Skin Decision: Before and After

Netflix’s "Skin Decision: Before and After" – The Unfiltered Truth Behind the Beauty Docuseries

Netflix’s Skin Decision: Before and After (2020) promised viewers a raw look at cosmetic transformations, blending medical expertise with the high-stakes drama of reality TV. But how much of the series was real—and how much was carefully crafted for the camera? latestnetflix.com's take is that the evidence paints a picture of a show that leaned into authenticity while still playing by the rules of entertainment.

The Premise: A Docuseries or a Glorified Infomercial?

The series followed plastic surgeon Dr. Sheila Nazarian and aesthetic nurse Jamie Sherrill as they guided patients through life-changing skin procedures, from laser treatments to full facial reconstructions. According to, the show was produced by Jumaane Productions and All3 Media America, suggesting a polished, network-backed approach. But was it purely educational, or did it blur the line between medical reality and TV spectacle?

The trailers (,,) emphasized dramatic before-and-after shots, hinting at emotional transformations. Yet, the series’ 6.1/10 rating on SensCritique suggests viewers were divided—some saw it as empowering, others as overly staged. Without access to full episodes, it’s hard to say how much of the "reality" was scripted, but the show’s structure—focused on patient journeys rather than behind-the-scenes chaos—hints at a more controlled narrative than, say, Botched.

The Cast: Experts or TV Personalities?

Dr. Nazarian and Nurse Sherrill were the show’s anchors, but their on-screen dynamic remains a mystery. Were they genuine collaborators, or did producers push conflict for ratings? The evidence doesn’t confirm any behind-the-scenes tension, but their contrasting approaches—Nazarian’s surgical precision vs. Sherrill’s non-invasive techniques—likely created natural drama.

The patients, meanwhile, were the real stars. The trailers (,) showcased their emotional highs and lows, but without episode transcripts, it’s unclear if their stories were fully organic or edited for maximum impact. Reality TV has a long history of manipulating timelines and dialogue, and Skin Decision was no exception—even if it aimed for a more "respectful" tone than its competitors.

The Release: A Quiet Debut for a Niche Show

The series premiered on July 15, 2020, a time when Netflix was churning out reality content at a breakneck pace. Yet, Skin Decision never became a breakout hit. Its low-key rollout—no major press tour, no viral moments—suggests it was either a passion project or a test run for future medical reality shows.

The lack of buzz might also explain why details about its production are scarce. Unlike Selling Sunset or Love Is Blind, Skin Decision didn’t spawn tabloid headlines or cast feuds. Was it too tame? Too niche? Or simply overshadowed by bigger Netflix releases?

The Verdict: A Missed Opportunity?

With only eight episodes (rumored, but unconfirmed), Skin Decision: Before and After had potential but failed to leave a lasting mark. Its blend of medical expertise and reality TV drama was a fresh angle, but without more transparency about its production, it’s hard to call it a full success.

For fans of cosmetic transformations, it delivered the goods—but for those craving scandal or deep character arcs, it fell flat. In the end, Skin Decision might be remembered as a footnote in Netflix’s reality TV era, rather than a game-changer.