Original subtitles

[woman] I told him I would like a reduction, and the doctor

put breast implants in without my knowledge.

You will be the second one of these I've ever done.

This is the one of concern.

That needs to come off like, now.

If it grows, it goes.

A week after surgery, I could already feel

a pulling loose under my chin.

This is one of the most difficult things to correct.

I wanna look more like his wife and not his mother.

It's really important that a new medical device is safe

and effective, but we don't want it tested on animals.

[squeaks]

So let's use Paul.

It pulled my tongue.

[Dr. Dubrow] This is the last person

in the world you'd want implants in.

Ugh, I don't know what to do. [bleep].

For me to pull the muscles that much further,

the risk is the nerve.

Hold on, stop.

Oh, Jesus!

♪ I wanna be sexy, sexy, sexy ♪

♪ I wanna be hot, hot ♪

♪ Fix me, make me beautiful ♪

♪ I wanna be perfect ♪

You can put Loser for your name.

[laughing]

My name is Whitney, and my breasts

look like upside-down zucchini.

At the age of 14, I developed very large breasts,

and so any time a boy would come up to me,

it wouldn't be to flirt with me.

It was to try to look down my shirt.

Then one day this boy, and he knows who he is,

nicknamed me Titney Whitney, and it just stuck.

I got pregnant at the age of 18,

and after I had Skyler, my breasts fell.

They literally hung to my belly button.

It was devastating.

The first plastic surgeon I had went to, I told him

I would like a reduction,

and I come out with these massive boobs.

The doctor had put breast implants in without my knowledge.

When I first saw my breasts, I was shocked.

They were just as big as they were before,

if not bigger looking because they were so high.

And then about three months later

I was lookin' in the mirror,

and when I would turn to the side,

I would notice that there

was implant up here and breast tissue down here.

And I was like, did something go wrong?

Did I do something wrong?

So that's when we contacted the surgeon again.

I told him, please make me smaller,

and all he kept sayin' was I had too much elasticity

in my skin and that it just wasn't possible

to remove breast tissue at this age.

And he said, well let me go back in and do another lift.

The breasts were just uneven.

The right one was bigger than the left one.

So we went and saw him again for the third time,

and my breasts looked the same.

It mentally really messed me up.

I look different than every other woman in this world.

My kids like to go run at the track and do the bleachers.

I would love to do them with them.

However, the bouncing and the running,

it's just, right now, it's just impossible.

It's almost like I was just torn apart

at my breasts, and I don't know why.

But it's been so long and I've lived this way,

and I'm just prayin' for a change.

All right, I'm ready for a strike.

If my boobs wouldn't get in the way.

So how you feelin' about it?

Goin' to see Dr. Nassif and Dr. Dubrow tomorrow?

Well, I'm really excited. [laughs]

[Cole] Yeah?

Yeah! You nervous?

A little.

Don't try to distract me from beatin' you.

[Cole] I'm tryin'. Is it working?

No, but I really am excited.

I think Cole's gettin' to the point where he's just like,

"Come on, we've gotta do somethin' about this because you

adjusting yourself 24/7," always complaining, turnin' my back

to him when I get out of the shower.

Like, we're married, you know?

My boobs need to be married to us too.

Is this really what I look like in real life? Uh.

I mean, is that what people look at me and see...

Yeah. Bowlin' balls. is like, this right here? Like...

[laughing] You know?

If I'm able to get surgery by Dr. Dubrow and Dr. Nassif,

I will be able to go play outside with my kids more.

Mentally, physically, it would change my life.

[Cole] Let's see.

Look, did you get the strike?

Aw. [Whitney] No.

[Lisa] I'm gonna let you break 'em.

My name is Lisa, and my surgeon gave me a cobra neck.

It has been a while, hasn't it? Yeah.

I grew up outside of Somerville, Texas. We called it the sticks.

It was a lot of fun growin' up way out in the country.

I rode horses probably almost every day.

I mean, it was my passion.

My first husband I met actually when I was 14,

and we didn't do anything, didn't go anywhere.

It was a really lonely relationship,

kinda like just existing, you know, for a long time.

I don't even think he ever even told me I was pretty. [laughs]

Comin' out of my first marriage,

I was really excited to start my life

'cause I felt like I didn't really have a life.

Paul and I met each other when I was 37, and he was 22.

I worried about the age difference more than he did.

The next thing we knew, eight years had already passed by

and we were still together, and we got married.

I couldn't ask for a better husband, partner, friend.

Paul bein' so much younger than me,

I knew that I wouldn't be able to carry a child for him,

and I knew that he would be a wonderful dad,

so we started searching out to find

a surrogate to carry a child for us.

We had Madison in 2008, and then in 2012

the same surrogate had Marshall for us.

After having Marshall, I did have more people

start askin' me if I was the kids' grandmother,

and then it made me start lookin' at myself.

I mean, I know I'm old enough to be a grandmother,

but I didn't want to look like a grandma.

I went to a plastic surgeon to see

about getting my face corrected.

I asked him what he thought I needed to have done,

and he said, deep plane facelift

is gonna last you about 20 years,

and I thought, well that's great.

That way I can just age out with Paul now.

After surgery I did get a real big hematoma

on the left side behind my ear and my neck.

It took several weeks for even that

to go down 'cause it was so large.

A week after the surgery I could already feel that things

were pulling loose under my chin, and then as time went on,

it just kept falling more and more, and then you

could actually see that I had the cobra neck.

My daughter said, mom, it looks

like your neck is falling down.

I went back to see my doctor.

He goes, I didn't do the full facelift cut.

He just said, well I just felt like I didn't need to.

I thought he would've been more sympathetic towards me,

but I guess he just didn't wanna admit that he was wrong.

I took the kids to school the other day,

and it was a different teacher at school.

She's like, are you the kids' grandmother?

[Paul laughs] And I was like, no, I'm the mom.

I know it's there, so I feel like

everybody else is looking at me.

[Paul] Yeah. You know.

What bothers me the most about the results is how much it bothers her.

She's just not the same person she used to be.

She was so outgoing, and after the surgery,

she's really withdrawn, really sensitive

as to what people think about her, and I hate seeing that.

I just want her to be happy.

I want her to see what I see when she looks in the mirror

and get back out there and be the Lisa that she used to be.

I'm proud of you. I'm proud of the kids.

Y'all are everything to me.

But I didn't pay $13,000 to have me look older

instead of lookin' a little bit younger.

That's a big deal.

It has taken me a while to have the problems

that I have fixed because I'm scared.

I'm scared that somebody else might mess up.

But I do wanna come out of the shadows and try to enjoy

doing things again with my husband and my kids.

Getting my face corrected would give me the confidence

that I need again to get back out there and enjoy life.

Look at that. [whistles]

Sometimes I can shoot, and sometimes I can't.

I went in for a reduction and a lift,

and I came out with implants. Wait, whoa, whoa, whoa.

He failed to mention that before the surgery.

Wow.

I noticed that most of that stuff is for your sex drive.

Paul doesn't need to take a whole bunch

of supplements to improve his sex life.

He already bought a Ferrari.

♪ I wanna be perfect ♪

So the next patient is--

[sighs] What are you doing?

I'm listening, I can do two things at once. Hold on.

You're gonna do that while I'm presenting to you the next patient?

Yeah, keep goin'. I can, you know, I can multitask.

Wait, hold on.

Let me take that white one later.

I noticed that most of that stuff

is for basically your sex drive.

[Dr. Nassif] No, no. It's all geared towards that.

Paul doesn't need to take a whole bunch

of supplements to improve his sex life.

He already bought a Ferrari.

We have a patient named Whitney

who has a very significant breast implant dissociation

and has had multiple attempts at fixing it.

There's something going on.

Look how lax her skin is.

The thing is-- Are the implants too high?

You know, I don't know why.

I think we have to bring her in,

figure out why the surgeries have not been able to fix this.

Can you please send in Whitney?

[Dr. Dubrow] Whitney. Hi!

Nice to meet you. Dr. Nassif.

Very nice to meet you. Hi Whitney, I'm Terry Dubrow.

Nice to meet you. Nice to meet you.

Comin' in today I'm just really wantin' to focus

on the doctors understanding me and my problems

and wanting to be littler than I am.

I am ready to be a part of the itty bitty titty committee

club [laughs] for the first time ever.

Why does a girl who's so thin have so much

lax breast tissue? [Whitney sighs]

Gosh, when I was in the eighth grade, I had double Ds.

Oh. They called me Titney Whitney.

Titney Whitney.

[Cole laughs] True story.

Girls would ask me what I would do to get big breasts

so I told 'em I ate a lot of carrots. [Cole laughs]

And every girl in eighth grade was walkin' around orange

for the next two years. Right.

[laughing] Chompin' 'em down.

Physiologically, carrots don't cause enlargement of breasts.

However, they do allow you to see them better.

Yes, mm-hmm. That explains

why the tissue is so lax, but you have breast implants,

so how did that? Well, okay,

I had a child.

They immediately fell, when I say, past my belly button.

Was there volume in the breasts,

or they just started sagging? No.

Empty bags hanging. They were just empty bags.

So usually when you don't have large breasts

and you have one child, they deflate but they don't droop.

Right. If you start out

with very large breasts, they deflate

and they droop. Fall.

Then I had my plastic surgery. Okay.

I went in for a reduction and a lift,

and I came out with implants. Wait, whoa, whoa, whoa.

Did they tell you they were gonna do implants?

He said it might be a possibility,

but I said lean as much far away from it as you can.

I would like a reduction.

And he didn't take out breast tissue

because he said I was too young.

He failed to mention that before the surgery.

What they end up looking like?

Massive. They were up.

[Dr. Dubrow] They were up right away?

Yes, and they were uneven.

Right, so the second operation was done for unevenness.

Yes, sir. And they got 'em together and more even, but then--

More even, but then the sagginess started,

and so my nipples started falling.

So he took me in again.

My mom thought I was crazy for lettin' him operate on me.

So what did he do, third time?

He kept calling it "skin removal,"

like you know, the um--

Did he adjust the implant at all?

He said he didn't touch the implants.

So these are the original implants?

Yes, sir. Okay, so what's goin' on now?

I mean, we saw the pictures. You have it again.

You have implants up here. Yeah, I have it again.

Your breast tissue's hanging off them.

I just want 'em perky and as little as--

Normal lookin'.

So leave the implants alone

and reduce the breast tissue? No, do not leave the, no.

How much smaller do you wanna be?

I wanna be as small as you can make me.

I've been big breasted my whole life. So you know what you want?

I could show you exactly what I want. [laughs] And you could actually show.

You'll show us, okay.

So Cole, you married a girl with big breasts.

I did. Who now wants to downsize them.

Yes, she does.

Are you gonna have breast regret?

Either way, it's fine with me.

I love her just for her.

Yeah, happy wife? Happy life.

You don't have to worry about that anymore, do ya?

[Cole] Yeah. [laughing]

At least not right this second.

Not right this second and not any time soon either.

[Dr. Nassif] Happy wife, happy life.

Yes, Terry Dubrow.

Happy Paul, happy for all.

Complicated. Complicated. It's like a puzzle.

It is, there's a lot of moving parts.

I think we need to go in the exam room...

[Whitney] Yeah. and figure them out.

[Dr. Dubrow] Unfortunately, Whitney kinda fell victim

to the classic plastic surgery mistake,

and that is to take a large, deflated, droopy breast

and treat it by putting a very large implant in it,

thinking that you can restore it back to the way it was.

It never works.

It always upsets the patient.

Okay, do me a favor. Put your hands here and flex.

Yeah, they're definitely on the muscle,

and the muscle is pushing them up.

And they're pretty soft.

So it's pretty clear that your pectoralis muscle,

which the implants are under, is holding them up.

[Whitney] Okay.

So if you go in there and just release the pectoralis

muscle on both sides, they'll go boop!

They'll drop right into the envelope, which is a good thing

because if the implant and the breast envelope are together,

you'll never have that dissociation.

Unless you suffer capsular contracture, which you

don't seem to suffer, which is scar tissue formation.

Here's the truth.

I think your surgeon didn't really understand

the fact that the implants are being

shelved up and held up by the muscle.

No matter how many times you try

to lift up the breast tissue to meet

them, it's not gonna work. Right, it's not gonna work.

Right. But you know what?

If we downsize it too much,

they're gonna be very pancake-y, and then

you trade one problem for another. Right? No, I don't want them pancake-y.

Whitney's problem is deceptively difficult

because she has a certain basic width

to her breasts, which you can't alter.

So if you go too small, she'll lose projection.

Yeah. This is me.

That's what you want. You got it?

So I'm hoping to make her small enough

to achieve her goals but large enough

to have a good-looking breast.

So I gotta go downsize the implant,

pocket closure, release muscle,

tighten the envelope, I mean it's everything.

So I guess what we're looking for is for you

to be on the same page in terms of the fact

that we can't make them as small as you ideally might

wanna be. Right, right, right.

[Whitney] I feel a little disappointed that I

can't go as small as maybe I had in my head,

but we have to do what's best for my size.

No pancakes for this girl.

Including you, you will be the second one of these I've ever done.

Kidding.

[Whitney exhales]

No, I did his, so that makes three.

These were much, much fuller, and you

can see they're a lot smaller.

You feel good about this? [Whitney] I do.

Okay. I think you've had the wrong surgery each time.

[Whitney] Dang. It's time to do the right surgery.

Yes, sir. All right! [Dr. Dubrow] All right?

Thank y'all so much. Thank you.

Pleasure meeting you guys. Nice to meet y'all, thank you.

♪ I wanna be sexy, sexy ♪

Terry. Yo.

Come in, come in here.

[speaks in foreign language]

Come here, come here,

come here, look. Yeah.

What's up? Look.

Whoa! Look at that thing, I think it's getting,

I don't know, it might be getting bigger. Let me see that.

When you have a mole on yourself,

it's really difficult to assess A, is it changing?

But I've had a number of people say,

you know what, hey, that mole up there?

Looks like it's getting a little bit bigger.

And when you hear that, you need to have it checked.

And then I have a non-pigmented nevus on my right upper lip.

Yeah, but this is the one of concern.

Yeah, that needs to come off like, now.

If it grows, it goes.

[Dr. Nassif] Here we go. Oh God.

[exhales loudly]

Really? You're a surgeon.

You can handle needles and syringes, all right?

All right, ready?

[whispering]

Do you feel that? Of course I feel it.

Does it hurt? Of course it does.

Son of a [groans].

That hurts? Of course it hurts.

I'm gonna give you extra numbing.

It's like what you give girls when you go out with them.

Terry does not need a needle to be a prick.

Feel that? No.

No. Oh, shoot!

By the way, I didn't need to do that.

I just wanted to do that anyway.

Oh, God!

I just wanted to make sure your whole lip is numb.

Oh!

[Dr. Dubrow] Paul is the worst patient,

but he's got good insurance.

Oh my God, it's bleeding.

Will you shut up?

Are you passing out?

Yeah. Don't pass out.

It's just a mole.

This one I'm not going that deep, you know?

That looks pretty good.

It's good, right?

See there's two in here?

Mm-hmm. There's like five in there.

[Dr. Nassif] Terry's always doing procedures on me,

and I haven't done anything on him except Botox.

You might think I'd wanna fix that big, huge nose of his.

Honestly, I wanna suture his big mouth shut.

I'm sure it's nothing, but...

Yes, I would hope so.

But if it's a melanoma, it was great working with you.

Do you know what I mean? Oh, thank you.

Seriously. Thank you for that.

He goes, I did nothin' wrong.

And he shows me my before and after.

He goes, look, I made you look 10 years younger.

That's my before picture.

[Dr. Dubrow] Boy, she got a lot of breast tissue. Geez.

So look, it's scar tissue.

It's capsule. Ouch.

Ugh, I don't know what to do.

[bleep].

♪ I wanna be perfect ♪

[beads rattling]

What are those? Are those Buddha beads?

Actually, a patient gave me these.

I like 'em. Except they're noisy.

[beads rattling]

The reason why I wanna wear these

because I know that you wear your little, right?

This is my bro band.

Friend of mine who's a famous clothier,

does all the movie stars,

he makes these. He gave you one.

He gave me one. Oh.

Terry, where's my bro band?

You and I have a beautiful bromance goin' on,

and you don't bother getting me one?

I thought we were bros, bro?

Our next patient, whose name is Lisa,

she had some face work, but look how strong her bands are.

Oh. So she's got something

goin' on there. Submental hollow.

So she's got a cobra neck.

Boy, this is like a textbook error,

isn't it, to remove that much fat?

Can you please send in Lisa?

Mrs. Lisa, how are you?

Dr. Nassif.

Hi, how are you doing? Hi Lisa, Terry Dubrow.

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

Paul. Paul.

And your relationship is?

This is my husband.

[Dr. Dubrow] Very good. We've been married 12 years.

I was 22 when we met. She was 37. Yeah.

So 15-year difference. 15-year age difference.

Yeah, yeah. I'm not offended if anybody calls me a cougar.

I mean, men marry younger women all the time.

I wanna look more like his wife and not his mother.

So you had a facelift.

Did you have any improvement, or is it worse? No.

Oh no, it's completely worse.

Actually, within three weeks I knew somethin' was wrong.

As more of the swelling went down,

I could see my jowls comin' back here.

[Dr. Nassif] Okay. And then--

These bands. I call 'em waddles.

I couldn't open my mouth. I couldn't, I mean I couldn't

even bite a sandwich at that time.

So when I went back to talk to him about it,

he goes, Lisa, he goes, "I did nothin' wrong."

And he shows me these pictures, my before and after,

he goes, "Look, I made you look 10 years younger."

And I'm like, "That's my before picture."

He picked up the before photo and did that?

Yes, and then he didn't know what to say.

After Lisa came out of surgery, you could see the difference

in the actual surgery, what she had done.

And you could see the difference in her personality.

So it was definitely a mental impact.

It was a big blow.

I've gone to five different plastic surgeons,

and they've all said that this would be a difficult thing

to fix because of the way it dips in.

This is actually one of the most difficult things to correct.

Uh-huh.

After you've had surgery.

Lisa has what we call a cobra neck deformity.

That's when the platysmal bands are very prominent,

and they look more prominent because all the tissue

in the midline has been removed,

and that's the hollow part of it.

When you have a problem like that it's very interesting

number one, and two, it's very difficult to fix.

How is all this affecting your life?

I try to stay away from public as much as possible.

[Paul] I think she's so self-conscious

about how she looks now, after the surgery,

that she just kinda stays at the house a lot more.

Do you feel this has caused some depression?

Oh yeah, yeah.

[Dr. Dubrow] I'm glad you're with us.

Me too. So that's why

we need an exam in here.

We have to really see what we need to do.

[Lisa] Okay. So let's go in the exam room.

Okay.

I'm very self-conscious about the way my neck looks right now.

I look downwards to not show my neck.

I just wanna walk around with my head held high.

I want the confidence back that I've lost.

Smile for us.

Look at how far that is.

Boy that really is sucked all the way in.

Feels like it's been stitched all the way in there.

Can you put your head back a little bit for us?

Oh yeah. Oh yeah.

[Dr. Nassif] Oh there's some scar right there.

Looks like a lipo scar was over-suctioned.

Lisa really has an unfortunate result

of a poorly executed operation.

Way too much fat was removed.

You can almost see liposuction grooves

from the cannula in the neck and chin area.

This is a much more significant operation

than the normal full facelift is.

It appears that your muscles

were already kind of separated before,

but there was some fat on them.

And when there's some fat on them,

Camouflages them. we can't really see it that much.

Right, right.

So we think that he did some aggressive liposuction

in the area, and now you have that over-suctioned,

hollow area called the cobra neck deformity.

You know, as it comes out, the two edges

of it that are prominent, that's your bands.

I may wanna put a little fat in there.

Okay. And might have to take a little bit

of fat from your belly.

That'd be okay. Just a little bit there.

After we do that, we gotta play with the muscle

to try to get it as tight as we can.

The issue with this is even after all that beautiful work,

the muscles could pull apart.

You might be back to where you were.

There's always risks in regards to doing a facelift,

especially a revision facelift.

So what we have to do is Lisa and I have to work together

as a team and God willing give her a beautiful result

that's gonna make her look younger

so that Paul and her look like husband and wife.

After we do this, we do you wanna try to extend

around your hair in the front

and give you more of a vertical lift.

Mm-hmm.

So another deep plane facelift.

Okay?

So in essence what you're having is a revision

neck and face lift with some type of volumization

of this middle part, of what we call the submentum.

Does that make sense?

Scary stuff, right? I don't think so.

I don't think so, I mean, no.

Heart surgery.

You got the right person to do this, though.

I'm willing to take the risk of that,

and I know I'm in good hands.

Bottom line, coming out of a facelift

and looking older as compared to when you

came in, that's unacceptable.

So then we'll see you, and thank you so much.

Pleasure meeting you. Same here.

Thank you so much. Pleasure.

So great meeting you. Thank you. Nice meeting you.

[Dr. Nassif] We have to be very careful, because if I go a little

too deep, I'm gonna injure some of the nerves.

Hold on, stop.

Oh, Jesus!

♪ I wanna be perfect ♪

Good morning, Sunshine.

Well how are ya?

Let's get this. Feeling a little bit nervous.

It's normal to be nervous.

This is an extensive revision face and neck lift.

We just don't know yet what's gonna be the best way

to fix it, so I'm gonna use everything

in my little toolbox to put this together,

but it's gonna be really more of a wait and see.

Okay.

My last surgery wasn't a good experience at all,

and my biggest fear is that this surgery won't get me fixed.

So the doctor did do what we call a platysmal ligation.

He took these muscles and pushed 'em together.

However, your muscles [makes ripping sound] pulled apart.

Okay. For me to pull the muscles that much further,

the risk is the nerve.

There is a chance that you could come out with one lip

not depressing at all and look lopsided.

My coronary arteries are gonna spasm a little bit.

That's my arteries in my heart.

Okay. Okay. As I'm doin' this.

Cobra neck deformities are not just simple fixes.

Lisa's doctor took too much fat

out of the subplatysmal area.

My goal is to just really try to do a good heightening

to cover up and fill in that hole in her neck.

How's it gonna work? I don't know until I get in there.

[Dr. Nassif] For Lisa's surgery today, I will begin by opening up

her previous incision under her chin

and performing a corset platysmaplasty using cadaver skin

to stitch together and tighten the neck muscles.

Hopefully this will get rid of the cobra neck deformity.

I will then release the blocky incisions around the ears,

elevating the skin and tightening the muscles.

This will give her a more youthful, natural look.

Okay, the incision's made into the neck.

And now we're gonna dissect down in the area of the cobra neck deformity.

It's gonna be a little bit more of a challenge

just because we don't exactly know what the anatomy

is gonna look like, so we have to be really careful

that we don't penetrate any of the muscles

that control movement of the lower lip.

[suctioning]

Hold on, hold on, stop.

There's muscle.

I'm getting more bleeding.

For me to get the platysmal muscles

mobilized, I have to lift up the tissue,

lift up the muscles, separate the skin.

We're going in through the deep structures of the neck.

Yeah, it's like scarred down the muscle.

But when you perform a revision facelift,

we don't know how much scar tissue there is,

so we have to be very careful.

It's dangerous.

Give me tongs when we get in.

And then cauterize and then cut.

[suctioning]

[surgical team member] Nice. [Dr. Nassif] Okay we just finished freeing up

the complete muscle of the neck, all the scar tissue.

Okay we have to open up the face next.

And we have to be very careful because if I

go a little bit too deep, I'm gonna injure

some of the nerves that control the facial movement.

[exhales]

One of the reasons why you have to be careful

of operating on the face is because all

the nerves that control the muscle.

And in doing a revision facelift, those nerves

can be either more superficial or more deep or in the middle

of a scar and you can't see them all the times.

And if you damage one of those nerves, you're

gonna walk around with a paralyzed portion of your face.

Oh, there's a nerve.

Oh, Jesus!

Yeah, see, this is just not opening up

the way I like it to open up, you know?

[surgical team member] Yeah.

[Dr. Nassif exhales] This is kinda scary for me.

Right here, here's the blood vessel, right.

[surgical team member] I see it, and I see a nerve. There we go.

We're looking for muscle.

That looks like a platysma muscle.

We redirected all the deep muscles and elevated them

to give her a better look, better contour.

Now we're elevating the neck tissue,

and we're gonna kinda step our way up

towards the cheek area and tighten all that up.

Okay, so the face is moving.

So we have a lot of movement in the neck.

Now putting this stitch in,

it's going to tighten up the neck.

Last touching on this birthday cake

is to put the icing, which is a little bit

of fat and the AlloDerm, which is cadaver skin.

I like using cadaver skin

in repairing cobra neck deformities.

The reason why is the skin is usually stuck to the muscles,

and I need to actually add some bulk in a separation

to give some more fullness in there.

As long as those darn muscles don't pull apart.

All right, so we're done.

It really looks good. I just hope to God she heals as beautifully

'cause that is an incredible neck.

Mm. What are you doing?

God!

You're timing something?

Are those cupping devices on your face?

Oh.

Are my lips bigger?

Oh my God!

Look, look.

What is this thing you put on?

So you know how everyone's using these

over-the-counter cosmetic devices

to plump their lips, to rejuvenate their face?

Uh-huh.

It's really important that we understand

when a new medical device

comes on the market, that it's safe and effective.

But we don't want to test it on animals.

[squeaks]

So let's use Paul.

It pulled my tongue.

So what is this?

This is a lip plumper.

What do you do?

[pops quietly]

This device is supposed to make your lips a lot bigger.

I'm wondering if Terry can use it

in other areas to make other things bigger.

These are cupping devices.

You know cupping?

What's that wet stuff on your face, KY?

Ew.

Here, let me show you.

[humming]

This is a cupping device, supposed to increase blood flow.

Oh my God, it feels weird.

Oh my goodness.

Oh!

You gotta take a picture. Stop talking.

Oh yeah, that's good.

That's working good.

Sort of just a big, hangy breast.

That's not what she wants.

[sighs]

Like an impossible case.

♪ I wanna be perfect ♪

You guys, I wanna present to you...

Titney Whitney.

Not after today, though.

Not after today. No, not after today.

How are you today? You good?

I'm great. Okay.

It's really hard to explain when you've

lived a certain way for so long,

and you know what you want to look like,

and you hope after today that that's exactly what's

gonna happen, that I will just be completely happy.

The big challenge with you is that it's tough

to downsize you and keep a cosmetic balance

between the projection and the width.

I'll go as small as we can,

but I won't know till I get in there.

Yes, sir.

I won't know how much smaller I can make Whitney's breasts

until I release the muscle,

allow them to drop into their pockets so the breast tissue

and the breast implants are together.

To be honest with you, plastic surgery

has not done Whitney any favors up until this point.

Let's see if I can reverse that trend.

[Dr. Dubrow] For Whitney's surgery today,

I will begin by making incisions

below her areolas and removing her implants.

I will then remove some of her natural breast tissue and tighten the pockets

to allow for the placement of smaller implants.

Finally, I will perform a breast lift on both sides,

leaving Whitney with smaller breasts

that are proportionally sized for her body frame.

The first maneuver is to go into the pocket,

release the muscle, and allow the implants

to sit where they should, inside of the pocket.

Let's see why it's sitting so high.

Preoperatively there was only two things

that could cause Whitney's breast implants to sit high.

One, inadequately released muscle,

which requires muscle release, or two,

capsular contracture, which requires scar tissue removal.

Geez. Boy, she got a lot of breast tissue, geez.

So look, it's scar tissue.

See? It's capsule.

Ouch.

Wait, wait, wait, almost. Hold this.

Now that I'm in Whitney's pocket and I see that the muscle

is actually not holding things up,

and I know in fact it's due to scar tissue,

I'm going to remove scar tissue and not the muscle.

Okay, so all I've done is release the implant

into the pocket where it should be.

It's sort of just a big, hangy breast.

This would be very easy to maintain this size

and just tighten up the envelope,

but that's not what she wants.

This is actually a really tricky case

because Whitney wants to be substantially smaller,

and if I use any reasonably sized breast implant,

she'll probably end up larger than she wants to be.

So it's a fight between whether to use implants

for projection or whether to use her own breast tissue

because if you don't use implants,

you may have no upper fullness and no projection.

I mean, she's already had a complication

from breast implants with them shoved up into her chest.

If I can get her a good shape and size

with no implants, she'll never have that again.

[sighs]

Like an impossible case.

I mean, why did she need breast implants?

I don't know, let's see.

Ugh, I don't know what to do.

[bleep].

[sighs]

Let's cut this.

Okay.

So we're gonna commit to this, right?

I think so.

I decided to do a breast lift

using Whitney's own breast tissue without implants.

The question is, can I move her breast tissue

around to make her perky but also give her the projection

that's required for a good cosmetic outcome?

This is Whitney's breast, lifted, reduced, with no implant.

Huh.

What if I... [surgical team member] Huh.

[Dr. Dubrow] Can I tighten this?

[surgical team member] Yes, but it's very tight.

I really have to sit Whitney up multiple times...

That might work.

[surgical team member] Yeah, it's not as pancake-y as I thought.

...to make sure I'm making her substantially smaller.

All right, put her down for a sec.

But I still am maintaining a good overall cosmetic shape.

[suctioning]

God, tough case, man.

Go ahead.

Better.

Okay, let's do the same thing on the other side.

So this is a 325 also.

See ya, hardly knew ya.

[suctioning]

[snapping]

So let's take a wedge from the outer portion of the left,

a little wedge from the inner portion of the right.

It's gonna be really interesting to see Whitney's reaction

when I tell her I didn't use breast implants,

but I firmly believe that to achieve the size and shape goals

that we both want, the best course

of action was to not use them at all.

This is good. This is good.

No implants and much, much smaller.

Hello, everybody.

Hey, how are you doin'?

Look at you.

How you doing?

Doin' okay.

My surgery was yesterday,

and today I feel like a train ran over my face.

You wanna take a look?

Well yeah, I wanna see what I--

All right, you wanna... ...what I look like. [laughs]

All right, that side.

Take a peek.

Doesn't look like me. [laughs]

So obviously you're swollen.

This is swollen through here.

That's why it looks so good.

The only thing that I wanna keep watching,

there's an area of skin, and you have a drain next to it,

which is making it exaggerated, but we'll have to see.

You have a little bit of an area here where the skin

is very thin, so we're gonna keep an eye on that.

Now your incision goes all the way up here.

Oh.

All the way here... Yeah.

And then back, and then a little bit in your hair.

More importantly is this.

We pulled the muscles in the neck to give you just overall

a tighter-appearing, you know, 25-year-old neck.

Dr. Nassif said I had a 25-year-old neck,

and that just makes me so happy.

I was just hopin' for a 40-year-old neck. [chuckles]

I don't have my waddles.

They're gone.

Do you see how beautiful that is?

Mm-hmm. I like it.

I like it a lot.

[Dr. Nassif] We just have to see how you're gonna heal

for about a good three months.

Today, Lisa looks great.

So far we have a home run.

However, the next few weeks for healing

are really important for Lisa because number one,

we have to keep an eye on the skin around the left side

of the cheek, and two, we gotta keep a look

out in this area and see how this is healing.

We wanna make sure that it doesn't start sinking in again.

I don't think that's gonna happen, but no matter what,

we just have to be really cautious

and keep a great eye on Lisa's healing.

Thank you so much.

My pleasure.

Thank you. All right, brother.

Take care of yourselves.

Bye. Thank you.

Thank you so much.

Bye. Bye.

You feel good? You did it.

I know. It's all behind you now.

[laughs]

Oh wow. Oh my gosh, oh my gosh.

So here's the question.

Do we have upper fullness?

Oh my gosh.

♪ I wanna be perfect ♪

[Whitney] Hi! [Cole] Hey.

Hello, everybody.

How are you guys doin'?

Hey, how are you, good to see you again.

Pretty good, good to see you. How are you?

My ribs are killin' me,

but thanks. Are they?

No, I'm fine.

Is it painful? Yes.

Okay, so. I'm just ready to see 'em, Doc.

How did it, tell me. So did we uh?

Full 411? [Whitney] Yes.

[Dr. Dubrow] So I did a revisional breast--

I took the implants out. You have no implants in.

I don't? [Dr. Dubrow] You have no breast implants.

Are they perky, like I don't look like a maw-maw?

That's the question, and are you small enough, and do you

have good proportions between projection and width?

Let's see.

Let's see.

Oh and by the way, if we get away

with this, the chances that you'll

have another complication with breast implants is,

Zero. Zero 'cause you don't have

breast implants. I don't have breast implants.

Oh wow, oh my gosh, oh my gosh.

So here's the question, They're way smaller.

do we have upper fullness? Oh my God.

Oh my God. Look at that.

[Dr. Nassif] That's upper fullness.

[whistles] Oh!

Oh, they're gorgeous. [Cole] Smaller.

Oh! They're perfect!

Oh wow.

[Dr. Dubrow] Pink.

[Whitney] Yes.

[Dr. Dubrow] Pink is good.

Okay that's cool.

[Dr. Nassif] That looks fantastic.

[Cole] Cool.

Thank you so much. Right?

Right?

[sobbing]

Dr. Dubrow, you're my hero.

That saved my-- just, my humanity.

It's life changing.

I'll never be that girl again.

I get to be me.

I get to feel different.

I get to feel better, and I get to do things

that I never could do before, ever.

And that to me, means the world.

Whew. Thank God, you're amazing.

I'm sorry, what? You're amazing.

[Cole laughing]

One more time? [laughs]

You are amazing. I'm sorry what?

You're so amazing.

Oh, I'm not amazing.

Well, maybe a little bit.

Maybe like this much.

Oh, I don't think I've ever been this small in my life, ever.

So you're happy with the size?

Yes. Good.

I've lived with these gigantic breasts for so long.

Yeah.

And thinkin' I would live like that for the rest of my life.

And I don't have to, thanks to you.

This is you, with no breast implants.

I have natural breasts.

This is all me, all me, and I don't have to worry

about anything but just healing.

Congratulations. Thank you so much.

You're welcome. You've changed my life. [laughs]

Yes, I want one too.

[laughing]

You can hug him 'cause he's really soft, here.

So am I, now.

Make the sign, yeah.

[Whitney] The fact that I have no breast implants

is a huge weight off my shoulders.

I felt like I was havin' to hide a whole other person.

I don't have to do that anymore.

I feel like I walk a little taller now.

I feel like I have more confidence than I did before,

knowin' that I'm going to be happy for myself.

It's really life changing.

[Tracy] I can't wait to see her!

I can't wait to see her either. I'm excited!

Now she won't have to be adjustin' herself.

Yeah, she'll be happy with that.

Whitney used to always talk about bein' on the sideline.

Now maybe she'll be in the game.

[Tracy] She's the game, she's the game.

She's in the game plan.

[all exclaiming and applauding]

[Cole] Look so good in your dress.

Oh you look so beautiful! Thank you.

Oh my goodness! You look amazing!

Now that the past is behind me,

I just feel like a whole new Whitney.

I don't have to hide my problems, inner and out.

I get to focus more

on what's really important, and that's life.

I'm just ready for whatever comes my way.

All right, babe, well here's a toast to you.

No more Titney Whitney.

[laughing]

Yay. Yay.

Since Whitney has got her breasts fixed,

she's more comfortable.

Now she just wants to show me her boobs

all the time, so I'm not complainin'.

[Mo] Let's go play. Let's go.

Let's go!

Before my surgery, my breasts were so big,

people would call me Titney Whitney.

I never felt comfortable in my own skin, and I

was always envious of other women with normal breasts.

But now, thanks to Dr. Dubrow, they're smaller,

more proportional, and I finally have

the breasts I've always wanted.

[player] Look. [dealer] And we get 21!

[exclaiming]

I've been dealt the perfect pair.

[exclaiming and applauding]

[Cole] Babe, you won!

[Lisa] Havin' the surgery and bein' fixed by Dr. Nassif

has changed my life tremendously.

Actually puts a smile on my face.

Don't feel so much like the older woman anymore.

Hey, babe.

Oh, hey.

Ready? [kisses]

You're beautiful. Oh, thank you.

I feel good today. I feel really good.

Ready to go out and go ridin' today?

Oh yeah.

Ever since Lisa had her surgery,

she's felt so much better about herself,

and I think she's excited to get back out and ride horses

because that makes her feel more youthful.

I'm so happy that Dr. Nassif

was able to give me my wife back,

the Lisa that I met,

the Lisa I fell in love with all those years ago.

You know, I haven't seen you smile this much in ages.

I feel great.

I feel really good, and I love what the doctor's done to me.

Well he did a great job.

I think I can just grow old gracefully now,

and not worry about it anymore.

You wanna ride some horses? Yeah, let's go ride some horses.

[kisses] I love you. I love you, too.

Thank you so much for what you've done for me, Dr. Nassif.

I love my results.

I'm happy 'cause I feel good

about myself and the way I look.

Beautiful horses.

I know, they're beautiful, I know.

I do feel beautiful.

I'm actually lookin' forward to gettin' out

and doin' the things I used to do.

Instead of people starin' at me,

I look forward to the glances.

Before my surgery, I had a king cobra neck,

and I looked older than I did before I had my surgery.

I would shy away from events with my kids

because I was embarrassed of constantly bein'

asked if I was their grandmother.

Thanks to Dr. Nassif, my neck is smooth.

I look 10 years younger.

I'm able to hold my head up high and stand with my kids

as their proud mother and as the proud wife

of a man that's 15 years younger.

Say what you want, but I'm the one

with the hot young husband.

Gonna be a great day.

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