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All In The Mind

Pretty privilege, surgery stigma and the cosmetic procedure paradox

25 Apr 2026

Transcription

Transcript generated automatically by AI and may contain errors.

Chapter 1: How are cosmetic procedures changing societal beauty standards?

0.031 - 11.703 David Maher

ABC Listen, podcasts, radio, news, music and more. I'm David Maher, host of Late Night Live on Radio National.

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11.723 - 14.427 Rose Kerr

Very suave, erudite kind of guy.

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14.668 - 21.439 David Maher

We're here to surprise, delight and maybe enrage you from time to time. We go where our curiosity leads.

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21.479 - 27.628 Sana Khadar

Let's talk crazy. Let's act crazy. Let's be crazy because then the enemy doesn't know what you're thinking.

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27.789 - 33.818 David Maher

Late Night Live, four new shows a week on ABC Listen or wherever you get your podcasts.

38.084 - 43.853 Sana Khadar

If you've been on social media at all recently, you might have noticed something unsettling.

44.093 - 50.563 Professor Gemma Sharp

We used to be able to differentiate people's ages a little bit more easily, and now it's quite homogenous.

51.685 - 69.956 Sana Khadar

From big-name celebrities to your friends from high school, people are looking increasingly ageless. They're smoother, they're a bit more plump, more perfect. You might have also heard the term Instagram face coined in 2019 to describe the homogenous beauty standards populating our online feeds.

70.757 - 78.03 Sana Khadar

Obviously, we've got access to filters and photo editing, but there is something else on the rise too, and that's cosmetic procedures.

Chapter 2: What psychological impacts do cosmetic procedures have on individuals?

454.132 - 469.142 Professor Gemma Sharp

Yeah, it's a thing. And I suppose if we think of our evolutionary roots, attractiveness came along with health and ability to reproduce. So we are hardwired to look for attractiveness.

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469.156 - 480.312 Rose Kerr

And it does kind of make you go, this is the world we live in and it's rooted in our evolution. Like, it's kind of fair enough that people would go, well, this is what I got to do.

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480.352 - 500.665 Professor Gemma Sharp

Exactly right. And I think, you know, and that's why the cosmetic industry is worth an absolute fortune. And even during times like the pandemic, it was an industry that was not hit. In fact, it actually flourished. So it shows that people will invest in this even in really difficult times.

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503.429 - 508.174 Rose Kerr

Part of Gemma's clinical work is seeing patients before they go ahead with a cosmetic procedure.

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508.495 - 526.715 Professor Gemma Sharp

So these are patients who are considering cosmetic procedures, but their surgeons, their cosmetic practitioners feel they may benefit from extra consultation with a clinical psychologist, mostly to discuss their motivations and their expected outcomes.

526.895 - 532.221 Rose Kerr

Through this work, she comes across a lot of different reasons why someone is seeking a particular treatment.

532.319 - 556.219 Professor Gemma Sharp

I will say that no two people's stories are the same. And I suppose one particular instance really sticks out to me because it was a male patient and they are a bit less frequent. And he was interested in a penile augmentation. And this was a non-surgical penile augmentation. So basically increasing the girth through filler.

556.379 - 569.304 Professor Gemma Sharp

He was referred to Gemma because he had recently gone through a breakup. And he was quite convinced that the reason for the breakdown was his penis size. And he thought that that would really... solve his relationship issues.

569.945 - 592.578 Professor Gemma Sharp

It was really clear with speaking with him that he had a sort of understanding that the cosmetic procedure really wasn't going to solve these relationship issues and that other pathways needed to be taken. And I was, I suppose I'm always remembering that one because it was just so clear that something else was going on and that the cosmetic procedure probably wouldn't have benefited him that much.

Chapter 3: How prevalent are cosmetic procedures in Australia?

1302.039 - 1303.982 Rose Kerr

How does all this content make you feel?

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1304.249 - 1321.465 Sana Khadar

Yeah, it definitely makes me feel like, can I be 50 and wrinkle-free? Because lots of these women who are actresses and models seem to be. It's a bit ridiculous, but it has made me newly obsessed with skincare, I'll say. Definitely with the retinol and the vitamin C serums and all that kind of stuff.

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1321.445 - 1339.01 Rose Kerr

Exactly. And it's not that far of a step to then picture someone going, I'll get the cosmetic procedure as well. I wanted to put this question to Professor Gemma Sharp. So I asked her if she thinks the popularity of cosmetic procedures has changed the way we think about ageing at a broader scale, at more of a societal level.

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1339.371 - 1369.839 Professor Gemma Sharp

So I think... When we look at the cosmetic surgery and cosmetic intervention statistics for the last, I suppose, 10, 20 years, there's this group, usually 35 to 50 year olds, who are the biggest consumers. And some would say that that is potentially when signs of aging start to kick in. And you'll hear people saying, well, I don't want to be discriminated against because of my age.

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1370.3 - 1397.469 Professor Gemma Sharp

I need to be able to keep up a job. I want to have access to certain relationships. And so you'll think, well, why wouldn't they go and seek cosmetic procedures in order to not look 35 to 50? I think what we have seen a bit more recently, though, is that younger people come in saying, well, I don't want to age at all. I want to remain looking 18. I want to prevent aging as much as I can.

1398.09 - 1406.582 Professor Gemma Sharp

So we're seeing this shift in a younger demographic seeking some of the same procedures that were usually only seen in 35 to 50-year-olds.

1406.562 - 1429.217 Professor Gemma Sharp

And so what it does seem to be doing is that we have this sort of, I suppose, 18 to 50 all getting the same procedures and all looking of a similar age, which is an incredibly weird time in society because we used to be able to differentiate people's ages a little bit more easily and now it's quite homogenous.

1429.698 - 1442.935 Dr. Sarah Burnell

I think I would best describe it as ageing is now... almost seen as a medical condition in the sense that it's no longer, I guess, appropriate to look old.

1443.578 - 1445.665 Rose Kerr

Here's Dr Sarah Burnell again.

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