The Cost of Luxury Plastic Surgery (w/ Dr. Neinstein)

Haley is joined by Dr. Neinstein, luxury plastic surgeon and 'mommy makeover' specialist. They discuss what it actually costs to get these surgeries, which clients seek him out, using peptides, recovering in The Plaza, and more. Get up to $200 off Square hardware when you sign up at square.com/go/TEA! #squarepod Financial Tea with Mrs. Dow Jones is a Sony Music Entertainment production. Find more great podcasts from Sony Music Entertainment at sonymusic.com/podcasts and follow us at @sonypodcasts To bring your brand to life in this podcast, email [email protected] Learn more about your ad choices. Visit podcastchoices.com/adchoices

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

• 0:00Haley Sacks?

  Okay, we all love to romanticize being your own boss, but even when you have a team, you still end up being the bookkeeper, the marketing department, and the person rearranging appointments at 11:00 PM. And that work isn't just annoying, it is expensive. And it's especially taxing for businesses that run on appointments. So if you own a business that takes bookings, this one's for you. Gloss Genius is the system that runs the operations for you behind the scenes. Scheduling, payments, admin, handled automatically. Payment processing is a flat rate with zero hidden fees. And check out rebook's clients on the spot. Clients can book in seconds too, so there's no login or separate app necessary. So you actually get more appointments. 125,000

• 0:45Haley Sacks?

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• 0:59Speaker 01

  The other day I was going through my desk and I found a journal right from when I graduated, and it had pen and paper, how much I spent each day. At this time, I think I was making around $40,000 and access cash flow was pretty tight. So I had to watch every penny. I think about how far we've come with technology and advancements to help us with this stuff. We don't need a journal with pen and paper anymore. The answers are out there. And Monarch is one of those answers. Monarch is literally, it's like having a financial advisor in your pocket. So you can use AI to help see what you're spending. Monarch will help you have full visibility in your accounts. It will help you see your trends. It will help you set goals, map out big purchases, see if

• 1:44Speaker 01

  you're actually on track to where you wanted to be. You can ask Monarch's AI assistant anything about your finances. Like, hey, how much should I spend on travel last summer? Can I afford this vacation without touching my savings? You can spot things you wouldn't think about before, like, oh, hey, has my spending gone up or just inflation? I was using pen and paper. Now you can use tools, like a full financial advisor in your pocket, and that's called Monarch. So what you want to do is you want to go to monarch.com, use code TRADING. The first year of Monarch Core is half off at just 50 bucks. That's 50% off your first year. Just go to monarch.com with code trading.

• 2:28Haley Sacks?

  People used to hide plastic surgery. Everything was hush, hush. Then it was people were open to saying, I had my tummy tuck, or I had a facelift. And now it's who did it? This is what I'm wearing? This is who did my jewelry? And this is who did my body? It's part of like, you know, explaining your look.

• 2:49Haley Sacks?

  This is Financial Tea.

• 2:54Haley Sacks?

  What's up, sippers? Welcome back to Financial Tea. This is a podcast where I teach you how to build wealth with a side of market drama, money scandals, and of course, financial pop culture. And today, we are joined by the top mommy makeover expert in the world, Dr. Neinsteins. You guys, this is, I mean, going to you is like getting a Birkin. It is something that people flaunt, is something that people brag about. You did the woman who started Poppy and sold it for a billion dollars. She was posting all over it online. You did Lauren Bostick. I mean, you are the go-to surgeon for some of the most elite names. And as we see such a dramatic rise in plastic surgery, I just really wanted to have someone on the Financial Tea who's on the

• 3:38Haley Sacks?

  inside. So I'm so happy that you're here.

• 3:41Speaker 02

  Flattery will get you everywhere. And thank you very much. It's an honor to be here. I've been looking forward to this.

• 3:46Haley Sacks?

  But first, let's get into the MDJ market report. Hey, sippers, our first story is about dating, because guess what? It now costs $189. That is not a typo. That is not a Coachella wristband. That is a single mother freaking date. And that is up like 12.6% from $168 last year, because apparently inflation looked at all of our love lives and was like, yeah, you know what? We're gonna hit that too. Gen Z, by the way, is paying $205 per date. The millennials are paying $252, which is a 32% jump, which I'd like to remind everyone, is a bigger raise than most of you got at work this year. So basically, your situationship is outperforming your salary.

• 4:28Haley Sacks?

  But what's crazy, I was reading all about this, is half of Gen Z and 40% of millennials now say that dating is interfering with their financial goals, which is a very expensive way to find out you actually don't like brunch that much. More than half of unmarried 22 to 35-year-olds said they're not dating at all because of money. And 78% of Americans say a partner's debt is an instant deal breaker. That's insane. Like, we've gone from what's your sign to what's your credit score real fast. And honestly, that's on growth. So basically, Gen Z invented a name for this. It's called solo maxing. And it's when, instead of just being single, you rebrand it as

• 5:09Haley Sacks?

  a personality trait. And now nearly half of 18 to 34-year-olds are talking about how being single feels more peaceful than being in a relationship. And 42% of them think relationships get in the way of their ambition. And it's cool. I mean, it's very like, I don't need a man, I need a Roth IRA. And listen, I respect the confidence. And honestly, I've been there. Like, I actually think that I got really far in my career because I didn't date that much. It can be really distracting, especially with these fucktards in New York. But the plot twist that no one's talking about here, and the part that nobody's saying at brunch, is that, yes, staying single, if you're doing it for financial reasons, might win you the week, but it will quietly lose

• 5:53Haley Sacks?

  you the decade, because living with a partner is the single best inflation hedge available to a young adult. And when you opt out of dating, you are opting out of that too. Like, I swear, America is set up for us to be partnered. They love it. The whole tax code is basically written around one plus one equals two. So let's talk about it, because I know we're gonna talk about the tax code, but it's more interesting than it sounds. And it really puts us into perspective. Like, in 2026, married couples get a standard deduction of $32,200, but singles get $16,100, exactly half. And spouses can transfer assets tax-free. And one spouse can literally claim

• 6:35Haley Sacks?

  the other's social security. And let's be real, your situationship cannot do any of that for you. Your situationship can hardly commit to like a group chat name. But I will say, if you can find someone that you actually want to be with, it's very good for your finances. Like, healthcare, same deal. You can buy in coverage under one household plan, and premiums drop 20 to 30% per person. And obviously, we're not even talking about housing. A single person paying $2,400 for a one-bedroom is eating that whole bill alone. But you split it with a partner, and your fixed costs get cut in half overnight, which is money back in your pocket. I mean, I'm so excited about that. I'm moving in with my boyfriend in September. And I'm like, I love him, he's my person. But I'm also like, hell, yeah, I'm gonna have all this money back in the bank.

• 7:19Haley Sacks?

  What am I gonna do with it? You know it. I'm gonna invest. It's gonna be compounding in an index fund instead of just compounding in my freaking rental. Here is the math that I want to just end this with. When you skip the $40 dinner for your date or whatever, it might save you $40 this week, but it could cost you the one system that could have cut your biggest expenses in half and doubled your savings rate for the next 10 years. So solo maxing, great plot twist. I'm all about it. I did it for so long. But I will admit, it is a terrible financial plan. And our second story is really interesting, because, you know, on one hand, I read all these articles about Gen Z millennials skipping the $189 date. But nowhere do I see

• 8:03Haley Sacks?

  that we are not spending. We're just redirecting that money to other places. And one place that we are loving to lay down the dollars is the plastic surgeon's office. Yes, plastic surgery is not just growing, it is becoming mainstream faster than literally any other consumer category right now. And Gen Z, they can't really afford the surgeries outright yet. And so they're financing their way in, which means like, if you met a 24-year-old whose face is like lifted to the gods, they've got the Bel Hadid eyes, whatever, and you look at their credit card statement, it will track completely. Because they're using buy now, pay later, and credit

• 8:43Haley Sacks?

  cards for that shit. Procedures are up 42.5% globally over the last four years. And Gen Z has upped their cosmetic procedure consumption specifically 41% in a single year. And what's crazy is that this has made Gen Z the most credit-reliant generation in history for medical spending. They're not spending it on weddings, they're spending it on medical stuff. 46% of Gen Z said that they've used credit cards specifically for medical expenses in the past year, which is over four times the rate of baby boomers. And 48% use buy now, pay later just to get by, which is six times the boomer rate. And what's crazy is like, you'll hear in today's episode, we talk to this big time Upper East Side plastic surgeon, and he doesn't even

• 9:28Haley Sacks?

  take credit cards or buy now, pay later. He's like, I want wires. Because he doesn't want patients like this. You know, like, if you're gonna do your nose and for interest installments, like, it's a Zara top, I think the surgeons are a little scared of you, because they're like, damn, like, that just sounds like someone who's maybe not mentally that sound. But what's messed up on the other side is that the buy now, pay later, people love it. Like, a firm has doubled its amount of elective medical providers. They're going after Botox injectables, they're going after rhinoplasty, because a $2,000 procedure just fits into their installment model perfectly. And even though people are under so much financial pressure right now, the beauty spend still holds. Like, over a quarter of millennials said that they would

• 10:12Haley Sacks?

  prioritize a med spa appointment over eating out or a haircut, even as one in five people have cut out cosmetic spending because of inflation. So I will just say, Gen Z millennials, we're cutting corners everywhere in the budget, we're cutting the dating, except when it comes to our faces and our bodies, because that apparently gets four easy payments, no negotiations. And now, let's listen to our episode with Dr. Neinsteins. He is a top New York City plastic surgeon. He specializes in mommy makeovers, which, listen to the episode you'll hear about. It's really crazy. And it was interesting to sit down with him. I think that you will enjoy this episode. It's definitely a whole thing. And it's something, you know, Financial Tea is

• 10:55Haley Sacks?

  all about how the money's moving. So we had to have him on to hear about how people are spending on their bodies and their faces. So without further ado, let's listen to Dr. Neinsteins. Don't forget to rate, review, subscribe. It really helps the show. Stay rich.

• 11:10Haley Sacks?

  Well, we always start with a few rapid fire questions. So first of all, Dr. Neinstein, what are your best and worst purchases of the week so far? And how much did they each cost?

• 11:19Speaker 02

  The best purchase I made this week was getting a custom Knicks jersey for Dr. Alfredo Hoyos in Bogota, Colombia, because I'm sending our newest surgeon down to train with him to learn all the new cutting edge things that the South Americans are doing. So shout out to Dr. Alfredo Hoyos. We are excited for you to wear the Knicks jersey proud. You'll enjoy it. That's the best purchase and that was $185. What is the worst purchase? I'll tell you what the worst purchase is. I'm trying to eat healthy. I'm not sure when this is gonna air, but you know, I bought lettuce and you know, destroyed my stomach, so like six bucks worth-

• 12:02Haley Sacks?

  Oh, you have the diarrhea?

• 12:04Speaker 02

  No, it has passed and I'm not sure if it was it, but I was really-

• 12:07Haley Sacks?

  Something happened?

• 12:08Speaker 02

  Something happened with lettuce, so-

• 12:09Haley Sacks?

  Something happened with lettuce?

• 12:10Speaker 02

  Yeah.

• 12:11Haley Sacks?

  But you didn't have the full thing, though?

• 12:12Speaker 02

  No, but the worst purchase I've had all week was lettuce and it was like seven bucks.

• 12:17Haley Sacks?

  Damn, they got you good. Taylor Farms-

• 12:20Speaker 02

  They got me dirty.

• 12:20Haley Sacks?

  They did you dirty. So I wanted to just start by asking, what does a mommy makeover entail exactly? Like, I think that we hear the term thrown around, but many people aren't actually in the plastic surgery ecosystem and don't know what it is.

• 12:35Speaker 02

  So if I'm at a dinner party or wherever I am and someone's like, what do you, you're the mommy makeover guy or whatever, what do you do? I'm like, I help moms get sexy and hot again. Like zoom out and most of the time they're like, I'm in? I don't know what that means.

• 12:54Haley Sacks?

  Yeah.

• 12:54Speaker 02

  But like, I wanna feel sexy, hot and look amazing again, cause like, who wasn't?

• 12:59Haley Sacks?

  Yeah.

• 13:00Speaker 02

  Who doesn't? What that really means is we're reversing the changes from pregnancies that cannot be done any other way. So I don't care how many Pilates and peptides and GLP-1s you inject into your body. If your muscles are separated, you got a pooch. If you've been stretched a few times, you have more skin than you need. And the people who take great care of themselves, which these moms do, you know, it's incredibly frustrated when the effort does not equal the outcome, which when the way they feel does not reflect on what they see in the mirror. Most, and one of the reasons I love mommy makeovers is most of these people are not plastic surgery people. They're not trying to look different, you know, like, hey, I just don't like my face,

• 13:45Speaker 02

  make it look different. It is solving a problem that is impacting their life. They've done, you know, they've had their kids, they've done everything possible to avoid surgery, but like, they can't enjoy intimacy. They can't enjoy working out because they can't feel their core. They can't enjoy going on vacation because no matter how much they exercise, they can't stand the way they look in a bathing suit. So this operation, as long as people keep having babies, will never go away.

• 14:12Haley Sacks?

  So how much do they cost? And what are the actual, like, what's the breakdown of the procedures?

• 14:17Speaker 02

  So I typically break the torso down from the breast. And the reason is, most of the time now, the procedures have evolved. We used to kind of just fix the muscles in the front, get rid of the skin. But now, you know, the patients are so much more sophisticated and they want their whole body to be in harmony. They're a little looser because of all the GLP-1s floating around. So, you know, my operation, which most people don't do because it's just a lot of surgery, it takes a very specialized team, the resources, the aftercare. We do, you know, we repair the muscles underneath, so your bulge goes flat. So now the inside's flat. We get rid of the extra skin on the front of your stomach. We lift the thighs. We make the waist tight.

• 15:00Speaker 02

  We lift the bum, reshape the bum, sculpt the back, so it's a full reno, you know? Cause a lot of the cases I see are people who've had traditional or legacy tucks, which were great operations, still a great operation in the right person, but they're like, hey, the front of my body doesn't look like the rest of my body. And I want it all to look, you know, elegant and natural. And what we appreciate now, and patients actually understand this now, minimally invasive, non-invasive is gone. What they want is, if you wanna look as beautiful and as natural and as elegant as possible, you have to do the most amount of surgery. I have to take everything apart and put it all back together to look like, to make it look like you never had surgery.

• 15:44Speaker 02

  When you start doing patchwork, mini this, a little here, a little there, it looks like someone did something. But when you take it all apart, that's, and put it all back together, that's when six months later, the moms say, I wear whatever I want, I don't think about my body and nobody knows I had surgery.

• 16:02Haley Sacks?

  Wow.

• 16:02Speaker 02

  And that's what we're offering and that is what is unique about us.

• 16:06Haley Sacks?

  So what is the cost of that?

• 16:08Speaker 02

  You know, price is what you pay and value is what you get.

• 16:11Haley Sacks?

  Yes.

• 16:11Speaker 02

  And then as long as the value is higher than the price, it doesn't matter. In New York City, it could be upwards of $150,000, $200,000 for the whole kit and caboodle. You know, in a practice like us, where we have lots of surgeons, you can get the same operation, the same system, the same brand, the same swag, the same feeling for $50,000. So-

• 16:33Haley Sacks?

  So it's like flying premium economy versus first Delta One?

• 16:37Speaker 02

  If I tell you all Birkins are not priced the same, you get it. But you still got a Birkin.

• 16:43Haley Sacks?

  Yeah.

• 16:44Speaker 02

  If you're staying in, you know, the regular room at an Aman Resort or the penthouse, you're still staying at the Aman.

• 16:51Haley Sacks?

  Yeah.

• 16:52Speaker 02

  You're still getting the swag, you're still, you know, you're still, you still have the address, you're still putting in, you know, the Aman in your Uber. So the brand speaks for itself.

• 17:01Haley Sacks?

  When you think about your patients, is there one patient that you remember who's spent like the most money with you on plastic surgeries in your practice?

• 17:10Speaker 02

  I'm not gonna do anything that I don't think looks beautiful and elegant, but there are people who have had multiple operations over many, many years for various changes in their body that have spent hundreds and hundreds of thousands of dollars. And those people will tell you right now, best thing they ever did.

• 17:27Haley Sacks?

  I think what's interesting, and you are on the front lines of this, because I mean, even just now, you're comparing the Neinstein plastic surgery brand to an Hermes Birkin or the Aman. And I think that we've seen this interesting cultural shift where plastic surgery used to be something that you would hide and lie about. And now, not only is it embraced, but with the Neinstein touch, it's considered this token of value. So have you noticed this as well? Was that intentional?

• 17:59Speaker 02

  It's definitely intentional, but also in line and swimming upstream with societal changes. People used to hide plastic surgery. Everything was hush, hush. Then it was people were open to saying, I had my tummy tuck or I had a facelift. And now it's who did it?

• 18:18Haley Sacks?

  Mm-hmm.

• 18:19Speaker 02

  You know, it is-

• 18:20Haley Sacks?

  Dr. Steve Levine for Chris Kardashian, we all know it.

• 18:24Speaker 02

  One of my good friends. We had dinner last week and, you know, it's the, this is what I'm wearing, this is who did my jewelry and this is who did my body. It's part of like, you know, explaining your look. The brand of the plastic surgery has, you know, evolved to have, you know, the overlap of the Venn diagram of clothing, travel, you know, there's, there's a reason, for better, for worse, the patient demographics, you know? They go to St. Bart's in Aspen, then they go to Saint-Tropez in the summer, they shop at the same stores, they wear the same, you know, it's, it's all on this kind of same continuum.

• 19:03Haley Sacks?

  So, I mean, I think that it is definitely seen as a status symbol that sort of symbolizes a certain type of woman. And I was thinking about how with dupe culture, luxury goods are sort of on their way out because anyone can get a dupe of the Bottega bag or the Birkin or whatever. And like, that's not really seen as a status symbol anymore, but there's all these studies about ultra-rich consumers looking towards experiences as being where they wanna spend money, because that's something that can't be duped. So, you know, do you think of it as a symbol of status to be one of your patients? And in terms of what you do, walk us through like the branding around it?

• 19:43Speaker 02

  So, this is a great point. And, you know, I always tell people, like, you can get a great operation anywhere. I don't think I have, you know, some magic gift that no other surgeon can do. We have built our brand- Twofold, you know, 50% is we're hyper focused on surgery. We're going to be super intentional and deep. And then we're going to build an experience, you know, whether it's a mom or someone who lost a lot of weight or whoever wants to come to New York. We're gonna, you know what? We're gonna treat you like a princess for a week. You're gonna be in the Plaza. You're gonna get all the swag. You're gonna get all the merch.

• 20:19Haley Sacks?

  Walk us through the whole experience. So like, what is the 19 classic surgery?

• 20:22Speaker 02

  First of all, I want to, you know, create a feeling in people. And second of all, obviously, I can't do all the surgery like myself. And you can create a better experience when you have a bigger infrastructure. If you can have a bigger infrastructure, you need more, you know, people doing the surgeries to pay for that infrastructure. So, you know, from the moment you call or reach out online or whichever way, most of it's word of mouth, but if you're reaching out, you will see, like, you'll hear on the, on the, on the call, someone smiling, you know? We say, like, we teach everyone who answers the phone, you have to smile when you answer the phone. People can tell, okay? So the branding starts at that call. They'll get to know you, oh, your mom, three from Jersey, this, that, and the other.

• 21:06Speaker 02

  Let me ask you, let me tell you how I'm gonna help get you there. Okay, let's talk about your travel schedule, summer camp. Like, when someone interacts with our office, they're like, these people know what they're talking about, and they're a real guide.

• 21:21Haley Sacks?

  So wait, let's like role play. So I'm a mom from Minnesota. I see you online. I want to get my body done.

• 21:28Speaker 02

  Yeah.

• 21:28Haley Sacks?

  So I fly to New York.

• 21:31Speaker 02

  Yeah.

• 21:31Haley Sacks?

  What is the whole process?

• 21:33Speaker 02

  Okay, so, you know.

• 21:34Haley Sacks?

  Where am I staying? How, when am I seeing you?

• 21:37Speaker 02

  So also, you know, we have access to drivers who can pick you up, who are also discreet. They're gonna take you to the Plaza.

• 21:43Haley Sacks?

  So I land JFK.

• 21:45Speaker 02

  You get picked up, you take it to the Plaza. What you're gonna notice when you enter one of our partner hotels, not just the Plaza. When you say you're a patient.

• 21:52Haley Sacks?

  What are your partner hotels?

• 21:53Speaker 02

  The Ritz, the AK, and the Pierre, okay? But like, the majority of our patients stay at the Plaza. When you get there and you say, I'm a patient with 19 plastic surgery, you're gonna see there's a shift in the air. Like, this is a special moment. They're gonna, you know, the Plaza is gonna, and the other hotels, they're gonna treat you special, okay? Not that their other guests aren't, but they're like, hey, I know this person's here for an operation. When you go up to your room, there's gonna be a signed, you know, card from the manager. There's gonna be the 19 plastic surgery teddy bear with the sleep mask, and this, that, and the other. Things that are already gonna make you feel special. You're gonna get a call the night before your surgery, because people fly in typically the day before, from your surgeon, from me, from your anesthesiologist, telling you, you know, we're so excited to have you come.

• 22:38Speaker 02

  We're gonna rock this tomorrow. We're gonna take the stress and anxiety out. Before you even get there, you're sent a text, because that's what people want, in blue, not green, meaning it's coming from a human, not automated. Hey, here's where you're staying. These are the cool places that you should order your bone broth, your juice, your coffee from. If you have kids, they should go here. Like, if you have a chance to go for dinner, call this number, go to this place, go to that place. We can set all that up. On the day of surgery, you know, we're gonna give you the swag. We're gonna make you feel great. We're gonna do the operation. And then, like, that's when the real magic takes over. Because the biggest fear and anxiety people have of surgery is, you know, what happens after surgery? That's where the magic is. So in recovery room, you have your own nurse and your post-op nurse.

• 23:22Speaker 02

  You're there, there's no rush, you know? We're not turning people around quickly. While you're in surgery, your room is being set up. So the medications, the supplies, everything is being delivered. So like, you're set up. People love that, especially husbands and partners, who like, don't want to be bothered. And they want to stay in Minnesota, or LA, or two blocks away, in their office, and not be like, running around, trying to get stuff and set up a room. So everything's done for you. The patient's brought to the hotel room when they're fully recovered through the back door of whatever hotel. And then they have 24/7 nursing. So we're doing the massages, the hyperbaric. We have access to blowouts, private shafts. The, you know, a lot of them on day four, day five, like to go around Bergdorf's in a wheelchair with their private chopper.

• 24:07Speaker 02

  This is, hey, I had all these kids, or I lost all this weight. I work hard, or I take care of so many people. It's always about them. Here's an experience. It's all about you. We're gonna make this all about you, and you're gonna leave hot, okay? And the partners, husbands, they're happy. They're like, I'm gonna, I'll send her, see you in a week? Like, let her have a great experience? Send her home hot. Like, send her home feeling great and happy.

• 24:35Haley Sacks?

  But I feel like, it's like, such an intense surgery, you know? Even though it's all, you can have all of these.

• 24:42Speaker 02

  Bells and whistles.

• 24:42Haley Sacks?

  Yeah, it's still like, so serious.

• 24:45Speaker 02

  But that's why we have the 24/7 nursing, that has a system based on like, a decade of experience. They're analyzing everything, doing the medications, the garments, taking you to the bathroom. And the surgeons are coming, like, one of the things I truly believe is, big surgery, big responsibility. We go in the morning and see our patients. You know, that's why I get up so early. Before I go to, you know, to the OR, I could be seeing five, six people in the hotel. But those are not just to show up and say like, okay, you have no infection, there's no bleeding. That's when you create that bond with someone. That's the brand, it's the feeling.

• 25:22Speaker 03

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• 25:50Haley Sacks?

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• 26:35Haley Sacks?

  Right now, you can get up to $200 off Square hardware at square.com/go/t. That's S-Q-U-A-R-E.com/go/t. Run your business smarter with Square. Get started today. Break it down, because like, you're saying the surgery costs between 150 to 200K, but then you're adding.

• 26:56Speaker 02

  That's all à la carte. Yeah, they pay for all that.

• 26:58Haley Sacks?

  You're adding the, the, like, do you have a deal with the hotels?

• 27:02Speaker 02

  The hotel doesn't give our patients a deal. They just treat them better. We have a 24/7 concierge.

• 27:06Haley Sacks?

  We want like, you know, Dr. 19. This is the financial tea. And I think there's a lot of people who, they want the numbers. So walk us through it.

• 27:13Speaker 02

  Could be anywhere from like, 20 to 50,000.

• 27:14Haley Sacks?

  Like, how much are you spending on top of the surgery?

• 27:16Speaker 02

  Could be anywhere, you know, people, sometimes they have a friend, you have an apartment, or they live here, so it could be less. But sometimes people are spending up to, you know, $50,000 extra on their aftercare.

• 27:27Haley Sacks?

  But like, you know, this is, like I said, huge surgery. So you leave after, what, a week, five days?

• 27:33Speaker 02

  If they're local, they usually stay three nights, four days. And if they're traveling, they usually stay a week.

• 27:38Haley Sacks?

  So then, after that, though, it's so much healing that you have to do. And then you're sort of, you're stripped.

• 27:43Speaker 02

  We try to get them through, you know, this major phase.

• 27:46Haley Sacks?

  You think that's the worst phase?

• 27:48Speaker 02

  Yeah, I mean, and when they get home, it's wearing the garments, it's doing the scar care and doing massages. And what's amazing, you know, we have strategic partners in Paris, in London, in Dubai, in Beverly Hills, that take care of our patients, from the lymphatic massage point of view.

• 28:06Haley Sacks?

  And then, so you're saying that you don't do surgeries à la carte? You do full mommy makeovers? So it's really smart for your pricing, because you're not doing like, a facelift here, a bleph there, a lipo here.

• 28:18Speaker 02

  I'm the neck down, not neck up.

• 28:21Haley Sacks?

  But also, you're only doing like, full.

• 28:24Speaker 02

  We do, yeah, we.

• 28:25Haley Sacks?

  Like, it's like, you're not.

• 28:26Speaker 02

  Sometimes we do smaller cases, but very, it's pretty much like, this is the operation we're doing. These are the slots you fill in the slot.

• 28:33Haley Sacks?

  Do you do labiaplasty?

• 28:35Speaker 02

  Nope.

• 28:35Haley Sacks?

  And, and can you use insurance on this?

• 28:39Speaker 02

  Nope.

• 28:39Haley Sacks?

  And are there any plastic surgeries that your practice just won't do?

• 28:43Speaker 02

  You know, we don't do anything neck up.

• 28:44Haley Sacks?

  Yeah.

• 28:45Speaker 02

  And part of that is strategic, because all the facelift surgeons around the country send me their patients. So that's great. And you really just can't, like, no one will believe you if you say you're really good at like, all these different things. It's not possible.

• 28:58Haley Sacks?

  How did you end up with this niche of mommy makeovers? Because it's also quite a vulnerable point in a woman's life, like.

• 29:05Speaker 02

  I think, you know, some people.

• 29:07Haley Sacks?

  You give up so much physically to have kids. Like, I know so many women who it's like, would like to have kids, but like, they're sort of like, I don't know, should I get a surrogate? Like, this seems like it's really gonna fuck my shit.

• 29:18Speaker 02

  I think we'll make your body look better than a surrogate will.

• 29:20Haley Sacks?

  Yeah.

• 29:20Speaker 02

  Like, we don't just reverse it. We reverse it and turbocharge it. So, um, listen, I think people try to pick an operation they want, and, you know, and surgeons are trying to figure out what to do. I actually think it's the opposite. It's like, who are the patients I like? You know, if you like dealing with like, 15-year-old girls, you should do noses.

• 29:40Haley Sacks?

  Yeah.

• 29:40Speaker 02

  You know, God bless you.

• 29:42Haley Sacks?

  Yeah.

• 29:42Speaker 02

  If you like dealing with the aging face, you should be facelifted. And like, you're gonna have an older patient population. I find it very easy to deal with moms, because this is the world I know and live in, you know? I have, you know, most of my patients have kids my kids' age. We speak the same language. We go to the same places. We do the same things. We have the same stresses. So it's very easy to connect.

• 30:07Haley Sacks?

  But you were doing this before you had kids, though, too?

• 30:09Speaker 02

  But this was the people in my like cohort, going in that direction.

• 30:13Haley Sacks?

  Oh, like, it was like, you're, like, it's like, if I'm.

• 30:15Speaker 02

  But the interesting thing is, you know, my patients, you know, five, six years ago, averaged about 35, and now my average patient is 55.

• 30:20Haley Sacks?

  Oh, really? Why do you think there was that shift?

• 30:23Speaker 02

  I think as your practice. matures. You know, the older patients who are sophisticated, who've been hanging around the hoop, thinking about it, maybe even for decades, you know, start appreciating that hyper specialty that now isn't just, I just do this, but now I have this huge body of experience. I also think now people are healthier than they've ever been at an older age. Like, I did an 87 year old because she was dating, you know, like, but she got done. Tummy tuck. Yeah. I see, you know, the amount of 55 to 65 year olds that look absolutely, you know, insane because they take such great care of themselves and have such vibrant personalities. But they look in the mirror and they're loose as a goose and they just want to be tight because like,

• 31:07Haley Sacks?

  Yeah.

• 31:08Speaker 02

  it's not fun and they want to look cute. And so my patient population has gotten, you know, older.

• 31:14Haley Sacks?

  So what do you say to each woman who comes out of surgery?

• 31:18Speaker 02

  Well, you're gonna have to have surgery to get behind the door.

• 31:21Haley Sacks?

  Oh, you won't tell us?

• 31:22Speaker 02

  No, these are like my, this is the secret sauce.

• 31:25Haley Sacks?

  Okay. When people, when women come in, how are they paying for these procedures? Like, is it usually their husbands push present? Wire, push presents? Like, do you have people who are taking out loans or maxing out their credit cards to replace?

• 31:37Speaker 02

  No, I don't want people, you know.

• 31:39Haley Sacks?

  So you don't take credit cards?

• 31:40Speaker 02

  No, no.

• 31:43Haley Sacks?

  Which is sad because it's like, I would want the points. Like, I'd obviously use a card with 2X points for this.

• 31:48Speaker 02

  Not with us. Um, no, and we don't want people.

• 31:51Haley Sacks?

  Why is that? Because you don't want people financing?

• 31:54Speaker 02

  This should be an expense that you can absorb. And it shouldn't be the most important thing in your, you know, I don't want you to have too much weighing in on this as if like, I don't want you to go into debt because you think it's going to change your relationship or change your job status or change anything like that. So I don't want this to be a financial burden on someone with us.

• 32:16Haley Sacks?

  Is that unique to your practice? Like, do most plastic surgeons take credit cards?

• 32:20Speaker 02

  Most of the other surgeons in the city feel the same way. They, you know, you don't want someone's whole life to be dependent on the outcome of the surgery.

• 32:29Haley Sacks?

  And that's a way to sort of solve for it. Like, a one barrier for you is to just make sure that it is.

• 32:35Speaker 02

  It's not a financial burden. And because, and this is not a negative, this is just psychology. Even if the operation is perfect, if it, you know, if it costs you so much, it's probably not going to fulfill what you were hoping it will fulfill.

• 32:51Haley Sacks?

  Yeah.

• 32:53Speaker 02

  And, and then you're put in a very difficult situation where someone is unhappy with a perfect operation because, hey, I went into debt on this.

• 33:02Haley Sacks?

  They have a hangover.

• 33:03Speaker 02

  I, yeah, I went into debt for this and my marriage still sucks. I went into debt for this and I didn't get that promotion, you know? Versus, it's a nice to have.

• 33:14Haley Sacks?

  Well, it's funny that you mentioned the promotion thing because like, women make 30% more if they look good. And so it really is this interesting tax of being, not that you have to get plastic surgery, but that I think about a lot of like, being in the workplace that maybe men don't have to deal with as much. Like you were saying before we started that like, male plastic surgery trends aren't even a trend because they're not getting plastic surgery.

• 33:33Speaker 02

  Well, and you know, social equity for men is still like in their, you know, um, net worth and a lot of social equity for women and is in, you know, their appearance, unfortunately. Like, that's, I didn't make that up. That's just the way it is.

• 33:47Haley Sacks?

  I feel like people don't always consider the upkeep factor of surgeries too. Like, if you get your boobs done, now you're supposed to get them redone, the implants every 10 years or so. So when it comes to a mommy makeover, do you have to get any of it redone?

• 34:04Speaker 02

  You know, we want patients who are living a life where they're taking great care of themselves because that is really the upkeep, right? Like, after the operation, not really gonna have extra skin, not really gonna have extra fat. The, the muscles are where they're supposed to be. Like, eat well, exercise and like enjoy your life. You know, tummy tucks, you know, unless you need a revision for whatever reason, and about a third of my patients are revisions from elsewhere, it's a one, one and done.

• 34:28Haley Sacks?

  And how long is the recovery?

• 34:30Speaker 02

  So I tell people, you're gonna hate me for three weeks, then you'll love me the rest of your life. The first week, I'm gonna knock you down like it is house arrest. Like, the first week, and I try to make it.

• 34:41Haley Sacks?

  You're gonna be on a lot of pills, right?

• 34:42Speaker 02

  No, not so much. But I, I really try to scare people because I want them to take it seriously. The first week is, you know, the first few days, the, the first week, you're kind of out of commission. Takes you about two weeks to be able to drive, two weeks to be able to walk normally, and about a month until you feel like you're normal to go out and do, like, go to dinners, go to events, go to activities. So like, a real month, I'm like, but that's just part of it. You're not gonna notice most of the results for six weeks because your body's swollen.

• 35:11Haley Sacks?

  But a month and you're still wearing, well, how long to wear the gear for?

• 35:14Speaker 02

  Most of them are wearing it for a few months, two or three months. But now, you know, the gear is like clothes. Like, you know, a decade ago, we had like one garment. Now, skims, Spanx, there's a million companies. Like, our nurse practitioners are like, they're like your personal shopper. They're like, oh, get this for when you work out. Get this for when you go to that bar mitzvah. Get this when you ski.

• 35:34Haley Sacks?

  Yeah.

• 35:34Speaker 02

  There's a million things. But, you know, I tell people, it's a week of real downtime. This is a full-time project for a month. You're not gonna really love this for about six weeks. And at three months, most of the swelling will come down. And I'm like, I tell them all the negatives. It's expensive, there's risk, the downtime sucks. But you're gonna look hot forever and it works 100% of the time.

• 35:59Haley Sacks?

  So what does your business model look like now? Like, can you talk us through your profit margins? Like, if you have, if you're charging someone 150K for a surgery, how much of that do you keep? Because it's expensive to be you. Like, you live at the Plaza, you have all these people working for you.

• 36:14Speaker 02

  It's a company.

• 36:15Haley Sacks?

  No, it's a company, but I'm saying like, you know, how much do you make, Dr. Neinstein?

• 36:19Speaker 02

  I mean, listen, um, the margins are different depending on the operations, the time involved and things. But, you know, it could be 30, 30 some odd percent?

• 36:29Haley Sacks?

  Yeah.

• 36:29Speaker 02

  Low 30s. Like, it's expensive to run these operations. We have, you know, we don't have cheap equipment. I have almost 50 people on staff.

• 36:39Haley Sacks?

  But then in terms of like, how many bodies though you're doing a year?

• 36:42Speaker 02

  So in our practice, we do about 1,000 operations.

• 36:47Haley Sacks?

  Wow. So how many is that usually like per week?

• 36:49Speaker 02

  So remember, there's four surgeons. So, you know, break down the numbers. But I typically do one, maybe two a day.

• 36:57Haley Sacks?

  Wow.

• 36:57Speaker 02

  Three days a week.

• 36:59Haley Sacks?

  Wow. And then the rest of the time, you're running the business?

• 37:02Speaker 02

  Yeah, and seeing patients, you know? Um, one of my personal goals is, I love running the business. You know, I read a million books. I'm always trying to find mentors to learn, you know, outside of medicine. You know, the most, you know, the most beneficial things I've learned for the, our practice have not come from anyone in medicine.

• 37:20Haley Sacks?

  Yeah.

• 37:20Speaker 02

  Dive deeper and spend more time with the, you know, as our team grows, spend more time with people and, you know, less time in the operating room. And also like, my job is, you know, like Da Vinci says, shame on like the master whose people doesn't outshine him. I keep wanting to bring on new surgeons. They bring new inertia, new energy, new ideas, and I want to help them, you know, rise up.

• 37:40Haley Sacks?

  And when it comes to like new in plastic surgery, I mean, you've really got your ear to the ground. So what are, you know, is there surgery that people are getting that is less widely covered?

• 37:52Speaker 02

  It's the experience. I mean, people, you know, whether going to me or the famous facelift surgeons, it, they want an experience, you know? And the second thing, and which is I'm really excited about, you know, longevity and functional medicine is here to stay and it is entering plastic surgery practice. Not just hyperbaric oxygen, but the peptides. You know, many of our patients are on peptides before and after surgery to help them heal, but also to make them feel better.

• 38:25Haley Sacks?

  So you believe in peptides even though they're not FDA cleared yet?

• 38:28Speaker 02

  Yes.

• 38:29Haley Sacks?

  So you recommend them to people?

• 38:30Speaker 02

  Yes.

• 38:31Haley Sacks?

  Which ones?

• 38:32Speaker 02

  BPC 157, anti-inflammatory, it's gonna help you heal. GHKCU, I like the Wolverine stack and the Glow stack before and after surgery. I take them. I think it's incredibly helpful. And the future is, you know, stem cells. My longevity doctor, shout out Dr. Quo, Jonathan Quo.

• 38:52Haley Sacks?

  Dr. Quo, we love you, Dr. Quo.

• 38:54Speaker 02

  And the stem cells, especially the Muse Dzawa stem cells from Japan are gonna be an absolute game changer. They're in seven states right now.

• 39:06Haley Sacks?

  And what do they do?

• 39:07Speaker 02

  These are.

• 39:08Haley Sacks?

  So how do you use them for healing?

• 39:09Speaker 02

  So there's different ways. There's intravenous. I mean, you're gonna have cells going around your body that can turn into or turn on cells, especially in areas of damage or repair. You know, the primary concern is, you know, heal brains from strokes and hearts from heart attacks. But at the same time, these cells can be used whether you're healing from a facelift, whether you're healing from a tummy tuck. Or, you know, there's studies going on right now in California, injecting the stem cells right into the areas of surgery in a facelift. Can we take all these cells that are inflamed, damaged? Maybe their mechanisms aren't working as well? Replace them with a very healthy, young cell.

• 39:54Haley Sacks?

  Wow. So something that I was thinking about is this idea of hot because it is subjective. But what you're selling is this, basically like the same body that you would think about as like the American dream of hot to, to, you know, like it's, they're, like the Neinstein look is.

• 40:18Speaker 02

  It's a long, lean, elegant, non-exaggerated.

• 40:21Haley Sacks?

  Exactly.

• 40:22Speaker 02

  A timeless beauty, you know, kind of look.

• 40:24Haley Sacks?

  But, and so there is like this. There's also this idea of like, oh, we've got to own it. And like, you know,

• 40:31Speaker 02

  Own what?

• 40:32Haley Sacks?

  Like, Mandy Moore last week had had three, she's had three kids. And she posted a picture online, like, being quote unquote, brief, showing her extra skin after her stomach. And so you're, but you're on this other side of that conversation. So I just sort of wanted to, you know, you have, I think you have a daughter, right? And so how do you sort of look at the beauty standard when you like, look at her even?

• 40:54Speaker 02

  It's a personal feeling. Like, if Mandy Moore looks in the mirror and loves the way she looks, good for her. If Mandy Moore looks in the mirror and says, you know, I hate that my muscles are eight centimeters apart. And I'd like, you know, my back to hurt less. And when I do a plank, nothing fall on the ground. Give me a call.

• 41:10Haley Sacks?

  I just think that we're just seeing homogenization happen across the board. So like, if you think about like, the concept of Instagram face, or the pursuit of like, one idealized look. And so do you think that you're-

• 41:20Speaker 02

  I disagree. I disagree.

• 41:22Haley Sacks?

  Wow, okay. Tell us why.

• 41:24Speaker 02

  Because I never, ever, ever hear, and I've seen everyone you could think of from all over the globe. They never, the moms never walk in and show me an Instagram picture. I've never seen it once in my life.

• 41:35Haley Sacks?

  But they probably show you pictures of your work, right?

• 41:38Speaker 02

  They'd say, they sit there and they say, I hate this.

• 41:43Haley Sacks?

  Oh, so it's about their body?

• 41:44Speaker 02

  They say, I hate this. I do everything I can. I don't feel sexy. It's impacting like, my sex life because I don't feel sexy. I can't work out because my core doesn't work. My back hurts. I tried to go on, you know, I went to a bar mitzvah last week. I put on a tight dress and everything was falling all over the place. I was miserable and then left. They never, ever come in and because we are solving a real problem. I'm trying to solve their unique problem. I don't see patients who come in because I don't do, you know, like, other operations, like, to change the way you look.

• 42:25Speaker 02

  I don't see patients who say, this is how I look. This is how I want to look. I want to look like this person. Because I'm like, I don't care what that person looks like. I'm going to help you look like the best version of you in the operating room. And then guess what? After that, it's on you to like, keep going to the gym.

• 42:38Haley Sacks?

  To keep it going, yeah.

• 42:42Speaker 03

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• 43:10Haley Sacks?

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• 43:54Haley Sacks?

  If you are ready to raise your beauty standards, OG's got you covered. Go to og.com/financialt and use code FINANCIALT for 20% off. That's O G E E dot com slash financial T and enter code FINANCIALT to get 20% off.

• 44:11Haley Sacks?

  How did you come up with this vision of the like, 19 woman with the, you know, these elegant lean lines and all of this?

• 44:18Speaker 02

  You know, I listened to the patients and, you know, I was in the biography of Jane Birkin. And, you know, because when they came up with the Birkin body and, you know, and it just, listen to the words that they say, okay? They, and like, if, you know, you take thousands of the moms that we operate on, without having my input at all, what do you want to look like? I want to look sexy. I want to look elegant. And I want to look natural. And I want to look long. They don't want to like, feel, you know?

• 44:47Haley Sacks?

  Yeah.

• 44:48Speaker 02

  They, a lot of them feel like, you know, kumpa lupa, you know, because, you know, their torso's like this. Because the breasts are down and the stomach's up and they just like, stretch it out.

• 44:58Haley Sacks?

  So I'm seeing a lot of statistics too, that baby Botox is booming. Women are getting facelifts at 35. And I feel like you're saying the median age of plastic surgery at your practice has gone up to 55.

• 45:09Speaker 02

  For me, it's 55. For Dr. Anna, who is our breast specialist, you know, and, and she's doing less invasive ballerina breasts, you know, where people don't want to change their bra, change their clothes, they're just-

• 45:21Haley Sacks?

  They just want a little something.

• 45:22Speaker 02

  They want a little something. They want to maybe fill out their breasts or, you know, replace volume loss from pregnancy. Her median age is going to be a lot less.

• 45:29Haley Sacks?

  So what do you make of it? Like this, the age going down of the-

• 45:34Speaker 02

  Just exposure. It's just like, natural. Like, anyone, when there's more exposure through social media or more celebrities, more people being open and honest, like, people are going to do more. This is like, human nature. If this was all hush hush, they wouldn't do it because they wouldn't know about it.

• 45:48Haley Sacks?

  When you were in med school, did you know this was the type of doctor that you wanted to become?

• 45:53Speaker 02

  No, not even close. When I was in medical school, I-

• 45:56Haley Sacks?

  Take us through the journey to becoming Dr. 19.

• 45:58Speaker 02

  I think I got there so young.

• 46:00Haley Sacks?

  How young were you?

• 46:01Speaker 02

  Like, 19 or something. And I remember like, on the first day, they were like, you need to start thinking about residency. And in my head, I was so, I was like, residency. But, you know, growing up, science, what, in Toronto, Canada, I was just good at science and math, okay? And I played competitive sports, rugby. And I was, and, you know, my grandparents were Holocaust survivors. They're like, you know, you can do anything you want, as long as you're a doctor or a lawyer. So, you know, traditional-

• 46:25Haley Sacks?

  As long as-

• 46:25Speaker 02

  Traditionally immigrant house. And, you know, it's like, okay, I like, I have an affinity to science. I like working in a team. Medicine sounds, you know, my grandmother says I have to do it anyway, so I should probably go into it.

• 46:36Haley Sacks?

  Yeah.

• 46:37Speaker 02

  And then just when I got into medicine, I took the opportunities that they gave for observations and volunteering. And I went and saw everyone, you know, pediatrician, geriatrician, you know? And as soon as I walked in an operating room, I'm like, that's it. I'm here. And I would have been just-

• 46:52Haley Sacks?

  What did you like about it? The control?

• 46:54Speaker 02

  The immediacy of action. There's so much in our life. Like, you don't get to make change, impact. Like, here, you get to make impact. Done. Move on. And I could have been just as happy as a brain surgeon or a heart surgeon. But plastics offered a couple of things. You know, the unique opportunity to get out of the hospital, get out of the infrastructure of the administration, so you can actually control your own destiny. The other thing is like, all other surgical specialties, you know, best case scenario, you come back to normal. You know, something bad happened to you, bring you back. We have the opportunity to like, bring them forward. So I enjoy that.

• 47:29Haley Sacks?

  And when it comes to like, your type, you build women, like, you build women's bodies for a living. What do you look for when you date? Like, is it, do you look for the 19 body as well?

• 47:40Speaker 02

  I have, next question.

• 47:43Haley Sacks?

  Really? Okay. Have you, what plastic surgery have you had done?

• 47:46Speaker 02

  But persona, you know, listen, surface is nice, but what's inside is what matters.

• 47:53Haley Sacks?

  And for your own look, like, what plastic surgery do you do? What do you say to, peptides? Like, walk us through your stack.

• 47:59Speaker 02

  Peptides, you know, BBC 157, GHKCU Wolverine, and, and the glow stack. I had my eyes done. I like-

• 48:09Haley Sacks?

  Who did that?

• 48:11Speaker 02

  Dr. David Rosenberg, little nose, Dr. Sam Risch.

• 48:15Haley Sacks?

  Yeah.

• 48:16Speaker 02

  It's, you know, we all-

• 48:16Haley Sacks?

  He did mine too.

• 48:17Speaker 02

  Oh, there you go. Shout out, Sam. Little Botox, hair transplant.

• 48:23Haley Sacks?

  Doesn't work on me. Where'd you do your hair?

• 48:24Speaker 02

  Dr. Ben Paul.

• 48:25Haley Sacks?

  Okay, great.

• 48:26Speaker 02

  He did a great job. And then, you know-

• 48:29Haley Sacks?

  What does it feel like being the patient?

• 48:30Speaker 02

  Feel, it's great.

• 48:32Haley Sacks?

  Did you stay at the Plaza? Oh, you live at the Plaza. So, well, Dr. 19, thank you so much for coming on the Financial T. This was so fun.

• 48:39Speaker 02

  Thanks for having me.

• 48:40Haley Sacks?

  And stay rich.

• 48:43Haley Sacks?

  What's up, sippers? I just wanted to check in post-episode because I wanted to make sure that you didn't think this was like, a moral judgment about plastic surgery. It's definitely not me telling you whether it's good or bad, or whether you should or shouldn't do it. That is so not the point. I actually don't even know anyone who's ever had a mommy makeover, and I know so many moms. So I don't think that it is something that's like, so in the culture now, just because I think it's really expensive. But the reason I wanted to talk to him was just because plastic surgery has become this massive part of our culture. People are spending an enormous amount of money on it. And some practices, like Dr. 19's, are making an enormous amount of money from it. I just think understanding where money flows, who's making it, what people are spending on, what the trends are for women too.

• 49:28Haley Sacks?

  Like, the fact that all of these serious girl bosses are posting about this, I think is like, a sort of a weird example to set. But it helps us understand the world around us. So, yeah, whether we're talking about AI, luxury goods, weight loss drugs, plastic surgery, I just think following the money will always tell you a lot. So thank you so much for listening. If you enjoy this episode, please rate, review, subscribe. Email us at [email protected]. It genuinely makes a huge difference when you engage with the show. It helps us keep getting to have conversations like this. And I will see you next week on the Financial T. Stay rich, my baddies.

• 50:11Speaker 04

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