Botched by Nature (2016–…): Season 1, Episode 1 - Double Down on D's! - full transcript

>> I was struck by lightning.

>> I was bornck by lightning.

>> I was bornck by lightning. as a conjoined twin.

as a conjoined twin. >> My left side grew to a C cup,

>> My left side grew to a C cup, while my right side

while my right side is barely an A.

is barely an A. >> My mouth has been in my way

>> My mouth has been in my way my entire life.

my entire life. >> I have been told by doctors

>> I have been told by doctors that it looks like

that it looks like I have had a stroke.



I have had a stroke. >> male narrator: Doctors Nassif

>> male narrator: Doctors Nassif and Dubrow are household names

and Dubrow are household names when it comes to the toughest

when it comes to the toughest revisional plastic surgery

revisional plastic surgery cases in the world.

cases in the world. >> Pretty creative

>> Pretty creative reconstruction there.

reconstruction there. >> narrator: But now they are

>> narrator: But now they are seeing patients

seeing patients who weren't botched

who weren't botched by a doctor's scalpel

by a doctor's scalpel but were botched by nature.

but were botched by nature. >> This is not something we see

>> This is not something we see every single day in our lives.



every single day in our lives. This is much scarier.

This is much scarier. >> narrator: The "Botched"

>> narrator: The "Botched" doctors are leaving their

doctors are leaving their offices and hitting the road.

offices and hitting the road. >> New York City, Virginia.

>> New York City, Virginia. >> Las Vegas!

>> Las Vegas! >> Yeah.

>> Yeah. >> narrator: They're making

>> narrator: They're making house calls...

house calls... >> Hello.

>> Hello. >> Oh, my God! [sobs]

>> Oh, my God! [sobs] >> narrator: In order to help

>> narrator: In order to help people who will be their most

people who will be their most challenging cases yet.

challenging cases yet. >> This is the South.

>> This is the South. >> Sweet potato pie?

>> Sweet potato pie? >> Have you ever had--

>> Have you ever had-- >> both: Sweet potato pie.

>> both: Sweet potato pie. >> Going into their house

>> Going into their house and getting into their world,

and getting into their world, it's so personal.

it's so personal. >> It is an emotional thing.

>> It is an emotional thing. >> To go your whole life

>> To go your whole life like that, it's really hard.

like that, it's really hard. >> I think we should fast-track

>> I think we should fast-track you and get you

you and get you out to Los Angeles.

out to Los Angeles. >> narrator: Hopefully,

>> narrator: Hopefully, they'll be able to bring them

they'll be able to bring them back to Los Angeles and

back to Los Angeles and fulfill their surgical dreams.

fulfill their surgical dreams. >> You want Daddy

>> You want Daddy to be all better?

to be all better? >> I love you.

>> I love you. Everything's gonna be good.

Everything's gonna be good. >> I'm scared that it's not

>> I'm scared that it's not gonna work and that I'm gonna be

gonna work and that I'm gonna be stuck like this forever.

stuck like this forever. >> This is about as hard

>> This is about as hard as it gets.

as it gets. >> narrator: Anything could

>> narrator: Anything could happen when they journey

happen when they journey to places they would

to places they would never normally go...

never normally go... >> Ah!

>> Ah! >> Let's fill out

>> Let's fill out your Tinder profile.

your Tinder profile. Male or female?

Male or female? >> [laughs]

>> [laughs] >> Here, let me take a picture

>> Here, let me take a picture of you with the pig.

of you with the pig. >> You're sleeping on my side.

>> You're sleeping on my side. >> So this is what you do?

>> So this is what you do? What are you doing?

What are you doing? Do not do that.

Do not do that. >> narrator: And meet up

>> narrator: And meet up with some old friends

with some old friends along the way...

along the way... >> Welcome to Atlanta, Georgia.

>> Welcome to Atlanta, Georgia. >> Look at Mr. [indistinct].

>> Look at Mr. [indistinct]. >> Yes?

>> Yes? >> That guy's calling you.

>> That guy's calling you. >> Do I owe him money?

>> Do I owe him money? >> [laughs]

>> [laughs] >> No, I don't.

>> No, I don't. >> narrator: All with the aim

>> narrator: All with the aim of changing the lives of those

of changing the lives of those who were botched by nature.

who were botched by nature. >> When we can really make

>> When we can really make a difference in someone's life,

a difference in someone's life, it feels so good.

it feels so good. [all cheering]

[all cheering] >> Look at you.

>> Look at you. [all cheering]

[all cheering] >> We have time to have

>> We have time to have a pit stop?

a pit stop? >> You need a pit stop?

>> You need a pit stop? >> Uh-huh. Uh-huh.

>> Uh-huh. Uh-huh. >> Already?

>> Already? We just got in the car.

We just got in the car. >> I have a very small bladder.

>> I have a very small bladder. >> Oh, jeez.

>> Oh, jeez. >> narrator: And tonight...

>> narrator: And tonight... >> Vegas, baby.

>> Vegas, baby. >> Vegas, ba--

>> Vegas, baby. ♪ Las Vegas ♪-

♪ Las Vegas ♪- >> Yeah!

>> Yeah! So, Sabrina had

So, Sabrina had ulcerative colitis.

ulcerative colitis. >> I'm having pain

>> I'm having pain on a regular basis.

on a regular basis. My boob has pretty much

My boob has pretty much moved up, I think,

moved up, I think, as high as it can get

as high as it can get before it reaches my neck.

before it reaches my neck. >> Yeah.

>> You're gonna see a lot of farm life here.

of farm life here. >> Yeah.

>> Yeah. >> Some cows for you.

>> Some cows for you. >> Did you just fart?

>> Did you just fart? >> No.

>> No. >> Do not blame that on the cow.

>> Do not blame that on the cow. >> Oh! Sue the cows!

>> Oh! Sue the cows! Nate has a identical

Nate has a identical twin brother,

twin brother, but he does not look like

but he does not look like his identical twin brother.

his identical twin brother. >> I was born with a clubfoot,

>> I was born with a clubfoot, a hole in my heart,

a hole in my heart, and basically looked

and basically looked like I had two noses.

like I had two noses. >> So this will be

>> So this will be very interesting to see

very interesting to see what we find in Nate's nose.

what we find in Nate's nose. I don't see anything

I don't see anything that looks at all similar

that looks at all similar to normal anatomy or cartilage.

to normal anatomy or cartilage. >> ♪ I want to be ♪

>> ♪ I want to be ♪ ♪ Want to be the best version ♪

♪ Want to be the best version ♪ ♪ I want to be ♪

♪ Want to be the best version ♪ ♪ I want to be ♪ ♪ Want to be the best version ♪

♪ Want to be the best version ♪ ♪ Want to be the best version ♪ ♪ Of me ♪

♪ Want to be the best version ♪ ♪ Of me ♪ [upbeat music]

♪ ♪ ♪ Want to be the best version ♪ [upbeat music]

♪ ♪ ♪ Want to be the best version ♪ >> Vegas, baby.

>> Vegas, baby. >> Vegas, ba--

>> Vegas, baby. ♪ Las Vegas ♪-

♪ Las Vegas ♪- >> Yeah!

>> Yeah! Let's do this.

Let's do this. When was the last time

When was the last time you were in Vegas?

>> Remember, we have you were in Vegas?

>> Remember, we have all of our yogurt stores here. you were in Vegas?

all of our yogurt stores here. >> Since I'm with you, you were in Vegas?

>> Since I'm with you, can I make as big a yogurt you were in Vegas?

can I make as big a yogurt as I want and put you were in Vegas?

as I want and put whatever I want in it? you were in Vegas?

whatever I want in it? >> Yes. you were in Vegas?

>> Yes. you were in Vegas? What's your favorite flavor?

you were in Vegas? >> You know, I like, flavor?

>> You know, I like, flavor? like, a combination.

like, a combination. Maybe a little coconut and maybe

Maybe a little coconut and maybe a peanut butter moment.

a peanut butter moment. >> Guess what,

>> Guess what, I love peanut butter,

I love peanut butter, and I love coconut.

and I love coconut. We're not just

We're not just traveling for fun.

traveling for fun. The truth is,

The truth is, since we started "Botched,"

since we started "Botched," there's been numerous

there's been numerous individuals

individuals that have contacted us

that have contacted us that need plastic surgery help,

that need plastic surgery help, but what we discovered is,

but what we discovered is, not all of them caused

not all of them caused their own problems with surgery,

their own problems with surgery, so we decided to take a chance

so we decided to take a chance and visit them and see

and visit them and see if we can help the same way

if we can help the same way that we helped the "Botched"

that we helped the "Botched" patients in the past.

patients in the past. >> So obviously, we're mixing

>> So obviously, we're mixing business with pleasure.

business with pleasure. >> What do we have, my friend?

>> What do we have, my friend? >> That's what we'll figure out.

>> That's what we'll figure out. >> Sabrina had

>> Sabrina had ulcerative colitis

ulcerative colitis and lost a lot of weight.

and lost a lot of weight. Sabrina has an immune system

Sabrina has an immune system disorder called

disorder called ulcerative colitis

ulcerative colitis where basically,

where basically, you're born

you're born with an autoimmune disorder.

with an autoimmune disorder. It specifically attacks

It specifically attacks your colon, which is part

your colon, which is part of your large intestine,

of your large intestine, which can lead to ulcers

which can lead to ulcers and diarrhea

and diarrhea and a lot of problems

and a lot of problems with digestion.

with digestion. She lost so much weight.

She lost so much weight. Her breasts deflated,

Her breasts deflated, and she needed

and she needed a breast augmentation,

a breast augmentation, and she's had kind of

and she's had kind of an immunologic complication.

an immunologic complication. We have to talk to her

We have to talk to her and figure this thing out.

and figure this thing out. Oh, here we are.

Oh, here we are. All right, let's go see Sabrina.

All right, let's go see Sabrina. >> Yeah.

>> Hi!

>> Hi! >> Sabrina, how are you?

>> Sabrina, how are you? >> How are you?

>> How are you? >> So nice to meet you.

>> So nice to meet you. Come on in.

Come on in. >> Terry Dubrow.

>> Sabrina. Nice to meet you. >> Dr. Nassif. >> Terry Dubrow.

>> Dr. Nassif. >> Please, come in. >> Terry Dubrow.

>> Please, come in. >> Thank you. >> Terry Dubrow.

>> Thank you. >> Terry Dubrow. >> It makes me feel

>> Terry Dubrow. >> It makes me feel really excited and special

>> Terry Dubrow. really excited and special that Dr. Dubrow and Dr. Nassif

>> Terry Dubrow. that Dr. Dubrow and Dr. Nassif are coming all the way

>> Terry Dubrow. are coming all the way from California to see me.

>> Amy. >> Terry Dubrow. from California to see me.

>> Amy. >> Dr. Nassif. Nice to meet you. >> Terry Dubrow. from California to see me.

>> Dr. Nassif. Nice to meet you. >> Hi, nice to meet you. >> Terry Dubrow. from California to see me.

>> Hi, nice to meet you. >> Terry Dubrow. Pleasure. >> Terry Dubrow. from California to see me.

>> Terry Dubrow. Pleasure. >> Hi. Nicole. >> Terry Dubrow. from California to see me.

>> Hi. Nicole. >> Nice to meet you, Nicole. >> Terry Dubrow. from California to see me.

>> Nice to meet you, Nicole. >> Nice to meet you. >> Terry Dubrow. from California to see me.

>> Nice to meet you. >> Terry Dubrow. from California to see me. >> My first impression

>> Terry Dubrow. >> My first impression of Sabrina is that she's

>> Terry Dubrow. of Sabrina is that she's a beautiful girl.

>> Terry Dubrow. a beautiful girl. She's got a lot

>> Terry Dubrow. She's got a lot of really nice energy.

>> Terry Dubrow. of really nice energy. >> Welcome to Vegas.

>> Terry Dubrow. >> Welcome to Vegas. >> Thank you.

>> Terry Dubrow. >> Thank you. This guy is part of sort of

>> Terry Dubrow. This guy is part of sort of Vegas royalty, in a way.

>> Terry Dubrow. Vegas royalty, in a way. >> Oh, really?

>> Terry Dubrow. >> Oh, really? >> Yeah. He's got the same body

>> Terry Dubrow. >> Yeah. He's got the same body Elvis had at the end.

>> Terry Dubrow. Elvis had at the end. >> Ah, yes.

>> Terry Dubrow. >> Ah, yes. [laughter]

>> Terry Dubrow. [laughter] >> I'm kidding.

>> Terry Dubrow. >> I'm kidding. >> Terry, I may look like Elvis,

>> Terry Dubrow. >> Terry, I may look like Elvis, but you look like the Pope

>> Terry Dubrow. but you look like the Pope and Quagmire from "Family Guy"

>> Terry Dubrow. and Quagmire from "Family Guy" had a love child.

>> Terry Dubrow. had a love child. >> Most patients with ulcerative

>> Terry Dubrow. >> Most patients with ulcerative colitis are diagnosed

>> Terry Dubrow. colitis are diagnosed in their mid-30s.

>> Terry Dubrow. in their mid-30s. When were you diagnosed?

>> Terry Dubrow. When were you diagnosed? >> I was diagnosed at 18.

>> Terry Dubrow. >> I was diagnosed at 18. Going through high school,

>> Terry Dubrow. Going through high school, I was very active.

>> Terry Dubrow. I was very active. I was a cheerleader,

>> Terry Dubrow. I was a cheerleader, I played volleyball,

>> Terry Dubrow. I played volleyball, and then

>> Terry Dubrow. and then I actually got really sick.

>> Terry Dubrow. I actually got really sick. I was in the bathroom

>> Terry Dubrow. I was in the bathroom 25, 26 times a day,

>> Terry Dubrow. 25, 26 times a day, just couldn't keep anything in,

>> Terry Dubrow. just couldn't keep anything in, and my friends were out

>> Terry Dubrow. and my friends were out and having fun and hanging out,

>> Terry Dubrow. and having fun and hanging out, and I couldn't do anything.

>> Terry Dubrow. and I couldn't do anything. >> You were sick.

>> Terry Dubrow. >> You were sick. >> I was sick all the time.

>> Terry Dubrow. >> I was sick all the time. Ulcerative colitis causes

>> Terry Dubrow. Ulcerative colitis causes headaches, dehydration,

>> Terry Dubrow. headaches, dehydration, stomach pain,

>> Terry Dubrow. stomach pain, so I have to constantly

>> Terry Dubrow. so I have to constantly watch what I eat.

>> Terry Dubrow. watch what I eat. There's no more just going out

>> Terry Dubrow. There's no more just going out to eat with your friends.

>> Terry Dubrow. to eat with your friends. There's no more ordering

>> Terry Dubrow. There's no more ordering whatever you want and

>> Terry Dubrow. whatever you want and just eating whatever you want.

>> Terry Dubrow. just eating whatever you want. At that point,

>> Terry Dubrow. At that point, I had lost so much weight,

>> Terry Dubrow. I had lost so much weight, and I was really devastated

>> Terry Dubrow. and I was really devastated by losing all that weight

>> Terry Dubrow. by losing all that weight because I lost all my boobs.

>> Terry Dubrow. because I lost all my boobs. I lost, like, 25, 30 pounds

>> Terry Dubrow. I lost, like, 25, 30 pounds throughout

>> Terry Dubrow. throughout this whole experience,

>> Terry Dubrow. this whole experience, which for most people was great,

>> Terry Dubrow. which for most people was great, but for me, I just didn't feel

>> Terry Dubrow. but for me, I just didn't feel like myself anymore.

>> Terry Dubrow. like myself anymore. I found out from a coworker

>> Terry Dubrow. I found out from a coworker that she had just been

>> Terry Dubrow. that she had just been to a plastic surgeon.

>> Terry Dubrow. to a plastic surgeon. She was like, "At least

>> Terry Dubrow. She was like, "At least just go get a consultation."

>> Terry Dubrow. just go get a consultation." I was like, "Yeah, it can't

>> Terry Dubrow. I was like, "Yeah, it can't hurt," and then I went back

>> Terry Dubrow. hurt," and then I went back when my implants

>> Terry Dubrow. when my implants started shifting up,

>> Terry Dubrow. started shifting up, and he told me that it was

>> Terry Dubrow. and he told me that it was just me working out too much,

>> Terry Dubrow. just me working out too much, so I just stopped working out

>> Terry Dubrow. so I just stopped working out for a year.

>> Terry Dubrow. for a year. >> No one mentioned,

>> Terry Dubrow. >> No one mentioned, especially seeing the implants

>> Terry Dubrow. especially seeing the implants going up, capsular contracture?

>> Terry Dubrow. going up, capsular contracture? That word was not used?

>> Terry Dubrow. That word was not used? >> And you have a very unique

>> Terry Dubrow. >> And you have a very unique situation because

>> Terry Dubrow. situation because capsular contracture

>> Terry Dubrow. capsular contracture is a complication

>> Terry Dubrow. is a complication related to the immune system.

>> Terry Dubrow. related to the immune system. >> Oh.

>> Terry Dubrow. >> Oh. >> It's the immune system's

>> Terry Dubrow. >> It's the immune system's response to the foreign body,

>> Terry Dubrow. response to the foreign body, which is the implant,

>> Terry Dubrow. which is the implant, so you have a specialized

>> Terry Dubrow. so you have a specialized immune system that is,

>> Terry Dubrow. immune system that is, in a way, very aggressive,

>> Terry Dubrow. in a way, very aggressive, and you have a complication

>> Terry Dubrow. and you have a complication from plastic surgery

>> Terry Dubrow. from plastic surgery that's mediated by this

>> Terry Dubrow. that's mediated by this very specialized immune system.

>> Terry Dubrow. very specialized immune system. >> I didn't know that.

>> Terry Dubrow. >> I didn't know that. I think it's interesting

>> Terry Dubrow. I think it's interesting that nobody ever

>> Terry Dubrow. that nobody ever brought that up to me.

>> Terry Dubrow. >> Yeah, I was gonna say, "What's that?"

>> Terry Dubrow. "What's that?" >> Like, until you said that,

>> Terry Dubrow. >> Like, until you said that, I had no clue that anything

>> Terry Dubrow. I had no clue that anything maybe could've related.

>> Terry Dubrow. maybe could've related. I need the surgery

>> Terry Dubrow. I need the surgery because I can't date

>> Terry Dubrow. because I can't date because I'm self-conscious

>> Terry Dubrow. because I'm self-conscious about being

>> Terry Dubrow. about being without my clothes on.

>> Terry Dubrow. without my clothes on. Even going to work,

>> Terry Dubrow. Even going to work, it's been a struggle.

>> Terry Dubrow. it's been a struggle. It's getting worse.

>> Terry Dubrow. It's getting worse. Like, my body, it's not gonna

>> Terry Dubrow. Like, my body, it's not gonna tolerate it for much longer.

>> Terry Dubrow. tolerate it for much longer. >> Are you still having

>> Terry Dubrow. >> Are you still having a lot of pain from your breasts?

>> Terry Dubrow. a lot of pain from your breasts? >> I'm having pain

>> Terry Dubrow. >> I'm having pain on a regular basis.

>> Terry Dubrow. on a regular basis. My boob has pretty much

>> Terry Dubrow. My boob has pretty much moved up, I think,

>> Terry Dubrow. moved up, I think, as high as it can get

>> Terry Dubrow. as high as it can get before it reaches my neck.

>> Terry Dubrow. before it reaches my neck. >> Yeah.

>> Terry Dubrow. >> Yeah. >> I'm having, like,

>> Terry Dubrow. >> I'm having, like, low range of motion,

>> Terry Dubrow. low range of motion, can't extend my arms

>> Terry Dubrow. can't extend my arms too far back,

>> Terry Dubrow. too far back, can't pick up anything.

>> Terry Dubrow. can't pick up anything. I really feel like

>> Terry Dubrow. I really feel like I'm incapacitated.

>> Terry Dubrow. I'm incapacitated. >> What would you like?

>> Terry Dubrow. >> What would you like? >> I'd like to be

>> Terry Dubrow. >> I'd like to be a little bit bigger.

>> Terry Dubrow. a little bit bigger. If I could have the surgery,

>> Terry Dubrow. If I could have the surgery, I would want a full D

>> Terry Dubrow. I would want a full D and fuller-looking breasts.

>> Terry Dubrow. and fuller-looking breasts. >> This is a gown,

>> Terry Dubrow. >> This is a gown, open in the front.

>> Terry Dubrow. open in the front. Why don't you go

>> Terry Dubrow. Why don't you go in the other room,

>> Terry Dubrow. in the other room, and we'll come in

>> Terry Dubrow. and we'll come in and do a good exam, okay?

>> Terry Dubrow. and do a good exam, okay? >> Perfect.

>> Terry Dubrow. >> Perfect. >> Even though we're making

>> Terry Dubrow. >> Even though we're making house calls,

>> Terry Dubrow. house calls, we want to examine

>> Terry Dubrow. we want to examine Sabrina's breasts the same way

>> Terry Dubrow. Sabrina's breasts the same way we would in our medical offices,

>> Terry Dubrow. we would in our medical offices, so what we're gonna do is move

>> Terry Dubrow. so what we're gonna do is move to the den,

>> Terry Dubrow. to the den, which is similar

>> Terry Dubrow. which is similar to our exam rooms

>> Terry Dubrow. to our exam rooms and then get a better

>> Terry Dubrow. and then get a better understanding of her anatomy.

>> Terry Dubrow. understanding of her anatomy. >> Put your hands

>> Terry Dubrow. >> Put your hands on your hips and push.

>> Terry Dubrow. on your hips and push. Okay, now relax.

>> Terry Dubrow. Okay, now relax. Push.

>> Terry Dubrow. Push. Yeah, so you're

>> Terry Dubrow. Yeah, so you're under the muscle.

>> Terry Dubrow. under the muscle. Will you stand up?

>> Terry Dubrow. Will you stand up? >> Yeah.

>> Terry Dubrow. >> Yeah. >> Okay, you have

>> Terry Dubrow. >> Okay, you have capsular contracture

>> Terry Dubrow. capsular contracture with superior displacement

>> Terry Dubrow. with superior displacement where your implants

>> Terry Dubrow. where your implants have been moved up.

>> Terry Dubrow. have been moved up. >> Yeah, which is causing

>> Terry Dubrow. >> Yeah, which is causing your pain.

>> Terry Dubrow. your pain. >> Okay. Okay.

>> Terry Dubrow. >> Okay. Okay. >> Which is causing your pain

>> Terry Dubrow. >> Which is causing your pain and that's your primary

>> Terry Dubrow. and that's your primary functional problem.

>> Terry Dubrow. functional problem. >> Okay.

>> Terry Dubrow. >> Okay. >> Your cosmetic issue is that,

>> Terry Dubrow. >> Your cosmetic issue is that, when you compare the position

>> Terry Dubrow. when you compare the position of the nipple

>> Terry Dubrow. of the nipple to where the breast crease is--

>> Terry Dubrow. to where the breast crease is-- okay, so if your breast crease

>> Terry Dubrow. okay, so if your breast crease is here, your nipple position

>> Terry Dubrow. is here, your nipple position is just a little bit below it,

>> Terry Dubrow. is just a little bit below it, so you have a little bit

>> Terry Dubrow. so you have a little bit of droopiness.

>> Terry Dubrow. of droopiness. >> When you lost

>> Terry Dubrow. >> When you lost all the weight...

>> Terry Dubrow. all the weight... >> Mm-hmm.

>> Terry Dubrow. >> Mm-hmm. >> Your breasts fall?

>> Terry Dubrow. >> Your breasts fall? >> Mm-hmm.

>> Terry Dubrow. >> Mm-hmm. >> Sabrina has an immune system

>> Terry Dubrow. >> Sabrina has an immune system disorder, ulcerative colitis,

>> Terry Dubrow. disorder, ulcerative colitis, so we can't just go in,

>> Terry Dubrow. so we can't just go in, remove scar tissue,

>> Terry Dubrow. remove scar tissue, and put implants back.

>> Terry Dubrow. and put implants back. We have to be able to think

>> Terry Dubrow. We have to be able to think of something new and creative

>> Terry Dubrow. of something new and creative to prevent this

>> Terry Dubrow. to prevent this from happening again.

>> Terry Dubrow. from happening again. You have a classic problem

>> Terry Dubrow. You have a classic problem in a very complicated setting,

>> Terry Dubrow. in a very complicated setting, but we can do it.

>> Terry Dubrow. but we can do it. The simplest option

>> Terry Dubrow. The simplest option is to take the implants out.

>> Terry Dubrow. is to take the implants out. That has kind of

>> Terry Dubrow. That has kind of some advantages to it,

>> Terry Dubrow. some advantages to it, but the cosmetic

>> Terry Dubrow. but the cosmetic disadvantages are,

>> Terry Dubrow. disadvantages are, that you're gonna have

>> Terry Dubrow. that you're gonna have sort of a deflational,

>> Terry Dubrow. sort of a deflational, droopy breast

>> Terry Dubrow. droopy breast that you also won't feel

>> Terry Dubrow. that you also won't feel very comfortable with.

>> Terry Dubrow. very comfortable with. >> [laughs] Okay.

>> Terry Dubrow. >> [laughs] Okay. >> Choice B, take the implants

>> Terry Dubrow. >> Choice B, take the implants out, remove some scar tissue,

>> Terry Dubrow. out, remove some scar tissue, put a new pair back in

>> Terry Dubrow. put a new pair back in and do a little doughnut lift.

>> Terry Dubrow. and do a little doughnut lift. So here's the question.

>> Terry Dubrow. So here's the question. If you had a 25% chance

>> Terry Dubrow. If you had a 25% chance of getting a contracture again,

>> Terry Dubrow. of getting a contracture again, would you have breast implants?

>> Terry Dubrow. would you have breast implants? >> Probably.

>> Terry Dubrow. >> Probably. >> 35% chance?

>> Terry Dubrow. >> 35% chance? >> What happens

>> Terry Dubrow. >> What happens if it happens again?

>> Terry Dubrow. if it happens again? >> You just have to have

>> Terry Dubrow. >> You just have to have more surgery.

>> Terry Dubrow. more surgery. >> Good health is peace of mind,

>> Terry Dubrow. >> Good health is peace of mind, so if I can't have

>> Terry Dubrow. so if I can't have what I thought that I wanted,

>> Terry Dubrow. what I thought that I wanted, my health has to come first

>> Terry Dubrow. my health has to come first and foremost.

>> Terry Dubrow. and foremost. >> This is a Vegas

>> Terry Dubrow. >> This is a Vegas gamble situation.

>> Terry Dubrow. gamble situation. Yes or no on implants

>> Terry Dubrow. Yes or no on implants and yes or no on lift.

>> Terry Dubrow. and yes or no on lift. I don't know exactly

>> Terry Dubrow. I don't know exactly what to tell you to do.

>> Terry Dubrow. what to tell you to do. >> I don't like to gamble.

>> Terry Dubrow. >> I don't like to gamble. [laughs]

>> Terry Dubrow. [laughs] >> Yeah, I don't like to gamble,

>> Terry Dubrow. >> Yeah, I don't like to gamble, either, but I do go with my gut.

>> Terry Dubrow. either, but I do go with my gut. >> I'm gonna leave it

>> Terry Dubrow. >> I'm gonna leave it up to you I think.

>> Terry Dubrow. up to you I think. I trust him, and I don't feel

>> Terry Dubrow. I trust him, and I don't feel like he's going to

>> Terry Dubrow. like he's going to have me walk away

>> Terry Dubrow. have me walk away looking anything but great.

>> Terry Dubrow. looking anything but great. >> You could leave it up to me,

>> Terry Dubrow. >> You could leave it up to me, but I just want you

>> Terry Dubrow. but I just want you to think about it.

>> Terry Dubrow. to think about it. You have some time, okay?

>> Terry Dubrow. You have some time, okay? >> Yeah.

>> Terry Dubrow. >> Yeah. >> I prefer a patient make

>> Terry Dubrow. >> I prefer a patient make the decision for me because

>> Terry Dubrow. the decision for me because I don't want to disappoint them.

>> Terry Dubrow. I don't want to disappoint them. Great pleasure meeting you.

>> Terry Dubrow. Great pleasure meeting you. >> Nice to meet you.

>> Terry Dubrow. >> Nice to meet you. >> Nice meeting you.

>> Terry Dubrow. >> Nice meeting you. >> Thank you so much.

>> Terry Dubrow. >> Thank you so much. [rhythmic music]

>> Terry Dubrow. [rhythmic music] ♪ ♪

>> Terry Dubrow. ♪ ♪ >> [groans]

>> Terry Dubrow. >> [groans] Interesting, huh?

>> Terry Dubrow. Interesting, huh? >> If you can get her a B

>> Terry Dubrow. >> If you can get her a B that looks cute--

>> Terry Dubrow. that looks cute-- >> What I'm concerned about

>> Terry Dubrow. >> What I'm concerned about is that if I do a nice lift,

>> Terry Dubrow. is that if I do a nice lift, she has a nice pair of Bs,

>> Terry Dubrow. she has a nice pair of Bs, that she's gonna end up

>> Terry Dubrow. that she's gonna end up being unhappy.

>> Terry Dubrow. being unhappy. We can always put

>> Terry Dubrow. We can always put a pair of implants in there.

>> Terry Dubrow. a pair of implants in there. I don't know.

>> Terry Dubrow. I don't know. It's the art of plastic surgery.

>> Terry Dubrow. It's the art of plastic surgery. Rather than the sort of science,

>> Terry Dubrow. Rather than the sort of science, this is the art.

>> Terry Dubrow. this is the art. [country rock music]

>> Terry Dubrow. [country rock music] ♪ ♪

>> Huh? A little crepe here.

>> Huh? A little crepe here. Look at this, my brother.

Look at this, my brother. >> Wow.

>> Wow. >> Look at this.

>> Look at this. Vegas, it's the home

Vegas, it's the home to my Blizz frozen yogurt shops.

to my Blizz frozen yogurt shops. So you know what, we're here.

So you know what, we're here. We're having fun.

We're having fun. Let's indulge a little bit.

Let's indulge a little bit. It's Vegas, baby.

It's Vegas, baby. We have sweet and savory crepes.

We have sweet and savory crepes. Savory would be, like,

Savory would be, like, a pizza one.

a pizza one. >> Ooh, I want a pizza one.

>> Ooh, I want a pizza one. >> The sweet ones,

>> The sweet ones, like the Versailles has bananas

like the Versailles has bananas and strawberries and chocolate.

and strawberries and chocolate. >> A Versailles?

>> A Versailles? >> Yeah.

>> Yeah. >> I want a Versailles crepe.

>> I want a Versailles crepe. >> Well, I'm just telling you

>> Well, I'm just telling you what we have.

what we have. You gonna eat all those?

You gonna eat all those? >> I want that, yeah.

>> I want that, yeah. >> Then we also have

>> Then we also have Belgian waffles.

Belgian waffles. >> Can I have a Belgian waffle?

>> Can I have a Belgian waffle? I want a smoothie.

I want a smoothie. >> We have--

>> We have-- >> You have to have something

>> You have to have something to drink with this.

to drink with this. >> All right, well, what's

>> All right, well, what's the most popular smoothie?

the most popular smoothie? >> The Blizzberry is the most

>> The Blizzberry is the most popular smoothie.

popular smoothie. >> I want to try the Blizzberry.

>> I want to try the Blizzberry. What else is a good one?

What else is a good one? >> Wait, wait, hold on.

>> Wait, wait, hold on. That's enough.

That's enough. I'm happy that Terry wants

I'm happy that Terry wants to try some of my products

to try some of my products but not eat me

but not eat me out of house and home.

out of house and home. He's taking advantage of me

He's taking advantage of me a little bit.

a little bit. [playful music]

[playful music] ♪ ♪

♪ ♪ >> Mmm!

>> Mmm! So good.

So good. >> Do you always eat like this?

>> Do you always eat like this? What if Heather was here

What if Heather was here watching you eat like this?

watching you eat like this? >> She'd kill me.

>> She'd kill me. Whatever happens in Vegas

Whatever happens in Vegas stays in Vegas.

stays in Vegas. Mmm.

Mmm. >> Can we have some napkins,

>> Can we have some napkins, please?

please? >> I want another pizza.

>> I want another pizza. >> You don't need it.

>> You don't need it. >> My diet starts tomorrow.

>> Gonna see a lot

>> Gonna see a lot of farm life here.

of farm life here. >> Did you just fart?

>> Did you just fart? >> No. No, that's the cows.

>> No. No, that's the cows. >> Do not blame that on the cow.

>> Do not blame that on the cow. >> Sue the cows!

>> Sue the cows! >> No, no, no, no.

>> No, no, no, no. >> Look at 'em.

>> Look at 'em. >> No.

>> No. >> When they were in utero--

>> When they were in utero-- I think it's called

I think it's called twin-to-twin transfusion.

twin-to-twin transfusion. Usually, you're gonna do that,

Usually, you're gonna do that, and the other twin will

and the other twin will usually die, but he survived,

usually die, but he survived, but he has all these problems.

[country rock music]

♪ ♪ [country rock music]

♪ ♪ [country rock music] >> This is different.

>> This is different. This is not something

This is not something I'm used to.

>> Welcome to beautiful Merced, I'm used to.

>> Welcome to beautiful Merced, my friend. I'm used to.

my friend. We're visiting Merced, I'm used to.

We're visiting Merced, a farming community I'm used to.

a farming community in central California. I'm used to.

in central California. I'm used to. You're gonna see

You're gonna see a lot of farm life here.

a lot of farm life here. >> Yeah.

>> Yeah. >> Some cows for you.

>> Some cows for you. >> Really?

>> Really? >> Pigs, goats.

>> Pigs, goats. >> This ain't Beverly Hills,

>> This ain't Beverly Hills, baby.

baby. >> I love the idea

>> I love the idea of leaving Beverly Hills

of leaving Beverly Hills and getting

and getting in touch with nature.

in touch with nature. Now, Terry, I don't know

Now, Terry, I don't know how he's gonna hold up

how he's gonna hold up because the closest that

because the closest that he's gotten to a cow

he's gotten to a cow is by eating beef jerky.

is by eating beef jerky. That's about it.

That's about it. >> Did you just fart?

>> Did you just fart? >> No. No, that's the cows.

>> No. No, that's the cows. >> Do not blame that on the cow.

>> Do not blame that on the cow. >> Sue the cows!

>> Sue the cows! >> No, no, no, no.

>> No, no, no, no. >> Look at 'em!

>> Look at 'em! >> No.

>> No. Paul and I have working together

Paul and I have working together for so many years.

for so many years. I know the difference

I know the difference between Paul's stench

between Paul's stench and the cow's stench,

and the cow's stench, and I ain't buying it.

and I ain't buying it. >> So we're here to see

>> So we're here to see Nate Gomes.

Nate Gomes. Nate has a identical

Nate has a identical twin brother,

twin brother, but he does not look

but he does not look like his identical twin brother.

like his identical twin brother. When they were in utero--

When they were in utero-- I think it's called

I think it's called twin-to-twin transfusion.

twin-to-twin transfusion. Twin-to-twin transfusion

Twin-to-twin transfusion has nothing to do with DNA.

has nothing to do with DNA. It's a disease that the placenta

It's a disease that the placenta cuts off the blood supply

cuts off the blood supply to one of the twins.

to one of the twins. Usually, you're gonna do that,

Usually, you're gonna do that, and the other twin

and the other twin will usually die, remember that.

will usually die, remember that. >> Right.

>> Right. >> But he survived,

>> But he survived, but he has all these problems,

but he has all these problems, and he's got a normal

and he's got a normal twin brother.

twin brother. Doesn't have these problems.

Doesn't have these problems. Imagine how this makes Nate

Imagine how this makes Nate feel, to see his identical

feel, to see his identical twin brother all the time,

twin brother all the time, and they don't look alike

and they don't look alike at all.

at all. >> Nate actually has a really

>> Nate actually has a really difficult problem.

difficult problem. >> Yeah, I mean, I hope we can

>> Yeah, I mean, I hope we can help this guy.

help this guy. Let's go see him?

>> Hi!

>> Hi! >> Hello. Mom?

>> Hello. Mom? >> Hi, how are you?

>> Hi, how are you? >> Hi, so nice to meet you.

>> I'm Terry Dubrow. >> Hi, so nice to meet you.

>> I'm Terry Dubrow. Nice to meet you. >> Hi, so nice to meet you.

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

>> Nice to meet you. >> Dr. Nassif. >> Hi, so nice to meet you.

>> Dr. Nassif. >> I'm so glad you're here. >> Hi, so nice to meet you.

Please, come in, come in. >> Hi, so nice to meet you. >> Thank you.

>> Thank you. >> Why, hello.

>> Why, hello. >> Nice to meet you.

>> Nice to meet you. >> Nate, how are you?

>> Nate, how are you? >> Hey, Nate. Terry Dubrow.

>> Hey, Nate. Terry Dubrow. Nice to meet you.

Nice to meet you. >> Hey. Nice to meet you.

>> Hey. Nice to meet you. >> Dr. Nassif.

>> Dr. Nassif. >> My wife, Brandi.

>> The wife. >> My wife, Brandi.

>> The wife. >> I feel super excited >> My wife, Brandi.

>> I feel super excited and super nervous all at once, >> My wife, Brandi.

and super nervous all at once, getting the chance to meet both >> My wife, Brandi.

getting the chance to meet both Dr. Dubrow and Dr. Nassif >> My wife, Brandi.

Dr. Dubrow and Dr. Nassif and hopefully being able to >> My wife, Brandi.

and hopefully being able to get the procedure that I want. >> My wife, Brandi.

get the procedure that I want. >> I'll be honest with you. >> My wife, Brandi.

>> I'll be honest with you. >> My wife, Brandi. This is very different for us

This is very different for us because there's so many animals.

because there's so many animals. So you can just go up to any cow

So you can just go up to any cow and just, like, start

and just, like, start hitting on it and milking it?

hitting on it and milking it? >> You should introduce yourself

>> You should introduce yourself first, you know,

first, you know, offer 'em a date, and then--

offer 'em a date, and then-- >> A cocktail?

>> A cocktail? "Would you like a cocktail?"

"Would you like a cocktail?" >> Yeah, there we go.

>> Yeah, there we go. >> Buy 'em an appetizer.

>> Buy 'em an appetizer. >> Yeah.

>> Yeah. >> Yeah, honestly,

>> Yeah, honestly, if you want to milk a cow,

if you want to milk a cow, we can work that out.

we can work that out. It can happen.

It can happen. >> I think that should happen.

>> I think that should happen. >> Do you want to milk a cow?

>> Do you want to milk a cow? >> Why do you want

>> Why do you want to milk a cow?

to milk a cow? >> I think it's gonna be fun.

>> I think it's gonna be fun. >> You need a hobby.

>> You need a hobby. Tell us what situations

Tell us what situations he was born with.

he was born with. What did you notice?

What did you notice? >> First thing that I noticed,

>> First thing that I noticed, obviously, was

obviously, was the facial abnormalities.

the facial abnormalities. >> Okay.

>> Okay. >> I was born with a handful

>> I was born with a handful of problems,

of problems, a clubfoot, a hole in my heart,

a clubfoot, a hole in my heart, my eyes were

my eyes were pretty far separated,

pretty far separated, and basically looked like

and basically looked like I had two noses.

I had two noses. >> How many surgeries

>> How many surgeries he had on his face?

he had on his face? >> Three.

>> Three. >> Three.

>> Three. >> So before the first one,

>> So before the first one, what actually did he look like?

what actually did he look like? >> Beautiful.

>> Beautiful. >> I think it looked better.

>> I think it looked better. >> To fix my deformities,

>> To fix my deformities, I had 21 surgeries total.

I had 21 surgeries total. My surgeries have cost

My surgeries have cost over $2 million.

over $2 million. >> What was the first thing

>> What was the first thing they were focusing on?

they were focusing on? >> One eye was higher

>> One eye was higher than the other,

than the other, and his nostrils,

and his nostrils, one was higher than the other.

one was higher than the other. >> How much of an improvement

>> How much of an improvement did he get from that?

did he get from that? >> It didn't look like they had

>> It didn't look like they had done anything.

done anything. >> What was the next surgery

>> What was the next surgery he had on the face?

he had on the face? >> Rhinoplasty at ten and then

>> Rhinoplasty at ten and then my other facial reconstruction

my other facial reconstruction at 15.

at 15. >> What was that?

>> What was that? >> Tell us about that

>> Tell us about that facial reconstruction.

facial reconstruction. >> That one was just mainly

>> That one was just mainly to improve my nose once again.

to improve my nose once again. Once it was done healing,

Once it was done healing, I once again wasn't

I once again wasn't really pleased with it.

really pleased with it. >> I feel for Nate

>> I feel for Nate and his family.

and his family. I mean, of all the surgeries

I mean, of all the surgeries and then not to get the desired

and then not to get the desired result, that must be tough.

result, that must be tough. >> He never let any of

>> He never let any of his abnormalities influence him.

his abnormalities influence him. >> My freshman year,

>> My freshman year, I got my school schedule.

I got my school schedule. They put me in adaptive PE.

They put me in adaptive PE. That's PE for children

That's PE for children with special needs,

with special needs, and I had to tell them,

and I had to tell them, "I don't have special needs.

"I don't have special needs. I am fully capable

I am fully capable of playing sports,"

of playing sports," and sure enough, in high school,

and sure enough, in high school, I played baseball,

I played baseball, and I smacked the ball.

and I smacked the ball. That felt really good.

That felt really good. [laughs]

[laughs] >> How is that, having a brother

>> How is that, having a brother that does look

that does look different than you?

different than you? >> Honestly, I just saw him

>> Honestly, I just saw him as my brother,

and I didn't see any, like, as my brother,

and I didn't see any, like, abnormalities at all. as my brother,

abnormalities at all. as my brother, It just seemed normal to me.

It just seemed normal to me. >> What about from the whole

>> What about from the whole girl scene

girl scene growing up and stuff?

growing up and stuff? >> I always had the game.

>> I always had the game. He didn't though.

He didn't though. [laughter]

[laughter] >> Really?

>> Really? You went out

You went out with more girls than him?

with more girls than him? >> He was shyer though,

>> He was shyer though, and he was more--

and he was more-- >> Yeah, he's more

>> Yeah, he's more the social one.

the social one. >> Any of this affected you?

>> Any of this affected you? I mean, obviously you fell

I mean, obviously you fell in love with Nate the way he is.

in love with Nate the way he is. >> I mean, I want his breathing

>> I mean, I want his breathing to get better.

to get better. That's the nose I met him with.

That's the nose I met him with. It'd be nice to keep it,

It'd be nice to keep it, but I want him to be happy.

but I want him to be happy. >> Nate, why do you want

>> Nate, why do you want to have your nose done?

to have your nose done? Breathing mostly or is there

Breathing mostly or is there some cosmetic aspects to it?

some cosmetic aspects to it? >> Breathing and--

>> Breathing and-- When my sons grow older,

When my sons grow older, I don't want them

I don't want them to have friends come over and--

to have friends come over and-- >> Be teased.

>> Be teased. >> And yeah, asking why

>> And yeah, asking why he looks different than my dad.

he looks different than my dad. I don't want to have to have

I don't want to have to have my kids be picked on

my kids be picked on like I was picked on.

like I was picked on. >> Well, the next step

>> Well, the next step we want to do is to examine you,

we want to do is to examine you, because I have to tell you,

because I have to tell you, I don't know yet what can we do,

I don't know yet what can we do, so can you guys go

so can you guys go into the next room, and

into the next room, and we'll be there in just a minute.

we'll be there in just a minute. >> Yes, okay.

>> Okay, you got a hole

>> Okay, you got a hole in there.

in there. So there's no nasal bone

So there's no nasal bone at all that I can feel.

at all that I can feel. This is a doozy of a procedure.

This is a doozy of a procedure. It's an 11 out of a scale

It's an 11 out of a scale of 1 through 10.

of 1 through 10. [steer moos]

[steer moos] Wait a minute, wait a minute.

Wait a minute, wait a minute. What are you doing?

What are you doing? >> I'm putting on my gloves.

>> I'm putting on my gloves. >> Really?

>> Really? >> I don't know where her udders

>> I don't know where her udders have been.

[upbeat music]

[upbeat music] ♪ ♪

♪ ♪ >> That's just--

>> That's just-- this is a bright light.

>> Yes, it is. this is a bright light.

>> Yes, it is. this is a bright light. >> Okay, you got a hole

>> Okay, you got a hole in there.

in there. The perforation can be

The perforation can be due to his previous surgery,

due to his previous surgery, and this is probably

and this is probably what's causing

what's causing some of his nasal obstruction.

some of his nasal obstruction. So there's no nasal bone

So there's no nasal bone at all that I can feel.

Your breathing, I can see, at all that I can feel.

Your breathing, I can see, is compromised. at all that I can feel.

is compromised. at all that I can feel. When I look in your nose,

When I look in your nose, you do have a deviated septum.

you do have a deviated septum. You have a little hole

You have a little hole back there still,

back there still, and the biggest thing

and the biggest thing that we were trying to do is,

that we were trying to do is, we would have to take a little

we would have to take a little bit of cartilage from somewhere.

bit of cartilage from somewhere. We build you a new nose.

We build you a new nose. One would be to take

One would be to take the piece of rib.

the piece of rib. The second one would also be

The second one would also be to take a piece of skin

to take a piece of skin and cartilage from your ear.

and cartilage from your ear. This is a doozy of a procedure.

This is a doozy of a procedure. In addition

In addition to reconstructing the nose,

to reconstructing the nose, giving it a good,

giving it a good, solid foundation with cartilage,

solid foundation with cartilage, I also have to make it

I also have to make it aesthetically pleasing.

aesthetically pleasing. It's an 11

It's an 11 out of a scale of 1 through 10.

out of a scale of 1 through 10. I think that we have

I think that we have a good chance of really

a good chance of really improving your breathing.

improving your breathing. >> Okay.

>> Okay. >> I just can't tell you

>> I just can't tell you the percentage

the percentage of cosmetic improvement.

>> Can I just see something? of cosmetic improvement.

>> Can I just see something? Look at me for a sec. of cosmetic improvement.

>> What you thinking?

>> What you thinking? >> If he came into you,

>> If he came into you, blank slate, and he said,

blank slate, and he said, "What's the number one thing

"What's the number one thing you would do to my face,"

you would do to my face," what would you say?

what would you say? >> It would be

>> It would be the whole eye area.

the whole eye area. >> Yeah.

>> Yeah. >> From a plastic surgery

>> From a plastic surgery standpoint,

standpoint, Nate has hypertelorism.

Nate has hypertelorism. >> Right, his eyes are very far

>> Right, his eyes are very far apart, and they're asymmetrical.

apart, and they're asymmetrical. And this is very big on you.

And this is very big on you. It's exaggerated

It's exaggerated the hollowness in here.

the hollowness in here. >> So if there's something that

>> So if there's something that we could even do to change that,

we could even do to change that, lift up the corner of the eyes,

lift up the corner of the eyes, add volume,

add volume, take care of your neck,

take care of your neck, soften your cheek area,

soften your cheek area, do your nose,

do your nose, what do you think of that?

what do you think of that? >> I am 100% on board

>> I am 100% on board with the surgery.

with the surgery. >> For me, you just became

>> For me, you just became a very exciting case.

a very exciting case. >> I'm not asking

>> I'm not asking for the perfect nose.

for the perfect nose. I'm just asking to look

I'm just asking to look like everyone else.

like everyone else. >> Well, listen, thank you guys

>> Well, listen, thank you guys for having us in your house.

for having us in your house. >> Yeah, we want to thank you

>> Yeah, we want to thank you for welcoming us here.

for welcoming us here. >> Thank you.

>> Thank you. >> Thank you for coming here.

>> Thank you for coming here. >> It's been amazing.

>> It's been amazing. >> Now we just got to do

>> Now we just got to do some cow milking,

some cow milking, and we'll be all set.

and we'll be all set. >> Can't I just do this?

>> Can't I just do this? >> Thank you.

>> Thank you. >> Here, make--

>> Here, make-- [laughter]

[laughter] >> Coming into this exam,

>> Coming into this exam, thinking

thinking I was getting a simple nose job

I was getting a simple nose job and them telling me

and them telling me the possibilities of doing

the possibilities of doing a full facial reconstruction,

a full facial reconstruction, I couldn't be more excited

I couldn't be more excited to move on with the surgery,

to move on with the surgery, and I'm just super pumped.

>> It's a hard nose.

>> It's a hard nose. >> [laughs] Wow.

>> [laughs] Wow. >> I don't know,

>> I don't know, because remember,

because remember, there's no bones there.

there's no bones there. >> And he's gotten wider

>> And he's gotten wider this way as he's gotten older.

this way as he's gotten older. >> But trying to make

>> But trying to make that nose better--I mean,

that nose better--I mean, the breathing I know

the breathing I know I can take care of.

I can take care of. >> Yeah, this is about

>> Yeah, this is about as hard as it gets.

as hard as it gets. >> Yeah.

>> Yeah. [steer moos]

[steer moos] [upbeat music]

[upbeat music] ♪ ♪

♪ ♪ Where my boots?

Where my boots? I need some boots.

I need some boots. Look at the baby!

Look at the baby! I know I've been on Terry's case

I know I've been on Terry's case about milking cows

about milking cows ever since we got here, but now,

ever since we got here, but now, thanks to Nate as his family,

thanks to Nate as his family, we'll be able to get

we'll be able to get up close and personal.

up close and personal. >> It's my understanding

>> It's my understanding that one of your desires

is to milk a cow. that one of your desires

is to milk a cow. >> Yeah. that one of your desires

>> Yeah. that one of your desires >> One thing I don't want to do

>> One thing I don't want to do is get my feet dirty.

is get my feet dirty. >> So Paul signs us up

>> So Paul signs us up for milking a cow,

for milking a cow, and he's wearing

and he's wearing designer leather shoes.

designer leather shoes. First of all, very insulting

First of all, very insulting to the cows, and secondly,

to the cows, and secondly, who wears designer shoes

who wears designer shoes to a dairy farm?

to a dairy farm? >> This is one of our

>> This is one of our favorite gals here.

favorite gals here. Let me give you

Let me give you a quick lesson here.

a quick lesson here. >> Oops.

>> Oops. >> Obviously, we're gonna

>> Obviously, we're gonna come down here like this.

come down here like this. We're gonna let her know

We're gonna let her know we're here,

we're here, and what we do here is...

>> Oh, wow, look at that. >> We kind of gently squeeze

>> We kind of gently squeeze and pull down at the same time.

and pull down at the same time. Okay?

Okay? >> Wait a minute, wait a minute.

>> Wait a minute, wait a minute. What are you doing?

What are you doing? >> I'm putting on my gloves.

>> I'm putting on my gloves. >> He's getting ready to do

>> He's getting ready to do surgery, it looks like.

surgery, it looks like. >> No, I mean, when you

>> No, I mean, when you examine patients,

examine patients, don't you wear gloves usually?

don't you wear gloves usually? >> Really?

>> Really? >> I don't know where

>> I don't know where her udders have been.

her udders have been. >> [groans]

>> [groans] [cow moos]

[cow moos] There we go.

There we go. >> Look at that.

>> Look at that. You're pretty good at that.

You're pretty good at that. >> And by the way, now it's

>> And by the way, now it's your turn, my friend of love.

>> You really think I need to do this?

to do this? >> Of course.

>> Of course. >> Hi.

>> Hi. How are you?

How are you? I'm married, you know,

I'm married, you know, so this is purely clinical.

so this is purely clinical. >> Why don't you buy her

>> Why don't you buy her a cocktail first?

a cocktail first? >> Okay. Hello.

>> Okay. Hello. Hello there.

Hello there. >> Get closer.

>> Get closer. >> [imitates cow mooing]

>> [imitates cow mooing] Oh, you know what this

Oh, you know what this reminds me of,

reminds me of, actually a little bit?

actually a little bit? >> Every night after Heather

>> Every night after Heather falls asleep?

falls asleep? Oh, she's gonna kill me.

Oh, she's gonna kill me. All right.

All right. >> Oh, baby, yeah.

>> Oh, baby, yeah. >> Okay, I think you've

>> Okay, I think you've done enough.

done enough. >> Oh.

>> Oh. Whew, I need a cigarette now.

Whew, I need a cigarette now. [laughs]

[laughs] >> You guys want to see what

>> You guys want to see what the fruits of your labor is?

the fruits of your labor is? You accomplished

You accomplished about an ounce and a half...

about an ounce and a half... >> Let's see.

>> Let's see. >> Is about what you

>> Is about what you accomplished there.

accomplished there. >> Boy, with that and Equal,

>> Boy, with that and Equal, you got enough

you got enough for a good cup of coffee.

for a good cup of coffee. >> Hey, I have coffee for you.

>> Hey, I have coffee for you. >> Awesome.

>> Awesome. Oh, it's nice and cold outside.

Oh, it's nice and cold outside. >> Hey. [laughs]

>> Hey. [laughs] >> As excited as I am

>> As excited as I am about the surgery,

about the surgery, I am also very nervous

I am also very nervous about having kids

about having kids and wondering what their minds

and wondering what their minds are gonna go through

are gonna go through when they see me

when they see me for the first time

for the first time after surgery.

after surgery. >> I think it'll be good...

>> I think it'll be good... >> Yeah.

>> Yeah. >> For you to finally have

>> For you to finally have the face that you were

the face that you were supposed to have,

supposed to have, like your twin.

like your twin. >> Hmm.

>> Hmm. >> [laughs]

>> [laughs] >> You'll be okay with that?

>> You'll be okay with that? >> Yeah.

>> Yeah. Nate has had a long journey,

Nate has had a long journey, and it'd be great to finally

and it'd be great to finally close this chapter of his life.

close this chapter of his life. >> It's such a blessing to have

>> It's such a blessing to have kids not having to go

kids not having to go through surgeries

through surgeries like me as a kid,

like me as a kid, and it'd be awesome

and it'd be awesome for them to grow up

for them to grow up with a normal-looking dad.

with a normal-looking dad. >> But you know I love you

>> But you know I love you just for how you are.

just for how you are. >> And I appreciate that

>> And I appreciate that every day.

>> Can you give me some kind

>> Can you give me some kind of direction of, like,

of direction of, like, "I really want upper fullness,

"I really want upper fullness, and I don't want to be smaller."

and I don't want to be smaller." >> I just want them

>> I just want them to look good.

to look good. >> I don't see anything

>> I don't see anything that looks at all similar

that looks at all similar to normal anatomy or cartilage.

[upbeat music]

[upbeat music] ♪ ♪

♪ ♪ >> Hi.

>> Hi. >> Hi, Sabrina. How are you?

>> Hi, Sabrina. How are you? >> Good. Here to check in

>> Good. Here to check in for surgery with Dr. Dubrow.

for surgery with Dr. Dubrow. >> Okay, go ahead and sign in

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

and we'll get you taken right back.

right back. >> My last surgery, I really

didn't know the complications >> My last surgery, I really

didn't know the complications that could occur after >> My last surgery, I really

that could occur after and what I was really in for, >> My last surgery, I really

and what I was really in for, >> My last surgery, I really and now I'm definitely aware

and now I'm definitely aware of the risk

of the risk and a little more nervous.

and a little more nervous. >> Sabrina, how are you?

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

>> Hi. Good. >> Good to see you.

>> Good to see you. >> Nice to see you.

>> Nice to see you. >> Can you give me

>> Can you give me some kind of direction of, like,

"I really want upper fullness, some kind of direction of, like,

"I really want upper fullness, and I don't want to be smaller." some kind of direction of, like,

and I don't want to be smaller." Can you tell me? some kind of direction of, like,

Can you tell me? Give me something. some kind of direction of, like,

Give me something. some kind of direction of, like, >> I definitely think

>> I definitely think that health comes first.

that health comes first. >> Okay.

>> Okay. >> So the lift and taking them

>> So the lift and taking them out, obviously we decided on,

out, obviously we decided on, hands down.

hands down. Then if I can go

Then if I can go without the implants,

without the implants, I'll go without the implants.

I'll go without the implants. >> Okay.

>> Okay. >> And then if I have to have

>> And then if I have to have the implants,

the implants, then I'll take what comes

then I'll take what comes after the implants.

after the implants. >> So basically,

>> So basically, do whatever I want?

do whatever I want? >> Yes.

>> Yes. [laughter]

[laughter] This is what my general plan is.

This is what my general plan is. Go in there, make an incision,

Go in there, make an incision, take the implants out.

take the implants out. I'm gonna take some scar tissue

I'm gonna take some scar tissue out, see how they look.

out, see how they look. If they look at all good

If they look at all good without implants,

without implants, maybe we'll just stop there.

maybe we'll just stop there. >> Okay.

>> Okay. I just want them

I just want them to look good.

to look good. >> Okay.

>> Okay. This is really one of those

This is really one of those cases where

cases where we're gonna put on a balance--

we're gonna put on a balance-- a scale of risks, benefits,

a scale of risks, benefits, advantages, disadvantages,

advantages, disadvantages, and whichever one sort of really

and whichever one sort of really overwhelmingly wins,

overwhelmingly wins, that's what we're going to

that's what we're going to choose today.

choose today. For Sabrina's surgery today,

For Sabrina's surgery today, I'll start by making incisions

I'll start by making incisions under her areolae

under her areolae to remove her implants as well

to remove her implants as well as any existing scar tissue.

as any existing scar tissue. I will then assess whether

I will then assess whether or not she's a good candidate

or not she's a good candidate for breast implants.

for breast implants. If she is, I will then place two

If she is, I will then place two appropriately-sized implants,

appropriately-sized implants, giving her

giving her a normal breast shape.

a normal breast shape. Either way, I'll finish by

Either way, I'll finish by performing a doughnut lift,

performing a doughnut lift, making her areolae smaller

making her areolae smaller and ultimately

and ultimately correcting Sabrina's droopiness.

correcting Sabrina's droopiness. First thing we'll do is make

First thing we'll do is make an incision underneath

an incision underneath the areola and go in

the areola and go in and assess the pockets,

and assess the pockets, see how much scar tissue

see how much scar tissue there is.

there is. So there's both scar tissue

So there's both scar tissue in here and

in here and inadequate muscle release.

inadequate muscle release. They've been up there

They've been up there for so long,

for so long, they don't want to come out.

they don't want to come out. Look, she has a tubular

Look, she has a tubular component to her breast too.

component to her breast too. Boy, this is really

Boy, this is really totally inadequately released.

totally inadequately released. I think she actually

I think she actually is not very encapsulated.

is not very encapsulated. There isn't

There isn't very much scar tissue in there.

very much scar tissue in there. It's just that she has

It's just that she has a congenital deformity

a congenital deformity of a very tuberous breast,

of a very tuberous breast, and the surgery that was done

and the surgery that was done on her didn't release

on her didn't release the muscle enough,

the muscle enough, so it's giving the appearance

so it's giving the appearance as though she has

as though she has a ton of scar tissue

a ton of scar tissue when she actually doesn't.

when she actually doesn't. She has now become,

She has now become, in my opinion,

in my opinion, a better risk for breast

a better risk for breast implant surgery,

implant surgery, which is good for her.

which is good for her. Sabrina doesn't have

Sabrina doesn't have very much scar tissue,

very much scar tissue, so I feel really safe

so I feel really safe in putting breast implants

in putting breast implants back in her chest.

back in her chest. We're gonna sit her up,

We're gonna sit her up, and we'll get an idea

and we'll get an idea of what she's looking like

of what she's looking like naturally now.

naturally now. The right breast is actually

The right breast is actually almost acceptable.

almost acceptable. >> Lift?

>> Lift? >> Yeah, but that would be

>> Yeah, but that would be too small.

too small. Since implants are safe,

Since implants are safe, let's give the girl

let's give the girl some Ds, all right?

some Ds, all right? >> Whoo.

>> Whoo. >> I'm gonna double down

>> I'm gonna double down on Ds, baby.

on Ds, baby. I'm going to give Sabrina

I'm going to give Sabrina D-cup size breasts,

D-cup size breasts, which will really help me

which will really help me because she has

because she has a tuberous breast deformity

a tuberous breast deformity where the base is very narrow,

where the base is very narrow, and the larger I go,

and the larger I go, the more she can have round,

the more she can have round, expanded breasts,

expanded breasts, which is really what she wants.

which is really what she wants. We're gonna use a very narrow

We're gonna use a very narrow implant called an extra full

implant called an extra full that exactly matches

that exactly matches the dimensions of her breasts,

the dimensions of her breasts, which are more narrow

which are more narrow and tuberous.

and tuberous. This should maximize her chances

This should maximize her chances of a nice shape,

of a nice shape, and then we'll do a lift

and then we'll do a lift around the areolae,

around the areolae, reducing her areolae.

reducing her areolae. Now that Sabrina has the right

Now that Sabrina has the right size breasts in her pocket,

size breasts in her pocket, all I have to do is

all I have to do is a little lift to relieve her

a little lift to relieve her of that droopiness she has.

of that droopiness she has. So I'm doing a lift

So I'm doing a lift around the areola now,

around the areola now, making it much smaller,

making it much smaller, about the size of a poker chip.

about the size of a poker chip. All right, let's put the implant

All right, let's put the implant in the other side.

in the other side. >> Okay.

>> Okay. >> Now it's all about

>> Now it's all about breast symmetry.

breast symmetry. I've got to get the right breast

I've got to get the right breast to look like the left breast.

These look good.

These look good. >> Really good.

>> Really good. >> Yeah, right?

>> Yeah, right? >> Yeah.

>> Yeah. >> Sabrina's doubled down

>> Sabrina's doubled down on double Ds.

on double Ds. Okay.

Okay. [claps]

[claps] Jackpot.

Jackpot. Let's wrap this.

>> Hello.

>> Hello. >> Good morning, Nate.

>> Good morning, Nate. >> Good morning.

>> Good morning. >> Go ahead and sign right here.

>> Getting the chance to go >> Go ahead and sign right here.

>> Getting the chance to go out to a big city like L.A. >> Go ahead and sign right here.

out to a big city like L.A. >> Go ahead and sign right here. for the first time

for the first time is just awesome,

is just awesome, and to have a chance to go

and to have a chance to go through surgery with Dr. Nassif

through surgery with Dr. Nassif is just remarkable.

is just remarkable. I'm excited.

I'm excited. Are you as excited as I am?

>> I'm a little nervous. Are you as excited as I am?

>> I'm a little nervous. >> I'm pretty nervous too. Are you as excited as I am?

>> I'm pretty nervous too. >> Okay, Nate, Are you as excited as I am?

>> Okay, Nate, Are you as excited as I am? we're ready for you.

we're ready for you. Come on back.

Come on back. >> My hopes for after

>> My hopes for after the surgery

the surgery are that I will be able

are that I will be able to finally breathe normally

to finally breathe normally and just go out in public

and just go out in public with my family

with my family and just enjoy my time

and just enjoy my time ant not worry about people

ant not worry about people staring at me

for the wrong reason. staring at me

for the wrong reason. >> Where is our good friend? staring at me

>> Where is our good friend? staring at me >> Hey.

>> Hey. >> Mr. Nate.

>> Mr. Nate. >> How are you doing?

>> How are you doing? >> So Dr. Parsa

>> So Dr. Parsa is our super specialist

is our super specialist for the eyes.

for the eyes. Dr. Parsa

Dr. Parsa is an oculoplastic surgeon,

which means that he specializes is an oculoplastic surgeon,

which means that he specializes in certain conditions around is an oculoplastic surgeon,

in certain conditions around is an oculoplastic surgeon, the eye that I don't mess with.

the eye that I don't mess with. We're doing a direct brow lift.

We're doing a direct brow lift. >> Yes, and a ptosis repair

>> Yes, and a ptosis repair on this right side,

on this right side, where we go from the inside

where we go from the inside of your eyelid

of your eyelid and do the procedure that way.

and do the procedure that way. >> Nate's case

>> Nate's case is extremely difficult,

is extremely difficult, and we have to do everything

and we have to do everything in the book to help improve him.

in the book to help improve him. You know, he's been living

You know, he's been living with this for all his life,

with this for all his life, and I would love to give him

and I would love to give him an absolute transformation,

an absolute transformation, but I just have that feeling

but I just have that feeling that we're gonna make

that we're gonna make a lot of little changes

a lot of little changes and get his quality of life

and get his quality of life a little better,

a little better, where he feels more confident.

where he feels more confident. >> Yeah.

>> Yeah. >> I think that'd be fantastic.

>> I think that'd be fantastic. Today is Nate's surgery,

Today is Nate's surgery, and boy, it is a doozy.

and boy, it is a doozy. First I'll start

First I'll start with liposuction

with liposuction on the neck and jaw,

on the neck and jaw, while my team harvests fat

while my team harvests fat from his abdomen.

from his abdomen. I'll then make an incision

I'll then make an incision below his jaw line and tighten

below his jaw line and tighten the underlying muscles,

the underlying muscles, giving his neck more definition,

giving his neck more definition, as Dr. Peng removes

as Dr. Peng removes a rib from his chest wall.

a rib from his chest wall. Next, it's Dr. Parsa's turn to

Next, it's Dr. Parsa's turn to work his magic on Nate's eyes,

work his magic on Nate's eyes, lifting both his brows as well

lifting both his brows as well as his right droopy eyelid.

as his right droopy eyelid. When he's finished, we'll inject

When he's finished, we'll inject the good fat into his face,

the good fat into his face, filling out the hollow areas

filling out the hollow areas and then tackle the nose,

and then tackle the nose, fracturing

fracturing the small nasal bones,

the small nasal bones, and building it from the ground

and building it from the ground up with spreader grafts made

up with spreader grafts made from rib and composite grafts

from rib and composite grafts from ear cartilage

from ear cartilage so Nate can breathe.

so Nate can breathe. I want to start with the lipo.

I want to start with the lipo. Let's see what kind of fat

Let's see what kind of fat we get out of his neck.

we get out of his neck. How's it going down there

How's it going down there in his abdomen, Dr. Peng?

in his abdomen, Dr. Peng? >> It's going pretty well.

>> It's going pretty well. How much fat

How much fat do you think you need?

do you think you need? >> Well, I'd like to have,

>> Well, I'd like to have, for his face,

for his face, maybe 10 to 12 ccs.

maybe 10 to 12 ccs. >> Perfect.

>> Perfect. You will definitely get that.

You will definitely get that. >> Okay, we're starting

>> Okay, we're starting the platysmaplasty.

the platysmaplasty. Platysmaplasty is

Platysmaplasty is when we isolate the muscles,

when we isolate the muscles, lift them up a little bit

lift them up a little bit from your neck,

from your neck, and the stitch them together,

and the stitch them together, and that gives you

and that gives you a tighter neck.

a tighter neck. You know, there's a lot

You know, there's a lot of blood vessels in the neck,

of blood vessels in the neck, so I have to be very careful

so I have to be very careful because if we injure

because if we injure a blood vessel in the neck,

a blood vessel in the neck, that's really not a good thing.

that's really not a good thing. We don't want a hematoma,

We don't want a hematoma, which is a collection of blood

which is a collection of blood in the neck area,

in the neck area, because that's not a good area

because that's not a good area to have a hematoma because

to have a hematoma because that's where is airway is.

that's where is airway is. Right now what I'm doing is,

Right now what I'm doing is, I'm removing fat in between

I'm removing fat in between these two muscle bands,

these two muscle bands, and the more fat there is,

and the more fat there is, the better for the result

the better for the result that we're gonna get for Nate.

that we're gonna get for Nate. I need suction.

I need suction. I got a little, small bleeder

I got a little, small bleeder right here I want to deal with.

right here I want to deal with. >> Oh, no.

>> Oh, no. >> I want to find out

>> I want to find out where it is.

where it is. [suction]

[suction] Okay, clean that.

Okay, clean that. I cannot get any more

I cannot get any more aggressive than this.

aggressive than this. Okay, so you're up.

Okay, so you're up. Let's get that brow done.

Let's get that brow done. >> All right, let's do it.

>> All right, let's do it. All right, so we're just gonna

All right, so we're just gonna make our incision.

make our incision. We try to hide the incision

We try to hide the incision right on the hairline,

right on the hairline, and once everything's removed,

and once everything's removed, we go ahead and anchor

we go ahead and anchor the eyebrows higher to the bone.

the eyebrows higher to the bone. >> While we're stitching up

>> While we're stitching up the eyes,

the eyes, I'm gonna do the fat grafting.

I'm gonna do the fat grafting. There's nothing like having

There's nothing like having three doctors operate at once.

three doctors operate at once. Talk about efficiency.

Talk about efficiency. >> We got it covered.

>> We got it covered. >> Three doctors, baby.

>> Three doctors, baby. >> Yeah.

>> Yeah. >> If I did not have my team,

>> If I did not have my team, we'd be in surgery

we'd be in surgery for who knows how long,

for who knows how long, but this way,

but this way, we cut down the surgery time.

we cut down the surgery time. Essentially, it's safer

Essentially, it's safer for the patient.

for the patient. So this will be very interesting

So this will be very interesting to see what we find

to see what we find in Nate's nose.

in Nate's nose. I don't see anything

I don't see anything that looks at all similar

that looks at all similar to normal anatomy or cartilage.

to normal anatomy or cartilage. While in utero,

While in utero, Nate suffered numerous defects,

Nate suffered numerous defects, and that's due to this

and that's due to this twin-to-twin transfusion,

twin-to-twin transfusion, and basically,

and basically, how it affected his nose,

how it affected his nose, he does not have normal

he does not have normal developed bone and cartilage,

developed bone and cartilage, and that's what I need

and that's what I need to make his nose look normal,

to make his nose look normal, so now I'm gonna have to

so now I'm gonna have to reconstruct,

reconstruct, rebuild his nose with his rib,

rebuild his nose with his rib, with tissue from the ears,

with tissue from the ears, and hopefully,

and hopefully, I can give him somewhat

I can give him somewhat of a normal-looking nose.

of a normal-looking nose. We're opening the airway.

We're opening the airway. We're making it more functional,

We're making it more functional, but overall, the tip,

but overall, the tip, aesthetically,

aesthetically, is just not pleasing.

is just not pleasing. We'll have to just keep striving

We'll have to just keep striving until we make

until we make these small adjustments

these small adjustments on the tip

on the tip to see really where we can get.

to see really where we can get. I mean, his dorsum,

I mean, his dorsum, we're gonna have to understand,

we're gonna have to understand, is gonna be wide.

is gonna be wide. I did everything I can.

I did everything I can. I mean, I know that his profile

I mean, I know that his profile will look better,

will look better, the nose will be straighter,

the nose will be straighter, and his airway will be open.

and his airway will be open. Our whole goal was to take him--

Our whole goal was to take him-- to make him look

to make him look a little better looking,

a little better looking, and one, his neck came out

and one, his neck came out better than I thought.

better than I thought. The nose, his airway

The nose, his airway is gonna be

is gonna be 75% to 80% better,

75% to 80% better, so I think we actually ended up

so I think we actually ended up getting more than I thought

getting more than I thought we were gonna get.

we were gonna get. Now he has to heal,

Now he has to heal, and let's get him

and let's get him breathing really well.

breathing really well. Okay, thank you, guys.

Look at you.

Look at you. Look who the cat dragged in.

Look who the cat dragged in. >> It feels like I got hit

>> It feels like I got hit by a bus.

by a bus. I wish it was a party bus.

>> Hello.

>> Hello. >> Hi.

>> Hi. >> Hello.

>> Hello. >> both: Hi.

>> both: Hi. >> How are you guys?

>> How are you guys? >> both: Good.

>> both: Good. >> How are you?

>> How are you? >> I'm good.

>> I'm good. So, how do you feel?

>> Good. So, how do you feel?

>> Okay, I'll see you later then.

then. >> No.

>> No. [laughter]

[laughter] Waking up this morning,

Waking up this morning, I did not have that

excruciating pain in my chest I did not have that

excruciating pain in my chest that I've woken up with I did not have that

that I've woken up with every single day I did not have that

every single day for the past eight years, I did not have that

for the past eight years, and it was so refreshing. I did not have that

and it was so refreshing. I did not have that >> I took the implants out.

>> I took the implants out. >> Okay.

>> Okay. >> I released all the muscle.

>> I released all the muscle. But what actually I found

But what actually I found in there was very little

in there was very little capsular contracture...

capsular contracture... >> Oh.

>> Oh. >> Very little to no scarring.

>> Very little to no scarring. I made incisions.

I made incisions. I remodeled your breast tissue,

so let's see I remodeled your breast tissue,

so let's see what they look like. I remodeled your breast tissue,

what they look like. I remodeled your breast tissue, So obviously, today I'm looking

So obviously, today I'm looking for nipple health.

for nipple health. You had 300-cc saline implants,

You had 300-cc saline implants, which had been inflated to 330.

which had been inflated to 330. I put in--wait for it--545.

I put in--wait for it--545. >> Yeah.

>> Yeah. >> I know, right?

>> I know, right? >> I'm really excited that

>> I'm really excited that I'm gonna have full breasts

I'm gonna have full breasts because I had been living

because I had been living with uneven,

with uneven, tubular-shaped breasts

tubular-shaped breasts for a majority of my adulthood.

for a majority of my adulthood. >> Okay, that's what I'm

>> Okay, that's what I'm talking about.

talking about. That's pretty good.

That's pretty good. Sabrina's breasts actually

Sabrina's breasts actually look really good in the early

look really good in the early post-operative period,

post-operative period, and then I'm very optimistic

and then I'm very optimistic that ultimately,

that ultimately, she'll have a good result.

she'll have a good result. I'm happy.

I'm happy. You know, it's all about me.

You know, it's all about me. It's not about you.

It's not about you. [both laughing]

[both laughing] >> Well, if you're happy,

>> Well, if you're happy, I'm happy 'cause that means

I'm happy 'cause that means they look good.

they look good. >> I know, right? Yes.

>> I know, right? Yes. >> I cannot wait to heal

>> I cannot wait to heal and get everything together

and get everything together and put on an outfit

and put on an outfit and put on a bathing suit again.

and put on a bathing suit again. I'm really excited.

I'm really excited. >> So congratulations.

>> So congratulations. >> Thank you so much.

>> Thank you so much. >> Thank you.

>> Thank you. >> Take good care of her, okay?

>> Take good care of her, okay? >> I will.

>> I will. >> All right, I'll see you soon.

>> All right, I'll see you soon. >> both: Thank you.

>> both: Thank you. >> You're welcome.

[door opening]

[door opening] >> Hi. How are you?

>> Hi. How are you? >> Pretty good.

>> Pretty good. >> Go ahead and sign in

>> Go ahead and sign in and we'll be with you shortly.

>> Today is the day and we'll be with you shortly.

>> Today is the day after surgery. and we'll be with you shortly.

after surgery. and we'll be with you shortly. Feels like I got hit by a bus.

Feels like I got hit by a bus. I wish it was a party bus.

I wish it was a party bus. >> Well, look at you.

>> Well, look at you. Look who the cat dragged in.

Look who the cat dragged in. I put Nate through

I put Nate through the ringer yesterday.

We were in surgery the ringer yesterday.

We were in surgery for over eight hours. the ringer yesterday.

for over eight hours. I worked on his chest, his neck, the ringer yesterday.

I worked on his chest, his neck, his face, his nose, the ringer yesterday.

his face, his nose, the ringer yesterday. the eye area, everything,

the eye area, everything, so I hope he's in good spirits.

so I hope he's in good spirits. All right,

All right, let's start taking this off.

Let's look at the incision.

Eyes look fantastic.

Eyes look fantastic. >> Hearing Dr. Nassif talk about

>> Hearing Dr. Nassif talk about how great Dr. Parsa did

how great Dr. Parsa did on my eyebrows and my eyes

on my eyebrows and my eyes makes me feel

makes me feel really excited about...

>> Boy, look at that neck.

>> Boy, look at that neck. >> It looks really good.

>> It looks really good. >> I mean, so far so good.

>> I mean, so far so good. Nate's looking about as good

Nate's looking about as good as he should look on day one,

as he should look on day one, but the big question is,

but the big question is, how is his nose?

how is his nose? We reconstructed

We reconstructed your entire nose,

your entire nose, fixed the little hole.

fixed the little hole. We added cartilage here

We added cartilage here to open up your nose.

to open up your nose. We added cartilage here.

We added cartilage here. We made it more symmetric,

We made it more symmetric, so right now your nose,

so right now your nose, I'm gonna say that

I'm gonna say that we were happy.

we were happy. Breathing will be

Breathing will be definitely better.

definitely better. >> Awesome.

>> Awesome. >> Nate came to us

>> Nate came to us for his breathing,

for his breathing, and I'm really happy

and I'm really happy that I was able to help him

that I was able to help him with that aspect of his nose.

with that aspect of his nose. He should see

He should see a drastic difference

a drastic difference after we remove the splints

after we remove the splints in a few days.

in a few days. What do you think?

What do you think? >> He looks really good.

>> He looks really good. >> You know, I mean, does he

>> You know, I mean, does he look like a different person

look like a different person yet?

yet? >> No.

>> No. >> Kind of the same

>> Kind of the same but just kind of injured

but just kind of injured and beat up a little bit

and beat up a little bit but still improved?

but still improved? [laughter]

[laughter] >> He doesn't look different.

>> He doesn't look different. He looks better.

He looks better. I was really shocked to see

I was really shocked to see that Nate really has a nice,

that Nate really has a nice, clean neckline,

clean neckline, and I'm very hopeful

and I'm very hopeful that recovery will be fast,

that recovery will be fast, and he will heal.

and he will heal. >> Now, do you have

>> Now, do you have any questions?

any questions? >> Do you feel like you were

>> Do you feel like you were able to achieve everything you

able to achieve everything you were wanting to with my face?

were wanting to with my face? >> I'm gonna say absolutely.

>> I'm gonna say absolutely. >> Awesome.

>> Awesome. >> We'll see you later.

>> We'll see you later. >> Thank you.

>> Hey.

>> Hey. >> Look at you.

>> Look at you. >> Oh, my God.

>> Oh, my God. >> Oh, my gosh!

[peaceful music]

[peaceful music] ♪ ♪

♪ ♪ >> This journey has been

>> This journey has been extremely difficult.

extremely difficult. I started with a immune disease

I started with a immune disease that put me in the hospital,

that put me in the hospital, and I didn't think

and I didn't think that doing something for myself

that doing something for myself would result in daily pain.

would result in daily pain. It has taken me

It has taken me just about ten years

just about ten years to get to where I am today.

to get to where I am today. Having the surgery

Having the surgery has improved my life physically

has improved my life physically because I'm able to do anything

because I'm able to do anything I want because of not having

I want because of not having to worry about my implants.

to worry about my implants. That's one stressor that I don't

That's one stressor that I don't have that could possibly trigger

have that could possibly trigger my ulcerative colitis.

>> Are you super excited my ulcerative colitis.

>> Are you super excited to see Sabrina? my ulcerative colitis.

to see Sabrina? >> I'm excited. my ulcerative colitis.

>> I'm excited. >> I can't wait. my ulcerative colitis.

>> I can't wait. She suggested coming my ulcerative colitis.

She suggested coming on this hike, my ulcerative colitis.

on this hike, so she must feel pretty good. my ulcerative colitis.

so she must feel pretty good. my ulcerative colitis. I hope we can keep up with her.

I hope we can keep up with her. >> I know.

>> I know. >> Hey.

>> Hey. >> [gasps] Look at you.

>> [gasps] Look at you. >> Oh, my God.

>> Oh, my God. >> Oh, my gosh!

>> Oh, my gosh! You look amazing.

You look amazing. >> Since my surgery,

I haven't had any issues. >> Since my surgery,

I haven't had any issues. I've been even kind of eating >> Since my surgery,

I've been even kind of eating a little more leniently >> Since my surgery,

a little more leniently >> Since my surgery, than I should

than I should just because I feel like

just because I feel like my stress level is pretty low.

my stress level is pretty low. Now with my UC,

Now with my UC, I don't really have to worry

I don't really have to worry about my boob

about my boob or my implant anymore,

or my implant anymore, which already is relieving

which already is relieving a lot of stress.

a lot of stress. Before the surgery

Before the surgery with Dr. Dubrow, my breasts

with Dr. Dubrow, my breasts were disproportionate, tubular,

were disproportionate, tubular, and I was in constant pain

and I was in constant pain every day,

every day, so I couldn't really do

so I couldn't really do normal activities,

normal activities, but after my surgery,

but after my surgery, my boobs are proportionate

my boobs are proportionate and symmetrical.

and symmetrical. I'm able to be active

I'm able to be active without feeling like my implant

without feeling like my implant is gonna explode

is gonna explode out of my chest.

out of my chest. >> You look like

>> You look like a different person, honestly.

a different person, honestly. >> I'm a lot happier.

>> I'm a lot happier. I definitely know that I want

I definitely know that I want to try some new experiences.

to try some new experiences. Not having the ability

Not having the ability to do things

to do things for the last eight years

for the last eight years has made me more adventurous.

has made me more adventurous. Like, there are some more

Like, there are some more active things

active things that I want to be trying

that I want to be trying in the next couple years.

in the next couple years. You guys ready?

You guys ready? >> All right, yeah.

>> All right, yeah. >> Let's do it, let's go.

>> Let's do it, let's go. It's nice to do this.

>> I feel relieved, you know.

>> I feel relieved, you know. How do you feel?

How do you feel? >> I feel good knowing

>> I feel good knowing that he's done.

that he's done. >> Yeah.

>> Yeah. >> He doesn't have to go

>> He doesn't have to go through this anymore.

through this anymore. >> Yeah.

>> Yeah. [gasps] Oh, Nathan!

[gasps] Oh, Nathan! [all talking at once]

[upbeat music]

[upbeat music] ♪ ♪

♪ ♪ >> It's been a long journey

>> It's been a long journey over 25 years, going through

over 25 years, going through 23 different surgeries.

23 different surgeries. I was never really

I was never really comfortable with myself.

comfortable with myself. It was pretty difficult

It was pretty difficult looking in the mirror.

looking in the mirror. I look normal now, which is what

I look normal now, which is what I wanted from the beginning.

I wanted from the beginning. I never asked for perfect.

I never asked for perfect. I just asked for normal.

I just asked for normal. >> I hope this is his

>> I hope this is his last surgery,

last surgery, you know, the number 23.

I feel relieved, you know. you know, the number 23.

I feel relieved, you know. How do you feel? you know, the number 23.

How do you feel? >> I feel good knowing you know, the number 23.

>> I feel good knowing you know, the number 23. that he's done.

that he's done. >> Yeah.

>> Yeah. >> Doesn't have to go

>> Doesn't have to go through this anymore.

through this anymore. >> Yeah.

>> Yeah. >> Hey, guys.

>> [gasps] Oh, Nathan! >> Hey, guys.

>> [gasps] Oh, Nathan! [all talking at once] >> Hey, guys.

[all talking at once] You're here. >> Hey, guys.

You're here. Nate, oh, my gosh. >> Hey, guys.

Nate, oh, my gosh. >> Hey, guys. You really do look great, Nate.

You really do look great, Nate. Nate looks amazing.

Nate looks amazing. I could just tell by the light

I could just tell by the light in his eyes

in his eyes and the smile on his face

and the smile on his face that he feels as confident

that he feels as confident as he looks right now.

as he looks right now. >> I, uh--

>> I, uh-- thanks for being here.

thanks for being here. >> Seeing Nate go through

>> Seeing Nate go through this process and having surgery

this process and having surgery has been really rough on me

has been really rough on me and the kids,

and the kids, but seeing him extremely happy

but seeing him extremely happy with his confidence

with his confidence in his new looks

in his new looks is making it worth it.

is making it worth it. >> Dr. Nassif did a great job,

>> Dr. Nassif did a great job, I think.

I think. >> Yeah.

>> Yeah. >> You look gorgeous.

>> You look gorgeous. Your eyes are so sparkly

Your eyes are so sparkly and blue and big,

just like your brother's. and blue and big,

just like your brother's. You look amazing, you do. and blue and big,

You look amazing, you do. and blue and big, >> Can you breathe better?

>> Can you breathe better? >> Oh, yeah, a whole lot better.

>> Oh, yeah, a whole lot better. >> Ever since you were

>> Ever since you were this little 3-pound baby

this little 3-pound baby when I first held you in my arms

when I first held you in my arms and I knew

and I knew that you were a fighter,

that you were a fighter, and I know that it was

and I know that it was difficult,

difficult, and I know your healing

and I know your healing was painful, but you truly are

was painful, but you truly are as beautiful on the outside

as beautiful on the outside as you are on the inside

as you are on the inside and always have been.

and always have been. I'm just so proud

I'm just so proud to be your mom.

to be your mom. >> Thank you and I'm proud

>> Thank you and I'm proud to be your son.

to be your son. Going on that 25-year journey

Going on that 25-year journey with my mom with the surgeries,

with my mom with the surgeries, knowing that she's really happy

knowing that she's really happy with the outcome,

with the outcome, it makes my heart melt.

it makes my heart melt. Caleb, you want to go play?

Caleb, you want to go play? >> [indistinct].

>> [indistinct]. >> Yeah, let's go play.

>> Yeah, let's go play. Come on.

Come on. You want to come, too, Cam?

You want to come, too, Cam? Let's go.

Let's go. Before my surgeries,

Before my surgeries, my nose was chunky,

my nose was chunky, collapsed, and crooked.

collapsed, and crooked. I had difficulty breathing,

I had difficulty breathing, and people thought

and people thought I had a stroke.

I had a stroke. I was worried that my children

I was worried that my children would be teased

would be teased because of my appearance,

because of my appearance, but thanks to the doctors,

but thanks to the doctors, that thought has left my mind.

that thought has left my mind. My nose is now functional,

My nose is now functional, and the additional work

and the additional work that they did

that they did on my face and neck

on my face and neck just makes me feel normal,

just makes me feel normal, and that's what counts.

and that's what counts. I have nothing holding me back

I have nothing holding me back from being the best husband

from being the best husband and the best father

and the best father that I can be,

that I can be, and that's the real victory.

and that's the real victory. Whoa.

>> I did two tours.

>> I did two tours. >> You went to the most

>> You went to the most dangerous place in the world

dangerous place in the world twice, and came back here, and

twice, and came back here, and you were struck by lightning.

you were struck by lightning. >> Yes. Yes.

>> Yes. Yes. >> We need to help her.

>> We need to help her. We need to show her some love.

We need to show her some love. >> Let's fill out

>> Let's fill out your Tinder profile.

your Tinder profile. Male or female?

Male or female? >> [laughs]

>> [laughs] >> Crystal has a deformity

>> Crystal has a deformity of her feet.

of her feet. >> There's, like, a part

>> There's, like, a part of my bone that's just missing.

of my bone that's just missing. >> Terry doesn't know it,

>> Terry doesn't know it, but I happen to have

but I happen to have the same problem that she has.