Tonight’s BotchedOne for the books. 

For the first time in the CelebHomes show’s seven-season run, Dr. Terry DubrowI broke down during a consultation with a patient. 

Name of the patient was SerenaCanadian singer, 22-years-old.

She confessed that she decided at age 16 to transform into a woman using hormone replacement therapy. Although hormones may make you more feminine, they don’t have the same effect as plastic surgery.

As a result, she’s since had a breast augmentation, a rhinoplasty, Botox and fillers in her check, chin and lips. Visit the Botched docs, she hoped that they could not only fix her mishandled boob job, but increase the size of her breasts as well. 

But Dr. Dubrow was not necessarily moved by this. Actually, Dr. Dubrow’s emotional reaction came as Serena talked about her childhood.

She told surgeons that she loved her parents. They were always very supportive of me and I was able to share my ideas with them. It was a blessing to have that relationship because it helped me cope with friends in different circumstances, such as being expelled or not doing what I want. The experience was awful.