BOTOX injections, facelifts and lip enlargements are proving popular gifts for Christmas as Sydneysiders shell out thousands of dollars on gift certificates to buy that special someone a spot of cosmetic work.

Often women were given an all-expenses paid procedure as a surprise, Ms Hassler said, but were never offended by the suggestion they needed improving in the looks department.

"There is definitely a trend towards people who, instead of going on a holiday to places such as Fiji, get a cosmetic procedure done," Ms Hassler said.

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