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The aesthetics industry has undergone a remarkable evolution in recent years, with 2024 marking significant advancements in technology, techniques, and products. From AI-powered consultations to the rise of minimally invasive procedures, staying ahead of these trends has allowed individuals to achieve their cosmetic goals more effectively than ever before. As we look to 2025, the industry shows no signs of slowing down, with exciting innovations poised to redefine the standards of beauty and wellness.

What sets 2025 apart is the intersection of technology and holistic care, with groundbreaking advancements making treatments more effective and accessible while also promoting overall wellness. From next-gen skincare products to AI-driven diagnostics, the year promises a blend of precision and personalization that caters to individual needs like never before. This blend of science and artistry is shaping the future of aesthetics, ensuring that both beauty and wellness go hand in hand.

## **EMERGING TECHNOLOGIES**
 
**AI and Machine Learning** 
Artificial intelligence continues to revolutionize the aesthetics industry by offering hyper-personalized treatment plans and diagnostic tools. According to [Dr. William A. Kennedy III](https://aedit.com/provider/william-kennedy-md-26292), founder of AEDIT, "AI-powered consultations in 2024 provided skincare solutions tailored to real-time facial analyses." In 2025, these systems are set to become even more advanced, predicting future skin concerns and enabling proactive, preventative care. Virtual consultation tools like AEDIT’s AI Plastic Surgeon™ also allow patients to visualize potential results before undergoing procedures, enhancing decision-making and satisfaction.

**Advanced Laser Devices** 
Laser technology is expected to reach new heights in 2025. Emerging devices promise greater precision and shorter recovery times, making treatments like laser resurfacing and hair removal more effective and accessible. Innovations in fractional and picosecond lasers are particularly noteworthy, offering enhanced results for skin rejuvenation and pigmentation issues.

## **INNOVATIVE TECHNIQUES**
 
**Regenerative Medicine**
The use of regenerative medicine is rapidly growing in popularity. [Dr. Amy Spizuoco](https://aedit.com/provider/amy-spizuoco-19341) of True Dermatology highlights the transformative potential of stem cells, PRP (Platelet-Rich Plasma), and NAD injections. "Stem cells promote collagen production and tissue repair, improving skin texture and elasticity," she explains. PRP, derived from the patient’s own blood, stimulates hair follicles and enhances skin renewal. NAD, a coenzyme involved in cellular repair, boosts overall skin vitality and slows aging at a cellular level.

**Minimally Invasive Procedures**
Techniques such as thread lifts, microneedling with radiofrequency, and laser resurfacing are becoming more sophisticated. Thread lifts, for example, now use dissolvable materials like PDO (polydioxanone) and PLLA (poly-L-lactic acid), which not only lift but also stimulate collagen production for longer-lasting effects. Combination treatments—like pairing thread lifts with dermal fillers or Botox—are gaining traction for delivering comprehensive rejuvenation.

## **GROUNDBREAKING PRODUCTS**
 
**Next-Gen Skincare** 
Skincare in 2025 is all about leveraging advanced ingredients and technology. Peptides and growth factors are being incorporated into formulations to enhance collagen production and skin healing. Nanotechnology is enabling deeper penetration of active ingredients, maximizing their efficacy. Other standout ingredients include microbiome-focused prebiotics and probiotics, plant-derived squalane for hydration, and bakuchiol as a gentle retinol alternative. "Adaptogens like ashwagandha are also making their way into skincare to combat oxidative stress and inflammation," adds Dr. Spizuoco.

**Advances in Hormone Therapy and Sexual Health** 
Hormone replacement therapy (HRT) is emerging as a powerful tool for addressing aging and overall wellness in both men and women. By balancing hormones, HRT not only enhances physical health but also supports skin and hair rejuvenation.

**At-Home Devices** 
At-home beauty devices are becoming more effective and complementary to professional treatments. FDA-cleared LED light therapy masks like the Omnilux Contour and microcurrent devices such as NuFACE are allowing users to achieve medspa-like results from the comfort of their homes. These devices can be seamlessly integrated into treatment plans, enhancing the outcomes of professional procedures.

## **TRENDS SHAPING THE INDUSTRY**
 
**Personalized Beauty**
Personalized treatments based on genetic analysis and lifestyle factors are becoming the norm. This shift allows practitioners to design bespoke plans tailored to each individual’s unique needs, ensuring optimal results.

**Preventative Aesthetics** 
There is a growing focus on preventative measures to maintain a youthful appearance, shifting the industry from corrective to proactive care. Treatments designed to delay the signs of aging are becoming increasingly popular among younger demographics.

**Holistic Approach** 
The integration of wellness practices such as nutrition, mindfulness, and stress management is shaping the future of aesthetics. By addressing internal and external factors, practitioners are helping clients achieve comprehensive beauty and wellness.

## **EXPERT INSIGHTS**
 
Dr. Kennedy predicts that AI technologies will play an even larger role in diagnostics and personalized care in 2025. He emphasizes, "Tools like AEDIT’s AI Plastic Surgeon are setting new standards for precision facial analysis, personalized treatment recommendations and patient satisfaction."

Dr. Spizuoco highlights the importance of regenerative medicine, stating, "Advancements in stem cells, PRP, and NAD injections are transforming skin and hair rejuvenation." She also notes the potential of next-gen skincare ingredients like peptides, growth factors, and microbiome-focused formulations to redefine anti-aging solutions.

## **CONCLUSION**
 
The aesthetics industry is on the brink of another transformative year. From AI-driven technologies to groundbreaking products and holistic approaches, the trends expected to dominate in 2025 are as diverse as they are innovative. By staying informed and embracing these advancements, individuals can take full advantage of the latest techniques to achieve their cosmetic and wellness goals.

Now Trending

Discover the latest advancements in aesthetics anticipated in 2025. From AI-powered consultations to cutting-edge, minimally invasive treatments, explore how innovation is reshaping beauty and wellness for more effective, personalized results. 

The Future of Aesthetics: Innovations Shaping Beauty in 2025

Cutting-Edge Technologies, Techniques, and Products Expected to Dominate the Aesthetics Industry in 2025

Valentines Gift Guide 2025

Valentine’s Day is the perfect time to celebrate love in all its forms—romantic, platonic, and perhaps most importantly, self-love (because no one can pour from an empty cup!) Whether you're searching for a thoughtful gift for your partner, a meaningful surprise for your best friend, or a well-deserved indulgence for yourself, the AEDIT team has curated a gift list that will make February 14th uniquely special according to what and whom you cherish most.

### **Because You Deserve It: Valentine’s Gifts for Yourself** 

Taking care of yourself isn’t a luxury—it’s a priority. Here at AEDIT, we are big fans of optimizing our overall wellness to feel great and show up in life the way we want. Here are four smart ways to make the most of your investment in yourself:

**Nootropic coffee creamer by Cymbiotika** 

Give yourself the advantage of smarter mornings with [Cymbiotika’s Nootropic Coffee Creamer](https://cymbiotika.com/collections/supplements-best-sellers/products/nootropic-creamer?utm_source=google&utm_medium=cpc&utm_campaign=21820936041&utm_term=&nbt=nb%3Aadwords%3Ax%3A21820936041%3A%3A&nb_adtype=pla_with_promotion&nb_kwd=&nb_ti=&nb_mi=132053777&nb_pc=online&nb_pi=7685699895343&nb_ppi=&nb_placement=&nb_li_ms=&nb_lp_ms=&nb_fii=&nb_ap=&nb_mt=&gad_source=1&gclid=Cj0KCQiA4-y8BhC3ARIsAHmjC_H-zKEzImHuCEujdhMfwiFhnXtIjqDdEQLT0ewwXo_rIxGdFDun-iEaAvDfEALw_wcB)—the perfect way to supercharge your daily cup of coffee without giving up your favorite ritual. Infused with powerful nootropics, this functional superfood **supports focus, memory, and creativity while delivering smooth, sustained energy**.
	
**Medspa Membership**	

A **Medspa membership** is the ultimate beauty investment, making it easier to stay on top of skincare, body treatments, and self-care—all while saving money (because that’s just smart girl math!). With exclusive discounts, complimentary treatments, and VIP perks, a membership ensures **consistent beauty maintenance** without the hassle or guessing game of a-la-carte appointments. 

**Reflexology Facial**

Combine wellness and relaxation by indulging in a **reflexology facial.** A step outside your traditional facial experience, this treatment combines skincare with the healing power of reflexology. By applying gentle pressure to specific points on the face, this holistic therapy helps **boost circulation, reduce tension, and promote overall well-being**—all while leaving the skin glowing and rejuvenated.

**Lymphatic Drainage Massage**

Elevate the wellness element of your next bodywork experience with a **lymphatic drainage massage.** A gentle yet powerful treatment designed to **reduce bloating, flush out toxins, and sculpt the body.** Using rhythmic, light-pressure techniques, this massage stimulates the lymphatic system, promoting **detoxification, improved circulation, reduction in puffiness and water retention, and promotes deep relaxation.**

### **Gifts for Your Partner: Thoughtful Ways to Show You Care** 

A great gift isn’t always about the price tag—it’s about making your partner feel seen, appreciated, and loved. Go beyond the cards and candy and choose something that reminds your partner that their happiness is just as much a priority as your own.

**Plan a Breakfast Date** 

Start the morning **slow and intentional**—find a cozy café, put your phones away, and enjoy deep conversation over a nourishing breakfast and a perfectly brewed cup of coffee. This simple yet thoughtful gift is about **quality time and connection**, something far more valuable than any material present.

**Arma Colostrum "The Inner Fire" Limited Edition Bundle**

For the **health-conscious and wellness enthusiast**, this [premium colostrum bundle supports](https://tryarmra.com/products/the-inner-fire-bundle) **gut health, immunity, and overall vitality**. Packed with essential nutrients, it's the perfect gift for someone who values **optimal well-being and high-performance living**.

**Float Pod: Sensory Deprivation Chamber Experience**

Indulge them in **total relaxation and mental clarity** with a **float therapy session**. Floating in a zero-gravity, sensory-free pod helps reduce stress, ease muscle tension, and promote **deep mental and physical recovery**— ideal for the **overworked, stressed, or wellness-obsessed** partner.


**Luxury Pajamas | Eberjey Sleepwear Collection**

Upgrade your SO’s **sleepwear game** with ultra-soft, breathable [luxury pajamas from Eberjey](https://eberjey.com/collections/pajamas-shop-all). These stylish yet ridiculously comfortable PJs are perfect for lounging, sleeping, or slow **Sunday mornings**—a gift that’s both practical and indulgent.

### **Gifts for Your Best Friend: Because Friendship Deserves to Be Celebrated** 

A true friend is more than someone to share laughs with—they’re a constant, a confidant, and a source of unconditional support. In today's world where we often feel overwhelmed and spend more time alone than ever, having someone you can always count on is something to celebrate. Here are four ways to make your best friend's day a bit brighter: 

**NuFACE Mini Starter Kit**

Help your best friend glow with the [NuFACE Mini Starter Kit](https://www.mynuface.com/products/mini?variant=39867355103322&currency=USD&utm_medium=product_sync&utm_source=google&utm_content=sag_organic&utm_campaign=sag_organic&tw_source=google&tw_adid=&tw_campaign=17503436284&tw_source=google&tw_adid=&tw_campaign=17503436284&gad_source=1&gclid=CjwKCAiA2JG9BhAuEiwAH_zf3kZOHKEGnVW1BExPEWQ1XMy5e9Ysm-jsD68KO_oSNJCvnT_VsWzMrRoCgNYQAvD_BwE), a compact and portable microcurrent device that **lifts, tones, and contours** the face. For the skincare lover, this facial toning tool provides a spa-like treatment at home and is the perfect blend of **technology and luxury** in a simple, easy-to-use device.

**Book a Sound Bath for the Two of You**

Share the joy of **deep relaxation and harmony** with a **sound bath experience**. You and your bestie can find comfort and balance in the vibrations of sound therapy, helping to relieve stress, boost energy, and promote inner peace. Embarking on a wellness journey together can be the ultimate **bonding experience** that nourishes both the body and mind.

**Drowsy Midnight Blue Sleep Collection Set** 

Help your bestie drift into the deepest slumber with this [luxurious sleep duo from Drowsy](https://us.drowsysleepco.com/products/midnight-blue-gift-set-deep-sleep-collection?variant=42836647510202&country=US&currency=USD&utm_medium=product_sync&utm_source=google&utm_content=sag_organic&utm_campaign=sag_organic&tw_source=google&tw_adid=666430210298&tw_campaign=20381521149&gad_source=1&gclid=CjwKCAiA2JG9BhAuEiwAH_zf3rJbG6LLkXt8BNIXPCfe4hVIw8tE7XMqqSF03XKTq1s9TYxfzM471BoCHfsQAvD_BwE). The cult-favorite **Drowsy Silk Sleep Mask**—crafted from plush, padded silk—blocks 100% of light while protecting your skin and hair. Paired with the **multi-award-winning SOS Pillow Spray**, infused with a calming botanical blend, this set transforms nighttime routines into a dreamlike escape. 

**Mindful Affirmations Set**

Encourage positivity and mindfulness with a [Mindful Affirmations Set](https://www.intelligentchange.com/collections/mindful-affirmations/products/mindful-affirmations-collection-four-editions). These beautifully designed cards are filled with empowering affirmations to help your friend stay grounded and uplifted. It’s the perfect **inspirational gift** that supports **mental well-being, gratitude, and personal growth**.

No matter your love language, or the recipient, we hope you have a Valentine's Day that qualifies as “perfect” in your book. 


Valentine's Day gift guide covering thoughtful wellness and beauty gifts for you, your partner and your best friend

Thoughtful Valentine's gifts to celebrate love in all its forms—for yourself, your partner or your best friend. 

Our 2025 Valentine's Day Gift List

Lindsay Lohan

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We’ve officially entered what the internet is calling the “undetectable era” of plastic surgery. Technology has advanced so far that it’s almost impossible to tell what work has been done—unless you’re an expert, of course. And, possibly the craziest part is that you can make impactful change within a matter of minutes; you can kiss wrinkles and fine lines goodbye during your lunch break.

As we move into 2025, there are tons of non-invasive treatments to enhance features and reverse the signs of aging. These types of treatments typically are in-office and, compared to surgery, have a much lower price tag; think dermal filler, Botox, and laser. They can cost anywhere from a couple hundred to a few thousand dollars per session. True plastic surgeries remain the most effective, but they require significant downtime and can cost thousands of dollars. 

With so many recent celebrity transformations, we’re itching for answers on how to turn heads like Lindsay Lohan did. Read on as we cover what work Lindsay Lohan likely had done, what non-invasive procedures to book for a major glow-up, and what you can realistically accomplish on a non-celebrity budget. 

## **Here’s an Overview of Lindsay Lohan’s Transformation**

When Lindsay Lohan stepped out onto the red carpet to promote her new holiday Netflix film “Our Little Secret,” the entire internet’s metaphorical jaw dropped. Lohan’s skin appeared more radiant and youthful and her face sculpted and refreshed. While she hasn’t confirmed what work she has done, experts like [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™, suggest that her results could be attributed to a combination of surgical and non-surgical treatments:

**Non-surgical:**

- Injectables (e.g. Botox, brow lift, lip and cheek filler)
- Filler dissolution in the cheeks
- Skin smoothing treatments (e.g. nonablative lasers, chemical peels and micro-needling)
- Weight loss (most likely from a healthy diet and lifestyle choices vs. GLP-1s) 
- Peptides and NAD+ 

**Surgical:**

- Rhinoplasty
- Lower blepharoplasty
- Face and neck lifts

## **Book These Non-Invasive Treatments For A Major Glow-Up**

Thanks to advancements in cosmetic technology, a variety of non-invasive treatments can help achieve a similar transformation to Lohan. Here are some of the most effective options, recommended by Dr. Kennedy:

Ablative laser or chemical peel: resurfacing procedures can help smooth out the quality of the skin. These types of treatments are great for minimizing scarring, pigmentation issues, and sun damage.

- **Laser resurfacing or microneedling:** these treatments work to tighten and smooth skin. They can be great options for people suffering from poor skin elasticity, acne scars, wrinkles, stretch marks, or uneven pigmentation.
- **Botox:** this injectable helps temporarily smooth out fine lines and wrinkles or redefine the jawline when injected into the masseter muscles.
- **Filler and filler dissolution:** dermal filler can help reduce the signs of aging by restoring volume as well as enhance facial features. Filler dissolution has also been gaining popularity as a way to get rid of migration, puffiness, or simply restore a patient’s natural appearance. Dr. Kennedy recommends consulting with an experienced injector to see if any existing filler can or should be dissolved. 
- **HydraFacial:** similar to microdermabrasion, HydraFacials remove dead skin from the face to make the skin more radiant and hydrated. --
- **Peptide and NAD+ therapy:** incorporating peptides and NAD+ therapy will boost overall skin vitality and energy, maintaining a youthful, glowing appearance. These treatments together offer a refreshed, rejuvenated look without surgery.
- **EMFACE:** for those not ready to commit to a face or neck lift, EMFACE can improve muscle tone and tighten the skin around the cheeks and submental area. 

As always, it’s important to manage expectations. These treatments outlined above can be absolute miracle workers, but, as Dr. Kennedy speculated, Lohan most likely had a couple of plastic surgeries (a lower blepharoplasty and a face and neck lift). Dr. Kennedy guessed that Lohan’s glow-up could have cost anywhere from $60k to $300k. 

## **Expert Recommendations**

The key to a successful makeover? Working with a highly reviewed, board-certified provider who can provide a professional assessment of what is medically achievable for your specific concerns and then deliver those results. Dr. Kennedy explains that a comprehensive approach may involve combining multiple treatments strategically over a short period, making lifestyle adjustments, such as improved diet and exercise, and diligently following pre- and post-treatment instructions to maximize results and ensure a safe, effective transformation.

## **Patient Perspective**

As a beauty writer, I’ve covered a lot of cosmetic treatments and surgeries over the years; I’ve spoken with dozens of expert plastic surgeons and dermatologists, and it wasn’t until recently that I comprehended just how big of a shift we’re seeing in cosmetic advancements. 

If you read my 101 article on [EMFACE](https://aedit.com/aedition/everything-you-need-to-know-about-emface) (shameless plug: read it, if you haven’t already!), then you probably know that I met with Dr. Shafer and his team at the [Shafer Clinic](https://www.shaferplasticsurgery.com/) over the fall to get a first-hand perspective of this new treatment. Despite all of the research I had done, I was totally taken aback (in a good way!) by the results. EMFACE significantly tightened the skin around my jawline and chin, making my face appear more youthful and thinner. Friends and family would comment - and still comment - on how good I look. And, unless I tell them about the treatment, there is virtually no way for them to know what “work” I had done. 

Possibly the most mind-boggling part of it all is how little effort it took. I would pop into the Shafer Clinic (which is conveniently just a few blocks from Grand Central) and be in and out within 45 minutes—but, it could easily be under 30 minutes had I not been so chatty. 

I met with Lucia Miranda, LE, CCMA, licensed esthetician at Shafer Clinic, for all four of my sessions. After wiping the skin with an alcohol cleanser, she would place the back grounding pad, two facial pads on my cheeks, and a third facial pad under my chin. With EMFACE, you have the option to target the forehead of the submental area (the triangle under the chin). Lucia usually recommends targeting the submental area, which tightens any loose skin on the lower face.

“I often recommend EMFACE to patients who are concerned about jowls or noticing a 'turkey neck.' The submental pad allows us to target and lift the lower face, reducing sagging. While EMFACE does have a forehead pad, I rarely use it because I find that neuromodulators and fillers tend to provide more precise results for addressing forehead lines and wrinkles,” Miranda shares with us.

The actual procedure is 20 minutes and a little uncomfortable; your face twitches involuntarily and there’s a bit of a tickling sensation. But, as far as cosmetic treatments go, it really was not that bad. At the end of it, I was able to go back to my day as if nothing had happened; there was no swelling or bruising, just a little redness—and, only because my skin is on the fair side.  

When researching EMFACE, the word ‘subtle’ kept popping up. It’s not an inexpensive treatment, so I kept thinking, why would someone spend thousands of dollars for “subtle” results? Now having experienced it first-hand, I get it; the results are meaningful but discreet. After EMFACE, my jawline is more sculpted and the skin is taut. The results are noticeable, but it’s totally natural-looking. Friends and family notice that I look better, but can’t quite put their finger on it. It just goes to show, we’re in the undetectable era. 

Discover non-invasive treatments to achieve Lindsay Lohan's flawless look—radiant skin, sculpted features, and timeless beauty with zero downtime

Get Lindsay Lohan’s Look: Non-Invasive Beauty Secrets

Here’s How to Get a Lindsay Lohan Like Transformation—Without Going Under the Knife

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Spring2022 Products

In 2024, wellness gifts are having a moment. No longer limited to spa kits or scented candles, the new wave of wellness gifting is deeply personal, luxurious, and often transformative. From high-end skincare treatments to serene luxury spa retreats, giving the gift of wellness can be a powerful way to show someone you care. But in a space as personal as health and beauty, how do you ensure your gesture feels uplifting rather than intrusive?

To uncover the best wellness gifts and how to give them thoughtfully, we consulted with our very own industry leader: Dr. William Kennedy, founder of AEDIT His insight helps  us navigate this growing trend, offering expert advice on everything from versatile treatment options to the best recovery products and luxury spa getaways. This guide will ensure your wellness gift feels both meaningful and indulgent—without crossing personal boundaries.

### **1. Thoughtful Treatment Gifts for a Personal Touch**

If you’re considering gifting a wellness treatment, flexibility is key. Many clinics now offer gift cards or treatment-specific vouchers, allowing recipients to choose their ideal service. [Dr. William Kennedy](https://aedit.com/provider/william-kennedy-md-26292), founder of AEDIT & AEDIT Medspa (opening in Los Angeles in spring of 2025), highlights their versatility:

“A gift card offers a lot of flexibility for the consumer. They can purchase the gift card for any value and use it toward any service. AEDIT Medspa will also offer special holiday skincare gift sets, which are excellent holiday gift ideas for friends or coworkers.”

Treatments like [HydraFacials](https://aedit.com/procedure/hydrafacial) and [Emsculpt](https://aedit.com/procedure/emsculpt) body contouring remain popular choices. Dr. Kennedy adds:

“Medspa treatments can make thoughtful holiday gifts, especially those with little downtime that are ideally performed during the winter months when patients are typically exposed to less sunlight. The [HydraFacial](https://aedit.com/procedure/hydrafacial) treatment cleanses, exfoliates, and hydrates the skin, providing immediate glowing results with no downtime. [Emsculpt](https://aedit.com/procedure/emsculpt), a non-invasive body contouring procedure, is also an excellent gift choice for those wanting to tone their bodies without surgery.”

### **2. The Gift of Comfort: Products to Aid Post-Procedure Recovery**

For loved ones undergoing cosmetic procedures, recovery essentials can be thoughtful and practical gifts. Dr. Kennedy highlights two standout products:

“[Alastin Skin Nectar](https://alastin.com/products/regenerating-skin-nectar?srsltid=AfmBOorPV1IMe9o8BKatApP6gKK1FjcNOSCACmai2QAxiHKej_tWccTV) is a highly recommended recovery product. It strengthens skin before cosmetic treatments and accelerates healing afterward. It uses advanced peptides to promote collagen and elastin production while reducing inflammation. [Avène’s cicalfate cream](https://www.aveneusa.com/cicalfateplus-restorative-protective-cream?srsltid=AfmBOopLDp1l4if40UY3u-_uJEBfuA_VbMqoBgp9HpDku7PsSOAQY3xD#185=776) is another excellent option, rich in healing agents like copper and zinc, soothing post-treatment recovery and promoting skin barrier repair.”

Other comforting gifts include:

- **Silk Pillowcases and Eye Masks:** Silk is gentle on sensitive skin, helping reduce friction and irritation post-treatment. The gold standard is pure Mulberry silk, like [this one from Soft Strokes](https://www.wolfandbadger.com/eu/pure-mulberry-silk-eye-mask-set-of-two-in-burgundy/?utm_source=google&utm_medium=cpc&utm_campaign=18092301542&utm_content=&gad_source=1&gbraid=0AAAAADrNWmyLI0K1q-LdOgGtKqmIo5_E2&gclid=CjwKCAiAudG5BhAREiwAWMlSjDn9SsZ9t00oNYAV5gySjmfQq0BHl7orDYOCuXoiePUmwjgyUaZsrhoCWi8QAvD_BwE). Best of all, giftees can never have too many: you want to make sure you wash them often to avoid exposing your skin to unnecessary bacteria.
- **Cryotherapy Gel Masks:** Offering a cooling effect, these masks help reduce swelling and soothe skin. [111Skin’s Cryo range](https://111skin.com/collections/cryo) is available in a [gift set](https://111skin.com/products/energising-cryo-kit?pr_prod_strat=e5_desc&pr_rec_id=da7322ced&pr_rec_pid=8160097435801&pr_ref_pid=7544312201369&pr_seq=uniform) that is perfect for anyone who’s needed some down time recently, whether it’s while recovering from a procedure or from feeling those winter blues.
- **High-Quality Loungewear:** Breathable, soft loungewear is ideal for comfort during recovery and makes a luxurious, practical gift. The [Skims oversize co-ord range](https://skims.com/products/silk-oversized-long-sleep-set-mirror) is perfect for anyone looking for the perfect balance of comfort and style.


### **3. The Ultimate Wellness Gift: A Luxury Spa Vacation**

For an unforgettable gift, consider a luxury spa getaway. Dr. Kennedy advises gifting wellness experiences that celebrate beauty and self-care in a supportive way:

“Acknowledging a friend’s wellbeing is always a welcome gift. A thoughtful way to introduce medspa treatments to someone new is through a focus on healthy and beautiful skin. Expert providers at luxury spas can guide patients toward treatments uniquely suited to them during their appointment.”

### **Top luxury spa destinations include:**

**United States**

- [Cal-a-Vie Health Spa, California](https://www.cal-a-vie.com/?gad_source=1&gbraid=0AAAAA-aXg-atfjGewo9Ei0bYFqVvmwpP6&gclid=CjwKCAiAudG5BhAREiwAWMlSjFgLUvEP0jyFNweS-7g05_0O7-IbENDmvTNlspdvrK10S6-BoWlsdxoC-8oQAvD_BwE): Set amid vineyards, Cal-a-Vie offers personalized wellness plans, with holistic spa, fitness, and nutrition programs.
- [Calamigos Guest Ranch, California:](https://calamigosguestranch.com/) Located in Malibu’s Santa Monica Mountains, Calamigos Guest Ranch combines peaceful scenery with a variety of spa and wellness treatments, making it an ideal destination for relaxation.
- [Miraval Arizona Resort & Spa:](https://www.miravalresorts.com/arizona) This all-inclusive retreat offers diverse wellness programs focused on mindfulness, fitness, and therapeutic treatments.

**Canada**
- [Scandinave Spa, Whistler:](https://www.scandinave.com/whistler) Known for hydrotherapy, Scandinave Spa immerses guests in nature with hot and cold pools, saunas, and tranquil forest views.
- [The Spa at Four Seasons Toronto:](https://www.fourseasons.com/toronto/spa/) A serene urban oasis, this spa specializes in treatments that focus on relaxation and skin health.
- [Fairmont Banff Springs, Alberta:](https://www.fairmont.com/banff-springs/) Situated in the Rockies, this spa blends stunning mountain views with luxurious treatments, offering a perfect setting for a wellness getaway.

**Europe**

- [Le Domaine des Etangs, France:](https://fr.aubergeresorts.com/domainedesetangs/) Located in the Charente region, this estate combines natural beauty with bespoke wellness experiences, including world-class treatments and serene outdoor spaces.
- [QC Terme Montebianco, Italy:](https://www.qcterme.com/fr/pre-saint-didier/qc-termemontebianco) Situated in the Italian Alps, this spa features thermal pools with stunning mountain views, offering a mix of relaxation and adventure.
- [SHA Wellness Clinic, Spain:](https://shawellness.com/en/) SHA is known for its medically supervised wellness programs, focusing on detox, fitness, and anti-aging.

### **A Final Note on Gifting Wellness**

When giving wellness gifts, personalization and tact are essential. A thoughtful approach ensures your gesture feels uplifting rather than intrusive. Dr. Kennedy,  emphasizes the value of flexibility in wellness gifting:

“Gift cards offer recipients the freedom to explore treatments suited to their unique needs. By allowing them to choose, you're not just giving a service—you're providing a tailored, transformative experience.”

Whether gifting a treatment, a product, or a luxurious spa stay, a wellness gift allows loved ones to prioritize their well-being in a way that feels meaningful. By providing options that balance flexibility, comfort, and a touch of luxury, you’re giving a thoughtful experience that they can savor and make their own.


2024’s Hottest Wellness Gifts (and How to Gift Them Tactfully)

2024 Wellness Gift Guide

Julia Avamotive via unsplash

Ross Helen via Canva

According to the most recent[ American Society of Plastic Surgeons (ASPS)](https://www.plasticsurgery.org/documents/news/statistics/2023/minimally-invasive-procedure-trends-2023.pdf) data (and some rough math), someone is undergoing a filler treatment nearly every five seconds. This past year, doctors recorded over [six million ](https://www.plasticsurgery.org/documents/news/statistics/2023/minimally-invasive-procedure-trends-2023.pdf)treatments of dermal filler, making it the second most popular minimally invasive cosmetic treatment — after Botox, of course. But, lately, we’ve been hearing some pretty mixed reviews of the omnipresent treatment. Most commonly, we’ve heard rumblings that filler can “migrate” or move after it’s been injected. We’ve also heard horror stories that it might not [dissolve](https://www.newsweek.com/mri-scan-33-year-old-woman-face-shows-filler-ended-surgery-1925089) or can even make your face puffy. Given it’s almost as widespread as Botox, we all agreed that we needed answers. Stat. So, we reached out to our network of experts to find out if filler migration is a myth or fact.

## **Why is Everyone Talking About Filler Migration Now?**

If you feel like the term “filler migration” just popped up overnight, it’s not just you. It kind of did. Over the summer, a Beverly Hills oculoplastic surgeon posted a [video](https://www.tiktok.com/@kamiparsamd/video/7390433025697533230) to TikTok sharing the findings of an MRI scan of facial filler… and the internet went absolutely wild. The patient, a 33-year-old woman, reported she had 12 CCs of hyaluronic filler over the past six years, yet the scan showed that there was over double that amount of facial filler present under her skin, and in places she hadn’t even been injected. The video’s comment section became flooded with similar stories of having never-dissolving filler, which contradicts everything we’ve been told about filler.

Until now, we’ve been, we’ve always been under the impression that fillers are not permanent. If you ask any doctor, they’ll most likely give you a similar answer: HA-based fillers typically last anywhere from six months to a year and a half whereas non-HA-based fillers last a minimum of two years. It’s hard to predict exactly how long a filler will stay in someone’s body, but board-certified NYC cosmetic dermatologist [Dr. Michele Green](https://www.michelegreenmd.com/) says the longevity of any filler can also be affected by the patient’s skin characteristics, metabolism, and lifestyle choices.

“Low skin elasticity makes it hard for the skin to hold a filler, leading to a shorter length of results. Fast metabolisms can lead to quicker degradation of a filler. Excess sun exposure can break down collagen fibers, leading to reduced longevity of a filler,” she tells us.

## **What is “Filler Migration” and Can it Really Happen?**

Though it’s an uncommon side effect, our expert network confirmed that it’s not just a myth — filler migration does exist. For several reasons (we’ll get to that later on), it is possible for the injected filler to move from its injection site to another area of the face. But, to be clear, we’re talking about movement in millimeters, not anything drastic. 

“Filler migration is not a common side effect of dermal filler injection procedures,” NYC-based board-certified dermatologist [Brendan Camp, MD](https://aedit.com/provider/brendan-camp-md-34645) assures us. “It may be more likely to occur when someone gets filler treatments often in which a high volume of filler is used over time and is layered on previously injected filler.”

So, if you notice lingering asymmetry, lumps, unevenness, or puffiness after getting filler, then there’s a good chance it could be the infamous “filler migration.” According to Dr. Green, the dreaded filler migration can occur anywhere, but it most commonly presents itself in areas with thin skin, like the lips and tear troughs (under the eyes). While the onset of filler migration varies, Dr. Camp says it usually happens within days of the treatment if the injection was too superficial or within months as the filler is metabolized and its structure is altered.

But, again, remember that it’s not that common. 

## **What causes Filler Migration?**

While we can’t control whether or not our filler migrates, there are a few things to stack the odds in our favor. Dr. Green says that the most common causes of filler migration are overfilling, incorrect injection technique, and using the wrong filler. 

Dr. Green breaks it down for us: “too much filler in an area can cause a pressure imbalance, resulting in the filler migrating towards adjacent tissues. Inadequate injection techniques, such as injecting too close to the surface or using excessive pressure, can also lead to filler migration. Additionally, there are many different types of fillers on the market, all with varying concentrations and formulations. Using a filler that is not suited for the injected area can result in filler displacement.”

While any filler can result in filler migration, Dr. Camp and Dr. Green both said that non-HA-based fillers are less likely to migrate compared to HA-based fillers. This is because they promote new collagen production, which reduces the risk of migration.

And, Dr. Camp warns that HA-based fillers can expand after treatment because the filler is not saturated with water in the syringe. As a result, the HA molecule attracts and retains water and can cause additional swelling after it has been placed in the skin.

## **Can You Remove Filler?**

There’s a good chance you’ve heard conflicting answers to whether or not filler can be removed — and, that’s because some types of filler can be dissolved whereas other types can’t be. According to the experts, HA fillers can be dissolved whereas non-HA fillers can’t.

HA-based fillers can fortunately be dissolved with an agent called hyaluronidase, which is a naturally occurring enzyme that breaks down hyaluronic acid into its smaller components. Once injected into the area of filler migration, hyaluronidase acts immediately, with results visible after just 48 hours, says Dr. Green.

Unfortunately, there’s still no technology to dissolve or remove non-HA filler. The only solution is time and, depending on the type of filler used, patients may have to wait several months or years. That being said, Dr. Green said there are certain circumstances where a plastic surgeon might help, like if a granuloma has formed and can be excised. 

## **The Bottom Line**

Filler migration does exist, but it shouldn’t hold you back.  While the issue isn’t black and white, there are always ways to mitigate risk, most importantly by selecting the right injector. Seeking treatment from a board-certified physician who has the knowledge to choose the right type of filler for you and inject it properly is the safest way to ensure you are getting ideal results. 


Filler migration, are all users at risk? 

The risk of Dermal Filler migration. What to know from the medical experts. 

Filler Migration: Should You Be Worried? Experts Weigh In

cottonbro-studio-pexels

If you thought skincare couldn’t get more innovative, think again. From snail slime to bee venom, scientists are constantly exploring new frontiers in skincare. Now, there's a new player in town: polynucleotides. Derived from an unexpected source—salmon sperm—this skincare treatment is making waves, particularly in the UK, where it has seen a surge in popularity. But what exactly are polynucleotides, how are they used, and is this trend something you should consider adding to your beauty routine?

## **When Did the Treatment First Become Popular?**

Although it sounds cutting-edge, the use of polynucleotides in skincare isn’t entirely new. Polynucleotide-based treatments have been quietly gaining traction in Asia for several years, particularly in South Korea and Japan, where cutting-edge beauty innovations frequently originate. However, it was only recently that the treatment gained widespread attention in the UK and Europe. Social media influencers and beauty bloggers have played a significant role in this surge, documenting their experiences with the treatment and swearing by its skin rejuvenation properties. As with many beauty trends, the treatment's celebrity endorsements have amplified its popularity, making it the latest must-try in advanced skincare. Over recent months, the treatment has been making its way into dermatologists’ offices across the US, with skincare enthusiasts hailing it as the latest must-have addition for youthful skin. 

## **What Are Polynucleotides?**

At the core of this buzz is a molecule known as polynucleotides, which, in scientific terms, are made up of DNA or RNA chains. In simpler terms, these molecules provide essential support to your skin at the cellular level. [Dr. Saami Khalifian](https://www.drsaami.com/), a board-certified dermatologist from SOM Aesthetics, explains, “Polynucleotides are beneficial for the skin because they promote hydration, reduce inflammation, and support the skin's natural repair mechanisms.” This makes them a gold mine for anyone looking to improve skin elasticity, reduce fine lines, or combat dullness.

The fact that these molecules are derived from salmon sperm might sound off-putting at first, but it’s worth noting that they’ve undergone extensive purification processes to isolate the beneficial components. Much like how collagen supplements are sourced from animal byproducts, polynucleotides are a valuable tool in the skincare arsenal, offering scientifically backed benefits that translate into smoother, more youthful-looking skin — without a fishy smell in sight!

## **What Does the Treatment Entail?**

So, what does undergoing a polynucleotide treatment actually look like? Thankfully, the process is non-invasive. It typically involves the application of a serum or gel enriched with these molecules. Think of it as a supercharged facial, where the polynucleotides penetrate deep into the skin, delivering a surge of hydration and nutrients.

Unlike treatments that require recovery time, polynucleotide facials are quick, painless, and involve zero downtime. It’s often compared to a deep-conditioning treatment, but for your skin. According to [Dr. Khalifian](https://www.drsaami.com/), “The procedure is akin to a deep conditioning treatment for the skin, providing essential nutrients and hydration without the need for invasive methods or lengthy recovery.” This means you can easily fit it into a lunch break and go about your day with glowing, rejuvenated skin.

## **Who Is a Candidate for This Treatment?**

The beauty of polynucleotide treatments is that they’re suitable for a wide range of people. Whether you’re in your 20s and looking to stave off early signs of aging or in your 40s wanting to restore elasticity and smoothness, this treatment can cater to various skin needs. It’s particularly effective for those dealing with dryness, dullness, or fine lines, helping to revitalize tired-looking skin.

However, as with all cosmetic treatments, there are some caveats. Pregnant individuals, for example, should avoid this treatment due to the lack of studies on its safety during pregnancy. Likewise, anyone with specific allergies to the components of the treatment should steer clear. A consultation with a board-certified dermatologist is always recommended to ensure the treatment is right for your skin.

## **How Long Do the Results Last?**

One of the most common questions surrounding polynucleotide therapy is the longevity of its results. Unlike more temporary treatments, the effects of polynucleotide facials tend to last for several months. Factors such as your skin type, environmental exposures, and how well you maintain your skincare regimen can all play a role in how long the glow sticks around.

[Dr. Khalifian](https://www.drsaami.com/) notes that “consistent treatment and proper skincare can help prolong the effects.” While the treatment provides immediate hydration and a noticeable glow, it’s the long-term benefits—smoother, firmer skin—that keep clients coming back. Typically, a full treatment plan involves several sessions over the course of a few months, with each session building upon the last for lasting results.

## **What Is the Average Cost?**

If you're considering adding this trending treatment to your beauty routine, it's important to know the financial commitment involved. The cost of polynucleotide therapy can vary depending on where you go, but you can generally expect to pay between $200 and $500 per session. A complete treatment plan, which may involve multiple sessions, can increase the overall cost, but many clinics offer packages to help make the process more affordable.

In terms of value, the benefits of polynucleotide treatments—such as lasting hydration and the stimulation of your skin’s natural repair mechanisms—make it a more sustainable investment compared to quick fixes like superficial facials. While the initial outlay might seem steep, the long-lasting results could outweigh the need for more frequent, lower-cost treatments.

## **Where Can You Get This Treatment?**

Currently, polynucleotide facials are primarily offered at medspas, dermatology clinics, and plastic surgery centers. As the treatment gains traction, more providers are beginning to include it in their service offerings.

In the U.S., the treatment is still in its early stages of popularity, but as word spreads and more clinics adopt the technique, it’s likely only a matter of time before it becomes as ubiquitous as microneedling or chemical peels. For now, you may have to do a bit of research to find a clinic in your area that offers polynucleotide therapy, but rest assured that it’s an option well worth considering if you’re serious about upgrading your skincare routine.

## **Is the Salmon Sperm Facial Worth the Hype?**

At first glance, the idea of applying salmon sperm to your face might seem bizarre, but the science behind polynucleotides and their skin-rejuvenating properties is hard to argue with. From enhanced hydration to smoother, more resilient skin, this treatment offers a range of benefits that go beyond what many conventional facials can provide.

If you’re curious about trying the latest in skincare innovation and are willing to make an investment in your skin, polynucleotide therapy might just be worth the hype. With growing popularity and increasing availability, the salmon sperm facial could soon become a staple in advanced beauty treatments across the globe.


Overview of polynucleotides and why the "salmon sperm" facial is the new trending treatment in skincare.

Everything you need to know about the salmon sperm facial.

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

EMFACE

A treatment with no needles, no downtime, and with sessions that take less time than a mani / pedi… count us in. EMFACE is a new, non-invasive facial rejuvenation treatment by BTL (most famous for EMSCULPT) that everyone in the skincare world has been buzzing about. The innovative device, which was FDA-approved in 2022, uses a combination of high-intensity focused electrical stimulation (HIFES) and synchronized radiofrequency (RF). The HIFES acts as a “facial workout” that tones and lifts the facial muscles while the RF heats the skin and stimulates collagen and elastin production. 

Doctors are particularly excited about this new technology because it addresses two of the most common signs of aging: facial volume loss and wrinkles. “It is exciting because it targets the facial muscles and helps tone, tighten, and build muscle for a more youthful-looking appearance,” says [David Shafer, MD](https://aedit.com/provider/david-shafer-md-153 "David Shafer, MD"), a double board-certified plastic and reconstructive surgeon and founder of Shafer Clinic in New York City.  

So, how exactly does EMFACE work and does it really live up to all of the hype? Read on. 

## What does the treatment entail?
Getting EMFACE could not be easier; the treatment takes a little over 20 minutes and virtually has no downtime. The only “downside” (and we put that in quotes because it’s really not that big of a deal) is that, in order to get optimized results, the treatment calls for four sessions that are scheduled about a week apart. 

Before getting the EMFACE treatment, your provider will take about 10 minutes to prep your skin and the equipment. First, they’ll wipe your face with an alcohol cleanser to help the sticky pads adhere properly. From there, they’ll place a grounding pad on your upper back, which attaches to the machine and is responsible for safely channeling the energy to the facial pads. As a last step, they’ll place three pads on your face: one on your forehead and one on each of your cheeks. Now, you’re ready to go. Your provider will turn the machine on and it’ll start to work its magic; for the next 20 minutes, the pads will send signals that contract the facial muscles, making you involuntarily smile and twitch. You may feel a little bit of heat from the RF and a tickling sensation from the HIFES, but most people report that it is a fairly comfortable treatment. 

While the actual EMFACE session is quite quick, it’s important to note that it can take time before you see a noticeable difference. Dr. Shafer says you can expect peak results around one to three months post-treatment. It’s also worth mentioning that you’ll likely need to go in for maintenance sessions a few times a year after those four initial treatments.

## How does EMFACE compare to other facial rejuvenation treatments?
While EMFACE uses unmatched technology, experts say its best used in combination with other rejuvenation treatments. For instance, Santa Monica based Board-Certified Dermatologist [Dr. Ava Shamban, MD](https://aedit.com/provider/ava-shamban-md-2325), views EMFACE as complementary to treatments like Botox and filler. Since Botox and other neuromodulators work by relaxing the muscles that pull down the skin, Dr. Shamban says that ideally, a patient would have a neuromodulator treatment first, followed by an Emface treatment. 

Compared to filler, Dr. Shamban says EMFACE is completely different. “Emface can give a mild lift to fat pads that overly the muscles that are lifting, but it doesn’t address lip volume or cheek volume changes. It can improve facial contour and appearance of the jawline,” she tells us.

The same goes for Ultherapy, another non-invasive rejuvenation treatment; the two procedures treat different signs of aging. According to Dr. Shafer, Ultherapy tightens tissue by targeting loose or saggy skin whereas EMFACE lifts and tones the underlying muscle through muscle stimulation. 

And, in case you were wondering, while EMFACE is a total game-changer, it’s not going to replace a facelift… sorry! With the current technology, sadly no non-invasive treatment can deliver comparable results. That being said, you can combine EMFACE with other in-office treatments to achieve results that have never been possible until now.

## Bottom line: is EMFACE worth it?
EMFACE is a great option for those who are needle-phobic, are too young for injectables, or who want efficacious but natural-looking results. Since the treatment doesn’t have any downtime, Dr. Shafer says it’s particularly attractive for his patients looking for pain-free quick solutions with subtle results. 

Aside from its price point, the biggest limitation to EMFACE is that you can’t have metal plates or implants in your mouth, since it can interfere with the energy currents. But, as always, it’s best to discuss with your board-certified dermatologist to see if EMFACE is a good fit for you. 

For those who aren’t getting the desired results from their existing skincare treatments or find that needles are a barrier, EMFACE could be a great fit for them -- if their budget allows. Depending on the provider and location, the treatment costs around $4,000 for four sessions. 

With all of the buzz around this new treatment, we’re sure that EMFACE delivers, but stay tuned for my first-hand perspective as I meet with Dr. Shafer and his team at the Shafer Clinic over the next month!



Everything You Need to Know About EMFACE

Trinh Georg | Gloweva 

If there’s one thing we know, it’s that chasing the fountain of youth isn’t for the faint of heart — Botox and dermal fillers come with needles, chemical peels and lasers come with redness and swelling, and facelifts come with significant recovery and downtime. These treatments are all tried-and-true, but they require commitment, time, and, not to mention, significant investment. But, lately, we’ve been seeing a natural Botox substitute all over our FYP that has us totally intrigued. With TikTok creators swearing by facial massage and showing off their wrinkle-free foreheads and sculpted faces to prove it, we can’t stop wondering if it’s the long-awaited answer to our prayers. To get to the bottom line, we tapped into our expert network including Santa Monica based Board-Certified Dermatologist [Dr. Ava Shamban, MD](https://aedit.com/provider/ava-shamban-md-2325) and [Trinh Georg](https://www.instagram.com/trinhgeorgg), the founder of [Gloweva](https://www.gloweva.com/), who has amassed over 700k followers on social media with her facial exercise tutorials. Read below to find out if we should be saying “namaste” to face yoga.

### ***What is Facial Massage?***

If you thought a ‘facial massage’ was a cross between a facial and a massage, you’re not alone. While a facial massage can be relaxing and does improve the skin, its main goals are to improve face shape and combat aging. Depending on the technique, some prefer to massage with fingers while others swear by using a handheld tool, like a gua sha. In addition to the massage, a lot of people will couple the treatment with facial exercises (aka ‘facercise’) as another organic way to help lift and sculpt the face and neck.

### ***Benefits of Facial Exercise***

**Facial massage offers several benefits:**


- **Improved circulation and oxygenation:** moves nutrition into the skin cells and temporarily reduces inflammation and puffiness while giving a fresh glow

- **Lymphatic drainage:** moves toxins through the system, which can give an instant contour

- **Relaxation of facial muscles:** reduce tension and stress lines

- **Stimulate collagen production:** produces firmer, more youthful-looking skin

### **Popular types of Facial Massage + Exercise:**

- **Buccal facial:** A [buccal massage ](https://www.instagram.com/p/C5mwdr0r5hA/)is a sculpting technique that is performed by massaging the muscles inside the mouth with the fingers. Buccal massage involves pressure points to stimulate muscles and ligaments between cheeks and jowl area to release ligaments and stimulate muscles, says Dr. [Ava Shamban, MD](https://aedit.com/provider/ava-shamban-md-2325), a board-certified dermatologist in Santa Monica, CA. 

- **Gua sha:** Unlike most facial exercises which rely on the hands and fingers, gua sha uses a heart-shaped stone tool that stems from traditional Chinese medicine. Dr. Shamban says that using the smooth, contoured stone in a rhythmic scraping motion is more effective in drainage circulation. 

- **Facial yoga:** This practice includes a set of facial exercises and stretches to counteract the effects of aging. Natural beauty influencer, [Trinh Georg](https://www.instagram.com/trinhgeorgg/) says that by focusing on proper form and engaging the targeted facial muscles with intention, you can effectively build strength and tone, resulting in noticeable improvements in facial appearance and overall wellness.

- **Face tape**: Applying face tape each night is supposed to help lift sagging skin, increase circulation, and release muscle tension.


When it comes to deciding what type of facial massage and exercises are best for you, it depends on your goals combined with a bit of trial and error. For example, Georg says you can massage along the jawline to reduce tension and define it or you can massage around the eyes, in moderation, to reduce puffiness and dark circles. 

### **Getting Started with Facial Massage**

For those looking to get started with facial massage, Trinh recommends focusing on gentle, upward strokes using your fingertips, a gua sha, or a facial roller to release muscle tension and promote lymphatic drainage. Start from the center of your face and work outward, paying extra attention to areas of concern such as the jawline, cheeks, forehead, and neck. This will help reduce facial puffiness and promote a more sculpted appearance.

“Anyone can benefit from facial massage, but it's particularly beneficial for those looking to reduce signs of aging, improve skin tone and texture, or alleviate tension in the facial muscles,” says Trinh. 

But, remember that consistency is key. “If you stop doing facial massage, you may notice a gradual decrease in the benefits you've gained. It's best to maintain a consistent routine to sustain the results you've achieved,” Trinh advises. Luckily, she says you can still get results even if you practice just a few minutes each day. Depending on the person, you can see noticeable improvements in skin tone and texture as early as two weeks.

### **Our Take**

**Katie, Director of Operations**

I have been a believer and user of gua sha for some time now and find it tremendously effective for keeping my face feeling slim. While the overall presentation of my face is dependent on multiple factors; what I’m eating that week, how much I’m working out, and how many days I’m doing the facial massage, I still see it as worthwhile and an integral part of my routine. I tend to suffer from fluctuations in cheek volume, especially when I’m not feeling the healthiest and it is a major insecurity. Since starting a gua sha routine a few years back I have generally been able to keep my facial puffiness at bay which makes me a big advocate! 

The facial exercises demonstrated by Trinh are completely new to me and I’m hoping they work – look at her cheekbones! Who knew it was possible to achieve that without filler? Initially, I found it difficult to target/move the specific muscles in my face necessary to do the “workout” (I’m primarily working on lip & marionette lines) but practicing these exercises each day is getting easier. It’s also something that is accessible while doing other things throughout the day. I haven’t seen major changes yet, I think it’s still too soon, but I’m committed to trying for the next few months and am enjoying the results in my face so far! 

**Alisha, Sales Director**

After just three days of facial massage, I noticed a significant reduction in inflammation and puffiness in my face. While longer-term practice is necessary to achieve toning benefits, I already observed a subtle lift in my cheeks and jowls.

**Sam, Writer, The AEDITION**

Over the past few days, I focused specifically on Trinh’s exercises that targeted the forehead. Recently, I’ve noticed I’ve been developing some fine lines, so I was really excited to incorporate some of Trinh’s techniques as a proactive measure. After just five minutes of massage, I noticed my forehead already looked smoother. The effects seem to be short-term for now, but I’m excited to see even more improvement as I dedicate more time.

### **The Bottom Line: Does Facial Massage Work?**

We’re happy to report that TikTok didn’t let us down: facial massage does, in fact, work! That being said, facial massage does have its limitations; it’s not a medical aesthetic procedure, after all. 

With facial massage and exercise, you can expect to improve skin tone and contour, but the effects will be more temporary than a professional treatment. “They are more of the moment temporary improvements; they do not offer any cellular changes nor do they slow down mother nature,” Dr. Shamban tells us. 

The most important factor to preserving a youthful-looking appearance is proper sun protection and, as Dr. Shamban says, taking steps along the way to promote collagen and elastin (aka ‘prejevnation’). These are going to be the biggest differentiators in changing the trajectory of how we age!    


Your Facial Massage Questions Answered

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


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

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!


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

 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! 
