The video shows a man in a suit and tie standing in front of a cityscape background. He is speaking to the camera and appears to be addressing someone named Dave. The man is wearing glasses and has white hair. The background is a nighttime cityscape with buildings and lights. The video has a blue banner at the top with yellow text that reads \"THINGS I'VE ALWAYS WANTED TO SAY TO DAVE\". As the man speaks, subtitles appear at the bottom of the screen, providing a transcript of what he is saying. The subtitles read, \"YOUR EXTENSIVE PLASTIC SURGERY WAS A NECESSITY AND A MISTAKE\".