In the series premiere, Doctors Paul Nassif and Terry Dubrow are first faced with a breast job gone horribly wrong, causing Dr. Terry Dubrow to change his plans last minute and delay putting in new implants. Meanwhile, Dr. Paul Nassif encounters a not-so-young woman who's had 6 failed nose jobs. Finally, the doctors meet Justin Jedlica, the Human Ken Doll, to hear his ideas for future surgeries. Will the "Botched" experts be able to fix the unfixable plus get Justin his perfect body? Find out!

Supermodel Janice Dickinson's breast enhancements are from the '70s, and they need a re-do! Drs. Dubrow and Nassif take on the high-profile assignment, but difficulties arise when post-op painkillers clash with Janice's addictive past. Will her over-the-top personality endanger her recovery process? Meanwhile, new patient Paul's bungled nose job left him with a crooked septum, causing him constant migraine headaches. Can the doctors help?

Kimber James asks the doctors to fix her botched surgeries; Paul tackles a tragic deviated septum; Renee Talley wants her famous bottom fixed.

Toby persists in his quest to look like Justin Bieber; Desiree needs help after a procedure in Tijuana; Charlotte trusts Dr. Dubrow to fix her breasts before her sister-in-law's wedding.

A reality star seeks help to fix her botched surgery; Paul fixes a "Miss Piggy" nose; Madonna impersonator.

A personal trainer willing to go to extreme measures to remove a head scar; a cancer survivor that wants her botched breasts to look natural again.