Original subtitles

People have never seen so big bum, so they're like,

"What is this?" [laughing]

I want my nipples down.

You want your nipples lower?

Yeah. And to the side.

And to the side? Yeah.

Okay.

My last doctor put a hole in my nose.

Can you get a hole through your skin again? Yes.

The whole tip can turn black and die.

My mind is spinning,

like, should I do it or should I not do it?

The nurses pull me to the back,

and they say, "We can try to drop the price down

if you puncture the implant."

I got the syringe. I would stab it,

and then I would suck it out--

[gasps] ...and suck it out and suck it out.

Ucch. So different.

What's worse than bad?

Very bad.

[male singer] ♪ I wanna be sexy ♪

♪ Sexy, sexy ♪

♪ I wanna be hot ♪ ♪ Hot ♪

♪ Fix me, make me beautiful ♪

♪ I wanna be perfect ♪

I'm Natasha Crowe,

and I think bigger is better.

I've been slim, and now I'm big,

and I will never, ever, ever be slim again.

The bigger, the better.

My bum is like

another dimension.

I have broken chairs with my bum.

I have broken beds.

I have broken people with my bum.

I was born in Serbia,

and I moved to Sweden when I was 10 years old.

I have always been different.

And in Sweden, women think

that the skinnier, more beautiful,

but I think they need to see

this is how real woman should look.

I started to go to the gym.

The bum grew.

At some point, it just stopped,

so I decided to have surgeries.

That's the start of everything.

The doctor I pick,

he knew what I want to achieve.

He told me that he could take my fat from my back,

from my arms, inner thighs,

and put it in my bum.

After my first surgery, I was so happy.

Six months later, I told him, "You did a great job,

but I want to have more."

And he was like, "Okay." [laughing]

We planned the second surgery.

I knew the more fat I have,

the bigger bum's gonna be,

so I decided to gain a lot of weight.

I love to eat.

I've gained 20 kilos,

and then I did second surgery.

Over the last four years, I have had

three Brazilian butt lifts,

one breast augmentation,

and then I've done some fillers

in my chin, my lips, and my cheekbones.

That not surgery just complete your look.

People came to me and told, "Are you a plus size model?"

So I was like, "Okay. Do that."

Right now I work out three to four times a week.

Everyone want to be size zero,

and I'm size 50. [laughing]

I'm having a consultation

with Dr. Dubrow and Dr. Nassif

to see if they can fix my breasts

because they're really saggy now,

so I want to lift them up

and do them bigger.

My goal is to have the world's biggest bum,

and nothing is gonna stop me from achieving my goal.

Ooh, they're hot. [chuckling]

Oh, my God, it's so beautiful out here today.

Look at the waves.

My name is Hope,

but there is no hope

for these breasts right here.

My right breast is extremely high.

It ripples, and I have no areola on the bottom.

My left breast is extremely hard,

and all around the bottom, it's massive scarring.

I need this side to be higher, Mariah, please,

so it kind of will match this side. Yeah.

If my mom was able to have her breasts fixed,

I think that it would make things

a lot easier in our lives.

How am I supposed to feel good about my girls

if she can't feel good about her girls?

All right. That's better. So tight.

I met my husband when I was 18.

After having my children and breast-feeding,

the little bit of breasts that I had, they were gone.

I was 24 when I had my first surgery in Houston.

I met my doctor through a referral

from one of my friends,

and she had her breasts done,

and they looked amazing.

About six months after surgery,

my right breast was getting hard.

I went through three more surgeries with that same doctor.

Then I realized I probably might need

to try to go see another doctor.

I had a, um, colleague recommend this new doctor.

I wake up from surgery.

My breasts were in the worst shape

that they had ever been.

I now have to have a revision.

So I have my surgery five days later,

and I'm just having a lot of swelling.

And where I'm massaging it where the incision was,

it busts open.

I swear, it was like a gallon worth of fluid

just gushing out of my breast.

I thought, I'm gonna die right here in this room.

I called my doctor immediately.

My implant is taken out.

My life was at a complete standstill

for the whole time I went without a breast.

I was having to stuff my bra with this fake implant,

and now at this point,

my kids think that it's funny

that I have one boob,

so every time they would act up,

especially in the car,

I would just pull this fake implant out,

and I would smack them right in the face with it.

A year and a half after I've gone without this implant,

I come across another doctor in Houston.

I wake up from surgery.

Nothing even matches or is right at all.

I'm just thinking

there's never ever gonna be

an end to this crazy, crazy

mess disaster that I'm living with.

I'm just so ready to meet

with Dr. Dubrow and Dr. Nassif.

I know. I'm hoping it can be fixed, too.

It would be a real burden off of our shoulders.

I'm now divorced, totally not dating,

because of my breasts.

I really don't want to think about it,

but if I do,

my negative self-image is probably

carried over to Mariah.

My daughter is 21 years old,

and she's never had a boyfriend.

That really breaks my heart.

You're feeling good about it?

From what I've seen, they're like surgical gods.

Well, that's what we need. We need a miracle.

I'm thinking we'd totally need a miracle.

All I want is for my boobs to be symmetric

and my areolas to match.

That's all that I want.

I'm just really tired of it.

I know. It's been a lot for both of us.

If Dr. Dubrow and Dr. Nassif

cannot help me,

I don't know what I'm gonna do.

I'm seriously gonna just go hide under a rock.

[chuckling]

This is my last hope.

The last hope, bitches.

This is it. [laughing]

♪ I wanna be sexy ♪ ♪ Sexy ♪

Have you farted on a date before?

If you're asking me that, basically you're admitting

you farted on a date.

Probably many times.

You have? Mildly.

Have you ever, like,

she's gotten out of the car.

You think, Oh, she can be gone for a while--

And now-- You let one go,

and all of a sudden she forgot her purse,

and she comes back in. "Can I use your bathroom?"

And you go, "Uh-oh."

Only Paul would buy a Ferrari

and turn it into a Dutch oven.

Ugh.

So next patient is named Hope, okay?

Hope has had multiple breast revision surgeries,

and look what she faced during one of them.

Ooh.

An exposed implant.

One of the worst complications she can have.

Did she lose half of her areola?

Is that gone? Well, she had that exposed implant.

Yeah, and that's right in the middle of her areola. So that destroyed-- Right.

So let's call her in. Let's bring in Hope.

Okay. Can you please send in Hope?

Hope. How are you, Hope?

I'm good. How are you? I'm Dr. Nassif.

I've never known my mother without messed-up breasts,

you know, and that's hard.

I'm 21. Like,

I'm just ready for them to be fixed.

Take us back to the beginning.

20 years ago,

I started with 420 CCs.

About six, seven months after that,

I-- I noticed it was getting hard.

I went back and had four different surgeries.

It continued to get hard.

Okay, then what happened?

So I had a flight attendant friend

who tells me about this great doctor in L.A.,

and he tells me he can take care of everything.

It was gonna cost me a lot of money.

But the nurses pull me to the back,

and they say, "You know, we can try to drop the price down

if you puncture the implant"--

What?

"And tear a hole in it."

I got the syringe. I would stab it,

and then I would suck it out

and suck it out and suck it out.

I've never heard of anything like this before.

I was standing in the bathroom with her.

I watched it all happen.

[gasps]

I was probably like 10 or 11.

You know what we call this in plastic surgery?

This area of the anatomy?

We call this tiger country

because there's big arteries and veins,

and if you hit them,

you can instantly bleed to death.

It sickens me to know

that I could possibly have taken my own life

for something so vain.

What did you do next?

I go and have surgery.

About two weeks after the surgery,

it started swelling badly.

Oh, my gosh. I started touching on it,

and it busts where the incision's at.

Yeah.

So I call him,

and he takes me back there,

and he removes it-- Right.

...so then I go almost a year and a half

without an implant.

An exposed implant

is basically a disaster

because it means that the foreign body,

the implant material, is now contaminated

by the outside air with bacteria,

so it immediately has to come out,

or an infection will result.

Okay, so now, a year and a half after--

I find a doctor in Texas not far from me.

A new doctor. A new doctor,

and he puts in a very, very aggressive implant.

In a week, the bandages come off.

I'm like, "This is-- This is definitely not right."

Right away. Is this your last surgery?

Yes.

What are your goals?

I just want them to be even,

and I would like my areolas to match.

Hope's case is challenging.

She's had multiple surgeries,

multiple complications.

I just hope that Terry can help her.

This is an extremely difficult case.

And the only way we're gonna know what to do

is to assess how bad the damage really is to your breasts.

Okay.

The chances this will work is low.

And the chances you could have a complication is high.

I don't need a man.

When I feel all the heat

and all the jiggle, I turn on myself.

♪ I wanna be perfect ♪

The first thing I notice is the symmetry.

And you have a scarification problem,

which basically means scar tissue

has grown unevenly throughout both the breasts.

Do me a favor. Push here.

I want to see what the muscle's doing.

Oh, you're on top of the muscle.

Wow. You get a wow, wow, wow.

So whenever we see a patient

who's had multiple complications from

many previous plastic surgery revisions,

we try to think of a new, unique solution

so that we don't follow down the same path

and have the same

complications that they suffered previously.

I think the thing to do is

elevate up the muscle,

try to manipulate the scar tissue,

put smaller implants in,

and then, you know, hope

because the chances this will work is low,

and the chances you could have a complication is high.

I just got nauseous.

Yeah. Right.

I mean, are you prepared to have that worsen?

I just cannot continue to go on

the way I have been.

Yeah. It's just--

it's really been a long, long, hard road.

You know, one thing I do want to say to you is I'm sorry.

Standing up here for the medical profession,

we have not done you a favor,

and it's time somebody in the medical profession

tries to do you a solid.

And if anyone's gonna do you a solid, it's gonna be us.

I know my daughter is nervous,

but I'm not. I totally feel Dr. Dubrow is the person

who's gonna handle it and fix it.

This is finally gonna happen.

The girls' night.

♪ Girls' night ♪

Here I am in my office.

I work at a dental office.

I love my job. Just hate when people stare at my face.

My name is Stacy, and I'm from Phoenix, Arizona.

And my last doctor put a hole in my nose.

I have a lumpy, bumpy nose,

so to keep people from looking at my profile,

I wear a mask.

It's probably pretty hard for people to relate

to how traumatic this is.

This is my face. It's horrible.

I want to go hide.

Going out on date nights is definitely a challenge.

I don't want anybody to see me.

I sit in corners, where it's dark.

I feel like, uh,

people won't notice me as much.

I just want to see you feel good about yourself.

Exactly. I've gone through a lot.

Deep down in, like, uh, it does hurt.

Around the age of 8 is when I started noticing

that my nose was bigger than most of my friends'.

They were calling me Pinocchio.

When I was 30 years old

is when I definitely decided

I was having plastic surgery.

I had two friends that actually went to the surgeon.

Both of my friends he did great work for.

I did decide to go in and have my breasts done

and my nose done by this doctor.

After my surgery, I woke up,

and my breasts were there, and it was great.

But my nose, it didn't look a whole lot different.

It was still long.

After a year is when he suggested

he go in and do a revision.

So we went ahead and did it,

and, at the one-day check-in,

he mentioned that things

didn't go that smoothly,

that he actually put a hole in my nose.

My heart just sank.

He removed the bandages,

and that's when I saw

that my whole nose had a big black scab over it.

It was like "You got to be kidding me.

This is what I look like?"

The tip of my nose was dead.

I walked around like that for a good year.

I just thought to myself,

There's no way I can let this guy

work a third time on me.

So I decided at that point

to start wearing hats.

My hats basically represent to me a security.

I have a different hat for every occasion--

baseball hat, beach hats, fancy hats.

You name it, I have a hat for it.

I just want to get this, you know, in the past

and move on with our future.

Right. You know,

not have to be shadowed by my hat.

It's gotten to the point that Donn goes

to a lot of his work events on his own.

I just can't find it in myself

to get out there and do those things with him.

I want to be proud to be your wife again

and not be, you know-- Yeah.

I think that-- that would make me happy.

We need this surgery

so my wife can get out of her shell

and be the fun person that she always was

before any plastic surgery.

I'm definitely nervous.

I don't want to hear, you know,

how things could go bad again,

how my nose could be black.

I want to have the tip raised,

the bump removed.

This process has been complete torture.

I look back and kind of think to myself

I should have never even touched my nose.

♪ I wanna be sexy ♪ ♪ Sexy ♪

Let me tell you about our next patient.

Stacy had a couple of rhinoplasties,

apparently with a horrific result.

[both] Ohh!

This is "high risk" written all over it.

It basically says, "Hi. I don't have good blood supply."

High risk of losing that tissue.

High risk of losing--

[Dubrow, Nassif] The entire tip.

Tough case.

Can you please send in Stacy?

Hi. I'm Dr. Nassif. Hi. Nice to meet you.

Hi, Stacy. Terry Dubrow.

Stacy looks fit. So are you a gym rat? I am.

How many times a week do you work out?

Five. Okay. Very good.

We did see the photos.

How did this all start?

First rhinoplasty, what led you to it?

Well, like, three years ago now

is when we had the first surgery.

The nose still seemed bigger than I wanted it to be,

so he suggested a year later

going back and doing a revision.

What's with the hat?

Well, I like to cover.

It makes me feel it kind of shields.

So you wear that hat all the time?

I wear a hat a majority of the time.

To cover the nose. Yes.

Just because you're here with us?

You have to show-- Can you take it off?

I can. Yeah. When you went back, you said, "Okay,

let's do a revision with the same doctor."

I did, yeah.

And then, obviously, something happened.

He mentioned at the one-day check-in

that there was a hole in my nose.

Did he say, like, he poked a hole in your skin?

Yes. When he was elevating the tissue is when it ripped.

A week later, I went back to get all the bandages off,

and that's when we saw that the tip was black.

I was bandaged for two more weeks after that.

So he took the bandage off,

saw that it was black,

and then just covered it back up? Yes.

The last thing you want to do

when you perforate the nasal skin

is to put a cast on it and cover it up.

You don't do that. You leave it exposed,

you put antibiotic ointment on it,

and you watch it closely.

So has anything happened since then?

Well, we went back for a third consult.

he said he watched a couple of videos.

He watched a couple of videos.

I watched online how to do surgery,

so let me try it on you. Right. He Googled it.

Right. Great.

Maybe he watched my video. Probably.

Then I walked away.

Yeah. I couldn't do it.

Obviously you've lost trust at that point. Yes.

Huh. Why go to med school

when instructions are one click away?

Let's go to the exam room-- Yeah.

...and take a look at your nose. Okay.

I am aware that I'm bringing Dr. Nassif and Dr. Dubrow

a very high risk situation, and it makes me nervous.

I'm not sure I'm gonna

ever undo the damage

that my doctor previously did to me.

Do me a favor. Can you sit up?

So he came through with the scalpel, I think,

right through there. Mm-hmm. Yeah.

Yeah. So she has that neovascularization.

Yep. Yeah.

All over the place.

Neovascularization is an indication

of severe past tissue trauma

where new blood vessels are growing into an area

to try to get that area to heal.

It's a really bad sign.

It really collapsed right here.

That means I have to add cartilage along here

to pop it open.

Okay. What does that mean?

It'll be wider here.

Get your nose straighter.

I'm also gonna fix your inside your deviated septum.

Okay.

Can you get a hole through your skin again?

Yes. Can your skin start turning purple on the table?

Yes.

The whole tip can turn black and die.

[Stacy] I'm completely overwhelmed right now.

That things may not turn out

the way I want them to turn out

does make me feel

very nervous, very afraid,

and a little hesitant.

One thing I can tell you that's for sure.

If your nose starts to change--

We're not gonna cover it up.

Not gonna cover it up and ignore it,

but it will be put under a microscope

and treated moment by moment.

Okay. Mm-hmm.

My mind is spinning,

like, should I do it or should I not do it?

Should I just live with what I have already?

You are the one that's got to make a decision. Right.

You need to make sure that you're willing

and able to go for the third round. Right.

I think I'll go ahead and do the surgery.

So now that you've decided to do it,

you should think of it like your mind is in the gym.

You pull out whatever power

for your brain to make it happen,

and then, whatever it is you're bringing,

give it to him so he can bring it to the gym,

'cause he works out six days a week,

and he's obviously not bringing it.

We'll see you soon.

You have about 5 liters of fat

in each buttock cheek. Yeah.

That's a lot of fat. People think I'm crazy.

That's okay.

Have y'all been seeing that hottest chip?

Is that the one Shaq ate? Yes.

Did you eat it?

Like a boss bitch I ate it.

[laughing] Really?

I'm sorry. What?

I'm sorry. What?

♪ I wanna be perfect ♪

We would like to have some ice cream.

[ice cream vendor] Okay.

Thank you. Thank you.

You get a lot of attention here, Natasha.

Yeah, I do. We love it.

Hi.

I love Venice Beach.

People have never seen

so big bum in their lives, so they're like,

"What is this?" [laughing]

Can you twerk?

Oh, no, I can't do that.

Yeah, yeah. Try. Try!

I'm gonna learn you. Come on.

When you have big bum, need to twerk.

And when I feel all that heat

and all that jiggle, I turn on myself.

I don't need a man, and that's

the truth, guys. [laughing]

I would love to be you for one day.

When we go out, you get more phone numbers than I do.

I'm so envious.

I met Natasha when she had her first surgery.

Big is beautiful. I think more is more,

and Natasha is all of that.

I can see the beauty in it.

And you imagine when it's bigger,

they would jump on it.

[both laugh]

Me and Natasha, this morning,

we tried to put a soda can on her bum,

but it fell off, so she must get bigger, she said.

I really want to have, like, world's biggest bum.

How much more will-- would you do?

I don't know. Maybe double up.

Double?

Yeah, but I need to gain a lot of weight.

So they can take it off from other places.

Yeah. The bigger I am,

the more holy I am, and then all men are

"Oh, my God, Natasha, why are you so glory?"

And I'm like, "Because I turn on myself."

[laughing]

My ice cream is melting.

[both] Should we go?

Yeah. Come on, girl.

[nurse] All right, Hope. We're ready for you.

Okay. I love you.

[Mariah] Since I was a teenager,

I've basically taken care of her

through all the surgeries that she's had.

It's been a long time, and I'm just ready

for it to be over with.

Hope. How are you? I'm good.

Good to see you. Good to see you.

Today is a new chapter of our lives.

My big deal is the areolas looking somewhat close, please.

You want this made smaller? Please.

I don't wanna kill the nipple at the expense of trying to make you happy.

If it makes sense, I'll do it. Okay.

Oh, my God, let's do this. Let's get this done.

I haven't slept in three days, and I am ready.

I've been meaning to tell you

that I ate the hottest chip in the world Saturday.

Have y'all been seeing that hottest chip?

Is that the one Shaq ate? Yes.

Did you eat it? Like a boss bitch I ate it.

[laughing] I'm sorry.

I'm sorry, what? I'm sorry, what?

Hope's surgery today is particularly difficult.

We have a major asymmetry problem.

So the challenge

to try to get some kind of similarity

between the two breasts--

that's today's goal.

For Hope's surgery today,

I will make incisions below her areolas,

and then perform an anterior capsulectomy

to remove the front part of the scar tissue surrounding her implant.

Next, I remove her old implants,

lift up the chest muscle, and manipulate the breast tissue

before inserting a smaller pair of implants,

hopefully giving Hope the symmetry she's been chasing.

Okay, so let's go in this side

and assess the pocket.

Okay. Right away, we can see she has really thick scar tissue.

This is the capsule-- this white material right there.

And that's encasing the entire implant.

Ugh! This is what we call tedious dissection right here.

Okay. Let's take out this part of the capsule.

So we're doing what's called an anterior capsulectomy,

which essentially means we're taking out the front part of the capsule.

Okay.

So this is the front part of the capsule.

And now here's the implant.

Okay, I'm gonna try to lift up this muscle.

By putting the implants under the muscle,

I'm providing an extra layer of protection overlying the implant

that may help her to heal without a complication.

Okay, that is a vast improvement in shape.

That is awesome! Not too tight?

Okay, so-- Do the exact same thing.

Exact same thing, and hopefully we may have something.

Going from on top of the muscle

to under the muscle

is a very tricky operation,

and unless you've done it many, many times,

it can lead to a lot of significant complications.

Luckily, for Hope, I can do this with my eyes closed.

I plan on keeping them open, though.

And it makes it very difficult to get it up.

Come on, baby. Give me some muscle.

Okay, we're under the muscle. This is good.

Could you sit her up for a sec? Mm.

Okay, so we're submuscular on both sides.

And Hope should have two symmetrical breasts.

Ugh! So different.

[bleep]

What's worse than bad?

Very bad.

[Natasha] Do you wanna see me twerk?

Whoa!

See? I can do it too.

Now, suddenly, the acceptable left breast

is no longer acceptable.

We gotta change the game here.

♪ I wanna be perfect ♪

[Dubrow] Ugh! [bleep]

What's worse than bad? Very bad.

Now, suddenly, the acceptable left breast is no longer acceptable.

We gotta change the game here.

In order to achieve symmetry with the right breast,

I'm gonna have to do three things:

1, release the muscle even more

to allow it to sit properly in the pocket.

2, do a lifting procedure

to tighten up the envelope around the implant.

And 3, pray.

The problem is this muscle on her left

is also encapsulated, so it's very tight.

It's pressing down on the implant, giving it a distorted appearance.

So I have to actually do a capsular release on the muscle,

which is very unusual.

There's always a silver lining to these operations,

and the sliver lining for Hope today is that

because I have to do a skin envelope tightening of the left breast,

I also have to do an areola reduction.

We have almost symmetrical breasts.

The nipple heights are exactly the same.

We've reduced the left areola.

With a little bit of luck, she should heal this.

Let's put her down. Let's close.

Let's get her to recovery, okay?

[Dubrow] Let me ask you a question. I know you know the answer to this.

In all of plastic surgery, what's the number 1 fastest-growing procedure

in this country? Butt.

The year of the butt. Butt augmentation.

Because it's a relatively new procedure.

Now we're seeing all the complications.

Everyone wants to have a Kardashian butt.

That's just the way it is.

So we have a patient named Natasha.

Look at Natasha's buttock.

That's, like-- That's not real.

That's real, and real big.

This is a result of fat transfer.

She's wider than the door. Oh, my God. She's wider than the door.

You're right.

So her breasts are very large,

and they're droopy and wide,

but she wants to go larger.

Can you please send in Natasha?

Hello. Hi. Natasha. Nice to meet you.

Can I have a hug? A hug? Sure.

[Natasha] I think I look really exotic.

They call me Amazon. [laughing]

Hi, Natasha. How are ya? Nice to see you. [laughing]

I think I have the curves at the right place,

but I wanna have more.

That's my goal.

I need a bigger chair.

Wow!

Okay, first question I have to ask you.

When you fly on an airplane-- Yeah?

...can you get into an economy seat?

No. I need to have two seats.

No kidding? That's expensive, huh? Yeah.

[Nassif] Okay, so then there is one more question.

You're walking down the aisle in the airplane-- Yeah?

I'm just walking like this, and the bum is hitting the people.

If I go like this, the bum is hitting people. So it's-- Yeah.

Choo, choo, choo, choo. Well, how does that make you feel?

I think that's great. You like it.

Yeah. Yeah. You like it. That's why you did this.

People think I'm crazy. That's okay.

How old are you right now? Uh, 25.

Okay. At what age did you have your first procedure, and what was it?

When I was 20 years old.

What was it? It was Brazilian butt lift.

So the first one-- do you remember

how many CCs of fat they put in each buttock?

1,500.

In each buttock? Yes.

Wow. Yeah.

That's a lot of fat. That's a lot of fat.

Normally, to see a difference in a buttock,

you do 300 CCs per buttock.

That's just the beginning change. That's nothing.

Well, in you it's nothing.

The standard practice in the United States

is to put no more than about 600 CCs

of fat in each buttock cheek,

because beyond that, the risk of a complication,

or a fat embolus breaking off and going to the lungs--

it is extraordinarily high.

How much, if you remember, did they transfer

each buttock at the second one? Same.

Over a thousand? Yeah.

Wow. Yeah.

Okay, so you have-- So at that point-- [laughing]

'Cause what we're seeing now is after three, right? Yeah.

And how much fat did they put in each cheek? Same?

I think, like, it was 1,300.

You have about 4,500 CCs.

Almost, basically, 5 liters of fat in each buttock cheek. Yeah.

If you took a Brazilian butt lift

and put Brazil in there,

it'd be smaller than Natasha's butt.

Do you work your butt out now? Yeah.

You do squats and stuff like that? Yeah, I do.

Because you have a lot of muscle. I'm twerking.

[both] You twerk? [Natasha, Tina] Yeah.

Do you wanna see me twerk?

Yeah. You cool with that? Not really.

Whoa!

Look at that. Look at it.

[Nassif] That's nice muscle control,

but watch this. Watch my pecs.

See? I can do it too.

That's amazing that you can do that.

Boom-boom. Hmm? Pretty impressive, huh?

You've also had breast surgery, right? Yeah.

You want them bigger? Yes.

And my nipples are in the middle.

Yeah? I want them, like, more down.

Down? Yeah. To have bigger cleavage.

So you want your nipples lower?

Yeah. And to the side.

And to the side. Yeah.

Why on earth...

Okay. Yeah.

I don't know.

So let's go in, take a look,

and let's see if we can give you some really sound advice

that maybe can help you. Okay? Yeah.

[Dubrow] What do you think this weighs?

It's probably about a good 30 pounds.

Yeah, I would say it's about 30 pounds.

Natasha's buttock is almost as big

as Paul's head.

Let's take a look at this skin.

Whoa! [Dr. Don Yoo] Oh, damn.

Blood just squirted out of the nose.

♪ I wanna be perfect ♪

[Dubrow] Natasha, let's look at the chest, if you don't mind.

So what we see here is your breast implants

are actually located up here,

and your breast tissue is down here.

So we call this a disassociation. Okay.

So your main issue is you want to be fuller,

but you want your nipples to be lower

and further out to the side-- Yeah.

...in order to give you more cleavage?

Yeah. Okay.

Although Natasha may want her nipples placed down and out,

the normal anatomical position is more

up and in.

So, yeah, we're not gonna do that.

But, I mean, I could theoretically do an operation

where I downsize your implant and lift them together,

but you'd have to go smaller.

Which I don't think you're interested in, right? No, I'm not.

No way that I'm gonna do my breasts smaller.

No, no, no. That's not my thing.

If you wouldn't mind standing up for a second. Okay. Okay.

When I started to do my Brazilian butt lifts,

no one did Brazilian butt lifts.

I think, like, I was the first.

I have big goals because everything is bigger.

I just want to feel the compartment.

Sometimes when you transfer fat to the cheeks,

instead of it taking, it dies,

and you can get these big masses and nodules-- fat necrosis.

But you don't appear to have had any of that yet. I don't have-- No.

What do you think this weighs? [laughing]

Lift this up. Seriously, lift this up.

How much would you estimate that weighs?

Probably about a good 30 pounds.

Yeah, I would say it's about 30 pounds.

Natasha's buttock is almost as big

as Paul's head.

One thing I can tell you, Natasha,

what we are seeing an explosion of in this country

is that, as opposed to getting into the areas that you wanted,

the fat gets into the large veins,

it goes up to your lungs and blocks the circulation to your lungs.

That's called a fat embolus.

That cuts off your ability to oxygenate your system,

and that kills people.

In Florida,

in the last six months, this has happened 12 times.

It is the number 1 most deadly operation in plastic surgery.

[Natasha] I'm really shocked. I thought

Brazilian butt lift was the safest

of them all because it's your own fat.

Having said this, I want to know, Natasha,

you're done? No.

You're gonna keep doing this? Yes.

Are you gonna let her do any more buttock surgery?

I'm not going to encourage it.

I am concerned now about Natasha. Really.

It just needs a little drop of fat to get into the system,

and you can die.

I was never told that. I wouldn't do it myself.

The good thing about this is, 1,

now you know what the risks are. Exactly.

You should talk to your doctor.

Maybe, in a way, he might recommend a smaller amount

to minimize the risks.

That's the best advice we can give you. Okay?

And so I hope you'll take it to heart, consider it very carefully.

Pleasure meeting you, Natasha. Thank you.

Thank you. Pleasure meeting you, Tina. Thank you.

I started with a goal,

and I'm gonna do whatever I want.

You're gonna hate me now. No.

New rules. No rules.

I would rather live a short life--

that is, like, 50 years-- and do whatever I wanna do

instead of living long life but boring.

Come on. No one wants a boring life.

[laughing]

But you must be careful.

I will.

Good morning. Oh, no baseball cap. No cap.

You know Dr. Don Yoo. Yes.

So, first of all, your profile's gonna be

a definite improvement, okay? Okay.

Matter of fact, here we go.

That's a nice transformation. Yeah.

Your skin is not gonna react kindly to me operating on it.

Hopefully it's not gonna really hate me and turn black.

And we'll see you soon. Okay.

Today my team will harvest rib while I open Stacy's nose.

Next, we'll take down the nasal hump and fracture the bones

to bring them in and improve her profile.

Then we will use septal extension replacement grafts

made from rib cartilage to open up her airway and elevate her nasal tip,

leaving Stacy with a more aesthetically pleasing nose.

Let's take a look at this skin.

So I can already tell-- the tip dissection--

that there is a lot of scar tissue present.

Whoa! Oh, damn.

Blood just squirted out of the nose.

Okay, stop the bleeding.

So our goal here is to stay as deep as possible.

This is where it's really risky to pop into the nasal skin.

You're, like, at a-- I'm really thin, Christine?

Well, yeah. Like, right here, right below your--

Oh, look. She has Prolene stitches everywhere.

I have no clue why this doctor

put permanent stitches inside the nose.

And on top of that, many of them.

This is the hardest nasal dissection I've had

in almost 15 years.

Okay, dissected out the septum.

And now what we're gonna do is

take down the nasal hump, fracture the nasal bones.

Give me a long scissors.

There's the small hump removed.

Got the rib yet, Don? I do.

Oh, look at that! Like giving birth.

Good job, Doctor. Now what we're gonna do is

put a septal extension graft in the tip,

put in replacement grafts,

see how we can make the tip smaller.

Stacy's tip is a big, fat conglomerate of scar.

I have nothing. I have no form.

I have to just remove everything and start fresh

and build a nose from the ground up.

Give me an aufricht. And let's go ahead

and put those lateral crural strut grafts in.

This is a lateral crural strut graft.

Let me see.

The airway looks good. The contour looks good.

The tip looks good. It's still not gonna be very small.

But I think, at this point, it's gone better than I expected.

Thank you all. Thank you.

I'm really relieved that I didn't puncture Stacy's skin.

The tip is better.

It really depends on how Stacy's gonna heal.

Good morning. Well, hello.

How are you? I'm good.

So you must be in serious pain.

"Serious" is not the word for the pain that I'm in, yeah. Right.

Big time. I wanted to put you under the muscle.

So that's why you're in so much pain.

I had to actually do a capsular release of the muscle.

'Cause the muscle-- I lifted it up, but it was pressing down on the implant,

giving it this strange contour, so I had to-- tchoo--

do a capsule release of the muscle to open things up,

which is very unusual.

Let's see what you look like, okay? Yes.

I never thought I would be so excited to see my mom's boobs, ever.

I hope it's how she wants it.

I hope she gets her nipples like she asked for.

So the question for today is do you have any inordinate amount of bleeding?

If there are any issues. So let's look.

They look good. Don't they look good?

Oh, my God, I can barely see, and it looks amazing. They look so good!

Look at that nipple.

[gasps] That is the prettiest nipple.

Oh, my gosh! Isn't it awesome?

You got your wish. [Hope] Oh, my gosh.

Everything that I asked for and that I wanted,

Dr. Dubrow did it all.

Thank you so much. So heal this, you know?

Okay. And don't form scar tissue.

I'm gonna do my best. All right, you guys. Very good.

[Stacy] I never thought in a million years

I would want this attention on me.

Hey, you guys! Hi!

♪ I wanna be perfect ♪

How do you feel? I feel pretty good.

[Stacy] My body, overall, feels okay.

I'm not sure if they do tell me something went wrong,

how I'm gonna handle that.

This was in my top five of elevating the skin.

Out of degree of difficulty.

There were so many permanent blue little stitches

put inside your nose.

Some were stuck to the skin.

There was probably about 30 little stitches in there.

More than I've ever seen on a nasal tip.

The good news is took down the hump,

and we put the grafts in here to open up your airway.

The most important thing I want to look at right now is the color of your skin.

Let's see. Can we take that off? Do you want me to-- Yeah.

Can I have that headlight?

It's pink. Very pink. Look at that.

It's really, really, really pink.

[Stacy] It makes me feel amazing

knowing that I'm past

pretty much all the high risks.

I feel like I can have a better recovery now,

and I feel like I can relax a little bit more.

Okay, thank you. I'm very happy.

You see there's a big smile on my face. Yes.

So far so good, huh? Yes. Thank you.

Thanks so much. Thank you.

♪ I wanna be sexy ♪ ♪ Sexy ♪

[Female singer] ♪ This is the first day of forever ♪

[Stacy] I've been wanting this nose surgery

for at least 20 years.

Now that it's over and done with,

I feel a sense of relief.

I don't have to hide anymore.

Looking in the mirror now, I see a smooth nose,

and it feels absolutely wonderful

to not have to try to cover it up.

I'm now excited to go out of the house.

[Female singer] ♪ I know everything's gonna be all right ♪

[Donn] I'm glad that Stacy's finally gotten out of this

shell that she's been in for all these years.

I am so ready to get rid of Stacy's hat collection.

If there's a chance I can start burning it

the minute we leave here today, I can't wait.

Hey, you guys! [people exclaiming]

[exclaiming continues]

Oh, my gosh. Stacy looks amazing.

I've never seen her look so happy. I know.

It's amazing to see her back to her old self.

So happy that I got it right this time.

Third time's a charm! [laughs]

Before my surgery, I wore hats constantly to hide my nose.

My nose was lumpy, bumpy, and the tip was drooping.

But now, thanks to Dr. Nassif, my nose is smooth,

my bump is gone, and the tip is raised.

I'm ready to hang up my hat

and be the proud wife that I've always wanted to be.

♪ Oh-oh oh-oh ohh ♪

I'm back. I feel like I'm back.

It's been really amazing with my new breasts.

I don't have to adjust my bra over and over.

I can just be comfortable in anything that I'm wearing.

After 20 years and seven surgeries,

this chapter is closed.

It's been a long time coming.

She better be wearing a sexy dress, or we're gonna fight.

It's about time. We haven't been out in so long. I know!

Since the surgery, my mom has changed a lot.

She's so happy with where she's at,

and I know that she's ready to get out there and party.

Y'all are gonna have fun.

I got my girls to go hang out with.

Well... [laughter]

[chattering]

I like everything about my new boobs.

I'm so excited to show them off, party on the town.

I am so ready now to get back on the dating scene.

Come on, come on!

[all whooping]

[all exclaiming]

I wish I was a guy.

[all whooping]

Yeah!

Ohh, Mom!

Hope looks amazing. She is radiating confidence.

Come here, baby. Ohh!

The fun's gonna come back.

The good old Hope's gonna come back.

It's making me cry. You look bomb in that dress.

Think it's gonna be exciting. I'm excited! [laughing]

How do you feel about it? Well, look at me.

Aw! They look pretty.

[Hope] Today made me realize

that I can truly be really comfortable in my skin.

And I thank y'all. I appreciate every single one of y'all.

[women] We love you. We love you.

And getting to share with all the people that I love so much

has just been phenomenal.

My Ya-ya. You have been my rock.

No matter what goes on in my life,

you're the person by my side.

And I appreciate you, and I love you,

and I adore everything that you are.

Don't ever let my body issues hold you back on what you want,

because there's someone really amazing out there for you.

It brings tears to my eyes to see that

my mom is acknowledging

how much I've done for her and how much I love her.

I'm ready to set you free, my butterfly!

I gotta go do my thing. [laughter]

Girls, are y'all ready? Yeah!

Let's do this! All right!

Y'all have fun! Get in, ladies.

[Hope] Before my surgery,

there was no hope for these boobs.

My breasts were completely uneven,

I had lots of scarring around my areolas,

and I had to lean on my daughter for emotional support.

But now, thanks to Dr. Dubrow,

my breasts and areolas are symmetrical, all scarring is gone,

and I don't have to be leaning on Mariah anymore.

Hope is back, bitches.

Bye! Bye, Mom!

Y'all better take care of my mom!

[women whooping] Bye!

[whooping continues]

I love you! Love you.

Girls' night. Girls' night. Coming in hot.

[whooping]

[women whooping]

What happened to your breasts during the healing process?

They got necrosis. Wow.

It is a risky procedure. I could lose your nipples with this.

WOMAN #2 When I was in surgery, I woke up on the table,

because the doctor and the anesthesiologist,

they were screaming at each other.

He says, "Never speak a word of this."

Wait a minute. Wait a minute. Hold on. Hold on.

My name is Lyndsey, and you might remember me from 16 and Pregnant.

If I allowed my surgery to be livestreamed,

then he would do it for free. Wow.