Cosmetic surgery is increasingly being undertaken by younger and younger patients who are concerned about their appearance.
This is the finding from surgeons at Profiles and Contours in New York who have reported an increase in the number of people in their 30s or 40s who wish to make subtle adjustments to their appearance.
Face-lifts are still predominantly carried out by older people but small-scale procedures which are less about looking younger and more about altering looks are attracting a less mature clientele.
Profiles and Contours director Dr Mark Erlich commented: "What we're seeing right now is a dramatic move away from the idea that a face-lift is only effective for older or middle-aged patients.
"Younger women and men are finding out about newer, smaller-scale procedures, and they are taking advantage of these options to achieve results that look very natural and appropriate."
The Daily Mail reported recently that 34-year-old twin sisters had spent a combined total of £60,000 on plastic surgery to ensure they remained identical as they grew older.
Procedures to make them look even more similar included a nose jump to remove a curve on their noses, breast enlargement, botox, permanent tattooing and an eye-lift.