Secret Services: The DC Plastic Surgery Podcast

In DC, everyone has secrets – especially when it comes to cosmetic surgery. Plastic surgeon Dr. Christopher Chang and his sharp-witted team see everything and say nothing — except on this podcast, where every week you'll get answers to confidential patient questions.

Remove, Replace, Regret? What You Need To Know About Swapping Breast Implants
Secret Services: The DC Plastic Surgery Podcast
Remove, Replace, Regret? What You Need To Know About Swapping Breast Implants

Recent Episodes

30
Oct. 13, 2026

Remove, Replace, Regret? What You Need To Know About Swapping Breast Implants

When someone panics the day before surgery and insists on the tiniest implant in the range, Jackie O’Brien knows how it ends: within a month, they’re asking when they can get the next size up. Dr. Christopher Chang explains why swapping big implants for small ones is not as simple as it sounds. A small implant in a pocket built for a large one leaves empty space, unless he tightens the capsule to match. Country singer Jessie James Decker is trading her “very large” breast implants for what she
29
Oct. 6, 2026

"Kiss My A**, I Paid a Lot for It"

Alix Earle says she paid for it, and Dr. Chang isn't buying it. Slide 14 of a photo dump from a 25-year-old TikTok star with eight million followers reads "Kiss my ass, I paid a lot for it" and the internet has already decided what she means. Dr. Chang has a different theory: she is teasing every one of them, and the product everyone names, alloClae, never appears in her caption. Dr. Chang and Jackie O'Brien answer an anonymous question from someone who has hidden a BBL from coworkers for thre
28
Sept. 29, 2026

Blaming Anesthesia: What the Mica Miller Story Leaves Out

A listener says her mom has come out of general anesthesia twice saying she wasn't herself for weeks afterward, and now with a facelift on the calendar, the whole family wants to know whether to worry. Jackie O'Brien and Dr. Christopher Chang discuss what actually happens to your mind after anesthesia, and why the honest answer is almost never as scary as it sounds. The question lands the same week two real cases dominate the headlines: a Massachusetts judge declares a mistrial in the Lindsay
Sept. 24, 2026

Rest In Peace, Tiny

Dr. Chang says his whole office might not stock that much filler for every person on the schedule combined. Igho "Tiny" Ubiribo got 40 milliliters of hyaluronic acid injected to his penis in a single sitting at an unnamed clinic in Bangkok and died hours later. Jackie brings Dr. Chang the TMZ story: a London coroner rules that Ubiribo, a 43-year-old British-Nigerian influencer, died of a pulmonary embolism after a Thai clinic injected hyaluronic acid and lidocaine into his penis, and a postmort
27
Sept. 22, 2026

Men Really Only Care About Two Things

"This man needs breast implants immediately," Dr. Chang says about a Swedish triathlete who strapped a bra over his chest mid-race to test whether more volume up top actually cuts wind drag. It does, and the physics backs him up — but Tour de France Femmes rules only allow the real thing, surgically placed. Dr. Chang and co-host Jackie run through three stories that landed the same week, all about what men will do, pay, endure, and hide for their bodies. A North Carolina man crowdfunded over $1
26
Sept. 16, 2026

Destination Disaster: Overseas Surgery Gone Wrong

A woman drains her retirement savings for a 60th birthday makeover in Bangkok and wakes up with her breasts gone entirely. Another pays about three grand for six-pack liposuction and ends up with a wrinkled, distorted abdomen the clinic blames on a signed consent form. Dr. Christopher Chang and Jackie O'Brien discuss a 60 Minutes Australia investigation into Destination Beauty, one of Bangkok's largest medical tourism operators, and why a free hotel and a five-star review can't replace a surgeo

About the Hosts

Christopher Chang, MD Profile Photo
Christopher Chang, MD

Plastic Surgeon

Considered to be one of the top plastic surgeons in DC, Dr. Chang specializes in facial and breast augmentation surgery and has acquired several advanced degrees and training from some of the most selective universities in the country.

Double board certified in plastic and facial plastic surgery, with specialized experience in facial surgery and pediatric reconstruction, Dr. Chang prioritizes precision over trends and thoughtful care over pressure. Based in Washington, DC, he serves a diverse community, respecting each patient’s preferences for discretion, communication, and natural-looking results.

Jackie O’Brien RN, BSN, CNOR Profile Photo
Jackie O’Brien RN, BSN, CNOR

Clinical Director at Cedar Lane Surgery Center

With 12 years of OR experience and training at Georgetown University Hospital, Jackie brings expert-level knowledge in plastic, trauma, general, vascular, and ophthalmic surgery. A proud George Mason alum and CNOR-certified perfectionist, she leads with passion, precision, and a love for all things surgical. Off the clock, she’s exploring new restaurants, hitting concerts and wineries, or hanging out with her cat—Biggie Smalls, the real boss at home.