Doctors Terry Dubrow and Paul Nassif continue their journey around the United States to meet patients whose bodily deformities have been caused not by mistakes with the scalpel but by the random hand of nature. In this episode of the 'Botched' spin-off series, the expert surgeons head down south to Louisiana. Here, they meet with a man whose nasal syndrome has him tired of facing the public. He hopes the doctors will provide him with the surgery he needs, not only to improve the way he looks but to give him more confidence to meet with people too. After consulting with their patient, the pair travel back to California to meet with a woman who was born with a conjoined twin on the butt. Once again, the two doctors are called upon to use their particular set of skills to provide the surgery that is needed for the people in their care. By doing so, they will give their patients the chance to lead a normal life.