Seasons of Beauty: Planning Your Care to Match The Season

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Welcome to another episode of 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.

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I'm your cohost Doreen Wu and I'm excited
to be here with Dr. Lawrence Bass Park

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Avenue plastic surgeon, educator,
and technology innovator.

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The title of today's episode is seasons
of beauty planning your care to match

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the season. I hear all kinds
of things about when it is,

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or is not okay to go ahead with a facelift
or liposuction or a particular laser.

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Are most of these
recommendations fact or fiction,

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how much effort should I put into
planning based on the season?

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Well, Doreen, you know, seasons
differ in a few different ways,

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and that speaks to how we feel
about doing a given plastic

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surgery treatment. Of
course, the weather changes.

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There are seasons that are hot.

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There are seasons that are cold
and more temperate and balanced.

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The amount of sun exposure we
get in different seasons varies.

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And that includes some cold seasons.

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If you go skiing and
you're at high altitude,

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your face at least is
getting a bunch of sun.

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So sun exposure changes by season.

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And most importantly, in modern life,

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our activities are totally
different in different seasons.

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There's some times of the year we're
busy working. There are the holidays.

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Uh, there's times when, when school
age people are busy at school,

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uh, summertime, we like to have a
little more sports and be outdoors.

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There are times of year when we tend
to travel more and all of this is

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going to speak to how convenient
it is and how medically

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suitable it is for us to
proceed with a given treatment.

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So, as I mentioned, there
are medical issues. Uh,

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sun can damage skin,

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that's fresh from certain kinds
of treatments or surgeries.

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And then there are convenience issues.
Will I disrupt my life too much?

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If I do something in a
certain season, again,

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most people don't want to miss out on
summer travel or outdoor sports, uh,

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so that tempers their desire to
do a treatment, even if medically,

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it might be perfectly fine.

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Okay. Based on what you've said, it
sounds like there is some truth to this,

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but what are some common
misconceptions that people have?

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Well,

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one misconception is that you can't do
any laser or energy based treatments in

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the summer. And that's certainly
true for some of the treatments,

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but there are many treatments that
are perfectly safe in the summer.

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Even if we're getting a certain amount
of sun now, as a plastic surgeon,

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I hope that everybody who's listening

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tries to limit their sun
exposure, wears their sunscreen,

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recognizes both the skin wrinkling risk
of sun exposure and the skin cancer

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risk of sun exposure.
Uh, but that being said,

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you know,

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there are treatments that we continue
all summer long because that's when folks

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are free to come in and there are
certain kinds of laser treatments that,

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that stop for summertime. We take a
little rest and regroup in the fall.

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So that's one big category. And again,

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I mentioned earlier that sun is a
big factor because any skin that has

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been treated with surgery or,

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or other medical treatments can
be a little more fragile and

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susceptible to sun. Uh,

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another misconception that a lot of
patients come in and mention to me,

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which is how I find out
about them is that, you know,

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they shouldn't have surgery
in a hot or humid season.

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Well, medically there's really
no reason you can't do that.

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You'll heal perfectly fine,

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but it may not be as comfortable if you're
not in an air conditioned environment

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where you have to spend time outdoors,

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you may find it less comfortable to be
healing from certain things or wearing

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a surgical garment. If it's a,

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a warmer or more humid
time of year. So, uh,

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that's a convenience issue, but
medically, there's nothing stopping you.

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I've, I've also heard, you know, winter
is better for facelift. Uh, and again,

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there's no particular medical
reason why that's better. It just,

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for a lot of folks ends up being when
they have time in the schedule or they

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find it easier to camouflage their
appearance, because in winter,

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if you're wearing a turtleneck or a
scarf that looks perfectly natural.

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And if it's August and you're in a
turtle neck, it looks a little funny.

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Right?

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Those are definitely some misconceptions
that I've heard in passing as well.

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Now that we've cleared those up,

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what are some real seasonal restrictions
that people should be aware of?

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Well, the big one is laser resurfacing.

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These are laser peels or chemical
peels by the same token where

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the skin surface is stripped off and
the skin is raw for a period of several

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days until it has a chance to heal
after that the skin is sensitive

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and heavy sun exposure will, uh,

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will delay healing will
create more redness,

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increases the risk of hyperpigmentation
or a temporary darkening

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in a blotchy irregular
fashion of the skin,

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which will eventually go away, but
is very disruptive in the meantime.

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So being careful about sun with laser
resurfacing is definitely a real

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concern and something we always
advise patients about. Uh,

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if we're doing any kind of
pigment treatment on skin, uh,

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we also want to be very cautious
about sun exposure and tend to either

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do it in a not so sunny
time of year or have to

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restrict sun exposure for a period of
time. I mean, I'm in New York City.

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So for me,

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I have seasons where there's not
that much sun and patients can do a

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treatment. That's a little more
worrisome about sun exposure.

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And then I have seasons
that are sunny, uh,

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like summer where we just turn
off some of the riskier laser

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treatments in terms of these concerns.

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If you're in a place like Southern
California or Texas or Florida,

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there's a good amount of sun
anytime of year. And so it,

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it requires a little different
strategy to work these things out.

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Even

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sun on skin that's recently had surgery.

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It's not as big a concern, but that
skin is a little more sensitive,

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more susceptible to sunburn.

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So it doesn't mean that you can't
do those treatments in the summer,

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but you're going to have to just be a
little more cautious for a certain period

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of time. And this is an issue for people.

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If their activities involve heavy
sun exposure for long periods

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of time. So people who
love hiking or boating,

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tennis golf, or spend hours in the garden,

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these people are getting
a lot of sun exposure,

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even if they're being careful with a
floppy hat that shades their face and

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with, with good quality sunscreen.

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So they may have to think
carefully about doing

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a lot of treatment or certain kinds
of treatments and surgeries at

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the time of year they're heavily
engaged in those activities.

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Okay, let's get down to it.
I wanna hear in general,

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which season is most appropriate
for which beauty treatment,

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why don't we start with winter?

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So winter,

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this is a good season for laser
surfacing or any kind of aggressive

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recovery based wrinkle treatments, and

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treatments for pigment.

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Most face body surgery is also
very suitable for winter time.

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And it's a common time that people
come in to clean up weight gain.

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They got during the holidays
and do a little contouring, uh,

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or they get that facelift because in
the springtime they may have business

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meetings or they may have
charity events and winter is less

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socially busy time. Everyone
stays home and gets cabin fever.

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And that's the perfect time to be
recovering from a surgery because much

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easier to keep that under
wraps and on the QT than

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when there's social activities.
Once, twice, three times a week,

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uh, going from there
into spring spring is,

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is a good laser season all around.

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And spring is the season for both surgical

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and non-surgical body contouring.

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And the reason it's spring and not summer
is you need a little recovery time.

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If you're going to do a
tummy tuck or liposuction,

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and while you can get the nonsurgical or

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noninvasive body contouring like
CoolSculpting, ScuplSure, uh,

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during the spring,

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it takes six or more weeks and ideally 12

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weeks to fully see the result.

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So by hitting your body
contouring project in spring,

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by the time you have to get into that
bathing suit or get into shorts and light

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clothing for summer,

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you've now got the most
benefit from the treatment.

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Now people do body
contouring all summer long,

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but they're not going to enjoy the
benefits maximally probably before

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we get to end of summer. So spring
is the best time to think about that.

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Summer ends up being mostly
non-surgical treatments.

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And we talked about the reasons for
that. There are the sun restrictions.

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Everyone wants to be traveling
and doing outdoor things.

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And so they don't want to be laid up
recovering from surgery told they can't do

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sports for two or four weeks
and miss a good block of

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the summer. So some people still
do that anyway, just because their,

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their work schedule or their social
schedule is better for summer.

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But what everyone is going to hit in
the summer is their various non-surgical

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treatments, uh,

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because they're easy to do and they don't
slow you down from all the fun things

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you plan to do over summer.

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Uh,

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if you're at your house in the
country and you don't see many folks,

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maybe that's a good time for
your facelift, but that's
not right for everybody.

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And in general, there's less
big body surgery in summer,

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just because everyone again
wants to be active and do sports.

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Finally, you know, we get to fall
and that's laser season again.

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And it's probably the most important laser
season of the year because everyone's

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picked up some sun damage over the summer.

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Even if you're being
careful with sunscreen,

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a little bit of pigment redness, you know,

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the skin's a little parched from
getting sun bleached and, uh,

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and fall is the time to clean
up that summer sun damage.

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And then late fall, uh, we start to
get into the holidays in early winter

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and, uh, work slows down.

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So it's easy for people to take time
off compared to the many other parts of

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the year. And your family knows
you're doing the surgery anyway.

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So people will go to a
few holiday parties, uh,

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deal with a few business commitments.

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And then you are at home with your
family over the holidays anyway,

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and recovering from surgery at
that time is usually easy. So,

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so fall and early winter
tends to be a very popular

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surgery time of year. And again,

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then we get into that winter
cabin fever when all of that also

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works. Um, and then the
cycle starts all over again.

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All right, now, taking everything
that you've just shared.

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How does this all come together for my
beauty plan or beauty program of care?

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Well, we say repeatedly on this
podcast that it's good to have a plan

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and a program where you're
systematically clicking through

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whatever treatments are appropriate for
you at, at your current stage of aging.

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So if you've made a plan,
then it makes it really easy.

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You just slot in the things
that fit well in a given season

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that are part of your beauty plan.

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That way you're not left in the 11th hour,

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trying to squeeze something in
you've planned ahead. And, you know,

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you're putting things where they
fit best in the given season of the

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year.

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So you might do some microderm
abrasion over the summer,

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but in fall and winter, you're
going to hit your laser treatments.

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You alternate your visits with
some Botox and fillers between the

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energy based treatments,
a recovery based peel. Uh,

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a lot of people, whether that's
a laser peel or a chemical peel,

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they'll pick a three day weekend
in the fall or in the winter, uh,

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and get that taken care
of then because, uh,

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they'll be able to go back
to work or go back to social

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activities, looking presentable. Um,

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another important point about your
beauty program is skin products.

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And in my practice,

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I cycle by season with the skin products.

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So for example, retinol may
increase your sun sensitivity.

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So that's not a great product for summer,

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but spring and fall when
sun is relatively light,

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but the air and the sun are not
harsh is a good time to be on that

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kind of product. The same
is true with glycolic acid,

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especially if you're a hyper pigment,

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the sun can amplify the response to
glycolic acid or other alpha beta

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hydroxy acids.

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So those are best in fall and spring.

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And in winter, when the air is
very cold and dry and it's windy,

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you want a more Amalian skin product,

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something that's soothing and
gentle and protective of the skin,

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a heavier product. And so that's a
good time for something non drying,

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like growth factors and not red
nodes or acid based products.

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And the same is true in the summer.

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So this allows you to have a very
efficient use of the products with no

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waste.

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You kind of get through a given
portion of the product and instead of

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buying more of the same,

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you cycle to another product
and eventually cycle back,

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it avoids waste and it keeps the skin
from accommodating to the skin product by

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just staying on it for years at a time.

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Before we conclude Dr. Bass,

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what are the most important takeaways
for our listeners from today's episode

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regarding the seasons of beauty?

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Well,

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nowadays you can squeeze in almost
anything almost anywhere if it's

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really needed, but you know,
there may be some restrictions.

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So if the only time you can do
something is the summer, well, you may,

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you may be cutting yourself off
from being outdoors in the sun.

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So if you really have to do
it a certain time of year,

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for some compelling reason, there's
probably a way to get it done,

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but just understand with
your plastic surgeon,

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what the limitations are
going to be afterwards. Um,

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if you plan ahead,

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you don't have to compromise quite so
much because you can put it in a favorable

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season when it's easy to do with a
minimum of recovery and restrictions.

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And there's also less compromise if
you have a program of care because

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you lay out the whole program
to put the necessary steps,

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whenever they're easy
to do and safe to do.

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As I said earlier, in, in the podcast,

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some seasons are best for safety
and medical considerations.

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Some seasons just make sense,

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body contouring right before summer,

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when you're gonna show off the
results or laser in early fall,

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when you're gonna clean up summer sun
damage. So that, that just makes sense,

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even though there's nothing forcing you
medically to do it for safety reasons.

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And as I said,

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it's easier to camouflage surgery in the
winter with heavy clothes and scarves.

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So sometimes that works for people
and becomes a popular time of year for

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big surgery procedures. The
other really good thing though,

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is that recovery is shorter
nowadays, even for surgery,

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than it's ever been before.

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And that makes the timing a little
less critical than it used to be

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in the old days.

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There's still some practical
considerations to all of this.

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So it's always good to plan ahead,

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but check in with your plastic surgeon,

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who will tell you what is safe
and what works well as we heard,

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there are a lot of
misconceptions floating around.

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So don't presume you
can't get something done,

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ask and let, let your doctor tell you
whether that's going to work or not.

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That is very sound advice, and I
certainly will take it into consideration.

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Thank you, Dr. Bass,

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for sharing your thoughts about the
seasons of beauty and thank you to our

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listeners for joining us today,

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to hear about how the changing seasons
can affect your beauty plan and how

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planning ahead can make
all the difference.

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I hope you found this episode as
informative and interesting as I did.

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If you think of other exciting
developments in plastic
surgery that you would

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like us to discuss in upcoming episodes,
please reach out by email or Instagram.

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We'll see you next time.

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Thank you for joining us in this episode
of the Park Avenue Plastic Surgery

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Class podcast with Dr. Lawrence
Bass Park Avenue plastic surgeon,

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educator, and technology innovator.

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The commentary in this
podcast represents opinion.

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This podcast does not
present medical advice,

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but rather general information about
plastic surgery that does not necessarily

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relate to the specific conditions
of any individual patient.

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No doctor patient relationship
is established by listening
to or participating

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00:19:17,240 --> 00:19:18,073
in this podcast,

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consult your physician to advise you
about your individual healthcare.

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If you enjoyed this episode,

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please share it with your friends and
be sure to subscribe to our podcast on

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or wherever you listen to podcasts.