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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.
When a poor Latina woman arrives in Sean and Christian's office with horrible blisters on her forehead, the doctors learn that their old associate, Merrill Bobolit, is performing cheap, illegal cosmetic surgery on poverty-stricken people.
Sean has been operating pro bono on victims of The Carver, a serial rapist who chooses good-looking people and carves their faces as a message to society. After repairing the face of the latest victim, Sean attracts the attention of a newswoman.