Disclaimer: I do not own Repo! The Genetic Opera, or any of it's characters. This is a story written for the entertainment of others, no profit is involved.

Carmella Largo was usually a happy young girl. She had known little suffering in her short life of ten years. She was her daddy's little girl. Pampered as she was, she was still rather naïve. Carmella would enjoy playing with the various dolls in her room. She knew she was loved by her father and her brothers would do anything in there power to protect her. Carmella had everything she could ever need to be content. Until the chest pains began.

Pavi smiled, remembering what a sweet girl Carmella had been. He picked up his 'mask' and placed it carefully over his face. He pressed each metal clamp down. Sealing the 'mask' to his own face. He opened his eyes and smiled confidently at his reflection. Taking in every beautiful detail of his 'face'. 'There', he thought, 'it's-a perfect.' The triumphant grin faded away. It was to bad nothing could ever stay that way.

The pains in young Carmella's chest steadily worsened. There would be times when the throbbing became so intense that she would wish Death come and take her. Rotti, paranoid that the epidemic had come to take another of his children, he ordered she be examined. His suspicions were confirmed, Carmella's heart was beginning to fail. Rushed to surgery, the organ replacement and Zydrate were able to save another life. It was unable to save her opinion of self worth. If her heart had been imperfect, didn't that mean the rest of her was a failure?

Pavi sighed as he remembered his sister's already changing personality. The surgery had left a scar around her neck and chest, like some grotesque necklace. Another surgery would easily have been able to mend such scarring, but she had refused. Whether the reason was for attention or a constant reminder that she could never be flawless, he had never bothered to ask.

A/N: I would like to thank MarinaMar for being my first reviewer ever. It means a lot. I hope you enjoyed this chapter. Please review.