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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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