Hey guys. My name is Mavi and I've spent the last 14 years in the plastic surgery and beauty industry working alongside top board certified plastic surgeons. Now, I'm an independent patient coordinator who doesn't work for any surgeon. This means I have unbiased reviews for hundreds of doctors, and I can help you achieve the look of your dreams.

Whether that's a supernatural or a video vixen, I use my professional and personal plastic surgery experience to help you look and feel your best. Join in on the fun as I talk to plastic surgery experts, friends and real life patients about all things plastic surgery. Should be fun. Hello? Hi. So how are you doing?

See, I'm doing good. How are you? I'm excited to have you on. Oh, thank you. I'm so excited that you are having me on. Thank you. It's good to finally reconnect with you. Yeah, it's, it's been a busy, busy time. Busy time, you know? I bet. And so many things have been happening recently. I think one of the things that we really can't pass by without talking about is what happened at the border.

Oh, with, uh, people getting kidnapped and everything. Yeah. And did you hear It turned out that they were going across to have surgery. Oh, I didn't hear that. They were going across to have, they were going across the border to have surgery and got kidnapped the day she was supposed to go in for surgery.

That is so sad. Yeah, so it turns out there she was going across the border to have surgery and it just makes me so sad and kind of motivates me even more to continue to do what I'm doing. So I'm super excited to have you on, and I can't wait to kind of showcase you talk about you. What are your favorite procedures, what are you up to?

But before any of that, my first question is why did you decide to be a plastic surgeon? Wow. It's, it's kinda complex. I love helping people. I love working with my hands. I love solving problems. And you know, now it's like I've got my niche, you know, an aesthetic plastic surgery. But I knew I wanted to be a surgeon when I was in medical school.

And my mentor has always told me, if you can find a way to practice medicine without surgery, do it. But for me, it's like it wasn't an option. And as I was going through different things that I liked, I liked trauma, I liked pediatric surgery. Uh, I love general surgery, but the thing about. Plastics was that I love the idea of solving problems.

I love that very few things are emergencies, so I get to like go home, sleep on it, maybe call a friend or two, run some ideas by them. So I love that autonomy part of it where I, I can pre-plan things. There's few emergencies. And then, I mean, now that I look back, I mean I, I actually originally wanted to be a cardiac surgeon.

I then look at like how. The world is playing out with the politics of hospitals and insurance reimbursements and everything. It is nice that I have the cash option with like stuff in the med spa or cosmetic surgery. So it really gives me a chance to, you know, not have to be in the emergency rooms at night and and be a family man.

You know, cuz I'm not as young as I was when I was like doing trauma surgery and stuff when I was younger. You know, and, and it also gives me a chance to plan and be my best for my patients. And also, um, it allows me to like practice medicine and not feel like I'm getting cheated on like what I should be getting reimbursed, you know?

Yeah. So it's really worked out. I got lucky, you know, I, I'm, I, I made good decisions, you know, along the way. I always love hearing the answers. I always love hearing the answer to that because it's always ranging from problem solving or I always hear that you guys like to figure things out. How do I fix this?

And I, I hear it often, so this is awesome. The other thing I wanted to know was what is the procedure you're doing the most right now? So my practice has always flourished with breast surgeries. You know, I really marketed myself with breast surgery right off the bat. I, I, I was trained by one of the best people in the world, and, um, it was, it was a place I felt very confident in, but also I feel like breast surgery.

It's like the gateway drug to all of plastic surgery. You know, it's not taboo to say I got my boobs done. But you know, labiaplasty is not something people go around telling their friends about at a party. So I started with breast surgery and the neat thing is, you know, even, even like the shyest person is gonna go show one of their friends what they got done.

And then that person's gonna go and tell 10 other people, oh my God, you won't believe what Susie did. She got her boobs on. They look great. And then, you know, turns out one outta five women think about their breasts. But those 10 people go and tell another 10 people. So all of a sudden one surgery leads to a thousand leads, you know?

And then, If you do a good job, then it's great. And then on top of that, you know, then people feel more confident. Their, you know, lives at home or on their personal side get better. They get pregnant. They get married, their mother-in-law wants a facelift after they're done having kids that want a mommy makeover.

So it's just like the gift that keeps on giving. You know, I actually used to do, when, when I was younger and my practice was a little bit newer, I was getting a lot more of the straightforward breast augmentations with the young gals that want to go to college and make friends. Now I'm getting people that they've had four or five surgeries before, no one's gotten it right.

And they want me to do something really complex and I mean, and I love it, but like the stakes are higher, you know, it's less predictable. And I've just had to do so many things to, you know, Basically like try to make sure they get the result they're looking for. Cuz I don't wanna disappoint them for the fifth time or whatever, you know.

What are, what are some things in your toolbox that you wanna talk about for? Breast revision is probably up there, right there with tummy tuck revision and lipo revision of how popular they are. Yeah. So what are some tricks that you have in your toolbox? Well, I think it all starts with pocket control.

You know, if you're doing someone's like first breast augmentation, you wanna make sure you measure like the footprint of their breast and you want to place an implant that fits their chest, but also meets their goals, right? You can always go bigger, you know, have a higher profile so they get more upper pole volume and, and or, or go the other direction.

They're looking for a more modest look. But what you do is you. You wanna have good pocket control. Now, let's say they've already had a breast augmentation and didn't go well. The pocket's loose. You can tighten it using Capy techniques or a neo subpectoral pocket, which is where you use the scar tissue to create new boundaries.

And then, You know, if the, if the pocket's tight, then you can always do capsulotomy. That's where like you have scar tissue and you loosen it to get, create more space. So those are all things that we've been doing forever. So with the breast, it's really nice. You can always like add more or take away more and, and you can do so.

Tummy tuck revisions are tough because if you, they don't have more skin, then you're, you're kind of stuck giving them an ugly scar or B B L revisions are tough because if they don't have any more fat, you can't do much more. So I think with the breast it's really neat. Like there's a lot you can do, but the problem is when they've had multiple surgeries, they have less predictable blood supply with the scar tissue and everything.

Mm-hmm. And if you have to do a lift, there's more risk of like, you know, maybe killing a nipple, that kind of stuff. But I practice safe techniques and then, What's really set me apart lately is I really am a big fan of soft tissue support. So I've been using this mesh called Dure Orb Mesh. Um, I used to use Gallex, which is also a great product, but I just love the way poly dioxine, which is the material that's used in du Resorb works.

It's a bio stimulator. It helps to form collagen. It doesn't last a long, long time, so it can't cause you problems like infections or extrusions, but it's there long enough to let everything heal while you're swollen and everything wants to rip apart and it kind of holds it in place unless it's scar in the right place.

So we recently actually, just in the Aesthetic Surgery Journal, had the world's largest series of breast revision surgeries with mesh published, and it was a series of 104 patients and. Like 60% of 'em also got a lift. 40% didn't. And about 40% of our patients had somewhere between two to six. Prior surgeries and the majority went up in size, like 200 ccs in volume.

So there, it's not like we went from a harder to an easier case. We went from people who like already didn't have what they wanted and they wanted to go bigger and put more pressure on the soft tissue. So this is awesome. I'm so happy that you're touching on this because if, I would love for you to elaborate on how this mesh works, what it does, how it, how long it stays in the body, like teach us.

Yeah, so there's different materials that are out there for, for mesh. You know, uh, the, the original meshes that we were using were, were biologic meshes, which come from, like, for example, like a dead human or a dead pig. You remove the skin, you get rid of the outer layers. Then you get rid of the cellular components and then it's a matrix for your body to form.

Problem is like skin stretches. So if it came from the skin over time, it stretches, doesn't hold, but it's great to give you extra tissue, but it causes a lot of inflammation cuz it's biologic. You have to use drains and they're very expensive. And the f d doesn't like us, you know, using biologic things as much because it's more regulatory stuff.

So then there was a mention that came out that was made of silk, which was awesome cuz it was soft. But the silk would never get absorbed. And sometimes in thin people it would like work its way through the skin like a splinter. So that wasn't cool, and I never used that mesh, but you know that. So people kind of got away from meshes and then Galflex came out, which is a material called P four hb, which is kind of like the absorbable sutures we use.

But it's a little stiff, which is good cuz you think something as stiff is gonna hold things in place. But the problem is like someone's breast may have a particular shape or the implant has a certain shape and, and if you've got this stiff thing in there that lasts a long time, it kind of creates like a, it can create a dent if you pull it like too hard one way or or the other.

Mm-hmm. So it wasn't very user friendly, but I loved the product. I think it was great. I had amazing results. I never thought I would use anything else cuz I thought, hey. This is great as a backup. Daz orb is made of poly dioxide, which is the same exact material as a very popular suture we use in plastic surgery that's absorbable.

It really lasts about four months, and when you think about a collagen formation in a wound starts at 21 days. And then the initial collagen you get is called fetal collagen, and then it starts turning into adult collagen in about three months. So once you've got all the collagen you need, this matrix starts to get absorbed and actually form a thicker layer.

But what I love about, it's very malleable. It's really strong, but it's it like you can stretch it or pull it one way or the other, and it stays where you put it. So it's kind of like carbon fiber versus aluminum. It's more flexible. Then you're like, there's no way it's stronger, but it is. And so, I just love it cuz it gives you the best of all worlds.

It gives me the control I need when I need it, but it's not there long enough to cause problems. What kind of cases would you use it? So who would who? In all my cases. Now I use it in all my breath. Nice. Yeah, because, because the thing is, is like you, you know, I've learned this kind of the hard way and this is something where it's a paradigm shift in what we're doing and.

And again, I'm the first person to adopt this, but I think other people are coming around. If you look at a woman and like let's say they just get pregnant and they get a little bit of milk that comes in and after they have their baby and their milk's gone, the skin already got stretched out, right? Like it's not like they have pounds of milk.

They have a little bit of milk. Comes in the breast stretch. And then when the milk goes away, the skin is damaged, right? Breast skin is weak. Okay? Breast skin, you can't trust it. So if someone's skin goes through all those changes just with a pregnancy, do we expect them to be able to hold like a saline or a silicone implant that's 500 ccs for 10 years?

Not really. So it stretches. So that's one thing. Number two. You know when, when you look at people as closely as I do, everyone's got asymmetry. Each half of the body is different than the other half. The ribs are shaped different. On one side, one fold is higher, lower than the other. And so traditionally I've put in implants and then I'm locking down my fold, which means I'm putting in deep, big sutures.

But a suture is like a string that looks like this. But if I have a mesh, it's like a sheet that holds it. And so my analogy is this, you know, when I was younger, we used to not wear seat belts when we'd be in the car. But then like when my dad would drive crazy, we'd like put the seatbelt on and say, oh my God, if we crash, like hopefully this thing holds me in.

But. The reality is now we wear a seatbelt all the time cuz we're not assuming that like we're gonna crash our cars. But like, what if somebody we don't see hits us? You know? It doesn't mean we're not gonna die if we get in a car crash, but at least having the seatbelt minimizes the injury right. Gives us a chance of living.

So my thing is, when my patients, when they pay all this money, they have all this trust and expectations, I'm gonna do a great job. I'm giving them a seatbelt. It's like one more layer of protection I'm putting. This implant precisely where I want and then I'm securing it where I want. I've got this sheet like this mesh holding the implant and the skin and soft tissue where I want it.

It's like an internal split. Like you know, if you break your arm and the orthopedic surgeon puts a rod in there that holds your arm in place like that, that's metal. It should be good. But they still put you in a cast cuz the soft tissue has to heal along with the bone, right? So, You have to respect the soft tissue.

So this works like an internal splint. And then so it's there while you need it, gone when you don't. And um, it also allows me to put in like bigger implants or like when I'm doing a lift, it takes pressure off the skin. So the scars end up looking finer. They're very thin. If you look at people who've had heart surgery, but they're sternal bones right there in the middle and it like pushes the scar apart.

It, it forms a callous cuz it doesn't wanna rip open. Well, the breast scars with a lift. End up looking a lot better when you have mesh. And that's actually another thing that I end up publishing about was we looked at the scar quality with the mesh and it found that even in people with darker skin tones, it was even more protective than, than not having mesh.

So I think it's such a great protection for people's investment, you know? And, and, uh, It allows me to be more precise. So it's a way I've set myself apart. Instead of trying to do cheaper surgery, I'm like, dude, you're getting a better value for the money with what I include, you know? Yeah. I love that. I am a big fan of Mesh, so I'm super excited.

We got to talk about it today, and we can also talk about how do you usually on a consult, Decide where you're gonna put your implant. Do you always put your implants in the same place? Like underneath the muscle or above the muscle or dual plane? What? How do you decide? So, you know, that's funny. I was gonna joke and say, you know, some people are above the muscle, some are below.

I'm in between, I do dual plane, you know. You know, the reality is, is like when you cut the muscle, the muscle actually window shades up. So if, if you try to suture the muscle down and have total muscular coverage, you're really getting a flat breast that doesn't have good cleavage in the middle. With the dual plane, you get better, lower and medial pull expansion to the breast.

So that gives that beautiful cleavage line. And because I'm using mesh in everyone, I am getting like total implant coverage with tissue. I've got the mesh, which is like a synthetic tissue, right, kind of. And then I've got the muscle and I like to go under the muscle cuz my patients. Are all pretty lean.

And even if they're not, you know, they might become lean when they're older, or as we get older, we get leaner. So I like the dual plane because it decreases the chances of rippling, uh, it lowers the chance of capsular contracture. So that's what I do. It also, it makes the implants look less like a ball and a sock, which, you know, even if people want like fake looking breasts, they don't want like something that looks abnormal.

So I'm pretty much a dual play guy. Now, if I'm doing a revision on someone and they, they've got thick, soft tissue. And or they're a little bit less healthy, their implants are already on top of the muscle. If I can use that pocket and get 'em the look they want, I don't need to reinvent the wheel of that situation if it doesn't need to be.

But a lot of times I do have to convert them to under the muscle. That's awesome. Okay. And when you are choosing your implant, do you have, like, are you sailing or silicone? Do you let the patients choose? How do you decide what implant to go with? So I have not used saline for about nine and a half years.

You'd be surprised I'd, I thought everybody was doing silicone, but I see a lot of people with saline. No saline's. Awesome. So saline, you know, there's things you can do with saline. First of all, you know, you can make a little pocket. You just put in there. It just expands. They look really awesome in the very beginning.

The thing about saline is I think they're heavier. They tend to stretch. And then like that 10 year rule I think really came from saline implants because what happened was silicone implants got taken off the market for like safety concerns back, like in, I don't know, the, the nineties and stuff. And then we were using saline all the time.

And then, so in 2006, silicone came back. And we knew that one third of saline implants rupture within 10 years. So the recession hit in 2007 and 2008. So all these plastic surgeons would be at parties and go, oh my God, you have saline. Implants are 10 years old. Oh man, they're gonna rupture. You need to get the new silicone implants.

So it was a great marketing thing, but the reality is, is that. I mean, I don't like saline cuz they're not as durable. They tend to ripple and wrinkle more. They stretch, uh, they put pressure on the soft tissue. The silicone implants are what we call the new silicone implants that people call the gummy implants have a more form stable gel.

The gel maintains its shape. They actually came from the shaped implants, which were the original gummy implants, and they put 'em in a round implant. And so these patients who get breast augmentations, they don't wanna lose upper pole volume, so they just get that pushup bra look without a pushup bra. So I love silicone.

I do have some colleagues that do more saline, but that tends to be for the people that like want a 1500 cc implant, you know? And, and yeah. And so like the largest silicone they make is 800. And by the way, saline tends to look a little bit bigger than silicone, like CC per cc. So like a 400 cc saline can look like a 500 cc silicone.

So, you know, but those people tend to be like in like the porn industry and other stuff. And I've actually had people come to me, Who are like, um, adult entertainment, uh, yeah, exactly that industry and, and the, you know, they go, yeah, I want 1200 ccs. And I go, look, that's fine. Remember that, that the largest implant was designed to be 800 ccs.

You're overfilling. So the chances of you popping or even greater than if like, you know, if you just use saline, that's 800 ccs. And I said, do you really wanna, like, guarantee you're gonna need another surgery for the, you know, sometime in the next 10 years when they look at me and they go, gosh, you know, Not really.

Like, I've got one right now that just said she, she originally wanted me to give her overfilled sas, and I was like, okay, cool. I can do that. Doesn't take much skill. And then she said, you know, I don't like the idea of saline. I, I put my, you know, I'm 26 years old, I've had four surgeries. She's like, I don't wanna put my body through this anymore.

Can we just like, Can you just gimme the Rolls Royce? Just, you know, let do a lift. I didn't want one before, but like my skin's stretched out. Just do a lift, change out my implants. Just gimme something I can live with for like 30, 40 years. I suggest, yeah, get me through. Yeah, totally. And by the way, there are some implants that are being studied.

That they're trying to get silicone implants that are bigger than 800 ccs. So I know Mentor who's in Texas, I think you're in Texas, right? Mm-hmm. I'm in Texas, you know? Yeah. So big butts, no lies. You know they're gonna have like big implants. No lies too. Yeah, I think, I think they've got some implants that they're testing that are higher, but they're originally designed for people for reconstruction.

But when you think about someone who's had. Overfilled salient implants that's had multiple augmentations. It really is like a reconstruction, trying to get them back to the shape they want. And then the largest implant company in the world right now is called Motiva. And they do have some, they, they can, they can give you custom implants, but they have silicone implants that are a little bigger than 800 ccs.

And, uh, but they're not available in us yet. They're, they're going through f d a trials and stuff, but they, they have the largest distribution of implants worldwide, but they're not even approved yet in America and Canada. So, but on the Instagram and stuff, like their largest following is the US So interest, hoping.

Yeah. So I'm hoping. They get approved in the US cuz I think they've got some really neat products and I think it's gonna be like, give us even more, you know, things that like look forward to for our patients. That's awesome. So, uh, Dr. Khai, I also have another question that I ask my surgeons. Sure. So drain or no drain for your tummy Tucks.

Are you drain or drain? Are you, you team drain? I, I use drain. So look, I'm like Mr. Cutting edge and like, you know, I'm trying to be innovative, but sometimes old school is good school. I, I use drains with my tummy tucks. I'll tell you why. You know, I just don't like going to bed and going, oh man, should I have used a drain?

Should I have not? I, I've had some people just. Make more fluid than I would ever expect, even on a really skinny person with a tight closure. The other thing is the, the people who do the drain list technique, they're using these things called progressive tension sutures, which are great, but it adds more time to surgery.

Then it creates a little indentations in the skin, which the patient has to sit there and hope they go away over three to six months, and it's just a lot of handholding, but, Even with all that, there's a 30% seroma rate. I mean, you know, when I think about like the added operating room time, the extra cost, the increased chance of maybe getting a blood clot and then maybe getting a dimple you don't like, and then on top of that, a 30% chance of a stick needles in your belly for like a month or two.

You know, it just, it's not worth it to me. I just don't have any patience for that, you know? I agree. I'm team drain. My girls know I'm team drain. Get it. Just use the drain, leave it in there until it's ready to come out. And then you're done with it. And it it, it makes the surgery quicker. I mean, look, like a lot of times I'm not just doing a tummy tuck, I'm doing like a Brazilian butt lift, you know where I'm doing liposuction all around, putting fat in the butt.

I'm turning them over, I'm taking out their old implants, putting new ones in, putting in mesh, doing a lift, and then I'm doing a tummy tuck. I mean, I don't wanna spend extra 30 minutes. It's already like eight hour surgery. Like I don't need it to be eight and a half hours or nine hours, you know? Yeah. So I, I, I, I, I'm, I'm a big fan now in the breast.

I don't use drains hardly ever. The only time I use drains is like if they've got old silicone implants that ruptured and it, and I know that like when I do a total capsulectomy, it causes a lot of inflammation. Or if they've got like, Like really thick, calcified scar tissue and I gotta remove their capsule, you know, which is a capsule ectomy.

So, but I, I mean, in the breast I like, I've got that one down to a science. I don't need drains, you know, but the belly, yes tummy ts always get drains. Awesome. So whoever's keeping count for us on our, uh, one of our listeners is keeping count. So Dr. Khai is team Drains. Yep, that's right. And you know, actually something we talked about on our last, when you and I talked the first time, I recently went and had it done, so I wanna talk about it today, and if you have a chance Sure.

We can talk about the hormone optimization. So I know you offer it at your practice, uh, Biot. Yeah. And I'd love for you to tell my listeners about it Sure. How you found it. So, you know, again, I think old schools, good school, but not in this case, you know, but like I, I was taught, you know, in, in US medical schools, you know, and, and they're very conservative.

And so we were always told like, you know, steroids and hormones, they, you know, they cause people to die and heart attacks and they're not good for you and this and that. And I saw her first kind of hearing about it like, like, uh, one of our cardiac surgeons, whenever the male patients would get heart surgery, he'd put them on testosterone afterwards.

I'm like, dude, is he crazy? They just had a heart attack. You know, but then I think like it really elevated the mood of his patients and it made them recover faster. So it kind of made sense, you know, so, Anyways, you know, then fast forward to like years later, I get married. My wife's a pharmacist and her mom had started like a compounding pharmacy, uh, in, in Orange County here in California.

So they, they were treating all these like perimenopausal women and they were all these women that loved them because like, you know, they were angry and, you know, having hot flashes and feeling chubby and all this other stuff. And then hormones got optimized and now they've got sex drive. They sleep better.

Their memory's good. So my mind got open to this. And so like, you know, there's these people that I do this amazing surgery, they look great, but they're like, they don't, you know, they, they're not interested in like letting anyone play with their body, you know, or whatever. Or like, I treat the women and they're feeling sexy, but the husbands are like, you know, tired and they work a lot and life is busy.

So I actually managed to pull my wife. To work with me in the practice. And what's really neat is like I'm only plastic surgery offices that I know of that like all your medications you get through my practice. So I'm able to dispense through my office. But what's really neat is she gets to also counsel them on like, Other medications are on and stuff, but then it's not just about looking good, it's about feeling good.

So we actually will run like a full hormone and micronutrient panel. So sometimes it's not the hormones that are off. It could be your vitamin D levels are low, like we know vitamin D is important for fighting covid or like making your immune system better or to make sex hormones. Vitamin b12, like we have a methylated b12, which helps not just with energy, but you can take the pill and it crosses the blood brain barrier.

So it actually affects the way the brain works too, which is cool. But yes. Hormone replacement is huge. Women actually make more testosterone than they make estrogen. And progesterone. So like some of the younger women, like, you know, they, they, they might have normal periods and all that kind of stuff, but like their sex drive is low.

Their, their mood is not like totally stable or they're feeling down, um, sometimes like just optimizing their testosterone level to a little bit higher. I mean, as a woman, you're expecting to have nothing, right? Because you know, you're not a man, but like, You're supposed to have some testosterone, so I think it's good to help them.

For the men, I don't know what's happened with the food we eat and like the world, but like the baby boomers, like the 80 year old guys when they were 40. Their testosterone levels were like twice what the 40 year olds today have. You know what the way it is. Yeah. So, so, uh, we've found that it's really helped a lot of people.

It's been fantastic. There's so many ways that, like, all this stuff really helps with people's overall health and stuff. It's just good to kind of know where you're at with things. Yeah, yeah. I love it. So I'll tell my my girls real quick how I even got started on Biot. So, Biot is a hormone optimization.

Treatment. So it's a procedure that you can have done by a provider. So I had it done for the first time, maybe like three years ago, and it was very, I didn't even realize that what, what was going on. You know, when somebody is coming into the practice like you, I'm telling y'all this is how it happens.

Like they're bringing something new to the practice. We're all gonna try it, we're all gonna try it. So we're all getting our labs drawn and my testosterone was. I don't know, like 17 or something like that. It was super low, and I was like, well, I don't really feel bad, or I don't really feel like anything.

I was like, I, I don't need it. But I had it done because I was low, and then I realized, oh, I do need this. I feel completely different. And let me tell y'all where, when it happened for me, and before I had bio done, before I had my testosterone, my hormone optimized. I would go into the nail salon and it could take me like 30 minutes to decide what color to get on my nails, like indecisiveness, like just I could not make a decision period after getting my hormones and getting my biot, my testosterone.

I walk in there and I'm, I am already knowing what color before I sit down before I even walk up. I already know that's it. Done. Pick the color, I'm in and out. I was able to make decisions faster. I felt better overall. 10 outta 10, I'm never getting off. Yeah. Uh, it's amazing. Look, I mean, the thing is, so like, some of the things that we worry about would be, for example, like in men, we go, oh, it causes prostate cancer.

Well, Like 18 year old men have, you know, really high testosterone levels, like 800, 900. They're not getting prostate cancer. But you know, we still measure like their prostate specific antigen to make sure it's not going up. You know, the, there, there are some people that think, oh, like it might cause breast cancer or whatever.

No. If you've had a breast cancer that's sensitive to. Hormones that yes, you don't want to have those hormones being given to you, but everything's got kind of like a rationale. But what's really neat is like, I think with traditional medicine, we're overmedicating people, you know? So you take a typical 40 year old man, I don't have energy, you know, oh, maybe you're depressed.

Okay, you're having depression, you know, you have to pay taxes, whatever, blah, blah, blah. So, okay, we're gonna put you on an antidepressant. Well now, like they don't, You know their sex drivers. Okay? So we're gonna give you Viagra. Okay? So like now they have Viagra, then the antidepressant, you know, they're tired during the day.

So now we're gonna give you some Adderall so you're a little bit more awake. Oh, but then I have trouble sleeping in it. So now we're gonna give you sleeping pills. So now you're like, you know, but then like with all these medications you're on now your blood pressure is high. So now we gotta give you a blood pressure medicine.

I literally have a person like this, and he thought he had anxiety, you know, and like all these other things. And literally he was on five different medications for all these symptoms I just described. And we got his, like testosterone levels, like up like really high. And he's like off all these medications, his blood pressure's better, he's sleeping better and like he's not medicated anymore.

So it is pretty crazy how it does. Now I've got other people that we, we optimize their hormones, but they sleep four hours a night and they're, you know, going through major stress in life. Look, the hormones aren't like a magic pill. I mean, you know, you still have to sleep, you still have to take care of yourself.

You know, and if, if mentally like you're not a happy person, you're a Debbie Downer, all like, regardless, then the hormones aren't gonna change the way you think. So the mind's a powerful thing. They might need a ayahuasca. Yeah, exactly. They might need something else. Yeah. Like bruise juice isn't gonna help those uh, folks if their brain's messed up.

But that's right. Pass it for my, uh, I've been loving that product. By the way. Thank you for sending me some, uh, you know, for like the people after like our tummy tucks and our body contouring stuff. It's been great. I guess I could put something where we put the pellets for the hormones. You know. Thank you.

I'm so glad you like it. I'm so glad you guys like it. Yeah. Such's a cool name too. Dad, do you recommend, like they use it twice a day or three times a day or so? I recommend for them to use it twice a day. Twice a day helps. You really don't need that much. You need just a dab enough to get a nice, thin layer and the area that you're massaging, mass massage it in, and by like three, four days you'll start seeing a big difference.

You'll see a big difference by then. Oh, my patients love it, so that's cool. I'm glad. I'm so excited. Well, I'm so happy I had you on today, Dr. Khai. Tell my girls where they can find you. Sure. So you know my initials are ssk, like S like you know Sean and S like Sean Khai. So you can go to ssk plastic surgery.com.

Or on Instagram is like where my patients sent me their pictures and I'm basically talking about like what I'm doing, a lot of cars and cleavage kind of stuff. So it's at, and then s S K, plastic surge, like S U R G. Okay. And you gotta type in the whole thing cuz Instagram tends to like try to keep the kids and stuff away from my account cause there's a lot of boobs and stuff on it.

So you have to type up the whole thing before you see it. S S K, plastic surge. Yep. All right. On ig, I'll be tagging you in this episode in all of our, all of our content from this episode. It was awesome. Thank you so much for sharing so much information with us and I will see you guys next week. I love chatting with you by the way.

You have like the nicest. Thank you. Thank you. Thank you so much. Thanks for having me. It's always a pleasure chatting with you. Thanks, ma, appreciate it. Bye. Take care. Bye-bye. If you enjoyed this episode, please go on Apple write me a review. It's the best way for other women who are just like you, who need help, who are looking for information, valuable information on the internet.

This is how they're gonna find it. So go on Apple. Give me a five star review. If you love this podcast, if you want to support the podcast, the best way to support the podcast is through the website. If you need help through your journey. If you need help finding a surgeon, if you wanna join the membership.

If you're looking for Bruce Juice, you guys don't sleep on bruise juice. Y'all know I have my bruised juice 30 coupon code for y'all to use. If you're having a BBL L, if you're having liposuction, if you're having a tummy tuck, if you need to be using bruised juice all over your body, stop using those other brands that are not tailored for your post-op recovery.

Bruised juice is formulated for your recovery. It's amazing. It nourishes your skin. It helps your fat transfer live. Don't sleep on bruise, juice bruise juice 30 is the code. And don't forget new episodes every Monday. I'll see you then.