- Interestingly enough, male rhinoplasty patients
are the patients I hear are most likely
to murder their plastic surgeon.
- Wow! - So, yes.
- How did you get out of research?
From Snapchat to television,
plastic surgery seems to be everywhere.
But let's see what Google has to say about it.
For this episode,
I brought on my new friend Dr. Anthony Youn,
a plastic surgeon, to teach you and me
everything we need to know about the surgery of plastics.
Be-woo!
"Does plastic surgery hurt?"
- The answer is yes, it does hurt.
- Okay. (laughs) - I think a better question is
is how much does it hurt?
And it really does depend on the operation.
There are some surgeries that I do where literally
people say they don't take any pain pills
and they say it didn't hurt at all.
And then there are other ones where they come in
and they're mad at me.
And I know they're gonna be mad at me
because it was a big operation.
- "Does plastic surgery work?"
- I think some plastic surgery works,
but actually some don't work.
There are procedures that the FDA clears in cosmetic surgery
as being safe, but not necessarily effective.
- "Does plastic surgery use plastic?" (laughs)
I'm sure there's a procedure somewhere
that uses a form of plastic.
Tell me about it.
- Technically, the term plastic comes from plastic
comes from plasticos, which is a Greek term meaning to mold
or to reshape, not actually plastic.
- "Does plastic surgery age well?"
So, the first question,
a lot of people ask if they're having a facelift
is how long does it last?
The studies actually show for a facelift,
which is a surgery to lift the lower face and the neck,
results can last anywhere from about 7 1/2 to 15 years.
The other thing that's a huge topic are breast implants.
And there is this idea that somehow breast implants hover
after you put them in
and that if you have a breast implant
that you'll never have to have a lift.
That they're never gonna sag.
When the reality is the exact opposite!
They are like a piston in the breast,
there are weight in the breast.
And so every time you jump up and down
if you have breast implants,
it's gonna stretch that skin a little bit.
- That doesn't mean you shouldn't exercise, by the way.
That's not what he said. - No.
But you should, if you're thinking about breast implants,
go with the smallest size in general
that you know you're gonna be happy with
because the bigger you go, the heavier they are,
and size does matter in these situations
because weight does matter too.
- Yeah, not only does it matter from an aesthetic appearance
in terms of how long before the sagging occurs,
but I oftentimes see my patients who do go too big
and it actually starts affecting postural muscles,
backaches, neck aches.
And that's always something to think about because
you know, especially if you're sitting all day at work,
standing, that that can contribute
to a lot of musculoskeletal concerns as well.
"Can plastic surgery melt?"
How is that the number one search?
- I mean, I guess that you could do like an experiment,
take a breast implant, and see if it melts.
But like anything, I guess,
you're gonna get it up to a certain temperature
and it's gonna melt. - Yeah.
- Plastic surgery on my...
Okay, we got all the usual suspects.
Would you say these are in the order of most common?
I would say maybe rhinoplasty be the most popular procedure
probably done in plastic surgery in the U.S.
Would you agree?
- So number one is actually lipo
because it's thrown in with so many other procedures.
Number two would be breast augmentation.
Rhinoplasty would be number one, amongst men.
Rhinoplasty also has the highest risk of body dysmorphia.
Where it's a psychiatric condition
where people have a view of themselves
that doesn't necessarily match with reality.
Interestingly enough, male rhinoplasty patients
are the patients I hear
are most likely to murder their plastic surgeon.
- Wow. - So, Yes.
- How did you get that research?
I just typed in one, plastic surgery is,
and the first result is, "Plastic surgery is wrong."
First of all, plastic surgery is not all cosmetic, right?
First things first.
Patients get dog bites, car accidents, horrific traumas,
where plastic surgery can decide whether or not
they suffer true mental health effects
of their physical injury.
So to say that it is all wrong is too much of a statement
and I think it goes too far.
What would you say?
- No, I agree.
And really, I think everybody's got different morals on it.
It's funny 'cause when people ask me, "Oh, what do you do?"
I meet somebody new and I say, "I'm a plastic surgeon."
I'm met with one of two responses.
Either they recoil in horror at who I am
or they go, "Wow, that's really interesting."
(Mike laughs)
And a funny thing is, is when they recoil in horror
and I say, "Oh my wife," and if I'm with my wife,
go, "Oh, my wife's a pediatrician."
Then they go, "Ah, okay. You're all right then."
(both laughing)
For me, the way I look at plastic surgery
is it's an avenue to help people
feel better about themselves
and hopefully improve their quality of life.
- "Cosmetic surgery for dogs."
For dogs?
Do dogs get plastic surgery?
- There are some animals that do get plastic surgery.
- No way?
- The true plastic surgery is reconstructive
and there are some animals
that have actually had reconstructive surgery
where plastic surgeons have actually gone
and worked with veterinarians
to reconstruct cats and dogs' faces.
And there is some cosmetic surgery done for certain dogs
when they have so much extra skin,
like hound dog types of dogs, hanging over their eyes,
it's actually been done.
I've never done it before.
I've got three rescue dogs that I love
and I would never want to put them under the knife.
- So talk to me about your everyday practice
because I think my viewers...
I mean, a lot of them know you
because when I had you on my thumbnail and I didn't realize
that you were such a mega presence on YouTube,
that you actually are.
People told me very quickly.
So you have a big fan base. - (laughs) I saw that.
- But for those of us who don't know
or aren't familiar with the work that you do,
tell us about it.
- So I'm a board-certified plastic surgeon.
I've actually written three books, three bestselling books.
I've been on, I can't tell you how many shows.
I was kind of like you before you hit the scene.
Now I'm like the old version of Mr. Mike, I guess. (laughs)
As a plastic surgeon.
My practice actually, it's primarily all cosmetic surgery.
I operate three days of the week,
I see patients two days a week.
I take emergency room call for people who get bit by dogs
and car accidents.
And I've been in practice now, gosh, 15 years.
So, 15 years ago, I was like the young guy
and now I swear to God,
I feel like I'm the old guy. (laughs)
- Well, I tell you, you still look great.
So you could've fooled me.
15 years of practice. That's really impressive.
So you have this moniker that you go by,
the Holistic Plastic Surgeon.
Take me through that because I'm a big fan of holistic care.
It's something that is important to me
as a family medicine physician, as a D.O.
So walk me through that.
What does that mean in the field of plastic?
- Yeah, so I went through traditional medical training.
I did, gosh, four years of medical school.
I did three years of general surgery residency,
two years of plastic surgery.
I did a fellowship in cosmetic surgery in Beverly Hills.
And I did really well starting out my practice.
I was in a show called "Dr. 90210" way back in the day
and my practice exploded.
And one day I thought I had hit the pinnacle.
I had patients flying in from all around the country
and even around the world coming to see me
and I had a patient with a terrible complication.
And it really taught me
that I didn't know as much as I thought I did.
What am I doing? You know.
I'm doing all these operations,
but I might truly doing what's best for my patients?
And so I really started on this path of trying to help
inform and educate people on how to make their lives better
using plastic surgery as an absolute last resort.
- That's amazing
'cause when I work with surgeons in my practice,
the goal's always to work with surgeons
who are not just eager to make the incision to cut,
as we say.
We want someone who's gonna weigh the risks verse benefits,
explain them to the patient,
get them on the same page so they feel comfortable.
I do have a lot of patients that come to me
and want quick fixes,
not surgical fixes because I'm not a surgeon,
but supplements, cure-all products.
What's your take on that?
- I do myself believe in supplements. I do take supplements.
I think we can go supplement crazy.
I think there are certain ones
that we do know can potentially help and not hurt.
A big one right now that's really controversial is collagen.
And there are doctors
who are very anti-collagen supplements.
I'm on the other side.
- It's a very controversial space.
I think because a lot of the studies are done
through the industry, unfortunately,
because the NIH is doing very limited work
when it comes to supplements.
What university is gonna fund that
because there's not a lot of money in supplements?
So I definitely think there's room to improve
on the research of the quality that we're doing
with supplements.
My patients don't come to me very wealthy.
Especially, I work in a community health center.
And they're busy, they're working a lot,
they don't have a lot of funds.
So to them, they have to make that balance
between choosing a supplement or joining the gym.
So to me, I always point them in the direction
of what's most proven, most efficacious,
and that they're gonna get the most bang for their buck
all across the board for their health.
- Yeah and that's the thing, is, that no question,
it really does start with your lifestyle.
It starts with what you eat, with getting the right sleep,
de-stressing, you know.
But after that, yes,
are there things that I think we can do to help us,
and for my standpoint, look better and feel better?
No question.
But yeah, you really do have to pick and choose
what you recommend and what your patients are on.
I think I have a different patient population than you,
in that the patients who come to see me
have disposable income
because they're coming in to get Botox
or coming in because they're interested in filler,
maybe a facelift.
And so it is a bit, I think,
potentially of a different crowd.
- Is there any message you wanna leave the audience with?
I'd love to give you the final word on that.
- I think if there's anything you remember
about plastic surgery
is that you never regret work you didn't do,
you only regret work that you did
that you probably shouldn't have done.
So if you're considering a cosmetic procedure,
do your research, learn all about it.
Talk to a number of different doctors.
And before you sign on the dotted line,
before you go under the knife,
make 100% sure that this is the right thing for you.
And if you're not 100% sure
give yourself more time to think about it
because you can always do it later.
- Well said, Dr. Youn.
Thank you so much for joining us on the YouTube channel.
Check out Dr. Youn's own YouTube channel,
where he does all sorts of videos.
Everything you wanna know about popular TV shows,
reaction videos.
And frankly, he's gonna make you that much wiser
about your potential skin and plastic surgery
want slash needs.
Hey Google, can I cure cancer with carrots?
Well, click on this video to find out for another episode
of "Doctor vs. Google".
And if you haven't signed up to the Patreon do it now.
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Let's do it.
Stay happy and healthy.
(gentle upbeat music)