Spending time with family was the top priority. Americans are satisfied with how they look. Middle-age is the peak of attractiveness. This is one that seemed questionable. Interestingly, as they get older, they think their peak of attractiveness is older, too.
Women take a number of steps to stay young looking and attractive.
Well, no kidding. Men also take such steps, but to a lesser degree. Americans have generally tolerant, but sometimes conflicting, views on cosmetic surgery. Americans agree that cosmetic surgery usually has its desired effect. Older women chose procedures that would help them look young.