HOST: Welcome to the world of plastic surgery, before and after. An image consultant in Beverly Hills, California, 50-year-old Eve Michaels places a high priority on looking good. In fact, she feels her extremely youthful appearance had been an asset in raising her two daughters.
EVE: People always tell us we look like sisters but sometimes I think we really feel like sister kindred spirits. I think looking young has been a good role model for them and has always made them feel that I could relate to them.
EVE’S DAUGHTER: My family and I are very close especially my mom, my sister and I where we talk and we are her two little girls.
HOST: Girls who play together, shop together and these girls have also decided to have plastic surgery together.
EVE: I had been thinking about having my nose and my neck done now for awhile and then oddly enough my daughters came to me and said, “Mom, do you think you could help us?”
EVE’S DAUGHTER: I tried everything to hide my hips and my thighs from wearing bigger clothes to a little more fitted and I am always self conscious. “Mom, we need to go to the tailor again.” I hate that. They are completely hanging over and the pants won’t fit. They fit the back.
HOST: Nicole’s complaint is different but genetically speaking similar to her mother.
NICOLE: My mom and I have similar noses from the sense that we have the same profile. My face from the front looks more even, you can’t really tell I have a bump on my nose but from the side you can definitely tell.
EVE: I thought well, I have always liked looking like my daughters, Nicole and I have looked alike and I thought well if they were going to do it then maybe I will do it and let’s just do it together.
HOST: No stranger to plastic surgery, Eve has previously undergone a breast enlargement and liposuction. She chooses a practice in Beverly Hills that will address all their concerns. Eve and Nicole consult with Dr. Paul Nassif about their facial work.
DR. NASSIF: Hi Eve. Hi Nicole. Nice to see you. How are you? What I would like to do is review some things with you and talk about both of your surgeries. From the frontal view, one of your complaints has been that the tip of your nose is dropping, correct, and you are starting to get a little laxity in your neck and your jowl line.
HOST: To tighten the skin on Eve’s neck, Dr. Nassif explains his process of a lower facelift.
DR. NASSIF: A lower facelift really concentrates on the jowl area and the neck. You, especially for your age, look great. You are doing this pro-actively.
HOST: Dr. Nassif also suggests both Eve and Nicole consider an additional procedure.
DR. NASSIF: When someone looks at their nose and they feel that it sticks out too much, it is sometimes because the chin is set back and recessed. In your situation, that is what is happening. What we do is we make a small incision right her, slip in a chin implant which extends about that far. At the same time, like your mom, we are going to do pretty much the same thing with you. We are going to soften up that bump you have there and make the tip a little bit less round, and I will see you in the operating room.
HOST: Eve and her daughter Marissa consult with Dr. David Amron about liposuction.
DR. AMRON: Eve, hi! Dr. David Amron, very nice to meet you. Hi Marissa, Dr. Amron, how are you today? In review of liposuction, it is not just about going after fat, it is really targeting disproportionate areas that are really determined by your genetics. It sounds like you have some areas that you are not able to get rid of, which are most likely your disproportionate areas so my goal is to balance your body.
HOST: Eve has decided to have her previous liposuction revised.
DR. AMRON: There are quite a few irregularities and in her case we are going to be helping to smooth out those irregularities. Also in her case, I am taking fat from the areas and injecting them in a fat transfer to help build up those indentations from previous surgery.
HOST: It will take three days to complete all the desired procedures.
EVE: I am looking forward for them to have my nose and for me to have their waist and start being able to share some clothes.
HOST: On day one, Eve is the first one up. She is prepped for liposuction. Eve is put under a local anesthetic and remains awake during the procedure. A fluid-containing saline solution and lidocaine, an anesthetic, is pumped into Eve’s body. It will help constrict blood vessels and prevent bleeding during the operation.
DR. AMRON: This is where liposuction was done before. I am doing a little bit more here because I think in this area it actually was done not quite enough. When you are doing an area that has been done before, when there is scar tissue there, it is much harder.
HOST: Some of Eve’s fat is then used to fill the indentations from her previous surgery. Dr. Amron checks to make sure her skin is now smooth.
DR. AMRON: That’s it, we are done. I think it went great. I think she will get a very good result, especially in the mid back area where we removed the fat, the upper abdomen.
HOST: Getting a smooth result from liposuction can sometimes be tricky and unfortunately there are many patients like Eve who end up with indentations. Those indentations are due to scarring and can result from many causes. Sometimes it is just the way the patient’s body heals but often is the result from using a cannula that is too large. A large cannula makes it difficult to get a fluid contour and is more likely to remove too much fat in a particular area.
The morning after mom’s procedure, daughter Marissa arrives.
NICOLE: I think liposuction will affect my sister in a really positive way for her. She is going to be able to go out and get those pants that are maybe a little more narrow in the hips that she was not able to get before.
HOST: Like her mother, Marissa is undergoing the procedure with just a local anesthetic.
DR. AMRON: In Marissa’s case this has not been done before and you really can feel a big difference. It goes in much easier, the fat is much softer.
MARISSA: I don’t dislike my fat, it just wasn’t the favorite part of my body.
DR. AMRON: Marissa, we’re done. You did a great job and I will see you in the recovery room in about ten minutes, okay?
HOST: Just 24 hours after her procedure, Eve waits anxiously to see how Marissa did.
DR. AMRON: I think she will have a beautiful result. She was a very good patient. Today she will take it easy and you will be around her today. How are you doing by the way?
HOST: Coming up next Eve and her daughters continue their quest for beauty and find out if summer’s breast reduction gives a boost to her self esteem.
When Eve Michaels and her two daughters Marissa and Nicole decided to have plastic surgery they chose to do it at the same time.
NICOLE: It is not something that you get to do all the time. People, especially family and friends, are going to be a good support system, all keeping together.
HOST: Supporting each other through three days of surgery, Eve and Marissa have already had liposuction and now 20-year-old Nicole is being prepped for her nose job and chin implant.
EVE: See you afterward, okay?
NICOLE: After the surgery I think my face is going to completely change. It is going to be cool to see myself different.
DR. NASSIF: I think we got exactly what we wanted to do. She should have a nice smooth line after surgery and the hump is gone.
HOST: On day three of the plastic surgery marathon, it is Eve’s second turn on the table. Dr. Nassif makes his first incision around Eve’s ear. After completing the lower facelift, Dr. Nassif moves on to the nose.
DR. NASSIF: When I compare Eve’s and Nicole’s nose, the goal is not to make them each have the same nose.
How are you doing? It went absolutely perfect. Your nose is beautiful already. I want you to just relax and I will see you in a while.
EVE: I don’t think that this will be the last important experience for me and my girls. I look forward to a lifetime of that but I know it is something we are going to look back on forever and really laugh, really smile.
HOST: Plastic surgery was a family affair for 50-year-old Eve Michaels and her two daughters Nicole and Marissa. After a three day marathon of liposuction, a chin implant, a facelift, and two nose jobs this mother and her daughters look even more like sisters today.
EVE: This experience has been fantastic for me. It has really brought my daughters and I closer together. It was wild. It was fun. It was nerve wracking. It was everything you would think it would be and more.
HOST: Though it has taken Eve some time to adjust to her new look.
EVE: At first I wasn’t used to myself. I was so used to focusing on the hump of my nose and now I really love it. I see quite a few results already from the revision liposuction. The new areas he did are amazing. Above my tail bone and my back I have no more midriff bulge behind my bra which makes me feel really young again. The changes I have seen in my daughters have been so amazing. I think Nicole’s new nose and her chin look breathtaking.
NICOLE: It is a weird thing to see my profile proportional for the first time rather then looking weird from the side. When I see my face, I look like a different person from the side. Now I look at myself from the side and I feel confident.
HOST: Marissa is also impressed with her results.
MARISSA: There are major differences especially when I look at the before and after pictures. I am much happier with my body now. I feel that I won’t have the bulges I used to have. I don’t feel that my hips are too big. I never had a butt that looked this good. There are a lot of different results. My body took a new form and shape.
EVE: It’s so good as a mother to see your daughters just feel and look so beautiful. All the surgery, all the recovery, everything was worth every penny. Everything that we went through was so worth it.