Under the Knife pt. II: Fillers and injections

From an injection of Botox to fat removal from problem areas, the increase in cosmetic procedures is up by six percent. Car sales and gas prices are strong indicators of how the economy is looking, and now plastic surgery is a factor.

For the third consecutive year, those seeking the fountain of youth through cosmetic procedures are on the rise. Plastic surgeons say wrinkle treatments have become increasingly more popular, with Botox in the lead.

"We do it (Botox)," says Paul Talbot, MD. "Everybody does it that has a medical degree in town, just about. We do a lot of deep fillers lately, and it can put the volume back in someone's face," he said.

Now Botox can be used for migraines, and according to one woman, her son's clubbed feet. She added that it did not work on her son's condition.

Researchers say Botox works by penetrating the skin and relaxing underlying muscles so the muscles aren't as tense. It is covered by most insurance companies. Now, more than ever, women seek Botox to look younger.

"If you want to treat wrinkles, it's much better to do a resurfacing procedure," says William Reno, MD.

He says there can be consequences for too much Botox in the wrong areas of the face.

"Botox can help with wrinkles and lines around the forehead, but when you get to other parts around the face, you don't want to inject Botox most of the times in those areas cause it can cause muscle paralysis," Reno said.

Cosmetic surgery is becoming more popular among the Baby Boomer generation.

"They feel like they're competing against the twenty-year-olds, and they are," Talbot says.

'"They come in for facial procedures, injections and things, because they realize that they're competing against a much younger, and in their eyes, 'prettier' generation, so they have to work hard, too."'

Doctors say one obstacle they face in their fields of work is patient expectations.

"I'll have patients come in who say they want to look just like they did in their high school yearbook," Talbot says.

"You have to be careful," says Petra Shneider-Redden, MD.

"Your patients should understand what you can and what you cannot achieve."

Dr. Reno adds that, oftentimes, he performs procedures to make patients feel "whole" again.

"If someone gets mauled by a dog or if they're in a wreck and their face is crushed, we'll do a reconstructive facial surgery," he said.