Tyler Marr is sick of his neighbor's construction crew constantly waking him up at 8 in the morning. He finally goes to confront him on it, using his video camera for back up, only to discover the source of the noise is the wood chipper and someone's inside! The team questions Stephen Corbett, the owner of the house but he claims he never left that morning. They find the body belongs to plastic surgeon Ethan Reeger. Questioning his daugther, Lauren, Horatio and Delko discover he never recovered from his wife's tragic car accident and just focused on his work, becoming more and more obsessed with his patients. When they talk to his business partner, Sean Loftin, he tells him that Ethan only concentrated on two of his patients, one of them being Stephen Corbette's wife. When they go to see her, they find her hiding out, unable to show her face to anyone and how she felt Dr. Reeger turned her into a monster - enough reason to kill him perhaps? Ron Saris returns from the "dead" as one of Dr. Reeger's patients & slips through Horatio's fingers once again.