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... (more) implants removed. Then, 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?