Twenty-one-year-old beautyholic and drama student Gary Thompson meets 47-year-old Reggie Bibbs from Houston, Texas. Gary has spent up to £31,000 in the last five years on looking good. He wants to have a nose job and look like Kim Kardashian. Reggie has one the world's most extreme cases of neurofibromatosis, a condition where tumours grow all over the body. Gary learns about Reggie's past and how he spent 30 years hiding from other people. Reggie sends Gary to watch a rhinoplasty operation and he sees a surgeon breaking a patient's nose. He also meets Tammy, a former rhinoplasty patient whose operation went wrong and now she has no sense of smell. Will Reggie persuade Gary not to have a nose job?