Well, for 61 I personally don't think he looks all that bad, especially considering that he used a LOT of drugs and alcohol for many of those years. Wiki says he's been maintained sobriety since completing rehab in 1986.
Plus-
In a September 2006 interview with Access Hollywood, Steven Tyler revealed that he had been suffering from Hepatitis C for the past 10 years. He was diagnosed with the disease in 2003 and had undergone extensive treatment from 2003-2006, including 11 months of interferon therapy, which he said was "agony".
I like quite a bit of Aerosmith's stuff.
Another guy who's been around for a while who I saw in a You Tube clip the other day. Tom Jones now 69.
http://www.youtube.com/watch?v=RD8nNfUA8bc
If I had to guess, I'd bet Tom has has some work done and Steve has not. What's New ***** Cat?