Original subtitles

I got done dirty in the Dominican Republic.

I came back to the United States,

immediately went to the hospital.

Paul and I are looking back at our top dozen patients

that traveled abroad and ended up

with a surgical disaster.

We go into the surgery, and as soon as I woke up,

I had dead skin. ‐ [ groans ]

‐ I decided to go to Peru. ‐ Mexico.

‐ Ecuador. ‐ I got a visa,

jumped on a plane, and went to Iran.

This is right up there as one of the craziest stories

we've ever heard.

These patients of ours weren't traveling

for a trip of a lifetime.

I just started vomiting blood.

He's not a plastic surgeon. He's actually a gynecologist.

As we listen to their foreign adventures...

‐ I went in coma. ‐ You went into a coma?

Did they put breast implants in your buttock?

It was clear those surgical souvenirs

were horror stories they'd rather forget.

They both came in with, like, a really big block of ice.

Dr. Ice was your anesthesiologist.

Dr. Ice was my anesthesiologist.

‐ You're kidding me. ‐ I'm not kidding.

‐ My implant fell out. ‐ Your implant just fell out?

They just stuffed a bunch of random silicone

inside of my chest.

[ voice breaking ] I felt like I was going to die.

Other countries don't have the same patient standards

that the U. S. has, and back on home soil,

these patients were desperate for Paul and I

to take on their cases.

The big reveal was when they took the cast off.

You're telling me the plastic surgeon

operated on your nose unbeknownst to you

while you were under anesthesia?

‐ Yes. ‐ You know, that's a crime.

What is that? Ew!

Dr. Pimple Popper, eat your heart out.

‐ [ gasps ] ‐ And I think Terry and I proved

that nothing beats coming back home.

[ singsongy ] Hello, hello, hello!

Overall, I'm a 12 out of 10.

‐ Cheers to my new body. ‐ Cheers!

‐ Let's get this party started. ‐ Whoo!

‐ [ cheering ] ‐ DR. DUBROW: The countdown

of "Botched: International Disasters" starts now.

Over the years, we've heard some pretty wild surgical stories,

and this first patient is no exception.

Number 12 went abroad for breast implants

and had one of the craziest stories we've ever heard.

Nice to meet you. I'm good. And you?

Hi. Terry Dubrow. Pleasure to meet you.

‐ Nice to meet you. ‐ We've had plenty of patients

come to us for exposed implants, but I've never heard of implants

just falling out of someone's chest.

I wanna get right into it.

Your complication is basically from the Dominican Republic

by way of Columbia.

My name is Judy, and I got done dirty

in the Dominican Republic,

and now I'm left with bottomless boobs.

I first went to Columbia to have a breast augmentation

because I was done having children.

‐ What are you, 35? ‐ I'm 37.

‐ I'm about to be a grandmother. ‐ A young grandmother, huh?

Probably the youngest one I've ever heard of.

So go ahead. What happened?

I then decided to have my implants changed

to smaller sizes.

So then I went to Dominican Republic.

It was a terrible experience.

I started getting wounds on my incisions.

So the cells are dying.

I came back to the United States,

immediately went to the hospital.

She was checking it, and she was, like,

going like this and feeling it,

and then pop, one fell out right in her hand, and she's‐‐

What do you mean, one fell out? One‐‐One what fell out?

My implant fell out.

‐ Your implant just fell out? ‐ The hole was that big?

It was a few holes. She's like, "I've never seen this before."

‐ Neither have I. ‐ Yeah, I don't think any of us

have ever‐‐I mean... ‐ [ laughs ]

So, um, I went home. They scheduled me for a surgery.

That was the right breast that just poked up?

‐ That was the right, Mm‐hmm. ‐ What happened with the left?

The day of surgery, I was brushing my teeth,

and I felt a pop.

‐ Pop out. Oh. ‐ Mm‐hmm.

The implant fell out of your stomach or in the sink?

It was in my shirt.

They told me that I would need to have wound vacs in,

and I would have to stay in the hospital for two weeks.

The wound vac was, like, killing whatever was inside.

It was so painful.

This tissue is not the most friendly to a breast implant.

Obviously, I would much rather not use implants.

What does your gut tell you that you might choose?

Whatever you feel is best.

I just wanna look normal, and I wanna be a GILF.

A GILF. Do you know what a GILF is?

[ laughs ]

‐ I know what‐‐Yes. ‐ Wow.

GILF is a grandma I'd like to [bleep].

[ laughs ]

Okay, we'll know in a few seconds whether or not

this tissue can keep things alive.

Yeah, there's some bleeding,

but I think we can probably do this, don't you?

I need to release this tissue

to be able to fold the sides together.

I think you can do it.

Do I have enough breast fullness and symmetry,

and will she be happy with that result?

I mean, it's kind of a Jennifer Aniston,

Kendall Jenner type vibe, isn't it?

Yes. Very in style.

So I'm pretty pleased with the shape that I have

and doing any more surgery to put in breast implants

takes her to a risk place that she doesn't need to go.

Not bad, huh?

Before my surgery,

I was both physically and emotionally scarred.

‐ Oh, my God, Judy! ‐ Judy...

Aah!

But now, thanks to Dr. Dubrow, my scars are gone,

and now I have two full, perky, implant‐free breasts.

I feel like a hot grandmother. [ chuckles ]

Single and ready to mingle.

‐ Ooh, can we follow them? ‐ Yeah. Y'all coming with us?

‐ Yeah. [ laughter ]

DR. DUBROW: At number 11, this patient ordered plastic surgery

like Paul orders fast food.

I'm Carmen, and I am 33 years old,

and I ordered my nose off of a value menu.

Carmen's nose was so pinched,

it gave her a very significant breathing issue.

What I didn't know is if Paul could fix her nose

without making it look significantly bigger.

I went to Mexico‐‐Guadalajara.

I was trying to save a, you know, a coin, you know?

It was like going to a fast food restaurant,

and you going on the menu board and picking what you want.

They gave you a list. You get three things.

You get one for free.

I said I wanted my nose. I wanted a tighter face.

I wanted bigger boobs.

And I got my castration for free.

I was born as Kevon Scott, as a male.

I know you can't tell, but I was.

When I got home from Mexico, I had what I wanted

everywhere else except for my nose.

Hamburger, fries, nose job.

You should not be ordering a surgery off a menu.

You know to get up, and you need to run out

as fast as your legs will carry you.

I instantly found another doctor in Atlanta,

and I got another surgery after Mexico.

Actually, more than one after Mexico.

And now I have to stick a straw in my nose at nighttime

just to even get any air in and out.

The doctor took a lot of extra tissue

on the right side... ‐ Mm‐hmm.

...as compared to the left side. I mean, really overdid it.

Can I go find it and get it back in there?

It's probably a little bit too late now to get that back.

Oh, okay.

Everything has been overcut,

overaggressively excised,

and also her nostrils have been taken in too much.

I'm for it as long as it's the last time.

I'm kinda nervous, but I want this to be

my final and last nose job.

Okay, let's start with the nose.

Making my incision.

It's actually a pretty nice deviated septum

of the left airway.

Wow. Wow, new revelation.

There's a big scar band on the left side of the nose.

One of these surgeries caused a scar band

that was sitting, blocking her airway.

Look at that. That was inside.

That was blocking the whole left side of the nose.

The only way to fix that is cut it,

get the septum straight, and then put what we call

a splint in between that area for a week,

so that that tissue will not grow back together again.

I went through all those surgeries.

This is what I really wanted from the beginning.

[ singsongy ] Hello, hello, hello!

‐ Oh, wow. Hey. ‐ Oh, wow.

‐ Yes, bitch. ‐ Wow.

[ inhales and exhales deeply ]

That's called good breathing, baby.

How it feel?

Like driving down a highway on a Sunday morning.

You got your top down, you know,

when your hair is flying in the wind.

Since my surgery, my nose is wider,

and I have regular nostrils now.

No more straws. No more value meal plastic surgery.

[ laughter ]

DR. NASSIF: Stay tuned as Terry and I

try to surgically solve more international disaster cases.

I woke up from the surgery in so much pain.

I was screaming in pain, crying. No one cared.

After surgery, you were pretty much left alone.

I mean, you could've actually died.

‐ Yeah. ‐ I went down to Mexico.

I paid someone $150 to mess me up.

My eyes‐‐they were swelling, and I freaked out.

I was like, Dear God, please don't let me go blind.

DR. DUBROW: Back to our

International Disasters countdown.

DR. NASSIF: Our number 10 patient

came to us after she flew all the way to Turkey

for a result that was nothing to laugh about.

Maybe instead of going to Turkey,

you should've gone to chicken.

‐ Do you know what I mean? ‐ Oh, my God.

That was‐‐Get it? Turkey, chicken?

And although Terry tried to lighten the mood,

his horrible dad jokes couldn't make her laugh.

I'm Jorden, I'm 24, and I'm from London, England.

I had my BBL done in Turkey,

and I guess you could say I was left with a cat‐ass‐trophe.

Get it? Cat‐ass‐trophe? [ chuckles ]

So I had, um, a BBL and VASER lipo.

‐ VASER lipo of the abdomen? ‐ Yeah, of everywhere.

And that fat was injected into the buttock area.

‐ Yeah. ‐ Interesting.

The problem with ultrasonic liposuction

is that it destroys the fat.

If you transfer that destroyed fat,

the chances any of it will live

in the buttock, once transferred, is very low.

The surgeon said, "What do you want?"

"I want, like, Kim Kardashian's figure."

He's like, "Okay, no problem."

But my bum was definitely not what I paid for.

My bum cheek was so misshaped.

There is this bulge at the bottom.

It's literally like an "L" and awkward.

And because of lipo, my stomach is mishappen.

I woke up from surgery in so much pain.

I was screaming in pain, crying. No one cared.

After surgery, you were pretty much left alone.

‐ You could've actually died. ‐ Yeah.

At this point, I just want a normal‐looking bum.

Okay, so you do have significant laxity

on the lower stomach,

and let's talk about the buttock area.

You have some laxity right here.

It could be excessive fluids, excess fat.

Turkish coffee. I have not got a clue.

The solution for laxity, loose skin of the buttock,

is a "potential buttock lift."

‐ Yeah. ‐ The other procedure

is a tummy tuck. The only way to do

these properly is to two‐stage them.

You do one first, and then you do the other.

Buttock surgery requires you to lay flat.

An abdominal surgery requires you

to lay in a flex position.

Go for it.

Hopefully, by the time this is over,

you'll not only have a good result,

you'll really appreciate the level of my humor.

No, I'm not feeling it.

No? All right. Never mind.

Look, what is that?

Ew!

I'm finding these fluid‐filled capsules

and dead fat throughout Jorden's buttock area.

Everywhere that ultrasonic fat was transferred,

it caused either fat necrosis or a fluid‐filled cyst.

Okay, I'm really happy with this. Phase one done.

Today is my second surgery. It's for my tummy,

and I feel really, really excited.

Okay, so this is a pretty standardized tummy tuck.

Bye‐bye. All right, let's close.

[ claps hands ] ‐ Boo‐yah.

Last time I had a flat stomach was well over a year ago.

Hardly any bruising.

I feel good about something I didn't find in there‐‐

any evidence at all of a funny bone.

[ laughs ]

My funny bone, Dr. Dubrow, is definitely

not gonna be in my stomach.

Everyone knows the funny bone is on the [bleep] elbow.

When I look back and see what happened to my BBL in Turkey,

it literally felt like an absolute nightmare.

Now I just love my body.

Oh, my God. Give us a spin. Oh, wow! Look at that bum.

Thanks to Dr. Dubrow, my waist is nice and tiny,

and my bum is no longer is a cat‐ass‐trophe.

It's more like an ass trophy. [ laughs ]

‐ Cheers to my new body. ‐ Cheers!

DR. DUBROW: Number 9 went international

and got an unknown substance injected into her face.

I mean, look at these things.

So they're not designer bags.

No, they are not designer bags.

They don't go with a thing in my closet.

They're totally cramping my style.

RIP to my bags. RIP to them.

Myesha was not only a really fun patient.

It gave the opportunity for Paul and I

to operate together,

and for me to finally teach him how to do surgery properly.

My name is Myesha Daniels. I went down to Mexico.

I paid someone $150 to mess me up.

We live in L. A., and beauty is everything.

You're looking at all these gorgeous girls,

and their face is so clear,

and I had puffiness under my eyes.

It was horrible because it's like something on your face.

You can't hide it.

I read that you could get Restylane shots,

which will take away the puffiness, the lines.

My friend told me about her cousin

who worked in Mexico.

She said, "Oh, he'll do you for $150." I was sold.

Was it one syringe? Was it two syringes? How much?

It was, like, in a little jar. It was white.

‐ And he sucked it up? ‐ He sucked it up, and it‐‐

‐ That's not Restylane. ‐ In a syringe.

It didn't come in a pre‐made syringe?

No, it didn't.

Once we got home, I started having a reaction to it.

My eyes‐‐ they were turning darker.

They were red. They were swelling,

and I just freaked out. I was like,

dear God, please don't let me go blind.

After the swelling went down‐‐ bags.

They were humongous. It was like someone kicked my butt.

Sham of a doctor's office.

Sham of a job. Just sham, sham, sham.

Make a small, little incision on the inside of your eyelid

and a small procedure to remove the fat buildup

will significantly improve this.

I think you guys just gained a new best friend.

[ chanting ] Dr. Nassif, Dr. Dubrow,

Dr. Nassif, Dr. Dubrow,

gonna touch my face, hook me up,

touch my face, hook me up. [ squeals ] I'm just so excited!

‐ Say goodbye to my bags. Bye. ‐ [ laughs ] I love this girl.

We're making an incision inside the eye.

This is gonna help us expose

whatever's in the lower eyelid here.

Hey, lookit. That looks like fat, Terry.

Yeah, it does. That's the best thing it could be.

Myesha's fat pads‐‐they're two, three, four times larger

than most of the fat that I've seen.

It actually looks like the filler

that she had injected in Mexico

made her natural fat pads worse

through an inflammatory process,

causing blood vessels to grow into it

and the whole area to swell up. Problem is solved.

‐ Nicely done. ‐ Thank you, sir.

Way to go.

I don't have my bags. I'm looking gorgeous,

and I am so absolutely happy.

I can't wait for everybody to see me.

Boom!

[ all scream and cheer ]

‐ Oh, my God! ‐ Yes!

‐ Did you die? ‐ Yes, bitch, I died.

The Myesha that's always been on the inside is finally out.

Before, I relied on Photoshop to fix the bags under my eyes.

But now you better watch out.

Who wanna talk to me? You like me, you like me.

They think I'm cute. Everyone thinks I'm cute! Aah!

DR. NASSIF: Coming up, Terry and I look back

on more wild international disaster patients.

He is cutting me. I‐I can't feel.

‐ Cutting the skin. ‐ [ voice breaking ] I felt like

I was going to die.

This right up there, is one of the craziest stories

we've ever heard.

I went to Ecuador for plastic surgery.

I don't speak Spanish,

and I was trying to tell them I was in pain.

I just started vomiting blood,

and I felt I was gonna die there.

DR. NASSIF: You're watching

"Botched: International Disasters."

DR. DUBROW: Number 8 went international

for a mommy makeover and ended up butchered.

My stomach is disgusting.

Crystal's story was a heartbreaking one.

She probably didn't even need any plastic surgery

to begin with, but after she was seen

by 20 different plastic surgeons,

her case was deemed unfixable.

My name is Crystal. I'm 29 years old,

and I'm from Houston, Texas.

I have a Christmas tree on my stomach.

I had two pregnancies, and I gained a lot of weight.

My husband David said that he actually really liked

the way my body was, but at that time,

my husband was, like, cheating on me a lot.

Cheating on you a lot?

[ voice breaking ] I wanted to show David, like,

"Hey, like, your wife is pretty, too."

Like, kinda like, "Look at me."

So I was looking into Mommy makeovers.

Yeah.

That is when I went to a plastic surgeon in Mexico,

and as soon as I woke up, I had dead skin.

‐ [ exhales deeply ] ‐ Right away?

Yes, right away.

He said that we needed to cut the dead skin.

He said, "Okay, take a seat" in his filthy office,

and he is cutting me. I‐I can't feel.

‐ Like, cutting the skin? ‐ All of it.

He was just cutting and cutting.

[ voice breaking ] I felt like I was going to die,

and I didn't see my kids for four months

because I was, like, smelly.

I didn't want anybody to see me.

And you weren't on antibiotics?

‐ No. ‐ [ groans ]

This is right up there as one of the craziest stories

we've ever heard.

Crystal is extremely lucky to be alive.

[ crying ] I feel like a monster sometimes.

Like, before I wasn't for me.

It's for me now.

So the big question is do you have enough skin

to get this tissue down here without pulling up

the pubic skin and distorting that area?

Mom, what's your gut tell you?

‐ I have a good feeling. ‐ You do have a good feeling?

‐ So do I. ‐ I do, too.

We're now cutting off the remaining blood supply

that will determine whether or not

we have enough oxygen delivery to keep this alive

or whether we're gonna suffer the same fate.

What you want is this part right here to bleed

when you wipe it.

‐ Look at that. ‐ That's bleeding.

It's not dying in front of our very eyes.

This is good.

Let's close her up and get her in recovery.

There's nothing holding me back. I'm no longer hiding.

‐ Mommy! ‐ Oh, my God!

You look good, babe.

David apologized, and I forgave him

because he's the father of my kids.

Thanks to Dr. Dubrow, I have a flat stomach

that I love showing off.

If I could go back and share anything that I've learned

out of this experience with any woman,

don't change for anybody but you.

[ laughter ] ‐ Aah!

DR. NASSIF: Our number 7 patien had a horrifying experience

after having surgery in Ecuador

‐ Hey! ‐ Hey, how are you, honey bunny?

‐ Good. Nice to see you, honey. ‐ Good to see you.

Kathy's nose and facelift reconstruction

was way more complicated than I originally thought it would be.

She had some of the thinnest tissue

I have ever worked with for a facelift.

After eight hours of high‐risk surgery,

I was really worried about serious complications.

It boggles my mind how there are no standards.

You would've been better off going and having

your plastic surgery done by a mechanic in South Central.

I'm Kathy, and I went to Ecuador for plastic surgery.

Unfortunately, my neck and my nose got lost in translation.

My nostrils were up, and my neck‐‐

he actually put more wrinkles on it.

I'm a former model and event planner.

I first got into modeling when I was 10,

and then I went on to do print work

and fashion shows.

"Playboy" approached me.

Have to say I love Hef, and he's a great guy,

and that's how I got involved in the event business,

was actually selling tickets to some of the parties

at the "Playboy" mansion.

Being an event planner, you have to look good,

no matter what, and at 52, I decided, all right,

it's time to fix this neck.

I went to Ecuador in 2007.

Kathy did a typical medical tourism trip‐‐huge mistake.

‐ He did a facelift. ‐ Yeah.

And he‐‐I'm butchered all behind my ears.

And then he looked at my nose,

and he said, "You have a little ball on there.

Let me take it off." It was horrible.

They started giving me aspirin.

After a neck lift and after rhinoplasty?

Yes.

So two areas where you're gonna bleed a lot.

She was fed aspirin immediately after surgery.

That's what we tell patients

to stop a week before their surgery

because it causes bleeding.

I kid you not. The movie "The Exorcist"...

[ makes whooshing sound ] I just started vomiting blood.

I had no idea what I was getting.

I felt trapped, and I felt I was gonna die there.

It's like they amputated all the septum off.

The nose is skeletonized.

A lot of stuff has been removed and looks like a skeleton.

I'd like to actually take your nose from being here,

all the way down to here.

You do have an aging neck here.

‐ Right. ‐ And there are some wrinkles.

So we're just looking here at your neck lift that you have.

Our game plan is to basically do a revision

lower face and neck lift.

One thing that we know for sure is that Kathy

is in better hands with us in Beverly Hills

than she was when she was in Ecuador.

The doctor in Ecuador took too much of septal cartilage out.

With this PDS plate,

it's gonna allow us to elongate the nose.

I think that looks pretty good.

Okay, let's start the facelift.

We're making sure that we're not near any of the nerves

that control the face.

All the nerves are staring right at me,

just even a little bit of pressure

or traction on one of these muscles

will knock out the movement of her lip.

I'm probably not gonna sleep that well tonight.

I do not check the nerves of the face right after surgery

because we've given the patient local anesthesia,

and that will knock out the nerves.

I usually wait for the next day.

Do me a favor. Smile.

Pucker.

Go like this. Move your nose.

Raise your eyebrows.

Close your eyes really tight.

I was very careful around the nerves,

but now seeing that they all worked right in front of me

makes me feel a lot better. All that stress is gone.

It's been eight years

since I made the worst mistake of my life

going to Ecuador to have my nose and neck done.

I'm back, you guys!

[ cheers and applause ] ‐ Thank you.

Since my surgery, people aren't recognizing me.

They're like, "Oh, my God. What did you do?"

I'm, like, on this incredible high.

Now after my surgery, my neck looks great.

I don't have to worry about the wrinkles.

I can breathe for the first time.

I haven't been the life of the party for a long time.

I've been sort of in the background hiding,

but now I'm ready to hit the town.

‐ Let's get this party started. ‐ [ cheering ]

DR. DUBROW: Stick around

for even more international disaster stories

that made our jaws drop.

He said that I have an "aim‐bolis"?

‐ Embolism? ‐ Yeah.

Wow.

Most of the people that I know

that have had pulmonary embolisms

aren't here with us anymore.

I am literally missing my left pec.

Probably a dirty implant was put in.

It was horrific. I was throwing up everywhere.

Can't believe I came to Mexico to die.

to our "Botched: International Disasters" countdown.

Let's be honest. It doesn't matter what country you're in.

There's always risks when it comes to surgery.

That was the time when I went on life support,

and my sister and my mom were being prepped for death.

Did you tell them what you had done?

‐ No, no. ‐ So you had no idea?

So, yeah, but you could've died?

At the time I was an idiot.

I had had a seizure, and I had went into a coma.

‐ Wow. So you got close to... ‐ Dying.

...dying.

Unfortunately, our next patient has no fear at all

testing the limits of medical tourism.

DR. NASSIF: Our number 6 international disaster

is a frequent flyer for surgery

tempting fate for perpetual beauty.

As your friend, I'm gonna tell you,

you gotta stop.

Plastic surgery fanatics love to push the limits,

but with every added procedure,

there is an increased risk of a complication.

Liziane was traveling anywhere and everywhere

to find surgeons who would finally say yes

to more procedures.

But one surgeon's willingness almost cost her everything.

My name is Liziane. I'm from Brazil,

but I live in Las Vegas for the past 10 years,

and I almost died during plastic surgery.

For now, I have six nose jobs.

‐ Six. Okay. ‐ Hmm.

After six surgeries, I hate the way that my nose looks,

and my nostrils are not even.

So what plastic surgery have you had, total?

Oh, my God. [ laughs ]

Botox, cheek fillers, lip lift, lip fillers,

breast implant twice,

butt injections, and lipo all over my body.

How much do you think you've spent

up to this point on plastic surgery

Oh. I could've drive a Ferrari if I don't have

all these procedures done.

The other option is you could have a lot of plastic surgery

and buy a Ferrari, like him. [ laughter ]

Actually, Terry, it's a... [ Italian accent ] Ferrari.

Ferrari.

Engine sounds sweet.

[ imitates motor revving ]

Have you ever had any complications?

I met this doctor in Turkey.

‐ What'd you go to Turkey for? ‐ For lipo and nose job.

And then a disaster happened.

‐ I went in coma. ‐ What? You went into a coma?

‐ Why? ‐ He said that I have

an "aim‐bolis"? ‐ Embolism?

‐ Yeah. ‐ Wow.

‐ A pulmonary embolism... ‐ Yeah.

...is‐‐is when you have either a clot, a blood clot...

‐ Mm‐hmm. ‐ ...go into your lungs.

‐ Mm‐hmm. ‐ And block your lungs

and gives you shortness of breath.

Most of the people that I know

that have had pulmonary embolisms

aren't here with us anymore.

Did the doctors say you almost died?

Yeah. I just remember waking up five days after.

I waited one year to do another procedure.

She's talking about a lift.

She's talking about a new nose job.

‐ She's not gonna stop. ‐ She's not gonna stop.

I went to Brazil to do some Botox and fillers,

and after two weeks,

my lips was getting bigger,

and my face like a huge ball on the side.

That was worse for me than what happened in Turkey.

I know you guys are gonna say this is crazy,

but if I die, just die.

What if I have to live with my face

forever like that?

Very, very thin.

Okay, so cartilage has been removed from here.

‐ That's not good. ‐ Look, it even blocks.

Yeah, look at that, when I do that.

‐ Oh, wait a minute. Look at it. ‐ It's coming out?

Hold on one second. Let me just see.

‐ There it is. There‐‐ ‐ Oh, look at that.

[ gasps ]

Dr. Pimple Popper, eat your heart out.

That's some kind of a filler that your body doesn't like.

All right, they took all the cartilage that I can use

in your nose.

You have all this filler in your face.

Whether you're infected or not, we're not sure.

There's one huge issue.

Even if all these things could be fixed,

you had a major complication.

Do not do any more plastic surgery.

Sorry, doctors, but I'm not gonna stop doing surgeries.

You're gonna hurt yourself, then you have nothing.

I'm extremely concerned about what is gonna happen.

If she proceeds and finds a doctor

to do what she wants, she will be ruined.

DR. DUBROW: At number 5, Albert was missing his left pec

but he could still bench press more than Paul with no problem.

When I first started working out,

I didn't do chest. I was always awkward and unbalanced.

Albert's surgery was really unique.

I don't do a lot of pec implants,

but it's kind of cool when I get to do something

outside of the box.

My name is Albert. I am 29 years old,

and I am literally missing my left pec.

As a bodybuilder, I wish I could compete

in a bodybuilding competition,

but I can't even enter a competition.

‐ So you have Poland syndrome. ‐ Right.

Poland syndrome is basically a genetic disorder

where you're born without a main muscle in your chest.

You have had some procedures to try to correct that, right?

Actually, I went down to Mexico,

but what was put in there wasn't even a full implant.

They just stuffed a bunch of random silicone

instead of my chest.

It was horrific. I was throwing up everywhere.

That moment, I pretty much was like,

"Okay, this is the end of the road for me.

I can't believe I came to Mexico to die."

I immediately went to the doctors in the States.

What that means is probably a dirty implant was put in

if it happened within 24 hours.

It makes me really angry that a doctor

would just put whatever he could get his hands on

inside my chest, but it's definitely my fault.

I went and saw a doctor, and he was like,

"Okay, we definitely need to get that out as soon as we can."

I felt relieved that I made it out alive,

but at the same time, I couldn't believe

I had went through all that just to make it look worse

and feel worse about it.

You started getting heavily into fitness after that?

Yeah.

You weren't this muscular at that time, right?

No, no, no, at that time I wasn't.

Was this all done naturally, or did you have any help?

For the most part, naturally.

I've taken this stuff called‐‐ It's called‐‐

‐ Anavar. ‐ Yeah, yeah.

Oh. Anavar is a what?

‐ It's a steroid. ‐ Thank you.

Look at this muscular build. That's good, man.

You appear to have a gynecomastia...

‐ Right. ‐ ...which is overdevelopment

of male breast tissue from the steroids.

Your asymmetry is not based on the lack of muscle

between the two sides but based on the overdevelopment

of the breast tissue.

Albert's done the exact opposite of what you're supposed to do.

He overdeveloped the chest muscle on his right

and the breast tissue overlying that.

The plan would be to tackle this in two stages.

First, we'll reduce the right side...

‐ Okay. ‐ ...and figure out

what we're trying to match,

and then we'll put the pec implant on the left side.

I mean, it's weird for a guy who's a bodybuilder

to never be able to take his shirt off.

‐ Yeah. ‐ Let's reduce

the right side now and start taking out

breast tissue. ‐ Okay.

Basically a mastectomy on a guy, isn't it?

All right, we've taken out the gynecomastia.

Let's let this heal.

I'm gonna bring in a consultant.

‐ Hi! ‐ Hey. How are you?

‐ Hi! ‐ Hi, Albert.

‐ Nice to meet you. ‐ Hi. Nice to meet you.

Appreciate it. Thank you so much.

This is Justin, you guys.

He really is one of the foremost experts

on implants of all kinds.

‐ Pioneer of body implants. ‐ He really is.

True.

You may think I'm crazy for bringing Justin in,

but there's no one in the world

who's spent more time thinking about and creating

safe and realistic‐looking implants.

‐ Why don't we mark him up? ‐ Let's do it.

Yeah.

I personally handcrafted 17 implants in my body,

and, uh, to my knowledge, there's nobody else in the world

who's done that.

So we're gonna try to form this on you.

Yeah. Justin and I are making a mold.

Once it dries, we'll sent it to the implant company

to make an exact 3‐D implant that will match

the right side perfectly.

This is an incredibly rare procedure

because Poland syndrome occurs in less than

.05% of the population.

So here it is. Here's the implant.

Fits pretty well in there.

I think this would do Justin proud today.

Today's day one. I'm getting back into shape.

I couldn't be happier with what they've done for me.

‐ Albert. ‐ Hey, how's it going?

‐ Hey! How are you? [ metal clanks ]

‐ Good to see you. ‐ Same here.

‐ Yeah, no, it's great. ‐ Thanks for coming, man.

‐ Wow, you look amazing. ‐ Yeah, it actually‐‐

Yeah, it came out exactly how I wanted it.

Before surgery, the left side of my chest

had absolutely nothing.

Now both sides pack that punch that I've always wanted to have.

Now I feel like I can step onstage and feel like

a real bodybuilder.

Overall, I'm a 12 out of 10.

DR. NASSIF: Stick around. You won't wanna miss

our next crazy international disaster cases.

The big reveal was when they took the cast off.

You're telling me the plastic surgeon

operated on your nose unbeknownst to you

while you were under anesthesia. ‐ You know, that's a crime.

I wanted, like, a hip‐hop girl video butt,

and he said he was putting in 650 ccs.

Wait, wait, wait. 650 ccs?

That's when we do breast implants.

Did they put breast implants in your buttock?

DR. NASSIF: "Botched: International Disasters"

countdown is back.

With all the crazy patients Paul and I have seen,

we can do a countdown of hundreds of patients

who have been victims of medical crimes.

Couple years later, I find out that he was actually

on crystal meth.

He's not an actual plastic surgeon.

‐ He's actually a gynecologist. ‐ His office is burning files.

They're getting rid of all this stuff.

I took an Uber to the doctor's office,

and I took an Uber home.

You had general anesthesia, and he put you in an Uber?

‐ Mm‐hmm. ‐ Yeah, that's against the law.

DR. NASSIF: But number 4's experience in Peru

is the worst we've ever heard.

Well, how many surgeries is this, do you think?

I don't know.

What Mariela's surgeon did to her

was just totally insane.

As doctors, we take an oath to do no harm.

And what he did to her definitely caused harm.

The big reveal was when they took the cast off.

I was devastated.

My name is Mariela. I'm 41 years old.

I went in for liposuction, and I woke up with a new nose.

Growing up was hard. I was always a little chubby.

I was bullied in school for that.

When I was 19 or 20, a friend of mine was like,

"You should do liposuction,"

and I decided to go through to see the very famous doctor.

He was like the Beverly Hills doctor of Peru.

I woke up, and this huge thing on my nose.

I didn't feel any pain here.

you're telling me the plastic surgeon

operated on your nose unbeknownst to you

while you were under anesthesia. ‐ No, that's a crime.

Right after the surgery, I saw the doctor,

and he said, "I did it as a favor." I was pissed.

I had absolutely no issues with my nose.

Before the surgery, I liked it.

But when the bandages came off, what I saw horrified me.

One of the things that really bothers me about my nose‐‐

um, it's the fact that it's pinched here,

and there's a bulb that comes out

and protrudes on this side.

That's actually assault and battery.

Performing unconsented surgery is considered battery

because the patient can't voice their opinion.

They're unconscious!

So later on, I find out that he had gotten arrested

for giving people surgeries that they didn't ask for,

and he killed his girlfriend in the O. R.

The doctor was convicted for most of his crimes

and was sent to prison, and he died there.

How is this affecting your day‐to‐day life?

I found out not too long ago

there was this group of friends that we had,

and one of them had been calling me

"Pig Nose" behind my back.

So what you're saying is you're completely,

completely self‐conscious, insecure, about your nose.

Yes.

Getting my nose fixed would be life‐changing.

I'm ready to get rid of this piggy face

and get my own nose back.

If not, better and improved.

The good news is, your skin is mobile.

So because we want to stretch it

so we can lower it and build it up.

‐ I'm in! ‐ There we go.

[ laughter ] ‐ That's good.

How do we get her airway better

without making her nose too big?

That is my challenge today.

I'm opening up the nose now, and our DCF is going in.

And that should really help take care of the scoop.

The doctor overdid the rear incision

where they're cutting off nostril on the right side.

That's why we're putting the composite graft in.

I've hopefully given Mariela a new start on life.

No more teasing, no more name‐calling.

All that should stop as of today.

Overall, I think we did a fantastic job.

♪♪♪♪♪

After 20 years of having a nose that I didn't ask for,

it feels really good to start over again.

I can go out and not be thinking

that people are looking at my nose,

but they're actually just looking at me.

‐ Wow! ‐ Wow!

‐ Look at you. ‐ I'm so happy to see you.

Thanks to Dr. Nassif, my tip is lower,

and I have more of a bridge,

and I feel more comfortable in my own skin,

and while there are bullies, there are also angels.

So, Mariela, you think you'll ever go back to Lima

for a second round? ‐ [ laughs ] No.

[ laughter ]

DR. DUBROW: Number 3 went to Mexico,

and‐‐wait for it‐‐

ended up with breast implants in her butt.

I gotta deal with the repercussions of everything.

Seriously, I've never heard of that happening before.

Jana's just lucky they didn't rupture

and cause potentially irreversible complications

that even Paul and I couldn't fix.

My name is Jana, and I'm from Southern California,

and my butt needs a bra.

Butt flopping around everywhere. [ laughs ]

Being in the modeling industry, it's very competitive.

I wanted, like, a hip‐hop girl video butt

because I was doing modeling,

and it was‐‐ that was my competition.

To do an augmentation out here,

you're looking between $10,000 to $15,000.

And in Mexico, you're gonna spend

between $3,000 to maybe $4,500.

Things started going south the day of surgery.

He didn't have the exact implants he was supposed to.

They were bigger than what was supposed to be put in.

He said he was putting in 650 ccs.

Wait, wait, wait. 650 ccs?

ccs? That's when we do breast implants.

Did they put breast implants in your buttock?

I think so.

Wow. Go down to Mexico for a butt implant

and get breast implants in your butt.

It's a good thing she didn't go down for a chin implant.

What do you think of butt augmentation?

Well, I've always had a nice one, so...

[ laughter ]

You've seen these‐‐ this result, right?

It looks like testicles. They're swollen.

[ laughs ]

So it is really loose.

[ laughter ]

Jana's butt implants are so big

that when she twerks, her buttock implants

twerk independently of herself.

Show 'em, Grandma. That's where I got 'em from.

You see Terry go like this to me.

He's looking at me to see what kind of rise I'm getting.

He knows me. I'm gonna get uncomfortable with it,

and, yes, I was.

How do you feel about a scar that probably removes

most or all your tat?

I don't like this tattoo anyway,

so you can just go ahead and take that puppy right out.

There's a lot of icky fluid in there.

The body knows there's something wrong,

and it's forming an inflammatory reaction.

Whoo‐hee, yup.

Breast implants in the butt.

‐ Oh...my...God. ‐ Yep.

When I took the breast implants out,

you could see how deformed they were.

They were not designed to be placed in a butt

and have people sit on them all day long.

These would have ruptured any moment.

So let's start the lifting procedure.

To remove this entire tattoo,

we have to pull the top of the tattoo

down to the bottom of the buttock.

I've never taken so much skin from a buttock before.

I hope Grandma likes it.

It's kinda weird because I forgot

what a normal butt looked like.

‐ Wow! ‐ Wow!

I feel sexy. I feel beautiful.

I feel like I can go out and show people

what I have without having to second‐guess myself.

Can't make fun of me anymore. No more egg booty.

‐ No. [ laughter ]

My old butt needed a bra,

and now I have a cute, little, tight tushy.

There's no implant.

I am glad to be rid of all that junk in my trunk.

Grandma, how does it look?

[ laughs ]

Now I can drop it like it's hot because it is hot.

DR. NASSIF: Stick around. You won't believe what happened

to our last two patients in our countdown.

BOTH: Cadaver cartilage.

Rodrigo's skin‐‐it's destroyed.

They both came in with, like, a really big block of ice.

I was there probably an hour lying there.

Dr. Ice was your anesthesiologist.

Dr. Ice was my anesthesiologist.

‐ You're kidding me. ‐ I'm not kidding.

DR. DUBROW: Back to the countdown,

and it's almost time

for our number one international disaster.

DR. NASSIF: At number 2 is a returning patient

that definitely didn't take our advice.

‐ Guess who's back. ‐ Rodrigo!

Hello, hello, hello.

Like Liziane, Rodrigo country‐hopped

finding surgeons, but the difference with Rodrigo,

he went to the alleged number one country

for rhinoplasties.

But because his surgeon did not wait long enough

in between revisions,

Rodrigo almost lost his entire nose.

I'm Rodrigo Alves.

As you can probably tell, I have changed a little bit.

What I wanted was the symmetric,

little, thin, delicate nose,

and that's what I was dreaming for,

and no one has ever been able to provide me that.

I would have to take a piece of rib‐‐

a big scar right there in the chest.

A scar in my eight‐pack?

Well, a little bit higher, because we need that.

‐ Never. ‐ [ laughs ]

You look so different.

I had a brow lift on my lip,

my jaw reconstructed again.

silicone chin implants, my ears pinned back,

my chest silicone implants replaced.

I have had my nose done three times,

and now my nose started to get tighter

and harder to breathe.

I have had three rhinoplasties since we've met.

Wait a minute. We‐‐We just saw you less than a year ago.

Three revision surgeries in one year?

That's crazy. It takes one to two years

just for your nose to heal after one surgery.

Iran is the country number one for rhinoplasty.

I got a visa, jumped on a plane,

and I went to Iran.

He used cartilage from a bank donor.

BOTH: Cadaver cartilage.

The problem with cadaver cartilage

is that it's not specifically for that individual,

and the chance of it being attacked

by the patient's own immune system is elevated.

After a month, my nose

started to become smaller and shrink.

The doctor said, "Well, you have a bacteria."

The type of bacteria that I see that eats cartilage

way in the nose would be called MRSA,

Methicillin‐resistant Staph aureus.

Yes.

And that is most likely what you have.

The fact that you've had so much surgery in the past

that you've basically disrupted so much of the blood supply

and then put a piece of dead tissue in that,

that that caused the whole thing to die.

I am very confident that Dr. Nassif and Dr. Dubrow

will be able to perform a very simple, quick procedure,

my seventh and last rhinoplasty.

Put your head back for me, all the way.

Nope, I can't see in there, and nope, I can't see in there.

After what he's gone through with the MRSA,

this is probably one of the worst results

and complications that I've seen in my entire career.

So let's talk about your nose.

So by you having 3 surgeries in a period of 12 months,

destroyed your tissue.

Rodrigo's skin‐‐it's destroyed.

It's gonna scar down more. It's in a healing phase.

If you try to insult your skin one more time now

while it's healing, if you let one of these doctors

touch your nose now, this will turn black

and then die and fall off. ‐ [ gasps ]

If you have any hope of keeping your nose,

do not do anything for a year.

I just need to find ways to live with it now,

and, two, I'm ready to go through another operation

to fix the current issue.

What have I done to myself, honestly?

After all these international cases,

we finally hit upon our number 1 pond‐hopping horror story.

At number 1 is Desiree,

who survived her surgeon's barbaric methods

when she went down to Mexico for her tummy tuck.

I've just always envisioned going to the beach,

but when I look at my stomach, I see deformity.

Unfortunately, Desiree experienced

a seriously primitive form of "anesthesia."

I'm Desiree White. I got a tummy tuck 13 years ago,

and now my coochie is on my stomach.

I had a beautiful stomach before I had children.

[ laughs ]

That's why I wanted the tummy tuck the first time.

So you went down to Mexico for your surgery.

‐ I went to TJ, yes, I did. ‐ Oh, you did go to TJ.

I did.

In Tijuana, it's $2,500.

An American doctor wanted $6,800.

I'm like, okay, I'm saving a lot of money.

The day of the surgery, one of the nurses came in,

and then another nurse came behind her,

and I'm not joking about this.

They both came in with, like, a really big block of ice.

One of the nurses came, and she put it on one‐‐

this side right here,

and then the other girl put the other one here.

I was there probably an hour lying there with the ice.

That's an automatic burn after 15 minutes.

The doctor walks in. I was like,

"When is the anesthesiologist gonna get here?"

And then he's like, "There's no anesthesiologist.

"That's why we‐‐we got the ice.

Believe me, you're not gonna feel anything."

And then when I felt something, oh, my God. I just screamed.

I mean, my God, it was like a horrific scream.

It just felt like I was being butchered.

Dr. Ice was your anesthesiologist.

Dr. Ice was my anesthesiologist.

‐ You're kidding me. ‐ I'm not kidding.

The problem with using ice as an anesthetic agent

is that it kills the tissue before you operate on it.

So he essentially was operating through dead skin.

What we theoretically can do is make an incision here

and stitch it down here back where nature wants it.

And fingers crossed that this heals beautifully, okay?

All right, hi, Desiree.

I'm Dr. Mest. I'll be the anesthesiologist with you.

‐ Okay. ‐ Nice to meet you.

We're gonna do real surgery here.

‐ Is that okay with you? ‐ That's perfect.

Knock me out, please! Wake me up and say it's done.

Ooh! [ laughs ]

So I'm tightening the abdominal wall

all the way up to the breastbone,

which will allow us to pull the skin down

over a flat surface.

It also allows us to get the scar

as low as possible.

‐ Look at that. ‐ Yeah.

That's coming down. Now all she has to do is heal.

I feel so good that I've gotten the surgery now.

Today I put some fly heels on,

some low‐rise jeans.

‐ Sexy crop top. Aah! ‐ Oh, my goodness!

Whoo! Look at you.

This has totally raised my confidence.

As long as you're confident, people gravitate to you.

so I want people to gravitate to me

and say, "Hot mama," you know? [ laughs ]

I'm excited about going swimsuit shopping

and wearing different swimsuits and stuff like that.

Don't be too skimpy. [ laughs ]

Classy. Not classless.

‐ Let's toast to good health. ‐ Okay.

‐ Good health. [ laughs ] ‐ To good health.

DR. DUBROW: If you'd like to be considered for "Botched,"

share your story at botchedcasting.com.