Plastic surgery—the promise of everlasting youth and eternal good looks continues to be one of the most sought-after types of medical procedures in the United States.
According to data from the American Society of Plastic Surgeons, more than 4.7 million cosmetic operations were done in 2024 alone, with the average age of patients ranging from 35 to 50 years old.
Opinion of Dr. Sarah Meehan O’Callaghan
Most of us want to look our best. However, the widespread popularity of plastic surgery - especially given the age range of female patients - reflects an unhealthy obsession with physical appearance and a cultural fear of aging. The 2024 filmThe Substance, starring Demi Moore, highlights the intense pressure on women, particularly those over 50, to maintain a youthful look - depicting this fixation through the lens of grotesque body horror.
However, not all have caved into the pressure, with many stars not only refusing to go under the knife but outright taking a stand against it, touting the merits of letting the passage of time mold their features naturally.
On this list, we compare celebrities of the same age, with one side deciding to retouch their features via Botox or surgeries and the other aging without intervention.
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Nicole Kidman has been the subject of persistent plastic surgery whispers, with tabloid sources alleging that subtle procedures such as Botox and dermal fillers may have contributed to her refined, statuesque appearance.Some plastic surgery clinics have also speculated that the actress may have undergone a nose job. Aside from using Botox, Kidman has denied all rumors.Julia Roberts, conversely, has made a point of championing natural beauty.Never linked to any cosmetic surgery, Roberts has often celebrated the grace of aging, asserting that her genuine smile and authentic features are her best assets.
One of the starkest comparisons on his list comes in the shape of Donatella Versace versus Judy Davis.The fashion mogul has experienced quite a dramatic transformation over the years, and while she has never publicly confirmed having plastic surgery, many specialists believe she has had work done.From eyelid, neck, and brow lifts to fillers in her lips, forehead, and other areas. There’s practically no part of Versace’s face that hasn’t been retouched to some degree.In contrast, Judy Davis has remained celebrated for her naturally unaltered look with no confirmed procedures.
Renée Zellweger has repeatedly found herself in the spotlight of plastic surgery speculation, especially after a 2014 appearance at theElleWomen in Hollywood Awards.Surgeons, such as Dr. Brian Glatt of Morristown, New Jersey, believed the difference in her appearance was due to a chin implant as well as weight loss.“The added length to her face seems to make the rest of her features ‘pop,’ giving her face a look that is overall quite striking,” he wrote.Christy Turlington, however, has remained a staunch advocate for natural aging. Eschewing the scalpel entirely, Turlington said that she “will never alter or augment [her] face” and that it’s a matter of “values” to her.
While Jessica Lange has repeatedly denied having gotten plastic surgery, some doctors have speculated that she has had work done, mainly a facelift, browlift, and eyelid surgery.Conversely, Meryl Streep not only has refused to go under the knife or get injections of any kind but has a decidedly adverse position to the idea, explaining that it acts as a “veil” that interrupts communication between people.“When I see it in people I meet, it’s like an interruption in communication with them,” she toldVanity Fairin 2009, specifically referring to Botox and its paralyzing properties.
Daryl Hannah, known for her iconic role inBlade Runner, has long been whispered about in celebrity circles.Numerous sources allege that she opted for a discreet facelift and subtle eyelid surgery in an effort to maintain her allure.Plastic surgery clinics have also published articles talking about Hannah injecting Botox and fillers to “mixed results.”Julianne Moore, on the other hand, has consistently embraced the natural course of aging. Celebrated for her authentic, unaltered features, Moore once remarked, “Every wrinkle tells a story.”Moore specifically took a stance against Botox, stating that she doesn’t “believe it makes people look better.”
Cher, the undisputed icon of pop and glamour, has never been one to shy away from reinvention—her dramatic transformation over the years has often been credited to a series of cosmetic procedures, ranging from facelifts to cheek enhancements and breast implants.The singer has been open about her love of plastic surgery, saying that she would be “first in line to the doctor” as soon as she felt she needed something done.Charlotte Rampling, in stark contrast, has opted to honor the natural progression of time.With an unaltered, refined appearance that exudes classic elegance, Rampling’s commitment to aging gracefully shows her belief that true beauty lies in authenticity rather than perfection.
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Courteney Cox has frequently found herself at the center of plastic surgery gossip, especially when her face appeared noticeably “puffier” in 2013.“She was simply over-filled with injectables such as Botox or Restylane,” said New York plastic surgeon Robert Vitolo.“This is why it’s important to see an experienced certified injector. She looked over-filled in the cheeks and lips.”Michelle Fairley, known for her iconic role as Catelyn Stark inGame of Thrones, has proudly maintained an unaltered visage, which in turn allowed her to blend into the middle-age setting of the show authentically.
Sandra Bullock’s ageless charm has often fueled rumors that she has resorted to cosmetic tweaks, with speculations pointing to a refined facelift and targeted injections to keep her look camera‑ready.While Bullock herself has denied these claims, she admitted to having done “non-invasive” procedures to enhance her appearance, which might point towards Botox usage.Monica Bellucci, in contrast, continues to epitomize natural elegance.Shunning any form of cosmetic surgery, the model has allowed time to sculpt her features without medical intervention, a decision that has garnered her praise on social media.
Cindy Crawford, an enduring supermodel icon, has been open about her usage of regular Botox injections to maintain her preferred appearance.According to the model, diet and exercise can only do so much, which is why she decided to opt for the non-invasive route to prevent deeper creases from forming in her skin. She also regularly uses collagen-stimulating treatments like radiofrequency and ultrasound.Salma Hayek, however, has denied having any procedures done, including Botox or fillers.Renowned for her radiant features and minimal intervention approach, Hayek’s look remains a living testament to aging without the knife.
Uma Thurman, celebrated for her bold and statuesque beauty, has not escaped the rumor mill. Despite denying undergoing any enhancements, surgeons such as Dr. Miles Berry of the United Kingdom believe she has done at least two surgeries.“There definitely seems to be some difference in the shape in her eyebrow region, suggesting either a Brow Lift or Blepharoplasty,” the doctor wrote.On the other hand, Rachel Weisz has chosen to embrace the natural evolution of her looks and has spoken out against the pressure in Hollywood for women to have plastic surgery.
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