The Non-Refundable Deposit Is When You Walk Away

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 two days before surgery. Dr. Chang doesn't hesitate on the answer.From there, the conversation turns to why Miami accounts for nearly half of all BBLs performed nationwide, how some clinics cut costs with unqualified staff or ghost surgeons who aren't even in the room, and why a shut-down clinic can simply reopen under a new name at the same address.Jackie breaks down Quad A's new Florida-specific accreditation rules, created because the state has so few of its own.NBC 6 South Florida, more on the caseHOSTSJackie O'Brien RN, BSN, CNORClinical Director at Cedar Lane Surgery CenterWith 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.Christopher Chang, MDPlastic SurgeonConsidered 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.About Secret ServicesIn 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. Because in an era when aging gracefully and looking natural is easier than ever, it all depends on who you know—and what they're willing to tell you.LinksLearn more about Washington, D.C. plastic surgeon Dr. Christopher ChangFollow Dr. Chang on Instagram @dcplasticsurgeon @congressionalplasticsurgeryAnd on TikTok @congressionalpsurgeryHost: Christopher Chang, MDProducer: Eva Sheie @ The AxisAssistant Producers: Mary Ellen Clarkson & Laura MayusaEngineering: Chris MannTheme music: Harry's Perfume - Harry EdvinoCover Art: Dan ChildsSecret Services is a production of The Axis