Dan Daly is the latest patient to come into McNamara/Troy. He suffers from Lesch Nyan, an extremely rare genetic disorder. The self-mutilating disorder caused Dan to chew off some of his fingers as a child. As an adult, Dan has come into McNamara/Troy because he's chewed off his lips. Sean and Christian do their best to fix the damage.
Christian and Sean win the Albert Poland award from the University of Miami for excellence in plastic surgery. They celebrate by traveling back to their alma mater to accept the award and they flash back to their college days. They flash back to the beginning of Sean and Christian's friendship and eventual partnership. The friendship that was formed in college was based on lies and manipulative behavior, which continues to this day.
Sean runs into his old roommate at the ceremony, who was also there to be recognized for his philanthropic work for medical care in impoverished countries, something Sean had dreamed of doing until Christian lured him away into plastic surgery. Things get worse when Sean discovers that Christian had pretty much bought the award by donating a large sum of money to the school. When the pair returned to Beverly Hills, Sean shatters the award. Later, Dan Daly uses a leftover shard of glass from the award to carve up his face