A year earlier, Skye's actor boyfriend died and she was seriously injured in a car accident. She is still scarred inside and out; She covers her wounds with costumes and denial. Skye underwent treatment for alcohol and drug addiction and is now sober, and her appearance on Barrymore's show (Barrymore plays himself) is the first step toward a proper tour. But during a rehearsal she sprains her back.

It turns out Skye has back problems and is hiding a secret stash of Vicodin for the pain. She doesn't abuse the drug, but takes it when her back hurts. A visit to a high school friend (Lukas Gage) to score even more points goes horribly wrong and we're back to the “Smile” cycle.

Only this time the cursed victim is not a psychiatrist in a lonely psychiatric clinic, but the biggest pop star in the world. It's a cool conceit and allows Finn to play with ideas of the pressure and alienation of fame. People with a certain level of fame often become detached from reality. So why should Skye be any different? Of course, Skye sees the cursed grins on everyone's faces, and her control over reality begins to falter, as it must under the rules of the curse.