Have or Want Extreme Plastic Surgery?

Have you had extreme plastic surgery and you want to share your story? Are you addicted to plastic surgery? Have you had plastic surgery to hide your ethnicity? Do you know somebody that is ashamed of their ethnicity and wants to get plastic surgery to mask their race? Do you know somebody who is addicted to plastic surgery and you want them to stop?
If so write in!

Please include a detailed description and pictures.
 
* Required Fields
* First Name
* Last Name
* Birthday
* E-mail Address
* Street Address
* City
* State
Province/Region (if outside U.S.)
* Zip/Postal Code
* Country
* Day Phone
Evening Phone
Cell Phone
* Are you willing to appear on the show? yes no
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