Q & A

In-depth Q & A with Cindy Jackson

Pictured in 2021

Q.  Why do you charge more than a surgeon for a consultation?

A. I’ve been asked this question many times by those who don’t understand the difference between a medical consultation with a doctor and a non-medical consultation with me, so I’m glad to give a comprehensive answer here.

The most obvious difference is that when you consult with a surgeon, you will only be offered the procedures that he or she performs, which may or may not be the best, latest or most cost-effective options for you. Whereas I have unlimited access to all available procedures performed by various top medical professionals throughout the world, plus extensive knowledge of what really works and what doesn’t.

A surgeon doesn’t make his or her living from consultations. For example, although he/she may only charge $250 (or in your currency) for a consultation, a top surgeon earns thousands from a single facelift taking 2-3 hours. (That same surgeon performing only 5 operations a week will still take home at least one million a year.) Whereas I only do consultations, which also encompass: 1) Individual assessment.  2) Independent treatment plan often involving different specialist doctors. 3) Personal guidance and follow-up.

Surgeons may do up to 15 consultations in one day, generating bookings for operations worth many tens of thousands from that day alone when patients proceed with surgery. I never do more than one consultation a day and give each client my undivided attention. The rest of the day will be spent following up previous clients, doing research, attending meetings and dealing with admin and other office duties.

Crucially, I take regular self-funded research sabbaticals in order to stay at the forefront of the highly complex and ever-evolving field of aesthetics and anti-ageing. This means it’s not possible for me to consult every week of the year, therefore the number of new clients I can take on is necessarily limited. While I’m obviously not qualified to do surgery (nor do I harbour any aspirations in that direction!) and have the utmost respect for the operating skills of our esteemed medical professionals, I’ve proven to be better informed on many, many occasions over the past 3.5 decades. This is due to the unpaid portion of my working year devoted to in-depth research and fact-finding.

In addition, during the past 35 years I’ve seen thousands of patient case histories up close that were performed by a myriad of different doctors from around the world. Few surgeons, if any, can say that. Not that it’s a competition, just stating the facts. To each consultation I bring over 60,000 hours’ experience and specialist knowledge acquired over a period of three and a half decades. Remember that I’ve been working in this field much longer than most cosmetic surgeons currently in practice. (And longer than ALL aesthetic doctors & clinics, since that particular specialty didn’t even exist 35 years ago!)

A surgeon’s practice is supported by income generated from surgery. My consultancy is supported solely by income from consulting. I’ve invested heavily in my career on every level and carry all the usual business responsibilities and expenses including office overheads, computer equipment, web hosting, banking fees that take a percentage of each consultation payment, accounting & administration charges, legal counsel, travel expenses, 40% income tax and so on. Plus I personally fund the unpaid time I spend doing crucial research.

I’ve also paid another hefty price. As has happened to countless others whose hard work has made them successful, my name and photos have been used in preposterous made-up media clickbait articles that attract nasty trolls, haters, stalkers and death threats. This form of public bullying and reckless endangerment isn’t personal. Clickbait peddlers don’t know me or anything about me. It’s purely for financial gain. Made-up clickbait is the prevailing tactic employed to increase web traffic, and therefore more advertising revenue. Whereas doctors and plastic surgeons tend to be revered by the media – even the most incompetent ones.

All things considered, it simply wouldn’t be viable to charge any less than I do. I’m often told by clients, as well as surgeons who understand the value of what I offer, that I undercharge for my one-of-a-kind service.

Most people who contact me these days have already thrown away at least the cost of a consultation with me on unsatisfactory procedures. My clients can save a lot more money than the cost of a consultation by avoiding expensive mistakes like wasting money on treatments that don’t work, unknowingly spending way more than the going rate or getting botched and having to pay again for revision surgery. When a client starts their consultation by telling me they are planning a procedure that I know to be ill advised, ineffective or the wrong procedure for them and I explain why it’s a bad idea, they immediately save several thousand within the first few minutes. This scenario takes place all the time.

Only those who consult with me after making the wrong choices know the true value of getting the right information. They also save time and stress by not having to attempt researching through a minefield of misleading information, hidden advertising and media fabrications where the odds are stacked against you. And always remember that I work for you, not the doctors. I will tell you the unvarnished truth when no one else will. It’s your choice whether you think it’s worth consulting with me, just as it’s your decision whether or not to follow my recommendations.

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 pretended to be 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 the independent treatment plan saves a lot of time and money, especially for those wishing to have a 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 (widespread fake reviews, manipulated images that have become the norm, etc.) 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 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 referred to my transformation as an “Extreme Makeover.” No one had ever used 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 eventually 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 is even in dictionaries.

Prophetic interview: My first cover was the genius Mensa Magazine, where I said back in 1991: “In 20 years a lot of people will be doing what I’m doing.”
UPDATE 2021: 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 in Geneva Switzerland, as well as globally via online video. Due to Covid-19 restrictions, I’m only doing online video consultations from London until further notice. 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. Many are in the UK and Europe but I can recommend truly excellent doctors in most parts of the world. If you wish to check to see if  have doctors in a specific location before booking your consultation, please enquire first using the contact form.

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

A. Depending on your individual needs, cost will be 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.

Q. Your picture appears on some clinics’ social media pages. does that mean you go to or endorse those clinics?

A. Absolutely not. I don’t do endorsements. Beware of clinics that use my life’s work and hard-earned reputation to promote themselves by suggesting that I am their patient. When you have a good name there will always be certain individuals wanting to cash in on that good name. These are normally clinics I’ve never heard of, although I have visited dozens of clinics around the world, spoken at international conferences and been photographed and filmed with many different doctors. None of my actual practitioners are allowed use my name or picture anyway – or that of any other patient. They are bound by strict patient confidentiality regulations.

There is a UK “showbiz” injecting doctor working in London and the Midlands who currently displays a large poster in his office of me standing next to him that was taken many years ago. (He actually had a poster printed from what was just a quick shot!) This doctor insists on displaying the poster against my wishes, despite assurances that he had ceased to do so. When his patients contact me after seeing this poster they are always astounded to find out the story behind it since they got the mistaken impression that he somehow had a hand in producing my exceptional results when he did not. Regardless of what he or his poster insinuates, I am not a patient of his and I do not recommend him. 

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

A. Please 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 web site, including Wikipedia has ever had access to such information.

Bizarrely, Wikipedia once falsely declared that I was born in April 1956 in Hazard Kentucky, which I didn’t even know was a real place! I had always assumed it was a fictional town where the comedy TV series and film called The Dukes of Hazard was set. It was probably meant as some kind of joke by one of their trolls. But as a result of the prank, that bogus age, date and birthplace are still being repeated all over the internet to this day. If you Google my name and Hazard Kentucky, you will see just how many sites copied it from Wikipedia, and then from each other. Yet I have never been to Hazard Kentucky nor was I born in 1956. The upside to this farce is that that my real date and place of birth remain private since no one seems to question what’s put on the internet by anonymous sources, especially when it’s been copied and pasted across numerous sites. If a lie is repeated often enough, it is eventually accepted as fact. That is exactly how false information about cosmetic surgery and nonsurgical treatments proliferates, resulting in countless botched patients.

Anyone can, and anyone does, edit Wikipedia. They do so without pay or consequences. It naturally attracts all kinds of trolls, who squabble endlessly among themselves. If you click on the “View History” tab of any given page you can see the relentless revisions that go on. The statistics on Wikipedia’s page about me reveal that as of 2021 there have been a mind-boggling 420 edits by 177 anonymous individuals I’ve never met who change something every 12.6 days. Yet dead links have remained on the page for years and unreliable references are quoted as “sources.”

Wikipedia even announced my death several years ago complete with macabre details of how I allegedly died, along with a description of my funeral. Being very much alive and more than a little shaken as condolences flooded into my office, I had the page corrected. Yet Wikipedia promptly reinstated their fake report of my death, which had been posted by their preferred source – an anonymous troll. However when Wikipedia’s phony story about my death was exposed in the UK national press along with a LIVE news interview with me, they were forced to allow the truth, albeit with no apology. This type of willful misinformation is by no means unique, so I never trust anything on Wikipedia.

Unfortunately the same goes for a good deal of today’s media, whose shoddy journalism and false information has directly contributed to the skyrocketing number of botched patients.

Why is false information so heavily promoted? Because studies show that:

  • Fake news outperforms real news.
  • Lies spread faster throughout the population than truths.
  • Negative stories are more clicked on than positive ones, as are outlandish made-up articles. 

Wilful misinformation is a calculated profits-over-facts strategy. Whereas my entire career has been built on only solid, accurate ongoing fact finding – people’s looks and lives depend on it – so I have zero patience with those who unashamedly mislead and misinform. Especially at my age…

My age: I’m in my 60s. Again, my exact age and birth date have always been private, as everyone’s should be these days to prevent identity theft. 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 in their 30s. 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. How much surgery have you actually had and how much money did you spend? media Reports vary quite a lot.

A. As is the case with so many subjects, media stories about me are like snowflakes and fingerprints – no two are ever alike! The actual facts are only available on this site or from me directly. Like Wikipedia having no access to my birth certificate, sensationalist media and clickbait sites have no access to my financial or medical records, nor have they ever been present in the operating theatre with me. Their wildly varying numbers and bogus lists of operations are concocted out of thin air, despite the correct numbers having always clearly stated here on my web site since it first went online the 1990s.

I’ve had 14 surgical procedures since 1987, some performed at the same time, totalling 9 actual full-scale operations. (Knowing what I do now, I could achieve the same results today with fewer procedures. Today my private clients benefit from this knowledge.) My meticulous planning and insider knowledge meant less exposure to general anaesthetic, so most were done under local or sedation. Minor non-surgical treatments are obviously not counted in the operation total.

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, all claims of more than 14 surgical procedures (or 9 operations) are, like so many things you read these days, completely untrue and cynically fabricated for attention and advertising revenue. More about that here.

If I’d actually undergone the crazy number of operations claimed by these unreliable sources, I’d look like a patchwork quilt! Instead, my aim has always been to appear completely natural with no traces of surgery. And health is my number one priority at all times, so I keep the number of operations and general anaesthetics to an absolute minimum. The key is to maximise results with the fewest interventions possible. This saves time, money and – most importantly – exposure to the risk that every procedure carries, however minor.

I’ve also had numerous in-office and nonsurgical treatments such as facial peels and tooth whitening, which confused the issue and some decided to count them as “operations.” Yet this equates to saying that someone who, for example, has Botox injections twice a year for 8 years and annual tooth bleaching has had 24 “operations.” While every minor incremental improvement does add to the overall picture, such treatments certainly do not constitute surgery or in any way compare to having a full-scale operation by a surgeon in an operating theatre under general anaesthetic. That’s exactly how my Guinness Record for “Most Cosmetic Procedures” came about over twenty years ago. It was never “Most Operations” or “Most Cosmetic Surgery.” Every single non-surgical beauty treatment was also counted. Since mine was the very first Extreme Makeover, there was no established way to present it. Hence everything but the kitchen sink went into the total.

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. I own the exclusive copyright to all my photographs and so earn from licensing them. Legal victories for libel and copyright infringement helped buy my London home.

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? You were so good on tv.

A.  It’s a very different time now and the media is a very different commodity. TV shows used to be more respectful, informative and paid extremely well for guest interviews in the past. Today it’s a ruthless competition for ratings and clicks where truth is often the first casualty.

Going public was never part of my plan anyway. That happened by chance after I was offered a large sum of money by a journalist friend for what I thought would be 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. Things have changed a lot since then.

I still appear on live news and the more intelligent, balanced programs where I can share my expertise. However I’m very selective and decline to take part in the banal, sensationalist circus that so many shows have become in their desperate bid to compete with the internet for eyeballs. TV programs are required to achieve certain ratings or they will be cancelled, therefore in many cases their ethics have necessarily plummeted, whereas mine have stayed the same.

Nonetheless, tabloid TV shows (most have become tabloid now) still invite me on all the time. I never regret turning them down when, out of curiosity, I tune in to find out what their hidden agenda really was and which hapless victim took my unwanted place in the hot seat. After the episode airs, the TV station will continue to earn money from it on YouTube, where that same hapless guest will be trolled in the comment section forevermore. Obviously there are plenty of people who don’t mind being set up for public humiliation and will do anything be on TV. But as part of my anti-ageing and healthy long-life plan, I avoid unnecessary stress, negativity and toxic situations whenever humanly possible.

I’ve glimpsed behind the curtain and witnessed how these shows are produced. 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 start rolling it’s a completely different story. I’ve watched patients with botched surgery 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.

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 also directly responsible for their viewers ending up botched, and they take zero responsibility for that.

And, as one media analyst observed: “The expert, the educated and the decent are leaving the public stage in droves. They are conspicuous by their absence when flicking through TV channels and online media. Such platforms increasingly produce trashy content and peddle false information that serves to repel intelligent healthy minds, who have largely been replaced by an endless parade of self-obsessed attention-seekers.”

Q. Have you always gone to the same doctor?

A. No, that wouldn’t even be possible considering I started almost 35 years ago. I’ve been to many, many doctors over the years, regularly replacing them when they retired, situations changed or better new doctors qualified and 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 area of expertise.

The key is to go to the best doctor for each procedure at any given time. While past practitioners were absolutely the right choices at the time, the situation is constantly evolving. Plus the number of doctors specialising in aesthetics isn’t so limited as was in the past. It’s now an incredibly crowded market, which has created a vast amount of choice with a correspondingly vast amount of confusion for prospective patients.

My unswerving loyalty has always been to my plan, never to any particular doctor. Doctors are human; their abilities may improve or deteriorate over time. Patients often make the mistake of randomly choosing one surgeon, doctor or dentist then going to them forever. This type of loyalty is human nature, but it can work against you. I’ve always cherry-picked the best of the best at the time for each procedure, changing practitioners accordingly. And keeping current with who excels at what is more than a full-time job. This has probably been the most important key to my success for almost three and a half decades. 

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 proven to be most attractive to observers by far. 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, being 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.

Lastly, with the pandemic-driven increase of video communication and conferencing, obvious surgery is very noticeable on webcam, whereas natural results are not. And 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.

For those with serious medical conditions, there are wonderful online support groups and helpful resources for all kinds of illnesses, diseases and non-elective surgery. These groups are generally not infiltrated by fake patients and false reviews to boost a particular practice’s profit margin.

You can learn an immense amount by researching innumerable subjects online. And using the internet to comparison shop for things like household items saves time and money. However you cannot “do your research” in this field in the same way. When it comes to the lucrative business of aesthetics and cosmetic surgery, the internet is an ever-expanding pool of clickbait, hidden advertising, hearsay and self-promotion where followers, before & after pictures and positive reviews can be bought and sold.

Search results are biased according to your location, browsing history, sponsored content and the SEO of any given site. (To see this in action, try doing identical searches from another computer, search engine or location and compare the vastly differing results.) The sheer amount of grossly incorrect information mixed in with the facts only serves to confuse and mislead, fuelling an alarmingly sharp increase in botched patients who made life-changing choices based on internet search results.

Once something is online it’s in the public domain forever, regardless of whether it’s true or not. It can then be quoted repeatedly or copied & pasted again and again. So you will unknowingly encounter plenty of false and outdated information.

The internet enables access to an infinite amount of information, misinformation and disinformation. And then there are the omissions; for example I’ve seen warnings to patients about certain problematic procedures that have disappeared from web sites, no doubt due to pressure from those who profit from them.

Not everything you need to know can be found online, especially in aesthetics. Otherwise the fastest growing branch of cosmetic surgery would not be the overwhelming and ever-increasing demand for revision of unsatisfactory results.

Q.  What about cosmetic surgery advice Sites and forums? 

A. See previous question. It’s well known they’re rife with planted reviews, fake case histories, outdated (over 6 months old) posts, photoshopped 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?!

High-traffic web sites are costly to staff, host and maintain. They have to generate income in order to stay online. Always look into how “free” information sites are funded and exactly who benefits financially. As with social media, whenever a product is free, you are the product. 

You can read posts on the most well-known cosmetic surgery forum (funded by doctors who pay to be promoted, along with other forms of advertising) where anonymous people people who may or may not be real patients advise each other based on one or two isolated experiences that may or may not be genuine. It’s really “a farcical case of the blind leading the blind,” as one eminent surgeon put it. “Site users are given the illusion of choice, but the pool is limited to the doctors listed and promoted there. A great many highly talented doctors cannot be found there, as they need no promotion and do not participate.”

Even with my vast network and global reach, I don’t know of any patients who actually post on these sites, do you? Certainly none of my clients want their private case histories or photos online, knowing that their IP address can always be identified. It doesn’t seem to be something in which your typical cosmetic surgery patient participates. For 35 years I’ve been meeting and learning from real patients whose names and case histories are genuine and verifiable. You won’t find that kind of credible information anywhere online.

Q. Does anyone else do what you do?

A. No, no one else in the world. I inadvertently pioneered the occupation of cosmetic surgery consultant in 1987 after prospective patients started contacting me for advice after seeing me in the press. There was no such job title before then, there were only surgeons and clinic staff working for their own individual practices.

Beware of imitations. Pages from my web site have been copied and pasted in the past by a few unscrupulous individuals attempting to set themselves up in copycat businesses. (And anyone not familiar with my career going back to 1987 may have even assumed that I was the copycat if they compared the copied web pages, which is really annoying!) I get to know all about how these copycats work because their unhappy clients often eventually end up as my clients. The most common complaint is that their information proved to be completely wrong.

This job requires an incredible amount of time, ongoing financial investment, dedication and concern for the welfare of others above and beyond the ability to simply copy and paste. After 35 years’ hard-won personal and professional experience (from both sides of the scalpel) with thousands of clients guided safely through to their stunning results, there is still no one else doing even remotely comparable work.

If you happen to see my intellectual property copied from this site, please let me know using the Contact Form.

Q. When people come to you for help after bad surgery, what are their most common regrets?

A. Demand for do-over procedures grows exponentially every year. For many years now, most of my clients have had some kind of previous unsatisfactory treatment before consulting with me. They range from hardly noticeable results all the way to being being badly botched. (Unfortunately it can be challenging to produce a natural-looking result when attempting to revise work that has been botched or badly done.)

Most common regrets are:

  • Unsatisfactory nose job
  • Too little or no change after procedure
  • Looking strange or worse instead of better
  • Bad scarring from inferior surgery
  • Once-healthy teeth destroyed by false-looking veneers
  • Permanent filler injections
  • Acting on impulse without knowing alI the facts
  • Not consulting with me first (most common of all)

Another big regret is getting only fair or average results – when the procedure has been performed correctly but the result is ultimately not as beautiful as it could have been. However, by definition this is actually how the majority of results turn out on the surgical spectrum. A lot of disappointed patients who turn to me in desperation end up paying twice (or many times) and having their surgery all over again to finally get the more rarified truly excellent results they wanted the first time. The very top end of the spectrum of results in which I specialise are the exception and never just happen by chance.

Below: The spectrum of patient results. I specialise only in the exclusive top sector.

Q. What is the number one reason patients get botched?

A. Unknowingly acting on the wrong information.


A. Sorry, no. Everyone’s secrets are safe with me and they usually deny having had any work done anyway. Each client’s privacy is equally respected whether or not they are famous.

However I can share something interesting and unique about them. 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. This may go some way to explaining the enormous celebrity client interest in my Extreme Anti-Ageing treatment plans. Not only do they wish to look younger than they are, they also wish to look younger than they are widely believed to be!

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 we’ve never heard of.

My own current before and after pictures remain the best examples of what can be achieved, and I share them here exclusively.

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, then so many millions of people around the world wouldn’t have it – and that includes me. 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 sources. However 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 the world’s top medical professionals with whom to cross-check.

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 most others don’t see – 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. Do you know how most people who get botched chose their doctor?

A. Absolutely, it’s a question I alway ask and have extensive data on the subject. Here are some of the top reasons.

  • GOOGLE. Search results are based on keywords, SEO rankings, which browser you use and your location – not medical excellence.
  • MORE SHOWBIZ THAN MEDICAL WEB SITE. When a doctor is more about media exposure than patient care, beware.
  • BEST SURGEONS GUIDES are compiled by tabloid newspapers or fashion magazines. Listings can be bought by PR agents.
  • LOCATION. A famous address  (Harley St, Park Ave, Beverly Hills, etc.) does not guarantee safety, efficacy or excellence.
  • THE DOCTOR HAS RAVE REVIEWS ON ONLINE FORUMS. Owned by non-medical commercial business interests, they may contain fake reviews, photoshopped pictures, paid promotions and inaccurate or outdated (over 6 months old) information.
  • THE DOCTOR WAS ON TV OR IN THE MEDIA. Fame or TV appearances are no indicators of excellence. Instead they can even be a red flag.
  • THE SAME DOCTOR WHO DID PATIENT’S LIPOSUCTION WAS CHOSEN FOR A FACELIFT (example operations). While a surgeon may be good at some procedures, no single doctor excels at them all. Patient loyalty can backfire.
  • THE DOCTOR HAD A GOOD REPUTATION 3/5/10/20 YEARS AGO. It’s a full time job to keep track of who the best doctors are currently. 

Q. How do you spend a typical work week?

A. Whether in the UK or Switzerland, 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. When 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. All these activities, plus regularly visiting eminent doctors around the world, have enabled me to stay at the forefront of my chosen combined specialties. Then there’s the 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 surgery 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 & after shots and all the post-surgery healing sequences you may have seen. I manage and license a vast photographic library of my own copyright images and films. So while photography was my first love, I’ve never had to give it up. Instead, it has always been an important part of 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 beauty program, so I would lose out if I retired. In my sixties and beyond, it’s more important than ever for me personally 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.

MM’s famous anti-fashion statement when she
proved even an old potato sack can look good!

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. Pictured in 2021.

Q. What is your luxury indulgence?

A. I love to travel, so have been blessed that my career has taken me all the way around the world and back several times. 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 web site 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.

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.

At one time I did keep a token Instagram page and business Facebook account I posted on from time to time, but closed them when the media started raiding them for my copyright photos to use in outlandish fake news stories. The full story about that is here.

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 on the internet these days is like throwing your wallet or handbag full of valuables into a crowd of billions. You will never be able to reclaim it or be credited as its owner. That’s why increasingly people with anything of real value to contribute no longer bother, or else put their intellectual property behind paywalls. Hence the internet’s rapidly dwindling number of trustworthy sources and steep decline in quality of free information.

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 human beings and real experiences. I choose the real world. Instead of the current unhealthy trend of constantly gazing into a computer screen or scrolling through a phone 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 Swiss Alps. No internet connection – bliss!

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

Pictured in 2021. Life begins at 60!




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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