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Authors: David Rakoff

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BOOK: Don't Get Too Comfortable
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The Log Cabin hope is that by being law-abiding, well-mannered, income-generating, monogamous Hathaway-shirt men—oozing nothing more threatening or boat-rocking than wholesome, heteronormative presentability—they will finally be granted entry into the tent. If they were shut out in 2004, it was because they were seen to be bellyaching about a host of other causes that had nothing to do with them or their struggle.

And there it is, in a heartbreaking little nutshell, the thing that has been bothering me and that I have been trying to articulate for more than a year. Not to get too Henry Fonda in his final monologue in
The Grapes of Wrath
about it, but wherever there is a woman whose health is endangered because the right has outlawed a medical procedure, Guerriero and the Log Cabinites will be there. Whenever the puritanical hypocrisy of the FCC gives violence (and Rupert Murdoch) a free pass, while selectively demonizing sex, they'll be there. And when the right continues to try to efface the separation between church and state, why, they'll be there, too. Whether they like it or not. The connection between all these issues and gay rights is glaringly direct. If I can see it, why can't Guerriero? What accounts for this myopia?

Guerriero once said to me that no one becomes a gay Republican because they think it's going to be easy. Unfortunately, I'm more inclined to agree with both Barney Frank and Robert Knight. Greed trumps principle as people vie for passage on the Bush administration representation-without-taxation gravy train. Those sacred GOP tenets of smaller government, personal responsibility, and fiscal conservatism are all code for “easy.” Or at least easier. It's a cargo-cult fantasy of a Karl Rovian utopia where the social safety net has been dismantled and the economic windfall rains down upon the lucky few. Come for the cash, stay for the homophobia.

There will likely never be a shared trip to the Phillips Collection for Patrick Guerriero and myself. I doubt he'd much want to hang out with me, either, but I cannot help feeling about him what has been felt about intelligent, handsome, confirmed bachelors such as him from time immemorial. I think:
What a waste.

WHATSIZFACE

I
am not a handsome man. All that means is that my face has never been my fortune. Luckily for me, it hasn't been my punch line, either. I have some pretty eyes and, like everyone, I have my moments. I may even be thought attractive by those who love me, but that is emphatically not the same as the irrefutable mathematics of plane and placement that make for true beauty.

As a teenager reading
Death in Venice
, I understood the world to be divided between the Aschenbachs and the Tadzios. There are those who gaze, and those who are gazed upon. I am not talking about the natural inequity of attention that the old bestow upon the young—we are all hardwired to respond to babies, for example, but it would take the rare and deeply odd child to singsong to a grown-up, “Who's got a cute receding hairline? Oh yes it is.” I am talking about within one's own cohort: some are destined to promenade the Lido in Venice, blooming like flowers under the heat of appreciative stares, while the rest of us are born to watch, sweating through our grimy collars and eating our musty strawberries while the plague rolls in.

Inveterate Aschenbach that I have always been, we are at peace, my face and I, although it can be a tenuous cease-fire. A certain degree of dissatisfaction with my features is part of my cultural birthright. In my largely Jewish high school scores of girls got new noses for their birthdays, replacing their fantastic Litvak schnozes with “the Mindy,” as Paul Rudnick has dubbed that shiny-skinned, characterless lump. Despite the prevalence and remarkable timing of these operations, coinciding as they so often did with upcoming Sweet Sixteens, they were always framed as life-or-death necessities—emergency procedures to repair lethally deviated septa and restore imperiled breathing. Even then, we knew enough to lie. Elective cosmetic surgery was the province of the irretrievably shallow. It was also a largely female pursuit. For most boys, failing the unlikely scenario wherein you infiltrated the mob, turned state's evidence, and got a new set of features thanks to the good doctors at the witness protection program, your face was an irreducible fact.

Still, without benefit of a mirror I can easily reel off all of the things I might change, given the opportunity. Starting at the top, they include a permanent red spot on the left side of my forehead; a brow pleated by worry: a furrow between my eyebrows so deep that at times it could be a coin slot; purple hollows underneath my eyes that I've had since infancy, and, also since childhood, lines like surveyors marks on my cheeks—placeholders for the inevitable eye bags I will have; a nose more fleshy and wide than prototypically Semitic, graced with a bouquet of tiny gin blossoms resulting from years of using neither sunscreen nor moisturizer; a set of those Fred Flintstone nasal creases down to the corners of my mouth; a permanent acne scar on my right cheek; a planklike expanse of filtrum between the bottom of my nose and the top of my too-thin upper lip; and, in profile, a double chin.

None of which is really a problem in New York City. Being a little goofy looking suits the supposed literary life-of-the-mind I lead here. (What a paper-thin lie. There are days when I'd throw out every book I own for the chance to be beautiful just once. Reading is hard, to paraphrase that discontinued Barbie.) Seriously contemplating the erasure or repair of any of these is inconceivable within the city limits. It's too small a town. There is a place, though, where the sunny notion of physical perfection and its achievement by any means necessary is carried unashamedly on the smoggy, orange-scented air: swimming pools, movie stars. Cue the banjo music.

I MAKE CONSULTATIONS
with two Beverly Hills surgeons. I want them to tell me what they might do, as though I had limitless inclination and resources, with no input from me. The reason for my silence is that I'd like outside confirmation of those things that are true flaws and those that are dysmorphic delusions on my part. There is also the vain hope that it is all dysmorphic delusion. That if I fail to bring it to their attention, somehow it will turn out that I've had the nose of a Greek statue all along. Primarily, though, I am hoping to catch them out in a moment of unchecked avarice; instead of proposing the unnecessary pinning back of my ears, I imagine them letting slip with their true purpose, as in, “I recommend the Italian ceramic backsplashes in my country house kitchen.” Or “You'd look much better if my toxic punishing bitch of an ex-wife didn't insist on sending our eight-year-old daughter, Caitlin, to riding lessons in Malibu for $300 an hour.”

GARTH FISHER
'
S PRACTICE
is decorated with a grandeur disproportionate to the space, like a studio apartment tricked out with pieces from the set of
Intolerance
. The waiting area has overstuffed sofas, a small flat-screen TV in the corner, tasseled wall sconces, and a domed oculus in the low ceiling, painted with clouds. Fisher's office is full of bulky antique furniture in dark wood with turned legs, armoires, walnut bookcases. Behind his desk are many photographs of his wife, Brooke Burke, a model and television personality. Were I differently placed on the Kinsey scale, I might even pronounce her “hot,” dropping my voice an octave and adding an extra syllable to the word. She is a near-perfect beauty.

Fisher himself is also nice-looking, a handsome man in his early forties. Blue-eyed and chestnut-haired, he has a bit of the early-seventies Aqua Velva hunk about him. I ask him, looking directly at the enviable cleft in his chin, if he's had any work done himself. Very little. A tiny bit of botox between his brows and some veneers on his teeth. He also had his nose done, to correct some football injuries. To my dismay, he is similarly conservative in his approach to others. Of the eight potential patients he saw that day, he refused to take on seven of them. Some were not candidates while others had unreasonable expectations about what plastic surgery can realistically do, even now.

“This is the Dark Ages. This is like 1904,” he says. Future generations will be amazed by the inevitable advances, he predicts. For now he is more than willing to allow other doctors to use their patient populations as the guinea pigs for new and experimental treatments. He has not done a penile augmentation, for example (“scary business”), neither does he offer those silicone pectoral or calf implants.

“I want a simple life. All I've got to do is do a good job and tell the truth.”

The only reason he agrees to give me unsolicited advice is that he knows I am a writer (indeed, the only way I could get an appointment with two top Beverly Hills plastic surgeons is that they know I am a writer). He remains notably uncomfortable with the charade. “If someone comes in here like this,” he pulls his ears out from his head like Dumbo, “and all they want fixed is the mole on their chin, then that's all I'm going to mention.” Assured of my thick skin, he eventually allows as how he might “clean some things up” that steal focus from my eyes.

We go into an examining room where he keeps his computer simulator. The process begins with taking two photographs—the “befores.” I look the way I always do, but it's embarrassing to see myself up on the monitor with another person sitting there. My profile looks careworn, simultaneously bald and hairy. My eyes are sunk into craters of liver-colored flesh, and my ear is a greasy nautilus, as if I'd just come from listening to a deep-fat fryer.

Fisher demonstrates his morphing tool by drawing a circle around my chin with the mouse. Pulling the cursor, he extends my jaw out like a croissant. It is a fabulous toy. I want to wrest the mouse from his control and really go to town, giving myself fleshy horns, pointy corkscrew ears. If he would only let me, I would pull out the flanges of my nostrils until they looked like the wings of Eero Saarinen's TWA terminal at JFK. “But your chin is perfect,” he says, snapping it and me back to reality. “Three millimeters behind your bottom lip.” Instead, he points out how the end of my nose droops down to the floor, while the arch of my nostrils is very high. (I write “too high” in my notebook before realizing that these are my words, not his.) He raises the tip, lowers my nostrils, and then straightens out the slope of the nose itself. It is subtle and aquiline. He then smoothes out the area under my eyes. In real life this would involve the removal of some fat and tightening up the skin. Finally, he points to the small vertical indentation between my brows, just like the one he had before botox. He recommends a small amount of the neurotoxin, just enough to smooth it out without robbing me of my capacity to emote. Of all the features that render me less than perfect, I've actually always sort of been attached to those that lend me an air of gravitas, covering up my shortcomings of character and intellect. I ask if it's all right to leave it as is. “Well,” he shrugs, “it's okay if you're playing a lawyer or a judge.” Instead, I get him to give me a slight Mick Jagger moue. “I don't like those lips, but I'll let you have them.” He plumps up my mouth.

The photographs are printed out, the two images side by side against a dark background with no discernible seam between them. I am a set of twins. My original self seems a melancholic killjoy. His reengineered brother, on the other hand, looks clean and a little haughty. And how about that marvelous new nose! Pointy, sharp, a weapon. Despite that old stereotype about Jewish intellectual superiority, I think I appear cleverer as well (“perspicacious,” as my ethnically cleansed self might say). Fisher's instinct about my new mouth was also right on the money. It gives me the beginnings of a snarl, like I've wedged a handful of Tic Tacs in front of my upper teeth.

But even my misbegotten new upper lip cannot dampen my spirits. I step out into the beautiful California dusk to catch a cab with a spring in my step. I'm feeling handsome, as though Fisher's changes were already manifest on my face and not just in the envelope of photographs I clutch. Reality soon sets in. The sidewalk of Santa Monica Boulevard simply ends without warning and I have to dart, terrified, across four lanes of traffic. I cannot find a taxi on the deserted leafy streets of Beverly Hills, and I have to walk all the way back to my hotel. “Good evening,” the beautiful young doorman says to me when I arrive, an hour and a half later. He smiles in my direction, but his eyes are looking just above my left ear.

Studying the photographs the next morning, I am already experiencing some misgivings. It is not the regret of “What have I done?” that dogs me so much as a feeling that I want more. I briefly curse Garth Fisher's innate professionalism and hope that Richard Ellenbogen, my next surgeon, will not hang back and keep me from achieving my true physical glory.

If his office is any indication, I'm in luck. Where Fisher's was the McMansion version of the baths at Pompeii, Richard Ellenbogen's Sunset Boulevard practice (hard by the Hamburger Hamlet where Dean Martin ate every day) defies easy aesthetic description. It is an astonishment of styles and motifs. The reception desk is framed by two arching female figureheads as might be found on the prow of a Spanish galleon. The walls of the waiting room are peach plaster set with Tudor timbers. There is an ornamental brick fireplace in the corner, sofas in floral chintz, and everywhere, absolutely everywhere—on the mantel, along the plate rail (hung with swags of floral chintz bunting)—are ormolu clocks, Bakelite and old wooden radios, commemorative plates, lamps and small sculptures of those young, barely pubescent deco-era girls, the kind who festoon old movie-palace plaster and frequently hold aloft globe lights. All of it in under 150 square feet.

There is a benevolence to this crowded exuberance; one's own physical flaws shrink to nothing in the midst of such riotous excess. The staff is friendly and funny. “Here to get your breasts done?” cracks one woman when she sees me. Another confides, “Sometimes he,” meaning Ellenbogen, “will just say to a patient, ‘You don't need this. Buy a new dress and save your money.' We love our patients.”

Ellenbogen is known for fat grafting and facial reshaping. Instead of pulling and tightening a face, he replaces the fat in the areas that used to be fuller, before aging and gravity did their work. For a patient in their mid-fifties, for example, he will analyze a photograph of them at half that age and isolate the facial regions in need of filling. The patients I look at in his albums do seem
juicy,
for lack of a better word, although the result looks not so much younger as vegetal. They look like Arcimboldo paintings, those Renaissance portraits constructed entirely out of fruit. To give them their due, they don't look like drum-tight gorgons, either. In folder after folder, I do not come across even one of those monstrous surgerized analogues of Joan Rivers. Where are those faces, I wonder aloud to Ellenbogen?

“We call that the New York look,” he says. Apparently, there is less need for that kind of wholesale renovation in Los Angeles, where Hollywood hopefuls have been a self-selecting group for almost a century. “People are prettier here. It's now the children and grandchildren of Sandra Dee. In New York, you've still got all those great Jewish immigrant faces.” Ellenbogen is allowed to say this, possessed of one as he is himself. (He's had some botox, his neck done, and lipo on his love handles, although he still supports a somewhat cantilevered belly as befits a man of sixty.)

He doesn't do computer imaging. “It's hokey. It's used by people who aren't artists. It's not a true representation of what a surgeon can actually do. It's like a real estate agent saying, ‘This would be such an incredible view if you just planted some trees here and put in a garden . . .'” Instead, he takes two Polaroids and, using a small brush, mixes together unbleached titanium and burnt umber and paints the changes on one of them. Like Fisher, even with carte blanche, Ellenbogen only envisions minor treatments. Again with the straightening of the nose and raising the tip (one hour), he would also build out my chin a little bit, using a narrow curving strip of milky white silicone—like something from the toe of a high-end running shoe—fed down through the mouth behind the lower lip (ten minutes), and a final procedure (fifteen minutes) in which he would inject fat into my extremely deep nasojugal folds, those tear troughs under my eyes. (Garth Fisher is not a fan of regrafting. “You'd love your doctor for six months,” and no longer, he implies.) Total cost, around $12,000.

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