In the world of plastic surgery, body parts such as the breasts, eyes, and midface receive the attention, whereas others-like the lips-go virtually untouched. Even though lip implants have been a popular procedure, the emphasis has been on the upper lip. Randal Haworth, MD, a Beverly Hills-based plastic surgeon, has developed a new technique known as the “lower lip lift,” which reverses the effects of gravity on a patient’s lower face.

A contemporary artist, Randal Haworth, MD, is also a Beverly Hills plastic surgeon.

Randal Haworth, MD, a Beverly Hills plastic surgeon, always had a bent toward art. Ever since he was a child, he drew and painted everything from flowers to fancy buildings. But when he told his parents he wanted to be an artist, they weren’t having it.

“I was an only child and my parents were war babies from World War II,” says Dr. Haworth. “My mother was living in Holland and my father was living in England at the time of the German invasion. They wanted one of their children to be a physician. Basically, they said to me, ‘Randy, you are going to pursue medicine or else.'”

Today, Dr. Haworth is the owner of Beverly Hills Surgical Center Inc. on Bedford Drive. He is a pioneer in the field of plastic surgery, specializing in both reconstructive and aesthetic procedures. However, Dr. Haworth hasn’t abandoned his artistic interests. In fact, he considers himself an artist who has become a doctor.

“I was raised in England, and I remember seeing a program on the BBC about plastic and reconstructive surgery,” Dr. Haworth says. “At that moment, it struck a chord within me even at the age of 13, that I would be able to combine my curiosity for science with my bent toward art and satisfy both through the synthesis.”

A trailblazer, Dr. Haworth has developed procedures for breast and lip enhancements and mid-face lifts utilizing Endotine B. His technique in natural, permanent lip augmentation, utilizing the patient’s own tissue, won him an esteemed plastic surgery research prize at UCLA in 1995.

Just as Dr. Haworth is artful with his scalpel, he remains innovative with his paintbrush. In 2000, he launched “Memories Lost,” an art exhibit at the BGH Gallery/ Bergamot Station in Santa Monica. The body of work comprised photorealistic graphite drawings of missing children and adults. His new series, titled “Iconography,” focuses on modern culture through anachronistic figurative images rendered in acrylic on canvas. This exhibit was shown at the Karen Lynne Gallery in Beverly Hills in November 2006. Another engagement is planned in Boca Raton, Fla., in early 2007.

He has no formal education in art, but his medical credentials are top notch. Dr. Haworth earned undergraduate degrees in chemistry and biology from the King’s School in Canterbury, England, the oldest boarding school in the world. He performed his medical training at USC and completed his five-year general surgery residency at The New York Hospital Cornell Medical Center. In 1993, he returned to the West Coast to serve as chief resident in plastic and reconstructive surgery at UCLA Medical Center, gaining extensive experience in the subspecialties of aesthetic, micro, pediatric and hand surgery.

Dr. Haworth has not limited his service to patients at these prestigious institutions. For the past few years, he has been providing charity care, donating his time and skills to patients in the Middle East and Asia.

It all started when he was featured on the reality television show on FOX called “The Swan.” Launched in 2004, the show featured a team of medical professionals who physically transform women competing in a beauty contest.

“When ‘The Swan’ aired worldwide, physicians working at the Taiba Clinic in Kuwait City saw me on the show,” Dr. Haworth says. “Because of my plastic surgery expertise, they asked me to perform several reconstructive surgeries for them.

“At the time, the Iraq War was pretty fresh and Americans were very paranoid. We were still seeing videos of New York Times reporter Daniel Pearl being held captive by militant groups on television. I wanted to volunteer my medical services to the Taiba Clinic, but I had a great degree of trepidation about going over there.”

Despite his uneasiness, Dr. Haworth went. And he was surprised at what he found.

Kuwait City is a very Westernized town, boasting more Starbucks Coffee locations per capita than any other place in the world. And the people: friendly and generous.

“I saw a tremendous amount of birth defects, car accidents and trauma, some of which were beyond the expertise of the Taiba Clinic,” Dr. Haworth says. “Many of these heavy cranial-facial defects or deformities require a multidisciplinary approach that is beyond the skill set of a single physician trained in cosmetic surgery.”

Since his first trip in 2004, Dr. Haworth has returned to the Middle East four times, performing reconstructive surgeries on patients with deviated noses and other deformities. He has also expanded his charity care to Asia, fixing cleft palates and cleft lips in Thailand.

“[My charity care] is not a life-sapping sacrifice: I don’t have to flog myself to do this,” Dr. Haworth says. “I do it as a way to reconnect with myself and remember why I decided to go into medicine in the first place. When physicians give to the community, we’re doing it because we ourselves get some form of gratification from it. So in a way, when you look at it from an existential standpoint, it is a little bit of a selfish thing.”

With a successful practice in Beverly Hills, a celebrity client list longer than this season’s maxi dress and a stunning model/actress on his arm, the blue-eyed Californian-born surgeon is living proof of the Hollywood dream. Having made a name for himself with his pioneering lip augmentation technique, and by making women swoon as the main surgeon on the reality show The Swan, Randal is refreshingly down to earth. His girlfriend, Ana Alexander, is an aspiring actress and although it may seem a cliché for an actress to date a top A-list surgeon we assure you this cute couple couldn’t be more loved up. In fact Ana says, “For me as an actress the worse thing to do is go out with a surgeon. Everyone assumes I’ve had work done.” After checking for scars and signs of tucks OK! Middle East can confirm Ana is 100 percent natural and certainly in a different league to the typical airhead status often associated with models. Ana is actually a rare find of beauty and brains. Having recently set up her own production company with her brother we are certain this won’t be the last we hear of this rising star.

32A. No longer too skinny, Kate Bosworth “could go up a whole cup size if she gained weight,” says cosmetic surgeon Dr. Randal Haworth.

I have found there is definitely a trend toward a more natural, youthful face with fullness, getting rid of the boney look around the face. When we age we lose the fat under our skin-it disappears. The key to youth is to reapply the subcutaneous fat that’s right under the skin. Minor aging occurs in the hollow of the eyes and up to the lash line, and the area up to the brow bone tend to get deflated. What we can do is inject it so that it’s smooth and plump. Also, we can elevate the brow bone and eyelid to the temple to get that “cover of a magazine, photoshopped look.” Micro-injection techniques are used for this. Botox has the monopoly on the market for this procedure. Botox or other injectables can also be used in the chin and neck bands; they are in what I call my ‘art box.’ These nonabrasive procedures are big with celebs. The fillers that are used are Botox, Restylane and Juvederm. Long-acting fillers such as Juvederm Ultra can last up to six to eight months. Polyacrylamide advancements have made it possible for many new fillers to come onto the market. –Dr. Randal Haworth, Board-certified plastic surgeon, 436 North Bedford, Suite 105, Beverly Hills, 90210, 310-272-3000.

70. Everyday Moisturizer (no SPF)
Kinerase Cream
“Kinetin has anti-inflammatory, water-retaining properties that work to plump up and smooth fine lines,” says Beverly Hills dermatologist Randal D. Haworth. “It also contains vitamins C and E, which are good antaging ingredients.” Bonus: It’s completely non-irritating.

73. Wrinkle Treatment for Normal Skin
Elizabeth Arden Prevage Anti-Aging Treament
You won’t get instant results, but with the dedicated use you’ll see a marked difference in lines and wrinkles in five to six weeks, says Haworth, who reviewed the clinical studies. Experts deem the ingredient idebenone a powerful yet remarkably gentle antioxidant.

It’s got the versatility of synthetic fillers such as Restylane and the recently FDA-approved Juvederm, but AquaMid may be an even better way to spackle smile lines, fatten lips, erase creases, and augment cheekbones and chins. Here’s why: It’s permanent, and it’s reversible. The hitch: FDA approval is probably several years away. Made in Denmark, AquaMid is a gel-like plumper that has been available in Europe and Middle East since 2001. Says Randal Haworth, a Beverly Hills plastic surgeon who has used AquaMid overseas, “It’s smooth and easy to inject, and if a patient wants to modify the results, her doctor can just stick a needle in and pop the implant like a zit.”

With a reputation as one of the world’s premier plastic surgeons, not only for his technical abilities but also for innovations in the aesthetic arena, 45 year old Dr. Randal Haworth is also a celebrity in the media: he was featured on the Fox hit The Swan and is considered the go-to expert for national and local media. He has two network pilots in the works, along with his own upcoming skincare line. He’s also a well-respected artist with two solo exhibits in 2006 under his belt. His well-reviewed work, which has been described as “hip, edgy, and sentient,: has been exhibited in Los Angeles, London, and Boca Raton, Florida.

At the People’s Choice Awards, where Aniston won Favorite Female Movie Star, her cups seemed to have runneth over. A source close to the star tells Us there’s nothing artificial about her cleavage, though Beverly Hills plastic surgeon, Randal Haworth, who has not treated Aniston, doesn’t rule out augmentation: “It could be a well-done small breast job.” Stylist David Evangelista’s opinion? “It’s the construction of the Versace dress,” he tells Us. “But she could have used cutlets to lift those puppies up!”

You know a cosmetic procedure has reached its tipping point when it takes on verb status and starts casually turning up in conversations–e.g., “Can’t go to Barneys today, I’m getting Botoxed this afternoon.”

Or, as Santa Monica-based therapist Betsy Cantor says, “The last time I Fraxeled was a little over a year ago. Afterwards, people wondered what was different, like I went on vacation or lost weight.” So what’s Fraxel? Basically, a next-gen laser treatment that bypasses skin’s top layer and works only on the deeper dermis, thereby eliminating the breakage traditional lasers cause. It tums out Cantor, 51, was on the forefront of a wave of youth-seekers now turning to Fraxel to get their skin as smooth as a baby’s butt.

Wait-list-only celebrity plastic surgeons like BevHills’ Randal Haworth (he’s the handsome gent on The Swan) and the Westside’s Grant Stevens report that Fraxel has become one of the most requested procedures among their paparazzi-stalked patients-including men and those as young as thirtysomething-who try everything short of skin transplants to keep wrinkles and age spots at bay.

“We’ve worked Fraxel around photo shoots and film shoots,” says Stevens, the medical director of the Plastic Surgery Associates centers in Palos Verdes and Marina del Rey who also teaches at USC and UCLA.”I guarantee that you’ve seen the effects [of Fraxel] on the red carpet. The last time I saw this level of enthusiasm was when Botox was new.”

Fraxel-which costs about $1,400 per session (patients typically need three to five sessions for optimal results)-penetrates the outer epidermis and promotes collagen production below the surface. New skin starts to bubble up, visibly reducing the appearance of three nagging problems, crow’s feet, brown patches and acne scars.

Both Haworth and Stevens say Fraxel’s breakthrough is in its ability to deliver the results of a traditional laser without the usual downtime. Typical C02 lasers sandblast the entire face, leaving patients ooze-y for at least 12 days and pink for up to two months, according to Stevens. “It’s like scraping your knee as a kid. Fraxel is like drilling little tiny holes that aren’t visible to the naked eye. We’re able to target only the areas that need it.” (Or fractional parts of the skin, ergo the name Fraxel-get it?) The docs say downtime can be as little as two days of looking blotchy and ruddy. But Cantor’s experience was a bit more intense:”It felt like a bad sunbum-blotchy, redness, a little peeling-for about two to three days. I would say it took about a week for my skin to completely, 100-percent heal.”

Additionally, Fraxel allows for treatment on patients with more pigmented skin like Asians, Hispanics and African Americans. ”You can’t use C02 with darker skin,” Haworth says. “It can cause problematic discoloration, where the skin actually gets darker.” The neck, decolletage and tell-all hands can also be zapped with Fraxel, whereas C02 is face-only. Stevens has even started using the new technology to improve the appearance of stretch marks. He’s found that Fraxel helps fill in and lessen the depth’ of the pesky pocks, thanks to its collagen-stimulating action. But Fraxel has built its buzz primarily on wiping out wrinkles and age spots-and word starts to spread fast when celebrities are involved. “We’ve got a patient, a pretty major actress, who’s always saying the paparazzi are cruel to her,” Haworth says. “She wanted to try to get three Fraxels in three weeks. I told her you can’t do that; you have to separate them by at least a few weeks. Later, I found out she was calling other physicians and lying about her treatments, trying to get all three in three weeks.”