The plastic surgery addicts' compulsion for perfection stems from the preoccupation with a negative body image. It usually begins with a little nip or tuck, and while many walk away satisfied, plastic surgery addicts always want more.

The question is: Is it the surgeon's responsibility to say "no" to someone who has had countless cosmetic surgeries? Like the bartender who "cuts off" the person who has had too much to drink, does the surgeon decide when to draw the line? Should patients have the right to have as many surgeries as they are willing to pay for, even when a compulsion for perfection is obvious?

Plastic surgeons analyze facial features and configurations to individualize results based on the decade of life a patient is in.