OPRAH WINFREY: What's happened since Jenny,
the plastic surgery addict, was on our show.
JENNY (VOICEOVER): Since the show taped,
I've just put things into perspective in a way
that I didn't before.
Whereas I was completely consumed with it,
now I'm trying to get a grip on the way I feel about myself.
And I'm trying to train my brain to learn to accept what I see.
And that is a challenge.
But I think I'm moving in the right direction.
So Jenny is just 28 years old.
When we met her earlier this year,
she had had 26 plastic surgeries, including
five to enhance her breasts.
And four to make her lips bigger, cheek implants, a brow
lift, and three nose jobs.
Welcome back, Jenny, to the show.
Well, first of all--
[APPLAUSE]
I bet you had no idea you were affecting
people like Jesse and Taron.
No, I didn't.
But that was my purpose of coming on the show,
is to bring awareness to this problem.
Yes, did you realize how serious the problem
was for you, though, even?
No, I didn't.
I didn't until after I had gone home
and watched the show over, and over, and over, and over again.
And I hear you've been trying to come to terms
with this since the show.
Yes.
Yeah, how so?
Well, I try to just occupy my time
and staying away from the mirror when I'm
not feeling good about myself.
And you know, just trying not to obsess about it so much.
Went to see a psychiatrist and started taking
some medication, which helps.
And I feel like I'm getting better.
- You do. - Yeah.
It's been 18 months since Jenny--
[APPLAUSE]
--had any plastic surgery procedures.
But last week, she says, she couldn't
fight her demons anymore.
Be warned, if you don't like needles,
you might want to turn away.
Take a look.
JENNY (VOICEOVER): It's still a big part of my life,
the body dysmorphic disorder.
When I wake up, I'm always looking in the mirror
to see what my nose is going to look like for that day.
I check it from every angle.
One side looks different than the other,
and for some strange reason, I hope that maybe it will change
and it'll look different in the next few minutes
when I look in the mirror.
But it doesn't.
I feel like my nose is distorted.
OPRAH WINFREY (VOICEOVER): On this day,
Jenny is going back to her plastic surgeon
to fix the flaws she sees.
JENNY (VOICEOVER): I get a shot in my nose
and if it shrinks down, then I'll leave a happy person.
If the shot doesn't work, then I'm going
to have a fourth nose job.
And pray that my nose doesn't completely collapse on my face.
OPRAH WINFREY (VOICEOVER): Jenny's
already paid a hefty price for her preoccupation.
Remember, she cannot even breathe normally.
JENNY (VOICEOVER): I have to swab
my nose multiple times a day.
I can't blow my nose.
Most of the time I just do it, just to clear out my nose,
so that I can breathe like a normal person,
instead of out of my mouth.
OPRAH WINFREY (VOICEOVER): And it's not just her nose
Jenny's craving to change.
JENNY (VOICEOVER): Depending on who I'm around,
I don't like smiling and laughing.
Because I don't want them to see my crow's feet.
I don't want to look old.
I'm wanting the Botox around my eyes.
I don't want permanent lines to be there.
Once it becomes permanent, I have to have a facelift.
It feels like I'm getting a fix.
I would say that there is a rush.
I like, for some reason, even walking in the door
to my doctor's office, makes me excited.
It's the reflection in the mirror
that I'm hoping that I will be pleased with.
If it means that I've got to get stuck
15 times in my face with needles then I'm going to do it.
Oh, that hurts.
Make sure you get them all though.
DOCTOR: I will.
Oh god, that hurts.
So you felt like you were doing better
and then you slipped.
Have you had the same plastic surgeon
through all your procedures?
All except for one.
My very first breast implants I got from a different doctor.
What does your doctor say about this?
He says that, you know, there's
a lot of people that have this a whole lot worse than I do.
But it's a problem and he would like
for me to slow down the process, just like my psychiatrist
would like me to.
And encourages me to do that.
And so you know, doing the shots and the Botox,
it's less invasive.
It's better than going under the knife
and doing things that are much more drastic than--
Well, you know, I don't know your doctor.
We didn't give your doctor's name, didn't
show your doctor's picture.
But I think for you, and for Michael Jackson's doctor,
whoever y'all are.
I-- anyway.
[LAUGHTER]
[APPLAUSE]
DR. KATHARINE PHILLIPS: Surgery doesn't work for BDD.
OPRAH WINFREY: Surgery doesn't work.
Does not work.
Dermatological treatment doesn't work.
The problem is not with the outside,
it's not with how you look.
So if you change a surface characteristic with surgery,
the body image problem remains.
But isn't there any ethical question involved
here with a doctor who--
a doctor who knows that this is a disorder
and continues to offer surgery and other procedures.
Something's wrong with that.
[APPLAUSE]
One problem is that BDD is still
an under recognized disorder.
OPRAH WINFREY: Well, whether it's under recognized or not,
he's looking at her face.
That's not under recognized.
But you know, I don't know who he is, so fine.
Last week, Jenny broke down, had a series of Botox injections.
But that wasn't all she wanted, take a look.
So what would happen if I wanted another nose job?
DOCTOR: We would talk you out of it.
The results could be worse than where we are right now.
We often have to make the decision to say, hey,
enough is enough, OK?
OPRAH WINFREY (VOICEOVER): Jenny's thick medical chart
includes an eight page letter begging her doctor
to make her nose smaller.
JENNY: After this little bit of swelling goes down,
that's as small as it's going to get.
DOCTOR: Mm-hm.
It's as good as it's going to get.
DOCTOR: Yes.
And I have to learn to live with it.
DOCTOR: Correct. - Like that.
DOCTOR: Correct.
Because if I go in and and I do surgery again.
DOCTOR: We risk collapse of the nose.
I cannot have any more nose jobs.
Because then I won't have a nose.
And that's-- makes me feel like I don't have another option,
if I don't like what it looks like after
all the shots are finished.
And this is what I have to live with.
What I have right here, right now.
What was that like for you?
It was pretty bad, because it's
almost like feeling like there's no treatment for my situation,
the way I feel about my nose, that there's no other options.
I mean, I can continue to get a series of shots, which
will reduce the scar tissue.
But knowing that I cannot have another nose job was,
you know, it's like the end of the line for me.
This is it.
I have to decide, which I have, to learn to live with the nose
that I have on my face, as it is right now, forever.
And there's no other options for me.
Well, thank god your doctor told you that.
Yes.
Thank god he told you.
[APPLAUSE]
Do you relate to what Jesse and Terrence said here earlier?
I do.
But their situation is clearly very much worse than mine.
And very different than mine.
OK, this is so interesting.
You are 28.
Yeah.
And you have had 26 surgeries.
And yet, you think that you're not where they are.
Well--
[APPLAUSE]
I think I'm in a different situation.
OPRAH WINFREY: OK.
I would also say it's important to realize
that BDD varies in severity. [INTERPOSING VOICES]
OPRAH WINFREY: [INAUDIBLE] varies.
So Jenny functions pretty well, but you're struggling.
And you probably aren't functioning up
to your potential.
Right.
At the more severe end of the spectrum,
BDD can destroy every aspect of someone's life.
Right.
There's a range.
And where do you think you are on the spectrum?
I think I'm in the middle.
Because I recognize it, I'm not in denial of it,
I'm getting help for it, I'm trying to stop
and slow down the process.
Instead of, you know, I mean, when I have the crow's feet.
I could have very easily said, look,
can you do me a lower facelift.
Instead I chose Botox.
So you know, I'm just trying to be less invasive
and be realistic about it, instead of going nuts with.