Image Credit: Huha | Unsplash

It’s stuck in your head (oh, oh, oh, Ozempic), it’s all over social media, and it’s all around you. Semaglutide treatments (a.k.a. Ozempic, Wegovy, Rebylsus) have taken the country by storm. [Oprah Winfrey, Amy Schumer, and Tracy Morgan](https://www.today.com/health/celebrities-on-ozempic-rcna129740) are just a few celebrities out of many who have jumped on the weight-loss drug bandwagon, but it’s not just for the rich and famous. Semaglutides are affording patients genuine results says [Dr. William Kennedy, MD,](https://aedit.com/provider/william-kennedy-md-26292), Board Certified Head and Neck Surgeon and Facial Plastic Surgeon. It is hard to overstate the positive effects semaglutides will have on the cosmetic as well as medical community with drastic improvemetns in both ones cosmetic appearance as well as cardiopulmonary health.   It seems like just about everyone in NYC is on some form of semaglutide, 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. But, what exactly are semaglutide treatments, and what’s available on the market today? For everything you could ever want to know about the crazed weight-loss drug, read on.

### **What is Semaglutide?**

While frequently used for weight loss, semaglutide is actually an antidiabetic medication commonly used to treat type 2 diabetes. The medication functions as a glucagon-like peptide-1 (GLP-1) receptor agonist. GLP-1 is a naturally occurring hormone that is responsible for several digestive functions, like triggering the release of insulin and sending satiety signals to the brain. When a GLP-1 agonist medication (either a semaglutide or tirzepatide) is taken, it mimics the hormone and triggers the same effects. So, a semaglutide will act the same way as a naturally-occurring GLP-1 hormone, signaling satiety and releasing insulin to signal the body to convert glucose (sugar) into energy. Because of that, semaglutide treatments work effectively to reduce appetite and, subsequently, food intake. 

“We are seeing a number of patients who simply can't shed that extra 10 to 15 pounds despite exercise and proper diet choices. In many cases, this program allows them to jump-start their weight loss and fine-tune the results they already have achieved,” says [Gregory Buford, MD](https://aedit.com/provider/gregory-buford-md-1015), a board-certified plastic and reconstructive surgeon in Lone Tree, CO. 

### **Risk Factors of Semaglutide**

When it comes to deciding whether or not semaglutide for weight loss is right for you, you’ll want to first look at your medical history. In addition to those with a history of heart disease, [William Bruno, MD,](https://aedit.com/provider/william-bruno-md-625) a board-certified plastic surgeon in Beverly Hill, says semaglutide treatments are not for patients with a history of pancreatitis or thyroid cancer, those who are pregnant, those who have suffered from or are currently managing an eating disorder, or those with a BMI under 27. 

That being said, [Jamie Gabel, PA-C,](https://www.myadvitam.com/provider/jamie-gabel-ms-pa-c) a certified physician assistant at New York’s Advitamin at the Shafer Clinic, says that because there are so many variables, the best way to determine if you would or wouldn't be a good candidate for GLP-1’s is through a consultation. 

“At Advitam, we always perform a comprehensive consultation and dig into our patient's health history and daily routine first. Our assessment also involves blood work, body composition analysis, and physical exam and then from there, we can better determine which medications/peptides would be most advantageous. It's not a cookie-cutter approach at Advitam, it's a customized well thought-out program,” says Jamie Gabel.

### **The Big Three: Ozempic, Wegovy, and Rybelsus**

When it comes to semaglutide treatments, there are three main players on the market. The most well-known are Ozempic and Wegovy. The drug for both is the same (semaglutide), but they are prescribed with different doses and indications. While these two brands are injectables, there is also a semaglutide treatment in tablet form under the name Rybelsus. 

In addition to these three brands, a lot of practitioners will also compound semaglutide to personalize the treatment. “Compounding,” as Dr. Buford explains, effectively means that a specific drug is "compounded" or created by a specialized compounding pharmacy to match the exact formulation of the original drug. In this case, Ozempic and other GLP-1s can be compounded. When they are compounded, then they are referred to not by their trade name (e.g. Ozempic, Wegovy, or Rybelsus) but instead by their generic name (e.g. Semaglutide). From there, Dr. Buford says other additives, like vitamins and salts, can be added to create additional desired effects. 

At Dr. Buford’s practice, he offers a compounded semaglutide called Slim Shot because he finds it to be a more comprehensive approach to weight loss. “We know that our patients are going to lose weight and we also know that there will be changes to not only their overall body appearance but also more specifically to their skin, hair, nails, etc. So we discuss these anticipated changes early on and design a plan to specifically and proactively address these potentially unwanted ancillary changes so that as the weight comes off, our patients still look great. This is a big difference in our program as compared to many others that just focus on weight loss and not the patient's overall appearance,” Dr. Buford says.

### **Considerations of Semaglutide for Weight Loss**

When it comes to weighing the options (see what we did there?), there are a few things to consider. First, is budget and insurance coverage. Technically, Ozempic and [Rybelsus haven’t received FDA clearance for weight management](https://www.fda.gov/news-events/press-announcements/fda-approves-first-oral-glp-1-treatment-type-2-diabetes); the two have only been approved for people with type 2 diabetes. Wegovy, on the other hand, has been [FDA-approved](https://www.fda.gov/news-events/press-announcements/fda-approves-new-drug-treatment-chronic-weight-management-first-2014) specifically for weight management. The FDA states that Wegovy is indicated for those with a BMI of 30 or greater or a BMI of 27 or greater if there are associated health problems, like high blood pressure, type 2 diabetes, or high cholesterol.

Unless you meet the requirements set by the FDA, your insurance will most likely not cover your semaglutide prescription. When using semaglutide specifically for weight loss, a lot of programs do not go through insurance. Instead, patients will have to pay out of pocket. Dr. Buford says that since many of his patients are not trying to lose a massive amount of weight and are not diabetic, their treatment wouldn’t be covered by insurance.

Another consideration is your lifestyle and preferences for medication. Ozempic and Wegovy are at-home self-injectables that you administer once a week. Rybelsus is available as a tablet to be taken orally, but it needs to be taken daily. Each brand has a different dosage, so some might work better for others.

As with any drug, there can be side effects when taking semaglutide medication. The most common side effects are nausea, diarrhea, vomiting, constipation, abdominal pain, headache, tiredness, upset stomach, dizziness, feeling bloated, belching, gas, stomach flu, and heartburn.

### **How Long Can Semaglutide be Taken?** 

Lastly, it’s important to discuss a long-term plan for your semaglutide treatment. Currently, there are no set guidelines for how long someone should be on a semaglutide, so it really depends on the individual. Dr. Shafer, for instance, shared that he has been on it for about a year and a half and has lost about 30 pounds. And, [Wegovy’s safety and efficacy trial](https://www.fda.gov/news-events/press-announcements/fda-approves-new-drug-treatment-chronic-weight-management-first-2014) was over a 68-week period.

“From a patient perspective, I have learned new eating habits with smaller meals and avoidance of doughy foods which tend to cause some discomfort. So, no more bread, pasta, french fries, etc. Even if I miss a dose, I have learned to avoid those foods which has helped sustain my weight loss,” Dr. Shafer tells us. 

When stopping semaglutide, [research](https://pubmed.ncbi.nlm.nih.gov/35441470/) has shown that many patients gain the weight back since they often revert to their former lifestyles. So, if starting a semaglutide treatment, be aware that you’ll most likely need to have ongoing treatment for maximized results.

### **Experts Predict Semaglutide Treatments for Weight Loss are Here to Stay**

**Dr. Shafer:** Semaglutides and related treatments are definitely a game changer in the weight loss and plastic surgery world. As more understanding and protocols are developed we will see expanded uses and safety profiles. We have seen tremendous growth in our metabolic center, Advitam, at Shafer Clinic. Patients are becoming more sophisticated and understand that beauty and health start at the metabolic level so treating from the inside out is just as important as the external treatments we are performing for them. 

**Dr. Buford:** The GLP-1s are here to stay and we have only seen the tip of the iceberg in terms of their benefits. My prediction is that this sector is going to be the next BOTOX. What started as a drug for diabetics and more massive weight loss is now being used by many centers like mine for not only isolated weight loss but also before and after body contouring surgeries to effectively get at fat that surgery just can't reach. In doing so, we are seeing even better results with this combinative approach and I foresee that the entire category of GLP-1's are going to grow in popularity over time and become a more common part of our approach to total body rejuvenation. 

**Dr. Bruno:** I do believe that this class of injections for weight loss, as well as other peptides, is here to stay and more options will be available to patients over the course of the next few years. There will also be more clinical data available to support their use.

**Dr. Kennedy:** The remarkable weight loss resulting from Semaglutides use has resulted in drastic improvements in people's appearance as well as in their overall health. Exciting adoption of the drugs happens seemingly daily with most recently the Centers for Medicare approving coverage of the drug for patients with elevated cardiac risk factors. Semaglutides are the real deal and are certainly here to stay.

### **The Bottom Line**

GLP-1’s, specifically semaglutide, have completely transformed the weight loss industry. With a daily tablet or a weekly injectable, patients have experienced life-changing results. Just keep in mind that even though these treatments are miracle workers, you’ll still have to maintain a similar lifestyle to keep the weight off! 


Expert Opinion

A Comprehensive Guide to Medical Weight Loss Drugs

 The Current Skinny on Semaglutides

A Comprehensive Guide to Semaglutide: The Current Skinny on the World's Favorite Weight Loss Drug 

Unsplash/Manny Moreno  - Bye Bye Cellulite, Hello Avéli 

Being a woman has a lot of benefits; on average, we [live longer](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7829786/) and have a [higher pain threshold](https://nypost.com/2019/01/11/women-have-a-higher-pain-threshold-than-men-study/) (sorry, boys). But, there are plenty of negatives associated with being female. There’s the obvious: childbirth; the unjust: the gender pay gap; and then there’s the ugly… cellulite. And, while we hate to even mention the C word, [nearly 90%](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10324940/) of us women experience it.

Even though cellulite is omnipresent, it’s been hidden and hushed about for years. But lately, celebs like [Demi Lovato, Olivia Munn, and Ashley Graham](https://people.com/health/celebrities-who-celebrate-stretch-marks-cellulite/) are showing off their natural bodies, cellulite and all. And, brands are also joining the body positivity movement to promote inclusion and acceptance of all body types and appearances. The topic has been so heavily discussed that sometimes the media makes us feel guilty if we don’t fully embrace our natural selves. But, even if we know cellulite is ubiquitous and a normal part of being a postpubertal woman, sometimes we just can’t (or don’t want to) accept it. That’s why doctors are excited about [Avéli®](https://aedit.com/procedure/avelir), one of the newest innovations in cellulite treatment, as a way to help restore their patients’ confidence. 

## **What is Cellulite?**
Cellulite is the dimpling or puckering that occurs around the thighs, buttocks, and hips. While it mostly affects women, about 10% of men suffer from cellulite too. While many find it unattractive, cellulite is completely harmless. It forms when fibrous bands of connective tissue (aka as the septa) contract, tethering the skin to the muscle and pushing the fat upward. Researchers are still trying to determine what causes cellulite, but it is commonly believed that hormones, skin elasticity, genetics, and weight distribution play a substantial role. 

## **There Hasn’t Been a Good Cellulite Treatment…Until Now** 
At times, it seems like plastic surgeons and dermatologists can do the impossible; they can smooth away fine lines and wrinkles, tighten trouble areas, or add volume when we need a little oomph. But, when it comes to cellulite, [professionals have been stumped](https://www.plasticsurgery.org/news/articles/why-is-cellulite-so-hard-to-address-and-what-are-my-options) for decades.

Doctors have approached cellulite correction a number of different ways over the years: microneedling (Cellfina), radiofrequency (VelaShape and Emtone), laser (Cellulaze), and injectables (QWO). But, none of these treatments come without flaws. Some have intense bruising, others require multiple sessions, and, overall, aren’t the most efficacious. 

“Previous strategies were riddled with incomplete releases or not targeting the root cause,” Dr. Hustak adds. “This coupled with bruising and downtime without results, left patients dissatisfied.” 

Enter Avéli®, a recently FDA-cleared cellulite treatment that doctors are saying is a total game changer. 

## **The Technology has Advanced by Leaps and Bounds** 

With so much trial and error over the years, Avéli® seems to be the long-awaited answer for an effective cellulite treatment. Or, as [Kristi Hustak, MD, board-certified Plastic Surgeon, says](https://www.kristihustakmd.com/meet-dr-hustak/), “it’s a revolutionary piece to the puzzle as we look at cellulite.” 

According to [Mary-Margaret Kober, MD, FAAD, board-certified Cosmetic Surgeon and Dermatologist](https://www.jackzamoramd.com/dr-mary-margaret-kober), and Dr. Hustak, the two main advantages of Avéli® are its advanced precision and ability to verify the release of the dimple during the procedure. Furthermore, Avéli® minimizes downtime, provides proven results in a single treatment, and, so far, has shown significantly greater efficacy. 

“The ability to target specific fibrous bands causing cellulite and verify their removal sets Avéli® apart from the competition and offers a promising leap forward in the treatment of cellulite,” Dr. Kober tells us. “Having used multiple cellulite treatments in the past, I can confidently say that Avéli® is the first treatment for cellulite that truly works.” 

“Aveli® is unique among cellulite treatments in that it allows targeted incision and release of each individual septa causing a dimple,” says board certified Head & Neck Surgeon and fellowship trained Facial Plastic Surgeon, [Dr. William Kennedy, MD, board-certified Head & Neck Surgeon and Facial Plastic Surgeon](https://aedit.com/provider/william-kennedy-md-26292), and Founder of AEDIT MedSpa™. “Although, unlike other techniques that use single-use thermal mechanism of septa release such as Cellulaze, Avéli® does not promote collagen production and is a simple release of tethering causing a dimple.”

So, how does Avéli® work? It’s a minimally-invasive hand-held device that has a light blade to cut the complex fibrous networks that are responsible for causing cellulite dimples. When a patient comes to the office for the Avéli® treatment, Dr. Kober says she marks the cellulite dimples and applies a numbing solution (tumescent anesthesia) to the targeted areas. From there, the Avéli® device is advanced under the skin and methodically releases the fibrous bands that cause each dimple. The unique thing about Avéli® is that physicians are able to confirm whether or not all of the offending fibrous bands have been cleared. This is what Dr. Kober and Dr. Hustak say really sets Avéli® apart and truly contributes to its exceptional results.

## **Most patients need a multimodal approach for smoother skin**

When it comes to treating cellulite with Avéli®, Dr. Hustak says that the ideal candidate has dimpled cellulite over the buttocks, back of thighs, or outer thighs even at their leanest. Unfortunately, this is the type of cellulite that isn’t going away with exercise or fat loss. 

More often than not, Dr. Hustak says patients are experiencing cellulite along with low skin elasticity, volume and muscle loss, and increasing fat pockets. “These aspects need to be addressed to improve results and that requires a multimodal approach,” Dr. Hustak tells The AEDITION. “Skin tightening devices, liposuction, biostimulatory fillers, and fat can all be used to improve results, and often at the same time.”

In Dr. Kober’s practice, the team often uses a combination of Avéli® for cellulite and [Attiva](https://www.attivarf.com/) for skin tightening, as a way to address skin laxity concerns. “Depending on the patient and her needs, we also employ liposuction to address fat pockets or fillers, such as [Sculptra](https://www.sculptrausa.com/?utm_campaign=2023paidsearch&utm_source=google&utm_medium=cpc&utm_content=Exact-CONS&utm_term=sculpta&utm_id=SCUL2023JVEPDZ99YO&c3apidt=p77177680451&gad_source=1&gclid=CjwKCAjw7-SvBhB6EiwAwYdCAcjEwDqiDoLqQ_m64VbZyEVQeqJ8F3s6G2PaBYfs3PsDn2v5q7gOexoCY5MQAvD_BwE&gclsrc=aw.ds), to increase volume. We are able to combine multiple modalities in a single treatment,” Dr. Kober shares.

Because Avéli® solely targets cellulite, not skin laxity or volume, results will vary from person to person. Dr. Hustak says that the more severe and deep the dimples, the less dramatic the results overall. This is because some of the deeper dimples might have volume missing under them, which would benefit from a touch of filler. That being said, Dr. Hustak and Dr. Kober both report that their patients have been happy with the improvements and feel more confident in their skin.

## **Conclusion**

For those of us who have been wanting to say farewell to cellulite for years, Avéli® might be the final piece to the puzzle. While we support the media's messaging around loving our bodies "as-is," we also acknowledge that approach doesn't work for everyone and are firm believers that the pathway to becoming your most confident self should be solely up to you. Regardless of if plastic surgery is involved, we believe in empowering people in their desire to enhance their natural beauty. At the end of the day, shouldn’t we all feel happy and comfortable in our skin? 








Expert perspective on the distinctive qualities of Avéli® and its departure from conventional cellulite treatment approaches.

Understanding What Sets Avéli® Apart Fom Other Cellulite Treatments

Bye Bye Cellulite, Hello Avéli®

shutterstock 1412178767

*Feel like you need a dictionary every time you look at the ingredient list of a beauty product? Still unsure of the difference between retinol and retinoids? What about the unique benefits of vitamins B, C, and E? Are alpha and beta hydroxy acids the same thing? The skincare aisle can be overwhelming, but you don’t need a PhD in cosmetic chemistry to navigate it. With expert help, The AEDITION is demystifying and simplifying the beauty industry — [one label at a time](https://aedit.com/aedition/category/read-the-label).*

When you think of treating [dry skin](https://aedit.com/aedition/how-to-treat-prevent-dry-skin-face-body-hands), what skincare ingredients come to mind? If shea butter is at the top of your list, there's a good reason for it. The gentle yet deeply nourishing ingredient is found in many [moisturizing creams](https://aedit.com/aedition/best-body-creams-lotions-balms-for-every-skin-concern) and products thanks to its ability to tackle everything from skin conditions (think: [eczema](https://aedit.com/aedition/best-skincare-products-to-treat-eczema-flare-ups-in-the-winter)) to aesthetic concerns (i.e. [uneven skin texture](https://aedit.com/concern/uneven-skin-texture)). Thanks to its versatility, shea butter is likely already in your vanity – but do you know just how beneficial the botanical really is? In order to learn more about the wonder ingredient, we’re asking skincare experts for their take.

## **What Is Shea Butter?**
Shea butter is a fat that is extracted from the nut of the vitellaria paradoxa (a.k.a. karite or shea tree), which is found in many countries across the African continent, including Ghana, Benin, Mali, Nigeria, Ethiopia, and Uganda. It’s [extracted](https://www.worldagroforestry.org/news/huge-potential-shea-nigeria) from the nut of the tree through crushing, roasting, and grinding and then separated from the resulting paste by kneading and mixing with water.

Shea butter has been used for centuries as a medicine, lotion, cooking oil, [decongestant](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1429586/), waterproofing wax, and wood treatment (to name a few). In today’s beauty and personal care, the butter is used in its natural state or as part of a larger formula. Finding the right shea butter product will depend on your preferences and skincare routine. Shea butter on its own takes the form of a rich, balm-like moisturizer. When formulated with other ingredients – often oils and butters like coconut, avocado, and cocoa – it can be found in creams, lotions, soaps, conditioners, and more.

## **The Benefits of Shea Butter in Skincare**
Shea butter is so valuable to the skin because it’s “rich in triglycerides with multiple fatty acids, including oleic, stearic, linoleic, and palmitic fatty acids,” says Krupa Koestline, clean cosmetic chemist and founder of [KKT Consultants](https://www.kktconsultants.com/). It’s also packed with vitamins (specifically, [vitamin A](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare), [vitamin D](https://aedit.com/aedition/guide-to-vitamin-d-in-skincare-wellness), and [vitamin E](https://aedit.com/aedition/guide-to-topical-vitamin-e-in-skincare)) and skin barrier-boosting allantoin.

![Shea Butter Skincare Benefits Infographic](//images.ctfassets.net/zw35sfestf1t/2cKnc32KRn6lkKYGy9ZOly/fe38613980159d4bd0f021f446f43bab/Shea-Butter-Skincare-Benefits-Infographic.jpg)

If you’re wondering why shea butter works so well as a moisturizer, Koestline points out that it is an emollient due to its high lipid content. “It helps add lipids back into your skin barrier, it has good water-binding properties, and it also absorbs rapidly into the skin,” she explains. “It helps keep the skin moisturized for a long time.” And, while you wouldn’t consider shea butter an ‘anti-aging’ ingredient, per say, the hydrating benefits can have a smoothing and plumping effect on crepey or wrinkled complexions. The antioxidant-rich butter can also improve skin tone and texture.

## **The Best Candidates for Shea Butter**
Shea butter is a good idea for pretty much anyone who is looking for lasting moisture, but people with dry skin will benefit the most from the hydrator. Because of its [anti-inflammatory properties](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5796020/), Koestline says that shea butter can be used to treat or soothe certain skin conditions. “It’s shown to help improve eczema and help speed up wound healing — but only when it’s been refined,” she notes. [During pregnancy](https://aedit.com/aedition/most-common-skin-hair-conditions-during-pregnancy), shea butter can be used to hydrate and relieve the itchiness that accompanies expanding skin, which, in turn, can [help prevent stretch marks](https://aedit.com/aedition/how-to-minimize-stretch-marks) from forming. 

Who isn’t a candidate for shea butter? People with [oily skin](https://aedit.com/aedition/difference-between-oily-and-acne-prone-skin) may want to avoid using the botanical on the face and instead focus on the body. Furthermore, it is possible that those with tree nut allergies may have a reaction to products with shea butter. In such cases, be sure to talk to your healthcare provider before introducing the ingredient. A patch test may also be helpful.

## **How to Add Shea Butter To Your Skincare Routine**
Shea butter isn’t known to negatively interact with any other ingredients, and it doesn’t affect sun sensitivity (although you should be wearing [sunscreen](https://aedit.com/aedition/best-sunscreens-that-act-as-makeup) regardless!). This means that you can slide shea butter into any part of your skincare or body care routine.

If you choose to try shea butter in its natural form, it should be used as your final moisturizing step. [RA Cosmetics](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fshop.racosmetics.com%2F100-Pure-Shea-Butter-16oz-0148.htm) has a 100 percent natural, unrefined shea product from Ghana that I personally vouch for, while [Bulk Apothecary](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.bulkapothecary.com%2Fraw-ingredients%2Fwaxes-and-butters%2Fpure-shea-butter-bulk%2F) offers refined versions. Shea butter is also found in moisturizers like the [SheaMoisture Raw Shea Butter Body Lotion](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.ulta.com%2Fp%2Fraw-shea-butter-body-lotion-xlsImpprod6390709), [Karité Hand Cream](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mykarite.com%2Fproducts%2Fhand-cream-3-4-fl-oz), [Nessa Body Saviour](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fcredobeauty.com%2Fproducts%2Fnessas-body-saviour), and [Paula’s Choice Skin Restoring Moisturizer with SPF 50](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.paulaschoice.com%2Fresist-skin-restoring-moisturizer-with-spf-50%2F797-7970.html). 

You can also look to products like the [Kopari Super Suds Soap Bar](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fkoparibeauty.com%2Fproducts%2Fsuper-suds-moisturizing-soap-bar%3F) for your shea butter fix, as it works especially well for those who deal with dryness from head to toe and want to cleanse without further stripping their skin. [Tata Harper’s Bio-Barrier Serum](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fcredobeauty.com%2Fproducts%2Fbio-barrier-serum), meanwhile, uses shea butter, evening primrose oil, and [squalane](https://aedit.com/aedition/benefits-of-squalane-for-skin-hair) to smooth skin and minimize the appearance of fine lines and wrinkles. There are also a number of lip balms (hi, [Public Goods](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.publicgoods.com%2Fproducts%2Fcopy-of-lip-balm-0-05oz%3Fvariant%3D34054579028106)) and even deodorants (here’s looking at you, [Hello](https://www.hello-products.com/product/sage-eucalyptus-deodorant/)) that contain shea butter. 

The world is really your oyster here!

## **The Takeaway**
Whether you use it alone or as part of a larger formula, shea butter is one of the most nourishing ingredients around. It has many historical uses that are still in practice today (think: treating wood, protecting cuts, and as a cooking oil), but it’s most commonly used as a moisturizer thanks to its high lipid and fatty acid content. Shea butter plays well with others, which means it can be added to any part of your routine during which you wish to banish dry skin.

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

Beauty

Looking for an all-natural way to keep your skin hydrated all day long? Here’s what you need to know about shea butter – skincare’s most underrated ingredient.

Guide To Shea Butter In Skincare For Dry Skin, Eczema, Moisturizing

Read The Label: All Of Your Shea Butter Questions Answered

Hormone Replacement Therapy: What Is It and Who Is it For


Toa Heftiba | Unsplash

We’ve all heard of hormones — and, most likely with a negative connotation. But, without hormones, we’d be in a lot of trouble. They’re responsible for processing many of our body’s most essential functions, like metabolism, blood pressure, sexual function, and mood. 

When our hormones aren’t optimized, we refer to it as a ‘hormonal imbalance.’ Several factors can cause this imbalance and, unfortunately, a lot of them are out of our control. For instance, there are certain situational events (e.g. puberty, pregnancy, and menopause), health-related issues (e.g. tumors, thyroid disorders, diabetes, adrenal dysfunction, etc), and genetics that can make our hormones go haywire. 

On the other hand, there are some lifestyle changes we can make to improve hormone levels. Exercising regularly, eating healthfully, managing stress, and limiting exposure to environmental toxins (e.g. smoking, alcohol, etc) have been proven to help keep hormone levels in check. 

In some instances, it becomes nearly impossible to correct hormone imbalances naturally and medical intervention is required. For patients who find themselves in this position, doctors will turn to hormone replacement therapy (HRT) to improve their patient’s quality of life. Here’s everything you need to know: 



### **What Exactly is Hormone Replacement Therapy?**

As mentioned above, hormones are responsible for regulating everything from our mood to our physical well-being. When unbalanced, they have a number of unpleasant side effects, including sluggishness, weight gain, and sleep disruption. HRT is a treatment with the goal of restoring hormonal balance in men and women to improve the overall sense of well-being.
   
HRT is available in many formats (e.g. pills, patches, gels, creams, sprays, and intrauterine devices (IUDs) and is often prescribed by an ob-gyn or primary care physician. That being said, some board-certified plastic surgeons also offer HRT in conjunction with cosmetic procedures. 

Typically, practitioners will only offer HRT for up to five years, but [Jamie Gabel, PA-C](https://www.myadvitam.com/provider/jamie-gabel-ms-pa-c), a certified physician assistant at New York’s [Advitamin](https://www.myadvitam.com/) at the [Shafer Clinic](https://www.shaferplasticsurgery.com/), says that when prescribing hormones, you have to consider each patient's individual history to best determine when to start, finish, or continue HRT.

In addition to traditional HRT, a lot of prescribers like bioidentical hormone therapy (BHRT), which many consider to be closest to natural human hormones.  [Dr. William Kennedy, MD](https://aedit.com/provider/william-kennedy-md-26292), board-certified Head & Neck Surgeon and Facial Plastic Surgeon, and Founder of [AEDIT MedSpa™](https://aedit.com/provider/aeditmed-spa-md-34673) says the hormones used in HRT are derived from the urine of pregnant horses and other organic hormones. Bioidentical Hormones used in BHRT on the other hand are derived from plants and are chemically identical to naturally occurring hormones in the body. Being chemically identical to our own hormones gives BHRT a significant advantage over traditional HRT in that you have fewer side effects and dosing can be more precisely titrated to doses that meet the patient’s exact needs.

### **The Benefits of HRT**

Hormone imbalances can cause an array of health conditions and can affect the skin, reproductive organs, metabolism, and mental health. To counteract these effects, many doctors will prescribe HRT to drastically improve well-being. 

Board-certified cosmetic dermatologist in West Hollywood, [Jason Emer, MD](https://aedit.com/provider/jason-emer-md-722), says that when women experience a hormonal imbalance, they could suffer from headaches, hair loss, excessive hair growth on the face, acne, irregular periods, vaginal dryness, and discomfort during sex. Men, on the other hand, might have difficulty maintaining muscle mass, difficulty concentrating, erectile dysfunction (ED), swollen breast tissue (gynecomastia), and decreased facial and body hair growth. To determine whether or not someone would be a good candidate for HRT, most doctors will perform and assess bloodwork. 

“You can have someone who is younger with endocrine issues that needs HRT and someone who is going through decreased values with age, stress, catastrophic life events, etc. There is no specific person that is or isn't a candidate,” says Dr. Emer.

Previously, it was believed that people above the age of 60 or those with a history of blood clots or heart disease were ineligible candidates for HRT. Dr. Emer says that if someone has low levels, improving their hormone levels may help their heart disease or cholesterol. That being said, Dr. Emer adds that if someone is older with a lot of comorbidities, it may be better to hold off on treating the hormonal imbalance until the person is in better health. 

### **Why Plastic Surgeons Are Excited About HRT**

It’s no secret that plastic surgeons are obsessed with outward beauty — it’s what makes us feel individualized and empowered, after all! But, as clichéd as it sounds, outer beauty starts from within. We need to look and feel good, both physically and mentally. That’s why our network of experts is particularly excited about incorporating HRT into their practices.

Dr. Emer, for instance, focuses on a ‘holistic’ approach to antiaging where he not only addresses patients’ outside cosmetic concerns but also their internal aging process. “We discuss evaluating hormonal changes as they age and after events, like pregnancy or weight loss, to determine if hormonal supplementation or peptides are needed to aid in concerns they have with age (e.g. stress, sleep issues, hair loss, joint pains, sexual dysfunction or loss of drive, and skin changes),” Dr. Emer tells The AEDITION. During each of his cosmetic consults, Dr. Emer discusses internal wellness and, if they have any concerns, his team evaluates it with blood tests and supplementation. 

Dr. Kennedy is excited about the advances HRT and BHRT have made over the past few years and the promise of more advances on the way. “As we age, changes to the way we look and feel are a direct result of changes in our internal production of chemicals and hormones. At AEDIT Medspa™ we replenish these hormones so both the cause and effect of aging are addressed. Success at AEDIT Medspa™ is a person feeling great about themselves not just on the outside but on the inside too.” 

HRT can be used independently or in conjunction with other treatments (e.g. results. anti-aging, sexual rejuvenation, or fat reduction) to enhance results. At Advitamin at the Shafer Clinic, they sometimes offer BHRT with treatments like IV infusion therapy, peptide therapies, regenerative procedures, and nutritional supplements, depending on the needs of the patient.

### **The Takeaway**

With a proven track record, Hormone Replacement Therapy (HRT) is rapidly gaining popularity among plastic surgeons and other healthcare providers. The integration of HRT into their offerings underscores its pivotal role in not only optimizing our hormonal balance for physical well-being but also in enhancing our outward appearance.


Now Trending

Hormone Replacement Therapy: What Is It and Who Is It For?

Peony Bouquet Vika Fleysher Via Unsplash

Whether you're spending Valentine's Day with your significant other, embracing Galentine's Day with your closest friends, or simply seeking a reason to pamper yourself, now is the perfect time to prioritize self-care so you can show up as your best self in any scenario. While there's certainly charm in the classic box of chocolates or glass of full-bodied red wine, we've curated a collection of wellness-inspired luxuries that are sure to enhance your overall wellbeing.

### **A guide to your perfect Valentine's Day starts here:**
 

![The Love Set by Surya](//images.ctfassets.net/zw35sfestf1t/48zVfwpdRK6QvabjOBx7aH/ef94f3066feb79d5edcd77725f6250b7/Surya_Love_Set.png)
### **Love Body Set Bath Soak & Body Oil from Ayurvedic brand Surya**
Experience the Love Body Set, a curated collection of [Surya](https://suryawellness.com/)'s “heart-opening” bath products, crafted to bring the essence of Surya to your home. Enjoy these products solo or share the love with your partner. The set includes the Love Bath Heart Opening Soak, meticulously designed to harmonize Vata, Pitta, and Kapha energies for a truly balanced experience, and the Rose Petal Abhyanga Massage & Body Oil.

$119 - [Surya Love Body Set](https://suryawellness.com/pages/gifts) 

 

![L'APPARTEMENT 4F X BLXXM VALENTINE'S DAY FLOWERS](//images.ctfassets.net/zw35sfestf1t/2SXhgm6ZfzxbiXkuqz19XC/c9449335c65f4093a0cc475b198843b5/L-APPARTEMENT_4F_X_BLXXM_VALENTINE-S_DAY_FLOWERS.png)
### **L'Appartement 4F x Blxxm Valentine's Day Flowers**
This one is more in line with the traditional Valentine’s Day treat but we think this Brooklyn bakery (with a well-deserved following) is worthy of a mention! Stop to smell the flowers and satisfy your sweet tooth with the flower & pastry bundle from [L'Appartement 4F](https://lappartement4f.com/). Reserve your bouquet and pastry bundle for pick up at the bakery on Valentine's Day. (This one is for our New York locals, but if you’re traveling to the city anytime soon put this spot on your list.) 

$117.25 - [Bouquet and Pastry Bundle](https://lappartement4f.com/products/lappartement-4f-x-blxxm-valentines-day-flowers)

 

![Ora Ceremonial Cacao](//images.ctfassets.net/zw35sfestf1t/4MAa8QukLVeZ3nNeGFdL1c/3fe51bac64e2fc8e20194b3c8254d9fd/Ora_Ceremonial_Cacao.jpeg)
### **The Lover Set from Ora Ceremonial Cacao**
Rethink your hot beverage routine and unlock the transformative power of cacao with “The Lover” set from [Ora Ceremonial Cacao](https://ceremonial-cacao.com/). Enjoy a guilt-free drink with rich, decadent flavors and silky-smooth textures sourced from the highest quality cacao. Not just a treat for your taste buds, cacao is a benefit for your health, supporting mood, energy levels, and heart and brain functioning — all without added sugar and less caffeine than coffee. The set includes the Connected Colombia, Glowing Guatemala, and Tantric Rose Blossom cacaos, all intended to help you access your gratitude and emotions. 

$80 - [The Lover Cacao Set](https://ceremonial-cacao.com/products/curated-cacao-box-8oz?variant=46749171679513)

 

![Inoki Bathhouse](//images.ctfassets.net/zw35sfestf1t/5beF2wRhcpiTvct5fb68Qa/1730f01f587ee2ddb1c2f3b9ebbf1c98/Inoki_Bathhouse.png)
### **Mountain Fog Kit - Deep Sleep & Muscle Relief from Inoki Bathhouse**
Bring the all-encompassing serenity of your favorite bathhouse home with you with a Mountain Fog kit from [Inoki Bathhouse](https://inokibathhouse.com/). Founded by Helen Yin in 2020, Inoki Bathhouse resulted from Yin's personal experience with feeling overwhelmed by work and battling depression. She came across an article on the healing powers of herbal bathhouses and was inspired to create this same sanctuary for herself. After the healing she was afforded with these fragrant bath soaks, she wanted to bring this gift to others. 

Drawing inspiration from Taiwanese bathhouses, the Mountain Fog Kit employs the soothing essence of mugwort to ease your muscles, while the aroma of oolong milk tea releases your mind from its constraints.

$70 -[ Mountain Fog Kit](https://inokibathhouse.com/collections/all-products/products/mountain-fog-bathhouse?variant=40755690471624) 

 

![sundays Manicure Set](//images.ctfassets.net/zw35sfestf1t/6WAdrcmibvL5bcD3EJ6n0w/2c506378b4e36000168c7154beac7191/Sundays_Manicure_Kit.jpeg)
### **Mk.01 - Non-Toxic Manicure Kit from sundays Nail Studio**
Give yourself the perfect manicure with the Mk.01 - sundays Manicure Kit from [sundays nail studio](https://dearsundays.com/) and finally achieve salon-quality, non-toxic nails at-home. With sundays meticulously formulated 10-free polish (“10-free" meaning formulated without ten potentially health-harming chemicals commonly found in regular nail polish: dibutyl phthalate, TPHP, toluene, xylene, ethyl tosylamide, camphor, formaldehyde, formaldehyde resin, parabens, and tert-butyl hydroperoxide), their products are guaranteed to deliver high-shine and brilliant color without compromise. 

$78 - [Mk.01 - sundays Manicure Kit](https://dearsundays.com/collections/boxes-kits/products/mk-01-sundays-manicure-kit)

 

![KOSHA Facial Kinesiology Tape](//images.ctfassets.net/zw35sfestf1t/cNpHpLaoVNwhZX5PEk0Sr/b5a1e5f97689007814c795b80de1d4ca/Kosha_Spa_Tap.png)
### **Kosha Facial Kinesiology Tape**
Looking for a natural alternative to Botox? Or trying to cut back on your beauty treatment spending? Designed to target and alleviate facial tension beneath the skin, [Kosha](https://www.koshaspa.com/) Facial Kinesiology Tape offers a safe and effective alternative to neuromodulators. If you're considering facial taping but prioritize safety and quality, look no further. Give yourself an affordable anti-aging solution that's available anytime you need it. 

$25 - [Kosha Facial Kinesiology Tape](https://www.koshaspa.com/product-page/ko-sha-facial-kinesiology-taping)

 

![Nutrafol Women Hair Growth Nutraceutical](//images.ctfassets.net/zw35sfestf1t/7v7355RvO4Ps1KmCKs8r0J/12bc8f48a5cf78b9cc82b69be5fc989a/Nutrafol.png)
### **Womens Hair Growth Nutraceutical by Nutrafol**
Reclaim your luxurious locks or achieve the hair you’ve always dreamed of by starting a [Nutrafol](https://nutrafol.com/) supplement regimen. With clinically effective and natural ingredients, Nutrafol products promote whole-body health, leading to visibly thicker, stronger hair growth and reduced shedding. Backed by research and proven results, the Nutraceutical supplement offers a comprehensive approach to restoring hair vitality and confidence. There’s no denying that a good hair day can influence overall mood and confidence, so why not take the next step toward optimal hair health? 

$88 - [Womens Hair Growth Nutraceutical](https://nutrafol.com/women/core/)

 

![Flamingo Estate Garden Tour Set](//images.ctfassets.net/zw35sfestf1t/3tqO1Gc7Zp9ZbzQd8R7YI8/91bf2e80f8d9c80a5cd2da33380f6007/Flamingo_Estate_Box_2.jpeg)
### **The Garden Tour Kit from Flamingo Estate**
Escape to the famous California property via your senses with [Flamingo Estate's](https://flamingoestate.com/) Garden Tour kit. A thoughtfully assembled collection inspired by the property itself consisting of Mediterranean Rosemary & Clary Sage Body Wash, Mediterranean Rosemary & Clary Sage Hand Soap, a Climbing Tuscan Rosemary Candle, Mini Biointensive Wildflower Honey, and Heritage Extra Virgin Olive Oil. If you haven’t experienced this inspiring brand yet, be sure to check out [their story](https://flamingoestate.com/pages/the-estate). 

$229 - [The Garden Tour Kit ](https://flamingoestate.com/products/the-garden-tour)

 

![The LYMA Laser](//images.ctfassets.net/zw35sfestf1t/1Spm43xmKcOVi49y0UkLkB/7dde982933b04c3d1ed9250139a6acc9/Lyma_Laser_3.png)
### **The LYMA Laser**
Take your at-home skincare routine to the next level with [The LYMA Laser](https://lyma.life/us/). The brand touts itself as the world's most powerful at-home beauty device and we’re excited about it. Transform your skin by reducing redness, pigmentation, and wrinkle depth, achieving “transformational” results in weeks. According to the company, there is zero damage, no downtime, and painless treatment while targeting all signs of aging, scars, and blemishes. Give yourself the gift of more radiant skin with the LYMA Laser.

$2,695 - [The LYMA Laser](https://lyma.life/laser/buy/)

 

![Epicutis Luxury Set](//images.ctfassets.net/zw35sfestf1t/4B4jvUjBbm8Ger2RoW0TDc/e5206c5e62157853dc729020f5112359/Epicutis_2_2.jpeg)
### **Luxury Skincare Set by EPICUTIS Skincare**
Elevate your routine with the “Luxury Skincare Set” from [Epicutis](https://epicutis.com/). Developed by Dr. Jeffry Stock, a biophysicist and tenured Professor at Princeton University, this pioneering brand harnesses the most innovative research technologies to merge science and luxury for unparalleled results. The set includes:

- The “Lipid Serum” contains eight essential ingredients and provides relief for dry, stressed, sensitive, or post-procedure skin while delivering proven long-term benefits for healthy, radiant skin.

- The Hyvia Crème features three proprietary powerhouses and responsibly sourced botanicals. This crème deeply hydrates while blocking blue light damage. Additionally, DSD shields the skin from harmful aggressors like UV rays, ensuring your skin remains youthful and radiant.

$395 - [Epicutis Luxury Skincare Set](https://epicutis.com/products/luxyry-skincare-set)

 

![Hotel Collection Diffuser](//images.ctfassets.net/zw35sfestf1t/4gew5xOvVyC3uKx75nPJqf/5fcc2ec5c7c8ea1a6604d6bf92aa4d1c/Hotel_Collection_Diffuser.png)
### **Studio Wireless Pro Scent Diffuser from Hotel Collection**
Nothing compares to a room perfectly infused with a satisfying scent. This brand allows you to bring home the fragrances of your favorite luxury hotels with the [Hotel Collection](https://www.hotelcollection.com/) Diffuser. The Hotel Collection is currently offering a Valentines Day discount of 30%-50%.

$188.97 - [Studio Wireless Pro Scent Diffuser](https://www.hotelcollection.com/products/studio-pro-scent-diffuser)

 

![Soul Cards Meditation Journal ](//images.ctfassets.net/zw35sfestf1t/5LhZSX5wNdL9qnPQ7Y6Xhh/8b8a763a223f5dc55a428b5c3d30646e/Soul_cards_meditation_Journal_2.jpg)
### **Meditation Journal from Soul Cards**
Slow your mind, organize your thoughts and embrace one of the best forms of release with the “Meditation Journal” by [Soul Cards](https://soulcardstarot.com/products/the-meditation-journal). 

$35 - [Meditation Journal](https://www.revolve.com/soul-cards-meditation-journal-in-cream/dp/SOUR-WA3/)

 

![Animalique by Byredo](//images.ctfassets.net/zw35sfestf1t/1BhKLoHvN2mbu6qZFoGzWX/830398daedd381a55362259000eb5993/animalique_3_2.jpeg)
### **Animalique Eau de Parfum from Byredo**
Indulge yourself in the unique complexity of [Byredo's](https://www.byredo.com/us_en/) designer perfume collection, crafted for both women and men. Each bottle offers a scent journey, evolving and revealing new notes as it lingers on the skin, creating an experience that lasts all day. Our current favorite is “Animalique” which is described as “fresh top notes of lemon and bergamot that unfold into floral heart of mimosa and violet and in its final stage presents suede, amber and tobacco leaf."

$205 - [Animalique Eau de Parfum](https://www.byredo.com/us_en/animalique-eau-de-parfum-50ml) 

 

![Clementine Sleepwear Silk Pillowcase](//images.ctfassets.net/zw35sfestf1t/7H3a7WcogAKJNsxgQPfEiF/72ba7d8a5cd59a2d6c15e0f078ef3cf1/Clementine_Sleepwear_Silk_Pillowcase.png)
### **Organic Silk Pillowcase from Clementine Sleepwear**
Optimize your sleep with the addition of a [Clementine Sleepwear](https://www.sleepwithclementine.com/) silk pillowcase to your bed. Made from 100% organic mulberry silk, the pillowcase helps maintain skin hydration and smoothness by minimizing moisture loss during sleep, thanks to its less porous nature. Hypoallergenic and free from additives, the Clementine pillowcases create a tranquil haven for your skin and hair.

$95 - [Clementine Sleepwear Silk Pillowcase](https://www.sleepwithclementine.com/products/silk-pillowcase?gclid=Cj0KCQiAzoeuB)

 

![Prima Pave NA Wine](//images.ctfassets.net/zw35sfestf1t/1QSw6qX9XWm1VNP9BFkwPY/62f918a040c13bfe84378fbcfae7341b/Screenshot_2024-02-07_at_7.55.13_PM.png)
### **Prima Pavé Non-Alcoholic Sparkling Wine 3 Bottle Variety Bundle** 
Dive into a bottle of v-day bubbly but skip the hangover with [Prima Pavé](https://primapave.com/), an award-winning line of alcohol-free sparkling wines handcrafted in Italy. Made without added sugar or chemicals, Prima Pavé allows the true essence of hand-selected Italian grapes to shine through, showcasing the unique terroir, character, and depth of flavor in every sip. 

$90 - [Prima Pavé 3 Bottle Variety Bundle](https://www.betterrhodes.com/products/3-6-or-12-bottle-mixed-case?variant=40196342775942) 

 

![PDPaola Memora Bracelet](//images.ctfassets.net/zw35sfestf1t/6QtG6mJZ35awGYoE2sPkU5/85e21314d2b521d47ecac724803f13a6/PDPaola_Memora_Bracelet.png)
### **Personalized Memora 18k Gold Plated Bracelet from PDPaola**
Gift yourself a new everyday jewelry staple from [PDPaola](https://www.pdpaola.com/collections/new-in/?utm_source=google&utm_medium=brand&utm_campaign=brand&esl-k=google-ads|ng|c594684016773|me|kpdpaola|p|t|dc|a124875580456|g13798941565&gad_source=1&gclid=CjwKCAiA8YyuBhBSEiwA5R3-E8CjlAQQd2Rwyq-XL0_qjAdkAL77AN9fWc8Hw4gBtXDY96NH3LWCDBoC7tIQAvD_BwE) with the added sentiment of personalization. With space for up to 10 characters and multiple font options, you can add your initials, write something inspirational, or commemorate a special someone in your life. Crafted in your choice of 18K gold-plated silver or brass and embellished with cubic zirconia, each bracelet is thoughtfully designed, adding an extra touch of sophistication to your look. 

$120 - [Personalized Memora Bracelet](https://www.pdpaola.com/products/personalized-memora-gold-bracelet)

 

![Foria Intimacy Oil](//images.ctfassets.net/zw35sfestf1t/6rAmGrlocTBBDBMLFJZIhh/3b8372616aef0c38d2c87d058f7eeef2/Foria_Intimacy_Oil.jpeg)
### **Intimacy Oil with CBD by Foria**
We couldn’t curate a Valentines list without including a hint of intimacy enhancement. Crafted with just two clean ingredients - 400mg of broad-spectrum CBD and organic coconut oil - [Foria](https://www.foriawellness.com/)’s Intimacy Oil offers all-natural lubrication without any added chemicals and is a versatile bedroom essential for both men and women. Whether you're taking yourself on a personal pleasure journey or enjoying intimate moments with a lover, this oil is a must-have for enhancing sensuality and comfort.

$44 - [Intimacy Oil with CBD](https://www.foriawellness.com/products/intimacy-lubricant)

 

Whichever way you choose to celebrate, we hope this list adds a little something extra to your February 14 festivities.

Wellness

17 Self-Care Favorites for Valentines Day 

A Self-Care Guide To Ensure A Satisfying Valentine’s Day

A Self-Care Gift Guide To Ensure A Satisfying Valentine’s Day

woman doing yoga meditation on brown parquet flooring


 Jared Rice @rice_captures | Unsplash

Get Ready to Glow: Doctors Unveil the Hottest Aesthetic Trends for 2024

Jared Rice | Unsplash

As we anticipate the biggest aesthetic trends of 2024, one undeniable certainty emerges: a surge in the number of people opting for aesthetic procedures surpasses any previous year. In fact, the [International Society of Aesthetic Plastic Surgery (ISAPS)](https://www.isaps.org/) reported in their latest global survey an [11% increase](https://www.prnewswire.com/news-releases/the-latest-global-survey-from-isaps-reports-a-rise-in-aesthetic-surgery-worldwide-301910346.html) year over year, with almost 25 million procedures performed worldwide in 2023. 

So, what aesthetic trends should be on our radar this year? We reached out to the AEDIT provider network to get the insider scoop on what’s to come in 2024. Here, we’re sharing the latest innovations the experts are using along with the most common requests they’re getting.  

## **AEDIT’s Aesthetic Trend Predictions For 2024**

**Natural, Subtle Enhancements**

If you’ve spent any time on TikTok over the past few months, you’re probably familiar with the #cleangirlaesthetic — the latest beauty trend of looking effortlessly chic. It’s characterized by slicked back hair, a “makeup-free” face, and a simple yet polished outfit. The idea is to look naturally beautiful as if you put in zero effort. So, overly large breasts and overfilled faces that scream plastic surgery are not in keeping with the ‘clean girl aesthetic’ and are officially ‘out.’ 

Board certified plastic and reconstructive surgeon in New York City, [Dr. Mahmood, MD](https://aedit.com/provider/umbareen-mahmood-md-23), confirms this TikTok trend has already made its way to her office. Most of Dr. Mahmood’s patients are requesting to have smaller, more natural looking implants or solely using their own breast tissue to do a breast lift and skipping the implants all together. And, the same approach applies to the face. Dr. Mahmood says “patients want their face to be balanced and they want subtle adjustments that still look and feel like themselves.” 

**Smoother, Cellulite-Free Skin**	

Even though a natural aesthetic is ‘in,’ cellulite, which affects [80 to 90 percent](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10324940/) of women, is considered ‘out.’ With the introduction of [Aveli](https://myaveli.com/how-aveli-works/), a minimally-invasive device that reduces the appearance of cellulite, more and more people are investing in a perfectly smooth behind.

“It is unique among cellulite treatments in that it allows targeted incision and release of each individual septa causing a dimple,” says board certified Head & Neck Surgeon and fellowship trained Facial Plastic Surgeon, [Dr. William A. Kennedy, MD](https://aedit.com/provider/william-kennedy-md-26292). “Although, unlike other techniques that use single-use thermal mechanism of septa release such as Cellulaze, Aveli does not promote collagen production and is a simple release of tethering causing a dimple.”

While there have been previous treatments for cellulite in the past, Dr. Mahmood says they were generally not entirely effective or they were fairly involved to perform. Aveli, on the other hand, has shown dramatic results with minimal downtime and only one treatment. 

**Integration of Exosomes**

Exosomes aren’t exactly new — they’ve been popular in the hair loss space for a while, but [Dr. Angela Lamb, MD](https://aedit.com/provider/angela-lamb-md-34643), a board certified dermatologist in New York City says they have steadily been gaining traction within skincare. The nanoparticles stimulate collagen production and have regenerative properties, which can help with aging and pigmentation issues. It’s most effective when used in conjunction with another treatment, like resurfacing lasers or microblading, so they can penetrate the skin and get to work. That being said, there are at-home exosome treatments that can work topically. Dr. Lamb recommends the [Angela Caglia Cell Forte Serum](https://www.angelacaglia.com/products/cell-forte-serum-with-biomsc-human-stem-cell-conditioned-media?tw_source=google&tw_adid=&tw_campaign=20795979027&gad_source=1&gclid=Cj0KCQiAwP6sBhDAARIsAPfK_wbq5CbIW419kWLuV0_bsV_-zCEf71jGVmg6a-_OoUQO-L5ACe8KOr8aAqHkEALw_wcB) and the [DP Derm Exo-Skin Exosome Therapy](https://dpderm.com/products/dp-dermaceuticals-exo-skin-30ml).

**AI-Driven Insights**

We’ve really seen artificial intelligence (AI) take off over the past year with lifelike TikTok filters and ChatGPT. With [Mintel’s 2024 Global Beauty Report](https://www.mintel.com/beauty-and-personal-care-market-news/beauty-trends/), we’re anticipating AI to infiltrate the beauty industry with even more virtual try-on’s and algorithm-recommended insights based on personal preferences. AI works by feeding data sets of information into computers to “teach” the computer program how to function. AI models are not static but fluid and they continue to grow, learn and improve over time as more data is input. The beauty industry can benefit from these powerful programs as they grow and develop human-like knowledge; and in the case of the beauty industry: develop the human-like knowledge of a plastic surgeon, One such program is the [AI Plastic Surgeon](https://apps.apple.com/us/app/aedit-ai-plastic-surgeon/id1322246202?mt=8), an iOS app developed by AEDIT, pending full release in Spring 2024. The AI Plastic Surgeon measures a person’s unique facial characteristics and creates a highly precise and individualized cosmetic evaluation. The AI Plastic Surgeon then employs the AEDITOR tool which enables users to ‘try on’ popular cosmetics procedures — like Botox, lip filler, rhinoplasty, and more. The results generated are truly achievable and reflect the user's unique features and produce results that are truly possible. As brands collect more and more data, Dr. Lamb expects that AI tools will help patients make more informed purchasing decisions and ultimately improve satisfaction. 

**Mind-Body Connections**

Since COVID, [mental health awareness has become a hot topic](https://www.forbes.com/sites/forbesbusinesscouncil/2023/03/10/the-rise-of-mental-health-awareness-among-gen-z-what-this-means-for-brand-marketing/?sh=2ad2ee6a30e4), especially among Gen Z. As mental health is becoming more of a priority, it’s spilling over into all aspects of life, skincare included. According to Mintel, 70 percent of US consumers are willing to pay more for beauty products with mood-boosting qualities. 

“We know the external conditions of stressors on our skin but there is also a strong yet complex interplay between the dermis and our overall physiological state of well being,” [Dr. Ava Shamban, MD](https://aedit.com/provider/ava-shamban-md-2325), a board certified dermatologist in Santa Monica, CA shares with us. “We see hormone levels, sebum production and other functions of reactivity as endogenous variables so reducing stress, increasing quality sleep, relaxation and positively impacting our mental health can absolutely have a positive impact on our skin health, cellular aging and glow!”

Some of Dr. Shamban’s favorite beauty treatments with mood-boosting qualities include a Co2 Lift Mask, scalp massage and hair masque, hot oil treatment, and skincare with calming ingredients, like calendula, chamomile and aloe vera.

**Weight Loss Shots — Without the Aftereffects**

At first it seemed like only [celebrities](https://people.com/health/stars-whove-spoken-about-ozempic-use-and-what-they-said/) were using Ozempic and other weight loss medications, but with a recent [report of 9 million prescriptions](https://www.washingtonpost.com/business/2023/09/27/ozempic-prescriptions-data-analysis/) in just three months, it’s become apparent it’s everywhere.

“Semaglutide such as ozempic and Wegovy are taking the country by storm as they are highly effective weight loss treatments that produce immediate results. The rapid weight loss, with average ranges over 20 lbs over a few months, can have secondary effects of generalized wasting appearance in areas such as your face, the so-called ‘[ozempic face](https://aedit.com/aedition/the-best-procedures-for-combatting-ozempic-face-and-ozempic-body),’” says Dr. Kennedy. “For optimal results, this loss of facial volume and increased skin laxity is best treated with thermal collagen production treatments, fillers and for extreme cases of skin laxity, mini-facelifts.” 

**Minimalistic Skincare**

Another takeaway from Mintel’s Gloal Beauty Report was that shoppers are being more selective with their beauty purchases. The report predicts that consumers will shift away from an extensive skincare routine to a more minimalist approach, prioritizing  high-end, reliable essentials.   

Dr. Lamb is seeing this first-hand with her patients asking about at-home gadgets, like [Solawave](https://www.solawave.co/) and other red lights, more than they ever did. “They want ease and efficacy as well as a device that they can have long term. While you certainly can purchase serums, you constantly have to keep refilling. These gadgets are one-time investments that patients can use long term without having to worry about maintenance,” Dr. Lamb says.

## **The Takeaway**

It’s a new year, and it’s a new us — smarter, happier, and “au naturale.” This is the year where we work smarter, not harder. We’re taking advantage of new innovations like AI, exosomes, and Aveli to save time and get long-lasting results. We’re also ditching all of the fuss and adopting a ‘less is more’ mantra. From now on, it’s fewer products with more meaningful results and energy-boosting qualities. And, we’ll be doing all of this to feel like our natural selves, inside and out!


Real Rhinoplasty Patients Sound Off: What They Wish They Knew Before Getting a Nose Job

Juliet Furst/Unsplash

Patient Perspective

What to Know Before Getting a Rhinoplasty

FlamingoImages/iStock min

If you’re interested in a cosmetic procedure – be it Botox, a breast augmentation, or anything in between – you know there is plenty of research to be done. Finding and choosing the right provider is perhaps the most important decision you will make. But with social media feeds flooded with alluring before and after photos and new aesthetic practices seemingly popping up every day, it can be difficult to cut through the noise and find a highly qualified option.

Here at AEDIT, we believe there is nothing more important than patient safety and satisfaction, which is why we take provider vetting so seriously. Our AEDIT Provider Network exclusively features physicians who are board certified in four key specialities – plastic and reconstructive surgery, facial plastic and reconstructive surgery, dermatology, and oculoplastic surgery. 

We refer to this quartet as the 'core four' of aesthetic medicine, and below is a closer look at what board certification means, why it matters, and how AEDIT can help you find the best provider for your needs.

## **Why Board Certification Matters** 
Titles like ‘cosmetic surgeon,’ ‘plastic surgeon,’ and ‘cosmetic dermatologist’ have seemingly become interchangeable as of late, but the qualifications of such doctors can vary greatly. 

Because there is very little regulation governing how physicians refer to themselves, understanding your provider's board certification(s) can ensure you are consulting with a doctor or surgeon who is formally trained in plastic and reconstructive surgery, otolaryngology, ophthalmology, or dermatology (i.e. the specialties that most relate to aesthetic medicine).

Unlike a medical license, board certification is not necessary to practice medicine in the United States, but it is an important tool in distinguishing whether or not a provider has specialized – and continues to specialize – in a particular area. Many medical specialty boards require recertification every decade or so, ensuring doctors keep on top of their skills.

## **How Doctors Become Board Certified**
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 U.S. Medical licensure is handled at the state level, and physicians must receive individual licenses in each state they wish to practice in. Board certification, meanwhile, signifies that the doctor has successfully completed a residency in their chosen specialty. 

In order to become board certified, a physician must have completed his or her undergraduate education, medical school, one-year internship, residency in their chosen specialty, and passed the residency board exam. 

## **The ‘Core Four’ Board Certifications at AEDIT**
The AEDIT Provider Network is comprised of medical doctors (MDs) and doctors of osteopathic medicine (DOs) who are board certified by specific member boards of the American Board of Medical Specialties (ABMS) and American Osteopathic Association (AOA) or a very select group of unaffiliated boards for specialties like facial plastic and reconstructive surgery and oculoplastic surgery.

Here is closer look of the specialties that make up the AEDIT Provider Network:

### **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 listed with AEDIT can pursue board certification via the American Board of Plastic Surgery or American Osteopathic Board of Surgery - Plastic and Reconstructive Surgery. In the case of the former, they may be dual-certified by the American Board of Surgery. While these physicians are board certified to perform cosmetic and reconstructive surgeries from head to toe, their work may focus 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: rhinoplasty, facelift, chin and jaw surgeries, etc.). 

There is no ABMS Member Board specifically for facial plastic and reconstructive surgery. Instead, facial plastic surgeons in the AEDIT Provider Network are board certified by the American Board of Otolaryngology – Head and Neck Surgery or the Otolaryngology/Facial Plastic Surgery certification within the American Osteopathic Board of Ophthalmology and Otolaryngology - Head and Neck Surgery. The American Board of Facial Plastic and Reconstructive Surgery is also an accreditation that many facial plastic surgeons seek.

### **Dermatology**
Medical dermatologists diagnose, treat, and prevent conditions affecting the skin, hair, and nails. All dermatologists affiliated with AEDIT are board certified by the American Board of Dermatology or American Osteopathic Board of Dermatology, which means hey have undergone non-surgical, cosmetic dermatology training during their residency program. Dermatologic surgeons refer to physicians who are qualified to perform surgical procedures like liposuction, fat transfer, and Mohs surgery, in addition to non-invasive treatments. They are often fellows of the American Society for Dermatologic Surgery.

### **Oculoplastic Surgery**
While a facial plastic surgeon is able to perform eyelid surgeries like blepharoplasty, oculoplastic or oculofacial surgeons are experts in procedures that reconstruct the eyelids, tear ducts, and orbital area. At AEDIT, they are board certified by the American Board of Ophthalmology or have an Ophthalmology certification within the American Osteopathic Board of Ophthalmology and Otolaryngology - Head and Neck Surgery. Many also have additional fellowship training with the American Society of Ophthalmic Plastic and Reconstructive Surgery.

## **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 that is 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 (AAAM)
American Academy of Cosmetic Dentistry (AACD)
American Academy of Cosmetic Surgery (AACS)
American Academy of Dermatology (AAD)
American Academy of Facial Plastic & Reconstructive Surgery (AAFPRS)
American Society of Aesthetic Plastic Surgery (ASAPS)
American Society of Cosmetic Laser Surgery (ASCLS)
American Society for Dental Aesthetics (ASDA)
American Society of Dermatologic Surgery (ASDS)
American Society of Hair Restoration Surgery (ASHRS)
American Society of Liposuction Surgery (ASLS)
American Society of Ophthalmic Plastic & Reconstructive Surgery (ASOPRS)
American Society of Plastic Surgeons (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 procedure and understanding the board certification process is a key part of that. We’ve sought to simplify the research process by presenting you highly qualified, pre-vetted providers who specialize in aesthetic medicine. With the AEDIT Provider Network, you can compare the background and work of skilled physicians in your area before going in for a consultation, so you can ensure you get the best care for your needs.


Breaking Down the ‘Core Four’: What Board Certification Means at AEDIT 

Serafima Lazarenko/Unsplash

If you spent any time on TikTok over the summer, you likely saw an endless stream of videos extolling the virtues of #TrapTox. The alliterative hashtag refers to the injection of a neurotoxin into the trapezius muscles to slim and relax the area for both aesthetic and functional benefits. 

While it seems like the ‘trap Botox’ trend came out of nowhere, it’s actually been an established – albeit under-the-radar – off-label use of botulinum toxin type-A injections for some time. So, what are the benefits of injecting Botox® and the like into the trapezius muscles and who is a candidate for treatment? Top injectors break it down.

## **Anatomy 101: The Trapezius Muscle**
Before we dive into trap Botox, let’s start with a quick anatomy lesson. The trapezius is a large, superficial back muscle that gets its name from its shape – it resembles a trapezoid. It starts at the base of the neck and extends across the shoulders and down the middle of the back. 

The main function of the trapezius (a.k.a. ‘the traps’) is stabilizing the scapula (read: shoulder blades) and controlling it during movements of the shoulders and arms (think: throwing, shrugging, raising your hand, sitting up straight, etc.). “Many of us hold tension in our shoulders,” says [Kiran Mian, DO](https://www.drkiranmian.com/), a board certified dermatologist at Hudson Dermatology & Laser Surgery in New York City. “We also hold postures in our day to day that require our shoulders to be hunched over, like working at a computer, sitting at a desk, or even on our phones.” 

The overuse of the trapezius causes hypertrophy or enlargement, Dr. Mian notes, which can lead to both functional (think: physical discomfort) and aesthetic concerns. “Most people have a bulge where the neck meets the shoulder,” says [Nigar N. Ahmedli, MD](https://www.montefiore.org/doctors/profiles/1790164341/nigar-n-ahmedli), a board certified otolaryngologist and director of facial plastic and reconstructive surgery at Montefiore Medical Center in NYC. “It can interrupt the flow of the neck, thus shortening the appearance of the neck.” This is where trap tox comes in.

## **What Is ‘Trap Tox’?**
Whether you call it ‘Trap Tox’ or ‘Barbie Botox’ (yes, the movie mania infiltrated aesthetic medicine, too), the treatment is the same. Neurotoxins like Botox®, Dysport®, Jeuveau®, and Xeomin® are injected into the trapezius muscle to address physical and/or cosmetic concerns. “Physically, Botox injections into the trapezius muscle can make the two sides more even, less bulky, and/or more proportional to the client’s overall frame,” says [Kristina Kitsos, RN](https://www.instagram.com/kristinakitsos/?hl=en), a registered aesthetic nurse in Beverly Hills. “It can also make the neck appear longer and shoulders thinner, which is why many people call it ‘Barbie Botox.’”

Much like any other botulinum toxin type-A injection, the treatment is entirely customizable. “Injections of Botox into the trapezius muscle are targeted toward specific regions within the muscle to create the desired effect – ranging from enhancing the shape of the muscle, promoting symmetry, and refining proportions or slimming the muscle,” Kitsos says. “Based on the patient’s individual goals, placement and dosage is modified.”

### **Aesthetic Benefits of Trap Tox**
Much like Botox is injected into the jaw to slim the lower face, it can be injected into the trapezius to improve the contour of upper body. “Neurotoxin injections in the trapezius can have a slimming effect on the neck,” says [Margarita Lolis, MD](https://www.schweigerderm.com/providers/margarita-lolis-m-d/), a board certified dermatologist and Mohs surgeon in New Jersey. “This is because the neurotoxin itself lowers the trapezius muscle, making the neck appear longer.” 

The injections “elongate the neck, creating a more feminine contour between the neck and shoulders,” Dr. Mian explains. The swan-like effect creates the appearance of a more delicate upper body that is likened to a Barbie doll.

### **Functional Benefits of Trap Tox**
We may associate Botox with wrinkle reduction, but BoNT-A injections are also used to treat muscle spasms associated with TMJ, lazy eye, vaginismus, hyperhidrosis (read: excessive sweating), and, yes, neck and shoulder pain. “Trap tox can relax tension or spasm in the trapezius muscle,” says[ Jennifer Levine, MD](https://www.drjenniferlevine.com/), a double board certified facial plastic and reconstructive surgeon in NYC. 

At their core, neuromodulators like Botox®, Dysport®, Jeuveau®, and Xeomin® relax muscles. In the forehead, for example, that improves the appearance of wrinkles. In the upper back, that can ease stress and discomfort. “The muscles of this region – including the paired trapezius muscles – can tighten and spasm, leading to neck and shoulder pain as well as tension headaches,” Dr. Ahmedli explains. “Injecting the trapezius muscles with neurotoxin relaxes the muscles, allowing the tightness to improve and, therefore, helping decrease pain and headaches.”

## **The Ideal Candidate for Trap Tox**
A candidate for trap tox could be someone looking to relieve tension in the neck and shoulders, someone looking to slim the area, or someone looking for a bit of both. “The ideal patient is someone with stiffness or pain in the trapezius muscles, people with overdeveloped trapezius muscles, and anyone who has neck and shoulder pain from overuse of their trapezius muscles,” Kitsos shares. “A good candidate would be anyone who would like to create a more svelte, longer-looking neck and less bulky shoulders.”

Injectors will study a prospective patient a few ways to determine candidacy. “The ideal patient for trap tox has palpable trapezius muscles – the provider can feel the muscle with their hands – with a noticeable bulge,” Dr. Ahmedli says. “The neurotoxin injection will diminish the bulge and create a sleek neckline.” Body language can also be a sign. “The ideal patient for trap tox is someone who subconsciously hunches their shoulders, causing increased tension in the muscle that builds over time as well as hypertrophy,” Dr. Mian adds. 

The treatment, however, is not for everyone. Generally speaking, neurotoxins are not recommended for those under 18, women who are pregnant or nursing, anyone with an allergy to the components of the injectables, or those with certain chronic medical conditions. When it comes to trap tox specifically, “one should avoid this treatment if they have neuromuscular conditions, nerve damage in that area, or any injury or generally weak musculature in that area,” Dr. Mian cautions. 

## **What to Expect from a Trap Tox Treatment**
If you’ve ever had neurotoxin injections on the face, Dr. Levine says you can expect pretty much the same experience when it comes to trap tox preparation, in-office experience, and recovery. “Much like facial Botox injections, trapezius muscle injections have little to no pain and take just a couple of minutes to administer,” Kitsos notes.

On the pain point, facial Botox injections rarely feel like more than a pinprick. Trap tox can have a slightly stronger – though still manageable – sensation. “A longer needle is used to get to the muscle, as the trapezius lies deeper than facial muscles,” Dr. Mian shares. “It can cause a little bit more discomfort during the procedure.” If pain is a concern, Dr. Lolis says patients may choose to numb for 15 to 30 minutes prior to treatment. 

What is different between trap tox and facial Botox is the amount of product needed. “We are talking about much higher doses of toxin for the trapezius because it is a much more dynamic and stronger muscle compared to your facial muscles,” Dr. Lolis notes. While the actual dosage will depend on the patient and product, there are some general rules of thumb. “Because the trapezius muscles are much larger than the muscles in the face, the dosage in the trapezius is often two to three times that of popular areas like crow’s feet and frown lines,” Kitsos says.

Each brand of neurotoxin requires slightly different dosing, but Dr. Ahmedli shares that if you are used to getting 20 to 35 units of Botox® in the forehead, the trapezius may need 40 to 75 “depending on the muscle size and tightness.” Dr. Levine offers a similar guesstimate. “The trapezius is a very large muscle, so it takes many units to get an effect,” she shares. “If it is 10 to 20 units for the forehead, the trapezius may need 50 or more per side.” Neurotoxins tend to be priced per unit based on the provider and location, but you can expect to pay around $1,000 for a trap tox treatment.

For the best experience, Dr. Lolis recommends avoiding exercising and lifting heavy weights on the day of the injection to ensure the traps are “as relaxed and tension free as possible.” Post-injection, avoid alcohol, strenuous activity, and massaging the treated area for the first 24 hours. “Patients mainly need to be careful not to apply any pressure on the shoulders/trapezius muscles for a few hours after injections,” Dr. Lolis adds. 

## **When to Expect Results from Trap Tox**
If you’ve ever had a neurotoxin treatment, you know the results are not instant. In the case of trap tox, the results are often staggered. “Patients will start to notice a difference a few days after injection as the muscle begins to feel less tight,” Dr. Ahmedli says. “Maximal effect is seen at the two-week mark.”

Depending on the product used and the patient’s lifestyle and metabolism, the effect can last anywhere from two to six months. In some cases, more than one treatment may be needed to enjoy the full aesthetic and functional benefits. “Some patients will see results after the first treatment, while others may take more sessions,” Dr. Mian notes. 

While “the physical relief of tension will be felt after the first treatment,” she says, the aesthetic results “of elongated neck-shoulder curvature” may take a second treatment because “alleviated hypertrophy of the muscle can take some time.” In other words, “the muscle needs time to shrink now that it’s not being recruited constantly,” Dr. Mian adds.

### **A Note About Muscle Movement**
Neuromodulators temporarily paralyze the muscles they are injected into until the toxin wears off, so are you basically opting for partial neck paralysis when you get trap tox? Not exactly. “Ideally you want to obtain the effects of tension release and aesthetic results without affecting functional movement,” Dr. Mian shares. “The ideal dosing lies in that balance between relaxing the muscle enough to achieve those results, while still being able to have movement like shrugging your shoulders.”

That’s not to say you won’t notice a difference. “At first, the muscle may be a bit weaker than normal,” Kitsos says. “After the neurotoxin wears off, patients will find that their trapezius muscles will go back to normal movement and they will once again be able to easily shrug their shoulders.” In Dr. Ahmedli’s experience, it’s mostly about tension. “The main difference patients notice is a decrease in the tightness in the shoulders,” she says. “As the neurotoxin wears off, the tightness will return.”

These are all things to talk to your injector about prior to treatment. “There is definitely a potential for muscle weakness in the treated area, which can affect muscle function,” Dr. Lolis shares. “You can potentially lose muscle since it is not being worked, and the other potential downside is that the two sides might be asymmetric.”

## **The Takeaway**
Yes, trap tox can give you a longer neck and more contoured upper body. But it is really a game changer for those who experience chronic neck and shoulder pain as a result of stress or tension. Consulting with an expert injector can help you determine if you are a candidate for this under-the-radar neurotoxin treatment.


Aesthetics

Understanding the benefits of TrapTox and why its more than just a passing trend

Industry leading injectors give insight on TrapTox and its benefits

Why #TrapTox Is More Than Just a Passing TikTok Trend

Sahand Hoseini for Unsplash - Under-eye Filler

sahand-hoseini-RnCLtXEouJE-unsplash-min (1)-min

You’ve likely seen the before and after pictures on social media of people who seemingly had all of their under eye concerns erased thanks to a bit of strategically placed filler in the tear trough region. For the right patient, under eye filler can have a transformative contouring, smoothing, and brightening effect. But depending on the cause of your dark circles, hollowing, and skin quality concerns, under eye filler can actually make matters worse.

So, how can you tell if you are a candidate for under eye filler? We’re talking to top dermatologists and plastic surgeons about the pros and cons of the minimally invasive procedure and the factors that go into determining whether or not it’s right for you.
## **The Benefits of Under Eye Filler**
When we talk about under eye concerns, it's often in general terms. How many times have you heard someone say their eyes look 'tired'? Or that they want them to appear more ‘awake’? The reality is that there are a number of smaller factors that contribute to the eye area looking a little sleepy. 

One of the biggest culprits of 'tired' under eyes is a lack of volume in the under eye area either due to anatomy or age. “In some patients, aging leads to the loss of fat under the eyes, giving a hollow or skeletal appearance,” says [Nigar N. Ahmedli, MD,](https://www.montefiore.org/doctors/profiles/1790164341/nigar-n.-ahmedli) a board certified otolaryngologist in New York City who specializes in facial plastic and reconstructive surgery. Those hollows can then create the illusion of darkness in the region. "They worsen the appearance of dark circles under the eyes by creating a shadow that accentuates the darkness," she notes.

Additionally, the volume loss draws attention to the tear trough. “The ‘tear trough’ area refers to the separation between the lower eyelid and the upper cheek,” says [Elizabeth Callahan, MD,](https://sarasotadermatologist.com/) board certified dermatologic surgeon in Sarasota, FL. Coupled with changes in skin quality, the result is fine lines, dark circles, a general loss of contour, and, yes, an overall 'tired' appearance. 

Injecting a hyaluronic acid (HA)-based filler into the under eye area can be an effective treatment for this. “Under eye filler is best for providing volume to the hollows beneath your eyes,” says [Melissa Doft, MD,](https://aedit.com/provider/melissa-doft-md-63) a double board certified plastic and reconstructive surgeon in NYC. "Adding filler to the under eye area will help with shadows and also act as a wonderful moisturizer to help with dehydrated and crepey skin."

It can also be used to improve the contour of the upper face. "Under eye fillers can address the hollows created beneath the eyelid and at the junction of the cheek and lower eyelid," says [Kenrick Spence, MD,](https://www.mynewbeauty.com) a board certified plastic and reconstructive surgeon in Orlando, FL. "Asymmetry can be corrected and dark circles can be softened with the help of under eye fillers."

## **The Misconceptions About Under Eye Filler**

Here’s the thing, under eye filler “can address aesthetic concerns like hollowness, volume loss, and shadows,” says [Kami Parsa, MD,](https://www.oculoplastic.info/) a board certified oculoplastic surgeon in Beverly Hills. And here comes the ‘but.’ “A misconception is that filler can help everyone,” Dr. Callahan notes. This is because “under eye filler is not a blanket intervention that addresses all under eye-related concerns,” Dr. Ahmedli adds.

With that in mind, we asked our pros to break down some of the most common misconceptions about under eye filler:
### **1. Under Eye Filler Treats Eye Bags**
For starters, under eye filler does not treat what we colloquially refer to as ‘eye bags’ and puffiness. “Puffiness is due to excess fat or lack of proper lymphatic drainage,” Dr. Doft says. “Both of which will not improve with fillers.” Regardless of the cause, the appearance of puffiness is “the opposite of having hollows,” Dr. Ahmedli notes. 

In the case of puffiness caused by excess fat, “the under-eye fat protrudes forward instead of retracting into the eye socket,” Dr. Ahmedli explains. Filler will only exacerbate this. “Adding filler to an area that’s already puffy just makes it worse,” Dr. Parsa says. This can be true even if you simultaneously have both depressions and puffiness as a result of displaced fat. “In some people, there are under eye bags, which create a relative bulge followed by a hollow,” says [Lesley Rabach, MD,](https://lmmedicalnyc.com/dr-lesley-rabach/) a double board certified facial plastic and reconstructive surgeon in NYC.
### **2. Under Eye Filler Erases Dark Circles**
You’ll be hard pressed to find someone who hasn’t dealt with dark circles under the eye. And while under eye filler can help brighten the area by lessening the shadowing caused by hollowing, it does not directly treat discoloration. “Filler will not improve dark circles or discoloration of the skin,” says [Oren Tepper, MD,](https://orenteppermd.com/) a board certified plastic and reconstructive surgeon in NYC. 


The reason? Dark circles are not one size fits all. “Dark circles and hollows under the eyes can be caused by various factors, including lack of sleep, genetics, aging, allergies, sun exposure, dehydration, various lifestyle factors, and other medical conditions,” Dr. Callahan shares. And remember: “Everyone has some degree of darkness under the eye,” Dr. Rabach emphasizes.
### **3. Under Eye Filler Is Risk Free**
Getting HA filler in any part of the face can seem like a ‘quick fix’ that offers immediate results with little to no downtime. But the reality is that injecting filler – especially to the complex under eye area – requires a great deal of training and understanding of facial anatomy. “There is a misconception that placing filler under the eye is completely safe,” Dr. Doft cautions. 

As she explains, under eye filler can have a tyndall effect when it’s injected too superficially, leading to a blue tint under the skin. It can also cause “scarring of the lymphatics leading to malar bags and possible blindness,” she says. For these reasons, “this is a procedure I would only have a board certified plastic surgeon or dermatologist perform,” Dr. Doft shares. 

Technique is also vital to ensure a safe, effective, and aesthetically pleasing result. “Many providers place tear trough or under eye filler in the wrong spot,” Dr. Rabach notes. “It is a very delicate area, but it is most of the time placed too low – almost over the orbital rim – instead of high into the tear trough.” Seeing a board certified provider who regularly performs the procedure can help mitigate this risk.
### **4. Under Eye Filler Is Like a Filter**
Even in the best hands, it’s also important to keep your expectations in check. “The most common misconceptions about under eye filler are that it is a simple intervention that improves under eye hollows, bags, dark circles, and skin texture,” Dr. Ahmedli explains. “It is crucial to understand that dark circles are due to the deposition of pigment into the thin skin of the eyelid, and lower eyelid skin tends to become like crepe paper – crinkled with fine lines – with aging.” 

And no, you are not going to look perpetually Facetuned. “People think under eye filler will completely make under eye hollows or darkness go away, and that you will look like a heavily filtered Instagram model after treatment,” Dr. Rabach says. “No one looks like this.”
## **Are You a Candidate for Under Eye Filler?**
Now that you know the benefits and limitations of under eye filler, it’s time to determine if you are a candidate. During a consultation with a board certified dermatologist or plastic surgeon, the provider will be studying the under eye region to determine the root cause of your aesthetic concerns. "There are so many factors when we discuss the under eye hollows because they happen for so many reasons," Dr. Rabach notes.

As she explains, it is important to look at skin tone and what is behind any darkness or discoloration. “The skin is so thin, so we can see tiny blood vessels under the skin,” she shares. “The skin is also more prone to pigmentation due to the hollow and being so delicate.” Additionally, darkening under the eyes can be caused by “light reflecting off the concavity making a shadow,” she notes. Only the latter can be improved with filler.

And then there is the contour of the under eye region. “In some people, there are under eye ‘bags’ that create a relative bulge followed by a hollow,” she says. “We also need to consider the relationship and general anatomy of where the orbital rim is related to the eyelashes and the direction of the hollow.” These factors and more, she notes, “need to be weighed for candidacy for under eye filler.”

Here are some general guidelines for what makes someone an ideal candidate for under eye filler:
### **Ideal Candidates for Under Eye Filler**
The ideal candidate for under eye filler “is a patient who has hollows under the eyes without puffiness and without heavy dark circles,” Dr. Ahmedli says. “This allows for filler to be placed in the hollow to correct the depression and to restore the natural slope of the under eye-to-cheek transition found in a youthful face.”

When it comes to volume loss and puffiness, there is a fine line between how much is too much. “An ideal candidate for under eye fillers is someone that has a modest loss of volume, mild bulging of fat pads, and modest skin laxity under the eye region,” Dr. Spence says. This means age will be a factor. Dr. Rabach says ideal candidates for under eye filler are generally “younger” – meaning twenties, thirties, and forties. 

Skin quality matters as well, Dr. Tepper notes. “Thicker skin,” Dr. Rabach says, is better suited for filler because it usually blocks any visible under eye vessels that can cause discoloration. Additionally, she said the region should have little to no pigmentation (another common cause of dark circles). 

Last but not least, under eye filler can be an option for “people who are not ready for surgery,” Dr. Parsa says. In such cases, however, it’s important to know what you are signing up for. “There is definitely a limitation on how much they work,” he notes. “And the key here is to understand that fillers are not a permanent solution.” Though they may hang around longer than expected. “Fillers last many years, even though we are told they last only six months,” he cautions. 
### **Non-Candidates for Under Eye Filler**
Generally speaking, “someone who is older with larger bags, lots of excess skin, pigmentation, and/or very thin skin” would not be a good candidate for under eye filler, Dr. Rabach says.

As it relates to most dark circles, filler is not a fix. “Filler cannot correct issues such as genetic hyperpigmentation or blood vessels shown under the eyes,” Dr. Callahan shares. Similarly, it can’t necessarily contour away puffiness. “Some patients lack under eye hollows and instead have more fullness or ‘bags,’” Dr. Ahmedli says. “This creates a bubbling look in which the under-eye bulges forward and accentuates the tear trough groove underneath leading to a harsher separation between the under eye and cheek.” Filling the area can exacerbate this.

It’s also important to consider the anatomy of your entire face – not just the under eye. “If the patient lacks cheek fat, then filling the tear trough groove becomes tricky,” Dr. Ahmedli cautions. “A provider cannot fill the groove to maximal correction because the lower lid will appear even puffier, creating the dreaded ‘chipmunk’ look.” Dr. Spence agrees that those with “severe volume loss from the cheek are not going to be the ideal candidates for under eye filler.” Ultimately, Dr. Callahan says you need to identify the actual culprit of your aesthetic concerns. “Filler will not help if the real problem is lack of volume in the cheeks just below the dark circles,” she notes.

Another thing to keep in mind? Your health. “A bad filler candidate is someone who suffers from chronic/seasonal allergies (itchy swollen eyes), puffy lower eye bags, fluid retention syndrome (eye bags that swell in the morning or based on what you eat), and those who have a significant amount of loose skin under the eyes,” Dr. Parsa shares. “Adding volume with HA filler to the undereyes will make things look worse in these situations.”
### **Do You Actually Need a Blepharoplasty?**
We’ve talked a lot about why you might not be a good candidate for under eye filler if you have under eye bags, puffiness, and skin laxity. What may be a solution, however, is a surgical blepharoplasty. “Blepharoplasty is a surgical procedure aimed at rejuvenating the eyelids,” Dr. Callahan explains. “It involves the removal of excess skin, fat, and sometimes muscle from the upper and/or lower eyelids.” 

When it comes to the lower lid, the eyelid surgery can address eye bags and skin laxity concerns. “Lower eyelid blepharoplasty, or lower eyelid lift, allows for excess skin to be removed and for the fat pockets to be contoured and repositioned to improve the appearance of the puffiness and the tear trough groove,” Dr. Ahmedli shares. As Dr. Tepper explains, a blepharoplasty is the preferred treatment if “tear trough deformity is moderate to severe” and “there is excess fat protruding in the lower eyelids.” While “filler will not correct or address this,” he says, “the fat can be removed or transposed” surgically.

For some patients, under eye filler is a gateway to blepharoplasty. “It is more common for younger patients to begin with under eye filler given the lack of excess skin,” Dr. Ahmedli notes. But that is not always the case. “A lot of our patients think the best way to treat their under eye concerns is by adding volume with filler,” Dr. Parsa says. “We have had countless patients come to us to remove their under eye filler and proceed with a blepharoplasty for long-term results.” In such cases, the under eye filler must be completely dissolved before proceeding with surgery, he adds.

For others, surgery is the best and only option. “If the real problem is fat pad herniation (a.k.a. eye bags) then surgery is the best choice,” Dr. Callahan says. Additionally, “if a patient has excess lower eyelid skin that is bunching, then blepharoplasty is a better option than filler,” Dr. Ahmedli shares. Ultimately, “a patient with significant skin laxity and bulging fat pads with volume loss to the cheeks is better served with a surgical approach,” Dr. Spence says. “The procedure actually removes excess skin and fat rather than filling in any hollowness.”
### **The Takeaway**
Under eye filler can be a rejuvenating treatment that instantly revitalizes the eye area, but it is important to understand that it has its limitations. Fillers will add volume to an area and are great for problems due to a loss of volume such as dark circles. For under eye issues due to abnormally enhanced volume, such as eye bags or festoons, under eye fillers are not appropriate and can exacerbate your problem. Says fellowship trained Facial Plastic Surgeon, [Dr. William A. Kennedy, MD](https://aedit.com/provider/william-kennedy-md-26292). If you are interested in under eye filler and think you may be a candidate, The AEDITOR — the patented 3D Aesthetic Simulator available exclusively in the AEDIT iOS app — allows you to ‘try on’ the procedure and instantly visualize medically accurate results. Download the app here, and, once you give it a try, consult with a board certified dermatologist or plastic surgeon to determine if under eye filler is the right treatment option for you.

Are You a Candidate for Under Eye Filler? 

Are You a Candidate for Under Eye Filler? Here’s How to Tell

Unsplash/Tyler Nix 

It is said that summer bodies are built in the winter. That logic can extend to any time of the year and is true of both at-home nutrition and fitness plans and in-office [body contouring](https://www.aedit.com/procedure/body-contouring-solutions) treatments. “There is no such thing as an overnight sensation,” says [Amy Wechsler, MD](https://www.dramywechsler.com/), a board certified dermatologist and psychiatrist in New York City. But what if a special event or trip popped up and your timeline is tighter than, say, the six months between the winter and summer solstices – are there any toning and tightening treatments that can get the job done sooner? 

The answer is yes, if your expectations are properly managed. “It takes three to six months for any invasive procedure to have optimal results,” says [Joseph Zakhary, MD](https://breastreconstructionaz.com/about/practitioners/dr-joseph-zakhary/), a board certified plastic and reconstructive surgeon and co-founder of Southwest Breast & Aesthetics in Arizona. “Less invasive procedures may have speedier recoveries, but expectations should be tailored as the result is usually less dramatic when compared to a surgery.”

So, while there may be, as Dr. Wechsler notes, no substitute for “eating healthfully, exercising, sleeping enough,” and budgeting a proper amount of time, there are some body contouring procedures that can sculpt key areas of the body with minimal downtime and – relatively – quick results. Here, we’re breaking them down (and level-setting your expectations) with the help of expert dermatologists and plastic surgeons.

## **The Most Popular Areas for Body Contouring**

Before we dive into the procedures that can tone, tighten, and sculpt, let’s talk about the areas of the body that are most often treated. “Common areas of body contouring for women are the lower abdomen, outer hips, and flanks (love handles), as well as the outer and inner thighs,” says [Lyle Leipziger, MD](https://www.drleipziger.com/), a board certified plastic and reconstructive surgeon and chief of plastic surgery at North Shore University Hospital and LIJ Medical Center on Long Island. “The distribution is different for men, so these areas would be more limited to the trunk, upper and lower abdomen, and hips and flanks.” In some cases, guys may also be interested in sculpting the chest, he adds.

For men and women alike, the waistline is “by far” the most popular area to address, says [Max Polo, MD](https://miamiplasticsurgery.com/), a board certified plastic and reconstructive surgeon at Miami Plastic Surgery. “That includes the abdomen in front and the flanks on the side and in back,” he notes. Speaking of the back, women may seek to slim the mid-back or so-called “bra-fat” area, and the “buttocks is, of course, very popular these days for contouring,” Dr. Polo shares. 

Another way to think about this is in relation to the concerns you are targeting. “The most common areas for patients seeking fat reduction are the abdomen, love handles, arms, and thighs,” says [Jessie Cheung, MD](https://drjessiecheungnyc.com/), a board certified dermatologist who practices in NYC and Chicago. “Besides the face, the buttocks remain the most popular area for filler augmentation.” When it comes to strengthening and toning, “the most common body areas treated for muscle building are the buttocks, abdomen, arms, and calves,” she adds. And let’s not forget cellulite in the trunk area – especially heading into the summer months.

## **Managing Expectations**

Here’s the good news. “There are some treatments that offer some immediate change,” says [Jennifer Levine, MD](https://www.drjenniferlevine.com/), a double board certified facial plastic and reconstructive surgeon in NYC. And here comes the ‘but’ – “most need more than one treatment and have visible results in four weeks with maximal effects at 12 weeks,” she adds.

Downtime is one part of the process where you can save some time. “Many body contouring procedures available have minimal downtime as compared to surgery,” says [Elizabeth Callahan, MD](https://sarasotadermatologist.com/about/dr-callahan/), a board certified dermatologist at SkinSmart Dermatology in Sarasota, FL. But that doesn’t necessarily have any bearing on when you see results. “Even when you do a procedure like CoolSculpting®, you still have to wait for the body to eliminate the treated fat and that can take up to three months,” she notes. “This is one of the main reasons we recommend patients pursue treatments in the winter – so they can be feeling great about their results by summer.”

If time is not on your side, you’ll want to have a conversation with your provider about what’s possible given your circumstances and aesthetic goals. “It's important to educate patients that results from body contouring aren't always immediate – even liposuction takes months to see the final results due to swelling and delayed skin tightening,” Dr. Cheung cautions. “Non-invasive fat reduction, skin tightening, and muscle-building procedures will typically need a series of treatments to see dramatic results, while buttock augmentation with fillers is an instant gratification procedure with minimal downtime.”

The takeaway: “Preparation, planning, and setting expectations is key,” Dr. Zakhary says.

## **The Best Minimally Invasive Body Contouring Procedures**

Now that you have a better sense of the most common treatment areas and what is actually possible to achieve with in-office treatments, it’s time to take a closer look at the minimally invasive non-surgical and surgical body contouring procedures to tone, tighten, and sculpt.

### **For Non-Surgical Augmentation**: Dermal Fillers

**Downtime**: None, though bruising, swelling, soreness possible
**Results**: 1 to 12 weeks

If you are looking for an instant result, hyaluronic acid-based fillers sculpt the face and body upon injection. Biostimulatory injectables, like hyper-diluted [Radiesse®](https://www.aedit.com/procedure/radiesse) and [Sculptra®](https://www.aedit.com/procedure/sculptra), require a bit more time to set in but are still pretty speedy and can improve skin quality and add volume. “Radiesse®, in particular, will have an immediate effect,” Dr. Levine notes, though you’ll see more of the benefits at the four-week mark and even more at 12 weeks. She recommends one to four treatments spaced four weeks apart for best results. 

To boost your backside, Dr. Cheung says “the best buttock augmentation is filler injections.” She says they can be completed within one to three initial sessions depending on your desired outcome. “These need to be continued once every six to eight weeks, and minimal downtime includes possible bruising, swelling, and soreness,” she notes.

### **For Non-Surgical Fat Reduction**: CoolSculpting®

**Downtime**: None, but expect mild swelling and redness
**Results**: 4 to 12 weeks
[CoolSculpting®](https://www.aedit.com/procedure/cool-sculpting) and the newer [CoolSculpting® Elite](https://aedit.com/aedition/malin-akerman-coolsculpting-elite) use cryolipolysis technology to freeze away unwanted fat cells. “It works by applying the applicator to the targeted area and securing it, cold energy is then delivered and destroys the fat cells with no irritation or damage to the skin,” says [Ariel Ostad, MD](https://drarielostad.com/), a board certified dermatologist in NYC. “CoolSculpting® Elite can treat many areas including the abdomen, back, arms, inner and outer thighs, double chin, and love handles.” What’s more? “It is a non-surgical procedure with no downtime,” he notes. “The most common side effect is mild swelling and redness that usually goes away in 24 hours.”

While there has been a renewed focus on rare but serious adverse effects like [paradoxical adipose hyperplasia (PAH)](https://aedit.com/aedition/paradoxical-adipose-hyperplasia-after-cryolipolysis), the majority of our experts recommend the treatment. “Despite recent bad press, this is still very effective technology with very rare complications,” Dr. Polo shares. “It is best for small areas of fat.” Because of its targeted nature, the treatment is highly customizable. “CoolSculpting® can treat almost any area on the body and usually takes two treatments spaced a month apart for optimal results,” Dr. Wechsler explains.

Since the fat cells need to be removed from the body, it takes several weeks to enjoy the full effect. “Patients see results from CoolSculpting® in three months,” Dr. Callahan shares. “This is due to the biology of fat reduction in the body, which takes some time.” Even so, Dr. Levine says she has noticed the updated CoolSculpting® Elite gives at least a sign of what’s to come much sooner. “It can have effects seen as early as two weeks, she notes.

### **For Non-Surgical Muscle Toning**: Emsculpt® Neo

**Downtime**: None, but soreness and puffiness are common
**Results**: 4 to 12 weeks
The OG [Emsculpt® ](https://aedit.com/procedure/emsculpt)used high-intensity focused electromagnetic technology (HIFEM) to mimic the effects of 20,000 crunches in a 30 minute treatment. The updated version of the device, [Emsculpt® Neo](https://aedit.com/aedition/what-its-like-to-get-emsculpt-neo), combines HIFEM with radiofrequency (RF) fat reduction for even better results. “The best muscle building treatment is Emsculpt® Neo,” Dr. Cheung says. It is used to tone and sculpt the abdomen, arms, buttocks, and thighs. 

Dr. Levine likes it because of the lack of downtime and the progressive nature of the results. “We recommend four to six sessions spaced one week apart,” she shares. “Some patients notice an immediate change, but visible results are seen at four weeks with the maximal effect at 12 weeks.”

### **For Non-Surgical Fat-Reduction & Skin Tightening**: Radiofrequency

**Downtime**: 48 to 72 hours
**Results**: 4 to 12 weeks
If you are looking to non-surgically target both skin laxity and excess fat concerns, radiofrequency (RF)-based treatments can do both. [Morpheus 8 ](https://aedit.com/procedure/microneedling-with-radiofrequency)combines RF with microneedling (a.k.a. collagen induction therapy). “This modality boosts collagen in the skin to thicken skin and smooth wrinkles and creases,” Dr. Polo shares. Think of it as microneedling on steroids. “The needles emit radiofrequency energy into the skin layers, causing the skin to heat and tighten,” Dr. Ostad explains. “This added heat promotes the production of collagen at a much greater level than traditional microneedling.”

It is used to treat the face, neck, abdomen, arms, and legs, and three treatment sessions spaced four weeks apart are needed for the full effect. Redness and swelling are common for a few days after treatment, and you can resume wearing makeup after 48 to 72 hours. “Results are seen from a few to several weeks after each treatment and are maintained for several months to years after completing three sessions,” Dr. Polo says.

For a non-surgical alternative to liposuction, Dr. Polo is a fan of [BodyTite™](https://aedit.com/procedure/bodytite) or radiofrequency assisted lipolysis (RFAL). The “internal probe treatment,” is similar to “a small liposuction procedure,” he says. One treatment under sedation anesthesia can reduce fat and firm the skin. “This treatment is effective for dissolving small amounts of fat and achieving higher definition in already lean individuals,” Dr. Polo says. “Even more effectively, it tightens skin.”

Unlike some of the other procedures on the list, there is downtime, in addition to swelling, bruising, and tenderness. “There are only two days of downtime at most,” Dr. Polo notes. “Results are seen from a few to several weeks after treatment and are maintained for years.” He says BodyTite™ can be performed as a stand-alone procedure or in combination with liposuction to achieve a smoother contour.

### **For Non-Surgical Neck & Jawline Sculpting**

**Downtime**: None, but swelling is likely
**Results**: 4 to 24 weeks

We’re mostly talking about the body, we’d be remiss not to mention a couple of the minimally invasive sculpting options that exist for the neck and jawline. [Kybella®](https://aedit.com/procedure/kybella) is an FDA-approved medication that, when injected under the chin, destroys fat cells. “It contains deoxycholic acid, a substance found in the body that breaks down dietary fats,” Dr. Ostad shares. “This treatment restores a more youthful jawline with minimal downtime.”

Depending on your anatomy and aesthetic goals, two to six treatments spaced at least a month apart are needed. Patients see results about four to six weeks after each injection. Swelling and soreness are common, but there is no downtime.

If submental and facial skin tightening is what you are after, Dr. Callahan recommends [Ultherapy®](https://aedit.com/procedure/ultrasound-skin-tighteningultherapy). The non-invasive treatment employs microfocused ultrasound technology to the face and neck to kickstart the body’s own collagen production processes. There is no downtime, but “results take about six months due to the nature of collagen stimulation and growth,” she notes.

### **For Smoothing Cellulite**

**Downtime**: None, save for some minor swelling and bruising
**Results**: 4 to 12 weeks
If smoother skin is what you’re after, there are a few minimally invasive treatments for cellulite that will start showing results in four weeks or less.

- **Avéli™**: Performed under local anesthesia, the procedure identifies and releases the septa that cause cellulite dimples on the buttocks and thighs in just one treatment. Dr. Levine says some results are immediate (once bruising and swelling subside), but they continue to improve for up to 12 weeks. 
- **Cellfina®**: The one-time treatment targets the structural cause of cellulite by releasing tension on the connective bands that are woven into the fat in the thighs and buttocks. Bruising is common, but there is no downtime. The initial results of [Cellfina®](https://aedit.com/procedure/cellfina) are quick (think: days not weeks), and “patients can be bathing suit-ready as soon as one month after,” Dr. Polo shares.
- **Sentient Sculpt™**: This energy-based treatment can address a myriad of concerns – including cellulite. It uses 2.45 gigahertz of energy, 80 percent of which is sent directly into the fat tissue and cellulite fibers. In addition to the smoothing benefits, Dr. Cheung says “it’s the best fat reduction with skin tightening treatment.” She recommends four sessions once a month, with visible results within the first month. 

### **For Surgical Fat Reduction**: Liposuction

**Downtime**: 5 to 7 days, plus up to 6 weeks of swelling
**Results**: 3 to 6 months

The word ‘surgery’ may have you envisioning being holed up in the house for weeks, but [liposuction](https://aedit.com/procedure/liposuction) is one of the least invasive cosmetic surgeries and yields some of the most transformative results for patients looking to reduce fat. “Liposuction is the ‘minimally invasive’ procedure that possesses the opportunity for significant change with the least downtime and scarring,” Dr. Zakhary explains. “It is still surgery, but the incisions are one to two centimeters in length and positioned in areas to address the treatment zones.”

There are a number of types of liposuction that achieve the same goal – albeit with slightly different techniques. “I would recommend [tumescent liposuction](https://aedit.com/procedure/tumescent-liposuction) because it is more effective, safer, and less painful,” Dr. Ostad explains. “We utilize microcannulas, which are blunt instruments that are able to extract the fat through tiny entry points on the body.” Those incisions are so small, he says, there is no need for sutures.

He performs the surgery under local anesthesia and customizes the procedure based on areas of concern, which can include the abdomen, waist, back, arms, outer and inner thighs, and chin. “The procedure time varies with each patient, but you are able to return home at the end of the day and may return to work at least five days post procedure,” he shares.

If a more chiseled look is what you are after, Dr. Leipziger offers [liposculpture](https://aedit.com/procedure/liposculpture) as part of a liposuction procedure. “This involves using very fine cannulas to carefully sculpt problem areas to provide maximum results,” he explains. “The healing time to see full results is usually about six weeks, however, people may return to their normal activities within two weeks of the procedure.”

Regardless of the type of lipo you opt for, the post-op pain is “extremely manageable and leads to minimal downtime,” Dr. Zakhary says. “Patients will spend four to six weeks in a [spandex compression garment](https://aedit.com/aedition/benefits-of-compression-garments-after-cosmetic-surgery).” There will be about two weeks of moderate swelling and bruising that resolves over time from there. One way to move things along? “Aggressive [post-op lymphatic massage](https://aedit.com/aedition/benefits-of-lymphatic-drainage-massages-after-cosmetic-surgery) can accelerate this process and speed recovery,” Dr. Polo notes.

In terms of results, Dr. Polo says you can start to see them “as early as a few weeks after treatment,” but “usually four to six weeks are required before most swelling has resolved and the surface contour is smooth and natural again.” All told, budget three to six months for the full effect.

## **How to Maximize Body Contouring Results**

Here’s the thing, in-office body contouring procedures – while highly effective for the right candidates – are not silver bullets. Achieving sustained results takes commitment. “Just like in surgery, there are no good short cuts for achieving great results,” Dr. Zakhary says. “A healthy diet and physical fitness regimen are important, and it is also important to minimize things that cause skin damage – as in, excess sun exposure or smoking cigarettes.”

Working with a personal trainer or nutritionist can help you find a regimen that works best for your aesthetic goals, but it’s all about developing a routine that works for you. “Diet and exercise are the biggest tips I have for keeping your body toned and tight,” Dr. Ostad says. “Keeping up a healthy lifestyle is very beneficial for many different aspects of your life – including how you feel mentally and physically.”

Body contouring procedures can complement these efforts, but, ultimately, they are more of a catalyst than an end-all solution. “Don't think of these procedures as a quick fix because if you don't change your lifestyle and mindset, you will gain the weight back,” Dr. Cheung concludes. “Think of these procedures as a tool that helps you get to your desired shape when you are disciplined and put in the work of eating healthy and exercising.”


11 Body Contouring Procedures That Offer Quick Results and Minimal Downtime

Photo: Unsplash/Dom Aguiar

Whether it’s that person you see in your hot yoga class who seemed to magically drop 15 pounds or the coworker who is on a more significant weight loss journey, the tool everyone seems to be buzzing about these days is semaglutide injections. Better known by the brand names Ozempic® and Wegovy®, the medications are helping people lose weight via both on- and off-label uses.

The successful slimming is not without side effects, however, and the aesthetic changes some patients see are sending them to their plastic surgeons and dermatologists for help. ‘Ozempic Face’ and ‘Ozempic Body’ are the buzzwords being used to describe everything from the loss of volume to skin laxity that may accompany the use of these drugs, and we spoke to top plastic surgeons to get a better understanding of why it happens and how to treat it.

## **What is Ozempic?**
Ozempic® and Wegovy® are two of the best known semaglutide injections on the market today. Ozempic® was approved by the U.S. Food and Drug Administration (FDA) in 2017 to treat type II diabetes in adults. Wegovy®, meanwhile, was FDA approved in 2021 for chronic weight management in overweight or obese adults. More recently, there has been an uptick in people using semaglutide off label to lose smaller amounts of weight.

Both Ozempic® and Wegovy® involve a once-weekly injection of a specific dose under the skin of the thigh, upper arm, or abdomen. Semaglutide is part of a class of medications that ensure the pancreas releases sufficient insulin when blood glucose levels are high. Additionally, the glucagon-like peptide 1 (GLP-1) drugs make a person feel fuller longer and delay gastric emptying. The result? Fewer calories consumed. When coupled with diet and exercise, the effects can be dramatic.

Aesthetic providers are increasingly treating patients who are on the drugs for various reasons. “There are several new weight loss peptides and one of the most popular is Ozempic® or semaglutide,” says [David Shafer, MD](https://www.aedit.com/provider/david-shafer-md-153), a double board certified plastic and reconstructive surgeon and founder of Shafer Clinic in New York City. “We were ahead of the curve on this trend, as I started our metabolic aesthetic center at Shafer Clinic several years ago.”

Patients taking semaglutide injections for significant weight loss may incorporate aesthetic medicine into their treatment plan. “We see patients who use them in our practice and actually promote use of this and other semaglutides for weight loss, when indicated, under the care of a primary care provider to optimize overweight patients for flap surgery,” says [Joseph Zakhary, MD](https://breastreconstructionaz.com/about/practitioners/dr-joseph-zakhary/), board certified plastic and reconstructive surgeon and co-founder of Southwest Breast & Aesthetics in Arizona.

## **Why Everyone’s Talking About Ozempic**
If semaglutide has been on the market for a few years now, you may be wondering what all the recent fuss is about. “Ozempic® has been around for a while,” says [Jennifer Levine, MD](https://www.drjenniferlevine.com/), a double board certified facial plastic and reconstructive surgeon in NYC. “The weight loss aspect of the medication has been more prevalent for the past year.”

For one thing, it started gaining attention on social media due to celebrities and influencers subtly or not-so-subtly talking about it as a weight loss trick of sorts. “I don't think ‘trick’ is the right word to describe this given that Ozempic® is an effective drug used for type II diabetes and/or obesity,” notes [Oren Tepper, MD](https://orenteppermd.com/), a board certified plastic and reconstructive surgeon and director of aesthetic surgery Montefiore Medical Center in NYC. “What has happened over recent years is that the criterion for its use is becoming somewhat less strict.” 

As he explains, semaglutide was initially intended for people with a body mass index (BMI) over 30 or for those with a slightly lower BMI who had other significant medical issues related to being overweight. While that is still the FDA-approved use of Wegovy® (which is a weekly 2.4 milligram dose), smaller doses of semaglutide are being prescribed off-label for more moderate weight loss.


At Dr. Shafer’s practice, patient’s receive a comprehensive examination and evaluation to see if they are candidates. “Ozempic® should not be taken as a standalone medication, but rather as a customized treatment plan,” he shares. “This is not something that you just call your doctor or find online and ask for a prescription without being seen or evaluated.” 

It takes time to establish the right dosing that minimizes side effects and maximizes results, but Dr. Shafer says there is no secret as to why semaglutide injections have become popular. “First, it is very effective and people see quantifiable and visible results,” he explains. “Second, the side effect profile is very mild, and it is well tolerated when it is dosed correctly.” Another plus: “It is an easy once a week dosing,” he adds.

When it comes to treating patients who are obese, Dr. Zakhary says he has noticed the positive effects of semaglutide to “optimize weight loss” more and more in the last year or so. “This leads to patients who see us with a wide spectrum of weight loss… not dissimilar to the patients who had surgical procedures such as a gastric sleeve for weight loss,” he explains. 

## **What Is So-Called ‘Ozempic Face’ and ‘Ozempic Body’?**
If you are familiar with the old ass versus face dilemma, then you have a pretty good sense of what ‘Ozempic Face’ and ‘Ozempic Body’ refer to. “With any weight loss, there are positives and negatives,” Dr. Shafer explains. “When losing weight, we feel better, our clothes fit nicer, conditions like diabetes and hypertension and hypercholesterolemia can all improve.” Here comes the but. “However, with quick weight loss by any method – other weight loss medications, gastric bypass, lap band, etc. – we lose volume in our face and our skin can become looser,” he adds.


For many patients losing smaller amounts of weight, the face is where you notice it. “When we start getting up to 15 to 20 pounds of weight loss, you'll definitely start to see the changes,” explains [Amir Karam, MD](https://www.drkaram.com/), a double board certified facial plastic and reconstructive surgeon and founder Carmel Valley Facial Plastic Surgery and Aesthetic Center in San Diego, CA. “But even as little as five to 10 pounds can have a noticeable effect on the face.”

The most common impact is on facial volume, which can lead patients to feel like they look tired or older, Dr. Karam shares. This is especially true, he says, in people over 40. “Anytime somebody loses weight in their forties and fifties – with Ozempic® or without – their face is going to lose weight in a more accelerated way than their body,” he notes. “Therefore, even small amounts of weight loss will affect one’s face more than their handles.” 

Facial skin laxity is also a concern, particularly in patients losing large amounts of weight in a relatively short period of time. “What is often surprising to patients is the impact that this may have on the face,” Dr. Tepper notes. “The impact of semaglutide to the face includes loss of volume in key structural areas like the cheek, or temples, as well as sagging skin along the jawline and neck.” 

But it’s not just the face. Semaglutide injections can lead to rapid weight loss, which means the effects are not dissimilar to what is seen after a bariatric surgery. “These procedures, much like Ozempic®, can lead to weight loss that occurs very quickly,” Dr. Tepper explains. “With rapid weight loss, it is often difficult for the overlying skin to contract at the same rate, thus resulting in the skin being quite loose.” This most commonly affects the abdomen, breasts, upper arms, or upper thighs. 

## **The Best Procedures for Treating ‘Ozempic Face’**
As we’ve discussed, ‘Ozempic Face’ refers to the loss of facial volume and skin laxity that may accompany weight loss. “When it comes to the face, changes caused by rapid weight loss are best treated with a two-pronged approach,” Dr. Tepper shares. The first is removal and tightening of the skin and the second is the replacement of volume. 

The best way to address these concerns is with “procedures that help with lifting and laxity and promote collagen and elastin production,” Dr. Levine notes. Below are the best surgical and non-surgical solutions for ‘Ozempic Face’:

### **For Restoring Volume**
If your weight loss has resulted in a more gaunt appearance in the cheeks, temples, or other areas of the face, volume can be restored with dermal fillers and fat grafting. 

**Dermal Fillers**: Depending on your aesthetic goals, either hyaluronic acid (HA)-based fillers (think: [Juvederm®](https://www.aedit.com/procedure/juvederm)) or biostimulatory fillers (i.e. [Sculptra®](https://www.aedit.com/procedure/sculptra) and [Radiesse®](https://www.aedit.com/procedure/radiesse)) can effectively sculpt the face. “Biolstimulatory fillers such as Sculptra® or hyperdiluted Radiesse® also help to produce collagen, improving laxity, skin quality and texture,” Dr. Levine shares. The results take longer to see but are more lasting than HA fillers.

**Fat Grafting**: For patients who have unwanted fat on the body, [fat transfer](https://www.aedit.com/procedure/facial-fat-grafting) can be an alternative to synthetic fillers. “In my opinion, fat is a much better option for this because it is long-lasting and can more safely be replaced in larger volumes without additional risks,” Dr. Tepper explains. Fat is harvested via liposuction from a donor site like the flanks or thighs and transferred to areas of the face that have lost volume. Dr. Tepper’s ‘Boomerang Lift’ restores upper cheek volume in – you guessed it – a boomerang-like shape. “This technique works very well for Ozempic-type weight loss because it targets the sagging of the cheek and loss of volume that is caused by this medication,” he says. 

It’s important to remember that fillers address volume, not laxity. Depending on your age and skin quality, fillers or fat transfer might be enough to address your concerns. For others, skin tightening may also be needed. “If somebody is in their thirties and they lose some weight, it's unlikely they're going to have significant sagging,” Dr. Karam says. “They might look a bit more gaunt, and, in that case, they would only require some volume from either a fat transfer or some fillers in very select areas.”

### **For Non-Surgical Skin Tightening**
There are many modalities on the market that have the ability to firm the skin without cutting. They include, radiofrequency, microneedling, ultrasound, energy, and laser to name a few. “Renuvion® skin tightening is a great alternative to help tighten skin without large incisions,” Dr. Shafer says. “For non-invasive treatments, Ultherapy® helps tighten deeper tissues, while helps tighten more superficial skin and is great for lower eyelids.”

Dr. Levine likes Ultherapy® because it “uses microfocused ultrasound to treat the SMAS – which is the layer lifted during a facelift – and helps the body produce new and healthy collagen and elastin.” EmFace® (from the makers of [EmSculpt®](https://www.aedit.com/procedure/emsculpt)) is another one of her go-tos. “It combines radiofrequency with electrical stimulation of the facial muscles,” she explains. “It works on the muscles of elevation to tone and increases the density of the facial muscles for natural volume.” She says it also helps with wrinkles and skin quality.”

### **For Surgical Skin Tightening**
Non-surgical skin tightening can only go so far, and patients experiencing more significant skin laxity concerns would benefit from a facelift and/or neck lift. “A neck lift or facelift can help with the sagging skin around and below the and jowling associated with loss of facial volume,” Dr. Zakhary says. “Some, but not all, of these procedures can be performed at the same time.”

Surgical intervention is usually the most effective course of treatment for patients over 50, Dr. Karam shares. “If someone is in their late forties to fifties, it is likely that their weight loss will lead to sagging or unveil the level of sagging that the person already had due to aging,” he explains. “When someone’s face is fuller due to fat, it actually camouflages and hides facial sagging. But when the weight comes off, the underlying sagging is revealed.” In such cases, a facelift and/or neck lift is the only treatment option, he adds. 

For patients who also have concerns about volume loss, fillers can be coupled with surgery – but fillers alone will not necessarily be enough. “In my practice, I would suggest a vertical restore because fillers in this age group will not improve sagging,” Dr. Karam says. “The important point to make here as far as treatment is: If you have laxity, the treatment is going to be surgical; if you simply have volume loss, but your jawline and neck are pretty taut, the treatment is going to be fillers.”

### **For Improving Skin Quality**
All of these surgical and non-surgical procedures are for naught, if you are not taking care of your skin. “The best thing you can do now or at any point along the aging continuum is to get serious about sun protection and be consistent with cleansing, vitamin C, retinol, as well as additional active ingredients,” Dr. Karam shares. “This was where the concept of the KaramMD Trifecta came from.” The most important rule of skincare: “Consistency is key,” he emphasizes.

Dr. Levine is also a proponent of skincare and is a fan of SkinMedica TNS Advanced+ Serum or Neocutis Bioserum for the face.

## **The Best Procedures for Treating ‘Ozempic Body’**
Much like the face, the treatments for ‘Ozempic Body’ depend on the amount of pounds shed and the aesthetic concerns of the patients. “There are no reliable non-surgical options to address significant skin laxity after massive weight loss,” Dr. Zakhary notes. Excess skin surgery is the only treatment option for such cases, and he says patients must be weight stable for six months at their final goal. “For ideal results, we should agree in consultation that the patient's current weight is where we need it to be to achieve the best postoperative outcome for the patient,” he adds.

There are, however, some non-surgical modalities that can improve tone and firmness following less significant weight loss. Below is an overview of both surgical and non-surgical treatment options for ‘Ozempic Body’:     

### **For Non-Surgical Skin Tightening**
Energy, laser, and ultrasound-based treatments can be used on the body to tone and firm the skin and, in some cases, aid in additional fat reduction. “A great non-invasive treatment is TruBody® by Cutera which uses radiofrequency technology which can actually help tighten skin, reduce fat, and strengthen muscle,” Dr. Shafer says. He is also a fan of NuEra® by Lumenis, which is another RF technology. 


While Dr. Levine likes EmFace® for the face, she is a proponent of EmSculpt® Neo combined with Emtone® for below the neck because it “really helps for laxity and toning of the body,” she says. “Ultherapy® can also be used on the body for laxity and crepiness.”


### **For Surgical Skin Tightening**
Just as surgical lifts are the best ways to address more advanced skin laxity on the face and neck, so too are they best for most areas of the body. “Arms and legs can be treated with an [arm lift](https://www.aedit.com/procedure/arm-lift-brachioplasty) or [thigh lift](https://www.aedit.com/procedure/thigh-lift), while the trunk benefits from an [abdominoplasty](https://www.aedit.com/procedure/abdominoplasty) or – more ideally – a lower body lift,” Dr. Zakhary says. 

### **For Restoring Volume**
Volume loss doesn’t just impact the face, it can also be a concern on the body – especially when it comes to the breasts and buttocks. “For loose buttocks, either a [Brazilian Butt Lift (BBL)](https://www.aedit.com/procedure/brazilian-butt-lift) transferring fat from other areas of the body into the buttocks to lift the skin or using dermal fillers such as Juvederm®, Sculptra®, or Radiesse® is great for replacing lost volume,” Dr. Shafer shares. 

When it comes to the breasts, [breast augmentation with implants](https://www.aedit.com/procedure/breast-augmentation-with-implants) or fat transfer can increase the size and improve the shape of the chest. In some cases, a breast lift may also be needed to restore perkiness. “A combination breast procedure can be needed in females but is very exam and goal specific,” Dr. Zakary notes.

### **For Improving Skin Quality**
We’ve said it before and we’ll say it again, the best cosmetic surgery in the world can’t disguise poor skin quality. “A nice treatment for loose skin of the arms and chest is hyperdiluted Radiesse® plus Ultherapy® to help stimulate collagen and tighten the deeper tissues,” Dr. Shafer says. 

Dr. Levine also likes using diluted biostimulatory injectables on the body (think: chest and decollete), in addition to skincare. For the skin below the neck, she recommends Alastin TransFORM Body Treatment.

## **The Takeaway**
For the right patient, semaglutide can be a transformative weight loss tool. But dropping those lbs can lead to unwanted aesthetic side effects including lost volume and skin laxity on the face and body. Depending on your aesthetic goals, there are surgical and non-surgical procedures that can help plump, smooth, and tighten from head to toe. Consulting with a board certified dermatologist or plastic surgeon can help you get a better sense of the treatment options that are best for you.


The Best Procedures for Combatting ‘Ozempic Face’ and ‘Ozempic Body’

 Klara Kulikova/Unsplash_

joel-muniz-fLhghqC2Jp4-unsplash

There’s a wealth of information on the internet - some good, some bad (ok, a lot bad) - so when we saw a TikTok video about how mouth breathing can dramatically alter the structure of our faces, we couldn’t help but wonder if it had merit. The medical cosmetics industry is a [multi-billion dollar industry](https://www.plasticsurgery.org/documents/News/Statistics/2020/plastic-surgery-statistics-full-report-2020.pdf), so is it really possible that instead of getting masseter [Botox](https://www.aedit.com/procedure/botox) or [Kybella](https://www.aedit.com/procedure/kybella) you can get a more defined jawline by improving your breathing habits?

We interviewed Maryland-based board certified facial plastic and reconstructive surgeon [Samuel Hahn, MD](https://www.aedit.com/provider/samuel-hahn-md-20403) and cosmetic dentists [Anjali Rajpal, DMD,](https://www.aedit.com/provider/anjali-rajpal-428) of Beverly Hills Dental Arts and [Stacy Spizuoco, DDS](https://true-dermatology.com/dermatology-new-york?gclid=CjwKCAjwl6OiBhA2EiwAuUwWZZ30g6zy9uCbVGilK1riNcpKrUM_mdTdedrgBB9mBW7mCwNShh2XQRoC3NoQAvD_BwE), of True Dental NYC to determine whether these TikTok videos had any validity. Spoiler: our findings might surprise you!


## **WHY IS MOUTH BREATHING BAD?** 


The negative effects associated with mouth breathing aren’t anything new. In fact, the topic actually dates back to the 1800’s when author George Catlin warned about the dangers of mouth breathing in his book titled [Shut Your Mouth](https://www.barnesandnoble.com/w/shut-your-mouth-and-save-your-life-george-catlin/1137929412). While it wasn’t backed by science then, there is ample research today that confirms the benefits of nasal breathing. The biggest advantage? The hundreds of nose hairs that filter out any toxins and control temperature. Mouth breathing, on the other hand, is a less efficient way to get oxygen and has many health risks.   

Most of us know whether we’re mouth breathers or not. Common tell-tale signs are a dry mouth, bad breath, snoring, or being a loud breather. What’s less obvious is determining why you may be a mouth breather. Generally, mouth breathing is caused by structural issues, like a deviated septum, nasal valve collapse, turbinate hypertrophy, adenoid hypertrophy, or nasal polyps. But, environmental factors like anxiety, allergens, or viruses can also result in poor breathing habits. 

The most obvious side effect of chronic mouth breathing is poor dental health. As Dr. Spizuoco explains, the mouth needs saliva to cover the teeth and gums to prevent bacteria and decay. This becomes problematic when the mouth is constantly open and, as a result, dry. 

Training yourself to become a nasal breather isn’t an overnight task — especially if there’s a medical reason why you breathe through your mouth. A quick way to determine whether or not you’re an accidental mouth breather (vs a mouth breather out of necessity) is to do a simple test: close your mouth and inhale through your nostrils. If there’s any type of obstruction, you may benefit from meeting with an ENT. Depending on the structure of your nose, an ENT might recommend a [functional rhinoplasty](https://aedit.com/aedition/difference-between-cosmetic-rhinoplasty-vs-functional-rhinoplasty) (a medically necessary nose job) or prescribe medication, like antihistamines.   


## **MOUTH BREATHING AND FACIAL APPEARANCE** 


So, does mouth breathing really change your facial structure? The short answer: yes… but only if chronic mouth breathing is present at a young age.  

According to Dr. Hahn, if mouth breathing starts at an early age, it can affect the development of the upper jaw (maxilla) and palate, which translates to a narrower midface, nose, and more sunken appearance of the cheeks. 

When we breathe through our mouth, [Dr. Rajpal](https://www.aedit.com/provider/anjali-rajpal-428) explains that the tongue is positioned downward instead of resting on the roof of the mouth. In this position, the tongue can misalign the teeth rather than facilitate the growth of a wide palate and formation of a broad nasal cavity. 

Both specialists agree that these changes need to be addressed immediately, as not to cause permanent damage. “The key to treating the symptoms associated with mouth breathing is to diagnose it at an early stage while jaw development is still easily adaptable,” [Dr. Rajpal](https://www.aedit.com/provider/anjali-rajpal-428) advises. “The early recognition of these facial patterns by a joint effort of a multidisciplinary team that includes a pediatrician, orthodontist, and otorhinolaryngologist can help reduce the detrimental effects of breathing impairments on facial characteristics before impaired growth has proceeded irreversibly.”

As [Dr. Hahn](https://www.aedit.com/provider/samuel-hahn-md-20403) and [Dr. Rajpal](https://www.aedit.com/provider/anjali-rajpal-428) explain, you can’t actually reverse chronic mouth breathing’s effects on adult facial structure, despite what social media says. There may be some very subtle changes to facial structure when undergoing treatment for chronic mouth breathing but [Dr. Hahn](https://www.aedit.com/provider/samuel-hahn-md-20403) wouldn't consider them dramatic. 

“Any positive changes are probably mostly due to improved quality of life (e.g. exercise capacity, decreased fatigue) and improved sleep quality rather than any structural changes to their face,” [Dr. Hah](https://www.aedit.com/provider/samuel-hahn-md-20403)n says. Proper breathing can help improve skin quality and appearance, decrease dark circles and bags under the eyes, and increase exercise capacity. 


## **HOW TO IMPROVE BREATHING**  


Regardless of age, there’s still opportunity to change breathing habits. If mouth breathing is present at a young age, it’s best to correct it immediately — especially since it can impact the face’s development. 

“While a patient is still young and within the teenage years, it is an ideal time to correct the malformations with palatal expansion devices and myofunctional therapy to retrain the muscles to perform correctly as well as incorporating breathing exercises. Also, any potential tongue ties need to be released for free movement of the tongue,” [Dr. Rajpal](https://www.aedit.com/provider/anjali-rajpal-428) says.

To combat mouth breathing later in life, Dr. Spizuoco explains that dentists approach the issue by expanding the narrow [dental] arch through orthodontics and sometimes surgery (e.g. jaw or adenotonsil surgery). “The chronic mouth breather will also need to retrain the muscles of their face. That includes how to close their mouth properly, swallow, breath through their nose, speech therapy and sleeping positions,” Dr. Spizuoco adds. 

For nonsurgical remedies, [Dr. Hahn](https://www.aedit.com/provider/samuel-hahn-md-20403) recommends oral antihistamines, nasal sprays, mechanical dilators (e.g. [Breathe Right strips](https://www.breatheright.com/products/breathe-right-original-tan/) or [nasal cones](https://www.amazon.com/Breathing-Snoring-Different-Relief-Dilator/dp/B086YL8LSQ/ref=asc_df_B086YL8LSQ/?tag=hyprod-20&linkCode=df0&hvadid=507467652717&hvpos=&hvnetw=g&hvrand=11192728546694207170&hvpone=&hvptwo=&hvqmt=&hvdev=c&hvdvcmdl=&hvlocint=&hvlocphy=9003447&hvtargid=pla-1252944783999&psc=1)). These solutions are not corrective, but can be used to improve nasal airflow as directed by your board-certified doctor. As for the viral mouth taping trend, [Dr. Hahn](https://www.aedit.com/provider/samuel-hahn-md-20403) strongly urges against it. Not only can it restrict breathing but also it can lead to anxiety and panic attacks during sleep. 

If medically necessary, there are a number of corrective surgeries that can help improve nasal breathing. According to [Dr. Hahn](https://www.aedit.com/provider/samuel-hahn-md-20403), this could include septoplasty, rhinoplasty, nasal valve repair, inferior turbinate reduction, tonsillectomy/adenoidectomy, or maxillomandibular advancement surgery. 
The takeaway

The negative side effects of mouth breathing are widely accepted, but its impact on facial structure really only applies if it bagan in adolescence. While the habit won’t impact your appearance as an adult, [Dr. Hahn](https://www.aedit.com/provider/samuel-hahn-md-20403) and [Dr. Rajpal ](https://www.aedit.com/provider/anjali-rajpal-428)emphasize the importance of correcting the issue. Becoming a nasal breather has many benefits, like improving oral health and increasing exercise capacity. 

While a corrective nasal surgery won’t directly impact facial appearance, it should increase quality of life. And, if you were hoping to address certain problem areas, you can always blend a functional surgery with a cosmetic one! 


Can Proper Breathing Habits Really Make You More Attractive?

elise-wilcox-ErbpbIyfiOQ-unsplash

Elise Wilcox/Unsplash

Whether you're just starting to research neuromodulators or a seasoned injectables lover, chances are you'll have questions about the new kid on the block: [DAXXIFY®](https://daxxify.revanceaesthetics.com/ "https://daxxify.revanceaesthetics.com/"). The FDA has recently approved the injectable to address common signs of aging, but how does it compare to the classics like [Botox®](https://aedit.com/procedure/botox "https://aedit.com/procedure/botox"), [Dysport®](https://aedit.com/procedure/dysportr "https://aedit.com/procedure/dysportr"), or [Xeomin®](https://aedit.com/procedure/xeomin "https://aedit.com/procedure/xeomin")? What would make your injector prefer this new option over its tried-and-tested counterparts? And just how safe is it? Let’s unpack everything you need to know.

__WHAT IS DAXXIFY®?__

The [American Board of Cosmetic Surgery](https://www.americanboardcosmeticsurgery.org/ "https://www.americanboardcosmeticsurgery.org/") defines DAXXIFY® as "an injectable neurotoxin that is FDA-approved to treat glabellar lines (frown lines between the eyebrows—commonly referred to as the "11s")." While the active ingredient used in the injectable is the same as many of its predecessors, the main difference with DAXXIFY® is longer-lasting results. Depending on several lifestyle factors and your metabolism, DAXXIFY® can produce results that last six-to-nine months, compared to two-to-three months for other products. The injectable also uses a novel peptide stabilizer, making it suitable for vegans. 

__WHICH AGING CONCERNS CAN DAXXIFY® ADDRESS?__

Qualified injectors can use the product on the upper area of the face to treat concerns such as horizontal frown lines, crow's feet, and of course, those pesky 11s between your brows. It works similarly to Botox® by delivering a botulinum toxin to the injection site. Over a short period, the toxin blocks specific nerve signals to prevent muscles from moving, leaving the area looking smoother. 

__HOW DOES DAXXIFY® COMPARE TO BOTOX? __

The neuromodulator in DAXXIFY® is the same as the one used in Botox, but the real difference comes into play with the stabilizer we mentioned above. Firstly, DAXXIFY®'s stabilizer makes it the first vegan neuromodulator on the market, a massive advantage for those who may have been putting off getting injectables for ethical reasons. Secondly, this new and improved stabilizer appears to help prolong results by several months for some people. The main downside to DAXXIFY® compared to Botox is that, in rare cases,  some people have reported it takes longer for side effects to pass. This may be due to the stabilizer being longer lasting, but there isn't sufficient evidence to confirm why this might happen yet.

__HOW LONG DO DAXXIFY® RESULTS LAST?__

If you're used to getting injectables for signs of aging, you'll probably have regular appointments at your medspa every two or three months. But if you decide to switch to DAXXIFY®, you could be seeing a lot less of your favorite injector. Results from the new injectable can last up to six or even nine months. The length of time your results last will vary depending on your lifestyle (for example whether or not you smoke or drink alcohol), how quickly your body processes the product, and other factors, including your age, the location of the injections, and the injection technique used. Your injector will be able to discuss how long they expect results to last for your specific case. 

__HOW MUCH DOES DAXXIFY® COST?__

As with most procedures, fees vary depending on your provider's location and experience. The average cost per unit currently sits at $17 across all states. To give you an indication of how many units you will need, the standard measure is 20 units to treat the forehead and 40 units each for 11s and crow's feet. To get an accurate quote for your circumstances, it's always best to schedule a consultation with your injector to establish how many units they expect you will need. They will be able to discuss how long it may take to see results and whether you will need multiple treatments to achieve your desired outcome.

__IS DAXXIFY® SAFE FOR EVERYONE?__

DAXXIFY® is generally considered safe for healthy adults. It is not suitable for children or if you are pregnant. When you have a consultation, your practitioner will look at your medical history and ask about any allergies to ensure you're a good candidate for the procedure. As with any procedure, there are some potential risks and complications, including muscle weakness, blurred vision, and drooping eyelids. Allergic reactions are rare but possible, and your practitioner will be trained to respond to these if they were to occur. 


__PATIENT PERSPECTIVE__

We spoke to two patients who have opted to include DAXXIFY® as part of their rejuvenation treatments. These patients' names and locations have been modified to protect their privacy.

__Anna, 37, Los Angeles__

*__AEDIT:__* How was your DAXXIFY® injection experience?
*__Anna:__* I hadn't ever had any tweakments before going in for the treatment, so everything was new to me. I'd consulted a dermatologist my friends recommended, and initially didn't know which product I wanted – I didn't go in specifically looking for DAXXIFY®. My doctor discussed the pros and cons of different anti-aging injectables. Together, we decided that longer-lasting results would suit my lifestyle better because I travel a lot for work. 

*__AEDIT:__* Are you happy with the results of the procedure?
*__Anna:__* The injections achieved exactly what I had hoped they would, yes! My main concern was frown lines, and they have disappeared. So far, I'm four months post-injection, and I'm still as happy with the results.

__Josie, 54, Dallas__

*__AEDIT:__* How has DAXXIFY® compared to other injectables you’ve had in the past?
*__Josie:__* I've been getting Botox for a good few years now and was happy with the results it offered. My injector spoke to me about the possibility of switching to DAXXIFY® because, in her experience, people were getting even smoother results, which was very tempting. We went ahead, and I have to say I think my forehead is smoother than it was with Botox, and the results are certainly lasting well.

*__AEDIT:__* Do you have any advice for people considering having the procedure?
*__Josie:__* I found my experience after the injections slightly different compared to Botox, but it wasn't unpleasant. I would say the results took a little longer to take effect, and I was a little more tender for a couple of days following the injections – but that could have just been because I was hyperaware, knowing my injector had used a different product.


AEDIT

AEDIT

The AEDITION

Filler Migration: Should You Be Worried? Experts Weigh In

The Salmon Sperm Facial: What Are Polynucleotides, and Is This Trending Skincare Treatment Worth All the Hype?

Everything You Need to Know About EMFACE

What Are Neuropeptides, and Do You Need to Add Them to Your Skincare Routine?

Do You Need A Skincare Routine For Your Scalp?

All of Your Questions About the Trending ‘Facial Massage’ Answered