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No matter how beautiful it is, a rabbit is still just a chunk of meat once you skin it.
An award-winning josei manga by Kyoko Okazaki, Helter Skelter tells the story of Ririko, the most gorgeous woman in the entertainment industry. She's hugely popular and successful, but behind her winning smile lies an ugly secret: her beauty is entirely artificial, being the result of dangerous extensive full-body plastic surgery, which requires heavy medication and frequent touch-up surgery to maintain. Even as she's at the top of her profession, Ririko's mental and physical health quickly disintegrate as the strain of her possessive manager, her unsatisfying relationships, a detective investigating the shady plastic surgery clinic she attends, and the ticking clock counting down to her becoming a has-been all drive her closer to the edge.Helter Skelter was adapted into a live-action film in 2012, starring the famous actress Erika Sawajiri.
This manga provides examples of:
A Threesome Is Hot: Very subverted when Ririko shows up at Michiko's apartment and has sex with Michiko's boyfriend while she watches. Michiko and the boyfriend are both mortified afterwards. Later on, Ririko manipulates and coerces them into a long-term three-way relationship.
Arranged Marriage: Ririko's boyfriend (a corporate heir) dumps her for a purely political marriage to another girl.
Author Existence Failure: Nearly. Okazaki was hit by a drunk driver in 1996, leaving the manga finished but unpolished until her former assistant, Moyoco Anno, readied it for a tankobon release with guidance from Okazaki.
Back-Alley Doctor: The plastic surgery clinic Ririko attends is connected to illegal organ dealing, forced abortions, and other shady stuff.
Becoming the Mask: Michiko starts out hating Ririko and only sticks with the job because she needs the money. It's not long before she's completely wrapped around Ririko's little finger and even maims another beautiful woman at Ririko's behest.
Off-Screen Breakup: When Ririko's boyfriend dumps her, she finds out by reading it in the paper.
Rape By Proxy: Ririko coerces Michiko and her boyfriend into having sex while she watches them. Considering how toxic their relationship with her is and how unhappy they were during the act, it comes across as pretty rapey.