Caroline and Catherine are 32-year-old, mirror image twins who have grown apart, physically and emotionally, throughout the years and wanted extreme makeovers to bring them back together. Caroline, a dog groomer and mother from Carson City, Nevada, had rhinoplasty, a chin implant, lower eye lift, tummy tuck, breast implants, liposuction on the thighs and extensive dental work, including 12 upper porcelain veneers, aesthetic lip surgery, gum recontouring and two root canals. Her identical twin sister, Catherine, a hair stylist and mother from San Jose, California, had a tummy tuck, breast augmentation and dental work, including 8 upper veneers, teeth whitening, gum recontouring and orthodontics on the lower teeth. Dan, a 40-year-old radio producer and father from Seattle, Washington, wanted an extreme makeover to improve his self-esteem and catch the eye of a co-worker he's had a crush on. He had chin and jowl implants, buckle pads excision, liposuction on the cheeks, liposuction on the

After two decades on the job, Peggy, a 48-year-old crime scene investigation detective from Colorado, wants to look 20 years younger at her upcoming work anniversary party. She is transformed from looking dead tired to drop dead gorgeous. Peggy had a pre-hairline brow lift, face and neck lift, fat injections in the face, upper and lower eye lift, Lasik surgery, chin and jowl implants, as well as 20 porcelain veneers. Jennifer, a 25-year-old single mother from Newtown, Pennsylvania, wanted to have an extreme makeover to erase the years of tears and embarrassment about her nose and scarred face. All her life she has worried about her ""ugly"" looks. Well, her stunning new looks could stop traffic. Jennifer had rhinoplasty, an upper eye lift, correction of the upper right eye, fat injections in the lip and extensive dental work, including 6 upper porcelain veneers, 7 root canals, 7 crowns, cosmetic gum surgery, 12 fillings and Zoom whitening.

All of her life, Lori, a 37-year-old devoted mother from New York, has been taunted as the town ""witch"" because of her pointy nose. Her family has also suffered, as her children have had fights with other children because of their mother. As a result, Lori has worn disguises in public to hide her face, and has avoided school activities. Lori wanted an extreme makeover to transform herself from ""witchy"" into ""bewitching."" She had a rhinoplasty, lower eye lift, browlift, chin implant, fat injections to the face and breast augmentation. Peter, a 25-year-old fast-food manager from Arlington, Virginia, thinks he looks like a vampire because of his fanglike teeth. He feels his looks have attributed to his solitary life, his stalled career and his shyness. Peter wanted to have an extreme makeover to break out of his shell and bring out his inner rock star. He had a rhinoplasty, chin implant, supplemental liposuction and extensive dental work, such as porcelain veneers and Zoom whitening.

A resident of Miami, Florida, Dana has always felt out of place in South Beach's world of hard bodies and pretty faces. As an audio engineer, she wants to feel more confident around the beautiful people she works with in the recording industry. Dana had a rhinoplasty, browlift, upper and lower eyelid lift, correction of droopy eyelid (ptosis), correction of downward slanting eyelids (anti-mongoloid obliquity), chin augmentation, cheek implants, breast augmentation and abdominal liposuction. Jackie, a 48-year-old homemaker from Lebanon, Ohio, wants to stop being mistaken for her husband's mother. Jackie's husband, 39-year-old airline pilot Ron, loves the way she is, but Jackie wants to turn back beauty's clock. Jackie had a facelift, rhinoplasty, browlift, a lower eyelid lift, breast augmentation and extensive dental work, including 10 porcelain veneers, Zoom whitening, gum surgery, lower partial and bonding work.

A resident of Upton, Wyoming, Liane is a strong woman who has been a tomboy most of her life and worked the land as a rancher, surviving the hardest elements. She finally wants to be feminine and feel like a beautiful woman. Liane had rhinoplasty, fat injections in the face, lower eye lift, face and neck lift, pre-hairline brow lift, erbium laser of the mouth and nasolabial, photofacial, breast augmentation, liposuction of thighs and Zoom whitening on her teeth. Paula, a 43-year-old dedicated mother and part-time aerobics instructor from San Angelo, Texas, has worked hard to make everyone else happy. Finally she has decided to do something for herself -- go back to college after 20 years as a stay-at-home mom -- and she's earned it! Paula is made over into a self-confident and beautiful coed through rhinoplasty, upper and lower eyelid lift, breast augmentation, lipo of upper and lower abdomen, lipo of inner and outer thighs, Lasik eye surgery and Zoom whitening on her teeth.

Extreme Makeover heads to New York to do some extreme work on Kenna and Michele. Michele is a single woman who has often been mistaken for a man. She turned to Extreme Makeover to help her replace her tomboy image with that of a beautiful woman. Michele had rhinoplasty, fat removed from her cheeks, eye lift, brow lift, chin implant and her teeth whitened. Kenna, a 45-year-old single mother and tennis coach, received an Extreme Makeover after years of sun exposure had left her skin severely damaged and looking decades older than she really is. Kenna received a face lift, brow lift, eye lift, fat removed from under her chin, laser resurfacing

A resident of Hockley, Texas, John is a computer whiz and VP/co-founder of Video Game Design. He is a self-described nerd who feels that his looks have prevented him from gaining the respect of his peers, and he wants an extreme makeover in order to look like a grown up professional. John had nose reshaping, Otoplasty (left ear pinned back), chin implant, Lasik eye surgery, fat injections to the face, Buccal fat pads excised, face and neck liposuction, zoom teeth whitening and bonding. Candace, a 29-year-old family support worker and mother of two from Lincoln, Nebraska, has been teased all her life about her looks. She's been called everything from Big Bird to the muppet character Beeker, and wants to be transformed to re-enter the job market. Candace had an upper eyelid lift, browlift, nose reshaping, bone contouring above the eyes, cheek implants, lower eyelid tightening, breast augmentation, liposuction on thighs and stomach and extensive dental work, including baby tooth extracted

Liz, a 51-year-old resident of Houston, Texas, hobnobs with her city's high society scene. However, she feels that her chinless face has held her back. Because of this, Liz had reconstructive surgery done to her face, including a face and neck lift, cheek implants, upper and lower eyelid lift, and chin augmentation, as well as liposuction of her abdomen and thighs, upper lip augmentation, photo facial, V-Beam laser treatment for rosacia, porcelain veneers, upper dentures, zoom whitening and Lasik eye surgery. Sarah is Extreme Makeover's first ever breast reconstructive case. Sarah is a breast cancer survivor who seeks a new breast two years after her mastectomy. Her journey is marked by daring medical procedures: Sarah's choice of not using an expander or a skin graft, but rather to receive the implant into the thin pocket of radiated skin on her left chest, is an unusual procedure that is rarely shown on television. In fact most plastic surgeons do not offer that option. Also unconven

DeShante, a 22-year-old church choir singer from Pittsburg, California, feels that her life has been marred by her cleft palate and lip. Called ""harelip"" by kids when she was young, DeShante underwent four operations until her parents' money ran out. Consequently, the congenital deformity has never been corrected -- until now, though the combined efforts of Dr. Yuan and Dr. Dorfman. DeShante had her septum straightened, cartilage graft from ear to her right nostril, nose reshaping and leveling, reconstruction of cleft lip and mouth muscles, tummy tuck, liposuction, inner thigh lift, chemical peel, a porcelain veneer, augmented missing gums and permanent upper bridge. A resident of Las Vegas, Nevada, Pam has been in a happy and stable relationship with Ron for four years. However, she's getting antsy and wants Ron to decide whether he wants to commit or not. Pam wants a makeover so she can stun Ron with her new looks, but ends up being the one who is stunned when Ron surprises her with

Jeff, a 43-year-old factory worker from Kingsport, Tennessee, and Autumn, a 30-year-old fifth grade teacher from Santa Clarita, California, from their ""before"" phases, then as they undergo their various procedures and, finally, when the end results are revealed to their families and friends. In addition, resident style guru Sam Saboura transforms Arik, a 21-year-old UCLA student from Los Angeles, California, with a ""Mini-Extreme Makeover."" Autumn, a 30-year-old fifth grade teacher from Santa Clarita, California, suffers painful memories of childhood, when she was always considered less attractive than her three sisters. Autumn speaks candidly about how her mother's criticism of her looks affected her self-esteem. She undergoes intense facial and body surgery and endures an emotional journey to accept her new beauty. She also works with trainer Michael Thurmond, who sculpts and transforms her body with his intense workout regimen. Both her plastic surgeon, Dr. Perlman, and Michael Thurm

Jeff lost 200 pounds on his own in only one year with a rigid diet and exercise regimen. Jeff had facial surgery and underwent a series of rigorous medical tests in order to be considered for an extended body tuck, a medical procedure that would remove the large amounts of excess skin remaining on his frame. Jeff suffers complications during tests which puts his extreme makeover in jeopardy, and makes him question his decision to go through with the process. The long distance and time away from home and from his wife take their toll on Jeff, driving him to the very edge of self-doubt. Because of a prescribed high protein diet to fight anemia, he suffers another setback when he gains 15 pounds. But the procedure is his once-in-a-lifetime chance to live the normal life he's always desired, a dream he desperately wants to see come true. Jeff had a brow lift with bone contouring, upper eyelid lift, face and neck lift, rhinoplasty, extended tummy tuck, thigh plasty (removal of extra skin on

Angela from Milwaukee, Wisconsin, is a clinic clerk who wants her lips and nose reduced, but fears that her African-American identity may be altered. She becomes the patient of Dr. Anthony Griffin, one of the foremost authorities on plastic surgery for African Americans and ethnic skin types. A crusader in promoting the new safe ethnic surgical techniques to other plastic surgeons and teaching that plastic surgery does not erase ethnic identity, Dr. Griffin eases Angela into her makeover. She had a chin augmentation with implant, rhinoplasty, lower eyelid lift, upper and lower lip reduction, tummy tuck, breast augmentation, lipo of hips and waist, laser hair removal, skin Medical peel, at home program for acne and hyperpigmentation, 6 upper da Vinci porcelain veneers and Zoom whitening. A resident of Baton Rouge, Louisiana, Cynthia is a mother of three who was born with Congenital Nerve Deafness, a condition that forced her to live with severe hearing loss. She has compensated for it b

Arthur had to endure the loss of his wife, his job and his savings all in a short period of time. A self employed business development consultant and avid sailor, he has suffered a heavy toll from this emotional roller coaster. But with the tremendous support from his four sons, Arthur decided that it was time to pick himself back up. He hopes that an extreme makeover will be the bridge that will help him get his life back on track and find a new mate. Arthur received a browift, facelift, a neck lift with contouring of the jaw line & chin, a nose job, upper and lower eyelid lift, a cheek lift, liposuction of chest and flanks, a tummy tuck, a Foto facial, removal of moles on face, Botox for crows' feet, Zoom whitening, 8 upper da Vinci porcelain veneers, a night guard, cataract surgery, a hair transplant and hair restoration. Kim never went to the dentist to get her teeth corrected, and hopes that, for the first time in her life, she will not be afraid to kiss and smile. She felt her ap

After meeting and falling in love at a weight loss support group, Michael and Susan decided to apply for an ""Extreme Makeover"" together after each losing 100 pounds on their own. Much to Susan's surprise, Michael proposed marriage after they were chosen, preparing to undergo their procedures. The second surprise came when the couple was granted an all expense paid fairy tale wedding and honeymoon at Walt Disney World's Grand Floridian resort. The third surprise and twist — they would be separated for 8 weeks while they underwent their plastic surgeries and would see each other transformed for the first time on their wedding day. It is the ultimate unveiling! Michael had a rhinoplasty, septoplasty (deviated septum surgery), chin implant, buccal fat pad excision with fat injection to the cheek bones, liposuction of chest, hip rolls and abdomen, gynecomastia (male breast reduction), laser hair removal, lasik eye surgery, 6 upper da Vinci porcelain veneers, invisalign on lower teeth, and Z

Regina was the first patient on Extreme Makeover to receive the first ever Brazilian butt lift, the rage for those who want to sculpt their figure like pop stars Beyoncé and Jennifer Lopez. Since pre-school, Regina was ridiculed for her nose, buttocks and breasts. She was always self-conscious about her looks and today, as a home day care provider for pre-school aged children, she is reminded of those hard years on a daily basis. Since her divorce she has lacked the confidence to try to find a new partner, and she hopes that an extreme makeover will give her the confidence to date again. Regina received an endo brow lift, upper and lower eyelid lift, rhinoplasty (secondary), liposuction of abdomen, hips and under chin, tummy tuck, Brazilian butt lift, LASIK eye surgery, all fillings replaced to white, 8 immediate load implants, a full upper arch of permanent teeth and Zoom whitening. Despite her confidence and spark for life, DeVon, nicknamed ""Nellie,"" harbors deep insecurities and is

In part one of this special two-part episode, LaPaula, Belen and Anthony were three overweight candidates who were offered the plastic surgeries of their dreams - but only if they lost the weight first. They were thrown together for the challenge of a lifetime, faced with the task of losing twenty five to fifty pounds each in a few weeks by dint of exercise and diet alone. Under the charge of master body sculptor and rapid weight-loss expert Michael Thurmond, the threesome underwent a vigorous workout regimen with Thurmond's ""Six Week Body Makeover"" program, which has reshaped the bodies of hundreds of people, including numerous Hollywood celebrities.

In this week's dramatic conclusion, psychologist, author and host of the record-breaking talk show of his name, Dr. Phil, checks in on the group to offer his weight-loss expertise and encouragement. With much sweat, pain and tears, they struggle to kick their addictive eating habits to lose a combined 142 pounds in only 8 weeks! At the end of their journeys, the threesome face their greatest fears and overcome incredible odds to have their plastic surgery wishes granted. LaPaula received a browlift, quad blepharoplasty (upper and lower eyelid lift), chin-jowel implant, buccal fat pad excision (fat pads removed from cheeks), liposuction of hip rolls, inner thighs and under chin, reverse frenectomy (gum and lip reposition to decrease gummy smile), breast augmentation with perilift, tummy tuck, LASIK eye surgery, orthodontic retainer, 8 da Vinci porcelain veneers and Zoom whitening. Belen received a Endo brow lift, quad blepharoplasty (upper and lower eyelid lift), cheek lift, rhinoplasty

Patrick is the self-proclaimed court jester who somehow got the princess. Though looks have eluded him, Patrick has the ability to attract people with his humor, energy and self-confidence. With an extreme makeover, Patrick would like to be transformed from ""a frog to a prince"" for his beautiful wife, Missie. Patrick also receives a hair transplant - the first ever on ""Extreme Makeover!"" Patrick's procedures included a lateral and central brow lift, cheek lift with contropexy (corner of the eye tightening), eye shape restructuring, rhinoplasty with bone and septum repair, turbenechtomy for breathing, buccal fat excision, large chin implant, submental liposuction with face and neck lift, absculpting, liposuction of flanks and chest, hair transplant and restoration, LASIK eye surgery, Zoom whitening, cosmetic gum surgery and eight da Vinci porcelain veneers. Amanda is a young librarian who believes you shouldn't judge a book by its cover. She has always been called ""Bubbs"" her whole life

Jerry is a former class clown who laughed on the outside but cried on the inside. As the middle child of a family that includes a handsome older brother and a younger sister who's a former model, Jerry has always been self-conscious about his appearance. Recently wedded to a much younger bride, he is happy and secure in his marriage but is tired of men hitting on his wife right in front of him. His procedures included a rhinoplasty, chin jowl implant, buccal fat pad excision, lower eyelid lift, fat injections to the face, liposuction on submental (under chin), chest, abdomen, and hip rolls, LASIK eye surgery, lip repositioning, gum surgery, 15 da Vinci porcelain veneers, a hair transplant and hair restoration. Manu is a high ranking career soldier who wants to feel and look more feminine. A family woman who's served her country with honor, Manu is proud of all her accomplishments but is ready to put on a pair of heels and be admired as a sophisticated woman. An extreme makeover transfo

James and Kacie are two strangers brought together by their shared fortune of being selected for ""Extreme Makeover."" They become the first two candidates on the show to meet and fall in love with each other! Both share a similar history of painful memories and disparagement for their appearances. At a young age, James first became concerned with his looks and tried to maintain a positive attitude, despite a malicious beating by his peers that left him both physically and psychologically scarred. As a result, he was constantly rejected by women and never had a serious girlfriend. For the first time, ""Extreme Makeover"" psychologist Catherine Selden appears on the show to shepherd James through the pain of his past. In an effort to get his life on the right track, James wanted an extreme makeover to gain the confidence to return to school and find a career path. Plagued by low self esteem, Kacie was married at the age of 17 in a misguided effort to find stability and love. It wasn't long

Self-conscious of his appearance, Mike prefers to remain in the corner during social gatherings. An auto repair technician, he feels more comfortable fixing cars than fixing his love life. He finished no. 1 in his class at Universal Technical Institute and was accepted to the BMW Service Technician Education Program, an elite program that takes only eight new students nationwide each year. As a car mechanic whose dating life is a wreck, Mike gets a head-to-toe overhaul at the ""Extreme Makeover"" body shop. In addition he gets expert dating advice from ""The Bachelor"" host Chris Harrison! Kristina has come a long way from the struggles she faced when she was forced to drop out of school after getting pregnant. She has since found the perfect husband, received her high school diploma with honors and runs her own successful business. But at the age of only 25, Kristina looks old beyond her years, and she longs to take years off of her appearance. Kristina wanted an extreme makeover so she c

ABC has saved the best for last when Dr. Phil's weight loss challenger, Monika, gets the plastic surgery of her dreams and Marylinda, a former California beauty, undergoes the most 'Extreme' makeover in the show's history. For years, Monika struggled with her weight and eating problems. She got a wake up call from psychologist, author and host of the record breaking talk show of his name, Dr. Phil, who enlisted her to join his Ultimate Weight Loss Challenge. With his tough talk and weight loss plan, Monika dropped 49 pounds from her original 197 pound weight. Dr. Phil worked on Monika's inside and ""Extreme Makeover"" worked on her outside. The result -- a beautiful woman inside and out. Monika'a procedures included facelift with cheekpad resuspension, necklift, browlift, bilateral upper and lower blepharoplasty (eyelid lift), chin jowel implant, autuolgous fat injections to the face, liposuction medial and lateral thighs and knees, full uplift and breast augmentation, tummy tuck, human

Three sisters, three extreme makeovers, three grand reveals so astonishing, they couldn't wait until next season! Frances, Jennie and Kathryn call themselves the ""gobble"" girls. Though not triplets, all three look alike with the same, low-hanging ""turkey"" neck with excess skin and same protruding nose. They're sisters as rough and tough as any man in life and in looks. The oldest sister, Jennie is a gold miner and 45-year-old divorced mother of three and grandmother from Tucson, Arizona. Katie is the middle sister and 43-year-old divorced mother of three daughters who works as a wallpaper hanger from Phoenix, Arizona. Frannie, the youngest, is a 40-year-old metal worker and divorced mother with one daughter from Chandler, Arizona. Nothing they can't fix, except themselves.

Have you ever wondered if the Extreme Makeover candidates have maintained their new looks? In this special we'll follow up with some of your favorite people to see what they look like now and get reactions from their family and friends. We'll also reunite them for the first time with the Extreme Team of doctors and experts who worked so hard to give them their new fantastic looks.

A look at the secrets behind Extreme Makeover. How does it feel, how much does it cost, and who's had it done?