You notice the people who have it done bad. I am a hairstylist in a wealthy youth obsessed area. I see a lot of faces. When older ladies go too heavy with filler in the lips and cheeks and too much Botox around the eyes, they start to all look the same and get that weird puffy alien look. But a little Botox to take the edge of the lines without changing facial expression ability totally looks nice and you wouldn't even know. A little filler threaded through the lip looks beautiful. A full duck lip looks ridiculous. When stuff is done well, you don't even know the person did anything.