New research on addiction and our brain’s reward system indicates that “likes” and approval from others on social media is changing the way we think.

But the most troubling aspect of the selfie craze goes far beyond the taking of selfies and the positive triggers of being “liked.” Selfies are the newest trend in plastic surgery.

Despite knowing how much of an impact expert contouring, strategic angling, perfect lighting, and hundreds of filters have on the images we see, women are increasingly seeking doctors’ help in making those altered images a reality.