They perform surgery on a woman who was shot in the face nine months earlier. Christian tries to convince Sean to have botox, but he refuses (at first). Christian decides to hire a nanny, who he ends up having sex with, and later learns that she is giving the baby drugs to keep it from crying. Having his own problems with age, he is rejected by a 25-year old at a bar. Meanwhile, Christian is having problems with picky Gina, who is trying to keep Christian away from baby Wilbur, because it isn't his baby. Sean would prefer that Christian do it instead.
Erica tells them that she wants a facelift - and she wants Sean to do it.
Julia breaks the news to Sean that her mother, Erica, is coming to visit. His body is aging, and he has developed "the yips", making his performance during surgeries decline. Sean has just turned 40, and he is already noticing it.
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