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 travels to LA in a helicopter to get advice on opening a restaurant. 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?