From Rajee's cement face implants to the twins Lucy and Anna who were crushed to discover their breast implants weren't precisely symmetrical, Botched has seen some exceptionally shocking before-and-after plastic surgery transformations. Dr. Terry Dubrow and Dr. Paul Nassif help hundreds of people with their corrective plastic surgery services, though they're not afraid to turn away a patient whose risks outweigh the benefits of a particular procedure.

"I realize there are 10 plastic surgeons on this block who'll operate on you, but I advise you to have realistic expectations," Dr. Dubrow, 59, has said of saying no to patients "Stop trying to be perfect. Plastic surgery is just a way to become a better version of yourself. People will say to me: 'Do I need this?' My answer is 'No. You absolutely don't need any of it, unless you have a major deformity that's affecting you socially.'"


"One of the things I like about Botched is that it's a cautionary tale," Dubrow continued. "Real surgery can be real dangerous. Make sure the benefits overwhelm the risks."

And the risks, we've definitely seen. Patients on Botched have been high-risk for blindness, necrosis, infections, granulomas, and more. Toby Sheldon — the infamous Justin Bieber look-alike who paid over $100,000 to emulate the singer's look — passed away of a drug overdose in 2015, a year after appearing on the series.

Take a look back at some of the most outrageous transformations done on Botched!