Ep 4. To Implant Or Not To Implant...That Is The Question

In this episode of Botched, titled "To Implant Or Not To Implant...That Is The Question," plastic surgeons Dr. Terry Dubrow and Dr. Paul Nassif tackle some difficult cases involving breast implants.

The first patient is a young woman named Kristi who is unhappy with her breast augmentation surgery. She explains that her implants are too large and uneven, and that she experiences physical discomfort from their weight. Dr. Dubrow suggests that they remove the implants altogether and perform a breast lift instead, as Kristi's natural breast tissue is healthy and voluminous enough to create a pleasing shape. Kristi agrees to the procedure and is pleased with the results.

The next patient is a transgender woman named Gretchen who is seeking breast implants as part of her gender confirmation process. She is nervous about the surgery and wants natural-looking results that match her body type. Dr. Nassif consults with Gretchen and suggests a moderate-sized implant that will create a balanced, proportionate appearance. The surgery is successful and Gretchen is thrilled with the results, saying that she finally feels like her true self.

The third patient is a woman named Andrea who has had several botched breast surgeries in the past. She explains that her breasts are misshapen, asymmetrical, and painful. Dr. Dubrow examines her and notes that she has an excessive amount of scar tissue and a condition called symmastia, where the breasts merge together in the center. He recommends removing the old implants, repairing the scar tissue, and replacing the implants with smaller, more natural-looking ones. The surgery is complex but ultimately successful, and Andrea is amazed at how much better she looks and feels.

The fourth patient is a former fitness competitor named Traci who has always had small breasts. She wants to enhance her figure with breast implants but is hesitant due to her active lifestyle and concerns about implant safety. Dr. Nassif suggests a type of implant called the “gummy bear” implant, which is made of a cohesive silicone gel that is less likely to leak or rupture. Traci agrees to the procedure and is thrilled with the final results, saying that her new breasts look and feel completely natural.

The final patient is a woman named Mika who underwent a breast augmentation surgery several years prior and has been experiencing complications ever since. She explains that one of her implants is leaking and that she has developed a condition called capsular contracture, where the scar tissue around the implant hardens and pushes it into an unnatural position. Dr. Dubrow recommends removing both implants, repairing the scar tissue, and then inserting new implants. Mika is nervous about going under the knife again but ultimately decides to trust Dr. Dubrow's expertise. The surgery is a success and Mika is thrilled with the new and improved appearance of her breasts.

Overall, this episode of Botched showcases the expertise, compassion, and surgical skill of the show's plastic surgeons. Through careful consultation, skillful operations, and attentive aftercare, each patient is able to overcome their issues and achieve their desired results. Whether it's correcting past botches, enhancing natural features, or helping patients feel more comfortable in their own skin, the doctors of Botched are dedicated to helping each patient look and feel their best.