The baby, named Conor, is born but the decision on whether he should undergo plastic surgery creates friction between them. Julia reveals to Sean that their unborn child is suffering from ectrodactyly, a congenital malformation of the hands. A terrifying nightmare provokes Julia into getting her unborn baby checked for any deformities. Soon after, Julia discovers that she is pregnant with Sean's child the result of a brief sexual encounter earlier in the year.
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Returning home, Julia is shocked to discover that her mother is waiting for her, claiming that she delayed her flight due to their argument. Putting her out of her misery, Julia suffocates the woman, later confessing to Sean that she feels free. Julia joins Sean and Christian in helping the many injured victims, and finds a horrifically burned woman who she believes is her mother. After a tumultuous argument with her mother, Julia is shocked to discover that the plane Erica was supposed to board has crashed just after take-off. After discovering his affair with a male soldier, Julia dumps and fires him. While running the spa, Julia is romanced by Sean and Christian's new colleague, bisexual doctor, Quentin Costa, who goes to work for her. She also poaches anesthesiologist Liz Cruz from McNamara/Troy, and the three of them create a signature face cream made of semen which they market to Joan Rivers. In an effort to bring some purpose to her life, Julia teams up with Gina Russo to create and develop De La Mer, a luxury spa. Still single, Julia has decided to resort to sleeping with Jude. Despite remaining problems between her and Sean, they reconnect when Julia requires saving after being attacked by a kinky blind date, and later team up in an effort to protect Matt from his potentially dangerous lover, Ava. However, she realizes that she would be considerably more unhappy with Christian than with Sean. Coming out of her dream, Julia admits that she is never satisfied with what she has, always wondering how life would be on the other side. While she is a rich, successful plastic surgeon, she is also a cocaine addict, unable to have children and unfulfilled by Christian (who, without the good influence of Sean, is much more self-absorbed and amoral) an attempt to seduce a happily married Sean also goes awry. While undergoing surgery to repair her face and remove her implants, Julia is guided through an alternate universe by Ava, where she sees what her life would be like if she married Christian. One drinking binge results in an accident where she falls through a glass door. Moving into a small apartment which Erica unsurprisingly mocks, Julia self-destructs, gets a boob job and starts to drink heavily. When Julia reveals the truth to Sean, he pushes Julia against the freezer and throws her out of the house. Thanks to life coach Ava Moore, Matt soon discovers the truth as well. After Christian loses baby Wilber in the custody battle, Julia reveals to him that he already has a son named Matt. Meanwhile, Julia finds that she can only orgasm with Sean when thinking about Christian. Their already fragile relationship is made even worse when Erica sleeps with Christian. Julia's narcissistic mother, Erica Noughton, comes to Miami and proceeds to degrade her and make her feel worthless for not becoming a doctor. At the end of the season, Julia decides to get a paternity test done on Matt. Julia drops out of college and later rallies against her housewife friends when they try and bar Sofia Lopez, a trans woman, from their women-only gym.
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Their friendship ends when Julia discovers that Jude is a professional gigolo who targets middle-aged housewives. Julia discovers his attraction to her and uses it to make Sean jealous. Julia returns to college in an effort to finish her doctorate and meets a fellow student, named Jude. Due to her unhappiness Julia flushes her daughter Annie's gerbil down the toilet, and tries to instigate an affair with Christian. Housewife Julia McNamara's life is already in freefall, dissatisfied with her marriage to plastic surgeon, Sean McNamara, and in love with his partner, Christian Troy, with whom she had a one-night stand in college. She has three children: Matt McNamara, Annie McNamara and Connor.
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Julia is Sean McNamara's wife of 17 years, with the couple divorcing for the last time in Season 4.