Cosmetic infidelity: A new way to cheat

By Dr. Anthony Youn, Special to CNN  – updated 6:20 AM EST, Wed November 19, 2014
Surgery can be difficult to hide, especially large operations such as tummy tucks and face-lifts.
Surgery can be difficult to hide, especially large operations such as tummy tucks and face-lifts.

(CNN) — “I have five days to recover from surgery and look good before my husband gets home.”

Marina, a 60-year-old Caucasian woman, sits before me to sign the consent forms for her upcoming operations: a 3-D face-lift, upper and lower eyelid lifts and an endoscopic brow lift.

I see on her information sheet that she hasn’t authorized us to discuss her surgeries with anyone else — not even her husband.

“So you’re not telling him about all these procedures?”

“Not unless I have to. You don’t know him. He wouldn’t understand, and he wouldn’t want me to spend all this money, especially on something he thinks is frivolous. So that’s why I need to look good before he gets back. We’ve got five days, Dr. Youn.”

Cosmetic surgery has become a new form of infidelity — for both men and women. As the number of people having plastic surgery rises, more and more feel the need to hide their procedures from their significant others. In fact, we did a survey of cosmetic patients in my office and found that one-third don’t tell their partners about their treatments.

Hard to believe? While surgery can be difficult to hide, especially large operations with dramatic changes such as tummy tucks and face-lifts, less-invasive procedures such as Botox and filler injections aren’t as hard to conceal.

The first step many patients take is to hide how much they’re spending. According to the American Society for Aesthetic Plastic Surgery, the average cost of Botox is $392, and the average cost of Juvederm is $675 — pretty hefty amounts to cover up.

So how do they do it? Some patients pay with cash. Others split it up and pay half in cash, half in credit. Many of my patients have a certain threshold that they can spend on their credit card before their partner notices the individual charge. This amount usually ranges between $100 and $400. Often the patient will spend up to that amount on a credit card, then pay the rest in cash. Other patients spread small amounts over several credit cards.

Timing the procedure strategically is another way people hide their cosmetic treatments. Many patients, like Marina, have their surgeries done while their spouses are out of town.

They use this alone time to recover, so that when their spouses return, they’re none the wiser. For less-invasive treatments, such as lasers and injections, many patients have the procedures performed on days when their partners have plans after work. This way, they have all night to let the swelling subside. When their spouse sees them the next day, they look normal again.

Some women also take advantage of the fact that their men just aren’t that perceptive. Men are notoriously bad at noticing changes in their spouses. In fact, a 2004 study in the Personality and Social Psychology Bulletin found that women are much better than men at remembering appearances.

I am as bad as any. It can take me days to notice that my wife has changed her hair.

So what happened with Marina?

She underwent all four surgeries, with the hope that she’d look good enough five days later to prevent her husband from noticing the dramatic changes in her face. She stopped by the office to see me several hours before her husband was to return home.

Marina was a hot mess. Her eyes looked like she went 10 rounds with Mike Tyson, her neck was taut as a pair of Spanx, and her lips resembled two Vienna sausages.

“Wow, Marina. You’re still quite puffy and bruised, but give it another week or two and you’ll look fantastic,” I told her. “However, I’m not sure your plan to hide your plastic surgery from your husband is going to work.”

“Dr. Youn,” she deadpanned. “You don’t know my husband.”

He never figured it out.

Patients seek breast augmentation, wrinkle relaxers, surgeons say

Reported by: Jaime Hayden Email:

News 4 looked at what neighbors in northern Nevada are turning to plastic surgery to change. “The typical patient that comes in to see me has been thinking about whatever procedure they’re coming to see me about for years,” said plastic surgeon Dr. Joseph Kiener.

Kiener sees around 15 new patients a week and 80 percent of his surgeries are cosmetic. “People, their motivation is typically that they don’t like something about themselves, and fortunately in my practice most the time it’s the patient that is motivating themselves to come here as opposed to a significant other.”

That is exactly why 60-year-old Janet Baron of Reno said she got a facelift three years ago. “I was taking care of my parents, I had a horrible marriage for 10 years, and I wanted to do something for me.”

Baron said she did not like the extra skin under her chin, but it was more than just changing her face. “I feel better, it’s almost like a new me.”

Now, she said strangers often think her 31-year-old son could be her husband. “Okay that’s kind of cool, he’s really upset, he goes that’s gross, but I go, you have to understand that makes me feel good.”

Although Baron said the selfie phenomenon did not affect her decision to go under the knife. Kiener said social media is playing a role for many, including opting for non-surgical procedures. “Things like Botox, the fillers, laser hair removal, as well as other laser and light based treatments.”

Still, Reno plastic surgeon Dr. Phillip Dahan said the number one cosmetic surgery on women’s wish list is breast augmentation. “The majority undergo breast implant surgery, such as augmentation to enhance the size, shape, projection of the breasts, and even to improve two breasts that don’t match, so to improve symmetry.”

Dahan said Botox, fillers, nose jobs and pec implants are popular options for guys, but men still only represent 10-percent of his plastic surgery patients. “Every now and then I have males that are very concerned that they try to exercise and improve the bulk and tone of the chest muscles and they can’t or they want to take it to another level, so it’s a great operation to do it.”

Kiener said he sometimes has to say no, but it is not easy. “You also have to be the patients advocate and say to them, ‘Well, I don’t think this is a good idea for you,” now the problem with that is that they’re so motivated that you know they’re going to go down to street and see somebody else, so where do you draw the line and that is a very difficult thing to do.”

Kiener said over the last two years he has seen the biggest increase in butt surgery. He also said plastic surgery is most popular among women ages 35 to 50, followed by women ages 50 to 65, and then women between ages 20 and 35.

Scientists Say They’ve Found the Perfect Breasts

breastsShut the front door: Scientists have finally found the perfect breasts. No, they weren’t hiding in the Amazon or roving solo across the Sahara (although we have no doubt there are women in both the Amazon and the Sahara who have magnificent mammaries); it turns out these perfect breasts were hiding in a plastic surgeon’s office this whole time! Now, before you get all worked up, the American Society of Plastic Surgeons (ASPS) would like you to know that the super-fake looking plastic breasts of yore are not actually what people think are most attractive now.

According to a study published in the Journal of Plastic and Reconstructive Surgery—which involved asking over 1,300 people to look at pictures of naked boobies and rank them by hotness (stop laughing, this is serious research!)—people preferred a more “real” and “normal” look from their silicone, with the ideal breast shape having a 45:55 ratio. People said the best chests have 45 percent of the fullness above the nipple line and 55 percent of the fullness below, in a slightly teardrop shape. Researchers noted this preference remained consistent across gender, racial, and ethnic groups with the 45:55 ratio favored by 87 percent of women in their 30s, 90 percent of men, and 94 percent of plastic surgeons.

We’re certainly not knocking the decision to get breast implants—women have lots of great reasons for enhancements ranging from “it makes me feel more confident” to “what I do with my body is none of your business”—but we are a little confused about calling this new standard “perfect” and even more confused about proclaiming it to be “real.” After all, aren’t all breasts real breasts?

And when it comes to normal breasts, there is a lot of variation. The average American breast size is a 34DDD. But if you’ve been in a locker room lately, you know that normal nippers come in every size from Nearly Flat to Good Golly Miss Molly. There are even more options for breast shape with 19 different identified builds for your bra buddies. Not to mention that both your shape and size can change dramatically over your lifetime as you age, go through puberty, gain or lose weight, have children, fight cancer, or have surgery.

Our breasts go through a lot for us! So we say that whether you have triple-A tatas, size G gazongas, or more moderate mounds, they’re all perfect.

By Charlotte Hilton Andersen Follow @CharlotteGFE
Topics: breastsbody image

Brazil surpasses U.S. in number of plastic surgeries

Janet Timal, 47 (right), stands with her niece Thairine, 21. Janet has had a tummy tuck and breast augmentation and helped her niece pay for liposuction. "The ideal is to be able to put something on, to sit down and not have your belly jumping out. Here in Brazil it gets hot, and the less clothes, the better," says Janet.

Jimmy Chalk for NPR

October 07, 201412:11 PM ET
Lourdes Garcia-Navarro Janet Timal, 47 (right), stands with her niece Thairine, 21. Janet has had a tummy tuck and breast augmentation and helped her niece pay for liposuction. “The ideal is to be able to put something on, to sit down and not have your belly jumping out. Here in Brazil it gets hot, and the less clothes, the better,” says Janet.

Janet and Jaqueline Timal are 40-something-year-old sisters, and they have what they call a plastic surgery fund. “I’m always saving money. When I see I’ve gathered up enough money for another surgery I do it,” Jaqueline says. She has had breast implants put in and also a tummy tuck. She’s visiting the plastic surgeon’s office again to do a famed Brazilian butt lift, which is the same as a breast lift, but on your backside. Janet has had a tummy tuck; she’s now doing her breasts, too. Between them, they will have had five surgeries.

Janet and Jaqueline aren’t rich — far from it. One works at a retirement home; the other owns a small shop. They both say this isn’t about bankrupting themselves for beauty but rather the opposite — Jaqueline says she sees the procedures as an investment. “I think we invest in beauty because this is very important for women here. You can get a better job because here they want a good appearance, a better marriage because men care about the way you look,” she says.

Brazil has just surpassed the U.S. as the place with the most cosmetic surgeries performed in the world, even though it has fewer people and collectively less disposable income than the U.S. Last year, according to the International Society of Aesthetic Plastic Surgery, 1.5 million cosmetic surgeries were carried out in Brazil — 13 percent of all the elective plastic surgeries done all over the world.

One reason is that Brazil simply has more plastic surgeons per capita than the U.S. There’s a health care crisis in Brazil that has led the country to import doctors from Cuba to work in rural and poor areas. Yet there’s a surfeit of plastic surgeons.

The other reason is women’s increasing financial power. In the past 10 years, Brazil has grown economically, and salaries and disposable income have gone up. Women like the Timal sisters have overwhelmingly chosen to use that money on their appearance.

While in the U.S., people may hide that they have had plastic surgery like it’s something shameful, in Brazil they flaunt it. The attitude is that having work done shows you care about yourself — and it’s a status symbol.

But even though people have more money and greater access to credit, many of the poor wouldn’t be able to afford to pay for all of their cosmetic procedures unless they got a helping hand.

The Ivo Pitanguy Institute in Rio de Janeiro is named after the famous Brazilian plastic surgeon who is renowned for saying, “The poor have the right to be beautiful too.”

Here the ethos is beauty shouldn’t just be a privilege of those who can afford it.

The institute’s lobby is packed as attendants call out the names of women — and a few men — who are waiting to be evaluated for cosmetic surgeries. This is a charity and teaching hospital, and the surgeries given are either free of charge or heavily subsidized.

The hospital offers all the usual fare: breast implants, breast lifts, Botox, nose jobs, face lifts and, of course, the ever-popular butt implant.
This is where the Timal sisters are having their surgeries. The price for Jaqueline’s butt lift? It’s 3,800 reals, about $1,600. At a private hospital it could run over three times that.

Francesco Mazzarone, who now heads the institute, explains why it’s important to provide cosmetic surgeries to the disadvantaged. “This is about equality, which is the philosophy Pitanguy created. Equal rights to everyone. The patients come here to get back something they lost in time. We give to them the right to dream,” he says. “What we do here is altruism.”

And the women NPR spoke with are grateful, but they also acknowledge that there is a lot of pressure in Brazil to conform to a physical ideal.

Jaqueline Timal says her 21-year-old daughter has already had liposuction. “I told her she should wait, but to be very beautiful, we push ourselves — and also society pushes us. I think she is too young for that, but as it was her great desire, I supported [her] so she can be happy,” she says.

Some in Brazil, though, balk at the idea that happiness can be achieved at the end of a scalpel.

Being a feminist is a lonely business in Brazil, says Karen Polaz, a blogger and women’s rights activist. She says despite the fact that Brazil has a female president, it’s still a very sexist country. She says beauty as a right sounds good in principle; what that means in practice is that a very narrow view of what is beautiful is being pushed onto people here. “Before accepting the idea that everyone has the right to be beautiful, we have to understand the image of beauty that is being sold, because this is an industry, an extremely lucrative industry. They transform women into consumers,” she says.

And in Brazil, that transformation has a racial component.

Brazil imported more slaves, some 4 million, than any other country. Today, it is a primarily a mixed-race country, but you wouldn’t know that by looking on TV and in magazines here, which rarely feature people of color. “ If you look at the traditional body type of a Brazilian, you would see a woman with dark skin, curly hair, small breasts and a larger bottom, a body that is very different from the body marketed as desirable. – says Marcelo Silva Ramos, an anthropologist and social scientist.

He says what is sold as beautiful here is someone like Brazilian model Gisele Bundchen: a woman who is tall, thin, blond with straight hair, bigger breasts and fewer curves. That has meant people who don’t look the right way — and by this he means “the white way” — are often excluded, he says.

“In our culture, the view is women who look acceptable get money, social mobility, power,” he says.

Take for example the popular Miss Bumbum contest, which annually crowns Brazil’s best backside. All of the contestants this year are lighter skinned.

Claudia Alende, the 22-year-old front-runner of this year’s competition, looks like American actress Megan Fox, right down to the blue contact lenses she wears over her natural brown eyes. She says she is competing for a simple reason.”The contest is famous around the world, and I want to be recognized around the world and become famous, too,” she says, laughing. She says the contest is a way for her to become a TV presenter or an actress. The rules of the contest allow for plastic surgery anywhere but on the backside. She openly admits she’s had work done. “It was [because] everyone was doing [it] so I did [it],” she says.

Previous Miss Bumbum contestants have indeed gone on to arguably bigger and better things. One became a TV presenter; others have become actors and professional dancers on TV. But they are among the few.

Maria da Gloria de Sousa is 46 but looks 30. Maria da Gloria de Sousa, 46, has had six surgeries at the Pitanguy Institute. She’s unemployed but has had six surgeries at the Pitanguy Institute and speaks about her procedures with characteristic Brazilian humor and openness.”First off, I do this for me. These kind of things you need to do for yourself. And second, there’s nothing better than getting a compliment, right? That you’re good, that you’re sexy, it’s really good. I like it.”

"Plastic surgery starts to become an addiction. You're born perfect, but then you have children and you know what having children does. Then suddenly comes the rebirth: plastic surgery. You can be beautiful, even more beautiful than you were before." — Maria da Gloria de Sousa, 46.

Jimmy Chalk for NPR

“Plastic surgery starts to become an addiction. You’re born perfect, but then you have children and you know what having children does. Then suddenly comes the rebirth: plastic surgery. You can be beautiful, even more beautiful than you were before.” — Maria da Gloria de Sousa, 46.

 “I’m almost an android! I had done my breasts three times. I didn’t stop there. I did a tummy tuck and then a lipo, and, lastly, I did my bottom,” she says. She says she has spent the equivalent of the cost of three cars on her operations. “I’m much happier, there is no doubt about it. My bottom will never sag, my breasts will never sag. They will always be there, hard. It is very good to look at the mirror and feel fine,” she says.
When I ask her if it was all worth it, she tells me she has a 21-year-old lover. “Things have gotten a lot better,” she quips. She waves goodbye and, smiling, sashays down the beach — and nothing jiggles.

Plastic surgery helps patients complete transformation after weight loss

Sue Thoms | By Sue Thoms | sthoms1@mlive.comThe Grand Rapids Press on September 29, 2014 at 7:00 AM, updated September 29, 2014 at 11:07

GRAND RAPIDS, MI – When Dr. Ryan Mitchell was in his plastic surgery residency, he developed an interest in a growing area of practice – body contouring for patients who have sustained a major weight loss.

The surgery to remove the excess skin left behind is becoming more in demand, as obesity rates rise and bariatric surgery becomes more common, he said.

Mitchell, who recently joined the Bengtson Center in Grand Rapids, pursued a fellowship to specialize in the treatment.

“It became my passion,” he said.

His draw to the specialty is the chance to address quality-of-life and physical needs of the patient. Many of the patients he has met, although they have lost in the range of 100 pounds and are much healthier, experience a bit of “buyer’s remorse,” he said.

Bengtson before and after.jpgBefore after photos show a patient of Dr. Bradley Bengtson after body contouring surgery. Dr. Ryan Mitchell, a surgery specializing in body contouring after major weight loss, recently joined Bengtson’s practice.

Even with diet and exercise, they can’t lose the excess, sagging skin.

“People have said I look worse now than I did before. One patient said when she was larger, she was just the largest person on the beach. Now when she goes to the beach, she feels she gets looks and attention because she doesn’t fit into either mold,” he said.

Body contouring procedures often target the belly, arms, legs and buttocks area.

The problems caused by excess skin are not all cosmetic. There also are functional problems, particularly with the skin around the belly. That area is prone to rashes and infection. And for some patients, the excess skin on the thigh prevents them from wearing slacks.

While health insurance sometimes covers removal of the overhanging skin on the abdomen, patients usually must pay out of pocket for contouring procedures on other parts of the body.

Mitchell said the cost of surgery varies depending on a number of factors. But as a general range, the cost to patients can run from $14,000-$16,000 for abdominal surgery and $6,000-8,000 for arms, including surgical and hospital fees.

A dual U.S-Canadian citizen, Mitchell received his medical degree in plastic surgery from the University of Manitoba. He did his fellowship in body contouring and reconstructive surgery at the University of Pittsburgh Medical Center.

To undergo body contouring surgery, patients must meet certain criteria, Mitchell said.

“They have to be weight stable for about 12 months,” he said. “In some of them, their weight tends to fluctuate. Once they have reached their plateau, that’s when they are optimized for surgery.”

Because some post-bariatric patients are at risk of malnourishment, patients must be on a high-protein diet to improve wound healing, he added.

He cautions patients that there will be scars. He can often hide abdominal scars in the area that would be covered by undergarments or bathing suits, but scars can’t be hidden on upper and lower extremities.

“Almost every surgeon has the ability to do what I do,” Mitchell said. “The question is whether they are passionate in order to do it or comfortable to do so. What I specialize in are the larger cases.”

He cites research showing that plastic surgery can help a patient maintain weight loss. A study in the October 2013 journal Plastic and Reconstructive Surgery found those who underwent body contouring regained an average of 11 pounds, compared with 50 pounds for those who did not undergo surgery.

The plastic surgery may be “the final hurdle to get somebody to the place they’ve always wanted to be,” Mitchel said. “To me, that’s the rewarding part – to be able to be involved in someone’s life and to be able to make that final difference.”

Belly button makeovers: Doctors help shape the ‘perfect’ navel

By Joan Raymond-TODAY contributor


Considering that the human belly button is really nothing more than a scar from a cut umbilical cord, it seems a little strange to waste time gazing at your navel. That’s easy to say if you like the looks of that little “innie,” which is hopefully centered between your hips.

But for many people, a misshapen, misaligned, protruding or even missing belly button is a source of embarrassment. Fortunately, there’s a fix, and a new study published in ASJ, the journal of the American Society for Aesthetic Plastic Surgery, is providing doctors a road map to create what may be the “perfect” belly button.

Before and after belly button surgery

American Society for Aesthetic P
Before and after umbilicoplasty, or belly button surgery.

Using a computerized tool called the “Aesthetic Analyzer,” surgeons from Singapore tried to determine the optimal position of the belly button both vertically and horizontally, as well as its length and its shape. Pictures of Playboy playmates (37 to be exact) served as the source of “beauty.”

What they found was the beautiful belly button has a vertical ratio of 46:54, a midline horizontal position, a length that is 5 percent of the length from the xiphoid process (the lower part of the breastbone) to the lower limit of the vulvar cleft, and an oval shape with no hooding (29.8 percent) or superior hooding (21.6 percent).

In English, that means essentially the beautiful belly button is small, vertically oriented, and has a tiny flap or “hood,” explains Miami plastic surgeon Dr. Adam Rubinstein. “Using Playboy playmates is kind of an arbitrary sample. Just because these women are considered beautiful doesn’t mean they have beautiful belly buttons,” he says.

What people really want is to be in the “range of normal,” says Rubinstein. That means that most people want an “innie” even though an “outie” isn’t abnormal, and they want it proportional to their overall abdominal region. And there are some people who simply want a belly button.

“Adults can lose their belly buttons after a tummy tuck, for example, if the surgeon doesn’t create one, and sometimes they lose it just through another type of stomach surgery,” Rubinstein says. “Sometimes the belly buttons that are created are just really bad looking.” Weight gain, pregnancy and umbilical hernias can also make the belly button less than appealing. The procedure used to create a belly button is called an umbilicoplasty and it only takes about 30 minutes to about an hour to perform.

CoolSculpting Seminar – October 1st – Cosmedica 514-695-7450

English Cool_seminar

Séminaire CoolSculpting- le 1er Octobre – Cosmedica 514-695-7450


Research underway to develop artificial tissues for transplant

by:Lindsay Kalter

The concept of constructing organs out of nonhuman material may sound like science fiction, but according to bioengineer Ali Khademhosseinir, these technologies are well on their way to being deployed.

“We can take cells from a person and combine them with other things to create tissue outside of the body, then transplant it back into the person,” said Khademhosseinir, of Brigham and Women’s Hospital.

Tissue engineering research uses a combination of living cells and degradable foams. The cells are initially placed on these degradable materials. As the cells start to populate the area — putting down “pillows” to cushion the area for the creation of new tissues — the foam begins to degrade.

Over time as the foam fully degrades, the cells reorganize themselves to form tissue-like structures.

“Cells are pretty smart. They have evolved to be able to make new tissues,” he said.

The technologies have been used to make simpler tissues like skin and cartilage in patients, but more complex tissues, like those in organs, have yet to be achieved.

Khademhosseinir’s team has, however, been able to create artificial heart tissue that closely resembles natural tissue — and which can actually beat.

Researchers at BWH also recently began researching the use of 3-D printing to create blood vessel-like structures, which are then covered with cells to create new tissues.

“The idea is to be able to one day take an image of a tissue that you want to make, put it in a computer, and the computer would literally print the cells and materials in the structure of the cells you want,” Khademhosseinir said. “Then we’d hopefully use them to make things like a piece of heart or liver or bone.”

Grant money from the National Institutes of Health was used for this research, and tissue engineering funding at BWH also comes from the Department of Defense. Philanthropic funding is growing as well, Khademhosseinir said.

Seniors postponing retirement consider cosmetic surgery for a competitive edge

By Alix Pianin, The Fiscal Times August 17, 2014

After the recession hit, business at Dr. Mary Lee Peters’ plastic surgery practice grew steadily.

The downturn brought new types of patients to her Seattle office—people with severance packages who were still smarting from layoffs and too much time on their hands. Several put the money towards cosmetic surgeries, and Peters went to work helping them look “fresher” for their job interviews, she said.

That meant Botox and fillers for the more conservative patients, but “most of the time it would be somebody who would have their eyes done or their face done,” she said.

“People would use their money from being laid off, their severance pay … to get cosmetic surgery so they could look better for their next job interview,” Peters recalled in an interview with The Fiscal Times last week. “You’d be amazed at how often I’d see that. You would think that people would be scampering away from something like this.”

With a growing number of baby boomers postponing retirement, venturing back into the job market, or striving to retain their standing at work, more and more seniors are turning to cosmetic enhancements to gain a competitive edge.

The number of cosmetic procedures including surgery and minimally invasive procedures topped 15.1 million in 2013; people aged 55 and over made up an increasing number of the patient share, according to a February study by the American Society of Plastic Surgeons.

While the majority of cosmetic procedures were performed on 40- to 54-year-old patients, the 55+ set underwent 3.8 million procedures, or 26 percent. That’s up four percent from 2012, according to the report.

“Many people in their 50s and 60s who are looking for work find their age can be a real barrier to landing a new job, even though age discrimination in employment is illegal,” John Rother, former executive vice president of Policy, Strategy and International Affairs at AARP said in an interview, “Employers have many subtle ways of favoring younger, more attractive applicants.”

The result, said Rother, is that “many older women in particular, especially those in competitive job markets, are taking steps to improve their appearance in order to better compete against younger job applicants.”

In fact, $12.6 billion was spent on cosmetic procedures in the U.S. in 2013, an increase of 15 percent from the previous year. That was the fourth straight year of growth for the industry, according to the American Society of Plastic Surgeons.

Experts say the growth has been in minimally invasive treatments. Skin treatments such as Botox injections and soft tissue fillers are cheaper than traditional surgical procedures like facelifts and eyelid surgery, and they require less recovery time.

These approaches are especially appealing to older people in the workforce who think they are being outmatched when compared to peers who may appear younger and more energetic, said David Sarwer, professor of Psychology in Psychiatry and Surgery at the University of Pennsylvania.

“The more common scenario is when we have people who are talking more about, ‘I’m concerned that I’m falling behind, or I’m concerned that I haven’t gotten the promotion that I have wanted to get several years ago, and that’s why I’m having it done,’” said Sarwer.

Professionals or high ranking executives seek out Peters with similar concerns—they want to appear energetic and vital to their workplace in order to extend their careers for as long as possible. And some are in a difficult corner. A Federal Reserve survey released last week suggests that fallout from the recession will force many to work well past their planned retirement date—all the more incentive to keep a tight grip on a good job.

A new analysis of Census data found that the percentage of people 65 and older in the labor force increased from 12.1 percent in 1990 to 16.1 percent in 2010, according to Forbes. The Urban Institute forecasts that employees 50 years and older will account for 35 percent of the labor force by 2019.

“We live in a society with pretty serious ageism,” Peters said. “And it’s starting to make them angry that people are looking at them and saying, ‘Hey, when are you going to retire, why are you doing all this?’”

Whether plastic surgery and scores of other cosmetic treatments actually give a leg up to older Americans either entering or currently in the workforce is unclear.

“We really want patients to realize that … these procedures do not lead to Cinderella-like transformations in their lives,” Sarwer said. Researchers are still unsure how cosmetic procedures affect quality of life and self-esteem in patients.

“While some people may see you as more attractive, and they may have a positive impact on things like your body image and how you feel about your appearance, they in fact may not help you get a new job, or do things like save a failing marriage,” Sarwer said.

Dorothy Tannahill-Moran, a career coach who leads job searching classes for people 50 and older, advises her students to focus more on keeping their wardrobes current and matching the higher energy levels of younger would-be co-workers than zeroing in too much on plastic surgery.

“It’s a fairly easy leap to go from feeling like you’re at a disadvantage and having perhaps had a couple of blows dealt to you and then going, well, maybe if I clean up my act, if I go get plastic surgery, maybe that’s it,” she said in an interview. “I think there’s more going on than just how wrinkle-free your face might be.”

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