"Think of it as a sort of physical photoshop: In response to the current obsession with social media selfie photos, more people are resorting to plastic surgery to fix imperfections like prominent noses, unacceptable wrinkles or curves, or hands that don't look perfect in Instagram wedding ring announcement photos.
First impressions have always been important, but today those impressions are likely to be made on social media, and the proliferation of selfies has called attention to personal appearance to a degree that was unheard of in the past. Plastic surgeons have responded by offering specialized procedures to correct imperfections that in some cases people didn't even know they had, including hand makeovers, the injection of fillers into feet to make them easier to squeeze into sky-high heels and surgery to trim "cankles," as unusually stout ankles are called. Bigger boobs, flatter stomachs and straighter noses are still in demand, but the selfies that dominate Facebook, Twitter and Instagram profiles have created demand for new procedures and are specific to the needs of younger clients."