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Big Butts No Lies Plastic Surgery Podcast
Big Butts No Lies is a plastic surgery podcast created to help women feel informed, confident, and prepared when navigating the world of cosmetic surgery.
Hosted by plastic surgery consultant and former patient coordinator Mavi Rodriguez, the show offers a rare behind-the-scenes perspective into how the plastic surgery industry really works. With more than 18 years of experience working inside top plastic surgery practices, Mavi understands how surgeons evaluate patients, how procedures are planned, and what recovery truly looks like after surgery.
Each episode features conversations with board certified plastic surgeons, recovery specialists and industry professionals who share their experiences with procedures such as breast augmentation, liposuction, BBL, tummy tuck and other aesthetic treatments.
Whether you are researching plastic surgery, preparing for a procedure, or want to understand the process better, Big Butts No Lies offers honest conversations, recovery guidance, and expert insight to help women make smarter and safer decisions.
Big Butts No Lies Plastic Surgery Podcast
The Breast Revision Queen Spills The Tea ft. Dr. Wendie Grunberg
Use Left/Right to seek, Home/End to jump to start or end. Hold shift to jump forward or backward.
In this episode, our host & plastic surgery consultant Mavi Rodriguez is joined by the esteemed board-certified plastic surgeon, Dr. Wendie Grunberg, widely known as the "breast revision queen" or "milf maker". Together, they delve deep into the world of breast surgery, and talk about the following topics:
- How does mesh support play a crucial role in breast surgeries, especially for patients with larger breasts or those who have experienced significant weight loss?
- What are the most common complications with breast surgeries?
- What is fat grafting and how do I know if fat grafting is right for me?
- How can Botox injections contribute to scar healing, and what makes scar revision procedures a viable option for many patients post-surgery?
- Plastic surgery horror stories
To get the full scoop on these topics and much more, tune in to our lively discussion where Dr. Wendie Grunberg shares her expert insights, bringing clarity to complex procedures and busting myths about plastic surgery. Don't miss out on this enlightening conversation that just might change your perspective on breast augmentations and reconstructions.
Learn more about Dr. Wendie Grunberg:
Top Plastic Surgery San Antonio, TX | Alluring Aesthetics
📞 Want help planning your surgery?
Book a discovery call with Mavi Rodriguez.
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📺 Watch full episodes on YouTube
Hey, guys. My name is Mavi, and I've spent the last 14 years in the plastic surgery and beauty industry working alongside top board certified plastic surgeons. Now I'm an independent patient coordinator who doesn't work for any surgeon. This means I have unbiased reviews for 100 of doctors, and I can help you achieve the look of your dreams, whether that's a supernatural or a video vixen. I use my professional and personal plastic surgery experience to help you look and feel your best. Join in on the fun as I talk to plastic surgery experts, friends, and real life patients about all things plastic surgery. Should be fun. Hey, guys.
Do I have the show for you today? I am so excited to have the milk maker, the queen herself, doctor Wendy Grundberg on the show today, a fan favorite. Thank you for coming on.
Thank you for having me. I'm super stoked to be here.
You know, you are one of my fan favorites. I always get DMs about, oh my god, I love doctor Wendy Grunberg. I found her on your show, and I follow her on her page, and I'm just so obsessed with her. Thank you for showing her to me.
Thank you. I appreciate that. You know, you never I never know what I look like in other people's eyes. Like, I either I heard, like, you're very you're not like a you're not like a regular doctor, and I'm like, I don't understand what that means. So they're like, she's very eccentric. And I'm like, I get that. Okay. That party understand.
And and I'm like, I I I know that I'm not everybody's, like, surgeon and physician and stuff like that, but it's nice to hear really good feedback.
They love you. The the thing is the ones that love you love you and the ones that you're not their cup of tea they can find somebody who Oh okay. What's that? Yeah. I There's shows for them. So I thought the topic for today would be so good because I know you are the breast revision queen. Love. And I wanna talk all about all things breast revision, breast implants, breast fat grafting. We were talking about this at the DM this week about fat grafting to the breast.
And, really, I have a list of questions here that I get very often, and I wanna go all in. Let's go into it.
Let's go balls deep into this.
The first question is, how long do implants usually last?
So good question. There is something that I say to every single patient who comes in. They're like, it's been out, like, 10 years, and I still have my implants in. And I was like, is there anything wrong with your breast? And they say no. And I said, then keep them until there's something wrong with them. Generally, when people are committing you, let's say, for, like, a removal or a place, there's gonna be and then I think of, like, 5 or 6 things that are happening. 1, eating on a bigger implant. Bigger move, bigger implant.
Let's change that up. 2. Let's say you had implants at a younger age and you your breast ages with you. So, you know, as you go through, like, menopause, perimenopause, the breast gland is actually changing. It goes towards something that's a little bit more dense and femurotic to something that has a lot more fatty infiltrates while the ligaments of the breast called Cooper's ligaments are getting long. What does that mean? You're probably gonna have your breast, There's an implant on the back where they cascading off of your implant, and that's called a waterfall deformity. So you need a change. Your breast changed, so you need something different.
Another thing that people come to me is like, this breast feels like it's a little bit higher, a little bit harder. You've capsular contracture. That's when people come again. Going back to when does it need to be changed, I think there was, like, a company that was like, hey. We're gonna give you warranty for about, like, 10 years or so. That's like the you know, that's good enough. And I think that sort of helped propel a rumor that it there's a steadfast 10 years, 10000 miles when it it's not true. But you have to remember that an implant is an implantable device.
It has wear and tear depending on how much you use it and just what's going on with your body, and that it's a device, so it can fail. So people who are not following, let's say, FDA recommendations, which are inside of yours after you first place your implant, you should get an MRI, and then every 2 to 3 years after that. How many of my patients actually do it?
Not only not that many.
No. Because it's an out of pocket cost too. It's gonna be, like, $25100 for an MRI. You can get breast ultrasounds. Do they know what they're looking for? Maybe, maybe not when it comes to, let's say, an implant rupture. There are plenty of people's implants that I've taken out that have had a hole in them that they didn't know. With I sound like I'm rambling, but I'm just gonna keep going. With cohesive gel now, when you squeeze an implant and you have a hole in it, then gel will herniate out, but then it'll come back and maintain its shape.
So it's so hard to even see that. So an MRI would probably be the best thing. So I guess to recap, if it ain't broke, you all have to fix it.
I love it. So I had a surgeon who would say, they're not tires. They don't need to be changed out every 10,000 miles. And, like, the 10 year came from that warranty that was warrantied for 10 years. So it kind of became this thought of patience. Okay. I have to get them switched out every 10 years. So Yeah.
That is not true. Okay. This is a good one. What if you don't want implants?
And you want
a bigger breast? And you want bigger breasts.
Fat graft all the way. So fat grafting is basically just, like, repurposing your body and, like, upcycle, I guess, is why I tell people. So we are taking sap from one area in the body and basically liposuctioning it out, collecting it into a canister, let it separate out into, like, the superininfernatant so the good good ends up on the top. You take that, and you can either put it into syringes and inject back little worms of sat. And then from there, you have to pray to the gods, both old and new, about how much, like, how much of vascular inroad they're gonna have to each little sat particle. So if you have no let's say you're a heavy duty smoker, and then you're just, like, in the minimal boobs, I don't want implants, and you're swimmer and you're an uncontrolled diabetic. You can imagine because diabetes and smoking affects very teeny tiny vessels, you are not gonna have that much vascular vascular ingrowth to your fat. So you'd better sacrifice a version or something you already take it.
So, generally, what's said is that about 30% of the fat, you can expect 30% of the fat to die, like, straight away. In some patients, it's a lot more, and in some patients, it's a lot less. For the life of me, I still I still don't have, like, such a great grasp except for patients who have a history of long term smoking. You're gonna need 2 to 3 hours. You're gonna need 2 to 3 hours of something. Patients who lose rate after surgery, you're gonna need to feed your fat, sis. You need to eat. You need to feed your boobs.
And then patients who I would say, again, die invectics, poorly controlled because it's a micro vascular disease.
So how much use I know you said 30%. So let's see how we can explain it to our listeners who, like, need a little more visual, understanding, maybe in, like, cup sizes.
A Coke can, is that, like, 200 50 cc's? Yeah. So 50 cc is so just like a couple a couple little sips of it.
Okay. So So even if you
just wanna say like a quarter a quarter of a Coke can.
Okay. Are you seeing a lot of patients come in for multiple rounds of fat grafting to the breast? When they're
like reconstruction a 100%. I tell every breast reconstruct journey. If somebody comes in, they're bored without a breast or some breast asymmetry, Poelen syndrome, what have you, it's gonna take me more than one round to get you to the cup size. And then one thing you always have to remember, fat adds volume, not structure. So if you're wanting that, like, upper pole fullness, you're either gonna have to do 1 or 2 things. 1, get an implant to get that full up the fold three days. 1, get an implant to sort of, like, push to have a vest issue sort of come forward based on the implant. 2, get a really good push up bra.
3, learn how to use breast contour and just sort of highlight your boobs and know how to put some makeup on. Those are your options. So if you're looking for a lot of upper pole fullness, fat grafting will give you some,
but it's not in the replacement of an implant.
Correct. But you're you can do both at the same time. I often do both where you're like, let me just add a little bit of fat here just to make it, like, you know, that that perfection, that even memory solstice, the cleavage looks so good. Or if you have, like, a wide sternum and you just you have a little bit of breast asymmetry, and you don't think that when someone's like, oh, I put in a when I watch other people's stories, I, like, I basically just saved the day. She had a little breast asymmetry. I've put in, like, you know, 450 on this side, and I put in, like, 475 on the other, and she's faced. 25 pumpkin c c's. Like, that's not what is that? It sounds like to a lay person.
Like, before you didn't always actually have me on, like, more dots. How do they know how to do it? Will I ever know how to do it? And now I'm, like, twice less than I can see these spread out across the whole breast. When, you know, when I look at a breast, I'm like, you are miss everybody has these other trees. I'm like, you are missing specifically, let's say, right in a quadrant. Why am I putting a slightly larger implant when the only thing that you're missing is in the right quadrant? Let me just stop graph that area on top of the implant and not be like, just save the day with 2 different size implants. Like, yes. I'm about to go like, woah. I never understood that it made it drives me insane.
Oh my god. I think I've I think I know who I've seen making.
They all do it. And listen. There is a time and a place for different size implants, like, when you're treating something more than, like, half a cup size or something like that. But when you're telling me you're you're finishing shit with 20 cc,
get the fuck out of here. What do you think about when they say that you don't have to do different breast implant sizes? Because with the pressure from the implant, it compresses that fatty tissue anyway and they end up the same. I've heard that.
I've done that. I've done that, but it's for slight slight asymmetries. And let me tell you what happens, like, a couple years later. You're like, I should have added a little bit more fat. And, like, who who is telling you what is the rate of breast compression or how much breast compression is there? How are you how are you measuring that? How are you, like did how are you gonna discern the gravitational hole on the breast, this expression behind it? Like, how is that happening? Am I missing something? Are you, like, measuring? Are you, like, going down? Like, there there is something to that. So let's say the patient was, like, a saline implants. She's no idea what price she's in. She needs she wants to remove her place in Masto.
And I'm like, we have an option. I was like, we can sort of deflate your implants, and in 3 to 4 weeks, you can actually see the breast tissue sort of, like, fluff up maybe just a little bit. And then you can even see the skin not be as much under pressure, and it sort of jumps up a little bit. So you can get, like, really good nipple area of complex placement instead of putting them down and ending them with, like, star views or sunny side up type of thing. But, I mean, if you're putting in, like, 800 either side, no one's gonna notice, like, your 50 cc difference as long as you're gonna get to think of anything. But, like, I no. Do you
see a lot of 800s?
Yeah. I put them in.
How big is the biggest you've gone?
So 800. That's actually the biggest silicone implant that you can place. I don't love saline at all. I don't I don't I rarely use it. I'm gonna say I did maybe in the beginning, but, you know, let's say something happens to the saline implant and it gets a rupture. That is a surgical what feels like an emergency for the patient because you're running around with, like, a flapjack.
Oh, yeah. And in
my head, I'm like, I gotta get you in the OR within, like, 3 weeks, like, as fast as possible. And sometimes, like, there's just, you know, you try to do it as best as a time. So this takes, like, a week to get the implants, but you get a hole in your silicone implant and you have you got plans? Go. Do you explain us? Silicone's not blowing anywhere. Come back when you're ready. You you you gotta have some time.
With the saline, it's like, can we do this tomorrow? Can we fix this tomorrow? I have a wedding.
Yeah. Can you I can imagine. I mean, I I've had a couple of, like, military patients help to me, and my my staff knows if somebody says I have a ruptured implant, especially saline, I'm like, get them in yesterday so we can get them on the schedule because having to go by inserter, I would still, like, off balance, I can. But biggest I've done is 800. A lot of people have them. A lot of until it's some of the Jolt entertainers who have them and plus that harping of popping them, just to get that little,
that,
yeah, all of that.
Okay wait, so now here goes one of my next questions. What happens to the implants when you die? They're gonna stay with you forever. They go with you.
Yeah. No one's taking them out. They'll be in However they'll be in the coffin. If you choose to be caught in.
If you if you be if you choose, or they'll be cremated, I guess, if you choose to be cremated. I
They they will be yeah. Yeah. Yeah. They'll they'll be burned, and it's at a high enough melting point where you're not even gonna notice. There's this thing. So either if I die, I wouldn't be made into one of those, like, tree pods, or I saw something new where I could help a coral reef. They could, like, press you into, like, a like, this thing to help rebuild coral reefs. That's what I want.
Wow. I have I've seen the tree pod, but I have not seen the coral reef. That sounds super cool.
I've always just if I die, I just let it be thrown into the ocean so things can eat me. But now I can help, like, repopulate coral reefs. That's what I want.
I love it. I like the tree pod idea. I like the
idea of, like Very expensive. Is it? Yeah. I don't know why it's it's ridiculous. This is much as I think, like, a proper coffin, but just throw me in the ocean. Let someone eat me. Let me become detritus.
So now we're gonna move into a little bit about the breast implant styles and something that I get asked all the time, which is above the muscle or below the muscle on the implants. And why pick 1 versus the other?
I love this because this is, like, part of my part of my spiel that I go through with all the patients. So there are 3 different planes that you can place an implant. The first one is called subglandular. Subglandular just means I lift up the breast tissue, and I put the implant underneath it. I do not do that. I do not offer that. I do not like that. I do like to fix it because what I find is that the most common complication is going to be capsular contracture.
So when a patient comes to me and they're like, oh my god. I have caps on. I already know 1 of 2 things jumped into my head immediately. 1, this is before I've been seeing them. They probably have some glandular, and they probably have a periareolar incision. We know caps con is due to bacteria. What does your breast do? Your breast's job is to communicate with the outside world. It has ducts and glands leading to a nipple.
There's bacteria in it. It's gonna get on your implant. It doesn't necessarily mean your implant is gonna be grossly defective, but it could have a biofilm. Your body's like, shit, man. There's a biofilm here. There's bacteria. I, as a capsule, I'm gonna protect my body even more and make a very thick capsule and wall it off. And then you're gonna end up with a blue box here and then, like, a dangly little thing down here.
Okay. So I don't offer that. 2nd option is something called subsascial, and that's like I was about to do a really inappropriate thing. Everyone's like, oh, on subsascial, it's so great. Is it great? Yeah. Do I like it? Yeah. Have I been doing it over a year or more? Yes. Have I had any problems with it? No.
But that doesn't mean that problems aren't gonna happen. So studies have shown when you do some sascial, your rate of capsular contracture probably by 10 years is gonna be maybe, like, 25 25 percent of you in the 10 years. So what does that mean? You may have to have surgery. You may have to go on Xyngular. You may have to go on back to sacrificing a virgin, something like that. But there are certain breasts that I love some sascial for. 1, if you if the gods have, like, created a body for you and you have a very wise sternum. So that means that if I'm going to like, if I'm gonna try to put it under the muscle, the limits of my dissection medially, I think it'll help here, are gonna be the sternal attachments of the pectoralis muscle.
So if I'm a wide sternum, I I can only dissect here. Mind the gap, baby. That is a lot. That is a lot of space. And some people don't want fat grafting. Some people don't have an a lot of fat. If you're very bony, a wide sternum, subfascial will probably lead you. And you feel like a little gallus fat.
So that's in there and told Selene that'll help, you know, help the capsule not be as far. The second one, Tuberous Breast. It's good. It's so good there.
Explain what a tuborous breast is.
So the what happens is in the the universe can be cruel. So instead of having a breast that has, like, a nice nipple, a lower pull, and sort of like a teardrop shape, The guys are like,
you're too cool and everything else. We you gotta have something.
Yeah. They're like, so I'm gonna give you a breast, but what's gonna happen is I'm just gonna have the whole thing hurt you out and may give you a huge nipple area of cough life. You're not gonna have an underboob. You're you're gonna be mostly nipple areolar complex, and you're like, well, suck. So I have, like, a couple of them that I when I did them in the beginning in the dual plane. Dual plane position is basically what most people do most of us. That means, like, under the muscles. So we hear a surgeon say I put it under the muscle.
There are a couple options. There's a total subpeck that you can do. I don't do that because I see how they age, and your breast is gonna your breast is going to sort of cascade off, and you're gonna need another surgery. Or we can do something called dual plane. Dual plane means that the implant is mostly behind the pectoralis muscle, but when you release the pectoralis muscle from your ribs immediately to the junction with the sternum, the muscle sort of rides up a little bit. So the implant is mostly behind the pec, but also in the lower pull of the breast. So most of the time for my 2 wrist rest, I was doing dual play and then plus back grafting the lower pole because I'm like, there is not enough tissue, and I can already anticipate having something called a double bubble. Meaning, you have a nipple, which is just a little hoof, and then a little bit of breast tissue.
And then what you'll see is that there's just gonna be implant. And sometimes when you release the muscle and it sometimes the window shade up so high. Like, the first patient I did today, a window like, that thing recoiled, and you couldn't anticipate it. What I was noticing, and this is in my patient population, I would do the 2 wrist rest, put in the patty myself with my other so good. Maybe it's the same thing. Yeah. I'm like, oh my god. So what would happen is the muscle would window shade up a little bit too high, and you would actually end up at the portion where the little bit of that poofy nipple was, and there wasn't enough sat at sea.
So you ended up creating that double bubble, and you end up having to go back to the OR. And then I tried subsashile, and I'm like, Sasha, if anybody ever tooks or something, guy, you feel like chicken. You take that thin film off. It's something that's fascia. So you go in. You take that thin filling off of the pectoralis muscle, and that's where the inflame goes in. It is beautiful. It's hard.
It requires, like, to be delicate. There's a little cursing and a learning curve that happens with it, But substantial pain is beautiful. It also it's great option for somebody who's like, listen. I want boobs. Like, a teacher of, let's say, my parent who's 80 years old, and I have to go home and I have to lift them right away. Or I'm active duty military. I need to be able to get back in. You don't have the muscle there.
You don't have that risk of, like, bleeding that can occur later on with, like, stress of the muscle. So these are really good option. And one thing I didn't say, so the rate of capsular contracture in the dual plane position at 10 years, I think literature close, it's, like, 10 or 11% only. So it's the lowest. So for me, I I kind of now putting it back on the patient. I give them my. I say, you need to go and do your homework. And then they'll be like, well, what do you want? And I'm like, do you do you want the higher risk of capstone for an easier recovery, or do we wanna think the long term? Because I'm here and I'm here to support both of them.
Unless it's that wide sternum, where do you risk this?
I love it. So let's go into what is capsular contracture because whenever we talk about breast revision, I think CAPCOM is one of the number one things women are coming in for. Also, switching pockets from wherever they have it, if they have it subfascial going into dual plane or
So let's talk about the spoiler out. Pockets thing. So it's just slowly twidget pockets just needs, like, a NeoPacket. You can even lift up, like, the a previous capsule, and that's your new pocket. You don't have to like, some sometimes you you can take out a whole the whole hassle depends on what what the issue is. It has certain factors. So inflangos in your body, your body's like, what is this? I've never seen this before, and it doesn't stop. And he's got this nice little protective coating.
And it's that's called a castle. The castle doesn't hurt you. There is nothing wrong with it, help keeping your implant in place. It is let me just spell for you. He also has a job, and his job is to protect the body against a foreign body, essentially, which is the implant. So let's say I'll use COVID for for instance. I had a couple patients around COVID. You know, when they had it, they were like, my boot feels weird.
And all of my patients know as soon as something feels a little bit off, tell me right away so I can help place figure out what's happening, whether what it is just like in rest, just just like being. No. This half sort of contrast of the things you can do that to prevent you from getting back into the operating room. So you get COVID or you're getting them in the nursing home, and you get pneumonia, and it is a bacteria. It can travel to your womb. So now that you have a foreign body, and for some reason, bacteria knows that there's a foreign body there and it's just chilling on the implant. And your your your capsule's like, something ain't right. So what it does, it goes through a nice, like, super thin, almost like see through material or whatever you wanna call it, see through film.
It starts to get thick, and it can get as thick and sort of almost makes like a rind, like a grapefruit rind. It can be thick and hard, and it is painful. So there are different grades of cast on. And the worst one is brave forward, where it's where it's hard like a rock and with a cold breast. Not cute. When it comes to to surgery, we talked about how highest incidence of the capsular contracture is gonna be, subglandular itself, then subsascial, then dual plane. So if I go in and somebody has, like, rock hard capsules, it's coming out. Everything is coming out.
The worst case would be you're in somebody is tasked on, and they're in the dual plane position. Because now not only are you taking the capsule off of muscle, which sometimes could be very bloody, you're also scraping it off the chest wall and rib.
So that's interesting that you talk about that because, how often do you have people come in and they're like, oh, but I only want it removed en bloc.
I've had, so zero cases of breast implant I lost in my practice that I know of. It's not saying that somebody couldn't have gone to another surgeon to be, like, evaluated for it, but I I have zero cases why. I think I educate a lot. 2, I think there has to be some sort of autoimmune component to it. Like Mhmm. What if the patients who have autoimmune diseases, I'm just thinking about this logically. I'm like, I'm no scientist. I am.
So if I put something in your body that's foreign, and your body's already worked up in hyperactive overdraft, what's to say that you're not gonna feel like shit because your body is constantly reacting to something that's inside of you. I haven't had one patient come to me that explains them, like, logically about it, tell me that they want this, like, unblock thing. If a capsule needs to come out, I'm gonna take it out without a problem. If it's easy to come out, but if there are ways that taking a capsule out is gonna harm the patient, you know, for whatever reason, like, what if it's, like, up and wrapped near, like, the the vessels to the pet? I don't think that that's I don't think leaving that little bit of capsule in is a bad thing.
When patients who are in the Facebook groups for BII, or just in those groups, whether Facebook or elsewhere, when they find a surgeon who will remove and says that they remove unblock, that's where they all go. They put them in these groups and that's where they go. So maybe that's what another reason why you don't get a lot of requests for it. But I in one of in the last practice I worked before I left and launched the show somehow we ended up in one of those groups even though we didn't offer that but we ended up listed on one of those groups and we had a very very large population of, BII patients who were coming in requesting they believed that the only way to get rid of the BII was to have the procedure done and blocked.
Yeah. I mean, I I'm taking care of a couple of patients who have had their implants removed by some en bloc things, and I gotta tell you one that sticks out. In say I take me we've done one surgery. I need at least 2 to 3 to 6 everything.
That's why you're the breast revision queen.
Yeah. We're about to be on, like, 2, and I I I still I feel terrible. She has, like, I I don't even understand what happened. It's almost like so they they did this en blocling, but her nipples were are attached to her pepteralis muscle. And he's okay with dentistry. It's still the whole thing is sort of, like, inverted, and you can't even see your nipple. It's hard to clean. Oh.
It doesn't look like a breast. This is somebody that needs multiple rounds of sack grafting. I told her I was saying this is gonna take me 3 rounds. We did one round. What we did looks great. I had to go back here and release some more scar because now there's a space to sort of go in and release instead of cutting, like, pectoralis muscle off of the back of the nipple areal complex. And then the sperm will be, like, sac reacting again. So, like, there'll be, yeah, free rods of stack reacting to get her, hopefully, small c cups, even if she was left with nothing.
It's almost like they took good breast away too. Too much. Too much. Shots.
I hate to hear that.
He had she had super severe symptoms where she felt like she was being she was choking. And then once that silicone was out of her body, she's been a lot better.
I've had multiple surgeons on the show who also say what you're saying that there has to be some sort of autoimmune component to it that Mhmm. Just how patients are allergic to gluten and this and that. Like, they're cast there's logically, it makes sense for patients some patients to just have a reaction to implant. Right. Which is why a lot of women are trying to look for other options instead of getting implants. They're looking for fat grafting.
Sat graft all the way. I always tell my patients, how do I know if you're allergic to still at home? And they look at me, and I was like, we try it. If you don't feel good, then we know that this is probably not a good option. But based on your medical history, I feel confident these are gonna be okay.
Let's move on to my next question. K. Breast reductions with augmentation. To stage or not to stage?
Okay. It riddled me this. You're coming to me for a breast reduction, and you're telling me you want me to add volume. You know, this is what I had. I had one of these. Let me tell you why. So
mine did not look, even though they were big, they did not look like my patients who got 500 cc implants in them, and I wanted them to look like that. So we did a small reduction with lift, and we put in an implant to do to give me the upper pole fullness.
How so how many cc's is a small reaction? How many grams did they remove?
I think she removed maybe, like, 250 around
Yeah. Okay. So it's like a standard, like, wise pattern central, like, aspect and stuff. I I feel like if somebody's coming to me with, like, a g or a k breast, I'm gonna do a reduction. I'll probably place a mesh in so they don't get that pseudotosis from, like, skin stretching. I still don't know. I'm like, so you I still don't understand you wanting me to add volume, and they'll probably commission me at a later at a later time.
You know what? It's a little bit different because mine weren't g's or k's. Right. Those are, like, large breast reductions.
Mine was, like, the d's.
I was, like, double d. I'm still a double d, but now I have the upper pull fullness that I didn't have before, which is what I wanted. So I wanted them
to to be silly is all maso. Yeah.
Same time. To stage or not to stage is the question.
Same time. So I would do it at the same time. Both of them.
Let's go into why some surgeons choose to stage versus doing it at the same time. A breast lift by itself or a breast lift with an implant?
Because it's the number one case where you, based on the literature, we're probably gonna have to, like, fix something a little bit later on because you never know. Number 1, you do a lift. You're again, you're, like, in the oh, you're, like, this is the best lift I've ever done. And then something happens in healing, and you're like, I swear to god I measured these nipples 85 different weights from Sunday, then one of them just looks a couple millimeters off. So one of them just looks weird or, like, damn. How wetty? Like, that just looked weird. So you you add an implant on it. So now you have to guess after you do a lift where the nipples should be, but now you're adding weight.
And you you can anticipate sometimes about how the breast is going to stretch out, how the implants are gonna settle in, what's gonna happen in 6 months? I don't insult anybody for it. I just wanna do it in 1 and then hurry up and wait. I just see how that happens. When you do do
it in 1, do you have special post op requirements for the patients?
Yeah. And don't lift and don't have sex and just follow normal rules for 6 weeks. There's just an irregular sports bra. I don't do anything with the band, because I I imagine that's gonna be it would be uncomfortable for me and make me feel claustrophobic, so don't do that. Write your best, misogynist. Normal shit. Nothing there's nothing fancy. Sarcrine.
And don't let it through a matte. I'm seeing
don't let anybody put their mouth on your nipple areal complex.
Oh my god. Preach. I I've been saying that in so many episodes. Please don't please keep their mouth off.
Where I see no mouth a few months. Will area with nombreas? 3 months. What have you said? And then I also want my patients to be in, like, some sort of supportive bra for 3 months because you're see, how's that folds can move a little bit? You know, depending on the weight of the implant too. So I want everything to sort of settle and seal as best as possible. So we're raw. You're adding weight. Let the let them, like, let them heal where I want them to heal, not that they want.
Exactly. What have you seen with the nipple to mouth? What horror stories can you share with us?
Not not from mine. This is another surgeon story, and I don't know. It's bad. I don't know if it's appropriate to share, but I think they were, I'm just gonna share it anyway. This is like an asshole horror story. So for me, I'm I always tell people, like, mouths are disgusting. Like, they had the worst bacteria, but the surgeon didn't for ulcerative acid. Everything was great, and they they were in, like, the lifestyle parties.
So they decided to go to an event, still lists Jerry's strips on. Oh my god. And then engaged in some adult active consensual adult activities. And then a week or two later, the whole breast is open necrotic and fall
in the water. Oh my god. Yeah.
To yeah. Don't do it. Remember, your wounds are so weak at 2 weeks. That's when your body's, like, eating the the suture. So doing breast play, I guess, we'll call it, is probably a no no. The only thing that should be happening is massaging your breasts in Washington. That's it. Otherwise, leave the girls alone.
Don't don't be putting up anything in that cleavage. Don't.
At least for how long?
6 weeks. Even then, I still wouldn't still wouldn't so it's a lot. So at 8 weeks, your wounds are as strong as they're ever gonna be, which is 80% of the strength, technically, you should be able to, like, swing from chandeliers, like, scarves or model for a year. So I would be mindful of your activities. If it doesn't feel right, don't do it. I say that all the time. If it if it hurts, stop. If it's Yeah.
Pain, stop doing it. I told my patients, like, you know, 6 weeks comes along, like, it seems like forever, but it comes along very fast. And I always tell my patients, I'm like, put a cute bra on for sex, but just leave it on because they're they're spinning their hands and squeezing, and sometimes it's a little bit too much at 6 weeks. So if you leave the bra on, sometimes I can thwart some
a little bit too much play. Sleep with it on, and also, let's go into why, what's happening and why, because I've seen this in some before and after pictures where the scars just look so stretched and I'm like, oh my God, this lady did not wear a bra at all during her recovery.
Scarring is, like, probably some of the most unpredictable genetic moon phase, whatever eclipse phase thing that still baffles me. So, like, I feel like shit. You put you cut me. I know I'm gonna stick all the sutures, and I'm going to my scars are gonna, like, separate. And that's just the way I heal, and there are a lot of people that that heal like that. But you wanna we live on Earth. We had gravity. Let's say if we're in all of mastos, and now let's say 400 cc.
What is that? Almost a pound? You're adding a pound of weight to your breast tissue. It's gonna stretch. Your scars are gonna stretch. And then you're gonna be like, where did this happen? I got botched. You didn't get botched. You you underwent, like, normal wound healing and the conditions of the breast the breast was left in. It was left with a lot of gravity, plus a pound of implant. Shit happens.
Those scars stretch. You know we had Kristen from your office on the show recently and she was telling us Yeah. All about the different treatments that she's been doing for scars, especially like the c o two laser and some other lasers that she was mentioning that she loves. Moxie, pro fractional,
or VIS. All of those things. And then sometimes you just need to I just need to kinda have a self brush. And then at least when I know when I do a SPAR revision in the office, even if it starts to, like, a tummy tuck of the area of, like, most tension, I know it's not healing as under tension. So I know we're starting fresh, and they usually can occur about 9 to 12 months after the original surgery. So you have to hurry up and wait. Because, again, scars remodel up until a year, so you'd be very surprised how much trying to build. And I know the beaches are like, they miss some of those groups in LA.
The dungeon just doesn't look really swollen. I just need to be patient. And I'm like, you do. Because you'll see the scars will remodel, and sometimes, like, that area where it looked paupered or looked weird, you're just like, hurry up and wait just a little bit longer. I steep what you steep. I also hate it, but just let your body do its thing and just be a little bit more patient. And it's at the, you know, the one we chime back in with each other between that 6 to 9 months of this still stupid, I'm gonna fix it. And the re the
scar revisions are usually pretty easy. Right? They're, like, in office, under local.
We're just chatting it up. Yeah. It's it's very straightforward. Does it require anything? It's usually you don't even need pottery half the time because you have epinephrine in the local, so
it doesn't even leak. So scar revision is going back in and removing the old scar, cutting around it and making a new scar. Correct. Just just so our girls can know. If you have a thick scar, a raised scar, maybe a scar that got a wide separated scar. You can go in and cut it out and start fresh, start new. Yeah. Without the tension of
Without the tension. Get the attention. With prayers, and then obviously, it's why I sang it. There's always a question, why didn't he feel like that? And I I go through all of those things. Like, wasn't me? No. Because I know how to handle, like, tissue texture. Did I miss something maybe in there? Like, I have a lot of Vietnamese patients, and they all says size. And I'm looking all over their body.
They have a tendency to keloid, and the keloid doesn't come till 6 months after. Interesting. It's a very, it's a very long time. But once that keloid comes, that's it. There's nothing. I mean, I've injected steroids. I'll do, like, Botox. The only thing I found that works is a little bit of at the time of closure, and that will help.
And then just being very on top of things with, like, scar piece, pressure, tapes, prayers, everything. Sacrifice aversion. I I wanted to say it, but I've already said it 2 times. So
It it might work, though. It might work. Mhmm. When? So, Botox to the scar, I haven't heard
of that. There was this guy, Tom Van Eijk. He does teaches people how to do, like, furname, a way to do filler instead of just, like, going straight and, let's say, sealing here. He's like, well, let's do something called a ferning technique where you circle around the wrinkle, and he was able to show us studies how it actually helps strengthen the collagen because you're making sort of like a grid that's wanna support that rainbow type thing. Oh. So I'm all over his page. I took his course. It's great.
Has it changed the way I inject filler? Yeah. If I inject it, yes. But I saw him injecting Botox to somebody's thyroid scar. And he showed the before and after, and I was like, this is something so easy to do. You don't have, you know if you inject steroids, what can happen? The the wound can open. The the incision, it can thin. And especially in, like, African American, Vietnamese, you may get some changes in color of the skin that are not gonna come back. And and dense.
Indense. Like Oh, yeah. And Oh, it looks it looks like it looks like scooped out. It's usually from catalog 40, not diluted injected, germline to skin. Don't ask me how I know. But I was like, fuck it. I have a shit ton of Botox. Let me try it.
It works very well, very, very well, but you have to be on top of the scar. Have my I I do it all the time. It comes in like if somebody comes to me, one of my patients for pull stuff up and they need scar stuff, I'm injecting Botox, no charge, but just to help because I am so mindful. Because, again, I start like shit, and I don't want that to happen to other people. And it's like, you go through all the stuff, and then you have, like, a an ugly scar. I hate it. So I'm gonna I started injecting Botox into the patients that I know have a history of, like, hypertrophic or remitting healing, and it works. Oh, I love that.
Yeah.
I love that. You guys, I know this is why y'all love listening to this show because you get to hear all of the stuff that doctor Grundberg is doing in her office that's kind of new and interesting and maybe you need to go see her for scar, your scar. If you have a thick or a scar that needs to be revised, you know where to go.
Mhmm. And totally like cutting a mouth. They look like worms. And then my favorite is I make the patients touch their scars, and you give them gloves. I'm like, touch it. Like, pull it, hug it so you can see how it feels.
Oh my god. I wanna do that. I wanna do that.
How do you think Ruby like that?
1, I love gummy worms. Gummy worms are my favorite candy. If y'all ever wanna give me anything, I love gummy candies. Gummy worms, gummy bears. I can imagine that it might feel like like a gummy worm. Yeah. Like, texture. Mhmm.
Because you'll you'll go and cut out a scar like this, and they'll shrink out to something like this. And I always tell them, like, try to pull, and it's like you never realize, like, how tough your skin is until you actually have it in your hand. And I'm like, try to rip it apart. I'm like, come on, and you can.
That's so interesting.
I would love it.
I wanna I wanna do that now.
I'm like, I'll send you one in the mail. I'm just kidding. I
have a little part of my, abdominal plastic scar that I hate, but it's very small. It's a very small part, but Just let me stop this. Yeah. I might come see you
for it. Yeah. Let me stop that.
Okay. Before I let you go, I wanna talk about mesh and Love. The kind of when to use it, how you've been using it in your practice, and how you've been using it for breast lifts, breast implants?
1. Let's start with implants. If you're using a huge implant I have, like, a number in my head. How did I come up with that number? I gotta say if you're over, like, 400 cc's, like, anywhere from 4 50 and out, that's a pound. If you have shit skin and I'm adding a pound of weight to your breast, you need some support. That's it. You need some help because that pound, especially if you do something like in a dual plane, remember that bottom half of the breast does not have any it your the bottom half where the implant is touching is just like breast tissue. It's going to stretch out.
You need help. You're getting a mesh. If you're putting it, like, 2 fifties, no. You don't need it. I think, like, I've done plenty of patients that have, like, smaller breast implants. I call them, like, Pilates boobs. They're perfectly fine years years later. So I think about the weight and the gravitational pull and the mass of the breast for an incline.
2, if you're coming to me for a remover and a place, you're getting a mesh. That's it. We have to strengthen up the I need this I need, like, your removal on place to last you as long as it can. By the time you're getting a remover and you're replaced, what do you like, maybe you got in place when you're 18, but whatever. My patients are gonna be, like, thirties, forties. You're gonna go through menopause. Your breast is going to change. You need self support.
And mastopax disease. Thin skin, a 100%. Why? Or, like, a larger breast mastopexes or the breast reduction I did today, I'd put in mesh. Why? Because she still wanted to be like a d double d. That is a lot of breast. And, again, you're gonna go through changes. We still live on Earth. There's still gravity.
So there was one patient that I did, and she taught me she taught me, like, so much. She's a massive weight loss patient, and I did I did a she's needing a massive vaccine. So she still had, like, a d, double d, breast and a massive vaccine. I'm like, it's so good. What happened? She came in, like, 6 months, and I was like, this was like shit. And what happened is just she got something called, like, Studeburgosis. So nipple areolar complex isn't, like, fur is perfect. So the nipples are the perfect height, but there was elongation from the nipple area of a complex itself to what's called, like, the IMF.
So the breast bottomed out. Mhmm. So then I'm like, oh, when I'm going in for, like, next surgery, I'm just gonna, like, wedge down a little wedge out a piece. So it wedged out, like, some skin and retucked it, and what happens in another couple months? Same shit. So the breasts, instead of looking like a nice projected teardrop, look like a flattened burger, and that's not nobody wants that. So she was, like, the case that taught me I need to be placing mesh into larger chested women who have or anybody with a thinnest skin, severe amount of stretch marks. Mesh, 100%. I use Dallas Labs.
Love it. Have not had a problem with it.
I love to hear that. So Yeah. Especially for our massive weight loss patients. I know a lot of my listeners who have lost a lot of weight, their skin already is kind of they've already lost a lot of that elasticity in their skin.
Yeah. Same thing. So what's gonna happen is the same thing that happened to the patient that I did before, any massive weight loss patient. Unless it's like a small breast, and there there's some of that small breasts that's I wanted to look good for a long time, not a couple months, and then you're hearing back to me, like, what is going on here? And I'm like, dude, I don't I don't know either. But if I put a mesh in, incorporate the mesh juice, suspend the the pedicle or the blood supply to the nipple areola complex or whatever sort of pedicle that you're using. Plus, I incorporated into the closure itself. So you've got, like, a nice little little hammock, killing hammock. A little hammock.
I I love that
that analogy. It's like a little hammock for your breast.
And your boobs, like,
I love it here.
Yeah. Mhmm.
I love it. Do you do auto aug? I've had, like, 5 or 6 people just in
the last couple of weeks ask me about auto augmentations. Dude, all that is is basically any standard MastiffX that I do. None of the tissue is getting drawn away, and you're just stopping the breast. It's basically when Mass affects you. It's kinda like when people are like, if you do a breast reduction, are you gonna be doing a lift at the same time? I'm like, they're the same it's the same pattern. Like, no. I was just gonna leave, like, your nipple down, like, really low and just leave it like
down by your belly button.
Yeah. I'm just gonna take Russ to issue off, but, like, leave it down. So I think it's kinda just, like, you know, like, like, auto augmenting. It sounds really
KFC. It's a blast such. Isn't there so many different terms and words and kind of marketing things that are I see it all the time. I'm I why are y'all asking me? It's because somebody out there is talking about how they do auto augmentations.
Yeah. I'm like, what is that? And I'm like and then I'm like, they're doing what I've been doing forever. I mean, not forever. They're they've been doing what I'm doing. I'm like, I don't understand. So now I have to be like, I certainly do, auto loan, don't I?
You have you have to put it all out there because even though you're doing it, like, for example, I know there's, a lot of surgeons who when they do their abdominoplasty, they automatically do flank lipo. Yeah. To but there's other people who are, like, marketing it as as body contouring different this special type of tummy tuck that leaves you with the curvy waist and lee doesn't look like you boxy.
You're like, yo, it's the same shit we all do.
Surprise. I thought that you know what? I don't think I asked you on the last episode. Are you team drains? Are you team no drain?
Drains. So I used to put a lot more progressive tension sutures in until I had a patient cough or, like, rip some out, and she had, like, a huge rectus like a like a rectus hematoma. And because I was trying to work my way to to get rid of the drain. And then I'm like, with the amount of, like, tumescent that I have because most of my patients are getting, like, back lipogegios, flip them over, thoracic lipo. So there's a lot of. Where is all that going? Mhmm. So for me, it's going in my drain, and that's like a nice little window for me to be, like to sort of have everything, like, come out. There's, like, some catharsis with it because you needed to see the color change change from, like, you know, blended punch to, like, a nice, like, Sears or, like, beer light beer color, and then, you know, it can come out.
But, like, some patients put out a lot of fluid. Massive weight loss patients put out a lot of fluid. Where is that going if you don't have a dream?
Where is it going? It's collecting and and under And I can't, like, do
you wanna come in and have me drain? No. No. Just deal with the drain for, like, a week and a half to 2 weeks, and and that's it, and it'll be done. And you can drain all the way.
I love it. I'm team drain. Sits. I've had some surgeons on the show who are, like, team no drains, and I'm, like, see if you can convince me, and I'm still not convinced. Yeah. Just because y'all don't do the drain doesn't mean you're not having seromas coming
in. You're hot you there has to be seroma. You're also gonna be, like, walking around with, like, a loose knuckle, because all the drainage is going into your vag. That is not cute.
They I wanna point out. So if you're a massive weight loss patient, there's nothing wrong with you if your drain is staying in longer than what 3 weeks.
Anticipated. 3 to 4 weeks. There's a lot more fluid, and I think there's a lot more, like, lymphatic fluid coming out, not necessarily in bad pain. Massively, at all stations, they tell them 2 and a half feet minimum for a journey for whatever reason, and swelling spare tires swelling for a tummy tuck, 3 to 6 months straight, and it'll go it'll eventually go away. It'll lay with. Moose knuckle, 3 months plus. They have a whole like, child don't you're gonna have a whole hoo down there. Just be a booker for it.
I see it in the Facebook groups. They're not ready. They're not prepared for it.
I tried to be like, I yeah. I try to sell people. They'll be I give them, like, a super cat now or, like, how then, like, put something in there to present, but it it's gonna happen.
It's gonna happen. The gravity is gonna pull. The fluid's gonna go somewhere, and it's gonna go Turn in your back down. It's gonna travel down. Yeah. Okay, Doctor. Grubberg. I'm so happy I had you on the show today.
There is one question I didn't go over. There's one thing I didn't go over, but I think it might need, like, its own episode. It's about different breast procedure incisions, like Anchor scar.
Yeah. That's all.
The the just around the areola and then down or just around just around the areola and then only in the fold. I've seen the craziest things. I I saw one the other day. Somebody was marketing a scarless breast lift. I'm like, how? Oh, it was the around the areolar lobe like the periareolar? Yeah. This topic I think needs its own
episode. All of those, and then there's something like stent fast and true with, like, an anger. Yeah. I've tried so many, and then at the end of the day, you go back to there's a reason why the wise pattern, like, works so well. There's also scarless breast lifts where people are just jade plasma in your booth. Have you tried it? No. Morpheus, yes. Jade plasma.
Then I'm gonna chew mask your breast, then I'm gonna, like, vaser it. On a young woman, I probably I'm not there yet. Maybe on somebody who's, like, past menopause, but, like, to I'm gonna 2 mess your breast, and then I'm gonna Vaser, and then I'm gonna J Plasma for a centimeter, a centimeter and a half of lift. For how long? You're just gonna continue aging.
My question is about the scar tissue. How will the scar tissue show up?
So scarred. Oh, and but you'll be in the subcu thing. So for a mammogram, they'll be able to discern
Okay.
You know? Well, hopefully, you'll be in the subcu, but they'll be able to discern if there's any is there any, like, calcifications or something that looks a little bit weird or a little bit off.
We'd opt and we'd also touched on this a little bit in the earlier when we were talking about the different, planes for implants, but Yeah. The different incisions for augmentations. And, you know, they have
Transacts, Peri Areolar, IMS, belly button, first name. Yeah. You're
No. I will I swear to god. I swear to god.
I know one of my first assist got her is under belly button, not done by me. I I so what I do, the one that's gonna give you the least overall risk of capsular contracture and the one that's easiest access point to go in and out of, then this may just be in my hands is IMF.
Isn't it also the cleanest?
For sure. If you're cutting through, let's say, like, periareolar and, like, installed, there's gonna be some BioBird in there. The most common complication for a transaxillary is gonna be lateral call them gutter balls when they're in the when they're, like when you lay down the under a I call them gutter balls when they're in the when they're, like when you lay
down the
breast goes to the side. And then the one from the belly button, dude, if you wanna go through that much trouble so people don't know you have implants, do your thing. Go for it. I don't I don't do that. I've seen, probably, like, 10
years ago I saw from a trans from an axillary incision where one implant was over the muscle and the other implant was underneath the muscle.
I know. Yeah. I mean, I I've seen that with from IMS through IMS incision, so that does not surprise me.
Maybe it was 2 surgeons working on the thing. Are are you sure you're doing what I'm doing? You would
be like, GC muscle, a above or below, or it's like a surgeon in a first assist or somebody who literally is just incompetent. Yeah.
Yeah. We we've seen some things. I'm sure you've seen some things.
It's there's a lot of, like, what the supplements. Especially with breast revisions. There I just did a really hard one, and I was so excited for her. I don't even know. I did post the pictures, and god bless her for letting me do it. Like, I don't even I don't even know I don't even know what happened, like, for the first couple surgeries. I I I I don't even understand, like, what was going on, but she has 2 really good breasts, and the nipples are alive. So that's a Yeah.
And He's saying that That's an absolute win.
Yeah. You deserve a a story after that. You know? Yeah. Having your That's a half
the bat moment type thing. We'll see how she kills, so I meant to take that back. But, you know?
Well, you did your part.
Yes.
Okay. So the other thing, you guys are not gonna believe this, but doctor Grunberg is gonna be launching her own podcast.
I can't believe you just put that out there.
It's in the works. It's in the works, and you guys are going to love it.
I get such stage fright, but if
It's gonna be so good. If you guys want, specific topics for her to talk about, if you have questions, if you have things that you wanna hear, send me a DM, and I will make sure to make a list for her so she knows what to talk about in her 1st year.
It's exciting, and I appreciate you for helping.
You're gonna do so good. Yeah. I I already know you're gonna do so good you're gonna have I get so nervous being able to show your quirky personality
I think so too absolutely
And also talking about all of this things that you do in your, in your practice that patients are looking for. Like patients are looking for these types of procedures and different types of surgeries that they just need to find the right person to do it for them.
Take care of you. I think you're right. We have a we have a lot to offer and is I'm kind of, like, in the weeds where I don't sort of, like, see everything, and I don't know what people don't know. Because in my head, I'm like, well, I talked about that, so the this makes sense. So I think it'll be it'll be very helpful. I do miss a lot of the the educating moments. I feel like I used to do that a lot more on Instagram, but we're now getting punished for everything. I'm in chronic shadow band, so I I can't even educate in the operating room anymore because I get told this graphic violence and unity and stuff.
So I think this will be a nice moment where we'll all have our clothes on, I think. Haven't gotten that far yet. I know we'll be able to test the surgery or, like, what happens behind the scenes, things like that.
Yeah. I think it's gonna be awesome. I know my girls are gonna be very excited to listen to it. And you're gonna do so amazing. Before you know it Thank you. You're gonna be having me on your show.
Oh, hell yeah. I have a lot of questions for you. You answer? Okay.
I can't wait. I got a lot of answers.
Good. Been good.
Well, thank you so much for being on the show, doctor Grundberg. Thank you for having me. If my girls wanna come see you, where can they come see you?
I am in San Antonio. Office number is 210-714-5390. Instagram is doctor Gruenberg. You can always DM me. It is me answering all the messages. I don't have anybody else on there. My office is in Chabineau in
San Antonio, 16530 Hubiner Road, Building 2. Beautiful. And she has a beautiful surgery center, you guys. It's amazing. So when you go see her, you can stop by her office and look at her office and the surgery center is right there. Right next to me. Mhmm. One stop shop.
Thank you for being on the show. I'll see you guys next week. Bye. So if you're listening to this episode and you're listening to the Big Butts No Lies podcast, you might be on your surgery journey. And if you are and you don't know what to do, you don't know where to start, you've come to the right place. I am so excited to do 1 on ones with you guys. I've realized as I do them more and more just how valuable they are to you. Not only because you get my expert opinion, I get to guide you towards plastic surgeons that we know are going to do a good job and keep you safe.
Besides all that, I get to talk to you about things that might not even be on your radar. Things that you don't even know are possible. But since we get so in-depth with our conversations, then and I really get to know what your dreams are and what you're really looking for with your body, I can tailor my recommendations to the surgeons that I know can help you achieve that. And taking the guesswork out of who to go to is invaluable. So schedule your 1 on 1 phone call with me. You can go to my website, go to the quick links, submit your information, let me get to know you, let me see how can we help you. You can get your own team. You guys, I have been working so hard behind the scenes to come up with a perfect way for you to have your plastic surgery and not only come out with beautiful incisions, but also feeling beautiful on the inside.
So book your call with me and take the guesswork out of your plastic surgery journey. And don't forget new episodes every Monday. I'll see you then.
