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  • Michelle Obama hits the big 5-0 this week and just ahead of the First Lady’s birthday she gave an interview with People magazine about her thoughts on getting older and whether or not plastic surgery is part of her future.

    Michelle Obama is a rare combination of brains and beauty and her amazing style isn’t bad either. The First Lady is notoriously active, getting up at dawn to workout with her husband, President Barack Obama. These days, Michelle is changing up her activities, but she’s not planning on slowing down anytime soon.

    As she turns 50 and prepares to celebrate with a dance party at the White House, Mrs. Obama explains to People magazine that she has an eye on the future when it comes to staying fit, “I’m seeing myself shift from weight-bearing stuff – even though that continues to be important – and the heavy cardio and running, to things like yoga that will keep me flexible.”

    She says that flexibility is key, “so that I’m not falling and breaking a hip one day.”

    Her clear message to women is to be healthy. She gets regular mammograms and pap smears and also recently had a colonoscopy.

    And she watches what she eats. “I don’t obsess about what I eat, but I do make sure that I’m eating vegetables and fruit,” added Mrs. Obama. “And as everyone knows, I do exercise.”

    It seems that Mrs. Obama also practices what she preaches as her “Let’s Move” campaign to reduce childhood obesity rates has just begun its fifth year and looks to be working in at least 19 states.

    Mrs. Obama also enjoys gardening and probably eats many of the healthy fruits and vegetables of her labors.

    While Mrs. Obama is pretty open to experimenting with her look, from cutting bangs for a while to shocking fans early in her husband’s presidency by sporting shorts in the hot desert, one thing that Mrs. Obama says she hasn’t tried is Botox.

    Not that she thinks there is anything wrong with plastic surgery, and although she may consider plastic surgery in the future, she says that it probably won’t happen anytime soon.

    “Women should have the freedom to do whatever they need to do to feel good about themselves,” the first lady told People magazine in an interview hitting newsstands Friday, her birthday. “Right now, I don’t imagine that I would go that route, but I’ve also learned to never say never.”

    Indeed, it doesn’t look like Mrs. Obama will have much need of Botox, as her brows are already very arched and her forehead remains pretty unlined, unless she is animated or expressing emotion. In fact, when she briefly cut her hair into bangs, some speculated that she was using them in place of Botox to cover up any wrinkles between her brows or across her forehead.

    Mrs. Obama is continually looking forward, so it seems likely that part of her beauty regimen is using anti-aging skincare products as well as sunscreen to ward of signs of aging and damage as well as protect against skin cancer.

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    All of a sudden, everyone wants to know what Gwyneth Paltrow thinks about plastic surgery. Maybe it’s the possible nose surgery she had as a teen or maybe its cause she touts a natural lifestyle on her website. But for the record, Gwyneth is fine with plastic surgery.

    39-year-old actress Gwyneth Paltrow was voted the World’s Best Dressed Woman by People magazine and was asked, amongst other things, to give her thoughts on whether or not she would consider plastic surgery.

    On plastic surgery, Gwyneth says, ”Everyone is asking me about my thoughts on plastic surgery. Do I look old or something?! I’m not opposed to it but I want to move my face because I’m supposed to convey emotion in my job. But I have wrinkles so I don’t know – I’m not going to say that I’ll never do anything, but I would always want to look like myself.”

    Despite rumors of having Botox and facial fillers (See Make Me Heal’s story on Gwyneth Paltrow’s plastic surgery), Gwyneth has never really copped to plastic surgery.

    On his blog, OcBody plastic surgeon Dr. John Di Saia says, “More celebrity half truths about plastic surgery are no surprise really. We see that Gwyneth has seen her share of quality knife work if we take a peek at some old images:

    “As we have said here before nasal tips do not get thinner as we age without some help. Gwyneth’s eyelids and mid-face look a bit improved as well…very nicely of course. ”


    “So the assessment here is at least a nose job and eyelids with a possible mid-face lift as well. ”


    Maybe for Gwyneth, still looking like Gwyneth means that she doesn’t have to share her plastic surgery secrets yet?

    Read the complete plastic surgery profile of Gwyneth Paltrow on Plasticopedia, the largest celebrity plastic encyclopedia.


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    Typically the Emmys reveal plastic surgery for men as well as women, but here’s a peak at what you may spot on Sunday’s red carpet for the Male Emmy Nominees.

    Comedy Actor Don Cheadle as Marty Kaan in House of Lies. Don Cheadle shows very few signs of aging, but he also doesn’t show signs of plastic surgery. Most likely the talented actor takes good care of his skin with good skincare products and the occasional laser treatment to fight the occasional wrinkle.

    Supporting Comedy Actor Bill Hader as various characters in Saturday Night Live. In his multiple roles and personalities on the comedy show, Bill Hader has learned to rely on makeup and wigs rather than plastic surgery to change his appearance, which appears to have carried over to his real life looks as well. Rather than plastic surgery, Bill probably uses cleansers and creams to get rid of makeup residue that can cause wrinkles and blemishes.

    Drama Actor Steve Buscemi as Nucky Thompson in Boardwalk Empire. Steve Buscemi was never much of a looker and aging hasn’t made him any prettier. While Steve likely won’t turn to plastic surgery at this late date, he could use teeth cleaning products to keep his snaggle teeth white and bright.

    Supporting Drama Actor Aaron Paul as Jesse Pinkman in Breaking Bad. Breaking Bad’s Aaron Paul has changed his appearance for the show, going from geek to gangsta. However, most of this has been done via wardrobe and the occasional head shaving, not with plastic surgery.

    Miniseries or Movie Actor Woody Harrelson as Steve Schmidt, Game Change. Woody Harrelson has suffered from hair loss for years, but manages to get around it by using human hair wigs for roles that require lush locks. Luckily, for the follically-challenged actor, his role in the Game Change required a lack of hair.

    Host for a Reality or Reality-Competition Program Ryan Seacrest, American Idol. Ryan Seacrest has been notoriously coy about his sexuality, as well as his possible plastic surgery. The self admitted former chubbie teen turned metrosexual may have had nose surgery before landing his on-camera gigs.

    Read the complete plastic surgery profiles on Plasticopedia, the largest celebrity plastic surgery encyclopedia.

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    Teenage acne is a big problem for many youths across America, but it can be even worse when up on the big screen on a Hollywood heartthrob like Josh Hutcherson, one of the stars of the Hunger Games. To battle current acne and avoid future scarring and wrinkles, Josh could consider trying a Prosonic device.

    19-year old Josh Hutcherson has been around Hollywood since the age of 9, but he’s finally become a household name with the help of the Hunger Games. To preserve his future career in front of the camera, Josh may want to consider using a ProSonic Face & Body Professional Cleansing/Exfoliation Anti Aging Brush Set, the same type of device used by professional estheticians. It’s also the only such device available over the Internet to the public. The cleansing system offers four different speeds for face and body, and for exfoliation/microdermabrasion. 

    The ProSonic is a much more effective way to clean than traditional methods and reaches deep into the skin to clear blackheads, remove makeup and other impurities to reveal, clear healthy skin.

    In addition to being a cleaning machine, the ProSonic is waterproof and can be used in the shower, tub or sink without fear, giving a professional facial experience in the privacy of home.

    It is gentle enough to be used twice a day to reduce the appearance of fine lines, pores and oily skin and dry patches.

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    The VMAs were last night and the most shocking thing that happened wasn’t Chris Brown and Rihanna kissing. It was all the plastic surgery that turned up for the show.

    Despite Chris Brown’s famously taking out his aggression on Rihanna’s face to the point that she nearly needed reconstructive plastic surgery, the pair seemed to have made up and kissed onstage to prove the point. Rumors of plastic surgery including a nose surgery and breast implants follow Rihanna’s rise to fame, but her newly cropped hairstyle stole the show, not her possible plastic surgery (See Make Me Heal’s story on Rihanna’s plastic surgery).

    Pink may be a new mom, but you’d never know it to see her stunning figure in a revealing dress. Her cockatoo hairstyle was extra fierce and she may have a new mom glow or be using ORA Roller & Collagen Booster System, which is great for wrinkles, stretchmarks and scars and giving skin a healthy glow.

    Miley Cyrus recently debuted her Pink-lookalike hairdo, which also showcased her full lips, leading to rumors of plastic surgery (See Make Me Heal’s story on Miley Cyrus’ plastic surgery). The swelling from possible Juvederm injections looks to have gone down, leaving Miley with a very mature look.

    Taylor Swift went glam for the night, piling on the heavy eyeliner and red lipstick, a change from her usual soft look. Even though she looked more grown up, it still looks like the girl that keeps getting wronged by her famous boyfriends is staying natural when it comes to cosmetic surgery and is relying on a stylist to change her look (Read Make Me Heal’s story on Taylor Swift’s plastic surgery). Her plunging neckline didn’t even showcase the breast implants she was rumored to have gotten earlier this year.

    The members of Green Day are vets of the VMAs and seemed to be the only rock band on the red carpet. Although their music has changed, the eyeliner hasn’t and as all members have a few more wrinkles than they did previously, it seems that Billy and the gang haven’t given up on aging naturally.

    In the past, Ke$ha has been rumored to be the recipient of a browlift and nose job as well as a breast augmentation. However, these rumors proved false and the result of careful styling changes in wardrobe and makeup (See Makemeheal.com’s story on Ke$ha’s plastic surgery). Under the thick eyeliner and layers of makeup, it’s hard to tell what is really going on with Ke$ha’s face but plastic surgery is probably unlikely.

    While many women have plastic surgery to look like Barbie, Nicki Minaj is starting to resemble an anime character come to life. With her outlandish lace bodysuit and bright yellow wig, Nicki looks like she recently had more fillers pumped into her face to make it look practically immobile. However, her lace outfit did showcase her possible buttocks augmentation and obvious breast implants (See Make Me Heal’s story on Nicki Minaj’s plastic surgery).


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    Since her shocking shoplifting exploits, actress Winona Ryder has begun to slowly return to stardom. At the premier of her upcoming film The Iceman, Winona was looking more fresh-faced than ever, likely a result of plastic surgery.

    You’d never know that former child actor Winona Ryder has reached 40. Her skin is still smooth and wrinkle-free and just as glowing and luminous as ever.

    As a young actress in Hollywood, Winona is thought to have had nose surgery, which helped to narrow and perfect her nose (See Make Me Heal’s story on Winona Ryder’s plastic surgery).

    More recently, Winona may have spent some time on plastic surgery recovery, from anti aging procedures. She may use the ORA Roller & Collagen Booster System for wrinkles, stretchmarks, and scars at home and get injections of Botox and laser treatments at a plastic surgeon’s office.

    Recent plastic surgery or a change in her skincare routine seems likely as Winona looks more luminous than she has in the past. In the future, she may undergo more drastic procedures such as a necklift to help clean up her jawline or even a facelift.

    Winona looks healthy and happy and Makemeheal.com congratulates her on a plastic surgery job well done.

    Read the complete celebrity plastic surgery profile of Winona Ryder on Plasticopedia, the web’s largest celebrity plastic surgery.


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    The wife of presidential hopeful Mitt Romney, Ann Romney is actually a grandmother, although you’d never know it to look at her. This granny has most likely had a plastic surgery makeover to help her look good while on the campaign trail.

    63-year old Ann Romney has been trying to appeal to women voters, with her stories of raising her gaggle of boys and numerous grandchildren. Whether or not you think the stay-at-home millionaire mom can really relate to the majority of working women in the country, Ann certainly has learned to look the part of a pretty politician.

    Since her husband decided to enter the political arena years ago, Ann has somehow managed to look younger and blonder than ever before. Although a healthy Mormon-inspired lifestyle without drugs or booze likely helps her keep youthful figure and a bounce in her step, she could also be aided by rich ladies favorite pastime: plastic surgery.

    While many Mormons swear off plastic surgery for being too invasive, Ann could use non-invasive procedures like Botox and fillers or laser treatments. To keep quiet about her beauty regimen, she may also use at-home treatments like the FDA-approved home device for reducing wrinkles, Silk’n FaceFX or the ORA Roller & Collagen Booster System, which takes care of harried mom problems like wrinkles, stretchmarks and scars.

    Ann’s beaming glow from possible plastic surgery goes well with her bespoke designer dresses and casual $1,000 shirts.

    Read the complete celebrity plastic surgery profile of Ann Romney on Plasticopedia, the largest celebrity plastic surgery encyclopedia.

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    While many supermodels (other than Janice Dickinson) tend to stay quiet about plastic surgery, Tyra Banks is opening up about her views on the sometimes controversial topic.

    38-year old Tyra Banks is cool about some things in her private life, including relationships. But apparently she’s getting bolder when it comes to talking about other topics, like plastic surgery.

    Reportedly in an interview with Yahoo! Singapore supermodel Tyra Banks said that she hates when models and celebrities condemn plastic surgery, saying that people should be able to do what they want when it comes to cosmetic procedures.

    “I hate when models say ‘Oh, plastic surgery is just a wrong thing.’”


    “What’re you talking about? You won the genetic lottery,” she went on. “You look like this specimen that’s making people everywhere feel insecure and you’re going to ridicule someone for getting plastic surgery?”


    When asked if she would have plastic surgery in the future, she replied, “sure,” but declined to give any information on what those procedures would be.

    “I’m very lucky,” Banks admitted. “Black people and Asian people have similar (strong) skin… But if one day I have wrinkles and I don’t like it, I don’t know if I’ll cut myself but maybe… a little Botox, fillers?”

    In the past it has been said that Tyra had nose surgery early in her career, transforming her into one of the world’s most recognizable faces (See Make Me Heal’s story on Tyra Banks’ rhinoplasty)

    Tyra still hasn’t admitted to going under the knife herself; but she did shut down rumors of breast implants back in her days as a daytime talk show host.

    Given her age, Tyra may be stepping up her anti-aging regimen from skincare and going for injectables like Botox and Juvederm.

    Read the complete plastic surgery profile of Tyra Banks on Plasticopedia, the largest online celebrity plastic surgery encyclopedia.

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    Since the tabloids broke the news of Kristen Stewart’s affair with Snow White and the Huntsman director Rupert Sanders, everyone has been wondering how his wife, Liberty Ross, will react in the days to come. Makemeheal.com is wondering if she will have plastic surgery, which is a common course of action after a breakup.

    33-year old Liberty Ross has been in a relationship with Rupert Sanders since she was 18. She still has the fresh complexion of a teenager, but it apparently isn’t the result of plastic surgery or even Botox injections.

    When interviewed by the Daily Mail a few years back as to whether or not she would have plastic surgery, Liberty said, “I wouldn’t. We’re moving into a scary time where looking perfect is becoming normal but where do you draw the line? I think Botox is nuts – it’s nice to have expression in your face.”

    Rather than Botox injections, Liberty reportedly uses skincare products to ward off wrinkles.

    Whatever her secrets to looking good, Liberty is still looking good, even through her very public domestic drama.

    Read the complete celebrity plastic surgery profile of Liberty Ross on Plasticopedia, the largest celebrity plastic surgery encyclopedia.

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    Mary-Louise Parker frequently sports looks that are probably meant for women half her age. Yet the 47-year old actress manages to pull off long hair and short skirts. So what’s the secret to her age-defying success? Apparently it is Dr. Hauschka, her favorite skincare brand.

    The Weeds star loves Dr. Hauschka Skin Care products and is said to be an especial fan of the Regenerating Serum. However, she prefers the holistic skincare line because “They’re natural, and I can use their stuff on my kids even,” she says.

    The formulas in Dr. Hauschka date back over 40 years; making the skincare brand a leader and innovator in holistic skin care products. A combination of pharmaceutical knowledge and botanical research has led to a deep understanding of how plants can mimic the skin to stimulate and support health, balance and beauty. Founded by WALA Heilmittel in 1967, the research and knowledge of holistic skincare dates back even further to the 1930s and 40s.

    Favorite Dr. Hauschka products include the famous Dr. Hauschka Daily Revitalizing Eye Cream, a fast absorbing cream that helps to minimize signs of aging around the eyes including puffiness, dark circles and fine lines and wrinkles.

    Besides Mary Louise Parker, other celebrities of all ages have fallen in love with Dr. Hauschka products. Brad Pitt apparently keeps his lips looking soft and kissable with the Lip Care Stick, while his ex-wife, Jennifer Aniston uses the Moisturizing Day Cream to keep her skin supple.

    Check out the entire line of Dr. Hauschka products.  Go to the Dr. Hauschka Skincare Shop.

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    Andie MacDowell isn’t the same young woman that made heads turn in Groundhog Day. A recent appearance at the Cannes film festival seems to indicate that the former model turned actress has used plastic surgery to stay beautiful.

    54-year-old Andie MacDowell may be a spokeswoman for L’Oreal cosmetics, but she probably augments her wrinkle cream with a touch of plastic surgery as well.

    “Andie looks like she’s used her Green Card for plastic surgery,” celebrity plastic surgeon Dr. Anthony Youn, who has not treated the star, told RadarOnline.com in an exclusive interview.

    “It appears that she’s undergone significant plumping and softening of her cheeks, likely by injections of her own fat,” he explained.

    “Her forehead also looks relaxed, an appearance consistent with Botox injections. Her upper lip is also plump, causing her smile to look a bit Julia Roberts-esque.”

    Andie is looking good for now, but she does look different than she used to, indicating that she may be on a slippery slope to too much plastic surgery.

    Read the complete celebrity plastic surgery profiles of Andie MacDowell on Plasticopedia, the largest celebrity plastic surgery encyclopedia.


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    By Ioannis Glavas, MD

    When most people think of plastic surgery, they think of nose jobs and facelifts. However some of the most popular procedures are associated with skin rejuvenation, including repairing the damage done by a lifetime of overexposure to the sun. In fact laser skin resurfacing, dermabrasion, and chemical peels accounted for more than 20% of the minimally invasive cosmetic procedures in the U.S. in 2010, according to the American Society of Plastic Surgeons (ASPS).

    Decades of sun exposure have left many of the Boomer generation – who grew up equating “tan” with “healthy” – with moderate to severe skin damage. Over the last several years there are a growing number of people who want a solution to the wrinkles, skin discoloration, moles, and even growths on the eye directly attributed to sun exposure. With advanced cosmetic rejuvenation techniques, it is now possible to reverse some of the damage.

    According to the ASPS’s “Report of the 2010 Plastic Surgery Statistics,”[i] of the 11.6 million minimally-invasive cosmetic procedures last year, skin rejuvenation accounted for about 2.4 million: chemical peel (1.14 million), laser skin resurfacing (430,000), and microdermabrasion (820,000 – all numbers rounded).  Additionally, the number of laser skin resurfacing procedures performed increased by 2.5 times over the past 10 years.

    The cosmetic benefits are obvious. For example, laser skin resurfacing makes the skin smoother; eliminates wrinkles, sun spots, and pigmented lesions; and improves scars from accidents or acne. Newer “fractional” or “fractionated” lasers are an improvement on traditional lasers, precisely treating the skin to a predefined depth and because they minimize the risks of post treatment complications.

    Laser and other radiation therapies can also help reduce the risk of future skin problems – including skin cancer.

    “Some of the lasers are useful in treating pre-cancerous lesions, thus reducing the risk of developing skin cancer,” wrote Dr. Deborah S. Sarnoff, MD, Clinical Professor Dermatology, NYU Langone Medical Center and vice president of The Skin Cancer Foundation, in an “Ask an Expert” section of the foundation’s website.[ii]

    However finding out which procedure is the right one is not as easy as it may seem. There at least three different types of procedures to treat the effects – more if you consider options like surgical facelifts or injectable fillers. There are also now more options within those types. For example, laser techniques alone include ablative (removing a layer of skin), non-ablative, and fractional laser therapy, as well as the related intense pulse light (IPL) therapy.

    Anyone considering one of the skin rejuvenation procedures must consult with a professional. There are many variables involved including the type and extent of damage, skin type, and even past medical history to a certain extent. That’s why consulting with a board certified cosmetic surgeon is so important. Cosmetic surgeons have the training to understand all treatment options, and can explain in detail these options before one decides on a treatment.

    As far as plastic surgery recovery is concerned, although the risk of complications is relatively low (especially with the newer technologies), there are risks with any medical procedure. Not only  is a cosmetic surgeon better informed to outline those risks, he or she is also better prepared to manage complications should they occur.

    But even with all the new advancements in treatments, prevention is the key to protecting your skin. The sun produces ultraviolet rays, UVA and UVB, that our bodies actually need. But overexposure leads to many skin and eye problems. Limiting exposure by covering up skin with clothing and sunscreen, and wearing sunglasses with UV protection are the smartest practices for protection.


    Ioannis P. Glavas, MD is a Board Certified (ABO) oculoplastic and facial cosmetic with offices in Boston (Newbury Street) and Manhattan. He is the founder and Director of the Glavas Centre for Oculo-Facial Plastic and Reconstructive Surgery, the Massachusetts Eye Plastic Surgery & Laser Center, both in Boston, and serves as an Assistant Clinical Professor at NYU school of Medicine and Manhattan Eye Ear and Throat Hospital in New York.

    [i] http://www.plasticsurgery.org/Documents/news-resources/statistics/2010-statisticss/Overall-Trends/2010-cosmetic-plastic-surgery-minimally-invasive-statistics.pdf April 20, 2011

    [ii] http://www.skincancer.org/ask-the-expert-can-laser-treatment-cause-skin-cancer.html April 20, 2011

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    Nicole Kidman forehead has looked like it’s permanently paralyzed for years. Bloggers often blame excessive Botox for the frozen faced actress’s appearance, but a new look at Nicole’s face through the years shows that it is once again mobile, possibly an indication to Makemeheal.com that the Aussie has given up the injectable, at least for a while.

    43-year old Nicole Kidman has never openly admitted to undergoing plastic surgery, although plenty of pictures through the years seem to indicate cosmetic surgery enhanced changes in her appearance, including a recent breast augmentation, a previous rhinoplasty and the Botox injections and facial fillers that have earned her a reputation for having an unmovable forehead (See Make Me Heal’s story on Nicole Kidman’s Breast Augmentation).

    Amidst Oscar buzz for Nicole’s performance in the upcoming film Rabbit Hole, several media outlets have noted that her face seems to be moving again. NYMag.com even put together an assortment of photos that show whether or not Nicole’s forehead wrinkles up when she shows emotions.

    If Nicole’s forehead and face don’t move, it is assumed that she has had an overload of Botox. In Rabbit Hole, Nicole’s forehead is mobile, indicating that she has eased up on the Botox.

    Miami plastic surgeon Dr. Michael Salzhauer says, “It does appear that Nicole Kidman may have eased up on her Botox treatments by the visible forehead wrinkles and movement.  Both Botox and Dysport relax and inhibit the muscle movements the same. There is one small reason someone may stop with their Botox treatments- it’s a condition that usually lasts about 9 months.”

    Fans can watch Nicole and her flexible forehead in Rabbit Hole.

    Read the complete plastic surgery profile of Nicole Kidman on Plasticopedia, the largest celebrity plastic surgery encyclopedia.

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    The term addiction has become applicable to numerous habits and vices these days. Sex addiction, internet addiction, plastic surgery addiction. But how can you define addiction when applied to a behavior that in moderation is acceptable, even encouraged? As Dr. Marcel Daniels, a Long Beach, CA Board Certified plastic surgeon says, “Calling any repetitive behavior an ‘addiction’ has become fashionable. Notice how we ‘suddenly’ have all these sexual addicts when previously it was merely felt to be an expression of Darwinian behavior!” Sex, as opposed to say, heroin, is a normal, healthy practice – in fact, if you’re not having sex, people tend to think there’s something amok. So when is someone addicted to sex? The same goes for the internet. The only people not spending many, many hours on the internet in our society are considered backwards. So how much is too much?

    This question is particularly apropos when considering plastic surgery. Dr. Daniels says, “The subject of addiction in and of itself and with regards to plastic surgery is controversial.” With celebrities like Heidi Montag, Joan Rivers, Cher, and Jocelyn Wildenstein making headlines by eliminating fine lines and wrinkles (and maybe getting a breast augmentation, some lipo…and some other nips and tucks), it’s easy to believe that BOTOX and boob jobs have some seriously addictive properties. After all, why else would an already attractive person like Montag go through so much to change herself into some kind of distorted Barbie? Then again, what if Heidi were totally happy with her new self? Would the media and her family be so quick to condemn her surgical alterations if she herself weren’t so clearly dissatisfied? Can you classify a habit as an addiction if it genuinely results in self-improvement?

    Take, for instance, someone like Cher. She’s had some plastic surgery, which nobody can deny. But, she still looks pretty darn good for her age, and nobody’s really calling her an addict. So maybe part of what makes Montag ‘an addict’ is that she’s young and she had so many procedures in such a short time. But why does age have an impact on addiction? And for that matter, why does someone who crams all their doses into one day have any more of a problem that somebody who has the same amount of surgery over a span of years?

    Dr. Shervin Naderi, a Washington DC area facial plastic surgeon, suggests, “There is no ‘number’ that signifies a threshold for becoming addicted to plastic surgery.  A person who has never had a single procedure but constantly obsesses about his or her face and is constantly on chat rooms and spends an excessive amount of daily time thinking about his or her face is more concerning than the person who has had 4 successful cosmetic surgeries with nice and natural results.” With this in mind, it would seem that the psychological concerns associated with plastic surgery are not so much its potential addictiveness, but rather insecurities with body image that go far below the surface. Excessive amounts of plastic surgery might just be a manifestation of a mental disease such as Body Dysmorphic Disorder. In this case, it seems that the procedures themselves have no addictive quality.

    As with any ‘addiction,’ there has to be a supplier that is feeding the sufferer’s problem. People don’t just operate on their own faces – at least not usually, and certainly not with positive results. Dr. Naderi points out that “it is the responsibility of the plastic surgeon to try to get to know the patient as much as possible and understand their motivations.  In certain patients even one surgery is too much while in others, several well thought out and carried out cosmetic surgeries are perfectly fine… [A] patient could be happy with very drastic and disfiguring results and it’s the responsibility of the plastic surgeon to guide patients.” So, even if Jocelyn Wildenstein were pleased with her oddly bloated feline face, her plastic surgeries would still not have been the result of healthy decision making, and hence they can not be considered within the limits of ‘reasonable’ plastic surgery. As Dr. Naderi says, “A more ethical and skilled plastic surgeon would not have done to Michael Jackson what was done to him.”

    However, who determines what’s ‘normal-looking’ and what’s going too far? If Michael Jackson wanted to look pale and gaunt, why shouldn’t he have? Just because other people judged his appearance and decided he was abnormal, did that make his plastic surgery somehow wrong? Dr. Daniels asks, “When does the human desire to improve one’s appearance (a very subjective decision) cross over into an addiction or Body Dysmorphic Disorder?” Indeed, with such a subjective topic as personal appearance, it seems impossible to judge one’s decisions to alter themselves. For all the people who think Michael Jackson or Jocelyn Wildenstein look weird, somewhere there’s probably someone who finds that attractive. And if Heidi Montag naturally looked the way she has made herself look, I somehow doubt that anyone would be calling her ugly.

    Dr. Daniels offers this opinion: “Certainly patients who have been pleased with the outcome of a given plastic surgery procedure often go on to have other procedures, but that does not make them addicts! People who make a living off of their appearance may simply be ensuring future employability, not manifesting a diseased state of mind.” Take Demi Moore for example. Anybody who has seen the before and after photos of her knees would probably agree her results are positive. Yet, like many celebrities, she’s received some flack for not aging naturally. But would someone who relied on their mental sharpness be criticized for taking supplements like Gingko Biloba? The preservation of certain attributes and assets that are essential to a person’s livelihood is certainly a reasonable desire, and to be critical of that just because the attributes happen to be physical is somewhat shallow.

    A habitual user of a product is not necessarily an addict.  I drink tea every day, but I don’t think I’d go through any serious withdrawal without it. In fact, if I wanted to stop drinking tea right now, I’m pretty sure I could. But I don’t want to quit drinking tea. And if I drink a cup of tea every day for the rest of my life, I still don’t think that would make me an addict. Dr. Daniels makes a similar point regarding his own plastic surgery practices: “I have been using Botox for over 15 years and have gone on to get multiple facial peels and laser procedures.  Does that make me an addict? Or does that make me someone who merely wants to continue to look as good as Father Time will let me?”

    That’s certainly the question to consider. With newer, more ‘natural’ plastic surgery procedures arising regularly as cosmetic medicine improves, who wouldn’t want to preserve their physical traits for as long as possible? After all, we do our best to maintain our body’s health well into old age – and certainly long after our bodies would be in such good condition ‘naturally.’ Obviously, self-alteration can be a harmful practice, but such judgment can only be made on a case by case basis, and shouldn’t be based on appearance alone. Perhaps at the heart of this debate is the idea of ‘perfection,’ an elusive concept that should never be held up as a realistic standard, even for gorgeous celebrities. Still, everybody can, and maybe even should, try to live up to their personal best. And when using such weighty words as ‘addiction’ in regards to plastic surgery, one has to consider more than just a number of procedures or the ‘normalcy’ of the results. Because sometimes even plastic surgery goes deeper than surface level.

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