A nervous Alexis undergoes sinus surgery, where her plastic surgeon additionally removes a bump from her nose. Meanwhile, Vicki is distraught as Briana's thyroid surgery went worse than expected. Tamra visits her doctor and decides to have her breast implants removed. Heather plans a glamorous trip to L.A. to get some advice on opening a restaurant, but who needs freeways when you can take a helicopter? Gretchen watches a rehearsal of the Pussycat Dolls in preparation for her Las Vegas debut, but will she realize that she's in over her head?