Jul 9, 2026 · 1 hr 1 min · 13 segments
In this episode of From Vision to Creation, Alexander sits down with world-renowned plastic surgeon, television personality, and Botched star Dr. Terry Dubrow for a powerful conversation about plastic…
Alexander SchmiedingHostWell, and you know, one thing that has always fascinated me about plastic surgery and, you know, is when a patient comes into your office and they tell you that they want something done, whatever it is.
How can you tell when somebody has body dysmorphia or they're asking for something that you know they'll never be satisfied?
And it's interesting when you're going through your plastic surgery training, no one ever talks about this.
at all because you're spending all your time trying to learn how to do the operations which can be very complex deal with any complications that may occur and learn the skill set to become a plasterer no one ever discusses how do you evaluate whether a plastic surgery patient is doing it for the right reasons or the wrong reasons and If they do this operation, will it end up being something that you shouldn't have done, they should have done, and it adversely affects their life? You develop...
this ability to quickly determine or not whether a patient has some element of BDD, body dysmorphia.
There's, you know, to a certain degree, everybody has a little body dysmorphia, you know? And then there's the, oh my gosh, this tiny little thing on my, face is devastating my life.
And if I can just fix this tiny little thing that nobody can see, but me in the mirror, if I can just fix that, my life will be good.
The problem with plastic surgery is, and I'll tell you how you can tell, but the problem with plastic surgery is plastic surgeons don't really care, by and large.
Most plasters just want to operate on you, okay? Because that's what we like to do.
Well, and you know, one thing that has always fascinated me about plastic surgery and, you know, is when a patient comes into your office and they tell you that they want something done, whatever it is.
How can you tell when somebody has body dysmorphia or they're asking for something that you know they'll never be satisfied?
And it's interesting when you're going through your plastic surgery training, no one ever talks about this.
at all because you're spending all your time trying to learn how to do the operations which can be very complex deal with any complications that may occur and learn the skill set to become a plasterer no one ever discusses how do you evaluate whether a plastic surgery patient is doing it for the right reasons or the wrong reasons and If they do this operation, will it end up being something that you shouldn't have done, they should have done, and it adversely affects their life? You develop...
this ability to quickly determine or not whether a patient has some element of BDD, body dysmorphia.
There's, you know, to a certain degree, everybody has a little body dysmorphia, you know? And then there's the, oh my gosh, this tiny little thing on my, face is devastating my life.
And if I can just fix this tiny little thing that nobody can see, but me in the mirror, if I can just fix that, my life will be good.
The problem with plastic surgery is, and I'll tell you how you can tell, but the problem with plastic surgery is plastic surgeons don't really care, by and large.
Most plasters just want to operate on you, okay? Because that's what we like to do.
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