Actually I think there’s a lot of awareness?

I interacted with a lot of, uh, private school moms growing up, and breast implants (even when they were impractical or bad looking) were definitely a social expectation. There was some plastic surgery too. Many were aware, but it’s like a ticket for entry.

These people are way above that level (including Laura Loomer who is a mega rich celebrity), so I bet it’s just more extreme.