It's hard times for everyone. While the economy might have you and me putting off plans for the ski vacation or bathroom remodel, another kind of person is having to hold off on those shiny new breasts or their dream nose.


Yep. It's an ugly reality, indeed. Plastic surgeons around the country are reporting that their business has sagged along with the economic downturn.

Steven Hopping, president of the American Academy of Cosmetic Surgery and director of the Center for Cosmetic Surgery in Washington D.C. told U.S.A. Today., "We're seeing patients who are balking, postponing and canceling their appointments and surgeries."

I just left a Center for Cosmetic Surgery after receiving a laser treatment to tighten my skin. This isn't my first time for me under the pulse light. I've had three or four other procedures over the past few years to correct tone, fine wrinkles, surface and aging. It is either this or get a face lift and that's not cheap.

The cost for a face lift ranges from $6,000 to $25,000 depending on the locale, experience of the surgeon and the extent of the procedure. Eyelid surgery is also expensive, running from $3000-$5000. But lasers provide a convenient alternative, at low cost, with minimal downtime.

Lasers are remarkably effective in improving appearance without the expense, pain and downtime involved in surgical options. Skin rejuvination which is 2-3 sessions is around $200-$400 per session. A full skin tightening or "laser face lift" runs $1,500-$2,500 with long lasting results. While there is some discomfort in the procedures -- it feels like a rubber band snapping on your face -- it is much less painful than traditional surgery. While the full effects of the procedures can take many weeks, I have noticed improvement immediately.

Sound too vain for you? I look at it as making money. Since I am in the public eye with speaking, TV appearances and book signings, I can extend my career by looking my best. I don't mind looking my age, but I don't want to look older than I am.

It really is the same for anyone in business. Looking your best gives you confidence and creates a great first impression.

Barbara Bartlein is the People Pro. For her Free e-mail newsletter, visit: The People Pro.