Top Los Angeles plastic surgeons say they see an increase in the number of patients and call it a trend. One of the main reasons for the increase is visibility: today’s children are growing up with parents who have had cosmetic surgery by the Michigan plastic surgeons, so they see and hear about it more. Thus, they are more likely to have a cosmetic surgery when they grow up, as human behavior is largely imitative. The media has also done a good job of making people aware of the procedures available. Another reason is acceptability. In a way, plastic surgery has come out of the closet. When details of cosmetic procedures are frequently discussed on talk shows and published in magazines, it is not surprising that they filter into our consciousness. In some cases you can even use Facial Aesthetic Training without any surgery. In this case even those who do not think they could actually go through with a procedure sometimes daydream and discuss what they would do if money was no object and if all the procedures were 100 per cent safe. Although reasons for cosmetic surgery range from getting a better look to improving job prospects, often the common factor among patients is more than skin deep. People who are thinking about having plastic surgery to change the way they look are often addressing issues of self-esteem. It is especially among young people that there is a lot of emphasis on peers and what others think of you, and things such as not being part of the popular crowd can negatively affect a person’s self esteem.