this is "nightline." >> tonight, explants. a poster woman of the manmade hourglass figure changing courcou course. >> they hand them to you when they take them out of you. i started sobbing. this is what my body has been carrying around, this literal weight. >> the surprising trend in plastic surgery, removals. >> i'm finding a lot of patients want to go more natural, which has been the trend. plus tone deaf. loss and hip-hop. >> violence, as american as apple pie. >> tupac, biggie, pop smoke, and

others. rappers gunned down in their prime. >> it didn't hit until i actually saw his body, which was a few days in. >> grief, trauma, and gun violence. >> these younger rappers, they passed so quickly, the shock value of that affects the human psyche. >> why so many are dying so ♪ lucky chargers. st. patrick's day celebrations across america. ♪ whenever heartburn strikes, get fast relief with tums. its time to love food back. ♪tum, tum tum tum, tums♪ when you find your reason to go on, let it pull you past the doubt. past the pain, and past your limits. no matter what, we go on. biofreeze

♪ thanks for joining us. tonight, we begin with the latest trend in plastic surgery, removals, known as explants. why so many women who once embraced the manmade hourglass figure are now opting out and going under the knife to have it all taken out. here's abc's zohreen shah. >> reporter: these days, cosmetic implants and enhancements are more popular than ever. but at least some people are having buyer's remorse. model and reality tv star blac chyna, known for her high-profile relationship with rob kardashian featured in the reality tv show "rob and china." >> i guess that's just the kardashian family. talk talk talk talk talk talk. >> reporter: one of the architects of the manmade

full-figured look looking to reverse it, getting what's known as explant surgery. >> i'm going to get my buttocks reduced, and also my breasts. honestly, i feel like i'm past that stage. i've been there, done that. >> reporter: taking her fans through her journey in a series of instagram diaries. >> so i'm hoping that this inspires women thinking about it, and if you are going to do it, do it the correct way, please. >> reporter: just the latest celebrity to talk frankly about explant surgery. other celebrities are doing the same, like rupaul's "drag race" judge michelle desauj featuring in a documentary called "explant." >> i'm posting this to give you some news. this is the last time you're going to see me with these. >> reporter: and celebrity model and cookbook author chrissy teigen writing on instagram, "i'm getting my boobs out. i like to be able to zip a dress

in my size, lay on my belly with pure comfort." joining in, nascar driver danica patrick and actress hayden panettiere. many taking to social media to share their experiences. >> there was always something blocking my heart. if i was with a guy, if i was hugging friends, i could never fully feel them because there was plastic in the way. >> i feel 1,000 times better. >> i'm so grateful. >> reporter: reality star clare crawley from abc's "bachelor" franchise -- >> will you accept this rose? >> reporter: -- has gone through the removal process herself. take me back to your breast augmentation. tell me why you decided to get it done in the first place? >> having small breasts, at the time, for me made me feel -- i guess not as feminine. it created this big insecurity in me. >> there were symptoms you were feeling? >> instantly. i started breaking out in rashes. over the next eight years, more symptoms started creeping in.

it got to the point where i was a shell of myself. >> reporter: in july of 2021, clare says her doctor told her that her body was having an immune reaction to her implants. that same month, she went in to have them removed. it's a weight off of your back? >> it really was. they hand them to you when they take them out of you. i started sobbing. and i was like, this is what my body has been carrying around. this literal weight. >> reporter: explant surgeries are on the rise. the american society of plastic surgeons sharing that in 2020, plastic surgeons removed more than 36,000 breast implant augmentations and almost an 8% increase from the previous year. while the number has grown, breast implant surgery is one of the top five cosmetic surgeries since 2006. celebrity plastic surgeon dr. gabriel chu has seen the explant trend firsthand. >> i would have to say a lot of people have followed suit, in

that maybe in the back of their head they were thinking, like, i've always thought about doing that. i'm finding a lot of patients want to go more natural, which has been the trend. >> what are the silhouette changes? >> the more natural look, rather than to be obvious. not everyone wants to have that cleavage and upper breast showing. you know, having a more natural slope is preferred now. so we've gone from implants that have been more perky and larger, to something that was kind of in the middle. and then down to a size that is much more natural. >> there are a lot of people who are still really happy with their implants. >> oh, absolutely. usually it's in the top three in surgery every given year. >> what are the reasons someone might want their breast implants removed? >> of course you have patients who actually have a reason to have it removed, or a complaint. but i find a lot of patients,

they're just in a different stage of life. and they want to go ahead, kind of feel more like their natural self, or move on, if you will, into their next phase of life, and it doesn't involve having this size of an implant. >> reporter: when black china announced the removal of her implants, she too claimed she was moving on with her life. >> life is coming up, you know what i'm saying? >> reporter: with elective procedures on the rise, some medical officials are helping patients process their surgeries not just in body, but in mind. >> if you live in a society that messages "bigger breasts are better," the human mind on its own sees the relationship in reverse. "smaller breasts are worse, smaller breasts are less." >> reporter: dr. amanda savage brown, who wrote a book about her own implant removal journey, now helps patients handle their own. >> i help them reconnect with their values that are in their

heart, deep down, under what society has prescribed to us. we will lose touch with what matters to us whenever we're so busy measuring up and keeping an external vigil and holding things in our hand, an instagram feed. >> reporter: for almost a decade, monica roman struggled to breathe deeply. it started after she first got her breast implants in 2013 at just 21 years old. >> seeing so many people on tv and on social media having implants, it just made it so normalized to the point where i wasn't thinking enough about it. wasn't thinking enough about my decision on putting them in. >> reporter: but as the years went on, monica felt her health worsening. >> one of the biggest issues was that i never felt like i could take a full, proper, deep breath. and along with that, i had this

feeling of an elephant sitting on my chest. >> reporter: around the same time, monica became more mindful of what went into her body. ultimately making changes to her lifestyle. >> i started eating mostly plant-based. i tried to avoid and limit chemicals as much as possible. i don't light candles. i try not to use any cleaners with any bleach or anything. once i started that, it kind of clicked for me that i had these two foreign objects inside of my body, just sitting on my chest. and pretty quick from that realization, i knew that i had to get them out. >> if somebody's at that part of her journey, what i encourage is for her to just be to the reality that breast implants are not lifetime devices. so inevitably, they will have to be replaced or removed. and to also be aware that they

are not problem-free devices. >> reporter: it is generally recommended that implants are removed or replaced every 10 to 15 years to prevent complications. the fda now tracking symptoms alleged to be associated with breast implant illness, also known as bii, adding that bii "is not recognized as a formal medical diagnosis, and there are no specific tests or recognized criteria to define or characterize it." after consulting with multiple doctors, monica finally got her implants removed in late 2021. >> all right, this is where i keep them. i keep them here in the closet. and i keep them in this tub that the surgeon actually gave them to me in. i look at them now, and i honestly cannot believe that they were in my body. i just feel like i look so much better. i feel like my natural body fits me just so much better.

and i'm much more confident now. >> reporter: monica is now reconnecting with her body one deep breath at a time. for clare and many others, the removal process has brought comfort with their physical appearance and themselves. >> a lot of women suffer in silence. and associate a negative connotation with speaking out about breast implants. and i get it. it's your body part, and it's -- you get them for a reason. because you're maybe uncomfortable with your body in the first place. but if you can empower yourself, like it empowered me to even say, why have them in the first place? that's what i need to fix. i feel more feminine now with them out than i ever did with them in. 100 times more. >> our thanks to zohreen. coming up, tone deaf. loss and hip-hop. the deaths of tupac and biggie

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♪ i'm here for- your annual eye exam. because i'm having trouble- reading? exactly. they sort of make me feel... like i'm the most fabulous thing you've ever seen? exactly. i'll take 'em. ♪ ♪ the violent deaths of rappers tupac shakur and the notorious b.i.g. among the biggest names in an alarming trend, rappers dying young, leaving behind a trail of grief and unfulfilled promise. hip-hop turns 50 this year. now middle-aged, perhaps, but the gun violence plaguing the industry is unrelenting. here's abc's mona kosar abdi.

>> reporter: police close off las vegas boulevard as tupac shakur is rushed to the hospital. >> violence, as american as apple pie. >> police say it was a large gun that was used, due to the size of the bullet holes. >> hip-hop reflects that. >> looks like a feud between the east and west coast. >> when tupac died, i couldn't believe it. i thought he was superman. >> he sold about 20 million albums, one of the defining artists of hardcore gangsta rap. >> we're still reeling from tupac's death, notorious shot and killed. >> it felt familiar. even though i didn't know big, i felt i knew him. when he passed, it was a sadness, you know what i'm saying? i definitely shed a tear. >> reporter: hip-hop fans will forever remember the '90s shootings of tupac and biggie, two whose influence on the culture would inspire generations to come. >> the deaths of big and tupac were the first prominent gun violence deaths in hip-hop.

>> hip-hop does not exist in a vacuum. there's all of this context. it's a part of this larger american culture and landscape. >> reporter: more than 25 years later, rappers often remain the victims of gun violence, leaving behind not only their music, but family members trying to make sense of their senseless deaths. a magazine report found since the deaths of tupac and biggie, more than 90 rappers have died from gun violence. many of those cases remain unsolved. >> i think it's really interesting with these younger rappers specifically, usually before they hit the age of 30, they've made pioneering influences in hip-hop take off. they pass so quickly, the shock value of that affects the human psyche. >> again, as happens every day in our neighborhoods, you know what i'm saying, countless, these nameless young men and young women. it's not a hip-hop problem. >> from the grieving standpoint,

a mother never gets over losing a child, ever, no matter how long. i think the longer it goes, the worse it gets. >> i thought i had a handle on it. i think for something like this, it's forever. >> reporter: audrey jackson's photo album holds some of her last personal med al memories w son before he died, a victim of gun violence. >> lesean jackson is my son. my son was loving. my son was challenging. my son was a seeker. >> reporter: pop smoke, son of audrey and greg jackson, known to the world as the voice behind platinum-selling hits like "welcome to the party." ♪ baby welcome to the party ♪ ♪ i hit your boy up then i go skating around ♪ >> reporter: the viral track "dior." ♪ because you're dior dior ♪

>> reporter: many praised him as the next big hip-hop star, the artist who would bring new york rap back to the forefront. but he'd never see 11 of his songs go platinum or accept his five billboard awards. >> i know there are better days. i just think -- just days, you know. maybe there are better days and something like that is the day when i feel it but it's not a loss, it's just a remembering. >> reporter: on february 19th, 2020, pop smoke died at just 20 years old. that same week, his mix tape debuted at number seven on the billboard 200 chart. can you tell me what the name pop smoke means to you? >> pop smoke. that's a persona. that's a persona that he created for one of the phases of his

life's work. that persona was always supposed to live. but that wasn't going to be the be-all, end-all of who he came here to be. so pop smoke is the artist. the sweet talker. sometimes i can't be pop smoke's mom. i'll always be rashad's mommy. >> reporter: it's a call audrey will never forget. the voice on the other line, shev, a rep from pop smoke's label. >> it didn't hit until i actually saw his body, which was a few days in. i intellectually understood. you know. intellectually, i understand it. that's still where i am. the rest of me doesn't. >> reporter: four suspects, including two minors, were charged with murder. >> i was never angry at that 14-year-old or the 17 or 16-year-old, i was never angry at them.

can't hate that little boy. >> why not? >> because his mom didn't raise him to go kill pop smoke. she was probably a mother having issues trying to raise a 14-year-old boy, wherever it is, just not being able to do it. >> this is america. this is not hip-hop. right? and that cannot continue to be the thing that we point the finger to. we need to have systemic change to change the communities that people are living in. and that is when we will see change in hip-hop culture itself. >> it's painful. it's annoying. it's sad. especially the young men that -- you know, that i've met. you're looking forward to the next conversation, because they hold a story, you know, of my son. so now they're gone. and when is it going to stop? >> our thanks to mona.

"tone deaf: loss and hip-hop" is now streaming on hulu. comingup, lucky charmers. st. patrick's day celebrations across the nation. ♪ ♪ moderate to severe eczema still disrupts my skin. despite treatment it disrupts my skin with itch. it disrupts my skin with rash. but now, i can disrupt eczema with rinvoq. rinvoq is not a steroid, topical, or injection. it's one pill, once a day. many taking rinvoq saw clear or almost-clear skin while some saw up to 100% clear skin. and, they felt dramatic and fast itch relief some as early as 2 days. that's rinvoq relief. rinvoq can lower your ability to fight infections, including tb. serious infections and blood clots, some fatal, cancers including lymphoma and skin cancer, death, heart attack, stroke, and tears in the stomach or intestines occurred. people 50 and older with at least one heart disease risk factor have higher risks.

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♪ finally tonight, a sea of green across america in honor of st. paddy's day. ♪ the irish pipesng wringewor st. patrick's day parade. ♪ a troupe of irish dancers did a jig for weary travelers at

chicago's o'hare airport. ♪ and these lucky charmers at mass general for children and bringing and women's hospitals austining their hats to the luck of the irish, warming hearts and delivering plenty of smiles. that's "nightline." you can watch full episodes on hulu. see you back here same time monday. thanks for staying up with us. good night, america. have a great st. paddy's day weekend.