Hand Rejuvenation

Episode Transcript

Speaker 1 (00:00):
The following is a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed.

Speaker 2 (00:09):
Well Doctor Arthur Perry, he's one of the top plastic surgeons.
He's got offices in Manhattan, New Jersey. You know what,
He's been doing the show here on w R for
years and years and years. Very popular show and a
great plastic surgeon. Everybody has questions on this subject, so
he's the guy to ask.

Speaker 3 (00:26):
Doctor Arthur Perry, and the public wants to know that
public doesn't get a damn.

Speaker 4 (00:30):
And I went to his office and I said, I said,
look at my face. And he goes, yeah, look at
your face. We're going to do with your fan What
can you do with his face? I go like that,
I s what I got. I go look at this,
I'm getting old. I said, I want to maybe he
can fix it up a little bit.

Speaker 5 (00:40):
Doctor Oz, are you there, I'm here, Ark, and I
want to get to plugged you. Having worked with you
and a book and numerous other activity, you want to
talk to Arthur.

Speaker 6 (00:47):
Perry, the best in plastic.

Speaker 5 (00:49):
Surgery and workable knowledge, but also your grace at delivering content,
which is why it's been a blessing to have you
on my show so many times.

Speaker 3 (00:54):
When I was a resident at the University of Chicago,
we had a.

Speaker 5 (00:57):
Mean you're smart, as I really really gifted position. I
want to pay you the highest truit I can give
to a surgeon, which is when people come to you,
they don't come for an operation, they come for an opinion.
And that's why I trust you with my friends and relatives.
I didn't realize we were going to get the Michael
Jordan of Plastic Surgeons nine two and zero bows to.

Speaker 6 (01:14):
This guide and welcome.

Speaker 3 (01:16):
This is BORD certified plastic surgeon, doctor Arthur Perry, and
this is what's your Wrinkle right here on WOR and
also straight talk about cosmetic surgery all streaming across the
world and podcasted everywhere. And I hope you're subscribing to
the podcast. Well, you have found the right place. This
is the place for information about cosmetic surgery, about skincare,

(01:38):
about looking better. I'm a Board certified plastic surgeon. I
trained at Harvard, Cornell and the University of Chicago, and
I'm here to answer your questions about noses and about jowls,
and about turkey gobblers, and about small breasts and droopy
breasts and fat deposits on your thighs. That's what I
do all day long. And of course botox and things

(02:01):
like that. That's what I'm here for, and me here
to answer your questions. Eight hundred three to two one
zero seven ten is the phone number here at WOOR
eight hundred three to one zero seven ten. This is
a half hour show, so if you do want to
talk to me, you have to call early. I've got
a very very tight show tonight. I've got doctor Caroline
Messer who's coming on the show. She is the leader

(02:25):
of well by Mester. I'm going to talk to you
all about a new thing with her and me. We're
going to talk about that. In just a few minutes.
We're going to talk about hand cosmetic surgery. Look at
your hands. Look at your hands. We talk about your
face all the time, right, but your hands age also,
so let's get into that. Let's talk about hands. So

(02:48):
what happens as we get older are skin thins?

Speaker 6 (02:51):
Right?

Speaker 3 (02:51):
You know that you look at your face, you look
in the mirror, you know that your skin is thinning
one percent each year. After age thirty, and you look
in the mirror and you see jowls, and you see wrinkles,
and you see splotchy pigmentation, rough skin and capillaries, and
you come to me as a plastic surgeon, and I
have so many procedures for you. We have non invasive procedures.

(03:15):
We've got surgery. There's lasers, there's botox, there's filler, there's
faceless eyelid lifts. There's a myriad of procedures and things
that I have for you to help you look younger
and better. But so many of you forget about your hands.
Look at your hands, Just look at them. You know
you can't hide your hands. You can hide your chest.
If your breastsag, well, you can hide that. If your

(03:37):
belly protrudes, you can hide that. If you have stretch
marks on your belly and your thighs and your buttocks
and cellulite in all those things, well you can just
wear clothing or less revealing bathing suits, right, But you
cannot hide your hands. And yet they're neglected in cosmetic surgery,
they're neglected in rejuvenation. But no longer because I have

(04:02):
so many different things that we can now offer to
help your hands look as good as your face when
we do those procedures on your face. So let's talk
about this. What happens. You're the skin of your hands
thins at the same rate as your face, that one
percent per year after age thirty. So if you're sixty

(04:23):
years old, you've lost about a third of the thickness
of your skin. You've lost about a third of the
collagen that's the structural ayer of your skin. Collagen is
our leather. So if you look at a leather jacket
or leather shoes, that is one hundred percent collagen, and
it thins as we get older. The elastin fibers, they're
the stretchy fibers in the skin. They also lose about

(04:46):
one percent of their thickness, of their integrity as you
get older each year. So again, a third of the
elastin fibers are gone by the time you're sixty. And
the huronic acid, well that sounds familiar, that's what we inject, right,
but that is the normal chemical in your skin that
hydrates your skin, that keeps your skin looking youthful, and

(05:07):
you know, you might say dewey and fresh, but that
goes away also as you get older. So the result
is older skin, older looking skin, and creepy skin, and
wrinkled skin, and splotchy brown pigmentation throughout your skin. No
matter what your skin color, you develop those things and
capillaries that are visible. So in your hands, we compound

(05:27):
that by the visibility of your tendons. You know, the
tendons for all your fingers. Just look at your hands now,
not while you're driving, please, but you'll look at your
tendons and then you'll see also all the veins on
your hands. And that, combined with thinning skin, that combined
with splotchiness, makes your hands look older. So it doesn't
help if your face looks fifty and your hands look seventy. Right,

(05:51):
So what can we do? Well, the first thing I'm
going to tell you what you do not want to do.
Do not let anybody take veins out of your hands.
They might not look attractive. But there are doctors, and
this I cringe when I hear about this. There are doctors.
There are plastic surgeons, dermatologists and other types of doctors
that will inject those blood vessels with what's called a

(06:14):
sclerosing agent, or strip those or laser those or coagulate
those Not a good thing to do, because you know what,
at some point in your life you're going to need
those veins. Have any of you had an IV put
in your hand? Of course you all have, many of
you have anyway, you know, certainly if you've given birth,
you had an IV put in. And if you've had
a surgical procedure or even a colonoscopy, you had an

(06:37):
IV put in. And if you have difficult veins, well
maybe that in turn, maybe that technician will have a
really tough time putting an IV in. And you don't
want to lose any of the veins of your hands.
Not a smart thing to do. When we come back
from our break, we're going to talk to doctor Carolyn Messer,
and then we're going to continue this topic after a

(06:59):
doctor Messer, after her interview, we're going to talk about
all the procedures, the lasers, the peels, and the fillers
and the things I can do to help your hands
look as good as your face. I'm board certified plastic surgeon,
doctor Arthur Perry, host of What's Your Wrinkle? Right here
on WOR. We're going to be back in just a minute.
Eight hundred and three two one zero seven ten. Stay tuned.

(07:29):
Did you know that your skincare may be hurting you
more than helping you. I'm board certified plastic surgeon, doctor
Arthur Perry. The foundation for looking good is clean, healthy skin.
So I've created a program that is so simple that
everyone can stay on it long enough to see real results.
It starts with an incredible skin cleaner called clean Time.

(07:50):
It's actually good for your skin. Protect your skin with
my Daytime SPF twenty cream in the evening, feed your
skin with my Powerhouse Nighttime serum Vitamin CNA, antioxidants and
skin brighteners. And if you like moisturizers, well, I've created
Soft Time with seramides and Vitamin D. Throw away the

(08:10):
bags of useless products and try doctor Perry's Skincare. Join
the thousands of people whose skin is healthier. That's doctor
Perry's Skincare on Amazon dot com. And don't forget to
listen to my radio show right here on wo R
Every Saturday evening at six pm. You're listening to What's
your Wrinkle with Doctor Arthur Perry.

Speaker 6 (08:29):
What's your wrinkle?

Speaker 3 (08:30):
And what is your wrinkle? I'm board certified plastic church
of doctor Arthur Perry broadcasting Why from the upper West
side of Manhattan this evening, in this kind of gray weekend,
we're almost that spring hanging there. It's going to be
It's got to be spring sooner or later. Right, It's
been a long, long, tough winter. But one of the
bright things in New York City is called well By Messer.

(08:52):
And I've got doctor Carolyn Messer on the line. Doctor Messer,
are you there?

Speaker 5 (08:56):
Hi?

Speaker 7 (08:56):
Am here? How are you?

Speaker 3 (08:57):
I'm great? Thank you so much for taking time. I'm
pretty short notice on your Saturday evening. We're broadcasting live
on WR in New York, from Maine to Virginia and
around the world streaming and podcasting. But you're a seasoned professional,
so I want to thank you.

Speaker 6 (09:14):
Now.

Speaker 3 (09:14):
You're an ender chronologist and you started a practice called
well By Messer.

Speaker 6 (09:19):
Tell us about that practice, all right?

Speaker 7 (09:21):
Well, While By Messer is a multi specialty group, the
original concept was to be just under chronology, and there
was really so much demand for other specialties that I
slowly brought on primary care interness. They run on gyn,
hired a few more undercronologists, and now I'm so pleased
to say that I will be working with you plastic surgery,

(09:43):
and the idea is just to provide super comprehensive care,
everything evidence based in a beautiful, comfortable setting.

Speaker 3 (09:51):
And I am very happy to announce tonight that yes,
we're going to be working together. I'm going to be
over at your facility on East sixtieth Street. It's one
ten East sixtieth Street and right here in Manhattan, beautiful office.
I've been up there. I'm so happy to be able
to join you. You've got a lot of doctors. I

(10:12):
think there are eleven other physicians that are in your
practice now and two nutrition is, two fitness trainers, a
wellness coach.

Speaker 6 (10:21):
That's really incredible. But you know what's interests me the most.

Speaker 3 (10:24):
You've got a program that I want you to talk about.
Your executive program, Executive Health Optimization Program.

Speaker 7 (10:32):
Tell us about this, Oh, thank you for asking. So
this is a new program, So it's basically for anyone.
It's not just for executives, anybody who really wants to
be bullish unpreventative care. So we're offering things like whole
body scans, coronary calcium scores, comprehensive labs, doing a deeper
dive into cholesterol levels, and what might put you at

(10:53):
higher risks for partiovascular events, For making sure that everybody
is up to date with their dental exams. That we've
teamed up with a dentist in the building just for
routine dental exams. Well we're having paths done on site.
So basically you can come in and it's a one
day program and get everything done, your EKG, your visit
with a dietician, mental health as needed, basically everything in

(11:16):
a one stop, stopping kind of format.

Speaker 6 (11:18):
You know that that is so important.

Speaker 3 (11:20):
I know that it's getting more and more difficult for
my listeners to get quality medical care. You know, we're
in an era where there's you know, people are all
employed by these hospital chains or or large groups, and
it gets a little bit more impersonal each year. And
it's so nice to have have a a practice like

(11:41):
yours where the patient comes first and where where you
can any of your issues you can you can go
to your practice and address those. So if you've got
a urologist, you've got ender chronologists, you've got internists, psychologists.
I love the fact that you have personal trainers in
your pre you've got guide cause and now now you've

(12:02):
got a plastic surgeon. So so it's sort yeah, it's
one stop shopping for healthcare.

Speaker 6 (12:10):
And so how.

Speaker 3 (12:11):
Would someone if someone wants to just come up and
join your program, the Executive Health Optimization Program, make an appointment?

Speaker 6 (12:18):
How do they do that, Caroline?

Speaker 7 (12:19):
Well, they can really just email my office manager. It's
just manager at well By Messer dot com and we
can set it up. But I would also like to
say you can choose all the cartes. So if you
feel that you don't need everything, You've already had your
coronary calsing scores and your EKGs and you just feel
like you need a strong endochronologist, you can just make
that appointment, or you can just see the urologists. So

(12:41):
it's really it's not it's no pressure to see everybody
in the group, although a lot of patients do to
take advantage of that opportunity.

Speaker 6 (12:49):
You know.

Speaker 3 (12:49):
So one of the things that is so popular now
are these these weight loss drugs. And I know you're
a Board certified endocrinologist and a board certified internet so
you're an expert at this. And in fact, that's how
I became interested in your practice. You gave a talk
to the New York Society of Plastic Surgeons, and I
heard you speak and uh, you know, I don't want

(13:10):
to kiss up to you here, but it was brilliance.
I was really inspired by you by your talk. Now,
it was really really, very very interesting. And I know,
you know, so many people are using these drugs. What
are they the g LP one type drugs? Now, is
that what they're called. You're the expert in that, and
they're using those to lose weight, and so many people
are doing it there I think the wrong way they're

(13:32):
they're doing telemedicine. They're not seeing the doctor that I
think that's that's just terrible. You see patients all the
time for weight loss, don't you, all day one.

Speaker 7 (13:40):
Yeah, even if they're coming in for diary cancer, inevitably
they want to talk about weight, which is absolutely fine
with me. But I do agree with you. Telemedicine works
to a point. I mean, the medication is powerful and
has all the same effects whether it's a board certified
endocrinologist or chiropractor prescribing it. The issue really is when
there are side effects and knowing what tests need to

(14:01):
be done, knowing how to fix the side effects, and
also knowing how to treat the underlying causes that led
to the weak in in the first place, right, knowing
how to screen for Cushing's disease and check the testosterone
and green for mental illness and treat binge eating disorders.
So I do think it's actually one of the more
complicated things that I treat, and we're probably oversimplifying it
by just giving everybody the same treatment like here as

(14:24):
your injectible.

Speaker 6 (14:25):
Yeah, And I.

Speaker 3 (14:26):
See these advertisements, and you know, I really do crunch
at these things, and they people not even seeing a
doctor and getting on these powerful drugs because they're the
effects are very, very wide reaching. It's not just a
loss of appetite, isn't it? Oh?

Speaker 7 (14:39):
Absolutely? I mean the number of conditions that these medications
potentially treat is absolutely astounding. And I can talk about
this for hours, but I won't bore the listeners. But
you know, we're using them now potentially to prevent Parkinson's, Alzheimer's, feizures, MS,
mood disorder OCD. It goes a hunt and a hunt.

(15:03):
I mean they know that now. It treats sleep back
now and it's been as to approve for that. We
know that it decreases party of vascular risk, but you
can also have a lot of complications from these medications,
and you do have to use them very responsibly. And
so I think that means being under the care of
someone who really does this day in and day out.

Speaker 3 (15:18):
Yeah, I'm speaking with doctor Caroline Messer, and she is
that person. She's a Board certified internist, a Board certified endochronologist,
and an expert in weight loss and an expert in
all aspects of vendor chronology. She trained at Mount Sinai.
That's where she went to medical school. You went to
college at Yale, but we won't talk about those places.
You also did your residencies, many residencies internal medicine under

(15:42):
chronology at Mount Sinai and New York is very very
fortunate to have her. And her office is one ten
East sixtieth three. That's where well By Messer is. That's
where I will be every week. Also, what will I
be doing there with you, Well, you know, after that
weight loss, we've got extra into the neck, right, so
I'm here to help you and help your patients maybe

(16:04):
have a facelift, and certainly I'll be doing botox and
fillers and laser procedures and things like that in your
office and working with you and the other doctors, and
really very very pleased to be able to affiliate with you.
So I'm looking forward to it. We're going to start
that next month. And the phone number if I can
in your office.

Speaker 7 (16:24):
Six four six seven six zero thirty two fifty six
six four six seven six zero thirty two fifty six.

Speaker 3 (16:33):
You can make an appointment with doctor Caroline Messer, you
can make an appointment with the Executive Health Optimization Program,
you can make an appointment with me, and we're happy
to see you. I want to thank you for taking
time on your Saturday evening, doctor Caroline Messer, and I
am very happy to be affiliated with you. Great, thanks
so much, and we're going to have you on again.
We want to get more into this topic of the

(16:55):
the GLP drugs, zip bound and ozepic. It's such a
fascinating area and it's the interface between what you do
and what I do.

Speaker 6 (17:03):
So we'll get you on again.

Speaker 7 (17:04):
Okay, happy to speak about this for hours. You just
let me know when.

Speaker 3 (17:08):
Okay, Thanks so much, doctor Carolyn Messer. There's more to
the show, so stay tuned. Eight hundred three two one
zero seven ten as the phone number. We're going to
take a short break. We'll be back after these messages.
They say that sixty is the new fifty, But while
you may feel and act fifty, the mirror doesn't lie.

(17:30):
But that's where plastic surgery comes in. I'm board certified
plastic surgeon, doctor Arthur Perry, and I love helping patients
look younger and better. If you've got sagging cheeks, jowls,
and that dreaded turkey gobbler, it might be time for
a little nip and a tuck. You look more rested
and yes, younger. With my short scar facelift and the
artistic injection of wrinkle filler or a laser peel, well,

(17:51):
that might be just what it takes to get you
looking as good as you feel. Let's sit down for
an hour consultation in my new Park Avenue office. Together,
we'll come up with a plan to help you look
your best. Give me a call at eight three three
Perry MD. That's a three three p E R R
Y M D. Check me out on the web at
Perry Plastic Surgery dot com and don't forget to listen

(18:12):
to me doctor Arthur Perry. Every Saturday evening at six pm.
Right here on wo R you're.

Speaker 6 (18:19):
Listening to What's Your Wrinkle with doctor Arthur Perry. What's
Your Wrinkle? And we are back.

Speaker 3 (18:25):
I'm board certified plastic surgeon, doctor Arthur Perry, host of
What's Your Wrinkle for twenty years now, twenty years.

Speaker 6 (18:31):
You know.

Speaker 3 (18:31):
W R is such a great radio station. It's been
around for like one hundred years. I've been on twenty
of those years. We had an interesting dinner. I a
dinner with Mark Simone and the other folks from wo
R this weekend and or rather last week, and Mark
and I were talking, I'm gonna be on his show,
and I said, Mark, we've got to do botox live

(18:54):
on the air. I don't know, You'll have to listen.
I'll let you know next week when I'm going to
be on. Let's see if we can get him to
actually have the botox live on the air. I did
that to Mike Roysen once and it was a mement
Oz was recording it. I didn't even know he was
recording it, and he played on on Opraen Friends Radio.
It was great radio, all right. So we were talking

(19:16):
about hand cosmetic surgery sort of this forgotten step child
of plastic surgery. Who thinks about their hands? But you
know what, if you've got this beautiful face that looks
fifty years old when you're sixty five, and you've got
hands that might have so much sun damage and thin
skin and visible tendons, visible veins, it really gives away

(19:38):
your age. And so we've got all sorts of things
now that we can do free hand. So the very
first of all, have you heard of the term prejuveniation?
That is one of these buzzwords. It kind of drives
me crazy. It's it means trying to prevent aging. And
you know the only way you're gonna prevent aging is

(19:58):
is to chew use your parents, you know, by getting
better genes. I mean, we're all going to age, and
you're going to age according to your genes. There's a
few things that you can do to help yourself get
less less aging of your skin. And of course number
one is you don't smoke. You should smoke, whether it's
marijuana or whether it's tobacco, don't do it because you're

(20:21):
going to age your skin.

Speaker 6 (20:22):
That's one.

Speaker 3 (20:23):
And the other, of course, is decreasing your sun exposure
or if you're going to get sun exposure, use a
good sunscreen with zinc oxide. We won't go into the
whole sunscreen story today, but zinc oxide is I think
the perfect sunscreen. So those are the things you can do.
And also a good skincare program, like it helps your face,

(20:45):
it helps your hands, but it's more limited. I think
it's a little bit more limited. And it's sunscreen in
the morning and vitamin C vitamin C l ascorbic acid
that's ten percent vitamin C. Yes, I have that in
my nighttime and you can put the nighttime. A lot
of my patients put nighttime on their face and then
what's left on their hands they rub into the backs

(21:06):
of their hands and over the course of six months.
You want to hear that it's overnight, but I can
tell you I'm honest, it's not overnight. You're not gonna
see changes other than a little bit of exfoliation overnight.
But it takes months and months for you to build
up the collagen and thicken the skin of your hands
like your face. And you want to do it at night,

(21:29):
just like for your face. Because vitamin C is destroyed
by sunshine, it's destroyed by ultraviolet light. So we put
we put a little vitamin C on the backs of
our hands. We cover our hands in the morning with
sunscreen and then that's all you can do easily. Then
you come into the office and you ask me, well,
what can I do? And it depends on just what

(21:51):
the issue is. If you've got splotchy pigmentation of your skin,
there are two options, and the better option I think
is the fractionated carbon dioxide laser. Now, this laser is
it's the coolest thing, the one I have in my office.
You put your hand into the laser and I press
a button and bang. In about three seconds, it lasers

(22:14):
the back of your hand. Now we do this very
superficially on the hand, we do not want to create
a wound, and doing things superficially means the results are
going to be subtle. So this is one, unlike the
face that you're going to have to do three or
maybe four of these treatments space two, three, four weeks apart.
So it's not an instant effect. And the reason is

(22:37):
your hands will not tolerate an aggressive laser. If I
try and really be aggressive with your hands and create
a wound, we could have a heck of a problem.
So we have to really respect the hands. The hands
have much lower blood supply than the face. We have
to be very careful when we laser the hands, but
it can be done. And whether or not we use

(22:57):
the carbon dioxide laser in a fraction eight mode, you know,
the brand name was Fraxle. There's a lot of different
types out there also now or whether we use the
erbium laser. There was just a study that was published
and they compare it because you might go to me,
you might go to someone else, and one doctor has
one laser, one has another, and it turns out that
the erbium or the CO two laser no difference, no difference.

(23:21):
It's just really choice of the doctor. And it's which
doctor has which laser in his or her office. And
that's really how it is. And there's so many things
in plastic surgery that way. One doctor says one thing,
one says another, one company says one, one one says another.
And in the bottom line, it's the publications, and the
publications say it doesn't make a difference whether we use

(23:44):
an erbium laser or a carbon dioxide laser. But I
choose to do these in a sequence of three or
four of these in order to decrease the splotchy brown
pigmentation of the hands and also to thicken the skin
to generate new collagen. So that's good. We can also
if your problem is not thin skin, but just what

(24:04):
we call dyschromia, the freckles, the age spots on the
back of your hands, we can use a chemical peel
and I do that sometimes, will spot peel or just
peel the entire hand. That can be done, but we
are not going to get thickening of the skin, so
we're not going to help the crapy skin. Also, filler

(24:24):
radius is the filler of choice here, not HyG uronic
acid radius. That's calcium hydroxyl appetite. It does such a
great job. It takes about fifteen minutes to do this,
and your hands will thank you for the next year.
Well hand cosmetic surgery. It's popular. I do a lot
of it, and I come into the office on Park Avenue,

(24:44):
or come into the office now on sixtieth Street in
well By Messer and we'll be doing all these procedures
in both of the offices. So give me a call
two point two seven five three, eighteen twenty. My office
is on eighty Fifth in Park and also Summerset, New Jersey,
and now sixtieth Street in Manhattan. Noah, thanks so much
for great engineering. Doctor Caroline Messer my new collaborator in

(25:08):
well By Messer. I'm happy to have her on board.
She'll be a frequent guest on this show. Everybody tune
in next week six pm and don't forget the podcast.
Bye bye now, Thanks Noah.

Speaker 1 (25:19):
The proceeding was a paid podcast. iHeartRadio's hosting of this
podcast constitutes neither an endorsement of the products offered or
the ideas expressed.