I was reading the New York Times Sunday Magazine, and came across an interview with Joan Rivers. I think it’s fair to say she is the poster-child of plastic surgery, and plastic surgery gone wrong. She justifies her various plastic surgery procedures by citing the fact that she is in an industry where youth is prized. Perhaps. But is it really worth it?

I’ve never been a fan of plastic surgery for cosmetic enhancement, with rare exception. Plastic surgery seems to serve greater purpose in such cases as reconstructing the faces of burn victims, or allowing the patient who has had a mastectomy to retain some sense of womanhood. Filling lips with Restalyne to make them more pouty or increasing someone’s cup size three cup sizes so they look good in a bikini top doesn’t seem worth it.

Or is it?

I guess the main argument for most of the cosmetic procedures is boosting self-confidence. It’s a valid argument in some cases, but not all. Scar removal, for example, is valid. Removing moles and birthmarks, too, is valid (especially when they are suspected of being cancerous). Cheek implants? Butt implants? Not too sure about that.

Most cosmetic procedures are not permanent solutions, and require years of follow-ups, and sometimes repeat treatments. They are painful and potentially dangerous, in some cases. Breast implants, for example, almost always calcify (as is the case with most foreign objects introduced into the body), causing breasts to become hard and distended. In the case of silicone implants, the calcification carries the risk of causing rupture and leaking of the silicone gel into the body. Lip plumping agents are often temporary, and require visits every 6 months for more injections of collagen, Restalyne, or some other compound. Why go through that if you really don’t need to?

To a greater extent, people flock to creams and lotions that promise a reduction of wrinkles and a more youthful appearance. Everyday, we’re bombarded with ads promising youth in a bottle, jar, or a tube. Each has limited success, yet the bottles, jars, and tubes fly off the shelves everyday, in staggering numbers.

Here are a few numbers:

- In 2007 11,701,031 surgical and nonsurgical cosmetic procedures were performed in the United States. A little over 2 million of those were surgical procedures.
- Since 1997, surgical procedures have increased 123%, nonsurgical procedures have increased 749%.
- The 35-50 demographic makes up the most procedures.
- Yes, even men are getting work done, though not at remotely the same rate as women (ex. 300,472 Botox procedures in 2006 for men, versus 3,181,592 for women).

(Source: Cosmetic Plastic Surgery Statistics)

I think the worst part is that, while some procedures do a decent job at mimicking the natural state, when the procedure goes wrong, it goes horribly wrong. I’m not going to cite examples, because I think we can all think of at least one or two that fit the bill.

Why are we forever after this standard of youth and beauty that, after a while, becomes harder and harder to achieve? Why are women invariably the ones that head for the skin cream, Botox injections, and surgeries at greater rates than men?

What are your thoughts?