A California-based plastic surgeon says the culture on the West coast may be behind a recent statistic that found that 38 percent of the breast implant surgeries performed in the U.S. are performed in Western states such as California, Arizona, Colorado, Idaho, Nevada, New Mexico, Utah, Wyoming, Arkansas, Oregon, Washington and Hawaii.

CBS News reported that breast augmentation surgery is most common plastic surgery done by physicians in the Western part of the United States.

"Our West coast culture is so accepting of the desire to change the body through plastic surgery," a San Jose, California-based plastic surgeon said.

He added that many Hollywood celebrities openly admit to going under the knife to enhance their appearance, making others feel that surgery is a good option for them to look great as well.

"Almost every entertainment magazine contains a feature about a female actress or singer who has chosen breast enhancement to improve her appearance. In fact, many of my female patients describe their favorite celebrities when they list their reasons for having breast enlargement in the San Jose area. I'm very pleased to see this openness and honesty about plastic surgery both among celebrities and among my patients. There's no reason to feel embarrassed by the desire to improve yourself with this method," he said.

The American Society for Aesthetic Plastic Surgery (ASAPS) says that more and more Americans are open-minded about plastic surgery.

A recent study conducted by ASAPS found that more than half (51 percent) of all Americans regardless of income approve of cosmetic plastic surgery, marking a 3 percent acceptance over 2009.

In addition, the February 2011 study found that 67 percent of Americans would not be embarrassed if their friends and family knew they had cosmetic surgery.