If there’s anything other than simply “very damaged personalities,”I think it’s probably a sense that as celebrities they need to freeze time or even turn it back to stay competitive in their field. When cosmetic procedures work, it’s because doctors communicate the limits of what can be achieved while passing for natural, the patient accepts that, and the work is done well. If any of those pillars breaks, it looks bad. If any of them breaks for a celebrity, it goes viral.