While advances in science no doubt help us in countless ways, and in no way am I suggesting we impede the development of medicines that improve the quality of our lives, we need to keep a watchful eye on the cultural pressures some unwittingly create.

So my mantra when it comes to cosmetic products and procedures is: show me the science! And I am not talking about fake testimonials or anecdotal experiences.

According to the American Society of Plastic Surgeons, a total of 1.1 million men underwent cosmetic procedures in 2010, representing a 2 percent increase over the previous year.

Cosmetic changes may seem superficial, but they are permanent, can have far-reaching emotional consequences and deserve careful examination.

Why was this teen thinking about facial lines and wrinkles? How early does this all start? Were fine lines indications of imperfections that needed fixing? Or did these changes foreshadow the inevitable vulnerability that comes with age?

We were brought up to strive toward being authentic and true to ourselves, but our culture encourages us to denying the reality that we are aging. It's the Beauty Paradox.

As a psychologist who works with women about their desire to look good at any age. I encourage them to think about four issues: Safety, Affordability, For Whom and Expectations.

In the face of nose-diving portfolios and little disposable income to go around, should ridding the face of wrinkles really be a priority? For that matter, should it ever be a priority?