The results of the first-ever study to quantify the effects of plastic surgery are in, and they are not pretty. Patients experienced only a “tiny, insignificant increase in attractiveness” after a face-lift, brow-lift, or eyelid surgery, and only looked three years younger on average, according to independent judges of their “before” or “after” photos in a JAMA Facial Plastic Surgery study. Harvard Medical School psychologist Nancy Etcoff told the New York Times that the raters might have been confused about patients’ ages because face-lift surgery doesn’t address other signs of aging like “a loss of plumpness in a face,” “wrinkles or age spots.” In other words, if you really want to look younger and hotter, you’re going to have to commit to fat injections, botox, and laser resurfacing in addition to simple plastic surgery. Click over to the Times to read a bunch of surgeons promising that the study is wrong and they get better results.