
Dr. Ashley Robey and Dr. Kelly Killeen tackle the challenges associated with the lack of regulations in the aesthetic and plastic surgery industry.
00:17 More demand for procedures leads to more supply of people performing them
01:50 Medical supervisor at most spas is usually not an expert nor is he/she on site
02:30 Inexperienced providers and bad outcomes: HIV transmission in Albuquerque medspa
7:00 Mixed experience levels of injectors
8:46 Unqualified medical providers doing medical procedures: 2 NPs in Indiana performing liposuction
9:47 PA in Vegas liposuctions independently
12:35 Bad Surgery Plan: 1)phone call with sales person 2) book surgery 3) make travel reservations
13:30 Lipo Chop Shops
19:37 Non plastic surgeons performing plastic surgery
24:17 Board Certified "Cosmetic" Surgeons do not have the same level of training of actual board certified Plastic Surgeons
32:22 Check certificationmatters.org
33:39 Med spa providers resorting to FB to help with medical disasters
35:14 Unregulated products: fillers, botulinum toxins, medications
40:56 Seeking providers that will treat patient as a whole and have the ability to say no
42:35 Some plastic surgeons bend the rules for celebrities and attention
47:22 A physician led team is important for patient safety & plastic surgeons are the expert physicians in the realm of aesthetics
Nov 19, 2023
48 min

Dr. Ashley Robey and Gavy Uppal, NP cover the latest and most popular peptide therapies that are utilized in anti-aging medicine.
1:04 What are peptides?!?!
4:22 Semaglutide - the uber-popular weight loss peptide
12:46 Mounjaro - newest weight loss peptide
14:57 How we determine what kind of body weight your losing
17:09 You are what you eat, so don't eat garbage
19:21 BPC-157
25:47 Growth hormone
27:36 CJC-1295 and Ipamorelin
29:04 Ghrelin and gremlins?
32:24 NAD+
33:42 What Dr. Kelley said
36:03 Epitalin "fountain of youth"
39:21 Not a peptide, but we still love Morpheus
39:56 Melanotan II, the Barbie peptide
46:22 Skin care peptides
48:12 PTD-DBM - the hair peptide
Aug 8, 2023
52 min

Dr. Ashley Robey and Alisha Story, Aesthetician, review things that every prospective patient should consider before having a plastic surgery consultation.
01:30 Standard questions you should always ask/know about your surgeon
04:11 Who should come to the consult with you?
05:25 Can I show my surgeon some photos?
07:16 Social medial trends and plastic surgery
08:53 Lies of omission
10:09 Plastic surgery is not a weight loss procedure
11:02 Despite what the AMA says, BMI is a useful tool (it's not racist)
13:07 Smoking and diet
15:40 I'm okay if you meet with another plastic surgeon
20:22 Complete your online paperwork before your scheduled appointment time
22:30 Focus on your top few priorities
25:33 Bring a list of questions you have
28:00 Don't lie to your surgeon
29:42 Optimize health before surgery (e.g. Live Better MD)
31:29 Leave with a plan but also enjoy your time
34:16 Deal breakers in finding the right surgeon
38:01 Get recommendations from surgeon who can offer a full spectrum of services
39:30 Plan ahead & schedule accordingly
41:44 Summary of consult considerations
Jun 21, 2023
43 min

Dr. Ashley Robey & Dr. Kelly Killeen discuss the world of surgical tourism.
00:21 What is Surgical Tourism
01:48 Why people travel for surgery
02:38 It's always cost
04:08 Who will take care of your complications?
05:27 Life threatening complications
08:28 Shady medical tourism companies
10:01 Faux surgeries
11:07 Non-plastic surgeons doing plastic surgery
20:29 You get what you pay for
22:27 Surgical tourism within the United States
23:16 Safety concerns in surgical tourism
23:52 Anesthesia and in-office surgeries
26:18 Most horrific stories of surgical tourism
28:57 Consider surgeries at teaching hospitals in the US to save $
33:04 Final words: buyer beware
Apr 30, 2023
34 min

Dr. Ashley Robey, quadruple board certified plastic surgeon, tackles the subject of breast implant illness with Dr. 90210's Dr. Kelly Killeen.
01:14 What is breast implant related illness?
05:38 Criteria and timing of BII
06:51 17-84% of BII patients improve with explantation
09:55 Chronic inflammation is an energy sink
11:05 Social media and BII
11:49 En bloc capsulectomy not a necessity in BII
14:19 Treatment should do more good than harm
16:07 En bloc capsulectomy vs. total intact capsulectomy vs. partial capsulectomy vs. capsulotomy vs. capsulorrhaphy
19:50 Patient demands for specific surgical treatment
24:04 Sending tissue off to certain labs?
26:30 Finding the right surgeon for your treatment
28:42 Better information, better decisions
29:21 Surgeons going rogue?
32:49 BII community "approved" surgeon lists - not on them.
36:38 Media coverage of BII
38:30 Silicone in lymph nodes
40:57 Who will get better with an explantation?
42:05 When to run for the hills
Mar 25, 2023
42 min

Quadruple board certified plastic surgeon, Dr. Ashley Robey, discusses the psychology of plastic surgery and the practice of mindfulness with author and psychologist, Dr. Alan Goodwin, PhD.
00:00 Dr. Goodwin's book, Saving Face Without Losing Your Mind
06:11 How do you employ mindfulness and meditation techniques?
11:00 Are patients receptive to a referral to a psychologist?
15:53 Meditation is not stopping; it is fully immersing yourself in your thoughts
21:40 Role of a therapist
23:42 People with depressive tendencies tend to devalue something once it is attached to themself
25:17 Body Dysmorphic Disorder exists but is rare
25:51 Cosmetic surgery to reach preference goals is common
28:18 Desperation for surgery is a red flag
31:16 Online support groups can be helpful
33:19 Who should seek therapy prior to plastic surgery?
37:48 Importance of communication in postoperative period
38:47 Don't personalize the struggles of others
42:53 Compassion is a tool associated with mindfulness
44:11 Cognitive Behavioral Therapy
Feb 16, 2023
46 min

Dr. Ashley Robey, quadruple board certified plastic surgeon, and 90210's plastic surgeon, Dr. Kelly Killeen, discuss plastic surgery for men.
00:59 Men as a % of Plastic Surgery Patients
02:24 Upper Blepharoplasties
03:20 Lower Blepharoplasties
05:18 Liposuction
07:27 High-Definition Abdominal "Muscle" Sculpting
11:23 Chin Augmentation: Filler, Fat, Implants
12:57 Submental contouring
13:46 Rhinoplasty
14:30 Avoiding murderous patients
16:47 Neck Rejuvenation
17:22 Skin care for men
18:36 FaceTite
19:49 Facelifts
20:34 Anterior neck lifts
22:06 Gynecomastia - feminine male breasts
25:55 Hair Rejuvenation
26:45 Abdominoplasties
27:37 Abdominoplasty Scar Length
28:15 Mons Ptosis & Hidden Penis Phenomenon
28:49 Genital Fat Transfer
30:34 Post-bariatric Contouring
Jan 18, 2023
32 min

Dr. Ashley Robey, quadruple board certified plastic surgeon, reviews breast lifts:
00:13 What is a mastopexy?
01:57 How much ptosis is ideal?
04:34 Categories of breast droop
05:15 Pseudoptosis
06:51 Minimally invasive breast lift using BodyTite
07:21 Crescentic lift
07:47 Circumareolar/ Periareolar Lift
11:33 Lollipop vs. Anchor Pattern Lift
12:56 Breast pedicle??
15:08 Secondary pedicle or auto-augmentation
16:25 Spiral flap
16:41 Mastopexy vs. Reduction
17:55 Will scars go away?
21:19 Mastopexy risks
24:44 Tool for improving symmetry
27:20 GalaFLEX mesh in lifts
30:32 Avoid Snoopy deformity
31:37 Breast Lifts can be Aesthetically Helpful
Oct 26, 2022
32 min

Dr. Ashley Robey & Dr. Kelly Killeen discuss lasers in plastic surgery - what's new, what they like, what they have, and what they use.
0:40 What is a LASER?
00:51 LASER vs. LOSER
2:06 Ablative vs. Non-ablative Lasers
3:10 Fractionated vs. Non-fractionated Lasers
4:05 Intense Pulsed Light/ IPL
4:55 Pulse Dye Laser
5:30 Diode Hair Removal
7:44 Complications of Laser Treatments
10:02 Post-laser peel recommendations
12:30 Luxurious Mouse Hair & Red Light Therapy
16:04 Marky Mark Has All the Cool Stuff
16:20 Tattoo Removal
18:08 Fraxel & ResurFX
20:55 A Bit About Noninvasive Body Contouring: Evolve, Cool Sculpting & EmSculpt
24:40 InMode's Morpheus
28:59 Maintenance of Beauty
29:50 Candidates for Laser Resurfacing?
36:38 Watch out Botox - Daxxify is new Botulinum Toxin Coming Out
37:53 Alma Hybrid is new go-to for facial resurfacing
Oct 12, 2022
38 min

Dr. Ashley Robey, Katie Reichart & Dr. Chris Crawford discuss bariatric surgery & post-bariatric contouring.
Check out the summary of episode content below:
1: 16 What BMI Should You Be for Bariatric Surgery?
3:11 Wiring the Mouth Shut
4:43 Orbera Intragastric Balloon
6:06 Weight Loss Medications
7:27 Weight's Set Point Theory
10:37 LiveBetter MD Anti-aging Medicine
12:38: Vertical Band Gastroplasty & Gastric Band
16:07 Sleeve Gastrectomy
17:27 Roux-en-Y and Duodenal Switch
18:36 Surgical Tourism in Bariatric Surgery
22:32 Panniculectomy
25:19 Predicting Excess Skin after Surgery
32:14 When to Do Post-Bariatric Contouring
37:32 Poor Scar Placement
39:04 Just Like a Video Game
40:44 Long Term Side Effects/ Complications
43:27 NO SMOKING
44:48 Weed, Alcohol, etc
47:16 Post-bariatric Transfer Addictions
49:03 Celebrity Bariatric Surgeries
Sep 28, 2022
57 min
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