02/22/2026
The world of *Behind the Candelabra* doesn’t feel like distant camp spectacle — it feels familiar. It recalls an era when glamour, secrecy, excess, and reinvention weren’t just aesthetic choices, but survival strategies. Dr. Jack Startz existed in that same orbit: a man who helped sculpt the faces of the powerful while quietly unraveling behind the scenes.
In mid-century Beverly Hills, plastic surgery was still something whispered about. It wasn’t the open, Instagram-era industry we know today. Men especially were expected to age “naturally,” which often meant invisibly. Yet in Hollywood — and particularly in closeted gay circles — youth wasn’t just vanity. It was currency. It was protection. It was desire. It was relevance.
Startz built his reputation serving that hunger.
He treated high-profile clients, including Liberace, at a time when cosmetic surgery was considered daring and even taboo. Early in his career, he was viewed as innovative and technically skilled. For entertainers whose livelihood depended on lighting, close-ups, and illusion, he offered a promise: you can stay who you were — or even become who you wish you had been.
But the culture of reinvention has a shadow.
By the 1970s and early 1980s, the pursuit of youth in Los Angeles was accelerating, and so were the risks. One of the most troubling aspects of Startz’s practice was his use of liquid silicone injections — a procedure that was not approved for cosmetic use and carried serious long-term complications. At the time, some doctors defended it as cutting-edge. In reality, it often led to disfigurement, chronic pain, and irreversible damage. Patients began filing lawsuits. Eventually, there were more than a hundred claims against him.
Layered over this professional decline was severe addiction. Substance abuse — particularly involving alcohol and drugs — became widely known. Addiction in glamorous circles was often hidden in plain sight. Doctors, entertainers, socialites — the pressure to perform and maintain an image could be relentless. The same culture that worshipped perfection was merciless when cracks appeared.
Startz’s trajectory feels almost operatic: rise, brilliance, excess, unraveling. By 1985, facing mounting legal trouble, professional disgrace, and personal deterioration, he died by su***de.
It’s hard not to see his story as a cautionary tale about the dangers of believing you can permanently outrun time. Particularly for gay men who came of age when youth culture was tightly bound to desirability — especially in urban gay life — the pressure to stay “fresh,” “tight,” or “unclockable” wasn’t trivial. It could feel existential.
And yet there’s another layer here.
Startz operated in a pre-AIDS era where the obsession with youth and beauty was already intense. Within a few short years of his death, the gay community would be devastated by a crisis that radically redefined aging. Suddenly, simply surviving into your 40s and 50s became something profound. Youth stopped being the only currency. Longevity became radical.
And if there’s any quiet redemption in revisiting this history now, it may be this: aging openly, honestly, and intact is something previous generations of gay men were not always allowed to imagine for themselves.