Couples choose to have plastic surgery

"He hadn't thought about getting anything done, but after hearing how I would look afterward, he decided he should probably go ahead and have a little something done too," -patient, who asked that her last name not be used for privacy reasons.

This couple represents a growing trend. Although neither the American Society of Aesthetic Plastic Surgery nor the American Society of Plastic Surgeons keeps statistics, representatives for both groups say there is anecdotal evidence that more couples are having cosmetic surgery together.

The trend is a corollary to the increase in recent years of cosmetic procedures performed on men, who now account for 9% of the total.

It's a male ego thing. When a wife comes in and has work done and is delighted with the outcome, the husband or partner feels more confident and secure and more likely to ask questions. Men are often initially introduced when they come in with their wives, who are looking at having this or that done. When the husband is in there, he sees some of the information, and then he sort of gets interested. Then, when the wife comes in for a post operative appointment they pull me to the side and we'll talk about his eyes, love handles or neck.

Liposuction is enormously popular for both men and women. In 2011, more than 300,000 lipoplastys were performed in the United States, surpassing breast augmentation as the most popular cosmetic surgical procedure for the first time since 2008, according to the American Society of Aesthetic Plastic Surgery.

But although coupled men and women may have their procedures done around the same time, what they're having done may differ. The most common areas for male Liposuction are the abdomen, chest and chin. For women, it's tummy, thighs, neck, and knees.

Rounding out the list of top anti-aging cosmetic surgical procedures for women are tummy tucks and cosmetic eyelid surgeries. For men, it's eyelid surgery and gynecomastia, also known as male breast reduction, according to the ASAPS.

If cosmetic surgery is, to some extent, about keeping up with the Joneses, there's no more important Jones than a spouse. Psychologically, there's just something unsettling about a man and a wife who are aging out of sync!
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