The boss of Northern Kentucky wants to downsize her million dollar breasts; Dr. Nassif helps a woman with a hot hubby fix her nose.

A countdown of the top 12 most obsessed patients; Dr. Nassif and Dr. Dubrow look back at patients obsessed with everything being bigger.

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After a disastrous top surgery, a patient hopes the doctors can finally help him get the masculine chest he's always wanted; a mother and a daughter from across the pond want the doctors to inflate their bums.

A doctor who was duped into getting silicone injections in her face suffers staggering complications; a woman who almost died from her tummy tuck seeks to erase the scars from her past; a former patient surprises the doctors with her transformation.

A woman from Liberia has a tragic accident as a baby that destroys her lips; a divorced woman with ciabatta-shaped breasts is afraid to date; a pole dancer who identifies as a doll wants the doctor's help with her butt implant.

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Danielle Milian visits the doctors to fix her scarred stomach and popped implant; a police officer wants her pig nose gone so she can look like her twin again; a Brit with heart-shaped areolas wants to look like a caricature.

A British bum ambassador is packing on the pounds to get a Kim K-inspired butt; Dr. Dubrow helps a mother of nine battle one of the worst cases of capsular contracture he's seen; Dr. Nassif helps a Lebanese pop star fix his nose.

Dr. Nassif kicks the butt off a patient's nose; Dr. Dubrow helps a single mother whose breast implant fell out while brushing her teeth.

A woman tired of hiding her recurring keloid needs Dr. Nassif to rid her ear of the enormous growth. A superfan wants to emulate a famous celebrity's trademark figure but can't seem to get his booty big enough. A victim of domestic abuse.

A woman from Hawaii with gnarly stomach scars needs Dr. Dubrow's help to finally love her reflection in the mirror; a social media star wants larger breasts to match her even larger booty; a hairdresser obsesses over her caricature-looking nose.

A woman born with multiple rare diseases is left with an incomplete surgically constructed ear that she can't hear out of; a single mother's tummy tuck goes wrong; a patient wants doctors to make her large breasts look more fake.

A young social media influencer seeks B12 injections at a med spa and is left with hundreds of scars all over her body; a woman born with a cleft lip and palette ends up with an indented nose; Baby Ken is ready to say goodbye to his bicep implants.

Dr. Nassif is challenged by a woman from Mexico with a massive tumor on the side of her face; Dr. Dubrow helps a man with a snakelike keloid scar on his chest; the doctors agree to a friendly game of pickleball with some not-so-friendly consequences.

Dr. Dubrow helps a woman who's trying to fix her breasts. Dr. Nassif has a patient with a hole in her nose. A plus-sized model vying for the world's biggest bum wants larger breast implants.

A reality TV star seeks a breast reduction after her boobs got huge. A woman hopes to enlarge her cross-eyed breasts. Dr. Nassif helps a salon owner with a maimed chin be her business' face.

Dr. Dubrow helps a patient who is flippin' out over her flippin' butt implants; Dr. Nassif tries to save a patient with a wrecked pelican neck; a wannabe trophy wife seeks a bigger booty to find the man of her dreams.

A mom who claims Santa broke her nose seeks Dr. Nassif's help; a woman with cobwebbed areolas is haunted by the ghosts of surgeries past; after almost dying from plastic surgery a Brazilian bombshell has one last Christmas wish to get her nose fixed.

A woman is left with a front butt on her stomach after a mommy-makeover. A familiar face from Botched By Nature returns with a collapsed nose. An influencer who believes her body is a surgically sculpted work of art hates the scars on her breasts.

A 21-year-old risks losing her left eye due to 42 botched surgery attempts to repair her face following a car accident; a woman who got a breast augmentation after massive weight loss is left with mismatched breasts and an areola in her armpit.

A woman wants to continue her plastic surgery journey to look like a Calabasas MILF despite having a serious heart condition; a college student hopes to fix her bulbous nose; a woman seeks help with her hollow booty and shark bite-looking hips.

A content creator wants the doctors to double her breast size; a young nurse hopes Dr. Dubrow can improve her zippered arm scars after a skin removal surgery goes wrong; a Beverly Hills makeup artist wants Dr. Nassif to fix his caved-in nasal tip.

A man has a nose that grows an inch a year; an intensive care unit nurse needs her doughnut boob fixed so she can return to saving lives; twin sisters want small matching twin noses, even if it means they both won't be able to breathe.

Dr. Dubrow takes on the biggest breast case of his career, Dr. Nassif tackles a soldiers botched nose and the doctors meet a man whose life goal is to look like a super hero.