PASADENA Doctors Paul Nassif and Terry Dubrow take on the challenge of failed plastic surgeries in the new E! series "Botched."
They will try to reverse the medical procedures that have left the patients disfigured or in pain. Patients range from a woman with massive breast implants to a man obsessed with looking like Justin Bieber.
The doctors talk about the new series.
Question: What gratification do you get out of somebody who has had really bad work and seeing them so elated after it's been fixed?
Dubrow: For me, having done reality shows about plastic surgery that were making transformations from ugly to swans, it was amazing to be able to take someone who really looks horrible and whose life has been seemingly irreversibly changed by this problem.
In the last two weeks since the show has wrapped, I have received so many texts from these patients just independently saying, 'I can't thank you enough. You've changed my life, and it's been amazing for me.' So for me, it's been an amazing experience. I hope it resonates with the audience, because there's a lot of bad plastic surgery out there that I think we can really change."
Who can't be helped?
Dubrow: They are plastic surgery junkies. They've had too much plastic surgery. They have unrealistic expectations or they're not fixable.
How can you tell ahead of time who might not be fixable?
Nassif: I have every patient that I operate on see a psychologist and get a clearance before I even touch them. So a lot of these patients, we sent them first to have them screened to see if they have any body dysmorphic disorder, OCD, problems with body image, from the insecurities on everything else and are they plastic surgery junkies or do they actually just like it and they're doing it for the right reasons.
How do you say "no" to someone who has had work done that can't be fixed?
Nassif: Since I do a lot of these revision rhinoplasties, about 15% to 20% of the patients in general I have to say no to. And that is where when you're communicating with the patient, you have to be very direct. You can't beat around the bush. Everyone has a different style and I'm personally very direct. I'm going to say the reason why I don't feel that it's in your best interest to operate on you is because of A, B and C.
Whether it is because they have body dysmorphic disorder, whether it is that the nose looks great, and going from a nine to a 10 doesn't make sense. You have to be honest and you have to explain the actual reason why the answer is no.
"Botched," 9 p.m. June 24, E!