Jackie Adams' husband doesn't understand why she wants to go under the knife for the sake of vanity.
But it's something she's thought about for more than a decade.
On Friday, she's getting a facelift.
"I've been wanting to do this since I was in my 30s," she said. "I always said, once I'm at the age of 40, I'm going to have a facelift. I'm now 42."
Adams is getting a mini facelift, a procedure that will tighten her cheeks and neck, at the Center for Cosmetic Surgery in Golden. She also gets BOTOX injections between her eyebrows to alleviate wrinkles.
"My motivation is that I want to feel better about myself," she said. "You're only as old as you feel. I feel older because of my looks."
The plastic surgeon performing her surgery, Andrew Wolfe, said Adams is a typical case. Most of his patients -- 95 percent -- are women, and many say they want surgery because they're starting to look like their mothers.
"Once you start to see that, you want to do something about it," he said. "They are more inclined to do that now than we used to be."
Wolfe attributes this to a number of factors, mainly the emergence of numerous reality TV shows portraying cosmetic surgery patients.
Along with conducting online research, Jackie Adams has watched programs such as Fox's "The Swan," FX's "Nip/Tuck" and ABC's "Extreme Makeover."
In some cases, Wolfe said this exposure can be dangerous, particularly with "Nip/Tuck," which he said is largely fictional.
"For the most part they're doing a good job," he said.
"But they hit fast forward. What they skip on those shows is the day-to-day things, like 10 hours of surgery."
Adams' husband, Bryan, agreed, and said he's not a fan of the shows but has watched them with his wife.
"They only show the good. They don't show the bad," he said. "They don't show when something goes wrong. I just wish they'd show the real picture."
Wolfe said another factor in the increasing rates of cosmetic surgery patients is the cost.
"It's not just for rich people anymore. It's for everyone," he said.
Adams' mini facelift will cost $4,650, and her BOTOX will be about $300.
But she's not concerned about the price tag. Her husband owns a Harley-Davidson motorcycle, two snowmobiles, a four-wheeler, dirt bike, camper and 1969 Corvette.
"I figured since my husband has all these toys, he can pay for most of it," she said.
"I figured I could do something for myself."
But her husband has a different perspective.
"It's evolution -- you're born, you get old, you die," he said. "Why spend five grand to fix it?"
It's not something he would ever consider doing himself.
He has a hard time understanding why his wife, who is five years older than he is, would want to have the surgery done either.
"To me, it's vanity, and what's the point? If she doesn't love me for what I am, see you later, bye," he said.
Sierra, Adams' 12-year-old daughter, shares his sentiment, but she understands where her mom is coming from. She knows Jackie is excited about the procedure because every time she talks about it, she smiles.
Sierra knows her mom will be in pain afterwards, but that doesn't bother her.
"My dad's always bandaged up (from injuries), so I'm used to it," she said.
Jackie said she's a little nervous about the needles and pain during recovery, but she is ready to take the good with the bad.
"You've got to have a little bit more pain to be a little bit more beautiful," she said.
And it seems Adams is ready to show off her new look to friends, who she says have wondered about cosmetic procedures but don't have the nerve to try.
"With a town this small, I think a lot of them have it in the back of their minds, but they never take the initiative to do it," she said.
This isn't the first risk Adams has taken with her appearance. She's has two body tattoos and has permanently tattooed eyeliner and lipstick.
The next procedure she's considering is a breast lift.
Her husband isn't ready to look past this week's surgery, but he seems willing to reluctantly consider more procedures.
"Hopefully (this will) give her a better attitude," he said. "She's always down on herself. Maybe this will improve it.
"That's the only reason I go along with it."
Michelle Perry can be reached at 824-7031 or firstname.lastname@example.org.