The only ego issue about having cosmetic surgery is to admit you are old enough to need it.
Every time my wife took my photo, she chided me, "-- open your eyes". Each morning the dark circles and bags under my eyes would stay until i had soaked them thoroughly in the shower. When we stayed up too late, my wife kept asking me, "-- are you falling asleep, --- well then why are your eyes closing?"
Yet when I told her I was having the procedure, she was to first to say I did not need it.
So with little encouragement I stepped ahead with Dr. Sherman.
I look and feel better, fresher and maybe younger, but still age appropriate as the Doctor would say.
One important point, I have probably never experienced so much service for such a small amount of money. The approximate $3,000+ which was my out of pocket share got me an incredible amount of the Doctor's time in consultation, hours in the operating room, as well as the procedures by her able staff and 'virtually unlimited' after care.
I have spent more money on car repairs, pieces of furniture or household restructures, gotten less value for the money and was never treated to such levels of expertise {especially when considering the complexities of modern medicine required for this job).
What a bargain! And with little or no pain and about a week's worth of minimal discomfort.