Well, that was a bit abrupt. Some plastic surgery does go on here in the Northeast, but it varies by "ethnic" group, class, etc.
Lots and lots of Jewish late adolescents, especially girls, get nose jobs before heading off to college.
In my community, predominantly at least college educated women, well to do, some pockets of old money remaining, with the rest Irish, German, Italian, none of the women in my friendship circle have had anything done. In the broader community, some women have had injections and eyelifts as they get older.
Breast augmentation is almost unheard of among the women I know. In fact, if naturally endowed, you have to be careful not to wear clothing that while not provocative on many women is provocative on you. Dance with someone else's husband in a lowcut evening gown and it's tantamount to social suicide. Same for wearing two-piece bathing suits to the family pool. It's considered tacky. I did it once and never again, unfortunately for me because they're more becoming, but I was the only one wearing a bikini, and I could feel the stares even when I was reading. Also important to wear a cover up if walking around the pool deck.
Oh, I do know a few women who have had tummy tucks, which makes sense given that a lot of women have three children and some four and five, and not everyone is blessed with good genes for skin tone.
Liposuction might be more common than I think, given it's not obvious.
The emphasis is on remaining fit, dieting and exercise. Dozens of groups of fast walking women going past my front door, for ex. lots of tennis and golf. A lot of money is also spent on hair care and nail care.
I thought I'd see if there are statistics. Confirms my anecdotes, I think.