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Dr. Kris Shewmake 

Dr Kris Shewmake

Listen to the podcast to learn:

  • How plastic surgery can be life changing
  • How to choose between liposuction, cool sculpting or tummy tuck
  • How non-surgical procedures will "buy time" by creating new collagen

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Dr. Kris Shewmake was born in Pine Bluff, Arkansas. He earned his bachelor’s degree in biology from Hendrix College in Conway and a master’s degree in natural science from the University of Arkansas at Fayetteville. He received his medical degree from UAMS, where he also completed a residency in general surgery. He was president of his class and elected into the Alpha Omega Alpha Medical Honor Society (top 10% of the class). His eight years of surgical training after medical school included a General Surgery residency at the University of Arkansas for Medical Sciences (UAMS) Medical Center and a Plastic and Reconstructive Surgery residency in Dallas at the University of Texas-Southwestern Medical Center. Dr. Shewmake then spent an extra year at UCLA working with children and adults affected by facial birth deformities. Upon completion of his fellowship in 1992, Dr. Shewmake returned to his native state of Arkansas as Chief of Plastic Surgery at UAMS and Arkansas Children‘s Hospital. In 1996 he left UAMS and entered private practice. In 1999 and in 2009 he was named best plastic surgeon in Arkansas by his colleagues. In 2017 he rejoined UAMS as the director of the Division of Plastic and Reconstructive Surgery and also serves as an associate professor there. He is married with three daughters.


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EPISODE 136

[INTRODUCTION]

[0:00:08.3] JM: Welcome to Up in Your Business with Kerry McCoy, a production of flagandbanner.com. Through storytelling and conversational interviews, this weekly radio show offers listeners first-hand insight in starting and running a business, the ups and downs of risk-taking and the commonalities of successful people. Connect with Kerry through her candid, often funny and informative weekly blog, where you'll read and may comment on life as a wife, mother, daughter and entrepreneur.

Now, it's time for Kerry McCoy to get all up in your business.

[INTERVIEW]

[0:00:41.6] KM: Thank you, Jayson. Like Jayson said, I’m Kerry McCoy and it’s time for me to get up in your business. Did everybody hear us get off to a rocky start, Jayson? Just a minute ago.

[0:00:51.2] JM: I don’t think so.

[0:00:52.3] KM: Well, I just want to tell everybody, we’ve been out for the last few weeks. We’ve had life and we’re back here for the first time in a few weeks. We were trying to plug stuff in and scurrying around. If you’re watching us on Facebook, you probably saw all that hecticness.

Before we start, I want to introduce my co-host who you just heard from, Jayson Malik from Arise Studio in Conway, Arkansas. Say hello, Jayson.

[0:01:12.0] JM: Hi, Kerry.

[0:01:13.2] KM: If right now you're sitting at your computer, you might want to watch us live so you can watch us clowning around. We're at flagandbanner.comm’s Facebook page. It's fun to see what goes on behind the scenes and at the breaks as it happens in real-time. If for some reason you miss any part of this show today, or want to hear it again, or you want to share it, there's a way and Jayson will tell you how.

[0:01:39.2] JM: Listen to all UIYB past and present interviews by going to flagandbanner.com and clicking on ‘Radio Show’. There you may join our e-mail list, or like us on Facebook, thus getting a reminder notification of the day of the show and a sneak peek of that day's guest. If you'd like to be an underwriter of any UIYB shows, send an e-mail to marketing@flagandbanner.com. That's marketing@flagandbanner.com.

Back to you Kerry.

[0:02:09.7] KM: Thank you, Jayson. If you're tuning in to this broadcast for the first time, welcome. If you're a returning fan, you probably know this next part by heart. At the risk of being boring, we must repeat ourselves for our new customers, and besides that, it gives my guests a chance to settle in to their seat.

This show, Up In your Business with Kerry McCoy began as a platform for me, a small business owner and a guest to pay forward our experiential knowledge in a conversational way. Originally, my team and I thought it would speak to entrepreneurs and want to be entrepreneurs, but it seems to have a wider audience appeal, because after all, who isn't inspired by everyday people's American-made stories?

To see people in their totality is humanizing. We all thirst to connect and make sense of an over-complicated world. On this show, we have the luxury of time to go deeper than a mere soundbite or headline. My favorite part, we always learn something. It's no secret that successful people work hard, but other common traits found in many of my guests are the heart of a teacher, belief in a higher power and creativity, because business in of itself is creative. What my guest today does today takes a lot of creativity.

My guest today is Dr. Kris Shewmake, a renowned plastic and reconstructive surgeon in Little Rock, Arkansas. Kris is a Pine Bluff, Arkansas native. I told him before the show, I'm amazed at how many of my guests come from Pine Bluff. What's up down there? Got something special in the water?

[0:03:43.9] KS: Must be the paper mill down there.

[0:03:46.6] KM: He got his bachelor's degree from Hendrix College in Conway, Arkansas, then went on to medical school at the University of Arkansas in Fayetteville. After that, he did eight years of residency training; first at UAMS in general surgery. Next, he did his plastic surgery and reconstruction residency at the University of Texas. Last, he moved to California and worked with young and old persons affected by facial birth defects at UCLA. That must have been very rewarding.

In 1992, Dr. Shewmake returned to Arkansas as chief of plastic surgery at UAMS and Arkansas Children's Hospital. In 1996, the good doctor took the entrepreneurial leap just four years later and entered private practice. The reason for Dr. Shewmake’s huge success and long wait list for surgery is not just because of his experience and deep knowledge, although he has that, but also because he has a reputation for creating a natural and youthful look in his patients’ appearance.

Today, we're going to find out what it's like to be a plastic surgeon and get down to the nitty-gritty of facelifts, skin tight, CoolSculpting, injections, acne and scar repair, breast augmentation and more. We'll talk about the latest procedures and trends, alternatives to going under the knife and get his opinion on where he thinks you get the most bang for your bucks in cosmetic surgery. Last, I'll ask the proverbial question, are facelifts passe?

[0:05:23.2] KS: I don't think they're passe.

[0:05:24.7] KM: I knew you’ll say that.

[0:05:25.4] KS: We’ll get to that. Yeah.

[0:05:27.3] KM: It is a pleasure to welcome to the table a well-respected expert in his field, plastic surgeon and helicopter pilot Dr. Kris Shewmake. You can't just find that out on anywhere. Only I know that. Before we get into your early life, let's go ahead and ask the question, because there are so many options for women today that you can do besides facelifts. Why do you still believe in them?

[0:05:54.0] KS: Well, I think we don't have yet a way to non-surgically tighten the skin like we can with a facelift. There may be something that comes up. We're approaching that, the whole non-surgical side of aesthetic surgery, or aesthetic medicine has made it so that we can tighten skin somewhat, but not to the degree and not in the – it's not directional like you can in a facelift. I think we're probably 20% there. There may be a day when we can find a cream that you can rub on that'll tighten your skin.

[0:06:28.4] KM: Wouldn't that be nice? That is a huge industry.

[0:06:30.9] KS: I just want to be the one to invent that. That’s what.

[0:06:33.4] KM: Right. Was your father a doctor?

[0:06:35.0] KS: Nope. Nope. My father was work for the Corps of Engineers in Pine Bluff, worked on lock and M4.

[0:06:40.7] KM: Really? Did you always want to be a doctor?

[0:06:46.6] KS: I found a little autobiography that I wrote when I was 13, my mom passed away and I was looking through her stuff and she saved – she was the first hoarder, I think. She saved everything. I got my first color crayon mark on a thing. I found this little autobiography and I was 13 and I wrote in there that when I grow up, I want to be a doctor. I think I've had a lot of – once you tell your mom that you want to be a doctor, even if it's 13, then you're locked in, because I didn't want to disappoint her.

I loved it and I was fortunate when I was growing up to have strong mentors in that area. After my dad died and my mom, I was an only child and my mom could not talk about the birds and the bees. She was just in that generation. She couldn't talk to me about it. Our pediatrician from Pine Bluff, Tommy Ed Townsend, rest his soul, she called him and said, “Hey, can you talk to my son about the birds and the bees? He's 14 now.”

I rode my bike over to his office and he was inevitably late with his patients. I was just sitting out in the waiting room and his nurse, Miss Sammy, came in and got me. He said, “Well, we can’t do it in everyone.” She just hang out with me and see these patients. I would go in and see all these patients with him. This was back in the days before HIPAA. This was in the 60s. He would introduce me as his young protégé. Multiple times during my adolescent life, I would go by and just hang out and it always involves seeing patients. Of course, he'd become a surrogate father for me, and so I want to be like him. These talks went from talking about the birds and the bees to talking about the future and what are you going to be when you grow up. He really became probably the first strong male mentor that I had one of many that I was blessed with. I think I just want to be like him. When I first went to medical school, I thought I wanted to be a pediatrician.

[0:08:51.7] KM: I was going to ask you, did you want to be a GP? Or did you want even be a pediatrician?

[0:08:54.9] KS: Well, that's what I've been exposed to. I worked in the operating room while I worked in Jefferson Hospital as an orderly. Back then they had orderlies. I would change bedpans and change the sheets on the bed, give bed baths to men. Back then, we used to shave everybody before surgery, so that was my job.

[0:09:13.3] KM: How old were you?

[0:09:15.0] KS: 16. 17. I was in high school. Then there was an opening in surgery, as an orderly in surgery, where you’d go clean the operating rooms after the surgeries. I met this orthopedic surgeon, Banks Blackwell, from there. I've always been pretty obsessive-compulsive, so I had the doctor's locker room where the doctors would just leave their shoes everywhere, scrubs everywhere, clothes everywhere. I'd organized all that. He walked in one day and I was stacking the shirts and the pants, scrub shirts and pants and he said, “This is the best this room has looked since I've started practicing here. What's your name?” We started talking and later on, he said – I was out there watching him scrub his hands and he would go in the operating room; he and his wife Marlyn would operate together.

[0:10:08.5] KM: Wow, cool.

[0:10:09.7] KS: He said, “Have you ever been in an operating room and seen an operation?” I said, “No.” He said, “Would you like to?” I said, “Of course.” He went and talked to the supervisor, got me into the operating room and then he said, “If you ever –” his wife was sick one day and she assisted him and he said, “I'm going to go ask Miss McNeil, our supervisor if you can come in and hold retractors for me.” I said, “Well, I've never washed my hands and I’ve never scrubbed.” He said, “Well, let me show you how to do that.” He became my next mentor. That was later on in high school.

[0:10:43.3] KM: For surgery.

[0:10:43.6] KS: For surgery. Yeah. I just loved it. Always loved taking things apart and putting it back together. My mom liked to restore antiques, and so I helped her do that. I love taking things that were in need of repair and repairing them.

I worked with him for one whole summer then as his assistant in orthopedic surgery. I just loved surgery. Loved doing things with my hands. Then I thought, “Well, I love kids. Maybe I can just do pediatric surgery.” Then when I got into medical school, we rotate through all the different specialties, pediatric surgery included and I just didn't have the heart for these babies with these terminal diseases. I'd end up crying as much as the –

[0:11:29.7] KM: Parents.

[0:11:30.1] KS: - parents did. I knew I wanted to do surgery at that point. This is way more probably than you want.

[0:11:38.6] KM: No. Love it. I’m fascinated. You’re in college now. Or you're in –

[0:11:50.6] KS: I’m in medical school now. I went to Hendrix, because that was a great pre-med school at that time. Then went to medical school.

[0:12:01.2] KM: University of Arkansas.

[0:12:03.1] KS: UMS. Yeah. There has never been a plastic surgery training program there. We got very little exposure to plastic surgery. There was a surgeon that would come over as a guest surgeon, because we had to have some exposure to plastic surgery in general surgery, just to be accredited.

[0:12:18.7] KM: Oh, you did. You're in there. You're thinking you’re going to go into –

[0:12:24.4] KS: Some sort of surgery.

[0:12:27.1] KM: No longer pediatrics.

[0:12:30.3] KS: Well, I didn't know, but I rotated through pediatrics. It was just hard.

[0:12:35.3] KM: Now you're rotating again.

[0:12:36.2] KS: Mm-hmm. I'm in general –

[0:12:37.7] KM: General surgery. Okay. I’m following.

[0:12:39.1] KS: General surgeon. You rotate through pediatric surgery, cardiac surgery, general surgery, all the different surgical subspecialties. One of the chief residents, fifth-year residents were supposed to have scrubbed with Dr. Stuckey. I don't know if you ever knew Dr. Stuckey, John Stuckey. Jim Stuckey; one of the senior plastic surgeons; one of the first plastic surgeons here in Arkansas; big time plastic surgeon.

He came over, I was doing a breast reduction and only the chief residents got to scrub with him. I was a fourth-year resident. The chief resident that day got called to the ER for a gunshot wound to the chest, and so somebody had to help Dr. Stuckey. He said, “Kris, go in there and help Dr. Stuckey and do this breast reduction.” Well, you would never ever walk into an operating room unprepared. It was a last-minute thing. Didn't have a chance to even look at any operations about how you do breast reductions, because you get questioned. You're expected to know about each operation you work on.

[0:13:37.3] KM: Because they ask you for advice, “What do you think about this?”

[0:13:39.5] KS: Well, they just say, “Tell me everything about the anatomy of the breast and blood supply the breast and things.” This woman, bless her heart, was probably a G-cup, double G-cup probably. She was not a big woman. Just had the weight of these her whole life. He took her and I watched him take that patient that had this double G-cup and make her just the prettiest little full C cup, small D cup.

What really got my attention was we always sit the patients up, because things look different when you're sitting up, right? Especially breast. He had done one side and he set her up to compare and make sure that that was what he wants. I could see the before and after right there and it was just mind-blowing how much better she looked.

I think we took eight pounds of breast tissue off that one side, just one side. Then of course, he finished the second side and made them look the same. I took care of this patient afterwards. He was in for the surgery and then I would take care of her afterwards. Even in the recovery room, she felt like a new woman. She didn't even ask for pain medicine, because she had been carrying the weight of these breasts around for her whole life.

I saw her back in the in the clinic as she recovered and it was just life-changing for her. Totally life-changing. She could go to – I never knew, of course being a guy that women that are that large, they can't just go to Dillard's and buy a bra. They’d have to order them. They’ve very –

[0:15:21.2] KM: There wasn’t the internet.

[0:15:22.0] KS: Very expensive. That was before the internet. Yeah. It was just life-changing for her and it was a positive thing. For me, so much of general surgery and I loved general surgery, but so much of general surgery was cancer-related. I just never enjoyed the surgical part of it, but I never liked going out and telling the family that mom's breast cancer was metastatic and that she was probably not going to do well. Or grandpa's colon cancer had gone everywhere. That's what a lot of general surgery is. It's also a way to save people's lives. Someone's got an aneurysm and you fix it ,then you've saved them. There's both sides of it.

[0:16:04.9] KM: This is always going to have a positive outcome.

[0:16:07.7] KS: Yeah, I think it does. It didn't involve cancer and it didn't involve dying.

[0:16:12.0] KM: Then you went to UCA to do more?

[0:16:14.1] KS: UCLA. I went to UT Southwestern in Dallas to do plastics. There's not a plastic surgery training program here, so I had to go somewhere else. That was one of the top. It’s probably still is one of the top plastic surgery training programs in the country, if not the world.

[0:16:33.1] KM: Really?

[0:16:34.1] KS: I spent two years there and learned as much as I could about plastic surgery there. I was still drawn toward kids. At Dallas Children’s Hospital, we did a lot of kids with cleft lips and palates and all kinds of birth deformities; spina bifida, chest wall deformity, everything.

That was my reconnection with kids. I love that part of it. You take a child that has a terrible cleft lip or a cleft palate, where they can't speak and they can't – when they take liquids, it comes out of their nose. It’s just a terrible thing. Or they're born without an ear, or they're born with their eyes really far apart, or their skull misshapen. I really wanted to know, while we got exposure to that at UT Southwestern, it wasn't really enough to go out and feel comfortable doing it.

I was fortunate to go to UCLA and spend a year with a guy named Henry Kawamoto, who was again, world-class craniofacial surgeon. I spent a year doing that. Then came back to Arkansas to try to start a training program here. Things being what they were at UAMS at that time, just after about five or six years, it was apparent that they were not going to be able to support a training program in plastic surgery. I was going to go back to Dallas and join the faculty there, but my wife didn't want to move back to Dallas, and so we stayed. I stayed at Children's Hospital, but went out into private practice.

[0:18:04.1] KM: You're not training people now, are you?

[0:18:05.8] KS: No. When I go away and train people, or they come to my office and I train them, but not a formal residency training program, which would be great. Arkansas really still needs that.

[0:18:16.3] KM: I think I see what you're going to do in your retirement.

[0:18:18.5] KS: I hope. Yeah.

[0:18:19.7] KM: All right, this is a great place to take a break. We'll continue our – when we come back, we'll continue our conversation with Dr. Kris Shewmake of Shewmake Plastic Surgery in Little Rock, Arkansas. We are going to talk about beauty procedures and options for women, learn what surgery he recommends most. Are you ever too old a facelift? Should men have facelift, injections, skin tightening, CoolSculpting acne control and much more? We'll be back to get beautiful and informed after the break.

[BREAK]

[0:18:50.3] KM: Flagandbanner.com is so much more than a flag store. Dress up your address, plan a perfect party, or throw some pillows on your porch. Bring in your old US flag and get $5 off a new one. Hurry down to the flagandbanner.com Downtown Little Rock open Monday through Saturday.

[0:19:09.0] JM: You're listening to Up In Your Business with Kerry McCoy, a production of flagandbanner.com. Over 40 years ago with only $400, Kerry McCoy founded Arkansas Flag and Banner. During the last four decades, the business has grown and changed, starting with door-to-door sales, then telemarketing, to mail order and catalog sales, and now a third of their sales come via the internet. This past year, Flag and Banner added another internet feature, live chatting.

Over time, Kerry’s business and leadership knowledge grew. As early as 2004, she began sharing her knowledge in her weekly blog. Then in 2009, she founded the nonprofit Friends of Dreamland Ballroom, and in 2014, Brave Magazine was launched. Today, she has branched out to radio with this very production, podcast and live stream on Facebook.

Each week on this show, you'll hear candid conversations between her and her guests about real-world experiences on a variety of businesses and topics that we hope you'll find interesting and inspiring. If you'd like to ask Kerry a question, share your story, or underwrite any of our past or present shows, send an e-mail to questions@upyourbusiness.org, or message her on flagandbanner.com’s Facebook page. Back to you, Kerry.

[INTERVIEW CONTINUED]

[0:20:36.3] KM: You are listening to Up In your Business with me, Kerry McCoy. I'm speaking today with renowned plastic surgeon Dr. Kris Shewmake of Shewmake Plastic Surgery & Skin Retreat in Little Rock, Arkansas. Before the break, we got the back history on how this man from Pine Bluff was mentored by doctors when he was a teenager, looked into a faith-filled event that sent him into the surgery room, where he learned about plastic surgery and sent him on his life's path that he could have never guessed. That is so true with so many guests; you just work hard. You never know who's watching.

I mean, he was cleaning a scrub – he was cleaning the doctor's room after they scrubbed the locker room for doctors and did such a good job of cleaning the locker room for the doctors that he ended up in a surgery room. I mean, this is the stuff you never know who's watching and I hear it over and over again, just always do a good job, you never know who's watching, you never know where it's going to lead.

He talked about how he loved working for kids. He went from UAMS to Dallas, Texas. After his experience at UAMS, he went to Dallas Texas and then he went to UCLA and worked with children with face deformities. Now he's come back to Arkansas. He's at UAMS. He's a little frustrated, I guess, so he goes out into private practice.

[0:21:57.0] KS: Yeah. Well, I was trying to start a training program here in Arkansas. We've never had one. We're one of two states that doesn't have one. Just the way things were at that time and even now, it's very hard to do that.

[0:22:11.3] KM: I asked Kris during the break. I said, “Well, you're still not training.” He said, “Well, actually I am.” Tell us what you're doing.

[0:22:18.7] KS: Well, I think there's a lot of ways that I can still teach people. My nurses of course get taught whether they want to hear it or not. It's always fun to have guests that come and hang out. I have doctors that come from Dallas and other places. Yeah.

[0:22:31.3] KM: Yeah. I’ve heard you do, I think that come and go into surgery with you. You try other people. I also asked him at the break about if he misses working with children and facial deformities and how inspiring that is to help those kids. You said that you still do.

[0:22:49.4] KS: Well, not currently, but I did for about 15 years. I went with a group called Operation New Life, which Bill Alfonso when I started. It was a faith-based organization that would go to third-world countries and do – Bill is a amazing oral maxillofacial surgeon. With plastic surgery as my specialty and his is oral maxillofacial, it's a great combination.

[0:23:15.1] KM: Where’s he from?

[0:23:16.7] KS: He’s from North Little Rock.

[0:23:17.9] KM: Oh. You all would go to Honduras and help with cleft palates.

[0:23:21.0] KS: Mm-hmm. Yeah, so we went to Honduras to just a little hospital. Very, very small hospital there in the mountains. Through our long story, which we probably don’t have time for today, we ended up at the big university there in Tegucigalpa teaching plastic surgery residents, Honduran plastic surgery residents things which that's what I really wanted to do here, but couldn't work it out here. There were other ways to get around that. I did that for about 15 years and we took teams down sometimes twice a year. That was amazing, because we –

[0:23:52.8] KM: You don't do it anymore?

[0:23:54.8] KS: Honduras has become – the last time I went, the doctors that I worked with called and said, “Kris, it's just –”

[0:24:00.1] KM: Too dangerous.

[0:24:03.2] KS: We want a particular set. Every day when I leave my house, I worry about my wife and children not being kidnapped. The murder rate was the highest at that time in the world.

[0:24:13.8] KM: I think it still is.

[0:24:14.7] KS: It’s just not a place that I felt comfortable taking a team to anymore.

[0:24:19.4] KM: Yeah, I agree with that.

[0:24:20.8] KS: I miss it though. We think, we talked about it a lot.

[0:24:22.7] KM: Well, probably in your future as you start your retirement, if you ever retire. People like you never retire.

[0:24:29.3] KS: I love what I do. I don’t –

[0:24:30.4] KM: I got to tell everybody.

[0:24:31.0] KS: I don’t want to retire.

[0:24:32.0] KM: Everybody listening probably gets the feel of what great bedside manners you have for being so smart and so talented and experienced. You have a great bedside manner, and in the office you really are a great listener, which a lot of doctors are not. You're fun and you're keep. Tell everybody what you did when you were in – he's going to get mad at me for telling me this. Just to show how human you are. What did you do at a football game one time?

[0:24:59.6] KS: I don't know what you're talking about. At a football game?

[0:25:01.8] KM: Oh, you street.

[0:25:03.1] KS: No, that was at Hendrix. Yeah, that was at Hendrix. Yeah. Yeah. That was back when streaking was in.

[0:25:10.9] KM: It was.

[0:25:12.1] KS: I had totally forgotten about. I guess, I've repressed that until Tom Smith, the dentist. I was sitting in his chair one day and he goes, “Oh, there's something in my office I need to show you.” I said, “What?” He pulls out, there are pictures. Yeah, pictures from I guess the annual staff of us streaking. Yeah, I'm stark, but so you couldn't really see anything. I could see my profile of course.

[0:25:35.2] KM: He’s fun.

[0:25:36.0] KS: Oh, yeah. I was fun. Yeah, it was fun. That was a long time ago guys.

[0:25:40.3] KM: You can’t do that now. You go to jail.

[0:25:42.0] KS: Between ’70-’75 I guess.

[0:25:43.7] KM: You can’t even do all the things you talked about the first break about going into surgery with people, or going into the doctor's office. I know it's for the protection of the patients, but it's almost sad that we can't have apprentices anymore because of fear being sued for everything.

[0:26:00.0] KS: Yeah, yeah. Well, we still do. I had a little high school student. As long as I ask permission from my patient. I had a little high school student who is 17-years-old. She has already decided she wants to be a plastic surgeon and she hung out for three days with me. I got permission from all the patients. She signed all the documents. We had the best time, because it was – it was exactly what someone had done for me 30 years ago whenever that was.

[0:26:26.6] KM: All right, so it's time to start talking about some of my favorite subjects.

[0:26:30.4] KS: Oh, gosh. Okay.

[0:26:31.5] KM: I told everybody also at the beginning of the show that after I went over here – I went on his website, krisshewmakeplasticsurgery.com I think it is. Was reading all the things you can do and there are so many things you can do that I think I'm not going to landscape my yard, but landscape myself this summer. I mean, there are so many things you can do.

[0:26:50.7] KS: A lot of options.

[0:26:51.7] KM: You've even started a skin retreat area that has nothing to do with surgery. Let's talk about liposuction, which require surgery, versus CoolSculpting, which your nurses do, right?

[0:27:04.1] KS: Okay. Yeah.

[0:27:05.3] KM: What’s the difference between those two? When would it be applicable? When would you choose either one?

[0:27:13.3] KS: Well, there a lot of factors, Kerry, that determine that. In general, one is non-surgical and one is in the operating room. It's a matter of degree. If someone just has areas that they just want to contour, let's say in women there are so many just genetically prone areas; outer thighs, around the umbilicus, love handles.

[0:27:36.5] KM: The stomach.

[0:27:38.1] KS: Yeah. Inner thighs, upper arms, that just no matter what they do, they come in and they're frustrated, they're starving themselves, they're working out, they're doing cardio, they're lifting weights and they just can't get rid of these things. These are just genetically predetermined areas that were probably where their mom has fatty accumulations where their grandmother had it maybe. It's a matter of just a little contouring, then that's where CoolSculpting is our first option.

[0:28:05.7] KM: Double chin would be a great on.

[0:28:06.8] KS: Double chin in a young a young patient, right?

[0:28:08.8] KM: Oh, okay.

[0:28:09.8] KS: Yeah. You can go in and we have all these different little applicators that are made for different areas and you can lay it out on the table. We have two machines, so we can do both love handles at once, or both hips at once, whatever. You can watch – we have Netflix showing, or whatever.

[0:28:28.0] KM: You just lay there?

[0:28:28.9] KS: You just lay there –

[0:28:29.9] KM: The machine, you put the machine on you?

[0:28:31.2] KS: Put the machine on you. It’s like a suction cup.

[0:28:33.0] KM: You don't need an attendant to stay in there, other than to check the machine every so often?

[0:28:36.0] KS: No. No, you sit there and play on your phone or watch television.

[0:28:38.7] KM: Read a book. Is it her?

[0:28:40.1] KS: No. I’ve done her.

[0:28:41.4] KM: Why don't everybody do that?

[0:28:42.7] KS: Well, because some people are good candidates for it, right? Someone comes in who really has either loose skin. The results of any of these body contouring procedures; CoolSculpting, liposuction, are all really dependent on skin elasticity. You can have two identical twins come in and one had babies and she's got stretch marks on her stomach, excess fat, but the skin has a lot of stretch marks. It's loose and you can't really – when you pinch it, it doesn't really just bounce back. Then that patient probably is not a good candidate for liposuction, or CoolSculpting, because if you melt the fat underneath it, or if they lose weight, if they lose weight, the skin doesn't just shrink up like you’d wanted to if you were 16. It can hang worse. You can create a worse problem by not doing the right procedure on this patient.

[0:29:34.9] KM: Did you do tummy tuck?

[0:29:35.4] KS: You do a tummy tuck on that patient. Yeah.

[0:29:37.6] KM: Doesn’t those leave big scars?

[0:29:38.7] KS: They do, but that's the only way you can get flat tummy is –

[0:29:40.9] KM: You just don't wear a bikini.

[0:29:42.6] KS: Well, we design the scar so that they would fit. When I'm doing tummy tucks, I do a lot of those. I'll have the patients wear an undergarment, or a bathing suit that shows me exactly what pattern they do, because it's not so much a factor nowadays. Back when French-cut was in, that would totally change where the scar would be.

[0:30:00.1] KM: The French cuts up over your hip, for all you guys who don’t know what a French-cut is.

[0:30:04.6] KS: Yeah. I'll have them wear that the morning of surgery and I'll mark that with a little surgical marking pin. I'll mark the boundaries of that and then I'll keep that scar within the boundaries of that, so they could wear that garment.

[0:30:16.3] KM: How they get the scars, not very big then.

[0:30:18.4] KS: No. It’s long. It goes really from hip to hip.

[0:30:23.1] KM: Oh, so this is when you have to be creative. This is artwork. You got to pull it just right.

[0:30:27.5] KS: It’s sculpting. Yeah.

[0:30:27.9] KM: It’s sculpting.

[0:30:29.7] KS: Yeah. If that same patient came in, let's say her sister came in who had the same exact amount of fat, but the skin had never been stretched, no stretch marks, or you can hardly pinch it between your fingers, it rebounds right back up there, then that patient would be a great candidate for either CoolSculpting, or liposuction.

Depending on how – if they're going to sleep anyway for a facelift, or for breast augmentation or a breast lift, whatever it is, then you're going to be asleep anyway, you would just do it while they're asleep. If they're not going to sleep anyway and don't really have a whole lot of fat, then if they're a good candidate for CoolSculpting, then you just CoolSculpt.

With CoolSculpting, it freezes the fat. Those fat cells that are frozen just die and your body reabsorbs – as they die, they slowly die and your body just reabsorbs it. You can lose probably 30% of the area that you're interested in reducing with one treatment. It requires, if you've got a lot of fat there, it requires maybe several treatments.

[0:31:38.4] KM: Then liposuction, you can just go take it all out.

[0:31:40.6] KS: Yeah, liposuction, you take it all out in one sitting.

[0:31:42.5] KM: Then you can do the tummy tuck at the same time.

[0:31:44.1] KS: You could if you wanted to. Yeah. Yeah.

[0:31:46.8] KM: How many surgeries could you pile up on top of each other? Let's say I wanted to have a facelift and then I want to have a tummy tuck and then I wanted to have something else. How many hours would you do along a surgery?

[0:31:55.2] KS: There is a surgeon, but depending on the health of the patient, my limit is about four and a half hours, because after that, the risk of anesthesia goes out and you're under anesthesia the whole time. For cosmetic surgery just to look better, I can't justify any increased risk of keeping someone sleep for longer than about four or five hours. Now if it's a young, otherwise healthy patient, then that may be five hours depending on what you're doing. If it's an older patient who maybe has – is in their late 50s, 60s, you have to be a lot more careful. We get medical clearance from their doctors if there's any question at all about it. I will do as many things as I can do on that patient, as long as they're only asleep about four and a half –

[0:32:42.1] KM: Well, I would get worried about you getting tired and not having – starting off real fresh and then not having a good day at the end of the thing being like, “Oh, my back hurts. I’m tired. Let’s cut that shorter and let’s get out of here.”

[0:32:53.4] KS: I operated when I first went in to practice doing birth deformity stuff and cancer reconstruction, we would operate for 15, 16 hours.

[0:33:01.3] KM: I cannot imagine.

[0:33:02.2] KS: No, you take breaks. You take breaks. You get up to eat, or use the bathroom. It's amazing what you can do. Just like this interview, eight hours later you look back and you go, “Wow, it seems like we just started,” because you're so involved in in the thought process behind what you're doing and time just flies. You look up and it's been – like I do a facelift now, it takes me probably three hours to do it, just an average type facelift. It just seems like I just started.

[0:33:36.8] KM: There's a new thing, skin tight, speaking of facelifts. Skin tight versus facelift. I think you're going to say the same thing you said for liposuction and CoolSculpting. Skin tight can only do so much.

[0:33:47.0] KS: Yeah. I think those conservative, non-surgical things, face tight, body tight, fractora, there are a lot of new things out.

[0:33:56.0] KM: Tell listeners what skin tight and fractight, whatever you just said.

[0:33:59.7] KS: Fractight, yeah, that's a good one.

[0:34:00.4] KM: What did you say? It’s a made-up word. Skin tight. What’s skin tight?

[0:34:09.0] KS: They stick something in and knead it up, or what it is?

[0:34:12.7] KS: Yeah. All of the ways that we have to tighten skin presently involve creating some form of injury in the face in a very controlled fashion, whether it's a chemical peel would be putting an acid on the skin, so that's a controlled burn.

[0:34:29.8] KM: Oh, I get you.

[0:34:31.5] KS: Thermal injury, like actual heat injury, you –

[0:34:38.7] KM: That's all therapy.

[0:34:39.4] KS: - you heat the underside – yeah, all therapy is a good example; uses radio frequency.

[0:34:42.9] KM: I’ve done that and I love it. Just want everybody to know that one’s a good one.

[0:34:45.2] KS: Yeah, and that's been around for 10 years. You find some way of heating up the underside of the skin, or the deeper tissues. That creates a thermal injury. Then your body then in turn has to heal that. If you got a burn on your arm, your body will heal that. As it heals it, those burn scars on your arm are tight, the skin is thick. If you biopsied that area, there is all kinds of new collagen, new elastin, all the things that we lose as we get older, or we have a lot of sun damage.

This is a way to stimulate your body to create its own reconstructive materials; collagen, elastin, ground substance, all the things that give you elasticity of your skin. You're just doing it by creating an injury and then letting your body heal it.

[0:35:31.7] KM: It's underneath the skin, so there’s no scarring. When you talk about a burn, you can see a scar. This is all underneath the skin, so no one sees it.

[0:35:38.3] KS: Right, all underneath the skin.

[0:35:40.0] KM: It just gets angry and starts creating new sales and sending a lot of energy to that area to clump it up.

[0:35:45.3] KS: It does. These new cells have – or this new dermis has younger collagen and has a lot more elasticity to it. You get a lot of the rebound of your skin back when you do it. There are a lot of different ways to do that. Lately –

[0:36:00.4] KM: It doesn't last long. I'm sorry, go ahead. Lately what?

[0:36:02.6] KS: No. I mean, it does turn the clock back and it does stop, or slow down the process, but the clock still ticks. Yeah. We need to find a way to turn the clock that can have it not still tick.

[0:36:13.5] KM: Yeah. Facelifts, if you've outgrown all the things we're talking about; skin tight and therapy and you're like, “Okay, I really want to get rid of these saggy jowls, or neck and whatever.” When would you say a facelift was the next step?

[0:36:29.3] KS: Okay. There's an intermediate. What we're doing by these non-surgical techniques; fractora, body tight, face tight, oil therapy, all these is we're just delaying – we're trying to just buy time. Then I have patients that come in their late 40s or 50s who say, “I'm not ready for a facelift, but I want to do whatever I can do to postpone that, to look as good as long as I can.” You can do these things and just buy time. Oil therapy, you'd probably get a year or two, probably about a year or two. Fractora, you're probably buy two or three years.

[0:37:09.1] KM: What’s fractoral? The same?

[0:37:10.2] KS: Fractora is a new thing that's out. Have you heard of micro-needling, or skin peel?

[0:37:15.6] KM: Yeah, yeah. That's where they stick your face – your surface of your skin with a –

[0:37:21.2] KS: Yeah. You drive these little microscopic – well, not microscopic. Very, very small needles into your skin.

[0:37:27.1] KM: Which damages again.

[0:37:28.3] KS: Yeah, which creates an injury, not only of the outer layer skin, but now these go deeper, and so it injures the dermis as well. Hardly any downtime from it. Great for acne scars, great for wrinkles. Just that creates – again, creates an injury. Now this is a mechanical injury, not thermal, not chemical, mechanical injury that your body has to heal. As it does, it generates all those things that we talked about; collagen, elastin, all those things we talked about. This company took this micro-needling creating that mechanical injury and added radiofrequency to it. The tip of the needles – yeah, you need to do this.

[0:38:08.5] KM: Oh, I do. My eyes are lightening.

[0:38:11.5] KS: If you like oil therapy, you'll love this.

[0:38:13.0] KM: Oh, okay.

[0:38:14.3] KS: The tip of these needles, as soon as you put that needle in there, it gets hot and it's very controlled, temperature gets very hot, so it creates on the dermal side, the underneath side a thermal injury and then you've got the mechanical injury of the needles going in and there's 25 to 40 needles that go in at one time. You’re numb, you don't feel it.

[0:38:35.2] KM: I was going to say yeah.

[0:38:36.5] KS: Yeah, but you can do it without going under anesthesia. You can do it in the office, which is a little for oil anesthesia and also a little numbing cream. We do nerve block, so you can't –

[0:38:47.3] KM: Does your nurse do it, or do you do it?

[0:38:48.7] KS: I do the nerve blocks, but they do the treatment.

[0:38:51.9] KM: It last three or four years.

[0:38:54.4] KS: Well, it hadn't been out, but probably two or three years. That's what they're thinking, looking at how much collagen is generated. This is a thing that our ability to generate collagen and elastin and all the things we need to maintain elasticity and keep the clock and slow the clock down changes as we age, right? A 70-year-old can't generate as much collagen as a 40-year-old. Again, you could do this on a 40-year-old patient and her mom who's 70, and you're going to get different results. The 40-year-old would respond beautifully to it, the 70-year-old may not.

[0:39:30.3] KM: Would you give her a facelift?

[0:39:32.4] KS: Then she would get a facelift.

[0:39:33.0] KM: You’re not too old when you’re 70?

[0:39:34.5] KS: No.

[0:39:35.2] KM: You will heal back.

[0:39:36.4] KS: Oh, yeah. I do 70-year-olds all the time. It's not really about age, it's more about health, right? There are 50-year-olds that I can't do a facelift on, because they've –

[0:39:46.3] KM: Smoked.

[0:39:47.1] KS: They've smoked. I can't do a facelift on anybody that is currently smoking.

[0:39:51.4] KM: Oh, really. That’s good to know. You can’t have a facelift.

[0:39:55.4] KS: Yeah.

[0:39:58.0] KM: I was pointing to somebody in the room. For all my radio people, they're like, “Who's she talking to?” I’ll point in that guy over there, he can't have a facelift.

[0:40:03.8] JM: You know I quit smoking, right?

[0:40:05.3] KM: Oh, yeah. That’s right. Go ahead. Go ahead.

[0:40:08.0] KS: A lot of what we recommend for patients has to do with what their goals are, what their overall health is, whether they want to go under anesthesia or not, what results they expect and their age.

[0:40:22.6] KM: Do men have facelifts?

[0:40:23.5] KS: Yeah. I do a lot of male facelift.

[0:40:25.1] KM: They don't look weird? They don't have enough fat on their face. They're actually bony, I think.

[0:40:32.0] KS: Well, some men are, some men are. I mean no, we did quite a few male facelifts. I think they're probably just as happy, if not happier than a lot of the girls.

[0:40:41.6] KM: Really?

[0:40:42.0] KS: It's very common. Yeah.

[0:40:43.4] KM: Okay, good. I’ve done some about injections. I know everybody's been doing injections; Botox, I can't think of – what are those ones called?

[0:40:52.4] KS: Yeah, Dysport.

[0:40:53.3] KM: Dysport.

[0:40:54.3] KS: The new one is Juvo. That's going to be the new one that’s almost out.

[0:40:56.7] KM: Okay. Okay. What do you think about those?

[0:40:59.6] KS: These are called neurotoxins. Botox, Dysport, Juvo, a lot of different –

[0:41:07.5] KM: Bulimus – or

[0:41:08.7] KS: No. That's a filler.

[0:41:09.7] KM: Oh, that's a filler. Okay.

[0:41:10.9] KS: When you talk about injections, you talk about neurotoxins. Those are to temporarily diminish muscular activity in your face. The scowl lines that you have between your eyebrows. Teachers get those a lot, because they're constantly looking at – people who read a lot get those.

[0:41:28.1] KM: Teachers.

[0:41:29.7] KS: People who animate a lot get those –

[0:41:31.2] KM: I should be covered.

[0:41:32.3] KS: - parallel lines between your eyebrows. Those are caused by the activity of two different muscles and they’re called corrugator muscles. They run up from your nose and they arch over your brow. You can put a neurotoxin in there; Botox, Dysport, Juvo, one of those, six or seven little bitty injections, tiny needles. In about a week or two depending on which one you use, you can't make that expression any more.

Those wrinkles are – those are expression lines. Now all of a sudden, you can't create that wrinkled brow anymore, because the muscles are paralyzed. About three or four months later, they wake up and then you have to do again if you want to keep them paralyzed, but it will –

[0:42:13.7] KM: How many weeks?

[0:42:14.8] KS: Three or four.

[0:42:16.0] KM: No, months.

[0:42:16.5] KS: Months. I’m sorry, months. Yeah.

[0:42:17.5] KM: I was about to say, “That’s not worth doing.”

[0:42:19.1] KS: No, of course not. No, months later. It gets rid of the – it works with crow's feet, it works with smokers lines to some degree.

[0:42:26.7] KM: Then what's the difference between filler?

[0:42:28.4] KS: Okay. Filler is to restore volume to an area. As we get older, well some people don't have cheekbones, for example.

[0:42:36.6] KM: Don’t put at me. I’ve got cheekbones.

[0:42:37.9] KS: I know you do. I’m looking at them. Some people just don't have good bone structure. This is a way to without having to do a surgical implant – before we had fillers, we used to do cheek implants. We used to do chin implants, we used to do jaw implants. I mean, these are surgical procedures where you go and you put a piece of silicone, or another thing that are shaped like chins or cheeks and big operations. We hardly ever do those anymore, because we have fillers.

Fillers is for contouring of the face. If someone needs a stronger cheekbones, you can just with one single injection of various different types, we use voluma in our office. There are a lot of different options. You can give somebody these beautiful cheekbones, or a beautiful chin, or a beautiful jawline.

[0:43:26.0] KM: Why don't they just put those in boobs, instead of having to do augmentations?

[0:43:28.9] KS: Well, there are people that do it in breast, but the problem is that they're not permanent. We're putting fat in breast now and getting a lot better results, than with in people who just don't want an implant.

[0:43:40.3] KM: Take it out in one spot, put it in another spot. That is sculpting. That is art.

[0:43:44.0] KS: It is. It’s a way to –

[0:43:44.6] KM: All right, I want to tell everybody who we're to. We’re not going to go to a break, because there's too much to talk about. I do want to tell everybody that you're listening to Up In your Business with me, Kerry McCoy. I'm speaking today with renowned plastic surgeon Dr. Kris Shewmake of Shewmake Plastic Surgery & Skin Retreat in Little Rock, Arkansas. We've been talking a lot about the skin retreat. I also want to tell people that they're listening to KABF, the voice of the people. Do you want to take phone calls?

[0:44:11.0] KS: Sure.

[0:44:11.7] KM: If you want to take phone calls, we want to take one. Jayson, give them the phone number.

[0:44:16.1] JM: 501-433-0088.

[0:44:20.3] KM: If you could do one treatment for yourself, what would it be?

[0:44:25.5] KS: One treatment for myself.

[0:44:26.9] KM: Okay, not for yourself. For anybody; if you could do one treatment on one person and you said I've done every treatment there is and almost everybody could use this, what would it be?

[0:44:40.7] KS: Well I think probably the most – I mean, I love facial stuff. I do whole body stuff, but I love facial stuff. Based on my training, I'm just really comfortable in the face. I think probably, what I’d do the most of now, two or three a week are facelifts.

[0:44:57.0] KM: Two or three facelifts a week.

[0:44:58.7] KS: Yeah, yeah. That's –

[0:45:00.5] KM: What's the risk of doing a facelift?

[0:45:03.1] KS: Fortunately, it's rare to have a problem with a facelift. I guess, the biggest risk would be bleeding if – The reason that we can do all the stuff that we do to the face is because the blood supply is so amazing to the face. You can never stretch that skin, or change the shape of that skin anywhere else in the body, except in the face, because it has an abundant blood supply. What we do is totally limited by blood supply. When there's a lot of blood supply, you have more options.

[0:45:29.2] KM: That's why a tattoo won't hold on your face, because of the blood supply. It eventually just disappears.

[0:45:35.6] KS: Yeah. You can do things to re-contour the face, turn the clock back on the face that are incredible. Using a lot of fat injections now, stem-cell related things, not stem cells themselves, but a lot of the products that are in fat are rejuvenative and regenerative.

[0:45:56.3] KM: When you do the facelift?

[0:45:57.8] KS: Yeah, we do, almost always do volume replacement with fat. If this is another one of those either/or things, if you need cheekbones and that's all you need, you're not going to the operating room, you're just in the office, we just open a syringe of voluma or whatever we're using on cheeks and you numb up the skin and you inject it. All of a sudden, you have cheek bones.

That lasts about a year, sometimes two depending on what you put in. If you're going to the operating room for a facelift and you need cheek bones, then we use fat. We’ll suction fat from your tummy, or your hips, or wherever you have any extra fat and we put it through this long purification process and isolate just the pure fat cells, then I inject those using a little blunt needle in every place that you would do it in the office if they were awake. This is their own fat, and so it's permanent.

[0:46:48.6] KM: You don't absorb it. When you go in there to put stuff in your face and they've been doing injections and all these things, do you see all those injections when you lift their face up?

[0:46:57.3] KS: You can. Yeah. Usually, we ask them to wait. If someone's having a facelift, we ask them to hold off on any injections.

[0:47:02.8] KM: For how long?

[0:47:04.0] KS: Well, as long as I can. Six months if they came. That's some people.

[0:47:09.2] KM: What about the scars when you have a facelift? I always worry about that, and the numbness of your face.

[0:47:13.5] KS: Yeah, so the numbness is temporary. That's why facelifts really don't hurt very much. At least, my patients tell me they really don't hurt very much, but they're – because you're cutting all those tiny little pain nerves when you lift the skin up, you cut those. The downside of that is you're numb for up to a year.

[0:47:31.6] KM: No matter what facelift you do, you do that?

[0:47:35.4] KS: Well, there's all kinds of facelifts, Kerry.

[0:47:36.4] KM: I know. There’s one where you cut the muscle.

[0:47:38.4] KS: Well, you don't cut the muscle in any facelift, but you tighten the muscles. Yeah, that's how I do it. You tighten the muscles, because you get – the muscles elongate as you get older, especially facial muscles. You tighten those muscles and that makes it – that makes the facelift last much, much, much longer when you do that kind.

[0:47:56.2] KM: Oh, so facelifts don't necessarily last?

[0:47:59.2] KS: Well, nothing's permanent, Kerry.

[0:48:01.0] KM: I know, but –

[0:48:02.3] KS: No, depending on the facelift. The facelift that I do in let's say in a 60-year-old will probably last 10 to 12 years.

[0:48:10.2] KM: It seems like you're going to always look better, 10 – I mean –

[0:48:13.4] KS: Yeah, even at 12 years, I'll see a patient – I saw a patient back yesterday that was 13 years after a facelift and she still looked better than her pre-op pictures from her facelift 13 years ago. She's aged. I mean –

[0:48:25.3] KM: Yes, well of course. It seems like you would always look a little bit younger.

[0:48:28.8] KS: You would. Yeah.

[0:48:29.7] KM: One time I was telling you I was scared of a facelift and I said, “What if we don't do hardly anything? Just cut the skin right behind my ears and just pull the skin up?”

[0:48:37.4] KS: Well, that would be a that would be probably the most minimal facelift. For some people, that's all they want because they're afraid of being overdone. They take their fingers, they put them on their cheeks, their jaw and they pull it back a little bit and they go, “This is all I want.” I do those too and I don't do many of those, because they don't last very long.

Kerry, when you're dependent totally on the skin to hold everything up, when you're 60, skin hasn't got a lot of elasticity, so it tends to just stretch back out. You may get three or four years out of that. To some patients, that's okay. They're doing it their kid’s wedding, or they don't care if they look good 12 years from now. They just want to look good for the wedding and for whatever event that is.

There's really a facelift for everybody. Younger patients come in, like I've got 40-year-olds that are starting to see gels and they're starting to see some laxity in their neck. They don't need a full-blown facelift. They just need a little bit of skin tightening.

I used to not do those at all. When I trained, they would say, you just need to tell that patient to come back when they really, really need it, a full facelift. I had patients and I would tell him all the reasons why it wasn't going to last very long. These patients, these 40-year old patients would look at me and they go, “Well, if it's an hour long operation and it doesn't hurt and there's not much downtime and there's not much bruising, I don't mind doing it again in four years.

[0:50:01.2] KM: There you go.

[0:50:02.0] KS: Then what I found – so I do it and they were happy. What I found was that they would come back in four or five years and they'd start to see a little axi again then we tighten it again. Another, little mini – I call them mini facelift. Then they would come back 10, 15 years later and they didn't need – they still didn't need a big facelift, because they'd been doing a little bit little things along the way.

People would tell them, “Gosh, honey. You just look like you don't ever age.” Because there's they've never had a period where they had two or three weeks of downtime from a major facelift. Now, I'm not as reluctant to do that anymore.

[0:50:40.1] KM: Well, good. If you had to pick a surgeon, is there a red flag if somebody's going in, they've got to pick a surgeon, is there a way that you should tell our listeners, don't pick a surgeon if – or how can you tell a good surgeon? Let's approach that the other way. How can you tell a good surgeon?

[0:50:56.7] KS: I think by looking at their work. I mean, I wouldn't look at ads. There's so much Photoshop that goes into these pre and post-op pictures that people publish. What we do is we don't really show a lot of pictures, because I don't – personally, my patients don't really want their pictures out there. We don't have a big album of these amazing results, because my patients don't want through – This is Arkansas. It's not LA. They may know who just looking at their pictures.

[0:51:23.7] KM: Do your research by –

[0:51:25.3] KS: I think talk. What I'll do is I'll say, if you want to talk to someone who's had a facelift, who's your age, looks like you, your bone structure, I'll call them, or I'll get one of my girls to call and ask if it's okay if you visit with them. They can learn a lot more. Then if that patient says, “I don't care if they look at my pictures.” I've talked to her on the phone. Sometimes these patients will actually come for that patient’s facelift and just because they bond.

I think that's the best way to get best information is you talk to – you look at people who've been – that surgeon has done, you ask a few – if they would go to that surgeon again. I think the worst way is to look at an ad in a magazine and say, “Oh, my gosh. Look at these before and afters.” Because that implies that every patient is going to get that result, and we don't always get great results. Even I don't always get great results.

[0:52:13.4] KM: Really?

[0:52:14.1] KS: Because it depends on where you start with and it depends on their skin and it depends on so many factors.

[0:52:18.7] KM: How do people get in touch with you?

[0:52:21.6] KS: Well, they can google our website. My website is not very good. We're redoing it.

[0:52:26.9] KM: I think it’s fabulous.

[0:52:27.4] KS: Well, we’re redoing it. It’s –

[0:52:29.1] KM: I will say it loads slow. It does load slow.

[0:52:32.5] KS: Well, it was interesting, when I left – we started the skin retreat back about six years ago and I left the group that I was in. For three years, I didn't have a website and I was as busy, if not busier during those three years than I ever was. I wonder if I even need a website.

[0:52:46.8] KM: You don’t need one. You’re never going to retire either.

[0:52:49.4] KS: Well, I've got a 14-year-old. I can't retire.

[0:52:51.6] KM: You do. That’s so sweet. You got like 10 kids. How many kids do you –

[0:52:54.6] KS: Five kids.

[0:52:55.3] KM: That’s enough. You’re never going to retire. I used to worry about if I decide – whenever I decide to get a facelift that you're going to retire and I wasn't going to get to use you, but you’re never going to.

[0:53:03.2] KS: I don't know what I – I don't play golf. I do some, but I can do that anytime. I love what I do and I think I'm a better surgeon than I've ever been. Why would I retire? I love it. I love my patients. I love trying new things. I love teaching.

[0:53:20.8] KM: Let me tell the listeners that it's Kris Shewmake. Both of his name's really weird. Kris is with a K.

[0:53:27.7] KS: I thank my mom for that.

[0:53:30.9] KM: Shewmake is S-H-E-W-M-A-K-E. Kris Shewmake.

[0:53:37.0] KS: I thank my dad for that.

[0:53:39.6] KM: Somebody needs to teach your family how to spell. You can go to him, or you can go to flagandbanner.com and we will have a link to his website and you can call and get one of his beautiful assistants to do a consultation with you, Kris. We’ll come in and spend forever talking to you. I have a gift for you. It’s all that I had. This is a prop, but it's for your office. It's a desk set of the Arkansas and US flag for you to put in your office. Thank you –

[0:54:06.2] KS: Flags. Who knew?

[0:54:07.2] KM: I know, right? Thank you so much for coming on.

[0:54:09.8] KS: Thank you. That was fun.

[0:54:10.6] KM: You

[inaudible 0:54:10.9]. Who’s our guest next week, Jayson?

[0:54:14.6] JM: Grammy Award-winning songwriters Steve Dean and Don Goodman from Operation Song. All right.

[0:54:20.9] KM: This is the coolest group. They contacted me in their operationsong.org. You probably all know Steve Dean's music. He is a Nashville writer, songwriter, he's written six number ones. Listen to this, Watching you by Rodney Atkins. It Takes A Little Rain for the Oak Ridge Boys, Southern Star for Alabama, Roundabout Way for Georgia Strait, Parts Aren't Made to Beak for Lad Greenwood and Walk On for Reba McEntire.

He's on next week and he and his co-partner, Don Goodman, are veterans. They started a veteran program where they go in and they interview veterans and these veterans tell them things about their lives that they've harbored forever. A friend of mine did it, Bruce Wesson told him all about Vietnam. He was a photographer in Vietnam. He told them things he never even told his wife and they wrote a song for him. Then they're going around the country and paying it forward and they wanted to come be on the radio show, because they wanted to share what they're doing. They're going to start a movement operation song here in Arkansas.

That's going to be a great show. I’ve never met these guys, but I can't wait to hear from them. If you want to go hear some of their stories and/or hear some of their songs, it’s operationsong.org.

If you have an entrepreneurial story that you would like to share with us, there's a way. Jayson will tell you how.

[0:55:37.5] JM: You can send us a brief bio to questions@upyourbusiness.org. Message Kerry on flagandbanner.com’s Facebook, or make a comment on her blog.

[0:55:47.5] KM: Yup. I’m on all of those every day. To our listeners, I want to thank you for spending time with us. If you think this program has been about you, you're right, but it's also been for me. Thank you for letting me and us fulfill our destiny. Our hope today is that you've heard or learned something and that whatever it is, it's been enlightening and will help you up your business, your independence, or your life.

I'm Kerry McCoy and I'll see you next time on Up In your Business. Until then, be brave and keep it up.

[END OF INTERVIEW]

[0:56:17.2] JM: You’ve been listening to Up in Your Business with Kerry McCoy, a production of flagandbanner.com. If you missed any part of the show, or want to learn more about UIYB, go to flagandbanner.com and click on “Radio Show,” like us on Facebook, or subscribe to her weekly podcast wherever you like to listen. All interviews are recorded and posted the following week with links to resources you heard discussed on today’s show. Underwriting opportunities available upon request. Kerry’s goal, to help you live the American Dream.

[END]

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