The movie starts off cold, with just a quick title card, that then goes right into one of Pauline's fantasies. You see, Pauline has a pretty serious case of haematophilia. She likes to lie in bed and have these bizarre fantasies that always have something to do with blood or cutting people up or some crazy shit like that. The first one we see (and the one I liked the most) is Pauline sitting in a chair across from herself, basically having an orgasm while watching her other self vomit up blood and bleed from her nose. From then on, what Pauline can conjure up just gets more and more bizarre and graphic, until she manages to think of something much, much worse for real life.
All of these bizarre fantasy scenes are shot beautifully and make for very striking images. Pauline and anybody else who appears in her messed up mind are always wearing white, and in a room with blue tiled walls, both of which make a great contrast against the very pretty red blood. Hey, wait a minute - red, white and blue? Are they trying to say something with that? Eh, maybe. Anyway, these scenes are sadly too short sometimes, but it was good that they didn't focus so much on them and stuck more to Pauline's twisted story. There is a ton of dark, sadistic humor throughout to keep you laughing and creeped out at the same time.
Everybody and their brother loves AnnaLynne McCord in this thing and I don't feel the need to add to the pile-on of praise. She is beyond awesome in Excision and that's all that needs to be said. I'm also not going to praise her for being all "brave" in taking this role and making herself ugly in a movie. I really kind of hate it when people do that. Goshdarnit, these people are actors and it is their freaking job to do whatever is necessary to bring reality to a role. On that note, I will totally give McCord praise for being a freaky bitch and committing 100% to every crazy and freaky thing she had to do for this movie. She rocks.
And Traci Lords? Forget about it. She is really wonderful as Pauline's mother, who is obsessed with manners and her daughters being proper ladies. I'm glad that Lords has managed to make a (small) name for herself in mainstream movies because she is a great actress. She gives Phyllis all the hoity-toity mannerisms of a woman with a real stick up her ass, but also shows a real desire for a connection with her daughter. It's a wonder that she can be so accepting of Pauline's behavior, while in hindsight she should have done more than just send her to talk to the local priest (played by John Waters - which cracked me up) instead of a real psychiatrist.
Excision is, as they say, perhaps not a movie for everyone, but it sure as hell is for me. I kind of loved it, and all those insane images have been in the back of my head ever since I saw the movie. AnnaLynne McCord gives a performance so good that it's ridiculous and the other actors (John Waters, Malcolm McDowell, Marlee Matlin, and Roger Bart) all bring their own dose of awesome to the movie. It's an interesting film to say the least, and one you should give a chance if you think you can take it.