As part of her regimen for the show, DeLisa had a brow lift, a mid-face lift, liposuction under her chin, breast augmentation and a tummy
Her friend, Alexa, questions if the transformation was more than skin deep. "She's gone from an average woman to a very attractive person with the same issues," Alexa says. "Before The Swan, she was very outgoing, but not overly confident. After the show, she relied less on her cleverness and her friendliness [and more on] her outward appearance."
Although DeLisa loves her new look, she questions her self-worth. "Even though I look hot to everyone on the outside, I still struggle with a lack of confidence on the inside," she confesses.
DeLisa agrees. "I had a lot of people who helped me to achieve what I did, and I didn't feel like I necessarily earned it as I did those other things in my life. So, I guess I don't like being given credit for what I didn't earn," she replies.
"I see that she probably has bought into some of the attention a little bit and is not real certain about her identity," Alexa answers. "I think that's the biggest concern that I've seen, that she may not really know herself still, even though she's gone through a lot of changes."
Dr. Phil points out that DeLisa struggled with her self-worth before her makeover. "The common denominator is not really being in touch with who you are, right?" he asks.
"I think that's true," she says.
DeLisa mentions that The Swan provided therapy and life coaching to its participants. "But it's four months of being completely isolated," she says. "You think you're making all these great gains, and then you go back out into the real world, and people are very harsh and very critical."
Dr. Phil brings up DeLisa's problem with getting preferential treatment. "You resent the fact that men pay attention to you now that didn't pay attention to you before, and you're the same person now that you were then. You resent the fact that they're that superficial."
"It's offensive. It's degrading," she admits.
"There's nothing wrong with what you've done. You've made that decision. I don't know if you'd make it again," Dr. Phil notes. "Body image and self-image are interlinked. They should not be. It's wrong. It's not healthy ... You can be just as loving and caring and giving and intelligent and contributing in your life whether you are attractive or unattractive."
"That would be ideal," DeLisa replies. "It's been so much more difficult because I've had to do it in the public eye and with so much public opinion about what I've done, and how I've done it," DeLisa explains. "Finding myself since the show has been interrupted by other people putting their perception on me and projecting that."
After the show, Dr. Phil tells DeLisa and Bobbie that he will provide them with self-esteem building exercises from the Self Matters workbook.