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As America goes selfie crazy, people are taking a second — and third — look at themselves and deciding they need more than a little Photoshopping. There has been an increase in plastic surgery as people look to improve their image in selfies. Others are hiring specialized make-up artists for selfie makeovers. All of this personal appearance approval is creating a selfie economy.

“Plastic surgeons in United States have seen a surge in demand for procedures ranging from eye-lid lifts to rhinoplasty, popularly known as a nose job, from patients seeking to improve their image in selfies and on social media,” reports The Chicago Tribune.

According to a poll by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) of 2,700 of its members, one in three had seen a boost in requests for procedures due to patients being more aware of their image in social media. There has been a 10 percent rise in rhinoplasty in 2013 over 2012, a seven percent increase in hair transplants and six percent jump in eyelid surgery.

“There has been a 25 percent increase over the past year and a half to two years. That is very significant,” Dr. Sam Rizk, a plastic surgeon, said about his Manhattan practice.

“They come in with their iPhones and show me pictures,” Rizk added. “Selfies are just getting to be so crazy.”

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