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Staiano Plastic Surgery

Plastic Surgery Q&A Episode 314 |What is the downtime for Upper Blepharoplasty and more...

I will talk about:

What is the downtime for Upper Blepharoplasty?

Do we offer Bullhorn Lip Lift Surgery?

I have a Mole that has been confirmed by the GP that it could be cancerous, and I am on the GP's waiting list for removal, but they said it could be a few weeks before I am seen. I am very concerned and worried. How quickly can you make an appointment at your clinic?

Can you remove a Cyst from the scalp?

Can a mole be removed from underneath a Tattoo?

Do you have a lady surgeon at your clinic? And anything else that crops up….

Broadcast on:
30 Sep 2024
Audio Format:
other

I will talk about:

What is the downtime for Upper Blepharoplasty?

Do we offer Bullhorn Lip Lift Surgery?

I have a Mole that has been confirmed by the GP that it could be cancerous, and I am on the GP's waiting list for removal, but they said it could be a few weeks before I am seen. I am very concerned and worried. How quickly can you make an appointment at your clinic?

Can you remove a Cyst from the scalp?

Can a mole be removed from underneath a Tattoo?

Do you have a lady surgeon at your clinic? And anything else that crops up….

(upbeat music) - Welcome to the Stiano Plastic Surgery podcast with plastic surgeon JJ Stiano, the only plastic surgeon in the UK who owns a clinic specializing in breast and body contouring. (upbeat music) We're live on the YouTube, we're live on the Facebook, sadly not live on the Gram, because I still can't do videos on the Gram, or these live videos. I do pre-recorded ones, which I've just done, voicing my disk wire with the powers that be. But we will not be silenced, we will carry on the media that we have and goodness knows the reach is enough on YouTube and Facebook for anyone. And I'm not sure if the servers could handle much more, but anyway, to all my loyal fans and followers out there, if you have any questions and you wanna ask me that live, if anyone's there live, then please do. But I know you're busy and I know that you'll probably come later. So, you know, if you're not able to make it, then just watch the pre-recorded bit, which I guess will be this. And, you know, I'll do it next week. But the ones that got this, so don't worry if you're not gonna ask anything live, because I've got stuff to talk about. But if you have, it's nice to have live stuff. And I'll be honest, to give Instagram is due, I did have good engagement on Instagram. So I do miss it a little bit, to be honest with you. But it is what it is, we just gotta work with what we've got. So, yeah, so let's do the questions that I've got. Shall we, while we're waiting for everyone to arrive? What is the downtime for upper blepharoplasty? So, downtime, right. Now, the problem with the problem with blepharoplasty, so blepharoplasty is removing the excess skin from your eyelids. And the problem with it is that the skin is so thin in your eyelids, both upper and lower, that you do tend to get quite impressive bruising, because there is not much of a kind of a tamponade effect of kind of pressure on any bleeding. If there's a little bit of bleeding because the skin's so thin, it can tend to sort of track and you can end up getting a black eye kind of below your eyes, even though you've had surgery on the upper eyelid. And that can look a bit kind of alarming. So that's the main problem, I would say, with the downtime with blepharoplasty, 'cause you often feel fine. The actual surgery of it is not like major surgery. There is a scarring eyelid, but it usually heals really well. But the main issue is that you look quite dramatic, shall we say. So, if you were doing work that didn't require you to be in front of anyone or to see anyone, you would be able to do that work effectively. I don't think you'd feel kind of ill. But if you are, that's why you see people with big, dark glasses, you know, that surgery seem to come out of the Beverly Hills clinic with big, dark glasses. So if you are seeing anyone, then you might want to wear big, dark glasses and you will have bruising at least a couple of weeks, you know, at least a couple of weeks. Even then they'll probably be some yellowy and some, so it'll be quite sort of brown and purpley to start off with and it kind of goes yellowy. So they'll probably still be a bit of yellowy, even at a couple of weeks. Three, four weeks maybe, you know, until you kind of look relatively kind of not battered about. But, you know, you might be able to, you might be able to do work with a little bit of bruising. So I would say a couple of weeks would probably be average for people staying away from members of the public, unless as I say, you want to wear sunglasses or, you know, or you don't care that you've got a bit of bruising, you know, 'cause you'll feel okay or feel able to do stuff. But it might be a bit difficult with the bruising. Good God, we've got a question. How hard is it to get arms done? I have skin hanging. Right, Mrs. G. It's not hard to get arms done, Mrs. G, but the problem with, I always say to people, in terms of body contouring, if you're googling. So when people are lost away, there's certain areas that are a problem. The arms are a problem, arm, the skin hanging, the breasts, the face, tummy, the legs, you know, especially the thighs. But if you're kind of googling these sorts of body contouring surgery to tighten the skin, there's a disproportionate amount of stuff written about the face, face lifts, breasts, breast lifts, tummy, tummy tuck, compared to thigh lifts and arm lifts. There's not a huge amount about thigh lifts and arm lifts. And the reason for that is because the scarring is a bit more, or maybe even a lot more obvious with an arm lift and a thigh lift. With face lifts, breast lifts and tummy tucks, we can kind of hide the scar. You know, face lifts, you sort of hide it in front of the ear and behind the ear. Breast lifts, you hide it hidden kind of in the bra, so you can't see it in the bra. Tummy tuck, we try and hide it in the underwear. But arm lifts and thigh lifts, you can't really hide it because the spare skin with an arm, it usually goes down to your elbow. And so whilst we would love to give you a short scar, often, if there's a lot of spare skin, the scar goes down to just above the elbow. And that can be an issue if you've got short sleeves on. And sometimes people say, I hate my, I don't care about scarves, I hate my arms, I can't show my arms in public. Well, if we give you a scar, you might hate the scar. And you might still not be able to show your arms in public 'cause you hate the scar. So you've gotta say, is it worth doing the surgery if you're gonna have something that's cosmetically bad and you're still gonna want to wear long sleeves? Well, what's the point in having the surgery? So it is not as common to us. I would say it's not kind of hard to get arms done, but it is not as common an operation as the other kind of operations. And certainly when I talk to people, I'm not doing, well, first of all, this is you, I'm not doing these sorts of things anymore. I'm not doing the GA cases. But when I do talk to people who have things like breast lifts, sorry, arm lifts and thigh lifts, I'm not very positive. Not because I don't wanna do it, but because I want to give realistic expectations because I want to have a happy patient. I don't want them to be aware of what outcome they can expect. And if I can kind of talk someone out of it, I'm okay with that, and I will show them photos of the scar. And we aim to hide the scar, so you can't see it from the front and the back. It's kind of in a neutral position of the arm. But so if you put your arm up, you can see it. Same with your legs, when you're walking, it'll be okay. But if your legs are tilt to the side, then you can see it. So it is something that you might feel uncomfortable with. And so it might affect your decision on whether an arm reduction is for you. So it's really, in my experience and in my hands, arm reduction is really good for people who've got a really big excess of skin there, where it's kind of getting in the way and it's hard to find clothes, et cetera, 'cause then it really will help to control the arm. But in terms of its pure cosmesis, it has to be balanced against the scar, which usually fades, but it doesn't fade to invisibility. It fades to a kind of skin-colored line, and it can take many months for it to get there. And even when it's faded, it can be visible, if you like. And you might kind of know there's something there. So I would say arms are not as popular as the other procedures. I don't think they're any more difficult to get. I just think they're not as popular because of the scarring. I think it's something that puts a lot of people off. And as I say, from a surgical interview, that's fine if you put off by it, because maybe it's not the right thing for you. Maybe it's a balance of what's the worst. So the worst of not doing anything is still having the skin, and the worst of doing it is kind of having a scar that costs the risk, the complications, the operations, the downtime and all that. So that might be outweighed by the actual leave in it, so it might be a reasonable thing to leave it. It might not, you know. You might hate them so much that you're happy to take on those negatives, but it's just about being informed. So you can make an informed decision to all that informed consent. So you don't have it done. I think, oh, all right, you look at the scar. We shouldn't have it done because I still can't show my arms, and it's cost me all this money, and I've got a big scar. We don't want that. No one wants that. So we want people to say, wow, that's brilliant. And to be honest with you, when you do it, patients are really happy. You know, it isn't one of those ones where thylists, anyway, I'm digressing a bit, thylists kind of less so. If I thylists, personally, I find patients and perhaps not quite as happy, but arm lifts, I do find people are happy. But maybe that's just me very, not very scientific. Some size there, but that's kind of what I find good God. We've got other comments, good God. Human beings, Jackie's in the house. What are your thoughts on the reverse tummy tuck? Jackie, I've got very clear thoughts on the reverse tummy tuck. It is very, very rare to do a reverse tummy tuck. I think I've done two in my life, and I've done loads of tummy tucks. So it is very, very rare. So this is me, Jackie, you know, I'm not there. And I think there is someone out there doing loads, and I don't understand what is going on because I see people who said, oh, anyway, I don't know what's going on. So the excess in the abdomen, in someone who has a problem with the contour of their abdomen is always, in my view, always the lower abdomen is worse than the upper abdomen. By the lower abdomen, I mean belly button down. Belly button down is worse than belly button up. People often say belly button up, I've got this, I hate, but I've never seen, I think I'm right in saying this, I've never seen anyone who's got an excess upper, excess abdominal skin without an excess lower abdominal skin. Maybe I should preface that by saying, a significant excess upper abdominal skin. I've seen people who are really quite slim, who haven't got any excess anywhere, who are like, oh, look at this, I hate this. And when I bend forward, it all kind of, you know, it all like creases up. I'm like, well, everybody, when you bend forward, it all creases up. So, you know, but I've never seen anyone with a significant upper abdominal excess without an even more significant lower abdominal excess. So the first thing I would say, Jackie, is I personally have never seen anyone who I would consider a reverse abdominal plastic on before having had an abdominal plastic. So, and I've, people have come for consultations for a reverse, you know, someone rings up and said, I'm interested in a reverse abdominal plastic. I'm kind of almost like hoping they've had an abdominal plastic because if they haven't had an abdominal plastic, I'm like, what's going on, what you want about, you know? So, in my experience, a reverse abdominal plastic, if it ever comes, which is very rare, comes after an abdominal plastic. So as I say, the excess is pretty much always lower abdomen and the abdominal plastic will address that excess lower abdomen, belly button down. And it has, so often it's both lower and that upper, but as I say, it's always worse in the lower. And I will always say to someone that the upper abdomen will get pulled down and there's an indirect pull on the upper abdomen. So usually, that is enough to tighten the kind of upper abdomen. And so you won't need a reverse abdominal plastic. The people who need a reverse abdominal plastic, in my experience, is people who've got a significant, have had significant weight loss and have literally got roles on the, you know, a significant lower abdominal apron, but also a significant upper abdominal apron. So below the breast, kind of roles of excess skin and fat, which will not be completely improved. There will be improved within abdominal plastic, but perhaps not completely improved in abdominal plastic. And so those patients might require a second operation to remove those roles in the upper abdomen and that requires a reverse abdominal plastic, which gives a very large incision. And this is why it's not great. It's like a rooftop incision. So it's in the fold of the breast, which is fine 'cause that's hidden, but it meets in the midline. So that's not hidden. So it's quite a big, you can get away with quite a big scar in the breast fold without seeing it. But as soon as you go across the midline, you see it, no matter who you are, you see it. So it does give a potentially more visible scar. And as I say, it's usually not required. So we went through a phase, actually. Well, it's probably 'cause I've stopped doing it. We're through a phase of a run of people asking for a reverse tummy tus. And what's going on? And I think the sign out there was doing a load of a reverse tummy tus. And I'm like, what is, or at least, anyway, maybe there's something I missed. So that's where I, so I fully acknowledge that I might have missed something, Jackie. And there might be something out there that reverse abdominal pluses are a really good thing to do as a primary contouring of your abdomen. But in my world, it's not something that I would do. Well, never say never. You might see someone who, oh, wow, you've got loads of excess skin in your abdomen and none in your lower abdomen. Though those people might exist in the world. I haven't seen everybody in the world, so they might be someone out there like that. But I've never seen anyone like that. People I see have always gotten more in the lower, so they have a lower one first. And then once they've had a lower one or a normal one, shall we say, or not, don't wanna plasti, very rarely do they need anything more. Jackie, all right, I'm going over there and I'll come back. I saw it on a TV program, I never heard of it before. Okay, yeah, oh, right, so you don't need, oh, was that it? Yeah, so reverse abdominal pluses, and upper is your upper abdomen. It's this bit, it's this bit here. I suppose to the tummy tuck, which is this bit, of God, there's a lot there, isn't there? It's this bit here. See, nothing there, and it goes underneath your breast. So it's kind of like the same as a tummy tuck, but the top of the abdomen is at the bottom of the abdomen. But yeah, not come, not come on. Lynn, what you got, RJJ, what happens at tummy tuck consultation? Well, we assess you to see if you're a candidate for a tummy tuck, because that is weirdly people with good abdominal contour, or at least without a significant amount of excess, might not actually be a candidate for a tummy tuck. So people who are candidates, tummy tuck have a lot of excess skin. Usually weight loss or childbirth, usually they've had one or both of those problems, and they've got too much excess skin. So we need to assess you to see whether you have, you are a candidate for a tummy tuck, and what sort of tummy tuck, so full or a mini? So basically, I guess you could do a mini on anyone, but you can't do a full tummy tuck on anyone, because you need to have a certain degree of complexity. So some patients are actually more difficult if you've only had like one child or a modest amount of weight loss, and you haven't got a huge amount of spare skin. It might be like, "Kraki, I'm not sure "I could even offer you a full tummy tuck." So we need to, so we might be there until we went. Mini tummy tucks and what that's involved, the limitations of that. So the first, so one part of the consultation is us assessing you to see what sort of tummy tuck you might be kind of eligible. Is that all right? Well, you know, what we might be able to do for you. And then the other side of the consultation is kind of letting you know what that can achieve, what the risks of that are, and what the benefits of it are to see whether that would be something that would be attractive and something that will be worthwhile doing. So as I say, this one side is us assessing you to see what we can do, and then we need to explain to you what we can do and what the benefit of that will be, and whether that would be a good thing for you to go ahead with, I guess, in a nutshell, that's what's involved with the tummy, is that? So, you know, what physically happens is we take a history and examination. So we talk to you, you say, "What's the problem?" What's problems are you getting from it? What are, you know, what's your history in terms of weight loss and things where are you with your weight? We need to make sure that you're stable and comfortable with your weight. It's not really good if you're still overweight to keep you on lose weight. It's not good to think about a 20-type past medical history. You've got any medication, you're allergic to anything. Have you got children? Have you got your plans for the future for children or weight fluctuations? Are you happy with the weight? 'Cause if you're not happy with the weight, you better off clean your weight right first. If you think you're having future children, it might be better to do that first because it could result. And then we'll assess you and examine you and examine your abdomen and have a look at, as I say, whether you'd be a suitable candidate for it. So yeah, that's kind of what happens by the 20-type consultation in a nutshell. Zoe, what you got? Does lower blepharoplasty adjust to mylar bags for students? If not, how can they be removed? Lower, oh yes, yes it does. So a lower blepharoplasty, Zoe is a bit more of a thing than an upper blepharoplasty because it's got to be a bit careful and it's a little bit more nuanced to lower up down on a plasti than an upper. Can I say up down on a plasti? Blepharoplasty than an upper blepharoplasty. So an upper blepharoplasty is kind of like taking out the spare skin from here. So a lower blepharoplasty, but we're a little bit more careful. There's not quite as much spare skin in a lower up, sorry, to our lower plasti, a lower blepharoplasty. Full disclosure, I don't do blepharoplasty. So I'm just talking a little terms here. So I don't want to make it as if I'm the, you know, really big time here because I don't do blepharoplasty. So, but anyway, I can talk about it anyway. So a lower blepharoplasty will have a modest amount of skin removal and will often be addressing the fat pad, which is your, you're talking about them. So mylar bag, so for the fat pad and for students, you're talking maybe. So the problem with any kind of skin removal surgery. So if you have got their students, if you have got a significant amount of spare skin, then more skin needs to be removed. Their form of scars are longer. So that's the thing to consider. So the scar for a lower blepharoplasty is kind of in the line of the eyelid, but the more skin that we've got to remove, then that can extend out onto the side of the trip cheek. So we try and hide the scar, but it does make the scar a little bit more obvious. And again, the more skin that you remove, the more risk of a doggy, a little bump at the end of the scar. So we try and make the scar, you know, you get rid of the doggy by making the scar a lot longer, but you obviously want the shortest scar, the smallest doggy. So again, the more skin that is there to remove them, the longer the scar, often it's, if we look at the fat pad and we sometimes remove some fat, sometimes actually inject some fat, sometimes add fat into the lower eyelid. It is a bit more complicated and a little bit more nuanced and is therefore requires a little bit more an aesthetic. So it's not done under a local, it's either done under a GA or a local with sedation. So it's a, it's a bigger op, a lower blepharoplasty, the manapa, and as you say, often addresses, more than just the skin it offers, often addresses, the fat pad in the, in the cheek area and in the lower eyelid area. So, so yes, so it does, it does address those areas. And sometimes, I mean, it's, I think it's got a little bit more of a, of a kind of breadth of technique than a, than an upper blepharoplasty. I think an upper blepharoplasty is, is more of an sort of standard, what is done. And I think a lower blepharoplasty is a little bit more breadth of technique. And, you know, it could be considered kind of like a mid facelift, you know, a lower, it's just more, a lower blepharoplasty is often more than just like tightening of it's skin in the lower eyelid. It often addresses the whole cheek subunit. So it often, you know, might be described as a mid facelift, but it's, you know, just, just to, just to, you know, because you do have to address those things. Adele, what have you got Adele? Can skin adenoma be left alone or best removing case of turning cancerous? No, it can be left alone. So I think you're talking about, is it sebaceous adenoma you talk about Adele? So presumably you, so you kind of know that you've got this. So I'm assuming it's been biopsied, haven't it? So I think that's skin things. Often with skin things, if you've got a skinned thing and you think, what is it? Often the biopsy is, if it's not a big thing, we will remove it as the biopsy. That is the biopsy. And it's got a small and there's an excision biopsy as opposed to an incision biopsy, which means taking a little piece of it away. 'Cause often we're like, 'cause often people don't like them, as well as being wild back then being cancerous. They don't like them. So, you know, if we took a little piece of it away, say good news is not cancerous, they're like, well, I don't like it. You know, so if we can, and it's relatively easy, we'll take the whole lot away as the biopsy. So I don't know if you've had a biopsy already, but if you have had a biopsy and it's come back as benign as a, I'm not sure about skin adenoma, maybe a sebaceous adenoma or some benign lesion, and you don't mind it if it's not causing you any bother, but for sure, you can leave it alone and just keep an eye on it. And, you know, just like, you should keep an eye on any piece of skin. It doesn't necessarily need to be removed. The problem often with skin things, and I don't know what your situation is Adele, but the problem often is, well, at least sometimes, maybe not often, we will look at things and say, this looks like this or that, and we get a pretty good idea. Clinical diagnosis is a pretty good idea, but you're never sure until you've got it, you know, you've got it often looked at it under a microscope. So really, you know, those critical diagnosis are looking under a microscope, but you can get a pretty good idea just by clinically looking, and you don't, I guess you don't want to kind of remove every piece of skin lesion that's a worry. So if we have given you, or if a doctor's given you an idea that it's a benign lesion, then for sure, you can leave it alone and just keep an eye on it. Sorry, thank you. Yeah, yes, GP is examining a diagnosis, adenome or on-skin. Okay, yeah, well, yeah, presumably it's not bothering you, and what I would say personally, anyone I was kind of seeing with a lesion who has obviously been concerned about, enough to see the doctor, it's just say that, keep an eye on it, a little for changes, et cetera. But yeah, if it's a clinically a benign lesion and it doesn't bother you, then you can leave it alone, and I'm just looking at my questions about something about that, but I think it's a different question. And yeah, just keep an eye on it, Adele. Well, keep an eye on every piece of skin, but yeah, you can leave it alone if it's a benign adenoma. Thank you, thank you for participating, Adele. I feel bad at saying that Instagram was good now, 'cause these things are picked up. Do we offer bullhorn lip-lift surgery? No. But you've asked with you, I kind of know, is that what they call it? Bullhorn lip-lift, I can't understand why it's called that. I didn't even know it's called that, to be honest. But yeah, I know it's, no. I know plastic surgeons do it. We don't do facial aesthetics, really. So, no, you know, it might take a bit of skin out. That'll, dollar. But, now I've seen it. No, I think because we, I mean, it's just like taking a bit of skin out of the lip, but no, we don't. Probably someone that does facial aesthetics is gonna be better than that sort of thing. Sorry to disappoint. I have a mole, this is what I was thinking Adele, I don't know what this level of what this question says. I have a mole that has been confirmed by the GP that it could be cancerous. I'm on the GP's weightiness removal, but I said it could be a few weeks before I am seen. I'm very concerned and worried. How quickly can you make an appointment? Well, it depends on, well, actually it doesn't depend. We usually pretty quick for appointments anyway, by pretty quick, I would say. God, Amy should have given me some tips. I think probably a week, we can see you pretty rapidly. We've got quite a few surgeons now, and so we should probably be able to see you within a week or two. Having said that, we've had a few recently, what we usually do, because we've got the C and treat service, we've got a sort of system where people will send us a photo, and that will, first of all, let us give you a price without having to come to see us. But we'll also give us an idea of, you know, whether it's a bad thing or not, because we've had a couple recently that, well, literally two in the last couple of weeks, which have looked bad on the photo, I think that looks bad. So we will certainly, if it's a mole, that looks like it's gone cancerous, you've got to be a bit careful, because you've got to think about things like melanoma. There are other types, like BCC and SCC, which are less worrying, but certainly melanoma is a bit of a worry. So if we are concerned about melanoma, we will, you know, get you in, and if not on the day and the next, you know, the next day or two, we will certainly get you in. And I've done someone a couple of weeks ago, and I know that cost us treated someone like last week. And both times we put them at the end of the clinic where everyone agreed to stay on, but just because melanoma, you kind of want to get off as soon as possible. So yeah, so if you send us a photo and we think it looks worrying, we will get you in very quickly. But if it's just kind of like, if it doesn't look that worrying, we'll still try and get you in quickly, but it'll be like a week or so. Because when you say you're GPs, it looks cancerous, there's different types. If it looks like a BCC or SCC, then we can be a bit more relaxed about that. Yeah, normally like red crusty, often sun exposed areas, often in older people. So they're less of a concern, they can be left a bit longer than a melanoma, which is kind of a mole. So if it's a mole, it's a brown mole that is concerning, I think it's reasonable to expedite that. I wouldn't say you really want to leave a few weeks before getting that off, because melanoma you want to get out for quickly as possible. So we would certainly do it less than a few weeks. We would probably try and do it within a few days. And as I say, the last couple we've done actually on the day, but certainly within a few days, because we could try and help with that. So yeah, for sure, send us a photos thing to do, WhatsApp it, don't know what the number is, but if you go on the website, can you do it on Facebook? There's a WhatsApp button on Facebook, isn't there? Anyway, it's gone on the website, I think there's a button somewhere, it says WhatsApp or photo or something. Can you remove a cyst from the scalp, odd question? Can you remove a cyst from the scalp? Yeah. Why would you not be able to remove a cyst from the scalp? Yeah, I mean, cysts are lumps underneath the skin. So it kind of doesn't even matter how big it is. Even if it's a massive cyst, you just have to make an incision in the skin and then get it out. So yeah, because I'm assuming this question is because the skin on the scalp is quite tight. So you actually can't take out a mole or any significant amount of skin because it is quite tight. So if you have like a tattoo, we send you a tattoo on the scalp or a mole or something, if you had a big one, it would be difficult to remove from the scalp. But in terms of a cyst, that's subcutaneous, so we don't have to take any skin out with a cyst. Sometimes you take a little bit out if the cyst has tinted up the skin and stretch the skin a bit, but that's only to close it without having those with wrinkly skin. But yeah, there's absolutely no problem removing a cyst from the scalp. Well, the only issue that you might want to think about is that it will leave you a scar on the skull and have hair on it. So just to be aware of that, if you've got short hair like me, yeah, if you completely bald, the bald bit will be all right. If you've got really long hair, it's all right. But if you've got a short hair like this, there'll be like a line in it. So that's something to consider if you're having a cyst from the scalp, but the doing of it is absolutely fine to cyst from the scalp relatively often. So yeah, it'd be fine to remove a cyst from the scalp. Can a mole be moved from one of these tattoo? Yeah, we had one of these a while ago where the lady had a mole, quite a large mole, quite a birthmark, and she'd had a tattoo to cover it and the tattoo hadn't really covered it. So, she could still see it and I removed it. In fact, I've had to do it in a couple of ops, but the problem with that is it's gonna mess up your tattoo. It's gonna be a scar in the middle of your tattoo. So that's something we need to discuss, have a discussion on 'cause we'd have to take out that piece of the skin with tattoo, you know, if you've had a tattoo over the mole. But yeah, they absolutely fine to remove a mole from under a tattoo, no common tool. Perfectly doable, as long as you know that your tattoo might be a bit messed up. Do you have a lady surgeon at your clinic? I bet this wasn't a question. I put it to you, Amy, that you've planted this question. Can't believe, is this a real question? Because anyway, maybe I shouldn't, maybe we'll cut that bit out of the edit, maybe that's not helpful, because we have got a lady clinic, a lady surgeon who is starting tomorrow, I have reason to believe. So she's starting tomorrow. So Shine is starting tomorrow afternoon, I've got a clinic tomorrow. And then she's after me, she's sort of overlapping a little bit, but she's... So yeah, so Shine, so yes, is he asked to that. We have got a lady surgeon as of tomorrow. So yeah, well, that Amy, that's promote Shine. Let's all give a big hand to Shine. And that's it, I'm out. Out of questions. I just realized I was okay to have product placement on the, I should get people to send me merch, shouldn't I? Now that I'm in, I mean, look at this. Look at this engagement I've had on this. Anyone, any t-shirt manufacturers out there or hat manufacturers want me to wear their merch? Well, I'm doing this to promote the, promote them, product placement. You know, I'm very happy to, to consider that. So just put that out there. So Levi's completely, didn't, didn't, didn't get any, just to pay for a C-shirt, to buy it and everything, which is wrong really, a man of my social media reach, really, you think I'd have a bit more support for my sponsors. But anyway, as I say, I'm not gonna grumble about it. I'm just gonna push through. And if you have got, if something comes to mind after this, if you're out there watching this and thinking, I don't need a question for him and then I go and then a question comes. Or if you're watching it on the replay, which I'm sure the vast majority of my followers are doing since there's only, oh, anyway, I don't wanna take you away from you guys that turned out so, I'm very grateful to you all. Post it in the comments or email me or direct message me or phone me or WhatsApp me. WhatsApp is going really well since we started out WhatsApp button. So the button on the bottom of the website says WhatsApp. That has been really good, much better than the live chat. But anyway, yeah, by all means WhatsApp. And if, yeah, and I'll do it next week is the thing. So next week, yeah. Without further ado, I am gonna take your leave and I will say thank you very much. Zoe, Lynn, Jackie, Adele, all of you for Mrs. G, who can forget Mrs. G, started a ball rolling Mrs. G on YouTube for participating in tonight's broadcast. Let's be honest, you guys are the stars of the show. I'm just here to, you know, to facilitate things. So thank you very much and I will bid you good night and see you same time, same place. Next Tuesday at seven o'clock. (upbeat music) - Have a question, not covered in today's show? Then send it over to info@styanoplasticsurgery.co.uk using the hashtag #AskJJ. We'd love to hear from you. [MUSIC]