CLOSE
IStock
IStock

16 Behind-the-Scenes Secrets of Plastic Surgeons

IStock
IStock

Our culture is pretty obsessed with what it sees in the mirror: Cosmetic procedures have risen an astounding 115 percent since 2000, with nearly 16 million procedures performed in 2015 alone. Breast augmentation, buttocks lifts, and minimally-invasive “injectables” have all conspired to literally change the shape of the male and female form.

For insight into the highly skilled hands that make these transformations possible, mental_floss spoke with several accomplished plastic surgeons about the living sculptures they create.

1. THEY SEE BEAUTY AS A MATHEMATICAL EQUATION.

Early in his career, Donald Kress, M.D., a plastic surgeon in Baltimore, Maryland, would find himself puzzled when encountering facial features he found unappealing. “I couldn’t figure out what it was,” he says, “until I’d match the face with the Golden Ratio.” The Golden Ratio, or Golden Mean, is a formula first articulated by Greek mathematician Euclid and later used to theorize that the most pleasing appearances in art and nature are created at a ratio of 1.618:1. In the 1970s, surgeon Stephen Marquardt, M.D., began to study commonly appreciated beauties like Marilyn Monroe and Sophia Loren and found the ratio applied to many seemingly universal standards of attractiveness.

Visualizing the formula using a “mask” designed by Marquardt in 1992 (above, middle) can reveal where a face is asymmetrical, though experienced surgeons can make a similar evaluation intuitively. “It comes up when you’re younger and don’t have a good eye for things,” Kress says. “After a few thousand patients, you can see it in your head.”

2. THEY HOST “BROTOX” PARTIES.

OnabotulinumtoxinA—commonly referred to by the brand name Botox—has been used for decades to paralyze muscles at a local injection site, which can prevent the contractions that cause wrinkles and frown lines. Some practices have taken to hosting the increasing number of male patients coming in by offering “Brotox parties,” where a number of friends will schedule at once to make the treatment a social event.

Z. Paul Lorenc, M.D., F.A.C.S., a plastic surgeon in New York City, says that “Brotox” is a result of men who have had a good experience recruiting their friends. “It’s kind of a support group,” he says. “They can interact in the waiting room. Men used to do this at parties, but that’s become passé. It was always a bad idea. You should never have alcohol involved.”

3. THEY’RE DRAWING LANDMARKS ON YOU.

Watch enough reality television and you’ll eventually spot a plastic surgeon taking a black marker to the bare torso of a patient. Matthew Schulman, M.D., a plastic surgeon based in Manhattan, says that surgeons are basically acting as topographers, marking areas of the body that may change shape or become less visible when a patient is lying down. “We’re drawing landmarks for ourselves because a person looks different when on the table,” he says. “I might circle where the fat is thickest, or where the nipple is while standing.” No special medical ink is used: It’s just a Sharpie.

4. BREAST IMPLANTS CAN CREATE “MOTION ARTIFACTS.”

There are several ways to insert breast implants, but Kress says that one in particular can create problems for patients who do a lot of jumping up and down. When an implant is inserted in a subpectoral incision under muscle tissue, it can give off the appearance of remaining stationary while the rest of the breast moves during physical activity, creating a visual ripple effect. “If there are big arm movements, or if they’re in front of people teaching or on television, I advise them of the potential consequences,” Kress says.

5. THEY CAN’T MAKE YOU LOOK PHOTOSHOPPED.

Schulman says that social media—especially the popularity of impeccably-proportioned Instagram models—has created a few headaches for his practice. “The problem with pictures is that they’re just a guide, but it’s not like picking a body off the shelf,” he says. “Half of the Instagram models are Photoshopped, so when you say you want to look like this, I can’t do it. I can’t give you an 18-inch waist.” Though Schulman does like having a visual reference for what patients have in mind, he prefers they understand it's a starting point, not a preview.

6. THEY DON’T WANT YOU TO LOOK GOOD ON THE TABLE.

“Everyone,” Schulman says, “looks great lying down.” But trying to achieve aesthetic perfection in the operating room is a recipe for disaster. “One of the first things we learn as plastic surgeons is that just because something looks good on the table doesn’t mean it’ll look good six months later. We want to make the result less than ideal to account for healing.” Breast implants, for example, might be placed higher than desired so they can “settle in.” Making them perfect during surgery means they’re likely to drop too low once the body recovers.

7. IT TAKES EXACTLY 90 DAYS TO GET USED TO A NEW FACE.

According to Kress, there’s a tremendous difference between a facelift and a procedure that radically alters the face. “In a facelift, you’re turning back the clock and people can adjust to it quickly,” he says. “But a new nose, a new chin, taking away a bump, you’re creating a person they’ve never seen before.” In his experience, it takes patients almost 90 days exactly to get used to the image in the mirror. “On day 87, they’ll see someone else’s chin. On day 91, it’s you. It’s freaky how accurate it is.” Kress will normally refuse to remove an implant (chin, cheeks, breasts) prior to the 90 days to account for this phenomenon.

8. MORNINGS ARE BEST FOR DETAIL WORK.

If you’re opting for cosmetic surgery and have a nose job scheduled for late in the day, you may want to reconsider. According to Kress, procedures that require fine motor skills like nose jobs, facelifts, or eyelid surgeries are best performed in the morning, while gross motor work like breast implants and liposuction can come later. “You don’t want to reverse the order because it can take between 45 minutes to an hour for fine-touch motor skills to return. I start with the most delicate surgeries first, have a good lunch, and do bodies later.”

9.  THEY CAN MAKE YOU LESS ANGRY-LOOKING.

Not all cosmetic surgery is focused on restoring the appearance of youth: Some people just want to look happier. “Many of my Botox patients coming in say that everyone thinks they’re angry all the time,” Lorenc says. “They want to correct a frown or a heavy brow.” Kress has also seen people ready to go on the job market for the first time in years who want to appear more awake—or sober. “Sometimes eyelids can make you look like you drink, or don’t get enough sleep,” he says.

10. THEY WORK WITH WITNESS PROTECTION.

That gangster-movie cliché of having to modify your face to avoid being spotted after offering damning testimony? It’s true. Kress has operated on several government witnesses, and they can forget about follow-up visits. “I’ve had Federal Marshals come in and tell me, ‘This is the only time you’re going to see this guy, so give him whatever instructions he needs,’” he says. Kress has also worked on covert military operatives who have had their name and image published in media and run the risk of being recognized. 

11. THEY HAVE SIGNATURE NOSES. (AND BUTTS.)

Many surgeons get into the cosmetic field because of an artistic impulse: They don’t want to perform cookie-cutter procedures and like to improvise. But a certain segment can also offer procedures with a dependable aesthetic outcome that becomes a kind of signature. “Some doctors are known for noses I can spot across the street,” Schulman says. “I do a lot of butt-lifts and make them look like an upside-down heart. Patients come in because they want that result.”

12. CALF IMPLANTS ARE A THING.

And not just for men, either. Lorenc regularly sees patients of both genders who want to rectify their genetic misfortune and sport shapely, powerful-looking calves. “I’m one of the few surgeons who does them,” he says. “The stereotype is that it’s only bodybuilders, but that’s not true. They make up only a percentage. Some people just can’t develop them in the gym no matter what they do.”   

13. BEING A SMOKER IS A REAL NO-NO.

One universal truth of cosmetic surgery: Operating on a smoker is never a good idea. Nicotine constricts small blood vessels, which can delay healing and open up the door for complications. “Every good plastic surgeon will require a patient stop smoking before a procedure,” Schulman says. His patients sign an agreement requiring them to cease any kind of smoking four weeks prior and for eight weeks following an operation. “They agree I can nicotine-test them [via urine] and if they’re positive, the operation is canceled and I keep their money.”

14. THEY’LL WORK ON KIDS FOR ONE REASON.

There are very few cases of surgeons electing to work on anyone under the age of 18 for purely cosmetic purposes, with one key exception: protruding ears. Kress says that ears that stick out too much can become a psychological burden and that there’s a sweet spot to get them pinned back. “Around age 5 or 6, the ear has gotten big enough to work on and see a lot of the underlying structure,” he says, “but it’s also before they get into grade school and the taunting really starts.”  

15. THEY THINK TRANSPLANTS ARE THE FUTURE.

While fat transplantation is an increasingly popular and effective alternative to artificial fillers—adipose tissue can be harvested from unwanted areas and injected into the butt or face—Schulman sees the future of plastic surgery being far more radical, and less focused on aesthetics. “I think in the next ten years, we’re no longer going to be doing reconstructive work for trauma,” he says. “If you need breast tissue after a cancer operation, it will be from a donor. Things like face transplants and hand transplants are being led by plastic surgeons, by microsurgeons. I see full limb transplants. The possibilities are endless.”

16. THEY’RE NOT REALLY STRESSED.

Lorenc finds it amusing when friends or acquaintances remark that being a surgeon must be one of the most stressful jobs you can have. “When I step into the operating room, it’s like nirvana,” he says. Barring the rare complication, no one is in critical condition, bleeding to death, or under any extreme duress. Surgeons tend to work at their own pace, sometimes with a soundtrack. “I listen to Pink Floyd, the Allman Brothers, Jimi Hendrix. Sometimes reggae.”  

All images courtesy of iStock unless otherwise credited.

nextArticle.image_alt|e
Lisa Maree Williams/Getty Images
arrow
job secrets
9 Behind-the-Scenes Secrets of Hollywood Body Doubles
Hugh Jackman and his Real Steel body double, Taris Tyler
Hugh Jackman and his Real Steel body double, Taris Tyler
Lisa Maree Williams/Getty Images

When you see the back of an actor’s head in a movie, it may not be the actor you think it is. In addition to stunt performers, most movies employ body doubles (or photo doubles) with a passing resemblance to the principal actors. While some body doubles are brought on set for specific skills—like helping an actor pass as a professional athlete—the job can often involve just being a body, whether that means being nude on camera, having photogenic hands, or appearing in place of actors who can’t be on set for some reason. Here are nine secrets of the job:

1. THEY MIGHT ONLY BE MODELING ONE BODY PART.

Body double Danielle Sepulveres has played the hands of other actors in plenty of roles in her career, on TV and in beauty commercials featuring close-up shots of her holding moisturizer or makeup. She’s drizzled dressing on salad in place of Brooke Shields. She regularly slides files across tables, makes lists, and pours wine in the place of actresses on The Good Wife. (She has also played Jill Flint's butt on the show.) “I knew only glimpses of my hands might make it into a shot, or part of my shoulder along with a wisp of hair,” she wrote of one of her jobs in Good Housekeeping in 2016. But she overheard the director complaining that her wrists looked “vastly different” than those of the principal actress in the movie, 2015’s Mania Days. “Luckily, I didn't get fired in spite of my wrists, but I wouldn't have been surprised had it happened.”

2. THEY’RE NOT JUST THERE TO SHOW THEIR BUTTS.

Yes, body doubles are often brought in if an actor doesn’t want to bare it all on camera. But they are hired for other reasons, too. For one thing, union rules mandate the actors get 12 hours off between when they leave set for the day and their next call time, so if the shoots are running long, the crew might employ someone else to stand in. Other times, it's a matter of particular talents. Most actors may be able to sing, dance, and cry on camera, but few also have the athletic skills to allow them to pass as a sports legend. In Battle of the Sexes (2017), Emma Stone plays Billie Jean King, one of the best tennis players of all time. To realistically represent King’s skills on the court, the movie makers brought in tennis doubles to play in place of Stone and her co-star, Steve Carell. Stone’s double was chosen for her playing style, which resembled King’s, and worked with King on-set to perfect her imitation. The effort was, according to The Wall Street Journal, a huge success. “Not only is the tennis believable, it’s a meticulous representation of the type of tennis played in that era: serve and volley, chipping and charging to the net, touch volleys and soft hands.”

3. ACTORS CAN GET TOUCHY ABOUT WHO PLAYS THEM.

When you are tasked with choosing a celebrity doppelgänger, you’ve got to keep egos in mind. “The choice reflects on the principal actor,” DeeDee Ricketts, the casting director for Titanic, told Vanity Fair in 2016. “We have to take into consideration that they can’t be too thin, or more beautiful, or too heavy, or too old, or else the principal actor will think, That’s how they see me?” Actors often get to give input on who will be their double, and sometimes have final approval rights written into their contracts. When she was being considered for the job of Janet Leigh's body double in Psycho's iconic shower scene, model and Playboy covergirl Marli Renfro had to strip down for both Alfred Hitchcock and Leigh herself so that they could make sure her body looked enough like Leigh's, as Renfro recently revealed at a Brooklyn screening of the documentary 78/52: Hitchcock's Shower Scene. In the case of nude scenes, actors might even have final approval on what physical moves their doubles are allowed to make.

4. THEY MIGHT NEVER MEET THEIR DOUBLE ...

If you’re working as an actor’s double, by definition, you’re not going to have scenes with them, and so some body doubles never meet the stars they’re pretending to be. Danish actor Elvira Friis, who worked as a body double for Charlotte Gainsbourg (and her character’s younger self, played by Stacy Martin) during the racier scenes of Lars von Trier’s Nymphomaniac (2013), never met the actor. “The closest I got to Charlotte Gainsbourg was that I was wearing her dress,” Friis told The Wall Street Journal.

5. OR THEY MIGHT SPEND A LOT OF TIME WITH THE PEOPLE THEY'RE PORTRAYING.

But how much time an actor spends with their doppelgänger really depends on the role. Some actors spend plenty of time with their doubles on set helping them get into the role. In What Happened to Monday (2017), Noomi Rapace plays the roles of seven identical sisters, making body doubles a necessity on set. Rapace helped direct her doubles during filming, “as they needed to know how the star would play the scene for each character so that it would sync up when she performed the part herself,” according to The Hollywood Reporter. Game of Thrones star Lena Headey (who plays Cersei) worked closely with her double Rebecca Van Cleave for a nude scene in the show’s fifth season finale. Headey walked Van Cleave through her character’s thinking and movements for each shot. Then, Headey did the same performance herself, wearing a beige dress that could later be edited out. In the final product, Headey’s facial expressions were merged with Van Cleave’s nude body.

6. THEY DON’T ALWAYS LOOK EXACTLY LIKE THEIR COUNTERPARTS.

Because body doubles are often only seen from the back or side, they may not look quite as much like their acting counterpart as you’d think. Brett Baker, who worked as Leonardo DiCaprio’s body double for Titanic, is several inches shorter than DiCaprio and seven years older. From the front, you wouldn’t peg him as a Jack Dawson lookalike. But with the same clothes and haircut, shot from above and behind, he passed easily as DiCaprio. Once Leo’s closeups were done, according to Vanity Fair, Baker was often brought in to stand opposite Kate Winslet as she played through her half of the scene. In some cases, he didn’t make it into the final shot at all, but still had to be on set for those 14-hour days.

7. THESE DAYS, THEY GET A BOOST FROM CGI.

With the help of technology, filmmakers can put their leading actor’s face on a body double’s torso, so they don’t have to limit their body doubles to just back-of-the-head or partial shots. This allows them to seamlessly meld both the main actor and the body double’s performances in post-production. That can allow directors to get exactly the scene they want in shows like Orphan Black, which features Tatiana Maslany playing multiple roles, or in cases where actors don't want to get totally naked on-camera. In rare cases, it can also be used to bring actors back from the dead. When Paul Walker died in a car crash midway through filming Furious 7 (2015), the filmmakers used his brothers and another actor as body doubles, superimposing computer-generated images of Walker’s face on their performances. Around 260 shots featuring Walker’s doubles appeared in the final cut.

8. IF AN ACTOR CAN’T ALTER THEIR WEIGHT FOR A ROLE, A BODY DOUBLE CAN FILL IN.

When Matt Damon was filming The Martian (2015), he wanted to lose 30 to 40 pounds to portray astronaut Mark Watney after he had been surviving on meager rations for years. But the filming schedule made that impossible, so a body double had to be brought in for some shots. “I was going to lose a bunch of weight in the third act of the movie, then put the weight back on,” Damon told Maclean’s. However, as the schedule shook out, they filmed the NASA interiors in Hungary, then immediately went to Jordan, which doubled as the Red Planet for the film’s purposes, and shot all the exterior shots from the beginning, middle, and end of the movie, with no time for Damon to lose a significant amount of weight. The skinny body double isn’t on screen for long. “It was, like, two shots,” Damon describes. (Still, fans noticed.)

9. SOMETIMES THEY NEVER MAKE IT IN FRONT OF THE CAMERA AT ALL.

When it comes to nude scenes, sometimes body doubles are hired but never used. Veteran body double Laura Grady was cast as Robin Wright’s lookalike for State of Play (2009), but didn’t shoot a single scene. “I just sat in my trailer, ready to go, and then at the end, [Wright] decided to do her own scenes,” Grady told Vulture in 2014. “That happens sometimes. Sometimes they just get a body double because they think they might need one, and then all of a sudden the actress is comfortable and she’s like, ‘No, I’ll just do it.’ Or they change a scene and they don’t make it as risqué.” Don’t worry, though—the double still gets paid.

nextArticle.image_alt|e
David McNew/Getty Images
arrow
job secrets
9 Secrets of Whole Foods Employees
David McNew/Getty Images
David McNew/Getty Images

With 474 stores across the United States, Canada, and the United Kingdom, Whole Foods has cornered the market on organic, high-end groceries. And while the company is currently undergoing changes (such as lowering prices on many items) due to Amazon’s recent acquisition, we got the 411 on what it’s like to work there now. Here’s an inside look at how employees feel about the store’s high prices, why they can’t do much about shoplifters, and what they really do with damaged fruit.

1. THEY HAVE MIXED FEELINGS ABOUT THE STORE’S PRICES.

Many items at Whole Foods cost more than at other grocery stores, and the company’s “whole paycheck” nickname has some truth to it. While some team members defend the store’s notoriously high prices, others admit that they can’t afford to shop there. As Whole Foods Culinary Content Editor Molly Siegler explains to PopSugar, the store has high standards. “We have a whole team that’s dedicated to using science and really heavy research to figure out what can and can't be in our stores,” she says. “At a minimum, we have no artificial colors, no artificial preservatives, no artificial sweeteners, and no hydrogenated fats. Every single thing in our stores meets those standards, and often people don't realize that.” Whole Foods also lets customers sample anything before they buy it, return anything for a refund or store credit, and use coupons to lower their grocery bill.

On the other hand, some employees admit that Whole Foods makes high margins on candy (such as fancy marshmallows) and Whole Body products, the section of the store that contains vitamins, supplements, organic makeup, and skincare. “A lot of the things we sell—there’s no way I could buy [them],” an anonymous Whole Foods employee who works at a store in Southern California tells Mental Floss.

2. THEY MIGHT PUT DAMAGED PRODUCE IN YOUR SMOOTHIES.

Whole Foods worker stocking vegetables
JEFF HAYNES/AFP/Getty Images

The juice and smoothie bar at Whole Foods may look like it offers a tantalizing mix of fresh fruit and pristine vegetables, but the reality might be less than picture-perfect. Employees at some stores reportedly put old fruit and spinach into green smoothies, while others use bruised and damaged apples to make discounted apple juice. Similarly, some stores may put lettuce, tomato, onions, or mixed greens that haven't sold yet (and will go bad in a day or two) in the salad bar.

3. THEY WISH YOU WOULDN’T USE THEM AS YOUR DOCTOR.

Whole Foods’ commitment to health and high-quality products means that some customers treat their visits to the grocery store more like visits to a doctor, pharmacist, or holistic nutritionist. Although employees in the Whole Body department can help you find vitamins and supplements, they can't diagnose you or suggest treatment plans. “I cringe to think about how much money people dump into trying to solve their problems by taking the advice of the perfect-looking community college student in the body and vitamin aisle when what they need is treatment by a medical doctor,” writes a former Whole Foods employee on Gawker.

4. THEY DON’T ACTUALLY MAKE ALL THEIR PREPARED FOOD IN-HOUSE.

people in line at Whole Foods
TIMOTHY A. CLARY/AFP/Getty Images

You might assume that employees in each store’s kitchen bake or cook the items you see in the prepared foods section. But that warm loaf of bread, bowl of quinoa salad, or slice of tiramisu that tempts you at lunchtime might not be made in-house. Depending on the location and size of the Whole Foods, some items that appear to be freshly cooked are not. Most bread, for example, is shipped frozen to each store and then baked in an oven. (Bigger stores are more likely to have a full-service kitchen.)

“Little to nothing is actually made from scratch in the Whole Foods bakeries each day,” a former Whole Foods chef writes on her blog. “In the South region, Whole Foods has a huge mass-production kitchen in Alpharetta, GA. If you shop at any Whole Foods in the South and get food off of the hot bar, off of the soup bar, out of the deli case or in pre-packaged containers in the sandwich cooler or refrigerated prepared foods wall, there’s a good chance that your food was actually made in that kitchen in Alpharetta.”

5. THEY LAUGH ABOUT THE “ASPARAGUS WATER” INCIDENT.

A selection of asparagus stalks on wood
iStock

In 2015, some stores notoriously sold asparagus water—a bottle of water with three stalks of asparagus in it—for $6. Customers expressed their outrage on social media, poking fun at the product’s cost and silliness. Whole Foods soon removed the water from shelves, claiming it was a mistake, but the blunder lives on. Asked on Reddit if asparagus water is delicious, a Reddit user named wfmworker replied in the affirmative. “Honestly though, that whole situation didn't even shock me. WF sells some weird stuff.” In 2016, the store removed another $6 item—pre-peeled oranges in plastic containers—after Twitter users mocked the product’s pointlessness and damage to the environment.

6. THEY KNOW HOW TO HACK THE SALAD BAR.

An array of vegetables at a salad bar
iStock

With an assortment of veggies, protein, nuts, and dressings, the salad bar at Whole Foods can be overwhelming, and it’s easy to pay a lot for a small container of food. But because items from the salad bar are priced according to weight, Whole Foods employees have some smart strategies on how to hack it. Some of their tips? Avoid heavier vegetables (like dense cauliflower or broccoli), skip beans, and use less dressing. According to a former Whole Foods Team Member who goes by psh_1_psh_2 on Reddit, you can also use the salad bar to save money on nuts. “The nuts on the salad bar are way less expensive than the nuts in bulk. You could theoretically just fill up your whole salad container with pecans or walnuts and save at least $2/lb,” he says.

7. THEY DEAL WITH SOME CRAZIES.

Whole Foods employees acknowledge that their customer base is unique. In general, the shoppers have a high disposable income, heightened interest in animal welfare, and a desire to support environmentally sustainable farming and fishing practices. But according to employees, it’s not uncommon to encounter customers who are demanding, entitled, or simply overshare their strange beliefs.

“In many cases, these customers have been privileged—financially and often otherwise—all their lives, which means many of them have massive entitlement complexes. It’s kind of hilarious to observe a building full of people who all believe that the world revolves around them,” says the former Whole Foods chef.

A former Whole Foods manager in California tells Thrillist that some customers discussed conspiracy theories with him. “I was so used to crazy people coming in that it became the norm. I had conversations with customers about chemtrails at a freaking grocery store. I had people go off on religious rants about Jews to me—and I'm Jewish, by the way,” he says. “People talk and run their mouths a lot and get too comfortable.”

8. THEY GO THE EXTRA MILE FOR THEIR CUSTOMERS.

Whole Foods employee at sample station with customer
Joe Kohen/Getty Images for Function Drinks

It’s no secret that the store’s items can be pricey, so Whole Foods employees put extra effort into making their customers happy. “I can say as a decorator in the bakery that we give extra time for free to cakes for really nice customers,” says psh_1_psh_2. Customers who smile and engage in small talk can brighten an employee’s day, transforming the experience of bagging groceries from a mundane task into an enjoyable one. Kailee Ver Valin, who has worked as a Team Member for over a year at a Whole Foods in North Carolina, explains that most customers respond positively to her friendliness. “The customers are thankful and friendly. I love talking to people,” she tells Mental Floss.

Additionally, the store’s butchers will debone animals, and sometimes season the meat, all for free. “A lot of people do that in our offices for lunch, or it's a really easy thing to do right before you head home for dinner. And it's not just salt and pepper—there's interesting rubs and spice mixes,” Siegler says.

9. THEY CAN’T DO MUCH ABOUT SHOPLIFTING.

Most Whole Foods employees have at least one story of customers stealing food. Whether someone eats from the prepared foods section before (or instead of) paying for it or lifts a container of vitamins and then asks for a refund, shoplifting is a big problem. Reddit user Lifeoncloud_9, who works as a supervisor at a Whole Foods in Chicago, explains that the company forbids employees from pursuing or trying to stop shoplifters: “We can get fired for confronting them. Most of the time we have an undercover loss prevention guard on duty. When there isn't, the most we can do is notify the manager on duty and he or she can ban them from the store."

SECTIONS

arrow
LIVE SMARTER