There was nothing really wrong in the mirror. Round cheeks, friendly eyes, an open face. George Santos had an expressive mouth, a large build, and smooth skin. But what he wanted was something different. Or so he told people. One of his campaign aides in 2022 recalled that she’d be driving around and then her phone would ring—it would be Santos, excited to talk about body modification. He had just gotten back from having his lips done, he’d gush. The doctor was amazing. “New lips kicked in lol,” he texted once. Or he’d confide about getting liposuction. Such procedures did...