SHEBOYGAN  - Smoother, younger, tighter.  The quest for a polished appearance is the reason thousands of people have cosmetic surgery every year. 

People like Lana Theobald.  The 56-year-old has had a forehead lift, undereye bags removed, and she's undergone a laser peel.

"I'm all for anything that makes you look and feel better," Theobald said.

And there are lots of things to choose from.  Cosmetic surgery is on the rise big time in the .  There are about 9,000 medical spas across the country, and many of them offer virtual total body makeovers.  So what are some of the more popular procedures?

Permanent makeup is a big draw at the Quintessa Spa in Sheboygan. Customers can get tattoos on the eyebrows and upper and lower lids that look like liner.  The spa also offers permanent eyelashes.

"Like hair extensions, you can do lash extensions and those can be applied in a spa setting," said plastic surgeon Dr. Andrew Campbell. "They basically last as long as your eyelash lasts, which is basically a few months."

Facial fillers like Botox, wrinkle fillers and collagen injections are also popular. Another innovation: a photoshop program that shows you things like what a nose job would look like on you. There are liposuctions and tummy tucks and updates on old faithful procedures like laser peels.

So what if you wanted a total makeover?  Here's approximately what it would cost you if you had the works from head to toe:

Eyebrow lift - $4,700

Cheek implants - $4,000

Eyelash extensions - $300

Nose job - $7,000

Facelift - $10,000

Plumping your lips - $500

Botox - $300

Laser peel - $15,000

Breast implants - $7,000

Tummy Tuck - $6,000

Liposuction - $4,000

Cellulite treatments $300

Total Cost: $59,100

So how do people pay for this?  Many spas, like Quintessa offer payment plans.  With so many people asking for services these days, they try to make cosmetic surgery accessible to everyone.