From dimpleplasty to cheek reductions, plastic surgery options have definitely expanded from the more traditional enhancements. And the industry is booming. According to IMCAS, a group of plastic surgery and dermatology professionals, plastic surgery grew 8.3 percent worldwide last year to an estimated $8.9 billion. That figure is expected to increase to $9.8 billion this year, and projected to reach nearly $12.8 billion by 2020.

Lush, full lips might have been popular in recent years, but in 2017, it’s all about lip reductions. New Beauty reported the trend is mostly popular in Asia and has been showing up all over Instagram. They spoke to New York dermatologist Dr. Doris Day M.D., who said the procedure is mostly requested by younger people in their 20s and 30s. “The procedure involves surgically cutting at the wet-dry line and pulling the lip underneath inside the mouth to reduce overall size,” she told the magazine. Dr. Nuttae Nuttapon, a dermatologist in Thailand, told the magazine it was a huge trend five to 10 years ago but is still popular as his Asian clients try to mimic the thinner lips found in western cultures.