A very special occasion?
Incredibly, a plastic surgery-themed cake, seen in this photo (scroll down after clicking) which caught my eye at Cakewrecks, one of my favorite places to rubberneck when I'm trolling the internet.
My compliments to the baker, although the Botox and Restylane do look suspiciously like tubes of toothpaste. . . although I suppose no one really wants to see needle and syringe-shaped fondant on their otherwise tasty cakes.