Plastic surgeons are increasingly facing challenges from clients who arrive with unrealistic beauty standards inspired by AI-generated images. Dr. Nora Nugent, president of the British Association of Aesthetic Plastic Surgeons, notes that patients often present photos of themselves altered by AI, expecting similar results from surgery. Surgeons like Dr. Alex Karidis express concern over the psychological impact of these images, which can create fixed aesthetic ideals in clients' minds. The phenomenon highlights a significant gap between the capabilities of AI, which can manipulate images to create hyper-symmetrical features, and the physical limitations of cosmetic surgery. Surgeons emphasize that while AI can create flawless appearances, the reality of surgery involves human variation and healing processes. Additionally, there are concerns about the authenticity of surgery results shared on social media, with some potentially being AI-enhanced. As clients seek increasingly dramatic alterations, the costs for procedures can escalate to over £100,000 ($120,000 USD), raising questions about the feasibility and safety of such transformations. Surgeons stress the need for clear communication about the limitations of cosmetic surgery to help manage client expectations.