Donna Emnett, a junior high school teacher in St. Louis, said age brings a heightened perception of flaws. Now 56, she is starting to notice looser facial skin and a double chin, she said. After her book club read “I Feel Bad About My Neck,” the members discussed tummy tucks, eyelifts and injections. “We are from the Midwest, so we are kind of fearful of needles because we don’t want to walk around with weird puffy lips or stiff foreheads,” Ms. Emnett said. “But we decided that an eyelift might be O.K.” Other women have gone from negotiation to embrace. Kim Pace, 49, an interior decorator in Odenton, Md., began having laser procedures a few years ago to treat acne scars and sun-damaged skin. Then she added Botox for her wrinkles, along with Restylane and Juvéderm injections for her lips, she said.
