Keira Knightley in Glamour Magazine - May 2009

Hollywood actress Keira Knightley featured on Glamour Magazine Spain for the month of May 2009. Keira Christina Knightley is an English film and television actress.

Tags: Keira Knightley, Glamour Magazine, May 2009, English film, television actress

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Women have liposuction on their shoulders for the 'Keira look'

You've had your face lifted, your boobs enlarged and your tummy tucked, but money is still burning a hole in your designer clutch bag.

So where do you go next for cosmetic surgery? The answer, it seems, is your shoulders.

Surgeons in New York have reported a rise in the number of women undergoing shoulder liposuction in the hope of looking like slender stars such as Keira Knightley and Madonna.

Keira Knightley's off-the-shoulder gown inspires off-the-shoulder surgery

They say women have started asking for fat to be stripped from their shoulder areas to give them a more toned and sinewy appearance.

And they predict it is only a matter of time before the craze arrives in the UK.

Dr Douglas Steinbrech, a plastic surgeon based in Manhattan, said a growing number of clients from the UK are now asking for the procedure.

It costs between £2,000 and £5,000 a time, and works by injecting the shoulder area with a local anaesthetic.

Incisions no wider than five millimetres are made in the natural creases and shadows of the shoulders. The fat is then vacuumed out with curved suction wands.

Some surgeons use laser treatments to break up and melt the fat cells before sucking them out.

Madonna leaves the gym after another workout: Her figure is said to have influenced women to have shoulder liposuction

Many of my patients are now requesting shoulders like Madonna and Keira Knightley,' said Dr Steinbrech.

'This procedure is for people who are usually already in great shape and are very trim.

They maybe go to the gym three or five days a week but there are a few areas that the gym can't reach, such as their shoulders, knees and ankles. It is not a procedure I perform on obese women.'

Dr Steinbrech said shoulder liposuction is relatively pain-free and patients can return to work after a few days.

'I often perform the operation on a Thursday or Friday and they recover all weekend with anti-inflammatories and painkillers and go back to work on Monday,' he said.

'Around 80 per cent of the swelling goes down within two weeks and the bruising disappears within ten days.'

Barbara Jemec, consultant plastic surgeon at the Chelsea and Westminster Hospital, said: 'I hope we don't see shoulder liposuction over here.

'It sounds a bit extreme. There are other places where fat is much more visible on women's bodies and shoulders can scar easily.

'The likes of Keira Knightley and Madonna have skinny shoulders because they are skinny all over. I think in this country we are moving away from women having to be stick-thin. A woman who looks normal and healthy is much better.'

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How Keira filmed the underwater scenes for Atonement

Keira Knightley is better known for wearing tight corsets with huge bustles on the sets of period dramas. But as these pictures show, the actress can also take like a duck to water.

Dressed in only a slip and baring all of her thin frame for the cameras, the actress chose to take on her own underwater stunts for the film Atonement.

Looking angelic as a mermaid and showing off her tiny frame, Keira Knightley took to the water easily as she films this scene dressed only in a silp and surrounded by lilies

In cold temperatures Keira braved the water for the scene in which she jumps into a pond in order to fetch a vase dropped by her love interest, played by James McAvoy.

Dressed in nothing more than thin satin underwear, Keira's character, the ice queen Cecilia, manages to retrieve the urn.

A quick gasp of air from a scuba tank and Keira is ready to act again as she is surrounded by a better kitted-out crew on Atonement

Then, wrapped up in a little more clothing - Keira films a different scene wearing a tight blue dress.

In this second scene, the actress had a huge acting challenge to play Cecilia as the London Underground station of Balham is flooded.

Floating down through the water, Keira Knightley proves she will push herself for the part in this underwater stunt

The Atonement actress proved her versatility with this underwater stunt - no flippers, snorkel or diver's tank for Keira

The station is bombed, and while Keira is not hurt by the blast, she is caught up in the ensuing flood. The scene is one of the last filmed for Atonement, released during summer in Britain and now playing in the US.

Since filming Atonement, Keira has gone on to resume her usual garb of period costume as she plays 18th century English socialite Georgiana Spencer.

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Keira Knightley's Very Big Hair Day

Her new starring role in The Duchess is certainly weighing heavily on Keira Knightley.

The actress was seen wearing a towering foot-high wig on location of period drama The Duchess, completing her 18th century attire with a billowing gown and bustle.

Hair raising: Keira donned a foot-high wig for her role in The Duchess

Keira, who plays Georgina, the Duchess of Devonshire, looked less than thrilled with her heavy costume, barely mustering a smile between takes in London's Greenwich yesterday.

She stars opposite Ralph Fiennes, who plays her onscreen husband, while British actress Charlotte Rampling also among the cast.

Georgiana, an ancestor of Diana, Princess of Wales, was a socialite at the centre of a circle of leading political and literary figures.

Oh beehive! The actress is filming another period drama on the back of her successful film Atonement

She was also notorious for her extravagant lifestyle and infamous for her marital arrangements - her best friend becoming the Duke's mistress.

According to reports, Keira had intended to have time off this autumn, but couldn't resist the part after reading script.

Keira recently wrapped The Edge Of Love, a film based on the life of poet Dylan Thomas, which co-stars Sienna Miller and Matthew Rhys.

Gown frown: Keira looked less than thrilled under the weight of her costume

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