This is the fourth in a CBS Evening News series on cosmetic surgery trends worldwide.
Talk about family ties: An entire family of women - Erica Termine, Danielle Termine, Rita Whelan and Joanne Termine - who've all had "the works."
Between them, they've had a face lift, a neck lift, a breast lift, an eye lift, work on their arms and liposuction of the stomach, abdomen, waist, hips and thighs.
As CBS News Correspondent Mika Brzezinski reports, that's
So together they went to have their procedures done.
"We were all in the same room," says d'Amore.
The number of Americans going in for, well, tune-ups, has grown about 7 percent a year over the past three years. It's no longer taboo, and much easier to get.
"Now you can throw things on your credit card, you can go to your credit union, you can be financed even at the doctor's office, so I think you're going to hear more and more of it," says 59-year-old Rita Whelan.
She had the most drastic transformation. She was nipped and tucked from a size 12 to a size 6.
"I've had a lot of work done," she says.
So why would she go through all that?
"Because I wanted to change the shape of my body," she says.