Dr. Mark Berkowitz, cosmetic surgeon and owner of Accents Cosmetic Surgery in Sterling Heights and, most recently, West Bloomfield, said the stigma surrounding cosmetic surgery that may have prompted patients in the past to conceal the work they had done doesn’t apply as much to a new generation of plastic surgery patients.

Baby boomers who undergo cosmetic surgery are more likely to be discreet about it, sharing their experience only with spouses and maybe a few trusted friends, according to Berkowitz. But for younger generations, the question of “did she or didn’t she” is going by the wayside.