The only really good plastic surgery I've ever seen is, believe it or not, on this lady:
Yes, that's really Roseanne Barr and it's -- so far as I can tell -- from this year. She was born in 1952. Note: she does not look 20. She looks maybe 35 or 40 and I think that's the ticket -- limiting how far you want to go and accepting that you're not going to be 20 any more.