To be wealthy is to get regular blowouts. But to be ultra rich means you may never wash your own hair. The glow of affluence—achieved through personal chef-fed meals and trainer-shaped limbs—sets the ultra rich apart. More than likely, they also visit the dermatologist every six weeks.

The global market for anti-aging was valued at $250 billion in 2016. By 2021, it’s estimated to reach $334.1 billion. Those numbers aren’t so intimidating for members of the 0.01 percent. In the United States, the average income of a 0.01-percenter is $26.1 million. But it’s not just Americans who get beauty treatments and plastic surgery in the States. Members of the Saudi royal family, elite business people from Hong Kong and plenty of tourists on Fifth Avenue are all here to shave a few years off their appearance and drop hundreds of thousands of dollars in the process.