Is there anyone who's completely thrilled with what nature—and genes—have given them? Don't we all have a secret little wish list of body parts that could stand improvement? Today, it seems as though all you have to do is imagine a little tuck here, maybe a nice boost there, and plastic surgery makes it so. Of course, it's not really that simple, but there has been a lot of progress in the past two decades: Procedures that were once exclusively the privilege of the rich and the famous are now done for the rest of us. The surgery is safe and available, and can make a tremendous difference in the way you see yourself and how you face the world. You have to remember, though, that plastic surgery is a clinical procedure, not a panacea. It must be approached with realistic expectations. If you look for improvement rather than a miracle, you'll avoid a lot of disappointment. Newer technology has improved anesthesia delivery, lasers, and fiberoptics for keyhole surgery and produced newer and safer products for filling wrinkles. This resulted in a significant increase in the safety and predictability of these interventions and a doubling of cosmetic surgeries and procedures performed around the world over the last four years. Here is what is hot at out CosmeSurge Centers, one of the largest networks for cosmetic surgery outside the USA.

HOT	NOT HOT
Different Sub-Specialists for different cosmetic surgeries	Jack of all trade, master of none
Fraxel Laser for acne scars,dark spots, large pores	Old Lasers or Peels
Perlane to fill wrinkles (up to six months)	Collagen fillers
Botox for wrinkles around eyes and mouth	Laser resurfacing
Chemical Peels (TCA based)	Fruit acid peels
Fat transfer & bioalchamide for permanent filler	Silicon cheek implants
Thermage for mild facelift	Threads & Gold strings for minor facelift
Medlite Laser Toning	Old Facials
Natural products and herbal masks	skin products using chemicals
Micro-dermabrasion	Classic dermabrasion
Laser Tattoo Removal	Make Up to cover up old Tattoo
Laser vein removal	Electro-coagulation
Botox to lift brow	Endoscopic brow lift
Laparoscopic gastric band for extreme obesity	Multiple liposuction procedures
Laser hair removal	Electrolysis and waxing
Ro-accutane even for moderate acne	Lotions for most acne
Breast augmentation with silicone implants	Saline implants
LPG and Mesotherapy for cellulite	Other Less proven technologies
Mesotherapy for hair loss	Drugs for hair loss
Micro-graft hair transplantation (own hair)	Wigs and hair pieces
Local anesthesia with sedation for most surgeries	General anesthesia for most surgeries
Same day surgery within the safety of a hospital	Office based surgery without a hospital back up