Some patients get a technically perfect result…
and still hate what they see.
Why?
In 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:
Body Dysmorphic Disorder (BDD)
This is not just about plastic surgery.
It’s about identity, perception, and the dangerous gap between how we look… and how we think we look.
What you’ll learn in this episode:
- Why cosmetic surgery doesn’t fix certain patients
- The subtle red flags surgeons often miss
- The psychological profile of the “never satisfied” patient
- Why the first 2 months after surgery feel like an emotional rollercoaster
- What “perception drift” is and why it leads to chasing more procedures
- How social media and filters are quietly distorting reality
- Why some patients blame the surgeon when life doesn’t improve
- How to say no to a patient without creating conflict
- What actually helps these patients long term
The uncomfortable truth:
For some patients, the problem isn’t their nose.
It’s the way their brain processes their face.
And no operation can fix that.
This episode is essential listening for:
- Patients considering rhinoplasty or facial surgery
- Surgeons and injectors navigating complex consultations
- Anyone interested in how beauty, psychology, and identity collide
About Dr. Toni Pikoos:
Clinical psychologist specializing in BDD, cosmetic patient assessment, and mental health in aesthetic medicine.
About Dr. Masoud Saman:
NYC facial plastic surgeon focused on rhinoplasty and facial rejuvenation, known for a philosophy of refinement, restraint, and identity preservation.
What is The Face with Masoud Saman?
The Face with Masoud Saman is a podcast about beauty, identity, and the human face. Hosted by facial plastic surgeon Dr. Masoud Saman, each episode explores the depths beyond what social media and the beauty industry show us. From filtered selfies to cultural ideals, we unravel how faces are judged, altered, and celebrated. It's not about chasing perfection. It's about understanding what we value, and why.