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James and Casey

Love hurts—just ask Casey and James, two strangers who met while recovering from a combined total of 16 cosmetic surgeries. Chosen to receive extreme makeovers on ABC's hit reality show, they hoped that a new look would help them find love—but cupid didn't wait for the final reveal. Despite bandages, bruises and hundreds of stitches, Casey and James were instantly attracted to one another.

After getting to know each other from the inside out, Casey and James were married last year. James says he doesn't understand why Casey wanted to change her appearance—to him she was already perfect. But he does admit that he was floored by her big makeover: "I lost it. She was drop-dead gorgeous."

Casey revealed a new look on Oprah: she's 8 months pregnant!

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