There was a time when the mere act of going under the knife meant a celebrity would make the headlines. Fast forward to 2010 and no one's batting a Botoxed eyelid as plastic surgery becomes the norm.

Witness this week's news pages bulging with images of Jane Fonda (starring in a new workout DVD at 72), 64-year-old Cher (it was hard to tell whether she was horrified or delighted to hold Lady Gaga's meat purse at the MTV Music Video Awards), Silvio Berlusconi (in trouble for his bad jokes) and X Factor judge Louis Walsh (who told one paper he would do "whatever I have to do" to look good in high-definition).