Unreal expectations are par for the course in cosmetic dermatologist Dr. Rachel Westbay's line of work. Patients regularly bring in photos of celebrities or their younger selves, asking her to work her magic. But earlier this year, she encountered something entirely new when a patient brought into her Upper East Side office what Westbay described as a caricature. The image was cartoonish, with lips too full for her face and enlarged, doll-like eyes. Its creator was ChatGPT. "It's like saying I