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00:00:05.197You're listening to the Confident Choice Podcast with me, Dr.
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00:00:10.197Roberto Garcia, a double board certified facial plastic and reconstructive surgeon.
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00:00:16.137Honest conversations and expert advice about the decisions that make you feel your best.
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00:00:20.848Welcome, everybody, to The Confident Choice. I'm your host, Dr.
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00:00:28.188Roberto Garcia, and we are now filming episode 10, and we're going to talk a
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00:00:35.068little bit today about the emotional impact, and I have one of my most favorite people, okay?
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00:00:39.548Thank you. I'm sorry to have to say it. Thank you. No offense to all my patients, okay?
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00:00:44.128I'm not, but Jackie, you and I have been friends for a while. A while.
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00:00:51.788And I'm so thrilled and honored to have you on here. And you have been so supportive of our practice.
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00:00:57.328You just seem to have done it right, you know? Well, I had help.
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00:01:06.728Truly, your staff, it starts with the staff, and then you are the, you are it. You are Dr.
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00:01:09.928Roberto Garcia. You're fantastic.
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00:01:14.508Besides that, okay, now I got to, okay, I'm done complimenting you. Yes, please.
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00:01:21.748Now I'll ask you lots of questions. Let's talk about, let's get to the crux of,
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00:01:25.328well, the podcast, since we designed it,
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00:01:33.808was really driven as an informational basin that people could grab different
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00:01:40.128pieces in order to afford them the ability to really make a sound decision, right?
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00:01:44.768And you know this because you've known me for a while that, you know,
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00:01:49.448we're very detailed in what we do and we're very informative, right?
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00:01:54.888And we want our patients to be really, really, I want them to be experts.
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00:02:01.548And so when When you were first the very beginning and you were saying,
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00:02:08.788you know, maybe I should do something, maybe I shouldn't, what was it that you, that drove you?
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00:02:12.908You know, I looked tired. So my body felt amazing.
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00:02:18.428I felt 35 years old. And then I would look in the mirror on the side and I would
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00:02:21.348see gravity just falling.
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00:02:25.405And I said, oh, my gosh, I've got to do something.
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00:02:28.445And I called my mother. I said, oh, my gosh, I have to do something.
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00:02:29.305I'm going to get a facelift.
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00:02:35.225She says, you're beautiful. You don't need a facelift. And I said, I'm getting a facelift.
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00:02:38.105And so I remember the first time I came to you.
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00:02:40.985And I said, Dr. Garcia, I'm really not sure I need anything,
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00:02:42.785thinking you would just send me home.
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00:02:46.645Instead, you said, Jackie, we can do this.
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00:02:52.245And I said, OK, I need to think about it. I never make a decision immediately.
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00:02:56.265I take all the information you give me, and I go home and I think about it.
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00:03:01.145And I thought about it, and it took me about 20 minutes.
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00:03:05.165And I called the office, and I said, sign me up.
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00:03:10.825And I wasn't afraid. You know, I was healthy, right?
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00:03:16.225And so I was eating correctly. I had a nutritionist that I worked with.
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00:03:20.685She told me I had been eating, getting ready for this, knowing that one day I was going to do it.
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00:03:27.165So I had my pineapple, my blueberries, the good protein, and I knew that I would
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00:03:33.185have a pretty decent recovery. So I wasn't afraid, and I knew I had good medical attention.
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00:03:38.465So it was that time when you said, Jack, we're going to do this,
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00:03:41.365and then I thought, well, I'm going to get the whole— why don't you say what I did?
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00:03:45.185Tell everyone—they're all looking. Tell them what I did. I have no problem.
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00:03:49.918I don't remember. Oh! But the
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00:03:56.138point, well, I'm not saying that because I haven't reviewed your chart.
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00:04:01.198That's not, nothing that we did jumps out.
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00:04:07.718Well, I had my chin. You gave me a tuck here. And then you did my upper.
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00:04:10.478And I had staples. Was it staples? Yeah, it's staples, yeah.
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00:04:15.878And I was, I said, oh my gosh, I can, I was more nervous about the staples coming out. Yep.
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00:04:21.838Which did not hurt one bit, mind you. And I thought, oh my gosh, do I really need this?
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00:04:27.038And I, and then I was, and most people are concerned about the recovery.
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00:04:33.758And it was that one night in the hotel. Yeah. I just felt, my head felt heavy.
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00:04:41.998But because I did everything right before I was prepared, mentally and physically,
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00:04:46.198I was ready and my results are looking natural.
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00:04:50.998Right. And that's what I wanted. I did not want to be pulled back and look like
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00:04:53.218I had a facelift. I wanted to be natural.
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00:04:57.198So someone would say, actually, someone said to me the other day,
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00:05:01.558how do you look the same from 20 years ago?
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00:05:04.758And I looked at him and I said, I had face work.
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00:05:08.454And he says, you're kidding me. And I said, no, I'm not kidding you.
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00:05:11.114I tell people that I had face work.
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00:05:16.294I think it's important for people to share so they can.
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00:05:21.034Well, and you know, and that's an important point because obviously we've talked
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00:05:25.634about this before that you've been such a proponent of our practice.
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00:05:32.074But that has changed, right? Because I can look back at the beginning of my
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00:05:37.974career where I was trying to build patience, right? I was trying to build a practice.
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00:05:42.834And every surgery I did, I was begging patients, can I use your before and afters?
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00:05:44.414Can I do this? Can I get you to say this?
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00:05:52.014And I got a lot of dose because there was this mystery and people didn't want to talk about it.
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00:05:58.974And I think I can kind of pinpoint when social media really became mainstay
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00:06:02.134on the screens of Americans,
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00:06:08.614right, and really worldwide, that's when that inhibition began to be lifted, right?
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00:06:14.314Because now you saw patients saying, you know, I want to be proud of something.
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00:06:17.434You know, I'm proud of what I did.
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00:06:25.374And, you know, going back to where you first kind of made that decision,
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00:06:32.694not deciding for us to come here, what was it that you talked about the inside
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00:06:34.474not matching the outside? Correct.
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00:06:38.474Super healthy, which you've always been very fit, thin, healthy.
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00:06:46.014Was there a comparative thing that you had going on with friends or younger
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00:06:50.214people? No, it didn't matter to me. It was all about how I felt.
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00:06:54.814I didn't care what other people looked like. I cared what I looked like.
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00:07:00.135It was, I'm not a competitive, I mean, I'm competitive in the workforce,
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00:07:01.255but I'm not competitive.
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00:07:04.055Oh, that person looks great. I want to look like her.
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00:07:08.475It was never like that. I want to look myself. I want to be happy.
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00:07:10.755I want to get dressed in the morning. I want to look in the mirror.
00:07:10.915 -->
00:07:15.055I said to my sister this morning, I said, Ronnie, and she'll probably be upset
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00:07:16.175that I'm talking about her.
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00:07:19.415I said, tell me, when you look in the mirror, what do you see?
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00:07:22.655She says, I don't really look in the mirror.
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00:07:27.755I put my makeup on and I run out. And I said, I don't do that.
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00:07:33.275I look in the mirror and I say to myself, I feel really good today.
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00:07:41.215Well, in our first episode, we talked about the impetus of why people choose this, right?
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00:07:47.155And it really came down to, I am tired of seeing something I don't like that
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00:07:48.915I want to correct, right? Bottom line. Right.
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00:07:52.495And that's with anything. I'm tired of driving the same car,
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00:07:53.475so I want to change the car.
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00:07:59.175I'm tired of this makeup doing this to my skin, so I want to change the makeup, etc.
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00:08:08.915But it's such a personal decision that you obviously see something in yourself
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00:08:12.755that somebody else doesn't see in their self. I'll give you a point.
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00:08:17.675Just yesterday, I'm talking to a patient, sweet lady.
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00:08:21.595And she mentioned that she thought that
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00:08:24.315the surgery well she may I'm not going to say any
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00:08:27.255names but she may get angry with me if she had listens to this podcast
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00:08:33.555but I had a nice really nice discussion with her about the psychology of why
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00:08:42.155we do this and you know the thought was this is a superficial thing to do and
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00:08:46.435I kind of was taken back a little bit and I said well hold Hold on a second.
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00:08:52.391When I was young in my career, there was a point because when I started off,
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00:08:53.831I was doing a lot of trauma.
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00:08:57.331I was doing a lot of pediatric trauma down at Wolfson. So I felt like I was
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00:08:59.431really making a dent in society, right?
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00:09:02.991I was helping these kids that otherwise would have ended up scarred and mangled,
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00:09:04.591and I was giving them a second chance.
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00:09:08.511And then you start a cosmetic practice, and the first thing you start thinking
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00:09:13.731is, am I really doing meaningful things, right? Am I really helping people?
00:09:13.971 -->
00:09:17.031But then I start meeting more people like you.
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00:09:23.371Where you see that what you are doing is insanely meaningful.
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00:09:29.151Look, I'm a happy person. I'm a confident person whether or not I had a facelift.
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00:09:33.798I just, I feel good. Yeah. I feel refreshed.
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00:09:39.238I feel happy. I'm always, always happy, but I feel maybe a little happier.
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00:09:45.898And when I get dressed and I look in the mirror, I say, wow, I'm good.
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00:09:52.878Did you ever feel in the post-operative process, oh gosh, what have I done? No.
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00:09:55.558And I say that very quickly. Even early in the process? Never.
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00:09:58.798Never. Ever. Never.
00:10:00.058 -->
00:10:06.778I mean I see it so often Did I even talk about it In our app I was so happy,
00:10:07.918 -->
00:10:12.358You know it all depends When you go in with a good attitude You hope you come
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00:10:16.618out with a You go in and you come out And I was just very,
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00:10:20.018I was good I don't know how
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00:10:22.998to say it Well you have a very positive person
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00:10:25.938You know the recovery people always want to know about the recovery process Jackie
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00:10:29.538talk about the recovery how long were you in the house did
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00:10:32.818you ever go okay so just to let everybody know i
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00:10:37.598went out after i wasn't on any meds after two days and then i was i didn't drive
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00:10:42.818but i put a hat on i because i didn't have much scarring i didn't have black
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00:10:48.178and blue yeah i mean i don't even barely i went out i went to the grocery store
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00:10:51.518and i sat at my computer and i worked all day,
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00:10:56.979And so I was able to do those things, and I think that's what people are afraid of.
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00:11:01.439Oh, am I going to be down for 10 days? Am I going to be able to watch the kids?
00:11:01.719 -->
00:11:03.199Who's going to take care of me?
00:11:03.959 -->
00:11:09.359Really, it was because I did everything my nutritionist told me to do,
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00:11:12.759my body was ready for this surgery.
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00:11:21.259I just healed beautifully. Well, I will tell you that we, as a field,
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00:11:26.539we never learned about nutrition in medical school. Never.
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00:11:30.799And I think now medical school is a little different. I think they may touch
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00:11:32.719more. We learned about vitamins and whatnot.
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00:11:39.039But what I saw with you sold me on the importance.
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00:11:43.959And I've always talked about, okay, it's important to eat protein and do these things.
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00:11:49.379But what you did. Plant protein. no red meats i mean there's a lot of a lot
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00:11:53.979that goes into it pineapple for i think for better tissue building i don't know
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00:11:58.059something helps with collagen well okay so i mean i did everything and i ate
00:11:58.059 -->
00:12:02.739so many blueberries i'm surprised i don't look like one yeah i mean that's how many i ate,
00:12:03.379 -->
00:12:08.039pineapple i had fish yep i had chicken i didn't have any red meat.
00:12:09.015 -->
00:12:12.255I didn't, oh, I love my liquor and my wine.
00:12:12.895 -->
00:12:19.355Sorry for the pun. That's what I like. And maybe once or twice a week when I
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00:12:20.675knew I was having surgery. Right.
00:12:21.095 -->
00:12:30.975Well, so much so that we're implementing a pre-surgical nutritional program
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00:12:34.955and we're going to implement the things that you need to do after,
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00:12:36.935basically off of your inspiration.
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00:12:41.455Right. I think it's really important. So when you sign up, when you sign that
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00:12:45.955paperwork and you're ready, someone hands you something and says,
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00:12:48.215hey, this is what you need to do.
00:12:48.575 -->
00:12:53.215And they should meet with a nutritionist. I mean, I don't know if your practice
00:12:53.215 -->
00:12:56.615will allow them to meet with a nutritionist just once to talk to the person.
00:12:56.775 -->
00:12:58.215And then they're on their own.
00:12:58.415 -->
00:13:06.095But a program that this individual, this new patient could follow and know that
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00:13:08.855they've done one thing right before surgery. Yeah.
00:13:09.375 -->
00:13:15.895Yeah, for sure. It's a matter of your car is only going to perform as well as what you put into it.
00:13:16.035 -->
00:13:24.455And I can see a clear separation between those who do the preoperative work and those that don't.
00:13:24.555 -->
00:13:27.895I don't know any other physician that talks about nutrition.
00:13:28.235 -->
00:13:33.855I don't know anyone who talks about nutrition. And I think it's such an important part of surgery. Yeah.
00:13:34.535 -->
00:13:40.695Did you ever read a book called, uh, it was by a guy named Peter Atiyah.
00:13:41.441 -->
00:13:46.621He's a health guy and he, maybe it wasn't Peter Oteo, but anyway.
00:13:46.941 -->
00:13:49.101It's a good thing I didn't say yes. No.
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00:13:54.241And it'll come to me and I'll put it in the comments later what the book was.
00:13:54.361 -->
00:13:55.941Outlive. The book is called Outlive.
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00:14:00.121No, I have not. Great book. Okay, I will. So this guy. Outlive.
00:14:00.261 -->
00:14:04.381Make sure I remember that. I'll text it to you later. Okay. But this author
00:14:04.381 -->
00:14:14.281talks about the goal of longevity is you want to be healthy until the last year
00:14:14.281 -->
00:14:16.561of your life, right, or last six months.
00:14:16.881 -->
00:14:21.581And they found that if one made it to the age of 90 healthy,
00:14:21.581 -->
00:14:26.521then their chances of having one of the big four, which was heart,
00:14:26.761 -->
00:14:31.681diabetes, neurological disease, or cancer, was significantly reduced.
00:14:31.681 -->
00:14:37.441But when you had an unhealthy lifestyle up until your 50s, 60s,
00:14:37.521 -->
00:14:44.461then you were more prone to have a long period of time of sickness, right?
00:14:44.581 -->
00:14:48.641And so you see those people that they have those diabetic feet or,
00:14:48.841 -->
00:14:53.041you know, they're wobbling around and they're 70 years old and they're barely getting by, right?
00:14:53.221 -->
00:14:56.881And then you see those guys on the golf course, I see them, that are 92 years
00:14:56.881 -->
00:15:00.681old and they may not be able to hit the ball far, but they're out there walking, you know?
00:15:00.681 -->
00:15:05.201And so that's that kind of that magical point that what he was saying is,
00:15:05.341 -->
00:15:09.361you got to fight off disease by prevention on the front end,
00:15:09.421 -->
00:15:11.901which is what you've been advocating. And exercise. Exercise.
00:15:12.141 -->
00:15:16.121And exercising every day. So important. And I want to go back to nutrition sugar.
00:15:16.992 -->
00:15:21.232Is a no-no. Additional sugar. It's a double. Right. Anything processed is the
00:15:21.232 -->
00:15:22.132double. Right, right. You know?
00:15:22.832 -->
00:15:27.612But exercise, and for those watching, I do Pilates Reformer.
00:15:27.772 -->
00:15:31.512I do strength training at my age, and I will tell my age, I'm 66.
00:15:32.512 -->
00:15:35.952I do a lot of strength training, and I do a lot of walking, and I think that's
00:15:35.952 -->
00:15:37.272really, really important.
00:15:37.592 -->
00:15:40.452For sure. And if you can just do, if you can't do it seven days a week,
00:15:40.512 -->
00:15:42.492do it twice a week, but do something.
00:15:42.632 -->
00:15:48.872Yeah. Because I think if you are going to have surgery, you have to implement all of that. Yeah.
00:15:49.452 -->
00:15:53.272And you'll feel better. Yeah. And so many times throughout my career,
00:15:53.272 -->
00:15:55.152I've seen patients that will do a lift.
00:15:56.012 -->
00:15:59.212And it's almost like their mind reboots afterwards.
00:15:59.672 -->
00:16:04.512And they say, I'm going to start hitting the gym. I'm going to stop eating processed foods.
00:16:04.652 -->
00:16:08.272I'm going to do A, B, and C. And it's almost like that one thing that they needed
00:16:08.272 -->
00:16:12.392to really help another component of their life that was completely unrelated.
00:16:12.392 -->
00:16:15.932Could you imagine if they had done it before? Right. Right. Right?
00:16:17.091 -->
00:16:21.131And, but we're, but I will say though, in, in, in my years of doing this,
00:16:21.231 -->
00:16:28.091I'm finding more and more patients that are preoperatively interested in the betterment, right?
00:16:28.411 -->
00:16:30.951It's almost like they're saying, and I don't know if it's maybe part of this
00:16:30.951 -->
00:16:35.051GLP one world that we live in now where patients come in and they're like,
00:16:35.171 -->
00:16:41.431I'm really interested in the betterment of my, of my physical self and I'm feeling great.
00:16:41.551 -->
00:16:44.651I'm, you know, I'm hitting the gym or I'm, I'm running, you know,
00:16:44.751 -->
00:16:47.031two or three days a week, which I never did in my 40s.
00:16:47.431 -->
00:16:51.411And then all of a sudden, you got some loose skin or whatever it might be around
00:16:51.411 -->
00:16:54.351your eyes or your brows, and you want to correct that. Right.
00:16:54.831 -->
00:17:01.951Speaking of eyes, I just want to remind you, I think I came in with a friend and I said to, I said, Dr.
00:17:02.111 -->
00:17:08.091Garcia, take a look at my eyes. And you said to me, I'm not touching your eyes.
00:17:08.271 -->
00:17:10.871Don't ask me again. I'm not touching your eyes.
00:17:11.111 -->
00:17:13.591You want me to make you look funny looking? And I'm like, no,
00:17:13.711 -->
00:17:15.131no, no. You were kidding, of course.
00:17:15.451 -->
00:17:17.431But the fact is you told me no.
00:17:18.051 -->
00:17:23.091And I loved that. You could have said, yes, we'll do it. And I would have said, okay.
00:17:23.851 -->
00:17:25.631Did you say no? Yeah, but that's not the right thing for you.
00:17:25.771 -->
00:17:30.951No. But what I'm saying is what I love about your practice is if it's not right for you, you say no.
00:17:31.071 -->
00:17:33.331Of course. And that's what I like. Yeah.
00:17:33.891 -->
00:17:38.491Yeah. It's not. And one of the things that's most important for a physician
00:17:38.491 -->
00:17:42.691to realize that I really do hope that young physicians understand this.
00:17:42.871 -->
00:17:51.271When a patient comes to you, you have to find out what their pain is and then you fix their problem.
00:17:51.491 -->
00:17:56.271But if you start making up things that perhaps don't even bother them,
00:17:56.671 -->
00:18:00.071then you're really doing them a disservice, right?
00:18:00.191 -->
00:18:04.211And so, you know, I've said this before, you're going to look at yourself 10
00:18:04.211 -->
00:18:07.771times in a day, right? Mirror, makeup, whatever.
00:18:08.291 -->
00:18:11.091I'm going to see you 10 times in a year. Right. Right.
00:18:11.251 -->
00:18:15.651So really the person I'm most interested in, and, and having appreciation of
00:18:15.651 -->
00:18:17.651the procedure is the patient. Right. Right.
00:18:17.811 -->
00:18:20.691And so if, if I see something that.
00:18:21.754 -->
00:18:25.314Don't absolutely think is going to bring that happiness to the patient,
00:18:25.594 -->
00:18:27.454don't do it. Right. You know? Right.
00:18:27.734 -->
00:18:31.914But unfortunately, and I was talking with Dr. Basil about this.
00:18:32.034 -->
00:18:35.834I know you love him. And I will admit, I want to just tell everyone,
00:18:36.134 -->
00:18:41.114all these listeners, that after my facelift, I felt so great.
00:18:41.114 -->
00:18:48.634I had some loose skin and I went to him and I told him I only wanted a certain part done.
00:18:48.814 -->
00:18:53.174And he says, no, you really need both. And I said, no, let me think about it.
00:18:53.654 -->
00:18:57.334And I went home and I thought about it. And he did. I don't know.
00:18:57.434 -->
00:18:58.774What do you say when you remove?
00:18:59.634 -->
00:19:03.234Brachioplasty. Okay, because it was genetic. He said, oh, which grandmother had it?
00:19:04.734 -->
00:19:07.694I said, actually. You see him saying that. I actually said both.
00:19:07.894 -->
00:19:10.154And then he said, oh, my gosh, you're from New York. I could tell.
00:19:10.194 -->
00:19:12.754We grew up a couple of towns away. Yeah, yeah.
00:19:13.014 -->
00:19:16.414And then he said, and then I said, well, I'm going to do my tummy.
00:19:17.014 -->
00:19:21.934I should have done, you know, he was, it was amazing. and he did fantastic work.
00:19:22.054 -->
00:19:24.674So on the way here, I listened to the podcast. Oh, you did?
00:19:24.894 -->
00:19:28.554Yes. Oh, he's great. And I giggled. I said, this is so funny.
00:19:29.634 -->
00:19:32.354Syracuse, Syracuse. I know. I mean, I heard the whole thing. I know.
00:19:33.234 -->
00:19:38.554And I'm embarrassed to say I didn't remember him as a medical student. But he remembered you.
00:19:38.694 -->
00:19:42.214Remember you walked in, he was a little afraid of you? Yeah. I heard that. I know.
00:19:42.454 -->
00:19:45.074And when I first met him years back. It's true.
00:19:45.334 -->
00:19:49.654And he told me that story and I was like, I usually remember the students.
00:19:49.814 -->
00:19:50.954You know, because I love teaching. Right.
00:19:52.194 -->
00:19:55.334But we were talking about that...
00:19:55.891 -->
00:19:59.271It's hard for a physician who's trying to tell a patient no.
00:20:00.171 -->
00:20:04.051In the back of their head, they're saying, I hope they don't go somewhere and seek a yes.
00:20:04.631 -->
00:20:08.391And I hope they don't try to find that patient. And you talked about that on your podcast.
00:20:08.551 -->
00:20:13.571Yeah. Right. I remember you talked about that. Yeah. And Patrick is a little
00:20:13.571 -->
00:20:16.231bit more proactive about it.
00:20:16.331 -->
00:20:17.931And he'll tell them, hey, listen, you're going to go somewhere.
00:20:18.031 -->
00:20:20.831You're going to probably find somebody to say yes. I don't recommend it.
00:20:21.051 -->
00:20:25.111And a lot of times, I feel that that's something I probably should do more of.
00:20:25.111 -->
00:20:29.631And say, listen, you're going to find somebody that's going to say yes,
00:20:29.631 -->
00:20:31.671because there's always surgeons out there that will operate.
00:20:32.211 -->
00:20:34.291Truthfully, I think you should just do exactly what you're doing.
00:20:34.491 -->
00:20:38.871If you don't think it's right, you say it's not right. Yeah. And leave it at that.
00:20:39.311 -->
00:20:44.631You know, talking about you're going to go find a surgeon, just leave it as you're doing fine.
00:20:44.771 -->
00:20:47.551Yeah. People trust you. Well, I just don't like patients to,
00:20:47.811 -->
00:20:51.691unfortunately, and I see less of it now, though, where they go elsewhere,
00:20:52.051 -->
00:20:54.071right? So after years, you gain credibility and whatnot.
00:20:54.231 -->
00:20:58.031Let them go elsewhere. I know. You don't want to do their work if they're not
00:20:58.031 -->
00:21:00.371in. Just let them go. You have enough patience.
00:21:00.611 -->
00:21:03.091Yeah, but I still feel bad for them, you know? You'll get over it.
00:21:04.611 -->
00:21:08.611All right, well. Is that terrible to say? No, no, no, no. It's honest, you know?
00:21:08.711 -->
00:21:12.651And so we are going to, we always close.
00:21:12.991 -->
00:21:15.911You've been amazing, by the way. Oh, with a story? Yes. Yes.
00:21:16.051 -->
00:21:18.271Wait, can I just say one thing about your office staff?
00:21:18.831 -->
00:21:21.371So what's great about this practice, and I'm not,
00:21:22.160 -->
00:21:26.880saying it. I'm not fibbing. It's the warmth. It's if you have surgery,
00:21:26.960 -->
00:21:30.340and I'm going to tell all the watchers out there, when you have surgery,
00:21:30.500 -->
00:21:35.080if you have a problem, you call the office and somebody will get back to you. I have Dr.
00:21:35.440 -->
00:21:37.900Garcia's cell number. Call me. I'll give it to you.
00:21:40.120 -->
00:21:47.440Eight o'clock. After that, I turn into a pumpkin. But on the topic of the warmth, Yes.
00:21:48.100 -->
00:21:52.940My father, as you may not know. Thank you. Thank you.
00:21:53.580 -->
00:21:57.660Was the warmest person, right? He had a huge heart.
00:21:58.400 -->
00:22:02.360And one of the things that I've been doing on these podcasts is talking about,
00:22:02.360 -->
00:22:06.900you know, little lessons that I picked up along the way that I can kind of attribute.
00:22:06.900 -->
00:22:13.540And, you know, I thought that a good lesson to talk about today,
00:22:13.740 -->
00:22:15.940and I just wanted to make sure that I had enough time,
00:22:16.240 -->
00:22:22.880the growth in anything you do is a micro-movement,
00:22:23.300 -->
00:22:24.940right? A meaningful growth.
00:22:25.240 -->
00:22:33.040And a lot of times, patients expect these major cataclysmic things to happen
00:22:33.040 -->
00:22:36.620overnight, and nothing that's meaningful happens overnight.
00:22:37.360 -->
00:22:44.900And I first learned that when I was in pre-med, and I remember my dad telling me, he says.
00:22:45.701 -->
00:22:51.501One class at a time, one lecture at a time, one test at a time, and it's micro.
00:22:51.761 -->
00:22:57.061And just because you don't do well on one test in one class in one semester
00:22:57.061 -->
00:23:00.181does not dictate what the macro will look like.
00:23:00.481 -->
00:23:07.081What will dictate the macro is if you don't learn from the mistake that you
00:23:07.081 -->
00:23:09.181made and you don't correct path,
00:23:09.581 -->
00:23:16.261correct the course, or if you hold yourself down so much that you end up quitting
00:23:16.261 -->
00:23:18.441on yourself before you ever gave yourself a chance.
00:23:18.901 -->
00:23:23.581And so he was always the, I'm just going to, and I think we've talked about
00:23:23.581 -->
00:23:26.721it, the beating of the drum, the constant background sound, right?
00:23:27.201 -->
00:23:32.321And he was always that, hey, just little by little, just make a little crack
00:23:32.321 -->
00:23:34.561at it. A little every day, make a movement.
00:23:34.721 -->
00:23:39.361And you're a lawyer. No. You're not a lawyer. Me is the lawyer.
00:23:39.961 -->
00:23:42.541I'm the business owner. You're the business. All right. Well,
00:23:42.701 -->
00:23:47.241okay. hey, as a business owner, how many times have you failed in the building
00:23:47.241 -->
00:23:49.941of a business or in basic concepts? You learn from everything.
00:23:50.261 -->
00:23:53.841Every time you fail, you learn. Yeah. It's really important. Yeah.
00:23:54.441 -->
00:23:57.201I thought you were a lawyer. No, Nina's the lawyer and she's going to get a
00:23:57.201 -->
00:24:01.241kick out of this when she watches. Oh, because I was going to tell you about a case that I'm in.
00:24:01.261 -->
00:24:04.741I was going to ask you for some legal advice. No, but you can call Nina.
00:24:05.481 -->
00:24:08.701I'm going to call Nina, but Nina doesn't want to work anymore. She's retired.
00:24:09.081 -->
00:24:11.481Right, that's true. But I'm the business owner. If you're on a I'm on the board
00:24:11.481 -->
00:24:14.521of a publicly traded company. I've done a lot. So, yes.
00:24:14.821 -->
00:24:17.921So, I'm good. But I just want to say one thing before we end.
00:24:18.481 -->
00:24:22.401Just because you give a great facelift doesn't mean that people shouldn't take
00:24:22.401 -->
00:24:23.461care of their skin afterwards.
00:24:23.741 -->
00:24:28.221For sure. And I think that's really, really important. And that's what your staff has taught me.
00:24:28.948 -->
00:24:31.988Well, you have great skin. Well, and I- You had great skin in four times.
00:24:31.988 -->
00:24:33.668I did have great skin. That is true.
00:24:33.788 -->
00:24:37.168I start, because I work on it. You cared about it. And I don't really wear much
00:24:37.168 -->
00:24:38.968makeup, blush, mascara, a little lipstick.
00:24:39.408 -->
00:24:43.148Yeah, so- You didn't become one of those transplants from New York that was
00:24:43.148 -->
00:24:46.068with the iodine in the mirrors and all that? Do you know when I was younger?
00:24:46.768 -->
00:24:52.168No kidding. My parents bought a sunlamp. We used to take the tinfoil and go
00:24:52.168 -->
00:24:56.028like this in my bedroom and do so we can get a sunburn.
00:24:56.448 -->
00:25:00.628So I know your Floridians are talking about, oh, we got New Yorkers.
00:25:02.128 -->
00:25:06.908It was horrible. It was like this, and we got beautiful color. We felt great.
00:25:07.328 -->
00:25:11.048And then I have a lot of brown spots, but I'm not doing anything about it.
00:25:11.448 -->
00:25:17.008I wonder if that's what the concept of those tanning beds were because— I never
00:25:17.008 -->
00:25:19.188went in a tanning bed. Yeah. It's too claustrophobic for me.
00:25:19.268 -->
00:25:24.288Yeah, and it's just—it's what—one thing that people don't understand is as you
00:25:24.288 -->
00:25:28.788get older, as your skin thins, You go out in the sun and you get a dark spot like that.
00:25:28.948 -->
00:25:32.248I have them. I have them. I mean, I just use moisturizer and SPF,
00:25:32.368 -->
00:25:35.668but I have them and I'm just going to keep them. Yeah.
00:25:36.368 -->
00:25:41.648Well, each one tells a story. Well, thank you again. It's such an honor to have you.
00:25:41.988 -->
00:25:44.768You know how much I love you and everything you've done. It's my pleasure.
00:25:44.908 -->
00:25:46.408Thank you for having me on. It's a pleasure.
00:25:46.708 -->
00:25:52.308Thanks for everyone listening to me and to Dr. Garcia. We are a sweet team. Thank you.
00:25:52.828 -->
00:25:57.128Well, so thank you, everybody. This concludes episode 10, Alyssa.
00:25:57.808 -->
00:26:02.548Next week, we're going to be talking about some revision surgery and the nuts
00:26:02.548 -->
00:26:06.488and bolts of it and why we do it and what kind of pitfalls we want to avoid.
00:26:06.628 -->
00:26:12.488And I'm going to sign off with our famous line that with good information comes great decisions.
00:26:13.948 -->
00:26:15.608Thanks, everybody. Have a great week.