Botched Season 4, Episode 19: Silicone Slip-Ups

The Boob Fountain of Youth

A drag queen seeks Dr. Dubrow's expertise to rejuvenate his old breast implants, Dr. Nassif tackles a severe nose deformity, and the doctors meet a woman who wants to blow up her butt!

Comic Proportions

A cosplayer wants to make her body more comical. Dr. Dubrow helps a woman with a heart on her butt, while Dr. Nassif operates on a woman who had her nose ruined over 30 years ago.

60 min

All Twerk and No Play

Dr. Dubrow helps a woman with boobs gone bad get her sexy back and a bodybuilder get back in the gym. The doctors offer advice to a patient on her cheeky trans-formation.

60 min

To Implant or Not to Implant...

Rodrigo Alves, returns after undergoing three nasal surgeries in less than a year, Terry helps a chef with pain from her breast implants, and a dominatrix undergoes an unusual procedure.

Twin Terrors

The doctors meet twins with not so identical problems. Dr. Dubrow tries to help the world’s first paraplegic fitness model reach her dream, Dr. Nassif does a rhinoplasty to fix a deformity.

4000cc's and Counting

Dr. Nassif helps a man with three eyebrows while Dr. Dubrow operates on a mother who refers to her botched breasts as "saggy baggies" and a woman wants to downsize her massive money makers.

60 min

Lumpy Lady Lumps

Dr. Dubrow helps a fitness fanatic fix her lady lumps while Dr. Nassif helps a house flipper with her witchy nose, and a house husband with a plus sized pout hopes to supersize it.

Sticky Nipples and Paparazzi

A mother of two has no choice but to duct tape up her boobs, a young nurse had her nose ravaged by nasal file, and a D-list celebrity wants to get an A-List nose.

Meet the Future Mrs. Paul Nassif

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

Make Titties Great Again

Dr. Dubrow helps a former recluse break out with new breasts, Dr. Nassif fixes a telenovela nose job gone wrong. The doctors meet an Ivanka Trump superfan who has undergone 13 procedures.

60 min

It's Called Bimbofication

Terry and Paul get schooled on bimbofication, while a high-risk patient seeks a seventh breast augmentation and a twin undergoes nose surgery to look like his brother again.

Boob Trains and Big Butts

Paul and Terry help former music video vixen Tawny Kitaen get off the boob train, treat a heart-shaped nose that gives love a bad name, and meet a Brazilian doll that wants a bigger butt.

The Real Boobs of New Jersey

Dr. Dubrow helps a New Jersey Housewife's agitated breasts. Dr. Nassif tackles a car-wrecked twin's twisted nose. A plastic surgery fan with a famous butt needs his nose fixed.

I Like Big Butts and...

The doctors take on a patient who nearly died after a mommy makeover gone wrong, a man plagued by his flat nose needs it fixed so he can propose, and a Supa Woman shows off her ass-ets.

Double Bubble and Butt Trouble

A star impersonator with a dented chin visits the doctors. A young woman reveals her bad boob job to her mom. A patient with a dented butt seeks the doctors’ help after beating cancer.

Mother Knows Breast

Dr. Nassif rescues a cat lady, setting her nose and her priorities straight. Dr. Dubrow helps a young woman who had a double mastectomy, and two popstars trying to make it to center stage.

Gimme Gimme More...Surgery

Rajee and her nodules return to see the doctors, a young woman with mismatched breasts needs a tweak, and a pop star impersonator needs his nose fixed before his world tour.

Junk in the Trunk

After a dog tore off half her lip, a 25-year-old seeks the doctors' help. A woman who pumps up her own 4600cc breasts gets some advice. Dr. Dubrow tackles a butt supersized by spina bifida.

The Boobinati

XL-areolas force a large-breasted sugar baby to consult the doctors. A clumsy wife wants her nose fixed to feel deserving of her husband. A pageant winner wants his arm implants corrected.

Beach Ball Boobs

A man wanting to be an elf would sacrifice his vision to be EXTRA-terrestrial. An accident prone woman hopes her 15th nose job is the charm. A former body-builder needs help with implants.

Perfect Chest Quest

Martina Big's tan injections have led her to see the doctors again. A transgender man hopes Dr. Dubrow can fix his dented chest. Dr. Nassif is a woman's last hope to cure her panic attacks.