When “Nip/Tuck” made its debut in 2003, it broke cable-viewing records and instantly distinguished itself with its stylized look, tongue-in-cheek tone, gorgeous stars and fresh take on America’s obsession with beauty and youth. Those qualities earned it a Golden Globe for best drama, critical acclaim and water-cooler buzz that lasted for most of its first four seasons.

But when one of FX’s signature series quietly wrapped last week on the Paramount lot, it did so without the usual fanfare associated with the end of a noteworthy show. In part, the silent send-off was because TV viewers won’t see the “Nip/Tuck” finale, which finished shooting on June 12, for a long time, probably as late as 2011, making it tricky to publicize. Behind the scenes too, during the last week of production, there was an awkward sense that the end had already happened, since much of the crew had already moved to creator Ryan Murphy’s new Fox musical, “Glee,” last year, and Murphy himself was out of the country location-scouting for an upcoming movie.

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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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There are a few shows that raise the ire of the Parents Television Council like “Nip/Tuck.”

Much like teen-sex-cesspools “Dawson’s Creek,” “The O.C.” and “Gossip Girl,” “Nip/Tuck” has drawn the council’s condemnation for all kinds of kinky acts — including “incestuous necrophilia” — tons of drug use and lots of miscellaneous violence (and that’s not counting the intensely depicted surgery scenes).

And, of course, that’s why viewers love it.

FX’s show about plastic surgeons/best friends/worst enemies Sean McNamara (Dylan Walsh) and Christian Troy (Julian McMahon) has had a seemingly never-ending list of questionable plotlines (see: rape, incest, murder, orgies, adultery, pedophilia, basically anything that could make Ned Flanders uncomfortable) and with part one of season five coming out on DVD Dec. 30 and the second part premiering on Jan. 6, there’s a lot to remember and even more to expect.

But given all the girls the doctors sleep with, all the malpractice suits that just may be warranted and all the times Sean and Christian bounce Julia (Joely Richardson) between them, it’s hard to follow all the indecency. Want to get caught up? Here is Express’ list of “Nip/Tuck’s” five most inappropriate moments — you might need a counseling session afterward.

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