Narrator: Welcome to the world of plastic surgery, before and after.

An image consultant in Beverly Hills, California, 50-year-old Eve Michaels places a high priority on looking good. In fact, she feels her extremely youthful appearance has been an asset in raising her two daughters.

Marissa: People always tell us we look like sisters, but sometimes I think we really feel like sisters, kindred spirits.

Mother: I think looking young has always made them feel that I can relate to them.

Nicole: My family and I are very close, especially my mom, my sister and I. We always have been. We're her two little girls.

Narrator: Girls who play together shop together. And these girls have also decided to have plastic surgery together.

Eve: I have been thinking about having my nose and my neck done now for a while. And then oddly enough, my daughter came to me and said, "Mom, do you think you could help us?"

Marissa: I tried everything to hide my hips and my thighs, from wearing bigger clothes to, you know, a little more fitted, and I'm always self conscious. "Mom, we gotta go to a tailor again". I hate that. I'm completely hanging over and the pants won't fit.

Narrator: Nicole's complaint is different. But genetically speaking, similar to her mother's.

Nicole: My mom and I have similar noses in the same sense that we have the same profile. My face from the front looks more even, you can't really tell I have a bump on my nose. But from the side you can definitely tell.

Eve: And I thought, well, I've always liked looking like my daughters, Nicole and I have looked alike, Marissa and I too, and I thought, well if they're gonna do it, maybe I'll do it, and let's just do it together!

Narrator: No stranger to plastic surgery, Eve has previously undergone a breast enlargement and liposuction. She chooses a practice in Beverly Hills that will address all their concerns. Eve and Nicole consult with Dr. Paul Nassif about their facial work.

Dr. Paul Nassif: Hi Eve, hi Nicole, nice to see you.

Nicole: Hi.

Eve: Hi Dr. Nassif.

Dr. Paul Nassif: How are you?

Eve: Good.

Dr. Paul Nassif: What I'd like to do is kind of review over some things with you, and talk about both the surgeries. In the _________, one of your complaints was that the tip of your nose is dropping, correct?

Eve: Yes.

Dr. Paul Nassif: And you're starting to get a little bit of relaxing in your neck, in your jaw line.

Narrator: To tighten the skin on Eve's neck, Dr. Nassif explains his process of a lower face lift.

Dr. Paul Nassif: Now a lower face lift really concentrates on the jowl area and the neck. Now for you, especially for your age, you look great. You're doing this proactively.

Narrator: Dr. Nassif also suggests both Eve and Nicole consider an additional procedure.

Dr. Paul Nassif: Sometimes when someone looks at their nose and they feel that it sticks out too much, sometimes it's because the chin is set back or recessed. In your situation, that's what's happening. So what we do is e make a small incision right her, slip in a chin implant which extends out that far. At the same time just like your mom, we're gonna do pretty much the same thing with you. We're going to soften up that bump you have there, and make the tip a little bit less round. And then I will see you in the operating room.

Eve: Okay, thanks.

Dr. Paul Nassif: My pleasure.

Marissa: Thank you doctor.

Narrator: Eve and her daughter Marissa spoke with Dr. David Amron about liposuction.

Dr. David Amron: Eve, hi. Dr.  David Amron. Very nice to meet you.

Eve: Hi, thanks.

Dr. David Amron: Hi, Marissa? Hi, Dr. Amron. How are you today? My view of liposuction is not just about going after fat, it really is targeting disproportionate areas that are really determined by your genetics. It sounds like you have some areas that you're not able to get rid of, which are most likely your disproportionate areas. So my goal is to balance your body.

Narrator: Eve has decided to have her previous liposuction revised.

Dr. David Amron: There are quite a few irregularities, and in her case, we're gonna be helping to smooth out those irregularities. Also in her case, I'm taking fat from areas and injecting them in a fat transfer to help build up those indentations from previous surgeries.

Narrator: It will take three days to complete all the desired procedures.

Eve: I'm looking forward for them to have my nose, and me to have their waists, and start being able to share some clothes.

Narrator: On day one, Eve is the first one up. She's prepped for liposuction. Eve is put under a local anesthetic, and remains awake during the procedure. A fluid containing saline solution and litocane, an anesthetic, is pumped into Eve's body. It will help constrict blood vessels and prevent bleeding during the operation.

Dr. David Amron: This is really where liposuction was done before, I'm doing a little bit more here because I think this area was actually not done quite enough. You know, when you're doing an area that's been done before, when there's scar tissue there, it's much harder.

Narrator: Some of Eve's fat is t hen used to fill the indentations from her previous surgery. Dr. Amron checks to make sure her skin is now smooth.

Dr. David Amron: Good, fantastic. Eve, we're done.

She's doing great. I think she'll get really good results, especially in the mid-back area where we moved the fat, the upper abdomen.

Getting a good result from liposuction can sometimes be tricky. And unfortunately there are many parties like Eve who end up with indentations. Those indentations are due to scarring, and can result from many causes.

Sometimes it's just the way the patient's body heals. But often, they result from using a cannula that's too large. A large cannula makes it difficult to get a smooth contour, and is more likely to remove too much fat in a particular area.

Narrator: The morning after mom's procedure, daughter Marissa arrives.

Nicole: I think the liposuction will affect my sister in a really positive way. For her, she's gonna be able to go out and get those pants that are maybe a little bit more narrow in the hips that she wouldn't be able to get before.

Narrator: Like her mother, Marissa is undergoing the procedure with just a local anesthetic.

Dr. David Amron: In this case, it has not been done before, and you really can feel a big difference. It goes in much easier, the fat is much softer.

Marissa: I don't despise my fat. It just wasn't my favorite part of my body.

Dr. David Amron: Marissa, we're done. Okay you did a great job, and I'll see you in the recovery room in about ten minutes, okay?

Marissa: Okay.

Narrator: Just 24 hours after her procedure, Eve waits anxiously to see how Marissa did.

Dr. David Amron: I think she'll have a beautiful result, and she was a very good patient. Now today she'll take it easy, and you'll be around her today, and how are you feeling by the way?

Eve: Good.

Dr. David Amron: Good, good, good.

Narrator: Coming up next, Eve and her daughters continue their quest for beauty.

And, find out if Summer's breast reduction gives a boost to her self esteem.

Narrator: When Eve Michaels and her two daughters Marissa and Nicole decided to have plastic surgery, they chose to do it at the same time.

Marissa: That's something that you don't get to do all the time as a family, so it's gonna be a good support system, _________ together.

Narrator: Supporting each other through three days of surgery, Eve and Marissa have already had liposuction. And now, 20-year-old Nicole is being prepped for her nose job and chin implants.

Eve: Alright, I'll see you afterwards, okay?

Nicole: After the surgery, I think my face is gonna completely change. It's gonna be cool to see myself with it.

Dr. Paul Nassif: What we want to do is make a smooth line on her dorsal and the hump is gone.

Narrator: On day three of the plastic surgery marathon, it's Eve's second turn on the table. Dr. Nassif makes his first incision around Eve's ear. After completing the lower face lift, Dr. Nassif moves on to the nose.

Dr. Paul Nassif: When we compare Eve and Nicole's nose, the goal is not to make them each have the same nose.

Dr. Paul Nassif: How you doing?

Eve: Good.

Dr. Paul Nassif: You're doing absolutely perfect. Your nose looks beautiful already. I want you to just relax, and we'll see you tomorrow.

Eve: I don't think that this will be the last important experience for me and my girls. I look forward to a lifetime of that. But I know it's something that we're gonna look back on forever and really laugh, really smile.

Narrator: Plastic surgery was a family affair for 50-year-old Eve Michaels and her two daughters, Nicole and Marissa. After a three day marathon of liposuction, a chin implant, a face lift and two nose jobs, this mother and her daughters look even more like sisters today.

Eve: This experience has been fantastic for me. It has really brought my daughters and I closer together, it was wild, it was fun, it was nerve racking, it was everything you would think it would be, and more.

Narrator: Though it's taken Eve some time to adjust to her new look.

Eve: First, I wasn't used to myself. I was so used to focusing on the hump of my nose, and now I really love it. I see results already from the revision of my lipo. The new rows he did are amazing. Above my tailbone and my back, I have no more mid drift bulge, behind my bra, which makes me feel really young again.

The changes I've seen in my daughters have been so amazing. I think Nicole's new nose and her chin look breathtaking.

Nicole: It was weird to see my profile proportions for the first time, cause I remember looking in the mirror from the side and seeing my face, and feeling like a different person. And now I look at myself from the side, and I feel confident.

Narrator: Marissa is also impressed with her results.

Marissa: There are major differences. Especially when I looked at the before and after pictures...I'm much happier with my body now. I feel that I don't have the bulges I used to have, I don't feel that my hips are as big, I never had a butt that looked this good...there's a lot of different results. My body took a new form and shape.

Eve: It's so good, as a mother, to see your daughters just feel and look so beautiful. All of the surgery, all the recovery, everything was worth it. Every penny. Everything that we went through was so worth it.