Las Vegas is one of the top 5 places in the united states for plastic surgery, and generated by the tracking of products by companies that supply such this as implants. Thirty-plus years ago in Las Vegas only four plastic surgeon did all types of plastic surgery. Dr Roth grow up in Las Vegas an back when he was in high school it was normal to see a school friends Mom come and pick her son up and was tall blonde and beautiful dressed in her costume from one of the Las Vegas shows. At the same school as a young man Dr Roth worked selling T-shirts. When you visit Las Vegas, perhaps for a holiday, you can’t help but experience the glam and glitz, including all the showgirls. Those show girls may only be able to work for ten years before they are unable to keep up the expectations of the beauty and glamour of what is Las Vegas. These showgirls are also moms, wives, etc. At some point, these ladies and other front-line people working in the Las Vegas shows and casinos environment may choose to have some plastic surgery. Breast augmentation, face-lifts and tummy tucks being the most common choices. In fact, many of the ladies that had plastic augmentation thirty-odd years ago now are choosing to visit Dr Roth’s office asking for breast reduction. If the patient elects for replacing of the original implants, which often are hardening and often calcified capsules. The new replacements are much more technically advanced than thirty-plus years ago. Dr Roth shares some funny stories including nearly knocking over one of the oldest and most well-known cocktail waitress while on his way to get a much needed sandwich at the deli-bar with a famous sports bar in Las Vegas. Thankful the waitress wasn’t knocked over or injury. Many, many people working in the services industry of Las Vegas – waitress, cocktail waitress, Bell Boys, and parking attendants to name a few of the titles can find that with tipping they can make quite a lot of income. Of course it’s a common fact that you almost always get these coveted jobs through someone who had “points” which means some who had a vested interest! If You got the job the term locally would then be that “you got juiced into it”. Of course with the corporatisation of Las Vegas it happens a lot less, yet the slang still lingers! Of course now in the 21st-century plastic surgery technology has vastly improved and today while breast augmentation remains popular across the world, Dr Roth also see patient who’re also interested in fillers, Botox and coolsculpting. Las Vegas continue to attract more and more types of high-level sports teams as the city continues to grow. Dr Roth has strong connection to the sports world notably as a fight doctor with Top Rank Boxing. He continues to love all forms of sports, attend games and events when his time permits. Formula 1 also comes to Las Vegas this year for the first time and aptly illustrates that the city has the resource to host an event that is a Global Sport.