One reason politicians are so much quieter about their work than the Hollywood set is that nobody wants to be considered vain or frivolous, especially during a period of angst. And all are fearful of ridicule or, worse, antagonizing voters back home. “Politicians are very secretive about their procedures,” says Washington’s Dr. Ronald Perlman, who has pictures on his wall of Bill Clinton, Bob Dole, Rosalynn Carter, and Donald Trump—although he vehemently denies ever working on any of them. “They know they need to keep up, and people remember how they look, not what they say.”