A serial killer is targeting the women of Mears,Colorado, and so far the police have nothing togo on. Detective Casey O'Toole is assigned tojump-start the investigation, and she discoverstwo unsettling facts: the victims were all patientsof a prominent plastic surgeon, and each ofthem bears an uncanny resemblance to herself.

Ruled out as a suspect, Dr. Mark Adams offersto assist Casey in any way he can and, despiteher resistance, their relationship quickly turnspersonal. The pressure on Casey to find the killermounts steadily as terror grips the small mountaincommunity. Then a stunning twist leads Caseyto the deadly truth-and to the face of a killernearly as familiar as her own.