Cutting beneath the surface of the superficial world of plastic surgery in Miami's South Beach. Christian agrees to operate on a fugitive Colombian drug lord, and Sean experiences a midlife crisis.

Identical twins are interested in plastic surgery; Sean moves out to experience life as a single man; Matt's insecurities are exposed.

Christian fixes one of Sean's mistakes; a mentally unstable patient wants extensive surgery before her high school reunion; Sean tries to foster a relationship with his son.

Sean and Christian operate on an ageing adult-film star; Christian takes Matt to a party; Julia follows her dreams to go to medical school; Sean helps a transvestite track down a doctor.

An encounter with a former lover leads Christian to a meeting for sex addicts; Julia plans to go back to school.

Christian's prize possessions are vandalised; Sean finds his life invigorated after an encounter with a new patient.