Facial Plastic Trends reported; filler injections are up

The survey results are in! According to facial plastic surgeons of the American Academy of Facial Plastic and Reconstructive Surgery, the number of procedures performed annually has risen 45 percent over the last two years. Three-fourths of the procedures performed in 2010 were non-surgical—the most popular were Botox and hyaluronic acid injections. This highlights a trend that more people are choosing less invasive procedures to delay more extensive surgical procedures. What procedures are people having? Are there differences between women and men? Additionally, find out the trends based on ethnicity.

Non-surgical procedures are often an excellent option for those who want a subtle change with little downtime and less cost. Botox injections weaken the muscles around the eyes and forehead that cause wrinkles. Results may last four to six months. Hyaluronic acid fillers are injected into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds. The filler adds volume to the skin, smoothing unwanted wrinkles and folds for up to six months. Other popular minimally invasive treatments included microdermabrasion and chemical peels; both treatments remove the outer layers of the skin allowing for new, smooth skin to appear after the healing process.

The most popular cosmetic surgical procedures in 2010 were rhinoplasty (nose surgery), facelift, and blepharoplasty (eyelid surgery). Women, who made up 83 percent of all surgical and non-surgical procedures in 2010, continued to be the most likely candidates for all plastic surgery other than hair transplants. Facelifts, blepharoplasty, ablative skin resurfacing, and rhinoplasty were the most common surgical procedures performed on women overall; while Botox, hyaluronic acid injections, and microdermabrasion were the most common non-surgical procedures in women overall.

Men also saw their share of surgical and non-surgical procedures last year, with Botox, hyaluronic acid injections, rhinoplasty, and hair transplants being the most common procedures performed. Two out of five surgeons have also reported an increase in their Asian American, Caucasian, and Hispanic patients in 2010. Among the four different popular cosmetic surgeries, African Americans and Hispanics were most likely to have received rhinoplasty (78 percent and 62 percent respectively). Asian Americans were most likely to have received blepharoplasty (47 percent) or rhinoplasty (44 percent), while Caucasians were more likely to get rhinoplasty (42 percent, up from 26 percent in 2009), followed by facelifts (36 percent).

Physicians agree that patients are more educated about plastic surgery than in recent years, despite patients’ receiving most of their plastic surgery information from friends. Surgeons also reported that patients are split in their concern over the results and cost when making the decision to undergo facial plastic surgery.

If you would like more information about these treatments or procedures, contact your facial plastic surgeon for a consultation appointment.

It’s all about the lines … facial lines; how to minimize or reduce their appearance

Are you struggling with some newly appearing lines? Or, maybe you have been debating at length about revitalizing the skin around a particular facial feature. This article is for you. Check out the common areas that most people seek treatment for and what options are available—from low cost and subtle improvement to invasive surgery with permanent and dramatic results.

Eyes

Skin loses its elasticity and it is stretched out as we age. The eyelid skin, in particular, is the thinnest skin of the body and more apt to stretch. In addition to aging, heredity, excessive squinting, habitual eye-rubbing, and sun exposure can contribute to sagginess and wrinkling around the eyes.

Botox injections have become a popular way to reduce the appearance of crow’s feet— lines that radiate out from the outer edges of the eyes. Botox is purified protein produced by the Clostridium botulinum bacterium. It is administered via tiny injections right into the overactive muscles that cause lines to form. Botox is perfect for softening wrinkles around the eyes and between the brows and may last four to five months months.

Chemical peels, microdermabrasion, and lasers stimulate new collagen growth to fill in static (non-muscle related) wrinkles. Dermal fillers may be used to add volume and plump out wrinkles under the eye.

The Fraxel® Laser has been approved by the Food and Drug Administration for treatment of wrinkles around the eyes. It treats a fraction of the skin by causing microscopic “wounds” within the targeted areas in the dermis layer. These targeted areas are treated intensively, while leaving the surrounding tissue unaffected. This allows the “wounds” to heal must faster versus if the entire area were affected. Through the healing process, new smooth skin emerges.

Blepharoplasty, or eyelid surgery, can reduce wrinkles in addition to removing excess fat and skin. This procedure can be performed on the upper eyelids, the lower eyelids, or both.

There are various solutions for improvement; your surgeon may recommend a treatment or combination of procedures to enhance and revitalize the area around your most engaging feature, the eyes. After your procedure(s), take advantage of topical products with antioxidants, vitamin K, and moisturizing ingredients that can help maintain your results.

Forehead

People should be able to tell when you are excited or surprised by how you raise your eyebrows. If you have vertical lines between your brows (furrows) or sagging, horizontal forehead wrinkles that are inhibiting your expressions, you may want to consider a browlift. This procedure removes excess, loose skin and tissue from the forehead. Depending on the individual, the surgeon may remove part of the muscle that causes vertical frown lines between eyebrows. A less invasive option to reduce furrows is with Botox injections. Treatment must be repeated every four to five months in order to maintain the smooth appearance.

Mouth and nose

Fillers can be used to improve the appearance of moderate to severe facial wrinkles and folds around the mouth and the nose. The most common areas are the smile lines around your nose and mouth, marionette lines at the corners of your mouth, and fine lines above the mouth. The filler is injected with minimal discomfort and wrinkles and folds are plumped up instantly. The results last between a few months to two years, depending on the material used.

Resurfacing procedures such as chemical peels and lasers may also be used. Chemical peels can be administered in varying strengths depending on the extent and location of the wrinkles. A mild chemical solution, alphabydroxy acid (AHA), gently peels the epidermis and will help smooth fine lines and dry skin. It can be applied weekly. Trichloroacetic acid (TCA) is a moderate peel with longerlasting results than the AHA peel. This peel is often repeated over a period of weeks and effects smoother, fresher looking skin. Carbolic acid (phenol) can reduce extensive wrinkling; it is the strongest of the chemical solutions and causes a deep peel.

Various lasers can be used to improve the appearance of lines and wrinkles by promoting the growth of new, smoother and supple skin. Ablative lasers remove the upper layers of the skin using the power and heat of the light in a targeted beam. Common lasers include carbon dioxide (CO2) or erbium. The skin is wounded; anesthesia is usually required and there is considerable downtime while the skin crusts, sheds the scabs, and fully heals. The major advantage to this invasive laser resurfacing is that the results are dramatic and long lasting.

Non-ablative lasers include diode, intense pulsed light (IPL), or pulsed dye. These lasers generate heat in the dermis layer to stimulate collagen production and improve the tone and texture of the skin. The upper layers of the skin remain intact, which results in minimal to no downtime and very little discomfort. The results are not as dramatic as those attained with laser resurfacing, but may be preferred due to the lack of side effects and minimal downtime.

Neck

Neckbands, jowls, or the turkey wattle can make us feel much older than we are. If you have excess skin, a facelift may be most beneficial, removing excess fat and skin from the lower two-thirds of the face including the jawline and neck. A necklift might be a viable alternative in reshaping the neck skin, tightening the skin muscles, and removal of excess of fat.

Eventually, wrinkles and fine lines appear for everyone. Try not to set your mind on one particular technique or procedure until after you see a facial plastic surgeon. You will benefit from being an educated patient by knowing your options and by keeping an open mind to the expert’s optimal treatment plan.

Springtime awakening, spring break makeover

Use your time wisely this spring by planning for a revitalized and rejuvenated you! Whether you want to finally address some tweaks with treatments or schedule a surgical procedure that will prepare you for summer fun—the options are endless. Check out these suggestions to say goodbye to the winter doldrums and to welcome the springtime awakening.

Overhaul

The skin care routine and products that you have been using may need an upgrade. Take the time to consult with your facial plastic surgeon on the best regimen for your skin. The basics are the same—cleanse, moisturize, protect with sunscreen—but there may be specific products or treatments that will address your unique skin tone and texture.

Volumize

As we age, we tend to lose volume in our skin. This causes the skin to sag and wrinkle. Dermal fillers are an excellent way to restore fullness and rejuvenate these features that may be showing signs of aging too quickly for you. For a permanent solution, your physician may recommend implants.

Plump

If you are looking for plumper, fuller lips, try lip augmentation. A full, perfect pout exudes youthfulness and with a range of options, there is sure to be a solution within your budget. Talk to your physician about the different filler materials and how you can achieve the results you want.

Tone

Laser resurfacing, microdermabrasion, and chemical peels offer varying degrees of removing the old, wrinkled top layer of the skin and allowing a new, refreshed layer to come through. These treatments can address sunspots, uneven pigmentation, blemishes, fine lines, rosacea, and scars.

Adjust

Take the opportunity to adjust your most important facial feature—your nose. Rhinoplasty, surgery of the nose, is the number one procedure performed by facial plastic surgeons. Your surgeon can address your concerns to improve symmetry, increase or decrease the size of the nose, reduce a hump, reshape the tip or bridge, narrow the span of the nostrils, or change the angle between your nose and upper lip.

Restore

Schedule a rhytidectomy, a facelift, which will take years off of your appearance. A full facelift is designed to remove accumulated fat, resupport the neck muscles that have stretched, and remove excess skin— primarily in the lower two-thirds of the face. It smoothes the neck area, reduces jowls, and refines the jawline.

While others may be vacationing across the country or globe, this is your chance to refine and refresh your look. If you don’t have a specific treatment or procedure in mind but are looking to renew and rejuvenate, make an appointment with your facial plastic surgeon. You can discuss the options and what might be best for you.


ASK THE SURGEON

My daughter is severely self-conscious about her acne scars. What are her options to make them look less noticeable?

Make an appointment with your facial plastic surgeon for a consultation. Your daughter’s skin tone, skin type, and the extent of the scarring will be evaluated and considered when formulating a treatment plan. For superficial scarring, your physician may recommend cleansing, exfoliating, and moisturizing the skin to keep it looking fresh and healthy as it turns over new cells. A mild chemical peel may be applied to remove the damaged skin.

Deeper scars may require a stronger treatment such as microdermabrasion or laser therapy. Microdermabrasion uses aluminum oxide crystals to sandblast the surface of the skin. Dead skin cells are removed, reducing the appearance of acne scars, and a fresh layer of skin is revealed. There are different types of lasers that may be used to treat the skin. Laser therapy removes the outer layer and stimulates the cells to produce collagen. These are just a few options; the good news is that your daughter doesn’t have to feel insecure or embarrassed from her scars. There are treatments that will improve the appearance of the scars and renew your daughter’s selfconfidence.

HEALTH TIP

Check the label of your moisturizer to ensure it has adequate amounts of key ingredients that protect against both ultraviolet A (UVA) and B (UVB) rays. A study was conducted looking at 29 best-selling daily facial creams. Researchers found that most creams—regardless of cost, popularity, or sun protection factor (SPF)—provided inadequate or no protection against photoaging from UVA radiation. Unfortunately, there is currently no standard measure of protection against UVA and the SPF of sunblock refers only to protection from UVB rays. Adequate protection against UVA must include one of the following: (1) combination of avobenzone (>two percent) and octocrylene (>3.6 percent) with or without ecamsule (two percent); or (2) zinc oxide (>five percent).

WHAT’S NEW?

Your neck can be one of the first areas to show signs of aging. A traditional neck lift is surgical procedure that removes excess sagging skin under the jawline and neck. The muscles of the neck may also be adjusted and tightened to create a rejuvenated, smoother appearance. Another option, the trampoline lift, is gaining popularity since its Food and Drug Administration approval in 2009. It is less invasive than the neck lift. A series of pinpricks are made across the jawline and a thin surgical thread is weaved through these tiny holes before being tied together, which tightens up the loose skin around the neck and chin.