In a world where we’re surrounded by face-smoothing photo-editing apps and flawless celebrity photos, it’s almost impossible not to wonder if you should take the plunge and go under the knife as well. Dr. Benjamin Stong, a double board-certified plastic surgeon in Atlanta, just spilled all the information you’ve secretly been googling about cosmetic procedures in a Reddit AMA.

Dr. Stong said he has “performed thousands of cosmetic and reconstructive surgeries and procedures on the face, head, and neck.” During the AMA, he touched on skin-tightening procedures, the future of surgery, and, of course, Botox. Keep reading to learn more about the world of cosmetic surgery.

What’s the Secret to Looking Young?

One woman — who can afford relatively pricey treatments — asked him the secret to keeping her youthful glow. “Well, Botox, no downtime lasers, microneedling, and skin care are the best starting points because they effect permanent changes over time to the skin and can delay the need for more aggressive procedures later in life,” Dr. Stong said. “Fillers can be added to change the shape of features such as the lips and cheeks, although they do not provide protective long term benefits to the skins. Over the counter products from department stores are largely useless and a waste of your money.”