 So I'm here in Richard's zoom all-ins. I think it's zoom all-in, zoom all-in, zoom all-in. I don't know, I don't remember. It's Beverly Hills, and I'm doing my pre-op for my chin implant. It's a large implant, and it's gonna be in a week from tomorrow on a Tuesday, 11 a.m. So it's giving me my final info, whatever I guess I need, so we'll see. Alright, so this is a great system. This is 3D imaging. I do this on all patients that are getting any nasal work done and sort of chin augmentation, some mental lipo. It takes two, it takes three pictures and puts them together so that you're able to see the potential transformation, and it's not exact, not 100% exact, but for someone like a chin implant in a rhinoplasty, it's amazing because, you know, it allows us to communicate things like size. So what I'm going to do now is show you what we imaged the last time I saved it, and it allows us to see what the overall potential change can be with this. Now, you know, this is, you know, what can be achieved with a chin implant. Now let's overlap with that. What I'm going to do is I'm going to start over again. Oftentimes I like to image twice just to look at sizes to make sure we're doing the size that is best for you. So this is how you actually, you know, you bring this out, okay, and then what also you end up doing is when you pull the chin forward, this part, which I just felt in the exam room, it wasn't very bulky, it didn't have a lot of fat in it. What it's going to do is it's going to pull it up. So it's kind of a double whammy as far as improvement because it's going to pull this up and improve your profile in two ways. Going to bring this up and bring this out. When we look at them so far, let's see how much augmentation we have. So that's about a medium. Now the reason why I'd go a little bit larger with you is because you're a male. Males can go bigger with the chin, and so you go drive it a little bit further with a large, and that'll give us even more pull down here so that when we end up doing it, you know, you'll end up having, you know, something like this is what we're searching for. So this is great because it allows for some idea of this, but I don't like how it's not exact. It's not this square in real life. This is a product of the, it's just artifact from the system, but not putting it together well. This is not as accurate. Front views is just, this is a little bit more boxy. It's going to be smooth, a nice contour. It's not going to have a boxy shape to it. So yeah, it's going to be great. That alleviates my, that was my main view. It's not going to be. Trust me because if you look at the way that implants are shaped, have you seen them? Yeah. Mel, we'll just show you kind of an idea of them. Actually, I want to show you the actual implant so that people can see it. Hey guys, who's out there? Can you actually bring me an actual large implant, like the actual one? I'm going to open it and show it to him because he's got that. He wants to see it. So pretty good, right? Yeah. Okay, excited. Okay. I want to, I want to show you the, I want to show you the actual one so you'll know why now. It's not going to create a boxy look. Here's the large. Oh no, actual implant. Oh, okay. Let me bring the box. What's that? This is a sizer that I use. This is the shape of it. Okay. This is the shape of the large implant. So, so check it out. Can I feel it? Yeah. You see how it's not, you see how it's rounded? Yeah. Yeah. It's pretty firm too. Yeah, it's pretty firm. So it'll feel like bone once it's done. Okay. Yeah. So this is a sterile, you know, this nice package and these are the ones that look best on guys. As big as you would think either. No, it's not large. It's no, no, no. I mean, it's large sounds large, but you should see the smalls immediately. It's too small for guys. I mean, I've all, all right, we're going to do this. You're going to love it. Come on. So it's going to be awesome. My pleasure. Okay. All right. I'll see. Thank you. My name is Misako. I'm going to end us today. Rafe, Rafe, are we doing your chin today? Okay, great. Are you allergic to any medication? No. Any food allergy, latex allergy? Have you ever heard of surgery before? No. No. How much do you weight? 170. Okay, no, you're heavy. Oh, yeah, yeah. I don't think it's good. What was that? Did you get all the medications? Yeah, I have it all here. You started anica yesterday? No, no, you don't need it, you don't need it for inflammation. Hey, how are you? What's your name? Rafe. Rafe, I'm Dr. Bagdad. Ready? Yeah, excited, nervous. You didn't have anything to eat or drink today? No. Any allergies? No. Any medical problems? So I'm going to put you to sleep for this. Everything is going to go through the IV once. You have that? Give me medications, take an active procedure, hopefully. It's not a long one. And do you do any small drink drugs? I drink socially. Okay. Do you have a question for me? We'll just wait here for you tomorrow. Okay. Okay, thank you. I'm going to show you some more questions. Everybody asks me if I have questions. I don't have any questions because I don't know what to ask because I'm nervous. Hi brother. Hey, how are you? Good. You ready to do this? Yeah. Do you want to record anything? Oh, you are? Hey, I should sit down then. Yeah. Okay. This is my good side. Perfect. All right, we will give you two really good signs too. Okay, so I'm going to do a little recording today as well because I'd like to do that if you don't mind. But basically the first thing I'm going to do is I'm going to mark you up so that I can line you up as great as possible. Okay. So what I do is I mark the center of the chin. Masako, can you record a little too for me? Rave's recording, but I want you to get this too. Okay. Just record anything. Make me look good. Okay. That's right. Make rave look good. Okay. Okay. So what I'm going to do is mark the ends of where we're going to put the implant. The anterior edges are going to be here, here. All right. I'm going to make the incision underneath right about here. Okay. And so with a large because it's going to sit so anterior, I want to make sure that even so the incision when it's pulled doesn't show. So I'm going to, so I always go the bigger the implant, the farther back you actually have to go in order to make sure that when you put the implant in, you don't end up getting the incision showing because this thing never shows. And in fact, 30% of people already have something here. Good. You get us together. Get that shot from right there, Masako. Don't block his camera. Oh yeah. Good. Okay. So we're going to do Masako. Masako. See that camera over there? It's okay. And edit your body out, Masako. My gosh. Masako is our nurse. She's a legend. She's great. She's going to be working with us to make sure you have the best experience. And then it's going to come up on top here. So once we're done, outlining it, basically that's, and that's where it's going to go. Essentially the meat of it. Smile big for me. I want to make sure it's lines up with your teeth perfectly. Relax now. Good. So basically now you can see where it lines up and basically we're going to extend the chin and give them a little bit of chin augmentation anterior. Okay. You ready to rock? Yeah. Oh wow. Masako, look at that beautiful view. Masako knows how to make you look good. All right. Let me just dab you. May I follow you? All right. So we're scrubbing it now. We're going to put in a large chin implant on her patient. He needs a little bit more augmentation than the average. So we're going to put that in. Contour it, custom design it just for him. All right. So we're carving the implant now. This is a silicone implant. This is what we're going to be using for him. I chose this because we want some anterior extension. That's about this length. And also I want it to wrap around so it's nice and natural and it doesn't have a pointy appearance to it. So this is custom designed exactly for what he wants. And I'm going to be carving the edges a little bit and custom designing it even further just for him. You got that? All right. So we basically made a nice tight pocket for the chin implant sitting in there. A nice custom designed pocket for as well. So it's not going to move. You actually don't even need to secure it. I do it anyway, but you don't need to. It's such a nice tight pocket. We're just going to close it up and that'll be it. It took less than an hour. What's up guys? So and I have to say the first two hours after waking up from anesthesia and coming home were the most brutal, the most painful moments of this whole recovery process. As soon as the anesthesia wore off, I was in the most pain I've experienced in as long as I can remember. When I broke my ankle, it wasn't nearly that bad. I can't even remember the last time that I felt that bad. I was just groaning and rolling and pain. I couldn't stop moving because I constantly had to like pull my hair or like grab the bed sheets or something because it just hurt so much. And then I had taken a percusset and I waited like 45 minutes to an hour and at that point I'm like it had to have kicked in. So I finally just decided to take another one and then another 45 minutes went by and that's when that one finally started to kick in and it toned it down enough that it was manageable. It still hurt a lot but it was bearable. So and then from then on the next day the pain had subsided quite a bit. I was still was taking percusset for the next day or two and a half but it quickly diminished and then I mean my smell of swelling has been really minimal. I haven't noticed any bruising at least that I can see so I'm kind of excited about that. Yeah I mean the process has been really easy. I took the week off. I just needed one week after the surgery for recovery. So I took the week off from work, just been ordering delivery, been doing a lot of editing. I'm a MacBook back there and just trying to get content together so that once I'm back on my feet I can hit the ground running. So I'm super excited to see what it looks like. So yeah can't wait for Monday.