Podcast Ep. 55 Rejuvenate and Refresh Yourself!

Larry Olsen June 22, 2021

Dr. Maffi is one of the premier plastic surgeons in Scottsdale Arizona and offers a comprehensive list of surgical and non-surgical cosmetic procedures at his modern, leading-edge, integrated 4 clinic practice. His success stems from his focused passion for his work and a genuinely warm and caring personality consistently delivering safe and outstanding surgical results for his patients from all around the world. He shares insights on why cosmetic surgery, the importance of making your staff and patience your number one priority and why the Hippocratic Oath is his line in the sand when it comes to patient care and doing the right thing. For more information on this outstanding doctor go to: https://mafficlinics.com/


Larry Olsen [00:00:07]  Welcome. I’m Larry Olsen, and what’s on your mind once set, it delivers your life to change the outcomes we want. We must change. The plays were running. Join us at Mindset Playbook with real people. Real talk for real insight.


Narrator [00:00:28] Today’s episode is sponsored by Aperneo, an Achievement Acceleration Company, whose approach to professional development enables clients to gain insights and perspectives to live, work and engage with more success.


Larry Olsen [00:00:44] Well, welcome, everyone to Mindset Playbook, and I want to thank you for taking the time to put that headset on or the radio or whatever medium you’re using to get a little more insight into how to make our lives function more smoothly and always becoming more prosperous. Today we’re very fortunate to have a guest, Dr. Terry Maffi, one of the premier plastic surgeons in Scottsdale. He’s acquired years of advanced training after completing his plastic surgery fellowship training at the world-renowned Mayo Clinic in Rochester, Minnesota. Dr. Maffi is in high demand due to his focused passion for his work and a genuinely warm and caring personality consistently delivering safe and outstanding surgical results for his patients from all around the world. It’s a real honor to have him today. He is unlike any doctor I’ve seen. Not only is he at the top of his game, but he is just so darn personal that you really feel like you’re in good hands. Recognizing the value of higher education, Dr. Maffi dedicates time to instructing future plastic surgeons as director of the Resident Esthetic Surgery Clinic and assistant professor with the Mayo Clinic, Arizona. He mentors plastic surgery residents on the complexities of esthetic surgery and surgical techniques. Check this out, a few of his honors and awards include the Global Judge for My Face, My Body Awards out of Australia, Judge for My Face, My Body Awards, in the United States, Top Doctor in plastic surgery, Phoenix Magazine Patient’s Choice Award, that’s one of the highest accolades that you can get, as have your patients love you and that was from the America’s Top Plastic Surgeons, Excellence in Teaching from Mayo Clinic College of Medicine, Surgical Resident of the year. And finally, if that wasn’t enough, ambassador of Medical Ethics Award. Dr. Mafi, with all of the awards you’ve accumulated through the years, the prestige you hold as one of the best in your field and the most bodacious work ethic you employ. What is it about your profession that keeps you enthusiastically coming back day after day?


Dr. Maffi [00:03:15] Thank you very much for all that. That’s very, very kind of you. It’s you know, it’s by far the people, you know, I love. I love operating. I love doing procedures. But that would be, in my opinion, very mundane if I didn’t have the people that I work with. And that’s my staff, the patients, the residents, the medical students that I work with. I have been in practice over 15 years, and most of my staff has been with me since the beginning. And these are providers, administrative people. So, they’re really like family. I mean, they know my kids and my wife. I know their spouses, their kids. And it’s been really a fun journey, growing my practice with these individuals. It’s just been quite an experience. And the patients I mean, you know, a lot of people joke, and they think that, you know, plastic surgery patients are so demanding and just wear you out. And really that’s I mean, of course, every once in a while, you have people that maybe kind of like that. I mean, most of my patients are wonderful. A lot of them, they’re almost like work family. I mean, they come in on a you know, on a regular basis, not getting surgery, of course. But I mean, they come in, they get skin care. So I’ll see them in the office here and there, or they’ll come in for something else or they’ll bring in their friends or their family. And and so we see them on a semi routine basis and it’s great. You kind of get to know them. You get to know their family, you know what their kids are doing. And it’s just, plastic surgery is a different it’s a little more unique compared to most medical practices. There’s just a lot of more socialization. I think it’s more of an intimate type of atmosphere and there’s a lot more kind of visiting that goes on. You never just go in, sit down, ask them how they’re doing, do an exam. There’s always some degree of conversation, which I love. I mean, that’s the thing is I talk too much and I’m always really running behind because I chit chat too much. But I don’t care because that’s what keeps me going. And then there’s the residents. I love working with the residents. So, I trained at Mayo Clinic in Minnesota, and they sent us down to Phoenix to do a cosmetic rotation with a pretty world-renowned plastic surgeon here in town who’s since retired. And so now I’m doing that for the Mayo Clinic residents here, so the Mayo Clinic, Arizona, sends the residents to my clinic to get some esthetic experience, both in surgery, skincare injections, laser, all that kind of stuff. Typically, I have a resident with me full time and they’re great and I learn stuff from them. I mean, you know, I’ve been in practice, like I said, over 15 years and will be doing something and they’ll say, well, have you ever tried to do it this way? Like, you know, no, I haven’t. So, I mean, I’ve actually changed some of my little techniques based on just give feedback and they are tomorrow’s physicians. I love that, they’re excited, they’re diligent, they’re very just full of energy. And so, it just adds a whole new kind of level of energy to my practice. 


Larry Olsen [00:06:36] You know, in a lot of medicine begins to develop particular processes that are so effective. I mean, from the discovery of germs, we wash our hands. Our patients might live a little longer. Yeah, right. From a disease control. And it’s gotten so sophisticated now that in many fields, once the process gets into play and it works, it’s hard to deviate from it. What do you think it is about you and your teachings that keep these people that are recognized that there are certain procedures and yet to keep the creativity in there, to be able to see new ideas and be open to those? How do you allow yourself a break away from these processes that are absolutely fail safe to be open to trying new things?


Dr. Maffi [00:07:30] Well, surgery is definitely all technique. I mean, there is a certain way to do a facelift and you have to kind of follow that algorithm. But if you don’t step out of the box and look at, you know, look at the results or look at how things are coming together during the procedure, if you don’t step back and look at that and really kind of critique it, then I don’t think you’re really pushing yourself as much as you should in order to achieve that next level. So that’s typically what I do. I have that algorithm in my mind, and I follow that. But I’m always kind of stepping back a little bit and reevaluating and kind of deciding, you know, with that particular person, different kind of esthetic angles that could, change the outcome.


Larry Olsen [00:08:27] OK. All right. You know, one of the one of the fascinations I have with what you do in another life, I would like to be doing what you do. Because they say the number one fear of man is rejection. And what we do is we go through our life to make sure that doesn’t happen because it doesn’t feel good. So that means that having validation and acceptance is really critical. And here you have one of the most important features in a human being’s life. And that’s what the reflection they get back when they look in that mirror and every one of us already has an opinion of ourselves is whether we’re attractive, homely, or if our nose could be or whatever that idiosyncrasy could be. Years ago, back in the 60s, I was in a laundromat going to college and doing my laundry. And there was a book there, which absolutely changed my life. It was Dr. Maxwell Maltz, Psycho-Cybernetics. And he was a plastic surgeon, and he had a patient where he botched the nose job, and he did everything he could to try to make it right. But he knew this is not going to be good. So, he kept delaying the patient’s removal of the tape and the splint and whatnot because he knew it was going to happen. So finally, he couldn’t put it off any longer and he removed it and she said, “do you have a mirror”, because he didn’t want to bring a mirror. And he says, a matter of fact, I do. And she looked in the mirror and she goes, “I’m beautiful”. So, the concept was all about perception that even though you may have a particular perception of how it went, what have you noticed in that concept when you’re dealing with patients and the reveal kind of takes place? And I know it takes a little longer than just a split second, but what are some of the experiences you’ve had with your perception versus their perception?


Dr. Maffi [00:10:24] Well, it’s interesting that you say that. I mean, I always try and see my patients the very next day. So, I do a lot of facelifts and they don’t really have a dressing on per say, but any kind of breastwork, they always have a dressing on and they could probably just take it off at home. But I want to be there with them when they take it off so that I can kind of, walk them through it. Because, quite frankly, after you have a surgical procedure, whether it’s a tummy tuck or a breast augmentation or a facelift, with all the bruising, the swelling, things don’t look good. That’s why there’s a lot of reassurance that goes on. 


Larry Olsen [00:11:09] So you kind of coach them through it?


Dr. Maffi [00:11:10] Yes. Especially facial. Like to do a lot of facial surgery, a lot of laser, laser basically is lasering off the top layer of skin. It’s bloody, its weepie, it’s crusty, it does not look good. And it’s really hard to get patients to realize there is hope. So, I see my patients very, very frequently and kind of walk them through things and just make sure they understand this is normal. And on the flip side, if things aren’t looking good, I want to make sure that I catch that early on kind of help correct it when possible.


Narrator [00:11:48] What fantastic insights we are getting into in this episode. If this resonates with you and is provoking and of value, please consider the best-selling book of Get a Vision and Live IT by your host Larry Olsen at Aperneo.com. His book has been an inspiration to many of Mindset Playbook’s guests. And you’ll find everything you need to live the best version of your life, NOW. The results you’ll get will absolutely amaze you. Find the book at Aperneo.com in the shop. And now let’s get back. You won’t want to miss what’s to come in this episode of Mindset Playbook.


Larry Olsen [00:12:30] All right. There is a lot of people that think there’s so much vanity and ego involved in someone going and taking what nature has put together for them and saying this is who you are and then making that transition. How do you react to that?


Dr. Maffi [00:12:51] It’s funny, a lot of patients come in. They say, oh, they apologize for being vain. I’m so sorry for being vain. And I said, well, vanity keeps kind of keeps things going around here, you know, so I’m OK with that. But a lot of people come in especially for facial stuff. And they told themselves when they’re younger, I’ll never do anything. I am going to age gracefully and here I am. Wow. And I mean and the thing is, you see so much overdone plastic surgery, you know, celebrities, in town, Scottsdale kind of known for a lot of plastic surgery. But the goal is, is to look better for your age and just look refreshed. And it really, it’s completely a different level. But people who color their hair, get their teeth whitened, just little things like that. You do things to, you know, to improve your appearance. And I think if you are happy with your appearance, it makes you feel good. So again, and that’s kind of a basic thing you learn in plastic surgery training is, you have to make sure patients understand having plastic surgery is not going to change your life. It’s not going to get you a better job. It’s not going to get you a new husband or a new wife. That’s not going to happen. And, you know, that seems rather obvious. But some cases that happens. But it is you know, it does help. You know, it does help with your self-esteem, and I love that. I love it when people come in and they are just thrilled and they’re like, they’re just so happy that they look like themselves. They look normal. They just look better and refreshed. 


Larry Olsen [00:14:38] Yeah, that’s fantastic. You know, I’m going to reveal it to the public. But years and years ago, I had drooping eyelids. And I always look like the sleepy or whatever that dwarf’s name is. Right. And I didn’t want to turn into Grumpy either, but it was bothering me. And then I heard about you. And I think what impressed me the most was you really wanted to know what I was looking for. It wasn’t like here’s what I’m going to do. You made it about me. You made it unique to me. And I think this is what is so unique about you, is so great about people that are able to do that is I felt like you developed your whole practice just for me. Where I’ve been to doctors before and it’s in a hurry and they don’t have a lot of time. And they’re saying the same thing they say to the patient they just had. And you don’t feel like anything other than a number. And it’s a critical thing when people are messing with your psyche. Because it’s more than just your face, it’s what your face represents to you. And I want everybody to know that no one ever said, did you get a eye job? People just said, you look so refreshed. You know, did you take a vacation? I mean, have you lost weight? They don’t know how to explain it. So, I thank you for that. And I think that the reason I wanted you on the podcast is because of your humanness. And that is such a lost art. Where do you think yours came from to recognize not only how important it is to care for a patient, but absolutely being able to implement it without coming across as non-authentic?


Dr. Maffi [00:16:25] I’ve always been a personal person.


Larry Olsen [00:16:30] Even your little?


Dr. Maffi [00:16:31] Yeah, I always have been, even when I was a child, my parents socialized a lot. They had a lot of friends over a lot of get togethers. And I would always interact, and I was always comfortable just talking to people. And so obviously that’s carried on to adulthood, life. And then again, that’s a kind of goes back to the people. I love talking to my patients. And when a patient comes in, typically, rather than just coming in and getting escorted into an exam room and getting in the exam chair, we typically meet with patients in my office where it’s a more comfortable, less vulnerable atmosphere and get to know that individual. And just because to me that’s important, and get to know them where they are, what their desires are, what bothers them, really kind of understand how things have progressed, especially if somebody comes in with heavy eyelids, if they had full eyelids when they were young, that’s their natural feature. So, I need to know that. So, I don’t change their appearance. People can have a little fullness but not drooping or some people, they really want it more tapered because that’s what they used to be. So, looking at pictures when they were younger, that all helps. And that’s the thing is I kind of joke with patients, what I do and with my trained eye, I can recommend a hundred things on probably everybody, because, you know, it’s all gravity. Everyone would all benefit from something because everything’s just falling. But it’s really, it’s what bothers you. And I’ve known plastic surgeons and, you know, the patient comes in for their eyes and he says, what about that nose?


Larry Olsen [00:18:18] Not that’s not you, right?


Dr. Maffi [00:18:19] No, no. That is not me at all.


Larry Olsen [00:18:21] The thought of bringing that one here in a little tighter right here.


Dr. Maffi [00:18:24] Exactly. No, no


Larry Olsen [00:18:26] if they ask if


Dr. Maffi [00:18:28] If there is something that’s, they want a lot of stuff done, there’s one little thing that I think would really just kind of, you know, kind of really add to the overall result. I’ll say, did you ever think of doing this? And they’re like, no, doesn’t bother me at all kind of conversation. But if they’re like, oh, I never really thought about that, what do you think? And then we’ll kind of continue the conversation.


Larry Olsen [00:18:47] Gotcha.


Dr. Maffi [00:18:48] But it’s you know, it’s kind of like everything else is just low pressure, you know, whatever, whatever they want.


Larry Olsen [00:18:54] So, this is probably obvious, but were you always good academically when you were growing up?


Dr. Maffi [00:19:03] Yeah, pretty much.


Larry Olsen [00:19:04] And you had an interest in learning?


Dr. Maffi [00:19:06] Yeah, my father was a dentist. So, my plan was to go to dental school, become a dentist, take over his practice. We grew up in Northern California, so I’m like, and in college basically started doing the premed and pre-dental kind of very similar courses in the beginning. And, soon enough, I just figured, if I’m going to do this, if I’m going to become a professional in health care, I think I’d rather be a physician. So that’s when I kind of switch gears.


Larry Olsen [00:19:40] So you had to specialize at point?


Dr. Maffi [00:19:42] Yeah, I was still an undergrad, so I’ve always been academically inclined.


Larry Olsen [00:19:46] OK, so how where did the decision come to get into cosmetic?


Dr. Maffi [00:19:52] Well, I mean, if you look at plastic surgery, cosmetic surgery or cosmetic medicine, it’s just a very small percentage of what plastic surgeons do. There’s reconstruction for breast cancer for cancers. There are facial fractures, hand surgery, nerve surgery. There’s a whole host of things. When I was a general surgery resident, I rotated on the plastic surgery rotation and there was no cosmetics at all. It was all reconstruction and burn victims. Burns. Yep, yep. Exactly. So, I was basically at that rotation was at a county hospital and that was the regional burn center. Lots and lots of facial fractures. And that’s where I really kind of fell in love with all the facial procedures. It’s fun. You literally are just kind of peeling back the skin and you’re putting all the bones back together like a puzzle and then putting little tiny baby plates and screws in there, and it was really cool. So, I did a lot of that and again, really got to know the anatomy. And I never really imagined becoming a cosmetic plastic surgeon. But I ended up joining a guy that was purely esthetic and did a lot of face stuff. And so, I did a combination of facial esthetics with him. And I worked part time at the county hospital where I trained and continue doing facial fractures there for years and thought I would always continue doing that. But the other practice of my practice just got so large I had to kind of dedicate my time towards that. But it was fantastic. It was fun.


Larry Olsen [00:21:28] Wow. Yeah. Yeah. So, do you literally peel the skin off of the face down to the muscle anyway? Tell us about that.


Dr. Maffi [00:21:38] There are certain procedures, if you are talking about a brow lift, the classic brow lift, you are literally peeling the skin off of the bone. It’s kind of it’s a little more finesse now.


Larry Olsen [00:21:49] You’re cutting it off at the hairline or something and peeling it down?


Dr. Maffi [00:21:53] The old way of doing it, Brow lift, is literally to cut from here to here and literally pull all that down. And so, your entire skull is exposed.


Larry Olsen [00:22:01] while you are pulling are you slicing?


Dr. Maffi [00:22:04] You’re literally just cutting in lifting.


Larry Olsen [00:22:06] We don’t really do that anymore.


[00:22:06] What do you what do you cut?


Dr. Maffi [00:22:08] Just the attachments of all of the skin and muscle that are attached to the bone and you’re just cutting those away. We don’t do that too much anymore, that’s kind of the older technique. It’s a little bit like now you just make a couple little cuts here and you just kind of you do release them, then you just kind of switch things up a little bit. For a facelift, you’re not even near the bone. I mean, it’s really, you’re just lifting the skin, lifting up some of the tissue underneath, elevating it and putting it back where it belongs.


Larry Olsen [00:22:34] So were you artistic when you were younger? 


Dr. Maffi [00:22:39] You know, no, no. It’s funny because a lot of people think you have to be an artist who can be a plastic surgeon. And, you know, I kind of joke and say, well, you know, really, I’m more of a scientist then an artist. I mean, my entire educational history is all science. That’s where I came from. You definitely have to have an artistic flair. But to be a good a good plastic surgeon, you have to know what looks good. But you’ve just got to be technically facile, and you have to just be very technically delicate. And that’s really what matters. You don’t have to be good at sculpting. You don’t have to be good at drawing. You would be horrified if you saw me draw a picture of somebody literalistic stick figures.


Larry Olsen [00:23:26] You don’t do art home, right?


Dr. Maffi [00:23:28] Exactly. So, I do know what looks good and I know how to do that on the body. But that doesn’t necessarily mean that kind of translates into, drawing and sculpture.


Larry Olsen [00:23:42] So when you look at a face, you can see the bone structure, you can see the where the opportunities and you really do have to stay in your own lane. I mean, is there a lane you don’t go into and dealing with correction?


Dr. Maffi [00:23:58] Do you mean like kind of like, no go zones?


Larry Olsen [00:24:01] Yeah, yeah,


Dr. Maffi [00:24:02] Well, there are there are certain things you can’t do. This is what you’re referring to. I mean, like if somebody like you don’t liposuction the ankles, I mean, people don’t like to refer to cankles, and there you just can’t do anything about that. And in this day and age, people think they can’t believe that there’s no treatment for, like, creepy or cellulite skin. There’s not!  I mean, there’s just no technique.


Larry Olsen [00:24:28] So these articles where all you have to do is exercise how your skin goes away?


Dr. Maffi [00:24:33] It’s just not there yet. Hopefully one of these days, there will be something for it.


Larry Olsen [00:24:39] If someone did come in with large legs and do you first have to see whether it’s swelling water before or, you know, and even then, you say you don’t you wouldn’t be able to do anything. 


Dr. Maffi [00:24:53] Right and again, definitely. And that I mean, for me, since I do a lot of procedures, lower eyelid puffiness, that’s a real key thing. Some people just have puffiness. If a typical puffiness, are little fat pads, that’s what we refer to as bags. So, in a lower eyelid surgery, you’re actually trimming those little fat pads and get rid of the bags and that smooths everything out. That’s great. That’s typically what we do. There are some people they don’t have fat pads. They just have general swelling of the lower eyelid. And there’s no way you can cut that out. That’s just kind of how they are. That’s their right. And if you don’t recognize that and you operate on them, you’re not you’re not going to improve them. If anything, you can make it worse because now you’ve cut into it and the swelling doesn’t have anywhere to go. And there’s little it can be worse.


Larry Olsen [00:25:43] All of us have seen individuals that we say to ourselves, hopefully nobody says it to them. When did you not know how to say no on your lips? Because they just get bigger and bigger and bigger and pretty soon it’s all you see on a person. Now, that was certainly not the intent of the patient. How do you avoid getting caught into those types of things?


Dr. Maffi [00:26:09] Well, yeah, it’s interesting. I mean, look at, you know, Michael Jackson and his nose, probably one of the most, you know, most referred to individual is in plastic surgery. OK, obviously, he went to some of the best plastic surgeons in the nation, in the world. The problem is, is going to too many of them. And really, that’s just something that as a community, we need to take it upon ourselves to, you know, put your foot down and then tell people, no, that’s the thing. Especially with celebrities, if you have a celebrity sitting in your office, you want to help them. I mean, you’re honored that they’re seeing you and we all in the back of our mind think, you know, I can probably fix that. I can probably fix that. And then it ends up getting worse. So, I really don’t come across that a lot, people coming in and having to turn them down, having too many, facelifts. But definitely, if somebody wants it, really a lot of it has to do with fillers and lips and cheeks. If they’re already too full, I tell them, you know what, no, you’re just not going to look natural. In most patients, they’re fine or maybe they go somewhere else, so I don’t know.


Larry Olsen [00:27:26] So, you’re talking about something that’s very, very, very fundamental and powerful in ethics and in common human decency. And yet that line is crossed in many, many, many different professions and with different individuals. And what I’m talking about is “meaning”. You, for whatever reason, you know when to draw the line.


Dr. Maffi [00:27:51] Mm hmm.


Larry Olsen [00:27:52] Even though you might be able pick up another 50 grand by taking a shot at it.


Dr. Maffi [00:27:58] Mm hmm.


Larry Olsen [00:27:59] What is it about you? I don’t know if it’s in your guiding principles as a company or your sense of purpose as an organization. You obviously could be written up in Harvard Business Review for great leadership to have that kind of retention. Because all the Gallup studies, I mean, that’s what it’s all about. If you’re otherwise right now, people last two to three years now before they go to another job. And you’ve broken that record big time. So, you’ve got a lot of inherent and maybe innate elements working for you. But I would like you to share with us what is it about you and your practice that doesn’t make it about money, that makes it about what’s best for the person?


Dr. Maffi [00:28:43] Well, and again, that’s what makes us unique, in what I do is there’s is there’s money involved. Typically, in medicine you have insurance. And so basically and this is a very common way of handling this. We don’t want the patient to be worried, when we’re doing a consultation the whole purpose of a consultation is information. Patient comes in, we discuss what’s bothering that individual, what options are available, what’s the procedure, what’s the downtime, et cetera, et cetera. And so, when they come in, they meet with a patient coordinator and she kind of guides them through the process before we meet. And she lets them know when you’re done meeting with Dr. Maffi, then we’ll meet, and we’ll go over the quotes. Because we don’t want the patient to be sitting there thinking, oh, my gosh, he’s recommending all this. How much is this going to cost? We just want them to almost kind of just take in the information. Don’t worry about that. You’ll get the cost. And then when they go home now, they’re fully informed. They know how much it’s going to cost. They know what the procedures are. They know what the downtime is. And it’s I mean, there are sometimes where, and this is this is probably not a very good business decision. But I mean, if somebody because everything’s kind of listed and if they literally just cannot afford to do the lower eyelids, but we’re doing everything else, I’ll just I mean, I’ll work with them because I just I really want them to look great. So to me, I try to be flexible and really try and work with that individual to try and get them to a place where they’re comfortable, where they’re going to be, you know, looking their best. 


Larry Olsen [00:30:25] Yeah. And you do an excellent job on that, by the way. Absolutely excellent! What is it that drives you to want to be so good with your people and your patients? There’s something that is a fundamental law. Like in my business, it’s to raise the self-esteem of every individual I come in contact with. Which then changes verbiage, it changes what I’m focused on, you know, and if I violate that, then I’m not growing into the higher version of myself. What do you think it is with you? And I don’t know if you’ve ever articulated it or written it down, but you know, there’s something that keeps you bringing out the best in your patients, bringing out the best in your staff and probably your family. We are not perfect. But what is that in you?


Dr. Maffi [00:31:25] Well, I mean, positive energy is kind of where it starts. And it’s interesting, if I’m in a bad mood and I come in the office, it just automatically just kind of trickles down and you can just see it, you know.


Larry Olsen [00:31:41] And then you wonder what’s wrong with it.


Dr. Maffi [00:31:43] I know exactly why he is in a bad mood, because you are. So, I’m a pretty positive person. And so that’s usually kind of just built in an inherent.


Larry Olsen [00:31:54] Ok. And we’re that optimism comes from?


Dr. Maffi [00:31:57] You know, I don’t know. It’s just kind of an innate thing. I mean, I’ve always been half full type of individual rather than half empty. And I think the other thing, too, that really my patients really appreciate is just listening, not just myself, my whole staff. And, you know, I had a friend who always said, you know, people just they just want to be heard and they do. And I’ve had patients that have come in and they have had a couple of things that they’re not happy with. And honestly, I can barely see what they’re talking about. But I mean, but I you know, I tell them, you know what, I understand that that’s bothering you. Let’s work through this, it may or may not be fixable. But I’ve had people say, you know, at least thank you for acknowledging that it’s bothering me. And they’re like, maybe I’m being neurotic or maybe I’m crazy. My husband thinks you know, I’m being crazy, but they just like the fact that they’re being heard and that and that’s and that’s the thing is, I mean, you know, I love to talk, but I I’m a good listener. And that’s why my support staff is so key. I am I have a nurse that’s with me at all times. Same thing. She’s extremely compassionate and she just you know, she likes to sit there and listen.


Larry Olsen [00:33:14] Yeah. You’ve done a great job of surrounding yourself with good people.


Larry Olsen [00:33:18] That’s for sure.


Dr. Maffi [00:33:18] Yeah.


Larry Olsen [00:33:19] You know, I ask that question because people call me an eternal optimist. I’ve been I’ve enjoyed life since I popped out of the womb. I have difficulties, I have setbacks and challenges, regardless of what I hear in the media, what the politicians are talking about, what’s happening with the world, I’m a true believer that that’s less than 10 percent of what’s really going on in the world, and yet we’re bombarded with it. So, people stare at it for 60 Minutes and that’s all they talk about. That was that was another thing that intrigued me about working with you and why I’m so excited you’re on this podcast is because it’s infectious. Your attitude is absolutely infectious, just like you say. You got to be really careful not to leave the car until you ask yourself what’s important here. Right. The fact that that guy slammed his brake on in front of me and almost rear-ended him and I would have gotten the ticket. How do you because this is good information right here as well. How do you go about taking that circumstance that caused this feeling of stress or anxiousness or whatever it may be or anger, and being able to get back to the glass is half full.


Dr. Maffi [00:34:40] Well, you know what? You know what sets that tone with me? And again, it goes back to the people because I’ll come into the office, everything is fine. And instantly, it’s just a bad day. I mean, just I mean, just things aren’t going well. Patients aren’t happy. It’s just I mean, it beats you down. And I’ll tell you, my team there, I don’t think they’re intentionally trying to do it. They’ll joke with me, and they’ll break that barrier. And then all of a sudden, I’m back up again. You know, that’s you know, you have to realize reality. Not everyone’s going to be thrilled. Not everyone’s going to be happy. Life is not going to you know, the generators are going to go out all this year with reporters and all kinds of stuff can happen. I mean, just like life, you’ve just got to take a breath, step back and, you know, kind of move forward.


Larry Olsen [00:35:36] Wow, yeah. You know, one of the things I wanted to bring up and that is that anyone out there thinking about the fact that, you know, I wonder what could be done with this part of me, whatever that part may be. And you’re probably starting to feel really comfortable with this guy and recognizing that, wow, that may be worth a visit. Sit down and talk with him. And one of the elements that comes into play with that is, “yeah, but then there’s surgery. And then I end up, you know, in a hospital or I end up with all of these people, I don’t know, and all of a sudden I’m in a strange environment”. Tell them what’s unique about your way to handle that.


Dr. Maffi [00:36:18] Well, I’m pretty lucky because we have, we have a whole complex. So, there’s probably about six or seven plastic surgeons’ offices in my complex. And we have our own surgery center. And it’s a very private, secluded atmosphere, not real sterile. Of course, you know, we want it’s very sterile. It is very private, very secluded. And the people that we hire, the nurses, the anesthesiologist, they’re really accustomed to the plastic surgical patient and they’re really good about making them feel comfortable. They stay the night or overnight recovery care center. And again, all the staff there, they really tailor towards them. Sometimes I’ve seen this happen. If, you know, if you do your plastic surgery in a hospital and they stay the night, you’ve got, you know, sometimes the nurses, they they’re trying to deal with someone who is recovering from a cancer surgery and then they’ve got someone who’s recovering from a facelift. And it’s just, you know, there’s nothing wrong with that. But sometimes it’s just a disconnect. And I mean, I think some of our patients want a little more TLC and that’s what they’re getting at our facility, which I think makes it really nice.


Larry Olsen [00:37:43] Well, as I as a former patient, you know what I was most disappointed in you, is the had the anesthesiologist put me out. Because it was such a great experience, and it was just loving the fact that I was being so well taken care of. And I mean, all of us have a little bit of self-centeredness in us where can you make it about me. Yeah, because we’ve been with our kids all day or at work or we’re always taking care of other people. So, it also has almost kind of a spa effect as well. And then the second thing where you let me down is then I had to leave in the morning. People who know me know that I don’t support people that are either mean spirited or are doing things for the wrong reasons. And to me, the right reasons are to create an environment where other people can succeed. And that’s what you’ve done. You have done that! And it to manifest itself in the success of your practice, and I’m sure that individuals that get to study under you are blessed as well and are probably those that were ever on the fence about is this the field I really want to get into, you know, said, well, jeez, he’s having so much fun mostly about it. Right. What was that movie? I’ll have what she’s having.


Dr. Maffi [00:39:06] Yeah. Yeah.


Larry Olsen [00:39:07] So what would you like you’ve been at this long enough that, you know what some of the fears and trepidations are out there and how some people can talk themselves out of it, because I don’t want to be seen as someone who would have done this. What would you share with them about that?


Dr. Maffi [00:39:27] Well, I’ll tell you, this is what I tell my patients, and this is no exaggeration, every single patient that I’ve seen for facial surgery, they’d rather look aged than looked done or overdone. I mean, that’s the atmosphere of our community, I think. They may be different in bigger areas such as New York and L.A. But I tell them, you know, when you’re dealing with human tissue, it’s very hard to predict how things are going to turn out. Things settle in different ways. You can get scarring, et cetera, et cetera. So, I can’t there’s not a lot of guarantees that I can give you. But there’s one thing that I can definitely guarantee you are not going to look down or overdone. You are going to look natural. And it’s an again, it goes back to technique. It’s the surgical technique. It’s not really, it’s not the artistic flair, even though that’s very important. But if you get down to the basics, it’s how you’re doing that procedure. And there’s no pulling. There’s no tightening. That’s not esthetically pleasing. That’s not normal. That’s not natural. Wow. If you if gravity caused things to fall down, we just want to lift them back up. So again, be refreshed. Now, going through an entire face, forehead looked, eyebrow lift, eyelid lift. That’s a lot to just look refreshed. But that’s the goal, you know. That is the goal. And I tell people, don’t be deflated if nobody comments, I mean, to me, I think it’s human nature that people are more inclined to comment negatively than positively. So, if you have gone through all this surgery, paid all this money, had all this downtime, and you go back and in public and no one says anything, that’s good. That’s good. If people say, huh, (laughter)


Larry Olsen [00:41:08] what the hell happened to you?


Dr. Maffi [00:41:11] Who did your facelift? Not good, not good. And again, I tell them it’s true. It’s these procedures are not designed to make you look younger. They’re not they. Well, they’re designed to make you look better for your age. And you mentioned bone structure earlier. I mean, you really have to look at that and really kind of know what they can expect. And I tell people of anything, you’re going to get your natural features back, because when things get heavy, you can’t see all your natural features. So, when you lift them, you’re getting your next structure, your cheek structure, your jaw line structure. All that stuff is kind of back to a place where you can appreciate a more.


Larry Olsen [00:41:46] Beautiful, beautiful. I’ve got to ask this. Have you must have had an experience where it didn’t go the way you wanted it to go.


Dr. Maffi [00:41:56] Oh, yeah.


Larry Olsen [00:41:57] How did that, how did you deal with that?


Dr. Maffi [00:42:00] It’s you know, it’s stressful. I’ve done that. I’ve had that happen on different parts of the body. Typically, you know, I do a lot of people who have had facelifts in the past. And you never know what you’re going to get into.


Larry Olsen [00:42:16] And I have been done before you got there.


Dr. Maffi [00:42:18] And so you never kind of you know, it’s typically pretty straightforward. But I have gotten into a situation where the anatomy is completely destroyed and you just you have to make a decision. On the spot, on the table, how far am I going to take this, because if I keep going, because I think I can, I can make her look good and I cut a nerve, that’s a problem. And so really, it’s just…..


Larry Olsen [00:42:48] Are nerves easy to see?


Dr. Maffi [00:42:49] No, no, not if they’re surrounded in a lot of scar tissue, you can see them. So, you just have to basically, you know, make that decision because obviously……


Larry Olsen [00:42:58] And then someone’s eye drops or whatever?


Dr. Maffi [00:42:59] Right. I mean, the number one goal is safety. I mean, do no harm. I mean, that’s you know, that’s hypocritical. Exactly. That applies to everybody. That applies to us as well. Don’t ever push, and I tell the residence don’t ever push the envelope one step further because you think you’re going to get that much better result and now you have a bad problem.


Larry Olsen [00:43:20] Wow. Well, you just shared with us your meaning. “Do no harm”.


Dr. Maffi [00:43:24] Yeah, exactly,


Larry Olsen [00:43:25] You come in with a bad attitude and you are doing harm, right. Thank goodness you have a support staff that can kind of smack you around a little bit and remind you, hey, what are you doing? We’re supposed to be enjoying this. 


Dr. Maffi [00:43:37] Right, exactly.


Larry Olsen [00:43:38] Wow. I’ve got so many so many more questions for you that time just does not allow. I want to I want to wrap it up with, many, many people don’t quite understand the power of their own thinking.


Dr. Maffi [00:44:00] Um hmm.


Larry Olsen [00:44:02] In my practice, I use a statistic that less than one percent of people know how they think, 99 percent of people just think about what’s ever on their mind. And so what happens is the circumstance becomes the reality instead of them bringing their reality to the circumstance. And that’s the difference. You know, a W. Clement Stone back in the 30s, who was an inverse paranoid. And he believed the universe was conspiring to do him good. He was an industrialist, multimillionaire in the 30s, and every morning when he’d wake up, his first thought was something remarkable is going to happen today. So, what’s he looking for all day long? And then when something went wrong, instead of going what a lot of people do. Well, so much for that idea. He’d go, what am I to learn from this? And the reason you’re sitting here outside of the fact you were gracious enough to say yes, is because that’s who I see in you. I see someone who comes from a scientific perspective which sometimes can turn into a less than thrilled attitude about life because it’s also black and white. And yet life has got so many grey areas, and especially when you’re dealing with people. But you’ve you just have something magical about you that that’s why I asked you to be in this and first I thought, well, this guy is so darn busy, you know, there’s no way he’s going to be able to want to do this. But this is where you’d already won me over. But this is where it was like this guy is really special because you said, huh? What would it be like? And as I explained it to you, you said that sounds like fun. Yeah, and then we set this time and here we are. So, I know why you’re so successful. I know why your people stay. And I get the real truth from your wife. Had a talk with her. Do you have children?


Dr. Maffi [00:46:07] We do. We have an 18-year-old daughter who’s going to really go to college, and we have a sixteen-year-old boy. He’s going to be a junior in high school.


Larry Olsen [00:46:13] Beautiful. Are they pretty excited about school as well or?


Dr. Maffi [00:46:17] Oh, yeah. Yeah. My daughter my wife’s a gynecologist, so my daughter’s making the medical track, so. All right. Yeah, yeah, yeah. And my son’s a hockey player, so who knows what he’s going to do. He’s still dreaming.


Larry Olsen [00:46:31] Yeah. That’s great. That’s great. Do you have any final words you’d like to say to the listeners before we wrap things up?


Dr. Maffi [00:46:39] I know you’ve been so incredibly gracious and complimentary and it’s I mean, a lot of it throughout my entire career when I was in medical school, when I was a resident, in practice, people would say, you know what, you’re too nice, you’re too nice. And that always infuriated. I’m not trying to be nice. I’m empathetic and I’m sympathetic and I listen. And that’s what makes me. I mean, if I have got somebody who’s not happy or they’ve got a certain circumstance, I always try and put myself into their situation and think, you know what, how do I want to be treated? And if that’s being nice, then that’s being nice. But I don’t want to be Mr. Nice Guy. I want to be someone who’s realistic. Who’s in this with you together as a team.


Larry Olsen [00:47:27] Yeah, yeah. Very nice. Very nice. Yeah. Not to be puny here. But I can, I can tell everybody out there though that I have in our conversation. You haven’t been afraid to say no. This is what’s going on. You know, to be transparent enough to help me recognize that my perception wasn’t based on the truth, it was based on something I had made up in my own mind about how something looked. So, this must be going on. And part of the other element that I think you’ve taught in the work that you do is important to patients and how patient we need to be with our recovery.


Dr. Maffi [00:48:07] Right? Yes.


Larry Olsen [00:48:08] You know, and when sometimes here it’s going to take six or eight months before you really get to see how great of a job this is. But I’ll be with you along the way if I need to make a little tweak so we can get that end result is something that we can all practice. Is that sense of being patient. And that’s probably why they came up with the name for doctors who are visiting and working with people, calling them “patients”.


Dr. Maffi [00:48:37] Mm hmm. Yeah, exactly.


Larry Olsen [00:48:39] So it’s a good omen for all of us. And the other element is “do no harm”. I like to find out what the meaning is behind why people operate the way they do. And it’s been a real pleasure.


Dr. Maffi [00:48:53] Well, thank you very much. I really enjoyed it.


Larry Olsen [00:48:56] I’m glad and grateful. And I thank all of you for listening. You can be tuning into anything you’ve chosen to tune into this. And if you have any comments or you want to get a hold of Dr. Maffi, tell us the name of your clinic. It’ll be in the information


Dr. Maffi [00:49:14] Maffi clinics,


Larry Olsen [00:49:15] Maffi clinic


Larry Olsen [00:49:16] So MAFFI. It’s located in Scottsdale. Great place to visit. And your life will be even more exciting than it currently is, as a result of this man. So, remember this. No matter what’s going on in your life, remember, you are exactly where you need to be right now. And the difference is going to be not in the circumstance that you’re confronting, but how you confront the circumstances. So, thank you again. It’s been a pleasure.


Dr. Maffi [00:49:50] I really enjoyed it. Thank you.


Larry Olsen [00:49:51] I’m grateful and look forward and maybe we’ll do it again down the road. All right. Take care, everybody.


Dr. Maffi [00:49:56] Thanks.


Narrator [00:49:58] Thank you for listening. If you’ve enjoyed this episode, we ask that you please subscribe and share with your friends and associates. In our next episode, Larry recaps the highlights of our last three episodes Dave Sanderson’s, Part one and Part two insights on how life changes when you give up on being so judgmental. Proximity is power and that the meaning you give something produces the emotion. You live with Dr. Terry Maffi’s practice of acting upon. It’s not what the doctor wants for you, but what you want from the doctor that’s most important. Larry also dives into the ease of decision making in one’s life when they know what they stand for and that it’s not the circumstance that creates our life, but the life that we’ve created that we bring to the circumstance. You won’t want to miss this one.


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