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Pining for super sculpted ab definition? We feel your pain. Endless crunches can burn in more ways than one. Truth is, it’s just not possible for most of us to naturally achieve the chiseled physique of a competitive bodybuilder or a body-tuned IG influencer, no matter how many gym hours logged or macros carefully measured.

Fat is like a fingerprint. Each person’s pattern of deposits is unique, which means that the same quantity of fat can look very different between individuals. It's also why lifestyle changes can only take us so far. For many, that’s where plastic surgery comes in. 

The origins of [liposuction](https://aedit.com/procedure/tumescent-liposuction) date back to the 1920s, when a French surgeon removed a portion of skin and soft tissue to improve the contour of a dancer’s knees and ankles. The result was tragic. His overly aggressive sculpting and too-tight suturing led to necrosis and, ultimately, amputation. 

In the ensuing decades, European plastic surgeons experimented with body sculpting techniques that minimized incisions and superficial tissue removal, instead scraping and suctioning the subcutaneous fat deposits. The technique proved problematic, however, due to its high risk of hematoma and seroma (blood and fluid pooling, respectively), infection, and necrosis.

The breakthrough finally came in the 1970s, when Italian and French surgeons pioneered excess fat removing techniques using varying sizes of blunt cannulas attached to suction to more gently remove the fat cells. The injection of saline mixed with enzymes to break up the fat cells prior to removal further refined the procedure.

In the years since, liposuction has gained popularity worldwide. [According to the American Society of Plastic Surgeons](https://www.plasticsurgery.org/documents/News/Statistics/2018/plastic-surgery-statistics-full-report-2018.pdf), over 250,000 lipo procedures were performed on so-called ‘problem areas’ in 2018 in the United States alone. Surgical innovators, meanwhile, have continued to hone the procedure to produce increasingly fine-tuned results.

The latest technique, known as high-definition or hi-def liposuction, uses more precise tools and methods to create incredibly natural-looking curves that mimic muscle contours and was first popularized in South America. 

## **Difference Between Traditional and High Definition Liposuction** 
“Traditional lipo is just fat removal in areas that are excessively full or problematic,” explains board certified plastic surgeon [Jacob Unger, MD](https://aedit.com/provider/jacob-unger-md-2649), of Nashville’s Maxwell Aesthetics. With this new approach, surgeons selectively remove fat from certain areas and leave a little bit extra in others “to create aesthetically pleasing peaks and valleys,” he continues.

The increasingly sculpted results come from a combination of both the plastic surgeon’s training and skill, along with the application of modern modalities that ease fat removal while safeguarding surrounding tissue. Some of these devices liquify fat cells prior to removal using different types of energy, like [ultrasonic](https://aedit.com/procedure/ultrasound-assisted-liposuction) (see: Vaser liposuction) or [laser](https://aedit.com/procedure/laser-assisted-liposuction) (i.e. [Smartlipo](https://aedit.com/procedure/smartlipo)). Others, like [power-assisted liposuction](https://aedit.com/procedure/power-assisted-liposuction) (PAL), use a vibrating cannula to help break up fat and keep the cells intact for potential fat grafting. Dr. Unger favors power-assisted [liposculpture](https://aedit.com/procedure/liposculpture) using varying cannula sizes in conjunction with skin-tightening radiofrequency energy (like [BodyTite](https://aedit.com/procedure/radiofrequency-assisted-liposuction)) to achieve his chiseled contours.

## **Areas of the Body to Treat With Hi-Def Lipo**
“Hi-def lipo is a complete game changer,” says New York- and Beverly Hills-based board certified plastic surgeon [Douglas Steinbrech, MD](https://aedit.com/provider/douglas-steinbrech-md-62), who adds that the technique has applications far beyond the stereotypical six pack.

“Not only can we enhance the patient’s own natural abdominal musculature, but also other areas such as the deltoids, the shoulders, biceps, triceps, and the pecs because we are looking at creating a total torso transformation,” he explains. Surgeons are also able to treat the back, arms, thighs, and calves.

## **Best Candidate for Hi-Def Lipo**
The best candidates for hi-def lipo are those patients with a BMI in the normal range and good skin quality (think: minimal or no laxity), who [already lead a healthy lifestyle](https://aedit.com/aedition/why-you-should-lose-weight-before-plastic-surgery) but want to be rid of problem fat pockets. Basically, it’s best for those seeking that ‘the gym is my day job’-type definition. 

Although hi-def lipo is a popular body contouring treatment for men and women alike, more and more guys are seeking out the procedure. Kevin*, 26, sought Dr. Steinbrech’s help after multiple lifestyle changes just couldn’t meet his goals. “For the longest time I tried to lose the fat on my flanks, chest and stomach,” he shares. “But no matter how hard I worked out and tried different diets, I could not lose the fat in those areas.” 

Dr. Steinbrech performed high-definition liposuction and autologous fat transfer on Kevin — a technique he’s dubbed “BodyBanking.” For Kevin, the results were life changing. “I have the body I never thought I could have before,” he shares. “I am a lot happier with myself now. Everything got better since my procedure: sex, friends, love life — all of it became 100 times better.”

## **How to Find the Right Provider to Perform Hi-Def Lipo**
With hi-def demand on the rise, Dr. Steinbrech and Dr. Unger urge people to be extra cautious when researching potential providers. Not only is it crucial to seek out a board certified plastic surgeon to perform your hi-def liposuction surgery, but you also need to make sure that surgeon specializes in the technique. “The biggest word of caution is to go to a surgeon that has a lot of experience with men’s body contouring and has a ton of before and after photos on the website to prove it,” Dr. Steinbrech shares.

The consequences of settling for cosmetic surgery ‘deals’ promised by less-than-expert providers are both immediate and long term. Not only are you increasing your chances of experiencing complications like bleeding and infection (a statistical possibility with even the most skilled surgeon), but you’re at much higher risk of experiencing disappointing results in the future. We naturally lose superficial fat as we age, which can prove problematic if a surgeon removes too much fat. 

“Overly resecting the fatty tissue beneath the skin can cause scarring and unnatural appearing lines and contours. That is why I perform ‘soft def’ liposuction,” explains Dr. Unger. “I feel that getting some elegant and athletic contours is great, but I would never perform that at the cost of a natural-looking and long-lasting result.”

## **Hi-Def Lipo Surgery and Results**
High-definition liposuction is typically performed under general anesthesia as an outpatient procedure (unless it’s very high volume). Downtime varies by procedure and patient, but it typically entails two to five days at home. Patients must wear compression garments 24/7 for the first two to four weeks and should expect some bruising and soreness. Most patients feel up to light exercise at the two-week mark and can hit the gym by one month post-op. Full restrictions are lifted after six weeks. 

“Recovery was very easy for me and it was very straightforward,” says Kevin. “Dr. Steinbrech had a recovery plan set up for me and provided all the medications tools necessary for my recovery.” Although every patient’s postoperative experience is different, sticking to your plastic surgeon’s recovery instructions will certainly make things smoother.

Expect to budget a minimum of $4,000 for a single area of hi-def lipo, but costs vary widely (think: upwards of $20K) depending upon the surgeon and the patient’s anatomy and goals. 

## **The Takeaway**
While liposuction has been among the most popular cosmetic procedures for decades now, hi-def techniques are particularly en vogue right now thanks to social media. “Patients are working out more and showing off the results on Instagram and other social media,” Dr. Steinbrech says. Similarly, Dr. Unger has also noticed a shift in aesthetic ideals. “What was once considered a nice figure has been ratcheted up significantly,” he shares. “Now a flat tummy is the minimum, with people wanting to see definition and abs.”

Even so, finding the right provider for your procedure is imperative to ensure the long-term results are both safe and satisfying. “Don’t get sucked into advertising from device companies,” Dr. Steinbrech warns. “It’s the conductor of the symphony — not the baton — that creates the most beautiful music.”

*Patient’s name has been changed

AEDITION trendsetters-min

Now Trending Collection | The AEDITION

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New ‘hi-def’ liposuction techniques do more than remove excess fat. They have the power to create chiseled contours without crunches. Is there a catch? The AEDITION investigates.

Everything You Need To Know About High-Definition Liposuction

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2020 has arrived! As we enter this new decade, what big trends in both surgical and non-surgical cosmetic procedures will the new ‘roaring ‘20s’ bring? To find out, we tapped some of the biggest names in dermatology and plastic surgery to get their takes on what hair, face, and body trends we can expect to see in medical aesthetics in 2020.

## **2020 Hair Trends**
*No longer just about treating hair loss once it happens, hair restoration procedures can have a preventative effect as well.*

### **1. Platelet-Rich Plasma (PRP) to Prevent Hair Loss** 
PRP is now considered standard protocol for hair growth, says board certified dermatologist [Rita Linkner, MD](https://aedit.com/provider/rita-linkner-md-8907), of Spring Street Dermatology in NYC. The treatment, which works for both men and women ([Kourtney Kardashian documented her experience](https://aedit.com/aedition/kourtney-kardashian-prp-injections-to-treat-hair-loss) with the procedure on *Keeping Up With the Kardashians*), involves injecting platelet-rich plasma from the patient’s own body into the scalp to repair damaged hair follicles and encourage fuller, thicker growth. 

The treatment’s mechanism of action and injection protocols are being demystified daily, as the topic continues to come up in cosmetic journals. “PRP’s use as adjuvant treatment to lasers and as a stand-alone injectable has been gaining traction and will only continue to rise come 2020,” Dr. Linkner says. 

## **2020 Face Trends**
*From innovative uses for Botox® and dermal filler to advances in skin tightening, there is an array of minimally invasive advances to address any number of complexion concerns on the horizon.*

### **2. PRP Skin Resurfacing** 
Surprise! [Platelet rich-plasma](https://aedit.com/procedure/microneedling-with-prp) is also used on the skin. “The use of PRP with small amounts of additives, like neuromodulators and hyaluronic acid, delivered with handheld microneedle chambers to provide [mesotherapy](https://aedit.com/procedure/mesotherapy) to the superficial structures of the skin can provide complexion improvements that were only previously seen with laser resurfacing,” Dr. Linkner says of the technique that is often colloquially referred to as the ‘vampire facial.’  

### **3. New Filler Products**
New York City-based board certified plastic surgeon [Umabreen Mahmood, MD,](https://aedit.com/provider/umbareen-mahmood-md-23) says the U.S. Food and Drug Administration (FDA) will likely approve several new soft tissue fillers in 2020 that are already used abroad in Europe, “which will be an exciting addition to the current portfolio of fillers.” 

### **4. No-Downtime Laser Rejuvenation**
New year, new lasers! Board certified dermatologist [Claire Chang, MD](https://www.unionderm.com/about/dr-claire-chang/), of Union Square Laser Dermatology says that 2020 is all about [Picosecond lasers](https://aedit.com/procedure/nonablative-fractional-lasers). One of the newest lasers on the market, it can be used for everything from overall skin rejuvenation and skin brightening to the targeted treatment of fine lines, brown spots, melasma, acne scars, and unwanted tattoos. It has minimal downtime and is very well tolerated, she says. 

### **5. The “LitLift”**
Manhattan-based board certified facial plastic surgeon [Dara Liotta, MD](http://facialplasticsnyc.com), says that one of the biggest non-surgical requests she receives at her practice is for [general facial optimization with fillers and neurotoxins](https://aedit.com/aedition/how-to-reshape-your-face-with-filler-botox-injectables). Dubbed “the LitLift,” Dr. Liotta says “millennials, in particular, don’t want to look like someone else.” Instead, “they just want to ‘dust’ a bit of filler and Botox® around the face to make them look like their best selves without makeup,” she says. #NoFilterJustFiller is one of her favorite hashtags to see patients use after an appointment with her. “I like to say that the new trend for 2020 is to be a bit ‘high maintenance’ in my office chair once or twice a year in order to be ‘low maintenance’ all year long,” she explains. 

### **6. Minimally Invasive Skin Tightening** 
Dr. Chang believes minimally invasive skin tightening procedures like [Ultherapy®](https://aedit.com/procedure/ultrasound-skin-tighteningultherapy) will continue to be on the rise in 2020. “As the global life expectancy increases, many patients are searching for non-surgical, preventative treatments to start in their twenties, thirties, and forties to avoid or delay the need for more aggressive surgical procedures in the future,” she says. 

Ultherapy® uses microfocused ultrasound to stimulate collagen deep in the skin, causing a skin-tightening effect to prevent and treat sagging, loose skin. “With the advent of treatments like Ultherapy, which have been shown to be safe and effective in skin tightening and lifting, patients are reaching for less invasive rejuvenation options,” Dr. Chang says. 

### **7. Preventative Injectables** 
Board certified dermatologist and founder of Spring Street Dermatology [Sapna Palep, MD](https://aedit.com/provider/sapna-palep-md-8908), says the light use of neuromodulators ([think: Botox®, Dysport®, Jeuveau®, and Xeomin®](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin)) and fillers early in life has been clinically shown to have anti-aging benefits. “We see those results commonly in patients proactively using injectables in their twenties and thirties to resolve mild aesthetic issues, rather than investing in plastic surgery later in life as a full overhaul,” Dr. Palep explains. With the technical advancements of neurotoxins and fillers lasting longer and having additional flexibility within the skin, it’s possible to achieve natural results without a lot of product. It is important to note that less is always more and the earlier you begin small aesthetic procedures, the less maintenance will be required over time, she adds.

### **8. Bespoke Lip Augmentation** 
At her Manhattan practice, Dr. Liotta offers a custom, non-surgical lip treatment she calls “couture lips” that she expects will continue to gain popularity in 2020. “Lips are always ‘in,’” she shares. “More and more patients are willing to pay a bit more for a perfect, couture, natural-looking lip.”

The anatomy of the lip and mouth area is actually quite complicated area. The lips are composed of a number of different parts, including the philtral columns (i.e. the vertical lines that run from the cupid’s bow to the nose), the vermillion border (where you’d put lip liner),  and the body of the lip itself (where you put lipstick). “If you feel your own lips, you’ll appreciate that each of these areas have a different stiffness, and move differently,” Dr. Liotta explains. After analyzing the lips at rest and in movement, Dr. Liotta creates a custom lip augmentation plan using anywhere from one to three types of filler — plus or minus Botox® — to help create the perfect pout. 

### **9. Microneedling with Radiofrequency**
Whether you look at is as radiofrequency reaping the benefits of microneedling or vice versa, Dr. Palep says the combination of the two treatments is seriously amplifying results. “A wound-healing process ensues,” she says of the technique. “Results peak through within two weeks.” The procedures are blood-free due to the coagulation effects of the needles, which means patients rebound quickly post procedure. [RF microneedling](https://aedit.com/procedure/microneedling-with-radiofrequency) treatments like Vivace® further up the ante with the addition of red and blue LED light, which further speeds up the anti-acne and brightening effects. Another add on? PRP. “The complement of PRP to this laser treatment also minimizes downtime while maximizing results,” Dr. Palep says. “That increased efficacy is well-received by millennials.”

### **10. Masseter Botox® for TMJD and Jaw Slimming** 
“2020 is all about mixing wellness and beauty, and masseter Botox® is a great example of this,” Dr. Liotta says of the off-label use of the neurotoxin that can [treat temporomandibular joint disorder (a.k.a. TMJD or TMD) and slim the jaw](https://aedit.com/aedition/botox-to-treat-tmj-disorders-and-jaw-slimming). The masseter muscle sits at the back of the mouth at the angle of the mandible (i.e. angle of the jaw) and is one of the muscles activated during chewing. “In people who grind or clench their teeth, it’s extra tension in this muscle that’s the culprit,” Dr. Liotta points out. 

She says that Botox® can be used both functionally to temporarily weaken the masseter muscle (the main teeth-grinding muscle) and improve the pain of TMJD. “When Botox® is used to relieve the pain of TMJ and tooth grinding, patients can expect some pain relief in as little as one to two weeks,” she says. Cosmetically, Botox® can be used to thin the masseter muscle and take away a square look to the angle of the jaw, softening the look of the lower face. In that case, the maximum effect is not seen for six to eight weeks, Dr. Liotta notes. 

## **2020 Body Trends**
*The body contouring trend is here to stay, and 2020 will see the evolution of both surgical and non-surgical techniques.*

### **11. Non-Surgical Body Contouring**
“For 2020, trends in plastic surgery are towards a more sophisticated body experience where skill, technology, and human touch blend,” says New York City-based board certified plastic surgeon [Ryan Neinstein, MD](https://neinsteinplasticsurgery.com/), who has seen an uptick in body treatment requests. 

In his practice, non-surgical body sculpting options include [EmSculpt®](https://aedit.com/aedition/why-everyone-is-talking-about-emsculpt) (to help define abs and buttocks) combined with skin tightening and lymphatic drainage massages. “Here people get the combination of modern technology with the traditional warmth and professional feel of human touch,” he says. To complement those services, patients enter into a weekly body treatment program at the practice and undergo [light therapy](https://aedit.com/aedition/everything-you-need-to-know-about-the-benefits-of-light-therapy) (LED or infrared) to maintain the results. “These treatments help detoxify, recover, and firm the body from the wear and tear we all go through,” he says. 

Dr. Mahmood, meanwhile, notices that patients are increasingly bothered by skin laxity of the face, abdomen, arms (to name a few), but may not be ready to undergo a facelift or abdominoplasty. As a result, non-surgical skin tightening options using radiofrequency and heat are becoming increasingly attractive options. 

### **12. Reshaped Rears**
For over a decade now, a plump, shapely rear has been the aesthetic in the U.S. But Dr. Neinstein says he has started surgically reshaping overly filled buttocks from the [Brazilian Butt Lift](https://aedit.com/procedure/butt-lift) craze. “We are now reducing and sculpting these buttocks to give a more athletic and feminine look,” he says.

### **13. Body Shaping with Botulinum Toxin**
Many beauty trends travel to the U.S. from overseas, and South Korea is one of the pioneering countries when it comes to aesthetics, Dr. Chang says. “Dermatologists in South Korea were using platelet-rich plasma (PRP), oral tranexamic acid, [threadlifts](https://aedit.com/procedure/thread-lift), and botulinum toxin for jawline slimming for years before we were in the United States,” she notes. 

Next up? Botulinum toxin treatments for other body parts. “In my practice, I place botulinum toxin injections to slim the muscles of the neck, shoulders, calves, and thigh bulge for body contouring,” says Dr. Chang. The effects can be seen in as little as  four to six weeks and last an average of six months. “An increasing number of patients have started asking for this treatment recently,” she says. “And it will likely rise in 2020.”   

### **14. VelaShape III for Cellulite** 
[VelaShape III](https://aedit.com/procedure/velashape) is a procedure used to reduce the appearance of cellulite and provide circumference reduction of the thighs by using a combination of technologies that deep-heat fat cells and surrounding tissue. The technology has improved in regard to the delivery of the energy to provide more wattage, which speeds up the heating of the tissue more comfortably for patients, says board certified dermatologist [Jennifer Chwalek, MD](https://www.unionderm.com/about/dr-jennifer-chwalek/), of Union Square Laser Dermatology. Each thigh requires just 15 minutes of treatment, though a series of one treatment a week for three or four weeks is recommended. Patients will see results after the third treatment, and Dr. Chwalek notes it’s particularly popular in the summer or before winter beach vacations. 

### **15. Body Injectables**
“Dimples, cellulite, stretch marks, and lax skin can all be targeted with Sculptra®, which is in the process of running FDA trials to approve these off-label uses,” says Dr. Linkner. Because there is no laser that can currently address these issues, [customizable injections](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers) are needed to fill this niche, she adds. Because of the semi-permanent nature of polylactic acid, or PLLA, Sculptra® results last anywhere from two to five years, which she believes is the strongest draw for clients.

### **16. Muscle Contouring**
The philosophy surrounding body contouring is shifting, and the focus is now on refining muscles, says Dr. Palep. “With technologies like FlexSculpt that work to exercise key core muscles groups, we sculpt patients in a way that can’t be achieved with a trainer in the gym,” she explains, adding that refinement means even those with BMIs under 25 who might not be ideal candidates for fat-contouring machines can now non-invasively treat something for which liposuction was once the standard. “No downtime and quick treatments make this lunchtime procedure one of the most popular offered at Spring Street Dermatology,” she says.

Buzzy new body contouring procedures and innovative injectables are just a few of the trends our experts agree will rule the cosmetic surgery and dermatology industries in the year ahead.

Biggest Medical Aesthetics Trends Of 2020 For Hair, Face, Body

The 16 Biggest Medical Aesthetics Trends Of 2020

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We all know that [Botox®](https://aedit.com/procedure/botox-facial) (onabotulinumtoxinA) can be used to smooth fine lines and wrinkles, but it can also do so much more. While the U.S. Food and Drug Administration (FDA) has approved the use of Botox® to temporarily improve the appearance of frown lines between the eyebrows, forehead lines, and crow's feet, there are an array of 'off-label' uses as well. One such case gaining popularity? Using Botox® to treat temporomandibular joint disorder (a.k.a. TMJD or TMD) and, in the process, slim the jawline.

## **What Is Temporomandibular Joint Disorder?**
The temporomandibular joint (colloquially known as TMJ) connects the mandible (i.e. lower jaw) to the temporal bone (i.e. skull). It is present on both sides of the face and facilitates the opening and closing of the mouth, which, in turn, allows for speaking and eating.

Temporomandibular joint disorder refers to a group of conditions that cause pain and discomfort around the jawline and neck. It can be triggered by a variety of things, including regular teeth grinding or jaw clenching  (especially at night), arthritis, erosion of the joint, or structural problems. In addition to jaw pain, symptoms include jaw stiffness, tension headaches, limited jaw mobility, lockjaw, clicking or popping, and a change in teeth bite.

While there is no universal standard for diagnosing TMJD, the [National Institute of Health](https://www.nidcr.nih.gov/health-info/tmj/more-info) (NIH) estimates that over 10 million people in America are affected by TMD and most of them are women. Board certified plastic surgeon [Jonathan Cabin, MD](https://aedit.com/provider/jonathan-cabin-md-956), treats an increasing number of TMJD patients at his Beverly Hills practice and attributes the rise to three key factors:

1. **Increased Prevalence of TMJD**: We live in a stressful world and a lot of people “express” this stress while subconscious and sleeping through jaw clenching and teeth grinding, which, in turn, has led to an increase in cases.
2. **Increased Recognition and Diagnosis of TMJD**: For a long time, TMJD was an under-diagnosed condition mostly because the symptoms associated with it were mistaken for other disorders, like ear infections or migraine headaches. Now that providers can more properly diagnose TMJD, more people are aware they are suffering from it.
3. **Increased Awareness of Treatment Options**: The internet and social media have led to a hyper-educated patient population who is now more likely to hear about TMJ treatment.  

Dr. Cabin treats patients of all ages for TMD, but he reports that patients are diagnosed with the condition for different reasons at different ages. While most younger patients experience TMJD as a result of stress, older patients tend to have TMJD that is associated with dental issues.

## **How to Treat TMJ**

1. Over-the-Counter Pain Medication (think: ibuprofen)  
2. Bite Guards and Stabilization Splints to prevent clenching and grinding 
3. Ice packs to reduce swelling
4. Stress Management 
5. Botox®

The NIH recommends over-the-counter pain medication or non-steroidal anti-inflammatory drugs, (think: ibuprofen) to manage the pain associated with TMD. Additionally, bite guards and stabilization splints can be worn overnight to help provide relief for patients who are prone to clenching and grinding, and, in terms of day-to-day behavior, TMJD sufferers are generally encouraged to avoid hard foods and gum, apply cold packs to reduce swelling, stretch the mouth and jaw regularly, and practice stress management.

<PullQuote attributedTo={Jonathan Cabin, MD}>
  “When injected into the masseter muscles, Botox® reduces the strength of these muscles to the point where grinding and clenching can’t generate the same level of force, and thus, can’t generate the same level of damage,”
</PullQuote>

Gaining popularity in the treatment and management of TMJD is the use of Botox® to relax the masseter facial muscle, which sits at the back of the mouth and plays a major role in chewing food and, yes, clenching and grinding teeth.

“The main muscle involved in the clenching and grinding force is the paired masseter muscle, which sits toward the back of the mouth on either side of the jaw. It can be seen bulging in and out of the lower face while chewing,” Dr. Cabin explains. “Believe it or not, these muscles are the strongest in the entire human body per unit weight, and this type of force likely evolved given our needs as hunter-gatherers to eat uncooked and, thus, unsoftened foods. But in our modern society, we only need a fraction of this strength to properly chew our food.”

Injecting a neurotoxin like Botox® into the masseter muscle can help counteract the force of the chewing, clenching, and grinding action that leads to damage and inflammation of both the teeth and jaw. 

“When injected into the masseter muscles, Botox® reduces the strength of these muscles to the point where grinding and clenching can’t generate the same level of force, and thus, can’t generate the same level of damage,” Dr. Cabin says. “With the right amount of Botox® injected with skill, the ability to chew normally — which requires a lot less force than our muscles are otherwise capable of — is not impacted at all.”

## **Is Botox® for TMJ Disorders Effective?**
First things first, let’s talk about safety. It’s important to note that the injection of Botox® into the masseter muscles is off-label (read: not FDA approved). While it is widely considered by the medical community to be both safe and effective for short-term use, a [2017 study](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5466904/) found that repeated Botox® injections into the masseter muscle decreased muscle thickness and bone volume in the mandibular gonial angle area (a.k.a. the jawline). Because findings about the long-term safety and efficacy of the treatment are inconsistent, the [NIH provided a grant](http://www.tmj.org/site/page?pageId=296) for further research about the risks and benefits of masseter Botox®. 

One thing is clear: Patients have reported improvements in their TMJ pain after Botox® treatments. Like most Botox® injections, this procedure is quick and requires minimal downtime. Typically, TMJD treatment includes four injections on each side of the jaw muscle, for a total of eight injections. Although the injections are deeper than other cosmetic uses, the process is relatively painless. Dr. Cabin recommends using the smallest needles possible in combination with a vibrational device against the skin to minimize discomfort.

“After carefully reviewing the procedure and any potential side effects, I have my patients use an ice roller over the intended injection areas for a few minutes to help to reduce discomfort and any chance of bruising,” he explains. “I then ask my patients to clench down, which activates the masseter muscles and allows me to outline them carefully with a skin pencil. This is for precision and to ensure symmetry between the two sides.”

The most common side effect following masseter Botox® is discomfort in the muscle — particularly when activating the muscle while chewing food or talking — for the first 24 hours after treatment. Dr. Cabins explains just like a vaccination in the arm muscle can leave the area feeling achy for the first day or so, an injection into the masseter muscle is no different. 

Depending on the strength of the masseter muscle and the amount of neurotoxin required, some patients may experience temporary changes in their ability to chew. “Patients with particularly strong and/or large muscles may require a greater amount of Botox®. In these patients, there is sometimes a transient reduction in the ability to chew tough foods, like steak, which generally lasts only a few weeks,” Dr. Cabin says. “Rarely, a patient with normal amounts of Botox® will report this side effect, as well.”

## **How Long Does Botox® for TMJD Last?**

- **Downtime**: 24 hours of injection site and/or muscle pain
- **Initial Results**: Within 2 weeks
- **Peak Results**: Within 4 to 6 weeks
- **Lasts**: 3 to 5 months 

Like all Botox® injections, the results of TMJD treatment are not immediate. For masseter injections, it typically takes a minimum of two weeks to see changes to both pain levels and jaw shape. Dr. Cabin says that relief usually increases over the course of the first month and peaks at about four to six weeks post-treatment. At the same time, patients will also notice a cosmetic difference in their face and experience jaw narrowing and slimming.

Depending on the patient, results can last anywhere from three to five months. As the Botox® begins to wear off and the masseter muscle expands, patients will notice a reversal in facial structure and TMJD symptoms. To sustain a slimmer jawline and keep TMD discomfort to a minimum, patients can schedule additional treatment before the Botox® fully wears off. Once a patient has a good sense of how long it lasts for them, they can go in for routine re-injections.

## **The Takeaway**
While the long term ramifications of Botox® injections into the masseter muscles remains inconclusive, its effectiveness as a treatment for TMJD and jaw slimming is not. Just a few injections of the neurotoxin into the masseter muscle can help to relieve TMD symptoms and refine the size and shape of the jaw. The quick and (relatively) painless procedure lasts up to six months and costs anywhere from $450 to $1,500, depending on the practitioner. And, as with any procedure, be sure to find a board certified plastic surgeon or dermatologist who specializes in the technique.

While Botox® is FDA-approved to treat frown lines, forehead lines, and crow's feet, there are an array of 'off-label' uses as well. One such case gaining popularity? Using Botox® to treat temporomandibular joint disorder and, in turn, slim the jawline.

A Guide to Botox For TMJ Disorders And Jaw Slimming

Why Botox For TMJ Disorders And Jaw Slimming Is On The Rise

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Ask any parent and they’ll likely tell you that having kids can do a number on your physique — and we’re not just talking about pregnancy, childbirth, and breastfeeding. The lifestyle changes and demands of childrearing can have a dramatic impact on dads, too. 

As the conversation surrounding male plastic surgery continues to evolve, more and more fathers are considering a collection of cosmetic procedures that have become known as the ‘daddy do-over.’ “The stigma against men having plastic surgery is falling, so men are more likely to get what they want,” says Nashville-based plastic surgeon [Jacob Unger, MD](https://aedit.com/provider/jacob-unger-md-2649). 

Similar to its counterpart — the so-called [mommy makeover](https://aedit.com/aedition/the-mommy-makeover-how-to-bounce-back-after-a-baby) — a daddy do-over typically consists of surgical body contouring (think: [liposuction](https://aedit.com/procedure/liposculpture), tummy tucks, and male breast reduction). Some men take advantage of their OR time to tack on facial procedures ranging from [blepharoplasty](https://aedit.com/procedure/upper-eyelid-blepharoplasty) (i.e. eyelid surgery) and [neck lifts](https://aedit.com/procedure/direct-neck-lift) to [hair transplants](https://aedit.com/procedure/strip-harvesting) and [CO2 laser resurfacing](https://aedit.com/procedure/ablative-co2-laser).

## __Male Plastic Surgery Trends__

According to the American Society of Plastic Surgeons, [more than 1.3 million cosmetic procedures were performed on men in 2018](https://www.plasticsurgery.org/news/press-releases/more-men-undergo-plastic-surgery-as-the-daddy-do-over-trend-rises-in-popularity) (up nearly 30 percent since 2000) and liposuction was the second most popular surgical procedure for guys with some 30,000 treatments performed. 

“I think men are realizing they feel the same way as women do about not wanting to age,” says Scottsdale, Arizona-based plastic surgeon [Richard J. Brown, MD](https://aedit.com/provider/richard-brown-md-4646). “With society’s emphasis on being healthy and in shape, men want their faces and bodies to match how they feel inside.”

As men age, fat tends to accumulate around the midsection. With less time to exercise and eat right, many guys — dads including — find it nearly impossible to reduce that stubborn bulge and are turning to surgery to reach their goals. 

<PullQuote attributedTo={Richard J. Brown, MD}>
  “I think men are realizing they feel the same way as women do about not wanting to age. With society’s emphasis on being healthy and in shape, men want their faces and bodies to match how they feel inside.”
</PullQuote>

Dr. Unger, for example, has seen an increasing number of dads coming in for liposuction of the abdomen, flanks, and back, as well as high-def lipo sculpting procedures that utilize laser and radiofrequency energy to target specific areas of fat and create the illusion of a more chiseled physique — especially in the ab area. “Fitness is so en vogue, and this is an extension of that trend,” he says.

## __The Best Candidates for a Daddy Do-Over__

According to both surgeons, the best candidates for these types of contouring procedures are men who are already in relatively good shape. “Fit people with isolated issues that can be treated effectively,” says Dr. Unger. And, as with any procedure, prospective patients must be healthy enough for surgery. 

“Patients need to have a body mass index (BMI) that is sufficient to support having surgery safely and to give them the best result,” Dr. Brown explains. Plastic surgery [should not be used an alternative to weight loss surgery](https://aedit.com/aedition/why-you-should-lose-weight-before-plastic-surgery), and patients who already have a healthy lifestyle in place — including a nutritious diet and regular exercise routine that allows them to maintain a healthy weight — are more likely to experience the benefits of just about any form of cosmetic surgery.

Seeing the sculpting results of a daddy do-over may even inspire patients to amp up those already positive lifestyle choices. Dr. Unger’s patient Jack* says that getting liposuction on his abdomen and flanks “jump started” his road to getting back in shape. The 34-year-old father of two elementary school-aged kids followed up his surgery with “a good, healthy meal plan” and “better lifestyle choices,” which, he says, got him in the best shape of his life.

It should be noted that while combining cosmetic procedures is generally more cost effective than having separate surgeries, a daddy do-over can set patients back between $10,000 and $20,000, depending on the treatment plan. The trade-off, however, is that patients will only have one period of downtime, as opposed to separate recoveries, if the surgeries were spaced out.

## __Most Popular Daddy Do-Over Procedures__

So, for dads (or, really, any man looking for a bit of fine tuning) what are the best face and body procedures to combine? The AEDITION asked the experts. 

### __1. Liposuction__

As mentioned, some 30,000 [liposuction](https://aedit.com/procedure/power-assisted-liposuction) procedures were performed on American men in 2018 alone. Dr. Brown says the sculpting techniques used during a daddy do-over do differ from those employed on mommy makeover patients. “For male body contouring, the way we shape the torso is different because the hip to waist ratios are different,” he explains. “Women tend to desire an hourglass appearance while men do not.”

### __2. Gynecomastia Surgery (a.k.a. Male Breast Reduction)__

As men age, their likelihood of experiencing [gynecomastia](https://aedit.com/procedure/male-breast-reduction) (colloquially referred to as ‘man boobs’) increases. This excess of breast tissue and fat in the chest — as a result of an imbalance between testosterone and estrogen — can be exacerbated by certain medications and lifestyle choices. The [American Society for Aesthetic Plastic Surgery (ASAPS) reports](https://www.surgery.org/sites/default/files/ASAPS-Stats2018_0.pdf) that male breast reduction surgery rose nearly 50 percent between 2014 and 2018, making it the second most frequently performed cosmetic procedure among men.

### __3. Abdominoplasty (i.e. Tummy Tuck)__

While they’re a staple of the mommy makeover, the [ASAPS found](https://www.surgery.org/sites/default/files/ASAPS-Stats2018_0.pdf) only about 5,000 male tummy tucks were performed in 2018. Because of the significant stretching of both the skin and underlying muscle that occurs during pregnancy, women tend to seek out [abdominoplasty](https://aedit.com/procedure/abdominoplasty) more often than men. But that’s not to say they don’t have benefits for guys as well.

In cases of extreme weight loss, a tummy tuck — which tightens the abdominal muscles and removes loose skin — may be the best and only solution to meet a patient’s goals. Joe, a father of two, lost a significant amount of weight through diet and exercise and found himself unhappy with the sagging skin left around his midsection. He opted with a tummy tuck with Dr. Brown that had a big impact on his sense of self. “I feel more self confident and less apprehensive about going shirtless,” he shares.

### __4. Facial Rejuvenation__

Not only seeking to undo their ‘dad bods,’ surveys show that men are also turning to cosmetic surgeons to help them look younger and maintain a competitive edge in the workplace. Both surgical and non-surgical facial rejuvenation procedures, especially [eyelid surgery](https://aedit.com/procedure/lower-eyelid-blepharoplasty-transconjunctival-approach) and [Brotox](https://aedit.com/aedition/the-rise-of-brotox-injections) — ahem, [Botox®](https://aedit.com/procedure/botox-facial) — are on the rise. 

[Botulinum toxin type A injections](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin) (like Botox®, Dysport®, Jeuveau®, and Xeomin®) and soft tissue fillers rank first and second, respectively, on the [ASAPS’ annual list](https://www.surgery.org/sites/default/files/ASAPS-Stats2018_0.pdf) of the most popular minimally invasive procedures for men. In his practice, Dr. Brown has seen an increase in the number of dads requesting these tweakments. “They see their wives looking rejuvenated, and they want to keep up,” he says.

Alex*, a busy father of three, started getting Botox® when he felt his facial lines were making him look older. “I didn’t like looking like I was frowning all the time, but I didn’t want that frozen look either,” he confides. “When Dr. Brown explained that I would still be able to make expressions and that it keeps wrinkles from getting worse, I thought, ‘Why not try it?’”

## __The Takeaway__

Much like the mommy makeover, the results and impact of a daddy do-over typically run deeper than the physical aspect alone. In addition to restoring a patient’s physique, many report an overall improvement in their self confidence as well.  

“I’ve got twin boys, so I get it. I don’t know anyone — dads included — who doesn’t want to look and feel their best,” says Dr. Brown, who practices what he preaches. “I do have filler in my face and some neurotoxin, and it has made a huge change in the way I look. That translates into how I feel. Upkeep is no longer taboo. It’s the norm for everyone, and why the heck not?”

*Patient names have been changed

From body contouring to Botox®, dads are increasingly heading to the plastic surgeon for a suite of procedures that has been dubbed the ‘daddy do-over.’

Daddy Do-Over Body Contouring And Facial Rejuvenation Cosmetic Surgery Procedures For Men 

Forget The Mommy Makeover, It’s Time For The Daddy Do-Over

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We may not be at the point where you overhear your surgeon saying, “Hey, Google, pass the scalpel,” but artificial intelligence (AI) is gradually making its way into the healthcare industry and, by extension, dermatology and plastic surgery practices, too. Even in its limited use, AI is already helping providers offer their patients better care — whether it’s pre-op, in the OR, or during the recovery process. Here are three ways artificial intelligence is shaking up medicine.

## __1. AI Patient Care__

Your experience with a medical practice starts as soon as you look for information online. You might have questions for the practitioner or want to book an appointment. In the past, you would have emailed or called the practice, but you may now find yourself speaking to an AI assistant on the practice’s website. Going forward, the carefully programmed software could even help patients with aftercare following surgery.

New York city-based board certified plastic surgeon, [Philip Miller, MD](https://aedit.com/provider/philip-miller-md-71), who is an expert in [rhinoplasty](https://aedit.com/procedure/closed-rhinoplasty), is at the forefront of the integration of AI in aesthetic practices. Dr. Miller developed an AI Chatbot called [Aestheti.Bot](https://www.aestheti.bot/) that can instantly answer common patient questions. While his interface works by having patients text it directly, other chatbots are available via Facebook Messenger and can be integrated with Amazon smart speakers. While the chatbot does not replace medical advice, it does offer patients instant answers to frequently asked questions — any time, anywhere. 

There are already apps driven by artificial intelligence that help patients recover from orthopedic surgery, and the technology could be adapted for cosmetic procedures and plastic surgery. Apps like [myrecovery.ai](https://www.myrecovery.ai/) allow surgeons to tailor recovery programs for their patients and track their progress as they recover, while patients glean a better understanding of how best to take care of themselves.

But AI isn’t just tackling of medical questions and care — it is also looking after patients and practitioners’ schedules. You may find that the next time you make an appointment for a procedure, an AI interface will remind you what aftercare protocol to follow when you get home and help you to schedule your follow up appointments accordingly.

## __2. A New Kind of Surgical Assistant__ 

While artificial intelligence robots may not be ready to replace nurses and physician assistants, they responsible for some basic tasks in the operating room. Dr. Miller, for one, uses a smart speaker to control the lighting and some machinery in his OR.

[Surgeons are using smart speakers](https://www.theweek.in/news/sci-tech/2019/03/25/Smart-speakers-bring-about-a-revolution-in-surgery.html) to set timers and keep track of information while operating. During treatment, doctors can ask the smart speaker to access medical information about a patient, which may allow them to make decisions without having to ‘break’ their sterile scrub. AI technology has also been developed to allow providers to ask for recommendations about things like implant usage based on patient data, and, while the software has not been created specifically for cosmetic procedures, it’s likely only a matter of time.

AI is also helping doctors provide more personalized care. Cleveland Clinic and IBM implemented a program that analyzes data from thousands of medical papers and other sources to create more efficient treatment plans for patients. There are also virtual nursing services that allow providers to digitally answer questions about minor concerns — without a phone call or in-office visits. 

And let us not forget that as voice-to-text technology has improved, so too have the workflows in many doctors’ offices, with dictation simplifying everything from note taking to prescriptions. 

## __3. Computer-Assisted Diagnosis__  

On the more mindblowing end of the AI revolution, [Google is developing a technology that it claims](https://venturebeat.com/2019/09/13/googles-ai-detects-26-skin-conditions-as-accurately-as-dermatologists/) is able to diagnose skin concerns as accurately as a dermatologist. 

Developers created a so-called “deep learning system” and taught it to recognize 26 common skin conditions that often lead to patients consulting a dermatologist. The system analyzes photos and basic data about the user, before suggesting a list of possible diagnoses — from most to least likely. In a similar vein, Stanford University [tested an AI algorithm](https://cs.stanford.edu/people/esteva/nature/) designed to detect skin cancers. When tested against practicing dermatologists, the tech performed as well as its human counterparts.

Additionally, there has been early testing to see if a deep learning system could [help identify breast cancer metastasis](https://www.forbes.com/sites/bernardmarr/2018/07/27/how-is-ai-used-in-healthcare-5-powerful-real-world-examples-that-show-the-latest-advances/#62da7adf5dfb). MIT, meanwhile, is leading research into AI-assisted medical imaging analysis, in which algorithms could help doctors in remote areas to analyze test results without telemedicine, and there is hope that the technology will reach the point that a simple smartphone photo of a rash or cut is enough to determine the type of care a patient needs.

## __The Takeaway__

While we’re still a ways away from having robots greeting us at the doctor’s office and trusting computers with clinical decisions, AI is steadily making inroads in the healthcare industry. For now, look out for automated booking systems and AI-generated aftercare, but don’t be surprised in a few years' time if there’s an AI application waiting to diagnose and prescribe treatment — without a trip to the doctor’s office. 

From smart speakers in the operating room to virtual diagnosis and treatment plans, The AEDITION looks at a few of the ways artificial intelligence is shaking up the medical industry.

How Artificial Intelligence Is Being Used In Doctor’s Offices And Operating Rooms

3 Ways Artificial Intelligence Is Changing Medicine

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On the premiere episode of season 17 of *Keeping Up With Kardashians* earlier this month, Kim Kardashian was anything but chill when she noticed a bald spot on the crown of her older sister Kourtney Kardashian’s head. "Kourtney, you have a really big spot on the top of your head," Kim worriedly told her sister. "Kourtney, oh my god. I'm afraid for your life. Have you seen that?" 

Kourtney admitted she could feel the spot, and she had a hunch as to the culprit: the [sky-high ponytail she sported at the amfAR New York Gala](https://www.instagram.com/p/BtludB_nsWv/) in February 2019. “It’s a hole in my head,” the 40 year old exclaimed. “I swear it’s from my ponytail, it was so tight that I had a bump on my head like this.”

While Kim and Kourt may have been a tad bit dramatic about the extent of the damage, the mom of three made an appointment with Beverly Hills plastic surgeon Jason Diamond, MD ([the same doctor behind Chrissy Teigen’s social media-documented armpit Botox](https://aedit.com/aedition/armpit-botox-to-treat-excessive-sweating-hyperhidrosis)), who recommended platelet-rich plasma (PRP) injections to stimulate hair growth. He explained that the reality star would need "two or three series, maybe once a month for the next three months" in order to see results, but full regrowth would be possible.

Even the most casual fan of the Kardashian clan likely remembers that Kim helped kickstart the [vampire facial](https://aedit.com/procedure/microneedling-with-prp) craze back in 2013 when she underwent the procedure during an episode of *Kourtney & Kim Take Miami*. The treatment involves rubbing a PRP concentration over freshly microneedled skin to promote cell turnover and collagen and elastin production. The result? Immediate and long term glow.

Similar logic applies to [PRP hair loss treatments](https://aedit.com/procedure/acell-and-prp-injections-for-hair-loss). The platelet-rich plasma is injected into the scalp to repair damaged hair follicles and encourage fuller, thicker hair growth. And while Kourtney was treating a relatively mild incident, the procedure can be used as a remedy for both male and female pattern baldness and hair loss.

“In males, hair loss often presents itself as a receding hairline, while in females, it usually presents itself as thinning hair,” says dermatologist [Sapna Palep, MD](https://aedit.com/provider/sapna-palep-md-8908), founder of Spring Street Dermatology in New York City. “Male pattern baldness is a combination of genetics and the male hormone dihydrotestosterone. The cause in females can be multifactorial.”

As Dr. Palep explains, causes of hair loss in women can range from telogen effluvium (temporary hair loss) induced by extreme stress (think: surgery, emotional trauma, illness, weight loss) or certain medications (i.e. oral contraceptives, Accutane) to androgenetic alopecia (a.k.a. female pattern hair loss), which is often genetic. 

But that’s not all.

“Autoimmune disorders — like lupus, thyroiditis, and alopecia areata — can all contribute to hair loss in women, along with polycystic ovary syndrome, which is hormonal in nature,” she shares. “Skin conditions like psoriasis or seborrheic dermatitis can cause increased hair shedding depending on severity, and traction alopecia causes areas of hair loss as a result of pulling on the hair — like with tight ponytails or braids.”

With so many potential culprits, it’s no surprise that Dr. Palep calls female hair loss a “common condition” she encounters at her practice, and PRP has become one of her go-to treatments.

“PRP treatments are a great way to treat female pattern baldness. It has a very low side effect profile compared to other treatments and is highly effective,” she explains of the three-step process. “Blood is drawn from the patient, processed for platelet extraction (growth factors), and then injected into the scalp. A typical protocol is three treatments spaced a month apart and then every six months thereafter for maintenance.”

While completing the initial series and staying on top of the maintenance schedule is necessary for full results, Dr. Palep says a patients usually see a “noticeable improvement” after the second treatment. “I typically tell patients to avoid blood thinners prior to treatment,” she explains. “And the only downtime is due to bruising for 24 to 48 hours with mild pain.”

While the injections alone yield good results, they can also be employed to complement other hair loss treatments. “PRP can be used in conjunction with oral spironolactone in women or oral finasteride in men, topical minoxidil, and supplements like [Nutrafol](https://nutrafol.com) in both men and women,” Dr. Palep says.

So, whether you’re a reality star with an overzealous glam squad or someone dealing with any of the other causes of female hair loss, PRP injections are a promising solution with little to no downtime.

Six years after Kim Kardashian made the “vampire facial” famous, her sister Kourtney tried a similar technique on her scalp to reverse hair loss. Do platelet-rich plasma injections for hair loss live up to the hype? The AEDITION asked an expert.

All About Kourtney Kardashian's PRP Injections To Treat Hair Loss 

All About Kourtney Kardashian’s PRP Injections For Hair Loss

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From [Botox®](https://aedit.com/procedure/botox-facial) to [fillers](https://aedit.com/procedure/temporary-lip-fillers), we’ve grown accustomed to incorporating syringes into our cosmetic dermatology regimen, but what about adding a needle to your skincare routine? For patients who are brimming with serums, lotions, and potions, IV nutrient therapy has emerged as a trendy way to improve skin health from the inside out. But does it work? The AEDITION investigates. 

## __What is IV therapy and how does it work?__

IV therapy is a method using an IV that delivers an intravenous solution directly into the vein via a syringe or cannula, is regularly used to replenish fluids when patients are dehydrated, correct electrolyte imbalances, and deliver medication. On the wellness front, such treatments have long been marketed to treat hangovers and boost energy (here’s looking at you, vitamin B12 shots), so it was only a matter of time before they made their way into the beauty space, too. 

“We use IV therapy for a few reasons,” says [Julie Russak, MD](https://aedit.com/provider/julie-russak-md-4645), a New York City-based dermatologist and founder of Russak Dermatology. “It’s used to detox the body if we have found toxic elements, to decrease inflammation, or to infuse antioxidants. An added benefit is that IVs have the ability to provide instant hydration.”

All of the said uses can have a positive effect on the skin, and the 45-minute procedure is relatively straightford and painless. Patients are hooked up to the IV via a vein in their hand or arm and are simply asked to sit back and relax while the drip gets to work. Once it’s complete, the practitioner will remove the cannula, apply a bandage to the injection site, and perhaps check your blood pressure before sending you on your way. 

The hydration benefits of the infusion to kick in almost immediately, and the nutrients begin to work around 12 to 24 hours after treatment.

So, which nutrients are best for intravenous skincare?

In a world increasingly obsessed with customization, beauty products have remained largely one size fits all. IV therapy, however, offers a personalized experience because nutrients can be cocktailed to treat any number of skin or health concerns.

“We specifically use vitamin C, vitamin B, and glutathione to benefit the skin,” says Dr. Russak. And there is more where that came from. IV therapy pioneer David Colbert, MD, founder of [New York Dermatology Group](https://www.nydermatologygroup.com/) and [ColbertMD skincare](https://www.colbertmd.com/), shares that drips with “magnesium chloride, zinc, vitamin B-complex, vitamin B12, ascorbic acid, and electrolytes” are also common.

## __What are the benefits of IV therapy vs. topical skincare?__

“The benefit of IV nutrient therapy is the direct delivery of nutrients into the body,” says Dr. Russak. “It bypasses the digestive system, which could be decreasing absorption of nutrients due to an inflamed or leaky gut.”

So while eating nutrient-rich foods is obviously paramount to overall health, intravenous delivery is the fastest and most effective way to deliver vitamins straight to where the body needs them. Similar logic can be extended to skincare. When comparing IV therapy to topical skincare, the difference lies in how the body processes the ingredients. 

With topicals, there is an active ingredient and a so-called “delivery system” to transport it into the skin. While the blend of ingredients can certainly change the appearance of the complexion, topicals can’t address the root cause of many skin concerns: the gut. IV therapy, meanwhile, can.

Infusions are rich in antioxidants (namely, glutathione) that have the ability to remove toxins from the body (hence, why IV therapy is such a popular hangover treatment!). Without proper detox, such toxins can be linked to skin concerns like acne, dermatitis, eczema, and premature aging. Coupled with the additional vitamins and minerals found in IV nutrient infusions, skin health can be improved from the inside out with routine treatment. 

“The ideal IV therapy patient is anyone seeking a solution to chronic problems or simply wanting their body to function at its prime,” says Dr. Russak. “The skin is a mirror of what’s going on in the gut. I see patients with breakouts or chronically irritated skin and, after they opt into our wellness program, we get to the bottom of the cause and create a step-by-step plan to rebalance the system. This plan often includes IV nutrient therapy.”

## __How should you incorporate IV therapy into your skincare routine?__ 

The way you can incorporate IV therapy into your skincare routine according to Dr. Colbert, is by using it as both a preventative and remedial method for boosting hydration and vitamin levels — whether your concerns involve skincare, hangovers, or anything in between. At his New York Dermatology Group, the aptly named Inbound and Outbound drips, for example, are formulated to relieve the stress put on the body during travel, while the Immunity Infusion is designed to help patients avoid getting sick.

Patients may utilize a one-off drip to counterbalance jet lag, get a pre-event boost, or ward off illness, but, especially as it relates to the complexion, regular compliance will yield the best results.

“We use IV therapy as part of our Comprehensive Wellness Analysis program — not as a one-time quick fix. Our program is designed with long term benefits in mind,” says Dr. Russak. “Patients notice results the very next day, and we recommend they come in once every three weeks.”

How long the effects of an infusion last depends on a person’s lifestyle and metabolism, but glowier skin is typically enjoyed for at least two weeks. Treatments cost $100 or more, and it is important to ensure you are being cared for by a trained professional.

“IVs must be administered only under a doctor’s monitoring and, ideally, with pre-blood work completed first to ensure the right ingredients are included for the patient's individual needs,” Dr. Russak shares. “Some patients can have allergic reactions due to certain IV medications, so its vital to have a professional supervise.” 

## __The Takeaway__

Intravenous therapy cannot replace a healthy lifestyle and good skincare routine, but it can be a worthy addition to a beauty and wellness regimen that is looking to address the cause of skin health and concerns from the inside out. Whether you’re looking for a burst of hydration, multivitamin boost, or detox, IVs can offer customized solutions with benefits that go far beyond complexion perfection. 

For patients brimming with topical serums, lotions, and potions, IV nutrient therapy has emerged as a trendy way to improve skin health from the inside out. But does it work? The AEDITION investigates.

IV Nutrient Therapy For Skincare And Wellness

Is IV Nutrient Therapy The Next Generation Of Skincare?

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We can always count on Chrissy Teigen to be candid on social media, so it should come as no surprise that the cookbook author documented her recent trip to the plastic surgeon [on her Instagram Story](https://www.instagram.com/chrissyteigen/?hl=en) for her 25 million followers to see. The model paid a visit to Jason Diamond, MD, a facial plastic surgeon in Beverly Hills, for [Botox®](https://aedit.com/procedure/botox-facial), which, on its own, may not seem particularly newsworthy. But it's where she got the injections that piqued people's interest. 

![Screen Shot 2019-08-15 at 1.59.23 PM](//images.ctfassets.net/zw35sfestf1t/6tdrAjB73rjk81Fe1nlEPl/62bfef6e462af3eacf9b78781d3daa40/Screen_Shot_2019-08-15_at_1_59_23_PM.png)

"Botoxed my armpits," Teigen captioned a video of the procedure (*screenshot above*). "Truly the best move I have ever made."

While botulinum toxin type A (BoNT) injectables are best known for their anti-aging benefits (think: reducing the appearance of frown lines, forehead wrinkles, and crow's feet), [Botox®](https://aedit.com/procedure/botox-for-hyperhidrosis), in particular, was approved by the U.S. Food and Drug Administration (FDA) in 2004 to treat hyperhidrosis (a.k.a. excessive sweating). And it is used to treat patients with less serious cases, too. 

“Botox® in the underarms is a very popular treatment to decrease sweating,” says [Samer Jaber, MD](https://aedit.com/provider/samer-jaber-md-3882), founder of Washington Square Dermatology in New York City and assistant clinical professor of dermatology at the Icahn School of Medicine at Mount Sinai. “Hyperhidrosis affects approximately 2 percent of the U.S. population. In many patients, it can interfere with the quality of their lives and increase social anxiety.”

To be clear, some amount of sweating is necessary to regulate body temperature, but Botox® is an option for patients who do not respond to antiperspirants and/or find their quality of life impacted by sweat. 

“It can significantly minimize sweating of the underarms, which is a goal for many people who want to avoid social embarrassment or staining their clothes,” Dr. Jaber says of the treatment. “I also do this procedure for many of my patients who don't have excess sweating but want to avoid sweat marks for a major event such as a wedding, party, or important work presentation.”

The BoNT injections work by temporarily blocking the release of the neurotransmitter (acetylcholine) that activates the sweat glands. As a result, the body stops sweating (or sweats significantly less) in the area the Botox® has been injected. And, while the FDA approval only extends to the underarms, it is also employed "off label" on other parts of the body. Dr. Jaber says it is often used “on the palms and soles” or even to treat “a sweaty forehead or nose.” 

According to the [International Hyperhydrosis Society](https://www.sweathelp.org/hyperhidrosis-treatments/botox.html), BoNT injections have been shown to decrease sweating by 82 to 87 percent, with results kicking in anywhere from two days to two weeks after treatment. Dr. Jaber says his patients typically experience relief for four to six months, though it can last up to a year for some. 

But what about the rumors you may have heard that the sweat prohibited via Botox® in one area (think: the armpits) just manifests somewhere else on the body instead (say, the chest or back)? Dr. Jaber says it’s rarely a concern. 

“Sweating in other areas, or compensatory sweating, is a complication of endoscopic thoracic sympathectomy — a surgical procedure for those suffering with severe hyperhidrosis, where the nerves stimulating sweating are cut,” he says. “This is very rare with Botox® injections.”

During Teigen’s Instagram clip, Dr. Diamond appears to make about a dozen injections in a grid pattern under her arm with a single syringe. The entire process seemed to last no more than a few minutes, and the model remarked that it "really isn't anything."

Dosage and pain level depend on the area that is being treated and the severity of the condition, but Botox® for two armpits tends to cost around $1,000 and may or may not be covered by insurance. Bruising and pain at the injection site are common side effects in the days following the procedure (Dr. Jaber says the discomfort tends to clear up quickly), and, in rare cases, patients may experience botulism-like symptoms (severe muscle weakness, difficulty breathing, etc.).

But for Teigen and others who deal with excessive sweating, the promise of prolonged dryness is more than worth it.

"I can wear silk again without soaking,” she concluded. “Woohoo!" 

Chrissy Teigen shared her trip to the plastic surgeon for underarm Botox® on social media and rejoiced in her ability to “wear silk again without soaking.” So, what’s the deal with the sweat-reducing treatment? The AEDITION breaks it down.

Armpit Botox To Treat Hyperhidrosis And Excessive Sweating 

What You Need To Know About Chrissy Teigen's Armpit Botox

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Guys may not be talking, but the statistics speak volumes. More and more men are choosing to go under the knife — or needle — to combat their aesthetic concerns. The [American Society of Plastic Surgeons (ASPS) reports](https://www.plasticsurgery.org/cosmetic-procedures/men-and-plastic-surgery) that male cosmetic procedures (both surgical and non-surgical) rose 29 percent between 2000 and 2018, and the spike is changing the scope of dermatology and plastic surgery practices all over the U.S. 

“I’m operating on three men this week,” says Nashville-based plastic surgeon [Jacob Unger, MD](https://aedit.com/provider/jacob-unger-md-2649). “Out of about 20 patients I saw for consultations today, five of them were men.” 

Fueled by today’s selfie-obsessed social media culture, the rise of less invasive procedures, and the marketing efforts of industry giants like Allergan (you know, the makers of [BOTOX®](https://aedit.com/procedure/botox-facial) and [CoolSculpting®](https://aedit.com/procedure/cool-sculpting)), men are increasingly aware of the options they have to address cosmetic concerns. 

“In my practice, I find that a lot of times it’s the wives who motivate their husbands to come in,” Dr. Unger says. “They see their spouse’s positive results and wonder, ‘So what can you do for me?’”

According to the [American Society for Aesthetic Plastic Surgery (ASAPS)](https://www.surgery.org/media/statistics), men represented seven percent of all plastic surgery procedures performed in 2018. Their top-five most requested treatments?

1. [Liposuction](https://aedit.com/procedure/power-assisted-liposuction)
2. [Male breast reduction](https://aedit.com/procedure/male-breast-reduction-gynecomastia-surgery) (up 47.9 percent between 2014 and 2018)
3. [Abdominoplasty](https://aedit.com/procedure/abdominoplasty) (a.k.a. tummy tuck)
4. [Blepharoplasty](https://aedit.com/procedure/upper-eyelid-blepharoplasty) (i.e. eyelid surgery)
5. [Rhinoplasty](https://aedit.com/procedure/open-rhinoplasty) (read: nose job)

And then there’s the love affair with non-invasiveness. Last year alone, the ratio of non-surgical to surgical cosmetic procedures was two to one for men, with injectables, non-invasive body contouring, and [hair removal](https://aedit.com/procedure/hair-removal) among the go-tos. 

“Men don’t like downtime,” says Dr. Unger, who has noticed an uptick in guys seeking minimally-invasive body tightening and fat reduction. 

Another common request? “Brotox” — ahem, BOTOX®. 

“One thing’s for sure: Men tend to need a lot more BOTOX®,” says Los Angeles plastic surgeon [Jason Roostaeian, MD](https://aedit.com/provider/jason-roostaeian-md-449), noting that male facial muscles are larger than their female counterparts, which leads to deeper expression lines. 

While men’s skin tends to age better (guys are less prone to laxity and crepiness than gals) thanks to its thickness, blood flow, and number of accessory glands, they are not immune to visible signs of aging. As Dr. Unger explains, many men don’t invest time and consideration into their skincare and suncare routines like women, which can undermine some of the biological advantages. 

Regardless of the invasiveness of the procedure, both surgeons find that their male patients usually approach the consultation and decision-making process differently than women. “Men don’t like to ask for directions. They also don’t like to ask about the intricacies and nuances of a procedure,” says Dr. Unger. “It’s often a game of 20 questions with men to pinpoint exactly what’s bothering them. Usually you get to that ‘eureka’ moment where they’re like, ‘Yeah, that’s it!’”

Dr. Jason finds his conversations with male patients to be similarly one sided. “The consultation is always a little bit more directed by me,” he explains. “I make sure I hit all the main points since they’re not usually asking all those questions.” Even so, men generally show up to the consultation ready to act — even when they don’t know exactly what they want. 

One thing they do know? “Nobody wants to look done, and everyone wants to look natural,” says Dr. Jason, though the request is not as simple as it sounds.

As Dr. Unger explains, over-correcting aesthetic concerns in men can lead to more feminine features, so finding a surgeon who understands the balancing act of how to preserve a masculine appearance is key. 

“It’s a whole different level of complexity because it’s not an idealized final result we’re looking for,” he says. “In men, a certain number of flaws or contour irregularities can be handsome, so it’s deciding what areas make a man look good but not old — what can you take away and still leave them looking like themselves? What is age appropriate and strong without being overly smooth and overly youthful?”

Beyond the subtleties of technique, there are also physiological differences that surgeons must take into account when performing plastic surgery procedures on men. Take, for example, a [rhytidectomy](https://aedit.com/procedure/direct-neck-lift) (a.k.a. facelift). Dr. Unger jokes that, before performing a male facelift, “you better eat your Wheaties” because the [SMAS](https://aedit.com/procedure/smas-facelift) (the underlying facial tissue that’s manipulated during a deep plane facelift) is much tougher in men than in women. 

Concealing the incisions from these procedures can present challenges as well. “Obviously you have to worry about the hairline,” says Dr. Jason. “Sideburns and beards are a huge factor. Plus, men tend to wear their hair short — or they could be bald.” He explains that strategic incision placement is critical because men are more sensitive than women about not wanting any telltale signs of plastic surgery. It should also be noted that face and neck lifts carry a higher risk of hematoma in men because they tend to have higher blood pressure and greater skin vascularity than women.

All of this is to say that, not only do men and women have different cosmetic concerns, but they also require different kinds of care. Dr. Jason and Dr. Unger put The AEDITION in touch with their male patients to get a better sense of what the plastic surgery process was like for them.

__Robert__

Robert* had concerns about “a few problem areas” around his torso that were becoming worse with age when he first visited Dr. Unger. But that’s not to say he was ready to take the plunge. He admits to having been “completely unsure” about having plastic surgery and was “mostly leaning toward not doing the procedure” due to the non-medical nature and risk of complications. 

Ultimately, Dr. Unger put him at ease, and — with the support of his family — Robert decided to undergo [liposuction](https://aedit.com/procedure/power-assisted-liposuction) to his abdomen, back, and love handles. He says that the recovery period, which included bruising and swelling, was much smoother than he anticipated, and he is “very satisfied” with the result. Although he currently has no plans to pursue additional treatment, he’s open to the possibility of having more plastic surgery in the future.

__Jared__

When Jared* went to visit Dr. Jason following a recommendation from someone at UCLA, he says he “wanted to look better facial wise” but “didn’t want to go over the top.” Dr. Jason suggested submental liposuction to alleviate Jared’s concerns about his full chin area, but he was reluctant at first. “I never pictured myself getting surgery, no matter how big or small,” Jared recalls. 

With the support of his family, however, Jared went through with the procedure and says he spent about a week in bed recovering. “I thought I'd have a Frankenstein-like face,” he says. “But the scarring was non-existent!” Despite being very pleased with his results, he has no plans for more cosmetic surgery at this time.

*Patient names have been changed


With more men than ever opting to go under the knife (and needle!), The AEDITION speaks to plastic surgeons and their patients about the latest aesthetic trends and techniques.

Male Plastic Surgery Is On The Rise — Here's Why

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At this point, you've likely heard that Allergan (the Dublin-based drugmaker behind [BOTOX®](https://aedit.com/procedure/botox-facial), [JUVÉDERM®](https://aedit.com/procedure/temporary-lip-fillers), [CoolSculpting®](https://aedit.com/procedure/cool-sculpting), [LATISSE®](https://aedit.com/procedure/latisse), and more) issued a [worldwide recall](https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/allergan-voluntarily-recalls-biocellr-textured-breast-implants-and-tissue-expanders) of its BIOCELL® saline- and silicone-filled textured [breast implants](https://aedit.com/aedition/what-its-really-like-to-get-breast-implants) and tissue expanders. The decision followed a request from the United States Food and Drug Administration (FDA) to remove the products from the market due to a link between them and a rare type of cancer known as breast implant-associated anaplastic large cell lymphoma (a.k.a. BIA-ALCL).

## __The Skinny__

The debate about textured implants is nothing new. Amidst a growing concern about potential health risks (they were pulled from European markets in December 2018, with Canada and Australia following suit in May and July, respectively), [the FDA determined](https://www.fda.gov/news-events/press-announcements/statement-fda-commissioner-scott-gottlieb-md-and-jeff-shuren-md-director-center-devices-and-3) in March 2019 that there was not enough evidence to support banning the products at the time. New data, however, has the agency changing its tune. 

The FDA now reports there have been 573 cases of BIA-ALCL since 2011, and 481 of the patients had BIOCELL® implants at the time of their diagnosis. Of the 33 deaths from the rare cancer of the immune system, authorities have been able to identify the manufacturer of the implants in 13 cases — 12 of them involved Allergan. The agency believes the risk of disease from BIOCELL® textured products is six times greater than that of other brands. 

“Once the evidence indicated that a specific manufacturer’s product appeared to be directly linked to significant patient harm, including death, the FDA took action to alert the firm to new evidence indicating a recall is warranted to protect women’s health,” FDA principal deputy commissioner Amy Abernethy said in a statement.

## __The Specifics__ 

Unlike smooth implants, textured breast implants are known for their sandpaper-like exterior that helps to hold them in place. While they are common in Europe, they make up less than 10 percent of the units sold in the U.S. market. 

Even so, the FDA [recommends](https://www.fda.gov/medical-devices/breast-implants/questions-and-answers-about-breast-implant-associated-anaplastic-large-cell-lymphoma-bia-alcl) (as of July 24, 2019) health care providers immediately stop implanting BIOCELL® products and return unused inventory. Patients, meanwhile, are advised to monitor for BIA-ALCL symptoms, which include persistent swelling or pain in the vicinity of the implant. While patients diagnosed with the cancer should have their implants removed, the FDA does not currently suggest the removal of textured implants or tissue expanders for those who are symptom free.  

The recall adds yet another layer to the recent negative press breast implants in general have received. In the lead up to that March FDA meeting, some providers renewed calls for so-called "breast implant illness” or BII to be classified as a medical condition due to the autoimmune disorders (think: muscle pain, fatigue, digestive issues, inflammation, weakness, hair loss, and cognitive impairment to name a few) patients and surgeons believe could be tied to silicone implants.

“While the FDA doesn’t have definitive evidence suggesting breast implants are associated with these conditions, we’re looking to gain a fuller understanding of this issue to communicate risk, minimize harm and help in the treatment of affected patients,” the agency [said in the report](https://www.fda.gov/news-events/press-announcements/statement-fda-commissioner-scott-gottlieb-md-and-jeff-shuren-md-director-center-devices-and-3), while imploring medical device manufacturers to invest in long-term testing for BII.

## __The Takeaway__ 

So, what does all of this new information mean for the estimated five million-plus Americans who currently have breast implants?

If you have a textured breast implant, the risk of developing BIA-ALCL over your lifetime is somewhere between one in 4,000 and one in 30,000. To put that in perspective, the lifetime risk of being hit by lightning is one in 3,000. Thus, the chance of developing breast implant-associated cancer is less than the chance of getting struck by lightning, and treatment of local BIA cancer is nearly 100 percent curable with excision. 

The low odds explain why the FDA does not recommend removal of Allergan BIOCELL® breast implants in patients with no symptoms — though it has rightly banned BIOCELL® products from further use due to the unnecessarily and significantly elevated risk of BIA cancer. 

Patients experiencing symptoms that could be related to BIA or BII should contact their plastic surgeon.

In the wake of Allergan issuing a global recall of its BIOCELL® textured breast implants and tissue expanders, The AEDITION breaks down what it means for patient safety.

Here's What You Need To Know About The Allergan Breast Implant Recall

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The technical term for facelift is “rhytidectomy,” which is derived from the Ancient Greek words for "wrinkle" (rhytis) and "excision" (ektome). And, while there remains some debate over what constituted the world's first-ever rhytidectomy, it occurred at least a century ago in Europe at the request of a female patient. All this is to say, women (and, later, men) have been interested in the surgical removal of wrinkles for at least 100 years. Fortunately, face-lifting techniques have come a long way in that time.
 
“Traditional facelifts originally only addressed sagging skin,” says board certified plastic surgeon [Jason Roostaeian, MD](https://aedit.com/provider/jason-roostaeian-md-449). “But the skin isn’t where the issue is. It’s the descent of the tissue deep into the skin, along with facial devolumization, that we’re mostly trying to remedy.” 

OG facelifts relied entirely on pulling skin backwards, limiting the amount of correction and resulting in the telltale taut effect. As Dr. Jason explains, the reason tightening the facial skin alone leads to lackluster results is threefold: 

1. The tightened skin starts to stretch again over time
2. Too much tension in the skin creates more visible scarring
3. Simply pulling the skin taut “doesn’t restore the volume and convexity” patients lose with age

In an effort to address these shortcomings, facial plastic surgeons in the 1970s coined the term “superficial musculoaponeurotic system” (SMAS) to describe the layer of fat and connective tissue that lies between the skin and the facial muscles and began experimenting with techniques that could lift and firm the face in a more natural way. Today, the evolution of [SMAS-based surgeries](https://aedit.com/procedure/smas-facelift) has become the gold-standard of modern facelifts.

## __SMAS Plication Facelift__

In a face-lifting technique known as [plication](https://aedit.com/procedure/plicated-smas-facelift), plastic surgeons suture the SMAS in a stair-step pattern that is pulled tight and secured to more stable deep tissue for a lifted effect. But there are complicating factors. When the skin is draped back over the sutured SMAS, the bunching of the underlying tissue can sometimes cause visible irregularities in the patient’s lower cheeks. “The whole essence of youth is smoothness," Dr. Jason says. "Anytime you have a little contour problem, it ruins that. It’s aging.”

## __SMASectomy Facelift __

To eliminate the risk of contour inconsistencies, today’s cosmetic surgeons generally rely on variations of a facelift technique known as SMASectomy, which utilizes both the mobile and immobile portions of the SMAS. 

“Over the lateral portion of your face, closer to the ear, the SMAS tends to be stiffer, and, as you move forward toward the center of your face, it gets more mobile,” Dr. Jason says. “To avoid the pincushion effect that spanning sutures often produce, we instead remove a piece of the tissue at the junction of the mobile and immobile SMAS, pull up the mobile portion, and anchor it to the immobile portion near the ear.” 

As a result, the sagging tissue and lax skin of the lower face and jowl area is lifted. Surgeons remove any excess skin and are able to hide the sutures in the natural crevices and folds around the ear. 

## __High SMAS Facelift__ 

A [Deep Plane Facelift](https://aedit.com/procedure/deep-plane-facelift) takes the SMASectomy method one step further. Plastic surgeons dissect the underside of the SMAS, separating it from the deeper muscle tissue to mobilize the entire SMAS layer prior to the SMASectomy. Dr. Jason prefers a slightly modified version of this technique known as a High SMAS Facelift.

While other SMAS techniques focus only on the lower face, Dr. Jason likes that this approach “frees up the entire SMAS as one unit — all the way up above the level of the zygomatic arch (cheekbone) — so you can have an effect on the cheek as well as the jawline.” 

“If you only work below the cheek, then you’re not going to get an effect on the cheek,” he says, adding that the results are often longer lasting and more stable because the SMAS is thicker near the ear, allowing for a more secure suture. 

### __The Procedure __

Dr. Jason tailors each surgical procedure to the unique needs of his patients and says there is no "right age" for a facelift. "How do you know you're a good candidate? When you first note the signs of aging that are best solved with a facelift," he explains. "A facelift is the most elegant solution for sagging, loose skin of the lower face." Generally speaking, facelift conversations begin with patients over 50.

It's quite common for plastic surgeons to combine a High SMAS Facelift with a [neck lift](https://aedit.com/procedure/direct-neck-lift) (to alleviate excess neck skin) and procedures like [buccal fat pad removal](https://aedit.com/procedure/buccal-fat-removal-cheek-reduction) and/or [fat grafting](https://aedit.com/procedure/cheek-augmentation-with-fat-transfer) (to address the volume distribution issues associated with facial aging). A [brow lift](https://aedit.com/procedure/endoscopic-brow-lift), meanwhile, can refresh the upper portion of the face to balance out the lower facelift. 

The result? Total facial rejuvenation. 

### __The Recovery__

An advantage of a Deep Plane Facelift is that it’s less traumatic to the superficial layers of the skin because the majority of the surgical manipulation occurs deeper. This usually leads to less bruising and better healing. 

Dr. Jason’s facelift patients are typically out and about two weeks post-op (though patients who have had fat grafting to restore some of the lost volume in conjunction with their facelift procedure may experience longer recovery times due to the bruising that often accompanies the [liposuction](https://aedit.com/procedure/power-assisted-liposuction)). He generally tells patients to allow six weeks before any major events and to expect something very close to a final result at three months. Scars, meanwhile, will grow nearly imperceptible over the course of a year.

It should be noted that, in addition to the risks associated with general anesthesia, facelifts carry a small risk of nerve damage that can create a slight unevenness when a patient smiles. This is due to manipulation of the platysma muscle, which can disrupt the facial nerve, but is rarely permanent. 

Of greater concern for facelift patients is the chance of developing a hematoma (i.e. a collection of blood beneath the skin). While a hematoma has no impact on a patient’s long term result when managed properly, it can have a dramatic effect on the recovery process if left untreated. 

“The face is very vascular. Whenever you lift up tissue and release all those attachments, you open up a big space into which you can bleed excessively,” says Dr. Jason. “Anesthesia and epinephrine in the operating room lower your blood pressure and constrict your vessels, so when that wears off and the blood vessels open up, we have to be diligent about monitoring your blood pressure.” For this reason, he requires an overnight hospital stay for his facelift patients so they can be monitored and cared for by professionals. 

## __Patient Perspective__ 

So [what is it really like to get a facelift](https://aedit.com/aedition/what-its-really-like-to-have-a-facelift)? The AEDITION spoke to two of Dr. Jason’s patients to gain more insight into the experience — from pre-op through recovery.

### __Rosemary, 55__

When Rosemary booked a consultation with Dr. Jason to discuss an osteoma (a bony outgrowth) on her forehead, she jokingly asked if it would be possible to “just pull everything up” during the procedure. “He laughed and explained to me that the incisions for facelift surgery were very different,” she recalls. “But we talked about how the lower half of my face — my jawline and neck — was showing signs of aging more than the upper part.” 

Dr. Jason pointed out that the [BOTOX®](https://aedit.com/procedure/botox-facial) and fillers that Rosemary’s dermatologist was [injecting couldn’t really address the issues of the lower face](https://aedit.com/aedition/facelifts-vs-injectable-dermal-fillers-which-one-is-right-for-me), but she was nervous about having a medically necessary surgery — let alone cosmetic one — so she initially held off. 

After several months of research, however, Rosemary made a second appointment and decided to go through with the facelift. She combined it with her osteoma removal, which meant a slightly longer recovery. In addition to her overnight stay at the UCLA Surgery Center, she opted to spend three days at a recovery facility, which she says is “well worth it, if you can afford it.” Rosemary credits her minimal swelling and bruising to the diligent icing by her after-care nurses. 

Though she admits to feeling “a little shocked” by her swollen and bruised appearance immediately post-op, Rosemary was able to attend a party at her husband’s office about a month after the surgery. She says she’s gotten very positive feedback about her procedure from friends and family, but no one can guess what she’s had done. 

Three years later, she’s still thrilled with her results. “It took off 10 years, and now if I don’t get enough sleep, my face doesn’t show it like it used to,” she says. “It’s been a really good thing.”

### __Diana__

A facelift wasn’t necessarily on Diana’s radar, but she was concerned about looking older. When her close friend and her sister both began looking into facelift surgery, Diana realized she wanted to take the plunge. “I wanted to look better,” she says, “just for myself.” 

Her friend referred her to Dr. Jason, who helped her formulate a plan that included a brow, neck, and facelift. She remembers the first week or so following her surgery was emotionally challenging. “After the surgery, it was exciting because I looked really good,” she shares. “And then like a week later, my face started looking really bad — like squared off, a weird shape and kind of yellow. It was depressing.” 

But having her sister and friend going through similar experiences was very helpful, as was the reassurance she received from Dr. Jason. The changes she was experiencing were all part of the normal healing process. Two years post-op, Diana couldn’t be happier. “I had a really good experience, and I think I look great,” she says. “I love it.”

More than a century after the first recorded rhytidectomy (a.k.a. facelift), surgical techniques have come a long way toward natural, long lasting results.

What You Need To Know About The Latest SMAS Facelift Techniques

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Even before Kylie Jenner released her first Lip Kit or filled, unfilled, and refilled her famous pout, Americans have had an obsession with lips. Sometime in the last decade, plumping pouts with filler became almost as common as highlighting hair — just one more thing to add to the beauty maintenance list.

While temporary, hyaluronic acid-based [lip fillers](https://aedit.com/procedure/temporary-lip-fillers) like Restylane are synonymous with a voluptuous (read: Instagram-friendly) mouth, longer lasting fixes have also taken hold. According to the [American Society of Plastic Surgeons](https://www.plasticsurgery.org/documents/News/Statistics/2018/plastic-surgery-statistics-report-2018.pdf), there were nearly 31,000 surgical (i.e. non-injectable) lip augmentations performed in the U.S. in 2018 — a 66 percent increase from 2000 and 4 percent boost from the previous year.

So, what's behind the surge? The [lip lift](https://aedit.com/procedure/lip-lift), a far-from-new but largely under-the-radar surgical procedure, is breaking the bee-sting barrier with permanent results that are customizable and appear naturally full with nary a "trout mouth" or "duck lip" in sight.

“In-office lip lifts are super hot right now,” says Philadelphia-based board certified facial plastic surgeon [Jason Bloom, MD](https://aedit.com/provider/jason-bloom-md-2248). “Surgeons have really perfected the technique so that lips are actually rolled out and rejuvenated.” 

For the uninitiated, the [lip surgery](https://aedit.com/aedition/lip-lift-procedure-instead-of-lip-filler) raises the edges of the lips (a.k.a the vermilion border), causing the pout to look larger and plusher. “You’re essentially releasing the red part of your top lip that lies underneath, so the upper lip looks fuller and bee-stung,” says Dr. Bloom.

Long coupled with a [facelift](https://aedit.com/procedure/deep-plane-facelift), stand-alone lip lifts are now a common cosmetic surgery request. Ideal for patients who are (a) tired of the maintenance associated with [lip injections](https://aedit.com/procedure/temporary-lip-fillers) or (b) want a more natural looking result, the 90-minute operation is performed under local anesthesia in a plastic surgeon’s office and can cost anywhere from $2,000 to $6,000.

During the procedure, the surgeon carves a [bullhorn-shaped](https://aedit.com/procedure/subnasal-bull-horn-lip-lift) strip of skin below the nostrils to pull up the philtrum (the space between the Cupid's bow and base of the nose). In doing so, the inner part of the upper lip is revealed and the shape and appearance of the pout in enhanced. 

“As we decrease the length of the philtrum, the area under the top lip is rolled out and maximized,” says Dr. Bloom. “The larger the wedge of tissue you remove, the more significant the pout, so you are able to customize the effect and the results are permanent. Your face continues to age, of course, but you don’t need to worry about coming in every six months.”

That personalized fullness is exactly what Jayne, a 41-year-old sales rep, had in mind when she opted for a stand-alone lip lift surgery after seeing her mother have it done as a part of a facelift. "Her lips looked more youthful and fuller — but still like her lips,” she says. “It was a beautiful effect overall.” 

The results were just what she hoped for: a youthfully plump pout that completely changed her beauty routine. "They work perfectly with my face and feel great because they’re all mine," Jayne says of her new lips. "It’s not something I ever achieved with filler. I don’t even use lip liner anymore. I can wear a little bit of gloss and it looks clean and neat and just right.”

While the end result is a permanently bee-stung pout, patience is required during the recovery process. For the first five days post-surgery, Dr. Bloom encourages patients to wear a surgical mask to conceal the significant puffiness (tightness and tension in the lip area is also common) around the mouth. During this time, ice and over-the-counter pain relievers are a girl's best friend.

Around the two-week mark, the swelling is typically reduced and patients can return to regular activities. A bit of concealer may be needed up to six weeks post-op as the incision heals, and it may take six months or more for the mark to fully fade.

"The key to having a good result and avoiding scarring under the nose is meticulous planning and suturing,” Dr. Bloom explains. “Make sure you have a cosmetic surgeon who is well-versed in understanding how the lip functions and where the tension comes from that supports the upper lip.”

Fortunately, even the lengthy recovery couldn't dampen Jayne's enthusiasm for her lip lift results. “There’s no question that the downtime was significant,” she shares. “It was a couple of weeks of just humongous swollen lips, but now I love them.”

When most people think of lip enhancement, they think of fillers. But lip lifts provide a more defined Cupid's bow and crisper edges so you can skip lip liner all together.

Why It’s Time To Trade Your Lip Filler For A Lip Lift

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Has she or hasn’t she?  The increasing prevalence of social media speculation, combined with a decreasing stigma against plastic surgery, is prompting many celebrities to pre-empt the gossip and come clean about their cosmetic procedures. Here are some of the [Hollywood](https://aedit.com/aedition/microblading-hollywoods-secret-to-achieving-naturally-defined-eyebrows) stars who aren’t afraid to speak out about their experiences under the knife, needle, and more.

<a href="https://www.instagram.com/p/Bifm_NrlFwU/" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://www.instagram.com/p/Bifm_NrlFwU/</a>

**Gisele Bündchen**

Once nicknamed “The Boobs from Brazil,” the highly private Bündchen reveals in her memoir that she underwent a breast augmentation in 2015. The supermodel told People magazine that “I was always praised for my body, and I felt like people had expectations from me that I couldn’t deliver.” The effects of nursing two babies took its toll on both her famous physique and her self-esteem. “I felt very vulnerable,” Bündchen confesses, “because I can work out, I can eat healthy, but I can’t change the fact that both of my kids enjoyed the left boob more than the right. All I wanted was for them to be even and for people to stop commenting on it.” After her plastic surgery, however, Bündchen had second thoughts that she overcame with the help of husband Tom Brady: “He just said, ‘I love you no matter what’ and that I looked beautiful,” she wrote. “This was definitely another lesson: What doesn’t kill you makes you stronger. But I wish I would have learned that a different way.”

<a href="https://www.instagram.com/p/BnUWzJGAkWy/" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://www.instagram.com/p/BnUWzJGAkWy/</a>
 
**Anna Faris**

In her 2017 memoir, the Mom star admits to receiving lip injections and a breast augmentation to address two areas that she’d always felt self-conscious about. Faris wasn’t thrilled with the look of her plumper lips, and after friends pointed out that they were too big, she went back to her natural proportions. But Faris has no regrets about having plastic surgery. The actress says that her role as a Playboy bunny in the film The House Bunny - for which she wore a “heavily, heavily padded bra” - influenced her decision to get breast implants. Faris adds, “I'd recently ended my first marriage and I was clearly going through a year of revolutionary change—independence and a boob job!”
 
<a href="https://www.instagram.com/p/BufFe0dFgrp/" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://www.instagram.com/p/BufFe0dFgrp/</a>
 
**Cardi B**

The outspoken New York rapper has been very vocal about becoming a stripper out of high school, and the ensuing pressure she felt to undergo plastic surgery. Cardi B had breast implant surgery at 19, followed by illegal buttock injections because she didn’t have enough body fat to transfer for a Brazilian Butt Lift. In an interview with GQ, she explains, "When I was 21, I did not have enough meat on my body —if I was to get lipo, I wouldn't have fat for my ass." Desperate for a solution, the rapper paid a woman $800 to inject filler into her buttocks. "It was the craziest pain ever,” she says. “I felt like I was gonna pass out. I felt a little dizzy. And it leaks for, like, five days." Despite the pain and risks, the singer made an attempt to go back for a touch up, "But by the time I was gonna go get it, the lady got locked up 'cause she's supposedly killed somebody.” More recently, the rapper reveals her duct-taped breasts in a viral Instagram video, lamenting that breastfeeding her baby had devastated her curves - and unabashedly announcing that she’d be seeking more plastic surgery to restore their pre-pregnancy shape.

<a href="https://www.instagram.com/p/BpGZb44H_mv/" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://www.instagram.com/p/BpGZb44H_mv/</a>
 
**Gwyneth Paltrow**

Although known for her holistic beauty philosophy, Paltrow is not averse to trying the latest skin care technologies. In an interview with Harper’s Bazaar, she explains: "You know, I use organic products, but I get lasers. It's what makes life interesting, finding the balance between cigarettes and tofu.” The actress has tried a variety of non-invasive tweakments, including Thermage, which she describes as “quite painful. It feels like someone's smacking your face with a rubber band that has an electric shock in it. But I would do it again, because I feel like it took five years off my face." Paltrow is characteristically open-minded about combating the visible signs of aging. "I've probably tried everything," she reveals. "I would be scared to go under the knife, but you know, talk to me when I'm 50. I'll try anything."
 
<a href="https://www.instagram.com/p/BvnFSDRhIEH/" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://www.instagram.com/p/BvnFSDRhIEH/</a>

**Chrissy Teigen**

Teigen has never shied away from a discussion about having realistic beauty standards, and her own struggles with her body image. “Honestly, I don’t ever have to be in a swimsuit again,” she tells Women’s Health. “Since I was 20 years old, I had this weight in my mind that I am, or that I’m supposed to be. I’ve been so used to that number for 10 years now. And then I started realizing it was a swimsuit-model weight. There’s a very big difference between wanting to be that kind of fit and wanting to be happy-fit.” The model and TV host admits to undergoing liposuction to reduce the pocket of fat protruding from her underarm crease: "I had an armpit sucked out, which was one of the best things. It's a big secret, but I don't care. It was nine years ago or so. And I had two inches to my armpit. Now it's back though, so now I've gotta pay for [liposuction] again. It was so easy,” Teigen says. “It made me feel better in dresses; I felt more confident. It was the dumbest, stupidest thing I've ever done. The dumbest, but I like it, whatever. I have no regrets, honestly."

<a href="https://www.instagram.com/p/Bp25J-GnjYK/" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://www.instagram.com/p/Bp25J-GnjYK/</a>
 
**Katy Perry**

The pop icon receives more than her share of tabloid celebrity plastic surgery speculation, but Perry clears up the rumors in an interview with Refinery29. "I haven't had any," she declares. "I've done lasers and got [filler] injections under my eyes for the hollowing — which I'd recommend for everyone who wants a solution for their dark circles — but all of my assets are real. People tend to think they are fake, but it doesn't really matter." Not surprisingly, the singer has no judgments regarding both cosmetic procedures: "We're getting away from that negative stigma about physical alterations. Of course, always be your authentic self — but if someone wants a nose job that makes them feel better, and they love their profile more because of it, it's like 'Go ahead!' Do whatever makes you feel better about yourself."

<a href="https://www.instagram.com/p/Bu1_eQxgqj2/" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://www.instagram.com/p/Bu1_eQxgqj2/</a>

**Iggy Azalea**

Australian hip hop star Iggy Azalea isn’t afraid to discuss her cosmetic surgeries, which include a rhinoplasty and a breast augmentation. Talking to Seventeen magazine about her nose job, Azalea says: "I'm not denying it. Denying it is lame." The singer did her due diligence prior to going under the knife, deliberating about her decision and thoroughly researching plastic surgeons. When asked during a Vogue interview if she’d ever change anything about her body, she reveals, “I did change something: Four months ago, I got bigger boobs! I’d thought about it my entire life.” The star was tired of altering and padding her stage outfits, but initially kept the procedure a secret to avoid speculation, and the possibility of unduly influencing her young fan base. Azalea reconsidered and decided to publicize her plastic surgery, telling E!, "I love them so much I had to talk about them.” The singer doesn’t regret her decision to come clean: "I'd feel better not to have some secret," she said. "It's much freer to say it and then you don't have to worry someone will dig it up." The star has some words of advice for those considering cosmetic procedures: "Plastic surgery is an emotional journey," she says. "It's no easy feat to live with your flaws and accept yourself—and it's no easy feat to change yourself. Either way you look at it, it's a tough journey. There are things that I didn't like about myself that I changed through surgery. There are other things I dislike but I've learned to accept."

<a href="https://www.instagram.com/p/BvxK4f0n5sQ/" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://www.instagram.com/p/BvxK4f0n5sQ/</a>
 
**Kourtney Kardashian**

The eldest Kardashian sister, who is rumored to have had multiple facial procedures including fillers and a brow lift, has always been outspoken about her breast augmentation at age 22. "I have had breast implants, but it's so funny 'cause it's not a secret, I could care less," she tells Nightline during a 2010 interview with sisters Kim and Khloe. The reality star does regret having the procedure so young: “I had my boobs done but if I could go back, I wouldn’t have done it. I was so cute before,” she reveals to Showbiz Spy in 2011. “I’ve realized that I was made to look a certain way and I’m considering removing them.” It seems clear from her myriad bikini-clad photographs that she’s decided to keep her fuller figure, at least for now. 

<a href="https://www.instagram.com/p/BvSY-c2h-V2/" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://www.instagram.com/p/BvSY-c2h-V2/</a>
 
**Kaley Cuoco**

The Big Bang Theory star has been refreshingly honest about her various cosmetic procedures, including her nose job. "Years ago, I had my nose done," she tells Women’s Health. "And my boobs—best thing I ever did. Recently I had filler in a line in my neck I've had since I was 12. As much as you want to love your inner self. . .I'm sorry, you also want to look good. I don't think you should do it for a man or anyone else, but if it makes you feel confident, that's amazing."

<a href="https://www.instagram.com/p/BvIw29QAdwH/" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://www.instagram.com/p/BvIw29QAdwH/</a>

**Courteney Cox**

“I feel like I’m 34, so the thought that I’m not just doesn’t seem natural,” the actress confesses to New Beauty. “I don’t get it. I feel better than I’ve ever felt in my entire life. I take much better care of myself now. But Hollywood—this business—makes it harder. I grew up thinking that appearance was the most important thing. I was trying so hard to keep up, and I actually made things worse.” The Friends and Cougar Town alum talks candidly about getting caught up in a cycle of overusing facial filler: “The next thing you know, you’re layered and layered and layered. You have no idea because it’s gradual until you go, ‘This doesn’t look right.’” These days, Cox says, she’s “all natural” after having her fillers dissolved - relying instead on non-injectable facial treatments like lasers and microneedling. She’s learned to accept the signs of aging as part of life. “Those aren’t wrinkles,” Cox says, “they’re smile lines.”

<a href="https://www.instagram.com/p/BuquVBsAGEY/" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://www.instagram.com/p/BuquVBsAGEY/</a>
 
**Christie Brinkley**

The legendary model, now in her mid-60s, credits her ageless looks to clean living - but has also admitted to relying on fillers and other non-invasive skin tightening treatments. “I wondered if people would think I’m phony and fake,” Brinkley tells People magazine. “But it’s better to be honest and say, ‘Yeah, this is what I do.’” Brinkley is a spokesperson for Xeomin, an anti-wrinkle neurotoxin, and Ultherapy, a non-surgical face tightening technology. While it’s important to the model “never to look different,” she isn’t opposed to seeking aesthetic intervention: “At a certain point, you might need a little something extra. When I look in the mirror, I want to feel like I look as good as I feel. And if you can have something done to feel more confident and better about yourself, then you feel like your face matches your spirit—and my spirit is enthusiastic and energetic.”

<a href="https://www.instagram.com/p/Bo2mgQEgDYP/" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://www.instagram.com/p/Bo2mgQEgDYP/</a>
 
**Ariel Winter**

As a teenager in the Hollywood spotlight, Winter became increasingly uncomfortable - both emotionally and physically - with the size of her breasts. Swimsuit shopping was a nightmare, and the Modern Family star had trouble finding age-appropriate clothing for the red carpet. As she reveals to Glamour magazine, terrible back pain and worsening spine issues finally prompted Winter to undergo breast reduction plastic surgery at age 17. “I didn't want to not tell anybody and then have another million stories [say], "What happened to Ariel? She looks so different," she says. “And I also think there's some good that can come from [telling] my story. It's something that I did to better my life and better my health and I think that that can benefit a lot of young girls. I have felt more happy with myself than I ever have.”



The increasing prevalence of social media speculation, and a decreasing stigma against plastic surgery, is prompting many celebrities to come clean about their cosmetic procedures. Here are some of the Hollywood stars who aren’t afraid to speak out.

What These 12 Celebrities Have To Say About Their Cosmetic Procedures

shutterstock 545968498-min

Cosmetic treatments are on the rise in the U.S. and most of us are aware of common procedures like breast augmentations, facelifts, and tummy tucks. But thanks to medical developments, our options are no longer limited to the classics. 

Cosmetic treatments are on the rise in the U.S., particularly in urban centers like Los Angeles and New York, and most of us are aware of common cosmetic procedures like [breast augmentations](https://aedit.com/procedure/breast-augmentation-with-implants), [facelifts](https://aedit.com/procedure/deep-plane-facelift), and [tummy tucks](https://aedit.com/procedure/abdominoplasty). Even if we haven't gotten them ourselves, chances are we know someone who has.

According to Beverly Hills board certified plastic surgeon [Walt Sweeney, MD](https://aedit.com/provider/walter-sweeney-md-1088), there are five areas patients commonly seek to change. "The majority of patients we see desire a face refresh, breast augmentation, improvement of the abdomen (especially after pregnancy or weight loss), removal of unwanted pockets of fat, or improved nasal contours," he says. 

These common themes are why certain procedures are so well known. Facelifts, [chemical peels](https://aedit.com/procedure/deep-chemical-peels), and [Botox®](https://aedit.com/procedure/botox-facial) (botulinum toxin) refresh faces, [breast implants](https://aedit.com/procedure/breast-augmentation-with-implants) are common breast augmentation procedures, tummy tucks address abdominal issues, [liposuction](https://aedit.com/procedure/power-assisted-liposuction) treats unwanted fat, and rhinoplasties (nose jobs) are used to change nasal contours. In today's world, most Americans have an awareness of what these procedures entail.

The [cosmetic surgery](https://aedit.com/aedition/9-ways-to-look-younger-without-surgery) industry is expanding and, thanks to medical developments and an increase in the number of trained plastic surgeons, our options are no longer limited to the classics. More treatments are available to those who want to nip and tuck less conventional areas. Patient demand, increased surgical sophistication and shorter healing times have been instrumental in an increase in procedures like [brachioplasty ](https://aedit.com/procedure/arm-lift) (a.k.a. arm lift), facial hair implants, [blepharoplasty](https://aedit.com/procedure/upper-eyelid-blepharoplasty) (i.e. eyelid surgery), and [vaginal rejuvenation](https://aedit.com/procedure/vaginoplasty).

So what are some of the cutting edge procedures you haven't even heard of yet? Read on to find out.

## **1. Vampire Facelift**

No, it's not the title of a monster movie. The [Vampire Faceift](https://aedit.com/procedure/vampire-facelift) is a non-invasive skin rejuvenation treatment, not a surgery, that uses platelet-rich plasma (PRP) to enhance facial skin, lift brows, reduce the appearance of fine lines and wrinkles, even skin tone, and encourage healing and cell regeneration. 

[PRP](https://aedit.com/aedition/prp-and-stem-cells-are-changing-the-face-of-the-cosmetics-industry) is a serum made using platelets from the patient’s own blood, which is then injected into the face to promote the skin’s natural healing powers and slow signs of aging. After a small amount of blood is taken, the facial treatment takes about 30 minutes. Results are visible within a couple of weeks and two or three sessions are recommended to get the full effect. The recovery period for a Vampire Facelift is minimal and patients can expect a little tenderness and redness where the injections have been made. Typically this procedure costs between $450 and $650 per session.

## **2. Dimpleplasty**

As the name suggests, a [dimpleplasty](https://aedit.com/procedure/dimpleplasty)  is a minimally-invasive procedure that creates [dimples](https://aedit.com/aedition/8-new-and-unexpected-uses-for-injectables) on the cheeks or chin and has become increasingly popular in recent years. Dimples are seen as an attractive facial feature in western culture though natural dimples are actually a muscular abnormality created by a gap in the buccinator (read: cheek) muscle, which causes a slight indentation in the skin. A dimpleplasty takes about half an hour to create a similar indentation artificially. 

Usually performed under local anesthesia, the surgeon will make a small incision in the buccinator muscle from inside the mouth which creates the dimple. While this is a minimally invasive procedure, patients still need to be careful for a few days after the treatment. Antibacterial mouthwash and antibiotics may be prescribed to keep the incision clean, and esults are visible in about two weeks. A dimpleplasty costs between $1,500 and $2,500 depending on how many dimples are made.

## **3. Blepharoplasty (a.k.a. Eyelid Surgery) **

The area around the eyes can be one of the first on our face to show signs of aging. Just a bit of excess skin on the eyelid can cause an undesirable appearance of droopy, dull, and tired eyes. . Blepharoplasty is the medical term for eyelid surgery that involves the surgical enhancement of the upper and lower eyelids. This method may mean the removal of fatty deposits that cause puffiness around the eyes, followed by tightening and smoothing of either or both eyelids, and the removal of excess skin. Altogether, this procedure helps reduce the appearance of lines to create a more youthful, bright-eyed appearance. 

Blepharoplasty is a surgical procedure, so the recovery times vary depending on the type of work done, though most patients can expect up to two weeks of healing before results are fully visible. The average cost is around $3,000, as estimated by the American Society of Plastic Surgeons.

## **4. Brachioplasty (a.k.a. Arm Lift)**

As we age, the skin around our upper arms stretches and fat deposits can make it appear undefined and saggy. Brachioplasty is a form of body contouring that sculpts and removes unwanted skin from the upper arm, creating a leaner and more youthful appearance. The term covers a wide range of procedures, including skin removal, fat removal, and skin tightening. A brachioplasty can also include a fat transfer, where fat is removed from one area of the body, (like the upper arm) and put into another area (like the butt or breast).

As is typical of surgical procedures like this, the recovery time for a brachioplasty is between two and three weeks. The cost of a brachioplasty varies from practice to practice, but on average costs between $4,000 and $4,500.

## **5. Otoplasty (a.k.a. Ear Lift)**

You’ve likely heard of a facelift, a breast lift and even a neck lift, but another cosmetic procedure becoming more popular is the [otoplasty](https://aedit.com/procedure/otoplasty), an ear lift. Otoplasty refers to a range of different cosmetic surgery procedures, including [ear size reduction](https://aedit.com/procedure/earlobe-reduction), ear pinning (called pinnaplasty and used to correct protruding ears), and [ear reshaping](https://aedit.com/procedure/earfold). The process required for any of these procedures is minimally invasive and generally performed under local anesthesia. Depending on the type of surgery you want done, it usually involves the surgeon making a small incision behind the ear, removing cartilage, and then pinning or stitching the ear into the desired shape. 

During recovery from an otoplasty, ears can feel numb and tender. Stitches will need to be kept dry until they can be taken out, usually after about a week. After two weeks, the ears should be fully healed and the final results visible. Like other procedures, the cost of an otoplasty varies but on average is around $3,000.

## **6. Facial Hair Implants**

You may have heard of [hair implants](https://aedit.com/procedure/neograft), a popular cosmetic surgery option to help treat hair loss and male pattern baldness, but what about for the face?. Now, for those who want a fuller beard, mustache, sideburns, or thicker eyebrows, but can’t naturally grow them, facial hair implants are an option. The new procedure involves removing hair follicles from the scalp and carefully implanting them into the face one by one. Usually performed under local anesthesia, the procedure uses hundreds of tiny grafts of hair depending on the desired density of facial hair. After the grafting process is complete, the area must be kept completely dry for about five days. After two weeks, the hair will shed and after three months, it will grow back thicker and fuller, even if the area has never grown hair before.

Facial hair implants typically cost about $3,000 to over $7,000 depending on the number of grafts that are needed.

## **7. Vaginal Rejuvenation**

[Vaginal rejuvenation](https://aedit.com/procedure/labia-augmentation-with-hyaluronic-acid-fillers), or vaginal reconstructive surgery, refers to a wide range of both non-surgical and surgical procedures that are performed on the vaginal area and are designed to reduce laxity, improve sexual satisfaction, tighten vaginal walls, and help reconstruct the vagina both internally and externally after childbirth. Procedures can involve laser and radiofrequency treatments for tightening the internal canal, [labial reduction surgery](https://aedit.com/procedure/clitoral-hood-reduction), and [monsplasty](https://aedit.com/procedure/monsplasty), which reduces fat deposits in the mons pubis (located above the vagina).

Depending on the type of treatment, the recovery period for most vaginal rejuvenation surgeries is one to three weeks. Non-surgical vaginal rejuvenation can cost between $500 and $1,000, while surgical options have a higher price tag ranging from $5,000 to $8,000.

## **8. Gynecomastia Surgery (Male Breast Removal)**

"Aesthetic surgery is increasingly becoming a genderless pursuit, with men and women alike seeking treatments," says Dr. Sweeney. While female breast reduction is more common, male breast removal surgery is [becoming a popular procedure for men](https://aedit.com/aedition/guide-to-gynecomastia-man-boobs-male-breast-reduction). The technical term for excess breast tissue in men is gynecomastia and men can experience it due to weight gain or because their body has an imbalance of the sex hormones testosterone and estrogen. [Gynecomastia surgery](https://aedit.com/procedure/male-breast-reduction-gynecomastia-surgery), or reduction mammaplasty, involves removing excess fat through liposuction, removing excess skin using excision techniques, or a combination of the two. 

Recovery time is typically between two and three weeks with full effects showing after three to six months. Although scarring is common, if the procedure is done properly, it will likely fade over time. Male breast reduction surgery costs an average of $3,500 to $5,000 depending on the practitioner.

## **The Takeaway**

No cosmetic procedure, including those listed above, is without risk. Make sure you visit a [board certified plastic surgeon](https://aedit.com/aedition/finding-the-right-plastic-surgeon-dermatologist-or-cosmetic-dentist) at an FDA-approved clinic and consult at least two different cosmetic surgeons to ensure you have all the information before proceeding. Always ask the doctor questions about the risks and [the necessary steps to recovery](https://aedit.com/aedition/preparing-for-a-smooth-recovery-from-plastic-surgery) before embarking on any procedure. And since it is unlikely that any cosmetic surgery will be covered by your health insurance, be sure to ask about the cost of any surgery up front.

Cosmetic treatments are on the rise in the U.S. and most of us are aware of common procedures like breast augmentations, face lifts and tummy tucks. But thanks to medical developments, our options are no longer limited to the classics. 

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