Nanny or Botox Treatment...botox Wins? Cutting Back

What do you cut first?

What do you cut last?
Miriam Jordan suggests that When the Going Gets Tough, Some People Lay Off the Nanny (Wall Street Journal, December 11), and personal chefs and the like.

Besides women giving up on household help, the article mentions people taking care of their own lawn and garden rather than hiring someone to do it.
From the sound of it, a Ms. Sirof quoted in the piece seems to show that having to choose between a nanny and Botox treatment, Botox wins...