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#Dr. Pimple Popper- Breaking Out
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00:00I'm Dr. Sandra Lee, a.k.a. Dr. Pimple Popper.
00:03Pretty sure that was the coolest thing I've ever seen.
00:06Come break out with me and all my new patients.
00:09Plus, I'll share my expertise with some amazing young dermatologists.
00:13Pimple popping is not taught in residency.
00:16We'll see how they break out, seeing things they've never seen,
00:20and of course, see how they pop.
00:23Can't believe it's not butter.
00:25On Dr. Pimple Popper, breaking out.
00:30Tonight, on Dr. Pimple Popper, breaking out.
00:35It appears as, like, white flakes, large scales.
00:38It'll break open, it'll start bleeding.
00:40Cody and I both live a polyamorous lifestyle.
00:43But now, since the bomb, I've stopped dating.
00:47It actually feels like I have a boob groin on my back.
00:51If it is under the muscle, I really don't remove those.
00:54That is heavy.
00:56I can imagine the weight of that.
00:57Multiple little lumps to it.
01:01Lipoma's got a lipoma.
01:04What do we have in here?
01:05Try to wheeze it out.
01:08Like an eyeball, huh?
01:09Mm.
01:10Sorry, sorry, sorry.
01:10I'm Allie, and I am 46 years old, and I have this annoying pump on my face.
01:33It's about the size of a piece of bubble gum.
01:35It's a little squishy, a little hard.
01:39It feels like thick mashed potatoes.
01:44The varicose veins that you get on your legs, there's, like, a couple of those that run through there.
01:50I feel like it's one of the first things people notice about me.
01:54There was this one time I was at a bar, and this guy came up to me and just said, you know, you'd look a lot prettier without that thing on your face.
02:02This bump has caused me to go through life with my head down.
02:05I am a pagan individual.
02:13Paganism is like a nature worship religion.
02:17I briefly thought that I could look up a spell or anything else to make this go away.
02:23Spells are just, like, tactile-driven prayer.
02:26And turns out there aren't any spells for removing a lump on the side of your face.
02:36I've been living with this monster on my face for five years now.
02:41This bump started off as a little tiny pimple, but it didn't pop like a pimple normally does.
02:47I went to the doctor, and she sent me to this vein surgeon.
02:54They're like, no, we don't handle that.
02:57Then gave me another referral for a different place, and they're like, no, we don't handle that.
03:03After a while, it was just like, well, I guess that's too hard to take care of, and kind of got scratched off the list.
03:10So, I find that extraordinarily frustrating, because the bump kind of feels like it's sucking the joy out of my life.
03:25After you live.
03:28Cody and I have been together 11 years, and we have been married 7 years.
03:33He looks nice.
03:35Where have you been to that?
03:37See over there?
03:39Yeah.
03:39Cody and I both live a polyamorous lifestyle.
03:43We have both dated the same person before.
03:47We were in a square, that's what we called it one time, where he was dating another lady, and I was dating her partner.
03:57We've had some just friends with benefits together.
04:01I'm not monogamous, and Cody loves people.
04:05And so, polyamory is just kind of a major extension off of that.
04:11Amazing Mia!
04:12How are you two doing today?
04:13I love your shirt.
04:14Thank you so much.
04:18She'll probably take the margarita with pepperoni.
04:20Cool.
04:20And I'll take three little pics.
04:21Yeah, you guys got it.
04:23Appreciate it.
04:23I'll have that right out.
04:25I love Mia.
04:29Anyone here happen to catch your eye?
04:31Why not any of them?
04:39It's...
04:39I just don't feel attractive.
04:43It's springtime.
04:46It was a particularly dark and cold winter.
04:50I would like to start getting out a bit more.
04:52It's not just about me.
04:54I would also like to see you get back out into the world.
04:59Yeah.
05:00So, I don't want to be dating because of the bomb.
05:04It makes me feel insecure.
05:08It makes me feel ugly.
05:10And I felt really guilty about keeping you from being poly.
05:16I don't want to live that way.
05:19Before the bump, I did love polyamory.
05:21I had found my niche in life.
05:26It really is something I've been missing, living our poly dream.
05:30It really does bring out the best in both of us.
05:35But I've stopped dating.
05:38And as a result, I've asked Cody to stop dating.
05:42So, the bump is holding both of us back.
05:45I'm terrified that you're going to leave me for somebody else.
05:49I have really worked hard to invest in this relationship because I think it matters.
05:54It's the best one I've ever been in.
05:56And I think that we are worth it.
05:58I didn't understand how pervasive it was for you.
06:02I still think you're beautiful.
06:04Inside and out.
06:09It would be phenomenal to see Allie be who she really is.
06:13And to see her flirt.
06:14And to see her interact with people with the confidence and lack of fear that I always knew her for.
06:19I want to get back out and date.
06:24I like that version of you.
06:25The confident, vivacious, sexy Allie.
06:29Yeah.
06:30I have definitely had a loss of self.
06:34I so want the bump off in my face so that I can just enjoy life again.
06:41You know, everybody's into something, right?
07:00We all have different interests.
07:01I like dollhouses.
07:03I'm proud of it.
07:04I'm not embarrassed about it.
07:06I actually put in electricity in my dollhouse and I put in a little surgery center in there.
07:11That's what makes me unique.
07:13I mean, you should be really proud of the things that you love.
07:15They show our personality.
07:16They make us different than everybody.
07:18I like dollhouses.
07:19Don't judge me.
07:20Okay, and have a seat and Dr. Lee will be in soon.
07:33Hello.
07:34Hi.
07:35Hi.
07:35Guys, how are you?
07:36Dr. Lee.
07:38Nice to meet you.
07:39Nice to meet you, too.
07:40Are you related?
07:41It's my wife.
07:42Oh, fantastic.
07:43Nice to bring him around.
07:44He looks like he could be a bodyguard, too.
07:47Yes.
07:47Ever since the incident.
07:48Where did you guys come from?
07:51Eugene, Oregon.
07:52Oh, right.
07:53That's a beautiful place, isn't it?
07:54Oh, it's gorgeous.
07:55Well, welcome.
07:56I think I see what you're here for.
07:58Yep.
07:58How long have you had it?
08:00Five years.
08:00It has been continuing to grow.
08:02And now, like, looking straight at you, I can see, like...
08:07Yeah, it's kind of pulling down on your eye there a little bit.
08:09Okay.
08:09So how about you?
08:10Does this...
08:11I mean, you love her, but you see how it bothers her.
08:14More so how it changes how she views herself.
08:18Allie and I are polyamorous people, people that believe you can love more than one person.
08:22Okay, yes.
08:22Okay.
08:23Once it started getting so much bigger, it was just not able to do that anymore.
08:29And has kind of closed her in.
08:31Mm-hmm.
08:31Yeah.
08:33A bump this prominent on your eye can really destroy your confidence in so many ways.
08:37But they seem like a really fun couple.
08:40Polyamory?
08:40What?
08:41I'm not sure exactly what that is, but okay.
08:43That sounds like it could be fun.
08:45Do you mind if I take a look at it?
08:46Yeah.
08:47Okay.
08:49That is heavy, too.
08:51I can imagine the weight of that.
08:54So, yeah, this is a cyst.
08:56It definitely is a cyst.
08:57I try not to squeeze it too much.
08:58It feels pretty tense, like it's built.
09:00Right.
09:01And the main things that I think about, obviously, is it's around your eye area.
09:06And I think it's very important to get this removed.
09:08Because I think that if it gets inflamed or infected, it can cause a lot of problems.
09:11And you don't want to have this major infection or swelling in the central part of your face.
09:16And the other thing I'm thinking about is how to remove this.
09:20Making use of your eyebrow and hiding the scar line within your eyebrow.
09:24You know, I just want it to look as best as it can.
09:26All right, you ready?
09:27Yeah.
09:27Let's do it.
09:28You're very ready.
09:29Yes.
09:29Okay.
09:29I'll be back, okay?
09:31All right.
09:32Take this with me.
09:35How's it going, love?
09:38Nervous.
09:38I'm a little afraid of needles.
09:40Feeling a lot of pain and stuff like that.
09:42Also, the fear of what could go wrong.
09:45I could go blind to one eye.
09:47And that's terrifying.
09:50This might take me just a minute because I see where your eyebrow is.
09:59Since I'm not exactly sure what Allie's bump is, I'm really going to be very careful and conservative.
10:05You know, this skin is the thinnest skin on your entire body.
10:08It's less than a millimeter thick.
10:10Any kind of quick movements could do something very drastic and irreversible, like puncturing an eyeball or damaging the muscles to open the eye.
10:19All right.
10:22So make sure that you don't feel anything other than my touching you, okay?
10:26You're going to hear me here.
10:27I'm like a little mouse right here.
10:28You shouldn't feel anything sharp.
10:30Mm.
10:31You feel something?
10:37You shouldn't feel anything sharp.
10:38Mm.
10:39You feel something?
10:40No.
10:40Okay.
10:42Okay.
10:43It's definitely a pilar cyst.
10:44I'm here with Allie who has a pilar cyst on her eye.
10:48There's really no room for error here.
10:50Allie has this beautiful polyamorous lifestyle with her husband.
10:55I don't want to do anything risky.
10:56I just want to make sure she can stay frisky, you know?
10:59There's a chance I might be able to take this out whole.
11:03But I won't do that if I can't do it easily.
11:07This strip of skin is there because I'm going to remove that strip of skin with the cyst so that when I close the area up, there's less laxity in the skin.
11:16That shirt.
11:17Sorry, sorry, sorry.
11:19I'm sorry, sweetie.
11:20It's okay.
11:23It's just a...
11:24I know.
11:24It's your eye.
11:25It's your eye.
11:27I'm going to squeeze you for a second.
11:29Okay.
11:33Let me just remove this little attachment here.
11:44Mm.
11:45Oh, sorry, sorry.
11:45Pinching.
11:46I know that Allie's having a little tough time here, but I really want her to stick through this because I think we're so close.
11:53You're doing so well.
11:56We almost have him.
11:58Breathe, love.
11:59We're going to keep all this slippery thing.
12:04Got it.
12:07Like an eyeball, huh?
12:08It does look appealing.
12:11I'm putting sutures in.
12:12How you doing?
12:13Good.
12:13Good.
12:15Fantastic.
12:16Fantastic.
12:16Does it feel different?
12:18You can look up and you don't look at it.
12:19I can't.
12:20No, I can't see it or anything.
12:21I was able to remove the entire cyst out whole and that was really satisfying.
12:26I do think that we kept the scar nice and small.
12:29We hit it right under her brow line and so I think it's going to be hard to see it.
12:34You want to take a look?
12:39It's really nice being able to see my face without it.
12:42And I can never tell her how thankful I am to Dr. Lee.
12:48It's perfect.
12:50It's amazing what she does for people and she did for me.
12:57And you can feel it.
12:59And you can feel it underneath this.
13:00It's pretty stiff.
13:02It's like a little, you know what?
13:03It's like a, oh, man.
13:04It's like a macadamia nut.
13:06Don't squeeze it too hard.
13:08Have a good one.
13:09I'll give you a moment here alone with this.
13:11I feel great.
13:12I definitely want to spend some time reengaging with Cody and solidifying our relationship.
13:18And then let's go have some fun.
13:24I'm excited for you.
13:26Excited for us.
13:27Let's go party.
13:41Yeah, I want to find this place because Kelsey Grammer used to eat here.
13:47And it's kind of a, it's like a Hollywood icon.
13:50It's like the oldest restaurant in Burbank.
13:52Yeah, right here.
13:54There it is.
13:54Chili John's.
13:56I'm Andrew.
13:56I'm 41 years old.
13:58I'm from Waterloo, Iowa.
14:00My name is Gift.
14:01And I am Andrew's wife.
14:03Use your long arm.
14:05There we go.
14:07Please.
14:08All right.
14:12All right.
14:13And I have red spots all over my body.
14:21It appears as like white flakes, large scales, or if you get like red and angry looking.
14:28Some of my arms.
14:30Some of my legs.
14:32Back.
14:33Stomach and chest.
14:35I also have bumps under my skin.
14:38They're not painful, but they're there and they're kind of annoying.
14:43Like Walt Disney would come in here and take his lunches.
14:47I'm a big movie buff.
14:48Every time we come to California, we try to take in a slice of film history.
14:53This diner's been featured in a lot of films, Once Upon a Time in Hollywood and Twin Peaks.
14:58We'll go and try to recreate some scenes.
15:01And I know like David Lynch ate here too.
15:04We love doing things like that.
15:06How are you?
15:06Good.
15:07How are you?
15:07Hi.
15:08Happy, happy.
15:08Thank you for asking.
15:09Our signature chili can be eaten straight or over spaghetti Cincinnati style.
15:13Sounds great.
15:14Can you get my back right there?
15:16Sure.
15:17Where?
15:18Am I hitting you?
15:19Down, down, down.
15:20Down?
15:20Yeah, right there, right there.
15:21Yeah.
15:22Skin flakes are falling.
15:23Yeah, I know.
15:24On your pants.
15:27The spa, they itch all the time.
15:30So it's irritable.
15:30I mean, just think of like constantly having to itch everywhere.
15:34And I'll end up with flakes that just fall off the body.
15:37If I continually scratch like the same place, it'll break open.
15:41It'll start bleeding.
15:42I constantly have to pat you because I see that.
15:46I mean pieces of myself all over the world.
15:50My skin condition developed when I was just a child.
15:53I really have no recollection of life without it.
15:57My parents have it a little bit, but not as severe as I do.
16:00I was told it was psoriasis.
16:02It was incurable.
16:05My mom tried every old wives remedy creams that just smelled disgusting, made me smell disgusting.
16:11She used to put some creams on my legs and wrap my legs in like saran wrap.
16:16And I was just miserable.
16:18I just wanted to be a normal kid, and I felt like I couldn't do that.
16:23And then add to it the little lipomas that came along too here.
16:28And I can feel it against the chair.
16:312012, I went to see a general practitioner about the bumps on my arms, and he said that was a lipoma.
16:38I asked if I could get them removed, but he didn't really want to do that.
16:42I've been very skeptical about what doctors can do for psoriasis because I've always been told my whole life there's no real cure for the disease.
16:48I was tired of not finding a solution.
16:51I gave up on my skin a long time ago.
16:55Like, don't you want to be comfortable, confident, you know?
16:58Yeah.
16:59I also feel stuck.
17:02And I really want to have a kid.
17:05And I'm not getting any younger.
17:06I know.
17:06We've been delaying having kids for a while, and we want to start a family.
17:13I want it to be sorted out before having children, so I urged Andrew to look at this again.
17:21It's hereditary, so I definitely had kids I wouldn't want to pass it on to them.
17:25That weighs on my mind.
17:29If I was to be a father, I'd want to be the best dad possible, but I don't want to have them deal with the same things that I've dealt with.
17:35Don't give up yet.
17:37All right.
17:38I'll see Dr. Lee, and I hope that she can do something for me.
17:53I gave up on going to doctors.
17:55But Dr. Lee's always been able to help people in the past, so she seems like somebody that would be able to help us as well.
18:01This skin condition, this is the thing that's kind of holding me back.
18:06If we could fix this, I could be the best husband to my wife.
18:10I could be the best dad.
18:11Dr. Lee is pretty much our last home.
18:13Oh, hello, guys.
18:23How are you?
18:24You must be the patient.
18:25You're sitting there.
18:25Yes.
18:26Nice to meet you.
18:26I'm Dr. Lee.
18:27Welcome.
18:28Hi, Andrew.
18:28What a nice smile.
18:29Hi.
18:29Hello.
18:29What a beautiful smile, too.
18:32Congratulations.
18:33You got a good one.
18:34Yeah.
18:34So, you are Andrew.
18:36I am, yes.
18:37And may I ask what you're here for?
18:39Oh, maybe I can see.
18:40Yeah.
18:40Yeah.
18:41So, I've had psoriasis pretty much my whole life.
18:46It's just on my legs, my arms.
18:49It's on my chest and stomach, my back.
18:52Since you're about what age, would you say?
18:55Eight or nine years old.
18:56I can't remember how old I was.
18:58That's pretty dumb.
18:58So, you haven't been clear in quite a while.
19:00No, I mean, this is...
19:01You've just been living like this for a while.
19:02This is my life, yeah.
19:03Yeah.
19:04I was told this disease is hereditary.
19:07Psoriasis can run in families, but it's not destined.
19:10It's not a definite that you will have kids that inherit this.
19:14It is not life-threatening, but it is a chronic condition that can be a pain, as you know.
19:18But there are really wonderful things that can control it these days.
19:21So, I have that, and then I have these lipomas.
19:25Bones on you?
19:25They've been called lipomas, yeah.
19:28Here, just relax that.
19:29I'm just going to feel like I can pinch it.
19:31Where else do you have another one?
19:33Yeah, there's one on my back that's about the same size.
19:37Okay.
19:38Psoriasis and lipomas.
19:39I mean, Andrew's got the double whammy of unlucky dermis.
19:43There is no relation between these two conditions.
19:45It's really coincidence that he has both.
19:47Psoriasis is not life-threatening, but really kind of gives you this flaky, embarrassing skin.
19:51And then she's got lipomas, which are also benign.
19:54These bumps that are really unnerving and really embarrassing on the skin as well.
19:58He's a dermatologist's dream.
20:00When was the last treatment that you had?
20:03It was back around the pandemic.
20:05Okay.
20:05I had a dermatologist that prescribed your primalast.
20:08Okay.
20:09And that...
20:10That's a pill that you take, right?
20:11It's a pill, yeah.
20:12It cleared up a little bit of my arms.
20:15But not so much your torso and your legs, huh?
20:18No, nothing else so much.
20:20Okay.
20:21Okay.
20:21That is one of the treatment options for psoriasis.
20:25It's in this whole category that we call biologic kind of treatment options.
20:30Did that clear you up?
20:31It didn't clear up everything.
20:33Yeah.
20:34Okay.
20:34I actually think that an injectable, the newer ones, are safer.
20:39However, they are more specific, so I think they're going to work much better.
20:44Not all biologic medications are created equal, and they all have a different kind of function.
20:49And some people respond better to one versus the other.
20:52And there's a lot of newer, more modern, injectable biologics out there, which seem to work even
20:59better at psoriasis.
21:01And so let's try one of those.
21:02You have some lipomas.
21:04Yeah.
21:04The thing I'm concerned about is more that, you know, doing a surgery over your area of
21:09psoriasis.
21:10I feel it's not proper medicine for me to do an incision right over an area that's pretty
21:16involved.
21:17The two large ones are the ones behind your right arm.
21:20There's a pretty good amount of psoriasis over this.
21:23So let's get our psoriasis in shape first, you know, cleared up before we were to address
21:28that.
21:29All right.
21:29The one on your back has less psoriasis overlying it.
21:32So I think we can get that one out safely.
21:34Let's get rid of the one on your flank.
21:36I wish I could get all of his lipomas, but I think I can only remove one today because
21:40the others have psoriasis overlying them.
21:43And there's more risk of infection in that area.
21:47There's risk of cabnerization, which means that the psoriasis can worsen if you kind of
21:51traumatize it on the surface of your skin.
21:53So the plan is let's try to get you on a new biologic medication, a newer class of them
21:59that I think are more effective.
22:00And let's take off that bump.
22:02All right.
22:02I like that.
22:03Let's go.
22:04Exactly.
22:06Of course.
22:07Dr. Lee is about to operate on my bump and I'm feeling anxious.
22:12What if there's a blood vessel that gets cut open or what if it doesn't go the way that
22:16it's supposed to?
22:17You should feel anything other than us touching you, okay?
22:32make sure nothing is uncomfortable of course you okay i'm okay good sorry sorry
22:42oh did i it's ticklish i think andrew's lipoma is laughing at me it makes a funny little sound
22:57as i squeeze it out and that's just what lipomas could do i hope it's laughing with me and not at
23:02me like it's messing with me or something i'm sorry at least it's tickling that i'm sorry i gotta
23:08tickle you like that but i gotta get this out i want to get it out as obviously the whole thing
23:13yeah yeah you bet i think i can see why this one is annoying to you it's got a multiple little
23:19lumps to it it's got a lipoma oh i do love andrew and gift but i do not like this lipoma when it
23:28comes out in multiples like this it really wants to tear easily and that's trouble oh man
23:33it doesn't want to go
23:35i'm just trying to get them all it's being stubborn
23:42it doesn't want to go
23:49i'm just trying to get them all it's being stubborn i'm here with andrew who has psoriasis
23:58and a very stubborn lipoma i want to get all the balls of this lipoma out i don't want to try to
24:04leave any of it in there because if it does tear apart and it detaches part of it will just suck
24:09back into the body this one likes to be in a cluster i suppose it's growing in more of a cluster
24:16almost got it
24:22okay i got it wow i think we got it all there we brought sexist back back that was quite a stubborn
24:33lipoma but it actually ended up being pretty cool for a very sweet guy and i'm gonna stitch
24:37him up and i'm gonna start him on a new modern injectable biologic that i think is gonna clear
24:44him up and hopefully it'll remind him to see his dermatologist more regularly
24:48we remove that if you want i don't know if you could reach back with your hand and feel where that
24:54is oh yeah that is numb too but also flat huh yes it is after trying so many different things i
25:03completely gave up so to remove the lump on my back it feels like we won the lottery and it is a huge
25:11relief to have that gone so we're gonna do an injection of guselcomab i hope that this new
25:18medication being a newer sort of version of it is gonna work better and it's gonna clear you up instead
25:24of just sort of letting it smolder which wasn't so great i look forward to seeing your skin all
25:29cleared up thank you so much okay nice to meet you years ago i took a biologic that really didn't clear
25:35me up that much so i'm very excited right now that i have an open path toward clear skin i feel really
25:41grateful toward dr b she helped us out she stepped in and when nobody else was able to help us she came
25:46she came to the rescue i feel hopeful and i feel like there's nothing holding us back now from
25:53starting our own family
25:55i'm so nervous
26:08my name is christina i'm 41 i'm from lancaster california this is my youngest daughter nicole
26:21her favorite and she's also my bestie and i have a mystery bump on my left shoulder
26:28it's huge and it's painful this bump has grown from a lemon into a like a softball and it feels
26:40very squishy like i can't move it around it is just uncomfortable it actually feels like i have a boob
26:47growing on my back my condition developed five years ago i was applying lotion to my back and i noticed
26:55that i had a bump when i went to the doctor he said i think you have a lipoma just keep an eye on
27:01it if it grows and it causes any pain then you might need to have it checked out but he's never
27:08taken a biopsy he didn't take any x-rays hi good morning hi good morning we're here to see dr lee
27:15perfect okay would you please sign in oh sure before this ugly bump came into my life i was very outgoing
27:21i love to hike go to the beach going to bars and clubs with my bestie i would say my mom is the
27:30coolest mom she likes all the trends she likes being with her little juicy couture fit we like to travel
27:36together we like to try doing restaurants for my 21st birthday we went out with her friends not even my
27:43friends it was the best birthday i could have ever asked for however over the past five years this bump has really caused some serious depression i just want to stay in my room i don't want to go anywhere because i just don't want to be seen with this ugly bump on my shoulder i hate the fact that my mom doesn't want to be out i need her to be back where she was
28:13my mom actually waited two years to tell me she's like oh my god i didn't want you to worry
28:21i thought it was something cancerous so i got really scared i was like why did you wait so long to tell
28:30me like this was something you needed to tell me like yesterday i just wanted to keep it to myself
28:35because my kids depend on me tremendously so i can't even imagine sharing with them bad news
28:42i think if anything were to happen we would all be here for her so she doesn't have anything to worry about
28:51christina oh yes hi hello how are you doing good i would be very devastated if dr lee is unable to remove
29:10it and dr lee will be right in okay thank you so much yeah you're welcome this bump has got to get out
29:15now i need my life back i don't want to be locked in my room one more second i'm really nervous
29:22i believe a force bigger oh dr lindsay
29:32there you are hi how are you dr lee i don't get to see you all the time i know i'm sad about that
29:42dr lindsay is a practicing dermatologist in our chino office and she just wants to get a little
29:47bit more surgical experience i really want to show dr lindsay how i evaluate a lipoma like this and
29:53decide whether she's indeed a candidate for surgery today we have like we classify it as a big lipoma
30:00this is a big one that a lot of dermatologists wouldn't do i really want to pass the knowledge
30:06on to people that i also personally trust that i think it can do the similar kinds of things and i feel
30:12like really care about their patients okay okay good well let's go see the patient okay i'm excited
30:17and i'm ready for that big one this is actually my first big lipoma excision and i'm just hoping
30:24nothing squirts on me hi nice to meet you i also have dr lindsay with me she's a dermatologist welcome
30:32thank you is this your sister my daughter daughter my daughter yes
30:38nice to meet you nice to meet you but welcome nice nice to see you here where is this bump on you
30:44uh it's actually on my left oh okay yeah let me see what you have there actually let's see
30:49thank you is it okay yeah okay okay a little soft right and so it's good i mean it feels like a lipoma
31:00i try to evaluate whether something is under the muscle because if it is under the muscle i really
31:05don't remove those oh okay can you actually make movements to like shift it and we see if it stiffens
31:11up i do think this is a lipoma sometimes lipomas can reside under the muscle and that really is when
31:18it becomes more complicated to remove it this is a great situation for dr lindsay to know how i try
31:24to do all the things that i can to get the most information before i proceed with surgery so it
31:29doesn't really just stiffens up enough so you could still push on it if it was like hard that to me
31:34makes me think because then the muscle because it'd be tense right but yeah it does feel like
31:39lipoma i should tell you that it's not life-threatening so if you were to coexist with it it is
31:44possible but you might not like your coexistence with it yes i want to go on yes okay we're gonna
31:50go start getting set up here okay in the meantime but let us know if you have any questions okay okay
31:54thank you so much thank you i am feeling nervous my crazy thoughts thinking like i'll bleed out or
32:02something and they have to stop the surgery yes it would really suck if dr lee cannot remove this
32:10it's just so traumatic to me i just want it gone
32:21okay you got your gown on thank you for that so we're gonna start putting some numbing there and
32:26letting it sit for a little bit i can wait in the room oh yeah in the waiting room first i'm gonna
32:34numb christina with tumescent anesthesia and by doing that i'm filling the area with fluid creating
32:40a cushion and lifting this lipoma away from important structures deep underneath the skin if
32:46you pull it out you want to clamp it first i really want dr lindsay to see the things that i do
32:52to prep for a surgery like this i mark out where i see veins on the surface of the skin if i know
32:57where the veins are and i cut in a certain area and there's a little bit of bleeding i know it's
33:02because there's a vein there okay just make sure i'm not hurting you at all okay okay
33:11doing great and i know it's deeper under there the actual lipoma
33:17you're doing awesome a little buzzing sound okay nothing should hurt okay i just preemptively kind
33:26of buzz things because i like to keep things clean and then i really use my fingers a lot you can
33:31actually take a feel you just pull your wristband no i don't know because it might be a vessel you
33:40don't just try to yank it this is a really important lesson for dr lindsay to see i don't blindly
33:46cut or pull on things some of those fibrous bands can be blood vessels they can be nerves and so you
33:52just really want to be very precise in all your movements so you can literally just pull wow that's
34:00what i try to do so that i don't have to traumatize things the negative is that it is that friable so
34:06if i'm too aggressive and try to pull it it'll just tear so i'm trying to just ease it out with just enough
34:11pressure you can feel how it extends into different spaces like different tunnels under there okay
34:17try to squeeze it out it's not going to squirt you okay yeah okay but it is coming out a little bit yeah
34:26oh yeah i should have done that there you go i did that but there's still a little
34:32the larger lipomas is just a larger risk of bleeding right well i mean it's just because of the size
34:38and more blood vessels dr lindsay is so cute because she's so scared of squirts but i think
34:43this is a really good case because she can see that when a lipoma gets pretty big it can get
34:49multi-lobulated and has these sort of tentacles that dive down in the skin in all different directions
34:56oh wow is it still there yeah i'm trying not to unleash it hold on there's a lesson here
35:08we have to stop the bleeding right here
35:10i'm here with christina and i'm showing dr lindsay how to gently remove a lipoma and i think the key
35:33here is slow and steady you don't want a big mess of blood so i use a little surgical tie to kind of
35:39tie off that blood vessel thank you so is it a boy or a girl uh do i have twins because it's a
35:47little bit of trouble a little trouble so you basically tied off the the vessel right yeah and
35:53i just try not to be aggressive really deep i just try to you can see i'm kind of like i feel like i'm
35:59kind of dancing with it
36:08oh wow i was able to safely get out all the lipoma and certainly control any kind of bleeders along the
36:14way and you know when you start in dermatology you learn all about all skin conditions but there's a
36:19big difference between learning and actually doing it so i'm glad that i was able to show dr lindsay and
36:25she did a great job i always line up the edges first because if you don't do that you're gonna
36:31it's hard it's easier for you to be offline i was taught to start in the middle and like a rule of
36:36right right a lot of people do that but sometimes if you do that you won't have it lined up at the
36:41edges it's a neat trick pulling out the lipoma today was really satisfying so just from this
36:49one procedure i've learned so many things that i can definitely take with me in my own practice
36:55this is literally the biggest lipoma i've ever excised i'm gonna let you reach back with your
37:00hand and feel this it's the towel over it okay do you want to reach back and go no but it's not there
37:06anymore are you crying oh oh that's really it looks so good i'm so proud of you oh are these tears of
37:19happiness yes okay i just want to make sure i'm so happy thank you all i've lived with this bump for
37:25five years and the stress was overwhelming and now that it's gone i am so relieved here's your friend
37:37so this was the bottom that kind of extended kind of like where it made your look bigger there okay
37:44oh oh my goodness it did look like chicken i think you're gonna look great awesome thank you so much
37:52so nice again of course thank you it's like a roller coaster i was nervous and now i'm just
37:57excited and so happy oh my goodness it's just puffy because of numbing now all the shirts that i
38:07borrowed i'm gonna have to unfortunately probably get back the first thing i want to do is dress up
38:15something cute go out with nicole hit the beach and get a nice tan going on both shoulders and expose them
38:22to the fullest it's been three months since i saw christina and her back looks flat and beautiful
38:34it feels great now that the huge bump is gone and that this was not something serious the scar from
38:41that big old bump has healed up so nicely and christina is finally back to feeling like her old self
38:46now she can dress how she wants and keep up with her daughter nicole we are spending a little too
38:52much money probably a family that parties together stays together cheers cheers guys
39:02it's been three months since i saw andrew and his lovely wife gift that cluster of grapes lipoma is
39:08gone this scar has healed up so nicely and andrew's psoriasis has cleared up beautifully
39:16i don't have flakes on my shoulders or anything i've completely cleared up night and day difference
39:25his dry flaky red patches that covered his body are gone and his skin is spotless
39:33honey you ready to watch the movie now andrew and gift are ready to move forward and take their next
39:38steps in life they are so cute i'm rooting for you guys
39:51it's been two months since dr lee removed my big pump and i am feeling amazing
39:57i feel like i i'm beautiful again the scar is hidden in my eyebrow and i actually like
40:09looking in the mirror now and what's best is i have my confidence back
40:18since the bump has been gone cody and i have been getting out more
40:22more and we're definitely looking for our next potential partners i'm in a better place to have
40:29a polyamorous lifestyle now i'm cody this is ally nice to meet you i love the dragons they're great
40:37i have the self-confidence and the desire to get out if i were going to catch the best burlesque show
40:44coming up mine okay you still have your belly dancing stuff you can get in burlesque shows
40:51all the stars were just aligning and somehow the universe led me to dr lee and it was exactly what i
40:59needed
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