Nearly killed as a teenager by a hit-and-run boater, Jane Killian is a woman with everything to live for. A series of surgeries restored her lovely face. She's the toast of the Dallas art community, her sculptures lauded as both disturbing and beautiful. And Jane and her husband, plastic surgeon Dr. Ian Westbrook, are expecting their first child.

Then a woman with ties to Ian is found brutally slain and the police make him their prime suspect. At first determined to prove her husband's innocence, Jane cannot escape her own growing doubts. Then her nightmare escalates. She begins receiving anonymous messages and quickly becomes convinced they're from him—the boater she always believed deliberately hit her and got away with it.

Now Jane must face a terrifying truth. Her tormentor knows everything about her—her likes, her dislikes, her daily routine and, most frightening of all, her deepest fears. And he will use them mercilessly until he sees Jane dead.