I don't care.

(laughing)

- Dude, why does that feel so natural, though?

(soft music)

- Hello. (laughs)

- Hi, I'm Ilah Dizon.

- Hi, I am Shahram Salemy.

I am a plastic surgeon here, in Seattle.

- Oh, okay.

- Like, honestly, I've considered cosmetic surgery before.

Actually, a tummy tuck.

- I wanna get a nose job, I would love to get a boob job,

and I would love to get my lips filled.

I was hoping you could get a leg job

and put a stilt in there and make myself taller.

I'd do it all, I'd go crazy.

- Yeah, let's do it.

- Okay. - Hi, I'm John.

- Hello, John, okay. - Nice to meet you.

- Would you mind just turning around for me.

Mm-hmm, great.

- It'd be hard to tell just by looking at you

if you'd had anything done from a cosmetic standpoint.

- Want me to turn around?

- (laughs) No.

(laughs)

Weird.

- I didn't have penis reduction surgery.

- Wha! (laughs) - Sorry.

- Wow, yeah, yes, I'm gonna say that you got a nose job.

- Can you raise your eyebrows up, you've had some Botox?

- Yup.

- Just give me what's up.

- I have not had a nose job.

- I've done filler in my lip.

- Wait, how much was the lip fillers?

- Like a thousand.

- And you have good teeth.

You've done something to whiten your teeth.

- Bleach, yup.

- Yeah, did I cover everything--

- Covered pretty much everything.

The only thing else that I've had is Kybella.

- Yeah, so, that's an injection to try to dissolve fat.

There's kind of pros and cons to it.

Hurts like hell sometimes, yeah.

- (laughs) It does burn.

- Alright, thank you. - That was good.

Alright, I'm calling that a win.

I'm just gonna say I'm not keeping score,

but I'm totally keeping score.

- Hi.

- Fuck.

- Oh, sorry.

- I know right. - Yeah.

- Can he come down here.

- Would that be insulting, I don't wanna--

- Come here, come here, no, get on your knees.

- Lift your eyebrows up, okay.

- I can only do one side.

- I think you may have gotten some sort of injection,

Botox or otherwise, just because your skin seems really firm

and nice and your forehead doesn't really

have any wrinkles in it at all.

- Nothing else pokes at ya?

(laughing)

- What I do see is that you probably

have what's called a facial nerve palsy.

Have you been told that?

- Yes, it's a nerve paralysis on this side,

not this side, obviously. - Yeah.

- I've been used to this for 36 years

so, it's like, eh, but it's really annoying.

- So other than that I mean you're just wonderful.

I dunno, I don't see anything else.

- I have a feeling you're one of my no plastic surgeries.

- No, I don't think she's had cosmetic surgery.

I think she's had multiple surgeries.

I mean I see scars on knees.

So I wouldn't consider, like, surgery on the knees

or the back as cosmetic.

- How many surgeries do you think I've had?

- At least 10?

- 21.

(chokes)

Have any of them been for cosmetic?

- Yes, I've had an orthognathic jaw surgery.

I guess you can say like facial reconstruction.

I used to joke around, but my 20th surgery

was gonna be for, like, truly for me

and that was my breasts.

- Mmm.

- Can ya tell?

- Ah, tah.

(laughing)

- It looks very natural and balanced with you.

- Thank you.

- So, that's great.

- Especially since I'm not wearing a bra, so, yay!

- A little more information than we needed

but we're fine with that.

(laughing)

- Oh, I'm proud. - We're good.

- We're not in New Orleans, so.

- No, no, no, please.

(laughing)

- We're good.

- Take care, take care. - Thank you so much.

(clapping)

- Let's do this.

- Let's do it.

- Girl, you already know, you already know, okay.

(laughs)

- You can touch it if you want, I don't care.

(laughing)

That feels so weird.

- Ah.

(laughs)

I'm like, I was sweating.

- Mm-hm.

- What do you think stands out?

- Ah, well, mmhmm, could you turn around again for me?

(laughing)

- I feel like they're implants.

'Cause that, like you could set a cup on it.

- It feels like one of those like,

really nice beds that you bounce on.

This is totally a fake booty.

- My butts not fake.

- That's not a fake butt, no! (laughs)

- That's real?

- Yeah, my ass is real.

- Has anyone ever asked you if your ass was fake?

- Oh, I get asked everyday, almost, everyday, yeah

- Shaky, shaky, shaky, shaky, shaky, shaky.

That's a real butt.

(clapping)

- Hi.

- Hi, you're gorgeous, you look like a Barbie.

Oh my God, you already know where I'm staring.

- I think your tattoo is making me

want to look at your breasts, I guess,

and make me think that those may or may not be,

real, fake, anyways.

- Just gotta feel it, do you wanna feel mine?

For science.

- For science.

- We're doing science right now.

- Nose is really symmetrical.

Can you bring your chin up for me?

I don't see a scar.

So, I don't think you've had a rhinoplasty

and in the way you're wearing your top,

you've either had augmentation

or you're wearing a bra that's accentuating that.

- Boob job.

- You got a boob job.

- I got a boob job.

- Yeah, she got a boob job.

- This might be offensive if I'm wrong.

It sounds like, perhaps, maybe you were,

born a man or something like that

and then went through surgery to become Haley.

- Clocked.

(laughing)

- So, I did have a sex change, gender confirmation surgery

or something like that, so, I've had my chest done.

I did have a slight Juvederm

and I also just got a,

had a vaginal plasty in April as well.

- Well I can tell you for sure,

we would not have been able to see the third one.

- I thought, it's like--

- And if I did, you could just

take my medical license right now.