Plastic surgery is no longer the province of a few wealthy countries like the US, it is increasingly available to everyone.
But it is also not for everyone, and not just the wealthy.
The BBC has been told that as well as the costs of a cosmetic procedure, there is also a financial and emotional cost involved.
The surgery is the result of decades of research and a decade-long campaign by a team of British surgeons.
They say the new approach is safe and has reduced the risks of complications from plastic surgery.
They are also concerned that the cost of surgery has risen in recent years and they are calling for a national health strategy.BBC Radio 4’s Health Report is on BBC One on Saturday at 20:00 GMT and on BBC iPlayer from 16:00 BST.
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