When someone panics the day before surgery and insists on the tiniest implant in the range, Jackie O’Brien knows how it ends: within a month, they’re asking when they can get the next size up. 

Dr. Christopher Chang explains why swapping big implants for small ones is not as simple as it sounds. A small implant in a pocket built for a large one leaves empty space, unless he tightens the capsule to match.

Country singer Jessie James Decker is trading her “very large” breast implants for what she calls “juicy ballerina boobies,” a downsize, not an explant. Dr. Chang and Jackie answer an anonymous question from a woman who got 500 CC implants at 24 and doesn’t want them at 36, compare explant versus downsize, and explain why a lift often pairs with a smaller implant after several pregnancies. They also weigh whether the small-implant trend is real or just talk, and why D.C. women tend to land between 300 and 400 CCs. And no, implants aren’t a lifetime commitment.

Just Jared, Jessie James Decker Explains Why She’s Removing ‘Very Large’ Breast Implants

HOSTS

Jackie O’Brien RN, BSN, CNOR
Clinical Director at Cedar Lane Surgery Center

With 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, MD
Plastic 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.

Links

Learn more about Washington, D.C. plastic surgeon Dr. Christopher Chang

Follow Dr. Chang on Instagram @dcplasticsurgeon @congressionalplasticsurgery

And on TikTok @congressionalpsurgery

Host: Christopher Chang, MD
Producer: Eva Sheie @ The Axis
Assistant Producers: Mary Ellen Clarkson & Laura Mayusa
Engineering: Victoria Cheng
Theme music: Harry’s Perfume - Harry Edvino
Cover Art: Dan Childs

Secret Services is a production of The Axis: theaxis.io