The Plastic Surgery Dossier of James Bond, 007

Quantum of Solace

Facial Lacerations, Boat Chase Scene - Haiti
Facial Abrasions, after DC-3 Departure -  Bolivia
Facial Lacerations and Abrasions, Fire -  Atacama Desert, Bolivia

Interestingly, Operation “Quantum of Solace” resulted in multiple facial lacerations, abrasions, and swelling, but no long-term permanent plastic surgery issues. All of the facial scars and abrasions from the previous operation, Casino Royale, appear to be non-permanent in nature. Also, Mr Bond’s interactions with Ms Strawberry Fields seem to imply that the perineal and scrotal torture has not led to any permanent problems with function.

I have recommended that Mr Bond use more sunscreen in sunny Bolivia, but I’m not certain if he had time to apply it properly.  Generally, I recommend SPF 30, applied liberally to the face, and replenished every 2-3 hours. 

Skyfall

Right Chest Scar, Hypertrophic, with Residual Foreign Body -  Istanbul, Turkey

The biggest scar so far in these 3 operations, Mr Bond’s right hypertrophic scar is a result of a sniper bullet that did not kill him or pierce his right lung, but rather, glanced off his rib cage. He is fortunate to have survived such an attempt on his life. A thickened, hypertrophic scar with the residual foreign body from the bullet was later retrieved by Mr Bong. 

I would recommend silicone gel bandages and hydrocortisone cream within 12 months of his injury, applied daily. I believe that he would benefit more from a cortisone injection, as opposed to just topical hydrocortisone cream use.  However, Mr Bond appeared to be busy and went to Macau quite suddenly.

Superficial Facial Lacerations, Straight Razor Shaving -  Macau

Let’s face it - Ms Moneypenny should stick to witty repartee and banter, and avoid straight razor shaves of “00” agents to avoid lacerations and razor burn.

Ageing - Botox, Sunscreen -  London and Skyfall, Scotland

It has been 4 years since Mr Bond’s last major action, and the sign of ageing on his face is beginning to show.  With the continued stress and action that Mr Bond volunteers for, he continues to age from sun exposure and the psychological stress from his engagements. I would strongly urge him to start the use of sunscreen, prescription-grade skin care, and possibly even facial peels or laser resurfacing to reverse the signs of ageing.

Another option for Mr Bond would be some Botox, or as the Americans say, “Bro-tox”. This would eliminate some of 007’s deeper wrinkles between his eyebrows, on his forehead, and in his crows’ feet areas. Some type of dermal filler for the deep nasolabial folds and marionette lines would also be warranted. 

The downfall of these treatments is that they require routine maintenance, perhaps every 3-12 months. Fat grafting to the deeper wrinkles would be a more permanent solution and would require little to no maintenance. However, based on his appearance in light blue La Perla swimming trunks in Casino Royale, Mr Bond may have too little body fat for fat grafting to be a viable option!