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I am a soon-to-be-31-year-old beauty editor, and, for as long as I can remember, I have considered my laugh lines to be no laughing matter. Many of us have a facial feature we fixate on. In my case, that feature has always been my [nasolabial folds](https://aedit.com/aedition/nasolabial-fold-treatments). Those parentheses-like creases look different on everyone. For the women in my family, they tend to run deep — and get deeper with age. 

I mention the fact that I am a beauty editor because it means that I have long been spoiled by the opportunity to try great skincare products. I have a [pretty solid routine](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-30s) that includes [exfoliating acids](https://aedit.com/aedition/guide-to-topical-alpha-hydroxy-acids-in-skincare) to improve tone and texture, [antioxidants](https://aedit.com/aedition/facts-about-vitamin-c-in-skincare) to brighten and repair, and, of course, [daily sunscreen](https://aedit.com/aedition/best-sunscreens-that-act-as-makeup) to protect. But even the best lotions and potions cannot do much (if anything) to soften said folds. So, what’s a girl to do? 

As I shared a couple years ago, [I started getting Botox® injections](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time) just shy of turning 29 in an effort to get ahead of the increasingly omnipresent nature of my forehead lines. Last month, I headed to see [Lesley Rabach, MD](https://www.instagram.com/lmmedical.nyc/), a double board certified facial plastic and reconstructive surgeon, co-founder of [LM Medical](https://lmmedicalnyc.com/) in New York City, and my go-to aesthetic provider, for a neurotoxin touch-up with nary a thought of doing anything else. During our quarterly catch-up session (she fills me in on all the interesting things she’s noticing in her practice and patiently answers my questions about some of the trends we’re considering covering here at The AEDITION), however, something compelled me to broach the subject of my stubborn smile lines.

As Dr. Rabach emphasized, some amount of creasing is necessary in the region — after all, babies are born with nasolabial folds — but there are both surgical (hi, [deep plane facelift](https://aedit.com/procedure/deep-plane-facelift)) and non-surgical (think: filler) solutions that can help soften their appearance. In my case, half a syringe of [hyaluronic acid (HA)-based filler](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers) was all I needed to subtly yet substantially rejuvenate my face (keep reading to see before and after photos) for up to a year. Intrigued? Here’s what you need to know.

## **Returning to the Fold**
Also called laugh lines and smile lines, the nasolabial folds run from the corners of the nose to the corners of the mouth. Look back at your baby photos and you’ll see that those creases have always been there. “Even children have smile lines,” Dr. Rabach shares. As such, “it is imperative to maintain a fold because without it, we look very unnatural,” she adds. 

Depending on your anatomy, genetics, and lifestyle, however, the current state of your nasolabial folds may be quite different from their OG appearance. “As we get older, the cheeks [lose volume](https://aedit.com/aedition/best-procedures-to-restore-facial-volume) and, together with years of smiling, the nasolabial folds deepen,” Dr. Rabach explains. Yes, smiling is one of the causes of deepening folds, which means those lines are a sign of a life well lived and laughed. While I can’t help but smile at that, it doesn’t totally reconcile my relationship with said creases. 

From my teenage years through my mid-twenties, I always had a fuller midface. My nasolabial folds were fairly prominent then, too, but something about the overall proportion of my face seemed to camouflage them. By my late-twenties, my countenance bid adieu to any lingering baby fat, which added a bit more emphasis to those pesky parentheses. 

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/3qFCcAgw8jjA1eOhXzOrlZ/b12a7acd7b36a9f17a0fe03a52a2f6a6/NasolabialFoldBefore.jpeg}>
  The writer before her filler treatment.
</CaptionImg>

It’s been in the last year or so, though, that I’ve noticed the most visible change. Doubling down on my [fitness regimen](https://aedit.com/aedition/what-its-like-to-get-emsculpt-neo), the stressors of everything going on in the world, and the anatomical realities of being a 30-something seemed to converge in a way that left my mid- and lower-face looking… blah. As someone who has always been conscious of my penchant for RBF (IYKYK), combining that with a leaner face and deepening folds made me look tired, stern, and just not like the best version of myself.

## **Fixing the Folds**
Sitting in Dr. Rabach’s Greenwich Village office on an unusually mild December afternoon, I explained to her the evolution of my smile lines and, based on how my mom, aunt, and grandma have aged, forecasted the future of my folds. While she was quick to quip that my nasolabial folds were no deeper than those of her four year old, she did admit that a little HA filler could likely go a long way.

This is, she says, “a common area to be treated with dermal fillers,” but the placement of the product can be customized based on the patient and their aesthetic goals. “Nasolabial folds can be treated either by directly filling into the fold or by [filling the cheek](https://aedit.com/procedure/cheek-augmentation-with-fillers) to lift the fold,” Dr. Rabach shares. “It depends on the individual anatomy which will be more natural and effective.” 

I was more familiar with the latter option ([augmenting the cheek](https://aedit.com/aedition/cosmetic-procedures-to-define-cheekbones) for a more lifted appearance), but, as it turns out, I am not an ideal candidate at this point in my life. “Younger patients, where the folds aren't so deep, often benefit from a very small amount of filler placed just in the deepest area to soften that,” she explains. In my case, the deepest area was by the nose. Put another way: Because my cheeks are (relatively) full, it's better to inject into the fold. “If your cheeks were flat, then injecting into the cheek is better,” Dr. Rabach notes. Either way, the goal is the same. “The goal is always maintaining a natural amount of depth,” she reiterates. 

Sure, [cheek filler](https://aedit.com/aedition/restylane-contour-cheek-filler) could help rejuvenate my folds, but it would also address a concern ([cheek volume](https://aedit.com/concern/cheek-volume)) that didn’t, well, concern me. As Dr. Rabach explained, the amount of filler I would need to see results, coupled with the fact that my goal was not cheek enhancement, made it inefficient from both a cost and benefit perspective. Instead, she said splitting a half-syringe of Versa™ by Revanesse® between my two folds would give me the subtly satisfying look I was after.

## **Fill ‘Em Up**
Until now, my experience with cosmetic injectables has been limited to [Botox®](https://aedit.com/aedition/where-to-use-botox-from-head-to-toe), which requires a bit of patience. Anyone who has ever gotten neuromodulators knows that it takes a minimum of a few days (and up to two weeks) to fully enjoy the effects of the wrinkle relaxers. Hyaluronic acid-based fillers, on the other hand, offer instant gratification.

While some areas of the face require [numbing cream](https://aedit.com/aedition/numbing-cream-breakouts) before filler injections, the nasolabial folds are not one of them. Dr. Rabach gave me a stress ball to squeeze, but, truth is, it hardly felt like anything more than a pinprick (there is lidocaine within the filler to further ease any potential pain). After two pricks into the upper part of the fold on my right side, she handed me a mirror to inspect the first half of the results. Much to my surprise — and delight — the crease was softer. She repeated the same thing on the other side and, in all of five minutes, I looked totally rejuvenated in the most understated way.

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/59gtLQ1sM4YKqLFOhOSwRg/0b2adbac8f7042284d0b5773053b7fb2/NasolabialFoldBA-Crop.jpg}>
  The writer before (*left*) and about an hour after (*right*) her filler treatment.
</CaptionImg>

Dr. Rabach used Versa™ on me because, she says, “it is very versatile for the folds, moves with the person, and integrates well into the tissues.” Depending on the patient, however, she also likes [Restylane®](https://aedit.com/procedure/restylane), Teoxane Teosyal RHA® 3, and [Juvéderm® Ultra](https://aedit.com/procedure/juvederm) for this area. For most, HA filler results last nine to 12 months in the nasolabial fold region.

## **Recovery & Results**
Regardless of the product, the most common side effects of HA fillers are temporary swelling and mild discomfort for a few days. As with any injectable, [bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox) is possible (though relatively rare in this part of the face). As you can see in my ‘after’ photos, I experienced a bit of redness at the injection sites for about 24 hours. After that, I found the area to be slightly tender to the touch (most noticeable when I washed my face) for about five days. 

A month later, I am pleased to report that the results have exceeded my expectations. Not a single person — including my ever-observant mother, with whom I FaceTimed when I got home from my appointment — has been able to pinpoint what I had done. Yet, when I show them my B&A, the results are abundantly clear. 

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/NPqEbL7qaT7uP4ntmow6Y/9d625d3ed648174a787e854c4b489677/NasolabialFoldBA-Full.jpg}>
  The writer before (*left*) and about an hour after (*right*) her filler treatment.
</CaptionImg>

For some, the subtlety may be a letdown. For me, it’s the draw. Coupled with Botox® in my forehead and glabellar lines (the effects of which were not yet visible in these photos) and a skincare routine focused on keeping my combination complexion clear and radiant, nasolabial fold filler has offered a level of rejuvenation that I didn’t know could be achieved. For the first time in my life, I am smiling about my smile lines.

If you are curious about what you would look like with nasolabial fold filler, [The AEDITOR](https://aedit.onelink.me/E6Rw/95b299f8) — the patented 3D Aesthetic Simulator available exclusively in the AEDIT iOS app — allows you to ‘try on’ the procedure and instantly visualize medically accurate results. [Download the app here](https://aedit.onelink.me/E6Rw/95b299f8), and, once you give it a try, [consult](https://aedit.com/providers) with a board certified dermatologist or plastic surgeon to determine if HA filler is the right treatment option for you.

Patient Perspective

A beauty editor shares her experience getting hyaluronic acid-based filler injected into her nasolabial folds to soften her smile lines.

What It's Like To Get Nasolabial Fold Filler: Before And After Photos

I Got Filler To Soften My Nasolabial Folds — Here’s My Before And After

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New Year’s resolution season is upon us. Here at AEDIT, we are dreaming up ways to improve our skincare routines and try new aesthetic treatments. From trying in-office procedures to doubling down on our at-home beauty and grooming routines, the AEDIT team has an array of aesthetic plans for the new year and beyond. 

Keep scrolling to see the skincare steps #TeamAEDIT is planning to add and the cosmetic treatments we’d like to try in 2022. And, in case you need more inspiration, [check out the healthy habits](https://aedit.com/aedition/2022-beauty-wellness-resolutions-from-plastic-surgeons-dermatologists) top dermatologists and plastic surgeons in the AEDIT Provider Network want you adopt in the coming months.

### **Pia, HR Generalist**
I already have a decent (but simple) skincare routine that includes [retinol](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare), vitamin C, hyaluronic acid, clay masks, and [at-home dermaplaning](https://aedit.com/aedition/benefits-of-face-shaving-at-home-dermaplaning). My goal is to be more consistent with the masks and dermaplaning — set a schedule rather than doing it only when my skin *really* needs it. I also have an appointment booked for Botox® and [under-eye filler](https://aedit.com/aedition/how-i-quit-crying-about-my-tear-troughs) this year and will be booking a consultation for [rhinoplasty](https://aedit.com/aedition/reinventing-rhinoplasty-whats-different-about-modern-nose-jobs)!

### **Vivien, Senior Editor**
Turning 30 this past year has made me reevaluate my approach to at-home and in-office skincare. I tried a lot ([QWO™](https://aedit.com/aedition/qwo-for-cellulite-before-and-after-photos), Botox®, and a chemical peel), and I’ve realized that my approach to my skin has become more routine than a part of my life that I enjoy. It’s become about going through the motions and not something I take pride in as much as I used to. 

My goal is to be more mindful when I apply my products and to listen to what my skin needs that day versus just slathering on products and going. From my at-home devices (hi, [NuFace](https://aedit.com/aedition/what-its-like-to-use-nuface-for-30-days)) to getting in-office treatments, I want to remember that this is the time of the day I get to dedicate to myself. It will help make it less of a chore. The days are already stressful as it is, we deserve to be a little more gentle with ourselves.

### **Matt, CTO**
To combat redness I am now doing a [pulsed dye laser](https://aedit.com/procedure/pulsed-dye-laser) every six months and using topical metronidazole in the morning and ivermectin in the evening. I am also continuing to apply SPF and baby lotion every day.

### **Katie, Business Operations Manager**
I am very diligent with my [skincare regimen](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-30s) at home, but, outside of routine Botox®, I've never really expanded into other in-office medical facial treatments. I'm approaching 32 in the new year and have started to have some concerns with the skin texture and elasticity on my face. With that in mind — and given the fact that I am always working on AEDIT content and seeing so many really fascinating procedures — I've started to consider an energy-based treatment! I'm not entirely certain which one yet, but the one that is really standing out right now is [FaceTite™](https://aedit.com/procedure/facetitetm)! I've noticed such a difference in skin texture in the before and after images. There's this really fresh looking glow and a definition on the patient images I've seen, and that's definitely the result I'm seeking! 

### **Allison, Senior Product Manager**
I'm interested in trying a serum that targets hyperpigmentation for the area of my face that experiences acne and, ultimately, some light scarring. I have fair skin, and these products are usually targeted towards deeper complexions, so I've always opted to focus on other concerns.  We’ll see what some [vitamin C](https://aedit.com/aedition/facts-about-vitamin-c-in-skincare) can do for me! 

In 2022, I will have my thirtieth birthday, so what better way to celebrate than getting some [preventative Botox®](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time)! I'd like to focus on the area [around my eyes](https://aedit.com/procedure/periorbital-botox) to prevent my creases from developing any further — a byproduct of way too much laughter.

### **Jacqueline, Social Media Coordinator**
For 2022, I am most excited about seeing an [aesthetician](https://aedit.com/aedition/aestheticians-in-aesthetic-medicine) on a regular basis. Whenever I receive a facial, I always tell myself, ‘I should really do this more often.’ This year, I am! Hoping 2022 brings a brighter, healthier, and clearer complexion (pretty please!).

### **Derek, Business Intelligence Analyst**
Currently, my morning routine involves only two facial applicators: a moisturizer and sunblock. However, researching a bit more on skincare, I realized that there are many more supplements that can be applied to ensure healthy skin. Therefore, I want to involve products like [toner, serum, and eye cream](https://aedit.com/aedition/best-mens-skincare-routine-products-ingredients-for-20s) because they help combat a lot of the natural aging that occurs to the skin such as discoloration, wrinkles, and so on. 

And, although I am not sure I have [hyperhidrosis](https://aedit.com/concern/excessive-sweating), I have always wanted to do something about how easy it is for me to sweat. Living in Manhattan and having to take the subway everywhere I go, the summer can be brutal. If I could sweat a bit less, that would be a great confidence booster and alleviate me from stemming annoyances. 

### **Témi, Editor**
I would love to try [dermaplaning](https://aedit.com/procedure/dermaplaning) this year to combat my vellus hairs and uneven skin texture! It’ll also help my makeup sit on my face better.

### **Sarah, Brand Marketing Manager**
In 2022, I plan on incorporating [gua sha](https://aedit.com/aedition/everything-you-need-to-know-about-gua-sha) to my routine. I recently had a facial that included gua sha, and I loved the results of the lymphatic drainage it provided. I am also considering [Clear + Brilliant®](https://aedit.com/procedure/clear-brilliant) to help combat early signs of aging, as well as target [sun spots](https://aedit.com/aedition/cosmetic-procedures-treatments-to-correct-sun-damage) and [acne scars](https://aedit.com/concern/acne-scars). 

### **Nikan, Lead Computer Vision Engineer**
I'm planning to [wear sunscreen](https://aedit.com/aedition/best-sunscreens-for-men) after applying vitamin C serum to my face because skin needs protection even if you are working from home — especially from the [waves radiating](https://aedit.com/aedition/how-to-treat-blue-light-damage) from smart devices, TV, or computers. Also, my skin gets dry quickly in winter, so I'm going to [add moisturizer](https://aedit.com/aedition/dermatologist-approved-face-moisturizers-for-men) to my skincare routine.

### **Meg, Editorial Director**
After trying hyaluronic acid-based filler for the first time in 2021 (I got a little [injected into my nasolabial folds](https://aedit.com/aedition/nasolabial-fold-treatments)) and loving the rejuvenating result, I am considering revisiting a resolution I had for 2020 but never followed through on (because, COVID) — [tear trough filler](https://aedit.com/procedure/under-eye-filler). I have chronic dark circles and crepey skin under my eyes that I know would be brightened and smoothed with filler.

### **Shuhui, Computer Vision Engineer**
I plan to add the [hand mask](https://aedit.com/aedition/dermatologist-approved-hand-creams-for-dry-skin) and [foot mask](https://aedit.com/aedition/best-at-home-foot-treatments) in my routine in 2022. I fell in love with housekeeping recently and do not protect the skin on my hands well from washing clothing and wiping the table. I already bought the masks but just haven’t started to use them yet.

### **Laura, Growth Marketing Manager**
I want to [start my skincare journey](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-20s)! My current ‘routine’ is just washing my face with hand soap and slathering body lotion on it. A disaster, I know. After watching my teammates' skincare tutorials, I am motivated to try them myself. It's all about amplifying one's beauty with efficacious ingredients, proven routines, and admiring one's image in the mirror.

From sunscreen to preventative Botox, check out the skincare habits #TeamAEDIT is planning to adopt and the cosmetic procedures they’d like to try in the New Year.

Skincare Products And Cosmetic Procedures Patients Want To Try In 2022

13 Skincare Resolutions The AEDIT Team Is Making For 2022

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Even though [cellulite](https://aedit.com/concern/cellulite) is incredibly common in female bodies (nine in 10, to be specific), I have never been able to accept it as a natural part of mine. The rippling appearance of cellulite generally begins during puberty, and I was no exception to the rule. First noticing it at the age of 13, it continued to be a bother into my early twenties. By the time I hit 30, I was seriously looking into [possible solutions](https://aedit.com/procedure/cellulite-removal-solutions). After having exhausted every at-home avenue to smooth my skin to no avail, I started to think the dimpling was something I would have to live with. That’s when [Qwo™](https://aedit.com/procedure/qwo) came into the picture.  

## **Why I Chose Qwo**
Anyone who has sought out ‘solutions’ for [cellulite](https://aedit.com/aedition/the-complete-guide-to-cellulite) will agree that no amount of dry brushing, foam rolling, coffee scrubs, firming creams, or lifestyle changes will truly change its appearance. Sitting at a size four and standing at 5'5”, I am someone who works out consistently and can attest that your weight, size, and diet can’t naturally change what is in the cards genetically. And, as someone who exercises to feel strong and does not mind having a little jiggle, I knew that my options were limited if I truly wanted the dimples to disappear. 

In-office procedures never interested me due to their inconclusive results, which left me in this limbo waiting for a concern-specific fix that does not require extensive downtime. I first found out about Qwo™ through [an article we published](https://aedit.com/aedition/qwo-cellulite-injectable-treatment-fda-approved) a year ago when it first received approval by the United States Food and Drug Administration (FDA). It appeared to be a miracle cure for one of my biggest insecurities. The [breakthrough injectable](https://aedit.com/aedition/new-injectables-neurotoxins-fillers-for-face-body) is approved by the FDA for use on the buttocks in moderate and more severe cases of cellulite. 

I was excited enough just knowing that a solution was approved and within reach. But, when I was offered the chance to get Qwo™ injections administered by [Bruce E. Katz, MD](https://www.juvaskin.com/about/our-staff/dr-bruce-katz/), a board certified dermatologist and the founder of JUVA Skin and Laser Clinic in New York City who had been a part of the clinical trials for the treatment, I knew the time to tackle my cellulite had arrived. According to Dr. Katz, Qwo™ has been “tested on moderate to severe cellulite” and “can treat all forms of cellulite.” 

<a href="https://youtu.be/yOLeojEnKWM" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://youtu.be/yOLeojEnKWM</a>

Because the process requires three sets of injections spaced 21 days apart, I cleared my calendar and hurried to see Dr. Katz for my shot at smoother skin. 

## **Qwo Treatment & Recovery**  
During my first appointment with Dr. Katz, I was assessed and told that I was indeed a candidate for Qwo™ (cue the sigh of relief). He had been a part of the clinical trials for Qwo™ and had glowing reviews from his patients, who, two years post-treatment, were still happy with their results. After getting marked up and having my ‘before’ pictures taken (see below), I laid down for the first set of injections. 

As somebody unphased by needles, the process was seamless, and Dr. Katz went above and beyond to make me feel comfortable. Unlike [Botox®](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time), which is injected into the muscle, Qwo™ requires a different technique. When the needle is inserted, collagenases (the enzyme that breaks down peptide bonds in collagen) are released as the needle is moved around to dissolve the collagen bond. While, from the outside, it appears as though the needle is being moved around, Dr. Katz explained that this is the necessary method to ensure the bands dissolve and release, thereby reducing the dimpling appearance. The overall pain level was no more than that of other injections, and the entire process was done in under 10 minutes. I was instructed to stay on my stomach for another 10 minutes to allow for the injectable to get to work on the fibrous septae. 

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/3oq3bwUvuZkYPpWPI1a5rN/08bdfb2c2ec24aab5397df212bce4673/QwoBA-2.jpeg}>
  The writer before (*left*) and seven weeks after (*right*) her last Qwo™ treatment.
</CaptionImg>

Now, although I did my [research on the treatment](https://aedit.com/aedition/what-its-like-to-get-qwo-for-cellulite) — reading up on aesthetics is, after all, my job — I was unaware of the dramatic impact the first round of injectables would have on me. During my initial appointment with Dr. Katz, I was reassured that [bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox) and [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) were to be expected. In fact, they’re a sign that the treatment is working. “That is indicating that the fibrous bands have been dissolved by the Qwo™,” he explained. I am prone to bruising, so I thought I had a pretty good idea of what the bruises would look like on me. However, I wasn't prepared for what happened a mere 11 hours post-injection. 

As the first day progressed, I started to experience a feeling of soreness as though I’d done a glute-heavy workout, and my skin felt raw as if I had a sunburn. Not knowing what I would experience that day, I wore jeans and soon found myself feeling irritated by the denim fabric. By the end of day one (and after constant inspection of my derriere), the small injection sites had blossomed into deep purple, baseball-sized circles. Nothing could have fully prepared me for the shock factor of the bruising, but having the forewarning from Dr. Katz allowed me to sleep easy — albeit somewhat uncomfortably — the next few nights. By my second set of injections three weeks later, the bruising had disappeared and I was ready to do it all again.    

The following two treatments mirrored my first experience — sans the significant bruising. I went in, got marked up, took progress photos, and felt the same sore-raw hybrid of sensations with limited bruising (compared to what I had come to expect from round one). The entire process, from consultation to completion, lasted less than three months, and I was excited to see a vast improvement. 

## **Qwo Results & Recommendations**
Once the swelling and bruising from the first set of injections went down, I noticed a slight improvement in the appearance of my skin. The real change, however, came at the three-month mark. After the third set of injections, the bruising was barely there — though it did linger for a few weeks (Dr. Katz assured me that this was perfectly normal).  

While my case of cellulite may fall in the ‘moderate’ category, in unflattering light or under constrictive clothing, I still found myself concerned about its appearance. Now that enough time has passed, I find that my skin is much smoother, the thought process behind choosing what to wear is less complicated, and my self-confidence has been restored. 

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/2aY5KXamhCqPipbEWWyqdg/ed4445c77d1b9348805da3503a5ddd58/QwoBA-1.jpeg}>
  The writer before (*left*) and seven weeks after (*right*) her last Qwo™ treatment.
</CaptionImg>

As far as the timeline for how long the results should last, there’s no specific answer. Dr. Katz has patients who participated in the trials two and a half years ago and are still happy with their appearance. Even if there is a shelf life to my results, I would gladly go back and do it all again as needed. I would also recommend it to anybody who wants a minimally invasive solution that produces visible results. 

For those considering this treatment option for cellulite, here are a few things I think you should keep in mind when scheduling your Qwo™ injections: 

### **Do**: 
- Schedule treatment for a time when you’re less likely to wear revealing bottoms
- Consider what you will wear the day of injection
- Wear underwear that doesn’t dig into the injection site
- Plan your days following the injections to be light and know that sitting or physical activity may cause discomfort
- Expect bruising, especially if you are prone to it 

### **Don’t**: 
- Schedule any physically demanding activities post-treatment 
- Push yourself physically in the days following 
- Wear anything too compressive or with a rough texture for the first few days
- Feel discouraged by the bruising, swelling, or soreness (trust the process!) 

## **The Takeaway** 
Cellulite is not a reflection of your health, diet, or fitness capabilities — it's a genetically determined structure under your skin that creates a rippled appearance. While it is currently only FDA-approved for use on the buttocks, Qwo™ is being tested for use on the back of the thighs and has shown realistic improvement to a concern that previously was hard to treat. Despite the deep bruising and discomfort for a few days, the process is quick and the results are real!

After years of being self-conscious about my cellulite, I was able to treat it with Qwo™, an FDA-approved injectable that promises smoother skin in three sessions. 

What I Look Like Before And After Getting Qwo Injections For Cellulite

I Got Rid Of My Cellulite With Qwo Injections — Here’s Proof

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As a beauty editor, there’s not much I wouldn’t try when it comes to smoothing [fine lines and wrinkles](https://aedit.com/concern/fine-lineswrinkles). I’ve been obsessed with my anti-aging skincare regimen since my [late twenties](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-20s), and I started getting Botox® in my forehead and [around my eyes](https://aedit.com/procedure/periorbital-botox) as another preventative measure by the time I was 30. Every 12 weeks, I would sit in my dermatologist’s chair in New York City and smile as I faced one of my biggest fears – needles. As the years went on, I noticed my Botox® wasn’t lasting as long, and, as someone who is Type A, I began going in every eight to 10 weeks. That’s when the switch from Botox® to [Dysport®](https://aedit.com/procedure/dysportr) was recommended. 

## **What’s the Difference Between Botox & Dysport?**
The truth is, at a chemical level, there isn’t much of a difference between Botox® and Dysport®. The active ingredient in both [neurotoxins](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin) is botulinum toxin type A, which means they work in the same way. “All type A botulinum toxins have the same mechanism of action: blocking the release of acetylcholine and preventing the muscles from contracting to maintain the aesthetic effect,” explains [Dennis Gross, MD](https://www.dennisgrossmd.com/), a board certified dermatologist and founder of his [eponymous skincare line](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fdrdennisgross.com%2F). 

[Botox®](https://aedit.com/procedure/botox), or onabotulinumtoxinA, was first approved by the United States Food and Drug Administration (FDA) to temporarily improve the appearance of frown lines between the eyebrows in April 2002. It has since received more aesthetic approvals, in addition to its therapeutic uses. [Dysport®](https://www.dysportusa.com/what-is-dysport) (a.k.a. abobotulinumtoxinA), meanwhile, was first approved to treat glabellar lines in April 2009. Other cosmetic neurotoxins on the market include [Xeomin®](https://aedit.com/procedure/xeomin) and, the newest to the scene, [Jeuveau®](https://aedit.com/procedure/jeuveau).

While the active ingredient in each product is BoNT-A, they also feature unique protein blends that can affect the diffusion and wear of the injection. “The amount of core active neurotoxin in each on-label dose is different,” Dr. Gross says. “Dysport® has shown to include more core active neurotoxin compared to other neurotoxins.” 

Another point of difference? The appearance they each give is very different to my editorial eye. When treating my forehead lines, I find Botox® to give a more localized freezing, whereas Dysport® spreads evenly throughout for a more air-brushed effect. “I love the results that Dysport® gives since the results are natural-looking — fresh but not frozen,” Dr. Gross notes.  

## **How Long Does Dysport Last?**
For me, Dysport® lasts about 12 weeks just like [Botox® used to](https://aedit.com/aedition/botox-immunity-neurotoxin-resistance). For some, it can last up to five months (yes, I’m extremely jealous of those people). For others, it may be less. “The time length varies from patient to patient depending on genetics – some people break down neurotoxins at quicker rates than others,” Dr. Gross shares. 

But that’s not all. How you take care of your skin [in between appointments](https://aedit.com/aedition/maintaining-skin-with-devices-skincare-products-between-cosmetic-procedures) matters, too. He recommends using a consistent skincare regimen that includes active ingredients like [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare), [retinol](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare), hydroxy acids ([alpha](https://aedit.com/aedition/guide-to-topical-alpha-hydroxy-acids-in-skincare) and [beta](https://aedit.com/aedition/guide-to-beta-hydroxy-acids-salicylic-acid-in-skincare)), and [niacinamide](https://aedit.com/aedition/guide-to-topical-niacinamide-vitamin-b3-in-skincare) to stimulate collagen production and prolong the life of your treatment. 

## **The best part…**
If ever there was a ‘[lunchtime procedure](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time),’ neurotoxin injections are it. Dysport® is a quick 10- to 20-minute non-surgical treatment with little to no downtime (you may experience localized swelling, redness, or tenderness at the injection site for about 24 hours). And, unlike some of its competitors that take five to seven days to kick in, Dysport® results start to show in just 48 to 72 hours. Living in a world of instant gratification, I love the quick turnaround. 

Consider this my love letter to an air-brushed forehead.

Why I Switched From Botox To Dysport To Treat Forehead Lines

Why I Switched From Botox To Dysport To Treat My Fine Lines

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To be honest, I never really thought much about my breasts — until I started to lose them. They were always on the smaller side of average, yet, due to my height (I’m 5’9”), I believed they looked even smaller and flatter than they actually were. I felt like my shoulders and the flatness of my torso made my upper half just look… long. But, once I started to run marathons, the volume loss and deflation became a serious insecurity for me.

## **The Decision-Making Process**
As much as I told myself that there was something impossibly chic about having tiny breasts (I mean, it’s good enough for Kate Moss!), I couldn’t stop myself from obsessing over my chest after every single run. I even bought a seamstress-style tape measure. And then a second one. I was certain the first was wrong — there's just *no way* that my A-cup bra could be baggy. It must be the tape.

It was a rude lesson to learn that losing weight is the same as gaining it. We can’t choose the body area where it comes and goes, and that deflation from volume loss is *real* (I still don’t know why I thought they would stay perky if they were flat as a pancake). But it wasn't until one Saturday, about six miles into a long run, that I realized I wasn't wearing a sports bra (or any bra for that matter) and I hadn't even noticed. At that moment, I began to seriously consider medical intervention in the form of [breast augmentation with implants](https://aedit.com/procedure/breast-augmentation-with-implants).

Then the [COVID-19 pandemic](https://aedit.com/aedition/plastic-surgery-dermatology-cosmetic-dentistry-practices-reopening-during-covid-19) happened. I certainly couldn’t stop running now — it was my only activity! But, as it did for many, the pandemic certainly put things in perspective. I always expected to get a ‘[mommy makeover](https://aedit.com/concern/mommy-makeover)’ after I had children, with a breast procedure or two on the list. But, over the last year, my perspective evolved into: What the heck am I waiting for?

## **The Consultation**
“How much volume did you lose?” my plastic surgeon, [Adam Kolker, MD](https://www.drkolker.com/), immediately asked when I began our [breast augmentation](https://aedit.com/procedure/breast-augmentation-solutions) consultation by blaming marathons for my newfound insecurity. *“How did he know?”* I thought, as we sat socially distanced with me in a chair on one side of the office, Dr. Kolker on the opposite side, and his right-hand RN, Ashley, standing against the wall between us. All of us were masked, temperature-checked upon arrival, and sanitizing our hands like crazy. Although we were all vaccinated, both rising cases and the chaotic Delta variant were increasingly worrisome. 

During the examination portion of our consult, Dr. Kolker and Ashley measured my breasts in a few different ways (think: the collarbone to nipple, nipple to base, and width, among others). We discussed my goals — “natural but juicy,” I told him — but my main concern was balancing out my tall silhouette with implants that look like they belonged on my body’s shape. Then they took the ‘before’ photos and opened a briefcase of implants to try on and take for a test drive. Dr. Kolker recommended I ignore the [measurements on the implants](https://aedit.com/aedition/how-to-get-the-most-natural-looking-breast-implants) and decide what I liked based on the look and feel, not the number of CCs. 

Left alone, I tried on every single one, starting with the largest. I placed each set of implants in my bra and modeled from every angle. I felt like Goldilocks, and giving the different sizes a test run was immensely helpful for me to determine just how large I wanted to go. When Dr. Kolker returned to wrap up our conversation about size goals, I told him that I thought 250-ish CCs looked the most proportional to my body. He noted my preference and explained that the final decision on CC amount is decided in the OR, based on several factors that are revealed only once the incision is made. We also went over his instructions for pre-surgery care. As I was heading out, Ashley asked me to send a photo of my COVID-19 vaccination card before the big day. 

## **The Surgery**
On the day of the surgery, I arrived alone — no companions allowed — and went over what to expect before and after the surgery with Kat, the recovery room nurse. Dr. Kolker then came in to review our surgery goals once again, take a few more photos, and finally — the dramatic moment I was waiting for — [draw on my body with a Sharpie](https://aedit.com/aedition/purpose-of-a-plastic-surgeons-markup-pen-during-cosmetic-surgery) just like they do in movies. At that moment, it all felt very real. I thought to myself, *“I have Sharpie on my body, it’s REALLY happening!”*

In the last, and less dramatic, step before walking to the OR, I had a tête-à-tête with the [anesthesiologist](https://aedit.com/aedition/everything-you-need-to-know-about-anesthesia) to align on our sedation plan. I asked him what the likelihood of accidentally waking up mid-surgery (a new-found fear), and he said he was zero for 60,000-plus, meaning that he’s managed more than 60,000 surgeries and zero patients have woken up before they were meant to. I felt very safe and that weird new fear became a memory as we walked to the [operating room](https://aedit.com/aedition/unexpected-things-to-know-about-the-plastic-surgery-operating-room) to meet Ashley and Dr. Kolker.

I was very impressed with the OR — all of my information was splashed up on a wall-mounted TV across from Dr. Kolker, music was playing, the temperature was chilly (my favorite), and Ashley put a pillow under my knees for extra circulation. It felt kind of like a spa, until the anesthesiologist attached the needle. 

Next thing I know, I woke up in the recovery room with Kat, who told me that my friend was on her way to the office to pick me up. Three juice boxes later, I was cleared to go home and hopped in an Uber.

It was all very efficient and speedy: neither Dr. Kolker nor his nurses overstayed or lingered. They came in, got down to business, answered my questions with care and compassion, and left because, after all, we were still indoors, in small treatment rooms, during a pandemic.

## **Post-Op**
Happily, the [breast implant recovery process](https://aedit.com/aedition/breast-augmentation-recovery-healing-process) wasn’t as intense as I predicted. Pain was manageable, and I only took prescription pain killers for the first two days and then just Tylenol after that. The first few days post-op were mostly just uncomfortable. My chest felt pressure but rarely pain unless I forgot I just had surgery and tried to open our heavy fridge door. [Sleeping](https://aedit.com/aedition/sleeping-better-after-cosmetic-surgery-aesthetic-procedures), however, was nearly impossible for the first week. Imagine trying to sleep sitting up straight — and I mean stiff-as-a-board-straight — with a [pillow fort](https://aedit.com/aedition/best-pillows-for-plastic-sugery-recovery-healing) all around so you are immobile. 

Dr. Kolker called me the day after surgery to check in, and I went back into the office on day seven for my first post-op appointment. On my post-care sheet, Dr. Kolker recommended a few [specific options for sports bras](https://aedit.com/aedition/benefits-of-compression-garments-after-cosmetic-surgery) to wear at one-week post-op, and I brought them along. I was temperature checked, masked, and ushered into a treatment room, where Dr. Kolker inspected [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery), the incisions, and the implants, followed by taking a set of photos. I was instructed to wear a heavy-duty sports bra 24/7, along with a white strap that sat right above the implant to help with settling.

Two days later, I had a mini freakout that my sports bra was compressing my implant too much and called the office. Rather than have me come by (which I suspect they would have had me done in ‘Normal Times’), Dr. Kolker hopped on FaceTime to visually inspect my compression concerns and reassure me.

On day 14, I began a set of three implant displacement ‘massages,’ which are very much not massages but rather awkward-feeling push and pull movements to encourage the implant to move, reducing the risk of capsular contracture. I was cleared by Dr. Kolker to take long walks and even a quick dip in the pool, but I still had to wear the sports bra and strap for most of the day. 

At my week four in-office post-op appointment, Dr. Kolker evaluated my healing progress and took another round of ‘after’ photos. I couldn’t stop gushing about how happy I was with the size and the totally manageable recovery. Somewhere around week three, I stopped feeling discomfort when lying down and sleeping became fun again. At the one-month mark, I was allowed to start wearing regular bras during the day, and I raced home to online shop — adding only the sexiest and laciest push-up bras to my cart.

## **My Takeaway** 
This past year, I’ve lost any sense of being able to evaluate what is weird. I may be in the minority, but I don’t think that my experience of getting breast implants during a pandemic deviated *that* much from what the surgery would have looked like in pre-COVID times. Aside from the masking, sanitizing, and temperature checking, it seemed business as usual. All of my post-op visits, just like my [consult](https://aedit.com/aedition/questions-to-ask-your-doctor-during-plastic-surgery-consultation), were very efficiently managed but never rushed, just the good sense to discourage anyone to linger in tight spaces unnecessarily. 

I couldn’t be more thrilled with my results. My body finally looks proportional and natural, which I always kind of thought was just a thing you say to be nice — but they *actually* look natural! Hands down, I’m happy that I didn’t wait. Pandemic or not, I’d do the surgery again.

It was weird, but definitely not as weird as I was expecting.

What It's Like To Get Breast Implants During The COVID-19 Pandemic

What It’s Really Like To Get Breast Implants During A Pandemic

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Last summer, the United States Food and Drug Administration (FDA) approved Endo Aesthetics’ Qwo™, a first-of-its-kind injectable that improves the appearance of [cellulite](https://aedit.com/concern/cellulite), much to the delight of those dealing with dimpling. Statistically speaking, nine out of 10 women have cellulite they can’t shake, which makes sense when you consider it has nothing to do with diet or exercise.

There are plenty of topical treatments (think: lotions and scrubs) that claim to temporarily reduce the appearance of cellulite, and there are a few surgical procedures (hi, [Cellfina®](https://aedit.com/procedure/cellfina) and [Cellulaze®](https://aedit.com/procedure/cellulaze)) that address the bands under the skin’s surface that can lead to dimpling. But, with the approval of Qwo™, there is now  a minimally invasive [cosmetic solution](https://aedit.com/procedure/cellulite-removal-solutions) that addresses the cause of cellulite. Read on to learn more about how Qwo™ works and hear from patients about what their experience was like.

## **What is Qwo?**
[Qwo™](https://aedit.com/aedition/qwo-cellulite-injectable-treatment-fda-approved) (a.k.a. collagenase clostridium histolyticum-aaes) is the first-ever minimally invasive injectable procedure that releases fibrous septae enzymatically by specifically targeting types 1 and 3 collagen. Basically, Qwo™ targets the bands beneath the skin surface directly, which results in the surface-level smoothing effect. The enzymatic component is what differentiates the injectable from surgical procedures Cellfina® and Cellulaze®. While those two treatments also target the subcutaneous bands, they do so by severing the septae mechanically with either a knife or laser energy. 

## **Ideal Candidate for Qwo** 
Qwo™ is FDA-approved to treat moderate to severe [cellulite](https://aedit.com/aedition/the-complete-guide-to-cellulite) of the buttocks in adult women. During the clinical trial process, investigators needed to ensure they were reporting a two-point improvement in cellulite severity, which means participants went from having a lot of noticeable cellulite to a noticeably smoother rear. Additionally, Endo included women of all [Fitzpatrick skin types](https://aedit.com/aedition/guide-to-fitzpatrick-skin-types) in the trials, with nearly 30 percent of those treated with Qwo™ being Fitzpatrick IV, V, and VI. The treatment is considered safe and effective for women of all skin tones. It’s worth noting, however, that there are some groups of people who may not be candidates, including women who are [pregnant or breastfeeding](https://aedit.com/aedition/safety-of-cosmetic-procedures-during-pregnancy-breastfeeding) and those who have conditions that cause excess bleeding. 

## **Qwo Treatment Protocol**
Qwo™ requires two or three sessions, spaced 21 days apart. Each appointment takes about 30 minutes, and patients do not need anesthesia. Instead, they are marked up in the affected areas (i.e. where you have dimpling), and the provider injects into the markings. As with any injectable treatment, there is a strong likelihood of [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) and [bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox) at the injection site, which usually subsides in about two weeks. Post-Qwo™ bruising tends to be significant, so you will probably want to avoid scheduling your treatments around a vacation or warm-weather months. Results are known to last a year or more. 

## **Patient Perspective**
At this point, you’ve likely heard first-hand accounts of [Botox®](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time) and [filler](https://aedit.com/aedition/what-to-know-before-getting-lip-filler-for-the-first-time), but all injectables are unique and come with their own unique experiences. To get a better sense of what to expect from Qwo™, we talked to two patients about what it’s really like to get the cellulite-minimizing injections.

### **Frankie, 29, Boston, MA**
*Frankie has felt insecure about the cellulite on her upper thighs and buttocks since her late teens. She went out of her way to avoid swimwear and clothing that exposed the areas, which impacted her quality of life. Qwo™ is the first professional cellulite treatment she has tried, and she is pleased with her results.*

<Dialogue>
  <Question party={The AEDITION}>
    How did you find out about Qwo?
  </Question>
  <Response party={Frankie}>
    I read an article about the treatment last summer. I guess it found me just at the right time. I had gotten back from a trip with friends, and I’d felt pretty down about my body a lot of the time. I’d looked into treatment for cellulite before I heard about Qwo™, but I never pursued it because it would’ve needed a decent amount of downtime to recover. I left the article open on my phone’s browser for a few weeks and eventually decided to see if anyone near me was already offering the treatment. I found a doctor who I got on with, who understood the results I was looking for, and who was able to be honest with me with what was realistic in terms of achieving those results.
  </Response>
  <Question party={The AEDITION}>
    Talk us through the procedure. Was there any discomfort?
  </Question>
  <Response party={Frankie}>
    My doctor told me I wouldn’t need any numbing treatment beforehand and she was right. It’s so painless. Maybe butt skin is tougher than face skin — it hurts a lot less than getting fillers! Before my first session, I had a consultation, so we had already discussed which areas were a priority for me. Each treatment session took around 15 minutes, and we were super relaxed, chatting throughout. I had some bruising a couple of days after each time, but it wasn’t enough to make me reconsider going back for my second and third appointments. My doctor told me to expect to see results around 10 days after the first injections. I would say I saw noticeable differences closer to the two-week post-injection mark, but the changes were showing before my second session for sure.
  </Response>
  <Question party={The AEDITION}>
    How do you feel about the results?
  </Question>
  <Response party={Frankie}>
    I’ll be honest, I had some very high hopes for the treatment. You know how you see all these perfect butts all over Instagram? I was hoping this would take me to that level. But my doctor was an absolute gem at explaining what could be done realistically. Although I was gutted that I wouldn’t get the model butt of my dreams from such a straightforward procedure, I understood why and decided it was still the best option for me. In all reality though, now that I’ve completed my course of injections, the results are so good. Add in some self tanner, and I’m decently close to my dream butt, which is a big win in my books.
  </Response>
</Dialogue>

### **Flossie, 28, Boca Raton, FL**
*Despite being a professional swimmer and exercising six days a week for as long as she can remember, Flossie deals with stubborn cellulite. After hearing from a fellow swimmer about Qwo™, she decided to look into it and is currently waiting to receive her second round of treatment.*

<Dialogue>
  <Question party={The AEDITION}>
    Why did you decide to get Qwo?
  </Question>
  <Response party={Flossie}>
    It all came down to recovery time. I’m an athlete and have taken time out from regular training over the past year because of a pandemic and an injury. I couldn’t justify taking more time out for anything more invasive. I hadn’t ever considered getting any cosmetic procedure before. It wasn’t on my radar until a friend of mine was speaking about how she’d had it done. She’s an athlete too, so I was able to ask her about whether it affected her training or not. Once my friend cleared that up, I’d more or less made up my mind that I was going to go for it.
  </Response>
  <Question party={The AEDITION}>
    Was your first procedure in line with what you expected?
  </Question>
  <Response party={Flossie}>
    I have a pretty decent fear of needles, which getting my COVID-19 shot helped with. I was anxious, but not as worried as I could have been going into the appointment. My doctor offered to numb the area before injecting, which I was super grateful for. I was able to bring a friend with me too, so I held onto her hand pretty tightly throughout! There was very little pain during the procedure. It felt like little bug bites, nothing more than that. I didn’t get any noticeable swelling or bruising after, and just carried on with my routine. It was more or less precisely what I’d expected having spoken to someone who had already had the procedure.
  </Response>
  <Question party={The AEDITION}>
    How are you feeling ahead of your next session?
  </Question>
  <Response party={Flossie}>
    I’m so ready for it! I’m treating it as therapy against my needle phobia, too. I’m feeling a bit invincible because I’m proving to myself that I can do something scary without freaking out. I’m starting to see results from my first session now. I could see changes around a week after my first injections, but I plan to track my progress with photos after my next round. All around, it’s been a positive experience, and I’m looking forward to seeing the final results in time.
  </Response>
</Dialogue>

## **The Takeaway**
For women dealing with moderate to severe cellulite and looking for a minimally invasive way to smooth it, Qwo™ is a promising treatment option. Aside from some post-prick swelling and bruising, the procedure has little to no downtime. Consulting with a board certified dermatologist or plastic surgeon will determine if you are a candidate for Qwo™.

A year after it received FDA approval, two women share what it’s like to treat cellulite with the first-of-its-kind injectable.

What It's Like To Get Qwo Injections For Cellulite Removal

What It’s Really Like To Get Qwo Injections For Cellulite

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When you consider hair envy, do you think of a specific color, a style your hairdresser can't replicate, or those curtain bangs you see on your favorite influencer? For me, hair envy is reserved for those with a thick mane that seemingly grows with ease and a hairline that doesn’t waver. 

Like any woman, my relationship with my hair is complicated, and it has often been a source of insecurity. What was once thin and long became thinner and more sparse as my hairline started to show gaps in my twenties. I guess there is some relief in knowing that I’m not the only woman to experience this. The [causes for hair loss and hair thinning](https://aedit.com/aedition/common-causes-of-hair-loss-thinning-shedding-in-women) vary, but approximately 40 percent of women in the United States experience some form of it. Even so, [hair loss](https://aedit.com/concern/hair-loss) can be distressing.

I always knew that voluminous locks were not in the genetic cards for me, but what I didn’t know was that, by my mid-twenties, I would notice more of my scalp peeking through than I would’ve liked. Over the years, I’ve seemingly tried it all. Silk pillowcases and scalp massagers? Been there. Changing my shampoo and reducing [tight hairstyles](https://aedit.com/aedition/kourtney-kardashian-prp-injections-to-treat-hair-loss)? Done that. Not coloring my hair in hopes that it would improve the health? Tried that, too. It was a years-long trial and error process that led me to consider a different approach. Ahead of my thirtieth birthday this year, I decided it was time to put aside the fill-in powder in favor of a more permanent solution. 

Full disclosure: As a beauty editor, I have the privilege of regularly trying new beauty products, but few deliveries arrive at my doorstep that are as spot-on to my personal needs as a package I received from [BosleyMD](https://bosleymd.com/) earlier this summer. When the bottle of [Women’s Extra Strength Minoxidil 5% Topical Foam](https://bosleymd.com/collections/all-bosley-products/products/womens-extra-strength-minoxidil-5-topical-foam) came in the mail, I was intrigued but skeptical. Despite knowing that certain types of hair thinning can be treated, I still had my own preconceived notions about using a product I previously considered a saving grace for [men experiencing balding](https://aedit.com/aedition/common-causes-of-hair-loss-balding-thinning-in-men). 

Putting those assumptions aside, the brand has a 45-year track record and is known for restoring hair, so who was I to not try it? Moreover, what did I have to lose?

<a href="https://youtu.be/NO1KkTmoSMI" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://youtu.be/NO1KkTmoSMI</a>

## **First, What Is Minoxidil?**
“[Minoxidil](https://aedit.com/procedure/minoxidil-rogaine) belongs to a class of drugs known as vasodilators and is used to help hair growth in the treatment of baldness,” explains [Gretchen Friese](https://fousheesalonspa.com/salon-team/gretchen-friese/), a BosleyMD certified trichologist, when I inquired about the science behind the brand. The star ingredient of the foaming topical product, minoxidil is approved by the [U.S. Food and Drug Administration (FDA)](https://aedit.com/aedition/modern-history-of-us-food-drug-cosmetic-regulation-fda) to treat hair loss in men and women. In 1988, the FDA approved 2 percent topical minoxidil as a treatment for androgenetic alopecia (read: male pattern baldness) in men. The solution was known by the brand name Rogaine. By 1992, the agency had approved the formula for the treatment of female pattern hair loss. And, since then, more potent renditions — in the form of a 5 percent solution and 5 percent foam — have come to market.

“The exact reason that minoxidil works is not fully understood, but, as a vasodilator, it widens the blood vessels which delivers more oxygen-rich blood to the hair follicles,” Friese shares. “It also helps increase the size of hair follicles, which promotes the growth of thicker, stronger hairs.” Needless to say, I couldn’t wait to get started. 

## **Getting to the Root of the Problem**
I knew going in that the root cause of my hair thinning is largely genetic, as I’ve seen other women in my family with manes similar to mine. But I also realized that my lifestyle could be to blame. Stress, bad sleep hygiene, and, at times, poor dietary decisions likely played a role, especially during the COVID-19 pandemic. Friese agreed that these habits don’t help matters, but there was one more thing I wasn’t considering: [my scalp](https://aedit.com/aedition/scalp-care-for-healthy-hair). “A good [hair care routine](https://aedit.com/aedition/best-hair-care-products-by-texture-color) that focuses on creating a healthy scalp environment is the first place to start,” she shares. 

Friese notes that women and men experience hair loss differently, which is why my hair concerns didn’t look like what I expected. “In men, hair loss starts in the front of the head and recedes to the back until they go bald,” she explains. “Women lose hair from all over their head that starts at the part line.” This so-called ‘diffuse hair loss’ is exactly what I was experiencing. “The hair at the temples may also recede in women,” she adds. 

So, while women are less likely to go completely bald than men, they “may have a lot of thinning throughout the hair,” Friese says. As such, I was instructed to continue the use of my scalp massager and [hair supplements](https://aedit.com/aedition/hair-growth-supplements-for-hair-loss). 

## **My Minoxidil Experience & Results** 
Adding the minoxidil foam to my nightly routine was a simple process. It takes less than five minutes to apply, and the cleanup is as minimal as washing your hands. As per the instructions, I diligently filled my product cap with foam every evening and would use my fingertips to apply it in my areas of concern: [the hairline](https://aedit.com/aedition/surgical-and-non-surgical-procedures-to-reshape-the-hairline), the crown of the head, and the temples. 

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/3Yztt0OZGXcZJ1dLbGrA6x/d4cfb821e6433531789c93cfd4732f35/MinoxidilOverhead.jpeg}>
  The writer before (*left*) and two months after (*right*) starting minoxidil treatment.
</CaptionImg>

Because the timeline for results depends on the individual (generally about two months to see some improvement), I wasn’t expecting to see any new hairs spring up for a while. It took about 45 days to notice a few new baby hairs sprout up and frame my face. Once I realized that the product was working, I spent more time analyzing each area, waiting for my hair to fill in and for my ponytail to become thicker. Although this product does not always enhance the thickness of the tresses, the idea of having more hair in general was enough to keep me motivated. Around the two-month mark, I noticed the area that I was most concerned with — my temples — having a darker hue as the spotty areas began to fill in on their own. 

Minoxidil works for me, but I want to address that the experience isn’t without its cons. Although the foam goes on clear and has a very light consistency, I noticed my hair had a crispy and lackluster texture at the roots when I woke up in the morning. This wasn’t a big deterrent since the majority of my interactions were over Zoom. But, had I needed to leave home, I would have wanted to wash my hair to make it look clean. 

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/6JXGGAQJvUALjsyOtFfZDU/038bfdb60511cd636c3ed954f107b865/MinoxidilProfile.jpeg}>
  The writer before (*left*) and two months after (*right*) starting minoxidil treatment.
</CaptionImg>

My other concern was the routine. If I had stopped applying it or skipped a few days accidentally, would that mess up my progress? According to Friese, the product “will not cause permanent regrowth of scalp hair, so you must continue using it every day to keep the regrown hair.” Basically, if I wanted my hair to grow continuously, I had to maintain the routine. As my robust vanity implies, I love a good regimen, but, when initial results take a while to appear, it can be hard to trust the process and not give up. 

## **Will I Keep Using Minoxidil?**
Considering the visibility of the results after just two months of minoxidil use and the knowledge that my hair thinning concerns can be treated with a topical product, I am determined to continue using it to maintain my growth. I realize that it is both a time and financial commitment, but, while the product was gifted at first, I will gladly repurchase it and recommend it to others experiencing similar issues. Time will tell if my hair becomes thicker and my spots continue to fill in more. I am optimistic, and, long term, I know there are other [non-surgical hair restoration treatments](https://aedit.com/procedure/nonsurgical-hair-restoration-solutions) I can consider in my quest for my own kind of hair envy.

After noticing her hair growing slower and thinning out, one writer decided to try an at-home topical product for restoration. Here’s her before and after.

What It's Like To Use Minoxidil Foam To Treat Women's Hair Loss

I Tried Minoxidil To Regrow My Hair And This Is What I Look Like Now

shutterstock 1540034594

Being a beauty and wellness writer, I’ve been invited to try [CoolSculpting®](https://aedit.com/aedition/malin-akerman-coolsculpting-elite) at dermatology and plastic surgery offices on multiple occasions. I was always skeptical to try body contouring devices, however, because I felt I could achieve the results myself. My answers for toning up have always been barre classes, [eating clean](https://aedit.com/aedition/best-diet-for-healthy-beautiful-skin), and minimizing [bloating foods](https://aedit.com/aedition/foods-that-cause-abdominal-bloating-how-to-debloat). While I never had my ideal body, I always worked hard to keep it in shape.  

Recently, I was invited to the [Skin Cancer & Cosmetic Surgery Center of New Jersey](https://aedit.com/provider/adriana-lombardi-md-12670) to try CoolSculpting®, and — drum roll, please — I finally accepted. Read on to learn more about my experience and see my before and after.

## **The Benefits of CoolSculpting®**
Finally succumbing to the allure of CoolSculpting® was a big move for me because I have always had too much pride. But, after having a baby almost three years ago, my abs never looked the same, and it’s made me very self-conscious. 

[CoolSculpting®](https://aedit.com/procedure/cool-sculpting) (a.k.a. cryolipolysis) is a controlled cooling technique that works by freezing fat cells at negative 11 degrees Celsius to permanently destroy them. Most patients experience a 20 to 25 percent reduction of fat in the treated area, and it’s approved by the United States Food and Drug Administration (FDA) to address visible fat bulges under the chin and jawline and on the back, buttocks, thighs, upper arms, flanks, and, yes, [abdomen](https://aedit.com/procedure/abdominal-slimming-solutions).

Not only is it safe, but I can now attest to its effectiveness and the fact that, while there are side effects, there’s no downtime.

## **Ideal Candidates for CoolSculpting®**
Generally speaking, CoolSculpting® (like so many [non-surgical body contouring procedures](https://aedit.com/procedure/body-contouring-solutions)) is best for people with relatively healthy lifestyles but are looking to get rid of stubborn fat that seems to be immune to diet and exercise. 

To determine if I was a candidate, I first went in for a consultation with lead aesthetician, [Christina Lombardi](https://sccsnj.com/about/). “If there’s an inch to pinch, you’re a good candidate for CoolSculpting®,” she said. Sure enough, I had just about an inch on my lower abs. 

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/4Cq3AqsouqGkWTGSKJGbL1/653c996b0905de4dc2e1ec7abdbb128a/CoolSculptingBefore.jpeg}>
  The writer before her CoolSculpting® treatment.
</CaptionImg>

It should be noted that, when treating the stomach, it’s typically recommended to treat both the upper *and* lower abs, so they look uniform. I wasn’t a candidate for the upper abs, but I proceeded with scheduling an appointment for my low abdomen.

## **CoolSculpting® Treatment**
Once my treatment day rolled around, Christina measured out the target area (*as seen in the photo above*) and placed a gel pad made of glycerin and honey over it to protect my skin from the cold. As soon as she put the device on the first side of my lower abs, it sucked in my fat like a vacuum stuck to a rug.  She warned me that I may feel burning, pinching, pulling, or tugging.  I felt some pulling, but, overall, it was a comfortable experience.  

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/6sw3eAXqJTK1pSHcaqRoXV/ee19e94a3cc7cd08097076a5a302f0b9/CoolSculptingDevice.jpeg}>
  A look at the CoolSculpting® device.
</CaptionImg>

Each side of my abdomen took 35 minutes. I sat in a comfortable oversized chair under a blanket working on my laptop as I froze away stubborn areas of fat – permanently. It was the most peaceful and productive hour and a half I had all that week. 

After the time was up, Christina did a gentle [manual massage](https://aedit.com/aedition/benefits-of-lymphatic-drainage-massages-after-cosmetic-surgery) on the area to help break up the fat cells, which my body would absorb and excrete through sweat and urination. The treatment area looked like a hard stick of butter and was completely numb.  

## **CoolSculpting® Recovery & Results**
For the next two weeks, my low abs were swollen. Sensorially, some areas felt numb, while others were tender. I opted for athleisure-wear instead of jeans to be as comfortable as possible. Christina mentioned that [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) is actually a good sign of fat cells dying off, so I welcomed it with open arms. I was instructed to drink lots of water to help the process of elimination and am expecting to see full results three months after treatment. To date, I’m a little over one month out.  

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/3SVARBE7qPFlLANJMAqdOJ/6823e05a9c62691f4186918ee45775b0/coolsculptingBA.jpg}>
  The writer before (*top and bottom left*) and five weeks after (*top and bottom right*) her CoolSculpting® treatment.
</CaptionImg>

The number of CoolSculpting® treatments needed to achieve desired results in a given area varies from person to person, but the average is two. As I mentioned, the fat reduction is permanent, but continuing to lead a healthy lifestyle is the key to maximizing results. I like to look at CoolSculpting® as the icing on the cake. It’s a great treatment for people who have an active fitness routine and eat well — but are having trouble with stubborn areas of fat. 

With no downtime, removing stubborn fat in 35 minutes sounded like a dream come true. Turns out, it was.

What It's Like To Get CoolSculpting For Body Contouring: Before And After Photos

I Tried CoolSculpting — Here’s My Before And After

shutterstock 1439468915

“I’ve been saying that instead of the ‘freshman 15,’ it’s the ‘COVID 19’ that everyone is dealing with,” [Malin Akerman](https://www.instagram.com/malinakerman/) jokes, as she recounts what led her to begin her self-described “body contouring journey.” That journey includes [CoolSculpting® Elite](https://www.coolsculpting.com/coolsculpting/), the next-generation edition of the popular non-invasive fat-freezing tool, and I recently had a chance to chat with the actress and producer over Zoom about why she chose the procedure, what the process was like, and how it fits into her holistic approach to health and wellbeing. 

## **Why Try Body Contouring**
“Quarantine was a roller coaster ride, as I am sure it was for everybody,” says Akerman, adding that her family was “one of the lucky ones” because they all remained healthy. “There was a point during quarantine when we got settled into this new lifestyle and it felt kind of like a vacation — let’s eat and drink anything we want at whatever time because we don’t need to be up at any certain time,” she recalls.

When she got the chance to team up with CoolSculpting®, the offer felt right on time. “It’s funny because this opportunity presented itself during quarantine to partner with CoolSculpting® and start my [body contouring](https://aedit.com/aedition/best-surgical-nonsurgical-body-contouring-procedures-for-women) journey, which I was very excited about because, I’ll be honest, there were places on my body that I didn’t like so much anymore,” she laughs. “I didn’t have a gym to go to [during the pandemic], and I am so not a self-motivator. Being over 40, things just shift a little bit. So, I decided to accept and start this journey.”

Earlier this year, she visited Grant Stevens, MD, a board certified plastic and reconstructive and founder of [Marina Plastic Surgery](https://www.marinaplasticsurgery.com/) in Marina Del Rey, CA, to begin CoolSculpting®. Focusing on her stomach and flanks, she received two treatments with the original CoolSculpting® device before coming in for a follow-up session to experience the new CoolSculpting® Elite.

## **What’s Different About CoolSculpting® Elite**
For the uninitiated, [CoolSculpting®](https://aedit.com/procedure/cool-sculpting) by Allergan Aesthetics is a non-invasive body contouring treatment that uses cryolipolysis technology to freeze away unwanted fat. It’s approved by the United States Food and Drug Administration (FDA) to treat nine areas, including the [abdomen](https://aedit.com/procedure/abdominal-slimming-solutions), [buttocks](https://aedit.com/procedure/buttocks-reduction-solutions) (think: banana rolls), bra fat, flanks, [inner and outer thighs](https://aedit.com/procedure/thigh-slimming-solutions), [male chest](https://aedit.com/procedure/male-breast-reduction-solutions), submental/submandibular (under the chin/jawline), and [upper arms](https://aedit.com/procedure/arm-slimming-solutions).

<CaptionImg url={https://images.contentful.com/zw35sfestf1t/3wn7h29EEit8KqvZU4SCC/3ec5e5dda69cc706e297241c9f23a543/CoolSculptingElite.jpeg}>
  The new CoolSculpting® Elite device.
</CaptionImg>

Ten years after the OG device hit the market, the manufacturer is back with a fully redesigned version, CoolSculpting® Elite, that improves upon both the procedure and the results. “It’s been rebuilt from the ground up,” Dr. Stevens explains. Perhaps the biggest change is the addition of a second applicator. “It’s quicker because there are two applicators that can run at a time instead of one,” he says. “You can accomplish the same thing in half the time.”

And then there is the design of said applicators. “They fit better, they are more comfortable, and they actually capture about 18 percent more fat,” Dr. Stevens says. The new C-shape cup applicator allows for more tissue contact, more suction, more even cooling, faster treatment times, and quicker results. “We see results in weeks instead of months,” he notes. 

<CaptionImg url={https://images.contentful.com/zw35sfestf1t/2UrCvvqpkcKXUoySvEno5I/42000a71ddde22df8adf40fce12d6d10/CoolSculptingElitexMalinAkerman.jpeg}>
  Malin Akerman receiving a CoolSculpting® Elite treatment.
</CaptionImg>

Akerman says she noticed the difference immediately. “Upgrading to the Elite, there was a huge improvement in terms of comfort level — the applicators are contoured to your body, so it feels more comfortable,” she shares, adding that the initial ‘freeze’ is also more tolerable with the new device. “The first couple of minutes, it’s really, really cold,” she says. “That is still there, but it subsided much quicker with the CoolSculpting® Elite.” After that icy jolt, Akerman says you become “numb” to the cold and “you just kind of scroll on your phone or whatever you want to do for that half hour that you sit there.”

## **A Holistic Approach to Health & Wellbeing**
Needless to say, Akerman is pleased with the final outcome. “I am very happy with my results,” she says. But, rather than think of it as a quick fix, she treated her CoolSculpting® Elite experience as a catalyst. “It really helped kickstart me back into shape and back going to the gym as the world opened up,” she recalls. “It motivated me to get out and do all of that.”

A “big believer that wellness and health come from the inside out,” Akerman tries to move her body for at least 20 minutes every day. Her fitness routine includes pilates classes three times a week and regular hikes with her dog. “I have an eight-year-old boy, and my focus has been to find ways to get the most energy out of what I am doing so that I can keep up with him,” she shares. 

That focus on stamina has actually changed her approach to exercise. “Really, truly, it’s a journey toward optimal energy levels and not draining my adrenals,” she says. “It’s about finding the right workout that gives me energy instead of being too drained a few hours later because I worked too hard.”

And then there is the element of eating well. “I believe in focusing on what you are putting into your body,” she says, noting that she tries to incorporate as much fresh food and produce as possible. She’s found an [omega-rich diet](https://aedit.com/aedition/how-food-impacts-skin-aging) to be beneficial for maintaining her glowing complexion (which she also credits to genetics, SPF 100, and a few key serums and oils).

When it comes to how CoolSculpting® Elite fits into her larger approach to beauty, health, and wellness, Akerman says “it was just part of my journey.” She views the procedure as a “top me up,” and, at 43, she says this decade of her life has given her a new sense of ease. “That’s been the biggest shift in my forties,” she shares. “It’s being really confident about who I am, what makes me feel good, what I want, and then catering to that and creating a wellness routine around that.”

These days, Akerman’s thinking revolves around “*I feel good when... fill in the blank*” — and CoolSculpting® Elite has helped her feel good. “Your body changes in your forties, and you accept those changes,” she says. “But you also go, ‘alright, what do I want to do about that?’ Everyone has their own personal journey.”

The actress candidly opens up about why she chose the non-invasive body contouring procedure and how it fits into her wellness journey.

Malin Akerman Shares Her Body Contouring Experience With CoolSculpting Elite

Why Malin Akerman Tried CoolSculpting Elite For Body Contouring

michal-parzuchowski-7TWRwDjfGew-unsplash

[Acne](https://aedit.com/concern/acne) is forever known as the great equalizer. It does not discriminate by gender, age, or race. For some, it is hard to tackle no matter what lifestyle or skincare changes are made. While many experience an accelerated amount of pimples during their hormone-induced teenage years, others face a more aggressive form of acne that can result in physical and emotional scarring. 

When [pimple patches](https://aedit.com/aedition/best-pimple-patches-to-treat-acne-breakouts-blemishes), [in-office treatments](https://aedit.com/aedition/best-professional-treatments-for-acne-and-acne-scars), and [over-the-counter creams](https://aedit.com/aedition/best-skincare-ingredients-to-treat-acne-blackheads-whiteheads) aren’t enough, it’s time to bring in the power players (think: prescription topicals) and, if those don’t help, an oral medication – like isotretinoin (a.k.a. Accutane) – can be the saving grace. However, it comes with strict user guidelines, potential risks, and side effects, not to mention a consent form. Here’s what you need to know about Accutane from both a medical professional and a patient and why it’s not as scary as the online rhetoric may have you believe. 

## **What Is Accutane?**
Technically, [Accutane](https://aedit.com/procedure/accutane) is a brand name for isotretinoin, a potent form of vitamin A that was [approved](https://www.accessdata.fda.gov/drugsatfda_docs/label/2008/018662s059lbl.pdf) by the United States Food and Drug Administration (FDA) in 1982 for the treatment of severe, resistant, nodular acne that is unresponsive to conventional therapy. Off-label (read: non-FDA approved) uses of isotretinoin include moderate acne, [rosacea](https://aedit.com/concern/rosacea), and folliculitis.

For those unfamiliar with the ingredient, vitamin A derivatives are a dermatologist-favorite for their ability to address a myriad of skin concerns — ranging from wrinkles to acne. Unlike its topical counterparts (including [retinols and retinoids](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare)) that can be used regularly for prolonged periods of time, isotretinoin is an orally-prescribed medication that is used on a short-term basis and has stronger side effects (we’ll get into them later) than the so-called retinization process of adjusting to topicals. Then again, it is meant to be a treatment option for those who haven’t found a solution for their acne concerns through other lifestyle modifications or skincare-altering means.  

## **How Accutane Works**
So, how does Accutane work? “It treats acne by reducing the size of oil-producing glands and oil production, which, in turn, may lead to decreased acne-causing bacteria,” explains [Michelle E. Park, MD](http://www.washingtonsqderm.com/about/#park), a board certified dermatologist at [Washington Square Dermatology](http://www.washingtonsqderm.com/) in New York City. “It also inhibits keratinization and reduces inflammation.”

Because it works from the inside out, it can address the pores, cell turnover cycle, and oil production in a way topicals alone cannot. However, due to its exfoliating nature, other forms of exfoliation will have to be stripped from the skincare routine while isotretinoin is prescribed. And that’s not the only adjustment your skincare regimen will need. Similar to topical vitamin A, Accutane may cause sensitivity to sunlight and will require adequate [sun protection](https://aedit.com/aedition/best-sunscreens-of-2021). 

## **Side Effects of Accutane** 
“The main concern everyone has regarding Accutane are the adverse effects,” Dr. Park confirms. “Every systemic medication comes with risks, and this medication can certainly be high-risk if it is used incorrectly or without proper guidance.” If you’ve ever talked to someone on Accutane or someone who knows someone who has been on Accutane, you are likely familiar with some of the side effects. “In reality, every person on Accutane will get dryness of the skin, particularly on the lips,” she says. “Muscle aches or joint pains are also possible.” From there, Dr. Park says all of the other known side effects “are rare.” 

It’s important to note that, alongside the physical side effects of dry skin, muscle aches, and upset stomach (if the instructions aren’t followed), Dr. Park acknowledges being on isotretinoin can have an impact on mental health. Some patients recount thoughts of suicide and depression while taking the medication. But, while there is a risk, Dr. Park says it is not common. “The black box warning is there as a reminder that one may experience this while on Accutane, but it is not common,” she says. “The overwhelming majority of my patients do great while on this medication.” 

## **The Right Candidate for Accutane**
“People with severe nodulocystic acne should take Accutane,” Dr. Park explains. For patients who have tried other remedies without success, isotretinoin may prove to be the solution. “Anybody who has exhausted the use of topical prescription acne medications and failed antibiotics or anybody who experiences [significant scarring](https://aedit.com/aedition/how-to-treat-acne-scars) due to uncontrolled acne may take Accutane,” she adds. 

To find out if you’re eligible for the prescription, you’ll need to visit a dermatologist and undergo a thorough check. Those who are using retinoids are advised to stop prior to beginning Accutane. Additionally, it will not be prescribed to those who are pregnant, are planning to become pregnant, or have issues with their liver.

## **How to Use Accutane**
As you may have guessed, going on Accutane requires adjusting to a scrupulous regimen. “This medication is mandated to come with strict guidance and monitoring to be prescribed,” Dr. Park cautions. “It is administered with close monitoring by a dermatologist, with safeguards to prevent pregnancy, and clear communication of medication risks.” When these protocols are followed,  she says it is “highly effective” and “relatively safe.” 

Here’s what to expect from Accutane:

1. **Sign a Consent Form**: Yes, really. Before a treatment plan can begin, a consent form is required. At Washington Square Dermatology, Dr. Park explains that “everyone must register on [iPledge](https://www.ipledgeprogram.com/iPledgeUI/home.u) to demonstrate that they understand this medication is extremely dangerous to take while pregnant and they cannot become pregnant while taking the medication.” Alongside the consent form, women are required to take two pregnancy tests (spaced 30 days apart) before starting the medication. 
2. **Skip the Drink**: Since isotretinoin can impact liver function, being on the medication will require abstinence from alcohol (which may not be such a bad thing for [overall skin health](https://aedit.com/aedition/the-impact-of-candy-sugar-sweets-on-teeth-and-skin)). “Abstain from alcohol or any other medications and ingested substances that can cause liver damage while on this medication,” Dr. Park says. 
3. **Adjust Your Skincare**: Because the medication works to accelerate cell renewal and to help pores decrease oil production, Dr. Park advises skipping exfoliants such as [alpha hydroxy](https://aedit.com/aedition/guide-to-topical-alpha-hydroxy-acids-in-skincare) and [beta hydroxy acids](https://aedit.com/aedition/guide-to-beta-hydroxy-acids-salicylic-acid-in-skincare), scrubs, and other forms of topical vitamin A. In fact, she recommends scaling your skincare routine back to just “a [gentle thick cream](https://aedit.com/aedition/dermatologist-approved-nighttime-moisturizers) to help moisturize dry skin” and “a [gentle daily skin cleanser](https://aedit.com/aedition/best-makeup-removers-for-every-skin-type).”
4. **Expect Additional Tests**: One of the most consuming aspects of the medication is the need for routine testing. “The process seems tedious because there is regular follow up with the doctor and blood work monitoring to check for liver function, cholesterol, and triglyceride levels,” Dr. Park shares. “However, it’s pretty worth it if you’re looking to have acne-free, gorgeous skin.” 
5. **Take Birth Control**: “Females who can become pregnant must be on two forms of birth control (e.g. birth control pills and condoms),” Dr. Park says. This is due to Accutane’s potency. “The medication is highly regulated because we know that it is [teratogenic](https://aedit.com/aedition/skincare-ingredients-to-avoid-during-pregnancy-breastfeeding), meaning it can cause birth defects in a developing fetus if a pregnant female were to ingest the medication,” she notes.

## **Patient Perspective** 
If you’ve made it this far into the article, it’s likely because you are seriously considering whether isotretinoin is right for you. Now that you know what to generally expect from treatment, it’s time to hear from a patient to better understand what it is like before, during, and after using Accutane.

### **Katie, 30, New York City** 
*After a few years of dealing with constant acne breakouts in her teens, Katie, with advice from a medical professional, went through two rounds of Accutane to help clear up her complexion.* 

<Dialogue>
  <Question party={The AEDITION}>
    Why did you decide to try Accutane to treat your acne?
  </Question>
  <Response party={Katie}>
    Prior to Accutane, I had experienced years of trial and error. I used topical creams like salicylic acid, retinoids, oral medication such as Doxycycline, and birth control. I even made [dietary changes](https://aedit.com/aedition/relationship-between-food-and-acne-breakouts) to see if that would help. It wasn’t until I used Accutane that my skin finally began to see major improvements.
  </Response>
  <Question party={The AEDITION}>
    What led you to go on Accutane a second time?
  </Question>
  <Response party={Katie}>
    I took Accutane for six months when I was 19 years old. My doctor started me off with a lower dosage, so they could determine the medication’s effect on my body. After two months, my dosage was increased, and that’s when I started to see positive changes in my skin. By the end of the six-month treatment course, my skin was flawless – I was amazed! Unfortunately, a year after I stopped taking Accutane, my stubborn acne returned, so my dermatologist recommended one more six-month course. It’s been 10 years since I last took Accutane, and I get an occasional breakout due to my menstrual cycle, but, overall, my acne is gone.
  </Response>
  <Question party={The AEDITION}>
    What was your experience taking Accutane, and how did it impact your life?
  </Question>
  <Response party={Katie}>
    The whole Accutane process is an extreme commitment. The medication has a strong effect on the body, so each month I was required to take a blood test to ensure that my kidneys and liver were functioning normally. I also had to use two forms of birth control throughout the entire treatment and take a monthly pregnancy test to guarantee that I would not become pregnant while on the medication. Since Accutane slows oil production in the skin, I experienced extremely dry skin throughout my face, lips, body, and scalp. I was constantly applying lotion all over my body, and could only wash my hair once a week. Otherwise, I would get dandruff. Luckily, I did not experience any body aches, mood swings, or depression that other people tend to encounter.
  </Response>
  <Question party={The AEDITION}>
    When did you start to see improvement in your skin?
  </Question>
  <Response party={Katie}>
    I started to see improvements in my skin two months after I started taking Accutane, and it only got better from there.
  </Response>
  <Question party={The AEDITION}>
    What would you recommend for those thinking about going on Accutane?
  </Question>
  <Response party={Katie}>
    For those thinking of taking Accutane, I would recommend they fully understand the side effects that are associated with the drug and use it as their last resort. It’s an extremely powerful medication, but it has completely changed my skin.
  </Response>
</Dialogue>

## **The Takeaway**
There are no two ways about it, isotretinoin is a heavy-duty prescription that is meant for those with severe and unchanging acne cases. What often puts people off from using the medication is the laundry list of side effects and the precautions it requires. But, for those who’ve exhausted all their options, it may offer a path to clearer skin. Consulting with a [board certified dermatologist](https://aedit.com/aedition/finding-the-right-plastic-surgeon-dermatologist-or-cosmetic-dentist) will determine whether you not you are a candidate for treatment.

*If you or someone you know is struggling with suicidal thoughts, please contact the [National Suicide Prevention Lifeline](https://suicidepreventionlifeline.org) at 1-800-273-8255.*

Accutane may have gotten a bad rap for its litany of potential side effects, but isotretinoin is still one of the top medical solutions for addressing acne. Here’s an honest breakdown of what it can do.

What It's Like To Take Accutane For Acne

What You Should Know Before Starting Accutane

anna-tarazevich-PwlXi1338os-unsplash

When it comes to vaginal rejuvenation, we’ve talked about [vaginoplasty](https://aedit.com/procedure/vaginoplasty) to tighten the vaginal canal, [labiaplasty](https://aedit.com/procedure/labiaplasty) to address the labia majora and/or minora, and even [O-Shot](https://aedit.com/procedure/oshot) to increase pleasure. But what about the mons pubis? While both males and females have a mons pubis, it is more prominent in females — and a variety of factors can impact its fullness. 

Sometimes referred to as ‘FUPA’ (a.k.a. Fat Upper Pubic Area), excess skin and fat can occur as a result of weight fluctuations, pregnancy, hormonal changes, or genetics, leading to aesthetic and functional concerns. For those looking to refine the appearance of the mons pubis, monsplasty may be the solution. Here’s what you need to know.

## **What Is Monsplasty?**
Also known as a mons pubis reduction or pubic lift, [monsplasty](https://aedit.com/procedure/monsplasty) can remove excess skin and/or fat for a firmer and more contoured mons pubis (i.e. the area of fatty tissue located directly in front of the pubic bone). “Mons pubis reduction is more common than you may think,” says [David Shafer, MD](https://aedit.com/provider/david-shafer-md-153), a double board certified plastic and reconstructive surgeon in New York City. “There are even acronyms such as FUPA — Fat Upper Pubic Area — to describe the condition.” 

As he explains, such patients report “an unsightly or uncomfortable fullness in the pubic area, which is disproportionate to the rest of their body.” That fullness can show through clothes, make wearing tight garments difficult, and, in some cases, interfere with sexual intercourse or urination. “Good candidates for mons pubis reduction are those that are otherwise healthy and in shape but have concerns about their pubic area fullness,” Dr. Shafer notes.

### **Benefits of Monsplasty** 
Monsplasty can involve liposuction (to remove fat), surgical excision (to remove skin), or a combination of the two. “The planned procedure depends on the patient's anatomy and expectations from surgery,” Dr. Shafer shares. For patients who are concerned about “localized fullness,” he says liposuction is often enough. If skin laxity is a concern, surgical excision may be necessary.

Because the mons pubis sits just below the lower abdomen, patients may wish to address both areas at once. “If the patient's lower abdomen is also protuberan or if there is a step off or bulge between the lower abdomen and pubis, then a [mini-abdominoplasty](https://aedit.com/procedure/mini-tummy-tuck) may be the best option to give the smoothest result,” Dr. Shafer explains. 

While [tummy tucks](https://aedit.com/procedure/abdominoplasty) and [liposuction](https://aedit.com/procedure/tumescent-liposuction) (back and/or abdominal) are often combined with monsplasty to improve the final result, they are not the only [pairings](https://aedit.com/aedition/best-aesthetic-procedures-to-combine-to-maximize-appointments). At his practice, “patients also take the opportunity to get other procedures done while in the operating room – such as [breast augmentation](https://aedit.com/procedure/breast-augmentation-solutions) or [breast reduction](https://aedit.com/procedure/breast-reduction-and-revision-solutions),” Dr. Shafer adds.

### **Monsplasty Procedure**
Depending on the technique employed, a monsplasty surgery can last one to two hours. In the case of a lipo-only procedure, tiny incisions are made and the fat is removed via a liposuction cannula. The outpatient procedure takes about an hour. If a surgical excision is required or if a tummy tuck is being performed in tandem, the procedure may be closer to two hours. An incision is made in the hairline of the pubic mound (around where a [c-section incision](https://aedit.com/aedition/invasive-non-invasive-procedures-to-fix-appearance-of-c-section-scar) is usually located). Excess skin and fatty tissue is removed before the site is closed with sutures.

In both cases, surgical drains may be placed to help reduce swelling and discomfort. They will be removed a few days later during a follow-up appointment.

### **Monsplasty Recovery & Results**
While the [type of anesthesia](https://aedit.com/aedition/everything-you-need-to-know-about-anesthesia) you receive will depend on your surgeon and preferences, you should plan to have someone help you get home after surgery. The recovery process will largely depend on the type of monsplasty procedure performed. “If treated with liposuction, the patient can expect a few days of downtime but a quick return to normal activities and work,” Dr. Shafer says. 

Excision and tummy tuck patients will need to take it easy a bit longer and should anticipate about a week of downtime before heading back to school or work. From there, it’ll be at least a month before a full resumption of normal activities. “Returning to [exercise](https://aedit.com/aedition/when-to-start-exercising-again-after-cosmetic-surgery-procedures) and other strenuous activities can take four to six weeks to allow time for healing,” he explains.

As with any surgery, [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) is one of the most common post-op side effects, and it may cause the pubic area to look even fuller than it did before. But, not to worry, the swelling will significantly subside in the first few weeks and then continue to resolve over three to six months. Incision site [scarring](https://aedit.com/aedition/minimizing-scars-after-surgery) should fade over the course of a year. The results of monsplasty are considered permanent (assuming there are no large fluctuations in weight), though the skin will continue to age naturally.

## **Patient Perspective**
Now that you generally know what monsplasty entails, you may be wondering what it’s really like to undergo the procedure. Below, two patients share their experience and offer tips on what to expect before and after treatment. 

### **Joan, 27, New York, NY**
*Joan had been self conscious about her mons pubis since her late teens, so she decided to undergo monsplasty to improve the contour of the area and her confidence.*

<Dialogue>
  <Question party={The AEDITION}>
    Why did you have a monsplasty?
  </Question>
  <Response party={Joan}>
    I had been unhappy with the appearance of my pubic area for years. I think the insecurity began when I was in my late teens and got worse through college when I put on weight. It reached a point where it was affecting my relationships, but I didn’t know there was any real solution. I had lost weight, I worked out, and I still had the same problem. I ended up googling it when I couldn’t sleep one night and realized that I wasn’t the only one with the problem. Better still, there was a procedure available that could help sort it out once and for all. It seemed pretty minimally invasive and didn’t require me to take weeks off from work, so I arranged a couple of consultations.
  </Response>
  <Question party={The AEDITION}>
    How was your consultation process?
  </Question>
  <Response party={Joan}>
    I had researched a fair bit and seen a lot of [before and after patient photos](https://aedit.com/aedition/importance-of-before-and-after-photos-in-plastic-surgery), so I knew that results could vary quite a lot. I was mostly concerned about if I would be a good candidate for the procedure and if the results would be worthwhile. I explained what I hoped to achieve with the surgery, and my surgeon helped to [manage my expectations](https://aedit.com/aedition/how-plastic-surgeons-balance-patients-cosmetic-surgery-desires-and-safety) very well. I mainly just wanted to feel more confident in how I looked, but I wasn’t sure what that would look like specifically. My side profile bothered me most, especially during the summer months when I would go to the beach with friends. I felt so self-conscious. My surgeon explained the possibilities but also the limitations of the procedure, and I felt like I knew what I was going into before agreeing to move forward with the procedure.
  </Response>
  <Question party={The AEDITION}>
    What was your recovery like?
  </Question>
  <Response party={Joan}>
    It was my first surgery ever, so I had zero clue what to expect. I was sedated and felt a little groggy afterward, so I spent most of the day sleeping when I got home. The second day, I had some nausea, but it wasn’t bad. I was able to move around pretty easily from there on out. I would get some twinges in my lower stomach area — more than where the incision was — but the pain went away gradually. I didn’t have any discomfort at all after around six weeks post-procedure. It was straightforward enough for me to feel confident that, if I wanted another surgical procedure in the future, I would go ahead without hesitation. The scar has healed very well. It’s now a couple of years on, and the scar is barely noticeable.
  </Response>
  <Question party={The AEDITION}>
    Is there anything you wish you’d known before the procedure?
  </Question>
  <Response party={Joan}>
    I think this is mostly because I hadn’t had surgery before, but I didn’t realize how much help I would need just to function in those first couple of days post-op. I was lucky to have a friend who could help me out and take care of getting food in. I think if anyone’s considering having the procedure, make sure you plan for your recovery properly.
  </Response>
</Dialogue>

### **Sienna, 40, Long Island, NY**
*After having children, Sienna noticed that her mons and lower abdomen had changed. She combined a tummy tuck and monsplasty to address both areas.*

<Dialogue>
  <Question party={The AEDITION}>
    Why did you have a monsplasty?
  </Question>
  <Response party={Sienna}>
    My body changed a lot during my pregnancies, and I didn’t feel like myself anymore. I wanted to take back control, and, for me, that involved having some procedures to make me feel more like myself again. My lower stomach and FUPA bothered me a lot, so I had a tummy tuck and pubic lift combined in one procedure. It was something I took a long time considering, but I came to the decision that I deserved to look after myself and should be able to like what I see in the mirror every day.
  </Response>
  <Question party={The AEDITION}>
    How was your consultation process?
  </Question>
  <Response party={Sienna}>
    I had a friend who told me about her experience — that’s how I learned about the specific procedure I ended up having. She told me (in great detail!) about how the procedure had helped her. In all honesty, I had some big expectations when I first consulted. The surgeon I went to took time to explain how the procedure would be able to help me and also what it couldn’t achieve. I hadn’t seen any before and after photos ahead of that consultation, but she showed me a few from previous patients and explained how my results would be similar or different from each of them.
  </Response>
  <Question party={The AEDITION}>
    What was your recovery like?
  </Question>
  <Response party={Sienna}>
    I have had a couple of other procedures previously, so I had an idea of what to expect. The pain levels with this — keeping in mind I also had a tummy tuck — were bearable. I can’t say it was pleasant for the first few days, but the results outweigh the discomfort. The pain in my mons pubis area was much less than in my stomach, so it’s difficult to tell which part of me was hurting and why. I remember everything feeling quite tight for just under a week or so, and then I became increasingly comfortable with how my body felt as swelling went down and I was able to move around more.
  </Response>
  <Question party={The AEDITION}>
    Is there anything you wish you’d known before the procedure?
  </Question>
  <Response party={Sienna}>
    Cold compresses. In all honesty, they felt like a life-saver the first night after surgery. I cleared my diary for two weeks after the procedure, but I felt well enough after a week to get back to relative normality. The downtime is certainly manageable, which is always helpful to keep in mind as well.
  </Response>
</Dialogue>

## **The Takeaway**
For patients who have excess skin and/or fat in the pubic area that interferes with their quality of life, monsplasty can remove excess tissue and refine the appearance of the mons pubis via liposuction, surgical excision, or some combination of the two. When paired with a tummy tuck, the surgery can offer additional benefits that address abdominal protrusion. Consulting with a board certified plastic surgeon will ensure you get the best treatment for your aesthetic concerns and goals.

*Patient names have been changed

For those looking to refine the appearance of the mons pubis, monsplasty to remove excess skin and/or fat may be the solution. A plastic surgeon and two patients break down everything you need to know.

What It's Like To Get Monsplasty For Vaginal Rejuvenation

What It’s Really Like To Get Monsplasty

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When it comes to non-invasive [body contouring](https://aedit.com/procedure/body-contouring-solutions), we often hear about procedures that are ideal for people who are generally in good shape but have a stubborn area that seems to be immune to diet and exercise. I have a pretty consistent workout routine and eat fairly well, yet my lower abdomen never seemed to get the message. Basically, I’d fall into that ‘relatively fit but frustrated’ category.

When BTL’s [Emsculpt®](https://aedit.com/aedition/why-everyone-is-talking-about-emsculpt) hit the market in late 2018, I, like so many of my fellow beauty editors, was intrigued by the fact that the device could essentially mimic the effects of 20,000 crunches in 30 minutes — sans sweat. I was even more intrigued in late 2020 when BTL announced [Emsculpt Neo®](https://bodybybtl.com/solutions/emsculpt-neo/), an updated take on the toning treatment that pairs the OG device’s high-intensity focused electromagnetic technology (HIFEM) with radiofrequency (RF) fat reduction for even better results. 

So, you can imagine my delight when I was invited to try Emsculpt Neo® with Arash Akhavan, MD, a board certified dermatologist and founder of [The Dermatology & Laser Group](https://dermatologyandlasergroup.com/) in New York City. In February, I underwent the recommended treatment protocol on, yes, my stubborn lower abs, and, nearly three months after my final session, it’s time to talk about results. Keep reading for my experience with Emsculpt Neo® — from how it works and who it’s best for to what to expect before, during, and after treatment.

## **What Is Emsculpt Neo®?**
First things first, let’s talk about the technology itself. As we briefly discussed above, the original Emsculpt® employed HIFEM to induce supramaximal muscle contractions to build muscle and sculpt the [abdomen](https://aedit.com/concern/abdominal-contour), [arms](https://aedit.com/concern/arm-shape-and-size), [buttocks](https://aedit.com/concern/buttocks-shape-and-size), and [thighs](https://aedit.com/concern/leg-shape-and-size). Patients came in for four 30-minute sessions in a two-week span and would see increased muscle development at the treatment area (about 16 percent, according to BTL). The hyper-contractions also led to fat burn (to the tune of around 15 percent).

With that in mind, you might be wondering what’s different about Emsculpt Neo®. “Emsculpt Neo® builds on the original Emsculpt® device in two key ways: the addition of radiofrequency energy to permanently destroy more fat, as well as improved use of HIFEM energy to build even more muscle than before,” Dr. Akhavan explains. “This results in larger growth of muscle and higher fat loss than any other device available.” Manufacturer studies show an average of 30 percent reduction in subcutaneous fat and a 25 percent increase in muscle after four treatments.

Emsculpt Neo® can be used to tone and contour the same areas as its predecessor, and the procedure is customizable. While the HIFEM and RF energies can be deployed simultaneously, patients can also opt for one without the other. For example, it’s possible to get the effects of a [butt lift](https://aedit.com/procedure/butt-lift) without sacrificing volume (or going under the knife). “In areas such as the buttok, the fat burning component is typically not used so that patients can get a non-surgical butt lift,” Dr. Akhavan notes. The result? “A more firm, toned, and lifted buttock without a reduction in size,” he adds.

## **Who Is a Candidate for Emsculpt Neo®?**
Emsculpt Neo® is approved by the United States Food and Drug Administration (FDA) for use on patients with a BMI (body mass index) up to 35, and Dr. Akhavan says “almost anyone” can benefit from building muscle and burning fat. It should be noted, however, that it is not an option for anyone with metal or electronics (think: copper IUDs, pacemakers, etc.) in their bodies. 

My pre-pandemic workout regimen included a few boutique fitness classes a week, walking as much as possible (I live in NYC), and trying to eat well (sweet tooth be damned). Since the start of the pandemic, cultivating a [daily exercise routine](https://aedit.com/aedition/best-fitness-classes-workouts-exercises-to-try-at-home) has helped keep me sane, and it has also served as a way to offset the effects of my [sweet tooth](https://aedit.com/aedition/the-impact-of-candy-sugar-sweets-on-teeth-and-skin) that seems to get, well, sweeter with each passing news day. My workouts have been split between cardio (running and bouncing on a small rebounder) and sculpting (yoga, light weights, and matte pilates), and I’ve generally noticed more tone and definition everywhere except my low abs.

During my [virtual consultation](https://aedit.com/aedition/virtual-consultations-telemedicine-plastic-surgery-dermatology-cosmetic-dentistry), Dr. Akhavan confirmed that I was a candidate for the entire Emsculpt Neo® experience (HIFEM *and* RF), which would permanently remove [excess fat](https://aedit.com/concern/excess-fat) and sculpt. While that sounded great, what stood out to me the most were the functional benefits he spoke of. “The coolest part of treatment is that, in addition to its amazing cosmetic benefits, it also works to actually strengthen the muscle groups being treated,” he shares. That means patients who treat their abdomen are truly strengthening their core (hi, longer planks!), while those who treat their buttocks are able to squat and deadlift with stronger glutes. 

## **What Is the Emsculpt Neo® Treatment Protocol?**
At Dr. Akhavan’s practice, Emsculpt Neo® patients come in once a week for four weeks. If you are keeping count, that’s four treatments in a one-month span. Each session is 30 minutes and involves strapping a paddle-like device around the treatment area (in my case, the lower abdomen). Once it was secure, my technician, Alli, would gradually turn up the power until it reached full strength.

If you’ve read reviews of the original Emsculpt® treatment, you likely heard that it was pretty much painless — aside from getting used to the way the constant contractions feel. In my experience, Emsculpt Neo® isn’t all that different, though the RF adds a warming effect. According to Dr. Akhavan, patients who have previously had Emsculpt® may find the contractions to be a bit more intense with the new device. Personally, they caused my feet to lift and my voice to jolt, but they didn’t hurt. 

While I wouldn’t say that it was the most comfortable half hour of my life, the sensation was entirely manageable (shoutout to Alli for chatting with me through every treatment, which absolutely kept my mind off things!).

### **Side Effects**
“Emsculpt Neo® has the least side effects of any cosmetic device we use in our office,” Dr. Akhavan says. When the paddle came off, I found that the area beneath it was red and sweaty because of the RF. By the time I got home, it had always subsided. In addition to the redness that can last up to 24 hours, Dr. Akhavan explains that “patients commonly experience mild soreness in the area for one to two days, similar to what you would experience after exercise.” Essentially, you may feel like you just finished a good workout, and most people “welcome this sensation as evidence that the device is ‘working,’” he notes.

Dr. Akhavan and Alli also cautioned me that I might be more thirsty and tired than usual for the first 24 hours (it is a [detoxifying treatment](https://aedit.com/aedition/benefits-of-lymphatic-drainage-massages-after-cosmetic-surgery), after all), and I should not be surprised if I look and feel bloated. I didn’t notice any fatigue, but I did find myself guzzling water. As for the [bloating](https://aedit.com/aedition/foods-that-cause-abdominal-bloating-how-to-debloat), I definitely experienced puffiness throughout the four weeks of treatment and for several weeks after. 

## **When Do You See Results from Emsculpt Neo®?**
Patience is key when it comes to enjoying the results of Emsculpt Neo®. While you’ll see an increase in strength and muscle tone within a few weeks of the final treatment, the fat loss improves over the course of three months.

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/3ijVzA8LT6iZ3CO1hH9sFp/6a592df99953cb22ed61ab777afeefb8/EmsculptNeo-BA.jpg}>
  The writer before (*left*) and 10 weeks after (*right*) her fourth Emsculpt Neo® treatment
</CaptionImg>

I personally noticed a marked improvement in strength and stamina around the three-week post-procedure mark. Seemingly out of nowhere, I was running farther and faster without extra effort. During these workouts, my [posture](https://aedit.com/aedition/how-to-improve-your-posture) is more upright and engaged — even as the miles wage on — which I can only attribute to treatment. Planking also feels easier.  

Aesthetically (as you can see in the before and after photo above), my waistline is slimmer, my abs have a bit more definition, and my stomach is flatter. As Dr. Akhavan explains, the fat cells have been permanently destroyed (yay!), but the increased muscle needs to be maintained. “Any muscle that is built in areas that are toned is just like the muscle gained by exercise and will need to be maintained with further sessions or with an improved exercise regimen,” he shares. 

If I’m being honest, the functional benefits of Emsculpt Neo® have been the most rewarding for me. While regular exercise and a [healthy diet](https://aedit.com/aedition/best-diet-for-healthy-beautiful-skin) are obviously crucial to long-term success, maintenance Emsculpt Neo® treatments are also encouraged. “For our patients, if feasible, we recommend a single session once every two months to maintain and even improve their results,” Dr. Akhavan says. I haven’t scheduled a follow-up yet, but I do plan to pay Dr. Akhavan and his team another visit soon.

Tired of low abs that seemed immune to diet and exercise, one writer decided to try Emsculpt Neo®. Nearly three months after her final treatment, it’s time to talk about results.

What It's Like To Get Emsculpt Neo For Body Contouring: Before And After Photos

I Tried Emsculpt Neo — Here’s My Before And After

AEDITION expert perspective-min

Patient Perspective Collection | The AEDITION

shutterstock 1074678923-min

_Finding the right plastic surgeon is a lot like dating. You’ll likely have to consult with a few doctors — and maybe meet a frog or two along the way — before you find the best one for your cosmetic surgery._

_So, how do you know when you've found The One? There are a few important factors. For starters, he or she must be board certified by the [American Board of Plastic Surgery](https://www.abplasticsurgery.org/), must have attended an accredited medical school, and must perform all procedures in an accredited or state-licensed surgical facility and operating room. What makes them the right doctor for you beyond professional accreditation is a bit more subjective. In this series, we ask real patients to share their surgeon-selection stories to help guide — and safeguard — your own cosmetic surgeon search._

_The below interview has been edited for length and clarity._


## **Elizabeth, 52**


My two aesthetic plastic surgery experiences were at two extremes: the worst and the best.

The first time I had surgery was more than 12 years ago. I wanted my [nose reshaped](https://aedit.com/procedure/rhinoplasty-nose-job) and, during the consultation, was convinced by the doctor that I should also have a [chin implant](https://aedit.com/procedure/alloplastic-chin-implant) and some [liposuction](https://aedit.com/procedure/liposuction). The surgeon I chose was older — probably in his sixties at the time — and I figured he’d had lots of experience. He’d also appeared on _Oprah!_, which, in 2005, was a big deal. The first time I went to the surgeon's office, I took a friend from the beauty industry with me, and we were both impressed. Maybe less by him and more by his art-filled Upper East Side office and name-dropping, but I felt that if he’d had a successful practice for years, I’d be safe in his hands. Now, more than a decade later, I can see the red flags I missed.

### **The Immediate Warning Signs**

For starters, he smoked a cigar throughout our consultation. Seriously. He also talked at me the entire visit, bragging about his accomplishments and not really taking any time to get to know me or understand my concerns. He (successfully) upsold me on more surgery procedures — that chin implant and lipo — when I’d only come in about my nose. He never showed me his operating room, which was in the same building as his office. I also dismissed negative reviews I’d read online. At the time, chat rooms and community boards were relatively new and, while I did look at them, I didn't take them seriously. They were littered with negative comments about him, mostly referring to the fact that he had a terrible bedside manner. I should have paid closer attention. 

I could write a book about my negative plastic surgery story, but one detail sums up the experience: I woke up in the middle of my surgery to the doctor banging on my nose. That was emblematic of everything that followed. He botched my nose job, taking too much off the end and making my nostrils look over-exposed. He also left stitches inside my nose that caused an infection. He put in a chin implant that was too large and he overdid the liposuction, causing the skin in my stomach to permanently tighten and twist. In the end, he accepted no responsibility for anything and, while I did try to pursue legal action, my lawyer told me to save my money and put it toward reconstructive surgery. 

### **Second Time Around**

It was during the pursuit of corrective surgery for my nose that I found the [best surgeon](https://aedit.com/aedition/finding-the-right-plastic-surgeon-dermatologist-or-cosmetic-dentist). I first met him when I developed the infection in my nose. I’d been treated so poorly by the first doctor that, when the pain started, I didn’t trust him to take care of it. So, I searched online for the type of procedure I wanted and board certified plastic surgeons who had rave reviews when it came to nose jobs. I called the one whose name came up most often. I was desperate and scared. I explained my story to the nurse on the phone, which she communicated to him, and told me that even though he was done seeing patients for the day, he would wait at the office for me until I could get there. I was so thankful. He immediately put me on antibiotics and followed up with me until the infection was gone. 

He also helped outline the surgical procedures he thought would help me and explained that I would have to allow my nose to fully heal and wait a year before I could go under the knife again. In our follow-up meetings, he took the time to understand what I wanted and even asked me to draw a picture of what I wanted my nose to look like. He was an excellent communicator and clearly explained the kind of result I could realistically expect from these new plastic surgery procedures. He seemed to both understand what I wanted and be capable of creating it for me. I trusted his artistic skill as much as his medical acumen. I did wait a year until the second surgeon could do my corrective surgery. He restored my nose and removed the oversized chin implant. 

### **Lessons Learned**

I learned a lot during those two years of surgery and recovery. First, don’t dismiss what you read online. The negative reviews are good cautionary tales, but the positive ones are also important. People are more apt to pound out angry comments, but when someone takes the time to write about exemplary work, that’s just as telling. I also believe you should trust your gut. There were warning signs with the first doctor — the smoking, the over-talking, the disinterest in me — that made me wary, but I repressed that anxiety because of this doctor’s fancy office and television appearance. Always listen to your inner voice. Beware of any doctor who goes overboard telling you everything they think is "wrong" about you and all the additional cosmetic procedures they think you "need." If you go in for a nose job, that’s what you should be discussing. Finally, consider a surgeon with a specialty in the specific procedure you want. The second surgeon I chose is known for nose jobs — it’s what he does the most often. That turned out to be one of the most important things for me.

Finding the right plastic surgeon is a lot like dating. You’ll likely have to consult with a few doctors — and maybe meet a frog or two along the way — before you find the best one for your cosmetic surgery.

How I Found My Plastic Surgeon: Trust Your Gut

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When I started noticing some early signs of aging around my eyes, I didn’t dash to the doctor right away. I was a little apprehensive about cosmetic treatments, even non-surgical options. I had mixed feelings about modifying myself in the name of beauty. I wanted to still look like myself and not like I'd had "work done." I wondered if I was being vain or succumbing to some perceived pressure from society's standards. After a bit of soul searching, I realized that I’d been letting fear of possible judgment interfere with my own desires. As long as a treatment is safe, both physically and psychologically, I believe people are entitled to self-improvement in all forms, cosmetic procedures included.

Armed with self-confidence, I took the plunge. I did extensive research and met with a board certified plastic surgeon who treated my wrinkles with [Botox®️](https://aedit.com/procedure/botox-facial) and my volume loss with a hyaluronic acid-based filler. I was pleased with the results, but not with the idea of periodic upkeep. I eventually opted to undergo surgical fat grafting, a procedure designed to provide more permanent facial volume. I was excited to talk about the surgical procedure with my family and friends. After all, my trusted inner circle would be accepting of anything that made me happy, right?

Not so much. While a few of my friends were genuinely interested and supportive, some others, particularly people related to me, were not as enthusiastic. Most of them didn't say it outright, but their body language, skeptical tone, and relative silence said it all. They didn’t really approve, but they didn’t want to hurt my feelings by admitting it. 

While their judgment didn’t lead me to regret my choice, it did make me question being so vocal about it. Should I have kept my cosmetic procedures a secret? I’d made subtle changes, so presumably keeping it under wraps would have been a possibility, but it didn’t feel right to me. I wanted to share my experience, rather than keep it from my loved ones for fear of a negative reaction. Was there a way to educate people about my cosmetic surgery in a way that wouldn’t prompt pessimism? Where was that unfavorable reaction coming from? In search of answers, I sought out plastic surgery professionals and other patients to learn more. 

“Good plastic surgery is invisible,” says [Jason Roostaeian, MD](https://aedit.com/provider/jason-roostaeian-md-449), Associate Professor of Plastic Surgery at UCLA and board certified plastic surgeon. “My goal is always to produce a result that looks as though my patient might've been born with it. Of course, depending upon the area and the extent of what we change, patients may or may not be able to keep their surgery to themselves.” 

As cosmetic surgery procedures become less detectable, it surely impacts people's decisions to disclose them. “As technical advances allow for increasingly natural-looking results, patients are actually having to face that dilemma more and more frequently," says Dr. Roostaeian. "Fortunately, the popularity of plastic surgery procedures, combined with increased exposure via social media, continues to significantly reduce the stigma associated with aesthetic surgery.”

Understanding that our society is becoming more accepting of cosmetic surgery made me feel less self-conscious, but I was curious how other patients had navigated talking to family and friends about their procedures.

Dr. Sean Saadat, MD is a plastic surgery resident at UCLA who has had two [rhinoplasties](https://aedit.com/procedure/closed-rhinoplasty). The first was at age 19, followed by a revision which he chronicled on social media. Dr. Saadat told me that he didn’t initially disclose his desire to change his nose because he felt admitting his insecurities about his appearance would make his parents nervous. He also worried that he’d be judged as a male seeking cosmetic surgery, which is stereotypically for females. “When I did bring it up, I said I was having trouble breathing, and that when the surgeon suggested fixing the prominent hump on my nose at the same time, I just kinda went along with it," he says.

Dr. Saadat's family turned out to be supportive. “Once I’d made the decision, my family stood behind me," he says. "Having your nose done is quite common in Iranian culture. Many women in my family had undergone rhinoplasties, so I felt like I was surrounded by a rhinoplasty support group.” He wasn’t so confident about his friends, however, so he lied and said he was having his wisdom teeth removed. “In my first couple of days post-operation, with my splint intact and eyes still bruised, I invited them over one by one for a big 'ta-da' moment," he says. "Surprising my friends felt satisfying and prevented them from saying anything negative beforehand. Ultimately, they were happy for me because they knew how insecure I’d been about my nose.”

Aubrey Nolan, co-founder of CrushFit, also felt apprehensive about revealing her cosmetic treatments. “I feel like there’s a huge stigma against getting any kind of work done, especially on your face," she says. "I got my [lips](https://aedit.com/procedure/permanent-lip-fillers) done and I was scared to even talk about it on social media. I feared what people would think of me and I considered not telling anyone.” But after giving it some thought, Nolan reconsidered. “I’ve been as transparent as possible with everything that I do.  I guess I just don’t see what the big deal is.” When a few followers responded negatively to her choices, she initially felt defensive, but now realizes that “getting work done doesn’t change the heart I have and I no longer feel the need to defend my actions.”

YouTube beauty blogger Elwa Saleh had a different concern surrounding her decision to have plastic surgery to correct her partial nasal collapse. Her family and friends were very supportive from the beginning, so Saleh says she “was not concerned about any judgment or scrutiny. But I was worried about the swelling lasting a long time since I make my living blogging about beauty and fashion. Most of my work is on camera and my face is a big part of my job.” After the procedure, “I did get a lot of questions about why I did it from my social media community," she says. "Some jumped to conclusions and thought I had major cosmetic surgery but once I spoke up about what I had done, the judgments dissipated.” 

One thing is clear: everyone has an opinion about cosmetic surgery and the more obvious the change, the stronger people tend to feel. But the degree to which people notice a person’s cosmetic surgery depends on more than just the procedure and the surgeon’s skill. It’s directly linked to the level of familiarity involved. The better we know someone, the more likely they are to notice a change. 

This connection was the key to understanding my family’s lackluster response to my own cosmetic surgery. They felt comfortable enough with me to express their uncensored emotions. Strangers risk this behavior, but social media has reframed what we consider familiar. All people are prone to pass judgment. “When you decide to go under the knife, that decision should be made with the understanding that people will judge because of their own insecurities and they may try to hurt your feelings," says Dr. Saadat. "If you do your homework and find a surgeon who will do a very good job, people will be pleasantly surprised to realize that you actually look like an improved version of yourself, and they’ll come to terms with it.”

Here are some tips for talking to your family and friends about cosmetic surgery: 

### **Choose Wisely**
“You need to be careful about who you tell beforehand," says Dr. Saadat. "They need to be open-minded people who aren’t going to be thinking about their own insecurities.” Although it’s impossible to really predict how a person will react to your decision to seek cosmetic surgery, confide only in those friends or family members who have your best interest and self-esteem at heart. 

### **Keep Calm and Confident**
If you’ve thoroughly considered every aspect of choosing cosmetic surgery, from examining your own psychological motivation to researching your procedure and cosmetic surgeon, someone else's snarky comments become insignificant. Relay your reasoning without defensiveness or excessive emotion. If you communicate your seriousness about improving your quality of life, your friends and family may be less likely to find fault in your choice.

### **Look Deeper**
Fear or insecurity could be behind someone's negative reaction. The topic of cosmetic surgery is so charged because it can tap into our deep insecurities and can sometimes bring up feelings of inadequacy in someone. Keep in mind, your loved one’s negative response may have very little to do with you.

### **Don’t Try To Win**
Stay focused on your purpose. You're having this conversation to inform your loved one about a decision that you’ve made for yourself, not to try to change their mind about cosmetic surgery. If things start getting heated, agree to disagree before feelings get hurt. 

### **Be Patient**
Sometimes time is all it takes for people to accept their loved one’s decision to undergo a cosmetic procedure. “At the end of the day, it’s the patient who truly has to live with their transformation," says Dr. Roostaeian. "If an aesthetic surgeon does their job well, the results will blend so seamlessly with their existing features that eventually, even their closest friends and family may forget there was ever a change.” 

### **Be Yourself**
While there’s no magic formula for talking to your friends and family about cosmetic surgery, keep these pointers in mind and be prepared for the onslaught of opinions. People who truly care about you will appreciate your honesty, so be as forthcoming as you feel comfortable being. Remember, how we present ourselves is up to us, but how we are perceived by others is beyond our control. Staying true to yourself will keep you feeling beautiful, inside and out.


Talking about your cosmetic procedures with people close to you can be tricky. You never quite know how they'll react. We spoke to plastic surgeon Dr. Jason Roostaeian, as well as actual patients, for tips on how to make the conversation work for you.  

How To Talk To Your Friends and Family About Cosmetic Surgery

How To Talk To Your Friends And Family About Cosmetic Surgery

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Sitting in front of her closest family and friends, Melissa* made a wish and blew out the 26 candles on her birthday cake. All around the table, her friends snapped away to document the special occasion. The next day, when Melissa looked at the photos of her blowing out the candles, she did not see herself.

“I saw a photo of my profile and I was shocked! I did not think the photo looked like me, yet it was,” Melissa said. “I realized I did not look the way I thought I looked which was a strange feeling.” 

While a cosmetic procedure certainly can enhance someone’s appearance, it can do so much more than just that. Reconstructing a feature or [enhancing body shape](https://aedit.com/procedure/velashape) can not only make someone look better but it can also boost their confidence and make them feel more like themselves. However, it’s not an easy process and needs to be planned out. Here is how some patients went about finding themselves through cosmetic surgery. 

## **They Took Time Researching and Deciding On the Procedure** 

Choosing to undergo a cosmetic procedure is not an overnight decision for most. While some procedures are reversible (e.g. [dermal filler](https://aedit.com/procedure/under-eye-filler)), others are permanent (e.g. [facelift](https://aedit.com/procedure/minifacelift) or nose job). Because of that, the research process can be quite lengthy as patients look to gain a holistic understanding of the different options and what each procedure entails. 

Like Melissa, many patients undergo a considerable process of pre-contemplation, consideration, and research before following through. All of Melissa’s life she had joked about pursuing a nose job ([rhinoplasty](https://aedit.com/procedure/open-rhinoplasty)) before giving plastic surgery serious thought. For as long as she could remember, she never liked her nose and felt “it better suited a man and was not feminine.” It was not until she moved to Manhattan that she realized, it was now or never. She was surrounded by some of the best plastic surgeons. In Melissa’s mind, there was no excuse not to.

As a first step, Melissa, like most prospective cosmetic procedure patients, turned to the internet to research options. She focused on people who were happy with their results but also sought out less successful stories to better understand the potential risks. Similarly, Anne*, a [tummy tuck](https://aedit.com/procedure/abdominoplasty) (also known as abdominoplasty) patient, shared how she watched a video of an actual abdominoplasty procedure on YouTube when contemplating surgery. From that, she learned that an abdominoplasty is not a light decision, but a “major procedure.” Regardless, to Anne, it was worth it to rebuild her confidence by removing the extra skin she had from weight loss and tightening the loosened stomach muscles that were stretched out from pregnancy. 

After identifying which procedure and type of doctor, the natural next step is to schedule office visits for consultations. Anne had a friend who had a tummy tuck and was happy with the results, so Anne knew that if she were to follow through with a tummy tuck, she would see her friend’s board certified plastic surgeon. On the other hand, Melissa did not know anyone who has had a rhinoplasty before so she consulted with two rhinoplasty specialists and one general plastic surgeon. In addition to reviewing potential cosmetic surgeons’ credentials, like medical school, residency program, and plastic surgery training, Melissa made sure to discuss surgical techniques as well as request examples of each plastic surgeon’s past rhinoplasty work. Using a platform like AEDIT is also a great way to find a top-rated doctor. With a curation of only board certified doctors, users can easily find and be confident in their selection. 

While Melissa and Anne knew exactly which procedures they wanted to pursue, sometimes it can be less clear for others. For instance, when targeting unwanted fat, there can be several methods available, like [CoolSculpting](https://aedit.com/procedure/cool-sculpting), [liposuction](https://aedit.com/procedure/laser-assisted-liposuction), or [Kybella®](https://aedit.com/procedure/kybella), just to name a few. As Matt, a Kybella® patient shared “after doing the research it still was hard for me to find a procedure that was right for me and I kinda gambled.” Before learning about The AEDITION which is a one-stop-shop for information about cosmetic procedures, Matt found the research process time consuming and difficult. He explained that “the information is sprawled all over the internet, and I had to cobble it together from different sources.” Like Melissa, Matt did not like the way he looked in pictures and never felt comfortable taking photos with family or friends. In his case, he knew that weight loss alone was not going to solve his issue. Even at his skinniest, he still was unsatisfied and uncomfortable with his appearance in photos. Kybella® was a non-invasive way to treat the excess fat under the chin (also known as submental fullness) with injections administered by a Kybella® trained specialist.

##**They Planned for the Surgical Post-Op**

Recovery is just as important as the surgery so patients must also plan for recuperation as well. Depending on the procedure type, patients can be out of commission for days or even weeks. With Anne’s general surgery, she had to stay in bed and lay flat on her back for a week. Prior to her surgery, Anne had arranged for her daughter to care for her. With less invasive treatments like Kybella®, recovery time is much shorter when compared to a procedure like a tummy tuck or facelift. However, with less invasive treatments like Kybella® or [dermal filler](https://aedit.com/procedure/temporary-lip-fillers), patients may have to have several treatments before seeing its effects and a noticeable difference. 

Possibly even more difficult than the physical stress of procedures is the trust patients must have in their doctors. Patients must trust that their plastic surgeons or certified injectors understand their vision of what they would like to look like coming out of the procedure. They also must find the right balance of change so they still look like themselves but are not a completely different looking person. Fortunately, there are simulators, like the AEDITOR app, which is a precise facial morphing tool where people can adjust their nose, brows, and lips in order to ensure they are comfortable with the changes before following through with surgery.

“Looking back, I was nervous and told the doctor I wanted a nose job but I still wanted to look like ME,” Melissa said. “And thinking back now, that was the wrong thing to say because the fact was, I was seeking plastic surgery because I did not want to look like me.”

## **What You Should Know If You’re Considering an Aesthetic Procedure**  

Feature-focused plastic surgeries, like Melissa’s rhinoplasty, can feel risky for the person undergoing the surgery because they are reconstructing a feature in an entirely new way. The outcome is not as easy to visualize compared to procedures, such as facelifts or tummy tucks, which have clear objectives to leave the patient looking naturally younger or thinner. When possible, it is important to use a facial simulator, like the AEDITOR app, especially when trying to communicate objectively with the doctor. When pursuing weight loss or rejuvenation procedures, most patients have already seen themselves in that younger or thinner state and know exactly what to expect. On the other hand, when changing specific features, such as the nose, cheeks, or lips, or undergoing reconstructive surgery, like fixing a cleft lip, patients are hoping to uncover a new external identity. The goal is for them to look in the mirror and see their true selves for the first time. 

With major advances in aesthetic surgery over the years, people can be the best physical versions of themselves through the endless options of cosmetic procedures. Dreams of having the perfect curves, toned abs, or plump lips are made a reality through surgery and/or injections. Even more impactful are the advances that benefit those seeking reconstructive or preventative surgery. Breast cancer survivors can mask their wounds through breast reconstruction surgeries and citizens of third world countries can regain confidence through plastic and reconstructive surgeries offered by mission trips. 

For larger surgeries, such as a tummy tuck or breast surgery (e.g. [breast augmentation](https://aedit.com/procedure/breast-augmentation-with-fat-transfer) or [breast reduction](https://aedit.com/procedure/breast-reduction)), changes can be immediately noticeable. Even so, patients can still keep their procedures private if they wish to. “I didn’t tell many people about the surgery and just told them I had lost weight, which was pretty obvious,” Anne explained. To this day, only Anne’s closest family and friends know about her recent surgery.

So, can cosmetic procedure patients find the inner confidence they were hoping for? The short answer: absolutely.

With treatments like Xeomin®, Kybella®, or CoolSculpting, improvements can be delayed because of the multiple sessions needed, but can still be highly transformative. Matt shared that he required three sessions of Kybella® but “once there was a noticeable difference it made me much more confident on a daily basis.”

Melissa felt her confidence boosted immediately after healing from her rhinoplasty. Prior to surgery, she was self-conscious that the first thing people noticed about her was her nose. After surgery, Melissa was relieved that her nose would no longer be the focal point of her face. Even though Melissa is so happy she took action and control of this pain point of hers, she admits she would have approached the surgery differently by working with a rhinoplasty specialist rather than a board certified plastic surgeon. “I still do not love the way it looks, which is a little disappointing, but it is better than it was, and I have accepted that as being better than nothing,” Melissa said.

It can be hard to achieve perfect results and complete satisfaction, but it is not impossible! Anne shared how happy she is with her tummy tuck, even several years later. Anne opted for a tummy tuck to regain her confidence for her daughter’s wedding. “When I went to try on the dress for my daughter's wedding and looked in the mirror, I was incredibly overwhelmed,” Anne shared. “Besides having lost weight, the surgery made my torso look incredible. I never thought I could look that good!”

With open expectations and willingness to change, aesthetic procedures have the potential to not only enhance appearance but also transform someone’s confidence! 

*The patient’s name has been changed.

Finding The Real Me: How Cosmetic Procedures Can Reveal Your Inner Beauty Plastic Surgery Injectables