A woman who had surgery to increase the size of her chest to a 38F to 'please' her ex-boyfriend must decide whether she is willing to let doctors stab her implants with a needle to empty the fluid before having them removed and her breasts lifted.
On Tuesday night's episode of the E! reality series Botched, Los Angles based surgeons Dr. Terry Dubrow and Dr. Paul Nassif meet with Ilana about removing her massive implants without damaging her breast tissue and nipples, which could take multiple operations.
However, Dr. Dubrow suggests something he has only done once or twice in his entire surgical career — putting a need into the breast implant and draining the fluid first.
During her consultation, Dr. Dubrow immediately notices that the blood vessels on her breasts are dilated.
'That in itself indicates tissue injury and damage,' he explains. Look how peely your skin is. Now does it peel like this normally?'
Ilana admits that it has 'always been a little bit chaffy', and Dr. Dubrow notes that it is an 'indication of underlying pressure, tension, and generalized tissue trauma'.
'We do know we need to take the implants out; we do know we need to do a lifting procedure, which means reduce the areola, reduce a lot of the breast envelope and lift you up,' he says. 'But we do know that doing that in one stage is extraordinarily risky to your breast tissue and to your nipple.
'But you might be able to do something that I've only done once or twice in my entire career,' Dr. Dubrow continues.
'Putting a needle into the breast implants and sucking out the fluid, allowing the soft tissue to retract and everything to sort of relax down and then after a period of time doing one operation.'
Dr. Dubrow goes on to admit that 'stabbing breast implants to empty the fluid does 'sound a little crazy', and Ilana agrees, but he believes it will be worth it in the long run.
'Ruptured implants tend to cause shrinking and thickening of the breast tissue and that is exactly what Ilana's breasts need before she can have the definitive surgery,' he tells the cameras.
Dr. Dubrow assures Ilana that his plan isn't really that crazy when you think about it.
'It saves you from having to have two operations or more, which would avoid all the risks of anesthesia and the significant risks of the surgery itself,' he says.
When he asks if she is willing to try it, Ilana says: 'Let's do it'.
On tonight's episode, the doctors also meet with Shauna, a woman whose nose constantly runs since she had two discount rhinoplasties in Mexico.
Dr. Nassif cuts to the chase during their meeting, telling her: 'I know there is something about a couple of nose jobs in Tijuana.'
'It was a lot less costly, right?' Dr. Dubrow asks, immediately deducing that she crossed the boarder to save money on the procedure.
Ilana reveals she was only charged $2,500 for her rhinoplasty, a procedure that usually averages between a total cost of $5,000 and $10,000 in the US depending on the surgeon.
'Wow, that is cheap,' Dr. Dubrow says with shock.
Dr. Nassif tells the cameras that anyone considering plastic surgery needs 'to have the best and right doctor' to give them the look that they need, otherwise they are 'going to come out completely messed up'.
'Shauna did get what she paid for,' he says of her botched surgery.
Their patient goes on to say that when she woke up the tip of her nose was purple.
'Like the color of your tie,' she adds, pointing to Dr. Nassif.
'That means decreased blood supply to the skin. If that happens you basically can lose the entire tip of the nose. It can just fall off,' Dr. Nassif explains. 'Shauna is very lucky that didn't happen.'
Shauna say she was willing to live with her new nose, but the doctor had left a 'really sharp edge' at the tip.
'So you had a piece of aberrant cartilage sticking out of your nose,' Dr. Nassif reiterates, and Dr. Dubrow is perplexed that she could see it even before the swelling came down.
'I saw him a couple weeks later, and I told him I was really unhappy with the tip, so I went back four months later,' she says, this time surprising Dr. Nassif.
'He worked on your tip four months later?' he asks. 'That is one of the mistakes right there. You don't go back into the tip for about a year.
'If you go back earlier than that the nose is still not healing; it is continually changing, and if you go in and operate again you can get more deformities that way.'
Shauna says that her nose started dripping fluid right after the second surgery — as soon as she took off the dressing.
She now goes through one tissues every five to ten minutes, however, Dr. Nassif isn't sure that a third surgery will help stop the flow of fluid.
'Sometimes surgery can help it. Other times surgery can make the rhinorrhea worse,' he explains.
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