Nipped & Toxxed: Recent Episodes
Dr. Ashley Robey & Katie Reichart
Dr. Ashley Robey, quadruple board certified plastic surgeon, and Katie Reichert, certified cosmetic professional, discuss topics related to plastic surgery, aesthetics and looking/feeling your best.
In this episode of Nipped & Toxxed, Dr. Ashley Robey and Dr. Christopher Zarella discuss rhinoplasties. They explain the differences between aesthetic and functional rhinoplasties, emphasizing the importance of a balanced approach to achieve both cosmetic and functional improvements. They delve into the complexities of the procedure, including the meticulous planning it requires and the common challenges faced. The doctors also address misconceptions about the surgery, touch on minimally invasive liquid rhinoplasties, and underscore the importance of setting realistic patient expectations. Dr. Robey & Dr. Zarella advise prospective patients to consult with board-certified surgeons who specialize in rhinoplasty for optimal results.
Dr. Ashley Robey and Dr. Kelly Killeen discuss surgery for gynecomastia, or feminized male chests. When does it present, what are predisposing factors, what is the work up, and what are the surgical techniques that are utilized. All the questions and more are answered during this episode of Nipped and Toxxed.
Exploring the intricacies of handling challenging patients in surgical realms, Dr. Ashley Robey & Dr. Kelly Killeen delve into categorizing difficult patient types based on behaviors. Topics include managing deceitfulness, mental health issues, non-compliance, and setting realistic expectations for improved outcomes and professional relationships across plastic surgery and other medical scenarios.
Dr. Ashley Robey & Dr. Kelly Killeen discuss their recommendations for skin care. What are the essential products types? What specific products should you seek out?
1:40 Start with a good cleansing regimen
2:46 Nighttime double cleanse
7:08 Moisturizers
7:30 Spend a little extra on your hyaluronic acid product
11:50 Peptide based rejuvenating products
15:29 Instant topical wrinkle removers don’t work
16:56 Exosomes in skin care
18:55 Hyperpigmentation and dark spot treatments: hydroquinone, tranexamic acids, kojic acid, niacin amide
24:14 Sunscreen
29:37 Antioxidants, vitamin C
30:43 Retinoids: retinols, Retin-A, tretinoin, isotretinoin, adapalene, tazorac
36:39 Eye creams
39:00 Popular Rx-strength skin care lines
41:08 Some price favorable alternatives
46:05 Acne options
Dr. Ashley Robey and Dr. Kelly Killeen tackle the challenges associated with the lack of regulations in the aesthetic and plastic surgery industry.
00:17 More demand for procedures leads to more supply of people performing them
01:50 Medical supervisor at most spas is usually not an expert nor is he/she on site
02:30 Inexperienced providers and bad outcomes: HIV transmission in Albuquerque medspa
7:00 Mixed experience levels of injectors
8:46 Unqualified medical providers doing medical procedures: 2 NPs in Indiana performing liposuction
9:47 PA in Vegas liposuctions independently
12:35 Bad Surgery Plan: 1)phone call with sales person 2) book surgery 3) make travel reservations
13:30 Lipo Chop Shops
19:37 Non plastic surgeons performing plastic surgery
24:17 Board Certified "Cosmetic" Surgeons do not have the same level of training of actual board certified Plastic Surgeons
32:22 Check certificationmatters.org
33:39 Med spa providers resorting to FB to help with medical disasters
35:14 Unregulated products: fillers, botulinum toxins, medications
40:56 Seeking providers that will treat patient as a whole and have the ability to say no
42:35 Some plastic surgeons bend the rules for celebrities and attention
47:22 A physician led team is important for patient safety & plastic surgeons are the expert physicians in the realm of aesthetics
Dr. Ashley Robey and Gavy Uppal, NP cover the latest and most popular peptide therapies that are utilized in anti-aging medicine.
1:04 Wtf are peptides?
4:22 Semaglutide - the uber-popular weight loss peptide
12:46 Mounjaro - newest weight loss peptide
14:57 How we determine what kind of body weight your losing
17:09 You are what you eat, so don't eat garbage
19:21 BPC-157
25:47 Growth hormone
27:36 CJC-1295 and Ipamorelin
29:04 Ghrelin and gremlins?
32:24 NAD+
33:42 What Dr. Kelley said
36:03 Epitalin "fountain of youth"
39:21 Not a peptide, but we still love Morpheus
39:56 Melanotan II, the Barbie peptide
46:22 Skin care peptides
48:12 PTD-DBM - the hair peptide
Dr. Ashley Robey and Alisha Story, Aesthetician, review things that every prospective patient should consider before having a plastic surgery consultation.
01:30 Standard questions you should always ask/know about your surgeon
04:11 Who should come to the consult with you?
05:25 Can I show my surgeon some photos?
07:16 Social medial trends and plastic surgery
08:53 Lies of omission
10:09 Plastic surgery is not a weight loss procedure
11:02 Despite what the AMA says, BMI is a useful tool (it's not racist)
13:07 Smoking and diet
15:40 I'm okay if you meet with another plastic surgeon
20:22 Complete your online paperwork before your scheduled appointment time
22:30 Focus on your top few priorities
25:33 Bring a list of questions you have
28:00 Don't lie to your surgeon
29:42 Optimize health before surgery (e.g. Live Better MD)
31:29 Leave with a plan but also enjoy your time
34:16 Deal breakers in finding the right surgeon
38:01 Get recommendations from surgeon who can offer a full spectrum of services
39:30 Plan ahead & schedule accordingly
41:44 Summary of consult considerations
Dr. Ashley Robey & Dr. Kelly Killeen discuss the world of surgical tourism.
00:21 What is Surgical Tourism
01:48 Why people travel for surgery
02:38 It's always cost
04:08 Who will take care of your complications?
05:27 Life threatening complications
08:28 Shady medical tourism companies
10:01 Faux surgeries
11:07 Non-plastic surgeons doing plastic surgery
20:29 You get what you pay for
22:27 Surgical tourism within the United States
23:16 Safety concerns in surgical tourism
23:52 Anesthesia and in-office surgeries
26:18 Most horrific stories of surgical tourism
28:57 Consider surgeries at teaching hospitals in the US to save $
33:04 Final words: buyer beware
Dr. Ashley Robey, quadruple board certified plastic surgeon, tackles the subject of breast implant illness with Dr. 90210's Dr. Kelly Killeen.
01:14 What is breast implant related illness?
05:38 Criteria and timing of BII
06:51 17-84% of BII patients improve with explantation
09:55 Chronic inflammation is an energy sink
11:05 Social media and BII
11:49 En bloc capsulectomy not a necessity in BII
14:19 Treatment should do more good than harm
16:07 En bloc capsulectomy vs. total intact capsulectomy vs. partial capsulectomy vs. capsulotomy vs. capsulorrhaphy
19:50 Patient demands for specific surgical treatment
24:04 Sending tissue off to certain labs?
26:30 Finding the right surgeon for your treatment
28:42 Better information, better decisions
29:21 Surgeons going rogue?
32:49 BII community "approved" surgeon lists - not on them.
36:38 Media coverage of BII
38:30 Silicone in lymph nodes
40:57 Who will get better with an explantation?
42:05 When to run for the hills
Quadruple board certified plastic surgeon, Dr. Ashley Robey, discusses the psychology of plastic surgery and the practice of mindfulness with author and psychologist, Dr. Alan Goodwin, PhD.
00:00 Dr. Goodwin's book, Saving Face Without Losing Your Mind
06:11 How do you employ mindfulness and meditation techniques?
11:00 Are patients receptive to a referral to a psychologist?
15:53 Meditation is not stopping; it is fully immersing yourself in your thoughts
21:40 Role of a therapist
23:42 People with depressive tendencies tend to devalue something once it is attached to themself
25:17 Body Dysmorphic Disorder exists but is rare
25:51 Cosmetic surgery to reach preference goals is common
28:18 Desperation for surgery is a red flag
31:16 Online support groups can be helpful
33:19 Who should seek therapy prior to plastic surgery?
37:48 Importance of communication in postoperative period
38:47 Don't personalize the struggles of others
42:53 Compassion is a tool associated with mindfulness
44:11 Cognitive Behavioral Therapy
Dr. Ashley Robey, quadruple board certified plastic surgeon, and 90210's plastic surgeon, Dr. Kelly Killeen, discuss plastic surgery for men.
00:59 Men as a % of Plastic Surgery Patients
02:24 Upper Blepharoplasties
03:20 Lower Blepharoplasties
05:18 Liposuction
07:27 High-Definition Abdominal "Muscle" Sculpting
11:23 Chin Augmentation: Filler, Fat, Implants
12:57 Submental contouring
13:46 Rhinoplasty
14:30 Avoiding murderous patients
16:47 Neck Rejuvenation
17:22 Skin care for men
18:36 FaceTite
19:49 Facelifts
20:34 Anterior neck lifts
22:06 Gynecomastia - feminine male breasts
25:55 Hair Rejuvenation
26:45 Abdominoplasties
27:37 Abdominoplasty Scar Length
28:15 Mons Ptosis & Hidden Penis Phenomenon
28:49 Genital Fat Transfer
30:34 Post-bariatric Contouring
Dr. Ashley Robey, quadruple board certified plastic surgeon, reviews breast lifts:
00:13 What is a mastopexy?
01:57 How much ptosis is ideal?
04:34 Categories of breast droop
05:15 Pseudoptosis
06:51 Minimally invasive breast lift using BodyTite
07:21 Crescentic lift
07:47 Circumareolar/ Periareolar Lift
11:33 Lollipop vs. Anchor Pattern Lift
12:56 Breast pedicle??
15:08 Secondary pedicle or auto-augmentation
16:25 Spiral flap
16:41 Mastopexy vs. Reduction
17:55 Will scars go away?
21:19 Mastopexy risks
24:44 Tool for improving symmetry
27:20 GalaFLEX mesh in lifts
30:32 Avoid Snoopy deformity
31:37 Breast Lifts can be Aesthetically Helpful
Dr. Ashley Robey & Dr. Kelly Killeen discuss lasers in plastic surgery - what's new, what they like, what they have, and what they use.
0:40 What is a LASER?
00:51 LASER vs. LOSER
2:06 Ablative vs. Non-ablative Lasers
3:10 Fractionated vs. Non-fractionated Lasers
4:05 Intense Pulsed Light/ IPL
4:55 Pulse Dye Laser
5:30 Diode Hair Removal
7:44 Complications of Laser Treatments
10:02 Post-laser peel recommendations
12:30 Luxurious Mouse Hair & Red Light Therapy
16:04 Marky Mark Has All the Cool Stuff
16:20 Tattoo Removal
18:08 Fraxel & ResurFX
20:55 A Bit About Noninvasive Body Contouring: Evolve, Cool Sculpting & EmSculpt
24:40 InMode's Morpheus
28:59 Maintenance of Beauty
29:50 Candidates for Laser Resurfacing?
36:38 Watch out Botox - Daxxify is new Botulinum Toxin Coming Out
37:53 Alma Hybrid is new go-to for facial resurfacing
Dr. Ashley Robey, Katie Reichart & Dr. Chris Crawford discuss bariatric surgery & post-bariatric contouring.
Check out the summary of episode content below:
1: 16 What BMI Should You Be for Bariatric Surgery?
3:11 Wiring the Mouth Shut
4:43 Orbera Intragastric Balloon
6:06 Weight Loss Medications
7:27 Weight's Set Point Theory
10:37 LiveBetter MD Anti-aging Medicine
12:38: Vertical Band Gastroplasty & Gastric Band
16:07 Sleeve Gastrectomy
17:27 Roux-en-Y and Duodenal Switch
18:36 Surgical Tourism in Bariatric Surgery
22:32 Panniculectomy
25:19 Predicting Excess Skin after Surgery
32:14 When to Do Post-Bariatric Contouring
37:32 Poor Scar Placement
39:04 Just Like a Video Game
40:44 Long Term Side Effects/ Complications
43:27 NO SMOKING
44:48 Weed, Alcohol, etc
47:16 Post-bariatric Transfer Addictions
49:03 Celebrity Bariatric Surgeries
Dr. Ashley Robey, quadruple board certified plastic surgeon, sits down to talk plastic surgery with Dr. Kelly Killeen of E's Dr. 90210. They address both myths and controversial topics in the field of plastic surgery
Here is what they touch on:
0m: Intro
1m20s: Bigger Implants Instead of Lift
3m10s: Liposuction is Good for Weight Loss
5m00s: All People Claiming to Be Plastic Surgeons Are the Same
8m30s: Nipples are Cut off and Reattached During a Breast Lift
9m44s: A New Belly Button Can Be Selected During a Tummy Tuck
11m44s: Breast Implant Illness Debate
15m40s: Need for En Bloc Resections
20m45s: Explant Regrets
21m13s: ALCL - Anaplastic Large Cell Lymphoma
25m30s: Plastic Surgery Tourism
29m12s: Is It Fat Shaming if Your Plastic Surgeon Asks You to Lose Weight?
34m40s: Gender Affirming Surgery in Kids
41m47s: Brazilian Butts for Everyone?
45m10s: Standards of Beauty
46m15s: Not Down with That Commentary
Dr. Ashley Robey discusses anesthesia with board-certified anesthesiologist, Dr. Darin Dill. Learn more about anesthesia, how safe or risky it is, and what your best options are if you are considering plastic or other types of surgery.
Summary of Podcast:
1m: types of anesthesia
5m: risks of anesthesia
9m: awareness under anesthesia?
10m: side effects of anesthesia
14m: how to reduces your risks of anesthetic complications
17m: is IV sedation safer than general anesthesia?
20m: CRNA vs. board certified anesthesiologist
25m: how long to recover from anesthesia?
29m: celebrity complications
35m: anxiety before surgery
36m: questions about anesthesia
Dr. Ashley Robey & Tara Covey, NP discuss benefits of being at one's ideal weight and strategies to help get there.
00min - Intro & Statistics
02min - Causes of Weight Gain
09min - Gut Microbiome
17min - Intestinal Lining
19min - Immune System
20min - Stress
24min- Identifying Causes of Weight Gain
27min - Dietary Recommendations
28min - Diet Medications
29min - Fasting
32min - Peptide Therapy
36min - BMI, Body Mass Index
38min - Fit 3D Body Scan
42min - Low Hanging Fruit
49min - Implementing a Healthy Lifestyle
Dr. Ashley Robey & Katie Reichart, CPCP, discuss breast augmentations, one of the most popular plastic surgeries.
Brief summary of podcast:
0m Intro
3m Implant Types
5m Capsular Contracture
8m Sizing Implants
12m Breast Lifts
14m Under vs. Over the Muscle
16m Fat Transfer to Breasts
17m Anesthesia for Augmentations
19m Old Implants: Remove, Replace, etc.
20m Warranties
21m ALCL
22m Breast Implant Illness
24m Symmetry Concerns in Breast Augmentation
25m Types of Mastopexies
29m Internal Bra with Galaflex
30m Breast Feeding
34m Postoperative Recovery
37m Postoperative Medications
Dr. Ashley Robey & Katie Reichart, CPCP bring on a special guest, Shay Dunne, to discuss real experiences with the functional and cosmetic benefits of plastic surgery, including perioperative tips for one of the most popular surgeries - an abdominoplasty.
Anti-aging / Regenerative Medicine treatments target aging as a disease process. Achieving one's ideal weight, optimizing hormones, improving stress levels, and reducing signs of cellular aging and inflammation are some of the facets of this field that have led to its increasing popularity. Dr. Ashley Robey, MD, Katie Reichart, CPCP and guest Tara Covey, NP provide an overview of anti-aging medicine from a functional and aesthetic standpoint.
Dr. Ashley Robey and Katie Reichart, CPCP, review injectable filler options. What types of fillers are available? What are the pros and cons of each? How much do they cost? Where are people getting these fillers and why? Listen and find out.
Dr. Ashley Robey, MD and Katie Reichart, CPCP, discuss liposuction and surgical body contouring. Who is a good candidate? How much fat can be removed? What happens to the overlying skin? Listen to hear answers to all of these questions are more...
Botulinum toxin treatments are the most popular noninvasive aesthetic procedures worldwide, with over 4 million treatments having been performed last year. Dr. Ashley Robey, quadruple board certified plastic surgeon, and Katie Reichart, certified cosmetic professional, discuss the ins and out of botulinum toxins, including Botox, Dysport, Xeomin, Jeuveau, and Myobloc.
Dr. Ashley Robey, MD and Katie Reichart, CPCP discuss plastic surgery, aesthetics and regenerative medicine. Today, the pair will discuss "vaginal wanding" treatments and other options to address urinary incontinence, vaginal laxity and pelvic floor restoration.
Dr. Robey is a quadruple board certified plastic surgeon, facial plastic surgeon, otolaryngologist and anti-aging medicine expert. Katie Reichart is a certified permanent cosmetic professional and aesthetic aficionado.