"I don't think it's a bad thing anymore. I don't think it's just for women. I don't think it's just for movie stars. For people who want to look better, it's an alternative," he said.

"When I began practice almost 40 years ago, we would see one man for every 20 women for cosmetic surgery. But now we see one man for probably every four women," said Dr. James Yates, a Harrisburg-area plastic surgeon.

"There is so much hype over plastic surgery that it's no longer a rarity. The biggest group we treat is people from middle-income families. It's not the rich and famous," he said.

Dr. John Stratis, another plastic surgeon, also has seen a rise in men getting cosmetic procedures. Men account for 20 percent of his cosmetic procedures, up from 5 percent five years ago, he said. Central Pennsylvania is "getting more liberal, but it still lags behind the coasts and the major cities," he said.

"Under the radar" procedures such as laser skin treatments that involve minimal downtime are luring them, Stratis said. "Even in central Pennsylvania, you can have these things done without anyone else noticing it."

Dr. Samir Srouji, a Harrisburg-area plastic surgeon, said men used to be more bashful, often saying their wife was the driving force behind the decision to have a procedure. They've become more direct about what they want and why, he said.

Srouji attributes much of the rise in procedures for men to the fact that people are living longer and staying in better shape. "They want to look as young as they feel," he said.

The surgeons said the most common procedures are those to lift eyelids and liposuction. Facelifts are common, and they also see men who want fat and glandular flesh removed from their breasts.

LeVan's procedure involved removal of sagging flesh around his eye. The problem stemmed from getting hit with a hockey puck 25 years ago -- an injury that almost cost him an eye. As he aged, muscles surrounding his eye lost tone, causing skin to sag.

He didn't realize how much it affected his appearance until he saw photos taken during an event he hosted for his church. In every photo, one eye was partially closed.

He said having a cosmetic procedure at 80 was driven more by practicality than vanity. Goho is an officer in a local Civil Air Patrol unit and is involved in training cadets.

"This was unheard of 50 years ago," he said. "Society itself has changed. If I was going to stay at home, I probably wouldn't have done it. Appearancewise, it does make quite a difference."

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