The number of Brits having cosmetic surgery each year is on the rise.
From labiaplasty to eyebag removal,
it seems our quest for perfection knows no bounds.
It's very reasonable for people to have desires
about changing their appearance, so long as they're realistic.
Being realistic means accepting that going under the knife comes with risks
and there's a chance you'll end up with a botched-up body.
There is no such thing as risk-free surgery.
If you want to avoid complications in surgery, then don't have the surgery.
Tonight, a painful penis.
It's very embarrassing to walk around with an erection that won't go away.
A filler-filled face.
My lips started to become really lumpy and they started seeping pus.
And a mutilated mouth.
That's just awful. It literally looks like a bomb's gone off in here.
There's been a 50% rise in people seeking cosmetic dentistry,
such as whitening, reshaping and implants.
81% of you said you'd consider having treatment if you could afford it,
but going private doesn't always deliver the perfect Hollywood smile.
There's also been a massive increase in cases of negligence,
as underqualified dentists try to cash in.
38-year-old Jonathan Anderson from Dorset
was left toothless and terrified of dentists
after three botched procedures.
When you go to someone who's, you know, a professional dentist and private
and they're charging, you know, an awful lot of money for it, you don't doubt them.
In his youth, Jonathan had the perfect smile.
Twenty years ago though, a routine operation to remove his wisdom teeth
went horribly wrong.
It came to light that my wisdom teeth hadn't been removed.
They'd actually been snapped off below the gum line.
As a painful infection spread to the neighbouring teeth, they rotted away.
Then a windsurfing accident left him needing an implant.
I looked in the mirror expecting not to be able to tell it's implanted teeth,
and I was like you've got the colour completely wrong.
His bad luck continued when he had a crown fixed
and the work was so shoddy it kept falling out.
The dentist said, "There's nothing else we can do for it.
I suggest you just superglue it in."
Jonathan's missing teeth have destroyed his confidence
and it even affected his wedding day in 2012.
I had the tooth superglued in for the wedding,
so it was just a very closed mouth smile.
When I first met Jon,
he had this bright beaming smile
but now even when he is happy, he doesn't show it.
In his mind, I think, he feels he's grotesque
and I'd love to see him like he was when I met him really,
kind of feeling good about himself.
Jonathan's catalogue of dental disasters
has cost him over £8,000
and has, not surprisingly, left him afraid of dentists.
It's a scary thought of having more dental work done,
but it's a worse thought to have, you know, teeth like this
and suppressing my smile and everything for the rest of my life.
But to get his mouth fixed, Jonathan has to face his fears.
He has made the journey from the West Country to West London
for an appointment with dental surgeon Dr Anthony Zybutz.
Let's have a look and see what's going on.
That's all decayed. We can see all that black brown sort of rot
with a dollop of filling material on top.
Well, that's never going to work.
Here's a root that's been left behind.
We can see that's brown and it feels soft and it's breaking up.
Even more shocking to Anthony is the state of Jonathan's implant.
If I push with my finger, I can actually see the implant.
Well, I'm not surprised it's not working. It's not even in the bone.
Dental implants use titanium anchors that are fused to the jaw bone
which makes them secure.
If the bone is missed, like in Jonathan's case, the implant is useless.
There's nothing we can do with that implant except take it out,
get rid of the infection that's in the bone, get some new implants in place
and get you some rock-solid teeth, not like these sort of yellow tombstones.
That's just awful.
It literally looks like a bomb's gone off in here.
Measurements, X-rays, CT scans and moulds
are made of what's left of Jonathan's rotten teeth in preparation for surgery.
Coming up - how filler can leave you in a bloody mess.
The pus was just disgusting.
Like, I'd be out and I'd just feel dribbling coming down my face.
A botched penis op.
It felt like a screwdriver
poking at the inside of the scrotum,
trying to break free.
And Jonathan faces his fears.
Can you feel something?
The beauty industry spends millions
convincing us to buy their cosmetic products,
products which are tested thoroughly before they hit the market.
You'd think that the cosmetic filler industry
would also be highly regulated.
In fact, it's not and thousands of women who believe they are safe
develop problems years after treatment.
Their faces are filler-filled ticking timebombs just waiting to explode.
This was the case for 41-year-old mum of four Stacey Hohn,
from South-West London.
In her early 20s, Stacey had temporary fillers injected into her lips
and into the lines around her nasal folds.
I was young. I just think I was really insecure
and I thought that would make me more pretty or more womanly.
Over the next four years, Stacey visited a cosmetic surgeon at his clinic
every six months to top up this temporary filler
at a cost of up to 1,200 a time.
Because it was so expensive,
I didn't think that they would inject
anything bad into my face that they didn't know anything about.
In 2000, Stacey was excited to hear about a new one-off permanent treatment.
It would cost £700 and only take 15 minutes.
She wasn't told that once injected, there's no going back,
and it could only be removed by surgery if anything went wrong.
If you have this done, you don't need to worry about coming back
and having needles, so I said yeah. I didn't question it.
Stacey had the procedure and was pleased with the results.
Years went by with no apparent side effects, but all that was about to change.
All was fine for about seven years
and then, in 2007,
my lips, like, started pussing up
and that's when my lips started to become really lumpy and they started seeping pus.
The filler in Stacey's lips was being rejected by her body,
causing a chronic infection.
The pus was just disgusting.
I'd be out and I'd just feel dribbling coming down my face from,
from the lumps and it was, yeah, it was just really gross.
She went back to her cosmetic surgeon
who injected the pea-sized lumps directly with an anti-inflammatory
to try and dissolve them, but to no effect.
That was so painful because they were like, they were as hard as rocks,
and, yeah, I think that angered me more.
He didn't apologise. He never... He's never said sorry.
Basically, what's left is hard plastic, what's left in my face,
and that's... my body's rejecting it, hence why it's pushing it out.
The consequences of Stacey's botched-up filler injections have been life-changing,
putting a huge strain on her relationships with friends and family.
I can feel the lumps when I kiss her, but that's...
she has stopped making that type of contact with me.
I wish she never ever had the filler because before she was so outgoing.
There was nothing to stop her doing whatever she wanted to do.
It's like I walk with my head down because...
Or... Um...
Cos I don't like to... I don't like to...
to look at people or smile, or...
I cover my face and look down.
No one knows the real me because...
I do, I just hide away.
It's easier to... to, um...
It's easier to stay inside.
Stacey has braved the outside world in a last-ditch attempt
to find out if anything can be done.
Cranial facial surgeon Niall Kirkpatrick is tasked with repairing
her infection-riddled lips.
You really do have some big lumps underneath there, don't you?
Yeah.
I mean, that's enormous.
That's more than a centimetre in size really underneath that.
The filler has reacted with Stacey's tissue,
forming hard lumps known as granulomas.
And you certainly feel it very much more than you actually see it.
After Niall's thorough examination, it seems that surgery is the only option.
Now, firstly, the filler that you have in here,
the nasal-labial fold region here,
that's in a place where it's actually possible to remove it
and hide the scare in the natural groove that you have here.
Likewise, where you've got the chronic infection on this side,
that's also an extension of this line
and so that's where, you know, we can make big improvements for you.
- Are you alright? Do you want a tissue? - Just sounds amazing.
After years of living with a disfigured face, this positive news is overwhelming.
However, Niall believes the process of reversing the damage
won't be without its hurdles.
- It's the top lip that's the tricky bit. - Yes.
We're going to have to make a new scar along the junction of the top lip as well.
Hopefully, by reducing the amount of this tight tissue,
it'll make the lips more comfortable for you.
But, most importantly, in particular lights and things,
the irregularity should be considerably improved.
But with such extensive damage and scarring to Stacey's skin,
there's no guarantee that her corrective surgery will be a success.
Jonathan is about to undergo a gruelling 12-hour procedure to remove all his teeth,
to reverse the damage caused by 20 years of diabolical dentistry.
He will be under the care of dentistry duo Michael and Anthony Zybutz.
It's going to be a good day today. Come on in.
The initial part of the lengthy procedure
will be carried out by specialist periodontist Michael.
Then his brother, Anthony, will take over and fit Jonathan's new teeth.
And their anaesthetist will make sure that Jonathan is sedated
but awake during this marathon operation.
First of all, the infection plus any trace of the dodgy dental work
will have to be cleared out.
Michael starts by folding the gum away from the bone
so that he can see what's going on beneath the surface.
This implant isn't even close to the bone.
Implants should be fused with the jawbone, making them near impossible to remove.
But Jonathan's £4,500 worth of dodgy dentistry
glides out with relative ease.
There it is.
40 minutes in and Michael gets to work
extracting the remainder of Jonathan's decayed teeth.
Could you open wide as you can? Thank you, that's great.
With no top teeth remaining,
the jawbone is profiled to ensure a snug fit for the new teeth.
One hour and 45 minutes in,
and it's time to insert the first of four implants into Jonathan's upper jaw.
These will eventually hold his new teeth in place.
These implants are super-long and they go in at an angle.
So that they take the maximum amount of bone to hold up all the teeth.
Three hours in, and Michael's brother, Anthony, takes over
and makes an impression of Jonathan's mouth.
It'll be used to ensure the new teeth are positioned correctly.
I'm very lightly feeling the ridge, just to feel where the bone is,
because it gives me an idea as to where the teeth are going to go.
Whilst the technicians get to work creating Jonathan's new teeth in the lab,
the entire procedure is repeated.
However, with the lower jaw, they have to tread carefully.
Very soon we're going to have to expose a very important nerve so we can avoid it.
But the effects of the anaesthetic are wearing off.
- Can you feel something? - On that tooth.
- You can feel it? - Yes.
So Michael tops up the levels.
Alright, you let me know if that's any better.
So that's the nerve emerging from the bone, just that white bit there.
And it's very important that we avoid it when placing the implants.
If we hit this nerve,
his lip will go numb and it could be permanent.
It's very serious.
With the nerve safely avoided, five hours in and the bottom implants are fitted.
All the implants are in really tight. They're exactly where we want them.
It's been a good day of surgery.
And Jonathan, still heavily sedated,
is blissfully unaware of how long he's been under the knife.
How long did it take?
Ten.
Ten minutes.
- Ten minutes? - Yes.
Good.
Nine hours in and it's time for Anthony to fit Jonathan's new teeth.
All these teeth need to be attached to the implants
and the way we do it is with four titanium screws.
So everything is extremely strong and extremely tight.
And now it's time for the bottom teeth to get into place.
Beautiful fit.
So we're all done.
12 hours after arriving at the surgery,
it's the moment Jonathan's been waiting for.
- Really weird. - It's going to be amazing.
My God!
That's insane.
They look... totally natural.
So after 20 years of dental misery,
just one day of corrective surgery
has finally put the smile back on Jonathan's face.
You know, the confidence is back.
You know, Leanne loves the fact how much I can now smile at her.
And, yeah, I mean, it's awesome, absolutely amazing.
Cosmetic dentistry and cosmetic surgery is expensive in the UK.
With even the cheapest procedure running into thousands,
more and more people are heading off on scalpel safaris.
Breast enlargements, face lifts and arm lifts
are among the operations on offer
to those willing to go the extra mile for a cheaper cosmetic deal.
It's not something you can go onto the internet and go for the cheapest thing.
You must do your research and consider the lifelong implications
of cosmetic surgery.
In our survey, 43% of you
said you would be happy to travel abroad for cheaper surgery.
But as 35-year-old mum of two Laura Green found out,
cheaper doesn't always leave you cheerful.
I guess the main factor for myself was obviously, you know, the price,
and I used a surgeon that my friend had also used
and had the same procedure that I wanted done.
The surgeon was based in Belgium,
but he told her he was often in the UK, so they arranged a meeting.
So I went to London to have a consultation. Sounded great.
Really looking forward to the procedure, so I went over to Brussels.
I had two procedures.
I had a breast implant and I also had an arm lift.
And I couldn't wait to see, you know, what my arms were going to look like.
It wasn't really until I got home and I kind of looked in the mirror at my arms
in the bandage and I kind of thought straight away,
"They don't look any different."
Laura paid a total of £3,800 for her surgery.
The boob job was a success but her upper arms were left sagging,
sore and painful with masses of unsightly scarring.
I decided to go back to see the surgeon and explained my scar
was very, very painful still and it looked like it was growing.
Laura was told that the swelling would go down and to come back in a year.
The pain was sort of on a daily basis
and the pain was very much like electric shocks in my scars, stabbing pains,
quite uncomfortable, especially when I slept.
I would be woken up with the shooting pain in my arms.
After a year, Laura returned to her surgeon.
When he looked at my arms, I could tell that he looked shocked
and at that point he basically said everybody heals differently.
This is the way your body has healed.
He said if I wanted the procedure again, he would do it for a discounted price.
I'd already paid the money to have the procedure done.
I didn't have the money to go back and have something corrected.
She is not alone. Statistically people who travel abroad for cosmetic procedures
face an increased risk of complications,
compared to those who have treatment in the UK.
It's embarrassing. It's not something, you know, that I want to talk about.
I wish I could just forget about it but I can't,
and unless I want to have a life of taking painkillers,
I have no option and I have to just, you know, grin and bear it.
Laura's in West Sussex to see plastic surgeon Peter Arnstein
to find out if anything can be done to reduce the scarring,
eliminate the pain and lift her sagging upper arms.
Yes, so your scars are pretty symmetrical, aren't they, and equally stretched?
Yes.
And I would say that this is, whatever was done,
it was not an adequate operation and I think a handful coming off here
would do very nicely and much improve it.
- Is this tender at all now? - Yes.
- To touch or just generally? - Not tender.
The pain that I have in there is like electric shocks, like a stabbing pain.
There is a nerve coming up here called the intercostal brachial nerve
and sometimes it's cut and therefore you get a numb patch in this area.
I have, both my arms are very numb around my scar.
It could be that and that could be looked for, though it may not be easy to find it.
OK.
Thankfully for Laura, Peter can help with the sagging and sore arms.
Coming up - a face full of infected filler.
So we're just excising this little chronic discharging abscess.
A penis horror story.
The rip in my scrotum went from top to bottom.
And all the tubing was hanging out.
And Laura's flabby arms are fixed.
It's coming together nicely and I think we've got a fairly good match.
In 2005, the cosmetic procedure sector was worth 720 million.
By 2010, it was valued at 2.3 billion.
And by 2015, the sector is forecast to grow to 3.6 billion.
The popularity of dermal fillers is helping to fuel the rise
and more injections means more problems.
The youthful, plumped-up appearance Stacey was hoping for
resulted in hardened lumps and oozing pustules.
The day has come to remove them.
I'm so happy because it's just affected my life so much.
I've just been feeling more and more anxious.
It's going to change our lives immensely.
Consultant plastic surgeon Niall Kirkpatrick is operating.
With a face full of festering filler to be removed, Niall gets to work.
So we're just excising this little abscess that keeps...
It's a sort of chronic discharging abscess here.
The hardened infected lumps known as granulomas are delicately removed.
That's all granulomatous reaction to the filler.
You see, what I'm doing here is just peeling the muscles away
from where the granuloma is here.
There we go.
One hour in and confident that he has removed the last of the infected granuloma
from Stacey's cheeks, Niall moves onto her top lip.
So what I did is I made an incision exactly along the line
that I want the scar to sit at.
And now I'm just lifting up the pink of the lip, the vermilion,
just sort of very... trying to get a very even layer.
Niall is able to remove another sausage of filler from her lips with relative ease.
It's fiddly and we're always going to leave
very, very small amounts of granuloma and filler behind probably.
If you go trying to get every last bit,
you will almost certainly end up destroying important structures
and you don't want to do that.
But stitching her lips to make them natural looking
is another matter altogether.
It's very important that the edges are reverted up like this,
instead of inside because this is meant to be a ridge.
If we stitch it in a way that, in a normal way,
it will sink in and look like a groove.
So what I want to ensure here is that we've got nice symmetry
between the two sides as well.
Finally, after two hours,
Niall moves onto the bottom lip where yet more infected lumps
of tissue are lurking beneath the surface.
Usually the infected area would be injected directly with adrenalin
and anaesthetic to reduce bleeding, but not today.
Niall doesn't want the lip distorted.
I'll just take a fresh swab.
Less swelling means more accuracy but more blood.
With the last of the filler removed, Niall finishes stitching up Stacey's bottom lip.
It comes as no surprise that he is not a fan of the use of permanent fillers.
Easily end up with a permanent problem,
which for something that was usually
for a very small problem in the first place,
to end up with a major complication is somewhat of a shame.
Operation over, Stacey might be battered and bruised
but is at last free from filler.
Five weeks after surgery and Stacey
is on her way to show Niall the results of his work.
- Has it made a difference? - A huge difference, yeah.
I've been told I have a really nice smile which is...
- Great. - Yeah, which is lovely.
The lumps of infected filler have been removed,
leaving Stacey with luscious-looking lips and a filler-free face.
Where we made those scars along there,
that's just feeling a little bit tight at the moment and that will also soften a lot
but it'll take quite a few more months before it does.
I really want you to make that big smile, stretches and stretches on that,
so that scar eventually gets really, really soft
and that sort of slight band-like feeling will settle.
Fantastic.
It's made a huge difference. I'm no longer afraid to look people in the eye
and talk to them. I'm not hanging my head in shame,
not wanting people to see my face. I'm no longer hiding away.
49% of people having permanent filler experienced problems
and, of those, 89% will require surgery,
as 63-year-old salon and gym owner Jackie Commissar discovered to her cost.
Having been in the beauty industry and working around women all the time,
you want to look good all the time.
Six years ago at a work seminar, she met a cosmetic surgeon
who told her about a new product that would improve her ageing skin.
And it will be permanent and you'll never have to worry again.
Your cheeks will look terrific and your face will look great.
Assuming she was in safe hands, she handed over £2,000
and went ahead with the unregulated procedure.
I was happy with it until about two years ago
when I started to feel... lumps.
And it scared the life out of me.
I started to feel sick because I thought I've got a product in my face
which is permanent and what have I done? I'm such an idiot.
But looking up the product, only confirmed her worst fears.
Looking on the internet was probably the scariest thing I've ever had to do
because your stomach goes over when you realise
that you have a product in your face which at any time could flare up with infection,
And I'd take one look at myself in the mirror and I'd just want to cry,
because I was so frightened of what could happen to me.
She eventually plucked up the courage to confide in her best friend, Stephanie.
She said I've had a filler which is a permanent filler
and it's all gone horribly wrong for me and I don't know whether I can get it out.
Jackie needs the lumpy cosmetic filler removed,
but that hasn't deterred her from seeking more cosmetic procedures
in a bid to look younger.
She's decided to travel 5,000 miles to Hollywood to have the filler removed,
so she can have a revolutionary new facelift at the same time.
Jackie's booked in to see Dr Francis Palmer, a Beverley Hills plastic surgeon.
She called me up and sent me an email and said,
it's moved, it's lumpy, it's bumpy and by the way my face has aged.
What do you think, what do I do?
The main side effect of permanent filler is that rather than staying put,
it percolates through the tissue and migrates vertically
to other parts of the face leaving lumpy pockets.
I think there's a little piece in there as well.
Some of these smaller ones... Like, see this?
Some of these real small ones, I'm probably not going to be able to get
because, literally, there isn't enough volume.
Same thing here.
It's just to fill this out slightly.
As well as removing the lumps of filler, Dr Palmer will perform a micro facelift
and inject a US approved temporary filler.
The temporary filler lasts about nine months.
It's not the worst thing in the world to go in and have maintenance.
I think it's far better than trying to have a permanent solution
that falls, moves, lumps up.
The micro facelift is normally performed without a general anaesthetic,
but in Jackie's case the removal of the filler complicates matters,
so she'll need one.
It should still be a straightforward operation. Only time will tell if it is.
I don't think from speaking to Dr Palmer
that there is that much risk,
But then, I don't really want to think about the risks.
I want to think about how I'm going to look afterwards.
So maybe I'm just like pushing it away.
Someone who knows only too well the risk of surgery abroad is mum of two, Laura.
Today, she's in West Sussex for surgery to repair her sagging,
heavily scarred, painful upper arms,
left following an arm lift she had done just 225 miles away in Belgium.
She is under the care of specialist plastic surgeon Peter Arnstein.
An armlift procedure is not particularly complicated,
but it does have to be done carefully and it's all in the planning.
Measure very carefully, to make sure that there's not too much skin removed
or, as in Laura's case, really too little tissue.
So she's left with quite a big bulge still.
Peter begins by cutting away the large scars on Laura's arms.
Laura's scars are placed too far forward to my mind,
which makes the whole operation rather rigid and difficult.
And unless you can cut them straight out, you are limited.
You're hampered by where you would like to place the scars.
Here you can see the fat.
You can see, it's not smooth, it's all blobby stuff.
And this is under the surface of the skin here,
a deeper layer and that's also scar tissue from the previous surgery, the white.
Peter then removes the surplus fat and skin
that weighs over 500 grams.
We'll stop any bleeding, then we will put some temporary stitches in
to see what it looks like
and if any more needs to be removed to get the good shape.
So the little sensory nerve,
which normally supplies an area of skin just below the armpit
is likely to have been cut in the previous surgery and this is not unusual.
It normally ends up just leaving a numb patch.
But for Laura, the cut end seems to have caused her electric-type shock pain
running down into her arm.
Now it may be that that nerve is just caught up in the scar tissue
from previous surgery and by re-doing the surgery,
we re-trim the nerve and the pain is gone.
But I can't guarantee it, sadly, so we can only hope for the best.
After putting in the temporary stitches,
Peter makes sure that he has taken away enough fat.
We've tested the wound closure and it seems to sit quite nicely.
Don't want to take any more out otherwise Laura will get a cavity here
and that would look really peculiar in terms of shape.
So we've put our first layer of stitching in which takes up the stress of the wound
and now we're closing the rest with this dissolving barb stitch.
It's got little barbs in the stitch and it grips as it passes underneath the skin.
They take a few weeks to dissolve and therefore support the wound very well.
41 minutes into the operation and Peter is happy with Laura's right arm.
He then repeats the process on the left.
It's coming together nicely and I think we've got a fairly good match.
Having removed over a kilogram of excess fat from her upper arms,
Laura is left to recover.
Just two weeks after her surgery, and Laura is back in West Sussex
to see surgeon Peter Arnstein.
So what I've done for you is taken away a bit more surplus skin
- but also underlying fat. - Yeah.
Tidied up the scar. It's got long-acting stitches,
so hopefully they will support the wound well
and you'll not end up with a stretched scar again.
Great.
Her sagging, scarred, sore arms have been re-shaped
and contoured to give her more defined, slimmer upper arms.
Yeah, that's great, I'm really pleased. Yeah, huge improvement.
It's made a huge difference. I'm so much more confident
and just knowing my arms do look better.
I've got more of a choice of clothes,
without having to wear sort of long-sleeved tops. I just feel great.
No cosmetic procedure is risk-free
and complications after surgery can occur
whether it's carried out in the UK or abroad.
However, surgical cosmetic procedures performed overseas
come with increased risks.
The complication rate for people undergoing cosmetic surgery abroad
is 16.5% compared to 6% in the UK.
But it's a risk 63-year-old Jackie Commissar
is prepared to take to look younger.
I don't really want to think about the risks, I want to think about...
how I'm going to look afterwards, so maybe I'm just like pushing it away.
She's travelled 5,000 miles to have permanent filler
that's hardened and migrated into unsightly lumps removed from her face.
The issues with permanent fillers are all the same in my opinion.
All the fillers need to be injected into the fatty layers of the face.
Fatty layers of the face don't stay put. If they did, I would be out of business.
LA surgeon Dr Francis Palmer is operating.
He will also carry out a micro-facelift to rejuvenate her face.
It's a procedure only he does
and is the reason Jackie has sought treatment so far from home.
Dr Palmer begins by making a small entry nick on her left cheek with a scalpel
and immediately starts to squeeze out the filler.
It comes out quite easily. You don't need to be aggressive with the tissues at all.
OK, so this one's completely flat now.
That's out.
This one, I might need to open up a little bit.
But to access the capsules of filler in the lower parts of her face,
he needs to go in using a long needle.
You never get it all out. The biofilm will remain around the material for ever.
12 minutes in and Dr Palmer is satisfied that as much filler as possible
has been removed from Jackie's cheeks.
After stitching her up, he starts on her facelift.
So what I'm doing now is this, lifting this skin up
over the parts of the face I can access the muscle layer.
Then the muscles of the cheeks are lifted before the face is pulled tight.
This is the muscle layer. See when I pull that, that makes the face look tight.
So this is why you have to find it, dissect it, trim it, elevate it,
sew it back together or you're not going to get a proper lift.
Just one hour in and Dr Palmer has lifted the cheeks
and sucked out excess fat from around her neck.
Next, I want to shape the cheeks.
And now with one brand of filler removed,
Dr Palmer injects Jackie's cheeks with another temporary variety.
After just an hour and 30 minutes, the operation is over.
The following day, Jackie can't wait to see her lump-free face.
Look at that, just gorgeous.
Thank you so much, You're welcome.
It's wonderful.
The lumps of filler have been removed
and Jackie's face has been given a smooth appearance.
Back at home, Jackie is pleased with the results.
I feel more confident, I feel younger, um,
and I feel relieved that I was able to be lucky enough
to have something done.
Coming up - a disastrous penis op.
He basically told me that the first surgery was botched
and whoever did it didn't know what they were doing.
There's no part of your body that you can't have cosmetic surgery on
including your most intimate areas.
An estimated 2.3 million men in the UK suffer from erectile dysfunction
and an increasing number of them are opting
to go under the knife to have it treated.
Most men with erection problems have an inability to get or maintain an erection
satisfactory for sexual intercourse.
In the States, an estimated 30 million men suffer with the condition,
many of which choose to have surgery,
men like 45-year-old Maryland truck driver Dan Metzgar.
However, when he decided to go under the knife
to cure his penile problem, it ended in disaster.
I started having erectile problems
probably in 2006 and they gradually got worse.
And it was very difficult to live with.
I could see it was taking a toll on him because I knew that he was, you know,
not feeling like a man. I mean, he just was in despair.
Dan tried everything from oral medication to injections. Nothing worked.
There was only one thing left, to try a penile pump.
It has two little balloons which are implanted into the penis,
a small pump which lies in the scrotum
and a reservoir of saline which lives in front of the bladder.
When the patient wants to have an erection,
he simply squeezes the pump and the cylinders fill up with saline
and then become both swollen and also quite rigid.
Dan handed over $42,000 and he was booked in as an outpatient
for what was meant to be a one-hour operation.
One hour turned into four and Dan had to spend
a further four days in hospital to recover.
When he finally returned home, Dan's penis was extremely swollen
and he was in excruciating pain.
The pain every day was like something stabbing me from the inside.
It felt like a screwdriver poking at the inside of the scrotum
trying to break free and it didn't go away, it didn't get easier.
And so he kept going to the doctor and they kept telling him the same thing,
you've got to wait for the swelling to go down.
Which it eventually did. However without any swelling,
Dan noticed that his penis was constantly erect.
I thought it was normal. That's the way they left me,
that must have been the way that I was supposed to heal.
I figured when I went to the doctor, they would teach me how to use it.
Without too much concern, Dan returned to his surgeon for advice.
Trying to get the pump to work, he squeezed and squeezed
and squeezed to the point where I was black and blue again.
At this point, I realised something was wrong.
The pump was defective.
Dan's surgeon told him he'd need to hand over a further $10,000 to remove it.
It was money that he didn't have.
I decided to go and get another opinion and he basically told me that
the first surgery was botched
and whoever did it didn't know what they were doing.
It's very embarrassing to walk around with an erection that won't go away,
not to mention painful.
Imagine trying to stuff an erection into your pants and hide it all the time.
I was wearing baggy clothes and overlength shirts to try to hide it.
I saw the way people looked at him when he was walking down the street.
I mean, they would notice it.
I couldn't do anything. I basically became a recluse, stayed inside.
I hid from everybody.
Dan lived for eight months with a permanent erection.
I have been living these months feeling like dirt.
My son was embarrassed of me. He didn't come around me for months.
I was the guy with an erection. He didn't want to be around me.
However, it was whilst on a family break away
that the situation went from bad to worse.
While we were walking around, I started to feel...
like a... like a paper cut or a tear in my scrotum area.
So I went to a public restroom
to see what was going on and I noticed that my scrotum had ripped open.
The pump that had been surgically inserted into Dan's penis had become infected
and the tubing had burst through the scrotum wall.
By the time we got to the hotel room, the rip in scrotum
went from top to bottom and all of the tubing was hanging out.
I was scared to death.
Dan was in need of urgent medical assistance.
To his relief, repairing the damage was covered by his medical insurance.
Dan went on to have three more emergency surgeries for the infection.
The penis pump was removed and what was left was like an empty sac.
I... Really, I didn't feel like a man at all. How could you?
So we decided that the only way I was going to be normal
was to be able to get back what I had lost.
Having healed, he found a reputable surgeon
and with his insurers agreeing to pay, Dan returned to the operating table
and had a new penis pump fitted.
And here is the pump unit itself.
It has the ball here that you squeeze to pump up the device
and it has a little push button right in here to deflate the device
As you pump it,
the fluid goes into the penis and it becomes erect.
As a result of his poor surgery, Dan's penis
is now half the size it once was.
I mean after all that we've been through, I'm grateful to have what I do have.
At least I can make love to my wife, which was really the big thing.
Things are working well and we have a pretty much normal life.
I would just urge anybody to use caution before having any surgery.
You might get more than you bargained for.
Next time - the hearing op that ended in a collapsed nose.
I had no idea my nose was going to be touched.
A horror hair transplant.
Emotionally I was just broken.
And butchered breasts.
All of a sudden, this stuff started leaking out of my boob.