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1
00:00:01,569 --> 00:00:03,569
I'm feeling awful
this morning.
2
00:00:05,606 --> 00:00:07,906
I had all the ccs
you could ever think of.
3
00:00:07,942 --> 00:00:11,443
I'm ready to have
a reduction.
4
00:00:11,479 --> 00:00:14,346
I started to develop
chronic back pain.
5
00:00:14,382 --> 00:00:15,581
You know I'm angry.
6
00:00:15,616 --> 00:00:17,416
I'm feeling
flat chested right now,
7
00:00:17,451 --> 00:00:20,219
and I'm very, very upset.
8
00:00:20,254 --> 00:00:22,488
I was born with a condition
called microtia,
9
00:00:22,523 --> 00:00:26,158
which has ultimately left me
with a keloid on my left ear.
10
00:00:26,193 --> 00:00:27,526
The risk of you getting
that keloid back
11
00:00:27,561 --> 00:00:28,660
is still there.
12
00:00:28,696 --> 00:00:30,129
There's no guarantee here.
13
00:00:30,164 --> 00:00:31,330
I don't know
if this is gonna work.
14
00:00:31,365 --> 00:00:33,232
Again, no one's done this.
Yeah.
15
00:00:33,267 --> 00:00:35,701
♪ let's get it on ♪
♪ jack up the bass line ♪
16
00:00:35,736 --> 00:00:36,935
[woman] I'm a singer
17
00:00:36,971 --> 00:00:38,904
and I've got my reality show.
18
00:00:38,939 --> 00:00:40,205
♪ that's not enough ♪
19
00:00:40,241 --> 00:00:41,440
you did reality tv?
20
00:00:41,475 --> 00:00:42,508
Yes, in college.
In college?
21
00:00:42,543 --> 00:00:43,809
Keeping up with the balkjes.
22
00:00:43,844 --> 00:00:46,045
It's very important
to look good.
23
00:00:46,080 --> 00:00:48,080
So I had 500cc filler
24
00:00:48,115 --> 00:00:50,282
injected each butt cheeks.
25
00:00:50,317 --> 00:00:51,150
Of hydrogel?
26
00:00:51,185 --> 00:00:51,984
Yes.
27
00:00:52,019 --> 00:00:52,985
Scary.
28
00:00:53,020 --> 00:00:56,321
♪ I wanna be sexy ♪
29
00:00:56,357 --> 00:00:58,524
♪ I wanna be hot ♪
30
00:00:58,559 --> 00:01:02,194
♪ fix me, make me beautiful ♪
31
00:01:03,197 --> 00:01:05,130
♪ I wanna be perfect ♪
32
00:01:09,036 --> 00:01:10,636
♪ do it for the love of it ♪
33
00:01:10,671 --> 00:01:12,604
♪ oh, oh, oh, oh, oh ♪
34
00:01:12,640 --> 00:01:14,473
♪ never stop, never stop ♪
35
00:01:14,508 --> 00:01:17,209
have no idea how much this chair
helps my back.
36
00:01:17,244 --> 00:01:19,011
If I could sleep here,
I would.
Yeah?
37
00:01:19,046 --> 00:01:21,880
[sighs]
taking all this weight
off my breasts
38
00:01:21,916 --> 00:01:22,848
for my back.
39
00:01:22,883 --> 00:01:24,983
I'm feeling awful this morning.
40
00:01:25,019 --> 00:01:28,921
My name is sheyla,
and I am cuckoo for breasts.
41
00:01:28,956 --> 00:01:31,690
I love breast implants, and I love big breasts,
42
00:01:31,725 --> 00:01:33,759
but they cause me back pain.
43
00:01:36,597 --> 00:01:37,663
Yeah.
44
00:01:39,500 --> 00:01:42,401
John, you like little boobs
like a orange.
45
00:01:42,436 --> 00:01:44,336
No... Little boobs.
I like melons.
46
00:01:44,371 --> 00:01:46,238
Watermelons?
Watermelons.
47
00:01:46,273 --> 00:01:48,207
I just like big boobs.
48
00:01:48,242 --> 00:01:49,508
I grew up in brazil.
49
00:01:49,543 --> 00:01:52,010
I was unhappy with the way I used to look.
50
00:01:52,046 --> 00:01:54,913
In 2001, at age 21,
51
00:01:54,949 --> 00:01:57,483
I started going under the knife
52
00:01:57,518 --> 00:01:58,951
every six months.
53
00:01:58,986 --> 00:02:00,319
It became a habit.
54
00:02:00,354 --> 00:02:01,854
It was like going to get my nails done
55
00:02:01,889 --> 00:02:03,055
at a nail salon.
56
00:02:03,090 --> 00:02:04,890
I think I was--
something wrong with me.
57
00:02:04,925 --> 00:02:06,758
I think I was cuckoo crazy.
58
00:02:06,794 --> 00:02:08,861
I have had 32 plastic surgeries in my breasts.
59
00:02:08,896 --> 00:02:11,363
I had all the ccs
you can ever think of.
60
00:02:11,398 --> 00:02:13,432
I had 145 ccs,
61
00:02:13,467 --> 00:02:16,335
245 ccs, 345 ccs.
62
00:02:16,370 --> 00:02:18,170
I had 555 ccs,
63
00:02:18,205 --> 00:02:19,771
650,
64
00:02:19,807 --> 00:02:21,773
850, 1200...
65
00:02:21,809 --> 00:02:25,611
...And 3500 and 5,500.
66
00:02:25,646 --> 00:02:27,679
After that
I didn't wanna stop.
67
00:02:27,715 --> 00:02:29,515
I still wanna go bigger.
68
00:02:29,550 --> 00:02:32,050
My goal were 8,000 ccs,
69
00:02:32,086 --> 00:02:33,785
but unfortunately--
70
00:02:33,821 --> 00:02:35,854
well, I had a blessing.
71
00:02:35,890 --> 00:02:36,989
I got pregnant,
72
00:02:37,024 --> 00:02:39,925
so that stopped me
a little bit.
73
00:02:39,960 --> 00:02:42,194
The doctor said,
"we have to go back
to this size
74
00:02:42,229 --> 00:02:43,896
because you're gonna
breast feed."
75
00:02:43,931 --> 00:02:45,631
so got my breast reduction
76
00:02:45,666 --> 00:02:47,266
from 5500.
77
00:02:47,301 --> 00:02:49,701
I went all the way down
to 750.
78
00:02:49,737 --> 00:02:52,771
So after victoria was born
a healthy little girl,
79
00:02:52,806 --> 00:02:55,307
I went back to brazil and I say to to the doctors,
80
00:02:55,342 --> 00:02:57,376
"can you please make me
bigger again?
81
00:02:57,411 --> 00:02:59,545
I cannot live
without my breasts."
82
00:02:59,580 --> 00:03:03,515
I think the less that I have right now is 2500 ccs.
83
00:03:03,551 --> 00:03:05,417
[kisses]
I'm gonna miss my twins.
84
00:03:05,452 --> 00:03:08,820
[laughs]
I'm gonna them so much.
85
00:03:08,856 --> 00:03:10,222
But it's time for them to go.
86
00:03:10,257 --> 00:03:13,058
It's time to retire
the boob business.
87
00:03:13,093 --> 00:03:17,296
In 2017 I started to develop
chronic back pain.
88
00:03:17,331 --> 00:03:19,364
And I'm sure
this has to do
89
00:03:19,400 --> 00:03:22,801
with this unnecessary weight
carrying around.
90
00:03:22,836 --> 00:03:24,836
Couple years ago,
if you ask me,
91
00:03:24,872 --> 00:03:26,038
"sheyla, go small,"
92
00:03:26,073 --> 00:03:28,340
I would say,
"you know what? No.
93
00:03:28,375 --> 00:03:29,708
You're crazy."
94
00:03:29,743 --> 00:03:34,413
but today I'm ready
to have a reduction.
95
00:03:34,448 --> 00:03:36,448
If I can have
my breasts reduced,
96
00:03:36,483 --> 00:03:39,651
that will be a big help
for my back.
97
00:03:39,687 --> 00:03:42,554
I have to, you know,
make it look better,
98
00:03:42,590 --> 00:03:44,856
but the smallest I can go
is a thousand.
99
00:03:44,892 --> 00:03:48,827
I can't wait to see you
without your boobies. Okay.
100
00:03:48,862 --> 00:03:51,330
I'm ready to look sexy.
101
00:03:57,338 --> 00:03:59,037
What's happening, dre?
What is going on, man?
Hey, eric.
102
00:03:59,073 --> 00:04:00,439
How you doin'?
Good to see you, man?
103
00:04:00,474 --> 00:04:01,640
How about you?
Have a seat.
104
00:04:01,675 --> 00:04:02,674
What's up, best friend?
105
00:04:02,710 --> 00:04:03,875
Hey, how ya doing?
106
00:04:03,911 --> 00:04:05,510
Good. Good.
You know what I like?
107
00:04:05,546 --> 00:04:07,279
Uh, yes, sir. Yes, sir.
108
00:04:07,314 --> 00:04:10,616
My name is andre.
I was born with a condition
called microtia.
109
00:04:10,651 --> 00:04:12,517
It's when you're ears
are deformed
110
00:04:12,553 --> 00:04:14,286
and smaller than normal,
111
00:04:14,321 --> 00:04:17,623
which has ultimately
left me with a keloid
on my left ear.
112
00:04:17,658 --> 00:04:19,992
Some people say that it looks like a golf ball.
113
00:04:20,027 --> 00:04:21,660
Some people say that it looks like
114
00:04:21,695 --> 00:04:22,461
a snail,
115
00:04:22,496 --> 00:04:23,929
but no matter
what you call it,
116
00:04:23,964 --> 00:04:25,030
I just want it gone.
117
00:04:25,065 --> 00:04:26,531
Was it always that big?
118
00:04:26,567 --> 00:04:29,134
Or did it just--
did it seem to grow?
119
00:04:29,169 --> 00:04:30,869
It was pretty small
when it first started out,
120
00:04:30,904 --> 00:04:33,572
but then it got bigger
each year.
121
00:04:33,607 --> 00:04:34,973
Up until now.
122
00:04:35,009 --> 00:04:36,575
So let's say, like, okay,
a year from now
123
00:04:36,610 --> 00:04:37,876
you're completely healed,
124
00:04:37,911 --> 00:04:39,478
like, the keloid's gone
and all that,
125
00:04:39,513 --> 00:04:43,382
are you gonna, like, go and,
like, start dating everybody?
126
00:04:43,417 --> 00:04:44,416
Yeah, definitely.
127
00:04:44,451 --> 00:04:45,884
I'd be more open to it.
128
00:04:45,919 --> 00:04:47,986
The keloid definitely impacts dating.
129
00:04:48,022 --> 00:04:49,488
I don't, like, pursue anyone
130
00:04:49,523 --> 00:04:51,556
just because I think in my mind
131
00:04:51,592 --> 00:04:53,558
I'm going to get rejected.
132
00:04:53,594 --> 00:04:56,662
They're not going to want
someone with this giant keloid
on their ear.
133
00:04:56,697 --> 00:04:58,530
Middle school was rough,
I remember.
134
00:04:58,565 --> 00:05:00,232
That was when, like,
a group of guys
135
00:05:00,267 --> 00:05:01,667
was just kind of, like,
mean, right?
136
00:05:01,702 --> 00:05:03,068
Was that eighth grade
or seventh grade?
137
00:05:03,103 --> 00:05:04,369
That was definitely
eighth grade.
138
00:05:04,405 --> 00:05:05,937
It's so sad how cruel
kids can be.
139
00:05:05,973 --> 00:05:07,205
I know.
140
00:05:07,241 --> 00:05:08,507
When we were little
I witnessed andre
141
00:05:08,542 --> 00:05:10,242
go through quite
a lot of bullying.
142
00:05:10,277 --> 00:05:12,244
We had peopleeven saying things to his face,
143
00:05:12,279 --> 00:05:14,246
like, "what's on your ear? What is that?
144
00:05:14,281 --> 00:05:16,081
You have cauliflower ear.
145
00:05:16,116 --> 00:05:17,983
Why is your ear so ugly?"
146
00:05:18,018 --> 00:05:19,584
but we made it.
We made it.
147
00:05:19,620 --> 00:05:21,520
We did.
148
00:05:21,555 --> 00:05:23,088
-[dr. Nassif] come here. -[dr. Dubrow] what is that?
149
00:05:23,123 --> 00:05:24,556
Put your hand in my back,
upper back.
150
00:05:24,591 --> 00:05:25,691
[buzzing]
you're kidding me.
151
00:05:25,726 --> 00:05:27,359
You have a thing to tell you
to sit up?
152
00:05:27,394 --> 00:05:29,461
So it's a little thing.
You stick in the middle
of your back.
153
00:05:29,496 --> 00:05:30,996
Yes.
Then you have to set
your posture.
154
00:05:31,031 --> 00:05:32,564
What are you--
by the way, my height
actually increased
155
00:05:32,599 --> 00:05:33,899
by about half an inch.
156
00:05:33,934 --> 00:05:35,334
Why don't you just sit up
straight?
157
00:05:35,369 --> 00:05:37,069
The best way to get paul
to stop slouching
158
00:05:37,104 --> 00:05:39,504
is not by putting a device
between his shoulder blades.
159
00:05:39,540 --> 00:05:41,807
It's by putting
an ice-cream cone
160
00:05:41,842 --> 00:05:43,608
just above his head.
161
00:05:44,945 --> 00:05:46,345
Aah.
162
00:05:46,380 --> 00:05:47,879
So we have andre,
163
00:05:47,915 --> 00:05:49,648
a young man born with microtia.
164
00:05:49,683 --> 00:05:51,249
Had reconstruction,
165
00:05:51,285 --> 00:05:53,185
and he's developed what?
166
00:05:53,220 --> 00:05:53,985
Keloids.
167
00:05:54,021 --> 00:05:55,153
Keloids.
Oh, poor guy.
168
00:05:55,189 --> 00:05:56,588
Let me show you a photo.
169
00:05:56,623 --> 00:05:57,656
Oh.
170
00:05:57,691 --> 00:05:59,091
In simple terms, a keloid
171
00:05:59,126 --> 00:06:00,992
is overgrowth of scar tissue,
172
00:06:01,028 --> 00:06:02,794
and when you just cut it off,
173
00:06:02,830 --> 00:06:04,896
your body says,
"hey, there's still
a wound here,"
174
00:06:04,932 --> 00:06:06,031
and it keeps growing.
175
00:06:06,066 --> 00:06:07,566
So it's very hard to excise
176
00:06:07,601 --> 00:06:09,501
and not have it
grow back again.
177
00:06:09,536 --> 00:06:11,069
Can you please send in andre?
178
00:06:12,272 --> 00:06:13,405
[dr. Dubrow] andre.
Hi.
179
00:06:13,440 --> 00:06:14,406
This guy's tall.
180
00:06:14,441 --> 00:06:15,340
Nice to meet you.
Andre.
181
00:06:15,376 --> 00:06:16,641
Nice to meet you.
182
00:06:16,677 --> 00:06:17,909
Hi, andre. Terry dubrow.
How are you?
Hello.
183
00:06:17,945 --> 00:06:19,244
Nice to meet you.
Nice to meet you.
184
00:06:19,279 --> 00:06:20,512
Hi, I'm his mom malika.
185
00:06:20,547 --> 00:06:21,747
Malika?
Uh-huh.
186
00:06:21,782 --> 00:06:23,348
Dr. Nassif. Dr. Dubrow.
Hi.
187
00:06:23,384 --> 00:06:24,416
How are you?
Hi, dr. Dubrow.
188
00:06:24,451 --> 00:06:25,650
Nice to meet you.
Come on in.
189
00:06:25,686 --> 00:06:26,651
Have a seat there.
190
00:06:26,687 --> 00:06:28,487
My mom, she was a single mother.
191
00:06:28,522 --> 00:06:30,122
We have a very close relationship.
192
00:06:30,157 --> 00:06:31,757
She was always encouraging me
193
00:06:31,792 --> 00:06:34,359
to just make the most out of a bad situation.
194
00:06:34,395 --> 00:06:38,764
I know that it's straining to her to maybe go through another procedure again
195
00:06:38,799 --> 00:06:40,031
with the same results.
196
00:06:40,067 --> 00:06:41,933
If dr. Nassif can't fix this,
197
00:06:41,969 --> 00:06:44,302
then I'm just
gonna have to live with it
for the rest of my life.
198
00:06:44,338 --> 00:06:47,038
So you're born with
a problem with your ear.
199
00:06:47,074 --> 00:06:47,973
Yeah.
Okay.
200
00:06:48,008 --> 00:06:50,308
It was a unique situation
when he was born.
201
00:06:50,344 --> 00:06:52,477
There was something wrong with his ear, and I'm like,
202
00:06:52,513 --> 00:06:54,379
"is it something I did?" [dr. Nassif] no, you did nothing.
203
00:06:54,415 --> 00:06:56,415
'cause I work at a pharmacy. It's like was it a medicine
204
00:06:56,450 --> 00:06:58,250
I was probably
exposed to before.
Okay, listen.
205
00:06:58,285 --> 00:06:59,718
Listen to me.
Uh-huh.
206
00:06:59,753 --> 00:07:01,686
You had nothing to do
with this.
207
00:07:01,722 --> 00:07:03,989
Okay.
[dr. Nassif]
it just happened.
208
00:07:04,024 --> 00:07:05,724
This is something
that happens randomly then?
'cause I always blamed myself.
209
00:07:05,759 --> 00:07:08,527
Yeah.
There is not one specific reason
why microtia occurs.
210
00:07:08,562 --> 00:07:11,329
Thank you.
So if you've ever
had any guilt...
211
00:07:11,365 --> 00:07:14,032
I did.
[whooshes]
has nothing to do with you.
212
00:07:14,067 --> 00:07:17,335
[dr. Nassif] microtia could be a congenital thing,
213
00:07:17,371 --> 00:07:19,237
or it could be environmental.
214
00:07:19,273 --> 00:07:21,039
Many factors can cause this,
215
00:07:21,074 --> 00:07:24,009
but you can't really pick out
one specific factor.
216
00:07:24,044 --> 00:07:26,545
The children's hospital
referred me to a doctor.
217
00:07:26,580 --> 00:07:29,314
And he examined him.
He's like, "we can't do
any surgery until he's five.
218
00:07:29,349 --> 00:07:31,316
[both] mm-hm.
So we waited until he was five.
219
00:07:31,351 --> 00:07:33,919
That was the worst surgery
because they had to get
cartilage from his rib.
220
00:07:33,954 --> 00:07:35,687
From the rib.
Do you remember it?
221
00:07:35,722 --> 00:07:38,356
[andre] I do, yeah. I just remember I was in pain.
222
00:07:38,392 --> 00:07:40,158
How old were you
when you got that keloid?
223
00:07:40,194 --> 00:07:42,160
Nine or eight I would say.
224
00:07:42,196 --> 00:07:44,930
[malika] he was like, "mom, I don't want anymore surgeries."
225
00:07:44,965 --> 00:07:49,100
but now, if you can see,
it's like literally growing
over his ear
226
00:07:49,136 --> 00:07:51,503
to where it's covering
some of his ear.
227
00:07:51,538 --> 00:07:53,939
I can tell this bothers you
just as much as it bothers him.
228
00:07:53,974 --> 00:07:56,441
Definitely. No matter
how much people say that
229
00:07:56,477 --> 00:08:00,078
they don't look at
the outside, they do.
And they judge you by that.
230
00:08:00,113 --> 00:08:03,014
As a mother, I just try to
esteem in him, that he's loved,
231
00:08:03,050 --> 00:08:04,983
he's accepted,
that that's just the outside.
232
00:08:05,018 --> 00:08:08,787
How you are on the outside
doesn't reflect who you are
on the inside.
233
00:08:08,822 --> 00:08:10,889
But andre is kinda withdrawn a little bit.
234
00:08:10,924 --> 00:08:14,059
I feel he is limited
by the outside appearance.
235
00:08:14,094 --> 00:08:17,896
Does it interfere with
any glasses or any activities
of any kind?
236
00:08:17,931 --> 00:08:20,565
I wore glasses
and the thing about it is
237
00:08:20,601 --> 00:08:22,734
I didn't really have like pa--
yeah, rim.
A rim?
238
00:08:22,769 --> 00:08:24,970
So what would be
your goal right now?
239
00:08:25,005 --> 00:08:26,505
Really just to get it
looking
240
00:08:26,540 --> 00:08:28,540
as much like
this ear as it could.
241
00:08:28,575 --> 00:08:30,008
Oh, I would--
I would like it to look
242
00:08:30,043 --> 00:08:31,042
exactly like that.
Yeah.
243
00:08:31,078 --> 00:08:32,477
We want perfection. Yes.
244
00:08:32,513 --> 00:08:35,046
Bring it down a few
notches, mom. Bring it down.
245
00:08:35,082 --> 00:08:37,148
The doctors are in
a business of making miracles
246
00:08:37,184 --> 00:08:39,117
and mir-ear-acles.
247
00:08:39,152 --> 00:08:41,453
You would be okay with
not perfection, right?
248
00:08:41,488 --> 00:08:46,124
I would be okay
if it-- if we get close to it.
249
00:08:46,159 --> 00:08:49,294
No big deal.
Yeah, of course.
No big deal.
250
00:08:49,329 --> 00:08:51,830
[woman] the incision was very blue. [dr. Dubrow] red.
251
00:08:51,865 --> 00:08:54,599
Oh, you know what that means.
Blood supply's not good.
And-- yes.
252
00:08:54,635 --> 00:08:57,969
I cried. It's like...
I was dying.
253
00:08:58,005 --> 00:08:59,070
[woman]
254
00:09:00,440 --> 00:09:02,774
that I can kiss my career bye.
255
00:09:02,809 --> 00:09:03,909
Kiss your butt goodbye.
256
00:09:06,046 --> 00:09:08,346
Al
257
00:09:08,382 --> 00:09:11,116
all right, so we're gonna take
a peek here.
258
00:09:11,151 --> 00:09:13,652
Okay, okay.
So it's attached.
Ohh.
259
00:09:13,687 --> 00:09:16,054
You're missing the area up here.
And that's right.
260
00:09:16,089 --> 00:09:17,889
This is the reconstruction.
[andre] mm-hm.
261
00:09:17,925 --> 00:09:20,225
We got really lucky here
because andre's keloid
262
00:09:20,260 --> 00:09:23,728
is attached to a small pedicle
to the top of his ear.
263
00:09:23,764 --> 00:09:26,031
It's not engulfing
and eating his ear
264
00:09:26,066 --> 00:09:28,500
because if we had
to remove a keloid
265
00:09:28,535 --> 00:09:32,037
that is eating your ear,
then we're lopping off
the top third of his ear.
266
00:09:32,072 --> 00:09:34,472
What is our goals
for where you both want it?
267
00:09:34,508 --> 00:09:36,942
You said,
"can you remove the keloid
268
00:09:36,977 --> 00:09:39,911
and make your left ear
look like your right ear?"
269
00:09:39,947 --> 00:09:40,912
mm-hm.
Right?
270
00:09:40,948 --> 00:09:42,314
Yes.
Correct.
Okay.
271
00:09:42,349 --> 00:09:44,616
Probably not going to make them
look exactly alike.
272
00:09:44,651 --> 00:09:45,884
Yeah.
273
00:09:45,919 --> 00:09:46,851
No matter what.
274
00:09:46,887 --> 00:09:47,819
Okay.
275
00:09:47,854 --> 00:09:48,820
At all.
276
00:09:48,855 --> 00:09:51,856
So a plan would possibly be
277
00:09:51,892 --> 00:09:53,058
doing a keloid excision
278
00:09:53,093 --> 00:09:54,693
with possible rib
reconstruction.
279
00:09:54,728 --> 00:09:55,927
Okay.
280
00:09:55,963 --> 00:09:57,929
Assuming that the keloid
doesn't grow back.
281
00:09:57,965 --> 00:10:01,099
A thought
that's entering my mind is,
282
00:10:01,134 --> 00:10:04,970
if I put rib in between
the keloid and the skin,
283
00:10:05,005 --> 00:10:07,639
is that going to act
as a barrier
284
00:10:07,674 --> 00:10:10,475
to prevent further regrowth
285
00:10:10,510 --> 00:10:11,977
of a new keloid?
286
00:10:12,012 --> 00:10:14,646
And, yes, I just thought
about that myself.
287
00:10:14,681 --> 00:10:17,182
Are there other treatments
that can stop the keloid?
288
00:10:17,217 --> 00:10:18,350
There is one thing.
289
00:10:18,385 --> 00:10:20,952
There is something called
5-flurouracil.
290
00:10:20,988 --> 00:10:22,787
It is an injectable.
291
00:10:22,823 --> 00:10:26,057
It helps prevent the buildup
of scar tissue.
292
00:10:26,093 --> 00:10:27,125
There is a possibility
293
00:10:27,160 --> 00:10:28,360
that this modulator,
294
00:10:28,395 --> 00:10:31,296
which means it tells things
to stop growing
295
00:10:31,331 --> 00:10:32,831
may be effective.
296
00:10:32,866 --> 00:10:34,499
I would inject
the 5-flurouracil
297
00:10:34,534 --> 00:10:37,469
at the end of surgery
and every week
298
00:10:37,504 --> 00:10:41,473
until hopefully
that initial healing stage
is over.
299
00:10:41,508 --> 00:10:46,011
Ears are basically either
there or not...
300
00:10:46,046 --> 00:10:47,045
Yeah.
...Generally.
301
00:10:47,080 --> 00:10:48,647
Name me an actor or actress
302
00:10:48,682 --> 00:10:49,814
who has great ears?
303
00:10:49,850 --> 00:10:51,383
Can't think of any.
304
00:10:51,418 --> 00:10:53,084
You know,
it's just not a thing.
305
00:10:53,120 --> 00:10:55,320
[both laughing]
[dr. Nassif]
there we go. All right.
306
00:10:55,355 --> 00:10:57,956
♪ let's get it on ♪
♪ jack up the bass line ♪
307
00:10:57,991 --> 00:10:59,891
♪ I know it ♪
♪ drop off my waistline ♪
308
00:10:59,926 --> 00:11:02,027
♪ nobody-- that's not enough ♪
309
00:11:02,062 --> 00:11:05,964
my name's kasia
and I'm from amsterdam.
310
00:11:07,567 --> 00:11:09,167
I'm a singer
311
00:11:09,202 --> 00:11:12,437
and my bass is way too low.
312
00:11:12,472 --> 00:11:13,738
Everyone knows you, you know?
313
00:11:13,774 --> 00:11:16,007
"kasia, yeah, the one
with the nice butt."
314
00:11:16,043 --> 00:11:18,843
[kasia] I was always a fan of the butts,
315
00:11:18,879 --> 00:11:20,912
especially like j.Lo
316
00:11:20,947 --> 00:11:24,082
and beyoncé and then kim.
317
00:11:24,117 --> 00:11:26,117
And I thought this is
like a whole evolution
318
00:11:26,153 --> 00:11:28,420
of the butt is getting bigger
and bigger and bigger.
319
00:11:28,455 --> 00:11:30,488
I walk and I twerk.
320
00:11:30,524 --> 00:11:31,589
It's very weird
321
00:11:31,625 --> 00:11:33,825
what butt can do
with your life.
322
00:11:33,860 --> 00:11:36,461
My career was blown up
more than my butt.
323
00:11:36,496 --> 00:11:37,495
Hello!
324
00:11:37,531 --> 00:11:39,197
I look like ballerina?
325
00:11:39,232 --> 00:11:40,799
I've got my reality show
326
00:11:40,834 --> 00:11:42,167
with two of my girlfriends,
327
00:11:42,202 --> 00:11:44,502
call it,
keeping up with the balkjes.
328
00:11:44,538 --> 00:11:47,005
Notice I have cellulite
on my buttocks?
329
00:11:47,040 --> 00:11:50,041
I remember performing on the amsterdam gay parade.
330
00:11:50,077 --> 00:11:52,544
For 13, 14,000 people.
331
00:11:52,579 --> 00:11:55,113
And I'm about to release my new album.
332
00:11:55,148 --> 00:11:56,581
Yeah, I'm out there.
333
00:11:56,616 --> 00:11:58,883
Sounds funny, but my butt
goes with my career.
334
00:11:58,919 --> 00:12:02,153
Okay, so you see this side,
it doesn't look very nice.
335
00:12:02,189 --> 00:12:05,457
Kasia is real known for
her music in amsterdam
336
00:12:05,492 --> 00:12:09,360
but also for her,
uh, beautiful body.
337
00:12:09,396 --> 00:12:11,129
[kasia]
and also the back,
338
00:12:11,164 --> 00:12:13,398
like you can see
all the fillers,
literally hanging.
339
00:12:13,433 --> 00:12:15,333
Instead of going up,
it's going down.
340
00:12:15,368 --> 00:12:16,468
When I was 22,
341
00:12:16,503 --> 00:12:17,869
I had fillers.
342
00:12:17,904 --> 00:12:19,571
Then I feel excited.
I went back.
343
00:12:19,606 --> 00:12:21,005
And I got my boobies.
344
00:12:21,041 --> 00:12:22,507
So I thought it's amazing.
345
00:12:22,542 --> 00:12:25,210
It's like I became a different person.
346
00:12:30,383 --> 00:12:32,851
It was like more
or less like this.
347
00:12:32,886 --> 00:12:35,019
And that's how it
was looking in the beginning.
348
00:12:35,055 --> 00:12:36,020
Yeah.
349
00:12:36,056 --> 00:12:37,689
So after the implants,
350
00:12:37,724 --> 00:12:42,894
I had 500cc filler
injected each butt cheeks.
351
00:12:42,929 --> 00:12:44,529
Your looks are important.
352
00:12:44,564 --> 00:12:47,432
My butt going to be
literally into my knees.
353
00:12:52,939 --> 00:12:54,906
It started eight months ago.
354
00:12:54,941 --> 00:12:56,975
Then I can kiss my career bye.
355
00:12:57,010 --> 00:12:58,443
Kiss your butt good-bye.
Kiss career--
356
00:12:58,478 --> 00:12:59,477
kiss your butt--
357
00:12:59,513 --> 00:13:01,379
I'm doing my music video.
358
00:13:01,414 --> 00:13:03,615
It's very important
to look good.
359
00:13:03,650 --> 00:13:06,251
I hope that dr. Dubrow and dr. Nassif
360
00:13:06,286 --> 00:13:07,619
find a safe solution
361
00:13:07,654 --> 00:13:09,120
to remove the filler
362
00:13:09,156 --> 00:13:10,922
and keep the implants
363
00:13:10,957 --> 00:13:14,192
but also keep my butt
nice in shape.
364
00:13:14,227 --> 00:13:17,262
I hope dr. Dubrow is going
to fix it for you.
365
00:13:17,297 --> 00:13:18,696
He's married, I think. Huh?
366
00:13:19,933 --> 00:13:21,432
Oh...
You know how handy
it would be
367
00:13:21,468 --> 00:13:22,767
married to a surgeon?
368
00:13:28,875 --> 00:13:30,542
-[dr. Dubrow] sheyla. -[sheyla] hello.
369
00:13:30,577 --> 00:13:32,777
So where you guys from?
Brazil.
370
00:13:32,813 --> 00:13:35,213
Is that where you've had most
of your plastic surgery?
371
00:13:35,248 --> 00:13:38,016
Yes, I want the big breasts,
the tiny waist,
372
00:13:38,051 --> 00:13:40,652
but my doctor told me I had to
a couple of surgeries
373
00:13:40,687 --> 00:13:41,953
to get that size
374
00:13:41,988 --> 00:13:43,521
'cause I was flat chested.
375
00:13:43,557 --> 00:13:45,490
Okay, so what did they put
in the first time?
376
00:13:45,525 --> 00:13:46,724
145.
377
00:13:46,760 --> 00:13:48,226
[dr. Dubrow]
that's very, very small.
378
00:13:48,261 --> 00:13:50,361
They're almost like
a baby breasts.
379
00:13:50,397 --> 00:13:51,629
Yeah, how long did you wait
380
00:13:51,665 --> 00:13:52,864
before you went
to the next bigger size?
381
00:13:52,899 --> 00:13:54,599
I was like every six months.
382
00:13:54,634 --> 00:13:56,067
[dr. Nassif] surgery every six months--
383
00:13:56,102 --> 00:13:57,869
that's not something I would recommend.
384
00:13:57,904 --> 00:13:59,604
The more times you have
a surgery,
385
00:13:59,639 --> 00:14:01,606
the higher the frequency
of encountering
386
00:14:01,641 --> 00:14:04,442
a surgical or anesthetic
complication.
387
00:14:04,477 --> 00:14:07,979
So then after
that I had to have
a special implant made.
388
00:14:08,014 --> 00:14:09,147
And how big were those?
389
00:14:09,182 --> 00:14:12,350
5,500 ccs. Wow.
390
00:14:12,385 --> 00:14:14,219
But I was pregnant
and I didn't know.
391
00:14:14,254 --> 00:14:16,120
Okay.
So I had to go back
into surgery
392
00:14:16,156 --> 00:14:18,089
to reduce the implants.
393
00:14:18,124 --> 00:14:20,225
So then you delivered,
394
00:14:20,260 --> 00:14:21,492
and you, what, you go back in
395
00:14:21,528 --> 00:14:23,294
and have big ones
put back in again?
396
00:14:23,330 --> 00:14:25,063
I wasn't able to get
those implants
397
00:14:25,098 --> 00:14:26,197
that I had custom made.
398
00:14:26,233 --> 00:14:28,666
They no longer fabricate
those implants.
399
00:14:28,702 --> 00:14:33,037
So he took a 1500 implant
and stacked two in each breast.
400
00:14:33,073 --> 00:14:34,239
Okay.
401
00:14:34,274 --> 00:14:35,707
[laughs] I told them, "this is so common,"
402
00:14:35,742 --> 00:14:37,342
and I say, "they do all the time."
403
00:14:37,377 --> 00:14:38,243
stacking?
404
00:14:38,278 --> 00:14:39,644
Yeah, I lied.
405
00:14:39,679 --> 00:14:42,080
Yeah, you lied.
...To get away
with my big breasts.
406
00:14:42,115 --> 00:14:45,116
Okay.
So I show him a little video
from nip/tuck
407
00:14:45,151 --> 00:14:46,584
because seen on the show.
408
00:14:46,620 --> 00:14:47,719
From the tv show?
409
00:14:47,754 --> 00:14:49,153
[dr. Nassif] yeah.
That's fiction.
410
00:14:49,189 --> 00:14:50,121
That's fake.
411
00:14:50,156 --> 00:14:51,422
So you convinced him
412
00:14:51,458 --> 00:14:52,423
based on fiction.
413
00:14:52,459 --> 00:14:53,658
The fact that sheyla
414
00:14:53,693 --> 00:14:55,293
was able to convince
a plastic surgeon
415
00:14:55,328 --> 00:14:57,061
to do something unorthodox
416
00:14:57,097 --> 00:14:59,130
by showing him a video
417
00:14:59,165 --> 00:15:00,465
tells me two things--
418
00:15:00,500 --> 00:15:02,634
one, she's very persuasive,
419
00:15:02,669 --> 00:15:05,336
and two, it must've been
a really good show.
420
00:15:05,372 --> 00:15:08,606
These double stacking implants
was so swollen.
421
00:15:08,642 --> 00:15:10,408
It was infected,
422
00:15:10,443 --> 00:15:12,143
and the incision
was very--
423
00:15:12,178 --> 00:15:13,478
[dr. Dubrow] red.
...Blue.
424
00:15:13,513 --> 00:15:14,846
Blue?
It was turning blue.
425
00:15:14,881 --> 00:15:15,813
Oh, you know what that means?
426
00:15:15,849 --> 00:15:17,015
Blood supply's not good.
427
00:15:17,050 --> 00:15:18,383
Yes, I cried.
428
00:15:18,418 --> 00:15:20,652
It's like I was dying.
429
00:15:20,687 --> 00:15:22,453
The area inside my breasts
was black.
430
00:15:22,489 --> 00:15:23,788
Yeah.
Complete,
431
00:15:23,823 --> 00:15:26,224
so they had to remove
grafted skins from the side
432
00:15:26,259 --> 00:15:28,026
and leave me
without the implants.
433
00:15:28,061 --> 00:15:29,127
So when I woke up...
Oh, yes.
434
00:15:29,162 --> 00:15:30,261
...And I had no implants,
435
00:15:30,297 --> 00:15:31,396
and you already know
what happened, now?
436
00:15:31,431 --> 00:15:32,830
You freaked.
I freaked out.
437
00:15:32,866 --> 00:15:34,866
I didn't look in the mirror
for a long time.
438
00:15:34,901 --> 00:15:37,602
I'm really interested
in helping sheyla.
439
00:15:37,637 --> 00:15:40,104
The problem is, is that
when you take a patient
440
00:15:40,140 --> 00:15:44,242
who's had a history of
so many previous operations,
like sheyla,
441
00:15:44,277 --> 00:15:49,981
it makes you wonder
whether you can ever
truly make her happy.
442
00:15:50,016 --> 00:15:52,216
And then got these put it in.
443
00:15:52,252 --> 00:15:53,718
So that was the last surgery.
444
00:15:53,753 --> 00:15:55,320
This was the last surgery.
How long ago?
445
00:15:55,355 --> 00:15:56,521
2012.
446
00:15:56,556 --> 00:15:58,189
So what are your goals now?
447
00:15:58,224 --> 00:15:59,324
A thousand.
448
00:15:59,359 --> 00:16:00,358
Why do you want a thousand?
449
00:16:00,393 --> 00:16:01,626
With the 2500 now
450
00:16:01,661 --> 00:16:02,727
I was okay.
I was fine.
451
00:16:02,762 --> 00:16:06,764
But, uh, 2017 I was working
at a psychiatric hospital.
452
00:16:06,800 --> 00:16:08,232
I was doing program
with a patient.
453
00:16:08,268 --> 00:16:09,434
He got out of control,
454
00:16:09,469 --> 00:16:12,337
and he grabbed me,
threw me across the room.
455
00:16:12,372 --> 00:16:13,938
So I land on my back,
456
00:16:13,974 --> 00:16:16,274
and then I got back pain.
457
00:16:16,309 --> 00:16:18,376
So the breasts
became an issue.
458
00:16:18,411 --> 00:16:20,311
So now you have
a functional issue.
459
00:16:20,347 --> 00:16:21,779
And I have this big gap,
460
00:16:21,815 --> 00:16:23,548
and you're going to see later,
after the exam,
461
00:16:23,583 --> 00:16:25,049
and you're gonna see
the defect.
462
00:16:25,085 --> 00:16:26,617
My breasts have deformed.
463
00:16:26,653 --> 00:16:28,720
They don't even look
normal anymore.
464
00:16:28,755 --> 00:16:29,887
To take the weight off
465
00:16:29,923 --> 00:16:31,556
will require
a lot of skin removal.
466
00:16:31,591 --> 00:16:32,957
The question is,
467
00:16:32,993 --> 00:16:34,425
how risky is it?
468
00:16:36,963 --> 00:16:38,930
So you had a 360 cc implant
469
00:16:38,965 --> 00:16:42,266
and 500 ccs of filler.
Yes.
470
00:16:42,302 --> 00:16:44,902
Scary.
471
00:16:44,938 --> 00:16:50,141
[dr. Nassif] okay, so this is
what the keloid looks like.
[woman] wow, it's huge.
472
00:16:52,512 --> 00:16:53,845
[dr. Dubrow] all right, take a look.
473
00:16:53,880 --> 00:16:55,113
Okay.
474
00:16:55,148 --> 00:16:56,314
It's a mess.
475
00:16:56,349 --> 00:16:58,583
Okay, let me see something
for a second.
476
00:16:58,618 --> 00:17:01,786
Are you sure these are
2,500 ccs?
477
00:17:01,821 --> 00:17:03,921
They seem
a little smaller than that.
478
00:17:03,957 --> 00:17:05,857
My doctor told me 2500.
479
00:17:05,892 --> 00:17:06,891
Okay. That's okay.
480
00:17:06,926 --> 00:17:08,192
So all right,
481
00:17:08,228 --> 00:17:10,728
you do have some breast tissue
hanging off here.
482
00:17:10,764 --> 00:17:12,130
We call that a dissociation.
483
00:17:12,165 --> 00:17:14,465
But the good news is
you have a lot
of breast tissue.
484
00:17:14,501 --> 00:17:15,666
It's pretty thick.
Yeah, that's good.
485
00:17:15,702 --> 00:17:17,301
Although I have
several concerns
486
00:17:17,337 --> 00:17:21,305
about a patient who's had
32 previous breast surgeries.
487
00:17:21,341 --> 00:17:25,109
The main focus
is on blood supply
488
00:17:25,145 --> 00:17:26,044
to the tissue
489
00:17:26,079 --> 00:17:28,946
and how much internal scaring
there is.
490
00:17:28,982 --> 00:17:30,782
This is what could be done.
Okay.
491
00:17:30,817 --> 00:17:33,518
We could take
the breast implants out.
Okay.
492
00:17:33,553 --> 00:17:35,086
We would have to close down
the pocket
493
00:17:35,121 --> 00:17:36,521
to put a smaller
smaller implant.
Okay. Okay.
494
00:17:36,556 --> 00:17:38,322
If we don't close down
the pocket,
495
00:17:38,358 --> 00:17:39,757
they'll just fall down
into your armpit.
496
00:17:39,793 --> 00:17:41,559
Yeah, please do
whatever you have to.
497
00:17:41,594 --> 00:17:43,628
So you have to close down
the pocket,
498
00:17:43,663 --> 00:17:45,630
put the new saline breast
implants in.
499
00:17:45,665 --> 00:17:47,899
Whether it's 800, 850
or a thousand,
500
00:17:47,934 --> 00:17:49,233
that's all about the same.
501
00:17:49,269 --> 00:17:50,301
And then--
a thousand.
502
00:17:50,336 --> 00:17:51,769
[laughing]
a thousand--
503
00:17:51,805 --> 00:17:54,272
and then you're gonna have
a lot of excess lose skin.
504
00:17:54,307 --> 00:17:55,273
Correct?
A fair amount, yeah.
505
00:17:55,308 --> 00:17:57,241
So that has to be removed
506
00:17:57,277 --> 00:17:58,476
and everything
has to be tightened up.
507
00:17:58,511 --> 00:18:00,411
So you need
a significant breast lift.
508
00:18:00,447 --> 00:18:03,915
I think I sort of have
to take your case
509
00:18:03,950 --> 00:18:05,950
because it's very high risk.
510
00:18:05,985 --> 00:18:08,119
Yay... [speaks portuguese]
he's gonna do it.
511
00:18:08,154 --> 00:18:10,988
The number-one goal
is to take care of the pain.
512
00:18:11,024 --> 00:18:11,622
The pain.
513
00:18:11,658 --> 00:18:12,990
And the functional problem.
514
00:18:13,026 --> 00:18:15,059
The number-two goal
is to make them look good.
515
00:18:15,095 --> 00:18:16,127
Yes, yes, yes.
516
00:18:16,162 --> 00:18:17,228
Once he does this,
517
00:18:17,263 --> 00:18:18,396
you're gonna be
a lot smaller.
518
00:18:18,431 --> 00:18:21,432
Are you-- you--
you sure mentally
519
00:18:21,468 --> 00:18:22,767
you are ready for this?
520
00:18:22,802 --> 00:18:25,036
I am hundred percent ready.
521
00:18:25,071 --> 00:18:26,471
I can't wait.
522
00:18:30,710 --> 00:18:32,176
[dr. Nassif] hello, everybody.
523
00:18:32,212 --> 00:18:33,611
Let's talk about the plant
for today.
524
00:18:33,646 --> 00:18:35,379
The goal is to remove
the keloid,
525
00:18:35,415 --> 00:18:38,549
inject it with
5-flurouracil and steroids
526
00:18:38,585 --> 00:18:40,284
to prevent it
from coming back.
527
00:18:40,320 --> 00:18:42,253
However, the risk of you
getting that keloid back
528
00:18:42,288 --> 00:18:43,588
is still there.
529
00:18:43,623 --> 00:18:45,056
There are no guarantees
in any of this.
530
00:18:45,091 --> 00:18:46,124
Yeah.
With what you have.
531
00:18:46,159 --> 00:18:48,126
There's no guarantee here.
532
00:18:54,033 --> 00:18:55,166
For andre's surgery,
533
00:18:55,201 --> 00:18:56,801
I will start by making an incision
534
00:18:56,836 --> 00:18:58,136
along the left ear
535
00:18:58,171 --> 00:19:00,204
and excise the keloid from his ear.
536
00:19:00,240 --> 00:19:02,340
The I will harvest two small pieces of rib
537
00:19:02,375 --> 00:19:05,109
and stitch them to the tissue on top of his ear.
538
00:19:05,145 --> 00:19:07,712
I will then use piece of skin from the keloid
539
00:19:07,747 --> 00:19:09,480
to make a skin graft to cover the rib
540
00:19:09,516 --> 00:19:12,683
and shape the ear before stitching the area closed.
541
00:19:12,719 --> 00:19:14,886
Finally I will inject andre's ear
542
00:19:14,921 --> 00:19:16,487
with 5-flurouracil
543
00:19:16,523 --> 00:19:19,257
to prevent the keloid from coming back.
544
00:19:19,292 --> 00:19:22,760
I'm incising,
which means making a incision
545
00:19:22,795 --> 00:19:24,795
along the keloid
546
00:19:24,831 --> 00:19:27,732
but making sure
I have extra skin
547
00:19:27,767 --> 00:19:32,036
so we can close ear
together again.
548
00:19:33,606 --> 00:19:37,875
Okay, so this is what
the keloid looks like.
[woman] wow, it's huge.
549
00:19:41,447 --> 00:19:44,482
Let's just carve
a piece of rib
550
00:19:44,517 --> 00:19:47,251
while the rib is still left
in the chest.
551
00:19:47,287 --> 00:19:48,753
We don't need the whole rib,
552
00:19:48,788 --> 00:19:50,855
but not-- we're not doing
a nasal reconstruction.
553
00:19:50,890 --> 00:19:53,724
Since we need two relatively
small pieces of rib cartilage,
554
00:19:53,760 --> 00:19:55,760
we're gonna carve out the rib
555
00:19:55,795 --> 00:19:57,562
while the rib is actually left
in the body.
556
00:19:57,597 --> 00:19:59,330
We're not gonna take out
the whole rib.
557
00:19:59,365 --> 00:20:01,098
And this is more less invasive.
558
00:20:01,134 --> 00:20:04,335
In addition it should cause
andre less pain.
559
00:20:04,370 --> 00:20:06,837
So this is the piece of rib.
560
00:20:06,873 --> 00:20:09,207
And I'm gonna--
561
00:20:10,543 --> 00:20:14,445
trying to stitch the skin
on top of that ear.
562
00:20:14,480 --> 00:20:16,013
And I don't know
if this is gonna work.
563
00:20:16,049 --> 00:20:17,715
Again, no one's done this.
[woman] yeah.
564
00:20:17,750 --> 00:20:19,817
We're trying to see
if somehow
565
00:20:19,852 --> 00:20:22,386
there's a signal
in the cartilage
566
00:20:22,422 --> 00:20:24,255
to the scar saying,
567
00:20:24,290 --> 00:20:25,690
"stop making scar."
568
00:20:25,725 --> 00:20:29,093
and we may need to use
the little skin graft
569
00:20:29,128 --> 00:20:30,528
because it's pretty--
570
00:20:30,563 --> 00:20:32,630
you know, it's--
actually need more tissue.
571
00:20:32,665 --> 00:20:36,434
Because I ended up building
the ear up so much in height
572
00:20:36,469 --> 00:20:38,803
to almost match the right ear,
573
00:20:38,838 --> 00:20:41,405
the skin I left behind, which was a lot,
574
00:20:41,441 --> 00:20:42,873
is not sufficient to close it.
575
00:20:42,909 --> 00:20:44,275
I need a skin graft.
576
00:20:44,310 --> 00:20:46,410
So I'm gonna take a piece of skin
577
00:20:46,446 --> 00:20:48,646
from the keloid that I excised,
578
00:20:48,681 --> 00:20:50,114
stitch it all together,
579
00:20:50,149 --> 00:20:53,517
and hopefully everything
will survive nicely.
580
00:20:53,553 --> 00:20:57,421
I'm gonna do
a little "injecciones'
581
00:20:57,457 --> 00:20:58,623
of this.
582
00:20:58,658 --> 00:21:02,026
0.65 ccs
583
00:21:02,061 --> 00:21:03,628
out of the 5-fu.
584
00:21:03,663 --> 00:21:04,729
Look at that.
585
00:21:04,764 --> 00:21:06,597
Can you wear
a pair of glasses there?
586
00:21:06,633 --> 00:21:07,999
Damn right, baby.
[woman] yep.
587
00:21:08,034 --> 00:21:10,067
This is why terry and I
do what we do.
588
00:21:10,103 --> 00:21:11,902
We help those
who need us the most.
589
00:21:11,938 --> 00:21:14,372
Andre is a young, good-looking guy
590
00:21:14,407 --> 00:21:16,507
with the rest of his life
ahead of him.
591
00:21:16,542 --> 00:21:18,909
He should not have to feel
that he's being held back.
592
00:21:18,945 --> 00:21:22,346
Hopefully that skin graft
doesn't die.
593
00:21:22,382 --> 00:21:23,547
Yep.
594
00:21:28,755 --> 00:21:30,321
[dr. Nassif]what do you have going on here?
595
00:21:30,356 --> 00:21:32,623
This is an interesting,
difficult patient
596
00:21:32,659 --> 00:21:35,493
who has a buttock problem.
597
00:21:35,528 --> 00:21:40,431
Her name is kasia.
Pretty girl but obviously
likes to do enhancements.
598
00:21:40,466 --> 00:21:42,033
Yeah.
She has foreign material
599
00:21:42,068 --> 00:21:43,000
in her buttock.
600
00:21:43,036 --> 00:21:44,935
I don't know exactly
what's been injected,
601
00:21:44,971 --> 00:21:46,437
what procedures she's had.
602
00:21:46,472 --> 00:21:47,705
So let's bring in kasia.
603
00:21:47,740 --> 00:21:49,173
Can you please send in kasia?
604
00:21:50,510 --> 00:21:51,676
Kasia.
Hello.
605
00:21:51,711 --> 00:21:52,977
How are you, kasia?
Dr. Nassif.
606
00:21:53,012 --> 00:21:55,279
I'm fine.
607
00:21:55,315 --> 00:21:56,514
We kiss.
608
00:21:56,549 --> 00:21:57,715
That's how we do in holland.
609
00:21:57,750 --> 00:21:59,116
Terry dubrow.
Pleasure to meet you.
610
00:21:59,152 --> 00:22:00,551
Hi. Hello, my name is cindy.
Please.
611
00:22:00,586 --> 00:22:01,719
Nice to meet you.
Have a seat.
612
00:22:01,754 --> 00:22:03,087
Wait a minute.
What did you say?
613
00:22:03,122 --> 00:22:04,355
Those are free kisses
from where?
614
00:22:04,390 --> 00:22:05,489
Holland.
From holland.
615
00:22:05,525 --> 00:22:06,324
Holland.
616
00:22:06,359 --> 00:22:08,192
My wife's parents
617
00:22:08,227 --> 00:22:09,894
lived in holland for 11 years.
618
00:22:09,929 --> 00:22:12,596
How do you say "hospital"
in...
Ziekenhuis.
619
00:22:12,632 --> 00:22:14,231
Ziek-- is that great?
Ziekenhuis.
620
00:22:14,267 --> 00:22:16,167
My wife and I always say,
621
00:22:16,202 --> 00:22:17,501
when I don't feel well,
I go,
622
00:22:17,537 --> 00:22:19,003
"I need to go
to the "sicky-house."
623
00:22:19,038 --> 00:22:21,072
sicky-house.
Sicky-house.
624
00:22:21,107 --> 00:22:22,707
Feel sicky. I need to go
to the sicky-house.
625
00:22:22,742 --> 00:22:24,508
So, kasia, what do you do?
626
00:22:24,544 --> 00:22:27,178
Came from, like,
reality show tv programs
627
00:22:27,213 --> 00:22:30,848
and then finally I fall
in love with the music.
628
00:22:30,883 --> 00:22:32,016
So you're a singer.
629
00:22:32,051 --> 00:22:32,983
Yes.
So wait.
630
00:22:33,019 --> 00:22:34,151
You did reality tv?
631
00:22:34,187 --> 00:22:35,152
Yes, in holland.
In holland?
632
00:22:35,188 --> 00:22:36,120
What was it?
633
00:22:36,155 --> 00:22:37,521
Keeping up with the balkjes.
634
00:22:37,557 --> 00:22:39,223
How was that?
It was cool.
635
00:22:39,258 --> 00:22:40,524
It was, like, five seasons.
636
00:22:40,560 --> 00:22:42,293
Five seasons.
Yeah.
637
00:22:42,328 --> 00:22:43,427
You were really famous
in holland.
638
00:22:43,463 --> 00:22:45,896
Everyone more or less, yeah.
Many people knows me, yeah.
639
00:22:45,932 --> 00:22:48,366
Wow. Did the keeping up with...
640
00:22:48,401 --> 00:22:50,101
The balkjes. The balkjes
641
00:22:50,136 --> 00:22:51,769
reality show come to you
642
00:22:51,804 --> 00:22:53,838
because of the buttock,
or did you have the buttock
643
00:22:53,873 --> 00:22:57,108
done because you saw
the keeping up with the...
Show here?
644
00:22:57,143 --> 00:22:59,377
Yes. We found all the pop
stars...
Yeah?
645
00:22:59,412 --> 00:23:01,712
...All the movie stars
and reality stars.
646
00:23:01,748 --> 00:23:04,949
So I start with j.Lo.
Then I saw beyoncé.
647
00:23:04,984 --> 00:23:08,119
Ah...
Right? So I went, like, larger.
648
00:23:08,154 --> 00:23:09,754
Then I saw kim.
649
00:23:09,789 --> 00:23:11,455
So you had it done.
650
00:23:11,491 --> 00:23:12,356
360...
651
00:23:12,392 --> 00:23:13,691
360.
...Ccs.
652
00:23:13,726 --> 00:23:15,192
And they look good.
653
00:23:15,228 --> 00:23:16,594
Yeah, back then, yes.
Good.
654
00:23:16,629 --> 00:23:19,530
But then along the road
I thought, "okay..."
655
00:23:19,565 --> 00:23:21,565
ah, here we go.
More is better.
656
00:23:21,601 --> 00:23:22,333
Yeah.
657
00:23:22,368 --> 00:23:24,769
How can I have larger butt,
right?
658
00:23:24,804 --> 00:23:28,072
And I went, like, to injecting
permanent fillers.
659
00:23:28,107 --> 00:23:29,073
Permanent.
660
00:23:29,108 --> 00:23:32,243
Hydrogel, 500 cc each.
661
00:23:32,278 --> 00:23:33,744
Of hydrogel?
Yes.
662
00:23:33,780 --> 00:23:34,979
In each cheek?
Yes.
663
00:23:35,014 --> 00:23:36,046
So now you have--
that's huge.
664
00:23:36,082 --> 00:23:37,782
So you have a 360 cc implant.
665
00:23:37,817 --> 00:23:40,551
And 500 ccs of filler.
Yes.
666
00:23:40,586 --> 00:23:41,886
Scary.
667
00:23:41,921 --> 00:23:44,288
Hydrogel is a very common
filler in europe
668
00:23:44,323 --> 00:23:47,425
that's used to cause
soft tissue expansion.
669
00:23:47,460 --> 00:23:52,463
But I've never seen someone have 500 ccs injected
670
00:23:52,498 --> 00:23:54,799
in one anatomical area.
671
00:23:54,834 --> 00:23:59,270
So that could really predispose
you to very significant
complications.
672
00:23:59,305 --> 00:24:01,605
Let's look. All right?
See if we can help you.
All right.
673
00:24:01,641 --> 00:24:02,773
Okay.
Thank you.
674
00:24:02,809 --> 00:24:05,142
Sure.
675
00:24:05,178 --> 00:24:07,378
Can't just make an incision
and go [makes raspberries sound]
676
00:24:07,413 --> 00:24:08,546
like it's a zit.
677
00:24:08,581 --> 00:24:10,514
You have to cut
the whole section out.
678
00:24:12,051 --> 00:24:13,317
Okay, here it comes.
679
00:24:13,352 --> 00:24:15,119
Does this look
like 2500 ccs to you?
680
00:24:15,154 --> 00:24:17,021
No.
Exactly what
I was worried about.
681
00:24:17,056 --> 00:24:19,123
God damn it!
682
00:24:24,697 --> 00:24:26,864
Welcome to our sicky-house.
683
00:24:26,899 --> 00:24:28,299
[cindy]
ziekenhuis,
684
00:24:28,334 --> 00:24:29,400
...Ziekenhuis.
I like sicky-house better.
685
00:24:29,435 --> 00:24:30,601
Sicky-house.
[kasia] yeah.
686
00:24:30,636 --> 00:24:32,002
[laughs]
687
00:24:32,038 --> 00:24:33,804
all right, let's get serious.
So do me a favor.
688
00:24:33,840 --> 00:24:34,939
Stand up.
Yeah.
689
00:24:34,974 --> 00:24:36,774
And let me see
what's going on.
690
00:24:36,809 --> 00:24:38,175
All right.
691
00:24:38,211 --> 00:24:39,310
Turn this way.
692
00:24:39,345 --> 00:24:40,811
The buttock implant
is here,
693
00:24:40,847 --> 00:24:43,113
and it's obviously
on top of the muscle.
694
00:24:43,149 --> 00:24:45,883
You're just lucky
it hasn't moved around
too much.
695
00:24:45,918 --> 00:24:48,619
And then you have this area
that's starting to change color.
696
00:24:48,654 --> 00:24:51,956
It's the area where gravity
has its greatest effect.
697
00:24:51,991 --> 00:24:53,924
Okay, so have a seat.
698
00:24:53,960 --> 00:24:57,127
Do you know
what that's indicative of?
699
00:24:57,163 --> 00:24:59,797
A reduction in blood supply.
700
00:24:59,832 --> 00:25:01,732
I think the shape change
we're seeing
701
00:25:01,767 --> 00:25:05,769
in kasia's buttock
is due to the hydrogel
moving around.
702
00:25:05,805 --> 00:25:09,673
Over time that reduction in the blood supply,
703
00:25:09,709 --> 00:25:10,975
due to that large volume
704
00:25:11,010 --> 00:25:12,676
could lead to very
significant problems,
705
00:25:12,712 --> 00:25:15,079
like infection, necrosis,
706
00:25:15,114 --> 00:25:16,981
and, unfortunately,
707
00:25:17,016 --> 00:25:19,016
loss of large segments
708
00:25:19,051 --> 00:25:20,251
of her buttock skin.
709
00:25:20,286 --> 00:25:22,086
You can't just make
an incision
710
00:25:22,121 --> 00:25:24,255
and go [makes raspberries sound]
like it's a zit.
711
00:25:24,290 --> 00:25:26,657
You have to cut
the whole section out
712
00:25:26,692 --> 00:25:28,559
because the fillers
713
00:25:28,594 --> 00:25:31,595
incorporated into the tissue,
714
00:25:31,631 --> 00:25:33,797
so the way I've treated
these things
715
00:25:33,833 --> 00:25:37,101
is I remove that,
I do some tucking,
716
00:25:37,136 --> 00:25:39,336
to take up the loose skin,
717
00:25:39,372 --> 00:25:41,105
but I also do a buttock lift
718
00:25:41,140 --> 00:25:42,606
to bring it up,
719
00:25:42,642 --> 00:25:44,875
which means a scar
across your back.
720
00:25:44,911 --> 00:25:46,076
What's the, um...
721
00:25:46,112 --> 00:25:47,311
The healing time?
The healing time.
722
00:25:47,346 --> 00:25:49,146
It could be
three to six months.
723
00:25:49,181 --> 00:25:50,147
Okay.
724
00:25:50,182 --> 00:25:51,148
What do you think?
725
00:25:51,183 --> 00:25:53,050
What do you wanna do?
726
00:25:53,085 --> 00:25:54,885
I'm really gonna just take
a moment,
727
00:25:54,921 --> 00:25:56,420
finish the things
that I'm working on.
728
00:25:56,455 --> 00:25:58,923
[cindy]
you cannot do this right now,
729
00:25:58,958 --> 00:26:02,059
I think, because of the music
730
00:26:02,094 --> 00:26:04,194
and the videos and everything.
731
00:26:04,230 --> 00:26:06,730
When I would be able to take
732
00:26:06,766 --> 00:26:08,499
enough time to rest
and heal...
733
00:26:08,534 --> 00:26:09,567
Mm-hm.
734
00:26:09,602 --> 00:26:12,503
Come to me.
I will work some magic
735
00:26:12,538 --> 00:26:13,771
on this. Okay?
Yeah.
736
00:26:13,806 --> 00:26:15,773
Kasia should never have had
737
00:26:15,808 --> 00:26:18,142
500 ccs of hydrogel
738
00:26:18,177 --> 00:26:19,443
put into her buttock,
739
00:26:19,478 --> 00:26:21,378
but sometimes celebrities
740
00:26:21,414 --> 00:26:23,914
get whatever they want.
741
00:26:23,950 --> 00:26:27,117
The good news is she can come back to us
742
00:26:27,153 --> 00:26:28,385
and get the proper solution.
743
00:26:28,421 --> 00:26:29,787
Let's go get some wine, okay?
744
00:26:29,822 --> 00:26:31,555
I'm really looking
forward to it.
Okay.
745
00:26:31,591 --> 00:26:32,723
Wining, wining.
746
00:26:32,758 --> 00:26:33,924
Can we take those one with us?
747
00:26:33,960 --> 00:26:36,226
Yeah.
748
00:26:36,262 --> 00:26:39,496
[female singer] ♪ what I wanted, what I needed ♪
749
00:26:39,532 --> 00:26:41,198
♪ are different things to me ♪
750
00:26:41,233 --> 00:26:42,466
[dr. Dubrow] hi, sheyla. How are you?
751
00:26:42,501 --> 00:26:43,834
Hello, dr. Dubrow.
Good to see you.
752
00:26:43,869 --> 00:26:45,102
Nice to meet you.
How do you feel?
753
00:26:45,137 --> 00:26:46,971
I feel a little bit nervous.
754
00:26:47,006 --> 00:26:48,706
You do.
Mm-hm, yeah.
755
00:26:48,741 --> 00:26:51,809
Today's my 33rd breast surgery.
756
00:26:51,844 --> 00:26:53,410
I have mixed emotions.
757
00:26:53,446 --> 00:26:55,179
Because, honestly,
758
00:26:55,214 --> 00:26:57,081
I need to get
a breast reduction,
759
00:26:57,116 --> 00:26:59,116
but I wish I
could've kept them.
760
00:26:59,151 --> 00:27:00,117
I love them.
761
00:27:00,152 --> 00:27:04,421
Downsizing should relieve you
of a lot of pain.
762
00:27:04,457 --> 00:27:07,558
Okay, so we think you have
2500 ccs.
763
00:27:07,593 --> 00:27:09,159
It's possible
that I get in there,
764
00:27:09,195 --> 00:27:10,361
and there's not 2500.
765
00:27:10,396 --> 00:27:12,129
In fact it's possible
I get in there,
766
00:27:12,164 --> 00:27:13,764
and there's
substantially less.
767
00:27:13,799 --> 00:27:14,498
Okay.
768
00:27:14,533 --> 00:27:16,533
If there's substantially less,
769
00:27:16,569 --> 00:27:19,303
I'm gonna have to work
with what it is
770
00:27:19,338 --> 00:27:22,373
and what I need to go down
to get enough laxity
771
00:27:22,408 --> 00:27:23,941
so that I can lift you up.
772
00:27:23,976 --> 00:27:26,210
But my goal is a thousand.
773
00:27:26,245 --> 00:27:27,978
So let me ask you this,
finally.
774
00:27:28,014 --> 00:27:29,947
I may freak out
when I wake up.
775
00:27:29,982 --> 00:27:31,882
Well, let me tell you this.
I go in there,
776
00:27:31,917 --> 00:27:34,485
all you have left
is an 800 cc silicone.
777
00:27:34,520 --> 00:27:36,620
If I take 800 and put 500...
778
00:27:36,656 --> 00:27:39,923
You're gonna have crazy person
getting up surgery.
779
00:27:39,959 --> 00:27:41,692
Hold on a second, sheyla.
Okay.
780
00:27:41,727 --> 00:27:44,795
If I reduce you
by only 300 ccs,
781
00:27:44,830 --> 00:27:46,263
you're still going to have
all that back pain.
782
00:27:46,298 --> 00:27:48,666
What I want is a thousand,
but if it gets that
783
00:27:48,701 --> 00:27:50,100
and a thousand's not possible,
784
00:27:50,136 --> 00:27:51,935
you're the professional,
you're the doctor,
785
00:27:51,971 --> 00:27:53,270
do whatever it takes.
786
00:27:53,305 --> 00:27:55,072
Have you ever said this
to a doctor before?
787
00:27:55,107 --> 00:27:56,373
No.
The first time.
788
00:27:56,409 --> 00:27:57,941
Although I've operated
789
00:27:57,977 --> 00:27:59,943
on someone who's had multiple
previous operations,
790
00:27:59,979 --> 00:28:02,246
this is the first time
I've done someone
who's had 32.
791
00:28:02,281 --> 00:28:05,082
This could be a much
more difficult operation
792
00:28:05,117 --> 00:28:06,583
than I'm even suspecting,
793
00:28:06,619 --> 00:28:10,020
and I'm suspecting
a very difficult operation.
794
00:28:15,494 --> 00:28:17,027
For sheyla's surgery today,
795
00:28:17,063 --> 00:28:18,062
I'm going to make incisions
796
00:28:18,097 --> 00:28:19,196
under her areolas
797
00:28:19,231 --> 00:28:20,998
and remove her old implants.
798
00:28:21,033 --> 00:28:22,399
Next, I will access
799
00:28:22,435 --> 00:28:23,434
the breast pockets,
800
00:28:23,469 --> 00:28:24,902
downsize her implants,
801
00:28:24,937 --> 00:28:27,304
and manipulate the breast tissue and skin
802
00:28:27,339 --> 00:28:30,207
to give her a better overall cosmetic result.
803
00:28:30,242 --> 00:28:34,178
All right, let's find out
what's going on inside.
804
00:28:34,213 --> 00:28:35,579
Okay, here it comes.
805
00:28:35,614 --> 00:28:37,614
Pull--
oh, my god.
806
00:28:37,650 --> 00:28:40,551
It's just a super overfilled
saline implant.
807
00:28:40,586 --> 00:28:42,119
Does this look like 2500 ccs
to you?
808
00:28:42,154 --> 00:28:43,353
[man] no.
Nuh-uh.
809
00:28:43,389 --> 00:28:45,189
That's exactly
what I was afraid of.
810
00:28:46,525 --> 00:28:47,391
Oh, my god.
811
00:28:47,426 --> 00:28:49,927
So I need to know how much
is in here.
812
00:28:49,962 --> 00:28:50,994
What-- what was I worried about?
813
00:28:51,030 --> 00:28:52,262
What if there's only 1500 ccs.
814
00:28:52,298 --> 00:28:53,564
What if it's much smaller?
815
00:28:53,599 --> 00:28:55,232
[woman] yeah.
What if it's a thousand,
816
00:28:55,267 --> 00:28:56,834
and I have to move it
down to 500.
Yeah.
817
00:28:56,869 --> 00:28:58,068
Yeah.
Remember that?
818
00:28:58,104 --> 00:28:59,970
This could be 900 ccs.
819
00:29:00,005 --> 00:29:01,105
Thousand, tops.
820
00:29:01,140 --> 00:29:02,940
[sighs]
thousand, tops.
821
00:29:05,377 --> 00:29:07,211
I'm calling that 900.
822
00:29:09,315 --> 00:29:10,848
This is silicone.
823
00:29:10,883 --> 00:29:12,149
It's silicone?
Yeah.
824
00:29:12,184 --> 00:29:13,183
It's no saline?
825
00:29:13,219 --> 00:29:16,019
No, it looks like there's
a valve on the inside.
826
00:29:16,055 --> 00:29:16,920
Do you see that?
827
00:29:16,956 --> 00:29:19,923
This made be a weird
european double lumen.
828
00:29:19,959 --> 00:29:22,760
Double-lumen implants were originally designed
829
00:29:22,795 --> 00:29:25,229
to have a silicone
inner shell
830
00:29:25,264 --> 00:29:27,097
and a saline outer shell
831
00:29:27,133 --> 00:29:29,800
that allows you to change
the size of the implant
832
00:29:29,835 --> 00:29:31,335
intra-operatively
833
00:29:31,370 --> 00:29:35,038
so you can adjust
for any breast asymmetries.
834
00:29:35,074 --> 00:29:37,708
All right,
so that part is silicone.
835
00:29:37,743 --> 00:29:39,843
Yeah, this part has saline.
Look at that.
836
00:29:39,879 --> 00:29:41,378
[woman]
what?
837
00:29:41,413 --> 00:29:43,914
[dr. Dubrow] it's unusual that sheyla has
838
00:29:43,949 --> 00:29:46,550
an outer silicone lumen
839
00:29:46,585 --> 00:29:48,886
and an inner saline lumen.
840
00:29:48,921 --> 00:29:51,121
This totally defeats the purpose.
841
00:29:51,157 --> 00:29:52,956
I've never seen that before,
842
00:29:52,992 --> 00:29:55,325
and the only thing
I have to say about that is
843
00:29:55,361 --> 00:29:56,693
it's kind of weird.
844
00:29:56,729 --> 00:29:58,729
Okay, so a thousand.
845
00:29:58,764 --> 00:30:01,331
So w-- it's a 400-cc implant.
846
00:30:01,367 --> 00:30:03,000
660 ccs of saline, right?
847
00:30:03,035 --> 00:30:04,601
Yeah.
So it's a thousand--
848
00:30:04,637 --> 00:30:06,804
it's basically
a thousand-cc implant.
849
00:30:06,839 --> 00:30:08,472
We're gonna put the same thing.
850
00:30:08,507 --> 00:30:10,908
Sheyla has about a thousand-cc implants,
851
00:30:10,943 --> 00:30:13,844
which is what she wanted
to be reduced to.
852
00:30:13,879 --> 00:30:16,713
If I don't reduce her
any further,
853
00:30:16,749 --> 00:30:18,949
she won't have
the functional improvements
854
00:30:18,984 --> 00:30:20,617
in terms of the back pain.
855
00:30:20,653 --> 00:30:22,653
And if I do,
856
00:30:22,688 --> 00:30:24,588
will she freak out on me?
857
00:30:24,623 --> 00:30:27,591
It's exactly what
I was worried about.
858
00:30:27,626 --> 00:30:28,992
God damn it!
859
00:30:29,028 --> 00:30:30,527
Okay, so now what?
860
00:30:30,563 --> 00:30:32,095
[woman] uh...
[bleep]
861
00:30:32,131 --> 00:30:33,697
I started to clean up
the ear with the peroxide.
862
00:30:33,732 --> 00:30:35,098
Mm-hm.
863
00:30:35,134 --> 00:30:38,101
The peroxide on tissue,
it actually kills it.
864
00:30:39,805 --> 00:30:41,405
You're 20 hours out
from surgery,
865
00:30:41,440 --> 00:30:42,973
and you're already asking
for bigger implants
866
00:30:43,008 --> 00:30:45,309
just because of a number?
Please, dr. Dubrow,
867
00:30:45,344 --> 00:30:47,544
I'll do whatever you tell me.
Let me see what they look like.
868
00:30:47,580 --> 00:30:48,745
I'm feeling
flat chested right now,
869
00:30:48,781 --> 00:30:51,148
and I'm very, very upset.
870
00:30:54,587 --> 00:30:56,987
[dr. Dubrow] it's basically a thousand-cc implant.
871
00:30:57,022 --> 00:30:58,488
Okay, so let's do this.
872
00:30:58,524 --> 00:31:01,391
Do me a favor.
Get me a 560 extra full
873
00:31:01,427 --> 00:31:02,759
silicone implant.
Okay.
874
00:31:02,795 --> 00:31:04,361
Let's put it in and see
what it looks like.
875
00:31:04,396 --> 00:31:05,696
Let's just test it.
876
00:31:05,731 --> 00:31:07,998
By the way,
going from a thousand to 500
877
00:31:08,033 --> 00:31:09,633
is proportionally
about the same
878
00:31:09,668 --> 00:31:11,535
as 25 to a thousand, right?
879
00:31:11,570 --> 00:31:13,337
So it's the same thing.
880
00:31:13,372 --> 00:31:15,439
So we're essentially
achieving the same thing.
I'm in.
881
00:31:15,474 --> 00:31:17,507
[woman]
I just don't want her to freak
out because of that.
882
00:31:17,543 --> 00:31:20,377
Yeah, well, you know,
we're here to do a job
883
00:31:20,412 --> 00:31:23,180
that's based on safety
and aesthetics,
884
00:31:23,215 --> 00:31:25,616
and this allows us to do both.
885
00:31:25,651 --> 00:31:30,621
See, that's a much healthier
implant-to-pocket relationship.
886
00:31:30,656 --> 00:31:31,788
The only concern I have
887
00:31:31,824 --> 00:31:35,025
is will she freak out
888
00:31:35,060 --> 00:31:37,728
or-- yeah,
she's gonna freak out.
889
00:31:37,763 --> 00:31:39,129
Sit her up,
see what it looks like.
890
00:31:40,232 --> 00:31:42,900
Okay, so they're symmetrical.
891
00:31:42,935 --> 00:31:44,001
They're lifted.
892
00:31:44,036 --> 00:31:45,269
They're actually
really pretty.
893
00:31:45,304 --> 00:31:46,837
This actually
should give her both.
894
00:31:46,872 --> 00:31:48,305
It should give her pain relief
895
00:31:48,340 --> 00:31:50,874
and it gave her much better
cosmetic appearances.
896
00:31:50,910 --> 00:31:53,377
So this achieved
both of our goals.
897
00:31:53,412 --> 00:31:54,478
We'll just have to wait
and see
898
00:31:54,513 --> 00:31:55,646
if sheyla's happy or not.
899
00:31:55,681 --> 00:31:57,281
One thing's for sure,
900
00:31:57,316 --> 00:31:58,749
sheyla will let us know.
901
00:31:58,784 --> 00:32:00,484
All right, let's close.
902
00:32:04,523 --> 00:32:06,690
[malika] hello, dr. Nassif. [dr. Nassif] how are you?
903
00:32:06,725 --> 00:32:07,391
Good, how are you?
904
00:32:07,426 --> 00:32:08,825
Andre.
Hi.
905
00:32:08,861 --> 00:32:10,627
Hi, how are you?
Nice to meet you.
Hey, buddy.
906
00:32:10,663 --> 00:32:11,929
So I haven't seen andre
in a month,
907
00:32:11,964 --> 00:32:13,330
and we did his surgery,
908
00:32:13,365 --> 00:32:15,465
his post-op checks were great.
909
00:32:15,501 --> 00:32:18,035
After the keloid was removed,
910
00:32:18,070 --> 00:32:21,405
and I put two nice pieces
of rib in there,
911
00:32:21,440 --> 00:32:22,639
so really would be
a lot easier
912
00:32:22,675 --> 00:32:24,508
for you to wear your glasses.
913
00:32:24,543 --> 00:32:27,010
We have to be careful
about making sure
that skin graft lives
914
00:32:27,046 --> 00:32:29,179
two, I want you to keep
that dry.
915
00:32:29,214 --> 00:32:31,348
Just leave it alone.
Don't touch it,
don't instrument it.
916
00:32:31,383 --> 00:32:33,216
Two days ago he sent me a photo
917
00:32:33,252 --> 00:32:35,686
which showed
that his skin graft
918
00:32:35,721 --> 00:32:37,587
was separating
from the top of his ear.
919
00:32:37,623 --> 00:32:39,056
So what's happening?
920
00:32:39,091 --> 00:32:41,725
Well, um, I was in the shower,
and then I got out,
921
00:32:41,760 --> 00:32:43,927
and then I started to clean
the ear with the peroxide.
922
00:32:43,963 --> 00:32:46,763
Mm-hm.
And then scab peeled off
completely,
923
00:32:46,799 --> 00:32:48,899
and then that's
when I yelled, like--
924
00:32:48,934 --> 00:32:50,534
I was like, "mom!"
925
00:32:50,569 --> 00:32:52,269
peroxide.
Yeah.
926
00:32:52,304 --> 00:32:53,303
Is that bad?
927
00:32:53,339 --> 00:32:54,705
Or--
yeah.
928
00:32:54,740 --> 00:32:58,175
But peroxide on tissue,
it actually kills it.
929
00:32:59,378 --> 00:33:00,644
Well, let me take a look.
Okay?
930
00:33:02,581 --> 00:33:04,548
Okay.
931
00:33:04,583 --> 00:33:06,383
It looks like there's a piece of rib
932
00:33:06,418 --> 00:33:07,851
that dr. Peng can work with
933
00:33:07,886 --> 00:33:10,420
to prevent the keloid from growing back.
934
00:33:10,456 --> 00:33:11,621
Okay.
Okay?
935
00:33:11,657 --> 00:33:14,157
So we're gonna prep it,
give you a little shot there,
936
00:33:14,193 --> 00:33:15,959
numb it out,
and then stitch it.
937
00:33:15,995 --> 00:33:17,761
It's not gonna take long.
938
00:33:17,796 --> 00:33:18,795
Okay.
939
00:33:18,831 --> 00:33:19,896
When the skin graft came off
940
00:33:19,932 --> 00:33:20,831
after the shower,
941
00:33:20,866 --> 00:33:21,832
I was petrified
942
00:33:21,867 --> 00:33:23,033
because a keloid
943
00:33:23,068 --> 00:33:24,568
does have potential
to grow back.
944
00:33:24,603 --> 00:33:26,536
Hopefully we can just get this under control
945
00:33:26,572 --> 00:33:29,006
and it just stays away
for good.
946
00:33:29,041 --> 00:33:30,507
The first part I'm looking at
947
00:33:30,542 --> 00:33:32,075
is kind of the piece
of cartilage.
948
00:33:32,111 --> 00:33:32,776
Uh-huh.
949
00:33:32,811 --> 00:33:34,211
I'm gonna see how much of it
950
00:33:34,246 --> 00:33:35,379
we can save,
951
00:33:35,414 --> 00:33:37,681
but I took out
the top layer of it.
952
00:33:40,919 --> 00:33:42,352
We're all done.
953
00:33:42,388 --> 00:33:43,720
[andre] oh, really?
Yeah.
954
00:33:44,957 --> 00:33:46,490
Let's take this off.
955
00:33:56,135 --> 00:33:57,701
What's happening?
956
00:33:57,736 --> 00:33:59,069
You know I'm angry.
957
00:33:59,104 --> 00:34:00,437
Uh-oh.
[laughs]
958
00:34:00,472 --> 00:34:01,271
how are you?
959
00:34:01,306 --> 00:34:03,273
First of all,
you're not happy.
960
00:34:03,308 --> 00:34:05,008
I'm sad.
I already cried so much--
961
00:34:05,044 --> 00:34:06,443
okay, let me ask you
a question.
962
00:34:06,478 --> 00:34:08,311
What's upsetting you?
I saw the card.
963
00:34:08,347 --> 00:34:10,447
You sent me with a card
to carry with me.
964
00:34:10,482 --> 00:34:11,748
Okay, so you saw the card.
965
00:34:11,784 --> 00:34:13,283
So you're concerned
that I took you
966
00:34:13,318 --> 00:34:16,820
all the way from 2500
down to 560, right?
967
00:34:16,855 --> 00:34:18,789
I'm feeling flat chested
right now.
968
00:34:18,824 --> 00:34:21,391
And I'm very, very upset.
969
00:34:21,427 --> 00:34:23,226
There is no way in hell
970
00:34:23,262 --> 00:34:25,529
that I will keep 500 ccs.
971
00:34:25,564 --> 00:34:28,632
2500 to a 500--
that's a lot.
972
00:34:28,667 --> 00:34:32,869
It is but what if you had 1060,
973
00:34:32,905 --> 00:34:35,338
1,060 ccs in this one
974
00:34:35,374 --> 00:34:37,107
and a little bit more
in that one?
975
00:34:37,142 --> 00:34:38,208
How do I know?
976
00:34:38,243 --> 00:34:39,843
'cause we measured it
977
00:34:39,878 --> 00:34:41,144
extremely carefully.
978
00:34:41,180 --> 00:34:42,546
Remember this discussion?
979
00:34:42,581 --> 00:34:45,315
I actually anticipated
this possibility.
980
00:34:45,350 --> 00:34:49,519
Do you remember I said,
"hey, what I've been thinking
about, sheyla,
981
00:34:49,555 --> 00:34:52,923
is that what if I go
in there and you actually
don't have 2500--
982
00:34:52,958 --> 00:34:54,558
no.
We never spook about any--
983
00:34:54,593 --> 00:34:55,859
it's possible
that I get in there,
984
00:34:55,894 --> 00:34:57,294
and there's not 2500.
985
00:34:57,329 --> 00:34:58,929
In fact it's possible
I get in there,
986
00:34:58,964 --> 00:35:01,531
and there's
substantially less.
987
00:35:01,567 --> 00:35:03,100
I couldn't have done the lift.
988
00:35:03,135 --> 00:35:04,501
I couldn't have shaped
your breast
989
00:35:04,536 --> 00:35:06,002
because it was too tight.
990
00:35:06,038 --> 00:35:07,003
In addition,
991
00:35:07,039 --> 00:35:09,106
you told the reason
to downsize them now...
992
00:35:09,141 --> 00:35:11,208
To fix them.
...Is because
you're having pain.
993
00:35:11,243 --> 00:35:12,309
Yeah, back pain.
994
00:35:12,344 --> 00:35:14,544
So I did exactly
what I needed to do.
995
00:35:14,580 --> 00:35:16,780
I don't like 500 ccs.
996
00:35:16,815 --> 00:35:19,015
These are just numbers.
Forget the numbers.
997
00:35:19,051 --> 00:35:20,183
But the end--
numbers--
998
00:35:20,219 --> 00:35:22,919
I know but can you still make
these big a little bit more?
999
00:35:22,955 --> 00:35:24,387
Don't go there.
1000
00:35:24,423 --> 00:35:26,189
You had to have this operation.
1001
00:35:26,225 --> 00:35:28,558
I assume that sheyla's
previous surgeon
1002
00:35:28,594 --> 00:35:30,827
knew she was obsessed
with size,
1003
00:35:30,863 --> 00:35:34,297
so that's why they told her what they told her.
1004
00:35:34,333 --> 00:35:36,466
But that's not the kind of doctor I am.
1005
00:35:36,502 --> 00:35:38,935
I want to relieve her
of her back pain,
1006
00:35:38,971 --> 00:35:40,770
but I'm gonna do that
1007
00:35:40,806 --> 00:35:42,105
and tell her the truth.
1008
00:35:42,141 --> 00:35:44,040
You're 20 hours
out from surgery,
1009
00:35:44,076 --> 00:35:45,542
and you're already asking
for bigger implants
1010
00:35:45,577 --> 00:35:47,077
just because of a number?
1011
00:35:47,112 --> 00:35:48,211
Please, dr. Dubrow.
1012
00:35:48,247 --> 00:35:50,380
I'm really sad now.
Let me see what they look like.
1013
00:35:50,415 --> 00:35:51,381
I mean--
they look pretty amazing.
1014
00:35:51,416 --> 00:35:52,983
Will you come here, my man?
1015
00:35:53,018 --> 00:35:54,751
Take a look at that.
I don't wanna look.
1016
00:35:54,786 --> 00:35:57,220
This part is more beautiful
than before.
1017
00:35:57,256 --> 00:35:59,656
Beautiful-- so it's beautiful.
[dr. Dubrow]
look at the shape.
1018
00:35:59,691 --> 00:36:03,093
Dr. Dubrow,
please put in more.
1019
00:36:03,128 --> 00:36:04,761
Please?
1020
00:36:04,796 --> 00:36:07,497
[john] dr. Dubrow, he did the best job.
1021
00:36:07,533 --> 00:36:09,399
When I saw the real boobies,
1022
00:36:09,434 --> 00:36:10,934
she looked great.
1023
00:36:10,969 --> 00:36:12,169
It's amazing.
1024
00:36:12,204 --> 00:36:13,270
Dr. Dubrow,
1025
00:36:13,305 --> 00:36:14,871
can you do me something?
1026
00:36:14,907 --> 00:36:16,806
Make this smaller
because, you know,
1027
00:36:16,842 --> 00:36:18,441
hold on a second.
...I used to have skin here,
1028
00:36:18,477 --> 00:36:20,477
so now it's flapping
because the blood was poor.
1029
00:36:20,512 --> 00:36:22,512
Are you trying to talk me
into doing a tummy tuck
on you now
1030
00:36:22,548 --> 00:36:24,147
to make your breasts
look bigger?
No tummy tuck.
1031
00:36:24,183 --> 00:36:26,616
No, just some lipo I want
a little bit around here so
1032
00:36:26,652 --> 00:36:27,918
my breasts look bigger.
1033
00:36:27,953 --> 00:36:29,853
You recover without
a complication,
1034
00:36:29,888 --> 00:36:31,688
and we'll talk about it.
1035
00:36:31,723 --> 00:36:32,822
We'll talk about it.
1036
00:36:32,858 --> 00:36:34,424
I love you.
[dr. Dubrow] I love you.
1037
00:36:34,459 --> 00:36:36,059
It's okay. Bye-bye, ciao.
Ciao.
1038
00:36:36,094 --> 00:36:37,861
Thank you.
1039
00:36:37,896 --> 00:36:39,663
[andre]
this is the first time
in my life
1040
00:36:39,698 --> 00:36:41,798
that I have two
normal looking ears,
1041
00:36:41,833 --> 00:36:44,067
and it's just kind of like
a rebirth.
1042
00:36:44,102 --> 00:36:46,570
Oh, here's andre.
Hi.
Hi.
1043
00:36:46,605 --> 00:36:48,405
[sheyla]the last time I saw dr. Dubrow,
1044
00:36:48,440 --> 00:36:50,106
I was pretty upset,
1045
00:36:50,142 --> 00:36:52,709
and I still have a lot to say to him,
1046
00:36:52,744 --> 00:36:54,110
and he's gonna hear it.
1047
00:36:54,146 --> 00:36:55,679
I wanna talk to you.
1048
00:37:03,121 --> 00:37:06,456
[male singer] ♪ in an instant life can change ♪
1049
00:37:06,491 --> 00:37:08,458
♪ your world can get rearranged ♪
1050
00:37:08,493 --> 00:37:12,996
♪ and you know that things will never be the same ♪
1051
00:37:13,031 --> 00:37:14,831
[andre] this is the first time in my life
1052
00:37:14,866 --> 00:37:16,933
that I have two normal looking ears,
1053
00:37:16,969 --> 00:37:19,502
and it's just kind of like a rebirth.
1054
00:37:19,538 --> 00:37:21,271
Growing up with microtia
1055
00:37:21,306 --> 00:37:22,439
and the keloids
1056
00:37:22,474 --> 00:37:24,908
and being bullied constantly.
1057
00:37:24,943 --> 00:37:26,409
It's always been a factor
1058
00:37:26,445 --> 00:37:28,044
and something that's held me back.
1059
00:37:28,080 --> 00:37:29,179
This is my first spring break,
1060
00:37:29,214 --> 00:37:30,614
that I'm going on a trip.
1061
00:37:30,649 --> 00:37:33,083
For now I'm just feeling optimistic
1062
00:37:33,118 --> 00:37:35,118
about meeting new people,
1063
00:37:35,153 --> 00:37:37,454
maybe even find myself a date.
1064
00:37:37,489 --> 00:37:39,189
I am so excited for this trip.
1065
00:37:39,224 --> 00:37:41,424
I cannot believe we're
finally going on it.
1066
00:37:41,460 --> 00:37:42,559
I feel like I can let go now.
1067
00:37:42,594 --> 00:37:43,693
Yeah. Yeah.
Yeah.
1068
00:37:43,729 --> 00:37:45,061
I feel relieved.
[alana] yeah.
1069
00:37:45,097 --> 00:37:46,796
Seems, like, unreal.
Like, really.
[woman] yeah.
1070
00:37:46,832 --> 00:37:48,098
Yes, it does.
It's like a dream come true.
1071
00:37:48,133 --> 00:37:50,700
Got to have fun and play.
For both of us.
1072
00:37:50,736 --> 00:37:52,335
Oh, here's andre. Hi!
Hi!
1073
00:37:52,371 --> 00:37:54,137
[women cheering]
hi, andre.
1074
00:37:54,172 --> 00:37:56,239
Hi!
Look at my baby.
1075
00:37:56,275 --> 00:37:59,009
Oh, my god, you look so good.
You're still my baby.
1076
00:37:59,044 --> 00:38:00,810
Hi.
1077
00:38:00,846 --> 00:38:01,978
Are you ready?
1078
00:38:02,014 --> 00:38:03,280
I feel so excited.
1079
00:38:03,315 --> 00:38:04,347
I get to go on spring break
1080
00:38:04,383 --> 00:38:06,082
with a brand new ear.
Yeah.
1081
00:38:06,118 --> 00:38:07,951
[alana] a difference that I have seen in andre
1082
00:38:07,986 --> 00:38:09,052
is the way he carries himself.
1083
00:38:09,087 --> 00:38:12,255
Before the surgery was
"I want to be able to do this,"
1084
00:38:12,291 --> 00:38:13,423
"I wish I could do this."
1085
00:38:13,458 --> 00:38:14,691
now I'm seeing and hearing
1086
00:38:14,726 --> 00:38:16,226
a lot more "when I do this,"
1087
00:38:16,261 --> 00:38:17,594
"I'm doing this,"
1088
00:38:17,629 --> 00:38:18,895
"let's go do this."
1089
00:38:18,930 --> 00:38:20,897
his whole demeanor
has honestly changed.
1090
00:38:20,932 --> 00:38:22,565
I have a little something
for you.
1091
00:38:22,601 --> 00:38:24,401
Oh, wow.
Oh, boy, let's see
what it is.
1092
00:38:24,436 --> 00:38:26,336
Open it, open it.
1093
00:38:26,371 --> 00:38:27,537
Aw.
Oh!
1094
00:38:27,572 --> 00:38:28,772
That's so nice.
1095
00:38:28,807 --> 00:38:29,773
Try them out.
Try them out.
1096
00:38:29,808 --> 00:38:31,875
Oh, wow, look at you.
1097
00:38:31,910 --> 00:38:32,742
Ooh!
1098
00:38:32,778 --> 00:38:34,144
[women cheering]
1099
00:38:34,179 --> 00:38:36,546
okay, now we're jiggy. Yeah.
Now you can go.
1100
00:38:36,581 --> 00:38:38,014
[andre] before my surgery,
1101
00:38:38,050 --> 00:38:40,450
I had a big, horrible snail-looking keloid
1102
00:38:40,485 --> 00:38:41,685
on my left ear.
1103
00:38:41,720 --> 00:38:42,919
I would constantly get stares
1104
00:38:42,954 --> 00:38:44,521
and questions about my keloid
1105
00:38:44,556 --> 00:38:46,423
that made it impossible to forget about it.
1106
00:38:46,458 --> 00:38:47,891
And I couldn't even wear glasses,
1107
00:38:47,926 --> 00:38:50,527
but now, thanks to dr. Nassif, I'm keloid free,
1108
00:38:50,562 --> 00:38:52,462
and instead of feeling ashamed of people staring,
1109
00:38:52,497 --> 00:38:54,631
I'm now wearing my shades
all day.
1110
00:38:54,666 --> 00:38:55,265
Now look at me.
1111
00:38:55,300 --> 00:38:57,133
[woman] wow.
[woman 2] oh!
1112
00:38:57,169 --> 00:38:58,902
Damn!
Who is that?
1113
00:38:58,937 --> 00:39:00,236
I'm just really excited
1114
00:39:00,272 --> 00:39:02,105
that I get to go
to beautiful cities
1115
00:39:02,140 --> 00:39:03,907
like paris, looking beautiful
1116
00:39:03,942 --> 00:39:05,742
for the first time.
1117
00:39:05,777 --> 00:39:07,644
Have fun!
Bye.
1118
00:39:07,679 --> 00:39:08,878
I miss you.
Oh...
1119
00:39:08,914 --> 00:39:10,413
[andre] yeah.
Call me five times a day.
1120
00:39:10,449 --> 00:39:11,514
No.
1121
00:39:15,420 --> 00:39:17,287
♪ we don't know where she come from ♪
1122
00:39:17,322 --> 00:39:18,488
♪ yeah ♪
1123
00:39:18,523 --> 00:39:20,590
♪ whatever thing she do, so cold ♪
1124
00:39:20,625 --> 00:39:23,093
[sheyla] it's been weeks since I had my surgery,
1125
00:39:23,128 --> 00:39:26,363
and I had some unexpected results.
1126
00:39:26,398 --> 00:39:29,065
I never thought I would be walking around
1127
00:39:29,101 --> 00:39:31,201
with the small breasts like this.
1128
00:39:31,236 --> 00:39:33,236
The last time I saw dr. Dubrow,
1129
00:39:33,271 --> 00:39:35,305
I was pretty upset.
1130
00:39:35,340 --> 00:39:38,575
He says heal, rest, recover.
1131
00:39:38,610 --> 00:39:41,077
Then we'll talk.
1132
00:39:41,113 --> 00:39:43,246
Well, I'm healed.
1133
00:39:43,281 --> 00:39:46,116
And I still have a lot to say to him,
1134
00:39:46,151 --> 00:39:47,751
and he's gonna hear it.
1135
00:39:47,786 --> 00:39:49,686
Okay. All right, thanks.
1136
00:39:49,721 --> 00:39:52,522
You expecting a sheyla,
one of your patients?
Yes.
1137
00:39:54,259 --> 00:39:56,760
[dr. Nassif] uh-oh.
[laughs]
1138
00:39:56,795 --> 00:39:58,161
I wanna talk to you.
1139
00:40:02,901 --> 00:40:04,868
I owe you an apology.
1140
00:40:04,903 --> 00:40:06,770
Aw.
Oh, this is gonna be good.
1141
00:40:06,805 --> 00:40:08,772
I'm rockin' my world
with my new breasts,
1142
00:40:08,807 --> 00:40:10,206
and I love it,
and I'm--
1143
00:40:10,242 --> 00:40:10,874
you love it?
I love it.
1144
00:40:10,909 --> 00:40:12,375
You're not totally unphappy?
1145
00:40:12,411 --> 00:40:13,810
I'm not, actually.
1146
00:40:13,845 --> 00:40:16,012
Okay, I can go on
with my day now.
1147
00:40:16,047 --> 00:40:19,215
I'm super excited that I
actually got through to sheyla
1148
00:40:19,251 --> 00:40:23,153
that huge breasts
don't need define her.
1149
00:40:23,188 --> 00:40:24,788
Sheyla looks really good,
1150
00:40:24,823 --> 00:40:28,024
and I'm really happy for her
1151
00:40:28,059 --> 00:40:29,492
but much happier for me.
1152
00:40:29,528 --> 00:40:31,461
It was kind of like shock
for me at the beginning.
1153
00:40:31,496 --> 00:40:32,695
Then I came to realize
1154
00:40:32,731 --> 00:40:35,031
how many doctors
I've been through.
1155
00:40:35,066 --> 00:40:36,266
And you were the only one
1156
00:40:36,301 --> 00:40:37,834
that ever said no to me.
1157
00:40:37,869 --> 00:40:40,270
And my back thanks you so much.
1158
00:40:40,305 --> 00:40:41,771
Your back pain's gone.
It's gone.
1159
00:40:41,807 --> 00:40:43,106
That's so awesome.
1160
00:40:43,141 --> 00:40:45,074
I look so nice and beautiful.
1161
00:40:45,110 --> 00:40:46,576
Before my surgery,
1162
00:40:46,611 --> 00:40:48,545
my breasts was a hot mess.
1163
00:40:48,580 --> 00:40:49,646
They were disfigured
1164
00:40:49,681 --> 00:40:51,281
and so large,
1165
00:40:51,316 --> 00:40:54,017
they made my back problem worse.
1166
00:40:54,052 --> 00:40:55,618
I was so obsessed with surgery
1167
00:40:55,654 --> 00:40:57,353
and make my body perfect
1168
00:40:57,389 --> 00:40:58,521
that I didn't realize
1169
00:40:58,557 --> 00:40:59,489
the impact it was having
1170
00:40:59,524 --> 00:41:00,523
in my health.
1171
00:41:00,559 --> 00:41:01,758
And my life.
1172
00:41:01,793 --> 00:41:03,693
But, thanks to dr. Dubrow,
1173
00:41:03,728 --> 00:41:05,628
now my breasts is the size
1174
00:41:05,664 --> 00:41:06,729
that they should be.
1175
00:41:06,765 --> 00:41:07,764
I love the shape
1176
00:41:07,799 --> 00:41:10,834
and my back pain is gone.
1177
00:41:10,869 --> 00:41:12,335
I don't need huge breasts
1178
00:41:12,370 --> 00:41:13,770
to feel sexy anymore.
1179
00:41:13,805 --> 00:41:16,473
I feel sexy.
1180
00:41:16,508 --> 00:41:17,874
Let's go, dr. Nassif,
because--
1181
00:41:17,909 --> 00:41:19,342
[dr. Dubrow] by far, yeah.
Where am I going?
1182
00:41:19,377 --> 00:41:21,478
...We have something
to talk about.
1183
00:41:21,513 --> 00:41:23,646
Yeah, you're gonna do a face--
have a facial consultation.
No, you're not.
1184
00:41:23,682 --> 00:41:25,415
Yeah, yeah, go for it.
She's a great patient.
1185
00:41:25,450 --> 00:41:27,717
Really,
I recommend her highly.
1186
00:41:27,752 --> 00:41:28,885
Bye.
Bye.
1187
00:41:28,920 --> 00:41:30,253
Mwah, yeah, I'll see you--
1188
00:41:30,288 --> 00:41:31,688
you know, I'll see you
when I see you.
1189
00:41:33,024 --> 00:41:34,524
Buh-bye, sheyla.
1190
00:41:34,559 --> 00:41:36,059
See ya.
1191
00:41:39,164 --> 00:41:40,430
[woman laughs]
[woman 2] plastic surgery
1192
00:41:40,465 --> 00:41:42,232
is exactly what I need.
1193
00:41:42,267 --> 00:41:44,701
[dr. Dubrow] dr. Nassif and I are back.
1194
00:41:44,736 --> 00:41:46,135
[barking]
ow!
1195
00:41:46,171 --> 00:41:47,604
Whoa!
1196
00:41:47,639 --> 00:41:50,073
You know what that
looks like to me? Death.
1197
00:41:50,108 --> 00:41:51,741
[dr. Nassif] with tougher cases...
1198
00:41:51,776 --> 00:41:53,676
Wait a minute,
I can't even wrap
my brain around it.
1199
00:41:53,712 --> 00:41:55,144
Gets you a little nauseated,
doesn't it?
1200
00:41:55,180 --> 00:41:56,779
I wouldn't be surprised
if the thing falls out
1201
00:41:56,815 --> 00:41:57,547
while you're sitting here.
1202
00:41:57,582 --> 00:41:58,848
Don't say that!
1203
00:41:58,884 --> 00:42:00,517
[dr. Nassif] the emotions run high.
1204
00:42:00,552 --> 00:42:01,985
It's not fair.
1205
00:42:02,020 --> 00:42:05,655
I was dysfunctional.
I couldn't take care of my kids.
1206
00:42:05,690 --> 00:42:07,857
[dr. Dubrow] surgeries get even scarier.
1207
00:42:07,893 --> 00:42:10,660
Oh [bleep].
Full blown rupture.
1208
00:42:10,695 --> 00:42:13,263
[dr. Nassif]
the nose completely collapsed.
[bleep]
1209
00:42:13,298 --> 00:42:15,565
[dr. Dubrow] but it's all worth it in the end.
1210
00:42:15,600 --> 00:42:18,635
[speaks spanish]
1211
00:42:18,670 --> 00:42:19,502
thank you.
1212
00:42:19,538 --> 00:42:21,070
You're welcome.
He's my super hero.
1213
00:42:21,106 --> 00:42:22,105
This is what happens
1214
00:42:22,140 --> 00:42:23,573
when you go to
the a great surgeon.
1215
00:42:23,608 --> 00:42:25,074
Oh. [kissing]
94574
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