Whether you want to admit it or not, Kylie Jenner, Kim Kardashian, and other social media stars have started plenty of trends in beauty, fashion, makeup, and, of course, plastic surgery in recent years. Their stage is none other than Instagram, a multi-billion dollar, image-sharing platform that hit over 400 million users last year. The rise of Instagram, and the subsequent selfies that it facilitates, may be one of the reasons why cosmetic procedures — particularly lip injections and implants — have risen steeply in the United States in recent years.

According to new statistics from the American Society of Plastic Surgeons (ASPS), lip procedures reached a record high number in 2015, with over 27,400 lip implants completed that year. That’s a nearly 50 percent increase in lip implants since 2000, and it has grown immensely among both men and women. In addition to lip implants, the U.S. saw a rise in lip injections, such as Botox and soft-tissue fillers, to 9.2 million last year — a 1,000 percent increase since 2000. The same statistics also found that breast augmentation still remains the top cosmetic surgical procedure, and Botox the most popular minimally-invasive cosmetic surgical procedure.

It’s possible that people start out with lip procedures because they’re easier and simpler than other more complex cosmetic surgeries. “A patient may not be ready to commit to something as dramatic as a facelift or eyelid surgery, but there are a variety of ways you can change the shape of your lips,” Dr. Robert Houser, a plastic surgeon in Ohio, told HealthDay. “If a patient doesn’t like the injections, it’s fine, because within a few months they wear off and everything is back to normal. But if they do like what injections do for their lips, they have to keep coming back every few months to maintain them.”

Overall, cosmetic surgeries have increased by 115 percent since 2000, so it’s not a surprise that lip procedures have also risen. The variety of cosmetic surgeries now available has also ballooned; it’s possible to get anything from a mustache implant to what’s known as “selfie surgery,” which changes your physical features to improve the way you look in pictures.

Indeed, selfie surgery is no joke: Selfies, celebs, and Instagram have likely been a huge driver behind increasing cosmetic surgery rates, including butt implants. In 2014, a woman spent $15,000 on her face in order to take improved selfies and look more “photoshopped.” Teens have also been known to go to extreme measures to emulate Kylie Jenner’s huge lips by trying “DIY lip enhancements,” for example.

“We live in the age of the selfie, and because we see images of ourselves almost constantly on social media, we’re much more aware of how our lips look,” Dr. David Song, president of ASPS, said in a press release.

But to what extent are selfie- and Instagram-friendly physical features a true depiction of reality? As smartphone cameras become more advanced, resulting selfie images will become far more detailed — and even distorted due to center-widening smartphone lenses, creating images that aren’t necessarily an accurate depiction of your face in the real world. Selfies often replace mirrors in helping people judge how they look, resulting in them being taken aback by lines, wrinkles, pimples, or other minor (and often entirely natural) “flaws.” In the age of Photoshop and Instagram filters, it’s much easier to blur away these features or skin discolorations, easily manipulating your physical image into something not quite so physical anymore.

Source: American Society of Plastic Surgeons 2015 Plastic Surgery Statistics Report