Episode 36: Dr. Brent Moelleken: Neck and Face Lifts Part 1

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Dr. Brent Moelleken shares some exciting new developments in the world of Plastic Surgery for face and neck lifts. Listen in to hear him talk about Livefill. What is this? It is an amazing new filler but you have to listen in to learn about it. Have you ever wondered where all the scars, lifts , implants and more go? Do you know where to start and what a neck and face lift can do for you? Are you considering a neck or face lift? Listen to the expert of experts Dr. Brent Moelleken who shares such a vast wealth of experience and knowledge. He is a Beverly Hills surgeon with a mid west feel. Look younger today.

Transcript

Announcer: This program is brought to you by PersonalLifeMedia.com.  This is Part 1 of a two-part program.

Teri Hausman: I'm Teri Hausman, host of Beauty Now.  We bring you the latest in beauty buzz -- things like lasers, lifts, lashes, lipo, breast augs, tummy tucks, and today, sagging necks and faces.  What can we do?  We're really lucky we have Dr. Brent Moelleken back with us today -- he's been one of our best contributing experts.

Brent Moelleken: Well, it's easy to do a mini-lift in about an hour, but -- you know, almost any surgeon can do it in that time, but the patients usually won't be happy with the degree of correction that they get.  'Cause people want to look better -- they want their jawlines to look better, they want their necks to look better, and they're just not going to be happy with a little teeny pull in front of the ear.

If it's a pure neck lift, then it probably is only an incision underneath the chin.  But, some people will also call a neck lift, to confuse everyone even further, when the incision is just behind the ear, because that's the area that tends to lift the skin of the neck.  So, many people consider a neck-only lift to be a combination of those two -- incision below the chin to tighten up those muscles, and an incision behind the ear to tighten up the neck.

LiveFill is a better concept than fat injection, 'cause LiveFill is tissue taken from the patient, all alive.  So it's not processed, it's not sucked through a syringe, it's not injected through a syringe, but it's all alive, just little strips of tissue taken from areas where there's lots of fibrous tissue.

Teri Hausman: Welcome back, Dr. Moelleken!

Brent Moelleken: Well, it's good to be here again.

Teri Hausman: Thank you, and you know, women and even men -- I was at the beach the other day and this man said, "You know, I want a facelift," and -- well, he didn't actually look like he needed one, but I said, "You know what, get a consultation."  So will you actually start with the consultation for a neck and face lift?  Where do we start?

Brent Moelleken: Yes, absolutely.  The best way to start is to go and see, you know, find a good plastic surgeon and then go into their office and chat with them.  And see what their proposals are, and, you know, it's never a bad idea to interview, you know, two or three people. 

Teri Hausman: Because actually, everybody's different, right?  I mean, isn't that true?  One person's facelift would not be the other person's, because I was reading about lower facelift, upper facelift -- what is all this? 

Brent Moelleken: Well, yes, you're right on both counts.  Because doctors are very, very different in their artistic approach to a facelift, and their, kind of, approaches over the decades, where, you know, in the eighties, we had a very, very pulled look that was common.  And now we're trying for a much more natural look.  So, you know, times change, but also, doctors change, and everyone has their own artistic style, so the patient should really take some time and try to identify what the artistic style of that doctor is.

Teri Hausman: Oh, you know, I just heard something that really hits home.  I think for a lot of people, when they make fun of plastic surgery, is a "natural" look, and one thing I've learned is that you can always take out more skin, but you can't put it back in.

Brent Moelleken: That's absolutely right.  But you know, it's interesting -- when you look at a facelift, if you say, "Oh, that person had a facelift!"  That's usually not a good sign. 

Teri Hausman: (Laughs.) Right.

Brent Moelleken: Yeah, and there are actually a lot of little clues that will give even the untrained person an idea that the person's had a facelift.  And, you know, when a facelift is done, incisions are typically made around the ears.  You know, sometimes inside the ears, sometimes outside the ear, and often behind the ear.  And a really skilled surgeon will make all these incisions minimally detectable, if at all, so you really won't know that the person's had the facelift.  The ear will look the same as it did before the surgery.  Now, if you start to see ears that are really -- "Wow, that's a funny-looking ear!" -- 'cause it's really long, or it's pulled down into the face, or the front of the ear looks like it's kind of melting -- and if you look in the back and you see a lot of scars, and you see, you know, "Wow, the hairline is really uneven!" Those are all clues.

Teri Hausman: Because the scar goes into the hairline?  Tell us where the scars go.

Brent Moelleken: Usually, in most facelifts now, the scars will go behind the little bump in front of the ear, called the tragus, it'll go underneath the earlobe, and then it'll go behind the ear, you know, just hug behind the ear, then about two-thirds, three-quarters of the way up, it'll go back into the hairline.  And a skillful surgeon will be able to keep the patient's old hairline, and not change it.  That includes the sideburn.  Women can't grow a sideburn as long as they want, the way most men can, so it's very important that the surgeon consider that and if you're doing a facelift on a woman, you don't want to raise that sideburn so high that there's a big bald spot.  That's another tip-off for, that someone's had plastic surgery.  And if you combine all six of those things, wow!  It's really apparent that surgery was done.

Teri Hausman: And that's not good for most people. 

Brent Moelleken: Exactly.

Teri Hausman: What is this, like, "Lifestyle Lift?"  They're saying, "Oh, you can have a facelift in an hour!"  It sounds kinda bogus to me.  What's the deal?

Brent Moelleken: Well, many lifts have been around for many, many decades, but, you know, this - the one person who's promoting the Lifestyle Lift has been very clever, you know, from a marketing standpoint, at franchising out the concept of a mini-lift.  Um, and basically what it is, is it's almost the same incisions as for a conventional facelift.  At least, the Lifestyle patients that I've seen in my practice who've had the Lifestyle Lift -- they've had traditional, you know, facelift scars, but very, very minimal, um, facelifts.

Teri Hausman: So you're saying -- would it be for somebody that's younger, or -- I mean, I don't see older people that have really big sagging stuff that could benefit.  Is that true or not true?

Brent Moelleken: Yeah, but I think the Lifestyle Lift is very different.  It's a proprietary thing, so that's something that, you know, this man who invented the Lifestyle Lift has -- it's basically an advertising campaign, mostly for young doctors.  So they'll do the facelift at, you know, relatively cheap prices, but it's usually people in their first year or so of practice.

Teri Hausman: Well, they were saying they could do it in an hour, which didn't seem like that would be a great concept if you were gonna have surgery done on your face -- I wasn't sure.

Brent Moelleken: Well, it's easy to do a mini-lift in about an hour, but you know, almost any surgeon can do it in that time, but the patients usually won't be happy with the degree of correction that they get.  'Cause people want to look better.  They want their jawlines to look better, they want their necks to look better, and they're just not gonna be happy with a little teeny pull in front of the ear.

Teri Hausman: Tell us about a neck lift, then.  So if you're looking at your neck and it's saggy... (Laughs.)

Brent Moelleken: Well, there are a couple problems that go on.  One is that the muscles become loose, so you can actually see the muscle bands that go down the neck, you know, and usually there are two of them, one on each side.  And that's the muscles actually getting loose.  Plus the skin gets loose -- the skin gets loose because fat is literally going away from the face.  It's literally dissolving from the face as we age -- that's one of the components of aging.  And that's huge, now that we think of -- we don't just want to lift the face and tighten it, we also want to restore the volume that's been lost.  'Cause yes, there's sagging that occurs, but also there's volume loss, and we really want to try to replace the volume wherever we can.

Teri Hausman: So you're saying you can replace volume in your neck, or no?

Brent Moelleken: You can replace volume in the neck, but usually by taking the loose muscle and bringing it together in the center.  And they're -- and many people consider that the "neck lift" part of the facelift.  So the doctor will go in, he will, you know, make an incision underneath the chin, and he'll do some sort of tightening procedure for the neck.  That does not fix the skin that's loose in the entire area of the face and the neck.  It just helps the muscles underneath, and sometimes the fat underneath.

Teri Hausman: What if you don't have loose skin, but you have those bands in your neck?  You know how you see women, that they have really strong bands in their neck, but they almost look like they work out, but how can you get rid of those?

Brent Moelleken: Well, for a lot of women who don't really want or need a facelift yet, we can do something called a Neck-Lace.  What that is, is the same incision that we've always used for many, many years, underneath the chin, but instead of just tying the muscles together in the center, we actually do it more widely, almost like tying your shoe, like an inner lacing stitch.  So it gets a little bit better correction of the muscles below the neck.  And I call that a Neck-Lace in my practice.

Teri Hausman: See, this is what gets so confusing about all the different things, so where would the neck lift incisions be, as opposed to a lower facelift incision?

Brent Moelleken: Ah.  The neck -- if it's a pure neck lift, then it probably is only an incision underneath the chin.  But, some people will also call a neck lift, to confuse everyone even further, when the incision is just behind the ear, because that's the area that tends to lift the skin of the neck.  So, many people consider a neck-only lift to be a combination of those two -- incision below the chin to tighten up those muscles, and an incision behind the ear to tighten up the neck.

Teri Hausman: Well, I'm golden, 'cause I fell off my bike and cracked my chin open, so I'm so lucky I already have a scar there!  (Laughs.)

Brent Moelleken: Well of course, if you've got one, then --

Teri Hausman: Okay, I'll be right down!

Brent Moelleken: Exactly.  Well, we'll just use that scar.

Teri Hausman: Perfect, that's good to know.  So I always thought that was for a facelift, for some reason.  So it's so  -- what about -- okay, let's talk about the brows, then.

Brent Moelleken: Okay.  Now, what we try to do when we do a brow lift is, and I've got a -- actually wrote a chapter for our textbook, called Mathes, so people can read the whole brow lifts chapter if they want.  If they can't go to sleep at night, just pick up this chapter and it'll guaranteed, put you to sleep.

Teri Hausman: I'm pretty sure we want to hear you talk about it, then.  Read that.

Brent Moelleken: Exactly.  Well, there are tons and tons of different types of brow lifts.  And basically what we're trying to do is trying to lift the eyebrows up, whether that's through the side of the eyebrows or the center of the eyebrows.  We want to lift those up and kind of counteract the drooping that's gone over the years, and heaviness that's developed in the upper eyelids.  So that's called a brow lift, and there are a million different types of brow lifts.  Literally, a brow lift can be a little incision at the front of the hairline to slightly elevate the outer part of the brow, 'cause usually, when you pencil in your brow, you make the outer side a little bit higher, or with Botox, you try to get the same effect with the outer brow a little teeny bit higher than the central brow.  So that's one approach.  Or, the older type, the coronal lift, that's the big incision that we've all heard about, that our parents got.

Teri Hausman: Right.

Brent Moelleken: And it's the big incision from ear to ear.

Teri Hausman: Why would a doctor do that on a younger patient?

Brent Moelleken: Well, it's one approach of doing it.  It's not wrong to do it that way.  We don't do it in our practice, just because it leaves a long scar, and it does hurt the sensation to the top of the head.  There's a nerve that goes up to the top of the head that you have to cut if you do your brow lift that way.  Now a lot of people now are doing endoscopic brow lifts.  So they make little incisions, usually above the hairline, and then get in endoscopic tools, like a little teeny telescope, and then release the muscles of the brow and allow them to go up a bit, and sometimes they'll put a little suture, or even a screw, believe it or not, into the skull, to hold up the brow.  So that's another form of brow lift.

Teri Hausman: So they have to put a screw in.  Does the screw stay in there?

Brent Moelleken: Two types.  One's self-dissolving, and it eventually dissolves, and the other is permanent.

Teri Hausman: So you have a screw in your head forever?

Brent Moelleken: Screw in your head forever.

Teri Hausman: What do you prefer? (Laughs.)

Brent Moelleken: I don't really care for that brow lift, because I'm really big on preserving the hairline.

Teri Hausman: Mm-hmm.

Brent Moelleken: And the hairline is *everything.*  In women, the hairline recedes.  The older you get, the higher your hairline gets.  So all these techniques like the coronal lift, which is the ear-to-ear incision for a brow lift, that's gonna raise the brows, and the brows do look better.  But, you're sacrificing a lot of the hair, because to the degree that you raise the brows, the hairline will raise up.  So you see a lot of older ladies who've had, you know, coronal brow lifts --

Teri Hausman: Right.

Brent Moelleken: And the hair is way up.

Teri Hausman: I know, that's so sad, that you think if they could've had it today, it wouldn't have happened.

Brent Moelleken:  It wouldn't have happened.  But, even the endoscopic lifts, you know, that do -- that work endoscopically, they still raise the hairline.  So patients should be aware of that.  'Cause a young lady who comes in, who thinks "You know, I'm 35 years old, and look, my brow's drooping a little bit," be careful!  'Cause if you get your endoscopic lift, you may end up with a higher hairline.  And that's indicative of age.

Teri Hausman: And no hair in your scar? 

Brent Moelleken: The scars usually heal pretty well from the endoscopic lift, although sometimes there is a little bald patch around it, the areas where the cameras go in, and the telescopes go in.

Teri Hausman: How many times can you do this?  Let's just say you get that kind of procedure, and ten years later, you need it again.  Can you do it again?

Brent Moelleken: Well, there are sort of two groups of ladies in particular.  In the first group, when they're in their forties, they are used to looking good, so they're gonna start to have some work done in their forties.  So in those ladies, by the time they're sixty, the work hasn't gone away, but they have aged, you know, fifteen years or so.

Teri Hausman: Right.

Brent Moelleken: So they're gonna be back.  And the second group of ladies is the ladies who come in, you know, and you know, "I'm sixty years old, I've never done any work, and I want some sprucing up."  And those ladies typically will just do it once in their lifetime.

Teri Hausman: Right.  So they're not the obsessed kind, but I guess my question is, if you do -- like, you're in your forties and you have one of the endoscopic brow lifts that you're talking about, is it possible to do endoscopic twice, or do you have to go for the other one?

Brent Moelleken: No, you can do endoscopic twice.  But, each time you do the endoscopic lift, you may alter the hairline.  So be very careful about talking to your doctor about, you know, "Hey, what effect is this going to have on my hairline?"  Think about it.  Any lift that originates above the hairline and lifts the brow, it's gotta raise the hairline.

Teri Hausman: Right.

Brent Moelleken: So that's really something to consider, and not all doctors will talk about that.

Teri Hausman: No, I think that's really good information, because I really haven't heard about that, or nor did I think about that.

Brent Moelleken: Oh, the hairline's critical.  You can take a forty-year-old-woman who looks nice, but, you know, maybe has a little bit of drooping of the brow, and do a brow lift on her, and she looks older, rather than younger.  Older.

Teri Hausman: That's scary, yes.

Brent Moelleken: Exactly, 'cause the hairline can be very high.

Teri Hausman: But it's also, don't you think, I mean, is that what you're talking about when their brows look too high?  Can you overdo the brows?

Brent Moelleken: You can totally overdo the brows, and here's another place where artistry really, really comes in.  Because when you do a brow lift, a lot of times, you do not want to raise the central brow.  That means the brow sort of above the nose.  Because if you think about it, when you raise the brow above your nose, you're looking sort of quizzical, like, "What do you mean?"  And like --

Teri Hausman: Exactly.

Brent Moelleken: You know, your brow's going up and you give the impression of "What do you mean?"  Or, if the brow's really high, "Wow, I'm so surprised!"

Teri Hausman: No, it's true, and you've seen a couple of actresses like that, who are gorgeous people, and then they have that brow that's lifted like that, and you're like --

Brent Moelleken: You know?

Teri Hausman: -- "Oh no, why did you do that?"

Brent Moelleken: Doesn't make 'em look a day younger, but a lot more surprised. 

Teri Hausman: Yeah, surprised and that they've had some work done.

Brent Moelleken: Exactly.

Teri Hausman: And that's not what we want.  We want natural-looking stuff.

Brent Moelleken: Right.

Teri Hausman: We're gonna have to take a break for a commercial.  We're gonna be right back with Dr. Brent Moelleken.  Hang with us!

(Commercial Break)

Teri Hausman: We're back with Dr. Brent Moelleken.  Everything you need to know about neck, facelifts, brow lifts - this is the show.  Welcome back, Dr. Moelleken!

Brent Moelleken: Well, it's good to be back again!

Teri Hausman: So we were just leaving off with facelifts and all that.  Tell us about the 360 Facelift.

Brent Moelleken: Well, the 360 Facelift is a concept that, you know, the face doesn't just age in one area, or two areas.  It ages overall.  So the 360 Facelift is designed to fix many, many areas, you know, the best we can.  So you know, we start with the Neck-Lace procedure, which is an incision underneath the neck, so we tighten the neck muscles a little bit more aggressively than we used to be able to do in the past, with just this traditional, you know, "tie the muscles in the neck."  Then we go to the side of the face and we do a lift, but it's bidirectional.  So we get all the deep tissues, the SMAS tissues - many people call them the muscles, but they're not really muscles - and we lift those muscles up.  And what this does is, it gives more volume in the upper face, and less volume in the jowl area.  And unlike the SMAS procedures of the past, where you could just take away SMAS, we don't want to take away any volume at all, 'cause people need that volume as they age.

Teri Hausman: For those of us that are ignorant, explain SMAS.

Brent Moelleken: Oh, the SMAS -- it's a deep layer of the face, is the best way to put it.  It's got a -- you know, it's an acronym for SubMusculo-Aponeurotic System, so --

Teri Hausman: Uh-huh, can you put that in English, please?

Brent Moelleken: Exactly.  So just a deep layer of the face.

Teri Hausman: (Laughs.) Okay, so...

Brent Moelleken: So it's not the muscles, but you know, a lot of doctors will say "muscles" just for simplicity.

Teri Hausman: Okay.

Brent Moelleken: Right.  So you want to raise that SMAS up, but the pull of the face should not be obvious, and it needs to be gentle and graceful, not super-super high on the edges, so that you get that "swoop" look.  And you've all seen that, where the face looks -- you know, gosh, it looks so different, in different parts - like underneath the eyes it looks kind of normal age, but then on the side of the face it's really, really going up radically.  So that's an artifact of surgery.  We can avoid that.  So you know, the skin goes back in a more gentle direction.  When we do the upper eyelids, we don't take away fat anymore.  We reposition the fat or we actually add fat to the upper eyelids, often with LiveFill, so we want to restore the volume.  If you look at younger eyes, look at all the beautiful models, they have nice fullness around their eyes and nice fullness in their face.  They may have a beautiful contour between the cheekbone and the cheek, but they have really nice fullness.  And you look at older people, that [unintelligible], so we want to replace the fullness wherever we can.  That can be in the lips, it can be in the smile lines, it can be in the marionette lines, it can be in the temporal zone, where the people get hollowing there.  It can be in the eyebrows themselves, where the eyebrows actually deflate, so older patients have literally an eyebrow sitting right on the bone, and a younger patient will have a lot of natural fullness there.  So we can restore some of that natural fullness.  And all this is part of the, sort of the, 360 Facelift concept.  We don't look at the face just as, you know, face and eyes, face and eyes, face and eyes, the way that we've all been taught in medical school.  But we look at it more of like, "How can we rejuvenate the face comprehensively?"

Teri Hausman: So what is LiveFill?  When you say, LiveFill?

Brent Moelleken: So LiveFill -- you've all heard of fat injection.

Teri Hausman: Right.  Artifill I've heard of, but don't really understand it.  Go ahead.

Brent Moelleken: Right, so Artifill is actually a synthetic material that is based with plastic beads and collagen, typically.  Um, but, um, fat injection means taking fat from the body and suctioning it through a syringe, and then injecting it in places where you need more fullness, like the areas I just told you about.  But we have a -- we actually believe that LiveFill is a better concept than fat injection, 'cause LiveFill is tissue taken from the patient, all alive.  So it's not processed, it's not sucked through a syringe, it's not injected through a syringe, but it's all alive, just little strips of tissue taken from areas where there's lots of fibrous tissue.  And that's what LiveFill is.  So we, you know, in the studies that I've done and presented at our meetings, the ASPS and ASAPS meetings, um, the survival is better of LiveFill than it is for fat injection.  It's a lot better.  So that's what I like to use for all the areas that we can put extra volume into the face, so we're counteracting the sagging, but we're also counteracting the volume loss in the face.  And that's really --

Teri Hausman: Now this is --

Brent Moelleken: - the tenet of the 360 Facelift.

Teri Hausman: Well, is this an ex - difference than a cheek implant?  Would you use LiveFill instead of a cheek implant, or is this different?

Brent Moelleken: You know, I tell you, I'm a big fan of using LiveFill for augmenting the cheek area, 'cause it's a soft tissue, you know, the recovery's very quick, and you don't need to go all the way down to the bone, and you don't kind of, you know, you know -- sometimes with older patients, have cheek implants in, they're visible.  You can actually see the outline of the cheek implant.

Teri Hausman: How do you remove cheek implants?

Brent Moelleken: Usually it's very easy, although sometimes it's very difficult, depending on the material that the cheek implant was made of.  Usually you do it just through the mouth, you make an incision and you take them out.  But sometimes, um, cheek implants are made that are literally like cement, and they fuse to the bone, and it's very, very, very difficult to remove those, you know, if the patient should be unhappy.

Teri Hausman: So do you recommend not to remove them, if they're unhappy?

Brent Moelleken: If the patient's unhappy with something, then you've gotta remove it somehow.  You know, and we've seen patients with, you know, cheek implants that are impinging on the nerve, or causing numbness, or pain, so obviously in those patients, we're gonna take out the old cheek implants and replace it with LiveFill, which is a soft filling material -- it isn't hard.

Teri Hausman: So LiveFill, actually, where do you get it out of your body?

Brent Moelleken: Usually we go to the lower abdomen for LiveFill, and we just make an incision in the very, very lower abdomen -- we usually -- we actually shave a little bit of the pubic hairs, and then we get strips of the tissues, and that's what we use for augmenting the face.

Teri Hausman: So you're not going to be growing hair on your cheeks, are you?

Brent Moelleken: Oh, no!  We don't -- that's a good question, that's actually a great question, because if you weren't skilled in the procedure and you put a bunch of hair follicles in, well, oh my god, I could just imagine the jokes that would result from that!

Teri Hausman: Well, exactly, we don't need a beard on our face after all that!

Brent Moelleken: Exactly.

Teri Hausman: That wouldn't be good!  This is so interesting, about the LiveFill.  So where else do you use it?

Brent Moelleken: Well, we can use it almost anywhere in the face.  We do have some cases of really high-volume LiveFill.  And one case we just did was of a very, very sweet lady who was totally fine until she developed lupus profundus.  And it's basically a form of lupus -- you've heard of lupus, the autoimmune disease --

Teri Hausman: Right.

Brent Moelleken: Well, this was a terrible form of it, and she was twenty-three years old.

Teri Hausman: Oh no!

Brent Moelleken: Within two years, her whole face became hollow.

Teri Hausman: Oh!

Brent Moelleken: She aged literally twenty years in two years.  So she did a lot of research, she came to see me, and we put a large volume of LiveFill in her face, to, you know, fill in the areas that had been destroyed by the lupus.  And it worked.

Teri Hausman: Oh.

Brent Moelleken: So, you know, lupus can -- I mean, uh, LiveFill can be used for a number of different techniques, and um, you know, a number of different areas in the face, for the cheeks, for the lips -- the lips are the most common, and the smile lines, so the area from your nose down to your mouth, the nasolabial folds, they're called.  Those areas are great for LiveFill.

Teri Hausman: So you -- how long would that last, then?  I mean, as opposed to, like, what's the other one?  Radiance?

Brent Moelleken: Radiance.  Well, LiveFill, we hope to be permanent.  And the reason  I say that is, it's a graft material, so it's like a skin graft.  When you have a burn patient, and they get burnt -- and you take off the burn, and you put on a skin graft, once that skin graft survives, that patient will have it forever.  And it's the same concept with fat injection, and it's the same concept with LiveFill.  Once the blood supply of the body has grown into that graft, that's yours to keep forever.

Teri Hausman: Wow, that's amazing!

Brent Moelleken: Yup.

Teri Hausman: I mean really, I've never heard of LiveFill.  This is great.

Brent Moelleken: It's just -- it's pretty simple when you think about it.  You just don't want to damage the tissue when you use it for grafts.  And that, unfortunately, is something that happens with fat injection, is that when you pull it through a needle, and then you usually spin it down in a centrifuge, to get the impurities out, and then you inject it through a needle -- well, it's just tissues that live in the body.  So when you're doing all that damage to them, you know, some of the cells are gonna die.  And probably -- the numbers vary, depending on the study you read -- but probably about eighty percent of the cells are dead when they go in, in fat injection.  So that's why I came up with LiveFill, because we don't do anything to the LiveFill.  We make a strip of tissue, and when you send it to the pathologist to check - hey, is this really alive or am I just, you know, blowing smoke? -- the pathologist confirms that yes, the cells are alive.

Teri Hausman: Well, I think this sounds amazing!  We're gonna have to actually, unfortunately, end here.  But, lucky for our listeners, we have a whole 'nother segment coming up, round two, which will be played the following week, so you can know more about facelifts, wrinkles, tucks, saggy -- I haven't even gotten to the saggy chin, but we will in the next episode.  Thank you so much for being with us --

Brent Moelleken: It was my pleasure.

Teri Hausman: I've learned so much myself, and if you want to get in touch with Dr. Brent Moelleken, please go to PersonalLifeMedia.com.  You can get transcripts for today's show, you can email me at [email protected], and we're gonna have all of Dr. Moelleken's links to get ahold of him.  And he's in Beverly Hills, is that right?

Brent Moelleken: That's correct.

Teri Hausman: Beverly Hills!  He's a Beverly Hills guy.  So anyways, thank you so much for being with us and --

Brent Moelleken: It was my pleasure.

Teri Hausman: And we'll be back with you next week.

Closing Song: "You Had A Little Work Done" by Mark Winter (http://www.mark-winter.com)