• In his 40s, Jonathan Yang decided he wanted to get hot — and stopped feeling ashamed to say it.
• His paycheck funded hair transplants, a nose job, and GLP-1s, which he continued post-layoff.
• As his body changed, he said he felt more confident and also noticed that people treated him better.

This is an as-told-to essay based on a conversation with Jonathan Yang, who was laid off from Meta in late 2024 after more than three years on the office design team. The 43-year-old shares how his job, cosmetic procedures, and weight loss shaped his confidence. The following has been edited for brevity and clarity.

At Meta, I worked really hard. I had golden handcuffs. I did not prioritize my health. You go to Meta, and they call it the "Facebook 15." Well, it was probably more than 15 pounds because of all the food that's available and all the stress. So, I just really let myself go. I put in everything I could to keep the job.

One upside was that having a bigger paycheck allowed me to start exploring things that I'd always wanted to do — emotionally, physically, aesthetically. I could finally afford a $10,000 hair transplant.

I also got a nose job. I've also had another hair transplant. Looking good and feeling good, to me, are fundamentally tied together. That's for me, and not everybody needs that. A lot of people out there are very successful being their own person and not letting that get to them. I'm not that strong.

I just wanted to get hot

Doing these things started to change how I felt about myself. It started to take away some of the shame that I had around getting aesthetic treatments. Because, as a man, it's seen as superfluous, and it's frowned upon. Before that, I had done a lot of soul-searching, therapy, and all kinds of things.

I hired a trainer, and I felt good, but the change wasn't happening fast enough. Then GLP-1s came out. I'd been waiting for something like that. I finally got on them, and then the weight started to come off, and I just started to blossom.

Once I started seeing the results, I just wanted to get hot. I wanted, at 43, to finally feel confident enough to say that out loud without having any kind of qualms about it. I think working out is a segue for people to think about improving their lives emotionally — to talk about those things — and fitness is an acceptable way for men to kind of go into that.

At work, I would get up onstage and be much more confident. Before that, it wasn't a conscious thing where I knew why I was so meek. When I look back, I would be nervous. I wouldn't smile. On GLP-1s, I started to really change and show up differently at work, and I was getting promotions. I just felt like I had more command because I lost the weight. My coworkers and managers all treated me better.

Now I'm on a lower dose of GLP-1s. I have to pay for it myself now that I'm self-employed. That's not something I'm going to stop.

People look at me differently

After my layoff, my weight was something I could control. I had to build a new routine. My body needed it, too. I had sciatica, and I had all this nerve pain. It really was like my body broke. I had never felt something like that.

I became hyper-focused on wellness, keeping fit, and eating well. Losing weight gave me the confidence to share my story. It allowed me to shed any insecurity or cringe. We say that a lot, but it was like I'm at this point now where I've only got one life to live. I know what it tastes like now.

After all the changes I made, people looked at me differently. A thing that people don't really talk about is how, on the surface, it really is about looks. I would walk into a situation with this naive sense of, "Oh, they're not looking at my weight."

As soon as I started looking more conventionally attractive, I noticed that was the first thing people would comment on. I would meet people, and they would say, "Well, you obviously go to the gym a lot," or "Oh, look at those arms!" I was like, "Wow! We live in this world where we're told, 'Aesthetics don't really matter. People look at your character.' Unfortunately, it's not true. I wish it were.

Do you have a story about how your appearance has affected your work or career? Contact this reporter at tparadis@businessinsider.com.

• Danielle Fewings, founder of Get Clear Beauty, has invested in cosmetic treatments since she was 27.
• Fewings' journey with aesthetic procedures began with a breast reduction and includes Botox and filler.
• Her $150,000 investment in herself has supported both personal confidence and professional success.

This as-told-to essay is based on a conversation with Danielle Fewings, a 40-year-old entrepreneur from New York City. The following has been edited for length and clarity.

I started my career in digital marketing and ran my own agency from 2020 until 2025, when I sold it. I'm now the founder of Get Clear Beauty, an aesthetic treatment marketplace, which I started in 2026.

I've always felt like there was something missing from my appearance, as if someone much more confident was buried beneath it all. I got my first procedure done in 2013 and have had many since.

I don't regret any of them.

I'm the most treatment‑forward person in almost every room I'm in

In my broader New York circle, routine maintenance is completely normal. People are getting Botox and lip filler, and a few have had breast augmentations. Most are dipping in rather than going all in.

I'm honestly the most treatment-forward person in almost every room I'm in. In any given conversation, I'm the one who's had the most work done, which is a little wild when I think about it.

For most of the people I know, the max is Botox. Routine maintenance is common around me, but no one I'm close to has done anywhere near as much as I have.

My first major decision was my breast reduction at 27

I wore a 32G and desperately wanted them smaller. I call this my gateway surgery because it was honestly a very easy recovery, so I had this ease as the template, which gave me the confidence to keep pursuing additional treatments.

It made me more willing to put myself out there, both in dating and especially in showing up online to create content for my business, which matters enormously when you're building something. It shifted how I approach relationships, too, both friendships and romantic ones.

When you feel confident inside and out, you see yourself as more valuable, recognize your worth, and become more selective about who you let into your life. As I've felt better about myself, I've been more intentional about the relationships I keep close, and I see a direct correlation between the two.

I've never made decisions due to outside pressure

My choices have always been personal. I've never done any of this for another person or because of outside pressure. It has always been about putting my best self forward, and if that takes some tweaks and some money, I'm willing to do it.

I'm a very confident person — I just haven't accepted every imperfection. My upper blepharoplasty is a good example: most people would say I didn't need it, and they would be right, because no one needs any of these things. I wanted it. My eyelids felt heavy, and I chose to change that.

I'm fully committed to antiaging and the maintenance it requires. I go to my quarterly Botox appointments and my annual lip filler appointments, and I'll be ready for a facelift when that time comes. The idea that aging gracefully means avoiding treatments is absurd; aging gracefully is doing whatever feels good to you as an individual.

The cost breakdown

Because my first breast surgery was a reduction, I paid $6,000 out of pocket, and my insurance covered the rest. I had a full-body makeover in the Dominican Republic, which included a tummy tuck, skin tightening, and two further breast surgeries after major weight loss, costing around $12,000. I've also had liposuction, scar revision, an upper blepharoplasty, Sculptra and filler, a Morpheus8 treatment on my legs, tattoo removal, lip blushing, microblading and shading, Invisalign, and teeth whitening. These procedures have cost about $50,000 in total.

The maintenance I keep up with regularly includes manicures and pedicures, which I have gotten every two weeks for the past 10 years; lash extensions, which I have gotten every three weeks for about 15 years; Botox; more filler; peels and lasers; tanning; and haircuts. The recurring maintenance has cost about $105,000 over time.

What struck me is that the one-time procedures come to about $50,000, but the quiet, recurring maintenance is over $100,000. The costs nobody tracks are the ones that add up the most. That is exactly why I built Get Clear Beauty.

Each procedure served a purpose

My whole philosophy has been doing high-maintenance things to stay low-maintenance. The lashes, manicures and pedicures, lip blushing, and microblading are all upkeep that let me feel put-together with minimal effort, and because of them, I barely wear makeup, so some of that cost is a trade-off.

The bigger procedures came from real changes in my body. My weight has gone up and down for years, and that has driven a lot of it. The Morpheus8 on my legs was for skin laxity, because I'm not ready for a leg lift and probably don't need one. I've had three breast surgeries total.

I'd never do CoolSculpting, and I'd never have a nose job. I don't think CoolSculpting is cost-effective, and I've grown to love my nose.

My appearance impacts confidence, and confidence impacts business

When you're on 15 Zooms a week and constantly recording content to win business, looking and feeling your best matters.

Appearance affects business outcomes, but for me, it works through confidence. When I feel good about how I'm showing up, I represent my company more powerfully and carry my knowledge into the room in a way that lands.

I love how I look. 10 years ago, I never thought looking this way was achievable, and it's the result of a GLP-1 medication, surgeries, and really taking my appearance by the horns. I'm in a genuinely happy place with it.

• For decades, Accutane has been a drug of last resort for persistent acne.
• A founder who designed a new platform to streamline regulatory red tape is changing access.
• People are microdosing Accutane and reporting fewer side effects. Dermatologists have mixed views.

In the dermatology world, Accutane has a reputation as the nuclear option for bad acne.

It's the only drug that can shrink oil glands, potentially clearing pimples for good. But it comes with serious risks — primarily: a high rate of birth defects if you take it and become pregnant. Other side effects include sun sensitivity, high cholesterol, mood changes, and joint pain.

Parents are scared to put their teens on it. Dermatologists often reserve it for stubborn acne, after other creams, cleansers, antibiotics, and pills have been exhausted. And strict pregnancy-prevention rules mean monthly check-ins, tests, and blood work.

But in recent years, some of the stigma around the retinoid drug, generically called isotretinoin, has started to fade, as people have gravitated to a smaller, more strategic "Hollywood dose" of Accutane. By taking small amounts of the drug, maybe just a few days per week, many patients find they can maintain a dewy, glass-like complexion on camera while avoiding painful side effects like ultra dry skin, and the initial acne breakout purge that comes with heftier prescriptions.

"I love the Accutane glow-up," Honeydew dermatology founder David Futoran, 29, said. For him, it includes hair that's less oily, and baby-soft cheeks.

Futoran is partly responsible for turning Accutane from a maligned prescription of last resort into a buzzy internet sensation. He's found new ways to streamline and digitize paperwork, turning most of the required monthly doctor's office visits and testing for the drug into something people can do at home. Honeydew is now growing 3x year over year, Futoran said, and interest in low-dose prescriptions is increasing.

Dermatologists are divided on the trend of microdosed Accutane. Yes, it is a very effective drug, and it can clear up most breakouts. But there are tradeoffs to taking an intermittent or low-dose approach, and some doctors say why bother dancing around side effects when you could get on and off the potent drug in months, and have clear skin for life?

Founder mode for skin

Futoran founded Honeydew in 2022 after spending years on various antibiotics and multi-step cleansing and cream routines, with his acne constantly coming back.

His vision was to make prescription acne care faster and more accessible. He partnered with his longtime dermatologist, Dr. Joel Spitz, to build a telemedicine platform connecting patients with providers and treatments for acne, rosacea, eczema, and psoriasis.

Yet Futoran was still hesitant to take Accutane himself, partly because of the logistical headaches.

One morning, he said, he woke up with a large, painful cyst in the middle of his forehead. That was it, he said — he decided he was finally going on the low-dose form of Accutane his company had been prescribing.

"I should have done that from the start," he said. "My skin is way less irritated than it ever was on any of the topicals, and I just have peace because I know it works."

Accutane works because it shrinks oil glands by turning down sebum production. It triggers the death of some stem cells, which is great for clearing up overactive oil-producing glands, but very bad for developing fetuses.

In addition to making regulatory compliance digital, Honeydew offers specially formulated lip balms, cleansers, antihistamines and supplements like Omega-3 designed to replace lost oil.

Bringing a celebrity skin trick to the masses

Celebrities including Chris Pine, Pete Davidson, Emma Stone, and Kendall Jenner have all been open about using this powerful oral retinoid to help clear up persistent acne. The shadow business of microdosing Accutane, though, using it as a glow up drug even for minor, isolated breakouts, happens more through a whisper system between doctors and patients.

26-year-old marketing manager and social media influencer Kennedy Faris started microdosing Accutane with Honeydew in the spring. About a decade ago, she watched her little brother suffer some of the rarer mental health side effects of Accutane, and she was worried about the possibility the drug could lead to depression.

"My brother's a very happy person, so it was really scary," Faris told Business Insider. "I was really hesitant about starting."

After struggling to get a prescription from an in-person dermatologist, Faris heard about Honeydew from a follower and partnered with the brand. She started on a low dose of 10 milligrams, working her way up to a standard 40 mg dose over the course of a few months.

After years of trying different skincare products, antibiotics, and medications, she feels like she's finally found a more permanent solution to cystic acne. There are drawbacks to being on the drug, she said, including sensitivity to alcohol, sunlight, and some nightmares. But the real benefit has been her renewed confidence, optimism, and joy, with friends noticing she's "more bubbly and happy," she said. "I was like, 'wow, I was kind of depressed.'"

Because the drug shrinks pores, Faris has also noticed her face and nose appear slimmer.

"Everyone talks about the fake nose job," she said.

Some patients recovering from real nose jobs even use the drug to lower surgery-related inflammation and shrink pores on the nose while their face heals. As testosterone therapy booms, more men are taking Accutane to deal with oilier skin. And increasingly, patients are lining up for low-dose Accutane for minor breakouts, just to be in the clear. People are gravitating to skin treatments that will give them the edge at work and on screen, Spitz said.

"Everyone's on Zoom or Google Meets or they're on TikTok or they're on Insta, and they want to look good," he added.

The potential drawbacks of microdosing

Some doctors worry that microdosing Accutane could lead to more health complications if people stay on the medication for years at a time.

"In my practice, I just basically put people on the standard dose and then they're done at five months, and then they feel much better, Dr. Ariel Ostad, a dermatologist in Manhattan who is not affiliated with Honeydew, said. "Patients, once they go on it, their skin clears up really quickly, and they're happy, and they realize it's not as bad as they thought."

A shorter treatment course means less time worrying about drug interactions, liver or heart health, pregnancy, sun sensitivity, or bone issues.

Futoran said traditional dosing can be "absolutely the right answer for some patients," and roughly 40% of Honeydew prescriptions are at standard dosages. Still, he cites studies showing patient satisfaction is higher with low-dose Accutane, and said Honeydew patients on smaller dosages have "materially better retention."

"The best clinical outcome is when patients complete their course, but faster is not always better," he said.