Wedding season brings brides in for a quick fix

What does every bride wish for on her wedding day? She wants to look her best! A recent survey of facial plastic surgeons revealed that weddings are the number one special event cited by women as a deciding factor to undergo a cosmetic procedure. The top three non-surgical treatments for brides in 2012 were Botox, hyaluronic acid, and chemical peels. The most common surgical procedures were rhinoplasty, blepharoplasty, and facelift. Find out what quick fixes or long-term treatment plans may be right for you.

Quick fixes

Whether you are short on time or on budget, the right skin regime can work wonders to make your skin glow and remain blemish free. Look for products that contain salicylic acid, benzoyl peroxide, or retinol. Eyelash extensions and teeth whitening can be easy beauty enhancements to ensure great photographs as well. Soften the lines between your brows or address crow’s feet with Botox injections. This filler is injected to temporarily relax facial muscles to reduce the appearance of wrinkles; results last three to six months.

Plump up your lips or soften those marionette lines with hyaluronic acid. This temporary filler-lasting six to nine months- works with the body’s own hyaluronic acid and creates volume.

If you are looking for a brighter, smoother complexion, microdermabrasion treatments or chemical peels may be the right solution. These rejuvenate the skin by removing the top layer of dead skin and promoting the production of new skin cells. Wedding season brings brides in for a quick fix Long-term planning Some women have wanted to change a facial feature for years, and the wedding becomes the impetus event. Surgical procedures require at least six months advance planning to ensure complete healing with no residual swelling (particularly for nose surgery) for the main event.

Rhinoplasty is surgery to reshape the nose. Whether you are concerned with your profile, width, symmetry, structure, or a combination of issues, your facial plastic surgeon will evaluate what improvements can be made.

If you are concerned about drooping eyelids or puffiness or bags under the eyes, blepharoplasty could correct these problems. Excess fat, muscle, and skin are removed or repositioned and fine sutures are used to close the inconspicuous incision.

For the older bride, mother of the bride, or future mother-inlaw, a facelift can turn back the clock 10 to 15 years. This procedure rejuvenates the lower two-thirds of the face. The facial plastic surgeon repositions and tightens underlying muscle and tissue. Excess skin is removed and the incisions are closed with sutures. Although the results are permanent, the aging process still continues after surgery.

The best advice for every bride: plan, plan, plan. Talk to your facial plastic surgeon as soon as possible so that you can plan enough time to have whatever treatment or procedure you desire with the final results evident for the big day.

Social media’s role in elective surgery and rhinoplasty re mains

Every year, the American Academy of Plastic and Reconstructive Surgery surveys its facial plastic surgeons to reveal the latest trends in facial plastic surgery. Check out how social media influenced consumers and what the most popular procedures were based on gender, age, and ethnicity

Social media and information sources

Social media caused consumers to turn a more critical eye to their own visage. You probably are familiar with the more popular sites, including Facebook, YouTube, Pinterest, Tumblr, Tagged, Google+, LinkedIn, Yahoo! Answers, Instagram, and Twitter. Surgeons report a 31 percent increase in requests for treatment as a result of how people want to present themselves on these social media accounts. The most popular procedures requested were rhinoplasty (nose surgery), Botox, facelifts, and lip augmentation. Interestingly, only seven percent of perspective patients sited using social media sites as a trusted informational resource, which is down significantly from 35 percent in 2011.

The majority of consumers, 57 percent, are researching treatments online and coming to their facial plastic surgeon more educated about their options. Thirty-three percent of perspective patients depend on referrals and information from friends. Fashion and celebrity magazines are only sited as a source for three percent of patients; this is good, since these cannot be relied upon as authoritative resources.

Top non-surgical treatments The most common cosmetic, non-surgical procedures remained Botox and hyaluronic acid fillers. These non-surgical treatments made up two-thirds of all cosmetic procedures requested in 2012. The top three areas of the face most treated by injectables were the forehead (42 percent), cheeks (35 percent) and the lips (18 percent).

Top cosmetic surgeries

Rhinoplasty, blepharoplasty (eyelid surgery), and facelifts were the most popular cosmetic procedures. The largest increase in cosmetic surgeries was among requests for facelifts and blepharoplasty; lip augmentation and calcium hydroxyapatite injections (filler) showed the greatest declines.

Men versus women

The number of men undergoing facial plastic surgery continued to rise, citing their reasons to remain competitive in the workplace and to remain attractive to their significant other or if single, stay in the dating game. On average, 20 percent of male patients requested facial plastic surgery as a result of their significant other having received a cosmetic procedure.

Compared to 2011, the number of men having Botox increased by 27 percent. Hyaluronic acid fillers, chemical peels, and microdermabrasion were also among the most popular maintenance treatments and slightly increased from 2011. Rhinoplasty remained the most requested surgical procedure for men.

Women accounted for 80 percent of all surgical and non-surgical procedures. Two-thirds of these women are mothers, primarily in their 40s and 50s. The most common surgical procedures were facelifts, followed by blepharoplasty and rhinoplasty. Botox, hyaluronic acid injections, and microdermabrasion were the three most common non-surgical procedures. The survey revealed an increase in female family procedures as a bonding experience, with a 16 percent increase in mother-daughter procedures and a 12 percent increase in sister-sister procedures.

Age and ethnicity

In 2012, 28 percent of surgeons surveyed saw an increase in cosmetic surgery and facial injectables in those under the age of 25. This may be due to the increase in availability of minimally invasive procedures and growing social acceptance.

The most popular procedure for both men and women under the age of 35 was rhinoplasty, followed by Botox. For all procedures-except rhinoplasty-the majority were performed on patients between the ages of 35 and 60.

most popular

Ten percent of surgeons have seen an increase among Hispanic, Asian American, and African American patients in their practice in 2012, with the largest increase of 40 percent among Caucasian patients.

Rhinoplasty was the most common procedure among African Americans and Hispanics (80 percent and 65 percent respectively). Asian Americans were most likely to have blepharoplasty (44 percent) or rhinoplasty (41 percent), while Caucasians were more likely to have facelifts (40 percent) or rhinoplasty (39 percent).

Overall trends

The study showed that 73 percent of procedures were cosmetic in nature, versus reconstructive. This number is up from 62 percent in 2011. In taking steps toward cosmetic surgery, patients were most concerned about the results (40 percent), followed by cost (33 percent), and recovery time (21 percent). Pain or invasiveness of a procedure and social perception minimally influenced their decision to have a treatment. Patients came to consultation appointments more likely to describe the area of concern, rather than request a specific procedure by name.

Consumers should be wary of the ubiquitous deals and coupons that offer reduced rates for treatments and services. Facial plastic surgeons warned that these discounts should not be the determining factor in selecting a treatment or a facial plastic surgeon. Patients are encouraged to exercise caution; select a board certified surgeon who specializes in plastic surgery of the face, head, and neck.

The 2012 survey revealed that consumers are increasingly seeking self-improvement through facial plastic surgery. While milestone events, such as weddings and high school reunions, are driving factors, new techniques and technology are also attracting consumers to seek consultations.

Eating well for optimal skin cell renewal

Y outhful skin efficiently repairs injuries and damage from the sun or pollution. As we get older, the rate at which cells are used and renewed slows down, resulting in older-looking skin. An easy, first line of defense is to pay attention to the food you eat. A diet rich in fruits, vegetables, whole grains, and lean proteins provides plenty of antioxidants that can boost skin cell renewal, which means healthier looking skin.

Vitamin A

If you have noticed that your skin is dry or rough, you may be lacking in vitamin A. This vitamin helps rebuild skin tissues and control acne as well. Sources of vitamin A include milk, leafy greens, eggs, sweet potato, and pumpkin.

Vitamin B

There are eight forms of vitamin B, commonly referred to as Bcomplex and include: thiamine (B1), riboflavin (B2), niacin (B3), pantothenic acid (B5), pyridoxine (B6), biotin (B7), inositol (B8), folic acid (B9), and cobalamin (B12). The B vitamins are essential for healthy skin. Vitamin B1 boosts circulation; eat egg yolks, nuts, and raisins. Vitamin B3 prevents the development of acne, among other benefits; B3-rich foods include carrots, tomatoes, and broccoli. B6 helps maintain good skin tone; eat poultry, fish, garlic, spinach, walnuts, green beans, and whole grains.

Vitamin C

Protect your skin against sun damage and skin cancer by adding foods rich in vitamin C to your diet. Vitamin C helps the skin repair itself, create scar tissue, and is key to the production of collagen- the protein that gives your skin firmness and strength. You may first think of an orange as the star vitamin C food; however, there are several others with higher amounts, such as papayas, red bell peppers, broccoli, kale, strawberries, kiwi, and cauliflower.

Vitamin E

Almonds, hazelnuts, avocado, mangoes, sweet potato, and vegetable oils (e.g., olive oil, corn oil) are great sources of vitamin E. This vitamin works by speeding up the natural repair system of the skin and preventing further damage. Next steps Consume a balanced diet-fruits, vegetables, whole grains, and lean proteins-and aim for the highest quality of food (i.e., not processed). Consult with your doctor if you are interested in adding supplements; vitamins A, D, E, and K can be toxic in high doses because they are fat soluble and can accumulate in your body to unsafe levels. Water soluble vitamins that are not used by your body pass right through. A good multivitamin may be an easy first step.

While you are attempting to improve the appearance of your
skin by eating healthy food, you must equally be vigilant in eliminating anything that may counteract your good intentions, e.g., smoking, pollution, stress.


ASK THE SURGEON

What is a face-freezing treatment? I’ve heard it treats
wrinkles.

The face-freezing treatment has been coined, “Frotox”; it uses cryoneuromodulation to reduce fine lines. A device about the size of a large pen, inserts small, needle-like tips into the skin. A 30-second burst of liquid nitrogen is injected into the facial nerve between the brows or in the forehead. This freezes the nerves that control the muscles that cause wrinkles. The nerves are put into temporary hibernation so muscles relax and wrinkles diminish for up to four months. Frotox is being compared to Botox as a wrinkle reducer; however, Frotox is non-toxic and results are seen immediately (Botox may take several days to show results).

HEALTH TIP

If you could swap noses with any celebrity in the world, who’s would you choose? According to a report released by the Transform Cosmetic Surgery Group in England, the Duchess of Cambridge’s delicate nose was the number one requested celebrity face part; requests to look like Kate Middleton tripled in their practice compared to the previous year. However, facial plastic surgeons advise to avoid celebrity-inspired, copycat facial plastic surgery. Just because it looks beautiful on one person, doesn’t mean the size and proportion will be flattering on you. Instead, make a consultation appointment with your surgeon to discuss what you do and don’t like about your features. Come prepared with questions and an open mind, so that you can agree on an optimal treatment plan that meets your needs.

WHAT’S NEW?

Cornell bioengineers and physicians have created an artificial ear- using 3-D printing and injectable gels made of living cells-that looks and acts like a natural ear. Over a three-month period, these ears grew cartilage to replace the collagen that was used to mold them. This gives hope not only to the thousands of children born with a congenital ear deformity called microtia (outer ear does not form), but also to those who have lost all or part of their external ear from cancer or an accident. Previously, reconstructed or replacement ears have been made with synthetic materials or from the patient’s harvested rib; this can be challenging, painful, and appear unnatural. Researchers continue to refine the process. Depending on future safety and efficacy testing, the first human implant of a
bioengineered ear could happen in as little as three years.