 Abby Lee Miller says she's in desperate need of plastic surgery. I'm just like devastated. She has uncomfortable flab around her bra line and loose skin that dangles from her arms. She's headed to Beverly Hills for help from plastic surgeon Dr. Saul Laha-Johnny. This whole, like, this is my problem, this back fat. But right here, this is where you're... Oh my God, yes, it's awful now. The doctor will remove fat from her bra line and also under her arms. We're gonna take off all this excess skin. You can wear your shirts more comfortably. Abby was also hoping for a tummy tuck, but her doctors have decided to limit the procedures, so her tummy tuck will have to wait. On the day of surgery, Abby's doctor marks where he'll remove and tuck flat. All this extra skin will get pinched in here. I'm really worried. I'm nervous. She questions whether she should have the cosmetic surgery. Here I am doing something that's, like, very superficial and selfish. But this isn't just about vanity. She's lost over 100 pounds. She has a lot of excess skin. You know, excess skin is not only uncomfortable, but you can get infections. The surgery is on. The doctor performs lipo and removes lots of skin. Length-wise is probably maybe around 16 inches. Width-wise, maybe around 3 inches. Four hours later, Abby emerges with her arms tightly wrapped to reduce swelling. We check back seven weeks later, and Abby loves her new shape. This is a shirt that fits now. It was hanging in my closet forever. She's still swollen, but already sees big improvement. This isn't really hugging me tight. It's kind of loose. Can you see that? Look at the dramatic difference before and after surgery. The hanging skin is gone. So is the fat along her bra line.