Oscars: Our Takes on the Red Carpet Winners and Losers

Dr. Chang (00:04):
You are listening to Secret Services where we discuss the procedures nobody admits to, but everyone's curious about. I'm your host, Dr. Christopher Chang. Okay, we're back with another episode. I'm Dr. Chang.

Jackie (00:17):
And I'm Jackie.

Dr. Chang (00:18):
Good to see you again, Jackie.

Jackie (00:19):
Good to see you. So did you watch the Oscars?

Dr. Chang (00:25):
I flipped it on for a minute. I didn't watch all of it, but I flipped it on for a minute. And also, I haven't seen any of the films. Have you seen any of those films?

Jackie (00:36):
I saw Sinners.

Dr. Chang (00:37):
Oh yeah?

Jackie (00:39):
I actually really liked it.

Dr. Chang (00:40):
Is that the one with Leonardo DiCaprio?

Jackie (00:43):
No, it's the one with Michael B. Jordan, that one.

Dr. Chang (00:46):
Well, I know Michael B. Jordan is in it, but I saw-

Jackie (00:49):
No, that's a different movie and now I'm totally blanking on the name of that one. The Leo one. But Sinners is really good. It's like a horror movie though.

Dr. Chang (00:57):
But they seemed like they were cleaning up. I don't know what the totals were, but they're calling their movie for a lot of different awards.

Jackie (01:05):
Yeah. I thought it was really good. It's kind of weird though. It's like a horror movie, but then there was also singing and dancing.

Dr. Chang (01:14):
Really?

Jackie (01:14):
Yeah. And Michael B. Jordan plays both main characters.

Dr. Chang (01:19):
This is getting weird. What are you talking about?

Jackie (01:24):
It is good though. It is good.

Dr. Chang (01:26):
You're not selling it to me.

Jackie (01:27):
I know. I know.

Dr. Chang (01:27):
Did you watch it on an airplane or something?

Jackie (01:29):
No, I watched it at my house. There's vampires. I don't know.

Dr. Chang (01:33):
This is kind of what I ... For me, for streaming and stuff, it's hard for me to commit to a more- It's a long movie. Unless I've heard a lot about it or hyped. Now I'm sure it'll get streamed a lot.

Jackie (01:45):
Yeah. Honestly, I don't really know any of the other movies. So I didn't watch the Oscars. I watch the red carpet stuff. I just want to see what everyone's wearing, how they look. I don't actually ... I get bored during the actual ceremony.

Dr. Chang (01:58):
Yeah. Most of the girls in the office probably are more interested in the wardrobes and the fun stuff.

Jackie (02:06):
Yeah, exactly.

Dr. Chang (02:07):
But you know who I did see? There was some overhead shot of the crowd of all the celebrities and actors and actresses and stuff. And I feel like in one of the front rows, there was Timothy Chalamet in a white suit and then Kylie Jenner in a bright lipstick red dress next to him. And she was kind of slumping over on his shoulder. It was very provocative positioning.

Jackie (02:36):
I saw, it was like a caption like Jessica Rabbit Who with that dress.

Dr. Chang (02:41):
Oh, that's a great characterization. Very sort of lipstick red.

Jackie (02:49):
So she's worn this dress before, I think like three years ago in silver. And so she brought it back, brought it back in red.

Dr. Chang (02:57):
I mean, these Kardashian women are incredible how relevant they stay in the Hollywood media world. It's crazy.

Jackie (03:07):
Right.

Dr. Chang (03:07):
I mean, you know, just last year or even last couple, six months or so, how first Kris Jenner had talked about her facelift and then Kylie came out and talked about the details of her breast surgery.

Jackie (03:26):
Yeah. The size, the placement, the surgeon, like things that-

Dr. Chang (03:32):
The model of implant, right? Yeah.

Jackie (03:34):
Things that people normally never speak about. So she kind of started a trend of being open, which is so ironic because I feel like everyone else in her family was always so tight-lipped, like, "No, we didn't get anything done."

Dr. Chang (03:47):
And it's pretty obvious that when they have had something done.

Jackie (03:50):
Yeah. So it's kind of refreshing for someone like her to be like, "Yes, not only did I did it, but here's all the details."

Dr. Chang (03:57):
Part of that is that patients that get breast augmentation done are super happy. I mean, the satisfaction is through the roof, right?

Jackie (04:05):
Oh yeah.

Dr. Chang (04:06):
All the patients that you see us operate on right that don't you hear from them? Just even in recovery, right?

Jackie (04:11):
Oh yeah. They're so thrilled.

Dr. Chang (04:14):
Yeah. People are not scared about the breast augmentation journey and they're very excited right off the bat.

Jackie (04:20):
Yeah. I think she looks great.

Dr. Chang (04:23):
Yeah.

Jackie (04:23):
But do you find it a little difficult when, like she said, I think she got, were they like 445s or something?

Dr. Chang (04:31):
445.

Jackie (04:32):
Over the muscle.

Dr. Chang (04:33):
SSM, Natrell. Models. Yeah, smooth silicon gel implants. Yeah, we know all the details with Dr. Garth Fisher.

Jackie (04:40):
Yeah. Is it a little difficult though when patients see that and they're like, "Okay, well I want 445s." But you have to explain each body is different, right?

Dr. Chang (04:50):
Yeah. There is a little bit of demystifying because even if it's not Kylie Jenner, they have a different inspiration picture that they bring in or somebody who's been on a plastic surgery discussion board and they have their stats, you cannot replicate that because the canvas is different. You may be using the same paint, but the canvas is different. So each patient, and I often say, "Well, we could put the same breast implants into you, your mother, me, my surgical assistant, and we will all look different." Yes. So the implant is what makes the look. It's the combination of the implant and your body. And that's why we have to look at you so carefully and customize the game plan to try to get you as close to what you're looking for as possible. But I can almost guarantee you didn't start at the same place as that inspiration patient.

Jackie (05:41):
Yeah, That's a good point.

Dr. Chang (05:43):
So I mean, the Oscars and all those big events are incredible to look at people and how wonderful they look. And of course all the critics come out and sort of analyze all the things that are going on too.

Jackie (05:56):
Oh yeah.

Dr. Chang (05:58):
But actually what was interesting is now that GLP-1s are so popular, I saw Harry Styles also this weekend on Saturday Night Live, some little clips.

Jackie (06:14):
I saw that.

Dr. Chang (06:15):
I mean, he's always been a fit guy, but he looks like a little more mature thin. And he looked kind of like Ryan Seacrest.

Jackie (06:21):
Okay. I thought that too. I was like, he looks different.

Dr. Chang (06:24):
Yeah. He looked a little trim, very angular, but trim. And Ryan Seacrest has also gotten some ...

Jackie (06:33):
Ryan Seacrest looks so thin.

Dr. Chang (06:34):
Hates, whatever. Because he's quite thin.

Jackie (06:37):
Yeah.

Dr. Chang (06:37):
He's quite thin. So sometimes these GLP-1 things I think are very popular. Actually, Melissa McCarthy, I don't know if she's a GLP-1 person, but she's lost a lot of weight. The comedian, I think she was on there with, they had the bunch of the SNL and comedian women that were giving a little presentation.

Jackie (06:54):
I thought she looked great at the Oscars.

Dr. Chang (06:55):
Oh, she looked great. I think she definitely looked great, but I mean, I think there's, not only in Hollywood, but throughout American society, it's super popular now. But it does lead to other things. You've heard about some of the GLP-1 or Ozempic-

Jackie (07:14):
Yeah, like Ozempic face.

Dr. Chang (07:17):
Yeah. Problems or outcomes. Not really a problem. I personally think if you lose some weight or you want to lose a little bit of weight, yes, you may have a little bit less fullness in your face, but in general, people look better and are healthier with a little bit of weight loss, especially in this country. We don't have a malnourishment problem. Usually in this country, we may not eat the best in terms of nutrition or processed foods.

Jackie (07:48):
But there is that fine line. Some people in Hollywood maybe don't necessarily need a GLP-1. So then that's when the other side comes in where people are like, "Well, now she's too skinny."

Dr. Chang (08:00):
Right, right, right, right. But like we just talked about in another episode was fat transfer. I think that sometimes you can lose a little bit of fullness in your buttocks, for instance, and a little fat transfer may be good for just restoring a little bit of volume. It doesn't mean you have to make it bigger than it was originally, but restoring a little bit of that volume loss might be good. And in the face too, that can be common.

Jackie (08:29):
Yeah, like a little facial balancing maybe after a little weight loss.

Dr. Chang (08:33):
I really think that where you see it the most are people's temples right by the sides of your brows or around the eyes. Yes. Yes.That's a real high yield area to treat. I think if you've lost some weight or you're feeling a little volume lost there. And we do that in full facial rejuvenation surgery, right? Yeah. You've seen that. Oh yeah. I mean, I don't know how many facelifts have you seen that don't include fat transfer?

Jackie (09:04):
Almost none, right?

Dr. Chang (09:05):
Yeah.

Jackie (09:05):
Right.

Dr. Chang (09:06):
I think this day and age, like this day and age, fat transfer is part of your facial rejuvenation plan, I think, right?

Jackie (09:14):
Yeah.

Dr. Chang (09:14):
In the old days, there would be people that would do it, but you'd look very tight and pulled and wooden. And the fat really-

Jackie (09:19):
That's natural.

Dr. Chang (09:20):
The fat really helps your skin.

Jackie (09:24):
Yeah, the youthful bounciness of your skin.

Dr. Chang (09:27):
Right, right, right. But I think that some of those celebrities look incredible, right? To me more obviously is just stunning. And she's been all over the media just like the Kardashians for her plastic surgeon. I think last year she might have won an Oscar or some big awards for her movie, The Substance. Was that a show or a movie?

Jackie (09:51):
It's a movie.

Dr. Chang (09:53):
Obviously I haven't seen it, but you kept talking about it.

Jackie (09:55):
Yeah. I mean, it's a crazy movie.

Dr. Chang (09:58):
Recap it, recap it because I can't ...

Jackie (10:00):
So basically Demi Moore's character is a star who's aging out of Hollywood and there's like this new younger girl who's kind of like coming in and taking the spotlight from her and she gets approached about this substance thing that she can do. And so basically she's injecting herself with this substance that is like the youthful form of someone else.

Dr. Chang (10:30):
It's like a PED.

Jackie (10:32):
Yeah, exactly. Exactly. And it lasts for like a couple days and then she gets to live as this youthful person. So it's just the irony that-

Dr. Chang (10:43):
It's true to life.

Jackie (10:44):
It's kind of like she's taking the substance now and aging in reverse.

Dr. Chang (10:51):
The consequence though, does she become evil or she ... There's some consequence, right?

Jackie (10:57):
So basically

Dr. Chang (10:58):
Do too much of this stuff?

Jackie (10:59):
Yeah. When she's not taking it, then she's aging-

Dr. Chang (11:03):
Faster or something?

Jackie (11:04):
Really fast. And so then she just turns into this kind of disgusting gremlin thing.

Dr. Chang (11:12):
That sounds-

Jackie (11:13):
Yeah, it actually is really gross.

Dr. Chang (11:14):
It's like a horror movie?

Jackie (11:15):
Yeah, it's a horror movie and it's really disgusting. And then the whole moral of the story is like, is it really worth it? Would you sacrifice the rest of your life to be this ugly gremlin for a few days of getting to look and be beautiful and hot? And so it's just kind of funny that she did, I think she did win the Oscar or something huge for it. And then now-

Dr. Chang (11:40):
I think she had filmed that before she had her own plastic surgery.

Jackie (11:43):
Yeah, I would agree. I feel-

Dr. Chang (11:45):
They film so far ahead that they release.

Jackie (11:47):
Even in that movie, she looked amazing. So you do wonder, did she get something done before that so that when she was like her most beautiful self, had she already had something done, which is so ironic.

Dr. Chang (12:01):
Well, they can always seemingly filter or upscale the look of all the celebrities in the movies and stuff like that. And they shoot them from good angles. Of course, they have makeup and everything. So they make all these guys look so good in the films. So I wouldn't be surprised if there were some enhancement digitally from there, but I think that as you know, she had had a procedure on her face done, I don't know, maybe two years ago and then had to have it touched up and had a revision procedure.

Jackie (12:40):
Yes. Did she have a facelift?

Dr. Chang (12:43):
She had something where she was on the runway or doing some sort of fashion thing- And everyone was talking about it. ... and everybody went nuts on what did she do? She looked funny. And then she had a revision allegedly with a friend of mine from medical school. Allegedly. But he did not affirm or deny, but definitely looks really great now.

Jackie (13:09):
Yeah. The movie takes a really weird gory turn towards the end that's just a little gross. But I do think the message is pretty good. And then there's also this show on Hulu. I think it's like The Beauty or something.

Dr. Chang (13:26):
I'm not sure. I mean, this is my daily life.

Jackie (13:28):
Oh yeah. It looks like she had like a-

Dr. Chang (13:31):
Yes, her face was pinched. Almost like she was threaded. In our world, we kind of discuss this amongst friends sometimes and it looks to me like she just had pulling below her jawline and cheeks, but not in the upper half of her face. Maybe because the doctor originally, that doctor maybe felt that she didn't need pulling up there, but because they compensated so much of the lower half, it kind of distorted the tension. But it's a fantasy or horror film, fictional film, but there is some truth. And I do tell patients this sometimes too, you are trading something when you get a procedure, your body is going to heal and when it heals, it makes scar tissue. So scar tissue isn't a bad thing. Scar tissue is how our bodies heal, but it's never going to be virgin, right?

Jackie (14:28):
Yeah.

Dr. Chang (14:28):
Again, so it's never going to go back to where it was when it was untouched. So I think that it's important for people to recognize that you don't want to invest or pay the price with that scar tissue too much. You have to plan that out properly and think about what's worth it and what I'm willing to trade that scarring for, because once you have that scarring, you can't eliminate it. You could revise it, you could heal great, you could reduce scar tissue, but it always involves a recut, another procedure or another investment or risk of creating new scar tissue to get rid of old scar tissue.

Jackie (15:14):
Yeah. And in the movie there definitely, it's like you're just chasing that youthful look that at a certain point you're like, okay, you can't just keep chasing that forever, right?

Dr. Chang (15:25):
Yeah. Yeah, that's for sure. I think that sounds really interesting. I'll have to take a look at that. I remember you guys were talking about that in the operating room.

Jackie (15:36):
Yeah, you should watch. It's crazy. But you know who else looks like they're taking the substance is Anne Hathaway. Did you see her?

Dr. Chang (15:44):
No, I didn't see her live, but I mean, at least from what I've seen, she looks incredible, really great. Some of these people, you look at them and say, "What do they even need to do it for in the first place?" They look so good.

Jackie (15:58):
Yeah. She did always have a very youthful face.

Dr. Chang (16:02):
Yeah. You can tell she's got a very defined facial structure, good, strong, mandible and jawline, long neck and not too much volume under that in the submandibular area. So she's got a very nice structure for her face to just look very youthful for a long time. It's horrible. These Hollywood people are, it's just unfair.

Jackie (16:25):
I know. But then with her, you wonder like, "Okay, what did she get done?"

Dr. Chang (16:31):
Yeah, I think that she didn't need something dramatic, but also the celebrities don't want to be seen as a dramatic before and after. They want to seem very subtle. Yeah.

Jackie (16:43):
Did she? Didn't she?

Dr. Chang (16:44):
Exactly, exactly. But these guys are all doing a little something here and there. And of course the makeup and the photography and the glam for the Oscars is always a very good environment to look great. I mean, it's like your wedding day, you're going to look-

Jackie (17:02):
Right. You have everyone on your side trying to make you look as beautiful as possible.

Dr. Chang (17:09):
So that's a great sort of segue into how we kind of educate patients and focus on making those decisions, right? I think those are important decisions for people to make and to think about what would be worth it for you and how do you plan out that investment so you're not sort of robbing Peter to pay Paul, so to speak, right? And don't end up like the gremlin in the corner.

Jackie (17:38):
Yeah. The crazy old lady in the substance.

Dr. Chang (17:42):
Yeah. We got to start reversing the gremlins and bringing them back to Demi status.

Jackie (17:47):
There you go.

Dr. Chang (17:48):
We'll have to jump out and see those patients. So we got to go. Patients are here. We'll catch up with you next time.

Jackie (17:54):
All right, thanks.

Dr. Chang (17:58):
Thanks for listening to Secret Services, the podcast where we see everything and say nothing except right here. I'm Dr. Christopher Chang, double board certified plastic surgeon located in Tysons, Virginia. Follow us on TikTok @CongressionalPsurgery or on Instagram @congressionalplasticsurgery. To send us a classified message or to hear more episodes, go to secretservicespodcast.com. Links to everything we talked about on today's show are available in the show notes. Oops, patient's here. We got to go.