This is a list of best and worst celebrity cosmetic surgery of 2011:

• Lil’ Kim

She used to look naturally beautiful, but with bad plastic surgery, she ended up having too prominent cheeks and a too pointy nose that almost resembles that of the late King of Pop Michael Jackson.

Another notable change is her bust size.  However, it seems that the 4’11” singer has gone overboard with her outrageously large breast implants.  It could have been better if she chose smaller ones to fit her petite frame.

• Kate Hudson

Kate Hudson is a perfect example of a good breast augmentation surgery.  She only asked for small breast implants to better fit her petite frame, giving her a nice B cup from a “double A.”  Because of the natural look she has achieved, not everyone is even convinced that she had plastic surgery, with some even saying that she might have started using “good” push-up bras.

While Kate has not yet confirmed if she went under the knife, her previous photos show the “subtle” improvements.

• Ashlee Simpson

Her previous nose was too large.  But with a good rhinoplasty surgeon, she now has a smaller, delicate-looking nose that complements her face.  However, the singer is still denying having plastic surgery.

• Joan Rivers

Over the past several years, television personality Joan Rivers has always been included in the list of worst plastic surgery.  But despite the notoriety of her obsession, she still continues to make some “tweaks” here and there that it is hard to tell how many cosmetic surgeries she had and is planning to have.

• Jane Fonda

Joan Rivers should learn from Jane Fonda who had facelift, eyelid lift, and neck lift.  The actress looks younger and refreshed nowadays, without looking like a wind just blew her face—a manifestation of bad facial plastic surgery.

• Donatella Versace

The Italian fashion designer may be talented in making fashionable clothes but is probably clueless when it comes to “ideal beauty.”  With her swollen, stretched out lips and her unflattering tan, or sometimes orange complexion, she definitely looks “unglamorous.”

• Megan Fox

While the sultry actress has repeatedly denied having plastic surgery, it is really hard to refute that her looks are solely from good genes.  Some doctors claim that she had nose job and eyelid surgery to make herself one of the most gorgeous celebrities in Hollywood.  But even if the cosmetic procedures are just plain rumors or real—and her appearance is just created by talented makeup artists and good photoshop skills—she looks stunningly beautiful.

• Heidi Montag

The reality tv star admitted to have had 10 plastic surgeries in one day.  In 2010, she had buttock augmentation, breast implant surgery, brow lift, Botox injection on her forehead, liposuction on her midsection, neck liposuction, fat injection on her face, chin reduction, ear pinning, and nose job.

But just after several months of her extreme makeover, she said during an interview that she regretted her surgeries.

• Jennifer Aniston

The actress has previously admitted to have had nose surgeries, although she claimed that these were done to correct her deviated septum, which is the strip of tissue separating the two nostrils.  But whether she had the procedures for cosmetic or reconstructive reasons, she looks more gorgeous these days.

• Nadya Suleman

The “Octomom” had tummy tuck surgery after giving birth to octuplets.  However, her plastic surgeon had probably gone overboard as her abdomen now appears too flat that it has no definition or contour.  Plus, her navel looks like it was created by making a vertical slit, making it hard to deny that she had the procedure.

• Lisa Rinna

The television host and actress had definitely joined the bandwagon of celebrities with a larger-than-life lip.  While this is a growing trend among famous people, any self-respecting plastic surgeon would definitely not agree with the swollen, stretched out lips.

Also, Lisa’s multiple facial plastic surgeries left her with an unnaturally smooth, windswept appearance.  Meanwhile, she was quoted saying in 2009 that she regretted going overboard with cosmetic procedures.

• Jocelyn Wildenstein

The wealthy socialite, dubbed as the “Lion Queen” and the “Cat Lady,” has been reported to spend a whopping $4 million just to look like a feline.  For several years, she has managed to make it to the list of worst plastic surgery.

• Ellen DeGeneres

While Ellen has not yet confirmed if she had plastic surgery, it is hard to deny that she looks younger and refreshed nowadays.  Some cosmetic surgeons assume that she may have had facelift, eyelid lift, laser skin resurfacing, Botox, and/or neck lift.

Ellen is a perfect example of “natural look” after facial plastic surgery.

One of NBC’s Biggest Losers dropped 91 pounds of pork and then signed up for the newest televised programs about plastic surgery, Bridalplasty. (Read our last post about cosmetic surgery and Bridalplasty.)

Losers contestant Alexandra White put up with the weight loss ranch for only a week but made a name for herself in addition to losing 91 pounds: she was proposed to by another Biggest Loser contestant, Antoine Dove (who himself lost 152 pounds when he started getting starry-eyed over Alexandra.) She said yes, too!

The bride-to-be tipped the scales at 309 pounds when she started. She now weighs 218, according to the Daily Mail newspaper in London, England.

Which brought her to the loose-skin-drooping-everywhere state which massive weight losers  often experience after the excess pounds are gone.

Thus, Alexandra is hankering for the following prenuptial procedures, including:

• Tummy tuck
• Liposuction of flanks, thighs and buttocks
• Breast lift
• Breast augmentation

The cost of that plastic surgery – a procedure known as body shaping or body contouring — would be somewhere around $20,000 according to Tarick Smaili, M.D., a Beverly Hills board certified plastic surgeon and the medical director of California Surgical Institute .

But apparently, Bridalplasty contestants ask for the moon, thinking their every wish might be granted.

One contestant, Kristin Sciacca, a former beauty queen (and the daughter of a former Miss California) has also signed on to Bridalplasty and penned the following wish list, including:

• Breast augmentation
• Laser hair removal
• Botox
• Liposuction of chin, cheeks, flanks, tummy and outer thighs.

And did we mention Kristin is already a beauty queen? One thinks the deck is stacked here.

Unless Alexandra or Kristin are not voted off the competition, the bridegroom – along with the viewing public — will not see the final state of the surgically rejuvenated bride until the very last show.

Stay tuned! Bridalplasty is shown on the E! Network on Sunday night at 9 p.m.

Back in 2008, the CSI blog reported that more young people are having cosmetic plastic surgery, often to get a leg up in the completion for jobs.

(Read our report about plastic surgery and younger people.)

In all the T.V. coverage about the royal couple committing matrimony in the near future, nobody has mentioned how much better the future Queen looks, compared to just a  few short years ago.

Alas, such is the risk of dating the future King of England – for nine long years. (The British press has nick-named her “waiting Katie.”) You’re gonna get your picture taken, over and over, year in, year out. No way around it.

So back in 2006, Kate Middleton – whom you’ve doubtless heard by now — is officially engaged to Prince William. We have so many pictures of Kate, we can see she had a slightly different look to her face….. which was still lovely, even with no nip or tuck at all.

It appears she had lower blepharoplasty, a procedure that removes under eye bags. The surgeon makes an incision just under the eye lashes or sometimes through the conjunctiva, the pink area you see when you pull the lower eyelid down. The surgeon then gently takes out a small fat roll that creates the eye bags by bulging through the skin and closes with sutures that stay in for  only three to five days.

For comparison, look at some more before and after blepharoplasty pictures.

But if the surgeon takes too much from under the eyes, the patient 20 or 25 “years on” (that’s British speak for “later”) may have an under eye hollow look  and need facial filler like Restylane or Juvederm to flesh things out again.

Kate’s nose was more difficult and required a plastic surgeon with great skill in rhinoplasty.

If you look closely, you can see Kate in 2006 had a slightly thicker nose and a slightly thicker nasal tip. When a plastic surgeon slims and refines a nose like that, the eye is thrown to the patient’s eyes which then seem much brighter.

Look at a few more rhinoplasty before and after pictures.

But doesn’t her royal-whatever-she-is-now look entirely natural? Who would guess?

The entire Real Housewives series has hinted at, flirted with and broadcast possible and actual plastic surgery procedures the wives may have had in the Atlanta, New Jersey, Orange County, (California), NYC and DC chapters.

Now, with the first airing of Real Housewives of Beverly Hills, the series has come home.

A lot of the Housewives content at various times has been about which wife (or even which of a housewife’s children!) has had what cosmetic surgery procedure. Among other catty, feeble plot lines, that is.

But humor us for just a second. If you’ve ever watched old films on TV you may have noted a lot 1930-era films featured an overload of top hats, silk evening gowns and champagne drinking in some very hoity-toity locations.

But at the same time in America, there was a terrible depression with the unemployment rate at a staggering 25 percent. A lot of the Midwest was blowing away in massive dust storms  (just Google, The Dust Bowl,) while many Americans lived like refugees in Somalia.

Those movies were actually made to give people a break from grinding reality. Back then, you worked 12 hours for a dollar, your feet always hurt, the kids were sick, your home or your workplace could be quarantined due to disease and your husband was still jobless.

But for only a nickel, you could sit and watch for almost two glorious hours of life in the most lush surroundings possible.

We submit for your consideration two things: that the entire Housewives industry is about cosmetic plastic surgery and that it serves as a guilty pleasure time out. Like their great grandparents during the 1930s Great Depression, worry-plagued, jobless people sneak a peek at how the other half lives on Real Housewives segments.

As for the BevHills Housewives procedures, here are some of the best guesses from the experts:

• Face lift: probably Adrienne Maloof, who is married to a Beverly Hills plastic surgeon.

• Breast augmentation: most likely Lisa VanderPump and Camile Grammer.

• Nose jobs: Lisa VanderPump may have had rhinoplasty, along with Camille Grammer and Kyle Richards.

• Lip augmentation: Taylor Armstrong, Camille Grammer,  Kyle Richards and Adrienne Maloof.

But then, again, it’s hard to tell, say the experts.

And isn’t that the whole point of cosmetic plastic surgery? To improve your looks while maintaining a natural appearance?

Biggest Loser Danny Cahill

The television show – “Biggest Loser” – has another, often untold side.

After the weight loss competition, a few contestants have a plastic surgery procedure known alternately as body shaping, body lifting and body contouring.

So far, those who have gone public with their plastic surgery include:

• 2009 season winner Danny Cahill who worked off 239 pounds

• Amy Cremen from 2008’s “Biggest Loser: Families” dropped 104 pounds

• Erik Chopin from season 2006’s “Biggest Loser” lost 214 pounds

After a loss of 100 or 150 pounds, body shaping becomes desirable. When people experience what physicians call MWL, or massive weight loss, the skin of their body has been stretched far beyond its ability to spring back.

Result? Loose, hanging skin usually drapes from the arms, torso, abdomen and legs. All that surplus skin gets in the way of good hygiene, other health concerns and even fastening one’s pants. It also flaps around painfully during exercise.

Some MWL patients even complain that sitting is a pain in the keister because the loose skin drooping from your bottom equals sitting on a slippery surface. Clothes don’t fit well either.

In Amy’s was new misery: “I was more uncomfortable in my new skinny body than in my heavy body….”

Erik Chopin, then 37, another “Biggest Loser”, dropped a whopping 124 pounds on the program and another 90 at home. Overall, Chopin shrank himself from 402 pounds to a trim 193. Moreover, he scored a $250,000 prize for his efforts. (But he showed up on Oprah in 2009, miserable because he gained back 120 pounds.)

Massive Weight Loss patients must be willing to trade long scars on their bodies for losing the drooping skin. On arms, for instance, surgeons make a long incision on the arm’s underside from the armpit to elbow, trim away the loose skin and close.

Drooping skin on legs is lost via incisions that run from the knees to the upper thigh on its inside.

Women often receive a breast lift while many other MWL patients loose the huge apron of stomach skin—medically known as a panniculus — that can sag to their knees through a belt lipectomy. The surgeon makes an incision all the way around the waist, trims away excess skin and closes. Such patients may also have circumferential abdominoplasty or a panniculectomy.

Scars to fade and lighten over about a year.

That might be extreme for  a non-celebrity, but in Hollywood, one’s face and body – are one’s fortune.

Back in 2007, Heidi admitted have a rhinoplasty and a modest breast augmentation.

Then in November, 2008, Heidi had ten procedures in one, ten-hour surgical session.

First, plastic surgery and Hollywood:

Some, like Joan Rivers and Phyllis Diller, use plastic surgery for a running shtick (source material) in their performances. Likewise, could Heidi just be drawing attention to herself to boost ratings of The Hills and her own album for business reasons?

Second, was so much surgery safe?

Plastic surgery is intended for people who are bothered by the look of a normal body part. If Heidi had a physical and was found to be healthy enough for plastic surgery – per state law and medical ethics – and could afford the procedures, it is her privilege to change her appearance how ever she wants.

Third, is she really addicted to plastic surgery?

We think Heidi means she is fond of rejuvenation surgery. The hallmark of true plastic surgery addiction is when a person is afflicted with a disorder known as body dysmorphic disorder (BBD). When looking in the mirror, that person only sees flaws, imperfections and ugliness.

The BBD patient is never satisfied with any amount of surgery and frequently sues his or her surgeons. In fact, surgeons are trained to ask particular questions that reveal patients who have BBD. 

Heidi says she looks better now so there is probably no true addiction.

We think the only remarkable thing about the whole episode is that she does not look that much different – her chin and breasts notwithstanding — than her former self.  Both versions are, in our humble opinion, beautiful.

To steal a phrase, the uproar and outcry  amounts to a tempest in a tea pot.

The list of Heidi’s most current enhancements include:

• Buttocks augmentation
• Revision breast augmentation surgery
• Chin reduction
• Ear pinning
• Revision rhinoplasty
• Fat injections to cheeks and face
• Liposuction to waist and hips
• Liposuction tothe neck
• Mini brow lift
• Facial Botox

Before Plastic Surgery

After Rhinoplasty and Breast Augmentation

Last December, the staff of Dorian, a Swedish gay magazine, devoted a whole issue to the superficial, including  plastic and cosmetic surgery. And the question of how to research the topic came up.

So the staff did the obvious thing – everybody had some rejuvenation surgery so they could take Hemingway’s advice to heart and write about what they know best.

While each staffer had an unspecified “mini-makeover”, the other procedures included:

• Facial liposuction
• Lip augmentation
• Rhinoplasty
• Face lift
• Muscle enhancement

News reports did not specify which muscle enhancements, but silicone implants — to suggest built up muscles — are available for mens’ chests, sides, biceps, buttocks and lower legs. (However, most guys develop bulging muscles between their ears all on their own!)

Dorian’s editor-in-chief Benjamin Falk wrote he would indeed recommend plastic surgery to others who want to “freshen up their looks a little” but don’t expect the surgery to bring life-altering circumstances. Bravo Benjamin!

Meanwhile, in England, Bucks Fizz, a rock band that had hits in the early to mid-1980s, made an appearance on an off-the-wall television program, (we are not making this up!) Pop Goes the Band.

The show brings back a once-famous band and puts the rockers through fitness training, makeovers and cosmetic surgery. Then the rockers show pictures from back in the day and compare those shots to the more current after plastic surgery pictures.

What could be next for plastic surgery and television?

With the trend in reality television, perhaps the handwriting is already on the wall.

One possible show could be named something like Plastic Surgery Survival Island.

Every month, a new group of plastic surgery patients crowd onto a lovely South Seas island and vie for the one most improved appearance prize worth bazillions of  the network’s dollars.

Week by week, as bandages come off, swelling and bruises go away and stitches are removed, contestants are voted off the island, until one glorious rejuvenated survivor remains to take it all.

What type of plastic surgery program would you like to see on television?

Youth Knows No Pain runs under HBO’s America Undercover series.

Even though the documentary was made by Mitch McCabe, the daughter of a reconstructive plastic surgeon, the film maker puts cosmetic plastic surgery into a catch-all, anti-aging box.

Ms. McCabe’s father was a trauma surgeon who began his surgical career in Vietnam. He later went into reconstructive surgery – as do many cosmetic plastic surgeons – and then offered more cosmetic surgery as the demand grew.

Nonetheless, Ms. McCabe dedicated two years touring the USA, interviewing and filming anti-aging enthusiasts, surgeons and hundreds of men and women from teens to the hyper-elders in their 90s.

Along the way, the viewer meets people like Sherry Mecom, a Texas housewife, who in childhood grew up dirt poor as one of 10 children.

Later on in life, she must have struck oil in her backyard because she spent $35,000 in one year on plastic surgery.

Yet another featured character is Norman Deesing, California actor and sculptor, who dropped a cool $50,000 on cosmetic surgery and looks a lot like Jack Nickolson.

The other anti-aging devotees run the gamut from colorful to cantankerous.

But Ms. McCabe’s biggest miscast may be the field of plastic surgery itself.

For, if you look at annual statistics and patient interviews, you’ll see 99.9 percent of plastic surgery patients are not anti-aging faddists or devotes, but ordinary working men and women who want to change one disliked – indeed, hated in many cases – feature on their face or body.

Meanwhile, anti-aging devotees are eating an exclusive diet of carrots, macrobiotics, yogurt or taking up some near starvation scheme or living in a sealed dome to ward off the toll of the years.

If you go to a good plastic surgeon, he or she will tell you upfront that the aging process continues after rejuvenation surgery.

You may have turned the clock back ten years with a face lift, but your face will look older in another decade.

Your bust line will no longer sag after a breast lift (given a competent, well trained surgeon) but in another 10 years, those same breasts won’t be quite so perky.

It appears to us, Ms. McCabe did not listen too well at her father’s knee.

To create a housewives franchise, it seems a producer must scare up some attractive drama queens who:

• Embrace plastic surgery
• Are real housewives, not actresses
• Have tons of money
• Live with nonstop dramatic situations and complications with husbands, children, friends and each other
• Are skilled in catty remarks

So this may be a good time for a Real Housewives plastic surgery scorecard.

The O. C. Housewives franchise can boast of:

• Lauri Waring: cheek and breast implants, rhinoplasty, lip augmentation, possible face lift, Botox.
• Tamra Barney: appeared in a video with her O.C. plastic surgeon talking about her breast implant revision. Tamra’s  mother, Sandra Bake, had a face lift by the same plastic surgeon.
• Jeana Keough: eventually became a spokesperson for a cellulite removal system.
• Lynne Curtin: likely breast augmentation and Botox.
• Viewers even followed one of a housewife’s teen daughter through a breast enlargement procedure.

All other O.C. cast members:  Probable breast augmentations.

Of the New York Housewives:

• Bethenny Frankel, now 38, had breast augmentation and possibly, a breast lift. We know that because Beth appeared topless in a 1994 movie which clearly revealed large, but sagging breasts. Plastic surgeons in the Big Apple and L.A. also think Beth has had Botox or chemical peels and rhinoplasty.
• Ramona Singer: thigh reduction, neck surgery and a decade’s worth of Botox.
• Jill Zarin: regular Botox injections and breast implant reduction (32 G down to a 32D.)

In the Real Housewives of New Jersey:

• Jacqueline Laurita: Botox, lip augmentation, possible breast implants.
• Teresa Giudice: Breast augmentation, from an A to a C cup.
• Danielle Staub: Breast enlargement – twice — with a bad outcome;
• Botox, lip enlargement, possible eyelid lift, cheek implants and
• removal of a cleft chin.
• Dina Manzo: Breast implants which she wants removed.

The Real Housewives of Atlanta, scheduled to return to the air in July, 2009, after one complete season does not seem to be able to boast of any cosmetic plastic surgery procedures.

Yet!