Around 2013, plastic surgeons like Boris Paskhover started to notice a bizarre trend in their doctor’s offices. More and more young patients—under 40, as young as 20—were asking for nose jobs. In Paskhover’s office in New York, new patients would plop down, hand over their phone, and complain about how their schnoz looked in selfies. In turn, Paskhover would hand them a mirror and tell them to take a look. “This is what you really look like,” he says.

Learn about your ad choices: dovetail.prx.org/ad-choices