After more than a decade of increases in plastic surgery procedures that can be (either loosely or directly) tied to the celebrities like the Kardashian family, there is a notable “reversing” trend that cosmetic surgeons are seeing playing out more and more.
Since the mid 2010s, a trend of patients seeking cosmetic procedures to emulate their favourite celebrities caused a steady rise in requests for procedures like fillers, BBLs (Brazilian Butt Lifts), and other body contouring procedures. Today, however, we are entering an era some in the industry are calling, the “Great Undo.”
Digital Journal talked with renowned New York Plastic Surgeon, Dr. David Shokrian of Millennial Plastic Surgery about how he is seeing this trend play out in his own practice.
Digital Journal: Why are so many people reversing their cosmetic procedures?
Dr. David Shokrian: Patients are seeking reversals for several reasons. Many initially pursued procedures influenced by social media trends and celebrity culture, but their aesthetic preferences have evolved. Some feel their enhancements no longer align with their body image or lifestyle, while others experience complications or dissatisfaction with their results. Additionally, a broader movement towards natural beauty is influencing many to opt for a more subtle look.
DJ: What are some of the most popular procedures that are getting reversed?
Shokrian: The most common reversals we are seeing involve BBLs, breast implants, and facial fillers. Patients are opting to reduce or remove excessive volume in these areas for a more proportionate and natural appearance. Lip filler reductions and dissolving facial fillers have also become increasingly common.
DJ: Are there any plastic surgery procedures that cannot be reversed?
Shokrian: While many procedures can be modified or partially reversed, some surgeries, such as rhinoplasties and facelifts, are more complex to undo. Once tissue has been removed or altered significantly, achieving a completely original appearance is difficult. However, revision surgeries can refine results to better match a patient’s current aesthetic goals.
DJ: Are any plastic surgery procedures covered by health insurance? What about reversals?
Shokrian: Insurance typically does not cover elective cosmetic procedures. However, in cases where a procedure leads to medical complications—such as capsular contracture from breast implants or chronic pain from excessive weight after a BBL—insurance may cover part of the reversal or corrective surgery. Each case is unique, and patients should consult their provider for specific coverage details.
DJ: How much do the typical procedures cost? And what is the cost for reversing them?
Shokrian: The cost of cosmetic procedures varies widely depending on the complexity and location. A BBL, for instance, can range from $15,000 to $25,000, while breast augmentation typically falls between $10,000 and 15,000. Reversal procedures can be equally or even more expensive due to the surgical expertise required. BBL reversals, which often involve liposuction and fat grafting, can cost upwards of $25,000. Facial filler dissolving, however, is relatively affordable, ranging from $300 to $1,000 per session.
DJ: What are some procedures people ARE opting to have in this time of the “great undo”?
Shokrian: As people move away from exaggerated enhancements, we are seeing an increase in demand for subtle refinements. Procedures such as deep-plane facelifts, skin tightening treatments, and lip lifts are becoming more popular. Patients are also opting for minimally invasive procedures like Morpheus8 microneedling, laser skin resurfacing, and non-surgical facelifts to achieve a refreshed, youthful look without drastic alterations.
DJ: Are there any new procedures coming in the next couple of years that you believe will be a new trend in plastic surgery?
Shokrian: Absolutely. Advancements in regenerative medicine, particularly in stem cell therapy and PRP (platelet-rich plasma) treatments, will continue to evolve. Additionally, we anticipate an increase in demand for body-contouring procedures that offer more natural, gradual results, such as EvolveX and BodyTite. Innovations in non-invasive and semi-permanent treatments will allow patients to achieve their aesthetic goals without undergoing traditional surgery. As the industry moves toward a more natural aesthetic, the “Great Undo” signals a shift in how individuals view beauty—favoring longevity, balance, and a personalized approach over fleeting trends.
