The hot favourite to win the contest - which is only open to women who have had cosmetic surgery - has been forced to withdraw due to injury, after her breast implants caused her to trip over her high heels.
Blonde Alexandra Horvath, 23, tore a ligament when she fell after passing the breast examination stage of the contest with flying colours.
The silicone boob implants caused Alexandra to lose her balance as she tried to walk in her high heels - tearing a ligament and ending up in hospital.
Alexandra had joined 19 other finalists for the unusual competition to find the world's top plastic surgeon. As we've previously reported, the contest is being held in Hungary where low prices and modern clinics attract tens of thousands of patients from all over the world every year.
Alexandra had just got through the breast examination stage - where the judges had congratulated her surgeon, Dr Tamas Rozsos, on the lack of any surgical scars.
She toppled over on the catwalk and tore a ligament in her foot. Onlooker Laszlo Feher said: 'Everyone was admiring her bodywork and then she started to topple - no-one was near enough to reach her and she fall badly. She was taken to hospital by ambulance.'
A friend said: 'She had not got used to the extra weight on top and her new hair extensions got in her eyes - she just lost her balance and tore a ligament in her foot badly.'
The contest was organised as a protest by doctors and girls who had had surgery who were fed up with being barred from conventional beauty contests.
Two of the 20 finalists had been thrown out of previous beauty contests when judges discovered they had augmented breasts.
Szilvi Sonyak, 25, said: 'It left a bad taste in my mouth - I got complimented on my looks but booted out of a beauty contest even though I was easily the best looking there.
'I did not like it but I could not do anything about it, but at this contest I can finally show my real inner beauty as well as my physical good looks. And the judges understand that nature can be improved upon with modern doctors' helping hands.'
Another contestant, Reka Urban, 23, also banned from a conventional contest in the past, said: 'When talking about plastic surgery, people automatically associate girls who have done it with playmates, the sex industry and with a lifestyle supported by an old, wealthy lover. 'It is not so. I'm here to prove that plastic girls can be real too.' The final takes place tonight, with the winner due to be announced around midnight.
Meanwhile, the now wheelchair-bound Alexandra has asked the judges to let her remain in the contest. She said: 'I don't see why they can't admire my beauty in a wheelchair as well.'
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