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Dr. Richland scrutinized a 2017 image of Simon Cowell to shed light on the alterations visible in a 2024 photo. He pointed out that excessive use of non-surgical treatments can sometimes accelerate aging signs. By 2017, Cowell had already begun using Botox and fillers, as indicated by the additional volume in his cheeks and lower face. “This usually occurs when fillers are used to lift sagging skin, rather than opting for surgical removal of excess skin,” Dr. Richland clarified. “Such an approach can lead to a ‘pillow-face’ appearance, inadvertently making someone look more fatigued due to the filler’s weight pulling down the tissues over time.”
According to Dr. Richland, Cowell continued to utilize Botox and fillers up to 2024. “His forehead and glabella are remarkably smooth for a man his age,” he noted. While this might be the desired outcome, it has its downsides. “Over-paralyzing the forehead can cause the brow to lose its natural arch and sag, which makes the eyes appear heavier and more crowded,” Dr. Richland elaborated.
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Simon Cowell grappled with his evolving appearance as he aged, embracing various new methods to combat aging. Reflecting on his experiences, he once mentioned to the Mirror in 2015, “I even tried a sheep placenta facial once, which was quite unconventional.” Moreover, Cowell had non-surgical facelifts, which employ bioplastic threads to lift the skin. “There are numerous options available now,” he shared with The Sun in 2018.
The “America’s Got Talent” judge has always been candid about his beauty routines. “Am I vain? Yes, I am. But honestly, I don’t know a single person on TV who isn’t,” he remarked to the Daily Mail in 2008. However, when his appearance began to drastically change, even surprising his fans in videos, Cowell realized he had overdone it. He confessed to The Sun in 2022, “I saw an old photo and didn’t recognize myself.”
Simon Cowell has addressed his complicated relationship with cosmetic procedures
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When his son Eric pointed out the changes in his appearance, Cowell realized it was time to cease using fillers. “Enough was enough,” he admitted. Since then, he has shifted his focus towards a healthier lifestyle, emphasizing diet, exercise, and hydration. Remarkably, lab tests suggest Cowell’s biological age is younger than his actual years. “Through better eating, more exercise, less stress, and specific supplements, I feel like I’ve aged backwards,” he shared with The Sun in 2025.
The “America’s Got Talent” judge has no problems being open about all this. “Vain? Yeah, I am. But to be honest with you, I can’t think of one person who is on TV who isn’t vain,” he told the Daily Mail in 2008. But it eventually caught up to him. When Cowell began to look unrecognizable to fans in videos, he knew he had gone too far. In fact, he even started to double-take when looking at old photos. “I saw a picture of me from ‘before’ the other day, and didn’t recognize it as me,” he told The Sun in 2022.
When Cowell’s son, Eric (seen above in 2024), began to notice, he knew he had to stop with the fillers. “Enough was enough,” he said. Since then, he began to change his approach to wellness, focusing on diet, exercise, and water intake. And according to Cowell, lab tests suggest he’s younger than his chronological age. “I’ve actually aged backwards by eating better, more exercise, less stress, certain supplements,” he told The Sun in 2025.