According to the latest report from the American Society of Plastic Surgeons, the use of minimally invasive cosmetic procedures grew by 186 percent between 2000 and 2017.

Meanwhile, the “going under the knife” variety of plastic surgery is down 6 percent in the same time frame, with nose jobs down 44 percent, chin augmentation down 40 percent, and eyelid surgery down 36 percent.

Glamour.com reached out to plastic surgeons, medical spa employees, and women in eight states across the country to learn what treatments local women are turning to, and what they’re hoping to achieve with them.