Ep 4. Four Leeches and a Funeral

In the fourth episode of Season 2 of Botched, titled Four Leeches and a Funeral, Dr. Terry Dubrow and Dr. Paul Nassif once again come to the rescue of patients who have experienced plastic surgery gone wrong. This episode features a diverse range of cases, all of which require innovative and skilled techniques to correct.

One of the patients featured in this episode is Christina, a young woman whose botched Brazilian Butt Lift (BBL) has left her with an asymmetrical and sagging posterior. Christina admits that she traveled to the Dominican Republic for the surgery, which was performed by an unlicensed, untrained practitioner. Despite being warned about the risks of the procedure, Christina went through with it anyway, and now she is living with the consequences.

Christina's case is incredibly challenging, due to the fact that her surgery was performed in a substandard environment, using substandard techniques. To correct the damage that has been done, Dr. Terry Dubrow must use a complex combination of liposuction, tissue grafting, and tissue rearrangement to create a more symmetrical and aesthetically pleasing result. This surgery is not without risks, but Christina is determined to fix her botched BBL, and Dr. Dubrow is just the plastic surgeon to make it happen.

Another patient featured in this episode is Dave, a man who was initially pleased with his facial implants, but soon discovered that they were causing him significant pain and discomfort. Dave's implants were made of porous polyethylene, which is known to degrade over time. This degradation caused Dave's implants to shift and migrate, leading to a misshapen and distorted appearance.

To correct this issue, Dr. Paul Nassif has to remove the old implants and replace them with solid silicone implants. However, this is easier said than done, as the old implants have caused extensive scar tissue to form. To work around this, Dr. Nassif must use a specialized technique to remove the scar tissue and create space for the new implants. This surgery requires skill, precision, and a keen eye for detail, all qualities that Dr. Nassif possesses in spades.

In addition to these two patients, the episode also features a woman named Doris, who has been living with crooked implants in her breasts for over 20 years. Doris's original plastic surgeon had made the mistake of using two different types of implants, which led to a noticeable asymmetry. To correct this, Dr. Dubrow and Dr. Nassif must remove the old implants and replace them with a new set that is both symmetrical and proportional to Doris's body.

Finally, the episode includes a segment on the use of leeches in plastic surgery. Leeches are often used to promote healing and reduce the risk of complications after certain types of surgeries, such as limb reattachment or flap surgery. Dr. Dubrow and Dr. Nassif explain the science behind leech therapy, while also showing some of the unexpected complications that can arise when using these bloodsucking creatures.

Overall, Four Leeches and a Funeral is a fascinating look at the wide variety of challenges that plastic surgeons face on a daily basis. From correcting botched surgeries to dealing with unexpected complications, Dr. Terry Dubrow and Dr. Paul Nassif are always up for the task. Whether you're a fan of plastic surgery or just love a good human interest story, this episode is not to be missed.