Plastic surgeon Kavitha Ranganathan writes in a STAT opinion piece that she has changed how she thinks about the young men who seek her help. Instead of viewing them as shallow or excessively image-obsessed, she now sees them as responding rationally to an aesthetic system built around commercial gain.

The essay ties the growing number of young male patients to a broader cultural environment in which influencers and online communities rapidly spread physical ideals. Ranganathan points to forces like "lookmaxxing" and the visibility of male beauty content as part of the landscape that shapes her patients' expectations and requests.

She does not absolve that system of blame, but she also does not frame the men as passive victims. Her argument shifts the conversation from individual vanity to the incentives that push young men toward surgery, leaving the medical field to reckon with its role in that profit-driven ecosystem.