First Lady Michelle Obama tweets out this picture, holding an AARP card.

First Lady Michelle Obama tweets out this picture, holding an AARP card: Excited to join Barack in the 50+ club today”¦ check out my @AARP card! ““mo

“Women should have the freedom to do whatever they need to do to feel good about themselves,” the first lady told People magazine in an interview hitting newsstands Friday, her birthday. “Right now, I don’t imagine that I would go that route, but I’ve also learned to never say never.” [ABC News]

THIS IS a question that is no longer a frivolous query for women. Cosmetic surgery, botox and other options are now affordable. Women now having a weapon to battle the inevitable signs of aging that brings societal and professional judgments that men don’t have to face. First Lady Michelle Obama turns 50 today, so it was an honest answer to a question that, as time goes by, makes many women ponder options.

Remember Drudge and Rush Limbaugh piling on Hillary Clinton back during the 2008 presidential contest? Rush asking whether America was read for a woman with wrinkles. From an excerpt in my first book:

“Will Americans want to watch a woman get older before their eyes on a daily basis? And that woman, by the way, is not going to want to look like she’s getting older, because it will impact poll numbers. It will impact perceptions.” ““ Rush Limbaugh (December 2007, source: The Hillary Effect)

Michelle Obama also talks about her diet and exercise, which we have in common. She offers that she gets preventative screening, mammograms, Pap Smear, etc., and has also had a colonoscopy. She’s smart, because all the veggies and exercise in the world won’t keep you safe from your heredity. Know it and use it as a weapon. It’s also important to note here that vitamin supplements are no substitute for vegetables, fruit and good fiber, especially where colon health is concerned.

For my new book, I did quite a bit of research on cosmetic surgery popularity. Breast augmentation remains popular, as does body sculpting (liposuction), and eyelid surgery. Labiaplasty is prominently featured in Showtime’s Sexy Baby, which I talk about at length in The Sexual Education of a Beauty Queen. It is widely popular among young women, some attributing this to online pornography and the expectations of men who watch it. So-called designer vaginas don’t come easily and are not the same as a little nip, tuck or laser at 50, especially when a 21 year-old seeks it.

No longer do women (or men) have to have bones broken to get a lift and fight the gravity of age. Today, you can even use acupuncture, though that’s a completely different type of result, obviously, than laser or other methods like Exilis Therapy.

Recently, the issue of butt augmentation, which has significant dangers, has been thrust into the pop culture conversation, including on primetime series, with Nya Lee, a reality TV star, going through the procedure on camera. offers a good primer on the subject (NSFW). For the uninitiated, this stuff is harrowing.

The crude inflation procedure consists of shooting a liquid substance such as silicone or mineral oil directly into a client’s butt cheeks and hips through a syringe. There is no substance that is safe to inject into your body to create more volume, not even medical-grade silicone, but these black-market “butt doctors” have, according to victims, allegedly used harsh substances like concrete and the industrial silicone sold at hardware stores in their procedures. After the injections, the exterior flesh wounds are sometimes closed with Super Glue to prevent the toxic slop from leaking out.

To answer your question, no, I haven’t had any work done. But like First Lady Michelle Obama, I’m not ruling it out.

I won’t, however, be having anything shot into my butt cheeks, of that I’m certain.

First Lady Michelle Obama turns 50, takes a question on cosmetic surgery, a real issue for many women and men at a certain age. "The President sings 'Happy Birthday' to the First Lady after greeting inaugural brunch guests in the Blue Room of the White House. Of course, the First Lady's new hairstyle attracted a lot of attention." (Official White House Photo by Pete Souza)

“The President sings ‘Happy Birthday’ to the First Lady after greeting inaugural brunch guests in the Blue Room of the White House. Of course, the First Lady’s new hairstyle attracted a lot of attention.”
(Official White House Photo by Pete Souza)