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.”

Come payment time, a surprising number of celebs have been known to adopt an even lower profile. “Most of them don’t just hand you a credit card like a normal person,” says Beverly Hills surgeon Randal Haworth. “They tell you to call their handler or money manager-but then you can never get the money manager on the phone!” (Many starts think the honor of halting an icon’s physical deterioration should be payment enough.)

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Predictably, having their looks constantly scurtinzed by the celbrity weeklies has made his patients “far more compulsive than they used to be,” say Dr. Haworth, who adds that he regurlarly turns away patients who want laser treatments at weekly (instead of the recommended six-week) intervals. “It becomes a battle of wills,” add Beverly Hills dermatologist Stuart H. Kaplan. “Celebrities are so used to being catered to, they treat a doctor who tells them ‘no’ like they’d treat an uncooperative maître d’.” Unfortunately, like alcoholics who hit the next bar if they’re refused a drink, patients who don’t get their way often sign up with another physician. “I recently ran into a woman,” says Dr. Haworth, “who informed me that she was now seeing someone else because I wouldn’t let her do what she wanted.”

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In terms of actresses, Dr. Haworth would like a shot at refining the proboscis of Sarah Jessica Parker. And believe it or not, Dr. Sadick feels that Angelina Jolie could use a little help. “She has pigment issues,” he whispers.

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Like everyone else, celebrities set their standards of beauty by studying other celebrities. According to our panel, even their most famous clients are not above coveting their colleagues’ best features. Women most often request Gisele’s breasts, Elle Macpherson’s eyes, and Angelina’s lips, thought requests for J. Lo’s ass have tumbled along with her career. Men most often come in with pictures of Sean Penn’s chin, as well as Tom Brady’s. Both sexes, however, are increasingly aware of the pitfalls of too much plastic. With images of Melanie Griffith’s notoriously inflated lips dancing in their heads, they’re reluctant to undergo any radical changes. “The words, ‘I don’t want to look like Pam Anderson’ have been uttered to me so many times,” says Dr. Haworth with a sigh, “I hear them in my sleep.”

Artwork by Dr. Randal Haworth of Beverly Hills.

Sooner or later, gravity catches up with women. But it doesn’t have to! Stars like Sharon Osbourne and Patricia Heaton have admitted to giving their once-droopy breasts a little lift. A mastopexy (the technical term for a breast-lift) is a surgical procedure that restores firmness, raises and reshapes the breast. “Excess skin is cut so that it’s proportional to the breast tissue it contains,” explains The Swan plastic surgeon Dr. Randal Haworth. To restore volume, lifts are often done in conjunction with implants, but even alone it can add perk! Average price: $2,000- $8,000.

AWARDS DATABASE All of the winners, all of the nominees, all of the awards shows. Up Next Oct. 20 •Final date for Golden Globes press conferences for TV entries Oct. 23 • Hollywood Awards More Galleries   Contender premieres: ‘Running with Scissors’ Entertainment News L.A.’s Jeffrey Sebelia Wins ‘Project Runway’ >> NBC to Cut Jobs Amid TV Unit’s Weak Performance>> Residuals Debate: Old Script on New Set >> More Entertainment News at latimes.com Envelope on the Go  Get the newsletter  Get it on wireless RSS Feed

E-MAIL TO A FRIEND   PRINT Lasting: Most patients who do one Thermage treatment don’t repeat it until the results wear off, in one to two years. PHOTO GALLERIES Ageless actresses gallery Speaking of fat, which reminds me of stomachs, thighs and upper arms, Thermage also works on those female trouble spots. “It’s not going to make fat go away, but if a woman has loose skin on her stomach from lipo, weight loss or after having a baby, Thermage can tighten those areas,” says Wieder. And it works for crepe chests, saggy upper arms and wrinkly knees. I’m gonna hold off on the full body Thermage treatment. Frankly, my wallet is tightening. The face/neck/eyes tab is $2,800. But damn the budget. Full anti-aging speed ahead. Step One of my awards season prep was done. But with my face tighter, I realized my cheeks were — dear Lord — really hollow. When I was a baby-faced teen, I remember longing for sophisticated Dietrich-like cheekbones. Now I want my youthful apple cheeks back. Check out Teri Hatcher and Cindy Crawford, then and now. Hollow cheeks after 40, it happens to us all. So, after five seconds of rational, thoughtful, careful consideration, I decided to get my cheeks shot up with Sculptra — a new filler that stimulates your own collagen to grow, thickening your skin, filling in the hollows. The ingredient (poly-L-lactic acid) is injected into the face to correct lipotrophy, the loss of facial fat due to aging. Initially FDA-approved for AIDS patients, it’s now been approved for all patients to correct hollow eyes, sunken cheeks, etc. Results last around two years. And I’ve heard rumors that it’s being used on aging hands because, well, if you’re a woman reading this, you already know why. And if you don’t, look at your grandmother’s hands. That is your future. Wieder began by inspecting my face from all vantage points, then drawing circles and lines around my cheeks. He gave me six tiny anesthetic injections in spots where he then injected the Sculptra. It took about 25 minutes. My eyes didn’t even water. I left the office with an ice pack that I tossed on the drive home. No bruising, just slightly fuller cheeks. The only downside? The $1,200 charge on my Amex card. But I did my homework. Wieder advised “Massage your cheeks gently. Five days, five minutes a day, five times a day.” A five weeks later, my cheeks, while not exactly sweet 16, definitely look more like the ones I owned at 35. Okay, so the cheek hollow situation was solved. But A-list actresses have to worry about High Def revealing every fine line, pore divot and sun spot. And that’s where Fraxel comes in. Or should come in. I’d heard about Fraxelfrom a girlfriend who had just had her fifth treatment from Dr. Randal Haworth (“The Swan”), one of the hot Beverly Hills surgeons. She claimed that everyone in town was getting Fraxeled by Hayworth and she should know because she really does know everyone in town. What’s a Fraxel? My friend gave me a brochure that explained the laser treatment resurfaces your skin by penetrating deep beneath the dermis. Each session — and you will need five over a period of five months — does a fraction of your skin cells, hence the name. Imagine your face as a collection of pixels — like in an enlarged photograph — and you get the idea. But unlike Sculptra, there is major downtime involved. “For the first few days, your face is bright red, like you spent two weeks on the beach in the Caribbean without sunscreen,” another frequently Fraxeled friend whispered. Hmmm. That’s slightly worse than the “bronzed face” effect described in the brochure. After checking my calendar, I decided that while I probably needed a Fraxel, I should hold off until I found five consecutive months with one week with no personal/professional obligations, including taking out the trash. Besides, with my tighter face/neck/eyes and fuller cheeks, I already feel like an Oscar-seeking Hollywood actress. And I’d like to thank the Academy for making all this possible. Without the incredible awards season pressure to look one’s best, I might not have gone to the trouble, discomfort and expense of all these Oscar Face Race beauty treatments. Now I won’t dread my up-close-and-personal interviews with all those suspiciously younger-than-springtime actresses. And who knows? Maybe they’ll wonder what I had done. Or maybe they’ll notice that I missed something. 1 2 3 4 << Back

Of seventeen candidates on the first season of The Swan, all received tooth veneers, sixteen had liposuction, fifteen had forehead lifts, thirteen had nose jobs, thirteen had lip augmentations, and eleven had breast augmentations. Dr. Randal Haworth, one of two surgeons on The Swan, said the “graduates” all bore a certain resemblance to one another partly for technical reasons. “There is a certain finite number of procedures you can do,” he told me. “And when humans think of beauty, they go to those hot points-nose, brows, lips-and that’s what we work hard to define.”