"People seem to spend more time choosing a new TV than weighing up whether they should have a cosmetic procedure, " he said.

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Using the substance for facial lines is this country's most popular cosmetic procedure, according to the latest numbers from the American Society of Plastic Surgeons.

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Injections of botulinum toxin were by far the number one cosmetic procedure in the country, with over 6.1 million procedures performed, up 8% from the year before.

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As I looked around the room at the 50 or so women in attendance, it was clear that I was one of the few in the room who was a cosmetic procedure virgin.

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But it can be hard to grow outside of a relatively small niche, as most potential customers may consider it to be an expensive elective cosmetic procedure that, given other uses for their money, they can do without.

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Breast augmentation was the most frequent cosmetic surgical procedure in 2012, according to the aesthetic plastic surgery society's new statistics.

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But another Beverly Hills cosmetic surgeon said he had recently refused to perform a procedure on West until she had medical clearance for a condition he feared could lead to a heart attack.

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Last week, Beverly Hills cosmetic surgeon Andre Aboolian said through his publicist that Donda West consulted him in June about a procedure.

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On Monday, Beverly Hills cosmetic surgeon Andre Aboolian said through his publicist that Donda West consulted him in June about a procedure.

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