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Take the sudden explosion of medical rating websites. Combine that with an elective surgical procedure that, while generally safe, can be catastrophic in the hands of an inexperienced surgeon. Add to that legitimate personal vanity and ego, and -- well, welcome to Beverly Hills, where, if plastic surgery were ever banned, the tax base would shrivel like an old man's scrotum. (Although, apparently, there is a shot for that.) A tummy tuck, or an abdominoplasty, is one of the more common aesthetic surgeries performed in a 2 mile radius of my home. It helps women after pregnancies, when rapid expansion and contraction of skin, along with the bloating and shrinking of fat cells, produces especially difficult-to-lose flab or simply doesn't look good . (Anyone, male or female, who has lost a lot of weight might have the same problem). High demand changes the course of surgical procedures in several ways; for one thing, innovators find ways to make the procedure easier and safer. And you'd better bet that plenty of non-plastic-surgeons figure out they can make money by learning the operation on the side. It becomes cheaper and generally safer, but inequalities in the quality of the procedures, in outcomes, creeps into the system.