Why do trans women still feel forced to choose between authenticity and safety in 2025?

Dr. Anna Chacon welcomes Rajee Narinesingh, a multiracial transgender woman of color who transformed life-threatening trauma into global advocacy. After suffering severe disfigurement from black market cosmetic injections—what she describes as a "rite of passage" many trans women feel pressured into—Rajee emerged as a fierce voice for awareness and healing. Her journey illuminates the devastating intersection of limited healthcare access, societal invisibility, and the pursuit of authenticity. How do we create a world where matching your outer appearance with your inner truth doesn't require risking your life?

This deeply moving conversation explores far more than cosmetic complications. Dr. Chacon and Rajee discuss the systemic barriers that push vulnerable populations toward dangerous decisions, the emotional toll of living visibly trans in an unaccepting world, and the remarkable power of vulnerability. From the psychology of trust in patient-physician relationships to Rajee's decision to forgive rather than press charges, the episode reveals how healing means not just survival, but service. Rajee reminds us that real beauty radiates from within—and that sometimes, the most broken parts of our story give us the power to make the biggest impact.

In This Episode:

• (00:00) Rajee's multiracial background and journey to South Florida
• (04:56) The reality of limited healthcare resources for transgender patients
• (07:28) When cosmetic procedures become a matter of authenticity and safety
• (15:30) The initial reaction and realizing something went terribly wrong
• (24:45) Building trust between physicians and cosmetic procedure patients
• (32:15) The long surgical journey to correct the damage
• (42:33) Why Rajee chose not to press charges and the power of forgiveness
• (47:16) Transforming trauma into advocacy and powerful community work
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About the show: Welcome to Skin Deep, a podcast designed for dermatology professionals. Host Dr. Anna Chacon, a distinguished dermatologist and author, shares her unique experiences and offers valuable insights on the future of dermatology, including telemedicine and teledermatology in reaching underserved communities. Dr. Chacon provides actionable recommendations for dermatology practices, emphasizing compassion, patient education, and staying current with advancements in the field.

About the host: Dr. Anna Chacon, board-certified dermatologist and founder of Indigenous Dermatology, specializes in treating patients in remote and rural communities. As the first dermatologist serving Alaska's Bush region, she travels by bush plane to reach isolated communities. Dr. Chacon holds medical licenses in all 50 states, DC, Guam, and the U.S. Virgin Islands, providing both in-person and teledermatology services.

Reso...

• (00:00:00) - Dr. Ana Chacon on Trans Dr. Ana
• (00:08:12) - Transgender Woman Gets Facial Fillers Undergone in China
• (00:13:26) - Dr. John Martin on sexual orientation issues
• (00:17:14) - What is the YES Foundation?
• (00:20:49) - Did Dr. Martin and the Doctors on Botched Help You?
• (00:28:25) - The Real Dr. Nass on 'Botox'
• (00:35:24) - After the Botch, Do You Still Have Any Reaction?
• (00:39:30) - Dr. Martin Reveals What Was Even In My Face
• (00:45:17) - The Real Deal About Trans Dr. Raji