The scourge of artificial bodily enhancement.

says his sister-in-law and practice manager, Rosy Zion, from behind the wheel.

We have no time.

Dr Miami talks to Bustle about BBL surgery, TikTok, and plastic surgery trends.

That Man is an Orthodox Jewish father of five who needs to be home before the start of Shabbat.

I should handcuff myself to someone, he muses, or something.

Salzhauer is a savant when it comes to publicity stunts.

Dr Miami (Michael Salzhauer) is a go-to plastic surgeon for BBL surgery.

But actually, that honor belongs to Lenny Hochstein, a plastic surgeon formerly married to a Real Housewife.

Dr. Miamis name is just more recognizable or else the guides dont know theyre two different men.)

Even Kylie Jenner has finallycopped to getting breast implants.

Michael Salzhauer, who goes by Dr Miami on social media, predicts the decline of BBL surgery.

The culture may finally be catching up with the doctor.

But thats it for medical work.

This isnt to imply the doctor doesnt love his official day job.

Michael Salzhauer, aka Dr Miami, became famous for live-streaming plastic surgery procedures.

I have no idea, says one.

Id like to think so, says the other.

Considering how big he got on social, Im starting to get a little skeptical, says the third.

Dr Miami, aka Michael Salzhauer, has seen a decline in BBL surgeries in 2023.

He owns the building that houses his practice, and uses all five stories.

(Surgeons dont really retire, he says.)

I want to make people happy, he tells me more than once.

Youre absolutely right, there might be a little bit of hypocrisy here, Kathie Lee said.

Theyd only been speaking for a few minutes.

But Salzhauer said he lets his clients decide: Im not paternalistic.

If you show me a picture and you like this and it makes sense, I have no problem.

(When I ask about his own aesthetic preference in a womans body, he says my wife.)

The era of really, really, really fake may be dying out, though.

Its also the first year hes seen patients asking to make their butts smaller on a regular basis.

Youll see it in, I think, five years.

Hes played the Tiresias role before.

When Salzhauers live streams became national news fodder, initial criticisms came from other surgeons, he says.

But he was confident in his relationships with patients and had faith in the soundness of his approach.

Two of his children are married, and this year marked the coming of his first grandchild.

Hes practicing his Arabic and counting down those 8.8 years till semi-retirement with a custom-made monthly desk calendar.

Thats why he can afford to turn them into a joke.

Photographs by Mary Beth Koeth

Photo Director: Alex Pollack

SVP Creative: Karen Hibbert