Imagine smiling for a living—literally, that’s your job—and then having a cosmetic procedure leave you in chronic pain every time you do it. That’s the reality Queer Eye star Karamo Brown has been quietly living with since 2021, a struggle he’s finally decided to share publicly after years of staying silent.
Brown underwent buccal fat removal in 2021 following a 70-pound weight gain during the pandemic. What should have been a straightforward cosmetic procedure turned into a nightmare when scar tissue formed and blocked his saliva glands, creating a painful buildup that made smiling—his literal calling card on television—a genuine source of physical discomfort. His cheeks would swell with saliva and scar tissue, compounding the problem during the taping of his now-canceled daytime talk show that launched in 2022.
The silence speaks volumes. Brown didn’t pursue legal action against the doctor who performed the original procedure. He stayed quiet, embarrassed, keeping the pain private while continuing to show up on camera with that trademark Karamo smile. That’s the kind of pressure celebrities face—not just the physical aftermath of a bad procedure, but the burden of having to hide it from the world and from themselves.
The good news is that he’s since had corrective surgery to remove the scar tissue and repair the damage. He also opted for a lower blepharoplasty while addressing the original issue. But here’s what’s worth sitting with: he went through years of avoidable suffering before deciding to speak up. Opening up now, at a time when his professional landscape has shifted with the final season of Queer Eye behind him, suggests that sometimes healing requires honesty—and sometimes that honesty only becomes possible once the spotlight dims just slightly.
It’s a reminder that behind the polished appearances and camera-ready moments, real people navigate real complications. And maybe, just maybe, talking about the messy parts makes them a little less lonely to carry.
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Local Lawton
Local Lawton is a contributor to LocalBeat, covering local news and community stories.