Not in defense of Pelosi, but the term itself rally gets a nod anymore—advancement in medical science for people who take care of themselves physically, and wish to look as they once did.
Men are opting for it as well. WRKO's Howie Carr Talk Radio Conservative host has had procedures, as has his wife; Sandy his producer as well, and advertises their Doctor on the show regularly.
Times have changed. Medical science changes.
Not being from around this part of the Galaxy, could one of you kind Earthlings explain what is this "fat loss one experiences as one ages?"