There is no question that most of the before and after pictures I have been asked to review (Megan Fox, Meg Ryan, Katie Price, Courtney Love, Oksana Grigorieva and Lesley Ashe) and (Erica Chevillar, Amy Winehouse, Tanya Tucker) tend to demonstrate that these patients have all undergone some type of augmentation. Lips in the former group, and breasts in the latter.
What concerns me is the distorted aesthetic imbalances that I see and resultant ridicule that these people in the public eye have had to suffer because of an inability of the proceduralist to perform basic cosmetic tasks. Though the perception of facial beauty is "in the eye of the beholder," some qualities, features, and proportions are universally esteemed. Our attraction to another person's features increases if that face or breast is symmetrical and in proportion. We believe that features which fit into the 'golden ratio' tell our brain that someone is healthy and good to mate with. The Golden Ratio is based on a series of digits 1,1,2,3,5,8,13,21...where every number is based on the addition of the previous two and this leads to the ratio=1.618033. It is everywhere in nature. For instance it is the size of the bottom lip to the top lip. It is the ratio of breast size to hip size.
The problem is seeing this ratio is something that comes natural to a person with a good 'aesthetic eye' and it is something that you cannot reprogramme a practitioner's brain to have if it is absent. It is pretty similar to the fact that you cannot send someone to Art school to teach them to become a good artist; you either have it or you don't. Now you can learn music as it is developed on a different ratio of harmonics, fifth and minors. These can be written down and reproduced. You could do it mathematically with facial aesthetics but most of these doctors would be better off employing a staff member with a 'good' eye and ask them what they think of the lips or the breast size. I do it all the time, even though I could have gone to art as well as medical school. The reason that most of these patients look unnatural and overdone is purely down to the fact that most of their lips are made artificially to remain outside the natural anatomical ratio and our brain reads that as associated with disease or in our minds 'freakishness'. The outer portions of nearly all of these clients are in my opinion, overfilled. The outside portion of a lip should not be filled to prevent 'trout pouting' and in every one of these instance there is evidence that this has happened. The beautiful 'cupid's bow' appearance of most of their central lips has been edited-out during the augmentation.
The ratio has also been overlooked during the breast augmentation with breasts that are placed 'too high' on the chest wall, others that look like 'footballs' rather than following the nice 'teardrop' curve that nature intended. I have had to repair problems like these for some of the biggest stars in the world, lower eyelids that had ‘drooped’ because someone did not inject Botox® directly, lips and face that required the injection of an enzyme to dissolve the product that was placed out of proportion. In fact, I am at work today with a well known patient from London trying to reverse the effects of a dermal filler someone injected into her face. There is no explanation for the horrendous visage that I have had to try and reverse, other than the fact the procedure performed on her is amateurish in the extreme. The problem is that it is not a reversible filler and she may require an operation to remove it. I am looking at a photograph on the list given to me of someone whom I had to treat because of something that was injected into their face. The patient was told and apparently consented to another product. Why do celebrities, who should have expert guidance go to people like this?
I feel it is for two reasons, the first is in my experience most of these clients suffer from some form of Body Dysmorphic Disorder (BDD) and often will not listen to reason, however sensible. Hence, they often seek out people or practitioners who will do what they request from them solely for the status of being associated with celebrities. The second is this market is driven by PR companies, glossy magazines and digital marketing. Like most of this recent acceptance of mediocrity and non-descript boy band era that has been thrown upon us, respect for talent is lost somewhere is the midst of people craving fame at all costs and the consequence of it all is the horrendous images that become front covers of our magazines.
As Oscar Wilde once said "ridicule is the tribute paid to the genius by the mediocrities".