Diane Keaton: Too Old for Plastic Surgery – NYC Dermatologist Dr. Doris Day Weighs In On This Question

diane keaton plstic surgeryIs there a point when you just can’t have any cosmetic work done?

In a new article in AARP, The Magazine, Diane Keaton remarked again about plastic surgery, “I haven’t had it, but never say never. Because when you do, you are definitely going to go there. I said I would never have intercourse before I was married, and I did. I said I would never go to a psychiatrist, and I spent much of my life in psychoanalysis. I’ve done all kinds of things I said I wouldn’t do and, of course, now I’m glad. Thrilled.

She says about plastic surgery what a lot of stars say – never say never.  In another interview in the last couple of months I also heard (as opposed to read) her say she wouldn’t mind [having some] but that she was probably too old.

Two issues spring up: Is she, or anyone, too old to have something done? And what about Diane Keaton herself – would she even be allowed to?

I turned as always to our go-to aesthetics guru, Wendy Lewis, aka The Knife Coach, to ask her opinion.

Diane Keaton is one of the most ageless actresses on the big and small screen. Now past social security age, she still maintains that Annie Hall quirky beauty she has always had. It’s hard not to notice her impeccable style and knowing what looks good on her — white, cream, and the occasional LBS (little black suit). She looks chic, slim, youthful and sophisticated — and has never fallen into that Hollywood trap of trying to look half her age.

Too old for a facelift? No, but why now? There is no such thing as too old purely based on your DOB, unless you have a health condition that makes you a poor surgical or anesthesia risk. If she is in the market for a nip and tuck, Diane should keep it simple, and do the minimum to avoid looking too different at an advanced age and alienating her fan base.”

You see? Diane is no longer at a point where she can make decisions just for herself. It’s along the lines of what Meryl Streep was saying about the responsibilities of a role model that I discussed the other day.

Setting aside for a moment whether her fans would allow it or not, Diane Keaton is 66, and is often praised for not having had any work done. As a result, she is lined as anyone her age normally would be.

A friend of my mother’s had injectable filler in her lips after (I assume) never having had any work done. It just looked terribly odd. She had deep lines all around her mouth and the filler was very obvious – her lips looked larger, but misshapen and all the lines were still there. Everyone had to employ the Cosmetic Surgery Etiquette protocol.

I asked dermatologistDr. Doris Day about this particular situation when I was there seeing her about the skin-smoothing e-Matrix. The author of Forget the Facelift surprised me with her reply, “She’d have to have a facelift.” But then she paused, “Although, there are alternative therapies such as Ulthera….’ she mused, referring to the deep tissue wounding via ultrasound that can tighten and lift skin from deep within.

I also asked plastic surgeon Dr. Z. Paul Lorenc when I was learning about Botox alternatives Dysport and Xeomin.

In my opinion, as long as the individual is healthy, mentally intact and is doing it for themselves, age (within reason) is not an absolute contraindication to surgery.

I do use Sculptra as a volumizing agent in older age groups, with fractionated Erbium laser to address superficial wrinkles and sun damage.”

So, yes, Diane Keaton could have some cosmetic work done, if she wanted to… but the issue remains as to whether she’d be allowed to …

Media Target
She has of course already been accused of having work done, here at the premier of her movie Morning Glory she’s described as “...almost unrecognizable”. Ummmm, what? Her hair is blonder, true. Maybe she had a chemical peel or a brightening facial, but… I had no trouble recognizing her.

In an attack I thought even more extreme, a writer in the Daily Mail, after quoting Diane Keaton on anti-aging in her new book Then Again, wrote

Yet this is the woman, who appears in L’Oreal’s Age Perfect Hydra-Nutrition Golden Balm advertising campaign, with the line ‘I’m more comfortable in my skin now than I’ve ever been’.

The picture of her is clearly airbrushed — I promise you she looks very different in real life.”

Really? She’s not even allowed to moisturize?! And then she gets criticized for having lines “in real life”? Of course. We women are not allowed to have lines in pictures. And if we do have them, especially in person, the comment then is ‘gawd, she looks awful.’

Clearly, we can’t win. So you can imagine how someone in the spotlight like Diane Keaton might feel.

She’s championed for no plastic surgery to validate everyone else who doesn’t want to have it. But what if she changes her mind. What if Diane Keaton decides she wants the face in the mirror to reflect how dynamic she feels on the inside?

Which, as she also said in the AARP cover story, is pretty dynamic:

Slowing down isn’t something I relate to at all. The goal is to continue in good and bad, all of it. To continue to express myself, particularly. To feel the world. To explore. To be with people. To take things far. To risk. To love. I just want to know more and see more.”

So, here’s what: If Diane Keaton does decide to do something – leave her alone. And if she doesn’t – leave her alone. Because, as with so many other personal decisions being bandied about as if they were up for public auction these days, it’s her choice.

Consider this: Can you feel OK about the decisions you make about your face or your body without someone else’s validation?That might be the harder question.