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A man who wants to be an elf is willing to sacrifice his vision to look extraterrestrial; an accident-prone woman hopes her 15th nose job is the charm; a former body-builder needs help with some seriously shifty implants.

Botched

Beach Ball Boobs

XL-areolas force a sugar baby with 1600cc breasts to consult with the doctors; a clumsy wife with a tricky nose wants to feel deserving of her husband; a former male beauty pageant winner wants his out-of-place arm implants revised or removed.

The Boobinati

Ravaged by a flesh-eating disease, a young woman needs the doctors' help to save what is left of her breasts; a Southern woman wants to lose her witchy nose; a world-famous drag queen seeks help for some silicone slip-ups.

Silicone Slip-Ups

A woman hopes the doctors can replace her lip; Dr. Dubrow performs surgery on a butt effected by spina bifida.

Junk in the Trunk

Rajee returns to see the doctors; a pop star impersonator needs his nose fixed before his world tour.

Gimme Gimme More... Surgery

Dr. Nassif comes to the rescue of a cat lady, setting both her nose and her priorities straight; Dr. Dubrow assists a young woman who had a double mastectomy to beat cancer; two pop stars try to make their way to center stage.

Mother Knows Breast

A pop-star impersonator visits the doctors after silicone injections leave her with a dented chin; a young woman finally reveals her bad boob job to her mother after years of suffering; a patient with a dented derriere seeks help.

Double Bubble and No Butt Trouble

The doctors take on a patient who nearly died after a mommy makeover goes wrong; a man plagued by his flat nose needs it fixed so he can propose; a "Supa Woman" shows off her assets.

I Like Big Butts and I Did Not Die!

Dr. Dubrow helps a New Jersey housewife's agitated breasts, while Dr. Nassif tackles a car-wrecked twin's twisted nose; a plastic-surgery fanatic wants his nose fixed so he can achieve his own plastic perfection.

The Real Boobs of New Jersey

Helping former music video vixen Tawny Kitaen get off the boob train; treating a heart-shaped nose that gives love a bad name; meeting a Brazilian doll that wants a bigger butt.

Boob Trains And Big Butts

Paul and Terry get schooled on bimbofication; a woman is wanting her seventh breast enhancement.

It's Called Bimbofication

A love-crazy Canadian uses her breasts to get to Paul; the doctors help a former model fix her nose before her wedding and call for back-up on a revision tummy tuck.

Meet the Future Mrs. Paul Nassif

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Cosmetic surgeries don't always turn out as planned, and a team of experienced plastic surgeons attempt to reverse the effects of unsuccessful operations.

S4 E18 | Junk in the Trunk