Book excerpt: The story of how and why some women choose to use, while others refuse, cosmetic intervention. What is it like to be a woman growing older in a culture where you cannot go to the doctor, open a magazine, watch television, or surf the internet without encountering products and procedures that are designed to make you look younger? What do women have to say about their decision to embrace cosmetic anti-aging procedures? And, alternatively, how do women come to decide to grow older without them? In the United States today, women are the overwhelming consumers of cosmetic anti-aging surgeries and technologies. And while not all women undergo these procedures, their exposure to them is almost inevitable. Set against the backdrop of commercialized medicine in the United States, Abigail T. Brooks investigates the anti-aging craze from the perspective of women themselves, examining the rapidly changing cultural attitudes, pressures, and expectations of female aging. Drawn from in-depth interviews with women in the United States who choose, and refuse, to have cosmetic anti-aging procedures, The Ways Women Age provides a fresh understanding of how today’s women feel about aging. The women’s stories in this book are personal biographies that explore identity and body image and are reflexively shaped by beauty standards, expectations of femininity, and an increasingly normalized climate of cosmetic anti-aging intervention. The Ways Women Age offers a critical perspective on how women respond to 21st century expectations of youth and beauty.