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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.

Aesthetics

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

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*Deciding to go under the knife or needle for any reason is, needless to say, a big decision. What’s the best way to make a big decision? Arm yourself with as much information as possible. In this series, [Ask AEDIT](https://aedit.com/aedition/category/ask-aedit), we break down the best questions to ask before choosing to undergo aesthetic treatments and procedures with expert insight from the providers that perform them.*

Wanting your pre-baby body back — after the triumphant wave of the miracle of childbirth subsides, of course — is an extremely relatable sentiment. In fact, the American Society of Plastic Surgeons (ASPS) [reports](https://www.plasticsurgery.org/documents/News/Statistics/2019/plastic-surgery-statistics-full-report-2019.pdf) that three out of the five most performed surgical procedures for women in 2019 — breast augmentation, liposuction, and tummy tuck — make up the crux of the so-called ‘[mommy makeover](https://aedit.com/concern/mommy-makeover).’ 

Despite its cute moniker, it is an intensive surgery that combines multiple procedures into one fell swoop operation. So, what procedures does a mommy makeover include, specifically? Well, that depends on who you ask. “There are a ton of variations to a mommy makeover,” says [David Sieber, MD](https://www.instagram.com/dr.davidsieber/?hl=en), a board certified plastic and reconstructive surgeon in San Francisco. “There’s a lot going on, and it’s serious in the fact that it’s a longer procedure because they’re having so much done at once.”

One thing all providers can agree on? There is a lot of room for interpretation. “A [mommy makeover](https://aedit.com/procedure/mommy-makeover-solutions) is a general term to describe a constellation of procedures, but most commonly addresses the patient’s abdomen and breasts,” says Manhattan-based double board certified plastic and reconstructive surgeon, [David Shafer, MD](https://aedit.com/provider/david-shafer-md-153), noting that a stomach’s lingering round appearance months after childbirth is due to the separation of the abdominal muscles ([diastasis recti](https://aedit.com/aedition/diastasis-recti-repair-abdominal-separation-post-pregnancy-weight-loss)) during pregnancy and can only be restored surgically.  

If a mommy makeover is on your radar now or sometime down the road, you likely have a lot of questions. Below, we are breaking down the most important #realtalk topics to ask yourself *and* your surgeon — from aligning on specific goals to the surgical and recovery plans, and everything in between.

### **1. Ask yourself: Do I know what a mommy makeover actually is?**
Before you can know if it’s the surgery you want, you need all the deets first. “For me, a mommy makeover usually consists of [liposuction](https://aedit.com/procedure/liposuction) — most commonly the abdomen and flanks — the [tummy tuck](https://aedit.com/procedure/abdominoplasty), and then some sort of breast surgery, which could mean augmentation or just a lift,” Dr. Sieber explains. The breast procedure could be a [breast lift](https://aedit.com/aedition/mastopexy-breast-lift-after-pregnancy-breastfeeding), [breast augmentation](https://aedit.com/procedure/breast-augmentation-solutions), [fat transfer](https://aedit.com/aedition/hybrid-breast-augmentation-with-implants-fat-transfer), [breast reduction](https://aedit.com/procedure/breast-reduction-and-revision-solutions), or some combination. “Basically, the breast surgery, whatever it is, restores loss of volume after having children and/or removing extra skin as a result of breastfeeding,” he says.

And then there are add-on procedures that are a little less common but can still be thrown into the mommy makeover mix. Those include [vaginal rejuvenation](https://aedit.com/procedure/vaginal-rejuvenation-solutions), [labiaplasty](https://aedit.com/procedure/labiaplasty), or even just additional areas for liposuction (think: the thighs or arms) and are all “pretty easy to add on at the same time,” Dr. Sieber shares.

### **2. Ask yourself: What are my ultimate goals?**
Your body goals and what you’d like your figure to resemble post-op after everything settles will determine your surgical plan. “The procedures depend on the patient’s anatomy and desired results,” Dr. Shafer explains. 

Take the breasts, for example. “If a patient has small breasts, an A or B cup, then often [breast implants](https://aedit.com/procedure/breast-augmentation-with-implants) are enough to improve the shape, size, and give a slight lift,” he says. But, if the breasts are drooping, “then a lift would be necessary.” For a patient seeking “larger and lifted breasts,” meanwhile, “a breast lift *and* implants are performed,” he adds. During your [consultation](https://aedit.com/aedition/questions-to-ask-your-doctor-during-plastic-surgery-consultation), be sure to share your ideal outcomes and then ask what results are reasonable for your body and lifestyle.

### **3. Ask your doctor: I had a C-section. Can I still get a mommy makeover?**
In a word: Absolutely. “A c-section scar is often a reason why patients want a tummy tuck,” Dr. Shafer says. “The [c-section scar](https://aedit.com/aedition/invasive-non-invasive-procedures-to-fix-appearance-of-c-section-scar) creates a point of adherence to the underlying tissue, which often leads to a shelf of loose tissue hanging over the skin.” One of the main reasons for this? No skin is removed during the c-section, so it leaves the stretched skin to sag. “When I perform a tummy tuck or an abdominoplasty, I remove the c-section scar and work to make the incision at or below the level of the c-section incision,” Dr. Shafer notes.    

### **4. Ask yourself: How much time do I have for recovery?**
Dr. Sieber does not mince words when it comes to getting real about recovering from a mommy makeover: “You’re going to be very, very uncomfortable.” Both surgeons say that recovery varies from person to person and is influenced by their age and overall health, but all patients should expect antibiotics and [narcotics](https://aedit.com/aedition/opioid-crisis-plastic-surgery-recovery-pain-management) to ensure that the pain — especially the first few days post-surgery — is tolerable. Dr. Sieber adds that patients “definitely need to plan for a mommy makeover” and will need a 24/7 support person. That person can be a partner, sibling, friend, or [professional caretaker](https://aedit.com/aedition/plastic-surgery-recovery-nursing-concierge) for the first two to three days post-surgery because “you really need to have someone there who can help take care of you.” 

Dr. Shafer has his patients wear [compression garments](https://aedit.com/aedition/benefits-of-compression-garments-after-cosmetic-surgery) for six to eight weeks and tells them to hold off on lifting children or heavy items for about six weeks as well in order to avoid engaging the core abdominal muscles while they’re healing. “Most of the [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) and [bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox) will resolve in the first few weeks,” he says. “Patients will start to feel like themselves again and get back to work and their regular activities, but still need to do incision care and dressing changes.” In the months following the surgery, Dr. Shafer recommends lasers and other in-office technologies for incision treatment and [scar reduction](https://aedit.com/aedition/minimizing-scars-after-surgery). 

While swelling subsides over the first few months, the sutures Dr. Sieber uses for a mommy makeover last up to six months before dissolving. “So, even though patients are feeling a little better, if they turn a certain way and feel a tug from the suture, they get zingers from the nerves,” he explains. “There are a lot of little annoying things that will randomly happen three to six months after surgery.”

### **5. Ask yourself: Am I planning to have more children?**
If you are looking to [maximize your experience](https://aedit.com/aedition/best-aesthetic-procedures-to-combine-to-maximize-appointments) under the knife, a mommy makeover surgery is the most time-, cost-, and recovery-effective for women who have no plans for future children, according to Dr. Sieber. Needless to say, surprises happen, so rest assured that a future pregnancy wouldn’t disqualify you as a candidate for a mommy makeover — it would just reverse the results as the abdomen re-expands and body changes.

### **6. Ask yourself: Am I still breastfeeding?**
“The usual rule of thumb is you want to be done breastfeeding for six months before doing any type of breast surgery,” Dr. Sieber shares. As he explains, you want all the milk glands to be done producing milk because, if you perform a breast surgery when the patient is still lactating, you could get milk in the wound. That “increases the risk of getting a bacterial contamination or other infections,” he cautions. If you’re super eager to get your pre-baby body back, a mommy makeover can be performed six to eight weeks after discontinuing breastfeeding, Dr. Shafer says.

### **7. Ask your doctor: Should I do all the procedures I want at once?**
Since a mommy makeover combines several procedures, it is generally one of the more [time-consuming aesthetic surgeries](https://aedit.com/aedition/best-surgical-and-non-surgical-cosmetic-procedures-to-combine). In fact, Dr. Sieber reserves his entire day when a mommy makeover is scheduled because they can take upwards of five hours. 

After he aligns with patients on the intense recovery, time in the OR is the next hurdle. “The question to ask is how long it’s going to take the surgeon to complete the procedure,” he explains. “Mommy makeovers can vary a lot, so it can be anywhere from four to seven hours.” Generally speaking, surgeons will only perform the procedures they know they can fit into a six-hour period to minimize risk. “One thing you definitely don’t want is a surgery longer than six or seven hours because the risk of complications gets higher,” Dr. Sieber cautions.

As a result, one surgery for several complicated procedures sometimes isn’t worth the gamble. Dr. Shafer says that it’s “not uncommon to stagger the procedures.” In such cases, a breast surgery may be performed first and then followed by the abdomen procedure six to 12 weeks later. Safety is, obviously, the number one priority and working with a [board certified provider](https://aedit.com/aedition/medical-board-certification-in-plastic-surgery-cosmetic-dermatology) who specializes in mommy makeover surgeries will help to ensure you receive the best treatment for your needs.

If you’re curious about a mommy makeover, start by asking yourself and your potential surgeon these crucial questions to evaluate how the procedure — from preparation to final result — translates into real life.

Mommy Makeover Surgery Questions: Procedures, Benefits, Recovery, Safety

7 Questions To Ask Before Booking A Mommy Makeover

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Call it the ‘[Zoom effect](https://aedit.com/aedition/aedit-survey-reveals-how-2020-altered-aesthetic-landscape)’: Many of us are spending more time than ever staring at our faces on videochat cameras each day, and, perhaps due to all those hours spent studying our own features, plastic surgery requests have skyrocketed. According to the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), 70 percent of facial plastic surgeons have seen an uptick in bookings during the pandemic. And patients are looking for more than just injectables — a [recent report](https://www.aafprs.org/Media/Press_Releases/PageTemplates/New%20Survey%20Results%20Announced%20Feb.%201,%202021.aspx) says that demand for surgical procedures, like facelifts, is on the rise. 

Once you’ve reserved that time on your surgeon’s table, you want to make it count. Choosing to undergo multiple procedures at once helps [minimize recovery time](https://aedit.com/aedition/best-aesthetic-procedures-to-combine-to-maximize-appointments), saves the (even slight) COVID-19 risk of visiting a doctor in-person again, and, maybe most importantly, maximizes the impact of the results. The tried-and-true rhytidectomy (read: [facelift](https://aedit.com/aedition/popularity-of-facelift-cosmetic-surgery-for-aging-sagging-neck)) is one such surgery that can greatly benefit from strategic pairings, and we spoke to top plastic surgeons about the procedures they most often combine with facelifts. 

## **Why Combine?**
“It’s important for patients to understand that facelifts alone do not address the perioral areas [around the mouth] and, in general, do not address nasolabial folds,” says [Charles Pierce, MD](https://www.normanrowemd.com/our-practice/dr-charles-pierce/), a double board certified plastic and reconstructive surgeon at [Rowe Plastic Surgery](https://www.normanrowemd.com/). To put it in layman's terms: A facelift isn’t a be-all, end-all solution for signs of aging around the face. This distinction highlights the utter importance of making sure you and your doctor have an honest conversation about desired results. 

If you’re hoping for tighter, more youthful-looking skin around the nose and mouth or have concerns about your upper face, you may be better suited for a combination procedure — and your doctor should walk you through the possibilities and projected results step by step. “One of the things I love most about plastic surgery is that I have the tools and the creativity to help patients on their journey to accomplish their goals,” 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 in New York City.

## **What to Combine with a Facelift** 
As we’ve learned, the best pairing for your facelift depends on your aesthetic goals, but there are some common surgical and non-surgical combos that address a wide array of cosmetic concerns. “Facelifts reposition tissues but do not replace volume lost with age, relax facial muscles, or resurface skin,” explains [Adam Schaffner, MD](https://aedit.com/provider/adam-schaffner-md-33), a triple board certified plastic and reconstructive surgeon in NYC. “It may be of benefit in some patients to combine a facelift with non-surgical or minimally invasive procedures.” 

Bring these suggestions to your own [consultation](https://aedit.com/aedition/questions-to-ask-your-doctor-during-plastic-surgery-consultation), so your surgeon can work with you individually to customize a combination tailored to your desired results.

### **1. Facelift + Blepharoplasty** 
[Blepharoplasty](https://aedit.com/procedure/upper-eyelid-blepharoplasty) (a.k.a. eyelid surgery or eyelid lift), is combined with facelift about 50 percent of the time in Dr. Shafer’s office. Because a facelift focuses on the lower and mid-face, patients with [aging or tired eyes](https://aedit.com/concern/aging-and-tired-eyes) may not see the results they desire in the upper portion of the face without additional intervention. The blepharoplasty procedure removes excess fat and sagging skin around the upper eyelids, lower lids, or both. In conjunction with a facelift, it creates the appearance of a [rejuvenated eye area](https://aedit.com/procedure/eye-rejuvenation-solutions) and overall refreshed look.

### **2. Facelift + Brow Lift**
Like a blepharoplasty, a [brow lift](https://aedit.com/aedition/theres-more-to-a-brow-lift-than-meets-the-eye) (a.k.a. forehead lift) can improve the appearance of the upper face. “Usually, the aging face isn’t just plagued by sagging, loose skin,” says [Lauren Chmielewski, MD](https://aedit.com/provider/lauren-chmielewski-md-143), a board certified plastic and reconstructive surgeon in NYC. To truly meet the patient’s needs, additional ‘lifts’ are needed, and a brow lift can tighten excess skin in the upper third of the face, restoring sagging brows and helping to get rid of the wavy lines on the forehead.

### **3. Facelift + Necklift**
Procedures that address the upper face aren’t the only add-ons. “Usually, when I’m treating the aging face, I concentrate on the face and neck,” Dr. Chmielewski says. A taut, youthful-looking face can look off atop a sagging neck. Since the neck often ages faster than the face, pairing a rhytidectomy (facelift) with a [lower rhytidectomy (neck lift)](https://aedit.com/procedure/neck-lift-lower-rhytidectomy) can address any discrepancies in one fell swoop. Performed alone or in conjunction with a facelift, a [neck lift](https://aedit.com/aedition/mini-neck-lift-procedure-results-side-effects) tightens and eliminates the excess skin, fat, and/or banding that often forms as we age.

### **4. Facelift + Chin Implant**
We’ve already covered the benefits of [combining chin augmentation and rhinoplasty](https://aedit.com/aedition/combining-rhinoplasty-and-chin-augmentation), but [enhancing the chin](https://aedit.com/aedition/best-chin-augmentation-enhancement-procedures) can improve facelift results, too. Dr. Shafer says it helps to “strengthen the chin projection,” which improves the balance and harmony of the entire face. While filler and fat grafting (more on that below) can also be used to augment the chin and jawline, a [chin implant](https://aedit.com/procedure/alloplastic-chin-implant) involves placing a synthetic implant on or around the chin to alter the shape of the face.

### **5. Facelift + Fat Grafting**
“Fat transfer or using injectable fillers, such as Restylane®, Juvéderm®, or RHA® products, will help to restore facial volume,” Dr. Schaffner shares. [Fat grafting](https://aedit.com/aedition/why-everyone-is-talking-about-fat-grafting) involves taking fat from one area of the body (i.e. a donor site) via liposuction and repurposing it elsewhere. The donor site is often the thighs or stomach (basically, anywhere you have [excess fat](https://aedit.com/concern/excess-fat)), and, once processed, the fat can be used to plump the cheeks, under eyes, lips, chin, hands, and even earlobes. Unlike synthetic fillers that are temporary, [fat grafting](https://aedit.com/aedition/comparing-dermal-fillers-vs-fat-grafting-for-facial-rejuvenation-contouring) is considered a permanent solution with no risk of rejection. With that said, the final results of fat grafting can take three to six months to reveal themselves. This is the length of time it takes for the graft to become established in its new location, and, during that period, the body re-absorbs a percentage of the fat (usually around 30 to 50 percent). 

### **6. Facelift + Neurotoxins**
Another injectable that can be paired with a facelift? [Neurotoxins](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin). “Using Botox®, Dysport®, Jeuveau®, or Xeomin® will help relax muscle causing facial wrinkles associated with repeated movements,” Dr. Schaffner says. These neuromodulators can be employed to treat the areas of the face not addressed by the facelift surgery — like horizontal forehead lines, glabellar lines (i.e. frown lines), crow’s feet around the eyes, and more.

### **7. Facelift + Lasers**
Sure, a facelift addresses the *shape* of the skin, but it can’t do anything about the *look* of it. Enter lasers treatments. “Lasers can be used to help resurface the skin to reduce wrinkles,” Dr. Schaffner explains. There are many types of lasers, but, for patients with the right [skin tone](https://aedit.com/aedition/best-laser-skin-hair-removal-treatments-for-darker-skin-tones), ablative devices can resurface the skin, diminish dark spots, minimize the appearance of scars, and promote collagen production. “Because there is some downtime after a facelift, getting an [ablative laser treatment](https://aedit.com/aedition/guide-to-ablative-laser-skin-resurfacing) at the time of your facelift is a great way to refresh your skin as well,” Dr. Pierce says. 

### **8. Facelift + TCA Peel**
If you're looking for another way to address the tone and texture of the skin, a chemical peel may be it. Short for trichloroacetic acid, a [TCA peel](https://aedit.com/procedure/tca-peel) is a medium-to-deep intensity chemical peel that addresses fine lines and wrinkles, hyperpigmentation, melasma spots, and skin texture. Dr. Shafer performs this non-invasive procedure in conjunction with facelift quite often — about 75 percent of the time. Like laser resurfacing, combining a chemical peel with a facelift allows you to make the most of your [downtime and recovery period](https://aedit.com/aedition/facelift-recovery-healing-process) and more holistically address the quality of the skin. 

The facelift is a classic for a reason, but, depending on your aesthetic goals, the surgery can benefit from strategic procedure pairings. Here, top plastic surgeons share their go-to combos.

Best Cosmetic Procedures To Combine With A Facelift

The 8 Best Procedures To Combine With A Facelift

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Even in a post-pandemic world, there is still an appetite for [combining different cosmetic procedures](https://aedit.com/aedition/best-aesthetic-procedures-to-combine-to-maximize-appointments) — when possible — in order to achieve optimal results and maximize downtime. One classic pairing that plastic surgeons often recommend due to the harmonious result it creates: [rhinoplasty](https://aedit.com/procedure/nose-shaping-solutions) and [chin augmentation](https://aedit.com/aedition/best-chin-augmentation-enhancement-procedures). Here, we break down the benefits and balance of the common combo.

## **The Benefits of Combining Rhinoplasty & Chin Augmentation** 
As we’ve covered, [facial harmony](https://aedit.com/aedition/facial-harmony-in-aesthetic-medicine) is about proportion, and changing the proportion of the nose can have an impact on the appearance of the chin. So, it should come as no surprise that it’s common to combine [nasal surgery](https://aedit.com/aedition/difference-between-septoplasty-rhinoplasty) with [chin enhancement](https://aedit.com/procedure/chin-enhancement-solutions) procedures — and some patients even tack on a few more things. “Very often, they’re also combined with a little submental liposuction to really define the jawline along its whole length,” says [Dara Liotta, MD](https://www.facialplasticsnyc.com/), a double board certified facial plastic and reconstructive surgeon in New York City. She calls this combination of [rhinoplasty](https://aedit.com/procedure/open-rhinoplasty), [chin implant](https://aedit.com/procedure/alloplastic-chin-implant), and submental liposuction a “profile makeover.” 

Pairing these procedures (in the right patient) helps balance the face and allows the results of the individual procedures to make the greatest impact, Dr. Liotta says. “Combining procedures to achieve a more ideal profile can actually help the results of rhinoplasty look more natural —  like your profile was meant to be like that,” she notes. 

Another benefit? [Minimizing cost and downtime](https://aedit.com/aedition/how-much-cosmetic-surgery-costs). “Combining procedures minimizes downtime and saves a bit of money because there’s one anesthesia and one recovery,” says [Jennifer Levine, MD](https://www.drjenniferlevine.com/), a double board certified facial plastic and reconstructive surgeon in NYC. “Who doesn’t like that?” In addition to the potential cost savings, you also can consolidate your healing time when you safely undergo [more than one procedure](https://aedit.com/aedition/best-surgical-and-non-surgical-cosmetic-procedures-to-combine) at the same time. “With a rhinoplasty, you will have a cast and sometimes stitches for six to seven days,” she explains. “The chin implant has a bandage and stitches for the same amount of time.” 

## **The Best Candidate for Rhinoplasty + Chin Augmentation** 
So, how do you determine if you are an ideal candidate to combine rhinoplasty and chin augmentation? “Someone who has a recessed chin and/or has poor definition in the neck area is a good candidate for these procedures,” says [Edward Kwak, MD](https://aedit.com/provider/edward-kwak-md-74), a double board certified facial plastic and reconstructive surgeon in NYC. “And a good candidate for rhinoplasty is someone who wants to change the [shape of their nose](https://aedit.com/concern/nose-shape), [improve breathing function](https://aedit.com/concern/breathing-issues), or both.”

In some cases, the contour of the chin may be creating an optical illusion of sorts. “Many times, patients may feel that their nose is too large, but really the nose looks bigger because the chin is too small,” Dr. Levine notes. Even so, people don’t always appreciate the [role of the chin](https://aedit.com/aedition/best-chin-augmentation-enhancement-procedures) in balancing the face. “Chin augmentation is often overlooked because most of us look more at the other parts of our face,” she adds, yet a [2010 study](https://pubmed.ncbi.nlm.nih.gov/20115968/) found that as many as 81 percent of patients may see the benefit of pairing rhinoplasty with chin augmentation. 

It should be noted, however, that some patients — specifically, those who have issues with their mandible or maxilla (i.e. jawbones) — may require more advanced treatment. “These patients would need a more extensive procedure for their lower face,” Dr. Levine cautions. Additionally, those with extensive dental concerns may not be a good candidate for these procedures. “If the teeth are not aligned well, it may indicate a bigger issue,” she says. 

## **Performing Rhinoplasty + Chin Augmentation Together**
When combining rhinoplasty, chin augmentation, and liposuction, it’s up to your surgeon to decide what order they will operate in. “I personally like to do the submental liposuction followed by the chin implant and then the rhinoplasty last,” Dr. Liotta says. By doing the nose last, patients can wake up from [anesthesia](https://aedit.com/aedition/everything-you-need-to-know-about-anesthesia) and start icing as soon as possible, which should help minimize [bruising and swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery). “I think it makes for a better, easier, recovery,” she explains.

If they are being performed at the same time, Dr. Levine also places the chin implant first. “It is considered a clean procedure, while the nose itself is less sterile,” she says. But, if the procedures are being performed at separate times, she usually schedules the rhinoplasty first. The reasoning? The nose is typically what bothers the patient the most.

## **Recovering from Rhinoplasty + Chin Augmentation**
Regardless of the procedure(s), Dr. Kwak always stresses the importance of preoperative and postoperative care with his patients. “It is very important to note that one’s final result is determined by this care — no strenuous activity, no touching of any incisions or casts, etc.,” he says. Recovering from any cosmetic surgery requires patience, but rhinoplasty, in particular, takes time. Dr. Kwak notes the healing journey for this pair takes approximately a year.

### **Recovering from Chin Augmentation**
Interestingly enough, Dr. Liotta finds that patients actually have a harder time recovering from the chin implant than the rhinoplasty. “I think people are used to seeing the black eyes and swelling of rhinoplasty recovery, and they’re prepared mentally to wait a full year for final results,” she explains. “But the recovery process after chin implant is much less publicized and written about, so I find that patients have a harder time with the small amount of swelling and tenderness that go along with it.” Feeling like your chin is “huge” after surgery is normal, Dr. Liotta says. The final results of chin implants and submental liposuction are seen around six months post-op. 

Dr. Levine has patients wear a stretchy chin strap and ice the area for the first 48 hours. After that window, the strap is removed. “Bruising is rare but possible, and there will be some generalized swelling in the area for at least a week,” she says. Sleeping with the head elevated for about two weeks is also recommended.

Additionally, chin augmentation patients may require a [soft foods or liquid diet](https://aedit.com/aedition/meal-plans-diet-before-after-cosmetic-surgery) for several days as they heal, as chewing can irritate the newly adjusted tissue and muscle, Dr. Kwak says. [Vigorous activity or exercise](https://aedit.com/aedition/when-to-start-exercising-again-after-cosmetic-surgery-procedures) is discouraged for the first few weeks, but it can soon be resumed — along with a normal work schedule — within about 10 to 14 days, he adds. “Remember that although your fabulous results may be visible right away, they can continue to improve for up to six weeks as your swelling gradually reduces,” he cautions. 

### **Recovering from Rhinoplasty**
Most patients who undergo rhinoplasty surgery (with or without chin augmentation) should be prepared to take two weeks off from work and daily activities. “The early stages of recovery are the most difficult, mostly due to swelling, which leaves you with a stuffy nose,” Dr. Kwak says. Once that step is over, most patients report recovery is easier and less painful than expected. 

You’ll have a small plastic cast on the nose and a few stitches under the nose for about a week. When the cast and stitches are removed, most people only have a tiny bit of residual black eye. “Black eyes fully resolve by around 10 days,” Dr. Liotta shares. Although it does take a full year to enjoy the final results of rhinoplasty, “you can return to normal activity without anyone knowing you did anything” after about a week and half, she says. 

With that said, be prepared to experience residual swelling for 12 months. Dr. Liotta tells patients to expect around 85 percent of the swelling to be gone in a month and 95 percent in six months. All the swelling is generally resolved by the one-year mark.

## **The Takeaway**
Whether your aesthetic concerns center around the shape and [size of your nose](https://aedit.com/concern/nose-size) or the [prominence of your chin](https://aedit.com/concern/chin-shape-and-size), evaluating the proportion of those two facial features before choosing to undergo a cosmetic procedure is important to ensure the most balanced outcome. For some patients, combining a rhinoplasty with a chin augmentation (think: permanent chin implant or [temporary filler](https://aedit.com/procedure/chin-augmentation-with-soft-tissue-fillers)) will be the best way to maximize your time, budget, and results.

Whether you’re concerned about the size of your nose or the prominence of your chin, evaluating those two features in tandem is the best way to ensure the most optimal result.

Combining Rhinoplasty And Chin Augmentation: Benefits, Candidates, Recovery

The Benefits Of Combining Rhinoplasty And Chin Augmentation

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Sewing needles date back some 60,000 years, but the history of needles in medicine can be traced to 1844, when the first hypodermic needle was created in Ireland. Biocompatible facial injectables, meanwhile, came to market in the 1960s and 1970s, but it took a few more decades for the technology to become what it is today. With the boom of medical aesthetics, it’s not just the tools that have seen innovation. The [techniques](https://aedit.com/aedition/aquagold-botox-microdosing-facial) in which they are administered has also evolved to offer a more comfortable experience that yields a subtle, natural-looking, and youthful result. 

[Dermal fillers](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers) address soft tissue loss, depressed scars, atrophy, or asymmetry, while [neuromodulators](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin), like Botox®, temporarily relax muscles to prevent wrinkles or reduce the appearance of them (they also have therapeutic indications to treat [excessive sweating](https://aedit.com/procedure/botox-for-hyperhidrosis), migraines, and even [jaw pain](https://aedit.com/aedition/botox-to-treat-tmj-disorders-and-jaw-slimming)). Many consider aesthetic providers akin to sculptors, molding and [shaping the face](https://aedit.com/aedition/how-to-reshape-your-face-with-filler-botox-injectables) with aesthetics *and* anatomy in mind. The structure of facial muscles and the location of blood vessels and nerves will determine where injectables are placed, how they are administered, and what kind of needle is used. 

Skilled with a syringe and instructed with a vision, their hands work to gently insert the injectable in ways that complement the facial structure. To further understand the process of injecting from a provider’s perspective, we spoke with the experts. 

## **Injectable Techniques** 
During the [consultation process](https://aedit.com/aedition/questions-to-ask-your-doctor-during-plastic-surgery-consultation) and facial assessment, “providers should discuss their method of injecting with their patient,” explains [Kian Karimi, MD](https://aedit.com/provider/kian-karimi-md-17458), a double board certified facial plastic reconstructive surgeon in Los Angeles. Those who are [needle-wary](https://aedit.com/aedition/guide-to-needles-used-for-cosmetic-injectables-botox-filler) can feel safe as their faces are marked for proper injection placement, as each requires the utmost precision. 

So, what goes on as the needle is inserted? Here are a few of the techniques used in aesthetic medicine: 

- **Multiple Injection**: Also known as serial puncture or ‘string of pearls,’ this technique is done through multiple injection sites to address specific areas of concern. In cases when a single droplet or a few are necessary to help create symmetry, the [single-injection technique](https://www.thieme-connect.de/products/ebooks/lookinside/10.1055/b-0034-64043#) is referred to as ‘depot.’ This has become the [preferred method](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4086532/) in the last few decades for neuromodulator injections, though it may create more bruising. “With depot, you can go down to the bone or tissue and do a bolus of filler,” explains [Jason Emer, MD](https://aedit.com/provider/jason-emer-md-722), a board certified dermatologist in West Hollywood.  
- **Linear Threading**: Also known as tunneling, linear threading works as the needle is inserted, withdrawing the injectable in one move. This method can be performed in two ways: retrograde and anterograde. With the retrograde technique, the injectable is withdrawn in droplet amounts as the injector removes the needle. With anterograde, the product is injected when the needle is inserted. Anterograde may be performed for [tear troughs](https://aedit.com/procedure/under-eye-filler) or the vermilion border because it allows the injector to better visualize the product tracking. Retrograde linear threading is used to [fill in deeper wrinkles](https://www.reviewofophthalmology.com/article/putting-injectable-facial-fillers-to-their-best-use) (think: the nasolabial folds and marionette lines) or to [plump the lips](https://aedit.com/procedure/lip-augmentation-solutions). 
- **Fanning**: Often done in the cheeks, this technique allows for more product to be distributed throughout the area. Referred to as fanning because the needle is only inserted once and then redirected to a different radial plane, Dr. Emer says this style decreases [bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox) risk due to limited injection sites. 
- **Cross-Hatching**: Done through a row of linear threads overlapped by another row aligned at an ‘X’ angle to create a slanted grid-like pattern, this technique allows for the injector to fill more product in the desired area. The multiple linear thread injections may be performed in specific areas, such as nasolabial folds or [cheeks](https://aedit.com/procedure/cheek-augmentation-with-fillers), to evenly distribute the product, though it may lead to more bruising. 
- **Grid**: Similar to cross-hatching, the grid technique is done through linear threads at a right angle to allow for more distribution of the [injectable](https://aedit.com/aedition/new-injectables-neurotoxins-fillers-for-face-body). 
- **Ferning**: Similar to linear threading and fanning, ferning is performed by inserting the needle and injecting the product while retracting it in a retrograde fashion. Then, along the thread, the needle is moved out to the sides imitating a fern leaf. 

## **So, Needle or Cannula?** 
Injectable technique depends on the facial landscape, patient's desires, and product used, Dr. Emer says, and there are [different tools](https://aedit.com/aedition/guide-to-needles-used-for-cosmetic-injectables-botox-filler) that have different benefits. Traditional needles provide more precise injection, while cannulas are favored for their decreased risk of bruising and swelling. “Ultimately, you should seek a skilled professional regardless of if they use needles or cannulas,” says [Lesley Rabach, MD](https://lmmedicalnyc.com/dr-lesley-rabach/), a double board certified facial plastic and reconstructive surgeon at LM Medical in NYC. 

### **Needle**
Allowing for more precision but also, often, more bruising, Dr. Karimi says needles are best used for deep temples, midline of the chin, hairline, and fine line injections. “In the temple, for example, you can inject with a needle safely deep on the bone of the temporal fossa,” he explains. Needles may also provide more precision, especially in depot injections. 

### **Cannula**
“The use of a cannula turns injecting into an art form – you become a sculptor,” Dr. Karimi explains. He notes that the tool itself is a longer, blunt-tipped version of a needle, which allows it to target more areas of treatment from a single insertion port. “I inform all of my patients of my use of the cannula almost exclusively and the benefits, such as minimal bruising, with them,” Dr. Rabach shares.

While she believes that cannulas are “inherently safer to be used for injectables,” they come with their own side effects. “The one downside is that it can sometimes cause more [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) temporarily that is self-limited, but patients would much prefer this than the potential of weeks of bruising,” she says. 

## **Interchanging Techniques & Needles**
With individual patient concerns come individual solutions, and, for many, their skin, gender, and age will play a role in the approach the injector takes. Providers will assess the patient and, in some cases, alter the tools, techniques, or even formulations used. “A cannula is safer in the superficial portion of the temple hollow,” Dr. Karimi explains. “I use a 25-gauge cannula and dilute the filler in a one to one dilution with 0.9 cc saline and 0.1 cc 2 percent lido.” This approach “minimizes the risk of a vascular occlusion” and helps to “avoid a puffy look in this area,” he adds.  

It should also be noted that certain treatment areas will require a multimodal approach, Dr. Emer notes. “Each technique has its pros and cons,” he says. “The average injector does a mix of depot and linear threads.” Dr. Rabach agrees, explaining that, in areas such as the cheeks, singular drops or depots will be needed. In such cases, “a needle is preferred,” she says. 

But, in the right cases, she maintains that “a cannula provides a nearly pain-free experience, significantly reduced chance of bruising, and precise placement of filler as opposed to a needle.” Experience, however, is key. “It is a highly technical approach that cannot be done by just anyone,” she cautions. 

## **The Takeaway** 
Like Rome, injectable skills and techniques are not built in a day. They require a medically astute injector who understands the anatomy of the face, the behavior of the injectable, and the needs of the patient. To deliver the best results in the most comfortable way, providers may use one of the various treatment methods in their arsenal. Before undergoing any aesthetic procedure, be sure to consult with a board certified doctor or surgeon who is [highly trained](https://aedit.com/aedition/finding-the-right-plastic-surgeon-dermatologist-or-cosmetic-dentist) in the procedure and methodolgy you are interested in.

Whether it’s a neurotoxin or dermal filler, facial injectables come in different forms and need to be administered accordingly. Here’s what you need to know.

Best Facial Injectable Techniques And Tools For Dermal Filler And Botox

A Guide To Facial Injectable Techniques And Needles

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Septoplasty and rhinoplasty are the two major ways to surgically alter one’s nose. And though the two sound similar and deal with the same basic territory, there are major differences in each procedure. A [rhinoplasty](https://aedit.com/procedure/rhinoplasty-nose-job) addresses cosmetic issues with the nose, such as bridge height, a bulbous or droopy nose tip, or nostril issues, explains [Edward Kwak, MD](https://aedit.com/provider/edward-kwak-md-74), a double board certified facial plastic and reconstructive surgeon in New York City. A [septoplasty](https://aedit.com/aedition/difference-between-cosmetic-rhinoplasty-vs-functional-rhinoplasty), meanwhile, corrects the nasal cartilage for improved breathing. 

In even simpler terms: “A septoplasty is considered a functional surgery because it makes your nose function better, while a rhinoplasty is considered a cosmetic surgery because it can make you look better,” says [Roxanne Grawe, MD](https://www.roxyplasticsurgery.com/), a board certified plastic and reconstructive surgeon at ROXY Plastic Surgery Center in Powell, Ohio. Though disparate, the two procedures are often performed at the same time, depending a patient's needs. 

Ahead, we’ll further explain the similarities and differences between rhinoplasty and septoplasty surgery.

## **What Is Rhinoplasty?**
The most well-known form of nasal surgery, rhinoplasty (a.k.a. nose job) is a surgical procedure that alters the external shape of the nose. Rhinoplasty is “always associated with external contour irregularities,” says [Lee Ann Klausner, MD](https://aedit.com/provider/lee-klausner-md-41), a double board certified facial plastic and reconstructive surgeon in NYC. An accident or breakage caused by trauma to the nose or simply aesthetic preference about how a patient wants their nose to look, may be cause for a rhinoplasty. There’s also a procedure known as a ‘[revision rhinoplasty](https://aedit.com/aedition/what-you-need-to-know-about-revision-rhinoplasty),’ which is a secondary surgery that corrects a previous, unsatisfactory attempt. Since rhinoplasty is a cosmetic procedure, it will most likely not be covered by health insurance.

### **Rhinoplasty Recovery & Results**
The outcome of a rhinoplasty will depend on your vision for a new nose, Dr. Grawe says. “A rhinoplasty can make your [tip more defined](https://aedit.com/concern/nose-shape), remove a [dorsal hump](https://aedit.com/concern/nose-bump), make your [nose smaller](https://aedit.com/concern/nose-size) or shorter or narrower or [tilted](https://aedit.com/concern/nose-angle) differently,” she says. “All your desires should be discussed with your surgeon ahead of time, so you are on the same page prior to surgery.”

On surgery day, you’ll likely be admitted for an outpatient procedure and be able to return home after surgery. The procedure often requires [general anesthesia](https://aedit.com/aedition/everything-you-need-to-know-about-anesthesia), Dr. Grawe notes. As she explains, there are two types of rhinoplasty — [closed rhinoplasty](https://aedit.com/procedure/closed-rhinoplasty), which “requires incisions only on the inside of the nose,” and [open rhinoplasty](https://aedit.com/procedure/open-rhinoplasty), which necessitates a small incision at the bottom of the nose. “The decision between the two has to do with your surgeon’s preference and what needs to be changed with the nose,” she says.

Depending on the goals of the procedure, the surgeon may break your nose, which will leave you with [bruises](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox) below the eyes after surgery. You’ll be sent home with a splint on the outside of your nose that will be removed about five to seven days later.

For six months after surgery, Dr. Kwak advises his patients to avoid strenuous activities, even vigorous nose blowing. You’ll also have to refrain from activities like [smoking](https://aedit.com/aedition/impact-of-cigarette-smoking-vaping-on-skin-hair-teeth-health) and drinking, wearing makeup, tannings, facials, [working out](https://aedit.com/aedition/when-to-start-exercising-again-after-cosmetic-surgery-procedures), and traveling until medically cleared. “Generally, patients look fantastic at the one-month mark (or earlier), although swelling and asymmetries are to be expected until approximately the one year mark,” he says. 

## **What Is Septoplasty?** 
In contrast to rhinoplasty (which can address any number of external nasal issues), septoplasty hones in on the central nasal cartilage — the portion of the nose that separates your nostrils. As Dr. Grawe explains, the septum is like the walls of the house, providing stability to your nose and also allowing for streamlined air movement through the nose. 

For those dealing with [breathing or functional concerns](https://aedit.com/concern/breathing-issues), “a septoplasty opens up airways for improved breathing,” Dr. Kwak says. “This helps patients who suffer from a long list of nasal problems, including nosebleeds, sinus infections, snoring, and migraines.” Since septoplasty is usually considered a medically necessary procedure (read: not cosmetic surgery), it may be [covered by insurance](https://aedit.com/aedition/insurance-coverage-for-plastic-surgery-cosmetic-procedures). 

### **Septoplasty Recovery & Results**
Like rhinoplasty, septoplasty is typically an outpatient procedure. During the surgery, “the cartilage in your nose will be straightened and supported with suture techniques and sometimes cartilage grafting,” Dr. Grawe explains. Depending on your specific needs, “you will have a small incision inside your nose or on the columella (the bottom of your nose),” she adds. Often, the surgeon will end the surgery by placing an internal nasal splint, which helps [decrease swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery). Many providers allow patients to go home the same day. 

After surgery, you can expect “very little” discomfort, Dr. Grawe shares, but there will likely be some swelling around the nose and cheeks. Your breathing should improve within two weeks of the procedure. Since septoplasty often involves straightening the septum, it may, in turn, straighten the nose itself. It should be noted that this is a side effect — not the goal — of this surgery.

## **Which Procedure Is Best for You?**
As with any reconstructive or cosmetic surgery, the most important factor in a successful procedure is proper communication with a [board certified](https://aedit.com/aedition/medical-board-certification-in-plastic-surgery-cosmetic-dermatology) provider. Once a surgeon understands your reasons for seeking nasal surgery and your goals for a modified nose, they can recommend the best course of action (or even share if non-surgical options, like [liquid rhinoplasty](https://aedit.com/procedure/liquid-rhinoplasty), could suit your needs). In the meantime, all you need to do to help decide which procedure — septoplasty or rhinoplasty — is right for you: take a deep breath.

Determining the right nasal surgery for you can come down to one question: Do you have trouble breathing?

Septoplasty vs. Rhinoplasty: What's The Difference?

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It’s estimated that around 20 percent of the population has some degree of needle phobia. Known medically as trypanophobia, fear of needles comes in different forms — ranging from a fear of the pointy object itself to anxiety around being injected. For people with trypanophobia, the prospect of getting [Botox®](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time) or [fillers](https://aedit.com/aedition/what-to-know-before-getting-lip-filler-for-the-first-time) or even considering a surgery that involves [intravenous (IV)](https://aedit.com/aedition/iv-nutrient-drip-therapy-for-skincare-wellness) medication can be overwhelming. But this doesn’t make the results of these procedures any less attractive, so finding ways to make the thought of treatment less stressful may be helpful. 

Uncertainty around what kind of needles are used, how [painful](https://aedit.com/aedition/how-much-plastic-surgery-really-hurts) a procedure will be, and what to expect during the injection process can all increase anxiety levels for any patient but especially for those with needle phobias. Here at AEDIT, we know that knowledge is power, and we’ve consulted with plastic surgeons and patients alike to better understand the different needles used in aesthetic medicine and how to manage fears.

## **Injectable Needles 101**
When you’re looking into having a cosmetic surgery or treatment, you will come across a lot of procedure-specific medical jargon. As it relates to needles, ‘injectables’ is an umbrella term that refers to procedures that inject a product into the skin or body (think: [neurotoxins](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin), [filler](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers), [Kybella®](https://aedit.com/procedure/kybella), [Qwo™](https://aedit.com/aedition/qwo-cellulite-injectable-treatment-fda-approved), etc.). “There are different types of needles used for cosmetic injectables, and there are different brands, too,” says [Kian Karimi, MD](https://aedit.com/provider/kian-karimi-md-17458), a double board certified facial plastic and reconstructive surgeon in Los Angeles. Below, a quick vocabulary lesson:  

- **Needle**: A hollow, slender, sharply pointed instrument used for injection.
- **Gauge**: A needle’s gauge refers to the size of its opening. The higher the gauge, the smaller the diameter.
- **Syringe**: The syringe is the plastic pump that is attached to a needle to perform an injection. In the case of dermal filler, syringes often come pre-filled and your practitioner will choose which gauge of needle to use depending on your specific needs.
- **Cannula**: A cannula is a thin, flexible tube that is inserted via needle to administer medication or product. When a cannula is placed, the needle used to insert it is removed.

As Dr. Karimi explains, injectables come with needles in an array of sizes (usually ranging from 27-gauge to 30-gauge), and he says some providers will further customize treatment. “Some injectors like to transfer filler into even smaller syringes with 31- or even 32-gauge needles,” he notes. “But it really comes down to the thickness of the filler to determine which needle would be most appropriate.”

Neuromodulators like Botox®, for example, can often be injected with some of the tiniest needles on the market (a 31- or 32-gauge), which minimizes discomfort. Thicker and more viscous fillers (think: Juvéderm® and Restylane®), meanwhile, may require a larger 30-gauge or 27-gauge needle. As such, dermal filler injections are generally considered to be a bit more uncomfortable than neurotoxins.

### **Needle Alternatives**
As defined above, cannulas can serve as an alternative to needles. “Using a microcannula is different from using a needle,” says Dr. Karimi, who specializes in using DermaSculpt microcannulas. “The difference between a needle and a microcannula is that only one poke is made through the skin with a needle, then the blunt-tip microcannula is used to artistically place the filler in different tissue layers.” 

He has been teaching microcannula use for some 10 years now and estimates he has educated thousands of providers. “Overall, there are many advantages to using the microcannula,” he notes. They include less [bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox) (a typical side effect of facial fillers) and less chance of injecting into a blood vessel, which can cause serious complications. “Although using a microcannula to inject fillers does not eliminate the risk of complication, it does decrease it to a very significant degree,” Dr. Karimi says. They also allow for a more “artistic” result, he adds.

## **Overcoming a Fear of Needles**
“Fear of needles is completely normal, although in some cases it can be quite extreme,” Dr. Karimi admits. To combat it, he and his team employ a variety of calming tactics — beginning the moment someone enters the practice — to make patients more comfortable. “We use great customer service, hearing the patient’s fears and anxieties, nice music, and friendly injectors,” Dr. Karimi shares. He’s also developed his own line of [CBD wellness](https://broadway.aedit.com/aedition/use-of-cbd-cannabinoids-products-in-wellness-fitness-recovery) products, [HealMD](https://www.healmd.us/), which he says has “significantly reduced anxiety in our patients before the procedure.”

Once it comes time for treatment, Dr. Karimi has a few go-to distraction techniques. “We often recommend patients not look at the needle or think about something else while the injections are being performed,” he says. What’s more? “We use distraction methods such as having an assistant tap the shoulder of our patients while the injections are being performed or other [vibration mechanisms](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time) that can help distract from the discomfort,” he adds.

In the case of more invasive procedures (think: combining filler with a [thread lift](https://aedit.com/procedure/thread-lift) or [laser treatment](https://aedit.com/aedition/guide-to-ablative-laser-skin-resurfacing)), minimal sedation may be offered. “When we are performing more significant combination therapies, we offer nitrous oxide gas inhalation during the procedure, which is a 50-50 mix of nitrous oxide and oxygen,” Dr. Karimi explains. “[It] can really help the patient get through the procedure without any lasting intoxicating effects as the gas wears off in just a few minutes.”

## **Patient Perspective**
Jessica conquered her needle phobia and now has regular appointments to top-off her fillers and Botox®. She tells us how [hypnotherapy](https://aedit.com/aedition/hypnotherapy-for-cosmetic-surgery-sedation-recovery-pain) and exposure therapy helped her to overcome her fear of needles and improved her life for the better.

<Dialogue>
  <Question party={The AEDITION}>
    When did your needle phobia start and how did it affect you?
  </Question>
  <Response party={Jessica}>
    It started when I was a pre-teen. I was having a series of medical tests and went from being a little uneasy about having needles near me — I mean, who isn’t?! —  to having severe panic attacks before having my blood drawn or having any other procedure that involved needles.
  </Response>
  <Question party={The AEDITION}>
    How did you overcome your fear?
  </Question>
  <Response party={Jessica}>
    My motivator for combatting my fear was my desire to become a nurse. Of course, I couldn’t be a nurse who was too scared of needles to be in the same room as anyone having an injection. So, I looked into my options and found an incredible therapist who, over a series of sessions, worked on finding the root of my phobia and practicing hypnosis to help me combat it. As I progressed, I went from being able to hold a needle to being able to give blood without feeling any more than some nerves just as anyone else would. As I’ve gotten older, the shift in my approach has also meant that I have been able to take full advantage of cosmetic injectables to keep my face looking nice and youthful.
  </Response>
  <Question party={The AEDITION}>
    Do you have any advice for anyone who is struggling with the same phobia?
  </Question>
  <Response party={Jessica}>
    For me, the most important step was facing the fact that I needed to do something about the problem. After that, being referred by a friend to a great therapist was nothing short of life-changing. Finding a therapist you connect with and who has experience treating phobias is important. I think having an end goal was key for me. If that end goal is [having your lips done](https://aedit.com/aedition/what-to-know-before-getting-lip-filler-for-the-first-time) or getting those frown lines seen to, then more power to you! Injectables are amazing, and I’m so glad I’m able to have them as a happy side effect of working to combat my phobia in the past.
  </Response>
</Dialogue>

## **The Takeaway**
It’s perfectly normal to feel some nerves prior to a cosmetic procedure, but, if you have a fear of needles, this can be exacerbated. Depending on your level of concern, methods ranging from meditation and therapy (talking and/or exposure) to even anxiety medication may be recommended to help manage your fears. Another tact? [Consult with your aesthetic provider](https://aedit.com/aedition/questions-to-ask-your-doctor-during-plastic-surgery-consultation) — they are often equipped with tips and tools to both educate and empower patients. “All in all, we assess each patient to see what level of anxiety they have about the procedure or procedures and discuss all the options with them,” Dr. Karimi shares.

About 20 percent of the population has some degree of needle phobia. Since knowledge is power, we’re breaking down the different needles used in aesthetic medicine and how to manage fears.

Guide To Needles And Cannulas Used For Cosmetic Injectables, Botox, Fillers

Needles 101: A Guide To The Tools Used For Cosmetic Injectables

shutterstock 569215900

Lip augmentation with dermal filler is consistently one of the top non-surgical aesthetic procedures performed each year, and not even [COVID-19 face coverings](https://aedit.com/aedition/aedit-survey-reveals-how-2020-altered-aesthetic-landscape) could dampen the enthusiasm for plusher pouts. At this point, you likely know someone who has tried lip filler, and social media is ripe with perfectly plump lips. But, if you are considering the injections for yourself, it’s important to remember that it is a real procedure with real risks that need to be taken seriously and considered carefully before going under the needle. 

To better understand what it’s like to get lip filler for the first time, we spoke to a first-time patient, fashion stylist Megan of [Belles&Rebelles](https://www.instagram.com/bellesnrebelles/?hl=en), and her provider, New York City-based board certified dermatologist [Dendy Engelman, MD](https://aedit.com/provider/dendy-engelman-md-312), about what to expect before, during, and after getting lip filler.

## **The Decision-Making Process**
Megan says she has been “super interested” in getting lip filler for a decade and went so far as to thoroughly research and book an appointment for treatment a few years ago before cancelling at the last minute because her fear of needles held her back. “I am mortified of needles,” she admits. “I am 35, and I don’t even have my ears pierced!” Another concern? “All of my friends who have lip filler told me it’s the most painful,” she says. “I don’t have a high pain tolerance and am afraid of needles, so they told me that lip filler is not the one to get.”

Even so, it’s the only aesthetic procedure she’s ever been interested in. “I am not really into beauty, to be honest,” Megan says. “I really don’t do anything other than wash with soap and water and I’ve had a facial like once in my life, but I’ve always considered lip filler.” 

Like so many lip filler patients, her interest in [pout plumping](https://aedit.com/concern/lip-size) stems from the way she views herself in photos. “Whenever I smile in pictures, I wish I had more of a top lip,” she explains. “My top lip kind of disappears.” Overall, she also thought she “could probably use a little more volume,” too.

With COVID-19 face coverings offering the opportunity to [conceal any post-procedure side effects](https://aedit.com/aedition/influence-of-covid-19-face-masks-on-medical-aesthetics-trends), Megan once again started to think about getting lip filler, and a client she was working with recommended Dr. Engelman. In January, she finally overcame her fear of needles and followed through on her decade-long dream of a fuller pout — and she’s thrilled with the result:

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/3isEs1LHgIKaGJ8GidpKNV/882281e093ed5ba60e4aa95137246cb3/BA-031121.png}>
  A look at Megan before (left) and immediately after (right) her lip filler procedure.
</CaptionImg>

## **First-Time Lip Filler Tips**
If you are reading this article, it’s probably because you are considering lip filler and have a whole host of questions. From finding the right provider and filler type for your needs to understanding how much it hurts and what the side effects may be, we’re breaking down the 10 most important things to know before getting lip filler for the first time.

### **1. Finding the Right Provider Is Key**
We’ve said it before and we’ll say it again: take great care in [finding the right provider](https://aedit.com/aedition/finding-the-right-plastic-surgeon-dermatologist-or-cosmetic-dentist). “Regardless of where you are going for fillers, it is very important to make sure you are going to a reputable physician,” Dr. Engelman cautions. “Make sure they are [board certified](https://aedit.com/aedition/medical-board-certification-in-plastic-surgery-cosmetic-dermatology), licensed, and trained.” While lip filler is often billed as a quick, minimally-invasive procedure, it requires expertise. “Without a clear understanding of facial anatomy, an untrained professional can inject into a blood vessel, damage a nerve, and potentially cause irreparable damage,” she explains. 

It’s also important that you feel comfortable with the provider’s bedside manner and body of work. “I would definitely say to go to the right person,” Megan says. “I remember Dr. Dendy saying that she doesn’t have a heavy hand. For someone like me who is new to it, I didn’t completely want to change my appearance.” 

If you don’t know how to [go about your search](https://aedit.com/aedition/how-i-found-my-surgeon-look-for-specialization), consider asking for referrals. “I work with an influencer who has been going to Dr. Dendy,” Megan shares, adding that she also looked at her [Instagram](https://www.instagram.com/drdendy/?hl=en) and recognized her from her appearances on the Today Show. “I trust her and really felt like she knew what she was doing,” she says. 

### **2. There are Different Types of Lip Filler**
Not all lip filler is the same. There are both [temporary](https://aedit.com/procedure/temporary-lip-fillers) and [permanent](https://aedit.com/procedure/permanent-lip-fillers) options, but temporary [hyaluronic acid (HA)](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler)-based injectable gel fillers are the most popular (yes, that’s the same HA found in your favorite hydrating skincare). Dr. Engelman likes the Juvéderm® suite of HA filler, which includes Juvéderm® Volbella XC and Juvéderm® Ultra XC. Both are approved by the United States Food and Drug Administration (FDA) for [lip augmentation](https://aedit.com/procedure/lip-augmentation-solutions) and the correction of perioral rhytids (a.k.a. perioral lines). Restylane® is another common hyaluronic acid filler that is FDA-approved for lips.

HA filler naturally degrades and is absorbed by the body over time (hence why it is a temporary treatment), but, in the case of complications or an unsatisfying result, the process can be sped up by hyaluronidase — a family of enzymes that catalyse the degradation of hyaluronic acid.

### **3. Lip Filler Can Look Natural**
What comes to mind when you think of lip filler? Is it the overfilled pouts that inhabit your social media feeds? Well, lip filler — particularly, hyaluronic acid-based ones — can provide very natural results that simply enhance what you already have. “I was surprised that it can be done naturally,” Megan admits. “I look at myself and it doesn’t even look like I got it done. They still look completely natural.”

Needless to say, being able to communicate your aesthetic goals is key. And while inspiration images may help guide the conversation, don’t expect your provider to be able to simply recreate Angelina Jolie’s pillowy pucker on your face. “I love when patients share with me what they are looking for or interested in. A visual is another tool for me to better understand how I can help my patients,” Dr. Engelman shares. “That said, my goal is to make someone the best version of themselves. So, if their ‘ideal’ isn’t fitting for their features, this needs to be discussed prior to injections.” 

### **4. Be Mindful of Vitamins & Supplements** 
You’re used to being asked about any medications you are taking on intake forms at the doctor’s office, but, in this era of wellness, you’re going to want to [disclose your vitamin and supplement routine](https://aedit.com/aedition/vitamins-supplements-to-avoid-before-cosmetic-surgery), too. Your provider will likely recommend laying off most supplements for a few days before your procedure, as taking them can increase the risk of bleeding and, therefore, bruising. “Avoid blood thinners, NSAIDS, vitamin E, fish oil, and alcohol in order to reduce the risk of prolonged swelling and/or bruising,” Dr. Engelman says. She also tells patients to “avoid facial or body massages for up to 48 hours” before lip filler injections.

### **5. It’s a Quick Procedure** 
You may have heard lip injections referred to as a ‘lunchtime procedure,’ and it does live up to the hype. In the case of first-time patients, you will likely start the appointment with a [short consultation](https://aedit.com/aedition/questions-to-ask-your-doctor-during-plastic-surgery-consultation) to discuss your medical history and goals. From there, [‘before’ photos](https://aedit.com/aedition/importance-of-before-and-after-photos-in-plastic-surgery) might be taken and numbing cream may be applied (more on that below!). “Injection can take as little as two minutes,” Dr. Engelman notes, though she treads carefully with patients who are nervous about the process. “I take breaks with clients that are uncomfortable with needles,” she says. 

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/2WJwl6NQ6JmeXTk55ol2kn/775f77ee7fabf2587157158db33dde3a/during-031121-edit.png}>
  Dr. Engelman injecting Megan's lower lip with Juvéderm®.
</CaptionImg>

Megan estimates that her appointment, which included a consultation, photos, and numbing, took less than an hour. Future touch ups could be done in as little as a half hour. “The process itself can be very quick,” Dr. Engelman says.

### **6. Lip Filler Doesn’t Hurt … Too Much**
Most fillers on the market today are pre-mixed with lidocaine to improve the comfort of the injection, and many providers also employ topical numbing cream to further take the edge off. That takes about 20 minutes to kick in, which, as we learned above, is the lengthiest part of the treatment. “Patients feel very little discomfort in the hands of a skilled injector,” Dr. Engelman shares.

Some providers also [employ a vibrator](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time) (yes, you read that correctly), which is believed to trick the sensory nerves surrounding the injection site into not knowing exactly where the needle is coming from. The result? Even less possibility for pain. Megan’s treatment didn’t include a pulsating tool, yet she still hardly felt a thing. “I was most surprised by how little it hurt,” she says. “I felt little pricks, but I was not in pain at all. ” 

### **7. Your Lips Will Probably Bruise** 
While Megan avoided any discomfort during the procedure, she did experience a very common side effect of lip injections: [bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox). “Bruising and swelling are both common post-treatment,” Dr. Engelman notes. “They usually last a few days.” Ice packs are typically employed immediately after treatment to offset the impact, and she says oral and topical arnica may also help reduce the chances of bruising.

Megan says she bruised on her top lip, and it resolved over the course of about five days. “The first couple of days, it was noticeable and then it started to fade,” she explains. “If you didn’t know me, you’d probably think it was a beauty mark.” And since face masks are still the accessory de rigueur, hardly anyone saw a thing. “I just wore a mask and didn’t tell anyone but my mom and close friends,” she says. “No one even noticed.” 

### **8. A Follow-Up Appointment May Be Needed**
The process of plumping your pout for the first time is often a gradual one. “I never want to over-treat a patient,” Dr. Engleman shares. “My personal philosophy — especially with those getting filler for the first time — is to start with a little filler and have my patients come back in a week or two if they need more to achieve their desired result.”

When we talked to Megan, she was anxious to get back into the office: “She offered me a two week check-in, and I am thinking I want more filler. I know it is a little aggressive considering I was mortified of getting anything done, but I want a little more so that it looks a little plumper.” She subsequently went back for her follow up and got a bit more filler.

### **9. Lip Filler Results Are Immediate But Temporary** 
If are familiar with [neurotoxin injections](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin) (i.e. Botox®, Dysport®, Jeuveau®, and Xeomin®), you know they require a bit of patience. Results can take anywhere from five to 14 days to fully reveal themselves. That is not the case with hyaluronic acid-based filler. “The results are immediate,” Dr. Engelman says. With that said, there is a brief recovery period. “The area will swell and settle within five to seven days,” she adds. 

If you are wondering how long you’ll be enjoying your new lip look, Dr. Engelman says Juvéderm® fillers last about nine to 12 months depending on the patient. Other brands of HA filler may need to be touched up more often (think: every six months), so be sure to ask your provider what you can expect. 

### **10. It’s an Investment**
Last but not least, we need to talk turkey on cost. Lip filler is not cheap. A lip augmentation procedure can cost between $500 and $2,000 dollars, depending on the type and amount of filler, the provider, and your location. In case it’s not clear, that is the cost of each treatment. If you want to maintain your results, you’ll need to budget in that [recurring cost](https://aedit.com/aedition/how-much-cosmetic-surgery-costs) every six to 12 months. As tempting as it may be to look for a discount, this is not the time to be a bargain hunter. Finding a trained provider with proven expertise is essential to avoid unnecessary risk.

## **The Takeaway**
So, what advice does Megan have for anyone considering getting lip filler for the first time? Do your homework. “I feel like I had researched and been thinking about it for so long that there wasn't anything I didn’t know,” she says. Her pre-injection lip care routine was pretty simple (think: Chapstick), but she did like to employ the occasional [lip plumper](https://aedit.com/aedition/how-to-apply-lipstick) to simulate the results of professional treatment. She’s still using those plumpers to further enhance her pout, and, in the future, she won’t hesitate to go under the needle again. “I am relieved; I am excited; I am happy,” she shares. “I am so glad I finally went through with it.”

From how much it hurts to how long it lasts, we spoke to a first-time patient and her provider about what to expect before, during, and after getting lip filler.

What To Know Before Getting Lip Filler For The First Time

10 Things To Know Before Getting Lip Filler For The First Time

angelica-echeverry-5KY5LP zc44-unsplash

My grandmother always used to say that you can tell a person’s real age by taking a good look at their neck. One of the most delicate areas of the body, [the neck has thinner skin](https://aedit.com/aedition/best-neck-creams-for-tech-neck-sagging-jowls) than the rest of the body, causing the area to reveal signs of aging earlier and quicker than the face. These changes in skin quality, often visible in our early to mid-thirties, are notoriously difficult to reverse without surgical intervention in the form of a [neck lift](https://aedit.com/concern/neck-and-jawline-definition) … and all of its baggage, including a three to four month healing period. 

So, when a ‘mini’ neck lift started gaining traction in doctors’ offices, it sounded incredible: a mini solution to a maxi problem. It’s said to be less invasive with a shorter recovery and fewer risks, yet it yields similar results to its more serious sister. But things that sound too good to be true often are, and many plastic surgeons are calling the ‘mini’ neck lift a misnomer.

## **What Is a ‘Mini’ Neck Lift?**
“The shortest answer I can give you is there really is no such thing as a mini neck lift, per se,” says [Adam Kolker, MD](https://www.drkolker.com/), a New York City-based board certified plastic surgeon. “You will not go to a plastic surgery textbook of any kind and find the chapter on mini neck lifts. It does not exist.” But that’s not to say there aren’t procedural stepping stones on your way to a full blown neck lift. “On the flip side, you can now establish a hierarchy — or a treatment ladder — that will address one, several, or all of the issues,” he notes. 

Moving from the lowest rungs of a ladder (i.e. the suite of non-surgical options to reverse signs of aging in the neck), Dr. Kolker explains that each step signifies a more invasive solution until reaching the pinnacle: a full, [traditional neck lift](https://aedit.com/procedure/direct-neck-lift). “Rather than calling it a mini neck lift, there are minimal access points or minimally invasive corrections for neck laxity,” he offers. 

## **The Pros and Cons of a Mini Neck Lift**
Considering this [sliding scale of neck procedures](https://aedit.com/aedition/8-ways-to-get-a-younger-looking-neck) that a mini neck lift could entail, we asked three renowned plastic surgeons to explain everything someone can expect with a ‘mini’ neck lift, from the goals to the limitations — and everything in between. 

### **1. It CAN’T be performed on everyone**
“With the neck in particular, you have to be very careful to do a complete history and physical examination,” says Dr. Kolker, who explains that the clinical examination will reveal key factors about a patient’s viability, including the elasticity or inelasticity of the skin, the amount of extra fat underneath the chin, and the visibility of the platysma muscle (i.e. the vertical band connecting the jaw to the collarbone that’s also visible when someone flexes their jaw). 

“It depends on the individual’s anatomy and desires and to choose the most minimally invasive approach that will satisfy their needs over the term they’re hoping to achieve the durability of the result,” he says. In some cases, the exam will reveal that an alternative procedure can satisfy their goals better. “Is everyone who is 40 to 45 years old with early signs of excess skin in the neck a candidate for a neck lift,” Dr. Kolker asks. “The answer is no — they don’t necessarily need to do that yet.”

### **2. The procedure CAN vary from patient to patient** 
“There’s kind of a spectrum of addressing the neck,” explains [Thuy-Van Tina Ho, MD](https://aedit.com/provider/thuyvan-ho-md-25248), a double board certified facial plastic and reconstructive surgeon who runs a private practice in Philadelphia. “It’s all about phrasing too, right? How I would define the mini neck lift could be very different than other surgeons out there.” 

For Dr. Ho, a mini neck lift is a “step down” from a neck lift. She defines it as a procedure where “less skin is elevated,” but the surgery specifics will vary from patient to patient. “One particular procedure never works for all people,” Dr. Kolker adds. “It’s got to be very uniquely tailored to the individual.” 

According to Dr. Ho, in a mini, the “muscle layer may not be addressed or a limited [platysmaplasty](https://aedit.com/procedure/platysmaplasty) may be pursued, just some simple suturing, but no major undermining,” in patients whose neck bands are showing some slack. A “limited SMAS suspension could be performed as well,” she says, depending upon the extent of sagging along the jawline. 

### **3. It CAN be effective for mild jowling and sagging skin**
Realistic expectations are crucial to any successful aesthetic surgery, and, with mini neck lifts in particular, all parties need to carefully align on what is a reasonable outcome. “You do achieve definitive results, but not as dramatic or drastic compared to a traditional neck lift,” Dr. Ho notes. “Patients who have mild neck issues and aging neck issues — like mild skin laxity or fullness in the chin or neck area or platysmal banding issues — could be a good candidate.”

But the procedure, however customizable, has its limits. “If someone has heavy or even moderate skin laxity, this isn’t the procedure for them,” she shares. “It’s not going to fix it.”

### **4. It CAN be done in tandem with other modalities** 
“None of these surgical procedures do anything for skin quality,” says NYC-based board certified plastic surgeon [Steven M. Levine, MD](https://www.stevenlevinemd.com/). But there are energy-based treatments that can support neck rejuvenation, particularly crepey-looking skin, which is notoriously difficult to neutralize. “I think there’s a role for general neck resurfacing and anything you can do to improve skin quality,” he says. [Fraxel®](https://aedit.com/aedition/guide-to-fraxel-laser-skin-resurfacing-treatments), [fractional ablative laser](https://aedit.com/procedure/ablative-fractional-lasers), [radiofrequency microneedling](https://aedit.com/procedure/microneedling-with-radiofrequency), and [chemical peels](https://aedit.com/aedition/guide-to-superficial-medium-deep-chemical-peels) can all “improve skin quality,” he adds.

### **5. It CAN’T tighten or fix fine lines or wrinkles on the neck**
“The crepiness and fine lines in the neck are probably the hardest things to manage,” Dr. Kolker says. So, while you can improve tone on the neck with a mini lift, the lack of collagen and elastin in that area means you “can’t really tighten that area up that much, unless you move to the more surgical end of the spectrum,” he explains. Even at the most aggressive end of the mini neck lift spectrum — which typically involves traditional liposuction or a [liposuction with radiofrequency assisted lipectomy (RFAL)](https://aedit.com/procedure/radiofrequency-assisted-liposuction) — is “not going to tremendously improve the quality of the skin if you’ve got a significant amount of excess,” he cautions, because the sagging skin is not removed.

### **6. It CAN have unpredictable results**
There’s no such thing as a sure thing, especially in plastic surgery. That rings even truer when there is not one codified, board-approved definition of what a mini neck lift entails and, thus, no established optimal outcome. “For the average woman, we’re talking about a tiny incision underneath the skin with radiofrequency and suction-assisted lipectomy, which is going to give you a small improvement,” Dr. Kolker explains. “Sometimes the improvement is as small as 10 or 15 percent. Sometimes it’s as much as 30 or 40 percent.”

An ideal candidate for a “limited incision procedure” (Dr. Kolker’s preferred term for the more serious end of the mini neck lift spectrum) is someone with good skin elasticity. With only small incisions under the chin and without removing any excess skin, the procedure’s success is entirely reliant upon the skin’s ability to bounce back, meaning that outcomes and results will vary based on how well skin constricts and reshapes during recovery. For this reason, such procedures are “appropriate only for very, very mild excess,” he warns. 

### **7. It CAN’T correct significant neck sagging**
Not sure if a small incision neck lift is right for you? According to Dr. Levine, it’s quite simple to determine. “If you have a lot of loose skin and poor skin elasticity, then you need a procedure that will also remove and tighten loose skin, which is a more traditional neck lift,” he says.

Deep neck contouring may also be necessary. “It addresses deep fat, which is a very different kind of fat than regular liposuction,” he says. He describes deep neck contouring as a limited incision procedure to remove the fat and glands beneath the platysma muscle in order to “create extra space in the neck for the neck skin to contract over and give a more chiseled jawline.” This procedure can be performed independently as a smaller-scale neck procedure or added onto a full neck lift or facelift.

### **8. It CAN include a chin implant**
Surprisingly, a [chin implant](https://aedit.com/aedition/best-chin-augmentation-enhancement-procedures) is on the medical list of neck enhancement procedures. “Sometimes people have neck laxity because they have a diminutive or underprojected chin,” Dr. Kolker shares. In these cases, “some combination of either suction or radiofrequency with a small chin implant has a very powerful effect on the neck skin because you’re using an implant to tighten the skin of the neck up by pulling that neck skin forward without making bigger incisions,” he explains. At the same time, you can also address excess fat. “By changing the architecture of the neck, you’re also improving the appearance of the neck and the jawline for a more contoured look,” he says.

### **9. Patients CAN age out of eligibility**
According to Dr. Levine, the restrictions for the more invasive end of minimal incision neck lift procedures — like superficial liposuction and deep neck contouring — are tied to the more advanced signs of aging. “The limitations of these liposuction procedures are based on how elastic someone’s skin is because you’re relying on contraction and the skin’s contractility,” he says. “The more elastic the skin is, the better result you’ll get.” As such, he says it’s generally a “great option” for someone in their [thirties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-to-consider-in-your-30s), [forties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-to-consider-in-your-40s), and even [fifties](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-to-consider-in-your-50s-60s-70s). “Some people can have great elasticity in their sixties,” he says. “But, as you get older, you have to evaluate based on the specific patient.”

### **10. Results CAN’T offset the effects of an unhealthy lifestyle**
“Once you hit the [recovery room](https://aedit.com/aedition/preparing-for-a-smooth-recovery-from-plastic-surgery), the aging process resumes that moment,” Dr. Kolker notes. “If people are predisposed to change or if their lifestyle predisposes them, like sun exposure or [smoking](https://aedit.com/aedition/impact-of-cigarette-smoking-vaping-on-skin-hair-teeth-health), then obviously you’re going to see a little bit less durability than someone who [eats clean](https://aedit.com/aedition/meal-plans-diet-before-after-cosmetic-surgery), is fit, and takes care of their skin and weight.” At the end of the day, he says any elective surgery is a “small piece of the puzzle” and healthy lifestyle choices are “the most important to make the results last longer.”

### **11. You CAN’T expect zero side effects**
The term ‘mini’ is often thought to imply less downtime and invasiveness, but don’t let the word fool you. “I’ve even heard it called a ‘weekend procedure,’ which is wrong,” Dr. Ho cautions. “It’s still a surgery and the risks are similar, if not the same, as a traditional neck lift.” To heal properly and correctly, “you need to take it seriously,” she adds. 

Although each patient’s recovery will look a bit different, Dr. Ho says that it’s safe to expect [bruising and swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) for the first few days post-op. In some cases, it can last for as long as two weeks. [Exercise](https://aedit.com/aedition/when-to-start-exercising-again-after-cosmetic-surgery-procedures) is also off limits for 14 days, and Dr. Ho gives her patients strict instructions for how and when to wear the post-op [compression garment](https://aedit.com/aedition/benefits-of-compression-garments-after-cosmetic-surgery). “These precautions are going to be the same, regardless of whether it’s a full or mini,” she says.

### **12. It CAN exacerbate other neck concerns**
A superficial liposuction — that is, the removal of fat that covers the platysma muscle bands — can successfully address a full-bodied neck in patients who are candidates, but it isn’t as simple as it sounds. “You have to be so careful with necks,” warns Dr. Levine, who recommends booking a neck procedure with a [board certified](https://aedit.com/aedition/medical-board-certification-in-plastic-surgery-cosmetic-dermatology) plastic surgeon who specializes in treating the face and neck. If superficial lipo isn’t carefully performed, there may be negative consequences down the road because “you’ve removed the layer of fat that camouflages the platysma muscle, and the visible bands are what people don’t like” he says. 

So, while you’ve addressed one concern, you may have exacerbated another. “As we age, we lose fat in the neck and the platysma becomes more obvious,” he notes. “You’ve improved the neck contour at the expense of making the neck bands more visible.” 

### **13. It CAN’T provide long-lasting results**
For neck procedures that remove fat via superficial liposuction, RFAL, or deep neck contouring, Dr. Kolker says a patient can expect the results to last somewhere in the neighborhood of five to 10 years, depending on lifestyle factors — though the removal of the fat cells is permanent. 

Dr. Ho adds that many of her patients seeking a mini neck lift are looking for a smaller-scale solution, not the dramatic improvement or neck contour of a traditional neck lift. As such, the results are “definitely not going to last as long” as a full neck lift because it requires less surgical intervention, she says.

Here are the possibilities, limitations, and misconceptions you should know before booking a ‘mini’ neck lift, according to top plastic surgeons.

Mini Neck Lift: Procedure, Ideal Candidate, Results, Side Effects

The Truth About ‘Mini’ Neck Lifts

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Pardon the pun, but, right now, [the eyes have it](https://aedit.com/aedition/popularity-of-eyelid-surgery-cosmetic-eye-procedures-during-covid-19). Months (and months) of COVID-19-related masking has left many of us hyper focused on our eye area: *Should we [tint our lashes](http://home) at home?* *What about trying our hand at [falsies](https://aedit.com/aedition/false-eyelashes-mascara-for-thicker-fuller-lashes)?* *Brave [Botox®](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time) during the pandemic?* 

With more emphasis than ever on the expressiveness of our upper face — chiefly, the eyes — we figured it was time to examine a relatively common complaint that is not often discussed: eyelid ptosis (a.k.a. droopy eyelids). Here’s what you need to know about the condition and treatment options.

## **What Is Eyelid Ptosis?**
Eyelid ptosis (the ‘p’ is silent, friends), also known as blepharoptosis, is the medical term for a drooping eyelid. The condition can be caused by trauma, age, genetics, or various medical conditions, and there are two general classifications for ptosis:

1. Congenital ptosis (present at birth)
2. Acquired ptosis (developed later in life)  

Ptosis affects both men and women, and it may be present in one eyelid (unilateral) or both eyelids (bilateral). It’s estimated that somewhere between 10 and 20 percent of adults have some level of eyelid ptosis. While mild degrees of blepharoptosis may only have a cosmetic impact, more severe cases can be medically significant.

## **What Causes Eyelid Ptosis?**
We tend to take blinking for granted, but it’s actually a pretty complex marvel of physiology. Just so we’re seeing eye to eye (right?), let’s breeze through some orbital anatomy. The eyelids are composed of several muscles that are responsible for opening and closing the eye. The orbicularis oculi is the muscle that encircles the eye socket and controls the closing of the eyelids.

There are also two main muscles involved in raising and maintaining the position of the eyelids. The levator palpebrae superioris does the heavy lifting and the superior tarsal muscle provides an extra boost. Damage to either of these two muscles (or to the nerves that signal them) can lead to eyelid sagging.  

With that said, there are a host of factors that may contribute to blepharoptosis. In some cases, eyelid droop is simply the result of heavy, excess skin in the area (not impaired muscle function). Other times, it’s caused by conditions that can damage the delicate eyelid muscles:

- Genetics (researchers have found at least one gene so far)
- Age (muscles wear out as we get older)
- Eyelid tumors or cysts
- Eye injury
- Muscle disorders
- Nerve issues (including stroke and Horner’s syndrome)
- Cataract surgery (an estimated 4 to 12 percent of patients experience post-op ptosis)

And then there are the risk factors that are more lifestyle dependent. Turns out,  your mother was onto something when she told you to stop flipping up your eyelids (gross) because ‘someday they’ll stay like that.’ Eyelid ptosis is sometimes the result of:

- Contact lens use (primarily hard contacts)
- Eye rubbing
- Elective eye surgery (including LASIK)
- Neurotoxin injections (Botox®, Dysport®, Jeuveau®, Xeomin®)

If that last one got your attention, we’re here to explain…

### **Can Botox Cause Ptosis?**  
While the so-called ‘[Botox Brow Lift](https://aedit.com/procedure/chemical-brow-lift)’ has been making headlines recently, one of the most common side effects of neuromodulators is brow and eyelid ptosis. Visiting a highly experienced injector decreases your chances of this complication, but it's always a possibility. “Neuromodulators may cause temporary ptosis if they come in contact with the levator superioris palpebrae muscle,” says [Kian Karimi, MD](https://aedit.com/provider/kian-karimi-md-17458), a double board certified facial plastic and reconstructive surgeon in Los Angeles. “Some patients also complain of brow ptosis when the frontalis muscle (forehead) is treated with these injections.”

The good news? Neuromodulator-related ptosis generally wears off faster than the rest of your treatment. It usually resolves in three to four weeks.

## **How to Treat Eyelid Ptosis**
Sometimes ptosis is a symptom of something innocuous, like aging (*sigh*). But because blepharoptosis can be indicative of a serious condition like a stroke or a tumor, it’s smart to see your board certified ophthalmologist or plastic surgeon when you notice sagging. If left untreated, ptosis can cause:

- Vision disruption
- Amblyopia (a.k.a. lazy eye)
- Astigmatism 
- Neck problems (tilting the head to see causes tension)

Fortunately, eyelid ptosis is treatable, and your course of treatment will depend on the cause of your condition. In some cases, treating an underlying medical condition will resolve the ptosis. Otherwise, the most common eyelid ptosis treatments include:

- **Eyelid Exercises**: Dr. Karimi says that while special exercises may work in certain cases, results may not last.
- **Eye Crutch**: Also called a ‘ptosis crutch,’ this device is useful for treating temporary ptosis or for patients who aren’t candidates for surgery.
- **Surgery**: The most permanent solution, though it may not be appropriate in every case.

It should be noted that serious cases of blepharoptosis may qualify for [insurance coverage](https://aedit.com/aedition/insurance-coverage-for-plastic-surgery-cosmetic-procedures). “There are measurements that are taken to assess the degree of eyelid ptosis and tests to show if there is impairment of vision from eyelid ptosis and/or from redundant skin that can diminish peripheral vision,” Dr. Karimi explains. Once you’ve been diagnosed with eyelid ptosis, your provider will evaluate whether or not your case qualifies.

## **Eyelid Ptosis Surgery** 
Patients who have acquired ptosis unrelated to an underlying (and treatable) medical condition or those born with a droopy eyelid may be good candidates for surgical blepharoptosis repair. Eyelid ptosis surgery is typically performed as an outpatient procedure under local anesthesia. 

Depending on the severity of sagging and the provider’s preference, incisions may be made on the surface or the underside of the upper eyelid. “In general, milder cases can be treated with an [internal approach](https://aedit.com/procedure/eye-ptosis-surgery-internal-approach), whereas more significant or complex cases may require an [external approach](https://aedit.com/procedure/eye-ptosis-surgery-external-approach) with an outer incision,” Dr. Karimi says. The surgeon shortens (or reattaches, if necessary) the levator palpebrae superioris or the superior tarsal muscle based on the anatomy and needs of the patient.  

It’s common to incorporate eyelid ptosis repair into a larger set of facial rejuvenation procedures, particularly in older patients who’ve developed the condition with age. [Brow lift](https://aedit.com/aedition/guide-to-surgical-and-non-invasive-brow-lift-procedures) and [upper eye lift](https://aedit.com/procedure/upper-eyelid-blepharoplasty) (read: blepharoplasty) surgeries can often make the eyelids appear more elevated, but the simultaneous repair of true ptosis will yield the best aesthetic results.

Although every case is unique, Dr. Karimi says ptosis surgery typically has a one- to two-week recovery period, which is usually tolerated quite well. Eye drops and wound care are part of the recovery process, and [strenuous activity](https://aedit.com/aedition/when-to-start-exercising-again-after-cosmetic-surgery-procedures) is usually limited for two to three weeks. Risks include poor [scarring](https://aedit.com/aedition/minimizing-scars-after-surgery), asymmetry of the lids after correction, infection, and need for additional procedures.

## **A Prescription Ptosis Solution**
For patients seeking a non-invasive alternative, the United States Food and Drug Administration (FDA) approved [Upneeq®](https://www.upneeq.com/) — a once daily eye drop — for the treatment of acquired eyelid ptosis in July 2020. The solution, which includes oxymetazoline hydrochloride (the active ingredient in nasal decongestant spray), causes contraction of the levator muscle, raising the eyelid by about one to two millimeters. While he has yet to prescribe it, Dr. Karimi sees Upneeq® as a non-surgical treatment option, particularly for patients experiencing temporary ptosis from neuromodulators.

## **The Takeaway**
Eyelid ptosis is not always just an aesthetic concern, so it’s important to see your doctor if you notice eyelid drooping to rule out underlying medical conditions. Depending on the cause(s) and type of ptosis, your provider will advise on what treatment option(s) that are best for you.

With more emphasis on the eyes than ever, it’s time to examine a relatively common but seldom discussed eye concern: eyelid drooping.

Eyelid Ptosis: Droopy Eyelid Causes, Symptoms, Treatment

Everything You Need To Know About Eyelid Ptosis

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BBL HERO® doesn’t come with a cape, but some may argue it deserves one. The acronym stands for Broadband Light High Energy Rapid Output, and it’s the latest light treatment from Sciton. In keeping with the superhero theme, the technology is faster than a speeding bullet and stronger than your average [intense pulsed light (IPL)](https://aedit.com/procedure/ipl) treatment. Here’s what to know about this anti-aging, photo-correcting procedure.

## **What is BBL HERO?**
BBL HERO® is a new take on a tried-and-true favorite. The original BBL® treatment is a special type of IPL light treatment that uses dual-lamps to deliver visible and infrared light with quick-change smart filters that allow for quick switching between specific, targeted problems. It’s [been shown](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3547222/) to rejuvenate skin at a cellular level and can be used to treat brown spots, redness (including erythema from [rosacea](https://aedit.com/aedition/what-its-like-to-live-with-and-treat-rosacea) and [acne](https://aedit.com/aedition/how-to-treat-hormonal-acne-body-acne-cystic-acne-whiteheads-blackheads)), and skin laxity. Oh, and it’s also an option for permanent hair reduction.

The upgraded BBL HERO®, offered as part of both Forever Young™ + BBL and Forever Body™ treatments, does all of that with increased speed, shortened pulse width, high peak power, and twice the cooling capacity of the original to keep irritation away. As such, the manufacturer [claims](https://sciton.com/physicians/bbl/) you’ll see results faster (for example, you’ll enjoy improved skin tone and texture in a quarter of the time). Like its predecessor, it’s being marketed as a fix for age and sun spots, redness, discoloration, dullness, and unwanted hair. 

Much of the improvements can be credited to the duration of the pulses. For context, a typical machine may take up to one second apiece for a light flash. A BBL HERO® pulse can take as little as three milliseconds, which means you can get 1,200 to 1,500 pulses in a single face session versus 250 to 350 pulses with the original BBL®. 

## **How BBL HERO Works**
If you’re curious what this super speed means in practice, providers are most impressed with how the upgraded technology has improved treatment. “The technology allows practitioners to move the handpiece fluidly in a motion technique,” says [Julius Few, MD](https://www.fewinstitute.com/), a board certified plastic surgeon and founder of The Few Institute in Chicago. “It has made treating the face, hands, arms, legs, back, and chest a lot easier.” Previously, as he explains, providers needed to use a stamping technique in which the head of the laser or IPL nozzle is placed on each area with a pause for the light to flash before moving to the next spot.

Calling BBL HERO® a “very efficient laser,” [Ellen Marmur, MD](https://www.instagram.com/dr_ellen_marmur/?hl=en), a New York-based board certified dermatologist and founder of [MMSkincare](https://mmskincare.com/), says the treatment has been well-received in the wake of COVID-19 worries, as many patients want to [get in and out](https://aedit.com/aedition/best-aesthetic-procedures-to-combine-to-maximize-appointments) of the doctor’s office as quickly as possible. The upgraded technology allows for multiple passes of each treatment area and the changing of filters in between to address multiple skin concerns in a single visit. 

Dr. Marmur is also impressed with the uniformity of the results. “In the past, IPL or BBL® treatments of the face and especially on the chest, arms, or legs were tedious and could lead to patches of uneven skin because the handpiece had a limited ability to deliver a consistent amount of light energy quickly, even with perfect technique,” she explains. 

Another snag? It used to take multiple modalities to achieve the same result. “I used to have to combine the IPL or BBL® with [Clear + Brilliant®](https://aedit.com/procedure/clear-brilliant) or [Fraxel®](https://aedit.com/aedition/guide-to-fraxel-laser-skin-resurfacing-treatments) to get the best of both worlds, [meaning] removal of sun damage with an even finish in the fewest sessions,” she shares. She calls BBL HERO® a “game changer” for patients because it can treat “almost the entire body” quickly and evenly. In fact, it’s so fast, she quips, “we call it a car wash.”

## **Ideal Candidates for BBL HERO** 
BBL HERO® does include a wavelength option for [darker skin tones](https://aedit.com/aedition/best-laser-skin-hair-removal-treatments-for-darker-skin-tones), but it can be recommended for those at the light to medium end of the [Fitzpatrick scale](https://aedit.com/aedition/guide-to-fitzpatrick-skin-types). This is especially true for [hair removal](https://aedit.com/procedure/ipl-for-unwanted-hair) patients. A consultation with a board certified dermatologist or plastic surgeon will let you know if you are a candidate.  

## **What to Expect from a BBL HERO Treatment**
As with any IPL treatment, Dr. Few says what most patients feel is the flash of warmth that accompanies each pulse. While most people can tolerate it without [anesthetic numbing cream](https://aedit.com/aedition/everything-you-need-to-know-about-anesthesia), you can ask your doctor about it if you’re sensitive. As the light finds the melanin in your skin, “the pigment initially darkens, helping you know that you had an optimal treatment,” he explains. “Then, overtime, your body’s natural healing process will remove the pigmented cells, replacing them with fresh new undamaged cells.” 

While it’s considered a “no downtime” procedure, “treated skin may look and feel [sunburned](https://aedit.com/aedition/how-to-relieve-and-treat-sunburn) in the first few hours after treatment,” Dr. Few notes, adding that cool compresses and ibuprofen allow most patients to immediately go back to their regular routine. If you are treating blood vessels, he says to be on the lookout for [post-procedure bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox). And, regardless of the treatment area, you’ll want to be extra diligent with your [sunscreen](https://aedit.com/aedition/best-lightweight-non-greasy-sunscreens-to-wear-indoors) routine. “The skin will be sensitive to sunlight for two weeks after treatment,” he explains.

Overall, no matter where you have BBL HERO® done (chest, back, arms, legs, and/or face), you can expect skin improvements fairly quickly. “Patients have been extremely satisfied with their results,” Dr. Marmur says. “Imagine having 10 years of sun damage and brown spots gone after a few laser treatments.”

## **BBL HERO Cost & Results**
A comparative analysis from the brand suggests you can get the results you may have expected from five or more original BBL® treatments in one to three BBL HERO® treatments. Pricing varies by provider and treatment area, but the typical cost for a full face treatment is $600 to $800. 

Realistically, Dr. Few says you can expect a return visit or two. “While results can be seen after a single BBL® treatment, optimal results often require two to five treatments depending on the condition being treated,” he shares. “Our average with the new technology is two treatments spaced six to 12 weeks apart.” Dr. Marmur agrees. “Most people will need three to five treatments to get improvement,” she says. “One treatment is unlikely to completely fix the sun damage — it’s a journey!”

The latest addition to the IPL family is so fast, it’s being likened to a ‘car wash’ for your face.

BBL Hero: Treatment, Benefits, Cost, Results

BBL Hero: All About The Latest Light Therapy Treatment

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‘Keep your chin up.’ We've all heard the phrase, and, whether you realize it or not, the lower tip of your face actually plays a significant role in the harmony of all your other features. “Chin projection and shape are critical to facial attractiveness, as the chin is the foundational anchor of the face and enhancing projection brings the rest of your features into balance,” explains [Anne Chapas, MD](https://www.unionderm.com/doctors/dr-anne-chapas/), a board certified dermatologist and medical director of Union Square Laser Dermatology in New York. “Historically, the chin has been neglected by patients, but women and men are beginning to realize the significance of the chin as the most prominent element of the lower third of the face.”

Whatever your desired final aesthetic may be, there are both surgical and non-surgical treatment options to augment and define the chin. [Injectable fillers](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers), for example, can offer a subtle enhancement, while surgical procedures will provide a more augmentative – and permanent – solution. From implants and injectables to submental fat reduction, here’s what you need to know about the top chin-defining treatments.

## **Surgical Chin Augmentation**
“Choosing whether to have non-surgical or surgical chin enhancement depends on your facial features, the condition of your skin, and your medical history,” explains [Cheryl Karcher, MD](https://aedit.com/provider/cheryl-karcher-md-4323), a board certified dermatologist and medical director of Center Aesthetic Dermatology in NYC. As in most cases, surgical chin augmentation offers a more permanent solution than its minimally invasive counterparts. Surgical solutions include: 

### **Mentoplasty**
Mentoplasty (a.k.a. chin augmentation) is the process of surgically placing an implant into the lower half of the face to help it protrude, permanently. According to [Philip J. Miller, MD](https://gothamplasticsurgeryny.com/dr-philip-miller/), a double board certified facial plastic and reconstructive surgeon at Gotham Plastic Surgery in NYC, the surgery is “easy, quick, and done under [local anesthesia](https://aedit.com/aedition/everything-you-need-to-know-about-anesthesia).” During the procedure, which requires an incision to be made under the chin to place the implant, the patient may “feel some pressure.” The most common type of chin implant is an [alloplastic implant](https://aedit.com/procedure/alloplastic-chin-implant). It can be molded by the provider to create the necessary shape for each individual. 

To complement the definition created by the chin implant, Dr. Miller often recommends patients combine the procedure with [NeckTite™](https://aedit.com/procedure/radiofrequency-assisted-liposuction), a minimally invasive treatment that employs radiofrequency to remove excess submental fat and tighten the skin under the chin. While it will take about three months to fully enjoy the results of a chin implant surgery, any post-op swelling and bruising should resolve in about a week. 

### **Osseous Genioplasty**
For patients with a weak chin due to structural deformity, [osseous (or sliding) genioplasty](https://aedit.com/procedure/osseus-genioplasty-for-chin-deformity) may be needed. More complex than mentoplasty, the surgery involves incisions inside the lower lip to reach the mandible (read: lower jaw bone). The lower jaw is cut and repositioned, and screws and plates are inserted to reattach the jaw. Recovery is slower, with final results taking 12 to 18 months. To enhance the results of the osseous genioplasty, dermal filler (more on that below!), [fat transfer](https://aedit.com/aedition/comparing-dermal-fillers-vs-fat-grafting-for-facial-rejuvenation-contouring), and even rhinoplasty may be recommended. 

Due to the more invasive nature of this surgery, candidates usually have a bone structure deformity. “A candidate should be in overall good health and have realistic expectations,” Dr. Karcher says. “Usually, chin enhancement is considered cosmetic and not [covered by insurance](https://aedit.com/aedition/insurance-coverage-for-plastic-surgery-cosmetic-procedures). However, if there’s a structural defect, insurance may cover it.” 

### **Chin Implant Revision**
For those unhappy with the results of a previous chin augmentation, the implant can be removed — but it may require additional procedures. The [surgical correction of chin ptosis](https://aedit.com/procedure/surgical-correction-of-chin-ptosis) (read: drooping) as a result of aging, genetics, or implant removal can remove excess skin and tighten sagging tissue. The bone is not impacted. Performed under local anesthesia, the procedure has about seven to 10 days of [swelling and bruising](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery). Results are immediate, though recovery takes about a month.

## **Non-Surgical Chin Augmentation**
But surgery isn’t the only option for those looking to enhance the chin. Injectables like dermal filler and Kybella® can be used to slim, define, and augment the submental area, and the recent approval of [Restylane® Defyne](https://www.restylaneusa.com/restylane-defyne) by the United States Food and Drug Administration (FDA) for chin augmentation and the correction of mild to moderate chin retrusion has put a fresh focus on non-surgical chin enhancement solutions. 

### **Hyaluronic Acid-Based Filler**
In February, Restylane® Defyne became the first FDA-approved [chin filler](https://aedit.com/procedure/chin-augmentation-with-soft-tissue-fillers) to demonstrate results across a wide range of patients, including all skin types, male subjects, and subjects over the age of 52. “The studies have shown high satisfaction data, with more than 99 percent of patients and 100 percent of injectors reporting improved appearance of chin projection 12 weeks after treatment,” explains Dr. Chapas, who served as an investigator in clinical trials of Restylane® Defyne for the chin. What’s more? “Most patients had significantly improved chin projection (86 percent when asked at 12 weeks) for up to one year (74 percent at one year) compared to no treatment,” she adds.

As with most HA fillers, mild [swelling and bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox) may occur for about a week after a Restylane® Defyne injections, but Dr. Chapas has found that patients require “little to no downtime.” She tells patients to “avoid irritating or manipulating the treated area and refrain from exercise and alcohol for 24 hours following treatment.” Dr. Karcher notes that patients often like HA filler (of any kind) “because they can be reversed if there’s ever a problem.” Her picks? Restylane®, Juvéderm® Voluma, and Revanesse® Versa.

### **Semi-Permanent Filler**
For patients who aren’t interested in surgery but want more permanent definition, [collagen-building fillers](https://aedit.com/procedure/chin-augmentation-with-soft-tissue-fillers) can provide longer lasting results. Instead of simply adding volume, calcium hydroxylapatite (CaHA) fillers like Radiesse® and poly-L-lactic acid (PLLA) fillers like Sculptra® stimulate collagen production to naturally fill the treatment area even after the product breaks down. Unlike HA fillers, which are dissolvable with hyaluronidase, these CaHA and PLLA fillers are not reversible. 

Dr. Karcher recommends discussing your aesthetic goals with your provider to determine which filler is best for you. “The filler chosen for you would depend on your needs,” she says. “How much of the filler do you need? Have you ever had filler before? Do you want something permanent? Do you want something that can be reversed if you don’t like it? How long do you want the filler to last?” 

### **Kybella** 
If your concerns involve a double chin, there is another type of injectable to consider. [Kybella®](https://aedit.com/procedure/kybella) (a.k.a. deoxycholic acid) is an FDA-approved fat-burning injectable that reduces submental fat to slim the neck and enhance the profile of the face. You can use Kybella® to “dissolve the fat under the chin, therefore making the chin appear more pronounced,” Dr. Miller explains. The fat reduction caused by deoxycholic acid injections is permanent, though it takes about six weeks to see results. A series of treatments may be necessary for best results. 

## **The Takeaway**
Depending on your aesthetic goals, both temporary and permanent chin enhancement is possible to improve the protrusion and definition of the lower face. Because the chin plays such an important role in the overall [proportion of the face](https://aedit.com/aedition/plastic-surgery-results-are-about-proportion-not-perfection), complementary procedures may be recommended to maximize results. Consulting with a board certified dermatologist or plastic surgeon will ensure you receive the best treatment for your needs.

A well-defined chin is essential to balancing the face and new procedure options are making it easier than ever to achieve.

Chin Augmentation: The Best Surgical And Non-Surgical Procedures

Why Chin Enhancement Procedures Are On The Rise

AEDITION rejuvenators-min

Medical Aesthetics Collection | The AEDITION

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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. 