shutterstock 352907567 (1)

In an age when time is of the essence, the idea of getting glowing skin in an hour or less sounds ideal. For anyone who knows anything about skincare, however, it may also sound too good to be true. Cleansing, hydrating, and rejuvenating, the [HydraFacial®](https://aedit.com/procedure/hydrafacial) is said to address a plethora of skin concerns in a matter of minutes. But does it really?

As a beauty editor with a solid skincare routine that’s kept my complexion clear, I was intrigued to try the multi-step hydradermabrasion treatment that is beloved by dermatologists and celebrities alike. While I’ve tried facial massages, [LED light therapy](https://aedit.com/aedition/everything-you-need-to-know-about-the-benefits-of-light-therapy), and even ayurvedic cleansing, I’ve never experienced the popular procedure. So, you can imagine my delight when I was invited in for a HydraFacial® at [Pearlman Aesthetic Surgery](https://www.mdface.com/) in New York City.

Going in, I knew I would enjoy an hour away from the hustle and bustle of life in Manhattan. But, with very few personal skincare concerns, would a HydraFacial® create a noticeable, long-lasting improvement? Spoiler alert: it did.

## **What Is a HydraFacial®?**
A multi-step hydradermabrasion facial that combines detoxification (via a dirt- and grime-extracting hydra-vortex vacuum) and rejuvenation (hi, skincare!), HydraFacial® is designed to deeply cleanse, exfoliate, and moisturize the skin. 

Used to treat skin concerns ranging from fine lines and uneven skin tone to acne and clogged pores, the professional treatment gently yet effectively resurfaces the skin and clears debris. The thorough cleanse allows the complexion to better absorb active ingredients and nutrients that might not be able to penetrate during an at-home exfoliating session.

### **Who Is the Best Candidate for a HydraFacial®?**
According to professionals like board certified facial plastic and reconstructive surgeon [Steven Pearlman, MD](https://www.mdface.com/about/dr-steven-pearlman/), HydraFacial® has universal appeal, though it is particularly useful for patients prone to breakouts. “The mixture of glycolic and salicylic acids added with the suction extraction system works extremely well to fight acne,” he shares. “Additional maintenance treatments keep it under control.” 

### **When Should You Get a HydraFacial®?**
While regular facials (think: once a month) may be recommended for patients with acne or other skin conditions, you’ll see results after just one session — making the HydraFacial® an ideal pre-event treatment. “Many times, people experience a 'purging' breakout after a facial,” Dr. Pearlman says. With HydraFacial®, post-breakouts rarely happen.” And, in addition to cleansing the complexion, patients enjoy a post-procedure glow that can last upwards of a month.

## **What Happens During a HydraFacial®?**
The entire HydraFacial® process takes less than an hour. Despite the fact that a deep exfoliation is involved, the treatment is nothing short of relaxing. In fact, the gentle, pore-by-pore suctioning is as calming as it is satisfying. But there is more to a HydraFacial® than the vacuum-like device. Here’s a breakdown of the entire process:

1. **Cleanse**: The skin is cleansed and prepped for treatment. 
2. **Peel**: A peel composed of 30 percent glycolic acid and 1.5 percent salicylic acid is applied to the skin to lightly regenerate the top layer of skin a la the type of superficial chemical peel you would normally expect at a doctor’s office. 
3. **Extract**: Dead skin cells are removed and the pores are thoroughly cleansed during the extraction phase. So, does the vacuum hurt like a traditional extraction does? The short answer is no, though there is a subtle sensation that I found to be non-abrasive and, actually, quite enjoyable. 
4. **Fuse with Antioxidants**: Fusing is not as scary as it sounds. To take full advantage of the detoxed skin, targeted, proprietary skin solutions in the form of serums and boosters are applied to the complexion to enhance the post-facial glow. 

Though not an official step, my visit concluded with a slightly disturbing though highly satisfying visual component: a look at all the debris my face had been stockpiling. After examining the murky water, I knew that no matter how fool-proof I considered my skincare routine to be, there was no substitute for a professional treatment.

### **Can You Customize a HydraFacial®?** 
Yes, you can. At Pearlman Aesthetic Surgery, several add-ons are offered to maximize the benefits and the appointment can be combined with otherminimally invasive cosmetic treatments like [Botox®](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time), [non-ablative lasers](https://aedit.com/procedure/nonablative-fractional-lasers), and light therapy. Consulting with a board certified provider will ensure you undergo the best course of action for your skin concern(s).

## **The Results**
In the immediate aftermath of my HydraFacial®, I knew my blackheads were eradicated, my skin texture was enhanced, and my complexion was slightly tingly in a way that only comes from a professional treatment. But, apart from the serum-induced glow and lightness that comes from taking an hour to #treatyourself, I wasn’t sure if I saw a noticeable difference in my skin. 

In the days following the treatment, however, I came to understand the hype. I may have washed away the serums, but I didn’t wash away the glow. As I resumed my normal skincare routine, my products absorbed faster – though they felt somewhat superfluous. With the exception of sunscreen, I didn’t really feel the need to apply foundation or any other beauty products. 

I can attest that the clarifying and radiance-inducing benefits last upwards of three to four weeks, and Dr. Pearlman says they are best maintained with routine sessions. He recommends patients come in once a month for maintenance. And, unlike other treatments that are better reserved for a certain season, the results of a HydraFacial® can be enjoyed year round.

AEDITION expert perspective-min

Patient Perspective Collection | The AEDITION

Patient Perspective

Glowing skin and a clearer complexion in under an hour. There’s a reason why the HydraFacial® is a celebrity favorite, but does it live up to the hype? One beauty editor gives it a try.

What It’s Like To Get A HydraFacial For Clear, Glowing Skin

What It’s Really Like To Get A HydraFacial

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What is PRP? You may recall the ‘[vampire facial](https://aedit.com/procedure/vampire-facelift)’ craze of last decade, which involves using your own blood to restore a more youthful glow to your face. Well, the same technology is also used to treat hair loss, and platelet-rich plasma (PRP) injections have quickly become one of the go-to non-surgical treatment options for patients with thinning and balding hair.

## **PRP for Hair Loss Treatments**
[PRP for hair loss](https://aedit.com/procedure/plateletrich-plasma-prp-for-hair-loss) has roots in Europe that date back more than a decade. With no downtime, the non-surgical hair loss treatment first extracts platelets from the patient’s own blood and then injects them into areas of the scalp that have seen hair loss or thinning. 

How does it work? Your blood’s platelets are responsible for clotting and healing. They assist in tissue rejuvenation and healing systems. Plasma is the liquid in your blood that carries the platelets, along with red blood cells and white blood cells. During the procedure, the doctor will draw blood (usually from the patient’s arm) and separate and process the platelets using a centrifuge to concentrate the growth factors. Once injected into your scalp, the PRP brings increased blood flow to the hair follicles, which stimulates new growth and lengthens the anagen (i.e. active) phase of the hair cycle to promote growth. 

Though not yet FDA approved for hair loss, PRP has been found to be an effective treatment for alopecia areata (an autoimmune disorder that causes hair loss) and male and female pattern baldness, in addition to age-related hair loss. While most patients see their rate of hair loss diminished, it has also been shown to help regrow hair. The average cost of a single treatment is $2,125 and multiple sessions are often needed for best results. 

## **Patient Perspective**
You may recall [Kourtney Kardashian underwent PRP treatments](https://aedit.com/aedition/kourtney-kardashian-prp-injections-to-treat-hair-loss) during an episode of *Keeping Up With the Kardashians* to treat hair loss she experienced as a result of a heavy ponytail, and the procedure is used for men and women alike. 

Matt*, a 30-year-old man living in northern California, recently finished a series of five treatments over the course of a seven-month period, but his hair preservation and restoration journey actually began with over-the-counter remedies. 

Matt’s hairdresser told him about a product called [Caboki](https://www.caboki.com/default.html) — a powder-like formula that works like a concealer on bald or thinning areas — which delayed his need/desire to try a professional treatment to address his hair loss. “When you have dark brown hair and pale skin, you can shake this on your bald spot and it completely covers it,” Matt shares. “I started doing that, which was helpful and delayed my taking any other action for a few months.” But it was a temporary fix.

Before proceeding with PRP, Matt also tried a series of supplements, which helped slow the rate of hair loss. He took generic [Propecia](https://aedit.com/procedure/finasteride-propecia) (i.e. finasteride), which blocks a hormone called dihydrotestosterone (a.k.a. DHT) that contributes to male pattern baldness. “You can’t expect it to give you more hair,” Matt says. “It doesn’t contribute toward growth, but it does help maintain the hair you have.” 

His hack is getting it from Costco, instead of at a pharmacy. He went from paying $70 for a two to three month supply to $10 for the same amount. “Doctors will call it into your local Costco, and you don’t even need a healthcare plan for it,” he says. “You have a 50/50 chance with finasteride of it affecting your sex drive. I was lucky that I didn’t experience that.”

In addition to finasteride, Matt took a daily supplement cocktail of one [Viviscal](https://www.viviscal.com/) pill, one biotin supplement, and one folic acid tablet. Topically, he was applying [Rogaine](https://www.rogaine.com/home), an over-the-counter product that helps stave off hair loss thanks to active ingredient [minoxidil](https://aedit.com/procedure/minoxidil-rogaine). It’s a foam that you rub into your hair daily. From a haircare perspective, Matt uses [Revitalash Cosmetics](https://www.revitalash.com/) thickening shampoo, conditioner, and volume-enhancing foam, which boast a phyto-infused formula for scalp health. “It doesn’t contribute to growth, but it helps it look thicker,” he says. 

While this combination did allow Matt to delay more invasive treatment, his bald spot kept growing. His hairdresser recommended PRP when he was 29. Matt shopped around and looked into dermatologists and plastic surgeons. “There wasn't really a big price difference between the two groups, but there was a price difference from one business to another,” he says. “I was looking at treatments that are $2,000 a shot. I found some places that offer Groupons for $500, but that’s not the kind of thing I want to use a Groupon for.” What he landed on was about $1,000 per treatment at a plastic surgeon’s office in Silicon Valley.

After a couple of sessions, Matt saw that the follicles were growing and that his hair density was building back up. At his baldest, he had about an inch of total baldness and a few inches toward his hairline of thinning. “Not only were the follicles themselves thinner, but also the hair density was a lot lower,” he explains. “The before-and-after photos of the PRP treatment are dramatic.  I was in denial about how much hair I didn’t have.”

After seven PRP treatments, Matt says that he feels much more confident about his hair and in general. “I used to be shy about turning my head down or standing in an elevator or in a bathroom — anywhere with spotlights, overhead lighting,” he says. 

In addition to continuing his oral and topical medication, Matt is also considering a surgical hair transplant — specifically a [follicular unit excision (FUE)](https://aedit.com/procedure/follicular-unit-extraction-fue). The procedure involves a surgeon harvesting individual healthy follicles from a donor site and transplanting them to bald or thinning areas. The surgeon also makes sure that these grafts (each containing one to three hairs) are angled in the growth direction of the hair. While it would be the most invasive of the hair loss treatments Matt has tried, the procedure yields permanent results and recreates the hairline and growth patterns.

“For me, the PRP made the biggest difference in regrowth,” Matt says. “It's motivated me to do as much as I can.”

*Patient’s name has been changed

After years of cocktailing hair growth supplements and bald spot concealers, a patient decided it was time to try a professional hair restoration treatment.

What It’s Really Like To Get PRP Treatments For Male Hair Loss

Brow Lamination

When it comes to eyebrows, my motto is: Don’t touch them. In fact, I might be the only woman in the world to never go through an over-tweezing phase — a beauty accomplishment that I am quite proud of.

As someone not born with the dark, bushy brows that perfectly frame Cara Delevigne’s face (to the contrary, mine are thin, light, and a little sparse), I avoid most interference except for the daily use of a pigmented pencil that adds color and definition. So, when I heard about an eyebrow treatment that is said to have the ability to turn anyone’s brows into Delevigne-worthy arches, I was skeptical but intrigued. Perhaps it was time to outsource my eternal desire for a beautifully abundant brow, for as my mother always says: “Good brows don’t happen by chance. They happen by appointment.” 

Promising arches that look thicker, glossier, and perpetually kempt, brow lamination is a needle-free alternative to [microblading](https://aedit.com/procedure/microblading) that produces less permanent results. With an approach to brow maintenance that could be described as nearly ascetic, my virgin brows were dreaming of a Cindy Crawford-esque transformation, and brow lamination seemed like a good first step toward addressing my desire for a fuller brow — without the commitment of something like microblading. 

After scrolling through countless before-and-after images, my brow-curious self arrived at the [BBB London](https://bbb-london.com/) outpost at Saks Fifth Avenue in Manhattan. Wondering if brow lamination could really cut my dependency on brow pencils and give me the arches of my dreams, it was time to see what the hype was about.  

## **What is Brow Lamination?**
Similar to a perm, brow lamination uses a non-invasive chemical processing treatment to set and direct brow hairs into a more desirable shape. The process, which is relatively quick and pain-free, is beneficial for those looking to maximize the impact of their natural brows. The final results are glossy and shapely brows that are expected to last between six to eight weeks with little to no upkeep.  

<CaptionImg url={images.ctfassets.net/zw35sfestf1t/60wUyPY6AdmtQdB7Uy2eyE/a7ba65c2e4b54f0021d9c172a2137a62/Brow_Lamination_Before_and_After.jpg}>
A before-and-after look at the BBB London Brow Lamination treatment. 
</CaptionImg>

According to Jaimineey Patel, head of training at [Blink Brow Bar](https://bbb-london.com/), brow lamentation is suitable for all hair types, though “customers with unruly or sparse brows will definitely see the biggest difference,” she says. Since my brows are sparse, the treatment feels tailor-made for me.

## **The Brow Lamination Process** 
The brow lamination process begins at least 24 hours before the treatment itself with a pre-appointment allergy test (à la [eyelash extensions](https://aedit.com/aedition/what-its-like-to-get-eyelash-extensions)). Assuming clients don’t have a reaction, the appointment itself lasts an hour (at most) and involves a technician applying chemical solutions to tame the brow hair before molding them into the desired shape.

### **Step 1: The Patch Test**
![step-1](//images.ctfassets.net/zw35sfestf1t/3ZQ5hhUIeMKmuqK5pP1KQ0/3130a5593599510a0899af2786b00bed/step-1.png)
At least 24 hours before the appointment, a quick (think: less than a minute) allergy test needs to be administered for safety. Since the treatment requires a series of chemical solutions be applied to the skin, the patch test (usually performed behind the ear) helps to ensure the application process will not cause any ill effects. The patch test proved I was not allergic and, therefore, one step closer to coming for Keira Knightley’s brow crown. 

### **Step 2: Apply the Brow Adhesive** 
![step-2](//images.ctfassets.net/zw35sfestf1t/yMaFjDOvGgu67YIjs0v5o/8a2a52bd81f1952cd26df6325f94787e/step-2.png)
Once at the actual appointment arrived, I laid back into the reclining chair and let the technician examine what miracles she could create. “Firstly, a brow adhesive is used to secure the brow hairs in an upward direction to the desired brow style,” Patel shares. The step takes approximately 15 minutes and includes a subtle poking sensation as each brow hair is separated to lay in its new place. Unlike lash extensions, which requires patients to keep their eyes closed, the brow lamination process allowed me to multitask on my phone while the technician meticulously brushed out each hair. 

### **Step 3: Style the Brow Hair**
![step-3](//images.ctfassets.net/zw35sfestf1t/2DYyBAF8bowZrOjaSmjV1Z/ab20170862cbd1627cb7cb42059bd70b/step-3.png)
After the first brow adhesive was wiped off, my brows had a wind-swept appearance that initially startled me. Upon further review, seeing each hair individually spread actually out got me more excited for the final result. “A styling lotion is used to relax the hair cuticle, so the brow hairs can be molded to the determined brow shape,” Patel explains. Prior to applying the lotion, my technician warned that there might be a slight burning sensation, but it is to be expected.

### **Step 4: Set the Brow Hair**
![step-4](//images.ctfassets.net/zw35sfestf1t/3Xn5NsPGLstd2nxCxuMgVc/d3d550ed44d65d3315e750516efcdeba/step-4.png)
Just as I was getting comfortable and more relaxed, the process was nearly coming to an end and we were onto step four. “We apply a fixing lotion to structure the brow hairs and set them into the new position,” says Patel 

### **Step 5: Finishing Touches**
![step-5](//images.ctfassets.net/zw35sfestf1t/2sDdjPSB4J5QWwBt2ODORV/3f234ea90086e036aa8317650874c8c7/step-5.png)
Finally, a keratin treatment is applied to hydrate the brow hair. “The keratin serum helps close and smooth down the hair cuticle, which restores, conditions, and nourishes the hairs,” Patel says. Since keratin has long been a go-to for smoothing and straightening locks, this step felt particularly apropos. 

### **Additional Treatments** 
Brow lamination yields some seriously volumizing results that many clients are happy with as is. But, for those of us with fair skin and light hair or for anyone who likes the appearance of a darker brow, a tinting treatment may also be needed for best results. 

“We recommend having a brow shape and tint alongside,” Patel says. “The brow shape will add definition to the brows and structure your face, while a tint will give the illusion of extra thickness and length.” It should be noted that eyebrow tinting also requires a patch test, but it can be done at the same time as the patch test for the lamination chemical solutions.

I opted for the brow tint, which was done in conjunction with the treatment and only added an extra 15 minutes to the already brisk 45-minute lamination process. 

## **The Results**
As someone who loves instantaneous results but has little time to spare, the first gaze at my new brows got my heart racing. I never knew how much I needed feathered, satin-smooth eyebrows — or how quickly I could achieve them. The combined lamination and tinting treatment took about an hour, and I was able to stroll out with ease – save for catching a glimpse in the closest mirror to admire the technician’s magical work and hope someone would confuse me for Brooke Shields.  

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/5KHv1F05KvtAoWGfqkT13y/eb1920305fbee76616ce90863a0733a3/before-after.jpg}>
  A before-and-after look at the writer's brows after lamination and tinting treatments.
</CaptionImg>

With each hair laid meticulously in a swept-up style, the results were beyond anything I could’ve created myself with a brow gel and pencil. Perfectly framing my peepers, this upgrade immediately made my eyes pop more, in addition to changing the shape of my face. It simultaneously felt like my eyebrows had doubled in size and that I had a [brow lift](https://aedit.com/aedition/theres-more-to-a-brow-lift-than-meets-the-eye). 

For the first 24 hours post-laminating and tinting, all tampering is off limits. This means:

- No washing
- No brushing
- No touching 

After the first full day, it was time for the moment of truth. For once, my eyebrows didn’t disappear after I washed my face, and they remained pretty well fixed in the new, spread out shape they’d been assigned. Post-lamination maintenance included a self-imposed quick sweep of the [BBB London Clear Brow Gloss](https://shop.nordstrom.com/s/bbb-london-clear-brow-gloss/5359330/lite) to give my hair a little more gloss… and nothing else. 

But all good things must come to an end. After a few weeks — even with the benefit of the tinting — I slowly felt the need to fill in my brows creep back in, as my penchant for a dark arch returned. Still, the new shape was perfect for my laissez-faire approach to brow maintenance, in which I just let them do what they want to do and fill in the blanks. I suppose I will just have to accept that my brow hair may never be as dark and bushy as Eugene Levy’s – though maybe that’s for the best. 

## **The Takeaway**
What brow lamination offers is quite simple: A non-invasive way to coax your unruly, coarse, or sparse eyebrows into a more voluminous, feathered shape with lots of shine. It’s a great option for those [interested in a microbladed look](https://aedit.com/aedition/microblading-treatments-for-fuller-thicker-eyebrows) without the needles or pemanance (microblading typically lasts one to three years). Those looking to give their face-framing features a boost à la Delevigne with only an hour-long commitment, brow lamination lets you see if bigger really is better. 

Brow lamination is a new treatment that promises thicker, shapelier eyebrows without any downtime. Could this be an easy alternative to microblading? One writer gives the process a try. 

Brow Lamination Treatment As An Alternative To Microblading

Could Brow Lamination Be The Quick And Easy Alternative To Microblading?

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You've likely seen click-bait headlines about 'designer vaginas,' but [vaginal rejuvenation](https://aedit.com/aedition/everything-you-need-to-know-about-vaginal-rejuvenation) is no passing fad. While the term encompasses an array of procedures (think: vaginoplasty, skin tightening, etc.), the most common component is [labiaplasty](https://aedit.com/procedure/labiaplasty) (i.e. a surgical procedure that removes excess tissue from the labia minora, or 'inner lips' of the vulva). 

[According to the American Society of Plastic Surgeons (ASPS)](https://www.plasticsurgery.org/documents/News/Statistics/2018/plastic-surgery-statistics-full-report-2018.pdf), more than 10,000 labiaplasties were performed in the U.S. in 2018 alone. Unlike some procedures, which can solely be classified as plastic surgery or solely classified as cosmetic surgery, labiaplasty has both medical and aesthetic benefits.

Excess labia tissue can lead to pain and discomfort during exercise and intercourse, in addition to interfering with other routine activities. Conversely, the appearance and size of the labia may simply not align with a patient's preferred aesthetic. Regardless of the reasoning, a labiaplasty procedure can address everything from sexual health to general well-being.  

## **What Is Labiaplasty?** 
While a vaginoplasty addresses the size of the vaginal opening, a labiaplasty procedure is performed to correct the shape and size of the labia. According to Beverly Hills-based board certified plastic surgeon [Johnson Lee, MD](https://aedit.com/provider/johnson-lee-md-710), there are two types of labiaplasty:

1. **Trim Labiaplasty**: “The trim, or direct excision, method removes the amount of excess labia minora directly along the border of the labia," he explains. "This is perhaps the simplest method for most surgeons and allows accurate reduction of large labia. The downside to this procedure is that the natural darker corrugated edge of the labia minora is removed and the scar line becomes the new border."
2. **Wedge Labiaplasty**: "The wedge excision, which I prefer, requires more measurement and design to ensure a proper final length of the labia," Dr. Lee says. "The wedge excision leaves the natural border of the labia intact. The scar is on the inside of the labia, which is less visible.”

No matter the technique, a labiaplasty is generally an outpatient procedure performed under local anesthesia. According to Dr. Lee, the procedure will not interfere with a woman's ability to give birth, though he does recommend new moms wait at least six months after a vaginal birth "to allow the tissues to stabilize and inflammation to resolve." This, he says, will ensure "the most accurate results.” 

Recovery time for both types of labiaplasty is usually around two weeks, but the downtime is minimal (if any). Patients will likely experience a bit of pain and swelling, which can be relieved with ice pads and medication (as directed by your surgeon). Intercourse and soaking in baths should be avoided for up to 40 days post-op. 

As with any surgical procedure, there are some risks associated with labiaplasty. Dr. Lee says “contour deformities or asymmetry, infection, scarring, pain, sensation changes, and wound healing complications” are the most common post-procedure concerns. 

## **Patient Perspective**
To better understand the labiaplasty procedure and recovery process, we spoke to three women who chose to undergo the surgery for different reasons. Their names have been changed to protect their privacy.

### **Lois, New York, NY**
*Lois opted to undergo a labiaplasty procedure because her labia were asymmetrical and she experienced pain when she was worked out. The appearance also made her feel self-conscious.* 

<Dialogue>
  <Question party={The AEDITION}>
    What led you to have a labiaplasty?
  </Question>
  <Response party={Lois}>
    When I was in my teens, I noticed my labia were uneven. One side was a fair bit ‘longer’ than the other. As I got older, I started to find it would become painful when I was wearing tight pants, and it was becoming a real ‘thing’ for me. I became really self-conscious about it. I was approaching the end of college and was still so embarrassed about it when I was dating that I decided to consult a plastic surgeon. We discussed the potential benefits, what the results could look like, and I had some questions about potential consequences in terms of loss of sensation. I weighed up the pros and possible cons and decided to go ahead with the surgery.
  </Response>
  <Question party={The AEDITION}>
    How was the recovery process?
  </Question>
  <Response party={Lois}>
    Recovery was relatively straightforward for me. I truly didn’t know what to expect. I’d never had any kind of surgery before! But I went home and was looked after by my mom. I followed the instructions I received from the clinic, and it went well. I took antibiotics for a few days after the procedure and used ice packs when it was painful. I just generally took it easy for about a week or so. After that, the pain wasn’t bad at all. I had some numbness for around a month after, but, aside from that, I had no complications. The results have been great, too. It gave me the confidence boost I was hoping it would.
  </Response>
  <Question party={The AEDITION}>
    Would you recommend the procedure?
  </Question>
  <Response party={Lois}>
    Absolutely! I was basically able to buy myself confidence, which was, in itself, really empowering. It’s changed my relationship with myself and made me more confident in my relationships with others. The procedure and recovery were much less painful than I imagined. All in all, it’s a definite recommendation from me.
  </Response>
</Dialogue>

### **Jane, San Francisco, CA**
*Jane wanted to boost her confidence after having her children, and, after consulting with a plastic surgeon, decided to have labiaplasty. While she believes the procedure is not something anyone should feel pressured into, she is very pleased with the results.*

<Dialogue>
  <Question party={The AEDITION}>
    Why did you choose to have a labiaplasty?
  </Question>
  <Response party={Jane}>
    I was looking into having some kind of rejuvenation ‘down there,’ but I didn’t know where to start. I consulted my plastic surgeon, who I have been going to for a few years now, and asked her for her advice on the matter. We decided to start with labiaplasty because it would address the changes that bothered me most since I had my children. I do want to say, I think it’s important that women do not feel like they should have to have surgery after childbirth. For me, it was a choice I decided on after giving a great deal of thought, and it was something I wanted for myself. I think that your ‘why’ is a very important consideration before having a procedure like labiaplasty.
  </Response>
  <Question party={The AEDITION}>
    What was the procedure like?
  </Question>
  <Response party={Jane}>
    I was sedated but awake for the procedure with local anesthesia. I felt no pain or discomfort whatsoever during the procedure. The only pain — if you could even call it that — was from the needle they used to put the IV in. I was taken care of very well, and being in a familiar environment with a familiar team put me at ease. I would recommend asking to meet any other members of the provider’s team who will be present during the procedure at your pre-op appointment, if that’s possible. It’s a pretty intimate procedure, so I found it reassuring to be aware of who everyone was in the room while it was happening.
  </Response>
  <Question party={The AEDITION}>
    Are you satisfied with the results of your surgery?
  </Question>
  <Response party={Jane}>
    I am, yes! I achieved the change I wanted to. In all honesty, I just feel more like myself again in that area. It’s something I would urge women to think about carefully. As I said, I think it’s important to consider why you’re considering it. Not that there’s a right or wrong reason, but I just don’t think there should be any pressure for people to feel like they should look perfect unless it’s something that matters to them, for whatever reason.
  </Response>
</Dialogue>

### **Lucie, Arlington, TX**
*Lucie was unhappy with the natural appearance of her labia and opted for surgery to change the aesthetic and improve symmetry. Since the procedure, she has been able to wear clothes she couldn’t before and credits it with improving her overall confidence.*

<Dialogue>
  <Question party={The AEDITION}>
    What led you to have a labiaplasty?
  </Question>
  <Response party={Lucie}>
    I was just really unhappy with the appearance of my vulva. The area was asymmetric; I couldn’t wear certain types of swimwear; and it made me feel kind of bad about myself. I used to always wear shorts and a bikini top if I went to the beach, but I couldn’t really wear swimsuits with a narrow crotch or those high waist. It just didn’t work logistically, shall we say! I started feeling discomfort when I was wearing skinny jeans, and I just felt like, since there was something that could be done about it, I might as well go for it.
  </Response>
  <Question party={The AEDITION}>
    What was the recovery process like?
  </Question>
  <Response party={Lucie}>
     I had to discuss this carefully with my surgeon because I work as a dancer, so the recovery process was going to be important. I decided to have the procedure when I had a break in my schedule for three weeks because I didn’t want to push my body too hard too soon after surgery. This meant I was able to rest, ice the area, and generally take care of myself to help with recovery. I read up on nutrition and which foods can help aid recovery after a procedure, and I made sure to eat extra clean in the run-up to surgery and while I was recovering. In terms of pain, it wasn’t actually too bad — definitely not as bad as some of the injuries I’ve had in the past. I would say it was about a seven out of 10 at its very worst, so totally manageable. I’m pleased I opted to have the procedure when I had a clear window of time with no pressure to rush recovery. I would have said I could’ve gone back after about 10 days to two weeks, but longer was better for me.
  </Response>
  <Question party={The AEDITION}>
    Are you pleased with the results?
  </Question>
  <Response party={Lucie}>
    Oh, totally! It’s just one less thing to worry about. I always feel kind of silly saying that I used to worry about what I looked like. But it’s just nice to know I can wear what I want, I can be confident when I’m dating, and just not have to think about that part of me anymore. It took a little while for me to get used to the new sensations after surgery. It took a little while for sensation to come back at all, and, when it did, it was a bit different. But there hasn’t been any negative impact for me. The procedure was easy to recover from, too, so I’d totally recommend it to anyone who’s considering it.
  </Response>
</Dialogue>

Labiaplasty is the most common vaginal rejuvenation procedure, and the surgery has both medical and aesthetic benefits. Here, The AEDITION speaks to a board certified plastic surgeon and three patients about the treatment.

Everything You Need To Know About Labiaplasty

shutterstock 1120052276 (1)

When I first learned about microblading back in 2018, I thought it sounded too good to be true. The art of achieving perfect brows is a difficult one, and the thought of having them tattooed onto your face sounded, well, just plain weird! Wanting to dig deeper into the matter, I listened to three women’s experiences with the treatment to determine, once and for all, if microblading is really worth the hype. 

## **Microblading 101**
First things first, let’s review what exactly [eyebrow microblading](https://aedit.com/procedure/microblading) is and how it works. Microblading — not to be confused with [microneedling](https://aedit.com/procedure/microneedling) — is a semi-permanent makeup technique to create the illusion of fuller, more defined brows. The technique involves using a cosmetic tattoo pen to make small incisions that deposit pigment into the skin. 

### **Technique**
The tip of the microblading pen is so delicate that its strokes actually mimic individual hairs, and there are a variety of tips in different diameters to control the thickness of each hairlike stroke. By choosing a diameter that closely matches the thickness of the native brow hair, the technician can make the outcome look more natural. In addition to the diameter, you are also able to choose from a range of colors to match your natural hair as closely as possible. Because each hair is hand drawn, technicians are able to customize the eyebrow shape, color, and thickness with each hair stroke. 

### **Cost & Appointment Schedule**
Depending on the location and salon, a microblading treatment is usually an investment of $300 to $1,000. In terms of timing, there is an initial session and then a touch-up appointment six to eight weeks later to make any necessary adjustments to the color, shape, and/or fullness. 

### **Recovery & Results**
There is no downtime after a microblading treatment, but there are some aftercare instructions. For instance, you should keep your brow area as dry as possible for around 10 days after the procedure. This means avoiding heat and any activities that are likely to get your face wet. There are also medicated and over-the-counter creams that can be applied to help with the healing process.

- **Downtime:** None
- **Initial Results:** 2 to 3 weeks post-procedure
- **Final Results:** 4 weeks post-procedure
- **Lifespan:** 1 to 3 years

Speaking of the healing process, most microblading clients experience darkening in color followed by lightening in color (anywhere from 20 to 50 percent) and scabs for the first seven to 10 days post procedure. By week two or three, however, the eyebrows appear closer to their final state. About a month in, you’ll be enjoying the full effect of the treatment. 

Unlike regular tattoos, microblading is a semi-permanent tattoo because it only penetrates the superficial layers of skin. Results typically last anywhere from one to three years, depending on your skin type. In a way, microblading lasts an ideal amount of time considering how often beauty trends last. While you may be in love with your microbladed brows this year, you may be lusting after a different look down the road.

## **Patient Perspective**
While the treatment certainly sounds promising, the only way to truly understand the results is to speak to patients who have experienced it first hand. We caught up with three women to get their thoughts on their microbladed brows. 

### **Carrington, Houston, TX**
*Carrington, the brains behind fashion and lifestyle blog [Chaos & Coffee](https://chaos-and-coffee.com/my-experience-with-microblading/), opted to get her brows microbladed after being unhappy with the results she was achieving filling them in with pencils, powders, and gels. She spent months researching the procedure and finding the right technician before giving it go.*

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/6VvaYBp3uhmFjd1Q4yN0WL/997a594e824857181b20fe87922d1d5b/Carrington.png}>
  A before-and-after look at Carrington's microbladed brows.
</CaptionImg>

<Dialogue>
  <Question party={The AEDITION}>
    What attracted you to microblading in the first place?
  </Question>
  <Response party={Carrington}>
    I have always had extremely thin eyebrows, and, since I have strawberry blonde hair, my eyebrows are very light colored. I filled them in everyday, but, to be honest, I wasn't always the best at getting them even. Half the time I looked like I was questioning everyone that day. I also really wanted to be able to not wear makeup and still look like I had eyebrows, since you couldn't really see them unless I filled them in.
  </Response>
  <Question party={The AEDITION}>
    Did your microblading experience meet your expectations?
  </Question>
  <Response party={Carrington}>
    Yes, I absolutely love my eyebrows now, and I couldn't be happier with the results I received. I did a lot of research beforehand though to make sure I went to the right person and received the best results possible. I found [Alex Hein](https://www.instagram.com/alexheintx/) in Houston and couldn't find a bad review from a client, so I booked an appointment and decided to take the leap. I'm so happy I did!
  </Response>
  <Question party={The AEDITION}>
    Is there anything you would have done differently?
  </Question>
  <Response party={Carrington}>
    I'm honestly so happy with the way they turned out. I don't think I would change a thing. The way Alex does her appointments, she has the initial appointment where she does the microblading. Then you go back six to eight weeks later for a follow-up where she does touch-ups and makes sure they are exactly like you want them — dark enough, right shape, thick enough, etc. I decided to go a little darker and thicker at my follow-up appointment and now they are 100 percent exactly like I want!
  </Response>
  <Question party={The AEDITION}>
    Do you feel like it was worth the time and money?
  </Question>
  <Response party={Carrington}>
    Microblading is pricey, I'm not going to lie. But I'm so happy with the results and feel confident now — with or without makeup — with how my eyebrows look. For me, it was worth the money. I could have gone to a different technician and had it done for cheaper, but I researched a lot of microblading technicians and Alex was hands down the best. Her rates are fair, and you get what you pay for. I didn't want to take a chance since it's my face! I was willing to pay more to ensure I got a quality level of service and a quality outcome with microblading.
  </Response>
  <Question party={The AEDITION}>
    How do you feel after microblading?
  </Question>
  <Response party={Carrington}>
    I do feel more confident! I used to hate not wearing makeup because I really looked like I didn't have any eyebrows. As you can probably imagine, it looked a little odd. Now, I feel confident without makeup and am happy with how even my eyebrows look 24/7. I was never really great at drawing them on or filling them in. I wanted them to look natural, and they never did. Now, they're always even and I never have to worry about wiping one off during the day because I forget I have them filled in or worry if one is higher than the other. I know everyone likes to say ‘they're sisters, not twins,’ but, for me, they needed to be twins! I'm very happy with the results of my microblading and plan to continue it for years to come.
  </Response>
</Dialogue>

### **Chaneya, Georgia** 
*Chaneya, the fashion and lifestyle blogger behind [Savvy Singer](http://www.savvysinger.com/), grew tired of the time and energy it took her to fill in her brows everyday before deciding to get them microbladed. While it was an investment, she believes it can be a more cost-effective and efficient option in the long run.*

<Dialogue>
  <Question party={The AEDITION}>
    What attracted you to microblading in the first place?
  </Question>
  <Response party={Chaneya}>
    I love my eyebrows. It’s one of the most important features on my face. I honestly got tired of the daily routine of filling them in and it taking me 10 minutes alone just to do them. I wanted a way that, during the work week, it would cut back time spent doing them. Microblading was the way to go.
  </Response>
  <Question party={The AEDITION}>
    Did your microblading experience meet your expectations?
  </Question>
  <Response party={Chaneya}>
    My experience with microblading definitely met my expectations and more. I knew it would enhance the way that my brows looked, but I never knew just from the first session how much more confident I would feel having them done when I woke up every morning.
  </Response>
  <Question party={The AEDITION}>
    Is there anything you would have done differently?
  </Question>
  <Response party={Chaneya}>
   Honestly, no. I loved my experience just how it was. I wish I would’ve done it sooner than I had, but I love them. Luckily, my technician is a close friend who owns a salon and does them. He has great brows, and I felt great and confident in him doing the best job.
  </Response>
  <Question party={The AEDITION}>
    Do you feel like it was worth the time and money?
  </Question>
  <Response party={Chaneya}>
    I definitely feel it’s worth the time and money. When you think about how many brow products there are out there and the amount that they can cost, you’re consistently investing in a $20 eyebrow pencil every month, which quickly adds up. I saved time and money in the long run.
  </Response>
  <Question party={The AEDITION}>
    How do you feel after microblading?
  </Question>
  <Response party={Chaneya}>
   I’m definitely more confident. I love that I can wake up every morning and have full brows. That’s just one part of my face that is super important to me, so to have them look great makes me feel a lot better!
  </Response>
</Dialogue>

### **Katy, Cleveland, OH**
*Katy, the Cleveland-based lifestyle blogger behind [Sugar & Chiffon](http://www.sugarandchiffon.com/2019/09/my-microblading-and-microshading-experience/), decided to get her brows microshaded after growing tired of filling in her self-described “small, sparse, and patchy” brows on a daily basis. She chose a technician after looking at lots of before and afters on Instagram and is happy with her results.*

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/789fsYEliK7Rooeg2TT50I/210ef175f40085e575b321b6d0f8ba88/Katy.jpg}>
  A before-and-after look at Katy's microshaded brows.
</CaptionImg>

<Dialogue>
  <Question party={The AEDITION}>
    What attracted you to microblading in the first place?
  </Question>
  <Response party={Katy}>
    I was initially attracted to microblading/microshading because my natural brows are very small, sparse, and patchy. I didn’t really have any arch. And I’m terrible at filling them in, so doing that every day (or at all) wasn’t a viable option for me. 
  </Response>
  <Question party={The AEDITION}>
    Did your microblading experience meet your expectations?
  </Question>
  <Response party={Katy}>
    My experience totally met my expectations. My brows look so much better now. They have a defined shape and arch, but they still look pretty natural. When I had my appointment, I told [Stephanie Garcia](https://www.instagram.com/enhancedbeautyandacademy/) (the woman who did my brows) that I wanted ‘natural Instagram brows,’ and she totally nailed it.
  </Response>
  <Question party={The AEDITION}>
    Is there anything you would have done differently?
  </Question>
  <Response party={Katy}>
    I think, if I could do it again, I would have them done just the tiniest bit fuller and bolder.
  </Response>
  <Question party={The AEDITION}>
    Do you feel like it was worth the time and money?
  </Question>
  <Response party={Katy}>
    I definitely think it was worth my time and money.
  </Response>
  <Question party={The AEDITION}>
    How do you feel after microblading?
  </Question>
  <Response party={Katy}>
    I feel so much more confident now that my brows actually frame my face and don’t look so weird and patchy. I feel like it has helped me look more put together, which is important to me because I’m a stay-at-home toddler mom, so I am definitely not put together most of the time. I am still so happy with them almost a year later, and I recommend it to everybody!
  </Response>
</Dialogue>

## **The Takeaway**
So, are microbladed eyebrows worth the hype? The answer certainly seems to be a resounding yes. While I doubted that an eyebrow tattoo could naturally mimic real hair, a natural and bespoke result is possible at the hands of an experienced technician. I, for one, am seriously considering giving my brows a microbladed makeover. 

The semi-permanent makeup trend may be all the rage right now, but can the results really replace your brow pencils and gels? The AEDITION spoke to three women who have tried the tattoo treatment to get their honest assessment.

All About Microblading Treatments For Fuller, Thicker Eyebrows

Is Microblading Worth The Hype?

shutterstock 1177883428 (1)

Deciding to undergo bariatric surgery is a life-altering decision. Bariatric surgery refers to a number of weight-loss surgeries, with gastric bypass among the most common in the United States. These types of surgery procedures are typically for patients with a body mass index (BMI) over 40 for whom diet and exercise haven't yielded results.

The weight-related results are usually just one step in a much larger journey, as weight loss patients are often left with a body they no longer recognize. As a result, some patients decide to undergo cosmetic surgery once they have reached their desired weight to fine-tune their appearance and remove any lasting visible effects of their past weight.

The types of elective surgical procedures undertaken after significant weight loss vary from patient to patient but often feature body contouring surgery that removes excess skin and excess fat, including: 

- [Abdominoplasty](https://aedit.com/procedure/abdominoplasty) (a.k.a. tummy tuck)
- [Brachioplasty](https://aedit.com/procedure/arm-lift) (a.k.a. arm lift)
- [Breast Reduction](https://aedit.com/procedure/breast-reduction)
- [Mastopexy](https://aedit.com/procedure/breast-lift) (a.k.a. breast lift)
- Panniculectomy (a.k.a. excess skin removal)
- [Thigh Lift](https://aedit.com/procedure/thigh-lift)

While cosmetic surgery procedures are not typically covered by insurance, plastic surgery that accompanies weight loss may be partially or fully covered. Consulting with a board certified plastic surgeon will ensure that you get the right treatment and care for your body. Needless to say, the process of undergoing weight loss surgery and subsequent body contouring procedures can be long and both physically and emotionally challenging. We spoke to three weight loss patients who chose to undergo cosmetic procedures after successful bariatric surgery to find out more about their experience.

## **Jennifer, Long Island**
*Jennifer had gastric sleeve surgery in 2014 and went in for her the first of her cosmetic procedures two years later. After bariatric surgery, she lost 50 percent of her body weight. She saw big changes in the way she looked and felt, and her relationship with her body changed, too. That led to her deciding to have multiple cosmetic procedures, including a breast lift, excess skin removal, and neck lift. Here, she shares how cosmetic surgery was the final step in her feeling like herself again for the first time in a long time.*

<Dialogue>
  <Question party={The AEDITION}>
    Can you tell us a bit about your weight loss story?
  </Question>
  <Response party={Jennifer}>
    I had been overweight for as long as I could remember — always the chubby kid in the class at school. As I got older, I became self-conscious. I would hide my body in baggy clothes, which, in turn, made it easier for me to gain weight because I wouldn’t notice it as much. By the time I was in my late twenties, I was totally withdrawn socially because of it. I started to worry about my health. I lost a decent amount of weight through diet and exercise before the gastric sleeve surgery. I decided to have surgery because my weight loss plateaued for around a year. I discussed my options with my primary care physician and then my surgeon. After the surgery, I lost weight relatively quickly and maintained my target weight for six months, before I went ahead with the cosmetic procedures.
  </Response>
  <Question party={The AEDITION}>
    What pushed you to undergo cosmetic surgery after losing the weight?
  </Question>
  <Response party={Jennifer}>
    I started to appreciate my body again, which was big for me. I was seeing a therapist at the time and ended up going around in circles until I realized that there was nothing wrong with wanting to look pretty even if that meant getting surgery. I had the excess skin removed first. I thought that maybe it was all I needed to get to where I wanted to be physically, but after that, I went ahead with a [neck lift](https://aedit.com/procedure/direct-neck-lift) and [breast lift](https://aedit.com/procedure/breast-lift). Once I recovered from the second surgery, I looked in the mirror and finally liked who I saw looking back at me. It was an amazing feeling, and the only regret I have is not going ahead sooner.
  </Response>
  <Question party={The AEDITION}>
    How do you feel the procedures changed your relationship with your body?
  </Question>
  <Response party={Jennifer}>
    My relationship with my body changed a great deal from before the weight loss to after my last procedure. Before I think I just went through daily life without giving my body or wellbeing a thought. Now, it has shifted completely. I gear a lot of what I do around staying ‘well.’ Before I had the cosmetic procedures, in particular, I felt some shame around my desire to look better, but I’m pleased I was able to work through that. It’s a privilege to be able to alter how we look to feel more confident, and there shouldn’t be shame associated with that. I think I’ve gained more respect for my body, too, and I’ve become stronger emotionally. And, of course, I feel so much more comfortable with who I am now.
  </Response>
  <Question party={The AEDITION}>
    Do you have any advice for those considering weight loss surgery?
  </Question>
  <Response party={Jennifer}>
    I think it’s one of those things that has a lot of different factors that have to be taken into consideration before taking the plunge. Aside from the medical preparation needed before weight loss surgery, I think it’s really helpful to get some emotional support, too. I certainly went through a massive shift in attitude and seeing a therapist helped me navigate that more easily than I probably would have otherwise. I think patients should be aware that the way they feel about their bodies may not change in the ways they initially expected. It’s all a learning curve, but, personally, I can say it has been worth it.
  </Response>
</Dialogue> 

## **Zach, Portland**
*Zach gained weight rapidly in his late teens and throughout college. After trying to lose weight naturally, his doctors advised him to consider weight loss surgery. Due to his rapid weight gain and subsequent weight loss, he had a significant amount of excess skin that he chose to remove surgically. He spoke to us about his experience of the surgery and the recovery process.*

<Dialogue>
  <Question party={The AEDITION}>
    Can you tell us a bit about your weight loss surgery and excess skin removal procedure?
  </Question>
  <Response party={Zach}>
    The surgeon advised gastric bypass was the best route for me, so I had the surgery as soon as I was medically well enough to. Recovery from that surgery was pretty tough — especially in comparison to recovery from the skin removal. After around 18 months, I had reached a weight I was happy with. The symptoms I’d been having before surgery that were linked to the weight had disappeared or improved a lot. I had always envisioned needing to have skin removed after I lost the excess weight. I gained the weight quickly, and the weight loss after surgery was fast, too, so I guess my skin couldn’t keep up! I had spoken to my surgeon about excess skin removal during my first consultation. I wanted to have a clear picture of what to expect. I also needed to be certain I would be able to afford both steps if I needed to.
  </Response>
  <Question party={The AEDITION}>
    How did you decide when to have the excess skin removed?
  </Question>
  <Response party={Zach}>
    The decision was based in part on medical advice and partly when I felt ready. My bariatric surgeon explained I ideally needed to reach my goal body fat percentage and needed to maintain my weight for a while before considering it. There are also other factors I was told about, including the need for me to be able to find a diet that was rich enough in nutrients despite my new restricted appetite so I was strong enough for another major surgery. I went through a period when the weight loss was so exciting. I looked completely different, but then I started to notice the excess skin getting in my way. It became an issue when I wanted to exercise. It was sore and generally acted as a reminder of who I used to be. Honestly, I needed to psych myself up to have another surgery. Recovery from the first procedure was difficult. It was a total lifestyle change, but recovering from the second surgery was straightforward in comparison.
  </Response>
  <Question party={The AEDITION}>
    What was the recovery process from the excess skin removal procedure?
  </Question>
  <Response party={Zach}>
    The first stand-out thing is that it was 100 percent less of a struggle than the main gastric bypass recovery. It was more of a ‘follow the steps and it will work’ kind of recovery, whereas the first surgery was more trial and error — especially with adjusting when to introduce new foods. I was surprised at how soon I was able to move around freely, and the benefits from the skin no longer being there were quite incredible. I had no idea how much I hadn’t been able to do as a result of the skin. It was so nice being able to start feeling ‘normal.’ Aesthetically, it took some time for the swelling to go down and for the scarring to look less angry. It was such a smooth process that I am considering having a similar procedure for the excess skin on my arms and maybe a thigh lift, too. Eventually, I’d like to have the scars treated with lasers so they’re less visible.
  </Response>
  <Question party={The AEDITION}>
    Are you pleased with the results of your cosmetic procedure?
  </Question>
  <Response party={Zach}>
    Totally. To me, it’s still clear that my body’s been through a lot, and I guess if you’re trained or know what you’re looking for, you’d notice, too. I’m not in a position where I feel confident enough to take my shirt off at the beach, but that’s on me more than on the results of the surgery itself. I think clear and frank communication with your surgeon is important. Don’t be afraid to ask them honestly how good the results will be, what to expect from the scars, and so forth. It’s okay to take your time. I know for some people the excess skin becomes painful, so, obviously, there’s more of a rush there. But, if not, hold off until you feel ready. Once it’s done, you’ll see it’s not as bad as you thought it would be.
  </Response>
</Dialogue>

## **Rochelle, Texas**
*Rochelle’s weight loss came after gastric band surgery. She lost weight relatively quickly and ended up with a lot of excess skin, which made her feel like her body was not what she had hoped for after weight loss surgery. Once her weight stabilized, she underwent a number of procedures to tighten the skin on her stomach, thighs, and arms, as well as having a face and neck lift. We spoke to Rochelle about her experience with cosmetic surgery after major weight loss.*

<Dialogue>
  <Question party={The AEDITION}>
    Can you talk us through the sequence of your procedures?
  </Question>
  <Response party={Rochelle}>
    I had weight loss surgery and ended up with a lot of loose skin that I couldn’t sort out any other way aside from having surgery. I knew from the outset it was likely I would need to have excess skin removed after successful bariatric surgery, so I was kind of prepared for it. I had the stomach area seen to first, and the next step was the [thigh lift](https://aedit.com/procedure/thigh-lift) once I recovered from that. I then decided — after having a smooth recovery from those two procedures — to have my arms contoured. Finally, I had a neck and [facelift](https://aedit.com/procedure/smas-facelift). It sounds like a lot, but I waited a year or so between each step and considered it part of my recovery from past unhealthy habits.
  </Response>
  <Question party={The AEDITION}>
    How did you find the recovery time and process from each of the cosmetic procedures?
  </Question>
  <Response party={Rochelle}>
    Recovery from the first two procedures was very straightforward. I think probably because the only other experience of surgery I’d had was the gastric sleeve procedure, and, of course, recovery from that is more ‘drastic,’ for want of a better word. By the time I had the procedure on my arms, I was kind of over having to have another surgery. It took its toll on me emotionally more than anything else, which I think is often the case. But the neck and facelift were a whole other story. It felt like I’d found the missing piece of the puzzle. I’d been waiting to look at myself and see who I used to be before the weight gain, and that was the procedure that finally did it. From speaking to other patients on the same journey, I think recovering from bariatric surgery is as much about finding love for yourself again. The surgery was a key part of that for me.
  </Response>
  <Question party={The AEDITION}>
    Are you pleased with the results?
  </Question>
  <Response party={Rochelle}>
    On the whole, yes. I think one thing that shocked me somewhat was the extent of the scars. They just didn’t cross my mind. That’s something I’d say future patients could maybe look into a bit more. But that aside, the surgery has been life-altering in the best way. I was deeply unhappy before the procedures, and I can’t attribute my shift in attitude completely to the surgery, but it has been a great help. What surprised me most was the change that came from the [panniculectomy] surgery. The excess skin that was removed was able to show the true change in how my body looked, which was awesome.
  </Response>
  <Question party={The AEDITION}>
    Do you have any advice for other people who are considering a similar treatment process?
  </Question>
  <Response party={Rochelle}>
    My main advice is to pace yourself when it comes to scheduling subsequent surgeries. It’s a real temptation to rush through it all, but listen to your body and consult your doctors to see when the right time is for you. I found being a part of online support groups helpful. Some have a bit of a toxic atmosphere, but there are really good ones out there. They helped me to check whether little symptoms were normal or not and also gave me a community, so I felt less alone in going through such a big change. I’d also suggest being as open as you can be with your close friends or family. You will likely need their help a lot during recovery. I made sure to schedule my procedures for times when they weren’t too busy, so caring for me wasn’t a complete burden! It’s a long process, but I think it’s worthwhile.
  </Response>
</Dialogue>

Deciding to undergo bariatric surgery is a life-altering decision, and the weight loss results are usually just one step of the journey. Here, three patients who chose to undergo cosmetic procedures after bariatric surgery open up about their experience.

What It's Like To Get Plastic Surgery Procedures After Bariatric Surgery

What Happens After Bariatric Surgery?

shutterstock 1559754845 (1)

New Year’s resolution season is upon us. While the rest of the world may be resolving to eat better or hit the gym more, here at AEDIT we are dreaming up ways to improve our skincare routines and try new cosmetic procedures. 

From cracking the code on retinol use ([how exactly does one go about using it without all the dry and/or irritating side effects?](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare)) to finding the right surgeon for a breast augmentation, the AEDIT team has an array of aesthetic plans for the New Year and beyond. Keep scrolling to see the skincare habits #TeamAEDIT is planning to adopt and the cosmetic procedures they’d like to try in 2020.

### **1. William, Founder & CEO**
“I’m going to continue with my go-to skin and body care routine. In the shower, I start with the Kiehl’s Milk, Honey, and Almond Scrub. On the days that I shave, I use the [Jack Black Post Shave Cooling Gel](https://www.sephora.com/product/post-shave-cooling-gel-P12577), which is formulated with aloe to soothe the skin. If I don’t shave, I’ll cleanse with the [Jack Black Pure Clean Daily Facial Cleanser](https://www.sephora.com/product/pure-clean-daily-facial-cleanser-P171300) and follow it up with the [Kiehl's Facial Fuel SPF 20](https://www.kiehls.com/mens/moisturizers-for-men/facial-fuel-spf-20/659.html) moisturizer.”

### **2. Jaclyn, Senior Marketing Designer**
“I'm adding the [ZIIP nanocurrent device](https://www.net-a-porter.com/us/en/product/956463/ziip_beauty/ziip-device---golden-conductive-gel-duo--80ml) to my at-home skincare routine for the new year in an effort to reduce fine lines, sculpt my jawline, and improve my overall complexion. I'd also like to explore my options for a [breast augmentation](https://aedit.com/procedure/breast-augmentation-augmentation-mammaplasty) in 2020. It's something that I've wanted for about 10 years, and I'm finally empowered to [find a trusted provider](https://aedit.com/aedition/finding-the-right-plastic-surgeon-dermatologist-or-cosmetic-dentist) to perform the surgery.” 

### **3. Paul, Director of Sales**
“I’ve never had much of a skincare routine, but my daughters are encouraging me to try a facial scrub. Our beauty editors suggested the [Reflekt 1 Daily Exfoliating Face Wash](https://reflektskincare.com/products/reflekt1) because it is a two-in-one cleanser and exfoliator that is gentle enough for daily use. They also told me I should be wearing a moisturizer with SPF everyday, so that may be next.” 

### **4. Kristin, Senior Growth Marketing Manager**
“My skin isn't heavily scarred or blemished, but this year I really started to see signs of aging and wrinkles. In 2020, I'm going to nail my retinol routine once and for all! And I'd love to start adding an essence to my regimen as well to smooth and brighten.” 

### **5. Matthew, CTO** 
“I am Irish and get really red when it's warm or after a couple of drinks, so I am trying to take care of my skin more in 2020 with a variety of products. I am excited to start doing facials, and I ordered the [Aztec Secret Indian Healing Clay](https://www.amazon.com/gp/product/B081FK6L1G/ref=ppx_yo_dt_b_asin_title_o01_s00?ie=UTF8&psc=1) mask for at-home use. I have also done [Kybella®](https://aedit.com/procedure/kybella) in the past and will probably do it again in 2020.”  

### **6. Alyssa, Lead Product Designer**
“I have a natural tendency to raise my eyebrows when speaking with other people, and I feel more engaged and confident. I'm interested in exploring [brow lift](https://aedit.com/procedure/brow-lift-forehead-lift-browplasty) options in 2020, either temporarily with [Botox®](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin) or through a more permanent procedure — we'll see! And, as I inch out of my twenties, I'm also looking forward to discovering more preventative, at-home approaches to anti-aging. I’ll be staying hydrated and wearing SPF more consistently.” 

### **7. Christopher, Lead Front End Engineer**
“I am considering trying [microneedling](https://aedit.com/procedure/microneedling-treatment) mainly because it's fairly non-invasive and helps promote collagen growth in the skin, which would help remove some scarring I have developed over the years. On the skincare front, I have a tendency to wash my hands quite frequently, so they become dry and oftentimes start bleeding or cracking in the winter. To deal with this, I put a generous dose of glycerin over my hands right before going to sleep, which helps keep them smooth for longer than a typical moisturizer or cream. Just a warning to those who have never tried this technique before, the glycerin will make your hands quite oily, and, depending on the severity of the dryness, it can cause a tingling or burning sensation. This is normal, but if it becomes bothersome, you can wash it off with soap and water and apply a smaller amount. ” 

### **8. Yan, Product Designer**
“I think it's time to start using anti-aging products, and I plan to add retinol to my skincare routine. I'm also thinking about [Botox® for jaw slimming](https://aedit.com/aedition/botox-to-treat-tmj-disorders-and-jaw-slimming) to get a slimmer jaw and a more balanced face.” 

### **9. Sarah, Senior Brand Manager, Marketing & Communications**
“I want to start taking care of the skin below my neck as much as I take care of my face, and I was just gifted the [Necessaire Body Serum](https://necessaire.com/products/the-body-serum) for the holidays. Coupling that with my [goop Beauty G.Tox Ultimate Dry Brush](https://shop.goop.com/shop/products/g-tox-ultimate-dry-brush?country=USA) will hopefully have my skin glowing in no time.”  

### **10. Andrew, Front End Developer**
“2019 was the first year I’ve had to deal with psoriasis, and it’s been a learning curve to understand what helps treat flare ups and what doesn’t. I know people have success with [UV light therapy](https://aedit.com/aedition/everything-you-need-to-know-about-the-benefits-of-light-therapy) treatments, and I am considering trying it for myself in 2020.” 

### **11. Marie, Product Designer**
“For my skincare routine in 2020, I want to begin exfoliating once a week and start using an anti-aging eye cream. I'd also like to try a full-on facial! I've never had one before, so it would be cool to see results.” 

### **12. Vivien, Assistant Editor**
“I feel that in 2019 I’ve fallen out of my skincare routine, so my 2020 goal is to get back on track and establish a solid – yet attainable – evening regimen. I’ve also been looking into more preventative measures and considering Botox® for some time, so this year could be the year to try it.” 

### **13. Daniel, Content Strategist**
“In 2020, I might try some facial cleansing masks to help rejuvenate my skin.” 

### **14. Meg, Editorial Director**
“I got Botox® for the first time in 2019, and I think 2020 might be the year I try [under-eye filler](https://aedit.com/procedure/under-eye-filler) to treat my chronic dark circles. I am also resolving to reestablish my nightly gua sha routine that’s fallen out of practice. It’s a relaxing ritual with serious sculpting and clarifying benefits.” 

### **15. Colleen, Regional Sales Manager**
“I’ll be sticking with wearing SPF 50 on my face everyday in 2020, and I am getting better about applying it everywhere else!” 

From retinol regimens to microneedling treatments, check out the skincare habits #TeamAEDIT is planning to adopt and the cosmetic procedures they’d like to try in 2020.

2020 Skincare And Cosmetic Procedures To Try 

15 Skincare Resolutions The AEDIT Team Is Making For The New Year

After FullSPL

Living in New York City, it’s safe to say that at least every other girl I meet currently has or has previously had eyelash extensions. In one of the most stylish cities in the world, there are women everywhere you look with polished nails, freshly blown out hair, and, yes, perfect lashes. Blowouts are one thing I always make time for (they instantly make me feel more 'me'); nails I’ve given up on; and false lashes are something I’ve always wanted to try.

So, when I was assigned an article about what it's like to get lash extensions for the first time, I took it as a sign that it was time to give the faux fringe I'd long admired a try. Just in time for the holidays, I took a seat at the [BBB London](https://bbb-london.com/) outpost at Saks Fifth Avenue in Manhattan to get glam, and here's my honest take on the eyelash extension process.

## __The Allergy Test__
Before the actual lash extension appointment, BBB London requires clients to come in for a quick patch test (at least 48 hours beforehand) to ensure that you’re not allergic to the lash glue that is used to secure the falsies. No appointment is required for the drop-in session, which involves the lash technician applying a small drop of black-colored glue behind one ear.

No exaggeration, the whole process took less than a minute. My technician told me that it’s natural to feel itchiness for a few minutes (which I did!) as the glue dries and pulls the skin. An allergic reaction, meanwhile, would be characterized by more intense itchiness, redness, and bumps. If none of that happens, you’re free to peel the glue off after an hour and move forward with your appointment. Since my itchiness quickly subsided, I was good to go.

## __Choosing a Treatment__
A week after my patch test, I returned to BBB London for the application. I was told to block off one to two hours for the appointment and to arrive, ideally, makeup free. Once I got there, it was time to decide which lash treatment I wanted, as there is more than one type of lashes to choose from.

BBB London offers [semi-permanent lash (SPL) treatments](https://bbb-london.com/lash-treatments/) that last up to six weeks (with infills) and [cluster lash treatments](https://bbb-london.com/lash-treatments/) that provide a more temporary two-week boost. They also have [lash curl and lift services that can tint and curl natural lashes.
](https://bbb-london.com/lash-treatments/)
I opted for SPL, and, from there, my lash technician explained the different looks available. There is a “flirty” option where the lash stylist only applies individual lashes to the corners of the eyes to create the appearance of a cat eye. For a bit more impact, there is an option to do a half set of eyelashes (*image below*), which amounts to about 40 lashes per eye. 

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/3QbNGxupH4W3SVU36erPQJ/4d51a580e052039da4773ab658bbb00d/Before-After_LashExtensions_HalfSet.jpg}>
  A before and after look at the application of a half set of BBB London semi-permanent lashes.
</CaptionImg>

The most dramatic offering is a full set of lashes (*image below*) that involves anywhere from 80 to 200 eyelashes per eye. The more lashes you add, the greater the effect. Since it was my first time getting eyelash extensions, I knew I wanted a natural look. The lash technician recommended applying a full set of 80 individual, synthetic mink lashes to each eye. We skipped the bottom lashes because they don’t tend to last as long.

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/6RGqK7e1v7Yk61Bd5QXnUg/0eea921f6ff782ede1b0a2f32295fccd/Before-After_LashExtensions_FullSet.jpg}>
  A before and after look at a full set of BBB London semi-permanent lashes like the writer chose.
</CaptionImg>


## __The Application Process__
With my decision made, it was time to lay down in the reclining chair. While the lashes were being applied, I took a nap, but you could listen to music or a podcast.

To start, the lash artist applied surgical tape along my bottom lash line to ensure the glue wouldn't get on them. Since the tape is applied very close to the eyes, I found this to be the most uncomfortable part of the appointment. Once the tape was in place, she applied a silicone eyepatch for comfort (and to give her a place to wipe any excess lash glue as she was working!). She instructed me to keep my eyes closed at all times while she applied the fake lashes. She placed all the individual lashes on my right eye before moving onto the left.

With my new faux fringe in place, she used a spoolie to separate them and make sure they didn’t stick together or clump. As a final step, she used a small pump to blow air that helped the glue dry. Aside from the surgical tape, the only discomfort I felt was a bit of itchiness in the inner corners of my eyes, which I was told is common. 

## __The Results__ 
All told, I was in the chair for about an hour. After giving the glue time to dry, my technician removed the surgical tape and silicone patch, as I eagerly waited to see the final product. I prayed my lashes were going to be full and long while still looking natural — and I am happy to say they did!

When I first looked in the mirror I was amazed at how much the lashes made my eyes pop. They looked like they do when I apply mascara or fake eyelashes, but, because the lashes are applied individually, the result was much more natural than falsies.

Before I left, the lash stylist outlined the maintenance protocol and what I should expect. First and foremost, I couldn't get the eyelashes wet for the first 24 hours. After that, it's fine to get them wet, and it's actually recommended that you gently cleanse them regularly.

She also informed me that it’s normal for a couple of eyelashes to fall out the first day, and, in the process, she debunked a popular myth I was curious about: Do lash extensions cause your natural eyelashes to fall out? The short answer is no, however, there are some conditions in which they might shed or not grow back right away. For instance, aggressively rubbing your eyes can pull out both fake and natural eyelashes. Additionally, getting back-to-back sessions may cause a build up of glue that can block the hair follicle and, in turn, prevent new lashes from growing.

With my mind at ease, there was one key rule I would need to follow: Avoiding eye makeup — especially mascara and eyeliner — as much as possible. Makeup remover should not be used on the false lashes. 

## __The Takeaway__
As much as I love my new lashes, I’m not sure how well they fit it into my everyday life. With bad seasonal allergies, I couldn’t resist rubbing my eyes. As a result, my lashes lasted about a month. At the three-week mark, I probably could have benefited from 'infills' (a.k.a. touch ups), which [BBB London offers](https://bbb-london.com/lash-treatments/) at its various locations.

Between the initial application and upkeep, eyelash extensions are undoubtedly a time commitment, but I would definitely get lashes again for special occasions — like my upcoming wedding or honeymoon! And, for anyone considering lash extensions for a specific event, the brand recommends coming in for a trial session to ensure your eyes feel comfortable and you're happy with the look. 

A writer who has long-admired her friends’ lash extensions gives the trend a try just in time for the holiday season. 

What It's Like To Get Eyelash Extensions 

What It’s Really Like To Get Eyelash Extensions For The First Time

shutterstock 1407724754 (1)

*Since 1985, October has served as Breast Cancer Awareness (BCA) Month — a period devoted to educating the public on the disease that, [according to the Centers for Disease Control and Prevention (CDC)](https://www.cdc.gov/cancer/breast/statistics/index.htm), is the second most common form of cancer in women, regardless of race or ethnicity. Men can also be diagnosed with breast cancer (albeit at a much lower rate), and The AEDITION is devoting much of its coverage this month to BCA, from expert guides to mastectomies and reconstructive breast surgery to powerful patient perspectives and roundups of products that give back.* 

Because breast cancer awareness has become so mainstream in recent years with everyone from celebrities to the NFL dedicating time and resources to supporting the cause, men and women alike are increasingly aware of the warning signs. Women especially are encouraged to regularly conduct their own self-breast exams and may even ask their partners to let them know if they notice any changes, too. 

But what happens if/when you find a lump? Because breast cancer has such a high profile and statistics like *one in eight women will be diagnosed in their lifetime* are well known, people are often fearful to seek medical advice after noticing a change in their breast tissue because they assume the worst. 

While it is absolutely essential to get any changes checked out by a medical professional, it is also important to remember that 80 to 85 percent of lumps found in women under the age 40 are benign and caused by fibrocystic changes, cysts, fibroadenomas, or fat necrosis to name a few.

With this in mind, it is important to understand the function and importance of breast exams. We’ve already shared the resilient stories of mastectomy patients ([HERE](https://aedit.com/aedition/mastectomy-breast-cancer-experience-from-patient-perspective)) and those who have undergone breast reconstruction procedures ([HERE](https://aedit.com/aedition/post-mastectomy-breast-reconstruction-process-breast-cancer)), and in this article, The AEDITION speaks to women who found a lump and decided to do something about it.

## __Breast Check Basics__
For women with no family history of breast cancer, [the American College of Obstetricians and Gynecologists advises](https://www.acog.org/patient-resources/faqs/gynecologic-problems/mammography-and-other-screening-tests-for-breast-problems) people in their twenties and thirties have a breast examination carried out by a healthcare provider every one or three years. The American Cancer Society, meanwhile, [recommends annual mammograms](https://www.cancer.org/healthy/find-cancer-early/cancer-screening-guidelines/american-cancer-society-guidelines-for-the-early-detection-of-cancer.html) for women between the ages of 40 and 55. Women over 55 can switch to mammograms every two years or continue with yearly screenings. But that doesn’t mean you should just sit around for your next trip to the gynecologist. 

Women are encouraged to conduct a self-examination about once a month. Because benign lumps are known to appear over the course of a woman’s menstrual cycle, it is best to perform the exam at the same time every month — ideally a few days after your period ends.

During the exam, it is important to be on the lookout for any changes in the appearance of both the exterior breast (skin, areola, and nipple) *and* the interior tissue. Things to feel and look for include:

- A visible change in the shape or size of the breast or nipple
- A change in how the breast skin looks or feels (think: dimpling or puckering) 
- Soreness, redness, or rashes on the breast or underarm area
- Any areas that are visibly different compared to the rest of your breast tissue
- A lump (can be a small as the size of a pea) that persists in the breast or underarm area

If you notice any of these symptoms or something just doesn’t feel like your version of ‘normal,’ it is time to consult a medical professional for a more thorough check. Chances are, it is simple to treat. But if it is breast cancer, early detection is key.

## __Patient Perspective__ 
There are no two ways about it: finding a lump in your breast or noticing some other change to the chest can be alarming. But that is not an excuse for inaction. Here, The AEDITION speaks to three women who lived through a breast cancer scare about their experiences and why they encourage everyone to consult a doctor as soon as they notice something isn’t quite right.

### __Anna, 29, Los Angeles__ 

<Dialogue>
  <Question party={The AEDITION}>
    What caused you to become concerned about your breasts?
  </Question>
  <Response party={Anna}>
    I was at college and aware that I needed to check myself every so often. I didn’t check as often as I now know I should, but one day I was in the bathroom and found a lump. It was probably around the size of an olive. I panicked and decided I wouldn’t tell anyone. My theory was that if I ignored it, it would go away. I would prove to myself that it wasn’t anything serious. But after a while, it was still there. A family friend had been diagnosed with cancer recently, so I guess it was on my mind. I made an appointment to see my doctor. At that point, I was convinced the only thing it could be was cancer.
  </Response>
  <Question party={The AEDITION}>
    What happened during your doctor’s appointment?
  </Question>
  <Response party={Anna}>
    I explained to the physician that I found this lump and that I thought I might have breast cancer. I was so anxious, but the doctor took the time to listen to me while I gave my garbled version of events. She then checked the lump herself, which was uncomfortable, but it didn’t take too long. She then asked me whether I had any pain, whether it changed during my cycle, and whether or not I’d noticed any other symptoms. I was referred for an ultrasound — my doctor explained it would give her a clearer idea of what was going on — but she also took some time to reassure me that it could very easily be something simple to treat and not cancer at all.
  </Response>
  <Question party={The AEDITION}>
    What did the next steps look like for you?
  </Question>
  <Response party={Anna}>
    First of all, I told a friend, which was probably the best thing I did throughout the process. She was able to reassure me and she also came with me to my other appointments. I had the ultrasound quite soon after the first appointment. Again, it was uncomfortable in that I’m not keen on being naked in front of random people, but, other than that, it wasn’t painful or anything. About a week after that I went back to the primary care doctor, who explained to me that it was a cyst. Because it was filled with liquid and not solid, I didn’t even need to have a biopsy. She told me to keep an eye on it, and if it became painful, they could offer me some other treatment options. That was about four years ago now, and I haven’t had any problems since. I do check my breasts regularly though, and I’m such an advocate for people getting any concerns checked out quickly.
  </Response>
  <Question party={The AEDITION}>
    What advice do you have for someone who finds themselves in a similar situation?
  </Question>
  <Response party={Anna}>
    I would say do the brave, grown-up thing and get it checked. Don’t bury your head in the sand because, if it is cancer, that’s literally the worst thing you could do. I think the awareness we have of breast cancer is amazing now, but it can make finding an issue so scary because the first thing that comes to mind is cancer. I also think people should share their concerns. Chances are a friend has been through a very similar thing — especially by the time you reach your late twenties. I know so many people who have been through the same panic. It’s best to share with both friends and doctors.
  </Response>
</Dialogue>

### __Stephanie, 58, Texas__

<Dialogue>
  <Question party={The AEDITION}>
    What led you to believe you might have breast cancer?
  </Question>
  <Response party={Stephanie}>
    I was checking my breast, which I do regularly now that I’m older. I felt something a bit different on my right side — almost in my underarm area. I had a sinking feeling when I first felt it and managed to calm myself down enough to have a Google, which, in hindsight, was not my best idea. I was pretty sure what I found could be a sign of breast cancer, and, honestly, I was scared. It took me a few days to gather together the courage to get a consult, but I didn’t want to leave it because I know how important it can be to get a diagnosis as soon as possible.
  </Response>
  <Question party={The AEDITION}>
    What pushed you to visit a doctor?
  </Question>
  <Response party={Stephanie}>
    I think breast cancer awareness has reached this amazing level where most of us know to check ourselves and not to mess around with it if we do find something a bit suspicious. I gave myself a couple of days to accept the potential reality of the situation and went to see my doctor. I explained the situation, and he took a look. Fortunately, the office also has an ultrasound room and I was able to sit and wait for it to come available there and then. I was told I had a liquid-filled cyst, and I was booked in for a biopsy. A couple of days after the biopsy, I received a call from my doctor, who explained what it was. He told me that I had an oil cyst, which can happen when fat is damaged. It wasn’t cancer at all. He praised me for being so reactive when I found it and told me to go and get on with my life — but to keep on checking in the future.
  </Response>
  <Question party={The AEDITION}>
    Did you know about fat necrosis when you initially felt the scar tissue in your breast?
  </Question>
  <Response party={Stephanie}>
    I honestly thought I was well informed about all things breasts, but apparently I was not. I hadn’t ever heard of it. I think it’s really important that, as much as we now all learn about checking for cancer, we also get told about other, far less life-altering issues we could develop in that area. I think it can be reassuring — especially for younger people — to know there are other conditions out there. Finding out quickly can save a lot of stress, but it is also important if it is cancer.
  </Response>
</Dialogue>

### __Jennifer, 34, Miami__

<Dialogue>
  <Question party={The AEDITION}>
    Could you give us an idea of the symptoms that led to your concern?
  </Question>
  <Response party={Jennifer}>
    It happened not long before I stopped breastfeeding my daughter, so I was kind of acutely aware of what was going on with my breasts. One of them started to get a little painful and, over time, got somewhat swollen and warm. My main concern was getting it seen quickly. Not only was I in pain, but I was scared that if I left it, I could jeopardize my future with my daughter.
  </Response>
  <Question party={The AEDITION}>
    What was your experience like with your doctor?
  </Question>
  <Response party={Jennifer}>
    I went to see my daughter’s pediatrician for an appointment that had been booked for weeks. While I was there, I broke down in tears and explained what was going on. The doctor was so lovely. She told me it sounded like an infection called mastitis, which is super common for new moms. She explained to me that I just needed some antibiotics and to keep an eye on how it progressed. She was so sweet and completely understood why I was so worried about the situation. Since then, I’ve done a fair bit of research just out of curiosity, and it turns out there are so many breast conditions I had no idea even existed. I think it’s so amazing that cancer awareness pushes people to check themselves and to consult quickly. I’m certain it’s helping to save hundreds of lives every year.
  </Response>
  <Question party={The AEDITION}>
    What advice would you give to someone who is feeling worried about consulting a doctor about a concern they have with their breasts?
  </Question>
  <Response party={Jennifer}>
    I think the concern stems more from the fear of it possibly being something ‘big’ as opposed to the fear of consulting in itself. And I do think that people knowing there are other things the symptoms could point to — aside from cancer — is reassuring on that front. That being said, I think the urgency that has been created from awareness is crucial when it actually is cancer. I think, if you’re concerned, ask for help as soon as possible, but hold on to the fact that 85 percent of lumps and bumps that people consult about are not cancer at all.
  </Response>
</Dialogue>

There are no two ways about it: noticing a change to your breast can be scary. But that is not an excuse for inaction. Here, The AEDITION speaks to three women who experienced a breast cancer scare and did something about it. 

What To Do If You Find A Lump In Your Breast

photo-1542994419-6ce2d65bea12

*Since 1985, October has served as Breast Cancer Awareness (BCA) Month — a period devoted to educating the public on the disease that, [according to the Centers for Disease Control and Prevention (CDC)](https://www.cdc.gov/cancer/breast/statistics/index.htm), is the second most common form of cancer in women, regardless of race or ethnicity. Men can also be diagnosed with breast cancer (albeit at a much lower rate), and The AEDITION is devoting much of its coverage this month to BCA, from expert guides to mastectomies and reconstructive breast surgery to powerful patient perspectives and roundups of products that give back.*

[According to the World Cancer Research Fund](https://www.wcrf.org/dietandcancer/cancer-trends/breast-cancer-statistics), breast cancer is the most commonly occurring cancer in women worldwide and the second most common cancer overall globally, with two million new cases in 2018. In the United States, [it is estimated](https://www.breastcancer.org/symptoms/understand_bc/statistics) that one in eight women (or approximately 12 percent of the female population) will be diagnosed with breast cancer in her lifetime. 

The mastectomy plays a large role in the prevention and treatment of breast cancer, and, while The AEDITION has covered what to expect before, during, and after the surgery from a medical perspective (more on that [HERE](https://aedit.com/aedition/what-to-expect-before-during-after-mastectomy-breast-cancer), calling attention to the emotional toll of choosing to remove one or both breasts is just as important.

Here, two women share their deeply personal and resilient experiences with breast cancer, mastectomies, and breast reconstruction. 

## __Rena, 53__
In a six-month period, Rena’s relationship with her body and her breasts completely changed. Her breast cancer diagnosis and subsequent unilateral mastectomy happened very quickly, and she was forced to face her new reality much sooner than expected. Rena made the decision not to undergo breast reconstruction and quickly learned that the subsequent transformation was more emotional than physical. 

“The emotional scars take much longer to heal than the physical scars do,” she shares. “The breasts are symbolic of so much. They’re symbolic of feminine beauty and motherhood. Breasts come with a lot of baggage.” 

Following her mastectomy, Rena felt deep waves of emotion that resembled grief, pain, and sadness. “There was a point after the mastectomy where I genuinely thought I was losing my mind because I was so sad. I felt so unwell. I was in a lot of pain. I didn’t really want to leave the house,” she recalls. “And now I look back at that and go, ‘Of course.’ Grief is going to come your way, and you can name it. Now if I feel sad, I go, ‘Oh yes, grief. I know what that is. It’ll be gone tomorrow. Just having a sad day.’ I don’t have that, ‘Oh my god, I haven’t just lost my breast, I’ve lost my mind’ feeling.”

<PullQuote attributedTo={Rena, 53}>
  “Take an empowered approach and come from a place of strength. You get to decide when you want to take the next steps and how your mastectomy process goes.”
</PullQuote>

Rena says the emotional labor was hard, but learning to sit with it and honor how she was feeling was key. She allowed herself to feel her emotions and didn’t pressure herself to feel strong all the time. The driving force of Rena’s recovery came when she stopped letting the situation control her and instead could respond to what was happening around her.

“Take control of what you can,” she explains. “Take an empowered approach and come from a place of strength. You get to decide when you want to take the next steps and how your mastectomy process goes.”

In the moments before her surgery, for example, Rena insisted on walking into the operating room instead of being wheeled in by the nurses. When she got home, she turned all the full-length mirrors in her house around until she decided she was ready to look at her body again. 

Her advice to those on a similar journey: “As soon as you get that news, the time is now to start saying goodbye to your breasts and thanking them for everything they’ve meant to you and done for you,” she says. “Quickly get it into your head that it’s your choice to do away with your breasts in exchange for your life. I chose to sacrifice my breast in order to live. I know that’s sad, but you can say, ‘I will be sad to lose my breasts, but I want to live.’”

## __Tracey, 45__
Like Rena, Tracey has been on her own unique journey. Her diagnosis was a long time coming because she knew she was at risk of developing breast cancer and was able to anticipate at least part treatment and recovery. Due to her family history of breast cancer, she was screened regularly for the disease and discovered she carried the BRCA1 gene mutation in late 2010. She decided she would preventatively have her ovaries removed and undergo prophylactic (a.k.a. preventative) mastectomy and breast reconstruction procedures at the same time.

“If I just had a mastectomy, I know I personally would not have felt feminine,” she shares. “Because I was doing elective surgery, I was lucky enough to be able to consider this option and have the two procedures done together.”

Opting for an immediate reconstructive surgery gave Tracey the opportunity to feel like she was reclaiming power over her experience, but, post-mastectomy and breast reconstruction, she experienced a series of complications and side effects that prolonged her recovery time.

<PullQuote attributedTo={Tracey, 45}>
  “To look at me, you would never know that I’ve had a mastectomy and reconstruction and that I’m going through menopause. I still feel like me.”
</PullQuote>

“A few days after the procedure, my cosmetic surgeon noticed that my right nipple wasn’t going to survive, so I had to be taken back in for surgery to remove it. After about a month at home, I got really sick due to an infection in the right breast, and I had to be rushed to the hospital to get the expander out,” she explains. “All up, I think I’ve had about six or seven surgeries now — this includes having the implants put in and a nipple reconstruction on my right breast, which looks great. My left breast is perfect and I’m happy with it. The right one, not so much. But who is ever happy with the way their breasts look? Even naturally, they’re different. I continue to see my plastic surgeon once a year for a follow-up.”

While her road to recovery was a winding one, she remains upbeat about the results. “I’m not affected by it from day to day. Yes, my breasts are hard, one is quite scarred, and one nipple is bigger than the other, but did I make the right decision? Absolutely, 100 percent,” she says. “To look at me, you would never know that I’ve had a mastectomy and reconstruction and that I’m going through menopause. I still feel like me.”

Tracey’s advice to anyone who is considering a preventative procedure or currently undergoing treatment: “I think it’s a personal journey. Everyone is different and has different feelings and expectations,” she says. “My only advice would be to ensure that you do go through all the options of the procedure, have a great surgeon, and surround yourself with a good support group and care team. Try to be positive as much as you can and reassure yourself with the reason why you’re going ahead with these procedures.”

## __The Takeaway __
Rena and Tracey’s experiences prove that there is nothing linear about breast cancer diagnoses and treatment, but hearing from survivors and those who have elected for preventive mastectomies helps to shine a light on the fact that — regardless of your circumstances — the experience is as emotional as it is physical. While finding board certified surgeons who you trust and feel comfortable with is paramount to your medical care, reading about other people’s journeys and creating a strong support system before, during, and after surgery can help to alleviate some of the emotional burden. 

While it is important to know what to medically expect from a mastectomy, understanding the emotional toll of choosing to remove one or both breasts is equally vital. Here, two women share their deeply personal and resilient experiences.

How To Take Control Of Your Mastectomy Journey From Patients' Perspective

How To Take Control Of Your Mastectomy Journey

shutterstock 655533991-1

If circumstances have you rethinking your ink, here’s what you need to know about the tattoo removal process from both an expert and patient perspective.


People get tattoos for any number of reasons — be it sentimentality, a special occasion, or just because — and, likewise, people choose to have their tattoos removed for a variety of reasons. Arriving at that decision, however, can be difficult, especially if you don’t understand what the process entails. 

The most common way to remove permanent tattoos is with laser treatments. While there are several types of lasers that can be used to remove tattoos, they all rely on the same principle. Lasers employ different wavelengths of light (each with the ability to treat specific pigment colors) that are absorbed by the ink particles in the dermis layer of the skin. The energy causes the pigment to shatter into fragments that can then be digested and excreted via the body’s immune system. Over time, this process lightens the appearance of the tattoo.  

With the basics in mind, The AEDITION got the scoop on what to expect from [laser tattoo removal](https://aedit.com/procedure/laser-tattoo-removal-procedure) from West Hollywood dermatologist [Jason Emer, MD](https://aedit.com/provider/jason-emer-md-722), and spoke to three patients about their personal experiences with the treatment.

## __The Laser Tattoo Removal Process__
Let’s get this out of the way: tattoo removal requires patience — and, sometimes, lots of it.  

For starters, Dr. Emer warns that “even the smallest black ink tattoos” can take “six to 10 sessions” to remove (though newer technologies, like the PicoLaser, may require fewer). While no two patients are the same, the time it takes for the fractionalized pigment to be excreted after a procedure can last several weeks, which is why patients are encouraged to space laser treatments anywhere from three to 12 weeks apart. 

To maximize each session, Dr. Emer suggests patients request a perfluorodecalin (PFD) patch be used. The patch absorbs some of the energy produced by the laser, which, in turn, allows practitioners to pass over the affected area up to four times more than they would be able to without the patch in place. The result: fewer treatments and faster results.

And, while the process of removing an unwanted tattoo can be long and costly (the [American Society for Aesthetic Plastic Surgery estimates](https://www.surgery.org/node/1056530)  one laser tattoo removal session costs, on average, $463), it doesn’t have to be painful. Dr. Emer says patients can ask for topical numbing creams, nerve blocks, or even sedation to ease any laser-related discomfort. 

## __Laser Tattoo Removal Recovery and Results__
As with any laser treatment, the downtime after each session is relatively minimal. Patients are asked to protect the affected area from sun exposure and to avoid submerging it in water for up to two weeks. They are also encouraged not to sweat or rub the site for 72 hours. Additionally, patients may notice scabbing, discoloration, swelling, and/or peeling as the area heals. 

The number of sessions it will take to remove a tattoo depends on a variety of factors. The age of the ink and its location on the body, for instance, are key indicators. “The further away from the heart the tattoo is, the longer it will take to remove,” Dr. Emer explains. Whether or not it was done by a professional tattoo artist (amateur tats are typically easier to treat due to their superficial nature) and the colors that were used (green and light blue ink are the hardest to erase) also matters.

Another factor? Skin tone. 

“The darker the skin tone, the harder it is to remove a tattoo,” he says. “The laser energy attracts the darker skin as opposed to the tattoo, so those with light skin and dark ink are likely to achieve the most effective results.” 

Generally speaking, the tattoo should fade with time (and as additional treatments are performed), but the reality is that some tattoos will never be 100 percent erased. And while technological advances have significantly improved laser results, the potential for “ghosting” (no, not the dating kind) or lightening of the skin where the laser was applied is possible.

## __Patient Perspective__ 
So, what’s it like to go through the tattoo removal process? A few patients get candid about their experiences. 

### __Sadie, Los Angeles__
*Sadie is in the process of removing two tattoos — a small green, white, and yellow daisy on her lower back and a medium-sized butterfly on her hip bone. She commissioned the latter (a pink, yellow, and green design) to cover up an older tattoo but has since decided she wants to remove them all.*

<Dialogue>
  <Question party={The AEDITION}>
    Why did you decide to have your tattoos removed?
  </Question>
  <Response party={Sadie}>
    I got the daisy when I was 18 simply because I thought tattoos were cool. I got the second one a year later and the cover up a couple of years after that. I didn't put much thought into it at the time, and they have no meaning to me. I don't like the way they look, and I also don't like colored tattoos.
  </Response>
  <Question party={The AEDITION}>
    How did you go about finding a doctor for your tattoo removal?
  </Question>
  <Response party={Sadie}>
    I did a lot of research about the laser machine itself and some on doctors. My best friend's husband, who is a dermatologist but doesn't do tattoo removals, recommended a dermatologist to me who he said is great at tattoo removal and uses PicoSure. 
  </Response>
  <Question party={The AEDITION}>
   What has the removal process been like for you?
  </Question>
  <Response party={Sadie}>
    I just did my fifth session last week. It's a very long and slow process overall. I wait six weeks in between each session and do both tattoos at the same appointment. I’ve always heard horror stories about the pain of laser tattoo removal — and that it was much worse than laser hair removal, which I have also done — but I have zero pain when the doctor is using the laser on me. If I didn't hear the sound of the machine, I would almost think nothing is being done. 

Before the laser itself, a nurse numbs both areas with injections. It's a bunch of tiny needle injections, which can be a little painful, and I do bleed a little. The nurse pokes the area to make sure I don't feel anything before the doctor comes in to start the laser. After a session is done, they bandage the area up and I don't work out for 48 hours. I can shower after 24 hours. I wash the area with unscented antibacterial soap, and, for the first five to seven days, I cover it with a large bandaid. I have been told to use Aquaphor on it and was also given a cortisone cream for the itch, but I rarely use them. 

I have only had one large blister after my third session, which went away quickly, and then I have had some tiny ones, which, again, went away fast. I also don't go in the pool for a couple of weeks since it's technically an open wound. Anytime I am in the sun, I use sunscreen on the tattoos being removed. 
  </Response>
  <Question party={The AEDITION}>
    Are you pleased with the results so far?
  </Question>
  <Response party={Sadie}>
   I am very content with the results so far, but I wish there was a way to do the sessions more often. I am very excited to see the final results.
  </Response>
  <Question party={The AEDITION}>
    Do you have any advice for people considering having a tattoo removed?
  </Question>
  <Response party={Sadie}>
    You need to be patient! It's a long process and doesn't look so great to have a faded tattoo on your body, which, after a few sessions, doesn't even look like anything but some light ink. It's not pretty, and you can't speed up the sessions or see drastic results fast. But if you're patient, you will reach your desired results. It's also an expensive process, so make sure you're ready for that. You don't want a lack of patience or not being able to pay for it to be the reason you are left with a faded tattoo that no longer looks like anything. It's a commitment for sure.
  </Response>
</Dialogue>

### __Lauren*, Long Beach, CA__
*Lauren got a tattoo on her wrist when she was in her early twenties. She has since become a business owner and regularly presents her products to large groups of people. She found that having visible tattoos affected her confidence, which led her to begin the removal process.*

<Dialogue>
  <Question party={The AEDITION}>
    Why did you decide to have your tattoos removed?
  </Question>
  <Response party={Lauren}>
    I got my tattoos impulsively when I was relatively young. They didn’t particularly have any meaning to me, so I think that made the decision easier. I found that, in the industry I work in, having visible tattoos led to a fair bit of silent judgment. As a business owner, I couldn’t afford to be judged on something that I could have fixed relatively easily.
  </Response>
  <Question party={The AEDITION}>
    What has the removal process been like for you?
  </Question>
  <Response party={Lauren}>
    So far, I have had four sessions, which my practitioner estimates leaves me around halfway towards the final result. The sessions themselves are quick, but I do find them quite uncomfortable. It is a little annoying to have to remember to keep the area away from sunlight as much as possible, but, on the whole, the process feels more like a bit of an inconvenience rather than anything dramatic or painful.
  </Response>
  <Question party={The AEDITION}>
    Do you have any advice for people considering having a tattoo removed?
  </Question>
  <Response party={Lauren}>
    I actually consulted a couple of practitioners before settling on the one I am going to now. I wanted to find someone who had a decent amount of experience dealing with tattoos similar to mine, which were quite colorful. I also made sure we were clear on how much pain I should expect and asked them to explain how they would minimize that. If you’re nervous about the pain, definitely have a discussion with your practitioner about what they can offer to help. And, finally, don’t expect miracles. I’m told mine have a good chance of being more or less completely removed, but it’s definitely not a quick fix.
  </Response>
</Dialogue>

### __Josh*, Newark, NJ__
*Josh had a tattoo removed from his upper arm because it was a reminder of a past relationship. His removal process was completed a few months ago, and he is generally pleased with the results.*

<Dialogue>
  <Question party={The AEDITION}>
    What was the removal process like for you?
  </Question>
  <Response party={Josh}>
    I consulted with a dermatologist who practices in the same office that I go to for [Botox®](https://aedit.com/procedure/botox), so I was already confident in the level of care I would receive. I had done some research ahead of my consultation and asked them about the PFD patch that can be used to reduce the number of visits you need. They offered that, so I was happy to go ahead. The tattoo was relatively small —  a couple of inches by about half an inch — so the sessions didn’t take long. There was a bit of discomfort the day after, but, other than that, it was straight forward.
  </Response>
  <Question party={The AEDITION}>
    Are you pleased with the result?
  </Question>
  <Response party={Josh}>
    I’m pleased with what my dermatologist was able to achieve, but I did have to lower my expectations to an extent. In my mind, they were going to be able to completely erase any trace of the tattoo. In reality, the skin still looks different in the area. I am hoping with time the area will continue to heal and look more normal, but it’s still better than the situation I had before.
  </Response>
  <Question party={The AEDITION}>
    Do you have any advice for people considering having a tattoo removed?
  </Question>
  <Response party={Josh}>
    Honestly, I think if you’re just getting rid of it because you don’t like how it looks anymore, I would consider looking more into either cosmetics to cover it or getting a cover with something else. In my experience, the area won’t go back to being 'normal skin.' If there are more profound reasons, then I would say it’s worthwhile. My advice would be to find a doctor you feel you can trust, talk through any concerns you have, and take the process at your speed. It’s not the most comfortable, so remember there’s no real rush and it will look better with time.
  </Response>
</Dialogue>

*Patient names have been changed

If circumstances have you rethinking your ink, here’s what you need to know about the tattoo removal process from both an expert and patient perspective. 

Everything You Need To Know About Laser Tattoo Removal

The Truth About Laser Tattoo Removal

shutterstock 626140784-min

As long as she could remember, Linda had beautiful skin (you know, the glowy and youthful kind you receive compliments on). But everything changed during a particularly stressful time in her life two years ago. At age 57, small blood vessels began reddening her cheeks and nose, and her facial skin grew so sensitive and painful that she dreaded even washing it. “It was really hard to look at myself in the mirror and accept that I was having this extreme redness,” she shares.

Linda sought out doctor after doctor — some of whom even tried to prescribe antidepressants to treat her skin condition — until, after seven agonizing months, a dermatologist finally diagnosed her with rosacea. The skin disorder, which impacts an estimated 16 million Americans, has symptoms ranging from facial redness and extreme sensitivity to pimply bumps (a.k.a. papulopustular rosacea) and irritated eyes (i.e. ocular rosacea).

## **Why Treating Rosacea Is Difficult**
The exact cause of rosacea is unknown, and flare-ups can be triggered by exposure to stress, heat, hormones, spicy foods, alcohol, and even caffeine. In Linda’s case, her constant worrying about her complexion definitely wasn't helping matters. “Because I was so stressed out about it,” she says, “I’m sure I was making it worse.”

Dermatologists usually treat rosacea symptoms with a combination of lifestyle modifications, light and [laser therapies](https://aedit.com/procedure/ablative-fractional-lasers), specialized skincare routines, and antibiotics, but many patients find it difficult to obtain coverage for these treatment options because insurance companies categorize the skin condition as “cosmetic.”

Frustrated by the lack of results from doctor-prescribed meds, Linda sought out a naturopath, who helped balance her hormone levels with supplements and an anti-inflammatory diet. But she still wanted more. Extensive research led Linda — a Minnesota resident — to West Hollywood’s [Jason Emer, MD](https://aedit.com/provider/jason-emer-md-722), a board certified cosmetic dermatologist who specializes in laser technologies.

Since there is no cure for rosacea, Dr. Emer opts for a multi-modality approach to managing it. He likens its chronic nature to having diabetes or high blood pressure. "You’re always going to have it, so you have to maintain treatment for it,” he says. He employs a regimen of in-office lasers, facial treatments, and light therapy, as well as various at-home therapies, to help patients keep their condition under control.

The treatment program is intensive at first. Linda, for instance, made monthly trips to Southern California for the first six months before switching to quarterly visits. Now two years into her journey, Linda invited The AEDITION to experience firsthand what it’s like to undergo one of her laser treatments.

## **Using Lasers and Light Therapy To Treat Rosacea**
When I met Linda in the reception area of Dr. Emer’s new Sunset Boulevard facility, the first thing I notice is her skin: It looks healthy and porcelain-hued, with no sign of the redness or inflammation I’d expected to see. Dr. Emer’s staff leads us into a treatment room, where a nurse applies a topical numbing cream to Linda’s face, before leaving the two of us to chat for about 40 minutes as the lotion takes effect.

Over the steady buzz of the laser machine warming up, Linda tells me that one of the hardest parts about having rosacea is the impact avoiding her triggers has had on her previously active lifestyle. “I like to ride my bike, kayak, walk,” she says. “But now I can’t just go out without thinking about it — I have to be careful.” Going out to eat can also be a challenge due to her dietary restrictions. “I can’t just have a glass of red wine with friends,” she shares, “because it’s not worth having to deal with the consequences.”

The nurse returns to remove Linda’s numbing cream in preparation for her treatment, and Dr. Emer arrives to calibrate the laser before getting started. In the past, he explains, the standard rosacea treatment was light therapy in the form of [intense pulsed light (IPL)](https://aedit.com/procedure/ipl), which just wasn’t that effective. Dermatologists were reluctant to combine technologies for fear that using lasers, light, and peels would overly irritate sensitive skin. “As it turns out,” he says, “[non-ablative lasers](https://aedit.com/procedure/nonablative-laser-skin-resurfacing) — ones that don’t burn the skin but just heat the underlying surface — actually help.”

Depending on the patient’s skin tone, Dr. Emer uses different lasers with an array of wavelengths. In Linda’s case, he combines the Vbeam® vascular laser (which exclusively targets the skin’s blood vessels) with the [Clear + Brilliant®](https://aedit.com/procedure/clear-brilliant) laser (which works on the skin’s surface to help decrease inflammation). According to Dr. Emer, just two or three sessions with these tools (coupled with a program of facials, skincare, and at-home light therapy) can help many patients achieve up to a year of remission. 

But are there any risks to doing all of this at once? Dr. Emer says that, when used incorrectly, the heat from the vascular lasers can damage the skin. He advises patients seek treatment with a board certified dermatologist for mild cases of rosacea and a cosmetic dermatologist (i.e. someone with extensive training in these advanced therapies) for more severe cases.

And what about the cost? On average, one session with a vascular laser ranges from $250 for a spot treatment to between $500 and $750 for larger areas like the face. Clear + Brilliant® runs about $500 per session, depending on the doctor and location.

As Dr. Emer prepares to apply the laser beam to Linda’s face, he places metal shields over her eyes and requires everyone else in the room to slip on purple-hued glasses to protect the blood vessels in our eyes (this laser can cause blindness). As the procedure begins, the handheld device imparts a dime-sized green light that glows on the skin in the moments before each high-pitched laser pulse. It sounds painful, but Linda seems unfazed. “They always say it feels like a rubber band snap,” she explains, “but I’ve never been super uncomfortable, no matter what he’s done.”

Partway through Linda’s treatment, Dr. Emer re-calibrates the Vbeam®, honing the focus to target her visibly dilated blood vessels. “This laser attracts the blood in the blood vessels. So, it heats it up and the vessel starts to spasm, which causes inflammation,” he says of the eight-minute procedure. “Then the body comes in and eats up the blood vessels.”

Next up: the Clear + Brilliant® treatment. The machine is considerably smaller than the Vbeam® — and much quieter, too. The nurse gives Linda a small, handheld fan to cool her face, as Dr. Emer carefully glides the device back and forth along every section of her skin. “By combining the deeper, vascular laser with the lighter, superficial laser, you actually get more improvement,” Dr. Emer says.

Minutes later, Linda's face is flushed but otherwise smooth and plump looking. She says her skin feels hot from the laser, and the nurse applies a crystal-fiber cooling mask to soothe it. After letting it sit for five minutes, the nurse follows it up with a 10-minute red LED light treatment to further soothe the inflammation. Post-treatment, things get worse before they get better — Linda says the redness usually persists for a few days and calms down over time.

Finished with her light therapy, Linda bids me farewell, still peppy and positive in spite of the afternoon’s scrutiny. She realizes how fortunate she is to have the means to make traveling for treatment a possibility. “For me, coming to Dr. Emer is more than worth it,” she says of her regular trips. “I have to take time off work to fly out here, but I see the results. I know I’m going to have rosacea for the rest of my life, but there is hope.”

She says her journey with rosacea has made her passionate about being her own health advocate. “Don’t take ‘no’ for an answer,” she shares. “There are things that can be done — you just have to find the right person to help you.”

An estimated 16 million Americans have rosacea. Here, one patient chronicles her experience with the skin condition and invites The AEDITION to join her for a laser treatment with her cosmetic dermatologist. 

What It's Really Like To Live With And Treat Rosacea 

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

shutterstock 324558401-min

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.

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