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Judging the worthiness of new episodes of FX’s plastic-surgery black dramedy Nip/Tuck (returning at 10 p.m. Jan. 6) feels a little like watching a Mexican telenovela in order to learn the ropes of nuanced dramatic acting.

Truth be told, this show, FX’s most ludicrous contribution to primetime, has taken the guilty-pleasure genre and twisted it into such a succulent piece of silliness, it is hard to look away. It’s kinda like — no, exactly like — a rich lady strolling through Beverly Hills after ample dosings of Botox and collagen: Sickening, stomach-turning, and you hate yourself for looking.

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“Tell me what you don’t like about yourself.” Doctors, I don’t like what you’ve done to a once-fascinating show. Ryan Murphy and the team behind “Nip/Tuck” missed a great opportunity with the fifth season of their cult hit show, now on DVD, and continued their series’ soapy decline.

“Nip/Tuck,” starring Dylan Walsh, Julian McMahon, Joely Richardson, John Hensley, Roma Maffia, and Kelly Carlson, from creator Ryan Murphy, had gone way off the rails with a ridiculous fourth season that turned off most of the show’s fans, even if it did maintain some headline-grabbing basic cable attention.

The team behind “Nip/Tuck” had a chance to completely hit refresh as the two lead characters left behind the bikini-clad models of Miami for the narcissistic lunatics of the city of angels
for season five.

The first episode of the season hinted at a show that had found its creative honesty and returned to the far superior first and second seasons. The fifth season premiere of “Nip/Tuck” is one of the best in the show’s history, as Drs. Sean McNamara and Christian Troy move to Los Angeles and work on an over-the-top medical drama while they deal with their own ridiculously inflated egos and deep flaws. Guest appearances by Bradley Cooper, Oliver Platt, and Lauren Hutton hinted at the fun that could come.

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