I see nothing wrong with women doing a little (that's the key word) cosmetic enhancement as they get older, if growing old gracefully means looking like a stereotypical old person then I have to say I actually admire those that try to stay young as opposed to just giving into it, as long as they don't go overboard with it.
When it comes to plastic surgery I say it depends on how well it's done and who it's being done on. It's good in moderation, but of course some chicks get very carried away. Case in point.
Man, Janice really f*cked up her looks big time.
I don't condemn moderate plastic surgery, just excessive use of it. Some people can stay hot at 60 even without plastic surgery, and even those that have had some work done have probably done a lot of other things like eating right and more natural procedures to combat the signs of aging.
I say that if you're doing a moderate procedure to boost your self confidence, go for it, as long as you know what you're doing. It's important to be able to tell the skilled plastic surgeons from the total hacks that will only f*ck you up.