Secret Services: The DC Plastic Surgery Podcast

Adele goes to a car race with her son, and by dinner strangers who have never met her are confidently explaining what she "had done." The real answer has almost nothing to do with a scalpel — it's a documented 100-pound weight loss, and the face gives up fat the same way the rest of the body does.Dr. Chang hands the mic to plastic surgeon Dr. Hillary Jenny, PA, Monica Thompson, who runs the practice's GLP-1 program, and master esthetician Carey McLaughlin for a girl-chat takeover on what fast weight loss does to your face. They get into why the face is the one place nobody wants to slim down, the honest trade-off between filler now and fat transfer later, why the dreaded "turkey neck" sits — in Dr. Jenny's words — "just below solving world hunger," and how a fat-transfer result gets protected with a simple rule: feed the fat.Adele's July 5 appearance at the British Grand Prix — her first major public outing in nearly two years — set off days of speculation, and the group uses it to separate what surgery actually changes from what 100 pounds and ordinary aging do all on their own.Source: IBTimes UK, Adele's new look at the British Grand PrixHOSTSHillary Jenny, MD, MPHPlastic SurgeonDr. Hillary Jenny is a plastic surgeon at Congressional Plastic Surgery specializing in head-to-toe aesthetic surgery, with particular interest in rhinoplasty, facelift, and mommy makeovers. She graduated with honors from MIT with a double major in neuroscience and music, earned her MD and MPH at the Icahn School of Medicine at Mount Sinai, completed her plastic surgery residency at Johns Hopkins, and trained in aesthetic surgery in Beverly Hills before returning to Northern Virginia.Carey McLaughlinLicensed Master EstheticianWith a Bachelor of Science degree from Frostburg State University and a Master Esthetics education from the Esthetic Institute in Vienna, VA, Carey brings both clinical knowledge and hands-on expertise to her role as Master Aesthetician. Since joining the practice in 2019, she's been dedicated to helping patients feel confident and cared for—whether through customized skincare treatments or supporting them before and after surgery. When not in the office, you can find Carey in a Pilates class or catching up on the latest reality shows on Bravo.Monica Thompson, PAPhysician AssistantMonica is an experienced Physician Assistant with over a decade of expertise in Plastic and Aesthetic Surgery. Known for her precision, warmth, and gentle touch, Monica is passionate about helping patients look and feel their best. When she's not in the clinic, you'll find her hiking and exploring the outdoors with her husband and two children, squeezing in a good run, relaxing with a book, or enjoying a chocolate chip cookie. Her current guilty pleasure? Love is Blind—because even the most skilled injector needs a little drama now and then.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: theaxis.io

Somewhere in China, a woman woke up looking like someone else. She had paid for a rounder, more youthful look, and for a few months it worked — then the tissue kept expanding. Cells that were told to divide were never told to quit. Dr. Hillary Jenny explains what is actually happening under the skin, and why lipomas buried in the facial muscle are the part nobody gets warned about.Dr. Jenny joins Dr. Christopher Chang for her first episode, fresh off a Hopkins residency and an aesthetic fellowship in Beverly Hills. In Classified, a mom finds a clinic willing to prescribe growth hormone for her perfectly healthy 13-year-old — a kid who has never once asked for it. They also get into what to ask when someone wants a treatment that is only legal overseas, why exosomes belong on top of the skin and never under it, and the growth factor already being sold for under-eyes in the US: the same molecule surgeons have put on diabetic foot ulcers for 20 years, carrying a black box warning for malignant transformation. Nothing that grows tissue only grows the tissue you asked for.South China Morning Post, China dad’s growth hormone investment for daughter sparks debate over societal pressureInstagram, Bubble face trend HOSTSJackie 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.GUESTHillary Jenny, MD, MPHPlastic SurgeonDr. Hillary Jenny is a plastic surgeon at Congressional Plastic Surgery specializing in head-to-toe aesthetic surgery, with particular interest in rhinoplasty, facelift, and mommy makeovers. She graduated with honors from MIT with a double major in neuroscience and music, earned her MD and MPH at the Icahn School of Medicine at Mount Sinai, completed her plastic surgery residency at Johns Hopkins, and trained in aesthetic surgery in Beverly Hills before returning to Northern Virginia.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 and @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

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

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 is wrong and they keep telling me it's anxiety. How do I keep advocating for myself?"Dr. Chang addresses why women's health in particular remains understudied and why two things can be true at once — you can have anxiety and a real problem. The conversation ends with practical advice: find doctors who listen, use the internet to locate specialists, and never stop pushing.Source: People, Locked and Turned Upwards at a 45-Degree Angle. Now, She Needs an AmputationHOSTSJackie 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

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, and bones are all fixable with a syringe, a hammer, and enough discipline.They get into bone smashing (punching your own face to remodel it), the danger of unregulated testosterone at an age when your body should be making plenty of its own, and the Dr. Miami rhinoplasty that got live-streamed as entertainment. Jackie explains the red flag that ends the consult before it starts, and Dr. Chang makes the case for why saying no is the mark of a good surgeon, not a bad salesman.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: theaxis.io

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 handle her decision, or try to steer it. They frame it around Sharon Stone, who recently revealed that when her doctor recommended a double mastectomy, the person who fell apart wasn't her — it was her husband, who called it ridiculous and walked out. (They're divorced now.)Then they take an anonymous question from a woman whose husband says he doesn't want her to change, and work through how to tell genuine concern from control: the partner who fixates on lift scars until she second-guesses herself, the Botox he'll never notice but the charge he will, and the appointment that got easier the moment one husband stopped coming.E! News, Sharon Stone ended her marriage over her husband's reaction to her mastectomy decisionHOSTSCarey McLaughlinLicensed Master EstheticianWith a Bachelor of Science degree from Frostburg State University and a Master Esthetics education from the Esthetic Institute in Vienna, VA, Carey brings both clinical knowledge and hands-on expertise to her role as Master Aesthetician. Since joining the practice in 2019, she's been dedicated to helping patients feel confident and cared for—whether through customized skincare treatments or supporting them before and after surgery. When not in the office, you can find Carey in a Pilates class or catching up on the latest reality shows on Bravo.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: theaxis.io

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 “the year of the waist.”Dr. Chang breaks down what actually happens to your floating ribs, why a piezoelectric device makes the incision little more than a puncture, and what a global study’s 3.7% complication rate really means once you separate a bruise from a pneumothorax. He also answers the woman whose waist won’t drop below 20 inches no matter how hard she trains — and explains why chasing a specific number might be the real mistake.Plus, the Met Gala corset question everyone’s asking.Plastic and Reconstructive Surgery – Global Open, Global Survey on Rib Remodeling Techniques (April 2026)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 Producer: Mary Ellen ClarksonEngineering: Chris MannTheme music: Harry’s Perfume - Harry EdvinoCover Art: Dan ChildsSecret Services is a production of The Axis: theaxis.io

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 mask.Dr. Chang explains what is happening underneath: a peel is a calculated injury, and a deep one is a chemical burn the body has to heal. The conversation gets into why California estheticians are licensed by the Board of Barbering and Cosmetology — the same agency that oversees hairstylists — and what it means when a med spa’s medical director signs off on charts from fifty miles away.And the viral story of influencer Victoria Nelson, who says a routine Beverly Hills facial ended with an unplanned chemical peel and more than $60k in corrective treatments.TikTok, Victoria Nelson’s chemical peel storyAbout Dr. Christopher ChangDr. Christopher Chang is a double board certified plastic surgeon located in Tysons, Virginia, specializing in rhinoplasty and facial procedures.About Secret ServicesSecret Services is the podcast where a Washington, D.C.-area plastic surgeon and his team see everything and say nothing — except right here. Each episode answers the questions people are curious about but nobody admits to asking, with honest, insider conversation about cosmetic procedures.LinksLearn more about Dr. Christopher Chang: congressionalplasticsurgery.comInstagram: @dcplasticsurgeon and @congressionalplasticsurgeryTikTok: @congressionalpsurgerySend a classified message or hear more episodes: secretservicespodcast.comThe Secret Services Podcast is a production of The Axis: theaxis.io

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 facelift" headlines that ended up way overblown, and the Denise Richards facelift coverage that has plastic surgeons fighting each other online about who's really qualified to call themselves a facelift expert. They get into why the Kris Jenner story is actually useful for setting expectations — your face isn't going to stay tight and swollen forever, and a year out it'll look different than it did at month one — why doctors publicly criticizing each other's work is what Dr. Chang calls "trashy," and why the New York Times piece framing TikTok face breakdowns as a credentialed new way to judge women's looks misses what's really going on. Plus: news anchors covering bruising on camera, and the real reason men don't talk about their plastic surgery.Source: The New York Times, Stars' Plastic Surgery Is Played for Your EntertainmentHOSTSJackie 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 Producer: Mary Ellen ClarksonEngineering: Chris MannTheme music: Harry's Perfume - Harry EdvinoCover Art: Dan ChildsSecret Services is a production of The Axis: theaxis.io

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. Minutes later she was unresponsive. Dr. Chang and Jackie pull apart what the family was actually told — "without oxygen for six minutes" — and why that phrase probably came from the hospital later, not the recovery room. They get into why anesthesia is the layer of surgery you should trust most rather than fear, how pain medicine absorbing too quickly in fat can change a recovery room in seconds, who's actually at risk for a clot or embolism, and why outpatient surgery is not the safety downgrade people assume. Plus: the surgeon is now suing the surgery center.Source: Rachel Tussey's TikTok account, @racheltusseyHOSTSJackie 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 Producer: Mary Ellen Clarkson Engineering: Chris MannTheme music: Harry's Perfume - Harry EdvinoCover Art: Dan ChildsSecret Services is a production of The Axis: theaxis.io

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 (yes, he could make one called the Board of Chang Plastic Surgery), why breast cancer care needs two surgeons with opposite goals, and the quiet local nurse network that already knows who's good.Jackie weighs in on what it feels like in an OR when something is going wrong. Plus: how Dr. Sasa Grae Espino reportedly kept operating while the Virginia Medical Board sat on multiple complaints, before 29 women filed suit.Source: WTRV, Nurse files $25M lawsuit against Virginia breast surgeon: 'I see Frankenstein'HOSTSJackie 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: theaxis.io

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 a woman's own tissue instead of implants — answer a 26-year-old who has been talking herself out of a breast lift for four years, and explain why a 15-year-old with severe macromastia can ethically get a reduction before college.Plus: how to tell genuine readiness from cold feet, why three-week results aren't the finished result, and the powerlessness a surgeon feels when comments roll in and HIPAA keeps him from defending the work.People, Influencer Darcy McQueeny Reveals the Results of Her Breast Lift: ‘Best Decision of My Life’HOSTSJackie 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: theaxis.io

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 answer a question from an anonymous listener who came in for a consultation for one procedure and walked out with a quote for four — and break down the difference between a surgeon upselling and a surgeon trying to deliver the result you actually came in for. Plus: the Jehovah’s Witness emergency exception, the surgical timeout that catches everyone before the first incision, and the woman who woke up with implants bigger than she signed for.News coverage, Cherise Doyley refuses fourth C-section, FloridaHOSTSJackie 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: theaxis.io

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.Reddit, Three generations of face cards — Marcheline Bertrand, Angelina Jolie, Vivienne Jolie-PittQuestions answered by this episode:Why do some people inherit their parent's strong bone structure while others don't?How does weight and body composition affect facial features across generations?When a patient brings in a photo of their mom, how do surgeons use that in a consultation?What procedures can address a "softer" face that lacks definition?What does the Angelina Jolie three-generation photo reveal about facial genetics?Are some people just structurally privileged — and can surgery replicate that?What feature from Angelina Jolie's face has driven the biggest cosmetic trends?Is it realistic to bring in a celebrity photo and ask to look like that person?How does having a supportive family member present affect a patient's surgical experience?Should you bring photos to your consultation — and what are the limits?HOSTSJackie 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 Producer: Mary Ellen ClarksonEngineering: Chris MannTheme music: Harry’s Perfume - Harry EdvinoCover Art: Dan ChildsSecret Services is a production of The Axis: theaxis.io

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 hidingQuestions Answered in This Episode:- What might explain Jim Carrey's dramatically fuller, smoother face?- Could facial fullness be caused by something medical rather than cosmetic?- What procedures are most popular among male plastic surgery patients?- Why do you have to be extra careful with brow lifts and eye surgery on men?- How has the approach to eyelid surgery changed — why do surgeons now preserve fat instead of removing it?- What actually happens to the eyelids as you age?- When does drooping eyelid skin become a functional — not just cosmetic — problem?- How precise does a blepharoplasty have to be, and what can go wrong with even a small measurement error?- What's recovery from a bleph actually like — pain, bruising, and timeline?- Do men bruise more than women after eyelid surgery?- Should patients be scared off by celebrity "bad result" photos like Jim Carrey's?HOSTSJackie 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 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.About Secret Services 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. 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  @congressionalplasticsurgery And on TikTok @congressionalpsurgeryHost: Christopher Chang, MDProducer: Eva Sheie @ The AxisAssistant Producers: Mary Ellen Clarkson & Hannah BurkhartEngineering: Chris MannTheme music: Harry’s Perfume - Harry EdvinoCover Art: Dan ChildsSecret Services is a production of The Axis: theaxis.io

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 BaumelReddit, r/medicalschool: Nick Baumel deleted his Tiktok Account.Questions aswered by this episode: Who is Nick Baumel and what did he post that caused controversy?What happened to his social media accounts?How did Mayo Clinic respond?Could this cost him his residency match?Should medical schools be teaching social media professionalism?Why is comedy especially risky for doctors online?How does Dr. Glaucomflecken navigate humor without crossing the line?Where's the line between fun and unprofessional for medical institutions on social media?What should happen to Nick as a consequence?Can professional judgment actually be taught?HOSTSJackie 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 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.About Secret Services 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. 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  @congressionalplasticsurgery And on TikTok @congressionalpsurgeryHost: Christopher Chang, MDProducer: Eva Sheie @ The AxisAssistant Producers: Mary Ellen Clarkson & Hannah BurkhartEngineering: Chris MannTheme music: Harry’s Perfume - Harry EdvinoCover Art: Dan ChildsSecret Services is a production of The Axis: theaxis.io

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 BBLPage Six, ‘Mormon Wives’ star Jessi Ngatikaura ‘extremely unhappy’ with $25K plastic surgery results: ‘Ruined my life’Questions answered by this episode:What is a BBL and how does it work?Am I too thin to get a BBL?How much fat do you need to qualify for a BBL?What are my options if I don't have enough fat for a BBL?What are butt implants and how are they placed?What is cadaveric fat transfer?Why are BBLs considered dangerous?How has BBL safety improved?Why do so many people go to Miami or South America for BBLs?Is the BBL trend over?How long until I see my final results?What separates patients who love their results from those who regret them?HOSTSJackie 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 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.About Secret Services 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. 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  @congressionalplasticsurgery And on TikTok @congressionalpsurgeryHost: Christopher Chang, MDProducer: Eva Sheie @ The AxisAssistant Producers: Mary Ellen Clarkson & Hannah BurkhartEngineering: Chris MannTheme music: Harry’s Perfume - Harry EdvinoCover Art: Dan ChildsSecret Services is a production of The Axis: theaxis.io

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 Jackie discuss the celebrity looks everyone was dissecting, what The Substance gets eerily right about cosmetic obsession, and what separates a great result from one that has everyone talking for the wrong reasons.Bored Panda, “Everything About Her Is Plastic And Fake”: Fans Brutally Roast 10 Celeb Appearances At The 2026 OscarsThe Contributor, The Substance is a sensational gross-out that’s heading for the OscarsCalifornia Post, How to watch Demi Moore’s award-winning role in ‘The Substance’ for freeBright Side, Experts Explain the Mystery of What Might Have Happened to Demi Moore’s FaceDaily Mail, Anne Hathaway, 43, goes viral for taut face at Oscars as bewildered fans ask: 'What did she do and why?'HOSTSJackie 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 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.About Secret Services 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. 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  @congressionalplasticsurgery And on TikTok @congressionalpsurgeryHost: Christopher Chang, MDProducer: Eva Sheie @ The AxisAssistant Producers: Mary Ellen Clarkson & Hannah BurkhartEngineering: Chris MannTheme music: Harry’s Perfume - Harry EdvinoCover Art: Dan ChildsSecret Services is a production of The Axis: theaxis.io

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 poundsHOSTSJackie 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 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.About Secret Services 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. 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  @congressionalplasticsurgery And on TikTok @congressionalpsurgeryHost: Christopher Chang, MDProducer: Eva Sheie @ The AxisAssistant Producers: Mary Ellen Clarkson & Hannah BurkhartEngineering: Chris MannTheme music: Harry’s Perfume - Harry EdvinoCover Art: Dan ChildsSecret Services is a production of The Axis: theaxis.io

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 best Botox results are the ones no one notices.Reddit, AITAH for divorcing my wife over botox/fillers?Reddit, hooded eyes after BotoxHOSTSJackie 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 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.About Secret Services 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. 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  @congressionalplasticsurgery And on TikTok @congressionalpsurgeryHost: Christopher Chang, MDProducer: Eva Sheie @ The AxisAssistant Producers: Mary Ellen Clarkson & Hannah BurkhartEngineering: Chris MannTheme music: Harry’s Perfume - Harry EdvinoCover Art: Dan ChildsSecret Services is a production of The Axis: theaxis.io

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 regretsMore about facial plastic surgery in Washington, D.C.HOSTSJackie 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 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.About Secret Services In DC, everyone has secrets – especially when it comes to cosmetic surgery. Plastic surgeon Dr. Christopher Chang and his 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  @congressionalplasticsurgery And on TikTok @congressionalpsurgeryHost: Christopher Chang, MDProducer: Eva Sheie @ The AxisAssistant Producers: Mary Ellen Clarkson & Hannah BurkhartEngineering: Chris MannTheme music: Harry’s Perfume - Harry Edvino Cover Art: Dan ChildsSecret Services is a production of The Axis: theaxis.io