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Shrugs one ritzy woman, “It stops them beating the Botox out of their wives.”

Botox is now injected behind the ears to tilt them forward, creating the illusion of a smaller, daintier face.

"When it comes to Botox that's easy, Botox is a prescription drug," he said, adding he believes it should only be administered by trained practitioners, typically a doctor with prescribing authority.

"No clinic regulated by us, and run by a healthcare professional, would be permitted to run Botox parties as an appropriate environment to provide such a treatment."

“The Substance” has themes that have been with you for a long time, but it arrives in a growing celebrity-worshipping culture, one where there’s Ozempic and Botox obsession.