When a holiday Elf on the Shelf had an untimely run-in with the family dog, we knew the surgeon to call.

E!’s “Botched” star Dr. Paul Nassif, a facial plastic surgeon and a RealSelf Top Doctor, was the perfect person to tackle Seattle-area mother Sadie Arnold’s case and tell us exactly how to put this holiday elf back together again.

“The damage that this Elf on a Shelf sustained on a ‘Botched’ scale is a 10 out of 10,” Dr. Nassif says in this video. “Besides the head re-implantation, we really have to focus on the nose.”

If you’ve ever wondered what goes into an extensive rhinoplasty, Dr. Nassif will give you a good idea as he walks you through the nose-job process. And despite the decapitation, he’s also optimistic that his “Botched” skills can tackle this Elf on a Shelf’s case.

“I don’t know what type of trauma the elf sustained, but with the head taken off? Especially the nose?” Dr Nassif says.  “We need to fix this.”



Thanks to Dr. Nassif, the Arnold family’s Elf on the Shelf is happily in recovery.



Learn more about Dr. Paul Nassif on his RealSelf profile.