Nipped & Toxxed
Nipped & Toxxed
Dr. Ashley Robey
Dr. Ashley Robey, quadruple board certified plastic surgeon, discusses topics related to plastic surgery, aesthetics and looking/feeling your best.
The Wild West of Aesthetics & Plastic Surgery
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
Bonding Over Peptides
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
Before Your Consult
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
Surgical Tourism: You May Just Get What You Pay For... And That Could Be a Problem
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
Breast Implant Illness: Sick & Tired of Being Sick & Tired
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
Saving Face Without Losing Your Mind in Plastic Surgery
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
Plastic Surgery for Men: If He Doesn't Look Good, We Don't Look Good
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
To Lift or Not to Lift: That is the Mastopexy Question
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
A Sophisticated Heat Beam We Call a "Laser": Laser Surgery, Light Therapies, etc.
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
Half the (Wo)Man I Used to Be: Bariatric Surgery & Post-Bariatric Contouring
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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