Dr Michael Zacharia on Scar Management Post Facelift and Rhinoplasty

Another informative and insightful podcast with Dr Michael Zacharia as he chats with Trish on why he chooses Strataderm and Stratamed as part of scar management for his patients.
Dr. Zacharia is a specialist ENT Surgeon based in Double Bay so if you’re considering a facelift, nose job, eyelids or your ears, he’s definitely one to consider.
Excited to listen more? Tap the LINK IN BIO
@drzacharia @stratpharma_australia @themedispaclinic @trishyhammond @anybodi_aesthetics @anybodi_industry
Transcript – Dr Michael Zacharia on Scar Management Post Facelift and RhinoplastyTrish

Hello, listeners. It’s Trish Hammond here from the Aesthetics Uncensored podcast. And today I’m joined by Dr. Michael Zacharia. Now Dr. Zacharia is a specialist ENT Surgeon based in Double Bay, and today we’re going to talk about his procedure that’s a deep plane facelift and rhinoplasty surgery which he does a lot of both, and we’re going to talk about scar management. So welcome Dr. Zacharia.

Dr Zacharia

Thank you Trish. Thanks for having me. 

Trish

Oh, thanks so much for joining us because like the last thing you want to do when you finish work is you know, do more work. I’m on a podcast. I really really appreciate it.

Dr Zacharia

No problem at all. 

Trish

Lovely. So tell me. So you’ve been using Strataderm in your clinic for a while. So tell me, how long have you been using it? First of all?

Dr Zacharia

Well, I’ve been using it for many, many years when stratagem first came out. Wow, how long ago was that maybe 10 years ago or eight years ago, something like that. When it first came to Australia, there were other gels and other silicone things that we used to use and of course, the only availability was the actual sheets of silicone that we put on scars and things, but that has always been practical. So when Strataderm actually came out, it was something that I was very, very fond of using, and had been using it ever since and virtually all our patients who have for surgery be facelifts, or rhinoplasty or blepharoplasty, they get Strataderm to use as well.

Trish

And tell me as a compliance, like because it is easy to use, but it’s something different, you think, or scar or want to put you expect to put a tape on it. But now that things and times have moved on and of course, when something better comes along, you’re getting them to put it on themselves. So they usually comply, like easy to use?

Dr Zacharia

Actually, you know, I find that they are actually very compliant, because they want to reduce the scars as much as possible and so I do sometimes use the Stratamed, which is in the operating theatre and put them directly on the scars. But quite often that some of the scars need to be covered after surgery. So then I’ll get the patients who use the Strataderm and I find that they actually come back and ask for more, because they do use quite a lot of it and the compliance is not a problem. Sometimes combinations using some tapes on the incisions depend on where they are. But for example, a facelift and rhinoplasty and eyelids it’s difficult to put types on those areas. And so the key is to put a little bit of the Strataderm gel on and it really does help significantly. 

Trish

Yeah, of course. And so most of the concerns that you patients have about the surgery like facelift, or blephs or rhinos, is it the scar? Or like what is the main concern? Because it is the face? Hey, 

Dr Zacharia

Yeah, absolutely. Um, you know, you can’t cover the mistakes on the face very well, unfortunately. And so the scars are always an issue that patients talk about, and especially with facelifts. So with a facelift, I do what’s called a deep plane facelift where I lift up the skin in front of the ear, probably for about four centimetres, but then I go down into the deeper tissue that area called the SMASl, and the SMAS is still attached to the skin and by dissecting that and lifting it all the tension is taken on the deep tissue and that’s masters we relocated back into a higher position. As a result of that there’s no tension on the skin and so scars are going to be much better and less tension on those scars. So when you have less tension on the scar, you are an incision line, you get a bit of scar and by doing you know placing the Strataderm over that scar as well that just helps to take the tension off of it and helps with the healing so and then around the nose. You know, the incisions around the nose is a little incision on what we call the columella which that bit in between your nostrils that’s usually the the access point to get into a nose and do the surgery but then also if you have big nostrils, we make an incision around the base of the nose. But you know what tomorrow I’m doing a rhinoplasty and lip lift at the same time and last week I did five rhinoplasties and five lip lifts and so lip lift is another significant area where we use a Strataderm and in fact today I had to go that I did a run a person with lift on eight months ago and she’s still got a little bit of redness on her scar, but hardly any scar and or just a little bit of redness so she took a tubular Strataderm again and then I have another two patients who booked in for facelift surgery and all they could ask about was the scar were in scars. And I’m able to show them you know photos of scars of patients who’ve had the deep plane facelift and also use the Strataderm.

Trish

You know, and like you said that lip lift procedure. I mean, it’s the bomb hey like, do you do anything in junction with the nose job or you did it separately?

Dr Zacharia 

Oh, no, I actually have no problem doing it in conjunction. So last week when I did the, you know, the five patients with rhinos I did at the same time. So, and I think, tomorrow I’m doing a lady’s facelift. Well, tomorrow’s a big day, and I will do the lady’s facelift, brow lift upper eyelids, a little tweak to her nose with a lip lift, do her earlobe reduction, and a little otoplasty as well. 

Trish

Nice. So she’s getting the full, full face job. 

Dr Zacharia 

She’s getting full face jobs, right? And she’s gonna look fantastic because she’s in her early 50s and she already looks great, but all these areas need to be adjusted. So she’ll be getting plenty of tubes of Strataderm to go home with. 

Trish

That it’s really funny because it goes so far, like, you know, the tubes. When I first saw it, I thought, Oh, this little tube, like, how long is that gonna last? But those small five gram tubes, like they’ve got, I think, was it five grams or 180 application? Or 90? Yeah, 180 applications, I think. 

Dr Zacharia  

A bit less when you’re putting it on the face of incisions and depends on how often you do it as well. I encourage patients when they wash their hair, and they have a shower to put Strataderm over the top of the incisions and they can do that again at night time. It seems to last a long time. And but one true, it does last a while and especially on those were just placing our own small incisions. 

Trish

Yeah, tiny thing and tell me if a new seen a difference, like from the days that you use that nowadays to what you used to use before, because it says if people put on and I know myself, like I have a tape allergy, so there’s no way I could put the tape on for more than half an hour because I just swell up like a like a balloon and I believe that’s quite common.

Dr Zacharia 

Yeah, absolutely. And what the taping, we after, basically, if there’s not too much taping, that’s done. But with a rhinoplasty, I get my patients to take the nose quite a lot. The silicone sheeting is very good for scars but it’s very difficult to place them on the ears and you can’t go out with them. It’s already here, say having a breast augmentation or breast lift and then you can place the silicone sheeting on the scars and then they can put a bar on it’s not so much a problem. And but you know, you really need a solution, and the solution is a gel with those places that you can’t really apply a tape. 

Trish

Yeah, I think so because it’s easy to use and ends up with the instructions. I think when I was using it, I was having a shower, and then putting it on in the morning and then just leaving it on all day so I’ve got to actually put it on at nighttime as well.

Dr Zacharia 

Yeah, so a scar is due to tension. So if you can take the tension off that scar no matter when you are doing that. If you can do it 24 hours, that’s going to be even better. Yeah. But, you know, I think it’s just important to try and take attention off any scar. We don’t exactly know how the silicone sheeting or how the strategy really works, but I think it must change the electromagnetic forces within the actual cells and there’s just less tension and I’m telling you when we put the Strataderm on it really just makes such a difference. 

Trish

I guess it’s some because I have done it but because it’s like it’s famous for softening and flattening the scars I guess that’s probably why because it helps the scar to stay flat. You know, like sometimes is it called keloid when it gets bad or is that you know when it pops out? 

Dr Zacharia 

Yeah, keloid scar is one of those term raised scars that often you see behind the ear. But you can also see it on the body, on the breast or on the chest and shoulders. Their typical errors with skin cancers have been removed and so applying the Strataderm can actually help to flatten those for sure. 

Trish

Yeah. And so tell me so tell us the importance of scar management because it’s like your job like you do the surgery but then the scar management kind of comes back to of course you’re going to tell the client or patient what to do but then it’s really up to them as well. To enhance it, you know what this scar is gonna look like? 

Dr Zacharia 

Yeah, yeah, look good. It’s very, very important. One of the things is that most of my patients when they’re coming into surgery 95% pretty motivated to get a good result. And so, as a consequence to them, they will use the product like we told them to like the Strataderm.

There’s a lot that we can do as Surgeons to take the tension off the scars and that’s the most important thing. You can use as much Strataderm as you want but if you’ve got tension on a scar that’s pulling it apart, then it is never going to heal the whole. So the first thing we need to do is take the tension off the scar and that’s how I dealt with that deep plane facelift by the tension on the deep tissue and not on the skin. So when the skin is close together, it’s not trying to pull apart because there’s no tension there. Yeah. That’s the first part of an important scar and then it’s the patient actually spending time doing the right things. 

Trish

Yeah, it’s teamwork, isn’t it? If the team works, makes the dream work? 

Dr Zacharia 

Yeah, where it is because we can only do so much. Now look, there are patients of course, who are fantastically well and they don’t need to put anything on the scar or they don’t do anything to help themselves and they just heal very well. But there are others, the ones who are motivated, you know, I was on a TV show last year called Mirror and Mirror, and I saw the girl Julia, the lady Julia, who’s 70 years old, she was on that show, and she had a facelift with me and she was really motivated, motivated beforehand, motivated afterwards and she has had great results, she used the Strataderm, she did everything correctly. And her scars are fantastic. Little bit of thickening of the tissue behind the ear, which is not uncommon because you can’t take the tension off of that tissue, but you can in front of the ear and it’s a stigma that people are worried about that if they haven’t faced the procedure, then people might see the scar and and know that they’ve had a facelift. And so by having motivation from the patient and having a good surgical technique, you can really reduce the scarring significantly. 

Trish

Yeah, totally. And you mentioned using Stratamed first, can you explain that? Like why use the Stratamed first and then follow up with the Strataderm?

Dr Zacharia

Yeah, so the Stratamed it is it’s more sterile type of dressing, whereas the Strataderm is one that is even those clean and sterile, Stratamed is one that we can use in the operating theatre. So you can apply it directly onto an open wound as part of your wound management, whereas the Strataderm we tend to use afterwards when things are healing, the wound is closed. So the Staratamed comes I think in a slightly larger shoe, and you can continue to use that afterwards, just like the Strataderm so we usually give that to the patient to go home with. The other thing is I found that you can even use it on on other areas of tension, like doing a lower eyelid surgery, you can put it over the lower eyelid to actually take the tension off the skin there and that helps and you can do a little bit of taping about using Stratamed immediately afterwards can help us tremendously as well.

Trish  

And so what would you think about people that have keloid or Asian skin types as well? Because that’s a different thing altogether, isn’t it?

Dr Zacharia  

Yeah, look, it’s you’ve got to be careful with those patients and no matter what you do, no matter what sort of wound management, depending on where the incision is, you might still get some thickening and keloid scarring so that’s just the type of skin so there’s only so much that you can do and then they have to be managed with steroid injections and that type of thing and sometimes re excision of a scar, and then again, putting less tension on there. So there may be some patients that do all the right things, but still get a keloid because that’s their genetic makeup. 

Trish

That would be me. 

Dr Zacharia

But we’re interesting though. The keloids don’t tend to occur on the face. Even in dark skinned patients who are more prone to keloid around the nose, and around the facelift incisions, they don’t tend to keloid so much. It’s usually in areas like behind the ear, in the hairline, that the posterior hairline has more attention there that they tend to cure more. 

Trish

Yeah, right. We know when I have surgery, and I have this thing where I just go itchy crazy and that one of the the benefits or if you like features of Stratamed, I guess, is the fact that it can help to relieve the itching and the discomfort because like you’re healing and when you get it today say, I don’t know if it’s true or not, but oh, lifestyle? Or is the fact that that’s your healing? 

Dr Zacharia

Healing, yeah, that’s right. Yeah. 

Trish

So do your patients use it for that as well? 

Dr Zacharia

Yeah, absolutely. There’s certain areas if the wound is itching itself, then definitely you can use the Strataderm in those areas. You know, sometimes you get itching behind the area, like in the scalp and that type of thing, and it’s impossible to use it there but the actual healing wounds, yep. But Strataderm there is fine and look, I’ve even used it on my kids with little injuries with scratches and things on their, on their faces and on their hands and that type of thing where they have the scratching, it looks quite deep and red nasty. You put the Strataderm on there straightaway, and just get them to keep on using that and those little scratches on their face just seem to disappear. 

Trish

Yeah, I definitely think that should be in everyone’s first aid kit. There’s no doubt about it. Because it does work, you know? 

Dr Zacharia

Absolutely. And, I mean, it’s interesting, you know, beforehand, we just didn’t have it, it wasn’t available, what’s around, there was nothing around. But now it’s readily available. And it’s a great product that I like to use. And like I said, every one of our patients gets things we give the patient a whole lot of different supplements and zinc and different things for to improve healing from the inside and so from the outside, the only thing available other than meticulous suturing is to actually use something like the silicone sheeting or the silicone gel like Strataderm. 

Trish

Yep. Yep. And for old scars working, does it work in the old scars? Like say, someone had a basic would you like five years ago? They’re like, Oh, my God, like, I still got scarring. Can they put that on?

Dr Zacharia  

Oh, yeah, it’s definitely worthwhile trying. Sometimes it might be a combination using an injection and using some Strataderm. Some older scars, like the biggest scars, you know, you get those Team D type scars on the side of the arm or their breast scars that are quite thick. And you can try, usually for those types of scars or get the patient to use some silicone sheeting first, for a period of time, allow it to start flattening with a silicone sheeting, and then use the Strataderm afterwards. Depending on how thick it is, if it really is quite raised and keloid like then I get to use that type of treatment first but you know if the slightly raised scars or slightly red scars or slightly irritated scars, years after surgery, I think Strataderm works very well. 

Trish

And so, going back to that deep plane facelift, you know, is it so if you do a deep plane facelift on someone, where are they so the incisions are actually, can you tell us again because I know you said what you do now I’m just thinking of the scarline so where would the scar be? 

Dr Zacharia 

Okay, so the scar is the incision, we call it the temporal tuft, you know that little bit of the temple hair in front of the or just above the ear. So the incision goes around that and then it goes in front of the ear behind that bit of cartilage called the triggers and then in the natural crease so it’s in all the natural creases and that creeps up around the ear low and then the post auricular crease which is the bit be right behind the ear where the ear is attached to the head and then along the hairline as well and so then in the hairline to try and hide it hide the incision just depending on how much skin needs to be removed because if there’s lots of skin that needs to be removed, then you have to go down the hairline a bit more so everyone’s incisions are tailored, but the most prominent incisions are people worried about those where the ear is in front of the ear where, if you’re having a normal conversation, someone will look at you. So I always try to hide those incisions so that you actually don’t see them, some people will put them in front of the ear, but I never do, because I think that those scars can become wider as well. So, so yeah, it’s an incision that wraps around the ear, but hidden behind the cartilages as much as we can. 

Trish

Okay, so your, your deep plane facelift you don’t have any scarring at the front of the ear?

Dr Zacharia   

No, it’s all hidden behind the ear. Yeah, you have a little bit at the top in front of the ear along what we call in front of the helix. But you know, that’s, you just don’t see it. That’s what it feels beautifully, well, you don’t see it, that’s where the Strataderm works fantastically, as well, because of a scenario where you can actually put lots of the gel on there and the tension is very minimal in that area. So yeah, the incisions are hidden, that’s one of the things I do the same with men. I always put the incisions behind the triggers behind the cartilage, because I just find with men, you can make the incision in front of the ear, but then sometimes it’s visible and even as they’re growing here, they’re, it’s visible so I put it behind the triggers as well in men and if there’s a bit of hair that starts growing near the ear, you can always laser it, and that will fix that problem. 

Trish

Okay, well, that makes a lot of sense. I’m obsessed now with this facelift, you know, that’s no scarring at the front don’t work. With them just talking about faces now so what’s the difference between a facelift and when someone will have a thread lift?

Dr Zacharia  

So generally, a thread lift is performed when people have very minimal scars, certain minimal scarring, minimal skin, excess skin so if they’ve got quite a lot of excess skin, then you can’t really lift that with a thread. So if someone’s got some minimal excess skin, and they’re just trying to change the position of the tissues, then a thread lift is good. So for example, if someone’s got a little bit of mob gelling, so that’s maybe someone who’s in their 30s or early 40s, or who’s looking spectacular in their 50s and they just want a little bit of lifting other jobs, then threads might be a benefit in people that if they’ve got excess skin, there’s nothing you can do. I think that thread lifts, and I’m a fan of threads, and I think the threads have got certain applications. But if there’s excess skin, that skin has got to go somewhere and the only place a can goes in the bin, unfortunately, to get a good to get a good result. So that’s one of the issues that you have to weigh up. I used to do quite a lot of threads but because I do surgery, people were expecting a surgical result using threads and it just doesn’t have it might look like that at the beginning, but it just doesn’t stay and maintain like that. So, a thread lift is for someone who’s got very, very minimal tissue that needs to be lifted and raised and it can, for cheeks for example, you can actually put some threads into the bulk of the tissue and bring it together and it looks like a cheek lift so works very well their threads are even being used in the nose to try and lift the tip of the nose and it works reasonably well in some patients, but it’s a matter of expectations and if someone wants threads, then I’ll direct them to one of my colleagues rather than for myself because I just think that I’m after a more significant result and that more significant result happens with surgery, of course. So, but I’m certainly not not against threads, it’s just that patients usually come to me wanting significant changes. The other thing that I do do though, so I do use some of these threads, surgery does not change the quality of your skin. That’s one of the issues so we can do a facelift and we can pull the skin as tight as we want. However, it doesn’t change the quality of the skin. So I have been using these dissolving PDO threads in the lower part of the neck and what that does, what the dissolving PDO threads do is actually helped to stimulate collagen production. And so I’ve been using those in combination with my facelift surgery and as well

working fantastically well.

Trish

You’re right. And with that, would you have a scar there from the threads? 

Dr Zacharia  

Oh, no, no, no, no, not the threads that these tiny, tiny little ones I put about 50 in the skin. So yeah, they’re these tiny, tiny little ones and yeah, so it’s you don’t see any scarring at all, because it’s so superficial. 

Trish

Do I do that, like before the surgery or at the same time? 

Dr Zacharia  

Well, usually at the same time, but sometimes I’ll do it after surgery. So patients, they’ll come in and have the facelift done and I’ll tell them that they got in the skin that needs to be addressed. So they’ll come and have some of the threads or I use Ultra former, I use just some different things to try and address the the quality of the skin because surgery doesn’t change the quality of the skin. Yeah, put a bit of Strataderm on it, and it makes the skin look fantastic. But that’s not a permanent thing that’s just while it’s on. 

Trish

Yep, no, I get it. And with the facelift of how long does the facelift last?

Dr Zacharia   

The good thing about the deep plane facelift is that it does last a long time and the earlier you address it, the longer it seems to last. So for example, I’ve got patients that I did. You know, last year I did a couple of 32 year olds and 35 year olds. I did different patients, different ages, who have had fantastic results and they’re quite young. Tomorrow’s patient, I did one a facelift yesterday, a 56 year old and tomorrow’s 52 so early 50s is a good time to do it before the skin laxity and elasticity is too far gone so you can still do a facelift on those patients but the result may not last as long. So for example, I always remember a lady that I did when she was 51 – 52 and she came back and had her second facelift when she was 67. So that’s 15 years later so unfortunately, that’s a reflection of how old I am. Because for a while, but it shows it does last, you know 10 to 15 years. Yeah, you know, unfortunately I call it the conveyor belt of ageing. We’re all on the conveyor belt of ageing so we can do a procedure but take us back but we’re still ageing and so you need to do maintenance things to maintain the whole process and that’s why afterwards, skin treatments, laser therapy, ultra form peels, botox, fillers, different things are needed to maintain the the effectiveness of the of the result. 

Trish

Yeah, yeah. And like with the incisions up the rhinoplasty, so you’re saying just that little column, what would you call it?

Dr Zacharia 

The columella. The columella is the only end maybe around the sides, if they’re bringing the nostrils in is where the scan would be. And that’s an is that an open or closed that’s an open. So that’s and that’s an open rhinoplasty but I still do I still do the closed rhinoplasty which is

where you don’t make any external incisions. But you know, probably about 30% of my patients have the closed rhinoplasty whereas 70% of patients will have the open rhinoplasty where you’re actually getting stuck into that tissue by opening it up and so most of my patients will have an open rhinoplasty but and that’s where the columella incision is made.

When that columella incision is made, that’s when we get all the patients to start using the Strataderm afterwards. So virtually every patient is given a Strataderm to use in the post rhinoplasty phase to put on their incisions, even lip lift is given the same. 

Trish

Yeah. Okay. And then what? I’m sorry. 

Dr Zacharia 

I was gonna say you asked about the girl who has old scars and like the girl that I saw today, who was eight months post surgery, she’s got a little bit of the scar that looks good, but just a little bit red. So I’ve got to use the Strataderm even eight months after surgery, and so that’s going to make it improve even further. 

Trish

Yeah, totally. And so what timeframe do you tell people to use the Strataderm? Let’s start with the Stratamed, the one that you can use while the wound when it’s not completely sealed, I guess for whatever else my terminology is that’s not seen. You know what I mean? 

Dr Zacharia 

It’s totally fine. I know that, look at Stratamed, I just can’t get them to keep on using it until it’s completed. And most of them, I must say, don’t use the full tube because I think it’s 10 grams that too, so they can keep on using it for several months afterwards. So I usually say use it for about three months, it doesn’t matter if you miss a day here and there, but use it mostly for around three months. And the same with the Strataderm, most patients will get Strataderm rather than Stratamed though I have both available. And it’s you know, they’ll start putting on the scar usually after the sutures have been removed, which is around about 10 days so that’s when they start putting the Strataderm on because you get natural swelling occurring. So you get natural swelling, carrying around an incision for around about a week to 10 days and then that settles down. As that settles down, that’s the best time to start using the products. 

Trish

Yeah, and what about those patients that don’t adhere to your post op regime?

Dr Zacharia 

Well, you know what, fortunately, some of them will get a nice scar, someone will get a bad scar, if they get a bad scar, then the most of them are usually pretty honest about it and say are you know, I didn’t use the the Strataderm and so on I was eating apples immediately after surgery were meant to be resting my incisions and so some people do silly things like that I tell you, and you have no control, you just don’t know what people do when they go home. Yeah. But you know, if there’s a scar that is a little bit thicker, a little bit wide and it’s got nothing to do with what they’ve done at home or sometimes it just feels poorly, what you can do is inject it with a steroid. Sometimes you have to re excise it, but then I really do encourage them to use Strataderm afterwards, because that just seems to help with the healing and patients, most patients are motivated to get the best result and so as a consequence, if we say use the Strataderm and they’ll use it. 

Trish

They come back to get it revised, they’re going to definitely follow the protocol like the 

first time. 

Dr Zacharia 

Absolutely, yeah, absolutely. And like I said, there’s only so many things that we can do. The rest of them are up to the patient to adhere to what we can advise. But some patients just are not good at that and they’re the ones that you can’t really do anything about. But mostly, I would say, 99% of patients are very motivated. Because, look, they’re coming in and they’re paying good money. Yes, they have a surgical procedure and so they want good results and like most of them are motivated, get those good results. 

Trish

Yeah, yep. Amazing. So, I was going to ask you as well. So why strategy on strategy in your product of choice? And you kind of answered that a million times anyway, during this podcast, but when it has, like you said, it hasn’t been around for long. So I remember when it first came out, I was like, huh, or is this you know, putting it straight on a wound? You know, that was a bit hard for people to understand. I think even doctors as well, hey, that was a bit challenging. Do you think? 

Dr Zacharia 

Oh, definitely. Definitely. It was. Look, the Strataderm is I just used it because it filled a gap. You know, there used to be some silicone gel, I can’t even remember the name of it that you could buy over the counter from the chemist and that would seem to be very rarely available. It was hard to find and the silicone sheeting was tremendously expensive. Whereas the Strataderm, they really made themselves the name of the product that was readily available. And so I’ve just, you know, what they used to save you if you’re on a good thing stick to it. Yeah. So I haven’t seen anything that’s changed that’s better than what I can use and it’s good value for money and the patients like it and so yeah, why not? 

Trish

Yeah, it’s a no brainer. Hey.

Dr Zacharia

Exactly. 

Trish

Awesome. I want to say thank you so much for joining us tonight. Like it’s been really informative. And I’ve loved listening to you talk about your facelift procedure and the fact that there’s no scar in front of the ear that just like oh my god, that’s so exciting.

Dr Zacharia

It makes a big difference. You’re gonna have to come see one, Trish. 

Trish

Yeah, definitely. Awesome. Well, look, thank you so much for joining us tonight.

Dr Zacharia

Got no problems at all. Pleasure. 

Trish

Lovely. Thank you so much and listeners look if you do want to catch up with Dr. Michael Zacharia you can check out his website. It’s faceliftplasticsurgery.com.au. Otherwise you can google him and you can send us a DM as well. So yeah, if you’re in for a facelift or a nose job, or your lids or your ears, he’s definitely one to consider. So thank you so much for joining us tonight. 

Dr Zacharia

Okay, thanks a lot. 

Trish

Thank you. Bye.

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Well, like all good quickies it's time to dust off and get back to our day jobs! If you liked the podcast please rate us because we need the validation for our fragile hearts. If you have a story to share or have a burning question you would like us to cover please slide into our DM’s on Instagram at @transformingbodiespodcast. Stay positive, keep your boobs and chins high until we chat again xoxo Trish