© Alex Tihonov - Fotolia.com

© Alex Tihonov – Fotolia.com

The fourth episode of Botched wasn’t any less interesting than the first three. This episode included a breast augmentation, a Justin Bieber look-a-like, and a Tijuana tummy tuck. There was certainly a lot to learn from these patients’ experiences.

Charlotte Olhausen

Charlotte had her first breast augmentation procedure when she was 17 years old. After the procedure, she was a C. After she had children, her breasts became saggy, so she decided to have another breast augmentation.

She ended up with DDDs that she did not want. Her chest started to ripple and her breasts turned into “cow udders,” as she described them on the show. She was extremely disappointed with the breasts she ended up with and wanted to have smaller breast implants put in as well as get breast lift surgery.

What she found out after meeting with Dr. Terry Dubrow and Dr. Paul Nassif was surprising. One of her implants was put in upside down! That caused her skin to stretch more than it should have, especially with the large implants.

During her revision surgery, the doctors also noticed that she may not have large enough breast muscles for the implants, which could lead to rippling again. Fortunately, everything ended up well.

The doctors were able to remove enough extra skin to lift the breasts, her nipples remained alive (a concern with complex breast augmentation procedures), and she didn’t end up with post-op rippling.

Recovery was painful, but she did very well and followed the doctor’s post-op instructions to a “T”. She now loves her new breasts, thanks to the skillful and artful work of Dr. Dubrow and Dr. Nassif.

Toby Sheldon

Toby Sheldon has spent $100,000 so far on plastic surgery to look like Justin Bieber. He’s had over 20 plastic surgeries including cheek implants, a lip lift, a chin implant, liposuction, and fat injections. He turned to Dr. Dubrow and Dr. Nassif because he wanted to reduce the size of his forehead and jaw bone.

The doctors decide not to perform the surgeries. To reduce the size of his forehead, Toby would have needed a tissue expander placed in his forehead. There was a distinct possibility that the expander would have cut off blood supply to his scalp, which would then cause hair loss.

The other risk was the jaw reduction. The doctors explained that there are facial nerves in the jaw that could cause Toby’s mouth to malfunction, and that would be an irreversible consequence of the procedure.

Toby later commented in his interview that he would keep asking plastic surgeons until he found one who would agree to perform the surgeries.

Desiree White

Desiree went to a plastic surgeon in Tijuana for a tummy tuck after having children. The cost was less, and her mother said that two of her friends recommended him. When she had the procedure in Tijuana, the doctor used ice on her stomach to numb the pain and she was awake during the procedure.

When the doctor sewed her stomach, it pulled the skin of her vagina upward. Desiree described her stomach this way, “When I look at my stomach, I see deformity.”

Drs. Dubrow and Nassif had never seen a tummy tuck this bad. They decide to take the case. They performed liposuction on her lower back and on the sides. He then tightened the abdominal wall and pulled the skin back down towards her vagina in order to hide the scar below her bikini line.

Following surgery, Desiree had some constipation issues from the pain pills, but she made it through well. She had this to say about her surgery, “This has totally raised my confidence. As long as you’re confident, people gravitate to you.”

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