Small Treatments, Big Results w/ Dr. Munique Maia

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Welcome to Park Avenue
Plastic Surgery Class,

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the podcast where we explore controversies
and breaking issues in plastic

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surgery. I'm your co-host Doreen Wu,

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a clinical assistant at Bass
Plastic Surgery in New York City.

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I'm excited to be here with Dr. Lawrence
Bass, Park Avenue plastic surgeon,

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educator, and technology innovator.

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The title of today's episode
is "Small Treatments,

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Big Results." Dr. Bass, tell me
about the idea behind this episode.

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Really, I was thinking of
two things here. First,

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most treatments are
either small treatments,

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small results,

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or big treatment or big
surgery with a big result.

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But there are some exceptions.

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These are treatments that don't involve
a big investment in recovery time or

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money, but have a significant
impact on appearance. Second,

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treatments that address
small features that are often

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overlooked,

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but provide obvious tell
tales of age or other

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unwanted features.

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I'm going to discuss some examples
of these things with our guest today.

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Dr. Munique Maia

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was a plastic surgery resident
at the Northwell Health

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Program with me,

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and then completed the
aesthetic surgery fellowship at

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Harvard and is now a
plastic surgeon in the

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Washington, DC,

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metro area with a very
busy and popular practice.

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Dr. Maia, welcome.

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Thank you. I'm so excited to be
here. Okay, let's get started.

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So, Dr. Bass, let's
revisit the first point.

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You brought up small treatments
that have big results.

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Can you detail some examples for me?

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So probably the best
example is Botox and other

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neuromodulators things like
Dysport, Xeomin, Jeuveau,

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and now Daxxify.

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Often the area that's being
treated as something small,

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like the elevens, the little vertical
lines in between our eyebrows,

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it seems like such a trivial, small thing,

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but it has such a big
impact on our appearance.

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The impact is so big that it's the
most popular aesthetic treatment

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of all time, even though it's just a
few little lines. That's how it started.

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Now, of course, we use it for
many other things as well.

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IPL or BBL intense pulse
light, broadband light.

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This is in a light-based energy
treatment that will knock back

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redness on our face and
clear off a lot of the

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irregular pigment, the brown age spots,

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and give us a fresher appearance.

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And that treatment that typically
has no recovery and is done

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in two or three treatments can really,

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really change how old and
worn out you look if your

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skin has a lot of those features
and then becomes clearer

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fresher skin. So that's another
great example in my view.

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Things like microdermabrasion, you know,
non-invasive treatment, no recovery,

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but it really freshens the skin.

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I think of it like the
dental cleaning of the skin.

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Everyone's skin is better off
with a little microdermabrasion.

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And things we do around the
eyes that periocular area,

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the area around our eyes
is a small area on the

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face,

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but it's the area where
everyone is looking most of the

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time. So doing appeal in that area,

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or a little filler in that area,
or even having a blepharoplasty,

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which is a surgery, has a big
impact on your appearance,

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even though it's a small area,
because if you fresh in that area,

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that's where everyone looks
when they talk to you.

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And of course there are
a lot of filler options.

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And Dr. Maia and I can talk
about this a bit you know,

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where we hit small features on
the face that have a big impact.

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Dr. Maia, what are some examples that
you see in your practice of this? Yes,

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so Dr. Bass mentioned a few

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popular procedures that the plastic
surgeons performed with minimal,

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no downtime and a huge impact
on the patient's appearance.

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So one of the things that
he mentioned was fillers.

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We can do a lot to volumize the face,

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to reshape the nose,

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or even make the jawline more defined.

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It's a very popular procedure
to use fillers to rejuvenate the

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face and also to reshape the
face. So liquid rhinoplasty,

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so we call nonsurgical rhinoplasty,

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can make a huge impact on
patients that are not ready for,

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for surgical rhinoplasty.

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It's also small procedures
like Dr. Bass mentioned,

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is you can do fat grafting to the face.

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So even a upper blepharoplasty that
can make a huge impact on someone's

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appearance with very minimal downtime.

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Yeah, and I think that's
important. I mean,

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everyone's got a busy schedule and
everyone has to budget a little bit,

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both their time and their money.

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And so being practical about
what things can get you

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a a really improved appearance quickly is,

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is something to spend a little
time thinking about. That's,

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that's something to
include in your planning.

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Let's talk about the small features
that shouldn't be overlooked.

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What are you referring to here, Dr. Bass?

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So I'll give you a couple of examples.
You know, we do filler, you know,

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with build cheeks and straighten the
jawline and you know, big changes.

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But putting a little filler in an

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aging empty earlobe and
making it look like a

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plump youthful earlobe really
improves aging appearance

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and creates an attractive feature
instead of a worn out looking feature.

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And the same kind of thing when you're
doing laser for wrinkles. You know,

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a lot of people will laser their
upper lip or laser the face,

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but they leave out the ear lobes and you
have a wrinkly ear lobe with a smooth

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face, and that doesn't look right
and you can have a nice smooth

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ear lobe.

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And if you're already having the
recovery time of lasering the face,

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why wouldn't you include the earlobe?
The same is true with the nose. You know,

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the nose always has large pores.

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We can't get rid of pores because
they're a normal part of the skin,

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but we'd like to make the pores smaller,

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smooth out that skin a little bit.

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And so if you're lasering
a large part of the face,

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always a good idea to include the nose.

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Another area to think about is the neck.
And you know, if there's hanging skin,

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sort of that Turkey gobbler neck,

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we al always see that as a bad feature.

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but there are a lot of other aging
changes in the neck that show up even

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earlier that make it very
clear that you're no longer a

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young adult. So crepiness in that skin,

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which is much thinner than
our face skin and some of the,

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the wrinkles that go
across the neck sort of

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creases in the skin in the lower part
of the neck are things that we can

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chase with a variety of treatments
and give a much fresher look.

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Same idea with the decollete, you know,

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taking that area below the
neck at the top of the chest,

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that often shows even when we're dressed,

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you're wearing an evening gown or
you're wearing a blouse at work.

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And that area shows blending
the pigment and texture in that

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area avoids a mismatch with the rest of

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your appearance. And in
the same thought process,

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having all the areas match up,

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chasing the appearance of veins
and tendons and age spots and just

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crepey thinning skin in
hands as we age, again,

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is a small area that a lot of
people overlook or don't with,

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but that is often a giveaway of
how much aging has really taken

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place even though you've
kept your face up.

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Another area that I do not very often,

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but on occasion that that
can be very pleasing,

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is to boost the outer part of the brow,

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get a nice arching in the brow
using a little bit of filler,

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which is placed right
over the bony orbital rim.

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So it's placed fairly deep,

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but it just creates a little more
of a shelf or support to hold that

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brow up.

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And especially for patients who aren't
getting the brow lift that they would

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like to with Botox,

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this can sometimes be a way
just to enhance that feature

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in a quick non-invasive way.

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We talked about the eyes and
the tear trough area in the

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eyes is sort of a big deal. You
know, it doesn't have to be zero,

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people in their twenties
have some shape there,

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but when you start to get a really
deep trough that demarcates, you know,

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the eyelid skin above
from the cheek skin below,

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filling that in with a little
bit of filler just has a
dramatic effect on making

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you look rested natural but much

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younger than than when you
have a deep trough there.

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another occasional filler area
for me is at the nasal base

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down by the side of the nostrils.

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Bone sinks in as we age and
occasionally separate from

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just filling the nasal labial fold.

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Projecting that area can
help with the width of the

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nose in the area,

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the length of the lip in
the area bringing back a

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little more of the anatomy at the deep
level that you had when you were younger.

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A filler area that I do
frequently is temples.

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When temples look very
hollow, that's an aged look.

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If you look at people at,
at the far extreme of age,

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temples become very deep.

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And so that's not a healthy look.

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We don't want to be convex,

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but if the temple is to concave,

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it needs a little filler to level it.

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And Dr. Maia already mentioned the nose,

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and I think she is 100% correct.

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There's precision with fillers
that were never able to

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achieve with rhinoplasty surgery.

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And so if the feature is very tiny,

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we can more predictably create
the shape change with filler

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very often than we can with surgery.

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If it's more of a support issue
or a big shape change in the nose,

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that's more appropriate for rhinoplasty
surgery. But there are many,

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many things we can do to change
how the dorsum or the bridge of the

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nose looks or the tip of
the nose using fillers.

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Dr. Maia,

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you probably have a list of small
features you see as important as well.

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Can you share those with us please?

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Yeah,

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so Dr. Bass mentioned a few areas of
common concern for a lot of patients.

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One thing that is huge also in
plastic surgery office is skin care.

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So very important for patients to start

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using medical grade, skin care, all the
things that we do in plastic surgery.

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We want the skin to stay healthy.

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So skin sun protection and,

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and good skincare will go a
long way to maintain the results

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of office procedures, lasers
energy, energy devices.

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Also we have microneedling
radio frequency devices

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like Morpheus that can improve
the texture of the skin,

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can help with acne scars and
also a little bit of skin

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tightening for patients that are
young and not ready for a facelift,

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for example.

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So I offer this to my patients
when I've seen amazing results.

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One thing we always focus on the face,

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but there are new technology that
helps also with body shaping.

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Like Emsculpt is it's a new
technology that has high

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intensity electromagnetic
therapy that can help form the

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muscles and that prevention
do work well for a lot of

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patients. So these are
things that are being

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in a lot of plastic surgery
offices that can help patients

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improve their appearance
and feel their best.

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Dr. Bass, you mentioned new
superficial fillers a number of times.

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Can you and Dr. Maia each share your
approach to addressing fine lines in the

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skin?

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Sure.There are several approaches. I mean,

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historically,

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fine lines and wrinkles have
mostly been treated with peeling,

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whether that's a chemical
peel, a laser peel,

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or some of the fractional lasers

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and energy-based devices
like Dr. Maia mentioned,

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RF microneedling. So these are,

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these are ways to resurface the skin,

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get a rebuilding of the
superficial layers of

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the connective tissue
of the skin, the dermis,

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and diminish the appearance or ideally
eliminate the appearance of the

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wrinkle. And that's the classic way,

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but it's typically multiple treatments

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or recovery-based treatments.

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And so some of the new
superficial fillers,

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and the first example in
the US was Redensity or RHA

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1. But some of these fillers,

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and there are a couple of
others coming online now,

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have the ability in no recovery treatment

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to fill in some of the wrinkling
superficially and structure that

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superficial portion of the skin.

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But you have the difference between
a more durable correction of the skin

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and a plumping of the
skin with the filler,

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which will absorb and need to
be repeated in a few months.

237
00:15:43,740 --> 00:15:48,380
How do you approach it
and how do you decide

238
00:15:48,381 --> 00:15:50,660
Dr. Maia, which patient should go where?

239
00:15:50,720 --> 00:15:53,660
That's an interesting question.

240
00:15:53,661 --> 00:15:56,900
It's always the art of
consultation that we go,

241
00:15:57,350 --> 00:16:02,120
what the patient wants how quick
they want to achieve that goal

242
00:16:02,130 --> 00:16:03,600
and how much downtime.

243
00:16:03,601 --> 00:16:08,570
So I usually take a comprehensive
analysis when I look at

244
00:16:08,580 --> 00:16:11,990
an aging phase and just like you,

245
00:16:11,991 --> 00:16:16,040
I like to combine multiple treatments
that surgery is not answered for

246
00:16:16,041 --> 00:16:16,874
everything.

247
00:16:18,020 --> 00:16:22,820
That's why we offer all these non-invasive
treatments and minimally invasive

248
00:16:22,830 --> 00:16:27,650
treatments to help to either
prevent or reverse the signs of

249
00:16:27,651 --> 00:16:32,570
aging. So usually the treatment
plan involves multiple

250
00:16:33,020 --> 00:16:36,080
modality treatments with skincare, filler,

251
00:16:36,530 --> 00:16:38,440
lasers and sometimes surgery.

252
00:16:43,160 --> 00:16:43,410
Yeah,

253
00:16:43,410 --> 00:16:48,260
and I think that's a great
point because when you push a

254
00:16:48,261 --> 00:16:51,350
little bit with multiple modalities,

255
00:16:51,650 --> 00:16:55,910
you stay at the low end
of any risk profile,

256
00:16:56,510 --> 00:17:01,250
but you get a more complete
correction because each one is

257
00:17:01,251 --> 00:17:05,120
contributing something that the
other one can't do quite as well.

258
00:17:05,480 --> 00:17:08,390
When you try to take one
modality and push it really hard,

259
00:17:08,400 --> 00:17:12,890
I think more likely to have
some unpredictable result,

260
00:17:12,900 --> 00:17:17,030
and it will only, it becomes
diminishing returns after a while.

261
00:17:18,470 --> 00:17:21,860
Yeah, I think that's the
synergy of all these treatments,

262
00:17:21,861 --> 00:17:26,840
to help the patient achieve
the goals. And as you said,

263
00:17:28,010 --> 00:17:31,460
in a safe way to minimize
risks and optimize results.

264
00:17:32,180 --> 00:17:34,280
Those are all great points
that you each brought up.

265
00:17:34,670 --> 00:17:38,060
So it sounds like there are
a lot of workable approaches.

266
00:17:38,270 --> 00:17:41,720
How do each of you approach skin
quality changes in the neck?

267
00:17:41,780 --> 00:17:44,420
Not necessarily laxity, but all the rest?

268
00:17:44,990 --> 00:17:45,823
Yeah,

269
00:17:46,640 --> 00:17:50,190
this is an important point and I mentioned
some of the small features in the

270
00:17:50,191 --> 00:17:53,340
neck earlier, but the
neck skin, as I said,

271
00:17:53,341 --> 00:17:56,070
is thinner.

272
00:17:56,070 --> 00:18:00,510
A lot of the source of healing
cells when you do an energy

273
00:18:00,520 --> 00:18:02,370
treatment or a peel in the neck,

274
00:18:02,970 --> 00:18:05,760
even though it's only a few
inches away from the face,

275
00:18:05,770 --> 00:18:10,470
those healing cells are
a thousand fold less

276
00:18:10,471 --> 00:18:15,090
plentiful in the neck
than they are in the face.

277
00:18:15,390 --> 00:18:18,930
So we have to approach
the neck skin differently.

278
00:18:18,931 --> 00:18:23,850
We can do things to the face very
safely and predictably that we could

279
00:18:23,851 --> 00:18:27,150
never do on the neck without
getting into terrible trouble.

280
00:18:28,830 --> 00:18:33,180
So it means doing energy-based
treatments sequentially

281
00:18:33,780 --> 00:18:37,770
to stimulate new collagen
addition to the skin.

282
00:18:38,100 --> 00:18:42,870
And sometimes that's
energy from above with a

283
00:18:42,880 --> 00:18:47,220
light-based application or
radiofrequency microneedling,

284
00:18:47,221 --> 00:18:51,210
sometimes it's placing energy under
the skin to stimulate the skin from

285
00:18:51,211 --> 00:18:55,080
underneath with minimally
invasive treatments.

286
00:18:55,470 --> 00:18:59,760
And sometimes it's putting
collagen stimulating

287
00:18:59,761 --> 00:19:02,970
fillers, things like radis and sculptra,

288
00:19:02,971 --> 00:19:07,560
which are being used in a hyper
dilute fashion under the skin

289
00:19:07,950 --> 00:19:12,840
to stimulate firming and plumping

290
00:19:12,841 --> 00:19:17,700
of the skin from underneath at the
same time as you're either peeling or

291
00:19:17,710 --> 00:19:19,590
applying energy above.

292
00:19:20,100 --> 00:19:25,050
So that multi-modality
approach but adjusted

293
00:19:25,650 --> 00:19:30,420
to be safe and productive
with the delicate neck

294
00:19:30,421 --> 00:19:31,254
skin.

295
00:19:31,800 --> 00:19:32,191
Yes,

296
00:19:32,191 --> 00:19:37,110
I follow the same approach as ave
very individualized approach for

297
00:19:37,111 --> 00:19:41,550
each patient to see where the main

298
00:19:41,551 --> 00:19:45,840
concerns that, as Dr. Bass mentioned,
the next skin is very thin.

299
00:19:46,470 --> 00:19:50,910
I like to use all the
treatments that he mentioned.

300
00:19:50,911 --> 00:19:55,830
I usually like the heavy
lasers like CO2 laser,

301
00:19:55,831 --> 00:19:58,900
more aggressive treatments,
but also better results.

302
00:19:59,760 --> 00:20:03,000
So that's, that's usually my go-to.

303
00:20:03,001 --> 00:20:07,680
And in combination with
radiofrequency microneedling

304
00:20:08,280 --> 00:20:13,170
together with I usually leave
fillers as less resource for my

305
00:20:13,180 --> 00:20:17,780
patients because I think their the
risk profile is a little bit higher

306
00:20:18,150 --> 00:20:19,770
compared to the other equipments.

307
00:20:21,180 --> 00:20:25,080
But I still do lasers and I also do Botox.

308
00:20:25,081 --> 00:20:29,880
So I do a lot of what we
call Botox necklace or even

309
00:20:29,881 --> 00:20:34,650
microdosing Botox to
help with the lines and a

310
00:20:34,651 --> 00:20:39,270
little bit with the muscle as
well that I've seen good results.

311
00:20:40,080 --> 00:20:44,880
Yeah, it's, it's interesting. I agree
with you. I do hyper dilute fillers,

312
00:20:44,881 --> 00:20:48,040
but it's not my first step probably

313
00:20:49,420 --> 00:20:52,090
much lower down on my list.

314
00:20:53,680 --> 00:20:57,160
And I don't do a lot of Botox neck lifts,

315
00:20:57,161 --> 00:21:02,040
but I love Botox for the vertical banding
where the vertical banding is muscle

316
00:21:02,530 --> 00:21:04,660
and not hanging skin.

317
00:21:05,740 --> 00:21:09,430
It really can be a home run and, you know,

318
00:21:09,490 --> 00:21:14,410
keep things looking much
better controlled in the neck

319
00:21:14,411 --> 00:21:19,120
much, much longer. So everyone
approaches a little different,

320
00:21:19,121 --> 00:21:22,860
but I wanted to ask you this, Dr.
Maia, you said CO2 in the neck,

321
00:21:22,960 --> 00:21:27,460
but do you mean a full field
ablative treatment or a

322
00:21:27,461 --> 00:21:28,940
fractional CO2?

323
00:21:29,410 --> 00:21:30,610
Fractional CO2.

324
00:21:31,120 --> 00:21:33,460
Yeah, that's an important distinction.

325
00:21:33,700 --> 00:21:38,020
Yeah, I usually do a few
months after I do a neck left.

326
00:21:38,290 --> 00:21:39,010
I like to,

327
00:21:39,010 --> 00:21:43,900
to go to that skin and treat
that skin 69 months after

328
00:21:43,901 --> 00:21:44,680
neck lift.

329
00:21:44,680 --> 00:21:49,240
And I've seen very good results
especially patients that are

330
00:21:49,241 --> 00:21:53,500
massive weight loss patients that they
don't have good skin to begin with.

331
00:21:54,880 --> 00:21:59,580
and it's very difficult to get a good
result or long-lasting result in,

332
00:21:59,830 --> 00:22:03,070
in this, in patients that
lost a lot of weight.

333
00:22:03,700 --> 00:22:05,530
So I've seen good results of that.

334
00:22:05,590 --> 00:22:09,730
And Morpheus8 radiofrequency
microneedling devices are

335
00:22:10,270 --> 00:22:14,050
wonderful treatment that can
help maintain surgical results.

336
00:22:15,010 --> 00:22:15,281
Yeah,

337
00:22:15,281 --> 00:22:20,110
I mean that's a really critical
point and I think there's much better

338
00:22:20,111 --> 00:22:24,250
understanding of this in the aesthetic
community than there was a few years

339
00:22:24,251 --> 00:22:28,090
back. But you said it, you said this,

340
00:22:28,150 --> 00:22:31,000
this super important point that, you know,

341
00:22:31,001 --> 00:22:35,470
the lift does a major job on

342
00:22:35,471 --> 00:22:40,000
resetting the skin position,
but it's still your aging skin.

343
00:22:40,001 --> 00:22:44,620
It doesn't change the skin
biology or the skin surface

344
00:22:44,621 --> 00:22:45,454
appearance.

345
00:22:45,910 --> 00:22:50,260
And so something is needed
to take that now aged

346
00:22:50,261 --> 00:22:54,980
skin and make it look
younger and so that second

347
00:22:55,270 --> 00:22:59,470
modality focused on making
the skin look and act

348
00:22:59,530 --> 00:23:01,260
youthful is really important to get a
more complete correction with your facial

349
00:23:01,260 --> 00:23:01,410
rejuvenation.

350
00:23:01,410 --> 00:23:05,950
Yeah, I explain to the
patients in a simple way,

351
00:23:05,951 --> 00:23:10,600
that the neck lift will reshape
the neck, it will lift the skin,

352
00:23:10,660 --> 00:23:12,790
it will remove the excessive skin.

353
00:23:12,791 --> 00:23:17,680
So it it's about the quantity of
the skin or the quality of the

354
00:23:17,681 --> 00:23:20,500
skin. So even though we are
addressing that problem,

355
00:23:20,501 --> 00:23:23,860
we still have to address
the quality of the skin,

356
00:23:24,100 --> 00:23:28,150
which comes with all these
treatments that Dr. Bass mentioned.

357
00:23:34,840 --> 00:23:35,080
Yeah,

358
00:23:35,080 --> 00:23:39,840
that's the buzzword nowadays that we've
always worked on different features

359
00:23:40,150 --> 00:23:42,940
of skin that didn't
look ideal or youthful,

360
00:23:42,941 --> 00:23:47,680
but we're now making much more
global assessment and global

361
00:23:48,650 --> 00:23:53,420
treatment for skin quality
separate from what we do with

362
00:23:53,421 --> 00:23:55,040
laxity and skin redraping.

363
00:23:56,750 --> 00:24:00,320
Lastly, before we wrap up our
discussion today, Dr. Bass,

364
00:24:00,321 --> 00:24:03,220
what takeaways should our listeners
leave with from today's episode?

365
00:24:04,670 --> 00:24:09,440
What I'd like everyone to
remember is that small features

366
00:24:09,441 --> 00:24:12,410
can really be a telltale of age.

367
00:24:13,220 --> 00:24:18,080
You may have chased the major issues
or you may not yet need the big

368
00:24:18,090 --> 00:24:18,923
items,

369
00:24:19,700 --> 00:24:24,230
but keeping the small details in
place will really help you look your

370
00:24:24,231 --> 00:24:28,400
best when you're
smoothing facial wrinkles.

371
00:24:28,910 --> 00:24:33,380
It's really important
not to leave out small

372
00:24:33,381 --> 00:24:37,580
areas because those areas will
stick out like a sore of thumb.

373
00:24:37,581 --> 00:24:42,440
You're already having the treatment
and important to hit all the little

374
00:24:42,441 --> 00:24:47,240
corners and edges that show
that feature. A wrinkly neck,

375
00:24:47,241 --> 00:24:51,170
chest, or hands or the earlobes
are going to be giveaways.

376
00:24:51,171 --> 00:24:53,450
If the rest of your face looks smooth,

377
00:24:53,870 --> 00:24:58,400
they're going to let people know you're
not really as young as your face is

378
00:24:58,980 --> 00:25:03,320
trying to represent. As I said earlier,

379
00:25:03,330 --> 00:25:08,120
features around the eyes really have
a big impact. It's a small area,

380
00:25:08,150 --> 00:25:11,990
but it's where people look most of the
time when they're interacting with you.

381
00:25:12,620 --> 00:25:17,420
And Botox and other
neuromodulators are still the

382
00:25:17,421 --> 00:25:20,510
king of small feature improvements,

383
00:25:21,050 --> 00:25:26,000
creating an overall better and more
pleasing appearance that, you know,

384
00:25:26,001 --> 00:25:30,770
there's reason that most people who
start doing Botox never want to stop

385
00:25:30,771 --> 00:25:33,260
because they look like themselves,

386
00:25:33,261 --> 00:25:36,040
but they just look so
good that they love it.

387
00:25:36,960 --> 00:25:39,500
Dr. Maia, what you like
to add? Any parting words?

388
00:25:40,370 --> 00:25:43,940
Yes, I totally agree with Dr.
Bass. I think it's a, you know,

389
00:25:43,941 --> 00:25:47,060
good discussion and an
important for patients to know.

390
00:25:47,510 --> 00:25:48,830
One thing I want to mention,

391
00:25:48,831 --> 00:25:53,250
it's also the small surgeries that can
be performed on the local anesthesia.

392
00:25:53,960 --> 00:25:58,730
A lot of patients are worried about big
surgeries and then they're not ready

393
00:25:58,731 --> 00:26:00,800
to do a full facelift,

394
00:26:01,430 --> 00:26:05,690
but a brow lift can be performed in
the office under a local anesthesia,

395
00:26:05,691 --> 00:26:08,630
downtime about a week.
And as Dr. Bass mentioned,

396
00:26:10,250 --> 00:26:14,120
the features around the eyes,
super important. So an eyelid lift,

397
00:26:14,120 --> 00:26:16,700
which is the upper blepharoplasty,

398
00:26:17,240 --> 00:26:21,800
it's also very quick procedure and
very satisfying and rewarding for both

399
00:26:21,810 --> 00:26:26,450
patients and surgeons to to see how

400
00:26:26,480 --> 00:26:31,310
quick, you know, changes can be made in
such a quick procedure in the office.

401
00:26:31,970 --> 00:26:35,450
So I think most important for people,

402
00:26:35,451 --> 00:26:39,170
they're listening to this
conversation, let's keep an open mind.

403
00:26:39,230 --> 00:26:44,190
talk to your local
plastic surgeon and what's

404
00:26:44,191 --> 00:26:45,390
available to you.

405
00:26:46,020 --> 00:26:50,880
and you'll be surprised
what can be done with small

406
00:26:50,881 --> 00:26:54,060
procedures. And the other
thing I like to always say,

407
00:26:54,510 --> 00:26:58,050
plastic surgery is not about
vanity. It's about quality of life.

408
00:26:58,140 --> 00:27:02,820
So there's a lot of bad rap sometimes
for leadership plastic surgery

409
00:27:02,821 --> 00:27:05,970
because people only
advertise the bad results.

410
00:27:06,330 --> 00:27:11,250
Nobody sees the good results because
everybody's somewhat hiding that they have

411
00:27:11,251 --> 00:27:15,450
plastic surgery procedures
done. So I think, you know,

412
00:27:15,540 --> 00:27:18,320
visit your local plastic
surgeon, discuss your options,

413
00:27:18,570 --> 00:27:22,950
and you'll be surprised what can
be done for small treatments.

414
00:27:23,430 --> 00:27:26,460
Very well said. After
this lively discussion,

415
00:27:26,461 --> 00:27:29,580
I see that sometimes good things
do come in small packages.

416
00:27:30,060 --> 00:27:34,080
Thank you Dr. Bass and Dr. Maia for your
insights into this fascinating topic.

417
00:27:34,680 --> 00:27:35,513
Thank you, Doreen.

418
00:27:36,180 --> 00:27:41,040
And I'd like to thank Dr. Maia for
joining us today and sharing her expert

419
00:27:41,041 --> 00:27:43,350
perspective. That was tremendous.

420
00:27:43,351 --> 00:27:47,190
And I agree a hundred percent
with everything you just said.

421
00:27:47,191 --> 00:27:50,840
I think that's beautifully
expressed. Thank you. Mm-hmm.

422
00:27:50,880 --> 00:27:52,000
. Thank you Dr. Bass.

423
00:27:52,850 --> 00:27:56,120
Thank you for listening to the Park
Avenue Plastic Surgery Class podcast.

424
00:27:56,740 --> 00:27:59,370
Follow us on Apple
Podcasts, write a review,

425
00:27:59,400 --> 00:28:00,720
and share the show with your friends.

426
00:28:01,170 --> 00:28:04,260
Be sure to join us next time to avoid
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427
00:28:04,261 --> 00:28:07,770
coming your way. If you want to
contact us with comments or questions,

428
00:28:07,800 --> 00:28:08,700
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429
00:28:09,210 --> 00:28:13,200
Send us an email at podcast@drbass.net
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430
00:28:13,680 --> 00:28:14,400
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