The Algorithmic Lie
My sinuses are screaming. I just sneezed 14 times in a row, and the vibration is still rattling around my molars while I look at this glowing phone screen. The patient, a vibrant woman of 44, is holding it up with a desperate sort of reverence. On the screen is a 24-year-old influencer whose face has been curated by both a surgeon’s blade and a digital algorithm. The image is striking, I suppose-eyes pulled into a predatory, upward slant, lips so plush they look like they’ve never known the dry air of a winter morning. ‘Can you make me look like this?’ she asks. It’s a question that feels heavier than it should. The pressure in my head from the sneezing fit makes me want to close my eyes, but I look closer instead. I see the pixels. I see the impossibility of it. I see the 34 millimeters of skin laxity that the filter has simply erased, and I realize we are no longer talking about medicine; we are talking about mythology.
Transient Aesthetic
Structural Permanence
There is a fundamental disconnect between the transient nature of a ‘trend’ and the stubborn, biological reality of human tissue. Your skin doesn’t have a refresh button. It doesn’t care that ‘fox eyes’ are


