Controversy surrounds the plastic surgery industry as more people make decisions to perfect their face or body through cosmetic enhancements.  Photographer Philip Toledano explores the extremes of cosmetic surgery in a portrait photo series which questions true beauty. 

Is beauty informed by contemporary culture? By history? Or is it defined by the surgeon's hand? he asks

The increasing demand of perfection has taken people to extremes, not only getting surgeries performed but risking health through abnormal eating regimens in order to obtain the ideal figure. 

Recent controversies involve the banning of competitions which awards surgeons for their work in breast enhancements.  The fear was that these prizes promote and entice cosmetic surgeries for people who have not even considered it. 

Check out photos to determine for yourself what Toledano refers to as true beauty.  Click 'START' to view portraits of extreme cosmetic surgery.