Celebrities Are Getting Real About Their Health Issues Stemming From Butt Injections

The first time I saw the video for TLC's "Unpretty", I watched it repeatedly. It resonated with me because it was the narrative so deeply embedded in my black girl psyche. I, like many other women, have struggled with maintaining a positive self-image, inspiring a culture that encourages dangerous surgeries that require painful recoveries.
Cardi B, who credits her rise to the top to her investment in her image, recently told GQ that she decided to get butt injections four years ago after developing an insecurity fueled by her personal and professional lives. The risky black market operation, which left her dizzy and in tremendous pain, was performed by a shadetree surgeon. Cardi's painful experience is a reality that is increasingly relevant to women of color in this day and age.
It's the same reality that celebs like K. Michelle and Jenelle Salazar Butler (popularly known as Get Bodied By J) are also opening up about. These women are speaking their truths about the societal pressures that drove them to seek physical augmentations, a dangerous trend made extremely popular among women of color in the entertainment industry over the last decade. The celebrities' recent admissions shed light on an industry that exploits black bodies and employs a deadly insecurity among black women.
Society has spoken, and big booties are the wave.
This fact leaves many women of color in the limelight to compare and question their natural bodies, especially when their shapes don't reflect the "ideal black body type." This deadly insecurity has caused more and more women to seek alternative methods of reaching their beauty goals, including detox tea, waist trainers, and one of the latest trends, minimally invasive cosmetic surgery.
In 2016, the American Society of Plastic Surgeons announced that butt implants were the fastest growing type of plastic surgery and can cost upwards of $10,000, causing many women who cannot afford the procedure to seek out back alley operations that consist of placing silicone in their butts or other materials like hydrogel or bi-polymer. And while the result can present women with the asses that they're after, K. Michelle might be a glimpse of the host of complications that Instagram bodies can come with.
Last year, K. Michelle opened up on The Real about how her trouble with men led her to develop a negative self-image that she felt she could resolve with cosmetic surgery.
"I had a big ass. I already had one. I was insecure. I was like, 'I want a big ass, I want some titties, I want some teeth. This is what I wanna do.'"
The R&B singer continued on to discuss the pain she felt after the cosmetic surgery as a result of her body rejecting the injections. She said that over time, the surgeries began to affect her overall health, causing her to be extremely fatigued.
She explained that she began aching to a point where she could no longer walk and decided that it was time for a change.
"I just did it. It felt good. It was a temporary bandage on some issues with me, and it felt good at the moment. Now I just want to be me, who my mama made me."
Last year, she announced her decision to have her butt injections removed, but the process has not been easy. A tearful K. Michelle recently went live on Instagram during a blood transfusion in an effort to document her recovery. In the live video the Love and Hip Hop alum said tearfully:
"I've been sick. I'm doing better. So I love y'all, so much. It's been so rough. I've had blood transfusions, everything. It's been a really rough week. But I thank y'all for everything. I'm ok. I'm crying because I'm happy. I'm not crying because I'm sad. It's been so painful. It's been a lot. So I just thank God that I made it out on the other side."
Although she had undergone surgery in January to remove her butt implants, K had undergone complications despite her initiative to take the necessary steps to get her health and her body back right. In a lengthy Instagram post, she got transparent about just how traumatic her journey to getting her body back has been:
"January 12, I started a journey to correct a mistake I did over 6 years ago. The first surgery went well, so we thought, until my body started to shut down while I was on tour. For 26 cities, I was on steroids to walk and keep down infection, causing me to get off stage and be rushed to ER over 4 times and then the next day back on stage. I later found out the silicone had spread and I would be rushed back into surgery."
"Last Wednesday, I entered surgery barely functioning with my legs and an infection. The surgery to remove all of this from me lasted a long 6 hours. The following days were spent with paramedics until they realized my blood count was severely low and I was rushed into [the] ER where I was admitted. 2 blood transfusions later, I've been released and started therapy today [to] heal and walk. I have the most skilled and amazing reconstructive surgeon in Beverly Hills and I'm blessed to be here. It hurts my heart to know there are girls out here who can't afford to have the best and are just sitting around in pain and infection. I thought I was strong but this changed my life. I saw my life flash right in front of me."
"Rough" is an understatement and her journey is only a glimpse of what the reality of her and women like her have and will go through as a result of a decision based on a temporary fad.
It takes so much bravery to publicly confront the consequences of ripping the bandaid off of the insecurities that make us feel so damn unpretty. Fitness guru and self-love advocate Get Bodied by J has also opened up about her painful recovery process after having her butt injections removed in attempt to educate others. In one of her videos she said:
"If I had self-love in 2010, I would have never done this."
Both celebrities have been extremely candid throughout their healing processes and hope to prevent other women from making the decision that led to this ultra painful period in their life. K. Michelle said in an interview with Steve Harvey:
"Everybody was doing it. A lot of your favorite artists, we went to the same person. They're sick too, but I just talk about mine. I don't lie to y'all. I don't tell y'all, 'Oh, this is great!' It'll catch up. So I said, if I can show them my body, and what I did, I can also show them the outcome and the consequences of it. So I've been very open about it."
K. Michelle mentioned how easy it is to get swept up in following beauty trends, no matter what the cost, even if they happen to be deadly. Women like Get Bodied by J and K. Michelle have chosen to share their experiences to inspire positive self-image in other women and to remind them that nothing about them has to be artificial for them to be beautiful.
For generations, society has imposed their standards of beauty to exploit black bodies: beginning with women like Sarah Baartman. These standards have driven women of color to extraordinary lengths to reach unrealistic #BodyGoals. As women, we have to make the decision to save ourselves from ourselves, refute these ideals, and develop beauty standards based on our natural bodies.
Self-love is imperative to healing as a culture.
Featured image via The Real/FOX
Because We Are Still IT, Girl: It Girl 100 Returns
Last year, when our xoNecole team dropped our inaugural It Girl 100 honoree list, the world felt, ahem, a bit brighter.
It was March 2024, and we still had a Black woman as the Vice President of the United States. DEI rollbacks weren’t being tossed around like confetti. And more than 300,000 Black women were still gainfully employed in the workforce.
Though that was just nineteen months ago, things were different. Perhaps the world then felt more receptive to our light as Black women.
At the time, we launched It Girl 100 to spotlight the huge motion we were making as dope, GenZennial Black women leaving our mark on culture. The girls were on the rise, flourishing, drinking their water, minding their business, leading companies, and learning to do it all softly, in rest. We wanted to celebrate that momentum—because we love that for us.
So, we handpicked one hundred It Girls who embody that palpable It Factor moving through us as young Black women, the kind of motion lighting up the world both IRL and across the internet.
It Girl 100 became xoNecole’s most successful program, with the hashtag organically reaching more than forty million impressions on Instagram in just twenty-four hours. Yes, it caught on like wildfire because we celebrated some of the most brilliant and influential GenZennial women of color setting trends and shaping culture. But more than that, it resonated because the women we celebrated felt seen.
Many were already known in their industries for keeping this generation fly and lit, but rarely received recognition or flowers. It Girl 100 became a safe space to be uplifted, and for us as Black women to bask in what felt like an era of our brilliance, beauty, and boundless influence on full display.
And then, almost overnight, it was as if the rug was pulled from under us as Black women, as the It Girls of the world.
Our much-needed, much-deserved season of ease and soft living quickly metamorphosed into a time of self-preservation and survival. Our motion and economic progression seemed strategically slowed, our light under siege.
The air feels heavier now. The headlines colder. Our Black girl magic is being picked apart and politicized for simply existing.
With that climate shift, as we prepare to launch our second annual It Girl 100 honoree list, our team has had to dig deep on the purpose and intention behind this year’s list. Knowing the spirit of It Girl 100 is about motion, sauce, strides, and progression, how do we celebrate amid uncertainty and collective grief when the juice feels like it is being squeezed out of us?
As we wrestled with that question, we were reminded that this tension isn’t new. Black women have always had to find joy in the midst of struggle, to create light even in the darkest corners. We have carried the weight of scrutiny for generations, expected to be strong, to serve, to smile through the sting. But this moment feels different. It feels deeply personal.
We are living at the intersection of liberation and backlash. We are learning to take off our capes, to say no when we are tired, to embrace softness without apology.
And somehow, the world has found new ways to punish us for it.

In lifestyle, women like Kayla Nicole and Ayesha Curry have been ridiculed for daring to choose themselves. Tracee Ellis Ross was labeled bitter for speaking her truth about love. Meghan Markle, still, cannot breathe without critique.
In politics, Kamala Harris, Letitia James, and Jasmine Crockett are dragged through the mud for standing tall in rooms not built for them.
In sports, Angel Reese, Coco Gauff, and Taylor Townsend have been reminded that even excellence will not shield you from racism or judgment.

In business, visionaries like Diarrha N’Diaye-Mbaye and Melissa Butler are fighting to keep their dreams alive in an economy that too often forgets us first.
Even our icons, Beyoncé, Serena, and SZA, have faced criticism simply for evolving beyond the boxes society tried to keep them in.
From everyday women to cultural phenoms, the pattern is the same. Our light is being tested.

And yet, somehow, through it all, we are still showing up as that girl, and that deserves to be celebrated.
Because while the world debates our worth, we keep raising our value. And that proof is all around us.
This year alone, Naomi Osaka returned from motherhood and mental health challenges to reach the semifinals of the US Open. A’ja Wilson claimed another MVP, reminding us that beauty and dominance can coexist. Brandy and Monica are snatching our edges on tour. Kahlana Barfield Brown sold out her new line in the face of a retailer that had been canceled. And Melissa Butler’s company, The Lip Bar, is projecting a forty percent surge in sales.

We are no longer defining strength by how much pain we can endure. We are defining it by the unbreakable light we continue to radiate.
We are the women walking our daily steps and also continuing to run solid businesses. We are growing in love, taking solo trips, laughing until it hurts, raising babies and ideas, drinking our green juice, and praying our peace back into existence.
We are rediscovering the joy of rest and realizing that softness is not weakness, it is strategy.
And through it all, we continue to lift one another. Emma Grede is creating seats at the table. Valeisha Butterfield has started a fund for jobless Black women. Arian Simone is leading in media with fearless conviction. We are pouring into each other in ways the world rarely sees but always feels.

So yes, we are in the midst of societal warfare. Yes, we are being tested. Yes, we are facing economic strain, political targeting, and public scrutiny. But even war cannot dim a light that is divinely ours.
And we are still shining.
And we are still softening.
And we are still creating.
And we are still It.

That is the quiet magic of Black womanhood, our ability to hold both truth and triumph in the same breath, to say yes, and to life’s contradictions.
It is no coincidence that this year, as SheaMoisture embraces the message “Yes, And,” they stand beside us as partners in celebrating this class of It Girls. Because that phrase, those two simple words, capture the very essence of this moment.
Yes, we are tired. And we are still rising.
Yes, we are questioned. And we are the answer.
Yes, we are bruised. And we are still beautiful.

This year’s It Girl 100 is more than a list. It is a love letter to every Black woman who dares to live out loud in a world that would rather she whisper. This year’s class is living proof of “Yes, And,” women who are finding ways to thrive and to heal, to build and to rest, to lead and to love, all at once.
It is proof that our joy is not naive, our success not accidental. It is the reminder that our light has never needed permission.
So without further ado, we celebrate the It Girl 100 Class of 2025–2026.
We celebrate the millions of us who keep doing it with grace, grit, and glory.
Because despite it all, we still shine.
Because we are still her.
Because we are still IT, girl.
Meet all 100 women shaping culture in the It Girl 100 Class of 2025. View the complete list of honorees here.
Featured image by xoStaff
How Les Alfred & Kayla Greaves Built Their "It Girl" Brands With Intention
It’s not always easy being an “It Girl,” but Les Alfred, host of She’s So Lucky podcast, and Kayla Greaves, beauty expert, reporter and consultant, never promised it would be. Instead, the two creators are forging their own paths based on resilience. Les originally launched her podcast, formerly Balanced Black Girl, from her bedroom in Seattle after creating fitness content elsewhere online.
Last year, she left her corporate job to scale the Dear Media-hosted series, which she rebranded earlier this year. Meanwhile, Kayla has worked as a journalist and editor, including for InStyle as Executive Beauty Editor. In 2023, she left the company to focus on consulting, hosting and speaking engagements.
Despite launching media careers from different pathways, the two New York-based women have forged a friendship where they can discuss their ambitions and challenges.
Both women are part of xoNecole’s It Girl 100 Class of 2025, recognized in the Viral Voices category for the impact they’ve made through storytelling, creativity, and authenticity. Together, they represent what it means to build an "It Girl" brand with integrity and depth. In the spirit of SheaMoisture’s "Yes, And" ethos, Les and Kayla embody the freedom to be multi-layered as women evolving boldly into every version of themselves.
This conversation has been condensed and lightly edited for clarity
On Forging Their Own Paths
Les Alfred: Being a Jane of all trades is incredibly challenging. And one of the challenges I've faced is that the scope of what podcasters now need to do has increased so much. When I first interviewed you in 2019, I was still very new at it, but I remember being on a Skype call with you from my bedroom in Seattle. That was how I ran the show. And that was good enough. That is absolutely not good enough these days. The scope and the quality keeps increasing, but the resources that you have don't necessarily increase in order to remain competitive.
I get asked so many questions from people who want to get into podcasts and they want to get started. Most of the time, I'm just like, 'I don't have tips for you.' Because, one, I don't know what it's like to start in this current environment. Two, I know what it takes to contend and be consistent in this environment. The barrier of entry is a lot higher in terms of having something of quality than it was before.
On Balancing Ambition and Rest
Kayla Greaves: I've had to make a very clear effort to slow down and just not take on as much. Yes, you're running a business, but you're also living your life. I had one of those days yesterday. I just laid down and listened to white noise for hours because I just needed my brain to just be clear. I called a friend. I cried.
I'm starting over again today. The sun is out. It's a new day. And that's just sometimes what you have to do. You can't show up for your audience or for other people, if you can't show for yourself. I think that creativity comes from a place of living your life and having genuine experiences, and then sharing those experiences through your art.
"I had to give myself permission to let myself grow publicly in ways that I'd already done personally."

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On Evolving Through Growth and Rebranding
Les: I didn't create Balanced Black Girl until 2018, but I started blogging and creating content and doing things under the Balanced brand in 2014. I was 24 years old at the time. Now, I'm 36. The things that were important to me, the perspective that I had and the stories I wanted to tell were entirely different. I think I had to give myself permission to let myself grow publicly in ways that I'd already done personally. The show isn't really about wellness anymore. And that shift started happening a couple of years ago.
When we started expanding into more lifestyle topics, more self-help topics [and] talking about entrepreneurship, the audience responded really well. That was when the show really started to grow and take off. And that was what got so much more engagement than the episodes back in 2020 when I was doing hour-long deep dives on gut health.
Rebranding the show was something I've been thinking about for a long time. When I was finally like, 'Oh, I need to do this,' honestly, was the 2024 presidential election. I was like, these people are about to be in here acting crazy. I do not feel safe with my business name being what it is. I don't want to be targeted for any BS. We saw what they did to the Fearless Fund.
"You have to balance your integrity with your income."

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On Integrity Over Income
Kayla: I have many other interests aside from beauty. I'm growing and I'm changing as a person. I'm not the same person I was when I started at InStyle in 2019 before the pandemic rocked everybody's world. I don't think reviewing every single lipstick that comes out is exciting or interesting, because everybody does it now, and everybody feels like they're qualified to speak on things that they're not qualified to speak on. I'm currently in that pain point of growth.
I don't think I have always been in environments where I've been encouraged to branch out on my own ideas. I finished Ina Garten’s memoir maybe a month ago. She kept repeating this quote in her book. She said, ‘What goes in early, goes in deep.’ Now that I'm on my own and I don't have the resources of a traditional media company, which is what I have become accustomed to, sometimes it's difficult for me to be like, 'Okay, just go ahead with the thing.'
I think, Les, just the other day, you reposted somebody saying that they let go of a five-figure deal and then got double the next day because it just didn't feel aligned for them. Those are the things that happen. I have to find a balance of, 'Okay, how do I keep myself afloat?' And that may mean I may not be balling out of control just yet, but I'm okay for now. I can buy myself nice things every once in a while, but you have to balance your integrity with your income.
Les: There are just certain lines that I'm not willing to cross. Especially when I created more wellness content, one of those lines was I will not promote any sort of weight loss product. All of these GLP-1s all want to advertise on my podcast. I actually have nothing against those types of products, but I don't ever want someone to look at what I'm putting into the world and think that I'm saying that they need to feel a certain way about their bodies.
Even if the money is great, that's not for me to say, and that's not the type of message that I want to put out here. Or, I had another kind of brand deal come through that would have required me to divulge things about my personal life that I just don't really want my audience knowing about me, and bringing them along on journeys that I just find personal and I want to keep offline. I don’t want to be known for dragging my mess all over the internet for a buck.
I don't want to be known for being an influencer. I would love to be 1,000% in on my podcast, scale it, have it grow to be a media empire where I'm producing and putting out other bodies of work. For now, until that other side of the business really picks up and gets to the point where I want it to be, I kind of need to play the influencer game a little bit to live in this expensive city. But I'm gonna do it on my terms. It's a constant compromise that I'm coming to with myself.
"You can never make a big vision come to fruition if you're sitting and you're waiting for somebody else to tell you exactly what to do."

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On Mutual Admiration and Friendship
Les: Something that I really admire about you in having known you for the past couple of years is you don't wait for a roadmap. You jump in, you roll up your sleeves, and you do it. You can never make a big vision come to fruition if you're sitting and you're waiting for somebody else to tell you exactly what to do.
Kayla: Well, first of all, I want to say thank you for saying that, because that means so much to me, and it's very affirming. That's exactly how I feel about you. I remember, even at your first live show, you're like, ‘Oh my god, I'm so stressed. I don't know what I'm doing.’ And, the shit sold out. And, you know, and now, like, you see the growth of the podcast. And you have nearly 61,000 subscribers on YouTube. I just checked recently.
I talk a lot about people that really just need to not say anything on the internet, because it's so frustrating as somebody who grew up as a traditional journalist. You want people to fact check and ask thoughtful questions and have good conversations. I've never said that about you. I've always loved your podcast. And I've sent a lot of your episodes to friends when they're going through specific things that you're talking about.
This season has been a little bit slower to me, so you've been a constant source of inspiration, and it's just been such a pleasure to see your podcast grow despite the challenges you've had. I know it's not easy, but you continue to grow and continue to push through, and I really admire that as somebody who sat and cried yesterday and listened to white noise.
And this is why I tell you all the time, you really do inspire me. I love you a lot.
Les: Oh my gosh, I love you a lot. I'm so glad that the podcast brought us together.
Tap into the full It Girl 100 Class of 2025 and meet all the women changing game this year and beyond. See the full list here.
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