“Flat tummy, narrower waist. She’s lost the line across the middle,” Tampa plastic surgeon Dr. Dan Greenwald says, as he points to before-and-after pictures of a tummy tuck, describing the results. 

It’s part of what he calls a "mommy makeover," which has become popular and includes a tummy tuck and breast augmentation.

"People’s bodies change when they have babies. Their breasts change from the effects of pregnancy and/or breast feeding, and many tummies don’t become flat again,” Greenwald said. "So people come in who have finished having children, who are still relatively young — anywhere from 30 to 50 — and they want their bodies back.”

Growing acceptance

About $13 billion is spent annually on plastic surgery and other cosmetic procedures, and that number continues to grow every year. Greenwald thinks the increase in popularity can be attributed to the media, advertising and social media.

"It’s on TV, on the billboards, in the magazines," he said. "It’s surrounding them, so it becomes pretty reasonable. Everybody else is doing it. Why not me?"

Most popular procedures

There were 15.6 million cosmetic procedures in 2014, according to a report by the American Society of Plastic Surgeons. That’s up 3 percent from the year before.

The most popular surgical procedures include breast augmentation, nose reshaping and liposuction.

Brittany VanRaaphorst, 27, had breast augmentation and has no hesitation talking about it.

"It seems like it’s becoming more popular and accepted as the social norm," she said.

Already fit and slender, VanRaaphorst says her breast augmentation gave her even more confidence.

"Increased size to my breasts just added a whole new level to me, and I just feel more confident in everything," she said.

Botox and fillers

Another significant trend in plastic surgery is that of "injectables," such as Botox and fillers. They’re not eliminating the full-blown face-lift, but they’ve taken over in popularity to help smooth a face of wrinkles.

The top minimally invasive procedures include Botox, fillers and chemical peels.

'Bro-tox'

Not only are more women getting injectables, but men are, too, especially Botox, or "Bro-tox" as it’s called. Use of Botox was up 7 percent from the year before for men in 2014.

Eric Segler, 30, is among those giving it a try. He got Botox before his wedding.

“I was a little hesitant, didn’t know what to think," he said. "All my buddies were kind of teasing me, giving me a hard time about it."

But, he says, the results were worth it. 

"My eyes are super sensitive to the light, so I’m constantly squinting and making funny faces and doing weird eyebrow things, and it makes wrinkles up here," he said, moving his forehead. "I usually have a furrow in the center, and it completely got rid of it altogether."

Greenwald says he sees a lot of men in their 50s and early 60s who are changing jobs and looking for an edge, and they are coming in for Botox.

"They say, 'Doc, I got to look younger, I got to look hip, healthy. I got to look better for my job interview,' " he said.

Choosing a doctor

With the growth in popularity of plastic surgery and cosmetic procedures, more providers are doing it, including dermatologists, eye doctors, primary care physicians and nurses at spas, so it’s important to pick someone who is well-trained and skilled.

If you decide to have anything done, be sure to check the credentials of the doctor or nurse, ask how often they perform the procedure and ask to see their before-and-after pictures.

Click here to read more about trends in cosmetic procedures and plastic surgery from the American Society of Plastic Surgeons.

Click here for the complete 2014 ASPS Plastic Surgery Statistics Report.