''If there is something you do not like and you can change it, then why not?'' said Agmeth Escaf, 30, a leading soap opera star and stage actor, who went for a nose job and embodies the newly blasé approach to plastic surgery for men. ''I have a bit of a tummy now,'' he explained, pulling up his shirt in the middle of a tony Bogotá restaurant. ''I am not going to dosit ups each day. Why? I do not like them. So I am going to have surgery, just have this taken out -- clip, clip clip.'' Beauty has long been a national obsession, evidenced by hundreds of annual pageants and slinky models, blow-dried television anchors and bikini ads. But beauty, Colombians and others are finding, cuts both ways. High-tech gyms still draw thousands of men. But now facial creams for the guys are top sellers. Manicures and pedicures are popular, too. Doctors say it is a quick and relatively painless step from a facial to a facelift.
