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Breakfast Business with Joe Lynam

The business of plastic surgery

10 Oct 2025

Transcription

Transcript generated automatically by AI and may contain errors.

Chapter 1: What is the main topic discussed in this episode?

1.533 - 5.485 Joe Lynam

Breakfast Business with Enterprise Ireland on Newstalk.

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Chapter 2: What is driving the growing demand for plastic surgery?

8.485 - 25.447 Joe Lynam

Whether it's a facelift, liposuction, Botox, breast augmentation or air transplants, demand for plastic or corrective surgery in this country is rapidly growing. But we've no definitive idea how much money we're spending on these procedures because many patients don't like to shout about it.

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25.847 - 41.686 Joe Lynam

But it's clear that the days of suffering in silence over a physical feature that you don't like are coming to an end. My next guest runs one of the biggest clinics in Britain, Eterno 360, and is an expert on the plastic surgery business. And he is Dr. Fulvio Orso-Bayarda. Good morning, Fulvio.

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42.146 - 43.548 Dr. Fulvio Urso-Baiarda

Good morning. Thank you.

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43.608 - 55.941 Joe Lynam

Great pronunciation there, too. Oh, thank you very much. Would you have any idea how many people in a year, like you'd be familiar with the UK, get some sort of corrective surgery?

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56.714 - 81.658 Dr. Fulvio Urso-Baiarda

That is a really tough question to answer. It's all in the private sector and it's not widely shared. There are some audits by societies like BARPS, the British Association of Aesthetic Plastic Surgeons, and ISAPS that give some data on that. My personal data will be a bit skewed because I do quite large, sort of relatively low volume cases. So what's a very large operation?

81.638 - 91.471 Dr. Fulvio Urso-Baiarda

Something like a post-massive weight loss total body lift. So that might take somewhere like four to six hours to complete that.

Chapter 3: How difficult is it to quantify spending on plastic surgery?

91.731 - 107.091 Dr. Fulvio Urso-Baiarda

And would that include liposuction as well as a facelift? Probably not a facelift at that stage. So that would include liposuction. It would include removal of a lot of skin excess I removed previously. five and a bit kilos of skin from someone last week.

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107.151 - 107.271 Joe Lynam

Skin?

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107.411 - 121.787 Dr. Fulvio Urso-Baiarda

And none of that is fat? It would be skin with connected fat underneath it, but it's the skin and fat as a block, plus a bit of liposuction with it, and that will be the first stage in people who've got really major weight loss. That will be the first stage of many.

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122.027 - 130.596 Joe Lynam

And have you been impacted out of curiosity by the rise of Ozempic and Manjaro, i.e. people losing huge amounts of weight, and suddenly they've got a bit of flab?

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130.576 - 159.503 Dr. Fulvio Urso-Baiarda

yeah um so we're certainly seeing we've always done these kind of cases the post-massive weight loss cases as a result of bariatric surgery so weight loss surgery gastric sleeves gastric bands and so forth but now it's hitting the mainstream because the threshold for having that kind of intervention was reasonably high yeah but now that these this this treatment is so accessible yeah there's likely to be a sort of epidemic of skin excess right now i think that's set to change in the

159.483 - 187.549 Dr. Fulvio Urso-Baiarda

longer term actually so we're going to so these people did achieve these these big weights and a lot of skin excess but actually as these medications become more and more used and widespread we're likely to see the the lesser extremes so the new wave of drugs will remove the skin excess after you've lost all the weight i think it will just prevent them because people will uh access them at an earlier stage right is it good for your business the rise of ozempic and manjaro

187.529 - 189.432 Joe Lynam

Or no impact?

189.592 - 204.998 Dr. Fulvio Urso-Baiarda

No, it's good. It's good, not to put it too cynically, but it's keeping us in work. Right. And what is the most popular procedure, would you say, in the UK where you're familiar? So liposuction for a long time. It is lipo, yeah. Liposuction for a long time has been the most popular procedure.

204.978 - 225.923 Dr. Fulvio Urso-Baiarda

um procedure um there's a massive rise actually in facelifts and facelifts are becoming um much more mainstream i think they used to be reserved for the super rich yeah yeah but now actually especially this thing called the the deep plane facelift has really caught the imagination of people deep

Chapter 4: What types of corrective surgeries are most common?

251.384 - 261.145 Dr. Fulvio Urso-Baiarda

I'm sorry for laughing. Me too. But now things are far more natural and it's all going that way.

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261.606 - 266.878 Joe Lynam

And how much does it cost to get a facelift? I'm not asking you to name your prices, but how much typically does it cost?

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266.858 - 290.303 Dr. Fulvio Urso-Baiarda

Well, again, there's massive variation. So I won't be speaking personally because I actually stopped doing facelifts a few years ago, personally. You look great, by the way, this morning. Well, thank you, as you said, for an 80-year-old. So I stopped doing them. But they can be, I suppose... It will certainly be five figures. Five figures, so at least 10 grand. Yeah.

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290.864 - 301.616 Dr. Fulvio Urso-Baiarda

And in the UK, that can be hitting kind of 60. Okay. And in the States, 250,000. You can find someone who... Quarter of a million dollars.

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301.636 - 308.644 Joe Lynam

Quarter of a million, yeah. To get it right. In some places. So that's a huge procedure. That excludes the vast majority of the population, obviously.

309.012 - 317.269 Dr. Fulvio Urso-Baiarda

Yeah, don't get me wrong. There are huge variations within that, and it can be bought, you know, that can be achieved at a much lower price than that.

317.47 - 324.945 Joe Lynam

And is the stigma, I hinted at it in my queue, is the stigma of getting plastic surgery disappearing, but it's still there, I'm guessing?

326.022 - 351.253 Dr. Fulvio Urso-Baiarda

It is. I think it is much less than it has been, probably much less than ever before. And I can almost have more of the opposite challenge in denormalizing surgery in some ways because... Reminding people that it's a big deal. Yeah, exactly. There are risks, there are complications, and you have to be aware of them and go into it with that kind of gravitas.

351.233 - 356.601 Joe Lynam

Now, you're over in Dublin. You're giving a talk or a lecture. But have you any plans to open a clinic here?

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