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Kim and Kroy fly to Miami for a consultation as she considers post-baby plastic surgery. Back at home, boy-crazy Ariana craves her independence.
During their family camping trip, Kim is forced to forgo her venti caramel macchiato for a fishing pole. She and Kroy face questions about their damaged relationships with their parents when a playful game of Truth or Dare turns into Campfire Confessions.
Kroy joins Kim in Miami for her long-awaited mommy makeover, leaving Brielle and Ariana in charge of holding down the fort back at home in Atlanta. While Kim rides an emotional rollercoaster pre and post-operation, the girls do their best to manage the Biermann babies.