People don't look like themselves, not even like their young or younger self. If just looks horrible. Yet, there are thousands of people going under the knife, because they are not willing to accept that they are old. Look at Joan Rivers, or Carol Burnette...they look awful. There's nothing nice about it. They look permenantly happy, or scared...I don't know what...they look like scarecrows.Here's another good one: Burt Reynolds. He looks digusting.

It looks obviously fake, and worse than aging skin

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It really depends on the results. Some plastic surgery turns out really good, some really bad. Two of my favorite websites on the topic are listed below.