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Darren and Tom have touched down in America! Staying in Palm Springs, they prep for the arrival of their daughter. While they are there, Darren and Tom visit Dr Ben Talei, one of America鈥檚 top facial plastic surgeons in Beverly Hills, for advice on the running of the new hospital.

Back in Glasgow, Dr Rhona Cameron is training up new aesthetic doctor Dr Nina Singh to work at the clinic. We see Dr Nina carry out a filler procedure and learn about her goal to treat skin of colour within the clinic.

Across the pond, Darren and Tom begin nesting for their baby, building the cot and buying the essentials ahead of her arrival. Shortly after, we see the birth of their beautiful baby girl, Ophelia, and hear what that joyous moment meant to them. After enjoying their newfound family bubble, tensions rise as Ophelia develops an infection. Darren and Tom have a video call with the clinic staff back home, and principal contractor Marc holds the fort at the new hospital as they run into complications with the ventilation system.

Landing back on home soil, Darren and Tom bring Ophelia into the clinic to meet the staff for the first time. Darren celebrates his birthday and returns to work, and we meet Gillian, who is looking to have some fillers done. Building work ramps up at the new hospital, and Darren and Tom travel to Eichholtz, an interior design show room in Amsterdam, with architects Ruari and Craig to get design inspiration. Back at home, Darren and Tom settle into family life.