The puffy, artificial look is rising in popularity - thanks to Maga elite such as Kristi Noem and Matt Gaetz

Picture a plastic surgeon’s office. You might imagine a sleek Los Angeles practice, with discreet entrances meant to conceal celebrities from the paparazzi. Maybe a Dallas high-rise, where monied housewives spend on postpartum “mommy makeovers”. Or a Miami location, where influencers and OnlyFans stars film TikToks of their BBLs. One city you might not think of is Washington DC. But its buttoned-up reputation belies a newly buzzing industry.

Much has been made of the so-called “Mar-a-Lago face”, or the uncannily smooth and artificially voluminous features seen on the likes of Maga elite such as Kristi Noem, Kimberly Guilfoyle, Laura Loomer and Matt Gaetz. The bee-sting puffy lips, frozen brows and taut necks have been compared to Real Housewives stars, sleep paralysis demons and – ironically, considering the Republican party’s anti-LGBTQ+ culture war – drag queens (minus the campy fun).