From Instagram-friendly veneers and Facetune facelifts to Kylie-esque lip fillers and facial surgeries that transform incels into good-looking “Chads,” the internet is driving the young and connected to go under the knife. Now, high-profile YouTubers are completing the feedback loop by broadcasting their surgeries—at times in graphic detail.

In the tireless pursuit for a greater connection with fans, a surgical procedure is one of the last frontiers of extreme online intimacy.