It's all plastic surgery. Still, makes it nice to look at if you have the money. But there's an addiction there in, if you're not careful. Remember the Korean girl who, after running out of money for her constant "improvements" took to self injecting her face with cooking oil?
PS will only go so far, father time will always win. We all get old, if they go to the extreme on ps, it'll backfire on them. They'll look too fake and become like that cat lady...