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When considering cosmetic surgery, there is plenty of research to be done. You’ll want to look into types of procedures, quality of results, and expertise of providers (to name a few). Another facet of the procedure that’s crucial to keep in mind: [downtime and recovery](https://aedit.com/aedition/how-long-does-it-takes-to-recover-from-cosmetic-surgery-procedures). Surgical procedures tend to have a longer and more involved healing process than non-surgical alternatives. So, what does that actually mean in terms of what you can expect in the days, weeks, and months after treatment?

If you are thinking about getting a [neck lift](https://aedit.com/procedure/neck-lift-lower-rhytidectomy), recovery involves more than just buying a big scarf – though that can be part of it! A neck lift entails anesthesia, spending at least a few days resting comfortably, and blocking out even more time to limit certain activities. Still, the procedure has one of the more lenient recovery processes, which is in part why many [pair it with](https://aedit.com/aedition/pairing-facelift-neck-lift-procedures) the more challenging facelift (the duo can also yield a more comprehensive result). 

Whether you plan to focus specifically on the neck or combine it with another surgery, it’s important to know exactly what to expect when you leave the operating room. Here, top plastic surgeons offer honest insight into what it’s really like to [recover from a neck lift](https://aedit.com/procedure/neck-lift-lower-rhytidectomy/recovery).

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  title={Before & Afters: Neck Lift}
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## **The First 48 Hours After Surgery**
The first few days after virtually any surgery are the most crucial from a recovery standpoint, and the same is true for a neck lift. Depending on the preference of the surgeon and patient, the procedure can be performed under [general anesthesia](https://aedit.com/aedition/everything-you-need-to-know-about-anesthesia) or ‘awake.’ During an [awake neck lift](https://aedit.com/procedure/awake-neck-lift), a so-called conscious sedation or twilight anesthesia with regional or local anesthetics are utilized. 

The type of anesthesia used will impact how you feel immediately after surgery. “If the surgery was fairly lengthy and required general anesthesia, patients may require a day or two to feel recovered from the anesthesia,” says [Thuy-Van Tina Ho, MD](https://aedit.com/provider/thuyvan-ho-md-25248), a double board certified facial plastic and reconstructive surgeon and founder of [Tina Ho MD Facial Plastic Surgery](https://www.drtinaho.com/) in Philadelphia. Those lingering effects include nausea, drowsiness, and general malaise.

Because neck lifts are outpatient procedures, “patients go home the same day,” Dr. Ho shares. She typically places drains at the conclusion of the surgery and has her patients wear a head and neck [compression dressing](https://aedit.com/aedition/benefits-of-compression-garments-after-cosmetic-surgery) that is freshened up the next day. “I see patients the following day for drain check and dressing change,” she notes.

A neck lift can be performed to reduce skin laxity, tighten the underlying musculature, remove excess fat, or a combination of the three. Needless to say, some patients require more correction than others, and this plays a role in the healing process. [Swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) and [bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox) in the face and neck are the two most common side effects of the surgery, and the extent of it depends, in part, on “how deep a dissection occurs,” says [Michele Koo, MD](https://drmichelekoo.com/), a board certified plastic and reconstructive surgeon in St. Louis, MO. The depth “is determined by how much excess skin and fat the patient has,” she adds. Additionally, you may also have a headache that feels similar to a sinus headache. 

Yes, you are going to want to take it very easy for a few days, but surgeons don’t recommend full-on bed rest. “Getting up to go to the bathroom is ok,” says [Smita Ramanadham, MD](https://www.instagram.com/thedrsmita/?hl=en), a board certified plastic and reconstructive surgeon in New Jersey. When you are in bed, avoid laying fully horizontally. “We ask that patients sleep on [two or three pillows](https://aedit.com/aedition/best-pillows-for-plastic-sugery-recovery-healing) or in a recliner, so the neck is above the heart level,” she says. 

Oh, and if you’re curious about how getting a neck lift in tandem with a facelift might affect the recovery process, Dr. Ho says there is usually “not a significant difference” aside from “more swelling and bruising.”

## **Pain Management After Neck Lift Surgery**
“Patients may require [pain medication](https://aedit.com/aedition/opioid-crisis-plastic-surgery-recovery-pain-management) to help control their pain or discomfort,” Dr. Ho says, and your surgeon will prescribe accordingly. In her practice, Dr. Ramanadham typically offers about three days of prescription medication before her patients switch over to over-the-counter options like Tylenol.

Pain is obviously subjective, but it may encourage you to hear that, according to Dr. Koo, “there isn’t that much” of it after a neck lift. It’s common to feel pressure or a dull ache around the head and neck, and you may get hit with twinges of pain when trying to sleep on your side. But, overall, she says the level of discomfort is manageable for most people.

Believe it or not, she finds that patients often feel uncomfortable as a result of the bandages, not the surgery itself. “You can expect to have some type of compression wrap around your full head and underneath your chin,” Dr. Koo explains. “For people who might be a little claustrophobic, that might be a little intimidating.” The wrap will stay on – though your doctor may remove some padding – for the following four to five days, and you should still wear it at home for at least another two weeks. You’ll receive specific instructions from your provider on the timeline. 

## **Resuming Normal Activities After a Neck Lift**
As you’re feeling stronger and ready to resume non-strenuous activities, Dr. Koo says patients should feel comfortable doing so. “My patients will put a headwrap and scarf on and go out in two days,” she shares. “They get their Audrey Hepburn on.” That could mean a walk around the block, tidying up around the house, or any other gentle movement. Not yet on the agenda? Yoga, cardio, or anything that raises blood pressure.

Even if your recovery is relatively pain-free, you still need to be mindful of the healing process and wait for clearance before resuming certain activities. At four days, Dr. Koo tells her patients they can begin a “mall-pace” walk, and a brisk walk is usually safe at the two-week post-op mark. Dr. Ho takes a similar approach. “Two weeks for heavy lifting and strenuous activity,” she says, adding that you may return to work sooner if you’re not self-conscious about swelling and bruising or stitches. She likes to see patients one week, two weeks, and four weeks out to monitor their progress.

For more intense [exercise](https://aedit.com/aedition/when-to-start-exercising-again-after-cosmetic-surgery-procedures) — bootcamp, pilates, hot yoga — that results in heavy sweating or can raise blood pressure, Dr. Koo recommends waiting four to six weeks. As she explains, non-compliance can “stir up more swelling” and lead to the possibility of “more scar tissue.” Her advice: “It’s just best to wait.”

## **Final Neck Lift Result**
When it comes to recovering from a neck lift, Dr. Ho says you can think about the healing process in phases. The first two to four weeks are the “immediate recovery” period, yet it takes six to 12 months to enjoy the final results. “It takes time for the skin to relax, for all of the swelling to be gone, and for the [scars to mature and fade](https://aedit.com/aedition/scarring-after-facial-plastic-surgery),” Dr. Ramanadham notes. 

Still, you will be able to see progress early on. “Even after four days when you take the wrap off, the neck looks amazing,” Dr. Koo shares. It will, however, be another four to six weeks until you are, as she describes it, “photo-ready.” Depending on their healing progress, Dr. Ho says likes to see her patients every one to three months for the first year. After six months, Dr. Ramanadham tells her patients that their results are “80 to 85 percent” finalized. After a year, the final result is in. 

Aesthetics

You’ve asked questions, looked at pictures, and read stories, but what can you really expect from the neck lift recovery process? We’ve got you covered.

A Plastic Surgeon's Guide To Neck Lift Recovery And Healing

Expectation vs. Reality: Recovering From A Neck Lift

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If there is one [plastic surgery trend](https://aedit.com/aedition/biggest-medical-aesthetics-trends-of-2022-for-face-body) you can count on, it’s that [rhinoplasty](https://aedit.com/procedure/rhinoplasty-nose-job) (a.k.a. nose job) will always be one of the most popular procedures. According to the American Society of Plastic Surgery (ASPS), some 350,000 ‘[nose reshaping](https://aedit.com/concern/nose-shape)’ surgeries were performed in 2020 — making it [number one on the list](https://www.plasticsurgery.org/documents/News/Statistics/2020/plastic-surgery-statistics-full-report-2020.pdf) of top cosmetic surgical procedures. 

Even so, the ever-present rhinoplasty is said to be one of the most challenging procedures to perform simply because of the complexity and individuality of each person’s nose. Not a one-size-fits-all procedure, various factors play into a successful rhinoplasty, including a patient’s ethnicity. The concept of ‘[ethnic rhinoplasty](https://aedit.com/procedure/ethnic-rhinoplasty)’ refers to the need to take differences in nasal anatomy (e.g. skin thickness) and perceptions of beauty between cultures into account when considering if the feature is harmonious to the rest of the face. 

Here, we’re speaking to top plastic surgeons about the nuances of rhinoplasty.

## **The History of Rhinoplasty**
Since its inception, rhinoplasty has always been a multinational, multicultural, and multi-ethnic procedure. The history of rhinoplasty stems from Egyptian manuscripts dating back to around 3000 BC, followed by reconstructive rhinoplasty treatises from India around 1550 BC, says [Corey Maas, MD](https://www.maasclinic.com/), a double board certified facial plastic and reconstructive surgeon in San Francisco and president of the American Academy of Facial Plastic and Reconstructive Surgery ([AAFPRS](https://www.aafprs.org/)). “Modern rhinoplasty was [described](https://www.abfprs.org/about/h_father.cfm) by otorhinolaryngologist John Orlando Roe, who went on to develop elective rhinoplasty surgery,” he explains. “Many early cultures and ethnicities had described versions of this procedure, which, in the modern era, were largely performed by surgeons — later known as facial plastic surgeons — in the treatment mainly of disproportionately large noses.”

Rhinoplasty has always been one of the most ‘mainstream’ cosmetic surgeries, yet, thanks to social media exposure and a trend toward transparency, more people are opting for the surgery and deeming it socially acceptable than ever before. “By definition, everyone has some type of ‘ethnic’ nose,” Dr. Maas notes. But, technically speaking, the term ‘ethnic rhinoplasty’ describes a procedure performed on an individual of non-Caucasian descent, including religious and cultural identities. “The discussion of ethnic rhinoplasty and its differences thus becomes one of generalizing the differences in nasal anatomy between cultures and where these differences become disproportionate enough from the average ‘attractive nose’ in various cultural groups to have individuals seeking balance in facial features,” he explains.

In all cases, rhinoplasty surgically and permanently modifies the nose's internal structure to enhance its outer shape and appearance. As a result, the patient and everyone else sees the external nasal shape and contour, says [Jonathan Sykes, MD](https://aedit.com/provider/jonathan-sykes-md-953), a board certified plastic and reconstructive surgeon in Beverly Hills, CA.

## **What’s Different About Ethnic Rhinoplasty**
In Caucasian patients, Dr. Maas says that modern rhinoplasty generally [balances facial features](https://aedit.com/aedition/facial-harmony-in-aesthetic-medicine) by creating a straighter bridge (a.k.a. dorsum) by reducing a hump. “During surgery, assuring that the width is defined between vertical lines dropped from the inside corner of each eye is also important,” he adds. 

However, suppose the techniques used in a Caucasian nose job are also used on a non-Caucasian patient. In that case, the person will complain that they don't see a difference, warns [Michael Somenek, MD](https://aedit.com/provider/michael-somenek-md-30787), a double board certified facial plastic and reconstructive surgeon in Washington, DC. “I frequently encounter this issue with ethnic patients seeking a [revision](https://aedit.com/aedition/what-you-need-to-know-about-revision-rhinoplasty) with me,” he explains. “The way ethnic rhinoplasties vary is that often the cartilage or infrastructure of the nose is relatively weak and the skin is thick.”

In these situations, “cartilage and support via grafts from the nose, ear, or ribs, are added to address the external contour and shape,” Dr. Somenek says. As a result, there are additional sites to heal (besides the nose) with cartilage grafting, though the recovery is relatively minimal.
 
Not every ethnic rhinoplasty surgery is the same, yet the fundamentals of the procedure remain steadfast. Certain ethnicities — mainly those of Hispanic, African American, and Middle Eastern descent — are addressed somewhat similarly since the chief goal is usually an overall reduction in the [size of the nose](https://aedit.com/concern/nose-size). As Dr. Somenek explains, this often involves:

- Narrowing the nostrils
- Refining the nasal tip
- Narrowing the nasal bones
- Removing a dorsal hump

Even so, he adds that it’s imperative to respect the ethnicity of the person being operated on and understand that the nose still needs to balance with the other facial features. “Some proportions, particularly the nostril width, are typically a little wider than a Caucasian nose,” Dr. Somenek notes. “Because of this, even though I may narrow the nostrils in ethnic rhinoplasty, I am conservative to maintain some relative proportions to the rest of the nose.”

### **Nasal Anatomy**
The nasal structure is inherently different between Caucasian patients and non-Caucasian patients. Due to disparities in bone, cartilage, tissue, and skin thickness, the surgical approach is of a different viewpoint; otherwise, adverse effects, like [breathing issues](https://aedit.com/concern/breathing-issues) and poor healing, may be the procedure's outcome. 

Furthermore, Black, Asian, and Middle Eastern noses have variations in the nasal skeleton and skin soft tissue envelope (SSTE) that separate their anatomy from the Caucasian anatomy, explains [Jennifer Levine, MD](https://www.drjenniferlevine.com/), a double board certified facial plastic and reconstructive surgeon in New York City. “Often, Caucasian rhinoplasty is a reduction rhinoplasty (taking down a hump or making the tip smaller),” she says. “With a Black or Asian nose, it may require an augmentation rhinoplasty to build the dorsum and the tip while narrowing the base of the nose and tip.” 

As far as the Middle Eastern nose goes, there may be a dorsal hump, but there may also be the need for augmentation to the tip. “These changes are most often suited to an [open approach](https://aedit.com/procedure/open-rhinoplasty), as multiple grafts are often necessary,” Dr. Levine adds. Open rhinoplasty makes incisions across the thin skin and tissue between the nostrils, whereas a [closed approach](https://aedit.com/procedure/closed-rhinoplasty) hides the incision within the nose.

The primary reason why almost any patient seeks surgery is to correct a bulbous or too wide tip, a wide or [humped bridge](https://aedit.com/concern/nose-bump), a droopy tip, or a [deviated septum](https://aedit.com/procedure/septorhinoplasty). Most ethnic rhinoplasty procedures consider the different anatomical variations and aesthetic goals of each ethnicity, yet there is no denying that some faces call for a more prominent nose, while others can support a more upturned, petite one.

There are infinite variations of rhinoplasty that can be accomplished to best present the nose's appearance while bringing balance to the face. For this reason, Dr. Sykes doesn't like to think of techniques as being Caucasian or ethnic. Instead, he looks at the interplay between the SSTE and the infrastructure to achieve an elegant result. “Some noses require removal or subtraction of infrastructure, and others require grafting or augmentation of the infrastructure,” he explains. “In many cases, the perfect combination is some augmentation and some reduction.” This is never determined by a set formula but rather an “individual sculpting of that particular nose,” he adds.

### **Expertise**
As you’ve likely gleaned, all rhinoplasty surgeries are complicated and detail-oriented. This is why it’s vital to seek out a board certified facial plastic or plastic surgeon who specializes in the procedure. Those with an emphasis on performing ethnic rhinoplasty, specifically, are an even better choice. 

To confirm expertise, review a surgeon’s [before and after images](https://aedit.com/aedition/importance-of-before-and-after-photos-in-plastic-surgery) to judge that the results they achieve are on par with what you want to accomplish. This also allows you to see if they have operated on patients who have similar features to your own. Dr. Maas’ advice? Find a surgeon who has performed at least 1,000 nose surgeries in a multicultural city to help ensure a positive outcome.

## **Keep What You Like, Get Rid of What You Don’t**
The most challenging aspect of ethnic rhinoplasty is retaining the features of the face or nose the patient doesn't want to alter. Many feel that certain cultural distinctions are what make them unique, which means the goal of the procedure is to eliminate what they don't like about the nose without disrupting other facial features or even aspects of the nose that they feel positively contribute to their look. “There’s an art to understanding how to achieve this and which features are best kept and refined as opposed to removed,” says [Kevin Tehrani, MD](https://aedit.com/provider/kevin-tehrani-md-91), a board certified plastic and reconstructive surgeon in NYC.

Needless to say, it is crucial not to try to make an ethnic nose look like a Caucasian one, which is why your surgeon must preserve certain features. With that in mind, these are some of the most common requests:

### **The African American Nose**
- **Areas of Concern**: A wide bridge and a flat tip due to thick skin.
- **The Request**: A bit more projection, a thinner bridge, and less prominent nostrils. “These patients (as well as Asian patients, too) often desire to build up a relatively flat or poorly defined bridge of the nose and reduce the thick appearance of the tip of the nose caused by skin and cartilage thickness," Dr. Maas explains.

### **The Asian Nose**
- **Areas of Concern**: Typically, a flat, broad nose and an under-projected tip and bridge.
- **The Request**: More tip and dorsal projection. Dr. Maas explains that much of Asian rhinoplasty involves techniques of augmenting and/or building up disproportionately small noses or loss of part or all of the nose. 

### **The Mexican & Latin Nose**
- **Areas of Concern**: The most common are a bulbous or broad tip coupled with a wide bridge and poor projection.
- **The Request**: A refined and more elevated tip and a reduction of any humps. 

### **The Middle Eastern Nose**
- **Areas of Concern**: A thick, bulbous tip and a wide bridge; a deviated septum is also common.
- **The Request**: More definition in the tip of the nose and a reduction of the hump, which often requires reducing or removing excess cartilage and bone.

### **The Native American Nose**
- **Areas of Concern**: A too-narrow bridge with poor projection.
- **The Request**: A soft, natural slope from the bridge to the tip.

While this can serve as a guide, the variation in what noses look like and what patients want is not always quite so predictable. “Some patients desire a small and very stylized nose whereas others want a more natural appearance,” Dr. Sykes explains. “I feel that it’s important to have a lengthy consultation with the patient to understand what they want to achieve.” During the consultation process, any good plastic surgeon should always be upfront and honest about what is achievable while considering the patient’s desires. “The consultation varies by individual and cannot be generalized to a given ethnicity,” he says.

## **The Importance of Skin Type**
The skin on the nose, known as the nasal skin envelope, influences how surgeons perform rhinoplasty and what the result will look like in the end. Those with darker skin tend to have a thicker nasal skin envelope. That skin thickness can limit the overall nasal tip definition that’s achievable. “That is why it is so important to create a strong, supportive foundation in the nasal tip so that when the skin redrapes over the new underlying cartilage, it can have more definition,” Dr. Somenek explains. It's also imperative to know that, postoperatively, there is an increased risk of prolonged [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) in the tip. 

Despite the longer healing time, the benefit of thicker skin is that it can help minimize contour irregularities overlying the cartilage. In addition, due to the thicker support and structure, the skin can provide a definition and shape that lasts. At the same time, it can create a more bulbous tip, Dr. Tehrani says. 

While changing the SSTE is (relatively) easy to do, getting the skin to blanket down and assume its new structure is more complicated. “As a general rule, the thinner the skin, the easier to see the underlying change made; the thicker the skin, the more difficult it is to see underlying cartilaginous changes,” Dr. Sykes shares. For this reason, in thicker-skinned patients, structure and cartilage is often added via grafts to address the outer nasal contour. This can make it more challenging — though not impossible — to achieve a ‘small’ nose. 

To improve the nose yet not disrupt the facial features, it's vital for the nose, which is at the center of facial appearance, to live in and even create harmony amongst the other features. Generally speaking, the onus is on the surgeon to understand the patient's desires, offer complete transparency on what’s possible, practice the appropriate technique, and retain proportion. “If a nose looks over-operated upon, it draws too much attention from other features and detracts from overall facial attractiveness,” Dr. Sykes cautions. 

## **The Takeaway**
No two noses are the same, and that is especially the case when you consider ethnic differences in nasal anatomy. The goal of any rhinoplasty is to preserve the appropriate features. “Using the incorrect technique will lead to a suboptimal or unharmonious result,” Dr. Levine says. “The anatomy dictates a different approach.” Therefore, it’s essential to choose a board certified plastic surgeon with a deep understanding of the nose and a well-documented history of operating on them.

Top plastic surgeons break down the history and nuance of ethnic rhinoplasty as it relates to treating non-Caucasian patients.

Expert Guide To Ethnic Rhinoplasty

What You Need To Know About Ethnic Rhinoplasty

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Expert Opinion

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Every Expert Secret You Need To Achieve Your Best Lash Look Yet

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As we enter 2022, what big trends in aesthetic medicine will the new year bring? “Greater transparency about plastic surgery procedures in general,” says [Jennifer Levine, MD](https://www.drjenniferlevine.com/), a double board certified facial plastic and reconstructive surgeon in New York City. “People are more willing to discuss having it.” Look no further than [Marc Jacobs’ candid chronicling](https://aedit.com/aedition/marc-jacobs-facelift) of his deep plane facelift and subsequent recovery to see that this (very welcome) trend already has roots.  

A more mindful approach is also on the minds of many, says NYC-based board certified plastic and reconstructive surgeon [Ryan Neinstein, MD](https://neinsteinplasticsurgery.com/). “As we enter 2022, we all have a greater sense of the importance of health and wellness highlighted by the pandemic,” he explains. “An extension of wellness is our sense of self” — which leads us to the procedures themselves. Dr. Levine sees continued interest in the more invasive end of the spectrum as our ‘new normal’ takes hold. Between masks and Zoom, “some people just want the best results and are willing to have the downtime to achieve them,” she shares. 

To learn more about what to expect from the aesthetic space in the year ahead, we tapped some of the biggest names in plastic surgery to get their takes on what they foresee to be new and next for face and body in 2022.

## **For Face**
For the most rejuvenating and natural-looking results, expect more patients to opt for clever combinations of surgical and non-surgical procedures that look good on Zoom and in real life. Here’s what 2022 has in store for the face:

### **1. Nasal Rejuvenation Surgery**
Those who wish to address the [aesthetic or function](https://aedit.com/aedition/difference-between-cosmetic-rhinoplasty-vs-functional-rhinoplasty) of their nose often do so earlier in life, but, like any part of the face (and body), the appearance of the nose changes with age. [Dara Liotta, MD](https://www.facialplasticsnyc.com/), a double board certified facial plastic and reconstructive surgeon in NYC, says she’s seeing a rise of patients in their [forties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-to-consider-in-your-40s) and [fifties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-to-consider-in-your-50s-60s-70s) coming in for what she calls “[nasal rejuvenation surgery](https://aedit.com/procedure/rejuvenation-rhinoplasty).” As she explains, the goal is not so much to “change their look” but rather “to get back to the more refined and airbrushed look that they had when they were younger.” 

One possible reason for the trend? Zoom culture, which has people staring at themselves in ways they hadn’t previously. “These aren’t the patients obsessed with their selfies and striving for perfection,” Dr. Liotta notes. “These patients don’t want a rhinoplasty to look different.” As we age, she says two things happen to the nose:

- **Thinning Skin**: The first is that our skin thins, “and this can unearth irregularities that we didn’t see before — such as a bump on the nose, a little twist or asymmetry in the tip of the nose, or a ridge or depression that it seems we didn’t have when we were younger,” she explains.  
- **Relaxing Cartilage**: The second thing is that the cartilage of the nose loses a bit of its structure. “This can cause the midportion of the nose to begin to look a little pinched or asymmetric,” Dr. Liotta shares. Additionally, “the ribbons of cartilage that make up the tip of the nose can relax outward and downward, making the tip of the nose look rounder, wider, and ‘droopier’ than it used to,” she notes. 

This relaxation of cartilage can also cause [breathing difficulties](https://aedit.com/concern/breathing-issues) to emerge or worsen. “Nasal rejuvenation surgery also optimizes the breathing, restoring structure and support not only to improve aesthetics but to improve breathing as well,” Dr. Liotta adds. 

### **2. The Anti-Zoom Boom**
In late-2020 and throughout 2021, we talked a lot about the so-called ‘[Zoom Boom](https://aedit.com/aedition/aedit-survey-reveals-how-2020-altered-aesthetic-landscape)’ in aesthetic medicine. 2022 may prove to be the antidote to that. [Norman Rowe, MD](https://www.normanrowemd.com/), a board certified plastic and reconstructive surgeon with offices in New York and New Jersey, says that the ‘Anti-Zoom Boom’ is related to the return of in-person events. During the pandemic, we could hide behind our computer screens, but, as in-person events, work, and holiday gatherings ramp up, people are flocking to get ‘[tweakments](https://aedit.com/aedition/non-surgical-cosmetic-procedures-to-get-for-the-holidays)’ like lasers, fillers, and neurotoxins to tighten, lift, and smooth features on their face. The goal: To look and feel your best — in real life. 

### **3. Move Over PRP**
At this point, you’ve likely heard of platelet-rich plasma (PRP). The procedure involves taking a blood sample from the patient (usually the arm or some other non-invasive locale) and putting it into a centrifuge to isolate the platelet-rich plasma. The PRP solution can be applied topically or injected into various parts of the body. A few of the most buzzed about? It’s injected into the scalp to [promote hair growth](https://aedit.com/aedition/kourtney-kardashian-prp-injections-to-treat-hair-loss); it’s rubbed on the face [after microneedling](https://aedit.com/procedure/microneedling-with-prp) for a rejuvenating effect; and it can even be injected into the penile shaft ([P-Shot](https://aedit.com/aedition/p-shot-prp-penis-injections-erectile-dysfunction)) or vagina, clitoris, and labia ([O-Shot](https://aedit.com/aedition/o-shot-for-vaginal-rejuvenation)) to improve sexual wellness.

In 2022, expect to hear a lot more about PRP’s cousin, [platelet-rich fibrin (PRF)](https://pubmed.ncbi.nlm.nih.gov/31280847/), Dr. Levine says. PRF contains a higher concentration of white blood cells and fibrin than PRP, and it also includes a small number of stem cells that boost its wound-healing and skin-rejuvenation benefits. Additionally, Dr. Levine says to keep an ear out for more talk of exosomes and collagen-stimulating procedures.

### **4. The Rise of Chin Enhancement**
[Chin enhancement](https://aedit.com/aedition/best-chin-augmentation-enhancement-procedures) procedures gained popularity during the pandemic, and the interest hasn’t waned. “There is increased interest in the chin area and recognition that a bit of increased chin projection can help balance the profile,” Dr. Liotta explains. The chin has long been an underappreciated facial feature, but it’s finally getting its due. In addition to improving overall [facial harmony](https://aedit.com/aedition/facial-harmony-in-aesthetic-medicine), “a strong chin helps make our neck look longer and our submental angle look deeper,” she says. For temporary improvement, [chin filler](https://aedit.com/procedure/chin-augmentation-with-soft-tissue-fillers) is an option. Those looking for permanent prominence, meanwhile, can achieve it with a [chin implant](https://aedit.com/procedure/alloplastic-chin-implant).

### **5. Combination Procedures**
Whether it's minimally invasive treatments or surgeries, there are many reasons to consider combining or stacking procedures. For starters, it allows you to [make the most of your time in the office](https://aedit.com/aedition/best-aesthetic-procedures-to-combine-to-maximize-appointments), consolidate recovery, and maybe even save a bit of money (in the case of surgery, for example, anesthesia will only need to be administered once). “People feel if they are going to have downtime, they may want to add something on,” Dr. Levine says. And, when it comes to results, strategic combinations can yield even better benefits.

On the non-surgical side, Dr. Levine says patients are realizing that it’s probably not enough to just do injectable [neuromodulators](https://aedit.com/aedition/where-to-use-botox-from-head-to-toe) and [fillers](https://aedit.com/aedition/hyaluronic-acid-filler-vs-biostimulatory-injectables). Instead, adding [lasers](https://aedit.com/aedition/guide-to-ablative-laser-skin-resurfacing) or [micro-focused ultrasound](https://aedit.com/procedure/ultrasound-skin-tighteningultherapy) or radiofrequency (or all of the above) may be best. “These are customizable to the individual patient,” Dr. Levine notes. Fat reduction with skin tightening for the body is another popular combination, she adds.

Dr. Liotta says that it’s common to [combine rhinoplasty and chin augmentation](https://aedit.com/aedition/combining-rhinoplasty-and-chin-augmentation), plus or minus [submental liposuction](https://aedit.com/procedure/submental-liposuction). She calls this trio a “profile makeover.” In the right patient, “combining these procedures helps balance the profile, and allows the results of the individual procedures to make the greatest impact,” Dr. Liotta says. It also leads to a more natural aesthetic.  “Combining procedures to achieve a more ideal profile can actually help the results of rhinoplasty look more natural — like your profile was meant to be like that,” she adds.

Combining procedures also minimizes downtime — there’s one anesthesia and one recovery — and usually saves a bit of money.  “Who doesn’t like that?” Dr. Liotta says. We’d have to agree.
 
### **6. The Minimally Invasive Brow Lift**
The last couple of years have seen many add ‘brow lift’ to the list of concerns they are looking to treat with neurotoxins. While the so-called [Botox brow lift](https://aedit.com/procedure/chemical-brow-lift) can have a lifting effect, the results are temporary (think: three to four months) and limited (it’s best for younger patients with minimal sagging). So, what’s the alternative? Enter the minimally invasive surgical brow lift. Gone are the days of cutting from ear to ear to lift the upper face. Instead, an [endoscopic brow lift](https://aedit.com/procedure/endoscopic-brow-lift) can achieve substantial and long-lasting brow elevation that rejuvenates the eye, brow, and forehead area with inconspicuous incisions. “It’s minimally invasive, little downtime, and has almost no scar,” Dr. Rowe says.

### **7. New Injectables on the Horizon**
Last year, we welcomed new hyaluronic acid-based fillers (hi, [Restylane® Contour](https://aedit.com/aedition/restylane-contour-cheek-filler)) to the market. In 2022, Dr. Levine says to expect “hyaluronic acid fillers as skin boosters” (as found abroad in treatments like Juvéderm® Volite and ProfHilo®), CaHA (“combining calcium fillers with HA fillers”), and “hyper-diluted and [biostimulatory fillers](https://aedit.com/aedition/benefits-of-sculptra-injections) to stimulate collagen and elastin” to be big. 
 
As for [neurotoxins](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin), Revance is seeking approval from the United States Food and Drug Administration (FDA) for daxibotulinum toxin (a.k.a. DAXI), which seeks to improve the longevity of neuromodulators from the standard 12 to 16 weeks to an average of six months. On the flip side, Bonti is a new toxin being developed by Allergan (the maker of Botox®) that should have a quicker onset time (within 24 hours!) but a shorter lifespan (just two to four weeks).  
 
## **For Body** 
Our experts expect lots of surgical and non-surgical body contouring requests this year (the COVID 19 is real) — plus, a modern take on the breast lift.
 
### **8. Cellulite Treatments**
When [Qwo™](https://aedit.com/procedure/qwo), the first-of-its-kind injectable that treats moderate to severe cellulite on the buttocks, received FDA approval in the summer of 2020, patients and providers alike rejoiced at the minimally invasive treatment option that was found to be safe *and* effective. After rolling out to doctors’ offices in 2021 ([read about one beauty editor’s experience](https://aedit.com/aedition/qwo-for-cellulite-before-and-after-photos)), Dr. Rowe expects the procedure to get even more popular in 2022. “It is quick and easy and is really the only effective treatment,” he shares. While it may be the best in the business at the moment, Dr. Levine says to stay tuned. “There may be other treatments coming out,” she forecasts. 

### **9. The Lipoabdominoplasty**
A traditional [abdominoplasty](https://aedit.com/procedure/abdominoplasty) (a.k.a. tummy tuck) is known for removing excess skin and tightening the abdominal muscles, but what if fat is your primary concern? Meet the lipoabdominoplasty. “It’s the thinner version of the old tummy tuck,” says [Lisa Cassileth, MD](https://www.drcassileth.com/surgeons/dr-lisa-cassileth.html), a board certified plastic and reconstructive surgeon in Beverly Hills. As she explains, the surgery works well for patients who are looking to remove central fat around the waist in combination with any excess skin. With pandemic-induced weight gain and the continued demise of the American diet, Dr. Cassileth says many patients find that, even with their best efforts, this fat is stubborn and is the new normal for them. The procedure “has the advantage of being able to remove all the fat, whereas tummy tucks focus primarily only on loose skin,” she notes. 
 
### **10. Post-Pandemic Customized Mommy Makeover**
“With the pandemic baby boom, my focus has become the post-pandemic customized [mommy makeover](https://aedit.com/concern/mommy-makeover),” Dr. Neinstein says, adding that a lot of moms come into his office with an ‘if not now when’ mentality since they find themselves unable to achieve their postpartum aesthetic goals with diet and exercise alone. 

To provide better and enhanced care, his practice offers a variety of procedures beyond the traditional tummy tuck and breast augmentation. “With so many fit moms, my common procedures are sculpting of the abdomen and waist or lipo 360 using the powerful energies of Vaser® and Renuvion® along with my innovation of c-section shelf repair and [mini tucks](https://aedit.com/procedure/mini-tummy-tuck),” he explains. In his experience, many women no longer need or want a full tummy tuck. “We can now, with new instruments and techniques, not interfere with the belly button and accomplish their goals,” Dr. Neinstein says. 
 
### **11. The Pocket Lift**
A fresh take on a mastopexy (a.k.a. [breast lift](https://aedit.com/procedure/breast-lift-solutions)), Dr. Cassileth says the so-called pocket lift “holds the breast high” and “looks great” — [sans implant](https://aedit.com/aedition/combining-breast-augmentation-with-breast-lift). “No longer will a patient need an implant to get a great lift,” she shares. During the procedure, the breast tissue is tucked under the pectoral fascia. “This holds the breast up, gives it support, and makes the top of the breast full again,” Dr. Cassileth explains. “Traditionally, breast surgeons used implants for this to work, but the pocket lift gives it a younger, fuller look without the implant.” 
 
The recovery is similar to a traditional lift, about a week of downtime followed by a month of no aerobics or heavy lifting. “The pocket lift is best for those who don’t want a bigger breast, but just want a lift with a great long-term, high result,” Dr. Cassileth notes. It can also be paired with a [breast reduction](https://aedit.com/procedure/breast-reduction-and-revision-solutions). For really ptotic (read: saggy) breasts, a piece of absorbable mesh is used to lock in the lift as the fat is tucked under the breast. “It’s also important to know that this technique, with or without mesh, will not interfere with mammograms,” Dr. Cassileth adds. “The breast tissue is still easily visible through the thin fascia.”
 
### **12. Double Reverse Mini Tuck**
Back to the belly, Dr. Neinstein says the double reverse mini tuck is another take on an abdominoplasty that is increasingly popular. “For women with loose, stubborn skin above the belly button, I can harness the skin-tightening effect of Vaser® and Renuvion® with the hybrid skin removal of a reverse tuck,” he explains. If you’re curious about the incision (and [resulting scar](https://aedit.com/aedition/scarring-after-body-plastic-surgery)), it is well-concealed. “Here, we take the skin out under the breast, hiding the scar in the fold,” he shares. “It typically looks like a scar from a breast augmentation, but it allows me to address their concerns of the abdomen,” he adds. 

### **13. Radiofrequency Skin Tightening**
You are no longer resigned to surgery if you want to treat skin laxity concerns on the body (or face). Dr. Cassileth says that [radiofrequency (RF) skin tightening](https://aedit.com/aedition/best-nonsurgical-skin-tightening-procedures) has continued to improve to the point where she and her team can, in some cases, address loose skin without cutting. Needless to say, not everyone is a candidate, but it can be a great alternative for the right patient. “It works best with thinner skin, like on the arms, which contour easily and lift well with the radiofrequency energy,” she says. 

### **14. ‘Nooks & Crannies’ Surgery**
Patients travel from near and far for Dr. Neinstein’s “nooks and crannies surgery,” as he calls it. Last year, he and his team custom-built instruments and created a safety protocol to perform calf and ankle [liposculpting](https://aedit.com/procedure/liposculpture). “Women are now wearing dresses and shorts for the first time because they have the lean sculpted calves and ankles they have desired but genetically were held back,” he says. “This has been so rewarding.”

We tapped the biggest names in plastic surgery to get their take on what’s new and next for face and body this year.

Biggest Medical Aesthetics Trends Of 2022 For Face And Body

The 14 Biggest Medical Aesthetics Trends Of 2022

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It’s that time of year again — the time to reflect on our proudest accomplishments and to evaluate the areas in which we can do better. Whether using an old fashioned pen and paper or digital ‘ink,’ we write down our hopes for the upcoming year. Some might be personal and others more professional. And while we can’t necessarily help you with those resolutions (although we are feeling *very* optimistic for you!), we are here to help you with your beauty, self-care, and wellness goals. 

We reached out to expert dermatologists and plastic surgeons in the [AEDIT Provider Network](https://aedit.com/providers) to get a read on what healthy habits and lifestyle changes they hope all of their patients will adopt in 2022. Use this guide as you please — commit to all nine resolutions or just one. Whatever you decide, we’re excited for you to reap the benefits. 

Below are the resolutions your dermatologist and plastic surgeon want you to make for 2022:

### **1. Reapply Sunscreen Every Two Hours**
“We all know the importance of [applying sunscreen](https://aedit.com/aedition/how-to-apply-sunscreen-and-not-miss-a-spot), but it is important to go one step further and remember to reapply. It is recommended to reapply sunscreen every two hours, or sooner if swimming or sweating, to help ensure efficacy and optimal benefit. Many of the [sunburns](https://aedit.com/aedition/dermatologist-tips-for-soothing-sunburn) we see in the office are a result of forgetting to reapply sunscreen. In general, the same rules apply for reapplication in terms of using a sunscreen that is broad-spectrum SPF 30 or higher, but there are [stick and powdered formulations](https://aedit.com/aedition/best-sunscreens-of-2021) that may be convenient for those who need to reapply on-the-go.” 
*- [Marisa Garshick, MD](https://aedit.com/provider/marisa-garshick-md-313), a board certified dermatologist in New York City*

### **2. Focus on Small Changes**
“Having made more New Year's resolutions than I can remember and having broken most of these along the way, I am usually not a big fan of resolutions. Instead, I emphasize to my patients (and myself) to every year reassess what has gone well and what we can change in the year ahead to live healthier and to more resolutely enjoy the world around us. And I recommend starting small. When we set goals that are unrealistic, we often get overwhelmed once the new year kicks in, and we ultimately revert back to our old habits. Simple steps, such as taking our skin fitness seriously and beginning a medical skincare regimen, is a practice that can actually be relatively easy to keep up. And, if we are compliant, this type of change will produce benefits for years to come. 

Another crazy suggestion I have for my patients is to reduce their [screen time](https://aedit.com/aedition/how-to-treat-blue-light-damage). Whether that is time in front of the television, the iPad, the computer, or the phone, taking time to actually live and appreciate what is going on right now makes us more mindful of our surroundings and the world around us.” 
*- [Gregory Buford, MD](https://aedit.com/provider/gregory-buford-md-1015), a board certified plastic and reconstructive surgeon in Lone Tree, CO*

### **3. Be Proactive About Facial Aging**
“The best time to consider a facial rejuvenation procedure is before a mild concern becomes a more significant problem. The superior elasticity and quality of younger skin lends to faster, more linear recovery from aesthetic treatments or surgery. We always strive to attain the most subtle, natural results in facial aesthetics, and procedures performed in one’s [late-forties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-to-consider-in-your-40s) or [early-fifties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-to-consider-in-your-50s-60s-70s) tend to achieve a gentle course-correction and the most beautiful, natural, and refreshed appearance possible.” 
*- [Adam Kolker, MD](https://drkolker.com/dr-kolker/), a NYC-based double board certified plastic and reconstructive surgeon* 

### **4. Establish a Beauty Routine You Can Stick To (No Matter the Length)**
“Taking care of ourselves and our skin is one of the most important things we can do for long-term health and beauty. While in-office procedures — like [lasers](https://aedit.com/aedition/best-laser-skin-hair-removal-treatments-for-darker-skin-tones), [facials](https://aedit.com/aedition/what-its-like-to-get-a-hydrafacial-for-clear-glowing-skin), [dermabrasion](https://aedit.com/aedition/difference-between-dermabrasion-microdermabrasion), etc. — are great for resetting skin and helping us achieve greater results than it is possible to safely get at home, what really makes the biggest difference in our skin is what we do to it on a daily basis. 

While some people might enjoy and benefit from a lengthy 13-step routine with a variety of products and techniques, others may find that they can only manage a quick, [three-step cleanse, moisturize, and SPF](https://aedit.com/aedition/skinimalism-skincare-trend) — and that’s ok. I like to say that the best beauty routine is the one that you can stick to. The most important thing is to stay consistent with it. This New Year, I’d like to see my patients find a beauty routine that works for them, and do it every day. If you take care of your skin and body, and use products that are good for your skin, the results will speak for themselves!” 
*- [Dendy Engelman, MD](https://aedit.com/provider/dendy-engelman-md-312), a board certified dermatologist and Mohs surgeon in NYC*

### **5. Prioritize Healthy Eating & Exercise**
“A resolution that I'd like my patients to incorporate into their lives long-term is adopting a healthy lifestyle, including a [well-balanced diet](https://aedit.com/aedition/how-food-impacts-skin-aging) and [routine exercise](https://aedit.com/aedition/why-you-should-lose-weight-before-plastic-surgery). One of the largest components of my practice is [body contouring](https://aedit.com/procedure/body-contouring-solutions), including [abdominoplasty](https://aedit.com/procedure/abdominoplasty) and [liposuction](https://aedit.com/procedure/tumescent-liposuction). I frequently tell patients that I will do everything I can to help them achieve the best result possible, but I can't want it more than they do. For these procedures to have long lasting results that actually get better over time, patients have to be committed to maintaining and improving the result with a healthy lifestyle.” 
*- [Umbareen Mahmood, MD](https://aedit.com/provider/umbareen-mahmood-md-23), a NYC-based board certified plastic and reconstructive surgeon* 

### **6. Focus on Gratitude**
“Spend a few minutes every day to reflect on the things for which you are grateful. Gratitude is a direct path to happiness, and happiness leads to a powerful, radiant beauty that can only come from the inside.” 
*- [Brendan Camp, MD](https://aedit.com/provider/brendan-camp-md-34645), a board certified dermatologist in NYC*

### **7. Upgrade to ‘Medical Grade’ Skincare**
“Get on a medical grade skincare routine and stick to it. This is directed by a true skincare expert and not a salesperson looking to sell creams. Stop trying the ‘newest’ or ‘greatest’ over-the-counter skincare line — it will probably disappoint you and then you spend more money in the long run on creams that will eventually just sit on the shelf. People need to [stick to routines](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-30s) once they find one that works well for them. I always tell people that using medical-grade skincare is like going to the gym, if you stop using it consistently, you will eventually lose the results you gained.” 
*- [Steven Pearlman, MD](https://aedit.com/provider/steven-pearlman-md-420), a double board certified facial plastic and reconstructive surgeon in NYC*

### **8. Focus on the Food You Eat**
“Maintaining a [well-balanced diet](https://aedit.com/aedition/best-diet-for-healthy-beautiful-skin) is important for a number of reasons. Not only are you providing your body with the nourishment needed to feel strong throughout the day, but the foods we eat make a difference in the look and feel of our skin, too. Diet largely impacts the levels of varying hormones in the body, and hormones regulate many of the natural processes that occur within the body. This means that the overall health and appearance of skin is, inevitably, closely related to hormone fluctuations that are influenced by diet. When we take a global approach to the health of our skin, diet should be one of the factors we take into account. Setting a New Year’s resolution to eat mindfully and consume healthy foods is something that anyone and everyone can benefit from.

Baked goods like doughnuts and pastries — although they may be delicious — are [packed with sugar](https://aedit.com/aedition/the-impact-of-candy-sugar-sweets-on-teeth-and-skin), which may contribute to the formation of fine lines and wrinkles. Diets that contain high concentrations of sugar and processed carbohydrates have the potential to negatively affect the skin’s collagen production. [Collagen](https://aedit.com/aedition/guide-to-collagen-in-skincare-supplements-aesthetic-medicine) keeps the skin youthful, supple, and firm. When collagen production decreases, there’s less resistance to wrinkles and skin may become lined.

Chocolate and candy, dairy products like cheese and ice cream, and fried foods can be linked to a change in hormones that regulate sebum production and cause an inflammatory response, both of which have the potential to [cause an acne breakout](https://aedit.com/aedition/relationship-between-food-and-acne-breakouts). Eating meat with a high content of saturated fat could also contribute to the formation of acne. This is because fattier cuts of meat are associated with high concentrations of insulin growth factor. Insulin growth factor stimulates the production of sex hormones (androgens) that trigger an upswing in sebum production and ultimately, the formation of acne. 

Eating these foods in moderation is definitely okay, however, focus on a well-rounded and balanced diet that incorporates lots of leafy greens, lean proteins, and fruits that are rich in antioxidants. Spinach, kale, carrots, and salmon are all power foods for your body and skin.” 
*- [Michele Green, MD](https://aedit.com/provider/michele-green-md-34642), a NYC-based board certified dermatologist* 

### **9. Choose Happiness**
“People should focus on activities that give them a brighter and more cheerful outlook on life. Exercise, relaxation, meditation, and enjoying one's job can give us the much needed positivity that then translates to a healthier us — and might even delay the need for plastic surgery!” 
*- [Gary Linkov, MD](https://aedit.com/provider/gary-linkov-md-6976), a double board certified facial plastic and reconstructive surgeon in NYC*

From reapplying sunscreen to focusing on the food you eat, these expert-approved resolutions will help you start the new year off right.

2022 Beauty And Wellness Resolutions From Dermatologists And Plastic Surgeons

9 Healthy Habits Your Dermatologist And Plastic Surgeon Want You To Adopt In 2022

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We often joke about appointments for [Botox®](https://aedit.com/procedure/botox) and its fellow neurotoxins (hi, [Dysport®](https://aedit.com/procedure/dysportr), [Jeuveau®](https://aedit.com/procedure/jeuveau), and [Xeomin®](https://aedit.com/procedure/xeomin)) being as routine as hair color touch-ups or mani/pedis. While it’s great that it may be true, it’s important not to overlook the fact that even a treatment as (relatively) quick and painless as Botox is still a cosmetic procedure that requires the expertise of a skilled injector. With more options on the market and handfuls of injectors offering every type of [injectable neuromodulator](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin) possible, it’s more pertinent than ever to fully understand the ins and outs of the minimally invasive procedure — including what can go wrong. 

Of course, not just anyone should be injecting you, nor should just anything be injected into your face (remember, you only have one face). So, before you let the needle touch your skin, make sure that you [have answers to all of your questions](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time), you’ve [done ample research on your provider](https://aedit.com/aedition/finding-the-right-plastic-surgeon-dermatologist-or-cosmetic-dentist), and you see the product being injected to make sure it’s 100 percent the real deal. Beyond the basics, what else do you need to know about your neuromodulator appointment? Read on for all of our safety tips and considerations.

## **The Social Effect**
Social media is a consortium for all types of images, including neuromodulators gone wrong and the scary side effects that they produce. Case in point: the [latest set of terrifying photos](https://www.instagram.com/p/CWePhmMDE_a/) show a patient’s forehead covered in lesion-like scabs as the result of illegal botulinum toxin injections. 

Neuromodulators are one of the most popular non-surgical procedures for a good reason. In 2020, injectors performed [more than 2.6 million](https://cdn.theaestheticsociety.org/media/statistics/aestheticplasticsurgerynationaldatabank-2020stats.pdf) botulinum toxin type A procedures according to the Aesthetic Society’s annual statistics report. Botox® and the like are a [valuable tool](https://aedit.com/aedition/where-to-use-botox-from-head-to-toe) in nearly every aesthetic doctor’s toolbox. 

But as elective cosmetic procedures become more common and socially accepted, it creates openings for unlicensed providers to offer bogus services, says [Brendan Camp, MD](https://aedit.com/provider/brendan-camp-md-34645), a board certified dermatologist in New York City. That opening also paves the way for an increase in unsatisfactory and, in some cases, dangerous results. “Sadly, the incidence of ‘botched’ neuromodulator injections has dramatically increased as unqualified injectors enter the industry,” says [Jessica Weiser, MD](https://aedit.com/provider/jessica-weiser-md-34640), a board certified dermatologist in NYC. 

Besides the fact that counterfeit injectables are not anything close to the real thing, the fakes can consist of anything from other drugs and bacteria to bleach and plain old water. In addition, these illegally obtained products are not typically purified and may contain contaminants. Once contaminants enter the skin, they can lead to allergic reactions, foreign body granulomas, serious infections, skin necrosis, and other complications with severe long-term ramifications, Dr. Weiser cautions.

The net-net: “As the amount of counterfeit product has skyrocketed, unlicensed injectors have started to enter the arena, purchasing product illegally from unauthorized sources or foreign countries and more,” she shares. This has led to what she calls “a completely uncontrolled injection market.”

## **Don’t Fall for Faux-tox**
Years ago, the school of thought was that Botox® and other neuromodulators were just for the rich and famous. But that's no longer the case. With more younger patients dabbling in minimally invasive procedures — like injectables and lasers — the supply and demand for neuromodulators increases. 

The growing demand creates a black market (fake injectables are often known as ‘faux-tox’) and an easy entry point for those who are not well-versed in the procedure to be swayed easily, says [Roberta Moradfar, NP](https://www.instagram.com/effacebyroberta/), a board certified aesthetic nurse practitioner and the owner of [EFFACÉ Aesthetics](https://effacebyroberta.com/) in Los Angeles. “Sadly, several injectors are offering fake versions of the neurotoxin and passing it off as the real thing to either cut their costs or because they are not qualified even to purchase injectables,” she says. 

Another reason for the recent rise of counterfeit and illegal neuromodulators is a considerable price increase in the real thing and the supplies associated with them. Syringes, needles, and other medical supplies have skyrocketed in price, especially during the pandemic, says [Macrene Alexiades, MD](https://www.nyderm.org/biography), a board certified dermatologist in NYC. “In contrast, prices have hit a limit, and it is simply not possible to increase prices much further despite the presence of record-breaking inflation in recent months,” she explains. “As a result, it has become challenging for doctors to generate profits, which has led to less reputable doctors and shady operations to resort to black market botulinum toxins, which are extremely dangerous.” 

Dr. Weiser adds that, with each subsequent year, the cost per vial rises for Allergan-branded Botox® Cosmetic, Galderma’s [Dysport®](https://aedit.com/aedition/dysport-vs-botox-for-wrinkles), and other neuromodulators approved by the United States Food and Drug Administration (FDA). “As more people desire to work in the aesthetic space but want to undercut industry pricing, they buy products cheaper and often without a license,” she says. 

Black market injectables have always existed, yet the use of these products is surging right now. “I observed and informed the companies that manufacture injectables of Instagram, Twitter, TikTok, and Facebook accounts posting videos of people injecting themselves with illegal forms of Botox® and fillers,” Dr. Alexiades says. And in this social media-driven world, utilizing black market products opens up Pandora’s box to the world of copycats, which will only lead to problems. Not to mention the rise of DIY injectables and fillers — a scary thought indeed. “There are numerous internet pop-ups that are mailing ‘DIY Botox’ kits for people to self-inject, posing additional levels of concern,” Dr. Weiser notes.
 
Just because you think you're getting the real deal, even if you're not, doesn't mean that whatever ersatz injectable follows the same production, testing, manufacturing, and FDA-approval processes as their legitimate counterparts. “Unregulated products are not manufactured at the same standards as branded products, and, as a result, the concentration of neurotoxins in an illegal product may be too high,” Dr. Camp warns. “This can cause botulism poisoning, which can present with muscle weakness, trouble swallowing, and difficulty breathing.” 

It goes without saying that non-FDA-approved products should never be injected into the face (or body). This is because these products lack the multi-phase approval process to ensure that a drug is safe and does what it is supposed to, says [Peter Vila, MD](https://aedit.com/provider/peter-vila-md-16177), a double board certified facial plastic and reconstructive surgeon in San Rafael, CA. “Injectables that have not gone through FDA approval are huge unknowns that can potentially cause harm or just not work because we simply don't know if they are safe or effective," he says.
 
## **What Can Go Wrong**
One of the more severe and painful known reactions to faux-tox is pyoderma gangrenosum. Dr. Alexiades describes it as a festering wound associated with inflammatory and autoimmune disorders. Yet, there are [reports](https://pubmed.ncbi.nlm.nih.gov/31957116/) of ulcers forming at injection sites with illegal botulinum toxin injections. It's rare yet severe, and failure to treat pyoderma gangrenosum can lead to further problems and complications. There's also the potential for scarring and pigmentation formation, which causes a whole other host of issues that can trigger long-term management. 
 
In the event of a mishap (especially with black market neuromodulators), the wrong dose, or a contaminated vial, redness, pain, and the formation of a pimple about 24 hours following the injection can occur. In extreme cases, “if it is an overdose within a short time, the patient can have trouble breathing due to paralysis of the diaphragm and muscles of breathing,” Dr. Alexiades shares. Less severe yet still disheartening effects can take upwards of two weeks post-injection to set in. However, any muscle weakness or fatigue symptoms usually become apparent about a week after treatment and may be accompanied by a heavy feeling in the treated area or asymmetries.

And, of course, the worst-case scenarios are the most extreme ones. Dr. Alexiades says that there have been black market botulinum toxin cases causing people to end up on respirators or even dead. “You must be intubated if you go into respiratory failure,” she explains. “And you must have wound care and antibiotics for infection.”

The takeaway is simple: Don’t let just anyone inject just anything into your face — it’s just not worth it.

## **Neuromodulators Done Right**
It seems as though anyone with a pulse can inject fillers and injectables into the face and call it a success. But, truth be told, it's not that simple, nor should it be. Dr. Vila calls injecting neurotoxins “both an art and a science.” As he describes, “the key to getting good results and avoiding complications comes down to good injection technique.”

Precise and accurate product placement is vital to maintain [facial harmony](https://aedit.com/aedition/facial-harmony-in-aesthetic-medicine) while eliminating the appearance of unwanted wrinkles. “Injecting too much neurotoxin or injecting it in undesired areas can cause unwanted effects such as eyelid drooping, the appearance of heavy brows, or, in some cases, an uneven smile,” Dr. Camp says. Overly arched eyebrows, often called ‘Spock eye,’ [droopy eyelids](https://aedit.com/aedition/guide-to-eyelid-ptosis-drooping), and upper eyelids that appear heavy and hang down low, creating a tired look that can interfere with vision, are other signs of poorly administered neuromodulators. “Additionally, poorly placed Botox around the eyes can result in an unusual smile and ‘shelf’ effect,” Dr. Weiser notes. Even though nobody wants subpar results, the only positive matter is that, usually, these effects are temporary and will slowly start to correct themselves as the body metabolizes the injectable product in the coming weeks.

Hygiene and technique are also crucial to avoid infections and severe [bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox). “You must use an immaculate technique and sterile delivery methods,” Dr. Alexiades says. “Injectors must always cleanse the injection area and only administer the drug with sterile needles and syringes.” These rules apply to all treatment areas of the face since not a single square inch of skin is off-limits nor immune to an adverse reaction, no matter how minor or extreme it may be. Also, your provider should always draw the injectable into a new, sterile syringe and fully clean the treatment area with alcohol, Dr. Weiser advises.

## **How to Fix Bad Results**
When it comes to correcting the effects of black market products or just a bad result, there are a few different approaches to take:

- **Time heals all wounds.** You can let the effects of the product wear away on their own, which takes about three months. Dr. Camp says that, for the most part, the goal is to encourage the body to metabolize the injected product so that the unwanted effects fade faster. “This can include applying vibration to the treated area, warm compresses, increased contractions of the affected muscles, and exercising, which may also help,” he shares.
- **Use special drops to mitigate the effects.** According to Dr. Weiser, you can use alpha-adrenergic drops, like iopidine, to give mild relief of droopy eyelid or brow by activating the Muller's muscle in the eye to help create a subtle lifting effect. 
- **Correct it with additional injections.** In the case of a droopy lid, the issue should resolve in a few weeks. When there’s an unnatural appearance from poorly injected toxins, Dr. Vila says that the area can usually be treated with a touch-up of extra toxin to create a more natural look.
- **Immediately intervene when necessary.** “Infections and foreign body reactions are much more serious concerns because they can leave behind permanent tissue damage and scarring,” Dr. Weiser warns. They “require immediate intervention with antibiotics, steroids, debridement, or more,” she adds.

## **Why You Always Need to Do Your Homework**
No matter what injections you are considering, it’s of the utmost importance to always do your research, which includes:

1. **Vetting Your Injector**: Search for a good, reputable provider in your area. It’s okay to ask around and get recommendations, but make sure the injector you choose is in good standing and does not have a reputation for using fake products or inferior results. “It is the patient’s responsibility to ensure they are seeking care from a vetted professional, such as a board certified dermatologist,” Dr. Camp says.
2. **Avoiding Price Shopping**: We love a bargain, too, but aesthetic medicine is not the area skimp. If you’re purchasing deeply discounted injectables, there’s always the threat of it not being the real deal, which leads us to...
3. **Getting the Real Thing**: Only seek treatment from a licensed physician who buys brand-name, FDA-approved injectables directly from the manufacturer. Don’t be afraid to ask your injector to show the bottle and its packaging. 

At the end of the day, a little research goes a long way. Even in the best hands, it is always possible for something to wrong, but finding a qualified provider who you trust (and [not doctor hopping](https://aedit.com/aedition/dangers-of-doctor-hopping)) is one of the best ways to ensure the safety and efficacy of your treatment.

From finding a qualified provider to ensuring the product is legit, here's how to ensure your neuromodulator injections are as safe and efficacious as possible.

How To Prevent Botox Complications From Unskilled Injectors And Counterfeit Product

What You Need To Know About How Botox Can Go Wrong

shutterstock 1100834444

From private nurses to meal plans, make sure your plan is anything but basic.

The Best Plastic Surgery Recovery Centers, Nursing Services, Products

How To Recover From Plastic Surgery In Comfort And Style

shutterstock 1555273766

When [dermal fillers](https://aedit.com/procedure/dermal-filler-and-injectable-solutions) first became popular some umpteen years ago, it seemed like no one would ever tire of their ability to [sculpt and rejuvenate](https://aedit.com/aedition/how-to-reshape-your-face-with-filler-botox-injectables) sans surgery. And it certainly didn’t seem like anyone would ever be on the quest to find the next best thing. The truth is though that filler fatigue can happen — and it is becoming more prevalent — but not for the reasons you might think. 

## **Why Filler Fatigue Happens**
In some patients, the more often they receive filler injections, the less content they become with the results. They still want to see definition and volume like they once did, but it becomes a game of chase. The phenomenon is known as filler fatigue, and it boils down to the simple premise of a patient feeling as if filler no longer works for them.

Why some say they no longer notice positive changes with filler comes down to a few causes:

- **Societal Standards**: There is mounting pressure to look young, which creates fatigue and leads patients to turn to other modalities. “They become tired of hyaluronic acid gel fillers to lift and fill the midface,” says [Ryan Neinstein, MD](https://neinsteinplasticsurgery.com/), a board certified plastic and reconstructive surgeon in New York City.
- **Gravity**: There's the gravitational factor. Gravity's effect on the skin and body never takes a day off, nor does it stop. The aging process continues even when injecting fillers.
- **Overuse**: The overuse of fillers and [even neuromodulators](https://aedit.com/aedition/botox-immunity-neurotoxin-resistance) can lead to less-than-ideal results and leave patients wanting more.
- **Misuse**: The products are misused by unqualified professionals, says [Julie Russak, MD](https://aedit.com/provider/julie-russak-md-4645), a board certified dermatologist in NYC, which can lead to unsatisfactory results. In some cases, even if an injectable is used correctly, a patient may need an additional procedure, besides filler, to treat their concern.
- **Overfilling**: “It’s when a filler is used only for volume replacement — especially in large volumes — that people refer to filler fatigue as the skin stretching out due to the overuse of product,” Dr. Russak notes. This stretching effect impairs skin elasticity, making it appear not as tight as it once was. 

The concept of filler fatigue does not affect every patient. Plenty never tire of the remedy and are filler patients indefinitely. But those who feel filler burnout starting to settle in — Dr. Neinstein says it tends to occur in the mid- to late-forties — often begin to make more rational decisions about why they are potentially overspending on temporary remedies instead of considering customized and lasting surgical results. “Filler products are [reversible](https://aedit.com/aedition/hyaluronidase-to-dissolve-dermal-filler) and lack long-term sustainability, plus the costs can be overwhelming,” he shares. “There is a lower barrier to surgical entry when patients exhaust the non-surgical arena because they do not have to wonder if they are overdoing it or reaching beyond the psychological threshold they have set.”

## **Too Much of a Good Thing?**
For all of the benefits filler provides, having too much injected (a.k.a. [overfilling](https://aedit.com/aedition/how-to-correct-overfilled-facial-features)) can lead to an unnatural and distorted look that disrupts the natural balance of the face. “You can immediately recognize this imbalance in someone whose appearance is unnaturally plump,” suggests [Brendan Camp, MD](https://aedit.com/provider/brendan-camp-md-34645), a board certified dermatologist in NYC. Because a lack of [harmony](https://aedit.com/aedition/facial-harmony-in-aesthetic-medicine) can result from improper use of filler, it is crucial to seek out and choose a board certified dermatologist or plastic surgeon who understands facial anatomy and takes a prudent approach that yields natural-looking results.

It's not so much about the type of filler or technique used as it is about knowing what is and is not suitable for the face. “It can happen with any filler or any part of the face,” says [Debra Jaliman, MD](https://www.drjaliman.com/), a board certified dermatologist in NYC, though she adds that it’s less likely for younger patients to notice the effects of filler fatigue. The recurrence of injecting over and over can cause the face to look heavier, as each treatment session draws water to the area so the product can plump as intended. All this extra water can be retained in the face and potentially impede lymphatic drainage. In extreme cases, it can even change the skin's elasticity and cause it to be less resilient due to the skin having to support above average amonuts of water. 

### **Rejuvenating vs. Refilling**
As we age, the amount of volume in the face decreases and gravity sets in, forcing the face to sink. “We also see a loss of collagen in the skin, which results in sagging and loose texture,” Dr. Russak explains. However, she says, if you only look at the face in terms of using filler as a volumizing agent to stretch out the skin so lines disappear, it’s easy to run the risk of overfilling the face and creating a doughy, distorted look. “It’s important to take into account all of the factors of an aging face and not just [volume loss](https://aedit.com/aedition/best-procedures-to-restore-facial-volume),” she advises. Those other elements include skin laxity, fat loss, decreased collagen and elastin, and even bone resorption.

Even an aging face can appear full (or very full), which, Dr. Russak shares, is because volume has sunk to the lower face and created marionette lines, cheeks that drop down, and deep nasolabial folds. “Because of this, it’s important to lift the face to work against gravity rather than ‘fill,’” she says.

## **How to Avoid Filler Fatigue**
Injectable fillers are great for minor tweaks, but when they become more habitual or routine than necessary, they can start to cause problems. Unlike neuromodulators, which should follow a [maintenance schedule](https://aedit.com/aedition/how-frequently-to-get-non-surgical-cosmetic-procedures-like-dermal-filler-botox-chemical-peel) every three to four months, inject fillers only when needed.

To avoid expending the benefits of fillers, Dr. Jaliman recommends sticking with hyaluronic acid-based injectables because they easily dissolve if they are causing problems. More permanent fillers cause inflammation within the skin, leading to scar tissue to build up and adverse effects down the road. Rather than rely solely on one treatment, she also says that multiple modalities often need to be used together (think: [lasers](https://aedit.com/aedition/guide-to-ablative-laser-skin-resurfacing), [peels](https://aedit.com/aedition/guide-to-superficial-medium-deep-chemical-peels), radiofrequency, Botox®, fillers, and [skincare](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-30s)) for a comprehensive result.

Fillers play an essential role in the aesthetic arena, and most dermatologists and plastic surgeons agree that they have their place in proper patients. “When used in the appropriate setting, fillers are great at making subtle changes in skin lines and shadows that trim years of one's appearance in a matter of minutes,” Dr. Camp says. Yet, when they no longer provide the desired result, it may be time to weigh the options and decide if a switch is in the cards. 

Beyond injectables, age-rejuvenating surgical procedures, like a [facelift with fat grafting](https://aedit.com/aedition/guide-to-facial-fillers-fat-grafting-after-facelift) or [blepharoplasty](https://aedit.com/aedition/combining-blepharoplasty-and-brow-lift) (among many other things), may be the better choice to create a youthful look that offers longer-term satisfaction. Just keep in mind that, even when going under the knife, there still may be a reason to go under the needle. At the end of the day, it’s a balancing act to create a harmonious face.

Everything you need to know about this serious phenomenon.

Dermal Filler Fatigue Due To Overfilling, Unsatisfactory Results

Is Filler Fatigue Real?

ronise-da-luz-Ux szkSExrs-unsplash

Other than retinol, [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare) is perhaps the most talked about skincare ingredient around thanks to its array of skin-boosting benefits. The potent antioxidant defends against environmental stressors (think: free radical damage), in addition to minimizing the appearance of visible signs of aging, including fine lines and wrinkles, pigmentation, and dullness. But despite its workhorse status, vitamin C products have historically been difficult to formulate and unpleasant to use (hi, stinging and smelly formulas).

Fortunately, there is a new crop of skincare lines working to change that, and [Common Heir](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fcommonheir.com%2F) is one of the brands leading the charge. “What we set out to do is redefine your top-shelf beauty classics with a luxe-meets-[sustainable](https://aedit.com/aedition/how-to-make-your-beauty-routine-more-sustainable) twist,” says Cary Lin, the co-founder and CEO of Common Heir. In April 2020, the brand launched with a single product, the [Vitamin C Serum](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fcommonheir.com%2Fproducts%2Fvitamin-c-serum), that challenges pretty much everything you’ve come to expect from the antioxidant.

“We did a lot of research with our community members about what they liked and didn't like about their vitamin C experience,” Lin shares. “A pain point was that people would invest so much in these products to find that they would sting or smell like bacon or have that Listerine-effect on the skin.” Lin says she and her co-founder, Angela Ubias, became “obsessed with solving” these frustrations and ensuring their customers were educated on exactly why the [topical vitamin](https://aedit.com/aedition/guide-to-topical-vitamins-in-skincare) should be in their routine. 

Here, we’re breaking down some of the most common misconceptions and under-appreciated benefits of vitamin C in skincare. Read on for the top five and check out a [replay of our Instagram Live](https://www.youtube.com/watch?v=vcBoEt3R0Qg) with Lin to learn more about the beloved active ingredient:

<a href="https://youtu.be/vcBoEt3R0Qg" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://youtu.be/vcBoEt3R0Qg</a>

## **1. It Doesn't Have to Smell Bad — or Change Color**
Hotdog water. Stale bacon. Metallic. Those are just a few of the words that have been used to describe the aroma of some of the most well-known vitamin C serums on the market. While you may have grown accustomed to holding your nose while applying them, vitamin C products don’t have to smell to work. 

L-ascorbic acid is the most active and studied form of vitamin C, and it's found in many of the lotions and potions that you associate with that pungent scent. L-ascorbic acid is notoriously unstable and not always well-tolerated by the complexion, but a more stable alternative can be found in tetrahexyldecyl (THD) ascorbate. “It’s an oil-soluble vitamin C derivative,” Lin explains. “So much of what traditional l-ascorbate acid formulas do is that they put things in not for your skin but to make the vitamin C behave.”

L-ascorbic acid oxidizes when exposed to light and air, which is why it is often recommended to look for formulas packaged in dark or opaque bottles that are airtight. Over time, it changes in color from yellow to orange to brown and leaves many users wondering whether or not the product is still safe and effective to use. 

THD ascorbate “doesn’t have that yellow color that is associated with l-ascorbate acid,” Lin notes, adding that Common Heir’s unique single-dose, plastic-free packaging also helps to maintain potency. “Part of what we wanted to do was use the capsule to protect the formula… so it’s at its absolute freshest when you are using it,” she shares. “Our [shelf life](https://aedit.com/aedition/shelf-life-of-skincare-products-ingredients) is actually 18 months, which is two to three times the average.”

## **2. It Doesn't Have to Sting**
In order to be effective, l-ascorbic acid needs to be formulated at a very specific pH (below 3.5). Your skin's natural pH is around 5.5, so that acidity is “why you get that stinging and irritation,” Lin shares. Additionally, l-ascorbate acid is water soluble and struggles to penetrate the skin. To make up for that, it is often included at high — and potentially irritating — concentrations to yield results. 

But using skincare with vitamin C doesn't have to be [sensitizing](https://aedit.com/aedition/difference-between-sensitive-vs-sensitized-skin). “By being oil-soluble, [THD ascorbate] can penetrate more deeply because our skin is layers of fatty acids,” Lin explains. “It can go deeper into the skin without irritation.” Plus, you don’t need to overload the skin to reap the benefits. “There is a tradeoff between how much of something you put into a product and how it feels,” she says. “It’s cool to have an arms race over the potency of something, but the truth is: If it comes at an aesthetic compromise — it stings, it’s too oily, or too heavy — you’re not going to want to use it.”

For Common Heir, Lin says a 10 percent concentration of THD ascorbate “ended up being the sweet spot between delivering that pigmentation-fading, dark spot-fading, and [fine line and wrinkle](https://aedit.com/concern/fine-lineswrinkles) improvement without making the formula too heavy, too oily, or not fun to use.” With that said, every formula is unique. It’s like comparing apples and oranges to base your assessment of a product simply by looking at the concentration of its active ingredients. 

## **3. It Does More Than Brighten the Skin**
What is the benefit of vitamin C in skincare? If you answered ‘brightening,’ you are correct — but that’s not its only superpower. “Part of the reason we started Common Heir with just one product and why we chose vitamin C to be that product is because of the universal benefits,” Lin shares. “It doesn't discriminate against a certain type of skin or certain pigment level.”

What it does do is check many of the boxes we tend to talk about in relation to the appearance and health of the skin. On the aesthetics front, it smooths [skin texture](https://aedit.com/concern/uneven-skin-texture), [evens skin tone](https://aedit.com/concern/uneven-skin-tone), and even works at a cellular level to stimulate collagen and elastin production. “It helps treat, but it also helps prevent,” Lin adds. 

As it relates to skin health and preventing visible signs of aging, vitamin C is an antioxidant that defends against environmental stressors like free radicals, UV radiation, and pollution. “Prevention is definitely a lot easier than treating something,” Lin notes. “It’s sort of like a daily multivitamin that you take for your health; it’s literally a vitamin that is awesome for your skin.”

## **4. It Boosts the Benefits of Your Sunscreen**
Speaking of preventative skincare, the most vital prevention step is [sunscreen](https://aedit.com/aedition/dermatologist-approved-sunscreen-for-face-body). We know we sound like a broken record on the topic, but we must reiterate that you should be wearing a broad-spectrum sunscreen with a minimum of SPF 30 every single day regardless of the weather or if you are spending time outdoors. [Reapply](https://aedit.com/aedition/how-to-apply-sunscreen-and-not-miss-a-spot) the formula every two hours (or more frequently when sweating or swimming). 

But what if we told you that you could improve the protection of sunscreen simply by paring it with vitamin C? “Vitamin C plays super well with sunscreen in terms of boosting the antioxidant benefits when you are out in the sun and getting that exposure,” Lin says. A [2013 study](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3673383/) on the effectiveness of antioxidants with and without sunscreen found that:

> *Sunscreens when properly applied prevent UV-induced erythema and thymine dimer mutations that contribute to cutaneous carcinogenesis [skin cancer]. However, sunscreens block only 55 percent of the free radicals produced by UV exposure...To optimize UV protection, it is important to use sunscreens combined with a topical antioxidant. Vit. C does not absorb UV light but exerts an UV-protective effect by neutralizing free radicals, while this effect is not seen with sunscreens. Under laboratory conditions, it has been shown that application of 10 percent topical Vit. C showed statistical reduction of UVB-induced erythema [skin reddening] by 52 percent and sunburn cell formation by 40-60 percent.*

When [layering products](https://aedit.com/aedition/how-to-apply-layer-skincare-products), you always want to be sure that sunscreen is the last step in your skincare routine (if you wear makeup, it should be the final step before applying cosmetics). As such, your vitamin C serum should be applied *after* cleansing and toning but *before* sunscreen.

## **5. It Can Be Used Morning or Night**
Because vitamin C and sunscreen are a skincare dream team, you may want to consider applying the ingredient in the morning. With that said, it can be incorporated into your A.M. or P.M. regimen depending on your skin type and the other products you are using. “I use it during the day because of that extra pairing benefit with SPF… and I personally use [retinol](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare) and other ingredients at night,” Lin notes.

In the case of the Common Heir formula, the oil-soluble nature of THD ascorbate means that the formula is more emollient than you may have experienced with l-ascorbate acid-based products. Even so, it’s designed to be layered. “We wanted something that was silky smooth without any silicones,” Lin explains. “We wanted to make sure we created something that wasn’t going to pill or not play well with the other skincare steps.”

At the end of the day, the benefits of vitamin C are cumulative and require consistent use to maintain. Finding a product that you enjoy applying and that feels good on your skin is key to compliance, and it is also different for everyone. That’s why Lin says formulating with vitamin C is a lot like baking chocolate chip cookies (yes, really). “We wanted a silky smooth, chewy cookie with big chocolate chunks,” she says. “[Our goal was] to hit that ratio of chocolate to dough that I know we all have our own preferences on.”

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*

The powerhouse antioxidant has a host of skin-boosting properties, but there is a lot of confusion about how to reap the benefits. Here’s what you need to know.

The AEDITION

Ask The Expert