More than four in five adults in the U.S. want to improve their well-being or appearance in 2019, according to a new poll commissioned by by Real Self.  The poll also found that 36% percent of U.S. adults are considering cosmetic treatments, with 33% are considering nonsurgical treatments and 22% considering surgical procedures this year. Consideration is highest among women, millennials ages 18 to 34, and parents with children under the age of 18. What are the top motivators for considering cosmetic treatments? Improving confidence and self-esteem, as well as looking as good as one feels, the survey reveals. Further underscoring Americans’ plans to invest in their personal well-being and appearance, more than one-third — 36% — of U.S. adults are considering one or more cosmetic treatments in the next 12 months. This is more than 60 percent higher than those who report they have had a cosmetic procedure in the past, which is 22%.  “People want to make positive changes in their lives and take steps to look as good as they feel,” said Dr. Lara Devgan, RealSelf Chief Medical Officer and board-certified plastic surgeon. “This survey reinforces the trends we’re observing on RealSelf and what I’m seeing in my own practice—adults in their 20s and 30s are prioritizing self-care and many view cosmetic treatments as one part of their holistic health and beauty routine.” Devgan continues, “With new technologies and minimally invasive treatment options entering the market every year, procedures are becoming more accessible and a growing number of Americans are exploring their elective treatment options.” The survey was conducted online within the United States by The Harris Poll on behalf of RealSelf from December 13-17, 2018 among 2,021 U.S. adults ages 18 and older.