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♪ ♪
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VAN ZELLER: We've been,
you know, waiting
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00:00:17,601 --> 00:00:19,811
for this moment for so long.
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00:00:19,811 --> 00:00:22,397
I start getting
anxious beforehand.
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VOICE (over computer): Welcome.Please take your ticket.Please drive inside.
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VAN ZELLER: So I don't
know a lot about this person.
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I just know that
he's willing to talk.
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I've reported on black
market surgeries overseas.
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VAN ZELLER: But now, a
series of suspicious deaths.
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00:00:51,051 --> 00:00:53,553
VAN ZELLER: Have led
me home to America.
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Where young women are checking
in for plastic surgery and
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never checking out.
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REPORTER (over TV): Afamily is heartbroken.
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REPORTER (over TV):Is conducting a deathinvestigation.
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REPORTER (over TV): Anothertragedy out of South Florida.
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REPORTER (over TV): PatientREPORTER (over TV): Range inage from 29 to 35.
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REPORTER (over TV):31‐year‐old Latesha Bynum.
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00:01:07,985 --> 00:01:09,111
REPORTER (over TV):Is in London.
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REPORTER (over TV):Kelly Mayhew.
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REPORTE (over TV):Danea Plasencia.
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REPORTER (over TV):Ria Valeria.
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REPORTER (over TV): Died afterundergoing the same procedure.
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VAN ZELLER: I followed a trail
of money, sex, and blood.
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From the strip clubs of Atlanta
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to a strip mall clinic in Miami.
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And to these people
whose claims of greed‐driven
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managers and dangerous
practices could destroy
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an entire industry.
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Why hasn't anyone come
out and spoken, like you?
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♪ ♪
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VAN ZELLER: I'll
just follow you.
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NIKKI: About to have my
bubble scene with my man.
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VAN ZELLER: My journey to
understand why so many young
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women are dying starts here
on the set of a music video.
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♪ Cold bitch ♪
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♪ And I'm from the 317 ♪
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♪ Tall bitch ♪
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♪ Kick her ass with a size 11 ♪
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♪ No hoe shit ♪ ♪
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VAN ZELLER: So this is just
a little part of the video.
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NIKKI: Yeah.
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VAN ZELLER: And this
one is called? The song?
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VAN ZELLER: Nikki Sweets is an
up‐and‐coming hip hop artist
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looking to leverage her
social media following
into global stardom.
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NIKKI: The image that
people wanna see on TV
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is the curvaceous woman.
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The more curvaceous you are,
the more attractive you are to
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the crowd that
you're selling to.
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Like Nikki Minaj has the
fattest ass and she's like the
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biggest female artist.
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VAN ZELLER: Ten years ago,
Nikki didn't have the money
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for plastic surgery.
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So she paid a stranger for
black market injections.
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NIKKI: To get my ass
done was only like $700.
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VAN ZELLER: Wow.
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NIKKI: One of the worst
experiences of my life.
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It was very painful, because
I was up the whole time.
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There was no numbing,
it was just, "Lay down.
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I'm going to stick these needles
and I'mma fill you up."
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And.
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VAN ZELLER: What was it?
What was.
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NIKKI: It was silicone.
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It was silicone injected
into my ass at that time.
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Results were just like that.
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VAN ZELLER: Really?
NIKKI: Yeah.
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VAN ZELLER: Like
the moment you left.
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NIKKI: The moment it happened
I looked in the mirror and
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my ass was bigger.
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VAN ZELLER: Wow.
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Did you know what you
were getting yourself
into at the time?
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Did you know
what it was going...
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NIKKI: No.
VAN ZELLER: To feel like or.
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NIKKI: I mean, people talk,
there was so many girls
that did it.
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Years later I kept hearing
about girls dying from it.
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Infections and stuff.
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To this day, I
still get scared,
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like, am I going to be next?
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You know, like, is something
going to happen to me next?
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VAN ZELLER: Like
any black market,
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the trade in these illegal
injections is driven by demand.
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And just like in
drugs or guns,
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the transactions you
hear about are the
ones that go wrong.
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REPORTER (over TV):35‐year‐old Wakesha Reid died.
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ANCHOR (over TV): She died aftea silicone beauty injection.
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00:04:10,625 --> 00:04:12,627
REPORTER (over TV): Kelly Mayhedied after a procedure in this.
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REPORTER (over TV): 31‐year‐oldLatesha Bynum suffered
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severe complications afterbuttock enhancement injection.
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VAN ZELLER: Behind every one of
these fatalities is a pumper,
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a shadowy figure
illegally injecting women with
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anything from medical
silicone to furniture polish.
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How many people do you
think will be here tonight?
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D'NISHA: Every
section is sold.
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VAN ZELLER: Really?
D'NISHA: Yes.
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VAN ZELLER: It's sold‐out?
D'NISHA: Yes.
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VAN ZELLER: And
to find a pumper,
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I thought I'd start by seeking
out women who rely on curves
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to make a living.
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How long have you been
waitressing here for?
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D'NISHA: Since we
opened two years ago.
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VAN ZELLER: So it's
gonna be a big night?
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D'NISHA: Huge.
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VAN ZELLER: My guide,
D'nisha Kidwell,
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has offered to take
me on her rounds,
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as she selects the dancers who
will work the floor tonight.
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D'NISHA: This is
the dressing room.
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VAN ZELLER: Whoa,
it's packed already.
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Oh, wow. Hi.
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DANCER: Hi.
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VAN ZELLER: How are you?
DANCER: How are you?
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VAN ZELLER: Hi.
How are you? Hi everyone.
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DANCER: Hi.
VAN ZELLER: Hi.
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DANCER: So cute.
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D'NISHA: So these are the
outfits that they gave us.
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If they don't
come with an outfit,
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they have the option of
buying one here from her.
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They just make
sure that they're...
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VAN ZELLER: And it's.
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D'NISHA: Well taken
care of for the night.
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VAN ZELLER: For sale?
D'NISHA: Yes.
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VAN ZELLER: They can
buy their stuff here?
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D'NISHA: Yes. Yes.
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VAN ZELLER: Competition
to work here is fierce.
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Before any of these
dancers are hired,
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they have to
pass a body check.
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VAN ZELLER: Those women
selected will pay the club up
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to $400 to dance here,
just for a single night.
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D'NISHA: Okay, turn around.
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All the way. Okay.
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VAN ZELLER: Dancers jump
through these hoops because
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the upside is enormous.
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♪ I know you want me,stand beside me ♪
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VAN ZELLER: Attention.
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♪ To make ♪
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VAN ZELLER: Opportunity.
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♪ Yourself ♪
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VAN ZELLER: And a share.
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♪ Feel ♪
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VAN ZELLER: Of this.
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♪ Like you're mine ♪ ♪
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♪ ♪
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VAN ZELLER: On a good
night, a dancer can
clear up to $10,000.
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All of which can make both
legal cosmetic surgery and
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illegal procedures like
getting pumped seem like
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a good idea.
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All these women have big boobs
and big butts, right?
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MAN: They're taking in their
waist or they're spreading out
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their hips and really
getting those big butts.
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VAN ZELLER: How many women
that work here do you think
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have had plastic surgery or some
sort of body modifications?
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MAN: It's, it's in
the 90% probably.
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MAN 2: Yeah.
VAN ZELLER: 90%?
MAN: Yeah.
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It's, basically you
just walking into the,
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what you see on TV,
pretty much.
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VAN ZELLER: And what
you see on TV and
social media is this.
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Celebrities and influencers
with the kind of curves that
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are inspiring a generation of
young women to buy the look
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with cosmetic surgery.
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In reality, changing the
shape of women's bodies
is not a new trend.
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Back in the 1890s, Austrian
doctors first performed
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breast augmentations using
injections of melted wax.
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And through the 1940s,
Japanese sex workers were
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pumped with industrial
silicone to increase their
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earning power
with American GIs.
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In both cases, the risks taken
by women proved disastrous.
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WOMAN: (bleep).
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(screaming).
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D'NISHA: They like that.
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VAN ZELLER: Are you happy
with how your body looks now?
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D'NISHA: I am, but I'm going
to get a tune up and I'm going
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to get some things readjusted.
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VAN ZELLER: Yeah, I mean, you
look beautiful. I don't think
you need anything done.
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D'NISHA: Thank you.
Thank you. But I just,
I just, it's just me.
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VAN ZELLER: Uh‐huh.
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D'NISHA: So, for me, if
I look in the mirror,
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I wanna feel confident.
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So that makes,
that helps me out.
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And I feel like if my
confidence level is up here,
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my money is up here.
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VAN ZELLER: Have you
heard of women getting,
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uh, butt injections?
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D'NISHA: Yes.
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VAN ZELLER: Did
you ever do that?
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00:08:15,078 --> 00:08:16,705
D'NISHA: No comment.
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VAN ZELLER: Is that
something that when women,
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if they get butt
inject, butt injections,
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they usually don't
wanna talk about it?
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D'NISHA: Um, yes.
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00:08:22,877 --> 00:08:24,921
Um, a lot of people
don't wanna talk about that.
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VAN ZELLER:
Because it's not legal?
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00:08:26,172 --> 00:08:28,007
D'NISHA: Right.
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00:08:29,008 --> 00:08:30,844
VAN ZELLER: Um, do you
know anyone who gives shots?
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00:08:30,844 --> 00:08:33,096
D'NISHA: Gives them? No.
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00:08:33,096 --> 00:08:34,556
VAN ZELLER: I mean, we would
love to interview somebody who
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00:08:34,556 --> 00:08:37,851
gives shots and we wouldn't
show their face and we
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00:08:37,851 --> 00:08:39,728
wouldn't disclose
their identity.
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00:08:39,728 --> 00:08:41,896
And we would just
like to talk to them.
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00:08:41,896 --> 00:08:43,314
D'NISHA: Like, if I
knew who does them,
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00:08:43,314 --> 00:08:45,483
I couldn't tell you who it is.
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00:08:46,693 --> 00:08:48,194
VAN ZELLER: None of the women
at the club would connect us
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00:08:48,194 --> 00:08:49,571
to a pumper.
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00:08:49,571 --> 00:08:51,740
And that's not a surprise.
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00:08:51,740 --> 00:08:55,285
In this community, pumpers are
underworld figures who carry
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00:08:55,285 --> 00:08:58,580
status, cash, and guns.
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00:08:59,372 --> 00:09:00,957
SHEENA: I know a pumper.
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00:09:00,957 --> 00:09:03,835
They came in and they had guns
and they made sure they put
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00:09:03,835 --> 00:09:06,504
the guns right there
so we can see them.
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00:09:06,796 --> 00:09:09,799
VAN ZELLER: There's a
wall of fear out there.
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00:09:09,799 --> 00:09:12,719
And I'm hoping insiders and
former clients will help me
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00:09:12,719 --> 00:09:14,846
break through it.
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00:09:14,846 --> 00:09:16,264
Is she still injecting?
211
00:09:16,264 --> 00:09:17,849
VANCIE (over computer):Yes, she is.
212
00:09:17,849 --> 00:09:19,267
VAN ZELLER: Do you think that
considering the fact that what
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00:09:19,267 --> 00:09:21,019
she's doing is illegal,
she will talk to us?
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00:09:21,019 --> 00:09:23,772
VANCIE (over computer): I knowthat a lot of them won't.
215
00:09:23,772 --> 00:09:26,441
VAN ZELLER: All I need is
the right introduction.
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00:09:26,733 --> 00:09:30,320
How would you even go
about here in Atlanta
to look for a pumper?
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00:09:30,320 --> 00:09:32,697
MARCELLA: There's no
benefit interviewing with you.
218
00:09:32,697 --> 00:09:34,074
There's absolutely no benefit.
219
00:09:34,074 --> 00:09:35,742
It's not even
worth it for them.
220
00:09:35,742 --> 00:09:37,035
VAN ZELLER: How much money
do you think they're making?
221
00:09:37,035 --> 00:09:38,703
SHEENA: Oh, my goodness
(bleep) told me she made
222
00:09:38,703 --> 00:09:40,121
$1 million one year.
223
00:09:40,121 --> 00:09:42,248
VAN ZELLER: No way.
224
00:09:43,083 --> 00:09:45,085
So there's one very
famous pumper here in Atlanta.
225
00:09:45,085 --> 00:09:46,252
SHEENA: Yes.
226
00:09:46,252 --> 00:09:47,754
VAN ZELLER: That we
keep hearing about.
227
00:09:47,754 --> 00:09:49,464
And I was wondering if you
think there's any way that we
228
00:09:49,464 --> 00:09:50,924
could connect with her?
229
00:09:50,924 --> 00:09:52,383
SHEENA (over phone): I reallythink it's gonna be,
230
00:09:52,383 --> 00:09:54,135
it's gonna be difficult.
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00:09:54,886 --> 00:09:56,429
VAN ZELLER: As any
journalist will tell you,
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00:09:56,429 --> 00:09:59,724
the harder you work,
the luckier you get.
233
00:09:59,724 --> 00:10:02,060
And after scouring
this city for pumpers,
234
00:10:02,060 --> 00:10:04,354
I finally find a lead.
235
00:10:04,354 --> 00:10:08,066
So Jenny, we got your number
here in Atlanta from somebody
236
00:10:08,066 --> 00:10:10,276
who said you've
been injected before?
237
00:10:10,276 --> 00:10:12,153
JENNY (over phone):Yeah, yeah, I have.
238
00:10:12,153 --> 00:10:14,489
VAN ZELLER: And we've
been looking for somebody
that will talk to us.
239
00:10:14,489 --> 00:10:16,199
JENNY (over phone): Oh, youwanna talk to an injector?
240
00:10:16,199 --> 00:10:18,201
VAN ZELLER: An injector
that would talk to us.
241
00:10:18,201 --> 00:10:20,078
JENNY (over phone):Yeah, I know someone.
242
00:10:30,213 --> 00:10:32,132
JENNY (over phone):You know what I mean?
243
00:10:32,132 --> 00:10:34,134
VAN ZELLER: Yeah.
I mean, Jenny, it would be
great if you could reach out
244
00:10:34,134 --> 00:10:35,635
to her and see
if we could talk.
245
00:10:35,635 --> 00:10:37,262
You can tell her we're just
really interested in hearing
246
00:10:37,262 --> 00:10:40,140
her side of the story,
why she does what she does.
247
00:10:45,186 --> 00:10:48,690
VAN ZELLER: So, wait, so, is
it common that people sell
248
00:10:48,690 --> 00:10:50,358
injectors' phone numbers?
249
00:10:50,358 --> 00:10:51,734
JENNY (over phone):It is common.
250
00:10:51,734 --> 00:10:53,319
VAN ZELLER: Uh‐hmm. Yeah.
251
00:10:53,319 --> 00:10:55,989
That's complicated because
we don't pay for interviews.
252
00:10:55,989 --> 00:10:58,950
JENNY (over phone): Okay.I have to get back to you.
253
00:10:58,950 --> 00:11:00,785
I have to ask her if she'sokay with that first and then
254
00:11:00,785 --> 00:11:02,120
I'll let you know.
255
00:11:02,120 --> 00:11:04,330
VAN ZELLER: Okay.
256
00:11:09,752 --> 00:11:12,046
(phone ringing).
257
00:11:12,046 --> 00:11:16,259
When Jenny texts me back,
the news is even better
than I'd hoped for.
258
00:11:16,801 --> 00:11:20,013
So supposedly
she's here already,
259
00:11:20,013 --> 00:11:23,266
just have to figure
out exactly where.
260
00:11:24,559 --> 00:11:28,438
Her contact, a legendary
Atlanta pumper named Ms. T
261
00:11:28,438 --> 00:11:30,440
has agreed to a meeting.
262
00:11:30,440 --> 00:11:33,526
Hey, yeah, so we
are here already.
263
00:11:33,526 --> 00:11:35,486
But I'm not sure
where you are.
264
00:11:37,572 --> 00:11:40,116
Do you see me?
265
00:11:40,450 --> 00:11:42,744
Okay, is that you right here?
266
00:11:42,744 --> 00:11:44,537
Yeah, okay, I see.
267
00:11:44,537 --> 00:11:46,581
Yeah, okay, we'll follow you.
268
00:11:46,915 --> 00:11:49,667
Ms. T is on her way
to inject a client.
269
00:11:49,667 --> 00:11:52,712
And she's invited us to
witness a motel room procedure
270
00:11:52,712 --> 00:11:55,548
that could land her
10 years in jail.
271
00:11:55,965 --> 00:11:56,841
MS T: How you feel?
272
00:11:56,841 --> 00:11:58,593
AMBER: I'm okay.
273
00:11:58,593 --> 00:12:01,221
VAN ZELLER: Because when
things go wrong in this
business, people die.
274
00:12:01,596 --> 00:12:03,181
MS T: You ready?
275
00:12:12,857 --> 00:12:17,445
♪ ♪
276
00:12:17,695 --> 00:12:20,198
VAN ZELLER: This is it.
We have someone.
277
00:12:20,198 --> 00:12:22,867
Just make sure you
don't put the cameras
on the car, you know?
278
00:12:22,867 --> 00:12:25,787
We don't wanna
make her nervous.
279
00:12:26,537 --> 00:12:30,208
Ms. T has led us to a motel
on the outskirts of Atlanta.
280
00:12:30,750 --> 00:12:33,169
She has set
conditions for filming.
281
00:12:33,169 --> 00:12:34,712
She wants us to
conceal her voice,
282
00:12:34,712 --> 00:12:37,799
her identity,
and her location.
283
00:12:39,467 --> 00:12:43,513
At exactly 11pm, we are
to meet her in room 306.
284
00:12:49,894 --> 00:12:55,108
♪ ♪
285
00:13:01,155 --> 00:13:03,157
MS T: Take your body
closer to me this way.
286
00:13:03,157 --> 00:13:05,285
Yeah, just like this.
This is fine.
287
00:13:07,078 --> 00:13:10,206
VAN ZELLER: Ms. T has no
formal medical training.
288
00:13:10,206 --> 00:13:13,418
What she's doing is
dangerous, sometimes lethal.
289
00:13:18,339 --> 00:13:21,259
VAN ZELLER: And can
create health effects
that linger for years.
290
00:13:22,010 --> 00:13:23,553
How many times have
you done this before?
291
00:13:26,389 --> 00:13:28,266
VAN ZELLER: Amber is
transgender and these
292
00:13:28,266 --> 00:13:31,394
injections will be a final
step in claiming a body she
293
00:13:31,394 --> 00:13:34,105
has been looking
for her entire life.
294
00:13:34,105 --> 00:13:35,523
But you are
aware of the risks?
295
00:14:06,971 --> 00:14:13,269
♪ ♪
296
00:14:13,644 --> 00:14:17,023
VAN ZELLER: Oh, my God.
Looks painful.
297
00:14:18,107 --> 00:14:21,194
Ms. T tells me that she only
uses medical‐grade silicone
298
00:14:21,194 --> 00:14:24,864
supplied to her
illegally by an actual doctor.
299
00:14:26,240 --> 00:14:29,368
But in this underworld, a
pumper's integrity is the only
300
00:14:29,368 --> 00:14:33,790
thing determining the quality
and content of the material
301
00:14:33,790 --> 00:14:35,833
being pushed into the body.
302
00:14:42,131 --> 00:14:43,591
So what's that?
303
00:14:56,729 --> 00:14:58,439
VAN ZELLER: So that's it?
MS T: Yeah.
304
00:14:58,439 --> 00:14:59,899
VAN ZELLER: Wait,
and now you just get
dressed and you leave?
305
00:14:59,899 --> 00:15:01,400
AMBER: Yeah.
VAN ZELLER: Hmm.
306
00:15:01,400 --> 00:15:03,903
So the whole thing
took about 15 minutes?
307
00:15:03,903 --> 00:15:05,780
MS T: Yeah.
308
00:15:06,489 --> 00:15:07,949
VAN ZELLER: What would you say
to people who would judge you
309
00:15:07,949 --> 00:15:10,785
and say, "She's doing this
crazy procedure and it's so
310
00:15:10,785 --> 00:15:14,205
dangerous and people are dying
and she must be really stupid
311
00:15:14,205 --> 00:15:15,414
to be doing this"?
312
00:15:15,414 --> 00:15:17,583
AMBER: Well, I know
I'm not stupid and so
313
00:15:17,583 --> 00:15:20,878
I'd just tell those
people to kiss my ass.
314
00:15:22,130 --> 00:15:25,508
I shoulda used this body
during the summertime.
315
00:15:25,508 --> 00:15:28,344
Now I will have to wait
to show it off again.
316
00:15:32,014 --> 00:15:34,976
VAN ZELLER: Did you ever
think that you'd be working
in the underground?
317
00:15:34,976 --> 00:15:37,061
MS T: Not in my
wildest dreams.
318
00:15:57,623 --> 00:15:59,000
VAN ZELLER: Do you think
that had an influence on you
319
00:15:59,000 --> 00:16:00,710
wanting to do cosmetic
procedures on other people?
320
00:16:00,710 --> 00:16:02,545
MS T: Yes.
VAN ZELLER: Uh‐hmm.
321
00:16:02,545 --> 00:16:04,213
How many people do you
think you've injected?
322
00:16:04,213 --> 00:16:06,674
MS T: Oh, wow, I can't even,
hundreds, hundreds.
323
00:16:06,674 --> 00:16:08,467
VAN ZELLER: What's the most
amount of people you ever did
324
00:16:08,467 --> 00:16:09,969
in one day or one night?
325
00:16:09,969 --> 00:16:11,220
MS T: About 40.
326
00:16:11,220 --> 00:16:13,472
VAN ZELLER: 40 people?
MS T: Uh‐hmm.
327
00:16:13,472 --> 00:16:15,975
VAN ZELLER: In, in one night?
MS T: Yes.
328
00:16:15,975 --> 00:16:17,560
VAN ZELLER: How
much do you charge?
329
00:16:17,560 --> 00:16:18,769
MS T: $1,000.
330
00:16:18,769 --> 00:16:20,104
VAN ZELLER: So you made
$40,000 that one day?
331
00:16:22,190 --> 00:16:23,232
VAN ZELLER: So it's
super easy money.
332
00:16:23,232 --> 00:16:24,275
MS T: Yeah.
333
00:16:24,275 --> 00:16:25,568
VAN ZELLER: But
really risky too.
334
00:16:25,568 --> 00:16:28,738
MS T: Very risky.
It's very, very risky. Yes.
335
00:16:33,701 --> 00:16:34,827
VAN ZELLER: So
what changed in you?
336
00:16:39,457 --> 00:16:40,499
VAN ZELLER: And this was
somebody that you were going
337
00:16:40,499 --> 00:16:42,501
to inject and then
they robbed you?
338
00:16:42,501 --> 00:16:44,962
MS T: Uh‐hmm. Tied me up,
beat me with a gun.
339
00:16:46,881 --> 00:16:48,466
VAN ZELLER: Because you
were carrying so much cash,
340
00:16:48,466 --> 00:16:50,843
did you ever
carry a gun with you?
341
00:16:53,429 --> 00:16:54,430
VAN ZELLER: Okay.
342
00:16:58,809 --> 00:17:00,436
VAN ZELLER: Knowing all the
risks involved and knowing how
343
00:17:00,436 --> 00:17:02,021
there are people
who have died,
344
00:17:02,021 --> 00:17:04,899
have you ever had any problems
with anyone you've injected?
345
00:17:11,197 --> 00:17:12,907
VAN ZELLER: I
don't doubt Ms. T,
346
00:17:12,907 --> 00:17:15,785
but it's not like there are
records kept of the negative
347
00:17:15,785 --> 00:17:19,413
effects, which can
show up years later.
348
00:17:19,747 --> 00:17:21,874
TIMOTHY: Very good.
349
00:17:22,333 --> 00:17:25,336
VAN ZELLER: You could call it
the flipside of silicone pumping
350
00:17:25,336 --> 00:17:29,257
or just another day at the
office for Dr. Timothy Katzen.
351
00:17:30,007 --> 00:17:33,135
TIMOTHY: This patient had a
series of three sessions of
352
00:17:33,135 --> 00:17:37,807
injections, consisting of
about 20 injections per side,
353
00:17:37,807 --> 00:17:40,810
starting about ten years ago.
354
00:17:41,269 --> 00:17:42,812
VAN ZELLER: Up to
seven times a week,
355
00:17:42,812 --> 00:17:46,857
he tackles a job so dangerous
that most plastic surgeons
356
00:17:46,857 --> 00:17:48,651
refuse to do it,
357
00:17:48,651 --> 00:17:51,862
removing the silicone from
black market injections.
358
00:17:53,406 --> 00:17:56,325
For patients who had been
seeking a cheap beauty fix,
359
00:17:56,325 --> 00:17:59,328
this is where the
dream comes to die.
360
00:18:00,246 --> 00:18:03,332
A warning, this is
about to get very graphic.
361
00:18:05,543 --> 00:18:08,963
TIMOTHY: See all the stuff?
That's all silicone.
362
00:18:08,963 --> 00:18:12,717
Sometimes the silicone
injectable will migrate.
363
00:18:13,050 --> 00:18:15,219
If it goes into your heart,
you can have a heart attack.
364
00:18:15,219 --> 00:18:17,680
If it goes into your brain,
you could have a stroke.
365
00:18:17,680 --> 00:18:21,392
All the silicone is
just right at the surface,
366
00:18:21,392 --> 00:18:23,728
trying to leak out.
367
00:18:30,151 --> 00:18:31,485
VAN ZELLER:
Despite the dangers,
368
00:18:31,485 --> 00:18:34,530
every night, pumpers
are out there pumping,
369
00:18:34,530 --> 00:18:38,534
selling curves that are
pushed to us on social media.
370
00:18:45,625 --> 00:18:49,462
I'm not immune to
these pressures either.
371
00:18:51,005 --> 00:18:54,008
Over the past couple of years,
I've paid a doctor to inject
372
00:18:54,008 --> 00:18:58,262
acids and toxins into my
face to make me look younger.
373
00:19:00,181 --> 00:19:03,768
Botox, a procedure that
happens to be perfectly legal.
374
00:19:04,935 --> 00:19:07,647
The methods and products
could not be more different.
375
00:19:07,647 --> 00:19:10,358
But the
motivations are the same.
376
00:19:11,525 --> 00:19:15,488
After all, who doesn't want
to look more attractive
377
00:19:15,488 --> 00:19:18,407
or feel more confident?
378
00:19:18,699 --> 00:19:22,995
The demand for plastic
surgery cuts across
all demographic lines.
379
00:19:22,995 --> 00:19:26,165
But all too often, the
outcomes and risks of those
380
00:19:26,165 --> 00:19:30,544
procedures depend on how much
the patient is able to pay.
381
00:19:31,921 --> 00:19:35,299
In one corner of America, the
pressure for a perfect body
382
00:19:35,299 --> 00:19:39,136
has become so great that
it's launched an entire
383
00:19:39,136 --> 00:19:42,181
medical tourism industry.
384
00:19:44,684 --> 00:19:47,978
Welcome to Miami.
385
00:19:49,855 --> 00:19:53,693
The new home of cheap plastic
surgery and to a string of
386
00:19:53,693 --> 00:19:56,320
suspicious deaths.
387
00:20:14,964 --> 00:20:19,760
♪ ♪
388
00:20:19,760 --> 00:20:23,055
VAN ZELLER: Until recently,
the high cost of plastic surgery
389
00:20:23,055 --> 00:20:25,307
meant that the
only option for some patients
390
00:20:25,307 --> 00:20:29,395
seeking exaggerated curves
were underground procedures,
391
00:20:29,395 --> 00:20:32,565
like the silicone shots
I witnessed in Atlanta.
392
00:20:36,652 --> 00:20:39,113
So this is where we've heard
there's a couple of these
393
00:20:39,113 --> 00:20:43,367
surgery centers, which is sort
of strange because you usually
394
00:20:43,367 --> 00:20:46,704
associate, you know,
plastic surgery to luxury.
395
00:20:48,038 --> 00:20:50,708
Today, in strip malls on
the west side of Miami,
396
00:20:50,708 --> 00:20:53,753
a new breed of legal
outpatient clinics has
397
00:20:53,753 --> 00:20:58,174
emerged, offering layaway
plans and rock‐bottom prices.
398
00:20:59,300 --> 00:21:00,843
There's a car arriving.
399
00:21:00,843 --> 00:21:03,304
Well, there's a couple of
people waiting outside.
400
00:21:04,972 --> 00:21:07,475
Many, if not most of the
clients you see coming in and
401
00:21:07,475 --> 00:21:10,186
out of these clinics, seem to
be coming straight from the
402
00:21:10,186 --> 00:21:12,855
airport, with
suitcases in tow.
403
00:21:13,689 --> 00:21:16,442
So it's been 10 minutes
since I've been sitting here,
404
00:21:16,442 --> 00:21:18,694
seeing a bunch of
women just go in and out.
405
00:21:18,694 --> 00:21:21,197
I mean, it had been described
to us like a factory and
406
00:21:21,197 --> 00:21:23,407
that's what it
feels like right now.
407
00:21:23,866 --> 00:21:26,202
Along with breast
enhancements and tummy tucks,
408
00:21:26,202 --> 00:21:28,996
these centers offer a
procedure that can provide
409
00:21:28,996 --> 00:21:32,333
even more dramatic
results than silicone pumping.
410
00:21:32,333 --> 00:21:35,586
It's the fastest‐growing
cosmetic surgery in America,
411
00:21:35,586 --> 00:21:38,005
the Brazilian butt lift.
412
00:21:45,221 --> 00:21:48,474
♪ ♪
413
00:21:48,474 --> 00:21:50,392
The BBL sounds simple.
414
00:21:50,392 --> 00:21:52,520
Suck out the fat from your
stomach and thighs where you
415
00:21:52,520 --> 00:21:55,648
don't want it, and inject
it into your hips and butt,
416
00:21:55,648 --> 00:21:57,566
where you do.
417
00:21:57,566 --> 00:21:59,693
DR OKORO: This is done side.
These are done.
418
00:21:59,693 --> 00:22:00,861
VAN ZELLER: Wow,
what a difference.
419
00:22:00,861 --> 00:22:01,987
DR OKORO: We don't
wanna make it too big.
420
00:22:01,987 --> 00:22:04,782
We wanna make it
like, look classy.
421
00:22:06,826 --> 00:22:09,036
VAN ZELLER: In reality, it's
the most dangerous operation
422
00:22:09,036 --> 00:22:11,539
in cosmetic surgery.
423
00:22:11,539 --> 00:22:14,500
Like silicone, if fat is
injected in the wrong place,
424
00:22:14,500 --> 00:22:17,127
it can kill the
patient almost instantly.
425
00:22:18,170 --> 00:22:21,006
Dr. Stanley Okoro, a
board‐certified plastic surgeon
426
00:22:21,006 --> 00:22:25,010
in Atlanta, trained 12 years
to avoid these pitfalls.
427
00:22:25,678 --> 00:22:30,516
But the doctors in Miami's
bargain clinics are often
far less qualified.
428
00:22:31,308 --> 00:22:33,018
DR OKORO: In the
United States of America,
429
00:22:33,018 --> 00:22:37,857
any medical doctor
can do plastic surgery.
430
00:22:37,857 --> 00:22:39,817
VAN ZELLER: So a pediatrician
could do plastic surgery.
431
00:22:39,817 --> 00:22:40,943
DR OKORO: That's correct.
432
00:22:40,943 --> 00:22:43,195
A pediatrician can
do cosmetic surgery.
433
00:22:43,195 --> 00:22:45,114
VAN ZELLER: And these doctors
that aren't plastic surgeons,
434
00:22:45,114 --> 00:22:47,575
how much training are they
getting before they operate?
435
00:22:47,575 --> 00:22:50,911
DR OKORO: There are all kinds
of weekend courses that these
436
00:22:50,911 --> 00:22:53,581
doctors can take
on, in a hotel.
437
00:22:53,581 --> 00:22:55,457
It's like a cookbook.
438
00:22:55,457 --> 00:22:59,295
The problem is, if you get
into a problem and it's
not in the cookbook.
439
00:22:59,295 --> 00:23:00,838
VAN ZELLER: What
do you do then? Yeah.
440
00:23:00,838 --> 00:23:02,131
DR OKORO: He call 911.
441
00:23:02,131 --> 00:23:03,507
VAN ZELLER: Right.
442
00:23:03,507 --> 00:23:04,842
REPORTER (over TV): Aninvestigation is just beginning
443
00:23:04,842 --> 00:23:06,844
after a woman diedfollowing plastic surgery.
444
00:23:06,844 --> 00:23:08,762
REPORTER (over TV):Heather Meadows died during aBrazilian butt lift.
445
00:23:08,762 --> 00:23:10,264
REPORTER (over V):Danea Plasencia died after
446
00:23:10,264 --> 00:23:11,932
undergoing aBrazilian butt lift.
447
00:23:11,932 --> 00:23:13,392
REPORTER (over TV): She's oneof more than a dozen women who
448
00:23:13,392 --> 00:23:16,562
died after undergoing the sameprocedure in South Florida.
449
00:23:25,654 --> 00:23:27,323
VAN ZELLER: Hi.
How are you?
450
00:23:27,323 --> 00:23:29,366
CAROLINA: How are you?
VAN ZELLER: Good.
451
00:23:29,366 --> 00:23:30,534
I'm Mariana.
So nice to meet you.
452
00:23:30,534 --> 00:23:31,785
CAROLINA: Carolina.
Nice to meet you.
453
00:23:31,785 --> 00:23:32,661
VAN ZELLER: Thank you
so much for having me.
454
00:23:32,661 --> 00:23:33,412
CAROLINA: My grandma, Mariana.
455
00:23:33,412 --> 00:23:34,747
(speaking Spanish).
456
00:23:34,747 --> 00:23:35,581
VAN ZELLER: Oh, yes,
you're called Mariana also.
457
00:23:39,793 --> 00:23:41,170
MARIANA: Mariana.
VAN ZELLER: Oh.
458
00:23:41,170 --> 00:23:44,798
In 2016, Carolina Flores'
sister, Maria Christian,
459
00:23:44,798 --> 00:23:47,593
saved up for a
tummy tuck to hide the
460
00:23:47,593 --> 00:23:50,596
stretch marks from giving
birth to her second child.
461
00:24:23,003 --> 00:24:25,589
VAN ZELLER: What clinic?
What center did she go to?
462
00:24:25,589 --> 00:24:28,509
CAROLINA: Vanity. Before, I
believe they were called Encore.
463
00:24:42,982 --> 00:24:44,566
VAN ZELLER:
Shortly after leaving,
464
00:24:44,566 --> 00:24:46,235
I received an
email from Carolina,
465
00:24:46,235 --> 00:24:49,905
which contained this police
report of her sister's death.
466
00:24:51,573 --> 00:24:53,826
It says that when EMS
arrived at the clinic,
467
00:24:53,826 --> 00:24:57,496
they were denied access
for at least five minutes.
468
00:24:57,871 --> 00:24:59,623
Why?
469
00:24:59,623 --> 00:25:01,375
What could possibly be
more important than letting
470
00:25:01,375 --> 00:25:03,919
paramedics into that building?
471
00:25:05,504 --> 00:25:08,090
Okay, so you see that one?
472
00:25:09,174 --> 00:25:11,802
I'm gonna try and go inside to
see if I can get a consultation.
473
00:25:24,231 --> 00:25:27,609
JEROME: Here we are in
Miami in a typical strip mall.
474
00:25:27,609 --> 00:25:29,319
VAN ZELLER: Right.
475
00:25:29,319 --> 00:25:31,405
And not where you'd
expect a medical facility
to be at, right?
476
00:25:31,405 --> 00:25:32,906
JEROME: Absolutely.
477
00:25:32,906 --> 00:25:34,992
VAN ZELLER: These strip mall
surgery centers in Miami are
478
00:25:34,992 --> 00:25:37,369
promising beauty on the cheap.
479
00:25:40,956 --> 00:25:44,334
But I want to know why
their patients are dying
in alarming numbers.
480
00:25:49,715 --> 00:25:51,467
When did this all
start, these clinics?
481
00:25:51,467 --> 00:25:55,220
JEROME: They started exploding
in numbers ten years ago and
482
00:25:55,220 --> 00:25:58,015
it's just gotten bigger
and bigger and bigger.
483
00:25:58,515 --> 00:26:00,184
VAN ZELLER: To hit
the ground running,
484
00:26:00,184 --> 00:26:03,854
I'm piggybacking on the
investigations of three people,
485
00:26:03,854 --> 00:26:07,107
medical malpractice
lawyer Andres Beregovich,
486
00:26:07,107 --> 00:26:10,611
who has launched a number of
lawsuits against these clinics.
487
00:26:11,320 --> 00:26:14,865
Jerome Hill, a former cop and
former investigator for the
488
00:26:14,865 --> 00:26:17,326
Florida Department of Health.
489
00:26:17,826 --> 00:26:20,954
And Florida State Senator
Anitere Flores who has passed
490
00:26:20,954 --> 00:26:24,291
a bill requiring
stricter regulations.
491
00:26:24,750 --> 00:26:28,087
ANITERE: This is something that
has become a national problem.
492
00:26:28,670 --> 00:26:30,964
VAN ZELLER: They're
giving me a crash course
in a cottage industry
493
00:26:30,964 --> 00:26:34,635
that appears to be operating
at the margins of the law.
494
00:26:36,261 --> 00:26:37,387
What's the clientele?
495
00:26:37,387 --> 00:26:38,764
Who are the people
coming to these centers?
496
00:26:38,764 --> 00:26:40,349
ANITERE: These are people
from across the country.
497
00:26:40,349 --> 00:26:41,725
VAN ZELLER: Uh‐hmm.
498
00:26:41,725 --> 00:26:44,978
ANITERE: That are being,
I would say, preyed upon.
499
00:26:46,105 --> 00:26:47,981
We'll have hospital
executives that'll tell us,
500
00:26:47,981 --> 00:26:49,441
"Oh, yeah.
501
00:26:49,441 --> 00:26:50,943
You know we have a couple
patients a week that come in
502
00:26:50,943 --> 00:26:52,528
from that
plastic surgery place,
503
00:26:52,528 --> 00:26:54,863
but we can't do
anything about it."
504
00:26:56,073 --> 00:26:58,826
JEROME: We're gonna go in
here and see a particular
505
00:26:58,826 --> 00:27:02,246
problematic surgery center
that has given the state,
506
00:27:02,246 --> 00:27:05,415
and more importantly, the
citizens of Florida some
507
00:27:05,415 --> 00:27:07,000
consternation and.
508
00:27:07,000 --> 00:27:07,876
VAN ZELLER: That
one over there?
509
00:27:07,876 --> 00:27:08,836
JEROME: Yeah.
510
00:27:08,836 --> 00:27:10,337
VAN ZELLER: Jolie?
JEROME: Yes.
511
00:27:10,337 --> 00:27:13,465
VAN ZELLER: Jolie, the clinic
formerly known as Vanity,
512
00:27:13,465 --> 00:27:16,218
where Maria Christian died.
513
00:27:16,593 --> 00:27:19,304
After the incident, the clinic
issued a statement claiming
514
00:27:19,304 --> 00:27:22,099
they followed
standard procedures.
515
00:27:22,099 --> 00:27:24,768
But a pending malpractice
lawsuit against Vanity and
516
00:27:24,768 --> 00:27:28,272
Maria's doctor
alleges otherwise.
517
00:27:28,272 --> 00:27:31,859
And Maria's death is not
a stand‐alone incident.
518
00:27:32,401 --> 00:27:35,153
So how many deaths
have happened here?
519
00:27:35,153 --> 00:27:39,283
JEROME: Jolie Center and
their affiliate has had
eight deaths right now.
520
00:27:39,283 --> 00:27:40,492
VAN ZELLER: Just in six years?
521
00:27:40,492 --> 00:27:42,035
JEROME: That's
just astronomical.
522
00:27:42,035 --> 00:27:43,620
VAN ZELLER: That's right.
523
00:27:43,620 --> 00:27:47,875
Eight deaths between 2013 and
2018 have been linked to this
524
00:27:47,875 --> 00:27:51,420
clinic, which
operated first as Encore ,
525
00:27:51,420 --> 00:27:54,339
then as Vanity ,
and now as Jolie .
526
00:27:55,424 --> 00:27:58,176
Local media reports that
nearly a dozen other women
527
00:27:58,176 --> 00:28:00,929
have also suffered
serious injuries.
528
00:28:02,890 --> 00:28:04,391
ANDRES: When
there's too much heat,
529
00:28:04,391 --> 00:28:09,354
they just close, then reopen,
same location. It's crazy.
530
00:28:10,147 --> 00:28:13,525
VAN ZELLER: A 2019 exposé by
The Naples Daily News and
531
00:28:13,525 --> 00:28:16,904
USA Today had this to
say about the deaths,
532
00:28:16,904 --> 00:28:20,073
name changes, and the
clinic's de facto owner,
533
00:28:20,073 --> 00:28:22,409
Ismael Labrador.
534
00:28:23,035 --> 00:28:26,288
"Seven of the women who died
were working‐class Hispanics
535
00:28:26,288 --> 00:28:29,374
and African‐Americans, groups
targeted by the clinics'
536
00:28:29,374 --> 00:28:31,418
advertising campaigns.
537
00:28:31,418 --> 00:28:33,879
While deaths and
injuries mounted,
538
00:28:33,879 --> 00:28:38,050
the names of the clinics
were changed three
times since 2016.
539
00:28:38,508 --> 00:28:41,511
But one person has
remained at the center,
540
00:28:41,511 --> 00:28:44,014
Dr. Ismael Labrador.
541
00:28:44,556 --> 00:28:46,850
To get a sense of
how Labrador operates,
542
00:28:46,850 --> 00:28:50,145
we conducted a records
request from the state's
Department of Health.
543
00:28:50,145 --> 00:28:52,356
What we learned is that
although the clinic changed
544
00:28:52,356 --> 00:28:55,609
names over the years,
from Vanidades , to Encore ,
545
00:28:55,609 --> 00:28:59,863
to Vanity , to Eres ,
to Jolie Plastic Surgery ,
546
00:28:59,863 --> 00:29:03,951
many of the surgeons and some
of the staff stayed the same.
547
00:29:04,409 --> 00:29:07,329
Even the human resources rep
who registered the staff and
548
00:29:07,329 --> 00:29:09,915
the surgeons with the
Department of Health remained
549
00:29:09,915 --> 00:29:13,669
the same, though her email
address changed frequently
550
00:29:13,669 --> 00:29:16,004
over the years.
551
00:29:16,004 --> 00:29:18,757
And Labrador is not the only
clinic operator who has
552
00:29:18,757 --> 00:29:20,550
come under scrutiny.
553
00:29:20,550 --> 00:29:23,762
USA Today reported that at
least 13 women have died at
554
00:29:23,762 --> 00:29:27,099
four other Florida
plastic surgery centers.
555
00:29:29,643 --> 00:29:32,854
How difficult do you think it
is to find somebody sort of
556
00:29:32,854 --> 00:29:34,982
working inside these
clinics to talk to us,
557
00:29:34,982 --> 00:29:37,484
about how, what the
reality is inside?
558
00:29:37,484 --> 00:29:40,278
JEROME: I think you're
gonna find it very difficult.
559
00:29:41,697 --> 00:29:43,740
VAN ZELLER: A toxic
stew was brewing here,
560
00:29:43,740 --> 00:29:46,785
with lax regulations,
dangerous practices,
561
00:29:46,785 --> 00:29:49,746
and untold
millions to be made.
562
00:29:49,997 --> 00:29:54,501
The more I learn, the
less I'm surprised by the
growing list of fatalities.
563
00:30:03,802 --> 00:30:06,471
Okay, so you see that one?
564
00:30:08,306 --> 00:30:11,059
I wanna try and go inside and
see if I can get a consultation.
565
00:30:13,228 --> 00:30:15,689
Unfortunately, we're not
allowed to go in with cameras.
566
00:30:15,689 --> 00:30:18,108
It's against the
law in Florida.
567
00:30:19,526 --> 00:30:23,572
According to USA Today
and
Naples Daily News investigation
568
00:30:23,572 --> 00:30:26,491
the Florida Health Department
has investigated at least
569
00:30:26,491 --> 00:30:30,662
six deaths and serious injuries
at Labrador's clinics,
570
00:30:31,413 --> 00:30:34,833
many of which were avoidable
and the result of mistakes.
571
00:30:36,084 --> 00:30:39,504
In four of the BBL fatalities
at Labrador clinics.
572
00:30:39,504 --> 00:30:44,426
USA Today reported that doctors
injected fat in the wrong place,
573
00:30:44,426 --> 00:30:47,387
killing their
patients within minutes.
574
00:30:48,055 --> 00:30:50,015
We tried to reach the Florida
Department of Health for
575
00:30:50,015 --> 00:30:53,685
a comment and yet,
after months of emails,
576
00:30:53,685 --> 00:30:56,313
calls, and many
unanswered voicemails,
577
00:30:56,313 --> 00:31:00,567
they said they were
unable to comment because
of confidentiality.
578
00:31:01,151 --> 00:31:04,154
So perhaps it's not surprising
that little has been done
579
00:31:04,154 --> 00:31:07,074
despite the fatalities.
580
00:31:12,329 --> 00:31:16,124
So they actually said
that everything is
done over the phone.
581
00:31:17,501 --> 00:31:18,877
RECEPTIONIST (over phone):Hi, hello?
582
00:31:18,877 --> 00:31:20,295
VAN ZELLER: Good.
How are you doing?
583
00:31:20,295 --> 00:31:21,880
RECEPTIONIST (over phone):Very well, yourself?
584
00:31:21,880 --> 00:31:24,424
VAN ZELLER: Good. I have a few
questions for you about BBLs.
585
00:31:24,424 --> 00:31:25,842
Do you mind if I record this?
586
00:31:25,842 --> 00:31:27,677
RECEPTIONIST (over phone):Yeah, go ahead.
587
00:31:27,677 --> 00:31:29,596
So which doctor areyou looking into?
588
00:31:29,596 --> 00:31:32,974
VAN ZELLER: Who does the
cheapest procedure there,
the cheapest BBL?
589
00:31:32,974 --> 00:31:34,726
RECEPTIONIST (over phone):The cheapest right now it's
590
00:31:34,726 --> 00:31:38,480
Dr. (bleep) and(bleep) both at 3,500.
591
00:31:38,480 --> 00:31:40,607
VAN ZELLER: I'm
not really sure.
592
00:31:40,607 --> 00:31:42,818
I've heard good things
about Dr. (bleep)
593
00:31:42,818 --> 00:31:46,196
RECEPTIONIST (over phone): YeahHe's one of the leading doctorshere as far as demand goes.
594
00:31:46,196 --> 00:31:49,741
Dr. (bleep) has hisBBLs right now at 5,700.
595
00:31:49,741 --> 00:31:51,451
VAN ZELLER: 5,700.
596
00:31:51,451 --> 00:31:54,454
And how many procedures does
Dr. (bleep) do on average a day?
597
00:31:54,454 --> 00:31:56,373
Just so I get an, a
sense of his experience.
598
00:31:56,373 --> 00:31:57,541
RECEPTIONIST (over phone):On average a day?
599
00:31:57,541 --> 00:31:59,209
Roughly, I thinkabout six to eight.
600
00:31:59,209 --> 00:32:02,379
VAN ZELLER: Wow, that's a lot.
601
00:32:03,088 --> 00:32:04,756
RECEPTIONIST (over phone): Yup.
602
00:32:04,756 --> 00:32:06,883
That's, that's thelimit for proceduresin a day for a doctor.
603
00:32:06,883 --> 00:32:08,802
VAN ZELLER: Wow.
Okay. Sounds good.
604
00:32:08,802 --> 00:32:12,889
Actually, if they're talking
about six to eight BBLS a day,
605
00:32:12,889 --> 00:32:15,642
it sounds anything but good.
606
00:32:16,059 --> 00:32:19,271
I checked with a handful of
experts including Dr. Okoro,
607
00:32:19,271 --> 00:32:22,232
the board‐certified
plastic surgeon in Atlanta,
608
00:32:22,232 --> 00:32:26,736
who all say that three to four
BBLS is the maximum number a
609
00:32:26,736 --> 00:32:29,865
plastic surgeon could
safely do in one day.
610
00:32:29,865 --> 00:32:34,202
So how could anyone handle
a caseload double the size?
611
00:32:35,412 --> 00:32:38,415
Other sources we spoke with
said it wasn't unusual for
612
00:32:38,415 --> 00:32:42,794
surgeons at Jolie or previously
at Encore and Vanity ,
613
00:32:42,794 --> 00:32:46,506
to schedule as
many as 10 BBLS a day.
614
00:32:47,966 --> 00:32:51,803
Finally, we actually got
somebody willing to talk to us.
615
00:32:52,220 --> 00:32:55,307
A search for former employees
leads me to Gena Hitchens who
616
00:32:55,307 --> 00:32:58,351
worked at Jolie as
a surgical coordinator.
617
00:32:59,978 --> 00:33:03,064
She's promised to meet me,
though she's warned us,
618
00:33:03,064 --> 00:33:05,734
that she still
works in the industry,
619
00:33:05,734 --> 00:33:09,404
and needs to choose
her words carefully.
620
00:33:10,363 --> 00:33:12,532
Have you ever been there
in one of these cases where
621
00:33:12,532 --> 00:33:14,618
things went terribly wrong?
622
00:33:28,924 --> 00:33:31,551
♪ ♪
623
00:33:31,551 --> 00:33:33,345
♪ Bottles and models ♪
624
00:33:33,345 --> 00:33:35,263
♪ Lil' mama look fit ♪
625
00:33:35,263 --> 00:33:36,890
♪ I'mma hit like a throttle ♪
626
00:33:36,890 --> 00:33:38,850
♪ She make it droplike a switch ♪
627
00:33:38,850 --> 00:33:40,685
♪ I won't see her tomorrow ♪♪
628
00:33:40,685 --> 00:33:43,355
VAN ZELLER: So Gena,
tell me how you first
heard about these clinics.
629
00:33:43,355 --> 00:33:46,483
GENA: I started working
at Jolie Plastic Surgery .
630
00:33:46,483 --> 00:33:48,235
VAN ZELLER: Uh‐hmm.
631
00:33:48,235 --> 00:33:51,071
GENA: And that was my
first step into the
plastic surgery world.
632
00:33:51,071 --> 00:33:52,405
VAN ZELLER: How many
clinics have you worked at?
633
00:33:52,405 --> 00:33:53,990
GENA: Four.
634
00:33:53,990 --> 00:33:55,992
VAN ZELLER: Have you ever been
there in one of these cases
635
00:33:55,992 --> 00:33:58,703
where things went
terribly wrong?
636
00:33:59,579 --> 00:34:00,997
GENA: Umm...
637
00:34:00,997 --> 00:34:02,874
Yes, but I can't talk about it.
638
00:34:02,874 --> 00:34:06,461
VAN ZELLER: More than once?
GENA: No.
639
00:34:06,753 --> 00:34:08,380
VAN ZELLER: Was it a death?
640
00:34:08,380 --> 00:34:10,632
GENA: I'm not able
to speak about it.
641
00:34:10,632 --> 00:34:12,467
VAN ZELLER: Is a doctor
actually capable of performing
642
00:34:12,467 --> 00:34:14,803
eight procedures in a day?
643
00:34:14,803 --> 00:34:17,138
GENA: I think once you start
getting into the high numbers
644
00:34:17,138 --> 00:34:19,975
is when you start
looking for problems.
645
00:34:19,975 --> 00:34:22,060
Or problems start
looking for you.
646
00:34:22,060 --> 00:34:24,771
VAN ZELLER: So why are they
doing so many procedures a day?
647
00:34:27,691 --> 00:34:29,067
GENA: Yeah.
648
00:34:29,067 --> 00:34:31,319
I don't know that that's a
question I wanna answer.
649
00:34:31,319 --> 00:34:33,238
VAN ZELLER: But do you think a
doctor is capable of operating
650
00:34:33,238 --> 00:34:36,574
and doing eight BBLs a day?
651
00:34:36,574 --> 00:34:38,451
GENA: They do it.
652
00:34:38,451 --> 00:34:40,912
VAN ZELLER: How
long does a BBL take?
653
00:34:40,912 --> 00:34:45,208
GENA: The average BBL would
probably be three and a half
654
00:34:45,208 --> 00:34:47,711
to four hours.
655
00:34:48,044 --> 00:34:51,131
VAN ZELLER: Of course, a
surgeon wouldn't need to be in
656
00:34:51,131 --> 00:34:53,133
the room the entire time.
657
00:34:53,133 --> 00:34:56,761
But from our research, the
two main procedures in a BBL,
658
00:34:56,761 --> 00:35:01,349
liposuction and fat transfer
take between two and
three hours.
659
00:35:02,225 --> 00:35:06,187
So a surgeon doing eight BBLS
in a day would be facing
660
00:35:06,187 --> 00:35:09,733
16 to 24 hours of surgery.
661
00:35:10,483 --> 00:35:12,902
I guess the math then
just doesn't add up.
662
00:35:12,902 --> 00:35:15,196
So it's impossible for a doctor
to be performing eight of
663
00:35:15,196 --> 00:35:16,489
these a day.
664
00:35:16,489 --> 00:35:19,534
GENA: Nothing is impossible.
665
00:35:29,294 --> 00:35:30,337
VAN ZELLER: So pretty.
It's like...
666
00:35:30,337 --> 00:35:32,255
ANDRES: It's like
a little oasis.
667
00:35:32,255 --> 00:35:34,716
VAN ZELLER: With business
booming at these clinics,
668
00:35:34,716 --> 00:35:37,594
lawyer Andres Beregovich who's
launched a number of cases
669
00:35:37,594 --> 00:35:40,972
against these clinics, wants to
give me a sense of just how much
670
00:35:40,972 --> 00:35:44,142
money these clinic
owners are making.
671
00:35:44,142 --> 00:35:47,729
Look at that.
Guy on a horse.
672
00:35:48,647 --> 00:35:50,982
I'm most interested in
one man in particular,
673
00:35:50,982 --> 00:35:54,903
Dr. Ismael Labrador, the
reported owner and operator of
674
00:35:54,903 --> 00:35:58,073
Jolie and other
cosmetic surgery centers.
675
00:35:58,657 --> 00:36:00,116
What is this?
676
00:36:00,116 --> 00:36:03,453
ANDRES: These are stables,
part of an equestrian center
677
00:36:03,453 --> 00:36:07,832
owned by Ismael Labrador
and his wife.
678
00:36:08,917 --> 00:36:12,796
It just goes to show you
the significance of the money
679
00:36:12,796 --> 00:36:15,548
that's generated by
these surgery centers.
680
00:36:15,548 --> 00:36:18,426
They're cash cows.
681
00:36:18,802 --> 00:36:21,513
VAN ZELLER: In 2007, Dr.
Labrador was arrested on
682
00:36:21,513 --> 00:36:25,308
felony charges for allowing
unlicensed workers to perform
683
00:36:25,308 --> 00:36:27,602
medical procedures.
684
00:36:27,602 --> 00:36:29,729
The felony charges were
dropped after he entered a
685
00:36:29,729 --> 00:36:33,525
court diversion program and he
went on to start a string of
686
00:36:33,525 --> 00:36:36,861
discount plastic
surgery centers.
687
00:36:37,737 --> 00:36:41,574
Here he is, in a 2018
deposition for a case where
688
00:36:41,574 --> 00:36:45,578
a woman was injured during a
procedure at one of his clinics,
689
00:36:45,578 --> 00:36:48,123
a lawsuit that
has since been settled.
690
00:36:48,373 --> 00:36:50,500
INTERVIEWER: Specifically,
what administrative tasks did
691
00:36:50,500 --> 00:36:52,168
you have control over?
692
00:36:52,168 --> 00:36:54,421
(speaking Spanish).
693
00:36:54,421 --> 00:36:56,339
TRANSLATOR: The
hours, the salary.
694
00:36:56,339 --> 00:37:00,009
(speaking Spanish).
695
00:37:00,009 --> 00:37:02,387
TRANSLATOR: The
employees' qualifications.
696
00:37:02,387 --> 00:37:03,847
VAN ZELLER: In past
written statements,
697
00:37:03,847 --> 00:37:06,266
Labrador has said
doctors, not clinic owners,
698
00:37:06,266 --> 00:37:09,811
are responsible for patient
care and that all the doctors
699
00:37:09,811 --> 00:37:14,023
he's hired have met
the requirements of the
state licensing board.
700
00:37:14,607 --> 00:37:17,444
He's also claimed that the
frequent name changes at his
701
00:37:17,444 --> 00:37:20,405
clinics were made for
marketing purposes,
702
00:37:20,405 --> 00:37:23,324
not to avoid
legal responsibility.
703
00:37:23,575 --> 00:37:25,577
We reached out to
him for comment.
704
00:37:25,577 --> 00:37:28,705
He denied being the owner of
Jolie and responded with a
705
00:37:28,705 --> 00:37:33,376
request for $25,000 to
sit for an interview,
706
00:37:33,793 --> 00:37:37,213
and that's when we
found a new source.
707
00:37:38,256 --> 00:37:40,008
So I don't know a
lot about this person,
708
00:37:40,008 --> 00:37:42,343
I just know that
he's willing to talk.
709
00:37:42,343 --> 00:37:45,388
He's very, very nervous and
anxious and super worried
710
00:37:45,388 --> 00:37:47,724
about not
revealing his identity.
711
00:37:47,724 --> 00:37:51,227
I'm hoping he'll be able to
help me unravel the inner
712
00:37:51,227 --> 00:37:54,022
workings of these
discount surgery clinics.
713
00:37:54,022 --> 00:37:58,026
VOICE (over computer): Welcome.Please take your ticket.Please drive inside.
714
00:38:08,286 --> 00:38:11,289
VAN ZELLER: I think he's here.
I think that's him.
715
00:38:11,289 --> 00:38:13,875
Yeah, it's definitely him.
716
00:38:24,677 --> 00:38:27,555
So, thanks for meeting us.
717
00:38:27,555 --> 00:38:29,808
To protect the
identity of Juan Carlos,
718
00:38:29,808 --> 00:38:31,935
there's little I
can say about him,
719
00:38:31,935 --> 00:38:35,104
other than he has spent time
working at Jolie and a number
720
00:38:35,104 --> 00:38:38,149
of other clinics,
which we have verified.
721
00:38:38,858 --> 00:38:40,735
We've been trying for months
and months and months to try
722
00:38:40,735 --> 00:38:42,195
to get somebody to talk to us.
723
00:38:42,195 --> 00:38:43,488
So I really appreciate this.
724
00:38:45,824 --> 00:38:47,492
VAN ZELLER:
Reluctantly, but you accepted.
725
00:38:47,492 --> 00:38:49,077
Why did you accept?
726
00:39:05,969 --> 00:39:11,766
♪ ♪
727
00:39:14,352 --> 00:39:16,521
VAN ZELLER: What exactly
happens in these places?
728
00:39:29,617 --> 00:39:33,037
VAN ZELLER: Ten to 12
patients per day, per
doctor, per surgeon?
729
00:39:35,290 --> 00:39:37,000
VAN ZELLER: As a
surgical coordinator,
730
00:39:37,000 --> 00:39:39,419
Juan Carlos was in charge of
scheduling these surgeries for
731
00:39:39,419 --> 00:39:41,671
a handful of doctors.
732
00:39:42,046 --> 00:39:44,591
Although he worked in the
admin offices upstairs,
733
00:39:44,591 --> 00:39:48,052
he said he made daily trips to
the operating rooms downstairs.
734
00:39:48,511 --> 00:39:51,431
And routinely saw surgeons
running multiple operating
735
00:39:51,431 --> 00:39:54,309
rooms at the same time.
736
00:39:54,309 --> 00:39:57,020
That meant that they weren't
on hand for the entirety of
737
00:39:57,020 --> 00:39:59,272
the procedures.
738
00:39:59,272 --> 00:40:02,734
If that's true, then logically
it must mean that the
739
00:40:02,734 --> 00:40:06,321
operating room assistants,
called surgical techs,
740
00:40:06,321 --> 00:40:09,490
are doing at least
part of these procedures.
741
00:40:10,700 --> 00:40:13,494
Juan Carlos brought videos he
claims to have captured on his
742
00:40:13,494 --> 00:40:16,372
phone that seem
to show just that.
743
00:40:16,998 --> 00:40:20,043
Due to patient privacy, Juan
Carlos would not allow us to
744
00:40:20,043 --> 00:40:21,920
share the footage.
745
00:40:21,920 --> 00:40:25,381
Though we can't
independently confirm the
authenticity of the videos,
746
00:40:25,381 --> 00:40:30,053
in one of them, the staff
uniforms clearly say Jolie .
747
00:40:30,678 --> 00:40:32,430
Oh, what's happening here?
748
00:40:34,807 --> 00:40:36,017
VAN ZELLER: And then
what happens if something,
749
00:40:36,017 --> 00:40:37,852
you know, if one of
the surgeries gets,
750
00:40:37,852 --> 00:40:40,104
you know, complicated?
751
00:40:42,357 --> 00:40:43,691
VAN ZELLER: And considering
the amount of deaths,
752
00:40:43,691 --> 00:40:47,195
why hasn't anyone come
out and spoken, like you?
753
00:40:54,786 --> 00:40:57,372
VAN ZELLER: But you've
felt some sort of guilt, right?
754
00:40:57,372 --> 00:40:59,791
Or else you
wouldn't be here now.
755
00:41:00,208 --> 00:41:01,918
Or remorse or.
756
00:41:12,011 --> 00:41:15,390
VAN ZELLER: Nobody gives a
(bleep) about you, patients.
757
00:41:15,932 --> 00:41:17,558
The deeper I dug
into this world,
758
00:41:17,558 --> 00:41:20,228
nothing felt more
honest than that statement.
759
00:41:21,646 --> 00:41:24,190
I presented
Jolie's de facto owner,
760
00:41:24,190 --> 00:41:27,694
Ismael Labrador, with
Juan Carlos' claims.
761
00:41:27,694 --> 00:41:30,738
Through his lawyer, he
denied that surgical techs are
762
00:41:30,738 --> 00:41:34,826
performing the surgeries and
has threatened legal action.
763
00:41:35,785 --> 00:41:39,706
It took me six months to track
down a former employee willing
764
00:41:39,706 --> 00:41:42,125
to speak on camera.
765
00:41:42,125 --> 00:41:45,003
KAYLA (over computer): I mean,there's a lot of people thatknow about it
766
00:41:45,003 --> 00:41:47,797
and are afraid to speakand I'm not one of them.
767
00:41:47,797 --> 00:41:50,800
They can come findme for all I care.
768
00:41:51,050 --> 00:41:53,011
VAN ZELLER: Kayla worked
as a medical assistant at
769
00:41:53,011 --> 00:41:56,514
Labrador's clinic when it
was called Vanity and Encore ,
770
00:41:56,514 --> 00:41:59,392
but before it was named Jolie .
771
00:41:59,392 --> 00:42:00,435
How long were you there for?
772
00:42:00,435 --> 00:42:01,853
KAYLA (over computer):Two years.
773
00:42:01,853 --> 00:42:03,855
VAN ZELLER: What kind of
patients did you guys see there?
774
00:42:03,855 --> 00:42:06,649
KAYLA (over computer): We wouldhave patients from everywherethat would come in.
775
00:42:06,649 --> 00:42:08,693
Obviously because ofthis affordable pricing,
776
00:42:08,693 --> 00:42:10,737
they were comingout of the state,
777
00:42:10,737 --> 00:42:12,739
coming from another country.
778
00:42:12,739 --> 00:42:13,698
Yeah.
779
00:42:13,698 --> 00:42:16,492
It was a variety of patients.
780
00:42:16,492 --> 00:42:19,037
VAN ZELLER: And once those
patients went in for surgery,
781
00:42:19,037 --> 00:42:22,165
what Kayla describes fits a
similar pattern of behavior
782
00:42:22,165 --> 00:42:25,710
that we heard from Juan Carlos
as well as multiple others who
783
00:42:25,710 --> 00:42:29,797
worked at Labrador's clinics
and spoke to us off the record.
784
00:42:30,631 --> 00:42:33,342
Doctors running
multiple operating rooms,
785
00:42:33,342 --> 00:42:37,513
and not being present for
portions of risky operations.
786
00:42:38,431 --> 00:42:41,225
KAYLA: There's more than
one operating room for sure.
787
00:42:41,225 --> 00:42:44,645
There were multiple
surgeries happening at once.
788
00:42:44,896 --> 00:42:47,982
We had at least five
to six operating rooms.
789
00:42:49,067 --> 00:42:51,235
VAN ZELLER: Florida law
requires that anyone assisting
790
00:42:51,235 --> 00:42:56,491
or participating in any surgical
procedure must have, quote,
791
00:42:56,491 --> 00:43:00,161
"Direct and immediate
supervision of a
licensed physician."
792
00:43:00,161 --> 00:43:03,081
So would a surgeon overseeing
multiple operating rooms
793
00:43:03,081 --> 00:43:06,542
qualify as direct and
immediate supervision?
794
00:43:07,168 --> 00:43:09,629
I called former Department
of Health inspector,
795
00:43:09,629 --> 00:43:13,132
Jerome Hill to ask
him this very question.
796
00:43:13,132 --> 00:43:15,843
He believes the current
law gives these clinics
797
00:43:15,843 --> 00:43:17,929
too much wiggle room.
798
00:43:17,929 --> 00:43:20,973
JEROME (over phone): Given thefact that you can have some typ
799
00:43:20,973 --> 00:43:26,395
of medical procedure in oneroom and the supervision is
800
00:43:26,395 --> 00:43:32,026
in another room two doorsdown, it is a stretch,
801
00:43:32,026 --> 00:43:34,237
it is thelatitude that they give,
802
00:43:34,237 --> 00:43:39,117
the medical doctors here inFlorida that it is so gross it
803
00:43:39,117 --> 00:43:44,288
leaves an opening formalpractice by these doctors.
804
00:43:44,288 --> 00:43:48,209
And it puts, moreimportantly, the citizensof Florida in jeopardy.
805
00:43:50,086 --> 00:43:52,547
VAN ZELLER: Three
board‐certified doctors we
806
00:43:52,547 --> 00:43:55,591
spoke with all agree that
from a medical perspective,
807
00:43:55,591 --> 00:43:59,428
a surgeon must be in the room
the entire procedure in order
808
00:43:59,428 --> 00:44:01,639
to ensure a patient's safety.
809
00:44:01,639 --> 00:44:04,976
Anything less than that,
especially with a procedure
810
00:44:04,976 --> 00:44:09,355
like a BBL is unusual
and undoubtedly dangerous.
811
00:44:10,815 --> 00:44:13,317
The picture of this industry
painted by the many people we
812
00:44:13,317 --> 00:44:15,486
spoke with is grim.
813
00:44:15,486 --> 00:44:19,365
Which means that unless
regulators step in or society
814
00:44:19,365 --> 00:44:23,035
stops pressuring women to
chase those perfect curves,
815
00:44:23,035 --> 00:44:26,622
these tragedies are
likely to continue.
816
00:44:31,586 --> 00:44:33,337
VAN ZELLER: I mean, it's not
even about the patient's life
817
00:44:33,337 --> 00:44:34,463
anymore, right?
818
00:44:42,138 --> 00:44:48,936
♪ ♪
819
00:45:02,366 --> 00:45:07,705
♪ ♪
820
00:45:08,247 --> 00:45:09,582
Captioned by
Cotter Media Group.
68816
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