etty-fidele-XjrKU z4kXM-unsplash

With age, so many body parts lose their youthful tautness and become stretched out, limp, and, well, loose. Known as volume loss (caused by a decrease in collagen and elastin), when the plump tissue of the [ears](https://aedit.com/concern/ear-shape) starts to dwindle, in its place surfaces wrinkled, aged, and flaccid earlobes. “Just like how we lose volume in the face, which causes it to become sunken and aged, the same thing happens to the ears,” says [Jason D. Bloom, MD](https://www.bloomfacialplastics.com/), a double board certified facial plastic and reconstructive surgeon in Bryn Mawr, PA. 

If you are familiar with the treatment options employed to address facial volume loss, then you are already familiar with the minimally invasive procedure that can restore your lobes. The same dermal filler that rejuvenates the face can be injected to revive [sagging earlobes](https://aedit.com/procedure/earlobe-restoration-solutions), and we’re breaking down everything you need to know.

## **What Causes Earlobe Volume Loss**
Before we discuss earlobe filler as a treatment, it’s important to understand why your lobes deflate in the first place. [Collagen](https://aedit.com/aedition/guide-to-collagen-in-skincare-supplements-aesthetic-medicine), the naturally occurring protein that supports plump, firm skin, starts to degrade at a rate of about one percent per year after 30. A loss of collagen equates to aged earlobes. Dr. Bloom compares aging ears to the transformative journey of a grape. “When you think of a fresh, young grape, it is ripe with fullness, but, as it loses volume, it shrinks down to a raisin,” he says. “The same thing happens to the ears. Over time, they lose fullness and begin to look long and droopy.” Whether you realize it or not, “it’s a lack of volume that can make the ears appear longer than they are,” Dr. Bloom adds.

But it’s not just time, age, genetics, and gravity that take their toll on the ears and cause skin laxity. [Kathleen S. Viscusi, MD](https://www.dessna.com/), a board certified dermatologist in Marietta, GA, says heavy earrings that pull on the skin over time can cause stretched-out earlobes, too. “The earlobes are especially vulnerable,” she shares. “Heavy earrings can draw down the skin and elongate the hole more so than it does naturally over time.” If you’re not ready to part with your ear party, at least pay attention to how you wear them. “When wearing heavy earrings, be sure that the backings support the weight of the earring,” she notes.

## **The Quick Fix for Sagging Earlobes**
A few injections of [hyaluronic acid (HA)-based filler](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers) can drastically transform sinking earlobes into perky ones. Dr. Bloom says that adding HA filler directly around pierced holes plumps them and the lobe, which prompts earrings to sit up better. “The key is to inject a bit of Restylane® or Juvéderm® right where the hole is — not too high above it or below,” he explains. 

But HA fillers aren’t the only injectable that can restore volume. [Jennifer Segal, MD](https://www.metropolitaninstitute.com/our-doctors/), a board certified dermatologist in Houston, TX, reveals that she sometimes uses Sculptra® (a biostimulatory poly-L-lactic acid filler) right above and below a pierced hole. “Both injectable products add support to the earlobe and give a tightening effect to the hole,” she says. Often times, the urgency of the procedure is how she determines which filler to use. “If a patient needs a quick fix, like for an event, I’ll use hyaluronic acid,” she explains. “Otherwise, I like to inject Sculptra®.” For creases in the earlobe, Dr. Segal notes that hyaluronic acid fillers do a better job at smoothing out lines and wrinkles. 

In the case of HA, the effects of the virtually painless procedure are immediate and last anywhere from nine to 12 months. “In the ears, there is no movement, unlike the lips and facial folds, so the lobes can retain and hold filler there for a pretty long time,” Dr. Bloom explains. Post-treatment care will have you donning bare ears for a few days. “That’s because the ears can swell, and earrings can compress it,” Dr. Segal says.

But it’s not always just the earlobe that needs tending to. Dr. Segal says that the fat pad that sits right in front of the ear can also have an aging effect. “As we get older, we lose definition in the jaw, and the shape of the face transforms,” she says. “The sharp contours are lost, the face appears rounder, and the area in front of the ear becomes more wrinkled as changes occur to the underlying structure.” The fix? “By adding back some of the lost volume, the triangle area right in front of the ear — where the jaw and ear meet — looks less hollow and more youthful,” Dr. Segal explains. “Bypassing this area can sometimes cause the ears to look overly large and sort of like Dumbo.”

## **Beyond the Needle**
Fillers work wonders for most age-related ear concerns, but there are some instances where surgery is necessary. For example, if the circumference of the earlobe changes, only a surgical procedure can permanently correct it. While fillers plump the area, [earlobe surgery](https://aedit.com/procedure/earlobe-surgery) excises loose skin and corrects severely marred piercings by either cutting out or trimming the holes, stitching them up, and then re-piercing the ears. While surgery may be required for some, “hyaluronic acid fillers are what I use 90 percent of the time to correct aging ears,” Dr. Bloom notes.

If a quick round of injections isn’t your thing, a quick treatment of [microneedling with radiofrequency (RF)](https://aedit.com/procedure/microneedling-with-radiofrequency) is another option. “It helps with volume loss, too,” says Dr. Segal, who performs [secret™ RF](https://cutera.com/secretRF) in her practice. The combination of RF and microneedling works nicely because the energy portion of the treatment encourages tissue tightening, which complements the collagen induction therapy.

And then there are those who are concerned about brown spots and sun damage. “The ears are exposed to dangerous UV rays, which can cause aging and also skin cancer,” Dr. Viscusi warns. Since it’s far easier to prevent damage than it is to correct it, she recommends applying your facial [sunscreen](https://aedit.com/aedition/best-sunscreens-of-2021) to the “often overlooked” ears on a daily basis. “I tell patients to think of applying sunscreen to the ears like brushing their teeth — you wouldn’t leave the house in the morning without doing this important step,” she says. Similarly, your lightening and brightening skincare products can be applied to the ears as well. “So often, skincare routines stop at the face and neck, but it should extend to our earlobes,” Dr. Viscusi adds.

## **The Takeaway**
If earrings are your favorite accessory to sport but heavy hoops and mega danglers are painful to wear, filler can help revive stretched-out earlobes. The result of this quick fix is younger and plumper-looking earlobes that allow your favorite studs to sit perfectly upright.

Aesthetics

A quick fix that allows you to flaunt your best ear bling.

Dermal Filler For Stretched-Out Earlobes And Piercings

This 10-Minute Treatment Corrects Stretched-Out Earlobes

apostolos-vamvouras-N6eI84t9 aY-unsplash

When it comes to our bodies, you’ll be hard pressed to find anyone who is perfectly symmetrical. These asymmetries can be due to genetics, skeletal conditions, or overuse of muscles on one side compared to the other, and, for some patients, the degree of difference is significant enough for them to seek out a way to even things out. Read on to better understand how cosmetic procedures can address asymmetries from both provider and patient perspectives.

## **What Causes Body Asymmetries**
Body asymmetries are the rule, not the exception. “I have yet to meet a patient who is completely symmetric — asymmetry is a fact of life,” says [Gregory Buford, MD](https://aedit.com/provider/gregory-buford-md-1015), a board certified plastic and reconstructive surgeon in Lone Tree, CO. “Complete symmetry actually is often less attractive than a little asymmetry, but, like anything in life, it's all about balance. A little difference can look nice while severe asymmetry does not.” 

While asymmetry can exist anywhere on the body, it is more common in some areas than others. “The majority of women have some degree of breast asymmetry,” says [Umbareen Mahmood, MD](https://aedit.com/provider/umbareen-mahmood-md-23), a board certified plastic and reconstructive surgeon in New York City. “Many people also have asymmetry in their hips and shoulders, buttocks, legs, and hands.” 

People with anatomical or structural asymmetries may experience differences in the appearance of one side of their body compared to the other because of genetics or conditions such as scoliosis. Functional asymmetries can occur for a variety of reasons, though they generally involve muscle imbalances either from overuse or because of the body having to over-compensate (think: due to an injury). 

## **How to Treat Body Asymmetries**
Understanding balance, [proportion](https://aedit.com/aedition/plastic-surgery-results-are-about-proportion-not-perfection), and, yes, symmetry is key to any cosmetic surgery or procedure. “One of the most important components of evaluating any patient is recognizing asymmetries and trying to minimize them,” Dr. Mahmood says. As she explains, “asymmetry itself is not bad — it is inherent in every human being and is natural.” With that said, “it is important to recognize the variability, so that treatments can try to decrease them versus exacerbate them,” she notes.

One of the most obvious examples? The aforementioned breasts. “If a patient with breast or nipple asymmetry gets a breast augmentation with the same size implant, the asymmetry will be highlighted,” Dr. Mahmood cautions. With that in mind, it’s important to visit a board certified provider who will be able to evaluate the entire body and how these asymmetries relate to one another. To give you a better sense of what that entails, we’ve broken down a few of the most common treatment areas below:

### **For Breasts**
“I would say that the area where I see the most asymmetry is in the [breasts](https://aedit.com/concern/breast-shape-and-size),” Dr. Buford shares. “This difference can range from mild to severe and the patient may not even be aware of the difference until it is pointed out.” The goal, however, is not necessarily to create [a ‘perfect’ result](https://aedit.com/aedition/how-plastic-surgeons-balance-patients-cosmetic-surgery-desires-and-safety). “The art of plastic surgery and the opportunity is to try and even out this difference, although I emphasize to each patient that we will never achieve mirror image results,” he notes.

“I always tell patients, ‘breasts are sisters, not twins,’” Dr. Mahmood quips. Even so, your sisters may be a little too different for your taste, in which case there are an array of surgical procedures — from [breast augmentation](https://aedit.com/procedure/breast-augmentation-solutions) and [breast reduction](https://aedit.com/procedure/breast-reduction-and-revision-solutions) to [breast lifts](https://aedit.com/procedure/breast-lift-solutions) — that can be performed. In fact, the treatment protocol is anything but one-size-fits-all. “For the breast, it depends on what the asymmetry is,” she says. 

If your breasts are both “overly large or ptotic” (read: sagging), then “the treatment is a [breast reduction](https://aedit.com/procedure/breast-reduction) and/or [mastopexy](https://aedit.com/procedure/breast-lift)” (i.e. breast lift) “with more tissue removed from the larger side,” Dr. Mahmood explains. For patients who have volume asymmetries and prefer the size of the larger breast, “the treatment can be a [breast augmentation with implants](https://aedit.com/procedure/breast-augmentation-with-implants), [fat transfer](https://aedit.com/procedure/breast-augmentation-with-fat-transfer), or [combination of both](https://aedit.com/aedition/hybrid-breast-augmentation-with-implants-fat-transfer),” she shares. From there, the surgery and [recovery process](https://aedit.com/aedition/breast-augmentation-recovery-healing-process) is similar to that of any breast procedure. 

Additionally, it’s important to consider the chest as a whole. “In this area, it's not only about asymmetry of the breasts but also about asymmetry of the chest wall itself,” Dr. Buford explains. “It is not uncommon for a patient to have either pectus excavatum (concave chest wall) or pectus carinatum (convex chest wall) or both. Add scoliosis to this and the difference in the projection of the breasts becomes even more pronounced.” 

All of this should be taken into account when devising a treatment plan. “For the breasts, the sky's the limit,” Dr. Buford says. “I often use [different sized implants](https://aedit.com/aedition/how-to-get-the-most-natural-looking-breast-implants) to even out volume differences and can go as far as fat grafting to one or both sides to also aid in achieving greater symmetry.”  

### **For the Waist, Hips, & Buttocks**
Addressing waist and hip asymmetries is generally similar, in theory, to the breasts: reduce one side and/or make the other side larger. “Asymmetry in the hips and shoulders is often reflected in an uneven distribution of subcutaneous fat, with one flank having more fullness or one side of the posterior bra roll area being more pronounced,” Dr. Mahmood explains. In such cases, “[liposuction](https://aedit.com/procedure/liposuction) of the subcutaneous fat in the area that has more fullness can help minimize the skeletal asymmetries,” she notes.

If your backside is a cause of concern, volume can be restored via fat grafting or implants. “Asymmetry in the buttock can be addressed with gluteal augmentation with fat transfer and/or gluteal implant,” Dr. Mahmood says. [Fat grafting](https://aedit.com/aedition/why-everyone-is-talking-about-fat-grafting) procedures involve removing fat from a donor site (think: the low abs or flanks), purifying the tissue, and injecting it into the area you wish to enhance. The procedure is not an option for people with low amounts of body fat because there is not enough tissue to remove and transfer. The body metabolizes around 30 to 40 percent of the grafted tissue within the first year of surgery, but there is no risk of rejection. If this sounds like the makings of a [Brazilian butt lift (BBL)](https://aedit.com/aedition/brazilian-butt-lift-procedure-safety), it’s because the fat transfer techniques are similar.

[Gluteal implants](https://aedit.com/procedure/butt-augmentation-with-implants), on the other hand, are usually made of silicone (a firmer version than you’d find in breast implants). They are custom-fabricated to fit your body’s exact contours — ideal for patients looking to correct asymmetries. It should be noted that [butt enhancement procedures](https://aedit.com/procedure/buttocks-enhancement-solutions) do come with a rather significant recovery period that involves not applying pressure to the area for the first couple of weeks, so it is important to keep that in mind when considering your treatment options.
 
## **Patient Perspective**
Lara* grew up with scoliosis, which led to asymmetry of her shoulders, chest, waist, and hips. As she grew older, she decided she wanted to pursue cosmetic procedures to address some of them. Here, she shares her experience.

<Dialogue>
  <Question party={The AEDITION}>
    What led to you want surgery to treat your body’s asymmetries?
  </Question>
  <Response party={Lara}>
    I was diagnosed with scoliosis when I was 14, and it was the asymmetry of my waist that led to my mom consulting a doctor about my spine. After trying bracing, I ended up getting surgery to hold my spine in place and stop the curves from worsening, but the asymmetries remained. As much as I tried to take a body-positive approach to my appearance, I couldn’t get past the fact that I looked in the mirror and saw this very wonky-looking person. I ended up looking into cosmetic surgery and landed on a page about fat transfer, which sounded like it could work well for me.
  </Response>
  <Question party={The AEDITION}>
    What procedures did you have, and are you pleased with the results?
  </Question>
  <Response party={Lara}>
    I started by having liposculpting to fix the difference between my hips and waist on both sides. That was the main concern I had since I was young. Before surgery, every dress with a marked waistline would sit wrong on me, and I would always wear cover-ups when I went to the beach with friends. Now, I can wear whatever I want and not have to think about whether it will flatter my extra curves or not. A year after my first procedure, I had a breast reduction procedure during which my surgeon reduced the asymmetry between my left and right side by removing different amounts of tissue. I would say the results from that procedure were less transformative, but I’m still thrilled that I had the procedure. I subsequently had [scar revision surgery](https://aedit.com/aedition/minimizing-scars-after-surgery) for my spinal fusion scar, too.
  </Response>
  <Question party={The AEDITION}>
    Do you have any advice for people considering treatments to resolve asymmetries?
  </Question>
  <Response party={Lara}>
    My first piece of advice is to talk things through with a therapist. I think people like me who have a complicated relationship with their bodies should be certain they are choosing to have surgery for the best reasons — and not simply because they think it will make them happier. Sure, my procedures made me less self-conscious, but surgery alone didn’t change my relationship with my body. Secondly, I would advise seeking out a surgeon or medical team who is experienced working with cases such as yours. The surgeon I went to was referred to me by a friend who also has scoliosis and had a procedure to reduce the appearance of a rib hump. I think there’s a certain level of artistry involved in cosmetic procedures, so finding someone who knew how to work with a non-traditional body shape was helpful in my case.
  </Response>
</Dialogue>

## **A Quick Note on Facial Asymmetries…** 
Completely symmetrical faces are as rare as perfectly symmetrical bodies, so having a certain degree of difference on each side of your face is normal. Generally speaking, facial asymmetries can be broken down into three main categories:

- **Structural Asymmetries**: These originate with the structure of the bones that form your facial features (think: a [crooked nose](https://aedit.com/concern/nose-angle)).
- **Functional Asymmetries**: These tend to become visible when you use your facial muscles and can have several different origins, including overuse, nerve damage, and scar tissue.
- **Asymmetrical Aging**: Changes in the rate of aging between one side of the face and the other can be due to a range of factors, including the way you sleep (here’s looking at you, side sleepers), uneven sun exposure from driving, and more.

As with body asymmetries, if you have concerns about the [proportion of your facial features](https://aedit.com/aedition/facial-harmony-in-aesthetic-medicine), it is best to consult with a board certified dermatologist or plastic surgeon. There are an array of surgical and non-surgical treatment options that will be able to address the overall balance and harmony of the face. 

*Patient’s name has been changed

You’ll be hard pressed to find a body that is perfectly symmetrical, but that doesn’t mean there aren’t aesthetic treatments that can restore proportion. Here’s what you need to know.

Cosmetic Procedures To Treat Breast And Body Asymmetries

How Cosmetic Procedures Can Address Body Asymmetries

ariel-lustre-44-RF82I7S8-unsplash

In the immortal words of Shakira, our hips don’t lie. But what if you are unhappy with the lie of your [hip area](https://aedit.com/concern/buttocks-shape-and-size)? So-called ‘hip dips’ — indentations found along the side body below the hips and above the thighs — are natural and harmless, but we all seem to be obsessed with them. [Google trend data](https://trends.google.com/trends/explore?date=today%201-m&geo=GB&q=hip%20dips) shows that searches for the term (and it’s sister expression, ‘violin hips’) have soared this year. So, what’s driving the interest? We’re breaking down everything you need to know about hip dips and hear from two patients who chose different procedures to correct them.

## **What Causes Hip Dips**
Hip dips or violin hips refer to the inward curves that sit just below the hip bone. Instead of the outer curvature of the hip being rounded, it’s indented. Hip dips are generally caused by the skin being tethered to a deep part of the thigh bone, and how visible they are depends on the width of the hips and the shape of the pelvis. For some, this indentation is barely noticeable. For others, it’s more prominent. 

Despite living healthy and active lifestyles, people often find these dips won’t budge due to the anatomy of the indentations themselves. No matter how many times you do exercises that purport to target hip dips (think: squats, lunges, and deadlifts to increase muscle mass around the thighs and buttocks), those who are genetically predisposed to having them are unlikely to see much of a change because the lack of volume cannot be addressed. 

## **Hip Dip Treatment Options**
We said it before, but it bears repeating: Hip dips are natural, and there is no medical need to treat them. But, if they bother you, that doesn’t make them any less frustrating. Diet and exercise are unable to provide a whole lot of assistance, but there are some cosmetic procedures that can address the contour of the hips. With both non-surgical and surgical solutions available, we’re rounding up the most common hip dip treatment options.

### **1. Fillers for Hip Dips**
- **Average Cost:** $800 to $1,000 per vial
- **Downtime:** No exercise for 24 hours
- **Anesthesia:** Local

The same fillers that you turn to for facial rejuvenation and contour can also be used to sculpt and volumize certain areas of the body, too. In the case of hips dips, providers can employ the filler to, well, fill out the indentations for a smoother, more streamlined silhouette (note: there are currently no fillers approved by United States Food and Drug Administration for hip augmentation, though some are used ‘off-label’ to improve hip contour). [Sculptra®](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers), a poly-L-lactic acid (PLLA) injectable, is often the go-to for addressing hip dips because it is considered a collagen stimulator (meaning it helps the skin rebuild collagen and, thus, improve volume loss). 

Both on the face and body, a series of treatments (spaced about four to six weeks apart) are needed. For hip dip correction, six to 10 vials of Sculptra® may be needed per session, which, if you are doing the math, can quickly become costly. It should also be noted that results are not immediate — they gradually reveal themselves over the course of four to six months. The benefit of Sculptra®, however, is that those results can last two years or more. 

There is no downtime associated with Sculptra® injections, though your provider will likely tell you to refrain from exercising for the first 24 hours. Beyond that, [bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox) and injection site pain are the most common side effects and generally resolve in a few days. 

### **2. Fat Transfer for Hip Dips**
- **Average Cost:** $8,000 to $10,000
- **Downtime:** 1 week off from work; resume normal activities around 4-weeks post-op
- **Anesthesia:** Local or general

If you are looking for a more natural alternative to filler and have areas of unwanted fat, [fat transfer](https://aedit.com/aedition/comparing-dermal-fillers-vs-fat-grafting-for-facial-rejuvenation-contouring) may provide an ideal solution for treating hip dips. Like a [Brazilian butt lift (BBL)](https://aedit.com/aedition/brazilian-butt-lift-procedure-safety), the procedure involves removing fat via liposuction from one area of the body (think: the low abdomen) and injecting it into another (in this case, the hips). The grafted fat needs time to become acclimated to its new location, and, during the first year, patients can expect to lose 30 to 50 percent of the tissue. It’s worth keeping that in mind when you’re considering how much fat to have transferred, and your surgeon will be able to give you advice tailored to your specific body.

The procedure is carried out either under local or general anesthesia, depending on the patient and provider. In either case, most people return home on the same day. Because more than one area of the body is involved (both the donor site *and* the hips), post-op discomfort can be experienced in multiple locations. [Swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) and bruising are common. While the benefit of fat grafting (when compared to synthetic filler) is that there is no risk of the body rejecting it, a patient must have enough excess fat in order to be a candidate. Since hip dips are often most prominent on those with minimal body fat, the procedure isn’t always a viable solution.

### **3. Hip Implants for Hip Dips**
- **Average Cost:** $8,000 - $10,000
- **Downtime:** 1-2 weeks off from work; resume normal activities 6-8 weeks post-op
- **Anesthesia:** General

The most invasive and permanent procedure to correct hip dips is hip implants. The implants are usually custom-molded for the patient and made of silicone. Unlike silicone breast implants, hip implants (like [butt implants](https://aedit.com/procedure/butt-augmentation-with-implants)) are not filled with a liquid or gel solution. Instead, they are more solid, do not leak or rupture, and are designed to look and feel like natural muscle tissue. During the surgery, which is performed under [general anesthesia](https://aedit.com/aedition/everything-you-need-to-know-about-anesthesia), your surgeon will insert the implants through small incisions along the underwear line. Patients typically return home the same day. 

Compared to the other hip dip solutions, implant recovery is the most involved. While you can likely return to work within one to two weeks, it will be six to eight weeks before all normal activities resume. Like buttock implants, you’ll need to avoid putting prolonged pressure on the treatment area and your mobility will be severely limited for the first seven to 14 days. Swelling and tenderness are the most common side effects. While results are immediate, you will fully heal over the course of three to six months.

## **Patient Perspective**
To better understand what it’s like to treat hip dip concerns with the modalities outlined above, we spoke to two patients about their experiences. Sarah opted for hip implants after first testing fillers, while Joanne turned her abdominal liposuction into a fat transfer procedure to address her hips. Below, they share their stories.

### **Sarah, 36, Long Island, CA**
An athlete since high school, Sarah* had always been frustrated by the appearance of her hip dips. Spending hours in the gym every week wasn’t helping, so she decided to seek treatment to help improve her self-confidence.

<Dialogue>
  <Question party={The AEDITION}>
    Why did you decide to have fillers and then implants to address your hip dips?
  </Question>
  <Response party={Sarah}>
    When I first looked into having a procedure for my hip dips, I wasn’t sure exactly what the options were.I hadn’t had any kind of cosmetic procedure before, and I was looking for something that would give me the option to give this new look a try without a huge financial investment and without tons of downtime. I was really happy with the results from fillers and wanted a more permanent option after a while. I spoke to my surgeon about more permanent remedies, and she suggested implants. We spoke about fat grafting, too, but I didn’t have enough fat for that. Although it’s surgery, so it’s more of a process and there’s a decent length of downtime, I think the procedure was worthwhile and completely addressed the issue I had with my hip area.
  </Response>
  <Question party={The AEDITION}>
    What it was like to have fillers injected in your hip area?
  </Question>
  <Response party={Sarah}>
    I hadn’t had any fillers or Botox® before, so it was something that made me a bit nervous. I explained that to my doctor and she suggested I take some [CBD](https://aedit.com/aedition/use-of-cbd-cannabinoids-products-in-wellness-fitness-recovery) before the appointment, which helped me to relax a touch. During the appointment, we discussed my hopes for the results, and I asked a few questions about looking after the area post-injections and how much pain to expect. She applied some numbing cream and got to work once. Honestly, it wasn’t the most comfortable thing I’ve ever done, but, at the same time, I went back to have it done three more times so it wasn’t really that bad. I had some bruising after two of the sessions and seemed to be more sensitive on one side than the other. If someone is looking for a minimally invasive solution to hip dips, I can recommend the fillers based on my experience. The results were just what I was hoping for — the area looked streamlined and, in photos, my hips looked like they were naturally that shape.
  </Response>
  <Question party={The AEDITION}>
    How was your experience with the hip implant surgery?
  </Question>
  <Response party={Sarah}>
    The recovery process from surgery was exactly as my surgeon had told me to expect. I can’t sugarcoat it: It was painful and having to avoid sitting and sleeping on your hips is more of a problem than I first expected it to be. There was a decent amount of bruising, too. The discomfort and swelling mostly eased within four or five days. I was able to start going on long walks at 10-days post-surgery and gradually built back up to my normal activity over six weeks in total. Once the swelling went down, I was so happy to see the results — especially because I don’t need to keep having injections to keep up this fuller appearance! My biggest advice would be to get a complete list of things you can’t do after surgery when you first consult your surgeon. That will give you time to plan your life a bit to make sure everything is in place and you can just rest and recover.
  </Response>
</Dialogue> 

### **Joanne, 41, Charleston, SC**
Joanne* was initially consulting a surgeon about liposuction to address excess fat in her lower abdomen. During the consultation, she expressed concerns about her hips and was told that she would be a good candidate for a fat transfer procedure.

<Dialogue>
  <Question party={The AEDITION}>
    How was your recovery from the fat transfer procedure?
  </Question>
  <Response party={Joanne}>
    My recovery process was relatively smooth. I did have to stay in overnight after the procedure because I have a history of allergic reactions, so my anesthesiologist wanted to keep a closer eye on me just in case. It turned out that everything went well, and I was able to go home the following morning. After that, it was a case of resting and icing the area fat was removed from (my stomach) and the area the fat was transferred to. It was certainly less invasive than I had feared, and I was back working from home in less than a week.
  </Response>
  <Question party={The AEDITION}>
    When did you see results from the procedure?
  </Question>
  <Response party={Joanne}>
    I saw results pretty instantly after the swelling started going down. I would say it took a couple of months to see the full results, and I was so pleased with how everything was looking. I was surprised at how quickly the little scars healed, and I can barely see them at all now. I don’t think anyone else would notice them. They’re very tiny.
  </Response>
  <Question party={The AEDITION}>
    Have the results lasted as you hoped?
  </Question>
  <Response party={Joanne}>
    They have, but I had a surgeon who is a total realist! He explained how much the results would change over the months after surgery as my body adapted to the graft. We considered that when planning on how much fat to transfer, and I prefer the results now that some of the ‘fullness’ has gone. It was an amazing experience watching my body change over the months as it adapted, but things seem to have settled now and the graft area isn’t changing much anymore. I’m so happy with how smooth it looks.
  </Response>
</Dialogue> 

## **The Takeaway**
Medically speaking, there is nothing wrong with hip dips. Aesthetically speaking, those with ‘violin hips’ may wish to address them. While fat transfer provides the most natural means of improving the contour of the hips, not everyone is a candidate. Hip implants and fillers (namely, Sculptra®) are alternatives, but it is important to consult with a [board certified](https://aedit.com/aedition/medical-board-certification-in-plastic-surgery-cosmetic-dermatology) dermatologist or plastic surgeon who specializes in these sorts of treatments to ensure you receive the safest and most effective treatment plan for your specific needs.

*Patient's name has been changed

A healthy diet and exercise is key for overall health and wellbeing, but all the workouts in the world probably won’t correct your violin hips. Here are the surgical and non-surgical procedures that will.

Cosmetic Procedures For Hip Dips: Filler, Fat Transfer, Hip Implants

3 Cosmetic Procedures To Treat Hip Dips

imani-bahati-L1kLSwdclYQ-unsplash

There are a host of head-to-toe treatments that can lift, shape, and enhance different parts of the body, and the [legs](https://aedit.com/concern/leg-shape-and-size) are no different. However, the most commonly discussed leg procedures tend to focus on the [thighs](https://aedit.com/procedure/thigh-slimming-solutions), [calves](https://aedit.com/procedure/calf-augmentation), and [feet](https://aedit.com/aedition/cosmetic-treatments-procedures-for-feet-nails-toes), while missing one major area: the knees. 

Due to their unique position on the body, the skin on and around the knees is prone to wrinkling, sagging, and drooping, and, as board certified dermatologist [Ava Shamban, MD](https://aedit.com/provider/ava-shamban-md-2325), founder of Ava MD, Skin Five Clinics, and [The Box by Dr Ava](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.theboxbydrava.com%2F), reveals, “gravity, position, and need for excess skin to accommodate the bend of the knee joint can make this area one of the hardest to improve with diet and exercise.”

If the appearance of your knees bothers you, you are not alone. But since it’s a less talked about area, it can be hard to figure out where to start. As it turns out, there are an array of surgical and non-surgical treatment options to improve the contour and skin quality of the knees, and we are breaking them all down below.

## **How to Take Care of Your Knees**
As with skin on any part of the body, it is far easier to prevent damage than it is to correct it. As such, your knees will benefit from a consistent skincare and sun care routine. “Sun avoidance and [sun protection](https://aedit.com/aedition/dermatologist-approved-sunscreen-for-face-body) is key, while weekly [physical or enzymatic exfoliation](https://aedit.com/aedition/body-scrubs-body-moisturizers-for-glowing-skin) for more smooth supple skin helps keep a more youthful appearance,” Dr. Shamban explains. 

And then there is the need for moisture — especially since the skin naturally becomes drier with age. “Similar to elbows or heels, [the knee] area needs considerable hydration, as it does not have a plump lipid layer amongst the network structures between skin and bone,” she continues. Need an upgrade? Check out our [guide to the best body creams](https://aedit.com/aedition/best-body-creams-lotions-balms-for-every-skin-concern).  

If you are serious about keeping your knees in shape, it’s not just about the skin. “Light weight-bearing activities for quadriceps will keep those muscles toned,” Dr. Shamban says. [David Shafer, MD](https://aedit.com/provider/david-shafer-md-153), a double board certified plastic and reconstructive surgeon and founder of Shafer Clinic Fifth Avenue in New York City, notes that proper diet and exercise and, for some, [slow and steady weight loss](https://aedit.com/aedition/why-you-should-lose-weight-before-plastic-surgery) can help minimize the need for aesthetic and functional knee treatments down the road. Additionally, some of the treatments that are employed to improve the appearance of the knees (think: Emsculpt®, NuEra®, and CoolSculpting®) “can also be used preventively to help head off any future issues,” he adds.

## **When to Seek Treatment for Aesthetic Knee Concerns**
It can be hard to know if it’s time to see a provider about any cosmetic adjustment to your knees, especially since they can be a tricky area to self-examine. “There is no ‘ideal’ knee,” Dr. Shafer says. “In fact, the more you stare at your knees, the stranger they look.” And don’t feel bad if your knees have mostly been an afterthought. “Most people don't focus on their knees,” he admits. “But, as we age and the skin starts sagging or wrinkles start forming, the knees can start to be a focal point – especially when you’re wearing shorts and skirts or you’re at the beach.”

While aging is one cause of sagging knees (as we age, our skin loses collagen and elastin), genetics and weight loss also play a part. “People will say that their skin has always been loose, or, [when it comes to] weight loss, once the skin is expanded with extra bulk and then decompressed through weight loss, the skin can sag,” Dr. Shafer says.

If you find yourself paying more attention to your knees, Dr. Shamban recommends looking for “laxity, wrinkles, sagging, volume loss, or excess fat pockets on the sides or above the knee.” Those tend to be the aesthetic changes “that can distract the eye,” she notes. 

### **The Best Candidates for Treatment**
It’s important to speak with your provider about the pros and cons of an aesthetic knee procedure, but, barring any serious health issues, those with loose, sagging, and/or crepey skin will be a good candidate for treatment. With that said, Dr. Shamban says patients with extremely thin skin are unlikely to get a good result. Additionally, if you have had prior knee surgeries, you may need to address any scar tissue prior to undergoing another treatment. 

It’s also important to consider the time commitment. While non-surgical treatments often have little to no downtime, they also don’t usually offer dramatic results. Surgical procedures can have a more significant impact, but that comes with a [longer recovery](https://aedit.com/aedition/how-long-does-it-takes-to-recover-from-cosmetic-surgery-procedures). “Surgical knee treatments need a time period of healing and decreased activity,” Dr. Shafer cautions. “So, runners, rock climbers, and other similar athletes may want to hold off until they have time to heal.”

## **Aesthetic Procedures for Younger-Looking Knees**
When it comes to treating the knee, both Dr. Shamban and Dr. Shafer agree that the most effective option tends to be a multi-modal approach that is customized to a patient’s unique goals and anatomy. With that in mind, below are some of the best non-surgical and surgical treatment options for addressing cosmetic knee concerns:

### **Non-Surgical Solutions**
- **[CoolSculpting®](https://aedit.com/procedure/cool-sculpting)**: Also known as cryolipolysis, this non-invasive procedure freezes away excess fat. Fat cells are permanently destroyed in targeted areas, like the knees, which can improve contour. 
- **[Emsculpt®](https://aedit.com/aedition/what-its-like-to-get-emsculpt-neo)**: This popular body contouring treatment uses high-intensity focused electromagnetic energy (HIFEM) to help build and tone muscles for functional strength and a more sculpted appearance. 
- **[Morpheus8](https://aedit.com/procedure/microneedling-with-radiofrequency)**: Microneedling and radiofrequency (RF) join forces in this multitasking treatment option that can be used to stimulate collagen production and firm the skin. 
- **[NuEra®](https://lumenis.com/aesthetics/products/nuera-tight/)**: Depending on your concerns, this radiofrequency procedure can be used to eliminate fat, tighten the skin, and reduce cellulite.
- **[Renuva®](https://aedit.com/aedition/what-to-know-about-the-new-volumizing-injectable-renuva)**: This injectable is often referred to as an off-the-shelf alternative to [fat transfer](https://aedit.com/aedition/comparing-dermal-fillers-vs-fat-grafting-for-facial-rejuvenation-contouring) because it works by triggering the body to create more of its own fat in targeted areas. In this case, it can gradually improve age-related volume loss in the knee area.
- **[Sculptra®](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers)**: Another injectable, Sculptra® is a bio-stimulating poly-L-lactic acid (PLLA) filler that can improve skin quality and contour by stimulating collagen production.
- **[Thread Lift](https://aedit.com/procedure/thread-lift)**: Just as this suturing technique is used to sculpt the face, it can be used for an instant and longer-term knee lift. While the results are subtle compared to surgery, it supports collagen building with minimal downtime and no scarring.

### **Surgical Solutions**
- **[SmartLipo®](https://aedit.com/procedure/smartlipo)**: This laser-assisted liposuction technique removes unwanted fat. The laser component speeds up the fat removal process and minimizes damage to surrounding tissue, in addition to offering some skin contracture for a tightening effect.  
- **[Thigh Lift](https://aedit.com/procedure/thigh-lift)**: The most invasive option of the group, a thigh lift surgery can remove excess skin and/or fat from the upper leg for a more contoured knee area.

## **Recovering from Aesthetic Knee Treatments**
While the non-surgical treatment options have little to no downtime, surgical treatments, like SmartLipo® and a thigh lift, do require some recovery time. Bruising and [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) are common side effects for the first couple of weeks. Activity is often limited during the initial healing period, and your surgeon will let you know when they can resume. While results are immediate and permanent, they will fully reveal themselves over the course of three to six months. 

For non-invasive treatments, results will usually start to be noticeable in about four to six weeks, though it can take three months or more to enjoy maximum benefit. As for how long results last, it depends on the number of sessions (an initial series may be needed), the patient’s lifestyle, and the severity of the condition prior to treatment. Dr. Shafer notes that you should expect to repeat non-invasive treatments, and Dr. Shamban says the [maintenance cycle](https://aedit.com/aedition/how-frequently-to-get-non-surgical-cosmetic-procedures-like-dermal-filler-botox-chemical-peel) is typically about 12 to 16 months.

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

Everything you need to know about having knockout knees.

Best Cosmetic Procedures For Aging, Sagging Knees

How To Get Younger-Looking Knees

shutterstock 214815199

There’s a new breast rejuvenation option that’ll soon be popping up in doctors offices: [InMode’s BreastTite](https://inmodemd.com/physician-treatments/minimally-invasive-body-contouring/), a procedure that uses radiofrequency (RF) energy and fractional technology to lift the breast (think: millimeters to centimeters) with minimal downtime. While not a one-to-one swap for a [traditional breast lift](https://aedit.com/procedure/breast-lift-solutions), it can be an alternative for women in search of a quick and subtle firming solution for breast sagging — sans the scars that come with surgery. In fact, [Jacob Unger, MD](https://aedit.com/provider/jacob-unger-md-2649), a board certified plastic and reconstructive surgeon in Nashville, TN, who recently performed the procedure on [Paula Abdul](https://www.instagram.com/tv/CPRuNoEjok9/?utm_medium=copy_link), calls it “the Botox® of the breast.” Here’s what to know before you book your appointment. 

## **What Is BreastTite?**
Much like leveraging [Thermage®](https://www.thermage.com/) (RF) and [Ultherapy®](https://aedit.com/procedure/ultrasound-skin-tighteningultherapy) (ultrasound) for the chest, BreastTite is a minimally invasive breast rejuvenation procedure that employs radiofrequency technology to remodel and tighten the skin envelope to lift the entire breast. And since it usually only requires three small incisions per boob, it does so without leaving behind [noticeable scars](https://aedit.com/aedition/minimizing-scars-after-surgery). 
 
“Typically, this is a fairly quick procedure that involves utilizing standard tumescent solution (which is used for [liposuction](https://aedit.com/procedure/tumescent-liposuction)) and then using the [BodyTite](https://inmodemd.com/technologies/technologies-bodytite/) cannula to import the energy to the breast,” Dr. Unger explains. “The next step is a small amount of liposuction to remove any excess fluid.” The third and final step: A round of [Morpheus8](https://inmodemd.com/technologies/full-body-fractionated-anti-aging-morpheus8-technology/), InMode’s [microneedling with radiofrequency](http://radiofrequency) treatment.
 
## **Frequently Asked Questions: BreastTite Edition**
Now that you have a better sense of how it works, it’s time to get into the nitty gritty. From ideal candidates and cost to recovery and results, we’re breaking down everything you need to know about BreastTite.
 
### **Who Is an Ideal Candidate for BreastTite?**
Folks with good quality skin (i.e. decent elasticity and not too much [sun damage](https://aedit.com/aedition/cosmetic-procedures-treatments-to-correct-sun-damage)) who want a slight lift are the ideal candidate for BreastTite. “I think the best patients for this technology are those that are young with minimal ptosis — or drooping — of the breasts and whose breast size is a C-cup or below,” explains [Kelly Killeen, MD](https://www.drcassileth.com/surgeons/dr-kelly-killeen.html), a double board certified plastic and reconstructive surgeon at Cassileth Plastic Surgery in Beverly Hills. “These patients would not be good candidates for surgery, so it's a nice option in this situation.” Other patients BreastTite can benefit? Those seeking more symmetry between the [nipples](https://aedit.com/procedure/nipple-correction-solutions), Dr. Unger shares.
 
### **What Is the BreastTite Procedure Like?**
If you are getting BreastTite alone, the procedure can be performed awake with [local anesthesia](https://aedit.com/aedition/everything-you-need-to-know-about-anesthesia). “The patient will feel a small amount of discomfort from the injection of the numbing medicine before making the small incisions to add the numbing fluid,” Dr. Unger says. The sensation is best likened to increased pressure, and it dissipates quickly. From there, the procedure takes about an hour. 
 
### **How Long Does It Take to Recover from BreastTite?**
One of the biggest selling points of a [radiofrequency-assisted breast lift](https://aedit.com/procedure/radiofrequency-assisted-breast-lift) is the minimal downtime associated with it. The average recovery time is seven to 10 days, with patients generally experiencing a bit of soreness and [bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox). “Many women feel they can return to work in one or two days,” Dr. Unger says. 
 
### **What Are the Results of BreastTite?**
Perhaps the most important thing to consider before opting for BreastTite is whether or not the subtlety of the results will satisfy your aesthetic goals. The results don’t tend to be dramatic, which means it doesn’t take the place of a surgical breast lift for women with larger breasts who are looking for significant elevation. Dr. Killeen says benefits tap out at about a 20 percent improvement on the high end, so she doesn’t consider it a go-to option for many of her patients. 

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/3hKB7YN3X7vZqsLuYKBqTq/1f06b011177ebebf814b156768bc65d9/BreastTite1-DrGuillermoBlugerman.jpg}>
  A before-and-after look at a BreastTite patient treated by Guillermo Blugerman, MD (courtesy of InMode).
</CaptionImg>

That being said, Dr. Killeen does recommend it in certain cases — specifically to women with smaller breasts that want a bit of lift. Another candidate? “I also think it's a nice adjunct for women undergoing liposuction [breast reduction](https://aedit.com/procedure/breast-reduction-and-revision-solutions) to help tighten the skin as much as possible,” she adds. While some report that results of an RF breast lift last for years, Dr. Killeen finds her patients need to repeat the protocol every 18 to 24 months to maintain the effect. 

Similarly, Dr. Unger says it's important to [manage expectations](https://aedit.com/aedition/how-plastic-surgeons-balance-patients-cosmetic-surgery-desires-and-safety). “While it does not have the power of a surgical intervention that can completely reshape the entirety of the breast, it does create this subjective sense of a more youthful and tighter overall breast,” he explains. For patients, that often manifests as an increased comfort level with the perkiness of the chest. “Women typically describe for me that they feel much more comfortable lying in bed and not wearing a bra in general after this treatment,” he says.

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/71H1ijumvD2Qi09ur3zJoZ/953d7054e7fc900fa46ae7121320717e/BreastTite2-DrMarkCraig.jpg}>
  A before-and-after look at a patient treated by Mark Craig, MD, with BodyTite and Morpheus8 (courtesy of InMode).
</CaptionImg>

One of the big benefits of the BreastTite results? You don’t have to worry about ending up with an uneven outcome. “Since the two breasts typically have very similar skin quality, I would expect a similar response to the technology in both breasts,” Dr. Unger explains. 
 
### **How Much Does BreastTite Cost?** 
Depending on the patient, provider, and location of the procedure, BreastTite procedures usually start around $7,000 and can run upwards of $12,000. You can learn more about the price of invasive and non-invasive breast lift procedures in our [guide to breast lift cost](https://aedit.com/procedure/breast-lift-mastopexy/cost).

## **The Takeaway**
For the right candidate, BreastTite can offer a natural-looking lift and firmness without the same incisions or recovery time associated with more [traditional mastopexy](https://aedit.com/procedure/breast-lift). Consulting with a board certified plastic surgeon can help to ensure you receive the best treatment protocol for your anatomy and aesthetic goals.

BreastTite employs radiofrequency energy to lift the breasts, and it may be an ideal alternative for women looking for a little boost.

BreastTite Radiofrequency-Assisted Breast Lift: Benefits, Candidates, Results, Cost

Is This New Breast-Lifting Procedure Right For You?

dainis-graveris-jxKRBZFLi 0-unsplash

Often, much of the discourse around cosmetic procedures comes down to risk versus reward. The [Brazilian butt lift (BBL)](https://aedit.com/procedure/brazilian-butt-lift) has risen in the zeitgeist as a [body contouring](https://aedit.com/procedure/body-contouring-solutions) option for those in search of a curvier backside. The procedure, used to enhance the posterior and shrink the waist, saw a spike of 28 percent [from 2014 to 2015](https://www.plasticsurgery.org/news/blog/recovering-from-a-brazilian-butt-lift?_gl=1*1wkvtap*_ga*MTI1OTk5Mjg2Mi4xNjIyMDMyNTQ5*_ga_2N9PTXXTDN*MTYyNDM5MTIxNS4yLjEuMTYyNDM5MTU1MC41OQ..), according to the American Society of Plastic Surgeons (ASPS), and it’s shown no signs of slowing down since. 

Celebrities like Jennifer Lopez, Beyoncé, and Kim Kardashian have all been credited with popularizing the hourglass figure in recent years, while stars like [Cardi B have admitted](https://www.gq.com/story/cardi-b-invasion-of-privacy-profile) to seeking a [butt augmentation](https://aedit.com/procedure/buttocks-enhancement-solutions) through dangerous means. No matter how mainstream it becomes, it’s impossible to ignore the headlines that call the safety of the BBL into question. With a mortality rate once reported at one in 3,000, the procedure had the dubious distinction of being the most deadly cosmetic surgery. 

So, when countless glute sessions and a strict diet can’t carve out your desired rump, a body contouring procedure can do the trick. But – and it's a big butt – are the risks of BBL worth the reward? We ask the experts for everything you need to know about the Brazilian butt lift procedure, the ideal candidate, the risks, the recovery, and more. 

## **What Is a Brazilian Butt Lift?**
In the simplest of terms, a [Brazilian butt lift](https://aedit.com/procedure/buttocks-enhancement-solutions) is a fat transfer procedure. It consists of performing liposuction on one or more areas of the body (think: thighs, abdomen, flanks) to harvest fat that is then transferred to another (i.e. the buttocks). It’s a minimally invasive, two birds, one stone procedure that offers a solution for those wanting to slim down certain areas while augmenting another. 

But, as [Nima Naghsihneh, MD](https://aedit.com/provider/nima-naghshineh-md-600), a board certified plastic and reconstructive surgeon and director of Dr. Nima Plastic Surgery in Pasadena, California, explains, the name ‘Brazilian butt lift’ is a bit of a misnomer. “In plastic surgery, ‘lift’ typically implies incisions,” he says. “In this particular case, there are no incisions. Instead, the ‘lift’ is a result of adding volume in the form of one's fat.” 

Unlike a traditional [butt lift](https://aedit.com/procedure/butt-lift), which requires the removal of excess skin (often after major weight loss), a BBL does not require surgical dissection because it solely addresses the volume of the buttocks via fat transfer. It can, however, provide a more lifted appearance for patients who are experiencing drooping as a result of volume loss. “It is essentially a [buttock augmentation](https://aedit.com/aedition/what-its-really-like-to-get-a-butt-augmentation),” Dr. Nima notes, and some prominent surgeons have even argued for [officially changing the name](https://journals.lww.com/plasreconsurg/Fulltext/2020/01000/A_Changing_Paradigm__The_Brazilian_Butt_Lift_Is.58.aspx).

## **What Happens During a Brazilain Butt Lift**
During a BBL procedure, “fat is harvested via liposuction from various body areas (a.k.a. ‘360 lipo’),” says [Ryan Stanton, MD](https://aedit.com/provider/ryan-stanton-md-644), a board certified plastic and reconstructive surgeon in Beverly Hills. Once it’s retrieved, “the fat is prepared by a wide variety of modalities – because there is no proven best one – then re-injected into the buttock cheeks and/or hips,” he adds. What lures many patients in is the minimal scarring that accompanies this procedure because “no surgical dissection required,” Dr. Stanton says. But he is quick to add that the benefit is also “why many uncertified plastic surgeons can and do perform it” (more on that below).

When it comes to anesthesia, [Kevin Tehrani, MD](https://aedit.com/provider/kevin-tehrani-md-91), a double board certified plastic and reconstructive surgeon and founder of Aristocrat Plastic Surgery and Medaesthetics in New York, says he typically uses [general anesthesia](https://aedit.com/aedition/everything-you-need-to-know-about-anesthesia) because it “is safe in young, healthy patients.” 
It also is the best way to ensure patient comfort. “The biggest problem with local anesthesia is that there is a limit of how much can be used,” he explains. “If it’s not enough, the patient will be in pain.” Local anesthesia may be an option, however, for patients undergoing what Dr. Tehrani calls a “small” or “skinny BBL.”

## **Recovering from a Brazilian Butt Lift**
To ensure a smooth recovery from a Brazilian butt lift, some thoughtful planning is in order. Dr. Nima recommends getting fitted for a [compression garment](https://aedit.com/aedition/benefits-of-compression-garments-after-cosmetic-surgery) prior to the procedure. “These garments are critical and decrease swelling and bruising but can be difficult to put on if they do not fit properly,” he cautions. Additionally, you’ll want to purchase the [right pillows](https://aedit.com/aedition/best-pillows-for-plastic-sugery-recovery-healing) to offload pressure on the buttocks while you rest, consider your pre- and post-op [meal plan](https://aedit.com/aedition/preparing-for-a-smooth-recovery-from-plastic-surgery), and proactively inquire about [lymphatic massages](https://aedit.com/aedition/benefits-of-lymphatic-drainage-massages-after-cosmetic-surgery) to help reduce swelling.  

### **Preparing for a Smooth BBL Recovery**
- Get fitted for compression garments
- Find the right pillows 
- Pre-plan your meals
- Book post-op lymphatic massages 

Once you get home from surgery, don’t expect to be sitting around much — if at all. “Sitting is prohibited for at least two weeks (six weeks for some surgeons’ protocol), except for 10 to 15 minutes sitting up for eating or using the restroom,” Dr. Stanton explains. Because this procedure involves multiple areas of the body, the first few weeks can be uncomfortable. [Swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) and bruising are to be expected, and Dr. Stanton says that “several different types of pain and anti-inflammatory medications are prescribed” to ease discomfort. Another tip? “Icing around the clock is also extremely helpful,” he adds.

As it relates to resuming normal movement and activities, Dr. Stanton says some patients are cleared to sit up for 20- to 30-minute intervals around the two-week post-op mark. They are also allowed to stand up and take short walks “for at least 30 seconds before sitting back down.” By week three, patients can move around for up to an hour, and “unlimited walking” returns at four weeks.

Patients can usually return to work after two or three weeks (as sitting and basic daily activities become easier), but you will be advised to be careful with exercise and sexual activity until the six-week mark. At that point, most restrictions are lifted. If introduced gradually, more intense [physical activity](https://aedit.com/aedition/when-to-start-exercising-again-after-cosmetic-surgery-procedures) (think: squats, lunges, and sports) can be resumed as well, Dr. Stanton says. 

### **Resuming Normal Activities After a BBL**
- **2-Weeks Post-Op**: Sit up for 20 to 30 minutes; stand up for at least 30 seconds 
- **3-Weeks Post-Op**: Stand up and move around for up to an hour; return to work
- **4-Weeks Post-Op**: Unlimited walking resumes with limits on more strenuous activity 
- **6-Weeks Post-Op**: Most restrictions lifted

Each surgeon has their own unique recovery protocol, so recovery looks different for everyone. It’s also important to note that your healing will also be influenced by where your fat was harvested from. “If we do liposuction on several areas like arms, thighs, back, the recovery may take longer,” Dr. Tehrani says.

## **The Ideal Candidate for a Brazilian Butt Lift**
As with any cosmetic procedure, not everyone will be a candidate for a Brazilian butt lift, and, as Dr. Tehrani says, “safety comes first.” As such, “patients with high BMI are generally considered to be at a higher risk of complications after any surgery, and BBL is not an exception,” he explains. After all, “liposuction is not a weight loss but a contouring procedure,” he adds.

The best candidate for a BBL is a patient who is close (within 10 pounds) to their [ideal weight](https://aedit.com/aedition/why-you-should-lose-weight-before-plastic-surgery), is active, and takes the necessary health precautions given by their surgeon of not smoking, drinking, and [monitoring their supplement intake](https://aedit.com/aedition/vitamins-supplements-to-avoid-before-cosmetic-surgery) pre- and post-op. This will help to ensure the surgeon can perform “the procedure safely” and the patient “gets the best results after the procedure,” he notes.

## **The Risks of a Brazilian Butt Lift**
While all procedures come with risk, the Brazilian butt lift has a somewhat dangerous reputation. Below are some of the potential risks, complications, and short- and long-term effects of the procedure: 

### **1. Volume Loss & Asymmetry**
Volume loss is to be expected after any [fat transfer](https://aedit.com/aedition/comparing-dermal-fillers-vs-fat-grafting-for-facial-rejuvenation-contouring) procedure, including a BBL. Dr. Nima says you can “expect to lose 20 to 40 percent of the volume that is injected” during the initial establishment period. The benefit of fat grafting is that there is no risk of the body rejecting it, but, on the flip side, the body will continue to reabsorb the tissue. “For most patients, only about 20 or maybe 30 percent of the fat survives and is permanent,” Dr. Stanton says. 

Additionally, asymmetric results can occur as a result of uneven sitting post-procedure or the surgeon’s technique. While it may be possible to correct, it will depend on the health and stability of the patient.
 
### **2. Fat Necrosis**
Fat necrosis occurs when an area does not have adequate blood supply. It manifests as “firm lumps of fat that have turned to scar,” Dr. Nima explains. “These can be tender but often improve over time.” The lumps are not cancerous.
 
### **3. Oil Cysts**
These small cysts are “composed of liquefied fat as a result of fat that did not ‘take,’” Dr. Nima says. They are typically not painful, but, if they begin to cause discomfort, it is recommended to speak with your provider. 
 
### **4. Death** 
The controversy surrounding BBL and its mortality rate mostly centers around the placement of fat. “The real killer, literally, with this surgery is where the surgeon is transferring the fat into,” Dr. Stanton says. “After extensive research over the last five years, it is now well known and globally accepted that fat injected (a.k.a. ‘transferred’) into the gluteus muscles is the fat that embolizes into the bloodstream up into the lungs, heart, or brain and causes death in approximately 3,000 to 10,000 patients.” 

Plastic surgery societies around the world do not advise placing fat into the gluteus muscles but rather the subcutaneous buttock cheek fat layer. However, he acknowledges that “fat survival is quite poor in the fat layer when compared to the muscle layer.” Herein lies the BBL conundrum: “[Surgeons are] damned if you do, and damned — but life-saving — if you don't,” Dr. Stanton says.
 
Data indicates that these new techniques have gone a long way toward increasing patient safety. While a 2017 survey from the [Aesthetic Surgery Education and Research Foundation (ASERF) determined](https://academic.oup.com/asj/article/40/8/864/5822125?login=true) the BBL mortality rate to be one in 3,448, it decreased to one in 14,952 in 2019. The 2019 figure indicates mortality has reached an acceptable level that is similar to that of [abdominoplasty](https://aedit.com/procedure/abdominoplasty) (one in 13,193).

## **A Note on Finding the Right BBL Provider**
[Finding the right provider](https://aedit.com/aedition/finding-the-right-plastic-surgeon-dermatologist-or-cosmetic-dentist) is crucial for any procedure, but it is of added importance for BBL. As we mentioned above, the minimally invasive nature of the procedure paves the way for uncertified providers to offer it, yet proper training and technique are a matter of life and death. “There were several cases all over the news when unqualified practitioners performed BBL and their patients died,” Dr. Tehrani says. “As long as your board certified plastic surgeon takes all precautions, uses a blunt cannula, and stays superficial, death should never happen.” As all surgeons should, he also recommends the patient is in optimal health at the time of the procedure.   

## **Alternative BBL Treatments**
A Brazilian butt lift isn’t the only way to enhance the buttocks. For those looking to add volume, hip or [butt implants](https://aedit.com/procedure/butt-augmentation-with-implants) can provide a permanent augmentation solution. If excess fat is a concern, liposuction alone can offer some benefit, while non-surgical body contouring procedures like [SculpSure®](https://aedit.com/procedure/sculpsure), [CoolSculpting®](https://aedit.com/procedure/cool-sculpting), or [Emsculpt Neo®](https://aedit.com/aedition/why-everyone-is-talking-about-emsculpt) can be strategically employed to create the illusion of a more augmented behind. 

Filler can also be used in place of fat to add volume, though the results are often short-lived and/or not as dramatic. Dr. Nima says [Sculptra®](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers), a collagen-stimulating poly-L-lactic acid (PLLA) filler, can offer temporary enhancement, while newer-to-market injectables, like [Renuva®](https://aedit.com/aedition/what-to-know-about-the-new-volumizing-injectable-renuva), can work over the long-term to help you grow your own fat. The drawback is often the price. “It is an excellent product for some volume correction and cellulite treatment, but can get quite pricey for volumes typically needed for a full BBL,” he shares.

## **The Takeaway**
If days in the gym and a strict diet still can't develop those enviable curves, a Brazilian butt lift can enhance the backside — but buyer beware. When it comes to the procedure, it is important to fully vet the surgeon who will perform the BBL to ensure they have the experience and technique to carry it out as safely as possible. While the rate of fat retention is enough to maintain a rounder posterior and a slimmer waist, it is important to weigh both the risks and rewards of a BBL. 

The Brazilian butt lift (BBL) can create a rounder backside, but the procedure is not without controversy. The experts weigh in on why it’s one of the more infamous body contouring options.

Brazilian Butt Lift Procedure And Safety Overview

How Safe Is A Brazilian Butt Lift?

eugene-chystiakov-fD7Yf8mGDqY-unsplash

A [weight-loss journey](https://aedit.com/aedition/why-you-should-lose-weight-before-plastic-surgery) is exactly that — a journey. While it may come with its highs and lows, there is no better feeling than reaching your personal goals. As you achieve them, you will probably notice that your body has changed along the way. The fat may be gone, but loose and/or excess skin is often left in its place. One of the most common areas of concern? The [abdomen](https://aedit.com/concern/abdominal-contour). To better understand how to tone and tighten the stomach once you reach your weight loss goals, we spoke to a top dermatologist and plastic surgeon. Below, a guide to the best surgical and non-surgical treatments to treat loose stomach skin.

## **What Causes Loose Stomach Skin?**
No matter the cause, weight gain and loss can have significant effects on the elasticity of the skin. “After rapid weight loss or postpartum, often skin does not shrink back easily,” says [Dendy Engelman, MD](https://aedit.com/provider/dendy-engelman-md-312), a board certified cosmetic dermatologist in New York City. “As a result, some people are left with loose skin.”

As it turns out, collagen and elastin aren’t just the culprits behind sagging skin on the face — they impact laxity from head to toe. “A cause for loose skin is the stretching of the dermis beyond the limits of its elasticity,” explains [Cameron Francis, MD](https://aedit.com/provider/cameron-francis-md-29673), a board certified plastic and reconstructive surgeon in Del Mar, CA. “After the loss of the underlying fat or birth of the baby, in some individuals, the skin is unable to retract because it has lost its elasticity, like a rubber band that has been overstretched and no longer snaps back to its original length.” It’s worth noting that this process also leads to [stretch marks](https://aedit.com/concern/stretch-marks). Stretch marks “actually represent fracture lines in the dermis,” he shares.

## **How to Treat Loose Stomach Skin**
When it comes to achieving a toned and natural-looking abdomen, Dr. Francis says there are a few key factors that come into play:
 
- Tight internal muscular core
- Sculpted subcutaneous tissues
- Taut abdominal skin
- A youthful belly button

Depending on the severity of the skin laxity, there are both [surgical and non-surgical skin tightening techniques](https://aedit.com/procedure/abdominal-slimming-solutions) that can achieve those results. While non-invasive procedures have little to no downtime, they may not be able to provide the same level of results as their more invasive counterparts. So, what are the pros and cons of each? We break it down:

### **Non-Surgical Skin Tightening**
Non-invasive skin tightening and toning options have come a long way in recent years and “utilize radiofrequencies and/or temperature to deeply penetrate the skin and tissue, stimulating collagen production to tighten skin and reduce fat cells,” Dr. Engelman explains. For the right candidate, “non-surgical treatments are generally the most effective for treating mild skin laxity in select locations [of the body],” Dr. Francis adds. 

Dr. Engelman recommends in-office radiofrequency (RF) procedures for patients looking to tone loose skin after weight loss. For example, [NuEra Tight](https://lumenis.com/aesthetics/products/nuera-tight/) features five different frequencies that allow for a more customized treatment. “This device uses intense radiofrequency to upregulate the dermal components of skin — collagen, elastin, and glycosaminoglycans,” she explains. “Increasing the thickness and density of the structures allows for an improved texture of the skin and also leads to tightening of the treatment area.” It usually takes three or four 30-minute sessions (Dr. Engelman likens the sensation to a hot stone massage) to see results, and there is little to no downtime.

Other popular non-surgical radiofrequency procedures include [Thermage®](https://www.thermage.com/#home) and [BodyTite™](https://inmodemd.com/workstation/workstation-bodytite/), both of which use RF energy to contract both skin and fat tissue. [Emsculpt Neo®](https://aedit.com/aedition/what-its-like-to-get-emsculpt-neo), meanwhile, combines RF with high-intensity focused electromagnetic technology (HIFEM) to reduce fat, firm skin, and strengthen the underlying muscle(s).

### **Surgical Skin Tightening**
On the surgical end of the spectrum, there are different types of procedures that can remove loose or excess skin and improve abdominal contour. The two most common are panniculectomy and abdominoplasty (a.k.a. tummy tuck). 

For patients who have undergone [bariatric surgery](https://aedit.com/aedition/what-its-like-to-get-plastic-surgery-after-bariatric-surgery-weight-loss) or an extreme weight loss, a panniculectomy may be needed to remove a remaining pannus (i.e. large flap of skin and fat that distends over the abdomen). The purpose of a panniculectomy is solely to address the excess skin and fat — not the underlying musculature.

Those who are experiencing less severe cases of loose skin, a [tummy tuck](https://aedit.com/procedure/abdominoplasty) tends to be the gold standard of surgical solutions. It removes excess skin, eliminates unwanted fat, and repairs the abdominal wall in one singular procedure.

“An abdominoplasty involves a two-layered approach to restoring a flat, toned abdomen,” Dr. Francis says. First, the internal structure must be addressed. In the case of pregnancy or a significant weight gain, it is not uncommon for the abdominal muscles to separate. This causes a gap known as [rectus diastasis](https://aedit.com/aedition/diastasis-recti-repair-abdominal-separation-post-pregnancy-weight-loss). “Fixing it is as simple as suturing the muscles back together into their pre-pregnancy [or weight gain] location,” Dr. Francis says. From there, liposuction may be performed to remove excess fat and skin will be resected as needed. “If significant skin laxity is present, liposuction alone can often make the problem worse and skin resection is usually necessary,” he notes.

Whether performed alone or as part of a larger [mommy makeover](https://aedit.com/aedition/mommy-makeover-recovery-healing-process) or [body lift](https://aedit.com/aedition/guide-to-surgical-nonsurgical-body-lifts) procedure, recovering from a tummy tuck requires patience. As Dr. Francis explains, there is “serious downtime” (lasting about five days) before patients carefully return to “some normal activities.” Light cardio can usually resume around two-weeks post-op, but “heavy lifting needs to be avoided for at least four weeks,” he cautions. While [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) peaks in the first two weeks, it can linger for up to six months.

## **The Takeaway**
After a [pregnancy](https://aedit.com/aedition/best-questions-to-ask-before-a-mommy-makeover) or during your weight loss journey, loose skin can make an appearance — especially around your stomach. There are, however, an array of surgical and non-surgical procedures to firm and tone the skin. Consulting with a board certified dermatologist or plastic surgeon will help determine the best treatment plan for your anatomy and aesthetic goals.

The fat may be gone, but loose and/or excess skin is often left in its place. So, what’s the best way to treat it? The AEDITION asked the experts.

Procedures To Tighten Loose Stomach Skin After Weight Loss

How To Tighten Your Stomach Skin After Weight Loss

rui-silvestre-yU1naWfA4n0-unsplash

“The magic of Botox® and filler does not discriminate on the basis of gender,” says [Dara Liotta, MD](https://www.facialplasticsnyc.com/), a double board certified facial plastic and reconstructive surgeon in New York City. “It’s magical for men and women alike.” As men’s makeup and [aesthetic treatments](https://aedit.com/aedition/what-you-need-to-know-about-male-plastic-surgery-trends) become more popular, it’s time to talk to top dermatologists and plastic surgeons to get the skinny on injectables for guys. From techniques and areas of treatment to finding the right provider, here’s what men need to know about [dermal filler](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers) and [neurotoxins](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin).

## **Injectable Techniques for Men** 
There are many ways that [injectable treatments](https://aedit.com/procedure/dermal-filler-and-injectable-solutions) differ in men and women, explains [Anne Chapas, MD](http://unionderm.com), a board certified dermatologist and medical director at UnionDerm in NYC. They are based on biological differences in the aging process, the composition of muscle fibers of the face, and bone structure. And then there is the [quality of the skin](https://aedit.com/aedition/difference-between-mens-womens-skincare-products). “Men have thicker skin, so often a sturdier product can be used,” notes [Jennifer Levine, MD](https://www.drjenniferlevine.com/), a double board certified facial plastic and reconstructive surgeon in NYC.  

The perception of beauty also influences injectable techniques. “Our society’s impression of what are feminine or masculine features are considered when planning injectable treatments,” Dr. Chapas shares. For example, Dr. Levine says that, for men, you want to avoid placing filler on the lateral of the [cheekbone](https://aedit.com/aedition/cosmetic-procedures-to-define-cheekbones) (as you would with women) because it creates a more feminine effect. “In general — and generalizations are not always the rule, of course — the arched eyebrow is a decidedly feminine look, as is the very high cheekbone or narrow chin,” Dr. Liotta adds. Unless it’s the bone structure the patient started with, you likely wouldn’t want to create those classically feminine features.

And don’t discount societal impressions of [fine lines and wrinkles](https://aedit.com/concern/fine-lineswrinkles). For women, injectables are often employed as a way to [smooth the skin](https://aedit.com/procedure/skin-smoothing-solutions), yet lines don’t tend to be as big of a concern for men. “The ultimate goal isn’t so much wrinkle reduction as it is to give men back the angularity of their face and reduce the appearance of fatigue or stress,” says [Paul Jarrod Frank, MD](https://pfrankmd.com/), a board certified celebrity dermatologist in NYC.

This difference in purpose also informs the type of product that is used. “Certain fillers, like Juvéderm®, which can retain a lot of water, may not be ideal for men, whereas other fillers, like Radiesse®, retain less water and provide more definition,” Dr. Frank says. The former is a [hyaluronic acid (HA)](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler) filler, while the latter is made of calcium hydroxylapatite (CaHa). So, when it comes to achieving the best result, “it’s quantity, quality, and what brand of product that you’re using,” he adds.  

## **The Benefits of Injectables for Men** 
“Fillers and neuromodulators are great anti-aging treatments and can also be used to enhance and define,” Dr. Levine says. When you consider male anatomy, non-surgical injectables actually serve an important purpose for men interested in facial rejuvenation. “Men don’t have the hair to hide real [surgical scars](https://aedit.com/aedition/minimizing-scars-after-surgery),” Dr. Liotta points out. As such, “Botox® and filler that’s expertly-injected can be a powerful tool to rejuvenate without surgery,” she adds.

### **Neurotoxins**
As we’ve covered in our guides to procedures for men in their [twenties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-for-men-in-20s), [thirties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-for-men-in-30s), [forties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-for-men-in-40s), and [after 50](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-for-men-in-50s-60s-70s), neurotoxin (read: Botox®, Dysport®, Jeuveau®, Xeomin®) is often a staple to soften the appearance of wrinkles on the forehead and around the eyes. “It’s important to reduce — not remove — these wrinkles because men can appear too feminine without lines and unnatural without movement,” Dr. Chapas notes. 

One of the first areas that men seem to show signs of aging is between the brows, where they develop vertical lines (a.k.a. the glabellar or ‘11’ lines). These lines result from frowning and squinting, and men are more prone to develop deep creases here because of the thicker and heavier nature of the skin, Dr. Liotta says. “Botox® can help to relax the ‘muscles of disapproval,’ medically known as the corrugator muscles, and help smooth this area and prevent deep wrinkles from forming and taking up residence,” she explains.

While some lines may be considered ‘handsome,’ others can express unintended emotion. “When men have [glabellar lines] at rest, I hear that they get feedback that they look angry or disapproving when they’re not,” Dr. Liotta notes. Dr. Frank agrees. “When it comes to neuromodulators, like Botox®, for most men it’s about opening the eyes and reducing the wrinkles,” he says. But discretion is key. “The end result is to not give the appearance that they have had something done,” he adds.

### **Fillers**
When it comes to filler, the [under eye hollow](https://aedit.com/procedure/under-eye-filler) (a.k.a. tear trough) is a popular place for men to treat. “We all — men and women — tend to lose volume here as we age, but the heavier quality of the skin of men and the bone structure of the face in this area make volume loss more apparent,” Dr. Liotta explains. The result? Deep shadows below the eye. This gives people the appearance of having [dark circles](https://aedit.com/aedition/best-aesthetic-procedures-to-minimize-dark-circles) and being tired. The [solution](https://aedit.com/procedure/eye-rejuvenation-solutions)? “A bit of filler in this area helps to eliminate the shadows and make people look better rested,” she says. 

Additionally, guys are looking to better define their [chin](https://aedit.com/procedure/chin-enhancement-solutions) and [jawline](https://aedit.com/procedure/neck-and-jawline-definition-solutions), soften nasolabial folds, and address volume loss in the lower cheeks. “Again, the goal is to appear masculine and refreshed, not flawless,” Dr. Chapas clarifies. 

### **If You’re Not Ready to Try Neurotoxin or Filler...** 
Lasers often serve as good ‘gateway’ procedures that are [popular with men](https://aedit.com/aedition/best-cosmetic-laser-treatments-for-men). “The [Clear + Brilliant®](https://aedit.com/procedure/clear-brilliant) Complete treatment is fantastic for men who want to improve the appearance of fine lines and discoloration without significant down time,” Dr. Chapas says. For best results, she recommends three, 30-minute sessions over the course of three months. Most patients can return to normal activities right away — making it an ideal choice for those who want to fly under the radar and skip downtime. “It’s a great way to naturally rejuvenate the skin using two unique types of energy to create more collagen and even the skin tone,” she notes. 

## **Maintaining Injectables for Men**
Routine maintenance is an unavoidable part of any injectable regimen, and male patients are no exception. Neurotoxin tends to degrade over the course of around four months, while filler can last anywhere from six months to two years. The exact lifespan depends “on the area of the face injected” and “the exact type of filler used,” Dr. Liotta says.

Generally speaking, men are less apt to come in for [regular maintenance appointments](https://aedit.com/aedition/how-frequently-to-get-non-surgical-cosmetic-procedures-like-dermal-filler-botox-chemical-peel), so the longevity (or lack thereof) can be an issue for some. “Most men will come in, on average, twice a year, which is usually more than enough,” Dr. Frank says. And, while men and women can expect similar outcomes as it relates to how long injectable neurotoxin and filler lasts, the amount of product needed to achieve results differs. Men tend to need more product — almost double — than women, Dr. Liotta says. Consider it the blue tax. 

## **Finding a Provider Who Specializes in Men**
Finding the right provider is always paramount, but it is especially true for men who are interested in taking advantage of all aesthetic medicine has to offer. Dr. Liotta advises seeking out an injector who [specializes in treating men](https://aedit.com/aedition/how-to-find-a-plastic-surgeon-who-specializes-in-cosmetic-procedures-for-men), since the exact placement of injections and the amounts of Botox® and filler injected for a natural result are different from what’s needed for women. Asking for referrals from friends and looking at [before and after photos](https://aedit.com/aedition/importance-of-before-and-after-photos-in-plastic-surgery) can help you get a sense of a provider’s work. “With male patients, I look more to use injectables to turn back time,” Dr. Liotta says, “rather than to sculpt a particular look.”

The benefits of Botox® and filler know no bounds. From techniques to treatment areas, top dermatologists and plastic surgeons give us the skinny on injectables for men.

A Guide To Injectable Botox And Fillers For Men

A Guy’s Guide To Injectable Fillers And Neurotoxins

jj-jordan-JBqwqLG0SXw-unsplash

*When should I start getting Botox®? Is it time to incorporate retinol into my skincare routine? What is a “mommy makeover”? How about a “daddy do-over”? Do I really need to, as the saying goes, sacrifice my butt for my face? Should I swap my temporary dermal fillers for something a bit more permanent?*

*When it comes to beauty and aesthetics, there is no such thing as one-size-fits-all. But there are some tried and true principles that will keep you looking and feeling your best. In this series, [Coming of Age](https://aedit.com/aedition/category/coming-of-age), The AEDITION answers your most pressing questions about the best treatments, procedures, and practices — from surgery and skincare to health and wellness and everything in between — to consider at any age.*

What do George Clooney, Denzel Washington, Tom Cruise, and Brad Pitt all have in common? They’re all over 50, and — let’s be honest — they all wear it well. By the time men reach their fifties, visible signs of aging are, well, visible, and those changes to the skin, hair, and body continue into the sixties and beyond. So, what’s the best way to address these newfound concerns? Top plastic surgeons and dermatologists share the best cosmetic procedures and treatments to help men in look their best after 50.

## **Refresh & Rejuvenate** 
Gravity and Mother Nature dictate that, as we age, humans experience a slowdown in collagen and elastin production, which leads to [skin laxity](https://aedit.com/concern/facial-skin-laxity) and a loss of volume. Additionally, years of sun exposure and stress can result in [uneven skin tone](https://aedit.com/concern/uneven-skin-tone) (think: pigmenation, redness, dullness, etc.) and [uneven skin texture](https://aedit.com/concern/uneven-skin-texture) (i.e. fine lines, wrinkles, scarring, and more). On the visage, guys are seeing their face, neck, and eyelids (both upper and lower) sag and droop, which may contribute to a tired or even stern appearance.

It should come as no surprise then that men in this age group are interested in a refresh. “Men in their fifties are looking for treatments to improve their appearance and prevent signs of aging,” explains [David Shafer, MD](https://aedit.com/provider/david-shafer-md-153), a double board certified plastic and reconstructive surgeon in New York City. “They are beginning to get concerned about looking too old at work and want to keep the competitive edge.”

## **The Best Cosmetic Procedures for Men After 50** 
If you’ve been following this series, you know that we kicked things off in the [twenties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-for-men-in-20s) and [thirties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-for-men-in-30s) with [prejuvenation](https://aedit.com/aedition/i-was-practicing-prejuvenation-before-it-was-a-trend), and, as it turns out, the rejuvenation approach that benefits men after 50 isn’t all that different. “Whatever we do in our twenties is still similar to what we’re going to do in our fifties, the difference is the aggressiveness of the approach,” says [Jason Emer, MD](https://aedit.com/provider/jason-emer-md-722), a board certified cosmetic dermatologist in West Hollywood. From professional and at-home skincare to face and body contouring procedures, here are some of the best treatment options for men in their fifties, sixties, and beyond.

### **At-Home Skincare**
Before we dive into all the professional treatments that exist, we must reiterate the importance of a quality at-home skincare routine. As outlined in our [guide to men’s skincare after 50](https://aedit.com/aedition/best-mens-skincare-routine-products-ingredients-for-50s-60s-70s), your daily regimen should include a cleanser, antioxidant serum, moisturizer, [sunscreen](https://aedit.com/aedition/best-lightweight-non-greasy-sunscreens-to-wear-indoors), retinol or retinoid, and a hydrating mask.

Antioxidants (think: [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare) and [vitamin E](https://aedit.com/aedition/guide-to-topical-vitamin-e-in-skincare)) can help combat the effects of free radical damage, while a topical vitamin A derivative (in the form of a [retinol or retinoid](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare)) increases cell turnover to improve tone and texture. If you’ve already been using a retinol or retinoid, now may be the time to upgrade to a more potent product. But, remember, use only a pea-sized amount twice a week to start in order to avoid irritation.

Because the skin gets drier with age, men in their fifties and beyond can benefit from a hydrating treatment — like a weekly overnight mask with [hyaluronic acid (HA)](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler) — to restore moisture, smooth, and plump the skin. If you are concerned about [dry skin](https://aedit.com/aedition/how-to-treat-prevent-dry-skin-face-body-hands), you can also incoproate HA into your routine daily with a serum like Dr. Emer’s [Emerage Skin Hyla-B](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Femeragecosmetics.com%2Fproducts%2Fhyla-b).

### **Professional Skincare Treatments**
Just as we covered in our [guide to procedures in your forties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-for-men-in-40s), skin resurfacing can reveal smoother, brighter, and more youthful-looking skin. After 50, Dr. Emer says an ideal protocol involves quarterly [medium-depth chemical peels](https://aedit.com/procedure/medium-depth-chemical-peels), monthly [light peels](https://aedit.com/procedure/superficial-chemical-peels), and annual [ablative laser treatments](https://aedit.com/procedure/ablative-fractional-lasers) with [CO2](https://aedit.com/procedure/ablative-co2-laser) and [erbium](https://aedit.com/procedure/ablative-erbium-laser) devices. That combination can even skin tone and address everything from fine lines and acne scars to deep wrinkles. But, for men who are particularly concerned about [pre-cancerous spots](https://aedit.com/aedition/guide-to-actinic-keratosis) or localized wrinkles, the [Plasma Pen™](https://aedit.com/procedure/plasma-skin-resurfacing) or a spot treatment of a ProFractional™ laser can be added on to target them. 

Dr. Shafer also recommends DiamondGlow™ facials, a [diamond tip microdermabrasion](https://aedit.com/procedure/diamond-tip-microdermabrasion) treatment that also involves pore-clearing extractions and skincare infusions, to refresh the complexion. 

### **Injectables**
“When you get into your fifties, you start to lose a lot of midface volume,” Dr. Emer says. [Filler](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers) may be used to fill the midface hollows, contour along the jaw and [chin](https://aedit.com/procedure/chin-augmentation-with-soft-tissue-fillers) to camouflage jowling, [restore cheek volume](https://aedit.com/procedure/cheek-augmentation-with-fillers), and even [rejuvenate the hands](https://aedit.com/procedure/hand-rejuvenation-with-dermal-fillers), but traditional filler isn’t the only option. Depending on the patient, Dr. Emer may instead recommend [fat grafting](https://aedit.com/aedition/what-its-really-like-to-get-facial-fat-grafting) (which involves harvesting fat from one part of the body and injecting it into another) or a fat-stimulating injectable, like [Renuva®](https://aedit.com/aedition/what-to-know-about-the-new-volumizing-injectable-renuva), to restore the face.

While [neurotoxins](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin), like Botox®, can be used at any age, it’s important to be sure they are not compounding other concerns. “As you get older, Botox® still prevents wrinkles, but, if the skin is starting to sag and you use Botox®, it could sag more,” Dr. Emer cautions. Using neurotoxins to [lift the brow](https://aedit.com/procedure/chemical-brow-lift), for example, will likely not be as effective for men as they age. “At some point, Botox® — not as an injection but as a technique — would be less effective as time goes on because you don't want somebody to have hooded eyebrows or heavy lids,” he explains. “So, if they're older with loose skin, you may want to shy away from Botox® and do a surgery.”

### **Facial Firming & Contouring** 
By the time you reach your fifties and sixties, it may be time to more seriously consider surgical solutions to address skin laxity. [Facelifts](https://aedit.com/procedure/facial-skin-firming-and-lifting-solutions) and [neck lifts](https://aedit.com/procedure/neck-and-jawline-definition-solutions) can rejuvenate the lower face, while [blepharoplasty](https://aedit.com/procedure/eyelid-correction-solutions) and [surgical brow lifts](https://aedit.com/procedure/eye-rejuvenation-solutions) can address the upper third. “Men in their fifties are also often good candidates for upper and lower eyelid lift,” Dr. Shafer says of the procedures that can remove excess skin above the eye ([upper eyelid blepharoplasty](https://aedit.com/procedure/upper-eyelid-blepharoplasty)) and improve the appearance of under eye bags ([lower eyelid brepharoplasty](https://aedit.com/procedure/lower-eyelid-blepharoplasty-transconjunctival-approach)). 

Minimally invasive skin tightening treatments, meanwhile, can be incorporated to help maintain results. Both Dr. Shafer and Dr. Emer recommend [microneedling](https://aedit.com/procedure/microneedling) for men after 50. As Dr. Shafter explains, the treatment can be employed to “stimulate collagen, refresh skin, and slow down the aging process.” Dr. Emer suggests procedures, like [Morpheus8](https://www.youtube.com/watch?v=gb2kOSFANQ0), that pair [microneedling with radiofrequency](https://aedit.com/procedure/microneedling-with-radiofrequency) to both boost collagen production and tighten the tissue. When it comes to the forehead and eye areas, Dr. Shafer says [Ultherapy®](https://aedit.com/procedure/ultrasound-skin-tighteningultherapy), which employs ultrasound waves to firm the skin, can be used to smooth fine lines and wrinkles. 

### **Body Contouring**
Depending on your concerns and aesthtetic goals, there are both surgical and non-surgical [body contouring solutions](https://aedit.com/procedure/body-contouring-solutions) to consider. Dr. Shafer sees a lot of men over 50 coming in for liposuction to permanently remove stubborn areas of fat. “Liposuction of the abdomen, lower back, love handles, and/or neck is great,” he notes. On the non-surgical side, [CoolSculpting®](https://aedit.com/procedure/cool-sculpting) quite literally freezes away unwanted fat.

But it’s not just about dropping lbs. Newer technologies, like [Emsculpt®](https://aedit.com/aedition/why-everyone-is-talking-about-emsculpt), allows patients to build muscle as they burn fat. “Emsculpt® is also a great non-invasive body treatment for body contouring and muscle building and toning,” Dr. Shafer says. It can be used on the abs, arms, buttocks, thights — basically all the areas you wouldn’t mind bulking up a bit.

### **Hair Restoration**
Whether [hair loss](https://aedit.com/concern/hair-loss) is a recent development or you’ve been dealing with it for years, there are an array of surgical and non-surgical hair restoration techniques to choose from. “Hair loss is certainly a concern at this age, and PRP treatments or [surgical hair transplants](https://aedit.com/procedure/surgical-hair-restoration-solutions) are both ideal for this,” Dr. Shafer says. 

In the former, blood is drawn (likely from the arm), put in a centrifuge to concentrate the growth factors, and then injected into the areas of the scalp that are thinning. Intrigued? Read more about [one patient’s experience](https://aedit.com/aedition/what-its-like-to-get-prp-injections-for-male-hair-loss) with PRP for hair loss. In the latter, hair follicles will be transplanted from a donor site (usually a concealed spot on back of the head) to fill in a bald spot or [reshape the hairline](https://aedit.com/aedition/surgical-and-non-surgical-procedures-to-reshape-the-hairline).

## **The Takeaway**
Whether you are looking to say ‘so long’ to sun-damaged skin, reduce sagging, remove excess fat, or restore your hairline, the surigcal and non-surgical treatment options for men over 50 are endless. Consulting with a board certified dermatologist or plastic surgeon who [specializes in men](https://aedit.com/aedition/how-to-find-a-plastic-surgeon-who-specializes-in-cosmetic-procedures-for-men) will help you to develop the best treatment plan for your needs.

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

By the time men reach their fifties, visible signs of aging are, well, visible, and those changes to the skin, hair, and body continue into the sixties and beyond. Here, top doctors share their treatment tips.

Best Plastic Surgery And Cosmetic Procedures For Men In Their 50s, 60s, 70s

Coming Of Age: The Best Procedures For Men To Consider After 50

shutterstock 1377590150

All scars form for the same reason — a [surgery](https://aedit.com/aedition/minimizing-scars-after-surgery), [burn](https://aedit.com/aedition/how-to-treat-first-second-third-degree-burns), cut, [acne spot](https://aedit.com/concern/acne-scars), or trauma of some sort occurs, which signals a dermal healing response that recruits inflammatory cells. “Living animals all have a natural ability to attempt restoration of function and repair damage to the body after an injury.” explains [James Beckman, MD](https://aedit.com/provider/james-beckman-md-34641), a board certified plastic and reconstructive surgeon and founder of [Therapon Skin Health](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Ftheraderm.net%2F). “Whether it is skin, other tissue, or even entire organs, scar formation is the first step.” The purpose? “It serves to cover open areas, preventing bacteria from entering and keeping tissues from drying out,” he says.

When you consider the state our bodies would be left in without the ability to scar, it’s a pretty remarkable phenomena. “If our skin would not scar, we would be walking around with big open wounds, which is why scarring is a necessity,” says [Gregory Buford, MD](https://aedit.com/provider/gregory-buford-md-1015), a board certified plastic and reconstructive surgeon in Englewood, CO. “It’s just that society has determined that it’s not pretty.” He likens scars to a kind of biological glue. 

With that said, there is no rhyme or reason to how the body responds to injury, which means you can be left with some pretty [unique scars](https://aedit.com/concern/scars). If you are unhappy with the appearance of a scar — no matter where it came from — there are ways to minimize it. Read on for both at-home and in-office [scar solutions](https://aedit.com/procedure/scar-solutions).

## **What Determines the Appearance of a Scar**
Even on the same person, no two scars heal the same. As [Jessica Weiser, MD](https://aedit.com/provider/jessica-weiser-md-34640), a board certified dermatologist in New York City, explains, there are several reasons why scars settle uniquely, including: 

- Extent of the injury
- Location of the wound
- Genetics
- Body’s collagen response (i.e. how much of the protein, which is like the building block of skin, is made)

“When new collagen forms, the bundles fill in a wound in the dermis (the second layer of skin),” she says. When just the right amount of collagen is produced, the scar is flat; too much collagen leads to thick, rope-like raised scars and keloids. All scars start red and, as they mature, transform to pink and then white. 

Like a good piece of real estate, the end result is all about location, location, location — certain parts of the body are better equipped to handle the formation of a scar than others. “Luckily, on the face, there is a good blood supply, so the area tends to heal more readily there,” says [Amanda Doyle, MD](https://aedit.com/provider/amanda-doyle-md-31526), a board certified dermatologist at Russak Dermatology Clinic in New York City. The same cannot be said the further south you go. “As you get towards the waist and further down, the blood supply is farther from the heart, so it takes a lot longer to heal because of the location,” she shares. 

Another factor that affects scarring is tension. “In areas like the shoulder or the back, there is a lot of pulling and tugging, and that can lead to a wider-looking scar because of constant tension in that location,” Dr. Doyle adds.

## **Types of Scars**
Scars are like snowflakes — no two are identical. At the most macro level, scars can be classified into two categories:

1. **Sunken (a.k.a. atrophic)**: “Sometimes, there is an absence of fat or other underlying structures that the body cannot fill in and scars end up atrophic or indented,” Dr. Doyle explains. 
2. **Raised (a.k.a. hypertrophic)**: “In other circumstances, the body stimulates an overly exuberant response that causes excess scar tissue clinically appearing as raised or keloid-type scars, which are typically the most challenging ones to treat,” she says. “Even with treatment, they may recur or may not respond as readily.” 

Moving to a more micro level, there are specific types of scars within those initial classifications:

### **Atrophic Scars**
- **Ice Pick Scars**: Deep and narrow but small, ice pick scars almost always have a tie to [nodular or cystic acne](https://aedit.com/concern/acne). Resembling a puncture wound of sorts, ice pick scars are commonly categorized as indented skin and occur on the cheeks.
- **Boxcar Scars**: Rounder in shape and resembling more of a crater, boxcar scars are wider than an ice pick scar but not as wide as rolling scars. They are often due to acne, and the deeper they are, the harder they are to treat. 
- **Rolling Scars**: Reminiscent of a pit but with undefined edges, the more common rolling scars give the area an almost wavy texture and can worsen with age due to a loss of elasticity and collagen in the skin. 

### **Hypertrophic Scars**
While not all hypertrophic scars are keloid scars, keloids are perhaps the best known raised scars. They are also considered among the most difficult to treat. Keloids tend to be wide, large, and puffy and occur after a surgery, cut or wound, or even piercing. As Dr. Buford explains, keloids grow outside of the boundaries of the scar and are technically tumors (tumors, by definition, are a growth in the skin and can be noncancerous). 

Keloids tend to be more common in people with darker skin (but any [skin tone](https://aedit.com/aedition/guide-to-fitzpatrick-skin-types) can develop them). “Although keloid scarring generally tends to happen in Asians and African Americans, we don’t fully know why it affects certain skin tones,” Dr. Doyle says. “It’s related to the whole inflammatory process and collagen being re-formed in those areas of injury.” For whatever reason, some people experience that inflammatory response a little more robustly than others, and, “particularly in those two populations, we see it more frequently,” she adds.

## **At-Home & In-Office Scar Treatments**
Scars don’t subscribe to a one-treatment-fixes-all method. Each class of scar responds differently to treatment, which is why picking the right procedure is important. To get the best result, Dr. Doyle recommends an in-person evaluation so your doctor can fully evaluate the size, color, and texture of the scar. Most scars can show improvement, even if that means taking a mix-and-match approach. “There’s no silver bullet or monotherapy that makes scars look perfect,” Dr. Buford cautions. “We can’t always remove a scar in its entirety, but we can take the red out, modulate the scar, and make it thinner.” 

Whether your scar is fresh or more mature, the [first rule of scar care](https://aedit.com/aedition/scar-minimizing-skincare-to-use-after-surgery) is to make sure to always protect it from the sun with [sunscreen](https://aedit.com/aedition/best-sunscreens-of-2021) to prevent discoloration and improve its appearance. From there, below are the most effective treatment options for each scar type:

### **1. Topical Scar Gels** 
- **Best For:** Scars that are less than six months old
- **The 411:** If a scar is newer, faint, and pretty small, you may be able to treat it with a cocktail of over-the-counter topical ingredients like [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare), [retinol](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare), and hydroquinone or a specifically formulated [scar cream](https://aedit.com/aedition/scar-minimizing-skincare-to-use-after-surgery), which contains a cocktail of effective ingredients.
- **Find It In:** [Avène Cicalfate+ Scar Gel](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.dermstore.com%2Fproduct_Cicalfate%2BScar%2BGel_85402.htm) & [Visha Skincare Advanced Correcting Serum](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.vishaskincare.com%2Fproducts%2Fadvanced-correcting-serum-with-illuminotex)

### **2. Silicone Gel Sheets** 
- **Best For:** Minimizing closed, raised surgical scars
- **The 411:** These specially designed self-adhesive sheets (they’re somewhat reminiscent of a mega bandage) work well for pretty much all types of scars. Not only do they act as an occlusive dressing (read: seals in moisture by creating a barrier), but they also regulate pressure on the scar. Dr. Beckman says that silicone gel sheets have an unexplained effect to keep both the scar and skin surfaces from becoming raised, unsightly, or painful.
- **Find It In:** [Embrace Scar Sheets](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.embracescartherapy.com%2Fshop-by-product) & [Aroamas Professional Silicone Scar Sheets](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.walmart.com%2Fip%2FAroamas-Professional-Silicone-Scar-Sheets-Soften-Flattens-Scars-Resulting-Surgery-Injury-Burns-Acne-C-section-more-Soft-Strips-3-1-57-8-Sheets-4-Mont%2F696436019)

### **3. Polyurethane Dressing**
- **Best For:** Hard, red, & raised scars
- **The 411:** A flexible, waterproof pad of sorts, “polyurethane dressings, while initially used for wound healing, have been shown in a [few smaller studies](https://pubmed.ncbi.nlm.nih.gov/19440173/) to positively impact the scar surface, improve the microcirculation and improve scar color, firmness, and thickness,” Dr. Weiser says. As she explains, polyurethane is “an alternate ingredient to silicone but behaves in the same way as an occlusive dressing.”

### **4. Steroid Injections**
- **Best For:** Keloids & thick, raised, itchy, or painful scars that are fully healed 
- **The 411:** Performed by your dermatologist or plastic surgeon, steroid injections use cortisone to take down scar thickness. Some even contain very small amounts of 5-fluorouracil (5-FU), a cancer drug that reduces fibroblast activity and, in turn, hinders the progression of scar tissue. There is the potential for the injection site to darken, but, when cortisone is injected into a keloid, Dr. Beckman says that the steroid softens and weakens the scar.

### **5. Hyaluronic Acid & Biostimulatory Fillers**
- **Best For:** Sunken & indented scars, like ice pick acne scars
- **The 411:** For the past few years, doctors have been [injecting fillers](https://aedit.com/procedure/acne-scar-treatment-dermal-fillers) like Juvéderm® and Belotero® Balance to treat scars. “Dermal fillers help add volume to level a sunken scar with the surrounding tissue,” Dr. Weiser says. Depending on the patient’s preference, “hyaluronic acid fillers can be used for immediate improvement or biostimulatory fillers can be used to stimulate collagen production around the scar like a scaffold,” she adds. Some doctors, like Dr. Buford, pair hyaluronic acid filler with platelet-rich plasma (PRP) to level up the scar and change the character of the overlying skin. Just like using filler in the face for aesthetic and anti-aging purposes, the results are not permanent and need to be repeated.

### **6. Neurotoxins**
- **Best For:** Surgical scars & scars that occur in a bony area
- **The 411:** One of the newer ways to correct scars is with [neurotoxin](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin) (think: Botox® or Dysport®), which can be injected into the scar to reduce muscle tension on scar tissue. “Using Botox® or other neuromodulators to reduce or eliminate muscle contraction in and around the scar has been shown to reduce hypertrophy and also to decrease fish-mouth or spread scars,” Dr. Weiser shares. Dr. Buford agrees. “Botox® is effective in a variety of scars,” he says. “When I place it in fresh scars all over the body, the scars tend to heal a little nicer.” But that doesn’t relegate the off-label use of Botox® just to body scars — it works on facial scars, too. “We know one thing that is consistent about scars is that they heal best under as little tension as possible,” he reiterates. “So, if you inject Botox®, you can relax the area to some degree. It’s a little trick, and it only works on certain areas.” 

### **7. Laser & Light Treatments** 
- **Best For:** Acne scars, keloids, raised or flat scars, red & discolored scars
- **The 411:** Light-based and [laser](https://aedit.com/procedure/acne-scar-treatment-laser-resurfacing) therapies stimulate new collagen to lessen the look of the scar. Light-based treatments, like [IPL](https://aedit.com/procedure/ipl) (intense pulsed light) and [BBL](https://aedit.com/aedition/benefits-of-bbl-hero-for-sun-damage-hair-removal) (broadband light), work well on scars on lighter skin. [Pulsed dye lasers](https://aedit.com/procedure/pulsed-dye-laser) (these target blood vessels in the skin) are best for reducing redness in scars, while [resurfacing lasers](https://aedit.com/aedition/guide-to-ablative-laser-skin-resurfacing) can soften the scar’s appearance and coloration. “These lasers involve the creation of controlled microscopic wounds in a specified percentage of the skin, which induces a wound healing response,” Dr. Weiser explains.

### **8. Microneedling**
- **Best For:** Superficial surgical & acne scars
- **The 411:** Perhaps the treatment du jour for unwanted scars, particularly acne scars, [microneedling](https://aedit.com/procedure/microneedling) (a.k.a. collagen induction therapy) creates microscopic wounds in the skin to stimulate new collagen that, in turn, smooths out the skin and the surrounding scar. It can also be [coupled with PRP](https://aedit.com/procedure/microneedling-with-prp) to further enhance the results. “Microneedling — especially with PRP — does work, and there are [studies](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4509584/) that show its efficacy,” Dr. Buford says.

### **9. Subcision** 
- **Best For:** Acne scars
- **The 411:** One of the most reliable ways to pull a deep scar out from under the skin and make it more flush with the surface is with [subcision](https://aedit.com/procedure/acne-scar-treatment-subcision). “This classic technique requires inserting a hypodermic needle into the skin directly beneath the scar to loosen and break the fibers that connect the scar to the tissue underneath it,” Dr. Weiser explains. “While this primarily helps to lift indented scars, it can also be helpful to release the collagen at the site of needle insertion to trigger a further healing response.”

### **10. Radiation Therapy**
- **Best For:** Stubborn keloids
- **The 411:** One of the more under-the-radar scar treatments is radiation therapy, which, [although promising](https://www.ncbi.nlm.nih.gov/books/NBK499973/), is strictly reserved for keloid improvement. “It’s used as a last resort for very challenging keloids,” Dr. Weiser says. If you are wondering how this therapy relates to cancer treatments, it is similar. “Radiation treatments entail the use of ionizing radiation — used for cancer/tumor treatment — usually externally applied to destroy existing collagen-producing cells and limit production of new ones,” she explains.

### **11. Scar Relaxation**
- **The 411:** Performed using a digital rotary tattoo machine to safely injure the skin and then repair it, this unique scar reduction method gives up to 80 percent improvement over six to 12 months and transforms almost every type of scar into soft, smooth skin. Scar expert Linda Dunn Carter, who invented [The DC Method](https://lindadunncarter.com/) over a decade ago, first abrades the skin down to the dermal layer to create new tissue while simultaneously forcing any dark pigment to purge. The tattoo machine breaks the bands of connective tissue that make up the scar to incite new, healthy tissue formation.

### **12. Scar Revision Surgery**
- **The 411:** Usually performed as the result of a poor surgical scar (think: [after a C-section](https://aedit.com/aedition/invasive-non-invasive-procedures-to-fix-appearance-of-c-section-scar)), surgical scar revision works best when a piece of the original scar is excised. But here’s the kicker: anytime you treat a scar with surgery, it will result in another scar — albeit a potentially thinner and flatter one. “Remember, the only way to erase a scar is to cut it out and replace it for another scar,” Dr. Bufford cautions. “But, sometimes, we can replace the old scar with a better-hidden one.”

## **The Takeaway**
Scarring is like a young child that you want to control but can’t. While scarless procedures sound promising, they’re far from reality, and you can’t do much to prevent occasional nicks and scratches. Fortunately, there are more treatment options to choose from than ever before for virtually every type of scar. 

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

They say that every scar tells a story, but not every story needs to be retold. Here’s everything you need to know about improving that stubborn scar — no matter the cause.

How To Treat Every Type Of Scar

Scar Wars: How To Treat Every Type Of Scar

jurien-huggins-hVEAsx1ZsGk-unsplash

*When should I start getting Botox®? Is it time to incorporate retinol into my skincare routine? What is a “mommy makeover”? How about a “daddy do-over”? Do I really need to, as the saying goes, sacrifice my butt for my face? Should I swap my temporary dermal fillers for something a bit more permanent?*

*When it comes to beauty and aesthetics, there is no such thing as one-size-fits-all. But there are some tried and true principles that will keep you looking and feeling your best. In this series, [Coming of Age](https://aedit.com/aedition/category/coming-of-age), The AEDITION answers your most pressing questions about the best treatments, procedures, and practices — from surgery and skincare to health and wellness and everything in between — to consider at any age.*

As men enter their forties, visible signs of aging creep in. Gray and/or thinning hair is common (hey, George Clooney proves there is nothing wrong with a little salt and pepper!), as are fine lines and wrinkles, skin laxity, and weight gain (to name a few). So, what’s the best way to address these newfound concerns? Top plastic surgeons and dermatologists share the best cosmetic procedures and treatments to help men in their forties look their best.

## **Turning Back the Clock**
Remember those shifts in your skin, hair, body that you started to see [in your late thirties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-for-men-in-30s)? Well, they further reveal themselves in this decade. Men in their forties experience changes in muscle mass, metabolism, elasticity, and hair density, while any stress- and [sun-induced damage](https://aedit.com/aedition/cosmetic-procedures-treatments-to-correct-sun-damage) you accumulated earlier in life makes its grand debut (think: hyperpigmentation, fine lines, and wrinkles).

Fortunately, more guys than ever are realizing that you don’t have to accept these changes as a fact of life. “With the increasing popularity of cosmetic procedures, more and more men are taking notice that preventative and restorative therapies are the key looking and feeling youthful,” says [Nima Naghshineh, MD](https://aedit.com/provider/nima-naghshineh-md-600), a board certified plastic and reconstructive surgeon in Pasadena, CA. 

It should come as no surprise that [body contouring](https://aedit.com/procedure/body-contouring-solutions) and [skin resurfacing](https://aedit.com/procedure/skin-resurfacing-solutions) are among the most popular. “Preventative measures, like body muscle toning and neuromodulators to soften expression lines are very popular, while restorative treatments for skin tightening and laser resurfacing for sun damage and texture correction are becoming increasingly utilized by men to help turn back — or at least pause — time,” he adds.

## **The Best Cosmetic Procedures for Men in Their 40s** 
From professional and at-home skincare to face and body contouring procedures, here are some of the best treatment options for men in their forties.

### **At-Home Skincare**
Before we dive into all the professional treatments that exist, we must reiterate the importance of a quality at-home skincare routine. As outlined in our [guide to men’s skincare in their forties](https://aedit.com/aedition/best-mens-skincare-routine-products-ingredients-for-40s), your daily regimen should include a cleanser, antioxidant serum, moisturizer, [sunscreen](https://aedit.com/aedition/best-lightweight-non-greasy-sunscreens-to-wear-indoors), and, now, a retinol or retinoid. 

Antioxidants (think: [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare) and [vitamin E](https://aedit.com/aedition/guide-to-topical-vitamin-e-in-skincare)) can help combat the effects of oxidative stress (i.e. free radicals from the sun that cause cellular and tissue damage), while a topical vitamin A derivative (in the form of a [retinol or retinoid](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare)) can increase cell turnover to improve tone and texture. About as close to a superhero ingredient as they come, be mindful of sensitization when beginning a retinol or retinoid routine. To prevent irritation, use only a pea-sized amount twice a week to start. As your skin begins to tolerate it, you can add additional nights. Remember, it’s meant to be a treatment, not a moisturizer.

### **Professional Skincare Treatments**
If you’ve been following this series, you know we’ve discussed the benefits of regular professional skincare treatments in the [twenties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-for-men-in-20s), [thirties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-for-men-in-30s), and, yes, now the forties. In fact, it’s less about radically altering your routine and more about augmenting it. The sweet spot for skin resurfacing? Quarterly [medium-depth chemical peels](https://aedit.com/procedure/medium-depth-chemical-peels), monthly [light peels](https://aedit.com/procedure/superficial-chemical-peels), and annual [ablative laser treatments](https://aedit.com/procedure/ablative-fractional-lasers), says [Jason Emer, MD](https://aedit.com/provider/jason-emer-md-722), a board certified cosmetic dermatologist in West Hollywood.

He recommends chemical peels to patients at every stage of life, but forty-something men can up the potency for more dramatic results. Depending on the person’s skin concerns, the [RevePeel Enlighten Rx Depigmentation System](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Femeragecosmetics.com%2Fproducts%2Fenlighten-peel) or a [TCA peel](https://aedit.com/procedure/tca-peel) can be used to improve skin tone and texture. 

When it comes to lasers, Dr. Emer says yearly sessions with a [CO2](https://aedit.com/procedure/ablative-co2-laser) or [erbium](https://aedit.com/procedure/ablative-erbium-laser) device is the key to preventing deeper wrinkles from taking hold, while coming in for Halo™ or Moxi treatments (with or without [BBL Hero®](https://aedit.com/aedition/benefits-of-bbl-hero-for-sun-damage-hair-removal)) every three to four months can regularly treat sun damage, pre-cancerous spots, and wrinkles. If someone has specific areas of wrinkling — like the under the eyes or around the mouth — the [Plasma Pen™](https://aedit.com/procedure/plasma-skin-resurfacing) or a spot treatment of a ProFractional™ laser can be added on to target them. Dr. Nima likes the Opus Plasma™, a micro-ablative fractional technology, to resurface and remove layers of sun damaged skin because it has less downtime. 

### **Injectables**
Injectable [neurotoxins](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin) (read: Botox®) and [dermal fillers](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers) can be a great way to rejuvenate the face sans surgery, but a patient’s previous treatment protocols will dictate how they are used. When it comes to Botox®, it will soften wrinkles at any age, but men that are experiencing sagging skin should tread carefully. “At some point, Botox® would be less effective — not as an injection but as a technique,” Dr. Emer explains. The reason? “You don't want somebody to have hooded eyebrows or heavy lids,” he says. Instead, patients with loose skin may instead consider surgery (more on that below!) for a longer-term solution.

In your forties, you will likely start to see a loss of volume in the midface, but it’s not just about plumping the skin up with filler. “When you talk to your doctor, you need to address sagging and tightening separately,” Dr. Emer cautions. “You don't use fillers to lift because fillers are not made to lift.” In fact, when filler is used to lift, the result tends to “look overdone,” he says. That’s not to say, however, that filler can’t serve a purpose. “[Filler is] made to enhance a feature, fill a line, and volumize areas,” Dr. Emer notes. As such, collagen-producing fillers, like Sculptra®, can be used to contour midface hollows, temples, along the jawline and chin, or to rejuvenate the hands. 

As an alternative to traditional dermal filler, [fat grafting](https://aedit.com/aedition/what-its-really-like-to-get-facial-fat-grafting) and fat-stimulating injectables, like [Renuva®](https://aedit.com/aedition/what-to-know-about-the-new-volumizing-injectable-renuva), are natural ways to restructure the face — not just fill it. “Instead of doing fillers over and over in areas where you might have low volume, like a cheek or a fold, this actually gets injected and the matrix proteins build overtime, creating new fat cells and new volume in that area,” Dr. Emer explains. 

### **Skin Tightening**
It’s time to talk [sagging and laxity](https://aedit.com/concern/facial-skin-laxity). To firm and tighten the skin, Dr. Emer recommends radiofrequency-based treatments like [Morpheus8](https://www.youtube.com/watch?v=gb2kOSFANQ0) (which combines [microneedling and radiofrequency](https://aedit.com/procedure/microneedling-with-radiofrequency)), Fractora (to minimize the appearance of superficial scars), and Forma. Because you are beginning to visibly see the breakdown in elasticity at this stage, you’ll actually see immediate results from these cosmetic treatments. “It contracts the tissue underneath, and you get new collagen production,” Dr. Emer notes.

For patients with advanced cases of sagging who aren’t ready to go under the knife, FaceTite may be the ideal solution. “It is a probe that goes under the skin to shrink wrap it,” Dr. Emer explains. “It does jawline, neck, and lower face defining.” As he explains, it can be used for people who don’t want a facelift or neck lift, or it can be paired with submental liposuction to refine the jawline. 

### **Facial Contouring**
By the time you reach your forties, surgical procedures may provide more dramatic and longer-lasting results. One of the first areas of the face to show advanced signs of aging is the eyes. “Men are noticing some hooding or extra skin on their upper eyelids and start enquiring about [upper lid blepharoplasty](https://aedit.com/procedure/upper-eyelid-blepharoplasty),” says [David Shafer, MD](https://aedit.com/provider/david-shafer-md-153), a New York City-based double board certified plastic and reconstructive surgeon. Additionally, brow lifts can help to rejuvenate [aging and tired eyes](https://aedit.com/concern/aging-and-tired-eyes).

Surgical procedures that enhance and contour the face, like [cheek implants](https://aedit.com/procedure/cheek-augmentation-with-implant) and [jaw implants](https://aedit.com/procedure/jaw-implant), can be considered if/when filler maintenance becomes too much. Annual or semiannual [thread lifts](https://aedit.com/procedure/thread-lift), meanwhile, continue to be a less invasive sculpting option. Dr. Emer likes to combine threading with Sculptra® and Morpheus8 for a multipronged, collagen-stimulating treatment that can reduce sagging and tighten the skin around the face and neck. 

If a double chin is getting in the way of your ideal neck and jawline, liposuction can remove the excess fat. “Submental fullness is also a growing concern for men in their forties, and neck liposuction offers a fast and permanent way to restore a defined jawline,” Dr. Shafer shares. 

### **Body Contouring**
“Men in their forties are definitely noticing their dad bod,” Dr. Shafer says. “While some embrace their new gut, many are coming into our office searching for options to reduce their love handles and abdominal bulges.” [Liposuction](https://aedit.com/aedition/high-definition-liposuction-techniques-for-body-contouring) is perhaps the most well-known way to remove excess fat, and he says the love handles, lower back, abdomen, and chest are popular treatment areas during this time. 

Speaking of the chest, Dr. Shafer also notes that it tends to be the decade men are ready to address [gynecomastia](https://aedit.com/aedition/guide-to-gynecomastia-man-boobs-male-breast-reduction) (a.k.a. male breasts). “Men are finally coming to terms with the fact that their [gynecomastia](https://aedit.com/procedure/male-breast-reduction) is not going away or they are seeing more chest fullness from weight gain and looking for surgical options to remove the chest fat,” he explains. 

But surgery isn’t the only solution. [CoolSculpting®](https://aedit.com/procedure/cool-sculpting) quite literally freezes away unwanted fat, while strengthening procedures like [Emsculpt®](https://aedit.com/aedition/why-everyone-is-talking-about-emsculpt) allow guys to build and improve muscle tone in a way that complements and maximizes their current fitness routine.

### **Hair Restoration**
Whether you’ve been experiencing [hair thinning](https://aedit.com/aedition/common-causes-of-hair-loss-balding-thinning-in-men) for years or it’s a more recent development, surgical and non-surgical hair restoration is quite common for men in their forties. Dr. Emer notes a surge in guys seeking [hairline lowering](https://aedit.com/procedure/forehead-reduction-solutions) and [hair transplant](https://aedit.com/procedure/surgical-hair-restoration-solutions) procedures (for both the scalp and eyebrows), and Dr. Shafer often recommends [platelet-rich plasma (PRP) injections](https://aedit.com/procedure/acell-and-prp-injections-for-hair-loss) as a first line of defense. In the latter, blood is drawn (likely from the arm), put in a centrifuge to concentrate the growth factors, and then injected into the desired area. Curious? Read more about [one patient’s experience](https://aedit.com/aedition/what-its-like-to-get-prp-injections-for-male-hair-loss) with PRP for hair loss. 

### **Penis Enhancement**
Last but not least, we’d be remiss not to mention [sexual wellness](https://aedit.com/concern/male-sexual-wellness). “No matter the age group, men are interested in their manhood,” Dr. Shafer says. He offers the so-called ‘SWAG’ (Shafer Width And Girth) [penile enhancement](https://www.shaferplasticsurgery.com/male-procedures-new-york-city/penis-enhancement/), which involves injecting a hyaluronic acid-based filler into the penile shaft and glans to increase penis girth and length. During a [P-Shot](https://aedit.com/aedition/p-shot-prp-penis-injections-erectile-dysfunction) treatment, meanwhile, PRP can be injected to the head and specific parts of the penile shaft to treat erectile dysfunction and generally improve sexual health.

## **The Takeaway**
Throughout your forties, you’ll likely notice changes to your skin (hi, wrinkles and sagging), hair (where has that hairline gone, anyway?), and body (your metabolism isn’t as quick as it used to be) that can be treated with an array of surgical and non-surgical aesthetic procedures. Consulting with a board certified dermatologist or plastic surgeon who [specializes in men](https://aedit.com/aedition/how-to-find-a-plastic-surgeon-who-specializes-in-cosmetic-procedures-for-men) will help you to develop the best treatment plan for your needs.

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

As men enter their forties, visible signs of aging creep in. From face and body contouring to hair restoration, top doctors share their treatment tips.

Best Plastic Surgery And Cosmetic Procedures For Men In Their 40s

Coming Of Age: The Best Procedures For Men To Consider In Their 40s

shutterstock 1982657501

You know the drill: You get a blemish. You deal with it. Its ghost (i.e. the [pigmentation](https://aedit.com/aedition/what-its-like-to-treat-hyperpigmentation-with-skincare-cosmetic-treatments) left in the pimple’s wake) then hangs around for an entire season of *Mare of Easttown*. What to do? Here, we talked to top dermatologists and a nurse practitioner to learn more about why these dark marks crop up after [acne](https://aedit.com/concern/acne) and how to address them in-office and at home.

## **What Causes Post-Acne Hyperpigmentation?** 
The pigmentation that occurs in the wake of acne is a form of post-inflammatory hyperpigmentation (PIH). PIH is the result of an overproduction of melanin or an irregular dispersion of pigment after cutaneous (read: skin) inflammation. “Hyperpigmentation develops after acne as the healing phase from the inflammation — redness and [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) — associated with the breakout,” says [Jessica Weiser MD](https://aedit.com/provider/jessica-weiser-md-34640), a board certified dermatologist in New York City. 

Not to be confused with [acne scarring](https://aedit.com/concern/acne-scars), PIH is a flat area of discoloration on the skin. The way it presents depends on your [skin tone](https://aedit.com/aedition/guide-to-fitzpatrick-skin-types). PIH can range in color from white, pink, and red to purple, brown, and black. As Dr. Weiser explains, persistent erythema (redness) is common in lighter complexions after acne, and pigment is more readily formed by medium and darker skin types. 

While it affects men and women the same, PIH tends to be more severe and long-lasting in skin of color. [Research shows](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2921758/#B6) a common cause of PIH for BIPOC is acne vulgaris. A [2002 study](https://pubmed.ncbi.nlm.nih.gov/11807471/) evaluating acne in skin of color found that 65.3 percent of African American, 52.7 percent of Hispanic, and 47.4 percent of Asian patients developed acne-induced PIH. 

## **How to Prevent Post-Acne Hyperpigmentation**
The best way to prevent post-acne hyperpigmentation, Dr. Weiser says, is to control and ‘turn off’ the inflammation as quickly as possible. That means, mindfully treating your acne breakouts while they are still active. You may be used to reaching for the nearest drying lotion, but anti-inflammatory actives may be the better bet to heal pimples. “Using topical treatments like [niacinamide](https://aedit.com/aedition/guide-to-topical-niacinamide-vitamin-b3-in-skincare), [azelaic acid](https://aedit.com/aedition/benefits-of-azelaic-acid-in-skincare), zinc supplements, or even a crushed aspirin tablet made into a paste can help reduce redness and swelling,” she explains. 

Most importantly, Dr. Weiser offers yet another reason to [not DIY your own extractions](https://aedit.com/aedition/dangers-of-diy-at-home-dermatology-beauty-treatments). Picking, squeezing, and/or traumatizing the lesion can worsen discoloration and lead to [textural scarring](https://aedit.com/procedure/acne-scar-solutions), she warns.

## **How to Treat Post-Acne Hyperpigmentation**
We know that even the best laid plans can go astray. So, if you’re left with lingering PIH after a breakout, you may be wondering what your options are to treat it. Depending on your preferences, in-office treatments, at-home skincare, or some combination of the two can help fade dark spots. Below are some of the best post-acne hyperpigmentation solutions.

### **In-Office Treatments** 
While most post-acne marks fade over time, treating them right after they occur with an energy-based device yields the best results, says [Paul Jarrod Frank, MD](https://www.instagram.com/drpauljarrodfrank/?hl=en), a board certified dermatologist in NYC. “For red marks, I often use a vascular laser, either the Vbeam® or the Excel® V+,” he shares. “For brown PIH, I like to use the Pico Genesis™ laser.”

At [Neinstein Plastic Surgery](https://neinsteinplasticsurgery.com/), Tara Garrick, NP, also opts for laser therapy. She is a fan of Lutronic Ultra™, a [non-ablative fractional laser](https://aedit.com/procedure/nonablative-fractional-lasers) that is safe for all skin tones with minimal downtime. “This laser uses thulium gas to create micro-channels in the skin on a cellular level,” she explains. “It gives clients dramatic results without the downtime or pain intensity that other lasers cause.”

When it comes to seeing results from these treatments, Dr. Weiser says patience is key. “Procedures in-office need to be done serially to improve hyperpigmentation,” she notes. Her go-tos include [microdermabrasion](https://aedit.com/procedure/diamond-tip-microdermabrasion), [chemical peels](https://aedit.com/aedition/guide-to-superficial-medium-deep-chemical-peels), and specific types of [laser therapy](https://aedit.com/aedition/best-laser-skin-hair-removal-treatments-for-darker-skin-tones) that “can brighten skin tone and even out pigmentation.” While there may not be instant gratification, encouraging skin turnover can expedite the healing process, she adds. 

### **At-Home Skincare** 
Skincare can be an effective complement to in-office treatments or a stand-alone solution for post-inflammatory hyperpigmentation. Dr. Frank says it’s important to choose active ingredients based on the color of the PIH. 

### For Pink or Red PIH
- Alpha Hydroxy Acids 
- Retinoids

### For Brown or Black PIH
- AHAs
- Arbutin
- Kojic Acid
- Hydroquinone

“For lighter skin types, these marks tend to be red and the best options are either [alpha hydroxy acids (AHAs)](https://aedit.com/aedition/guide-to-topical-alpha-hydroxy-acids-in-skincare) or [retinoids](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare),” Dr. Frank explains. For darker skin types, where the mark is more brown, he says AHAs, hydroquinone, kojic acid, arbutin, or a combination of these ingredients work best. 

No matter the color of the PIH, daily sun protection — in the form of [broad-spectrum sunscreen](https://aedit.com/aedition/best-sunscreens-of-2021) — is a non-negotiable to prevent it from darkening further, Dr. Weiser says. She recommends a skincare routine that features sunscreen and [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare) in the morning and glycolic acid, kojic acid, cysteamine, and similar actives in the evening to [gently exfoliate](https://aedit.com/aedition/best-at-home-chemical-peels-exfoliators) and brighten. Prescription options include “topical retinoids, like tretinoin (Retin-A), and hydroquinone,” she adds.

As for more over-the-counter products that get the job done, here are a few we’ve successfully tested for post-acne marks:

### **Renee Rouleau Post-Breakout Fading Gel**
![AEDIT-ReneeRouleau](//images.ctfassets.net/zw35sfestf1t/3XqsZ8uSVEURlk2ch94IEt/6b400a759b1b87dca3b98da4dc003f2c/AEDIT-ReneeRouleau.jpg)
As its name suggests, this serum from celebrity aesthetician Renée Rouleau is specifically formulated with exfoliating AHAs, anti-inflammatory green tea extract, and soothing sea whip extract to visibly lighten and fade marks left behind by cystic acne and blemishes. $42, [reneerouleau.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.reneerouleau.com%2Fcollections%2Fall%2Fproducts%2Fpost-breakout-fading-gel) 

### **Augustinus Bader The Essence**
![AEDIT-AugustinusBader](//images.ctfassets.net/zw35sfestf1t/4ZeoI61dmDZEPxIJCOzLpD/e965c99cfb661bbfc49a165838f93845/AEDIT-AugustinusBader.jpg)
Dr. Weiser is a fan of this multitasking fluid that combines the benefits of a gentle exfoliant, purifying toner, and hydrating essence because it marries hydroxy acids and healing botanical actives to “help tone and protect the skin.” $30, [augustinusbader.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Faugustinusbader.com%2Fus%2Fen%2Fthe-essence) 

### **Freeman Beauty Micro-Darts Pro Dark Spots**
![AEDIT-FreemanBeauty](//images.ctfassets.net/zw35sfestf1t/2A6Y3A85jPwKZ7MbLmhqad/900e570a83784f9a3a488b52b09aeefa/AEDIT-FreemanBeauty.jpg)
An overnight treatment that’s easy to use and easy on your wallet? Sign us up. Functioning like a [pimple patch](https://aedit.com/aedition/best-pimple-patches-to-treat-acne-breakouts-blemishes), these stickers target trouble spots with a potent dose of vitamin C and hyaluronic acid to minimize dark spots and moisturize skin. $6, [ulta.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.ulta.com%2Fp%2Ffreeman-micro-darts-pro-dark-spot-patches-pimprod2017043%3Fsku%3D2566471) 

### **Farmacy Honeymoon Glow**
![AEDIT-Farmacy](//images.ctfassets.net/zw35sfestf1t/6zrNflLOzCsLai2ZOlDy0M/c7a10a1ff2359303c57062c152d16fe9/AEDIT-Farmacy.jpg)
This nighttime serum treats active acne *and* fades PIH thanks to a clarifying and exfoliating blend of AHAs (lactic, glycolic, and citric to be exact), [beta hydroxy acids](https://aedit.com/aedition/guide-to-beta-hydroxy-acids-salicylic-acid-in-skincare) (from willow bark), and hibiscus extract that results in smoother, more even-toned skin. $58, [farmacybeauty.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.farmacybeauty.com%2Fproducts%2Fhoneymoon-glow) 

### **PFrank MD Vanishing Stick**
![AEDIT-PFrank](//images.ctfassets.net/zw35sfestf1t/1pLO3XhPOqTqdCmjabl6I2/5846d2ed4dd02cbd410a3f1e2c488be7/AEDIT-PFrank.jpg)
When treating patients with PIH, Dr. Frank often recommends his spot treatment, which is formulated with arbutin, lactic acid, kojic acid, and antioxidants (think: vitamin C and green tea) to brighten and protect the complexion. *visit* [pfrankmd.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fpfrankmd.com%2Fvanishing-stick%2F) *for more information* 

### **Volition Hibiscus Unspottable Correcting Oil**
![AEDIT-Volition](//images.ctfassets.net/zw35sfestf1t/5jcucYv2ridGGpVf4Qp4Bw/109a209ed101fde955b721411f8e7ceb/AEDIT-Volition.jpg)
This lightweight oil pulls double beauty duty — simultaneously moisturizing and addressing dark spots. Hibiscus oil contains naturally occurring malic and citric acids to gently exfoliate, while licorice root extract brightens and soothes stressed skin. $49, [sephora.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fvolition-beauty-hibiscus-unspottable-correcting-oil-P454374) 

### **SkinCeuticals Conditioning Toner**
![AEDIT-SkinCeuticals](//images.ctfassets.net/zw35sfestf1t/4yRVxwDYK2eprY3DXCYIyP/511ffc9df6154b5fcbb3da7633ece984/AEDIT-SkinCeuticals.jpg)
This multi-functional toner both treats and prevents PIH. Glycolic acid removes dead skin cells to reveal a brighter complexion; salicylic acid refines pores to prevent future breakouts; and eucalyptus oil ensures the skin is clean and calm. $34, [dermstore.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.dermstore.com%2Fproduct_Conditioning%2BToner_29858.htm) 

### **Wild Bae Beauty Illuminating Acerola Complex**
![AEDIT-WildBae](//images.ctfassets.net/zw35sfestf1t/5c7RAziIVMsAc0MfYOWL0y/45cab4f24cdf51fd441f06d91a4e2b6e/AEDIT-WildBae.jpg)
Considered a natural alternative to traditional vitamin A and C serums, this formula features acerola cherries, an under-the-radar skincare superfood that offer the brightening and protecting benefits of a high vitamin C content without the irritation. Oh, and it can be used A.M. and P.M. $100, [bymaryschook.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fbymaryschook.com%2Fproducts%2Fwild-bae%25E2%2584%25A2-illuminating-acerola-complex) 

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

The pimple may be gone, but now there’s a stubborn mark in its place. Here, top experts share the best ways to treat acne-induced post-inflammatory hyperpigmentation (PIH).

How To Treat Acne-Induced Post-Inflammatory Hyperpigmentation (PIH)

How To Treat Post-Inflammatory Hyperpigmentation Caused By Acne

AEDITION rejuvenators-min

Medical Aesthetics Collection | The AEDITION

hadis-safari-A7rkoSFjrG0-unsplash

The eyes are great communicators — able to evoke a range of emotions in the blink of, well, an eye. But what if the expression you’re presenting is not one you’re actually feeling? With age comes the loss of elasticity, and this may result in [droopy eyelids](https://aedit.com/aedition/guide-to-eyelid-ptosis-drooping), a lowered brow, and, for some, the appearance of fatigue or sternness. 

When age has taken its toll, a full eight hours of sleep isn’t enough, and/or you find your vision slightly strained, it may be time for surgical intervention. [Blepharoplasty](https://aedit.com/procedure/blepharoplasty-eyelid-surgery) (a.k.a. eyelid surgery or eyelid lift) and [browplasty](https://aedit.com/procedure/brow-lift-forehead-lift-browplasty) (a.k.a. brow lift or forehead lift) are both common treatment options for [aging and tired eyes](https://aedit.com/concern/aging-and-tired-eyes), but what happens when you combine the forces of these two upper face rejuvenators? We spoke with Minnesota-based double board certified facial plastic and reconstructive surgeon [Peter Hilger, MD](https://aedit.com/provider/peter-hilger-md-1608), to learn more about these procedures and why they’re even better when paired together. 

## **Blepharoplasty vs. Brow Lift**
Both [blepharoplasty](https://aedit.com/procedure/blepharoplasty-eyelid-surgery/cost) and [brow lift](https://aedit.com/procedure/brow-lift-forehead-lift-browplasty/cost) individually treat the upper third of the face to create a more taut, youthful appearance, but there’s more to these [eye rejuvenation solutions](https://aedit.com/procedure/eye-rejuvenation-solutions) than meets the eye. Here’s what you need to know: 

### **Blepharoplasty** 
Addressing the skin either above or below the lash lines, there are numerous types of blepharoplasty to treat an array of aesthetic and functional concerns (yes, this is one of the few cosmetic procedures that may be [covered by insurance](https://aedit.com/aedition/insurance-coverage-for-plastic-surgery-cosmetic-procedures)). An [upper eyelid blepharoplasty](https://aedit.com/procedure/upper-eyelid-blepharoplasty) specifically addresses sagging skin in the upper eye area, while a [lower eyelid blepharoplasty](https://aedit.com/procedure/lower-eyelid-blepharoplasty-transcutaneous-approach) can be used to treat under eye bags, excess skin, and more. For patients with a monolid who wish to add an eyelid crease, an [Asian blepharoplasty](https://aedit.com/procedure/asian-blepharoplasty) may be performed.

Regardless of the type, Dr. Hilger notes that blepharoplasty techniques have evolved over time to deliver more natural results. “In years past, upper and lower blepharoplasty focused on removing — by surgical excision — redundant skin that created hooding and an aged face,” he explains, adding that this often led to a gaunt or hollowed appearance. Today's approach is more comprehensive and “includes tightening the supportive structures of the eyelids, repositioning some of the lax skin to preserve youthful contours, excising excessive skin that can block vision, or repositioning bulging fat pads,” he shares. 

These below-the-brow procedures can, he says, “provide a smooth contour that starts at the lash line and continues across the eyelid-cheek junction.” Another benefit? The surgery also has the ability to “resurface the eyelid to reduce fine wrinkles that can not be corrected by skin excision,” Dr. Hilger notes. 

### **Brow Lift**
As its name suggests, a [brow lift](https://aedit.com/aedition/theres-more-to-a-brow-lift-than-meets-the-eye) lifts the brow. The primary impetus to undergo a brow lift is to correct the loss of elasticity that makes the forehead skin drape poorly. Done via small incisions hidden under the hairline, modern versions of the surgery create a natural lift as opposed to the ‘surprised’ appearance of brow lifts past. “A brow lift repositions the brow higher, which makes the eye aesthetic zone look larger, reduces wrinkles as the skin is tightened, and reduces some [eyelid hooding](https://aedit.com/concern/sagging-and-hooded-eyelids),” Dr. Hilger explains. It should be noted that the so-called ‘[chemical brow lift](https://aedit.com/procedure/chemical-brow-lift)’ performed with neurotoxins (read: Botox®) can provide a temporary (think: three to four month) lift, but surgery is the best bet for those looking for long-term correction. 

## **Benefits of Combining Blepharoplasty + Brow Lift**
As we’ve covered, maintaining [facial harmony](https://aedit.com/aedition/facial-harmony-in-aesthetic-medicine) is the main objective of any facial aesthetic treatment, and sometimes that means combining procedures for best results. So, how can this dynamic duo of blepharoplasty and brow lift be beneficial?

- **It’s Cost-Effective**: “Combining the procedures in one setting is more expensive than an isolated intervention, however, the cost is less than performing them individually,” Dr. Hilger explains. While he cautions that cost should not be the driving factor behind your decision, it will be more [budget-friendly](https://aedit.com/aedition/how-much-cosmetic-surgery-costs) than going back for a second procedure.  
- **It’s Time-Effective**: Surgery requires time for both the procedure and the recovery. According to Dr. Hilger, pairing the two together will take one to two hours and the [recovery process](https://aedit.com/aedition/preparing-for-a-smooth-recovery-from-plastic-surgery) will only be experienced once. 
- **It’s Less Painful**: Some level of [discomfort](https://aedit.com/aedition/how-much-plastic-surgery-really-hurts) is to be expected after surgery, but, as we mentioned, combining the healing processes will save you from dealing with two rounds of recovery. 
- **It Looks More Natural**: If both the brows and lids are heading south, correcting them at once may offer the most comprehensive result. “Addressing changes that span aesthetic zones provide a more natural result, as the transition from one aesthetic area to another is blended,” Dr. Hilger says.
- **It Cuts Down on Maintenance**: “The results are remarkably lasting and additional rejuvenation is rare for a decade,” Dr. Hilger shares. While the natural aging process will continue to be in play, the [lifespan of each procedure](https://aedit.com/aedition/how-long-do-cosmetic-surgery-plastic-surgery-results-last) is about 10 years.   

## **The Ideal Candidate for Blepharoplasty + Brow Lift** 
This paired approach is preferred for patients who want a “natural rejuvenation that focuses on harmony, more comprehensive correction, and a more sophisticated result,” Dr. Hilger says. “These combined procedures are ideal for patients who have aging changes that go beyond isolated lid laxity.” When searching for the [right provider](https://aedit.com/aedition/finding-the-right-plastic-surgeon-dermatologist-or-cosmetic-dentist), he recommends evaluating as many [before and after photos](https://aedit.com/aedition/importance-of-before-and-after-photos-in-plastic-surgery) as possible. “The results are best demonstrated with images rather than words, so study the before and after images attached,” he says. 

## **Recovering from Blepharoplasty + Brow Lift**
Post-op recovery of a combined blepharoplasty and brow lift will be similar to that of a solo eyelid or brow surgery. “After surgery, ice is your friend to reduce [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery),” Dr. Hilger says. [Sleeping](https://aedit.com/aedition/sleeping-better-after-cosmetic-surgery-aesthetic-procedures) must be done upright, and [physical mobility](https://aedit.com/aedition/when-to-start-exercising-again-after-cosmetic-surgery-procedures) (aside from light movement) may be limited for a few days. But, for those worried about the [length of recovery](https://aedit.com/aedition/how-long-does-it-takes-to-recover-from-cosmetic-surgery-procedures), Dr. Hilger says that “you will be back to your normal activities and social life in 10 to 14 days.” 

## **The Takeaway** 
When it comes to [eye rejuvenation](https://aedit.com/aedition/popularity-of-eyelid-surgery-cosmetic-eye-procedures-during-covid-19), many procedures can fit the bill, but, for those who are concerned about a lowered, droopy eyelid and sagging brow, pairing an upper eyelid blepharoplasty and brow lift may provide the most impactful result. “The combined approach is more comprehensive, provides greater visual field correction when lax skin blocks vision, provides more durable results, and generates a superior natural change,” Dr. Hilger concludes. Remember, genetics, lifestyle, and other external factors play a role in how your face ages, so be sure to consult with a [board certified plastic surgeon](https://aedit.com/aedition/medical-board-certification-in-plastic-surgery-cosmetic-dermatology) to ensure you receive the best treatment for your aesthetic concerns and goals.

Combining procedures is not only cost-effective but may achieve more natural and long-lasting results. If the concern is droopy lids, holistically looking at the eye and brow may offer the biggest benefit.

Combining Blepharoplasty And Brow Lift: Benefits, Candidates, Recovery

The Benefits Of Combining Blepharoplasty And Brow Lift

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 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. 