{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"The Face with Masoud Saman","title":"Episode 4: Body Dysmorphic Disorder and How We Perceive Our Own Attractiveness with Dr. Toni Pikoos","html":"","width":"100%","height":180,"duration":3097,"description":"Some patients get a technically perfect result…\nand still hate what they see.\nWhy?\nIn this episode of The Face Podcast, Dr. Masoud Saman sits down with clinical psychologist Dr. Toni Pikoos to unpack one of the most misunderstood problems in aesthetic medicine:\nBody Dysmorphic Disorder (BDD)\nThis is not just about plastic surgery.\n It’s about identity, perception, and the dangerous gap between how we look… and how we think we look.\nWhat you’ll learn in this episode:\n Why cosmetic surgery doesn’t fix certain patients \n The subtle red flags surgeons often miss \n The psychological profile of the “never satisfied” patient \n Why the first 2 months after surgery feel like an emotional rollercoaster \n What “perception drift” is and why it leads to chasing more procedures \n How social media and filters are quietly distorting reality \n Why some patients blame the surgeon when life doesn’t improve \n How to say no to a patient without creating conflict \n What actually helps these patients long term \nThe uncomfortable truth:\nFor some patients, the problem isn’t their nose.\n It’s the way their brain processes their face.\nAnd no operation can fix that.\nThis episode is essential listening for:\n Patients considering rhinoplasty or facial surgery \n Surgeons and injectors navigating complex consultations \n Anyone interested in how beauty, psychology, and identity collide \nAbout Dr. Toni Pikoos:\nClinical psychologist specializing in BDD, cosmetic patient assessment, and mental health in aesthetic medicine. \nAbout Dr. Masoud Saman:\nNYC facial plastic surgeon focused on rhinoplasty and facial rejuvenation, known for a philosophy of refinement, restraint, and identity preservation.","thumbnail_url":"https://img.transistorcdn.com/uH2VkCD_0KPUBcIgFBpJuNVnDMmnj-D-hndTXHUDebY/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS81ZDBi/ZTRlYTEwZDI4NDQ0/NTgyYzJmYzNkMDVh/MGExOS5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}