A série gira em torno dos cirurgiões plásticos Sean McNamara (Dylan Walsh) e Christian Troy (Julian McMahon), amigos e sócios de uma importante clínica de cirurgia plástica que mudam para o outro lado do país, deixando a ensolarada Miami para viver em meio ao glamour de Hollywood.

Sean e Christian, cuja tarefa é contribuir para que seus pacientes encontrem paz de espírito através de procedimentos estéticos, conhecem bem de perto os louros da fama. Ambos vivem a crise dos 40 e embora seus pacientes tentem mascarar seus problemas realizando cirurgias plásticas, são eles que na verdade escondem uma vida repleta de angústia, infelicidade e desilusão. Sean e Christian questionam ter muito pouco diante de uma prosperidade que parecia ter oferecido tudo.

1ª Temporada:

1×01 – McNamara/Troy
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1×02 – Mandi Randi
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1×03 – Nanette Babcock
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1×04 – Sofía López
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1×05 – Kurt Dempsey
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1×06 – Megan OHara
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1×07 – Cliff Mantegna
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1×08 – Cara Fitzgerald
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1×09 – Sofía López II
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1×10 – Adelle Coffin
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1×11 – Montana / Sassy / Justice
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1×12 – Antonia Ramos
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1×13 – Escobar Gallardo (Season Finale)
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2ª Temporada:

2×01 – Erica Noughton
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2×02 – Christian Troy
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2×03 – Manya Mabika
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2×04 – Mrs. Grubman
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2×05 – Joel.Gideon
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2×06 – Bobbi Broderick
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2×07 – Naomi Gaines
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2×08 – Agatha Ripp
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2×09 – Rose And Raven Rosenberg
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2×10 – Kimber Henry
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2×11 – Natasha Charles
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2×12 – Julia McNamara
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2×13 – Oona Wentworth
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2×14 – Trudy Nye
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2×15 – Sean McNamara
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2×16 – Joan Rivers (Season Finale)
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3ª Temporada:

3×01 – Momma Boone
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3×02 – Kiki
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3×03 – Derek, Alex, and Gary
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3×04 – Rhea Reynolds
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3×05 – Granville Trapp
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3×06 – Frankenlaura
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3×07 – Ben White
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3×08 – Tommy Bolton
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3×09 – Hannah Tedesco
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3×10 – Madison Berg
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3×11 – Abby Mays
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3×12 – Sal Perri
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3×13 – Joy Kringle
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3×14 – Cherry Peck
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3×15 – Quentin Costa (Season Finale)
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4ª Temporada:

4×01 – Cindy Plumb
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4×02 – Blu Mondae
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4×03 – Monica Wilder
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4×04 – Shari Noble
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4×05 – Dawn Budge
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4×06 – Faith Wolper, PhD
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4×07 – Burt Landau
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4×08 – Conor McNamara
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4×09 – Liz Cruz
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4×10 – Merrill Bobolit
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4×11 – Conor McNamara
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4×12 – Diana Lubey
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4×13 – Reefer
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4×14 – Willy Ward
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4×15 – Gala Gallardo (Season Finale)
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5ª Temporada:

5×01 – Carly Summers
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5×02 – Joyce & Sharon Monroe
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5×03 – Everett Poe
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5×04 – Dawn Budge II
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5×05 – Chaz Darling
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5×06 – Damien Sands
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5×07 – Dr. Joshua Lee
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5×08 – Duke Collins
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5×09 – Rachel Ben Natan
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5×10 – Magda and Jeff
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5×11 – Kyle Ainge
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5×12 – Lulu Grandiron
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5×13 – August Walden
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5×14 – Candy Richards
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5×15 – Ronnie Chase
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5×16 – Gene Shelly
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5×17 – Roxy St. James
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5×18 – Ricky Wells
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5×19 – Manny Skerrit
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5×20 – Budi Sabri
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5×21 – Allegra Calderello
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5×22 – Giselle Blaylock and Legend Chandler (Season Finale)
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6ª Temporada:

6×01 – Don Hoberman
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6×02 – Enigma
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6×03 – Briggitte Reinholt
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6×04 – Jenny Juggs
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6×05 – Abigail Sullivan
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6×06 – Alexis Stone
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6×07 – Alexis Stone II
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6×08 – Lola Wagner
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6×09 – Benny Anderson
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6×10 – Wesley Clovis
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7ª Temporada

7×01 – Dan Daly
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7×02 – Willouw Banks
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7×03 – Joel Seabrook
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7×04 – Sheila Carlton
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7×05 -Virginia Hayes
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7×06 – Dr. Griffin
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7×07 – Christian Troy II
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7×08 – Edith and Walter Krieger
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7×09 – Hiro Yoshimura
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