Sept. 6, 2022
Timeless Beauty: Why Planning is Crucial to Maintaining the Aging Face
If you’re avoiding the plastic surgeon’s office for fear of being sold something you might not need, know that it is much easier and more affordable to prevent your face from aging now than it will be to fix it later. Dr. Bass outlines how planning for the future and a great relationship with the right aesthetic provider will give you much more success throughout the years.
The first step is finding a provider who you enjoy and trust. This person should be a good listener and have a refined approach, informed by excellent training and years of experience. To avoid being shoehorned into a treatment or surgery that isn’t right for your age or concern, a wide range of non-surgical and surgical options should be available.
Once you find the right provider, the second step is to have a plan for the future that accounts for your age and your skin type. As you might expect, this plan begins with proper skin care with products that protect your skin from UV damage and keep it healthy with the right formulations for your skin type.
Energy-based treatments like laser resurfacing or Ultherapy, Botox, and fillers are the next stage of intervention and with a minimum amount of time, money and intervention can delay the need for face lift surgery by a decade or more.
Where should you start? Dr. Bass suggests you look in the mirror and study photos of yourself to identify what has changed since you were younger and start there by asking for expert advice to chase that down before it becomes a big issue.
Links
Read more about facial rejuvenation with Dr. Bass
About Dr. Lawrence Bass
Innovator. Industry veteran. In-demand Park Avenue board certified plastic surgeon, Dr. Lawrence Bass is a true master of his craft, not only in the OR but as an industry pioneer in the development and evaluation of new aesthetic technologies. With locations in both Manhattan (on Park Avenue between 62nd and 63rd Streets) and in Great Neck, Long Island, Dr. Bass has earned his reputation as the plastic surgeon for the most discerning patients in NYC and beyond.
To learn more, visit the Bass Plastic Surgery website or follow the team on Instagram @drbassnyc
Subscribe to the Park Avenue Plastic Surgery Class newsletter to be notified of new episodes & receive exclusive invitations, offers, and information from Dr. Bass.
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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. I'm your co-host Doreen Wu.
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And 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 timeless beauty.
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Why planning is crucial to
maintaining the aging face.
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I wanna look my best after all I'm out
and about in Midtown Manhattan every day,
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everyone looks so well dressed and
groomed and beautiful. I wanna keep up,
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but I'm a busy New Yorker.
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How do I get it done without investing
hours into daily beauty care?
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Well,
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this is the a perfect example
of an ounce of prevention by
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taking some basic steps to prevent
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aging changes,
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to maintain skin quality
you can really get an
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awful lot of mileage
and really maintain your
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appearance. So
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you can get a long way towards achieving
your beauty goals in a minimum amount
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of time, money and intervention.
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If you just take a few basic
steps and get in the game
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early.
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That all sounds great. How do
I get started making this plan?
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So the way to start is always
to look at what you're seeing,
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what bugs you,
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what stands out in your appearance is
maybe different from the way you looked a
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little bit younger.
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You may also look at selfies or look
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at yourself on zoom or
FaceTime and start to notice
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various things showing that you didn't
realize when you look at yourself in the
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mirror, brushing your teeth.
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So when you start to see
things that are standing out,
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then you need to pick a
provider to advise you
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and start chasing down those
features before they become
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big issues.
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And I think that's the
million dollar question.
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How do I select the right provider
for me? What should I be looking for?
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We've talked about this a
bunch of times on this podcast.
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And just to review,
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you always want someone
with excellent training,
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with a good block of experience,
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so that they've really
refined their approach and a
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provider that's capable of
providing multiple options,
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ideally both the surgical
and non-surgical options.
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And of course you want to find
someone who's a good listener.
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Who's really hearing what you are
complaining about or what you are noticing
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rather than just trying
to shoehorn you into their
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standard care plan and, and somebody
who you feel comfortable with,
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who you'd really like to
partner with in your care.
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Hopefully you're gonna spend time with
this person over years, not, you know,
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hours every week, but
cumulatively a lot of time.
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And so they should be someone you get
along with and someone who you feel
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understands your beauty concerns and
is as worried about them as you are.
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Exactly.
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It should be a partnership where you and
the provider are both listening to what
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your needs are, what your goals
are and together creating a plan.
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So what kind of components are
typically included in the beauty plan?
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It really depends on where you are.
What stage of aging. Obviously,
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if you're in your twenties, you're
going to need a very different set of,
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of items than someone who's in
their forties or their sixties.
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And it's also gonna be a product of
what you've been doing leading up to it.
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But skin products are
usually the first stop.
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These are products that protect the skin
when you're outdoors from the elements,
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drying, ultraviolet exposure from sun
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as well as products that
add a medication that helps
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the skin stay young,
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typically retinoids alpha and beta hydroxy
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acids, like glycolic acid
growth factor products.
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There are a whole bunch of
different products out there.
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And depending on your skin type and
how your skin is behaving, just,
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you know, applying one or
maybe two products a day,
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something in the morning and something
before bedtime is probably the
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first step for folks in their twenties,
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thirties who want to protect
their skin, maintain their skin.
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And when those things aren't enough,
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then you start to look at in-office
energy based skin treatments
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and Botox and filler,
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which are mainstays of facial maintenance,
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even for people in their thirties and
occasionally for people in their twenties
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surgery later on is
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where you get to eventually.
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But that's obviously not the first
stop in making a beauty plan.
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Where does it go from there?
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Well, you know,
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you've started off with some collection
of treatments that are addressing the
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features. You are noticing
the features that concern you.
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Ideally, you found a
provider who you like,
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who you're comfortable with,
and you stick with them.
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If they're a good fit because
you and that provider,
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you're a plastic surgeon.
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Whoever you picked can look
at your face together and
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decide how it's changing over
time and decide how you're
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responding to the treatments
you've been trying.
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If you're making a good response,
okay, you stick with them.
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If you're making a response,
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but you need something better then you
decide whether you need to add something
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or switch to a different treatment,
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but you can only do that if you and
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your plastic surgeon are
looking at your face.
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And if every time you're someplace else,
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you're getting wherever
the Groupon is this week.
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You're not going to have the chance
to really look with that experience
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plastic surgeon and see what impact
these treatments are having on
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your appearance.
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So that continuity is
something that's really hard
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to come by in medicine
today in general. But,
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but beauty treatments in plastic
surgery is one of the places
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where you're still able to find that
if you understand the real value
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of that kind of relationship.
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Now let's dive into some
anecdotes. Dr. Bass,
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can you give me a few
examples of how this works?
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Sure.
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so one example that we see all
the time and we're recording
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this, this particular podcast in may.
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So it's wedding season is
someone coming in with,
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with a daughter's wedding
or a son's wedding.
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And it makes a big difference.
What kind of plan you can make,
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depending on when you're coming in.
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If the wedding is six to 12 months away,
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you pretty much have any option.
You have surgical options,
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you have non-surgical options.
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It's basically whatever you need to
look your best or to feel comfortable
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with your appearance. A lot
of folks, unfortunately,
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don't plan ahead like that.
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And they show up a month
or two before the wedding.
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Now at this point, very tough
to do anything surgical.
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And a lot of folks in that situation
would benefit from something surgical,
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which, you know, each individual
might or might not be considering.
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But if you were thinking maybe it's
time to do the eyelid plasty or do
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the facelift. You're not
going to have really a chance.
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If you come in a month before the wedding,
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there's barely time to do Botox and filler
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risking a bad bruise. You can't do
that the week before the wedding,
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it's gotta be spaced out a couple of
weeks in case you get unlucky and get a
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bruise.
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But the planning for what's going
to work for your appearance really
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turns around how far from the
wedding you showed up in the office.
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And not only what you look like
or what stage of aging you're at.
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So that's one example. I mean,
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another example is a person in their
forties and they might be in the office
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getting their Botox and filler treatments.
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And they're not thinking about a
facelift, you know, maybe not ever.
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And certainly not right now.
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They don't really need one
and it's not on their radar.
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They know it might be out
there somewhere in the future.
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But if they're starting to notice
that there's some loose skin,
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that's the time to point out that change
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to your plastic surgeon?
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Not because they're going to try to arm
twist you into doing a facelift in your
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forties when you don't really need it.
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But because that's the
time when a little bit of,
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of maintenance care with
one of the nonsurgical
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energy based lifting
treatments like Ultherapy
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might benefit you. When you're 70,
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80 years old,
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it's only about surgical lifting
and the energy based treatments
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are usually not worthwhile
in most individuals.
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So this is the time when
a little utilization of
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something like an energy
based treatment to restore
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mild skin laxity or to prevent
skin laxity is going to benefit
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you. And we've talked about
this on the podcast before that,
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when I first went in
practice over 25 years ago,
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the average facelift age
was somewhere around 50.
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And now it's somewhere in
the early to mid sixties.
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Why did that age change?
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Because people came in early
before they needed something like a
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facelift and did a variety
of treatments that maintained
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and restored the mild aging
changes they were experiencing.
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And that allowed us to put off the
bigger surgical interventions until much
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later chronologically in aging.
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So, you know, again,
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you don't chase features if
they're not bothering you,
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but at least it's useful to,
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to have that information and
get a feel about what's going
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on. I'll give you another example.
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That's very commonplace.
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A lot of folks are coming in for Botox.
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They want a little bit of brow lifting
because they feel like they're,
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they're browse are
looking a little heavier,
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not quite as arched as
they used to be. And it's,
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it's really important to have a good
look with your provider at that and
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start planning.
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Because if you have a little
bit of brow droopiness,
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you may be able to manage that
with Botox for a number of years.
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But if your upper lid is starting to
be very heavy in and of itself and
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have some extra skin laxity there,
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you may be headed towards eyelid
plasty in the next few years.
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And, you know,
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eyelid plasty is a procedure that's
often needed in people even as early
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as their thirties or
occasionally even earlier. Um,
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so you'd really like to know,
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are you planning towards an eyelid
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plasty know that that might
be the needed option coming up
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in the next couple of years,
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or are you just gonna be coasting
with Botox for years to come
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kind of a big difference? So it's
better to know, not to guess,
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uh, show the plastic surgeon
and hear what the options are.
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Even if you don't plan to pursue
them or utilize them any time soon,
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it will help you plan and know
which treatment can address,
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which feature what's happening
in your face. It's your body.
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It's a good idea to know what's going on.
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And you can also get the real world
answer about what having a given treatment
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might involve,
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what the recovery is like rather
than what you imagine it to be or
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what somebody else friend or
lay person might have told you.
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So again, it's just better
to have that information.
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Earlier in the episode, you
briefly touched upon zoom,
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FaceTime and other video
conferencing technology.
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What new things are helping
to make this easier?
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So there are a lot of
advances in imaging and in
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3d imaging that are making it
easier for people to assess their
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appearance. Things like zoom and,
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and FaceTime may not show
you in a particularly
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favorable way or a way that's
even necessarily realistic,
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but medical imaging, which is
designed to be very objective
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is useful in understanding
what your appearance is
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like from there.
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There are a lot of apps on people's
phones that are available for
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lay people, to retouch their
appearance and see how they might look.
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If they looked a little
different in addition to
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simulation software that
surgeons used to show
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people what they might look like
if they underwent one surgery or
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another.
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And so this gives people a chance to
tinker with their appearance and see what
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they might look like if they had a
certain feature on their face one way or
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another,
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and how much change in that
feature might be a good thing
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versus too much of a change
that looks a little overdone
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or a little obvious.
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So that ability to sit at home in your
leisure time and tinker with appearance,
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lets you commune and connect with
your appearance in ways that weren't
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possible before those
technologies existed.
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The things that are happening on the
medical care side include things like
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sequential imaging with the ability
to then demonstrate the aging
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changes over time.
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So you and your plastic
surgeon can get a clearer idea
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of how your appearance is changing.
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Is something now starting to
progress more rapidly or are
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features more or less stable,
one feature or another,
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and doesn't really need to be
addressed at this point in time,
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separate from that there are survey and
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artificial intelligence tools
to help analyze these findings,
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analyze the features that your
providers are seeing and that
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you may be concerned about to
help prioritize on a rational
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basis, what program of
care you should pursue.
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And, you know, there are just
tons of new options every year.
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It's very hard to sort out
where should you prioritize?
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Where should you spend your beauty budget?
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And what is medically appropriate
for the features that you're seeing?
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So these kind of tools
make it easier to, again,
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objectively on a rational
basis and reliably
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decide which things to incorporate.
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And this is part of the sort of research
that I do and some of my interests in
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plastic surgery to help sort out and
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00:16:50,210 --> 00:16:54,760
assimilate these new technologies
in a way that makes sense,
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not based on,
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on the marketing promotion of the
companies that are trying to sell them.
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Thank you, Dr. Bass. Well,
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00:17:03,601 --> 00:17:06,600
this was certainly a thought
provoking episode before we close.
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What should our listeners take
away from our discussion today?
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I think most important time invested
in prevention and maintenance
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is really time well spent and a
little bit of planning for the future
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00:17:21,161 --> 00:17:25,960
lets you have a measured
program of care that will
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00:17:25,961 --> 00:17:30,960
give you much more
success with a minimum of
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00:17:31,120 --> 00:17:31,953
intervention.
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And that's what everyone's
always really working hard to do.
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They're trying to avoid big
surgery, big recovery time.
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And by putting a little time
and effort into planning,
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you can get big dividends in return.
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It's okay to just come
in and hit one feature or
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do one treatment that you've decided is
a particularly pleasing part of your,
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your maintenance plan,
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00:18:03,010 --> 00:18:07,870
but a little broader plan
of care produces a lot
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more results. So thinking a little
bit about what's coming next,
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you know, usually
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00:18:16,010 --> 00:18:19,710
the common sense approach
is if it's not broken,
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00:18:20,080 --> 00:18:21,030
don't fix it.
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00:18:21,370 --> 00:18:26,310
But starting to think about what
might be coming next gives you a
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00:18:26,311 --> 00:18:29,990
chance to stay ahead of the game
rather than playing catch up.
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And you really don't wanna wait
until your appearance is fallen
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00:18:35,520 --> 00:18:38,270
apart and try to pull
everything back together.
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That's really not the modern
approach to aesthetic care
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in the aging face.
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So by at least putting
a little bit of planning
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00:18:51,180 --> 00:18:53,830
into it, you can get an
awful lot of benefit.
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Thank you to our listeners
for joining us today,
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00:18:57,560 --> 00:19:02,020
to hear about how creating a customized
beauty plan and planning ahead can make
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00:19:02,021 --> 00:19:04,420
all the difference in helping
you reach your aesthetic goals.
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00:19:04,860 --> 00:19:07,940
I hope you found this episode as
interesting and informative as I did.
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If you think of other exciting
developments and plastic
surgery that you would
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00:19:12,181 --> 00:19:16,580
like us to discuss in upcoming episodes,
please reach out by email or Instagram.
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We'll see you next
time. This is Doreen Wu,
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00:19:20,341 --> 00:19:23,740
thanking you for joining Dr. Bass
and I for this discussion of how to
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00:19:23,741 --> 00:19:27,060
successfully create a beauty plan.
Be sure to tune in next time.
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00:19:27,061 --> 00:19:29,020
And don't forget to
subscribe to our podcast,
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00:19:29,320 --> 00:19:32,740
to stay up to date with all of the
exciting content that is coming your way.
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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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00:19:43,820 --> 00:19:45,660
educator and technology innovator.
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00:19:45,960 --> 00:19:48,420
The commentary in this
podcast represents opinion.
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00:19:48,610 --> 00:19:51,060
This podcast does not
present medical advice,
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00:19:51,360 --> 00:19:55,500
but rather general information about
plastic surgery that does not necessarily
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00:19:55,560 --> 00:19:58,700
relate to the specific conditions
of any individual patient.
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00:19:59,040 --> 00:20:03,780
No doctor-patient relationship
is established by listening
to or participating
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00:20:03,880 --> 00:20:04,713
in this podcast,
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00:20:04,970 --> 00:20:08,860
consult your physician to advise you
about your individual healthcare.
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00:20:09,160 --> 00:20:10,580
If you enjoyed this episode,
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00:20:10,880 --> 00:20:15,060
please share it with your friends and
be sure to subscribe to our podcast on
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00:20:15,061 --> 00:20:18,980
Apple Podcasts, Google, Spotify, Stitcher,
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00:20:19,280 --> 00:20:21,580
or wherever you listen to podcasts.
00:00:00,540 --> 00:00:04,510
Welcome to another episode of
Park Avenue Plastic Surgery Class,
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00:00:04,850 --> 00:00:08,430
the podcast where we explore controversies
and breaking issues in plastic
3
00:00:08,431 --> 00:00:11,070
surgery. I'm your co-host Doreen Wu.
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00:00:11,250 --> 00:00:15,670
And I'm excited to be here with Dr.
Lawrence Bass Park Avenue plastic surgeon,
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00:00:16,350 --> 00:00:17,990
educator and technology innovator.
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00:00:18,730 --> 00:00:21,790
The title of today's
episode is timeless beauty.
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00:00:22,290 --> 00:00:24,950
Why planning is crucial to
maintaining the aging face.
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00:00:28,680 --> 00:00:32,920
I wanna look my best after all I'm out
and about in Midtown Manhattan every day,
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00:00:33,680 --> 00:00:37,680
everyone looks so well dressed and
groomed and beautiful. I wanna keep up,
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00:00:37,681 --> 00:00:39,040
but I'm a busy New Yorker.
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00:00:39,460 --> 00:00:43,160
How do I get it done without investing
hours into daily beauty care?
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00:00:44,440 --> 00:00:45,273
Well,
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00:00:45,760 --> 00:00:50,290
this is the a perfect example
of an ounce of prevention by
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00:00:50,630 --> 00:00:54,530
taking some basic steps to prevent
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00:00:55,490 --> 00:00:56,323
aging changes,
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00:00:56,350 --> 00:01:00,890
to maintain skin quality
you can really get an
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00:01:01,100 --> 00:01:05,930
awful lot of mileage
and really maintain your
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00:01:05,931 --> 00:01:07,690
appearance. So
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00:01:09,230 --> 00:01:13,450
you can get a long way towards achieving
your beauty goals in a minimum amount
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00:01:13,470 --> 00:01:15,490
of time, money and intervention.
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00:01:15,830 --> 00:01:20,330
If you just take a few basic
steps and get in the game
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00:01:20,700 --> 00:01:21,533
early.
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00:01:22,260 --> 00:01:25,630
That all sounds great. How do
I get started making this plan?
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00:01:25,630 --> 00:01:30,370
So the way to start is always
to look at what you're seeing,
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00:01:30,371 --> 00:01:31,890
what bugs you,
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00:01:31,891 --> 00:01:36,650
what stands out in your appearance is
maybe different from the way you looked a
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00:01:36,651 --> 00:01:37,411
little bit younger.
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00:01:37,411 --> 00:01:42,290
You may also look at selfies or look
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00:01:42,291 --> 00:01:47,150
at yourself on zoom or
FaceTime and start to notice
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00:01:47,151 --> 00:01:51,950
various things showing that you didn't
realize when you look at yourself in the
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00:01:51,951 --> 00:01:53,230
mirror, brushing your teeth.
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00:01:53,231 --> 00:01:57,590
So when you start to see
things that are standing out,
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00:01:57,591 --> 00:02:02,310
then you need to pick a
provider to advise you
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00:02:02,311 --> 00:02:07,110
and start chasing down those
features before they become
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00:02:07,111 --> 00:02:07,950
big issues.
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00:02:08,970 --> 00:02:11,070
And I think that's the
million dollar question.
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00:02:11,610 --> 00:02:15,550
How do I select the right provider
for me? What should I be looking for?
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00:02:16,630 --> 00:02:19,300
We've talked about this a
bunch of times on this podcast.
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00:02:20,840 --> 00:02:23,180
And just to review,
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00:02:23,840 --> 00:02:26,340
you always want someone
with excellent training,
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00:02:27,450 --> 00:02:29,700
with a good block of experience,
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00:02:30,200 --> 00:02:35,140
so that they've really
refined their approach and a
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00:02:35,380 --> 00:02:39,340
provider that's capable of
providing multiple options,
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00:02:40,090 --> 00:02:44,500
ideally both the surgical
and non-surgical options.
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00:02:45,400 --> 00:02:48,860
And of course you want to find
someone who's a good listener.
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00:02:48,950 --> 00:02:53,660
Who's really hearing what you are
complaining about or what you are noticing
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00:02:53,720 --> 00:02:58,420
rather than just trying
to shoehorn you into their
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00:02:58,860 --> 00:03:03,640
standard care plan and, and somebody
who you feel comfortable with,
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00:03:03,780 --> 00:03:07,440
who you'd really like to
partner with in your care.
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00:03:07,830 --> 00:03:12,360
Hopefully you're gonna spend time with
this person over years, not, you know,
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00:03:12,361 --> 00:03:16,360
hours every week, but
cumulatively a lot of time.
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00:03:16,500 --> 00:03:21,160
And so they should be someone you get
along with and someone who you feel
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00:03:22,030 --> 00:03:26,440
understands your beauty concerns and
is as worried about them as you are.
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00:03:27,280 --> 00:03:28,113
Exactly.
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00:03:28,270 --> 00:03:32,450
It should be a partnership where you and
the provider are both listening to what
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00:03:32,451 --> 00:03:35,370
your needs are, what your goals
are and together creating a plan.
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00:03:36,030 --> 00:03:39,490
So what kind of components are
typically included in the beauty plan?
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00:03:40,280 --> 00:03:44,820
It really depends on where you are.
What stage of aging. Obviously,
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00:03:44,821 --> 00:03:48,620
if you're in your twenties, you're
going to need a very different set of,
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00:03:49,040 --> 00:03:53,940
of items than someone who's in
their forties or their sixties.
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00:03:55,560 --> 00:03:59,980
And it's also gonna be a product of
what you've been doing leading up to it.
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00:04:00,400 --> 00:04:03,500
But skin products are
usually the first stop.
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00:04:04,310 --> 00:04:08,860
These are products that protect the skin
when you're outdoors from the elements,
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00:04:09,520 --> 00:04:12,700
drying, ultraviolet exposure from sun
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00:04:14,240 --> 00:04:19,100
as well as products that
add a medication that helps
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00:04:19,320 --> 00:04:20,540
the skin stay young,
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00:04:20,690 --> 00:04:25,180
typically retinoids alpha and beta hydroxy
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00:04:25,470 --> 00:04:30,260
acids, like glycolic acid
growth factor products.
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00:04:30,261 --> 00:04:32,860
There are a whole bunch of
different products out there.
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00:04:32,880 --> 00:04:37,620
And depending on your skin type and
how your skin is behaving, just,
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00:04:37,720 --> 00:04:40,980
you know, applying one or
maybe two products a day,
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00:04:41,210 --> 00:04:46,140
something in the morning and something
before bedtime is probably the
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00:04:46,150 --> 00:04:49,620
first step for folks in their twenties,
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00:04:49,621 --> 00:04:54,060
thirties who want to protect
their skin, maintain their skin.
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00:04:54,880 --> 00:04:58,540
And when those things aren't enough,
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00:04:59,770 --> 00:05:04,300
then you start to look at in-office
energy based skin treatments
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00:05:05,080 --> 00:05:06,660
and Botox and filler,
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00:05:06,710 --> 00:05:10,100
which are mainstays of facial maintenance,
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00:05:10,930 --> 00:05:14,980
even for people in their thirties and
occasionally for people in their twenties
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00:05:16,850 --> 00:05:20,780
surgery later on is
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00:05:22,440 --> 00:05:24,030
where you get to eventually.
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00:05:24,130 --> 00:05:29,110
But that's obviously not the first
stop in making a beauty plan.
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00:05:30,130 --> 00:05:31,200
Where does it go from there?
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00:05:32,190 --> 00:05:33,280
Well, you know,
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00:05:33,281 --> 00:05:37,920
you've started off with some collection
of treatments that are addressing the
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00:05:37,921 --> 00:05:41,520
features. You are noticing
the features that concern you.
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00:05:41,521 --> 00:05:46,360
Ideally, you found a
provider who you like,
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00:05:46,361 --> 00:05:50,040
who you're comfortable with,
and you stick with them.
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00:05:50,041 --> 00:05:54,640
If they're a good fit because
you and that provider,
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00:05:54,641 --> 00:05:55,880
you're a plastic surgeon.
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00:05:55,881 --> 00:06:00,680
Whoever you picked can look
at your face together and
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00:06:00,681 --> 00:06:05,640
decide how it's changing over
time and decide how you're
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00:06:05,641 --> 00:06:08,400
responding to the treatments
you've been trying.
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00:06:08,401 --> 00:06:12,000
If you're making a good response,
okay, you stick with them.
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00:06:12,001 --> 00:06:14,360
If you're making a response,
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00:06:14,361 --> 00:06:18,680
but you need something better then you
decide whether you need to add something
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00:06:18,681 --> 00:06:20,800
or switch to a different treatment,
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00:06:20,801 --> 00:06:25,080
but you can only do that if you and
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00:06:25,081 --> 00:06:28,800
your plastic surgeon are
looking at your face.
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00:06:28,801 --> 00:06:31,200
And if every time you're someplace else,
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00:06:31,201 --> 00:06:35,040
you're getting wherever
the Groupon is this week.
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00:06:35,041 --> 00:06:40,040
You're not going to have the chance
to really look with that experience
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00:06:40,041 --> 00:06:44,960
plastic surgeon and see what impact
these treatments are having on
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your appearance.
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00:06:45,721 --> 00:06:50,560
So that continuity is
something that's really hard
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00:06:50,561 --> 00:06:53,640
to come by in medicine
today in general. But,
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00:06:53,641 --> 00:06:58,330
but beauty treatments in plastic
surgery is one of the places
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00:06:58,331 --> 00:07:03,330
where you're still able to find that
if you understand the real value
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00:07:03,331 --> 00:07:05,730
of that kind of relationship.
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00:07:06,840 --> 00:07:10,020
Now let's dive into some
anecdotes. Dr. Bass,
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can you give me a few
examples of how this works?
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00:07:13,570 --> 00:07:14,403
Sure.
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00:07:15,000 --> 00:07:19,740
so one example that we see all
the time and we're recording
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00:07:19,741 --> 00:07:22,340
this, this particular podcast in may.
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00:07:22,400 --> 00:07:26,460
So it's wedding season is
someone coming in with,
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00:07:26,570 --> 00:07:29,340
with a daughter's wedding
or a son's wedding.
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00:07:30,520 --> 00:07:35,060
And it makes a big difference.
What kind of plan you can make,
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00:07:35,061 --> 00:07:37,060
depending on when you're coming in.
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00:07:37,920 --> 00:07:41,340
If the wedding is six to 12 months away,
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00:07:42,480 --> 00:07:45,940
you pretty much have any option.
You have surgical options,
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00:07:46,000 --> 00:07:47,620
you have non-surgical options.
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00:07:47,770 --> 00:07:52,580
It's basically whatever you need to
look your best or to feel comfortable
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00:07:52,581 --> 00:07:56,460
with your appearance. A lot
of folks, unfortunately,
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00:07:56,710 --> 00:07:58,780
don't plan ahead like that.
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00:08:00,480 --> 00:08:04,300
And they show up a month
or two before the wedding.
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00:08:04,840 --> 00:08:08,380
Now at this point, very tough
to do anything surgical.
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00:08:09,720 --> 00:08:14,020
And a lot of folks in that situation
would benefit from something surgical,
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00:08:14,910 --> 00:08:19,140
which, you know, each individual
might or might not be considering.
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00:08:19,440 --> 00:08:24,380
But if you were thinking maybe it's
time to do the eyelid plasty or do
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00:08:24,381 --> 00:08:29,020
the facelift. You're not
going to have really a chance.
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00:08:29,120 --> 00:08:30,860
If you come in a month before the wedding,
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00:08:30,861 --> 00:08:34,740
there's barely time to do Botox and filler
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risking a bad bruise. You can't do
that the week before the wedding,
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00:08:40,790 --> 00:08:44,880
it's gotta be spaced out a couple of
weeks in case you get unlucky and get a
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00:08:44,881 --> 00:08:45,714
bruise.
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00:08:46,740 --> 00:08:51,360
But the planning for what's going
to work for your appearance really
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00:08:51,450 --> 00:08:55,880
turns around how far from the
wedding you showed up in the office.
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00:08:56,660 --> 00:09:01,000
And not only what you look like
or what stage of aging you're at.
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00:09:01,060 --> 00:09:04,760
So that's one example. I mean,
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00:09:04,761 --> 00:09:09,520
another example is a person in their
forties and they might be in the office
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00:09:09,521 --> 00:09:11,560
getting their Botox and filler treatments.
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00:09:11,561 --> 00:09:16,160
And they're not thinking about a
facelift, you know, maybe not ever.
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And certainly not right now.
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00:09:18,321 --> 00:09:22,040
They don't really need one
and it's not on their radar.
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00:09:22,041 --> 00:09:24,960
They know it might be out
there somewhere in the future.
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00:09:24,961 --> 00:09:29,760
But if they're starting to notice
that there's some loose skin,
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00:09:29,761 --> 00:09:34,400
that's the time to point out that change
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00:09:34,401 --> 00:09:35,920
to your plastic surgeon?
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00:09:35,921 --> 00:09:40,840
Not because they're going to try to arm
twist you into doing a facelift in your
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forties when you don't really need it.
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But because that's the
time when a little bit of,
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of maintenance care with
one of the nonsurgical
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energy based lifting
treatments like Ultherapy
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might benefit you. When you're 70,
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80 years old,
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it's only about surgical lifting
and the energy based treatments
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are usually not worthwhile
in most individuals.
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So this is the time when
a little utilization of
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something like an energy
based treatment to restore
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mild skin laxity or to prevent
skin laxity is going to benefit
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you. And we've talked about
this on the podcast before that,
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when I first went in
practice over 25 years ago,
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the average facelift age
was somewhere around 50.
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And now it's somewhere in
the early to mid sixties.
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Why did that age change?
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Because people came in early
before they needed something like a
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facelift and did a variety
of treatments that maintained
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and restored the mild aging
changes they were experiencing.
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And that allowed us to put off the
bigger surgical interventions until much
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later chronologically in aging.
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So, you know, again,
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you don't chase features if
they're not bothering you,
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but at least it's useful to,
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to have that information and
get a feel about what's going
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on. I'll give you another example.
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That's very commonplace.
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A lot of folks are coming in for Botox.
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They want a little bit of brow lifting
because they feel like they're,
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they're browse are
looking a little heavier,
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not quite as arched as
they used to be. And it's,
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it's really important to have a good
look with your provider at that and
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start planning.
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Because if you have a little
bit of brow droopiness,
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you may be able to manage that
with Botox for a number of years.
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But if your upper lid is starting to
be very heavy in and of itself and
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have some extra skin laxity there,
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you may be headed towards eyelid
plasty in the next few years.
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And, you know,
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eyelid plasty is a procedure that's
often needed in people even as early
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as their thirties or
occasionally even earlier. Um,
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so you'd really like to know,
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are you planning towards an eyelid
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plasty know that that might
be the needed option coming up
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in the next couple of years,
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or are you just gonna be coasting
with Botox for years to come
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kind of a big difference? So it's
better to know, not to guess,
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uh, show the plastic surgeon
and hear what the options are.
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Even if you don't plan to pursue
them or utilize them any time soon,
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it will help you plan and know
which treatment can address,
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which feature what's happening
in your face. It's your body.
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It's a good idea to know what's going on.
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And you can also get the real world
answer about what having a given treatment
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might involve,
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what the recovery is like rather
than what you imagine it to be or
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what somebody else friend or
lay person might have told you.
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So again, it's just better
to have that information.
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Earlier in the episode, you
briefly touched upon zoom,
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FaceTime and other video
conferencing technology.
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What new things are helping
to make this easier?
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So there are a lot of
advances in imaging and in
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3d imaging that are making it
easier for people to assess their
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appearance. Things like zoom and,
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00:13:49,771 --> 00:13:54,130
and FaceTime may not show
you in a particularly
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favorable way or a way that's
even necessarily realistic,
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but medical imaging, which is
designed to be very objective
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00:14:04,670 --> 00:14:09,570
is useful in understanding
what your appearance is
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like from there.
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00:14:12,420 --> 00:14:17,250
There are a lot of apps on people's
phones that are available for
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00:14:17,270 --> 00:14:20,970
lay people, to retouch their
appearance and see how they might look.
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If they looked a little
different in addition to
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00:14:25,700 --> 00:14:30,210
simulation software that
surgeons used to show
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people what they might look like
if they underwent one surgery or
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another.
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And so this gives people a chance to
tinker with their appearance and see what
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they might look like if they had a
certain feature on their face one way or
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another,
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and how much change in that
feature might be a good thing
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versus too much of a change
that looks a little overdone
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or a little obvious.
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So that ability to sit at home in your
leisure time and tinker with appearance,
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lets you commune and connect with
your appearance in ways that weren't
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possible before those
technologies existed.
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The things that are happening on the
medical care side include things like
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sequential imaging with the ability
to then demonstrate the aging
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changes over time.
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00:15:27,380 --> 00:15:32,200
So you and your plastic
surgeon can get a clearer idea
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00:15:32,700 --> 00:15:34,720
of how your appearance is changing.
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Is something now starting to
progress more rapidly or are
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00:15:41,161 --> 00:15:44,320
features more or less stable,
one feature or another,
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and doesn't really need to be
addressed at this point in time,
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00:15:47,721 --> 00:15:52,240
separate from that there are survey and
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00:15:52,241 --> 00:15:57,240
artificial intelligence tools
to help analyze these findings,
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00:15:57,910 --> 00:16:02,720
analyze the features that your
providers are seeing and that
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00:16:02,860 --> 00:16:07,680
you may be concerned about to
help prioritize on a rational
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basis, what program of
care you should pursue.
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00:16:13,380 --> 00:16:16,800
And, you know, there are just
tons of new options every year.
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It's very hard to sort out
where should you prioritize?
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Where should you spend your beauty budget?
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00:16:26,620 --> 00:16:30,520
And what is medically appropriate
for the features that you're seeing?
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00:16:30,700 --> 00:16:34,440
So these kind of tools
make it easier to, again,
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objectively on a rational
basis and reliably
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decide which things to incorporate.
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And this is part of the sort of research
that I do and some of my interests in
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plastic surgery to help sort out and
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assimilate these new technologies
in a way that makes sense,
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not based on,
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00:16:56,740 --> 00:17:00,680
on the marketing promotion of the
companies that are trying to sell them.
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00:17:01,850 --> 00:17:03,600
Thank you, Dr. Bass. Well,
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00:17:03,601 --> 00:17:06,600
this was certainly a thought
provoking episode before we close.
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What should our listeners take
away from our discussion today?
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I think most important time invested
in prevention and maintenance
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is really time well spent and a
little bit of planning for the future
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00:17:21,161 --> 00:17:25,960
lets you have a measured
program of care that will
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00:17:25,961 --> 00:17:30,960
give you much more
success with a minimum of
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intervention.
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00:17:32,420 --> 00:17:36,200
And that's what everyone's
always really working hard to do.
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They're trying to avoid big
surgery, big recovery time.
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And by putting a little time
and effort into planning,
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you can get big dividends in return.
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It's okay to just come
in and hit one feature or
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do one treatment that you've decided is
a particularly pleasing part of your,
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your maintenance plan,
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00:18:03,010 --> 00:18:07,870
but a little broader plan
of care produces a lot
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00:18:08,260 --> 00:18:12,990
more results. So thinking a little
bit about what's coming next,
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you know, usually
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00:18:16,010 --> 00:18:19,710
the common sense approach
is if it's not broken,
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00:18:20,080 --> 00:18:21,030
don't fix it.
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00:18:21,370 --> 00:18:26,310
But starting to think about what
might be coming next gives you a
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00:18:26,311 --> 00:18:29,990
chance to stay ahead of the game
rather than playing catch up.
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00:18:30,690 --> 00:18:35,470
And you really don't wanna wait
until your appearance is fallen
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00:18:35,520 --> 00:18:38,270
apart and try to pull
everything back together.
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00:18:39,090 --> 00:18:43,590
That's really not the modern
approach to aesthetic care
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00:18:44,050 --> 00:18:45,350
in the aging face.
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00:18:46,410 --> 00:18:50,910
So by at least putting
a little bit of planning
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00:18:51,180 --> 00:18:53,830
into it, you can get an
awful lot of benefit.
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00:18:55,270 --> 00:18:57,540
Thank you to our listeners
for joining us today,
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00:18:57,560 --> 00:19:02,020
to hear about how creating a customized
beauty plan and planning ahead can make
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00:19:02,021 --> 00:19:04,420
all the difference in helping
you reach your aesthetic goals.
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00:19:04,860 --> 00:19:07,940
I hope you found this episode as
interesting and informative as I did.
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00:19:08,560 --> 00:19:12,180
If you think of other exciting
developments and plastic
surgery that you would
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00:19:12,181 --> 00:19:16,580
like us to discuss in upcoming episodes,
please reach out by email or Instagram.
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We'll see you next
time. This is Doreen Wu,
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00:19:20,341 --> 00:19:23,740
thanking you for joining Dr. Bass
and I for this discussion of how to
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00:19:23,741 --> 00:19:27,060
successfully create a beauty plan.
Be sure to tune in next time.
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00:19:27,061 --> 00:19:29,020
And don't forget to
subscribe to our podcast,
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00:19:29,320 --> 00:19:32,740
to stay up to date with all of the
exciting content that is coming your way.
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00:19:34,350 --> 00:19:38,380
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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00:19:43,820 --> 00:19:45,660
educator and technology innovator.
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00:19:45,960 --> 00:19:48,420
The commentary in this
podcast represents opinion.
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00:19:48,610 --> 00:19:51,060
This podcast does not
present medical advice,
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00:19:51,360 --> 00:19:55,500
but rather general information about
plastic surgery that does not necessarily
303
00:19:55,560 --> 00:19:58,700
relate to the specific conditions
of any individual patient.
304
00:19:59,040 --> 00:20:03,780
No doctor-patient relationship
is established by listening
to or participating
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00:20:03,880 --> 00:20:04,713
in this podcast,
306
00:20:04,970 --> 00:20:08,860
consult your physician to advise you
about your individual healthcare.
307
00:20:09,160 --> 00:20:10,580
If you enjoyed this episode,
308
00:20:10,880 --> 00:20:15,060
please share it with your friends and
be sure to subscribe to our podcast on
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00:20:15,061 --> 00:20:18,980
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310
00:20:19,280 --> 00:20:21,580
or wherever you listen to podcasts.