Q & A







I am I00% organic and silicone-free. Plastic is passé!
I do not have any kind of implants or synthetic material whatsoever
in my face or body, in favour of the latest advanced natural alternatives. This is how I look today. No plastic, no photoshop, no filters. (The prominent copyright watermarks are because my pictures keep getting stolen for made-up clickbait articles!)


Q. Do you have any conditions for accepting clients?

A. Anyone considering using my service should be able to answer “yes” to all three questions below.

  • Do I have realistic expectations?
  • Do I want my results to look convincingly natural, not “plastic,” overdone or disproportionate?
  • Do I have the budget for the best doctors and treatment options?

Q. What if i just have one simple question?

A. One question inevitably leads to a dozen more in this complex field. If it’s truly a simple question that does not require my hard-earned specialist expertise or insider knowledge, the answer can probably be found elsewhere.

Like everyone with an online presence, my site receives lots of random inquiries from the internet, including so-called “simple questions.” It’s impossible to know who’s really behind them or what their motives truly are. (At least one underhand reporter has fraudulently posed as a patient to try and obtain material for a sham story.) I don’t have time or resources to divert away from my clients and consultancy, so please don’t take it personally if your general web enquiry cannot be addressed. However everyone wishing to have all their questions about procedures and doctors answered in depth and comprehensively may book a private consultation. Click here.

Q. How do your treatment plans differ from a cosmetic surgeon or aesthetic clinic assessment?

A. Having an independent treatment plan saves a lot of time and money, especially for those wishing to have more than one procedure. My individually tailored treatment plans may include different specialist doctors and clinics for each procedure. Whereas a single medical practice typically only recommends the specialists they employ and only offers the options available within their clinic.

Increasingly, those who unwittingly act on the monumental amount of disinformation on the internet (including widespread fake reviews and manipulated images that have become the norm) end up requiring revision again and again as they try to reverse earlier procedures or have things done in completely the wrong order, zigzagging all over the place in a futile attempt to attain their ideal result. I’m seeing more and more clients who have been through that expensive and fruitless process.

It’s obviously far better for your health and well-being to have a solid treatment plan and get it right the first time. And not only to save time and money, but to avoid needing revision, which is often more complex with a less predictable outcome – plus the fewer general anaesthetics you have the better.

Q. You must regret not trademarking the term “Extreme Makeover” back in the 1980s. How did you come up with it?

A. No regrets. If I’d trademarked it, it may not have gone into everyday use. Knowing that I contributed something to modern parlance is enough. Back in the 1980s and 1990s when I was doing a lot of media appearances, I always referred to my transformation as an “Extreme Makeover.” No one had ever used cosmetic surgery in that way before, so of course there was no name for it, or even any reason for such a term to exist. Others picked up on it and started repeating it.

I thought of it because, growing up in the 60s, I was always fascinated by the before and after pictures of hair & makeup “makeovers,” as they were called, in the women’s magazines my mother bought. My transformation was like those makeovers (and was no doubt inspired by them), but extreme, so I put the two words together and coined the term Extreme Makeover. Now 35 years later it’s widely used, including to describe things like home improvements and it’s even in dictionaries.

PROPHETIC INTERVIEW: My first magazine cover was for Mensa, where I told them back in 1991: “In 20 years a lot of people will be doing what I’m doing.”
UPDATE: In less than 20 years a lot of people will also be doing what I’m doing now with advanced aesthetics and Extreme Anti-ageing.

Q. Where are you and your recommended doctors located?

A. I’m based in London England and also consult globally via online video. Video consultations have always been as popular as in-person ones anyway and are equally beneficial to clients. There’s really very little difference between in-person and virtual consultations, except of course I don’t get the pleasure of meeting my clients in person, and they have the advantage of not having to leave the comfort of their own homes.

My enduring trademark style has always been timeless European elegance – never appearing obvious, overdone or outdated. Therefore I only recommend doctors who share this aesthetic and to whom I would entrust (or have entrusted) my own life and looks. My A-Team is in the UK  and my clients travel from around the world for treatment with them. If you cannot travel to the UK, you may wish to find out if I know doctors in your location before booking your consultation using this Contact Form.

Q. how much does surgery cost with your recommended surgeons?

A. Depending on your individual needs, costs are determined at the time of your consultation. Fees for these top doctors are at the mid range to upper end of the scale. However the most expensive surgery is having to have inferior results revised because you end up paying twice. I don’t recommend cut-price surgery or the cheap-looking results they can produce. The best way to save money is by choosing wisely using the highest quality factual information.

Q. Your picture appears online in association with some clinics and doctors. does that mean you endorse them?

A. Absolutely not. I don’t do endorsements Beware of any doctor or clinic who displays my picture on their website or in their practice; it is a clear indication that I do not recommend them.  None of my actual practitioners are allowed use my name or picture (or that of any other patient) without permission.

If you see any practitioner or clinic using my name or picture, please report it to me. Click here.

Q. How old are you? your age keeps changing on wikipedia.

A. Ignore whatever age Wikipedia randomly decides to assign me at any given moment. It’s not a reliable source, as they freely admit. Personal details including my actual age and birthplace are private and have never been in the public domain. No website, including Wikipedia has ever had access to such information.

My age: I’m in my 60s. But 60-something is only my chronological age. According to my telomere analysis and advanced diagnostics, the biological age of my body and brain is that of someone much younger. Furthermore, the cumulative effect of my aesthetic procedures gives me a perceived age of 30-40, which I’m often mistaken for. So sixty is the new thirty! Or at least it can be. We have the technology.

60 is the new 30. We have the technology.

Q. What’s wrong with “growing old gracefully?”

A. Nothing, it’s just not for me. I have no intention of growing old and sick in the conventional sense. Instead, I will continue to roll back the years from the inside out, never looking or feeling my chronological age, always  working to maintain the younger biological and perceived age I’ve created. Further armed with my complete DNA and telomere profiles, I can monitor known inherited genetic variants that may or may not manifest. Such advantages didn’t exist way back in the time when the saying “growing old gracefully” was first coined.

Q. do you mind being called barbie by the media?

A. I didn’t when I was young, but I outgrew that label decades ago –  I’m in my 60s! Also, as a Baby Boomer, the original Barbie dolls of my youth looked very, very different. Being called Barbie in this day and age has a completely different connotation.

The original Barbie was also a Boomer!

I was first called Barbie by a British tabloid in the 1980s and I went along with it because, frankly, I got paid a fortune to dress up like Barbie. (I joke that it’s my shameful past – like actresses who posed naked to pay their rent before they made it big!) With no startup funding, all my “Barbie” money was invested in my consultancy and helped facilitate its global reach.

It was a bit of fun I never meant literally; Barbie is a plastic doll and my look has always been very natural by design. (I’ve actually been told I look more natural after surgery than I did before!)  Although Barbie was marketed as a “teenage fashion model,” I got away with wearing those Barbie outfits in my 30s and beyond due to the success of my Extreme Makeover, which made me appear far younger than I was.

Now in my 60s, I obviously moved on decades ago. No one is doing the same things they did 30+ years ago. Yet newly made-up clickbait articles claiming I had some ridiculous number of operations to look like Barbie keep being churned out, like it’s still the 1980s, with screaming headlines as if they’d just discovered the Holy Grail. Such articles are normally illustrated with “news” pictures of me from 10, 20 or 30 years ago since all my more recent ones are watermarked.

Those rehashed 1980s Barbie stories are more dated than leg warmers and shoulder pads! You cannot live in the past in this rapidly evolving field without looking like a dinosaur, and I always stay way ahead of the curve. Clickbait writers are clueless about what I’ve been doing in recent decades.

Don’t call me Barbie – it’s 2023 & I’m in my 60s!
The doll is an eternal teenager, so I’m old enough
to be Barbie’s great-grandmother!

Q. How much surgery have you actually had and how much money did you spend? Reports vary quite a lot. Did you really have 47 full-scale operations?

A. Absolutely not. That number appears online a lot, as does 52, but anyone can easily tell by looking at me that I obviously have not had 47 full-scale operations. Remember – the crazier, more far-fetched the made-up claims, the better clickbait performs. 

I have always put my health first. Without your health you have nothing. Living a long and healthy life is an integral part of my anti-ageing plan. Having that many operations is not healthy and would not look natural, so is the opposite of what I believe in and have stood for my entire career.

I’ve had over a dozen surgical procedures since 1987. Many of those were performed at the same time. (For example, a face and neck lift with upper & lower eye lift plus fat transfer = 5 procedures done in one full-scale operation.) The number of full-scale operations I have had is less than 10. The rest were non-surgical procedures.

My meticulous planning and insider knowledge meant fewer full-scale operations and less exposure to general anaesthetic; most of my procedures were done under local anaesthetic or sedation. 

Whereas the clickbait media often make up much higher, ridiculously inflated numbers, sometimes going into the hundreds. My copyright photos are constantly stolen and posted alongside these fairy tales. And the internet repeats untruths like an echo chamber, adding more and more ops along the way. However, I am the only one who knows the exact number and what I had done. Some of the crazy claims of ridiculous numbers of operation are cynically fabricated for attention and advertising revenue.

My numerous in-office and non-surgical treatments, such as salon facials and tooth whitening, confused the issue and some decided to count them as “operations.” While every minor incremental improvement does add to the overall picture, such treatments are certainly not surgery.

That’s exactly how my Guinness Record for “Most Cosmetic Procedures” came about many years ago. It was never “Most Operations” or “Most Cosmetic Surgery.” No one had ever heard of an Extreme Makeover before. I was the first, so there was no established way to present it. Hence every non-surgical procedure went into the total. The actual Guinness entry reads: “Cindy Jackson had 47 cosmetic procedures...(She) is the pioneer of the “Extreme Makeover. Her treatments have included…chemical peels, oxygen facials, Botox, filler injections, microdermabrasion, dermal mesotherapy and tattooed lipstick and eyeliner.”

I’ve had quite a few clients who have had a lot more more surgery than me. Those cases were normally repeat surgery on the same face and/or body features trying to correct botched results without success, until they came to me for assistance.

In terms of money, I’ve spent (“invested” is a more appropriate term) a total of around £60,000 since 1987, which I quickly made back from early media interviews and legal victories for libel and copyright infringement cases. (I own exclusive copyright to all my photos.)

To sum up, it simply isn’t necessary, or good for your health, to have dozens of operations or to spend vast fortunes to achieve fantastic improvements. Quality over quantity, always.

Warren Buffet said, “Investing in yourself pays dividends in ways that no property or stocks & shares can.” I witness that on a daily basis, both personally and with my clients.

Q.  Why aren’t you on Television as often as you used to be? 

A.  I’ve appeared on hundreds of TV shows all over the world since 1988, although going public was never part of my plan. That happened by chance when a journalist friend convinced me to give my story to him for a one-off feature in a UK national paper. But overnight I was demand as the world’s first Extreme Makeover and the only patient speaking publicly about cosmetic surgery.

Most of my early appearances were fair and positive experiences. TV shows were respectful, informative, and paid well for guest interviews. However it’s a very different time now and the media is a very different commodity. so I walked away. The ruthless bid for higher ratings and having to compete for eyeballs with streaming services and the internet means that the truth is now often completely irrelevant. As with online clickbait, TV executives are very well aware that sensationalism, negativity, and conflict are proven to sell, so that’s what they produce.

I’ve spent a lot of time behind the scenes and witnessed firsthand exactly how these shows are made. I’ve seen guests being told what to say and encouraged to lie. I’ve listened to researchers swear blind the show is about a particular topic, but when the cameras roll, it’s a completely different story. I’ve watched botched patients being exploited and treated like freaks to attract ratings. I’ve observed the most incompetent doctors being promoted as gods. And in several cases when I was on shows with guests pretending to be fiercely opposed to cosmetic surgery, those very same guests approached me afterwards for cosmetic surgery advice.

These days I only agree to appear on live news and the more intelligent, balanced programs where I can share my expertise.

Obviously there are plenty of people who don’t mind being set up for public humiliation and will do anything be on TV, including handing over control of their image and reputation to the downmarket media. But as part of my anti-ageing and healthy life plan, I avoid unnecessary stress, negativity and toxic situations whenever possible.

When the truth and people’s lives are manipulated for ratings, it’s harmful to the mental health of the participants and viewers alike. Many of these shows are directly responsible for their viewers ending up botched due to their wilful misinformation, and they take zero responsibility for that.

Q. Have you always gone to the same doctorS?

A. No, that wouldn’t even be possible considering I started over 35 years ago. I’ve been to many, many doctors over the years, regularly replacing them when they retired, situations changed or talented new doctors moved up through the ranks. I’m always amazed when some long-retired surgeon tells me they were contacted by a patient who’d heard, often mistakenly, that I went to him or recommended him way back in the 1980s, 1990s, 2000s, etc.

Additionally, I choose different doctors for different procedures, for my clients and myself, depending on their areas of expertise.

Please note: My recommendations are up-to-the-minute and clients are referred to my current A-Team.  All referrals must be re-confirmed if clients wish to proceed with treatment more than 6 months after our consultation. (There is no extra charge within 12 months after your consultation.) Just like your phone apps and computer operating systems, my specialised information is subject to critical updates!  

Q. Why are natural-looking results so important?

A. The natural look has been scientifically proven to be by far the most attractive to observers. Genuinely age-defying, beautifully authentic results are the Holy Grail of results and require exceptional skills to produce.

Every millimetre matters. Whereas heavy-handed, obvious-looking plastic surgery is far less challenging for the doctor. (As is overly conservative surgery.)

Talented surgeons produce beautiful results that enhance individual character and personality. Patients with overdone or unnatural results often end up with a similar generic appearance.

The “operated-on” look is outdated and reminiscent of an era before sophisticated techniques were available. For example, my mature clients don’t end up merely looking like an old person who’s had a facelift – instead they appear convincingly much younger than their years. Looking “plastic” goes against the very  premise of anti-ageing; youth by definition calls for a fresh and natural appearance.

In addition, unnatural or asymmetrical surgical results will age badly, appearing increasingly odd as years go by. We’ve all seen well-known cases of this in the media. Previously overdone patients seeking “make-under” surgery is a growing trend. Only natural-looking results will stand the test of time.

Most concerning however, is that fake-looking surgery can be a sign of risky practice where more advanced medical competence is lacking generally.

Many of my clients are in the public eye, top executives or otherwise in positions of responsibility & respect who keep their procedures a closely guarded secret. Having credibility and being taken seriously is an important part of their personal and professional identity. They also wish to look naturally young and attractive, so their worst nightmare would be ending up with a wind-tunnel face, fish lips, over-filled pillow face, expressionless eyes, denture-like veneers, gigantic silicone breasts, over-inflated buttocks, crudely tattooed eyebrows or any other unrealistic result that instantly lowers the bearer’s credibility and perceived I.Q. From an anthropological viewpoint, intelligence, attraction and natural selection are intrinsically linked with success.

The pandemic increased video communication and conferencing and obvious surgery is very noticeable on webcam, whereas natural results are not. Whether your face appears on the silver screen or the computer screen, the camera loves facial symmetry and classic proportion.

Below: The rose on the left is obviously fake. But you can’t tell if the one on the right is real or not. This illustrates the difference between inferior cosmetic surgery results and the absolute best. (FYI they are both fake!)

Truly excellent results always replicate natural beauty.

Q. There’s so much information on the internet, why not just find a doctor online?

A. 1) Because most botched or otherwise dissatisfied patients who come to me for help found their doctors using the internet, and 2) Some of the best doctors are not prominent on the internet or all over social media. Nor do they aspire to be celebrities or media stars.

Q.  What about cosmetic surgery advice Sites and forums? 

A. See previous question. It’s well known they may contain planted reviews, fake case histories, outdated (over 6 months old) posts, manipulated pictures, paid-for ratings, and conflicting medical opinions. Like Wikipedia, these sites depend on anonymous contributors with unknown agendas to supply the bulk of their content. What could possibly go wrong?!

Q. Does anyone else do what you do?

A. No. There is one else in the world who has my experience or does what I do.


A. Sorry, no. Everyone’s secrets are safe with me. Each client’s privacy is equally respected whether or not they are famous.

However I can share something else that is interesting. Since my high profile clients often retain my services to help them through their surgical process from beginning to end, including assisting with travel arrangements and hospital admissions, I work with their passport details and medical forms. And it’s not unusual for these to reveal that they are on average 3 to 6 years older than they claim, having used a younger age when they first began their careers. That is now doub why my Extreme Anti-Ageing treatment plans are so popular with celebrities. They wish to look even younger than they claim to be, which is older than they actually are!

Q. Why aren’t there any before and after photos of your clients on your site?

A. See 1st paragraph of the above answer. I’m fanatical about client confidentiality.

Another reason is that my clients achieve unusually beautiful results. Their incredible transformation photos would be widely stolen, copied and used out of context elsewhere around the internet, just as mine have been. They too would be exploited for clickbait and misleadingly posted online by self-promoting clinics and doctors I’ve never heard of.

My own current before and after pictures remain the best examples of what can be achieved. However I do have permission from certain clients to show their before and after pictures during consultations, where they may only be seen by other private clients.

Q. Is cosmetic surgery painful?

A. Not when properly performed. Although there may be moments of discomfort and inconvenience, if it were truly painful and difficult to manage, so many millions of people around the world wouldn’t have it. Nobody likes pain!

Q. How much has being a member of Mensa helped  with your choices of surgery and doctors?

A. That’s hard to say. Over the years I’ve met many highly intelligent, extremely capable people who made terrible errors in judgement with their health, looks and money after trusting the wrong information. There is no substitute for being an insider with access to genuine factual data, observing thousands of case histories firsthand and and having direct access to top medical professionals.

In addition, my lifelong habits of using common sense, exercising extreme caution, fact-checking and making choices based on verified information have all been essential. Not forgetting my art and photography training, which enables me to view the human form in an analytical manner that others don’t seem to – an ability that top doctors also possess.

The combination of all of the above, along with knowing the full selection of available procedures and works and what doesn’t, gives as much a guarantee of success as it’s possible to have.

Q. How do you spend a typical work week?

A. Most days I speak to top doctors about various matters. Sometimes I observe procedures in the operating theatre. I may see a new client or two and spend time following up ongoing clients.

If a client has booked me to accompany them throughout their treatment, I block out the requested time and am solely dedicated to their care.

Some weeks I travel to medical conferences, where I’m often a guest speaker. I never stop learning and am a voracious reader of the latest medical publications and peer-reviewed papers on cosmetic surgery, anti-ageing and aesthetics.  There’s also day-to-day paperwork, accounts and admin. So I’m pretty busy!

And since human cloning isn’t yet possible, I’m still only one person so the number of new clients I can take on is necessarily limited. Please bear this in mind if you’re considering booking a consultation with me!

Observing in the operating theatre

Q. If you weren’t doing what you do, which career would you have chosen instead?

A. Photography is what I originally trained for, so I would have pursued it full time. I had my first published picture at age 16, and my images are still being published today. Since qualifying as a professional photographer in the 1970s, I’ve never stopped taking pictures, including all my before, during & after shots. I manage a vast photographic library of my own copyright images and films. Photography continues to play a crucial role in my career.

Q. NOW that you’re IN YOUR 60S, Do you have any plans to retire?

A. No. I enjoy my work and there are always new things to learn, which helps keep me young.

I also depend on my research for my own health, anti-ageing and aesthetic program, so I would lose out if I retired. In my sixties and beyond, it’s more important than ever to continue having access to exclusive ever-changing inside information that is unavailable elsewhere.

The cumulative up-to-the-minute knowledge I continue to gain from my ongoing research from exclusive sources such as conversations with top doctors, medical conferences, surgeons’ private webinars, and – most importantly – clients’ genuine case histories (I learn something from every single client) grows in leaps and bounds every year. No one else on the planet connects the dots across these specialities – or puts them into practice every single day both personally and professionally.

It’s impossible to obtain factual information or learn how to get the very best results without being an insider. There’s an ever-expanding torrent of misinformation about aesthetics and anti-ageing to correct, so I have a job for life.

Q. Who’s your favourite fashion designer?

A. Fashion doesn’t interest me. It changes constantly, like the shifting sands. However “style” is timeless. I view fashion obsession as a way to keep people busy and financially disempowered. Whereas beauty is power and health is wealth. With self-confidence you wear everything better. And with good health you can do so for longer.

I like denim for its timeless versatility and ease in packing. Not being a fashion slave frees up loads of time and money for other pursuits. The casual look is also way more youthful.

Cindy Jackson Cosmetic Surgery Anti-ageing Expert

Denim & kittens never go out of style.

Q. What is your luxury indulgence?

A. I love to travel, so have been blessed that my career has taken me all over the world. Material possessions mean little to me. We all come into life with nothing and leave it with nothing. Time and freedom are the real luxuries in life and I don’t take either one for granted.

Q.  Why aren’t you on social media and where did your cosmetic surgery blog go?

A. Everything is here on my website so there’s nothing to post on social media. Nor do I feel the need to put my private life on the internet or seek attention or validation from unknown persons in cyberspace. And I’m certainly not influenced by “influencers!”

I started in 1987 and have been in demand from day one, so my career is well-established. There’s never been any need to market or advertise my consultancy. I don’t do paid endorsements or collaborations nor am I in show business or retail, so spending precious time trying to attract a multitude of anonymous “likes” and followers makes no sense in my case.

Every time you “like” something on social media, or click on the bait, it’s noted and used to profile you for targeted advertising. Social media is intentionally designed to be highly addictive to the human brain – and mainly exists for monetised advertising and exploitation of your personal data. (I use the internet, I don’t let it use me.) A lot of eminent medical professionals, academics and others at the very top of their game aren’t on social media either.

Always the revolutionary – I’m not on social media.

You never know who’s watching. No one should reveal their date of birth online. It’s very useful for identity thieves. The same goes for posting photos of their homes and valuables, while constantly updating their exact whereabouts on social media – an absolute godsend for burglars, as many have learned to their cost.

I am also careful about where my pictures appear on social media after the press started stealing my copyright photos to use in outlandish fake news stories. Although they are usually prominently watermarked, that does not always stop them. One desperate clickbait publication just cropped the watermark out and used what little was left of the midsection of my face for their fake news!

As for my blog, I took it down after seeing it copied and pasted elsewhere by others dishonestly taking credit for my research and putting their own names to my words, even in translating it into different languages, accompanied by my copyright photos. Several opportunist YouTubers even voiced over their YouTube videos by reading my blog posts aloud, claiming it as their original content. (Apparently common practice among certain vloggers.) But that’s the internet!

Everything you put online is up for grabs. It will be copied, stolen or re-posted out of context if someone somewhere believes it will bring them more clicks or advertising revenue. Posting your life’s work or hard-earned intellectual property online means it no longer belongs to you. Copyright and IP laws are often ignored outright, particularly in countries where website owners cannot be reached or held accountable. That’s why increasingly people with anything of value to contribute no longer bother, or else put their intellectual property behind paywalls.

Today we have a choice of two worlds: There is the online world with its fake news, fake friends and fake images. Or there is the real world with real facts, real living beings and real experiences. I choose the real world. Instead of the current unhealthy trend of constantly gazing into a computer screen or scrolling for hours on end, my downtime is spent enjoying good times with people, animals and nature in the great outdoors. Pursuits that nourish body, mind and spirit also play an essential role in health, beauty and anti-ageing.

Hiking in the Austrian Alps. No internet connection – bliss!

That’s the end of the Q & A.
I hope you found it enlightening.

Life begins at 60.
(I did not have a BBL; I work out instead!)


Private consultations with me are available to suit your schedule and location via video using Skype, FaceTime, WhatsApp, Google Meet or Zoom. Alternatively by telephone or email with pre-emailed photos. Longer consultations upon application. Additionally by special arrangement, I may be retained for extended ongoing support.

Each one hour in-depth consultation includes assessment of your particular needs to create an individual treatment plan for up to two surgical operations plus any nonsurgical treatments of interest, and follow-up afterwards. Further consultations must be booked for subsequent procedures. More information here.

As this is a very quickly-evolving field, all recommendations are valid for 6 months only and may be re-confirmed with me via email. After 12 months, if more procedures are desired a new consultation is required. All consultations are with me personally. You are assured of absolute confidentiality at all times.

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