After one of New York's most sought-after plastic surgeons is found dead, Elsbeth has her eye on the victim's former boss, Dr. Vanessa Holmes, who she believes has motives that are more than skin-deep. Also, Kaya keeps tabs on Elsbeth's whereabouts as her investigation into Captain Wagner heats up.

When Elsbeth tries to solve a murder, she comes face to face with many familiar suspects.