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http://www.eonline.com/Features/Specials/Surgery/

The good, the bad and the ugly of celebrity plastic surgery--first, the good!

by Sally Ogle and Ivor First of three parts When the biggest stars on the planet gathered recently for that annual rite of teary acceptance speeches and over-the-top gowns known as the s, the rapt TV audience included every plastic surgeon worth his scalpel from Manhattan to Beverly Hills. And why not? With their carefully crafted handiwork on display to more than a billion people worldwide, the Academy Awards are also the doctors' big night. Not that they're ever likely to be acknowledged from the stage by those famous faces... One plastic surgeon, who has raised more famous faces than the elevator at CAA, sits in his elegant pastel-hued Lasky Clinic in Beverly Hills, smiling wryly. "God forbid anybody should see my charts," he says. "When you see what they looked like before we operated! But they're happy. Their careers are going well. Whether I had something to do with that I don't know. But I think I did." Around Hollywood, it's easier to count the people who have never gone near the knife than those for whom it's a ritual. All over town, discreet little hotels advertise their availability for plastic surgery recovery--back entrances, registration under false names, round-the-clock nursing and no questions asked. At the infamous Four Seasons Hotel bar in Beverly Hills, the hot agents wonder about whether Demi earns more per picture than --while the plastic surgeons at the next table prefer to focus on Demi's nose. "She had it done right after her Vanity Fair cover," says one. "Hers was the rounded kind that doesn't age well," sniffed another. "It's surprising she made it as big as she did with the original."

They know that Newman, who started out with the last of the great Hollywood faces, used to plunge his famous visage daily into a basin filled with ice cubes to keep his skin youthfully tight. When that no longer did the job, he sought surgical help. But it was subtle--and we should all look so good at 71.

They aren't fooled, like the rest of the country, that Liz or Sophia Loren come by their ageless beauty from good genes and thinking kind thoughts. They whisper about 's four face lifts and Loren's magnificent eyes and face crafted on several continents (including L.A., under the skilled hands of UCLA plastics guru Harvey Zarem). They wonder at Deneuve, whose seemingly ageless face, goes the rumor, is actually held up by a fine mesh of 22-karat gold stitches inserted under the skin--a technique perfected in Paris. It's a year-round business, but there's a bulge in late December, after the Christmas parties and before the Golden Globes in January and the s in March. For the show-biz crowd, the rush to the knife is usually about one thing, and one thing only: "If I don't look good, I don't work," says a top star. Says plastic surgery poster girl Joan Rivers, "Every woman on television over the age of 25 has had something done." Notes a Los Angeles surgeon, "You can imagine what a face wrinkle or a baggy eye looks like multiplied 100 times and shown on a movie screen 60 feet high." And though those in the tight little world of Plastic Surgery Intelligence take more oaths of secrecy than a CIA candidate, the Hollywood gossip mill circulates the scoop on who's done what and to whom as avidly as the weekly box-office returns. Because, truth is--walking disasters like , Tyler and Carol Burnett aside--you need to take a good look to spot many Hollywood alterations. Basically, the difference between good surgery and bad is the difference between looking younger and better or like something out of a wax museum. "More celebrities are having surgery than the media knows by a mile, because if it's good, you can't tell," says one Beverly Hills surgeon. Take Jane Fonda, who preached, "We should learn to love our wrinkles." Well, Fonda had hers erased. And once she realized that no amount of "going for the burn" would give her the youthful breasts she craved, she inflated her chest, took every opportunity to display her new assets in softer, more revealing clothes and went on to become Mrs. CNN. According to Fonda, of course, she has had "only the minimum amount of work required for someone in the business." (The fact is, most of the face work was done when she was leaving the business and divorcing Tom Hayden.) But most stars have lied through their capped teeth about their surgery: , who was at it again the other day, claiming her new bald pate didn't reveal any telltale scars--can you say makeup?--has admitted to only a tiny little tuck under the chin after she lost 100-plus pounds. "Who does she think she's kidding," laughs a local surgeon. "It's like a hammock--once you take the weight out, that slack skin doesn't spring back, it has to go somewhere." The ever-present Raquel Welch, one of the pioneers of plastic surgery, not long ago had an unpublicized cancer scare and told a friend in a panic, "You know, a mammogram won't work for me. There's too much silicone in there." But Raquel's also had a terrific face-lift--nobody notices it for two all-too-obvious reasons. Then there's the brilliant work on Pfeiffer (cheek implants and a new nose--check out the face when she was a Vons checker) and Hutton, who left her gap-toothed smile untouched but lifted her face some time ago. "Hairdressers everywhere have seen those scars," says one Hollywood insider. Priscilla Presley doesn't talk about her regular chemical peels to get rid of her wrinkles and brown spots. Beautiful Australian supermodel Elle Macpherson was recently dragged into a surgeon's office by another top cover girl to get her lips collagened--but didn't breathe a word about it. "She wasn't too keen on the idea, and she didn't need it," said an observer, but her friend told her, " 'Everybody's doing it. You don't want to be left behind.' "

Even Barbra Streisand has undergone some subtle enhancement. "She still has her famous big nose, of course," says an expert, "but look at her early pictures--it's not the same big nose." And Bergen had a great lift recently and cleverly cut her hair at the same time, so we'd think that's why she looks different.

There are bits of Arnold Schwarzenegger he didn't get from working out. The Arnold face is a tribute to some of the best reconstruction around. (It's enlightening to compare the young Arnie of Pumping Iron days with the sleek Hollywoodized version.) "He's had his jaw moved back--it's called genioplasty," says a prominent L.A. surgeon. "He used to have that jutting Hapsburg jaw, but it's all gone. He's also had his eyes done, and he keeps on tinkering--every few years or so." Lansbury talks frankly about the effect of her lift and eye job on her career. "I feel absolutely wonderful," she says. "I love the way I look." It's good stuff--and so is she. And so is Ivana Trump. Face-lifted by Hoefflin as revenge when the strayed, she announced, "I never intend to look a day over 28--and it's going to cost a fortune." Roseanne goes on endlessly about her make-over. She's had the works--face-lift, nose job, cheek implants, chin implant, breast reduction, not to mention liposuction to reduce her thighs and have her fanny flattened. It's easy to criticize her, but let's face it: She looked a hell of a lot worse before. Of course, some start off with good work and then don't know when to stop. Cher, who even brings her glamorous mother to her plastic surgeon, began simply with dermabrasion for her bad skin. Her early facial work from Kamer was first rate. But she just kept right on going. She now admits to a breast job but says nothing about her cheek implants, her tummy tuck, her buttock lift, her new nose, her face-lift, her navel surgery and her liposuction. So...would you buy an exercise video from this woman?

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