The low rumble of an outboard motor shatters the quiet of the lake. Treading water, fifteen-year-old Jane Killian waves her arms to alert the boater to her presence. But instead of veering off, he points his craft directly at her. The boat's hull fills her vision. A scream rips past Jane's lips, lost in the engine's roar . .

Now, seventeen years after the afternoon that changed her life forever, Jane has everything to live for. A series of reconstructive surgeries has restored her lovely face. She's the toast of the Dallas art community, her edgy sculptures lauded as both disturbing and beautiful. She and her husband, renowned plastic surgeon Dr. Ian Westbrook, are completely in love - and overjoyed that Jane is pregnant.

Then Jane's happiness shatters. A woman with ties to Ian is found brutally slain. Unbelievably, the police focus their investigation on him, making him their prime suspect. Still in shock, Jane receives an anonymous message that reads simply, "I did it on purpose. To hear your screams."

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