Many medical billers and coders will encounter cosmetic surgery at some point in their career. According to the American Society for Aesthetic Surgery, the most common cosmetic surgery for men is liposuction while women most commonly receive breast augmentation procedures. Not all plastic surgery is purely cosmetic, however. Sometimes, procedures that can be done for purely cosmetic reasons are performed for medical reasons, such as breast reductions and rhinoplasties. But despite the positive impact that cosmetic surgery can have on some people, there is a dark side. The truth is that cosmetic surgery isn’t always pretty.