In the fictitious world of Nip/Tuck, the Carver is a masked serial rapist and mutilator who disfigures, rapes and/or kills his victims. He becomes upset after Sean McNamara performs corrective surgery on one of his victims. He attacks McNamara in his bathroom and cuts one side of his face. He then threatens to kill McNamara if he destroys any more of the Carver's "masterpieces". McNamara continues to do so, and in the second season finale, the Carver exacts revenge by attacking and raping Sean's best friend and business partner, Christian Troy.
Before raping his victims, and/or carving their cheeks down to the lip to resemble a smile, the Carver tells his victims, "Beauty is a curse on the world. It keeps us from seeing who the real monsters are."