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 later, a series of reconstructive surgeries has restored her lovely face. She’s the toast of the Dallas art community. And she and her husband, renowned plastic surgeon Dr Ian Westbrook, are completely in love - overjoyed that Jane is pregnant.
Then Jane’s happiness shatters. A woman with ties to Ian is found brutally slain. Unbelievably, the police make him their prime suspect and, still in shock, Jane receives an anonymous message that reads simply, 'I did it on purpose. To hear your scream'. The police, including Jane’s estranged sister, Detective Stacy Killian, believe the message is from a crank. But Jane knows better. It’s from him. The man who stole not only her face, but her sense of security. The man she has always believed deliberately hit her - and got away with it. Now he’s found her again. Living with this terror, Jane digs into Ian’s past in an effort to prove him innocent. But each new clue she uncovers points not to Ian’s innocence - but to his guilt. And as she struggles against doubt and suspicion, her stalker moves closer.
Finally, Jane must face a horrible truth: Her tormentor knows everything about her. Her likes. Her dislikes. Her daily routine. Most terrifying of all, he knows her fears. He feeds on them. He will use them, until finally he can see Jane die.