Return to Transcripts main page

CNN Larry King Live

Plastic Surgery: Is It Worth the Risk?

Aired November 19, 2007 - 21:00   ET

THIS IS A RUSH TRANSCRIPT. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED.


JOY BEHAR, GUEST HOST: Tonight, to nip and tuck or not to nip and tuck?
That is the question.

The tragic death of Kanye West's mother has more people asking are the results of plastic surgery worth the risks?

Joining us, the one and only Joan Rivers. She's a big fan of cosmetic procedures.

Also with us, designer Isaac Mizrahi.

What does he think about plastic surgery?

Not so much.

Then, rock legend Gene Simmons and playmate Shannon Tweed -- this couple didn't just have his and her facelifts -- they had it on camera for their reality TV show.

Plus, expert advice free from noted plastic surgeon Dr. Robert Singer.

What do you need to know about the costs, potential complications and possible outcomes of cosmetic procedures?

And famed dermatologist and best-selling author, Dr. Nicholas Perricone. He says there's a way to slow the aging process inside and out -- without knives or needles.

I want to hear that.

All that and more next on LARRY KING LIVE.

Thanks for joining us.

I'm Joy Behar sitting in for Larry King.

Plastic surgery is our topic tonight -- should you?

Shouldn't you?

What do you need to ask before you make up your mind?

With me for the hour here in New York City Joan Rivers, comedienne, businesswoman, playwright and just fabulous all around girl. Unlike a lot of stars, she's ready to dish about plastic surgeries she's had.

Designer and TV personality Isaac Mizrahi. He's getting ready to launch a Web show "Watch Isaac". Isaac says he's never had plastic surgery and he doesn't much like the look of it on others.

Hello, guys.

How are you?

JOAN RIVERS, CELEBRITY, COMEDIAN: Hello.

Hello.

ISAAC MIZRAHI, FASHION DESIGNER AND TV PERSONALITY: Hi.

BEHAR: So nice to see you.

RIVERS: Nice to see you, my girl.

BEHAR: OK, let's start with Joan.

First of all, we know you've had a lot of it and we want to talk about it.

RIVERS: Not as much. I've become like the whore of plastic surgery because I men -- I always talk about it.

BEHAR: Oh, is that the reason?

RIVERS: Yes.

BEHAR: Oh. Because very few people will actually go on camera and say they've done anything.

RIVERS: Comediennes.

BEHAR: Yes, you...

MIZRAHI: Right.

BEHAR: Phyllis Diller.

RIVERS: Phyllis Diller. Carol Burnett.

BEHAR: Yes.

RIVERS: Any comedian is always -- Goldie Hawn -- all the ones that don't take their looks seriously are willing to say I've done something. And the women that are so beautiful and they want you to think it's natural will never tell you that.

BEHAR: Yes, that's true.

Well, how much have you actually had done?

RIVERS: Two full face lifts... BEHAR: Yes.

RIVERS: And then little bitty bitties I call them.

BEHAR: tweakings.

RIVERS: Tweakings, you know, like I have a very good friend, Stephen Hoffman, in California.

And I'll say, what do you think, Steve?

Tell me the truth. And he'll say, "Wait another year. Wait two years." Or he'll say, "Oh, my God, get in here tonight."

BEHAR: Get in quick.

RIVERS: Right now. Lie down. (INAUDIBLE).

BEHAR: But every time you go...

MIZRAHI: But let me ask -- doesn't that depend on his mortgage payments or something (ph)?

RIVERS: I don't know.

MIZRAHI: Maybe he needs a little money or something...

(CROSSTALK)

BEHAR: No. No. Well, David, he does -- she does it because she wants to be refreshed and look -- and look alive and look healthy.

RIVERS: Yes. You want to look at yourself on camera and say, for my age, I look OK.

BEHAR: But every time you have something done, they have to cut?

RIVERS: No. We all do botox and stuff.

BEHAR: Yes.

RIVERS: This you do, the gels, you know...

BEHAR: The gels.

RIVERS: ...I think -- I don't know what he does. I'm one of those people, I don't ask.

MIZRAHI: Right. You just go...

RIVERS: I just say...

MIZRAHI: "Make me beautiful."

RIVERS: Yes. I don't want to know.

BEHAR: Aren't you scared to go under the anesthesia and everything?

RIVERS: Terrified.

BEHAR: It's very risky.

RIVERS: Very serious.

BEHAR: Yes.

RIVERS: My dad was a doctor. The anesthesiologist is as much a part of that group as the plastic surgeon. Oh, very serious. But you also want to look good. We're in a society that wants people to look good.

MIZRAHI: Yes.

BEHAR: But, I mean, have you had anything else?

How about your nose?

Thinned it out a little?

RIVERS: My nose was thinned out years ago.

BEHAR: Yes.

RIVERS: But I'm Jewish, of course.

(LAUGHTER)

RIVERS: It was in high school.

BEHAR: Do you have lips?

RIVERS: No. Lips...

BEHAR: No lips.

RIVERS: No lips.

(LAUGHTER)

BEHAR: Eyes?

What did you do to your eyes?

RIVERS: Well, that was the whole plastic thing.

BEHAR: The whole thing?

RIVERS: Oh, yes.

BEHAR: Why can't they just pull the neck up?

Why do they have to pull the whole face up?

RIVERS: I don't know. I don't ask.

BEHAR: Well, you...

(LAUGHTER).

RIVERS: I don't care.

BEHAR: Yes.

Joan, you have no fear of it?

You just...

RIVERS: I have great fear of it.

BEHAR: Oh, you do?

RIVERS: And I take it very seriously. I always say -- every time I have done anything I always say to the anesthesiologist, "Remember, I'm alone and I have a daughter."

BEHAR: Yes. Yes. Yes.

MIZRAHI: Yes. That's heavy.

RIVERS: And a dog (INAUDIBLE). Yes, I really make them feel very guilty.

BEHAR: Is there any limit to what you will do?

RIVERS: Nothing.

BEHAR: Is there anything you won't do?

RIVERS: Why?

BEHAR: I don't know.

RIVERS: If it's wonderful and terrific, I would try it, probably.

BEHAR: Have you done lipo?

RIVERS: No, I never did lipo...

BEHAR: No.

No sucking out?

RIVERS: ...because I've seen bad lipo. I've seen people at the beach...

MIZRAHI: Yes.

RIVERS: ...you go like, lipo, no.

MIZRAHI: It's not a good shape. BEHAR: I wonder...

RIVERS: It's not a good shape.

MIZRAHI: Yes. It's all about shape.

BEHAR: Wait. Wait. Before I get to you, Isaac, I just have one more question.

When you first did it, Joan, the plastic surgery, did you...

RIVERS: I did it young.

BEHAR: How old were you?

RIVERS: I was 41.

BEHAR: Forty-one.

RIVERS: Forty-one.

BEHAR: And I guess that...

RIVERS: I had natural bags from my father.

BEHAR: Yes?

RIVERS: And I was starting to get that tired 41-year-old look, you know?

BEHAR: Yes.

RIVERS: And I just thought, let me do it now. Somebody had told me that on the Carson Show -- one of Johnny's wives. She said do it before you need to do it.

BEHAR: Really.

But did you do it because you wanted to be prettier or because you felt you were looking older?

RIVERS: I wanted to look better. And, of course, you want to be pretty. We're in a society -- everybody wants -- as I always said, nobody ever asked Eleanor Roosevelt to dance, you know what I mean?

(LAUGHTER).

BEHAR: Exactly.

RIVERS: A brilliant woman, but no one said, "Hey, baby, slow dance with me."

BEHAR: Well, she had a -- didn't she have a girl friend?

RIVERS: Yes. We found that out later.

BEHAR: Yes. Come on. We knew later.

(LAUGHTER)

BEHAR: Yes, so, you know, it's a moot point.

Now, Isaac, I understand from my readings that you are into this at all. You're almost against it.

Are you?

MIZRAHI: You would say that I was -- I -- you know what I'm against?

I'm against the sort of like -- the society that makes people be young and gorgeous all the time.

BEHAR: Yes, but you're a part of that. You're a designer.

MIZRAHI: I know. But, listen, that's why I feel I'm sort of responsible for that. It's like I remember when like models were getting too skinny and I really didn't -- I never booked any of those girls because I thought they look too thin, that's a mad message for me, you know?

BEHAR: How skinny is too skinny for you?

Tell the truth.

MIZRAHI: I think -- we all know what...

RIVERS: Me.

(LAUGHTER)

MIZRAHI: ...too skinny is. Exactly.

(LAUGHTER)

MIZRAHI: Yes.

BEHAR: And me.

MIZRAHI: Nobody in this room has anything to worry about.

(LAUGHTER)

BEHAR: Oh, that's very sweet.

MIZRAHI: (INAUDIBLE). But, you know, it's like -- in Hollywood, like, you know, I guess that's probably why those beautiful women don't want to say they've had work, because every agent -- it's sort of run by agents. And, you know, agents are wonderful people.

RIVERS: Yes.

MIZRAHI: But they will -- if they know somebody is over 40, they're going to all of a sudden sort of question their marketability...

UNIDENTIFIED FEMALE: Yah.

MIZRAHI: ...as a beautiful, you know, kind of leading lady (INAUDIBLE)...

BEHAR: Yes, but in the on the old days, they used to retire at 40, like Greta Garbo.

RIVERS: Yes.

BEHAR: She wanted to be a woman at 39.

MIZRAHI: She had the right idea.

You know what?

She had the right -- I think she had the right idea.

RIVERS: It's easy to say.

BEHAR: Why?

MIZRAHI: Because she had a great time...

UNIDENTIFIED FEMALE: (INAUDIBLE).

MIZRAHI: ...and it's time to just move on to playing bridge and walking around and going to flea markets.

BEHAR: What if somebody said to you, OK, Isaac, you have to retire now?

You don't want to retire.

MIZRAHI: I don't know. I kind of do. I kind of do. I do. I mean...

RIVERS: I love my work. I will never...

MIZRAHI: I do, too.

RIVERS: I will die on a stool in Vegas.

MIZRAHI: I think you're right.

BEHAR: Of course, you will.

MIZRAHI: Right.

BEHAR: Like George Burns.

MIZRAHI: That's right.

BEHAR: You know, Larry has had many celebrities on his show that have actually talked about their plastic surgery. OK, let's look at that.

MIZRAHI: Right.

(BEGIN VIDEO CLIP, 2006)

LARRY KING, HOST: Have you had cosmetic surgery?

KATHY GRIFFIN, COMEDIAN: Oh, yes, absolutely.

KING: What have you had done?

GRIFFIN: Oh, I had a brow lift, which is where they take your eyebrows and put them on a completely different part of your head. And you look months younger.

(END VIDEO CLIP)

(BEGIN VIDEO CLIP, 2007)

NAOMI JUDD, ACTRESS: I've had a facelift. And that's -- I probably wouldn't have done it if I was still Naomi Judd or (INAUDIBLE). But I think it's OK if you really are defined from within first and you have a really strong self-concept.

(END VIDEO CLIP)

(BEGIN VIDEO CLIP, 2007)

TYRA BANKS, ACTRESS: And sometimes I get angry when models say that they're against plastic surgery, because I feel like you won a genetic lottery, girl, and you might even have done something yourself. And here you are telling people they shouldn't do that?

I feel like everybody should make a choice. And, you know, if they want to do that, that's fine. It does -- I'm so not against it.

(END VIDEO CLIP)

RIVERS: I think that's great.

BEHAR: Yes .

MIZRAHI: I'm not against it. It's not fair to say I'm against it.

BEHAR: She said she won the genetic lottery.

MIZRAHI: Yes. She's right. She did.

RIVERS: Yes, but, you know, they look at you in California -- you know that.

MIZRAHI: Yes.

RIVERS: They are so -- when they come down that red carpet...

BEHAR: Yes.

MIZRAHI: It's true.

RIVERS: ...they are amazing looking.

MIZRAHI: I know.

RIVERS: And though they've had the nose raised a quarter of a fraction...

MIZRAHI: I know. And it doesn't -- it doesn't look right to me, frankly. It looks -- especially on the really young ones, they end up looking like oddities more than they do look beautiful. I think like it's maybe a little younger or something, with air quotes (ph), to maybe be wrinkled. I'm not kidding. We have to consider it -- we have to consider it from all angles.

BEHAR: But, you know, the girl -- the women in Europe -- those -- the European directors don't have the same issues with this. They have general welfare, for example.

MIZRAHI: Right.

That's right.

The key -- like you were saying before -- is to leave a little undone. You have to leave a little bit undone.

Have you had any done?

BEHAR: I've had botox.

MIZRAHI: What did you do, because you look amazing?

BEHAR: I get rid of these here.

MIZRAHI: Right.

RIVERS: Right.

BEHAR: And I have a couple of shots to like lift this right in here.

RIVERS: And your neck should...

(CROSSTALK)

BEHAR: I need more here?

MIZRAHI: But look at this. Check this out.

RIVERS: You need your neck to be pulled just a tiny bit in about a year.

MIZRAHI: You know what?

RIVERS: In about a year-and-a-half, I'll talk to you.

MIZRAHI: Take the advice from -- get advice. But the thing is, look at it under here. There's no bags.

BEHAR: No, I don't have that.

MIZRAHI: That's the miracle of Joy Behar.

BEHAR: Well, I'm Italian.

MIZRAHI: Right.

BEHAR: The Italian skin holds up, you know?

MIZRAHI: Yes.

BEHAR: So I'm lucky that way.

RIVERS: But...

BEHAR: I won the genetic lottery.

(LAUGHTER)

(CROSSTALK)

BEHAR: ...well, check my behind.

RIVERS: A lot of it is DNA.

BEHAR: Yes.

RIVERS: You know, people always say to me, when you get older, they always say you have nice skin.

(CROSSTALK)

RIVERS: You know, there's nothing to compensate.

BEHAR: Yes, you know, people say that a lot to me. I always think it's a compliment. Now I'm insulted.

RIVERS: Yes. It means you're old.

(LAUGHTER).

BEHAR: You have beautiful skin, they tell me.

RIVERS: I slap them. But it's my -- it's my mother's skin.

(LAUGHTER)

RIVERS: Oh, you're beautiful. Skin -- that's it.

MIZRAHI: Right.

BEHAR: But, Isaac, how old are you?

Can you tell us?

MIZRAHI: I'm 46.

(CROSSTALK)

BEHAR: Do you feel that you look good for your age or not?

MIZRAHI: I don't. I feel like I look really old.

BEHAR: No, you don't.

MIZRAHI: I don't?

(CROSSTALK)

BEHAR: Forty-six.

MIZRAHI: Oh, thank you so much.

BEHAR: You look 46.

MIZRAHI: I was starting to think that maybe that's what I would do -- the jowl thing.

What do you think?

RIVERS: I would do it, again, especially on a man, do a little bit before it's needed so you don't come back and scare them with a new face.

MIZRAHI: Yes. Right. I just had a friend who did her eyes over the summer. And she had a really great surgeon, because you could not tell this woman did her eyes. You really couldn't. Like she still looked slightly, you know, like over 50.

BEHAR: Yes.

MIZRAHI: And she looks like she's over 50. I think it's really important that we start accepting people that look a little bit over 50.

BEHAR: Well, we're going to continue...

MIZRAHI: You know?

That's a very important thing.

BEHAR: Let's continue talking about this, because we're going to bring on some surgeons and dermatologists and other people who have had some work done.

So stay tuned.

We'll be right back. (BEGIN VIDEO CLIP, 2003)

BETTE MIDLER, MUSICIAN: Plastic surgery is definitely an option.

(LAUGHTER)

KING: Have you ever had it?

MIDLER: Have I ever had it?

KING: The answer is yes if you pause, because I would say no immediately. I would be scared.

MIDLER: No, I've had plastic surgery.

KING: You sucked me in.

MIDLER: What kind of person would say you're damned if you do and damned if you don't?

If you say I don't, they say what are you doing?

And you say I don't let the magic in on my illusions.

KING: Well, how does your complexion stay so beautiful?

MIDLER: I have a fabulous facialist.

(END VIDEO CLIP)

(COMMERCIAL BREAK)

(BEGIN VIDEO CLIP, 2003)

DOLLY PARTON, MUSICIAN: Now I look so totally artificial, you know?

But I hopefully am totally real. But if somebody wants to know something...

KING: All right...

PARTON: I always say if I, you know, if I see something sagging, dragging or bagging, I'm going to go have it stuffed, tucked or plucked.

KING: Have you had a facelift?

PARTON: Yes, I've had different things done.

KING: Eyes?

PARTON: I've had, like -- yes, I've had eyes done.

KING: Lips?

PARTON: My lips?

I use collagen. I lighten my lips with collagen. I use the botox. I use...

KING: Liposuction?

PARTON: Yes, different places.

(END VIDEO CLIP)

BEHAR: She's done it all.

We're back with Joan Rivers and Isaac Mizrahi.

Joining us now, well known and board-certified plastic surgeon, Dr. Robert Singer. He's co-chair of the NewBeauty editorial advisory board.

Also with us, Dr. Nicholas Perricone, dermatologist and anti- aging expert. He's a "New York Times" best-selling author. Dr. Perricone's latest book is "Ageless Face, Ageless Mind." Here it is, doctor.

Thank you for joining us you, doctors.

DR. ROBERT SINGER, SPECIALIZES IN COSMETIC PLASTIC SURGERY: Thank you.

BEHAR: OK, Dr. Singer, tell us what you really think about plastic surgery?

Why should anyone get it?

DR. ROBERT SINGER, SPECIALIZES IN COSMETIC PLASTIC SURGERY: Well, I'm not an evangelist. I don't believe everybody should get it. But I think there are individuals who may feel that they are improved by it. It's a nice option for some people.

You know, we are -- it's a competitive society. We are trying to look as good as we can, be as good as we can. For some people, that may be new hair cut. It may be new clothes. It may be teeth whitening. For some people, it's plastic surgery. It's not for everyone and it's an extension. Whether it's right or wrong is not really the issue. The issue is that's the society we live in.

BEHAR: Yes.

SINGER: We live in a very competitive society -- for business, for romance, for attention.

BEHAR: But is it worth the risks?

A lot of times thinks go awry and it doesn't work out and people get second dye or whatever. Look at Kanye West's mother. I mean things like that do happen and people are nervous. SINGER: I think that's very important, and I agree with you. And the message with that is that it can't be trivialized. It's real surgery and it has real potential problems. But if you look at the data that exists from a group called quadruple ASF, which looks at data on office-based surgery (ph).

BEHAR: Yes?

SINGER: In the hands of a board-certified plastic surgeon by the American Board of Plastic Surgery...

BEHAR: Oh.

SINGER: ...doing procedures in a facility that's accredited -- which means inspected for safety -- with an appropriate anesthesia provider -- and if that surgeon has privileges in the hospital to do the procedures they're doing in the office, then it's a very safe surgery.

BEHAR: But what did -- what did Mrs. West -- or Kanye West's mother do wrong?

SINGER: I don't know the specifics of that case and I don't really want to discuss it. But I...

BEHAR: So it has to be board-certified in plastic surgery?

SINGER: Yes.

BEHAR: Not just -- you don't go to a derma -- not a dermatologist, but a proctologist, for example, to get your face done...

(LAUGHTER)

UNIDENTIFIED MALE: The problem is...

BEHAR: ...just because he's board-certified.

UNIDENTIFIED MALE: Well, it depends on what your face looks like.

(CROSSTALK)

BEHAR: Well, it depends on what you look like.

UNIDENTIFIED MALE: Right. Exactly.

SINGER: The problem is that in most states...

UNIDENTIFIED FEMALE: Right. It's an improvement?

(LAUGHTER)

SINGER: In most states, you know, you can call...

BEHAR: Is there anyone you would turn down, doctor? SINGER: You can call yourself...

BEHAR: Is there anyone you would turn down?

SINGER: I -- yes. And I do. And good board-certified plastic surgeons do that. It's not a matter of just accepting the patient and doing the patient. It's a matter of screening them, evaluating whether they're medically a good risk, whether their expectations are realistic, whether they are appropriate candidates. So everyone who comes in isn't necessarily a candidate to do that.

BEHAR: OK.

Wait, let me get to Dr. Perricone now.

What do you think all of this, Doctor Perricone?

I believe that you -- your thing is completely different.

PERRICONE: Yes. I have an alternative approach. And the approach is actually in trying to look younger and feel younger. But we do it through a three tiered program. That is, the anti-inflammatory diet, nutritional supplements and then anti-inflammatory topicals. Now, the difference is that, first of all, we don't have the risk and the expense of plastic surgery. But the other thing is when we are decreasing inflammation in the body -- and I'm not talking about a bright red sunburn, but low grade inflammation -- we are decreasing the risk of things like heart disease, cancer and diabetes at the same time. So you can have a fabulous outcome from plastic surgery, but you're not doing anything for the internal health of the body.

BEHAR: What increases inflammation in the body?

PERRICONE: Bad food.

BEHAR: Bad food?

What's bad food?

Like what?

PERRICONE: (INAUDIBLE).

BEHAR: Come to my house.

(LAUGHTER)

BEHAR: Anything Joan cooks.

RIVERS: (INAUDIBLE)...

(LAUGHTER).

BEHAR: So, what, like white flour, the old...

PERRICONE: Anything that's going to cause a rapid rise in blood sugar causes a burst of inflammation. There's something called glycation, which is part of the new book. Sugar attaches to longer proteins like collagen. When that happens, it's irreversible. It becomes an inflammatory chemical factory. And that's what gives us heart disease, cancer, diabetes and all the rest.

So the approach is beauty from the inside out and, at the same time, we're not looking more youthful, but we're also decreasing our risk for age-related diseases and, I believe, also slowing the aging process.

BEHAR: What do you say to that, Joan?

RIVERS: Absolutely. I am a great one for health. I read the doctor's books. I live on salmon. I keep...

(CROSSTALK)

RIVERS: But that has nothing to do -- it's not going to fix your nose.

BEHAR: No.

RIVERS: You can eat all the salmon you want and you're still going to have -- you're still going to look like Barbra Streisand...

BEHAR: Yes, what about that?

What about that?

RIVERS: You know what I mean?

Just...

BEHAR: I don't mind looking like her, if I could sing like her.

UNIDENTIFIED MALE: But once again...

RIVERS: If you could sing like her.

BEHAR: Yes...

(CROSSTALK)

RIVERS: She sings pretty, though, I think, (INAUDIBLE)...

(CROSSTALK)

BEHAR: Well, she was always -- you know what?

RIVERS: She's the best singer in the world.

(CROSSTALK)

RIVERS: But Barbra Streisand without her voice would not be...

UNIDENTIFIED MALE: No. RIVERS: ...a movie star.

BEHAR: See, I totally disagree.

UNIDENTIFIED MALE: I disagree. I disagree. She is such a beautiful woman. She's a beautiful woman.

BEHAR: When she was young, she was extremely exotic and gorgeous.

UNIDENTIFIED MALE: No. She's a beautiful woman.

Have you seen her recently?

RIVERS: Wait a second.

UNIDENTIFIED MALE: She's a beautiful woman.

BEHAR: Let's get rid of the thing (ph).

Let's get past this...

UNIDENTIFIED MALE: There has to be something beautiful without being over...

BEHAR: Yes, but -- oh, just shut up.

(LAUGHTER)

(CROSSTALK)

BEHAR: Let Dr. Singer jump in.

SINGER: You know, it was brought up -- and it's an important point -- that these things are all important. I believe in them. They play a role. They're part of the continuum. But I think that the public has been oversold on minimal invasive, a lot less invasive, skin care. All of those things are important. But they don't take the place of surgery.

BEHAR: But I think the public has been oversold on why you can't be older looking.

(CROSSTALK)

BEHAR: Why does it have to be that everybody has to look young?

Why?

(CROSSTALK)

BEHAR: Why can't you be pretty when you're older?

UNIDENTIFIED MALE: Good question.

BEHAR: So many people look beautiful when they're older.

UNIDENTIFIED MALE: Yes. I agree with you and not everyone should have the surgery.

RIVERS: But that's not our society, Joy.

Our society...

BEHAR: I know, but it's...

RIVERS: ...you pick up "Vogue" magazine and the model there is 17-years-old. And you looked at last Sunday's "New York Times" and the models had legs like toothpicks.

BEHAR: Yes.

UNIDENTIFIED MALE: Yes, but you know what?

(CROSSTALK)

UNIDENTIFIED MALE: ...a lot of people look at that and really take it seriously.

RIVERS: Yes.

UNIDENTIFIED MALE: You are a performer. You're on screen a lot. And on screen, it looks really, really great.

BEHAR: Thank God.

UNIDENTIFIED MALE: Like, in other words, like in people's real lives, they don't really -- I mean, yes, they look at "Vogue."

BEHAR: Let me cut you.

UNIDENTIFIED MALE: But...

BEHAR: OK.

We're going to come back with more of this.

It's exciting, isn't it?

We'll be right back.

(BEGIN VIDEO CLIP, 2006)

ROSEANNE BARR, ACTRESS/COMEDIAN: It's awful. It's so scary. And I had a nose job with the face lift and plus they moved eyelids. And the doctor dropped a scalpel in my face.

(LAUGHTER)

So I had to go back and be cut open again to remove the scalpel from my face.

KING: He had left it in your face?

BARR: My nose always runs . Yes, he def -- he dropped it in there. I wouldn't do it again. But, you know, at that time it was like, you get into a thing here where you've got, you know, you -- they -- like there's this subtle pressure to try to look nice -- and especially for women.

(END VIDEO CLIP)

(COMMERCIAL BREAK)

BEHAR: Joining us now from L.A. rock legend Gene Simmons and former playmate Shannon Tweed. They've been happily unmarried for more than 20 years. Their family life has been chronicled on the A&E reality show, "Gene Simmons Family Jewels".

Oh, excuse me.

During season two, now out on DVD, Gene and Shannon had his and her plastic surgeries on camera.

Let's take a look.

We warn, this is pretty graphic stuff.

(BEGIN VIDEO CLIP FROM "THE FAMILY JEWELS," COURTESY A&E)

UNIDENTIFIED MALE: Gene is a very, very difficult case, as we've discussed -- you know, thick, heavy skin; hugely deep nasal ripples; amazingly deep nasal (INAUDIBLE) grooves; thick, heavy jowls. No surgeon in his right mind would do Gene Simmons on TV.

UNIDENTIFIED FEMALE: OK, Gene. You're all wrapped up and ready to go. So we'll see you tomorrow and we'll take these out. OK?

GENE SIMMONS, ROCK LEGEND, HAD FACELIFT DOCUMENTED ON HIS REALITY SHOW: Um-hmm.

UNIDENTIFIED FEMALE: OK?

SIMMONS: Um-hmm.

UNIDENTIFIED FEMALE: My -- oh, my God.

UNIDENTIFIED MALE: Oh, dad, oh, your weight. You're taking this way too well. Ha! You have staples in your neck.

(END VIDEO CLIP)

BEHAR: Gene, hi.

SIMMONS: Yes.

BEHAR: Shannon, how are you?

Why...

(LAUGHTER) SHANNON TWEED, PLAYMATE, ACTRESS, HAD FACE-LIFT WITH GENE SIMMONS DOCUMENTED ON REALITY SHOW: Our kids -- our kids will never have plastic surgery.

(LAUGHTER)

BEHAR: You won't have -- you won't allow your kids to go through that, would you?

TWEED: They were so shocked from it, they'll never do anything.

BEHAR: That is a pretty shocking piece of tape, to tell you the truth.

Why did you do that?

And why did you do it on camera, more to the point?

SIMMONS: Well, look, life is short. I really think one of the -- one of the pieces of information we're not really talking about is this is man's fault, because we men are such simple forms of life. We keep judging women by the wrong ideas. But life is what it is. We're attracted to beauty. We're attracted to beautiful women. And that's life.

BEHAR: Yes, but...

SIMMONS: So the pressure is all on women and that's unfortunate. And so every once in a while, a guy should stand up and realize that you're allowed to self-empower yourself. Life is short. You decide what you want out of life. If it makes you happy, do it.

BEHAR: Yes, but, Gene, women are not as superficial as men.

So why did you do it?

SIMMONS: (LAUGHTER).

I beg your pardon?

BEHAR: That would be the question.

What do you need it -- what did you do it for?

SIMMONS: Well...

BEHAR: You could go around looking as ugly as you want.

SIMMONS: That's right. That's exactly right.

But, you know what?

I'm delusional. When I look into the mirror, I actually see my beautiful eyes and I go, yes, baby -- look at that.

(LAUGHTER) SIMMONS: I want -- I want the same things out of life that you do, which is a quality of life. You want all women to adore you and want you. And you can't have it.

BEHAR: Shannon, what about you?

Was this the first time you've ever done anything like this?

TWEED: Well, I did -- I did little things before, like most of my colleagues -- collagen and the peels and so on. But, you know, I was 50 and things were falling down and I picked them up. I mean it's a personal choice. I wouldn't recommend plastic surgery to anyone. It's not fair to do that. But for me, it was my own choice.

BEHAR: Whose idea was this, yours or his?

SIMMONS: You know, it sort of happened naturally. Our "Gene Simmons Family Jewels" show -- plug, plug, plug -- actually came to us and wanted to know if we would do it together. And I never entertained the notion.

But why not?

Life is short, you know.

BEHAR: Yes.

What -- it might be even shorter than you think.

(LAUGHTER)

BEHAR: What did you exactly do?

Tell us the exact things you've done.

SIMMONS: I had a lot more done than Shannon because she's more naturally beautiful. I had my face thrown over my left shoulder like a scarf in the wind. And we filmed the whole thing. I mean the process is fascinating. They literally go through your chin and they do this incision here and they take everything out. And just somehow, you know, that's why you don't see any lines. It is fascinating. Listen, folks, if it makes you happy, go and do it. If you have any concerns, don't.

BEHAR: But let's talk about the pain involved here. Tell us the truth about the pain.

TWEED: Honest to God, there wasn't pain from my facelift. Well, first of all...

BEHAR: How about afterwards?

TWEED: No. First of all, you're so -- sort of on the after drug of the drugs. And then you're on pain medication. So the pain is not an issue. The recovery time is an issue and, you know, I had...

BEHAR: How long was that?

How long was the recovery time?

TWEED: Well, at least 10 days before you're sort of presentable in a sort of puffy kind of way. But it's just ugly. It's not painful.

SIMMONS: I didn't do what Shannon did. I took meetings the next day. I was up in about 24 hours -- no pain, no discomfort.

TWEED: And Gene doesn't take pain medication.

SIMMONS: No.

TWEED: So, truly, it's not painful. I'm sure it's painful when he's operating, but...

BEHAR: Weren't you...

TWEED: ...we don't know about that.

BEHAR: Weren't you scared of the risks involved?

TWEED: Yes.

BEHAR: Because that looks like pretty heavy stuff you guys did.

TWEED: Yes, petrified.

SIMMONS: No.

BEHAR: Yes. You were.

TWEED: I always think I'm...

BEHAR: He wasn't.

going to die.

TWEED: I always think I'm, you know, I'm going to die.

SIMMONS: I must tell you a funny story. When we were first getting ready to be operated on -- and we filmed all of this...

TWEED: Oh, I was so scared.

SIMMONS: ...available on the DVD, which comes out tomorrow, by the way, the second season, volume two. My mother wants another house.

(LAUGHTER)

SIMMONS: And there's a funny bit, where, you know, first they shoot you up with this kind of we're going to relax you first, and then we're going to give you the real drugs that knock you out. I've never been high or drunk in my life and I've never smoked. And I will tell you that you -- you see on camera.

TWEED: (INAUDIBLE).

SIMMONS: They gave me the relaxed routine and I was out like that.

TWEED: Yes. He passed...

SIMMONS: Even before the (INAUDIBLE).

TWEED: He passed out on the valium.

(LAUGHTER).

BEHAR: Who do you -- who do you think came out looking better, compared to what you look like before?

SIMMONS: No, Shannon is...

TWEED: Wait. I have a new boyfriend.

(LAUGHTER)

SIMMONS: His name is Pat Marina (ph).

(LAUGHTER)

TWEED: You tell me.

SIMMONS: No. Shannon has, you know, is God's gift to every man who ever dreamed of beautiful women, continues to be. And, you know, I -- you should have seen her this morning. I lusted after her. I'm doing radio interviews...

(LAUGHTER)

BEHAR: Yes.

SIMMONS: ...and talking on the phone. She's walking around with this...

BEHAR: Radio, that's...

SIMMONS: Yes?

BEHAR: See, the case for not having to have it is to be on the radio.

SIMMONS: (INAUDIBLE).

BEHAR: Thank you so much, you two.

It's so nice to see you again.

Good luck with whatever you do with your lives.

TWEED: Thanks.

BEHAR: We'll be right back.

(BEGIN VIDEO CLIP)

UNIDENTIFIED FEMALE: I see some difference. He still looks like the same person, though.

UNIDENTIFIED FEMALE: That's got to be a little botox.

UNIDENTIFIED FEMALE: I think he looks a lot younger.

UNIDENTIFIED FEMALE: Yes.

UNIDENTIFIED FEMALE: But he doesn't look like himself.

UNIDENTIFIED FEMALE: No.

UNIDENTIFIED FEMALE: No.

UNIDENTIFIED FEMALE: No.

UNIDENTIFIED FEMALE: Yes, definitely his eyes.

UNIDENTIFIED FEMALE: Right here.

UNIDENTIFIED FEMALE: It's pulled back.

UNIDENTIFIED FEMALE: (INAUDIBLE).

UNIDENTIFIED FEMALE: Yes, he doesn't have that like bulldog flap right there.

UNIDENTIFIED FEMALE: Yes.

UNIDENTIFIED FEMALE: That's after. Oh, look, this is -- this is after.

UNIDENTIFIED MALE: How would you feel if I told you that that was actually before and this was after?

UNIDENTIFIED FEMALE: Well, you know, there's just not too much of a difference. And I hate to say this, but it almost seems like an awful waste of money there, you know?

(END VIDEO CLIP)

(COMMERCIAL BREAK)

(BEGIN VIDEO CLIP)

JANE FONDA, ACTOR: Anybody who could afford it starts to get -- talk about jalopies, new noses and chins and cheeks and botox and everybody ends up not looking like who they are.

KING: But you had it?

FONDA: A long time ago and I'm not going to do it again. I had my breast implants taken out. I wanted to keep them and have them bronzed and put them on my mantel on either side of the Oscars but they were considered biohazards, so I couldn't.

(END VIDEO CLIP)

BEHAR: We are back. Joining me now from Tampa is Jennifer Flavin Stallone.

JENNIFER FLAVIN STALLONE, CO-FOUNDER, SERIESSE INTERNATIONAL: Hi, Joy.

BEHAR: Hi, honey. She's a model turned skin care and beauty mogul, cofounder of Seriesse International. Did I say that right?

STALLONE: You said it great, that's great, Seriesse International.

BEHAR: Yes. She's also married to Sylvester Stallone. Jennifer?

STALLONE: Yes.

BEHAR: What you have had done, darling?

STALLONE: I have had no plastic surgery on my face. Can I leave it at that?

(LAUGHTER)

BEHAR: No. Come on, where did you have it done?

STALLONE: I'm not going to say where I had it done, just because I have three little girls and I...

BEHAR: Was it above the waist or below the waist?

STALLONE: It was above the waist.

BEHAR: Was it below the chin?

(LAUGHTER)

(CROSSTALK)

BEHAR: Sort of in here somewhere, OK. So it must have been your waist. OK. thanks.

STALLONE: Yes, right. But no, I have three little girls. And so I really -- you know, I don't disagree. I have been listening to everybody. I think it's a personal choice for plastic surgery. But what I worked my life on the last 15 years is developing cosmetic alternatives.

Like I have a product in three minutes that can erase lines and wrinkles that I believe in. But some people, if that's what they need, and I love what Joan said, like eating salmon is not going to change the shape of your nose. I agree with that. But I do believe in people that do plastic surgery, we have other products that can help.

We have makeup to cover it up or we have products that will take you day in and day out. And using good cosmetics do make a difference.

BEHAR: Well, maybe. But, you know, you live in the middle of the most narcissistic area in the world, Beverly Hills.

STALLONE: Right.

BEHAR: How you have escaped this? You seem very young. I don't know how old you are. Do you tell your age?

STALLONE: Yes, of course. I'm going to be 40 next year.

BEHAR: OK. So you're very young. You don't need it yet. Would you consider it in the future?

STALLONE: You know, I don't know. Maybe I will in 20 years and plastic surgery is definitely going to change. But I think -- when I see women in their 60s that have plastic surgery, they look like they are 60 with plastic surgery in my area. I think we just go a little too far. And that's why I believe in taking good care of, you know, inside and out. I believe in taking supplements and exercising, drinking water. And that's my lifestyle that I have been doing for the last 20 years.

BEHAR: Yes, well, that's what Dr. Perricone is talking about, inflammation and drinking and eating good food and everything, which we all -- but, still, you can't really -- the boobs do not get lifted from being anti-inflammatory. You know what I mean? They are not just going to pop up because you have been drinking water.

STALLONE: Absolutely. But I do believe in exercise and eating right. And I'm not an avid exerciser. I exercise twice a week. So I don't have a lot of time with the kids and my businesses. And so I'm more realistic. You can only do so much. But the products I have, it just is -- your day in and day out cleansers and serums and things that make you look good and brighteners for the face.

BEHAR: OK. Thanks so much. Thanks for coming on with us, Jennifer.

STALLONE: Thank you.

BEHAR: And we will be right back.

(BEGIN VIDEO CLIP)

LINDA EVANS, ACTOR: It sort of saddens me when I see somebody on television saying, oh, I just live in nature and say, I look this way. And you think they're the only ones that gravity have never had their way with. I don't understand that.

KING: Didn't you have any fear of it, though? Cutting your...

EVANS: All right. I will tell you what, when you choose the very best people that exist, you don't have to have fear, which is why I rarely talk about it in detail. Because I don't want people running out and doing what I did with some local person and it doesn't turn out right for them.

KING: So in this area, you have got take the top...

EVANS: I say it's a beautiful thing that exists today, but I think that people have to be very careful when they do it, who they choose and to see pictures and to know people that have had it done and to see what it is.

(COMMERCIAL BREAK)

(BEGIN VIDEO CLIP)

JOAN RIVERS, TALK SHOW HOST, ACTOR: I want you to put me back the way I would look if I had never been Joan Rivers.

Who, who is that?

UNIDENTIFIED MALE: That's you, Ms. Rivers.

RIVERS: Her hair looks like E.T. My God, if I look like that now, can you imagine what I would like at 90? Thank you both very much for giving me the heads-up. And put me down tomorrow for another lift. Oh, what the hell, I'm in town anyhow, it will kill a couple of hours.

(END VIDEO CLIP)

(LAUGHTER)

BEHAR: Very funny, always, Joan.

RIVERS: I love them. I had such a good time on "Nip/Tuck." And it was a wonderful idea to see what you would look like if you hadn't...

BEHAR: Yes, done anything.

RIVERS: ... done anything.

BEHAR: Yes, yes.

RIVERS: I'm going to get to heaven and God is going to not recognize me.

BEHAR: You know, I want to ask you, we talked to some of these celebrities who had the work done, Gene Simmons and Shannon Tweed and Jennifer Flavin, they looked fine to me. They all looked pretty good. I mean, Jennifer didn't have anything done except from the waist up and the neck down.

RIVERS: Breasts, we call that, breasts.

BEHAR: But besides that, is it worse for someone's career if they had bad surgery or if they have no surgery?

RIVERS: Well, I think it was very bad for Robert Redford. I thought he had a terrible facelift about eight years ago. And that's because men I think have to take it very slowly and he waited, and suddenly he said, who is that coming down the red carpet? And I think should you do it a little bit slowly.

BEHAR: Yes.

ISAAC MIZRAHI, FASHION DESIGNER: But even when you do it -- even when you do it, like, who do you think you're fooling? I know it's done, do you know what I mean?

RIVERS: But who cares?

MIZRAHI: I do. If I'm having sex with somebody, for instance, and they have like, enlarged genitals or something, I find it really creepy because it's not natural.

BEHAR: I hate that!

MIZRAHI: No, no, seriously. Joy, let's say you had your, I don't know what, done, right, and then all of a sudden it's fake. It's fake. There's something fake about it.

RIVERS: Is that why you never called again?

MIZRAHI: Right, exactly. That's what it was.

(CROSSTALK)

DR. ROBERT SINGER, PLASTIC SURGEON: Joy, there is an important point here. And that is good surgery you don't notice. You notice surgery that hasn't been done well or is overdone or you notice individuals who need it. But you don't notice good surgery. I think it's very important to talk a little bit about reality TV.

BEHAR: Yes.

SINGER: It trivializes. It gives a lot of information but trivializes it. It doesn't show patient selection, it doesn't show period of healing. Most patients want to look natural. They don't want an extreme makeover. It doesn't show the makeup, the hair all of that period of time.

And you have to look at it, it's entertainment. You can't combine reality of plastic surgery and entertainment in an hour. What reality plastic surgery TV shows are, they are an oxymoron. They are entertainment. They are not plastic surgery.

BEHAR: OK. Dr. Perricone, but don't you think -- you know, your position is completely different from everybody else we have spoken to. A little bit like Isaac's. Is it possible really to change the way you look with just watching what you eat and drink and all of that?

DR. NICHOLAS PERRICONE, AGAINST COMSETIC SURGERY: The idea is maintain a youthful appearance. And if you are...

BEHAR: But a good-looking appearance then.

PERRICONE: You could have good muscle mass, not just in your body but in your face. You have to have good bone density. You can do a great plastic procedure, but if you have no muscle mass in your face, or bone density, you're looking fragile, you're looking older. So you can actually have strategies to cut that down.

Something like Vitamin K-2 that increases bone density and will show in your face. You want to maintain a good muscle mass. That's what makes you look young, not having it pulled tight. So there are strategies we can use to make you look tremendously different.

We can take somebody in three days, put them on the anti- inflammatory diet, they look tremendously different.

BEHAR: Joan, do you think that people who are watching us in the Midwest, let's say, or other places besides New York and Los Angeles really are interested in this? Or do you think that they would do it if they want to do it?

RIVERS: Oh, I think they do. I do a lot of lectures and ladies will come up to me afterwards and they will say, who do you know? Give me a name. Everybody wants to look good. Everybody wants to look good. Do they do it? Many people can't afford to do it and don't do it.

BEHAR: Yes, let's talk about that for a second. How much does it cost?

RIVERS: It's expensive.

BEHAR: Let's say once a facelift, what would that cost?

SINGER: You know, it varies tremendously.

(CROSSTALK)

SINGER: Depending on the ability of the surgeon, geographic areas, it is going to be more expensive in Southern California and in New York than it is in the Midwest. And it depends on the quality of the surgeon. And plus it depends on the procedure. There is no such thing as just a facelift. Does it include the forehead, does it include the eyes? Is it a matter of a filler? There are a lot of components.

So you can't -- it's not like buying a T-shirt. You're buying -- you're going and you're getting the expertise, the knowledge of an individual. I would basically tell you, if you want to shop for bargains, shop on your sandals or your T-shirts but not on your surgery.

BEHAR: Joan, how much has it cost you so far?

RIVERS: I don't know because my friend does it and it's so little, you know, so I go in and it's like...

BEHAR: But the first time, do you remember how much it cost?

RIVERS: The first time, it must have cost me -- and this goes back, I was still doing the Carson show, so that's like 20 years ago. I bet you it cost me somewhere around $15,000.

BEHAR: Fifteen thousand then.

RIVERS: In those days. So it's not cheap. A friend of mine went to a Beverly Hills surgeon, I know this, and he -- and I'm not going to mention the name. We will talk. Send me letters. I will give you the name. But he asked for $75,000.

BEHAR: For?

RIVERS: For a full facelift.

BEHAR: Full facelift.

RIVERS: Yes. And it's a man that we all know in Beverly Hills. That's a lot. But then again, this woman will go out and buy a $75,000 car. She will buy a $25,000 Hermes bag. So maybe it isn't a lot, Joy. I was in shock. When you look at that...

BEHAR: OK. We're going to come back in minute. Hold that thought. We are going to come back in a minute with someone who had botox and she had a problem with it. So stay tuned. We will be right back.

(BEGIN VIDEO CLIP)

UNIDENTIFIED MALE: You can touch it, it's yours. It's yours for the rest of your life.

UNIDENTIFIED FEMALE: I feel beautiful.

UNIDENTIFIED MALE: These women never believed they could compete in a beauty pageant. Get ready for the most radical transformation ever brought to television.

UNIDENTIFIED FEMALE: I will be a new woman when I come back.

UNIDENTIFIED MALE: A team of plastic surgeons will turn these 16 average women into drop-dead beauties.

UNIDENTIFIED FEMALE: I do think women with fuller breasts have an advantage over women who are flat-chested. Everybody in general is just nicer. People are more willing to help, for sure, especially men, that's the case.

(END VIDEO CLIP)

(COMMERCIAL BREAK)

BEHAR: We're back and we're talking about plastic surgery and other cosmetic procedures. Still with me, the lovely Joan Rivers, Isaac Mizrahi, Dr. Robert Singer, and Dr. Nicholas Perricone. Joining us now, the beauty director of Self magazine, Elaine D'Farley. She wrote about her experience of botox in the November issue. The story is also on the self.com Web site.

Hello, Elaine. How are you?

ELAINE D'FARLEY, BEAUTY DIRECTOR, SELF MAGAZINE: Good, how are you.

BEHAR: Tell us what happened to you?

D'FARLEY: Well, I get offered a lot of treatments and creams being a beauty editor. And so somebody offered to do botox for me. I didn't really think about it too much, which was the problem. And so he did more than I would like.

BEHAR: What did he do?

D'FARLEY: And so my face was really frozen and I feel like I'm an expressive person and so now I have no expressions. He basically put it all around here, which I don't have a lot of lines up here, and then also around my eyes, all the way in here, which made my -- sort of when I started doing my makeup, about two weeks later I had these like weird little caverns that I didn't really like, and it also made me concentrate too much on my face. I felt really self-conscious.

So I started going around and telling everyone that I had botox done, which sort of defeats the purpose because now, you know, then you're just trying to express yourself.

BEHAR: But doesn't Self magazine have a credo that says: "Being beautiful is good from the inside out"?

D'FARLEY: Absolutely.

BEHAR: So what made you go against your own philosophy?

D'FARLEY: Well, you know what? I don't believe in anything that requires anesthesia or recovery time or anything that's painful. But I will experiment with something...

BEHAR: So it's not really about the inside beauty as much as the pain inside.

(LAUGHTER)

D'FARLEY: No, it's all about beauty from the inside out. We really believe that being happy is at the core of looking good. So if you...

BEHAR: I have been happy and I have been miserable, I look good, I look bad. It doesn't seem to have any... (CROSSTALK)

RIVERS: This girl is happy.

(CROSSTALK)

D'FARLEY: We really believe, though, that when you make a choice to do something, you should be very well-educated about it. You should know all of the ins and outs, the ups and downs, risks involved and then make your choice with an educational decision.

BEHAR: OK. Even with all of that, Dr. Perricone does not believe in botox. Why not? It's a safe procedure.

PERRICONE: Well, it paralyzes your muscle. If you paralyze a muscle, the muscle atrophies, it wastes. A young face is characterized and a young body by good musculature. So it's a bad strategy and I think it's going to age you more rapidly. I would stay away from it.

BEHAR: So eventually it will backfire, is that what you're saying?

PERRICONE: I believe so, yes.

BEHAR: Do you agree with this, Joan?

RIVERS: I don't know about the -- I just want to say one thing...

(LAUGHTER)

RIVERS (pretending trouble speaking): I have had a lot of botox and I still could move my face when I really want to. I'm going to smile now.

(CROSSTALK)

D'FARLEY: And it's all about a personal decision. There are so many foods that people say not to eat that are going to be unhealthy for you later. There are so many pros and cons about plenty of things in this life.

MIZRAHI: What about, like, why does everybody think the same, exact thing is beautiful? Why can't beauty be relative anymore? Why can't some fat people be really gorgeous and some thin people be really gorgeous?

BEHAR: They are, they are.

(CROSSTALK)

BEHAR: Beauty is in the eye of the beholder.

MIZRAHI: And some old people be gorgeous, seriously. D'FARLEY: I think that no matter what you do, you want to look like yourself when you're done doing it, which was my problem when I had the botox. I didn't look like myself, I hated it.

MIZRAHI: And you didn't feel like yourself.

BEHAR: A lot of women don't want to look like themselves, that's why they get the botox. And beauty is in the eye of the beholder, but if the beholder happens to be a casting director, and you don't look like he wants you to look, then...

(CROSSTALK)

BEHAR: That is the problem.

SINGER: But this not just in the States. This is a worldwide phenomenon. And I think what you brought out was, you jumped into something, you didn't know all of the downside. It's appropriate that you go to an appropriate provider of board-certified plastic surgeon by the American Board of Plastic Surgery or dermatologist that you have it at an appropriate medical facility and know the risks, you know the downsides as well as the upsides, not just the upside.

D'FARLEY: Somebody that shares your aesthetic. Because all of this stuff is very individual. And what looks natural to one person does not looks natural to another. And that was my story, is that the person that I went to had a vision of me that wasn't me. And that is the problem.

RIVERS: Then you need to talk to your doctor and say.

D'FARLEY: Yes, exactly. You need to have that dialogue with whoever is doing work on you. Absolutely.

(CROSSTALK)

RIVERS: ... the plastic surgeon, when she woke up, she said, I was looking at you, looking at you, I've given you a new chin.

(LAUGHTER)

D'FARLEY: It's a nightmare. It's a nightmare.

MIZRAHI: But you know when you go to a hair colorist and you say, I want to be a blonde, and you come out and you're like a white, toe-headed blonde, and that's not exactly what you meant. You meant, I want to be a believable blonde. There are degrees of believable blondes and unbelievable blondes.

D'FARLEY: In my article I actually compare botox to hair color, because I feel like in the '70s, everyone was like, does she or doesn't she? Does she -- and people wouldn't admit that they got their hair colored. Now everyone is like, who is your colorist?

The same thing is happening with botox. It is getting more and more common, but that said, you have to be careful when you go into. (CROSSTALK)

BEHAR: How do you feel about botox parties?

(CROSSTALK)

SINGER: It's unethical from the point of view of privacy. You don't have a medical exam. You don't have medical records. There are potential problems. You can have an allergic reaction. That's why you need to do this in an appropriate medical facility by an appropriate individual who has the training, who can talk to you about alternatives and if you're not sure, don't do this.

You know, good plastic surgeons, board-certified, are interested in the health, welfare and care of their patients.

BEHAR: We hope. We hope, yes, OK.

(CROSSTALK)

SINGER: You can't do this in a mall.

(CROSSTALK)

BEHAR: No, you can't do it in a mall. No, not while you're walking around.

D'FARLEY: And that's the problem, it's becoming more and more common.

BEHAR: We are going to be back in just a minute with remaining moments.

(BEGIN VIDEO CLIP)

KING: Have you had any plastic surgery?

PAMELA ANDERSON, ACTOR: Have I? I don't know, have I? I have had one surgery. I had my breasts done. I have never had any surgery to my face or anything other than that.

KING: You mean, you had them enlarged?

ANDERSON: Yes. You didn't know that?

KING: I don't -- honest, I don't know these things. You mean, the world knows this? No, I'm not into those kinds of things, really.

ANDERSON: Yes, either of them.

(LAUGHTER)

(COMMERCIAL BREAK)

(BEGIN VIDEO CLIP) KING: "Ricky, I have noticed that some NASCAR drivers have gotten plastic surgery lately to improve their looks. Have had any plastic surgery and if not, what would you like to have done?"

"RICKY BOBBY, NASCAR DRIVER": Well, it has always been a goal to get butt implants.

KING: Butt implants?

BOBBY: Yes, I have got kind of a fat heinie. I would like to improve that.

"CAL NAUGHTON JR., NASCAR DRIVER": Who doesn't? If I had the cash, I would, too.

KING: You're nodding your -- you would do it, too?

NAUGHTON: Yes. I would be like Beyonce be.

BOBBY: Big haunches.

NAUGHTON: That means like I'm well-fed.

BOBBY: I want to get like a J-Lo butt.

NAUGHTON: I have a lot of money. I'm well-fed.

(END VIDEO CLIP)

BEHAR: We're back. Joan, is there anything else you're going to do?

RIVERS: I will look in the mirror or I will look on camera. And I'll see -- you know what I'm saying?

BEHAR: It's only the face you're interested in, the body, forget it, right?

RIVERS: The body, I exercise, I eat well. I just ran four miles. You know, so I believe everything, an ageless face, ageless -- I believe in all of this. It's a combination.

BEHAR: Combination. Is there anything you would want people to take away from this show today?

SINGER: Yes. I think there's a lot of misinformation about plastic surgery. There's a lot of misinformation about health and beauty. The point is, where do you get valid information? I would go to -- I would go to plasticsurgery.org and I would go to surgery.org, the two reputable plastic surgical organizations, Web sites, which will give you factual, realistic information about how to select a surgeon, what are the risks, what are the problems, spend time with a surgeon in a consultation, ask your questions, don't jump into anything.

BEHAR: And don't make the decision so quickly and give yourself time.

SINGER: Don't be impulsive about it.

BEHAR: People spend a lot of time deciding who they are going to marry, what school they are going to go to and then the next day they say, OK, I'm fixing my face. It's not right.

SINGER: There's no eraser on that end of the surgeon's scalpel. Remember that.

BEHAR: Elaine, will get more, anything done at all?

D'FARLEY: I don't know. I never say never, but again, no anesthesia, no recovery time.

BEHAR: OK. I go along with that. How about you, Isaac?

MIZRAHI: I'm probably not going to do it.

BEHAR: You're never going to do anything?

MIZRAHI: No, just because I want people to really kind of embrace who they are.

RIVERS: Call me when you're 55.

MIZRAHI: No, you're right. You're right, probably. You're absolutely right. I don't know. I don't know.

BEHAR: But he's a guy, he's a man. Can get away with it.

MIZRAHI: I just want to encourage people to feel beautiful already without that.

BEHAR: Don't you feel, Dr. Perricone, that men just get away with murder? Before we go.

PERRICONE: They do. They have better bone structure...

(CROSSTALK)

PERRICONE: ... testosterone, more musculature. But you know, health is beauty. And try the three-day diet that's on my Web site...

(CROSSTALK)

BEHAR: OK. We will check that out. We will listen to what you have got to say. Thank you all for coming on the show.

Joan, you are going to be on QVC tomorrow night?

RIVERS: Eight o'clock, "Cutting Room" every Wednesday night. And Geffen Theater on February 13th in a brand new play in California.

BEHAR: All about you, you, you.

RIVERS: Yes, all about me, me, me.

MIZRAHI: Joan, Joan, Joan.

BEHAR: And how about you Isaac? What are you doing?

MIZRAHI: I have my fabulous Web site, isaacmizrahiny.com. Check that out.

BEHAR: Very good.

D'FARLEY: And I'm working on a year's worth of issues of Self magazine. So keep reading.

BEHAR: So everybody is doing something wonderful. Of course, you can always see me on...

(CROSSTALK)

BEHAR: ... morning with Barbara Walters at 11:00 in the morning. And don't forget to visit Larry's Web site, cnn.com/larryking. He has got a special cosmetic surgery quick vote. By the way, it's Larry's birthday.

ALL: Happy birthday, Larry!

BEHAR: Best wishes, and thanks for letting me fill in for you tonight. Tomorrow night, the King is back with a huge exclusive. Dr. Jan Adams, the man who performed the plastic surgery on Kanye West's mother will be his guest. That's tomorrow night exclusive on LARRY KING LIVE.

Thanks for joining us, "ANDERSON COOPER 360" starts right now. Good night.

TO ORDER A VIDEO OF THIS TRANSCRIPT, PLEASE CALL 800-CNN-NEWS OR USE OUR SECURE ONLINE ORDER FORM LOCATED AT www.voxant.com