Original subtitles

My name is sabrina saro.

[speaking spanish]

we have a metal band.

She gets into the character really well.

She brought her whips.

Okay, doctor,

give me surgeries or else...

My stomach looks like a map of scars,

and my breasts look like silly putty.

The surgeon taped me with surgical tape.

- Ohh! - It looked like

just the skin coming off with the tape.

I'm speechless.

This is super difficult, super risky,

and the whole thing can die on me.

Ohh! Disaster.

It was about 10 years ago.

I get sucker punched in the face,

and now my nose causes me all sorts of new problems.

Breathe in for us. Put your head back.

- Whoa. - Oh, yeah.

That is incredible.

♪ I wanna be sexy ♪

♪♪♪

♪ I wanna be hot, hot ♪

♪ fix me, make me beautiful ♪

♪♪♪

♪ I wanna be perfect ♪

my name is sabrina saro.

I'm from argentina.

[chuckles]

yes. [laughs]

she feels that the cat--

the cat eyes look way sexier.

She's saying that she's ----ing you with her eyes.

Can I say that?

Alex: We have a metal band.

When we're performing, people get scared,

or they just get like "what?"

'cause she gets into the character really well,

really dominant, tough.

The surgery was a temporary fix.

I can't even, you know, wear a tank top.

You know, and then bloop!

There you go. You can see them bad boys right there.

My name is jessica, and I got what I paid for in tijuana.

My stomach looks like a map of scars,

and my breasts look like silly putty.

Oh, I wish I could go back.

Lost all this weight.

Now I'm back to hiding my body

like when I was overweight.

At my biggest, I was at 298 pounds.

I started working out

and went down to 148.

I had skin sagging,

so I decided I need a makeover.

That's when the nightmare started.

Didn't know it was that bad. I knew you were--

- butchered? - Yeah.

I made the worst mistake of my life,

and this is the result of it.

Dr. Dubrow: So what do you have for me, baby?

I have an extraordinarily difficult case.

It's really a question of how much can I improve her.

- This is her? - This is jessica.

Beautiful girl, right? Look at that.

Wow. What? I've never seen nipples that high before.

- Oh. Look at the abdomen. - What happened there?

Let's bring in jessica

and find out what the story is.

Absolutely. Can you please send in jessica?

- Hi. - Nice to meet you.

- Nice to meet you. - Dr. Nassif.

Hi, jessica. Terry dubrow. Pleasure.

- Nice to meet you. - Terry.

- Love the name. - Right?

- Nice to meet you, terry. - Nice to meet you.

- T-e-r... - R-y.

- Same as me. - Oh.

- Wow. - I used to--for years

I would do t-e-r-r-I.

Yeah, with a little heart over it.

- Aw. That's cute. - I did.

- So, jessica. - Yes.

So how did you end up here?

Well, I lost a lot of weight.

And you had...

Saggy skin.

So what did you do?

So I went to guadalajara.

I got a tummy tuck and breast.

And breast implants and breast lift.

- Yes. - Okay. How'd it go?

I wasn't happy with my results.

I wanted bigger breasts,

maybe even another tummy tuck.

I still had, you know, flabby skin.

One of my friends had-- just had work done in tj.

Tijuana. What were you gonna have?

I wanted breast aug. I wanted to go a little bigger.

A tummy tuck and lipo.

The surgeon taped me with surgical tape.

- No gauze, nothing. - Taped directly on the skin.

- Tape. - Ohh!

So what did it look like when you took your tape off?

So I call my sister,

and she's slowly, slowly trying to remove it.

It looked like just the skin coming off--

- right. - ...With the tape.

And, uh, basically left me scars everywhere.

Wow.

You know what? I don't think

I've ever said this in my entire life.

I'm speechless.

Did you call him and say "hey, I've got this disaster

- brewing here?" - I--yes.

He said, "well, I told you not to take it off."

oh. The taking it off caused it.

It was her fault.

Never put tape directly onto a wound.

As the skin stretches and becomes swollen,

the tape does not expand with it

and will cause a burn type reaction to the skin.

And you haven't had anything else since?

On my abdomen? No.

Oh, you've had more breast surgeries since?

- Yes. - In?

Tijuana. Again.

After my second surgery,

I have oval-looking breasts.

I wanted to do something about it,

so I went back to tijuana,

but my third surgeon definitely left me

with butchered boobs.

Where did that trust come from?

I was seeing a lot of girls, like, out and about.

So they had some decent results from the doctors.

- Yes. - Okay.

So before surgery, my nipple was here.

- My nipple is here now. - Ugh!

Omfg. I mean, this is a disaster.

What do you think about all this?

She doesn't have, like, a social life.

When I invite her

and she's just, "no, I'm gonna go home."

so you've become withdrawn, really.

- Yes. - Yeah.

- Are you married? - No.

You're single?

I'm angry at myself

that I made this bad decision.

I feel ashamed, embarrassed.

I've been in hiding. I'd rather just stay home.

How-- when was this last surgery?

Seven, eight months ago.

I mean, what are your goals?

Honestly, I'm at the point

where I just want to look normal.

I have no clue

whether you can be made to look normal again.

I can make an incision

to remove the scarred-up skin,

but the whole thing can die on me.

The last thing we need walking down the aisle

- is to have my nose whistling. - It could be the music.

It's 4:50 a.M.

[loud snoring]

and this is how I get woken up.

[snoring, snorting]

♪ I wanna be perfect ♪

- okay. So... - Okay.

Brace yourself.

Well, first order of business,

let's look at the breasts.

Scoot forward a little bit.

So, number 1,

you have what we call sky-gazing nipples.

So normally, we like to see a distance

of about 21 to 23 centimeters

between the collarbone and the nipple.

You are 21.

That's sort of a little bit of good news.

When you first look at jessica's breasts,

you think that her nipples are very high

when in fact her nipples are in an okay position.

It just looks that way

because the pockets are so low.

Your breast envelope has been stretched.

So your breast implant's this big,

but your pocket is this big.

One of the harder things to fix

in someone who's lost a lot of weight

is that.

When you lose a lot of weight,

you forever lose some of the skin integrity,

and even if you tighten it, it can loosen up.

Let's go to your abdomen. Stand up for a second.

This had been lifted and sucked.

You have laxity of the pubic area.

You have contour irregularities here.

You have pigmentation issues from the scars.

Even if I cut them out, there's still gonna be a scar

in an abnormal place on your abdomen.

I can make an incision,

tighten your abdominal wall to give you a better contour,

pull as much as I can down to remove scarred-up skin,

but the whole thing can die on me

because it's been so badly abused and beaten up, you know?

Jessica's surgery is one

of the most extraordinarily complicated procedures to do

because the skin has been so stretched out,

it has a lot of internal and external scarring,

and the ability to get a really good result

is actually quite limited.

Even if it was a 10, 15, 20% change,

- it's an improvement. - Yes.

You would go through all this for a 10% improvement?

You're saying 10%, but I know that you'll give me

- a 20, 30%. - Whoa, whoa, whoa, whoa, whoa.

There are certain variables and components of this

that are out of my hands.

If you were here, would you do it?

Yes, I would. I--

one last time. That's it.

I know that not everything is 100%,

but anything is better than what I have now.

I'm tired of being a homebody.

Like, I want to live my life.

I want to experience things.

Ah, I see some really hard surgery, jessica.

But I also know you're the best.

- I'm sorry? - [giggles]

I just love when they say that.

You don't know the saying?

I love when they say that. I can't help it.

You guys are the surgery gods. You guys don't know that?

♪ it'll be long ♪

♪ a little bit longer ♪

♪ just a little bit longer ♪

tasting the cake

is the best part of the wedding.

- Oh. - [laughs]

my name is eric, and my nose looks like hell.

My tip is crooked.

The bridge of my nose is uneven.

I have tremendous breathing issues.

My nose collapses on the right side

and caves in when I breathe in, like this.

Oh. Drives me crazy.

Hopefully, I'll have a new nose soon.

I mean, it's the last thing we need walking down the aisle

is to have my nose whistling.

It could be the music.

"here comes the nose."

it was about 10 years ago.

I get sucker punched in the face

standing at a urinal,

and it breaks my right orbital

and deviates my septum.

I have put my nose through the wringer

with two surgeries already.

My nose never looked the same again.

And now my nose causes me all sorts of new problems.

If dr. Nassif says that he can't help me,

will you still love me?

- Why not? - Will you still stay with me?

- Of course I do. - Okay.

You ever go down what I call the wormhole

when you're sort of looking something up

and that leads you to another thing

and through another thing, another thing,

and then suddenly you're looking up a thing

that has nothing to do with the original thing

that you meant to look up?

- Did you ever do that? - No.

I started to go down

the whole bee physiology and anatomy thing.

- Listen to this. - Go ahead.

There are three different main kinds of bees, okay?

There's the queen bee, there's the worker bee,

and there's the drone bee.

The drone bee is the male bee.

The drone bee is the one

that goes out and searches everything.

No. It has one job and one job only--

to mate with the queen bee.

But here's the catch.

They mate with her, they connect with her,

and when they fly off,

their genitalia rupture.

- And they die? - And they die.

How hosed are the drone bees?

If you were to tell me in high school

the first time I had sex I was gonna die,

you know what I would have said?

[bleep] it.

[laughs]

what do you got?

I have a patient named eric.

Rhinoplasty patient.

So obviously, overresected.

You mean they overresect it

and didn't even take the hump down.

Can you please send in eric?

- Hi. Good morning. - Eric, how are you?

- I'm doing very well. - Dr. Nassif.

You guys, have a seat. Welcome.

Thank you so much.

I just want to look

like I did before the accident,

but realistically, anything is better

than what it is now.

Where'd you come in from?

Upstate new york.

We both work in the emergency room

- in albany. - Oh, really?

- What do you do? - Is that how you two met?

- Yes. - Yes, it is.

- Oh. - I'm a patient care technician.

- Okay. - I'm an rn.

- Usually says medical. - Oh, you're an rn.

We just got engaged last October.

I knew right away when I met her that--

that she was the one.

- Congratulations. - Okay.

So what happened to you?

I was standing at a urinal

and got sucker punched in the face.

There must have been some conversation before.

- You must have said something. - I had a shirt and tie on,

- you know, and... - So you looked good.

I think he said to me "nice clothes, [bleep]."

and I said, "you like that, don't you?"

- did it knock you out? - No, it did not.

I was seeing stars, though.

It, uh, fractured my right orbital

- and deviated my septum. - No kidding.

So did you go to the hospital?

I did go to the hospital.

They said I was gonna need surgery.

They repaired the right orbital first.

Six weeks later, went back

and had the septoplasty done to fix the deviated septum.

After my first septoplasty,

my nose did not look right at all.

It was crooked. The tip was going to the right.

Had a rhinoplasty done

about a year after the incident

to fix the tip and kind of reshape the tip of my nose.

Different surgeon or same surgeon?

- Different surgeon. - Okay.

This doctor sounded great.

He was an ent and a plastic surgeon.

When it was all said and done,

just came out looking like not good at all.

What's happening now with you?

The appearance isn't, you know,

where I want it to be, obviously.

It collapses when I breathe deep breaths in.

I'm having snoring issues.

You're besides him, obviously, at night.

Yes. Some days are better than others.

It's 4:50 a.M.

[loud snoring]

and this is how I get woken up.

[snoring, snorting]

some days I have to sleep on the couch.

- Really? - Yep.

- So you don't like his nose. - A lot?

I mean, I love him, so I love his nose,

blah, blah, blah, but yes.

Blah, blah, blah, blah, blah.

Everything before "but" is bs.

[laughter]

for example, paul can really tell

an interesting story on occasion,

but I've never heard it.

I read somewhere in your history

- you had some cancer? - I did.

- Can you tell us about that? - Yeah. That--

that's what put all this nose stuff

on the back burner.

In 2014, I was diagnosed with, uh, testicular cancer.

- Hmm. - So they recommended

- that I do chemo. - It make you sick?

- Very sick. - Hmm.

You must have been in a lot of pain

- from all this. - They put me on, uh,

oxycodone while I was in chemotherapy,

and it led to a dependency

which eventually led to me having to, uh,

you know, go through a rehabilitation program

to get off of it.

Are you off of it?

I'm off of, uh, oxycodone,

and now they've moved me onto a maintenance therapy

where I take, uh, a methadone.

It's been almost three years now,

and I'm ready to start weaning off of that program as well.

Yeah, I mean, you know, it's been a good amount of time,

especially since you don't have chronic pain.

You should be weaning off that.

Yeah, without a doubt.

It just bothers the crap out of me

that doctors do this.

The opioid crisis in our country is an epidemic.

We need to monitor doctors that are giving out narcotics.

It's killing a lot of people, getting people addicted,

or more of a gateway drug to harder drugs.

I mean, this can kill you.

Whether I do surgery or not,

- you need to get off. - Yes.

Looking back at it now, if I had known then

what I know now about oxycodone,

I never would have even taken it.

Breathe in for us. Put your head back.

- Whoa. - Oh, yeah.

That is incredible.

We offer you these tears of the devil.

♪ I wanna be perfect ♪

so come closer to me just a little bit.

So this up here is from trauma.

This down here is all from surgery.

The trauma is not nearly as bad--

- as... - ...As the post-surgical

- results. - Yeah.

Breathe in for us. Put your head back.

- Whoa. - Oh, yeah.

That is incredible.

Relax. I got to tell you,

- worst I've ever seen. - I don't think

- I've ever seen-- - that's the worst.

So maybe you're number 1 in my book

for major collapse.

I feel like I'm ready

to give up that number 1 spot

and ready for dr. Nassif to fix this,

allow somebody else to have the top spot.

Okay, the septum, it's pushed all the way over.

- Whoa. - I don't know

what kind of doctor did your septoplasty, either,

because it's, like, really deviated.

- Took it all out. - I have to tell you,

you know, I see a lot of bad nose jobs,

but I don't understand.

Your septum's deviated all the way over to the left.

Okay.

However,

do I feel good about your nose?

Is it a fun challenge for me? Yeah. Roll it out.

What I need to do. We need to take rib,

hopefully get the breathing a lot better,

and get your nose looking, like, 70% better.

Uh, 70% sounds great.

One important thing I want to talk about.

- Okay. - Is the methadone.

Yes.

What I don't feel comfortable about,

especially where you're at now,

is hopping up your methadone.

- Okay. - Eric can continue

on his methadone treatment following the surgery,

but, because of his previous addiction,

I'm not gonna prescribe him any narcotics

because if I do,

this can catapult him

back to being addicted to narcotics.

So I'm not giving you pain medicine after.

In terms of what's best for--for my health,

I think that-- that's a good plan.

- So you want to do this? - I do.

Okay. Let's do it.

- Let's do it. - Pleasure meeting you.

Thank you.

We offer you these tears of the devil.

Please, santa muerte,

get sabrina what she wants--

to control all doctors

and get all her surgeries done.

She's able to get these good things going for her,

casting spells and doing stuff

that we would think that probably is a bad thing,

but no, it's for good.

It's just moving the energies for her own good.

So you think this time it will work.

Of course, of course.

Okay. Good.

What happens if the doctors don't give you what you want?

She always delivers.

It's not tijuana, but it'll have to do.

[laughter]

let's figure this thing out, okay?

All right, sit up.

I need to get all of this

back where it belongs here

and have it stay.

I feel anxious

because I want to see

how much am I gonna be fixed.

What if he can't get me to look normal?

On your abdomen,

we've got a whole nother set of challenges.

The abdominal wall has lost all of its integrity.

The skin is extraordinarily stretched out.

The limitations here are this-- this scar that goes across.

The big question for me today with jessica is,

how much of an improvement can I even give her,

even if I am successful?

Today for jessica's surgery,

I'll start by making incisions below her areolas

and remove her old implants.

I will use her muscle to create walls

to close off her breast pockets

and then insert a new set of implants.

Then I'll perform a breast lift,

removing excess skin to tighten the breasts.

Moving on to the stomach,

I'll do scar revisions

to reduce the size of her previous scars,

and then I'll make an incision

horizontally across her lower abdomen

to remove excess skin to tighten the stomach

and ultimately give her an overall better shape.

We got some work to do. Let's get started.

God. Of course the implants are upside down.

Why wouldn't they be?

Now the problem is look how lax her tissue is.

It's like no elastic fibers in it.

Ugh! Disaster.

Would you look at that? Is that crazy?

Well, this is definitely the most skin

I will ever cut off in my career.

You brought your whips with you?

She brought it for you guys.

Oh, really? Good.

Will you show me how to, like,

do a little s&m on this guy?

I want to teach dr. Dubrow how to be a dominatrix.

♪ I wanna be perfect ♪

problem is look at how lax her tissue is.

It's like no elastic fibers in it.

I'm trying to create a submuscular pocket

to prevent the implant

from moving all around the breast

the way it does now.

You know, I wonder if we can elevate the muscle

and use that to create a wall.

I never thought of doing this before,

but I never needed to think of this before.

Okay. Let's see a 525.

As much projection as we possibly can.

Come on, baby, get in there.

Just got a little bit hopeful, a little bit.

Now that I've created a submuscular pocket,

I have to remove a lot of excess tissue

to make the skin envelope as tight as possible.

Whoa, look at this, hardy.

This is definitely the most skin

I will ever cut off in my career.

- Wow. - Is that crazy?

Will you look at that?

Well, bye-bye.

Nurse: It's the size of texas.

Every time I apply the scalpel to that sagging skin,

I reduce the blood supply

and could jeopardize the remaining skin,

and all of the remaining tissue could die.

But that's a risk I'm gonna have to take.

Okay. Got a breast shape. So far so good.

Let's attack the stomach, see what we can do.

The question is, this scar is so big.

Can we turn this into anything significantly smaller?

My goal with jessica

is to not only make the scars thin and fine-lined

but to tighten the skin around the abdominal wall.

Staple this.

Okay. Looks better.

So the question is,

what will lifting up this tummy do?

Because of jessica's extreme weight loss,

she has a lot of loose skin.

If I remove a lot of that loose skin

and the excess tissue,

I can get her abdominal skin to be much tighter

and potentially look a lot better

and make her a lot happier.

Will this give at all if I lift this up?

It's pulling it weird.

It's ----ing better not to.

All right, let's staple that.

Okay. I mean, that's what I'm talking about.

That's an improvement, right?

A lot of work. Let's get closing, okay?

This case, it was a bitch.

Even right now, it's a little bit questionable

as to whether she'll heal perfectly.

Jessica, how are you?

Your surgery's all done. Are you glad?

- I'm the surgery god? - Yeah.

Well, it went really well.

So to speak.

Okay, what do you have, the appointment?

Let me show you what's going on with her.

So here's sabrina.

Obviously she's had a lot

of different plastic surgery procedures,

but look at her lower eyelids.

Do I think she has concerns about that.

Let's call her in and see if we can help her.

Can you please send in sabrina?

Hi.

Sabrina, dr. Nassif.

- Nice to meet you. - Nice to meet you, too.

- Hi, sabrina. Terry dubrow. - A little bit of an accent.

- My husband. - Alex.

- Alex. - Okay.

Where's the accent from?

Argentina and buenos aires.

So where do you guys live now?

- Buenos aires. - Doing what?

Like-- ¿qué hacemos ahora?

Singer. Rock singer.

- Metal singer. - Oh. Metal?

- Yeah, metal. Metal. - You sing? Really?

You, too? Are you into metal, too?

Yeah, we have a band.

Wow. So you guys are metal rock stars.

Yeah. On the band she uses more, uh,

like, a dominatrix thing.

Like-- [imitates whip cracking]--

- whips? - Yes. Completely.

- She brought her whips.

You brought your whips with you?

Yes.

You mean you use that on him all the time?

- No. - She brought--

yeah, she brought it for you guys.

- Oh, really? Good. - She's gonna use it on us?

I want--will you show me how to, like,

do a little s&m on this guy?

- Yes. - Yeah, you're gonna whip me.

[imitates whip cracking]

I want to teach dr. Dubrow

how to be a dominatrix.

Anyway, so you have obviously had procedures

- to enhance your looks, yes? - Yes.

- I have 50 plastic surgeon-- - 50?

...In all body.

Seven rhino.

Seven rhinoplasties?

And the cheek filler.

- Fillers. - Injections.

Yes. And with lips, augmentation filler.

- Lipo. - Lipo.

Lipo, uh, three.

And 15.

Wow.

I love to shock people.

I love getting a big reaction from everyone.

So you had how many operations in the buttock area?

- Two. - Two operations only?

Okay, and the first one was a buttock implant?

- Yes. - What was the problem,

inflammation?

Infection.

- Infection. - Infection.

So did they have to take them out?

- Used old ones? - Used implants.

When they pulled off the old ones,

they saw that the implants were destroyed.

- Destroyed. - Yeah.

So they took them out

and put a new pair back in.

Yeah, but she want bigger.

- Bigger? - Yeah.

Okay. Let's talk about the face.

In my face, uh, lifting eyes.

What is the problem now with your eyes?

Cansados. ¿cómo se dice?

- Tired. - Yes, yes. Um...

You feel that, mira.

You feel like ésta is like this?

Yes.

When you have a cat eye operation,

you're elevating the lateral canthus of the eye.

And if you do that to an endoscopic brow lift

or sometimes even direct,

about four years,

it's eventually gonna drop back down

to where it should be.

I want, uh, cat eyes.

- Dubrow: Cat eyes? - Extreme cat eyes.

You want your eyebrows

and the corners of your eyes

- pulled like a cat. - Yes.

- Why? - I like. It's sexy. See?

- Sexy? - Yes, like a sexy witch.

Nassif: Sexy witch.

I am now a black witch.

- Oh, really? - Yes.

- You're what, a black witch? - Yes.

A black witch is usually a witch that is evil.

Yes, yes.

So let me ask you a question.

When you're mad at someone,

do you ee-ee-ee?

Yes. Voodoo.

Have you done spells

on any of the doctors?

- You know, evil spells? - Yes.

You have?

I...[laughs]

- no? - You put a spell on him

and now he's dead?

Not dead, but his job is kind of dead.

His job is d-- you killed his career.

- Exactly. - Okay.

I've heard enough. Thank you very much.

Have fun on your trip back.

Yeah, nice-- nice meeting you.

Mucho gusto.

- Oh, come on, come on. - That's all you got?

- Come on. - That's it? That's all you got?

Grita mi nombre.

- Wow. - Say my name. Say my name.

- Bark like a dog. - Say my name.

[howling]

this septum is complex.

The cartilage, look how weak it is.

He's got the mother of all mothers.

Boom. Collapses in.

♪ I wanna be perfect ♪

come on, doc.

Try to be nice. Don't go full sabrina.

I want to teach them.

Okay.

I thought I heard some noise outside.

- It's my witch plan. - Cómo say whip?

- Látigo. - Látigo.

- It's my... - ¿qué es ésta?

Esa es spank.

- Oh, a paddle. - Spank.

Okay, doctors, give me surgeries,

or else...

- Yeah, let me see. - In butt or buttocks.

- Bend over. - Like a dog.

- Like a dog. - [barking] ow!

[howling]

you want, like, ésta or like that?

Two.

- All right. - Okay. So...

Close your eyes.

Cerrado los ojos.

Okay, so she has a lined-up thalamus.

Her eye's not closing.

- Okay. - Yeah.

So let me talk to you about your eyes.

Your skin right now is very tight.

To get this sexy look that you want,

there's no extra skin.

So if you pull this way and this way,

her eyes will not close all the way.

And having your eyes not close all the way

is very dangerous for your vision.

Oh.

Because you will not have normal wet eyes.

If they're dry, that can cause a big problem

with your vision.

Alex: [speaking spanish]

ya tengo problems de visión.

She already has vision problems.

- Ah. - You do?

- Yes. - And she gets dry eyes.

- She gets dry eyes now? - Yes.

This will make it worse.

So no more plastic surgery of the eyes now.

- No? - Now what?

- You look great. - Now what?

I need a plastic surgery now!

Your next addiction, I'll show you. Bend over.

I'm gonna show you what I think is the best way to do this--

the backhand.

- Aah! - Like that.

- Yes. Strong. - What?

- You said easy. - That was easy.

No, that was not easy. Get up.

- I don't-- - get up. This doesn't look--

- come on, come on. - That's all you got?

- Come on. - That's it? That's all you got?

Grita mi nombre.

- Wow. - Say my name. Say my name.

- Bark like a dog. - Say my name.

[howling]

ow-ow-ow-owoo! Ow!

- Con cuidado. - Are you happy with us?

- Oh, no. - ¿feliz? Is happy?

No feliz. So sad.

No, but you're not mad at us.

- [speaking spanish] - oh, no, no, no.

No enojada. No voodoo.

- A pleasure. - Mucho gusto.

- Enjoy your time-- - thank you very much.

...Together. - Thank you very much.

Take care. Ah, there you go.

Let's go. Let's go while we're ahead here

before we get in trouble.

Let me take a look at your profile.

I remember you have a little bump there.

- Yeah. - And then your bones

are asymmetric, too. Appears wider

than your left.

Okay. There we go.

That looks kind of cute,

my little drawing on your nose.

Today with eric's nose

we're gonna try to get his breathing a lot better,

but the biggest challenge is gonna be

fixing the very severe deviated septum

and open up his airway.

For eric's surgery, I'll open up the nose

while my team harvests rib.

Next I'll take down the hump on the bridge

and perform a septoplasty

to repair his deviated septum and improve his breathing.

Next I'll use a supertip graft,

infratip graft,

and alar batten grafts

to fix the pinching of the nose.

Finally I'll inject some finely diced cartilage

along the dorsum

to fill in any imperfections.

All right, first step, we've opened up the nose.

The cartilage around eric's tip,

it's just collapsing in.

- See how weak that is? - Yeah.

So when he breathes in, it goes like this--

[sucking noise]. Look at it.

Boom. Collapses in.

Part 2 is gonna be taking down that little hump

that eric has.

Let's see how tricky

eric's deviated septum is.

That looks very complex. Looks very deviated.

The reason why eric's nose is still crooked

is because his bones are crooked and asymmetric,

his middle valve is crooked, the cartilage here.

One side's wider than the other.

The septum is still very deviated,

and his tip is deviated.

He's got the mother of all mothers.

All right, the rib is coming out.

Let's see. Okay. I think that's a nice size rib.

[laughs]

this septum is complex.

I exposed the septum. Look how weak it is.

And it's pushing all the way over

into eric's left nostril.

That's why he can't breath at all.

Eric's septum is very weak and crooked

from his previous surgery.

The best way for me to fix that

is to use spreader grafts to strengthen it

and also a septal batten graft.

That will give us a better airway

and a straighter septum for eric.

In addition, to make eric's lower part of his nose

and his tip good,

I'm gonna use a supertip graft

and an infratip graft.

That will not help his breathing at all,

but his nose will look a lot better.

Just a little bit of finely diced cartilage

just going along the dorsum,

especially in the region of the side of the tip

where it was collapsing before.

That will just even out the two nostrils

a little bit more.

Okay, looks great.

Eric is gonna be the best-looking guy

at his wedding.

Jessica, how do you feel?

I feel good.

It looks like everything's intact.

- Yeah? - It feels like...

Everything's not moving to my armpits.

- That's good. - So it feels good.

This was one of the most difficult surgeries

I've ever done.

So let's look at this.

Yeah. Okay, the nipples are alive.

Everything seems to be in place.

Your two mounds are right here.

I got it off your belly. We're good.

Now let's talk about the abdomen.

What we have is nice tight abdomen

with some linear scars.

So far, so good. Remember that?

Oh, gosh.

This is like spongebob on acid.

I definitely feel like we made

a very significant improvement

on the shape of jessica's breast

and her abdominal scars.

But because of the quality of the skin

and the underlying soft tissue damage,

it's gonna take a long road of healing

before we determine whether or not

we actually made a big gain in her result.

I honestly feel tight.

- As a tummy tuck. - A tummy tuck.

Yeah. Sometimes you have to be clever--

- yeah. - ...And not smart.

And clever and smart you are.

- Oh. - [laughs]

before, my nose looked like crap.

Never in a million years would I have thought

that we'd be doing an engagement photo shoot.

- Hey, guys. - Ah! Hi.

- You look so great. - Thank you so much.

She's had complication after complication.

- It's been a long road. - Yes.

♪ I wanna be perfect ♪

- how are you? - I'm doing well.

- Hi. - Hello, ms. Fiancée.

- Any problems? - No complaints.

Last night there was no snoring,

surprisingly. I couldn't believe it.

But that's the first night post-op,

so we'll see how it is when we're home.

It's really good.

Look at that airway. Now it's open.

So let's talk about your surgery.

One area that was tricky for us--

when you took a breath, the right side would collapse,

so your right side now,

we're--we got strong cartilage in there.

Then we'll have to see at the end how it does.

Other than that, how's the pain control?

Pain has been fine.

Tylenol's worked-- worked fine.

I only, uh, used it once yesterday.

- Good. - That's great.

Good, good. So pain is actually well controlled.

- I love hearing that. - Yes.

When are you guys getting married?

- July of next year. - Oh, yeah, of next year.

What I'm looking forward to is seeing those photos.

All right. We'll make sure we send them.

- Yes. - Thank you very much.

- Pleasure. Pleasure. - Appreciate it.

♪ you said you love me ♪

♪ now I can't go away ♪

♪ back where we started from ♪

♪ tell me you want to love ♪

- hi. - Hey, brooke.

- Hi. - Good to see you again.

- You, too. - How's it been?

- Good. How are you? - Good.

This looks great.

Where's eric right now?

He's taking selfies, probably.

- Oh, my gosh. - Looking in the mirror.

Now with his new nose, he can't stop.

Never in a million years would I have thought

that we'd be doing an engagement photo shoot

because before, my nose looked like crap.

The tip of my nose was shifted to the right.

I had a bump in the bridge of my nose.

But now I catch myself doing double takes in the mirror.

I'm looking good, feeling good.

I think brooke is gonna be really excited

when she seems me all dressed up.

Usually we're wearing hospital scrubs

or sweatpants,

so it's gonna be a really nice treat

to be able to see a little preview

for what our wedding is gonna look like.

- I want to do a kissing one. - Okay.

- And then-- - hey, guys.

Oh, hi!

Oh, my god, you look so good.

- Eric, how are you? - Good.

You look so great.

Thank you so much.

It's so nice to see you dressed up.

- You look beautiful. - Yes.

I know. When's the last time we got to dress up like this?

A long time.

It's only been a few months since the surgery,

but we've already noticed a huge change.

He's much happier now, and he's confident.

Um, he's snoring less,

which is great. [laughs]

perfect. Beautiful, guys.

The surgery definitely brought a physical change,

but I feel, like, a spiritual change, too.

I've been on methadone for almost three years,

and dr. Nassif really gave me the push I needed

to get off my methadone.

I feel like my head is clear now,

and I'm ready to get married without all that baggage.

Dr. Nassif did a great job on your nose.

- You think so? - Yes. It was worth the wait.

Before my surgery,

I had two rhinoplasties done

by doctors who did more trauma to my nose

than the fist did to my face.

But thanks to dr. Nassif,

my nose is supported, it has some shape,

and it no longer collapses on the right side

when I breathe in.

Now, when I walk down the aisle,

I know that everybody will be staring at my fiancée

and not my crooked nose.

- Huh? - Yes. There you go.

Oh, man.

- Hello. - Hi.

- How are you? - Good.

I am now five operations into you.

Jessica was looking great after her check-in,

but unfortunately,

she had complication after complication

and has required multiple revisions.

So, you know, she got a breast implant infection,

which we treated very promptly.

- Yes. - I took them out,

let things cool down,

and put them back in.

- It's been a long road. - Yes.

Okay. Do me a favor. Stand up.

Everything was going fine,

but, after about four months,

my breast bottomed out again.

So what I've been doing is working

to get this crease up like this.

And in other people, it has worked better

- than it's worked on you. - Mm-hmm.

But the good news is

we have no excess tissue on the sides.

We have improved the scars along the abdomen.

They were much more significant.

And so what we're left with right now,

we have a lack of attachment

here in the inframammary crease

which is making the areolas and nipple

a little high. With time,

the implants have been weighing on that inframammary crease.

It disrupts it, and you get more of the bottoming out.

Sometimes the patients' bodies just don't cooperate,

and that's clearly the situation with jessica.

I never run out of patience,

literally, figuratively. - Literally.

Right? You know, I'm not giving up.

If you're not giving up, I'm not giving up, you know?

No.

Let's try it one more time.

Let's try one more time, and then we'll go to plan f.

- Oh, my gosh. Oh, god. - Plan g, plan z.

I thought at this point

dr. Dubrow would be like, "I'm done,"

but he continues to want to help me,

and I'm very grateful.

When I first met with dr. Dubrow,

he did warn me that there would be limited improvement,

but I know for sure I got my shape back.

My breasts may not be perfect, but they're so much better.

Hopefully I only have one more surgery to go,

and then I'll be able to put this all behind me.

After surgery, I think I need something

that's gonna be tight here,

but I'm yet to find a bra like that.

Why don't you use surgical tape?

- Duct tape. - Duct tape.

Yeah, no, let's not do that.

If I could give anybody advice

about getting plastic surgery in tijuana,

don't do it.

Go with a board certified plastic surgeon

in the united states.

- You've been there, done that. - Right.

Hola, dr. Nassif and dr. Dubrow.

She took your advice and didn't get

any plastic surgery on our trip to l.A.

- But instead... - We got face tattoos.