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This PlasticSurgery.org report says reality TV shows encourage many first-timers to try plastic surgery:

ARLINGTON HEIGHTS, Ill. – The debate over whether reality TV influences its audience is settled. According to a study published in July’s Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS), first-time patients seeking cosmetic plastic surgery are directly influenced to have surgery by the plastic surgery reality television shows they watch. “Despite widespread unease about the effects that reality television shows have on patient decision making and expectations, no data existed on how these shows affected potential patients,” said John Persing, MD, ASPS Member Surgeon and study co-author. “The majority of patients reported being directly influenced and, interestingly, ethnicity also played a role on how frequently these shows were watched and how they influenced patients.