Nip/Tuck

As Sean reluctantly celebrates his 40th birthday, Christian urges him to take advantage of some of the youth-preserving treatments available at the clinic.

Sean suffers uncontrollable spasms in his hands. After he nicks a patient's major neck artery during a routine cyst lancing, Sean stops performing surgeries.

Christian and Sean agree to rehabilitate a stalwart, optimistic Somali woman, Manya Mabika (AISHA TYLER - "Friends," "Talk Soup," pilot "My Life, Incorporated"), who was genitally mutilated as a girl in her home country.

Sean and Julia are shocked to discover that 8-year-old Annie (recurring guest star KELSEY LYNN BATELAAN) is entering puberty already.

While driving home, Sean is broadsided by another car and rushed to the hospital. He was saved from major injury by his vehicle's safety devices, but his view of life has changed.

While Julia enjoys socializing with "life coach" Ava Moore (recurring guest star FAMKE JANSSEN - "X-Men" movies), Matt also makes progress working through his feelings with the alluring Ava--especially when she removes her blouse as part of a trust exercise.

Disgruntled former McNamara/Troy patient Bobbi Broderick (recurring guest star JILL CLAYBURGH - "An Unmarried Woman," "Starting Over") stalks the doctors, threatens to sue them, drives away customers and tries to persuade an investigative reporter to do an exposé on what she perceives as their malpractice.

When a homeless prostitute, Agatha Ripp (SARAH PAULSON - "Jack & Jill"), arrives at McNamara/Troy, the doctors fear she simply wants pro bono surgery for scars on her wrists.

Sean's life is in ruins after learning that Christian is Matt's biological father due to a premarital tryst with Julia.

Having tenuously reconciled and agreed to continue their partnership, Sean and Christian consult with an exuberant newspaper journalist, Ike Connors (J.K. SIMMONS - "Oz," "Spider-Man" movies), who wants breast implants for himself.

While the doctors work with an expert ocularist to create and implant artificial eyes for a beautiful blind woman, Natasha Charles (recurring guest star REBECCA GAYHEART), Christian finds himself drawn to Natasha's d irect and disarming sensuality.

After taking too many painkillers and drinking alcohol, Julia has fallen through a glass door, severely damaging her face.

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 (recurring guest star JOEY SLOTNICK), is performing cheap, illegal cosmetic surgery on poverty-stricken people.

Sean and Christian reluctantly accept the case of Trudy Nye (LISA WALTZ), who wants her nose fixed.

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 about beauty and conformity.

Celebrity JOAN RIVERS (herself), who is famous for having undergone many cosmetic surgeries, consults with the doctors. However, what Joan requests astonishes even Sean and Christian.