MS. FITNESS (2004) – TIPS FOR LIPS


We’ve all seen the: collagen-blasted lips that look like Donald Duck after a late night fist fight. Too often, women seeking a fuller, poutier mouth go overboard with the collagen injections and look more enraged than enhanced. The shelf-like lip projection and bloated overhand achieved through traditional collagen injections are the stuff of talk show jokes and behind-her-back snickers. More and more women want a luscious bee-stung look but get a result that’s more silly than sexy. When collagen is injected without regard to the individual mouth shape, the result can be less appealing.

To the rescue is Aesthetic and Reconstructive Plastic Surgeon Dr. Randal Haworth, who understands that lip augmentation is more than simply sticking stuff under the skin. Haworth takes into account a number of factors: whether an upper lip is too long, or lips are inverted, or if lips are just too thin. Haworth will inject lips, but it’s usually with a transfer of fat from the lower abdomen, which allows for more sophisticated and exact injection capabilities. Fat transfer causes less post-procedural swelling and a less phony effect.

What Haworth, who is a board-certified Plastic Surgeon, can give lips is more of a put than a phony pump. “The ideal youthful smile is one with plump lips, slightly parted, and about three millimeters of upper teeth showing-it’s a very vibrant, very fertile look,” he explains.

IN TOUCH (2004) – HOLLYWOOD’S PERFECT MAN

Best Eyes The verdict is in: Jude Law’s eyes rule. “His eyes have a nice fold to them, and they will age well,” says Dr. Randal Haworth of The Swan. “His upper eyelids are not too heavy or too feminine, and he’s got a nice shape to his eyes. Best Lips “Brad Pitt has the perfect balance between the lips. His lower lip has a nice protuberance, while his upper lip is narrower,” says Dr. Haworth. “Men with lips that are too full indicate less of an IQ to the average person, but thin lips indicate coldness.” Best Cheeks Johnny Depp makes “edgy” acting choices, and that same word applies to his face. “He’s got a catlike, pushing-the-envelope quality,” says Dr. Haworth. “He has a model look in terms of the way his facial skeleton is constructed, but it also has interest.” Best Chin Former model Ashton Kutcher’s chin is in high demand! “A lot of patients ask for his chin,” reveals Dr. Haworth. “It’s classically proportioned, strong, masculine chin. It’s not cartoony and it balances the rest of his facial features.

IN TOUCH (2004) – BRAD PITT: HAS HE HAD LASER SURGERY?

He’s one of the sexiest men on the planet, but Brad’s skin used to be the pits. “Brad had very bad acne scarring,” says The Swan’s Dr. Randal Haworth, who notes that the 40-year-old’s skin is looking a lot smoother lately. “He may be using laser resurfacing to get rid of his acne scars,” suggest Dr. Ourian. “I think the only reason he gets this done is because of Jennifer Aniston-she keeps her skin maintained and wants him perfect, too!” Dr. Frank disagrees: “I don’t think Brad has filled in his acne pits,” he says. “I think it’s all lighting and makeup.

MR. FAMOUS- A NOVEL (2004)

She was referring to Dr. Haworth, her plastic surgeon. Claire and all her girlfriends always referred to their plastic surgeons by their first names. It was never doctor so-and-so. It made it all seem very clubby, and judging by the indentations between my brows, not a club I could afford.

L.A. TIMES PATH TO THE OSCARS (2003) – BEAUTY COSTS A PRETTY PENNY: PATH TO THE OSCARS



Botox, this is your big week

Beauty is only skin deep, but dematologists can erase little flaws in time for a red-carpet stroll.


By Gina Piccalo
Times Staff Writer

Here in Beverly Hills, amid the gurgling fountains of wealth and luxury, the world’s most famous women come in disguise, during off hours, by private elevator, using false names, to fight the good fight against, the one thing that money can’t buy: time.

In the weeks before the Oscars, the entertainment industry’s biggest night of the year, it’s the dermatologists and plastic surgeons they seek – anxious to look younger, slimmer, more beautiful than usual. That red-carpet walk is much more than a fashion show. It can mean better roles, more money or a career kick-start.

“You get a lot of people who are conscious about how they will appear in photographs,” says plastic surgeon Dr. Randal Haworth. “They say, I don’t want any bruising.’ They’re even giving me a hard time coming into the room 20 minutes late.”

“They don’t just roll off the truck famous and beautiful,” says Beverly Hills cosmetic dermatologist Dr. Harold Lancer, whose clients include Oscar nominee Diane Lane, Cher, Nia Vardalos and Goldie Hawn. “It’s a process. I’m sort of specialist in fine-tuning the process.”

Lancer occupies the penthouse floor of a nondescript building on Wilshire Boulevard a few block from Rodeo Drive. Inside his office, hallways are crowded with filing cabinets and wall-sized painting of 1920s party scenes. Art deco mirrors hang in nearly every examination room. Lancer won’t relocate to a larger space, he says, because the high-profile clients like the building’s vacant lobby. “They have the whole top floor,” Lancer says. “It’s sort of isolated.”

On Friday morning about a week ago, he hustled from room to room, injecting and sloughing and burning away all evidence of age on the faces of women in their 30s and 40s. On this day there were no A listers hiding out in exam rooms, and few patients planned to attend the awards. But they all came for the same treatments that Lancer has performed on Oscar nominees and actresses every week and for months.

“When a show is approaching or an interview or a film release or a pilot season, they will speed up the schedule,” Lancer says. “With the Oscars, chances are they’re in ‘chronic mode.'”

For Santa Monica plastic surgeon Dr. R. Patrick Abergel, that means an enormous demand for Botox, the $350 shot of botulinum toxin that paralyzes facial muscles, thus eliminating frown lines. “March for me is the busiest month of the year,” he says. “we’re probably going to do more Botox [in one week] than we’ll do in a month.”

But Lancer warns actors not to overdo it. “It looks ridiculous if you’re nominated an you receive an award and you have no facial expression,” he says.

Even worse, for some, is wearing one’s age to the awards ceremony. Women have been bringing their evening gowns to Abergel, pointing to the areas exposed and having him laser away sun damage on their cleavage and removing back and upper arm fat. “With a very small needle, we just reabsorb all the fat from the arms,” he says. “It heals within a week to 10 days.” This “mini-sculpt” costs $5,000. The same procedure can remove jowls, says Abergel.

Others are paying $500 to $1,000 per shot for injections of collagen or its derivatives – Cosmoderm, Restylane, Perlane – to plump cheeks or fill laugh lines. “Like air in a tire,” Lancer says. While those procedures last a few months, Abergel uses a permanent lip-plumping substance, polytetrafluoroethylene, the same plastic used to make Gore-Tex. Granted, this one is more costly: $4,500 for both lips.

For more stubborn wrinkles, like those Haworth calls “marionette lines,” there’s the bone substitute called Radiance. It builds up the skeleton around the mouth, plumping sagging skin. Then there’s the lower eyelid “pinch,” which removes winkles below the eye “with one little stitch,” says Haworth, and heals in three days.

For Skin with a youthful glow, starlets favor microdernabrasion, a $600 process that sloughs off dead skin and with it fine lines from the face, neck, shoulders and cleavage, followed by a $500 infrard laser toning that burns off sun damage and encourages collagen production. Another option is a series of $1,000 “photo facials,” blasts of a broad spectrum of light that dissolve spider veins and age spots.

“For many, many years the look in Hollywood was pulled,” says Abergel, referring to full face lifts, as opposed to today’s less invasive procedures. “The new trend now is to look…very natural.”

Back in Beverly Hills, Lancer leaned over Annie Avery, a 40 year old yoga instructor from the San Fernando Valley. She isn’t attending the Oscars but scheduled he appointment early to beat the rush. Tiny scarlet jewels of blood appeared on her top lip as he injected $500 worth of Cosmoderm, a human derived collagen. “I have a pretty high tolerance,” said Avery, wiping a few tears from her eyes.

Down the hall, the lithe 35 year old Jennifer Campbell, a former Miss Hawaiian Tropic and “Baywatch” co-star, perched on the examination table. She came to talk about facial blemishes and ended up consulting with Lancer’s technician – who tattoos the equivalent of lipstick, eyeliner and eyebrow pencil. It’d be nice not to worry about your eyebrows falling off in the water,” Campbell says. “For women, it’s very tough in L.A. You’re competing with girls in their 20s.”

Lancer moved on to Paris Henman, a Malibu mom with blemishes left over from pregnancy. He explained the importance of sun block. “If you forget for one week in the Caribbean, it will be undone,” he told her.

Next, Lancer passed a wand over the face of young blond woman in a $200 microdermabrasion treatment. With each pass, the skin was buffed with tiny crystals, leaving her skin as smooth as an infant’s.

“This particle polishing is what we do for entertainment people,” Lancer says. “I tell patients it’s like detailing your car.”

And when image is everything, even car metaphors seem fitting.


LA CONFIDENTIAL (2003)

Tucked between Anastasia, the reigning “queen of brows,” and Classy Collections, 436 North Bedford Drive houses some of the most sought sought-after plastic surgeons and dermatologists in the country, where the elite retreat to tuck and tweak. Professional and most importantly private, the doctors deliver state of the art surgical care to those in need of little boost. Take the brothers in Suite 304, doctors Bob and Simon Ourian, at Epione Aesthetic Clinic. Simon pioneered the technique of Laser Lip Enhancement (LLE), a noninvasive laser treatment using injections of autologous fat, and the Coolaser, a noninvasive facelift that eliminates post treatment care. In suite 202, Dr. Renato Calabria recommends the new Vertical Facelift, a procedure that reshapes the facial tissues vertically, nearly eliminating any visible scars. Or downstairs, in Suite 105, dermatologist Dr. Debra Luftman rolls back the clock with a bevy of treatments such as Glycolic Acid Light Peels and Fotofacial laser treatments, using Derma K and Erbium laser. A visit to 436 Bedford Drive isn’t complete without stopping by Dr. Randal Haworth’s office. He specializes in just about everything beauty-particularly faces, noses, and breast. When clients say, “This man is an artist!” they mean it. Dr. Haworth is also well known in the art world for his charcoal sketches and has had several gallery shows – a true synthesis of art and science. —LAYLA REVIS

US WEEKLY (2003) – YOUNG PLASTIC SURGERY

Britney Spears, 21 What: Reportedly has had breast implants The Story: In 1999, the then-17-year-old singer seemed to bust out overnight. New York’s Daily News reported that Spears had implant. Her reps at the time didn’t deny the claim. An Expert Says: “It’s very probable that she had augmentation,” Beverly Hills plastic surgeon Randal D. Haworth tells Us. Her Side: The pop star has attributed her fuller bust to “a major growth spurt” and later said, “Like I’m really going to get breast implants at 17?”
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