Lifechangers: Dr. Drew Talks with Plastic Surgeons

"Extra" Lifechanger Dr. Drew Pinsky chatted with plastic surgeons Dr. John Layke and Dr. Payman Danielpour at The Grove to answer questions about getting work done.

Dr. Drew jumped in first, asking if Botox is dangerous. "Botox is safe. It is a neurotoxin but it's a purified protein," said Dr. Layke.

At what age should you go for plastic surgery? Dr. Danielpour answered, "The new trend is to avoid the wrinkles. Try to get in before the aging occurs, so you don't have to have the major facelifts when you get older. Your mid-20s is a good time to look for a little bit of facial rejuvenation."

Dr. Layke also said there's a trend -- for couples. "There are couples coming in to look younger together. It's no longer just the female coming in for a mommy makeover, now it's a little nip/tuck from the male's perspective. Couples are coming in for a facial rejuvenation."

Dr. Drew asked about the different procedures for breast implants. "There are three ways," Dr. Layke explained. "One's under the muscle and that's really done so you can mask the implant. The other way is to put it under the gland, under the breast tissue itself, that's for someone who really has breast tissue to begin with. It's very natural appearing and down time after surgery is very minimal. And there's a third way called a subfascial approach. It's really a combination of the two -- a connective tissue layer that's over the muscle but under the breast tissue."

Here are some other interesting questions and answers on plastic surgery:

What are the five most common plastic surgical procedures overall in decreasing order?
1. Breast Augmentation
2. Nose reshaping (rhinoplasty)
3. Eyelid Surgery
4. Liposuction
5. Tummy Tuck (abdominoplasty)

What is the most common plastic surgical procedure for men?
--Nose reshaping (rhinoplasty).

What is the most common plastic surgical procedure for women?
--Breast augmentation.

Are silicone implants dangerous?
--No. In 2006, the FDA reintroduced the next generation cohesive gel implants after several studies revealed no incidence of connective tissue disorders compared with saline.

How many different types of liposuction are there?
--Five: Suction-assisted liposuction, power-assisted liposuction, ultrasound-assisted liposuction, laser-assisted liposuction, vibration-assisted liposuction.

Is there a skin-tightening effect with laser-assisted liposuction?
Yes. There is a thermal effect on the underside of the dermis (deep layer of skin) that undergoes tightening and collagen stimulation.

What is the most basic form of liposuction?
--Suction-assisted liposuction.

For more information on Dr. Layke and Dr. Danielpour, visit their site