Last year we reached a milestone.  Americans spent more than $13.5 billion dollars on surgical and non-surgical procedures.  About 58% were for surgical procedures and 42% were for non-surgical.  With such hit TV shows like Nip & Tuck and Botched, it’s no wonder plastic surgery remains in the mainstream.  For many men and women it is essential to maintain a prominence in the business world.  People are willing to invest to look younger, more relevant.  Some of the ”new” procedures gaining in popularity are breast lifts.  They have now replaced rhinoplasty as the 5th most common procedure.  The TOP four are liposuctionbreast augtummy tuck and eyelid surgery.  Coming in strong is a procedure new to the list – fat grafting to the face.  I probably do autologous fat grafting to the face on 60% of my Quick lifts (facelifts)and neck lifts.  It is very exciting.