Paris Hilton

Paris Hilton has reportedly vowed never to have plastic surgery, after being told by her father that it was "sleazy" and would "cheapen" her image. Hmmm... I find that to be an interesting comment. Obviously the belief that people who have plastic surgery are "sleazy" has gone by the wayside long ago. The vast majority of my patients are hard-working, normal people from all walks of life. Plastic surgery is not for everyone, and I turn down patients whom I believe are not good candidates because of unrealistic expectations or psychological issues. This turns out to be about 1 out of every 5 people who come to see me. In addition, I'm not sure when Paris considered a breast augmentation, but if it was before she was 18 years old, I believe that it's morally wrong for a plastic surgeon to do it anyway. The FDA has an official position against it as well.

Photo/story credit: femalefirst.co.uk

Jessica Lange

Jessica Lange...What has happened to her eyes? This is a photo of Jessica Lange last night at the 17th Annual Human Rights Watch International Film Festival. It appears to me that she has had a pretty aggressive browlift, causing her eyebrows to be so high that she looks surprised and unnatural. She likely has Botox in her forehead as well.
There are two types of browlifts, the traditional open browlift with a long scar and the endoscopic browlift. The endoscopic browlift is much less invasive, but arguably doesn't have as much staying power since the scalp is not literally cut out like in a traditional open browlift. In my opinion, most of the people who have their brows excessively elevated have had a traditional open browlift because it is much easier to pull things too high with this type of lift. The giveaway is the scar, which extends from ear to ear or along the front hairline. I haven't performed one of these in two years, as the endoscopic technique is really the most state-of-the-art technique nowadays. The old-style browlifts are best reserved in general for people who have tried the endoscopic technique without good results, as it is one of the most permanent plastic surgeries there is.
On the bright side with Jessica Lange, her neckline looks great and is likely the result of a well-done facelift.

Photo credit: Dlisted.com

Janice Dickinson

Janice Dickinson was recently filmed while getting Botox injections to her forehead. The bumps you see go away within a couple hours as the swelling dissipates.
Botox injections are now the most common cosmetic procedure performed in the US, both surgical or nonsurgical. It's far more common than chemical peels, microdermabrasion, or any surgery. The reason why it is so popular is because it's nearly painless to have done and causes dramatic visible results within a matter of days. In my opinion, Botox is a better bang-for-your-buck than virtually any other cosmetic treatment. It is great for smoothing the wrinkles of the forehead, between the eyebrows, and the crow's feet outside the eyes. It can also be injected to decrease sweating in the palms or armpits, and decrease the width of the jaw. The company that makes Botox (Allergan) is so successful off this one product that they recently purchased a company (Inamed) which is one of the two remaining breast implant companies in the US.

Photo credit: rickey.org

Ryan Seacrest

Seacrest...Rhinoplasty? It appears that Ryan Seacrest has enhanced his appearance with a nose job (rhinoplasty) to decrease the roundness of his nasal tip. He looks more refined and mature in the "after" photo. It is very surprising just how many stars have had rhinoplasty surgery. While some are obvious, there are many celebrities who appear to have had rhinoplasty surgery whom most people wouldn't suspect. Some people whom I believe have had their nose altered include Michelle Pfeiffer, Halle Berry, Julia Roberts, and Jennifer Aniston. For many, it has been an unfortunate prerequisite to stardom.

In my opinion, the nose should never be an attention-getting feature of the face. If the nose attracts attention, it is almost always in a negative fashion. Some examples of this include Ashlee Simpson, Jimmy Durante, and Pinnochio. The best-looking noses blend into the rest of the features of the face, and allow the other attractive features (usually the eyes, cheeks, or lips) to stand out. Hence, a good rhinoplasty de-emphasizes the nose, bringing out other more attractive facial features. This is most recently obvious with Ashlee Simpson or a "Thriller" Michael Jackson. So when this rule is applied to Ryan Seacrest, one can see that his alleged rhinoplasty was very successful. His nose no longer attracts attention.

Photo credit: Before: Perezhilton.com After: eonline.com
For another post on Ryan Seacrest's nose, see goodplasticsurgery.com

Lip Plumpers

The Parliamentary Mime blog has a nice post on topical lip plumpers. It's well-written and very enjoyable to read. It's nice that there is an alternative to the injectables like collagen and Restylane.

Jessica Simpson

Jessica Simpson visits plastic surgeon or psychiatrist? It's been reported that Jessica Simpson recently visited the office building of a prominent Beverly Hills plastic surgeon. Some sources report that she was there to see a psychiatrist instead of a plastic surgeon.
When I practiced in Los Angeles, we were in an office building which housed numerous plastic surgeons, in addition to OB-Gyn's, internists, and many other types of physicians. The mere fact that she went to a "medical building" doesn't mean much of anything.
Now, I wouldn't be surprised if she did visit a plastic surgeon there. It appears to me that she has had a good amount of work done for someone her age. This seems to include a breast augmentation (B's to D's), rhinoplasty (like sister Ashlee), and multiple lip augmentations. Overall, I think the work she's had done is pretty good, with the exception of overplumping the lips on occasion. I would recommend that she stop at this point, however, at the risk of overdoing things.

Ashlee Simpson

Pink is the New Blog has a post on Ashley Simpson's new, puffed up lips.