S06E104 Tight Faces, Loose Facts: The Facelift Myths That Make Surgeons Cringe

The facelift ranks among the most transformative yet misunderstood cosmetic surgical procedures. In this illuminating discussion, Join four board-certified plastic surgeons Dr. Sam Jejurikar @samjejurikar, Dr. Salvatore Pacella @sandiegoplasticsurgeon, Dr. Lawrence Tong @yorkvilleplasticsurgery, and Dr. Sam Rhee @bergencosmetic pull back the curtain on facelift myths that confuse patients and cloud expectations.

Ever wonder what happens when your face ages? It's not just about sagging—you're losing volume too, particularly in the mid-face. A properly performed facelift addresses both issues, repositioning descended tissues while restoring lost volume. This distinction separates surgical intervention from the piecemeal approach of fillers and non-surgical treatments.

The surgeons tackle the persistent fear of looking "weird" or "pulled," explaining that unnatural results typically stem from multiple procedures or excessive surgery—not from skillfully executed facelifts. They also address the popular request for "mini lifts," revealing how this often-undefined term creates confusion when patients actually need more comprehensive treatment for their concerns.

What surprises many? Facelifts don't improve the entire face. The standard procedure addresses the lower face and neck while leaving the eyes, brow, forehead, and perioral area untouched. The panel clarifies that men benefit tremendously from facelifts (with specific techniques preserving masculine features) and that younger patients (40s-50s) often achieve more natural results with simpler procedures.

The conversation covers recovery realities (less painful than expected), scar concerns (typically well-hidden and minimal), and the significant but justifiable investment required. Perhaps most valuable is their explanation of result longevity—how proper facelifts "set the clock back" by 7-15 years, providing lasting improvement that makes the procedure cost-effective over time.

Whether you're considering facial rejuvenation or simply curious about what happens beneath the skin, this episode delivers straight talk from surgeons who perform these procedures daily. Their insights might change how you think about facial aging and the surgical options available to address it.

@3plasticsurgerypodcast #podcast #plasticsurgery #cosmeticsurgery #plasticsurgeon #beauty #boardcertified #aesthetic #3plasticsurgeonsandamicrophone ⁠#bergencosmetic ⁠#bestplasticsurgeon #beforeafter #aesthetics #realpatientrealresult #boardcertifiedplasticsurgeon #njplasticsurgeon #njplasticsurgery #nyplasticsurgeon #nyplasticsurgery #goblue

S06E104 Tight Faces, Loose Facts: The Facelift Myths That Make Surgeons Cringe

[00:00:00]

Dr. Sam Jejurikar: Welcome, everyone, to yet another edition of 3 Plastic Surgeons and a 4th. As always, I am joined by Dr. Sal Pacella, who is at San Diego Plastic Surgeon, Dr. Sam Rhee, who is at Bergen Cosmetic, and Dr. Lawrence Tong, who is at Yorkville Plastic Surgery. I'm Sam DeJurikar, who's at Sam DeJurikar. Welcome, gentlemen.

Today, we are going to talk about a very, very exciting topic, which is common myths after facelift surgery. We've done this previously after other procedures, and we've gotten really good feedback, so we thought we would continue this series. Before we dive into the meat of it, Dr. Tong, will you read our disclaimer?

Yes, sir. This show is not a substitute for professional medical advice, diagnosis, or treatment. This show is for information purposes only. Treatment and results may vary upon the circumstances, situation, and medical judgment after [00:01:00] appropriate discussion. Always seek the advice of your surgeon or other qualified health provider with any questions you may have regarding medical care.

Never disregard professional medical advice or delay seeking advice because of something on this show.

Okay, so, I think before we get into what are myths of facelift surgery, someone want to tell our audience what is a facelift in very general terms and what makes it different than non surgical procedures?

Dr. Sam Rhee: The dude in the picture, yes, I'll go.

Dr. Lawrence Tong: The dude with the

Dr. Salvatore Pacella: think before we get into that, we first have to, have to explain our garb here. So, for, for those, uh, those of the audience that are not

Dr. Lawrence Tong: whoo

Dr. Salvatore Pacella: fans, we, we had an amazing win against Ohio State. Even though we are, uh, had barely a, a winning record, we beat our arch rival. So, here's to the Hail to the

Dr. Sam Jejurikar: Go Blue! Go Blue!

Dr. Sam Rhee: Go blue!

Dr. Salvatore Pacella: All

Dr. Sam Jejurikar: 7 in 5 season but [00:02:00] still a success when you beat Ohio State.

Dr. Sam Rhee: That's right.

Dr. Salvatore Pacella: All right. So, uh, so facelift. So, we, we got to understand how the face ages. I think that's a very important concept, right? So, not only does the face drop, descend, all the soft tissue loosens up and drops, but we tend to lose a lot of volume in our face. So, a, meaning fat. And, you know, I tell my patients it's one of the cruel tricks of nature.

The more in shape you are. As you get older, the worse your face looks, because if you ever look at somebody who's portly, their face looks actually very youthful, because they got some, some chunkiness to it. But if you have a fit, um, 65 year old that, uh, runs marathons, their face is oftentimes going to look very gaunt, particularly in the center of the face.

So, a facelift is really designed, to surgically treat both of those issues simultaneously. Most of the time the lifting component, but oftentimes frequently the volume component. Whereas non surgical [00:03:00] treatments are really designed to add little specific areas of volume or little specific areas of filling only.

Dr. Lawrence Tong: said.

Dr. Sam Jejurikar: That's a great explanation. And so, you know, we'll see patients that are coming in for these procedures and they've done a lot of research before they've come in. What are things that you've heard from your patients that you feel like you have to explain to them isn't really true? Dr. Rhee, why don't you start? Yeah, why don't you start?

Dr. Sam Rhee: the first thing is, is a lot of people when you talk about facelifts, they're worried that they're going to look like Mickey Rourke, or, you know, these crazy celebs who have really awful plastic surgery. They think facelifts make you look weird, or terrible, or unnatural.

Dr. Sam Jejurikar: Now, I, I want to lead it, go to Dr. Pacella, because Dr. Pacella told us a line on a previous podcast, which I have subsequently adopted. How [00:04:00] long do you tell your patients that they look bad for after their surgery?

Dr. Salvatore Pacella: Six months?

Dr. Sam Jejurikar: But I think you said something about them eating at their third

Dr. Salvatore Pacella: For, oh yeah, yeah, yeah.

Dr. Sam Rhee: Yeah. Yeah.

Dr. Salvatore Pacella: good friend Lou Bucky in Pennsylvania. He uses that line and I think it's very, uh, it's very unique. Um, I'd say after about three weeks you can go to your third favorite restaurant. Um, so, um, You know, one thing I think is a common myth that patients always sort of say when they come in for facial protrusionation.

It's like, you got somebody who's got a real long face, very thick neck with a ton of skin, and they say, you know, I was doing a little research on Google, but a full facelift sounds like a real problem. It sounds really intense. I just want a mini lift. I just want the mini lift, right? So it's like, you know, it's sort of like wishful thinking, right?

Like [00:05:00] everybody design, everybody defines the mini lift in a different ways. Some is a small incision. Some is just a big, big incision. That's just the skin. Others describe a mini lift. That's just a word they use for a full facelift, right? And so just to make patients, make it sound less intensive to patients.

So I think, you know, the key in my practice is really making the facelift bespoke. or tailored to each particular patient, regardless of what you call it.

Dr. Sam Jejurikar: Okay. Dr. Tong, what about a myth that you've heard from patients?

Dr. Lawrence Tong: Well I just want to comment on what Dr. Pacella just said. When patients do this, a lot of times they think that the neck is going to be improved as well because a lot of time, and you see this all the time, when you use your hand to do something, it's not the same as doing it with your hand. uh, the actual surgery.

So, you know, you have to take some

Dr. Sam Jejurikar: That's what she said? I'm sorry, what's that? What? Oh, what? What,

Dr. Salvatore Pacella: Time out. Cut. Cut.

Dr. Sam Rhee: [00:06:00] no.

Dr. Lawrence Tong: You know, you know, when I,

Dr. Sam Jejurikar: What?

Dr. Lawrence Tong: when I said that I was waiting, I didn't know who it was going to be. I thought it was going to be Pacella,

Dr. Sam Jejurikar: Exactly,

Dr. Lawrence Tong: but, but thank you for, you know, for going there, Dr. Jejurikar. All right. I don't even know where I was at. Anyways, you have to take some, you have to take some time to explain, uh, you know, what the face of, uh, does. And I, I think it's important, uh, to also note that there are different names. For, uh, procedures that, um, that might be the same.

So, um, in general, I think a generally accepted definition of facelift is something that's going to improve the neck, which is to tighten the neck, remove some fat, get rid of loose skin. And improve the face. And when I say face, it's jawline, maybe some of the, uh, marionette lines, nasolabial folds, and cheeks.

[00:07:00] Importantly, doesn't do anything to your eyes. It doesn't do anything to your brow or your. So one thing that, um, patients have a myth about is that facelift is going to, you know, fix everything. And it's mostly just sort of the lower, I would say, two thirds of the

Dr. Salvatore Pacella: to expand on that, Larry, a lot of times I have patients come in and another myth I would say is, you know, they have these kind of long lips and really intense vertical lines, tremendous amount of sun damage right in the perioral region. And they say, Oh, look, look at how much that gets better when we do this, right?

Well, that, a facelift. Common myth, it does not improve the center of the face right here whatsoever. That is a different set of procedures. A lip lift, fat augmentation, skin resurfacing, etc.

Dr. Lawrence Tong: Yeah. And when patients mention that to me, I say, well, if we're going to be pulling that hard to, you know, Get the wrinkles out of your lip. Your mouth [00:08:00] is going to get distorted then instantly to understand that it's not really, uh,

Dr. Sam Jejurikar: You know, um, yeah, I've, I've, in my practice sort of just calling in a lower face and neck lift just to avoid the confusion. But a lower face and neck lift equals a facelift. I think that is a great point that, that Dr. Tong and Pacella brought up. I think another myth that I have seen is that facelifts are only for women.

Um, I think, um, you know, men come in and they'll think. You know, what can I do? I don't want to get a facelift because I'm going to look like a woman. But, um, you know, there's nuances to how we do facelifts in men versus women. We design the incisions differently so that we're not pulling beard hair onto their ears.

We might tighten the deep soft tissue in a different sort of way so that, um, we don't make them look as feminine by adding too much volume to the middle of the face. We might inject fat differently so that, again, we don't make them look feminine. But facelifts and necklifts are very common procedures for [00:09:00] men, not just women.

Dr. Lawrence Tong: yep, agreed.

Dr. Salvatore Pacella: That's right. Yeah.

Dr. Lawrence Tong: One, one thing that I wanted to point out, I think Dr. Pacella said, patients come in and they think they're going to look like crazy or too tight. I think Those are bad examples of cosmetic surgery, and I think oftentimes it's patients who've had multiple procedures. I think that's important to, to understand is that there's only so much tissue on your face, and if you have multiple facelifts, like I'm talking three facelifts or more, or even just lots of cosmetic surgery on top of that, other things, You can start getting distortion and things looking unnatural.

So it's important for patients to understand that you can still get a very natural result and that what you might see On TV or media are usually bad examples and there's a lot of well done surgery, um, [00:10:00] everywhere and, uh, it, you don't notice those and, uh, you know, that's the kind of results that we try to get somebody who looks natural, who looks refreshed, looks younger, but doesn't look like they've had surgery,

Dr. Sam Jejurikar: What about any other myths that you guys may have encountered?

Dr. Sam Rhee: I think, uh, one of the things I see is patients will come in and they'll say, my spouse or my family have told me not to get it done because it's, uh, I'm just being vain. I look fine. I don't, you know, they're telling me I look fine. They're telling me it's just purely for cosmetic reasons. Uh, you're good enough the way you are and why take that risk and, uh, do something that could, could make you worse.

And I think for a lot of patients, they feel guilty a little bit that they're actually thinking about doing a face, you know, something for their face. And for a lot of [00:11:00] patients, when I see them afterwards, uh, they had to fight. The people around them sort of to get, to get the procedure done, to convince them.

And when it is done, they realize, their family realizes what a net benefit, not physically, but mentally it is for a patient. When a patient, when their outside image does not match what their inside Uh, image is of themselves. It changes what they do every day. It changes what they wear. It changes what activities they engage in.

And it, it changes, uh, pretty much everything that they do on a daily basis. And once they develop that self confidence, because their facial appearance now better matches what they think of themselves. Uh, and these are usually not people who are looking for insane or crazy results. They're looking just to look like.

What they did, uh, in a more natural way, uh, they're not looking to change or alter who they are. And it, and once [00:12:00] they get that appearance that matches their goal, it's, it's astonishing actually how, uh, their family then realize just how much of a better quality of life that they have by doing that.

Dr. Salvatore Pacella: Here's another, uh, Here's another myth, just to sort of dovetail on that, is facelifts are only for old people, they're only for the elderly, okay? And I think what we're, what we're seeing really is, you know, I have patients come in in their 40s and 50s now for, for facial rejuvenation. And there is a lot to be said for doing a procedure earlier.

Um, we can make that procedure a lot more simplistic. There's less, uh, surface area that needs to oftentimes, uh, be maintained or, or elevated. Um, you, you get a net benefit throughout your lifetime of an earlier procedure. And a lot of times you're, you're healthier at that age than you [00:13:00] would be at 80, you know, I mean, it's, it's.

It's hard to make an 80 year old look like a 40 year old, right? But you can make a 50 year old look like a

Dr. Sam Jejurikar: Yeah. And just to, and just to build on that, you know, we have spent a lot of time in other podcasts talking about massive weight loss and talking about, um, Ozempic and medications like that. I'll see patients in their thirties at this point who have lost large amounts of weight, have a lot of laxity, not just of the skin, but also the deeper soft tissue of their face who need a facelift to get the results that they want.

So they actually match their age. And I think that leads into another myth. Which is that the results don't really last that long. People assume that if they get a facelift that, um, you know, they're going to look the way that they did before the facelift a couple of years later. And what I would say is, you do a facelift, you set the clock back a certain amount of time.

Maybe it's 7 years, maybe it's 10 years, maybe it's 15 years, depending on the degree of severity of the problem that you're dealing with. But, but then the clock starts all over again. But when [00:14:00] you get to that point 10 years later, you look like you would have previously the facelift, but, but the results definitely last a long time.

Dr. Salvatore Pacella: One, one caveat with that, Sam, I think most of us here on the podcast are treating the deeper tissue, either doing a face, uh, a, uh, smasectomy, smasplication, Or deep plane facelift. I think that that statement is very true if you deal with the SMAS component or the deeper sub tissue, but I would say, you know, in just simple subcutaneous facelifts, the sort of cheap facelift that you see, the lunchtime lift, I think those results don't last very long at all.

Dr. Sam Jejurikar: I think, I think you're right, which is another myth that all facelifts are the same. Um, you know, I think we, all of us do, do facelifts

Dr. Sam Rhee: I think those results don't last very

Dr. Sam Jejurikar: in a way that we were trained, which is to definitely address the foundation, the deeper soft tissue. And that's how you see long results. Um, but you're right, uh, procedures that are not done the same way definitely do not, do not last.

Dr. Lawrence Tong: I think, I think [00:15:00] another benefit, potential benefit of, uh, doing, uh, surgery earlier, um, is that, um, The patient gets to enjoy it earlier, gets the benefit of it earlier. So, you know, if you wait until you're 70 years old, um, yeah, you look good at 70, but maybe you could have started looking good at 60, 10 years earlier.

So, um, the other benefit is you might not have a, such a drastic change. So a lot of patients come in, they, they don't want to look so different. They want to look like themselves. But if, if you have very saggy skin because you've waited Um, diverse, uh, facelift surgery at a later age, you're, you're going to look different because your amount of improvement is going to be much more significant.

So there's another benefit. It's more like, uh, I, I talk to my patients as sort of like more of a maintenance thing than it's sort of a makeover kind of philosophy.

Dr. Salvatore Pacella: How about, how about this, gents? Um, something we see commonly in [00:16:00] Southern California, and I'm sure you, sure you guys see it where you're at. Um, facelifts. Help with sun damage. Sun damaged skin, leathery skin, fine wrinkles, etc.

Dr. Lawrence Tong: No.

Dr. Sam Jejurikar: Don't do anything for it.

Dr. Sam Rhee: Yeah.

Dr. Lawrence Tong: is talking about is that, uh, patients think that the facelift is going Improved the, what I would call, sort of the texture and the quality of the skin. Facelifts serve to reduce sagging and improve the volume, but the surface is not really going to change that much. That's going to be things like lasers, skincare, you know, better, better sun avoidance, cessation of smoking, things like that.

Dr. Sam Rhee: I mean, what I will do is for a lot of my facelift patients, I'll do a TCA peel at the same time because they're under anyway, and I'll [00:17:00] do a 20 or 25 percent TCA peel. And, and that doesn't feel great when you're awake. I mean, you can tolerate it, but it's almost a freebie in terms of recovery from a TCA peel.

which does help because a lot of patients who do need facelift surgery also can benefit from a chem peel at the same time. I know maybe some of you guys do laser or some other skin type treatments at the same, uh, skin resurfacing treatments at the same time as well.

Dr. Sam Jejurikar: I mean, I think it all comes down to the fact that people are getting facelifts because they want to do things to reverse the aging process. Sun damage is also another sign of the aging process. And so when we were doing facelifts during our residency at Michigan, I remember whenever Hack Newman, Was doing a, you know, a facelift, peel, or laser, or a forelid bleph, brow lift.

We remember we called it a blue plate special, where, um, And so that's, yeah, I think we probably do these combination procedures where we're doing a lip lift, and a TCA [00:18:00] peel, and forelid bleph. I mean, we do all these other things at the same time, um, to reverse the aging process. But ultimately, they're all separate from the facelift itself.

Dr. Sam Rhee: I think another thing I'll see are patients that have gotten so much non surgical treatment in an effort to avoid doing a facelift. So they'll get so much filler. They'll get so much, uh, other, uh, non invasive type treatment. And a lot of times that is completely the wrong approach to address. I mean, a facelift addresses what we just talked about.

A lot of the non invasives, a lot of the filler type stuff is, can't, it, it almost looks weird when you see these patients where they've tried to do. They've gone through all sorts of contortions to try to actually avoid what I think would have been the simplest and most direct procedure for them.

Dr. Salvatore Pacella: Yeah, you know, the most common stigmata I see in what [00:19:00] you describe is injection in the pre zygomatic space right here. You know, this is oftentimes done by injectors where they put a ton of filler kind of in this region right here, not really understanding the anatomic box or constraint right here. This, this area, the pre zygomatic space has a Definitive structure to it.

And, and oftentimes, you see indentations around that area, around that box. And a common maneuver is placing filler in that region, but they get that filler inside that, that ligamentous box, and it just ends up being a big, massive, puffy thing here that just looks, looks terrible. So it's a common, common thing we see.

Dr. Lawrence Tong: Another concern that patients, uh, when they come in, is they're concerned about the scars. And, uh, they're concerned they're going to be visible. So for our audience, typically, a facelift [00:20:00] involves putting a scar that starts behind the ear at the lobe. In the groove where the ear meets the head, and once it comes up to the, about the widest part of the ear, it jets back and then either along the hairline or into the hair, that incision allows us to lift up the neck skin and work on the neck.

And then the other part of the facelift incision comes in front. And when I say in front, it comes in between the, uh. The, uh, crease between the earlobe and the cheek, and then once it gets to the opening of the ear, it's going to go sort of behind, uh, that little moon shaped, uh, piece of cartilage, the tragus, and then once it gets to the top of that, continue up, and then once it gets to the hair, it can either go into the hair or around the sideburn.

In my experience, and I'm sure in, uh, your guys all experience, these scars heal very, very well. Particularly in women, they're, uh, In the beginning, they're much easier to hide, even if the scar is a little bit pink or more visible because women have [00:21:00] longer sideburns, they have longer hair at the back, they have, um, access, uh, to makeup, um, easier than, than a male patient, and so, in my experience, the, the scars generally aren't a complaint when a patient has had enough time to heal after a, a facelift.

They're, you know, especially in, you know, light skin or Caucasian patients, you Those, those scars are very, very difficult to see, even I would say within several weeks of the surgery unless somebody knows that they've had it and they're sort of trying to look for it.

Dr. Sam Jejurikar: And I totally agree with you, Larry. But again, I think it comes down to how the incision is designed in the surgeon doing it. You will see that when you're getting one of these lunchtime lifts that Dr. Pacella was talking about earlier, where they're not manipulating the deeper soft tissue. A lot of times, Surgeons will overly tighten the skin, um, and you'll see particularly behind the ear where the skin may look like it's, the incision may be really wide or [00:22:00] maybe really thick, and that can be a telltale sign of a bad facelift.

I think if you set the skin with appropriate degrees of tension and you set the foundation by manipulating this mass layer, 100 percent true. The scars are very forgiving.

Dr. Sam Rhee: Yeah, I've had women who were worried that they couldn't put their hair up and, uh, afterwards. And they can pretty much wear their hair any way they want. I think the only challenge would be if they went completely bald. That would be a little bit of a challenge. But other than that, I tell women, there's no reason why we don't expect you to wear your hair whatever way you like afterwards.

Dr. Sam Jejurikar: Yep. Um, I think another myth that we haven't touched on involves the recovery process. Um, I think particularly patients that have had previous cosmetic surgery, they think that a facelift is going to be incredibly painful. That it's going to be painful to the degree of a tummy tuck or something like that.

And typically, in my experience, patients don't look great the first time. 2 or 3 weeks, [00:23:00] that's how I'm missing buyer's remorse. But they're not really in that much pain. They complain of a little bit of burning of their skin. They're usually better within, you know, within a couple of days. Things feel a little bit tight.

But I just don't find that they have that much pain.

Dr. Salvatore Pacella: You agree? Agree.

Dr. Lawrence Tong: Yeah, it's

Dr. Sam Rhee: I think

Dr. Lawrence Tong: mostly a feeling of sort of tightness and then we, I always tell patients that the skin is going to feel numb for several months but it always all comes back.

Dr. Sam Rhee: Yeah, I think you're right. I think getting through that first two or three week period, uh, where everything's super puffy, uh, swollen, uh, maybe they're, like you said, they're like wondering what, what did they get themselves into? And then once that phase starts to pass, and you start to see what the results are, and they start coming into focus, that's when the recovery process accelerates pretty quickly.

And, uh, it, it always blows me away to see someone at say a three week post or two week post, and [00:24:00] then like a seven or eight week post, like it's, it's, it's a pretty remarkable recovery at that, at that stage.

Dr. Sam Jejurikar: Well, any, uh, any other myths you guys feel like we haven't, uh, touched upon?

Dr. Salvatore Pacella: How about, how about this myth? Facelifts are inexpensive. I mean, it's, yeah,

Dr. Sam Jejurikar: I have, I have definitely, uh, I'm sure you guys encounter this too, where you'll have online inquiries and people are trying to kind of figure out how much things cost. And they'll ask what a facelift is. Yeah. And you give them a range and they are outraged at the number that they get back. Um, What's your line about cars and houses?

Again, you have some great lines for this.

Dr. Salvatore Pacella: I say, uh, many years ago I used to say, well, it's less expensive than a Prius, but it will last you longer. Now I sort of [00:25:00] say it's less expensive than a Tesla since inflation came about, you know. Um, yeah, you think about it, it's like you buy an automobile and you finance it. What's the life expectancy of the average car?

Five, six, seven years that you're going to hang on to it, right? You know, you're going to get a facelift, it's going to last you 10, 15, 20 years, right? And it's less of a cost, so

Dr. Sam Jejurikar: Yeah. And, and to build on that, there are page, there are financing options for patients as well, where they can pay for it over many years to make it less affordable. And it's not that the surgeons are trying to

Dr. Salvatore Pacella: more affordable, yeah.

Dr. Sam Jejurikar: to make it more affordable. Thank you. It's not that the surgeons are trying to gouge the patients when it comes to pricing either.

It is a very time consuming, labor intensive procedure that generally takes us all day, and there's so much post operative management involved as well that, that there's a lot of time that's spent in taking care of these patients.

Dr. Sam Rhee: I think that's exactly right. You're paying for the expertise of the surgeon and [00:26:00] they are shepherding you the whole way through the process and through the results. And, and that is very time consuming. And when we take on a patient, Uh, facelift patients, we're all in for the whole thing and it's literally people's face.

So, I can't imagine another procedure where someone would not want to cheap out on it. Uh, Then something so dramatic as a facelift.

Dr. Lawrence Tong: Agreed. Agreed. Yeah, from a technical standpoint, doing the surgery itself, it's, it's much different than. You know, doing liposuction or something

Dr. Sam Jejurikar: I think another myth is that the recovery is quick. We've sort of alluded to that, um, during this entire time. But I think, you know, if you're getting your information from the internet and all you're seeing are before and after pictures, and you're not really paying attention to how far post op these patients are.

Um, people sometimes think that they're gonna be [00:27:00] back to their normal life within a couple of weeks. Um, it can be if you don't really explain to patients that it's a long recovery and there's gonna be a several week to month period where, um, they're not gonna look like themselves. Oh, I like that.

They're not gonna look like themselves. It can be hard.

Dr. Sam Rhee: I want to take Pacella to my third favorite restaurant. That's where I want to take him.

Dr. Sam Jejurikar: Yeah.

Dr. Salvatore Pacella: Well, hey, listen, I haven't eaten in two I haven't eaten at Chili's in, in many years.

Dr. Sam Rhee: That's my first favorite restaurant.

Dr. Sam Jejurikar: Um, any other myths that you guys can think of? Well, I think, I think that seeing how there are not, we do need to shift to one other topic real quick, and that is a, uh, a bill that's been proposed by House Speaker, um, or I'm sorry, by Republican State Senator Josh Williams in the state of Ohio. It's [00:28:00] called the Ohio Sportsmanship Act. Are you guys familiar with this?

Dr. Salvatore Pacella: Yes, yes, I've heard about this. It's, it's illegal to, what, plant a, plant a flag

Dr. Sam Jejurikar: it after the recent trouncing of the Buckeyes by the Michigan Wolverines and the attempt of the Michigan players to plant the flag in the center of Ohio Stadium. They now want to make it a felony offense. To plant the flag in Ohio Stadium, which is ironic because this practice actually started years ago when Baker Mayfield did it at Ohio Stadium, and then we did it two years ago.

So, uh, just wondering if you guys had any comments on this proposed legislation from the, uh, esteemed legislator from the state of Ohio.

Dr. Sam Rhee: I think they expect that they're going to keep losing and that people are going to keep trying to plant flags. I think that's a, that's what they're afraid of.

Dr. Sam Jejurikar: Yeah. Well, you know what they say. If you can't be.

Dr. Salvatore Pacella: go ahead, sorry.

Dr. Sam Jejurikar: can't beat them, make them [00:29:00] beating you a felony

Dr. Lawrence Tong: like

Dr. Sam Jejurikar: like,

Dr. Salvatore Pacella: or, you know, as, uh, from the mouth of babes, my middle schooler would say, dude, that's so Ohio. Go.

Dr. Sam Jejurikar: exactly. I love that. All right, gentlemen. Well, as always, it was a pleasure. Go blue.

Dr. Sam Rhee: Go blue.