Skin resurfacing. As recently as two years ago, laser resurfacing was all the rage as a means of eliminating acne scarring, blasting fine lines away and erasing dark spots from sun damage. Today, doctors have cooled on it a bit, if only because it involves considerable recovery time and could produce scary side effects: The laser has to destroy the outer layers of skin in order to encourage new skin growth and higher collagen production. “If the patient is not prepared, it’s very tough,” Shuster says. “His skin is going to peel off.”

Certainly there are cases in which laser is the way to go, especially when the patient can manage to stay out of sight for a couple of weeks after treatment. But the current preference is for light chemical peels, micro-dermabrasion and gentle laser sesions. While the particulars vary, the common approach is multiple lesser-intensity visits that produce a cumulative results. “You undergo a series of seven to 10 sessions,” Haworth says, speaking specifically about the sand-blast method of micro-dermabrasion, “and they act like one longer procedure.”

Facial surgery. All the same, going under the knife can still be an option of last resort. Any of the procedures already mentioned, including Botox and fat injections, work well on older patients. And small surgical procedures a little nip and tuck under the eye or along the jawline will go a long way toward making a man look more rested and healthy. The closest that most men come to the full tug-which doesn’t have many proponents these days anyway- is either the modified facelift or the so called unified-incision facelift, the latter a procedure that Imber helped develop. In the modified lift, the surgeon simply goes for less radical results. In the unified procedure, the surgeon makes a short cut in front of the ears and through it tightens the skin of the face-but not, as in a traditional full facelift, the skin of hte forehead.

A facelift is typically accompanied by a lift of the skin on the neck, to keep skin tone consistent. Haworth is enthusiastic about a new type of necklift in which the surgeon runs a Gortex sling from the tough tissue behing one ear underneath the neck and around behind the other ear. “It redefines the neck remarkably,” he says. “It not only addresses loose musculature, it also redirects the skin upward. After the patient looks like he’s just come back from a great ski vacation.

NECK-AND FACELIFT Randal Haworth MD 436 N. Bedford Dr. Suite 105, Beverly Hills CA 90210 (310) 273.3000

Votre Beaute
VOTRE BEAUTE (2001) – VOTRE BEAUTE (FRANCE)

“Sylvester Stallone has had great facial rejuvenation” says Randal Haworth, a Los Angeles plastic surgeon.

…billion viewers and be photographed thousands times without having gotten that facelift they know they need had better take care of it early. You’d certainly want all the swelling down by the Golden Globes (that Oscar precursor that’s become so vital it’s now almost like Act 1 of the Oscars), and it takes a minimum of a couple of months to look photo ready again –just ask a Beverly Hills surgeon to the stars like Dr. Randal Haworth …

Sure, a total facelift (brow, eyes, face, neck) can take 10 years off, but only if you have the pain tolerance, eight weeks for recovery, and $20,000 to blow. Micro- or glycolic peels may make a dull complexion glow, but they won’t help deeper-set lines. To iron chose out, celebrity clients of Beverly Hills plastic surgeon Randal Haworth get botox injections, which “freeze” targeted face muscles. Results last four to six months. Cost: About $400 for brow and forehead wrinkles. Add in crow’s feet, mouth and neck lines and the total jumps to about $700. Since Botox takes a few days to “activate” in skin, go a week in advance of your big night.

how it’s done: Under a general anesthetic, the surgeon makes incisions in and around the ear to work at eliminating the jowl area and lifting up the folds of fat around the nose. The procedure “airbrushes away the marionette lines around the mouth as well “says L.A plastic surgeon Randal Haworth M.D.

pros: It “turns back the clock”, according to Haworth. The face looks younger and rejuvenated, and the overall effects is just as dramatic as a regular facelift but simpler to perform.

cons: Temporary swelling, numbness and bruising.

recovery: One to two weeks.

staying power: seven to 12 years

cost: 10,000 to 14,000.

In surgeon’s defense, the procedure is not as simple as it may seem. “Breasts have a mind of their own, in a way,” says Los Angeles plastic surgeon Randal D. Haworth MD . “The first key is to position the nipple properly. I used to put the nipples in the perfect place so they looked perfect on the [operating] table. I now resist that.” After four to six months, he explains, the breasts relax, the swelling goes down and the nipples rotate higher. Haworth , who works on between 200 and 250 pairs of breasts annually, has noticed one significant change over the last few years: Young women who in the past would have had large B or C implants now come in requesting large Cs.

Randal D. Haworth MD 436 N. Bedford Dr. Beverly Hills (310) 273.3000

Removes silicone breast implants and is known for his immaculate endoscopic brow lift, Botox, liposuction and lip work.