See the Most Incredible Before and After Botched Transformations

By Alyssa Ray 19 May, 2020 4:00 PMTags

The Botched doctors are no strangers to complicated cases.

Over the course of several seasons, doctors Terry Dubrow and Paul Nassif have tackled everything from a three boobed patient to a "Rudolph nose." Not to mention, they've consulted on countless complicated, high-profile cases.

Just ask Real World alum Flora Alekseyeun! During her visit with the famed plastic surgeons, the reality TV veteran revealed she had a "uniboob" due to a terrible case of Symmastia. Thankfully, Dr. Dubrow was able to fix this botched boob job.

"Before my surgery, I had a uniboob situation that was not sexy at all," Flora gushed post-surgery. "But now, thanks to Dr. Dubrow, I have two separate breasts."

This wasn't the only difficult case featured on Botched! Remember when Dr. Nassif helped solve the mystery around patient Gisela's Pinocchio nose? We definitely do.

"Thanks to Dr. Nassif, I finally have answers," Gisela shared at the time. "My nose made me unique because of it being such a rare case. And the fact that it looks amazing, is just an added bonus."

For a closer look at these amazing transformations and others, be sure to scroll through the images below!

Botched's Dr. Paul Nassif & Pregnant Wife Brittany Reveal the Sex of Their Baby!

Now, the moment you've been waiting for, the most shocking transformations of Botched:

Nose Leeches

Louise traveled across the pond to meet with Dr. Nassif. According to the new patient, a bike accident and several surgeries resulted in her septum fully deviating to the left. Since Louise's surgery with Dr. Nassif was her fourth surgery, her blood supply wasn't great.

Thus, Dr. Nassif called for leeches to be used on Louise's nose to help her heal. Thankfully, Louise was happy with the results.

Melting Mounds

New patient Annie turned to Dr. Terry Dubrow after three breast surgeries left her with melting mounds. After being diagnosed with diabetes, the California resident decided to undergo the gastric bypass procedure. While the weight loss procedure helped Annie drop 100 pounds in six months, it caused her boobs to essentially vanish.

In order to fix this problem, Annie received a lift and an augmentation, but was left with two different sized implants and excess skin. A second surgery to right this botched boob job left Annie worse off than she was before. A third surgery, by a different surgeon, was also ineffective.

Although Annie's case was high-risk, Dr. Dubrow agreed to the surgery and used surgical techniques he invented to give the patient breasts she could be proud of.

Eighth and Final Nose Job

Transgender patient Maria needed Dr. Nassif help after several botched nose jobs and necrosis left her with a melted-candle looking nose.

"It doesn't aesthetically look normal, it doesn't look pretty," she lamented in a confessional. "I know that people are sort of looking at me saying, 'God, that girl went too far.'"

In order to give Maria the nose of her dreams, Dr. Nassif utilized at least six different grafts and a glue canoe.

"I am done with having anything done to my nose for sure," Maria said in a voice over. "I'm f--king beautiful."

One Last Boob Job

After four disastrous boob jobs, one of which had her nipple rotting away, new patient Sarah turned to Dr. Dubrow in the hope he could give her two symmetrical breasts and reduce her scarring. After examining Sarah's case, Dr. Dubrow suggested an implant removal and a breast lift. Trusting only the Botched surgeon, Sarah agreed to the surgery and had her breast implants removed.

"I couldn't ask for anything more," Sarah said in a confessional post-surgery.

Non-Surgical No-No

New patient Melissa was determined to fix the shape of her nose to her liking and thought a non-surgical procedure would be the easiest way to do so. However, as she explained to Drs. Terry Dubrow and Paul Nassif, what was supposed to be a quick fix—a simple filler injection—ended up blocking the blood flow in her nose, resulting in necrosis. 

Dr. Nassif was ultimately able to give Melissa's nose more shape and contour, but since it was a complicated operation, the results would take some time to fully show.

Thankfully, the Botched crew checked back in with Melissa weeks later, and she was happy to report that week by week, her nose is "getting smoother."

Bargain Boob Job

As Parisa detailed to the Botched doctors, a cheap boob job abroad resulted in a terrible infection and she found herself in the emergency room.

"I went to the emergency room and I was crying," the new patient lamented. "The doctor came in and he said, 'You need to take this out now. If the infection goes into your bloodstream, you're dead.'"

Parisa listened to the doctor and had the implant removed. However, later on, the former dancer found herself wanting "two even breasts."

Thankfully, Dr. Dubrow was able to give her just that through surgery.

Saving Face

Doctors Paul Nassif and Terry Dubrow met with new patient Hope, who had multiple surgeries to repair her face after a terrible motorcycle accident. Per the new patient, after her crash, she had seven reconstructive surgeries and required a feeding tube for a year.

Although Hope knew her face would "never be the same," she hoped the Botched doctors could even things out in order to help her social life. And Dr. Nassif did just that!

After assembling a skilled surgical team, Nassif oversaw as Hope had the following done: the removal of a metal plate, a fat graft implanted, scar revision and a procedure to clear her airway. Weeks later, she had filler injected in order to make things more symmetrical.

Boobies Without Borders

After six failed breast reductions, new patient Meredith was left worse off than when she started her plastic surgery journey. As Meredith recounted to the Botched doctors, her previous surgeon convinced her to get implants with her reduction and was left looking like she had four breasts.

Multiple attempts to fix this botched boob job left Meredith with more scarring and deeper insecurities. Thankfully, Dr. Dubrow had a game plan to fix Meredith's chest.

Although the surgery wasn't an easy one, Dr. Dubrow gave Meredith the smaller and more symmetrical breasts she always wanted.

Ear for You

After suffering from microtia at birth and having corrective surgery, Andre faced the formation of a massive keloid. While the young man dealt with the keloid for some time, he turned to the Botched doctors for help when the growth overtook his ear. Although Dr. Nassif wasn't certain he could give Andre perfection, he willingly tackled the non-stop growing keloid.

By the end of the episode, Andre was keloid free and ready to start his new life with his new ear.

Breasts Obsessed

Brazilian-born Sheyla loved having bigger boobs.

However, after 32 surgeries, Sheyla still wasn't happy with the situation on her chest. Namely, since her last procedure, the new patient struggled with chronic back pain. Thus, Sheyla needed Dr. Dubrow to make her breasts smaller—but not too much smaller.

At first, Sheyla wasn't happy when Dr. Dubrow put 500 CCs into each breast. After some time, Sheyla's back pain went away, leaving her grateful to the Botched surgeon.

Cheeky, But Not Smiling

After a terrible car accident and poor emergency room care, Brontee was left with a brutal scar on her cheek. Thus, she turned to Dr. Nassif for help, hoping he could give her her smile back. Thankfully, Nassif and his team were able to just that through surgery. Not only did Nassif get rid of Brontee's twitch, but he made her cheek "more normal."

Black Hawk Down

Following a botched boob job, Tanya—an Army Black Hawk crew chief—was left with an MIA breast. With her deployment fast approaching, she needed Dr. Dubrow's help in evening out her chest. Of course, Dubrow and his team signed up for the rescue mission and rectified a previous surgeon's mistake.

Knocked Out Nose

After boxing for three decades, Chris' nose was left flat like a "pancake," which caused him to lose confidence in himself. In order to restore the boxer's nose, Dr. Nassif did an open rhinoplasty and harvested rib to fix the nearly-gone septum. While there were hiccups amid surgery, Chris walked away with a sculpted and supported nose.

Breasts of Frankenstein

Esmeralda turned to the Botched doctors after a failed breast reduction surgery left her with dying tissue that destroyed her chest. Despite her dire situation, Dr. Dubrow was able to give the new patient implants and tattooed on nipples to replace the ones she lost in her first surgery.

Three Boobed Lady

After a series of disastrous breast surgeries, Sandra was left with terrible malposition, which made her look like she had three boobs. After hearing Sandra's case, Dr. Dubrow agreed to take on her complicated chest. Unsurprisingly, the Botched doc was able to right this medical wrong and gave her "two mounds that are symmetrical." 

Car Wrecked Nose

A terrible car accident left Jennifer with a nose deformity and one working nostril. Thus, she needed Dr. Nassif's expertise to fix her car wrecked nose. Through surgery and the help of leeches, Dr. Nassif was able to give Jennifer a normal, functioning nose.

Not-So-Chiseled Chin Implant

Will underwent a series of plastic surgeries after moving to South Florida and becoming extremely insecure. One of these procedures involved both jaw and chin implants—the latter of which took on a weird shape that Will described as "comical." The Botched docs were ultimately able to remove the implant; however, when Will returned for a follow-up visit, he admitted that he was still struggling with his appearance. 

Dr. Nassif discussed the possibility of Will having body dysmorphic disorder and recommended he start attending therapy. Fortunately, Will agreed to do so.

Fixed Failure

Heather experienced complications after undergoing breast augmentation surgery, but the doctor who performed the procedure apparently did nothing to help afterward. As a result, Heather's left breast remained swollen and abnormal-looking, eventually getting worse as the skin began to sag. Cue Dr. Dubrow! Heather described him as "the boob guru," and thanks to his surgical skills, she said she now feels "unstoppable."

Uniboob Reality

Real World alum Flora found herself with a bad case of Symmastia after several bad breast surgeries. Understandably, Flora couldn't stand having a uniboob and turned to the Botched doctors for help. During surgery, Dr. Dubrow discovered that Flora's previous surgeon had used hernia mesh, which likely caused the Symmastia.

"Before my surgery, I had a uniboob situation that was not sexy at all," Flora concluded. "But now, thanks to Dr. Dubrow, I have two separate breasts."

Dog Bite Disaster

After being bitten by a dog at the age of four, Marcelo became the victim of constant bullying. As he grew up, the new patient still felt self-conscious about his scarring and hoped Dr. Nassif could help him. Although the plastic surgeon couldn't promise a perfect restoration, he said he'd do his best.

"Before the surgery, a dog bite had left me with scarring on my cheek and nose and a bulky asymmetrical nose," Marcelo described post-surgery. "Dr. Nassif even said that there's not gonna be a huge improvement on my nose. But now, seeing the result, I'm just so completely blown away by what he has done."


As a kid, Rose was bullied over her nose's shape, which the Arizona resident attempted to fix with two rhinoplasty procedures that ultimately worsened its condition. "My nose looks like I have a butt sticking out of it," she told Botched cameras. Thanks to Dr. Nassif's work, Rose's third surgery gave her the nose she'd been "chasing" all her life.

Ejecting Implants

After undergoing a second augmentation surgery to reduce the size of her chest, Judy contracted "two antibiotic resistant bacterias" and the implants literally "fell out" of her breasts. Fortunately, Dr. Dubrow was able to repair the resulting damage without using any foreign materials "because, if you don't have breasts implants, you can't have a breast implant complication."

Genital Hair Where?

Twenty years ago, Crystal's plastic surgeon performed a skin graft on her right cheek using "groin tissue," and it quickly sprouted "genital hair." After consulting the Botched duo, Crystal underwent two separate surgeries and a procedure involving a "tissue expander" to remove the patch of skin.

"Flying Squirrel" Boobs

After she was turned away last year, return patient Krystina hoped Dr. Dubrow would finally be able to fix her botched breast implants. And though he feared losing her nipple in the process, Dubrow was ultimately able to give her the results she wanted.

Rudolph Nose

Upon learning the truth about Santa Claus, Sara's 8-year-old son head-butted his mom straight into surgical mayhem. Using harvested rib and scalp fascia and a diced cartilage graft, Nassif was able to repair her "L-shaped" nose, whose initially poor circulation caused it to flush purple and red depending on the temperature.

"Shredded Meat" Breasts

When her 12-year-old breast implants popped, Melissa's horrifying replacement surgery that led to serious post-op complications. But thanks to surgical intervention from Dr. Dubrow, Melissa left Botched with a revamped physique and heightened self-esteem too.

Ski-Lift Nose

At the age of 19, Norina snuck off to get a secret nose job several months before her wedding. However, the sketchy surgeon left a "mortified" Norina with a crooked, scarred nose. During the corrective surgery, Dr. Nassif straightened her deviated septum and used composite graphs from her ears to lower her nostrils and give her nose a more normal appearance.

Double-Stacked Breasts

Brittany had four—yes, four!—breast implants, two on each side, which ended up causing her headaches and neck pain in addition to noticeable misshapenness and general discomfort. Dr. Dubrow was able to remove all four of Brittany's previous implants and replace them with one set of brand new ones in addition to a little bit of a breast lift.

Her "Neck Is a Wreck"

A failed facelift and neck lift left left Lisa with deformities, "rippling" skin and scars under her chin. Dr. Nassif removed excess fat from her neck and corrected her previously botched face lift, leaving Lisa with a slimmer, smoother neck.

Balloon Butt

After being teased for her slender physique, Jabrena got butt implants that quickly flipped and continued to move around, giving her rear a bulbous shape and causing her major pain in the butt (literally!). After removing the 600 cc implants and 500 cc of fluid, Dr. Dubrow lifter her bum giving her a butt that "might make the Kardashians jealous."

View More Photos From Botched Patients Before and After: Shocking Transformations!

Do you have a favorite Botched episode? Be sure to let us know!

(This story was originally published on Tuesday, April 28, 2020.)