Beauty: Who defines it. Why can't I have it. What would I pay for it. What sacrifice is too high. Can I truly feel better on the inside by changing my appearance on the outside. Vanity Insanity follows the stories of people who believe that changing their appearance can change how they feel about themselves, cataloguing the extraordinary risks some people are willing to take to try to accomplish their goal. Shot across North America, Italy, Ireland, and Brazil, the series exposes the good and the very bad outcomes that result from cosmetic surgery.