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[[quoteright:330:[[Film/DieAnotherDay http://static.tvtropes.org/pmwiki/pub/images/bond_moon_330_770.jpg]]]]
[[caption-width-right:330:Gives a whole new meaning to RaceLift... ]]

Cosmetic techniques can do some amazing stuff. There are ways to lengthen bones in legs, alter the shape and position of facial features, alter the length and shape of the vocal cords, seamlessly integrate an enormous bosom onto a tiny ribcage, strip away half of one's body fat in an afternoon.

In TV, however, such surgery is most often depicted as a magic wand for turning one actor into another. It's the standard AppliedPhlebotinum for TheNthDoctor in non-genre shows, and it is at the center of the OldFriendNewGender plot, amongst other things.

This happens in daytime soaps when a major character is recast. A more minor character will usually get the [[TheOtherDarrin "Other Darrin"]] treatment, but if the change in appearance is to be a plot point, it will be through Magic Plastic Surgery. Sometimes the character will keep his identity a secret. Sometimes the audience is in the know, but sometimes not. Often there is an element of doubt.

In videogames with custom-designed characters, this is often used as an excuse to let characters alter the appearance they selected when they started the game.

Magic Plastic Surgery rarely seems to take into account the character's height, or voice, or scent, and may make an EasySexChange even easier.

Compare with LatexPerfection.

SurgicalImpersonation is a subtrope for cases where the surgery is used to impersonate a specific person.

Can sometimes lead to BlackLikeMe or an in-story RaceLift.



[[folder:Anime & Manga]]
* One chapter of Creator/OsamuTezuka 's ''Manga/BlackJack'' involved a doctor blaming a deadly mistake on the nurse who was just following his orders, ruining her life. She attempts suicide, but the eponymous super surgeon offers her a chance at payback, which involves turning her into an exact likeness of the pop idol the doctor was obsessed with. It doesn't take much effort for her to get the evidence Black Jack needs to blackmail the villain out of his profession. In an extra twist, it's revealed at the end that the reason the nurse's transformation into the pop idol's double was so flawless (in addition to Black Jack's improbable skills) is because Black Jack ''himself'' gave the pop idol that face.
** This goes up a notch when the Black Jack's father comes back into the picture after his second wife Renka is disfigured. This is the new wife whom he left Black Jack and his mother for while they were hospitalized in an explosion. His father gets his help to repair the new wife's face, and 'make her more beautiful' while at it. Black Jack complies and gives Renka ''his mother's'' face: partially to punish his JerkAss father, partially because Black Jack ''genuinely'' thought his mother was the most beautiful woman ever.
** Another example: Black Jack uses plastic surgery to turn a deer into a human, complete with speech and sudden awareness.
** In another story, a rich guy wants Black Jack to save his jerkass son who's been severely injured in a car crash, and has a random bystander (who is a very nice guy) accused of trying to kill said son and [[OrganTheft sentenced to death so that his organs can be used for the operation]]. Black Jack instead gives the bystander plastic surgery to make him look exactly like the son. By grafting the son's skin on him (or if you prefer the ironic formulation, by grafting ''every'' organ into the son, brain included).
* ''Manga/PetShopOfHorrors'' has a client for the shop, a famous romance novelist, turn out to used to be a simple homely country girl who after the boy she liked proposed to her identical twin sister, faked her death and had head to toe plastic surgery.
* ''Manga/PrettyFace'' plays the trope a little closer to reality than usual -- while Rando-as-Yuna does stretch the bounds a little, the artist is careful to distinguish the two in subtle ways [[spoiler:once the real Yuna shows up]], making it clear the resemblance isn't perfect. And the last chapters hinge on how the human body can only take so much alteration, especially a major facelift and rearrange like Rando's - if the procedure's made one more time, his face ''will'' age very prematurely.
* Taken to insane extremes in ''Manga/OnePiece.'' One of Sanji's attacks is the Parage Shot, which is essentially a series of repeated kicks to the face. Not only does it give the victims a new face, but the two {{Gonk}} characters subjected to it actually wound up ''better looking.''
** In the Z's Ambition Arc, this is what one of Shuzo's goons think of when they see no similarity with Sanji and [[FacialCompositeFailure his crude wanted poster]].
-->'''Neo Marine''': He looks very different from the wanted poster! I assume he had cosmetic surgery!\\
'''Sanji''': I DID NOT!!
* Magic is used to transform a homely otaku into a handsome bishonen the manga ''Duck Prince'', but the spell takes effect in such a way as to make it look like magic plastic surgery -- Facial reconstruction surgery after a car accident and a growth spurt experienced during a year-long coma.
* Used in ''{{LightNovel/Durarara}}'', when a girl named [[spoiler: Mika Harima]] gets one of these after being disfigured by [[spoiler: Seiji Yagiri, who loses it and smashes her face into a wall for sneaking into his apartment and taking a look at Celty's detached head.]] Even weirder? [[spoiler: Mika used the surgery to ''make herself look juuuuuust like Celty's head''.]]
* ''Manga/FrankenFran''. Given that the main character is a living zombie, and her assistant is a man's head installed on a cat, looking for realism in the story is an exercise in futility. (Bizarrely enough, there IS some realism, mostly the title character talking about how extreme the surgeries will be... right before performing them, anyway). More often the grotesque variety as seen in the first school episode, where the students are outdoing each other in requesting the most outrageous mutilations they can think of. And imagine how many of their parents wouldn't even let them get their ears pierced.
* ''Manga/TwentiethCenturyBoys'': plastic surgery is able to make [[spoiler:the fake Friend]] look and sound identical to [[spoiler:the original friend.]]
* ''HannaOfTheZ'': The titular character has to impersonate her friend and club member Kuunyan in a fighting tournament (after accidently knocking her out with a flying fist) but lacks Kuunyan's large breasts. So other club member Mamia performs a very impromptu breast enhancement... using a saw and a kitchen knife, and recycled paper as filling. This only works because Hanna can heal anything and is practically immortal. Mamia says that she never could do the same thing on a normal person.
* ''Anime/CowboyBebop'': Several bounties were captured using a device that could show how probable a target was the bounty with plastic surgery.
* In Miss Guillotine, two major characters have undergone plastic surgery. Callie's is more realistic, limited to minor facial touches and laser eye surgery. Hailey[[spoiler:/Michelle]]'s meanwhile, requires major facial reconstruction, liposuction, elongated limbs, extensive skin treatments and dietary changes...

* Christopher Chance, Franchise/TheDCU's ''HumanTarget'', has made a career of impersonating people with dangerous lives. He's had plastic surgery more times than should be possible in a single issue alone, and much more. He's used plastic surgery to become ''black'' before. He's had his face altered to look like a man for a short time, then returned to his normal face, then altered to resemble the same man ''again'', ''then'' back to his regular face again, with no ill effect. Cosmetic surgery is used as a magic wand. At least some of Chance's transformations are done with latex masks, body suits, makeup and suchlike. [[LatexPerfection The masks are as suspiciously convincing and easily removed]] as those in ''Scooby Doo''.
* In one storyline of {{the Punisher}}, from Creator/MarvelComics, the scarred villain Jigsaw decides to get revenge on Frank by carving up his mug to scar ''him''. Frank escapes and uses his knowledge of the underworld to dig up a talented plastic surgeon. This one was forced to quit because of prescription drug abuse. And she is hot. But anyway, to make a somewhat believable story insanely goofy, the un-licensed surgeon not only un-scars Frank (why couldn't Jigsaw find her) but turns him BLACK.
** Speaking of Jigsaw, he's had his face fixed up a few times with no obvious leftover scarring. The Punisher will always end up scarring him ''again'', with some variation of his original disfigurement.
* Examples from ''Comicbook/TheFlash'':
** Shortly before his death, [[ComicBook/TheFlash Barry Allen]] was in a fight and had his face beaten to hamburger only to have his face reconstructed to a completely different appearance (by gorilla surgeons, no less!).[[note]]See DramaticUnmask for ''why'' Barry had this done.[[/note]] What's more, by the time he met his fate in ComicBook/CrisisOnInfiniteEarths, the surgeons of the 30th century had given him ''back'' his original face.
** Doctors had apparently had the above techniques for about five centuries, as Barry's arch-enemy Professor Zoom sometimes used 25th-century tech to make his face look exactly like Barry's.
* Though admittedly spread out over a few continuities, ComicBook/TwoFace has had his face fixed and [[StatusQuoIsGod un-fixed]] more times than you would care to count.
* On the subject of Franchise/{{Batman}} villains, Hush ''is'' a Magic Plastic Surgeon, capable of performing major facial reconstructive surgery '''on himself''', which is now why he looks like [[spoiler:Bruce Wayne]]. The heroes actually take advantage of this after defeating him and use Hush as a substitute to hide [[spoiler: Bruce's "death"]] from the rest of the world.
* Mocked to the point of Deconstruction in one album of the [[FrancoBelgianComics Belgian comic]] ''Chaminou''. This is a FunnyAnimal series, hence plastic surgery is used to change an apparent ''species''. Thus we get a female stork turned into a pretty CatGirl, a duck into a tiger, and a panther into a duck (although the surgeon couldn't take away the ''spots'').
* "Plastic smurfery" is the explanation used in the original English translation of ''ComicBook/TheSmurfs'' comic book story "The Smurfette" to change the title character from her original appearance into a real Smurf. The cartoon show version of the story eschews that and simply has Papa Smurf change her completely into a Smurf through magic.
* Dwight from ''ComicBook/SinCity'' has plastic surgery in order to hide from the authorities. That's not too farfetched. The crazy part comes form the fact that [[spoiler:he got the plastic surgery from underground surgeons in Old Town, a neighborhood populated by hookers. This was after he got shot in the face by his ex-wife.]]
* In the Marvel ''[[ComicBook/GIJoeARealAmericanHeroMarvel G.I. Joe]]'' comics, the Fred series of COBRA's [[PraetorianGuard Crimson Guard]] all had plastic surgery to look completely identical to each other. As the Freds were highly placed infiltrators into government and corporations, the thinking was any Fred could take another's place if something happened. We're talking about four dozen men across the country who look exactly alike, without bone structure, height or body shape ever coming up.
** The family of the original Fred Broca (Fred I) knew something was up, though, when Fred II showed up at their house without explanation (Fred I had died in the High Sierras after fighting with Snake-Eyes and other Joes). It was enough to fool casual observers, though, as Snake-Eyes was taken aback to see "Fred Broca" alive and well.
* In an early ''ComicBook/LuckyLuke'' comic, the Dalton cousins (the ones who were competent but killed off fairly early) forced a town doc to give them new faces. Yes, the doctor of a frontier town in the wild west during the 19th century. After they heal up surprisingly fast, it turns out they now have the faces of four ''other'' wanted desperados, and return to the doctor to have their old faces restored, which succeeds without any real complications. (Although one of them complain that his chin is "a bit loose" - and it appears to be falling off! But it's fixed in later scenes.
* ''ComicBook/JudgeDredd'' has face change machines, which change a person's face instantly by AppliedPhlebotinum. It is implied that this can still be botched, however, particularly if rushed.
* Parodied in a ''ComicBook/TheSimpsons Comics'' story when Sideshow Bob is released from prison yet again, but has to get plastic surgery after being run over by a truck as soon as he steps outside of prison. Bart and Lisa panic on finding out about this and try digging up dirt on new Springfield residents to discover which one of them might be Bob, but come up empty. Eventually, Bob shows up at the climax... and turns out to look exactly the same as before, and is even amused at the notion of plastic surgery doing anything more than just repairing the injuries he got in the accident.
* While ''Franchise/{{Tintin}} and Alph-Art'' was incomplete at the time of Creator/{{Herge}}'s death, one of the plot twists he was considering (and had sketched out) was revealing that the main villain, Endaddine Akass, was actually longtime enemy Roberto Rastapopoulos, after extensive plastic surgery to alter his appearance. Downplayed in the eventual [[FanFic/TintinAndAlphArtYvesRodier version by fan artist Yves Rodier]], as Rodier redesigned Akass's appearance to be more consistent with that of Rastapopoulos, meaning that he only needed some minor surgery (along with glasses and a fake beard) to achieve his new look.
* In the original Golden Age ''ComicBook/WonderWoman'' comics, [[TheBaroness Baroness]] Paula von Gunther cements her HeelFaceTurn by deactivating a bomb in an already-burning building and [[RedemptionEqualsAffliction suffering severe facial burns]] in the process. A magical Amazon healing ointment is then used to give her a new face that looks totally different from her former one, symbolising her moral rebirth. This is the possible UrExample.

[[folder:Films -- Animation]]
* Used to cover a new actress assuming the role of Penny in the show-within-a-show in ''Disney/{{Bolt}}'' after the original Penny quits. However, given the circumstances surrounding Penny's departure (she nearly died in a studio fire) the audience can't be certain the new girl really isn't the original Penny until the scene cuts to show her at home watching the show with her pets. Naturally, AscendedFanboy Rhino promptly complains that [[TheyChangedItNowItSucks the show has gone downhill.]]

[[folder:Films -- Live-Action]]
* This is used in the film ''Film/CurseOfThePinkPanther'', where [[spoiler:Roger Moore]] plays Inspector Clouseau after plastic surgery, to [[TheNthDoctor allow Clouseau to appear in a film after the death of Peter Sellers]] and give the character a sendoff.
* Examples from the Film/JamesBond films:
** A major plot point for two characters in ''Film/DieAnotherDay'':
*** Colonel Moon, thought to be dead, disguises himself by using [[AppliedPhlebotinum groundbreaking gene therapy]] to alter his entire ethnicity, to change from a North Korean colonel into a snobby British playboy, with the new identity of Gustav Graves. The Graves identity supposedly hailed from Argentina, and moved to Iceland where he found diamonds and built a mine (it's actually a phony mine, used to launder African conflict diamonds obtained as payment for illegal arms trading.) It's actually one of the more convincing examples, as the process requires a battery of painful gene therapy (replacing bone marrow from substitutes harvested from unwilling donors) and causing no end of side-effects, including chronic insomnia. It's ''almost'' within the bounds of plausibility that one could be made to look like the other with RealLife facial reconstruction surgery, albeit only after multiple surgeries with long recovery periods in between.
*** Zao, Moon[=/=]Graves's second-in-command, is in the middle of such a procedure, and is left with no hair, pale skin, ice-blue eyes, and a bunch of diamonds stuck in his face (they'd been put there by a C4 explosion, but you'd think taking them out would have been the ''first'' thing the surgeon would do). Bond interrupts his operation in Cuba, forcing him to make do with the Sinead O'Connor look.
** Ernst Stavro Blofeld took advantage of this trope at least once:
*** The explicit explanation for why Blofeld's appearance changes between ''Film/OnHerMajestysSecretService'' and ''Film/DiamondsAreForever''. It's justified, as he's specifically going into hiding after the fall of SPECTRE in ''OHMSS''. Blofeld also has multiple {{Body Double}}s in the film, each of whom ''also'' receives Blofeld's "new" face after Magic Plastic Surgery.
*** Also, while it's not explicitly stated, it's a plausible explanation for Blofeld going from a horribly-scarred Creator/DonaldPleasence in ''Film/YouOnlyLiveTwice'' to a normal-looking Telly Savalas in ''Film/OnHerMajestysSecretService''.
** Speaking of ''Film/YouOnlyLiveTwice'', Bond himself undergoes plastic surgery so that he can appear to be Japanese. [[PaperThinDisguise It isn't very convincing]].
** This was going to be used to explain how Bond had changed from Creator/SeanConnery to Creator/GeorgeLazenby; fortunately for the long-term survival of the Bond franchise, the producers dropped the idea.
** Also used in ''{{Film/Thunderball}}'' to make a SPECTRE agent a dead ringer for Domino's pilot brother.
* In Creator/EdWood's ''Film/JailBait'', a plastic surgeon's son is framed for the murder of a cop. The real killer then blackmails the surgeon into giving him a new face. The "unpredictable" twist ending is that [[spoiler:the surgeon gives the killer his ''son's'' face so he'll hang for murder.]]
* There was a 1970s drama where a gang of criminals hold everyone in a plastic surgeon's office hostage while the boss gets a new face before leaving the country. [[spoiler:Since he didn't care what the new face was, he let the surgeon pick it. The surgeon used a magazine article to give him the face of a wanted Nazi war criminal.]]
* This was the entire plot to ''Film/FaceOff'': Sean Archer (Creator/JohnTravolta) must undergo plastic surgery that gives him the face of Castor Troy (Creator/NicolasCage) in order to infiltrate the terrorist organization and prevent the shit hitting the fan. In reply, upon finding his face has been taken, Castor takes Archer's face and infiltrates Archer's family and job.
* In the ''Film/SpeedRacer'' movie, [[spoiler: Racer X underwent this so that even if he takes his mask off, Speed won't recognize him as his older brother. Considering all the [[WhereDoesHeGetAllThoseWonderfulToys Wonderful Toys]] in ''Speed Racer'', however, magic plastic surgery is fairly viable.]]
** At least [[spoiler: Racer X's plastic surgery only made him unrecognizable to his brother. It wasn't ''so'' magical that it made him look like another specific person.]]
* In the ''Film/{{Hitman}}'' movie, a double at least complains about how horrible the surgery was.
* In the 1973 TV movie ''The Girl Most Likely to...'', an ugly woman is remade beautiful after a car accident. She then uses her new beauty to take {{revenge}} on all the men who were cruel to her. She also bumps off at least one AlphaBitch by tricking her into doing a cartwheel out an open window.
** Subverted in part in that Stockard Channing played the title character before and after the surgery.
* Subverted in ''Film/OnceUponATimeInMexico'' when the bad guy [[spoiler:attempts to fake his death during a botched plastic surgery, using someone else's body and his jewelry]].
* The movie ''Film/{{War}}'' used this heavily, leading up to the major twist ending.
* ''Film/{{Kamen Rider THE NEXT}}'' has one of the main characters' little sister get horribly mutilated due to an accident with two {{Rich Bitch}}es, a staircase, and a fuse box. As the sister was a massively popular idol singer, her production house scrambles to hide the evidence of this problem by randomly grabbing a girl her age and changing her into the idol, voice and all. [[spoiler:Until the mutilated original, now a vengeful murderer, takes the new girl out, prompting the producers to just grab another.]]
* In ''Film/TheStepfather III'' the killer has plastic surgery performed by a backalley surgeon to disguise himself from the authorities; Terry O'Quinn (yes, John Locke) who played the killer in the first two movies refused to participate in this one so they replaced him. Also, he undergoes the surgery ''without anesthesia''.
* In ''Film/GetSmart'' Agent 99 recently underwent some rather extreme plastic surgery that turned her from a pretty blonde into an equally beautiful Creator/AnneHathaway.
** Done for [[RuleOfFunny laughs]]. Agent 99 shows Max a picture of her pre-surgery self during the flight to Russia. Some say that the photograph was of original 99, played by Barbara Feldon.
* The 1990 ''[[Film/CaptainAmerica1990 Captain America]]'' movie has the Red Skull receive the mother and father of all skin grafts over his namesake visage.
** Or he could just be using a lot of greasepaint or a latex mask to look a bit less monstrous.
* Averted in the movie ''Film/DarkPassage''. Creator/HumphreyBogart plays a man wrongly convicted of murdering his wife. He escapes prison and has [[BackAlleyDoctor back-alley plastic surgery]] so the authorities won't recognize him while he tries to [[ClearMyName prove his innocence]]. We don't actually see his face until after the bandages come off because the whole "before" portion of the movie is [[POVCam shot from Bogart's point of view]].
** The reason for this is that Bogart plays the same character both before and after the surgery, but he did not in fact undergo plastic surgery in real life; the character cannot be shown in his "before" appearance because the "after" appearance is that of a man who [[MarqueeAlterEgo looks just like Bogart]]! Arguably a case of extended ActorAllusion.
*** In point of fact, we ''do'' get to see the "before" version of the character via a newspaper photograph. In another trope aversion, he actually does look a little like Bogey, only heavier-set and with a moustache.
* In ''Film/ProblemChild 2'', Junior tried to avert a wedding by having the woman get plastic surgery to get the world's biggest nose. The woman woke up and discovered her new nose. Then, just a few hours later, she reappeared with her original nose and she said that she had some emergency plastic surgery. So, she had two surgeries on the same body part in the same day with no scars.
* Not surgical, but ''Film/{{Innerspace}}'' has Tuck ([[ItMakesSenseInContext in a microscopic experimental craft in another guys bloodstream and needing to outsmart an international arms dealer so he can return to normal size]]) disguise his host as said arms dealer by applying electrical charges to his facial nerves. Apparently all you need to change Martin Short into Robert Picardo is tweak a few nerve endings. Justified by {{Rule of Funny}}.
* The entire plot twist of the Creator/TomBerenger movie ''Film/{{Shattered}}''
* Both played straight and subverted in ''Film/FoxyBrown.'' The character receiving the plastic surgery has already had it when the movie begins, so the audience is not shown what he looked like before, but both his colleagues and his girlfriend tell him he looks like a totally different person. Later, however, another character recognizes him despite the surgery and rats him out to the bad guys he is trying to escape.
* The 70's porno film ''The Resurrection Of Eve'' has a woman who is mangled in a car accident receive plastic surgery, only to transform into Marilyn Chambers.
* Played for laughs in ''Film/TropicThunder'': Robert Downey Jr.'s character undergoes magic plastic surgery as part of his EnforcedMethodActing plan. Double magic: the surgery lasts exactly as long as it has to, surviving weeks in the jungle but yet is easily removed (as easily as a LatexPerfection mask, but with the backstory stating it was done surgically) during his HeroicBSOD.
* In ''Film/GIJoeTheRiseOfCobra'', nanomites are used to change Zartan's face into that of [[spoiler:the president of the United States]]. It goes into detail about modifying eye color, hair color, and his bone structure is being rearranged. Presumably he just happened to be around the same height, or Mindbender simply hadn't gotten to that point by the cutaway.
* While Robert Downey Jr. as Sherlock Holmes relies on makeup and disguises to fool people into at least not recognizing him, the evil plan in ''Film/SherlockHolmesAGameOfShadows'' [[spoiler:hinges on one of Moriarty's underlings being made to look like an ambassador at a peace conference. It's a little more believable than the trope usually is because the man would only have to fool a guard's cursory inspection based on a black-and-white sketch or photograph. Moreover, the heroes also point out what flaws they expect to find with the disguise, and the resulting cosmetic tricks necessary to hide them (namely, a lot of facial hair). Ultimately, however, the disguise is just good enough that they have to create a distraction, noting that he's the only one too in control of himself to react at all.]]
* Averted in ''Film/{{Gattaca}}''. In order to match Jerome's height, Vincent is seen undergoing a long, painful leg-lengthening procedure with his lower legs bolted into a metal frame. (This type of surgery is called [[http://en.wikipedia.org/wiki/Distraction_osteogenesis distraction osteogenesis]], and it involves cutting the bone in half, driving screws into each half, and then slowly pulling them apart 1 mm per day.) Facial reconstructive surgery is also completely avoided. Vincent makes an effort to emulate Jerome's hairstyle and wears corrective lenses that change his eye color, but their lack of physical resemblance is noted to be a virtual non-issue. People simply [[FailedASpotCheck don't look at the picture]]; they only care that the DNA passes.
* A feature of the Medbays on ''Film/{{Elysium}}''.
** The opening sequence features a young woman using the bays to completely change her appearance. Possibly to highlight the difference between the people on Earth who could use them to survive, and the people on Elysium who are using them primarily for cosmetic purposes.
** [[spoiler: When Kruger gets his face reconstructed, the process ends up removing the distinct facial implants, and ends up de-aging Kruger significantly. He's no longer weathered and wrinkled, and it ends up removing a lot of the gray hairs out of his his beard and mustache.]]
* Jack Napier ''wanted'' this in Creator/TimBurton's ''Film/{{Batman}}'' after getting a deflected bullet to the face (that split to hit both cheeks) and getting dunked in a vat of unspecific chemicals and/or acid. The concept is [[AvertedTrope averted]], however, in that the best the back-alley surgeon can do is keep him from looking as [[BodyHorror horribly disfigured]] as he should be, and "just" end up as [[ComicBook/TheJoker the Joker]].
* In ''Film/ArsenicAndOldLace'', Johnathan Brewster gets away with his murderous rampages by keeping a plastic surgeon as a sidekick, who changes his face whenever the heat is on. Unfortunately said doctor is also an alcoholic, and after watching a horror movie performed the surgery while drunk, giving Johnathan the face of Creator/BorisKarloff. In a sad case of WhatCouldHaveBeen, Karloff himself played the role on stage, but was unable to get out of his commitments to do the film version, and Johnathan is played by Raymond Massey in Karloff makeup.
* ''Film/OurManFlint''. The Galaxy organization is able to use plastic surgery to turn several of its agents into perfect duplicates of ZOWIE guards. The work is so effective that it fools even their boss Lloyd Kramden - but not Derek Flint.
* In ''Film/{{Predestination}}'', [[spoiler: John gets plastic surgery where his face is being completely replaced after getting severely burned, and the character goes from being played by Sarah Snook to being played by Creator/EthanHawke]]. There are no scars or oddities visible after the surgery wounds have healed.

* This is the prize the [[PuppeteerParasite Yeerks]] gave to recurring villain Taylor from ''Literature/{{Animorphs}}'' in order to convince her to become TheQuisling.
* In an early ''Literature/TheExecutioner'' novel, Mack Bolan gets plastic surgery that makes him look ''Italian''. More specifically, like an Italian-American buddy of his in UsefulNotes/TheVietnamWar, making it even more unlikely (underlying bone structure?)
* Creator/GoreVidal's book ''Film/MyraBreckinridge'' involved a gay man (Myron Breckinridge) [[{{Transsexual}} getting a sex change]] to become the title character. For the [[Film/MyraBreckinridge movie version]], they hired Raquel Welch to play the female Myra... and ''Rex Reed'' to play Myron.
* In ''Literature/HonorHarrington'' there exists a type of plastic surgery called biosculpting, using nanotech to... do what modern-day plastic surgery does, with a shorter recovery period and less concern about scarring. Biosculpting is repeatedly mentioned in the series as something the rich indulge in, and something of a mark of vanity; the phrase "could have easily afforded it but didn't, saying interesting things about X's character" seems to appear in some variation frequently enough that you get the feeling David Weber [[AuthorTract has Views about it.]].
* In Creator/PoulAnderson's ''Literature/DominicFlandry'' series, this is also referred to as biosculpting. Flandry notes a couple of times that he got an excessively handsome biosculpt job when he was younger and is thinking about having it toned down a bit.
* There's a minor character in ''[[Literature/TheWitcher Witcher Saga]]'' who offers us an interesting take on this trope: she was disfigured really badly, so after deciding there's nothing they can do with it, the healers just hid it under an exceptionally strong illusion.
* During the ''Literature/{{Hand of Thrawn}}'' duology, while Lando Calrissian and Han Solo are freaking out about the possible [[BackFromTheDead return]] of [[IKnowYouKnowIKnow Grand]] [[ManipulativeBastard Admiral]] [[MagnificentBastard Thrawn]], the possibility of the Grand Admiral being [[DeadPersonImpersonation an impostor]] comes up, but Lando is quick to point out that facial surgery would leave marks that he would have seen when he met the man. Plus, no way could anyone have faked that aura of omniscience. [[spoiler: It ''is'' an impostor, a ConMan subverting WeWillNotUseStageMakeupInTheFuture.]]
** In the [[Literature/XWingSeries X-Wing novel]] ''Mercy Kill'', a version of this is mentioned that, together with fake records and a little judicious HollywoodHacking, makes an ''absolutely unbreakable'' false identity -- even such things as fingerprints, retinal scans, and ''DNA testing'' will support the fictional ID and, more importantly, "prove" that the user isn't their old self. However, it takes a prolonged period to carry out, during which the user generally wears temporary prosthetics to give the appearance of their original self.
* In Creator/WilliamGoldman's ''Brothers'', the lesser-known sequel to ''Literature/MarathonMan'', it turns out [[spoiler:Scylla]]'s not dead after all: he just got really great plastic surgery and now comes back to warn Babe about ANDROID TWIN BOMBS THREATENING THE ENTIRE WORLD. He's also straight now.
* In the ''[[Literature/PrinceRoger March Upcountry]]'' series, the hero has to (eventually) hide from his mother's enemies, so he gets plastic surgery turning him from a tall, thin, blond bishie into a short, stocky Asian. He even gets plastic surgery on his ''DNA''.
* Averted in ''The City Of Silent Revolvers''. The protagonist and his counterpart are similar enough that a simple nose job is enough to make one look exactly like the other.
* In the ''Literature/VorkosiganSaga'', Elli Quinn has plastic surgery to give her a new face after hers is burned off by a plasma arc leaving a "face like a boiled onion." The end result of the work causes some problems for her, as the new face is pretty enough to make many dismiss her as a useless "pretty face" instead of an experienced mercenary soldier.
* In the ''Literature/TimeScout'' series.
** Skeeter goes under the knife to look like another person. Attempted justification: IdenticalStranger. Skeeter already very strongly resembles him.
** Played straight earlier. Dr. Booker is her own model and has dozens of pictures of herself looking wildly different.
* Watercrafters from ''Literature/CodexAlera'' gain this as one of the fringe benefits of their powers.
* Similar to ''Dominic Flandry'', in Dan Simmons' ''Literature/HyperionCantos'' 'biosculpting' seems to have replaced tattoos and piercings in the future. [[SophisticatedAsHell Martin Silenus]] has an artist transform him into a [[FaunsAndSatyrs satyr]] during his stay in the City of Artists (and increase his [[ThePornomancer sexual prowess]] while he was at it). Brawne and Johnny also encounter some punks who seem 'more insect than human', wings and all, although it's unclear whether these wings are functional or purely decorative.
* In both Creator/DanielKeysMoran's ''Literature/TheLongRun'' and ''Literature/TheBigBoost'', Trent undergoes biosculpt to infiltrate a base which has something he is going to steal. The story explicitly notes the requirement to change his height and voice along with all of the other stuff. But Trent is almost caught when a computer notices that his [[Main/RapidFireTyping typing]] is different:
-->“Indeed, the improvement is quite remarkable. You have improved from 55 words per minute to 140 at peak typing speed. You now strike the space bar with your right thumb rather than your left. Your typing patterns have also altered radically; your favored keyboard layout has altered from the traditional Dvorak to an enhanced 240-key Unicode board. You have acquired the distinctive habit of tapping the EOL key while you are thinking. When you configured this workstation you immediately turned off the end-of-line warning beep, indicating an adjustment to this habit. You make data entry errors that you did not make during your last tour of duty, and have ceased making the great majority of those errors which you were then prone to.”
* In ''Creator/JohnRingo'''s ''Literature/LegacyOfTheAldenata'' (starting in Cally's War and going through Honor of the Clan), Cally undergoes full body modification to infiltrate a base, necessitating the kidnapping of the person she is replacing. Plot ensues, and she is stuck in the new body (blonde with [[Main/MostCommonSuperpower an excellent figure]]) for a long time. Eventually she goes back in to get her old body back, and is told to report to the officer who is handling the scheduling of the body modification system. Guess who the officer is...

[[folder:Live-Action TV]]
* In the live-action ''Series/TheAdventuresOfSuperboy'' series, Superboy's nemesis Lex Luthor was played by Scott James Wells in the first season. In the 2nd season premiere "With This Ring I Thee Kill", Wells was replaced with Sherman Howard. The difference in appearance was explained by having Lex Luthor have plastic surgery to assume the appearance of Warren Eckworth, CEO of a company that created the "Superboy Gun", a weapon Luthor believes can kill Superboy. Luthor is even said to have used acid to burn off his fingerprints and alter his vocal cords.
** The second season of ''Series/LoisAndClark'' opened with a blonde bombshell being prepped for cosmetic surgery to make herself look like ComicBook/LoisLane. The imposter races around town, blackening Lois' name and giving disparaging public statements against Superman, until the pair finally get into a {{cat fight}} in an alleyway.
** Morgan Edge in his ''Series/{{Smallville}}'' incarnation was originally played by Creator/RutgerHauer, but when they wanted to bring the character back Hauer wasn't available so they said that Edge had gone into hiding and undergone plastic surgery. He was played by Rutger's pal Patrick Bergin. In the commentary, the producers complained about having to go "back to the plastic surgery well" because of the original actor's unavailability.
** At least Edge is rich enough to afford the very best. Not that it stopped ComicBook/LexLuthor from figuring out who he was. "You can change your face, your hair, your voice... but not your DNA. You still sweat the same."
** In another episode, "Façade", plastic surgery is used to turn an ugly girl hot -- but this being ''Smallville'', [[GreenRocks Kryptonite]] is used in the procedure, giving her the ability to give people life-threatening illusions.
* Subverted in an episode of ''Series/TheAdventuresOfSuperman'', where it appears that a mobster has had surgery to alter his face and fingerprints, but which Superman keeps seeing through because of his old mannerisms. Turns out, the mobster was still in hiding and trying to discredit Superman by spreading the plastic surgery story and getting someone else to mimic his mannerisms.
* Herr Flick from ''Series/AlloAllo!'' went through such a procedure in the final season of the series (so he could escape occupied France after the war), when Richard Gibson was replaced with David Janson.
* Jo (Red Striker Borg) from ''Series/BigBadBeetleborgs'' also had her appearance ([[TheNthDoctor and actor]]) changed by magic. ''Accidentally'', when a spell backfired. A second spell makes the world see her old face, but it doesn't work on her teammates or the audience.
* ''Series/BirdsOfPrey'' sees this happened to crime boss Al Hawke, who was badly burned at the nd of his debut episode, "Sons of the Mother". This trope is invoked in his return episode, "Nature of the Beast", where it's explained he got plastic surgery, going from Creator/StephenMcHattie to Mitch Pileggi.
* The premise of ''Series/BulletInTheFace'', itself a parody of John Woo's ''Face/Off''. Gunter Volger loses his face in a shootout and reawakens with a full transplant taken from a cop he'd murdered. Not only does the new face fit him perfectly, he's even swapped hair with the donor as well. (Another dig at ''Face/Off''.) The show takes pains to remind viewers that facial transplants require a strict drug regimen, which Gunter flagrantly ignores in each episode.
* ''Series/DoctorWho'': In [[Recap/DoctorWhoS28E1NewEarth "New Earth"]], the villainous Lady Cassandra, a plastic surgery addict, believes the Doctor to have gone through this since the [[Recap/DoctorWhoS27E2TheEndOfTheWorld first time]] she met him. She never does get to find out the ''real'' reason [[TheNthDoctor he looks different]].
* In ''Series/DreamOn'', the hero, Martin Tupper's BlackBestFriend, Eddie Charles, is [[TheOtherDarrin replaced by a different actor]] partway through the first series. This is explained away by having him get surgery to change his eyelids. So he gets a whole new face and several extra inches of height! Devillishly clever, these eyelid surgeons!
* A failed pilot called ''Series/{{Fugly}}'' begins with a radical plastic surgery that turns one of a pair of identical twins that looks like [[HollywoodHomely 5-foot-nothing, 150 pound]] Creator/MarissaJaretWinokur with ugly prosthetics into 5'7'' bombshell Nikki Cox. Yeah.
* Done comically in ''Series/GetSmart'' when Max gets plastic surgery, and gets played first by Martin Landau, then Phyllis Diller -- the third try has him looking like Don Adams with facial prosthetics.
** The episode "Die, Spy" has a great parody of this trope. The premise of the episode is a parody of ''ISpy'', with Max and a hip black partner and operating undercover as ping-pong pros. The enemy agent they're trying to draw out has reportedly had plastic surgery to conceal his identity, and no one knows what he looks like now. It turns out [[spoiler:Max's partner is the enemy agent, who didn't used to be black.]]
* In ''Franchise/TheGreenHornet'' Series, a criminal uses this to take the place of a reclusive millionaire to avoid capture. Unlike most versions, the look of the person is similar enough to be believed. Also the Green Hornet points out that there ''are'' hairline scars that if a person was observant enough would notice.
* In ''Series/TheHardyBoysNancyDrewMysteries'' episode "Creatures Who Came On Sunday" (aired in 1978, mind), the whole plot revolves around a secret installation of the [[WitnessProtection Federal Witness Protection Program]], where protected folks get plastic surgery to totally change their looks. All the folks in said camp are swathed in bandages while playing baseball with no apparent pain or lack of agility.
* Used in the second season finale of ''Series/{{Highlander}}'' to turn an escaped con woman into a Tessa lookalike to try and bring Duncan down.
* In the pilot episode of ''Series/KnightRider'', Michael Long is played by an actor who looks nothing at all like Creator/DavidHasselhoff. Then, left for dead, Michael is rescued by the Foundation for Law and Government, given a new identity as Michael Knight, and magically transformed into the Hoff.
** In one episode Knight infiltrates a facility where criminals are given plastic surgery by posing as a client. The surgeon does notice that Knight has had surgery done on his face before with just a preliminary examination.
** Originally it appears Michael's surgery is simply to make him unrecognizable as Michael Long. It's later revealed that he was made a dead ringer for Wilton Knight's AntagonisticOffspring, Garth.
* ''Lives and Loves of a She-Devil'': The title character spends most of the show as a fugly six foot minger, then has magic surgery to turn her into the exact double of the (now dead) much shorter and very beautiful woman her husband had an affair with, with the result that her husband goes mad.
* In ''Series/TheNewAdventuresOfBeansBaxter'' episode "There's No Place Like Omsk", Beans hides a Russian defector, who via one plastic surgery session, looks exactly like Miss Universe Shawn Weatherly.
* ''Series/TheNewAvengers'': Used by the bad guys in "Faces" to create doubles used in their KillAndReplace scheme.
* Used for comedic effect in ''Series/JustShootMe'', ''Series/{{Friends}}'' and other {{sitcom}}s. Long-lost male friend of cast member returns after plastic surgery, now looks like hot girl (played by an actress). Inverted in ''Series/TwoAndAHalfMen'' where Charlie's ex-girlfriend comes back after F>M sexual assignment surgery and is played by Chris O'Donnell ... who then gets involved with Charlie's mother!
* As stated in the page description, [[SoapOpera Soap Operas]] have often done this when they've recast a character in order to explain the complete change in appearance, particularly for a "bad" character who would need to conceal his identity.
** Janet Green on ''Series/AllMyChildren'', a convicted murderer and known psychopath, is given her release from prison in exchange for undergoing experimental plastic surgery. Her portrayer, Kate Collins, left and was replaced by Robin Mattson. However, when Janet returned in 2005, she was Kate Collins again, with no explanation.
** ''Series/AnotherWorld'' had a set of identical twins, Vickie & Marley, who went through a couple of recasts over the years. Near the end of the show's run, the role of Marley was recast with the actress who originally played the roles, while Vicky was still played by the actress who'd been doing it over the last few years. The explanation for the change in looks was that Marley had had plastic surgery after being burned in a fire. True to this trope, the surgery not only completely restored Marley's appearance with nary a scar, it also made her taller and gave her longer hair. (as the new actress playing Marley had these characteristics as compared to the actress playing Vicky.
** Another "burned" example, that ''wasn't'' used to explain a recast: On ''Series/TheBoldAndTheBeautiful'', Taylor was burned in a house fire, yet doesn't have a trace of scarring. This is actually a very realistic subversion, as (a) the burns she received were not particularly bad and therefore might not have caused extensive scarring anyway, and (b) Taylor was certainly wealthy enough to afford a top-notch surgeon who could pull off this trope.
** Yet another "burned" example, this time from ''Series/OneLifeToLive'' when James [=DePaiva=] wanted to leave the show. His character, Max Holden, was severely burned in a car accident, paving the way for a recast. Unfortunately, the recast went over like a lead balloon, so TPTB brought back [=DePaiva=] with absolutely no explanation for the discrepancy. The show even lampshaded this with his first line upon reappearing:
--> "I feel like my old self again!"
** From the same show, Todd Manning was played by Roger Howarth until 2003. When his character was severely beaten and left for dead, he returned to town several months under a new identity, now played by Trevor St. John.
** On ''Series/TheYoungAndTheRestless'', Sheila gets plastic surgery to look like Phyllis, explaining her actor change to the same as Phyllis.
*** And the evil Matt Carter gets plastic surgery so that he can return to Genoa City (where he was still wanted for rape charges) and ingratiate himself into the lives of his unknowing victim and her husband and start wreaking havoc.
** Steven Carrington of ''Series/{{Dynasty}}'' is another example of this. He was originally played by Al Corley. He was in an accident and had plastic surgery and was then played by Jack Coleman (Noah Bennett on ''Series/{{Heroes}}'') until the series ended. For the reunion movie, he was again played by Corley, with no explanation.
* ''Franchise/StarTrek'' has perfected the art of magic plastic surgery. It doesn't matter what species it is. If it has two legs, two arms, and one head, doctors can make any species look like any other, though this is usually done by adding [[RubberForeheadAliens pointed ears, weird forehead bumps, etc., to the same actors]]. Sometimes it can be implausibly perfect even allowing for futuristic technology. For instance, in one episode, Worf went undercover in a pre-contact civilization, requiring extensive surgery which removed his huge Klingon brow ridges. At one point, he returned to the ship and had his normal features restored perfectly, and then a few scenes later he had the extensive reconstruction surgery done ''again'' to go back down among the natives.
-->'''[[http://www.docohobigfinish.blogspot.co.uk/2012/10/voyager-season-seven.html Doc Oho]]''' ''Chakotay’s face has been reconstructed more times than I care to remember! I’m surprised they manage to get it back to its usual shape every time!''
** Villains on every ''Trek'' series are known to change their outer appearance, [[{{Series/V 1983}} Visitor]]-style, to blend in among us. The skin job is extremely thorough: both Chakotay and Winn went to bed [[BoldlyComing with a lizard spy]] and weren't able to tell the difference!
** Overlaps with EasySexChange in the ''Series/StarTrekDeepSpaceNine'' episode "Profit and Lace", in which Quark can undergo complete sex reassignment surgery to appear female ''within a few hours'', then be changed ''back'' into a man the very next day.
** ''Series/StarTrekEnterprise'' plays with this. Naturally being less-advanced, they haven't perfected magic surgery yet, instead using stick-on prosthetic ridges and such. It backfires when one of them gets rifle-butted and the stuff peels off.
** It also won't fool a medical scan or other detailed examination. [[Series/StarTrekTheOriginalSeries Arne Darvin]] was exposed as Klingon agent because, while he looked human, his body temperature, heartbeat and other vital signs were all wrong. The tribbles helped, too.
** In the ''Series/StarTrekVoyager'' episode "Ashes To Ashes", former human and former ''Voyager'' crew member Lyndsay Ballard was given treatments by the Doctor to alter her Kobali appearance so that she looks human, but unfortunately the treatments don't last, as her Kobali appearance reasserts itself.
** Come the ''Kelvin'' timeline, it becomes something of a plot point in ''Film/StarTrekIntoDarkness''. Khan Noonien Singh is woken up by Admiral Marcus to use in the coming Klingon war, but to keep his identity a secret, he is given extensive surgery to turn him from Creator/RicardoMontalban into Creator/BenedictCumberbatch.
* In a ''Series/TalesFromTheCrypt'' episode that posthumously (via edited film clips and a voice impersonator) starred Humphrey Bogart, the protagonist is a fugitive whose plastic surgeon accomplice made him ''look'' like Bogart. It's nearly all shot from his POV.
* Shin Hyun-Woo of the KoreanDrama'' Series/TemptationOfAnAngel'' gets extensive plastic surgery on his face and even alters his voice for the chance to plot revenge against his wife. However, it does come with drawbacks: the operation is life threatening, he spends nights in pain before the bandages come off, and he's forced to take medication even after.
* Alexis Meade of ''Series/UglyBetty'' is a male-to-female transsexual. Played by Rebecca Romijn. And an unnamed manly-looking actor in {{Flashback}}s.
* Averted in ''Series/TheXFiles'', where an evil plastic surgeon uses human sacrifice to transform his looks beyond the limits of science.
* In the Brazilian SoapOpera ''Brega e chique'' and its Chilean remake ''Rompecorazón'', a bigamist rich man goes FakingTheDead, goes through one of these and returns under a fake identity, to keep an eye on his two families ''and'' on a girlfriend he had on the side. Logically, in each setting two actors play the same character before and after surgery.

* Played straight in the backstory for ''[[Pinball/WHODunnit WHO dunnit]]''. [[spoiler:After surviving his auto accident, Tex gets plastic surgery and adopts a new identity as Bruno. None of the people who knew him previously -- his daughter, his ex-wife, or his former business partner -- catch on.]]

[[folder:Puppet Shows]]
* Howdy Doody went through one of these early in his run, after the first puppet's builder left over a dispute about merchandising and took the puppet with him. The familiar chubby-cheeked, freckle-faced Howdy Doody is the post-surgery version.

[[folder:Tabletop Games]]
* In ''TabletopGame/VampireTheMasquerade'', this is but one of the [[VoluntaryShapeshifting many]], ''[[BodyHorror many]]'' miraculous wonders the [[TortureTechnician Tzimisce]] are capable of through their unique power of [[UnusualEuphemism Vicissitude]]. Laughably, ''raising'' your Appearance score using the power is Difficulty 10 (in OWOD, Difficulty is what you have to roll to succeed; the game uses a ten-sided die, so...), and if you suffer CriticalFailure you get ''uglier''.
** There are some things that even Vicissitude can't do -- trying to change [[RedRightHand a Nosferatu's]] appearance is impossible.
*** Changes that make them prettier, anyway. Changes that make them uglier, or cosmetically status quo (don't move their appearance trait at all) stick, while improvements 'heal' painfully in minutes. Makes sense considering Clan weaknesses are a malevolent curse rather than a genetic quirk to be fixed.
* In the ''TabletopGame/{{Cyberpunk}} 2020'' game, improving your Attractiveness stat was as easy as throwing money at a plastic surgeon. In a setting where anyone can be biosculpted with animal features and have whole limbs and organs replaced, this is probably justified.
** Wanna get ugly? A straight razor is fifty-nine cents.

* DarioFo's ''Trumpets and Raspberries'' centres around this. Gianni Agnelli, the head of the Fiat car company, is kidnapped by terrorists, then involved in a car crash which smashes his face. One of his own factory workers finds him, puts his coat around him, then flees the scene when the police mistake him for one of the terrorists and start shooting at him. Agnelli is recovered and his face is reconstructed to look like the picture in the documents found in the worker's jacket. Both main characters are [[ActingForTwo played by the same actor]], with frequent quick changes where the actor has seconds to exit one wing, change costumes, and emerge from the fridge. HilarityEnsues.
* In ''Theatre/ArsenicAndOldLace'', it is mentioned that Jonathan Brewster had plastic surgery from his crazy doctor companion several times, and after the last time wound up with the exact likeness of Creator/BorisKarloff since his surgeon/accomplice had a drinking problem. This is because in the original stage production, the actor ''[[CelebrityParadox was]]'' Creator/BorisKarloff.

[[folder:Video Games]]
* A very interesting example of this trope can be found in [[Characters/DragonRage Cael Cyndar]] from ''[[VideoGame/DragonRage Dragon Rage]]'' since he looks distinctly different in the games box art, game play and cutscenes.
* In ''VideoGame/SaintsRow2'' , you can instantly revamp your character as many times as you like at $500 per visit at Image As Designed.
** It becomes a plot point in ''VideoGame/SaintsRowTheThird'', where you use the same plastic surgery service to [[spoiler:become completely identical to the military commander in charge of the STAG ship you need to sneak aboard, voice and all.]] Yes, even if you're female.
* In the second ''PhoenixWrightAceAttorney'' game, one character [[spoiler:has a traffic accident so devastating that her face is rendered completely unrecognizable, and uses plastic surgery to turn herself into a clone of her own sister. The likeness is perfect, and everybody -- friends, family, doctors, teachers -- believes her to ''be'' her sister, never noticing a change in voice, mannerisms, height, build, eye color, hair, or anything else. Strangely, the case relies on her face looking as it did before the accident.]]
** It ''is'' ridiculous, but [[spoiler:both sisters were in the car accident, and one died. The sisters looked like each other anyway, and as you force the woman further towards admitting the truth, she makes facial expressions where you can see what she looks like better, and she very much resembles her previous self. It looks like facially, the sisters didn't look that '''much''' different anyway, so perhaps the damage wasn't as horrific as it seems.]] But really, nobody looks like ''that'' after any such injury.
** While plastic surgery is never specifically mentioned, [[spoiler: it seems to be the only way that Calisto Yew could have become Shih-na. Even if she changed her hair and personality, you would think her co-thief or the man she'd shot at, or the Interpol agent set on finding the ring Yew was known to have joined would notice she looked rather familiar.]]
* You can buy tokens in ''VideoGame/GuildWars'' online store (with real money, naturally...) that allow you to change a character's apearance (a more expensive version lets you change gender too), making it a ''literal'' example.
* ''VideoGame/{{City of Heroes}}'': Thanks to the Super Science Super Booster, heroes and villains can now easily change the size and shape of their bodies, even switch genders. In a world where there is a black market for magical artifacts and [[AlternateUniverseReedRichardsIsAwesome super science is used daily]], this is pretty well {{Justified|Trope}}.
* In VideoGame/{{Fallout 3}} you can change your face as easily as getting a haircut. (Provided you find the right person) A certain [[RidiculouslyHumanRobot advanced android]] also had this done to hide from his creators.
** Also possible in ''VideoGame/FalloutNewVegas''' DLC ''Old World Blues'' with the AutoDoc, provided you find the programming to do so.
** Again possible in ''VideoGame/{{Fallout 4}}'' at the clinic at Diamond City.
*** Subverted in the same game. One minor side quest has you investigating a missing person, and the clues end up leading you to the clinic's basement. Once inside, [[spoiler:you find out the missing person wanted to get a MagicPlasticSurgery, but the doctor botched the operation. To preserve his reputation, he murdered his patient, and you enter just after he finished dismembering the body. If you try to forcibly arrest him, you end up having to kill him, and trying to convince him to give up results in him having a MyGodWhatHaveIDone moment and killing himself by overdosing on [[FantasticDrug Psycho]]]].
* Similarly to Fallout 3 above, ''VideoGame/TheElderScrollsVSkyrim'', as of the ''Dawnguard'' expansion, has an NPC named Galathil hiding in the Ragged Flagon in Riften. For 1000 gold, she will give you a literal MagicPlasticSurgery!
* This is the in-universe excuse for Shepard's appearance if you change it between ''Videogame/MassEffect1'' and ''Videogame/MassEffect2''; s/he ''died'' in the interim and had to be completely rebuilt. While the same reasoning can't carry over from ''2'' to ''Videogame/MassEffect3'' you can still completely change the appearance of the Shepard you import before starting the game. No mention is made of any changes you make.
* In ''VideoGame/BarkleyShutUpAndJamGaiden'', Dr. Allard rules over the furries of Cesspool X due to his skills as a surgeon allowing him to transform them into the creatures of their desire.
* ''VideoGame/BioShock1'' takes place in a world where a breakthrough in genetic engineering makes this possible somehow. Even within this explanation, it's suspiciously easy -- it involves ADAM injections, yet doesn't seem to cause deformities and insanity in either of the named characters who undergo it. Patients are in more danger of becoming one of Dr. Steinman's... [[MadArtist artistic]] [[MadScientist experiments]].
* VideoGame/TheSims2 has the career reward for the Show Business career which can be used to instantly remodel your Sims' facial features. It does have a chance of humourously failing, but said failures can also be fixed instantly by having another go at it.
* In ''VideoGame/MetalGearSolidVThePhantomPain'' this is offered at the start of the game, apparently allowing the player to choose any face they want for their version of Big Boss via CharacterCustomization. Subverted as this turns out to be a TrollingCreator moment and the character doesn't doesn't end up getting the surgery at all. After the final mission the player finds out that [[spoiler:this was actually a DoubleSubversion - the player character is not the real Big Boss but one of his closest lieutenants. The lieutenant received a SurgicalImpersonation makeover before the game started, along with hypnotherapy to make him believe that he was the real deal. This drew attention away from the genuine article, allowing him to escape and work on his own plans]].

[[folder:Web Original]]
* In ''Literature/{{Worm}}'' Bonesaw is able to accomplish this thanks to her bio-Tinker specialty. The quality of the surgery varies depending on available time; the [[SurgicalImpersonation decoys]] she created out of civilians could be mistaken at a glance but were obviously fakes on a close look.
** Bonesaw eventually performed a series of operations on herself to make herself appear two years younger.

[[folder:Western Animation]]
* Parodied in an episode of ''WesternAnimation/{{Cow and Chicken}}'', where Chicken becomes a plastic surgeon and enters the interschool competition where he ultimately [[spoiler:turns himself into a ''Photo-Realistic Beaver'' (depicted with real footage over the cartoon) as the final trial]].
* In the Creator/TexAvery cartoon ''WesternAnimation/NorthwestHoundedPolice'', an escaped convict chased by Droopy goes to a plastic surgeon to get a new face. After a few seconds of surgery (which involved hammering and sawing) the convict had a new face -- Droopy's. He asks the doctor to change it back and he does. He thanks the doctor -- only to find that Droopy was the doctor all along!
* In an episode of ''WesternAnimation/FamilyGuy'', Peter went out and got liposuction. Then, he went out one day and came back later with a new chin, abs, and several other things.
* {{Egregious}}ly [[ExaggeratedTrope exaggerated]] on ''WesternAnimation/TheSimpsons'', when Sideshow Bob uses plastic surgery in a way that lets him ''switch faces with another man'' in such a seamless manner that everyone mistakes Sideshow Bob for the man whose face he stole and vice versa -- and without causing any permanent damage to either of them. He does this even though he's a self-taught non-professional.
** Another episode revolved around Moe getting his entire face re-sculpted to make him a very handsome man. His [[StatusQuoIsGod face returns to its previous "ugly ugly"]] state when a large backdrop falls on it. Moe himself starts to [[FridgeLogic point out that his face really should have turned into a new, different face from the previous two]] before the episode ends and cuts him off.
** In "Husbands and Knives", when Marge becomes a famous gym mogul, Homer decides to get plastic surgery so Marge won't leave him for a trophy husband. This causes him to have stylish black hair, buff abs and his tear ducts relocated to his nipples. However, it turned out to be AllJustADream.
** Played for Laughs in 'Homie the Clown' in which Krusty is on the run from Fat Tony and gets plastic surgery to change his face but when he looks in the mirror, nothing has changed and he looks the same, except 10 years younger and with breasts. The surgeon got the operation mixed up with another patient.
* In the ''WesternAnimation/SouthPark'' episode "[[Recap/SouthParkS9E1MrGarrisonsFancyNewVagina Mr. Garrison's Fancy New Vagina]]" in addition to Mr. Garrison's EasySexChange, Kyle gets plastic surgery from Garrison's surgeon (Dr. Biber) to make himself taller and blacker so he can make the all-star basketball team. Kyle's father Gerald also gets surgery from Dr. Biber to make him like a dolphin. While the amount of time between their surgeries and first outings in their new configurations isn't specified, none of them could have taken very long. The episode ends with Biber promising to reverse their surgeries for a nominal fee, and they're completely back to normal by the next episode.
** This was actually a {{subver|tedTrope}}sion as the transformations were quite [[GoneHorriblyWrong forcefully demonstrated]] to be far from perfect; but the surgeries to get them back to normal certainly achieve well-nigh magical levels of NoOntologicalInertia for their previous surgeries.
** An earlier episode had Mr. Garrison going through plastic surgery and ending up looking just like David Hasselhoff.
* Subverted in ''WesternAnimation/TheLegendOfKorra''. [[spoiler: Yakone]] has plastic surgery in order to escape from prison and lead a more-or-less normal life, but he still looks somewhat similar to how he was pre-surgery. Still, it works - he's able to live out the rest of his life in peace. It helps that he goes far away from the place where he gained his infamy.
* ''WesternAnimation/ScoobyDooMysteryIncorporated'': In "The Man in the Mirror", [[spoiler:Brad and Judy]] have plastic surgery to turn themselves into doubles of [[spoiler:Fred and an older version of Daphne]].
* In the ''WesternAnimation/PepperAnn'' episode "Old Best Friend", after P.A. fainst from seeing her old friend Brenda everywhere, she wakes up in a surgery room to find that her face has been turned into Brenda's. It was AllJustADream however.
* The humorous series ''WesternAnimation/AvezVousDejaVu'' has several episodes based on this, all rigorously PlayedForLaughs. These include a chicken who becomes an elephant, a bull who becomes a snail, two twins who want to become [[ConjoinedTwins conjoined]], and an egg who wants to become a chicken [[spoiler:({{Subverted}}: the doctor proposing the surgery outs himself as a quack, because [[CaptainObvious eggs don't need surgery to become chickens]])]].