What is the main conflict in Invisible Monsters by Chuck Palahniuk?

hannon McFarland is a model who has been shot in the face, leaving her with a hideous disfigurement that will change her life forever. While adjusting to this new life, Shannon meets Brandy Alexander, a flamboyant transgender who teaches Shannon that a person's past does not have to define their future. Unfortunately, Brandy's past will define Shannon's future when she learns that Brandy is more than just a unique new friend. Invisible Monsters is a quick-paced novel filled with unique characters that will leave the reader gasping at each surprise turn in the plot.