All language subtitles for Botched.S05E02.WEBRip.x264-ION10Eng

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.