A grandmother-to-be went under the knife for the third time to fix her deformed breasts after her implants fell out of open wounds in her chest following a disastrous surgery in the Dominican Republic.
Judy Hernandez, 37, from Pawtucket, Rhode Island, shocked Dr. Terry Dubrow and Dr. Paul Nassif when she shared her horrific story on Monday night's episode of the E! reality series Botched.
The mother of four explained that she was left with open wounds on both of her breasts after contracting two strains of antibiotic-resistant bacteria. The wounds were so large, her breast implants eventually slipped out.
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Horrifying: Judy Hernandez, 37, from Pawtucket, Rhode Island, revealed on Monday's Botched that her breast implants fell out of open wounds in her chest


Then and now: The grandmother-to-be went under the knife for the third time to have her misshapen breasts reconstructed
'I went to the Dominican Republic to have my implants put in and my implants fell out in my hand,' she explained in her testimonial.
'After eight months, two surgeries, wound VACs, I was left with a massacre,' she recounted. 'Emotionally, it was terrible to deal with. I literally cried every single day for eight months. It was terrible. I almost died.'
Judy, whose 20-year-old son was about to welcome his first child, hoped Dr. Dubrow could fix her misshapen breasts so she could move on with her life and hopefully find love as a young grandmother.
'I feel like I'm still young. I'm single, and I want to get my life going,' she said. 'I don't want to be alone forever.'
When she sat down with the doctors, she explained that she had a tummy tuck, a Brazilian butt lift, and a breast augmentation in Colombia during her first round of surgeries.
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Life-threatening: Judy was left with open wounds on both of her breasts after contracting strains of antibiotic-resistant bacteria following surgery in the Dominican Republic


Nightmare: Both of her implants ended up falling out of the gaping wounds in her breasts
'After two and a half years having the breast implants in, it felt like a lot of pressure on my chest. I had back pain. I couldn't sleep. I then decided to have my implants changed to smaller sizes,' she said.
Judy traveled to the Dominican Republic for her second surgery and ended up fighting for her life.
'It was a terrible experience. I went to the recovery house. I was so sick,' she told the doctors. 'I came back to the United States, immediately went to the hospital 'cause I was running a fever. I started getting wounds on my incisions.'
After going to the hospital and having her wounds 'packed,' she was referred to a plastic surgeon. She recalled being examined by the physician's assistant when she heard a 'pop.'
'One fell out right in her hand,' she said.

Hard to handle: Dr. Paul Nassif (left) and Dr. Terry Dubrow (right) were stunned when Judy told them what happened

Recovery: After the botched boob job, Judy needed to stay in the hospital for two weeks and have wound VACs or vacuum-assisted closures of the wounds
'What do you mean one fell out? One what fell out?' Dr. Dubrow asked.
'My implant fell out,' she confirmed. 'It was like a few holes that were opening up.'
Judy said the woman who was examining her was 'hysterical' because she had 'never seen this before,' and the doctors noted that they never have either.
She went home and a few days later she was brushing her teeth and felt another pop. Her other implant had fallen out into her shirt.
'Last time I checked, having your implants out while brushing your teeth is not ideal,' Dr. Dubrow said in his testimonial.
Judy shocked the doctors again when she revealed she had the implant with her.

Risky: In the examining room, Dr. Dubrow noted that she was 'missing the entire lower portion of the breast' and reconstruction would be difficult

Decisions: When he asked whether or not she wanted implants, Judy agreed it would be best to let him assess the situation during surgery

Not having it: 'Judy puts me into a very difficult situation. I don't want her to have implants. They're clearly not suitable for her,' the doctor explained on the day of her surgery
'Wait, whoa, whoa, whoa. This implant fell right out of your breast into your shirt?' Dr. Dubrow asked.
She admitted that she was told to just throw the silicone implant away, but she 'kept it for memories.'
Judy said she had contracted two strains of antibiotic-resistant bacteria, one in each breast. She needed to stay in the hospital for two weeks and have wound VACs or vacuum-assisted closures of the wounds.
'The wound VAC shoots up fluid into my breast, so it was like killing whatever was inside and then it would suck it out,' she recounted. 'It was so painful.'
Dr. Dubrow told Judy that the surgeon in the Dominican Republic had cut out the blood supply to the breast tissue.
'It slowly started to die and turn into basically a zombie breast,' he explained. 'You're getting very sick, but you don't know because the surface looks okay, but there is a zombie brewing below.'

Success: Dr. Dubrow was able to reconstruct Judy's breast without using implants

Happy: Judy was the picture of confidence when she walked into a restaurant to meet her pals wearing a spaghetti-strap dress after her surgery


Results: Judy's misshapen breasts were made rounder, more symmetrical, and perkier during the surgery
In the examining room, he noted that she was 'missing the entire lower portion of the breast' and reconstruction would be difficult.
'One of the fundamental difficulties of your situation is that there's very little distance between your natural crease, here, and the areola,' he said. 'We can try to recruit tissue from the inner and outer portions to the lower portions to make you a lower pole.'
Dr. Dubrow admitted that breast implants would give her a 'better shot at a normal breast contour,' but he would rather not use them because they were a 'disaster' when she last had them.
When he asked whether or not she wanted implants, Judy agreed it would be best to let him assess the situation during surgery and decide the plan of treatment himself.
'I can theoretically make incisions, get a feel for how much blood supply's in the tissue, and then access whether implants are worth the risk,' he said.
On the day of her surgery, Dr. Dubrow saw that blood supply was only coming from the top of her breast.


Something to smile about: Judy said she no longer felt 'self-conscious' about her chest and was ready to start dating again

Feeling good: 'I feel like a hot grandmother,' she said after the surgery
'If I put an implant in there, that nipple may just say bye-bye,' he said. 'Judy puts me into a very difficult situation. I don't want her to have implants. They're clearly not suitable for her, but do I have enough breast fullness and symmetry and will she be happy with that result?
He ended up liking the shape he was able to create and decided the implants weren't worth the risk because they would likely lead to another set of complications.
The surgery was a success, and after her recovery, Judy happily showed off her new breasts to her friends. She was the picture of confidence when she walked into a restaurant to meet her pals wearing a spaghetti-strap dress that revealed her décolletage.
'Before my surgery, I got done dirty in the Dominican Republic. I lost the bottom of both my breasts and I was left both physically and emotionally scarred,' she said.
'I was so self-conscious about the way I looked, I couldn't get myself to date and I was afraid I would be single forever,' she recalled. 'But now, thanks to Dr. Dubrow, my scars are gone, and now I have two full, perky, implant-free breasts.
'I feel like a hot grandmother.'
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