The UK's love of all things plastic
is still going strong.
Last year alone, an estimated 100,000 Brits
handed over £2.3 billion to be plumped,
nipped and tucked.
People need to realise that this is not a game.
It's something that can seriously damage them.
Britain's billion-pound cosmetic surgery industry
has unexpectedly spawned another flourishing business,
corrective surgery for botched-up bodies.
While you can always get it cheaper,
often times it can turn out being more expensive.
Coming up, super-sagging skin.
That's unbelievable.
I feel like an alien, that's what I feel like.
Exploding breast implants.
I think it's the not knowing where this silicone is going.
And a mutilated mouth.
Implants that come out the front of my gum, and it just don't seem right.
Riddled with infection this, it's just not gonna work.
Britain is getter fatter.
Over a quarter of the adult population is obese
and to combat our growing girths,
more and more of us are turning to gastric bypass surgery.
The number of people choosing this drastic option
has risen by 530% in the last six years,
costing the NHS £85 million a year,
but millions more is being spent to fix the bodies
that end up botched as a result of the surgery.
It's one of the problems and issues at the moment with the NHS.
You know, how do you deal with these people
who've lost all this weight?
How do you fund that surgery? Who funds it?
It's a problem 49-year-old Londoner Stephen Dockrell
is all too aware of.
Up to my early 20s, I was a pretty fit man.
And from about 23, 24, I started to put weight on,
and obviously as the years went by I was eating more.
I went up to 31 stone 9, my biggest.
I had to pack in work, couldn't drive.
Doctor already said to me
if I don't lose weight I'll be dead by the time I'm 50.
I didn't want to die, cos that's what would happen,
and leave my kids without a father?
And obviously my kids are my life, you know?
Stephen decided to have a gastric bypass.
He thought his life would improve. He was wrong.
After losing 13 stones, he's been left with a huge flap of flesh.
A massive apron of excess skin,
hanging between his legs, that's making his life a living hell.
I feel like an alien in my own body. That's the only way I can describe it.
Once the skin has been stretched beyond its natural elastic capacity,
and it's emptied,
the only way to treat this is by surgery.
As each day passes, gravity makes Stephen's problem bigger.
It is actually passed my knees now,
which is very uncomfortable for me.
I put the hanging skin
in the left-hand side of my trousers,
which makes it a bit awkward
for when you're walking, it swings from left to right.
His grotesque appearance is affecting his love life,
and he hasn't been able to find a partner for 15 years.
Who would in their right mind wanna go out with someone who can't move,
can't walk, and can't do nothing.
Stephen's been back to his doctor to get the skin removed
but he's been told that they won't even consider
putting him on the waiting list
until he's maintained his current weight for two years.
And even then, there's no guarantee they'll help.
Determined to reclaim his life now,
Stephen's travelled to West London
to see if surgeon Patrick Mallucci can help.
Wow, that's unbelievable.
I think it would be prudent
just to get an ultrasound scan of your tummy,
just to make sure that
this is pure skin and fat,
cos I don't want any nasty surprises when I'm in there.
So, the surgery that will change Stephen's life
is within his grasp.
British women are bonkers for bigger boobs.
Last year, 9,844
chose to improve on nature and have their breasts boosted,
making up 22% of all cosmetic procedures performed.
Women sign on the dotted line
thinking that their new breasts will last a lifetime.
But now they're learning to their cost that they don't.
Certainly never been the case where implants have been lifelong.
If you get 15 or 20 years out of an implant
then that's a good length of time, actually.
Most patients don't get that long out of them.
Like 39-year-old support worker, Susan Calvert from Sunderland discovered.
She hated having a flat chest.
I was going out with people with boobs.
That was the worst thing because they would look beautiful.
I would put something on and I would, I would look like a boy.
That is exactly how I would look. So flat.
You definitely don't feel like
one of the girls when you've got no boobs.
So, I did get to a point where I,
I had to have something done.
Susan had implants.
She was told that her new boobs would last a lifetime.
However, 15 years on, they're worn out,
leaving her botched up.
Silicone has started leaking into the surrounding tissue,
and she's been left with painful, infected breasts,
and swollen lymph nodes.
I didn't do any research.
I think my thoughts were...
just getting them done.
That was my, that was it, I'm getting them done
and I'm gonna have lovely boobs, and once I had them done,
do you know, I flashed them to everybody if I could.
I got told once they were in they were in for life.
For years, Susan was delighted with her bigger boobs
but suddenly everything changed.
My breasts started to feel really hard.
About six months ago, I started getting
discolouration on the surgical line.
Sort of bruising underneath my right breast.
Alarmed and in pain, Susan went to hospital
and it was then she received the devastating news
that her implants had ruptured and were leaking.
She was desperate to keep them but was told by doctors
that the only course of treatment was removal.
If she refused, her symptoms would get progressively worse.
As I was told that they would never need to be replaced,
I'm quite unhappy, to say the least,
that I do need to now either have them taken out
or have them replaced for medical reasons.
15, 20 years ago, the government produced a document
to emphasise the fact that breast implants are not lifelong,
and all surgeons should have been telling their patients
the implants are not lifelong.
It definitely upsets us.
Just the thought I'm gonna look horrendous.
I'm gonna go back possibly worse than what I was before I got them in.
I made that decision as a young girl
who just wanted to look nice.
You don't think of what's gonna happen 15 year down the road.
Susan's travelled to London
to see consultant plastic surgeon Paul Harris to discuss her options.
The one definite finding is that the implants have gone quite hard,
and that's called a capsule, that's where you develop a scar
around the implant and it goes hard.
And it's almost like a rejection-type of phenomenon.
The options for you now
are firstly to have them just replaced,
or you could have them removed.
I think if I did take them out, there'd be nothing
apart from loose skin and...
Susan decides to have new implants,
even though she now knows that one day they too will probably need replacing.
But when she comes back for her op,
things don't go according to plan.
I have a slight problem, I'm afraid.
The drain has caused a bleed.
Press it, cauterise it.
And Stephen goes under the knife
to finally be free of his flap of flesh.
That's incredible.
Hundreds of botched-up bodies are repaired in hospitals
up and down the country every year.
Stephen had a gastric bypass last year,
but now he's paying the price for his rapid weight loss.
He's been left with a huge pendulous flap of excess skin.
It's actually passed my knees now,
which is very uncomfortable for me.
I feel like an alien, that's what I feel like.
Stephen is under the care of consultant surgeon Patrick Mallucci.
He and his team are ready and waiting,
but the procedure won't be easy.
By biggest concerns with Stephen, firstly bleeding.
I know that he had a scan which said that there was no hernia,
there was no bowel, but of course scans aren't always right,
so there's a little bit of an unknown as to what you might find.
And, yeah, I mean, curiosity.
It's not every day that you get somebody like Stephen
and so you never quite know what you're gonna find.
Patrick plans to carefully cut around the apron of flesh,
remove it, and then draw the wound neatly together,
but he'll need to proceed with caution,
because there's a huge risk of blood loss.
So, I'm just gonna go gently through the skin here.
I'm expecting big blood vessels.
Because the pocket of skin has such a rich blood supply,
Patrick is using an electronic scalpel
which cauterises the smaller blood vessels.
The larger veins will need to be tied.
These are these huge blood vessels which,
you know, must have been feeding this for,
who knows, how many years.
It takes over an hour of gruelling work
to cut around the whole pouch of fat and skin.
Last of the skin.
And he's free.
That's what Stephen's been walking around with.
And I'm straining, strong as I am...
..to keep that up.
Seems to be around 12.
12 kilos?
The unsightly pouch weighs almost two stone,
about the same as a two-year-old child.
With it gone for good Patrick just needs to stitch Stephen up.
What a shock he's gonna get, when he looks down he'll...
He's probably forgotten what gender he is.
I think it's gonna be life-changing for him.
The difference for Stephen is, it's night and day.
It's from being non-human
in shape and figure to being human.
So, it couldn't be more radical, the difference.
The slow process of healing can now begin
and Stephen's one step closer to getting the body he wants.
It's gonna change my life, one thousand percent.
And more.
Last year in the UK, over a million of us were pricked and pumped.
We spent over £1.7 billion,
convinced a syringe of filler
is the secret to looking eternally youthful.
It's really a big problem as we're seeing a range of fillers
that can give patients a lot of complications.
In the UK's unregulated market,
there are 140 readily available.
In the US, where they are regulated,
only six have been approved for cosmetic use.
A lack of regulation is a very big problem for the UK.
Most people probably wouldn't go
to have their hair done
unless they knew the person had been trained to cut hair.
And yet the same people
are happy to go to somebody with no medical qualifications whatsoever,
and have things injected into themselves,
which can produce devastating medical problems.
38-year-old call centre worker Alexis Kingston
wanted the perfect pout.
So, in 2004, while on a trip to Greece,
she decided to get permanent filler injected.
Before I had my lips done, I just felt they were extremely thin,
in particular the top one,
I just felt that I needed to have some kind of work done,
just to enhance that and balance out the lower part of my face.
However, this spur of the moment decision
has left her botched up, with lumpy, swollen lips
that are far from luscious.
Things started well.
To be honest, I was happy.
As soon as they showed me the mirror and I saw how it looked,
I was really happy with the result. It looked fantastic at the time.
I felt more comfortable in talking to people.
It just gave me a very pouty kind of look,
but without looking too much. It had a massive confidence boost.
But it didn't take long before things started to go wrong.
Just four years after the procedure,
Alexis noticed her lips were becoming increasingly swollen and lumpy.
From the side profile,
I looked more like
a dodgy Daffy Duck.
It's just getting worse year on year.
It just makes me feel so stupid that I've actually gone ahead
and had this procedure done without doing the research.
I do take pride in my appearance,
and to have something that I, that I've paid for,
that assumed was gonna make me look better,
has just made me look so much worse.
Desperate for help, she called the clinic in Greece.
He said I'll need to pay again to remove this filler
that I've actually already paid him to put into my lips.
With her lips becoming progressively worse,
she's in London to seek a second opinion.
Will plastic surgeon Niall Kirkpatrick be able to help?
When you roll the lip out, it's almost like
four little peas in a pod, isn't it?
When Alexis tells Niall what's been used in her face,
he's not surprised by her body's reaction.
She's had two different types of filler,
both of which are notorious for causing complications, unfortunately.
A filler called Dermalive and a filler called Acromid,
both of which have subsequently been removed from the market.
But she's been left with the consequences, unfortunately.
Alexis will go under the knife to banish her lumpy lips for good.
Susan and her partner have travelled from Sunderland to North London
for the operation to remove and replace her worn-out breast implants.
15 years ago, Susan had a breast augmentation,
but now the implants are at the end of their lifespan
and have started leaking.
Her breasts have become infected,
leaving her with mottled, painful skin and oversized lymph nodes.
Susan is under the care of consultant surgeon Paul Harris.
At the moment, the implants are sitting up there at the top.
But I'm hoping to bring that down to about this level.
In this operation, he plans to remove the existing implants,
as well as the capsule of scar tissue
that has formed around them. He'll then put new implants in.
I'm going to incise the capsule, this is the hard scar around the implant.
The body isolates foreign matter like breast implants,
by forming a capsule of scar tissue around them.
If the implant leaks, like Susan's,
the tissue thickens even more to protect the rest of the body from harm.
This process is called capsular contraction,
and squeezes the implant out of shape.
There we go. This will take a long time,
but you can see how thick this scar is around this implant.
Can you see that? It'll come out.
There we go.
So, this is the bag of scar that's been around her implant.
Just gonna put my finger in it. It's very, very thick for her, for Susan.
It's been a real problem for her,
and that's what's been causing the tightness.
That implant has been squeezed into this scar.
It's just been contracting around the implant.
Paul just needs to remove the old scar tissue underneath the breast
before he moves on to the other implant and capsule.
There we go. Intact implant 320 again. Thank you.
Now with both implants and capsules removed,
Paul will insert two drains to siphon off blood.
He'll then add the new implants.
It's only for the capsulectomy patients that I put a drain in usually, really.
There's such a raw surface area that's been traumatised,
that it just creates quite a bit of fluid.
As the drain goes in, suddenly disaster strikes.
I have a slight problem, I'm afraid.
The drain has caused a bleed.
We'll have to just press for a little while, I'm afraid.
Press it. Cauterise it.
The problem is it's in a tunnel.
I put the drain through a long tunnel,
and it's caught a blood vessel in the long tunnel.
So, I don't want to open the whole tunnel up.
Paul must work quickly to stem the sudden flow of blood.
If Susan loses too much, her health is at risk.
Revision surgery encapsulates much more extensive surgery,
hence there's a higher chance of bleeding and infection
because it's much, much bigger surgery than a primary breast augmentation.
Paul finally manages to stop the bleeding,
leaving him free to reinsert the drain.
Second time lucky.
Now that the breast cavity is free of blood,
Paul can inject an antiseptic solution and insert the new implants.
So, you can see, they're a much softer shape
than she had before.
Both implants are now in place, so Paul closes up.
And she starts on the road to recovery.
38-year-old call centre worker Alexis
has travelled from Birmingham to West London
to have the operation to remove permanent filler from her lips.
In 2004, Alexis travelled to Greece to have the filler injected
but now she's paying the price
because her lips have become riddled with lumps, bumps and pustules.
I'm just living with the consequences of having a deformed face.
Performing the operation
is cranial facial surgeon Niall Kirkpatrick.
Alexis will be awake throughout.
The operation is quite straightforward.
Niall plans to make a series of tiny incisions,
he'll then squeeze or cut the filler out.
Niall's starting off by making a small cut in Alexis's bottom lip.
I think this is going to be one of those ones
that comes out a bit like jelly.
Yes.
Most of the filler is sitting just below the mucosa,
the tissue that lines the mouth.
Got up so close underneath the mucosa that you can see this yellowness
through the very thin mucosa.
His next task is to remove the pustules on her top lip.
You can actually see straight away that,
sort of, yellowy white cranial hard tissue.
Niall's working systematically, making an incision,
removing the filler and then stitching the wound up
before moving on to the next one.
Niall has removed a total of nine lumps of filler from Alexis's face.
After an hour and a half in surgery and just two weeks of healing,
will Alexis be finally rid of her lumpy lips?
She's back in London with Niall for her final check-up.
So, how's it all been?
It's been good.
I think the smile in general is looking a lot more natural now
than it was a couple of weeks ago.
- You love it? - I do.
Well, I'm just gonna have a little peek and see, if that's alright?
I think the thing that strikes me straight away
is that the sort of yellowness has gone from the lips, hasn't it?
It has.
Gone are the lumpy swollen balls of filler.
Alexis can now smile again with confidence.
Now it's just a sort of firm scar
which will soften and settle with massage.
But the sort of overall shape of the lips is just so much better.
- That's smashing. - Yeah.
It's now just a question of time and patience,
because eventually the lips will just go beautifully soft
and back to normal effectively.
- Fantastic. Thank you, Niall. - You're very welcome.
- I really can't thank you enough. - It's a pleasure.
You've done a fantastic job. I love it.
She can now put the past behind her,
and start enjoying life with a set of perfect lips.
I feel a lot better when I'm talking to people,
I'm not paranoid.
I definitely feel like I can just move on.
I couldn't be happier. He's been brilliant.
Susan is also in London to see her plastic surgeon, Paul Harris.
It's been two weeks since her operation,
and she's here to check up on progress.
- Very soft, aren't they? - Very soft. They feel lovely.
Compared to what they were beforehand. Yeah, great.
Really good.
It's great. Nice and symmetrical, good size and shape,
and no excessive bruising.
Gone are Susan's worn-out leaking implants,
and in their place, a new set that have given her
perfectly pert youthful breasts.
Just totally different.
Completely different to what they were.
They don't feel like mine at the minute. But they look lovely.
Well, they will do, and they do look good. They look much softer,
and yet still quite youthful, and a good shape and size.
Susan is over the moon with her new, fuller, softer breasts.
Susan's problems were down to worn-out breast implants,
but some botched-up boob jobs
turn out to be an altogether more explosive problem.
There's been a rupture.
Botched-up bodies reached new heights in 2011,
when the PIP implant scandal literally exploded,
causing a global health scare.
300,000 women were affected,
with over 4,000 suffering ruptured implants,
resulting in industrial grade silicone solution
seeping into their breast tissue.
There's lot of reasons why you may get rupture.
We think it's mechanical failure over time,
but of course PIP implants
were made faultily and defectively,
and that high incidence of rupture were common.
50-year-old mother of two Kim Brockhurst, from Gwent in South Wales,
always had big boobs,
and at 34C she was larger than the British average.
But going into the fitness industry and into aerobics
really trimmed the body up in every aspect,
so every single piece of fat had gone,
including, you know, including my breasts.
That's where I made the decision to actually,
you know, have new breasts.
For me, it was about the image of my body.
They just weren't there anymore
and it was, you know,
it was a quick fix.
Kim found a surgeon in London,
and in 2004
paid nearly £4,000 for her new fuller breasts.
but what she ended up with
was lopsided, lumpy, leaking implants.
I felt I'd gone to
a very good reputable surgeon.
I was in and out so quick, and they looked good.
The scars were tiny, they looked really tiny.
All my friends came round, you know, and were like, "Whoa!"
you know, "You've got breasts now, you didn't have breasts before."
However, it wasn't long before Kim noticed
that her left breast had become lopsided
and had started to ripple.
When I hung forward,
there seemed to be sort of a...
a step in the left breast.
It was then Kim faced every woman's worst nightmare.
She discovered a lump in her breast.
Obviously went to the doctors,
and it has been found that the left breast has ruptured,
and that the lump is a gland that is swollen
due to the rupture in that breast.
And to make matters worse, Kim was told that the ruptured breast implants
that were leaking silicone into her body
were made by the controversial French implant company,
Poly Implant Prothèse.
After, you know,
having the lump looked at at the hospital,
I could see from the scan
the actual extent of where all the silicone has gone.
There was just this shadow from the nipple
all the way back under into my armpit.
I got a little bit scared then.
There's worries where the silicone is going, you know,
whether it's going in the bloodstream and,
you know, there are worries with it.
This is not just gonna be take them out and it'll be OK.
There may be other health issues now,
because I've got lymph nodes that are blocked.
When an implant ruptures, silicon seeps into the breast tissue
creating small lumps known as siliconomas.
In rare cases,
silicone can spread to the lymph nodes under your armpit.
Although this isn't necessarily dangerous,
it can be extremely painful.
With the NHS offering only to remove
and not replace the faulty implants,
and Kim's original surgeon refusing to help at all,
she's travelled to London
to visit plastic surgeon Patrick Mallucci.
First thing I notice is
that you've got sort of slightly more prominence up here
than you have on this side.
You're about, sort of, two and a half centimetres lower
on that side.
Now, whereabouts did you feel the lump?
Can you point to the lump that you felt? Just there.
Actually, I think I can just feel it. Yeah, just there.
Little lump there. So...
the choice you've got
are to simply remove the implants and do nothing.
The other choice is you say, "Right, I'm gonna remove and lift."
The point of the lift
is to effectively
redistribute that volume.
Kim's only option is to go under the knife again.
What will she decide to have done,
and what will Patrick find when he opens her up?
More and more of us are searching for that perfect Hollywood smile,
but in the UK,
a great mouth comes with a great big price tag.
It's not surprising then that we're choosing to jet off abroad
to get cheaper dental treatment.
78% opt to stay in Europe,
but 22% go long haul.
But these surgical safaris come with risks.
You've got to know, when things are cheap,
you really get what you pay for.
I understand why patients go abroad,
but it makes it so difficult for us when things go wrong.
Now we have to work out what's happened.
We don't get full communication from the various clinics.
We can't always make sense of the clinical notes.
If it does go wrong, patients don't really have any
sort of legal recourse or medical protection.
As 44-year-old scaffolder Darren Mills found out.
He has always strived for perfect pearly whites
since poor hygiene and smoking as a teenager
led to chronic gum disease.
One by one, his teeth fell out, leaving his confidence in tatters.
I still get the odd comment asking me about my teeth,
and why they're like it and...
maybe not meant nastily but...
taken to heart.
Which made me decide that I needed to do something about it.
Unable to face a lifetime of dentures,
and afford the higher UK prices,
Darren found a budget clinic in Thailand
to fit his implants at a knock-down price
of £7,500 all in.
In the UK, he'd have to shell out £17,500.
He boarded a plane and travelled the 8,000 miles from Avon to Asia,
hoping to get the perfect smile
but the cheap dental surgery left him botched up.
I'm not a dentist but...
implants are coming out the front of my gum and it just don't seem right.
So, no, I'm not very confident.
Implants fuse to the jaw bone
making them more secure than removable dentures.
In Thailand, they are fitted in two stages.
First titanium anchors, which work like roots, are fitted.
Then several months later, the teeth are added.
After the first operation, Darren was sent home
but once the swelling went down, he knew something was wrong.
The implants had started to come through my, the front of my gum.
It looked as though, if teeth were fitted,
they would be jutting out of his mouth at a 45-degree angle.
It's quite frightening. You know,
I'm very concerned at the moment.
He desperately wanted to see his dentist,
but the 11-hour flight to Thailand meant that wasn't an option.
At times it makes me sort of gag
and even eating's horrible.
It's all pretty awful, really.
Darren is devastated
but with an increasingly painful mouth,
and zero confidence in his Thai dentist,
he feels his only option is to seek help in the UK.
He's travelled to London to see cosmetic dentist Anthony Zybutz,
but can his botched mouth be fixed,
or is the damage irreversible?
You've got a high tooth here that if I sit and I push on the gum,
you can see pus leaking out of that.
So that's still infected with gum disease on there.
And it's the same down here.
These ones are all loose.
Riddled with infection, this is... This is just not gonna work.
Darren will need new implants
but first, Anthony has to deal with his back teeth.
We have to take the other teeth out, because they're loose,
and they're riddled with infection.
We know that we definitely need more implants,
because there's not enough in there and they're not spread far enough.
And we're gonna get you out of your false teeth as soon as possible.
That sounds great.
It might sound great,
but Darren will need a course of antibiotics
before a ten-hour operation, where he'll be awake throughout.
In London's Marylebone, Kim, a leisure centre manager from Gwent,
is about to undergo surgery
to have her ruptured PIP breast implants,
that have caused her so much pain and distress, removed.
I got a little bit scared, you know?
And it, I think it's the not knowing where this silicone is going.
Kim is under the care of aesthetic surgeon Patrick Mallucci.
In this operation,
Patrick will remove the ruptured PIP implants,
and as Kim has decided not to have them replaced,
he'll use her existing breast tissue
to build her a smaller uplifted bust.
I think that's always a slight challenge,
because we never quite know what we're gonna have
once the implants are removed.
Patrick starts with Kim's right breast.
The scan she had prior to surgery showed this implant to still be intact.
Scans aren't 100% accurate,
so we don't really know
what we're gonna find until we remove the implants.
Here it comes.
And it's intact. Just go into the other side.
So, here we do have a rupture.
And you can see that this implant has lost its integrity.
In fact, interestingly enough,
there's been a rupture
at what looks like the valve at the back here.
So you've got silicone
just sort of peering through at the back.
Can you see this sort of milky coloured fluid,
which is probably the interaction of some of the body fluids
with the silicone.
So you can see some free silicone here,
which has come out from the implant
into the breast pocket,
as well as more of that milky fluid.
It's this silicone that's been causing Kim so much pain
and distorting the shape of her breast.
Patrick uses a vacuum to suck out any leftover residue,
before cleaning the breast pocket with an antiseptic wash
to reduce the risk of infection.
And then work begins to reshape her breasts.
We're just starting off by removing this skin above the nipple,
and I'm gonna start off by replacing the nipple
into the position that I want.
Before removing any excess skin,
Patrick checks the final shape of the breasts
with some temporary stitches.
So, that should comfortably close.
We may yet modify that
to give us a little bit more
structure to the breast, if you like, and a bit of a lift.
The challenge is for Patrick to make a breast
out of the skin and tissue Kim has left.
You know, from a sort of unprojected breast,
we've now got, by reducing the skin envelope,
putting some of those glandular plaster stitches in,
we've created some projection to the breast.
I would have thought,
she's probably would have gone down a couple of cup sizes,
I would have thought.
It'll be interesting, that's hard to predict.
Patrick repeats the same process
on Kim's left breast.
Although she's had her implants removed,
we've got enough breast tissue
to be able to recreate something
which is sufficient
to give her some breast shape.
There we go. That's it.
Nearly a month has passed since her operation,
and Kim is back in London to see surgeon Patrick
for her final consultant.
- Good, are you feeling pretty recovered? - Very recovered.
Great.
Yes, I just wanna go out there and run a marathon now.
Alright. Shall we just have a little look? They look really good.
And, surprisingly,
I mean in terms of volume,
I mean, there's loads, isn't there? I mean, you kinda think,
what's the point in having the implants, really.
And scars are healing really nicely.
I mean, considering we're four weeks.
I mean, that's amazing.
Her defective PIP implants have been removed,
and now she has a pert bust built from her own breast tissue.
I absolutely love them. I'm really happy with the decision I made.
I'm really pleased I didn't have new implants put in
and that they're normal, and they're just mine.
Kim is finally free from her botched body.
The same, however, cannot be said for Darren and his botched mouth.
He's about to face a ten and a half hour operation,
and he'll be awake throughout.
- It hurts. - Sorry, it hurts?
- A little bit at the top, yeah. - OK. OK.
44-year-old Darren from Bristol,
travelled thousands of miles to Thailand
in a bid to get the perfect smile,
but ended up with a mouth that resembles a war zone.
To get it fixed, he's travelled just 118 miles
from the West Country to West London,
where it's down to dentistry duo, Michael and Anthony Zybutz,
to repair the damage.
And it's not gonna be easy or pleasant for Darren.
Ten hours of gruelling dental surgery lies ahead
and he's gonna be awake throughout.
The first part of the operation
is gonna be carried out by specialist periodontist Michael.
He's tasked with preparing Darren's mouth
by removing all traces of the substandard dental work.
Later his brother, Anthony,
will mould and fit Darren's new teeth.
First, the substandard implants need to be removed.
They're designed to fuse with the jawbone
so they should be impossible to remove by hand.
So, you see this implant is almost out the bone,
and it's completely non-integrated.
I can almost get it out with my finger. In fact, I can.
I can get it out with my finger.
I shouldn't be able to do that on an implant.
45 minutes in,
and with all the substandard implants removed,
Michael turns his attention to the rotting teeth
the Thai dentist left untouched.
They're pretty loose and hopeless.
In terms of treatment planning, I'm not sure why
it was decided to hold onto them.
The only good tooth in Darren's mouth
is this canine tooth,
but it just gets in the way of what we want to do,
and it's not enough to hold anything decent for him.
But the tooth's very tight in the bone,
so Michael has to strip away a significant amount
of Darren's jaw bone to loosen it.
Ironic, as the other seven left behind by the Thai dentist
were so riddled with infection that they were falling out.
The infected parts of the gum are stripped away,
leaving it would cause problems later.
Then he uses a custom-built acrylic guide.
It shows him the position of the four new implants
he plans to use in Darren's upper jaw to secure his new teeth.
The grey surface is acid etched to make it rough,
and the bone likes that rough surface,
and bonds to it.
- All looking good, Darren. - Good.
Two hours in and they have to stop.
- It hurts. - Sorry, it hurts?
- A little bit at the top, yeah. - OK. OK.
It's just your injections wearing off a little bit.
Let's fix that for you.
All that's left is to neaten things up a little bit
and close. There we go.
After three hours, 40 minutes,
it's time to move on to the second part of the procedure
that sees Dr Anthony Zybutz take over.
First, he has to deal with Darren's overactive gag reflex.
For him to vomit now would be dangerous.
We're gonna use acupuncture.
There's a little acupoint just over here, just here on the chin,
and if we put a little acupoint in over there,
it will really reduce the gag reflex.
I haven't been bad today but, yeah, go for it.
Well, they tell me you're pretty good but...
I don't trust you.
Yeah, yeah, I agree with you.
You agree. Thank you. Let it go soft. Thank you.
A mould needs to be made of his mouth,
so the team can construct his new teeth.
They use plaster of Paris. As it's a natural product,
if it does get under Darren's gums, his body will absorb it.
The nice thing here is, you can see that Darren's still awake,
so if anything does happen to hit the back of his throat,
he can cough it up, or at least he'll swallow it.
There's no danger of anything going wrong.
The cast is sent to the lab where his new teeth are formed.
After seven hours, four more implants in his lower jaw,
and a lot of careful work in the dental lab,
a perfect set of teeth are ready to be fitted.
After ten and a half hours, Darren has a perfect smile.
Something he's not had in a very long time.
Perfect, how does that feel?
Yeah, good, it's absolutely brilliant, yeah.
His mouth has had the ultimate dental makeover.
It's taken £35,000 of corrective dental work
to put a smile back on his face.
Gone are the dodgy implants and the rotting molars.
In their place, a gleaming set of perfect teeth -
teeth that any Hollywood A-lister would be proud to have.
Look at that.
Yeah, absolutely amazing.
Look at that compared to those bits of plastic you had in
with some loose teeth at the back.
It's like my own teeth again.
Sometimes it's not always clever
to try and save money upfront,
because it can end up costing you a lot more in the long run.
The procedure has given Darren a new lease of life,
and now he's ready to face the world with a Hollywood smile.
It's been ten weeks since Stephen Dockrell
had a two-stone fleshy bulge removed from his stomach.
For over a year he'd lugged around the lump of flesh,
which was a result of gastric band surgery in 2012.
- How are you? - Yeah, yeah.
Today he's back to see aesthetic surgeon Patrick Mallucci
for his final consultation.
-You look amazing. - Yeah, I feel a million dollars.
You look, you're unrecognisable to me,
I'm still expecting you to sort of come waddling in and develop...
And me, and me.
You just look fantastic. Let's just have a little look.
Wow, that looks great.
That looks fantastic, Stephen.
Don't forget, still early days,
still gotta wait for it all to settle down.
But for now, it looks absolutely fantastic.
And the scars are healing nicely.
You know, they're still a bit purple, which you would expect at this stage.
Stephen, you're just looking fantastic,
I mean, it's really gone as I had hoped.
Stephen's life is no longer being restricted
by the bulk of blubber which hung past his knees
and tucked into his trousers.
You've given me a quality of life that I thought I'd never have again.
- Lovely. - Thanks very much.
The last time I was able to buy anything
off of the shelf was about 15 years ago.
It feels like I am 15, 20 years younger.
I feel that the old Steve is coming back.
I'm just enjoying life now.
And now I feel like a million dollars.
Next time on "Botched-Up Bodies",
how cheap surgery can leave you deflated.
They look disgusting, and I just feel really self-conscious.
Plus, the woman who was left disfigured
after her labia was cut clean off.
It hasn't been easy.
That's where here labia used to be.
You can see there's just a sharp cut off there.
And why going abroad for surgery is definitely no holiday.
Straight away, I could see the septum deviated.
At that point, I knew that things had gone wrong.