Sean and Christian reluctantly accept the case of Trudy Nye, who wants her nose fixed. Years ago, her abusive husband broke it--on the same day he killed their young son in anger. Now he is getting out of prison early.

Celebrity Joan Rivers, famous for having undergone many cosmetic surgeries, consults with the doctors. However, what Joan requests astonishes even Sean and Christian. Meanwhile, Sean, Christian and Julia learn the shocking truth about Ava.