Male Plastic Surgery w/ Dr. Douglas Steinbrech

Summer Hardy (00:01):
Welcome to Park Avenue Plastic Surgery Class, the podcast where we explore controversies and breaking issues in plastic surgery. I'm your co-host, Summer Hardy, a clinical assistant at Bass Plastic Surgery in New York City. I'm excited to be here with Dr. Lawrence Bass, Park Avenue plastic surgeon, educator and technology innovator. The title of today's episode is Male Plastic Surgery. We know women love to think about beauty, but what about men? Are they part of the explosion in plastic surgery as well?

Dr. Lawrence Bass (00:31):
To bottom line it? The answer is definitely yes. Both the numbers of procedures and the percentage of procedures in men is growing, but it's still a small minority of the total, according to The Aesthetic Society statistics as well as those from the American Society of Plastic Surgeons, the percentage was around five to 6% in 2022. That's the last year for which statistics are available. Still, this small number really understates the importance of appearance to men. Men don't think about personal beauty exactly the same way as women, but they are still very concerned with their and the image they project to others. Appearance is a huge part of that.

Summer Hardy (01:22):
That makes sense. So what can you tell me about this Dr. Bass?

Dr. Lawrence Bass (01:27):
Well, let me turn to our guest to discuss this issue. Today we have with us Dr. Douglas Steinbrech. He's a board certified plastic surgeon who trained at the Institute of Reconstructive Plastic Surgery at NYU where I trained. And he is really a master of body contouring and minimally evasive approaches in plastic surgery. He's been especially active in defining plastic surgery for men, including editing the seminal textbook on the subject entitled Male Aesthetic Plastic Surgery. He was gracious enough to ask me to write a chapter in that textbook on cheek augmentation. Dr. Steinbrech, welcome.

Dr. Douglas Steinbrech (02:14):
Thank you. It's a pleasure to be here. Thanks for having me. I think it's a great topic. Topic I'm a big fan of.

Summer Hardy (02:21):
Welcome Dr. Steinbrech. So let's get right into it. What are the aesthetic issues that men pursue most often?

Dr. Douglas Steinbrech (02:28):
Yeah, it's really a variety of things, but what I see a lot is with aging, it's a couple of things for face, the men are concerned with their neck and really the jawline or the jaws and the point of, as Dr. Bass said, the point of where the cheek is when it comes to body, they're more concerned about being fit. We're currently in a wave where we're inundated with Instagram and media and everyone's watching everyone and everyone's actually putting everything that they have on the internet or on their phone. And so people are seeing a lot more, they're comparing a lot more. They're seeing a lot more skin. So this has sort of shifted people's interest in fitness and an interest in looking good. So from a body perspective, a lot of men are coming in asking for improved body contour. They're interested in more dramatic fit appearance, and particularly in those areas that are stubborn, everybody's going back to the gym, but the areas that the gym can't quite cover, that's where we come in. And then the other thing that we could talk about later is how much massive weight loss and even moderately weight loss with GLP-1 copy cats or Ozempic and these sort of weight loss drugs, how much that's really shifting the landscape in terms of body contouring for men.

Summer Hardy (04:06):
Okay, that's really interesting. You touched on this a bit in that answer, but separate from what men are actually looking to address, are there differences in how most men approach or think about plastic surgery compared to most women?

Dr. Douglas Steinbrech (04:20):
Yeah, I think men, they're interested in, like I said before, they're interested in looking like they used to look when they had more time to invest at the gym and before there were changes with their genetics. And that's what we see a lot. We see a lot that men want to be back where they were when they were in their twenties before the testosterone change went down a little bit and before work and family responsibilities really came into play. The other thing is about how men and women, and when I say any of these things I try not to generalize, and I'm definitely trying not to be sexist, I just find that people have different approaches and a lot of times men tend to not want to chaperone. They tend to want to do the research, look online, see who looks like they specialize in this area, and sort of like they know that they know that they've done well this year and they know that they want to go out and if they do really well at work that they're going to get themselves that BMW or the Mercedes.

(05:37):
They walk into the Mercedes shop knowing that this is what they want. And so instead of shopping around to a bunch of different car lots, they know where they want to be. So they've already done the research when they've come to me and instead of asking a lot of questions and comparing what I say to another doctor and going up and down Park Avenue, they usually feel like they've done their research and they treat me more like a consultant. They hire me for my expertise, for my ideas of what I have. They listen to what I have to say, and then they usually allow me to execute their plan. So from that standpoint, I really enjoy working with men because, and a lot of women are this way too. Again, I don't want to generalize it, I don't want to be sexist, but I just find a lot of men when they come, they've already made their decision. It's just where they want to know what is the best way and they seek my advice as an advisor. As a consultant.

Summer Hardy (06:42):
Got it. Okay. So if we look at procedures that men are specifically focused on, what are some of the differences in how those procedures need to be performed?

Dr. Douglas Steinbrech (06:52):
Yeah, so well, one of the things is for women, we see a lot. I always say women are interested in four bumps, which means two bumps in front and two bumps in the back in general, again, this is in general we just want to have fun, but men are interested in a lot of different bunks. So it could be a six pack, an eight pack delts, anterior lateral, posterior delts traps, chest biceps, calves, triceps. So all of these areas, and we accomplished those in a couple of different ways. One is using your own, I call it body banking. It's using your own cells, your own fat cells, taking them out of the bad areas and then moving them into good areas. So that's what we call body banking. It's taking all those cells and transplanting it into a good aesthetic area. So by subtraction and then addition, we can completely, like a artist uses clay to create a more artistic or athletic result.

(07:52):
I could do the same thing with my clay, which is a patient's own cells, their own fat cells. So we find it does a couple of different things, first of all, it gives them a better artistic result. Then just throwing the fat and putting it in a bucket, I think that's a complete waste of time. You wouldn't imagine a clay sculptor just removing the clay and throwing it away. That's complete waste. He takes some and then he adds it to other areas. So that's what I do. But then the second thing about it is we're just starting to understand a couple of the rules or the dynamics of fact grafting or lipo cell transfer and what it means. So I've kind of studied this and I've looked at this, and what we find is that if patients just have liposuction and they throw away the fat, that they can get what we call rebound fat.

(08:51):
So that's fat showing up in other undesirable for our locations. So let's say if you have a dude that comes in and you do lipo, I used to do this all the time. I used to do all the liposuction, really make his abs look great, really make his flanks look great, throw the throw away the fat, and then they would come back and if they didn't increase the caloric burn or decrease the caloric intake, they're still getting excess corid excess calories and they're developing, they're feeding those fat cells. Well, guess what, if I didn't bank any fat cells on the outside, then then it's going to come back. If I threw it all in the bucket, the only fat cells left over are visceral fat cells. That's belly fat, fat inside behind your abdominal wall. I see it. So when they come back nine months later, after they're all healed, they come back nine months pregnant.

(09:47):
Now that we get smarter, now that we bank things, I bank things in your shoulders, trots chest into the glutes, into the calves, wherever we put it, they can relax with their diet. Maybe they can have bread with dinner, right? Can you imagine or even have dessert? You don't have to live a life without pleasure. And now when they do it, the doctor sent to do it, they get more upper volume cleavage or upper chests volume, their traps pop and their shoulders widen. So this is what our patients find, and they're really, really not only happy about their abs, improving their abs, but now they have all this great volume and other desired errors and they look great at the beach, at the pool, but they also look great playing golf with a pull-on. And as you get older, mother nature plays a couple of tricks on you.

(10:36):
She turns down for men, she turns down the testosterone, she turns up the estrogen. So as she does this, as you move into your forties, fifties, sixties, seventies, and as this happens, instead of all those fat cells getting larger around your belly or inside your belly, if you had liposuction, what happens is it increases in size relatively. There is the got banked, the desires that we put in. So I always tell my patients to write me a thank you note in 25 years if I'm still around. But we immediately had people a year or two that are really, really pleased. And so that's the other advantage of it.

Dr. Lawrence Bass (11:15):
I think that's a really important point. Liposuction started as this treatment for people back 40, 50 years ago who were ideal body weight with very focal areas of extra fat. And if you do liposuction on someone like that, a 25-year-old with a teeny bit of fat in the love handle area or something like that, that's great, but we've really, really broadened the application to people who are older, people who are not obese. It's not a treatment for obesity, but for people who are overweight, which is almost all of us Americans. And when you're treating that population, the fate of the body when you take the fat away becomes different as Dr. Steinbrech described, because that visceral fat is more metabolically active, it's bad fat, and if you're in a weight gaining stage of life, unless you radically alter your lifestyle, then liposuctioning out subcutaneous fat, which is not as metabolically active and consequential in a bad way for you, is more likely to get you in trouble where taking that fat and putting it someplace where you need it is protective and aesthetically useful. So it's a win-win, isn't it, Doug?

Dr. Douglas Steinbrech (12:47):
Absolutely. And just for the women out there that are listening and not believing this before we did BBLs or now we say gluteal augmentation or a buttock augmentation but we say Brazilian butt lifts. Before we did that, Dr. Bass and I used to just do liposuction on women and then we do a tummy tuck and I would do my very best to suck out all the fat, but we threw it in the bucket. We didn't know any better. We never put in the glutes or anybody cells. What happen is the patients really wouldn't be great about going to the gym and wouldn't be really great about decreasing their post caloric intake. And so they would get this rebound fiber, what I call catch fat, compensatory atrophic cellular hypertrophy, which just means cells in other areas compensator enlarge, unless you do change how much you take in or how much you put out.

(13:38):
But what would happen is six months later, I would have these women come in and they would look like a truck because what I took out, we didn't bank anywhere else. I didn't put in the glutes. We didn't really do BBLs then, we just threw all the fat away. And they would come back looking like Spongebob Squarepants and they would have a lot of visceral fat almost like they were pregnant. You'd have an unhappy patient and an unhappy puffing. But now to illustrate the point, everyone sucks it out and they put even maybe less than a couple of years ago, but puts something somewhere else. And usually it's in the buttock for women and now they come back six months. "You're a genius doctor. You're a genius." The husband is in love with you. The patients are in love with you because guess what? They went home. They did not change how much they ate. They did not change how much they burn, but instead of coming back as visceral fat, it came back in their backside and the husbands otherwise were in love with you. So that just further illustrates the point.

Summer Hardy (14:46):
This is a really interesting discussion. I hadn't thought of any of this before. Is this just a different aesthetic endpoint then, or are the actual techniques different?

Dr. Douglas Steinbrech (14:56):
The techniques are different as well. And also the philosophy is different and the postoperative care is different. And I'll tell you why. Postoperatively. Well, also preoperatively, I put people on a slightly elevated carbohydrate diet so that their cells are a little bit larger so that more of them survive the transfer postoperatively. And then postoperatively, we keep them on a high carb diet and a high protein diet for really high carb diet for 28 days to make sure all those less cells that we put in their new location actually survive. Because we really don't want someone to be in starvation mode because your body prioritizes the most important thing. What's going to be the most important thing to heal up, not to keep any exogenous fat cells or transplant. It's really not your body's priority. Your priority is heal up the surgery that just got done.

(15:50):
So we want to give them extra carbs to keep everything there. And that's really sort of a change. A lot of times surgeons don't stress or emphasize or higher carbohydrates postoperatively, and it's saying to get to patients to do it, they came to have liposuction to get lighter, to really tell people that you need to do this, that that's something that you have to massage with patients as well. And the other thing about what I do is a lot of postoperative molding. We use a lot more foam with procedures and we spend extra time really talking about compression wear to make sure everything heals as easily as possible, as polished as possible, but also to make sure that the transition zones from what we've subtracted to what we've added, our nice and smooth, our aesthetic, our mixed sense, and our natural appearing.

Summer Hardy (16:48):
So then where the techniques are different, does that mean that the instruments are different as well?

Dr. Douglas Steinbrech (16:53):
Yeah. Well, one thing that I have and I've developed is a scar abdominal healing. And you may see summer when you go to the beach or the pool, you may see some guys that have had abdominal sculpting or abdominal etching and their abs, their stomach looks like a tic-tac toe board, and they have six different incisions right on the skin, right visible, God forbid if they were a little bit darker complected, maybe we call it Fitzpatrick scale and it's scaled from lightness to darkness. But if it might be a patient that may be a patient of color or a patient of a thicker dermis, one of these guys that may be Latino or black can have problems with hypertrophic scarring or keloids. Those are those bad scars. So if you are giving them a scar that's right on their abdomen and it scars poorly, sometimes they look ritualistic, they're going to have scars that obviously show that they've had abdominal sculpt.

(17:56):
So I tell everyone that we need to have, and I have curved cannulas so that I can hit all the points from two small incisions underneath your swimsuit or through the belly button or a little nick through the nipple that nobody ever sees. So I can hit all those sites without any scars on your abdomen. So we developed this in 2017, it's called scarless abdominal sculpting, and I always tell the residents, and I tell when I'm speaking, I have to speak in Cartagena next down in Columbia, and then we're going Greece and then Australia. So when I talk to people, I had these conferences, I always tell patients I've never had to apologize for an incision that I did not make. Right. If you don't make the incision, you don't need to do it. And frequently I'm at a conference and I'll talk about this and I'll sort of beat on people about this, stop making these incisions. We have the tools of the technologist not to have that. And then the next doctor that gets up and gives his abdominal sculpting talk showed make sure there's incisions I just told everyone in the audience not to make. So it's kind of tricky.

Dr. Lawrence Bass (19:10):
Yeah, I think that's a lesson from the whole field of minimally invasive surgery and plastic surgery as well, that the smaller the incision is, the further away the incision is, the more it becomes critical to have exactly the right instrument that empowers you to do what you need to do. And if you try to do it with just a conventional instrument, you try to struggle, you're not in the right position, the instrument's not configured properly. So that contribution that you made of developing instrumentation that enables this whole process was really one of the tremendous steps up for accomplishing this in a way that keeps the entire abdominal area looking great instead of a jigsaw puzzle of a bunch of little incisions, as you're saying. And I've always tried to tilt towards the absolute minimum of liposuction incisions of fat grafting incisions, and there are some surgeons that go with very short cannulas and make many incisions every four inches or so. And I've just never understood that approach. So I think you're right on.

Dr. Douglas Steinbrech (20:25):
Yeah, frankly, that's one of the problems with a lot of these new technologies. The companies are more interested in making money, so they make all the probes very short, so they can't use the body in prob for the neck group or anything like that. And by making them short, inherently people just have to make more incisions, which means more scars. The patient, unfortunately, I dare say that for the company sometimes the priority isn't the patient or the patient's scars. The priority is how many of these things can they sell sometimes, unfortunately.

Dr. Lawrence Bass (21:00):
Yeah. I mean that's the thing. We often use a few different liposuction cannulas in terms of what the apertures look like, the holes that actually shear off the fat or in terms of the curve of the cannula or the length of the cannula or the diameter. And as soon as you go to an energy based technology, either applicator or cannula, you can't really buy more than one for a case, which means by definition, you're using one disposable cannula rather than your, I mean, I've had a lot of cannulas for 20 years and we just put them in the sterilizer. They're steel, they get cooked, they're sterile, and we use them and use them and use them. But I can pull on that family of cannulas for whatever exactly I need in that instant to get the shaping I want, which you lose when you transition to a single cannula approach.

(22:04):
Right. That's an interesting point. I didn't think of that. So I'd like to kind of focus in a different direction from body, and you mentioned that neck and jawline are one of the big things for men because it does give them a worn, tired outlook and nobody wants to look that way, especially if you don't feel that way. But this is also a procedure of course, that women do commonly. How do you approach facelift or neck lifting for men? How are your incisions different? How is it different what you're doing underneath with your connective tissue layers? What's your thought process for this?

Dr. Douglas Steinbrech (22:46):
Sure. Well, men are a little bit different than women. And neither for men or women do. I like to do the old fashioned surgeons really in the sixties, seventies, and eighties, which was kind of wait until everything falls apart and then they get these Park Avenue matriarchs and they put their foot up on the table and pull as much as they can. So that patient is very wind swept. So a couple of things that we do for the men is men would rather have A, not look feminized and B, not look overdone or look like they did have surgery. So for the men, they'd rather, and this is one thing I remember, I had this lady from Texas when I started out my practice, "doc, I want to be pulled so tight that I only have one line and I want to be sitting on it." And I just thought it, first of all, it was very clever, but men don't want that. And for men, what we want is I always talk about something that looks, some lines are character and there's nothing that looks more artificial for me than to see a man that doesn't have one single wrinkle, one single anything.

(24:01):
I think that a few lines here or there are sexy. We just don't want to look old or older than our age. So number one priority for men rather, they'd rather have less done. And I always tell my patients, I get in the same sig with them, you come to me because you want to stay looking masculine and you don't want to look like you had surgery and want to look like you don't look like an alien or a woman. So for my guys, I know I say if there's anything that you're going to be displeased, it's because there's a little, you wanted this to be completely gone. I never say gone. In my practice, I always say improve after I speak with 'em and they realize that they don't want to look overdone or over pulled, God forbid. They do understand that, and it's about setting those expectations that makes 'em happy.

(24:45):
In terms of technical differences for the women, what we do is we take their skin, we put it all the way behind the dragus, behind and into the ear. For the men, I don't do that because they have hair bearing. They have that beard or bring it right up to that little line that everyone has. We call pretragal that it has in front of the ears. But what I do is I do something different. What I do is I make sure I see some, and in fact, I went to a laser show, I don't want to get too specific because it's going to reveal the person, but really fantastic lasers vice president could have gone to anyone that he wanted to, but I could see when he had his facelift with incision, went straight down, it was about a half inch in front of the ear and then came back dead giveaway of someone who's had surgery, is a poor match.

(25:34):
There was a straight line. What I do, what I do is different is I make sure I go around each and individual and most good plastic surgeons do this, but I still do see some guys when I go out to South Anthem and go to dinner and I see the guy at the club that has an incision that came straight down. So we always blended in with the natural structures of the ear. When my mother was putting together wallpaper in the dining room, her floral wallpaper, she would painstakingly cut around every fruit and every flower so that there were no seams in that wallpaper. And I did the same thing. So you don't see it in men. The other thing with men for the neck, we start with injectables. So we can go a long way with even removal of fat with Kybella, and that's just an injectable.

(26:23):
Or I can do liposuction with neck fat, which is radial frequency. Next step up from that is we make an incision and bring the platysma muscles together, with a platysmaplasty, redrape the skin along with remove of fat and tightening of the skin. Next step of that is short scar neck lift. It just comes around the ear and that improves the neck, but won't take care of the jawline. If we really want to take care of the jawline from a non-invasive way or an injectable way, I can do what I call my male model makeover, which is more into the cheek bone, more along the jawline. Have a special way that I do it to make sure that you don't look like a mobster with which you've seen several people do because they're injecting in the wrong place, but I inject it a certain way so they have a more stronger, more defined jawline.

(27:19):
And then when it comes to surgery, if we want to improve the jawline in the cheekbone, a little bit of the nasal label fold is do a full neck and phase for the gall. So that's pretty much the entire realm. Oh, one more thing is what I sort of call is the Clint Eastwood neck work, which is somebody that says, we have a lot of guys that come in in their sixties, seventies, maybe even eighties, who say, "doc, just get rid of the Turkey neck. Get rid of the Turkey neck." And for those people, I can do it under local. We can remove the skin directly. But the reason why I say Clint Eastwood is because it's got to be a certain patient that says weathered skin, a lot of natural sun aging, a lot of creases, crevices and crags so that when you do directly size that the resulting scar can hide quite well under that weathered skin. But it's really not something that we do and a younger person or a person that doesn't have a lot of skin damage, that's it.

Dr. Lawrence Bass (28:25):
Yeah. So there's this big range of options, and I think those are all really important points. I mean, one thing about face and neck operations is they're not just loose skin operations, they're shaping operations. And so by definition, a male face shape is different from a female face shape, and it's really, really important to reinforce the maleness of the shape in a man and not feminize the face or the eyelids. And I see that all the time from people who just have one approach and one approach isn't even good for one gender. You obviously have to customize your approach based on what's going on in that individual patient stage of aging. But it's really important to do that with the goal of reinforcing a male facial shape. And that incision location and tailoring in is just part of that good plastic surgery training that we got at NYU and Summer watched me making that kind of incision last week on a very nice 77-year-old gentleman who still works full time.

(29:37):
And that kind of incision works better than trying to pull that thickened weathered cheek skin over the tragus, the little button in front of the ear that's going to look poorly matched and not hiding the incision right in the crease in front because you're worried about the hair bearing and non hair bearing areas of the face, likewise is going to leave you with a giveaway, which is essentially avoidable. So these technical details really make a critical difference in preserving a natural look, which is always the goal for men. I think you said a mouthful when you said that because that is a hundred percent what the job is about. If a man comes out looking natural, younger, fresh, or rested, then it's a success. And if you make any kind of alteration, it's really a bad day.

Dr. Douglas Steinbrech (30:40):
Absolutely. Couldn't agree anymore. The other thing I would touch on is the support and bony support, and that's the other thing that we have to think about because just like you said, this is just not just loose skin surgery. If it was loose skin, you would just bring it up. And the problem is men age. I always tell my patients when they're in their teens, one of the reasons why guys look so great in their early twenties is they may stop growing when they're 18, 19, 20, but the jawline continues to grow until around your 27th birthday is it starts to recede. So if you took the mandible, the skull mandible from a 27-year-old and then a 72-year-old, we're going to flip the numbers there, you're going to see a lot of resorption of that bony area. So if you bring up the skin and you've lost a significant amount of your mandible, the actual actual bony push in the mandible, you're not going to look right.

(31:51):
You're going to look forrshortened and lack projection, and you're going to lose that masculinity, and you're not going to look like you looked in those pictures that you brought from 20, 30, 40 years ago. So one of the things that we do have to do is replace, but what we need to do is we need to recreate that extra fullness, and I can do that during the neck lift or facelift. Usually after is better, we reset the tissues after the reset and healed. I go back in and I give that extra volume of that bone with injectables. I can do it with fat or I can do it with hyaluronic acid, which are injectables off the shelf. And that not only makes a patient have a more chisel, more masculine, more defined jawline, catches a light and throws a shadow that gives that really straight, strong masculine look. But it also makes you look more like you looked like when you were 27 years old because we recreated your jawline you had when you were 27 years old, so you look younger as well.

Summer Hardy (33:00):
Wow. That was a lot of small details that I hadn't considered, but are clearly really important when considering plastic surgery for men. So as we prepare to wrap up this episode, Dr. Steinbrech, what takeaways do you want to share with our listeners?

Dr. Douglas Steinbrech (33:14):
I think the key thing is when you're looking for men's plastic surgery, what you want to do is do your research, right? You want to go to, anybody can, a lot of people do, they buy the Google terms for male plastic surgery, New York's best male plastic surgeon, or they'll say, Phoenix best male plastic surgeon. But then when you go to the website, it's nothing but orchids and butterflies, right? And then really, it's when you go to the gallery and you're trying to find one man in their gallery of their before and after photos, and all you see are hundreds of breast augmentations, and you're really not looking for a breast augmentation. So it's to do your research. And then the other thing is to also make sure that they're a member of, they're board certified in plastic surgery. And even higher than that, a higher level is that they're a member of The Aesthetic Society. So those I think are really important things when you're choosing your plastic surgery for male plastic surgery.

Summer Hardy (34:17):
And what are your takeaways, Dr. Bass?

Dr. Lawrence Bass (34:20):
Well, we've talked about some of these things before on the podcast, but the way plastic surgery procedures are done, the parameters, the measurements and metrics are different for men and for women. We've kind of scratched the surface here talking about body banking and talking about face and neck shape, but for every procedure, it's going to be different for men and women, the aesthetic interests of men and women go head to toe, but there are certain aesthetic issues that are more commonly of concern based on gender. We're limiting the discussion in this episode to individuals that identify in one of these two simple baskets of men or women. But we must acknowledge, as Dr. Steinbrech did, that there are individuals that don't fit into one of these simple categories based on how they identify or based on their aesthetic goals. So for that reason, it's really important for patients in their surgeons to discuss the aesthetic goals and the aesthetic sense of beauty ahead of time to come closest to producing the patient's vision of beauty in reality.

(35:38):
In summary, men are definitely interested in plastic surgery and increasingly interested. The procedures have improved to match men's needs, and that's in part due to excellent instruction in how to customize these procedures for men from leaders in male plastic surgery like Dr. Steinbrech, there are a lot of subtle features and some very obvious features that say male or female, and it's critical to understand both the big and little features and build them into your plastic surgery procedures if you want a nuanced natural looking result. So I'd like to thank Dr. Steinbrech for joining us today. It's been a lot of fun to talk through this topic with you.

Dr. Douglas Steinbrech (36:28):
Absolutely. Thank you for having me. I really, really enjoyed it. Some great questions, and I really hope that people go out there and explore it more.

Summer Hardy (36:38):
Thank you, Dr. Steinbrech for sharing your extensive expertise in this area. Thank you for listening to the Park Avenue Plastic Surgery Class podcast. Follow us on Apple Podcasts, write a review and share the show with your friends. Be sure to join us next time to avoid missing all the great content that is coming your way. If you want to contact us with comments or questions, we'd love to hear from you, send us an email at podcast@drbass.net or DM us on Instagram @drbassnyc.