You know what struck me? The looks of utter envy the women were sporting when Louise Burke managed to fit into size 00 jeans at the end.
As for the comment in the title, well. I don't know if you have ever seen what Dr. Fredric Brandt looks like. This is him from his website.

He made that comment in this video (youtube link). It's a clip from Super Botox Me, a new documentary about how far you can go with cosmetic improvement. Go straight to 0:15 to get a close-up of Dr Brandt who "buys more Botox than anyone else in the world", and watch him talk about what he has done for his own face. Impactful.
Super scary.
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