Original subtitles

>> I want to show you a girl

who had her breasts done once. >> Whoa, there was two different

surgeons operating on her simultaneously.

>> They are so dramatically... >> Right.

>> Different. I've probably done over 10,000

cases of breast surgery. I've never seen that before.

>> I'm the first transgendered urban men's magazine model,

and the doctor said I will saw your cheekbones--

>> Wait, whoa, whoa, whoa, whoa. At age 14?

>> Yeah, at 14. >> Oh!

>> She's a breast cripple. Okay, there's an area

on your left breast right here, it's actually right on top

of the bone. You have been nuked.

>> I feel nuked. >> ♪ I want to be sexy ♪

♪ ♪ ♪ I want to be hot ♪

♪ Fix me, make me beautiful ♪ ♪ ♪

♪ I want to be perfect ♪ >> My name is Shauna Brooks

and I have chipmunk cheeks, honey, and I hate it.

I'm the first transgendered urban men's magazine model.

I've done several covers. Like, I love for people

to look at my body and be like "wow!"

When I was growing up I wanted to be a girl.

I don't think I was ever gay. I see myself as a girl,

so I wouldn't be gay. My family has always been

supportive, like, everybody knew that I was different.

Like, girl, Miss Thing, you saw me sashaying

when I was younger.

I've been in transition since I was 14 years old.

The first step that I took into being transgender

was hormone therapy, which was black market.

Somebody was selling it and they had those hormone shots

and those pills and you buy it. From that, it led to silicone

injected in my cheeks, but as time went on, because

of the free-floating silicone, it just turned me

into a complete chipmunk. It was the worst mistake ever.

So then I was like, okay, I need a mini face-lift

to snatch the muscle back. I mean literally, like, snatch,

like put your leg in and snatch it back

and sew me up, like, that's what I wanted.

But the cheeks then were lopsided.

So then I'm left with this lopsided smile,

and these heavy cheeks. Since my cheeks

are not where I want them to be it's always a constant battle

with looking at myself in the mirror and not being

confident.

>> My name is Dana. I'm 35 years old,

and my breasts look like collapsed craters.

I grew up in Brooklyn, New York. In my freshman year my chest

was actually a C cup, and by the time I was 19, I was,

like, an A or a AA. They just over time

just get smaller and smaller. So I had, like, a C cup

for basically two years, and then somebody came

and took it away from me. I was like, I'm fixing this.

I mean, who doesn't want nice boobs?

A few girls that I knew had gone to this doctor.

I asked for, like, a 34C and ended up being, like, a 34D.

Before the word "selfie" even came out, I was just taking

a ton of pictures of myself 'cause I looked--they looked

really, really good. A few years later,

I wanted to upgrade my implants from saline to silicone.

So I figured it was a good time for me to just go in

and give myself a Valentine's Day present.

So the surgery was, yes, on Valentine's Day.

After I went home, my chest started hurting,

and they started feeling really hard.

So my doctor just said, "Oh, no, you have to come here

right away." There's this common thing,

capsular contracture, that people can develop.

It could be a small to a large amount of scar tissue

around the actual implants, and he removed the scar tissue

and then put the silicone implants back in.

Within a couple months, it came back.

I believe there probably should have maybe been drains

or something put in, because I started developing all this

fluid from removing the scar tissue.

I went back to see the doctor. He said to me straight out

to take the implants out, and I had the implants removed.

And that's where I stand today. If I were to describe

what my chest looks like, I have the top of them there,

but the bottom of it's caved in. This surgery would definitely

give me my life back. It will make me feel

like who I was. I am worried if I have

another surgery that it would happen again, and I don't want

to keep doing this never-ending boob job.

You know, I had the implants taken out for a really long time

so I'm hoping I allowed my body to heal, you know,

this time around because I just cannot be like this.

>> Well, have you always peed a lot your whole life?

>> My bladder's kind of sensitive.

And by the way, every time I usually go to the bathroom,

you kind of come with me usually to go pee too.

But you have to go into a stall. >> I sit when I pee.

>> I go to a urinal, like most men do.

>> I'm tired. >> Okay, so what is this about?

Does the next patient have a bladder problem?

>> The next patient does in fact not have a bladder problem.

>> Does in fact not have

a bladder problem. >> We have a very

complicated case. >> Ugh.

>> This patient's name is Dana. Look how disabled

her breasts are. Look at this.

>> Oh, that's not her. >> That's her.

>> Oh, my God. >> I know.

>> That beautiful girl has this problem going on with her?

>> Yeah, she's a breast cripple. Truly a breast cripple.

>> This is-- >> Look at this.

So let's bring her in, ask her exactly what's happened,

and see whether we're just gonna fall into the same trap.

>> Can you please send in Dana? >> Hi.

>> Dana, hi. Dr. Nassif.

>> Hi, nice to meet you. >> Nice to meet you too.

>> Hi, Dana, I'm Terry Dubrow. Pleasure.

>> Jeanine. Nice to meet you. >> Hi, Jeanine.

>> Hi, Jeanine, Terry Dubrow. >> Nice to meet you too.

>> And you are? >> Like my other half,

my sister. I'm hoping that Dr. Dubrow

is gonna be able to give me an idea of finally, like,

why this is consistently happening.

>> Take us to the beginning. What happened?

>> All right. I'm gonna stay very positive,

but I am a little bit afraid that I'm at the place

where maybe they cannot fix it. Basically I had saline

implants done. They were fantastic, perfect.

So then I decided to basically upgrade to silicone.

That's when all of the major problems really started

to arise. >> All right, so what happened?

You had capsular contracture, then what did they do?

>> He gave me the capsulectomy and he put the implants

right back in, yes. >> After the silicone implants,

then you were fine, and then you started

developing capsular? >> Yeah, within just

a couple months. >> Capsular contracture

of the breast is when you have a capsule around the implant,

it starts to scar, it gets hard, and starts to move the implant

in a certain direction. >> So you went from soft,

slightly ripply salines to capsular contracture

with silicone? >> Multiple, multiple times.

>> It could actually cause pain. It obviously causes a physical

deformity of the breast, and it can actually destroy

the breast and make it look absolutely horrendous.

>> So what I ended up doing was going and seeing a doctor

in New Jersey. >> Yes?

>> And he said to me, basically, "If you were my wife..."

>> Yeah? >> "I would tell you to take

these implants out and let yourself heal for six months."

>> So he took the implants out. Then what happened?

>> Yes, and I'm here. >> Oh, that's what you have

right now? >> Yeah, I had them taken out.

>> There are essentially two schools of thought

regarding scar tissue formation after breast implant surgery.

One is you take the implants out and you put them in

in a relatively short period of time to prevent the skin

and soft tissue from contracting down.

The other is that you wait a longer period of time

to allow the tissue to heal. >> I was supposed to wait

about six months... >> Right.

>> To go back and put them back in, and then I got afraid.

Like, I was kind of scared. >> Most surgeons now think

it's better to do it sooner rather than later to prevent

the problem that exactly Dana has.

What is your goal? >> I was comfortable

with my body portions at the 34D I was.

>> You want to be a D again, huh?

>> As close to normal. I know they can't be exactly

the way they were to begin with, but have my normal, like,

attractive, sexy, feeling-good self back.

>> Yeah, we don't want you to have white knight syndrome

with us where... >> No.

>> We ride in on our white horses--he'd be on a pony,

obviously. >> I'd ride in on a beautiful

stallion. A white pony?

Come on, white pony versus Lebanese stallion.

It's pretty obvious. >> Okay, so here actually has

pretty decent thickness. There is some scarring,

but it's not bad. Okay, there's an area on your

left breast right here that's actually quite thin,

and it's retracted, and it's right on top of the bone.

This is a little bit better. You know, all right.

There's a couple milli-- it's contracted.

I don't know if you're going

to re-encapsulate again. You had total,

complete scar tissue removals. The body has to heal

all of that again. The immune system comes

and as soon as it sees that implant, it goes, "Now I

thought I was gonna go a simple repair job, heal a little wound.

In fact, I'm gonna nuke this whole area,"

and you have been nuked. >> I feel nuked.

>> The only way I'm comfortable taking this incredibly

difficult case on is if you allow me to pick your size.

>> I'm glad Dr. Dubrow's being very direct with me right now,

'cause I need that. I mean, it would suck

to be an A. >> Okay.

>> both: Pleasure meeting you. >> Please meeting you as well.

>> We have some work to do, okay?

All right. ♪ ♪

Whoa. Got a massive bleeder in here.

Hey, Katie, would you come wipe the blood off my glasses?

>> Oh, my God, your fingers are so big.

>> She loves big things

in her mouth. >> We're in the middle

of a consult. You don't do that.

>> ♪ I want to be perfect ♪ >> My name is Melissa.

I'm a body builder, and I have some busted boobies.

I grew up in a military family, so I was very fortunate to move

all over the place. I was very much a tomboy.

Growing up I played a lot of sports from softball,

basketball. You name it, I did all that.

When I was 20 years old, that's when I met my first husband,

and we got married, and then we got pregnant very quick.

After my son was born, that's when I really started

putting on the weight. I mean, and it came on quick,

like, 35 pounds in, like, 2 months, and it just

kept escalating, and escalating, and escalating.

At my heaviest weight was 286 pounds.

After realizing that I needed to lose a lot of weight,

and then I was like "Okay, I think this is what you got

to do to be healthy. I'm gonna eat healthy.

I think I got to go to the gym." And I lost about 115 pounds.

After the weight loss, everything looked great,

except the girls. They were deflated.

They hung. I joked and called them

milk udders. They looked hideous,

so I just told myself that I was gonna get them

eventually fixed. It was a gift to myself

for the weight loss. So I received 510cc

saline implants. I come out of surgery, and we--

I just knew at that moment something was not right.

This one was really, really high,

and it was just so swollen, and this one I was like,

where is it? It was way down low.

The day after my surgery I went in to see the doctor.

So that's when I spoke up and said, "Is this supposed

to be right?" And I said "This one hurts.

I know it's the day after surgery, but it's here.

What's going on with this?" He immediately kind of

just shushed me and just said

that they need to heal. He did tell me that I needed

to massage them. Three weeks later I go back

for my third checkup, and that's when I had enough.

I said--I spoke up and I said, "These don't look any better."

And he was telling me about massaging my breasts,

and he basically was telling me that I was not doing them

correctly, and that's why they weren't settling.

I found another doctor in Birmingham, went to him.

He didn't, to me, sound confident

in the options that he was giving me--what he thought

needed to be done. So, then it just scared me,

so I just put it on hold, and I just threw myself

into work and training. Never in a million years

would I have thought or said that I was gonna be

a body builder. It just kind of evolved.

In 2014, I won the state championship,

which was a huge accomplishment. My situation, because my breasts

are so uneven, to get ready and to get into a suit,

I have to wear, as a matter of fact...

these. I have to take this

with another one, and maybe even, like, a sock,

and I have to take it and glue it all into my suit.

And I just don't want to do that anymore.

♪ ♪

>> I want to show you something. >> Yes, sir.

>> I want to show you a girl who is shredded ripped,

who had her breasts done once. And look at the result

of one surgery. >> Whoa, there was two

different surgeons operating on her simultaneously.

>> Her name is Melissa. Would you please bring Melissa

in so we can figure out what's going on?

>> Find out this story. Can you please send in Melissa?

>> Melissa. >> Hi.

>> How are you? >> How are you?

Dr. Nassif. >> I'm Melissa Payne.

>> Hi, Terry Dubrow. >> Melissa.

>> Nice to meet you. >> What's your name?

>> Ashley. >> Ashley, nice to meet you.

>> Ashley, hi, I'm Terry Dubrow. Pleasure to meet you.

>> You too. >> I'm hoping that Dr. Dubrow

and Dr. Nassif can just give me two breasts that look the same

and put them relatively at the right position--

I'm happy. >> It's a little unusual,

Melissa, to see a breast augmentation one time

with a lift have this kind of result.

Normally we don't see this until people have had multiple

previous surgeries. Tell us about that a little bit.

>> Okay, go way back, healthy, fit, athletic

all through high school and then typical,

you know, life, marriage, baby, divorce,

put on a lot of weight. Start working out,

losing weight. As I lost the weight, of course,

the breasts-- >> They deflated?

>> They were horrible. >> Yeah, what'd you tell

the doctor? I want to do what?

>> I went in and I was like, "I'm just tired of these."

He did a lollipop lift... >> Yeah?

>> With implants. So he did 510cc salines.

>> Both sides the same implant? >> Correct.

>> The reason he says that is because they're

so dramatically... >> Right.

>> Different now. I don't--I can't even wrap my

brain around what happened, so I'm dying to know.

>> And neither can I, because this one was so swollen,

and it was way up here, and I'm not gonna lie,

kind of looked a little good. I kind of liked the cleavage.

It was up here, though, and this one was so low.

>> They looked this way immediately?

>> Like, yeah, it was already like that, and he said,

"No problem." He said, "This one's gonna drop.

This one's gonna raise." >> Oh, yeah!

>> "It's gonna take time. You need to massage them.

Massage, massage, massage them." >> How long after the surgery

did the right one get hard? >> Uh, a few weeks.

I mean it got hard pretty quick. >> I suspect what you had was

you had a hematoma in your right breast,

which is a collection of blood. One of the most common reasons

you get an early encapsulation is when you have bleeding

inside of a breast pocket after breast augmentation.

A hematoma will often be turned into scar tissue by the

immune system as a response to the inflammation.

So, let's go take a look and see what's going on,

and we'll best figure out the options based on the

physical exam, okay? Melissa's case is

very interesting. She has two very different

breasts that will require two completely different treatments.

Symmetry is going to be extraordinarily difficult

to achieve because of the different treatments required.

Okay... >> Hello.

>> First of all, look at these guns.

>> Yeah, they're bigger than both of us.

>> Wow. >> Yeah, don't mess with her.

>> Whoa, look at that. >> Don't make her mad.

>> No doubt Melissa can bench more than I can, especially

a lot more than Terry. >> Let's check this out.

>> Okay. >> Okay, so this side

is encapsulated. There are four grades

of encapsulation. Grade one is minimal,

grade four is the most severe. This is the most severe.

This is a rock. 'Cause this side is

completely soft. This is a grade one--this is

a grade four encapsulation, so they need completely

different operations. The operation required here

is to take the implant out and the scar tissue,

and find a way of filling out the scarified lower pole.

The operation that needs to be done here is take the implant

out and tighten up the too-low pocket, and remove a whole bunch

of skin. Exactly the opposite things

are done. So, you have options.

>> Okay. >> This is one of those cases

that revision specialists kind of live for.

Tennis players and athletes want to play the toughest opponents.

This is a pretty tough opponent. You know, I kind of want

to play this, you know? >> Okay, awesome.

>> I kind of do, and I want to help you.

So, let's go for it, yeah? >> Yes.

>> New boobs! >> Yay!

>> Here we go. >> We're gonna have new boobs.

>> Pleasure meeting you. >> Yeah, you're gonna have

some new breasts, definitely. >> both: Nice meeting you.

>> Thank you so much. Thank you.

>> There's just scar everywhere. >> And she wants to be how big?

>> Forget size, this is about whether I can even

make her a breast. >> The problem with what we did

now, we've kind of unleashed that silicone, so you'll never

be symmetric again.

>> ♪ I want to be perfect ♪

♪ ♪ >> We about to save some bootay.

>> Yes. >> Bootay, twerking, all that.

>> It's all about being sexy, all about being the girl

in the picture. >> All of that, honey.

>> Hi, we're here. >> All right,

so we're gonna start with the step, touch.

Just step, touch, touch. >> Okay.

>> Okay. >> And we're gonna add these

little sassy hips, so just kind of sit.

>> I've never danced burlesque, but for, like, my modeling work

you have to know how to be sexy, and I thought

that taking a dance class would totally help me

look at myself to be sexy. >> How about some arms?

What do you think? >> Like something like this?

>> How about a little hip? Yes! >> Okay.

>> Take these legs apart. >> Oop, you not gonna--

>> Strong. >> She likes her legs apart.

>> Hit it right.

Now here's where you want to work the face a little bit,

right? Maybe add a wink.

>> I love to model. I like to showcase my body,

but I get really uncomfortable when it comes to my face.

>> So, is this your first burlesque class ever?

>> Yes. >> Yeah, ever.

>> So I want you to take everything you learned

home with you today. I want you to strut

around the world. >> I've spent a lot of money

getting all of these plastic surgeries

to be the woman that I am today, and I would be completely,

utterly done with surgery once I get these cheeks fixed.

I have a consultation with Dr. Nassif

and Dr. Dubrow. I've got to get the surgery.

I've got to get it removed. Like, I've got to get

lipo in it. >> What if it makes it worse?

Did you ever think about that? >> Girl, I've had 22 surgeries.

Girl, I think I did a good job. It's just this one that just

makes me so... Just racks my brain.

Hopefully Dr. Dubrow and Dr. Nassif

tell me the good information that I want to hear.

"Oh, yeah, it's a breeze. It's a walk in the park.

We're just gonna lipo you up, touch it up there and then bam,"

come out like, "Hey, I'm the girl."

>> Yes! >> Ooh ooh ooh-ooh!

>> All right, keep doing this. >> Ow!

Yes, come on, let's go.

♪ ♪ >> Hi, I'm here to check in

for surgery. >> Okay, go ahead and sign in,

and we'll get you taken right back.

>> Thank you. I'm not too anxious.

I'm more excited about what's-- you know, the outcome is gonna

be--going and taking a nice little cocktail nap,

waking up, and being back to my old self again.

I'll see you in a little while. I feel like I've waited

for today for a lifetime. It feels like it's been years,

and years, and years, and I'm just ready to wake up.

>> Dana, how are you? >> Very good, excited.

How are you? >> Good, but I'm anxious.

>> Anxious? >> Yes.

If I put an implant that's under tension,

your body's gonna go, "Ha! You again!"

>> Yeah, right. >> I'll put an implant in

that fits very comfortably, and then I'm gonna go away.

>> I feel confident. >> Dana's chance of having

a capsular contracture again is extraordinarily high,

so I want to make sure I do something that's different.

My hope is that I can meet Dana's expectations

and give her the volume and the size she wants, but her body

holds all the cards, and her body and the scar tissue

in the pocket will determine what I can safely put in there.

For Dana's surgery today, I'll start by making an incision

under her areolas before lifting the scar tissue off the lower

poles of the breast from the ribcage.

I'll then reshape the breast pocket and place new,

appropriately sized implants, giving Dana normal-looking

breasts. Okay, first thing I see

is just scar everywhere. It won't conform

to the shape of an implant.

>> And she wants to be how big? >> Forget size.

This is about whether I can even make her a breast.

In Dana's case, all of her breast tissue

has been essentially replaced by scar.

So, you essentially have to make a pocket

in the middle of a block of scar.

So, the little hairs on the back of my neck are standing up

because I'm concerned this may not be fixable.

So, let's test out a real silicone sizer.

This is a 300. In a weird way, we need bigger.

Can I see a 400? Thank you.

>> Maybe her body will accept this one.

>> Maybe. We're trying to get from

"doesn't suck" to... >> "Okay."

>> To "okay" right now. Let's sit this one up

and just see if we have any kind of real shape or not.

Ugh.

>> both: Twerk it! Twerk it! Twerk it! Twerk it!

>> Hey! >> Look at that.

>> Ooh. >> That is--

look at that. Have you ever seen that?

>> Ew. >> Have you ever seen that?

>> No.

>> ♪ I want to be perfect ♪ >> That's just not good.

Okay, down.

Yeah, not acceptable. I'm used to the breasts

not looking very acceptable in a difficult

revisional situation, but in the back of my mind,

I know that with Dana's case I'm dealing with pure scar

and not usual breast tissue. This is a risky move.

>> That did something. >> That did something?

I hope so--wait, there's one more right here.

What I have to do is go in and very carefully

and judiciously incise the scar so as to try to manipulate

and shape the breast envelope without going too superficial

and getting through the skin. Okay, so the right one,

I'm very optimistic. The left one is much more

complicated because it's much more disfigured.

Wow, it's like a rock quarry in here.

Whoa. Got a massive bleeder in here.

. Wow, I've seen bleeding before--

this is bleeding. .

Hold. Hey, Katie, would you come wipe

the blood off my glasses? It's not particularly uncommon

to hit a large arterial bleeder during a difficult

breast revision case. It doesn't usually spray you

directly in the face. So this one goes

in the left breast. Okay, that fits okay.

Now let's sit her up and see what the truth is.

♪ ♪

This is pretty good. This is really good.

This looks good. >> Really good.

>> Let's get this closed before we start pre-celebrating.

Although I was able to do what I wanted to do

with Dana's breasts today, there's still a lot of things

that could go south. My fingers are crossed that,

in the next week or two, Dana will heal really well.

She's got a really good attitude going in, and that's

very favorable, but I'm gonna keep a very close watch

on everything surrounding her breasts.

♪ ♪ All right,

so who do we have next? >> We have a transgender patient

named Shauna. Multiple plastic surgeries,

possibly silicone injections in the cheek.

Let's take a look at her photos. >> Yeah.

Oh, wow. >> You can tell nose job,

brows, breast aug. >> Really, really big cheeks.

>> Yeah, I wonder if that's what it is.

>> So I wonder what those cheeks are made of.

>> Let's bring her in. Can you please send in Shauna?

>> Hi! >> Hi.

>> Hi, how are you guys? >> How are you, Shauna?

Dr. Nassif. >> Pleasure.

You guys are so hot. >> Nice to meet you.

Oh, wow. >> I'm Sidney Star.

>> See that's nice Nice to meet you, Terry Dubrow.

>> I feel excited. I feel nervous.

Hopefully this consultation will go well.

>> So let me ask you a question. You guys think he's kind of hot?

>> I think both of you guys are really hot, but he's single.

>> So, you're here to have your eyes checked,

obviously, right? >> Yeah, because you think--

because you think he's cute. >> Well, how about we just do

a double date? >> Double date, yeah?

>> Yeah, let's do it. I'm in. >> Okay, cool.

>> You know what? I know Dr. Dubrow is married,

but hey, ain't nothing wrong with a little flirting,

you know? >> Wow, but look at those nails.

>> You like these? I love anything shiny.

>> Can I show you something weird?

Speaking of hands. >> Okay.

>> Look at this thumb. >> Wait, what?

>> That's a stub. >> I'm pretty sure you can do

some things with that thumb. >> It's like a Blow Pop!

>> Believe me, I think he's already done that.

>> Terry, I know that you're very jealous you don't have

thumbs like this. Some famous people have

different thumbs. Megan Fox has thumbs like this.

Artists have thumbs like this. I am an artiste.

>> So, tell us a little about-- about your journey

with plastic surgery... >> Okay.

>> And where you've come from to this point.

>> Okay, when I was 14 years old I started black market

hormone therapy. >> At age 14?

>> Yeah, at 14. Anyways, in the black,

urban community, the transgenders get silicone

pumped in their cheeks, in their breasts, in their ass.

>> Injecting anything permanent into any part of your body

is a bad thing. Injecting silicone

destroys the underlying tissue by causing a severe

inflammatory response and it becomes

a chronic problem. >> So then I learned

about facial feminization. I wanted to do it here

in America, and when I told the doctors

I had silicone in my face, he was like, "No."

That's when I went to Thailand, and the doctor said,

"I will saw your cheekbone." >> Wait, whoa, whoa, whoa, whoa.

>> Another dangerous procedure. >> That's dangerous?

>> Yeah. There are so many good plastic

surgeons in this country, and medicine generally is

the safest that it can be anywhere in the world,

so you should never go outside of the United States

for any surgical procedure. >> As the year went on,

this right cheek just would not stop.

>> So it's just the right cheek that's bothering you?

>> Just the right. >> You think it's

a little bit too big? >> I think it's too big.

When I smile, I think it's just too big.

>> Okay, we see that. >> You see?

>> But I told her, "What if you do surgery with the cheeks

and you make a even more big problem?"

>> Good point. >> That's always our--

the consideration we have. >> Constant injection

and modification of her cheeks with silicone--it's dangerous.

>> We always wonder, at what cost if we go in there?

There's a hole here right through the bone of the skull

where important sensory nerve comes out.

If you bugger up that nerve, you can't move and you're like--

>> The nerves are dead? >> Those are just done.

>> Dead, and there's no going back.

>> And you're not afraid to have your cheek operated on?

>> No, absolutely not. >> One of those things we'll

have to do is when we go in the exam room.

>> Mm-hmm. >> Hey, do you guys

like twerking? Like, 'cause we are

the twerking queens. >> both: Come on.

>> One, two, three, twerk, twerk, twerk, twerk, eh!

Twerk, twerk, twerk, twerk. >> Can you do that?

>> Come on. Hey! >> Hey!

>> He's a little stiff,

but he got a little twerking in him.

>> all: Twerk it, twerk it, hey! >> All right, that's--

>> Look at that icky fluid all over me

>> Yeah, that's--I haven't seen--that's nasty.

>> ♪ I want to be perfect ♪ >> Hey.

>> Ladies. >> both: Hey!

>> Can I touch here? >> Mm-hmm.

>> She loves to be touched. >> Where are the gloves?

>> No glove, no love. >> I know.

>> You got it?

>> Yeah. >> Okay, just seeing a thing.

>> Oh, my God, your fingers are so big.

>> She loves big things in her mouth, too.

>> I'm a doctor. I'm a professional.

We're in the middle of a consult.

You don't do that. There is that indurated tissue

right in this area right here. >> See, that's the thing.

When you have silicone injected, your body can form

a foreign body reaction. Sometimes these silicone

granulomas can be removed very easily.

>> Okay. >> In your situation,

when they're sort of diffusely distributed in the tissue...

>> Right. Right. >> They're much more difficult

to take out. >> There are numerous risks

associated with going in and trying to carve down

some of Shauna's silicone in her face such as damage

to one of the facial nerves. So that's why you have

to be careful. Yes, your right cheek

is a little bit bigger. Let's say we're in there

and we're dissecting it. Problem with what we did,

now we've kind of unleashed that silicone sometimes where

it can actually become infected. Then you ruin--you'll never be

symmetric again. >> When the two best doctors

in Hollywood are saying it's like, "Wow, that's tough.

That's serious. That's risky,"

I'm not gonna take that risk. >> I don't think there's

a surgical solution. The other option is

to inject anti-inflammatory in the form of a steroid

or cortisone which would have very little risk,

because, let's face it, a little bit less swelling

and you'd be there, right? >> Yeah.

>> Just a little. >> Yeah.

>> So to do very aggressive surgery to attack

a little bit of an improvement to get where you want to be

doesn't make sense. >> Obviously, we can do it.

But here's the issue with it. You live in Virginia.

You need multiple injections. You need to have one doctor

do this for you. So, the best thing to do is

for us to find you a good, qualified doctor,

and let you know. >> Yeah.

>> Everyone happy? >> That's great.

>> We'll hook you up. >> Okay, that's great news.

After going through all of the things

that I went through, this solution sounds amazing.

Knowing that the future lies ahead that I can

be worked on, now that's gonna make me smile.

>> So the question I guess I have for you is,

you know, when you twerk--

Hold on a second. It's not just a ugh, ugh, ugh.

It's more of a-- >> It's in the hip.

>> It's a hip thing? >> Yes.

You got to arch your back, too. >> It's not like I'm--

I'm spazzing-- >> You look like you're having

a seizure is what you're doing. >> Thank you.

>> Yeah. >> Yeah.

I don't want to get my makeup on you.

>> All right. >> Thank you.

>> Bye, guys. You guys are the best.

♪ ♪

>> Hey. >> Hi.

>> I have an appointment with Dr. Dubrow.

>> Okay, go ahead and sign in. We'll get you taken right back.

>> Okay, thank you. I can't believe this day

is finally here. After years of pain,

I'm finally gonna get the help that I've been wanting.

>> Melissa, hi. >> Hey.

>> How are you? >> Good.

>> Okay, talk to me. What do you want me to do?

About the same? Slightly bigger?

Slightly smaller? >>

Slightly bigger, but nothing crazy bigger.

>> Okay, all right. >> Debated back and forth

on what size I want, but that's something that I'm gonna leave

into Dr. Dubrow's hands on picking the perfect size

for me. >> I don't know, you look a lot

fitter than I saw you last time.

>> I do fluctuate big between my shows.

Like 30 pounds, give or take. >> The real challenge is, how do

I make the off-season Melissa happy as well as the

on It's a very challenging,

difficult situation, and I sort of probably will go

somewhere in the middle. I will begin

Melissa's surgery today by making an incision around

the areolas. Then I will enter into Melissa's

right pocket, remove the implant and remove

all capsulized scar tissue. On the left side I will

remove the implant, create a smaller pocket, and place it

to a higher position to match the right breast.

Finally, I will place a new pair of implants into the pockets,

which will hopefully give Melissa the large,

symmetrical breasts she's waited so long for.

So let's go ahead and open up the right side and see how much

scar tissue is in there.

Look at that icky fluid all over me.

You see that? >> Yeah, that's--I haven't

seen--that's nasty. >> As I open up Melissa's

right breast pocket, a dark, icky fluid comes out,

shooting everywhere. I thought maybe a hematoma had

caused the early encapsulation, but this brown fluid

everywhere--I don't know. There's something definitely

different going on here. Look at that.

>> Ooh. >> That is--

>> Ooh. >> Look at that.

Have you ever seen that? >> No.

>> Ew. >> Have you ever seen that?

>> No. >> I've probably done over

10,000 cases of breast surgery. I've never seen that before.

It's pretty clear that Melissa's implant has ruptured.

Normally, when a saline implant ruptures, it is absorbed

into the body, and you see no evidence of saline.

The fact that there's this dark brown, granular fluid

indicates it could be old blood that's mixed with the saline

that's in the lower portion of the bag.

It's really strange. She had a ruptured saline

implant that didn't absorb. That means her scar tissue is

so thick that it wouldn't allow absorption of the saline.

Look how thick that capsule is. That's thicker than a normal

pectoralis major muscle. Normally when a saline

implant ruptures, the body rapidly absorbs the saline,

and no problems occur. In Melissa's case,

because of this brown, granular fluid, it obviously incited

an inflammatory reaction, and you can tell that

by the thickness and the inflammatory appearance

of the scar tissue that I'm finding in here.

This is an extra-full 560cc implant,

which is about a shot glass larger

than her old implants. On the left side we'll put

another 560cc smooth, extra-full profile,

which means more projection. The question is, of course,

what will happen when she loses 30 pounds

when she gets ready for a competition?

But right now, I'm kind of really happy with the way

they look.

♪ ♪ >> Hi, how are you?

I'm here for my check up with Dr. Dubrow.

>> Okay, go ahead and sign in and we'll get you

taken right back. >> Following surgery,

I've actually been recovering really well.

I feel great. It feels like I'm

healing really well. >> You do?

>> Yeah--still draining though. >> Okay, let me see.

Okay, so 50 on the left, and then a little less

than 50 on the right. So looks to be about the same.

This tells us the story of what's going on inside.

We're looking for less than 1/3 of one of these bulbs

in a 24-hour period. If it were super happy

and healing, it would not be making fluid.

If this continues, that's a problem.

>> Okay. In the past, I had developed

hematomas, 'cause after having surgery to correct

my capsular contracture, the drains were taken out

a little bit too soon, so I know that it's something that I need

to have to heal properly. >> All right, let's look.

♪ ♪

Yeah, I mean, really? >> Wow.

>> You gotta be happy with that. >> I'm ecstatic.

>> Good job. >> Don't say that because--yeah,

they are kind of perfect, huh? >> Keep it positive.

Thinking positive, yeah. >> I'll be honest.

I took off Dana's dressing, and in the back of my mind

I was really concerned that I could see

a potential disaster. So I'm really happy

that it looks even better than I expected, and I think

she could potentially get a great result.

Usually what happens is, no matter how distorted it is,

you go back in there and you try to find

the old pocket, 'cause that's your guide.

In your case, there was no old pocket.

Your breast tissue was replaced by your breast scars.

Once I got the pocket open and I put the implant in, it was just,

like, a lot of that, you know? So I started whittling away

at those little scar bands, and then all of a sudden...

You had a breast.

I'll admit it, right now Dana's breasts look kind of perfect,

but I'm not falling for that, because I've been around

the block a few too many times, and it can look very good

initially, and go very south on you in a very short

period of time. So, I'm cautiously optimistic

and I'm hoping that Dana will get the results that I see

brewing here and not go the other way,

which could be really bad. Do you have any questions

for me? >> Nope, I guess we'll just

schedule to come back and have another look at these.

>> Yeah, daily, we want to know. >> All right.

>> And as soon as they're ready, I want them out.

>> Awesome. You're always gonna be afraid

when you go through anything that happens to you

multiple times. There's always gonna be

something in the back of your mind that it could happen again,

but I just have to keep myself staying positive on this one.

Thank you, Doctor. I'll see you guys soon.

♪ ♪ >> You ruptured a blood vessel

inside of your pocket. >> It's very scary to think

I had that in my chest.

>> ♪ I want to be perfect ♪ >> Hi.

>> Hi, how are you? >> Good, how are you?

>> I'm doing well. I have an appointment

with Dr. Dubrow for my checkup. >> Okay, perfect.

We'll have you sign in and we'll be with you shortly.

>> Okay, perfect. I'm extremely anxious

to see Dr. Dubrow. I'm curious to see what he's

gonna say, what he had to do. I'm a little nervous,

but I'm excited. >> Hi, Melissa.

>> Hey. >> How are you?

>> Good. >> You say that now, but I

haven't taken the dressing off yet.

>> That is very true, but I have faith.

>> Your case was exhausting, and surprising.

>> Okay. >> What happened was, on the

right side, I made an incision, went down there, and fluid

came immediately out at me. >> Oh, wow.

>> It was under pressure. Free fluid,

and not only free fluid, but not typical saline you'd see

in a saline breast implant, but very dark, cloudy,

granular fluid. It looked like diarrhea.

>> Ew. >> There you go.

I said it. >> What caused that?

>> I think you ruptured the implant,

and you ruptured a blood vessel inside of your pocket,

and you bled into there a long time ago.

>> Okay. It's very scary to think

I had that in my chest. Good thing it stayed

within the pocket, 'cause I couldn't imagine,

if it leaked out, what that would've done.

>> Yeah, that's pretty good. >> Wow.

>> Actually, that's very good. >> Really, really nice.

>> Can I look at them? >> No.

>> Aw. >> Yeah, no.

Yeah, no.

>> Yay. >> Right?

>> Good job. >> Yes.

They look amazing. I mean, after all these years,

just dealing with them being wrong for so long,

it's just a great feeling to see that they're finally fixed.

>> But so far, so good, right? >> I know.

>> Yeah, yeah, right? >> Thank you, thank you,

thank you. >> You're welcome.

♪ ♪

>> To me, confidence is exuding the woman that I am.

I consider myself a strong female,

but having some of the issues that I've had with my chest,

I feel like it's held me back a little bit.

When I look in the mirror now, I see no more boundaries,

no more obstacles, nothing holding me back.

Hey, girl. >> Hey, oh, my gosh!

Wow. >> What you think?

>> Oh, they look so good. I can't believe it, wow.

So, what's the first step? I mean, getting back in the gym?

>> Absolutely, absolutely. >> Yeah, day one first,

you know? >> This is actually

gonna be day one. >> I have never seen Melissa

this happy. Dr. Dubrow did such an awesome

job--he knocked it out of the park.

>> And, you know, it's gonna be so awesome this time.

We don't have to go through the whole thing with the gluing.

>> Oh, my gosh, the glue! >> And suits not fitting

and so on. I mean it's gonna be so awesome.

Before my surgery, my breasts were totally uneven.

The right one was really high and hard as a rock, the left one

very low and droopy. It was disheartening to know

that I could not achieve my full potential

in the industry because of my breasts.

The unevenness was such a challenge to hide.

Now, after my surgery, my breasts are even

and symmetrical. This operation

has truly changed my life, and it feels amazing.

>> Do a pose. >> Do a little pose?

>> Yeah, yeah, there you go. Look at you.

Oh, my gosh, no, awesome. >> You ready to work out?

>> Let's go. Let's go.

>> All right, come on. ♪ ♪

>> I finally have breasts again, and I feel like the person

I was. Hi.

>> Oh, my God!

>> ♪ I want to be perfect ♪

♪ ♪ >> Emotionally, this surgery

has brought me back to what I was used to feeling,

and it took having this surgery for me to feel complete again.

>> Try to put your ankles together--nice.

♪ ♪ >> I finally have breasts again,

and I feel like the person I was.

Can't wait to see Jeanine today and let her see

her old friend back. Hi.

>> Oh, my God! You look awesome!

How are you? >> And I'm so excited.

What do you think? >> We're gonna go

get the music ready. >> Okay.

>> Thank you. >> What do you think though?

Do you think they did an amazing job?

>> God, awesome. It looks like none of that

ever happened. >> It's done a lot for me.

IT gave me a lot back. I remember what this felt like,

and it's finally back. >> This is gonna give you

a more secured feeling that you could now

feel confidence again. >> Noticing now that there's

no capsular contracture in sight after going through that battle,

it's just an amazing feeling. It just makes me think that,

you know, every morning I wake up I'm not gonna find it.

That there's not gonna be the start of something

that's gonna be, like, a red flag or, you know,

an uh-oh moment--I feel like it's just gonna be good

from here. And I think it's just

the beginning. >> Yeah, well it kind of is.

>> Brand-new start. >> You know, new start.

>> I want to go celebrate and have some fun and--

>> Yes, well we could start by salsa dancing.

>> And then a little evening dancing a little bit later

tonight? >> Just start slowly

getting back to the old Dana. >> I want that.

>> This is a start-- >> She's back.

Before my surgery, I felt like I was putting on an act.

Everything I was portraying as being, you know,

secure and confident, I wasn't actually

feeling that inside. My breasts now look full,

healthy, vibrant. I'm confident.

I'm happy. I'm secure with who I am,

and I feel beautiful. And it's--I don't know, it's me.

I feel like--I feel like a normal human being.

I don't have a burden anymore. >> Quick, quick, slow.

Quick, quick, slow, and a turn. Quick, quick, slow,

quick, quick, slow. Nailed it.

>> The implants were not dropping.

>> You bought a ticket to the complication lottery

and you won the mega prize. >> They were buttock implants.

>> I don't know what the heck this thing is.

I must think outside the box. The chance you're gonna lose

your entire nasal tip is extraordinarily high.

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