Botched by Nature (2016–…): Season 1, Episode 5 - The Chronicles of Hernia - full transcript

>> You became a male cheerleader

>> You became a male cheerleader to get chicks?

to get chicks? >> We all did.

>> We all did. L, L, L, O, Y!

L, L, L, O, Y! [claps rhythmically ]

[claps rhythmically ] O, O, O, L, A!

O, O, O, L, A! >> O, O, O, M, G.

>> O, O, O, M, G. [claps rhythmically]

[claps rhythmically] Ew, ew, ew, ew, ew.

Ew, ew, ew, ew, ew. Taylor Prestige was born with a

Taylor Prestige was born with a significant breast deformity.



significant breast deformity. The right side didn't

The right side didn't develop at all.

develop at all. What size do you want to be?

What size do you want to be? >> D.

>> D. >> You only have hearing

>> You only have hearing in the right ear?

in the right ear? >> I do, yep.

>> I do, yep. Just like the ear didn't form.

Just like the ear didn't form. >> He has an incarcerated

>> He has an incarcerated umbilical hernia.

umbilical hernia. Chances of a complication with a

Chances of a complication with a doctor, typically a doctor you

doctor, typically a doctor you know is higher.

know is higher. >> Oh, you [bleep].



>> Oh, you [bleep]. >> ♪ I wanna be, wanna be ♪

>> ♪ I wanna be, wanna be ♪ ♪ The best version ♪

♪ The best version ♪ ♪ I wanna be, wanna be ♪

♪ I wanna be, wanna be ♪ ♪ The best version of me ♪

[relaxed country music]

[relaxed country music] >> Virginia.

>> Virginia. >> In Virginia.

>> In Virginia. >> How cool is this place, huh?

>> How cool is this place, huh? This is America.

This is America. This is where America basically

This is where America basically started, the America

started, the America that we know.

that we know. The Revolutionary War.

The Revolutionary War. ♪ Glory, glory ♪

♪ Glory, glory ♪ >> both: ♪ Hallelujah ♪

>> both: ♪ Hallelujah ♪ ♪ Glory, glory ♪

♪ Glory, glory ♪ ♪ Hallelujah ♪

♪ Hallelujah ♪ >> Terry's having so much fun,

>> Terry's having so much fun, I don't wanna ruin it by telling

I don't wanna ruin it by telling him that it's actually

him that it's actually a Civil War song.

a Civil War song. Who are we seeing, Terry?

Who are we seeing, Terry? >> So we are seeing

>> So we are seeing Taylor Prestige, a 20-year-old

Taylor Prestige, a 20-year-old girl who was born with a

girl who was born with a significant breast deformity.

significant breast deformity. The right side didn't develop at

The right side didn't develop at all.

all. These are cases that are very

These are cases that are very confusing because it's almost

confusing because it's almost like breasts from two different

like breasts from two different people put on one person.

people put on one person. >> Here we go.

>> Here we go. >> Okay.

>> Okay. Let's go see Taylor.

Let's go see Taylor. Taylor has an extremely rare

Taylor has an extremely rare medical condition called

medical condition called amastia, which occurs in less

amastia, which occurs in less than 1% of females, where one

than 1% of females, where one side doesn't develop at all, and

side doesn't develop at all, and the other has relatively normal

the other has relatively normal development.

development. So I'm glad we're here in her

So I'm glad we're here in her own home so we can examine her

own home so we can examine her and really try to figure out how

and really try to figure out how to solve her problem.

to solve her problem. Hi.

>> Hello. Hi.

>> Hello. How are you? Hi.

How are you? >> Terry Dubrow. Hi.

>> Terry Dubrow. >> Robin. Hi.

>> Robin. >> Hi, Dr. Nassif. Hi.

>> Hi, Dr. Nassif. >> Robin, nice to meet you. Hi.

>> Robin, nice to meet you. Hi. >> Nice to meet you too.

>> Nice to meet you too. >> Please, welcome, come on in.

>> Please, welcome, come on in. >> both: Thank you.

>> both: Thank you. >> Hi.

>> Hi. >> Taylor, how are you?

>> Taylor, how are you? >> I'm good, how are you?

>> I'm good, how are you? >> Nice to meet you.

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

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

>> Nice to meet you. >> Hi, I'm Dr. Nassif.

>> Hi, I'm Dr. Nassif. >> Nice to meet you.

I would be devastated if Dr. >> Nice to meet you.

I would be devastated if Dr. Dubrow and Dr. Nassif came all >> Nice to meet you.

Dubrow and Dr. Nassif came all this way, and they weren't able >> Nice to meet you.

this way, and they weren't able >> Nice to meet you. to help me, because they're the

to help me, because they're the best in the country.

best in the country. And if they can't even do it, I

And if they can't even do it, I definitely don't want to trust

definitely don't want to trust somebody who maybe isn't up to

somebody who maybe isn't up to those standards.

those standards. >> Obviously, your anatomical

>> Obviously, your anatomical situation has had a profound

situation has had a profound effect on your life, right?

effect on your life, right? >> Yes, it has.

>> Yes, it has. >> When did you first know that

>> When did you first know that there was something going on?

there was something going on? >> When I was 12, I noticed that

>> When I was 12, I noticed that I had a breast bud, like, a knot

I had a breast bud, like, a knot underneath my breast

underneath my breast on my left side, but it was only

on my left side, but it was only on my left side,

on my left side, which was strange.

which was strange. >> And then what happened?

>> And then what happened? >> Left breast started growing,

>> Left breast started growing, and then the right one still

and then the right one still just never--never caught up.

just never--never caught up. >> Any issues with high school

>> Any issues with high school at that time?

at that time? >> Yeah, in gym class I would go

>> Yeah, in gym class I would go hide in the showers to change

hide in the showers to change because that was at the time

because that was at the time where you could start being able

where you could start being able to tell that, you know, the left

to tell that, you know, the left side is coming in, but the right

side is coming in, but the right side's still not doing anything.

side's still not doing anything. High school was difficult.

High school was difficult. Hiding my breasts was

Hiding my breasts was hard to do.

hard to do. I had to quit the swim team, or

I had to quit the swim team, or I felt I needed to

I felt I needed to because I couldn't hide.

because I couldn't hide. At least with everyday clothing,

At least with everyday clothing, there was ways of me hiding, but

there was ways of me hiding, but in a Speedo, you can't hide

in a Speedo, you can't hide anything.

anything. >> On a scale of one to ten, how

>> On a scale of one to ten, how much do you think

much do you think it affects your life?

it affects your life? >> A nine out of ten.

>> A nine out of ten. >> Really?

>> Really? >> I mean, I don't feel

>> I mean, I don't feel comfortable to go out and hang

comfortable to go out and hang out with friends all the time.

out with friends all the time. I don't feel comfortable to be

I don't feel comfortable to be in social setting.

in social setting. My first boyfriend, I just told

My first boyfriend, I just told him about it, and he went and

him about it, and he went and told a lot of his friends, and

told a lot of his friends, and then went and told people,

then went and told people, so everybody knew.

so everybody knew. I definitely think I would've

I definitely think I would've done so much more if I would've

done so much more if I would've just been like every other girl

just been like every other girl my age, but I don't--I don't

my age, but I don't--I don't feel like I am.

feel like I am. I feel, like, you know, I have

I feel, like, you know, I have that, and it holds me back a

that, and it holds me back a lot.

lot. >> It's hard enough to grow up

>> It's hard enough to grow up young and healthy in a normal

young and healthy in a normal environment.

environment. I can't even imagine what it

I can't even imagine what it must be like to have a

must be like to have a congenital deformity that you're

congenital deformity that you're self-conscious about and try to

self-conscious about and try to navigate all of the social

navigate all of the social waters that you go through when

waters that you go through when you're going through

you're going through adolescence and young adulthood.

adolescence and young adulthood. >> What's your thought

>> What's your thought about all of this?

about all of this? >> Her entire senior year, she

>> Her entire senior year, she wore a scarf just about every

wore a scarf just about every day to hide it.

day to hide it. And to be able to go out on a

And to be able to go out on a nice day and not have a cami on

nice day and not have a cami on on a 100-degree day I think

on a 100-degree day I think would be fabulous for her.

would be fabulous for her. >> Has this been looked at

>> Has this been looked at before about having it repaired,

before about having it repaired, fixed, improved, anything?

fixed, improved, anything? >> I did go to two

>> I did go to two consultations.

consultations. The first consultation told me

The first consultation told me tissue expander is a must on my

tissue expander is a must on my right side to even try and maybe

right side to even try and maybe get it to the size of my left

get it to the size of my left breast, and then do a lift on my

breast, and then do a lift on my left side.

left side. >> What did the second

>> What did the second consultation tell you?

consultation tell you? >> Second consultation told me

>> Second consultation told me the opposite, that no tissue

the opposite, that no tissue expander was needed, but then he

expander was needed, but then he did say that he wasn't sure if

did say that he wasn't sure if my pectoral muscle would

my pectoral muscle would constrict.

constrict. It could or it could not.

It could or it could not. It depends on how my skin

It depends on how my skin stretches.

stretches. >> The pectoralis major muscle

>> The pectoralis major muscle may constrict or cause an

may constrict or cause an inability to expand the tissue

inability to expand the tissue as you're placing a breast

as you're placing a breast implant under it, and that is

implant under it, and that is actually a possibility and a

actually a possibility and a particular concern of mine.

particular concern of mine. >> Obviously, you decided to do

>> Obviously, you decided to do nothing.

nothing. >> I was too nervous hearing

>> I was too nervous hearing opposite things, not actually

opposite things, not actually being able to trust anybody.

being able to trust anybody. >> For us, it's a question of

>> For us, it's a question of what can be achieved and what

what can be achieved and what are your true goals?

are your true goals? >> Just to wear a bathing suit

>> Just to wear a bathing suit and not have, like, a whole gap,

and not have, like, a whole gap, you know, complete gap

you know, complete gap difference.

difference. Trying on swimsuits in dressing

Trying on swimsuits in dressing rooms has always been a real

rooms has always been a real struggle.

struggle. I would love to walk on the

I would love to walk on the beach with a bikini and swim as

beach with a bikini and swim as much as I used to.

much as I used to. And now, if people are looking

And now, if people are looking at me, it's for good reasons and

at me, it's for good reasons and not looking at me like, "What is

not looking at me like, "What is going on with that girl's, you

going on with that girl's, you know, breasts?" which I've had a

know, breasts?" which I've had a few times.

few times. >> So here's a gown.

>> So here's a gown. Put this open in the front.

Put this open in the front. And we'll examine you

And we'll examine you in the other room, okay?

in the other room, okay? >> Okay, thank you.

>> Okay, thank you. I need this surgery to give me

I need this surgery to give me the confidence to allow myself

the confidence to allow myself to do life experiences that I'll

to do life experiences that I'll always remember.

always remember. >> Hey.

>> Hey. >> Hi.

>> Hi. >> Okay.

>> Okay. When we first look at your

When we first look at your chest, the first thing we notice

chest, the first thing we notice is your left breast has a bit of

is your left breast has a bit of a tuberous component to it,

a tuberous component to it, although it's mild.

although it's mild. Tuberous meaning it's not as

Tuberous meaning it's not as wide as we like it here, and it

wide as we like it here, and it comes a little potato shape.

comes a little potato shape. Your right breast, where you

Your right breast, where you have lack of development of the

have lack of development of the lower pole and the outer pole.

lower pole and the outer pole. First of all, the good news.

First of all, the good news. I don't think you need tissue

I don't think you need tissue expansion on your right breast.

expansion on your right breast. So I think we can put an implant

So I think we can put an implant in here and expand it out with

in here and expand it out with one surgery.

one surgery. This left breast, to make it

This left breast, to make it more symmetrical to this, I

more symmetrical to this, I think we do actually have to put

think we do actually have to put an implant in, because what'll

an implant in, because what'll happen is, if we put an implant

happen is, if we put an implant on this one, you'll have a lot

on this one, you'll have a lot of upper fullness.

of upper fullness. And if I even lift this one,

And if I even lift this one, reduce it, whatever I do, you'll

reduce it, whatever I do, you'll never have matching upper

never have matching upper fullness that will match an

fullness that will match an implant on this side.

implant on this side. So to maximize symmetry, we do

So to maximize symmetry, we do need to put an implant on this

need to put an implant on this side, but I get the sense that

side, but I get the sense that you sort of want that anyway,

you sort of want that anyway, don't you?

don't you? >> I do, yeah.

>> I do, yeah. >> But here is the question

>> But here is the question for you.

for you. I already know what your

I already know what your answer's gonna be.

answer's gonna be. I'm gonna ask you what size do

I'm gonna ask you what size do you want to be?

you want to be? And you're initially gonna tell

And you're initially gonna tell me, "I just want them

me, "I just want them symmetrical," but what you

symmetrical," but what you really want is a...

really want is a... >> D.

>> D. >> You want a D cup.

>> You want a D cup. How did I know that?

How did I know that? It's no surprise that Taylor

It's no surprise that Taylor wants a D cup.

wants a D cup. We often want the exact opposite

We often want the exact opposite of what we actually have, and in

of what we actually have, and in Taylor's case, it's no

Taylor's case, it's no exception.

exception. You wanting a D adds another

You wanting a D adds another level of complexity,

level of complexity, and let me tell you why.

and let me tell you why. If you take this small breast on

If you take this small breast on your right, and you make it a D,

your right, and you make it a D, the bigger you go, the tighter

the bigger you go, the tighter the skin.

the skin. It's like a balloon.

It's like a balloon. You--[blows]

You--[blows] The tautness of the skin

The tautness of the skin is very different appearing.

is very different appearing. So I would say I would try to go

So I would say I would try to go for a D.

for a D. >> Okay.

>> Okay. >> But your body will tell us

>> But your body will tell us what to do.

what to do. >> Okay.

>> Okay. >> I'm so excited to be doing

>> I'm so excited to be doing this, because I live for this

this, because I live for this kind of situation, because this

kind of situation, because this is a hard case.

is a hard case. Is this something you want to

Is this something you want to do?

do? >> Yes, I want to do it.

>> Yes, I want to do it. >> Well, we look forward to

>> Well, we look forward to seeing you in our neck of the

seeing you in our neck of the woods, okay?

woods, okay? >> Okay.

>> Okay. The first thing I'm gonna do

The first thing I'm gonna do once I'm healed is buy a Speedo

once I'm healed is buy a Speedo and go do laps.

and go do laps. I've missed so much, just going

I've missed so much, just going in a pool and doing laps.

in a pool and doing laps. Such a stress-reliever,

Such a stress-reliever, just me time.

>> I'm excited to give her this

>> I'm excited to give her this opportunity to avoid all the

opportunity to avoid all the steps that we normally see

steps that we normally see people go through.

people go through. But by the same token, I feel

But by the same token, I feel just a little extra pressure.

just a little extra pressure. You know, we're not undoing the

You know, we're not undoing the sins of some other surgery.

sins of some other surgery. I actually have to be the one to

I actually have to be the one to put scars on her, so any of

put scars on her, so any of this--any things that go wrong,

this--any things that go wrong, it's all on me.

>> I don't want to go

>> I don't want to go on a Segway.

on a Segway. It's too cold.

It's too cold. >> This is the best way

>> This is the best way to see this city.

to see this city. >> I'm a plastic surgeon.

>> I'm a plastic surgeon. I'm not a mall cop.

I'm not a mall cop. Charlie does not have an ear.

Charlie does not have an ear. >> Born completely without

>> Born completely without an ear?

an ear? >> Just like the ear didn't

>> Just like the ear didn't form.

form. >> Hmm.

[upbeat music]

[upbeat music] ♪ ♪

♪ ♪ >> Come with me.

>> Come with me. >> Where we going?

>> Where we going? >> Check this out.

>> Check this out. >> What are we doing?

>> What are we doing? >> We're just--come with me.

Kyle, right? >> We're just--come with me.

Kyle, right? >> Yes, sir. >> We're just--come with me.

>> Yes, sir. >> Terry Dubrow, >> We're just--come with me.

>> Terry Dubrow, nice to meet you. >> We're just--come with me.

nice to meet you. >> Nice to meet you. Kyle. >> We're just--come with me.

>> Nice to meet you. Kyle. Nice to meet you. >> We're just--come with me.

Nice to meet you. >> Kyle, so, wait a minute. >> We're just--come with me.

>> Kyle, so, wait a minute. >> We're just--come with me. Segways.

Segways. I don't want to go

I don't want to go on a Segway.

on a Segway. It's too cold.

It's too cold. >> This is the best way

>> This is the best way to see this city.

to see this city. >> Do I really look like someone

who's gonna drive a Segway? >> Do I really look like someone

who's gonna drive a Segway? I'm a plastic surgeon. >> Do I really look like someone

I'm a plastic surgeon. I'm not a mall cop. >> Do I really look like someone

I'm not a mall cop. >> Do I really look like someone I want to go to a restaurant.

I want to go to a restaurant. Let's have some food,

Let's have some food, have a drink.

have a drink. >> Tell him this is safe, right?

>> Tell him this is safe, right? >> Oh, it's super safe, oh,

>> Oh, it's super safe, oh, yeah.

yeah. >> I need a helmet if I'm gonna

>> I need a helmet if I'm gonna do this thing.

do this thing. At this point, if it would get

At this point, if it would get Terry to shut up,

Terry to shut up, I'd ride a donkey.

>> Let me tell you how to go backwards.

backwards. >> Oh!

>> Oh! Have you ridden one of these

Have you ridden one of these before?

before? >> Right?

>> Right? He's a natural.

He's a natural. He's a pro.

He's a pro. >> Paul looks kind of cool on

>> Paul looks kind of cool on that Segway, kind of dashing,

that Segway, kind of dashing, a lot taller, maybe slimmer.

a lot taller, maybe slimmer. Yeah, no, not slimmer.

Yeah, no, not slimmer. Let's race.

Let's race. >> Really?

>> Really? >> Come on, let's do it.

>> Come on, let's do it. Think you can beat me?

Think you can beat me? >> I have no clue.

>> I have no clue. >> Mark, get set...

>> Mark, get set... >> Go.

>> Go. >> Go!

>> Go! >> Terry, I'm gonna show you

>> Terry, I'm gonna show you how it's done.

how it's done. >> [yelling]

>> [yelling] >> Terry, how you doing

>> Terry, how you doing back there?

back there? Back, back, back, back there.

Back, back, back, back there. >> Ah!

>> Ah! >> Whoo!

>> Whoo! >> Ah, man!

>> Ah, man! Cheater!

Cheater! >> Whoo!

>> Whoo! >> If there has to be one and

>> If there has to be one and only one thing Paul's better

only one thing Paul's better than me at, it can be the

than me at, it can be the Segway.

Segway. Have at it, buddy.

Have at it, buddy. Oh, give me a break.

Oh, give me a break. [laughs]

>> We're going to Silver Lake.

>> We're going to Silver Lake. It's ten minutes away...

It's ten minutes away... >> Yeah.

>> Yeah. >> From where I was born

>> From where I was born and raised.

and raised. >> But I grew up right around

>> But I grew up right around here too.

here too. >> Where'd you go to high

>> Where'd you go to high school, by the way?

school, by the way? >> Van Nuys high school.

>> Van Nuys high school. >> I went to Loyola.

>> I went to Loyola. >> Oh, yeah, you went to that

>> Oh, yeah, you went to that all-guys school where you were--

all-guys school where you were-- >> Smart.

>> Smart. >> Yell-leader.

>> Yell-leader. >> It was only for football,

>> It was only for football, and this is how we got chicks.

and this is how we got chicks. >> You became a male cheerleader

>> You became a male cheerleader to get chicks?

to get chicks? >> We all did.

>> We all did. I went to a all-male high

I went to a all-male high school.

school. Now, all the cool guys became a

Now, all the cool guys became a yell-leader, and yes, I was one,

yell-leader, and yes, I was one, and yes, we got all the girls.

and yes, we got all the girls. >> I'd like to see the field

>> I'd like to see the field where you were a cheerleader.

where you were a cheerleader. Maybe you can go reenact some of

Maybe you can go reenact some of your cheers for me.

your cheers for me. >> L, L, L, O, Y.

>> L, L, L, O, Y. [claps rhythmically]

[claps rhythmically] O, O, O, L, A.

O, O, O, L, A. [claps rhythmically]

[claps rhythmically] L-O-Y-O-L-A.

L-O-Y-O-L-A. Loyola, Loyola, Loyola.

Loyola, Loyola, Loyola. I think that's it.

I think that's it. >> O, O, O, M, G.

>> O, O, O, M, G. [claps rhythmically]

[claps rhythmically] Ew, ew, ew, ew, ew.

Ew, ew, ew, ew, ew. [claps rhythmically]

[claps rhythmically] Go man-boobs!

Go man-boobs! [laughter]

>> Terry is the only guy I know

>> Terry is the only guy I know that can be a mascot without

that can be a mascot without wearing a costume.

wearing a costume. I mean, look at him.

I mean, look at him. Look how goofy he is.

Look how goofy he is. Let me tell you about our next

Let me tell you about our next patient.

patient. Charlie does not have an ear.

Charlie does not have an ear. So no hearing.

So no hearing. Apparently he had some surgeries

Apparently he had some surgeries with his ear in the past.

with his ear in the past. >> What did he have?

>> What did he have? >> I don't know what he's done.

>> I don't know what he's done. Just pull--look at his photos.

Just pull--look at his photos. When a child is born without an

When a child is born without an ear, it is usually a congenital

ear, it is usually a congenital deformity, and that can be

deformity, and that can be hereditary, which means you

hereditary, which means you inherit it from someone in your

inherit it from someone in your family, or it could've been

family, or it could've been caused by the environment.

caused by the environment. Okay, let me show you these.

Okay, let me show you these. There's Charlie, obviously

There's Charlie, obviously looks like he's in a band.

looks like he's in a band. Oh, okay.

Oh, okay. So some surgery.

So some surgery. >> Right.

>> Right. >> Like some type of a skin

>> Like some type of a skin graft or some reconstruction

graft or some reconstruction somewhere.

somewhere. Normal, look at right ear.

Normal, look at right ear. Hey, I'm gonna ask you a

Hey, I'm gonna ask you a question.

question. >> What?

>> What? >> You know, don't make fun of

>> You know, don't make fun of me, but I'm gonna show you

me, but I'm gonna show you something.

something. I think I may have an umbilical

I think I may have an umbilical hernia.

hernia. >> Let me see.

>> Let me see. You know what?

You know what? Hold on, let me see something.

Hold on, let me see something. Does that hurt?

Does that hurt? >> Yeah, it does.

>> Yeah, it does. >> That's an incarcerated

>> That's an incarcerated umbilical hernia.

umbilical hernia. You need to get that fixed.

You need to get that fixed. >> You got to fix it.

>> You got to fix it. Do it for me.

Do it for me. >> Yeah.

>> Yeah. I'm a board-certified plastic

I'm a board-certified plastic surgeon, but I also was

surgeon, but I also was board-certified in general

board-certified in general surgeries, and that's good,

surgeries, and that's good, because Paul has a very

because Paul has a very significant problem, and it

significant problem, and it really is an urgent matter.

really is an urgent matter. This is actually kind of mildly

This is actually kind of mildly urgent.

urgent. >> But let's just--let's go see

>> But let's just--let's go see Charlie.

Charlie. >> Yeah.

>> Yeah. ♪ ♪

[knocks]

>> Oh, my goodness. [knocks]

>> Oh, my goodness. Hi there. [knocks]

Hi there. How are you doing? [knocks]

How are you doing? I'm Charlie. [knocks]

I'm Charlie. >> Hey, Charlie. [knocks]

>> Hey, Charlie. >> Dr. Nassif. [knocks]

>> Dr. Nassif. >> Thank you so much for coming. [knocks]

>> Thank you so much for coming. [knocks] >> I love the accent.

>> I love the accent. >> You're Scottish?

>> You're Scottish? >> I am indeed.

>> I am indeed. Come on in.

Come on in. I'm feeling a little nervous

I'm feeling a little nervous about meeting the doctors today.

about meeting the doctors today. I'm always a bit of a scaredy

I'm always a bit of a scaredy cat when it comes to surgery and

cat when it comes to surgery and things like that, but I'm just

things like that, but I'm just really excited to hear what the

really excited to hear what the possibilities are.

This is Brandi. possibilities are.

This is Brandi. >> Hi, nice to meet you. possibilities are.

>> Hi, nice to meet you. Brandi. possibilities are.

Brandi. possibilities are. >> You're Charlie's other half?

>> You're Charlie's other half? >> I'm not.

>> I'm not. I'm his bandmate.

I'm his bandmate. >> Bandmate.

>> Bandmate. >> Same thing.

>> Same thing. >> Terry Dubrow, nice to meet

>> Terry Dubrow, nice to meet you.

you. >> Have a seat, guys.

>> Have a seat, guys. >> So you're from Scotland.

>> So you're from Scotland. >> I am, yes.

>> I am, yes. >> Okay, and so what brought you

>> Okay, and so what brought you to America?

to America? >> Music actually.

>> Music actually. I came out to record an album

I came out to record an album and ended up moving out here.

and ended up moving out here. >> So these are yours?

>> So these are yours? >> Yes, they are.

>> Yes, they are. >> Can you pick one of these up

>> Can you pick one of these up and just play a little something

and just play a little something for us?

for us? >> I started playing music at a

>> I started playing music at a really young age.

really young age. By the time I was 14 or 15, I

By the time I was 14 or 15, I started playing in bars and

started playing in bars and started making a little bit of

started making a little bit of money.

money. [acoustic guitar music]

[acoustic guitar music] ♪ ♪

♪ ♪ >> both: ♪ I'm burdened ♪

>> both: ♪ I'm burdened ♪ ♪ By the noise outside ♪

♪ By the noise outside ♪ ♪ I stand in silence terrified ♪

♪ I stand in silence terrified ♪ ♪ I shouldn't walk away ♪

♪ I shouldn't walk away ♪ ♪ If you would open your mouth ♪

♪ If you would open your mouth ♪ >> The fact that Charlie has

>> The fact that Charlie has only one ear and really has a

only one ear and really has a limited ability to hear, it's

limited ability to hear, it's amazing that he's got such

amazing that he's got such musical talent.

musical talent. ♪ ♪

♪ ♪ >> Wow.

>> Wow. That was beautiful.

That was beautiful. >> You guys are great together.

>> You guys are great together. >> Oh, thank you.

>> Oh, thank you. >> But actually, that kind of

>> But actually, that kind of brings us to the point then.

brings us to the point then. You only have hearing

You only have hearing in the right ear?

in the right ear? >> I do, yep.

>> I do, yep. I was born with what I believe

I was born with what I believe to be Goldenhar syndrome.

to be Goldenhar syndrome. Just like the ear didn't form,

Just like the ear didn't form, and I think my jaw's slightly

and I think my jaw's slightly affected.

affected. >> Goldenhar syndrome is a

>> Goldenhar syndrome is a congenital underdevelopment of

congenital underdevelopment of the ears, the nose, the soft

the ears, the nose, the soft palate, the lip, and the

palate, the lip, and the mandible.

mandible. >> So what was it like growing

>> So what was it like growing up with this?

up with this? >> One of the first memories I

>> One of the first memories I have of being alive was being

have of being alive was being about three, waking up in a

about three, waking up in a hospital, and with, you know, a

hospital, and with, you know, a bandage on my head and some kind

bandage on my head and some kind of operation had been done.

of operation had been done. >> What surgery?

>> What surgery? >> So as far as I know, skin

>> So as far as I know, skin removal.

removal. >> So this earlobe remnant here

>> So this earlobe remnant here is what you were born with?

is what you were born with? >> Yes.

>> Yes. >> And the underlying whatever

>> And the underlying whatever we see was not implanted.

we see was not implanted. You were born with that.

You were born with that. >> Yeah.

>> Yeah. Mm-hmm.

Mm-hmm. >> You've had no attempts at ear

>> You've had no attempts at ear reconstruction at all?

reconstruction at all? >> At all, no.

>> At all, no. >> Wow.

>> Wow. >> There were definitely moments

>> There were definitely moments growing up where I was really

growing up where I was really self-conscious.

self-conscious. I would think about the fact

I would think about the fact that I'm different, or not

that I'm different, or not complete, but I was lucky that

complete, but I was lucky that my mum and dad were so

my mum and dad were so supportive and loving.

supportive and loving. They always give me great

They always give me great confidence in my ability and

confidence in my ability and myself.

myself. >> And now you're in your 30s?

>> And now you're in your 30s? >> Yeah.

>> Yeah. >> And we're here.

>> And we're here. >> Yeah.

>> Yeah. >> So what's going on?

>> So what's going on? >> There's an element of, you

>> There's an element of, you know, not being normal.

know, not being normal. I feel a little incomplete.

I feel a little incomplete. >> Well, you're an entertainer,

>> Well, you're an entertainer, and part of being an entertainer

and part of being an entertainer is how you look.

is how you look. >> Yeah.

>> Yeah. >> Right.

>> Right. >> I think living in Los Angeles

>> I think living in Los Angeles definitely become more aware of

definitely become more aware of your looks and things like that.

your looks and things like that. They like their music to sound

They like their music to sound and look good, and that's rock

and look good, and that's rock and roll.

and roll. >> What do you think you'd like

>> What do you think you'd like to have for an ear on the left

to have for an ear on the left side there?

side there? >> I would--

>> I would-- >> Same thing as the right or

>> Same thing as the right or what are you thinking?

what are you thinking? >> I mean, just symmetry.

>> I mean, just symmetry. That would be amazing.

That would be amazing. >> I think the best, really, way

>> I think the best, really, way for us to evaluate that and talk

for us to evaluate that and talk to you about what can we do,

to you about what can we do, first, is we got to get up and

first, is we got to get up and examine your ear.

examine your ear. >> Okay.

>> Okay. Let's go do that then, guys.

Let's go do that then, guys. >> At the most, you probably

>> At the most, you probably would have about a 60%

would have about a 60% similarity.

similarity. It will look like an ear, but

It will look like an ear, but not nearly as good

not nearly as good as your other ear.

as your other ear. >> Normally, I sleep really well

>> Normally, I sleep really well before surgery.

before surgery. >> Of course, but tonight you

>> Of course, but tonight you didn't sleep at all.

didn't sleep at all. >> It was the massive hangover

>> It was the massive hangover that got me.

that got me. >> [chuckles]

[dramatic music]

[dramatic music] ♪ ♪

♪ ♪ >> Can you turn your head?

So here's your lobe, >> Can you turn your head?

So here's your lobe, and here's part of some of your >> Can you turn your head?

and here's part of some of your tragal cartilage or something. >> Can you turn your head?

tragal cartilage or something. >> Yeah. >> Can you turn your head?

>> Yeah. >> Okay. >> Can you turn your head?

>> Okay. Ears are complex structures that >> Can you turn your head?

Ears are complex structures that plastic surgeons have always had >> Can you turn your head?

plastic surgeons have always had a difficult time reconstructing. >> Can you turn your head?

a difficult time reconstructing. Because you can never make it >> Can you turn your head?

Because you can never make it look like you're born with an >> Can you turn your head?

look like you're born with an ear, and Charlie, he has pretty >> Can you turn your head?

ear, and Charlie, he has pretty much nothing except just a >> Can you turn your head?

much nothing except just a little piece of earlobe. >> Can you turn your head?

little piece of earlobe. There are two ways to actually >> Can you turn your head?

There are two ways to actually take care of this, and the way >> Can you turn your head?

take care of this, and the way that we've all been trained >> Can you turn your head?

that we've all been trained with, especially as plastic >> Can you turn your head?

with, especially as plastic >> Can you turn your head? surgeons is a surgical procedure

surgeons is a surgical procedure called microtia repair.

called microtia repair. That usually involves three

That usually involves three stages.

stages. What is involved is making an

What is involved is making an incision here, taking a nice big

incision here, taking a nice big piece of rib, and then putting

piece of rib, and then putting it underneath your skin after we

it underneath your skin after we carve it and make somewhat of an

carve it and make somewhat of an ear.

ear. >> Mm-hmm.

>> Mm-hmm. >> And then with those other

>> And then with those other stages, we start to develop and

stages, we start to develop and try to make it look somewhat

try to make it look somewhat normal like your right ear.

normal like your right ear. And at the most, you probably

And at the most, you probably would have about a 60%

would have about a 60% similarity.

similarity. It will look like an ear, but

It will look like an ear, but not nearly as good as your other

not nearly as good as your other ear.

ear. >> Yeah.

>> Yeah. >> But now we're in a new age.

>> But now we're in a new age. You can actually have a

You can actually have a prosthetic ear put in place.

prosthetic ear put in place. It involves no surgery, no risk,

It involves no surgery, no risk, which will look exactly like the

which will look exactly like the other ear.

other ear. The non-surgical way with the

The non-surgical way with the prosthesis is pretty much

prosthesis is pretty much immediate.

immediate. >> How often do we find

>> How often do we find solutions that are quick,

solutions that are quick, painless, risk-free,

painless, risk-free, and perfect?

and perfect? >> Yeah, with the surgeries that

>> Yeah, with the surgeries that we do? Never.

we do? Never. >> Never.

>> Never. >> So putting those two

>> So putting those two together, what do you think?

together, what do you think? >> I think I'm gonna go with the

>> I think I'm gonna go with the prosthetic.

prosthetic. You know, I think that's a

You know, I think that's a no-brainer.

no-brainer. The best-case scenario for me is

The best-case scenario for me is having perfect symmetry of my

having perfect symmetry of my left ear to my right ear.

left ear to my right ear. >> I think we're all in

>> I think we're all in agreement with that.

agreement with that. >> Yeah.

>> Yeah. >> Fantastic.

>> Fantastic. >> Awesome.

>> Awesome. Thank you so much.

Thank you so much. I'm kind of flabbergasted that

I'm kind of flabbergasted that I'm gonna have an ear

I'm gonna have an ear for the first time, and I just

for the first time, and I just can't even begin to know what

can't even begin to know what that's gonna feel like.

>> That was interesting, huh?

>> That was interesting, huh? >> Nice guy.

>> Nice guy. >> Very, very nice guy.

>> Very, very nice guy. >> I'm glad that Charlie has

>> I'm glad that Charlie has made the right decision.

made the right decision. >> So he's--he's picking the

>> So he's--he's picking the prosthesis.

prosthesis. >> Yeah.

I mean, that's the way to go. And I have the right guy for

And I have the right guy for him.

him. >> You do?

>> You do? >> I have a guy who does

>> I have a guy who does prosthetics, and he used to work

prosthetics, and he used to work for the CIA, so you know he's

for the CIA, so you know he's good.

good. >> Oh, yeah.

>> Oh, yeah. >> Let's go.

>> Let's go. >> The best decision is to be

>> The best decision is to be made during surgery.

made during surgery. This is one of those cases where

This is one of those cases where you basically say, "Eff you,

you basically say, "Eff you, Mother Nature."

Mother Nature." >> I'm really excited to have

>> I'm really excited to have Robert help us out today.

Robert help us out today. Think of this as special ops ear

Think of this as special ops ear division.

division. >> Here we go.

[rock music]

[rock music] ♪ ♪

♪ ♪ >> Hi.

>> Hi. >> Hi, Taylor.

>> Hi, Taylor. >> I'm here to check in for my

>> I'm here to check in for my surgery with Dr. Dubrow.

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

>> Okay, go ahead and sign in, and [indistinct].

and [indistinct]. >> It is my first surgery.

>> It is my first surgery. I'm not as much worried about,

like, the pain. I'm not as much worried about,

like, the pain. I'm pretty good with pain I'm not as much worried about,

I'm pretty good with pain tolerance. I'm not as much worried about,

tolerance. It's just more the process of I'm not as much worried about,

It's just more the process of getting into the surgery and I'm not as much worried about,

getting into the surgery and then coming out of the I'm not as much worried about,

then coming out of the anesthesia is what I'm nervous I'm not as much worried about,

anesthesia is what I'm nervous about. I'm not as much worried about,

about. >> Do me a favor. I'm not as much worried about,

>> Do me a favor. Sit up for a second. I'm not as much worried about,

Sit up for a second. >> Okay. I'm not as much worried about,

>> Okay. I'm not as much worried about, >> A lot of symmetry issues

>> A lot of symmetry issues going on here simultaneously.

going on here simultaneously. That's why the best decision is

That's why the best decision is to be made during surgery, okay?

to be made during surgery, okay? You know what I want to do?

You know what I want to do? I want to make you happy.

I want to make you happy. >> Okay.

>> What I want to do is I want to end this problem for you.

to end this problem for you. I want to undo what nature

I want to undo what nature did to you.

did to you. All right, let's do it.

All right, let's do it. The most difficult part of

The most difficult part of today's case with Taylor is

today's case with Taylor is there's essentially three

there's essentially three different major variables.

different major variables. One is the size difference.

One is the size difference. Two is the droopiness.

Two is the droopiness. Three, skin laxity.

Three, skin laxity. The more I inflate the right

The more I inflate the right breast, the tighter the skin is.

breast, the tighter the skin is. And if it gets too tight, it

And if it gets too tight, it just won't look symmetrical.

just won't look symmetrical. And today, it's all about

And today, it's all about symmetry.

symmetry. For Taylor's surgery today, I'm

For Taylor's surgery today, I'm going to start by making an

going to start by making an incision under Taylor's areola

incision under Taylor's areola on her smaller right side and

on her smaller right side and manipulate the pocket in order

manipulate the pocket in order to fit an implant.

to fit an implant. I'll then put in sizer implants

I'll then put in sizer implants in both breasts to get a sense

in both breasts to get a sense for how big of an implant her

for how big of an implant her chest can safely accommodate and

chest can safely accommodate and insert appropriately sized

insert appropriately sized implants, doing my best to get

implants, doing my best to get the volume of each breast

the volume of each breast to match.

to match. Next, I'll evaluate the

Next, I'll evaluate the droopiness of the left side and

droopiness of the left side and weigh whether or not I need to

weigh whether or not I need to perform a lift.

perform a lift. In the end, Taylor should have

In the end, Taylor should have the full symmetrical breast

the full symmetrical breast she's waited so long for.

she's waited so long for. We'll start by making a pocket

We'll start by making a pocket on the right breast.

on the right breast. Oh, look at this tissue.

Oh, look at this tissue. It's beautiful.

It's beautiful. No scar, good blood supply,

No scar, good blood supply, young, healthy tissue.

young, healthy tissue. All right, so we're gonna go

All right, so we're gonna go ahead and make this pocket.

ahead and make this pocket. We're gonna put it

We're gonna put it under the muscle.

under the muscle. And then we're gonna put an air

And then we're gonna put an air sizer in and see at what volume

sizer in and see at what volume she starts to develop a double

she starts to develop a double bubble.

bubble. A double bubble contour

A double bubble contour deformity is where you lower a

deformity is where you lower a patient's breast crease where

patient's breast crease where the breast meets the chest, but

the breast meets the chest, but you can still see the old breast

you can still see the old breast crease despite the fact that you

crease despite the fact that you have made a new one.

have made a new one. Taylor has such a small breast

Taylor has such a small breast that in order to accommodate a

that in order to accommodate a larger breast implant, you have

larger breast implant, you have to lower it very significantly.

to lower it very significantly. That increases the chance that

That increases the chance that she will have this deformity.

she will have this deformity. This is 360.

Do you see a double bubble

Do you see a double bubble on that?

on that? I don't see a double bubble

I don't see a double bubble on that.

on that. How is that possible?

How is that possible? >> [indistinct]

>> [indistinct] >> Pretty much.

>> Pretty much. >> Her body wants it.

>> Her body wants it. >> The body wants

>> The body wants what the body wants.

what the body wants. I didn't think I'd be able to

I didn't think I'd be able to put D cup breasts

put D cup breasts in Taylor's body.

in Taylor's body. But it's interesting.

But it's interesting. Patients often tell you what

Patients often tell you what their body will tolerate.

their body will tolerate. And in this case,

And in this case, Taylor was right.

Taylor was right. Why don't we sit her up and see

Why don't we sit her up and see what this looks like?

what this looks like? Isn't that bigger than--that's

Isn't that bigger than--that's bigger than her left breast,

bigger than her left breast, isn't it?

isn't it? The difficulty expanding up the

The difficulty expanding up the right breast to give it both an

right breast to give it both an ample size and a normal breast

ample size and a normal breast shape will determine how large I

shape will determine how large I need to make the left breast

need to make the left breast to match the problem side,

to match the problem side, which is the right.

which is the right. It's funny, they're both pretty,

It's funny, they're both pretty, but I don't know if they're,

but I don't know if they're, like, sisters or distant

like, sisters or distant cousins.

cousins. Okay, so we've got the volume

Okay, so we've got the volume symmetry pretty close.

symmetry pretty close. Now we have to try to maximize

Now we have to try to maximize the positioning and the shape.

the positioning and the shape. We're gonna commit her to a

We're gonna commit her to a donut lift.

donut lift. It's really nice that I'm able

It's really nice that I'm able to avoid the full lift

to avoid the full lift on Taylor's breast, because I

on Taylor's breast, because I want to avoid the vertical scar

want to avoid the vertical scar and the scar in the crease.

and the scar in the crease. And a donut lift will absolutely

And a donut lift will absolutely minimize the scarring that

minimize the scarring that Taylor will have on the breast.

Taylor will have on the breast. This is one of those cases where

This is one of those cases where you basically say, "Eff you,

you basically say, "Eff you, Mother Nature."

Mother Nature." But I don't want to get cocky,

But I don't want to get cocky, 'cause you don't want to piss

'cause you don't want to piss off Mother Nature.

off Mother Nature. Taylor still has a lot of

Taylor still has a lot of healing to do, but I think she's

healing to do, but I think she's gonna be really happy

gonna be really happy when it's all done.

when it's all done. No question that A-squared plus

No question that A-squared plus B-squared equals D-squared.

B-squared equals D-squared. Right?

Right? >> Aight.

>> Aight. >> All right, yes.

>> Hi there.

>> Hi there. >> Hi.

>> I'm here to see the doctor. >> Hi.

>> I'm here to see the doctor. It's Charlie Clark. >> Hi.

It's Charlie Clark. >> Okay, perfect. >> Hi.

>> Okay, perfect. >> Hi. Go ahead and sign in.

Go ahead and sign in. >> I don't really know

>> I don't really know what to expect.

what to expect. I think I'm more curious than

I think I'm more curious than anything to see what the

anything to see what the possibilities are for someone

possibilities are for someone with my condition.

with my condition. Hello, my friend.

Hello, my friend. How are you doing?

How are you doing? Good to see you.

Good to see you. I'm good, thank you.

I'm good, thank you. Pleasure to see you again.

Pleasure to see you again. >> Good to see you again.

>> Good to see you again. How are you, sir?

How are you, sir? >> We want to introduce you to

>> We want to introduce you to Robert.

Robert is the premier Robert.

Robert is the premier prosthetic guy who has done all Robert.

prosthetic guy who has done all kinds of things for the CIA. Robert.

kinds of things for the CIA. >> So you got a spy working with Robert.

>> So you got a spy working with you now. Robert.

you now. Robert. >> You know the Tom Cruise

>> You know the Tom Cruise movies, where he's "Mission

movies, where he's "Mission Impossible," and he's got the

Impossible," and he's got the mask, and you go,

mask, and you go, "That's not possible."

"That's not possible." Is that possible, Robert?

Is that possible, Robert? >> It is possible.

>> It is possible. >> I'm really excited to have

>> I'm really excited to have Robert help us out today.

Robert help us out today. Think of this as special ops ear

Think of this as special ops ear division.

division. >> So Robert, how close can you

>> So Robert, how close can you match this ear

match this ear to his normal ear?

to his normal ear? >> Exactitude.

>> Exactitude. >> Really?

>> Really? >> Yes.

>> Yes. >> Exactly?

>> Exactly? >> Yes.

>> Yes. >> You ready, buddy?

>> You ready, buddy? >> Let's do it.

>> Let's do it. >> For Charlie's ear molding

>> For Charlie's ear molding today, we use liquid silicone to

today, we use liquid silicone to coat both sides of Charlie's

coat both sides of Charlie's head, making an impression of

head, making an impression of both his good right ear and the

both his good right ear and the left side where his ear is

left side where his ear is missing.

missing. After the silicone is done

After the silicone is done drying, we'll have perfect

drying, we'll have perfect impressions from which to devise

impressions from which to devise Charlie a mirror image of his

Charlie a mirror image of his right ear, to wear on the left

right ear, to wear on the left side of his head, giving Charlie

side of his head, giving Charlie the symmetrical appearance he's

the symmetrical appearance he's always desired.

always desired. >> This is silicone, all right?

>> This is silicone, all right? And it comes out this tube.

And it comes out this tube. Okay, now, here we go.

Okay, now, here we go. [device clicking]

>> How long does it take to set?

>> How long does it take to set? >> Three minutes.

>> Three minutes. >> It's actually really cool to

>> It's actually really cool to see silicone be used on the

see silicone be used on the outside of the body to make a

outside of the body to make a positive change for someone,

positive change for someone, because I'm so used to putting

because I'm so used to putting silicone inside of the body.

>> The reason why Robert needs

>> The reason why Robert needs to take a mold on the side

to take a mold on the side that's missing an ear is because

that's missing an ear is because there is a little piece of ear

there is a little piece of ear left there.

left there. The skin is a little bit

The skin is a little bit different there, and you have to

different there, and you have to have an ear that's gonna fit

have an ear that's gonna fit perfectly onto whatever template

perfectly onto whatever template is there.

is there. >> I might get some peach fuzz

>> I might get some peach fuzz here, Charlie.

here, Charlie. Easy does it.

Easy does it. There we go.

There we go. Awesome.

Awesome. Great.

Great. Good impression.

Good impression. Just hold still.

Just hold still. I got to pull.

You okay?

You okay? >> Yeah, I'm fine.

>> Yeah, I'm fine. >> Cool.

>> Cool. Good.

Good. Got it.

Got it. >> How did that turn out?

>> How did that turn out? >> Lookit there.

>> Lookit there. It's perfect.

It's perfect. >> Robert's mold came out

>> Robert's mold came out perfectly.

perfectly. I just can't wait till I see

I just can't wait till I see Charlie with that new prosthetic

Charlie with that new prosthetic ear in place.

ear in place. I mean, he's gonna look

I mean, he's gonna look incredible.

incredible. >> Robert makes a very good

>> Robert makes a very good impression, doesn't he?

impression, doesn't he? >> He does.

>> He does. As this whole process is

As this whole process is wrapping up, it's finally

wrapping up, it's finally hitting me.

hitting me. It's the first time in my life

It's the first time in my life that I'll actually have two

that I'll actually have two ears.

ears. All sorts of things are going

All sorts of things are going through my mind.

through my mind. They're good.

They're good. They're all good.

They're all good. >> Congratulations.

>> Congratulations. >> Thank you so much.

>> Thank you so much. >> Big first step to getting--

>> Big first step to getting-- >> Someone will be here to clean

>> Someone will be here to clean you up.

you up. >> What the hell is this?

>> What the hell is this? A little hernia above it too.

A little hernia above it too. Of course Paul would have a

Of course Paul would have a complicated hernia.

complicated hernia. >> Mm-hmm.

>> Mm-hmm. >> This one has more volume up

>> This one has more volume up here.

here. >> My right implant, it's

>> My right implant, it's sitting a little high at the

sitting a little high at the collarbone, and I'm not sure if

collarbone, and I'm not sure if that's normal.

♪ ♪

>> Hey!

>> Hey! Hello.

Hello. >> Hello, darling.

>> Hello, darling. How are you?

How are you? >> Good.

>> Good. How are you?

How are you? >> Well...

>> Well... I'm a little nervous.

I'm a little nervous. But obviously, you know why I'm

But obviously, you know why I'm here.

here. >> You guys are gonna play real

>> You guys are gonna play real Operation.

Operation. >> Yes.

>> Yes. With any type of surgical

With any type of surgical procedure, there's always risks.

procedure, there's always risks. And just like everybody else,

And just like everybody else, you get that little bit of

you get that little bit of anxiety.

anxiety. It is under general anesthesia,

It is under general anesthesia, and you never know.

and you never know. >> How are you?

>> How are you? >> I'm good, buddy.

>> I'm good, buddy. >> You know what's weird?

>> You know what's weird? Normally I sleep really well

Normally I sleep really well before a surgery.

before a surgery. >> Of course, but tonight you

>> Of course, but tonight you didn't sleep at all.

>> It wasn't so much the didn't sleep at all.

>> It wasn't so much the anxiety. didn't sleep at all.

anxiety. It was the massive hangover that didn't sleep at all.

It was the massive hangover that got me. didn't sleep at all.

got me. didn't sleep at all. >> [chuckles]

>> [chuckles] Your stupid ass jokes.

Your stupid ass jokes. >> All kidding aside,

>> All kidding aside, let's talk about what we're

let's talk about what we're gonna do, okay?

gonna do, okay? So just so you guys know, he has

So just so you guys know, he has an incarcerated umbilical

an incarcerated umbilical hernia.

hernia. I've done this operation, what,

I've done this operation, what, 10,000 times?

10,000 times? This is a little bit different

This is a little bit different for me, right?

for me, right? You're my partner.

You're my partner. You're my buddy.

You're my buddy. You're my best buddy, right?

You're my best buddy, right? I want to make sure this is good

I want to make sure this is good for you.

for you. >> Of course.

>> Of course. >> Operating on a friend is

>> Operating on a friend is different than operating on

different than operating on someone you don't know very

someone you don't know very well.

well. But once I get into the surgical

But once I get into the surgical mode, I forget that it's Paul.

mode, I forget that it's Paul. I forget that I love the guy,

I forget that I love the guy, and at the end of the day, I'm

and at the end of the day, I'm gonna do everything by the book,

gonna do everything by the book, and he's gonna get my A game.

and he's gonna get my A game. You know I love you.

You know I love you. >> Of course.

>> Of course. >> I'm not kidding, right?

>> I'm not kidding, right? Huh?

Huh? I'ma take care of you, all

I'ma take care of you, all right?

right? I got to be honest with you.

I got to be honest with you. I'm a little bit nervous,

I'm a little bit nervous, because although this is right

because although this is right up my alley, it's Paul.

up my alley, it's Paul. So it's personal.

So it's personal. Today, for Paul's surgery, I'm

Today, for Paul's surgery, I'm gonna make an incision around

gonna make an incision around the lower half of his belly

the lower half of his belly button.

button. Then I'll isolate the defect

Then I'll isolate the defect that is causing his intestinal

that is causing his intestinal organs to pop through his

organs to pop through his abdominal wall and get stuck in

abdominal wall and get stuck in there.

there. Next, I will amputate the piece

Next, I will amputate the piece of organ that is stuck and close

of organ that is stuck and close up the hernia with sutures.

up the hernia with sutures. Okay, no more joking around.

Okay, no more joking around. Let's fix Paul.

Let's fix Paul. So first thing we're gonna do is

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

make an incision from about the 3:00 to 9:00 position around his

3:00 to 9:00 position around his belly button.

belly button. This will probably take me a

This will probably take me a little bit longer than it

little bit longer than it usually would, 'cause I'm being

usually would, 'cause I'm being extra, extra, extra careful.

extra, extra, extra careful. You might even say paranoid.

You might even say paranoid. Chances of a complication with a

Chances of a complication with a doctor, particularly a doctor

doctor, particularly a doctor you know, is higher.

you know, is higher. Doctors in general have a

Doctors in general have a significantly higher rate of

significantly higher rate of complications than other

complications than other patients.

patients. We think that's because we let

We think that's because we let the patient, who is a doctor,

the patient, who is a doctor, dictate their course.

dictate their course. And that's never a good idea.

And that's never a good idea. So there it is.

So there it is. It's--

It's-- >> Whoa.

>> Whoa. >> Pretty significant.

>> Pretty significant. This is what was stuck in his

This is what was stuck in his hernia sect.

hernia sect. This is the part that won't go

This is the part that won't go back in.

back in. This is called the omentum.

This is called the omentum. The omentum is what drapes over

The omentum is what drapes over the entire abdominal organ

the entire abdominal organ system.

system. If that piece of omentum became

If that piece of omentum became more strangulated, and it

more strangulated, and it actually died, that could lead

actually died, that could lead to Paul getting septic and

to Paul getting septic and potentially dying.

potentially dying. So here it is.

So here it is. This is what was stuck.

This is what was stuck. And look, it's already looking a

And look, it's already looking a little not that happy.

little not that happy. It's got that sort of brown

It's got that sort of brown woody appearance of tissues that

woody appearance of tissues that don't have good blood supply.

don't have good blood supply. So now my job is to close up the

So now my job is to close up the hernial defect.

hernial defect. What the hell's this?

What the hell's this? Little hernia above it too.

Little hernia above it too. He's got a little epigastric

He's got a little epigastric hernia right above it.

hernia right above it. Of course Paul would have a

Of course Paul would have a complicated hernia.

complicated hernia. >> Mm-hmm.

>> Mm-hmm. >> Paul has what we call an

>> Paul has what we call an epigastric hernia, which is a

epigastric hernia, which is a defect in the abdominal wall

defect in the abdominal wall muscles halfway between the

muscles halfway between the belly button and the chest bone,

belly button and the chest bone, so essentially, he's even more

so essentially, he's even more complicated than I thought

complicated than I thought preoperatively.

preoperatively. Can't just have something

Can't just have something simple.

simple. It's Paul Nassif.

It's Paul Nassif. Just give us something weird.

Just give us something weird. There you go.

There you go. That's not going anywhere.

That's not going anywhere. Feel that, Addie.

Feel that, Addie. >> Oh, yeah.

>> Oh, yeah. >> Yeah.

>> Yeah. >> Mm-hmm.

>> Mm-hmm. >> Let's put this belly button

>> Let's put this belly button back down where it belongs.

back down where it belongs. It's good, right?

It's good, right? >> Let's listen.

>> Let's listen. >> Yeah, okay.

>> Yeah, okay. All right, well, that's it.

All right, well, that's it. ♪ ♪

♪ ♪ Hi.

Hi. >> Hello.

>> Hello. >> How are you guys?

>> How are you guys? >> Good.

>> Good. >> Good to see you.

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

I'm excited to hear what he has >> Good to see you.

I'm excited to hear what he has to say about what he sees with >> Good to see you.

to say about what he sees with my recovery so far. >> Good to see you.

my recovery so far. >> Good to see you. Because I am a little nervous

Because I am a little nervous about my right implant.

about my right implant. It's sitting a little high at

It's sitting a little high at the collarbone, and I'm not sure

the collarbone, and I'm not sure if that's normal, if that's to

if that's normal, if that's to be expected.

be expected. >> Let's review what I found.

>> Let's review what I found. >> Okay.

>> I put a 300 on the left, and >> Okay.

>> I put a 300 on the left, and >> Okay. a 500 on the right.

a 500 on the right. This expansion involves tight

This expansion involves tight skin.

skin. This reduction involves

This reduction involves relatively lax skin.

relatively lax skin. >> Okay.

>> Okay. >> So we've got a time element

>> So we've got a time element to the symmetry.

to the symmetry. I know how sensitive Taylor is

I know how sensitive Taylor is about her breast size and

about her breast size and symmetry, but it's important

symmetry, but it's important that she understand there needs

that she understand there needs to be a period of time of

to be a period of time of adjustment so that she can

adjustment so that she can really see what her true results

really see what her true results are gonna look like.

are gonna look like. Well, let's see what they look

Well, let's see what they look like here.

like here. When you look at them like this,

When you look at them like this, this one has more volume up

this one has more volume up here, more tightness here.

here, more tightness here. Of course it does.

Of course it does. It's a bigger implant in a

It's a bigger implant in a smaller breast.

smaller breast. It's going to be tight for a few

It's going to be tight for a few weeks.

weeks. It needs to now stretch out.

It needs to now stretch out. >> I was a little nervous about

>> I was a little nervous about how high my right implant was

how high my right implant was sitting, but I'm glad to hear

sitting, but I'm glad to hear that it won't go down, and that

that it won't go down, and that I don't have anything to worry

I don't have anything to worry about.

>> Two weeks from now will be better than this.

better than this. One month from now will be even

One month from now will be even better, but where you really

better, but where you really will absolutely dig it is, like,

will absolutely dig it is, like, in three months, because this

in three months, because this implant will have done its

implant will have done its thing.

thing. It'll sit there and just

It'll sit there and just completely relaxed in there and

completely relaxed in there and stretched out and done what it

stretched out and done what it wants to do, okay?

wants to do, okay? >> Okay.

>> Okay. Then I'm excited to let them

Then I'm excited to let them have their time and then see

have their time and then see what they look like

what they look like in a few weeks.

in a few weeks. Thank you.

Thank you. >> Thank you.

>> Thank you. Thank you.

Thank you. >> Thank you.

>> Thank you. >> Sure.

>> Okay, you ready for this?

>> Okay, you ready for this? >> I am.

>> I am. >> Charlie?

>> Charlie? >> It's so realistic.

>> It's so realistic. It's a little eerie.

It's a little eerie. >> How you feel?

>> How you feel? All right, let's see.

All right, let's see. Whoa, oh, you are swollen.

Whoa, oh, you are swollen. >> Oh, my God, I am swollen.

♪ ♪

♪ ♪ >> Hey, how are you?

>> Hey, how are you? >> I'm great.

>> How's he doing? >> I'm great.

>> How's he doing? >> Eh. >> I'm great.

>> Eh. >> Really? >> I'm great.

>> Really? >> Better now. >> I'm great.

>> Better now. >> I'm great. >> It's a nightmare.

>> It's a nightmare. >> Not a nightmare.

>> Not a nightmare. >> Paul's recuperating in the

>> Paul's recuperating in the hotel room with my private

hotel room with my private nurse, and I really want to make

nurse, and I really want to make sure he's not developing any

sure he's not developing any postoperative complications, and

postoperative complications, and I just want to see how my

I just want to see how my buddy's doing.

buddy's doing. Hey.

Hey. >> Look at you.

>> Look at you. >> How are you?

>> Wow. >> How are you?

>> Wow. >> How are you? >> How are you?

>> How are you? >> How are you? Huh?

Huh? How you doing?

How you doing? How you feel?

How you feel? >> Um, more right here.

>> Um, more right here. >> Well, there is where you had

>> Well, there is where you had the two hernias, right?

the two hernias, right? >> What do you mean, two?

>> What do you mean, two? I had one hernia.

I had one hernia. >> No, you had a belly button

>> No, you had a belly button hernia and a hernia above it.

hernia and a hernia above it. >> The first hernia is already a

>> The first hernia is already a surprise, but then being told

surprise, but then being told that I have an epigastric

that I have an epigastric hernia?

hernia? Thank God Terry found that one.

Thank God Terry found that one. >> Congenital weaknesses of the

>> Congenital weaknesses of the abdominal wall.

abdominal wall. You're just a lesser human than

You're just a lesser human than someone like me with no hernia.

someone like me with no hernia. The reason it wasn't reducible

The reason it wasn't reducible is because the opening was about

is because the opening was about 4 millimeters, and your organs

4 millimeters, and your organs basically poked through two of

basically poked through two of them and were completely stuck.

them and were completely stuck. Had to amputate the stuff in

Had to amputate the stuff in there, cut it off.

there, cut it off. >> [bleep]

>> [bleep] >> Yeah.

>> Yeah. So you're missing

So you're missing some organs now.

some organs now. >> That means I'll lose weight a

>> That means I'll lose weight a lot easier?

lot easier? >> [laughs]

>> [laughs] Let me see what you're looking

Let me see what you're looking like.

like. All right, let's see.

>> Oh, you [bleep].

>> Oh, you [bleep]. >> That hurt?

>> That hurt? I should've warned you about

I should've warned you about that, I guess, huh?

that, I guess, huh? Whoa.

Whoa. Whoa, you are swollen.

Whoa, you are swollen. >> Oh, my God, I am swollen.

>> Oh, my God, I am swollen. >> Yeah, you really are swollen.

>> Yeah, you really are swollen. But you're good.

But you're good. If Paul continues to heal, he

If Paul continues to heal, he has a very good prognosis.

has a very good prognosis. The chance that his umbilical

The chance that his umbilical hernia will recur is

hernia will recur is extraordinarily low.

extraordinarily low. You recover, don't let anything

You recover, don't let anything bad happen, okay?

bad happen, okay? >> I won't.

>> I won't. I'll be good boy.

I'll be good boy. >> Okay.

>> Okay. >> I'll be good.

>> I'll be good. All right, thank you for that.

All right, thank you for that. >> All right.

>> All right. >> Thank you.

>> Thank you. >> I'll see ya.

>> Hi there.

>> Hi there. How you doing?

How you doing? Good to see you, man.

Good to see you, man. Good to see you.

Good to see you. I've waited 37 years for this,

I've waited 37 years for this, and I just don't really know

what to expect and how it's and I just don't really know

what to expect and how it's gonna feel having that added and I just don't really know

gonna feel having that added part on my head. and I just don't really know

part on my head. >> Okay, you ready for this? and I just don't really know

>> Okay, you ready for this? >> I am. and I just don't really know

>> I am. >> Charlie? and I just don't really know

>> Charlie? and I just don't really know >> Oh, wow.

>> Oh, wow. Oh, my goodness.

Oh, my goodness. >> Finished.

>> Finished. >> That is insane.

>> That is insane. >> Isn't that amazing?

>> Isn't that amazing? No matter how good of surgeons

No matter how good of surgeons we are, there's no way that

we are, there's no way that Terry and I could've built

Terry and I could've built Charlie an ear that looked like

Charlie an ear that looked like this.

this. Charlie, you made the right

Charlie, you made the right choice.

choice. I mean, if you saw that lying on

I mean, if you saw that lying on the floor, and you're walking

the floor, and you're walking by, and you saw someone's ear

by, and you saw someone's ear like that on the floor, you'd

like that on the floor, you'd go, "Oh, my God."

go, "Oh, my God." >> It's so realistic.

>> It's so realistic. It's a little eerie.

It's a little eerie. >> Now, I'm gonna put the

>> Now, I'm gonna put the adhesive on the back of it.

adhesive on the back of it. And once the adhesive dries, I'm

And once the adhesive dries, I'm gonna put it on you.

gonna put it on you. >> Okay.

>> Okay. >> And you can leave it on all

>> And you can leave it on all day, but when you go to bed at

day, but when you go to bed at night, you have to take it off

night, you have to take it off and let your skin breathe.

and let your skin breathe. >> Robert is using a medical

>> Robert is using a medical grade adhesive which is

grade adhesive which is specifically designed to allow

specifically designed to allow the ear to be placed in place

the ear to be placed in place and prevent it from falling off

and prevent it from falling off with any kind of brushing

with any kind of brushing movement or wearing of

movement or wearing of sunglasses.

sunglasses. >> That goes under there just

>> That goes under there just like that.

like that. And then that goes right up here

And then that goes right up here like that.

like that. And then that earlobe goes into

And then that earlobe goes into the area where we don't have any

the area where we don't have any of the adhesive, right?

of the adhesive, right? 'Cause that fits right in there

'Cause that fits right in there like that, see?

like that, see? Then you press down.

Then you press down. All right.

All right. >> That is amazing.

>> Look straight at us now.

>> Wow.

>> Wow. That is beyond cool.

That is beyond cool. >> If I was walking by someone

>> If I was walking by someone who had this ear attached to the

who had this ear attached to the side of the head, there's no way

side of the head, there's no way in a million years that I would

in a million years that I would know that this was a prosthetic

know that this was a prosthetic ear.

ear. Robert, you nailed it.

Robert, you nailed it. This prosthetic ear looks

This prosthetic ear looks beautiful.

beautiful. You ready, my friend?

You ready, my friend? >> I am.

>> I am. Let's do it.

Let's do it. >> Duh-duh-duh-duh!

>> Duh-duh-duh-duh! The drumroll, please.

The drumroll, please. >> Oh, my goodness.

>> Oh, my goodness. >> Huh?

>> Huh? >> Wow.

>> Wow. Wow.

Wow. That is insane.

That is insane. It's hard to get your head

It's hard to get your head around.

around. >> It's past perfection.

>> It's past perfection. >> Wow.

>> Wow. Seeing myself with two ears for

Seeing myself with two ears for the first time is incredible.

the first time is incredible. I feel like I'm looking at

I feel like I'm looking at something completely new.

something completely new. This is definitely better than I

This is definitely better than I expected.

expected. It's more than I could hope for.

It's more than I could hope for. >> The surgical result would be

>> The surgical result would be nothing like this.

nothing like this. It would be 40%.

It would be 40%. >> At the most.

>> At the most. >> At the most of this.

>> At the most of this. It would look like a blob.

It would look like a blob. >> For my whole life, I've been

>> For my whole life, I've been living without one ear on one

living without one ear on one side of my head.

side of my head. And for as long as I can

And for as long as I can remember, it made me feel

remember, it made me feel incomplete.

incomplete. And now with the help of Dr.

And now with the help of Dr. Nassif and Dr. Dubrow and Robert

Nassif and Dr. Dubrow and Robert Barron, I'm all ears.

Barron, I'm all ears. My new ear perfectly matches my

My new ear perfectly matches my right ear, and I now have the

right ear, and I now have the symmetry I've always wanted.

symmetry I've always wanted. And best of all, I'm hopeful

And best of all, I'm hopeful about pursuing my music career

about pursuing my music career without worrying about my

without worrying about my appearance.

appearance. Thank you.

Thank you. You get a big--you get a big

You get a big--you get a big hug.

hug. Yeah, you too.

Yeah, you too. >> Thanks, thanks.

>> Thanks, thanks. >> Eh?

>> Eh? Congratulations.

>> I can't wait and see Brittany

>> I can't wait and see Brittany and Morgan's reaction to the way

and Morgan's reaction to the way that my breasts now look.

that my breasts now look. Hi.

Hi. >> Oh, my gosh!

[upbeat rock music]

[upbeat rock music] ♪ ♪

♪ ♪ >> I haven't felt comfortable

>> I haven't felt comfortable ever since I hit puberty and my

ever since I hit puberty and my breasts started coming in

breasts started coming in uneven.

uneven. It was hard in high school

It was hard in high school having to go always hide in the

having to go always hide in the showers and make sure nobody

showers and make sure nobody ever noticed or saw.

ever noticed or saw. Honestly thought there was no

Honestly thought there was no hope that anybody would be able

hope that anybody would be able to help me.

to help me. Today my friends are here with

Today my friends are here with me at the beach.

me at the beach. I can't wait and see Brittany

I can't wait and see Brittany and Morgan's reaction to the way

and Morgan's reaction to the way that my breasts now look.

that my breasts now look. >> So are you excited to see

>> So are you excited to see Taylor?

Taylor? >> I'm so excited.

I talked to her after she got >> I'm so excited.

I talked to her after she got the surgery done, but I haven't >> I'm so excited.

the surgery done, but I haven't had a chance to see her yet. >> I'm so excited.

had a chance to see her yet. So this'll be my first time >> I'm so excited.

So this'll be my first time seeing her. >> I'm so excited.

seeing her. >> I'm so excited. >> Me too, yeah.

>> Me too, yeah. It'll be good.

>> Hi.

>> Oh, my gosh! >> Hi.

>> Oh, my gosh! Awesome! >> Hi.

Awesome! >> You like 'em? >> Hi.

>> You like 'em? >> Yes! >> Hi.

>> Yes! >> Hi. >> So different, it's nice.

>> So different, it's nice. >> I know.

>> I know. >> Are you excited?

>> Are you excited? >> I am.

>> I am. I love them.

I love them. My breasts look fantastic.

My breasts look fantastic. I couldn't be happier with them.

I couldn't be happier with them. It's everything I've hoped for,

It's everything I've hoped for, everything I could've imagined,

everything I could've imagined, thought of, dreamt of.

thought of, dreamt of. They're exactly what I want.

They're exactly what I want. >> Oh, my gosh.

>> Oh, my gosh. >> I can finally shimmy, and

>> I can finally shimmy, and they both move.

they both move. >> You can!

>> You can! Do it again!

Do it again! Love it!

Love it! >> It feels great to see their

>> It feels great to see their reaction to my breasts, so it's

reaction to my breasts, so it's nice to know that I'm not the

nice to know that I'm not the only one who likes them.

only one who likes them. >> So how do you feel now?

>> So how do you feel now? >> I'm, like, not used to being,

>> I'm, like, not used to being, like, hiding them.

like, hiding them. >> Or putting your hair over

>> Or putting your hair over them.

them. >> Oh, yeah, putting my hair

>> Oh, yeah, putting my hair over.

over. That was my signature.

That was my signature. Before surgery, my chest was a

Before surgery, my chest was a variety pack.

variety pack. My left breast was much larger

My left breast was much larger than my right, and I felt so

than my right, and I felt so uncomfortable that I had to hide

uncomfortable that I had to hide it.

it. Now, after surgery, my variety

Now, after surgery, my variety pack chest is a matching set.

pack chest is a matching set. They're symmetrical and full,

They're symmetrical and full, and I finally feel comfortable

and I finally feel comfortable enough to wear a swimsuit and

enough to wear a swimsuit and get back in the water.

get back in the water. >> So do you think you'll do

>> So do you think you'll do swimming anymore?

swimming anymore? >> I'll probably actually start

>> I'll probably actually start looking into it.

looking into it. I mean, it's gonna be a little

I mean, it's gonna be a little different having to learn how to

different having to learn how to move around them.

move around them. >> Yeah.

>> Yeah. You've got a personal flotation

You've got a personal flotation device.

device. >> That's right.

>> That's right. I float.

I float. You know, don't even have to

You know, don't even have to worry about that.

worry about that. I'd like to thank Dr. Dubrow and

I'd like to thank Dr. Dubrow and Dr. Nassif.

Dr. Nassif. I couldn't be happier.

I couldn't be happier. I've got everything I've wanted.

I've got everything I've wanted. I'm just excited to get on with

I'm just excited to get on with my life, have one less thing to

my life, have one less thing to stress about, one less thing to

stress about, one less thing to worry about.

worry about. I can just go be me.

I can just go be me. I get the size I wanted.

I get the size I wanted. They're even.

They're even. >> They're huge.

>> They're huge. >> Hey! They're good.

>> Hey! They're good. >> Size matters.

>> Size matters. >> Size matters.

>> Size matters. >> Deep dish pizza!

>> Deep dish pizza! Ew.

Ew. >> Divacia has a very

>> Divacia has a very large-looking nostril.

large-looking nostril. >> The teasing and the bullying,

>> The teasing and the bullying, it got to a point where I would

it got to a point where I would actually take my lunch and eat

actually take my lunch and eat in the girls' bathroom stall.

in the girls' bathroom stall. >> Kendra's the woman who have

>> Kendra's the woman who have pectus excavatum.

pectus excavatum. Improper development of the ribs

Improper development of the ribs and the chest bone itself.

and the chest bone itself. >> There's no way I'm ever gonna

>> There's no way I'm ever gonna get this fixed.

get this fixed. >> Too risky.

>> Too risky. Not gonna do that.

To be considered for Not gonna do that.

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