A patient with bologna-sized areolas wants to turn them into pepperonis, while Dr. Nassif uses a ground breaking technique to rebuild a patient's nose after her tip turned black and died and Dr. Dubrow calms a patient who's terrified of going under the knife a fifth time.

An evil witch wants sexy cat eyes and gives the doctors a taste of her dominatrix ways; a surgery in Tijuana leaves a woman with stomach scars and nipples near her collarbone.