Saunders and Larson gain immense financial success as cosmetic breast augmentation surgeries rise in acceptance and frequency in American culture, but follow different life paths thereafter: Dr. Saunders becoming a narcissist interested in developing and implanting the exaggeratedly larger-sized types of implants popular with a mostly erotic dancer and female porn-star clientele, often having sex and doing drugs with them. Doctor Larson, Saunders's former mentor and business partner, is portrayed as continuing to pursue a more serious, clinical approach (e.g., reconstructive breast surgeries for female breast cancer survivors, etc.).
Saunders and Larson's success as cosmetic surgeons is linked to the growing acceptance of breast augmentation procedures in American society. However, their paths diverge: Saunders becomes obsessed with creating larger implants popular among dancers and porn stars, engaging in a lifestyle that includes sexual and drug use with these clients. In contrast, Dr. Larson maintains a more traditional approach, focusing on reconstructive surgeries for women battling breast cancer.