Straight Talk about Cosmetic Surgery with Dr. Arthur Perry

Do you need Straight Talk about Cosmetic Surgery? Email me...

Botox is the most popular procedure in all of cosmetic surgery.  About 10 million people in the US have Botox every year.  While the term "Botox" has become a generic term, there's actually 6 drugs that have Botox like effects - Xeomin, Dysport, Jeuveux, Daxxify, and Letybo are the others.  These drugs all work basically the same way.  But now Abbvie, the company that markets Botox, has applied to the FDA for approval of a new short acting Botox-like drug.  This one, called TrenibotulinumtoxinE (TrenibotE), works within hours (not days), but only lasts 2-3 weeks (instead of 3-4 months).  The only way this one makes sense to me is to mix TrenibotE with Botox to create a hybrid drug that works immediately and lasts 4 months.  But I would expect the costs to be significantly higher than either drug alone.  Watch for this combo in 2026! And listen to this show for the advance notice on the newest advances in cosmetic surgery.

Do you need Straight Talk about Cosmetic Surgery? Email me...

Cosmetic surgery must be pain free.  To have painless procedures, plastic surgeons often use general anesthesia, where a breathing tube is placed and your brain is basically anesthetized.  This type of anesthesia is important for liposuction, tummy tucks, and most  breast procedures.  But general anesthesia has risks, particularly cardiac problems and postoperative nausea.  So, when possible, intravenous sedation, using propofol and versed, is used.  Face and eyelid lifts are procedures that often are done under IV sedation.  And finally, some procedures can be done with you wide awake, using only lidocaine local anesthesia.  Mole and scar revisions can be done that way, and with the proper patients, eyelid lifts, small liposuctions, and procedures like chin impalnts can also be done under local anesthesia.  On this show, we discuss the various types of anesthesia used for cosmetic surgery. 

Do you need Straight Talk about Cosmetic Surgery? Email me...

Nasal reshaping is the most creative procedure in all of plastic surgery.  Formally called "rhinoplasty", this nasal reshaping, it's also the most difficult procedure in cosmetic surgery.  On this show, we discuss how we plan and perform rhinoplasties.  Tune in!

Do you need Straight Talk about Cosmetic Surgery? Email me...

Morning WOR host Larry Mendte had Botox injected LIVE on the air by me this week!  It's the next best thing to being there...listen in as Larry undergoes the needle!  And we spoke with endocrinologist Dr. Caroline Messer about the explosion of GLP1 drugs and how plastic surgeons help make you look better after massive weight loss.  

Do you need Straight Talk about Cosmetic Surgery? Email me...

Susan Warner returned today to discuss her fractionated CO2 laser.  She had a very aggressive laser for wrinkles and splotchy pigmentation.  We discussed how the laser can be used for 30 year olds for a fast fix or for 60 year olds for deeper wrinkles.  On this show, we also discussed how Dr. Perry treats eyelid/cheek festoons.

Do you need Straight Talk about Cosmetic Surgery? Email me...

You've heard of Ozempic Face.  And Ozempic Vulva.  Now there's Ozempic Breast!  That's the loss of breast volume and sagging of the breast after the use of GLP-1 drugs like Ozempic and Zepbound.  On this show, we discuss how breast lifting after weight loss or after pregnancy can restore a beautiful shape to the breast....without the use of implants.  

And we discussed the recent FDA warnings to 18 websites selling botulinum toxins on the web to unsuspecting people.  Tune in!

Do you need Straight Talk about Cosmetic Surgery? Email me...

The Carbon Dioxide laser is the best method of reducing facial wrinkles.  The newer fractionated lasers can peel from as superficial as an exfoliation to as deep as complete skin removal.  On today's show, Susan Warner returns as cohost after having her own face lasered just a few days earlier.  You won't want to miss Susan's first hand experience.  And we had a great interview with the Elitra medical dermatology team - they just introduced the newest technology in skin cancer detection.  A 3D total body AI assisted photograph of every mole on your body.  Dr. Perry had the scan last week and he's their biggest fan.  Listen in...

Do you need Straight Talk about Cosmetic Surgery? Email me...

Botox is truly a wonder drug.  It lessens wrinkles, decreases sweating and migraines, helps spastic bladders, and now Botox has been proven to thin overdeveloped masseter muscles.  Those are the chewing muscles that get large when people clench their teeth while sleeping.  They get large enough to widen the face.  Botox helps thin these muscles for 6 months.  

On today's show, we also discussed the DANGERS of micro needling.  The FDA has issued a warning about this popular procedure.  Listen in.  

Do you need Straight Talk about Cosmetic Surgery? Email me...

Facial Rejuvenation is so popular.  From skincare to fillers and Botox and surgical procedures like face and eyelid lifts.  On today's show, we discuss how I assess women's faces and help them look as good as they feel as they age, using noninvasive and more invasive techniques.  Listen in.

Do you need Straight Talk about Cosmetic Surgery? Email me...

Ultherapy, also known as Ulthera, is the most effective nonsurgical method of tightening neck skin.  Using high intensity sound waves, Ulthera shrinks skin and generates collagen, helping to elevate eyebrows, lift jowls, smooth crepey necks, and ironing out upper chest lines.  Tune in to learn all about this great technology.