@DMA @Humpleupagus @ExNihilo @VikingWays @judgedread I think a big part of this could also be hard sell tactics.
See, buccal fat removal and lip injections aren't surgery. So if you agree to let them do that shit to you - they can probably do the whole procedure in moments.
If you had to schedule a full-on surgery you might get cold feet or come to your senses before you get bogged.
But these girls probably visited Shlomo's clinic for some botox for their crow's feet and after he employs some Used Car Salesman magic - they walk out looking like one of these freaks.