#1
'I have to make sure my plan is a conservative one, it's a smart one and it doesn't take any undo careless risks with Rajee's face,' Dr. Dubrow told the cameras.
Dr. Dubrow explained to Rajee that he and Dr. Nassif have two major concerns when it comes to surgically taking the masses out of her face.
The doctor said that they are worried that when they go in there and try remove the cement, they will 'activate the inflammatory process' and turn her face into an 'inflammatory mess'.
Another concern was that the 'masses encase all the muscles, nerves, and blood vessels, and taking them out would do a lot of damage to the skin' and could potentially hurt her nerves.
However, despite the stressful situation, Rajee still managed to keep her sense of humor.
#2
A woman whose face was left disfigured after she received black market injections from a self-proclaimed 'physician' has finally had the cement nodules removed from underneath her skin after more than a decade of living with the damage that was once deemed untreatable.
Rajee Narinesingh, a 48-year-old transgender woman from Hollywood, Florida, who received harmful injections made up of cement and tire sealant in her cheeks, chin, and lips at a 'pumping party' in 2005, met with Los Angeles-based surgeons Dr. Terry Dubrow and Dr. Paul Nassif for the second time on Tuesday's season premiere of the E! reality series Botched.
'The day we graduate medical school we say, "Doctor do no harm." Rajee has never been offered a surgical solution because the risks outweigh the potential benefits,' Dr. Dubrow explained of the reason why he and Dr. Nassif turned Rajee away last year.
#3
Rajee was one of the victims of 'toxic tush' doctor Oneal Ron Morris, who performed illegal plastic surgeries using substances such as Fix-a-Flat, Super Glue and mineral oil.
After the life-changing injections, Rajee was left with a face that was filled with hard lumps, but she felt too embarrassed to go to the authorities.
Rajee turned to Dr John Martin of Coral Gables Cosmetic Reconstructive Surgery in 2012 for treatment of the harmful procedure, and she was given softening injections and laser therapy.
Hoping to finally have the cement nodules removed from her face, Rajee appeared on Botched in 2015, but she was turned away after her consultation because Dr. Dubrow and Dr. Nassif felt it was ultimately safer to leave her face as it was.
However, just a year later, the doctors were ready to give Rajee's face another look because Dr. Dubrow desperately wanted to help her, however, Dr. Nassif was admittedly still skeptical that it couldn't be done.
#4
When Dr. Dubrow told her that he and Dr. Nassif were going to examine each side of her face and then switch, she couldn't help but joke: 'I'm going to be double teamed... by doctors at that! I've come a long way baby.'
Dr. Dubrow told the cameras that the nodules in Rajee's face have been 'treated with very judicious injections of steroids which has stabilized them from an inflammatory point of view'.
During the consultation, he happily reported to Rajee that the steroids 'have really localized things' and reduced any kind of inflammatory response, allowing the doctors to easily see where the cement lumps are located underneath her skin.
Dr. Nassif was also impressed and urged Dr. Dubrow to feel two of the nodules on the side of her face, noting that they are 'very circumscribed'.
#5
The doctors ultimately agree to try surgery, but Dr. Dubrow warned Rajee that he wanted to start with one location at a time, which could result in multiple surgeries.
For Rajee's first surgery, the doctors tested the waters by removing a small piece of cement from her chin. Less than a week later, her chin was healing nicely, proving that the surgery had been a success.
After running some tests, Dr. Dubrow decided to schedule another surgery to remove the golf ball sized lumps of cement in her cheeks.
However, there were complications during the second procedure as a nurse told Dr. Dubrow that she heard a 'gurgling' from Rajee as her anesthesia started to wear off.
#6
The surgery was a huge success as Rajee was left with an almost completely smooth chin and cheeks after she returned home to heal.
When Dr. Dubrow met with Rajee for the first time since the procedure, Rajee makes her post-surgery debut in front of her friends and family.
And, of course, she can't thank Dr. Dubrow and Dr. Nassif enough for everything that they had done for her.
Rajee broke down in tears as she gave Dr. Dubrow a big hug to thank him.
'I feel so pretty!' she told the crowd, explaining that she can't wait to start her new life with her newfound confidence.
#7
This is not good,' Dr. Dubrow said. 'When a patient wakes up during surgery it's kind of alarming because sometimes they may not know where they are, they may start thrashing around.
'Their blood pressure can go up because of anxiety, you sort of lose control of your surgical field. So it's really important to have the patient calmly under anesthesia.'
After adjusting her anesthesia, Dr. Dubrow started working on removing the cement form her cheek, which was a difficult task.
The doctor had to use a bone saw to carefully cut out the cement, while ensuring that he hasn't damaged the muscle tissue or the nerves in her face.
But Dr. Dubrow was able to do what was once thought to be impossible, and after hours of surgery, he was able to completely remove all the cement from his patient's face.
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