Skin Decision: Before and After

TV review by
Melissa Camacho, Common Sense Media
Skin Decision: Before and After TV Poster Image
Reality show about cosmetic surgery, some talk of violence.

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Kids say

age 13+
Based on 2 reviews

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A lot or a little?

The parents' guide to what's in this TV show.

Positive Messages

It sends the message that cosmetic treatments and surgeries can help you feel better and more confident about yourself without changing who you are. 

Positive Role Models & Representations

Clients come from different walks of life. Dr. Nazarian and Nurse Jamie are kind to their clients.


Many clients want to eliminate scars resulting from violent events, including car accidents, being shot by a loved one multiple times, and being cut by razor blades, et. There are many conversations about violent events, ranging from being severely injured in a car accident, to being attacked with razor blades. There’s also images of people being cut open, sewn shut, etc. during surgical procedures, but the blood is minimal. 


Nudity is visible during surgical procedures, but this is not presented in a sexual nature. People make references to feeling sexy after they’ve healed from their treatments. 


The series is a promotional vehicle for Dr. Nazarian and Nurse Jamie. Both women talk about their skill sets, and some of the tools they use to do their work. Nurse Jamie occasionally talks about her skin care company. 

Drinking, Drugs & Smoking

Injectable treatments like collagen, Botox, and others are discussed and performed.

What parents need to know

Parents need to know that Skin Decision: Before And After is a reality show about medical professionals performing cosmetic treatments and surgeries on patients. There’s lots of cutting, injecting, and lasering of the skin, and nudity is sometimes visible. Clients talk about violent and traumatic experiences (like car accidents and vicious attacks), and about feeling good after they’ve healed from their procedures. The series also promotes the medical experts’ individual practices and companies, as well as the products they use. The overall series sends the message that cosmetic treatments can help people look better and have more self-confidence, without a lot of nuance. 

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Teen, 13 years old Written byDixieStick August 12, 2020
Teen, 17 years old Written byidontanamw123 August 7, 2020


Honestly when I first started watching it, I was good but then afgter the first couple episodes the show just got boring because it was about the same thing and... Continue reading

What's the story?

SKIN DECISION: BEFORE AND AFTER is a reality series features people seeking cosmetic procedures in order to be better versions of themselves without changing who they are. Each episode features two people who are struggling with issues like visible scars, post-childbirth skin excess, and even poorly healed bullet holes. After sharing what happened to create these problems, they meet with Dr. Sheila Nazarian, a Beverly Hills plastic surgeon, and Jamie Sherrill, a celebrity skin expert known as Nurse Jamie, to discuss what treatment options are best suited to help them. Viewers then get to watch as they perform specialized skin repair and surgical procedures. Once their clients heal, comparisons are made between what they looked and felt like prior to the procedures, and how they look and feel now. 

Is it any good?

This series features clients undergoing a series of cosmetic procedures and surgeries in hopes of looking better and feeling more confident about themselves. Many of them talk about the traumatizing experiences associated with their physical imperfections, including car accidents and attempted murder. Others are seeking relief from physical flaws that they believe have kept them from living a full life. Dr. Nazarian and Nurse Jamie are always sympathetic, and frame each treatment plan as a way of helping them. But they are also clear about what results each client should expect.  

Skin Decision: Before And After isn’t meant to give medical advice, but sometimes it has interesting explanations about what a procedure is and how it works. However, very little is said about the cost of these procedures, or how painful they are. The two professionals, especially Nurse Jamie, sometimes use these opportunities to self-promote, and to highlight the specific tools they are using to get the best results. Nonetheless, folks who enjoy watching transformational reality series will find themselves easily caught up in this one. (They may also start thinking about their physical flaws, and what could be done to change them.)

Talk to your kids about ...

  • Families can talk about the reasons people choose to have cosmetic treatments and surgeries. How can having their skin improved or their stomachs cinched in help them live better lives? Do the clients appearing on Skin Decision: Before And After have reasonable expectations about how the procedures they undergo will help them? 

  • In what ways do reality shows serve as marketing vehicles for products and services? Is this a bad thing? Is this the only reason that people agree to star in them? 

  • Is it ethical for doctors and other medical professionals to be promoting themselves on shows meant to be entertaining? What are some of the potential problems with doing so? Are there benefits?

TV details

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