This is a busy office. Everyday patients file in and out. Appointments are made, bills are paid and surgeries are performed. But sometimes the unexpected can disrupt this well-oiled machine. Computers break down, toilets overflow and cleaning becomes an issue. For any office these are annoying problems, but for a plastic surgeon's office even more so. Appearances are everything, and we'll soon see how they handle this challenge. Outside the office, Dr. Kelly and Dr. Herman test their competitive edge further and race each other to the finish line at the Miami racetrack. Kathy is a patient returning for more cosmetic surgery — always reaching for perfection. At 47, she has already had a nose job, a tummy tuck, an eyelift and is now back for a breast augmentation and a little lipo. She is married with children and spends most of her day working out in the gym with her loyal trainer, Leo. At her pre-exam with Dr. Herman, she tries on different breast shapes to determine size, but asks Leo