Watch Extreme Makeover online: Episode 4 Karen & Sandra

Karen, a 44-year-old ER nurse from Wilson, AR, who will see her fiancé for the first time after six weeks when she walks down the aisle on their wedding day, had a brow lift, upper and lower eye lifts, a nose job, liposuction to her neck, breast implants, Lasik surgery and teeth whitened and straightened Sandra, a recently widowed 53-year-old assistant manager from Mesa, AZ, who spent the last thirty years taking care of her disabled husband — and who is now looking to enter the dating world again — had a brow lift, a nose job, fat injections to her lips, breast implants, Lasik surgery, teeth whitened and extensive dental work. Take a look at Karen.

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