Botched by Nature (2016–…): Season 1, Episode 7 - Collapsed in & Busted Out - full transcript

Dr's. Dubrow and Nassif head to Arizona to help a woman whose nose collapsed into her own face. In NYC, they meet a college student with an extremely oversized breast, and later ride ...

>> Virginal breast hypertrophy

>> Virginal breast hypertrophy is so rare that it's actually

is so rare that it's actually a special section

a special section of the medical literature.

of the medical literature. Your chance of a significant

Your chance of a significant complication is very high.

complication is very high. >> My white chocolate bunny.

>> My white chocolate bunny. >> Hey, hey, hey, hey.

>> Hey, hey, hey, hey. >> Finally I get to have

>> Finally I get to have the doctors on my turf.

the doctors on my turf. >> New York!



>> New York! >> That guy's calling you.

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

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

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

>> No, I don't. >> What was the first thing

>> What was the first thing you saw in the mirror?

you saw in the mirror? >> It was just smu--

>> It was just smu-- like, smushing.

like, smushing. >> It was collapsing?

>> It was collapsing? >> Yeah.

>> Yeah. >> Nicole's nose is awful.

>> Nicole's nose is awful. What can you do?

What can you do? Basically reconstruct

Basically reconstruct everything.



everything. I don't like the way

I don't like the way this is doing this.

this is doing this. I'm not gonna be happy

I'm not gonna be happy with this.

with this. >> ♪ 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 ♪

♪ The best version of me ♪ [upbeat music]

♪ ♪ [upbeat music]

♪ ♪ >> This is Phoenix, baby. [upbeat music]

>> This is Phoenix, baby. >> This is beautiful, [upbeat music]

>> This is beautiful, look at the-- [upbeat music]

look at the-- >> In Scottsdale, they're known [upbeat music]

>> In Scottsdale, they're known for these incredible [upbeat music]

for these incredible golf courses. [upbeat music]

golf courses. >> You golfed here? [upbeat music]

>> You golfed here? >> Of course. [upbeat music]

>> Of course. All my medical meetings. [upbeat music]

All my medical meetings. And, as a matter of fact... [upbeat music]

And, as a matter of fact... >> You're kidding me. [upbeat music]

>> You're kidding me. >> Guess what I did. [upbeat music]

>> Guess what I did. >> You brought your golf clubs. [upbeat music]

>> You brought your golf clubs. [upbeat music] >> I brought my golf clubs here.

>> I brought my golf clubs here. >> You brought your golf clubs

>> You brought your golf clubs here?

here? >> Just in case.

>> Just in case. >> I don't golf.

>> I don't golf. >> You know what I heard

>> You know what I heard about you and golfing?

about you and golfing? >> It's a love/hate

>> It's a love/hate relationship.

relationship. >> Yeah, my brother-in-law,

>> Yeah, my brother-in-law, as you know, greatest guy...

as you know, greatest guy... >> Here we go.

>> Here we go. >> He said you've broke clubs.

>> He said you've broke clubs. He said you were mad

He said you were mad the whole time.

the whole time. >> I don't, I don't, I don't.

>> I don't, I don't, I don't. >> How is golfing relaxing

>> How is golfing relaxing to you when you're mad

to you when you're mad the whole time?

the whole time? >> I love it.

>> I love it. I'm not mad.

I'm not mad. >> You know you get mad...

>> You know you get mad... >> No.

>> No. >> And you throw clubs.

>> And you throw clubs. >> No, I don't.

>> Let me ask you a question, yes or no.

yes or no. Have you ever thrown a club

Have you ever thrown a club while you're golfing?

while you're golfing? >> Once.

>> Once. >> [laughing]

>> [laughing] >> The only time that I would

>> The only time that I would throw a club

throw a club is when it's headed towards

is when it's headed towards Terry Dubrow.

Terry Dubrow. Here to see a patient named

Here to see a patient named Nicole Dudley, and she has

Nicole Dudley, and she has Wegener's granulomatosis.

Wegener's granulomatosis. >> Oh, wow.

>> Oh, wow. >> Wegener's granulomatosis

>> Wegener's granulomatosis is a very rare disease.

is a very rare disease. It's basically a vasculitis

It's basically a vasculitis where it collapses small blood

where it collapses small blood vessels, and it could affect

vessels, and it could affect your sinuses, your throat,

your sinuses, your throat, your nose, your lungs,

your nose, your lungs, and your kidneys.

and your kidneys. And it could even cause death.

In Nicole's case, And it could even cause death.

In Nicole's case, it completely destroyed And it could even cause death.

it completely destroyed her nose. And it could even cause death.

her nose. And it could even cause death. And, you know, apparently it's

And, you know, apparently it's affecting her social life,

affecting her social life, self-confidence, work,

self-confidence, work, the whole bit.

the whole bit. She needs help.

She needs help. Someone's home.

Someone's home. >> Oh, my gosh, hi.

>> Oh, my gosh, hi. >> Hello, I'm Dr. Nassif.

>> Hello, I'm Dr. Nassif. >> I'm Nicole.

>> I'm Nicole. >> Terry Dubrow, how are you?

>> Terry Dubrow, how are you? >> I'm Nicole.

>> I'm Nicole. >> Nice to meet you.

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

>> I'm good, how are you guys? >> We're great.

>> We're great. >> Obviously we're here to see

>> Obviously we're here to see you.

you. >> Oh, my gosh.

>> Oh, my gosh. I cannot believe these two men

I cannot believe these two men are standing at my door,

are standing at my door, Dr. Dubrow and Dr. Nassif.

Dr. Dubrow and Dr. Nassif. I've seen their work.

I've seen their work. They've worked on patients

They've worked on patients that have had cases like mine,

that have had cases like mine, and they know all about

and they know all about the type of surgery I need.

the type of surgery I need. Pinch me.

Pinch me. Look who's here, you guys.

>> Dr. Nassif. Look who's here, you guys.

>> Dr. Nassif. >> Hi, I'm Susan, Nikki's mom. Look who's here, you guys.

>> Hi, I'm Susan, Nikki's mom. Look who's here, you guys. >> Terry Dubrow,

>> Terry Dubrow, nice to meet you.

nice to meet you. >> Hi, I'm Danielle.

>> Hi, I'm Danielle. >> I'm excited you're here.

>> I'm excited you're here. >> Nice to meet you.

>> Nice to meet you. >> I'm David,

>> I'm David, Nicole's boyfriend.

Nicole's boyfriend. >> Terry Dubrow.

>> Terry Dubrow. >> Pleased to meet you guys.

>> Pleased to meet you guys. Oh, my gosh.

Oh, my gosh. >> Dr. Nassif's boyfriend.

>> Dr. Nassif's boyfriend. [laughter]

[laughter] >> Come in, let's sit down.

>> Come in, let's sit down. >> Great.

>> Great. That's it.

That's it. >> I can't believe you guys

>> I can't believe you guys are here.

are here. >> I mean, it's nice to be in,

>> I mean, it's nice to be in, uh, I mean, the weather's

uh, I mean, the weather's beautiful out here in Phoenix.

beautiful out here in Phoenix. >> Oh, yes, isn't it?

>> Oh, yes, isn't it? >> So, Nicole...

>> So, Nicole... >> Yeah.

>> Yeah. >> Love to hear a little bit

>> Love to hear a little bit about your story.

about your story. >> In 2009, I was sick

>> In 2009, I was sick all the time, coughing,

all the time, coughing, and then I had migraines a lot.

and then I had migraines a lot. I had really muffled hearing

I had really muffled hearing in my right ear.

in my right ear. My vision would go blurry

My vision would go blurry sometimes.

sometimes. I had these crusts coming out

I had these crusts coming out of my nose that I didn't know

of my nose that I didn't know what it was.

what it was. I didn't know if even parts of,

I didn't know if even parts of, like, my brain were coming

like, my brain were coming through my nose.

through my nose. And so finally, I went to

And so finally, I went to a doctor and eventually,

a doctor and eventually, he did five biopsies.

he did five biopsies. And so through the biopsies,

And so through the biopsies, he diagnosed me with

he diagnosed me with Wegener's granulomatosis.

Wegener's granulomatosis. >> What did he tell you

>> What did he tell you that it was initially?

that it was initially? >> About it?

>> About it? >> Yeah.

>> Yeah. >> It restricts blood flow.

>> It restricts blood flow. And so the way he described it

And so the way he described it to me is it pretty much, like,

to me is it pretty much, like, sucks everything, like, dry

sucks everything, like, dry because it doesn't have

because it doesn't have the vessels.

the vessels. >> That's right.

>> That's right. >> Yeah.

>> Yeah. >> I was scared.

>> I was scared. Not only was I sick,

Not only was I sick, but my face started

but my face started to change shape.

to change shape. When I was a little kid,

When I was a little kid, I had the cutest little nose,

I had the cutest little nose, and everyone always wanted

and everyone always wanted my little nose.

my little nose. But my nose was starting to look

But my nose was starting to look all smushed, and my nostrils,

all smushed, and my nostrils, like, one of them was starting

like, one of them was starting to be lower than the other.

to be lower than the other. >> What was the first thing

>> What was the first thing you saw in the mirror

you saw in the mirror that changed about your nose?

that changed about your nose? It was just smu--,

It was just smu--, like, smushing, and my--

like, smushing, and my-- >> It was collapsing?

>> It was collapsing? >> Yeah.

>> Yeah. >> That must--could you imagine?

>> That must--could you imagine? >> Essentially with a severe

>> Essentially with a severe case of Wegener's,

case of Wegener's, all the cartilage in your nose

all the cartilage in your nose falls apart because there's

falls apart because there's no blood supply to that area.

no blood supply to that area. >> My ENT referred me out

>> My ENT referred me out to a plastic surgeon.

to a plastic surgeon. He decided the best route to go

He decided the best route to go would be to put a silicone

would be to put a silicone implant into the bridge

implant into the bridge and the tip of my nose.

and the tip of my nose. I woke up from surgery.

I woke up from surgery. He said everything went great,

He said everything went great, and I went home.

and I went home. Everything looked really good.

Everything looked really good. I was just swollen.

I was just swollen. But honestly, it didn't even

But honestly, it didn't even hurt as bad as I thought

hurt as bad as I thought it would.

it would. Three weeks,

Three weeks, I started to get a fever.

I started to get a fever. >> You were getting an...

>> You were getting an... >> both: Infection.

>> both: Infection. >> Yeah, I had an infection.

>> Yeah, I had an infection. September of 2011,

September of 2011, we went back in

we went back in for my second surgery.

for my second surgery. I thought we were gonna just

I thought we were gonna just shave it down.

shave it down. Woke up from surgery...

Woke up from surgery... >> Took it out.

>> Took it out. Yeah.

Yeah. >> I would have almost rather

>> I would have almost rather died than have him take out

died than have him take out my implant.

my implant. I did not want to go back

I did not want to go back to what I--the nose I had.

to what I--the nose I had. My mom was there.

My mom was there. >> He was devastated himself.

>> He was devastated himself. >> Of course he was.

>> Of course he was. >> He came out and hugged me

>> He came out and hugged me and said, "I'm so sorry."

and said, "I'm so sorry." >> When you see a patient

>> When you see a patient who has had a problem

who has had a problem with their plastic surgery

with their plastic surgery that was done on a congenital

that was done on a congenital problem or a problem related

problem or a problem related to an accident or a disease,

to an accident or a disease, that's usually not

that's usually not the doctor's fault.

the doctor's fault. Those are much more complicated

Those are much more complicated situations due to the basic

situations due to the basic nature of the problem

nature of the problem and the anatomy

and the anatomy you're dealing with.

you're dealing with. >> Do you feel better after all

>> Do you feel better after all that came out?

that came out? >> So I felt, like,

>> So I felt, like, instant relief.

instant relief. >> The infection resolved

>> The infection resolved immediately.

immediately. >> Yeah.

>> Yeah. >> Is the vascular situation

>> Is the vascular situation under complete control

under complete control right now?

right now? >> Yes.

>> Yes. >> So you're off medication?

>> So you're off medication? >> Off medication.

>> Off medication. >> And it's over for now?

>> And it's over for now? >> Yes.

>> Yes. >> That's awesome.

>> That's awesome. >> I'm happy to hear

>> I'm happy to hear that Nicole's Wegener's

that Nicole's Wegener's granulomatosis is dormant

granulomatosis is dormant right now.

right now. That means it's not actively

That means it's not actively destroying her blood vessels.

destroying her blood vessels. However, Wegener's is

However, Wegener's is a chronic disease.

a chronic disease. You never get rid of it.

You never get rid of it. And there's also the possibility

And there's also the possibility that by operating

that by operating on Nicole's nose, the disease

on Nicole's nose, the disease can become activated.

can become activated. It can, first of all,

It can, first of all, ruin everything I've done

ruin everything I've done and actually make the nose

and actually make the nose look worse.

look worse. >> What's it like living

>> What's it like living with this?

with this? >> I just try not to think

>> I just try not to think about it.

about it. [chokes up]

[chokes up] I just try to, you know,

I just try to, you know, just live life and not

just live life and not pay attention to, like,

pay attention to, like, people looking at me.

people looking at me. >> So people do look at you?

>> So people do look at you? Does it affect work?

Does it affect work? >> I don't really, like,

>> I don't really, like, put myself out there at all.

put myself out there at all. It totally holds me back.

It totally holds me back. >> What do you do?

>> What do you do? >> I'm a real estate agent.

>> I'm a real estate agent. >> But when you do real estate

>> But when you do real estate sales, you have to meet

sales, you have to meet new people.

new people. >> Yeah.

>> Yeah. >> So you always go through

>> So you always go through your mind,

your mind, "Okay, here we go with this."

"Okay, here we go with this." >> Oh, yeah, like every open

>> Oh, yeah, like every open house, nauseating anxiety.

house, nauseating anxiety. If you meet somebody

If you meet somebody with something like this,

with something like this, you're gonna wonder

you're gonna wonder what's wrong with them.

what's wrong with them. You're not gonna be able

You're not gonna be able to not look at it.

to not look at it. You're not gonna be able

You're not gonna be able to not notice it.

to not notice it. >> So is there that

>> So is there that uncomfortable period of time

uncomfortable period of time till they're gonna bring it up?

till they're gonna bring it up? >> Oh, yeah.

>> Oh, yeah. Yeah, I've had many clients

Yeah, I've had many clients ask me.

ask me. >> So what do you say?

>> So what do you say? >> I just tell them I was sick

>> I just tell them I was sick and I had a surgery

and I had a surgery and, you know,

and, you know, and at least I didn't die,

and at least I didn't die, basically.

basically. >> Right.

>> Right. >> I mean, I'm lucky to be

>> I mean, I'm lucky to be alive.

alive. >> "I wasn't having plastic

>> "I wasn't having plastic surgery that went badly," right?

surgery that went badly," right? >> Yeah.

>> Yeah. >> "I actually had a disease."

>> "I actually had a disease." >> I just try to, like,

>> I just try to, like, answer it as quickly

answer it as quickly as possible, and then bring up

as possible, and then bring up another subject.

another subject. >> Right, right.

>> Right, right. >> If Dr. Nassif and

>> If Dr. Nassif and Dr. Dubrow can help me,

Dr. Dubrow can help me, I'll do anything he wants.

I'll do anything he wants. If you want me to jump off

If you want me to jump off a cliff 'cause of all my nose,

a cliff 'cause of all my nose, I will go jump off that cliff.

I will go jump off that cliff. I want the nose I once had

back really bad. I want the nose I once had

back really bad. I want the nose I once had >> That went about seven yards.

>> That went about seven yards. I wouldn't want to be a turtle

I wouldn't want to be a turtle within ten yards of you.

within ten yards of you. You wore bras

You wore bras at age six or seven?

at age six or seven? >> Yeah.

>> Yeah. >> She was actually born with--

>> She was actually born with-- >> Little boobies.

>> Little boobies. >> Yeah.

>> And you know, the thing we

>> And you know, the thing we want to do is examine you.

want to do is examine you. >> Okay.

>> Okay. >> When a physician sees someone

>> When a physician sees someone in so much pain,

in so much pain, you want to help the patient.

you want to help the patient. But Nicole's nose

But Nicole's nose is in bad shape,

and I don't even know is in bad shape,

and I don't even know if I can help her. is in bad shape,

if I can help her. >> Lean your head back for me. is in bad shape,

>> Lean your head back for me. >> Okay. is in bad shape,

>> Okay. >> All right, so your skin is in bad shape,

>> All right, so your skin over your tip is not the best. is in bad shape,

over your tip is not the best. is in bad shape, So all this is no good

So all this is no good right here.

right here. You can breathe when I do that,

You can breathe when I do that, can't you?

can't you? >> Yes.

>> Yes. >> Yeah, constricted.

>> Yeah, constricted. Contracted all the way down.

Contracted all the way down. Nicole's nose is awful.

Nicole's nose is awful. The cartilage is pretty

The cartilage is pretty much gone.

much gone. The skin is terrible.

The skin is terrible. There's crusting everywhere.

There's crusting everywhere. This is gonna be

This is gonna be a real challenge for me.

a real challenge for me. First of all, putting an implant

First of all, putting an implant is not an option

is not an option because you don't have

because you don't have a blood supply there.

a blood supply there. Putting a foreign body in an

Putting a foreign body in an area with no blood supply,

area with no blood supply, you get infection.

you get infection. >> Not gonna work ever.

>> Not gonna work ever. >> What can you do?

>> What can you do? Rib.

Rib. Take some skin and cartilage

Take some skin and cartilage from your ear,

from your ear, and we'll try to realign

and we'll try to realign the inside of your nose

the inside of your nose around the nostrils,

around the nostrils, basically reconstruct

basically reconstruct everything.

everything. >> I look at old photos

>> I look at old photos all the time of my nose

all the time of my nose and how it wasn't even

and how it wasn't even a big deal to me.

a big deal to me. And now I'd give anything

And now I'd give anything for that nose back.

for that nose back. >> The biggest part is you don't

>> The biggest part is you don't have skin here.

have skin here. Let's say we actually

Let's say we actually extend everything here

extend everything here and rebuild everything.

and rebuild everything. You're not--your skin's not

You're not--your skin's not gonna close.

gonna close. That skin's no good to me.

That skin's no good to me. >> That's--yeah.

>> That's--yeah. >> So nasolabial flap.

>> So nasolabial flap. A nasolabial flap

A nasolabial flap is basically utilizing

is basically utilizing a piece of the cheek tissue.

a piece of the cheek tissue. We lift it up,

We lift it up, we move it over to reconstruct

we move it over to reconstruct a portion of the nose.

a portion of the nose. The goal will be to take

The goal will be to take that whole piece of skin

that whole piece of skin while it's still attached

while it's still attached to the blood supply right here,

to the blood supply right here, flip that bottom part

flip that bottom part up around.

up around. Attached right here,

Attached right here, and then after that looks

and then after that looks pretty good,

pretty good, we're gonna sever it,

we're gonna sever it, stitch this up,

stitch this up, and then the biggest thing

and then the biggest thing for you is gonna be healing.

for you is gonna be healing. >> Knowing I have to have

>> Knowing I have to have the flap on my face is scary.

the flap on my face is scary. Makes me sick to my stomach.

Makes me sick to my stomach. >> No matter how good of a job

>> No matter how good of a job we do technically,

we do technically, the problem is the blood supply.

the problem is the blood supply. And this is something

And this is something I can't tell you.

I can't tell you. There could be a 50% chance

There could be a 50% chance great, not great.

great, not great. >> Hearing that the surgery

>> Hearing that the surgery might not work kills me inside.

might not work kills me inside. I've been hoping for so long.

I've been hoping for so long. I don't want to give up

I don't want to give up that hope

that hope because I need it that bad.

>> The one thing you can take because I need it that bad.

>> The one thing you can take to the bank is because I need it that bad.

to the bank is we didn't come all the way because I need it that bad.

we didn't come all the way because I need it that bad. out here

out here unless we thought

unless we thought we could help you,

we could help you, and you can be cautiously

and you can be cautiously optimistic because--

optimistic because-- >> Cautiously.

>> Cautiously. >> "Because we're cautiously

>> "Because we're cautiously optimistic" is my favorite word.

optimistic" is my favorite word. >> Right.

>> Right. >> both: Me too.

>> both: Me too. >> I think we should do it.

>> I think we should do it. >> Yeah.

>> Yeah. >> I think we have to.

>> I think we have to. I've suffered for a lot

I've suffered for a lot of years.

of years. I don't have a profile.

I don't have a profile. It looks smushed, deformed.

It looks smushed, deformed. I mean, I have no other shot.

I mean, I have no other shot. >> So we'll see you back

>> So we'll see you back in California.

in California. >> Thank you so much.

>> Thank you so much. >> Thank you for having us come

>> Thank you for having us come in to your home.

in to your home. >> Thank you so much.

>> Thank you so much. >> Thank you so much.

>> Thank you so much. >> Bye.

>> Bye. >> I can't believe

>> I can't believe they came here.

they came here. >> I can't either.

>> I can't either. >> How lucky am I?

>> How lucky am I? >> Can you believe that?

>> Can you believe that? I know, I know.

I know, I know. I love you so much.

I love you so much. >> I love you, too.

>> I love you, too. >> I'm so proud of you.

>> I'm so proud of you. >> That is a hard case.

>> That is a hard case. Look, they're all ten out of ten

Look, they're all ten out of ten hard technically, right?

hard technically, right? But there are factors

But there are factors we have no control of.

we have no control of. And we have no idea

And we have no idea as to what's underlying there.

as to what's underlying there. Nature is our enemy here.

Nature is our enemy here. >> This is a huge

>> This is a huge responsibility.

responsibility. We have a very difficult

We have a very difficult surgery and someone who didn't

surgery and someone who didn't do this on purpose.

do this on purpose. She just acquired

She just acquired this horrible disease.

this horrible disease. She's been through a lot.

She's been through a lot. If we get a good result,

If we get a good result, this can be life-changing

this can be life-changing for Nicole.

for Nicole. [upbeat music]

[upbeat music] ♪ ♪

♪ ♪ >> A nice place.

>> A nice place. It's, like, pretty here.

It's, like, pretty here. >> It's gorgeous.

>> It's gorgeous. Recently, I've been taking

Recently, I've been taking golf lessons,

golf lessons, and I have to tell you,

and I have to tell you, I've been hitting the ball

I've been hitting the ball pretty well.

pretty well. So it's a great time

So it's a great time to take Terry out

to take Terry out and hit some golf balls.

and hit some golf balls. Let's get some fresh air.

Let's get some fresh air. Even though he doesn't play,

Even though he doesn't play, we could have a good time.

we could have a good time. >> Where do I stand?

>> Where do I stand? >> Just go like this,

>> Just go like this, like you're about to sit down

like you're about to sit down on the toilet.

on the toilet. >> Don't fart, please.

Who knew?

Who knew? >> You know, you must have taken

>> You know, you must have taken a lesson, my friend,

a lesson, my friend, before coming with me.

before coming with me. >> I've never taken a lesson

>> I've never taken a lesson in my life.

in my life. >> Terry, I know how you are.

>> Terry, I know how you are. You must have taken some lessons

You must have taken some lessons or done something

or done something because there's no such thing

because there's no such thing as beginner's luck in golf.

as beginner's luck in golf. >> Yeah, baby.

>> Yeah, baby. This is kinda fun.

This is kinda fun. >> Admit it.

>> Admit it. You've been practicing

You've been practicing all the time

all the time and taking lessons most likely.

and taking lessons most likely. >> No, I swear, I haven't swung

>> No, I swear, I haven't swung a club since I was, like, 12.

That was impressive.

That was impressive. That went about seven yards.

That went about seven yards. >> I can't hit the ball, can I?

>> I can't hit the ball, can I? >> That went eight yards.

>> That went eight yards. You're getting better.

You're getting better. One more yard.

One more yard. I wouldn't want to be a turtle

I wouldn't want to be a turtle within ten yards of you.

within ten yards of you. >> If you keep heckling me,

>> If you keep heckling me, I am gonna throw

I am gonna throw this club at your head.

>> So golf not your sport. this club at your head.

[upbeat music]

[upbeat music] ♪ ♪

♪ ♪ >> [whistles]

>> [whistles] Taxi!

Taxi! ♪ ♪

♪ ♪ >> What's up, guys?

>> What's up, guys? >> Hey, we're going to Brooklyn.

>> Hey, we're going to Brooklyn. >> I'll take you to Brooklyn.

>> I'll take you to Brooklyn. >> Are you from Brooklyn?

>> Are you from Brooklyn? >> I'm an Italian guy

>> I'm an Italian guy from Brooklyn.

from Brooklyn. >> What's a Brooklyn accent

>> What's a Brooklyn accent like?

like? >> Yo, Brooklyn.

>> Yo, Brooklyn. >> Brooklyn, hey.

>> Brooklyn, hey. >> No, no, that's Philly.

>> No, no, that's Philly. >> Oh.

>> Oh. You know the patient

You know the patient that we're here to see.

that we're here to see. >> Yeah.

>> Yeah. >> Sharice. I mean, this is

>> Sharice. I mean, this is a really tough case,

a really tough case, with the breast asymmetry.

with the breast asymmetry. Yeah.

Yeah. We're here to see Sharice,

We're here to see Sharice, who actually has a very

who actually has a very significant breast deformity.

significant breast deformity. This right breast is literally,

This right breast is literally, literally twice the size,

literally twice the size, and maybe even more.

and maybe even more. So she's been living with that

So she's been living with that all her life.

all her life. >> Yeah.

>> Yeah. She's 24.

She's 24. There's a condition called

There's a condition called gigantomastia,

gigantomastia, where both breasts

where both breasts are so overdeveloped

are so overdeveloped that they cause significant

that they cause significant functional deformities,

functional deformities, but I've never seen a patient

but I've never seen a patient where one breast, though,

where one breast, though, is so much larger

is so much larger than the other.

than the other. >> Hi.

>> Hi. >> Sharice, hi.

>> Sharice, hi. >> How are you?

>> How are you? >> Terry Dubrow.

>> How are you? >> Nice to meet you. >> Terry Dubrow.

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

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

>> Nice to meet you. >> Terry Dubrow. It's so insane that Dr. Dubrow

It's so insane that Dr. Dubrow and Dr. Nassif flew all the way

and Dr. Nassif flew all the way here from Los Angeles

here from Los Angeles to see little old me.

to see little old me. This is my mom.

This is my mom. >> Hi, how are you?

>> How are you? >> Hi, how are you?

>> How are you? I'm Tamika, how are you? >> Hi, how are you?

I'm Tamika, how are you? >> Nice to meet you today. >> Hi, how are you?

>> Nice to meet you today. >> Very good, very good. >> Hi, how are you?

>> Very good, very good. >> Terry Dubrow, >> Hi, how are you?

>> Terry Dubrow, >> Hi, how are you? nice to meet you. Pleasure.

nice to meet you. Pleasure. >> Tamika. Thank you.

>> Tamika. Thank you. I've watched Sharice's condition

I've watched Sharice's condition get worse, and I hope they'll

get worse, and I hope they'll take good care of my child.

take good care of my child. >> So take us back.

>> So take us back. When did you first start

When did you first start to develop breasts?

to develop breasts? >> I wore, like, bras

>> I wore, like, bras around six.

around six. >> You wore bras

>> You wore bras at age six or seven?

at age six or seven? >> Yeah.

>> Yeah. >> She was actually born with--

>> She was actually born with-- >> Little boobies.

>> Little boobies. >> Yeah.

>> Yeah. >> both: Really?

>> both: Really? >> Really.

>> Really. >> Of course, I looked different

>> Of course, I looked different than everyone else.

than everyone else. >> Yeah.

>> Yeah. >> So I had to wear bras

>> So I had to wear bras and they didn't.

and they didn't. >> Did they tease you about it?

>> Did they tease you about it? >> God, boys, yeah.

>> God, boys, yeah. >> Even back then?

>> Even back then? >> Yeah, call me, like,

>> Yeah, call me, like, big chest.

big chest. There was this one boy

There was this one boy who had everyone calling me

who had everyone calling me "Big Tittie Ri."

"Big Tittie Ri." I mean, nobody else had

I mean, nobody else had a nickname like that,

a nickname like that, so when you're a kid,

so when you're a kid, you don't want to feel like

you don't want to feel like you're being, like, a crybaby.

you're being, like, a crybaby. But it's not funny.

But it's not funny. >> This can be emotional for

>> This can be emotional for you, I would imagine.

you, I would imagine. >> Like, I don't want

>> Like, I don't want that type of attention.

that type of attention. >> So do you think it's affected

>> So do you think it's affected your social life?

your social life? >> I won't go out.

>> I won't go out. I do kinda limit myself

I do kinda limit myself to the things that I wear,

to the things that I wear, the things that I do.

the things that I do. My emotions and my feelings

My emotions and my feelings that I try to, like, you know,

that I try to, like, you know, hide the--like my flaws

hide the--like my flaws and the things that I'm not

and the things that I'm not so confident with.

so confident with. >> So how old were you when

>> So how old were you when your left breast

your left breast stopped growing?

stopped growing? >> Like, high school.

>> Like, high school. >> High school?

>> High school? >> So, yeah.

>> So, yeah. >> And then the right breast

>> And then the right breast continued to grow past that.

continued to grow past that. Were they ever--

Were they ever-- >> No, they're always been,

>> No, they're always been, like, like that.

like, like that. >> Completely different sizes.

>> Completely different sizes. Did you ever talk to a doctor?

Did you ever talk to a doctor? >> Oh, yeah.

>> Oh, yeah. >> What did they say about it?

>> What did they say about it? >> We spoke to a pediatrician

>> We spoke to a pediatrician about it, and she just told us

about it, and she just told us she has to wait till she's 18.

she has to wait till she's 18. >> They just said, "Well,

>> They just said, "Well, she's gonna have

she's gonna have very big breasts.

very big breasts. You can just have

You can just have a breast reduction."

a breast reduction." Yeah, this isn't that

Yeah, this isn't that straightforward because

straightforward because asymmetric virginal breast

asymmetric virginal breast hypertrophy is so rare

hypertrophy is so rare that it's actually

that it's actually special section

special section of the medical literature.

of the medical literature. The occurrence of a significant

The occurrence of a significant asymmetry like Sharice has

asymmetry like Sharice has probably happens in less than 1%

probably happens in less than 1% of cases of gigantomastia.

of cases of gigantomastia. What would it mean to you

What would it mean to you if you were to have this fixed?

if you were to have this fixed? The fir--the most important

The fir--the most important thing is that it would make me

thing is that it would make me feel better physically.

feel better physically. So I wouldn't sit like this,

So I wouldn't sit like this, and my back won't hurt.

and my back won't hurt. >> Okay, so that's the

>> Okay, so that's the functional component, all right?

functional component, all right? And the cosmetic component,

And the cosmetic component, you could wear clothes that--

you could wear clothes that-- >> Yeah, It's just--

>> Yeah, It's just-- it's just something that I've

it's just something that I've just--I try to handle on my own.

just--I try to handle on my own. Like, my friends that are close,

Like, my friends that are close, they know I don't like it,

they know I don't like it, but I don't think they know,

but I don't think they know, like, to which extent.

like, to which extent. >> You know what you remind me

>> You know what you remind me of, and this has nothing to do

of, and this has nothing to do with your physical appearance

with your physical appearance 'cause you're a gorgeous girl,

'cause you're a gorgeous girl, you remind me of a tortoise.

you remind me of a tortoise. >> [laughing]

>> [laughing] >> You're kinda like living

>> You're kinda like living in a shell.

in a shell. >> Mm-hmm.

>> Do you know what I mean? There's Sharice in this shell

There's Sharice in this shell you carry around.

you carry around. Don't you kind of feel

Don't you kind of feel that you're sort of this person?

that you're sort of this person? Because you wear clothes

Because you wear clothes and you're walking around

and you're walking around hunched over your shell, right?

hunched over your shell, right? So put this on.

So put this on. >> Thank you.

>> Thank you. >> Open in the front,

>> Open in the front, and we'll come in

and we'll come in and have a look, okay?

and have a look, okay? >> Okay.

>> Okay. >> All right.

>> All right. >> When someone is botched

>> When someone is botched by surgery, you know they were

by surgery, you know they were normal at some point.

normal at some point. Here, you don't necessarily know

Here, you don't necessarily know what normal is.

what normal is. And you don't know

And you don't know if it's achievable

if it's achievable because they've never looked

because they've never looked normal in the first place.

>> You guys are the sexiest normal in the first place.

>> You guys are the sexiest normal in the first place. doctors on the planet

doctors on the planet [bleep] earth.

[bleep] earth. >> [laughing]

>> [laughing] >> I will call you as soon

>> I will call you as soon as I can after surgery.

as I can after surgery. >> I love you.

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

Everything's gonna be good, Nikki, I just know it.

[knocking]

[knocking] >> Hi.

>> Hi. >> Hello.

>> Hello. >> Hi.

>> Hi. >> Hey, guys.

>> Hey, guys. Okay, so, what we want to do

is take a look at the size Okay, so, what we want to do

is take a look at the size differences, the asymmetry. Okay, so, what we want to do

differences, the asymmetry. Would you mind standing up? Okay, so, what we want to do

Would you mind standing up? >> Okay. Okay, so, what we want to do

>> Okay. >> That would be easier for us. Okay, so, what we want to do

>> That would be easier for us. Okay, when I look at you, okay, Okay, so, what we want to do

Okay, when I look at you, okay, Okay, so, what we want to do the first thing that stands out

the first thing that stands out to me is that the breasts

to me is that the breasts are incredibly uneven.

are incredibly uneven. You know, anything sort of

You know, anything sort of greater than 28 centimeters,

greater than 28 centimeters, that's a really droopy breast.

that's a really droopy breast. This left one is 34,

This left one is 34, but the right one is 40.

but the right one is 40. 40 is a lot.

40 is a lot. So what are

So what are the surgical options?

the surgical options? Well, you need a reduction

Well, you need a reduction of your breasts,

of your breasts, where we take a lot more

where we take a lot more from this side than this side.

from this side than this side. But this is an extraordinarily

But this is an extraordinarily high-risk breast.

high-risk breast. The risk is related to the

The risk is related to the distance which you have to raise

distance which you have to raise the nipple.

the nipple. In Sharice's case,

In Sharice's case, that's the longest distance

that's the longest distance I've ever seen.

I've ever seen. See, what we're used to seeing

See, what we're used to seeing is a breast that looks like this

is a breast that looks like this with a very large implant

with a very large implant inside, but when we treat those,

inside, but when we treat those, we take the implant out,

we take the implant out, we're immediately taking

the pressure off of it, right, we're immediately taking

the pressure off of it, right, and allowing blood now we're immediately taking

and allowing blood now to come into it. we're immediately taking

to come into it. What we would do with you we're immediately taking

What we would do with you we're immediately taking that's very different

that's very different is we're taking all of this

is we're taking all of this blood vessel-rich tissue

blood vessel-rich tissue and removing it.

and removing it. So we're challenging

So we're challenging the remaining tissue

the remaining tissue even more.

even more. Sharice really has all of the

Sharice really has all of the factors you don't want to have

factors you don't want to have when you're doing breast

when you're doing breast reduction and lift surgery.

reduction and lift surgery. There ultimately may not be

There ultimately may not be enough blood supply to keep

enough blood supply to keep her remaining breasts alive.

her remaining breasts alive. Does it look like it's tissue

Does it look like it's tissue that's not happy?

that's not happy? >> With these dilated blood

>> With these dilated blood vessels, yeah,

vessels, yeah, this does not look

this does not look that great to me.

that great to me. >> I think your chance

>> I think your chance of a significant complication

of a significant complication is very high,

is very high, and by complication,

and by complication, I mean the nipple turns black.

I mean the nipple turns black. The wounds have trouble healing.

The wounds have trouble healing. The breast tissue

The breast tissue that remains dies.

that remains dies. >> Now that I'm hearing that

>> Now that I'm hearing that there's all these risks

there's all these risks involved,

involved, it's a lot of information

it's a lot of information to take in at once.

to take in at once. >> You are anything but

>> You are anything but a standard breast reduction.

a standard breast reduction. I think if you walked into

I think if you walked into a standard plastic surgeon's

a standard plastic surgeon's office, who might be a very good

office, who might be a very good surgeon,

surgeon, you could suffer.

you could suffer. And no one would blame

And no one would blame that plastic surgeon

that plastic surgeon because you're a high-risk case.

>> Sharice was born with this. because you're a high-risk case.

>> Sharice was born with this. The risks are extremely high. because you're a high-risk case.

The risks are extremely high. because you're a high-risk case. But, you know, Terry,

But, you know, Terry, he's such a great surgeon.

he's such a great surgeon. Hopefully these problems

Hopefully these problems won't happen.

won't happen. >> The good news for me is

>> The good news for me is you're young.

you're young. You don't smoke.

You don't smoke. You lead a healthy lifestyle.

You lead a healthy lifestyle. What do you think?

What do you think? >> I feel like I need the

>> I feel like I need the surgery because of course

surgery because of course I want to feel good.

I want to feel good. I want to feel like I look good.

I want to feel like I look good. I think no risk, no rewards.

I think no risk, no rewards. Just like whatever you think

Just like whatever you think is best.

is best. >> You live in a shell,

>> You live in a shell, physically, cosmetically,

physically, cosmetically, and I feel, emotionally

and I feel, emotionally and socially.

and socially. I want to take that shell

I want to take that shell off you and allow the real

off you and allow the real Sharice to come out.

Sharice to come out. Agreed?

Agreed? >> I seeked you out because this

>> I seeked you out because this is what you do.

is what you do. >> Right, you knew this is--

>> Right, you knew this is-- >> This is my child, so...

>> This is my child, so... >> Right, right.

>> Right, right. You sought us out.

You sought us out. >> I'm trusting you

>> I'm trusting you with my precious cargo.

with my precious cargo. >> Any time we have a hard case,

>> Any time we have a hard case, we have to have a little bit

we have to have a little bit of fear in us because that keeps

of fear in us because that keeps us on our toes.

us on our toes. Pleasure meeting you.

For both of you, thank you so much.

so much. >> Oh, same here. Thank you.

>> Oh, same here. Thank you. >> Thank you for inviting us

>> Thank you for inviting us into your home.

into your home. >> No problem.

>> No problem. >> Pleasure meeting you,

>> Pleasure meeting you, Sharice.

Sharice. >> Same to you.

>> Same to you. >> Okay, we're gonna do

>> Okay, we're gonna do something special for you,

something special for you, all right?

all right? >> Thanks, Mom, pleasure.

>> Thanks, Mom, pleasure. >> Thank you.

>> Thank you. So what do you think?

So what do you think? >> I'm a little nervous,

>> I'm a little nervous, but I'm excited.

but I'm excited. >> Well, if you're excited,

>> Well, if you're excited, I'll be excited.

I'll be excited. >> This is a very scary

>> This is a very scary high-risk case.

high-risk case. I'm hoping I can get her reduced

I'm hoping I can get her reduced to the size she wants

to the size she wants and preserve enough blood supply

and preserve enough blood supply to allow it to heal.

to allow it to heal. >> That's, like, a dramatic

>> That's, like, a dramatic change.

change. >> So, we're in New York.

>> So, we're in New York. >> Yes.

>> Yes. >> What are we gonna do

>> What are we gonna do in New York?

in New York? Don't we have some high profile

Don't we have some high profile patients here we need to check

patients here we need to check on?

on? >> You want to do that?

>> You want to do that? >> Yeah, let's go do that.

>> Yeah, let's go do that. [upbeat music]

[upbeat music] ♪ ♪

♪ ♪ All right, so where are we

All right, so where are we meeting her?

meeting her? >> Over here.

>> Over here. >> Is she gonna be in a limo?

>> Is she gonna be in a limo? ♪ ♪

♪ ♪ >> Well, look who's here.

>> No way, look at that. Whoo! >> Well, look who's here.

>> No way, look at that. Whoo! >> My white chocolate bunnies. >> Well, look who's here.

>> My white chocolate bunnies. >> Hey, hey, hey, hey. >> Well, look who's here.

>> Hey, hey, hey, hey. >> Are we coming up? >> Well, look who's here.

>> Are we coming up? >> Well, look who's here. >> Come up in my carriage.

I wanted to show up in style. >> How are you? Nice to see you.

>> How are you? Nice to see you. How are you?

How are you? >> Oh, my gosh,

>> Oh, my gosh, I love these guys so much.

I love these guys so much. I'm Tiffany "New York" Pollard.

I'm Tiffany "New York" Pollard. You know me from the

You know me from the "Flavor of Love,"

"Flavor of Love," "I Love New York,"

"I Love New York," and so much more.

and so much more. Well, I've always been

Well, I've always been huge nippled.

huge nippled. >> They're out of proportion

>> They're out of proportion to the mam--

to the mam-- >> Yeah, I was born needing

>> Yeah, I was born needing breast implants just to catch up

breast implants just to catch up with my nipples.

with my nipples. You guys are the sexiest doctors

You guys are the sexiest doctors on the planet [bleep] earth.

on the planet [bleep] earth. >> [laughing]

>> [laughing] >> Finally I get to have the

>> Finally I get to have the doctors on my turf

doctors on my turf because when they were seeing me

because when they were seeing me in the office,

in the office, I had to do it their way,

I had to do it their way, their thing, but today,

their thing, but today, I'm showing them a taste

I'm showing them a taste of the HBIC in NYC.

of the HBIC in NYC. You are so sexy.

You are so sexy. Can I grab your leg?

Can I grab your leg? >> See, see, see, buddy?

>> See, see, see, buddy? >> It's happening.

>> It's happening. I must admit, seeing Dr. Nassif

I must admit, seeing Dr. Nassif out of the office,

out of the office, there's something extra going on

there's something extra going on with him.

with him. >> Obviously you nicked her

>> Obviously you nicked her brain when you were doing

brain when you were doing her nasal surgery.

her nasal surgery. >> You know, don't be jealous,

>> You know, don't be jealous, my friend.

my friend. What is going on with your life?

What is going on with your life? Tell us, give us an update.

Tell us, give us an update. >> I did "Celebrity Big

>> I did "Celebrity Big Brother," UK.

Brother," UK. I have such a following now

I have such a following now in the UK.

in the UK. >> Oh, I know.

>> Oh, I know. >> It's amazing.

>> It's amazing. >> Really?

>> Really? >> Just with the new surgeries,

>> Just with the new surgeries, just everything has been taking

just everything has been taking off at such a climactic level.

off at such a climactic level. I won't make my sound

I won't make my sound that I make when I climax,

that I make when I climax, unless you guys want to hear it.

unless you guys want to hear it. >> Yeah, I want to hear it.

>> Yeah, I want to hear it. >> [moans]

>> [moans] Yeah, something like that.

Yeah, something like that. >> Wow, that sound

>> Wow, that sound is extremely familiar.

is extremely familiar. That's almost exactly the sound

That's almost exactly the sound Paul makes when the dessert

Paul makes when the dessert hits the dinner table.

hits the dinner table. >> Can I just do something?

>> Can I just do something? >> Yeah, touch me, touch me.

>> Yeah, touch me, touch me. >> Look straight for a minute.

>> Look straight for a minute. Look straight.

Look straight. >> Touch me.

>> Touch me. Oh, you're feeling my nose.

Oh, you're feeling my nose. Okay.

Okay. >> Your nose feels very good.

>> Your nose feels very good. >> Does it feel good?

>> Does it feel good? >> It's actually very cute.

>> It's actually very cute. >> Tiffany looks happy,

>> Tiffany looks happy, healthy, and amazing.

healthy, and amazing. >> I'm a force

>> I'm a force to be reckoned with.

to be reckoned with. >> I think I'm gonna start

>> I think I'm gonna start using that.

using that. >> It is the truth.

>> It is the truth. >> I'm gonna say it

>> I'm gonna say it more around him.

more around him. >> You need to because

>> You need to because you got in there,

you got in there, you did the nine-hour surgery,

you did the nine-hour surgery, and it's just really

and it's just really been a blessing for me.

been a blessing for me. And you with the breasts.

And you with the breasts. They don't hurt anymore.

They don't hurt anymore. >> Really?

>> Really? >> They feel really good.

>> They feel really good. They stay up in the air

They stay up in the air when I ride my man.

when I ride my man. And I just--I really just--

And I just--I really just-- >> "When I ride my man."

>> "When I ride my man." >> There is so much in store

>> There is so much in store for the future.

for the future. The sky is the limit.

The sky is the limit. >> I love New York.

>> I love New York. >> Yes.

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

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

>> Do I owe him money? No, I don't.

No, I don't. I don't think I do.

I don't think I do. I just feel like there's nothing

I just feel like there's nothing I can't do,

I can't do, and I know it's due

and I know it's due to my surgeries,

to my surgeries, and I'm so grateful

and I'm so grateful to the both of them.

to the both of them. >> Come here.

>> Come here. >> Give us a hug.

>> Give us a hug. >> Thank you, guys.

>> Thank you, guys. >> I'm so happy that we could

>> I'm so happy that we could see Tiffany and she's doing

see Tiffany and she's doing so great,

so great, but now it's time for us

but now it's time for us to get back in the real world,

to get back in the real world, hop on a plane,

hop on a plane, and help someone else.

and help someone else. >> Bye.

>> Bye. >> Get away from me.

>> Get away from me. >> [laughing]

[upbeat music]

[upbeat music] ♪ ♪

♪ ♪ >> Can we stop?

>> Can we stop? >> both: Yeah.

>> both: Yeah. >> You okay?

>> You okay? >> Yeah.

>> Yeah. >> Tahla is my best friend.

>> Tahla is my best friend. We've been friends

since I was 15. We've been friends

since I was 15. And if there's ever anyone We've been friends

And if there's ever anyone I need to talk to, We've been friends

I need to talk to, she's always the person I go to. We've been friends

she's always the person I go to. >> Doing a surgery again? We've been friends

>> Doing a surgery again? We've been friends >> Yeah, I have to.

>> Yeah, I have to. Dr. Nassif and Dr. Dubrow,

Dr. Nassif and Dr. Dubrow, they're the doctors in LA.

they're the doctors in LA. >> Are you scared?

>> Are you scared? >> Well, yeah, of course.

>> Well, yeah, of course. What if, like, something goes

What if, like, something goes wrong again?

wrong again? If Dr. Nassif and Dr. Dubrow

If Dr. Nassif and Dr. Dubrow aren't able to help me,

aren't able to help me, it'll crush me.

it'll crush me. And I'm gonna have to live

And I'm gonna have to live like this forever.

like this forever. They're, like, the best doctors,

They're, like, the best doctors, so if they can't help me--

so if they can't help me-- >> This is it.

>> This is it. >> I really mean that, like,

>> I really mean that, like, nobody could.

nobody could. >> I think this will be

>> I think this will be life-changing for Nikki

because she's never somebody who life-changing for Nikki

because she's never somebody who wanted to change her face life-changing for Nikki

wanted to change her face in any way, and then it life-changing for Nikki

in any way, and then it just changed for her. life-changing for Nikki

just changed for her. And I don't want to see her life-changing for Nikki

And I don't want to see her life-changing for Nikki get her hopes up and have

get her hopes up and have anything not work out again.

anything not work out again. I just--I feel like I'm at the

I just--I feel like I'm at the point where everything

point where everything is so good.

is so good. And it's the one thing that,

And it's the one thing that, like, completely holds me back.

like, completely holds me back. It's time to, like,

It's time to, like, just be over it.

just be over it. It's just been a hard, like,

It's just been a hard, like, five years.

five years. For the past five years,

For the past five years, I've just been settling.

I've just been settling. I'm just really excited

I'm just really excited for it to be over.

for it to be over. It's life-changing.

It's life-changing. >> I'm excited to see your new

>> I'm excited to see your new nose after your old new nose.

>> Me too. nose after your old new nose.

>> Me too. >> Well, you're a guy, nose after your old new nose.

>> Well, you're a guy, so you know, like, what you want nose after your old new nose.

so you know, like, what you want nose after your old new nose. a woman to look like, you know.

a woman to look like, you know. >> I do, trust me.

>> I do, trust me. >> I'm gonna make sure

>> I'm gonna make sure I'm not going in too deep.

I'm not going in too deep. Should I keep going?

Should I keep going? I'm getting very afraid.

I'm getting very afraid. Damn it.

[upbeat music]

♪ ♪ [upbeat music]

>> Good morning.

>> Good morning. >> Good morning.

>> Good morning. >> I'm Nicole, I'm here for

>> I'm Nicole, I'm here for surgery with Dr. Nassif.

>> Okay, go ahead and sign in right there.

right there. >> Coming back into surgery

is really scary for me >> Coming back into surgery

is really scary for me because the last time I had >> Coming back into surgery

because the last time I had surgery, it did not turn out >> Coming back into surgery

surgery, it did not turn out the way that I was hoping >> Coming back into surgery

the way that I was hoping >> Coming back into surgery it would,

it would, but I'm here.

but I'm here. I'm ready.

I'm ready. Hi, Mom.

>> Hi. Hi, Mom.

>> Hi. How are you, sweetheart? Hi, Mom.

How are you, sweetheart? >> I'm getting ready Hi, Mom.

>> I'm getting ready to have surgery, Hi, Mom.

to have surgery, Hi, Mom. and I just wanted to tell you

and I just wanted to tell you I love you and I'll call you

I love you and I'll call you as soon as I can

as soon as I can after surgery.

after surgery. I love you.

I love you. Everything's gonna be good,

Everything's gonna be good, Nikki, I just know it.

Nikki, I just know it. >> [sobbing]

>> [sobbing] >> I just know you will.

>> I just know you will. And I know it's gonna go good.

And I know it's gonna go good. >> Okay, I love you.

>> Okay, I love you. >> I love you too, sweetie.

>> I love you too, sweetie. >> Bye.

>> Today is Nicole's major >> Bye.

>> Today is Nicole's major surgery, which is gonna be >> Bye.

surgery, which is gonna be the first stage. >> Bye.

the first stage. I mean, the risk with Wegener's >> Bye.

I mean, the risk with Wegener's >> Bye. granulomatosis is that,

granulomatosis is that, you know, the disease is in

you know, the disease is in remission right now,

remission right now, but I could come back and react,

but I could come back and react, and that could kill

and that could kill all my grafts.

all my grafts. If that occurs, the whole nose

If that occurs, the whole nose is gonna collapse again.

is gonna collapse again. So I'll just have to be

So I'll just have to be really careful.

really careful. My plan is to first take

My plan is to first take a left ear composite graft

a left ear composite graft and take a piece of rib.

and take a piece of rib. I will then reconstruct

I will then reconstruct the tip of the nose.

the tip of the nose. Lastly, I will create

Lastly, I will create a nasolabial flap

a nasolabial flap from the left cheek

from the left cheek in order to reconstruct

in order to reconstruct the base of the nose.

the base of the nose. Okay, so I'll start with

Okay, so I'll start with the composite graft

the composite graft in the left ear.

in the left ear. It is a very big

It is a very big composite graft.

composite graft. >> A nice rib.

>> A nice rib. >> I'll start the nose.

>> I'll start the nose. So, you know, this tissue's

So, you know, this tissue's not that great.

not that great. Already irritated because there

Already irritated because there was a dorsal implant in here,

was a dorsal implant in here, so we gotta be really careful

so we gotta be really careful about this dissection.

about this dissection. I'm gonna try and lift up

I'm gonna try and lift up the skin.

the skin. [grunts]

[grunts] This is really, really hard

This is really, really hard to do.

to do. This is not a great start.

This is not a great start. I'm having a hard time

I'm having a hard time lifting up the skin.

lifting up the skin. Most likely, this is due

Most likely, this is due to scar tissue that was formed

to scar tissue that was formed from her previous surgery.

from her previous surgery. And so I'm a little afraid

And so I'm a little afraid of how much damage

of how much damage I'm gonna find

I'm gonna find once I open up the nose.

once I open up the nose. You have a small alar batten

You have a small alar batten grafts.

grafts. Just kind of gently hold there.

Just kind of gently hold there. I got two and two.

I got two and two. Hard tip reconstruction.

Hard tip reconstruction. >> She has pretty brittle

>> She has pretty brittle cartilage.

cartilage. >> They're calcified?

>> They're calcified? >> She had calcifications

>> She had calcifications through it.

through it. It's a pretty creative

It's a pretty creative reconstruction though.

reconstruction though. >> This is about as hard

>> This is about as hard as it gets.

as it gets. >> This is--I don't like the way

>> This is--I don't like the way this is doing this.

this is doing this. I need it.

I need it. I'm not gonna be happy

I'm not gonna be happy with this.

with this. In the most simple way

In the most simple way for me to say this,

for me to say this, the tissue is no good.

the tissue is no good. I just don't know how

I just don't know how the grafts are gonna live.

the grafts are gonna live. It's one of these things

It's one of these things where we just have to see

where we just have to see how she heals.

how she heals. So we've finished the major part

So we've finished the major part of the reconstruction

of the reconstruction of the nose.

of the nose. So we have the cartilage

So we have the cartilage framework in place.

framework in place. Now all we gotta do

Now all we gotta do is lift up that flap.

is lift up that flap. >> We need a lot of skin.

>> We need a lot of skin. >> You're gonna need a lot more

>> You're gonna need a lot more skin that that,

skin that that, so we gotta make sure

so we gotta make sure that blood vessel's intact.

that blood vessel's intact. [pulsing]

[pulsing] >> There we go.

>> There we go. >> So that's the pulsation

>> So that's the pulsation of the blood going through

of the blood going through the artery.

the artery. We're making a nasolabial flap,

We're making a nasolabial flap, and we really need the blood

and we really need the blood supply to be completely intact.

supply to be completely intact. So with the use of a Doppler,

So with the use of a Doppler, which is something that you can

which is something that you can hear the blood vessel of this

hear the blood vessel of this flap, we want to listen to it

flap, we want to listen to it and trace out the blood vessel.

and trace out the blood vessel. And then we cut around it

And then we cut around it to make the nasolabial flap.

to make the nasolabial flap. There we go, I'm gonna make sure

There we go, I'm gonna make sure I'm not going too deep.

I'm not going too deep. Should I keep going?

Should I keep going? I'm getting very afraid.

I'm getting very afraid. Elevating the flap like this,

Elevating the flap like this, it's always scary because if

it's always scary because if you make one wrong move,

you make one wrong move, hit the blood vessel,

hit the blood vessel, that flap is gonna die.

that flap is gonna die. Okay, that looks pretty good.

Okay, that looks pretty good. Just as long as this darn flap

Just as long as this darn flap lives.

lives. It is a little white,

It is a little white, which is pretty concerning.

which is pretty concerning. We don't want white.

We don't want white. White means there's some

White means there's some flow impairment.

flow impairment. So we need to keep

So we need to keep an eye on this,

an eye on this, and make sure that we do

and make sure that we do everything we can

everything we can to help her nose heal.

to help her nose heal. I think the flap is inset

I think the flap is inset about as best as we can do it

about as best as we can do it for right now.

for right now. I mean, it's got plenty of bulk.

I mean, it's got plenty of bulk. Thank you.

Thank you. >> Thank you.

>> Thank you. >> Thank you, thank you.

>> Thank you, thank you. Thank you.

[upbeat music]

[upbeat music] ♪ ♪

♪ ♪ >> both: Hi, how are you?

>> both: Hi, how are you? I'm here to see Dr. Dubrow.

I'm here to see Dr. Dubrow. >> Okay, can I have you sign in?

>> Okay, can I have you sign in? >> Yes.

>> Yes. Even though the plane ride

Even though the plane ride was really long,

was really long, my breast is such a big problem

my breast is such a big problem for me, I would do anything

for me, I would do anything or go anywhere

or go anywhere to get them fixed.

I'm super pumped to have to get them fixed.

I'm super pumped to have the surgery and feel to get them fixed.

the surgery and feel a little bit better. to get them fixed.

a little bit better. to get them fixed. I hope that I remain

I hope that I remain the same person

the same person and don't think I'm too cute.

and don't think I'm too cute. [laughing]

[laughing] >> Sharice, how are you?

>> Sharice, how are you? >> I'm fine, how are you?

>> I'm fine, how are you? >> Good.

>> Good. So...

So... I've been thinking about

I've been thinking about your case all weekend.

your case all weekend. Let's have your legs

Let's have your legs over the side, okay.

over the side, okay. Sharice's surgery today

is actually very intimidating, Sharice's surgery today

is actually very intimidating, but I think I've devised a plan. Sharice's surgery today

but I think I've devised a plan. So I'm gonna start Sharice's surgery today

So I'm gonna start Sharice's surgery today with our problem child,

with our problem child, but I'm gonna lift

but I'm gonna lift both of them today.

both of them today. Ideally, what size would you

Ideally, what size would you like me to make you?

like me to make you? You want to be a C?

You want to be a C? >> Well, if that looks nice.

>> Well, if that looks nice. I don't want them to be flat.

I don't want them to be flat. I just want them to be nice.

I just want them to be nice. I want them to stand up.

I want them to stand up. I don't want them to look,

I don't want them to look, like, droopy.

like, droopy. >> Droopy, okay.

>> Droopy, okay. >> Well, you're a guy, so you

>> Well, you're a guy, so you know, like, what you want

know, like, what you want a woman to look like, you know?

a woman to look like, you know? >> I do, trust me.

>> I do, trust me. >> This is something that really

>> This is something that really affects my quality of living.

affects my quality of living. And I want to fix it

And I want to fix it and feel better and be better.

Because I think I'm a great person, but sometimes when

person, but sometimes when you're not confident

you're not confident a little bit,

a little bit, that takes over a lot.

that takes over a lot. >> This case with Sharice today

>> This case with Sharice today is an extremely high-risk case.

is an extremely high-risk case. For Sharice, I'll start

For Sharice, I'll start with liposuction,

with liposuction, making them as even as possible.

making them as even as possible. Finally, I'll give her a lift

Finally, I'll give her a lift by removing the extra skin

by removing the extra skin and making her areola smaller.

and making her areola smaller. which should result

which should result in symmetrical

in symmetrical and reasonably-sized breasts.

and reasonably-sized breasts. Liposuction will hopefully

Liposuction will hopefully remove a lot of the breast

remove a lot of the breast tissue and breast fat,

tissue and breast fat, but it does so by preserving

but it does so by preserving the blood supply.

the blood supply. What I'd love to do

What I'd love to do is get a liter and a half

is get a liter and a half out of this breast.

out of this breast. Liposuction is unique

Liposuction is unique in that it will allow me to

in that it will allow me to potentially remove a lot

potentially remove a lot of Sharice's breast tissue

of Sharice's breast tissue without disrupting

without disrupting the blood supply

the blood supply because it essentially goes

because it essentially goes around rather than through

around rather than through the blood vessels.

the blood vessels. What are we now? 1,000?

What are we now? 1,000? >> To 1,000, yeah.

>> To 1,000, yeah. >> 1,000.

>> 1,000. We're barely making a dent.

We're barely making a dent. It's bigger than a basketball,

It's bigger than a basketball, isn't this?

isn't this? Yeah.

Yeah. [groans]

[groans] Okay, so what have we suctioned

Okay, so what have we suctioned out? Two?

out? Two? >> Two liters.

>> Two liters. >> So let's suction the left

>> So let's suction the left breast down to about this size.

breast down to about this size. So we'll do 800 to 1,000 CCs

So we'll do 800 to 1,000 CCs on this side.

on this side. After performing liposuction,

After performing liposuction, I'm going to staple up

I'm going to staple up Sharice's breasts,

Sharice's breasts, which will allow me to simulate

which will allow me to simulate what a lift will do.

what a lift will do. So we've suctioned the right

So we've suctioned the right of two liters

of two liters and the left of 750, roughly.

and the left of 750, roughly. Whew, the right's still

Whew, the right's still so much bigger than the left.

so much bigger than the left. Ay-yi-yi-yi-yi.

>> So did you take a look Ay-yi-yi-yi-yi.

>> So did you take a look at the extra little hot dog Ay-yi-yi-yi-yi.

at the extra little hot dog Ay-yi-yi-yi-yi. you got on your face there?

you got on your face there? >> I have a finger

>> I have a finger sticking out of my nose.

>> So cut the right,

>> So cut the right, and reduce it

and reduce it by direct excision,

by direct excision, which is potentially dangerous.

which is potentially dangerous. Sharice's breast tissue

Sharice's breast tissue cannot be removed entirely

cannot be removed entirely by liposuction

by liposuction because a certain percentage

because a certain percentage of her breast

is actually breast glandular of her breast

is actually breast glandular tissue, which the liposuction of her breast

tissue, which the liposuction machine does not remove. of her breast

machine does not remove. We've taken sections from of her breast

We've taken sections from of her breast the inside of the breast.

the inside of the breast. Now we just have to get

Now we just have to get this nipple to move up.

this nipple to move up. This also cuts blood supply.

This also cuts blood supply. Every one of these moves

Every one of these moves makes it more dangerous.

makes it more dangerous. Sharice's surgery today

Sharice's surgery today is all about the blood supply,

is all about the blood supply, Therein lies the danger.

Therein lies the danger. Therein lies the possible risk

Therein lies the possible risk of tissue necrosis,

of tissue necrosis, which is basically cell death.

which is basically cell death. Okay, so they're symmetrical.

Okay, so they're symmetrical. The nipples are exactly

The nipples are exactly the same heights now.

the same heights now. And the nipples are alive.

And the nipples are alive. I think we did this.

I think we did this. Now that I've got Sharice's

Now that I've got Sharice's breasts in good position,

breasts in good position, and I've got them adequately

and I've got them adequately reduced and the nipples appear

reduced and the nipples appear to be alive at this point,

to be alive at this point, I'm pretty happy,

I'm pretty happy, but I'm not gonna pre-celebrate

but I'm not gonna pre-celebrate because this could go south

because this could go south on me anytime

on me anytime within the next 72 hours.

within the next 72 hours. >> Look amazing.

>> Look amazing. >> Okay, thank you very much,

>> Okay, thank you very much, you guys.

you guys. [upbeat music]

[upbeat music] ♪ ♪

♪ ♪ >> Hi, Nicole.

>> Hi, I'm here for my post-op. >> Hi, Nicole.

>> Hi, I'm here for my post-op. >> Okay, go ahead and sign in. >> Hi, Nicole.

>> Okay, go ahead and sign in. >> Hi, Nicole. >> Okay.

>> Okay. >> And we'll let them know

>> And we'll let them know that you're here, okay.

that you're here, okay. >> Thank you.

>> Thank you. >> You're welcome.

>> You're welcome. My face feels super swollen.

My face feels super swollen. I'm feeling like I got hit

I'm feeling like I got hit by a truck.

by a truck. And I'm hoping that I didn't

And I'm hoping that I didn't go through all of this

for nothing. go through all of this

for nothing. Hi. go through all of this

Hi. >> Hello, you two. go through all of this

>> Hello, you two. go through all of this >> How does it look?

>> How does it look? >> You look good.

>> You look good. So did you take a look

So did you take a look at the extra little hot dog

at the extra little hot dog you got on your face there?

you got on your face there? >> It looks like I have, like,

>> It looks like I have, like, a finger sticking out

a finger sticking out of my nose.

of my nose. >> But you're not freaking out

>> But you're not freaking out too much.

too much. >> No, I'm trying not to.

>> No, I'm trying not to. >> How's it look?

>> How's it look? >> It's not purple.

>> It's not purple. You know, the color is more

You know, the color is more evened out.

evened out. >> Yeah.

>> Yeah. >> That shows me that there's

>> That shows me that there's some blood supply to the nose.

some blood supply to the nose. That's exactly what

That's exactly what we want to see.

we want to see. So I'm going to take out

So I'm going to take out this little...

this little... >> Okay.

>> Okay. >> Pack here, that's it.

>> Pack here, that's it. See if you can breathe at all.

See if you can breathe at all. >> Oh, my God,

>> Oh, my God, I can totally breath.

I can totally breath. >> That's so awesome.

>> That's so awesome. >> This moment

>> This moment is so exciting to me.

is so exciting to me. I did not expect to be able

I did not expect to be able to breathe today.

to breathe today. That gives me the light

That gives me the light at the end of the tunnel.

at the end of the tunnel. >> Your skin is

>> Your skin is the limiting factor.

the limiting factor. It wasn't like we can

It wasn't like we can pop your skin out.

pop your skin out. 'Cause all the cartilage inside

'Cause all the cartilage inside your nose was gone.

your nose was gone. >> Okay.

>> Okay. >> Except for a little small

>> Except for a little small piece about, you know,

piece about, you know, that big.

that big. I think we built up everything

I think we built up everything that I could in your nose.

that I could in your nose. Today, Nicole's nose

Today, Nicole's nose is looking great,

is looking great, but we just don't know how

but we just don't know how it's gonna heal.

it's gonna heal. The flap can still die

The flap can still die or turn purple.

or turn purple. The cartilage can collapse.

The cartilage can collapse. There could be an infection.

There could be an infection. There could be bleeding.

There could be bleeding. So we have to keep a close eye

So we have to keep a close eye on Nicole's nose.

on Nicole's nose. >> Thank you, both you guys.

>> Thank you, both you guys. Seriously.

Seriously. >> Now you just gotta heal.

>> Now you just gotta heal. >> I know.

>> I know. I know we still have

I know we still have a long road, but, like,

a long road, but, like, it's such a blessing.

it's such a blessing. After this next surgery,

After this next surgery, I'm looking forward to not have

I'm looking forward to not have this huge thing on my face.

this huge thing on my face. Thank you so much.

Thank you so much. [dramatic music]

[dramatic music] ♪ ♪

♪ ♪ >> Here's the question.

>> Here's the question. That is an alive nipple.

That is an alive nipple. That one is not.

[upbeat music]

[upbeat music] ♪ ♪

♪ ♪ >> So how you feeling?

>> So how you feeling? >> Um, I feel okay.

I had this shirt on yesterday, >> Um, I feel okay.

I had this shirt on yesterday, and it fits >> Um, I feel okay.

and it fits extremely differently. >> Um, I feel okay.

extremely differently. >> Um, I feel okay. Today is the first day

Today is the first day after my surgery.

after my surgery. I feel a little tight.

I feel a little tight. But I do feel like they're

But I do feel like they're extremely smaller.

extremely smaller. It's such a new feeling.

It's such a new feeling. I don't feel as heavy.

I don't feel as heavy. >> Hi, Sharice.

>> Hi, Sharice. >> Hey, hi.

>> Hey, hi. >> Hi, how are you?

>> Hi, how are you? >> I'm good.

>> So you just had >> I'm good.

>> So you just had a huge breast reduction. >> I'm good.

a huge breast reduction. >> I'm good. Is it better or worse than you

Is it better or worse than you thought it was gonna be so far?

thought it was gonna be so far? >> Um, better.

>> Um, better. >> Better?

>> Better? Well, of course, what I'm

Well, of course, what I'm worried about now is,

worried about now is, how swollen are you, and are

how swollen are you, and are you swollen so much that you've

you swollen so much that you've cut off the blood supply

cut off the blood supply to your nipples?

to your nipples? So we want to take a look

So we want to take a look and see.

and see. So it's swollen, but it's--

So it's swollen, but it's-- look at this thing.

look at this thing. >> Very pretty.

>> Very pretty. >> Yeah.

>> Yeah. >> I'm excited about the size

>> I'm excited about the size because they make bras

because they make bras in that size--cute ones.

in that size--cute ones. >> Here's the question.

>> Here's the question. That is an alive nipple.

That is an alive nipple. That one is not.

That one is not. No, I'm kidding.

No, I'm kidding. That one's alive too.

That one's alive too. >> Don't do that.

>> Don't do that. >> I know.

>> I know. Not funny.

Not funny. I'm pleased that,

I'm pleased that, once I take the dressing off

once I take the dressing off Sharice's nipples,

Sharice's nipples, that they're bleeding.

that they're bleeding. That's an indication

That's an indication that the blood supply is there

that the blood supply is there and that I'm continued to be

and that I'm continued to be hopeful that her nipple

hopeful that her nipple and areolas will stay alive.

and areolas will stay alive. Your breasts are alive.

Your breasts are alive. They're symmetrical.

They're symmetrical. >> I was, like, looking online,

>> I was, like, looking online, like, at cute little bras

like, at cute little bras with lace.

with lace. >> Look at you.

>> Look at you. You know what's funny

You know what's funny about plastic surgery?

about plastic surgery? If you do an operation,

If you do an operation, patients realize it's a good

patients realize it's a good result, but they still don't

result, but they still don't feel comfortable with it yet

feel comfortable with it yet because their old self is still

because their old self is still coming out.

coming out. You are--you have so left

You are--you have so left your old breasts behind.

your old breasts behind. >> This is something that I've

>> This is something that I've wanted for so long.

wanted for so long. I'm excited for this summer.

I'm excited for this summer. I'm excited to wear

I'm excited to wear a bathing suit.

a bathing suit. I'm excited to go

I'm excited to go to water parks, to the beach.

to water parks, to the beach. I'm excited to buy sexy clothes.

I'm excited to buy sexy clothes. Like, I'm excited about

Like, I'm excited about all of that.

all of that. It's, like, kinda life-changing.

It's, like, kinda life-changing. Thank you.

Thank you. I really appreciate it.

I really appreciate it. >> You're so welcome.

>> You're so welcome. But you still have a lot

But you still have a lot of healing.

of healing. I mean, you know, things can

still turn on us, so we're gonna watch it very closely,

gonna watch it very closely, okay?

okay? Can I have a little hug, please?

Can I have a little hug, please? Congratulations.

Congratulations. >> Thank you.

>> Thank you. >> You're welcome.

>> You're welcome. >> I appreciate it.

>> I appreciate it. ♪ ♪

♪ ♪ [indistinct chatter]

[indistinct chatter] I've wanted this surgery

I've wanted this surgery for so long.

for so long. My breasts were huge, uneven.

My breasts were huge, uneven. They made me feel

They made me feel so self-conscious that I felt

so self-conscious that I felt the need to hide my whole life.

the need to hide my whole life. It was horrible.

It was horrible. >> I'm excited to see it.

>> I'm excited to see it. Did you see her yet?

Did you see her yet? I mean, I spoke to her, but--

I mean, I spoke to her, but-- >> Every time I'm on FaceTime,

>> Every time I'm on FaceTime, she's, like, face.

she's, like, face. >> Today, I am going

>> Today, I am going to a water park with my friends

to a water park with my friends Maxine and Bianca.

Maxine and Bianca. I can't wait to see the look

I can't wait to see the look on their faces when they see me

on their faces when they see me in a bathing suit.

in a bathing suit. >> Speaking of.

>> Speaking of. >> Oh, my God!

>> Oh, my God! >> Wow.

>> Wow. >> Look at you.

>> Look at you. >> Right?

>> Right? >> [squeals]

>> [squeals] Can I hug you?

Can I hug you? Don't run from me.

Don't run from me. >> I'm so excited.

>> I'm so excited. >> Sharice walked up

>> Sharice walked up and she looks amazing.

She looks confident. and she looks amazing.

She looks confident. She looks happy. and she looks amazing.

She looks happy. and she looks amazing. She's smiling.

She's smiling. That's the first step.

That's the first step. Like, that smile is like a glow.

Like, that smile is like a glow. >> I like your bathing suit.

>> I like your bathing suit. >> I got this one

>> I got this one in the petite section...

in the petite section... >> Oh, really?

>> Oh, really? >> In case you were wondering.

>> In case you were wondering. So on a scale from 1 to 10,

So on a scale from 1 to 10, I'm, like, a 12 with how excited

I'm, like, a 12 with how excited I am about this surgery.

I am about this surgery. I couldn't be happier

I couldn't be happier with the results that I have.

with the results that I have. >> How do you feel?

>> How do you feel? >> It doesn't feel heavy.

>> It doesn't feel heavy. Like, I feel more comfortable.

Like, I feel more comfortable. My back doesn't hurt as much.

My back doesn't hurt as much. >> 'Cause it's not carrying

>> 'Cause it's not carrying all that weight.

all that weight. >> That's the crazy thing.

>> That's the crazy thing. Like, I got on a scale and I

Like, I got on a scale and I was, like, a little bit lighter.

was, like, a little bit lighter. I'm like, "Ohh!"

I'm like, "Ohh!" >> You should be though.

>> You should be though. >> Before surgery,

>> Before surgery, my breasts were so big

my breasts were so big and so uneven.

and so uneven. They made me feel less confident

They made me feel less confident about myself.

about myself. Now, after surgery,

Now, after surgery, my boobs are smaller

my boobs are smaller and evenly sized.

and evenly sized. After all these years,

After all these years, I finally feel like I'm coming

I finally feel like I'm coming out of my shell,

out of my shell, and it feels sensational.

and it feels sensational. I'm excited that, you know,

I'm excited that, you know, the doctors came all the way

the doctors came all the way to Brooklyn to see me.

to Brooklyn to see me. I'm excited that Dr. Dubrow

I'm excited that Dr. Dubrow was able to do the surgery.

was able to do the surgery. I am 100% thankful and happy

I am 100% thankful and happy that I went through

that I went through with this process.

with this process. I feel like when you look good,

I feel like when you look good, you feel good.

you feel good. Ready to jump in.

Ready to jump in. Are you guys ready?

Are you guys ready? >> Yeah.

>> Yeah. >> Sure, let's go.

>> Sure, let's go. >> I feel like having

>> I feel like having this surgery has definitely

this surgery has definitely brought a lot of closure

brought a lot of closure to stuff that I had to deal with

to stuff that I had to deal with before, like stupid nicknames.

before, like stupid nicknames. This is the beginning of me

This is the beginning of me being excited about being me,

being excited about being me, and that's really dope.

and that's really dope. [screams]

[screams] ♪ ♪

♪ ♪ >> Nikki, you look so pretty.

>> Nikki, you look so pretty. [crying]

[crying] It's over.

It's over. It's finally over.

[soft dramatic music]

[soft dramatic music] ♪ ♪

♪ ♪ >> My surgery process was a

>> My surgery process was a long one.

long one. So many doctors that I had

So many doctors that I had talked to didn't even know what

talked to didn't even know what Wegener's granulomatosis was.

Wegener's granulomatosis was. Dr. Nassif and Dr. Dubrow came

Dr. Nassif and Dr. Dubrow came all the way to Arizona and knew

all the way to Arizona and knew exactly what I was

exactly what I was going through.

going through. I was blown away.

I was blown away. It doesn't even feel like

It doesn't even feel like reality still to think that this

reality still to think that this all started with a knock on

all started with a knock on the door.

the door. >> Can you guys believe this is

over finally? >> Can you guys believe this is

over finally? >> I can't believe it. >> Can you guys believe this is

>> I can't believe it. I'm so excited. >> Can you guys believe this is

I'm so excited. >> I mean, it's been one thing >> Can you guys believe this is

>> I mean, it's been one thing after another, >> Can you guys believe this is

after another, and now, >> Can you guys believe this is

and now, she's finally done. >> Can you guys believe this is

she's finally done. >> She deserves it. >> Can you guys believe this is

>> She deserves it. >> She deserves it. >> Can you guys believe this is

>> She deserves it. >> Can you guys believe this is >> I just feel great.

>> I just feel great. I'm excited to start life again

I'm excited to start life again with my mom and my sister and my

with my mom and my sister and my best friend.

best friend. Hey, guys.

Hey, guys. >> all: Oh, my God!

>> all: Oh, my God! >> Look at that face!

>> Look at that face! >> [squeals] I'm so excited!

>> [squeals] I'm so excited! >> Oh, my God!

>> Oh, my God! Oh, my God, let me see.

Oh, my God, let me see. [gasps]

[gasps] Oh, my God!

Oh, my God! >> I love it.

>> I love it. I ended up having six surgeries.

I ended up having six surgeries. More surgeries than we thought

More surgeries than we thought I was going to need...

I was going to need... >> She's gorgeous.

>> She's gorgeous. >> But Dr. Nassif stuck with me

>> But Dr. Nassif stuck with me through all of them and I'm so

through all of them and I'm so grateful to him for that.

grateful to him for that. Hi, Ma!

Hi, Ma! >> Nikki, you look so pretty.

>> Nikki, you look so pretty. [both crying]

[both crying] It's over.

It's over. It's finally over.

It's finally over. You look gorgeous.

You look gorgeous. I love you so much.

I love you so much. >> I love you too.

>> I love you too. [laughs]

[laughs] >> Nikki looks

>> Nikki looks absolutely gorgeous.

absolutely gorgeous. Makes me so excited

Makes me so excited and so thrilled for her.

and so thrilled for her. >> I feel so good.

>> I feel so good. >> You have a full nose.

>> You have a full nose. >> I know.

>> I know. It feels a lot better to look

It feels a lot better to look in the mirror now.

in the mirror now. Before my surgery, my nose was

Before my surgery, my nose was ravaged by a disease.

ravaged by a disease. I had no cartilage and

I had no cartilage and no airway.

no airway. Now, I have a profile, I have a

Now, I have a profile, I have a tip, and a perfectly

tip, and a perfectly functioning nose,

functioning nose, and the feeling

and the feeling is indescribable.

is indescribable. No, but really, I wanted to

No, but really, I wanted to thank you all for just being

thank you all for just being there for me every day...

there for me every day... [laughs]

[laughs] And just being so supportive.

And just being so supportive. I knew that I had a strong

I knew that I had a strong support system before, but going

support system before, but going thorough this has

thorough this has just reiterated.

just reiterated. My family is the best.

My family is the best. I couldn't have done it without

I couldn't have done it without all of you, so thank you.

all of you, so thank you. >> Aww.

>> Aww. >> And thank you...

>> And thank you... >> You've been--

>> You've been-- >> For contacting the doctors.

>> For contacting the doctors. >> I'm just so glad they

>> I'm just so glad they said "yes."

said "yes." >> [laughs]

>> [laughs] Dr. Nassif has given me the

Dr. Nassif has given me the opportunity to be able to

opportunity to be able to breathe again, and now it's

breathe again, and now it's changed my life.

changed my life. >> I'm so happy with how brave

>> I'm so happy with how brave you were to go

you were to go through everything.

through everything. How strong you are.

How strong you are. I love you so much.

I love you so much. >> I love you too.

>> I love you too. Looking back, I cannot believe

Looking back, I cannot believe that I did that.

that I did that. The flap being on my face,

The flap being on my face, it was scary, you know,

it was scary, you know, seeing people's reactions, but

seeing people's reactions, but I'm so glad I did not give up.

I'm so glad I did not give up. >> I can't believe they could

>> I can't believe they could actually fix everything.

actually fix everything. >> Yeah.

>> Yeah. They had their work cut out

They had their work cut out for them.

for them. >> Didn't they?

>> Didn't they? [all laugh]

[all laugh] >> Looking back on this journey,

>> Looking back on this journey, it feels incredible.

it feels incredible. Like...

Like... [chuckles]

[chuckles] I feel normal.

I feel normal. I just feel like me again.

I just feel like me again. Oh, man, too many tears.

Oh, man, too many tears. >> Yeah, tell me.

>> Yeah, tell me. >> [laughs]

>> I think it's the >> [laughs]

>> I think it's the right amount. >> [laughs]

right amount. You look so good. >> [laughs]

You look so good. >> Yeah. >> [laughs]

>> Yeah. >> It really is, like, looking >> [laughs]

>> It really is, like, looking at you in high school again. >> [laughs]

at you in high school again. >> [laughs] I feel like we're 16.

I feel like we're 16. >> Oh, wow, that's pushing it.

>> Oh, wow, that's pushing it. [all laugh]

[all laugh] [dramatic music]

[dramatic music] ♪ ♪

♪ ♪ >> One never developed.

>> One never developed. You don't feel like a woman.

You don't feel like a woman. >> It's not as simple as doing

>> It's not as simple as doing just a breast augmentation.

just a breast augmentation. What I find interesting is,

What I find interesting is, your voice is different.

your voice is different. >> I had no air coming through.

>> I had no air coming through. I was breathing out of my butt.

I was breathing out of my butt. Come on, let's not forget.

Come on, let's not forget. [both laugh]

>> So what was it like to grow up with this?

up with this? >> Yeah.

>> Yeah. >> It was very traumatic.

>> It was very traumatic. My whole life, I've waited for

My whole life, I've waited for this opportunity--

this opportunity-- finally looking normal.

finally looking normal. >> There's been a good amount

>> There's been a good amount of oozing.

of oozing. What we need to do is stop that

What we need to do is stop that bleeding in the lip area so we

bleeding in the lip area so we could actually see what

could actually see what we're doing.

>> We're not gonna be able to comfortably operate in

comfortably operate in that compartment.

that compartment. >> [bleep].

If you'd like to be considered >> [bleep].

If you'd like to be considered for "Botched By Nature," >> [bleep].

for "Botched By Nature," share your story at >> [bleep].