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July 08, 2014 at 07:27 PM EDT

In the introduction for the first episode of E!’s Botched, which premiered June 24, a narrator tells us that every year, nearly 15 million people get plastic surgery. Most of the time, things go as planned—but of course, there are a few exceptions. There are a few who get… cue title… botched. That’s where doctors Paul Nassif and Terry Dubrow—RHOC Heather’s husband—come in, specializing in revision plastic surgery.

Since you’ve been busy with Fourth of July activities and general summer fun, here are a handful of the delightful doctors’ patients, as seen on the first three episodes of Botched. As you might expect from a “medical” show, the following images may be slightly NSFW.

Justin, The Human Doll

Justin has had 132 plastic surgeries (you read that right), covering pretty much every area of his body. “I think of plastic surgery as art,” Justin said. “If everyone was doing what I’m doing, I would want to change everything again because I like setting myself apart and looking like my own individual and not being mistaken for anyone.” He certainly isn’t at risk of that—see photo above.

Justin came to Drs. Nassif and Dubrow with his self-designed abdominal implants in hopes of creating abs of steel. The pair ultimately turned him down as they felt it was excessive, but Dr. Dubrow was certainly fascinated. “He’s both Frankenstein and Dr. Frankenstein,” Dr. Dubrow said. “He’s his own creation.”

Alicia, Uniboob

Alicia had breast implants put in after giving birth to her son. The surgery, as the show’s title suggests, went terribly wrong, resulting in the uniboob. It is as it sounds: two breasts that are so big, the result of implants, that they have come together as one. Dubrow claimed the surgery to correct it would be one of, if not the, most difficult breast surgeries to perform. “On a scale of one to 10, this is a 12,” Dr. Dubrow said. But the surgery was a success, which her husband seconded: “Hopefully here soon I’ll get to check ’em out a little better.” Oh, men.

NEXT: Nip/tuck, repeat

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