In this digital age, on screen appearances are part of everyday life.
"I FaceTime myself and I'm like, 'Oh my God! That's scary!'" one woman said.
Whether you video chat using FaceTime, Facebook, or Skype, it's causing a lot of people to face reality and they aren't happen with the face they are seeing on screen.
"I was just talking about that with my husband. He was FaceTiming with his brother and he says,' Wow! I didn't know I had triple chins on FaceTime,'" another woman said.
To stay competitive in a tough economy, more of us are paying tens of thousands of dollars to go under the knife.
"Since telecommunications have become a mainstay of business, they see themselves looking down into these screens, and it's not a very flattering position for our necks," Dr. Patti Flint said.
The board certified plastic surgeon has seen this new trend really take off in the last two years.
"Anybody who's in their late 50 that lost their job and is now back trying to look for a mid to upper level position is competing with people in their 30s," Flint said. "When you look in the mirror, you sort of put yourself into your most favorable position. We like to think we look good most of the time, so we tend to tilt our chin up."
These days, we're on more screens than ever before and we're getting a real up-close and personal look at ourselves. There's even a doctor in northern Virginia who offers what he calls a FaceTime Facelift for those of us who don't like how we look on our iPhones and iPads.
But is it really worth the risk?
"Eventually, they're going to have to be happy with what they have on the inside and just be happy with themselves," one woman said.
"I think for a lot of people, it's really about continuing to be able to make a living," Flint said.