Whether you’re a last-minute gift-giver or already have all your holiday shopping done before Labor Day, finding that perfect gift for friends and family members can be somewhat of a fine art. Getting that “just-right” present is a great feeling (for both parties)—but has it ever crossed your mind that your recipient might want something that goes beyond the “put it in a box and tie a bow on it” route and is ready for something really personalized?

According to New York plastic surgeon Stafford Broumand, MD, the “trend” of gifting someone with plastic surgery during the holidays is not new, but it is becoming more and more prevalent.