The American Society of Plastic Surgeons wants to crack down.

Takethis doctor, for example.

On the webpage of New York Citys Cameo Surgery Center, hes Scott M. Blyer, MD.

He retains one additional key advantage that sets him apart from the rest: compassion, his bio states.

Dr. Blyer genuinely cares about each and every patient he touches.

But on Twitter, Instagram and Snapchat, hes Dr.Bfixin.

He loves his job, [his] patients, & being LIT!

He tweets at celebrities offering boob jobs and declares his enthusiasm for partying and 40s.

Can There Be Ethical Snapchatting During Surgery?

Currently, the society has no code for internet behavior.

The new standards would dictate that patients give informed consent about the use of footage from their surgeries.

Schierle says that plastic surgeons have long asked patients permission to document their procedures.

In some cases, this is for educational purposes.

In other cases, the use of images is promotional.

In a competitive field, cosmetic surgeons seek before and after photos displaying their work.

Schierle showed us a Snapchat image he said he saved from the account of Dr.BFixin.

Happy Mothers Day, it reads.

I dont think dr.bfixin is the baby daddy tho.

Blyer is white, while the emoji baby face on the lump hes holding is brown.

(Blyer did not return a call seeking comment.)

The proposed ethical guidelines have two general principles.

Every aspect in a video posted online should have some educational value, he says.

Part of our job is protecting 40-year-old you from 20-year-old you.

Also, the field has a celebrity vibe, he says.

The patients are often celebrities, so the doctors give a shot to appear as celebrities as well.

He has more than 83,000 followers on Twitter and 661,000 on Instagram.

Hetold Vanity Fairthat a peak of one million people tuned in on Snapchat to view one of his operations.

Schierle calls him patient zero of this phenomenon.

Despite this, Salzhauer says he read Schierles ethical recommendations and says he doesnt object.

If they come up for a vote, Ill vote for them, Salzhauer says from his Florida home.

The Dr. Miami Instagram account doesnt have the operating-room theatrics of that of Dr.Bfixing.

Salzhauerdoes dress his staff in elaborate theme costumes, such asthese from the movie Aladdin.

He also poses with recording artists and other Snapchat celebrity surgeons who come by his office.

The dancing hot dog is a very funny meme, Salzhauer says.

But his operating room videos tend be limited to operations.

They are quick and often contain a gross-out factor.

In one,he empties out the tissue in a cystas someone makes a gagging sound.

In a recent video, the dancing hotdog filter isimposed over a tummy tuck.

Ive never had a patient complain about any filter or bitmoji over the last three years.

He says the person under the knife in the video found the hot dog funny.

His is more what you see in the TV showMash, he says.

It attracts a certain clientele, because theyve seen what we do.

Its the ultimate in informed consent.