Manohla Dargis's lament over the wages of plastic surgery for our female
movie icons, as well as American culture at large, seemed to me to be
a rather one-dimensional take on the subject [''One Word: Plastics,''
Jan. 23]. If an art reviewer was writing about portrait painters, you
would expect that she might suggest that some painters are more talented
(and their paintings better) than others. The same is true of plastic
surgeons. Using principles and techniques that focus on volume restoration
rather than the mere tightening of wrinkles, people can be made to look
healthy, vital and youthful (if not ''young'') even into their senior
years. In the wrong hands, however, surgery can produce a freakish caricature
of youth. Good plastic surgery doesn't look like plastic surgery. It
just looks good. Rest assured that for every plastic surgery casualty
you recognize on screen, there are three or four movie stars who are
aging gracefully courtesy of their plastic surgeon. How does Ms. Dargis
know that any actress -- including Jennifer Jason Leigh, her example
of someone who ''looks like a real person'' -- hasn't had a little help
along the way?