Although fans were surprised, the RHOC ladies knew of Dr. Armstrong before welcoming her onto the show. Offering medical and cosmetic dermatology according to her ex-housewife Brauwyn Windham-Burke, the mother of three has treated several of her co-stars, bringing her closer to the inner workings of the cast. Dr. Armstrong met and hit it off with Emily Simpson and Gina Kirschenheiter before the other women, particularly getting close with Simpson. As Emily's plastic surgeon, Dr. Jen Armstrong showed before-and-after photos of the star online last August.

Related: RHOC: Emily Simpson Reveals She Had Facial Fillers Dissolved

Despite Dr. Jen Armstrong’s rapport with those in treatments from Dr. Armstrong between 2017 and 2021. After Dr. Armstrong switched cosmetic treatment products, Radar Online reports, Litzkow began experiencing facial pain. Reassuring the woman that “Dr. Lee” would fix the source of her pain, Litzkow was treated by Donald Woo Lee. The problem? Woo Lee reportedly surrendered his medical license in 2019.

Litzkow is not the first to accuse Dr. Armstrong of malpractice; last year, Bravo's longest Real Housewives installment. Waving goodbye to 2021 on Instagram, Jen Armstrong looked elegant in a long-sleeved black dress. Holding a drink and facing away from the camera, another shot of her whole family showed the five with all smiles on the beach. Saying the year has "been real, dude!" Dr. Armstrong's NYE post reflects her lack of public comments in any of these cases.