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I can't say I know any hard figures, but is this the way cosmetic surgery is actually being used in most cases? As much as I see of it, it is more of a way to place oneself in a certain social category than as a way to get a competitive edge at the mainstream markets for labor and dating.

Breast augmentation, nose reduction and lip injections look like the female equivalent of visible tattoos on males: Tattoos don't make a man more handsome, really. Rather, they place him in a certain aesthetic and social category. I think that is what most nose-reduced, lip-augmented young women gain to: The clear belonging to a certain class of people.

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Anything garish enough to be clearly identifiable as the result of surgery, and especially when done by young people, is clearly more for group affinity than objectively becoming more attractive.

But discrete facial lifts, botox, lifted breasts or mommy makeovers are incredible common. In some environments, like around professional business women, continuing to look young and vital is a almost a prerequisite and certainly an advantage, resulting in places like NYC having loads of clinics where you can drop-in and get it done discreetly.

Some years ago I was to dinner with a large group of business women in NYC, and the hot topic of the evening was "lunchbreak botox" with a lively discussion of which clinics were the best and most conveniently located. I was really surprised how accepted, even expected, it was among them.

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Sounds very plausible. People tend to have a faster life strategy where I live.

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