In far western enclaves of the U.S. there are tribal customs that include ritualistic enhancement of womens’ breasts and the injection of toxins directly into the face.
There are plenty of men who get botox. There are also men who get pec-implants (but they are rigid silicone and not bags of gel. They also have implants for all the major muscle groups to give a “sculpted” look.
Remember Kerry with his orange sun tan? Vanity is exploding everywhere!
Western tribal customs also include the unborn being used as skin rejuvenation products for beauty and health. Such a civilized world we live in...