The doctors meet a set of twins with not so identical problems. Dr. Dubrow tries to help the world's first paraplegic fitness model achieve her dream, while Dr. Nassif performs a rhinoplasty on a woman whose nose has been altered by a cleft palate deformity.

Dr. Dubrow helps a fitness fanatic fix her lady lumps while Dr. Nassif helps a house flipper close the deal on her witchy nose, and a house husband with a plus sized pout hopes to supersize it.