#602 - Plastic Surgeon Dr. Jacob Unger Explains Celeb Surgeries, Boob Jobs and Liposuction

This is an I Heart podcast. Guaranteed human. But it's really a natural extension of taking someone whose leg was mangled in a car accident and making so they can walk again, taking a bone and plugging it into a blood vessel in the leg and taking a leg muscle and turning it on top of it to protect it and putting it all back together. That's where plastic surgery was born. Hey, today I'm talking with Dr. Jacob Unger. He's a board certified plastic surgeon and in town where we live in Nashville, a founder of the Nashville Plastic Surgery Institute. I am very curious about all things plastic surgery. I'm going to start this conversation off asking about Brazilian butler because I was told to. So big shout out to Dr. Unger because he answered all my questions. And he knew some of them were pretty stupid. But we're going to talk about everything. Mostly it's I'm just curious what, how much stuff costs, what recovery is like, what procedures he does, what he's best at. Like it's just a course here in plastic surgery and a little bit in life. And if you guys want to follow him on Instagram, it's at Dr. Jacob Unger. We talk about why people go overseas for certain surgeries. So here he is, Dr. Jacob Unger. All right, Dr. Unger, good to have you here. Great to be here. Would you have me call you Jacob or Dr. Unger? I feel like Jacob. When you introduce yourself to people, what do you introduce yourself as? Like in the real world or a word? Yeah, real world. Jacob. Oh, you do? Always. Man, I tell you, I'm a fake doctor. Yeah. Because I got a fake doctor. It's an honorary doctorate. And I almost want people to call me doctor. So if I had earned it, like you have, it'd be all doctor all the time. Yeah, I hear you. You know, I think I find that the people who are doctors don't really need that. Yeah, that's why I'm demanding it because I'm really not a fake doctor. Yeah. So I have a lot of questions about what you do for a living. But I was telling Amy, my co-host on my radio show that you were coming in. Yeah. And I just want to start with her question so I don't forget it. She specifically said to ask you about a BBL. So we're going right to it. And we're going to talk about other things too. But a BBL is a Brazilian butt lift. Is that correct? That's the accurate. Is that a real thing? Totally a real thing. It has like nothing to do with Brazil. But what it really refers to is adding fat, fat grafting to the butt. And do people here do that? Yeah. OK, so it's not from Brazil and you don't. I mean, it's because Brazilian butts are big. Yeah. Is that why it's called that? Interesting. The name of the game. Yeah. So, you know, we can take fat from different parts of the body and put it in different places and get it to live in that new spot. And so we can face, breast, buttock, and you can take fat where you don't want it and put it where you do. Does it ever not take? Yeah, for sure. So, you know, it's important to go to someone who does a lot of whatever you want done. And even in the best of hands, not all of it survives, you know, fat needs blood supply like all of the rest of our body. And you're taking it out of its blood supply and putting it into a new area with blood supply, but you need blood vessels to actually grow into that fat and revitalize it and make it alive. And so, you know, if someone just squirts a big ball in there, it's not going to work because the outside might get blood supply, but those cells will die way before they get any blood. And if people come to you and say, I want a Brazilian butt lift, is that something that you have done? Yeah, for sure. So, you know, listen, my practice is not very flashy, showy from a result standpoint, it's all super kind of natural, elegant, soft. And so when I have patients that ask for that, it tends to be like fit moms who have lost a little bit of volume, a little bit of muscle, toe, maybe over time, they're working out a lot, they're getting kind of thinner post kids a lot. And they want a little bit more shape. And so we call it, they would call it a skinny BBL or an athletic BBL, not like overdone proportions, not super big and round, just kind of like filled out a little more youthful. I want you to know that I'm going to ask some dumb questions and I'm not being funny, like even asking about Brazilian butt lifts, I didn't know if that was like a superhero thing or if that was like something cooler. Yeah, it was just like something that the Kardashians did on TMZ. Like I didn't know, but that's really something. But is there other parts of the body that people want fat put on? For sure. Is it all Brazilian then? Is it like a Brazilian? No. Brazil only got the butt, everyone. Okay. What, where else would someone want fat? So that some of the main areas are the face. So, you know, re volumizing the face as we age, we lose volume in our face. And so you can put some fat back in there. That's obviously very small volume, unless you want to look crazy. And that, that basically all stays because there's a lot of blood supply to the face and, you know, very little amounts of fat being added. So that's a really common area. The other more most common area is the breast. So, you know, I try to re volumize the breast with not with implants, but with fat. Okay. So that's different. Yeah. Totally. So that's not a boob job. I guess it would be a good job. It is a type of one, but like the classic boob job or breast augmentation. Scientifically speaking, yes. We're both doctors here. Yeah, we are both doctors. Yes, sir. Doctor. So, um, it's, you know, placing implants into the breast to create more volume. And that is still the gold standard. If you want to actually have larger and fuller breasts, fat doesn't work quite the same. The guys ever come in for Brazilian butt lifts? Is that a guy thing at all? Yes. Not in my practice. Okay. But guys can do it. Yeah, sure. I guess you can do anything, right? Yeah, sure. You've never done one on a dude here. Um, actually, actually, that's not true. There's, there's a close friend who's in the public eye who wanted a juicier butt. And so we put a little bit of fat in when we were sculpting from some other places instead of throwing it out. Can you take very few? Can you take fat from some more, from somebody else's body? No. Oh, it has to be your own fat. It has to be your own fat. That's interesting. Because I'd be like a transplant with like random tissue that would not, that would not go well. Doctor, you should know that. What are most cold calls coming for? It's a great question. Uh, I don't really know. I try to stay out of all the business side of everything from intake, you know, costs, all that kind of stuff. I just try to focus on doing surgery and kind of doing my art. Um, I think, I think it's a, you know, we don't, it's a lot of word of mouth in my practice. So, but if someone comes to the front door and they're asking about something, what's the surgery? Boobs. So, so no one walks in the front door looking for plastic surgery. They don't. Okay. Office tree. It's like, I'm not being funny. I literally thought you'd see it. It's not like a doughnut, man. But you'd be like, I should stop by and see if they can do it. So people don't really just come in to say, what do you got? It's not like a tattoo shop where you pick one from the wall. No, it's not. Well, you're not driving past like surgery sounds like a good idea and walk in and get something. So it's all phone call emails, Instagram. I really thought people would show up and be like, oh, uh, how much for a Brazilian butt lift if you were to do one? I really don't know. You don't know the price? No. I that's like, you know, it's so awkward. I keep myself completely out of that. I have a team like an incredible team. More than 5000. Yes. Okay. I just don't, I have no idea. Listen, I think it probably ranges from honestly, from, you know, 10 to 100,000, depending on where you are in the country or the world. Wow. $100,000. Not, not in my office. But I mean, no, I'm not even talking about you specifically. Like, yeah, for sure. My butt better do the percolator without me doing any of my other muscles at all. Like it just didn't actually, it's like a button. I should push a button. You gotta pay for it. Yeah. That's wild. What do you do the most of? So I kind of do two things, facial rejuvenation, facelifts and, and then mommy makeovers or mommy makeover quote unquote, which is post mom surgery, breast and tummy. And that's, I operate four days a week and it's basically just those on rinse and repeat. Are you considered a plastic surgeon? Is that still the term? Yeah. Why is it, why is it called plastic? So it comes from the Greek word plasticos, which means to mold. So it's nothing to do with plastic. There is no plastic and plastic surgery. That's, you know, misnomer, but it's our job is to kind of sculpt and create and return form and function. You know, plastic surgery spans the gamut, all reconstructive surgeries, our plastic surgery, hand surgery, craniofacial, meaning fixing the facial skeleton or cleft lips and palates. That's all plastic surgery. I don't like that then because I just assume plastic means plastic. Yeah. I think it gives you guys a bad look. Interesting. Because I think, oh, they're a plastic surgeon. I go like a Barbie or Kindle. They're made of plastic. They're perfect. So it's trying to make them perfect out of plastic. It's unfair. Yeah. But that's why I ask, like, are you a plastic surgeon? But that makes more sense. Yeah. So and funny enough, plastic surgeon is what you need to look for. So there are other surgeons that call themselves, you know, cosmetic surgeon or aesthetic surgeon. They haven't done residency in plastic surgery, which is a very long, very competitive process. And so in America, if you're a doctor, such as yourself, you, uh, you're legally allowed to perform any type of medicine that, you know, hospitals will give you privilege for and the patients will see you for. And so because plastic surgery is, you know, not an insurance or cosmetic surgery is not an insurance reimbursement. It's a cash pay thing. A lot of doctors try to set up a set up a practice and perform it without training. When you hear about people like behind Waffle House or doing their own apartment. How'd you hear about it? Yeah. But like, like people die. Oh yeah. Like if they, like, cause I will hear the stories or see the stories about people taking like fix a flat and putting into their butt or some, uh, does that ever, cause we hear the bad stories, but does that ever work successfully? Oh God, no, no, no, no. I mean, listen, maybe short term, they stay alive. They make it out of the office and they have a problem down the line. You know, the problem with, with plastic surgery, uh, two, two things, right? You're only going to hear about all the crazy, terrible stories and you're only going to notice the bad work. Good work is like, how does that chick still look so good? You know, and that's because well done plastic surgery shouldn't change the way you look. It should just make you look and feel like the best version of yourself. So what is your story as far as being a doctor? What did you want to be when you grew up? A doctor. So, um, you know, listen, I, I think your story is super inspiring. I, my story is not the same, but not that dissimilar. Right. I grew up to cool hippie parents. They met in Dallas, Texas. Um, would you live going up? I was born in Dallas and then I was there until about eight and then they wanted to get out of Texas. My mom's from the beach in Jersey. Her mom died young. So there was a house we moved to Jersey. Uh, and then I basically spent my formative years like Jersey Shore kind of kid close to New York, um, and then moved, you know, moved around ever since, but they were doctors. Oh no. I'm the first doctor in my family. Wow. That's awesome. Yeah. That's, it's seemingly rare. A lot of the folks that I know they're lawyers, doctors or lawyers. Yeah. Somewhere in their family, because I think to have a profession like that, it has to be something that seems attainable. Yeah. And I think with a lot of doctors or lawyers, like to me, it was almost like New York or LA, it wasn't attainable. That was that's fiction. That was fantasy land. Like I'll never go there. That's just where they make TVs and movies. I didn't even know a doctor growing up. Definitely didn't know a lawyer. And so I think a lot of doctors and lawyers, they know it's attainable because they see it, which is crazy about your story. If you're, you didn't have any doctors in your family and you still wanted to be a doctor. I mean, we had, you know, we did not have a lot of resources, but there was a lot of love and support. And when I was three years old, I wanted to be a neurosurgeon. And that was my first enrichment project when I was in kindergarten. I made a map of the brain and, but why? I have no idea where I came. I mean, I don't know. Maybe I watched doogie house or young or something like, you know, I mean, I just, I thought I wanted to use my brain. I wanted to help people. I, you know, I know that was my thing from a young age, but, you know, what caused that spark? I don't know. And then I pursued it. Were you always the kid that wanted to be a doctor? Yeah. So did you take your study seriously, your whole scholastic career? Not as seriously as I should have. I've had some, you know, some good wake up calls and some good lessons along the way. You know, I was, I was good at school and all that. I was especially early on in Texas. I got a lot of accolades because I was in a, you know, I was one of the only English speaking kids in the district. And so like that alone set me up to look pretty good. And, you know, I would change grades for math. And then I moved to New Jersey, which was not a really great area either. And I skipped a grade. And so I had all this kind of academics behind me. And then high school, I got a little lazy, hung out with some older kids. I did well, but I wasn't, you know, number one in my class. And so, you know, you went to Arkansas and went to Tulane, which was awesome for undergrad, wasn't really where I was planning to go. I thought I'd go to U Penn or Harvard or something like that. Although, of course, no one in my family has done anything like that. But I thought, well, it'll work. Little did I know how challenging all that stuff is. And when I got to college, I was had a little chip on my shoulder. And then I kind of grinded starting then and ever since. And so I was, you know, upper section of my class at a 300 in my random public high school. And then I was, you know, valedictorian in college. Really? Yeah. That's awesome. So where'd you go to med school? NYU. OK, so now you're. So that's the. So then so, you know, then I went to Tulane and I. This is when my parents stopped giving me advice. I did this special program that would allow me to get accepted to medical school after two years of undergrad, if I had like straight A's basically and did a mate and all of my pre-med requirements were done in two years with a major outside of science, I was a philosophy major in college. And I did it and I got into Tulane and I was really young. You know, I went to college young as I, you know, did all that stuff early. And my parents are like, I was in the medical school at 18. My parents are like, Jacob, you're you're going to Tulane. This is amazing. You're in a med school. I was like, you know, I think I might want to be a plastic surgeon. I think I want to be in New York. They're like. We're not paying for any of these MCAT courses because there are these expensive classes to take the test. You know, I didn't need the test to get in because there wasn't even time to take it. They're like, you're going to take this test and try to go somewhere else. Like, yeah, I think I want to give it a whirl and see if I can get to New York. So they wouldn't pay for the class. So I just bought that study book, that Princeton review thing, you know, I just like read it cover to cover and took the test and I went well and was able to get an NYU, which is, you know, that was a premier place that I wanted to be be in because that was kind of where plastic surgery started in America. So why plastic surgery, though? Because you go to Med could be anything. Absolutely. Yeah. What pushed you that direction? So I came in wanting to do that, but I didn't know what it was actually. And I got there. I walked into the dean's office first day of medical. I said, I need I need research because, you know, research is a big thing to set you apart as a medical student. You have to publish. And so he set me up with a group and I knew plastic surgery was the most competitive field. This gets into my competitive his chip on the shoulder. I wanted to do the hardest thing. And I didn't know what it was, but I knew it was surgery. I knew I wanted to use my hands. And what I learned through medical school was, you know, I love medicine because you can think and figure out solutions to problems, diagnose and treat. Right. A lot of surgery is, you know, the diagnosis is given to you. Perform the same thing over and over. And so I didn't like that. And so plastic surgery is kind of the surgeon's surgeon. That's what it's kind of called in the medical field, because we have to fix all the interesting complex problems from the form and function from a skin and muscle and bone standpoint that surgeons need help with. And so I was like, oh, cool, I get to solve problems and use my hands. Cool field. Yeah, I think as you talk about being a plastic surgeon, I can fill my relationship with what a plastic surgeon does change in that. I told you my relationship, we just thought of it as plastic. I think of Ken and Barbie. Let's just create the perfect person like television has taught me. But you're right. Like so many doctors probably have to send people to you that they have. There's been an illness and injury, and it's not you giving somebody a BBL. It's you trying to get someone back to as close to normal as they can possibly be. Right. Is that accurate? 100%. And that's where aesthetic surgery or cosmetic or elective surgery comes from. It's kind of like the ultimate, you know, the pinnacle of trying to create the best shape and form and function. Right. So yes, you might be making an improvement, but it's really a natural extension of taking someone whose leg was mangled in a car accident and making so they can walk again, taking a bone and plugging it into a blood vessel in the leg and taking a leg muscle and turning it on top of it to protect it and putting it all back together. You know, that's that's where plastic surgery was born. Yeah. I have an unfair association of plastic surgery with only being aesthetically pleasing. And that's the pure purpose of it. And I don't think that's fair. I don't think it's fair for me to think that. And I haven't had that realization until right now. Yeah. Because again, you guys, meaning guys, women, doctors, you are doing so much more than just that. But because I see on TV so much that just the celebrity versions of it, the boobs and the butt and the lips, that's all my association with this. You're in, you know, you're in that world. Right. I mean, you're going to see, you're going to be surrounded by celebrities and, you know, trying to trying so hard to look so good all the time. So, I mean, I think that your idea of it is probably the standard public, you know, idea, but we have a mutual friend that had breast cancer and plastic surgeons address breast cancer. They, from a rebuilding and reconstruction standpoint, skin cancer on your face, you know, that dermatology, dermatologic surgeons and plastic surgeons fix all those holes from skin cancer and so on and so forth. Let's take a quick pause for a message from our sponsor. And we're back on the Bobby cast. Whenever you finish a surgery, do you know, like, I just crushed that, or do you have to like wait till it all heals? You know, you got to keep some humility about you. You're going to, it's not going to go well. So, I usually, I'm usually very pleased in the surgery. I feel really good about it. But I'm never like, oh, this is perfect. See you never. You know, I always want to be like, is this exactly what I wanted? I want to, you know, I'll write notes after every surgery. I'll say, you know, right breast was really complicated for X number of reasons. I do a lot of revisionary surgery from, from with problems from around the world. And I'll say, you know, this was really hard. It was super tight here and it looked pretty good. But, you know, you have to imagine how the patient will evolve, how their skin will change, how the tissue will change with gravity, with stretching. So you can't have it always exactly what you want on the table, because then it'll change post-operative, you know, post-op. If I get my car washed, I know when it's done, my car is washed. I can just look at it and be like, it's done. But when you finish on someone, like they have to heal still. So like the final, final result is not like, you know, because you've done it so many times, probably what's going to happen. But you don't know the final, final result, right? Till it totally heals up. Yeah. Yeah. I think that would be, what would keep me humble. Yeah. Yeah, it does. Because, you know, what I, what I always say, I, I can't control how you heal, right? You know, I mean, with experience and, you know, a lot of reps, you can get a pretty good idea of where things are going to end up. But you don't really know. People can have bad scarring or good scarring or stretch of your skin or tighter tissue. And so, you know, you got to, this, this, this feel will humble you no matter how good you are. Still, a lot of people say they have a deviated septum and they just come into the ligate, cosmetically fixed. I think people sometimes want to have a reason to have surgery, besides just wanting an improvement in shape. A deviated septum is a real thing, though. Oh, for sure. Like, I don't even know. I had a friend that had a real deviated septum. Yeah. And after he had it, because he, before he went in, he would close, he would close one of, and it, when he'd breathe, it was like he always had a cold. Right. And again, my association with deviated septum was people lying just to get a nose job. Go into a real one. He had a real one, and he came out of it, and his nose looked no different. But he had. That's called the septoplasty. I wouldn't have known that, yes. But he had that done. And so, I was like, oh, that's a real thing, right? But then I hear, and I know of people who say that, but I actually know that they went in because they just wanted it fixed, or they wanted their nose changed a bit. And honestly, I think, you know, people are so much more upfront about plastic surgery now, they're embracing it as opposed to hiding it. I think that that's less common. I mean, Hollywood has kind of led the charge on that. People are coming out, and on social media, there's a new celebrity every day talking about what they had done, why they did it, and why they did it for themselves, and, you know, pulling it out of the darkness. I mean, it's not something to be ashamed of. I'm obviously biased, but we all want to, you know, look how we feel and feel like the best version of ourselves, and, you know, we exercise, and we eat healthy, and we study, and we meditate, and we do all these things. And so, having, you know, kind of the physical shape and form that matches how you feel, feels like, to me, a natural extension of how we're able to evolve and with technology, you know, do things safely. What do you think about red light? Because there's a couple versions of other people that have little masks, and we have the bed, the big, and so that goes deeper. Mm-hmm. So, do you subscribe? Yeah. So, it's real, for sure. There is real studies in peer-reviewed journals that show that red light can have an impact on a variety of different things in the skin, from the skin remodeling, and, you know, just kind of revitalization. So, it's a great, you know, low-risk, good return thing. Yeah, I think my problem with it's been you can't really tell. Yeah. And I've read some studies. I read a study that NASA did with plants that blew my mind, and these were basically, I'm going to dummy this up, but it's basically a bunch of injured plants, and they did red light on them for an extended period of time, and they healed back so much faster than the plants that were also injured that they did not use red light on. And they did this over and over again, right? So, it wasn't overbeatable. Yes. And so, like, to me, that's enough for me to go for it, but I don't ever get out and, like, dang, I just got red lighted like crazy. That feels great. So, listen, plastic surgery, like, I perform every day, obviously, it's one way, and then three hours later, it's another way. Like, it's a big, fast change, but it's a big thing to do. It's, you know, downtime. The lower kind of insult to the body you're performing, the slower the bill, right? Like, skincare, sunscreen, let's talk about sunscreen. We all know that we put on sunscreen, helps prevent skin cancer, also helps with wrinkles. That's because the sun damages your skin, destroys the elastin in your skin, reduces the collagen. You don't put on sunscreen, but, like, man, my skin's awesome. It's a 40-year game you're playing. So, keep doing the red light. You look good. You'll look better in 10 years than if you never did it. 40-year games, that game sucks. What a kind of, and I know vitamins work, but red light to me kind of feels like vitamins, because I don't take vitamins and feel good. You don't, you know, you don't need, first of all, you don't really need to take vitamins, because we live in America, and when everyone's diet gets basically everything you need in there. I don't know. I don't eat vegetables for, like, a month. Oh, yeah. I forgot. I'm talking to you. Yeah, sometimes I need them to just, you should probably take them. Just like supplements, certain things. But, okay, go ahead. So, you know, I was just saying, it's, you don't need red light to, you know, feel good or even look good. What it is is small incremental gains, just like, you know, good skin care, to just have that skin constantly turning over and it's subtle. We think about saunas. We have one. I love it. My wife uses it all the time. I think, I think they're good for you. We have an infrared sauna, you know, which, which is hot, but it's the, that energy goes into the body a bit more. Listen, do I think it's the end all be all of health? No, clearly not. I mean, if that were the case, everyone in Scandinavia would live forever and have no problems, and we would. So, in 90% of people in like Sweden or they have, they have a sauna. Like everyone has them. I think there's a, there's a lot to all these little things, you know, cold plunging and, and all of the. What do you think about cold plunging? Listen, I, I like it. Do you do it? Yeah, I do. Why do you? Because I've done it. I'm not a hater of it, but I've done it. I find it in, you, you definitely get adrenaline rush. You get a dopamine hit from that, you know, which is cool. I think it can, you know, I don't do it a lot. I'm pretty thin, so I get cold quickly. I like the mental game of how long can I take this? How calm can I be, you know, just kind of working on mental, mental strength, fortitude. I tell my kids, you know, never give up, perseverance. I just want them to learn grit and toughness and. Okay. So yours is about discipline. Yours is about pushing yourself more than it is physically what it's doing to the body. Yeah, I would say, I would say that's the bigger part for me. That's, that's what I certainly love about it, but I'll feel good when I get out of it. You know what? I feel cold. You don't feel it kind of floaty or euphoric. How long do you stay in? Long enough. Like whatever the time is, like I look on the internet, right? How long? And it's like, if you stay two minutes, you know, you get a gold coin or something, whatever that is, I do. Okay. But then to me, there is that, oh, I feel kind of a wake feeling that I do like, but it's the dread pre. It's the drying off. Now I'm wet. I don't like being wet, just generally speaking. I don't even like getting in the pool. We got a pool. I don't like getting in the pool. People are like, well, you ever swim in your pool? No, why? I don't like being wet. Yeah. All right. So like that's a part of it too. There's just a lot of like weird elements. But I subscribe to all these things probably work a little bit, but they only work with consistency. If you're, if it's like a sauna or red light or whatever, like you have to be consistent in anything for it to function well. As most things in life, right? I mean, I'm not going to learn guitar because I tried once to do Guitar Hero. So yeah, I think that's totally right. Again, this is not a one and done kind of thing. This is like a commitment. This is a lifestyle. Those are, these are lifestyle things. So, you know, if I went in and had some fat taking on my stomach, I knew it. I knew that's why I was here. And I would do that. I would have asked you to like bring the pliers and the scissors and let's get it done. The problem for me is not any sort of stigma. It's the recovery. I don't want to recover. I don't like being wet. I don't want to recover. Okay. So I don't have time to recover. I know. It's like I run so, so hard and, and, and I'm on red all the time that I don't have a couple of weeks to be like, Hey, I'm just gonna, but is it, let's say I went in and I was like, Hey, I got a little fat here. Help me out because I'm a pretty good shape. And let's say I did that. How long would it be until I could like play pickleball and run again? So, you know, listen, I know, I know that feeling. That's kind of how I am. Set on go at all times. You know, my mother's always, you know, honey, you're so tired, you know, and just kind of the way it is. So I totally hear what you're saying. Surgery's not that long. Liposuction is a little bit of a quicker recovery than other things. I mean, healing takes time. But from a recovery standpoint, you can be back to some exercise at like one week. It might be sore. It might hurt a little, you know, but again, that's all up here. You're not going to hurt anything because nothing's been kind of cut and sewn. You can't tear anything apart. But, you know, I give patients a pretty quick recovery timeframe. The quickest that science will allow because most of my patients are super active and have a lot going on. No one really wants to be down. So by six weeks from any surgery I'm doing, you can do anything. Could I rock climb? Could I dunk? You can definitely learn to dunk just from liposuction. Because I could dunk before, but I can dunk after. I thought as much. Yeah. Yeah. This will make you dunk. Liposuction. So liposuction, in my mind, as you take the dentist thing, they'll just suck out the fat. Is that true? In very few words. Yeah. So liposuction is done with cannulas. They're kind of like metal straws. Okay. And they have holes on them. And you have to put some fluid into the fatty tissue of the body first, kind of let it set up. And then you go in back and forth with multiple little access points to try to create a smooth, even playing field, essentially, by removing fat where you want to remove it. And so it really is, it's an art, you know, it's sculpting. I mean, there's some science, of course, there's science behind the safety. There's science behind when to know, when to stop, you know, but it's really just to your eye and touch and experience what you need to remove and what you need to leave behind. Can fat come back in the spots that you've sucked it out? It's a great question. Once you remove fat cells, they're gone forever. You can't get new fat cells. So after you're about five years old, the fat cells you have or the fat cells you have, as you gain weight, those fat cells expand or contract. Oh, they're not more fat cells. No, more fat cells. The fat cells are just getting fat. That's it. Fat cells get fat. So they kind of swell. If you look at it, they kind of look like chicken wire. That's what fat cells in the body look like in those chicken wire holes get bigger or smaller. So if you have a problem area where you tend to gain all your weight and you suction out fat from that area, fat will not go there as preferentially. I mean, you'll still gain weight in all the areas. But if you used to go to your belly and now you gain 10 pounds, you might feel that more in your hips or thighs, more so than that area. Generally, guys get it because I have it right on my stomach here. I also have a surgery where I have scar tissue where it kind of grows back weird anyway. I have my spleen taken out. So I got from my sternum down to almost what you guys would call, I use clinical terms, my wiener area. That's it. There's a scar. You really are a doctor. So I have a scar and again, because of that, my stomach is just a little weird. I have no belly button, a little weird anyway. But that's still where the fat goes on me. Is that most dudes? Yeah. So men tend to gain it in the men's section. Women tend to gain it more in the hips, thighs kind of area as a general rule. So men that come in for liposuction, the key to really everything I do is making what I tell patients, I want the skin to match the deeper tissue. So right now there's a little bit more fat. There might be a little bit of extra skin. If there's extra skin already, I won't do liposuction because all it's going to do is remove fat and leave more skin. So I tell everybody, a bunch of saggy skinniness isn't better than kind of a fuller, slightly more plump thing. So a lot of things have to be aligned for liposuction to be the solution. Do you ever tell people no all the time? Tell me about that. I mean, by the way, if you find a surgeon that only tells you yes, run because that's really saying no is more important than saying yes. My job is to educate on the front end, make sure that we're aligned, expectations are appropriate, and then maybe you're a candidate to have a surgery. And a lot of times people want things that aren't realistic or have unrealistic expectations or want something that's not real. And so no is how I spend most of my consult days. Is an unrealistic expectation if someone wants a whole lot of fat taken out? Like what would be an unrealistic expectation? So if you get your hair cut, you take in a picture and do this. Does that happen? Yes. So somebody, a good example would be a breast patient. Let's say there's a fuller figured woman that has low breasts, she's older, and she brings in a picture of a swimsuit model. Well, she's not going to have those breasts. That's just not in the cards. There's too much tissue, the chest is too wide, things have changed too much. So people say, this is what I want, and that's an easy no. I don't see much of that disconnect. But people will also bring in a picture. They'll say, I feel I'm so tired now. I don't look as good as I used to. This is me just a few years ago, I want to look like this. And they'll bring in maybe an AI kind of airbrushed picture. You're like, I can't make you a cartoon. That's not going to happen. Right. So again, most of my patients are incredibly lovely, very reasonable, people you want to be your friend. I mean, that's what I look for. If I don't like you, if I don't connect with you, then I'm not the right doctor for you. The Bobby Cast will be right back. This is The Bobby Cast. If I wanted to get pecking plants, because my whole life, I've been very insecure about my chest. Okay. When I was 13, I had the chest of a 13 year old boy. When I was 30, I had the chest of a 13 year old boy. It really never matured past that 13 year old boy. And I'm beyond that now. But if I did, is that something that's done for guys that it makes them look like strong at the gym? I don't do that at all. I do no implants in males. I do no implants in women other than breast implants. There are a small group of surgeons that I know around the world that do that routinely. So they have the experience to do it because it's not a super high request surgery. So you better find someone who does, that's really specialized in kind of male bodybuilding enhancing style surgery. But there's a lot of problems with that. I mean, the male peck is obviously a big muscle. It's used a lot. The implants for men are these kind of very rigid pieces of silicone. And so, I mean, it's just something I've totally avoided. I'm sorry, I can't do that for you. Yeah, no, I'm 13 forever. I'll die 13 years in my chest. Cavs? Also not common at all. None of these solid implants are common, especially in the United States. They're more common in Asia, Middle East. They don't look very good. I don't think, just, you know, why I don't do them most of the time. So, yeah, I would steer clear of that. You ever hear about those people that break bones and get taller? Like the surgeries where they break and they put a rod in? Yeah, that's crazy, huh? Elizarof. Yeah. Is that what it's called? And well, the Elizarof method was invented in Russia and like, I think the 1800s. I mean, you're testing my memory here. But, you know, that's a real thing. You can cut. So, we actually, that was one of the big projects at NYU. It's called distraction osteogenesis, which is big words. But it means taking a bone, pulling it apart slowly and allowing new bone to fill in. So, it was first done in the legs, then it was done in the jaw. We do it for babies all the time that have certain craniofacial abnormalities. Very, very small chin, no airway. They have to have a trach when they're born. You can rebuild the jaw, stretch it out so the tongue pulls forward and they can get rid of a trach and live a normal life. That's very common in a children's hospital. You go to Vanderbilt right now. There's a, I'm sure, I don't know, but a number of children in the pediatric ICU, they get a quarter turn, the residents go behind and do a quarter turn, you know, twice a day or four times a day, depending on where you are, to stretch out that jaw. So, that was the chairman at NYU, bringing it back to why I went there for med school. He was this really famous craniofacial surgeon. He wrote the first paper on doing that in the jaw, as opposed to the leg in dogs. And, you know, that kind of set him up for a big career. And one of the reasons why I wanted to go there, but it's a real thing. Yeah, one dude grew like four inches. He didn't grow. One dude put in, like, he grew, I keep saying grew, he was four inches taller once he was healed. He walked a little funny. Yeah. And then you're like, is it worth it? You're walking a little funny with your new rods and your, so I think that's wild. You know, it was wild, that show, this one, you ever watched that? That show was crazy. You had to look at that and be like, what are they doing? Yeah, that was a little overstepping probably, you know, I mean. For those that don't know, let me explain to the people watching this or listening to this, the swan epic show, by the way. Epic, yeah. But it shouldn't have been real. No, it was. They both can exist. Yes. Like epic show, but they shouldn't have been, in my opinion, it was somebody who went in and they were like, everything was like off and they were like, fix me. And they did like 42 surgeries on them. And all of a sudden they walked out and they were like a swan. Yeah, that was a wild show. That was a wild show. Was that the 90s? Probably early 2000s. Mike, would you look at the swan? 2004? 2004? Yeah. So kind of that nip tuck era is kind of early. You know, that 90s plastic surgery was so kind of under the radar, you know, 70s and 80s, you look in Manhattan, socialites would get facelifted, but like super hush hush and very, very small, small volume as things got more refined and better and safer, kind of started ramping up and things went a little wild in like kind of the late 90s, early 2000s. Again, I was young at that point. So I pieced with the swan though. That's a wild thing I've ever seen. That was it. And then everyone was like, we're gonna rain that in a little bit. Whoever greenlit that show I should have a talk with, that's crazy because they would have like all these surgeries at once and they'd present them and they still looked jacked up. But still, though, it was great. That was wild. Rewarding surgeries for you as a human being. Like, can you tell me about a couple that you've done where you're just so proud of your work because you've helped somebody's life? Yeah, I mean, you know, not to sound like overblown, but like almost countless. Like, I mean, you, you know, that's what's important for me to realize it. It's not just fixing a hole from cancer that people are appreciative of and life changing for, you know. The more common thing I see now, you know, moms are the best example. They have babies, they nurture their children, they raise their children. It does a toll on the body, you know, without a doubt stretching out the stomach, the muscles, the skin, breasts get deflated and change, you know. No one gets spared, right? Supermodels, I see supermodels, they get, you know, a lot of changes in their bodies too. And to help a woman kind of restore herself and feel like herself again, there's a lot of happy tears and there's a, you know, it's a really, it's a really special thing to get to be a part of, you know, that journey for people. And then on the reconstructive side, as you can imagine, you take someone who's having, you know, a burn victim that can't turn their neck and you do a surgery to rebuild the neck so that it's flexible and pliable again or somebody cuts their thumb off and you put it back on for them, which I've done. That's happened? Oh yeah, I've done it countless times in residency. I don't do that anymore. That's, you need a big academic center. So I train in Dallas Parkland Hospital, biggest public hospital in the country. And we have, we are on what's called replant call, replanting fingers and arms every single day for six years. The plastic surgery department of plastic at UT Southwestern. So there are that many people losing fingers and arms. Oh, it's nonstop. I mean, they fly them all in, you know, everyone's crazy. I mean, it happens multiple times a day. And so they come in and okay, if it happens, do you put it on ice? Because that's what TV says. Yeah, they put it on ice. Like, let's say I chop the finger off and I'm like, oh my God, there's my finger. Wrap it in a wet paper towel, put it on ice, go to a major academic center. But does that mean hospital? I mean, I saw a major academic hospital like I've Andrew built. These services, this is very, very, you know, you have like primary care. It's like your doctor and you go on up. This is like what we call quaternary or fourth level care. It takes a big team of specialists, special microscopes, microsurgeons who do this all day. It's, you're not going to find it at like every random hospital in small towns. But they'll, they'll ship you. That reminds me. We were both too young to have been adults when this happened. But, and I'm only partially being funny because I'm curious about this. But remember when Lorraine and Bob cut off John Wayne, Bob's penis and threw it in the field? So I reattached two penises. You have a kid. And I, again, ha ha, whatever. But that's serious stuff. Like how does that, how do you get it to work again? Does it work fully ever again? So, I mean, what's one of the, I've presented this case, you know, it's not that common. There's only a couple of the papers written about penis replants. The kid, he was young. You know, one of the ones anyway. He was getting erections before he left the hospital. I mean, again, medically speaking, and you know, it was working that fast. Oh, you're in the hospital for a while. Oh, you are. You don't walk in a couple of threads and it's like, it's a, it's a couple of the, couple of weeks of hospital. How do you get it to work again, though? Because it feels like there's a lot of blood vessels that have to grow. Yeah, you have to plug all those tubes back together. So it's called microsurgery because we use a microscope under the microscope. We do tiny little needles that you really can't see. The, the sutures for that is much thinner than a human hair, you know, a couple of microns thick and you sew them, you know, interrupt a little stitches all the way around the circle, but the two tubes reconnecting them all. Nerves, arteries, veins, any of the nerves or veins artificial, then not in that particular case, but you know, if you lose a finger, sometimes there's nerves in your fingers or fingers aren't too good without nerves. And so, there are what are called nerve graphs. They're off the shelf, meaning they're products that are in the hospital. And you can take that little, it's basically like a, a nerve sheath without the DNA from a person. And you can use that to plug in and then the nerve can regrow through that tube. This is going to be the stupidest question. Please respect it. Could you attach somebody else's penis onto my spot? No. You couldn't? No. So listen, again, that's a transplant, right? So the body has an immune system, the immune system recognizes self and non-self. So I, some people have allergies, that's pollen, your body sees it as a problem, fights it. If I plug someone else's DNA onto you, your body's going to be like, what are these cells? What about a organ transplant though? What if someone had a matching penis? So you could, if your identical twin had a much bigger penis than you, you could take it from him and put it on you. Identical twins, it would work. Really? Yeah. That's crazy. Yeah. So, you know, you have to immunosuppress transplant patients because they have to be really close. Please explain to me that. Yeah, make that a little easier. So, if you get a, you know, you have a kidney, you need a kidney transplant. You have to find a match. You probably heard like the donor has to match, you can't take any old kidney. It has to be someone who's really similar to you. Sometimes family members are matches. They have, again, this is not my area, but there's a variety of factors that they look at to see what immunologic things, what immune system things match up. And you need enough of those to match, to be a match to get that kidney. Even with that, you're on serious medicine for the rest of your life to dumb down your immune system. So, someone with a kidney transplant gets sick. It's a big deal. They're in the hospital real quickly. They have to get a lot of antibiotics because their immune system doesn't work the same. Wow, you've had to replace two penises and that's not even, that's crazy that it could even work, even a finger. Like it's crazy that you can get it to have to function again. Yeah, it's cool. Yeah. What was the first human you ever cut into? Were they alive? I guess not. No, speaking, the first humans that we cut into was going to be in general anatomy. General anatomy. Like an advert type, situation. Yeah, but you're not learning surgical technique, you're just learning all the structures. That's the first human I cut into was... Are you nervous? Your first surgery? Oh, yeah, for sure. It was med school. I was operating with the surgical team and that's how teaching hospitals work. I was super gung-ho. Like I said, I would finish my plastic, my medical school work and then late at night I go to the hospital and figure out what plastic surgery cases were happening, reconstructing all these things, ask if I could come in and scrub in and then get to know you better and better and better and let you do stuff. I'm meaning to ask this in a positive way, but were you a super nerd for it? Yeah. Like you wanted it, you were so nerdy for it. Like you wanted to be there when it wasn't even your time to be there. I was there all the time. That's awesome. I don't have enough time to be there. That's what I want my surgeon to be. I want my pilot to be that too. I want my pilot to be outside the simulator. I'm like, can I get in? I know it's not my time, but that's what I want. I want my surgeons, I want my pilots, anything that, because you have our life in your hands. Yeah. It's been, it's, you know, now at this stage of my career, I'm actually trying to learn how to extricate how I see myself from just being a surgeon. It's been the focus of my life. You know, I'm in my early 40s for the last 20 years. I've been like focused on basically that, right? And you know, you're not, you're, now you're a father and you're a husband and you have friends and you're not just a radio, you know, you're not a radio host. You're not just a, you're not a personality alone. So much of my, of my self-worth has been wrapped up in what I do that, you know, it ends up being a little unhealthy at some point. You have to remember that you're a person and, you know, connect with my kids and wife and friends and find other interests because it's easy to just do nothing but that forever. You get zoned in and you get focused and you get worried that if you're not doing more, then you're not doing enough. And so. Yeah, my entire identity has always been about what I do. And I'm starting to, as you said, not have that be the, the sole focus. That's also hard to release that because of the goals that I've always had, because a little bit of me starts to have real life come into play and it's not the sole focus. And I start to go, wait, am I, if I slow down, if I start to lean into these other parts of my life that are valuable, but if I take the gas off of this, you know, radio show podcast, whatever I'm doing, like I'm going to lose it there. Like, I struggle with that because I've always been such a nerd for all this. Yeah. I mean, I feel a lot of similarities with you. So, well, my executive coach would say is, you know, what motivated me early on, you know, fear, I didn't want to, I didn't want to have nothing. I didn't want to be able to forward this in my kids' school. I wanted to achieve something. I wanted to accomplish something different. But, you know, that fear doesn't serve. I'll speak for myself. It doesn't serve me anymore. I don't need to live my life upset when everything isn't perfect. And, you know, this week, I should have done one more surgery because I could have and I had the time and why wasn't it full? And why didn't no one come in for that? And, you know, I spend my, I spend, you end up spending your life like kind of miserable or frustrated or upset. And I'm not going to, you know, I'm not going to let my foot off the gas. This is who I am. I'm going to strive for excellence. I don't need to do it in such a way that I'm just beating myself constantly, you know, that served me. But it's time to, you know, move on with the next phase. Did you find having kids change that? You know, oh, my wife, she's kind of laughing. She hears this. So, when my first child was born, I was a resident. I was on my chairman's rotation. I said, babe, I have big surgery with Dr. Rourke. That was my chairman and one of my big mentors. Tomorrow, do not have this baby. Of course, she had the baby. I had to skip work. Obviously, I was, it was okay. I took three days off and then I went right back to the grind. I'm like, this is my training. I, you know, you'll be fine. Your mom's coming to town. It's cute baby high, you know. Second child, I was in early in practice. I took one day off. I went in for the day of the baby and I said, you're good, right? You go, I'll get you home tomorrow. But I went back. I have patients, they're, you know, they've moved their life to have surgery. I can't cancel. Third child, we scheduled, I had it born on a Sunday, so I took no days off. My wife's pretty upset by this point. This is only six years ago and I thought it was so cool. You know, I was like, I'm earning for my family and I'm, all my wife wanted was me to be around and all my kids want is me. And so, you know, that was ramping up to the most extreme kind of overdone. And I used to think it was cool. Just like I used to brag about not sleeping, you know. We were always trained like, I haven't slept in three days. I'm still operating, you know. Someone eventually was like, you know, that's not cool, right? Dude, I'm like, oh, okay. So, trying to, trying to recognize what I'm really going to care about on my deathbed and I really do care about my patients and I, I want my family to be proud of me and I want to be a pillar of my community and I, you know, I love that whatever reputation I've been able to create has been one of, you know, trusting and loving and good bet-sai manner. And that is all a big part of who I am. But I can't shirk everything else and just expect it to stay there and be there for me. So, let's take a quick pause for a message from our sponsor. And we're back on The BobbyCast. I started to have mortality thoughts now, which I never really had. That's just getting older part. Yeah. And I was always the youngest, always the youngest at a high level. Right. Always. And now that's catching up to, and so you start to go, whatever, I'm going to die soon. Like, maybe if I just die now, I'll be cool still. I die cool. You don't think about that? You don't think about that? Yeah. Well, I'm not cool. So, I don't need to worry about that. But, you know, yes, like, someday, the public might not be as interested in you, right? Like, down the line for whatever reason. And so, that's not all that makes you, that's not all that makes you important. That's not all that makes you, you know, a light in this world. So, I think gaining some perspective, especially while you still have all the accolades and everything going and, you know, all the stuff you've done, like, you know, I've been here for 11 years now in Nashville. And obviously, I've known about you, because everyone knows about you for all this time. And I've seen, I've watched, you know, that growth, your career, what you've done, how hard you've pushed, how many things you do at the same time. And, you know, I connect with that. And I look up to that. You know, it's just you can get caught on that treadmill and kind of lose everything else. Yeah. Having a kid. And again, we're so new in the kid state process. I don't know, it's a baby, it's a human. I don't know, it's not a process. I feel like a science experiment sometimes. I'm not gonna lie. But yeah, it's like that stuff starts to set in a little bit where it's like, I really need to allow these other things to come in, because if I don't, they're going to come in anyway. Yeah. And so, I'm going through that a bit. A couple other questions that popped into my mind. And I hope I'm not speaking out of turn here. And maybe you've said, you've worked with Kristen before? Yeah. Okay. So, if I'm wrong, but I believe you did Kristen Cavallieri's breast augmentation. If it's a celebrity on the table, is that more pressure? You know, she's awesome. She's a sweet, dear friend as well, which is always, you know, which is actually another layer of pressure, right? Operating with your friends, which I've done a lot at this point. You know, it's obviously a little more under the microscope. You know, there's a little bit more stress, especially when you first start operating on people in the public eye. And I try to put that aside. I mean, maybe leading up to it, but then, like, you know, I'm no athlete, but, you know, being in the zone kind of thing. I mean, I want to be in my flow state. I'm doing my thing. It could be person A, B, C or D. It does not matter. And I come up for air at the end, and it's been three hours, and, you know, it's like a total time warp. And, you know, then I might be like, oh, good, you know, but I really try to approach everything the same. I think that's when you mess things up, when you try to, like, you know, be extra cool or do something extra because you're worried about that person or patient. So it's got to be a weird relationship because let's say you do a breast augmentation on somebody and then you see them two years later, do they just go, look, Doc, they're still good. Usually to everybody. Honestly. Yeah, I'm sure right after they do. But if you just see them, like, years later, is that that's probably just normal to be like, how are they? Sure. I mean, you know, listen, it's a private thing. I want to respect people's privacy. So I will never come up to you. No, when they make you come up to you. Yeah, they come up to me, then I'll take their lead. Like, you know, whatever. That's wild. Yeah. Yeah, you know, I always say like 16 year old me is super impressed with adult me. It's like, you see a lot of boobs. Wow. Do you feel fulfilled with your career choice? Yeah, that's cool. That's the coolest part of all this. How about you? Sometimes I feel like a failure still tremendously. Like, I live in a failure state. Right. So it's nice to know that if I were fired, I would still be able to buy groceries for the rest of my life. Like, that's a comfort. But I feel like, but I feel like a failure constantly in my guts, like deep, deep, deep. So I think I'm fulfilled when I can do cool things for people. That's awesome. Yeah. I think that's where my fulfillment comes from. All this stuff goes away tomorrow. Nobody knows who I am in two days. If, you know, it's not real, but like I cling to it at the same time. So I don't know. It depends what day it is. But it's like, I'm more fulfilled for you after having this conversation because again, my association with plastic surgery is what television has told me. And that is unfair. Because you'd be like, that's, oh, that's slick, will of the plastic surgeon. He's doing boobs and butts to make women. But really, there's like so much more involved. It's so, it's so involved that I'm kind of embarrassed to ever felt that way about it. And also you're like in shape and cool and good looking. You're like, look at the guy, look at him. He's so, you know, must think that he's hot stuff. Do you get that? You know, like you're like really good. You're like really in shape. You can't do it to yourself though, can you? You can't like. No, I've never had any cosmetic surgery. You haven't? No. Dang, could you do it to yourself? I actually did do a small procedure on myself. You know, little fatty tumors called lipomas, like a little kind of ball under the skin. You ever heard of that? I'm not familiar now. Anyway, I had one on my stomach and I'm like, I think I can do this. So I had my team around me. I laid down in my own chair. I numbed it up, took a knife, I cut into it. I spread it, I got it out and I sewed it up. So I did one little surgery on myself. But no, you can't do like real surgery on yourself. And you've never been weird about seeing guts and stuff? Never, no. Never hard to cut into flesh. Like when my baby was born, I didn't want to cut the umbilical cord. I didn't, by the way, because I said, is there a benefit? If there is, I'm happy to do it. If it's going to benefit the baby in any way, give me the garden shears. And they were like, no, I'm out. Don't lie. I don't like cutting mistake. I'll be honest with you. I pick up, I do a full fork like lollipop. I don't like cutting meat. So for me, not the job. But you've never been an issue. No. You know, I don't have a lot of natural talents, but like that was certainly something that set me up. I mean, there's never a problem for me. I, you know, one of my sons loves it. Right. He's watched me do surgery. I have a surgical center and in my office, it's all private. So he can kind of watch from the window. And he's always been super enamored with it. My other son is like, you know, it's like, oh God, you know, and it's so cute. He's like, I think I can get over because I want to be a plastic surgeon like Daddy too. It's like so adorable. But I think so. And by the way, I don't think just because it weirds you out when you're young or it doesn't meet, portends one, you know, answer the other. You could start feeling kind of grossed out and get over it. I don't like it. You know, I don't like eyeballs. Like poking eyeballs. I don't like watching. Poke. Huh? Like cutting. Oh, I don't do that. I torture or surgery. No. I'm not a fan of torture. Okay. No, no, you know, like a lens replacement in the eyes where you cut through the cordial and open it. Got it. And that that that's too far. A little weird for me. Huh. Yeah. Congratulations on everything. But like people really respect you. Because, you know, we since we started on Netflix, it's been for the most part just people I'm super interested in. And so like I'm real. And I hope my questions have been coming from a sincere place, even though they've kind of been funny, but I really do wonder this stuff. And I think that I was just kind of, I had the wrong impression, but like I that's been a super enlightening last hour for me. So I really appreciate you answering those questions. I really appreciate it. You know, I mean, I want to make my family proud. And, you know, honestly being invited on this felt like a big deal. So, you know, I think you're the first non celeb we've had on Netflix. I think you're a celebrity. Don't be offended by that. You know what I mean? You know what I mean? It's a fair statement. Don't find offense in that because hopefully that didn't. I'm only a celebrity to like my mother. Regardless. What's your favorite surgery to do if you got one surgery and you can specialize in one thing? What do you do? My answer has always been to, you know, I love my little mix. I love doing really. So I fine. I'll give you an answer. Thank you. Okay. Fine. So complex revisionary breast surgery is probably what I'm, you know, best known for from like a broader. What's complex about it? Like people that have had problems or issues, you know, maybe an infection, maybe a heart, a scar tissue issue or asymmetry, malposition, meaning implants in the wrong spot. That have tried to have it fixed multiple times. I do a lot of like cleanup work. And that's, that's a fun challenge. I have a friend that's a vet and people will just send her pictures like their dog's poop and or like being, their dog is sick or something. Do you ever, people just send you pictures of them? Yeah. Like what, what is this? What can I do really? A lot of new selfies. You could get away with that though. I mean, that's a way to hunt. No, honey. I'm a plastic surgeon. Listen, my wife does all my Instagram stuff along with Sophie, my office is awesome and there are a lot of stuff. I don't really go on there much and I, you know, it'd be, it'd be probably, I have no interest, but probably pretty easy to pull off an affair. You know, like no one. I would think so. My final question is if I don't get enough sleep and I don't eat right, my performance the next day is probably not going to be good. I might get away with it once. Right. But because I have to be mentally focused, I've got to be there physically. Yeah, I have to be on. Yeah. So I have to take care of myself. Do you feel that way? Like going before surgery, like the night before it's eat, right? Get, get to sleep on time. Like you have to do the fundamental things right so you can do right for them. Of course. Yeah. I mean, I work out at five every morning. You know, I go to bed early every night when I'm not on vacation. I get up, I have my same routine every morning, I kiss the kid, you know, it is very much like game day ritual, if you will, you know, every day. I want it to be consistent and, and you know, I owe that to my patients and, you know, I want to feel the best version of myself. So I fully agree. Mike, do you have anything? Because I'll end, but if there's any question, I just didn't ask. Because I have a hundred that come at me all at once. Anything that comes to your mind? Okay. That means I've done a good job. Okay. If he's got nothing, that means I've done a good job. That's good. I like that. Uh, people can just reach out to you on Instagram. Yeah, sure. For sure. Yeah, or yeah, sure. Yes. Oh, we said it before you came in. We can say it again. Yeah, Instagram. There's a website. But don't just stop by. Don't do it. Like, because if people don't, apparently people don't just stop by and walk in and be like, swinging by looking for advice is not going to work. It's not going to work too well. Yeah. Yeah. Set up an appointment. Dr. Harker, thank you for your time. This has been awesome. Bobby, I really appreciate it, man. Thanks.