IN 2019, it's common for celebs to have a bit of help with their looks from a surgeon – and a bit of Botox.
And the latest star to look totally different is Simon Cowell – who took fans by surprise with a new look at an America's Got Talent launch this week.
The music mogul, 59 shocked fans as he has appeared to have reversed the ageing process – with the help of a new vegan diet which has helped him loose an incredible amount of weight, as well as a few tweaks here and there along the way.
The self-confessed Botox lover has always been open about the procedures he has had to keep himself looking youthful – and even gets his staff and colleagues vouchers for the Botox infections for Christmas.
Simon admitted to spending £2000 on a 21st century facelift by "Piccasso of dermatology " – a procedure which involves sewing bioplastic-infused thread into the face and neck to get rid of sagging skin.
And The Sun Online can now reveal how a select few A-list celebs who have admitted to having a few tweaks here (and some who haven't) would look without any help from a trusty surgeon – or good genes.
In 2010, chef Gordon Ramsey, 52 admitted that he'd taken inspiration from Simon Cowell, who advised him to freshen up his look with some surgical assistance.
Talking about the first time he had work done to his face, he confessed: "The lines were pretty horrific, like Scarface, and I was never embarrassed by it but my children helped me become more paranoid about it.
"There's only so much s*** you want to take. I woke up in the morning and Matilda [daughter] was trying to squeeze pound coins in there.”
But if Gordon decided to not have any work done, the lines on his face would be a lot more noticeable – which would make him more even more conscious about his wrinkles and would lead to being made fun of by his children.
American singer song-writer Barry Manilow, 76 who is worth an incredible $100million (£83million) thanks to his most known singles Mandy, Can't Smile Without You and Copacabana has kept quiet about whether he has had surgery or not.
Last week Barry shocked fans as his face stayed oddly still as he greeted fans leaving his Broadway show – further adding to the speculation.
The global superstar was asked about the speculation surrounding his surgery on the Jonathon Ross show and completely denied the accusations.
"Clearly this is what I look like, I don't know what they're talking about," he said.
So clearly he's just got good genes – but what would he look like if he wasn't so lucky?
His wrinkles would be more prominent around his eyes, as well as his forehead. Barry must be thanking his lucky stars.
John Travolta, 65, is well-known for his roles in famous films Grease and Saturday Night Fever – but looks very different to when he stared in the Hollywood blockbusters.
But John's never commented on surgery rumours – meaning he must have a very good skincare routine and get lots of sleep, because he looks great for 65.
If fact, he looks as baby faced as he ever did at his Hollywood peak.
But what would he look like if he wasn't so careful?
In 2017, former american heart-throb Mickey Rourke, 66 was pictured looking miles away from his baby face that women loved him for – but has claimed that most of his procedures have been to fix boxing injuries.
Experts have claimed that he has undergone a face lift, eyelid surgery to both upper and lower lids, soft tissue fillers and cheek and chin implants.
“Most of it was to mend the mess of my face, but I went to the wrong guy to put my face back together,” he once said.
“I had my nose broken twice. I had five operations on my nose and one on a smashed cheekbone,” Rourke added.
Australian cricketer Shane Warne, 49 who's net worth is estimated at $50 million has rumoured to had Botox, fillers and a brow lift.
The sport star has always denied having any tweaks made to his face and puts his youthfulness down to his 'healthy' lifestyle as a cricketer.
On his stint on I'm A Celebrity in 2016, Warne denied having anything done to his face and said: "Because I'm old, my face went all like this," he said to his co-stars, as he pulled at his face.
"But I was 77 kilos and I'm too tall to be that skinny and I looked, I didn't look well."
He said: "And everyone said, 'Look what Warne's done to his face. What's he done to his head? Lay off the Botox. Get rid of the facelifts. He's had fillers. And I'm like, if I wanted to have some, I would have no issue."
Throughout award-winning actor Tom Cruise's career, fans have speculated on whether the star, now 57, has had surgery.
When asked if he has had anything done to his face in an interview on David Letterman's show, he: "I haven't, and I never would."
Similar to Shane, Tom puts his good looks down to working out everyday, eating healthily and having a decent amount of sleep.
But what would he look like if he'd ditched the gym, partied all night and spent every Friday in the pub like a normal person?
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