While his insults are crass and vulgar.  This comment about bleeding from plastic surgery is an insult about the plastic fakery of entertainment media, and not necessarily one of sexism.

If you stop pretending that trump is like any other president before him, and think back to the World Wresting days --- think of him attacking McMahon outside the ring, and you realize that trump just did Mika and Joe a huge favour and boosted their future ratings.

Whether intentional or not, Mika appears to be playing to script with her tweet on "cherrios made for little hands".    This is comedy genius if you can look past the history of how POTUS should talk.

This is the nature of american culture and entertainment, don't be shocked that the denizens of the motorsport, wresting, mixed martial arts,  reality TV are now holding the reins of power while DC super-elites face daily apoplexy over the indignity of having the great unwashed tormenting them incessantly.

This is America in all its glory.