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.”

Genlux Magazine – Fall 2006 – Fall Fashion Issue.

Dr. Randal Haworth is back to tell Salon City readers about new, non-invasive, in-office plastic surgery techniques. Based in Beverly Hills, Dr. Haworth is a world leader in the area of plastic and reconstructive surgery, quoted and profiled in numerous magazine and newspaper articles and featured on many TV shows discussing innovative plastic and reconstructive surgery techniques. Most recently, Dr. Haworth was the featured plastic surgeon on Fox-TV’s hit, The Swan. He is now one of the go-to experts for both Dr. Phil and Tyra Banks.

We asked Dr. Haworth to talk to us about some of the new procedures he’s excited about. “The Fraxel Laser Treatment,” he says, “is an in-office, non-invasive laser skin resurfacing that works without any real downtime, side effects or lengthy recovery period.”

The latest plastic surgery reality show to hit screens, The Swan , has captivated audiences worldwide with its touching tales of transformation. Putting a new spin on the genre, which was cultivated by cult show, Extreme Makeover, The Swan takes self-proclaimed ‘ugly ducklings’ and gives them the opportunity to spread their wings as they all compete for a place in the much coveted Swan Beauty Pageant. “It’s really a beautiful thing,” says Dr Randal Haworth, plastic surgeon on the show. “The reason I do what I do is because I love to see how I can change someone’s life through physical changes.”

An innovator in his field and an authority on plastic and reconstructive surgery, it’s little wonder that Dr Haworth now counts himself among the panel of experts involved on hit show, The Swan . A successful practice in Beveriy Hills and a celebrity client list as long as your arm usually keeps the Californian-born surgeon busy, but on a recent trip to Dubai he took time out of his hectic schedule to catch up with HELLO! to talk tummy tucks, TV appearances and why he loves the ever-changing face of Dubai.

What brings you to Dubai?
“My trip here is a mixture of business and pieasure . Basically I was invited to Kuwaii some time back for work. The adventurer in me sensed the potential in the area so I came out to explore the region. Because I have a Kuwaitii licence, I’ve been able to practice and the response to my various trips has been overwhelming. On a recent visit it was announced nationally that I was coming and about 140 people responded. In the end I operated on 2S people in eight days. That trip gave me some insight into the area and I was really impressed by the hospitality of the locals. I hate the cliche, but it was really refreshing to meet normal people – kind of like returning to my roots.”

What are you first impressions of Dubai?
“First of all it’s totally overwhelming. It reminds me of when I first moved to New York as a young man. With the skyscrapers and the various other architectural projects, the sense of enormity is amazing. What I found even more overpowering was when I heard that a little over 18 months ago, a lot of this was desert. I guess the best way for me to describe Dubai would be a mix somewhere between Las Vegas and New York, on steroids, but with slightly better taste.”

Dubai currently has a massive plastic surgery following and there are a lot of clinics popping up all over the city. Why do you think that is?
“In simple terms I think it’s about people wishing to customise their lives. Just one example would be home design – there has never been a bigger interest in interior design. Designer clothes are massively popular, as are flashy cars and you’re out of date if vou don’t change your sunglasses at least three times a year. Plastic surgery is linked to this. People realise that cosmetic surgery can be done safely- when a certified surgeon performs it, it’s simply a tool through which you can customise your appearance. Why is it big here? I think anywhere that there is an emerging market or extreme wealth you will have a big emphasis on the body. If someone can afford to have a tummy tuck, they will.”

What brought you into this line of work?
“I’m afraid it’s not a terribly romantic notion. I was a single child and my parents, being war babies from Europe had the idea that they wanted their son to be a doctor. Unfortunately, I wanted to pursue a career in movie making or fashion design because I had a very artistic streak. At the age of 13 I saw a BBC documentary about plastic surgery and it seemed like the perfect synthesis between art and science, hence the solution to my dilemma. I went to medical school and tried my hand at the general surgery route of gunshot wounds and trauma, but always in the back of my mind I was aspiring to follow a career in cosmetic surgery. I still get to be artistic, albeit in a limited way.”

You’ve been involved in a lot of television work, most notably The Swan , FOX’S plastic surgery series. What do you hope to achieve from this?
“It’s pretty simple really. I was given the chance to be on The Swan , and it was a great opportunity. Plastic surgery is a very competitive field and the practice of cosmetic medicine has evolved almost to the point that it has become a public spectacle. These days you’re almost conspicuous bv your absence. While I’d had TV exposure it was more through news programmes and I’d realised that being low-key might actually speak volumes, so when I was offered the opportunity to appear on The Swan I saw it as an opening to showcase my talents. My point was also not to become a spectacle, but to spread awareness about my work. Among the many benefits of such a break it turbo-charged my practise.”

In regards to the show, there has been a lot of controversy surrounding the recent epidemic of plastic surgery reality programmes and many critics have suggested that the strong emphasis on physical beauty puts out a negative message. How do you feel about this?
“I think if you strip away the Hollywood schmaltz behind the show you have a relatively benign and positive message, certainly a lot more than programmes like CSI or ER where you’ve got gunshot wounds and violence. The whole premise of The Swan is to show women taking charge of their lives and empowering themselves. Admittedly I was a little bit wary of the pageant aspect of the show, but after speaking to the contestants myself, I found that for them one of the most exciting parts of the whole programme was the competition aspect. Many felt it was the most liberating thing to ever happen to them. Having always been considered as average or below average in terms of looks and achievement, this was their time to say to friends, family, colleagues and even enemies, ‘Look at what I’ve achieved’.”

What are some of the positive aspects of the show?
“Some of the girls went on to get married, others made a break from negative relationships and some even went on to form charities. These are achievements that our society views as positive.”

As a celebrity plastic surgeon, do you feel you could perhaps be losing credibility in your field?
“Anytime you’re treading in the Hollywood arena, it’s possible to be intoxicated by the glamour. This can lead you to lose sight of why you’re there in the first place and that’s because you’re a surgeon. I think for some, it becomes difficult to know the distinction between being an actor and being a surgeon and that is something I’ve always tried hard to avoid. I realised early on that after the cameras have gone, I still have to put my key in the ignition, drive to work and practise – it’s what got me here in the first place. I try to maintain a sense of credibility and a dedication to my field. If you do that, you can’t go wrong.”

What are your hopes for the future?
“I’ve got a lot of things in the pipeline. I’m currendy developing my own skincare line, which is an anti-ageing range specifically designed for over-40s and I’m considering opportunities in this part of the world. On top of that there are various projects and development in my LA practice, so you could say I’ve got my hands full right now.”

INTERVIEW : CATHERINE LANGLEY PHOTOS : FAROOQ SALIK

Arab Press