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When a woman approaches Sean and Christian about getting plastic surgery on her thick ankles, the doctors think it's an easy client -- that is, until they find out Ms. Caine has multiple personalities who want another, more drastic procedure. Though Grace isn't sure of what to do, Ms. Caine's doctor adamantly insists the surgeries will help integrate the personalities. Elsewhere, Julia steals Christian's hairbrush and takes the sample to a medical clinic where, recalling the affair she had with Christian around the time of Matt's conception, she requests a paternity test. Matt's friend Henry's guilt over Cara Fitzgerald (Alyson Reed) continues to worsen; he decides the only way he can ease his guilty conscience is to date her. Unfortunately for him, Cara asks Matt to go to prom with her, causing Henry to come dangerously close to confessing it all.