Dr. Pimple Popper Season 4, Episode 1: First to worst

Dr. Pimple Popper is finally back for a fourth season. Expect to see massive growths that look like fruit, ooze like toothpaste, and smell like sewage.

If you don’t recall or are not aware, this show is awesome and disgusting. If you recently ate, it’s highly advised to avoid. Unless, of course, you have an iron stomach. Dr. Pimple Popper is in the house.

There are three clients this episode, all emotional, as they go from bad to worse to horrible. Here they are, first to worst.

1. Traci has bumps

Over 20 years ago, Traci had bumps start showing up on her face. Puberty made them explode all over the place, and there are too many to hide with makeup. A previous specialist says he got 90% of them, but he must have failed math, because her face slightly resembles a popcorn ceiling. It’s incredibly depressing.

Traci and her family visit a co-op, where she buries her face in her phone. A single-digit IQ employee looks at her, and Traci nearly cries. In fact, Traci nearly cries the entire time she delivers her confessional.

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Dr. Lee diagnoses it as trichoepitheliomas, which is a ten-dollar word if anyone has ever heard one. The treatment is a syringe to numb things up, then a scalpel to shave off portions of this chick’s face. Finally, she uses a laser to burn off and/or dry up the wounds. Apparently it’s painful, but not as difficult to deal with as watching Dr. Lee carve someone’s face. She has the strongest stomach on the planet.

2. Ravon has a third testicle.

All jokes aside, it looks like a third testicle. He sits on it, and men worldwide nod in understanding. When he visits Dr. Lee at least a part of her has to be thinking this is a trick to get her to touch his genitals. Before doing so, he goes to great lengths to show how it gets in the way, drops into the toilet, swings when he is being athletic. Apparently he’s never heard of spandex.

The funniest part of Ravon’s story is how difficult to get to his pedunculated growth is. It’s really close to his testicles, and it’s difficult for her to remove without performing a completely different surgery. Post-surgery, the camera lingers far too long on a view that would display his actual genitals if he even remotely flinched.

3. David has noses.

This poor guy. He has a nose on his nose. You know that feeling when one nostril is clogged because of a sinus infection? This guy has to deal with it every.single.day.

It looks like he has a small growth off his left nostril, and a strawberry attached to the growth.

It’s always amazing how brutal the procedures are. Aside from the numbing, it’s almost medieval. Cutting, carving, slicing, scraping. This time it’s a scalpel then that electric carving scooper that burns right through tissue. Thank God there is no smell-o-vision.

David leaves with a red nose, and a skin sample from his cheek in Dr. Lee’s hands. She believes it’s cancerous, and we’ll see him in a future issue.

Dr. Pimple Popper airs Thursdays on TLC.