Guessing which celebrities have had what cosmetic surgery isn't as easy as it seems, noted surgeon says

Even a trained eye has to look carefully to figure it out

Trying to judge which celebrities have had cosmetic surgery, and what kind, can be difficult. It requires a trained eye and a prolonged, careful look to determine the verdict, said noted cosmetic surgeon Professor Laurence Kirwan.

"Oftentimes, it's obvious what has been done, but not always. If the person is one of those unfortunate enough to have too much work done, then spotting it is easy. Otherwise, it's as it should be, unnoticeable," he said. These opinions are just that, they are not statements of fact about whether a celeb has had surgery but speculation alone.

Professor Kirwan is a recognised international leader in aesthetic plastic surgery with clinics in Harley Street, London; New York City; and Connecticut, USA. He specialises in aesthetic plastic surgery of the face, breast and body.

Former "Friends" star Jennifer Aniston has admitted to having nose surgery and Kirwan said that's probably the extent of her cosmetic surgery.

"The two obvious things to look for are Botox and a boob job but it doesn't look to me as though she's had either done," said Kirwan.

Liz Hurley is one who looks to the trained eye as though she hasn't had surgery, Kirwan said.

"She probably has had Botox and fillers in some areas but I doubt surgery. She seems to have taken good care of her skin and watched her diet," he said.

Twenty-five-year-old Megan Fox looks like she's had her nose done, though, Kirwan said. "Her face looks fairly smooth but she's only in her mid-20s so that's to be expected.

However, 29-year-old Sarah Harding seems to have had a boob job, Kirwan said. Her slim figure and large bust seem rather incongruent, he said.

"Her bust is not bad, but it is certainly big.

Finally, the 52-year-old Madonna seems to have had fillers, peels, Botox and surgery to keep her face from looking haggard compared to her fit body, Kirwan said.

"Some people's skin folds unnaturally after face-lift surgery, particularly when they put their chin down" he said. However, good plastic surgery is imperceptible even to the trained eye.

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NOTES TO EDITORS:-

ABOUT PROFESSOR LAURENCE KIRWAN MD:

Professor Laurence Kirwan MD, FRCS, FACS, is recognised as an international leader in aesthetic plastic surgery. He has clinics in Harley Street, London, New York City and Connecticut, USA. He specialises in aesthetic plastic surgery of the face, breast and body. He is certified by the American Board of Plastic Surgery (ABPS). He also is a member of the American Society of Plastic Surgeons (ASPS) and an active member of the prestigious American Society for Aesthetic Plastic Surgery (ASAPS). ASAPS members are required to perform a minimum number of aesthetic procedures each year to maintain membership. Both ASAPS and ASPS only admit physicians certified by the ABPS. The ABPS is the only Plastic Surgery Board recognized by the American Board of Medical Specialties. It oversees physician training in the US. The American Society for Aesthetic Plastic Surgery is the most prominent Society of its kind, representing a ‘gold standard' for excellence and innovation in Aesthetic Plastic Surgery worldwide. ASAPS meetings and approved educational activities draw surgeons from around the globe. Many UK surgeons make an annual pilgrimage to the Society's meeting and symposia. ASAPS members are required to perform a minimum number of aesthetic procedures each year to maintain membership.

Professor Kirwan was born in Liverpool. He graduated in Medicine from Manchester University in 1974 before becoming a Fellow of the Royal College of Surgeons in 1979. He trained in General Surgery at Columbia Presbyterian Medical Center in New York City. Then he completed Residencies at the Universities Denver, Colorado and Kansas City, Missouri. He is a Fellow of the American College of Surgeons and Professor of Plastic Surgery of the International School of Aesthetic Plastic Surgery at the University of Belgrade.

He was named one of Tatler magazine's Top Surgeons in its Cosmetic Surgery Guide for the years 2004 and 2007-2012.He was named the "Top Breast and Tummy" surgeon for the past two years. He was included in the London Evening Standard's 1,000 Most Influential People report for the years 2007-2009. Professor Kirwan is also featured in The World's Top Surgeons & Clinics, published by Beyond Black Publications. Russian Vogue listed him as one of the Top 20 Plastic Surgeons, worldwide.

Professor Kirwan is a frequent contributor to current affairs programs on television and is an occasional contributor to magazines and newspapers. He has published three books: "The Cutting Edge: A Top Surgeon Tells All," about plastic surgery; "My Mole Book," a guidebook for children, explaining what happens when a mole is removed; and "Ophelia Blue Eyes: My Life So Far," a biography of Ophelia Sarah Kirwan, the professor's own daughter, who was born with Down syndrome. All are available through either Artnik Publishers or Amazon.com.