Kylie Jenner shared the details of her ‘445 cc’ breast implants. I’m the plastic surgeon behind them.

Have you heard about the Kylie special? Last month, makeup mogul and reality star Kylie Jenner — who has previously shared on The Kardashians that she got breast implants when she was 19 years old — fired off a TikTok comment that set the beauty community ablaze.

It all started when content creator Rachel Leary posted a TikTok asking Jenner to share exactly what she’d requested when getting her breast augmentation, something Leary hailed as the “most perfect, natural-looking boob job ever.” Lo and behold, Jenner responded in the comments section.

“445 cc, moderate profile, half under the muscle!!! Silicone!!! Garth Fisher!!! Hope this helps lol,” Jenner shared — and the whole world listened. Media outlets started covering Jenner’s “boob job order,” bringing extra attention to the plastic surgeon behind it, Dr. Garth Fisher.

Fisher’s name shot up on Google Trends, while TMZ reported that his plastic surgery practice was fielding hundreds of calls each day because of the shoutout. In this interview with Yahoo’s Kerry Justich, Fisher shares in his own words how Jenner’s plug has affected his business — and why anyone who wants to follow her lead should manage their expectations.

I’ve been in plastic surgery for 30 years in Beverly Hills, and I’ve always specialized in faces and breasts. But we do a lot of other things — noses, liposuction, tummy tucks, that kind of stuff.

I started my practice in the early ’90s, and when I look back at my schedule then and I look at my schedule today, it’s really not that much different. I’ve been very fortunate, blessed and maybe lucky too to get patients who would come to me and then refer other patients. I don’t do any marketing, I don’t do any advertising. I’ve got a website and I’ve got an Instagram page that my daughter put up for me (though I don’t really use it). But I’ve been busy.

I used to operate every day, but now I operate on Tuesday, Wednesday and Thursday every week, 9 to 5, and it’s filled up. So people ask me if I’m busier than I was 20 years ago. … No, and I don’t want to be busier. My life is designed in a way so that I enjoy my patients, my practice and my family.

The Kylie factor

It did feel nice to get the recognition. I like when somebody gives us credit, because patient privacy laws are something we respect. We’ve never had a leak in our office. Our office staff signs the [non-disclosure agreement] forms. We have pride that this is our culture, that we always keep things private — whether they’re a celebrity or not. I don’t think anybody has to share anything that they don’t want to, but when patients do say something, it’s really nice to acknowledge us. I wish there were others that did too.

I’m not sure Kylie really knew what was going on when she responded to that creator’s request. She was probably half asleep, opening one eye to answer a text. She was just kind of innocently helping some girl, and it ended up being in the news with billions of people reading it.

When we spoke about it, she said, “My gosh, look what happened with us.” We were both laughing about where this went. You’re lighting a little something on the ground, and all of a sudden it shoots to the moon. She’s so nice, though. She’s just always been so sweet, and we’re really thankful for her.

The office gets a lot of phone calls, especially after this Kylie thing. We’re very appreciative of it and we’re thankful. It was unexpected, but we didn’t need more business. I think it’s just a lot more for my office to kind of work through. I’m not going to operate any more than I operate.

Serving celeb inspo

Patients come in all the time with [references to] celebrities they want to look like, especially for noses and breasts. With facelifts, they just want to look really nice and natural. But we get a lot of celebrities in our office, and a lot of people coming in wanting to look like the celebrities.

It’s very rare for someone to come in and ask me for a 445 moderate profile implant [aka the Jenner special]. I would tell them that’s a really bad idea because it’s not going to end up the way you want it. You can take a 300 cc implant and put it on five different people, and it’ll look five different ways. So that’s one of the big errors I think patients may make when they come in demanding something from their surgeon. It’s much like getting on an American Airlines airplane and saying to the pilot, “I want to fly 25,000 feet.” You have to leave that up to the person who’s designing things for you. But you work together as a team.

I like having pictures [as a reference] — although I tell people that one of the problems is that Instagram has so many filters on it that patients develop unrealistic expectations because they want to look like this filter, but nobody can really do that. I do like to see what they like about a picture, so I can kind of blend and design the surgery more in line with that.

Most patients, including Kylie, want to look really natural. I know how to make the round, high, fake-looking boobs and I do that for people when they ask me to. But I like a very, very natural look, and I think that’s what most people want. Then it’s all about size.

What I do is I have people bring in multiple photos: one too big, one too small, one the size that they really like. We put that up on the wall in the operating room so when patients are asleep, we sit them up and lay them down and we try different sizers on them. I’ve got several nurses and anesthesiologists with me, and we all get around to the back of the table and try to make it as close to the picture, size-wise, as we can.

Transparency and taboo around plastic surgery

I was the developer of ABC’s Extreme Makeover back in 2002, and I was the original surgeon on that show. It really raised the plastic surgery IQ of people; it brought plastic surgery out of the closet. I think it was really one of those things that propelled our industry in a real, positive way.

It’s hard to tell if more people will be as open as Kylie was. Some people may speak out because they’re proud of their surgeries, some people may not because they’re embarrassed to tell anybody. But hopefully, people will be more open because plastic surgery isn’t a bad thing.

It’s not bad to iron your shirt if you’ve got some folds in it. It’s not bad to clean your pants if there’s a stain. So what’s wrong with tightening up a body feature that you’d like to tighten up and look better? People who don’t like plastic surgery don’t have to have surgery. But for the people that are doing it, I don’t think that anybody should really condemn them or negatively judge them because they want to look better and they’re trying to do something about it.