you know when I when I bring up this
topic I've brought it up you know with with
the people that work with me and there's
there's controversy it's like oh why do you
want to go undo but anyone do that can't
you just age gracefully what do you say to that?
 
thank you so much for tuning into our
second act with Paige and Silke today's
our expert segment and joining us from
Miami Florida is board-certified plastic
surgeon dr. Adam Rubinstein dr.
Rubinstein thank you and welcome to
second act TV well thanks a lot my
pleasure to be here and appreciate you
having me on what dr. Rubin seen as you
know that today we hope this is the
first of many segments focused on
plastic surgery on aesthetic surgery a
procedure that you know you undergo the
knife strictly to improve your
appearance and that comes with with risk
and it comes with controversy so before
we really get into our segments on on
specific improvements we can make let's
talk about that the psychology of that
decision how do you counsel people what
are the considerations ...well I think you
really hit the nail on the head the most
important thing is if you're considering
having something done that it's done for
the right reason which is done for you
and not because your husband or
boyfriend or wife or girlfriend feels it
maybe it would be a good idea really it
has to be from with it now I tell people
I'm not in the business of need I'm in
the business of want you don't need what
I do you have to want what I do and if
you want it very personally and you have
a good motivation something that makes
sense and you're asking for a change
that makes sense that I think we can
achieve well that's the best reason to
have something done well in on second
act of course you're talking to a
demographic more vintage demographic
know with us there's a lot of sagging
there's a lot of wrinkling and expanding
going on toward the the consideration to
have something done permanently is
becomes more and more prevalent one of
the things that I know plastic surgery
won't do is improve your self-image is
that a message that you would agree with
well I think it can improve your
self-image if that you know if the
reason that you are self-conscious is
something that we can improve and that's
a big portion of why people have plastic
surgery is because they feel very
self-conscious about maybe a big bump on
the nose breasts that have sagged after
having children they don't feel
comfortable in certain types of clothing
tummies that hang
after having kids maybe or after weight
gain and loss or just weight gain you
know all these things that change your
your body image and your self-image that
maybe you no longer feel comfortable
about and that's okay it's okay to want
to be comfortable with yourself as long
as it's yourself and it's not your
boyfriend or girlfriend or wife or
husband that's pushing you to say you
used to be this way and now you're that
way and you know shouldn't you think
about doing something about it that's a
bad reason to have it done but if you're
the one looking at pictures of yourself
or you're looking in the mirror and you
find the same thing there that drives
you nuts every time that's a reason to
think about yeah well and then that goes
to what you what do you expect from it
what do you expect the procedure to do
right I think that's an important thing
to think about too what is the true goal
you know I'll tell you an interesting
story this is a patient that wanted to
have a rhinoplasty years ago a patient
came and had a clear problem it was an
aspiring actor and he had a clear
problem with a bump on the nose really
wanted to make it a little more trim and
and look better on camera and so he came
back this was about two or three months
after surgery came back with his
girlfriend and he was very distraught
and he looked great everything went well
he had a nice operation a smooth result
everything looked good and he just
it was very upset and said you know I'm
still not getting you know much work and
you know I thought this would make a
difference and it just it hasn't worked
out the way isn't it was just terrible
and then he excused himself to use the
bathroom and while I was gone the
girlfriend said you know doctor I think
you did an amazing job he looks great
truth is ...he's not that good of an actor
so yeah you can't expect to play the
piano after if you didn't play it before
you know when I when I bring up this
topic I  you know with with
the people that work with me and you
know some some friends and there's just
controversy it's like oh why do you want
to go on do you want to do that can't
you just age gracefully what do you say
to that
well there's nothing that you know aging
gracefully doesn't obviate having
procedures done what is aging gracefully
aging gracefully is aging with grace and
there's nothing ungraceful about having
procedures to keep your confidence and
to keep yourself looking fresh and good
so you know where do you draw a line is
having a little Botox to keep you from
frowning not being graceful you know is
having a filler when these lines get a
little bit deeper and you start seeing
on getting a little older this it's
making me look a little older I don't
like it is that not graceful I would
actually say that's more gracefull to
have that confidence in yourself to feel
comfortable and really good in your own
skin and if that means you get an
injection here or maybe a little
procedure there it's not a bad thing I
always say vanity is not a four-letter
word ...when do you stay away have you
found yourself in the position where you
may be rejected a client or turn down a
procedure because psychologically you
didn't think they were there absolutely
absolutely and that's important that's
why I say you want to see someone that
you feel that you can trust someone with
the proper training and experience
because I say no as much or maybe more
that I say yes patients frequently come
with ideas of things that they want that
really are not going to get them what
they're seeking I do limit who I operate
on very carefully and again it really
has to be someone who wants it for the
right reason and has expectations I
think we can meet with goals that I
think we can achieve well and that's why
I like talking with you and you know the
research I've done on you I I feel like
you are somebody people can trust that I
believe that you've you've been in a
position of fixing a lot of botched
surgeries and where I as the host of
this program and I'm kind of taken a
position that hey this is plastic
surgeries is something to consider you
know I'm certainly not saying don't do
it I also don't want to encourage
somebody without really urging them to
do their homework do it right how do you
do your homework correctly how do you
guide someone to do their homework
correctly what are the resources out
there to finding a qualified
board-certified plastic surgeon and why
is that important
lots of questions here question let's
start with why it's important because
you know not all doctors are the same
and unfortunately there's lots of
doctors out there that shouldn't be
doing what I do and they are there is
only at this point there's about seven
or eight thousand board certified
Plastic Surgeons
there's probably it's somewhere between
fifty thousand and a hundred thousand
doctors doing cosmetic surgery but you
really need to be very careful and
people perceive and doctors perceive it
as a way to make a quick easy buck and
there really is no there's nothing easy
about what I do so you want to make sure
you're seeing someone qualified and
qualified in my business means certified
by the American Board of plastic surgery
that's where you start you want to make
sure anyone you're seeing is certified
by the American Board of plastic surgery
that board and that's the only board
that you should be looking for anything
that has the words cosmetic in it is not
a real board it's not something
recognized by hospitals to give hospital
privileges so you want to make sure the
American Board of plastic surgery and
beyond that a good place to start for a
plastic surgeon of any kind would be the
American Society for plastic surgeons
and they've got a website which is
plastic surgery dot org and the best
place in my opinion to look for someone
for cosmetic surgery is the American
Society for Aesthetic Plastic Surgery
ASAPS and they have a website called
smart beauty guide.com on smart beauty
guide dot com every doctor is board
certified by the American Board of
plastic surgery and they specialize in
cosmetic surgery in their practice so
any doctor there is going to be someone
who'd be a good person to start with I
will be sure to link to everything
you've just said it'll be in the video
description below
I will also make sure I link to all the
information so if people want to
get in contact with you directly if
they're in Miami or willing to travel to
Miami you know I would encourage them to
come see you I have done research on you
I like the way you present yourself I
feel like you're somebody that is going
to guide us in the right direction and I
you know look forward to talking with
you more in the future
specifically for our demographic what
are some of the more popular procedures
that we can look forward to talking
about as we age there's a few things
that happen in your face that are
pretty well standard for everyone men
and women alike we lose volume in the
face and that usually happens in the
cheeks they get a little flat or a
little bit more hollow we lose volume in
the lips and they get thinner and
smaller both men and women not just
women and as we age the skin of the face
rotates downward and inward and so
that's you start seeing these that's why
you see these lines getting deeper the
labia mental folds and marionette lines
they get deeper and you go all this junk
that accumulates under the chin and the
neck as everything rotates down that way
you then so facial aging there's so many
things we can talk about eyes facelifts
neck lifts really the whole spectrum and
then of course having kids getting a
little older gaining losing weight
breasts on a woman can change
tremendously and of course the tummy you
know these are the things that we see
and we can discuss them all ...well we look
forward to that what any last parting
words for this segment well I think
you're doing a great thing I think it's
a great segment I've been so happy
getting a chance to speak with you about
it it's important messages to get out
and I appreciate that you're spending a
segment to talk about what's important
when you're making these decisions I
think the take-home message really is to
make sure that anything you're
considering is truly personally
motivated and that you're getting advice
from the right kind of doctor someone
who's got the right certification from
the American Board of plastic surgery
that you trust and you feel a connection
with and then they listen to you you
want to have good communication back and
forth get good information that's how
you make good choices and hopefully get
great results
thank you doctor Rubinstein, great
advice we'll see you soon on another
episode of our second act with Paige and
Silke ... thanks for having me bye-bye
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