My mother, 68, has had 4 nose jobs, face lift, eye lift, lipo under her chin/neck, fatty spots under her eyes taken out, and veneers. She plans on having another face lift by springtime. She's built very nice, exercises, eats well, and does look pretty good. Her husband is 6 years younger.
My half sister has about the same level of self esteem, and will probably follow that same route. She has veneers now, and spends hours on her face, makeup, plucking eyebrows to a thin line, etc.
I won't have work done, unless I hit the lottery and have money to throw around, then I'd have a breast reduction (they're ginormous!) and a tummy-tuck. No face work though, I want to show what I've earned.
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