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Vivian Diller, Ph.D.

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Under the Knife and Under Scrutiny: The Beauty Paradox

Posted: 09/15/10 08:00 AM ET

Take a moment and imagine what you would feel if you heard that Michelle Obama routinely uses botox to keep her skin looking smooth. Or if Meryl Streep revealed that she had her eyes "lifted," -- the surgical procedure her character fled from in "It's Complicated." How would you react if you learned that Governor Schwarzenegger doesn't just work out to serve as a fitness role model, but has surgical work done to enhance his image? Or if Rob Lowe's seemingly natural good looks were the result of unnatural intervention? Would you be disappointed? Surprised? Angry?

Anger, surprise and more was felt when Rush Limbaugh touched on the topic of Hillary Clinton's looks on his radio show. During her run for the Democratic candidacy, Limbaugh asked, "Will Americans want to watch a woman get older before their eyes on a daily basis?" The comment incensed those who questioned how far we had really come if being fit for office required a youthful appearance. On the other hand, many wondered if Limbaugh had a point. Would our media driven political world be more focused on her aging process on the screen than her policies?

And how comfortable would she be -- and is she now -- with all that scrutiny? Not even the Secretary of State is immune to the feelings provoked by an aging appearance, especially with the world watching. No doubt everyone has been watching, not only to see if she succumbs to the pressures of world affairs, but to botox, restylane and the like. Hearts go out to Clinton as she bears not only the burden of wars waged against unfriendly nations, but the one she wages against our youth obsessed society.

To be sure, I don't know anything about the cosmetic choices made by Obama, Streep, Clinton or any of these celebrities, (nor do I feel it's my business), but I am intrigued by our reaction to them. My work as a psychologist, and former professional dancer and model, has led me go underneath the surface of our experience of beauty. I work with public figures and everyday men, women and I know that aging in today's culture is a challenge for us all. My goal is to help them understand what they really feel about this issue so they can make more honest -- and hopefully better -- choices when it comes to their own aging appearance.

Take the recent admission by British actress Helen Mirren, when she openly shared her thoughts about going under the knife. She said, "if I wasn't on camera, I would have done it years ago, I'd think about it even more if I was in a different profession ... it's the full-on for me. Suck it all up, tie it up and cut it all off." Women all around the world had strong, ambivalent emotional responses. Some were relieved -- even Helen thinks about cosmetic surgery! Some were disappointed -- no not her too! Many thought that her very consideration had let down an entire generation of women hoping she would be one of the last holdouts.

Or, remember how the blogosphere was filled with mixed emotions when Jane Fonda, stunning at 72, confessed to another round of plastic surgery. On her own blog, she said, "I got tired of not looking like how I feel," and admitted "I wish I'd been brave enough not to do anything." Just a couple of years ago, Fonda had sworn off more such alterations. But clearly her resolve wore down as she exclaimed "Jowels Away!" But far from feeling victorious, Fonda's means of dealing with looking older seemed to evoke feelings of failure.

So this is my point. We are quick to judge the cosmetic choices made by celebrities and public figures. It has become a regular hot topic in almost every popular magazine, on news shows and websites. We tend to criticize those who fall victim to surgical intervention, dismissing them as weak and fake, as if they have somehow personally betrayed us. We applaud those who go au natural and even root for them as they struggle against the pressures to defy their aging looks. And then we react to them all with, "oh my, he/she looks so old."

In truth, isn't it our own ambivalent feelings that get played out as we watch others struggle with their aging so publicly. I call this phenomenon, the Beauty Paradox. On one hand, we were brought up to strive toward being authentic and true to ourselves. On the other, our culture encourages us to denying the reality (or at least not let it show) that we are aging. We want to feel proud of our accumulated years of experience, yet we are made to feel uncomfortable as those years show up on our faces. It's a catch 22. Choose to take advantage of cosmetic options to look younger and we betray the more lofty goals we worked so hard to achieve. Choose to age naturally and our culture tells us we might lose our mates, our jobs or even worse, become invisible. Perhaps "Catch 55" is the more accurate term for the baby boom generation facing the Beauty Paradox?

The fact is, we are living longer with more and more advances -- cosmetic and medical -- that we can benefit from if we can only learn to mesh these options with the other values we hold dear. I hear mid-lifers say, "I feel better and more vital than I have ever before, but I don't like what I see." "I am in great shape, happier, more productive, but when I look at myself in the mirror, I look tired, sad, not like myself."

So, this is our challenge: we need to find ways to achieve an internal/external harmony about our aging appearances. We need to allow ourselves and others -- including those in the public eye -- come to terms with this challenge in their own way. Aging was never a walk in the park, but a little less criticism, judgment, shame and disappointment would make the journey easier on us all.

What are your thoughts about the "Catch 55," that our public figures (and we) face?


Copyright 2010 Vivian Diller Ph.D., author of "Face It: What Women Really Feel as Their Looks Change"

Vivian Diller, Ph.D., is a psychologist in private practice in New York City. Dr. Diller was a professional dancer before she became a professional model, represented by Wilhelmina, appearing in Glamour, Seventeen, national print ads, and TV commercials. After completing her Ph.D. in clinical psychology, she went on to do postdoctoral training in psychoanalysis at NYU. She has written articles on beauty, aging, eating disorders, models, and dancers, and served as a consultant to a major cosmetic company interested in promoting age-related beauty products. Her book, "Face it: What Women Really Feel As Their Looks Change" (2010), written with Jill Muir-Sukenick, Ph.D. and edited by Michele Willens, is a psychological guide to help women deal with the emotions brought on by their changing appearances. "Today" co-host Hoda Kotb called it "a smart book for smart women."
For more information, please visit www.VivianDiller.com.

 
 
 

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Take a moment and imagine what you would feel if you heard that Michelle Obama routinely uses botox to keep her skin looking smooth. Or if Meryl Streep revealed that she had her eyes "lifted," -- the...
Take a moment and imagine what you would feel if you heard that Michelle Obama routinely uses botox to keep her skin looking smooth. Or if Meryl Streep revealed that she had her eyes "lifted," -- the...
 
 
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09:37 PM on 09/21/2010
Its not just about youth. Its also about the cultural ideal of beauty and catering to insecurities.
Remember the before and after pictures of a nose job, the before picture a lovely aquiline nose? Many beautiful girls are sadly going to find something about themselves not to like especially when an aspect of their beauty deviates from the norm.
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DrVivian
Clinical Psychologist and author of Face It
10:01 PM on 09/21/2010
A cultural 'norm' for beauty that includes an aging face -- with natural wrinkles, a smile that exudes warmth, eyes that sparkle, hair that is thick and healthy -- is a novel idea but not one that is impossible to imagine.
10:59 AM on 09/21/2010
I am so tired of reading all of these comments about "natural beauty".....what does that mean to you ? that if you wear makeup or look after yourself, that you are in great shape and can still wear a mini skirt you are trying to hard. Some women/men take real pride in how they look and how they are presented in the home as well as in public. I for one will Never leave the house in sweat pants and sans makeup (which might just be a little lipstick and a coat of mascara). I think that is defined as personal respect and pride. I care about how I look and how others perceive me. And when the time comes that "I feel " that I need some cosmetic surgury...then so be it.....if it will make me feel good about myself...then I'm going for it. To hell with the naysayers..........9 times out 10 they are just jealous anyways. (and when I speak of cosmetic surgury...I am not talking about the extreme cases)
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DrVivian
Clinical Psychologist and author of Face It
02:22 PM on 09/21/2010
Janedoe31. Yes, the point of this article, The Beauty Paradox, was to try to get women to understand the dilemma women face and stop judging each other about how they care -- or choose not to care --for their aging appearance. To place a higher value on "natural beauty" is in a certain way a judgment (and implies criticism) of women who chose to wear make up, dye their hair or elect cosmetic surgery. To devalue women who opt out of those procedures and go "au natural" is likewise judging their choice. Women suffer enough from their own self criticism to add more. It's time to support one another, especially at this complicated stage of life.
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slvrfox857
questionevrthing.blogspot.com
08:19 AM on 09/20/2010
I don't happen to look at someone who is "au naturel" like Helen Mirren and say, "But she looks so old." I think she is beautiful. As is. I am in an office where I see alot of women who are upward of fifty, as am I, and I look at some of them and think there is hope that a person can be gorgeous aged. Beside the fact that I look at so many of those celebrity faces that have "had work done" and they look really weird. I saw a photo of Cher the other day, and thought of her son in the movie "Mask." No one needs to bring up how bizarre Joan Rivers or Tina Sinatra look now. I can't imagine that they look in the mirror in the morning and think they actually look young or pretty. But maybe their high priced surgeons play subliminal tapes during surgery so that they will keep coming back. I haven't yet seen one that makes me sad that I don't have the money to blow on all that unnatural non-beauty. Give me Sissy Spacek any day.
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DrVivian
Clinical Psychologist and author of Face It
02:50 PM on 09/20/2010
As a psychotherapist, to many women in the media and fashion world, I have the privilege of hearing their innermost feelings about plastic surgery. In general, reactions are very variable, but the most consistent positive results are gotten when expectations are realistic. If surgery is sought to look younger, often women find themselve dissatisfied, wanting more and repeatedly. When procedures are done so that a woman's physical appearance matches how they feel, there are more positive results. Sometimes done only once or twice in their lifetime, the changes are subtle and satisfying. Not all plastic surgery is categorically bad.
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slvrfox857
questionevrthing.blogspot.com
06:07 AM on 09/21/2010
Thank you for that. I know Roseanne had one thing done, and she does look good. I'm afraid I only have celebrity results (apart from breasts) as a point of reference.
10:43 PM on 09/19/2010
What does it say about a society that produces a reality show like "Bridalplasty" that will make its way into our living rooms? These shows get produced because it is believed that there is an audience for them. Are there really enough people who will be interested in wacthing potential brides compete for a chance to get plastic surgery for their wedding day? A sad statement, not only about these brides, but about the audience who will watch them on the show. And, what about the grooms? What groom would want to wed a woman who feels the need to surgicallyl enhance her appearance prior to getting hitched? Maybe the bride to be will get a new face, but lose her fiancee in the process!
09:34 PM on 09/19/2010
It's a pity we can't accept different standards of beauty at different ages. No amount of surgery, botox, cosmetics, or exercise will ever re-create the pure bloom of youth. It's something every individual passes through (some with more attractiveness than others), and once gone, never to be retained or regained. Everyone mourns its passing, but do we really want the living-dead look of repeated and ever less successful plastic surgery? Fortunately (?) for those of us with modest financial means, the option of cosmetic surgery is simply not -- an option, that is.
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DrVivian
Clinical Psychologist and author of Face It
10:06 PM on 09/19/2010
It is human nature to yearn for youth. Just as it is natural to fear mortality. These are universal feelings and I don't believe they will ever go away. What is unnatural (and irrational) is the belief that youthful looks are a solution to these feelings. I think the answer lies in learning to mourn our youthful appearance (as suggested in the comment by JHKH) and move on to a new self image that changes with age. I suggest smiling. It's the best 'face lift' and even better, it is ageless and affordable by all.
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DrVivian
Clinical Psychologist and author of Face It
07:20 AM on 09/18/2010
I love this exchange of ideas and I am particularly intrigued that our younger readers have strong reactions as well. I plan to write a piece on HP about what we can do for the next generation to shift their view about beauty, (especially about beauty as we age). I want to focus on the responsibility of providing good role models for them.

Sadly, there is movement in the other direction -- with surgical procedures being suggested to younger and younger women by their parents and by their dermatologists -- as an essential part of their routine skin care. Young women tell me that while they get monthly treatments for their acne, they also receive regular botox injections. They believe it's "preventative" care. Preventing what? A changing face? It's almost as if an aging appearance has become an illness to avoid. I've been shown a book that sits in some plastic surgeons offices that was written specifically for children under age 10 --called something like, "Why Mommy's Face Looks Different." Perhaps it was well intended, even a good idea to help to explain in simplistic form the unnatural changes surgical procedures bring to their mothers faces. But, what does this all mean? This is the cultural trend invading the minds of our youth. These children will live even longer lives than we did. Adult men and women, but especially parents, need to be aware of the impact of this cosmetic trend and potentially find ways to change its course..
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antaeus
Full-Cream Marriage Now
02:45 PM on 09/18/2010
Sometimes fighting the good fight seems hopeless:

http://www.huffingtonpost.com/2010/09/18/bridalplasty-e-plastic-surgery-wedding-competition_n_722024.html
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DrVivian
Clinical Psychologist and author of Face It
04:57 PM on 09/18/2010
I am not ready to give up the good fight. Just by nature of the fact that millions of baby boomers are currently hitting midlife, means we can create change - one woman at a time. We just need like-minds (and bodies) to join together with the same message - that beauty exists at any age.
04:33 PM on 09/17/2010
I don't think calling this paradox "Catch 55" does service to how much this dilemma confronts women much younger than 55. Twenty and thirty year olds who care a lot about fashion, struggle to avoid appearing like the Paris Hilton type. It's hard to be taken seriously and appear interested in looking good. It's why the "I don't care, but look great, fashion statement" is so popular, even if we have to work hard to create it.
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Nicole Dixson
01:13 AM on 09/17/2010
I think people should do what makes them happy. I am lucky, I was never the "pretty girl", so there is no fear for me in losing my looks. At nearly 40, I actually look a lot better than when I was 20. I would never judge a woman for wanting to look better, but it gets a bit frightening to see women so afraid of aging that they basically disfigure themselves with all their "improvements".
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DrVivian
Clinical Psychologist and author of Face It
08:08 AM on 09/17/2010
What some women (and I mean those in their 30s and 40s) don't wait to find out is that if they just hang in there past the initial "uh-oh" moments, they often learn that aging levels the playing field. The prom queens (or as you call, the "pretty girls) and the valedictorians (less likely the pretty girls?) all face changing looks. And in fact, some of those prettier ones struggle more as they age, having to make greater shifts to their identity; from relying on good looks that once fueled their self esteem to relying on other aspects of themselves they have yet to develop.
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Nicole Dixson
11:09 PM on 09/17/2010
DrVivian, I agree. I know several women who were known to be "the pretty girls" and very popular in school, yet aging and/or weight gain has these women on the brink of nervous breakdowns and they seem to be in a constant state of depression. Unfortunately, society assigns a value to looks and that will never change. What can we do as parents to stop the next generation of women from feeling as inadequate as a lot of us seem to feel? I don't have a daughter, but I am trying to teach my son that how a girl looks is only part of the equation. I am hoping that he will look for kindness, intelligence, confidence and strength in the woman he ends up with. If she happens to be "the pretty girl" then that will be icing on his cake of life.
07:37 PM on 09/16/2010
if it make you feel good and you can afford a "certified cosmetic surgeon" then I say go for it. We all get to that "certain point" in our lives where when we look in the mirror, our reflection is that of a different person...one we don't really recognize....and that person does not reflect who we are or how we feel. I applaud people who have it done and admit to it. We work like animals all of lives ..for what? enjoy the fruits of your labour in a way that makes you happy.
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antaeus
Full-Cream Marriage Now
11:34 PM on 09/16/2010
We aren't talking about buying a sports car or a coveted piece of jewelry. Surgery is surgery, and it always carries the risk of error and infection, increasingly so.

Nor do we enjoy an infinite amount of medical resources. We're already losing rural doctors and hospitals, and less than half of medical school graduates--real doctors--go on to practice real medicine. Spending precious, limited resources on cosmetic surgery is prompted by crude avarice on the part of the medical profession and by idle vanity on the part of indulgent consumers. If this is supposed to be some kind of reward, then it's an obscene one.
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DrVivian
Clinical Psychologist and author of Face It
03:03 PM on 09/17/2010
Antaeus, although I agree with your comment, I'm not sure that moral judgment placed on women will help them avoid choosing cosmetic surgery to deal with their aging appearance. Instead, I think that showing others how to age gracefully using alternative measures (like eating well, taking care of oneself, keeping alive ones interests) can ultimately give women the confidence that there IS a way to feel beautiful without surgery.
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HawaiianLady
My name means Gift of God.
12:49 PM on 09/17/2010
Be careful. Any doctor can call him/herself a certified cosmetic surgeon. What you want is a board-certified plastic surgeon. This requires that they spend a certain amount of time as assistant to another board-certified plastic surgeon, usually a couple of years. We have a cosmetic surgeon in this area who refers to himself as a "board-certified cosmetic surgeon." To the best of my knowledge there's no such thing, and this man's work is horrible.
05:51 PM on 09/16/2010
In my teens/twenties, I was damn good looking. Through my thirties and now my forties I have become, frankly, stump ugly. Somehow, I can't bring myself to care.

Don't get me wrong, I'd much rather walk through a mall full of young silicon and gym-iron muscles than a through a crowd of people that look like me. But, I just can't find it in myself to get sufficiently motivated to go under the knife.

On the other hand, if find nothing wrong with people who do. I can totally understand waking up one morning, looking in the mirror, and saying, "ye gads! This is the last time you're going to frighten me first thing in the morning!" Doesn't bother me a bit.
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DrVivian
Clinical Psychologist and author of Face It
09:57 PM on 09/16/2010
I don't think the only alternative to avoid feeling "stump ugly" is silicon or gym-iron muscles. In fact, I think women who strive to look unnaturally younger are at greater risk of feeling unattractive as they age than women who take consistent care of themselves, eat well and put effort toward being in good physical condition. We too often confuse beauty with youth. Beauty can be defined differently at different stages of life.
05:42 PM on 09/16/2010
Bad plastic surgery parades itself; good plastic surgery looks "refreshed. So, all wee "see" is bad plastic surgery. We compliment people who have the good stuff done for "aging well."
05:23 PM on 09/16/2010
"if Meryl Streep revealed that she had her eyes "lifted," -- the surgical procedure her character fled from in "It's Complicated."

She's had a complete face lift. A good one.
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DrVivian
Clinical Psychologist and author of Face It
05:52 PM on 09/16/2010
Then the question is; "How do we all feel about that, if you are right?" And "Why do people need to believe otherwise about Streep?" I think the answer is that we are looking for public figures who show us the way to age gracefully without relying on surgical procedures (which many women can't afford and many prefer to avoid). Perhaps these figures don't exist in Hollywood. Perhaps they will one day. Meanwhile, there are everyday woman, off the screen and out of the public eye, who are well into their 80's and 90's looking beautiful because they have the confidence that they can. We need these women to speak up and lead the way, so that Hollywood might follow..
06:25 PM on 09/16/2010
No such animal.
The fact is crepey skin is a fact of life after enough decades. And the camera loathes it. Men can get away with the signs of aging much longer than women, but most male actors succumb to the knife eventually.

The real issue is that some people's facial structure can deal well with surgery. And some of those are lucky enough to get an artistic surgeon, AND are just plain lucky with a particular surgery on a particular day. Some beautiful faces don't do well under the knife. And so we're supposed to take ANY of that as a some kind of role model? It's a trap for everyone. It's just that a few get around the trap looking better than others.

The truth also is you don't know who has had a sly nip and tuck here and there and who are willing to admit it. Most aren't. It's best to make your own decisions and live with them the best you can. Forget what others do or don't do.
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brooklyncitizen
Soror quaerens lucem
04:13 PM on 09/16/2010
I think folks overlook the fact that celebrities, and by this i mean entertainment professionals make a living from their looks and appearance, From landing certain roles to retaining the public's/fans' interest, their looks are important in sustaining both. It is a vanity that is professionally motivated.

All procedures are ultimately a way to feel our best, Nothing wrong with that unless it becomes habitual and harmful.
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DrVivian
Clinical Psychologist and author of Face It
05:59 PM on 09/16/2010
Nothing wrong for the celebrities who make a living from their looks? Okay, but celebrities and public figure often serve as models for our youth. It's one thing for looks to be important and another for beauty to be equated with looking younger. That is what feels wrong. It is that plastic surgery is increasingly being used to maintain the beauty=youth equation for celebs and non celebs as well.
10:10 AM on 09/16/2010
whats wrong is the fact that someone who looks like rush limbaugh can comment on ANYONE'S appearance negatively. if he weren't constantly drugged up, how would he live with the things he says and does?
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Vivian Alicia Evans
10:44 AM on 09/16/2010
I think it's high time we started to comment on those who comment on Anyones appearance negatively, until it becomes a social norm to consider the negative comments unacceptable and seen for what it is ---> an attempt to divert a person from the real issues.
11:58 AM on 09/16/2010
People will always comment on how others look. Reactions to people's appearances (especially those of public figures) aren't ever going to go away. It's the negativity associated with an aging woman's appearance (and yes, it is experienced differently than a man's aging appearance) that we need to change. The social norm will only shift if we find a way to see beauty in an older face, be it Hillary Clinton's or our own mother's.
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avicenna
02:43 PM on 09/16/2010
That's exactly what the point is - any reaction is better than no reaction for people who make a living as an abrasive obnoxious loudmouth. The best advice would be to ignore Rush altogether - like an unruly child throwing a temper tantrum.
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DrVivian
Clinical Psychologist and author of Face It
03:45 PM on 09/16/2010
Women have been too passive about this issue. Not sure ignoring comments is the only answer. Reacting with strength of conviction, that beauty can exist as we age, is my response and I plan to show that loud and clear. I hope other women will join me.
09:41 AM on 09/16/2010
The true problem, IMO, is that it increases divisions of rich and poor, being a somebody and being a nobody. The rich "somebodies" have the means, and are expected, to make themselves look as beautiful as possible in the eyes of certain others. Everybody else is left out of the in-crowd of being wealthy and having skin-deep beauty because the price of admission is exactly that; wealth and beauty on the outside, maybe fame too. The tragedy is when it influences the people who can't afford keeping up with the lifestyle and those that will never be model-like. I don't feel sorry for wealthy/famous folk who feel pressured by other wealthy/famous folk or the media to look "forever young", to appear to be an embodiment of some ideal when they helped create, or could've at least predicted, those expectations of an ideal by who and what they decided to become in life.

I think the only solution is for everyone to be more caring and less judgemental and discriminating in regards to the aging process and just how someone naturally looks. I don't expect it to happen anytime soon since it seems many people choose to make themselves feel better by tearing people down, and starting a vicious circle in the process, instead of treating every human with respect according to their character rather than their looks.

"Catch 55" sounds silly.
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DrVivian
Clinical Psychologist and author of Face It
11:21 AM on 09/16/2010
Sometimes catchy phrases (sorry for the pun) like "Catch 55' are remembered more than the detailed issue they are meant to describe. At this point, anything that highlights this dilemma facing men and women today seems worth putting out there. Call it what you want, but we can all be less judgmental and more thoughtful about how torn we are as we deal with an aging appearance. Many of us will be living longer lives than our parents ever did, facing challenges previous generations didn't have to face. We all age. We're all in this together. As you suggest, thevisigoth, a little less judgment and a lot more understanding seems in order.