In this week's episode of Plastic Surgery Uncensored, Dr. Rady Ravan responds to listener queries covering topics like revision rhinoplasty, the recent surge in implant removals, and the increasing use of aggressive liposuction techniques in fat transfer procedures. Dr. Rady shares his expert insights on the complexities of these procedures and addresses common concerns about the surgical outcomes and trends in the field. Join Dr. Rady and his producer, Maria, for a deep dive into these topics, ensuring you don't miss this enlightening session.
Important Takeaways
- Revision Rhinoplasty: Revision rhinoplasty is notably more challenging than primary procedures due to factors like scar tissue and altered anatomy. Patients should inquire if their surgeon specializes in these revisions.
- Implant Removal Trends: There's a growing trend in removing breast implants, often driven by concerns over breast implant illness or a shift towards a more natural body image.
- Liposuction Concerns: Dr. Rady discusses the potential risks of overly aggressive liposuction, which is often used to harvest fat for transfer procedures. He highlights the importance of realistic expectations and the possible adverse effects on the donor sites.
- Listener Interaction: The episode features an engaging Q&A segment where Dr. Rady directly addresses specific concerns from listeners, offering personalized advice and sharing his extensive knowledge on each topic.
Transcript
This is an automatically generated transcript. Please note that complete accuracy is not guaranteed.
Welcome to another episode of Plastic Surgery Uncensored. I'm your host Dr. Rady Rahban, and we are going to do our Q&A's, question and answers, and I am joined by Maria, my trusty producer. So hopefully, you will be listening in, and if you wrote some questions, you'll hear your question being asked. Alright Maria, let's fire away.
What you got for me? I'm walking. I love this segment. I know, I know you have to say, and plus I have my own question that I'll leave for last. Okay, fire away. So the first question I have here is from Renee Dot Texas. Gotcha, renee.texas. What's the question? What are some important questions to ask my surgeon during my consultation for revision rhinoplasty? What makes a revision rhinoplasty shifter and harder than a primary?
Okay, so let's just do a quick dive into all things revision rhino rhinoplasty. So to begin with, the idea of a revision means redoing something, means that someone did a surgery, and it didn't go as you had hoped or planned, and now you're seeking someone, maybe the guy who did it the first time or someone else, to fix it. Automatically, the surgery is exponentially more difficult when you're revising something than the first time because naturally, there's scar tissue, the anatomy has been disrupted, there are issues regarding blood supply, etc.
Of all the surgeries that we do, revising a nose is exponentially more difficult than revising, let's say, a breast. Why is that? Because the primary surgery, the first go-around, is much more difficult than any other surgery. Rhinoplasty is significantly more difficult to do than say breast surgery because the anatomy is more difficult, it's smack dab in your face, we're talking about millimeters rather than centimeters, we're talking about very delicate structures like cartilage and skin.
So as it is, a rhinoplasty is difficult. So now you're going in there to fix something that didn't go right. The nose is very unforgiving. The skin scars down, the cartilages become sewn together, the bone ends up having been broken, there's collapse in areas where you can't breathe, and so a revision rhinoplasty is not something you dabble in.
So regarding the question, what do I need to ask? The first thing you need to ask is, does my surgeon do revision rhino quests? So well, if they do rhinoplasties, don't they do revision? No, no, no, no. There's a lot of surgeons, first of all, there's a lot of surgeons who just don't do rhinoplasties. Then within the range of surgeons who do rhinoplasty, there's a lot of surgeons who don't do revision rhinoplasties. They choose not to do it. It's just a massive headache.
There's a very famous guy in Beverly Hills who won't do his own revisions. He just doesn't want to deal with revisions because you pay your doctor more, right? You pay more for a revision, but you couldn't pay them enough for the headache that they're going to own. So there's a saying, there's a saying, "You break it, you own it," or there's another saying, "No good deed goes unpunished."
So if I do a revision rhinoplasty, I now own that nose, and if it doesn't work out as much as you like, then the old guy, the guy who screwed it up to begin with, is off the hook. So you can see it's not a very desirable surgery to do. How much more could you possibly pay me to make it worth my while?
So the people who do it, do it because there's a love for the anatomy and the surgery, and it's sort of you're committed to rhinoplasty and the challenge. I would assume some people like, yeah, I mean, yeah, you know what I mean, you're a glutton for the challenge and stuff like that.
But so the things you want to ask is, do you do revisional noses? A lot of them, do you feel comfortable with them? And more often than not, when you do a revisional rhinoplasty, you need extra material to build the nose because the normal thing that happens to noses usually is that they start to collapse. The previous surgeon removed too much material, too much cartilage, too much bone. So it is very common on a revisional nose that you need to add structure like cartilage, and the question then is, where the hell do you get it?
So when I consent people for revision rhinoplasty, I'm going to consent them for a nose septal graft, ear graft, rib graft, meaning I'm going to go and get cartilage from those areas, slice it up into small pieces, and insert it into the nose to help build the nose back to have structure. So revision rhinoplasty is not just something you dabble in, and so if you're interested in doing a revision rhinoplasty, you have to make sure the person you're doing it with really feels comfortable.
Personally, me as a surgeon, I almost never do a two-time revision. What that means is that if you are coming to me and you had your nose done one time before, is this the first time you had it done and it went terribly bad? I might consider helping you, but if you had it done once and then revised again, and now you're coming to me for the third time, it's very unlikely I'll operate on. Not because I don't want to help you, not because I got better things to do, but because the likelihood that I feel that I can make you better is so small that I
That's how people come to you and like I've done it four times because every time you go in there to fix a, you make a mistake with B, it's just that way. So these are the basic principles of revision, right? Well, you know, speaking of it, I have another uh question here from t-r-o-o-o-t-r-o-o, oh rhinoplasty third time. So coming from that though, so I assume that they're having to get a rhinoplasty for the third time, you'd say what to them?
To me, in my practice, in my practice, what we do is we have, when you call my practice and say I want to get my nose done, we treat you like everybody else. When you call my practice and you say you want to have your nose revised, redone, we have you answer a questionnaire before I will see you. I don't want to drag you into my office, pay the consult fee, waste your time, waste my time so I can take an eye look at you and be like, nope, won't help, can't help you.
So um, in my practice, I would very unlikely be helping, be able to help that person. It doesn't mean that no one else will, and it doesn't mean you shouldn't do it. It just means I don't think that there's a high yield, or it's fruitful in my practice. And, and you said something that a doctor sometimes, when they, when they do rhinoplasty, they might have to do revisions on their own rhinoplasty. Why would that be?
Well, 20, the revision rate. I do a thousand breast dogs. I'm gonna have to fix a certain percentage of one percent, two percent, four percent, whatever. It's impossible that you as a surgeon operate, and everything you do is perfect. So the revision rate in noses is the highest revision rate of all the surgeries that plastic surgeons do the face.
So if you operate on your patients, you're gonna have to be able to fix some of your own problems. Right? Okay. I mean, just part of it. Okay. Um, Cynthia, this is from Cynthia dot in. Dot La. Uh, what is your dot in dot LA? Right? What is the process for removing implants, including options? When is reconstruction necessary?
So this is a very popular topic, explantation. We're very, you know, plastic surgery, like everything, is at the mercy of trends. Trends, and the current trend is removing breast implants. The reason people are removing breast implants is entities called BII, breast implant illness. I feel like my implants are making me sick, whether that's true or not is yet to be determined.
Next, I just, I'm over it. They're too big. I don't want them anymore. I decided to go holistic, whatever the case is. So there is a big trend towards removing implants. The big issue with removing implants is not, can I remove them? I can remove them in 12 minutes, incision, incision, remote.
The question that you need to ask yourself is, will I be okay with the way they look once they're removed? So when you remove an implant, you are removing volume, and without that volume, you're going to be left with whatever you have. When a patient has an implant removed, and they have a decent amount of breast tissue of their own, you can usually do something with the residual breast tissue to do a lift or rearrangement, so that leftover breast tissue, albeit smaller, looks pretty.
But if you are 90 percent breast implant, right, you're super skinny, you're an A cup, you have just, you're just your breasts are mostly implant, you remove the implant, you got nothing to reconstruct. Reconstruct what with what? So you're gonna have to be okay with having perhaps breasts that are aesthetically not so pleasing.
There's a huge trend of, oh, I'll just put fat in there, fat transfer, fat transfer. I have had 10 podcasts about this, so I'm not going to belabor it, but I personally am not a fan of removing, let's say, 300cc implant and then liposuctioning your entire body, creating all kinds of irregularities, and then shoving fat into an area that a lot of it doesn't survive. So in my own practice, I'm not a huge fat transfer guy, predominantly because I don't like the donor side, meaning the area we borrowed from.
So that's the whole idea about explant. It's not about whether or not I can remove it. It's a matter of what my breast will look like without it. Well, that's my question because I had a breast. Um, I had implants done 15 years ago, but now I gained weight, so I'm like a double D, and these implants are like a hundred CCs.
So you are the perfect candidate to do an explant because your implant is relatively small. You have a lot of breast tissue of your own. Do a lift slash reduction and be left with smaller, pretty breasts, and no implant. That's the kind of case that I advocate for. Let's remove them, not when, not when you're not, when you're predominantly implanted, you're left with just bags, paper bags, and now you want to do something magical that's just not going to work.
Every time I get a mammogram, they always tell me, and why did you get implants? Yeah, that was, that was 20 years ago, so yeah, well, no, 20 per 15. Okay, so um, I have the next question is here from, speaking about breast implants, Calio dot Marine, Cali oak.marin. Okay, gummy versus silicone implants. I thought it was.
So this is, it is and it isn't, and it's just this nomenclature. So implants are divided into two types, that's it, saline, silicone. Saline implants are silicone bags filled with water. They're a bag, an empty balloon made out of silicone, filled with saline. Silicone implants are the same exact balloon, silicone, filled with silicone, and capped. So they're essentially the same implant except for what's filled inside of them.
Okay, when you are talking about gel implants, gel, the silicone ones, it talks about how soft or firm the gel is. When the gel is super soft, it has the advantage of feeling like it's exactly like your own breast tissue. It's soft. You can't even tell where it is. The disadvantage is that it has ripples and irregularities. It's like a soft pillow. It has waves in it.
As the gel becomes thicker and thicker and thicker and thicker to the point that it becomes solid, it's then called gummy. The reason the term gummy came to exist is it's just a descriptive term. It's not a scientific term. It comes from gummy bears. Gummy bears, if you cut them in half, they don't leak out juices. They're sticky, firm sugar candies, and if you cut a gummy bear implant in half, it doesn't leak, but it's also fur.
Now, the true, true gummy bear implants, the ones that were shaped, were removed off the market because they were textured. So now the only type of silicone implants we have are round, round implants. The manufacturers really like the name gummy because patients really like the name gummy, and so are still using the term to reflect or represent the most firm version of it, but it's not a true gummy the way it used to be. So it's just kind of marketing, in my opinion.
Okay, so I have your question from uh baby in Miami, maybe in Miami does insurance cover breast reduction if deemed medically necessary? Why would it be deemed medically necessary? So breast reductions and certain other plastic surgeries potentially can be coverable by your insurance, assuming the following items. Number one, your insurance has it as a coverable procedure. In other words, your insurance, the one you have, your husband has, your family has, considers the thing you want to get done as a procedure that they cover.
Secondly, if it is like your eyelid skin or your breast, it needs to be considered medically necessary rather than cosmetic. So they have their own criteria for each procedure, and medically necessarily means that it's causing me a medical condition. So with breasts that are large, if they're so large that they're causing you back pain, neck pain, you get a rash underneath your breast, you have uh, you know, herniated a disc in your neck, etc., you can then go to your doctor.
That doctor can then submit it, then your insurance, based on your coverage, can determine whether or not it's coverable or not. So that is something that you can determine for yourself. The second question is, will your doctor accept your insurance? So question number one is, is will the insurance pay for it? The second question is, will your doctor accept your insurance?
The answer is that the overwhelming majority of high-end, highly qualified, excellent surgeons will not accept your insurance. Why the hell not? Because your insurance will pay. So a breast reduction often pays like fifteen hundred dollars or something crazy. To do a reduction, you paid fifteen hundred dollars for some filler or some minor procedure.
Why on Earth would somebody who's going to spend four or five hours accept that insurance payment? They won't, nor should they. So the question is whether or not it is coverable, and the second is whether or not your surgeon will accept it. Those are your two hurdles. Got it.
This question also about breast implants is from Annette Marie, saline versus silicone. What is a better option? So there is no better option. They're different options. So saline, as I would say, few benefits but in my opinion, mostly not so many benefits, and silicone has a few more benefits.
So what are the distinctions? A saline implant is essentially a glorified water balloon. It's a balloon filled with water. So when you go to squeeze it, it will feel firm, much firmer than a gel or silicone implant. When you go to hug somebody that has saline implants, you will feel the implant come across against your chest. Silicone is smooshy, so it will not be as obvious because it firmer. The rippling, the irregularities can sometimes be more palpable with your finger, like if you run your fingers against the chest, you might feel them a little bit more.
The advantage of the saline implant, it's arguable, is its advantage or not, is that if it were to rupture, if it were to burst, you will know immediately because it will deflate. Like you'll be in the Bahamas, and all of a sudden, you'll get up one morning and be like, oh, my right breast is completely gone. They deflated. It's saline, it's odd, it's water, it just goes away.
So you'll have one normal breast and one deflated breast. The advantage of that is that now you know. The disadvantages of now, you're screwed because it's emergent. Like you can't go walk around with one normal breast. Silicone implants usually are what's called a silent rupture. If they burst, you don't know it because the silicone doesn't evaporate. It's still there. It just kind of stays in the pocket, and after a period of time, either through your mammogram or your MRI or something like that, you'll come to notice that it's there, and then you'll remove it.
In my opinion, in my personal preference for patients, I feel like the silicone implant is a far superior prosthesis than the saline implant. I consider the saline implant a tricycle, and I consider a silicone implant a motorcycle in terms of their development. Well, I think we need to go on a break. Okay, when we come back, we're going to talk about the dreaded liposuction that you love. Oh, alright, let's take a break, and we'll be back with the rest of your questions and some answers.
Alright, welcome back to the second half of Plastic Surgery Uncensored. We're doing your questions and answers, as always, and Maria, tell me what the next question in line is. Well, this one is more of a comment that I wanted to start off with. This um comes from Sally B. Ally B. Alright, what's Sally B say? I hope he's good. I hope. I saw your liposuction post on Instagram and Tick Tock. Excellent post, and truly appreciate your honesty and educational information. So no. Okay, that's nice. I like that. That's cool.
How has been the reaction to that post, uh, in general? So it's interesting because I didn't, you know, we, I post all the time, right? I've been posting for years. I never really had anything go so ballistic and viral, and like we posted it on um Tick Tock, which I'm barely on, and there was like half a million views, there's 26,000 likes.
The post was as follows. I simply gave a cautionary alert about my philosophy regarding liposuction in the era, in the era of BBL and fat transfer, in the era of BBL's Brazilian butt lifts, and fat transfer in general, borrowing from one area and sticking it somewhere else, whether it's your face, your breast, or your butt.
My philosophy is that doctors across the globe are being way too aggressive with liposuction because previously, the goal was to fix an area. Now the goal is to get as much fat as fat as you can, so that you can fix another area and my perfect like the butt or whatever. My post, which got a lot more Jesus Christ traffic and reaction that I'd anticipated, was that you are going to guaranteeably have outcomes from the liposuction that you had not anticipated, and what are they?
Some loose skin, some irregularities, some dense, some rippling, and some divots, aka the area we liposuction will not be smooth and tight. The end. And I posted it, and you should see hundreds of patients were like, oh my God, I can't believe that happened to me too. I wish I'd known. Holy, like hundreds of women, just and men but mostly women, about how they did this liposuction years ago and now they regret it.
I'm just, talk as if I open up the floodgates on like the metoo movement. Then I had a handful of people, some patients, right? That's not true. I did it, and it was the best thing ever. High five. I'm so happy for you. And then I didn't realize I got a lot of doctors that were pissed. I'm thinking to myself, what the f, get off my page. What's it to you?
And they're trying to turn it around. This is funny, and make it sound as though I was being irresponsible and scaring patients. Listen, how petrified they were that they would lose patients, that they came onto my page and tried to rebuttal me, that me telling patients to be careful was was reckless, and that they, that they insinuated the reason was because I'm not a good surgeon. I mean, my God, fighting words.
Oh well, I re well, I replied, alright. Alright, you know, you know, you know one thing is, I'm not shy, and I, and I'm not going to back down regarding a statement I made, no less to my own followers. So did I say you shouldn't do it, did I say it it's illegal? No, I said you need to be damn careful, and then it follows by hundreds of testimonials of people saying he's right.
So I never thought it would get this much attention, and especially not by so many plastic surgeons. And well, what can I tell you? It's the number one procedure done in the world, so you would, you shouldn't be surprised. Well, uh, speaking of liposuction, I have a question here from anent a, and she says of the small percent of people you do lipo on, what criteria makes them a good candidate?
That's a great question. I didn't say I don't do liposuction. I say I do it seldom, and I do it selectively, and I do it conservatively. So the question is excellent. So when you do it, which is infrequent, what are your criteria? Number one, the amount of fat I will remove will be limited. I am not doing liposuction to suck out all the fat from a given area. I'm doing it to improve the contour a little bit because if I remove more fat, you will end up having more complications. It's not a matter of doing less doesn't get a complication. It's just not as obvious.
Number two, I only do it if you have thick ass skin, high quality thick skin. Why? Because once I remove the fats, we are at the mercy of your skin to sit smoothly and not come shriveled up and loose. So example, I've had three children. I have had three births. My belly is nice and loose and has fat in it. Will you lipo my lower pooch? No, I will not lipo your lower pooch.
You have a ton of loose skin there, and if I remove that fat that you have there by lipo, not by tummy tuck, you will look terrible. So you need to do conservative lipo, and you need to do it in areas that have solid thick skin. That's my criteria, case by case. That's good.
Okay, I have here, and I'm not sure what the question is, as I said, but it says Risa danayan says, being stressed the night before surgery. I don't know if she's saying is it common to be stressed the night before surgery or, alright, I have my philosophies. So I have a lot of patients who ask me if I will give them Xanax for the night before surgery. Yeah, yeah, all the time. I would say like not 10, 15.
Hey, Dr. Bond, I know I'm gonna be a wreck the night before. Can you give me a Xanax? And I, my answer is every single time, the answer is no because I don't want to operate on someone who is so anxious that it's unmanageable without drugs. The answer is cancel your surgery.
So listen carefully, every single human being on the planet who has a surgery, cosmetic or not, will be anxious. There's no such thing as having a bunionectomy or a hernia fixed or a hysterectomy or a breast augmentation and not being stressed. That means you're not on planet Earth, and you're not paying attention. The difference is plastic surgery is elective.
You pay a lot of money to do this to yourself because you are so excited that this is going to be good for me. I am taking money out of my kids' college account. Listen, I need this. So if you need this, and you are excited about it, and you're going into surgery, and you're so anxious that I gotta drug your ass, then you're not ready for surgery. You're not ready.
We haven't explained it to you, or you're not a right candidate. You cannot do elective surgery with that much anxiety. So I don't want to drug anyone in order to do surgery. You need to be stressed but stressed to the extent that you can manage it, like every other person. So it's philosophically the answer is no, you can't. So yes, you will be stressed, and no, I won't give you drugs.
That's good. I think it's normal to be anxious, especially when there are always consequences to these. Yeah, of course, right. Of course, it's always the risk factor. Um, this one's an easy question, I think, from Jessica Lee younger, Jessica Lee younger. Okay, what's um, best scar recovery cream or serum?
Okay, so you have to, I'm going to make a plug for my scar management podcast, which is extensive, but I will give you a short answer here. 99 percent of scar management post-operative stuff is, let me repeat it in case you didn't hear it, 99 percent of the stuff that is sold to help your scar after surgery is, how can I say that, Dr. Rahban, because if it worked, if it worked, it would not be a secret.
Every surgeon in the world, a hernia doctor, your OB-GYN, your ENT, every plastic surgeon, everyone has scars, and everyone wants them to go away because no one wants to hear it from their patients. So imagine, imagine there was this magic cream, and when you rub that magic cream on your scar, the scar goes away. Do you think it would be some secret or do you think it would be on Amazon, Walgreens, CVS, every doctor, and every specialty would be giving it to you?
It's 99 percent of your scar is the following two items. You and me, fifty percent of that is you. What will you make? What is your DNA? What are you predisposed to do? Are you gonna make a brown scar, are you going to make a red scar, are you going to make a white scar, are you going to make a thin scar, a flat scar, a raised scar, a smooth scar? What will your DNA create?
The other half of it is, what the hell is the guy or gal closing me going to do? Who is closing me? How are they closing me? How many stitches, what type of stitches, in what layers, how much tension, is there glue, is there staples, are there stickers, tape, that or that? Those are the two components. The part of it which is you, you can't change. It just is, it's just you.
The part that you can change is the idiot or the, or the expert who closes you. Ninety percent of plastic surgeons don't close their entire wound themselves. Have you ever been to a really busy law firm that doesn't have a paralegal? Have you ever been to a really busy accounting firm that doesn't have bookkeepers? How about a really busy dental practice that doesn't have a hygienist?
So it shouldn't come as any kind of shock to you that plastic surgeons have people who help them in the closing phase. Now, doctors have the physician's assistant, right? So they have, they have a nurse, a physician assistant, a junior doctor, or even the tech who should never be doing it, helping in some degree, if not doing the whole thing. So the only thing you control is the, the, the, the how it's closed.
I have for almost 20 years only been the person that closes every damn stitch, every layer. I'm talking compulsive. That doesn't mean you're going to make a great scar. Just means you'll make the best scar that your body will generate. So once that you and I have done our dance, after that, it's hogwash. I have things that I do. We have paper tape, we do massage, we do this, that. Well, I'm talking Max, one to two percent.
If you made a shitty scar, there ain't no laser, no cream, no lotion, potion, nothing that's going to make that go away. So that is my philosophy. If not, I could sell a ton of snake oil in my prayer. Okay, now I have uh the last question. Ah, the last question. What was the most challenging and longest surgery you have ever had to perform? And that comes from d uh did, did Delaware.
So I, it's hard to say. I can tell you that I do a lot of long cases, more so than most of my colleagues. I do a lot of seven, eight, nine-hour cases, which is brutal. Facelifts, eyelids, brows, you know, uh, tummy tuck, uh, breast lift, breast augmentation, lipo. I do a lot of combination surgeries, so they are very long. Um, and they're all challenging, but they're not memorable for me.
I'll change the question not to the longest or the most challenging, but I will kind of answer the most rewarding or most memorable. This surgery was when I was a resident. I was in training. I was at USC Medical Center in downtown L.A., and I was a chief resident, which means I was in my last year, and I was towards the end of my training, so I was about to graduate in the next, I don't know, six months.
And I was on call at the main hospital, the USC county hospital, which is like a major trauma center, just uh, gunshots and all kinds of crazy. And I remember like it was yesterday. It was like 6:30 in the morning, and I got a page. That's right, those were the times with pagers, and the page was, you know, the ER, and I called a pager, called the ER back on my Motorola flip phone, and the lady, the ER doctor, was like, yeah.
We have like a 12-year-old girl that was hit by a car, and she developed a scalp evulsion, a scalp evulsion. So what a scalp evolution is, is means that her hair, this happens a lot in women with ponytails that work in places and factories. The skin of your head, if you notice if you rub it back and forth, the slides, it's lights about it.
So if you think about it, scalping was a phenomenon of Native American Indians back in the days, and they can take your scalp off because it detaches from the bow. So this young lady was hit by a car, and somehow, I don't know how it happened, but her scalp came off, and a part of her ear. So her ear and her scalp came off and was detached from her head.
Okay, and they had the piece, they had the scalp and the ear connected as one piece, and then they had her as a human on the other, and they called us, and it was me, and I remember who it was. It was Dr. Wally. He was the fellow, which is the year one above me, and it was just the two of us because our chief, the guy that was our supervisor, was not present. We couldn't find him.
So me and Deb went to the hospital, and the two of us replanted, re-implanted her scalp back on her head with microsurgery. We went under a microscope. We connected the blood vessels, the artery, and the veins. We sewed the thing back on. Then she was obviously obviously asleep. Then we put her in the ICU. Then we use leeches, leeches to get the circulation going, and then the damn things are 96.5% of it survived.
That was my sort of like Hallelujah. I get goosebumps thinking about it. Um, have you ever after that, no, never again. Engine and was there a lot of like, I'm trying to envision, no, no, no. This the area around her head where it detached, we sewed back on, and there's an outcome that up does it doesn't here go back in that area? No, it depends. It depends on where it was cut around. You're asking too many detailed questions.
All you need to know is that all you need to know is she's her scalp survived, and she's walking around, and I hope that she's married because at the time, she was 12, and it was like, I don't know, 20 years ago. That's so scary. Yeah, well, you know, plastic surgery is cool. Alright, that's it. That's your Q&A's, guys.
Alright, well, that wraps up another episode of Plastic Surgery Uncensored. I hope, as always, you've enjoyed our show. The number one thing I ask at the end of every show is if you like our show, you love our show, you're like wow, this was great, do me a favor, go online, write something nice, leave us a good review. It really makes a difference. It first of all makes us feel good, and second of all, it really helps bolster uh the podcast so that it could continue.
Secondly, make sure to download and subscribe, not only yourselves because you're obviously listening, share this, share this with other people because again, the more people follow our podcast, the more the information is disseminated, the more useful this all becomes. And as always, we're grateful. We hope that you join us next week. I'm sure whatever we're going to talk about, it will be interesting, and as always, signing off, Dr. Rady Rahban on Plastic Surgery Uncensored.