tonight on "nightline," that palin zone. as bristol almost swipes a win on "dancing with the stars," her mother sarah ramps up a new book tour that just happens to cross some key presidential primary states. so, what is next for alaska's most famous clan? dr. fix it. from kendra to court nooe to bruce. he's the doctor the hollywood calls. we meet dr. do-over. and, abs in a can. you don't have to work out like the situation to have a stomach like this. at least that's what "dancing with the stars" stud tony dovolani says. he takes a short cut to the perfect six-pack.

tonight, spray-on abs are a "sign of the times." >> announcer: from the global resources of abc news with terry moran, cynthia mcfadden and bill weir in new york city, this is "nightline," november 23rd, 2010. >> good evening, everyone, i'm bill weir. well, if there is a tea party movement determined to help all palins prevail, they were no match for the dirty dancing c contingent tonight. though bristol palin lost the "dancing with the stars" trophy, the palin family will not fade fast, because sarah palin is launching a new book signing tour tonight. it will take her to places one might visit if running for the president. the first stop is fenix, and that's where we find john berman. john? >> reporter: good evening, bill. you're going to hear this a million times but i'll say it anyway. no one puts baby in the corner. not even bristol palin. it speaks volumes that bristol

palin was "dancing with the stars" over in los angeles, the tango and the cha-cha. meanwhile, here in phoenix, where sarah palin was kicking off a book tour. sarah palin signing books here for several hours. now, bristol came in third behind jennifer grey from "dirty dancing" and a short time ago, i had a chance to ask sarah palin if she was disappoint by the "dancing with the stars" reports. >> not at all. she -- she's had the journey of, you know, the challenge, and the improvement and the work ethic. this has been all about that, and perseverance. i couldn't be prouder. she's happy. she's very happy. >> reporter: work ethic, hard work. sarah palin is clearly working hard right now, working for something. the question is, for what? >> we will now reveal that the couple in third place is --

bristol and mark. >> reporter: she didn't win. jennifer and derek! in the end, bristol palin is not the champion of "dancing with the stars." we didn't get to hear liberal rage that the tea party fix was in. we didn't get to see her hoist the mirror ball trophy. but yet again, we did get to talk about sarah palin. welcome to reality. sarah palin's reality. sarah palin's reality is multinet work, multimedia. we've seen her watching on "dancing with the stars," come men stating on fox news and clubbing on the learning channel. clubbing fish, that is. >> it's a dirty job, but somebody's got to do it. >> reporter: "sarah palin's alaska" takes us on all kinds of adventures. >> pull! dang it! >> reporter: but it is only one

part of sarah palin's reality. >> sarah palin has perfected the reality show candidacy. not just the tlc series, which isn't all that real, but her books, her tweet iing. it all enables her to use the main stream media. >> reporter: she is everywhere, including tonight in phoenix, arizona, signing copies of her new book, which among serious policy discussion, actually including a section that deems, literally, with reality tv. this time, "american idol." she calls the bad singers on that show victims of the cult of self-esteem. no one they've encountered in their lives, from their parents to their teachers to their president, wanted them to feel bad by hearing the truth. her comments are about self-awareness and responsibility. instead of facing tough economic reality, americans are convinced, she says, that someone else will provide for

them. it is classic palin. a serious point shrouded in relatable terms delivered in a way sure to generate buzz and controversy. and her supporters flat-out love it. >> thank you, sisters. >> reporter: that's why they lined up outside this bookstore before dawn. what are you doing here before dawn in the freezing? >> i want to cesar are palin sign my book. >> reporter: why do you want to see that? >> because she's a woman of honor. >> reporter: not everyone feels that way. listen to former first lady barbara bush on cnn. >> i think she's very happy in alaska, and i hope she'll stay there. >> reporter: listen to george will on "this week." >> after the 2008 campaign, she had two things she had to do. she had to go home to alaska and study and she had to govern alaska well. instead, she quit, halfway through her first term and shows up in the audience of "dancing with the stars" and other distinctly not-presidential venues. >> reporter: still, she gets more searches on google than all

the other leading republican presidential contenders combined. >> the main why the establishment has mixed feelings about palin is, they can't control her. she goes around them, she goes over their heads. >> reporter: most of palin's reality is on sarah palin's terms. this book signing tonight is very tightly controlled. >> no bags, no books, no purse, no cameras, no cell phones. >> reporter: the big question, with all of this, the book tour, the reality shows, is, why? what does sarah palin want out of this? is she running for president? after all, her book tour includes stops in the key states of iowa, south carolina and ohio. she told barbara waters -- >> i'm looking at the lay of the land now and trying to figure that out if it's a good thing for the country, for the discourse, for my family, if it's a good thing. >> if you ran for president, could you beat barack obama? >> i believe so. >> reporter: but could she? in the latest telling poll of primary voters, palin is in the

lead. but in a head to head matchup with president obama, she fares the worst among the leading republicans, trailing by 8%. mitt romney is actually polling ahead of the president right now. >> when it comes to independent voters, those people who decide elections, she's less popular. >> reporter: what about all the twitter followers, all the eyeballs on "dancing with the stars"? >> we know what she's doing right now is helping her get more media attention and raising her profile. but we don't know that that's necessarily a good thing. >> reporter: her biggest obstacle right now? according to the latest abc news poll, 67% say she is not qualified to be president. and this reality might not help. it should be noted that ratings for "sarah palin's alaska" plunged after the first week. >> right on. >> reporter: right now, palin's support network is a group of informal advisers that communicate mostly by blackberry. it is not a typical campaign structure. >> it's clear that she's going

to need to get some discipline and structure into her team. >> reporter: but sarah palin is sarah palin. and when it comes to typical, she isn't. >> she almost revels in the fact that she's going to do things differently, that she's the kind of candidate who is not going to go down a conventional path. >> reporter: right now, her path goes through the learning channel, the local bookstore, a dance floor and a computer near you. does it lead to washington? well, that's one reality show that hasn't been programmed. yet. i'm john berman for "nightline" in phoenix. >> and our thanks to john berman for that report. when we come back, he is known as a breast man, because of his special technique for creating natural looking cleavage. we meet holly wood's go-to plastic surgeon. ♪

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70% of top hollywood stars have had some form of cosmetic surgery. that, according to a man who should know, because he's operated on a lot of them himself. dr. garth fisher is famous for making celebrities look good and fixes their faces when someone else botches the job. he's been called on in the case of tyra banks to testify that, yes, those breasts are the work of a higher power than man. juju chang paid him a visit. >> reporter: everywhere you look, it appears more than ever, hollywood has gone plastic.

from the young to the old, the new dos, the redos and the extreme. the admissions and the down right shockers. it's plastered all over reality tv, from "dancing with the stars" to "the hills." >> i got a slight eyebrow lift. >> reporter: do the kardashians. across the country, nearly 10 million procedures were performed last year. 300,000 breast enhancement, 300,000 liposuctions and 2.5 million botox injections. if plastic surgery has a pecking order, dr. garth fisher of beverly hills tops the a-list. his roster of high wattage celebrities is endless. he's hollywood's dr. fix-it. he's fixed bruce jenner's facelift, boosted kourtney's and kendra's breasts. he's there to help the megastars sculpt their look.

what percentage of hollywood has had some work done? >> probably 70%. >> reporter: they are taking out their plastic for plastic. and the key to survival in this industry is to skal calpel your through. i've heard that you are sort of the michelangelo of plastic surgery. what makes you the go-to doctor? >> i'm a perfectionist. i know what looks good and what doesn't and i'll stand there until the end making it work. >> reporter: dr. fisher is known as a breast man. his special technique for natural looking cleavage avoids the fake circular look in favor of the tear drop. there's a list of celebrities walking around with fisher breasts. kendra, holly madison, kourtney kardashian, katie price, to name a few. all publicly boasting his

handiwork. and it doesn't stop there. kendra even put him on her reality show. >> what size do you wear now? >> not even an a. >> and so did holly madison. >> if you can bring in pictures, tell me this is too small -- >> reporter: tyra banks asked him to prove she hadn't gone under his or anyone else's knife. >> tyra banks has natural breasts. there's no implants. >> reporter: and on the kardashians, she's performed a few anyones and tucks on the family, but his most notable work was done not on the sisters, but on their step-dad, bruce jenner. >> the part of your face that was pulled, that's stayed, you know, pulled, but the rest of it is falling around it and i think this looks older than it looks because this looks a little bit younger. >> reporter: a facelift gone wrong and a bad plastic surgeon led him to fisher. he got a re-do. the fixes account for approximately 40% of his work. >> like so many people just kind of make, you know, a bad choice,

maybe, earlier and wish they hadn't done it. the probe is having surgery too early and too aggressive of the surgery and there wasn't a lot of balance in the work. just because you can do something doesn't mean you should do something. >> reporter: heidi montag became the modern poster girl for the addictive nature of plastic surgery, after going under ten procedures at once. >> she looked great before the surgery. if she came into my office, i'd hate to second guess what happened there but i probably wouldn't have offered those things to her. >> reporter: how often do you tell a girl, you know, honey, don't do it? >> we turn down patients all the time, 40% of the people that walk in here. >> reporter: 40%? >> yeah. we turn down a lot. stars are used to get what they want and it tuts a lot of pressure on, i think, the plastic surgeons. they come in your office and here is somebody that you've idolized all your life and they are telling you what you want to do, and they're like, can i get your autograph? you have to protect them, no matter who they are. and think about the medical side

of this. >> reporter: heidi sat down with cynthia mcfadden for the first time about her regrets. she has a few. >> i do not feel like i was prepared enough for this. maybe i should have known but how can you know when your doctor is saying, it's a little this, a little that. it really becomes a lot. i think that doctors should really walk you through all aspects of it. not just the glamorous side of it. doctors, it's like they are selling you cookies or something. >> reporter: the 24-year-old reality show starlet says it's not all that it is cut out to be. >> surgery is not glamorous. i would say plastic surgery is anything but glamorous. it's really hard and then it becomes a burden because you feel like you need to keep up with it and you don't. if i could take it back, i would. >> reporter: and heidi is far from alone in her regrets. take jennifer grey, she's publicly say that her nose job almost cost her her career. and though she's the new it-girl as tonight's winner of "dancing

with the stars," the girl from "dirty dancing" disappeared after her nose job drastically changed her face. drchl fisher has plenty of headline grabbing celebrity re-dos. take lisa rinna. once infamous for her oversiliconed lips. she described, like, almost like pebbles in her lips. >> right. a lot of silicone being injected in the lips in the '80s. it's really not legal to do now. a lot was injected and it kind of drifts and starts distortion. >> hi. nice to see you. >> good to see you. >> reporter: that disor theional over the years was so noticeable that it finally brought lisa to dr. fisher. in this recently aired episode of her new reality show. >> the lips are just distracting and i talked to her one day, i said, you know, we can make that better for you and you'll feel more comfortable. it was great how it turned out and now you don't look at her lips. it was what we wanted to

accomplish. >> reporter: pete burns claims he nearly died when all the botched silicone in his lips got terribly infected. the british singer won international fame with the '80s hit "you spin me right round." >> i woke up and my lip was 18 inches away from my face. it was huge, like this big. just swollen. but when you wake up and your adam's apple has come out here, one side of your face is so swollen you can't open your eye, and there's yellow discharge, not just leaking, squirting, with a hiss, it would squirt from my face, it was like one of the worst science fiction horror movies you could see. >> reporter: despite the stories and the regrets, the demand the higher than ever. but dr. garth believes, when it comes to cosmetic procedures, less is more. >> i like the happy endings and them coming back, saying, god, you changed my life and i'm

really happy and i drive for that. >> reporter: and the quality of his results, he says, keeps the stars in his orbit. i'm juju chang for "nightline" in beverly hills. >> and we will look deeper into this world tomorrow night on the abc special "celebrity plastic surgery gone too far" at 10:00 p.m. eastern. thanks to juju chang for that report. up next, he is lightning on the dance floor with a six-back that's impossible to miss. but situps alone did not get him there. those abs are out of a can. [ male announcer ] opportunity

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>> announcer: "nightline" continues from new york city with bill weir. >> there is a few time tested

ways for fellas to get a cheese grater stomach. you can do pushups, take the skin off your chicken, or there is a new route to ripped and it is way letsz woss work. and jr. yunji de nies, it is a "sign of the times." >> reporter: tony dovolani has it all. on "dancing with the stars," he's got the moves. he's got the charisma. and, yes, he's got the six-pack. >> the abs are important, it gives you the v-look. so when you get on the floor, it is mre sanlt to the eye. >> reporter: from tv's hottest ballroom to cover after cover, if you are a guy with a situation -- >> my abs are so ripped up, it's called the situation. >> reporter: 0 a choir teacher with sex appear like matthew morrison. ♪ just one small fraction of the main attraction ♪ >> reporter: this season's must-have is the six-pack. >> this is the before.

>> reporter: 300 situps a day isn't tony's only method to six-pack glory. spray tanning is his secret weapon. >> i'm going to just contrast a little extra. >> reporter: melanie mills is an expert body finisher. >> you know his abs versus another -- >> the shirt comes off and i know exactly what to do. >> reporter: the six-pack fairy finishes up her ab-magic on tony with some contouring makeup. >> then, we take a cream cosmetic like this and really kind of almost draw and then buff it out. >> and this isn't cheating. >> reporter: this is not cheating. how is this -- think about it this way. is makeup for you cheating? every woman wears makeup. is that cheating? >> reporter: enhancing. >> enhancing. that's a better word to use. >> reporter: for $35, the average guy can now buy abs in a box. assuming he knows how to paint them on. seems like something that a

woman would do, not necessarily something you would expect from a guy. >> well -- men are just as vain as we are. they really are. >> reporter: that vanity is driving sales of products like the lab series ab rescue body sculpting gel that promises to tightening and tone. we went into the lab to see the science of enhancing the six-pack. >> we have ingredients of caffeine and soybean protein extract that helps with the long-term improvement in the skin's appearance of tightening, toning and firming of the skin. >> reporter: brandon not only works here, but he's a client. >> if you are on a beach, the abs is what draws the attention. >> reporter: he's been using the gel for a few weeks. >> rub it in. after an intense workout, it's calming. >> reporter: no matter how much of this you lather on, the gel won't burn fat, but it will tighten the skin.

>> reporter: what's the difference between this and cellulite cream? >> that attacks the fat in the skin. this is just a toning of the skin itself. >> reporter: would you be embarrassed to have in your medicine cabinet? >> something i keep locked away in a drawer. >> reporter: so, if you're not zac efron, mario lopez or kellen lutz, at least you've got some options. >> you're going to spend the rest of the day without a shirt on? >> probably. >> reporter: i'm yunji de nies for "nightline" in hollywood. >> little warning, though, the cheap stuff comes off in the pool. trust me. thanks to yunji de nies for that report. let's see what's coming up next with jimmy kimmel. jim? >> jimmy: tonight, dominic monaghan is here, we have music from ke$ha, and our newly appointed "dancing with the stars" champion. "jimmy kimmel live" is next.