The man that hired the gardener, Corbett, says that he was home all morning when the murder occurred. The team takes the wood chipper to the lab. Tara tells Kyle that going through the chipper is like being hit by several thousand knives. They take the body parts and reassemble the body. Kyle finds a piece of the femur and discovers that the marrow is narrow. Boa Vista shows Eric a bug that was found on the bone. Boa Vista tells Eric that Tara thinks that the victim had leukemia. She says that the victim just underwent bone marrow surgery.

The detectives learns that the man who died is named Ethan. They meet with the victim's daughter. She tells Eric and Horatio that she hasn't spoke to her dad in a while. She says that her mother died in a car accident. She says that her dad was a plastic surgeon. Ryan goes to Ethan's office. Ethan's partner, Dr. Lofton, says that Ethan operated on Corbett's wife, Elizabeth.

Eric goes to Corbett's house and is shown inside. Eric goes to Elizabeth's room. Elizabeth puts on a wig before Eric sees her. She tells Eric that she met with Ethan that morning to talk about their next procedure. Eric sees that Elizabeth's face is disfigured. She says that she secretly brought Ethan in to meet her. She says that Ethan told her that her face is not what he imagined it to be. Elizabeth shows Eric a picture of herself before the surgery. She says that Ethan made her look like a monster.