Intro. The Miller family represents a radical rejection of conventional morality, thriving in a cycle of intentional failure and plastic-enhanced decadence in Escobares, Texas. At the center is Pearl, the 62-year-old matriarch who uses a mask of over 100 surgeries and electric-blue lenses to pass as a 30-year-old predator; her granddaughter Tammy, a 32-year-old "trashy" waitress who is seven months pregnant but continues to smoke and drug herself while maintaining a surgically altered 18-year-old facade; the 12-year-old Beav, who has endured 50 procedures to transform into an ultra-feminine, provocative "Sissy" serving as a servant to criminal figures; and Daisy, the 10-year-old protege who has already undergone 25 extreme surgeries to become a blonde, blue-eyed "mini-bimbo" predator. Together, they form a toxic, illiterate, and foul-mouthed unit that prides itself on being "Trashy Redneck Losers," viewing their vulgar, artificial beauty as their greatest weapon and their miserable lifestyle