The episode features a stylistic shift, using black-and-white handheld footage for the documentary segments to contrast with the show's standard cinematography.
Dr. Chris Taub, a former plastic surgeon, believes the heart issues are secondary to intracranial pressure caused by the deformity. House, however, suspects a systemic issue like juvenile rheumatoid arthritis. UglyHouse M.D. : Season 4 Episode 7
Just before his reconstructive surgery, Kenny suffers a heart attack, requiring an emergency pacemaker. The episode features a stylistic shift
Lyme Disease . Dr. "Thirteen" (Remy Hadley) discovers a telltale target-shaped rash hidden near Kenny's hairline after his head is shaved for surgery. Themes & Key Subplots a former plastic surgeon