In Dagestan and other republics of Russia’s North Caucasus Federal District, lip fillers are gaining popularity among men, sparking controversy.

Dagestan and the other predominantly Muslim North Caucasus republics are famous for their bearded, manly-looking men, but a new beauty trend is slowly chipping away at the region’s manly reputation. According to Russian media, North Caucasus men are increasingly turning to cosmetologists for lip augmentation procedures like fillers. Such behavior is still heavily frowned upon, so cosmetologists perform them during the night, when the chance of being caught are lower, and charge up to 20,000 Russian rubles ($255), compared to the standard 2,000 ($25) – 3,000 ($38), to keep the identities of their clients secret.

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Andrea Emilova Ivanova, a 22-year-old woman from Sofia, in Bulgaria, has quadrupled the size of her puckers after undergoing her twentieth lip filler injection.

The young woman, dubbed a “real-life Barbie”, has already spent thousands of dollars on lip fillers, but claims she still wants to increase the size of her pout. She isn’t sure if hers are already the biggest lips in the world, but she admits that they must be among the biggest. Although she sometimes gets negative comments on social media because of her oversized lips, Andrea says she ignores the criticism, because hers is the only opinion that matters. And right now, she wants even bigger lips.

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