The cover features a patient identification slip paired with a series of six before-and-after photos of a facelift procedure.

The pages are held together by metal prong fasteners, which are attached to the folder’s back cover.

The book is divided into three sections. Each begins with short yellow sheets styled as medical documents, serving as thematic markers: a check-in form, a consent contract, and post-operative instructions.

Vellum sheets are interspersed throughout the book, containing the lyrics. As the narrative progresses, the lyrics gradually diminish in size, mirroring the fading intensity of the message, until they ultimately vanish.

The text on the pages becomes progressively more wrinkly as Bethany ages. This visual metamorphosis not only reflects the passage of time but also intensifies as the decision to undergo beauty procedures looms over her.

In the final chapter of the book, there is an uncanny sterility that contrasts the personal nature of the first two segments. The pages mimic hospital forms. The narrative culminates with Dr. Michael Greger, the host of the featured podcast, providing a sign-off, lending a formal closure to Bethany's journey.

CHRISTINE JUNG