There is the potential in some individuals with low self esteem and psychological issues to fixate on certain features, such as a prominent nose or a weak chin or a heavy neck. When the concern about your appearance or specific features starts to border on obsession, that can be a red flag.

Recent studies found that people in this century, highly influenced by the social media, are having more concerns to look good on online social platforms like Facebook, Twitter, and LinkedIn etc. Dr. Sam Rizk, an AAFPRS member and director of Manhattan Facial Plastic Surgery in New York, claims, “Between high definition television, Facebook, YouTube and Instagram, how you look in photos and video clips has definitely become a driver for all cosmetic procedures from Botox to neck lifts.”