“My lips used to give away my age,” she said, “but now they don’t any
more.” She said she is merely heeding society’s cues. “I don’t think
we are getting more vain,” she said, “I think we have changed our view
about how women should look.” Statistics bear this out. While face-lifts
were down to about 150,000 procedures in 2005 from about 157,000 in
2004, cosmetic Botox treatments increased to about 3.3 million from
about 2.8 million. In actuality, that means only about one million Americans
regularly undergo facial injections, said Jonah Shacknai, the chief
executive of Medicis Pharmaceutical Corporation, which distributes Restylane.