Botched by Nature (2016–…): Season 1, Episode 3 - Double Trouble & a Chest Bubble - full transcript

>> We're gonna see Brandon

>> We're gonna see Brandon with the pectus excavatum.

with the pectus excavatum. You have a problem that could

You have a problem that could spread to local tissues.

spread to local tissues. Your heart's a little bit

Your heart's a little bit close to this, yeah.

close to this, yeah. >> The thought of my daughter

>> The thought of my daughter growing up without a father

growing up without a father scares the heck out of me.

scares the heck out of me. >> We're gonna put you

>> We're gonna put you on a fast track, okay?



on a fast track, okay? Last time we were with Lauren,

Last time we were with Lauren, I wanted to arm wrestle.

I wanted to arm wrestle. And you thought it wasn't

And you thought it wasn't the environment--no, no.

the environment--no, no. And I respect that.

And I respect that. This is the right environment.

This is the right environment. >> Come on, Paul. You got this.

>> Come on, Paul. You got this. You guys ready?

You guys ready? Look at each other.

Look at each other. Kisses.

Kisses. >> We were born with

>> We were born with a cleft lip and palate.

a cleft lip and palate. >> The reason we've come

>> The reason we've come all the way out here is



all the way out here is this is not something we see

this is not something we see in our office.

in our office. This is more difficult.

This is more difficult. >> I'm cutting right now.

>> I'm cutting right now. Oh, [bleep].

Oh, [bleep]. Quick, give me a pick up. Quick.

Quick, give me a pick up. Quick. Quick. Pickup.

>> ♪ I want to be ♪ Quick. Pickup.

>> ♪ I want to be ♪ ♪ Want to be ♪ Quick. Pickup.

♪ Want to be ♪ ♪ The best version ♪ Quick. Pickup.

♪ The best version ♪ ♪ I want to be ♪ Quick. Pickup.

♪ I want to be ♪ ♪ Want to be ♪ Quick. Pickup.

♪ Want to be ♪ ♪ The best version ♪ Quick. Pickup.

♪ The best version ♪ ♪ Of me ♪ Quick. Pickup.

♪ Of me ♪ [rock music] Quick. Pickup.

[rock music] ♪ ♪ Quick. Pickup.

♪ ♪ >> Chilly! Quick. Pickup.

>> Chilly! Quick. Pickup. >> It is cold.

>> It is cold. >> Welcome to Iowa.

>> Welcome to Iowa. Des Moines--

Des Moines-- >> Oh, seriously?

>> Oh, seriously? Why can't we go see a patient

Why can't we go see a patient in Hawaii?

in Hawaii? There's just snow on the roofs,

on the ground-- There's just snow on the roofs,

on the ground-- this place is just snow! There's just snow on the roofs,

this place is just snow! >> It really isn't that cold. There's just snow on the roofs,

>> It really isn't that cold. >> I wasn't made for Iowa. There's just snow on the roofs,

>> I wasn't made for Iowa. >> I could live out here. There's just snow on the roofs,

>> I could live out here. I don't mind this. There's just snow on the roofs,

I don't mind this. >> Well, you were born There's just snow on the roofs,

>> Well, you were born with that sweater, There's just snow on the roofs,

with that sweater, so I understand that. There's just snow on the roofs,

so I understand that. >> How--how is that Tinder thing There's just snow on the roofs,

>> How--how is that Tinder thing working out for you? There's just snow on the roofs,

working out for you? >> Of course, I don't use it There's just snow on the roofs,

>> Of course, I don't use it that much. There's just snow on the roofs,

that much. >> What percent of the right There's just snow on the roofs,

>> What percent of the right swipes that you've made There's just snow on the roofs,

swipes that you've made have already right-swiped you? There's just snow on the roofs,

have already right-swiped you? >> I would say about a good There's just snow on the roofs,

>> I would say about a good 40% to 50% There's just snow on the roofs,

40% to 50% There's just snow on the roofs, >> Paul's Tinder profile

>> Paul's Tinder profile obviously comes with

obviously comes with a hypnosis app.

a hypnosis app. And that's based on

And that's based on what picture of you?

what picture of you? >> Picture of you and I.

>> Picture of you and I. >> Whoa, wait.

>> Whoa, wait. My picture's with you

My picture's with you on your Tinder account.

on your Tinder account. So 50% of the people who swipe

So 50% of the people who swipe probably are swiping

probably are swiping hoping to meet me.

hoping to meet me. 50% may be swiping right

50% may be swiping right for Paul, but after

for Paul, but after they meet him, it's gonna be

they meet him, it's gonna be 100% disappointment.

100% disappointment. By the way, do you remember

By the way, do you remember who we're gonna see here?

who we're gonna see here? Remember Brandon with the

Remember Brandon with the pectus excavatum.

>> Okay, yes. Of course I do. pectus excavatum.

>> Okay, yes. Of course I do. Pectus excavatum is basically pectus excavatum.

Pectus excavatum is basically something you're born with where pectus excavatum.

something you're born with where the chest wall kind of sinks in, pectus excavatum.

the chest wall kind of sinks in, and if it's too severe, it can pectus excavatum.

and if it's too severe, it can cause cardiac heart problems, pectus excavatum.

cause cardiac heart problems, pectus excavatum. or lung problems.

or lung problems. >> Instead of having

>> Instead of having a true pectus operation,

a true pectus operation, reverse the chest wall

reverse the chest wall deformity, he had like

deformity, he had like an implant of some kind put in.

an implant of some kind put in. And what's going on now is

And what's going on now is he has, actually, a problem

he has, actually, a problem related to the implant,

related to the implant, and he still has,

and he still has, obviously, pectus.

obviously, pectus. This is a very

This is a very complicated problem.

complicated problem. >> Okay, well, here we are.

>> Okay, well, here we are. We're pulling up.

We're pulling up. [upbeat music]

[upbeat music] ♪ ♪

♪ ♪ >> [shivering]

>> [shivering] What are you doing?

What are you doing? Stop it--stop it!

Stop it--stop it! Really?

Really? You almost hit me

You almost hit me right in the face.

right in the face. What is wrong with you?

What is wrong with you? >> Hello.

>> Hello. >> Brandon.

>> Brandon. >> Hi.

>> Hi. >> You're pretty short.

>> You're pretty short. >> Yeah.

>> Yeah. >> Terry Dubrow.

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

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

>> Dr. Nassif. Nice to meet you. >> Thanks for coming.

>> Thanks for coming. >> Pleasure.

>> Pleasure. >> Come on in.

>> Come on in. >> Thank you.

>> Thank you. >> How are you? Dr. Nassif.

>> How are you? Dr. Nassif. >> Good. Nice to meet you.

>> Good. Nice to meet you. I'm Lisa, Brandon's sister.

I'm Lisa, Brandon's sister. >> Sister. Terry Dubrow.

>> Sister. Terry Dubrow. >> Brandon's sister.

>> Brandon's sister. >> Nice to meet you.

>> Nice to meet you. >> Hi, I'm Allison.

>> Hi, I'm Allison. I'm Brandon's wife.

I'm Brandon's wife. >> Who's the little baby?

>> Who's the little baby? >> This is our daughter,

>> This is our daughter, McKenzie.

McKenzie. both: Oh!

both: Oh! >> She's so--

>> She's so-- >> She's awake.

>> She's awake. >> It's a pretty surreal

>> It's a pretty surreal feeling, having them here.

feeling, having them here. These are some pretty

These are some pretty well-known doctors, and

well-known doctors, and here they are, not only in Iowa,

here they are, not only in Iowa, but they're here in my house.

but they're here in my house. >> How old were you when you

>> How old were you when you first heard the diagnosis

first heard the diagnosis "pectus excavatum."

"pectus excavatum." >> I was actually about 19.

>> I was actually about 19. >> 19?

>> 19? >> Yes.

>> Yes. >> So what did you think was

>> So what did you think was going on before that?

going on before that? Or what did the doctors

Or what did the doctors tell you?

tell you? >> Nobody ever made any mention

>> Nobody ever made any mention about my chest being an issue.

about my chest being an issue. >> Pediatrician? Nothing?

>> Pediatrician? Nothing? >> No.

>> No. >> I'm surprised a pediatrician

>> I'm surprised a pediatrician would miss pectus excavatum.

would miss pectus excavatum. Particularly when you consider

Particularly when you consider he's applying a stethoscope

he's applying a stethoscope to the chest all the time.

to the chest all the time. At some point, though, when you

At some point, though, when you were 10, 11, 12, and your

were 10, 11, 12, and your friends are taking

friends are taking their shirts off,

their shirts off, did you start to feel

did you start to feel self-conscious about that?

self-conscious about that? >> Absolutely.

>> Absolutely. After noticing it when I was

After noticing it when I was like seven, from that point on,

like seven, from that point on, I remember never, you know,

I remember never, you know, taking my shirt off.

taking my shirt off. If we were to go swimming with

If we were to go swimming with my friends or my family,

my friends or my family, I always tried to cover it up.

>> His older siblings and I I always tried to cover it up.

>> His older siblings and I might have teased him I always tried to cover it up.

might have teased him a little bit about it. I always tried to cover it up.

a little bit about it. His abdomen seems larger 'cause I always tried to cover it up.

His abdomen seems larger 'cause I always tried to cover it up. of the cavity in his chest.

of the cavity in his chest. So he just looked like

So he just looked like he had a little pot belly.

he had a little pot belly. >> When you're a kid growing up,

>> When you're a kid growing up, everybody looks for a reason

everybody looks for a reason to make fun of you.

to make fun of you. If I went swimming, I went

If I went swimming, I went swimming with a shirt on.

swimming with a shirt on. I kind of had a little bit

I kind of had a little bit of a complex about that.

of a complex about that. >> And any problems with

>> And any problems with exercise or anything?

exercise or anything? Shortness of breath?

Shortness of breath? >> Shortness of breath, yeah.

>> Shortness of breath, yeah. I've always been pretty active.

I've always been pretty active. >> Yeah.

>> Yeah. >> I've noticed that it kind of

>> I've noticed that it kind of affected me.

affected me. There is a health issue there.

There is a health issue there. My lung capacity's a lot smaller

My lung capacity's a lot smaller than most people because of

than most people because of the way the rib cage

the way the rib cage is pushed in.

is pushed in. >> The further it goes in,

>> The further it goes in, the more it compresses the lungs

the more it compresses the lungs and the heart, and can give you

and the heart, and can give you physical disability.

physical disability. >> It is pretty deep.

>> It is pretty deep. >> Could you put a fist in it?

>> Could you put a fist in it? I mean, your own fist?

I mean, your own fist? >> Yeah, I could--yes.

>> Yeah, I could--yes. >> I've never known him without

>> I've never known him without his implant, so I've never

his implant, so I've never seen the severity.

That's mind-boggling. seen the severity.

That's mind-boggling. >> But at some point you seen the severity.

>> But at some point you seen the severity. thought, "I want to do

thought, "I want to do something about this," right?

something about this," right? >> Right.

>> Right. >> Because you're 18, 19, 20,

>> Because you're 18, 19, 20, and you're dating, and you're a

and you're dating, and you're a good-looking, big,

good-looking, big, athletic guy.

athletic guy. >> I meet up with

>> I meet up with this plastic surgeon,

this plastic surgeon, have an implant made,

have an implant made, and put in.

and put in. Basically, when I was 19,

Basically, when I was 19, I had a pretty good job, and

I had a pretty good job, and with a good job comes insurance.

with a good job comes insurance. I just thought that was the time

I just thought that was the time to get this fixed.

to get this fixed. >> Did he tell you at all

>> Did he tell you at all how many he had done before?

how many he had done before? >> He had not done

>> He had not done anything like this.

anything like this. >> Yeah. Right.

>> Yeah. Right. The operation you had

The operation you had was an experiment.

was an experiment. >> I--I probably should have

>> I--I probably should have done a little bit more research

done a little bit more research at that time before I just--

at that time before I just-- >> You're 19 years old.

>> You're 19 years old. What are you gonna do?

What are you gonna do? Go on a computer?

Go on a computer? They didn't have computer--

They didn't have computer-- you live in Iowa,

you live in Iowa, they didn't have computers

they didn't have computers back then.

back then. >> I mean, a doctor says "Hey,

>> I mean, a doctor says "Hey, this is a less-invasive

this is a less-invasive procedure."

procedure." >> Not your fault.

>> Not your fault. >> You know, I mean,

>> You know, I mean, you're gonna do it.

you're gonna do it. >> Of course you're gonna do it.

>> Of course you're gonna do it. It's amazing, there's no

It's amazing, there's no Internet, and basically,

Internet, and basically, we live on these devices.

we live on these devices. I mean, this guy, he's got

I mean, this guy, he's got Tinder attached to his hip.

Tinder attached to his hip. [laughter]

[laughter] Every minute of the day now,

Every minute of the day now, right-swiping.

right-swiping. >> Yeah.

>> Yeah. >> I mean, you--anyway,

>> I mean, you--anyway, you don't want to know.

you don't want to know. Trust me.

Trust me. >> Anyway.

>> Anyway. >> How'd it look at first?

>> How'd it look at first? >> For about 15 years,

>> For about 15 years, it was fine,

it was fine, until about a year ago.

until about a year ago. For whatever reason, this fluid

For whatever reason, this fluid started coming back and

started coming back and it develops around my implant

it develops around my implant and becomes a bubble

and becomes a bubble on my chest.

on my chest. >> You have to think that

>> You have to think that something is going on, whether

something is going on, whether the body is rejecting it--

the body is rejecting it-- something that could be scary.

something that could be scary. >> So I go back to the doctor

>> So I go back to the doctor that had put the implant in.

that had put the implant in. He drains the fluid.

He drains the fluid. Um, about a week later,

Um, about a week later, the fluid's back.

the fluid's back. I think I did that about three

I think I did that about three times, and at a point,

times, and at a point, I decided I can't keep taking

I decided I can't keep taking off time from work.

off time from work. I can do it myself.

I can do it myself. So, I ordered some

So, I ordered some syringes online...

syringes online... >> [laughs]

>> [laughs] >> There are so many things

>> There are so many things wrong with practicing medicine

wrong with practicing medicine on yourself.

on yourself. Right below his chest wall

Right below his chest wall are those things we like

are those things we like to call "The lungs,"

to call "The lungs," "the heart."

"the heart." You stick one of those

You stick one of those with that needle?

with that needle? And it's over.

And it's over. >> All right, so you're doing it

>> All right, so you're doing it now every what?

now every what? >> At the very least,

>> At the very least, once a week.

once a week. >> Once a week?

>> Once a week? And how much comes out weekly?

And how much comes out weekly? >> It's about 130 CCs.

>> It's about 130 CCs. >> Wow.

>> Wow. 130 CCs?

130 CCs? That's about 5 fluid ounces.

That's about 5 fluid ounces. That's like a glass of wine.

That's like a glass of wine. This thing needs to be treated.

This thing needs to be treated. >> Needs to be taken out.

>> Needs to be taken out. >> I want it out.

>> I want it out. I want him to be around

I want him to be around for our daughter.

for our daughter. The worst-case scenario,

The worst-case scenario, they could open up his chest

they could open up his chest and find who knows what.

and find who knows what. There's so many unknowns

There's so many unknowns in surgery.

in surgery. It's very scary to think about

It's very scary to think about and to--to process.

and to--to process. >> Apart from fixing your acute

>> Apart from fixing your acute problem with fluid and so on,

problem with fluid and so on, what would you like

what would you like to have happen?

to have happen? >> A chest that I can

>> A chest that I can be happy with.

be happy with. >> Ideally, get rid of the fluid

>> Ideally, get rid of the fluid collection problem and

collection problem and fix the pectus.

fix the pectus. >> Right.

>> Right. >> Yeah?

>> Yeah? >> Right.

>> Right. I actually read that

I actually read that the life expectancy for

the life expectancy for somebody with pectus excavatum

somebody with pectus excavatum is 35-40 years old

is 35-40 years old because the aorta in your heart

because the aorta in your heart can rupture at any point.

can rupture at any point. >> We really need to see

>> We really need to see what's going on--

what's going on-- >> Absolutely.

>> Absolutely. I think we can

I think we can make that happen.

make that happen. >> All right.

>> All right. >> Very good. Sounds good.

>> Very good. Sounds good. Hearing the truth is scary,

Hearing the truth is scary, but having finally found a

but having finally found a doctor that's gonna

doctor that's gonna tell me the truth and give me

tell me the truth and give me all of the scenarios,

all of the scenarios, I appreciate that.

It's what I needed to hear. I appreciate that.

It's what I needed to hear. >> Because of your cleft, you're I appreciate that.

>> Because of your cleft, you're never really gonna have I appreciate that.

never really gonna have a perfectly straight nose. I appreciate that.

a perfectly straight nose. I appreciate that. I have my work cut out for me.

I have my work cut out for me. >> I would call that "Cloudy."

>> I would call that "Cloudy." "Cloudy" means an infection.

"Cloudy" means an infection. This is a major disaster

This is a major disaster waiting to happen.

>> So let's see what's going on.

>> So let's see what's going on. Do me a favor. Sit up tall.

The outline of the implant is Do me a favor. Sit up tall.

The outline of the implant is like this, and then it stops-- Do me a favor. Sit up tall.

like this, and then it stops-- >> Nope, it comes all the way Do me a favor. Sit up tall.

>> Nope, it comes all the way down here. Do me a favor. Sit up tall.

down here. >> If you didn't tell me Do me a favor. Sit up tall.

>> If you didn't tell me there was fluid in here, I would Do me a favor. Sit up tall.

there was fluid in here, I would think this was just implant. Do me a favor. Sit up tall.

think this was just implant. >> The longer I go Do me a favor. Sit up tall.

>> The longer I go without draining it, Do me a favor. Sit up tall.

without draining it, the harder it gets, because Do me a favor. Sit up tall.

the harder it gets, because the pressure-- Do me a favor. Sit up tall.

the pressure-- >> But when you feel this Do me a favor. Sit up tall.

>> But when you feel this right now, it feels like Do me a favor. Sit up tall.

right now, it feels like inside that capsule-- Do me a favor. Sit up tall.

inside that capsule-- just feel with me, Do me a favor. Sit up tall.

just feel with me, you can tell it's tense. Do me a favor. Sit up tall.

you can tell it's tense. >> Yeah. Do me a favor. Sit up tall.

>> Yeah. So, when you put a foreign body Do me a favor. Sit up tall.

So, when you put a foreign body in a human, the body puts Do me a favor. Sit up tall.

in a human, the body puts Do me a favor. Sit up tall. a very fine layer of collagen

a very fine layer of collagen around it, and it does that

around it, and it does that within 72 hours.

within 72 hours. The fact that you've aspirated

The fact that you've aspirated it yourself probably between

it yourself probably between 50 and 60 times,

50 and 60 times, your capsule is gonna be

your capsule is gonna be very, very, very thick.

very, very, very thick. Brandon's chest is like one of

Brandon's chest is like one of those Russian nesting dolls.

those Russian nesting dolls. As you pull one piece off,

As you pull one piece off, there's another piece

there's another piece just below it.

just below it. You have a problem that, by the

You have a problem that, by the way, this could spread

way, this could spread to local tissues.

to local tissues. Your heart's a little bit

Your heart's a little bit close to this, yeah.

close to this, yeah. >> That's pretty scary.

>> That's pretty scary. >> It is scary, by the way.

>> It is scary, by the way. All of this is kind of scary.

All of this is kind of scary. >> I'm obviously a little bit

>> I'm obviously a little bit worried, you know, for my life.

worried, you know, for my life. >> So this is what

>> So this is what I'd like to do.

I'd like to do. I'm not that comfortable

I'm not that comfortable draining this, because this is

draining this, because this is the kind of thing I would send

the kind of thing I would send you to the radiologist and have

you to the radiologist and have him do it under ultrasonic

him do it under ultrasonic guidance, but if you're gonna

guidance, but if you're gonna do this anyway, you might want

do this anyway, you might want to use my stuff, which is

to use my stuff, which is sterile, okay, 'cause I want

sterile, okay, 'cause I want to look at the quality of the

to look at the quality of the fluid, and I want to take

fluid, and I want to take some of the fluid back.

some of the fluid back. While Paul and I are here

While Paul and I are here to examine Brandon, I think

to examine Brandon, I think it's important we see how he's

it's important we see how he's been aspirating the fluid

been aspirating the fluid from his chest.

from his chest. It may give us some clues

It may give us some clues as to what's going on

as to what's going on inside of the pocket.

inside of the pocket. So, this is Betadine, and this

So, this is Betadine, and this will sterilize.

will sterilize. >> You ready?

>> Yeah. >> You ready?

>> Yeah. >> I have never watched Brandon >> You ready?

>> I have never watched Brandon actually drain his implant. >> You ready?

actually drain his implant. >> You ready? The whole needles, blood,

The whole needles, blood, puss thing--it's scary.

puss thing--it's scary. >> I would call that "Cloudy."

>> I would call that "Cloudy." "Cloudy" means white blood

"Cloudy" means white blood cells, which means infection.

cells, which means infection. This is a major disaster

This is a major disaster waiting to happen.

waiting to happen. I propose two stages:

I propose two stages: stage one, take out the implant,

stage one, take out the implant, clean out the fluid,

clean out the fluid, and take out the capsule

and take out the capsule surrounding the implant.

surrounding the implant. Then, the Nuss procedure,

Then, the Nuss procedure, which is the bar that's put in.

which is the bar that's put in. I'm sure you've looked this up.

I'm sure you've looked this up. >> I have, yes.

>> I have, yes. >> It's a bar, and it just

>> It's a bar, and it just pops the thing out.

pops the thing out. >> Let's do this.

>> Let's do this. >> Yeah.

>> Yeah. >> Get it out.

>> Get it out. >> We're gonna put you on

>> We're gonna put you on a fast track, okay?

a fast track, okay? Don't you agree?

Don't you agree? >> I think it's a great idea.

>> I think it's a great idea. >> Yes.

>> Yes. >> Absolutely.

>> Absolutely. Sounds like a great plan.

Sounds like a great plan. >> Thanks for welcoming us

>> Thanks for welcoming us into your home.

into your home. >> Thanks for having me.

>> Thanks for having me. both: Thank you.

both: Thank you. >> Appreciate it.

>> Appreciate it. >> If McKenzie could say

>> If McKenzie could say anything, I think she would

anything, I think she would really be thankful that the

really be thankful that the doctors came here, and they're

doctors came here, and they're gonna fix her daddy.

gonna fix her daddy. >> That was a lot different

>> That was a lot different than I thought it was gonna be.

than I thought it was gonna be. First of all, he's got

First of all, he's got an acute infection.

an acute infection. We need to fast-forward him,

We need to fast-forward him, move him to the front of the

move him to the front of the line and get him out to us.

line and get him out to us. >> I agree with you 100%

>> I agree with you 100% >> Yeah.

>> Yeah. [rock music]

[rock music] ♪ ♪

♪ ♪ >> Terry?

>> Terry? Terry!

Terry! I need help.

I need help. So this is something

So this is something new and different.

new and different. Terry and I have a romantic

Terry and I have a romantic adjoining suite together.

adjoining suite together. Terry!

Terry! >> What?

>> What? >> Do me a favor.

>> Do me a favor. Just do the whole--little--

Just do the whole--little-- little bit in the back.

little bit in the back. I'll stand right here.

I'll stand right here. >> Oh, my God.

>> Oh, my God. Ew! Look at this!

Ew! Look at this! >> You don't have to get this

>> You don't have to get this right now--get the back.

right now--get the back. >> Oh, my God.

>> Oh, my God. You're like a...

You're like a... monkey.

monkey. >> I usually don't trim my back.

>> I usually don't trim my back. I just didn't have time

I just didn't have time to get a wax, so thank goodness,

to get a wax, so thank goodness, I had my good old buddy Terry.

I had my good old buddy Terry. >> Oh, I think some of this

>> Oh, I think some of this went in my mouth.

went in my mouth. [spitting]

[spitting] Uch!

Uch! Oh, I think I'm gonna throw--oh!

Oh, I think I'm gonna throw--oh! Oh, no, no.

Oh, no, no. No one should ever see that.

No one should ever see that. I think it's time for us to

I think it's time for us to establish a few boundaries here.

establish a few boundaries here. >> Would you like to rub it in?

>> Would you like to rub it in? >> No, thank you. No. I'm good.

>> No, thank you. No. I'm good. >> You don't want to rub?

>> You don't want to rub? >> No, no, no, no. I'm good.

>> No, no, no, no. I'm good. >> Here, just put a little

>> Here, just put a little on my back--

on my back-- >> No, no, no.

>> No, no, no. >> My back!

>> My back! My back, where you just trimmed.

My back, where you just trimmed. >> Seriously?

>> Seriously? >> Just a little bit.

>> Just a little bit. Terry, you do such a good job,

Terry, you do such a good job, I don't think I have to spend

I don't think I have to spend any more money on getting this

any more money on getting this done, I think I'm just gonna

done, I think I'm just gonna come over to your house

come over to your house in Newport Beach and have you

in Newport Beach and have you do it for me.

do it for me. >> This may be going too far.

Huh? >> This may be going too far.

Huh? You know what the good news is? >> This may be going too far.

You know what the good news is? We have, in this room, >> This may be going too far.

We have, in this room, >> This may be going too far. the best nasal surgeon

the best nasal surgeon in the world.

in the world. >> Wow--

>> Wow-- >> And we also have

>> And we also have the second best.

the second best. [laughter]

[laughter] >> I'm rooting for

>> I'm rooting for the underdog here.

the underdog here. You guys ready?

You guys ready? Go!

Oh! Go!

Oh! [upbeat music] Go!

[upbeat music] ♪ ♪ Go!

♪ ♪ >> Ooh. Cold. Go!

>> Ooh. Cold. >> Let's go to Downey. Go!

>> Let's go to Downey. Do we have time to have a pit Go!

Do we have time to have a pit stop before going there-- Go!

stop before going there-- no, we don't have time. Go!

no, we don't have time. >> You need a pit stop? Go!

>> You need a pit stop? You have to go pee? Go!

You have to go pee? Go! >> 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, Jesus.

>> Oh, Jesus. ♪ ♪

♪ ♪ So, who we gonna go see?

So, who we gonna go see? >> So, we're gonna see

>> So, we're gonna see Cynthia and Magali.

Cynthia and Magali. These are identical

These are identical twin sisters.

twin sisters. They were both born with a cleft

They were both born with a cleft lip, cleft palate, and also

lip, cleft palate, and also the cleft nasal deformity.

the cleft nasal deformity. >> Identical twins have the same

>> Identical twins have the same DNA, so unfortunately,

DNA, so unfortunately, if one is going to get

if one is going to get a deformity,

a deformity, the other will as well.

the other will as well. >> They've had multiple

>> They've had multiple surgeries.

surgeries. >> How old are they?

>> How old are they? >> 28.

>> 28. >> Could you imagine

>> Could you imagine having identical twins--

having identical twins-- >> I do.

>> I do. >> Born with cleft palate,

>> Born with cleft palate, cleft lip.

cleft lip. You start an odyssey of

You start an odyssey of surgeries--

surgeries-- >> Yeah, starting as a baby.

>> Yeah, starting as a baby. >> At age three months.

>> At age three months. >> I have twins myself,

>> I have twins myself, but to have each one of them

but to have each one of them with a facial deformity?

with a facial deformity? I really feel for the parents.

I really feel for the parents. Right here. Here it is.

Right here. Here it is. ♪ ♪

>> Hi.

>> Hi. >> Hi. How are you? Dr. Nassif.

>> Hi. How are you? Dr. Nassif. >> Dr. Dubrow.

>> Dr. Dubrow. >> Nice to meet you.

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

>> Nice to meet you. >> Come in.

>> Come in. >> Great. Thank you.

>> Great. Thank you. >> Hi. How are you?

>> Hi. How are you? >> I'm doing well, thank you.

>> I'm doing well, thank you. >> I'm Terry Dubrow.

>> I'm Terry Dubrow. Nice to meet you.

Nice to meet you. >> This is Magali.

>> This is Magali. >> Thank you for welcoming

>> Thank you for welcoming us into your home.

us into your home. >> Thank you for being here.

>> Thank you for being here. Have a seat, please.

>> Having Dr. Dubrow Have a seat, please.

>> Having Dr. Dubrow and Dr. Nassif come to our home Have a seat, please.

and Dr. Nassif come to our home is a little bit exciting. Have a seat, please.

is a little bit exciting. Have a seat, please. >> Dr. Dubrow is a lot taller

>> Dr. Dubrow is a lot taller than I thought he would be.

than I thought he would be. [laughter]

[laughter] >> We'd love to hear your story.

>> We'd love to hear your story. >> We were born premature,

>> We were born premature, three months premature,

three months premature, with a cleft lip

with a cleft lip and cleft palate.

and cleft palate. I've had six surgeries.

I've had six surgeries. The first one was when we were

The first one was when we were six months old.

six months old. That is when they

That is when they closed the gap.

closed the gap. >> Right.

>> Right. >> So that we would be able

>> So that we would be able to feed.

to feed. >> A cleft lip and palate

>> A cleft lip and palate is when a side of your nose

is when a side of your nose is open and it swallows the area

is open and it swallows the area between the nose and the lip

between the nose and the lip and the lip, so when we were

and the lip, so when we were both born, all of this was

both born, all of this was wide open.

wide open. Later on, when we were about

Later on, when we were about seven, we had two different

seven, we had two different bone grafts, where they took

bone grafts, where they took a piece of our hip bone,

a piece of our hip bone, and they added it to

and they added it to the roof of our mouth.

the roof of our mouth. >> And they also took cartilage

>> And they also took cartilage from our ear and they put that--

from our ear and they put that-- >> In your nose.

>> In your nose. >> In our nose.

>> In our nose. >> Did you have some fat

>> Did you have some fat grafting in your lip

grafting in your lip or something?

or something? >> I did.

>> I did. The second-to-last procedure,

The second-to-last procedure, they took some fat from my

they took some fat from my abdomen and they injected it

abdomen and they injected it into the upper lip because I

into the upper lip because I didn't really have an upper lip.

didn't really have an upper lip. >> W-when was that?

>> W-when was that? >> 11...

>> 11... >> 11 and 12.

>> 11 and 12. >> 12.

>> 12. >> We grew up going through

>> We grew up going through all these situations,

all these situations, all these obstacles.

all these obstacles. >> We're very close because of

>> We're very close because of it, so I don't with that it

it, so I don't with that it hadn't happened, but I'm hopeful

hadn't happened, but I'm hopeful about--about the prospects

about--about the prospects to be fixed.

to be fixed. >> So let me ask you.

>> So let me ask you. Kids can be very cruel.

Kids can be very cruel. Do you have memories of how

Do you have memories of how kids treated you or

kids treated you or or things they said?

or things they said? >> Not until recently, now that

>> Not until recently, now that we're in the--you know,

we're in the--you know, working, going to graduate

working, going to graduate school, that we've had

school, that we've had the stares, where they stare

the stares, where they stare a little bit too long--

a little bit too long-- >> Mm-hmm.

>> Mm-hmm. >> Or they've asked us questions

>> Or they've asked us questions at inappropriate times.

at inappropriate times. >> But in a way, it must be

>> But in a way, it must be harder now--

harder now-- >> It is.

>> It is. >> Because you don't have kind

>> Because you don't have kind of the built-in defense

of the built-in defense mechanisms that you would get--

mechanisms that you would get-- >> Right.

>> Right. >> Growing up.

>> Growing up. >> Mm-hmm.

>> Mm-hmm. >> How hard is that?

>> How hard is that? >> Oh, it's very difficult.

>> Oh, it's very difficult. It's strange.

It's strange. It can get awkward.

It can get awkward. With grad school, with work,

With grad school, with work, we meet new people

we meet new people every single day, and

every single day, and first impressions mean a lot.

first impressions mean a lot. >> I don't want to have to worry

>> I don't want to have to worry about going into an interview,

about going into an interview, worried about whether they're

worried about whether they're going to stop--like they've done

going to stop--like they've done before--they've stopped the

before--they've stopped the interview and they've asked me

interview and they've asked me about my cleft lip.

about my cleft lip. >> So it's even more important

>> So it's even more important now than ever before.

now than ever before. all: Right.

all: Right. >> I think so, and then now,

>> I think so, and then now, we feel like we do have a say

we feel like we do have a say in--in what we want.

in--in what we want. We want a symmetrical nose.

We want a symmetrical nose. We would like for the scars to

We would like for the scars to be a little less visible.

be a little less visible. Whereas when we were children,

Whereas when we were children, we were just told,

we were just told, "Oh, you need this."

"Oh, you need this." >> So you're trying, both, to

>> So you're trying, both, to have a proved symmetrical nose.

have a proved symmetrical nose. >> Mm-hmm.

>> Mm-hmm. >> Are you both trying to have

>> Are you both trying to have the same nose? So--

the same nose? So-- >> Yes.

>> Yes. >> We would like to actually

>> We would like to actually look like twins.

look like twins. >> You're both beautiful, but

>> You're both beautiful, but you really are the least-looking

you really are the least-looking identical twins I've ever seen.

identical twins I've ever seen. Let me see--let me--

Let me see--let me-- so this--do you mind

so this--do you mind if I grab this?

if I grab this? Okay, so this is you guys,

Okay, so this is you guys, right?

right? At what age?

At what age? >> Six months.

>> Six months. >> Six, seven months.

>> Six, seven months. >> That was after

>> That was after the very first surgery.

the very first surgery. >> Both Paul and I have twins,

>> Both Paul and I have twins, so I feel like we both

so I feel like we both understand why they want

understand why they want to look identical, but

to look identical, but I feel we can steer them

I feel we can steer them in another direction.

in another direction. Just tell them to look the best

Just tell them to look the best they can be, and

they can be, and let that ship sail.

let that ship sail. >> You know, besides the

>> You know, besides the cosmetic aspect,

cosmetic aspect, what about function?

what about function? >> We do have problems breathing

>> We do have problems breathing and whenever we can't breathe,

and whenever we can't breathe, we start getting headaches,

we start getting headaches, and very light-headed.

and very light-headed. >> Light-headed. Dizzy. Mm-hmm.

>> Light-headed. Dizzy. Mm-hmm. >> We've both fairly active

>> We've both fairly active girls.

girls. I like to run a little bit more

I like to run a little bit more than my sister.

than my sister. >> Yeah.

>> Yeah. >> She tries to catch up.

>> She tries to catch up. >> I do try. I don't.

>> I do try. I don't. >> Never catches up.

>> Never catches up. [laughter]

[laughter] >> We try to be very active,

>> We try to be very active, and we actually--we're

and we actually--we're surrounded by friends that are

surrounded by friends that are very active, and we don't want

very active, and we don't want to just sit down, hold the

to just sit down, hold the poster while they're running

poster while they're running their half-marathon, you know?

their half-marathon, you know? We want to be in there.

We want to be in there. We want to run.

We want to run. We want to compete.

We want to compete. >> You know what

>> You know what the good news is?

the good news is? We have, in this room,

We have, in this room, probably the best nasal surgeon

probably the best nasal surgeon in the world.

in the world. >> Wow--

>> Wow-- >> And--

>> And-- [laughter]

[laughter] And we also have

And we also have the second best.

the second best. [laughter]

[laughter] >> Okay.

>> Okay. I think the next step for us

I think the next step for us would be to get into the other

would be to get into the other room and take a peek at you.

room and take a peek at you. Just an examination, all right?

Just an examination, all right? >> Yeah.

>> Yeah. >> Let's go do it.

>> Let's go do it. >> Let's go ahead.

>> Let's go ahead. >> Yeah.

>> Yeah. >> I feel a a little nervous

>> I feel a a little nervous because you have these two

because you have these two very successful surgeons,

very successful surgeons, and for us, these are features

and for us, these are features that we try to hide.

that we try to hide. Then again, this is the reason

why they came to our home. Then again, this is the reason

why they came to our home. >> Okay, so obviously your nose Then again, this is the reason

>> Okay, so obviously your nose is deviated a little bit. Then again, this is the reason

is deviated a little bit. Then again, this is the reason The good news is you have

The good news is you have bilateral nasal obstruction.

bilateral nasal obstruction. >> Okay.

>> Okay. >> And why is that good news?

>> And why is that good news? [laughter]

[laughter] >> We can improve both sides.

>> We can improve both sides. Your septum is really deviated

Your septum is really deviated to the left.

to the left. We'll be able to fix that.

We'll be able to fix that. On the right side, this whole

On the right side, this whole side's collapsed in.

side's collapsed in. So I want to put a little bit of

So I want to put a little bit of cartilage inside the middle part

cartilage inside the middle part of your nose to open up your

of your nose to open up your airway, make it look

airway, make it look more symmetric.

more symmetric. However, because of your cleft,

However, because of your cleft, you're never gonna really have

you're never gonna really have a perfectly straight nose.

a perfectly straight nose. You're never gonna have

You're never gonna have a perfectly balanced nostril.

a perfectly balanced nostril. We're gonna add a piece of

We're gonna add a piece of cartilage right here to the end

cartilage right here to the end of your nose called

of your nose called a septal extension graft.

a septal extension graft. Now, what I need from you,

Now, what I need from you, though, is a little

though, is a little piece of rib.

piece of rib. >> Okay.

>> Okay. So, we already have scars

So, we already have scars all over our body.

all over our body. I've never been ashamed of those

I've never been ashamed of those scars because it just shows

scars because it just shows what we've been through.

what we've been through. >> Now, your lip.

>> Now, your lip. You have that little depression

You have that little depression from some scar tissue

from some scar tissue that healed wrong.

that healed wrong. So I think what we're gonna do

So I think what we're gonna do is just go ahead and cut that

is just go ahead and cut that out and stitch it back together,

out and stitch it back together, and hopefully get rid of that

and hopefully get rid of that little indentation for you.

little indentation for you. I'm gonna want you now to get up

I'm gonna want you now to get up and switch with

and switch with your lovely sister.

your lovely sister. You guys just switch places.

You guys just switch places. >> Okay.

>> Okay. >> Considering that Magali

>> Considering that Magali and Cynthia are identical twin

and Cynthia are identical twin sisters, they're probably both

sisters, they're probably both gonna have the same

gonna have the same nasal problems.

Okay, so same thing too. nasal problems.

Okay, so same thing too. >> Oh, same thing. nasal problems.

>> Oh, same thing. >> Same exact thing. nasal problems.

>> Same exact thing. The septum's deviated. nasal problems.

The septum's deviated. Same exact plan, the two of you, nasal problems.

Same exact plan, the two of you, nasal problems. except we'll also be putting

except we'll also be putting a piece of skin and cartilage

a piece of skin and cartilage from your ear right in the

from your ear right in the crease right here.

crease right here. >> Mm-hmm.

>> Mm-hmm. >> on the right side.

>> on the right side. We will not be touching

We will not be touching your lip.

your lip. >> Okay.

>> Okay. >> Magali's nose is a lot worse.

>> Magali's nose is a lot worse. We need to build up the dorsum

We need to build up the dorsum and we need to reconstruct

and we need to reconstruct the tip more.

the tip more. >> So, one other question.

>> So, one other question. >> Yes.

>> Yes. >> Is there any chance to look

>> Is there any chance to look like identical twins?

like identical twins? >> Mm, I can tell you now:

>> Mm, I can tell you now: you're gonna both heal

you're gonna both heal differently.

differently. I'm not gonna

I'm not gonna guarantee this at all.

guarantee this at all. >> Well, but we--

>> Well, but we-- I have a comment about that.

I have a comment about that. I think the goal, honestly,

I think the goal, honestly, is to look like the best

is to look like the best version of yourselves.

version of yourselves. >> Okay.

>> Okay. I'm a little disappointed,

I'm a little disappointed, but I honestly did expect it.

but I honestly did expect it. It just comes with having

It just comes with having the cleft lip, cleft palate.

the cleft lip, cleft palate. I can completely understand why

I can completely understand why it's not doable.

it's not doable. >> The other thing I want to

>> The other thing I want to tell you is, the reason we've

tell you is, the reason we've come see you is this is not

come see you is this is not something we see every single

something we see every single day in our office.

day in our office. This is more difficult.

This is more difficult. >> Yeah, identical twins too.

>> Yeah, identical twins too. >> Yeah.

>> Yeah. These girls have really had a

These girls have really had a tough life, but you know what?

tough life, but you know what? They've come out of it

They've come out of it really beautiful people.

really beautiful people. I hope we can help them

I hope we can help them to look and feel

to look and feel better about themselves.

better about themselves. >> Pleasure.

>> Pleasure. >> Thank you so much.

>> Thank you so much. >> Pleasure meeting both of you.

>> Pleasure meeting both of you. all: Thank you.

all: Thank you. >> See you soon.

[upbeat music] >> See you soon.

[upbeat music] ♪ ♪ >> See you soon.

♪ ♪ [baby crying] >> See you soon.

[baby crying] >> Hey. >> See you soon.

>> Hey. >> Hey. >> See you soon.

>> Hey. >> Are you, like, anxious? >> See you soon.

>> Are you, like, anxious? >> I'm just ready-- >> See you soon.

>> I'm just ready-- ready to get things going. >> See you soon.

ready to get things going. >> Yeah? Me too. >> See you soon.

>> Yeah? Me too. >> See you soon. >> I'm excited to finally have

>> I'm excited to finally have this implant taken out that's

this implant taken out that's been in me for 16 years.

been in me for 16 years. >> Most important thing is that

>> Most important thing is that implant comes out so it doesn't

implant comes out so it doesn't cause a bigger infection, and

cause a bigger infection, and that you can be around

that you can be around to see everything.

to see everything. >> Right.

>> Right. >> The best-case scenario for

>> The best-case scenario for Brandon would be that he gets

Brandon would be that he gets this implant removed, he gets

this implant removed, he gets this infection taken care of,

this infection taken care of, that he can look normal and feel

that he can look normal and feel confident and that, you know,

confident and that, you know, it's finally fixed for him.

it's finally fixed for him. I think that the doctors

I think that the doctors can really help you.

can really help you. >> I'm pretty confident.

>> I'm pretty confident. I'm looking forward to living

I'm looking forward to living a longer, healthier life so that

a longer, healthier life so that I can be there for my daughter.

I can be there for my daughter. I'm excited to get to L.A. and

I'm excited to get to L.A. and get started on this.

get started on this. Like, I--if the surgery

Like, I--if the surgery was tomorrow, I'd be

was tomorrow, I'd be up to doing it tomorrow.

up to doing it tomorrow. >> I just want you to not have

>> I just want you to not have to have this burden anymore.

to have this burden anymore. >> I know.

Yeah. >> I know.

Yeah. >> This is super calcified >> I know.

>> This is super calcified right here. >> I know.

right here. >> I know. Like, a ruptured implant-type

Like, a ruptured implant-type calcification.

calcification. This is so concerning, actually.

This is so concerning, actually. >> So, can I put your initials

>> So, can I put your initials on your head?

on your head? >> At least I don't have, um,

>> At least I don't have, um, a name that starts with an L.

[laughter] a name that starts with an L.

[laughter] a name that starts with an L. [upbeat music]

[upbeat music] ♪ ♪

♪ ♪ >> Hi, I'm Brandon.

>> Hi, I'm Brandon. >> Okay, go ahead and get signed

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

in, and we'll get you taken right back.

taken right back. >> Having this implant in my

>> Having this implant in my chest for the last 16 years,

chest for the last 16 years, today definitely feels

today definitely feels pretty huge.

pretty huge. I'm anxious to get this implant

I'm anxious to get this implant out and have my chest corrected

the way that I wish I could have out and have my chest corrected

the way that I wish I could have had--have done out and have my chest corrected

had--have done in the first place. out and have my chest corrected

in the first place. >> [chuckles] Hey. out and have my chest corrected

>> [chuckles] Hey. >> Hi. out and have my chest corrected

>> Hi. >> There they are. Brandon. out and have my chest corrected

>> There they are. Brandon. >> Hi. out and have my chest corrected

>> Hi. >> This is the Dr. Losasso. out and have my chest corrected

>> This is the Dr. Losasso. If you've researched anything on out and have my chest corrected

If you've researched anything on the Internet, you know out and have my chest corrected

the Internet, you know he truly is the world's expert-- out and have my chest corrected

he truly is the world's expert-- >> Right. out and have my chest corrected

>> Right. >> In pectus excavatum and out and have my chest corrected

>> In pectus excavatum and out and have my chest corrected the treatment and care of it.

the treatment and care of it. I brought in Dr. Losasso

I brought in Dr. Losasso because I want him to see

because I want him to see exactly what the deformity

exactly what the deformity is like.

is like. This is very important

This is very important information he will need in

information he will need in order to give Brandon

order to give Brandon a good outcome.

a good outcome. We were discussing the whole

We were discussing the whole issue of "Why did you develop

issue of "Why did you develop a seroma--that fluid

a seroma--that fluid collection--out of the blue?"

collection--out of the blue?" I'm concerned about it enough

I'm concerned about it enough to make sure I get all the

to make sure I get all the tissue surrounding it, the

tissue surrounding it, the capsule, and send it off.

capsule, and send it off. >> And then once it's out,

>> And then once it's out, and once your chest heals

and once your chest heals in a few months, we will do

in a few months, we will do the Nuss procedure.

>> For Brandon's surgery today, the Nuss procedure.

>> For Brandon's surgery today, I will start by making an the Nuss procedure.

I will start by making an incision in the lower part the Nuss procedure.

incision in the lower part of his chest scar, and then the Nuss procedure.

of his chest scar, and then aspirate the accumulated fluid the Nuss procedure.

aspirate the accumulated fluid from that area. the Nuss procedure.

from that area. Next, I'll remove the implant, the Nuss procedure.

Next, I'll remove the implant, as well as the surrounding the Nuss procedure.

as well as the surrounding bursal capsule. the Nuss procedure.

bursal capsule. Finally, I'll send both the the Nuss procedure.

Finally, I'll send both the aspirated fluid and capsule to the Nuss procedure.

aspirated fluid and capsule to pathology for analysis. the Nuss procedure.

pathology for analysis. the Nuss procedure. So, the first thing we're gonna

So, the first thing we're gonna do is make an incision,

do is make an incision, and we will immediately

and we will immediately see a gush of fluid.

see a gush of fluid. So let's have

So let's have the cultures ready.

the cultures ready. >> Oh.

>> Oh. >> This is a cavity under

>> This is a cavity under a bit of pressure.

a bit of pressure. You hear that? Hear that?

You hear that? Hear that? >> That's what that sound was.

>> That's what that sound was. I was wondering what it was.

I was wondering what it was. >> That cracking egg sound?

>> That cracking egg sound? This is super calcified

This is super calcified right here.

right here. Like, a ruptured implant-type

Like, a ruptured implant-type calcification vibe.

calcification vibe. >> Oh.

>> Oh. >> You know what I mean?

>> You know what I mean? Brandon has a very thickened

Brandon has a very thickened eggshell-like capsule

eggshell-like capsule around his implant, meaning

around his implant, meaning the body really doesn't like

the body really doesn't like this implant.

this implant. Look at this.

Look at this. >> Wow.

>> Wow. >> See this calcification?

>> See this calcification? >> Oh, yeah.

>> Oh, yeah. >> So, here was the implant.

>> So, here was the implant. And look at what it lived in.

And look at what it lived in. This is not normal capsule.

This is not normal capsule. This is so concerning, actually.

This is so concerning, actually. All right, let's send this off--

All right, let's send this off-- >> Okay.

>> Okay. >> And keep our fingers crossed.

>> And keep our fingers crossed. I'm going to place the drain

I'm going to place the drain on suction.

on suction. Once I do that, we'll see the

Once I do that, we'll see the true nature and depth of

true nature and depth of Brandon's chest wall deformity.

Brandon's chest wall deformity. I'm a little bit scared for what

I'm a little bit scared for what we're really about to see.

we're really about to see. >> There's the pectus.

>> There's the pectus. >> That's what he looks like.

>> That's what he looks like. >> So there's his deformity.

>> So there's his deformity. It's gonna take some doing

It's gonna take some doing to correct it, but we can do

to correct it, but we can do that once we get there.

that once we get there. >> Brandon had two big

>> Brandon had two big operations to get through.

operations to get through. One is done.

One is done. He's got another big one to go.

He's got another big one to go. >> He does.

>> He does. But it really will depend

But it really will depend on the pathologist.

on the pathologist. That information will dictate

That information will dictate everything going forward.

everything going forward. >> Fingers are crossed.

>> Fingers are crossed. >> Absolutely.

[upbeat music] >> Absolutely.

[upbeat music] ♪ ♪ >> Absolutely.

♪ ♪ >> So, while we're traveling >> Absolutely.

>> So, while we're traveling the country, there's a number >> Absolutely.

the country, there's a number of patients who are out there >> Absolutely.

of patients who are out there who we'd really like to see >> Absolutely.

who we'd really like to see and follow up to make sure >> Absolutely.

and follow up to make sure they're still doing well. >> Absolutely.

they're still doing well. >> Well, thank you. >> Absolutely.

>> Well, thank you. >> Check this out. >> Absolutely.

>> Check this out. >> Mm. >> Absolutely.

>> Mm. >> This cool? >> Absolutely.

>> This cool? >> Look. >> Absolutely.

>> Look. >> Look at this. >> Absolutely.

>> Look at this. >> There they are! >> Absolutely.

>> There they are! >> Miss Lauren Powers! >> Absolutely.

>> Miss Lauren Powers! >> That's right! >> Absolutely.

>> That's right! How's my favorite doctors? >> Absolutely.

How's my favorite doctors? >> Absolutely. >> How are you?

>> How are you? >> Awesome.

>> Awesome. So good to see you.

So good to see you. >> We're visiting Lauren today

>> We're visiting Lauren today because Paul and I both

because Paul and I both operated on her.

operated on her. I took your old implants out

I took your old implants out and I put in 650s, which are

and I put in 650s, which are still very large.

still very large. >> Let's move on to your face.

>> Let's move on to your face. Your skin is extremely thin,

Your skin is extremely thin, which made it a little bit

which made it a little bit more challenging.

more challenging. >> We did very difficult

>> We did very difficult revisional surgery, and it's

revisional surgery, and it's time we check up and make sure

time we check up and make sure she's not having any

she's not having any complications.

complications. >> You look fantastic.

>> You look fantastic. >> I am fantastic.

>> I am fantastic. >> How are you healing?

>> How are you healing? You look good.

You look good. >> Hello? What do you think?

>> You've been working out. >> Hello? What do you think?

>> You've been working out. >> I feel good. >> Hello? What do you think?

>> I feel good. >> Look at this. >> Hello? What do you think?

>> Look at this. >> Back to training. >> Hello? What do you think?

>> Back to training. Yeah, baby. Come on now. >> Hello? What do you think?

Yeah, baby. Come on now. >> Hello? What do you think? >> Lauren is one of the few

>> Lauren is one of the few patients that Terry and I,

patients that Terry and I, shall we used the word,

shall we used the word, tag-teamed.

tag-teamed. She looks fantastic in her

She looks fantastic in her breasts, her face.

breasts, her face. >> So, how are you?

>> So, how are you? >> Everything's been great.

>> Everything's been great. I healed so quickly.

I healed so quickly. I tell everybody I absolutely

I tell everybody I absolutely had zero pain.

had zero pain. You promised it wouldn't hurt

You promised it wouldn't hurt the face, and it really didn't.

the face, and it really didn't. My breasts that Dr. Dubrow gave

My breasts that Dr. Dubrow gave me have come in nicely.

me have come in nicely. [chuckles] Life has been good.

[chuckles] Life has been good. The face is good.

The face is good. Everything has just

Everything has just been amazing.

been amazing. >> How's your life?

>> How's your life? How's--how are things going?

How's--how are things going? >> Well, life has been great.

>> Well, life has been great. I just got asked to represent

I just got asked to represent the USA and taking a whole team

the USA and taking a whole team of my athletes to the World

of my athletes to the World Championships in Ireland.

Championships in Ireland. So, things have just...

So, things have just... both: Exploded.

both: Exploded. >> It's really gratifying to see

>> It's really gratifying to see and hear that Lauren isn't

and hear that Lauren isn't having any problems

having any problems that she suffered previously.

that she suffered previously. It's really music to my ears.

It's really music to my ears. Now--now, listen.

Now--now, listen. Last time we were with Lauren,

Last time we were with Lauren, I wanted to arm wrestle.

I wanted to arm wrestle. Who looks stronger to you?

Who looks stronger to you? >> I think the only way to

>> I think the only way to settle this is arm wrestle.

settle this is arm wrestle. >> Yeah, which I'm not gonna do

>> Yeah, which I'm not gonna do with patients.

with patients. >> And you thought it wasn't

>> And you thought it wasn't the environment--no, no,

the environment--no, no, and I respect that.

and I respect that. This is the right environment.

This is the right environment. >> Wait, a minute.

>> Wait, a minute. Why do we want to arm wrestle?

Why do we want to arm wrestle? Why don't we--

Why don't we-- >> We're in a--Paul.

>> We're in a--Paul. >> Do some weights then.

>> Do some weights then. >> Today's the day.

>> Today's the day. >> You have your stuff, right?

>> You have your stuff, right? >> Yeah.

>> Yeah. >> Go get changed.

>> Go get changed. >> Let's go get--

>> Let's go get-- we're gonna get changed.

we're gonna get changed. >> Meet me back here--

>> Meet me back here-- >> All right, let's do it.

>> All right, let's do it. >> And we're gonna have some

>> And we're gonna have some fun, right? Come on, guys.

fun, right? Come on, guys. >> Come on, come on.

>> Come on, come on. Lauren's been in our house,

Lauren's been in our house, but now we're in her house.

but now we're in her house. Hmm.

Hmm. That might be a little scary.

That might be a little scary. We're pretty out of shape.

We're pretty out of shape. >> Sit back and push it up.

>> Sit back and push it up. All right, Terry. You got this.

All right, Terry. You got this. [upbeat music]

[upbeat music] ♪ ♪

♪ ♪ [grunts]

[grunts] Ow, you know--take this.

Ow, you know--take this. Take it, take it, take it.

Take it, take it, take it. Ow. You know what?

Ow. You know what? Tweaked my--

Tweaked my-- >> He just actually

>> He just actually pulled a muscle.

pulled a muscle. >> You okay?

>> You okay? >> No, it--it just

>> No, it--it just tweaked me a little bit.

tweaked me a little bit. It's on.

It's on. Paul, bring out the arm.

Paul, bring out the arm. Or whatever you call

Or whatever you call that little thing.

that little thing. >> All right, guys.

>> All right, guys. >> This is it?

>> This is it? >> It's time to redeem yourself.

>> It's time to redeem yourself. I'm rooting for the underdog

I'm rooting for the underdog here.

here. All right, I'm gonna be

All right, I'm gonna be the referee here.

the referee here. You guys ready?

You guys ready? Look at each other.

Look at each other. Kisses.

Kisses. Go.

Go. Oh, my gosh.

Oh, my gosh. The battle is on.

The battle is on. Oh!

Oh! Come on, Paul.

Come on, Paul. You got this.

You got this. [dramatic music]

[dramatic music] >> Ah!

>> Ah! >> Oh!

>> Oh! >> Oh, come on!

>> Oh, come on! That's all you've got?

That's all you've got? Yes!

Yes! >> Whatever it takes.

>> Whatever it takes. >> Yes!

>> Yes! >> Champion.

>> Champion. >> [sighs]

>> [sighs] >> You're both champions.

>> You're both champions. >> Brain versus brawn.

>> Brain versus brawn. Looks like, in this case,

Looks like, in this case, brawn wins.

brawn wins. Who cares?

Who cares? I had enough.

I had enough. >> You done?

>> You done? >> I had enough.

>> I had enough. >> Huh? Give us a hug.

>> Huh? Give us a hug. >> Group hug.

>> Group hug. all: Ah!

all: Ah! Mwah, mwah!

Mwah, mwah! >> Those who do surgery together

>> Those who do surgery together sweat together.

sweat together. >> That's right, baby.

>> That's right, baby. >> Take care of yourselves.

>> Take care of yourselves. >> Let's go have a drink.

>> Let's go have a drink. >> [laughs] Have a drink.

>> [laughs] Have a drink. >> Yeah, let's grab lunch.

>> Yeah, let's grab lunch. [laughter]

[laughter] >> Thank you!

[upbeat music] >> Thank you!

[upbeat music] ♪ ♪ >> Thank you!

>> Hi, how are you?

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

>> Hi. I'm good. How are you?

I'm good. How are you? >> Doing well.

>> Doing well. >> We're here for surgery

>> We're here for surgery with Dr. Nassif.

with Dr. Nassif. >> We'll let the nurses know

>> We'll let the nurses know that you're here.

>> I'm feeling pretty nervous. that you're here.

>> I'm feeling pretty nervous. I wasn't really about to get that you're here.

I wasn't really about to get a lot of sleep last night. that you're here.

a lot of sleep last night. I don't know about you. that you're here.

I don't know about you. >> No. Zero sleep. that you're here.

>> No. Zero sleep. >> This is a big day. that you're here.

>> This is a big day. This is the day. that you're here.

This is the day. >> Can you believe we're here? that you're here.

>> Can you believe we're here? that you're here. >> No.

>> No. >> I can't believe it.

>> I can't believe it. >> It seemed like it was kind of

>> It seemed like it was kind of far away, and then all of a

far away, and then all of a sudden it was the day

sudden it was the day of surgery.

of surgery. >> I know.

>> I know. >> It's nice that we're

>> It's nice that we're side by side again.

side by side again. I would not be doing this

I would not be doing this if you weren't doing it too.

if you weren't doing it too. >> Oh, me neither.

>> Oh, me neither. >> So, I want to make sure,

>> So, I want to make sure, because we have two different

because we have two different procedures--

procedures-- >> [laughs]

>> [laughs] >> That I don't mix things up.

>> That I don't mix things up. >> Right.

>> Right. >> So can I put your initials

>> So can I put your initials on your head?

on your head? [laughter]

[laughter] >> Yes.

>> Yes. >> So I'm gonna put an M,

>> So I'm gonna put an M, for Magali,

for Magali, and then we're gonna put

and then we're gonna put the C, for Cynthia.

the C, for Cynthia. >> That's permanent.

>> That's permanent. >> At least I don't have, um,

>> At least I don't have, um, a name that starts with an L.

a name that starts with an L. [laughter]

[laughter] >> For Magali's surgery today,

>> For Magali's surgery today, I'll begin by taking a composite

I'll begin by taking a composite graft from her left ear and

graft from her left ear and temporalis fascia

temporalis fascia from her left scalp

while my team removes from her left scalp

while my team removes a piece of rib. from her left scalp

a piece of rib. I will then reconstruct from her left scalp

I will then reconstruct the middle part of her nose from her left scalp

the middle part of her nose and add cartilage to her tip from her left scalp

and add cartilage to her tip to make it look more symmetric. from her left scalp

to make it look more symmetric. I'll also put in a composite from her left scalp

I'll also put in a composite graft along the floor from her left scalp

graft along the floor as well as the rim. from her left scalp

as well as the rim. Finally, I'll put a diced from her left scalp

Finally, I'll put a diced cartilage graft along the middle from her left scalp

cartilage graft along the middle part of Magali's profile. from her left scalp

part of Magali's profile. from her left scalp The goal is to make Magali's

The goal is to make Magali's nose look as natural

nose look as natural as possible.

as possible. I'm gonna take the cartilage

I'm gonna take the cartilage and skin from the ear

and also take the fascia, and skin from the ear

and also take the fascia, or the tissue from the scalp. and skin from the ear

or the tissue from the scalp. [sucking] and skin from the ear

[sucking] and skin from the ear Oh, [bleep].

Oh, [bleep]. Quick, give me a pick up, quick.

Quick, give me a pick up, quick. Quick. Pick up.

Quick. Pick up. There's a lot of blood vessels

There's a lot of blood vessels in the head and the face, and

in the head and the face, and we would think that they would

we would think that they would run exactly in the same area,

run exactly in the same area, but they don't, so now, we need

but they don't, so now, we need to stop the bleeding fast.

to stop the bleeding fast. Oh. Okay, hold on.

Oh. Okay, hold on. It's gonna spray in a minute.

It's gonna spray in a minute. Get your thing out of the way.

Get your thing out of the way. Hurry up.

Hurry up. >> Will the rib come out?

>> Will the rib come out? >> No.

>> No. [dramatic music]

[dramatic music] Hold on.

Hold on. Okay.

Okay. Okay, so we just controlled

Okay, so we just controlled a little bleeder and cauterized

a little bleeder and cauterized it, and so our bleeding stopped

it, and so our bleeding stopped pretty quickly.

pretty quickly. Okay, let's start the nose.

Okay, let's start the nose. Okay, so we pull the tip apart,

Okay, so we pull the tip apart, exposing the deviated septum.

exposing the deviated septum. Okay, bad deviated septum.

Okay, bad deviated septum. No wonder why Magali couldn't

No wonder why Magali couldn't breathe, because she's got

breathe, because she's got a large spur, which is basically

a large spur, which is basically a piece of bone and cartilage,

a piece of bone and cartilage, blocking the complete

blocking the complete right airway.

right airway. This has to be pushed--

This has to be pushed-- push that back.

push that back. They're uneven.

They're uneven. We could always trim it.

We could always trim it. Is it pulled up in there?

Is it pulled up in there? >> Yeah, no. It's perfect.

>> Yeah, no. It's perfect. >> Right there?

>> Right there? >> Yeah.

>> Yeah. >> That looks good from here.

>> That looks good from here. Magali's nose, we got it

Magali's nose, we got it straighter.

straighter. We opened up the airway, and

We opened up the airway, and overall, the nose looks

overall, the nose looks a lot better.

a lot better. It was difficult, and this is

It was difficult, and this is just our first surgery.

[dramatic music] just our first surgery.

[dramatic music] This almost feels like déjà vu, just our first surgery.

This almost feels like déjà vu, but there are some slight just our first surgery.

but there are some slight just our first surgery. differences between

differences between these two noses.

these two noses. Damn, that looks bad.

Damn, that looks bad. >> We want to lift the deformity

>> We want to lift the deformity up off the heart.

up off the heart. On three. One, two, and three.

On three. One, two, and three. [monitor beeping]

[monitor beeping] Oh.

[upbeat music]

[upbeat music] ♪ ♪

>> Cynthia Godfrey. ♪ ♪

>> Cynthia Godfrey. Right rib harvest. ♪ ♪

Right rib harvest. ♪ ♪ Left composite graft.

Left composite graft. Revision septoplasty,

Revision septoplasty, terminate in and out.

terminate in and out. For Cynthia's surgery today,

For Cynthia's surgery today, I'm gonna open up the nose

I'm gonna open up the nose and begin the reconstruction

by rebuilding the middle part and begin the reconstruction

by rebuilding the middle part of the nose to make it and begin the reconstruction

of the nose to make it symmetric, and adding a septal and begin the reconstruction

symmetric, and adding a septal extension graft to give the nose and begin the reconstruction

extension graft to give the nose more support and projection. and begin the reconstruction

more support and projection. Then I'll make an incision and begin the reconstruction

Then I'll make an incision inside the upper lip and use and begin the reconstruction

inside the upper lip and use cartilage to build up the base and begin the reconstruction

cartilage to build up the base of the nose and rebuild the and begin the reconstruction

of the nose and rebuild the complete right nostril. and begin the reconstruction

complete right nostril. Finally, I'm going to revise the and begin the reconstruction

Finally, I'm going to revise the scar on Cynthia's lip and begin the reconstruction

scar on Cynthia's lip by cutting out the old scar and begin the reconstruction

by cutting out the old scar and using rib perichondrium and begin the reconstruction

and using rib perichondrium to fill the gap and hopefully and begin the reconstruction

to fill the gap and hopefully make her lip appear more normal. and begin the reconstruction

make her lip appear more normal. and begin the reconstruction This is, uh, kind of

This is, uh, kind of a big graft here.

a big graft here. This is bigger

This is bigger than her sister's.

than her sister's. So we actually are doing things

So we actually are doing things a little bit more streamlined.

a little bit more streamlined. What's great about doing these

What's great about doing these noses one after the other:

we've already learned a lot noses one after the other:

we've already learned a lot of what to do on Magali's nose. noses one after the other:

of what to do on Magali's nose. So we're gonna use those same noses one after the other:

So we're gonna use those same noses one after the other: concepts in Cynthia's nose.

concepts in Cynthia's nose. But she's also got this really

But she's also got this really deviated septum.

deviated septum. This almost feels like déjà vu,

This almost feels like déjà vu, but there are some slight

but there are some slight differences between

differences between these two noses.

these two noses. Cynthia's surgery went a lot

Cynthia's surgery went a lot easier than Magali's because

easier than Magali's because we had such a great roadmap.

we had such a great roadmap. Now our last step is to correct

Now our last step is to correct Cynthia's lip.

Cynthia's lip. I got to tell you, what's hard

I got to tell you, what's hard about this one, you're doing

about this one, you're doing that lip scar revision,

that lip scar revision, adding volume.

adding volume. This one where you--

This one where you-- it's hard to tell if you have

it's hard to tell if you have too much or not.

too much or not. And if, in this situation,

And if, in this situation, there's not enough tissue, then

there's not enough tissue, then we're gonna have to add more

we're gonna have to add more at a later time.

at a later time. In the operating room, I have to

In the operating room, I have to make sure I've done everything

make sure I've done everything I can, because once they go home

I can, because once they go home and heal, I have no control.

and heal, I have no control. After we closed the lip, it just

After we closed the lip, it just still did not look right.

still did not look right. I don't even know if we can get

I don't even know if we can get any better, but I think the only

any better, but I think the only way for us to find out is to

way for us to find out is to open up the whole incision

open up the whole incision and then try to close it again.

and then try to close it again. If it still looks the same,

If it still looks the same, well then that's what

well then that's what we're gonna get.

we're gonna get. Luckily, the second time

Luckily, the second time was a charm.

was a charm. Now, we do have to wait for the

Now, we do have to wait for the swelling to go down, but I

swelling to go down, but I really think that her lip is

really think that her lip is gonna look at lot better.

gonna look at lot better. So let's see how this heals,

So let's see how this heals, and you know what?

and you know what? We could always go back and do

We could always go back and do a little touch-up

a little touch-up if we need to.

if we need to. Great job.

Great job. >> I agree.

>> I agree. >> What a day.

>> What a day. After eight hours of surgery,

After eight hours of surgery, in regards to aesthetics

in regards to aesthetics and function, significant

and function, significant improvement, so I'm really

improvement, so I'm really happy, I'm really tired,

happy, I'm really tired, and now I want to go home

and now I want to go home and take a nap.

[dance music] and take a nap.

[dance music] ♪ ♪ and take a nap.

♪ ♪ and take a nap. [upbeat music]

[upbeat music] ♪ ♪

♪ ♪ >> Ah.

>> Ah. >> There they are.

>> There they are. >> Good morning.

>> Good morning. Hi, Brandon.

Hi, Brandon. Nice to see you.

Nice to see you. >> Here we are.

>> Here we are. >> Here we are.

>> We made it. >> Here we are.

>> We made it. >> Pathology has given us a >> Here we are.

>> Pathology has given us a green light to go forward >> Here we are.

green light to go forward with the Nuss procedure, so >> Here we are.

with the Nuss procedure, so Dr. Losasso has invited me >> Here we are.

Dr. Losasso has invited me down to San Diego to help him >> Here we are.

down to San Diego to help him perform the procedure that will >> Here we are.

perform the procedure that will get his chest wall >> Here we are.

get his chest wall where he needs it to be. >> Here we are.

where he needs it to be. >> Now we're going to put >> Here we are.

>> Now we're going to put your chest wall in its proper >> Here we are.

your chest wall in its proper relationship with your heart. >> Here we are.

relationship with your heart. To get the best result, we want >> Here we are.

To get the best result, we want to lift the deepest part of the >> Here we are.

to lift the deepest part of the deformity up off the heart. >> Here we are.

deformity up off the heart. >> Here we are. Okay?

Okay? >> Sounds good.

>> Sounds good. I just feel like I'm in really

I just feel like I'm in really good hands, and it's not gonna

good hands, and it's not gonna fun, but, you know, I'm in a

fun, but, you know, I'm in a good place.

good place. >> I'm really happy for you.

>> I'm really happy for you. I'm really excited.

I'm really excited. >> It's like going--going to get

>> It's like going--going to get a new car or something.

a new car or something. I'm gonna have a new chest.

I'm gonna have a new chest. >> This is not like getting

>> This is not like getting a new car!

a new car! >> Yes, it is.

>> Yes, it is. >> The steps are: number one,

>> The steps are: number one, put the scope in and assess

put the scope in and assess the tunnel you're gonna put

the tunnel you're gonna put the bar in.

the bar in. >> Yeah, and--and what's really

>> Yeah, and--and what's really good about that first view is

good about that first view is you really see the abbassare,

you really see the abbassare, and its relationship

and its relationship to the heart.

to the heart. >> Yeah, 'cause you don't want

>> Yeah, 'cause you don't want to put the bar in the heart.

to put the bar in the heart. >> That is absolutely

>> That is absolutely frowned on in better circles.

frowned on in better circles. >> Right, so note to self:

>> Right, so note to self: no bar in the heart.

no bar in the heart. >> No bar in the heart.

>> No bar in the heart. >> Right.

Today, we are performing the >> Right.

Today, we are performing the Nuss procedure on Brandon. >> Right.

Nuss procedure on Brandon. We will make incisions along >> Right.

We will make incisions along both sides of his chest wall >> Right.

both sides of his chest wall and create pathways for both the >> Right.

and create pathways for both the upper and lower bars, and >> Right.

upper and lower bars, and rotating them 180 degrees to pop >> Right.

rotating them 180 degrees to pop out the sternum >> Right.

out the sternum to its rightful position. >> Right.

to its rightful position. >> Right. >> So this is a 14-inch bar.

>> So this is a 14-inch bar. >> Yeah.

>> Yeah. >> And this is actually the

>> And this is actually the template, so I can bend this

template, so I can bend this any way I want, and then it

any way I want, and then it becomes the pattern.

becomes the pattern. >> It's really important that we

>> It's really important that we bend the plate exactly according

bend the plate exactly according to Brandon's chest.

to Brandon's chest. If you under-correct, it won't

If you under-correct, it won't fix his deformity.

fix his deformity. >> I want a little bit more

>> I want a little bit more lift on this side,

lift on this side, and a little bit flatter

and a little bit flatter on this side.

on this side. So just like that.

So just like that. So now, I'll bend the bar.

So now, I'll bend the bar. >> In plastic surgery, we bend

>> In plastic surgery, we bend metal bars all the time in

metal bars all the time in the little bones of the hand

the little bones of the hand and the jaw.

and the jaw. These very large bars brings me

These very large bars brings me back to eighth grade metal shop.

back to eighth grade metal shop. >> That looks pretty

>> That looks pretty doggone good.

doggone good. >> Yeah.

>> Yeah. >> So now we're gonna put

>> So now we're gonna put the port in through which

the port in through which we'll do the thoracoscopy.

we'll do the thoracoscopy. >> We are using a scope designed

>> We are using a scope designed to go into the thoracic cage

to go into the thoracic cage which allows us to make sure

which allows us to make sure that we're not inuring those

that we're not inuring those organs in the chest.

organs in the chest. >> So, there is the beating

>> So, there is the beating heart, and there is the lung,

heart, and there is the lung, and then here's the deformity,

and then here's the deformity, so now we can make the incisions

so now we can make the incisions that we proposed.

that we proposed. >> Perfect.

>> Perfect. We're gonna use a process which

We're gonna use a process which is basically putting CO2 gas

is basically putting CO2 gas in the chest wall to put

in the chest wall to put pressure against the lung,

pressure against the lung, making them smaller,

making them smaller, allowing us a space

allowing us a space to prevent injuring,

to prevent injuring, inadvertently, all of the organs

inadvertently, all of the organs in the chest.

in the chest. >> So now, the first bar's

>> So now, the first bar's going in, and we'll go across

going in, and we'll go across through the internal tunnel

through the internal tunnel and out through the opening

and out through the opening on the opposite side.

on the opposite side. >> Right. Beautiful.

>> Right. Beautiful. >> And it's one last

>> And it's one last 180-degree rotation.

180-degree rotation. >> That's--

>> That's-- >> On three.

>> On three. One, two, and three.

One, two, and three. Oh.

Oh. Perfect.

Perfect. >> Seeing Brandon's chest bone

>> Seeing Brandon's chest bone pop out like that may seem

pop out like that may seem brutal, but it's actually

brutal, but it's actually very controlled and it's

very controlled and it's really very cool.

really very cool. >> Look at how well

>> Look at how well we've lifted.

we've lifted. >> Look at that separation.

>> Look at that separation. >> Yeah, really beautiful.

>> Yeah, really beautiful. >> Wow.

>> Wow. Bar stays in for how long?

Bar stays in for how long? >> Three years.

>> Three years. >> Three years.

>> Three years. >> Yeah.

>> Yeah. >> Got to give Dr. Nuss some

>> Got to give Dr. Nuss some real props for thinking

real props for thinking of this maneuver.

of this maneuver. It takes a lot of guts.

It takes a lot of guts. I mean, I am so impressed.

I mean, I am so impressed. >> Thanks for involving me.

>> Thanks for involving me. >> Thank you.

>> Thank you. >> It's just been a pleasure

>> It's just been a pleasure from start to finish.

[dramatic music] from start to finish.

[dramatic music] ♪ ♪ from start to finish.

♪ ♪ from start to finish. >> We also did your lip.

>> We also did your lip. We put a huge piece of

We put a huge piece of perichondrium on there.

perichondrium on there. We're just going to have to keep

We're just going to have to keep following Cynthia and see how

following Cynthia and see how her lip heals.

>> Are you excited to see

>> Are you excited to see Dr. Nassif today?

>> I want him to tell us Dr. Nassif today?

>> I want him to tell us how everything went. Dr. Nassif today?

how everything went. >> I know. Dr. Nassif today?

>> I know. >> It looks good. Dr. Nassif today?

>> It looks good. >> I know, I can already tell Dr. Nassif today?

>> I know, I can already tell it looks a lot better. Dr. Nassif today?

it looks a lot better. Dr. Nassif today? I'm feeling a lot better than

I'm feeling a lot better than I was yesterday, I know that.

I was yesterday, I know that. >> Looking at my sister,

>> Looking at my sister, she already looks awesome.

she already looks awesome. So, I'm very excited.

So, I'm very excited. >> Hi, guys.

>> Hi, guys. both: Hi.

both: Hi. >> Look at you two.

>> Look at you two. >> [laughing]

>> [laughing] >> We'll start with you.

>> We'll start with you. You were the first one.

You were the first one. >> Yes.

>> Yes. >> The more complex surgery.

>> The more complex surgery. Can we take this off?

Can we take this off? Would you mind?

Would you mind? Wait--oh, you're doing it, okay.

Wait--oh, you're doing it, okay. You do it.

Put your head back for me. You do it.

Put your head back for me. >> Oh, wow. You do it.

>> Oh, wow. Look at that. You do it.

Look at that. You do it. >> Okay, so that looks

>> Okay, so that looks so much better.

so much better. >> Oh, my gosh.

>> Oh, my gosh. That is so even.

That is so even. >> It's so amazing to hear that

Dr. Dubrow thinks that Dr. >> It's so amazing to hear that

Dr. Dubrow thinks that Dr. Nassif has done a great job. >> It's so amazing to hear that

Nassif has done a great job. >> They're very cute together. >> It's so amazing to hear that

>> They're very cute together. >> It's so amazing to hear that >> They are.

>> They are. >> Well, you look fantastic.

>> Well, you look fantastic. >> I feel better.

>> I feel better. >> I was gonna say, right?

>> I was gonna say, right? >> Yeah.

>> Yeah. >> So here--so let me examine

>> So here--so let me examine your sister, then we'll talk.

your sister, then we'll talk. >> Okay. Yeah.

>> Okay. Yeah. >> Magali's nose looks a lot

>> Magali's nose looks a lot straighter, a lot better, and

straighter, a lot better, and it was a lot more difficult

it was a lot more difficult than Cynthia's, but overall,

than Cynthia's, but overall, when I look at it now,

when I look at it now, really happy.

really happy. Okay, so you have those things

Okay, so you have those things inside your nose too.

inside your nose too. >> Nice. Nice.

>> Nice. Nice. >> Yeah, your nose will be

>> Yeah, your nose will be smaller than your--than hers.

smaller than your--than hers. We also did your lip.

We also did your lip. We put a huge piece of

We put a huge piece of perichondrium in there.

perichondrium in there. Cynthia's lip looks

Cynthia's lip looks fantastic so far.

fantastic so far. The swelling is absolutely

The swelling is absolutely on track, and is normal.

on track, and is normal. I don't think we're gonna have

I don't think we're gonna have to do a revision on her lip.

to do a revision on her lip. We're just gonna have to keep

We're just gonna have to keep following Cynthia and see

following Cynthia and see how her lip heals.

how her lip heals. Let's chat.

Let's chat. You're more swollen than you.

You're more swollen than you. >> Yes.

>> Yes. >> But overall, your nose was

>> But overall, your nose was bigger, your tip was more--

bigger, your tip was more-- a lot harder--

a lot harder-- >> Yeah.

>> Yeah. >> Lots of work.

>> Lots of work. >> We did a lot.

>> We did a lot. Yours was easier, but yours is

Yours was easier, but yours is gonna be a little smaller.

gonna be a little smaller. 'Cause that's pretty much

'Cause that's pretty much the way it was.

the way it was. both: Yeah.

both: Yeah. >> But overall, I think we did a

>> But overall, I think we did a great job, and you both

great job, and you both look fantastic.

look fantastic. >> Yeah.

>> Yeah. >> You have any

>> You have any question for us?

question for us? >> Very important question.

>> Very important question. >> Sure.

>> Sure. >> When am I going to be able

>> When am I going to be able to eat a cheeseburger?

to eat a cheeseburger? >> That's up to you.

>> That's up to you. Out of all the questions you

Out of all the questions you could ask me,

could ask me, that's what you're asking me?

that's what you're asking me? "When can I have a

"When can I have a cheeseburger?"

cheeseburger?" Eat it now. I don't care.

Eat it now. I don't care. Whenever you want. Just do it.

Whenever you want. Just do it. Make yourself feel good.

Make yourself feel good. >> Okay, so--

>> Okay, so-- >> Nice job.

>> Nice job. >> Thank you, Doctor.

>> Thank you, Doctor. >> Thank you.

>> Thank you. >> Yeah, I'm really happy.

>> Yeah, I'm really happy. Thank you.

Thank you. >> Pleasure.

>> Pleasure. [light rock music]

[light rock music] ♪ ♪

♪ ♪ >> 27 years of surgeries are

>> 27 years of surgeries are over, and it's not just

over, and it's not just about ourselves.

about ourselves. It involves our entire family.

It involves our entire family. It was just so long,

It was just so long, nearly three decades of putting

nearly three decades of putting them through this, and we're

them through this, and we're able to start a new chapter in

able to start a new chapter in our lives.

our lives. It's great to finally go outside

It's great to finally go outside and see--and let people see

and see--and let people see what we look like now.

what we look like now. >> It's a perfect day.

>> It's a perfect day. It's a perfect day

It's a perfect day for a barbecue.

>> I'm excited to see them. for a barbecue.

>> I'm excited to see them. >> I know. for a barbecue.

>> I know. I'm gonna start crying for sure. for a barbecue.

I'm gonna start crying for sure. [laughter] for a barbecue.

[laughter] for a barbecue. >> Today we're having

>> Today we're having a family cookout.

a family cookout. >> We haven't seen our family

>> We haven't seen our family since before the surgery,

since before the surgery, but today, they finally

but today, they finally get to see us.

get to see us. >> Oh!

>> Oh! >> Oh, my God!

>> Oh, my God! [screaming]

[screaming] [cheering and applause]

>> You're beautiful!

>> You're beautiful! >> They're so happy for us.

>> They're so happy for us. It's awesome. It's amazing.

It's awesome. It's amazing. It was very special.

It was very special. Hey, everyone.

Hey, everyone. So, um, Magali and I would

So, um, Magali and I would really, really like to thank

really, really like to thank all of you for coming.

all of you for coming. We finally had our last surgery.

We finally had our last surgery. >> I know that it was a little

>> I know that it was a little bit scary to find out that we

bit scary to find out that we were going through this again,

were going through this again, but I'm really happy with the

but I'm really happy with the results, and we really do

results, and we really do appreciate you guys.

appreciate you guys. >> We love you.

>> We love you. >> We love you too!

>> We love you too! [laughter]

>> Before this surgery, [laughter]

>> Before this surgery, our noses were asymmetrical. [laughter]

our noses were asymmetrical. We had major breathing issues, [laughter]

We had major breathing issues, and we really didn't resemble [laughter]

and we really didn't resemble each other as much as [laughter]

each other as much as identical twins should. [laughter]

identical twins should. >> But now, our noses are much [laughter]

>> But now, our noses are much straighter, our breathing has [laughter]

straighter, our breathing has improved tremendously, and we [laughter]

improved tremendously, and we don't get as many headaches. [laughter]

don't get as many headaches. [laughter] >> And we look more like twins

>> And we look more like twins than ever before.

than ever before. >> You guys look like twins now.

>> You guys look like twins now. >> Literally took us 27 years.

>> Literally took us 27 years. [laughing]

[laughing] It's been a very emotional day

It's been a very emotional day for all of us.

for all of us. >> The experience was

>> The experience was healing for my mom.

healing for my mom. It probably feels like a huge

It probably feels like a huge weight lifted off her shoulders.

weight lifted off her shoulders. >> Oh, my.

>> Oh, my. [laughter]

[laughter] I love it.

I love it. >> I know it was hard.

>> I know it was hard. >> I'm so proud of you.

>> I'm so proud of you. With you both.

With you both. >> We're proud of you, Mom.

>> We're proud of you, Mom. >> Ah, I'm gonna cry.

>> Ah, I'm gonna cry. [laughter]

[laughter] >> Dr. Nassif not only gave us a

>> Dr. Nassif not only gave us a new nose, but he gave us

new nose, but he gave us a new life.

a new life. I feel a lot better

I feel a lot better about myself.

about myself. I don't have to think twice

I don't have to think twice about the way I look.

about the way I look. >> Everybody got a drink?

>> Everybody got a drink? We're gonna make a toast.

We're gonna make a toast. For the twins!

For the twins! all: Yay!

all: Yay! [cheering]

[cheering] >> When I look at myself in the

>> When I look at myself in the mirror, I see a whole person.

mirror, I see a whole person. Someone that--that likes

Someone that--that likes the way she looks.

the way she looks. >> I don't know about you guys,

>> I don't know about you guys, but I'm hungry, so let's eat!

but I'm hungry, so let's eat! all: Yay!

all: Yay! [clapping]

[upbeat rock music]

[upbeat rock music] ♪ ♪

♪ ♪ >> Having this procedure done

>> Having this procedure done was pretty important to me

was pretty important to me because I wanted this since I

because I wanted this since I was eight years old and I first

was eight years old and I first noticed the deformity.

noticed the deformity. Later on down the road, I could

Later on down the road, I could have had more complications

have had more complications with my heart and my lungs,

with my heart and my lungs, so it was really important to me

so it was really important to me to have this corrected now

to have this corrected now so that I don't have to worry

so that I don't have to worry about later on and being around

about later on and being around for my daughter.

for my daughter. >> Oh, my gosh, you guys.

>> Oh, my gosh, you guys. Wait till you see him.

Wait till you see him. It's insane, the difference.

It's insane, the difference. >> Can't wait to see

>> Can't wait to see the difference.

the difference. >> His recovery's been hard.

>> His recovery's been hard. He's been in a ton of pain.

He's been in a ton of pain. Hasn't been able to hold her

Hasn't been able to hold her in two months.

in two months. >> You excited to see

>> You excited to see your daddy?

your daddy? >> I hope that Ally, McKenzie,

>> I hope that Ally, McKenzie, and friends just really like

and friends just really like what they see when

what they see when I take my shirt off.

I take my shirt off. I mean, that's--that's my goal,

I mean, that's--that's my goal, is to have a nice, decent chest.

is to have a nice, decent chest. Hope that I get their approval.

Hope that I get their approval. [bright music]

[bright music] >> Hey, guys.

>> Hey, guys. all: Hey!

all: Hey! >> Hey, babe. How are you?

>> Hey, babe. How are you? >> Hi.

>> Hi. Say "Hi, Daddy."

Say "Hi, Daddy." >> Hey, baby girl.

>> Hey, baby girl. >> Aww.

>> Aww. >> Hi, Sweetheart.

>> Hi, Sweetheart. >> Daddy!

>> Daddy! >> How is everybody?

>> How is everybody? >> Good.

>> Good. >> So good.

>> So good. >> We want to see it.

>> We want to see it. >> Yeah.

>> Yeah. all: Take it off!

all: Take it off! >> Show us.

>> Show us. >> I want to see!

>> I want to see! Oh, my God.

Oh, my God. >> Whoo!

>> Whoo! >> Wow.

>> Wow. >> What?

>> What? >> That's unbelievable.

>> That's unbelievable. >> Oh, my goodness.

>> Oh, my goodness. both: Oh, my gosh.

both: Oh, my gosh. >> That's amazing.

>> That's amazing. >> That looks incredible.

>> That looks incredible. >> I think this day means that

>> I think this day means that Brandon's really getting to just

Brandon's really getting to just be himself for the first time.

be himself for the first time. He gets to not worry about

He gets to not worry about "Can people tell

"Can people tell he has an implant, or if

he has an implant, or if he has a dip in his chest?"

he has a dip in his chest?" He just gets to be normal.

He just gets to be normal. It's really the first day he's

It's really the first day he's ever gotten to experience that.

ever gotten to experience that. Look at Daddy!

Look at Daddy! >> Looks amazing.

>> Looks amazing. >> Look at how good he looks.

>> Look at how good he looks. Can you touch it?

Can you touch it? Is he all better?

Is he all better? All better!

All better! [laughter]

[laughter] All better.

All better. >> It's been a long journey.

>> It's been a long journey. I feel like I can

I feel like I can finally take a breath.

finally take a breath. I feel a lot better now than

I feel a lot better now than what I did, you know,

what I did, you know, a year ago.

a year ago. >> How do you feel?

>> How do you feel? >> I feel a lot better.

>> I feel a lot better. You know, just even to be able

You know, just even to be able to take deeper breaths and

to take deeper breaths and everything, I feel like I have

everything, I feel like I have a little bit more energy.

a little bit more energy. >> Now you can chase after her.

>> Now you can chase after her. >> Yeah, now that my chest is

>> Yeah, now that my chest is out, my own lungs have more room

out, my own lungs have more room to expand.

to expand. I'm gonna have a lot more energy

I'm gonna have a lot more energy to chase you around.

to chase you around. >> Yay!

>> Yay! >> Yeah.

>> Yeah. Before my surgeries, I had an

Before my surgeries, I had an infected implant in my chest

infected implant in my chest that was developing fluid around

that was developing fluid around it and putting pressure

it and putting pressure on my heart.

on my heart. I feared daily that something

I feared daily that something could happen and I wouldn't be

could happen and I wouldn't be around to see my daughter

around to see my daughter grow up.

grow up. Now that I've had the implant

Now that I've had the implant removed and my chest wall pushed

removed and my chest wall pushed out, I feel like I can finally

out, I feel like I can finally be the active dad

be the active dad that I want to be.

that I want to be. And don't worry, Dr. Dubrow.

And don't worry, Dr. Dubrow. I'll never practice medicine

I'll never practice medicine on myself again.

on myself again. I couldn't be more thankful for

I couldn't be more thankful for Dr. Dubrow and Dr. Losasso.

Dr. Dubrow and Dr. Losasso. I mean, they really are the best

I mean, they really are the best at what they do.

at what they do. The recovery's long and painful,

The recovery's long and painful, but it's really worth it.

but it's really worth it. Pretty happy with it.

Pretty happy with it. >> Can I touch it?

>> Don't make it weird >> Can I touch it?

>> Don't make it weird or anything. >> Can I touch it?

or anything. >> You're ripping its tail off, >> Can I touch it?

>> You're ripping its tail off, exposing its internal organs >> Can I touch it?

exposing its internal organs and eating them. >> Can I touch it?

and eating them. >> Can I touch it? >> So, Lee was born with

>> So, Lee was born with frontonasal dysplasia.

frontonasal dysplasia. >> It's affected my life

>> It's affected my life in a big way.

in a big way. >> Addy got a very significant

>> Addy got a very significant buttock deformity.

buttock deformity. >> I'm tired of people

>> I'm tired of people talking about me,

talking about me, looking down on me.

looking down on me. I just want to get over that.

>> If you'd like to be I just want to get over that.

>> If you'd like to be considered for "Botched I just want to get over that.

considered for "Botched By Nature" share your story at I just want to get over that.