Donna makes her opinion known one too many times; Sky learns that Ted has been stepping out on her; and Puma meets with his partner at Ink 124.
Ceasar meets with Med after Puma closes Ink 124; and Sky has a consultation with her doctor for an upcoming surgery, revealing details about her past.
In the Season 4 premiere, Sky celebrates her newfound freedom; Ceaser doesn't want anyone associated with Puma on his turf; a surprise visitor tests Ted's loyalty to Sky; and Sassy confronts Puma.
Ceaser returns to North Carolina to look for a house; Sky tells Puma that he needs to "man up"; and O'S**t checks in on his apprentice, Donna, and is confronted by her new boyfriend.
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