Before that show made him a household name, the expert facial and reconstructive surgeon appeared onDr.

He also lectures at UCLA.

That’s when I knew I would specialize in this field," he reminisced.

Botched’s Paul Nassif

“I’m not the typical doctor that gives patients what they want.

I don’t do that.

I have a go at give them what I want as long as they’re okay with that.

Botched’s Paul Nassif

I know what’s going to match their face.

If they like it and are on board, then we’ll proceed.

If they don’t like it, then we’re not a good fit together.

Botched’s Paul Nassif

In my private practice, I probably say no to 10-15 percent of patients.”

That’sa lotof fixed noses.