Episodes

Two people die weeks apart after procedures at the same Miami-area clinic — one of them a woman having a mommy makeover — and a single lawyer now represents both families while local authorities investigate. Dr. Chang and Jackie ask what it takes for a clinic to pause and reassess once something goes wrong, let alone twice. The episode opens with an anonymous question: someone found a surgeon in another state charging a third of the going rate, with a non-refundable deposit and a flight booked ...

A 21-year-old in the UK is facing a double leg amputation after her legs locked bent backward at a 45-degree angle — for eight years. She was turned away by five surgeons before one agreed to help, by which point the damage was irreversible. Dr. Chang and Jackie break down what went wrong, who bears responsibility, and why a delay in care can turn a treatable problem into a permanent one. Jackie raises the anonymous question that frames everything: "I've told four different doctors something i...

A 19-year-old emails every surgeon he can find: he has been buying testosterone online for a year, he wants a jaw implant, and maybe rib removal. They all either ignore him or say no, and he wants to know whether he is being failed by gatekeepers or protected from something he cannot see. Dr. Chang and Jackie say it plainly: the no is the protection. The conversation runs through the looksmaxxing world young men are living in right now, where an influencer like Clavicular is told his nose, jaw...

The second a husband sits in on the pre-op, the implant size goes up. Esthetician Carey has watched it happen for seven years at Congressional Plastic Surgery — and she's never once had a woman come back to a post-op wishing she'd gone smaller. But the same companion chair that produces a cheerleader can also produce someone who quietly takes the decision over. Dr. Chang and Carey get into the strangest dynamic in a cosmetic surgery practice: what happens when the people who love someone can't ...

Take a small instrument, score the bottom three ribs until they crack, then live in a corset for twelve weeks while your skeleton heals into a narrower shape. It sounds extreme. Dr. Christopher Chang’s reaction? It’s not that far from reshaping a forehead or a brow bone — something surgeons do every single day. Jackie brings the trend straight off TikTok, where rib remodeling — the RibXcar procedure out of South America — is racking up jaw-dropping before-and-afters and earning the nickname “th...

A peel that promises no downtime sounds like the safe choice. Dr. Christopher Chang and Jackie explain why it can be the opposite — and why the moment a chemical hits the skin and turns frosty white, the person holding the brush has seconds to decide whether they are looking at the result or the start of a problem. They run through every depth of peel, from over-the-counter salicylic acid to the phenol and croton oil peels going viral on TikTok that look like someone peeling off a Halloween mas...

A woman writes in worried that her plastic surgeon — who runs one of those TikTok accounts that pick apart celebrity faces — might end up doing the same to her. Dr. Chang's answer is shorter than expected: smart surgeons are humble surgeons, and humble surgeons don't tear other doctors' work apart on the internet. Dr. Chang and Jackie go through the week's biggest celebrity surgery moments — the fisheye-lens Olivia Wilde photo that got turned into a Gollum meme, the Kris Jenner "furious facelif...

A woman calling for her pre-op consult had one question before anything else: is the surgeon going to leave as soon as the surgery's over? Jackie's answer was no. But the question itself is now what every woman wants answered — because in Cincinnati, a 47-year-old mom of three went in for a mommy makeover and never came home. Rachel Tussey documented her surgery prep on TikTok for weeks before going in at Journey Light Surgery Center in February. Her husband was told everything went great. Minu...

A woman in Richmond went in to have her implants removed. She came out of surgery without her breasts. Dr. Chang and Jackie pull apart what actually happened — and what it reveals about how the words "board certified" can mean almost anything. The anonymous question this episode answers: how do you evaluate a surgeon when your insurance only covers a handful of options? Dr. Chang breaks down the difference between the American Board of Plastic Surgery and the half-dozen other "boards" out there...

Influencer Darcy McQueeny tried to outcount the anesthesia on her way under. She lost. Then she woke up and vlogged the next three weeks of her breast lift recovery to her two million TikTok followers — and People Magazine ran the result. Through Darcy's story, Dr. Chang and Jackie work through what it actually feels like when the woman on your operating table is filming everything and has 700,000 Instagram followers waiting on the reveal. They cover auto augmentation — a breast lift that uses...

Cherise Doyley had refused a fourth C-section, and the hospital took her to court mid-labor to override her decision. There was a judge on Zoom, a state attorney, and a dozen doctors and lawyers on screen — and she was alone, no lawyer. Through the Doyley case, Dr. Chang and Jackie work through what consent actually looks like — when someone can refuse a procedure, when the hospital can override them, and why Florida is the only state where pregnancy is the legal exception to that. They answe...

A viral Reddit post lined up Angelina Jolie, her mother Marcheline Bertrand, and her daughter Vivienne Pitt side by side, and the internet hasn’t stopped talking about inherited bone structure. Here’s what facial genetics actually mean once you’re considering plastic surgery, why the facial skeleton is the foundation everything else sits on, and what we mean when we call jawline work an “addition-and-subtraction problem.” Plus the guy who once asked Dr. Chang for Natalie Portman’s nose. Reddi...

People thought it was an impersonator. Others said he was cloned. But Dr. Chang has a more likely theory about Jim Carrey's suddenly unrecognizable face. D.C. plastic surgeon Dr. Christopher Chang and clinical director Jackie explain what the telltale signs actually point to and why male facial surgery is so easy to get wrong. Daily Mail, Truth about Jim Carrey's new face: Actor's cause of 'sadness' and simmering 'hate' revealed as he emerges from years in hiding Questions Answered in This Ep...

He had nearly 400,000 followers, a spot at Mayo Clinic, and a match day coming up. One TikTok changed all of it. D.C. plastic surgeon Dr. Christopher Chang and clinical director Jackie discuss the med student whose joke went viral for all the wrong reasons and what it says about a generation of doctors growing up on social media. Reddit, r/nursing discussion about Nick Baumel Reddit, r/medicalschool: Nick Baumel deleted his Tiktok Account. Questions aswered by this episode: Who is Nick B...

She spent $25,000 on a cosmetic procedure, said it ruined her life, and then showed up to the season four premiere looking… pretty good. So what's really going on with Jessi from the “Secret Lives of Mormon Wives”? D. C. plastic surgeon Dr. Christopher Chang and clinical director Jackie discuss her plastic surgery spiral, the Megan Fox BBL rumors, and the one thing that separates patients who love their results from those who end up with regret. Reddit, For those still unsure of Megan’s insane...

The Oscars just happened, and the red carpet looks have everyone asking: what did they get done? From Kylie Jenner's Jessica Rabbit moment to Anne Hathaway's seemingly ageless face, D.C. plastic surgeon Dr. Christopher Chang and clinical director...

Everyone has an opinion about GLP-1 weight loss drugs. Fewer people understand what medications like semaglutide and tirzepatide actually do. D.C. plastic surgeon Dr. Christopher Chang and clinical director Jackie discuss how these medications work, what it’s like to be on them, and how rapid weight loss can change both the face and body. Reddit, Oprah Winfrey says she will have to be on GLP-1s for life after trying to "beat the medication" by stopping for 12 months and gaining back 20 pounds ...

Botox is one of the most common cosmetic treatments in the world, but misinformation is everywhere. Plastic surgeon Dr. Christopher Chang and clinical director Jackie explain why people are starting earlier, what “baby Botox” actually is, and why the...

A reality TV star shares her swollen, bandaged face after plastic surgery, and the internet instantly calls it “botched.” Is it regret… or just normal healing? D.C. plastic surgeon Dr. Christopher Chang and clinical director Jackie explain why regret happens after cosmetic procedures and how social media magnifies every stage of plastic surgery recovery. Mormon Wives star Jessi Ngatikaura’s plastic surgery regrets More about facial plastic surgery in Washington, D.C. HOSTS Jackie O’Brien ...