According to Marginal Revolution,

“cosmetic surgery is now primarily consumed not by the rich, but by the working and lower-middle classes, sometimes even by the poor.”

According to the American Society for Aesthetic Plastic Surgery (ASAPS), about 1/3 of cosmetic surgery is consumed by people who make less than $30,000 a year.”

“About 70% of it is consumed by people who make less than $60,000 a year.”

“It is mostly women (90%) and mostly white, middle-aged women (80% and between 35-55 years old).Here is a more complete account.”