Original subtitles

[Dr. Nassif] Montana, here we are.

[Dr. Dubrow] Something very peaceful about this.

If I only could not have this image in my mind.

If Brad Pitt had breasts.

These are pecs made of pure muscle.

I mean, Terry, do you even lift, bro?

I was about 14 years old on the back of a motorcycle.

My face hit a fence at 50 miles per hour.

It split me from here, all the way down

to the back of my throat.

So half my jaw dropped in my mouth.

Oh, if I try to re-fracture your bones,

do anything like that, there's a very high likelihood

that your bone would just collapse in.

I went in for a mommy makeover, and came out a hot mess.

I opened my bra and one of my nipples was black.

Jeepers.

And what'd they do?

They put ice on it.

Let's make it worse.

[Dr. Dubrow] This guy, who did this operation was in a hurry.

It was discount plastic surgery at its worst.

♪ I wanna be sexy ♪

♪ Sexy, sexy ♪

♪ I wanna be hot ♪

♪ Hot, hot ♪

♪ Fix me, make me beautiful ♪

♪ I wanna perfect ♪

Uh-oh, what are we doing?

Bzzzz!

This is a fly fishing hat.

I'm so excited that we're gonna actually do a man trip.

Fishing. Yeah, brother.

Outside, fishing.

I would consider myself outdoorsy.

Just as long as it doesn't involve going outside.

Well last I checked, they actually have fish in restaurants.

You don't actually have to go get them yourself.

We're gonna have a good time.

Can you take that hat off please?

All right. How's my hair?

It's great, your hair's great. Put the hat away.

Okay. By the way,

while we're out there. Yeah?

We're gonna go see a patient.

It's a nasal case.

Apparently some trauma.

The young lady was involved in some accident.

I think a motorcycle or something.

And she needs our help.

Okay, great. Okay?

Yeah.

Terry, bro road trip.

I'm excited. Ooh.

Terry Dubrow is going on a bro road trip.

My name is Heather.

My face hit a fence at 50 miles per hour and it got crushed.

I was a pretty active kid.

Really outgoing.

I had tons of friends.

When I was 14, I was doing a school project

with a classmate of mine.

She had some friends of hers come over,

and they started riding a motorcycle around,

and they wanted to give me a ride.

And then, all I remember is just

taking off super fast down the road.

We ended up hitting the fence

that was at the dead end of the road.

The next thing I remember was waking up in the hospital.

I was so scared I was gonna die that night.

My face just hurt so bad.

And I remember looking in the mirror.

I didn't even recognize who I was looking at.

I got split from the tip of my nose,

all the way down to the back of the throat.

Busted up my nose, broken bones.

Broke most of the teeth in the front of my mouth.

Split the roof of my mouth all the way down

to the back of my throat.

Crushed all the bones in my cheek bone,

under my eye socket.

I had stitches

all over.

Initially it was 400 stitches inside and out.

I looked like a monster.

Over the next 11 years, I've had over 10 surgeries

just to make everything work again.

My sinuses had to be rebuilt inside.

I had to get numerous eyelid surgeries

just to have my eye function,

'cause I could never close my eye all the way.

Even after all the surgeries I've had,

I'm still left with not being able to breath properly,

all these scars on my face, and a crooked nose.

I went from this fun, outgoing person,

to pretty much just being a shut-in.

Always wanting to be indoors and covered up all the time

because when people ask me about the scars on my face,

it makes me have to relive that moment again, over and over.

[birds chirping]

At home, I really enjoy painting

because I can just block out anything that's bothering me.

I've always dreamed about selling my art in a gallery

or putting it on display.

But having all these scars on my face,

I always feel like people would probably be staring at them

and wonder how I've gotten them.

Dr. Dubrow and Dr, Nassif, the doctors from L.A.

[Tabitha] Oh? They're coming to my house.

Coming here to Montana of all places, you know?

[Tabitha] Nice! For a consultation.

For the doctors to potentially remove the scars from my face,

fix my breathing and my nose,

it's gonna help me feel more confident.

So nervous, but I'm so excited, you know?

Hopefully they can help me with what I've got going on.

I feel like I could accomplish so much more

being that bubbly and outgoing person again.

This is my last chance for hope.

[Dr. Nassif] Montana, here we are.

[Dr. Dubrow] Wow. Was that beautiful?

I like this. Yeah.

So I like the outdoor things.

I like riding in one of those ATVs.

I like horseback riding.

I like fishing.

As a child, I always wanted to fly fish.

[imitating the whoosh of a fishing line]

It's like an art form. You see, now how come both your hands

are not on the steering wheel? Doing it with my knees.

Look, there's no one around here.

Hey guys, come over here.

I'm Paul. I'm Dane.

Hey, Dane. Dane!

Yep. Hey Dane, I'm Terry.

How are ya? How's it going?

Let's put these things on.

So, these are called waders, huh?

These are waders. So, these are gonna keep you dry.

I might be interested in going fly fishing.

Also I might be interested in watching fly fishing

from my hotel room, on TV,

and then quickly changing the channel.

Let's get our rod ready, maybe this one here.

Hold on one second. What?

I gotta, I'm getting too hot.

Oh no.

It's too hot. Seriously?

Hold that for me. Oh, my God.

Here, do me a favor. Oh, my God.

Just reach that in there. Are you serious?

Just reach that. Well, I can tell you

we'll be catching no female fish today.

That's for sure. This'll scare them right away.

[Dane chuckles] Dude, it's too hot.

What's goin' on there? Trouser trout?

Paul taking his shirt off,

I realized there's no way

I'm gonna catch more fish than him.

All he has to do is stick his head in the water and he wins.

Something very peaceful about this.

If only I could not have this image in my mind.

[Dane laughs]

You look like--

Is that it? You know--

That's it, yeah. The first time I saw Playboy,

it was the exact opposite feeling I had.

I hope you didn't get any.

I hope you're not getting turned on.

Just cast right here. Cast right here.

Boy, you're just like Brad Pitt

in River Runs Through It,

except if Brad Pitt had breasts.

[Dane laughs loudly]

Brad Tit.

Brad Tit, right here.

[Dr. Nassif] These two guys are clearly jealous.

These are pecs made of pure muscle.

I mean, Terry, do you even lift, bro?

[Dr. Dubrow] Paul, how do you do this? [Dr. Nassif] You really

have a fish? [Dr. Dubrow] I got a fish.

Oh, you're getting them. Slowly but surely.

[Dane hollers]

I'm gonna lose 'em for ya.

[everyone laughs]

Look what I caught!

Paul, look what I caught.

Take a picture. Good catch!

Thank you. Biggest one of the day.

Come on.

By the way, why would anybody do this

when there's a fish restaurant down the street?

[Dane laughs]

These are all pieces of tip cartilage.

Ooh, like eggshells in there. Yep.

What he's going to try to do

is put Humpty Dumpty back together again.

Ironic is that he's kind of shaped like Humpty Dumpty.

[Heather and Terry laugh]

♪ I wanna be perfect ♪

[woman] Hi!

Let me know if I can help you.

[Sonya] Thank you. [Tom] Thank you.

And none of these will work

because they're all low-waisted,

and it's gonna hurt my stomach.

My name is Sonya, and I went in for a mommy makeover

and came out a hot mess.

When I was little I was outgoing,

the star, center of attention.

I wanted all eyes on me.

As a preteen with double D's it got me lots of attention.

Probably the wrong attention, but I liked my boobs.

Actually, I loved 'em.

At 16, I decided to go on a hot date and got pregnant.

First time having sex.

Over the next 15 years I had seven children.

Having so many kids, my weight has fluctuated.

High, low, losing weight, gaining weight.

After having my twins in 2016,

I reached my highest weight of 307 pounds.

I felt like an Oompa Loompa.

I decided to have a gastric sleeve.

I've lost 170 pounds total.

A whole person, a whole plus-sized person.

After losing all that weight, I had a lot of loose skin.

It looked like a mudslide.

I went to the doctor in Miami,

because he was a lot cheaper than the California doctors.

I wanted skin removal,

but I was actually sold a mommy makeover.

So, did you bring me here because you wanna hike again?

Hopefully it won't be like last time.

You seemed like you were trying to avoid me.

I just feel like you're ashamed of how I look,

so I kinda don't wanna be next to you sometimes.

I'm not ashamed, you're just mean.

Well, wouldn't you be mean?

I don't think so.

The doctor never asked me what I wanted.

He basically said hi, lifted my boobs, said we can do this.

And after waking up from surgery I just felt it in my gut

that something was wrong with my breast.

I went to the restroom and I looked,

and I noticed my right nipple, black.

I showed the doctor.

He brushed it off like it was nothing,

and he basically said put ice, massage it.

A few days later I went in again.

This time, my boob was inflamed and he said

you need to be admitted into the emergency room.

After being in the hospital for a few days,

the surgeon removed my areola, nipple, and implant.

And when I woke up,

where the areola and nipple were was gone.

I could see this meat, flesh.

Then everything started changing on my stomach.

A drain fell out, and then the openings

just started opening.

I felt like I was gonna die in that hospital.

Feel like I have a butt right here.

After three months of healing,

my body looks worse than when I went in.

I don't wanna be seen like this.

I can imagine you standing next to me.

I'm sure you don't wanna be seen with me like this either.

I love you, but right now you make me miserable.

I make myself miserable with everything going on,

and I take it out on you.

When I got home I pushed everyone away.

I didn't want to be seen.

I didn't wanna to be talked to.

I didn't want to be touched.

I didn't want hugs.

I spend my days in bed.

I don't wake up to get my kids ready for school.

I don't wanna participate in anything.

I'm just not there.

I want the happy-go-lucky, bubbly, excited,

fun to be around, center of attention,

all eyes on me chick back.

I'm confident that Dr. Nassif and Dr. Dubrow

can help me because they got the hands for it.

Let's go, babe.

You know, we could do this another time.

When I got some nice boobies.

[Dr. Nassif] Montana's big nickname,

Big Sky Country or Treasure State.

You can use the word ditch to order a drink.

It means with water. So, let me have a whiskey ditch.

A whiskey ditch?

I'mma have one a 'em. Not whiskey dick.

Whiskey ditch. [chuckles]

No, Terry, a whiskey dick is what you have

after one drink, my friend.

We're seeing a patient named Heather.

Remind me what Heather has?

Heather got into a motorcycle accident.

Numerous surgeries on her face and her nose.

Right. Apparently, from the trauma

that she went through, she needs us.

Hey, look-it, they're on the porch.

[Dr. Dubrow] Oh, is that the family?

Who's that? Looks like mom's over there.

Heather! Welcome to Montana!

Nice to meet you. Nice to finally meet you.

Terry Dubrow, nice to meet you.

Nice to meet you, Dr. Dubrow. So glad you guys made it.

Let's go inside. Oh, thank you.

Oh!

Look at that! Yeah!

[everyone laughs]

Huckleberry. Huckleberry, Montana.

Huckleberry treat there. Oh!

This consultation means the world to me.

I can't wait to see what they're gonna have to say.

We know a little bit about your story.

Okay. Can you enlighten us

and tell us exactly what happened?

I know when you were young?

I was about 14 years old.

I ended up on the back of a motorcycle,

riding on it my first time.

It was at night, and the last thing I remember

is just taking off as fast as you can and hitting the fence.

It split me from here

all the way down to the back of my throat.

So, half my jaw dropped in my mouth,

and it crushed my cheekbone

under my eye as well, completely.

What kind of fence did you run into?

Oh, a chain link fence.

Yup, yup. Oh!

I was about a foot away from a telephone pole.

I didn't think I was gonna ever

look the same again, you know?

'Cause I had stitches, and I was bruised,

you know, on my face.

It's hard to talk about. [laughs]

[Dr. Dubrow] Yeah. I go back to that, you know?

You had how many surgeries on your nose?

I'd say at least three. At least three.

Nasal surgeries? [Heather] Nasal surgeries.

It's so caved in on this side

that when I'm breathing I can't even breathe.

[sniffs] Normally.

We see a lot of patients that have had trauma like this.

And when they have the scars,

and every time you look it reminds you.

Causes a little bit of PTSD,

posttraumatic stress disorder, sometimes.

What Heather went through was extremely traumatic,

and it's something I'm sure she doesn't want to relive.

Do you have any, a photo album, or anything like that?

For us to look at. I do.

I don't know. It's actually

a photo box over there. But I think there's some pictures over here.

If we could do something to help her,

that might help erase some of these horrible memories

of what she had happened to her. Oh, I just saw a photo!

Let me see. Oh, I just saw the photo. Oh, yeah. Be careful.

This is the injury. [Dr. Nassif] So this is with...

[Heather] That's it. Okay, so your mouth is,

your lip is completely split open?

Your teeth? Everything, all the way up.

Looking at these pictures, now it's starting to make sense.

Heather was a really young girl when this happened,

and looks mean everything at this time.

And she was traumatized.

Despite the good job that the doctors did,

you can tell that Heather's been through

many reconstructive surgeries and still doesn't look good.

And that's one of the things

that she's really self-conscious about,

so if we can do something to help her there,

that'd be fantastic for Heather.

We have a pretty good enough history.

Yeah. [Heather] Okay.

And our next step is really to examine you.

Sounds good. [Dr. Nassif] All right.

Let's do it. Let's do it, yup.

We need to evaluate Heather's nose, and her eye,

and the scars on her face so we can see how can we help her.

Close your eyes tight.

Look up, open your mouth.

Are you messing with me? No, no we're not.

[Heather chuckles] Okay.

I actually really want you. [Heather] Okay.

Go like that with your nose.

[Heather] When the doctors were asking me to pout

and move my face in all these weird positions,

the only time I do that is when silly play with the kids.

Let's look at this first.

These are all pieces of tip cartilage.

[Dr. Dubrow] Yeah.

Here, why don't you feel that?

Ooh, it's like eggshells in there.

[Dr. Dubrow] When a patient has had a very significant

traumatic injury to their nose,

sometimes the nasal bones splay open

and are broken like an eggshell.

Look at this, the medial bone here.

Let's pull 'em down.

Very significant, very.

So, one thing that he's pointing out

is the inside corner of your eye, on the lower.

It's pulling down. It's pulling down.

So, you have dry eyes.

I do, I tear up. You do?

You tear? Mm-hm.

So that's not good.

Did they do anything with the corner of your eye?

They took out skin from under here, inside there.

They sliced that and put it under here,

which made this tighter.

And now my eyes don't close all the way.

So I always tear up.

Oh, your eyes don't close all the way?

No, they don't.

So that's not good.

I know! Fine.

I know.

If we play on this side, and try to work

under bulk in this fat,

and there's a muscle underneath there,

that muscle can get injured.

That can hurt your cornea.

At this point, I wanna say let's leave your eye alone.

[Heather] I'm really disappointed that the doctors

can't do anything about the scars under my right eye.

I was really hoping to correct the darkness under there

so it doesn't look like I'm facing a black eye every day.

The cartilage in your nose has been pretty much destroyed.

Mm-hm.

So, we have to be very careful.

If I try to re-fracture your bones,

do anything like that, there's a very high likelihood

that your bone will just collapse in.

Even if everything goes smoothly,

and you heal properly, and I were to do this perfectly,

you still may not like the result.

♪ I wanna be perfect ♪

If I try to re-fracture your bones,

do anything like that, there's a very high likelihood

that your bone will just collapse in.

[Heather] When the doctors tell me that my nose is broken in pieces,

it made me really nervous, and I'm really hoping that they're gonna be able

to put all this back together.

Going back to the aesthetic aspect.

All right. It's never gonna be perfect.

[sighs] I understand.

[Dr. Nassif] This is your fourth surgery.

I know. That's okay. But you're gonna

have a better nose. Yep.

If you can help me breathe better, that's gonna be great.

That is our goal. That's gonna be amazing.

So, does that all make sense to you? It all makes sense.

[Dr. Nassif] You can tell that Heather's had her nasal bones

fractured in multiple small pieces.

It does make me nervous about how can I fix this.

What he's going to try to do is, essentially,

put Humpty Dumpty back together again.

And what I find ironic is that

he's kind of shaped like Humpty Dumpty.

[everyone laughs]

You know, I used to wear jackets like that

with collars like that back in the '70s.

Lemme tell ya that.

[Dr. Nassif] After examining Heather, there really is a lot of damage,

and this is a complex case.

I hope after fixing her nose that this can help

ease some of the emotional trauma

that Heather is going through.

[Dr. Dubrow] Have you ever seen a picture of yourself

doing an activity many years ago

that you thought at the time was cool

and then, in retrospect, now you think, oh my God?

You're almost embarrassed about it.

Well, what did you do?

No, you know this Ferrari that you drive now?

Haven't you ever seen a guy in a Ferrari,

you look over and it's always an old dude?

So what are you saying?

You're saying I look too old in my Ferrari?

I look 42.

Okay, but the point is-- A 42 year old looking guy

can't drive a Ferrari?

I'll admit it, Paul looks 42.

A really [bleep] old 42.

[Paul imitating an engine rev]

Alright, enough of the Ferrari noise.

Our next patient's name is Sonya.

Sonya lost a bunch of weight,

and then had the usual. [Dr. Nassif] Oh, jeepers.

Lax skin, both in the chest and abdominal area.

I know, I don't know what that skin is.

And the abdominal contour is

[Dr. Nassif] Like a big ledge. [Dr. Dubrow] All right.

Can you please send in Sonya?

Hi, Sonya, Dr. Nassif. Hi.

Terry Dubrow, how are ya?

Have a seat.

So, Sonya.

Yes.

How did you get to this point?

I gained a lot of weight throughout my pregnancies.

I had seven kids.

You have seven kids? [Sonya] Mm-hm.

[Dr. Dubrow] How old are you right now?

34. Wow.

You had surgery in Florida, but you live in California, yes?

Why did you have surgery in Florida?

Because it costs an arm and a leg here.

Plastic surgeon?

He said.

So you didn't check the credentials at all, on the doctor?

Uh-uh. He's not board-certified.

You should always be able to answer the question

as to whether your doctor is board certified or not,

because that's indicative of the fact

that you're doing proper research

before selecting your doctor,

because plastic surgery, at the end of the day,

is real surgery and often it can be real dangerous.

So he's probably not even a plastic surgeon.

Probably was a general surgeon.

And then what happened?

I came out of surgery, and I opened my bra,

and one of my nipples was black.

So he immediately bumped up the blood supply?

And what'd they do? He brushed it off.

It was normal, put ice on it.

Put ice on it?!

[Sonya] Sure did. Let's make it worse.

Put ice on it.

Putting ice on a nipple that's turning black

is the last thing you wanna do.

You wanna increase the blood flow,

but putting ice on it is gonna constrict the blood flow,

making it harder for oxygen to go through,

making it more difficult for the nipple to stay alive.

Putting ice on a black nipple

is neither diagnosing nor treating.

We call that, in plastic surgery, malpractice.

I came back a few days later,

and he said you gotta go admit yourself

into the emergency room.

What, when you were red and infected?

Huge. [Dr. Dubrow] The right breast?

The right breast. [Dr. Dubrow] Yeah.

I was there for a month.

Jeepers.

[Dr. Dubrow] Okay, and how did the tummy look?

Like I came out with a butt on my stomach, no joke.

Okay, boy, this must have been

a strain on your relationship, huh?

Well, I turned into a royal pain in the ass.

You did? Did she?

[Sonya] I did.

So, I'm gonna ask you a question.

Her right breast, she has her nipple,

and she has a very uneven tummy tuck.

Does that make you not wanna touch her?

It's not as attractive, no.

When she was heavy she was happy.

And maybe 'cause she's unhappy with herself,

she takes it out on me.

Is that your perspective?

Yeah, I look a mess.

[Dr. Dubrow] Do you take it out on him?

I do. Are you gonna support her

if she has another surgery? Of course.

I preferred Sonya when I first met her,

when she was heavier.

Particularly 'cause she was happier.

I'm in love with her. I care about her.

I'm hoping this'll bring her back to being happy.

By the way, 99% of the people

sitting in that chair right now

would say it doesn't bother me.

I love her for her.

You're maybe the first one in a long, long time

who's actually being honest about that.

Listen. You...

are a tough case.

So, let's go examine you.

The Sonya Tom fell in love with was outgoing,

was bubbly, was fun, was playful.

We had so much fun together.

But losing all this weight and ending up

with a deformed body, I'm not a nice person right now.

Yeah, he doesn't deserve that.

He's an awesome man.

So let's look at the chest first, okay?

Let's put your hair back.

So you have a breast implant in place that's soft.

This one is a problem child.

You only have a fraction of your areola.

Probably the best thing to do is remove the skin graft,

and try to put a big implant in there,

and expand up your regular breast skin.

'Cause the skin graft is necessarily so usable.

And then when it comes to your tummy, do me a favor.

Stand up for a second.

The problem with the abdomen is that

she's got this pubic area that's contracted upwards.

So it's pulled up the height of

your belly button, right? [Sonya] Yeah.

And your belly button is gone.

It's just a basically a scar.

I mean, this looks like work that was done

by a surgeon who read a couple

of plastic surgery textbooks, to be honest. You know? [Sonya laughs]

[Dr. Nassif] Terry does a lot of difficult cases.

But looking at Sonya's findings,

I've no clue how he's gonna be able to repair this.

This is tricky.

Okay, so here's the thing, Sonya.

Even if everything goes smoothly, and you heal properly,

and I were to do this perfectly,

you still may not like the result.

[Sonya] I hope the surgery's gonna help me

be a good person that I was

prior to this nightmare that I've been through.

Well, I worked hard to lose weight

to have the body that I wanted, to be healthy.

And I saved my money.

I have seven kids, it wasn't easy to save money.

You're mad at the universe

for this complication. I'm mad at me.

I feel selfish that I used that money

on myself and this happened.

So, this is my feeling on this, okay?

I think we can go ahead and do this together. [Sonya] Okay.

Okay? Pleasure meeting you guys.

Thank you very much. [Dr. Dubrow] You're welcome.

[Tom] You happy? I am.

What do you think about the results not being perfect?

Then you're just stuck with a hot mess.

[laughs]

You still love me though, right?

Mm-hm. 'Kay.

[Dr. Dubrow] This guy who did this operation was in a hurry.

It was discount plastic surgery at its worst.

♪ I wanna be perfect ♪

I'm so nervous. Yeah?

Yeah, what if I have

the same result as last time, if not worse?

I do hope that this is the final chapter

to my weight loss surgery nightmare.

I'm sick of hiding, I'm ready to like,

you know, show all these goodies.

How are you? [Sonya] Good, how are you?

I'm good.

Sonya's been through a lot.

She had a gastric sleeve,

lost a ton of weight. Mm-hm.

And then had a mommy makeover.

[Sonya] I did.

But it was like a Frankenmommy makeover.

[laughs] You're right.

Right?

Sonya worked really hard to get her body

where she wanted it to be after 160 lb weight loss.

What I'm hoping is that I can be the final step

to make that major transformation that that makes her feel good

and is in line with how much hard work she's put in.

[Dr. Dubrow] I'll begin Sonya's surgery today

by removing the skin graft on her right breast,

then manipulate the remaining tissue of the breast envelope,

insert a new implant to give her a nice shape

while also performing a lift.

For the left breast, I will perform an areola reduction,

then replace her current implant

with a smaller size to give her breasts symmetry.

Then I'll move on to her tummy,

and making an incision at the bottom of her abdomen,

I'll create a new belly button, tighten her abdominal wall,

and remove excess skin to achieve a more natural contour.

Okay, let's remove the skin graft.

It's a patch, it served its purpose,

it allowed her to close her wound,

but this thing has gotta go.

Look at this, that gigantic wound on her thigh,

that donor site could get a skin graft this big.

Yeah. It's a long way to go

for this very short slide.

So, now I'm gonna go in

and see what the old implant pocket looks like.

So, I can't find the old pocket.

It's been obliterated by the inflammation.

That's a mess in here, man.

I can't find Sonya's right breast pocket.

But that's okay because I'd rather create

a new breast pocket that wasn't subjected

to the complications she suffered previously,

and will potentially increase the chances

that she'll heal without any problem.

Thank you.

Okay, so we're gonna use a 310 CC

ultra high profile implant.

And this is the side we will try to match the left side to.

So the good news is we have a good,

really good soft tissue pad overlying this implant.

Okay, let's go off to the left side.

Now, let's go in the pocket.

Okay.

Here's the implant.

Implant is a, wow.

Big one. Big one, 650 CC implant.

That's a big implant to put in someone

with a lot of breast tissue.

So, that put a lot of pressure

on the underlying nipple on the other side.

Plus, we had a pocket that goes

all the way up into her armpit.

This guy opened up this entire pit area.

Look at that.

All the way up there.

This guy who did this operation was in a hurry.

It was discount plastic surgery at its worst.

I can't believe the size of Sonya's breast implant pocket.

That's indicative of a surgeon who clearly was in a hurry,

and just opened up everything and threw an implant in there

to try to move on to the next procedure.

Okay, we've got good symmetry

between the right and left breast.

We got the left pocket tightened very nicely

around a new, smaller implant.

Okay, that's good.

Oh, I don't even wanna think about

what we have in store for us here in the abdomen.

If you thought the breast was hard, just wait for this.

After seeing the level

of what we call technical misadventure in Sonya's breasts,

I'm actually a little afraid to go down to her abdomen.

I have no idea what I'm gonna find there.

The challenge here is to try to release everything

to get the pubic area back to where it was,

'cause he pulled it very high.

Look at that, it's been pulled up for so long that now,

when you release it,

it's this strange, lax, wrinkled skin.

This case just got significantly worse.

So, we flexed her.

Now we're trying to make the skin nice and tight

without pulling the pubic skin up too much.

My challenge with lowering Sonya's pubic incision is that,

as I lower the pubic skin, I'm making it more lax,

essentially, trading one problem for another.

Okay, so we've restored the pubic area

to its normal anatomy.

That's good.

We've removed all the old, icky,

soft tissue that basically scarred down.

Then we also have to make a belly button,

which is not an easy thing to do.

That will be a belly button.

We've basically given her a normal abdomen.

Mm-hm. Okay.

I'm really happy with this.

The breasts are symmetrical.

They're a nice size.

They have a very good shape.

The abdominal wall is completely normal.

It looks like a regular tummy tuck.

There's no central scar.

Her pubic area's completely, normally, totally restored.

I think we should close, yeah? Yes.

Are we good? Closing?

It's closing time.

[Dr. Nassif] Guess what we're gonna do today?

We're gonna work on your right eye.

That fullness is grafted fat.

That is a huge fat pad.

One wrong move, boom, the eye is gone.

She's blind.

♪ I wanna be perfect ♪

Young lady! Hello, Dr. Nassif.

We're not in Montana anymore!

Are you ready for this? I'm so ready.

I have the easy part, are you ready for the--

Of course I am. My goodness. Okay.

Let's take your glasses off. Okay.

I've been through so many surgeries since the day of my accident,

but I've been waiting years for the opportunity I'm having today,

and I'll finally be able to put the past behind me.

So, you know when we were talking about your eye?

Mm-hm. And just going, and going.

What can I do, but then I was worried about the medial part.

So, guess what we're gonna do today?

What is it? We're gonna work on your right eye.

Really? So, Dr. Massry, a buddy of mine, colleague,

you know, he's gonna come in and help me. Okay.

Do you have any questions at all? No questions.

Today is Heather's fourth rhinoplasty.

She's had multiple facial procedures.

You know, I really hope this is Heather's last surgery,

because we wanna put this motorcycle incident behind her.

Heather will be having multiple surgeries today.

My team will begin by harvesting rib from her chest

while I open up her nose.

I'll perform a turbinoplasty for better airflow,

and we will then lower her tip and open up the nostrils with composite grafts.

Moving on to her right eye, we'll start by making an incision inside the eyelids,

and identify the grafted fat,

and dissect it from the muscle or natural tissue.

Next, we'll middle the corner of the eyelids

by performing a tarsorrhaphy,

partially sewing the upper and lower lids together

to help lift the eye and give her more symmetry.

We're making our incision for our rhinoplasty.

Already, I can tell right now, there's already a lot of scar tissue.

Skin is thin, yeah. See, that's what's scary about this,

'cause of her multiple surgeries, you know,

just one little too superficial snip and then were too low.

Heather's skin is extremely thin from her previous surgeries,

and that means we have to really be careful

when we're elevating the flap, because one wrong move

and my scissors pokes right through her skin, and that will create a scar.

And now, we're gonna dissect the rest of the nose,

and then start the reconstruction.

Oh, those are huge phenodes, huge, bony spur

impinging the hole, left airway.

Okay, it's really important we get these spreader grafts

absolutely perfect, 'cause this is the key to making her nose straight.

By just elevating the spreader grafts a little bit more,

we'll have a better aesthetic dorsal line

right down the straight part of the nose.

Okay, her airway's gonna be a lot better, look.

We opened up the whole nostril.

Dr. Massry and I have been talking about Heather's eyes,

and we formulized a plan.

So, she got a vertical cut right through

her lower eyelid margin.

Just think, if that woulda went a little bit deeper,

boom, the eye is gone. She's blind.

That fullness is grafted fat.

The implantation of dermis fat graft, or via injected.

That is a huge fat pad.

When you're de-bulking an eyelid area

that has had fat transplants, it's very hard to judge this.

So, you gotta take out a little bit, take out a lot,

then you have to reevaluate the area,

and make sure you actually don't overdo it.

Guy, you did a great job on that eye.

Pretty much matches the left side.

Awesome, now it's really up to Heather.

She's gotta heal well.

[Dr. Dubrow] Hello. How are you? [Sonya] Hi.

How are you doing? How are you? In a little bit of pain.

I'm feeling a little nervous that maybe Dr. Dubrow couldn't fix my left boob.

It'd be really devastating, because this is my last stop.

If Dr. Dubrow can't fix it, then that's it. It's a done deal.

I'm seriously sort of almost afraid to look.

[Sonya] I'm afraid! 'Cause there's so much stuff

that could be wrong, you know?

That-- Let's just not look, let's just assume it's fine

and put ice on it. Right?

Because Sonya had such significant problems with her original surgery,

I wanna make sure I don't repeat those same mistakes.

So, I'm gonna look very carefully

at the health and viability of her nipple.

I wanna make sure her wounds are intact,

and make sure her overall health status is good.

The chance this belly button will make it

is severely reduced, because it isn't a real belly button.

Right.

It's alive! [everyone chuckles]

Wow, Dr. Dubrow made my belly button,

so I'm super stoked about that.

Now I can show off my belly.

Yeah. Nice.

Doesn't she look good?

Sonya's previous surgical trauma

caused so much of an impairment in blood supply,

her risks were very high.

But seeing how she's healing now,

it's pretty clear that it was worth the risk,

and she may actually have a very good surgical result.

Thanks so much, doctor. Appreciate it so much. You're welcome.

It's been a while since your mom's thrown a party.

Yeah, since my 18th birthday.

I'm glad that Sonya's finally

done recovering from her surgery.

We have not been arguing and fighting as much,

and her relationship with her children

is getting to be more closer.

[Sonya] I've been waiting two years to celebrate this moment.

Before, I just wanted to be left alone,

not bothered, not seen, my door closed to my room.

Now, when I look in the mirror I see someone that's confident.

I feel alive, and I feel like getting up and doing things.

I'm ready to be the life of the party again.

[crowd applauds and cheers]

[woman] Sonya looks amazing.

I can't believe what a great job they did.

She definitely has that sparkle in her eye

that she didn't have on the last surgery,

and she looks a lot more confident.

I wanna thank you guys all for being here

for the end of my horror story,

and the beginning of my new chapter.

These are happy tears, right?

'Cause you're excited it's over with?

Yes!

[Stephanie laughs] It's okay, Sonya.

Look at you, you look so beautiful.

Thank you. Don't cry!

[Sonya sobs] Don't cry, I love you.

Don't cry, it's okay.

Before surgery, my body looked like a melting mudslide.

It was bumpy, lumpy, and disfigured.

But now, thanks to Dr. Dubrow,

my breasts are symmetrical,

and my excess flabby skin is gone.

I'm back to my sassy, outgoing self.

Give some skin. Give some skin. Good job!

[Dr. Nassif] Heather's day one check-in, we're gonna make sure

that the splints and everything is intact.

You had a huge bone.

It was like a huge rock, almost, in there.

So I took that out. Wow.

♪ I wanna be perfect ♪

[Dr. Nassif] Hello, young lady. Hi.

Good to see you again. How are you feeling?

Sore. Lemme take a look at you.

Alright. Grab my headlight, Dr. Cabin.

Mm-hm. Dr. Cabin.

Heather's day one check-in,

we're gonna make sure that the stitch

that's holding up the eye is intact,

that everything looks okay,

that she can see out of the eye,

that her nose, dressing,

and splints and everything is intact.

Let's talk about the rib. Rib went fine. Okay.

You're gonna be sore. Yep.

But remember, you still have to do

a lot of deep breathing. Okay.

So, the eye, it went great.

[Heather] Oh, good.

So, the whole thing got lifted.

Made the corner, which was rounded.

[Heather] Yes. Longer.

[Heather] Okay. And more symmetric to make it look

like the other side. It makes me so happy.

And this is something called a fra stitch.

It doesn't look pretty.

[Heather] No, it doesn't look pretty.

But it's pulling your lower eyelid up.

Close your eye for me.

You should be able to close your eye.

We just gotta make sure that it heals okay.

Okay.

You had a huge bone called a septal bony spur

in your left airway. Oh, God.

It was like a huge rock, almost, in there.

Wow. So I took that out.

So, that's gonna help with your breathing.

On your left, you're right, we put a huge spreader graft,

which is a piece of graft to open up the left side,

and I also took a piece of shaved cartilage,

and we put that also on your left side

to make it more symmetric.

Wow. We fixed it.

And you tip looks cuter,

prettier, nicer. Cute!

Now that I have a little cute round tipped nose?

You should, when you heal.

Your nose should be fantastic. Aww!

Eskimo kisses are gonna be a whole new thing for me.

[Kevin laughs] It won't be for a while.

Don't you dare touch her nose. [Heather] I know.

[Dr. Nassif] We need to follow up with Heather a lot

to make sure she's doing well.

Give me a month, and then you can do

as many Eskimo kisses as you want.

Put on this whole nasal dressing. [Heather] Okay.

And then I'm gonna see you back next week.

Hurry up and heal, 'cause when you get back to Montana,

you know what you're gonna send me? A piece of art for this wall.

[both] That's right. I'll see you guys later.

Thank you so much, Dr. Nassif. Thank you. Okay.

I can't thank you enough. Bye-bye.

Thank you, Dr. Cabin. Thank you, I'll see ya.

[Heather] I'm really excited, because I'm on my way

to display my art at a gallery.

Since my accident, I would have never pictured myself

being here, in this moment.

All the pain, and all the surgeries,

and the emotional roller coaster, it's been all worth it.

It feels really good.

[girl] Look at how she drew the mountains.

Did Mommy did that one?

[Kevin] She did every one of 'em.

I'm so excited to see Mommy.

Aw, she's comin' soon.

Mommy's here. Mom!

Oh, my goodness. Wow!

Hi, guys!

Hi! Hi! Hi!

Hi, sweetie.

Wow. Yeah?

Yeah. You think so?

I don't know, big difference.

This is amazing. Thank you.

It's amazing how supportive you've been through all this.

So, thank you.

[chuckles] That was the easy part.

Yeah, it was, I guess. Yeah. That was the easy part.

[Heather] Before my surgery, a motorcycle accident

had made my face look unrecognizable.

Now, since my surgery, I can breathe normally,

and the skin under my eye looks completely normal.

And I can finally close my eye all the way.

My face is no longer a reminder of my painful past.

Can you breathe better?

I can breathe so much better.

It's amazing. Try.

[inhales deeply and sighs]

[everyone laughs]

Pretty nice, huh? Yeah.

[Kevin] Heather looks just so amazing.

I'm just so proud of her, all she's overcome.

Now she's doing her artwork all the time,

and really going forward with all of her dreams.

What was your inspiration behind that?

Fire, is it fire? Yep, it's a bird in flight,

trying to escape the wildfire along with your life.

You know, you're trying to get away

from anything bad coming your way.

Of course. Yeah.

Very nice. Yeah, I'm glad you like it.

If it wasn't for Dr. Dubrow and Dr. Nassif,

I don't think I would have ever been able to breathe again.

I feel so thankful that they've helped me.

Are you gonna be an artist like Mom when you grow up?

Yeah! [Kevin and Heather] Yeah?

[Heather laughs] Woo!

[woman] I told him I would like a reduction,

and the doctor put breast implants in without my knowledge.

They called me Pitney Whitney.

This is the one of concern.

That needs to come off, like now.

If it grows it goes.

This is my husband. 15-year age difference.

[woman] I'm not offended if anybody calls me a cougar.

Men do it all the time.

For me to pull the muscles that much further,

the risk is the nerve.

Hold on, stop. Oh, Jesus!

This is the last person in the world you'd want implants in.

Oh [bleep]!