is the best that you can do.

• 37:00Bunnie XO?

  That's awesome.

• 37:00Speaker 03

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

• 37:13Bunnie XO?

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

• 37:38Speaker 03

  Oh, the lidocaine?

• 37:39Bunnie XO?

  The lidocaine, because I'm allergic to it.

• 37:41Speaker 03

  Oh, are you?

• 37:42Bunnie XO?

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

• 38:02Speaker 03

  Yeah. So your story, this is what happened. Your story is not the lidocaine, it was the epinephrine.

• 38:08Bunnie XO?

  Yes.

• 38:09Speaker 03

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

• 38:22Bunnie XO?

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

• 38:26Speaker 03

  You're just a sensitive girl.

• 38:27Bunnie XO?

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

• 38:39Speaker 03

  I wrote that about four years ago.

• 38:41Bunnie XO?

  2019?

• 38:42Speaker 03

  Yeah, that book was, um, it was pre-COVID, actually. That book came to be, I wrote you a whole thing.

• 38:49Bunnie XO?

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

• 38:51Speaker 03

  No.

• 38:51Bunnie XO?

  Okay.

• 38:52Speaker 03

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

• 39:37Bunnie XO?

  What a great idea for a book though.

• 39:39Speaker 03

  I just, and I don't promote it well enough. I'm so bad at this crap.

• 39:43Bunnie XO?

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

• 39:49Speaker 03

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

• 39:56Bunnie XO?

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

• 40:17Speaker 03

  Oh.

• 40:18Bunnie XO?

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

• 40:21Speaker 03

  Yeah. I don't want to be awake for a facelift, man.

• 40:24Bunnie XO?

  Me either. I don't, yeah, it scares me.

• 40:26Speaker 03

  Is that what you're looking to do?

• 40:27Bunnie XO?

  Yes.

• 40:28Speaker 03

  You don't need a facelift.

• 40:29Bunnie XO?

  I'm, listen, I got a bullfrog thing going on and I'm 44. So I mean, I'm in the next, I know, but in the next five years, I'm going to definitely need to, you know?

• 40:37Speaker 03

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

• 40:43Speaker 03

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

• 40:51Bunnie XO?

  Right.

• 40:51Speaker 03

  I, I really try to get patients to, to really like outdo all of your other options before you decide to do something like that. Cause you can't go back, right?

• 40:59Bunnie XO?

  Yeah.

• 41:00Speaker 03

  But yeah, I mean, you look so good.

• 41:04Bunnie XO?

  I appreciate you.

• 41:05Speaker 03

  It's this that you don't like?

• 41:06Bunnie XO?

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

• 41:20Speaker 03

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

• 41:23Bunnie XO?

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

• 41:30Speaker 03

  So here's the thing, there's, there's muscles in the neck called the platisma muscle. It's like a corset around your neck. They, one fans out this way, one fans out this way. There's fat that can sit below the platisma muscles. I don't do facial cosmetic surgery anymore, but I know all this stuff. So there's fat that sits below the platisma and there's fat that sits on top. So clearly you, yes, you can suction the stuff that's underneath the neck, no problem. If you happen to have some of that under the muscle fat, that can only be taken out by surgery. But I don't know that I agree if you've got some fatty tissue here and you don't like it. You know, people were doing Kybella forever.

• 42:08Bunnie XO?

  Yeah.

• 42:08Speaker 03

  Kybella is over, it's shit. It doesn't really work.

• 42:11Bunnie XO?

  That's what I heard.

• 42:12Speaker 03

  It causes a crazy inflammatory process.

• 42:14Bunnie XO?

  Yeah.

• 42:15Speaker 03

  It really, it really, we've, it's, we're past it. Okay. Like that is not the way to go. And I tell people, one thing you can do awake in the office, which is not a big deal, is submental or chin lipo. It is not bad. They put the tumescent solution in your neck, so it numbs it. And you can absolutely do it in the office awake or just under a little sedation.

• 42:34Bunnie XO?

  That is wild.

• 42:34Speaker 03

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

• 42:50Bunnie XO?

  I was thinking about doing the Morpheus eight.

• 42:52Speaker 03

  Yeah, Morpheus is good. I think you gotta be careful. Um, you need to make sure you go to someone who knows what they're doing because I think they were underreporting some of their complications, but, but my nurse does it and she absolutely loves it. And she knows what she's doing and she gets great results. I think in the right patient with good skin quality like you have, it might be great.

• 43:11Bunnie XO?

  Yeah.

• 43:12Speaker 03

  You could try it.

• 43:13Bunnie XO?

  Yeah.

• 43:13Speaker 03

  I just am not a huge believer in skin tightening devices as a solo therapy. I think in solo therapy, they're not the best.

• 43:20Bunnie XO?

  So I've done Fractura and I had amazing results. Uh, it was the same thing as Morpheus. But it's a different version. So it's called Fractura.

• 43:27Speaker 03

  Good.

• 43:28Bunnie XO?

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

• 43:40Speaker 03

  I mean, it's, it's really definitive and easy. Corsanti will do it.

• 43:43Bunnie XO?

  No, yeah, we love Dr. Corsanti. All right. Are you ready to answer some of these questions?

• 43:48Speaker 03

  Yeah, let's do it.

• 43:49Bunnie XO?

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

• 43:54Speaker 03

  First of all.

• 43:55Bunnie XO?

  Different.

• 43:56Speaker 03

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

• 44:00Bunnie XO?

  Oh, I love you too, Kayla.

• 44:02Speaker 03

  Um.

• 44:03Bunnie XO?

  Don't mind my glasses, guys. I lost my glasses. So I had to buy these from Walgreens. Oh.

• 44:10Bunnie XO?

  I look like I'm like 85 over here. Don't mind me.

• 44:16Bunnie XO?

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

• 44:18Speaker 03

  I gotta, I gotta pull my clears out, baby.

• 44:21Bunnie XO?

  There you go. No, listen.

• 44:23Speaker 03

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

• 44:28Bunnie XO?

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

• 44:37Speaker 03

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

• 44:44Bunnie XO?

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

• 44:55Speaker 03

  She seems hilarious.

• 44:56Bunnie XO?

  No, she like embodies everything that I love in women. Like she's just. Down to earth, she keeps it G and she just, you know, minds her business.

• 45:03Speaker 03

  Yep.

• 45:04Bunnie XO?

  You never catch Jenny McCarthy in some scandal or some drama like she's always just doing her thug business. And she married fucking Donnie Wahlberg.

• 45:11Speaker 03

  Oh, yeah.

• 45:11Bunnie XO?

  Like, how cool are you?

• 45:12Speaker 03

  I know.

• 45:12Bunnie XO?

  Yeah.

• 45:13Speaker 03

  That is awesome.

• 45:14Bunnie XO?

  Yeah, for sure.

• 45:14Speaker 03

  Yeah, she seems so cool. We used to watch all her stuff growing up and I, I love her.

• 45:18Bunnie XO?

  Yeah, remember when they had that show, Singled Out?

• 45:20Speaker 03

  Yeah.

• 45:21Bunnie XO?

  I loved that.

• 45:22Speaker 03

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

• 45:26Bunnie XO?

  No, she was the it girl.

• 45:27Speaker 03

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

• 45:39Bunnie XO?

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

• 46:15Speaker 03

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

• 46:20Bunnie XO?

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

• 46:41Speaker 03

  So tear troughs are really difficult. So for people who don't know what that is, um, between the lower eyelid and the cheekbone here, we all see that little indentation. It starts to, it starts to get deep with age. It's the thinnest skin in the body, so it's really difficult. Filler is typically not great there because filler can really take on fluid if you use a specific filler and it can get really puffy there. There is no great answer for tear troughs. So if you need a lower blepharoplasty, so if they have the fat pads protruding or they have extra skin, for sure, lower blepharoplasty surgery is great for that. You still might have a little bit of an indentation there. Sometimes at the time of a blepharoplasty, or you can even do this without a blepharoplasty,

• 47:23Speaker 03

  fat, like micro fat, they'll spin fat down, they'll harvest some fat from your body. It's called nano fat. They'll spin it down so it's a really tiny particle. And they'll layer in a little bit of fat to try to fill out the trough. But you have to have, this is just what I would tell people who are listening to this. Like, I don't do facial cosmetic surgery anymore. You need to go to someone who does it a lot. Because those surgeons have it so dialed in.

• 47:49Bunnie XO?

  Yeah.

• 47:49Speaker 03

  And obviously, certain candidates are better than others.

• 47:52Bunnie XO?

  So it's like their specialty.

• 47:53Speaker 03

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

• 48:15Bunnie XO?

  Yeah.

• 48:15Speaker 03

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

• 48:18Bunnie XO?

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

• 48:22Speaker 03

  For sure.

• 48:23Bunnie XO?

  For. Whenever I had my explant, that's what I did is I.

• 48:26Speaker 03

  Yeah.

• 48:26Bunnie XO?

  Search, I, what is it? Seeked out somebody who like, I was gonna make sure didn't scar me. You know, like really bad because I got a lift also.

• 48:36Speaker 03

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

• 48:39Bunnie XO?

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

• 48:42Speaker 03

  Big time.

• 48:43Bunnie XO?

  Yeah?

• 48:43Speaker 03

  Yeah. I mean, I do a lot of explants because, I don't know, a lot of surgeons just don't do it. This is separate from BII. Like, I have a lot of women who just want their implants out. They want their capsules out. I think because of my breast cancer reconstructive days, I have a really good command on the breasts and I feel comfortable doing that operation. And a lot of surgeons just don't feel comfortable taking out the capsules, I guess. But honestly, taking out the capsules to a plastic surgeon is like a hernia to a general surgeon. It's just something we do. But a lot of people just don't have the pay. Patients because it's a tedious procedure and you have to be really careful.

• 49:16Bunnie XO?

  Yeah.

• 49:16Speaker 03

  When you're on the chest wall. But yeah, I I've seen a lot. I've seen a lot of explants. In fact, last week, I think I saw six consults for it.

• 49:23Bunnie XO?

  Wow, that's amazing.

• 49:25Speaker 03

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

• 49:28Bunnie XO?

  Right, yeah. Oh, yeah. No, that's always gonna be.

• 49:31Speaker 03

  A hamster wheel.

• 49:31Bunnie XO?

  A revolving door. Yeah, for sure. Do you think that, and I think this was actually a question in Patreon, and I thought it was a great question was, do you think that most women who get implants will end up getting BII?

• 49:44Speaker 03

  No, I don't. Actually, I think quite the opposite. So my BII spiel is the following. Breast implant illness. The things that I hear patients come in and say are brain fog, joint pain, swelling, rashes they never had before, some have gut issues. All these symptoms, which we could attribute to lots of other things, right? So I truly believe that there's a small part of the population who's rejecting this piece of plastic that we put in their body. Like, it makes sense to me as a surgeon to be able to say, is it possible? Of course it's possible. We don't know everything about the human body. But I think it's, it's, it's not, I don't want to minusculeize it and say it's a small group.

• 50:25Speaker 03

  It's a much smaller group than the women who have implants that are doing fine with implants. So I think what's important is as surgeons, we need to be educating patients and saying, and I do this with every single patient of mine who comes through the door for implants. The last thing we talk about is breast implant, breast implant illness. And I tell them, while we don't have any scientific data to corroborate the two, we have real people who have symptoms.

• 50:48Bunnie XO?

  Yeah.

• 50:49Speaker 03

  I don't have a test that I can test you to tell you whether it's going to happen to you or not. We don't have that kind of data. But what you do need to know is you probably have a better chance of not having a problem than you are going to have a problem. I can't tell you whether this is right for you or not right for you.

• 51:04Bunnie XO?

  Right.

• 51:04Speaker 03

  Because we don't have any tests or study. I know the MTF HR gene you talked about, supposedly some of those patients have a higher, higher issue with it. And I just tell them, listen, if you have it, all we do is take out your implants. But more women are doing fine than aren't. But I don't want to belittle the women who aren't doing okay.

• 51:20Bunnie XO?

  Right.

• 51:21Speaker 03

  And so I would have a hard time with some of my. Colleagues is that they just emphatically deny and say, there's no way they're not sick. This cannot be happening. And I'm like, look, man, I'm not saying it is happening. But I'm saying it's for sure possible that it's happening. And like for us to say no to this piece of plastic that we put into someone's body. Doesn't make sense to shame them or tell them to go away. And I'm not trying to invite people to say that they're sick because I'm talking about this. The party is already here. Like one of my friends was like, don't invite people to the party. I'm like, I'm not inviting anyone to the party. Like the party is here.

• 51:55Bunnie XO?

  Yeah, they'll find the party.

• 51:56Speaker 03

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

• 52:20Bunnie XO?

  Yeah.

• 52:20Speaker 03

  So, I mean.

• 52:21Bunnie XO?

  They're not feeling heard.

• 52:22Speaker 03

  Yeah, but I, I have a lot of women who are just wanting to explant because they're kind of naturalizing and just wanting to go back.

• 52:28Bunnie XO?

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

• 52:51Speaker 03

  A lot of people say that. Bunny, a lot of people say that they really do. And, and the mind is a powerful thing.

• 52:58Bunnie XO?

  Absolutely.

• 52:59Speaker 03

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

• 53:10Bunnie XO?

  Absolutely.

• 53:11Speaker 03

  And in the reverse mode, I think once they come out. It, whether they were, were not making you sick, people miraculously are just feeling so awesome. And if that's their mind.

• 53:20Bunnie XO?

  Yeah.

• 53:20Speaker 03

  Great.

• 53:21Bunnie XO?

  Yeah.

• 53:21Speaker 03

  Whatever it is, like happy you're feeling better, you know, so. I think we have to, I think more surgeons need to be more accepting of the possibility.

• 53:30Bunnie XO?

  Absolutely.

• 53:31Speaker 03

  You know?

• 53:31Bunnie XO?

  Um, we've talked a lot about BII, so I want, I don't want to hinder anybody who's listening and actually wants to get breast implants. Because I love breast implants. I think they're beautiful. I love the way they look. I love the way they sit. You brought some implants with you.

• 53:44Speaker 03

  Yes.

• 53:45Bunnie XO?

  He's so excited. Yeah. Can we play with that?

• 53:47Speaker 03

  Bring them out.

• 53:48Bunnie XO?

  Yeah, yeah, yeah.

• 53:49Speaker 03

  I brought you and jelly.

• 53:50Bunnie XO?

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

• 54:00Speaker 03

  Let her play with them. Play.

• 54:02Bunnie XO?

  I love, okay, so what are these?

• 54:03Speaker 03

  I can take one if you want.

• 54:05Bunnie XO?

  Okay, yeah, yeah. You want me to throw it across the way?

• 54:07Speaker 03

  Yeah.

• 54:07Bunnie XO?

  Get tossed.

• 54:08Speaker 03

  This is what my boys do.

• 54:09Bunnie XO?

  Let me toss you a boob.

• 54:10Speaker 03

  Look who woke up.

• 54:11Bunnie XO?

  Look, Chachi's like, I too love a boob.

• 54:13Speaker 03

  Look who woke up.

• 54:14Bunnie XO?

  He's like, I too love boobs. He's a man. What do you expect? Ready?

• 54:18Speaker 03

  I know, I love it.

• 54:19Bunnie XO?

  Yay.

• 54:20Speaker 03

  Okay.

• 54:20Bunnie XO?

  All right. So is this, this is silicone, correct?

• 54:24Speaker 03

  In your hand, you hold an ultra-high-profile silicone implant. And if you look at the back, um, I don't, we probably can't say the company's name, but if you look on the back, it'll say the, the CCs, 445 CCs.

• 54:37Bunnie XO?

  I had 490 in mine.

• 54:39Speaker 03

  Did you really?

• 54:39Bunnie XO?

  Mm-hmm.

• 54:40Speaker 03

  And if you have a lot of breast tissue, you're probably big.

• 54:42Bunnie XO?

  Oh, I was huge.

• 54:43Speaker 03

  And then the style number on this one is X, which means extra-high-profile. That means-

• 54:48Bunnie XO?

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

• 54:50Speaker 03

  Yeah, it means it sits tall.

• 54:51Bunnie XO?

  Yes.

• 54:52Speaker 03

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

• 54:55Bunnie XO?

  Yeah.

• 54:56Speaker 03

  Implants come in flats, wedges, and high heels, just like your shoes.

• 54:59Bunnie XO?

  I love that.

• 55:00Speaker 03

  So implants come kinda flat.

• 55:02Bunnie XO?

  Yeah.

• 55:02Speaker 03

  That's a moderate profile, a little bit taller, which would be a high profile.

• 55:06Bunnie XO?

  Right.

• 55:06Speaker 03

  And your stilettos would be your ultra-high-profile.

• 55:08Bunnie XO?

  I love the one, put them in my neck. If I ever get, I think I might be 60 and get like the hope, high-profile, just to go out with a bang.

• 55:15Speaker 03

  Heck, yeah. Why not?

• 55:16Bunnie XO?

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

• 55:20Speaker 03

  Oh, man.

• 55:21Bunnie XO?

  Again.

• 55:21Speaker 03

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

• 55:25Bunnie XO?

  Yeah.

• 55:25Speaker 03

  I'm sure he loves you just the way you are.

• 55:27Bunnie XO?

  He actually loves natural boobs.

• 55:28Speaker 03

  Yeah.

• 55:28Bunnie XO?

  Cause I, he was with me when I had my implants.

• 55:30Speaker 03

  Yeah.

• 55:30Bunnie XO?

  So, and he, he didn't know what to do with them.

• 55:32Speaker 03

  Really?

• 55:33Bunnie XO?

  He was like, what do I do with all this?

• 55:34Speaker 03

  Just play, Jay.

• 55:35Bunnie XO?

  I know. Yeah.

• 55:38Speaker 03

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

• 55:44Bunnie XO?

  Yeah.

• 55:45Speaker 03

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

• 55:50Bunnie XO?

  Yeah.

• 55:50Speaker 03

  So when these would rupture, it would ooze everywhere. So.

• 55:53Bunnie XO?

  He loves them.

• 55:54Speaker 03

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

• 55:57Bunnie XO?

  Yeah, he does. Stop. Such a dude.

• 55:59Speaker 03

  These are the gummy bears, the highly cohesive gummy bears.

• 56:02Bunnie XO?

  These are the gummy bears.

• 56:03Speaker 03

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

• 56:09Bunnie XO?

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

• 56:11Speaker 03

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

• 56:14Bunnie XO?

  Has anybody ever had problems with these leaking or anything and making them sick?

• 56:17Speaker 03

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

• 56:25Bunnie XO?

  Yeah.

• 56:26Speaker 03

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

• 56:30Bunnie XO?

  Yeah.

• 56:30Speaker 03

  So that is an old wives tale. That might've held true for the earlier ones that ruptured a lot easier. But the FDA even changed their guidelines for monitoring silicone now. It used to be every three years, they had three years, they wanted an MRI. Now it's at five years, but I tell people if it ain't broke, don't fix it. If you're not having any problems at 10 years and you feel great and they're doing great.

• 56:49Bunnie XO?

  Yep.

• 56:49Speaker 03

  You do not need to have surgery. I would never marry someone to an operation every 10 years.

• 56:53Bunnie XO?

  Yeah, that's horrific.

• 56:54Speaker 03

  It doesn't make any sense.

• 56:54Bunnie XO?

  I had mine in for 13 years.

• 56:56Speaker 03

  Did you?

• 56:57Bunnie XO?

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

• 57:00Speaker 03

  Were yours silicone?

• 57:01Bunnie XO?

  No, they were saline.

• 57:02Speaker 03

  You had saline?

• 57:03Bunnie XO?

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

• 57:18Speaker 03

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

• 57:26Bunnie XO?

  Right.

• 57:26Speaker 03

  They were having joint pain.

• 57:28Bunnie XO?

  Yeah.

• 57:28Speaker 03

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

• 57:36Bunnie XO?

  Right.

• 57:36Speaker 03

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

• 57:44Bunnie XO?

  Wow.

• 57:44Speaker 03

  So in my opinion, I think it's just this piece. It's a plastic that's not supposed to be there.

• 57:48Bunnie XO?

  Yeah, your body's gonna love it or hate it.

• 57:50Speaker 03

  It's not supposed to be there.

• 57:50Bunnie XO?

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

• 58:07Speaker 03

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

• 58:22Bunnie XO?

  That's why I got my boobs done. I caught my ex watching porn with the girls who had like really big tits. And I was like, oh, well, I can do that too.

• 58:30Speaker 03

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

• 58:33Bunnie XO?

  Yeah.

• 58:33Speaker 03

  So that's my first is what's their why? But then once we,

• 58:36Bunnie XO?

  Never do it for a man.

• 58:37Speaker 03

  Never do it for a man.

• 58:38Bunnie XO?

  And that's a man telling you. Yeah. There you go.

• 58:41Speaker 03

  For whoever. Do it for yourself.

• 58:43Bunnie XO?

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• 59:25Bunnie XO?

  With over 200 million items donated so far, head over to Bombas.com slash B U N N I E and use the code bunny for 20% off your first purchase. That's B O M B A S dot com. Code bunny at checkout. Today's episode is brought to you by Vinted. Y'all know how it goes. You open your closet and have a million things hanging up, but somehow still feel like you have nothing to wear. That's me. And let's be real, half that stuff hasn't been touched in forever. Instead of letting all those clothes just sit there taking up space, you might As well make a little money off of them. If you haven't used it yet, Vinted is a second hand marketplace app that makes it so simple to sell the quality clothes you no longer wear

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• 1:00:47Speaker 03

  So I usually go through certain things in my consult. The first is how do we size a breast? And I always try to tell women, don't focus on a cup size. If you focus on a cup size, you're going to be miserable because no one can promise you an A, B, C, or D cup.

• 1:01:00Bunnie XO?

  Absolutely.

• 1:01:00Speaker 03

  I have people go look for vision board photos. I send them to a website where they go look at before and afters of women who are topless. It's a medical website. And I go, hey, listen, find a woman that kind of looks like you in the before. Find some afters, four or five that you really like the shape and size. Let's review those together and we'll hone in on one that we think is a reasonable expectation for you, that fits your body, something I feel I can get to pretty close to creating. And then when I go to surgery, let me decide flats, wedges, or high heels. Let me decide which size you need based on your photo because it might take a different sized implants for you than your girlfriend had.

• 1:01:35Bunnie XO?

  Right.

• 1:01:35Speaker 03

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

• 1:01:41Bunnie XO?

  Yeah, like it depends on how broad your shoulders are. It depends on how you carry your boobs already.

• 1:01:45Speaker 03

  Everyone's different. So that's what I do first, sizing. Then the second thing we go through is we talk about the operation itself, making a small incision in the crease to put it underneath the muscle. I talk about silicone versus saline, the position of the implant, what's the best place to put it. We go through what's healing going to be like, what are potential complications from the operation, what can you and can you not do? Heavy lifting or strenuous exercise for six weeks, which is what most people can't stand. At a month, I let people do cardio, but they're a legit bleeding risk for the first month, right? We're creating this pocket and it can bleed.

• 1:02:18Bunnie XO?

  Wow.

• 1:02:18Speaker 03

  So if your heart rate goes up and your, your heart rate goes up and your blood pressure goes up exercising, you could pop a clot off a vessel and start bleeding in the pocket. Right around a month, they become mature scars on the end of a blood vessel. So it's not as high of a risk. So after I go through that, the last thing I talk about is BII. So I have a specific, like I go through.

• 1:02:36Bunnie XO?

  Protocol.

• 1:02:36Speaker 03

  How do we size you? What's the difference between silicone and saline? Let's talk about where we place the implant. Let's talk about complications and recovery in BII.

• 1:02:45Bunnie XO?

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

• 1:02:50Speaker 03

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

• 1:03:24Bunnie XO?

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

• 1:03:36Speaker 03

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

• 1:03:37Bunnie XO?

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

• 1:03:46Speaker 03

  I looked amazing.

• 1:03:47Bunnie XO?

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

• 1:03:52Speaker 03

  Oh, yeah.

• 1:03:52Bunnie XO?

  Way saggy than it should have been.

• 1:03:54Speaker 03

  Yeah.

• 1:03:54Bunnie XO?

  So if I ever did it again, I would go under the muscle.

• 1:03:57Speaker 03

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

• 1:04:06Bunnie XO?

  Right.

• 1:04:07Speaker 03

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

• 1:04:34Bunnie XO?

  Yeah.

• 1:04:34Speaker 03

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

• 1:04:54Bunnie XO?

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

• 1:04:59Speaker 03

  Big time.

• 1:04:59Bunnie XO?

  Can we talk about that?

• 1:05:01Speaker 03

  Yeah, for sure. Some women don't really have much effect at all and they're fine and they go back to normal. But for sure, so just like implants or tissue expanders, so is the milk coming in. So when the milk comes in and swells, it stretches your skin additionally. So if you already have an implant, then your milk comes in and it stretches and then it goes back down. Then you have another kid and the milk comes in and stretches you even more and it goes down a little. But now your elasticity is not so great and the breasts is starting to sag a little. Then you have a third kid and it happens again. And so there are women who-

• 1:05:30Bunnie XO?

  Can you breastfeed on with implants?

• 1:05:32Speaker 03

  Absolutely. So it's better under the muscle versus above. Underneath the muscle, we don't interrupt the milk ducts because the milk ducts go right behind the breast, in the tish breast tissue up to the nipple. If you interrupt above the muscle and we elevate the breast off of the muscle, you could potentially disrupt some of that flow and that pattern of milk production. But, um, so yeah, I mean, when that happens, right? All of a sudden now, you know, the implant's here and the breast is starting to sag. And that's when they need a lift and they probably need a new implant. So I, I think it's fine to have implants if you're not having kids for three, four, or five years down the road, right?

• 1:06:06Bunnie XO?

  Enjoy those babies.

• 1:06:07Speaker 03

  Tomorrow's not guaranteed. Like, do your thing. But if you're having kids next year,

• 1:06:11Bunnie XO?

  Yeah.

• 1:06:12Speaker 03

  I'm like, maybe you should wait.

• 1:06:13Bunnie XO?

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

• 1:06:31Speaker 03

  It's scary.

• 1:06:32Bunnie XO?

  Yeah.

• 1:06:32Speaker 03

  Vazer's the best. By the way, I do that. I do Vazer.

• 1:06:34Bunnie XO?

  Yeah, I joke around about surgery, though. I'm actually a huge advocate of natural bodies because once you start cutting on yourself, you're, you're, and getting lipo and stuff like that, your weight distribution is completely different in your body. So like now I collect, I get like saddlebags if I don't work out right or like.

• 1:06:52Speaker 03

  People ask that a lot.

• 1:06:53Bunnie XO?

  And it's.

• 1:06:53Speaker 03

  About lipo.

• 1:06:54Bunnie XO?

  Yeah. Can we talk about it?

• 1:06:55Speaker 03

  Yeah.

• 1:06:56Bunnie XO?

  Yeah, let's talk about it.

• 1:06:56Speaker 03

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

• 1:07:22Bunnie XO?

  It's harder to lose.

• 1:07:23Speaker 03

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

• 1:07:58Bunnie XO?

  Yeah.

• 1:07:58Speaker 03

  And if you're prone to gaining weight there, you might show there first and faster than you would in the place where you already had lipo.

• 1:08:04Bunnie XO?

  Absolutely. But also eat, after you have body surgery done, you have to eat correctly. You cannot just get out of surgery and start eating fucking hot cheetos and In-N-Out and all that stuff because one, you're gonna lose all the results you just went and spent money on getting. And two, I am here to tell you, because I've had to do it myself, maintaining. Uh, having work done is not an easy feat.

• 1:08:29Speaker 03

  No.

• 1:08:29Bunnie XO?

  And I'm very vocal about that. The fact that I had the surgery in 2015 and still have maintained these results is because I have the strictest diet ever. You know, and it's like you, you have to know that it's not, it's, it's a quick fix for in the moment, but it's not forever. And you, that's why women get multiple surgeries and have multiple batches of lipo because they didn't, you know, adhere to diets or eating healthy. And they just figured that they could just eat whatever they want and you can't. Like you really have to work at keeping weight off no matter what.

• 1:09:00Speaker 03

  1,000%. So this is the BMI question, right?

• 1:09:02Bunnie XO?

  Yeah.

• 1:09:03Speaker 03

  And, and, and I am, first of all, I, I preach big time. Surgery should be your last resort.

• 1:09:09Bunnie XO?

  Hmm.

• 1:09:10Speaker 03

  That you should be maximizing your meal plan and your exercise routine before you think about surgery.

• 1:09:15Bunnie XO?

  Hmm.

• 1:09:16Speaker 03

  So, you know, we get the BMI question all the time. Like, do you have a BMI limit?

• 1:09:20Bunnie XO?

  Yeah.

• 1:09:21Speaker 03

  Body mass index or BMI is not-

• 1:09:24Bunnie XO?

  I feel like it's so outdated too.

• 1:09:25Speaker 03

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

• 1:09:52Bunnie XO?

  Right.

• 1:09:52Speaker 03

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

• 1:09:59Bunnie XO?

  Right.

• 1:10:00Speaker 03

  That said, the first thing I ask a patient when they walk through the door, how are you on your health and wellness journey? Where are you? Are you happy in your body? Are you trying to lose weight? Are you struggling to lose weight? I try to get my finger on the pulse of where they are. Because if they're struggling to lose weight, I have a nutritionist in my, in my practice that I matched them up with to help them maximize their nutrition plan to get that, that lifestyle part that you talked about in order before surgery. Because if they don't get their lifestyle right and they're eating well and have a good exercise routine, it doesn't matter what I do, you won't make- Maintain it. If you go back to eating Twinkies and Ho Ho's, you're going to gain weight again and the surgery was a waste.

• 1:10:41Speaker 03

  So that's number one. So it's really important that people realize that BMI, while it is a little imperfect, most people with a high BMI are overweight. And so why is that important with body surgery? When a patient comes in to see me for a tummy tuck, the first thing that I look at, because what they want is to be as flat as possible. I want the skin gone, doc, and I want to be flat. Like, that's what I'm looking for. Awesome. Let me tell you how having a little bit higher BMI can sabotage your tummy tuck results. There's the fat on the outside that we store, right? And then there's internal fat around our organs called visceral fat. That's the dangerous fat. When we maximize our external fat stores,

• 1:11:23Speaker 03

  everything starts to spill out of the bathtub and enters and starts forming around the guts. Those are the things that increase heart disease, diabetes, all of the problems that we see with health. But also, let's say surgically, if these are their six pack muscles and they've got the skin on the outside, I can lift that up, pull it tight, cut it all off. Awesome. Behind that are all of your organs. And if you're harboring a lot of visceral fat, it's pushing out on the six pack muscles. It doesn't matter what I do out here, you will never be flat. When we go to tighten up those muscles, the diastasis repair, I can only make you so flat. So when I tell patients that they probably should lose more weight before surgery, it's not a skinny versus fat issue.

• 1:12:05Speaker 03

  I want you to have the best result possible. In order to do that, you need to lose some of that visceral fat, which you can't target specifically. It's just as you lose weight, that will go away. And once that goes away and they just have loose muscles, then you're a great candidate for surgery.

• 1:12:20Bunnie XO?

  Absolutely.

• 1:12:21Speaker 03

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

• 1:12:23Bunnie XO?

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

• 1:12:38Speaker 03

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

• 1:12:45Bunnie XO?

  My, so my doctor did a little abs sketching, but he did it so, like, I'm telling you, Dr. Corsani, I call him, he's just a god. Like, he literally did it so good.

• 1:12:55Speaker 03

  He is a great guy.

• 1:12:56Bunnie XO?

  Cause it's not overdone, but I have a couple girlfriends who have had it done and they look like fucking He-Man.

• 1:13:01Speaker 03

  Oh.

• 1:13:01Bunnie XO?

  Like, is it hard for you to look at girls and find them attractive after all the shit you've had to do? Like, I

• 1:13:08Speaker 03

  No, I, look, I love the human body. Someone asked me that. They're like, do you like walk around and pick everyone apart?

• 1:13:13Bunnie XO?

  I would.

• 1:13:14Speaker 03

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

• 1:13:20Bunnie XO?

  Yeah.

• 1:13:20Speaker 03

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

• 1:13:23Bunnie XO?

  Yeah.

• 1:13:24Speaker 03

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

• 1:13:36Bunnie XO?

  Do you prefer natural females or females with work done?

• 1:13:39Speaker 03

  Um.

• 1:13:39Bunnie XO?

  Cause I know a lot of plastic surgeons who prefer natural women.

• 1:13:43Speaker 03

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

• 1:13:56Bunnie XO?

  Some people just

• 1:13:57Speaker 03

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

• 1:14:11Bunnie XO?

  Let's see it.

• 1:14:12Speaker 03

  No.

• 1:14:14Speaker 03

  You want me to strip down right now?

• 1:14:16Bunnie XO?

  I mean, just lift it up.

• 1:14:17Speaker 03

  I mean, I

• 1:14:18Bunnie XO?

  I wanna see these abs.

• 1:14:19Speaker 03

  I got abs.

• 1:14:20Bunnie XO?

  Yeah, look at that.

• 1:14:21Speaker 03

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

• 1:14:24Bunnie XO?

  Look at Doc over there. He's flexing.

• 1:14:26Speaker 03

  But the funny thing is, is I told him, I was like, bro, listen, like, I would love to have abs and I know they're under there, like, I can feel them. And he's like, yeah, but if I lean you out, like, the skin will just kind of drape around them. Dude, he is absolutely right. It took about eight months, eight or nine months down the road. I was like, did he even fucking do anything? I was like, did he take anything out? And like, one day I was in the gym at CrossFit, like, we all take our shirts off. That's just what we do when we're working out. Like, some guy walked up to me, he's like, bro, you're fucking jacked. I was like, am I? I'm like, I, I can't see it. Like when I look down, that's not what I see.

• 1:14:59Bunnie XO?

  Yeah.

• 1:14:59Speaker 03

  He's like, no, dude, like you're fucking ripped. I'm like, cool. I'm like, alright, that feels good. But so do I prefer natural versus not? So I'm an example of, I think I looked great before and I kinda had abs before. But then afterwards, it's a very natural look. Like I'm still a fifty two year, fifty three year old guy and I have some loose skin. But like, I don't mind if someone has a little work done and it looks more natural. I don't like fake. I don't, you know, like, I think I am more of a small breast lover, meaning I don't want huge, crazy, overdone boobs. I think like a nice athletic looking breast looks really nice.

• 1:15:37Bunnie XO?

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

• 1:15:58Speaker 03

  Yeah, exactly.

• 1:15:58Bunnie XO?

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

• 1:16:04Speaker 03

  Babe, I'm sorry. I totally just.

• 1:16:09Bunnie XO?

  It's alright, we gotta get her here next time.

• 1:16:11Speaker 03

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

• 1:16:20Bunnie XO?

  I'm gonna have to go find her. I don't, I don't know. I don't know if I've seen her on your page.

• 1:16:24Speaker 03

  Her page is OMG Overnight Oats. She has an overnight oats company.

• 1:16:27Bunnie XO?

  Oh nice.

• 1:16:27Speaker 03

  And her videos of, as of lately, she just had a big photo shoot are so cute. You gotta go check her out. She is the shit.

• 1:16:34Bunnie XO?

  We love a hubby that plugs the wife.

• 1:16:35Speaker 03

  She's fucking amazing. I married, I married up, girl.

• 1:16:39Bunnie XO?

  Aww, I'm gonna go, hold on, let me go, let me go look her up right now.

• 1:16:42Speaker 03

  OMG Overnight Oats.

• 1:16:44Bunnie XO?

  Hold on, OMG Overnight Oats.

• 1:16:45Speaker 03

  Seventeen years, we're coming up on, we've known each other twenty. We met in oh four, got married in oh six.

• 1:16:52Bunnie XO?

  Overnight.

• 1:16:54Bunnie XO?

  Oats.

• 1:16:55Speaker 03

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

• 1:17:01Bunnie XO?

  I love that.

• 1:17:02Speaker 03

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

• 1:17:04Bunnie XO?

  Is this her right here?

• 1:17:06Speaker 03

  I think she just recently, yeah.

• 1:17:07Bunnie XO?

  Oh, she's so cute.

• 1:17:09Speaker 03

  Her abs are jacked.

• 1:17:10Bunnie XO?

  Her face is so pretty. I love her cheekbones.

• 1:17:13Speaker 03

  She's a pretty girl.

• 1:17:14Bunnie XO?

  She's gorgeous.

• 1:17:15Speaker 03

  She is.

• 1:17:15Bunnie XO?

  Look at you, Alexis.

• 1:17:16Speaker 03

  Inside and out.

• 1:17:17Bunnie XO?

  She is hot. I'm gonna have to try some of those overnight oats. Alright, you ready for some questions?

• 1:17:21Speaker 03

  Let's do it.

• 1:17:21Bunnie XO?

  Some more questions.

• 1:17:22Speaker 03

  Yeah.

• 1:17:22Bunnie XO?

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

• 1:17:29Speaker 03

  Yeah, I haven't seen that. Like in my practice, I haven't had women coming in for reversals.

• 1:17:35Bunnie XO?

  Yeah.

• 1:17:36Speaker 03

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

• 1:17:41Bunnie XO?

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

• 1:17:49Speaker 03

  Yeah, of course. You'll lose the fat. And some women do suction their butts back down.

• 1:17:53Bunnie XO?

  Oh, gotcha.

• 1:17:53Speaker 03

  You can sculpt them back down and lipo them a little bit, but.

• 1:17:56Bunnie XO?

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

• 1:17:59Speaker 03

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

• 1:18:14Bunnie XO?

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

• 1:18:22Speaker 03

  So, I think for the casual weight loss person who's trying to lose five to 10 pounds, it's ridiculous.

• 1:18:28Bunnie XO?

  Yeah.

• 1:18:28Speaker 03

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

• 1:19:12Speaker 03

  the gastric pouch that's left behind, that's this big will stretch to this big and they go right back to where they were.

• 1:19:18Bunnie XO?

  Yeah.

• 1:19:18Speaker 03

  The lifestyle has to accompany it, right? So the same thing with Ozempic. So I'm okay with Ozempic for morbid obesity for pick because it really, really can help. It's better than Fen-Phen.

• 1:19:27Bunnie XO?

  Yeah.

• 1:19:27Speaker 03

  Right? That crap they used to use.

• 1:19:28Bunnie XO?

  Yeah.

• 1:19:29Speaker 03

  So I'm okay with it for that. As a lifelong drug, I don't know. I mean, a lot of docs I follow on Instagram that I have friends with will talk about it like it's hypertension. They'd be like, look, obesity is a disease. And women who, and people, not women, people who have hypertension, take a medication for their blood pressure their whole life.

• 1:19:45Bunnie XO?

  Yeah.

• 1:19:46Speaker 03

  And they're on it forever. So if someone who has the disease of obesity, maybe they should be on it their whole life because of insulin resistance and it helps to balance that out. A lot of that stuff, but um, you know, so I just don't like it for the casual weight loss.

• 1:19:58Bunnie XO?

  Right, absolutely. And I believe that too. And that was actually, my next question was about the bariatric surgery. So I'm, I like to see where your stance is on that too. Um, my thing is, is I was around for the diet pill craze and I was getting diet shots and I don't even know what the fuck I was getting shot into me fucking a decade ago for may, actually probably 15 years ago and I had it and I did it for probably six to seven years. I was taking Bantrel, 105 milligram diet pills, Phenermine, getting diet shots every week. And I just know that my health in my 40s, my heart is, a normal heart rate for me is 110,

• 1:20:38Bunnie XO?

  100, 100, 110 when I'm walking, you know, like I, last year I had to deal with a bunch of health problems because you know, my blood pressure was crazy and stuff like that. And I just feel like this craze is, is just like that, you know, it's not the long, you're already hearing people having, um, you know, side effects from the Ozempic and Sharon Osbourne looks like, you know, heaven forbid, amazing woman. I love everything Sharon stands for, but this poor woman, what did she do to herself?

• 1:21:07Speaker 03

  I know.

• 1:21:08Bunnie XO?

  Look at her face, like she, there, there's calling it Ozempic face.

• 1:21:11Speaker 03

  Yeah.

• 1:21:12Bunnie XO?

  And it's like, she didn't need that. She was a beautiful woman. And it's just like you said, she was trying to lose five to 10 pounds and now look.

• 1:21:19Speaker 03

  It becomes an addiction. They, they love that. There's a little central nervous system thing that suppresses your appetite. And then there's obviously it decreases the emptying of the stomach. So, so you hold on it, you feel full sooner.

• 1:21:31Bunnie XO?

  Yeah.

• 1:21:32Speaker 03

  And it just like they get addicted to it and it's just like anything else where it's like, oh, I did it to lose five or 10 pounds, but man, I'm just going to keep going because I don't, I don't want to eat all that stuff over there and I don't really desire it when I'm on this medication. Instead of just kind of developing a little bit of that control, which is hard for people with the disease of obesity.

• 1:21:50Bunnie XO?

  My husband, I live with that every day with my husband.

• 1:21:52Speaker 03

  Is he still training for the 5K?

• 1:21:53Bunnie XO?

  He is. He's doing so good and I'm proud of him. He kind of had a little bit of a setback, but I'm sure he'll talk to everybody about it when he's ready.

• 1:21:59Speaker 03

  It happens.

• 1:22:00Bunnie XO?

  You know, you and the reason why I'm speaking from the heart from this whole situation is because of my husband, because he's contemplated taking Ozempic. And you know, I'm of course against it. Is he a candidate for it? Absolutely. But at the same time, my husband also has Afib, you know, and it's just like, I don't, we don't know enough about the drug yet to just be pumping it in our bodies, you know, and I don't want him to be a guinea pig.

• 1:22:24Speaker 03

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

• 1:22:44Bunnie XO?

  You've got to be your biggest advocate though. You, it's, it's, you have to have dietary changes and stuff like that too, even when you're on it.

• 1:22:51Speaker 03

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

• 1:23:02Bunnie XO?

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

• 1:23:31Speaker 03

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

• 1:23:47Bunnie XO?

  Kickstartering it.

• 1:23:48Speaker 03

  I will tell you, my advice to him is dude, it is always this. It is never a straight line.

• 1:23:55Bunnie XO?

  Ever.

• 1:23:55Speaker 03

  And like a lot of my patients that I deal with, with obesity, who, who just are unhappy and can't get there. Whenever they have a little trip or a fall, the world falls apart.

• 1:24:07Bunnie XO?

  Yes.

• 1:24:08Speaker 03

  I'm like, you have to remember.

• 1:24:10Bunnie XO?

  You just get back on the wagon.

• 1:24:11Speaker 03

  No one is perfect. You are going to have failures. It's what you do after the failure that defines how you're gonna go. Right? So it's okay to have a setback and then you just auto correct and get back to where you were.

• 1:24:22Bunnie XO?

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

• 1:24:24Speaker 03

  Okay, failing.

• 1:24:25Bunnie XO?

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

• 1:24:39Speaker 03

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

• 1:24:45Bunnie XO?

  Tell her to get some wild yam cream.

• 1:24:47Speaker 03

  Wild yam?

• 1:24:48Bunnie XO?

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

• 1:24:59Bunnie XO?

  I cannot take myself serious with these.

• 1:25:04Speaker 03

  Yum cream, what is yum?

• 1:25:06Bunnie XO?

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

• 1:25:22Speaker 03

  I'm all, I'm down.

• 1:25:23Bunnie XO?

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

• 1:25:46Speaker 03

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

• 1:25:49Bunnie XO?

  Oh yeah, me too.

• 1:25:50Speaker 03

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

• 1:25:53Bunnie XO?

  Oh, poor baby. Gosh, yeah. Tell her get on that wild yam cream.

• 1:25:56Speaker 03

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

• 1:25:59Bunnie XO?

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

• 1:26:24Speaker 03

  What I would say to that question without being able to give you the details for the hormone stuff is that if you don't find the right practitioner who listens, go somewhere else. There are so many providers out there who are really good at what they do. And if you don't find the answers from the one that you don't like hearing what you're hearing, go to someone else.

• 1:26:47Bunnie XO?

  Yeah, absolutely.

• 1:26:48Speaker 03

  Second, third, fourth opinions.

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• 1:27:19Bunnie XO?

  Yeah, I tell everybody, date your therapist, but you can also date your doctor too. You know, find somebody who listens to you.

• 1:27:25Speaker 03

  Yeah.

• 1:27:26Bunnie XO?

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

• 1:27:29Speaker 03

  For sure. And you guys get the raw end of the deal, man. The hormone stuff, women.

• 1:27:34Bunnie XO?

  Oh.

• 1:27:34Speaker 03

  Dude, it's rough.

• 1:27:35Bunnie XO?

  Yeah, it's been wild. Yeah, I've had a, last year I fucking had to go through a ton of shit just to learn that I was allergic to rice.

• 1:27:42Speaker 03

  Oh, I heard you talking about that.

• 1:27:44Bunnie XO?

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

• 1:28:04Speaker 03

  This is an easy answer.

• 1:28:06Bunnie XO?

  Yeah.

• 1:28:07Speaker 03

  I was always taught who not to operate on, not who to operate on.

• 1:28:12Speaker 03

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

• 1:28:54Speaker 03

  But I'm going to give you three or four other names, if you would like, of other doctors in town that I think are phenomenal, that might, you might jive with better.

• 1:29:01Bunnie XO?

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

• 1:29:05Speaker 03

  I can't do that. Bunny, I probably could be a lot more wealthy than I am by just being unethical and just doing whatever to whoever.

• 1:29:14Bunnie XO?

  Yeah.

• 1:29:15Speaker 03

  I, I can't. That's just not who I am and I can't put my head on my pillow at nighttime. I have to feel good about what I do.

• 1:29:20Bunnie XO?

  Yeah.

• 1:29:21Speaker 03

  And, and so everyone's not for me and, and I don't want to, I don't want to hurt people. I'm not in the business of hurting people. We're trying to help people. So if I think that something's not going to go well, I just divert them.

• 1:29:33Bunnie XO?

  I love that. That's amazing.

• 1:29:35Speaker 03

  Yeah.

• 1:29:35Bunnie XO?

  What's the weirdest surgery you've ever done?

• 1:29:39Speaker 03

  Weirdest?

• 1:29:40Bunnie XO?

  Craziest, weirdest, outlandish?

• 1:29:45Speaker 03

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

• 1:30:14Bunnie XO?

  Yeah.

• 1:30:14Speaker 03

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

• 1:30:23Bunnie XO?

  Yeah.

• 1:30:24Speaker 03

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

• 1:30:36Bunnie XO?

  Golly.

• 1:30:37Speaker 03

  It's crazy shit.

• 1:30:40Bunnie XO?

  Oh.

• 1:30:41Speaker 03

  A free fibula flap?

• 1:30:42Bunnie XO?

  Wow.

• 1:30:43Speaker 03

  Dude, they are badass operations.

• 1:30:44Bunnie XO?

  That is wild.

• 1:30:45Speaker 03

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

• 1:30:53Bunnie XO?

  How long does a surgery like that take?

• 1:30:55Speaker 03

  Man.

• 1:30:56Bunnie XO?

  Cause that's like so extensive.

• 1:30:58Speaker 03

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

• 1:31:27Bunnie XO?

  Goodness, that is crazy.

• 1:31:28Speaker 03

  It's pretty crazy. We did one that was 18.

• 1:31:32Bunnie XO?

  Oh my gosh.

• 1:31:33Speaker 03

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

• 1:31:43Bunnie XO?

  Yeah.

• 1:31:43Speaker 03

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

• 1:31:52Bunnie XO?

  Oh my goodness.

• 1:31:53Speaker 03

  Like 17 hours.

• 1:31:54Bunnie XO?

  That's fascinating though.

• 1:31:56Speaker 03

  It's crazy.

• 1:31:56Bunnie XO?

  That is really crazy. It's gotta be just so fulfilling to just know that you're making people's lives really.

• 1:32:03Speaker 03

  When you see those people leave the hospital, it's pretty badass.

• 1:32:07Bunnie XO?

  Yeah.

• 1:32:07Speaker 03

  It's like a pretty incredible feeling. Breast cancer is that way. Breast cancer reconstruction is that way.

• 1:32:12Bunnie XO?

  I love that, yeah.

• 1:32:13Speaker 03

  But look, I derive the same pleasure from a cosmetic procedure.

• 1:32:16Bunnie XO?

  Right.

• 1:32:17Speaker 03

  So something I think we didn't talk about that would be cool is I can't stand the comments that you get about people that comment, why can't you just love yourself? Like when we put up a cosmetic post.

• 1:32:27Bunnie XO?

  Yeah.

• 1:32:27Speaker 03

  Why can't you just love yourself the way you are, the way that God made you?

• 1:32:31Bunnie XO?

  Yeah.

• 1:32:31Speaker 03

  Look, people. Just because you want to have a procedure to make something look better.

• 1:32:37Bunnie XO?

  Enhanced.

• 1:32:37Speaker 03

  Doesn't mean that you don't love yourself and it doesn't mean that you don't appreciate yourself.

• 1:32:42Bunnie XO?

  Absolutely.

• 1:32:43Speaker 03

  It is okay to do something that you can't do with other means like working out or exercising, like the saggy breast. You can work out all you want, but it is not going to lift and revolumize itself without a procedure. So I derive the same amount of pleasure from a reconstructive procedure. When I have a woman come in feeling really down about their body and really negative, and I do a breast operation and they come back crying, happy and everything's amazing, you know? So those, those are just, just as amazing victories as the other ones are.

• 1:33:15Bunnie XO?

  Yeah. Well, all in all, it's the same. Uh, end game, it's you're literally making these people feel whole again.

• 1:33:22Speaker 03

  Yeah.

• 1:33:22Bunnie XO?

  Or feel good about themselves and that's like chicken soup for the soul.

• 1:33:25Speaker 03

  Totally.

• 1:33:26Bunnie XO?

  Yeah.

• 1:33:26Speaker 03

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

• 1:33:42Bunnie XO?

  Well, we are so thankful for you.

• 1:33:44Speaker 03

  We're thankful for you guys.

• 1:33:45Bunnie XO?

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

• 1:33:53Speaker 03

  Yeah, it's pretty crazy.

• 1:33:54Bunnie XO?

  You, you're really good at branding.

• 1:33:56Speaker 03

  Me?

• 1:33:57Bunnie XO?

  Yeah.

• 1:33:57Speaker 03

  Really?

• 1:33:58Bunnie XO?

  Oh, yeah, yeah, yeah.

• 1:33:58Speaker 03

  Do you know I do all that shit on my own?

• 1:34:00Bunnie XO?

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

• 1:34:03Speaker 03

  I need someone.

• 1:34:04Bunnie XO?

  Except for the podcast.

• 1:34:05Speaker 03

  It's getting hard, but um, I mean, I'm everywhere. I'm Dr. Ricky on YouTube. Um, they can find me on TikTok, the real TikTok doc, and then my Instagram is DR Richard J Brown. You know, when you're verified, you can't change your goddamn name.

• 1:34:19Bunnie XO?

  Yeah, I tried.

• 1:34:20Speaker 03

  What a fucking pain.

• 1:34:21Bunnie XO?

  I know.

• 1:34:21Speaker 03

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

• 1:34:32Bunnie XO?

  If you could get an answer from customer service would be great, but you can't.

• 1:34:36Speaker 03

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

• 1:34:44Bunnie XO?

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

• 1:34:52Speaker 03

  Totally.

• 1:34:53Bunnie XO?

  Yeah.

• 1:34:53Speaker 03

  Hundred percent.

• 1:34:54Bunnie XO?

  Thank you so much for coming on.

• 1:34:56Speaker 03

  My pleasure.

• 1:34:56Bunnie XO?

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

• 1:35:03Speaker 03

  Same to you guys.

• 1:35:04Bunnie XO?

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

• 1:35:05Speaker 03

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

• 1:35:08Bunnie XO?

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

• 1:35:13Speaker 03

  He's like, maybe not.

• 1:35:14Bunnie XO?

  Thank you, guys, for tuning into another episode of Done Blonde. I will see you, guys, next week. Bye.

• 1:35:23Bunnie XO?

  We use Shopify for our storefront at bunnyxo.com. And one thing I've learned from running an online store is that you definitely don't have to be an ecommerce expert to get started. I think a lot of people get intimidated by the website side of starting a business, but Shopify makes that part so much easier. One of my favorite things is having everything in one place when you're running a business. You already have a million things going on, so the last thing you want is for managing your storefront to be one more thing to stress about. Shopify makes it easy to get your store launched, manage it, and actually focus on selling. They also have pre-built themes and an AI site builder that can help you create a professional-looking storefront without having to build a website from scratch. And if a friend asks me about starting a store before the holidays, I tell them, don't wait until Black Friday.

• 1:36:08Bunnie XO?

  Get it launched. Learn what works for you and have everything ready before that holiday traffic starts coming in. If you're ready to launch your business before Black Friday, go to Shopify.com/bunny to start your free trial. That's Shopify.com/B-U-N-N-I-E. Go to Shopify.com/bunny today to hear your first.