NY Press' 50 MOST LOATHSOME NEW YORKERS

25. Steven Pearlman
Plastic Surgeon

Predatory Park Ave. cosmetic surgeon Steven Pearlman likes to give his business a lift by throwing plastic-surgery parties for teenagers at nightclubs, where he helps 13-year-old girls drinking mock cocktails discover how ugly they are. Sounding like a Dutch techie on a Thai sex vacation, Pearlman once told the New York Observer, "I can generally start on girls at 15." Planting the seed for future generations of facelift addicts like Upper East Side socialite and world-famous ghoul Jocelyn Wildenstein, Dr. Pearlman, who is president of the American Academy of Facial Plastic and Reconstructive Surgery, confirms that in the deranged world of Upper Manhattan there's no self-esteem like no self-esteem.