Dr. Russo - July 4th

And now -- W -- it's changing your life with doctor Joseph Russo the only show on -- that may very well -- exactly what its title implies that change your life. Here's the most important sixty minutes on radio for anyone whose life could be improved -- just a little changed the doctor reserve he's board certified plastic surgeon Jose Barroso. On Boston's talk station. They have six AB. WR carrier.

Hello everyone this is doctor -- so here listening to reassure that may just help you change your life. One faculty there for help it just made history that's right. This is the first show of its type ever launched in Boston and so following actually excellent reviews and Leo and a lot if you for all the great calls we've responded to.

All the great emails that -- that sent us and it's given us. A direction to go in in fact we're going to talk about some of the topics that you emailed us today. There was a lot of interest in Botox and -- others and breast augmentation and liposuction. And will both get into that a little bit. Number I just wanna thank all of you for for participating in the show and and and helping us launch this this new type of show which we're very proud of on the board certified plastic surgeon practicing Newton and also have an office in nor well. And I'm here to help you I'm here to help answer any questions you may have been. Talk about -- the latest. Development some classics are you gonna talk about herself and some things we do. We being me. And Kathy Syria Kathy Syria was my nurse Kathy concluded morning director so happy fourth happy fourth all of our listeners happy fourth to you as well and -- Our engineer. This has been farmed for me. It was a little daunting initially to do a radio show I have really had no experience in radio up into the outside the -- and DJ in my college radio station back to question anything he actually. That's -- barely remember it now costs. My friend Brian nice to do a radio show McCain remember the name of the statements was Middletown Connecticut I was at Wesleyan University. And I think we did like Friday nights or something and we had apologetic -- us you know college kids -- stuff we did these great shows. He really did the charges and helped them but that was really my only experience doing a radio --

You know I've always said tyranny office than if you ever lose your -- going to radio -- have a good voice. Whenever I hear you on the phone.

You have always said that -- mean you're missing -- fears and sort of funny how we ended up on the radio business isn't it I'm not. And I must say that I've really enjoyed it it's been kind of a learning experience for me. Both from the technicals plenty of actually how radio show works it's been fascinated but also. It's been interesting to hear what people are interested in what callers interest and in the kind of things to go through their minds and you know that the other thing is I guess doing this every day we take for granted how much information is out there and how little information people really have access to.

My eye surgery completely I am surprised all the time. When people come in an ask about things that for us is almost passe at this point in the aesthetic field and.

listen to doctors who were Boston's -- station and 680 and if you want join us or ask us questions we're at 2666172666868617. 2666068. You know and it's interesting because. A lot of things we just take for granted that everyone would know we don't silicon versus saline implants everywhere and we know the difference between Botox and -- some very basic and they're there really isn't a lot of understanding about some of these things. So I feel it's -- elect our job to. First of all demystify some of the midst debunked some of the stuff that -- people for example asked me almost a daily basis. Isn't it true that after ten years after changed my breast implants. Now I can't tell you how many times have had that question. And it's always exactly the same question I don't know where -- came from totally untrue.

I even get it as well I navy has to do with the warranty that people think that -- in ten years my warranties gonna run out selling. I hadn't thought of that replace it.

That might be -- but he'll people who commute for the very first are people who even had been for a long -- I'm almost in my tenure marked a -- a month conflict what for a lot. Only other tenure thing but -- things like having your tires are executed a close look at -- so so if the show has -- taught me the little bit about the fact that we really need to execute people some very basic information -- about what is we do. And I'm trying to think the best way to relate that the -- thinking one of the ways he might wanna do is just to talk about some real life examples of patients that we've treated. Over the years and how we've made tremendous changes in their lives. I'm thinking of a number different patients who went represent different she's redundant or get into that this was at but I thought that would be. Helpful because you'd consider maybe see themselves the in the example that we're gonna give about how patient came in with you know. Being embarrassed about how they look in some way and how we were able to help them through and it became you know different better person functioning at a higher level feeling better about themselves you know. We and countless examples. That we can relate to of this.

Last week I was telling about the article I read that one of the biggest things that they referred to -- everybody self conscious about something. -- when he addressed differently when you act differently. Most people are hiding some flaw -- they don't always wanna admit to. And it's baby steps to get people to finally address that. No less at least in a forum like this -- calling -- ask a few things that they've been curious about knowing is that something that's even commoner -- do you deal with this type of problem. Because a lot of times it's small things that are really bothering people.

Yes that's that's an interesting comment because you know I think almost everyone out there has something about themselves that they feel a little insecure about -- or. Who rejected PM. MM with one example of a patient that came in one time. And -- I you know looked at her she was you know very thin very Catholic and features like 58556. Maybe 129. You know very -- very -- very nice to -- could she be here for. And the idea I hate to talk to and examined -- her history and she said dumb -- she was interested in improving the apparent effort caps. Really. I thought oh well if you must have built the -- as a very -- must have some pretty thick -- that she -- all exposed to cast and I thought. -- of beautiful where they teach you want and bigger or smaller. Well that's why that was my first question I thought well maybe they're too since her what she wants it typically of people and calf implants we've done those kinds of things I thought while. So I'm thinking well you know most people would love to end up. With -- like that so what would it be that bother endorsements and say oh well what can you explain to me the problem -- Mike happens. -- Okay and I thought northern. And to myself of course and and -- you know wouldn't have William a very thin person number whatever I said -- 5612250. When there was. And my cancer just like bigger than I want from the B and they just above all never wear short and it's a very attractive -- I'll never wear short pants. On their go to the beach on the everywhere bathing suit Lama has an estimate that my calves and to a total sort of almost embarrassed to let me see them. I thought why now I mean how weird is that I mean these are Beazer.

Almost -- north liked in J. Crew that catalog all those girls I'm all find myself looking through that catalogue and in seeing that they're all in shorts -- that -- these nice lawn theme legs particularly their cats in and when you look at standards like that out there I can see where she might. We'll have that sense of you know feeling inadequate it.

many of these at the set of possible standards for women and mean and making them a closed where they have a muffin top with a in this skin -- sticks out over the pants in these very very low riding pants which -- to a good and yes that's. Today in Edmonton in exposing cast expose -- body parts that there are awfully flattering for a lot of people who wear and so I mean. The standards and said it's such a high level that most woman can never reached them. But this particular element and this is probably old past ten years ago I mean -- happened you know -- still remember this gift it was distressing to me. Com. Source and it was in Africa which you can you Catholic really fine to me and now I don't think you can do a lot with them and she's. Yeah we had this discussion and and I examined there. And it turned out most of her calf was muscular she ran you know as a tennis player yeah she's very active you very much if and it was a little bit fat and everyone has a little bit defendant can and some people more than others. -- let me be very honest with you. You know if you do liposuction. Under Castro is the only procedure you could consider. You'll have some improvement but now it's ten to 15%. Immediate the most one -- yet that the very you know top line Tony. You have to ask yourself is it worth it is it worth spending the money. Where in the compression garments keeping your legs elevated not exercising for -- go through this process of surgery in the post operative care. Protect somewhere between 1015 -- need -- 20% improvement. You know at the most at the most. And in fact most people who see you will notice no difference between you probably will notice some but most people probably wouldn't notice and and you have to ask yourself is that we're spending this time money energy effort to do. She said usually emissions you know what. Anything you can do to help me I'll appreciate. It if you commit -- any better I'll accept. This is that small things make that difference that's okay. This is a case where it outside it would've looked at -- it -- she's crazy or she's -- or she's this or she's that. But you know what this film was paralyzed by that. -- she wouldn't expose her legs she wouldn't go to the -- for their kids she wouldn't let her husband's seat you know. She in her own mind so you did the liposuction I did the liposuction beat him but it was very clear on her that. You know I mean I only like you set your own standards is now and -- always tried to under promise and over deliver and I never want a television under the be able to make European in this case all I can take 50% population and you'll have. It's tiny little -- And I never wanna save. You know I want you are confident and sort of under promise them in the fight over deliver or hit it right where I say I -- Then economic here oh they're great everything's wonderful world -- placed a limit. If I if I sort of tell people like -- and I can't and I don't. Do it then I'm got a problem -- excited to. Be part of our business yet and you -- beach dream and honest with patients in this business and I think. Some of the pages I've seen from other surgeons who you know had unhappy results have primarily been. From the point of view patients having unrealistic expectations whether the doctor just didn't spend time telling them what was possible. Or told them that they would really decent and they couldn't they thought they could you know -- but that's that's probably one of the greatest sources of litigation and in disciplined for patients. Is that they think they're giving him more than it.

This goes back to the other side of the coin which is people not knowing what they should do the people and NIC -- Botox or filler. They think they know what they're coming in for but what I see might be very different in some of it is explained no you don't do Botox. I -- cheeks it's more for crow's feet muscle movement things. Between the brows forehead. They themselves aren't always clear and -- in San -- I feel like I need to fill the lines between my nose in my mountain when really the issues they may really need something in their cheeks so. It's a lot a combination of setting expectations but educating them as well.

Yes the other part of the show I think it's important to media -- to you -- I feel an educational responsibility to our -- I feel like. You know this is you know you are really paying tuition but you know this is a chance to learn something new announced talking about the Senate.

I think we'll enjoy this part -- yet been -- day talking with people all day long in a lot of what we'd like to do is teach them. How to be. But a good consumers so that they know that going in nine -- even -- with the clients that I see if he should. Move to another part of the country these are the things you wanna know before you go and find someone to. Do surgery and you you wanna make sure he's credentialed if you're looking to do Botox -- make sure that. On gas something she now is this how many units -- can get things that are simple TO NI that they don't I we have to educate them.

You listen to doctor Bruce on Kathy -- if you go to Jonas -- tick to 61726666. He would talk about all things plastic surgery. It's gonna finish my story because they think about the pace with the level sectional because I think it it brings him an additional point. So we ended up doing that the surgery and as you know when you do that section of the lower extremities that takes a while. To see the final result because. Smiling yeah it's -- and -- cavities were against you this every time you stand up you know the food -- rushes to your -- your ankles and -- That's the one area where would take the absolute longest period of time to hear results where you have to. Actually you know keep relate to elevate it wears compression garment that we in the -- a special stocking compress the stockings to help accomplished put up. And you know -- I was happy that I had done the best job they could but I also knew that it wasn't going to be a tremendous -- difference because she didn't have Richmond terms Arafat to begin with. So I guess about six or eight months later you know when -- second third follow -- visits came in. And she came and I believe wearing short term or those knickers or some some some way to relate to it was a very. Exciting news I knew how big a deal that was for her. And she came in and and she was extremely happy. And you know she. Acknowledged that. She was certainly happy and and she wished they could have been a little thinner. And but she should but she knew that we had and victims she was really happy she had gained more confidence. And I -- the only way that relates to -- offenders who stopped exercise and at the muscle after you know and in the I mean that's the only OK it's it to make them fit because the only thing left was bone muscle. But that the moral stories that. You here's somebody that normally would be looked upon by society is very attractive woman who would have almost a perfect body but. In her own mind if she had this I don't think it's a terrible flaw which she had a a flaw -- miracles made -- uncomfortable about yourself parents obviously enough that she dressed. Yet around it yes and now through this miracle of surgery. She was not able to live her life more comfortable into the -- decades -- this is as -- as is can -- thank -- for you know all you've -- and I can move -- and from you know that's a small case -- point. Of of the kind of things we do but it but it stuck with meets up with with me in my mind in -- because. He changes woman's life. Yes you know it really did. And this was the only chance she could could have to do that. Nothing else was gonna make a difference for her the clothing and wear clothing over the rapidly nothing. Moving a little bit of fat thing you know this is all we can do all anybody can do. Yep and and to -- the move forward and felt good about it so.

Well that's kind of like the other patient that we saw that had the nipple issue. And the week you and I've talked about that in in maybe you can fill them in a little bit more on the details of it but.

Yeah I mean this the had a patient that that it -- If you've been a piece of -- for almost ten years and quite awhile with the number procedures on Hersh you've been other positions but she came to our practice. Slightly dissatisfied with punish certain she's seen and we've done a number different small precision her over the course of eight or ten years. And and exactly how the the the conversation starter but she came in and said that. One of the things that it should at a -- reduction and one of things didn't bother her word nobles were never able to get direct in their doubles are never able to two beasts seen through clothing and this is this something she. Really lamented the loss I mean she really felt like less than a woman I think it inhibited her sexually with -- husband. Even mannequins technicals he's -- and she didn't you know and it was sort of like. Com something that was taken from her and never given back and it was an important part -- sexuality in. You see. You know started discussing it with us and it was a little -- She'd never -- I think in ten years you know all the sudden again I don't remember what start of the conversation but certainly. Once he started into she felt very comfortable talking about it. And we talked to her about different options she had for improving her appearance of an apples and she wanted soreness in pianist can erect position all the time or at least the -- to where they. It would be seen with certain clothing and stuff and admitted to still more feminine you know. Com. And we went to a discussion and we ended a talking about putting feelers into the best into the nipple and found yet you came up with the -- he discovered since you came up with did I took credit for but you actually. Eventually came out for the just like an office has been confessing a -- that's -- on the radio. Yes well your ideas only.

Well he tried the -- first in that just didn't nine if it wasn't. Heavy enough to create enough of a patrician -- there was a lot of cartoon editor that restrict cell I said why she used to a product called it's -- Form of cortex that she can actually cut in shape. And he uses it sometimes in noses in and said wanted to create like a little implant we can just put it in the nipple and it well. Stick out. Her acclaimed and so she was open to the idea and you know all of a sudden he's like yeah let's traffic in -- creep in like little bullet yeah. And that was the beginning of on an office procedure.

That was fun through because it was a first whether -- and -- been practiced almost twenty years and I got a chance to do so they had never done before I had to think about had a car of myself -- be creative about it I had to think about how to put it in where to put it how to hold until late in place. I have a -- the -- and thousands thousand cases but I never done them insists different than the small things. But she actually left office crying not in pain not out of being -- she was so deleted. That's just the mere thought that this could be in imprudent for her just deposit she could have this nipple appearances she was -- she became -- to talk to about pension.

She gives you this really com. Taken back that it's for something that I think she'd been thinking about for a long time that some -- willing to listen to her and saying let's get this high you know we weren't opposed to we didn't. Say -- no you can't do that that's silly. We really made an effort to and we got -- right into the schedule and on happily she was really pleased with the results.

Yeah and that's a notification -- something again that. Most people might say Q what's the difference what you. But kind -- was critical -- this woman was crying about mean inhibited her sexually with -- husband you know something she was just not comfortable within. You know it's such a personal. Business that we do you know. You know you look at some NCG they have got to find looking whatever but to them -- not then.

It's not with Nixon -- there's also a lot of hidden things. On how many women have we seen commend that where two -- then a -- over a bronze and create the appearance of having a lot of breast tissue.

Right right. For some reason we mention I -- a woman -- they -- in two pairs of pants no one -- that. Doesn't apparently -- I didn't ask Diana did nearly one know what that's like -- is going -- physical. The and it has seen not as she. That's I thought -- let. Let's get one more example of of a life changing surgery that that would also that -- shift gears and kind of make you shift switch hats on -- interview you. So the listeners get to know you a little better. In about what you do and how you doin' some of the some of the questions that come up in your practice. One of the only has one last example of -- with the -- which I think. Tim knee is one of my favorite operations primarily because of -- give you the story I think you'll see eleven it's the most. Satisfying and gratifying from that think it changes lives to probably the greatest degree of any of our surgeries to reproduce in predictably reproduce ability. Affinity and I just saw a patient before I came over. Yes yesterday who. And it was actually flat as a board and had. These beautiful silicon gel implants put in and -- his beaming now. And she was talking about just how her life has changed in terms of she she's an Islamic patient. As soon as to what seven -- into its last now the reason she -- seventy squish fish looks so good in bid if it's now. If you -- before I'll be afraid to wear a bathing suit had the funds had the most padding that didn't reveal the fact that I was really flat and -- gave me some sense of having breast tissue well.

Being a woman. I can and thoroughly relate to that dilemma I would say more women and not have that problem can really do feel. On that they're not that famine in that you know every ad that you see out there every. Person in Hollywood is voluptuous and falling out of there bathing suits and for a lot of people it's a real tough. On fine to go out to be exposed in a bathing suit in not having to show for.

He listened to doctor Russo and Kathy cereal on talk station and six city WRKO changing your life.

That can happen -- American and American and I'm not American.

Hey welcome back and happy fourth of July of this introduction just official and Kathy stereo this is changing your -- from Boston's talked stationed. In succeed WRKO. Who are making history and we're talking about all things plastic surgery. If you missed the first part of the show shame on you but we've had a great discussion about what we do how we do it how blessed to you can change eleven elegant one more example. We'll pick a -- and talked Kathy. I'm thinking this one go initially and Marcia was seventeen initialed. This is probably 1012 years ago. She. And her mother. Came in for breast augmentation think that this was -- graduation present for her daughter from my school. This girl was seventeen was incredibly shy hardly ever spoke were very loose baggy clothing.

You know there's just kind of there but really had no significant personality you know would answer from yes now. Nice looking though pleasant nice family but just something not quite there she wanted to come not just mom. Here. In hand as it turned out she was on anti depressants because she. There's very flat -- and felt very uncomfortable didn't bill -- uncontrolled trying to have a boyfriend. Was just very kind of -- definitely I have the fact that she was sort of flat chest.

The parents appealed to calm.

The you know an insurance agencies to have discovered because it's psychological distress in the civilian that never works. So. They decided they would have answered on the mother because she wanted to do -- was to support her daughter through this. So the daughter has the surgery done. And mom -- on the same day and they kind of recover his mom also -- to. The -- was not flat chested she was a former Playboy bunny all from. Such a hundred years -- Com. And but -- she didn't have big -- mean she didn't she was probably its. B cup pressed the issue is old enough their best to -- smaller she's probably in her forties at that time mom. So she has lost some violent she was maybe a small -- need be she wasn't. And she did -- just wants something to reestablish which it lost you know maybe for the small state. And -- daughter was probably in the same range. So she did the surgery and you know didn't think much about it and then you know she came back from her post up -- visit three. For some the number of months later. And it was almost like someone flipped a switch in nations like you know -- switched her body for someone out there like that moving within. Body snatchers. She came in issues very local issues very pocketed she. And it was very outgoing was wearing sort of more revealing clothing for her she'd gone college got a boyfriend you know it was like this is the same little seventeen year old girl that -- many of social I've barely could talk to me. Now she's wearing this is -- more revealing clothing she.

more adequate and basically if she had a mom that had history. On being someone that she was measuring herself by piano you know like -- winner will be really difficult.

And I have always remembered that case because it was such a stark contrast it was such an incredible change. From the way she she started com will take a caller we've got Jessica. You don't doctor Russo WRKO you're on the air.

Thank you Jessica thank you for calling. And I'm. Actually about. -- About. 98 event at -- that have made that happen and popped am I and I did and now at. At -- accurate and I -- and at at Cox neck and did -- did it even -- that back on reality an Angel at.

Well that's an excellent question. In the answer is it depends. There are several types of implants most commonly saline -- and the other kind of silicon. That's sailing is salt water which is what our bodies may -- so. And if you've ever been in a hospital and you've -- a bag of IV fluid that's -- almost every patients stretcher and hospital room. That's the same stuff we use to put into breast implant so there's absolutely no danger of a thing of salt water you -- because they said that's what we're made up. So the other -- of opponents -- silicon mr. silicone gel implants. Which are little different. With saline. -- state the implants com empty. And we feel the mop during the surgery so we can adjust from -- little bit we can meet once a bigger than other free need to. But because we fill them up there's a valve there's civil -- when we're done -- we pull this little to -- and this little valve seals over. So now like any other mechanical device occasionally. Those valves can fail so you have what's called -- deflation it is kind of like having a flat tire out. In India one dress that still there and on the other -- is kind of flat like Connolly started. But what's happened is that the valve as public given away and sailing has leaked out into the pockets and absorbed by anybody in this it's like drinking a glass of water really. There's no there's a -- about. So in that case you have to go back in and take out the ruptured implant and put it in new implant which is a very simple operation in the pocket sort -- been made. There's really no danger do you there's no pain involved with the very simple procedures -- little bit of a nuisance. Mum. But that's that that's the way it is with silicone gel. The silicone is sort of a sticky thick. Product and they come pre -- so there's no there's no valve so when you put those implants and they are fixed size and -- shape. And they don't really leak eruption anyway and have seen them actually eruption in severe case of -- the car act sooner -- to the test but. In general they don't. We also have an email question says some. Is there a different feel to the and necessarily so different then and other material. Can't I would say definitely yes. Silicone implants feel more natural. There's soft there there are a little bit squishy year you can compress them a little bit differently. The saline is is it hasn't mentioned salt water and -- They're really good they don't compressed quite as well for most people it doesn't make a difference -- May be just a personal.

I think there's a couple things yeah one is if they've got a lot of breast tissue and you can't tell one whether it's a silicone are sailing. But for a lot of thin women. Same -- sometimes you can feel a ripple on the edge of cited the press is sometimes she might even hear a little bit of a sloshing. Sound in in their case will usually recommend a cell economy and com they do. Date you can really pull off looking like you have real -- with the silicone implants.

I'd say in most patients who have implants done. When they take Fisher and a finish area the implants. And you should not be able to tell whether -- punish him.

That's true if you have the right implant the right person I think a lot of people always think about. These hard circles. And that means for there are those people that want that -- via. On but most of the people that we end up scene I think are looking for a very conservative. I just wanna get back what I have lost. That maybe a little bit more so that I can wear some things that I feel mine I'm unable to wear. Outside of that way you know it it's more com practically the women in their forties and fifties that are coming in.

Yet there's several age groups that. Commitment which part of a cut above above Muslim -- muscle because that's and I think you need to also disperse some of those worries that silicone let's get the Sony realized that back out on the mark yet the S and then -- off the -- for but twenty years the FDA didn't extensive study. And thousands thousands of women always every scientific study ever looked at. Has not found there's any harmful effects of the silicon to the back from the market undershirt could use. --

Jealous also changed the matter that it's a cohesive gel and I always kind of described to peoples like egg white when you. -- The whole thing books you know it doesn't separate into all these different parts which is what the original Sonia Gandhi did. Yes but much much it stays together even though it's. July -- the last days as one man -- Com and.

The other guess is Jewish highway is just to -- a group of women from nearly eighteen needed 2528 pregnant have never had any best issue we just want to have something they've never -- they have one big one yeah breasts as different 2000. Then there's a whole group of women who have had. No significant amount Vista should but through aging of pregnancy were -- breast -- breastfeeding have lost what they wanted to reestablish what they had before. Then there's another group of women who. Have had children breast fed are not breast fed and their breasts are now droopy.

I think for winning in Peri menopause where their. Breasts become more fatty yeah is there the gland -- part -- so. In those cases we have to decide whether news of what's called a lift where Europe kind of lifting the best by taking out skin you know to make them the humble -- of them pressed tighter. Boy -- adding more volume to the to the best by adding an imprint or you're doing a little of both Adams and by Indian removing some scanned the kind of tighten the envelope and increased the line. So those are only decision that can be made by guessing the patient in an impatient but. The young went teaching categories is a broad category from the very young who -- people we as a to a seventeen probably up until 5060s these settings for pitchers who was in their seventies. Who had this time. So can stand a whole range of ages.

Now the other thing you start -- uncle Angela purses. Under the must yet so that's another whole Kettering people don't even know what that means I can -- to start there.

Yeah when you putting a best event in. Place you have several really two choices you can put it above the muscle by the muscle we mean a big picture Ellis major Muslim when you when you know -- when you -- tournament you know I'm muscles delegate analysts when you put your hands and have some pushing and is that -- that ball is in your -- that's a really big thick muscle. Significant and above them -- well below them. And a lot festival comments Theo I don't want that look that I see and whatever movie so whatever personal. We see that big round -- are all above the nation that you could say almost any edges in -- rest. That almost always means that they've had implants placed above the muscle because. They don't have enough tissue took Hubbard the implant mean. You know you've got you've got -- in the a little bit of fat and perhaps little bit investors and -- after implant so there's nothing to copper -- you're seeing that almost naked -- plan. Ian in those cases you probably see some replaying parts from the -- some open those patients to just on the panic. If you go under the muscle you have all the layers -- plus that big thick muscle. You pick just make you -- which is really second most people you don't ever see the edge of the implement. Well the other thing I was thinking in terms of support. We -- put him. A breast implant under the skin gravity is gonna eventually ultra the only -- supporting in this dispute and we know the skin doesn't mean there's available to particular if you put a decent has infinite. That's gonna be drooping and a very short time. Right and so we almost always I would say 95. At least percent of and we under the Muslim and are certain occasionally might go about. But I would say for the 95 plus percent of patients were under the muscle. We're using silicone or Cynthia and -- has been a Gholston a prolonged tumble more more people are choosing silicon now.

Oh definitely I was gonna say I -- ordering from the implants for the office and I'm finding. That it's almost the opposite now the most -- silicon and occasionally now on getting assailing.

I think when people feel the silicone. They just. Did they discuss the sensitive the more natural feeling in -- they are -- in the just look better feel better everything better right away and and it's some -- that you -- as you mentioned with the women who are thin and don't have a lot of breast tissue that makes a huge difference for them the silicon and Clinton just patter.

Nobody wants to appear to be fake and I think whether. Even if it feels fake that's gonna -- When you get something it feels real and I feel a lot of press it and the office nurse -- On that I would convincingly say you really wouldn't know. Kind of like deal -- all commercials you know we're only your hairdresser knows it's really you can get away with it the incision line I'd be the other thing in terms. It's usually under the must not under the most under the breast so that. A lot of people you can even see the incision line which is another big thing when people come in worried about she was nowhere will that. Scar India in.

a -- and Kathy Syria. On Boston's talk station and succeed WRKO. It feels like to call over the question where 6172666060. Were -- on all things plastic surgery and right now we're talking about breast implants and and change people's lives with that operation. I also I think at this point -- Lou do you listen a little bit more about you because -- I consider next Burton and -- these areas certainly in in in the -- and things that you do. So let's talk a little bit about you. Hang your -- sharing your registered nurse and we've been working together for is it fifteen years --

I would if I'm not even gonna go back to how old I would've been at that point it's. We've definitely. -- together almost five Pearson. It seems somewhat slimy and a good way news -- says there have been go along well. We always referred to which -- most of our patients a lot of people initially think we're married mom because of our little bit of our banter and lucky for me he's a man that can take. My -- easily. And so as time has gone on I've ended up. Taking on a lot of the Botox and filler patience. I've learned a lot by doing procedures with doctors so as well as -- but the Prius imposes that some of the beauty of that. Has been -- I've learned from you visuals. You know when we do fat transfer how to as a face improve by way of putting volume and it stands. On its kind of the nice working relationship.

We're gonna talk about your practice and what you do and how you travel around to different spas and salons and deliver services the first -- gonna take. A call from rows goes from there a doctor should change you know left RTS to --

Issue ET. And came to pass any -- thank you so much for singer at that. Appeasement and what they wouldn't you know -- and kind of what what capacity.

Okay that's a very good question. A facelift is a facial rejuvenation procedure were for the most part you're heightening loose tissues so. This would apply to patients and I think the young if they've ever done this in her intermittently 30000 -- photos than usual situation but I think most of -- doing now. Or in the forties to fifties you know went. Com they've gone to filler is they've gone to both have they've gone through lots of perceived perhaps. And beyond twelve they still have some loose skin on the net -- in the jowl area which is a woman's jaw line. Loose skin along the area between the nose and upper lip that civil -- is live before there. And -- procedure involves. Com separating the skin of your face part of the -- fish from the area below which is muscle. Tightening up -- muscular layer. And then tightening up the extra scanning cutting off the interest can so -- is pulling everything back to the way used to be. And what we've also learned over time is that that isn't enough pulling skin tightening is not enough and if you listen to our last show. How we talked a lot about adding volume to face because if you just keep pulling a face containing this contending the muscle. The scanned the face socialist victory who dimensional. That classic Joan Rivers Hollywood has they'll appearing below win yeah -- Pamela. And that's not what makes a face fifties face useful it is a combination this convene I wouldn't state tight but. -- not lose but to have a full face particularly the cheek area. The area around the mouth. You know above the mouth below the mouth.

And here in the middle of the cheek in all all oil on the -- That in combination with that attending the skin is really the most useful type procedure that we can do so -- traditional facelift. Because I was mentioned Macedonia when I first got to practice. It was like a knee jerk reaction to reflect that goes well there was totally aging face face of it face face of a yup that's always did. And yeah I mean made people look better but in some ways it made them done and it was only frustrating to me. That. -- But like we were frustrated because we didn't have a lot of other techniques it was and of -- it's still in -- still evolving attitude of aging faces some is never going to be done it's always -- while.

Then name other topic that it leads me to is clarity. If you have. He -- that people from Florida as it always -- sample but that they've been out in the sun now they've got this leather looking skin. They've pulled it tight you maybe put some buying -- but then they still have another whole issue of had this skin texture in this skin. Pigments trend that also EU can. Have everything just out and still look really old -- on so that brings suspected another whole set of things that people should be doing in terms of laser treatments -- and skin care on -- Product use sun protection.

The -- because just a facelift does not change the skin at all I mean that cut off some tonight he's able skin it's tighter the status so. It's a multi sort of festive approach. Where you have to. Think about it from. Several respects you want to go -- and three dimensional approach in my feeling is faced with an -- five and them make it kind of but what -- is a tight face is still has brown spots of red spots.

I have 3M and a lot of times I find once people can improve even on the clarity if let's say we're gonna reverse this whole process and they wanna start with baby steps. They get a lot that they economy and they get on the program to get rid of pigments found broken capillaries. Even that alone for a lot of women and they start to say well look a lot there.

Yeah I think the way we look at -- as opposed to a we looked at first on depresses it was more one shot deal and wham bam thank you man Harry fifth of goodbye you know now it's like you're part of our family if part of our practice all of the start you on -- everything its maintenance yeah. And an all these procedures help make the face -- better you know mean how much -- a fifth in the we can use titan laser treatments we can do. Given all the brown spots and -- to -- chemical peels the departure on written a we can you know do. Many many of these. A thousand more things to make that facelift. Shine and make it look spectacular whereas before it was like well you know that's the buzz -- negative Nancy in a few years. You'll listen to doctor Russo and -- Syria. RKO. 6 AM does give us a call.

The doctors then you're listen to doctor Joseph -- is changing your life. And cloth clusters talk station and succeeding. WR KOI am joined by Kathy Syria. In my office nurse and co host of the show. And we've been talking about all the things that a change people's lives and plastic should -- disk recovered a lot of topics today including. Breast augmentation liposuction Botox -- that I can remember a facelift the camera how about. Even talking about a public stuff and our job here's to educate you. About plastic surgery and maybe give you some insight as to how you can change -- and fix those things that's about union. -- you have an announcement to make before we go to the break down pretty -- listeners know. Because there a second to him you have an extra bonus twenty minutes of us so -- tightly over the give you some really good stuff but -- announcement before the break.

Yeah I you know -- it comes to the decision that it might be nice to. On give people the -- chain to try Botox for the first time in so in our office on Friday July 10 we're gonna start the first of several feel good Friday's. On where people can come in get a treatment for. One area to area's three areas of Botox. And get 75 dollars off for. Being listeners of WRKO. So anybody and that is interest issued either email directory so those office which is Joseph A Russo and or call the office directly 6179641440. In you know my feeling is even if it's not if you coming in and you can make that decision right then in the -- sometimes people just wanna talk about. What do you think. How much would this speak you know and I don't look at it is they absolutely have to commit to doing it that -- Mike -- most everybody will want to.

Yeah I think is an excellent opportunity for patients will have to do is mentioned the furnace the radio and Obama at the 75 dollars can. You can come and even just toughest about it and -- the concern educate you about it. We'll talk about that on the to me at 220 minutes to -- what will Botox is and how it works and and that people kind of really get a better sense -- there's a lot of myths. You listen to doctor Joseph Russo this is changing your life. I'm Boston's talk radio WRKO six it gives you caught. 666868. 2666860.

Now on W Ontario it's changing your life with doctor Joseph Russo the only show on -- that may very well who exactly what its title implies change your life. Here's the most important sixty minutes on radio for anyone whose life could be improved with just a little changed -- reserve -- board certified plastic surgeon Jose Barroso. On Boston's talk stations pay him six AB. WR carrier it's. Welcome.

Welcome back to thank you for helping us make histories. Phyllis is deducted distributions is changing your life from Boston's talk stations. CN succeed WRKO. Thank you for listening calling and emailing us. We are gonna. A little pop quiz on Kathy right now on C. How much she really knows about processors and you know you can't play along in the and I don't like things. Have a feeling she's been known but. I'm just looking through last finished 2008 statistics from the American Society of Plastic Surgeons. And it's thanks very comprehensive packet of information. Basically talking about all the procedures were performed by a board certified plastic surgeons last year. And one of the -- that that was particularly -- his arm. The top five cosmetic surgery procedures performed by portrait of a plastic surgeons. So -- gonna ask you to name. The top five. Cosmetic surgical procedures. Performed in the United States by a board certified plastic surgeons in the year 2000. Innate ready. Set. --

Great now my heart's racing you know them. Breast maintain a.

In one night liposuction. Number theory and left for a lasting a number four honorary against McCain won and -- two and -- primary hold -- had breast augmentation one. Liposuction three. Eyelid surgery for. Rhino plastic that's -- part who lab will know I was little surprise that myself. Well to a -- 79000 patients last year. -- a plastic number who. It is is that it.

Verisign I think I would I think I know alive but -- Ingraham -- and and we haven't seen that many faceless like this I always wanna put that analysts by.

Giving him can there be something it is a procedure that is form below Lou the net.

Oh. Well weak -- covered the her breast augmentation via a little bit let's ask this. -- in order of performance. And by and breast augmentation. One trying to plastered nose reshaping an analyst if you're number two liposuction three. Eyelid surgery for -- took five. Breast augmentation 307000. Patients last year 2000. The reason I think -- such as -- number three. Is because I think this information only covering board certified plastic surgeons. A lot of this that's being done by non plastic surgeons and non board certified at that point though these Obie did you play. That's general practitioners in the or -- did -- college isn't always who were trying to get him -- trying to do liposuction I think the numbers. Of -- them by plastic surgeons and abortion protesters this fall and I don't think enough problem of liposuction case has diminished I can't imagine doing anything but going up. But I think some of -- being done by the -- I would call.

Out liars. Right now I you know would always gets me about that is how -- today. Know how much fat to take if they've not really had any experience is it on the job training in on. Because I. Mean I've watched you in many a procedure where you're feeling you have a sense of you know where you Lar how much you're taking people. We've we've had a few cases where appeals come to a -- had been all first section horse sometimes people weren't sections enough and didn't see results or things are uneven.

Yeah that's is that there I mean I guess part of our educational process for our listeners is that. -- there the big difference among surgeons and mean they're big difference among between plastic surgeons non classics -- and so. New class of surgeons are the -- wanna go to for these kinds of Puget because we have been the best trained to me we've been trained in this stuff and than thousands and thousands procedures. But if you go to a weakened corsets thing your OB GUN doctor or your primary care doctor or your dermatologist or any -- doctors from us -- doctor. And detailing you know not make enough money doing you know picking noses are putting -- balls are living babies are now on make more money. The slept a circus of looks kind of easy I know we can course. With someone who knows about up -- nick and they can teach me how to do it. Now come on Monday morning I'm gonna be elevenths a conductor and they can write -- the expense of their crisis at hand and using I'm getting this. -- down on this happens everyday and have plenty of doctors. Who have really never trained in any surgical procedures that'll plastic surgery. Who go to these courses and they come back and they think they can do liposuction -- a class Cesar press I was MS. -- that it has had an augmentation to invention general surgeon appear way. I -- come and do they were terrible. But terrible result I've also seen many an episode from -- cases from this same Doctor Who was to again China's general surgeon and he's just did. Terrible job.

And and there's no way to stop them at this point and it didn't go to other examples of of patients who have been injured by the but that the best -- primary point. A hiding up well that's just -- you don't know I mean after me I think I probably became really good. They'll have possession after five years of doing and almost every day I mean. I think I at this point in my career I -- actually that it and I think should be -- duel with his Saddam but became. -- after doing a number cases that weren't so great he came about after saying gee I could've done better on the application energy. Why didn't that come out of this I thought and in thinking about it and taking pictures and looking at it may be doing the touch up insane. You know -- too much into got a little should in this assure that and that only comes out after you've done you know a 1020500. K.

well also you -- training in general. On the focus on bodies. And anatomy insulin so -- I would assume that would have a lot to do here basic knowledge before you even go into the air and do. The procedure itself that use have a different starting place and a lot of these other people.

That's -- dollar -- well but you also learn from people who have done it every day for 2030 years and you're you're learning the pearls from people who can teach you. From their mistakes you know so. You're not reproducing the mistakes of everyone you know in a starting -- history all over again.

Well some of what I'm getting from people is thinking that these. On -- offering like a quicker version way there's less down time. You know you hear a lot of these other laser. Liposuction. Machines out there now in you know first off I would assume that only people love the small. Size are really looking for sculpting could even venture test something done in that type of setting. But secondly the problem is is that they their misled to think there's a quick way you know in an out of this procedure and you and I both know at the end of the day the traditional method is you get a certain result no matter how you go about getting there.

I think our listeners probably. That this -- statements probably gonna resonate with minimal listeners if it sounds too good to be true it probably is. And when people tell you all you can have liposuction -- and be back toward tomorrow's numbers NASCAR and a pain not gonna have. If that happens then they didn't do a darn thing I think anytime you have surgery there's a process there is their pain is recovered the swelling and bruising is all kinds of things have gone. As someone promising you all you're gonna benefits of direct back toward tomorrow on the great -- of credibility that from -- and well --

It does have to setting expectations. Now in helping people to learn that. Every procedure has some downtime even just in general healing people are often tired this -- don't have quite the same energy that I. You know it's been a couple weeks in your body spending on its time healing after whatever procedure you happy -- and a minor one.

So I guess that take Thomas who -- gonna switch gears a second title of a -- out of the takeaway message from this segment has been. He wanted us -- who's done a lot of these procedures. Who's got a particular experience who gets good results who's now become afraid to show that there before and after another regularly talk to patients. Not a relates to -- our board certified plastic surgery. Is personable is carrying its -- you get -- get along with and these are all the the kinds of things you look for when you go on somebody and and the bottom line is. When you go to see somebody for a one of these procedures just make you feel comfortable with them because you're going to be putting your life in their hands in the sense and entrusting your outcome to them you wanna be sure you're comfortable with at a down. But I wanna switch gears just to talk about you because you've got about. Three and a half minutes left. Tell us a little bit about what you do how you do it where you go and and some of the issues you found in and in these places you travel to.

Well thanks very much for that opportunity I work in the -- office Monday Wednesday every other Friday. Primarily helping win the surgical. On layout but also way is treating patients for Botox and filler and then I go out to different spies. In the area on those alternate days I set up my own schedule hands on they line up their clients that are interested in doing. Botox and sellers. In primarily when I see people my first thing is to really sit them -- and get a good sense of of what they're looking for an oftentimes. A lot of times at first -- is really educating them about what IC. As. You know at what they need to think about doing them and that's not a process in itself. And so you.

You what is the most common thing you think you do when you travel to these Botox definitely. And which the most common there in the tree with boats. Between their brows in people on the frown lines and and when people -- how long does this left when you would you tell them.

Ideally Ford -- six months depends on how strong the muscle is and how much we inject.

In other other areas in the face that you treat with but it. And I else to the forehead.

Around the crow's feet as most people call them and actually I do some stuff on above the upper lip.

And at her people often ask who what to do is between Botox or social they think Botox is a filler they don't relish what -- that twice second example would rank and.

Botox in our wrinkles that are the result of muscle movement filler is about putting back volume where on the face is beginning to snag. On he cannot put filler in to solve crow's feet. They're two completely different. Items meant.

Well thanks that it will will probably spend more on that and and actually than a lot of reader a lot of callers and -- have had questions about that. I had a great time to thank you for calm and thoroughbred has a great fourth of July. This -- conduct through so change your left from Boston's talk station M 680. WRKO.