
In the U.S., doctors performed over 15 million cosmetic procedures in 2014, a 13% increase from 2011 and more than twice as many as in 2000. But it's the cheaper, nonsurgical procedures that have become commonplace. U.S. doctors perform more than five times as many nonsurgical procedures as surgeries, delivering 3.6 million rounds of Botox (and other non-name-brand injectable neuromodulators), along with 1.7 million shots of Juvederm, Restylane and similar fillers. Dermatologists have gone from doctors to beauticians: 83% of them provide Botox and similar treatments, which is just 11% fewer than treat skin cancer. This TIME Spotlight Story explores why plastic surgery (and other enhancements) are inevitable.