We've seen a significant decrease in google.com traffic for stem query terms like [botox] and [invisalign]. We have an active community with tens of thousands of cosmetic treatment reviews, photos and Q&A, so we're not a shallow scraper site.
I don't think we've been specifically punished. Instead, it looks like Google simply reset the difficulty of competing for commercial stem query terms back to what it was in 2008. I looked at google traffic by keyword between the end of February 2009 and the last few days, and it seemed clear that our overall traffic has increased significantly but most of that traffic has been for long tail searches. Traffic for stem query terms are generally flat or down.
In January and early February, we were ranking on page 1 for many of those commercial stem query terms for the first time, but it looks like those days are over.