A countdown of Botched Most Outrageous Patients. Dr. Dubrow and Dr. Nassif see some over the top patients, including a Brittany Spears wannabe, a contestant from Ru Paul's Drag Race, and a life-like space elf!

A UK patient with a duck butt and bulging belly forces Dr. Dubrow to perform a two-stage revision. Meanwhile, another Brit needs Dr. Nassif's help to complete his K-Pop transformation.