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Video: More couples opting for nips, tucks – together

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    >>> this morning on "tooled's health" a new trend in cosmetic surgery , couples going under the knife together. nbc's chief medical editor dr. nancy snyderman has more on why it's less taboo for men.

    >> reporter: it's becoming more popular as well as accepted, a nip here, a tuck there, a quest for the fountain of youth . and doctors now say more and more patients are coming in for cosmetic procedures hand in hand . when ira and roberta almeaus got married 20 years ago they took a vow to grow old together but today their vision is to grow young together. this is a consultation with dr. mitchell chase i don't know for cosmetic procedures. he's noticed a trend in couples for two.

    >> years ago a wife comes in, i can't let my husband know what i'm doing and the husband would come in and say you no he what? this is a secret. please don't tell my wife. today it's much more common for couples to talk to each other, to reinforce the positive aspects of these cosmetic treatments.

    >> reporter: this husband simply is trying to keep up with his wife.

    >> if you're going to look good, i want to look good, so we just sort of formulated and worked out to be exactly what you know, what the doctor ordered.

    >> reporter: after a consultation, the couple undergoes advanced three-day imaging to get a key look at the imperfections beneath the surface of their skin.

    >> three-dimensionally the structure of the face and the areas where aging occurs first. how do you feel?

    >> i don't feel anything.

    >> reporter: then it's showtime, botox, fillers and laser treatments.

    >> doesn't hurt at all.

    >> now i'm nervous.

    >> reporter: ira and roberta had minimally invasive work to help slow the signs of aging. according to the american academy of plastic surgeons , couples are also taking the plastic surgery plunge and going under the knife together.

    >> i think the reason why we get to see this more often is because men are becoming more comfortable with this, and since they take care of their significant others through the process and see everything turns out okay they feel they can go forward as well.

    >> reporter: the moral support goes a long way to a faster recovery.

    >> it's really important to have your spouse or significant other be there for you psychologically. the support is really one of the most important parts.

    >> it should be a joint decision because the end result impacts both persons. it was something we've supported each other both physically and emotionally.

    >> reporter: three months later, this couple says they are seeing results.

    >> roberta always looked great. she had crows feet around her eyes that are gone over here. i mean i just think she looks refreshed.

    >> i think he looks great. he looks maybe more like his facebook picture.

    >> which is 20 years younger. i think it's a great experience to grow younger together and i think it's nice, because we feel a little bit more refreshed, a little bit more energy and it's just another part of our life together that we're sharing.

    >> to talk more about it, dr. nancy snyderman is with me. good morning.

    >> hey, tamron.

    >> why is this a hot trend with couples ?

    >> it's destigmatized with men. men are saying because it's a?? competitive workforce, we used to make fun of men for taking care of the color of their hair. now it's fillers, it's if you are 50-some and looking for work you present better if you're in your 40s, and for a the lo of couples they seem to like the couple thing which cracks me up.

    >> botox is popular with men but some of the more popular things with men and women, botox, fillers, all that stuff.

    >> the number one plastic surgery procedure if you take away the sort of noninvasive stuff we talked about and talk about the real surgery, it's still rhinoplasties, nose jobs and blephyrplasty, getting rid of the bags under the eyes . doctors do the procedures well.

    >> the most important thing is safety, it should be. ira and roberta had nonevasive. you can get a bad doctor.

    >> talk about a field where you have to do homework. someone must be board certified , talk to them, get a referral, 4lsj q a second opinion. don't rush into this stuff.

    >> cheaper is not always better.

    >> cheaper is many times not better, and i wouldn't, this is not necessarily going out of the country for. do your shopping.

    >> psychologically what do you think?

    >> psychologically for a lot of people it's a real up. i can't say there's any downside. most couples aren't necessarily going to do this but we over the years sort of poopooed it and the trend keeps going and going and going, here to stay.

By Health writer
updated 11/7/2011 2:51:43 PM ET 2011-11-07T19:51:43

Most marriages start with a promise to grow old together — but couples like Ira and Roberta Almeas have instead decided to grow young together.

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The Almeases are part of a burgeoning trend: couples who have cosmetic surgery done — together. It's something that Dr. Mitchell Chasin, medical director for Reflections Center for Skin and Body in Livingston and Bridgewater, N.J., told TODAY he's seeing more often.

"Years ago, we would see a wife come in and she would say, 'I can't let my husband know what I'm doing,'" says Chasin, who consulted with the Almeases on their cosmetic procedures. "And then the husband would come in and he would say, 'You know what, this is a secret, please don't tell my wife.'"

Now, as Ira Almeas told his wife, the attitude is often, "If you're gonna look good, I want to look good!" The pair had minimally invasive work done to slow the signs of aging: Botox, fillers and laser treatments.

The uptick in couples pursuing cosmetic procedures — and more invasive plastic surgery — together is likely at least partially due to the increase in cosmetic procedures in men, explains NBC's chief medical editor Dr. Nancy Snyderman. Last year, American men accounted for 1.1 million of the country's cosmetic procedures, a small-but-significant 2 percent increase over 2009, according to the American Society of Plastic Surgeons.

"It's been destigmatized with men," said Snyderman, adding that this can help men compete in the workforce — if you're in your 50s and looking for work, you may benefit from looking a decade younger. As Snyderman phrases it, we used to make fun of men for coloring their hair; now, procedures like Botox and fillers have become more acceptable.

Three months later, Ira and Robert Almeas are delighted with the results of their joint cosmetic procedures. "I think it's a great experience to grow younger together," Ira Almeas says. "We feel a little bit more refreshed, a little bit more energy, and it's just another part of our life together that we're sharing."

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