Joe Bidenappears to have had more cosmetic surgery than rivalDonald Trump, who is aging more 'naturally' than the president, according to a top Beverly Hills surgeon.
Biden's disastrous debate performance last week has put a renewed focus on his fitness and advanced age, which has also become evident in his physical appearance.
As the oldest president in US history at 81 and now seeking a second term, his mental and physical agility has come under scrutiny like never before.
And according to one board-certified plastic surgeon, the 81-year-old president has likely undergone procedures in a bid to reverse the effects of aging, and is estimated to have spent $160,000 over the years on multiple face lifts.
Biden has likely had an eye lift and brow work done even though it made him look more 'feminine', Dr. Gary Motykie, who runs a medical spa in West Hollywood favored by celebrities, told DailyMail.com.
Joe Biden is speculated to have undergone more cosmetic procedures, including a face lift, evidence of which can be seen on the scarring near his ears as seen on the right in 2024
The surgeon also points to Biden's 'unnatural expression' from his eyebrows, which suggests some surgical pulling in that area. A side by side comparison of Joe in 1991 and in 2023 shows the distinctive skin pulling on his face
By contrast, the surgeon believes Trump, who at 78 is three years younger than Biden and has a reputation for vanity, has gone under the knife less than his Democratic counterpart.
Dr. Motykie estimates the former president has spent around $100,000 on cosmetic procedures, mostly on hair reconstruction surgery, and determined his neck and jawline is natural and his famously orange skin color is due to tanners and makeup.
'There's two things that will age a man: his neck and his hair,' the surgeon said.
'Trump battled with his hair for a while and I do think he's had multiple hair restoration surgeries.
'Throughout the years you can see it changing and the way his hair parts and flows suggests he is trying to disguise it.
'I am suspicious he had an older technique done 30 years or more ago.
'That's why we see the comb over hairstyle. I think he had back in the day one of the older hair restoration techniques and those come with some scarring'.
Dr. Gary Motykie, a board-certified plastic surgeon based in Beverly Hills, told DailyMail.com he believes Trump has had less cosmetic work done than his rival
Trump's unusual way of combing his hair is likely to cover that up, Dr. Motykie said.
'The hair can be oriented from a natural way, it can become unnatural so they have to part it a certain way to have a scar', he said.
Trump's first wife Ivana backed up the claims that Trump has had work done on his hair and said in a deposition in 1990 that he became furious about scalp reduction surgery performed the previous year.
The procedure was known as alopecia reduction and was supposed to reduce a bald spot by cutting it out and sewing the skin back together, but can lead to swelling and headaches.
Dr. Motykie said that contrary to what most people thought, Trump's tanned skin wasn't the result of a cosmetic procedure.
He said: 'I think his skin tone is mostly self tanner and makeup.
'I don't know why he picks that color though it's become his signature move'.
Dr. Motykie didn't think Trump's famous pout was the result of surgery and said it looked natural to him - as was Trump's neck.
'His neck does not show any signs of him doing a facelift or doing any rejuvenation,' he said.
According to the surgeon, Trump appears to have 'multiple hair restoration surgeries' over the years, likely through a now outdated procedure which was known to leave some scarring and as seen above
The doctor pointed to Trump's unusual hair parts and flows, which appear unnatural
Trump's signature combover is likely a way to cover up the scarring or unnatural parting of his hair, Dr. Motykie said
A possible scar on Trump's scalp is visible in this photo of Trump embarking Air Force One on a windy day in 2018
'I think he's aging quite naturally. I don't see signs of a facelift or facial surgeries. When he talks his face is quite full of expressions so I don't see him doing Botox.
'It's more makeup and styling'.
Nor was Dr. Motykie convinced by the rumors about Trump having liposuction when he was younger.
Over Trump's lifetime the total cost of the surgeries would have been up to $100,000, with the hair restoration procedures costing $15,000 to $20,000 a time, Dr. Motykie said.
Biden's total bill would have been higher.
Dr. Motykie said: 'It's interesting because I think he's had more work than Trump. For sure.
'He's had similar hair restoration but likely used newer techniques like grafting hairs from the back of the head.
'They numb up the head and literally take out individual hairs or groups of two to three combine it with stem cells, growth factors from your own blood to make a better take of it.
'A lot of younger guys are doing it.
'It's much more popular now there isn't a big scar'.
According to Dr. Motykie, Biden has 'telltale signs of a face lift'.
He said: 'You can see it if you look at his neck line near his ears.
'Those are signs he's probably had one or two facelifts. He's also had upper and lower eyelid surgery because you can see that changing.
As for Joe Biden, the president appears to have begun losing hair very early on in his political career, with the then-senator seen with thinning locks after being elected senator at the age of 29 in 1972. His hair also appeared sparse in 1987
The earlier photos are a stark contrast to Biden's full head of, albeit white, hair in 2009
Trump's notorious orange complexion, which is noticeably different to that of his hands, is more likely due to makeup and tanners, not cosmetic procedures, according to the surgeon
'Biden's brow has an unnatural expression to it. In men that usually isn't done but about 20 years ago people did brow lifts.
'I'm thinking people like Burt Reynolds or Kenny Rogers where it looked feminine'.
According to Dr. Motykie, the former president also looks more energetic than Biden.
'I think vitality wise I'd say Trump takes that one', he said.
'He looked more natural, and had more youth on his side. Biden is starting to show his age a bit more.
'His work has held up but he's thinning again, his neck is coming down a bit.
Dr. Motykie's suggestion for Biden is that he turn to non surgical procedures like microneedling, which can 'brighten up the skin', or stem cell therapies.
'At their age you don't want to undergo major surgeries,' he said.
Cosmetic surgery aside, both candidates have had other issues with their health
Biden's last physical showed he was a 'healthy, active, robust, 81-year-old male', his personal physician Dr. Kevin O'Connor said.
The report said that Biden's stiff walking was due to arthritic changes in his spine and that he was using a CPAP machine to help with sleep apnea.
In early 2023 Biden had a small piece of cancerous skin removed but was otherwise in good health, Dr. O'Connor said.
A more damning analysis of Biden came from a report by Special Counsel Robert Hur, who looked into whether the President mishandled classified documents at his Delaware home.
Biden's disastrous debate performance against Donald Trump last week has put a renewed focus on his fitness and advanced age
Hur claimed that Biden was an 'elderly man with a poor memory' in a report which set off a firestorm when it came out in February but now seems prophetic.
Trump's current health condition is less certain as he has been out of office for more than three years.
While running for the presidency in 2015, Trump's then doctor Harold Bornstein released a letter stating: 'If elected, Mr. Trump, I can state unequivocally, will be the healthiest individual ever elected to the presidency'.
Trump's own claims are similarly self-assured and he recently claimed to have 'aced' a cognitive test but didn't provide details.
His last medical while he was president in 2020 said he was 'healthy' and during the debate Trump claimed he felt as fit as he did 30 years ago, even bragging about his ability to play golf.
Yet Trump's diet is known to consist of fast food and pizza and he drinks up to 12 Diet co*kes a day.
Unlike Biden, Trump is not known to exercise at all.
Then again, Trump didn't fall off his bicycle as Biden did in 2022 while on a ride in Delaware.