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 a womanizing finance executive is found stabbed to death after a night at the opera, Elsbeth suspects an obsessed opera lover was driven to murder because of a ringing cell phone. Meanwhile, Elsbeth, Captain Wagner and Kaya must adjust to changes in the precinct as the consequences of Noonan's wrongdoing continue to loom.