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Death, Sex & Money

From Brazilian Butt Lifts to Botox: Your Beauty Confessions

Death, Sex & Money

Slate Podcasts

Business, Health & Fitness, Society & Culture, Careers, Relationships, Sexuality

4.67.6K Ratings

🗓️ 23 September 2025

⏱️ 66 minutes

🧾️ Download transcript

Summary

Over the past few months, we've been asking you to tell us stories about your beauty interventions. You told us about feeling caught between viewing appearance improvements as vanity and recognizing how much looking a certain way affects your relationships, career, and self-worth. In this episode, Anna talks to listeners about their appearance choices: Asher, who spent $43,000 on plastic surgery and openly celebrates his investments; Caroline, who used fillers and Botox after her divorce but recently filed for bankruptcy and can no longer afford treatments; Alexandra, who stopped dyeing her gray hair at 38 despite pushback from family; and Nick, whose multiple cosmetic surgeries nearly ended his marriage and forced him to confront deeper issues. Read Nick Dothée’s essay: What Plastic Surgery Couldn’t Fix Podcast production by Zoe Azulay Death, Sex & Money is now produced by Slate! To support us and our colleagues, please sign up for our membership program, Slate Plus! Members get ad-free podcasts, bonus content on lots of Slate shows, and full access to all the articles on Slate.com. Sign up today at slate.com/dsmplus. And if you’re new to the show, welcome. We’re so glad you’re here. Find us and follow us on Instagram and you can find Anna’s newsletter at annasale.substack.com. Our new email address, where you can reach us with voice memos, pep talks, questions, critiques, is [email protected]. Get 50% Off Monarch Money, the all-in-one financial tool at ⁠www.monarchmoney.com/DSM⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

How do you feel about the way you look and how do you feel about whether you should do something to change it?

0:10.7

What a question. For the last several months, we have been asking you, our listeners, to tell us stories about your beauty interventions, what you've decided to invest time and

0:24.9

money in, like plastic surgery, elaborate skin care routines, fillers, Botox, things to look younger

0:32.3

or hotter or, quote-unquote, healthier. Or maybe you're one of those listeners who is clear that big interventions are a bridge too far for you.

0:42.9

Plastic surgery, no.

0:44.5

And also you've decided taking GLP-1s or using hair dye means participating in cultural ideals that you would rather reject.

0:57.0

But what do you feel about teeth straightening, or even that nice thick face cream at the drugstore?

1:01.0

When you're deciding to make an investment for your looks,

1:05.0

which part is for you and which part is trying to control how the rest of us treat you.

1:12.5

Conventionally attractive people make more money and are treated better by teachers and law

1:17.6

enforcement. And we live in a time where social media's broad reach is narrowing what we consider

1:25.0

beautiful. In our Slate Plus episode this week, we get into social media even more.

1:31.0

I talked to a researcher who's a dermatologist and a medical anthropologist who is studying the

1:36.8

proliferation of skin care routine videos on TikTok made by and for kids, some as young as seven years old.

1:47.0

Let's start with your stories about your appearance and how some of you pay to manipulate it.

1:54.0

We heard from a lot of you about a push and pull of feeling like improving your looks was a frivolous pursuit,

2:03.7

and also that looking a certain way felt core to some of the most important things in your life, your romantic relationships,

2:09.1

your work, and feeling desired and worthy.

2:12.6

I'd like to think of myself as a person with depth, a person who values intelligence and kindness,

2:20.7

and, you know, doing the right thing. And yet sometimes I worry that my appearance in the doors

2:31.5

that my appearance have opened, those are going to close if I don't continue

2:38.7

to look this particular way.

...

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