Madonna, 51

In 1985 (left) and 2009

Is the Material Girl made of plastic? Almost. Madonna looks much younger than 51. Her cheeks are full, her neckline is sharp, and there are no wrinkles to be found. I believe she’s had a facelift, Sculptra injections to her cheeks, multiple laser treatments or chemical peels, Dysport injections and possibly an eye lift.

 

 

 

Jane Fonda, 72

In 1967 (left) and 2008

Jane Fonda was recently quoted as saying she attributes her looks to 30 percent sports and nutrition, 30 percent genes, 30 percent good sex and 10 percent plastic surgery. With her sharp jawline, elevated brows, and wide-open eyes, this 72-year-old-star, in my opinion, has had a facelift, brow lift, and eyelid lifts. I’d estimate her looks are from 30 percent genes, 20 percent sports and nutrition, and 50 percent plastic surgery. It takes more than Jane Fonda’s workout to look this good for this long.

 

Jack Nicholson, 72

In 1977 (left) and 2009

When it comes to steering clear of plastic surgery, Jack Nicholson is “As Good As It Gets.” He is aging gracefully, with nary a sign of the plastic surgeon’s knife. While many of his younger peers are injecting vials of Botox, Nicholson’s wrinkles are deep, natural, and untouched. Good thing, too, since too much Botox would make him look like his “Batman” character, the Joker. Now he just looks like an older, wiser and distinguished Hollywood star.

 

 

Cindy Crawford, 43

In 1990 (left) and 2009

The prettiest woman of the past two decades still looks amazing. Cindy Crawford is really a Super Role Model for aging gracefully. She looks barely five years older than she did in the early 1990s. Her skin remains flawless. She may have had some minor skin tightening treatments such as the new eMatrix by Syneron, but other than that it appears her looks are due to TLC and not the OR. If only we could all age like her!

 

 

 

Clint Eastwood, 79

In 1965 (left) and 2009

Clint Eastwood looks too tough to have had plastic surgery. Because 90 percent of plastic surgery patients are women, these techniques can sometimes make men look a bit effeminate and unnatural. Eastwood exhibits many of the signs of a man who has resisted the knife: a low brow, loose skin under his neck and terribly sun-damaged skin. The only procedure I believe he may have had is an upper eyelid lift. His upper eyelids actually appear heavier and more hooded back in 1965 than they do today. But even if I think he may have had plastic surgery, I wouldn’t dare tell him.

 

 

Courtney Cox, 45

In 1996 (left) and 2009

This cougar has done everything she can to stay looking young. Courtney Cox is clearly “Friends” with a plastic surgeon. In addition to possible chemical peels like the Obagi Blue Peel, she also appears to have had her lips plumped up, likely with a filler such as Juvederm. Her cheeks also appear a bit fuller, which could be due to fat grafting or Sculptra injections. Her skin is so smooth and flawless, I bet she’s received millions to try the skin care product she represents, Kinerase. Finally, in my opinion, her forehead exhibits the smoothness that only Botox or Dysport can provide.

 

 

Ellen Barkin, 55

In 1996 (left) and 2009

Ellen Barkin looks better than 99 percent of 55-year-old women. Is that because of genes, preventive skin care, or plastic surgery? I would bet a bit of all three are involved in keeping this Golden Globe-nominated actress looking young. Her brows appear higher today than they were back in 1996. This could be due to an endoscopic brow lift. Her eyelids also look more open than they did 14 years ago, possibly due to upper eyelid lifts. Her skin is extremely smooth, and may have had help from skin tightening treatments such as the Cynosure Smartskin Laser. Also, do her lips appear that they are getting larger with time, possibly due to lip injections such as Prevelle?

 

 

Joan Van Ark, 66

In 1987 (left) and 2008

Joan Van Ark unfortunately looks like a wax figure version of herself. Her skin is too tight, her lips look overly plumped, her eyebrows are too high, and her jawline is excessively sharp. I would attribute her unnatural appearance to multiple deep chemical peels, lip implants, a brow lift, upper and lower eyelid lifts, a facelift, Botox and filler injections.

Moderation and using a surgeon who’s a member of the American Society of Plastic Surgeons are the keys to looking good with plastic surgery. I doubt she’s followed these rules. At least her hair looks fabulous.

 

 

Johnny Depp, 46

In 1990 (left) and 2009

Johnny Depp is one of those guys that make looking good seem easy. He has stringy hair, doesn’t shave, wears funky glasses and he still looks better than 99 percent of men his age. Although there are rumors that Johnny Depp has had plastic surgery, I strongly doubt he has. He shows the wrinkles of a man his age. His great bone structure (high cheek bones and strong jawline) contribute to his youthful appearance. Johnny Depp may be a lot of things, but he is no plastic surgery junkie.

 

 

 

Michael Douglas, 65

In 1976 (left) and 2009

Is Michael Douglas desperately trying to keep up with his younger wife, Catherine Zeta-Jones? Douglas appears to have undergone a facelift or two in addition to an upper eyelid lift. Several years ago photos circulated across the Internet of him with what appeared to be stitches from a possible facelift. So why does he still have loose skin under his jawline? Well, since guys have thicker, more sun-damaged skin than women, the tightness of a facelift does not last as long for them. That may explain why, even after having what I believe are two facelifts, Douglas still looks a bit aged. But what would you expect from a 65-year-old man trying to keep up with a gorgeous 40-year-old wife?

 

 

Meg Ryan, 48

In 1998 (left) and 2009

America’s sweetheart has become almost unrecognizable in recent years. Meg Ryan’s lips look excessively puffy. I believe they’ve been enhanced with a permanent implant, such as Gortex. This substance can cause the lips to look big, stiff, and unnatural. They’re usually placed by threading it through the lips via small incisions. She also appears to have possibly had cheek implants, causing her to look a bit bulgy. The good thing is that both lip and cheek implants are completely reversible, taking only a 20-minute surgery. If she really wants big but natural-appearing lips, I would recommend that she remove whatever implant she may have, and replace it with fat.

 

 

Meryl Streep, 60

In 1980 (left) and 2009

When you are as good of an actress as Meryl Streep, you don’t even need to consider having plastic surgery. Streep may not be the youngest-looking actress, but who cares? She’s one of the few aging Hollywood actresses who doesn’t seem to have any problem developing wrinkles, loose skin and even some early jowls. While I bet she’s getting some nice mild chemical peels, such as the AFA Clay Peel, I doubt that she’s doing anything more than these ‘lunchtime’-type treatments. Kudos to her.

 

 

 

Nicole Kidman, 42

In 1997 (left) and 2009

Nicole Kidman’s face appears to be morphing by the month. Some days I think she’s had her lips plumped, other days I think she’s had her forehead Botox’ed. Overall, I believe she’s had both of these treatments, in addition to injections of filler such as Sculptra into her cheeks.

In some people, aggressive Botox injections can create an overarched eyebrow, which I’ve called a Botox brow.

 

 

Priscilla Presley, 64

In 1968 (left) and 2009

If Elvis could see Priscilla Presley now, he’d be “All Shook Up.” A couple years ago, she admitted to undergoing silicone injections from a phony doctor causing her to have a terrible result. Today she doesn’t look anything like the classic beauty she was just 15 years ago. Her skin is so smooth, it almost looks like it has a waxy sheen, a possible result of excessive laser treatments. Her lips and cheeks appear over-plumped, possibly with fat or another filler. Her forehead is excessively taut, maybe the result of too much Botox.

 

 

 

Sharon Stone, 51

In 1994 (left) and 2009

Why is Sharon’s face as smooth as a Stone? While I don’t believe she’s had any actual plastic surgery, it is quite possible that her youthful appearance may be aided by medical grade skin care, such as La Roche Posay, with some chemical peels or laser treatments, like the Jessner’s Peel. She is aging very gracefully, with none of the obvious alterations of many of her Hollywood peers. In fact, she’s aging so well, maybe we’ll see a “Basic Instinct 3.”

 

 

Sylvester Stallone, 63

In 1986 (left) and 2009

Sly Stallone looks like he’s gone a few rounds with a plastic surgeon. His eyebrows are excessively arched, causing him to resemble Cruella De Vil. This may be due to a brow lift. His eyelids are also tight, with nary a sign of loose skin. His jawline is also way too sharp for a man who is 63 years old. These features could be caused by an eyelid lift and a facelift, respectively. His cheeks also appear higher than they used to be, a possible consequence of silicone cheek implants.

All this possible plastic surgery is making him look strange – and a bit like Satan. I believe this would be a good time for him to throw in the plastic surgery towel.