PREFACE

In the early nineteenth century a powerful bacterial neurotoxin was identified in spoiled meat, earning it the name botulinum toxin, or “sausage poison.” The resulting condition, known as botulism, destroys the nervous system’s ability to communicate with muscles, rendering all soft tissues—including the heart and lungs—completely immobile. A mere ninety nanograms can kill a two hundred pound adult in a matter of minutes. It is the most acutely toxic substance known to man. And in 2014, nearly five million beauty-conscious customers voluntarily injected it into their faces.

People don’t like the way they look. More than two-thirds of women in the United States are trying to lose weight; more than half of American teenage girls have quantifiable eating disorders, with symptoms occurring as early as kindergarten. Beauty products and cosmetic surgeries account for more than $426 billion in annual global sales, rising at a rate of nearly 100 percent per year: men implant hair in some places and laser it off in others; some women have their breasts enlarged, others have their breasts reduced; fat is vacuumed out of abdomens; collagen is injected into lips and eyelids; wrinkles are masked and puttied and stretched and poisoned.

In a culture where we can be anything we want, only one thing is certain:

Nobody wants to be themselves.