Sean is disturbed by Olivia's 18-year-old daughter Eden, who comes to McNamara/Troy for a hymen reconstruction. Matt visits L.A. with baby Jenna and claims he has left Kimber. Liz questions Julia and Olivia's relationship.

A series of unfortunate events unfold for an unlucky Dawn Budge, who seeks reparative surgery from Sean and Christian.

While a patient inspires Sean to take his relationship with Kate in a new direction, Eden uses extreme methods to persuade Christian to perform surgery on a friend.

Christian, jealous over Sean's newfound fame, convinces Sean to tape a reality show based on their careers as plastic surgeons.

As Sean tries to regain his youth through his relationship with Eden, a violent and traumatic event causes Julia to question her relationship with Olivia.

After suspecting that something more than just their Secret Santa game is going on, Sean confronts Christian and Julia about the secret they have been keeping.

After Sean takes on an agent, his role on "Hearts and Scalpels" is expanded. Meanwhile, Christian questions why Gina moved to Los Angeles.

Eden looks to Sean for help after getting into business with Kimber and Ram.

A television critic gives Sean a dose of the ugly side of Hollywood.

Christian and Sean help a woman who was given horrible plastic surgery in Thailand.

Candy Richards, the washed-up, narcissistic actress returns wanting butt implants to make her more African-American for her re-discovered roots. Meanwhile, Christian meets a feisty, chain-smoking lady named Roxy St. James at a cancer support group who asks him to perform a mastectomy to reduce the probability of her developing breast cancer. Sean becomes troubled when Olivia wants a full makeover for herself as she and Julia are planning to move back east. Olivia (unknown to everyone) is emotionally stressed to her breaking point after covering up her psycho daughter Eden's murder attempt on Julia. But it naturally all turns out bad... even for the innocent and the evil alike.

While Christian and Liz prepare for their upcoming wedding, Kimber finds herself homeless after both Ram and Eden kick her out. She asks Matt to look after their baby daughter while she finally learns about Christian and Liz's upcoming ceremony and naturally tries to talk to Liz from going through with it. Christian brings up an idea about being cryogenically frozen to save his life. Meanwhile, Sean does not know that the seductive Teddy has a double life as the nurse "Dixie Collins" in Las Vegas and is carrying on with the sleazy Dr. Harlan Frank, who is also unaware of her double life in L.A, and her homicidal tendencies. Elsewhere, Christian and Sean deal with a self-proclaimed vampire couple who ask for surgery to repair scaring from their regular blood drinking.