It’s happened to Khloe Kardashian, Tom Cruise, Kylie Jenner, George Clooney and countless others. As soon as a celebrity shows up on the scene looking slightly different, the media and public begin speculating. Rumors about plastic surgery begin swirling…and hurting.

More than 24 million surgical and minimally invasive aesthetic procedures were performed in 2019 in the United States, which was about 260,000 more than in 2018, according to the American Society of Plastic Surgeons (ASPS). Although plastic surgery is growing increasingly common, it still carries an air of contempt in some corners of American culture.

Be aware of outdated attitudes

Rapper Iggy Azalea has consistently been transparent about her cosmetic surgery. She discussed her rhinoplasty and