'Botched' Stars Dr. Dubrow and Dr. Nassif Had Some 'Serious Problems' Shooting Season 4
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Celebrity Plastic Surgery and Beauty Confessions

"Botched" docs Dr. Terry Dubrow and Dr. Paul Nassif challenged themselves with some extreme cases for Season Four of their reality show -- and those challenges came with a few "serious problems."

"So we ran into complications. You know how we always say in previous seasons that there's a 50% we can make you worse, 50% we could have a complication? We had those things happen this season," Dubrow told TooFab. "Sometimes we had blood supply problems, tissue got infected -- we got some serious problems. We needed leeches, we needed antibiotics, we needed hospitalization. We went through some really scary, extreme, dramatic moments on this season."

And that even with all their experience, this season also brought situations they were hesitant to take on.

"This is truly the most shocking transformational difficulties we've ever had because we are seeing international people now who have come from various parts of the world --who have undergone bizarre body modification-type procedures to look like otherworldly creatures -- that have had problems and they need help," Dubrow added. "We're seeing the most extreme cabinet of weirdness you could possibly imagine.”

In an interview with TooFab, Dubrow gave an inside scoop on all the drama, fun, and crazy transformations to come in Season Four. Keep reading for the full Q&A.

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What makes this season stand out from the other seasons?

This season is completely different from others for two fundamental reasons.

One: Issues that we never would have tackled before because they were impossible -- even in our hands -- we tackled because four seasons of doing "Botched" and "Botched By Nature" gave us new skill sets that made hard-surgery routines do-able and now it's tack-able and possible.

Two: We're exploring the single life of Dr. Paul Nassif a bit. You will see some girls actually find him interesting and I don't understand. I can't explain it, but we explore that.

So, is there more of a personal side that we will see this season?

There is more of a personal side. With my relationship with Paul, we get out of the office a little bit, we do somethings together, and we fight through some complications that are pretty scary.

When you say "scary" complications, do you think that this season has brought you the most extreme cases?

This is truly the most shocking transformational difficulties we've ever had --because we are seeing international people now who have come from various parts of the world -- who have undergone bizarre body modification-type procedures to look like otherworldly creatures -- that have had problems and they need help too. We're seeing the most extreme cabinet of weirdness you could possibly imagine.

With these extreme cases, at what point do you say "no" to going through with a patient's request?

Well, we say no if their expectations are either unrealistic, they want something that's gonna put that them at even greater risk if they have another operation, or we say no if they have some psychological weird red flags. But what I was saying before is some of those situations who we wouldn't normally operate on -- they're having giant problems -- so we can't leave them disabled with catastrophic complications. We have to try to help them. So, basically you're operating on people you normally would say no to, except their problems are now so severe and disabling you have to help them."

When you said, "We made some people worse before we made them better," what did you mean?

So we ran into complications. You know how we always say in previous seasons, there's a 50% we can make you worse, 50% we could have a complication. We had those things happen this season. So, sometimes we had blood supply problems, tissue got infected, we got some serious problems. We needed leeches, we needed antibiotics, we needed hospitalization. We went through some really scary, extreme, dramatic moments on this season.

Can we expect to see any celebrities this season?

Yeah. There's definitely sort of a rock-and-roll from the '80s and '90s kind of vibe this season that you're gonna see. So, it's kind of a musical season. Celebrities you're gonna see, you’re gonna know all of them from that world of entertainment about music.

You say that you took on riskier cases this season. Would you say the reward in the end is greater with these riskier cases?

I think there is no question about that. The biggest reward comes for us when a patient has had a disabling cosmetic surgery problem and it has ruined their lives from a functional point of a view and a psychological point of view. It has changed the basic structure of how they live and when you can take these skills that "Botched" has given us to transform them physically, that's the most rewarding thing you can do in your career as a plastic surgeon.

Four seasons in, could you see yourselves doing a show like this with anyone else?

I'll tell you why I couldn't do this show with anyone else. First of all, no one else has this level of experience that a total of five seasons -- "including Botched by Nature" -- has given them. So, previously in a practice you might see one or two in your entire lifetime of being a plastic surgeon of super difficult problems. We do one or two a day, week in and week out now. Paul, no one can fix noses like Paul can. No one I don't think has any experience with the type of body surgery that "Botched" has given me. The level of difficulty is so extremely high. You're not gonna have a high school tennis player play in Wimbledon and this is the Wimbledon. This is the French Open, this is US Open. This is the big leagues.

Have your lives been impacted by impacting your patient’s lives?

I would say so. We just did the "Today Show" and we brought on a couple patients who Season One we couldn't have been able to fix, and we fixed them and they look not only looked fixed, they look beautiful. Before, we were able to sometimes make horrible into normal. Now we are making horrible often into beautiful.

"Botched" airs Sunday at 9pm on E!