♪ ♪ ♪ [ cheers and applause ] this is "nightline." >> juju: tonight, priced out of paradise. native hawaiians displaced from the island home they love. >> behind closed doors, i would bawl my eyes out.

i would want to move in back home. >> juju: as the cost of living skyrockets. >> it's just going to be living paycheck to paycheck. >> juju: the agonizing choice to move to the mainland with las vegas now being called the ninth island. >> we knew it wouldn't be a huge culture shock. the food is did there, the hawaiian activities, the people. >> juju: will they ever be able to return? explants busting free. blac chyna now part of a trend in plastic surgery, removals. >> i'm going to focus on three things. work out, sobriety, and the bible. that's it. >> juju: going on a journey of self transformation. >> got my breasts removed, one of the best decisions i could have done in a long time. >> juju: so many going natural as doctors warn of the potential dangers of implants. beware of sharks. five possible shark bites reported off new york beaches in

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♪ >> juju: thanks for joining us. we begin tonight with the cold

reality in tropical paradise. hawaii may be a dream destination for tourists, but for some it's also home. and home has become very expensive. so much so that many native hawaiians are making the difficult decision to leave the beloved islands behind. here's abc's eva pilgrim. ♪ >> i grew up in kualapoko is the mountain range. mololani is the name of our winds. apakolea is the name of our rain. getting emotional, because that's where my feet ran free. >> reporter: here in paradise, there is immense respect for both the land and the sea, honored for providing and sustaining life.

and the hula dance tells the love story of it all. >> in this hula kahiko, we never smile. it's very solemn. we're trying to express. we do whatever is necessary to protect our islands and our people. >> reporter: but the beautiful landscape of hawaii is a dwindling option for many natives who have called it home for generations. here they dance. not in hawaii, but nearly 3,000 miles away in the continental u.s. las vegas is home to one of the largest hawaiian communities outside of the island itself. nearly half all native hawaiians have had to move away from hawaii. >> a lot of people who have chosen to move away from our island homes, is majority of them is priced out of paradise. it's very difficult to have a comfortable lifestyle. >> reporter: the decision to leave not just paradise but home -- ♪

>> behind closed doors, i would bawl my eyes out. i would want to move them back home. when we first got here, it was so hard as a parent. my son, he would cry. he would want to fight us to go back home. he struggled finding his place here. and understanding what it meant to grow up in a landlocked city. >> reporter: in oahu, 30 minutes outside honolulu the asking price of this home is over $1 million. that price simply is not affordable for many native hawaiians. >> most of the folks that really want to stay, they always want to build their own families within the culture of hawaii. it's just going to be living paycheck to paycheck. it's a very hard lifestyle. >> reporter: most of the native hawaiians looking to move to vegas are first-time buyers

hoping to give their kids and their parents a better life. >> they want to give back to their parents. even if it means that they have to come and live in las vegas with me. but at least i can give them a better quality of life. >> reporter: governor josh green says keeping hawaii accessible to those who have lived on this land for generations is important. >> my wife, who's native hawaiian and japanese, my children are part native hawaiian, so i'm already anticipating how it will affect all our families, including my own. >> reporter: but hawaii is the most expensive state to live in in the united states. the cost of living is 86% higher than the national average, with the cost of housing an astounding 207% higher than the national average. >> we don't want any out-migration. we need our young people to stay. we're working on economic development, we're working on making hawaii the most diverse place in the world. which it is, actually. it's just too expensive for many

people. >> reporter: efforts to protect hawaiians date back over 100 years. in 1920, the federal government set aside 200,000 acres of former lands owned by the royal family and the state for native hawaiians. fast forward to today, those 200,000 acres are still being doled out by the government in a program called "the hawaiian homelands." some islands, like oahu, have a 30,000 person wait list. >> aloha, welcome to the ana hoala marketplace. i live here in ana hoala in my beautiful home because of the hawaiian homelands. we have a barbecue pit where we have a vendor doing hulihuli chicken. >> reporter: he's chair of the sovereign council of hawaiian homestead association on the island of kauai. he waited decades to be awarded a plot of land. >> we get the land, a dollar a

year for 99 years. and it can be extended for another 99 years. people are frustrated with the wait, knowing that it might take 20 to 30 years. >> reporter: even still, these homesteads aren't an option for most natives because of the strict rule -- the blood quantum level which only allows those who are 50% native hawaiian or more to qualify for the housing. >> there are a lot of 25%, quarter hawaiians out there that wish they could be part of this land program. but they cannot. >> reporter: governor green acknowledges the homestead process needs to be expedited. >> we have $600 million to build 400,000 right away. it's critical because we're trying to right wrongs of the past. >> reporter: on the windward side of oahu, molly is raising her family of five in a two-bedroom apartment in the small town of kaneohe. her husband, keola, is 50% hawaiian and qualifies for homestead housing. his father died while on the

wait list and hopes that with recent reforms, his family may still have a chance. >> to be on that list, you've got to have a certain amount of hawaiian blood in you. and here, it's a dying race. you know? it's crazy to think about. you can't find 50% hawaiian out here. >> there's just something about, when you grow up in hawaii, when you're raised here, it's just the connections that you make with your people. it is more than paradise here. but have you seen what a gallon of milk is? >> reporter: she was inspired to move to las vegas, also known as the ninth island, in hopes for a better life for their family. >> it was a nice stepping stone for us, because we knew it wouldn't be a huge culture shock. like the food is still there, the hawaiian activities, the people. >> reporter: here, cece's

hawaiian expspirit is strong. ♪ despite not being on the island. the community becoming her ohana, hawaiian for "family." >> most of us miss home. but to be really content, i've created something really special for our family. >> reporter: but as similar as it could be for molly, it just wasn't home. >> the moment that we realized that we needed to go home, it was slowly creeping up on us. so i left with two kids, i came home with one more. we had a baby. >> reporter: after just two years, she was ready to rejoin the aina, trading in her five bedroom, single-family home in nevada to return to the island. >> leaving was bittersweet. because we had the home that you picture yourself living in when

you move to the mainland. and now we live in a two-bedroom apartment with five of us. and we're happy. we experienced vegas. we experienced something new. but raising a baby, bringing the family home was important, yeah. >> our thanks to eva. up next, explants. busting free. why celebrities like blac chyna and others are removi their implants. what's behind the trend? charmin ultra soft has so much cushiony softness, it's hard for your family to remember they can use less. sweet pillows of softness! this is soft! holy charmin! oh! excuse me! roll it back, everybody! - sorry! - sorry! - sorry! charmin ultra soft is now even softer, so you'll want more! but it's so absorbent, you can use less.

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>> juju: now to that surprising new trend in plastic surgery, explants. the removal of implants. why women like reality star blac chyna and others are back under the knife and embracing a more natural look. here's abc's zohreen shah. >> i was so young, i just wanted that body. because i seen everybody, you know, my crew, getting it. i wanted to be like it girls because this is what was going on. >> reporter: this isn't the blac chyna you think you know. this is angela white. >> angela white is the businesswoman, the mother, the friend, the person that you can call on, loveable, sweet. blac chyna, she is basically the brand. that's like my alter ego. >> reporter: she says she's on the road to transformation. >> honestly, it just came over

me. it came over me. i told myself, i'm going to focus on three things. so i put in my mindset, work out, sobriety, and the bible. that's it. so with those three things combined, that's where i think everything starts to trickle-down. to really figure out, who is angela? because you get so sucked into the entertainment industry and everybody calling you. >> blac chyna! >> chy, blac chyna, this, that, you kind of lose yourself. >> reporter: after working on her inner self for a year, she's now focusing on her exterior. looking to reverse years of cosmetic work. >> thank you so much, i'm so happy. so happy. >> this is like a thursday. i call my doctor, when can i come in to take this out? >> reporter: for years, body model blac chyna has been synonymous with a look.

>> he mentioned call chyna, yeah. ♪ work something twerk something baby ♪ >> reporter: she's looking to reverse the look that catapulted her to stardom. >> as i started to slim down, my features started to really come out. like my cheekbones and everything. so with all the filler, that started to really protrude out. now that my face has become more slimmer, even my body, i just wasn't happy the way how i looked. because i did these things to make they happy, which it served its purpose, because that's why we're here today, you know what i mean? now that it's served its purpose, i'm just cutting ties with it so i can move on to the next chapter in my life. >> reporter: blac chyna is taking her 17 million insta followers along for the ride. >> i'm going to go get my buttocks reduced. >> reporter: she's gotten her

implants removed, known as explant surgery. >> got my breasts reduced. one of the best decisions i could have done in a very long time. >> reporter: going from a dd down to a "c." it's not just blac chyna. it's a surprising trend. for a long time, people didn't talk about plastic surgery. >> will you accept this rose? >> reporter: now many celebs are sharing about it openly, like former watch error ret clare crawley. >> looking back, oh my gosh, i can't believe i got to that point. >> reporter: former nascar racetrack queen danica patrick. >> i thought to myself, i want to share this if it makes a difference. >> reporter: model and cookbook author chrissy teigen on instagram, "i'm getting my boobs out. i like to be able to zip a dress in my size, lay on my belly with pure comfort." many more coming clean. >> enough is enough. it all has to come out. >> reporter: blac chyna said her

kids inspired her. >> i don't have to worry about my 10-year-old son seeing some craziness about his mom on the internet. or my 6-year-old daughter seeing something crazy. i just really want to be a positive impact for them. like the stability, like the strongness. i just want to be there for my kids. >> reporter: the other big milestones in her life-changing journey, getting baptized last year. and later, becoming dr. angela white. she attended seminary and got a ph.d. in liberal arts. blac chyna's enlarged company, the american society of plastic surgeons says that in 2020, plastic surgeons removed more than 36,000 breast implant augmentation, 8% increase from a year before. though still one of the most popular cosmetic procedures, the number of breast augmentation surgeries has decreased in the last few years letter while the

number of explants is rising. >> ironically, we get teenagers dealing with low self-esteem issues, insecurities. i can relate to some of that. >> reporter: reyna works as a licensed clinical social worker for a school district in l.a. earlier this year, she decided to remove the implants she got when she was 25. >> i had my insecurities growing up. i'd see beautiful women in tv. i think i grew up seeing that was what a woman was supposed to look like. for me, i was small. i remember vividly coming home, no one knew, and i was, like, strapped. and i couldn't move. >> reporter: dr. kevin brenner of beverly hills plastic and reconstructive surgery, says for many it's a change of heart. >> breast augmentation surgery has lots of potential complications. >> reporter: experts recommend removing or replacing implants every 10 to 15 years to prevent

complications. the complication you've probably heard about the most is breast implant illness, bii. >> breast implant illness is a term for a constellation of symptoms that women have and attribute to having breast implants. some of the more common symptoms that people have are brain fog, joint pain, hair loss, what we call autonomic nervous system dysfunctions. there's 40 or 50 symptoms. >> reporter: the fda is now tracking symptoms that are associated with breast implant illness, adding that bii is not recognized as a formal medical diagnosis. it was a whole two years after her initial consultation with dr. brenner -- >> you'll have this incision down here, down the front. >> reporter: reyna decided she would get explant surgery. it took dr. brenner six hours to complete reyna's surgery. now reyna's finally able to take

a deep breath. and she's focusing on healing. >> i looked at myself, and i just said, it's going to be fine. i just have to heal. >> hi, yeah, so i'm still on my healing journey. >> reporter: angela white is continuing to work on herself. she's hoping to lead the way once again. >> beauty fades. fashion fades. there's a new collection every season. your brain and your mindset, you're going to have that for the rest of your life. start living in your truth. can't touch me, i'm live in my truth. >> our thanks to zohreen. for more on blac chyna's journey, watch "impact by "nightline": explants busting free" streaming on hulu. up next, sharks in the water. and they do bite. as someone living with type 2 diabetes, i want to keep it real and talk about some risks. with type 2 diabetes

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♪ >> juju: finally tonight, beware of sharks. officials are warning beachgoers up and down the east coast after five possible shark bites were reported at new york beaches in just the past few days. >> fire island pines, got a confirmed victim of a shark bite. >> juju: video shows swimmers scrambling as sharks moved in on a pair of florida beaches. experts say the bate fish are coming closer to shore and the sharks are following. many beaches are flying surveillance drones to spot the predators and keep swimmers safe.