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Whether it's monthly facials or quarterly Botox® appointments, minimally invasive and non-invasive cosmetic treatments have become a routine part of many people's beauty regimens thanks to their expediency and lack of downtime. Treating signs of aging, skin tone, sun damage, sagging skin, acne scars, and even a double chin (to name a few!) is all possible without going under the knife, but the results don't last forever.

So, how often do these non-invasive treatments need to be performed in order to maintain your desired results? Here, we break down the ideal frequency for some of the most popular non-surgical procedures.

### **Chemical Peel**
Whether you're looking for a quick radiance boost or a deep resurfacing, chemical peels can treat everything from visible signs of aging (think: fine lines and sun damage) to hyperpigmentation and scarring. The type of result you see and how often you can repeat the treatment depends on the strength of the acid(s) involved. Generally speaking, they are classified as [light](https://aedit.com/procedure/superficial-chemical-peels), [medium](https://aedit.com/procedure/medium-depth-chemical-peels), or [deep](https://aedit.com/procedure/deep-chemical-peels).

- **Light Chemical Peel**: Also known as a superficial chemical peel, an alpha hydroxy acids is used to lightly exfoliate the epidermis (read: outer) layer of the skin. Minor flaking may occur in the days after treatment, and the radiance-boosting benefits often last a couple of weeks. Treatments can be repeated every three to six weeks.
- **Medium Chemical Peel**: Medium depth chemical peels, which typically involve trichloroacetic acid (TCA), reach the papillary dermis layer of the skin (the uppermost layer of the dermis) and can correct uneven skin tone and texture. Patients can expect to deal with peeling skin for up to 10 days post-treatment, and the procedure can be repeated every three to six months for prolonged results.  
- **Deep Chemical Peel**: If ever there were a case for one-and-done, it would be this. The intensely exfoliating treatment reaches the lower layer of the dermis, which allows it to completely resurface the skin. Up to three months of recovery time may be needed to heal, and the procedure is rarely performed more than once on a single patient.

### **CoolSculpting®**
This non-surgical liposuction alternative permanently destroys fat cells by freezing targeted areas. The body contouring treatment is often used to treat stubborn fat deposits on the stomach, hips, thighs, and chin area. After one session, [Coolsculpting®](https://aedit.com/procedure/cool-sculpting) patients can expect to see a 25 to 30 percent fat reduction within about four months. A series of one to three treatments spaced at least 60 days apart are often needed to fully treat each problem area.

### **Dermal Filler** 
Injectable filler has become one of the gold standards of minimally invasive aesthetics thanks to ability to reshape the face sans surgery. From temporarily mimicking the effects of surgery (hi, [liquid rhinoplasty](https://aedit.com/procedure/liquid-rhinoplasty)) to reducing the appearance of fine lines and wrinkles, [dermal filler](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers) comes in a variety of forms that treat different areas and last for different lengths of time.

- **Hyaluronic Acid (HA) Filler**: The most temporary option is found under brand names like Juvederm®, Belotero®, and Restylane® and lasts six to 12 months as the body absorbs the particles.
- **Calcium Hydroxylapatite (CaHA) Filler**: CaHA injectables like Radiesse® can be expected to last 12 to 18 months thanks to the thicker viscosity that is ideal for treating deeper lines and wrinkles.
- **Polylactic Acid (PLA) Filler**: More than just a filler, PLA products like Sculptra® are classified as 'collagen stimulators' thanks to their ability to help skin naturally rebuild collagen over time, in addition to smoothing lines for 18 to 24 months.
- **Polymethyl-methacrylate Microspheres (PMMA) Filler**:  Bellafill® is the only FDA-approved PMMA injectable treatment on the market. The synthetic, biocompatible substance takes the shape of a microsphere under the skin that provides structure and firmness for about five years.
- **Polyalkylimide Filler**: Semi-permanent injections like Aquamid® have a layer of collagen form around them over time that can boost the filler-like results that already last for five-plus years.

### **Kybella®**
FDA approved to treat moderate to severe submental fat, the deoxycholic acid injection can eliminate a double chin and provide jawline definition. While the results are known to be long lasting, multiple [Kybella®](https://aedit.com/procedure/kybella) treatments may be needed to achieve desired results. A single treatment consists of up to 50 injections spaced one-centimeter apart, and up to six single treatments (staggered at least one month apart) may be administered. 
 
### **Laser Hair Removal** 
The laser therapy treatment is one of the most common cosmetic procedures in the U.S. and involves heating and killing the hair follicle to prevent future hair growth. Sessions are scheduled every four to six weeks to complement the natural hair growth cycle, with six to eight typically needed for full results. While [electrolysis](https://aedit.com/procedure/electrolysis) is the procedure FDA-approved for permanent hair removal, [laser hair removal](https://aedit.com/procedure/laser-hair-removal) touch ups are usually only needed every six to 12 months (if at all).

### **Laser Skin Resurfacing**
Like chemical peels, lasers can be used to treat a variety of skin concerns ranging from superficial to deeply resurfacing depending on the strength of the product used. Generally speaking, lasers fall into two categories, non-wounding and wounding, and the results can be judged accordingly.

- **Non-Ablative Laser Treatments**: Non-wounding lasers like [pulsed light](https://aedit.com/procedure/ipl), [pulsed dye lasers](https://aedit.com/procedure/pulsed-dye-laser), and [fractional](https://aedit.com/procedure/nonablative-fractional-lasers) lasers do not remove layers of skin, which means an initial series of treatments spaced four to six weeks apart will be for best results. From there, treatment plans can be restarted or touch ups can be administered a couple times a year, as skin tone or texture concerns return.
- **Ablative Laser Treatments**: These wounding treatments include [carbon dioxide](https://aedit.com/procedure/ablative-co2-laser) (CO2) and [erbium](https://aedit.com/procedure/ablative-erbium-laser) lasers that remove the outer layers of skin. Typically used to correct concerns in one treatment (versus the many treatments needed with non-ablative devices), results last several years.

### **Microneedling**
The collagen-inducing therapy is a minimally invasive procedure that stimulates the body's natural healing mechanisms to address skin concerns like laxity, fine lines, wrinkles, scarring, stretch marks, and pigmentation. Microneedles puncture the skin's surface to create micro wounds that activate collagen production. Combining [microneedling](https://aedit.com/procedure/microneedling) with [platelet-rich plasma](https://aedit.com/procedure/microneedling-with-prp) or [radiofrequency](https://aedit.com/procedure/microneedling-with-radiofrequency) can boost the results, but a series of three to six treatments spaced four to six weeks apart is usually needed to see best results.  

### **Neurotoxin Injections** 
Botulinum toxin type A (BoNT-A) injections temporarily paralyze underlying muscles to prevent contraction and smooth the appearance of fines lines and wrinkles (think: crow's feet, horizontal forehead lines, and frown lines). While they are colloquially called 'Botox,' the Allergan-manufactured injectable is actually one of four approved by the FDA. [Botox®, Dysport®, Jeuveau®, and Xeomin®](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin) each come from different pharmaceutical companies and have their own unique formulations, though each can be expected to last about three to four months.

### **Theadlift** 
If a non-surgical facelift is what you're after, [thread lifts](https://aedit.com/procedure/thread-lift) provide lifting and firming effects for six months to one year (i.e. until the threads dissolve). The goal of a thread lift is to reposition underlying skin tissue by weaving a dissolvable polypropylene thread in a cross-hatch or basket weave pattern under the targeted area to provide an immediate lifting effect, in addition to long term collagen stimulation. 

### **Ultherapy®** 
Ultrasonic skin tightening, like [Ultherapy®](https://aedit.com/procedure/ultrasound-skin-tighteningultherapy), utilizes concentrated ultrasound waves to create heat deep within the dermis that triggers the body's natural collagen and elastin production. Most patients only need one treatment to start and maintenance sessions beginning one- to two-years after the first procedure can sustain and improve the results.

## **The Takeaway**
Unlike [cosmetic surgery](https://aedit.com/aedition/how-long-do-cosmetic-surgery-plastic-surgery-results-last), which often requires weeks or months of recovery time, many non-invasive procedures allow patients to enjoy results with little to no downtime. What non-surgical procedures lack in invasiveness, however, they often make up for in maintenance. In addition to needing a series of treatments in order to see results (think: three microneedling appointments spaced four to six weeks apart), routine touch ups (like going in for more Botox® every three to four months) will likely be needed. Consulting with a [board certified dermatologist or plastic surgeon](https://aedit.com/aedition/medical-board-certification-in-plastic-surgery-cosmetic-dermatology) will ensure you are on the best treatment plan for your needs.

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From Botox® and filler to microneedling and ultrasonic skin tightening, here’s a guide to how frequently non-invasive treatments need to be performed in order to maintain your desired results.

How Often You Should Get Non-Surgical Cosmetic Procedures Like Botox, Dermal Filler, Chemical Peels

How Often Do You Need To Touch Up Non-Surgical Cosmetic Procedures?

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Nothing lasts forever — not even the results of cosmetic surgery. While going under the knife may have longer-lasting effects than non-surgical cosmetic treatments, most plastic surgery procedures still have a shelf life that can range from a few years to more than a decade.

No two surgeries are the same, but having a basic understanding of what will happen before, during, and after a procedure can help ensure that your expectations are properly managed. The longevity of cosmetic and plastic surgery results depends largely on (a) the patient and (b) the surgeon’s technique, but there are some general rules of thumb when it comes to how long you can expect your results to last.

While nothing replaces a consultation with a [board certified plastic surgeon](https://aedit.com/aedition/medical-board-certification-in-plastic-surgery-cosmetic-dermatology), we’ve put together a guide to the average lifespan of some of the most common cosmetic surgery procedures. From lifts (think: facelift, brow lift, neck lift, breast lift, and butt lift) and hair transplants to rhinoplasties and breast implants, here’s how long popular cosmetic surgery and plastic surgery procedures typically last.

## **For Face**
*Non-surgical injectables (think: Botox®, filler, and the like) and laser treatments may be all the rage for their lack of invasiveness and downtime, but sometimes going under the knife is needed for a more dramatic and long-term fix. Even so, a surgical procedure cannot prevent the future effects of aging, which is why very few facial plastic surgery and cosmetic procedures claim to last forever.* 

### **Blepharoplasty (a.k.a Eyelid Surgery)**
**Lifespan**: 10 years for upper eyelid blepharoplasty; Lifetime for lower eyelid blepharoplasty
Blepharoplasty is a surgical procedure that improves the appearance of the eyelids by removing excess skin or fat deposits from the orbital area. It can be performed on either the upper and lower eyelid, and, depending on the reason for the procedure, may be classified as either a plastic and reconstructive procedure or an aesthetic surgery. 

- **Upper Eyelid Blepharoplasty**: The results of [upper eyelid surgery](https://aedit.com/procedure/upper-eyelid-blepharoplasty) usually last about 10 years (as the face and eye area continue to age), at which another procedure may be necessary. 
- **Lower Eyelid Blepharoplasty**: Unlike its upper eyelid counterpart, the results of a [lower eyelid surgery](https://aedit.com/procedure/lower-eyelid-blepharoplasty-transcutaneous-approach) tend to last a lifetime and a followup procedure is rarely necessary.

For patients whose vision is impaired by sagging eyelids, for example, the surgery would be considered medically necessary and, therefore, covered by insurance. Patients who simply wish to rejuvenate the eye area for cosmetic reasons, meanwhile, the treatment would probably be considered elective. Either way, the results are typically the same.

### **Browplasty (a.k.a. Brow Lift)**
**Lifespan**: 5 to 10 years
Known as a browplasty, brow lift, or forehead lift, the surgery involves raising the brows to a more youthful position and, in the process, reducing the appearance of lines and wrinkles, sagging skin, and hooded eyelids. During an [endoscopic brow lift](https://aedit.com/procedure/endoscopic-brow-lift), the surgeon places an endoscope through small incisions made within the hairline to adjust the muscle and tissue beneath the skin. Because of the natural aging process, results of a browplasty are not forever. Most last five to 10 years.

### **Rhinoplasty (a.k.a. Nose Job)**
**Lifespan**: Lifetime 
Like blepharoplasty, a [nose job can be 'functional' (i.e. medically necessary) or 'cosmetic' (read: elective)](https://aedit.com/aedition/difference-between-cosmetic-rhinoplasty-vs-functional-rhinoplasty). Both classifications require a great deal of patience during the healing process, with full results often taking up to a year to reveal themselves. But, they are worth the wait. A rhinoplasty is one of the few surgical procedures that comes with permanent, lifetime results. 

### **Rhytidectomy (a.k.a. Facelift)** 
**Lifespan**: 10 years
The gold standard of facial rejuvenation, a [surgical facelift](https://aedit.com/procedure/smas-facelift) has the most dramatic and long lasting results of any of the available lifting and firming techniques on the market. It addresses facial sagging and volume loss in a way few other treatments do, but, even so, a rhytidectomy should only be expected to last, on average, 10 years or so as the skin and face continue to naturally age.

### **Lower Rhytidectomy (a.k.a. Neck Lift)**
**Lifespan**: 10 years
Like a facelift, a [neck lift](https://aedit.com/procedure/neck-lift-lower-rhytidectomy) also has about a 10-year lifespan due to the natural aging process. During the procedure, incisions are made along the hairline and ear to remove excess skin and fat. In addition to removing jowls, a lower rhytidectomy yields a more defined neck and jawline.

## **For Hair**
*Hair loss is a concern for men and women alike. While treatments like [platelet-rich plasma (PRP) injections](https://aedit.com/aedition/kourtney-kardashian-prp-injections-to-treat-hair-loss) are gaining popularity for their ability to improve hair regrowth over time, hair transplants remain among the most effective, albeit invasive, ways to correct hair loss.* 

### **Hair Transplants**
**Lifespan**: Lifetime 
Generally speaking, there are two types of hair transplants. Both involve harvesting healthy hair follicles from a donor site for implant on balding or thinning areas.

- [Follicular Unit Extraction (FUE)](https://aedit.com/procedure/follicular-unit-extraction-fue): Healthy hair follicles are extracted one by one from a patient's scalp and implanted to other areas around the head.
- [Follicular Unit Transplant (FUT)](https://aedit.com/procedure/strip-harvesting): Also known as strip harvesting, surgeons remove a section of hair from the back of the head (or another place it can be easily concealed). The strip is then dissected into smaller segments that can be implanted as needed.

In each case, the transplanted hair typically shed within the first two to three weeks before growing back. Full results can take up to 18 months and touch up treatments may be needed, but the results are considered permanent.

## **For Body**
*Like the face, surgical and invasive procedures for the body typically last longer than non-invasive treatments that are meant to address similar concerns. While many body surgeries do offer permanent results, that longevity is often caveated with the need to maintain a healthy weight or lifestyle.*

### **Abdominoplasty (a.k.a. Tummy Tuck)** 
**Lifespan**: Lifetime with healthy lifestyle
A [tummy tuck](https://aedit.com/procedure/abdominoplasty) is a multifaceted cosmetic procedure that removes excess skin and excess fat, in addition to restoring muscle definition, for a more contoured abdomen. While the loose skin and fat removal are permanent, lifestyle factors (think: weight changes) can impact the longevity and quality of the results.

### **Brazilian Butt Lift** 
**Lifespan**: Lifetime after initial reabsorption period
A [Brazilian Butt Lift](https://aedit.com/procedure/butt-lift) involves transferring fat from one part of the body to the buttocks for improved shape and contour. Because it is an autologous transfer, there is no fear of rejection, but it is expected that some percentage of the fat will be reabsorbed into the body. Generally speaking, 60 to 70 percent of transferred fat survives, yielding permanent results.

### **Breast Surgery**
**Lifespan**: 8 to 10 years for breast implants; Lifetime results with healthy lifestyle for breast lift and breast reduction 
There are three main types of breast surgery — augmentation, reduction, and lift — and each procedure has its own unique level of permanence:

- **Augmentation Mammaplasty (a.k.a. Breast Augmentation)**: While there is more than one kind of breast augmentation, [augmentation with breast implants](https://aedit.com/procedure/breast-augmentation-with-implants) require replacement every eight to 10 years to ensure safety.
- **Mastopexy (a.k.a. Breast Lift)**: Unlike a breast augmentation that addresses the size of the chest, a [breast lift](https://aedit.com/procedure/breast-lift) improves the projection and shape of the breast by removing excess skin and tightening the surrounding tissue. Weight changes and the aging process can cause sagging over time.
- **Reduction Mammaplasty (a.k.a. Breast Reduction)**: To alleviate any pain or discomfort caused by large breasts, a [breast reduction](https://aedit.com/procedure/breast-reduction) removes excess skin and fat. The removal process is permanent, though it does require patients to maintain their weight.

### **Liposuction**
**Lifespan**: Lifetime with healthy lifestyle 
Liposuction is typically performed as part of a larger surgery (think: a tummy tuck) or to complement another procedure, but, regardless of the application, it results in permanent fat loss. With that said, [lipo](https://aedit.com/procedure/tumescent-liposuction) cannot protect against future weight gain, so a healthy weight  and healthy lifestyle must be maintained to enjoy the contouring results.

## **The Takeaway**
As you can probably tell, how long the results of plastic surgery last depends on an array of factors. In some cases, procedures can be one and done, assuming a healthy lifestyle is maintained. In other cases, the aging process may create the need for follow-up treatments down the line. Consulting with a board certified plastic surgeon will help to level set your expectations prior to surgery and ensure the best results for your concern.

Nothing lasts forever — not even the results of cosmetic surgery. From facelifts and hair transplants to rhinoplasties and breast implants, here’s how long the results of popular plastic surgery procedures last.

How Long Cosmetic Surgery And Plastic Surgery Results Last 

How Long Do Cosmetic Surgery Results Really Last?

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We all have that friend who, according to their doctor, “needed” a [nose job](https://aedit.com/procedure/open-rhinoplasty), and then we have friends who simply wanted one. So, what’s the difference?

One of the few procedures that are common among men and women and performed from [teenage years](https://aedit.com/procedure/youthteen-rhinoplasty) through [adulthood](https://aedit.com/procedure/rejuvenation-rhinoplasty), rhinoplasty (a.k.a. nose job, nose surgery, nasal surgery) can be classified as both a medically necessary plastic surgery procedure and an elective cosmetic surgery depending on how and why it is performed.

Generally speaking, your friend who “needed” the procedure likely had what is called a ‘functional’ rhinoplasty, during which a surgeon worked to resolve internal structural issues — in addition to potentially making aesthetic changes. Because the surgery was performed for medical reasons, it very well may have been covered by insurance (typical of plastic and reconstructive procedures but not cosmetic ones).

Your friend who wanted to change the shape, size, or appearance of her nose without an underlying medical condition, meanwhile, probably underwent what is known as a ‘cosmetic’ [rhinoplasty](https://aedit.com/procedure/ultrasonic-rhinoplasty). The cosmetic surgery procedure focuses exclusively on the external bone structure and usually requires patients to pay out of pocket.

[According to the American Society of Plastic Surgeons](https://www.plasticsurgery.org/documents/News/Statistics/2018/plastic-surgery-statistics-full-report-2018.pdf), there were some 215,000 rhinoplasties performed in the U.S. in 2018 alone, and that statistic accounts for both functional and cosmetic procedures. If you’ve been considering a nasal surgery, here is a guide to the two classifications.

## **What Is a Functional Rhinoplasty?**
First things first, a functional rhinoplasty is a medically necessary procedure that is used to [correct breathing problems](https://aedit.com/procedure/endoscopic-rhinoplasty) and sinus concerns. While we may not be able to see the inside of the nose, there can be structural issues that pose medical risks. 

“The nose is the organ of breathing,” says [Oren Friedman, MD](https://aedit.com/provider/oren-friedman-md-1609), a Philadelphia-based board certified facial plastic surgeon and director of facial plastic surgery at the University of Pennsylvania. “We are meant to breathe through the nose and not the mouth.”

As Dr. Friedman explains, the most common reason a patient seeks a functional rhinoplasty is to improve breathing. Patients who have a deviated septum (i.e. a narrow or crooked nasal passage caused by genetics, accident, or trauma), for example, may require a septoplasty to straighten or repair the septum. Beyond correcting a deviated septum, a rhinoplasty can “strengthen the sidewalls of the nose, so that the nasal sidewalls do not collapse and, therefore, obstruct airflow when the patients breathe in,” he shares. For cases of congenital abnormalities of nasal anatomy (think: cleft lip nasal deformities), meanwhile, Dr. Friedman says “highly specialized surgical care of the nasal tip cartilages and skin” is required.

For patients dealing with intense allergies or sinus infections that cause the turbinates (i.e. small structures inside the nose that clean and humidify air that passes through) to swell, nasal surgery may be able provide relief. 

There are three pairs of turbinates in each nose, and, when the lower set (read: inferior turbinates) become swollen, they can cause nasal obstruction and make it more difficult to breathe. To fix the structural issues, doctors may recommend a turbinate reduction. While non-surgical treatments, like radiofrequency, can sometimes do the trick, surgery might be needed.

“Some patients require septum straightening surgery as well as turbinate reductions, however, we generally advise against removing significant portions of nasal turbinate tissue,” Dr. Friedman warns. “Turbinate tissue is vital to the function of the nose — namely, humidifying, warming, and filtering the air are enhanced by the presence of turbinate tissue. Removal of too much turbinate tissue will lead to irreversible nasal problems. Ask your surgeon to not remove much or any turbinate tissue when you undergo nasal surgery.”

Whether performed individually or in tandem, both a septoplasty and turbinate reduction take six months to a year to heal. While improved breathing can be expected, turbinates will grow back in time and the septum may never be perfectly straight.

## **What Is a Cosmetic Rhinoplasty?**
Cosmetic rhinoplasties, on the other hand, focus on the outside of the nose (i.e. the part of the nose you can visibly see). Typically, patients that undergo the cosmetic procedure are dissatisfied with the appearance of their nose. A rhinoplasty can be used to:

- [Reshape and resize the nose](https://aedit.com/procedure/ethnic-rhinoplasty)
- [Address crookedness and asymmetries](https://aedit.com/procedure/revision-rhinoplasty)
- Change the base or bridge of the nose (or both!)
- Conceal a hump or bump
- Correct a pinched or bulbous nasal tip 

“The most common structural reasons for which patients seek cosmetic rhinoplasty include a prominent hump or bump along the bridge of the nose that they wish to be reduced, prominent and bulbous tip cartilages of the nose that they wish to be made smaller and triangulated, and a crooked nose that a person may wish to straighten out,” Dr. Friedman says. “The structural components that most often need to be altered, therefore, include the nasal bones as well as the tip cartilages.”

While the surgery is limited to the nose, the results can help to balance the entire face. At the end of the day, cosmetic rhinoplasty surgery isn’t a medical necessity, but it can boost confidence and make patients more comfortable with their appearance. 

## **Comparing Rhinoplasties** 
There are plenty of differences between a functional rhinoplasty and a cosmetic rhinoplasty, but at least one thing is true of each: the procedure improves a patient’s quality of life. While it may be easy to classify one as purely aesthetic and the other as medical, many rhinoplasty surgeries end up being a combination of the two.

“This is one of the most common procedures for specialized nasal surgeons, and it gives an opportunity for the surgeon to enhance a patient's quality of life on two different levels,” Dr. Friedman says of the combination surgery. “First, we are able to improve their quality of life through improvements to their appearance, and secondly we are able to improve their quality of life through improved nasal breathing.”

Regardless of the reasoning behind the rhinoplasty, the recovery and healing processes are similar — though there are subtle differences. “If the nasal bones need to be contoured in a cosmetic procedure, there will likely be some external bruising which would not be present if only internal nasal surgery was being performed,” Dr. Friedman notes. “Other than the slight bruising that might occur, the internal swelling of the nose generally resolved in one week for each of the different types of nasal surgery.”

At the end of the day, most people enjoy the results of their procedure by the six-month mark, but it can take up to a year for the nose to fully heal. Additionally, it is important to discuss with your surgeon whether or not your procedure is purely functional, purely cosmetic, or a hybrid because it will impact whether your insurance provider covers some part of the cost.

## **The Takeaway**
Regardless of which type of rhinoplasty you’re after, the procedure is best performed under the care and guidance of a specialized surgeon to avoid complications and the need for revisions down the road. 


“Excellence in outcomes for these types of nasal surgeries relies on the surgeon's expertise in this highly sub-specialized field,” Dr. Friedman explains. “In order to avoid the need for revision rhinoplasty due to failure of the first operation, it is very important the patient make the extra effort to identify a plastic surgeon who specializes in both internal and external nasal surgery.”

Some people need a rhinoplasty for medical reasons, while other people want one due to aesthetic concerns. Here, a guide to the two classifications and what it means for patients.  

Difference Between Cosmetic Rhinoplasty and Functional Rhinoplasty

Cosmetic Rhinoplasty vs. Functional Rhinoplasty: What’s The Difference? 

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You’ve done your homework and decided you’re interested in getting a surgical or non-surgical [cosmetic procedure](https://aedit.com/aedition/difference-between-plastic-surgeons-and-cosmetic-surgeons). So, what comes next? A consultation with a board certified plastic surgeon.

Just as you wouldn’t buy a car without test driving it, you should not choose a doctor for your cosmetic surgery, procedure, or treatment without exploring your options. An initial consultation allows you to do just that. In addition to learning more about the procedure you are interested in, it is also an opportunity for you to get a sense of the doctor’s personality and practice before deciding if he or she is the right provider for you.

## **Book More Than One Consultation**
As with most decisions in life, you’ll want to get more than one opinion. You should plan to consult with at least two doctors before moving ahead with your surgery or procedure. When deciding on who to book a plastic surgery consultation with, it is important to first consider the following: 

- What is the provider’s board certification(s)?
- Does he or she have hospital privileges?
- Is he or she recommended by someone you trust?

While referrals aren’t mandatory, [researching a doctor’s board certification(s)](https://aedit.com/aedition/medical-board-certification-in-plastic-surgery-cosmetic-dermatology) and hospital privileges (yes, even if you’re interested in an outpatient procedure) are musts. Tools like the [AEDIT provider network](https://aedit.com/providers) can help you find qualified doctors in your area.

Once you narrow down your search and schedule consultations with the providers you want to meet, there are a couple of things to keep in mind about the process. While it is standard to consult with multiple doctors before settling on ‘the one,’ it is best to not reveal the names of the other doctors you are considering. Similarly, do not share the proposals you receive from one provider with another, for it may influence what they recommend for you.

## **Questions to Ask During a Cosmetic Surgery Consultation** 
*What should you discuss in the consultation room? From reviewing before-and-after photos to learning about the pre-op and post-op care, below is a guide to the most important questions to ask during a cosmetic surgery consultation to ensure you feel empowered to make the best decision.*

### **Aesthetic & Expertise** 
**1. What procedure(s) do you recommend for me?** 
You may have your heart set on a certain procedure or treatment, but you should plan to have a conversation with your doctor during your consultation about what he or she sees as the best course of action for you and your concerns. The decision is ultimately up to you, but the plastic surgeon will be able to take a more holistic look at the situation and potentially offer [a series of options](https://aedit.com/aedition/plastic-surgery-results-are-about-proportion-not-perfection) that you are a good candidate for.

**2. How often do you perform this procedure?**
While there are exceptions, it would make sense that the more frequently a provider performs a treatment or procedure, the more time they’ve had to refine their technique and specialize in it. Asking how often they perform the procedure they are recommending or the one you are interested in will help give you a better sense of their expertise.

**3. Are there before and after photos available?**
You’ll be hard pressed to find a plastic surgeon who doesn’t readily offer a look at their previous work in the form of before-and-after photos, but don’t be shy in asking for them. In addition to seeing how the results turned out for different types of patients, you’ll also get a better sense of the doctor’s aesthetic. 

**4. Would you be willing to put me in touch with previous patients?**
If the provider you’re consulting with didn’t come recommended from a friend or colleague, asking to speak with an existing patient (preferably one who underwent the same procedure you are interested in) can be a good way to learn more about the doctor, practice, and overall experience.

### **Cost & Pre-Op Care**
**5. What is the cost breakdown of this procedure?**
Because most cosmetic procedures are considered elective, they are not typically covered by insurance. They are also not cheap. Prices can vary dramatically from practice to practice, as can the way the cost is presented. To avoid hidden fees or surprises, ask for a comprehensive overview that includes pre-op and post-op care. While it is impossible to foresee complications, getting a sense of any additional expenses that may pop up (from recovery essentials to additional procedures) will allow you to budget accordingly. With that said, certain cases of rhinoplasty, eyelid procedures, and breast surgeries (to name a few) may be fully or partially subsidized by insurance, so be sure to check with your insurance provider before booking.

**6. How many pre-op appointments will be needed?**
If you’re interested in a surgical procedure, you’ve likely already considered the recovery time that may be required. But what about the time involved with pre-op prep? From bloodwork to imaging, there are tests to be run and assets to be secured prior to going under the knife or needle. Get a sense of what the timeline looks like from the day you book your procedure until your last follow-up appointment to ensure you are able to make the commitment.

**7. Is there anything I need to do prior to getting the procedure?**
Whether you need to [lose weight before scheduling a body contouring procedure](https://aedit.com/aedition/why-you-should-lose-weight-before-plastic-surgery) or press pause on your skincare routine in the days leading up to a treatment, you’ll want to have the provider give you a sense of any pre-operative instructions or guidelines. That way, you can consider how they may impact your daily life.

### **Safety** 
**8. Where will this procedure be performed?**
Whether your procedure is being performed in a [hospital or an outpatient surgery center](https://aedit.com/aedition/unexpected-things-to-know-about-the-plastic-surgery-operating-room), you’ll want to ensure the facility is accredited. Both are evaluated for safety by [The Joint Commission](https://www.qualitycheck.org/), though outpatient surgical facilities may also be accredited (voluntarily) by the [Accreditation Association for Ambulatory Health Care (AAAHC)](https://www.aaahc.org/). If you’re undergoing an outpatient procedure, be sure your doctor has hospital privileges to avoid possible risks in case of an emergency.

**9. Does this procedure require anesthesia?**
In addition to learning whether or not your procedure requires [sedation or anesthesia](https://aedit.com/aedition/everything-you-need-to-know-about-anesthesia), you’ll also want to know who will be administering it. Be sure there will be a board certified anesthesiologist or certified registered nurse anesthetist on hand to administer and monitor throughout the procedure. Knowing the type of anesthesia required will also inform whether or not you will need someone to give you a ride home and care for you post-op.

**10. What is the protocol if there are serious complications during the procedure?**
Statistically, even the most qualified doctors performing the most routine procedures can run into complications. One of the reasons it is important to establish that your provider has hospital privileges is in the event there is an emergency during an outpatient procedure. Confirming what processes are in place to deal with unexpected events in the operating room can provide peace of mind.

### **Recovery & Results**
**11. What is the downtime associated with this procedure?**
While there are plenty of minimally invasive procedures that you can schedule during your lunch break, most surgical procedures will require at least a couple days of recuperation. Ask the doctor to break down the recovery period, including how long it will be before you can resume certain levels of activity (from returning to work to exercising) and the side effects (think: pain, swelling, and bruising) you can expect to experience during each phase.

**12. Will I receive written post-op instructions?**
Sure, you may be able to wing the assembly of your IKEA furniture, but recovering from a cosmetic procedure that you just invested a lot of money in is not something you want to do blindly. Most doctors will have written post-operative instructions available for patients that detail everything from pain med and icing schedules to when you can resume basic day-to-day activities (think: showering, laying down, etc.). As simple as it may seem, you want to be sure that you will have something to refer back to when it comes time to navigate the recovery process.

**13. Is there a medical professional on call to answer post-op questions?**
No matter how much research you do beforehand and how thorough the written post-op instructions may be, you can pretty much guarantee that a question (or many!) will arise during the recovery process and require immediate assistance. In addition to good ol’ fashion phone calls, many practices now offer live chats on their websites that allow patients to speak with doctors, physician assistants, and/or nurses in real time. Check with the provider to see what types of services would be available to you.

**14. How many follow-up appointments will be necessary?**
While the exact number of post-op appointments varies by procedure, at least one follow-up is usually needed within the first week. That may be the only check-in needed for, say, an injectable treatment, but surgical patients can expect to meet with their cosmetic surgeon several times in the months following their procedure. Like pre-op care, it is important to have a sense of the timeline prior to booking.

**15. How long will it be before I see results?**
Any doctor will tell you that the healing process, like the procedure itself, depends on the patient, but there are general timelines that can shed some light on when you will start seeing the effects of the procedure and when you can expect a final result. While the results of some procedures are immediate, others can take a year (or more) to fully reveal themselves, so you’ll want to be sure your expectations and patience-level are managed beforehand. 

## **Additional Factors to Consider Before Choosing a Provider**  
*While qualifications and expertise are certainly key components of the decision-making process, there are intangibles related to a provider’s personality, bedside manner, and practice that cannot be underestimated. Even if the provider checks all the boxes above, be sure to also consider the following before choosing who to book your procedure with.*

### **Do you feel comfortable with the doctor?**
The doctor doesn’t need to be your best friend, but he or she should put you at ease. In addition to (hopefully) answering all of your questions, consider how you feel when speaking with the provider. Undergoing any procedure (even an elective one) is a big decision, and you should feel respected and empowered throughout the process.  

### **Are you comfortable with the practice and facilities?**
Did you wait long in the office before seeing the doctor for your consultation? Did the appointment feel rushed? How was the vibe in the waiting area and patient rooms? Taking notice of how you feel about these kinds of details should play a role in how you go about choosing a provider.

### **Is the provider's staff professional and courteous?**
Truth be told, you’ll probably be interacting more with the practice staff than you will with the doctor. From the receptionist to the nurses, pay attention to your interactions with the entire team and notice how they communicate with the provider. All of this will give you insight into what kind of care you can expect before, during, and after your procedure.

## **The Takeaway**
Choosing to undergo a cosmetic surgery procedure is an important decision in and of itself, but finding the right surgeon or doctor for your needs is key to achieving the outcome you desire. Scheduling initial consultations with at least two providers and arriving armed with a list of questions that covers everything from aesthetics and safety to cost and recovery can help you compare and contrast as you narrow down your search.

From reviewing before-and-after photos to learning about the pre-op and post-op care, here is a guide to the most important questions to ask during a cosmetic surgery consultation.

Questions To Ask Your Doctor During A Plastic Surgery Consultation 

15 Questions To Ask Your Doctor During A Plastic Surgery Consultation 

shutterstock 190955117 (1)

If you're a regular reader of The AEDITION, you know we always emphasize finding a 'board certified' provider to perform your preferred cosmetic procedure. But what does it mean to be a board certified plastic surgeon or dermatologist? How do doctors go about becoming certified? We're here to shed some light on the board certification process and why it matters.

## **Medical Licensure vs. Board Certification**
First things first, a licensed doctor is not the same as a board certified one. A medical license is required for all doctors who wish to legally practice medicine in the United States, and medical licensure is handled at the state level by state medical boards. Doctors must receive individual licenses in each state they wish to practice in, and they must be renewed periodically.

While the protocol varies from state to state, you can be sure that all licensed physicians (at the minimum) graduated medical school, underwent some level of postgraduate residency training, and passed a comprehensive national licensing exam (either the United States Medical Licensure Examinations [USMLE] for medical doctors or the Comprehensive Osteopathic Medical Licensing Examination for doctors of osteopathic medicine).

Board certification, meanwhile, signifies that the physician has successfully completed a residency in their chosen specialty. In order to become board certified, a doctor must have completed his or her undergraduate education, medical school, one-year internship, a residency in their chosen specialty, and passed the residency board exam.   
  
Unlike a medical license, board certification is not required to practice medicine in the U.S., but it is an important tool in distinguishing whether or not a provider has specialized in a particular area. Additionally, board certification does not last forever. Many medical specialty boards now require recertification every 10 years or so, ensuring doctors keep on top of their skills.

## **Why Board Certification Matters**
Board certification is important for all fields of medicine, but it is particularly necessary in the aesthetic space. While it cannot guarantee the quality of results, it can certainly point you in the direction of qualified doctors for the procedure you are interested in or care you need.

Titles like cosmetic surgeon, plastic surgeon, and cosmetic dermatologist have [seemingly become interchangeable](https://aedit.com/aedition/difference-between-plastic-surgeons-and-cosmetic-surgeons), but the qualifications of such doctors can vary greatly. Because there is very little regulation governing how doctors refer to themselves, understanding your provider's board certification(s) can ensure you are consulting with a doctor or surgeon who is actually trained in plastic and reconstructive surgery, otolaryngology, ophthalmology, or dermatology (i.e. the specialties that most relate to aesthetic medicine).

## **How Doctors Become Board Certified**
The [American Board of Medical Specialties](https://www.abms.org/member-boards/) (ABMS) is comprised of 24 certifying boards that are known as the Member Boards of ABMS. Specialties range from internal medicine to radiology, and while it's pretty straightforward that a pediatrician would be certified by the American Board of Pediatrics or a gynecologist would be certified by the American Board of Obstetrics and Gynecology, gaining certification in aesthetic medicine is less clear.

Sure, there is an American Board of Plastic Surgery (ABPS) and American Board of Dermatology (ABD) that offer subspecialties in hand surgery, dermatopathology, and pediatric dermatology, but there are no member boards for specialities like oculoplastic surgery or cosmetic dentistry. Further complicating matters is the fact that there are board certifying organizations that exist outside of ABMS. While some have standards that are as rigorous as the written and oral examinations Member Boards administer, not all do.

When choosing a provider to perform a cosmetic procedure or cosmetic surgery, look for a specialist in the following categories:

### **Plastic and Reconstructive Surgery**
General plastic and reconstructive surgeons complete three to five years of general surgery training followed by a two to three year cosmetic and reconstructive plastic surgery residency. Plastic and reconstructive surgeons can pursue board certification via the [American Board of Plastic Surgery](https://www.abplasticsurgery.org/), and they may be dual-certified by the [American Board of Surgery](http://www.absurgery.org/) (ABS). While they are board certified to perform cosmetic and reconstructive surgeries on the face and body, their work often focuses on the breasts and body.

### **Facial Plastic and Reconstructive Surgery**
After completing a five-year residency in otolaryngology (a.k.a. ears, nose, and throat), facial plastic and reconstructive surgeons pursue year-long fellowships in cosmetic and reconstructive procedures specifically related to the face and neck (think: rhinoplasties, facelifts, chin and jaw surgeries, etc.). While there is no ABMS Member Board specifically for facial plastic and reconstructive surgery, they should be board certified by the [American Board of Otolaryngology – Head and Neck Surgery](https://www.aboto.org/) (ABOTO). The [American Board of Facial Plastic and Reconstructive Surgery](https://www.abfprs.org/) (ABFPRS) is also an accreditation that many facial plastic surgeons seek.

### **Dermatology**
Medical dermatologists diagnose, treat, and prevent conditions affecting the skin, hair, and nails. While there are subspecialties within the field, all dermatologists board certified by the [American Board of Dermatology](https://www.abderm.org/) undergo non-surgical, cosmetic dermatology training during their residency program. Dermatologic surgeons (i.e. those qualified to perform liposuction, fat transfer, and Mohs surgery, in addition to non-invasive treatments) are often fellows of the [American Society for Dermatologic Surgery](https://www.asds.net/) (ASDS). Asking to see before-and-after photos and inquiring as to how often they perform certain cosmetic treatments and procedures will shed further light on their aesthetic expertise.

### **Oculoplastic Surgery**
While a facial plastic surgeon is able to perform eyelid surgeries (like [blepharoplasty](https://aedit.com/procedure/upper-eyelid-blepharoplasty)), oculoplastic or oculofacial surgeons are experts in procedures that reconstruct the eyelids, tear ducts, and orbital area. They should be board certified by the [American Board of Ophthalmology](https://abop.org/) (ABOP) and have additional fellowship training with the [American Society of Ophthalmic Plastic and Reconstructive Surgery](https://www.asoprs.org/) (ASOPRS).

## **Fellowships & Societies**
Doctors who wish to further specialize in a particular area of medicine may choose to continue their training and education via a fellowship. Fellowship programs are often highly competitive and last one to three years each. Due to the lack of ABMS Member Boards in certain subspecialties, fellowships may be used to denote expertise. An ophthalmologist who wishes to subspecialize in oculoplastic surgery, for instance, would complete a two-year fellowship through the aforementioned ASOPRS.

Society memberships, meanwhile, offer another way (separate from licensing, board certification, and fellowships) for providers to continue their education, in addition to offering mentoring and networking opportunities. Below are some of the academies and societies related to aesthetic medicine, cosmetic surgery, and dermatology:

- [American Academy of Aesthetic Medicine](https://www.aaamed.org/) (AAAM)
- [American Academy of Cosmetic Dentistry](https://aacd.com/) (AACD)
- [American Academy of Cosmetic Surgery](https://www.cosmeticsurgery.org/) (AACS)
- [American Academy of Dermatology](https://www.aad.org/) (AAD)
- [American Academy of Facial Plastic & Reconstructive Surgery](https://www.aafprs.org/) (AAFPRS)
- [American Society of Aesthetic Plastic Surgery](https://www.smartbeautyguide.com/) (ASAPS)
- [American Society of Cosmetic Laser Surgery](https://www.cosmeticsurgery.org/page/SubspecialtyOrganiz) (ASCLS)
- [American Society for Dental Aesthetics](http://www.asdatoday.com/) (ASDA)
- [American Society of Dermatologic Surgery](https://www.asds.net/) (ASDS)
- [American Society of Hair Restoration Surgery](https://www.cosmeticsurgery.org/page/SubspecialtyOrganiz) (ASHRS)
- [American Society of Liposuction Surgery](https://www.cosmeticsurgery.org/page/SubspecialtyOrganiz) (ASLS)
- [American Society of Ophthalmic Plastic & Reconstructive Surgery](https://www.asoprs.org/) (ASOPRS)
- [American Society of Plastic Surgeons](https://www.plasticsurgery.org/) (ASPS)

While these affiliations are voluntary, a doctor may display their memberships as an indicator of interest and engagement in their specialty. 

## **The Takeaway**
There is perhaps no more important task in your aesthetic journey than finding the right physician to perform your cosmetic surgery procedure, and understanding the board certification process is a key part of that. While all the certifications, licenses, and credentials in the world cannot guarantee results, knowing that your doctor specializes in the procedure you are interested in is the first step toward ensuring you get the best care for your needs.

If you’re interested in a cosmetic procedure, you’ve likely been told to find a board certified provider. But what does it mean to be a board certified plastic surgeon or dermatologist? The AEDITION breaks it down.

How Plastic Surgeons And Cosmetic Dermatologists Become Board Certified 

What Does Board Certification Really Mean?

shutterstock 202742470 (1)

When preparing for the red carpet season, it takes a village. From the publicists to the stylists, makeup artists, facialists, and, of course, the dermatologists, there’s no such thing as an effortless look – it’s the result of months of effort. While most of us were reveling in the festivities of the holiday season, A-listers were hard at work preparing their bodies and faces for the most publicized events of the year.

Appearing on camera comes with perpetual scrutiny and with screens more high-def than ever, maintaining a clear complexion during the stress of awards season is often a priority for celebs. While we probably won’t find ourselves at the Oscars any time soon, the rules of the red carpet are transferable. Here, The AEDITION breaks down the cosmetic procedures and skin treatments that will have your complexion in tip-top share for any event. 

## **The Areas of Concern Before a Red Carpet Appearance**
Stars, they’re just like us! At least when it comes to skin concerns that is. Still prone to breakouts, age spots, and dry skin – especially with their hectic travel schedules – celebrities need to give their skin some TLC, too. 

New York-based board certified dermatologist [Julie Russak, MD](https://aedit.com/provider/jason-emer-md-722), notes that Hollywood’s elite can succumb to “acne issues, blackhead, pustules, stress and hormonal breakouts, pigmentation and discoloration in the skin, and dry or dehydrated skin.” So, even though celebrities might have access to the best of the best, they can’t escape the natural effects of being, well, human.

As a Hollywood-based board certified dermatologist, [Jason Emer, MD](https://aedit.com/provider/jason-emer-md-722), knows this all too well. “Many of my VIP patients are wanting their skin to look flawless on camera, especially in today’s high-def world,” Dr. Emer explains. “We address hyperpigmentation, discoloration caused by sun damage or age, melasma, and acne scars with a carefully curated combo of treatments.” 

He advises a series of tweakments in the weeks prior to an event. “The treatments that cause small injury to the skin to promote cell turnover and natural anti-aging through the healing process are the treatments that are most effective,” he says. “It’s important to allow for enough downtime to prevent appearing pink, scaly, or dry on the carpet.”

## **Cosmetic Treatments to Get Before a Red Carpet or Big Event**
So, what can really be done in a short period of time that will produce great results without you looking ‘done’? Whether there’s a red carpet in your future or you have a wedding or special occasion on the calendar, these are the minimally invasive treatments dermatologists recommend if you’re looking for a quick skin boost.

### **1. Neurotoxin Injections**
By and large one of the most well-known anti-aging treatments for a youthful look, [Botox® and its competitors](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin) work to reduce the appearance of wrinkles by paralyzing the underlying muscles. According to board certified dermatologist [Nikhil Dhingra, MD](https://aedit.com/provider/nikhil-dhingra-md-17376), of Manhattan’s at Spring Street Dermatology, the best timeline for neurotoxin injections is a month prior to your event. “Botox® takes a full two weeks to take on its full form,” he shares. “Any touch-ups needed at that two-week mark take at least one to two weeks to show as well, so aim for a month prior to an event.” Another note: the results are temporary. Injections need to be redone every three to four months.

### **2. Radiofrequency Microneedling** 
Microneedling helps with the production of collagen through the penetration of small needles that into the skin. Pairing it with radiofrequency helps to further stimulate the body’s natural collagen production to create more rejuvenated skin. Favorited for its ability to create firmer skin with a low risk for side effects, Dr. Emer recommends [RF microneedling](https://aedit.com/procedure/microneedling-with-radiofrequency) two to three weeks before the big event for peak results.  

### **3. Chemical Peel**
Performed about three weeks in advance, a mild chemical peel can help treat minor skin discolorations and uneven skin texture. [As we’ve covered before](https://aedit.com/aedition/chemical-peel-vs-laser-treatment-what-is-best-for-your-skin), chemical peels are a skin resurfacing technique that can be done in a range of strengths from superficial to deep. Dr. Dhingra cautions against getting a deep chemical peel too close to the event because of the downtime associated with it penetrating the middle layer of skin. “Chemical peels are fantastic for texture and tone,” Dr. Dhingra shares. “But, with a week of downtime, give yourself ample time so you’re not shedding while facing the flashing bulbs of the media.” While a deep chemical peel has the power to remove moderate lines, freckles, age spots, and scars, a [superficial chemical peel](https://aedit.com/procedure/superficial-chemical-peels) is enough to improve the clarity and brightness of the complexion with much less downtime. The non-abrasive nature of using a mild acid to penetrate the outer layer of the skin makes it a favorite of celebs and those looking for a lunchtime treatment. 

### **4. Hydrafacial**
A [HydraFacial](https://aedit.com/procedure/hydrafacial) is a great last-minute treatment to give you a JLo-level glow. The multi-step process is both hydrating and exfoliating and involves a thorough cleansing, extractions, and serum application. Dr. Dhingra suggests getting it done in the days or weeks leading up to an event because it has a “transient effect” without much risk for irritation. “Getting in a HydraFacial a week before a big event can add glow and brightness when the lights hit,” Dr. Dhingra explains. 

### **5. PRP**
[Platelet-rich plasma (PRP)](https://aedit.com/procedure/microneedling-with-prp) is a blood plasma-based protein solution that is produced using the patient's own blood cells and is often combined with microneedling or as a part of the [Vampire Facial®](https://aedit.com/procedure/vampire-facelift) (a favorite of Kim Kardashian). The regenerative abilities of PRP are often noted by dermatologists because injecting PRP back into a patient's skin helps stimulate collagen production — giving the complexion a firming and brightening effect. For Dr. Russak, a PRP treatment is “ideally done in a series to address a variety of skincare concerns, such as brightness, pore size, superficial fine lines, and uneven tone and texture.” Give it a few weeks to work its magic as your skin begins to increase collagen production. 

### **6. Dermal Filler**
“Micro-augmentations utilizing small amounts of dermal filler such as Radiesse® or Juvederm® to subtly accentuate natural features and contour,” says Dr. Emer, will help maintain a younger appearance without looking as though any work has actually been done. [Dermal filler](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers) is a great option for those who want to give their cheekbones a volumizing boost, reduce the appearance of fine lines, or plump up their lips for a more shapely pout. Juvederm® uses hyaluronic acid that can help with the appearance of crow's feet, smile lines, and worry lines, but, like all filler, it should be done several weeks in advance to let the filler fully settle and to avoid any potential bruising. 

## **Cosmetic Treatments to Avoid Before a Red Carpet or Big Event**
“Deep resurfacing treatments with [erbium](https://aedit.com/procedure/ablative-erbium-laser) or [fraxel](https://aedit.com/procedure/nonablative-fractional-lasers) lasers, [intense pulsed light (IPL)](https://aedit.com/procedure/ipl) for red and brown pigment, [Ultherapy®](https://aedit.com/procedure/ultrasound-skin-tighteningultherapy) ultrasound skin tightening, [threads](https://aedit.com/procedure/thread-lift) for lifting, [Kybella®](https://aedit.com/procedure/kybella) for submental chin fat, and [stronger chemical peels](https://aedit.com/procedure/deep-chemical-peels),” should be avoided in the weeks before a big event, explains Dr. Russak. While these procedures are quite effective, celebrities know that the camera will pick up every little detail and proper recovery time is needed for optimal results. “These are great treatments to have several months before your event,” she says. 

The most important treatments to avoid when getting ready for a high profile event? Anything that could potentially create an unexpected reaction that will have you out for the count. This means no new beauty products or facial treatments that you've never tried before. “You don’t want to end up in a scenario where you’re trying to do something to enhance your appearance that then backfires and draws attention to something you don’t want,” Dr. Dhingra says.

Instead, a well-executed, strategic procedure timeline coupled with a solid skincare routine is key. “The last tip leading up to a big event: don’t rock the boat with your skincare routine,” he advises. “A proper routine takes at least three months to work. Get that going ahead of time and stick to it through the event. You don’t want to risk an allergic reaction, extreme redness, peeling, or puffiness as a result of overzealous at-home product use.”

## **The Takeaway**
Whether you’re strutting down the red carpet at the SAG Awards or gearing up for wedding season, minimally invasive cosmetic procedures like injectables, facials, and chemical peels can give you that enviable Hollywood glow in a flash. Consulting with a board certified dermatologist or plastic surgeon will ensure your skin is ready for the spotlight. 

Preparing for awards season takes a village, especially when it comes to creating a camera-ready complexion. From Botox® to chemical peels, these are the treatments dermatologists recommend to get your skin red carpet – or special event – ready. 

Best Minimally Invasive Cosmetic Treatments For The Red Carpet And Special Events

The Cosmetic Treatments That Will Get You Red Carpet Ready 

shutterstock 373039213 (1)

As a beauty editor, I’ve been writing about the latest and greatest in the skincare and aesthetics space for years. While buzzy ingredients, tricked out lotions and potions, and new-age technologies with miracle claims pop up on the regular, there are a few tried-and-true workhorses that transcend trends. [Daily sunscreen](https://aedit.com/aedition/what-you-need-to-know-about-sunscreen) and [nightly retinol usage](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare) are two such stalwarts (I’ve mastered the former but, admittedly, still haven’t found my groove with the latter), as are neurotoxin injections.

Since Allergan’s Botox® was approved by the U.S. Food and Drug Administration (FDA) for the temporary improvement of moderate to severe glabellar lines (i.e. the frown lines between the eyebrows) in April 2002, it has become the go-to for anyone looking to reduce the appearance  of fine lines and wrinkles caused by facial expressions (think: frowning, squinting, smiling, and the like). 

<PullQuote attributedTo={Lesley Rabach, MD}>
  “Botox reduces the muscle’s ability to contract fully, thereby reducing/removing the wrinkle.”
</PullQuote>

Competitors like Dysport®, Jeuveau®, and Xeomin® have followed suit (get up to speed on the ins and outs of neuromodulators [HERE](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin)) — employing small doses of botulinum toxin type A (BoNT-A) to temporarily paralyze muscles for cosmetic effect. The lack of muscle contraction prevents the face from forming and/or deepening lines and wrinkles. The result? Smoother skin until it wears off.

Personally, I always felt the question wasn’t so much if I would go under the needle but rather when I would choose to do so. Even so, I hadn’t actually tried anything more invasive than a skincare routine nearing double digits in length and an occasional [facial](https://aedit.com/procedure/hydrafacial) or [light chemical peel](https://aedit.com/procedure/superficial-chemical-peels). But, as a soon-to-be 29 year old whose forehead lines were no longer disappearing like they once did, it felt like as good a time as any to give it a try. 

For my first Botox® appointment, I chose double board certified facial plastic surgeon [Lesley Rabach, MD](https://aedit.com/provider/lesley-rabach-md-17912), of LM Medical in Manhattan because I appreciate her less-is-more approach (when she started our conversation with the refrain “cosmetic procedures are a luxury not a necessity,” I knew I was in good hands) and trust her thoroughness (she answered all of my questions, plus ones I hadn’t thought of with the patience of a saint). 

<PullQuote attributedTo={Meg Storm}>
  “As a soon-to-be 29 year old whose forehead lines were no longer disappearing like they once did, it felt like as good a time as any to give Botox a try.”
</PullQuote>

After a consultation, Dr. Rabach injected 20 units of Botox® into my glabellar lines, above my brow bone, and into my upper forehead line. I lost count after the one injection between my brows and two above each brow, but it was no more than 10 or 12 pricks total that, despite making my sensitive eyes water, hardly felt like anything (more on the pain, or lack thereof, below!). Five days later, my results appeared; a few days after that, I went in for my follow up appointment (typical for first timers); and six weeks later, I am happy to report that I love the way it turned out.

Throughout the pre- and post-procedure process, I was most struck by how many friends said they couldn’t wait to hear about my experience because they had thought about getting Botox® — but just didn’t know where to start or what to expect. With their curiosity in mind, I’ve compiled a list of the nine things I believe are most useful to know before going under the needle for the first time:

### **1. There Is No Right or Wrong Time to Start**
While it may seem like people are opting to get Botox® and the like at an earlier age, there is no right or wrong time to begin treatment. As Dr. Rabach told me during my first appointment, no one *needs* Botox® (or any cosmetic procedure for that matter). But, if you are interested and in a position to start early, neurotoxin injections can potentially have a preventative effect.

<PullQuote attributedTo={Lesley Rabach, MD}>
  “We are so lucky to be in a world where we can prevent many aging processes that generations before us couldn’t. Botox is a wonderful tool to use in small amounts to prevent wrinkles from ever starting.” 
</PullQuote>

Needless to say, patients in their twenties and thirties will need less product than someone in their forties or fifties, but everyone will see results. “Patients who already have lines require more units to decrease the movement and often need adjunct procedures like peels, fillers, and microneedling to remove the lines that are etched in,” Dr. Rabach says. “Someone in their twenties may use a fraction of the number of units to maintain ageless skin.” 

### **2. A First-Time Consultation Is Important**
As with any procedure, finding a provider that makes you feel comfortable and, in this case, matches your aesthetic is of the utmost importance. [Booking a consultation](https://aedit.com/aedition/questions-to-ask-your-doctor-during-plastic-surgery-consultation) with a board certified plastic surgeon or dermatologist will help you get a sense of their work and bedside manner — and ensure that whatever you wish to have done is actually right for you. 

“We see new patients first for a consultation, medical history, and physical exam, followed by treatment,” Dr. Rabach explains. “Occasionally, patients want to have a consultation and wait to do the treatment on a later day, but most do both the same day.”

During my consultation, Dr. Rabach asked me where I thought I wanted Botox® as she studied my face. I explained the increasingly omnipresent nature of my forehead lines, and she proceeded to have me raise my eyebrows (my go-to facial expression), furrow my brow, and squint. Doing so allowed her to better understand my facial structure.

“I assess the function of the muscles and see how exactly the different muscle groups contract and pull the skin, so that I know where to place the Botox®,” she shares. “All of the muscles of the glabella (between the eyebrows), forehead, and around the eyes (crow’s feet) attach to the skin, which is why it causes wrinkling when they contract. Botox® reduces the muscle’s ability to contract fully, thereby reducing/removing the wrinkle.”

### **3. You Really Can Get It Done During Your Lunch Break**
Kelly, the patient coordinator at LM Medical, told me that the most common question she hears from patients other than “does it hurt?” is “can I get Botox® during my lunch break?” The short answer is: yes.

My first appointment (which included both a consultation and injections) lasted about an hour, but the majority of the time was spent filling out new-patient paperwork, having ‘before’ photos taken, and consulting with Dr. Rabach. The injections themselves took less than 10 minutes. Post-procedure, I iced my forehead for five minutes to help with any swelling or bruising and then headed back to work. Had I not told my colleagues where I was going, no one would have suspected a thing.

Prior to injecting, Dr. Rabach wiped my forehead down with an alcohol pad, which removed my makeup. She told me I could reapply beauty products (makeup and skincare) immediately, so feel free to bring along a touchup kit.

### **4. Be Mindful of Supplements and Allergies** 
Dr. Rabach says Botox® is “very well tolerated” by a large majority of the population for both cosmetic and therapeutic use, but it should be noted that diseases including Lambert-Eaton Syndrome, Myasthenia Gravis, ALS (Lou Gehrig’s Disease), and a few others are contraindicated. Additionally, allergies and meds should be considered. 

While your daily supplement regime won’t preclude you from getting injected, it may play a role in your recovery. “There are some supplements that potentially thin the blood, thereby making the chance of bruising — it is not very common but can occasionally occur — more likely,” she explains. “For this reason, we specifically ask about supplements. We ask about medications, of course, but have found that patients typically don’t think of supplements as medications. We like to be fully informed of our patient’s individual histories, so that we can set expectations.”

There are no medication contraindications to receiving Botox®, but aspirin and supplements like fish oil, ginseng, garlic, and ginkgo biloba (to name a few) can increase a patient’s chance of bleeding and, therefore, bruising. For the most seamless experience, lay off them before heading in for your appointment.

### **5. Workout *Before* Your Appointment** 
You may or may not be aware that Botox® arrives at your provider’s office in powder form and is mixed with saline and refrigerated prior to injecting. Because of the liquid nature of the combined formula, there is a theoretical risk that the solution could spread or move from the intended location. 

After my 2 p.m. treatment, Dr. Rabach told me not to exercise for the rest of the day and to try to stay upright (read: not lay down or bend over) for three hours — but the directive was provided out of an abundance of caution. “When Botox® is mixed to the company’s recommendations, as is done in my practice, [movement] is a very rare occurrence. However, we are seeing more and more facilities that dilute the Botox® too much,” she says. “This can make it more risky for the patient to lay down or workout. At LM Medical, we recommend not to lay down or workout because we are extra careful, but it really stays where we want it.”

### **6. A Vibrator Might Be Involved**
Yes, *that* kind of vibrator. During my appointment, Dr. Rabach hilariously told me that one of her early mentors gave her the tip to buy them in bulk from Amazon for the best deal... and results. Obviously, *Cosmo* [has thoroughly covered the practice](https://www.cosmopolitan.com/sex-love/a26324168/vibrators-pain-management-botox/), but, in all seriousness, the vibrator serves a very useful purpose.

“We have a lattice of very superficial sensory nerves and anything that touches the skin, they feel,” Dr. Rabach explains. “Using vibration during injection tricks the sensory nerves in the surrounding area to not ‘know’ exactly where the needle is coming and, therefore, makes the discomfort significantly less. Sometimes you can’t feel it at all!”

Dr. Rabach held the vibrator on the side of my forehead, asked me to make facial expressions, and injected into the lines that formed. I didn’t feel a thing, which may be a result of the vibrator or may have something to do with the fact that they quite literally use the tiniest needles on the market for the procedure. While I’ve been told I have a high pain tolerance, I don’t think anyone would tell you the injections feel like anything more than a pinprick.

Because my eyes are naturally watery, they teared up slightly, and there was a bit of blood left over that she quickly wiped away. Immediately following the treatment, there were small, bug bite-like bumps at each injection site. She handed me an ice pack to put on my forehead for five minutes and said the swelling would be gone entirely in 15 to 20 minutes. As promised, by the time I got back to my desk, there was no evidence I had anything done.

For the rest of the day, I felt like I had a very dull headache. My forehead felt a little tender to the touch (similar to how your arm feels after a vaccination) for the first 48 hours or so, but I really only noticed it when I washed my face and rubbed the area. 

### **7. Don’t Expect Results Right Away**
Given our culture is one of instant gratification, it’s important to understand that Botox® results aren’t immediate. In fact, you’ll spend the first three or four days wondering if your doctor even did anything. But, come day five, you’ll be wondering why you didn’t try this sooner. Two weeks post-treatment, you’ll be enjoying the full effect of your injections.

<PullQuote attributedTo={Meg Storm}>
  “Basically, I feel frozen but don’t look it. My makeup wears better without any forehead creasing, and I generally find that I look more refreshed —whether I get enough sleep or not.”
</PullQuote>

I happened to be home with my family for Thanksgiving on day five, and the fact that I got Botox® had all but slipped my mind until my mom asked me if I noticed a change yet. To my delight, I looked in the mirror and saw that the small lines that had started to etch themselves above my brows were softened — almost to the point of invisibility. And, when I raised my eyebrows (yes, they still moved!), my forehead could no longer contract the way it once did. Additionally, I found it difficult to furrow my brow (though, as I mentioned, I am more of a brow raiser than a furrower), which means a temporary farewell to my eleven lines. Basically, I feel frozen but don’t look it. My makeup wears better without any forehead creasing, and I generally find that I look more refreshed (whether I get enough sleep or not!).

### **8. You’ll Need a Follow-Up Appointment** 
As Dr. Rabach explained to me during my initial appointment, not all muscles are created equal. As a result, one side of your face may be stronger than the other, which means that one side may require a bit more treatment than the other — though it will be hard for your provider to know that during your first meeting. 

To ensure your injections are right for your facial structure, he or she will likely have you come about a week later (once the results have started to reveal themselves) to see if a touchup is necessary. I didn’t end up needing another needle, but the quick appointment was a good opportunity to have my ‘after’ photos taken and ask Dr. Rabach additional questions — chiefly, when I should come back for more because, in case you haven’t heard, Botox® isn’t permanent...

### **9. Results Are Temporary**
No matter which neurotoxin you try, the results aren’t immediate and they don’t last forever. Depending on the amount injected and the way your body processes it, most patients will find that injections last three to four months, at which point it would be time for another treatment.

“Botox® degrades over time and needs to be repeated,” Dr. Rabach says. “Individual results vary depending on each person, their metabolism, how many units the person received, as well as other factors. I occasionally hear of it lasting longer than four months, but the industry standard is three to four months for the majority of people. There isn’t much we can do to make it last longer.”

## **The Takeaway**
As you can probably tell, I am very happy with my Botox® results and can see myself getting treatments two or three times a year in the future. With that said, I went into my appointment with a few hesitations and plenty of questions, all of which my doctor was able to talk me through. If you take but one thing from this article, let it be this: [finding the right provider is key](http://aedit.com/aedition/medical-board-certification-in-plastic-surgery-cosmetic-dermatology).

“It is entirely normal to feel nervous about doing something new, especially on your face,” Dr. Rabach says. “You almost definitely will love the results because you will look exactly like yourself, only refreshed! It is important to always go to an experienced, board certified dermatologist or plastic surgeon who has intimate knowledge of the facial muscles, so that you get a phenomenal treatment.” 

After years covering the beauty and aesthetics industries, one editor decided it was time to say ‘so long’ to her forehead lines.

What To Know Before Getting Botox For The First Time

9 Things To Know Before Getting Botox For The First Time

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There’s a reason they call it Old Man Winter. Between the cold, dry air, blustery winds, and the possibility that you may have overindulged over the holidays, your self-care situation may be in serious need of a pick me up. So, rather than hibernating until spring, we’ve got the best winter skincare and cosmetic surgery tips from board certified dermatologists and plastic surgeons.

## **What Winter Weather Means for Your Complexion**
You’re not imagining things: your skin is much drier (and flakier, and grumpier) in the wintertime. Cold air holds less moisture than warm air, so moisture is drawn out of the skin as the temperature drops. Compounding the problem, when that drier air is heated indoors, it regains its capacity to hold water and takes it from your complexion’s already depleted reserves. Fortunately, changing your skincare routine at home — and indulging in a combination of in-office procedures when possible — can keep you looking downright dewy despite the weather.

## **How To Upgrade Your At-Home Skincare Routine for Winter** 
Keeping skin happy and hydrated during the winter months doesn’t have to require a trip to the doctor’s office or a large investment. A well-curated at-home skincare routine can work wonders for your complexion, and we asked two dermatologists for their go-to recommendations. 

### **Incorporate Budget-Friendly Products** 
Sensitive winter skin requires gentle care, says board certified Beverly Hills dermatologist [Michael Lin, MD](https://www.michaellinmd.com/). From the temperature of the water you use to wash your face to the products you slather on afterward, every step of the process matters. “I recommend luke warm water with mild cleanser, and use lots of moisturizer” Dr. Lin shares. He suggests thicker creams or ointments that come in a jar, like [CeraVe Cream](https://www.ulta.com/moisturizing-cream-normal-dry-skin?productId=xlsImpprod3530069) or [Aquaphor Healing Ointment](https://www.target.com/p/unscented-aquaphor-healing-ointment-3-5oz/-/A-11005119), and says additional measures can be taken if it’s still not enough. “A humidifier can also help if the air is dry,” he adds.

### **Treat Yourself to Medical-Grade Skincare**
For a skincare upgrade, West Hollywood cosmetic dermatologist [Jason Emer, MD](https://aedit.com/provider/jason-emer-md-722), recommends professional-grade products from the Restorsea line, including the [Pro Foaming Cleanser](https://www.restorseapro.com/pro-foaming-cleanser), [Pro Intensive Treatment 10x](https://www.restorseapro.com/pro-intensive-treatment-10x), and [24kt Liquid Gold Face Oil](https://www.restorsea.com/24kt-liquid-gold-face-oil-with-vibransea-complex.html). “Restorsea products contain Aquabeautine XL®, which is brightening and ultra hydrating,” he shares.

## **Professional Skincare Treatments to Try for Winter** 
Each of the dermatologists we consulted advocate for both chemical peels and laser treatments during the winter months because strict sun avoidance is required afterwards. The treatments listed here have fairly minimal downtimes (ranging from a few days to a few weeks) but rejuvenating results.

### **Chemical Peels**
Ranging in intensity from light to deep, [chemical peels](https://aedit.com/procedure/deep-chemical-peels) remove successive skin layers using different types and strengths of acids. Typically, the peel solution is applied in office and, after the allotted time, is neutralized by the provider (though some peels are self neutralizing). Within about 48 hours, patients experience varying degrees of flaking and redness typically lasting a couple of weeks.

The result of a chemical peel is dependent upon its strength, but patients can generally expect improvement in pigmentation, tone, and fine lines. Strict sun avoidance is crucial post-peel to minimize the risk of hyperpigmentation. Other risks include scarring, infection, and lingering redness. Light to [medium chemical peels](https://aedit.com/procedure/medium-depth-chemical-peels) can range from several hundred dollars to upwards of $1,000, depending upon the treatment, the provider, and your location.

### **Fractional Laser Resurfacing**
These [non-ablative lasers](https://aedit.com/procedure/nonablative-fractional-lasers) stimulate the production of collagen, while leaving the skin’s outer layers generally undisturbed. Dr. Lin says these lasers provide patients with an improvement in both smoothness and pigmentation without the downtime of a skin-stripping ablative laser (think: a few days vs. a few weeks). 

Dr. Emer favors the Halo™ laser, which is a hybrid that applies both ablative and non-ablative wavelengths. “Halo™ combines deep dermal rejuvenation with epidermal renewal for a combined synergistic effect you can’t get with any other treatment,” he explains. “It creates beautiful results without the downtime of more aggressive treatments.” Dr. Emer applies PRP (platelet rich plasma) immediately after the treatment to stimulate repair. The result is improvement in “sun damage, wrinkles, pores, scars, and pigmentation,” he says.

Risks associated with [non-ablative laser](https://aedit.com/procedure/nonablative-nonfractional-lasers) procedures can include infection, pigmentation changes, and, rarely, blistering or scarring. Treatment cost averages about $1,500. 

### **Injectables**
With minimal risks and very little downtime (think: minor bruising, swelling, or injection-site pain for a few days) our doctors agree that both [neuromodulators](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin), like [Botox®](https://aedit.com/procedure/botox-facial), Dysport®, Jeuveau®, and Xeomin®, and dermal fillers can provide a youthful boost mid-winter. 

### **Morpheus8**
Morpheus8 is a device that combines microneedling (using 24-karat gold-coated pins that are safe for all skin types) with radiofrequency (RF) energy to target both superficial skin and deeper fat layers. “This treatment can smooth both the fat and dermal layer to tighten the overall appearance, shrink pores, lift laxity, soften lines and folds, and even treat acne and scarring,” Dr. Emer explains.

A typical treatment schedule involves a series of three to five sessions averaging around $1,000 each over the course of as many months. Downtime is minimal — a few days to a week of redness, swelling, and possible bruising. The most common risks, though rare, include bleeding, infection, and hyper- or hypopigmentation.

Popular during the winter months in Dr. Emer’s practice is his “Tight + Bright” treatment, which combines a chemical peel with Halo™ laser and Morpheus8 treatments two weeks later. Patients can expect improvements in “sun damage, wrinkles, pores, scars, and pigmentation,” he says, along with tighter skin and improved contours.

## **Plastic Surgery Procedures to Consider for Winter**
“Winter is really the best time to have cosmetic surgery done,” says California-based board certified plastic surgeon [Michael Newman, MD](https://aedit.com/provider/michael-newman-md-795), who adds that preparing for a procedure — from researching surgeons and booking consultations to getting on a surgeon’s calendar — can take months. 

Additionally, patients may need to be “medically optimized,” which can mean anything from securing clearance from a primary care doctor or visiting a specialist to getting in better shape. Needless to say, those pieces can make the process take even longer, so it is important to consider the pre- and post-op time commitment when scheduling. “In order to be ‘summer ready,’ you need to start that process in the winter,” he shares.

Facial plastic surgery (i.e. [facelifts](https://aedit.com/procedure/minifacelift), [blepharoplasty](https://aedit.com/procedure/upper-eyelid-blepharoplasty), [rhinoplasty](https://aedit.com/procedure/closed-rhinoplasty)) is popular during the winter months when it's easier for people to recover indoors and away from both the damaging effects of the sun and public scrutiny. Although the holiday season is the most popular time for surgical procedures due to both vacation time and insurance deductibles, patients who wait until January or February can often get their first choice of surgery dates — and still have time to recover before spring.

For patients considering breast surgery and body contouring work, the colder months (when it’s not unusual to be wearing bulkier clothing or hiding out at home) are an ideal time to book surgeries. [Tummy tucks](https://aedit.com/procedure/abdominoplasty), [breast augmentations](https://aedit.com/procedure/breast-augmentation-with-implants), and [mommy makeovers](https://aedit.com/aedition/the-mommy-makeover-how-to-bounce-back-after-a-baby) are popular this time of year in Dr. Newman’s practice. “It’s much easier for patients to bundle up and hide those areas of scarring and swelling,” he notes.

[Liposuction](https://aedit.com/procedure/power-assisted-liposuction) is another popular wintertime cosmetic procedure, with patients looking to purge some of that holiday pudge in preparation for spring break. At a minimum, says Dr. Newman, patients undergoing any type of invasive aesthetic procedure should allow at least one month of healing time prior to any special event like a vacation. And, to be at your best, he recommends at least six months of recovery.

In case you needed another incentive to book a procedure over the winter, Dr. Newman has noticed that patients considering cosmetic surgery often have a greater incentive to stick to their New Year’s fitness resolutions. “For people trying to make lifestyle changes and thinking about the future, knowing that they need to be at their goal weight before surgery can be very motivating,” he says.

From at-home skincare upgrades to combat dry, arid air to in-office procedures that improve skin tone and texture, here are best invasive and non-invasive cosmetic procedures to consider this winter.

Plastic Surgery By Season: Invasive and Non-Invasive Cosmetic Procedures For Winter

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The medical tourism industry is booming, and plastic surgery and cosmetic procedures are not immune from the trend. Patients are more willing than ever to cross borders in search of healthcare services and medical care. These so-called medical tourists seek treatment abroad for a variety of reasons — ranging from affordability and healthcare costs to the availability of medical procedures and quality of care that may or may not be available in their home country. As it relates to plastic surgery and cosmetic procedures, medical travelers may find that they prefer the style or aesthetic of the results of healthcare providers in other countries.

But there are undeniable risks associated with having surgery abroad. In the long run, these complications can result in expensive and, in some cases, dangerous consequences. Here, The AEDITION explores what to consider before seeking treatment overseas.

## __Why Do Patients Travel For Procedures?__
First things first, it's important to understand why and how medical tourism destinations have come to exist. According to the International Society of Aesthetic Plastic Surgeons, the [United States performs more surgical and non-surgical cosmetic procedures](https://www.isaps.org/wp-content/uploads/2019/03/ISAPS_2017_International_Study_Cosmetic_Procedures_NEW.pdf) than any other country in the world. In 2017, the organization reports that there were nearly 4.5 million procedures performed, representing about 18 percent of the global total. Brazil came in second with about 2.5 million, and Japan, Mexico, and Italy rounded out the top five.

While it should come as no surprise then that the United States welcomes a large contingent of foreign patients annually, plenty of Americans choose to leave the U.S. for aesthetic treatments and surgical procedures in different countries.

[Patients Beyond Borders reports](https://www.patientsbeyondborders.com/media) that the global medical tourism market is growing at a rate of 15 to 25 percent, and cosmetic surgery tops the list of specialities medical travelers are most interested in. The organization, which specializes in medical tourism, estimates nearly two million Americans traveled abroad for healthcare in 2019.

## __What to Consider Before Traveling Abroad for Cosmetic Surgery?__
Sure, cost savings and the allure of new technologies can be appealing, but patients should be cautious when seeking medical treatment in a foreign country. The potential risks of traveling abroad for cosmetic surgery are multiple and varied, says Beverly Hills-based board certified plastic surgeon [Johnson Lee, MD](https://aedit.com/provider/johnson-lee-md-710). And while it is possible to receive quality care around the world, patients should take the necessary precautions before opting for medical travel.
 
1. __Safety First__: Needless to say, safety should always be your top priority when seeking treatment both domestically or abroad. Researching how cosmetic procedures are regulated in other countries, what the education and certification process is for doctors and surgeons, and how medical centers and international hospitals function can help to ensure the proper safety protocols are in place.

2. __Do Your Homework__: If a procedure is not FDA-approved in the U.S., you may want to consult with a board certified plastic surgeon or dermatologist prior to traveling to understand the potential safety risks of the treatment or technique. Viewing before and after photos and asking to speak to local patients who have undergone the procedure can provide additional insight into what to expect. 

3. __Money Matters__: Make sure you have explicit documentation about the price of the procedure (including pre-op lab work and post-op recovery fees) from the onset. While healthcare costs can be significantly less outside of the U.S., it is important to remember that a low-cost treatment that sounds too good to be true probably is. 

4. __Insurance Intricacies__: Insurance companies rarely cover elective cosmetic procedures, but you may be able to take out an insurance policy before traveling abroad for a procedure. While some health insurance plans can be designed specifically for medical tourism, you'll want to be clear on exactly what is covered by the policy. For example, coverage may be provided if you have to delay your return home for medical reasons.

5. __Communication Is Key__: Consider potential language barriers when choosing a provider. Be sure to ask whether the entire medical team (nurses, doctors, etc.) are fluent in your native language. During both the pre-op and post-op care process, you will need to understand everything that is being said, so communication is a vital part of choosing a provider.

## __Risks Associated With International Medical Care__
Whether you're being treated at home or abroad, there are always risks associated with undergoing a procedure — especially an elective one. With that said, there are certain things to pay special attention to when considering healthcare services in a foreign country. Below are five of the most common risks pertaining to medical tourism for cosmetic procedures:

### __1. Anesthesia__
The increased risks associated with anesthesia when having surgery abroad are often in relation to the resources available in the clinic where the procedure is taking place. To mitigate this risk, it is worth asking what safety protocols are in place and how the surgeon’s team is prepared to react in the event something goes wrong. Dr. Lee advises patients to ask the following:

- *What safety measures are in place before, during, and after surgery to make sure there are no unnecessary risks?*
- *If there is a complication, are the providers or medical facility knowledgeable and equipped to handle it?*

### __2. Unsatisfactory Surgical Results__
Another common concern when traveling abroad for cosmetic procedures? The potential for unsatisfactory results and the lack of recourse in such cases. Dr. Lee has seen patients in his practice who are looking for revision procedures in the aftermath of a surgery done abroad. “Most of these procedures are larger surgeries that have larger incisions or tend to require a longer recovery period, such as [tummy tucks](https://aedit.com/procedure/abdominoplasty) or [mommy makeovers](https://aedit.com/aedition/the-mommy-makeover-how-to-bounce-back-after-a-baby)," he explains. "The problem is that most patients return home shortly after their procedure and are no longer properly managed.”

<PullQuote attributedTo={Johnson Lee, MD}>
  "The problem is that most patients return home shortly after their procedure and are no longer properly managed."
</PullQuote>

There is also the risk that a provider will rely on patients not being local to cut corners, which can lead to long-term financial, physical, and emotional concerns. Dr. Lee recommends patients who choose treatment abroad find a doctor in their home country (prior to leaving!) who would be willing to treat them if something were to go wrong upon return.

### __3. Implant and Device Safety__
Ever since the [silicone implant scandal](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3676226/) involving French manufacturer Poly Implant Prothèse (PIP) in the early 2000s and the more [recent recall of Allergan's textured breast implants](https://aedit.com/aedition/heres-what-you-need-to-know-about-the-allergan-breast-implant-recall), patients are increasingly aware of the need to discuss implant safety prior to surgery. This is especially true abroad, as clinical testing, medical standards, and regulation varies by country. 

“The FDA in the United States is particularly stringent. Most larger companies with FDA-approved implants and medications in the United States will have the exact same or similar products abroad,” says Dr. Lee, who encourages patients to ask their surgeons in other countries what types of products they use. If you are uncomfortable with what is offered, consult with another provider. The same due diligence is necessary for medical devices (think: lasers and body sculpting treatments), too.

### __4. Post-Op Travel Concerns__ 
Long-distance travel soon after surgery is one of the biggest differences in the recovery from a procedure carried out locally versus abroad. Surgeons who regularly operate on patients traveling from another country often have tried and tested protocols in place that will dictate when and how you will be allowed to travel home to prevent injury and complications.

“With air travel, you may be expected to stand or sit for prolonged periods of time or carry heavy luggage. This can be harmful to your surgical sites, in addition to being uncomfortable," Dr. Lee explains. "One of the most serious risks of flying is developing a deep vein thrombosis (DVT). This is usually a blood clot that forms in the calf area of the legs and happens because of prolonged sitting and poor circulation. Blood clots can travel through your vessels and cause damage to the lungs and even death.”

Ideally, patients would travel with a companion who can help navigate the post-op process and return trip home. Coordinating with your airline can also help to get you through the airport with less walking and standing. Regardless, Dr. Lee says surgeons should be able to provide "exercises and tips" that will help minimize the risks, "if you are traveling shortly after surgery."

### __5. Recovery and Aftercare__ 
With many procedures, patient care during the recovery process is as crucial to a good outcome as success in the OR. One of the biggest risks of having surgery in another country is the potential lack of follow-up care. Dr. Lee advises that patients try to find a doctor close to home who is willing to help them through the recovery process, if they do choose to have surgery abroad.

Scar revision, for example, is a common request of patients returning to the U.S. after having a cosmetic procedure abroad. The scarring can be due to the stress put on the surgical site while traveling home, poor post-op care, or doctor error. Larger revision or corrective surgeries (which are both financially and physically costly) may also be needed if patients are unhappy with their results.

To avoid such disappointments, make sure you ask your surgeon to outline their standard recovery practices (including when normal activity can resume and what symptoms to be on the lookout for) and how they can be carried out when you return home.

## __For Patients Traveling to the U.S. for Cosmetic Surgery__ 
Just as Americans looking to travel abroad for cosmetic surgery should take all of the potential concerns and risks outlined above into consideration, patients planning to come to the U.S. for treatment should exercise similar care. 

As in any country, finding a reputable reliable surgeon, who specializes in your desired procedure is paramount. It is important to consider his or her board certifications, aesthetic, and patient satisfaction. You will want to discuss how long you will need to remain in the country after the procedure for follow-up appointments and when it will be safe to travel long distances again. Additionally, be equipped with a list of medications and supplements you currently take and any relevant medical records to ensure things operate as smoothly as possible.

## __The Takeaway__
Regardless of where you choose to have it done, deciding to undergo a cosmetic procedure is a big decision. There are, of course, added risk factors to take into account before choosing to have a procedure abroad. Doing proper research to understand healthcare system in the country you are traveling to can help mitigate the risks and ensure high-quality care. 

Prior to leaving for your trip, you’ll want to line up a doctor close to home who is willing to treat you if side effects or complications arise post-op. Traveling with a friend or loved one is also recommended, as is securing appropriate insurance. And, if you take nothing else from this piece let it be this: The true price of a cosmetic procedure is about a lot more than dollars and cents.

“The cost of the procedure is just the tip of the iceberg,” Dr. Lee says. “When deciding to travel abroad, you should do your research and speak with your surgeon or other patients about their experiences. This is your body, not a car or a piece of jewelry. Don't shortchange yourself!”

Sure, cost savings and the allure of new technologies can be appealing, but patients should be cautious when traveling overseas for medical care. Here, The AEDITION explores what to consider before seeking treatment in another country.

Dangers of Getting Plastic Surgery And Cosmetic Procedures In Foreign Countries 

What You Need To Know About Traveling Abroad For Cosmetic Surgery

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Whether you’ve been personally coveting a cosmetic procedure or it’s on the wish list of someone special, you'd probably like to know: What are the ‘dos’ and ‘don’ts’ when it comes to asking for and gifting aesthetic procedures and treatments? Is there any special etiquette for giving and receiving such a personal service? Never mind if you’ve been naughty or nice, is it even safe to ask Santa for plastic surgery?

To better understand the ins and outs of gift giving, The AEDITON talked to New York City-based dentist [Alina Lane, DDS](https://aedit.com/provider/alina-lane-7794), of All Smiles Dentistry, facial plastic surgeon [Lesley Rabach, MD](https://aedit.com/provider/lesley-rabach-md-17912), of LM Medical in Manhattan, and Los Angeles plastic surgeon [Jason Roostaeian, MD](https://aedit.com/provider/jason-roostaeian-md-449), about the growing trend and what they've seen in their own practices.

## **Trend Alert: Gifting Cosmetic Treatments Is on the Rise**
Just take a quick peek at reality TV or social media and it’s obvious: Americans are more open than ever about going under the knife or needle. Given the ever-growing social acceptability of cosmetic surgery, it’s only natural that giving (and receiving) these services is an increasingly popular practice. Case in point: [Kris Jenner partnering with Botox®](https://people.com/style/kris-jenner-is-giving-the-gift-of-botox-to-her-family-and-friends-this-holiday-season/) to satisfy her holiday shopping list.

“People are always trying to think of new ways to find personalized and meaningful gifts,” says Dr. Rabach, who has seen an uptick at her practice in the number of patients calling to inquire about purchasing gifts during the holiday season. 

## **Dos and Don'ts for Gifting a Cosmetic Procedure**
No matter how far we've come in discussing aesthetic medicine, giving the gift of a cosmetic treatment or surgical procedure is still highly personal. Here, a simple set of guidelines to make both giving and receiving easier (and safer!) this holiday season.

### **Guidelines for Giving** 
**DO** be 100 percent certain the treatment or invasive procedure is on the recipient’s wish list. Surprises are a major no-no — especially if you're considering a monetary donation toward plastic surgery. Unless you want your present to fall flatter than last year’s fruitcake, this is no time reading into possible hints. Hearing your spouse complain about putting on a few pounds, for example, does not translate to “please get me [liposuction](https://aedit.com/procedure/ultrasound-assisted-liposuction) for Christmas.”

**DO** your research. There’s no [one-size-fits-all approach to cosmetic treatments](https://aedit.com/aedition/plastic-surgery-results-are-about-proportion-not-perfection), nor is every provider up to snuff. Make sure you seek out a reputable practitioner, preferably via a referral from someone you trust. Ideally, the provider would be someone the gift recipient already approves of.

**DON’T** use a holiday gift as an excuse to pressure your partner. Rewarding your loved one with a body lift after major weight loss or a [mommy makeover](https://aedit.com/aedition/the-mommy-makeover-how-to-bounce-back-after-a-baby) as a belated push present, for example, may be well-intentioned — but can be too easily misconstrued. “Even in the types of scenarios where the person has expressed some interest in the procedure, it’s still too risky, in my opinion, to suggest it,” warns Dr. Jason.

**DO** opt for gift certificates, rather than specific services even for something as seemingly simple as injectables. Dr. Rabach says gift cards are a good idea since treatment plans can’t be predetermined. “Unless we already know the patient being gifted, we cannot always accept another patient’s wishes to purchase a ‘[microneedling](https://aedit.com/procedure/microneedling) package’ before we know if that treatment is the correct one for the patient,” she explains. Before purchasing, make sure the facility you're considering has a wide variety of offerings that are appropriate for a range of concerns and clientele.

**DON’T** blindly purchase crazy cyber deals — especially treatment packages — from unfamiliar med spas. If it sounds too good to be true, it probably is. The last thing you want is your family member or loved one feeling obligated to follow through with an unwanted treatment at a questionable facility well into the new year.

### **Rules for Receiving**
**DO** your homework. As always, a successful result depends upon finding the right provider for your needs. If you’re going to ask friends or family to contribute to your procedure (be it something surgical like a [rhinoplasty](https://aedit.com/procedure/open-rhinoplasty), [facelift](https://aedit.com/procedure/liquid-facelift), or [breast augmentation](https://aedit.com/procedure/breast-augmentation-with-implants) or less invasive like a [chemical peel](https://aedit.com/procedure/croton-oil-peel) or facial) give them the peace of mind of knowing that you’ve made a well-informed decision.

**DO** be forthright about what you’re requesting. Dropping a vague hint like “I hate my muffin top” will probably get you nowhere, whereas, “I’m going to ask Santa for this new [fat-reducing procedure](https://aedit.com/procedure/abdominoplasty) at my sister’s med spa” is crystal clear.

**DON’T** hold the giver accountable if you’re unhappy with your results. “Any procedure has risks, including the fact that patients are sometimes dissatisfied,” says Dr. Jason. Having an open, honest conversation about it ahead of time is a must to avoid blame games.

## **The Best Cosmetic Procedures to Give as Holiday Gifts**
Now that you're acquainted with the ground rules, here’s a roundup of what our experts believe to be the best cosmetic treatments to gift for the holidays no matter your budget:

### **1. Teeth Whitening**
“For those loved ones that are time-conscious and want a [white smile immediately](https://aedit.com/aedition/how-to-take-care-of-your-teeth-smile-mouth-during-the-holidays), I like to recommend Philips Zoom Whitespeed,” Dr. Lane explains. The 60-minute in-office procedure has an extra whitening boost thanks to an LED light and is a good option for patients with sensitive teeth.

**On a budget?** Dr. Lane suggests over-the-counter strips. “For less than $50, Crest 3D Whitestrips can provide a brilliantly white outcome,” she says, noting that the results are often comparable (and sometimes even longer-lasting) than in-office whitening procedures.

### **2. Skincare**
For those looking to give (or receive) the gift of glow, Dr. Rabach says alternating a [mild chemical peel](https://aedit.com/procedure/medium-depth-chemical-peels) with a [microneedling](https://aedit.com/procedure/microneedling-with-prp) treatment each month is a popular — and successful — protocol. “The two treatments work on the skin in different ways and have an extremely youthful result when combined,” she says.

**On a budget?** Dr. Rabach and her dermatologist sister, [Morgan Rabach, MD](https://lmmedicalnyc.com/our-experts/dr-morgan-rabach/), sell an array of medical-grade skincare products tailored to patients' concerns and skin type.

### **3. Botox®**
All of the physicians we interviewed mentioned [neuromodulator injections](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin) (think: [Botox®](https://aedit.com/procedure/botox-facial), Dysport®, Jeuveau®, and Xeomin®) as a safe and effective cosmetic procedure for holiday gifting. When administered by a board certified plastic surgeon, dermatologist, or other highly trained professional, it’s a low-risk, high-reward treatment option with temporary results. 

**On a budget?** Dr. Lane suggests gathering friends for a Botox® holiday party. “Botox® can be very expensive and has a very short shelf life,” she explains. That combination can elevate the cost for physicians, but, “as a group, you might be able to find a better deal,” she shares. Dr. Lane points out that, regardless of the circumstances, seeking treatment from a certified provider is still a must.

## **The Takeaway**
Finding the perfect present for everyone on your holiday shopping list is no small feat, and cosmetic treatments and procedures can be a great gift for the right person. While the doctors we spoke with have seen people successfully gift or help finance surgical procedures (think: tummy tucks, breast implants, etc.) under the right circumstances, it may be easier to start with less invasive treatments (i.e. [chemical peel or facial](https://aedit.com/aedition/chemical-peel-vs-laser-treatment-what-is-best-for-your-skin) packages) or a gift card that the recipient can put toward the service of their choice. Finding the right provider is also key, so be on the lookout for referrals whenever possible.

Ultimately, if you're planning to give a cosmetic treatment or plastic surgery procedure this holiday season, make sure the gift is actually on your loved one's list — and check it twice!


Whether you’ve been personally coveting a cosmetic procedure or it’s on the wish list of someone special, you'd probably like to know: What are the ‘dos’ and ‘don’ts’  when it comes to asking for and gifting aesthetic procedures and treatments?

How To Give Cosmetic Treatments And Plastic Surgery Procedures As Gifts

The Best Cosmetic Treatments And Procedures To Give As Gifts

shutterstock 632292200 (1)

*From that French girl je ne sais quoi to the intricacies of the multi-step Korean skincare routine, the international cosmetic and aesthetic industries are as vast as they are unique. But, thanks to globalization, niche trends now have universal appeal. In this series, The AEDITION explores geographical markers of beauty and how they influence today's global patient and consumer.*

It’s safe to say that men care about how they look just as much as women. Forget the sitcom trope of a schlubby husband with the bombshell wife — men can be just as focused on their appearance as everyone else. In fact, studies show it’s the case around the globe. The difference is that how men want to look changes when you cross borders.

There is a reason the global men’s grooming industry grew to [$60.6 billion in 2018](https://www.prnewswire.com/news-releases/global-male-grooming-products-market-set-to-reach-81-2-billion-by-2024---analysis-by-product-price-range-distribution-channel-and-region-300883497.html) and is set to balloon even more (it is estimated to rise to $81.2 billion by 2024); men are much bigger consumers of beauty and grooming than people give them credit for. That extends to cosmetic procedures as well. According to the International Society of Aesthetic Plastic Surgery (ISAPS), [men made up 14.4 percent of all global cosmetic surgical procedures in 2017](https://www.isaps.org/wp-content/uploads/2019/03/ISAPS_2017_International_Study_Cosmetic_Procedures_NEW.pdf). And while they don’t break down gender divisions in individual countries, it’s clear that men are increasingly seeking out cosmetic procedures the world over.

But what these men are looking for varies by country. Much like women’s standards of beauty, what men aspire to look like has a lot to do with the culture they’re living in and is closely tied to their societal understanding of masculinity. In 2016, [UK-based Superdrug launched a “Perceptions of Perfection” study](https://onlinedoctor.superdrug.com/perceptions-of-perfection-part-ii-men/?utm_source=affiliatewindow&utm_medium=affiliate) that invited freelancers from around the world to alter a photo of a man to reflect the ‘ideal male’ of their culture. The results are, unsurprisingly, varied but do show that “men suffer equally with women around low body confidence as many strive to attain a standard of ‘attractiveness’ that is both often unattainable and driven by cultural perceptions and advertising ideals,” as the study notes. 

Understanding the [subtle differences in the male ideal](https://www.youtube.com/watch?v=aC7P-p0dPoI) around the world can shed a light on the global perception of masculinity and why more men are seeking out cosmetic procedures than ever before. Here, The AEDITION speaks with leading experts to find out what men are looking for in five regions around the globe.

## **1. Middle East**

In recent years, the Middle East has become a global plastic surgery hub, particularly Lebanon, Dubai, and Turkey. Some credit social media and western influence with this rise, but a decreasing cultural stigma around cosmetic work has also contributed to an increase in both procedures and medical tourism. Some estimate that as much as [30 percent of patients seeking cosmetic surgery are men](https://www.arabnews.com/node/1442116/saudi-arabia).

According to a [2017 study in the Saudi Medical Journal](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556282/), the most common cosmetic procedures were [rhinoplasty](https://aedit.com/procedure/ethnic-rhinoplasty) and [laser hair removal](https://aedit.com/procedure/laser-hair-removal). While they do not note how many of these procedures were performed on men, it’s in line with what experts see. “In the Middle East, rhinoplasty is number one,” says Beverly Hills-based board certified plastic surgeon [Leif Rogers, MD](https://aedit.com/provider/leif-rogers-md-578). It’s becoming more common not only in the Middle East itself, but also among people of Middle Eastern descent in the U.S., he says.

“They don’t necessarily want a Western looking nose,” New York City board certified plastic surgeon [Douglas Steinbrech, MD](https://aedit.com/provider/douglas-steinbrech-md-62), is quick to note. Instead, the ideal is a defined nose that still is culturally appropriate. “They may want it to be reduced, but to keep it within the bell-shaped curve that is the norm of their culture,” he says.

The Middle East is also rapidly becoming known as a hub for [hair transplants](https://aedit.com/procedure/neograft), especially in Turkey. It’s estimated that Turkey alone has more than 300 hair transplant clinics and has seen men flock from all over the world to have hair treatments. In a culture that has traditionally valued full beards and heads of hair, it’s unsurprising that hair-focused procedures are popular in the region. Couple that with an interest in manscaping (as seen through the amount of laser hair removal procedures) and it’s clear that hair is a defining factor in male beauty in the Middle East.

## **2. South America**
When you think about South American aesthetics, it’s impossible to overlook Brazil, which leads the charge in both beauty ideals and plastic surgery. Procedures like the [Brazilian Butt Lift](https://aedit.com/procedure/brazilian-butt-lift) have cemented Brazil as the gold-standard in body definition — not just for women but for men too.

Men in Brazil idealize a toned, athletic body but not overly muscular. “They’re all about big-time definition,” says Nashville-based board certified plastic surgeon [Jacob Unger, MD](https://aedit.com/provider/jacob-unger-md-2649), of Maxwell Aesthetics. It’s telling that [four of the top five most popular plastic surgery procedures](https://www.isaps.org/wp-content/uploads/2019/03/ISAPS_2017_International_Study_Cosmetic_Procedures_NEW.pdf) in Brazil are focused on the body, with [liposuction](https://aedit.com/procedure/laser-assisted-liposuction) and [abdominoplasty](https://aedit.com/procedure/abdominoplasty) top among them. Dr. Steinbrech also notes that he’s seen an increase in interest in other procedures among men in Brazil. “They do a lot of [gluteal augmentation](https://aedit.com/procedure/butt-augmentation-with-implants) and are very interested in implants,” he explains.  

While the ISAPS does not note how many men in Brazil underwent these surgeries versus women, given that Brazil is considered a plastic surgery capital around the world (thanks to inexpensive and accessible providers) it is not a stretch to assume that men are taking advantage to obtain their perfect beach body.

## **3. South Korea**
South Korea is a beauty-obsessed culture that has distinct ideas of beauty for both women and men. “Korea really sets the standards across Asia,” says Dr. Steinbrech. Look no further than the now-worldwide K-beauty trend to see that aesthetic trends often start there and soon have global implications. Men in South Korea are much more in tune with [skincare](https://aedit.com/aedition/best-skincare-grooming-ingredients-for-men) and makeup than men in other parts of the world and typically undergo cosmetic procedures like [jaw surgery](https://aedit.com/procedure/jawline-slimming-with-botox) and rhinoplasty to attain their desired look.

Dr. Steinbrech says K-Pop and the [Flower Boy](https://www.bbc.com/news/world-asia-42499809) aesthetic are the driving influences in South Korean aesthetics for men. “It’s a more androgynous feel where men want to have more delicate faces like a narrow jawline and a more pointed chin,” he explains. Unlike other parts of the world where stronger male features are preferred, South Korean men want a more stylized look that’s focused on their face and is even sometimes at odds with a more muscular body, according to Dr. Steinbrech. Similar to women, larger eyes are considered beautiful in men, but [double eyelid surgery](https://aedit.com/procedure/asian-blepharoplasty) (during which a Western-inspired crease in the eyelid is created) is very common as well, he says. 

To obtain more ‘delicate’ features many men turn to elaborate skincare routines and makeup, but there is a reason South Korea is considered one of the plastic surgery capitals of the world. In Seoul alone, there are [hundreds of plastic surgery clinics](https://www.academia.edu/18248718/The_dubious_enhancement_Making_South_Korea_a_plastic_surgery_nation), and, unlike in the United States, the most common procedures focus on the face and are considered ‘minor’ procedures. Double eyelid surgery is one, but so is double jaw surgery (to sculpt the jaw and augment the chin to create the desired V-shape) and rhinoplasty (to create a smaller, more delicate nose). These procedures are just as common for men as they are for women.

## **4. United Kingdom**

In recent years, male aesthetic ideals in the United Kingdom have shifted, some say as a result of the popularity of reality shows like *Love Island*, which features very fit women and men in various states of undress. *Love Island*, specifically for it’s constantly rotating cast of ripped, shirtless men, [has been said to be linked to an increase in anabolic steroid use and male body image disorders](https://www.huffingtonpost.co.uk/entry/love-island-2019-is-the-reality-show-affecting-male-body-image_uk_5cf61f85e4b0a1997b702181?guccounter=1).

Whether that is true or not, it’s clear that men in the United Kingdom are much more focused on their bodies and desire a toned, muscular physique. The ideal man is muscular, athletic, and heavily tattooed (the UK has emerged as one of the most tattooed nations), and while plastic surgery is less common for men than in other parts of the world, Dr. Steinbrech has seen this start to change. “The Brits are more conservative in general, but [UK patients] are starting to get more into body procedures,” he shares. “They’re starting to ask for them and it’s becoming a trend.”

According to the [British Association of Aesthetic Plastic Surgeons](https://baaps.org.uk/about/news/1708/cosmetic_surgery_stats_number_of_surgeries_remains_stable_amid_calls_for_greater_regulation_of_quick_fix_solutions), men in the UK are opting for non-invasive procedures like [Botox®](https://aedit.com/procedure/periorbital-botox) more frequently than surgical procedures. But while that may be the case when it comes to facial procedures, liposuction rose among men by 9 percent in 2018, further cementing the United Kingdom as an increasingly body-obsessed culture. 

## **5. USA**

“American [men] want to be tan and jacked like a Marine or a superhero,” says Dr. Steinbrech. “Basically, they want to look more like Thor.” But nailing down the aesthetic ideals of American men isn’t so easy. A lot of it has to do with where they live, at least according to Dr. Steinbrech. “There is a tendency with people (including men) in Los Angeles to want to look younger,” he says. “In California, people are rewarded for being fit, going to the gym, and appearing more youthful. They’re more likely to want to look very young and fit even into their sixties.” In other areas, like New York, he says men tend to be more focused on how their looks can make them more effective at their jobs. “In New York, they want a [big jawline](https://aedit.com/aedition/8-ways-to-get-a-more-defined-jawline)” because men equate that with confidence, leadership, and magnetism, he explains. 

Despite the subtle differences in geography, a peek at the top cosmetic procedures among men does shed some light. Liposuction and [gynecomastia](https://aedit.com/procedure/male-breast-reduction) surgery (a.k.a. male breast reduction) are common and men look to these procedures to obtain a more toned, fit shape. Rhinoplasty and [blepharoplasty](https://aedit.com/procedure/blepharoplasty-eyelid-surgery) (i.e. eyelid surgery) are also common, showing that men do seek to improve their facial features, though Dr. Steinbrech adds that the goals of these procedures among men is to make small, subtle tweaks that are not always noticeable. Still the most common cosmetic procedure of all is non-invasive Botox® (or other neuromodulators) and dermal fillers, which help men look youthful without surgery.

Whether it’s through non-invasive procedures or cosmetic surgery, the most common thing providers hear from their male patients is that they don’t want to look too 'done.' Men in the United States still often associate a certain ruggedness with a male ideal — a muscular body, a strong jaw, and a few (but not too many) lines on their faces. Perfection, in many ways, is considered feminine, but strength is masculine.

Understanding the differences in the ideal male aesthetic around the world can shed a light on why more men are seeking out cosmetic procedures than ever before. Here, The AEDITION investigates what guys are looking for around the globe.

Male Beauty, Grooming, And Cosmetic Surgery Trends Around The World

Going Global: Male Beauty And Cosmetic Surgery Trends Around The World

shutterstock 735500140 (1)

If the most wonderful time of year has you feeling more frazzled than festive, we’ve got the perfect present: A guide to the best non-invasive cosmetic procedures to keep you glowing while you’re going… and going… and going this holiday season.

## **Professional Holiday Skincare Prep**
Whether your skin is in need of brightening, firming, or just a bit of pre-holiday TLC, there is an array of minimally invasive in-office procedures that are light on downtime and heavy on results. 

### **Chemical Peels**
The top seasonal skincare suggestion of New York City-based board certified dermatologist [Julie Russak, MD](https://aedit.com/provider/julie-russak-md-4645)? A mild- to medium-strength chemical peel. “Peels can be customized to have zero downtime yet instant results, which is perfect for a last minute glow before a holiday party,” she shares, adding that she favors both Jessner peels and light TCA peels at her practice.

- [Jessner Peel](https://aedit.com/procedure/jessners-peel): Comprised of several acids (including salicylic acid, lactic acid, and resorcinol), the self-neutralizing, medium-depth peel affects only the top layer of skin and is generally safe for a variety of skin types to treat everything  from acne scars and sunspots to fine lines and wrinkles. Because patients must stay out of the sun before and after to avoid hyperpigmentation, Jessner peels are best performed in late autumn, winter, and early spring (i.e. an ideal pre-holiday pick-me-up).

- [TCA Peel](https://aedit.com/procedure/tca-peel): TCA stands for trichloroacetic acid, a relative of vinegar that can be used in varying strengths to exfoliate the epidermal skin cells. Like other types of chemical peels, it’s best performed in the winter months, and is commonly used to even skin tone, reduce fine lines, and smooth acne scarring. 

### **Customized Facials**
Come holiday time, Dr. Russak’s patients line up for customized facials at her Russak+ Aesthetic Center. “We combine dermaplaning, HydraFacial, and oxygen infusion to provide an instant pick-me-up,” she says. By incorporating techniques from all three procedures, she is able to provide immediate brightening, lifting, and firming results.

- [Dermaplaning](https://aedit.com/procedure/dermaplaning-treatment): During a dermaplaning treatment, a dermatologist (or highly trained aesthetician) uses a medical-grade scalpel to remove a thin layer of dead skin cells from a patient’s face. While it does not provide the same level exfoliation as a chemical peel, dermaplaning provides an instant refresh for dull skin, in addition to improving the absorption rate of serums and skincare and allowing for smoother makeup application (so long, peach fuzz!). But be sure to slather on the sunscreen — dermaplaning will make you more sensitive to UV rays (even in the wintertime).

- [HydraFacial](https://aedit.com/procedure/hydrafacial): The multifaceted treatment uses water to simultaneously suction out the pores and deliver potent infusions of active ingredients deep into the skin. It can be used to treat a variety of concerns — from acne to fine lines to sun damage — without any irritation or redness. Patients emerge from the 30-minute procedure with a radiance boost that lasts for about one week.

- __Oxygen Facial__: A favorite of celebrities like Madonna, the procedure involves spraying the epidermis with concentrated oxygen molecules that are infused with skin-boosting vitamins and nutrients. Proponents say the treatment enhances collagen production, detoxifies, and hydrates — leaving skin with an immediate dewy glow.

### **Dermal Filler**
[Filler](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers) is the number one treatment Dr. Russak recommends to patients looking for instant gratification. “I use fillers to lift the face and provide a contour that lasts, which can instantly take years off of the face,” she shares. “It achieves a refreshed, youthful appearance without looking ‘done.’”

Common treatment areas include the cheekbones, tear troughs, and jawline — with men, in particular, opting for the latter. Patients should allow about 10 days for any bruising or swelling to resolve.

### **Microneedling with PRP**
This non-surgical procedure is a go-to for Beverly Hills-based board certified plastic surgeon [Jonathan Cabin, MD](https://aedit.com/provider/jonathan-cabin-md-956), when treating patients who are looking for a quick fix. Also known as the ‘[vampire facial](https://aedit.com/procedure/microneedling-with-prp),’ the treatment involves piercing the skin with fine needles to create micro wounds that stimulate collagen production. Introducing the patient’s own platelet rich plasma (PRP) further maximizes the rejuvenating results, in addition to more quickly improving redness and healing time. 

Dr. Cabin advises scheduling one treatment per month for three months in a row for best results. But for but for patients who haven’t planned that far ahead, don’t fret. One microneedling treatment performed two weeks before a special event will still result in more radiant skin.

### **Neurotoxin Injections** 
Dr. Cabin suggests [Botox® and the like](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin) to patients who are looking to both prevent and treat fine lines and wrinkles — especially around the eyes (think: crow's feet) and forehead. Results can last two to four months, but patients should plan to schedule their injections at least two weeks prior to any holiday event to allow effects to kick in and any injection site bruising or redness to resolve. 

## **At-Home Holiday Skincare Prep**
The chilly, dry air coupled with the hustle and bustle of both work and social engagements can leave your complexion looking like the Ghost of Christmas Past. It may go without saying, but the key to avoiding dull, dry, and irritated skin is to maintain a healthy lifestyle. While the holiday season is so often synonymous with overindulgence, sticking to a mindful, well-balanced routine can keep your skin looking rosier than Rudolph’s nose.

1. **Adopt a Seasonal Skincare Routine:** Just as you swap out your flip-flops and t-shirts for booties and sweaters, you should be switching up your product preferences to suit the change of season, says Dr. Cabin. He believes a tailored regimen (including daily sunscreen!) is the single most effective way to prevent and reverse skin damage. In addition to incorporating hydrating stalwarts like hyaluronic acid into your routine for winter, brightening and exfoliating ingredients like vitamin C and alpha- and beta-hydroxy acids can provide an instant pre-holiday glow boost.

2. **Don’t Skimp on Sleep:** It’s not called ‘beauty sleep’ for nothing. Getting the recommended seven to nine hours of sleep per night for adults is your body’s chance to recharge. Like many bodily functions, the skin undergoes a number of reparative processes overnight, so catching some zzz’s is tantamount to skin health. For an added complexion jolt, try an overnight mask, night cream, or serum that can complement the natural rejuvenation.

3. **Steer Clear of Sugar:** Indulging in cakes, cookies, and eggnog galore is not only a concern for your waistline. Decadent foods that are high in sugar or salt can wreak havoc on your complexion and trigger bloating, redness, and even acne. As always, enjoy in moderation. 

4. **Stay Hydrated:** Slathering on your favorite serum and moisturizer can only go so far if your skin is parched from dehydration. Aim to take in about half your weight in fluid ounces daily (up that quotient if you’re consuming alcohol). And, no, a peppermint latte doesn’t count as ‘essential fluids.’

## **Last But Not Least...**
If you’re just too busy — or still waiting on that holiday bonus — to schedule a cosmetic treatment, don’t give into your inner ‘bah, humbug’ just yet. Dr. Russak has a few self-care tips that can provide both mind and body benefits. “I’m a big fan of detoxing with an infrared sauna and lymphatic drainage massage,” she says, adding that “getting a good haircut can also provide an instant mood boost.” And, at the end of the day, all the procedures in the world can’t take the place of a little ‘me time.’ Dr. Russak’s advice to keep yourself feeling merry *and* looking bright? “Make sure to squeeze in some meditation to relax from holiday stress,” she says.

Whether your skin is in need of brightening, firming, or just a bit of pre-holiday TLC, there is an array of minimally invasive in-office procedures and at-home remedies that’ll leave you merry and bright. 

Non-Invasive Cosmetic Procedures To Look And Feel Your Best This Holiday Season 

Non-Invasive Tweakments To Look And Feel Your Best This Holiday Season 

shutterstock 703500976 (1)

It’s an undisputed fact that more men are getting cosmetic procedures. According to the American Society of Plastic Surgeons’ annual report, more than [1.3 million men in the United States went under the knife (or needle) in 2018](https://www.plasticsurgery.org/documents/News/Statistics/2018/plastic-surgery-statistics-full-report-2018.pdf) — a 29 percent increase since the year 2000. And while the majority of these procedures performed on men were minimally invasive, men still made up 13 percent of cosmetic procedures performed in the United States.

It’s not exactly surprising that men are increasingly seeking out the help of plastic surgeons to reach their aesthetic goals. Cosmetic surgery has never been gendered, but the divide can be traced back to our cultural misconceptions of what cosmetic surgery is and who gets it. Thanks to the internet and social media, both men and women have a greater understanding of just what these procedures entail and what they can do. “The conversation is a lot more sophisticated than it used to be,” says board certified plastic surgeon [Jacob Unger, MD](https://aedit.com/provider/jacob-unger-md-2649), of Maxwell Aesthetics in Nashville. He’s noticed an increase in male patients in his own practice in recent years.

Still, men who get cosmetic surgery are looking for different results and typically approach it differently than women. The biggest fear most men have when getting cosmetic surgery is that it is going being obvious that they got it. “They don’t want to look like they’ve had anything done,” says board certified plastic surgeon [Leif Rogers, MD](https://aedit.com/provider/leif-rogers-md-578), in Beverly Hills. They also want different results, particularly when it comes to common procedures like liposuction and rhinoplasty. Cosmetic surgery, after all, is not one size fits all, and men want the results to look masculine and blend with their existing features. 

Both Dr. Rogers and Dr. Unger’s patients reflect the current trends that the ASPS reports. “Men want a lot of body contouring, liposuction, and liposculpting,” says Dr. Unger. On the face, eye lifts and nose jobs reign supreme among men. “About a third of the rhinoplasties I do are on men,” notes Dr. Rogers.

The AEDITION asked the experts to break down the most common surgical and non-surgical cosmetic procedures for men, and what they have to say may surprise you.

## __1. Liposuction__
[Liposuction](https://aedit.com/procedure/liposuction) is consistently one of the top cosmetic procedures across the board, according to the ASPS, so it’s not surprising that it lands in the top spot for men as well. But that doesn’t mean that men and women are getting the same type of liposuction or looking for the same results. “Guys don’t want to be thin, they want to be defined,” says Dr. Unger. “They want to get rid of the pudge at their waist, but they also want obliques and the manly contours that make them look stronger.” For men, it’s not just about getting rid of unwanted fat, but augmenting and enhancing muscle. “They want broad shoulders, a narrow waist, and no hips,” agrees Dr. Rogers. 

To meet the desires of the male clients, Dr. Rogers, Dr. Unger, and many surgeons are using body contouring techniques with their liposuction. “I use the term lipo-sculpting or soft-definition liposuction,” says Dr. Unger. “The days of just removing fat and saying ‘job well done’ are over. What it really is now is definition liposuction.” That means not only removing fat, but doing it with the purpose of enhancing or creating muscle contours. 

In Dr. Rogers’ case, it also means sometimes redepositing the fat in other areas to further augment muscles. It’s particularly common, he says, in patients who want liposuction on their chest area. He often “puts some fat under the muscle or into the muscle to build the pectoral back up,” he says. “You actually still have volume, but it just looks like muscle versus fat.”

While there is no way of telling how many men are going to liposculpture or fat grafting for muscle augmentation since the ASPS does not differentiate between those procedures and liposuction, both doctors see in their own practices that it’s becoming the standard in male liposuction.

## __2. Gynecomastia (Male Breast Reduction)__
[Gynecomastia surgery](https://aedit.com/procedure/male-breast-reduction), or male breast reduction, is one of the other most common cosmetic procedures among men year over year. That’s partially because only men get it. Gynecomastia is the medical term for enlarged or feminized breasts in men and the surgical procedure usually involves removing the tissue in combination with liposuction to contour the area. Gynecomastia as a condition is common and affects about half of males at birth and one in four men age 50 to 69, [according to the Mayo Clinic](https://www.mayoclinic.org/diseases-conditions/gynecomastia/symptoms-causes/syc-20351793). 

As Dr. Rogers notes, however, getting a male breast reduction does not necessarily mean you’re getting a textbook gynecomastia procedure. “I have a lot of patients who are asking for liposuction or contour on their chest,” he says. “You could put them into the same category because I’m working on their chest, but they’re not there for gynecomastia specifically.” No matter how you slice it, whether these men are getting true gynecomastia surgery or not, it’s clear that procedures to augment and contour the chest are increasingly popular.

## __3. Blepharoplasty (a.k.a. Eyelid Surgery)__
“Men will come in and say, ‘I look tired and I look old’ but they don’t want a face lift,” says Dr. Rogers. The solution: an [eye lift](https://aedit.com/procedure/blepharoplasty-eyelid-surgery). Most men first notice signs of aging around their eyes and typically complain about eye bags or excess eyelid skin that they feel makes them look older. It’s expected, then, that blepharoplasty is consistently among the most popular procedures for men.

Eye lifts are performed on either the upper or lower lids (often both) and remove excess skin to smooth wrinkles and make the eye area appear smoother and more youthful. They’re popular among male patients, says Dr. Rogers, because they are relatively simple procedures that offer big results with little down time. “It’s a simple surgery,” he says. “The recovery is easy and there is little to no sign that you’ve had anything done.”

Dr. Unger notes that blepharoplasties among men are popular not only because, when performed properly, they aren’t obvious, but also because the results are subtle. “For men, it’s less about trying to be youthful and more about erasing the more obvious signs of aging around the eyes,” he says. 

## __4. Hair Transplant__
“Hair transplants are getting crazy popular,” says board certified plastic surgeon [Ben Paul, MD](https://aedit.com/provider/benjamin-paul-md-392), in New York City, who specializes in hair transplants and other hair-related procedures. [According to the American Hair Loss Association](https://www.americanhairloss.org/men_hair_loss/index.html), about two-thirds of men experience hair loss by the time they are 35 years old. That number climbs to 85 percent by the time they reach 50. The main culprit is androgenic alopecia (commonly referred to as male pattern baldness), and, as the name suggests, it is one of the issues men deal with most.

It’s understandable that hair transplants would be among the most popular cosmetic procedures for men, but one of the reasons that more men are seeking them out these days is that there have been technological advances that allow them to work better and leave less scarring. “In the past, the donor site was approached with a very big punch and many groups of hairs were transplanted together,” says Dr. Paul. That old way of doing it is what we call ‘hair plugs’ — and wasn’t very aesthetically pleasing.

“The average person has roughly 2.3 hairs per follicle,” he says. “Currently we do something called [follicular unit extraction](https://aedit.com/procedure/follicular-unit-extraction-fue) and that technique involves just taking the fundamental unit of hair (the follicle).” Individual donor follicles are taken from the back of the head and then transplanted into another area. “You can take up to half of the hair from the donor site before there is any visual decrease in density,” he says. The procedure has gotten so good, he says, that “we’re able to harvest through really small holes, so the healing is very rapid and the entire procedure is scalpel and suture free.”

While the procedure is time consuming (the average procedure takes six to eight hours), Dr. Paul says “the success rate is high with these techniques because you’re transplanting from your own body and you don’t have to worry that you’re going to reject yourself.” These new techniques are also effective treatments for facial hair and eyebrow hair.

## __5. Rhinoplasty (a.k.a. Nose Job)__
“A third of all the rhinoplasties I do are on men,” says Dr. Rogers, illustrating just how popular nose jobs are among men who get cosmetic surgery. “They’re great because they can completely change the way your face looks in one procedure and can make an enormous difference.”

Men, however, are usually looking for something different than women when it comes to their [rhinoplasty](https://aedit.com/procedure/rhinoplasty-nose-job). “In general men want a more masculine nose,” he says. “They usually want it a little straighter and less of what’s called a super tip break (when there is a little tip above the tip of the nose). They also usually want it a bit bigger.”

That’s because smaller noses tend to read more feminine, says Dr. Unger, as does an “overly-sculpted nose.” He’s noticed that his male rhinoplasty patients don’t want their noses to look too perfect. “They want to retain some flaws: not perfectly straight, not a perfectly refined tip, a little hint of a hub. It looks more natural and more masculine.”

## __6. Dermal Fillers__
Not all men who seek out cosmetic procedures are ready to go under the knife. [Dermal fillers](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers) are more common among men than surgical procedures that could address the same issues. Hyaluronic fillers like Juvederm® and Voluma® are typically used to replenish lost volume in areas like the cheeks, while poly-L-lactic acid (PLLA) and calcium hydroxyapatite (CaHA) fillers like Sculptra® and Radiesse® (respectively) are used because one of the most common places men want filler is along the jawline. 

“Men ask for filler along the jawline more than women,” says Dr. Rogers. “It can help with jowls because when you start getting them, you can make them go away with filler.” For many men, a sharp chin and strong jawline are signs of masculinity and youth, so using filler to keep the skin around the jaw from sagging is a common request.

## __7. Neurotoxin Injections__
Let’s just agree to stop calling it Brotox. [Neurotoxins](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin) like Botox®, Dysport®, Jeuveau®, and Xeomin® are by far the most common cosmetic procedure for men. These injectable toxins smooth wrinkles on the forehead, between the eyebrows, and around the eyes, which makes them an easy way for men to combat visible signs of aging. 

Men, however, are not always looking for the same results as women. “Men can get away with some lines,” says Dr. Rogers. “Frankly, sometimes it looks better for them to have some.” His male patients are usually looking to smooth very deep wrinkles, but not completely erase lines altogether. The biggest thing men should consider when getting Botox®, he says, is who is administering it. “A lot of people have a ton of experience treating women, but not necessarily with men,” he warns. “You don’t want to get treated exactly the same way because you may get a frozen look.” Men usually need less neurotoxin to get the results they want.

More than 1.3 million men went under the knife (or needle!) in 2018 — a 29 percent increase since the year 2000 — and The AEDITION asked the experts about the most popular invasive and non-invasive cosmetic procedures. 

Top Surgical And Non-Surgical Cosmetic Procedures For Men

The Top 7 Cosmetic Procedures For Men

shutterstock 737351467

Just as brands like Band-Aid have become synonymous with adhesive bandages, Kleenex with tissues, and Wite-Out with correction fluid, “Botox” has been the colloquial term for botulinum toxin type A (BoNT-A) injections since it was approved by the U.S. Food and Drug Administration (FDA) for the temporary improvement of moderate to severe glabellar lines (i.e. the frown lines between the eyebrows) in April 2002. 

But Allergan’s wrinkle smoother isn’t the only BoNT-A injection in town. There is a quartet of cosmetic neurotoxins on the market — [Botox®](https://aedit.com/procedure/botox-facial), Dysport®, Jeuveau®, and Xeomin® — that each contain the same active ingredient (BoNT-A) and is FDA approved to treat the same aesthetic concerns. 

So, how do you differentiate between the four? The AEDITION is here to help. 

## __How Botulinum Toxin Type A Injections Work__

Before we get in to nitpicking the differences between Botox®, Dysport®, Jeuveau®, and Xeomin®, it’s important to understand what they are and how they work. 

For starters, botulinum toxin type A is the primary active ingredient in each product. And, while BoNT is considered one of the strongest and most lethal toxins discovered to date, small doses of the neuromodulator have the ability to temporarily paralyze muscles for cosmetic effect. 

In aesthetic medicine, botulinum toxin is used to reduce the appearance of fine lines and wrinkles caused by [facial](https://aedit.com/procedure/botox-for-dimpled-chin) expressions (think: frowning, squinting, smiling, and the like) by injecting it into the muscles underlying the affected area. In turn, the lack of muscle contraction prevents the face from forming lines and wrinkles.

The result? Smoother skin for three to four months (or until it wears off). 

## __Comparing BoNT-A Injections__ 

Now that you know what Botox®, Dysport®, Jeuveau®, and Xeomin® have in common, it’s time to understand what makes them unique — no matter how subtle the distinctions might be. 

“For the average patient, there is no difference between each of the products,” says [Johathan Cabin, MD](https://aedit.com/provider/jonathan-cabin-md-956), a facial plastic and reconstructive surgeon at the Center for Advanced Facial Plastic Surgery in Beverly Hills. “All of the products last a similar amount of time, and they all provide similar results.” 

Yes, the comparison is, essentially, apples to apples. But, as any Granny Smith apple fan knows, there is a difference between the tart green ones and, say, a McIntosh. The same logic applies to botulinum toxin injections. 

First and foremost, the four injectables are made by different manufacturers, which leads to different costs, potencies, and formulations. While the active ingredient in each product is botulinum toxin type A, some also feature protein blends that may affect the diffusion and efficacy of the injection. Such subtleties are why it is important to find a provider who is well versed in the market. 

“Dosage is slightly different for each of the products and the results they offer are subtly different,” Dr. Cabin, who prefers Botox®, shares. “The most important factor is to find a practitioner who is a very experienced injector and is confident using the product you wish to have injected.” 

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/7ecXXAhyuKOYWTIOSX89p5/5131e5d0d1b24a7227c172dce1b456be/B8cYFUQJ__1_.jpg}>
  A before and after comparison of one of Dr. Cabin's Botox® patients
</CaptionImg>

According to the [American Society of Plastic Surgeons](https://www.plasticsurgery.org/cosmetic-procedures/botulinum-toxin/safety), the most common side effects of any botulinum toxin injectable are bruising and pain at the injection site, flu-like symptoms, headache, nausea, redness, and temporary facial drooping. While rare, it is possible that the toxin may spread beyond the treatment area, which could lead to botulism-like symptoms including trouble breathing and swallowing, muscle weakness, and slurred speech. 

If you’re one of the 7.5 million Americans who received a wrinkle-relaxing injection in 2018 or are looking to join the ranks, here’s everything you need to know about the four FDA-approved BoNT injectables on the market.

### __Botox®__ 

- __FDA Approval__: The OG was first approved by the FDA as a temporary aesthetic treatment to improve the appearance of frown lines between the eyebrows in April 2002. It has since been cleared to treat forehead lines and crow’s feet, too (in addition to all its "off label" uses). 

- __The Skinny__: Botox®, or onabotulinumtoxinA, is a product of Irish drugmaker Allergan, and it currently holds an estimated 80 percent of the BoNT-A injection market. With a molecular weight of 900 kDa, Allergan formulates botulinum toxin type A with protective proteins that a subset of patients may develop an antibody against over time, lessening the effectiveness of the treatment. The inactive ingredients in Botox® include human albumin (i.e. plasma proteins) and sodium chloride. There is also a therapeutic version of product that can be used to treat medical conditions like migraines, excessive sweating, and eye spasms (to name a few), but, as it relates to aesthetics, the average cost per unit is around $6 to the doctor and the number of units injected will depend on the area being treated. 

- __The Results__: Botox® is effective but not permanent. It takes about three to five days post-treatment for the results to appear (though it can take up to two weeks for the final effect to be visible), and it lasts about three to four months in most patients. The longevity depends on everything from the way a patient’s body metabolises the product to the area being treated.

### __Dysport®__

- __FDA Approval__: Dysport® was first approved to treat frown lines in April 2009, and, like Botox®, also has therapeutic uses to calm muscle spasticity.

- __The Skinny__: A product of Medicis Pharmaceutical, Dysport® (a.k.a. abobotulinumtoxinA) is slightly less potent than Botox® due to its molecular weight. While both have the same 150 kDa of BoNT-A at their core, the weight of the protective proteins in Dysport® are not uniform like those in Botox®. As a result, Dysport® has a higher rate of diffusion, which makes it ideal for treating larger areas (think: foreheads) — though more product may be needed to achieve results. Nonetheless, the cost is generally comparable to Botox®. Like Botox®, it is formulated with human albumin, and Dysport® also contains lactose and cow’s milk protein — making it unsuitable for patients with milk allergies. 

- __The Results__: While the effects of Dysport® may show up sooner (within 24 hours) than Botox®, some studies have shown that they may not last as long. The shorter lifespan could make it a good choice for patients who are unsure about whether they will like the results of BoNT-A injections. 

### __Jeuveau®__ 

- __FDA Approval__: The new kid on the block was approved exclusively for cosmetic use in February 2019. 

- __The Skinny__: You may recall the [splashy launch party](https://www.nytimes.com/2019/05/15/health/evolus-wrinkles-toxin-jeuveau.html) earlier this year that branded Jeuveau® (i.e. prabotulinumtoxinA) as “#NEWTOX.” Maker Evolus is hoping the newbie will prove to be a worthy competitor to Botox®, as they both carry a molecular weight of 900 kDa, are formulated with human albumin and sodium chloride, and offer similar results. But, with a price point 20 to 30 percent less than Botox® and marketing campaigns largely targeted at millennials, it would appear Jeuveau® is seeking to carve out its own patient niche. 

- __The Results__: Clinical data is limited due to the newness of the product, but trials have shown Jeuveau® to have a similar safety and efficacy profile to Botox®. Patients generally begin to see results in three to five days, and they last for three to six months.

### __Xeomin®__ 

- __FDA Approval__: Xeomin® was approved by the FDA for the treatment of frown lines in July 2011 (and it has also been medically approved to correct muscle spasticity and, most recently, excessive drooling). 

- __The Skinny__: Merz-made Xeomin® (a.k.a. incobotulinumtoxinA) is unique in that it is does not blend BoNT-A with complexing proteins (though inactive ingredients include human albumin and sucrose). As a result, the neurotoxin doesn’t need to be refrigerated and it may be slightly more comfortable to have injected because it is stored at room temperature. Xeomin® generally costs about the same as Botox® and Dysport® — but less units may be needed to achieve the desired result. Patients who show signs of resistance to Botox® and Dysport® may find success with Xeomin® due to the purified state of BoNT-A. 

- __The Results__: Results from Xeomin® injections take five to seven days to become visible and last a similar amount of time to Botox®, Dysport®, and Jeuveau®.

## __The Takeaway__

As you can see, each of the four neurotoxins have similar safety and efficacy profiles, but subtle differences do exist that may make one a better option for your particular needs. While nothing can replace a consultation with a board certified dermatologist or plastic surgeon, here are the key takeaways for each botulinum type A injectable.

### __Botox®__
- __Benefits__: Good for treating all areas — especially small ones (think: crow’s feet)
- __Onset__: 3-5 days
- __Results__: 3-4 months
- __Average Units__: 20 for forehead treatment
- __Drawbacks__: Patients may develop antibody resistance over time  

### __Dysport®__
- __Benefits__: Good for last-minute treatments because of faster onset time; ideal for treating larger areas (i.e. the forehead) because of diffusion 
- __Onset__: 24 hours 
- __Results__: 3-4 months
- __Average Units__: 50 for forehead treatment
- __Drawbacks__: Not suitable for small areas or patients with an allergy to lactose or cow's milk protein 

### __Jeuveau®__
- __Benefits__: Cosmetic nature eases government pricing regulations, which may lead to more affordability 
- __Onset__: 3-5 days
- __Results__: 3-4 months
- __Average Units__: 20 for forehead treatment
- __Drawbacks__: Newest to market, so long term safety and efficacy profiles have not been established 

### __Xeomin®__
- __Benefits__: Ideal for patients who have stopped responding to Botox® or Dysport®
- __Onset__: 5-7 days
- __Results__: 3-4 months
- __Average Units__: 20 for forehead treatment
- __Drawbacks__: Longer onset time

Wrinkle-smoothing botulinum toxin type A injections are the most common non-invasive aesthetic procedure in the U.S. And, while they are colloquially called “Botox,” there are actually four different BoNT-A injectables FDA-approved for cosmetic use. 

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