In this week's dramatic conclusion, psychologist, author and host of the record-breaking talk show of his name, Dr. Phil, checks in on the group to offer his weight-loss expertise and encouragement. With much sweat, pain and tears, they struggle to kick their addictive eating habits to lose a combined 142 pounds in only 8 weeks! At the end of their journeys, the threesome face their greatest fears and overcome incredible odds to have their plastic surgery wishes granted. LaPaula received a browlift, quad blepharoplasty (upper and lower eyelid lift), chin-jowel implant, buccal fat pad excision (fat pads removed from cheeks), liposuction of hip rolls, inner thighs and under chin, reverse frenectomy (gum and lip reposition to decrease gummy smile), breast augmentation with perilift, tummy tuck, LASIK eye surgery, orthodontic retainer, 8 da Vinci porcelain veneers and Zoom whitening. Belen received a Endo brow lift, quad blepharoplasty (upper and lower eyelid lift), cheek lift, rhinoplasty